The 2023 MDPI Annual Report has
been released!
 
10 pages, 1322 KiB  
Article
Metabolic Factors Associated with Endoscopic Atrophy, Intestinal Metaplasia, and Gastric Neoplasms in Helicobacter pylori-Positive Patients
by Junya Arai, Hiroaki Fujiwara, Tomonori Aoki, Ryota Niikura, Sozaburo Ihara, Nobumi Suzuki, Yoku Hayakawa, Masato Kasuga and Mitsuhiro Fujishiro
Clin. Pract. 2024, 14(3), 779-788; https://doi.org/10.3390/clinpract14030062 (registering DOI) - 08 May 2024
Abstract
Background: Previous studies demonstrate an association between metabolic factors and Helicobacter pylori-related gastric cancer. However, the association of gastric atrophy or intestinal metaplasia (IM) with these factors remains unknown. Methods: Data on 1603 Helicobacter pylori-positive patients who underwent esophagogastroduodenoscopy between 2001 [...] Read more.
Background: Previous studies demonstrate an association between metabolic factors and Helicobacter pylori-related gastric cancer. However, the association of gastric atrophy or intestinal metaplasia (IM) with these factors remains unknown. Methods: Data on 1603 Helicobacter pylori-positive patients who underwent esophagogastroduodenoscopy between 2001 and 2021 were evaluated. The outcome measures were endoscopic atrophy, IM grade, and the incidence of endoscopically diagnosed and pathologically confirmed gastric neoplasms. Clinical factors associated with these findings were also determined. Results: Advanced age; successful Helicobacter pylori eradication; and comorbidities including diabetes mellitus (DM), hypertension, dyslipidemia, and fib4 index were significantly associated with endoscopic gastric atrophy grade. Male sex; advanced age; and comorbidities including DM, hypertension, dyslipidemia, hyperuricemia, fatty liver, aortic calcification, and fib4 index were also significantly associated with endoscopic IM grade, whereas advanced age, successful Helicobacter pylori eradication, DM, fatty liver, and fib4 index were significantly associated with the incidence of gastric neoplasms. Conclusion: Several metabolic disorders, including DM, hypertension, dyslipidemia, hyperuricemia, and fatty liver disease, are risk factors for advanced-grade gastric atrophy, intestinal metaplasia, and gastric neoplasms. Risk stratification according to these factors, particularly those with metabolic disorders, would affect EGD surveillance for Helicobacter pylori-positive patients. Full article
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15 pages, 5323 KiB  
Review
Exploring the Therapeutic Potential of Virtual Reality: A Review on the Simulation of Psychedelic Effects for Treating Psychological Disorders
by Mirko Casu, Chiara Farrauto, Giorgia Farruggio, Salvatore Bellissima, Sebastiano Battiato and Pasquale Caponnetto
Psychol. Int. 2024, 6(2), 603-617; https://doi.org/10.3390/psycholint6020036 (registering DOI) - 08 May 2024
Abstract
Psychedelic therapy is increasingly acknowledged as a transformative approach to mental health care, much like how Virtual Reality (VR) technology has emerged as a potent tool in the realm of mental health. Hence, there is potential for integrating the benefits derived from both. [...] Read more.
Psychedelic therapy is increasingly acknowledged as a transformative approach to mental health care, much like how Virtual Reality (VR) technology has emerged as a potent tool in the realm of mental health. Hence, there is potential for integrating the benefits derived from both. This review aims to assess the current state of the art concerning the utilization of VR and psychedelic simulations for treating psychological disorders. The findings clarify the potential of an emerging treatment: the simulation of psychedelic states through Virtual Reality. This treatment has been shown to improve cognitive flexibility and executive functions and, as a result, could be used to prevent conditions such as mild cognitive impairment and dementia. Furthermore, this treatment facilitates the activation of other constructs in the subject, such as creativity, joy, pleasure, and relaxation, which can act as mediators in the treatment of various psychopathological disorders. This review attempts to broaden knowledge regarding the simulation of psychedelic states through Virtual Reality, exposing the results in a clinical setting and highlighting the need for further studies. Full article
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14 pages, 305 KiB  
Review
Stressors Inherent to Beef Cattle Management in the United States of America and the Resulting Impacts on Production Sustainability: A Review
by Toriann Summer Winton, Molly Christine Nicodemus and Kelsey Margaret Harvey
Ruminants 2024, 4(2), 227-240; https://doi.org/10.3390/ruminants4020016 (registering DOI) - 08 May 2024
Abstract
Stressors are directly related to major events throughout the beef cattle production cycle. Understanding the impact stressors have on productive outcomes is critical for the efficient implementation of management strategies. Such stressors include environmental extremes, nutritional deprivation, and common management procedures. Environmental extremes [...] Read more.
Stressors are directly related to major events throughout the beef cattle production cycle. Understanding the impact stressors have on productive outcomes is critical for the efficient implementation of management strategies. Such stressors include environmental extremes, nutritional deprivation, and common management procedures. Environmental extremes such as thermal stress can disturb gestating cows’ normal physiological responses, hindering reproductive efficiency. Thermal stress during the breeding season can affect embryo development causing a decrease in conception rates, although adjusting the scheduling of breeding activities can minimize losses. Additionally, suboptimal nutrition may negatively impact reproductive performance if management strategies including modifying seasonal grazing practices are not implemented. As gestation progresses, nutrient requirements increase; thus, without appropriate dietary management, poor calf performance, the loss of the body condition score, and reduced reproductive performance may result. While weaning is a common management procedure, this event is another major stress within the production system. Applying efficient strategies such as creep feeding or two-step weaning to mitigate weaning stress can maximize production efficiency. This review will explore in-depth the stressors associated with production events in the beef cattle industry and give insight into researched management strategies targeting these stressors that will improve the sustainability of the production system. Full article
(This article belongs to the Special Issue Beef Cattle Production and Management)
8 pages, 1108 KiB  
Case Report
Minimally Invasive Conversion Surgery for Unresectable Gastric Cancer with Splenic Metastasis and Splenic Vein Tumor Thrombus: A Case Report
by Nobuhisa Tanioka, Michio Kuwahara, Takashi Sakai, Yuzuko Nokubo, Shigeto Shimizu, Makoto Hiroi and Toyokazu Akimori
Curr. Oncol. 2024, 31(5), 2662-2669; https://doi.org/10.3390/curroncol31050201 (registering DOI) - 08 May 2024
Abstract
While the importance of conversion surgery has increased with the development of systemic chemotherapy for gastric cancer (GC), reports of conversion surgery for patients with GC with distant metastasis and tumor thrombus are extremely scarce, and a definitive surgical strategy has yet to [...] Read more.
While the importance of conversion surgery has increased with the development of systemic chemotherapy for gastric cancer (GC), reports of conversion surgery for patients with GC with distant metastasis and tumor thrombus are extremely scarce, and a definitive surgical strategy has yet to be established. Herein, we report a 67-year-old man with left abdominal pain referred to our hospital following a diagnosis of unresectable GC. Esophagogastroduodenoscopy and contrast-enhanced abdominal computed tomography (CT) revealed advanced GC with splenic metastasis. A splenic vein tumor thrombus (SVTT) and a continuous thrombus to the main trunk of the portal vein were detected. The patient was treated with anticoagulation therapy and systemic chemotherapy comprising S-1 and oxaliplatin. One year following chemotherapy initiation, a CT scan revealed progressive disease (PD); therefore, the chemotherapy regimen was switched to ramucirumab with paclitaxel. After 10 courses of chemotherapy resulting in primary tumor and SVTT shrinkage, the patient underwent laparoscopic total gastrectomy (LTG) and distal pancreaticosplenectomy (DPS). He was discharged without complications and remained alive 6 months postoperatively without recurrence. In summary, the wait-and-see approach was effective in a patient with GC with splenic metastasis and SVTT, ultimately leading to an R0 resection performed via LTG and DPS. Full article
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12 pages, 762 KiB  
Article
Outcomes of Y90 Radioembolization for Hepatocellular Carcinoma in Patients Previously Treated with Transarterial Embolization
by Ken Zhao, Sam Son, Anita Karimi, Brett Marinelli, Joseph P. Erinjeri, Erica S. Alexander, Vlasios S. Sotirchos, James J. Harding, Kevin C. Soares, Etay Ziv, Anne Covey, Constantinos T. Sofocleous and Hooman Yarmohammadi
Curr. Oncol. 2024, 31(5), 2650-2661; https://doi.org/10.3390/curroncol31050200 (registering DOI) - 08 May 2024
Abstract
The aim of this study was to evaluate outcomes of transarterial radioembolization (TARE) for hepatocellular carcinoma (HCC) in patients previously treated with transarterial embolization (TAE). In this retrospective study, all HCC patients who received TARE from 1/2012 to 12/2022 for treatment of residual [...] Read more.
The aim of this study was to evaluate outcomes of transarterial radioembolization (TARE) for hepatocellular carcinoma (HCC) in patients previously treated with transarterial embolization (TAE). In this retrospective study, all HCC patients who received TARE from 1/2012 to 12/2022 for treatment of residual or recurrent disease after TAE were identified. Overall survival (OS) was estimated using the Kaplan–Meier method. Univariate Cox regression was performed to determine significant predictors of OS after TARE. Twenty-one patients (median age 73.4 years, 18 male, 3 female) were included. Median dose to the perfused liver volume was 121 Gy (112–444, range), and 18/21 (85.7%) patients received 112–140 Gy. Median OS from time of HCC diagnosis was 32.9 months (19.4–61.4, 95% CI). Median OS after first TAE was 29.3 months (15.3–58.9, 95% CI). Median OS after first TARE was 10.6 months (6.8–27.0, 95% CI). ECOG performance status of 0 (p = 0.038), index tumor diameter < 4 cm (p = 0.022), and hepatic tumor burden < 25% (p = 0.018) were significant predictors of longer OS after TARE. TARE may provide a survival benefit for appropriately selected patients with HCC who have been previously treated with TAE. Full article
(This article belongs to the Special Issue Radioembolization for Hepatocellular Carcinoma)
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17 pages, 1901 KiB  
Review
Automatic Reconstruction of 3D Models from 2D Drawings: A State-of-the-Art Review
by Sofia Feist, Luís Jacques de Sousa, Luís Sanhudo and João Poças Martins
Eng 2024, 5(2), 784-800; https://doi.org/10.3390/eng5020042 (registering DOI) - 08 May 2024
Abstract
Among the methods of 3D reconstruction, the automatic generation of 3D models from building documentation is one of the most accessible and inexpensive. For 30 years, researchers have proposed multiple methods to automatically generate 3D models from 2D drawings. This study compiles this [...] Read more.
Among the methods of 3D reconstruction, the automatic generation of 3D models from building documentation is one of the most accessible and inexpensive. For 30 years, researchers have proposed multiple methods to automatically generate 3D models from 2D drawings. This study compiles this research and discusses the different methods used to generate 3D models from 2D drawings. It offers a critical review of these methods, focusing on the coverage and completeness of the reconstruction process. This review allows us to identify the research gaps in the literature, and opportunities for improvement are identified for future research. Full article
(This article belongs to the Section Chemical, Civil and Environmental Engineering)
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15 pages, 727 KiB  
Article
Victims of a Human Tragedy or “Objects” of Migrant Smuggling? Media Framing of Greece’s Deadliest Migrant Shipwreck in Pylos’ Dark Waters
by Panagiota (Naya) Kalfeli, Christina Angeli and Christos Frangonikolopoulos
Journal. Media 2024, 5(2), 537-551; https://doi.org/10.3390/journalmedia5020036 (registering DOI) - 08 May 2024
Abstract
Refugee and migration crises has been an integral part of the continuous and successive crises that the world has been experiencing. Media has played a crucial role in shaping public opinion over migration and asylum-seeking. Within this context, this paper aims to discuss [...] Read more.
Refugee and migration crises has been an integral part of the continuous and successive crises that the world has been experiencing. Media has played a crucial role in shaping public opinion over migration and asylum-seeking. Within this context, this paper aims to discuss Greek media coverage of the migrant shipwreck off the Greek coast of Pylos, in June 2023, in which more than 600 people mostly from Syria, Egypt, and Pakistan are thought to have drowned. Based on data from a quantitative content analysis and a sample of news stories stemming from the online version of five Greek news media outlets, representing diverse political spaces, a broader set of criteria for content analysis, including the absence of refugee and migrant voice in media content, dehumanization, absence of solutions and context, among many others, was used in order to explore how the Greek media framed what has been labeled as one of the deadliest migrant shipwrecks in the Mediterranean. Results revealed (i) frames of dehumanization, (ii) insufficient reporting of injustice and discrimination stemming from (state) structures and practices, and an (iii) overemphasis on migrant smuggling. Full article
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9 pages, 1741 KiB  
Article
Enhancement of Catalytic Efficiency of Enzymatic Redox Reactions by Composing Horseradish Peroxidase-Modified Electrode with Ionic Liquids
by Yasuko Noritomi, Takashi Kuboki and Hidetaka Noritomi
Liquids 2024, 4(2), 393-401; https://doi.org/10.3390/liquids4020020 (registering DOI) - 08 May 2024
Abstract
We have kinetically estimated the enzymatic redox reaction at the horseradish peroxidase (HRP)-modified electrode combined with ionic liquids by adding N-(2-methoxythethyl)-N-methylpyrrolidinium bis(trifluoromethane sulfonyl)imide (MEMPTFSI) to HRP/carbon paste (CP)/Ketjenblack EC600JC (EC). The fluctuation of the steady-state reduction current of HRP at [...] Read more.
We have kinetically estimated the enzymatic redox reaction at the horseradish peroxidase (HRP)-modified electrode combined with ionic liquids by adding N-(2-methoxythethyl)-N-methylpyrrolidinium bis(trifluoromethane sulfonyl)imide (MEMPTFSI) to HRP/carbon paste (CP)/Ketjenblack EC600JC (EC). The fluctuation of the steady-state reduction current of HRP at the HRP/CP-modified electrode progressively increased as the applied potential was lowered. The enzymatic redox reaction with hydrogen peroxide as a substrate at the HRP/CP/EC/MEMPTFSI-modified electrode and the HRP/CP-modified electrode could be correlated by the Michaelis–Menten equation. The Michaelis constant of the enzymatic redox reaction at the HRP/CP/EC/MEMPTFSI-modified electrode was the same as that at the HRP/CP-modified electrode. On the other hand, the turnover number of the enzymatic redox reaction at the HRP/CP/EC/MEMPTFSI-modified electrode was six times larger than that at the HRP/CP-modified electrode. Consequently, the specificity constant of the enzymatic redox reaction at the HRP/CP/EC/MEMPTFSI-modified electrode was much higher than that at the HRP/CP-modified electrode. Full article
(This article belongs to the Collection Feature Papers in Solutions and Liquid Mixtures Research)
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17 pages, 4659 KiB  
Article
Green-Powered Electric Public Mobility: Integrating Urban and Interurban Routes—A Case Study Analysis
by Alessandro Franco, Giovanni Lutzemberger, Marco Giorgio Bevilacqua, Francesco Giuseppe Quilici and Matilde Vezzani
Electricity 2024, 5(2), 254-270; https://doi.org/10.3390/electricity5020013 (registering DOI) - 08 May 2024
Abstract
This article proposes a particular strategy to proceed with a progressive electrification of public transport systems in cities. Starting from a bus operation model, the possible electrification of two routes is analyzed, one urban and another extra-urban in the city of Pisa. An [...] Read more.
This article proposes a particular strategy to proceed with a progressive electrification of public transport systems in cities. Starting from a bus operation model, the possible electrification of two routes is analyzed, one urban and another extra-urban in the city of Pisa. An estimate is made of the energy uses associated with certain operating modes. The maximum level of consumption is estimated at approximately 280 kWh per day per bus for the urban route and excluding some special days, less than 215 kWh per day for the extra-urban route, for which a hybrid bus is proposed. Starting from an estimate of the daily consumption for the management of the two routes, the sizing of a photovoltaic (PV) plant distributed on some modular shelters which serves to power the same routes, is carried out. The resulting system has a power of the order of 190–200 kW. The modular solution is also outlined, and an installation is proposed. The analyzed case lends itself to being easily replicated. Full article
(This article belongs to the Topic Integration of Renewable Energy)
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17 pages, 2006 KiB  
Article
Does Active or Informative Messaging Result in Greater Conservation Engagement?
by Lily T. Maynard, Jennifer R. Torchalski, Zachariah J. Gezon, Karlisa A. Callwood, M. Andrew Stamper, Mandi W. Schook and Claire Martin
Conservation 2024, 4(2), 236-252; https://doi.org/10.3390/conservation4020016 (registering DOI) - 08 May 2024
Abstract
Strategic communication can motivate target audiences to take conservation action. Yet, whether audiences are motivated by more information or more influential visuals is unclear. Using online surveys, we compared different visual communication strategies using text, graphics, and photographs for encouraging parrotfish-friendly conservation behaviors [...] Read more.
Strategic communication can motivate target audiences to take conservation action. Yet, whether audiences are motivated by more information or more influential visuals is unclear. Using online surveys, we compared different visual communication strategies using text, graphics, and photographs for encouraging parrotfish-friendly conservation behaviors to see which one yields greater emotion, interest, and intended action. Experiment 1 explored whether a scientific-oriented poster would be more or less effective in promoting conservation behaviors than a graphical poster using social marketing techniques. Experiment 2 contrasted the two posters with a photograph and graphic icons without text against a blank control. Results revealed how engaging visuals can inspire reactions and behavioral intentions. The posters both elicited positive reactions, but with less text and content to process, the social marketing poster more efficiently inspired the desired reactions. This work highlights that conservation communications can strategically use psychology and graphics to efficiently inspire desired actions. Full article
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11 pages, 2019 KiB  
Article
Vector-Algebra Algorithms to Draw the Curve of Alignment, the Great Ellipse, the Normal Section, and the Loxodrome
by Thomas H. Meyer
Geomatics 2024, 4(2), 138-148; https://doi.org/10.3390/geomatics4020008 (registering DOI) - 08 May 2024
Abstract
This paper recasts four geodetic curves—the great ellipse, the normal section, the loxodrome, and the curve of alignment—into a parametric form of vector-algebra formula. These formulas allow these curves to be drawn using simple, efficient, and robust algorithms. The curve of alignment, which [...] Read more.
This paper recasts four geodetic curves—the great ellipse, the normal section, the loxodrome, and the curve of alignment—into a parametric form of vector-algebra formula. These formulas allow these curves to be drawn using simple, efficient, and robust algorithms. The curve of alignment, which seems to be quite obscure, ought not to be. Like the great ellipse and the loxodrome, and unlike the normal section, the curve of alignment from point A to point B (both on the same ellipsoid) is the same as the curve of alignment from point B to point A. The algorithm used to draw the curve of alignment is much simpler than any of the others and its shape is quite similar to that of the geodesic, which suggests it would be a practical surrogate when drawing these curves. Full article
(This article belongs to the Topic Geocomputation and Artificial Intelligence for Mapping)
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10 pages, 755 KiB  
Article
The Value of Adding Exosome-Based Prostate Intelliscore to Multiparametric Magnetic Resonance Imaging in Prostate Biopsy: A Retrospective Analysis
by Noah King, Jacob Lang, Sree Jambunathan, Conner Lombardi, Barbara Saltzman, Nadiminty Nagalakshmi and Puneet Sindhwani
Uro 2024, 4(2), 50-59; https://doi.org/10.3390/uro4020005 (registering DOI) - 08 May 2024
Abstract
Introduction: Currently, there is limited evidence for the relationship of Exosome-based Prostate Intelliscore (EPI) and multiparametric magnetic resonance imaging (mpMRI) in stratifying risk for clinically significant prostate cancer. Using a retrospective cohort study design, we sought to characterize the relationship between these two [...] Read more.
Introduction: Currently, there is limited evidence for the relationship of Exosome-based Prostate Intelliscore (EPI) and multiparametric magnetic resonance imaging (mpMRI) in stratifying risk for clinically significant prostate cancer. Using a retrospective cohort study design, we sought to characterize the relationship between these two noninvasive metrics and prostate biopsy outcome. Methods: Data were collected via electronic medical record for all patients who underwent EPI testing from 1 January 2019 to 3 February 2022 and had available medical records at a single mid-western university medical center. Positive test result was defined as >15.6 for EPI, ≥3 PI-RADS score and ≥3 + 4 Gleason Score for biopsy findings. Utility of EPI, mpMRI and combined use was characterized through calculation of sensitivity, specificity, positive predictive value, negative predictive value, and ROC analysis. Results: A total of 226 patients were identified as receiving EPI testing for risk stratification of clinically significant prostate cancer. Sensitivity for EPI was 91%, mpMRI was 90%, and the highest was combined use at 96%. With ROC analysis, AUC for EPI alone was 0.57 (95% CI, 0.47–0.67) and 0.78 (95% CI, 0.70–0.87) for mpMRI alone. With prior positive EPI result, AUC for combined use with mpMRI was 0.80 (95% CI, 0.71–0.89). Further subgroup analysis resulted in increased AUC values of EPI 0.67 (95% CI, 0.48–0.87), mpMRI 0.90 (95% CI, 0.76–1.0), and combined 0.90 (95% CI, 0.75–1.0) in the African American population. Discussion: We observed that the combined use of EPI and mpMRI led to an avoided biopsy in 43% of patients. Using both parameters increased the overall sensitivity and diagnostic accuracy in detecting clinically significant prostate cancer. The best test performance was observed in the African American cohort. Identifying optimal noninvasive tools to assess risk for prostate cancer is crucial to providing accurate and cost-effective care. Future study should utilize a prospective study design to further support the combined use of these metrics. Full article
(This article belongs to the Special Issue Urologic Oncology: Analysis and Treatment)
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32 pages, 10179 KiB  
Article
Contrastive Learning Framework for Bitcoin Crash Prediction
by Zhaoyan Liu, Min Shu and Wei Zhu
Stats 2024, 7(2), 402-433; https://doi.org/10.3390/stats7020025 (registering DOI) - 08 May 2024
Abstract
Due to spectacular gains during periods of rapid price increase and unpredictably large drops, Bitcoin has become a popular emergent asset class over the past few years. In this paper, we are interested in predicting the crashes of Bitcoin market. To tackle this [...] Read more.
Due to spectacular gains during periods of rapid price increase and unpredictably large drops, Bitcoin has become a popular emergent asset class over the past few years. In this paper, we are interested in predicting the crashes of Bitcoin market. To tackle this task, we propose a framework for deep learning time series classification based on contrastive learning. The proposed framework is evaluated against six machine learning (ML) and deep learning (DL) baseline models, and outperforms them by 15.8% in balanced accuracy. Thus, we conclude that the contrastive learning strategy significantly enhance the model’s ability of extracting informative representations, and our proposed framework performs well in predicting Bitcoin crashes. Full article
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30 pages, 10517 KiB  
Article
Electroencephalogram Functional Connectivity Analysis and Classification of Mental Arithmetic Working Memory Task
by Harshini Gangapuram and Vidya Manian
Signals 2024, 5(2), 296-325; https://doi.org/10.3390/signals5020016 (registering DOI) - 08 May 2024
Abstract
Analyzing brain activity during mental arithmetic tasks provides insight into psychological disorders such as ADHD, dyscalculia, and autism. While most research is conducted on the static functional connectivity of the brain while performing a cognitive task, the dynamic changes of the brain, which [...] Read more.
Analyzing brain activity during mental arithmetic tasks provides insight into psychological disorders such as ADHD, dyscalculia, and autism. While most research is conducted on the static functional connectivity of the brain while performing a cognitive task, the dynamic changes of the brain, which provide meaningful information for diagnosing individual differences in cognitive tasks, are often ignored. This paper aims to classify electroencephalogram (EEG) signals for rest vs. mental arithmetic task performance, using Bayesian functional connectivity features in the sensor space as inputs into a graph convolutional network. The subject-specific (intrasubject) classification performed on 36 subjects for rest vs. mental arithmetic task performance achieved the highest subject-specific classification accuracy of 98% and an average accuracy of 91% in the beta frequency band, outperforming state-of-the-art methods. In addition, statistical analysis confirms the consistency of Bayesian functional connectivity features compared to traditional functional connectivity features. Furthermore, the graph-theoretical analysis of functional connectivity networks reveals that good-performance subjects had higher global efficiency, betweenness centrality, and closeness centrality than bad-performance subjects. The ablation study on the classification of three cognitive states (subtraction, music, and memory) achieved a classification accuracy of 97%, and visual working memory (n-back task) achieved a classification accuracy of 94%, confirming the consistency and reliability of the proposed methodology. Full article
(This article belongs to the Special Issue Advancing Signal Processing and Analytics of EEG Signals)
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9 pages, 584 KiB  
Article
Bone Age Determination of Epiphyseal Fusion at Knee Joint and Its Correlation with Chronological Age
by Jihad A. M. Alzyoud, Eman Rababah, Mohammad H. O. Almuhaisen and Aiman I. Al-Qtaitat
Medicina 2024, 60(5), 779; https://doi.org/10.3390/medicina60050779 (registering DOI) - 08 May 2024
Abstract
Background and Objectives: Bone age determination is a valuable method for forensic and disaster identifications of unknown human remains, as well as for medical and surgical procedural purposes. This retrospective research study aimed to determine the age based on epiphyseal fusion stages and [...] Read more.
Background and Objectives: Bone age determination is a valuable method for forensic and disaster identifications of unknown human remains, as well as for medical and surgical procedural purposes. This retrospective research study aimed to determine the age based on epiphyseal fusion stages and investigate differences related to gender. Materials and Methods: X-rays of the knee were collected from medical imaging centers in hospitals in the south of Jordan and examined by two observers who determined the bone epiphyseal phase of closure for the femur, tibia, and fibula bone ends close to the knee based on a three-stage classification. Results: The main results revealed that females showed earlier epiphyseal union (Stage II) at the lower end of the femur and the upper ends of the tibia and fibula compared to males. In males, the start of complete union (Stage III) at knee bones was seen at the age of 17–18 years, while in females, it was seen at the age of 16–17 years. Additionally, knee bones showed complete union in 100% of males and females in the age groups 21–22 years and 20–21 years, respectively. Although females showed an earlier start and end of epiphyseal complete union than males, analysis of collected data showed no significant age differences between males and females at the three stages of epiphyseal union of the knee bones. Conclusions: Findings of the radiographic analysis of bone epiphyseal fusion at the knee joint are a helpful method for chronological age determination. This study supports the gender and ethnicity variation among different geographical locations. Studies with a high sample number would be needed to validate our findings. Full article
(This article belongs to the Section Orthopedics)
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12 pages, 1863 KiB  
Article
Endovascular Transvenous versus Open Femoropopliteal Bypass
by Roberts Rumba, Dainis Krievins, Natalija Ezite, Aigars Lacis, Ludovic Mouttet, Anda L. Vavere and Christopher K. Zarins
Medicina 2024, 60(5), 777; https://doi.org/10.3390/medicina60050777 (registering DOI) - 08 May 2024
Abstract
Background and Objectives: Lower extremity arterial disease is one of the most prevalent manifestations of atherosclerosis. The results from numerous studies regarding the best revascularization method of an occluded superficial femoral artery have been conflicting. The aim of this study was to [...] Read more.
Background and Objectives: Lower extremity arterial disease is one of the most prevalent manifestations of atherosclerosis. The results from numerous studies regarding the best revascularization method of an occluded superficial femoral artery have been conflicting. The aim of this study was to compare the patency of transvenous endovascular with open femoropopliteal bypass, both with vein and prosthetic grafts. To our knowledge, a direct patency comparison between transvenous endovascular and open femoropopliteal bypass has not been published. This could help elucidate which method is preferable and in which cases. Materials and Methods: Patients with complex TASC-C and D SFA lesions were offered endovascular transvenous or open bypass. A total of 384 consecutive patients with PAD requiring surgical treatment were evaluated for inclusion in this study. Three-year follow-up data were collected for 52 endovascular procedures, 80 prosthetic grafts, and 44 venous bypass surgeries. Bypass patency was investigated by Duplex US every 6 months. Kaplan–Meier plots were used to analyze primary, primary-assisted, and secondary patency for endovascular transvenous, autovenous, and prosthetic bypasses. Results: Primary, primary-assisted, and secondary patency in venous group at 3 years was 70.5%, 77.3%, and 77.3%, respectively. In the endovascular transvenous group, primary, primary-assisted, and secondary patency at 3 years was 46.2%, 69.2%, and 76.9%, respectively. The lowest patency rates at 3 years were noted in the prosthetic graft group with 22.5% primary, 26.6% primary-assisted, and 28.2% secondary patency. Conclusions: The saphenous vein is the best graft to perform in above-the-knee femoropopliteal bypass. Transvenous endovascular bypass is a viable option with comparable primary-assisted and secondary patency. Primary patency is substantially lower for endovascular transvenous compared to venous bypass. Patients treated with endovascular transvenous bypass will require a significant number of secondary procedures to provide optimal patency. Prosthetic grafts should only be used if no other option for bypass is available. Full article
(This article belongs to the Section Surgery)
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12 pages, 526 KiB  
Article
Cross-Cultural Adaptation and Validation of the Romanian Musculoskeletal Tumor Society Scoring System for Patients with Extremity Bone Sarcomas
by Adyb-Adrian Khal, Dragos Apostu, Rodica Cosnarovici, Sébastien Pesenti, Jean-Luc Jouve and Razvan-Catalin Mihu
Medicina 2024, 60(5), 778; https://doi.org/10.3390/medicina60050778 (registering DOI) - 08 May 2024
Abstract
Background and Objectives: Primary malignant bone tumors are rare lesions, and their complex treatment can lead to functional impairment. It is important to have a postoperative assessment tool for patients’ functional outcomes to be evaluated and to consequently adapt future treatments in the [...] Read more.
Background and Objectives: Primary malignant bone tumors are rare lesions, and their complex treatment can lead to functional impairment. It is important to have a postoperative assessment tool for patients’ functional outcomes to be evaluated and to consequently adapt future treatments in the pursuit of a continuous improvement of their quality of life. The Musculoskeletal Tumor Society Score (MSTS) is a validated specific system score that is used frequently in the follow-up of these patients. We found no information about a valid translated Romanian version of this score neither for the upper limb nor for the lower limb. We proposed in this study to translate the original version of the MSTS Score into Romanian and to perform validation analysis of the Romanian-language MSTS Score. Materials and Methods: We selected 48 patients who underwent limb-salvage surgery after resection of bone sarcomas. Patients were interrogated twice according to the translated Romanian version of the MSTS Score during their follow-up. The translation was performed according to the recommended guidelines. A total number of 96 questionnaires were valid for statistical analysis. Results: Internal consistency and reliability were good for both sets of questionnaires’ analytic measurements, with Cronbach’s alpha values of 0.848 (test) and 0.802 (retest). The test-retest evaluation proved to be statistically strong for reproducibility and validity with Spearman’s rho = 0.9 (p < 0.01, 95% CI). Conclusions: This study permitted the translation of this score and the validation of psychometric data. Our results showed that the Romanian version of the MSTS is a reliable means of assessment of the functional outcome of patients who received limb-salvage surgery for the upper and lower extremities. Full article
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16 pages, 5988 KiB  
Review
Economic and Social Impact of Huanglongbing on the Mexico Citrus Industry: A Review and Future Perspectives
by Hernán Villar-Luna, María Elena Santos-Cervantes, Edgar Antonio Rodríguez-Negrete, Jesús Méndez-Lozano and Norma Elena Leyva-López
Horticulturae 2024, 10(5), 481; https://doi.org/10.3390/horticulturae10050481 (registering DOI) - 08 May 2024
Abstract
The citrus industry is of great importance in Mexico, with an estimated production value of USD 2.4 billion and the potential to generate up to 28 million employees per year. Approximately 69,000 Mexican families depend on this sector. However, it is under serious [...] Read more.
The citrus industry is of great importance in Mexico, with an estimated production value of USD 2.4 billion and the potential to generate up to 28 million employees per year. Approximately 69,000 Mexican families depend on this sector. However, it is under serious threat from the disease known as Huanglongbing (HLB). The rapid spread of this disease has caused significant economic losses, impacted the livelihoods of citrus growers, and led to substantial job losses. Currently, HLB is not under control in Mexico, and as the management strategies applied have proven to be ineffective, yields have not been recovered to pre-HLB levels, and production costs have significantly increased. Therefore, it remains the most destructive citrus disease. This review paper describes the current situation of the disease, its economic and social impact, and the measures adopted for its management in Mexico. Future perspectives highlight advances in research based on new biotechnological tools as an eco-friendly management alternative. Practical suggestions to address HLB are also mentioned in our analysis. Full article
(This article belongs to the Special Issue The Diagnosis, Management, and Epidemiology of Plant Diseases)
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15 pages, 2600 KiB  
Article
Application of Opuntia ficus-indica Mucilage and Aloe Gel-Based Edible Coating to Enhance Postharvest Quality and Microbiological Aspects of Fresh Figs (Ficus carica L.)
by Giuseppe Sortino, Eugenia Guccione, Fabrizio Giuseppe Casales, Maria Lucia Valeria de Chiara, Roberta Passafiume, Alessandra Gallotta and Alessio Allegra
Horticulturae 2024, 10(5), 482; https://doi.org/10.3390/horticulturae10050482 (registering DOI) - 08 May 2024
Abstract
Fig is a widespread crop in southern Italy, highly valued for its sweet flavor. However, its consumption as a fresh product is limited to three to four days after harvest because of its high susceptibility to quality loss and microbial contamination. The combined [...] Read more.
Fig is a widespread crop in southern Italy, highly valued for its sweet flavor. However, its consumption as a fresh product is limited to three to four days after harvest because of its high susceptibility to quality loss and microbial contamination. The combined use of low temperature and a modified atmosphere is the traditional preservation method. However, several studies have shown that the use of Aloe arborescens or vera and O. ficus-indica (OFI) mucilage as an edible coating could reduce the microbial load and water loss, respectively. Therefore, our study aimed to evaluate the synergistic effects of Aloe gel (AG) and O. ficus-indica mucilage (OM) on the quality and safety of two fig cultivars, ‘San Giovanni’ and ‘Melanzana’, during cold storage at 4 °C. The main results showed the effectiveness of edible coatings on both fig cultivars. An AG coating significantly reduced the microbial load, while the OM treatment showed the ability to preserve firmness and reduce weight loss. In addition, the combined OM + AG treatment showed the same effects as the individual coating formulations, also improving visual appearance. Thus, the use of the synergetic coating formulation could be a natural way to reduce the microbial load, extending fresh fig fruit’s shelf life. Full article
(This article belongs to the Section Postharvest Biology, Quality, Safety, and Technology)
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16 pages, 2857 KiB  
Article
Natural Deep Eutectic Solvent-Based Ultrasound-Assisted Extraction of Flavonoids from Fagopyrum tataricum Bran
by Zhou Xu, Xiaomei Da, Jipeng Qu and Shiming Xiao
Separations 2024, 11(5), 145; https://doi.org/10.3390/separations11050145 (registering DOI) - 08 May 2024
Abstract
In this study, eleven kinds of flavonoids were identified from F. tataricum bran (FTB) by UPLC-Q-TOF-MS, and HPLC-DAD analysis revealed that four compounds, including rutin, quercetin, kaempferol, and nicotiflorin, were the most significant components. Subsequently, natural deep eutectic solvent-based ultrasound-assisted extraction (NADES-UAE) was [...] Read more.
In this study, eleven kinds of flavonoids were identified from F. tataricum bran (FTB) by UPLC-Q-TOF-MS, and HPLC-DAD analysis revealed that four compounds, including rutin, quercetin, kaempferol, and nicotiflorin, were the most significant components. Subsequently, natural deep eutectic solvent-based ultrasound-assisted extraction (NADES-UAE) was employed to extract flavonoids from FTB. Among the six kinds of NADES prepared, choline chloride–ethylene glycol (ChCl-EG) was identified as a promising candidate for extracting flavonoids due to its superior extraction performance. The extraction conditions were statistically investigated using response surface methodology conducted by Box-Behnken design (BBD). The optimal operational conditions were as follows: ultrasonic time 268 s, ultrasonic temperature 76 °C, and liquid–solid ratio 43 mL/g, which resulted in a high total flavonoid yield of 40.29 mg/g. Afterwards, the efficient extraction mechanism of NADES-UAE was comprehensively explored through FT-IR spectra, COSMO model, and microstructural analysis. In conclusion, NADES-UAE extraction is considered a green, efficient, and sustainable method for FTB flavonoids. Full article
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22 pages, 1164 KiB  
Systematic Review
Potential Environmental Reservoirs of Candida auris: A Systematic Review
by Isabel Silva, Isabel M. Miranda and Sofia Costa-de-Oliveira
J. Fungi 2024, 10(5), 336; https://doi.org/10.3390/jof10050336 (registering DOI) - 08 May 2024
Abstract
Candida auris, a multidrug-resistant yeast, poses significant challenges in healthcare settings worldwide. Understanding its environmental reservoirs is crucial for effective control strategies. This systematic review aimed to review the literature regarding the natural and environmental reservoirs of C. auris. Following the PRISMA [...] Read more.
Candida auris, a multidrug-resistant yeast, poses significant challenges in healthcare settings worldwide. Understanding its environmental reservoirs is crucial for effective control strategies. This systematic review aimed to review the literature regarding the natural and environmental reservoirs of C. auris. Following the PRISMA guidelines, published studies until October 2023 were searched in three databases: PubMed, Web of Science, and Scopus. Information regarding the origin, sampling procedure, methods for laboratory identification, and antifungal susceptibility was collected and analyzed. Thirty-three studies published between 2016 and 2023 in 15 countries were included and analyzed. C. auris was detected in various environments, including wastewater treatment plants, hospital patient care surfaces, and natural environments such as salt marshes, sand, seawater, estuaries, apples, and dogs. Detection methods varied, with molecular techniques often used alongside culture. Susceptibility profiles revealed resistance patterns. Phylogenetic studies highlight the potential of environmental strains to influence clinical infections. Despite methodological heterogeneity, this review provides valuable information for future research and highlights the need for standardized sampling and detection protocols to mitigate C. auris transmission. Full article
(This article belongs to the Collection Invasive Candidiasis)
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13 pages, 9090 KiB  
Article
Discriminating Glioblastoma from Normal Brain Tissue In Vivo Using Optical Coherence Tomography and Angiography: A Texture and Microvascular Analysis Approach
by Trung Nguyễn-Hoàng, Tai-Ang Wang, Chia-Heng Wu and Meng-Tsan Tsai
Photonics 2024, 11(5), 435; https://doi.org/10.3390/photonics11050435 (registering DOI) - 08 May 2024
Abstract
Brain tumors arise from abnormal cell growth in the brain. Glioblastoma, the most common and aggressive type, poses significant challenges for identification during surgery. The primary goal of this study is to identify and differentiate normal brain tissue from glioblastoma tissue using optical [...] Read more.
Brain tumors arise from abnormal cell growth in the brain. Glioblastoma, the most common and aggressive type, poses significant challenges for identification during surgery. The primary goal of this study is to identify and differentiate normal brain tissue from glioblastoma tissue using optical coherence tomography (OCT) and OCT angiography (OCTA). These techniques offer a non-invasive way to analyze the morphological and microvascular alternations associated with glioblastoma in an animal model. To monitor the changes in morphology and vascular distribution of brain tissue as glioblastoma tumors grow, time-series OCT and OCTA results were collected for comparison. Texture analysis of OCT images was proposed using the gray-level co-occurrence matrix (GLCM), from which homogeneity and variance were calculated as discriminative parameters. Additionally, OCTA was used to assess microvascular characteristics, including vessel diameter, density, and fractal dimension. The findings demonstrate that the proposed methods can effectively distinguish between normal and cancerous brain tissue in vivo. Full article
(This article belongs to the Special Issue Photonics: 10th Anniversary)
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14 pages, 4406 KiB  
Article
Amino Group-Driven Adsorption of Sodium p-Perfluorous Nonenoxybenzene Sulfonate in Water by the Modified Graphene Oxide
by Mengyuan Lu, Yang Liu, Xinning Zheng, Wenjuan Liu, Yang Liu, Jia Bao, Ao Feng, Yueyao Bao, Jiangyong Diao and Hongyang Liu
Toxics 2024, 12(5), 343; https://doi.org/10.3390/toxics12050343 (registering DOI) - 08 May 2024
Abstract
Sodium p-perfluorous nonenoxybenzene sulfonate (OBS) is one of the key alternatives to perfluoroalkyl substances (PFASs). Its widespread tendency has increased extensive contamination in the aquatic environment. However, the present treatment technology for OBS exhibited insignificant adsorption capacity and long adsorption time. In this [...] Read more.
Sodium p-perfluorous nonenoxybenzene sulfonate (OBS) is one of the key alternatives to perfluoroalkyl substances (PFASs). Its widespread tendency has increased extensive contamination in the aquatic environment. However, the present treatment technology for OBS exhibited insignificant adsorption capacity and long adsorption time. In this study, three proportions (1:5, 3:5, and 10:1) of chitosan-modified amino-driven graphene oxide (CS-GO) were innovated to strengthen the OBS adsorption capacity, compared with graphene oxide (GO) and graphene (GH). Through the characterization of SEM, BET, and FTIR, it was discovered that CS was synthetized on GO surfaces successfully with a low specific surface area. Subsequently, batch single influence factor studies on OBS removal from simulated wastewater were investigated. The optimum removal efficiency of OBS could be achieved up to 95.4% within 2 h when the adsorbent was selected as CS-GO (10:1), the dosage was 2 mg, and the pH was 3. The addition of inorganic ions could promote the adsorption efficiency of OBS. In addition, CS-GO presented the maximum adsorption energy due to additional functional groups of -NH3, and electrostatic interaction was the foremost motive for improving the adsorption efficiency of OBS. Moreover, OBS exhibited the fastest diffusion coefficient in the CS-GO-OBS solution, which is consistent with the fitting results of adsorption kinetics. Full article
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