Background: Severe asthma often remains uncontrolled despite optimized inhaled treatment. The rise of biologic therapy in severe asthma represented a major advance for the disease management. However, correct phenotyping and monitoring of severe asthma patients is key to the success of targeted biologic therapy. Materials and Methods: We present the case of a 63-year-old female, never a smoker, diagnosed with asthma at the age of 45 and associated persistent mild rhinitis, without other notable comorbidities. She was prescribed medium-dose ICS/LABA, administered inconstantly in the first years after the diagnosis, with poor overall control of the disease. After several exacerbation episodes, treatment compliance improved, but the control of the disease remained poor despite adding an antileukotriene. In January 2019, she presented an exacerbation episode requiring treatment with oral corticosteroids (OCS) and she was afterwards put on high-dose ICS/LABA and continued the antileukotriene. She was referred for a skin allergy test, which revealed mild sensitization to Dermatophagoides pteronyssinus and farinae, with a total IgE level of 48.3 IU/mL. The blood eosinophil level was 270 cells/mm³. The lung function was variable, going from mild impairment to severe fixed obstruction during exacerbations. Despite optimized inhaled treatment, good adherence and inhaler technique, and allergen avoidance strategies, asthma control was not achieved, and she continued to experience severe episodes of exacerbation requiring OCS. Results: In October 2019, she was initiated on biologic therapy with omalizumab, which allowed asthma control to be achieved and maintained for 18 months, with preserved lung function, good symptom control, no exacerbations and slightly elevated blood eosinophil level (340–360 cells/mm³). In April 2021, she started experiencing exacerbation episodes requiring OCS (three episodes within 6 months), with a progressive increase in blood eosinophil level (up to 710 cells/mm³), and progressive deterioration of asthma control and lung function, despite continuation of previous therapy. A specific IgE test against Aspergillus was negative, and total IgE level was 122.4 IU/mL. In December 2021, the patient was switched from omalizumab to benralizumab. Asthma control was again achieved, lung function improved significantly and the patient did not experience any other exacerbation episodes up until today, which allowed for a reduction in ICS dose. Intriguingly, a relapsing eosinophilia was also noted under anti-IL5-R treatment prior to the dose administration, but with preserved asthma control. Conclusions: This case underscores the pivotal role of meticulous phenotyping in severe asthma management on one side, and careful monitoring of patient evolution and possible side effects of treatment on the other side. By showcasing how diverse inflammatory pathways can coexist within a single patient and impact treatment outcomes, it highlights the necessity of tailored biologic therapy for sustained control. Full article

The post mortem exam is important in diagnosing and investigating wildlife diseases. It is even more important to monitor the population of species that are not easily observed in the wild, such as otters. Of the 13 otter species, 11 are endangered due to many factors, such as climate change, pollution, or urbanisation. The authors present a review of the patterns of mortality of free-ranging otters worldwide, aiming to improve the knowledge of otter mortality and the role of mortality studies in their conservation. The main cause of death in aquatic otters is vehicle collision; hence, sea otter deaths are associated with shark attacks and imprisonment in fishing gear. It is possible to conclude that humans and human activity play a significant role in the mortality of these animals. In the future, a more standardised analysis of otter carcasses is necessary to understand their threats and diseases and design significant measures to protect these species. Full article

Background: The pulmonary artery wedge pressure (PAWP) is regarded as a reliable indicator of left ventricular end-diastolic pressure (LVEDP), but this association is weaker in patients with left-sided heart disease (LHD). We compared morphological differences in cardiac magnetic resonance imaging (CMR) in patients with heart failure (HF) and a reduced left ventricular ejection fraction (LVEF), with or without elevation of PAWP or LVEDP. Methods: We retrospectively identified 121 patients with LVEF < 50% who had undergone right heart catheterization (RHC) and CMR. LVEDP data were available for 75 patients. Results: The mean age of the study sample was 63 ± 14 years, the mean LVEF was 32 ± 10%, and 72% were men. About 53% of the patients had an elevated PAWP (>15 mmHg). In multivariable logistic regression analysis, NT-proBNP, left atrial ejection fraction (LAEF), and LV end-systolic volume index independently predicted an elevated PAWP. Of the 75 patients with available LVEDP data, 79% had an elevated LVEDP, and 70% had concomitant PAWP elevation. By contrast, all but one patient with elevated PAWP and half of the patients with normal PAWP had concomitant LVEDP elevation. The Bland–Altman plot revealed a systematic bias of +5.0 mmHg between LVEDP and PAWP. Notably, LAEF was the only CMR variable that differed significantly between patients with elevated LVEDP and a PAWP ≤ or >15 mmHg. Conclusions: In patients with LVEF < 50%, a normal PAWP did not reliably exclude LHD, and an elevated LVEDP was more frequent than an elevated PAWP. LAEF was the most relevant determinant of an increased PAWP, suggesting that a preserved LAEF in LHD may protect against backward failure into the lungs and the subsequent increase in pulmonary pressure. Full article

Intracerebral hemorrhage (ICH) is a life-threatening condition associated with significant morbidity and mortality. This study investigates transcriptomic alterations in rodent models of ICH and severe ICH to shed light on the genetic pathways involved in hemorrhagic brain injury. We performed principal component analysis, revealing distinct principal component segments of normal rats compared to ICH and severe ICH rats. We employed heatmaps and volcano plots to identify differentially expressed genes and utilized bar plots and KEGG pathway analysis to elucidate the molecular pathways involved. We identified a multitude of differentially expressed genes in both the ICH and severe ICH models. Our results revealed 5679 common genes among the normal, ICH, and severe ICH groups in the upregulated genes group, and 1196 common genes in the downregulated genes, respectively. A volcano plot comparing these groups further highlighted common genes, including PDPN, TIMP1, SERPINE1, TUBB6, and CD44. These findings underscore the complex interplay of genes involved in inflammation, oxidative stress, and neuronal damage. Furthermore, pathway enrichment analysis uncovered key signaling pathways, including the TNF signaling pathway, protein processing in the endoplasmic reticulum, MAPK signaling pathway, and Fc gamma R-mediated phagocytosis, implicated in the pathogenesis of ICH. Full article

A successful adjustment to dynamic changes in one’s environment requires contingent adaptive behaviour. Such behaviour is underpinned by cognitive flexibility, which conceptually is part of fluid intelligence. We argue, however, that conventional approaches to measuring fluid intelligence are insufficient in capturing cognitive flexibility. We address the discrepancy between conceptualisation and operationalisation by introducing two newly developed tasks that aim at capturing within-person processes of dealing with novelty. In an exploratory proof-of-concept study, the two flexibility tasks were administered to 307 university students, together with a battery of conventional measures of fluid intelligence. Participants also provided information about their Grade Point Averages obtained in high school and in their first year at university. We tested (1) whether an experimental manipulation of a requirement for cognitive inhibition resulted in systematic differences in difficulty, (2) whether these complexity differences reflect psychometrically differentiable effects, and (3) whether these newly developed flexibility tasks show incremental value in predicting success in the transition from high school to university over conventional operationalisations of fluid intelligence. Our findings support the notion that cognitive flexibility, when conceptualised and operationalised as individual differences in within-person processes of dealing with novelty, more appropriately reflects the dynamics of individuals’ behaviour when attempting to cope with changing demands. Full article

The treatment and management of diabetes mellitus (DM) with conventional therapies, such as insulin injections and oral hypoglycemic agents, present significant challenges due to their side effects and burdensome administration. Therapies often manage symptoms rather than addressing insulin regulation, akin to medications like thiazolidinediones and glinides, which resemble many medicinal plants. Medicinal plants offer potential alternative treatments due to bioactive compounds targeting diabetes causes. We aimed to explore the antidiabetic potential of two medicinal plants, Psidium guajava and Seriphium plumosum L., by investigating their phytochemical constituents, medicinal uses, pharmacological actions, and mechanisms. This review followed specific guidelines and searched databases including PubMed, Scopus, ScienceDirect, and Web of Science for studies on medicinal plants and DM. Eligible studies underwent quality assessment and were categorized based on their design and interventions for data synthesis. This review identified the phytochemical constituents in Psidium guajava and Seriphium plumosum L., including tannins, flavonoids, phenols, and steroids, exerting antidiabetic effects through various mechanisms like antioxidant activity, anti-inflammatory effects, stimulation of insulin secretion, glucose regulation, and inhibition of carbohydrate-digesting enzymes. Psidium guajava and Seriphium plumosum L. exhibit promising antidiabetic potential, offering alternative approaches to diabetes management. Polyherbalism, combining multiple plant extracts, may enhance therapeutic efficacy in diabetes treatment. Comprehensive research is needed to explore the combined therapeutic effects of these plants and develop more effective antidiabetic treatments. This review highlights the importance of harnessing natural resources to combat the global burden of DM. Further research is warranted to fully explore the combined therapeutic effects of these plants and develop novel treatments. Full article

In this study, femtosecond (FS) laser irradiation with different laser energy densities of 138, 276, and 414 mJ/cm² is applied to SnO₂-nanowire (NW) gas sensors, and the effect of the FS laser irradiation on the gas sensor response toward toluene (C₇H₈) gas is investigated. The FS laser irradiation causes oxygen deficiency in the SnO₂ NWs and forms SnO and SnO_x. Moreover, an embossing surface with multiple nano-sized bumps is created on the SnO₂ NW surface because of the FS laser irradiation. The FS laser-irradiated SnO₂-NW gas sensor exhibits superior sensing performance compared with the pristine SnO₂-NW gas sensor. Moreover, the FS laser energy density significantly affects gas-sensing performance, and the highest sensor response is achieved by the gas sensor irradiated at 138 mJ/cm². The long-term stability test of the laser-irradiated SnO₂-NW gas sensor is performed by comparing fresh and 6-month-old gas sensors in different gas concentrations and relative humidity levels. Comparable gas-sensing behaviors are examined between the fresh and 6-month-old gas sensor, and this verifies the robustness of the laser-irradiated SnO₂-NW gas sensor. Full article

The relationship between maternal oxidative balance score (OBS) in pregnancy, representing overall oxidative balance status by integrating dietary and lifestyle factors, and congenital heart defects (CHD) remains unclear; therefore, this study attempted to explore their associations among the Chinese population. We conducted a case-control study including 474 cases and 948 controls in Northwest China. Pregnant women were interviewed to report diets and lifestyles in pregnancy by structured questionnaires. Logistic regression models were used to estimate the adjusted ORs (95%CIs). Maternal OBS ranged from 6 to 34 among cases, and 5 to 37 among controls. Comparing the highest with the lowest tertile group, the adjusted OR for CHD was 0.31 (0.19–0.50). The CHD risk was reduced by 7% (OR = 0.93, 95%CI = 0.90–0.95) in association with per 1 higher score of OBS during pregnancy. The inverse relationship between maternal OBS and CHD risk appeared to be more pronounced among participants in urban areas (OR = 0.89, 95%CI = 0.86–0.93). Maternal OBS during pregnancy showed good predictive values for fetal CHD, with the areas under the receiver operating characteristic curve 0.78 (0.76–0.81). These findings highlighted the importance of reducing oxidative stress through antioxidant-rich diets and healthy lifestyles among pregnant women to prevent fetal CHD. Full article

With the deepening of research on Large Language Models (LLMs), significant progress has been made in recent years on the development of Large Multimodal Models (LMMs), which are gradually moving toward Artificial General Intelligence. This paper aims to summarize the recent progress from LLMs to LMMs in a comprehensive and unified way. First, we start with LLMs and outline various conceptual frameworks and key techniques. Then, we focus on the architectural components, training strategies, fine-tuning guidance, and prompt engineering of LMMs, and present a taxonomy of the latest vision–language LMMs. Finally, we provide a summary of both LLMs and LMMs from a unified perspective, make an analysis of the development status of large-scale models in the view of globalization, and offer potential research directions for large-scale models. Full article

The prediction of spalling failure evolution in the lifespan of aeroengine bearings is crucial for en-suring the safe return of aircrafts after such failures occur. This study examines the spalling failure evolution process in bearings by integrating the proposed spalling region contact stress analysis model with the multi-directional subsurface crack extension analysis model. The results elucidate the general pattern of spalling expansion. Utilizing this methodology, the fatigue spalling fault evolution in bearings is thoroughly analyzed. Additionally, a two-dimensional model has been developed to simulate and analyze crack propagation in the critical direction of the spalling region, significantly enhancing the model’s computational efficiency. Full article

Introduction: Diet is thought to play an important role in the clinical course and quality of life (QOL) of patients with inflammatory bowel disease (IBD). However, dietary habits of patients with IBD are still unknown. This case–control study aims to compare the dietary habits of patients with IBD to healthy controls and evaluate differences in disease severity and QOL. Materials and methods: Food frequency, severity scores using the Harvey–Bradshaw and Ulcerative colitis activity index, and QOL were assessed using online questionnaires. Dietary habits were compared for patients with active disease and remission and for those with low QOL (LQOL) and high QOL (HQOL). Results: We recruited 61 patients with IBD and 101 controls. Significance was set at p = 0.05. Controls consumed significantly more daily calories (2546 vs. 1641, p = 0.001). However, patients with IBD consumed a higher percentage of carbohydrates (50% vs. 45%, p = 0.001), more red meat (p = 0.024), and less fiber, sucrose, and lactose (p = 0.001, 0.001, and 0.036). Patients with active disease had higher lipid intake, lower protein intake, and lower QOL (47 vs. 58, p = 0.001). Dietary differences between LQOL and HQOL mirrored those between active disease and remission. Conclusion: This study is the first to provide valuable insights into the nutritional profile of Lebanese patients with IBD. Full article

Photovoltaic systems for pumping water, based on direct current powered motor pumps, have great application in small rural regions without electrical networks. In addition, these systems provide environmental benefits by replacing fossil fuels. However, these systems reduce their performance due to partial shading, which is magnified by the internal mismatch of the PV modules. This work proposes an intelligent, low-cost, and automatic method to mitigate these effects through the electrical reconfiguration of the PV array. Unlike other reported techniques, this method considers the pump head variations. For that, the global voltage and current supplied by the PV array to the motor pump subsystem are introduced to an artificial neural network and to a third-order equation, which locates the shaded PV module and detects the pump head, respectively. A connection control implements the optimal electrical rearrangement. The selection is based on the identified partial shading pattern and pump head. Finally, the switching matrix modifies the electrical connections between the PV modules on the PV array without changing the interconnection scheme, PV array dimension, or physical location of the PVMs. The proposed approach was implemented in a real PV water pumping system. Low-cost and commercial electronic devices were used. The experimental results show that the output power of the PV array increased by 8.43%, which maintains a more stable level of water extraction and, therefore, a constant flow level. Full article

Compression is the cornerstone of treatment for lymphoedema; however, in patients with Stage III lymphoedema that causes a significant alteration of limb shape and size, additional creative problem solving is required in order to find a solution that fits the person, their limb and their personal circumstances. Medical adaptive compression (MAC) systems provide solutions to complex situations. We present two cases of individuals who completed an inpatient rehabilitation stay for intensive treatment of their lymphoedema and were fitted with MAC devices to ensure long-term success. Full article

Current evidence suggests that airborne pollutants have a detrimental effect on fetal growth through the emergence of small for gestational age (SGA) or term low birth weight (TLBW). The study’s objective was to critically evaluate the available literature on the association between environmental pollution and the incidence of SGA or TLBW occurrence. A comprehensive literature search was conducted across Pubmed/MEDLINE, Web of Science, Cochrane Library, EMBASE, and Google Scholar using predefined inclusion and exclusion criteria. The methodology adhered to the PRISMA guidelines. The systematic review protocol was registered in PROSPERO with ID number: CRD42022329624. As a result, 69 selected papers described the influence of environmental pollutants on SGA and TLBW occurrence with an Odds Ratios (ORs) of 1.138 for particulate matter ≤ 10 μm (PM₁₀), 1.338 for particulate matter ≤ 2.5 μm (PM_2.5), 1.173 for ozone (O₃), 1.287 for sulfur dioxide (SO₂), and 1.226 for carbon monoxide (CO). All eight studies analyzed validated that exposure to volatile organic compounds (VOCs) is a risk factor for SGA or TLBW. Pregnant women in the high-risk group of SGA occurrence, i.e., those living in urban areas or close to sources of pollution, are at an increased risk of complications. Understanding the exact exposure time of pregnant women could help improve prenatal care and timely intervention for fetuses with SGA. Nevertheless, the pervasive air pollution underscored in our findings suggests a pressing need for adaptive measures in everyday life to mitigate worldwide environmental pollution. Full article

Recent technological advances are bringing about the digitalization of manufacturing, enabled by introducing and integrating new and improved technologies into existing processes and activities. Integrating advanced technologies into the workplace can have a positive effect on manufacturing efficiency and competitiveness, as well as sustainability and environmental impact. Employee acceptance of these new technologies is critical for manufacturing organizations to achieve these goals. Unfortunately, a notable deficiency of tools to assess the readiness of an employee work group or organization to accept a new technology exists. The objective of this study was to develop and validate a new tool for gauging employee technology acceptance in a pre-implementation decision context known as the Technology Acceptance in a Manufacturing Environment (TAME). Statistical validation measures were conducted on survey responses from 823 respondents across seven locations of one large organization. The results indicate that TAME is appropriate for assessing readiness for technology acceptance among manufacturing workers with little to no training or knowledge of the technology being considered for implementation (R² = 86%). TAME can facilitate the organizational assessment of employee perception of new technologies before implementation, increasing the chances of a successful launch. This research results in the first known application of technology acceptance models in a pre-implementation context in a manufacturing environment. Full article

Salmonella enterica serovar Gallinarum biovar Gallinarum (SG) causes fowl typhoid, a notifiable infectious disease in poultry. However, the pathogenic mechanism of SG-induced systemic infection in chickens remains unclear. Thioredoxin reductase (TrxB) is a redox protein crucial for regulating various enzyme activities in Salmonella serovar, but the role in SG-induced chicken systemic infection has yet to be determined. Here, we constructed a mutant SG strain lacking the trxB gene (trxB::Cm) and used chicken embryo inoculation and chicken oral infection to investigate the role of trxB gene in the pathogenicity of SG. Our results showed that trxB::Cm exhibited no apparent differences in colony morphology and growth conditions but exhibited reduced tolerance to H₂O₂ and increased resistance to bile acids. In the chicken embryo inoculation model, there was no significant difference in the pathogenicity of trxB::Cm and wild-type (WT) strains. In the chicken oral infection, the WT-infected group exhibited typical clinical symptoms of fowl typhoid, with complete mortality between days 6 and 9 post infection. In contrast, the trxB::Cm group showed a 100% survival rate, with no apparent clinical symptoms or pathological changes observed. The viable bacterial counts in the liver and spleen of the trxB::Cm-infected group were significantly reduced, accompanied by decreased expression of cytokines and chemokines (IL-1β, IL-6, IL-12, CXCLi1, TNF-α, and IFN-γ), which were significantly lower than those in the WT group. These results show that the pathogenicity of the trxB-deficient strain was significantly attenuated, indicating that the trxB gene is a crucial virulence factor in SG-induced systemic infection in chickens, suggesting that trxB may become a potentially effective target for controlling and preventing SG infection in chickens. Full article

In recent years, several countries have introduced ‘right to disconnect’ laws to protect workers’ rest times, giving workers legal rights to disconnect from work-related communication outside normal working hours. This is a response to growing concerns for the digital wellbeing of workers, the state of hyperconnectivity created by today’s digital technologies, and how it can result in constant connectivity to work. The aim of this paper is to review the existing academic literature available on this topic, in order to identify key themes and potential research gaps relating to the right to disconnect and derive practical implications for managers needing to adopt this policy. Using the scoping review method and keywords ‘right to disconnect’, n = 9966 records were retrieved from the databases APA PsycNet, EBSCOhost, Emerald Insight, Gale, ProQuest Central, Scopus, and Web of Science, from which a final sample of n = 21 journal articles from n = 15 different countries were eligible for analysis. These articles were found to primarily span three academic disciplines: law, health, and business. Four key themes were highlighted—work–life balance, scope, governance, and health and wellbeing—as being critical factors for the successful implementation of the right to disconnect, as a sustainable digital wellbeing initiative for employees. Full article

Background: Management of PICC dressing can be performed at home by the patient through adequate training and telenursing. This trial verifies that the incidence of catheter-related complications in home patients, assisted by telenursing, is not greater than that observed in outpatients. Methods: This clinical trial is composed of 72 patients with malignant tumors who underwent long-term chemotherapy with PICC insertion. They were randomly divided into an experimental group (33 cases) and a calibration group (39 cases). The control group received outpatient dressing for the PICC at the hospital, while the experimental group received a telenursing intervention about the management of the PICC. The incidence of catheter-related infections, the ability of self-management, and a rough cost/benefit estimation were compared between the two groups. This trial was performed according to the CONSORT 2010 checklist. Results: The two groups do not significantly differ in relation to age, sex, and PICCs in terms of the body side insertion, the type of dressing, and the agents used for cleaning. The analysis of the results showed that in the home-managed group, the clinical events reported during the connection were higher when compared with the outpatient group (p < 0.001). The patients in the homecare group developed frequent complications resulting from skin redness (p < 0.001). Conclusion: The use of telenursing for patient education in cancer centers can reduce nurses’ working time, improving the self-management capacity of patients with a long-term PICC. This trial was retrospectively registered with the Clinical Trial Gov on the 18 May 2023 with registration number NCT05880420. Full article

Grain from improved varieties of the perennial grass Thinopyrum intermedium (Host) Barkworth & D.R. Dewey is marketed under the trade name Kernza (common name intermediate wheatgrass, IWG). While a growing body of evidence is available on the nutritional quality of Kernza, gaps exist for components such vitamins and minerals and protein quality. Therefore, we performed two studies on early-generation breeding program material, characterizing nutritional quality by quantifying macronutrients, sugars, dietary fiber, amino acid profiles, fat composition, vitamins, minerals, carotenoids, antioxidants, and antioxidant activity. The IWG studied frequently had concentrations significantly different from the reference values for whole wheat flour. For example, IWG had 50% higher protein, 129% higher dietary fiber, and 65% higher ash content than reference whole wheat flour. Calcium and selenium were 267% and 492% higher, respectively, in IWG than whole wheat flour. Riboflavin and folate were 43% and 447% higher, respectively, and niacin 74% lower in IWG versus whole wheat flour. We identified lysine as the limiting amino acid, although its concentration was 33% greater in IWG than in whole wheat flour. These results support potential benefits of Kernza for human nutrition. This work supports ongoing studies to further characterize and evaluate nutritional quality during the domestication and breeding process. Full article

Food non-denatured processes, such as freeze-drying and grinding, are commonly applied to raw materials with good bioactive functions. Although the functional components are maintained, whether structural and physical changes impact the in vivo function is often ignored in practical situations. Brasenia schreberi mucilage (BSM) has a significant alleviation effect on DSS-induced colitis. This work focused on the influence of non-denatured manufacture on the colonic benefits of BSM-based products. First, three forms of products including fresh mucilage (FM), freeze-dried products (FS), and freeze-dried powder (FP) were prepared. Then, their in vitro physiochemical properties were compared, analyzing their influence on the gut inflammation degree, microbial composition, and SCFA production in mice. The results suggested that the water retention rate of FS and FP was decreased to 34.59 ± 3.85%, and 9.93 ± 1.76%. The viscosity of FM, FS, and FP was 20.14 Pa∙s, 4.92 Pa∙s, and 0.41 Pa∙s, respectively. The freeze-drying and grinding process also damaged the lamellar microstructure of BSM. Then, animal tests showed that colitis mice intervened with FM, FS, and FP had disease activity scores of 2.03, 3.95, and 4.62. Meanwhile, FM notably changed the gut microbial composition and significantly increased propionate and butyrate levels. It seemed that the distinct colitis alleviation efficacy of BSM-based products is attributed to different hydrodynamic properties in the gut. FM had relatively higher viscosity and correspondingly high nutritional density in the gut lumen, which stimulates Firmicutes growth and promotes butyrate production, and thereby exhibited the best efficiency on protecting from colitis. Full article

This paper presents the continuation of experimental investigations conducted by the present authors to measure and compare the thermal and fluid dynamic performance of a residential hydronic air coil using nanofluids. The prior experiments were limited to testing only one volumetric concentration (1%) of aluminum oxide (Al₂O₃) nanofluid. They compared it with the base fluid, a 60% ethylene glycol/40% water mixture by mass (60% EG). The original tests revealed some deficiencies in the experimental setup, which was subsequently revised and improved. This paper summarizes the results of experiments from the improved test bed using three concentrations of Al₂O₃ nanofluids: 1, 2, and 3% volumetric concentrations prepared with an average particle size of 45 nm in a 60% EG dispersion. The test bed in these experiments simulates a small air handling system typical of heating, ventilation, and air conditioning (HVAC) applications in cold regions. Entering conditions for the air and liquid were selected to emulate typical commercial air handling systems operating in cold climates. Contrary to previous findings, our test results revealed that nanofluids did not perform as well as expected. Prior predictions from many analytical and numerical studies had promised significant performance gain. The performance of the 1% nanofluid was generally equal to that of the base fluid under identical inlet conditions. However, the performance of the 2% and 3% nanofluids was considerably lower than that of the base fluid. The higher concentration nanofluids exhibited heat rates up to 14.6% lower than the 60% EG and up to 44.3% lower heat transfer coefficient. The 1% Al₂O₃/60% EG exhibited a 100% higher pressure drop across the coil than the base fluid, considering equal heat output. This performance degradation was attributed to the inability to maintain nanofluid dispersion stability, agglomeration, and subsequent decline in the thermophysical properties. Full article