The 2023 MDPI Annual Report has
been released!
 
9 pages, 4379 KiB  
Communication
Gain-Switched Er-Doped Fluoride Fiber Laser at ~3.75 μm
by Lu Zhang, Shijie Fu, Quan Sheng, Xuewen Luo, Junxiang Zhang, Wei Shi, Qiang Fang and Jianquan Yao
Photonics 2024, 11(5), 449; https://doi.org/10.3390/photonics11050449 (registering DOI) - 11 May 2024
Abstract
We demonstrate a pulsed Er-doped ZBLAN fiber laser operating at 3.75 μm based on the gain-switching scheme. A diffraction grating is introduced as a wavelength selection component to enable stable lasing in this long-wavelength region that deviates from the emission peak of 4 [...] Read more.
We demonstrate a pulsed Er-doped ZBLAN fiber laser operating at 3.75 μm based on the gain-switching scheme. A diffraction grating is introduced as a wavelength selection component to enable stable lasing in this long-wavelength region that deviates from the emission peak of 4F9/24I9/2 transition in Er3+. Different from the conventional gain-switching behavior where the pulse repetition frequency of the output laser is same as the that of the pump, the gain-switched laser demonstrated here shows a variable pulse repetition frequency, which accounts for 1/n (n = 4, 3, 2) of the pump pulse repetition frequency, in response to the 1950 nm pump power. The output pulse characteristics, including average output power, repetition frequency, pulse duration, and peak power, are investigated in detail. Over 200 mW average output power at 3.75 μm was obtained at 12 W of 1950 nm pump power. This work demonstrates that the Er-doped ZBLAN fiber laser, in combination with gain-switched scheme, is a feasible and promising approach to generate powerful pulsed emission > 3.7 μm. Full article
(This article belongs to the Special Issue Research on Rare-Earth-Doped Fiber Lasers)
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22 pages, 363 KiB  
Article
Science-Engaged Thomism
by Simon Maria Kopf
Religions 2024, 15(5), 591; https://doi.org/10.3390/rel15050591 (registering DOI) - 11 May 2024
Abstract
This article discusses a form of Thomism that has emerged in the field of science and theology, which is termed “Science-Engaged Thomism” (SETh), following the recent and growing movement of Science-Engaged Theology (SET). After a brief introduction of SET, various definitions and essential [...] Read more.
This article discusses a form of Thomism that has emerged in the field of science and theology, which is termed “Science-Engaged Thomism” (SETh), following the recent and growing movement of Science-Engaged Theology (SET). After a brief introduction of SET, various definitions and essential features of SET and SETh are introduced and discussed, highlighting their similarities and differences. To showcase the latter, the article presents recent examples of SETh. The objective is to suggest that SETh is a form of Thomism, although not necessarily a new form of Thomism. As such, SETh might be considered a complementary approach to SET. Full article
(This article belongs to the Special Issue Aquinas and the Sciences: Exploring the Past, Present, and Future)
17 pages, 2053 KiB  
Perspective
Quantum Magnetism of the Iron Core in Ferritin Proteins—A Re-Evaluation of the Giant-Spin Model
by Wilfred R. Hagen
Molecules 2024, 29(10), 2254; https://doi.org/10.3390/molecules29102254 (registering DOI) - 11 May 2024
Abstract
The electron–electron, or zero-field interaction (ZFI) in the electron paramagnetic resonance (EPR) of high-spin transition ions in metalloproteins and coordination complexes, is commonly described by a simple spin Hamiltonian that is second-order in the spin S: [...] Read more.
The electron–electron, or zero-field interaction (ZFI) in the electron paramagnetic resonance (EPR) of high-spin transition ions in metalloproteins and coordination complexes, is commonly described by a simple spin Hamiltonian that is second-order in the spin S: H=D[Sz2SS+1/3+E(Sx2Sy2). Symmetry considerations, however, allow for fourth-order terms when S ≥ 2. In metalloprotein EPR studies, these terms have rarely been explored. Metal ions can cluster via non-metal bridges, as, for example, in iron-sulfur clusters, in which exchange interaction can result in higher system spin, and this would allow for sixth- and higher-order ZFI terms. For metalloproteins, these have thus far been completely ignored. Single-molecule magnets (SMMs) are multi-metal ion high spin complexes, in which the ZFI usually has a negative sign, thus affording a ground state level pair with maximal spin quantum number mS = ±S, giving rise to unusual magnetic properties at low temperatures. The description of EPR from SMMs is commonly cast in terms of the ‘giant-spin model’, which assumes a magnetically isolated system spin, and in which fourth-order, and recently, even sixth-order ZFI terms have been found to be required. A special version of the giant-spin model, adopted for scaling-up to system spins of order S ≈ 103–104, has been applied to the ubiquitous iron-storage protein ferritin, which has an internal core containing Fe3+ ions whose individual high spins couple in a way to create a superparamagnet at ambient temperature with very high system spin reminiscent to that of ferromagnetic nanoparticles. This scaled giant-spin model is critically evaluated; limitations and future possibilities are explicitly formulated. Full article
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16 pages, 2675 KiB  
Article
Parental Factors Associated with COVID-19 Vaccine Uptake for Children over 5 Years of Age in Texas
by Paula M. Cuccaro, Jihye Choi, Yordanos M. Tiruneh, Journey Martinez, Jing Xie, Michelle Crum, Mark Owens and Jose-Miguel Yamal
Vaccines 2024, 12(5), 526; https://doi.org/10.3390/vaccines12050526 (registering DOI) - 11 May 2024
Abstract
The COVID-19 vaccine is safe and effective for children, yet parental hesitancy towards vaccinating children against the virus persists. We conducted a telephone-administered weighted survey in Texas to examine parents’ sociodemographic factors and medical conditions associated with COVID-19 vaccination intention for parents with [...] Read more.
The COVID-19 vaccine is safe and effective for children, yet parental hesitancy towards vaccinating children against the virus persists. We conducted a telephone-administered weighted survey in Texas to examine parents’ sociodemographic factors and medical conditions associated with COVID-19 vaccination intention for parents with unvaccinated children ages 5–17 years. We collected responses from 19,502 participants, of which 4879 were parents of children ages 5–17 years. We conducted multiple logistic regression with Lasso-selected variables to identify factors associated with children’s vaccination status and parents’ intention to vaccinate their children. From the unweighted sample, less than half of the parents (46.8%) had at least one unvaccinated child. These parents were more likely to be White, English-speaking, not concerned about illness, privately insured, and unvaccinated for COVID-19 themselves (p < 0.001). In the adjusted regression model, parents who were unvaccinated (vs. having COVID-19 booster, aOR = 28.6) and financially insecure (aOR = 1.46) had higher odds of having unvaccinated children. Parents who were Asian (aOR = 0.50), Black (aOR = 0.69), Spanish-speaking (aOR = 0.57), concerned about illness (aOR = 0.63), had heart disease (aOR = 0.41), and diabetes (aOR = 0.61) had lower odds of having unvaccinated children. Parents who were Asian, Black, Hispanic, Spanish-speaking, concerned about illness for others, and vaccine-boosted were more likely to have vaccination intention for their children (p < 0.001). Children’s vaccination is essential to reduce COVID-19 transmission. It is important to raise awareness about the value of pediatric COVID-19 vaccination while considering parents’ sociodemographic and medical circumstances. Full article
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14 pages, 5193 KiB  
Article
Reactive Power Optimization in Distribution Networks of New Power Systems Based on Multi-Objective Particle Swarm Optimization
by Zeyu Li and Junhua Xiong
Energies 2024, 17(10), 2316; https://doi.org/10.3390/en17102316 (registering DOI) - 11 May 2024
Abstract
The new power system effectively integrates a large number of distributed renewable energy sources, such as solar photovoltaic, wind energy, small hydropower, and biomass energy. This significantly reduces the reliance on fossil fuels and enhances the sustainability and environmental friendliness of energy supply. [...] Read more.
The new power system effectively integrates a large number of distributed renewable energy sources, such as solar photovoltaic, wind energy, small hydropower, and biomass energy. This significantly reduces the reliance on fossil fuels and enhances the sustainability and environmental friendliness of energy supply. Compared to distribution networks in traditional power systems, the new-generation distribution network offers notable advantages in improving energy efficiency, reliability, environmental protection, and system flexibility, but it also faces a series of new challenges. These challenges include potential harmonic issues introduced by the widespread use of power electronic devices (such as inverters for renewable energy generation systems and electric vehicle charging stations) and the voltage fluctuations and flickering caused by the intermittency and uncertainty of renewable energy generation, which may affect the normal operation of electrical equipment. To address these challenges, this study proposes an optimization model aimed at minimizing network losses and voltage deviations, utilizing traditional capacitor adjustments and static var compensators (SVCs) as optimization measures. Furthermore, this study introduces an improved version of the multi-objective particle swarm optimization (MOPSO) algorithm, specifically enhanced to address the unique challenges of reactive power optimization in modern distribution networks. The test results show that this algorithm can effectively generate a large number of Pareto optimal solutions. The application of this algorithm on a 33-node network case study demonstrates its advantages in reactive power optimization. The optimization results highlight the effectiveness and feasibility of the proposed improved algorithm in the application of distribution network reactive power optimization, offering users a uniform and diverse range of reactive compensation solutions. Full article
(This article belongs to the Special Issue Energy Management and Optimization for New Power Systems)
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23 pages, 2587 KiB  
Review
Hepatocellular Carcinoma and the Multifaceted Relationship with Its Microenvironment: Attacking the Hepatocellular Carcinoma Defensive Fortress
by Linda Galasso, Lucia Cerrito, Valeria Maccauro, Fabrizio Termite, Maria Elena Ainora, Antonio Gasbarrini and Maria Assunta Zocco
Cancers 2024, 16(10), 1837; https://doi.org/10.3390/cancers16101837 (registering DOI) - 11 May 2024
Abstract
Hepatocellular carcinoma is a malignant tumor that originates from hepatocytes in an inflammatory substrate due to different degrees of liver fibrosis up to cirrhosis. In recent years, there has been growing interest in the role played by the complex interrelationship between hepatocellular carcinoma [...] Read more.
Hepatocellular carcinoma is a malignant tumor that originates from hepatocytes in an inflammatory substrate due to different degrees of liver fibrosis up to cirrhosis. In recent years, there has been growing interest in the role played by the complex interrelationship between hepatocellular carcinoma and its microenvironment, capable of influencing tumourigenesis, neoplastic growth, and its progression or even inhibition. The microenvironment is made up of an intricate network of mesenchymal cells, immune system cells, extracellular matrix, and growth factors, as well as proinflammatory cytokines and translocated bacterial products coming from the intestinal microenvironment via the enterohepatic circulation. The aim of this paper is to review the role of the HCC microenvironment and describe the possible implications in the choice of the most appropriate therapeutic scheme in the prediction of tumor response or resistance to currently applied treatments and in the possible development of future therapeutic perspectives, in order to circumvent resistance and break down the tumor’s defensive fort. Full article
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15 pages, 1301 KiB  
Article
Perspectives for Photochemical Leaching Processes of Chalcopyrite: A Solar Radical-Leaching Process
by Orlando Yepsen, Lorena Cornejo-Ponce and Rodrigo Yepsen
Mining 2024, 4(2), 352-366; https://doi.org/10.3390/mining4020020 (registering DOI) - 11 May 2024
Abstract
This paper review presents a comparison between conventional leaching and advanced photochemical leaching processes and their potential for use in chalcopyrite leaching. Likewise, it presents an analysis of the differences between the advanced leaching processes, photoleaching and radical-leaching, indicating that the photochemical mechanisms [...] Read more.
This paper review presents a comparison between conventional leaching and advanced photochemical leaching processes and their potential for use in chalcopyrite leaching. Likewise, it presents an analysis of the differences between the advanced leaching processes, photoleaching and radical-leaching, indicating that the photochemical mechanisms (photooxidation/photoreduction and generation of radical oxygen species (ROS) and radical sulfur species (RSS)) would improve the oxidative dissolution of chalcopyrite, taking advantage of the high oxidizing power of free radicals. Initial experimental results of solar-assisted radical-leaching on chalcopyrite are presented, demonstrating that sulfate radicals (SO4) allow copper to be leached at a rate 4.7 times higher than in the absence of radicals and sunlight. With these results, a radical-leaching process is presented for the first time, with a perspective toward the future development of a new hydrometallurgical route: solar-assisted radical-leaching. Full article
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15 pages, 415 KiB  
Systematic Review
Systematic Review: HIV, Aging, and Housing—A North American Perspective, 2012–2023
by Arthur S. Chaminuka, Gayle Prybutok, Victor R. Prybutok and William D. Senn
Healthcare 2024, 12(10), 992; https://doi.org/10.3390/healthcare12100992 (registering DOI) - 11 May 2024
Abstract
Advances in anti-retroviral therapy (ART) have decreased mortality rates and subsequently led to a rise in the number of HIV-positive people living longer. The housing experiences of this new population of interest—older adults (50 years and older) living with HIV—are under-researched. Understanding the [...] Read more.
Advances in anti-retroviral therapy (ART) have decreased mortality rates and subsequently led to a rise in the number of HIV-positive people living longer. The housing experiences of this new population of interest—older adults (50 years and older) living with HIV—are under-researched. Understanding the housing experiences and unmet needs of older people with HIV can better provide comprehensive care services for them. This study’s systematic review evaluated the peer-reviewed literature reporting housing access/insecurity/assistance/options, housing impact, and unmet needs of older individuals living with HIV in North America from 2012 to 2023. Furthermore, Latent Semantic Analysis (LSA), a text-mining technique, and Singular Value Decomposition (SVD) for text clustering were utilized to examine unstructured data from the abstracts selected from the review. The goal was to allow for a better understanding of the relationships between terms in the articles and the identification of emerging public health key themes affecting older adults living with HIV. The results of text clustering yielded two clusters focusing on (1) improvements to housing and healthcare services access and policies and (2) unmet needs—social support, mental health, finance, food, and sexuality insecurities. Topic modeling demonstrated four topics, which we themed to represent (1) a holistic care approach; (2) insecurities—food, financial, sexuality, and other basic needs; (3) access to housing and treatment/care; and (4) homelessness and HIV-related health outcomes. Stable housing, food, and healthcare services access and availability are critical elements to incorporating comprehensive, holistic healthcare for older adults living with HIV. The aging population requires high-priority policies for accessible and equitable healthcare. Clinicians and policymakers should address individual barriers, adopt a patient-centered approach, increase doctor visits, provide competency training, ensure long-term follow-up, involve families, and improve patient education in care management, contributing to HIV/AIDS geriatric care models. Full article
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26 pages, 5320 KiB  
Review
Systems for Targeted Silencing of Gene Expression and Their Application in Plants and Animals
by Daria M. Motorina, Yuliya A. Galimova, Nadezhda V. Battulina and Evgeniya S. Omelina
Int. J. Mol. Sci. 2024, 25(10), 5231; https://doi.org/10.3390/ijms25105231 (registering DOI) - 11 May 2024
Abstract
At present, there are a variety of different approaches to the targeted regulation of gene expression. However, most approaches are devoted to the activation of gene transcription, and the methods for gene silencing are much fewer in number. In this review, we describe [...] Read more.
At present, there are a variety of different approaches to the targeted regulation of gene expression. However, most approaches are devoted to the activation of gene transcription, and the methods for gene silencing are much fewer in number. In this review, we describe the main systems used for the targeted suppression of gene expression (including RNA interference (RNAi), chimeric transcription factors, chimeric zinc finger proteins, transcription activator-like effectors (TALEs)-based repressors, optogenetic tools, and CRISPR/Cas-based repressors) and their application in eukaryotes—plants and animals. We consider the advantages and disadvantages of each approach, compare their effectiveness, and discuss the peculiarities of their usage in plant and animal organisms. This review will be useful for researchers in the field of gene transcription suppression and will allow them to choose the optimal method for suppressing the expression of the gene of interest depending on the research object. Full article
(This article belongs to the Special Issue Modulation of Transcription: Imag(in)ing a Fundamental Mechanism)
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12 pages, 537 KiB  
Article
Osteosarcoma Arising as a Secondary Malignancy following Treatment for Hematologic Cancer: A Report of 33 Affected Patients from the Cooperative Osteosarcoma Study Group (COSS)
by Stefan S. Bielack, Vanessa Mettmann, Daniel Baumhoer, Claudia Blattmann, Birgit Burkhardt, Christoph K. W. Deinzer, Leo Kager, Matthias Kevric, Christine Mauz-Körholz, Peter Müller-Abt, Dirk Reinhardt, Alexandru-Anton Sabo, Martin Schrappe, Benjamin Sorg, Reinhard Windhager and Stefanie Hecker-Nolting
Cancers 2024, 16(10), 1836; https://doi.org/10.3390/cancers16101836 (registering DOI) - 11 May 2024
Abstract
Purpose: Osteosarcoma may arise as a secondary cancer following leukemias or lymphomas. We intended to increase the knowledge about such rare events. Patients and methods: We searched the Cooperative Osteosarcoma Study Group’s database for individuals who developed their osteosarcoma following a previous hematological [...] Read more.
Purpose: Osteosarcoma may arise as a secondary cancer following leukemias or lymphomas. We intended to increase the knowledge about such rare events. Patients and methods: We searched the Cooperative Osteosarcoma Study Group’s database for individuals who developed their osteosarcoma following a previous hematological malignancy. The presentation and treatment of both malignancies was investigated, and additional neoplasms were noted. Outcomes after osteosarcoma were analyzed and potential prognostic factors were searched for. Results: A total of 33 eligible patients were identified (male: 23, female: 10; median age: 12.9 years at diagnosis of hematological cancer; 20 lymphomas, 13 leukemias). A cancer predisposition syndrome was evident in one patient only. The hematological cancers had been treated by radiotherapy in 28 (1 unknown) and chemotherapy in 26 cases, including bone-marrow transplantation in 9. The secondary bone sarcomas (high-grade central 27, periosteal 2, extra-osseous 2, undifferentiated pleomorphic sarcoma of bone 2) arose after a median lag-time of 9.4 years, when patients were a median of 19.1 years old. Tumors were considered radiation-related in 26 cases (1 unknown). Osteosarcoma-sites were in the extremities (19), trunk (12), or head and neck (2). Metastases at diagnosis affected eight patients. Information on osteosarcoma therapy was available for 31 cases. All of these received chemotherapy. Local therapy involved surgery in 27 patients, with a good response reported for 9/18 eligible patients. Local radiotherapy was given to three patients. The median follow-up was 3.9 (0.3–12.0) years after bone tumor diagnosis. During this period, 21 patients had developed events as defined, and 15 had died, resulting in 5-year event-free and overall survival rates of 40% (standard error: 9%) and 56% (10%), respectively. There were multiple instances of additional neoplasms. Several factors were found to be of prognostic value (p < 0.05) for event-free (osteosarcoma site in the extremities) or overall (achievement of a surgical osteosarcoma-remission, receiving chemotherapy for the hematologic malignancy) survival. Conclusions: We were able to prove radiation therapy for hematological malignancies to be the predominant risk factor for later osteosarcomas. A resulting overrepresentation of axial and a tendency towards additional neoplasms affects prognosis. Still, selected patients may become long-term survivors with appropriate therapies, which is an argument against therapeutic negligence. Full article
(This article belongs to the Special Issue Multimodality Management of Sarcomas)
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4 pages, 190 KiB  
Editorial
Nutritional Value of Meat and Meat Products and Their Role in Human Health
by Joanna Stadnik
Nutrients 2024, 16(10), 1446; https://doi.org/10.3390/nu16101446 (registering DOI) - 11 May 2024
Abstract
Meat and meat products are among the most nutrient-dense food sources in the human diet [...] Full article
17 pages, 8313 KiB  
Article
Migration Patterns and Potential Risk Assessment of Trace Elements in the Soil–Plant System in the Production Area of the Chinese Medicinal Herb Scrophularia ningpoensis Hemsl.
by Yufeng Gong, Wei Ren and Zhenming Zhang
Toxics 2024, 12(5), 355; https://doi.org/10.3390/toxics12050355 (registering DOI) - 11 May 2024
Abstract
Scrophularia ningpoensis Hemsl. holds a prominent place among Chinese medicinal herbs. Assessing the soil–plant system of its origin is crucial for ensuring medication safety. Although some trace elements are essential for the normal functioning of living organisms, exposure to higher concentrations is harmful [...] Read more.
Scrophularia ningpoensis Hemsl. holds a prominent place among Chinese medicinal herbs. Assessing the soil–plant system of its origin is crucial for ensuring medication safety. Although some trace elements are essential for the normal functioning of living organisms, exposure to higher concentrations is harmful to humans, so in order to assess the possible health risk of trace elements in the soil–plant system of Scrophularia ningpoensis Hemsl. origin for human assessment, we used non-carcinogenic risk (HI) and carcinogenic risk (CR) for their evaluation. In this paper, the following trace elements were studied in the soil–Scrophularia ningpoensis Hemsl. system: manganese (Mn), iron (Fe), cobalt (Co), zinc (Zn), selenium (Se), molybdenum (Mo), arsenic (As) and lead (Pb). Correlation and structural equation analyses showed that the effect of soil in the root zone on the plant was much greater than the effect of soil in the non-root zone on the plant. The single-factor pollution index (Pi) showed that the soil in the production area of Scrophularia ningpoensis Hemsl. was polluted to a certain extent, notably with Pb showing the highest average Pi values of 0.94 and 0.89 in the non-root and root zones, respectively. Additionally, the Nemerow composite pollution indices (PN) for both zones indicated an alert range. Regarding health risks, exposure to soil in the non-root zone posed higher non-carcinogenic risk (HI) and carcinogenic risk (CR) compared to the root zone, although neither zone presented a significant carcinogenic risk. The potential non-carcinogenic risk (HI) and carcinogenic risk (CR) from consuming Scrophularia ningpoensis Hemsl. leaves and stems were more than ten times higher than that of roots. However, the carcinogenic risk (CR) values for both the soil and plant of interest in the soil– Scrophularia ningpoensis Hemsl. system did not exceed 10−4, and therefore no significant carcinogenic risk existed. Full article
(This article belongs to the Topic Health Risk Assessment of the Trace and Macro Elements)
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13 pages, 1031 KiB  
Article
CA-125 KELIM as an Alternative Predictive Tool to Identify Which Patients Can Benefit from PARPi in High-Grade Serous Advanced Ovarian Cancer: A Retrospective Pilot Diagnostic Accuracy Study
by Dimitrios Zouzoulas, Dimitrios Tsolakidis, Panagiotis Tzitzis, Kimon Chatzistamatiou, Vasilis Theodoulidis, Iliana Sofianou, Grigoris Grimbizis and Eleni Timotheadou
Int. J. Mol. Sci. 2024, 25(10), 5230; https://doi.org/10.3390/ijms25105230 (registering DOI) - 11 May 2024
Abstract
BRCA mutation and homologous recombination deficiency (HRD) are the criteria for the administration of PARP inhibitor (PARPi) maintenance therapy. It is known that PARPi efficacy is related to platinum sensitivity and that the latter can be demonstrated from the CA-125 elimination rate constant [...] Read more.
BRCA mutation and homologous recombination deficiency (HRD) are the criteria for the administration of PARP inhibitor (PARPi) maintenance therapy. It is known that PARPi efficacy is related to platinum sensitivity and that the latter can be demonstrated from the CA-125 elimination rate constant (KELIM). This study aims to investigate if KELIM can be another tool in the identification of patients that could be benefit from PARPi therapy. Retrospective analysis of patients with high-grade serous advanced ovarian cancer that underwent cytoreduction and was further tested for HRD status. The HRD status was tested either by myChoice HRD CDx assay or by RediScore assay. KELIM score was measured in both neoadjuvant and adjuvant settings with the online tool biomarker-kinetics.org. A total of 39 patients had available data for estimating both HRD status and KELIM score. When assuming KELIM as a binary index test with the value 1 as the cut-off point, the sensitivity was 0.86, 95% CI (0.64–0.97) and the specificity was 0.83, 95% CI (0.59–0.96). On the other hand, when assuming KELIM as a continuous index test, the area under the curve (AUC) was 81% and the optimal threshold, using the Youden index, was identified as 1.03 with a sensitivity of 85.7% and a specificity of 83.3%. KELIM score seems to be a new, cheaper, and faster tool to identify patients that can benefit from PARPi maintenance therapy. Full article
(This article belongs to the Special Issue Advances in Gynecological Cancers 2.0)
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16 pages, 8072 KiB  
Article
A Sheet-Shaped Transforming Robot That Can Be Thrown from the Air
by Naoki Iida and Mitsuharu Matsumoto
Biomimetics 2024, 9(5), 287; https://doi.org/10.3390/biomimetics9050287 (registering DOI) - 11 May 2024
Abstract
In this paper, we describe a sheet-shaped throwable transforming robot. Sheet-type robots can change their shape to perform tasks according to the situation. Therefore, they are expected to be useful in places with many restrictions, such as disaster sites. However, most of them [...] Read more.
In this paper, we describe a sheet-shaped throwable transforming robot. Sheet-type robots can change their shape to perform tasks according to the situation. Therefore, they are expected to be useful in places with many restrictions, such as disaster sites. However, most of them can only move slowly on the ground. Therefore, in order to actually deliver the robot to the disaster site, it must be carried manually. To solve this problem, we are developing a sheet-shaped robot that can be thrown from the sky. Previously developed prototypes could only move in the forward direction, and the transition from falling to walking was complicated and uncertain. In this paper, we report on a new prototype that improves on these shortcomings. Full article
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16 pages, 6773 KiB  
Article
Quantitative Relationship of Plant Height and Leaf Area Index of Spring Maize under Different Water and Nitrogen Treatments Based on Effective Accumulated Temperature
by Tingrui Yang, Jinghua Zhao and Qiuping Fu
Agronomy 2024, 14(5), 1018; https://doi.org/10.3390/agronomy14051018 (registering DOI) - 11 May 2024
Abstract
To optimize the growth management of spring maize, it is essential to understand the dynamics of plant height and leaf area index (LAI) under controlled water and nitrogen supply. This study conducted two-year field experiments (2022–2023) in Karamay, Xinjiang. Three irrigation levels (75%, [...] Read more.
To optimize the growth management of spring maize, it is essential to understand the dynamics of plant height and leaf area index (LAI) under controlled water and nitrogen supply. This study conducted two-year field experiments (2022–2023) in Karamay, Xinjiang. Three irrigation levels (75%, 100%, and 125% of Crop Evapotranspiration (ETc)) and four nitrogen application rates (0, 93, 186, and 279 kg N/ha) were set. A logistic growth model was fitted using accumulated effective temperature as the independent variable to analyze the growth and development characteristics of spring maize under various water and nitrogen conditions. The results demonstrated that the logistic models, based on relative effective accumulated temperature, had a determination coefficient (R2) of over 0.99 and a Normalized Root Mean Square Error (NRMSE) of less than 10%. Irrigation extended the rapid growth phase of plant height, whereas nitrogen application shortened the time to enter this rapid growth phase and prolonged its duration. Irrigation increased the maximum LAI growth rate and shortened and prolonged the rapid growth phase, while nitrogen extended the duration of the rapid growth phase for LAI. The W2N2 treatment, consisting of 100% ETc irrigation and 186 kg N/ha, was identified as the optimal drip irrigation water–nitrogen combination for spring maize in the study area. Under optimal water and nitrogen supply, both the maximum growth rate and the average growth rate during the rapid growth phase were higher, requiring accumulated effective temperatures of 825.16–845.74 °C·d and 856.68–890.00 °C·d, respectively, to reach these rates. The appropriate water and nitrogen supply significantly enhanced the synergistic promotion of growth and development in spring maize. This study provides a theoretical basis for the quantitative analysis of growth dynamics in summer maize using effective accumulated temperature. Full article
(This article belongs to the Section Water Use and Irrigation)
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19 pages, 2164 KiB  
Article
Value-Based Health Care for Prostate Cancer Centers by Implementing Specific Key Performance Indicators Using a Balanced Score Card
by Jan Philipp Radtke, Peter Albers, Boris A. Hadaschik, Markus Graefen, Christian P. Meyer, Björn Behr and Stephan Nüesch
Healthcare 2024, 12(10), 991; https://doi.org/10.3390/healthcare12100991 (registering DOI) - 11 May 2024
Abstract
Background: Prostate cancer (PC) is the most common cancer in men in 112 countries, and accounts for 15% of cancers. Because it cannot be prevented, the rise in cases is inevitable, and improvements in diagnostic pathways and treatments are needed, as there is [...] Read more.
Background: Prostate cancer (PC) is the most common cancer in men in 112 countries, and accounts for 15% of cancers. Because it cannot be prevented, the rise in cases is inevitable, and improvements in diagnostic pathways and treatments are needed, as there is still a shortage of cost-effective diagnostics and widespread oncologically safe treatment options with measurable quality. As part of the implementation of a Full Cycle of Care, instruments have been developed to achieve value-based medicine, such as consistent commitment to measurability. One of these instruments is the Balanced Scorecard (BSC). Here, we propose the first BSC for prostate cancer (PC) treatment. Methods: BSCs are used to assess performance in healthcare organizations across four dimensions: financial, patient and referrer, process, and learning and development. This study aimed to identify Key Performance Indicators (KPIs) for each perspective. A systematic literature search was conducted according to PRISMA guidelines using multiple databases and specific search terms to identify KPIs for PC care, excluding case reports and conference abstracts. In total, 44 reports were included in analyses and development of the PC-specific BSC. Results: In the present study, a PC-specific BSC and KPIs were defined for the four classic perspectives, as well as for a newly developed PC-Specific Disease and Outcome perspective, including patient-related parameters from the German Cancer Society and the International Consortium for Health Outcomes Measurement. In addition, the Process perspective includes KPIs of fulfillment of continuing education of residents and the metrics of structured training of the radical prostatectomy procedure in the Learning and Development perspective. Conclusions: The developed BSC provides a comprehensive set of perspectives for an Integrated Practice Unit or center in PC care, ensuring that the indicators remain manageable and applicable. The BSC facilitates value creation in line with Porter’s Full Cycle of Care by systematically collecting and providing economic, personnel, and medical results, actions, and indicators. In particular, this BSC includes KPIs of structured training of practitioners and metrics of the German Cancer Society, that recently proved to improve PC patients outcomes. Full article
(This article belongs to the Section Health Assessments)
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13 pages, 5642 KiB  
Article
Risk of Atrial Fibrillation in Patients with Different Cancer Types in Taiwan
by Kuang-Ming Liao, Chia-Hung Yu, Yu-Cih Wu, Jhi-Joung Wang, Fu-Wen Liang and Chung-Han Ho
Life 2024, 14(5), 621; https://doi.org/10.3390/life14050621 (registering DOI) - 11 May 2024
Abstract
Atrial fibrillation (AF) commonly occurs in approximately 2% of cancer patients, and the incidence of AF among cancer patients is greater than in the general population. This observational study presented the incidence risk of AF among cancer patients, including specific cancer types, using [...] Read more.
Atrial fibrillation (AF) commonly occurs in approximately 2% of cancer patients, and the incidence of AF among cancer patients is greater than in the general population. This observational study presented the incidence risk of AF among cancer patients, including specific cancer types, using a population database. The Taiwan Cancer Registry was used to identify cancer patients between 2008 and 2017. The diagnosis of AF was based on the International Classification of Diseases codes (ICD-9-CM: 427.31 or ICD-10-CM: I48.0, I48.1, I48.2, and I48.91) in Taiwan national health insurance research datasets. The incidence of developing AF in the cancer population was calculated as the number of new-onset AF cases per person-year of follow-up during the study period. The overall incidence of AF among cancer patients was 50.99 per 100,000 person-years. Patients aged older than 65 years and males had higher AF incidence rates. Lung cancer males and esophageal cancer females showed the highest AF incidence risk (185.02 and 150.30 per 100,000 person-years, respectively). Our findings identified esophageal, lung, and gallbladder cancers as the top three cancers associated with a higher incidence of AF. Careful monitoring and management of patients with these cancers are crucial for early detection and intervention of AF. Full article
(This article belongs to the Section Epidemiology)
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24 pages, 7830 KiB  
Article
Novel Learning of Bathymetry from Landsat 9 Imagery Using Machine Learning, Feature Extraction and Meta-Heuristic Optimization in a Shallow Turbid Lagoon
by Hang Thi Thuy Tran, Quang Hao Nguyen, Ty Huu Pham, Giang Thi Huong Ngo, Nho Tran Dinh Pham, Tung Gia Pham, Chau Thi Minh Tran and Thang Nam Ha
Geosciences 2024, 14(5), 130; https://doi.org/10.3390/geosciences14050130 (registering DOI) - 11 May 2024
Abstract
Bathymetry data is indispensable for a variety of aquatic field studies and benthic resource inventories. Determining water depth can be accomplished through an echo sounding system or remote estimation utilizing space-borne and air-borne data across diverse environments, such as lakes, rivers, seas, or [...] Read more.
Bathymetry data is indispensable for a variety of aquatic field studies and benthic resource inventories. Determining water depth can be accomplished through an echo sounding system or remote estimation utilizing space-borne and air-borne data across diverse environments, such as lakes, rivers, seas, or lagoons. Despite being a common option for bathymetry mapping, the use of satellite imagery faces challenges due to the complex inherent optical properties of water bodies (e.g., turbid water), satellite spatial resolution limitations, and constraints in the performance of retrieval models. This study focuses on advancing the remote sensing based method by harnessing the non-linear learning capabilities of the machine learning (ML) model, employing advanced feature selection through a meta-heuristic algorithm, and using image extraction techniques (i.e., band ratio, gray scale morphological operation, and morphological multi-scale decomposition). Herein, we validate the predictive capabilities of six ML models: Random Forest (RF), Support Vector Machine (SVM), CatBoost (CB), Extreme Gradient Boost (XGB), Light Gradient Boosting Machine (LGBM), and KTBoost (KTB) models, both with and without the application of meta-heuristic optimization (i.e., Dragon Fly, Particle Swarm Optimization, and Grey Wolf Optimization), to accurately ascertain water depth. This is achieved using a diverse input dataset derived from multi-spectral Landsat 9 imagery captured on a cloud-free day (19 September 2023) in a shallow, turbid lagoon. Our findings indicate the superior performance of LGBM coupled with Particle Swamp Optimization (R2 = 0.908, RMSE = 0.31 m), affirming the consistency and reliability of the feature extraction and selection-based framework, while offering novel insights into the expansion of bathymetric mapping in complex aquatic environments. Full article
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8 pages, 2052 KiB  
Brief Report
Parkinson’s Kinetigraph for Wearable Sensor Detection of Clinically Unrecognized Early-Morning Akinesia in Parkinson’s Disease: A Case Report-Based Observation
by Karolina Poplawska-Domaszewicz, Naomi Limbachiya, Yue Hui Lau and Kallol Ray Chaudhuri
Sensors 2024, 24(10), 3045; https://doi.org/10.3390/s24103045 (registering DOI) - 11 May 2024
Abstract
Early-morning off periods, causing early-morning akinesia, can lead to significant motor and nonmotor morbidity in levodopa-treated fluctuating Parkinson’s disease (PD) cases. Despite validated bedside scales in clinical practice, such early-morning off periods may remain undetected unless specific wearable technologies, such as the Parkinson’s [...] Read more.
Early-morning off periods, causing early-morning akinesia, can lead to significant motor and nonmotor morbidity in levodopa-treated fluctuating Parkinson’s disease (PD) cases. Despite validated bedside scales in clinical practice, such early-morning off periods may remain undetected unless specific wearable technologies, such as the Parkinson’s KinetiGraph™ (PKG) watch, are used. We report five PD cases for whom the PKG detected early-morning off periods that were initially clinically undetected and as such, untreated. These five cases serve as exemplars of this clinical gap in care. Post-PKG assessment, clinicians were alerted and targeted therapies helped abolish the early-morning off periods. Full article
(This article belongs to the Section Biomedical Sensors)
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20 pages, 10466 KiB  
Article
Manufacturing of TiO2, Al2O3 and Y2O3 Ceramic Nanotubes for Application as Electrodes for Printable Electrochemical Sensors
by Alexandru Florentin Trandabat, Romeo Cristian Ciobanu, Oliver Daniel Schreiner, Mihaela Aradoaei and Sebastian Teodor Aradoaei
Crystals 2024, 14(5), 454; https://doi.org/10.3390/cryst14050454 (registering DOI) - 11 May 2024
Abstract
This paper describes the process to obtain ceramic nanotubes from titanium dioxide, alumina and yttrium oxide by a feasible, replicable and reliable technology, including three stages, starting from an electrospinning process of poly(methyl methacrylate) solutions. A minimum diameter of 0.3 μm was considered [...] Read more.
This paper describes the process to obtain ceramic nanotubes from titanium dioxide, alumina and yttrium oxide by a feasible, replicable and reliable technology, including three stages, starting from an electrospinning process of poly(methyl methacrylate) solutions. A minimum diameter of 0.3 μm was considered optimal for PMMA nanofibers in order to maintain the structural stability of covered fibers, which, after ceramic film deposition, leads to a fiber diameter of 0.5–0.6 μm. After a chemical and physical analysis of the stages of obtaining ceramic nanotubes, in all cases, uniform deposition of a ceramic film on PMMA fibers and, finally, a uniform structure of ceramic nanotubes were noted. The technological purpose was to use such nanotubes as ingredients in screen-printing inks for electrochemical sensors, because no study directly targeted the subject of ceramic nanotube applications for printed electronics to date. The printing technology was analyzed in terms of the ink deposition process, printed electrode roughness vs. type of ceramic nanotubes, derived inks, thermal curing of the electrodes and the conductivity of electrodes on different support (rigid and flexible) at different curing temperatures. The experimental inks containing ceramic nanotubes can be considered feasible for printed electronics, because they offer fast curing at low temperatures, reasonable conductivity vs. electrode length, good printability on both ceramic or plastic (flexible) supports and good adhesion to surface after curing. Full article
(This article belongs to the Special Issue Metal Oxide Thin Films, Nanomaterials and Nanostructures)
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18 pages, 63940 KiB  
Article
Tomographic Background-Oriented Schlieren for Axisymmetric and Weakly Non-Axisymmetric Supersonic Jets
by Tong Jia, Jiawei Li, Jie Wu and Yuan Xiong
Symmetry 2024, 16(5), 596; https://doi.org/10.3390/sym16050596 (registering DOI) - 11 May 2024
Abstract
The Schlieren technique is widely adopted for visualizing supersonic jets owing to its non-invasiveness to the flow field. However, extending the classical Schlieren method for quantitative refractive index measurements is cumbersome, especially for three-dimensional supersonic flows. Background-oriented Schlieren has gained increasing popularity owing [...] Read more.
The Schlieren technique is widely adopted for visualizing supersonic jets owing to its non-invasiveness to the flow field. However, extending the classical Schlieren method for quantitative refractive index measurements is cumbersome, especially for three-dimensional supersonic flows. Background-oriented Schlieren has gained increasing popularity owing to its ease of implementation and calibration. This study utilizes multi-view-based tomographic background-oriented Schlieren (TBOS) to reconstruct axisymmetric and weakly non-axisymmetric supersonic jets, highlighting the impact of flow axisymmetry breaking on TBOS reconstructions. Several classical TBOS reconstruction algorithms, including FDK, SART, SIRT, and CGLS, are compared quantitatively regarding reconstruction quality. View spareness is identified to be the main cause of degraded reconstruction quality when the flow experiences axisymmetry breaking. The classic visual hull approach is explored to improve reconstruction quality. Together with the CGLS tomographic algorithm, we successfully reconstruct the weakly non-axisymmetric supersonic jet structures and confirm that increasing the nozzle bevel angle leads to wider jet spreads. Full article
(This article belongs to the Special Issue Applications Based on Symmetry/Asymmetry in Fluid Mechanics)
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8 pages, 832 KiB  
Article
Clinical Results of the MINIject Implant for Suprachoroidal Drainage
by Timothy Gläser, Daniel Böhringer, Charlotte Evers, Philip Keye, Thomas Reinhard and Jan Lübke
J. Clin. Med. 2024, 13(10), 2831; https://doi.org/10.3390/jcm13102831 (registering DOI) - 11 May 2024
Abstract
Objective: This retrospective study evaluated the safety and efficacy of the new minimally invasive MINIject implant placed in the suprachoroidal space. The aim was to assess its impact on intraocular pressure (IOP) reduction and complication rate. Methods: 18 eyes from 18 patients with [...] Read more.
Objective: This retrospective study evaluated the safety and efficacy of the new minimally invasive MINIject implant placed in the suprachoroidal space. The aim was to assess its impact on intraocular pressure (IOP) reduction and complication rate. Methods: 18 eyes from 18 patients with insufficiently controlled glaucoma received the implant using topical medications. Outcomes were changes in IOP, change in IOP medication, need for other glaucoma surgery, and rate of adverse events. Results: IOP reduced by 15% (p < 0.05) following MINIject implantation. IOP medication decreased from 3 to 1 agent (p < 0.05). Four patients (22%) required other glaucoma surgery while we did not observe any clinically relevant adverse event. Conclusions: This retrospective study indicates that MINIject implants may be a safe and effective means of reducing IOP together with a reduction in IOP medications in most patients. Larger prospective studies with longer follow-ups are necessary to confirm our results, though. Full article
(This article belongs to the Special Issue Advances in Glaucoma Surgery: 2nd Edition)
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20 pages, 5668 KiB  
Article
Beyond Frequency Bands: Complementary-Ensemble-Empirical-Mode-Decomposition-Enhanced Microstate Sequence Non-Randomness Analysis for Aiding Diagnosis and Cognitive Prediction of Dementia
by Wang Wan, Zhongze Gu, Chung-Kang Peng and Xingran Cui
Brain Sci. 2024, 14(5), 487; https://doi.org/10.3390/brainsci14050487 (registering DOI) - 11 May 2024
Abstract
Exploring the spatiotemporal dynamic patterns of multi-channel electroencephalography (EEG) is crucial for interpreting dementia and related cognitive decline. Spatiotemporal patterns of EEG can be described through microstate analysis, which provides a discrete approximation of the continuous electric field patterns generated by the brain [...] Read more.
Exploring the spatiotemporal dynamic patterns of multi-channel electroencephalography (EEG) is crucial for interpreting dementia and related cognitive decline. Spatiotemporal patterns of EEG can be described through microstate analysis, which provides a discrete approximation of the continuous electric field patterns generated by the brain cortex. Here, we propose a novel microstate spatiotemporal dynamic indicator, termed the microstate sequence non-randomness index (MSNRI). The essence of the method lies in initially generating a sequence of microstate transition patterns through state space compression of EEG data using microstate analysis. Following this, we assess the non-randomness of these microstate patterns using information-based similarity analysis. The results suggest that this MSNRI metric is a potential marker for distinguishing between health control (HC) and frontotemporal dementia (FTD) (HC vs. FTD: 6.958 vs. 5.756, p < 0.01), as well as between HC and populations with Alzheimer’s disease (AD) (HC vs. AD: 6.958 vs. 5.462, p < 0.001). Healthy individuals exhibit more complex macroscopic structures and non-random spatiotemporal patterns of microstates, whereas dementia disorders lead to more random spatiotemporal patterns. Additionally, we extend the proposed method by integrating the Complementary Ensemble Empirical Mode Decomposition (CEEMD) method to explore spatiotemporal dynamic patterns of microstates at specific frequency scales. Moreover, we assessed the effectiveness of this innovative method in predicting cognitive scores. The results demonstrate that the incorporation of CEEMD-enhanced microstate dynamic indicators significantly improved the prediction accuracy of Mini-Mental State Examination (MMSE) scores (R2 = 0.940). The CEEMD-enhanced MSNRI method not only aids in the exploration of large-scale neural changes in populations with dementia but also offers a robust tool for characterizing the dynamics of EEG microstate transitions and their impact on cognitive function. Full article
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