The 2023 MDPI Annual Report has
been released!
 
10 pages, 519 KiB  
Review
Awareness of Pregnant Patients about Congenital Cytomegalovirus Infection—A Semi-Systematic Review
by Paweł Bartnik, Aleksandra Bender, Joanna Kacperczyk-Bartnik, Michał Ciebiera, Aleksandra Urban, Anna Sienko, Esra Bilir, Ewa Romejko-Wolniewicz and Jacek Sieńko
J. Clin. Med. 2024, 13(9), 2586; https://doi.org/10.3390/jcm13092586 (registering DOI) - 28 Apr 2024
Abstract
Background: Cytomegalovirus (CMV) infection represents a major issue worldwide, since it constitutes the most common viral congenital infection, with a prevalence of 0.58% and 1–5% in developed and developing countries, respectively. According to recent studies, prenatal treatment significantly decreases the risk of [...] Read more.
Background: Cytomegalovirus (CMV) infection represents a major issue worldwide, since it constitutes the most common viral congenital infection, with a prevalence of 0.58% and 1–5% in developed and developing countries, respectively. According to recent studies, prenatal treatment significantly decreases the risk of vertical CMV transmission, and early intervention may even prevent the termination of pregnancy. This study aimed to investigate the level of awareness of CMV among pregnant patients through a semi-systematic review. Methods: We included all of the original articles investigating knowledge and awareness about CMV infection among pregnant women. Our research included the PubMed database. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement, the Covidence system automatically guided us to screen the titles and/or abstracts, and then full-texts, followed by data extraction from the eligible studies. Results: We screened 764 studies altogether, with 13 studies included in this analysis. Knowledge about the existence of CMV infection risk varied between the articles, ranging from 11.4% in a study performed in Ireland to 60% reported in a study on the French population. Studies analyzing the impact of educational interventions on patients’ knowledge about preventive measures reported significant improvement compared to their level of awareness before the intervention. Conclusions: Patients’ awareness and knowledge about CMV seemed to be generally low or very low during the last decade before the development of effective secondary prevention methods. Educational interventions seem to be effective, and therefore their wide use could be of potential benefit. In the era of available secondary prevention of vertical transmission, it is crucial to concentrate the efforts of different stakeholders to increase the awareness of cCMV among pregnant women. Full article
(This article belongs to the Special Issue Clinical Outcomes in Maternal–Fetal Medicine)
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14 pages, 4237 KiB  
Article
XPS Investigation of Magnetization Reduction Behavior and Kinetics of Oolitic Hematite in Gas-Based Roasting
by Mengfei Li, Hanquan Zhang, Fan Yang, Tiejun Chen, Manman Lu and Hong Yu
Minerals 2024, 14(5), 462; https://doi.org/10.3390/min14050462 (registering DOI) - 28 Apr 2024
Abstract
Magnetization reduction roasting is an important method for the utilization of oolitic magnetite. In this study, the magnetization reduction behavior and kinetics of oolitic hematite in gas-based roasting were systematically investigated by X-ray photoelectron spectroscopy (XPS). The results revealed that under optimal roasting [...] Read more.
Magnetization reduction roasting is an important method for the utilization of oolitic magnetite. In this study, the magnetization reduction behavior and kinetics of oolitic hematite in gas-based roasting were systematically investigated by X-ray photoelectron spectroscopy (XPS). The results revealed that under optimal roasting conditions of 650 °C, a roasting time of 60 min, and a CO concentration of 30%, the magnetization reduction rate of the roasted product reached 44.34%. Furthermore, the weak magnetic separation concentrate presented a TFe of 58.09% and a concentrate iron recovery of 94.3%. The results of the XPS spectrum indicated that the peak area ratio (Fe2+/Fe3+) gradually increased with an increase in roasting temperature, roasting time, and CO concentration, while over-reduction occurred when the roasting temperature exceeded 750 °C. The investigation of magnetization roasting kinetics for varying particle sizes demonstrated that the magnetization reduction process is controlled by chemical reaction, with a corresponding activation energy range of 42.96 kJ/mol to 63.29 kJ/mol, indicating the particle size has little effect on the magnetization reduction of oolitic hematite. Full article
(This article belongs to the Special Issue Flotation of Fine-Grained Minerals)
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10 pages, 570 KiB  
Article
Distribution of BCR::ABL1 Transcripts in the Different Clinical Phases of Chronic Myeloid Leukemia: Effect on Hematological Parameters and Patient Survival
by Pablo Romero-Morelos, Ana Lilia González-Yebra, Anaid Herrerías-García, Francisco Arath Ruíz-Velázquez, Luis Jonathan Bueno-Rosario and Beatríz González-Yebra
Genes 2024, 15(5), 567; https://doi.org/10.3390/genes15050567 (registering DOI) - 28 Apr 2024
Abstract
Chronic myeloid leukemia (CML) is a hematopoietic stem cell disorder characterized by the presence of the Philadelphia chromosome, a product of the reciprocal translocation t(9;22)(q34;q11), in the BCR and ABL genes. These rearrangements in both genes lead to the formation of various fusion [...] Read more.
Chronic myeloid leukemia (CML) is a hematopoietic stem cell disorder characterized by the presence of the Philadelphia chromosome, a product of the reciprocal translocation t(9;22)(q34;q11), in the BCR and ABL genes. These rearrangements in both genes lead to the formation of various fusion mRNA products, with preferential expression of b2a2, b3a2, and other BCR::ABL1 mRNA variants, combined with additional chromosomal abnormalities. Notably, the distribution and frequency of different mRNA variants vary in different populations. However, studies concerning this in Mexico are limited, and the results have been inconclusive. This study therefore aimed to determine the distribution of BCR::ABL1 mRNA variants in different clinical phases of CML and their effect on hematological parameters and patient survival. This study included 33 patients, whose demographic, clinical, and molecular data on BCR::ABL1 mRNA variants and hematological parameters were collected to identify potential associations. A total of 84.8% (n = 28) of patients had BCR::ABL1 translocation and increased platelet and basophil counts. The most frequent mRNA variant was b3a2 (64.3%), followed by b2a2 (28.6%) and e1a2 (3.6%). Concerning the clinical phases of CML, 75.8% (n = 25), 21.2% (n = 7), and 3% (n = 1) of patients were in the chronic, blast, and accelerated phases, respectively. Moreover, the b3a2 mRNA variant was more commonly identified in patients in the chronic phase. No correlation was observed between mRNA variant expression and patient survival. However, b2a2 was indicative of patients with longer survival as well as those treated with imatinib or nilotinib. Additionally, platelet count could be a marker of BCR::ABL1 translocation. Full article
(This article belongs to the Special Issue Genomic Diagnosis of Human Cancer)
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4 pages, 156 KiB  
Editorial
Molecular Characterization of Gram-Negative Bacteria: Antimicrobial Resistance, Virulence and Epidemiology
by Theodoros Karampatakis
Antibiotics 2024, 13(5), 402; https://doi.org/10.3390/antibiotics13050402 (registering DOI) - 28 Apr 2024
Abstract
Multidrug-resistant (MDR), extensively drug-resistant (XDR) and pan-drug-resistant (PDR) Gram-negative bacteria constitute a huge public health problem [...] Full article
15 pages, 347 KiB  
Article
In Pursuit of BRST Symmetry and Observables in 4D Topological Gauge-Affine Gravity
by Oussama Abdelghafour Belarbi and Ahmed Meziane
Symmetry 2024, 16(5), 528; https://doi.org/10.3390/sym16050528 (registering DOI) - 28 Apr 2024
Abstract
The realization of a BRST cohomology of the 4D topological gauge-affine gravity is established in terms of a superconnection formalism. The identification of fields in the quantized theory occurs directly as is usual in terms of superconnection and its supercurvature components with the [...] Read more.
The realization of a BRST cohomology of the 4D topological gauge-affine gravity is established in terms of a superconnection formalism. The identification of fields in the quantized theory occurs directly as is usual in terms of superconnection and its supercurvature components with the double covering of the general affine group GA¯(4,R). Then, by means of an appropriate decomposition of the metalinear double-covering group SL¯(5,R) with respect to the general linear double-covering group GL¯(4,R), one can easily obtain the enlargements of the fields while remaining consistent with the BRST algebra. This leads to the descent equations, allowing us to build the observables of the theory by means of the BRST algebra constructed using a sa¯(5,R) algebra-valued superconnection. In particular, we discuss the construction of topological invariants with torsion. Full article
(This article belongs to the Special Issue Symmetries in Gravity Research: Classical and Quantum)
34 pages, 1530 KiB  
Article
Organizational Practices’ Role in Managing Open Innovation and Business Performance
by Nada Rabie, Ayman Moustafa and Fatima Al Ghaithi
Adm. Sci. 2024, 14(5), 87; https://doi.org/10.3390/admsci14050087 (registering DOI) - 28 Apr 2024
Abstract
Given the ever-changing world of technological advances, and due to the fact that business entities strive for efficiency and cost reduction, open innovation (OI) has become the focus of academic and scholarly discussions. Furthermore, to increase their competitiveness, small and medium enterprises (SMEs) [...] Read more.
Given the ever-changing world of technological advances, and due to the fact that business entities strive for efficiency and cost reduction, open innovation (OI) has become the focus of academic and scholarly discussions. Furthermore, to increase their competitiveness, small and medium enterprises (SMEs) have started implementing OI practices. This study aims to investigate the impact of SMEs’ internal organizational practices on OI and the impact of the latter on SMEs’ business performance. This quantitative study, which was based on gathering insights from SMEs, sought to answer two research questions related to the effects of organizational practices on the adoption and management of OI processes in SMEs and the role of OI in accelerating the business performance of SMEs. The findings revealed that not all SMEs’ internal organizational practices have a positive impact on both OI and SMEs’ business performance. This study is among the earliest studies in the UAE and GCC region to explore the impact of specific internal organizational practices on SME OI adoption and its business performance. The present study contributes theoretically and practically to OI literature and assists SME managers in evaluating their internal organizational practices’ suitability for OI adoption. Full article
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11 pages, 1244 KiB  
Article
Compared Block Periodized and Non-Periodized Physical Activity Programs in Older Adults
by Alejandro Moreno-Mateos, Fausto José Barbero Iglesias, Antonio Sánchez Muñoz, Yurena Gutiérrez Díaz and Carlos Moreno Pascual
Sports 2024, 12(5), 119; https://doi.org/10.3390/sports12050119 (registering DOI) - 28 Apr 2024
Abstract
Background: The periodization of physical exercise to optimize objectives is common in competitive sports. However, physical exercise programs for older adults only sometimes present periodization in their programming. Therefore, this article aims to research the results of applying the sports periodized method to [...] Read more.
Background: The periodization of physical exercise to optimize objectives is common in competitive sports. However, physical exercise programs for older adults only sometimes present periodization in their programming. Therefore, this article aims to research the results of applying the sports periodized method to older adults. Methods: A total of 137 participants over 60 years old performed a physical exercise program; 71 participated in a multi-component non-periodized program as the Control Group (CG), and 66 participated in a program periodized in blocks as the Experimental Group (EG). The block periodization program was oriented to the development of strength and was carried out in 86 sessions thrice weekly for eight months. Anthropometric assessments were made using weight, height, Body Mass Index, and electrical bioimpedance; and functional evaluations were made through standardized tests: Short Performance Physical Battery (SPPB), Timed Up & Go (TUG), handgrip, and a two-minute stair test. Results: After the intervention, the EG significantly improved TUG, weight, and BMI. On the other hand, the CG showed significant improvements in fat weight, BMI, and the 2 min stair test. The SPPB did not show changes after the intervention. Conclusion: The periodization of physical exercise for older adults does not significantly impact functional capacity in this population group. Full article
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12 pages, 1512 KiB  
Review
Dynamics of Cosmological Scalar Fields Revisited
by Jan-Willem van Holten
Universe 2024, 10(5), 197; https://doi.org/10.3390/universe10050197 (registering DOI) - 28 Apr 2024
Abstract
This paper reviews the dynamics of a single isotropic and homogeneous scalar field φ(t) in the context of cosmological models. A non-standard approach to the solution of the Einstein–Klein–Gordon equations is described which uses the scalar field as the evolution [...] Read more.
This paper reviews the dynamics of a single isotropic and homogeneous scalar field φ(t) in the context of cosmological models. A non-standard approach to the solution of the Einstein–Klein–Gordon equations is described which uses the scalar field as the evolution parameter for cosmic dynamics. General conclusions about the qualitative behaviour of the solutions can be drawn, and examples of how to obtain explicit solutions for some cosmological models of interest are given. For arbitrary potentials, analytical results can be obtained from the slow-roll approximation by using a series expansion for the Hubble parameter H[φ], from which a quantitative estimate for the number of e-folds of expansion is obtained. This approach is illustrated with the examples of quadratic potentials and hilltop models, with special consideration of Higgs-type potentials. The GUT-scale is shown to come out of such a model quite naturally. Finally, it is discussed how to find scalar potentials giving rise to a predetermined scalar-field behaviour and the associated evolution of the scale factor. Full article
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23 pages, 461 KiB  
Article
Socially Innovative Initiatives in Deprived Rural Areas of Germany, Ireland and Portugal: Exploring Empowerment and Impact on Community Development
by Gabriela Christmann, Ariane Sept and Ralph Richter
Societies 2024, 14(5), 58; https://doi.org/10.3390/soc14050058 (registering DOI) - 28 Apr 2024
Abstract
In many (remote) rural areas of Europe and the world, rural communities are facing various challenges. One response is residents leaving their communities. However, there are also many empirical examples of residents staying, launching project initiatives, developing new solutions and experimenting with new [...] Read more.
In many (remote) rural areas of Europe and the world, rural communities are facing various challenges. One response is residents leaving their communities. However, there are also many empirical examples of residents staying, launching project initiatives, developing new solutions and experimenting with new practices. This is what we call social innovation. What experiences do actors have in these processes? Can we speak of empowerment? To what extent can such initiatives have an impact on community development? In this article, we explore these questions, for which there is little related empirical research. By applying a multi-sited individualising comparison to case studies in three European countries (Germany, Ireland and Portugal), we obtain empirical evidence of the following dimensions of empowerment that Avelino et al. outline conceptually: the achievement of autonomy, competence and relatedness and also impact, meaning and resilience. Often, however, it is not the individual actors for whom such effects can be reported. Rather, the social initiative as such or the local administration has acquired new skills and autonomy. Regarding community development, ‘pathways to impact’, such as infrastructure improvements and/or the creation of new employment opportunities and/or the influx of new residents, could be identified. However, this development often depended on both opportunity and the cooperation and goodwill of many stakeholders. Full article
11 pages, 513 KiB  
Article
Interprofessional Faculty Development on Health Disparities: Engineering a Crossover “Jigsaw” Journal Club
by Jessica T. Servey and Gayle Haischer-Rollo
Educ. Sci. 2024, 14(5), 468; https://doi.org/10.3390/educsci14050468 (registering DOI) - 28 Apr 2024
Abstract
Medical education acknowledges our need to teach our physicians about “social determinants of health” and “health care disparities”. However, educators often lack actionable training to address this need. We describe a faculty development activity, a health disparities journal club, using the jigsaw strategy [...] Read more.
Medical education acknowledges our need to teach our physicians about “social determinants of health” and “health care disparities”. However, educators often lack actionable training to address this need. We describe a faculty development activity, a health disparities journal club, using the jigsaw strategy with the intent of increasing awareness, encouraging self-directed learning, and inspiring future teaching of the subject to health professional learners. We completed six workshops at six individual hospitals, with 95 total attendees in medicine and numerous other health professions. Our evaluation asked trainees to: report the number of journal articles about health disparities they had read, excluding the assigned journal club articles, in the past 12 months, and to predict future plans for reading about health disparities. In total, 28.9% responded they had “never read” a prior article on health or healthcare disparities, while 54.2% responded “1–5 articles”. Many (60%) reported they would continue to investigate this topic. Our experience has demonstrated the utility and positive impact of a “flipped classroom” jigsaw method, showing it can be used successfully in Inter-Professional (IPE) Faculty Development to increase active exposure and discussion of the content. Additionally, this method promotes individual reflection and enhances continued collective engagement. Full article
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43 pages, 752 KiB  
Article
“If You Can Change Your Name, You Can Write”: Pseudepigraphy in Antiquity and Its Function in 1 Apocryphal Apocalypse of John
by Cristian Daniel Cardozo Mindiola
Religions 2024, 15(5), 539; https://doi.org/10.3390/rel15050539 (registering DOI) - 28 Apr 2024
Abstract
This article attempts to answer the following question: why did the author of the apocryphon called 1 Apocryphal Apocalypse of John choose to efface himself and adopt John as his pseudonym? Why not Peter or Paul? This paper argues that the author of 1 Apocryphal Apocalypse of John intended to harness [...] Read more.
This article attempts to answer the following question: why did the author of the apocryphon called 1 Apocryphal Apocalypse of John choose to efface himself and adopt John as his pseudonym? Why not Peter or Paul? This paper argues that the author of 1 Apocryphal Apocalypse of John intended to harness the audience attached to John, the seer of Revelation, by taking his name as a pseudonym. This paper sustains this claim by demonstrating that, in antiquity, each author had a specific pool of readers, often made out of friends and accolades of the author. Thus, authors’ names evoke an audience attached to them. When an author takes another person’s name to write under, he does so out of necessity, because he does not have an audience. But, when he takes another’s person name, he does so hoping to trick the audience of the impersonated into reading him. Based on this insight, this article concludes that the author of 1 Apocr. Apoc. John wanted the readers of canonical Revelation to engage with his work and that he achieved his purpose as evinced by the fact that the titles of both works share an uncanny resemblance, ranging from identical titles to similar wording. Since titles in antiquity were given to the works by their readers, the most logical explanation for canonical Revelation and 1 Apocr. Apoc. John having the same titles is that they both shared the same readers. Finally, this article argues that, in line with recent research on the use of pseudepigraphy in Jewish, Christian, and Roman contexts, the author of 1 Apocr. Apoc. John wanted to be read by CR’s readers because he wanted to expand, criticize, rework, and update CR’s eschatological discourse, exemplified by a close reading of how 1 Apocr. Apoc. John criticized, reworked, and updated CR’s presentation of the resurrection to bring it in harmony with late Christian reflection on the subject. Full article
(This article belongs to the Section Religions and Theologies)
16 pages, 22645 KiB  
Article
Selective Targeting of α4β7/MAdCAM-1 Axis Suppresses Fibrosis Progression by Reducing Proinflammatory T Cell Recruitment to the Liver
by Biki Gupta, Ravi Prakash Rai, Pabitra B. Pal, Daniel Rossmiller, Sudrishti Chaudhary, Anna Chiaro, Shannon Seaman, Aatur D. Singhi, Silvia Liu, Satdarshan P. Monga, Smita S. Iyer and Reben Raeman
Cells 2024, 13(9), 756; https://doi.org/10.3390/cells13090756 (registering DOI) - 27 Apr 2024
Abstract
Integrin α4β7+ T cells perpetuate tissue injury in chronic inflammatory diseases, yet their role in hepatic fibrosis progression remains poorly understood. Here, we report increased accumulation of α4β7+ T cells in the liver of people [...] Read more.
Integrin α4β7+ T cells perpetuate tissue injury in chronic inflammatory diseases, yet their role in hepatic fibrosis progression remains poorly understood. Here, we report increased accumulation of α4β7+ T cells in the liver of people with cirrhosis relative to disease controls. Similarly, hepatic fibrosis in the established mouse model of CCl4-induced liver fibrosis was associated with enrichment of intrahepatic α4β7+ CD4 and CD8 T cells. Monoclonal antibody (mAb)-mediated blockade of α4β7 or its ligand mucosal addressin cell adhesion molecule (MAdCAM)-1 attenuated hepatic inflammation and prevented fibrosis progression in CCl4-treated mice. Improvement in liver fibrosis was associated with a significant decrease in the infiltration of α4β7+ CD4 and CD8 T cells, suggesting that α4β7/MAdCAM-1 axis regulates both CD4 and CD8 T cell recruitment to the fibrotic liver, and α4β7+ T cells promote hepatic fibrosis progression. Analysis of hepatic α4β7+ and α4β7- CD4 T cells revealed that α4β7+ CD4 T cells were enriched for markers of activation and proliferation, demonstrating an effector phenotype. The findings suggest that α4β7+ T cells play a critical role in promoting hepatic fibrosis progression, and mAb-mediated blockade of α4β7 or MAdCAM-1 represents a promising therapeutic strategy for slowing hepatic fibrosis progression in chronic liver diseases. Full article
13 pages, 669 KiB  
Systematic Review
HER2 Overexpression in Periampullary Tumors According to Anatomical and Histological Classification—A Systematic Review
by Ioan Cătălin Bodea, Andra Ciocan, Florin Vasile Zaharie, Raluca Bodea, Florin Graur, Ștefan Ursu, Răzvan Alexandru Ciocan and Nadim Al Hajjar
J. Pers. Med. 2024, 14(5), 463; https://doi.org/10.3390/jpm14050463 (registering DOI) - 27 Apr 2024
Abstract
Pancreatic cancer is one of the most aggressive, heterogeneous, and fatal types of human cancer; therefore, more effective therapeutic drugs are urgently needed. Human epidermal growth factor receptor 2 (HER2) overexpression and amplification have been identified as a cornerstone in this pathology. The [...] Read more.
Pancreatic cancer is one of the most aggressive, heterogeneous, and fatal types of human cancer; therefore, more effective therapeutic drugs are urgently needed. Human epidermal growth factor receptor 2 (HER2) overexpression and amplification have been identified as a cornerstone in this pathology. The aim of this review is to identify HER2 membrane overexpression in relation to pancreatic cancer pathways that can be used in order to develop a targeted therapy. After searching the keywords, 174 articles were found during a time span of 10 years, between 2013 and 2023, but only twelve scientific papers were qualified for this investigation. The new era of biomolecular research found a significant relationship between HER2 overexpression and pancreatic cancer cells in 25–30% of cases. The variables are dependent on tumor-derived cells, with differences in receptor overexpression between PDAC (pancreatic ductal adenocarcinoma), BTC (biliary tract cancer), ampullary carcinoma, and PNETs (pancreatic neuroendocrine tumors). HER2 overexpression is frequently encountered in human pancreatic carcinoma cell lines, and the ERBB family is one of the targets in the near future of therapy, with good results in phase I, II, and III studies evaluating downregulation and tumor downstaging, respectively. Full article
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12 pages, 5232 KiB  
Article
Vertebral and Femoral Bone Mineral Density (BMD) Assessment with Dual-Energy CT versus DXA Scan in Postmenopausal Females
by Luca Pio Stoppino, Stefano Piscone, Sara Saccone, Saul Alberto Ciccarelli, Luca Marinelli, Paola Milillo, Crescenzio Gallo, Luca Macarini and Roberta Vinci
J. Imaging 2024, 10(5), 104; https://doi.org/10.3390/jimaging10050104 (registering DOI) - 27 Apr 2024
Abstract
This study aimed to demonstrate the potential role of dual-energy CT in assessing bone mineral density (BMD) using hydroxyapatite–fat material pairing in postmenopausal women. A retrospective study was conducted on 51 postmenopausal female patients who underwent DXA and DECT examinations for other clinical [...] Read more.
This study aimed to demonstrate the potential role of dual-energy CT in assessing bone mineral density (BMD) using hydroxyapatite–fat material pairing in postmenopausal women. A retrospective study was conducted on 51 postmenopausal female patients who underwent DXA and DECT examinations for other clinical reasons. DECT images were acquired with spectral imaging using a 256-slice system. These images were processed and visualized using a HAP–fat material pair. Statistical analysis was performed using the Bland–Altman method to assess the agreement between DXA and DECT HAP–fat measurements. Mean BMD, vertebral, and femoral T-scores were obtained. For vertebral analysis, the Bland–Altman plot showed an inverse correlation (R2: −0.042; RMSE: 0.690) between T-scores and DECT HAP–fat values for measurements from L1 to L4, while a good linear correlation (R2: 0.341; RMSE: 0.589) was found for measurements at the femoral neck. In conclusion, we demonstrate the enhanced importance of BMD calculation through DECT, finding a statistically significant correlation only at the femoral neck where BMD results do not seem to be influenced by the overlap of the measurements on cortical and trabecular bone. This outcome could be beneficial in the future by reducing radiation exposure for patients already undergoing follow-up for chronic conditions. Full article
(This article belongs to the Section Medical Imaging)
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11 pages, 1425 KiB  
Article
Aspergillus Sinusitis: Risk Factors and Phenotyping
by Lena Hafrén, Riitta Saarinen, Rane Kurimo, Milla Viljanen and Marie Lundberg
J. Clin. Med. 2024, 13(9), 2579; https://doi.org/10.3390/jcm13092579 (registering DOI) - 27 Apr 2024
Abstract
Background: Aspergillus can cause fungal rhinosinusitis (FRS). We aimed to identify risk factors for sinonasal Aspergillus disease. Methods: Patients with a positive sinonasal mycological culture for Aspergillus species diagnosed in our hospital located in a continental climate were included in the 9-year [...] Read more.
Background: Aspergillus can cause fungal rhinosinusitis (FRS). We aimed to identify risk factors for sinonasal Aspergillus disease. Methods: Patients with a positive sinonasal mycological culture for Aspergillus species diagnosed in our hospital located in a continental climate were included in the 9-year retrospective study. Results: Of the 86 patients, 3 had invasive FRS (IFRS), 51 had fungal ball (FB) disease, and 32 had chronic rhinosinusitis with fungus (CFRS). In the IFRS group, all patients had a malignancy and were immunocompromised. Allergies, allergic rhinitis, asthma, nasal polyps, and the use of inhaled and nasal steroids were more common in the CFRS group, and IgE levels were greater than those in the FB and IRFS groups (p < 0.05). Conclusion: FB disease is a relatively symptom-free single-sinus disease among elderly individuals, and IFRS is dominant among immunocompromised patients. We discovered a third patient group, predominantly with nasal polyps, atopy, asthma, and elevated blood IgE and eosinophils, that did not fulfill the allergic FRS (AFRS) criteria. It is possible that a less fulminant category of underdiagnosed AFRS exists in cold climates. Treatment with local debridement is usually sufficient for FRS, apart from IFRS, and relapses are not common in cold climates. Full article
(This article belongs to the Section Otolaryngology)
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18 pages, 3109 KiB  
Article
Development, High-Throughput Profiling, and Biopanning of a Large Phage Display Single-Domain Antibody Library
by Hee Eon Lee, Ah Hyun Cho, Jae Hyeon Hwang, Ji Woong Kim, Ha Rim Yang, Taehoon Ryu, Yushin Jung and Sukmook Lee
Int. J. Mol. Sci. 2024, 25(9), 4791; https://doi.org/10.3390/ijms25094791 (registering DOI) - 27 Apr 2024
Abstract
Immunoglobulin G-based monoclonal antibodies (mAbs) have been effective in treating various diseases, but their large molecular size can limit their penetration of tissue and efficacy in multifactorial diseases, necessitating the exploration of alternative forms. In this study, we constructed a phage display library [...] Read more.
Immunoglobulin G-based monoclonal antibodies (mAbs) have been effective in treating various diseases, but their large molecular size can limit their penetration of tissue and efficacy in multifactorial diseases, necessitating the exploration of alternative forms. In this study, we constructed a phage display library comprising single-domain antibodies (sdAbs; or “VHHs”), known for their small size and remarkable stability, using a total of 1.6 × 109 lymphocytes collected from 20 different alpacas, resulting in approximately 7.16 × 1010 colonies. To assess the quality of the constructed library, next-generation sequencing-based high-throughput profiling was performed, analyzing approximately 5.65 × 106 full-length VHH sequences, revealing 92% uniqueness and confirming the library’s diverse composition. Systematic characterization of the library revealed multiple sdAbs with high affinity for three therapeutically relevant antigens. In conclusion, our alpaca sdAb phage display library provides a versatile resource for diagnostics and therapeutics. Furthermore, the library’s vast natural VHH antibody repertoire offers insights for generating humanized synthetic sdAb libraries, further advancing sdAb-based therapeutics. Full article
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28 pages, 7627 KiB  
Review
Tailoring FXR Modulators for Intestinal Specificity: Recent Progress and Insights
by Amanda Morrison and Bahaa Elgendy
Molecules 2024, 29(9), 2022; https://doi.org/10.3390/molecules29092022 (registering DOI) - 27 Apr 2024
Abstract
While FXR has shown promise in regulating bile acid synthesis and maintaining glucose and lipid homeostasis, undesired side effects have been observed in clinical trials. To address this issue, the development of intestinally restricted FXR modulators has gained attention as a new avenue [...] Read more.
While FXR has shown promise in regulating bile acid synthesis and maintaining glucose and lipid homeostasis, undesired side effects have been observed in clinical trials. To address this issue, the development of intestinally restricted FXR modulators has gained attention as a new avenue for drug design with the potential for safer systematic effects. Our review examines all currently known intestinally restricted FXR ligands and provides insights into the steps taken to enhance intestinal selectivity. Full article
(This article belongs to the Section Medicinal Chemistry)
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27 pages, 17519 KiB  
Article
VizNav: A Modular Off-Policy Deep Reinforcement Learning Framework for Vision-Based Autonomous UAV Navigation in 3D Dynamic Environments
by Fadi AlMahamid  and Katarina Grolinger 
Drones 2024, 8(5), 173; https://doi.org/10.3390/drones8050173 (registering DOI) - 27 Apr 2024
Abstract
Unmanned aerial vehicles (UAVs) provide benefits through eco-friendliness, cost-effectiveness, and reduction of human risk. Deep reinforcement learning (DRL) is widely used for autonomous UAV navigation; however, current techniques often oversimplify the environment or impose movement restrictions. Additionally, most vision-based systems lack precise depth [...] Read more.
Unmanned aerial vehicles (UAVs) provide benefits through eco-friendliness, cost-effectiveness, and reduction of human risk. Deep reinforcement learning (DRL) is widely used for autonomous UAV navigation; however, current techniques often oversimplify the environment or impose movement restrictions. Additionally, most vision-based systems lack precise depth perception, while range finders provide a limited environmental overview, and LiDAR is energy-intensive. To address these challenges, this paper proposes VizNav, a modular DRL-based framework for autonomous UAV navigation in dynamic 3D environments without imposing conventional mobility constraints. VizNav incorporates the Twin Delayed Deep Deterministic Policy Gradient (TD3) algorithm with Prioritized Experience Replay and Importance Sampling (PER) to improve performance in continuous action spaces and mitigate overestimations. Additionally, VizNav employs depth map images (DMIs) to enhance visual navigation by accurately estimating objects’ depth information, thereby improving obstacle avoidance. Empirical results show that VizNav, by leveraging TD3, improves navigation, and the inclusion of PER and DMI further boosts performance. Furthermore, the deployment of VizNav across various experimental settings confirms its flexibility and adaptability. The framework’s architecture separates the agent’s learning from the training process, facilitating integration with various DRL algorithms, simulation environments, and reward functions. This modularity creates a potential to influence RL simulation in various autonomous navigation systems, including robotics control and autonomous vehicles. Full article
14 pages, 1534 KiB  
Review
Vitamin Nutritional Status in Patients with Pancreatic Cancer: A Narrative Review
by Elena Azzini, Tiziano Furini, Angela Polito, Luca Scalfi, Alessandro Pinto, Valeria Gasperi, Isabella Savini and on behalf of the SINU “Nutrition in Oncology” Working Group
Int. J. Mol. Sci. 2024, 25(9), 4773; https://doi.org/10.3390/ijms25094773 (registering DOI) - 27 Apr 2024
Abstract
Due to the high mortality rate in Western countries, pancreatic cancer is considered one of the big killers, leaving patients and their families with little hope upon diagnosis. Although surgical and drug therapies are critical for cancer patients to improve life expectancy [...] Read more.
Due to the high mortality rate in Western countries, pancreatic cancer is considered one of the big killers, leaving patients and their families with little hope upon diagnosis. Although surgical and drug therapies are critical for cancer patients to improve life expectancy and alleviation of suffering, nutrition plays a key role in improving cancer treatment outcomes. This narrative review, conducted as part of the activities of the Italian Society of Human Nutrition (SINU) working group in oncology, focuses on the prevalence of vitamin malnutrition among pancreatic cancer patients. The results of the literature search show that pancreatic cancer patients are at a heightened risk of water-soluble vitamin deficiencies, particularly of vitamins B1, B3, and B6. Additionally, they also face an increased risk of deficiency of fat-soluble vitamins. Among these vitamins, the potential role of vitamin D in pancreatic cancer has garnered the most attention, with its plasma levels being identified as a significant factor in patient survival. Investigating vitamin nutritional status could provide valuable insights for incorporating nutritional approaches into the prevention and treatment of pancreatic cancer, thereby reducing the exacerbation of symptoms associated with the diagnosis. Full article
(This article belongs to the Section Molecular Endocrinology and Metabolism)
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10 pages, 402 KiB  
Article
µ-Integrable Functions and Weak Convergence of Probability Measures in Complete Paranormed Spaces
by Renying Zeng
Mathematics 2024, 12(9), 1333; https://doi.org/10.3390/math12091333 (registering DOI) - 27 Apr 2024
Abstract
This paper works with functions defined in metric spaces and takes values in complete paranormed vector spaces or in Banach spaces, and proves some necessary and sufficient conditions for weak convergence of probability measures. Our main result is as follows: Let X be [...] Read more.
This paper works with functions defined in metric spaces and takes values in complete paranormed vector spaces or in Banach spaces, and proves some necessary and sufficient conditions for weak convergence of probability measures. Our main result is as follows: Let X be a complete paranormed vector space and Ω an arbitrary metric space, then a sequence {μn} of probability measures is weakly convergent to a probability measure μ if and only if limnΩg(s)dμn=Ωg(s)dμ for every bounded continuous function g: Ω → X. A special case is as the following: if X is a Banach space, Ω an arbitrary metric space, then {μn} is weakly convergent to μ if and only if limnΩg(s)dμn=Ωg(s)dμ for every bounded continuous function g: Ω → X. Our theorems and corollaries in the article modified or generalized some recent results regarding the convergence of sequences of measures. Full article
(This article belongs to the Special Issue Functional Analysis and Mathematical Optimization)
16 pages, 1207 KiB  
Article
Acute Effects of Combining Weight and Elastic Resistance Exercise on Vascular Function in Older Adults
by Kampanart Paditsaeree and Witid Mitranun
Geriatrics 2024, 9(3), 56; https://doi.org/10.3390/geriatrics9030056 (registering DOI) - 27 Apr 2024
Abstract
Prior research has suggested that resistance exercise may result in a temporary decrease in vascular function, as measured by flow-mediated dilation (FMD), among untrained young individuals. However, the immediate impact of combined elastic and weight resistance training on older adults remains insufficiently explored. [...] Read more.
Prior research has suggested that resistance exercise may result in a temporary decrease in vascular function, as measured by flow-mediated dilation (FMD), among untrained young individuals. However, the immediate impact of combined elastic and weight resistance training on older adults remains insufficiently explored. We assessed vascular function before, after, and 30 min after acute exercise under three resistance conditions to evaluate whether a combination of weight and elastic resistance exercises has an acute effect on vascular function in older adults. Fourteen older adults (65.6 ± 2.9 years) executed three sets of 12 repetitions at 65% of one repetition maximum (1 RM) of the bench press (BP) exercise. Testing was performed on three separate days as follows: (1) barbell alone (BA); (2) barbell plus elastic bands (10% of 65% 1 RM) (BE10); and (3) barbell plus elastic bands (20% of 65% 1 RM) (BE20). A two-way (time × condition) repeated measures analysis of variance was employed to assess the time and condition effects on flow-mediated dilation (FMD) and pulse wave velocity (PWV). At 0 min post-exercise, FMD was significantly higher during BE10 than during BA (p < 0.05); however, at 30 min post-exercise, no significant difference (p ≥ 0.05) was observed between the three conditions. In each condition, FMD results did not differ significantly at different times (p ≥ 0.05). For FMD, the main effect of the condition (F[2,26] = 3.86, p = 0.034) and that of the time and condition (F[4,52] = 3.66, p = 0.011) were significant. For PWV, only the difference between the BA and BE10 conditions was significant at 0 min (p < 0.05). PWV increased from baseline in the BA condition (p < 0.05) but not significantly in the BE10 and BE20 conditions (p ≥ 0.05). Therefore, BA, BE10, and BE20 demonstrated various changes in vascular function. Long-term training intervention studies are needed to validate these findings. Full article
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24 pages, 1925 KiB  
Article
EGCG Disrupts the LIN28B/Let-7 Interaction and Reduces Neuroblastoma Aggressiveness
by Simona Cocchi, Valentina Greco, Viktoryia Sidarovich, Jacopo Vigna, Francesca Broso, Diana Corallo, Jacopo Zasso, Angela Re, Emanuele Filiberto Rosatti, Sara Longhi, Andrea Defant, Federico Ladu, Vanna Sanna, Valentina Adami, Vito G. D’Agostino, Mattia Sturlese, Mario Sechi, Sanja Aveic, Ines Mancini, Denise Sighel and Alessandro Quattroneadd Show full author list remove Hide full author list
Int. J. Mol. Sci. 2024, 25(9), 4795; https://doi.org/10.3390/ijms25094795 (registering DOI) - 27 Apr 2024
Abstract
Neuroblastoma (NB) is the most commonly diagnosed extracranial solid tumor in children, accounting for 15% of all childhood cancer deaths. Although the 5-year survival rate of patients with a high-risk disease has increased in recent decades, NB remains a challenge in pediatric oncology, [...] Read more.
Neuroblastoma (NB) is the most commonly diagnosed extracranial solid tumor in children, accounting for 15% of all childhood cancer deaths. Although the 5-year survival rate of patients with a high-risk disease has increased in recent decades, NB remains a challenge in pediatric oncology, and the identification of novel potential therapeutic targets and agents is an urgent clinical need. The RNA-binding protein LIN28B has been identified as an oncogene in NB and is associated with a poor prognosis. Given that LIN28B acts by negatively regulating the biogenesis of the tumor suppressor let-7 miRNAs, we reasoned that selective interference with the LIN28B/let-7 miRNA interaction would increase let-7 miRNA levels, ultimately leading to reduced NB aggressiveness. Here, we selected (−)-epigallocatechin 3-gallate (EGCG) out of 4959 molecules screened as the molecule with the best inhibitory activity on LIN28B/let-7 miRNA interaction and showed that treatment with PLC/PLGA-PEG nanoparticles containing EGCG (EGCG-NPs) led to an increase in mature let-7 miRNAs and a consequent inhibition of NB cell growth. In addition, EGCG-NP pretreatment reduced the tumorigenic potential of NB cells in vivo. These experiments suggest that the LIN28B/let-7 miRNA axis is a good therapeutic target in NB and that EGCG, which can interfere with this interaction, deserves further preclinical evaluation. Full article
26 pages, 4105 KiB  
Article
Prediction and Optimization of Heat Transfer Performance of Premixed Methane Impinging Flame Jet Using the Kriging Model and Genetic Algorithm
by Xiang-Xin Chen, Ray-Bing Chen and Chih-Yung Wu
Appl. Sci. 2024, 14(9), 3731; https://doi.org/10.3390/app14093731 (registering DOI) - 27 Apr 2024
Abstract
In practical applications, rapid prediction and optimization of heat transfer performance are essential for premixed methane impinging flame jets (PMIFJs). This study uses computational fluid dynamics (CFD) combined with a methane detailed chemical reaction mechanism (GRI–Mech 3.0) to study the equivalence ratio ( [...] Read more.
In practical applications, rapid prediction and optimization of heat transfer performance are essential for premixed methane impinging flame jets (PMIFJs). This study uses computational fluid dynamics (CFD) combined with a methane detailed chemical reaction mechanism (GRI–Mech 3.0) to study the equivalence ratio (Φ), Reynolds number (Re) of the mixture, and the normalized nozzle–to–plate distance (H/d) on the heat transfer performance of PMIFJs. Moreover, the Kriging model (KM) was used to construct a prediction model of PMIFJ heat transfer performance. A genetic algorithm (GA) was used to determine the maximum likelihood function (MLE) of the model parameters for constructing KM and identify the points with the maximum root mean square error (RMSE) as the new infilled points for surrogate–based optimization (SBO). Combining these methods to analyze the simulation results, the results show that the global heat transfer performance of PMIFJs is enhanced with the increase in Φ, the increase in Re, and the decrease in H/d. Sensitivity analysis points out that Re and Φ significantly affect enhanced heat transfer, while H/d has a relatively small effect. In addition, GA was also used to search for the optimal heat transfer performance, and the global heat transfer performance at specific conditions was significantly enhanced. This study deepens the understanding of the heat transfer mechanism of impinging flame jets and provides an efficient method framework for practical applications. Full article
(This article belongs to the Topic Applied Heat Transfer)

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