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Simple Summary: Blood clots are formed when blood vessels are injured. They help stop bleeding and heal wounds, but can also cause serious problems if they block blood flow or break off and travel to other organs. This study investigates how blood clots differ in people with cancer compared to healthy or non-cancerous individuals. This study found that cancer patients have higher levels of histones in their blood, which make their clots stiffer and resistant to lysis. Further, clots formed in cancer patients have higher viscoelastic properties, and hence are harder to break down. These findings suggest that cancer patients have abnormal clotting properties that may increase their risk of developing thrombosis, and evaluating these properties can be helpful in detecting cancer. Background: Blood viscoelasticity and plasma protein levels can play an important role in the diagnosis and prognosis of cancer. However, the role of histones and DNA in modulating blood clot properties remains to be investigated. This study investigates the differences in blood viscoelasticity and plasma protein levels among cancer patients, individuals with other diseases, and healthy individuals. Methods: Blood samples were collected from 101 participants, including 45 cancer patients, 22 healthy individuals, and 34 individuals with other diseases. Rheological properties of clots formed in vitro by reconstituted elements of fibrinogen or plasma were analyzed with an Anton Paar Rheometer, USA. Plasma protein levels of D-dimer, TPA, EPCR, fibrinogen, and histone H3 were measured through ELISA. Blood clots were formed with or without DNA and histones (H3) by adding thrombin and calcium to plasma samples, and were evaluated for viscoelasticity, permeability, and degradation. Results: Cancer patients show higher blood viscoelasticity and plasma D-dimer levels compared to healthy individuals and individuals with other diseases. Our in vitro analysis showed that the addition of histone to the plasma results in a significant decrease in viscoelasticity and mean fiber thickness of the clot formed thereafter. In parallel studies, using plasma from patients, DNA and histones were detected in fibrin clots and were associated with less degradation by t-PA. Moreover, our results show that the presence of DNA and histones not only increases clots' permeability, but also makes them more prone to degradation. Conclusions: Plasma histones and DNA affect the structure of the clot formed and induce defective fibrinolysis. Moreover, the increased viscoelastic properties of plasma from cancer patients can be used as potential biomarkers in cancer prognosis. [ABSTRACT FROM AUTHOR]

Physical properties of blood plasma, such as viscosity, serve as crucial indicators of disease. The inherent capillary effect of paper microchannels, coupled with minimal sample requirement, stimulated the advancement of paper-based viscometers. This study presents a precise, non-contact optoelectronic system using a microfluidic platform for the measurement of blood plasma viscosity. Microchannels were defined onto the filter paper using an available and inexpensive wax crayon, without the need for conventional wax printing equipment. The time required for the 5 μL sample to pass a specific distance was measured using two pairs of infrared sensors. Subsequently, this data was sent to the microcontroller, which automatically calculated the viscosity. Throughout the measurements, sample temperature was maintained at a constant 37 °C through an integrated heater with automated control. The microfluidic platform successfully processed real samples, yielding viscosity measurements in under three minutes. Evaluation with fetal bovine serum, spiked with varying protein concentrations in both native and denatured states, demonstrated a precision exceeding 96% compared to conventional Ostwald viscometer readings. For human subjects exhibiting pathologies affecting serum and plasma viscosity compared to physiological norms, strong correlations were observed between resultant values and clinical diagnoses. The proposed device aims to replace expensive and complex optical equipment, offering a safer alternative for measuring plasma viscosity. Unlike similar devices, it eliminates the risk of component deformation due to chemical contact or unsafe irradiation. [ABSTRACT FROM AUTHOR]

The document titled "Contents list" is from the journal Lab on a Chip, which focuses on devices and applications at the micro- and nanoscale. The document provides a list of papers and critical reviews featured in the journal's latest issue. Topics covered include advances and challenges in modeling biological barriers, surface acoustic wave digital microfluidics, developing vasculature within chicken chorioallantoic membrane, parathyroid hormone secretion, human neuron microcircuits, detection of SARS-CoV-2, reconstitution of high-density lipoprotein-mimicking nanoparticles, prostate-specific antigen detection, drug delivery bioelectronics, and point-of-care blood plasma viscosity measurement. The journal is published by The Royal Society of Chemistry, a leading chemistry community. [Extracted from the article]

Lipid droplets are important organelles in eukaryotic cells and play an integral role in cellular metabolism. Abnormal changes in intracellular lipid droplets are usually associated with the occurrence of many diseases. Studying the changes in lipid droplet status in cells is of great significance for understanding the regulatory mechanism of intracellular lipid metabolism and the pathogenesis of some related diseases. This paper reports a novel lipid droplet fluorescent probe, LDCN. The D–A–D structure of the probe LDCN brings a good TICT effect, which makes the probe have excellent polarity and viscosity sensitivity. In addition, LDCN has excellent selectivity, good pH stability, and a large Stokes shift (114 nm). LDCN showed good co-localization with commercial lipid droplet dyes in both HeLa cells and tobacco seedling leaf cells. The results showed that the probe was able to selectively sense lipid droplets in living cells. Meanwhile, LDCN could also be used for freshness detection of juice drinks. [ABSTRACT FROM AUTHOR]

INTRODUCTION: A recent finding of a deep venous thrombosis during spaceflight has prompted the need to clarify mechanisms and risks of venous thromboembolism (VTE). In turn, mitigation countermeasures, diagnostic modalities, and treatment options must be explored. The objective of this review was to synthesize current evidence on VTE in spaceflight. METHODS: A literature review was performed from inception to April 2023 pertaining to VTE in the context of spaceflight or ground-based analogs with human participants. PubMed was searched for papers written in English using the terms "spaceflight" or "weightlessness" and "thrombotic" or "embolism" or "thromboembolism" in "venous" or "veins". Papers using cellular or animal models were excluded. RESULTS: There were 63 papers captured; 7 original scientific studies, 3 narrative reviews, 2 systematic reviews, and 3 commentaries discussed VTE in spaceflight. Reference lists were screened. Important themes included: altered venous hemodynamics, increased fibrinogen and coagulation markers, hypoalbuminemia, and immune dysfunction. Additional risk factors may be seen in women, such as the use of oral contraceptives. DISCUSSION: Venous stasis and decreased shear stress secondary to fluid shifts may induce inflammatory changes in the venous system, resulting in endothelial damage and upregulation of the coagulation cascade. Additionally, women in space are subject to physiological factors increasing their VTE risk, such as the use of oral contraceptives, inducing increased blood viscosity and hypoalbuminemia. Efforts should also be placed in optimizing sensitivity and specificity of imaging markers, payload, and training ability, notably the use of vector flow imaging, and improving point-of-testing biomarkers, such as albumin and p-selectin. [ABSTRACT FROM AUTHOR]

For the optimization of ventricular assist devices (VADs), flow simulations are crucial. Typically, these simulations assume single-phase flow to represent blood flow. However, blood consists of plasma and blood cells, making it a multiphase flow. Cell migration in such flows leads to a heterogeneous cell distribution, significantly impacting flow dynamics, especially in narrow gaps of less than 300 μ m found in VADs. In these areas, cells migrate away from the walls, forming a cell-free layer, a phenomenon not usually considered in current VAD simulations. This paper addresses this gap by introducing a viscosity model that accounts for cell migration in microchannels under VAD-relevant conditions. The model is based on local particle distributions measured in a microchannels with a blood analog fluid. We developed a local viscosity distribution for flows with particles/cells and a cell-free layer, applicable to both blood and analog fluids, with particle volume fractions of up to 5%, gap heights of 150 μ m, and Reynolds numbers around 100. The model was validated by comparing simulation results with experimental data of blood and blood analog fluid flow on wall shear stresses and pressure losses, showing strong agreement. This model improves the accuracy of simulations by considering local viscosity changes rather than assuming a single-phase fluid. Future developments will extend the model to physiological volume fractions up to 40%. [ABSTRACT FROM AUTHOR]

In this paper, we have provided a mathematical analysis of an empirical result, namely, the Fahraeus–Lindqvist effect, a phenomenon that occurs in capillary tubes with a diameter lower than 0.3 mm. According to this effect, in capillary tubes under 0.3 mm in diameter, the apparent viscosity of blood decreases as the diameter of the tube decreases, making flow possible in these vessels. A two-phase blood flow mathematical model for human capillaries has been presented here. According to Haynes' theory, blood is separated into two layers when it flows from the capillary. It is assumed that the first layer is plasma, and the second layer is the core layer. The plasma layer flows near the wall of the capillary, and the core layer flows along the axis of the capillary. Further, the core layer is assumed to be a mixture of two phases: one is the plasma, and the other is that of RBCs. For mathematical modeling purposes, a curvilinear coordinate system has been adopted, with physical quantities used in tensorial form. Derived equations are solved to find the effective viscosity, which depends upon the radius of the capillary; that is, it reduces viscosity to make blood flow possible. A comparative study was conducted with the experimental result of this effect, and it was observed that the proposed two-phase blood flow model is much closer to the experimental data than the single-phase blood flow model, and both have the same trends. After validation of the model with the experimental result, this model was applied to human capillaries (diameter lower than 10 μ m ) to show the F-L effect, and the impact of various physiological quantities that are relevant to the flow of blood into human capillaries are also discussed here. The impact of hematocrit on various parameters has been demonstrated explicitly. [ABSTRACT FROM AUTHOR]

This paper discusses the fully developed electromagnetic hydrodynamic flow and heat transfer of a Casson nanofluid Fe3O4-blood in a porous medium. The flow takes place in a horizontal channel with walls at different temperatures. The channel is influenced by an externally applied magnetic field that is perpendicular to the walls of the channel and an externally applied electric field that is perpendicular to the longitudinal vertical plane of the channel. Both of these fields are homogeneous. The induced magnetic field is considered weak and can be neglected. The described problem is represented by differential equations which are analytically solved after the transformation into a dimensionless form. The obtained velocity and temperature distributions of the Casson fluid Fe3O4- blood are graphically represented and the influences of the Hartmann number, the Brinkman number, the power factor, the porosity factor, and the volume fraction of nanoparticles are examined. The Nusselt number and dimensionless friction voltages are given in a table. [ABSTRACT FROM AUTHOR]

Dried blood spots (DBS) are a versatile and stable tool for direct clinical blood analysis. Ambient high-resolution mass spectrometry is emerging as a method of choice for their quantitative analysis, for instance in therapeutic drug monitoring. Here, we coupled liquid microjunction surface sampling technology, a so-called Flowprobe, with an Orbitrap mass spectrometer and demonstrated the utility of this set-up for direct quantification of multiple drugs in DBS on filter paper. A three-layer set-up that we had introduced earlier enabled introduction of internal standards into DBS. We furthermore took an established point-of-care test system a step further and analyzed disposable test fields for blood glucose monitoring also for Flowprobe-based acetaminophen screening without additional sample preparation. Using as little as 2 μL blood, the method had an LOD of 1 μg mL−1 (coefficient of variation of ≤15%) and acetaminophen recoveries of 82 to 119% for blinded samples, as assessed by LC-MS/MS. Half an hour after ingestions of a single 1000 mg acetaminophen dose, indistinguishable drug levels were measured in three healthy volunteers by LC-MS/MS and Flowprobe-Orbitrap MS analysis of DBS. Flowprobe analysis of DBS was 6- to 100-times more sensitive than corresponding desorption electrospray ionization MS analysis for four drugs. For instance, the LOD for salicylic acid analysis was 0.07 ng mL−1 with Flowprobe measurement. Furthermore, we showed that multi-component analysis of five different substances, which may mimic polypharmacy in diabetes patients, in one blood sample for screening purposes was feasible. Taken together, our study suggests that microjunction surface sampling of DBS on filter paper and disposable point-of-care test fields may be developed into routine methods for near-patient multi-compound therapeutic drug monitoring that may advance blood screening analysis for patients with polypharmacy. [ABSTRACT FROM AUTHOR]

Lactate is an essential biomarker for determining the health of the muscles and oxidative stress levels in the human body. However, most of the currently available sweat lactate monitoring devices require external power, cannot measure lactate under low sweat rates (such as in humans at rest), and do not provide adequate information about the relationship between sweat and blood lactate levels. Here, we discuss the on-skin operation of our recently developed wearable sweat sampling patch. The patch combines osmosis (using hydrogel discs) and capillary action (using paper microfluidic channel) for long-term sweat withdrawal and management. When subjects are at rest, the hydrogel disc can withdraw fluid from the skin via osmosis and deliver it to the paper. The lactate amount in the fluid is determined using a colorimetric assay. During active sweating (e.g., exercise), the paper can harvest sweat even in the absence of the hydrogel patch. The captured fluid contains lactate, which we quantify using a colorimetric assay. The measurements show the that the total number of moles of lactate in sweat is correlated to sweat rate. Lactate concentrations in sweat and blood correlate well only during high-intensity exercise. Hence, sweat appears to be a suitable biofluid for lactate quantification. Overall, this wearable patch holds the potential of providing a comprehensive analysis of sweat lactate trends in the human body. [ABSTRACT FROM AUTHOR]

[Display omitted] • Evaluation of a near-infrared set-up for the prediction of the hematocrit. • Successful validation with excellent accuracy and precision results. • Robustness experiments were performed to ensure the applicability in clinical practice. • Application on capillary DBS samples obtained via finger prick was included. Dried blood spot (DBS) microsampling has gained interest in different clinical fields, owing to its many advantages compared to conventional blood sampling. However, whilst being applied for decades for screening purposes, some challenges, such as the hematocrit (Hct) effect, hinder further widespread use of DBS for quantitative purposes in clinical practice. Amongst the approaches that were developed to cope with this issue, is the Hct prediction of DBS using near-infrared (NIR) spectroscopy. Using left-over EDTA-anticoagulated patient samples, the accuracy and precision, stability, and robustness were assessed. Furthermore, applicability of the method on capillary DBS was evaluated via finger prick samples. A maximal bias, respectively CV, of 0.012 L/L and 4.5% were obtained. The method was robust towards several aspects, including storage (except for storage at 60°C), measurement location, type of filter paper and spotted volume. Furthermore, the potential to predict the Hct of capillary DBS was demonstrated. A commercially available NIR set-up was extensively and successfully validated, allowing non-contact Hct prediction of DBS with excellent accuracy and precision. This allows to correct for the Hct-based bias observed in partial-punch DBS analysis and the set-up of blood-plasma conversion factors, increasing the application potential of patient-centric sampling. [ABSTRACT FROM AUTHOR]

Introduction: The resonant properties of mechanical resonators provide valuable parameters for liquids density and viscosity measurement. The viscosity of liquids in industry and medicine has always been of interest to researchers., Methods: In this paper, a viscosity sensor is designed and fabricated for liquids based on mechanical resonator and electromagnetic actuators. In this proposed sensor, a coil is used to monitor the output of this sensor., Results: This sensor is proposed to measure the blood viscosity, while its results for some people blood viscosity is reported and verified., Conclusion: The exact design of the proposed sensor and its experimental results are presented using a prototype for some liquids that indicate the sensor precision., (© 2023. The Author(s) under exclusive licence to Biomedical Engineering Society.)

The importance of the blood flow feature on the hemorrhage of the cerebral aneurysm is confirmed by surgeons and scientists. In this paper, the effects of blood hemodynamics on the growth and rupture of the Internal Carotid Intracranial (ICA) are fully investigated. This study tries to demonstrate the blood feature inside the ICA at different time stages. Besides, the effect of coiling on blood characteristics is extensively studied in this research. Computational Fluid dynamic (CFD) is used for the analysis of the blood hemodynamics on the wall shear stress and pressure distribution within the aneurysm. Obtained results indicate that reducing the coiling porosity from 0.89 to 0.79 declines maximum WSS by about 26% and 61% for HCT = 0. 3 5 and 0.45, respectively, at the peak systolic stage. Our findings show that decreasing the porosity (or increasing coiling fraction) would decrease the maximum OSI by more than 55% in high blood viscosity of HCT = 0. 4 5. [ABSTRACT FROM AUTHOR]

Diagnostic investigations of aneurysm, hemorrhagic stroke, and other asymptomatic cardiovascular diseases and neurological disorders due to the flow choking (biofluid/boundary layer blockage persuaded flow choking) phenomenon in the circulatory system of humans and animals on the Earth and in the human spaceflight are active research topics of topical interest {Kumar et al., "boundary layer blockage persuaded flow choking leads to hemorrhagic stroke and other neurological disorders in earth and human spaceflight," Paper presented at the Basic Cardiovascular Sciences Conference, 23–25 August 2021 (American Stroke Association, 2021) [Circ. Res. 129, AP422 (2021)] and "Lopsided blood-thinning drug increases the risk of internal flow choking and shock wave generation causing asymptomatic stroke," in International Stroke Conference, 19–20 March 2021 (American Stroke Association, 2021) [Stroke 52, AP804 (2021)]}. The theoretical concept of flow choking [Kumar et al., "Lopsided blood-thinning drug increases the risk of internal flow choking leading to shock wave generation causing asymptomatic cardiovascular disease," Global Challenges 5, 2000076 (2021); "Discovery of nanoscale boundary layer blockage persuaded flow choking in cardiovascular system—Exact prediction of the 3D boundary-layer-blockage factor in nanotubes," Sci. Rep. 11, 15429 (2021); and "The theoretical prediction of the boundary layer blockage and external flow choking at moving aircraft in ground effects," Phys. Fluids 33(3), 036108 (2021)] in the cardiovascular system (CVS) due to gas embolism is established herein through analytical, in vitro (Kumar et al., "Nanoscale flow choking and spaceflight effects on cardiovascular risk of astronauts—A new perspective," AIAA Paper No. 2021-0357, 2021), in silico (Kumar et al., "Boundary layer blockage, Venturi effect and cavitation causing aerodynamic choking and shock waves in human artery leading to hemorrhage and massive heart attack—A new perspective," AIAA Paper No. 2018-3962, 2018), and in vivo animal methodology [Jayaraman et al., "Animal in vivo: The proof of flow choking and bulging of the downstream region of the stenosis artery due to air embolism," Paper presented at the Basic Cardiovascular Sciences Conference, 25–28 July 2022 (American Heart Association, 2022)]. The boundary layer blockage persuaded flow choking phenomenon is a compressible viscous flow effect, and it arises at a critical pressure ratio in continuum/non-continuum real-world yocto to yotta scale flow systems and beyond [Kumar et al., "Universal benchmark data of the three-dimensional boundary layer blockage and average friction coefficient for in silico code verification," Phys. Fluids 34(4), 041301 (2022)]. The closed-form analytical models, capable of predicting the flow choking in CVS, developed from the well-established compressible viscous flow theory are reviewed and presented herein. The lower-critical flow-choking index of the healthy subject (human being/animal) is predicted through the speciation analysis of blood. The upper-critical flow-choking index is predicted from the specific heat of blood at constant pressure (Cp) and constant volume (Cv), estimated using the Differential Scanning Calorimeter. These flow-choking indexes, highlighted in terms of systolic-to-diastolic blood pressure ratio (SBP/DBP), are exclusively controlled by the biofluid/blood heat capacity ratio (BHCR = Cp/Cv). An in vitro study shows that nitrogen (N2), oxygen (O2), and carbon dioxide (CO2) gases are predominant in fresh-blood samples of the healthy humans and Guinea pigs at a temperature range of 37–40 °C (98.6–104 °F) causing gas embolism. In silico results demonstrated the existence of the biofluid/boundary layer blockage persuaded flow choking, stream tube flow choking, shock wave generation, and pressure overshoot in the downstream region of simulated arteries (with and without stenosis), at a critical pressure ratio, due to gas embolism. The flow choking followed by aneurysm (i.e., bulging of the downstream region of the stenosis artery due to shock wave generation) due to air embolism is demonstrated through small animal in vivo studies. We could corroborate herein, with the animal in vivo and three-dimensional in silico studies, that flow-choking followed by shock wave generation and pressure overshoot occurs in arteries with stenosis due to air embolism at a critical pressure ratio. Analytical models reveal that flow-choking occurs at relatively high and low blood viscosities in CVS at a critical blood pressure ratio (BPR), which leads to memory effect (stroke history/arterial stiffness) and asymptomatic cardiovascular diseases [Kumar et al., "Lopsided blood-thinning drug increases the risk of internal flow choking leading to shock wave generation causing asymptomatic cardiovascular disease," Global Challenges 5, 2000076 (2021)]. We concluded that an overdose of drug for reducing the blood viscosity enhances the risk of flow choking (biofluid/boundary layer blockage persuaded flow choking) due to an enhanced boundary layer blockage (BLB) factor because of the rise in Reynolds number (Re) and turbulence. An analytical model establishes that an increase in Re due to the individual or the joint effects of fluid density, fluid viscosity, fluid velocity, and the hydraulic diameter of the vessel creates high turbulence level in CVS instigating an escalated BLB factor heading to a rapid adverse flow choking. Therefore, prescribing the exact blood-thinning course of therapy is crucial for achieving the anticipated curative value and further annulling adverse flow choking (biofluid/boundary layer blockage persuaded flow choking) in CVS. We could conclude authoritatively herein, with the animal in vivo studies, that flow choking occurs in the artery with stenosis due to air embolism at a critical BPR (i.e., SBP/DBP = 1.892 9), which is regulated by the heat capacity ratio of air. The cardiovascular risk due to boundary layer blockage persuaded flow choking could be diminished by concurrently reducing the viscosity of biofluid/blood and flow-turbulence. This comprehensive review is a pointer toward achieving relentless unchoked flow conditions (i.e., flow Mach number < 1) in the CVS for prohibiting asymptomatic cardiovascular diseases and neurological disorders associated with flow choking and shock wave generation followed by pressure overshoot causing arterial stiffness. The unchoked flow condition can be achieved in every subject (human/animal) by suitably increasing the thermal-tolerance-level in terms of BHCR and/or by reducing the BPR within the pathophysiological range of individual subjects through the new drug discovery, the new companion drug with the conventional blood thinners and/or proper health care management for increasing the healthy-life span of one and all in the universe. [ABSTRACT FROM AUTHOR]

Intracellular viscosity plays an important role in regulating cellular morphology and physiology and is closely related to a host of diseases. Especially, the changes in mitochondrial viscosity will cause some common diseases such as hyperlipidemia, Alzheimer's disease and cancer. In this work, we report the design of a red-emissive molecular rotor for the detection of mitochondrial viscosity in live cells. The probe showed fascinating performance, such as specific targeting to mitochondria, high sensitivity to viscosity, and rapid fluorescence response, especially the dual response mode of fluorescence intensity and fluorescence lifetime. By using this probe, we realized monitoring of the mitochondrial viscosity variations in live cells under different physiological processes. Our study offers an opportunity to discover potential tools for mitochondria-related physiology and pathology investigation. [ABSTRACT FROM AUTHOR]

The greater the viscosity of the blood, the more difficult its flow becomes, leading to an increased incidence of diseases caused by blood circulation disorders. These diseases are commonly associated with the cardiovascular and cerebrovascular systems.High blood viscosity is a primary cause of circulatory system diseases. Studies have shown that accurately measuring blood viscosity and applying this data in clinical trials can help prevent circulatory system diseases.Viscosity data can vary depending on the measurement methods used, even when these methods are based on hydrodynamic principles. Despite using approved blood viscometers, the results often differ depending on the type of viscometer used, potentially causing confusion within the medical field. Informing the medical community about these differences and the level of error associated with each measurement method can help reduce this confusion.To our knowledge, the degree of difference in viscosity measurement results due to different measurement methods and the reasons for these differences have not yet been thoroughly explored. In this study, we selected three blood viscosity measurement methods registered with the Ministry of Food and Drug Safety of Korea to analyze the same canine blood. The viscosity measurements were carried out using each device and compared. The parallel plate and scanning capillary methods yielded similar viscosity values, while the cone plate method showed lower viscosity values.The viscosity of blood, as measured by the three viscometers, differed, indicating that more experimental data must be accumulated to evaluate the cause of these differences. In this paper, we identified several causes of inconsistency and suggested measures to avoid this confusion. However, confirming that the test results show systematic differences is expected to assist clinicians who diagnose and prescribe treatments based on blood viscosity results. The findings of this comparative study are anticipated to serve as a starting point for establishing guidelines or standards for blood viscosity measurement methods. [ABSTRACT FROM AUTHOR]

Many diseases in the human body are related to the overexpression of viscosity and sulfur dioxide. Therefore, it is essential to develop rapid and sensitive fluorescent probes to detect viscosity and sulfur dioxide. In the present work, we developed a dual-response fluorescent probe (ES) for efficient detection of viscosity and sulfur dioxide while targeting mitochondria well. The probe generates intramolecular charge transfer by pushing and pulling the electron–electron system, and the ICT effect is destroyed and the fluorescence quenched upon reaction with sulfite. The rotation of the molecule is inhibited in the high-viscosity system, producing a bright red light. In addition, the probe has good biocompatibility and can be used to detect sulfite in cells, zebrafish and mice, as well as upregulation of viscosity in LPS-induced inflammation models. We expect that the dual response fluorescent probe ES will be able to detect viscosity and sulfite efficiently, providing an effective means of detecting viscosity and sulfite-related diseases. [ABSTRACT FROM AUTHOR]

Type 2 diabetes mellitus (T2DM) is a prevalent and debilitating disease with numerous health risks, including cardiovascular diseases, kidney dysfunction, and nerve damage. One important aspect of T2DM is its association with the abnormal morphology of red blood cells (RBCs), which leads to increased blood viscosity and impaired blood flow. Therefore, evaluating the mechanical properties of RBCs is crucial for understanding the role of T2DM in cellular deformability. This provides valuable insights into disease progression and potential diagnostic applications. In this study, we developed an open micro-electrofluidic (OMEF) biochip technology based on dielectrophoresis (DEP) to assess the deformability of RBCs in T2DM. The biochip facilitates high-throughput single-cell RBC stretching experiments, enabling quantitative measurements of the cell size, strain, stretch factor, and post-stretching relaxation time. Our results confirm the significant impact of T2DM on the deformability of RBCs. Compared to their healthy counterparts, diabetic RBCs exhibit ~27% increased size and ~29% reduced stretch factor, suggesting potential biomarkers for monitoring T2DM. The observed dynamic behaviors emphasize the contrast between the mechanical characteristics, where healthy RBCs demonstrate notable elasticity and diabetic RBCs exhibit plastic behavior. These differences highlight the significance of mechanical characteristics in understanding the implications for RBCs in T2DM. With its ~90% sensitivity and rapid readout (ultimately within a few minutes), the OMEF biochip holds potential as an effective point-of-care diagnostic tool for evaluating the deformability of RBCs in individuals with T2DM and tracking disease progression. [ABSTRACT FROM AUTHOR]

Carotid atherosclerosis is one of the main cardiovascular diseases, widely considered as the main reason for death. Atherosclerosis forms a plaque that impedes blood vessels, and if ruptured, it causes a stroke or heart attack. The treatment protocol for atherosclerosis depends heavily on plaque type, structure, and composition, affecting plaque behavior (stable/unstable) or vulnerability. The fluid–structure interaction between the blood vessels and the blood flow must be examined to study the plaque's behavior. Consequently, this paper aims to reconstruct patient-specific three-dimensional models of the blood vessels for simulation and three-dimensional (3D) Printing, particularly for the carotid artery. In addition, Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) datasets of atherosclerotic vessels are used to reconstruct the 3D model fed into a simulation program to measure the stress, strain, pressure, and velocity to assess the plaque. Five analyses studies were conducted on the constructed blood vessels; Non-pathological Flow in a cylindrical artery, Pathological Flow in a cylindrical artery, Non-pathological Flow in a 2D bifurcating carotid artery, Blood flow analysis in a normal carotid artery, and Blood flow analysis in a stenosed carotid artery. Two validation studies were performed for normal and atherosclerotic arteries. The results agreed with previous well-published work, considering that a 3D realistic model was printed for the vessel. Based on the above, our work provides a simulation environment for predicting atherosclerotic plaque behavior that helps medical specialists choose the proper treatment and preventive medical plans. [ABSTRACT FROM AUTHOR]

Blood viscosity is the defining health indicator for hyperviscosity syndrome patients. This paper introduces an alternative approach for the real-time monitoring of blood viscosity by employing a surface-horizontal surface acoustic wave (SH-SAW) device at room temperature. A novel bi-layer waveguide is constructed on top of the SAW device. This device enables the SAW sensing of liquid droplets utilizing a bi-layer waveguide, consisting of a zinc oxide (ZnO) enhancement layer and Parlyene C, that facilitates the promotion of the surface horizontal mode. The ZnO piezoelectric thin-film layer enhanced the local particle displacement and dielectric coupling while the Parylene C layer constrained the wave mode at the interface of the piezoelectric material and polymer material. The device was tested with a liquid drop on the SAW delay-line path. Both experimental and finite element analysis results demonstrated the benefits of the bi-layer waveguide. The simulation results confirmed that the displacement field of local particles increased 9 times from 1.261 nm to 11.353 nm with the Parylene C/ZnO bi-layer waveguide structure. The device demonstrated a sensitivity of 3.57 ± 0.3125 kHz shift per centipoise enabling the potential for high precision blood viscosity monitoring. [ABSTRACT FROM AUTHOR]

In this paper, the tools of dynamical systems theory are applied to examine the streamline patterns and their local and global bifurcations for ciliary-induced peristalsis of non-Newtonian fluid (blood) with the suspension of hybrid nanoparticles (Cu–Ag/Phan–Thien–Tanner based fluid) in a tube with heat source effect. The thermodynamics of this model are recently described by Ali et al. (Biomech Model Mechanobiol 20:2393–2412, 2021), where the fluid flows through a tube whose inner walls are considered to be ciliated with small hair-like structures. However, our novel approach allows us to create a complete picture of the model's overall dynamic behavior in terms of bifurcation point analysis exhibiting qualitatively different flow modes. Special attention is paid to the computing, analysis and simulation of equilibrium points in terms of capturing the global dynamics, such as evaluating the heteroclinic bifurcation, which is used to identify trapping phenomena in response to biological characteristics such as wave amplitude, Weissenberg and wave numbers. The main novelty here is the ability to control the position of the equilibrium points in the domain of interest, allowing one to identify global bifurcations that reflect key dynamic properties of the model. Based on the advantages of this technique, the maximum trapping volume and symmetric trapping zones adjacent to the walls are determined as a novel result. We also show that as the solid volume fraction of copper and the Brinkman number increases, the isotherm patterns become more distorted. Our findings highlight a novel class of complex behavior that governs transitions between qualitatively different modes and trapping phenomena. [ABSTRACT FROM AUTHOR]

This paper presents a mathematical model capable to reproduce a celebrated phenomenon in blood microcirculation known as Fåhræus effect, since its discovery by Robin Fåhræus (1929). This consists in a decaying of the relative hematocrit in small vessels as the vessel diameter decreases. The key point of the model is a formula, direct consequence of the basic principles of fluid dynamics, that links the relative hematocrit to the reservoir hematocrit and the vessel diameter, which confirms the observed behavior. To test the model we selected, among the few experiments carried on since then, those performed by Barbee and Cokelet (1971). The agreement is remarkable. An extended comparison is also carried out with a celebrated empirical formula proposed by Pries et al. (1992) to describe the same phenomenon., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

The current study deals with the mathematical modelling and analysis of the effects of thermoregulation on blood viscosity under magnetic and thermal radiation effects on a permeable, stretching blood capillary. The model comprises the governing equations of the resulting boundary layer problem, which is a set of nonlinear partial differential equations, and this is transformed into a coupled system of nonlinear differential equations using similarity transformation. The numerical solution of the problem is attained by the fourth-order Runge Kutta method with the shooting method. The current work examines the velocity and temperature profile of blood flow with the impact of varying temperature-dependent blood viscosity, involving the variation of several physical parameters such as magnetic field, radiation parameter, permeability parameter, Prandtl number, and surface temperature, as well as their physical interpretation. During certain therapies, the thermoregulation mechanism in humans causes a change in blood flow behaviour. Also, blood flow must be regulated during pathological conditions with the help of radiation, heat, or magnetic effects. It is found that, due to the varying viscosity parameter, the magnetic field effect inhibits heat transport in the body. It has also been found that increasing the permeability parameter enhances mass and heat transfer. The results of this paper could be important in analysing and regulating blood flow and body temperature during hypothermia and hyperthermia therapies., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Glioblastoma is the most fatal and insidious malignancy, due to the existence of the blood–brain barrier (BBB) and the high invasiveness of tumor cells. Abnormal mitochondrial viscosity has been identified as a key feature of malignancies. Therefore, this study reports on a novel fluorescent probe for mitochondrial viscosity, called ZVGQ, which is based on the twisted intramolecular charge transfer (TICT) effect. The probe uses 3-dicyanomethyl-1,5,5-trimethylcyclohexene as an electron donor moiety and molecular rotor, and triphenylphosphine (TPP) cation as an electron acceptor and mitochondrial targeting group. ZVGQ is highly selective, pH and time stable, and exhibits rapid viscosity responsiveness. In vitro experiments showed that ZVGQ could rapidly recognize to detect the changes in mitochondrial viscosity induced by nystatin and rotenone in U87MG cells and enable long-term imaging for up to 12 h in live U87MG cells. Additionally, in vitro 3D tumor spheres and in vivo orthotopic tumor-bearing models demonstrated that the probe ZVGQ exhibited exceptional tissue penetration depth and the ability to penetrate the BBB. The probe ZVGQ not only successfully visualizes abnormal mitochondrial viscosity changes, but also provides a practical and feasible tool for real-time imaging and clinical diagnosis of glioblastoma. [ABSTRACT FROM AUTHOR]

Leukocyte count is routinely performed for diagnostic purposes and is rapidly emerging as a significant biomarker for a wide array of diseases. Additionally, leukocytes have demonstrated considerable promise in novel cell-based immunotherapies. However, the direct retrieval of leukocytes from whole blood is a significant challenge due to their low abundance compared to erythrocytes. Here, we introduce a microfluidic-based platform that isolates and recovers leukocytes from diluted whole blood in a single step. Our platform utilizes a novel, sheathless method to initially sediment and focus blood cells into a dense stream while flowing through a tubing before entering the microfluidic device. A hexagonal-shaped structure, patterned at the device's inlet, directs all the blood cells against the channel's outer walls. The focused cells are then separated based on their size using the deterministic lateral displacement (DLD) microfluidic technique. We evaluated various parameters that could influence leukocyte separation, including different focusing structures (assessed both computationally and experimentally), the orientation of the tubing-chip interface, the effects of blood sample hematocrit (dilution), and flow rate. Our device demonstrated the ability to isolate leukocytes from diluted blood with a separation efficiency of 100%, a recovery rate of 76%, and a purity of 80%, while maintaining a cell viability of 98%. The device operates for over 30 min at a flow rate of 2 μL min-1. Furthermore, we developed a handheld pressure controller to drive fluid flow, enhancing the operability of our platform outside of central laboratories and enabling near-patient testing. Our platform can be integrated with downstream cell-based assays and analytical methods that require high leukocyte purity (80%), ranging from cell counting to diagnostics and cell culture applications. [ABSTRACT FROM AUTHOR]

This paper presents a continuum approach for the blood flow simulation, inside the micro-channel of the few micrometers characteristics dimension, within the context of the finite volume method on unstructured grids. The velocity and pressure fields, for the blood flow, are obtained here by solving the Navier–Stokes equations. A particle transport equation, based on the diffusive flux model, provides the hematocrit distribution (i.e., the red blood cells volume-fraction). The momentum conservation equation for a non-Newtonian fluid model is coupled with the particle transport equation through the constitutive blood viscosity model, and this blood viscosity is dependent on hematocrit and shear rate. The continuum approach for blood flow inside the micro-channel of the length scale of a few micrometers to a few hundred micrometers is expected to break down. Interestingly, the present approach provides meaningful insights into biophysics with less computational cost and shows a good match with the experiments and mesoscale simulation with a maximum average deviation of 11% even at the characteristic dimensions of 10–300 μm. A correlation is proposed for additional-local shear rate in terms of the hematocrit and the ratio of red blood cells diameter to the channel diameter, which helps us to demonstrate an increase in the accuracy and also eliminates the issues of unphysical hematocrit reported in the earlier studies available in the literature. The study is extended to provide new results inside a square and rectangular cross section micro-channels, under a range of inlet parameters. [ABSTRACT FROM AUTHOR]

Platelet–endothelial interactions have a critical role in microcirculatory function, which maintains tissue homeostasis. The subtle equilibrium between platelets and the vessel wall is disturbed by the coronavirus disease 2019 (COVID-19), which affects all three components of Virchow's triad (endothelial injury, stasis and a hypercoagulable state). Endotheliitis, vasculitis, glycocalyx degradation, alterations in blood flow and viscosity, neutrophil extracellular trap formation and microparticle shedding are only few pathomechanisms contributing to endothelial damage and microthrombosis resulting in capillary plugging and tissue ischemia. In the following opinion paper, we discuss major pathological processes leading to microvascular endothelial activation and thrombosis formation as a possible major adverse factor driving the deterioration of patient disease course in severe COVID-19. [ABSTRACT FROM AUTHOR]

This paper introduces a wireless pump that uses magnetic wireless manipulation to pump blood in the legs. A compact size and sufficient hydrodynamic performance were the most important requirements. Because the bonded magnet technique allows for a complex shape and various magnetization orientations, we fabricated a magnetic impeller from magnetic SmFeN powder. The impellers demonstrated a magnetic moment of 2772.64 emu and coercive force of 7.55 kOe. Using the impeller, we developed a tiny blood pump with a diameter of 22mm and height of 6mm. The pump allows for a maximum flow rate of 2.7 l/min and maximum pump head of approximately 170mm Hg at a rotating speed of 6000 rpm. This level of hydrodynamic performance is sufficient to circulate blood in the legs. In this paper, we present the magnetic properties of the magnetic impeller and the hydrodynamic performance with wireless operation. [ABSTRACT FROM AUTHOR]

Recently, aortic valve stenosis has received more attention, and its pathophysiology may be connected to persistent inflammation caused by micro-organisms. This paper investigates the transient electroosmotic hybrid nanofluid (blood model) flow in the annular region between the axially symmetric mild stenosis and the catheter tube. The non-Newtonian Sutterby fluid has been considered as a blood model due to the migration of gyrotactic micro-organisms in the bloodstream. The hybrid nanofluid consists of the suspension of the solid nanoparticles of the (Ag–Al 2 O 3 ) in pure human blood. The problem is simplified using the mild stenosis procedure and solved numerically utilizing the finite difference technique. It is observed that more effort is required to pump the blood in the case of the suspended hybrid nanoparticles than with suspended nanoparticles. Moreover, the results demonstrate that hybrid nanoparticles have better thermal properties than nanoparticles. [ABSTRACT FROM AUTHOR]

Artificial intelligence (AI) has recently been used in nanomedical applications, in which implanted intelligent nanosystems inside the human body were used to diagnose and treat a variety of ailments with the help of the Internet of biological Nano Things (IoBNT). Biological circuit engineering or nanomaterial-based architectures can be used to approach the nanosystem. In nanomedical applications, the blood vascular medium serves as a communication channel, demonstrating a molecular communication system based on flow and diffusion. This paper presents a performance study of the channel capacity for flow-based-diffusive molecular communication nanosystems that takes into account the ligand-receptor binding mechanism. Unlike earlier studies, we take into account the effects of biological physical characteristics such as blood pressure, blood viscosity, and vascular diameter on channel capacity. Furthermore, in terms of drug transmission error probability, the inter-symbol interference (ISI) phenomenon is applied to the proposed system. The numerical results show that the proposed AI nanosystems-based IoBNT technology can be successfully implemented in future nanomedicine. [ABSTRACT FROM AUTHOR]

Following recent works on the sonochemical degradation of butyl ethyl piperidinium bis-(trifluoromethylsulfonyl)imide ([BEPip][NTf2]), monitoring of sonoluminescence (SL) spectra in the first tens of seconds of sonolysis was needed to better characterize the formed plasma and to question the correlation of the SL spectra with the viscosity. A very dry [BEPip][NTf2] ionic liquid (IL) and a water-saturated liquid are studied in this paper. In both cases, IL degradation is observed as soon as SL emission appears. It is confirmed that the initial evolution of the SL intensity is closely linked to the liquid viscosity that impacts the number of bubbles; however, other parameters can also play a role, such as the presence of water. The water-saturated IL shows more intense SL and faster degradation. In addition to the expected bands, new emission bands are detected and attributed to the S2 B-X emission, which is favored in the water-saturated ionic liquid. [ABSTRACT FROM AUTHOR]

The decrease in apparent relative viscosity that occurs when blood is made to flow through a tube whose diameter is less than about 0.3 mm is a well-known and documented phenomenon in physiology, known as the Fåhræus-Lindqvist effect. However, since the historical work of Fåhræus and Lindqvist (Amer. J. Physiol. 96(3): pp. 562-568, 1931), the underlying physical mechanism has remained enigmatic. A widely accepted qualitative explanation was provided by Haynes (Amer. J. Physiol. 198, pp. 1193-1200, 1960) according to which blood flows in microvessels with a core-annulus structure, where the erythrocytes concentrate within a central core surrounded by a plasma layer. Although sustained by observations, this conjecture lacks a rigorous deduction from the basic principles of continuum dynamics. Moreover, relations aimed to reproduce the blood apparent relative viscosity, extensively used in micro-circulation, are all empirical and not derived from the analysis of the fluid mechanical phenomena involved. In this paper, we apply the recent results illustrated in Guadagni and Farina (Int. J. Nonlinear Mech. 126, p. 103587, 2020), with the purpose of showing that Haynes' conjecture, slightly corrected to make it more realistic, can be proved and can be used to reach a sound explanation of the Fåhræus-Lindqvist effect based on continuum mechanics. We propose a theoretical model for the blood apparent relative viscosity which is validated by matching not only the original experimental data reported by Fåhræus and Lindqvist (Amer. J. Physiol. 96(3), pp. 562-568, 1931), but also those provided by several subsequent authors., (© 2021. The Author(s).)

In this paper, the effects of hematocrit of red blood cells on blood flow through a stenosed human carotid artery was considered by taking blood as a Newtonian fluid. The governing equations on blood flow were derived. The mathematical content involved in the equations are the variables of interest such as number of stenosis , percentage of hematocrit of red blood cells in the blood, flow rate, wall shear stress, and viscosity of the blood. Guided by medical data collected on the constraint of blood flow in stenosed human carotid arteries, the governing equations were used to check the effects of pressure gradient, wall shear stress, velocity, and volumetric flow rate of blood in the human carotid arteries. Also, the onedimensional equation for the steady and axially symmetric flow of blood through an artery was transformed using Einstein’s coefficient of viscosity and hematocrit of red blood cells with the help of the boundary conditions. The effects of hematocrit on the blood flow characteristics are shown graphically and discussed briefly. It was discovered that the resistance increases as the level of hematocrit increases. Also, the wall shear stress decreases with the increase in the hematocrit level of the red blood cells. [ABSTRACT FROM AUTHOR]

In this paper, we study the blood flow through blood vessels of various radii (including the case of variable cross section as well as modeling the blood flow through venae and arteries). Two approaches are discussed in order to mimic the dependence of blood viscosity on red blood cells aggregation, which changes with the shear rate and position inside the vessel: Two microstructural parameters together with empirical constitutive equations as a characteristic of aggregation are proposed, namely the microinertia as well as the volume fraction of blood particles (erythrocytes, platelets and leukocytes). Consequently, the Navier–Stokes system of equations for an incompressible fluid is supplemented by a constitutive equation for the moment of inertia in one case and for the volume fraction in another. The problems are solved numerically by the finite volume method for vessels of various geometries in spatial description. A comparison with experimental data for a narrow capillary shows the efficiency of the proposed constitutive equations for describing blood flow. Also, velocity profiles are obtained on the basis of compiled empirical formula for various sections of a blood vessel of variable radius. In addition, the flow through vessels of the human circulatory system, such as the inferior vena cava and the carotid artery, are studied. [ABSTRACT FROM AUTHOR]

The mechanical heart valve (MHV) is commonly used for the treatment of cardiovascular diseases. Nonphysiological hemodynamic in the MHV may cause hemolysis, platelet activation, and an increased risk of thromboembolism. Thromboembolism may cause severe complications and valve dysfunction. This paper thoroughly reviewed the simulation of physical quantities (velocity distribution, vortex formation, and shear stress) in healthy and dysfunctional MHV and reviewed the non-Newtonian blood flow characteristics in MHV. In the MHV numerical study, the dysfunction will affect the simulation results, increase the pressure gradient and shear stress, and change the blood flow patterns, increasing the risks of hemolysis and platelet activation. The blood flow passes downstream and has obvious recirculation and stagnation region with the increased dysfunction severity. Due to the complex structure of the MHV, the non-Newtonian shear-thinning viscosity blood characteristics become apparent in MHV simulations. The comparative study between Newtonian and non-Newtonian always shows the difference. The shear-thinning blood viscosity model is the basics to build the blood, also the blood exhibiting viscoelastic properties. More details are needed to establish a complete and more realistic simulation. [ABSTRACT FROM AUTHOR]

The paper proposes the calculation technique for the coronary blood flow in stenotic arteries with respect to the blood viscosity affecting the parameters of the fractional flow reserve based on the data analysis of the multispectral computed tomography. The calculation technique is also based on regulations that determine the hemodynamics in stenotic vessels. The mathematical simulation is presented for the blood flow in a stenotic coronary artery. This simulation is based on the Navier–Stokes equations. The calculations are carried out using Comsol Multiphysics 4.2. software. The obtained results show that the distribution of the blood flow rate in the stenotic artery is not uniform, and the pressure out of the stenotic segment of the artery depends on the blood viscosity. This must be taken into consideration both in mathematical simulation and invasive coronary angiography of the fractional flow reserve. The research results can be used in effective diagnostics of coronary artery disease. [ABSTRACT FROM AUTHOR]

Hyperviscosity syndrome is a clinical condition characterized by the slowing of blood flow through the vessels and it may be associated with several diseases. The nosographic classification of primary hyperviscosity conditions (Wells classification 1970) divided the primary hyperviscosity syndromes in polycythaemic, sclerocytemic and sieric. Recent and personal laboratory observations have highlighted an unexpected behaviour of the erythrocyte deformability observed in some haematological disorders such as polycythemia vera, multiple myeloma and monoclonal gammopathy of undetermined significance. The interest of this observation depends on the fact that up to now, according to the Wells classification, the hemorheological alteration present in PV was related to the increase of RBC mass while that present in MM and MGUS was attributable to the abnormality of plasma or serum viscosity only. Through an extensive research among the literature, using MEDLINE/PubMed to identify all published reports on the hyperviscosity syndromes, issues that until now have been dealt with separately will therefore be analyzed in a unique paper, allowing a global view. The aim of this paper is to provide some suggestions for reflection and emphasizing the need of a nosographic framework of hyperviscosity that, probably, deserves to be reviewed., (Copyright © 2021 Elsevier Inc. All rights reserved.)

The objective of this paper is to investigate the microstructure of high-viscosity modified asphalt binder (HVA) containing high-content polymers and its effect on fatigue performance, as well as the applicability of different analytical methods and failure criteria of linear amplitude sweep (LAS) test to HVA. In this paper, two types of HVAs with different polymer contents, a commercial HVA, a conventional polymer-modified asphalt binder, and a base asphalt binder were first prepared or selected. Fluorescence microscopy tests, time sweep tests, and LAS fatigue tests were then performed on these binders. Finally, the fatigue properties of the different binders were analyzed in depth using different analytical methods and failure criteria. The results show that the polymers in HVA crosslink with each other to form a strong cross-linking structure, and the phase inversion of the polymers renders them into a continuous phase, which significantly improves the fatigue damage resistance of the HVA; moreover, the evolutions of stress with shear strain for the fatigue process of HVAs is related to the polymer network. Besides, the two-dimensional damage characteristic curve (DCC) cannot accurately reflect the evolution of the fatigue performance of HVA, and this paper suggests the use of a three-dimensional DCC curve with strain information. Furthermore, the 35% reduction in C 0 in the dissipative energy method is not a suitable failure criterion, a more accurate fatigue performance ranking can be obtained by using the yield stress as the failure criterion. Although the fatigue resistance of HVA after yield stress is theoretically considered using the pseudo-strain energy approach, HVA does not show a peak of stored pseudo-strain energy even when the strain is increased to 60% in the LAS test. Therefore, the maximum strain value (30%) in the standard LAS test is not sufficient in characterizing high-polymer HVAs because there is not enough fatigue accumulation of HVAs in this range, consequently, the maximum shear strain parameter in the LAS experiment needs to be reconsidered. • Polymer morphology and its crosslinking networks in HVA with high-content polymers were analyzed. • The fatigue properties of HVAs based on LAS test and different analytical methods are compared. • The fatigue crack length and its evolution of HVA are characterized. • The deficiencies of the LAS test to evaluate the fatigue resistance of HVA and suggestions for modifications are presented. [ABSTRACT FROM AUTHOR]

Backgrounds. Chuanxiong Chatiao san (CXCT) is a famous Chinese classical prescription. It has a favorable effect in treating migraine. It is reported that CXCT combined with Western conventional medicine (WCM) could increase the therapeutic efficacy on migraine. The purpose of this paper is to systematically assess the clinical efficacy, safety, and some indexes of CXCT for migraine. Methods. PubMed, Embase Database, China National Knowledge Infrastructure (CNKI), Wanfang Database, the Cochrane Library, and the CBM were searched from January 2000 to February 2019. We made a detailed record of outcome measurements. Meta-analysis was performed using RevMan 5.3 software. Results. A total of 3307 patients were included in the 37 articles. Meta-analysis showed that CXCT significantly increased the total efficiency rate (TER), compared with Western medicine treatment (WMC) (P < 0.00001). When CXCT is combined with WMC, the result showed that P < 0.00001. CXCT was significantly reduced the adverse events (AEs) compared with WMC (P < 0.00001). The levels of VAS, number of migraine episodes (NE), and time of headache duration (TD) were significantly reduced (P < 0.00001). Platelet function and blood rheology level were improved via a significantly decrease in 5-HT and β-EP (P < 0.00001). Other indicators such as substance P, CGRP high-cut viscosity, low-cut viscosity, plasma viscosity, and fibrinogen were significantly reduced (P < 0.00001). Conclusion. Our findings provide evidence that CXCT and CXCT combined with WMC have higher efficacy in the treatment of migraine compared with WCM alone. Methodological quality was generally low, so the conclusion of this paper has some limitations and it has to be carefully evaluated. [ABSTRACT FROM AUTHOR]

Blood flow in a double aneurysmatic artery of the normal tissue is studied. A Finite element method is used to analyze numerical simulation of blood flow through aneurysmatic arteries and Comsol multiphysics software is used for blood flow simulation. The Newtonian, generalized Newtonian, Oldroyd-B, and generalized Oldroyd-B models are considered due to the behavior of blood viscosity. In this paper, the effect of aneurysmatic artery on blood flow with permeability in human organs has been investigated. The non-Newtonian models have been applied to study the blood velocity, pressure, and wall shear stress in an aneurysmatic artery. A set of partial differential equations are transformed into dimensionless equations using non-dimensional variables and solved numerically. The novelty of this work is to identify the cardiovascular diseases in case of double aneurysmatic artery conditions for all models. The effect of wall shear stress is a vital factor to determine fatal arterial diseases which may be reported in the research center. The findings of this study can be used to know the atherosclerosis diseases and increase the understanding level of the double aneurysmal artery with the presence of permeability for which may help to enhance the knowledge of medical science. We have focused our consideration on the simulation of blood velocity and pressure in terms of blood flow rate for various Weissenberg numbers (Wi) and Peclet numbers (Pe). In this study, significant changes in blood velocity, pressure, and wall shear stress for all cases due to the presence of permeability at aneurysm in the artery are found. The effect of the Peclet number and Weissenberg number have played a key role in the blood flow at the porous area. The important effects on blood flow of aneurysmatic artery for blood velocity, pressure, and wall stress profiles are presented graphically for Newtonian and non-Newtonian models. [ABSTRACT FROM AUTHOR]

Blood viscosity is one of the important parameters to characterize hemorheological properties of the human body. Its real-time and dynamic measurement has important physiological significance for studying the development and prevention of chronic diseases. This study researched noninvasive and personalized measurement of microvascular blood viscosity. In the microcirculation capillary network blood flow model, combined with pulse wave parameters, multiple regression analysis was used to fit the simulated radius of personalized physiological blood vessels to calculate the microvascular blood viscosity. The fitted value related to the simulated radius of the physiological blood vessel had a high correlation with the corresponding theoretically derived value (correlation coefficient: 0.904, P ≤ 0.001). The calculated value of the microvascular blood viscosity had a certain correlation with the clinical whole blood viscosity at a low shear rate (correlation coefficient: 0.443, P < 0.05). This algorithm could provide effective means for noninvasive and long-term individual monitoring and family health care., Competing Interests: The authors declare that there is no conflict of interests regarding the publication of this paper., (Copyright © 2020 Ge Sun et al.)

The hyperviscosity syndrome consists of an excessive viscosity of the blood. It has to be timely detected, since it significantly increases the risk of many cardiovascular diseases. It can manifest essentially in two different ways, depending on the capability of the cardiocirculatory system to compensate the increased resistance experienced by the blood in vessels. In case of compensation, the blood flow velocity remains nearly unaltered; otherwise a significant decrease can occur. In this paper, we propose a blood viscosity monitoring system based on molecular communications. It could be used in risky patients for continuous monitoring and can detect blood hyperviscosity both in case of compensation, even partial, and in case of uncompensated cardiocirculatory systems. This proposal results to be both simple and effective for real time estimating the blood viscosity level, without any need of resorting to invasive blood analyses. The main idea is to leverage the statistics of particle dispersion and absorption in a blood vessel as a function of blood viscosity. Viscosity is estimated by processing the statistics of the received signal molecules, which are easy to collect. These features open the way to the implementation of the proposed solution in a simple and cheap device.

The theoretical discoveries of the Sanal flow choking [V. R. Sanal Kumar et al., "Sanal flow choking: A paradigm shift in computational fluid dynamics code verification and diagnosing detonation and hemorrhage in real‐world fluid‐flow systems," Global Challenges 4, 2000012 (2020)] and streamtube flow choking [V. R. Sanal Kumar et al., "Deflagration to detonation transition in chemical rockets with sudden expansion/divergence regions," AIAA Paper No. 2020-3520, 2020] achieved significant contemplation in all branches of science and engineering for resolving various unanswered scientific questions brought onward from the beginning of this era [V. R. Sanal Kumar et al., "A closed-form analytical model for predicting 3D boundary layer displacement thickness for the validation of viscous flow solvers," AIP Adv. 8, 025315 (2018)]. The applications of these flow choking phenomena are more significant in aerospace industries [V. R. Sanal Kumar et al., "Nanoscale flow choking and spaceflight effects on cardiovascular risk of astronauts—A new perspective," AIAA Paper No. 2021-0357, 2021] and medical sciences [V. R. Sanal Kumar et al., "Lopsided blood-thinning drug increases the risk of internal flow choking leading to shock wave generation causing asymptomatic cardiovascular disease," Global Challenges 2021, 2000076]. Herein, as an offshoot of the Sanal flow choking phenomena, the proof of the concept of boundary-layer-blockage (BLB) persuaded external-flow-choking (EFC) at aircraft-in-ground (AIG)-effect is presented. When the aircraft's ground clearance is relatively low, the evolving BLB factor from both planes (the bottom surface of the aircraft and the ground) creates a transient fluid-throat, leading to the Sanal flow choking and supersonic flow development in the duct flow region. In this physical situation, the pressure ratio (Ptotal/Pstatic) at the external flow choking region is exclusively a function of the specific heat ratio of the fluid. The EFC is more prone for the low wing aircraft flying in the near vicinity to the ground and/or sea with relatively high subsonic Mach number and low angle of attack. At this flying condition, the underside of the aircraft (fuselage and/or wing) and the ground creates the convergent-divergent duct flow effect leading to the EFC at the critical total-to-static pressure ratio. The accurate estimation of the BLB factor at the location of the EFC at AIG effect is presented in this manuscript as a universal yardstick for two-dimensional (2D) in silico simulation. For establishing the proof of the concept of external flow choking and supersonic flow development and shock wave generation, the 2D in silico results are presented for both stationary and moving airfoils in ground effect. In silico results show that the airfoil at stationary position exhibits relatively higher BLB factor and an immediate occurrence of the EFC than the same airfoil moving with the identical inflow Mach number and Reynolds number. We could establish herein that the moving vehicle simulation is inevitable for capturing actual flow physics and further precise examination of the BLB factor and the possibilities of the occurrence of the EFC for credible trajectory optimization of high-speed ground-effect vehicles. [ABSTRACT FROM AUTHOR]