The 2023 MDPI Annual Report has
been released!
 
16 pages, 615 KiB  
Review
Targeting the Multiple Complex Processes of Hypoxia-Ischemia to Achieve Neuroprotection
by Auriane Maïza, Rifat Hamoudi and Aloïse Mabondzo
Int. J. Mol. Sci. 2024, 25(10), 5449; https://doi.org/10.3390/ijms25105449 (registering DOI) - 17 May 2024
Abstract
Hypoxic-ischemic encephalopathy (HIE) is a major cause of newborn brain damage stemming from a lack of oxygenated blood flow in the neonatal period. Twenty-five to fifty percent of asphyxiated infants who develop HIE die in the neonatal period, and about sixty percent of [...] Read more.
Hypoxic-ischemic encephalopathy (HIE) is a major cause of newborn brain damage stemming from a lack of oxygenated blood flow in the neonatal period. Twenty-five to fifty percent of asphyxiated infants who develop HIE die in the neonatal period, and about sixty percent of survivors develop long-term neurological disabilities. From the first minutes to months after the injury, a cascade of events occurs, leading to blood-brain barrier (BBB) opening, neuronal death and inflammation. To date, the only approach proposed in some cases is therapeutic hypothermia (TH). Unfortunately, TH is only partially protective and is not applicable to all neonates. This review synthesizes current knowledge on the basic molecular mechanisms of brain damage in hypoxia-ischemia (HI) and on the different therapeutic strategies in HI that have been used and explores a major limitation of unsuccessful therapeutic approaches. Full article
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9 pages, 4675 KiB  
Communication
The Braconid Syntretomorpha szaboi Papp Is Posing a Great Threat to the Eastern Honeybee, Apis cerana
by Yanling Xie, Xiaoling Su, Ruike Wei, Lianfei Cao and Huoqing Zheng
Pathogens 2024, 13(5), 422; https://doi.org/10.3390/pathogens13050422 (registering DOI) - 17 May 2024
Abstract
The expansion of pathogen distribution may result in a new threat to the host. The braconid Syntretomorpha szaboi Papp is an obligate parasite that targets Apis cerana, the Eastern honeybee, engaging in endoparasitism by ovipositing eggs inside the host bee. Although S. [...] Read more.
The expansion of pathogen distribution may result in a new threat to the host. The braconid Syntretomorpha szaboi Papp is an obligate parasite that targets Apis cerana, the Eastern honeybee, engaging in endoparasitism by ovipositing eggs inside the host bee. Although S. szaboi has been documented in India and in various regions across China, its epidemiological data are notably lacking. In this study, we summarized the distribution of S. szaboi based on the available literature and described the symptoms of infested honeybee workers. We also investigated the infestation rate in 36 apiaries in Zhejiang Province, China, after a new occurrence of the parasite was reported in these regions in 2020. A rapid increase in infestation rate was found from the year 2021 to 2022, reaching 53.88% at the colony level of the sampled colonies in the Jinhua and Wenzhou apiaries. The infestation rate at an individual level in positive colonies reached an average of 26%. A monthly survey showed high seasonal variation in S. szaboi infestation, with the peak occurring from May to August. These results suggest that S. szaboi poses a great threat to A. cerana. Further research is needed to elucidate its epidemiology and pathology and to develop disease prevention and control strategies. Full article
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11 pages, 1233 KiB  
Article
Imaging-Based Deep Learning for Predicting Desmoid Tumor Progression
by Rabih Fares, Lilian D. Atlan, Ido Druckmann, Shai Factor, Yair Gortzak, Ortal Segal, Moran Artzi and Amir Sternheim
J. Imaging 2024, 10(5), 122; https://doi.org/10.3390/jimaging10050122 (registering DOI) - 17 May 2024
Abstract
Desmoid tumors (DTs) are non-metastasizing and locally aggressive soft-tissue mesenchymal neoplasms. Those that become enlarged often become locally invasive and cause significant morbidity. DTs have a varied pattern of clinical presentation, with up to 50–60% not growing after diagnosis and 20–30% shrinking or [...] Read more.
Desmoid tumors (DTs) are non-metastasizing and locally aggressive soft-tissue mesenchymal neoplasms. Those that become enlarged often become locally invasive and cause significant morbidity. DTs have a varied pattern of clinical presentation, with up to 50–60% not growing after diagnosis and 20–30% shrinking or even disappearing after initial progression. Enlarging tumors are considered unstable and progressive. The management of symptomatic and enlarging DTs is challenging, and primarily consists of chemotherapy. Despite wide surgical resection, DTs carry a rate of local recurrence as high as 50%. There is a consensus that contrast-enhanced magnetic resonance imaging (MRI) or, alternatively, computerized tomography (CT) is the preferred modality for monitoring DTs. Each uses Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1), which measures the largest diameter on axial, sagittal, or coronal series. This approach, however, reportedly lacks accuracy in detecting response to therapy and fails to detect tumor progression, thus calling for more sophisticated methods. The objective of this study was to detect unique features identified by deep learning that correlate with the future clinical course of the disease. Between 2006 and 2019, 51 patients (mean age 41.22 ± 15.5 years) who had a tissue diagnosis of DT were included in this retrospective single-center study. Each had undergone at least three MRI examinations (including a pretreatment baseline study), and each was followed by orthopedic oncology specialists for a median of 38.83 months (IQR 44.38). Tumor segmentations were performed on a T2 fat-suppressed treatment-naive MRI sequence, after which the segmented lesion was extracted to a three-dimensional file together with its DICOM file and run through deep learning software. The results of the algorithm were then compared to clinical data collected from the patients’ medical files. There were 28 males (13 stable) and 23 females (15 stable) whose ages ranged from 19.07 to 83.33 years. The model was able to independently predict clinical progression as measured from the baseline MRI with an overall accuracy of 93% (93 ± 0.04) and ROC of 0.89 ± 0.08. Artificial intelligence may contribute to risk stratification and clinical decision-making in patients with DT by predicting which patients are likely to progress. Full article
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13 pages, 3259 KiB  
Article
The Association between Salivary Metabolites and Gingival Bleeding Score in Healthy Subjects: A Pilot Study
by Rita Antonelli, Elena Ferrari, Mariana Gallo, Tecla Ciociola, Elena Calciolari, Alberto Spisni, Marco Meleti and Thelma A. Pertinhez
Int. J. Mol. Sci. 2024, 25(10), 5448; https://doi.org/10.3390/ijms25105448 (registering DOI) - 17 May 2024
Abstract
Periodontal diseases, including gingivitis and periodontitis, are among the most prevalent diseases in humans. Gingivitis is the mildest form of periodontal disease, characterized by inflammation of the gingiva caused by the accumulation of dental plaque. Salivary diagnostics are becoming increasingly popular due to [...] Read more.
Periodontal diseases, including gingivitis and periodontitis, are among the most prevalent diseases in humans. Gingivitis is the mildest form of periodontal disease, characterized by inflammation of the gingiva caused by the accumulation of dental plaque. Salivary diagnostics are becoming increasingly popular due to the variation in saliva composition in response to pathological processes. We used a metabolomics approach to investigate whether a specific saliva metabolic composition could indicate preclinical stage of gingivitis. 1H-NMR spectroscopy was used to obtain the salivary metabolite profiles of 20 healthy subjects. Univariate/multivariate statistical analysis evaluated the whole saliva metabolite composition, and the Full-Mouth Bleeding Score (FMBS) was employed as a classification parameter. Identifying a signature of specific salivary metabolites could distinguish the subjects with high FMBS scores but still within the normal range. This set of metabolites may be due to the enzymatic activities of oral bacteria and be associated with the early stages of gingival inflammation. Although this analysis is to be considered exploratory, it seems feasible to establish an FMBS threshold that distinguishes between the absence and presence of early inflammatory alterations at the salivary level. Full article
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21 pages, 276 KiB  
Article
The Specificity of Fantasy and the “Affective Novum”: A Theory of a Core Subset of Fantasy Literature
by Geoff M. Boucher
Literature 2024, 4(2), 101-121; https://doi.org/10.3390/literature4020008 (registering DOI) - 17 May 2024
Abstract
This article proposes a new approach to the nature of a core set within fantasy fiction that regards it as a speculative literature of the exploration of subjectivity, one which at its limit conjectures fresh possibilities for the subjective world. To motivate acceptance [...] Read more.
This article proposes a new approach to the nature of a core set within fantasy fiction that regards it as a speculative literature of the exploration of subjectivity, one which at its limit conjectures fresh possibilities for the subjective world. To motivate acceptance of this proposed approach, I begin by surveying the existing state of debate in the critical field. I notice the emergence of widening agreement on the idea that fantasy is a literature of the impossible. I then develop the logical implications of this widening agreement in the critical field, arguing that it entails a representational definition of fantasy literature, which implies a modal approach to the core set that defines this literary order. I suggest that the marvellous mode, the kind of writing which represents the impossible, is a broad class that includes other speculative literatures, and that what differentiates these is the referential world within which the impossible happens. The aim here is to break up monolithic conceptions of the impossible, while pointing to a motivation for developing an understanding of the specificity of a core set of fantasy texts that proceeds by way of contrasts. After explaining why I am extremely skeptical about the definition of science fiction as a “literature of the possible”, I probe descriptions of the difference between fantasy and sci-fi. I propose that whereas some science fiction is a literature of conjectural objectivity, guided by the “cognitive novum”, a significant group of fantasy texts is a literature of speculative subjectivity, guided by an “affective novum”. Full article
(This article belongs to the Special Issue American Sci-Fi)
12 pages, 3712 KiB  
Article
Vegetation Changes and Dynamics of the Climate Variables in Southern Thailand over the Past 1500 Years
by Jian Wang, Lijuan Sha, Jin He, Xinnan Zhao, Rui Zhang, Baojun Yang and Hai Cheng
Minerals 2024, 14(5), 519; https://doi.org/10.3390/min14050519 (registering DOI) - 17 May 2024
Abstract
The Indo-Pacific, a vast biogeographic of Earth, is influenced by both the Indian and East Asian monsoons. Despite its geographical importance, this region has been less studied compared to East Asia and India. Here, we present speleothem records from southern Thailand that cover [...] Read more.
The Indo-Pacific, a vast biogeographic of Earth, is influenced by both the Indian and East Asian monsoons. Despite its geographical importance, this region has been less studied compared to East Asia and India. Here, we present speleothem records from southern Thailand that cover the last 1500 years, including a hiatus during the Little Ice Age, providing insights into the interactions among climate dynamics, human influences, and ecological responses to climate change. Notably, our records lack the characteristic cold and warm periods observed in other regions, such as the Dark Ages Cold Period and Medieval Warm Period, which may reflect the complexity of the tropical climate system or the region’s unique topography. The analysis reveals a link between ENSO multi-decadal variability and hydroclimate conditions in southern Thailand, as evidenced by speleothem δ18O. Furthermore, a comparison between speleothem δ13C and the Normalized Difference Vegetation Index (NDVI) indicates significant vegetation changes in the last three decades, corresponding with increased atmospheric CO2 levels and expansion of agricultural land due to human activities during the Current Warm Period. Additionally, our study suggests that an abrupt increase in sea surface temperatures may enhance vegetation growth in the Indo-Pacific by influencing atmospheric circulation and increasing precipitation. Full article
(This article belongs to the Section Environmental Mineralogy and Biogeochemistry)
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15 pages, 3881 KiB  
Article
Effect of Population Density on Personality of Crayfish (Procambarus clarkii)
by Li Su, Leiyu Lu, Mengdi Si, Jingjing Ding and Chunlin Li
Animals 2024, 14(10), 1486; https://doi.org/10.3390/ani14101486 (registering DOI) - 17 May 2024
Abstract
Personality is widely observed in animals and has important ecological and evolutionary implications. In addition to being heritable, personality traits are also influenced by the environment. Population density commonly affects animal behavior, but the way in which it shapes animal personality remains largely [...] Read more.
Personality is widely observed in animals and has important ecological and evolutionary implications. In addition to being heritable, personality traits are also influenced by the environment. Population density commonly affects animal behavior, but the way in which it shapes animal personality remains largely unknown. In this study, we reared juvenile crayfish at different population densities and measured their personality traits (shyness, exploration, and aggression) after reaching sexual maturity. Our results showed repeatability for each behavior in all treatments, except for the shyness of females at medium density. There was a negative correlation between shyness and exploration in each treatment, and aggression and exploration were positively correlated in medium- and high-density females. These indicate the presence of a behavior syndrome. On average, the crayfish raised at higher population densities were less shy, more exploratory, and more aggressive. We found no behavioral differences between the sexes in crayfish. These results suggested that population density may affect the average values of behavioral traits rather than the occurrence of personality traits. Our study highlights the importance of considering population density as a factor influencing personality traits in animals and, therefore, might help us to understand animal personality development. Full article
(This article belongs to the Section Human-Animal Interactions, Animal Behaviour and Emotion)
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20 pages, 284 KiB  
Review
Exploring Innovative Approaches to Synthetic Tabular Data Generation
by Eugenia Papadaki, Aristidis G. Vrahatis and Sotiris Kotsiantis
Electronics 2024, 13(10), 1965; https://doi.org/10.3390/electronics13101965 (registering DOI) - 17 May 2024
Abstract
The rapid advancement of data generation techniques has spurred innovation across multiple domains. This comprehensive review delves into the realm of data generation methodologies, with a keen focus on statistical and machine learning-based approaches. Notably, novel strategies like the divide-and-conquer (DC) approach and [...] Read more.
The rapid advancement of data generation techniques has spurred innovation across multiple domains. This comprehensive review delves into the realm of data generation methodologies, with a keen focus on statistical and machine learning-based approaches. Notably, novel strategies like the divide-and-conquer (DC) approach and cutting-edge models such as GANBLR have emerged to tackle a spectrum of challenges, spanning from preserving intricate data relationships to enhancing interpretability. Furthermore, the integration of generative adversarial networks (GANs) has sparked a revolution in data generation across sectors like healthcare, cybersecurity, and retail. This review meticulously examines how these techniques mitigate issues such as class imbalance, data scarcity, and privacy concerns. Through a meticulous analysis of evaluation metrics and diverse applications, it underscores the efficacy and potential of synthetic data in refining predictive models and decision-making software. Concluding with insights into prospective research trajectories and the evolving role of synthetic data in propelling machine learning and data-driven solutions across disciplines, this work provides a holistic understanding of the transformative power of contemporary data generation methodologies. Full article
(This article belongs to the Special Issue Advances in Data Science and Machine Learning)
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12 pages, 3112 KiB  
Article
Rapid Waste Motor Oil Conversion into Diesel-Range Hydrocarbons Using Hydrochar as Catalyst: Kinetic Study and Product Characterization
by Herman A. Murillo, Evelyn Juiña, Karla Vizuete, Alexis Debut, Daniel Echeverría, Sebastian Taco-Vasquez and Sebastian Ponce
Recycling 2024, 9(3), 39; https://doi.org/10.3390/recycling9030039 (registering DOI) - 17 May 2024
Abstract
Herein, raw and alkali-treated hydrochars from biomass waste are prepared as a highly active catalyst for the conversion of waste motor oil into diesel-like fuels. Among all materials, hydrochar obtained at 250 °C and subsequent alkali activation with KOH showed a 600% improvement [...] Read more.
Herein, raw and alkali-treated hydrochars from biomass waste are prepared as a highly active catalyst for the conversion of waste motor oil into diesel-like fuels. Among all materials, hydrochar obtained at 250 °C and subsequent alkali activation with KOH showed a 600% improvement of the kinetic constant from 0.0088 to 0.0614 m−1. Conversion values at the same conditions were also improved from 66 to 80% regarding thermal and catalytic cracking, respectively. Moreover, the activation energy was also reduced from 293 to 246 kJ mol−1 for thermal and catalytic cracking, respectively. After characterization, the enhanced catalytic activity was correlated to an increased surface area and functionalization due to the alkali activation. Finally, the liquid product characterization demonstrated that catalytic cracking is more effective than thermal cracking for producing hydrocarbons in the diesel range. In particular, hydrochar-based catalysts are suggested to promote the formation of specific hydrocarbons so that the carbon distribution can be tailored by modifying the hydrothermal treatment temperature. Full article
(This article belongs to the Special Issue Resource Recovery from Waste Biomass)
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21 pages, 3702 KiB  
Review
MRI Application and Challenges of Hyperpolarized Carbon-13 Pyruvate in Translational and Clinical Cardiovascular Studies: A Literature Review
by Francesca Frijia, Alessandra Flori, Giulio Giovannetti, Andrea Barison, Luca Menichetti, Maria Filomena Santarelli and Vincenzo Positano
Diagnostics 2024, 14(10), 1035; https://doi.org/10.3390/diagnostics14101035 (registering DOI) - 17 May 2024
Abstract
Cardiovascular disease shows, or may even be caused by, changes in metabolism. Hyperpolarized magnetic resonance spectroscopy and imaging is a technique that could assess the role of different aspects of metabolism in heart disease, allowing real-time metabolic flux assessment in vivo. In this [...] Read more.
Cardiovascular disease shows, or may even be caused by, changes in metabolism. Hyperpolarized magnetic resonance spectroscopy and imaging is a technique that could assess the role of different aspects of metabolism in heart disease, allowing real-time metabolic flux assessment in vivo. In this review, we introduce the main hyperpolarization techniques. Then, we summarize the use of dedicated radiofrequency 13C coils, and report a state of the art of 13C data acquisition. Finally, this review provides an overview of the pre-clinical and clinical studies on cardiac metabolism in the healthy and diseased heart. We furthermore show what advances have been made to translate this technique into the clinic in the near future and what technical challenges still remain, such as exploring other metabolic substrates. Full article
(This article belongs to the Section Medical Imaging and Theranostics)
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10 pages, 602 KiB  
Communication
Discovery of Pathogenic Variants Associated with Idiopathic Recurrent Pregnancy Loss Using Whole-Exome Sequencing
by Jeong Yong Lee, JaeWoo Moon, Hae-Jin Hu, Chang Soo Ryu, Eun Ju Ko, Eun Hee Ahn, Young Ran Kim, Ji Hyang Kim and Nam Keun Kim
Int. J. Mol. Sci. 2024, 25(10), 5447; https://doi.org/10.3390/ijms25105447 (registering DOI) - 17 May 2024
Abstract
Idiopathic recurrent pregnancy loss (RPL) is defined as at least two pregnancy losses before 20 weeks of gestation. Approximately 5% of pregnant couples experience idiopathic RPL, which is a heterogeneous disease with various causes including hormonal, chromosomal, and intrauterine abnormalities. Although how pregnancy [...] Read more.
Idiopathic recurrent pregnancy loss (RPL) is defined as at least two pregnancy losses before 20 weeks of gestation. Approximately 5% of pregnant couples experience idiopathic RPL, which is a heterogeneous disease with various causes including hormonal, chromosomal, and intrauterine abnormalities. Although how pregnancy loss occurs is still unknown, numerous biological factors are associated with the incidence of pregnancy loss, including genetic variants. Whole-exome sequencing (WES) was conducted on blood samples from 56 Korean patients with RPL and 40 healthy controls. The WES data were aligned by means of bioinformatic analysis, and the detected variants were annotated using machine learning tools to predict the pathogenicity of protein alterations. Each indicated variant was confirmed using Sanger sequencing. A replication study was also conducted in 112 patients and 114 controls. The Variant Effect Scoring Tool, Combined Annotation Dependent Depletion tool, Sorting Intolerant from Tolerant annotation tool, and various databases detected 10 potential variants previously associated with spontaneous abortion genes in patients by means of a bioinformatic analysis of WES data. Several variants were detected in more than one patient. Interestingly, several of the detected genes were functionally clustered, including some with a secretory function (mucin 4; MUC4; rs200737893 G>A and hyaluronan-binding protein 2; HABP2; rs542838125 G>T), in which growth arrest-specific 2 Like 2 (GAS2L2; rs140842796 C>T) and dynamin 2 (DNM2; rs763894364 G>A) are functionally associated with cell protrusion and the cytoskeleton. ATP Binding Cassette Subfamily C Member 6 (ABCC6) was the only gene with two variants. HABP2 (rs542838125 G>T), MUC4 (rs200737893 G>A), and GAS2L2 (rs140842796 C>T) were detected in only the patient group in the replication study. The combination of WES and machine learning tools is a useful method to detect potential variants associated with RPL. Using bioinformatic tools, we found 10 potential variants in 9 genes. WES data from patients are needed to better understand the causes of RPL. Full article
(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
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14 pages, 6983 KiB  
Article
Investigation of the Shear Mechanism at Sand-Concrete Interface under the Influence of the Concave Groove Angle of the Contact Surface
by Zhigang Meng, Yunsong Li, Huanhuan Li, Songlin Shen and Haijiang Zhang
Buildings 2024, 14(5), 1452; https://doi.org/10.3390/buildings14051452 (registering DOI) - 17 May 2024
Abstract
A “random-type” sand–concrete interface shear test was developed based on the sand cone method, with a focus on the most commonly encountered triangular contact surface morphology. A “regular-type” triangular interface, matched in roughness to the “random-type”, was meticulously designed. This “regular-type” interface features [...] Read more.
A “random-type” sand–concrete interface shear test was developed based on the sand cone method, with a focus on the most commonly encountered triangular contact surface morphology. A “regular-type” triangular interface, matched in roughness to the “random-type”, was meticulously designed. This “regular-type” interface features five distinct triangular groove inclinations: 18°, 33°, 50°, 70°, and 90°. A series of sand–concrete interface direct shear tests were conducted under consistent compaction conditions to investigate the impact of varying compaction densities and triangular groove inclinations on the shear strength at the interface. Particle flow simulations were utilized to examine the morphology of the shear band and the characteristics of particle migration influenced by the triangular contact surface. This analysis is aimed at elucidating the influence of the inclination of the triangular groove on the shear failure mechanism at the sand–concrete interface. The findings indicate that: (1) The morphology of the interface significantly impacts the shear strength of the sand–concrete interface, while the shape of the stress-displacement curve experiences minimal alteration. (2) At smaller inclination angles, particle contact forces are arranged in a wave-like configuration around the sawtooth tip, resulting in a non-uniform stress distribution along the sawtooth slope. However, as the inclination angle grows, the stress concentration at the sawtooth tip diminishes, and the stress distribution across the sawtooth slope becomes more consistent. (3) Particle migration is significantly influenced by the sawtooth’s inclination angle. At lower angles, particles climb the structure’s tip through sliding and rolling. As the angle increases, particle motion shifts to shear, accompanied by a transition in friction from surface friction to internal shear friction. This leads to the formation of a wider shear band and an increase in shear strength. Full article
(This article belongs to the Section Building Materials, and Repair & Renovation)
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16 pages, 1466 KiB  
Article
Glycolysis and Automated Plaque Regrowth Method for Evaluation of Antimicrobial Performance
by Robert L. Karlinsey and Tamara R. Karlinsey
Dent. J. 2024, 12(5), 146; https://doi.org/10.3390/dj12050146 (registering DOI) - 17 May 2024
Abstract
Purpose: This study explored the potential of a new in vitro method in evaluating antiplaque benefits from five sets of antimicrobial systems including cetylpyridinium chloride (CPC), stannous fluoride (SnF2), Listerine essential oil mouthwashes (+/− alcohol), zinc chloride (ZnCl2), and [...] Read more.
Purpose: This study explored the potential of a new in vitro method in evaluating antiplaque benefits from five sets of antimicrobial systems including cetylpyridinium chloride (CPC), stannous fluoride (SnF2), Listerine essential oil mouthwashes (+/− alcohol), zinc chloride (ZnCl2), and sodium fluoride. (NaF). Methods: Gingival dental plaque was collected and propagated using sterilized tryptic soy broth and sucrose, and then allocated into separate glycolysis and regrowth recipes for antiplaque evaluations. Glycolysis measurements (in duplicate) were recorded via pH microelectrode on plaque-treatment samples thermomixed (1200 rpm, 37 °C) for 4 h. For plaque regrowth, optical densities (in duplicate) were automatically collected on plaque-treatment samples using a microplate reader (linear shaking, 37 °C) from baseline to 4 h. Results: Calculations of percent change in pH and optical density were performed and analyzed for each set of antimicrobial treatment groups. Statistical analysis (one-way ANOVA, Student–Newman–Keuls stepwise comparison tests) revealed dose responses and significant differences (p < 0.05) among treatment groups, including between negative and clinically relevant positive controls. Conclusions: This lab method produces results consistent with published clinical observations. This glycolysis and plaque growth method is sensitive to antimicrobial mechanisms of action, and may offer a convenient and clinically relevant screening tool in the evaluation of putative antimicrobial agents and formulations. Full article
(This article belongs to the Special Issue Preventive Dentistry and Dental Public Health)
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9 pages, 534 KiB  
Perspective
Proposed Screening for Congenital Hyperinsulinism in Newborns: Perspective from a Neonatal–Perinatal Medicine Group
by Jeffrey R. Kaiser, Shaili Amatya, Rebecca J. Burke, Tammy E. Corr, Nada Darwish, Chintan K. Gandhi, Adrienne Gasda, Kristen M. Glass, Mitchell J. Kresch, Sarah M. Mahdally, Maria T. McGarvey, Sara J. Mola, Yuanyi L. Murray, Katie Nissly, Nanyaly M. Santiago-Aponte, Jazmine C. Valencia and Timothy W. Palmer
J. Clin. Med. 2024, 13(10), 2953; https://doi.org/10.3390/jcm13102953 (registering DOI) - 17 May 2024
Abstract
This perspective work by academic neonatal providers is written specifically for the audience of newborn care providers and neonatologists involved in neonatal hypoglycemia screening. Herein, we propose adding a screen for congenital hyperinsulinism (CHI) by measuring glucose and ketone (i.e., β-hydroxybutyrate (BOHB)) concentrations [...] Read more.
This perspective work by academic neonatal providers is written specifically for the audience of newborn care providers and neonatologists involved in neonatal hypoglycemia screening. Herein, we propose adding a screen for congenital hyperinsulinism (CHI) by measuring glucose and ketone (i.e., β-hydroxybutyrate (BOHB)) concentrations just prior to newborn hospital discharge and as close to 48 h after birth as possible, at the same time that the mandated state Newborn Dried Blood Spot Screen is obtained. In the proposed protocol, we do not recommend specific metabolite cutoffs, as our primary objective is to simply highlight the concept of screening for CHI in newborns to newborn caregivers. The premise for our proposed screen is based on the known effect of hyperinsulinism in suppressing ketogenesis, thereby limiting ketone production. We will briefly discuss genetic CHI, other forms of neonatal hypoglycemia, and their shared mechanisms; the mechanism of insulin regulation by functional pancreatic islet cell membrane KATP channels; adverse neurodevelopmental sequelae and brain injury due to missing or delaying the CHI diagnosis; the principles of a good screening test; how current neonatal hypoglycemia screening programs do not fulfill the criteria for being effective screening tests; and our proposed algorithm for screening for CHI in newborns. Full article
(This article belongs to the Special Issue Current Trends in Pediatric Endocrinology)
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9 pages, 1277 KiB  
Brief Report
Rational Antibiotic Prescribing Is Underpinned by Dental Ethics Principles: Survey on Postgraduate and Undergraduate Dental Students’ Perceptions
by Jelena Roganović and Milena Barać
Antibiotics 2024, 13(5), 460; https://doi.org/10.3390/antibiotics13050460 (registering DOI) - 17 May 2024
Abstract
Background: Dentists bear the burden of responsibility for antimicrobial resistance since antibiotics are the drugs most prescribed by dentists. Often, “inappropriate” antibiotic use is considered as a “gray area” by dentists mainly due to ethical challenges associated with the clinical judgement depending on [...] Read more.
Background: Dentists bear the burden of responsibility for antimicrobial resistance since antibiotics are the drugs most prescribed by dentists. Often, “inappropriate” antibiotic use is considered as a “gray area” by dentists mainly due to ethical challenges associated with the clinical judgement depending on patients and/or prescribers. Aim: The study aimed to assess whether and in what way dental ethical principles underpin rational antibiotic use by investigating perceptions of postgraduate and undergraduate dental students without formal knowledge of dental ethics. Method: A cross-sectional anonymous survey comprised nine close-ended questions and was conducted among dental students (n = 125). The investigated practice of appropriate antibiotic prescribing in the survey relied on the respect of three basic principles of ethics: autonomy, non-maleficence, and beneficence. Results: Results show that dental students exhibit a lack of dental ethics knowledge that results in an inappropriate antibiotic-prescribing practice: prescribing an antibiotic when it is not necessary, without examination, or for indications that are not within the competence of the dentist. Multivariate regression analysis revealed that there was a significant difference between under- and postgraduates. Conclusions: Within the pharmacology course, a review of the clinical scenarios which cover both ethical and clinical complexities regarding the appropriate use of antibiotics should be introduced as an educational approach. Full article
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14 pages, 3327 KiB  
Article
Load Prediction in Double-Channel Residual Self-Attention Temporal Convolutional Network with Weight Adaptive Updating in Cloud Computing
by Jiang Lin and Yepeng Guan
Sensors 2024, 24(10), 3181; https://doi.org/10.3390/s24103181 (registering DOI) - 17 May 2024
Abstract
When resource demand increases and decreases rapidly, container clusters in the cloud environment need to respond to the number of containers in a timely manner to ensure service quality. Resource load prediction is a prominent challenge issue with the widespread adoption of cloud [...] Read more.
When resource demand increases and decreases rapidly, container clusters in the cloud environment need to respond to the number of containers in a timely manner to ensure service quality. Resource load prediction is a prominent challenge issue with the widespread adoption of cloud computing. A novel cloud computing load prediction method has been proposed, the Double-channel residual Self-attention Temporal convolutional Network with Weight adaptive updating (DSTNW), in order to make the response of the container cluster more rapid and accurate. A Double-channel Temporal Convolution Network model (DTN) has been developed to capture long-term sequence dependencies and enhance feature extraction capabilities when the model handles long load sequences. Double-channel dilated causal convolution has been adopted to replace the single-channel dilated causal convolution in the DTN. A residual temporal self-attention mechanism (SM) has been proposed to improve the performance of the network and focus on features with significant contributions from the DTN. DTN and SM jointly constitute a dual-channel residual self-attention temporal convolutional network (DSTN). In addition, by evaluating the accuracy aspects of single and stacked DSTNs, an adaptive weight strategy has been proposed to assign corresponding weights for the single and stacked DSTNs, respectively. The experimental results highlight that the developed method has outstanding prediction performance for cloud computing in comparison with some state-of-the-art methods. The proposed method achieved an average improvement of 24.16% and 30.48% on the Container dataset and Google dataset, respectively. Full article
(This article belongs to the Section Sensor Networks)
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9 pages, 411 KiB  
Article
Time of Birth and the Risk of Adverse Maternal and Neonatal Outcomes—A Retrospective Cohort Study
by Anat Schwartz, Shiri Shinar, Amit Iton-Schwartz, Ronella Marom, Dror Mandel, Ayelet Dangot and Ariel Many
J. Clin. Med. 2024, 13(10), 2952; https://doi.org/10.3390/jcm13102952 (registering DOI) - 17 May 2024
Abstract
Objectives: To determine whether in a labor floor housed continuously by senior physicians the risk of adverse maternal and neonatal outcome is affected by time of delivery. Methods: This retrospective cohort study, conducted at a tertiary medical center, assessed singleton term deliveries from [...] Read more.
Objectives: To determine whether in a labor floor housed continuously by senior physicians the risk of adverse maternal and neonatal outcome is affected by time of delivery. Methods: This retrospective cohort study, conducted at a tertiary medical center, assessed singleton term deliveries from 1 January 2011 to 30 January 2020. Participants were categorized based on delivery timing, correlating with nursing shifts, to evaluate perinatal outcomes. The primary endpoint included adverse maternal outcomes such as emergency Cesarean section, anal sphincter injuries, blood product transfusions, and postpartum surgeries (laparotomy/laparoscopy). Secondary outcomes focused on neonatal health indicators, including low Apgar scores, ICU admissions, respiratory issues, extended hospital stays, and neurological complications. Results: 87,863 deliveries were available for analysis with equal distribution during the day. The risk of adverse composite maternal outcome was highest during the evening (aOR 1.25, 95% CI 1.18–1.32) and lowest during the night (aOR 0.94, 95% CI 0.88–0.99) compared to daytime deliveries. This difference was primarily driven by the highest rate of emergency CD in the evening. Neonatal outcomes were comparable, except for length of stay > 5 days, which was more frequent among newborns delivered during the evening and night shifts compared to the morning shift (aOR 1.19, 95% CI 1.07–1.33 and aOR 1.17, 95% CI 1.05–1.31, respectively). Conclusions: In term pregnancies, the evening shift is associated with the highest risk of adverse maternal and neonatal outcomes despite physician seniority. Full article
(This article belongs to the Special Issue Management of Pregnancy Complications)
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13 pages, 4798 KiB  
Article
Rosuvastatin Intervention in Patients with Chronic Hepatitis B (CHB) Expands CD14+ CD16− Classical Monocytes via Aryl Hydrocarbon Receptor (AHR)
by Mina Rahmati, Mojtaba Zare Ebrahimabad, Alale Langari, Ali Najafi, Shohreh Taziki, Alireza Norouzi, Mehrdad Teimoorian, Milad Khorasani and Saeed Mohammadi
Immuno 2024, 4(2), 159-171; https://doi.org/10.3390/immuno4020011 (registering DOI) - 17 May 2024
Abstract
Chronic hepatitis B (CHB) poses treatment challenges, with treatment response and disease outcome often determined by the immune response, particularly mononuclear phagocytes. Monocytes can differentiate into various subpopulations influenced by AHR. Statins, known for inflammation modulation, may impact monocyte function via AHR activation. [...] Read more.
Chronic hepatitis B (CHB) poses treatment challenges, with treatment response and disease outcome often determined by the immune response, particularly mononuclear phagocytes. Monocytes can differentiate into various subpopulations influenced by AHR. Statins, known for inflammation modulation, may impact monocyte function via AHR activation. This study explored rosuvastatin (RSV)’s effects on monocyte subtypes, inflammatory markers, and AHR in CHB patients. Fifteen CHB patients were randomly assigned to receive either 20 mg RSV or a placebo daily for three months. Flow cytometry assessed CD14+ CD16− (classical), CD14+ CD16+ (intermediate), and CD14dim CD16+ (patrolling) monocyte subtypes, along with AHR levels in each subset. ELISA quantified cytokines IL-6, IFN-γ, IL-12, IL-10, TNF-α, TGF-β, and IL-1β. RSV expanded CD14+ CD16− classical and reduced CD14+ CD16+ intermediate monocytes in CHB patients while increasing AHR+ cell percentages in all subsets. RSV treatment upregulated key AHR target genes (Cyp1a1, Cyp1b1, and ARNT), indicating robust AHR signaling activation. It also reduced pro-inflammatory cytokine levels (IL-6, IFNγ, IL-12, TNF-α) and elevated anti-inflammatory cytokines (IL-10, TGF-β). Thus, RSV may modulate the immune response by altering monocyte subtypes in CHB patients via AHR activation. Full article
(This article belongs to the Section Innate Immunity and Inflammation)
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17 pages, 6248 KiB  
Article
Inhibition of Drp1–Filamin Protein Complex Prevents Hepatic Lipid Droplet Accumulation by Increasing Mitochondria–Lipid Droplet Contact
by Kohei Ariyoshi, Kazuhiro Nishiyama, Yuri Kato, Xinya Mi, Tomoya Ito, Yasu-Taka Azuma, Akiyuki Nishimura and Motohiro Nishida
Int. J. Mol. Sci. 2024, 25(10), 5446; https://doi.org/10.3390/ijms25105446 (registering DOI) - 17 May 2024
Abstract
Lipid droplet (LD) accumulation in hepatocytes is one of the major symptoms associated with fatty liver disease. Mitochondria play a key role in catabolizing fatty acids for energy production through β-oxidation. The interplay between mitochondria and LD assumes a crucial role in lipid [...] Read more.
Lipid droplet (LD) accumulation in hepatocytes is one of the major symptoms associated with fatty liver disease. Mitochondria play a key role in catabolizing fatty acids for energy production through β-oxidation. The interplay between mitochondria and LD assumes a crucial role in lipid metabolism, while it is obscure how mitochondrial morphology affects systemic lipid metabolism in the liver. We previously reported that cilnidipine, an already existing anti-hypertensive drug, can prevent pathological mitochondrial fission by inhibiting protein–protein interaction between dynamin-related protein 1 (Drp1) and filamin, an actin-binding protein. Here, we found that cilnidipine and its new dihydropyridine (DHP) derivative, 1,4-DHP, which lacks Ca2+ channel-blocking action of cilnidipine, prevent the palmitic acid-induced Drp1–filamin interaction, LD accumulation and cytotoxicity of human hepatic HepG2 cells. Cilnidipine and 1,4-DHP also suppressed the LD accumulation accompanied by reducing mitochondrial contact with LD in obese model and high-fat diet-fed mouse livers. These results propose that targeting the Drp1–filamin interaction become a new strategy for the prevention or treatment of fatty liver disease. Full article
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8 pages, 944 KiB  
Article
Heat Bath in a Quantum Circuit
by Jukka P. Pekola and Bayan Karimi
Entropy 2024, 26(5), 429; https://doi.org/10.3390/e26050429 (registering DOI) - 17 May 2024
Abstract
We discuss the concept and realization of a heat bath in solid state quantum systems. We demonstrate that, unlike a true resistor, a finite one-dimensional Josephson junction array or analogously a transmission line with non-vanishing frequency spacing, commonly considered as a reservoir of [...] Read more.
We discuss the concept and realization of a heat bath in solid state quantum systems. We demonstrate that, unlike a true resistor, a finite one-dimensional Josephson junction array or analogously a transmission line with non-vanishing frequency spacing, commonly considered as a reservoir of a quantum circuit, does not strictly qualify as a Caldeira–Leggett type dissipative environment. We then consider a set of quantum two-level systems as a bath, which can be realized as a collection of qubits. We show that only a dense and wide distribution of energies of the two-level systems can secure long Poincare recurrence times characteristic of a proper heat bath. An alternative for this bath is a collection of harmonic oscillators, for instance, in the form of superconducting resonators. Full article
(This article belongs to the Special Issue Advances in Quantum Thermodynamics)
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19 pages, 669 KiB  
Article
Development and Validation of Perception of Wisdom Exploratory Rating Scale: An Instrument to Examine Teachers’ Perceptions of Wisdom
by Sareh Karami, Andy Parra-Martinez, Mehdi Ghahremani and Marcia Gentry
Educ. Sci. 2024, 14(5), 542; https://doi.org/10.3390/educsci14050542 (registering DOI) - 17 May 2024
Abstract
The purpose of this study was to develop and validate the Perception of Wisdom Exploratory Rating Scale based on the Polyhedron Model of Wisdom (PMW). A total number of 585 responses from in-service and preservice teachers was collected. In the EFA, the items [...] Read more.
The purpose of this study was to develop and validate the Perception of Wisdom Exploratory Rating Scale based on the Polyhedron Model of Wisdom (PMW). A total number of 585 responses from in-service and preservice teachers was collected. In the EFA, the items fit a seven-factor structure, producing the following subscales: knowledge management, self-regulation, moral maturity, openness, tolerance, sound judgment, and creative thinking. CFA was performed to test the construct validity of the scale. The model produced a good fit to the data (χ2/df = 1.67, CFI = 0.92, TLI = 0.91, RMSEA = 0.049, and SRMR = 0.06). With continued testing and revisions, this instrument could be useful for the cross-cultural comparison of perceptions of wisdom and identification of barriers to promoting wisdom instruction. Full article
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7 pages, 161 KiB  
Article
Pondering Diversity in Contemporary Culture: Towards Establishing a Framework for a Dialogical Approach to Religious Education in Australian Catholic Schools
by Richard M. Rymarz
Religions 2024, 15(5), 617; https://doi.org/10.3390/rel15050617 (registering DOI) - 17 May 2024
Abstract
This paper seeks to deepen the understanding of religious plurality using a range of conceptual lenses and then to draw out some implications for a dialogical approach to religious education in Catholic schools. While what was, until very recent times, seen as conventional [...] Read more.
This paper seeks to deepen the understanding of religious plurality using a range of conceptual lenses and then to draw out some implications for a dialogical approach to religious education in Catholic schools. While what was, until very recent times, seen as conventional religious affiliation has certainly weakened in Australia and elsewhere, this does not necessarily lead to a multiplication of communal beliefs, practices and values. Following Smith, Inglehart and others, what has emerged is a dominant cultural hegemony which has a range of characteristics, but the most pertinent for the discussion here is the loss of the transcendent imperative and the subsequent decline in the knowledge of, and identification with, narratives associated with once-dominant religious communities. An understanding of diversity in the current cultural milieu in Australia needs to consider this hegemony as expressed in a commonality of beliefs, values and practices regardless of expressed affiliation, religious or not. Understanding diversity in this framework establishes a basis for better considering what a dialogical approach to religious education would involve. A dialogical approach to religious education is taken as a settled norm and not one that is heavily contested. A number of the implications of the proposed understanding of diversity for religious education are given. These include following a Vygotskian scaffolded approach to pedagogy and seeing an important place for the articulation of the home religious tradition. Full article
16 pages, 6539 KiB  
Article
Resonant Forcing by Solar Declination of Rossby Waves at the Tropopause and Implications in Extreme Events, Precipitation, and Heat Waves—Part 1: Theory
by Jean-Louis Pinault
Atmosphere 2024, 15(5), 608; https://doi.org/10.3390/atmos15050608 (registering DOI) - 17 May 2024
Abstract
The purpose of this first article is to provide a physical basis for atmospheric Rossby waves at the tropopause to clarify their properties and improve our knowledge of their role in the genesis of extreme precipitation and heat waves. By analogy with the [...] Read more.
The purpose of this first article is to provide a physical basis for atmospheric Rossby waves at the tropopause to clarify their properties and improve our knowledge of their role in the genesis of extreme precipitation and heat waves. By analogy with the oceanic Rossby waves, the role played by the pycnocline in ocean Rossby waves is replaced here by the interface between the polar jet and the ascending air column at the meeting of the polar and Ferrel cell circulation or between the subtropical jet and the descending air column at the meeting of the Ferrel and Hadley cell circulation. In both cases, the Rossby waves are suitable for being resonantly forced in harmonic modes by tuning their natural period to the forcing period. Here, the forcing period is one year as a result of the variation in insolation due to solar declination. A search for cause-and-effect relationships is performed from the joint representation of the amplitude and phase of (1) the velocity of the cold or warm modulated airflows at 250 mb resulting from Rossby waves, (2) the geopotential height at 500 mb, and (3) the precipitation rate or ground air temperature. This is for the dominant harmonic mode whose period can be 1/16, 1/32, or 1/64 year, which reflects the intra-seasonal variations in the rising and falling air columns at the meeting of the polar, Ferrel, and Hadley cell circulation. Harmonics determine the duration of blocking. Two case studies referring to extreme cold and heat waves are presented. Dual cyclone–anticyclone systems seem to favor extreme events. They are formed by two joint vortices of opposite signs reversing over a period, concomitantly with the involved modulated airflows at the tropopause. A second article will be oriented toward (1) the examination of different case studies in order to ascertain the common characteristics of Rossby wave patterns leading to extreme events and (2) a map of the globe revealing future trends in the occurrence of extreme events. Full article
(This article belongs to the Special Issue Prediction and Modeling of Extreme Weather Events)
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