Monday, April 20, 2026

 

Energy-efficient cooling elements from a 3D printer: Elastocaloric cooling systems at Hannover Messe





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Saarland University

Energy-efficient cooling elements from a 3D printer 

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The elastocaloric technology offers a cleaner, greener alternative to traditional cooling and heating systems. Professor Paul Motzki and his team at Saarland University are key players in the field. Working with 3D-printing specialists led by Professor Dirk Bähre, they are developing novel, energy-efficient geometries for the cooling elements. Doctoral research students Thorben Trodler (left) and Michael Fries (right) are involved in the optimization of these delicate heat-exchange structures made from nickel-titanium alloy, through which air and water can flow. The three-dimensional alloy structures are produced layer by layer using additive manufacturing in a 3D printer. The team is showcasing their technology at Hannover Messe from 20 to 24 April.

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Credit: Credit: Oliver Dietze





Visitors to this year’s Hannover Messe can experience a sudden drop in temperature at first hand – all brought about by simply stretching a metal alloy and then releasing it again. The underlying elastocaloric technology offers a cleaner, greener alternative to traditional cooling and heating systems. Professor Paul Motzki and his team at Saarland University are key players in the field and are driving developments ever closer towards real-world applications. Working with 3D-printing specialists led by Professor Dirk Bähre, they are also developing novel, energy-efficient geometries for the cooling elements. The team is showcasing their technology at Hannover Messe from 20 to 24 April (Hall 11, Stand D41).

The shiny cubes, each with a striking geometry, could easily be taken for stylish decorative items. For the researchers who work with these 3D-printed structures, however, their appeal lies in their functionality rather than their aesthetics. The manufacturing engineers in Professor Dirk Bähre’s team and the smart materials specialists led by Professor Paul Motzki are interested in how these metal structures behave in the innovative cooling and heating systems currently being developed in Saarbrücken. ‘This is the next stage in the development of elastocaloric technology. The research we are currently undertaking on these new structures is still in the realm of basic research – but we are already thinking about practical use and developing solutions for real-world applications,’ explains Paul Motzki. The novel geometries of these new cooling and heating elements are designed to boost heat transfer efficiency by maximizing the surface area over which thermal energy is exchanged.

Instead of cooling with refrigerants that are harmful to our climate, or heating with fossil fuels like oil or gas, elastocaloric systems use components manufactured from the shape-memory alloy nickel-titanium. Until now, Paul Motzki’s team at Saarland University has been researching the elastocaloric properties of bundles of ultrathin wires and thin sheets made from this alloy. These components release heat when pulled or compressed, and they absorb heat when the mechanical load is removed. The Saarbrücken engineers are using the elastocaloric effect to transport heat from one location to another – for example, to transfer heat out of a cooling chamber. The research teams at Saarland University and at the Saarbrücken Center for Mechatronics and Automation Technology (ZeMA) have been investigating the elastocaloric effect for more than 15 years, with the long-term aim of cooling and heating cars, buildings and industrial facilities in an environmentally friendly and energy-efficient way. At this year’s Hannover Messe, the team is demonstrating that their technology has moved beyond pure fundamental research and is already well on its way towards real-world applications.

Cool new materials

Enormous quantities of energy are consumed worldwide for cooling and heating – and as the climate changes, demand is set to rise further. Unlike conventional cooling and heating methods, elastocaloric technology promises significantly higher efficiency. Powered solely by electricity, elastocaloric systems are as clean as the electricity that is used to power them. The European Commission has identified elastocaloric cooling as the most promising alternative to conventional cooling technologies, and the World Economic Forum listed it among the ‘Top Ten Emerging Technologies’. The technology is based on the special properties of nickel-titanium – an alloy that, when deformed, behaves very differently from conventional metals.

Nickel-titanium is what is known as a ‘shape memory alloy’, i.e. the material can be deformed and then return to its original shape, due to a reversible phase transformation between two solid crystal lattice structures. This phase transformation is accompanied by heat transfer. ‘At room temperature, the alloy is in its high-temperature phase. When we apply tensile or compressive stress to the material, we force it to adopt the low-temperature phase. This is an exothermic process in which the material warms up and releases heat to the surroundings. Once the material has cooled back down to ambient temperature, we release the mechanical stress. This enables the alloy to transform back to its high-temperature phase and – as this is an endothermic process – the material cools down,’ explains Paul Motzki. Put simply: when a nickel-titanium wire is stretched, it releases heat to the air or liquid flowing past it; when the stress is removed, it cools down and is able to absorb heat from its surroundings. This mechanical deformation cycle of repeated tensile loading and unloading is the key principle behind the new technology. No additional sensors are required, as the material itself has its own intrinsic sensing properties. ‘Each deformation of the wires corresponds to a specific electrical resistance value. So the resistance measurements can tell us exactly how the material is deforming at any given moment. That means a position sensor is effectively built in,’ Motzki explains.

The researchers in Saarbrücken aim to maximize thermal energy transfer by maximizing surface area. The larger the surface area, the more efficiently heat can be transferred to the working medium – air or water. Up until now, the team has increased surface area by creating bundles containing many ultrathin shape-memory wires. In the next generation of these devices, the cooling and heating elements will provide even more contact area by incorporating a porous geometric nickel-titanium structure. To achieve this goal, Paul Motzki’s research group is working with Dirk Bähre’s team to develop an intricate nickel-titanium structure through which the heat-transfer medium (air or water) can flow. The researchers are refining and optimizing the design of these delicate alloy lattices. A variety of complex geometries are undergoing experimental testing to determine which structures yield the most efficient heat transfer. The three-dimensional alloy structures are produced layer by layer using additive manufacturing in a 3D printer.

Preparing the technology for real-world applications

While laboratory experiments and testing are ongoing, Motzki and his team are also working to develop the emergent field of elastocalorics for real-world deployment. The materials that will be used in future elastocaloric cooling systems will need to be suitable for continuous operation in refrigerators and cooling units. ‘We are working to develop materials and designs that are robust enough for continuous use and for ease of maintenance. We build questions about potential future applications into the development process right from the outset; it’s a core principle of our research and it also shapes the curricula of our degree programmes such as Systems Engineering and Sustainable Materials and Engineering,’ says Paul Motzki, who, like Dirk Bähre, involves numerous doctoral researchers as well as undergraduate students in this work.

One of the questions being addressed experimentally is how to mechanically load the materials in ways that ensure a long service life. This involves matching the properties of the alloy to the tensile and compressive cycling regimes. ’For example, in designs that use wire bundles, we want to achieve a lifetime of more than one million cycles,’ says Paul Motzki. At some point, however, even the best material will fatigue. ‘That’s why we are also developing a simple and fast replacement concept. We are designing the relevant components so that they can be exchanged easily, because maintainability is a key factor in determining whether this new technology can translate into reliable day-to-day deployment,’ explains Motzki.

Funding and current projects in elastocalorics

The German Federal Ministry of Research, Technology and Space is funding the project ‘DEPART!Saar’ with up to €18 million under its ‘T!Raum’ programme. The aim of this project is to strengthen Saarland’s economy by developing regional innovation and transfer structures that will accelerate the transfer of elastocaloric technology into real-world applications. In the SmartCool project, which is funded by the Federal Ministry for Economic Affairs and Energy, the Saarbrücken engineers are working with Volkswagen AG, Fraunhofer IPM and the company Ingpuls to develop lightweight, energy-efficient cooling systems for electric vehicles. In a further research project, the team is working with European partners to develop an elastocaloric air conditioning system that can be used to cool and heat individual rooms of residential buildings. The project consortium led by Paul Motzki will receive a total of €4 million in funding under the ‘EIC Pathfinder Challenge’ from the European Innovation Council. With additional funding from an ‘ERC Starting Grant’ from the European Research Council, Paul Motzki and his team are advancing elastocaloric technology using a globally unique combination of shape-memory materials and smart-film actuators. Dielectric elastomers are the second smart materials field in which Paul Motzki is a recognized expert.

At Hannover Messe, the researchers are on hand to explain the technology and are also looking for partners from academia and industry to develop elastocaloric systems further and create applications ranging from household appliances to industrial cooling systems. One of the exhibits being showcased is a functional prototype of the first elastocaloric mini fridge, which demonstrates proof of concept by cooling a drinks can. At the heart of the mini fridge are bundles of 200-micrometre-thin nickel-titanium wires that rotate around a circular cooling chamber. The wire bundles are stretched on one side of the chamber, and the tension is released on the other. Air that flows past the wires, carries heat out of the chamber, cooling the chamber and the can of drink it contains. 
Joint exhibition stand ‘Germany’s Saarland’ (Hall 11, Stand D41).

Having more kids associated with reduced risk of stroke and brain damage, research co-led by UT Health San Antonio shows



Number of live births could be an important predictive factor




The University of Texas at San Antonio Health Science Center





SAN ANTONIO, April 20, 2026 – While some say having lots of kids can make you lose your faculties, a new study suggests otherwise.

Research co-led by UT Health San Antonio, the academic health center of The University of Texas at San Antonio, associates a greater number of live births with a reduced risk of stroke or brain damage for mothers. As more women than men have strokes, the finding is seen as significant in helping determine risk.

The study, titled, “Number of Live Births as a Protective Factor Against Clinical and Covert Brain Infarcts: The Framingham Heart Study,” was published on April 7 in the Journal of the American Heart Association, and on behalf of the association.

“Our findings would suggest that reproductive factors – for example, number of live births – may be an additional factor to consider when assessing stroke risk in women,” said Sudha Seshadri, MD, a behavioral neurologist, professor and founding director of the Glenn Biggs Institute for Alzheimer’s and Neurodegenerative Diseases at UT Health San Antonio.

She is joint senior author of the study with Emer R. McGrath, PhD, with the School of Medicine at the University of Galway in Ireland. “Inclusion of this risk factor in female-specific clinical prediction rules for stroke may enhance risk prediction in women,” Seshadri said.

Reproductive factors in stroke

The study notes that stroke is a major cause of morbidity and death and disproportionately affects women, who account for 57% of all strokes in the United States.

Reproductive factors – for example, age at first menstrual period, age at menopause, circulating estrogen levels, number of pregnancies and use of hormone replacement therapy – affect overall lifetime exposure to estrogen, and therefore have been implicated as important predictors of future stroke risk in women.

Generally, greater exposure for a longer period or to higher levels of the body’s own estrogen has recently been associated with a lower burden of cerebral small-vessel disease in women. However, evidence for some factors, such as live births, has been conflicting.

For this study, researchers determined the association between number of live births and other female-specific reproductive factors and subsequent risk of stroke and magnetic resonance imaging markers of vascular brain injury in a community-based cohort. That cohort was the Framingham Heart Study, a long-term and ongoing community-based observational study of residents in Framingham, Massachusetts, dating to 1948. Seshadri serves as senior investigator.

Live births and decreased risk

The scientists followed 1,882 women over time, and who were stroke-free at a baseline examination during 1998 to 2001 and at a mean age of 61. They considered reproductive factors including the women’s number of live births given, age at menopause, postmenopausal hormone replacement therapy use, and serum estradiol and estrone levels.

During a median 18-year follow-up, they assessed the same participants for number of strokes from all causes, and secondarily for “covert brain infarcts” – like brain lesions representing vascular damage from restricted or reduced blood blow – and white matter hyperintensity volume, detected by MRI.
 

Over that period, 126 women had strokes. The researchers used statistical analyses known as multivariable Cox proportional hazards models adjusting for major vascular risk factors, and determined that three or more live births were associated with a reduced risk of stroke. Similarly, they found that three or more live births were associated with decreased risk of vascular brain injury.

“This may be an important factor to include in female-specific clinical prediction rules for stroke, but will require further study,” Seshadri said.

The researchers found no significant association between other reproductive factors and stroke or MRI markers of vascular brain injury.

Other authors of the study are with Boston University; Mass General Brigham, Boston; and University of California-Davis.


Number of Live Births as a Protective Factor Against Clinical and Covert Brain Infarcts: The Framingham Heart Study

Senan Maher, Matthew R. Scott, Rachel F. Buckley, Charles S. DeCarli, Hugo J. Aparicio, Jose Rafael Romero, Ramachandran S. Vasan, Joanne M. Murabito, Shalender Bhasin, Alexa S. Beiser, Sudha Seshadri, Emer R. McGrath

Published April 7, 2026, by Journal of the American Heart Association

Link to full study: https://www.ahajournals.org/doi/10.1161/JAHA.125.044037


UT Health San Antonio is the academic health center of The University of Texas at San Antonio (UT San Antonio), offering a comprehensive network of inpatient and outpatient care facilities staffed by medical, dental, nursing and allied health professionals who conduct more than 2.5 million patient visits each year. It is the region’s only academic health center and one of the nation’s leading health sciences institutions, supported by the schools of medicine, nursing, dentistry, health professions, graduate biomedical sciences and public health that are leading change and advancing fields throughout South Texas and the world. To learn about the many ways “We make lives better®,” visit UTHealthSA.org.

Stay connected with UT Health San Antonio on FacebookTwitterLinkedInInstagram and YouTube.

The Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases at UT Health San Antonio is dedicated to providing comprehensive dementia care while advancing treatment through clinical trials and research. The Biggs Institute is a National Institute on Aging (NIA)-designated Alzheimer’s Disease Research Center (ADRC). UT Health San Antonio is the academic health center of The University of Texas at San Antonio (UT San Antonio). In addition to providing patient care and conducting research, the Biggs Institute partners with the School of Nursing at UT San Antonio to offer the Caring for the Caregiver program. 

 

 

 

Excessive napping may be a warning sign of underlying or developing health conditions in older adults



Mass General Brigham prospective cohort study of older adults found excessive napping, especially in the morning, was associated with higher mortality rates



Brigham and Women's Hospital










  • Mass General Brigham prospective cohort study of older adults found excessive napping, especially in the morning, was associated with higher mortality rates

  • Results signal a clinical opportunity for tracking health conditions and preventing decline 

New research reveals that as people age, naps may be an easily trackable warning sign of underlying conditions or declining health. A new study by investigators from Mass General Brigham and Rush University Medical Center followed 1,338 older adults for up to 19 years to track napping habits and associated mortality rates. They found longer, more frequent, and morning naps were associated with higher mortality rates. Their results are published in JAMA Network Open.

“Excessive napping later in life has been linked to neurodegeneration, cardiovascular diseases and even greater morbidity, but many of those findings rely on self-reported napping habits and leave out metrics like when and how regular those naps are,” said lead author Chenlu Gao, PhD, an investigator in the Department of Anesthesiology in the Mass General Brigham, who is also an affiliated research fellow in the Division of Sleep and Circadian Disorders in the Department of Medicine. “Our study is one of the first to show an association between objectively measured nap patterns and mortality and suggests there is immense clinical value in tracking napping patterns to catch health conditions early.”

Between 20 and 60% of older adults take naps. While infrequent napping can be restorative, excessive daytime napping in old age has been linked to a wide range of health issues. Despite these associations, the relationship between napping and health in older individuals has been understudied, and those that have been conducted lack objective napping pattern data, time of day naps took place, and changes in napping patterns from day-to-day.

To close this knowledge gap, Mass General Brigham researchers turned to data from the Rush Memory and Aging Project, which began in 1997 as a cohort study primarily centered on the cognition and neurodegeneration of older, mainly white individuals in northern Illinois. Beginning in 2005, participants wore wrist activity monitors for 10-days to measure rest-activity data. The team extracted sleep patterns from the extensive rest-activity data and mapped nap length, frequency, time of day, and day-to-day variability.

By 2025, 19 years’ worth of data were collected from 1,338 total participants. The researchers analyzed the data for associations between napping patterns at the initial assessment and all-cause mortality during the 19-year follow-up, finding that longer, more frequent, and morning naps were all associated with higher mortality. Each additional hour of daytime napping per day was associated with around 13% higher mortality risk; each extra nap per day was associated with around 7% higher mortality risk; and morning nappers had 30% higher mortality risk compared to afternoon nappers. Irregular napping patterns were not associated with any increased mortality risk.

“It is important to note that this is correlation not causation. Excessive napping is likely indicating underlying disease, chronic conditions, sleep disturbances, or circadian dysregulation,” said Gao. “Now that we know there is a strong correlation between napping patterns and mortality rates, we can make the case to implement wearable daytime nap assessments to predict health conditions and prevent further decline.”

Authorship: In addition to Gao and Li, Mass General Brigham authors include Ruixue Cai, Xi Zheng, Arlen Gaba, Lei Gao, and Kun Hu. Additional authors include Lei Yu, Aron S. Buchman, and David A. Bennett.

Disclosures: Li has received a monetary gift to support research from iFutureLab. Li serves on the iFutureLab-HEKA Scientific Advisory Board as the Chair of Cardiac Dynamics and Honorary Life-Time Co-Founder and has received consulting fees. Li has also received honorarium for lecturing from Shandong University. Hu serves on the iFutureLab-HEKA Scientific Advisory Board as the Chair of Medical Biodynamics and Honorary Life-Time Co-Founder and has received consulting fees. The interests of Li and Hu were reviewed and managed by Mass General Brigham following their conflict of interest policies. These interests are not related to the current work.

Funding: This study is supported by the American Academy of Sleep Medicine Foundation (290-FP-22), the Alzheimer’s Association Research Fellowship to Promote Diversity (AARFD-22-928372), the National Institution on Aging (RF1AG064312; R01AG083799). Gao C. is additionally supported by the National Heart Lung and Blood Institute (5T32HL007901). Li is additionally supported by the BrightFocus Foundation (A2020886S) and a start-up fund from the Department of Anesthesia, Critical Care and Pain Medicine at Massachusetts General Hospital. Hu is additionally supported by a start-up fund from the Department of Anesthesia, Critical Care and Pain Medicine at Massachusetts General Hospital. Gao L. is additionally supported by the Alzheimer’s Association (AACSF-23-1148490), National Institute on Aging (R03AG087439), American Academy of Sleep Medicine (352-DS-24), and National Institute of General Medical Sciences (R35GM160254). The Rush Memory and Aging Project is supported by the National Institutes of Health (R01AG056352 and R01AG017917). The funders had no role in the design and conduct of the study, collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Paper cited: Gao C et al. “Objectively Measured Daytime Napping and All-cause Mortality in Older Adults” JAMA Network Open DOI: 10.1001/jamanetworkopen.2026.7938

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About Mass General Brigham

Mass General Brigham is an integrated academic health care system, uniting great minds to solve the hardest problems in medicine for our communities and the world. Mass General Brigham connects a full continuum of care across a system of academic medical centers, community and specialty hospitals, a health insurance plan, physician networks, community health centers, home care, and long-term care services. Mass General Brigham is a nonprofit organization committed to patient care, research, teaching, and service to the community. In addition, Mass General Brigham is one of the nation’s leading biomedical research organizations with several Harvard Medical School teaching hospitals. For more information, please visit massgeneralbrigham.org.

 

Video game improves emergency doctor trauma triage decision making




University of Pittsburgh

Deepika Mohan, M.D., M.P.H. 

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Deepika Mohan, M.D., M.P.H., associate professor of surgery and critical care medicine at the University of Pittsburgh School of Medicine and trauma surgeon at UPMC

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Credit: University of Pittsburgh





Emergency physicians who play a video game about trauma triage outperform their peers who only receive standard education when it comes to properly caring for severely injured older adults. The findings are published today in JAMA.

The video game – developed by a team of UPMC and University of Pittsburgh surgeon-scientists – could be an effective alternative to costly and time-consuming recertification courses, while also improving adherence to life-saving triage guidelines.

“An increasing proportion of seriously injured patients are older than 65 and, unfortunately, when they come into the emergency department, they are under-triaged because their injuries are more insidious,” said lead author Deepika Mohan, M.D., M.P.H., associate professor of surgery and critical care medicine at Pitt’s School of Medicine and trauma surgeon at UPMC. “People may not think a rib fracture is a big deal. But if an older person falls and suffers four rib fractures, their risk of dying is the same as a young person shot in the liver.”

Triaging seriously injured patients can involve split-second decisions, where doctors quickly consider everything they know about a patient and their injuries, and then use their knowledge of medicine to decide the right level of care. This could mean putting the patient on a medical helicopter for transfer to a hospital with more trauma expertise and resources. Or it could mean discharging them to recover in the comfort of their home. Older adults are under-triaged as much as 70% of the time.

Mohan became interested in improving appropriate triage practices after a frustrating night at work consulting on patients who didn’t need to be there. She then saw a patient who was under-triaged and had a long delay in transferring to her trauma center for appropriate care.

She was witnessing the outcome of ingrained decision-making behaviors, sometimes called mental shortcuts or heuristics, which are notoriously hard to change. After talking with decision scientist Baruch Fischhoff, Ph.D., at Carnegie Mellon University, Mohan hit on the idea to build a video game that could let emergency physicians subconsciously learn from their decisions without impacting real patients.

In 2016 she created the first version of the game Night Shift with Schell Games, a Pittsburgh-based educational and entertainment game development company. The game features a young emergency physician triaging trauma patients in a high-stakes, emotional setting. The player’s decisions garner reinforcing praise or admonishment. The game also has puzzles that the player must solve in under 90 seconds with limited clinical information.

For a year starting in 2024, Mohan and her colleagues followed 800 physicians who staffed the emergency departments of non-trauma centers in the U.S. Half were randomized to play the game for two hours and then quarterly for 20 minutes, and the other half simply attended regularly scheduled continuing education, which physicians are required to receive to maintain certification.

Physicians who played the game had lower rates of under-triaging severely injured older patients, at 49%, compared to a 57% under-triage rate in those who did not play the game. Conversely, playing the game was not associated with over-triaging; both groups over-triaged at the same rate.

Mohan said this provides some reassurance that playing the game didn’t just increase physician willingness to transfer injured patients – rather, it may have improved diagnostic abilities. This indicates that the way the game leverages storytelling to tap into emotions or uses puzzles to shape decision rules may be rewiring heuristics and effectively changing behavior.

Interestingly, Mohan noted that physicians assigned to the game had the best adherence to the trauma triage guidelines within 30 days of playing it, with the effect fading until they played the game again.

“Quarterly exposure for 20 minutes may not be the best ‘dose,’” she said. “Perhaps playing the game more frequently and for less time would be better – maybe even a ‘microdose’ of 90 seconds each week.”

Next steps involve testing that hypothesis, along with an ambitious project to tackle decision making across the spectrum of trauma care, from emergency medical services to non-trauma hospitals to clinical teams at top level trauma centers.

“It would be a multi-component behavioral intervention at multiple levels,” she said. “With the ultimate objective of saving lives.”

Additional authors on this research are co-senior authors Douglas B. White, M.D., M.A.S., and Derek C. Angus, M.D., M.P.H., as well as Chung-Chou H. Chang, Ph.D., Jonathan Elmber, M.D., M.S., Kimberly J. Rak, Ph.D., Jacqueline L. Barnes, Ph.D., Andrew B. Peitzman, M.D., Raquel M. Forsythe, M.D., and Frank X. Guyette, M.D., M.P.H., all of Pitt; Baruch Fischhoff, Ph.D., of Carnegie Mellon University; Brad Bendesky, M.D., of Drexel College of Medicine and Trinity Health System; Casey Carr, M.D., of INTEGRIS Baptist Medical Center; Allyson C. Chapman, M.D., the University of California San Francisco; Jonathan J. Oskvarek, M.D., M.B.A., of US Acute Care Solutions and Summa Health System; Scott D. Weingart, M.D., of Nassau University Medical Center; and Michael B. Weinstock, M.D., of Adena Regional Medical Center and the Wexner Medical Center at The Ohio State University.

This research was funded by the National Institutes of Health (R01 AG 076499, K23 NS097629 and K24 HL148314).


Screenshot of the adventure portion of the game Night Shift, showing the consequences of under-triage.