The 2023 MDPI Annual Report has
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16 pages, 930 KiB  
Article
Multidrug-Resistant Bacteria in Surgical Intensive Care Units: Antibiotic Susceptibility and β-Lactamase Characterization
by Daniela Bandić Pavlović, Mladen Pospišil, Marina Nađ, Vilena Vrbanović Mijatović, Josefa Luxner, Gernot Zarfel, Andrea Grisold, Dinko Tonković, Mirela Dobrić and Branka Bedenić
Pathogens 2024, 13(5), 411; https://doi.org/10.3390/pathogens13050411 (registering DOI) - 15 May 2024
Abstract
Multidrug-resistant (MDR) bacteria of the utmost importance are extended-spectrum β-lactamase (ESBL) and carbapenemase-producing Enterobacterales (CRE), carbapenem-resistant Acinetobacter baumannii (CRAB), carbapenem-resistant Pseudomonas aeruginosa (CRPA), methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus spp. (VRE). In this study, an evaluation of MDR bacteria in surgical intensive [...] Read more.
Multidrug-resistant (MDR) bacteria of the utmost importance are extended-spectrum β-lactamase (ESBL) and carbapenemase-producing Enterobacterales (CRE), carbapenem-resistant Acinetobacter baumannii (CRAB), carbapenem-resistant Pseudomonas aeruginosa (CRPA), methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus spp. (VRE). In this study, an evaluation of MDR bacteria in surgical intensive care units in a tertiary referral hospital was conducted. The study aimed to characterize β-lactamases and other resistance traits of Gram-negative bacteria isolated in surgical intensive care units (ICUs). Disk diffusion and the broth dilution method were used for antibiotic susceptibility testing, whereas ESBL screening was performed through a double disk synergy test and an inhibitor-based test with clavulanic acid. A total of 119 MDR bacterial isolates were analysed. ESBL production was observed in half of the Proteus mirabilis, 90% of the Klebsiella pneumoniae and all of the Enterobacter cloacae, P. mirabilis and Escherichia coli isolates. OXA-48 carbapenemase, carried by the L plasmid, was detected in 34 K. pneumoniae and one E. coli and Enterobacter cloacae complex isolates, whereas NDM occurred sporadically and was identified in three K. pneumoniae isolates. OXA-48 positive isolates coharboured ESBLs belonging to the CTX-M family in all but one isolate. OXA-23 carbapenemase was confirmed in all A. baumannii isolates. The findings of this study provide valuable insight of resistance determinants of Enterobacterales and A. baumannii which will enhance surveillance and intervention strategies that are necessary to curb the ever-growing carbapenem resistance rates. Full article
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Article
Semantic Augmentation in Chinese Adversarial Corpus for Discourse Relation Recognition Based on Internal Semantic Elements
by Zheng Hua, Ruixia Yang, Yanbin Feng and Xiaojun Yin
Electronics 2024, 13(10), 1944; https://doi.org/10.3390/electronics13101944 (registering DOI) - 15 May 2024
Abstract
This paper proposes incorporating linguistic semantic information into discourse relation recognition and constructing a Semantic Augmented Chinese Discourse Corpus (SACA) comprising 9546 adversative complex sentences. In adversative complex sentences, we suggest a quadruple (P, Q, R, Qβ) [...] Read more.
This paper proposes incorporating linguistic semantic information into discourse relation recognition and constructing a Semantic Augmented Chinese Discourse Corpus (SACA) comprising 9546 adversative complex sentences. In adversative complex sentences, we suggest a quadruple (P, Q, R, Qβ) representing internal semantic elements, where the semantic opposition between Q and Qβ forms the basis of the adversative relationship. P denotes the premise, and R represents the adversative reason. The overall annotation approach of this corpus follows the Penn Discourse Treebank (PDTB), except for the classification of senses. We combined insights from the Chinese Discourse Treebank (CDTB) and obtained eight sense categories for Chinese adversative complex sentences. Based on this corpus, we explore the relationship between sense classification and internal semantic elements within our newly proposed Chinese Adversative Discourse Relation Recognition (CADRR) task. Leveraging deep learning techniques, we constructed various classification models and the model that utilizes internal semantic element features, demonstrating their effectiveness and the applicability of our SACA corpus. Compared with pre-trained models, our model incorporates internal semantic element information to achieve state-of-the-art performance. Full article
(This article belongs to the Special Issue Data Mining Applied in Natural Language Processing)
16 pages, 299 KiB  
Article
Model Selection for Exponential Power Mixture Regression Models
by Yunlu Jiang, Jiangchuan Liu, Hang Zou and Xiaowen Huang
Entropy 2024, 26(5), 422; https://doi.org/10.3390/e26050422 (registering DOI) - 15 May 2024
Abstract
Finite mixture of linear regression (FMLR) models are among the most exemplary statistical tools to deal with various heterogeneous data. In this paper, we introduce a new procedure to simultaneously determine the number of components and perform variable selection for the different regressions [...] Read more.
Finite mixture of linear regression (FMLR) models are among the most exemplary statistical tools to deal with various heterogeneous data. In this paper, we introduce a new procedure to simultaneously determine the number of components and perform variable selection for the different regressions for FMLR models via an exponential power error distribution, which includes normal distributions and Laplace distributions as special cases. Under some regularity conditions, the consistency of order selection and the consistency of variable selection are established, and the asymptotic normality for the estimators of non-zero parameters is investigated. In addition, an efficient modified expectation-maximization (EM) algorithm and a majorization-maximization (MM) algorithm are proposed to implement the proposed optimization problem. Furthermore, we use the numerical simulations to demonstrate the finite sample performance of the proposed methodology. Finally, we apply the proposed approach to analyze a baseball salary data set. Results indicate that our proposed method obtains a smaller BIC value than the existing method. Full article
(This article belongs to the Section Information Theory, Probability and Statistics)
19 pages, 7870 KiB  
Article
Discovery and Synthesis of Hydroxy-l-Proline Blockers of the Neutral Amino Acid Transporters SLC1A4 (ASCT1) and SLC1A5 (ASCT2)
by Brent R. Lyda, Gregory P. Leary, Jill Farnsworth, Benjamin Seaver, Derek Silvius, Michael P. Kavanaugh, C. Sean Esslinger and Nicholas R. Natale
Molecules 2024, 29(10), 2330; https://doi.org/10.3390/molecules29102330 (registering DOI) - 15 May 2024
Abstract
As a conformationally restricted amino acid, hydroxy-l-proline is a versatile scaffold for the synthesis of diverse multi-functionalized pyrrolidines for probing the ligand binding sites of biological targets. With the goal to develop new inhibitors of the widely expressed amino acid transporters [...] Read more.
As a conformationally restricted amino acid, hydroxy-l-proline is a versatile scaffold for the synthesis of diverse multi-functionalized pyrrolidines for probing the ligand binding sites of biological targets. With the goal to develop new inhibitors of the widely expressed amino acid transporters SLC1A4 and SLC1A5 (also known as ASCT1 and ASCT2), we synthesized and functionally screened synthetic hydroxy-l-proline derivatives using electrophysiological and radiolabeled uptake methods against amino acid transporters from the SLC1, SLC7, and SLC38 solute carrier families. We have discovered a novel class of alkoxy hydroxy-pyrrolidine carboxylic acids (AHPCs) that act as selective high-affinity inhibitors of the SLC1 family neutral amino acid transporters SLC1A4 and SLC1A5. AHPCs were computationally docked into a homology model and assessed with respect to predicted molecular orientation and functional activity. The series of hydroxyproline analogs identified here represent promising new agents to pharmacologically modulate SLC1A4 and SLC1A5 amino acid exchangers which are implicated in numerous pathophysiological processes such as cancer and neurological diseases. Full article
(This article belongs to the Section Medicinal Chemistry)
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12 pages, 2842 KiB  
Article
Development of MetaXplore: An Interactive Tool for Targeted Metagenomic Analysis
by Naima Bel Mokhtar, Elias Asimakis, Ioannis Galiatsatos, Amal Maurady, Panagiota Stathopoulou and George Tsiamis
Curr. Issues Mol. Biol. 2024, 46(5), 4803-4814; https://doi.org/10.3390/cimb46050289 (registering DOI) - 15 May 2024
Abstract
Over the last decades, the analysis of complex microbial communities by high-throughput sequencing of marker gene amplicons has become routine work for many research groups. However, the main challenges faced by scientists who want to make use of the generated sequencing datasets are [...] Read more.
Over the last decades, the analysis of complex microbial communities by high-throughput sequencing of marker gene amplicons has become routine work for many research groups. However, the main challenges faced by scientists who want to make use of the generated sequencing datasets are the lack of expertise to select a suitable pipeline and the need for bioinformatics or programming skills to apply it. Here, we present MetaXplore, an interactive, user-friendly platform that enables the discovery and visualization of amplicon sequencing data. Currently, it provides a set of well-documented choices for downstream analysis, including alpha and beta diversity analysis, taxonomic composition, differential abundance analysis, identification of the core microbiome within a population, and biomarker analysis. These features are presented in a user-friendly format that facilitates easy customization and the generation of publication-quality graphics. MetaXplore is implemented entirely in the R language using the Shiny framework. It can be easily used locally on any system with R installed, including Windows, Mac OS, and most Linux distributions, or remotely via a web server without bioinformatic expertise. It can also be used as a framework for advanced users who can modify and expand the tool. Full article
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12 pages, 35525 KiB  
Article
AZ91 Magnesium Alloy CMT Cladding Layer Processed Using Friction Stir Processing: Effect of Traverse Speed on Microstructure and Mechanical Properties
by Huichao Zhao, Junqi Shen, Shengsun Hu, Yahui Zhen and Yang Chen
Materials 2024, 17(10), 2348; https://doi.org/10.3390/ma17102348 (registering DOI) - 15 May 2024
Abstract
Friction stir processing (FSP) is a solid-state treating method to enhance the mechanical properties of materials by altering their microstructure. In this study, FSP was applied to the AZ91 magnesium alloy cladding layer prepared using cold metal transition (CMT) technology, and the purpose [...] Read more.
Friction stir processing (FSP) is a solid-state treating method to enhance the mechanical properties of materials by altering their microstructure. In this study, FSP was applied to the AZ91 magnesium alloy cladding layer prepared using cold metal transition (CMT) technology, and the purpose was to investigate the effect of the traverse speed of the H13 steel stirring head under a constant rotation speed on the microstructure and mechanical properties of the cladding layer. The results demonstrated that FSP could effectively decrease the grain size of the cladding layer and lead to the dispersion and dissolution of the coarse β-Mg17Al12 second phase into the α-Mg matrix. The mechanical characteristics of the processed cladding layer were significantly enhanced compared to the unprocessed cladding layer due to the grain refinement and second-phase strengthening induced by FSP. When the stirring head rotation speed was set at 300 r/min, the average microhardness and tensile properties of the specimens showed a tendency of initially increasing and then dropping as the traverse speed increased. The cladding layer, obtained at a traverse speed of 60 mm/min, displayed optimal mechanical properties with an average microhardness, tensile strength, and elongation of 85.6 HV0.1, 278.5 MPa, and 13.4%, respectively. Full article
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16 pages, 8394 KiB  
Article
Design of a Low-Cost Open-Top Chamber Facility for the Investigation of the Effects of Elevated Carbon Dioxide Levels on Plant Growth
by Nicola Novello, Mani Naiker, Haydee Laza, Kerry B. Walsh and Sabine Tausz-Posch
Hardware 2024, 2(2), 138-153; https://doi.org/10.3390/hardware2020007 - 15 May 2024
Abstract
Open-top chambers (OTCs) consist of semi-open enclosures used to investigate the impact of elevated carbon dioxide [CO2] on crops and larger plant communities. OTCs have lower operational costs than alternatives such as controlled environment cabinets and Free Air Carbon Dioxide Enrichment [...] Read more.
Open-top chambers (OTCs) consist of semi-open enclosures used to investigate the impact of elevated carbon dioxide [CO2] on crops and larger plant communities. OTCs have lower operational costs than alternatives such as controlled environment cabinets and Free Air Carbon Dioxide Enrichment (FACE). A low-cost design is presented for an OTC with a surface area of 1.2 m2 and a target elevated CO2 concentration [CO2] of 650 µmol mol−1 adequate for trials involving cereals or grain legumes. The elevated CO2 chambers maintained an average concentration ± standard deviation of 652 ± 37 µmol mol−1 despite wind and air turbulences, in comparison to 407 ± 10 µmol mol−1 for non-enriched chambers. Relative to ambient (non-chamber) conditions, plants in the chambers were exposed to slightly warmer conditions (2.3 °C in daylight hours; 0.6 °C during night environment). The materials’ cost for constructing the chambers was USD 560 per chamber, while the CO2 control system for four chambers dedicated to CO2-enriched conditions cost USD 5388. To maintain the concentration of 650 µmol mol−1 during daylight hours, each chamber consumed 1.38 L min−1 of CO2. This means that a size G CO2 cylinder was consumed in 8–9 days in the operation of two chambers (at USD 40). Full article
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Review
Thermal Fatigue Failure of Micro-Solder Joints in Electronic Packaging Devices: A Review
by Lei Li, Xinyu Du, Jibing Chen and Yiping Wu
Materials 2024, 17(10), 2365; https://doi.org/10.3390/ma17102365 (registering DOI) - 15 May 2024
Abstract
In electronic packaging products in the service process, the solder joints experience thermal fatigue due to temperature cycles, which have a significant influence on the performance of electronic products and the reliability of solder joints. In this paper, the thermal fatigue failure mechanism [...] Read more.
In electronic packaging products in the service process, the solder joints experience thermal fatigue due to temperature cycles, which have a significant influence on the performance of electronic products and the reliability of solder joints. In this paper, the thermal fatigue failure mechanism of solder joints in microelectronic packages, the microstructure changes of the thermal fatigue process, the influence factors on the joint fatigue life, and the simulation analysis and forecasting of thermal fatigue life are reviewed. The results show that the solder joints are heterogeneously coarsened, and this leads to fatigue cracks occurring under the elevated high-temperature phase of alternating temperature cycles. However, the thickness of the solder and the hold time in the high-temperature phase do not significantly influence the thermal fatigue. The coarsened region and the IMC layer thicken with the number of cycles, and the cracks initiate and propagate along the interface between the intermetallic compound (IMC) layer and coarsened region, eventually leading to solder joint failure. For lead-containing and lead-free solders, the lead-containing solder shows a faster fatigue crack growth rate and propagates by transgranular mode. Temperature and frequency affect the thermal fatigue life of solder joints to different degrees, and the fatigue lifetime of solder joints can be predicted through a variety of methods and simulated crack trajectories, but also through the use of a unified constitutive model and finite element analysis for prediction. Full article
(This article belongs to the Special Issue Advances in Electronics Packaging Materials and Technology)
Article
Experimental Study on Enhancing the Mechanical Properties of Sandy Soil by Combining Microbial Mineralization Technology with Silty Soil
by Jun Hu, Fei Fan, Luyan Huang and Junchao Yu
Materials 2024, 17(10), 2362; https://doi.org/10.3390/ma17102362 (registering DOI) - 15 May 2024
Abstract
Currently, coastal sandy soils face issues such as insufficient foundation strength, which has become one of the crucial factors constraining urban development. Geotechnical engineering, as a traditional discipline, breaks down disciplinary barriers, promotes interdisciplinary integration, and realizes the green ecological and low-carbon development [...] Read more.
Currently, coastal sandy soils face issues such as insufficient foundation strength, which has become one of the crucial factors constraining urban development. Geotechnical engineering, as a traditional discipline, breaks down disciplinary barriers, promotes interdisciplinary integration, and realizes the green ecological and low-carbon development of geotechnical engineering, which is highly important. Based on the “dual carbon” concept advocating a green and environmentally friendly lifestyle, Bacillus spores were utilized to induce calcium carbonate precipitation technology (MICP) to solidify coastal sandy soils, leveraging the rough-surface and low-permeability characteristics of silty soil. The mechanical-strength variations in the samples were explored through experiments, such as calcium carbonate generation rate tests, non-consolidated undrained triaxial shear tests, and scanning electron microscopy (SEM) experiments, to investigate the MICP solidification mechanism. The results indicate that by incorporating silty soil into sandy soil for MICP solidification, the calcium carbonate generation rates of the samples were significantly increased. With the increase in the silty-soil content, the enhancement range was 0.58–3.62%, with the maximum calcium carbonate generation rate occurring at a 5% content level. As the silty-soil content gradually increased from 1% to 5%, the peak deviator stress increased by 4.2–43.2%, enhancing the sample shear strength. Furthermore, the relationship between the internal-friction angle, cohesion, and shear strength further validates the enhancement of the shear strength. Silty soil plays roles in adsorption and physical filling during the MICP solidification process, reducing the inter-particle pores in sandy soil, increasing the compactness, providing adsorption sites, and enhancing the calcium carbonate generation rate, thereby improving the shear strength. The research findings can provide guidance for reinforcing poor coastal sandy-soil foundations in various regions. Full article
(This article belongs to the Section Mechanics of Materials)
9 pages, 769 KiB  
Communication
Survey of Nutrition Knowledge, Attitudes, and Preferred Informational Sources among Students at a Southwestern University in the United States: A Brief Report
by Caroline H. Geist, Deana Hildebrand, Bryant H. Keirns and Sam R. Emerson
Dietetics 2024, 3(2), 170-178; https://doi.org/10.3390/dietetics3020014 - 15 May 2024
Abstract
The purpose of this study was to investigate nutrition perspectives, basic nutrition knowledge, and preferred sources of nutrition information among students at a southwestern university in the US. An original online survey was used to evaluate common sources of nutrition information, factors viewed [...] Read more.
The purpose of this study was to investigate nutrition perspectives, basic nutrition knowledge, and preferred sources of nutrition information among students at a southwestern university in the US. An original online survey was used to evaluate common sources of nutrition information, factors viewed as comprising a healthy dietary pattern, and attitudes toward nutrition information and recommendations. A total of 316 participants completed the survey. Prioritizing fruits and vegetables was the most common response (97%) for characterizing healthy eating. When asked which factors characterize a non-healthy pattern of eating, eating sweets was the top response (83%). The most common sources of nutrition information reported were word of mouth/friends and family (56%), followed by social media (45%). The majority felt that nutrition recommendations are constantly changing (78%) and that nutrition information is confusing (55%). Our data indicate that most students rely primarily on informal sources of nutrition information. However, our preliminary data also suggest that many students have a fair understanding of basic principles of healthy eating. More research in a broader and more diverse sample is needed to validate these findings. Full article
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15 pages, 7443 KiB  
Article
The Process of Digital Data Flow in RE/CAD/RP/CAI Systems Concerning Planning Surgical Procedures in the Craniofacial Area
by Paweł Turek, Ewelina Dudek, Mateusz Grzywa and Kacper Więcek
Knowledge 2024, 4(2), 265-279; https://doi.org/10.3390/knowledge4020014 - 15 May 2024
Abstract
This paper presents the process of digital data flow in RE/CAD/RP/CAI systems to develop models for planning surgical procedures in the craniofacial area. At the first RE modeling stage, digital data processing, segmentation, and the reconstruction of the geometry of the anatomical structures [...] Read more.
This paper presents the process of digital data flow in RE/CAD/RP/CAI systems to develop models for planning surgical procedures in the craniofacial area. At the first RE modeling stage, digital data processing, segmentation, and the reconstruction of the geometry of the anatomical structures were performed. During the CAD modeling stage, three different concepts were utilized. The first concept was used to create a tool that could mold the geometry of the cranial vault. The second concept was created to prepare a prototype implant that would complement the anterior part of the mandibular geometry. And finally, the third concept was used to design a customized prototype surgical plate that would match the mandibular geometry accurately. Physical models were made using a rapid prototyping technique. A Bambu Lab X1 3D printer was used for this purpose. The process of geometric accuracy evaluation was carried out on manufactured prototypes of surgical plates made of ABS+, CPE, PLA+, and PETG material. In the geometric accuracy evaluation process, the smallest deviation values were obtained for the ABS plus material, within a tolerance of ±0.1 mm, and the largest were obtained for CPE (±0.2 mm) and PLA plus (±0.18 mm). In terms of the surface roughness evaluation, the highest value of the Sa parameter was obtained for the PLA plus material, which was 4.15 µm, and the lowest was obtained for the CPE material, equal to 3.62 µm. The knowledge of the flow of digital data and the identification of factors determining the accuracy of mapping the geometry of anatomical structures allowed for the development of a procedure that improves the modeling and manufacturing of anatomical structures within the craniofacial region. Full article
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7 pages, 1399 KiB  
Communication
COVID-19 Therapeutics Use by Social Deprivation Index in England, July 2020–April 2023
by Angela Falola, Hanna Squire, Sabine Bou-Antoun, Alessandra Løchen, Colin S. Brown and Alicia Demirjian
COVID 2024, 4(5), 645-651; https://doi.org/10.3390/covid4050043 - 15 May 2024
Abstract
Coronavirus disease-19 (COVID-19) has disproportionately affected certain demographics in England, exacerbating existing health disparities. Effective therapeutics are a critical line of defence against COVID-19, particularly for patients at elevated risk for severe disease. Surveillance systems were established to monitor the usage of COVID-19 [...] Read more.
Coronavirus disease-19 (COVID-19) has disproportionately affected certain demographics in England, exacerbating existing health disparities. Effective therapeutics are a critical line of defence against COVID-19, particularly for patients at elevated risk for severe disease. Surveillance systems were established to monitor the usage of COVID-19 therapeutics in hospital and community settings and to inform stewardship. Three antiviral therapies—nirmatrelvir plus ritonavir (Paxlovid®), remdesivir (Veklury®), and molnupiravir (Lagevrio®)—and two neutralising monoclonal antibody therapies (nMAbs)—sotrovimab (Xevudy®) and casirivimab with imdevimab (Ronapreve®)—were in use in England between July 2020 and April 2023. This paper aims to illuminate trends in the utilisation of COVID-19 therapeutics treatment in both hospital and community settings, stratified by the Index of Multiple Deprivation (IMD) in England. Chapter 3 of the English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) Report 2022 to 2023 also discusses the epidemiological surveillance of these five directly acting antiviral COVID-19 therapeutics’ use in England between 2022 and 2023. Full article
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11 pages, 1575 KiB  
Communication
Novel Tetrazolium-Based Colorimetric Assay for Helicase nsp13 in SARS-CoV-2
by Triet M. Pham, Morgan G. Howard, Shane M. Carey, Lindsey R. Baker and Edward L. D’Antonio
BioChem 2024, 4(2), 115-125; https://doi.org/10.3390/biochem4020006 - 15 May 2024
Abstract
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is a human pathogenic virus that encodes for a helicase (SC2Hel) that is essential for viral replication. SC2Hel has the ability to unravel dsRNA or dsDNA in an NTP-dependent manner from the 5′ [...] Read more.
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is a human pathogenic virus that encodes for a helicase (SC2Hel) that is essential for viral replication. SC2Hel has the ability to unravel dsRNA or dsDNA in an NTP-dependent manner from the 5′ to 3′ directionality. The standard helicase assay from studies involving SARS-CoV and SARS-CoV-2 have relied on the concept of fluorescence resonance energy transfer. Adding to the collection of helicase assays, herein, we have developed a novel tetrazolium-based colorimetric assay system for the detection of ADP that is produced via SC2Hel activity. This SC2Hel assay combines three enzyme-coupled steps involving the ADP-dependent Thermococcus litoralis glucokinase (TlGlcK), Leuconostoc mesenteroides glucose-6-phosphate dehydrogenase (LmG6PDH), and Clostridium kluyveri diaphorase (CkDIA). Iodonitrotetrazolium chloride (INT), a colorimetric tetrazolium reagent, was used in the final step of the assay that converted into INT-formazan during reduction. INT-formazan in the assay’s buffered solution at pH 7.6 exhibited an intense colorimetric response at a wavelength maximum of 505 nm. The assay exhibited excellent performance characteristics as it revealed a Z’ factor of 0.87 and it has the potential to be further adopted into high-throughput screening studies for therapeutic drug discovery research. Full article
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8 pages, 7792 KiB  
Article
Visualization of Effectiveness: The Use of a Set of Colored Cleaning Wipes for Visible Disinfection of Ultrasound Probes
by Christian Kühnel and Falk Gühne
Hygiene 2024, 4(2), 189-196; https://doi.org/10.3390/hygiene4020015 - 15 May 2024
Abstract
The German health authorities’ guidelines for medical devices in 2012 highlighted the importance of cleaning ultrasound probes, emphasizing their validation and reliability. In addition to automated and validated options, alternative manual methods such as wipe disinfection have gained traction due to their independence [...] Read more.
The German health authorities’ guidelines for medical devices in 2012 highlighted the importance of cleaning ultrasound probes, emphasizing their validation and reliability. In addition to automated and validated options, alternative manual methods such as wipe disinfection have gained traction due to their independence from additional hardware. The study examines the effectiveness of a manual cleaning process using wipes, addressing concerns raised by the Robert Koch Institute regarding the lack of validation for wipe disinfection of semi-critical devices. The EQUINOS colored wipe disinfection kit identified wetting gaps in all cleanings across four probes tested. The results indicate significant challenges in ensuring complete surface wetting, particularly in complex device parts such as clip-on areas and fixtures for additional biopsy attachments, suggesting that manual methods alone may not adequately mitigate the risk of infection transmission (p value < 0.0001). The study concludes that while manual disinfection methods are a commonly used alternative to automated reprocessing, there is a critical need for enhanced training and potentially the development of more effective manual disinfection techniques or colored wipes to ensure patient safety and compliance with healthcare hygiene standards. Full article
(This article belongs to the Section Hygiene in Healthcare Facilities)
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17 pages, 4545 KiB  
Article
Liquid Dynamics in the Upper Respiratory–Digestive System with Contracting Pharynx Motions and Varying Epiglottis Angles
by Amr Seifelnasr, Xiuhua Si, Peng Ding and Jinxiang Xi
Liquids 2024, 4(2), 415-431; https://doi.org/10.3390/liquids4020022 - 15 May 2024
Abstract
Swallowing disorders, or dysphagia, can lead to bolus aspiration in the airway, causing serious adverse health effects. Current clinical interventions for dysphagia are mainly empirical and often based on symptoms rather than etiology, of which a thorough understanding is still lacking. However, it [...] Read more.
Swallowing disorders, or dysphagia, can lead to bolus aspiration in the airway, causing serious adverse health effects. Current clinical interventions for dysphagia are mainly empirical and often based on symptoms rather than etiology, of which a thorough understanding is still lacking. However, it is challenging to study the swallowing process that involves sequential structural motions and is inaccessible to standard visualization instruments. This study proposed an in vitro method to visualize swallowing hydrodynamics and identify the fundamental mechanisms underlying overflow aspirations. An anatomically accurate pharynx–epiglottis model was developed from patient-specific CT images of 623 µm isotropic resolution. A compliant half-pharynx cast was prepared to incorporate dynamic structures and visualize the flow dynamics in the mid-sagittal plane. Three locations of frequent overflow aspiration were identified: the epiglottis base, cuneiform tubular recesses, and the interarytenoid notch. Water had a consistently higher aspiration risk than a 1% w/v methylcellulose (MC) solution. The contracting–relaxing pharynx and flapping epiglottis spread the liquid film, causing a delayed esophageal entry and increased vallecular residual, which was more pronounced with the MC solution. Dispensing the liquid too slowly resulted in water aspiration, whereas this was not observed with the MC solution. An incomplete epiglottis inversion, such as horizontal or down-tilt 45°, aggravated the aspiration risks of water. This study suggests that it is practical to use anatomically accurate respiratory–digestive models to study the swallowing process by incorporating varying physiological details. Full article
(This article belongs to the Section Physics of Liquids)
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36 pages, 1954 KiB  
Review
Microneedles’ Device: Design, Fabrication, and Applications
by Cristiana Oliveira, José A. Teixeira, Nelson Oliveira, Sónia Ferreira and Cláudia M. Botelho
Macromol 2024, 4(2), 320-355; https://doi.org/10.3390/macromol4020019 - 15 May 2024
Abstract
The delivery of therapeutical molecules through the skin, particularly to its deeper layers, is impaired due to the stratum corneum layer, which acts as a barrier to foreign substances. Thus, for the past years, scientists have focused on the development of more efficient [...] Read more.
The delivery of therapeutical molecules through the skin, particularly to its deeper layers, is impaired due to the stratum corneum layer, which acts as a barrier to foreign substances. Thus, for the past years, scientists have focused on the development of more efficient methods to deliver molecules to skin distinct layers. Microneedles, as a new class of biomedical devices, consist of an array of microscale needles. This particular biomedical device has been drawing attention due to its ability to breach the stratum corneum, forming micro-conduits to facilitate the passage of therapeutical molecules. The microneedle device has several advantages over conventional methods, such as better medication adherence, easiness, and painless self-administration. Moreover, it is possible to deliver the molecules swiftly or over time. Microneedles can vary in shape, size, and composition. The design process of a microneedle device must take into account several factors, like the location delivery, the material, and the manufacturing process. Microneedles have been used in a large number of fields from drug and vaccine application to cosmetics, therapy, diagnoses, tissue engineering, sample extraction, cancer research, and wound healing, among others. Full article
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23 pages, 2979 KiB  
Article
Population Trend of Colonially Nesting Heron Species in Greece
by Savas Kazantzidis, Theodoros Naziridis, Evangelia Katrana, Nikolaos Bukas, Georgios Kazantzidis, Aristidis Christidis and Christos Astaras
Birds 2024, 5(2), 217-239; https://doi.org/10.3390/birds5020015 - 15 May 2024
Abstract
Heron colonies are dynamic components of wetlands. Therefore, their systematic monitoring is important for the management of both birds and wetlands. During the period 1988–2018, we counted breeding pairs of seven colonial breeding heron species at 65 colonies across 37 wetlands in Greece. [...] Read more.
Heron colonies are dynamic components of wetlands. Therefore, their systematic monitoring is important for the management of both birds and wetlands. During the period 1988–2018, we counted breeding pairs of seven colonial breeding heron species at 65 colonies across 37 wetlands in Greece. We considered as annual variables of a population: (a) years since 1988, (b) Natura 2000 network inclusion, (c) protected area management authority overseeing, (d) wetland type (new or restored), and (e) new colonies (established after 2003). The Cattle Egret Bubulcus ibis and the Squacco Heron Ardeola ralloides had a positive breeding population trend. The Black-crowned Night Heron Nycticorax nycticorax, Little Egret Egretta garzetta, and Grey Heron Ardea cinerea had a negative trend, while the Purple Heron Ardea purpurea population was stable. The Great White Egret Ardea alba bred sporadically at only a few sites which precluded the evaluation of its population trend. The informative population variables differed among species, even of those at the same colony, which suggests trends are also affected by conditions at wintering grounds. The study highlights the need for the systematic monitoring of heron colonies and the protection of foraging/breeding areas in order to reverse the observed negative population trends. Full article
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20 pages, 5570 KiB  
Article
Combustion Diagnosis in a Spark-Ignition Engine Fueled with Syngas at Different CO/H2 and Diluent Ratios
by Santiago Martinez-Boggio, Pedro Teixeira Lacava, Felipe Solferini de Carvalho and Pedro Curto-Risso
Gases 2024, 4(2), 97-116; https://doi.org/10.3390/gases4020006 - 15 May 2024
Abstract
The gasification of residues into syngas offers a versatile gaseous fuel that can be used to produce heat and power in various applications. However, the application of syngas in engines presents several challenges due to the changes in its composition. Such variations can [...] Read more.
The gasification of residues into syngas offers a versatile gaseous fuel that can be used to produce heat and power in various applications. However, the application of syngas in engines presents several challenges due to the changes in its composition. Such variations can significantly alter the optimal operational conditions of the engines that are fueled with syngas, resulting in combustion instability, high engine variability, and misfires. In this context, this work presents an experimental investigation conducted on a port-fuel injection spark-ignition optical research engine using three different syngas mixtures, with a particular focus on the effects of CO/H2 and diluent ratios. A comparative analysis is made against methane, considered as the baseline fuel. The in-cylinder pressure and related parameters are examined as indicators of combustion behavior. Additionally, 2D cycle-resolved digital visualization is employed to trace flame front propagation. Custom image processing techniques are applied to estimate flame speed, displacement, and morphological parameters. The engine runs at a constant speed (900 rpm) and with full throttle like stationary engine applications. The excess air–fuel ratios vary from 1.0 to 1.4 by adjusting the injection time and the spark timing according to the maximum brake torque of the baseline fuel. A thermodynamic analysis revealed notable trends in in-cylinder pressure traces, indicative of differences in combustion evolution and peak pressures among the syngas mixtures and methane. Moreover, the study quantified parameters such as the mass fraction burned, combustion stability (COVIMEP), and fuel conversion efficiency. The analysis provided insights into flame morphology, propagation speed, and distortion under varying conditions, shedding light on the influence of fuel composition and air dilution. Overall, the results contribute to advancing the understanding of syngas combustion behavior in SI engines and hold implications for optimizing engine performance and developing numerical models. Full article
(This article belongs to the Special Issue Bio-Energy: Biogas, Biomethane and Green-Hydrogen)
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12 pages, 3576 KiB  
Article
Media and Natural Disasters: Organising Storytelling in the Age of Climate Change
by Giacomo Buoncompagni
Journal. Media 2024, 5(2), 614-625; https://doi.org/10.3390/journalmedia5020041 - 15 May 2024
Abstract
Starting on 2 November 2023, some territories in the Region of Tuscany in Italy were hit by exceptionally intense meteorological and calamitous events. The Region of Tuscany’s government was immediately at the forefront of relief, assisting the population, and aiding restoration. On 3 [...] Read more.
Starting on 2 November 2023, some territories in the Region of Tuscany in Italy were hit by exceptionally intense meteorological and calamitous events. The Region of Tuscany’s government was immediately at the forefront of relief, assisting the population, and aiding restoration. On 3 November, a national state of emergency was declared due to flooding. Journalistic communication is an essential aspect of disaster mitigation, preparedness, response and recovery. In terms of protecting people and reducing damage, journalists and the media have an important role to play. This article reports an Italian case study analysing the behaviour of local media in cases of natural disaster. Nine focus groups were conducted with local journalists covering the flood emergency. The results highlight the role of social and institutional mediation, rather than mere dissemination, played by the local press in emergency situations, a central element in the construction of a community bond, precisely in moments of insecurity and disorientation. The narration of a disaster from the inside seems to have allowed the emergence and representation of hitherto unknown social realities in Tuscany. The goal of the news coverage was widened, making it possible to respond better to the diverse interests of the reading public and to satisfy in a short time and exhaustively the information needs of individual communities in difficulty. Full article
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13 pages, 1099 KiB  
Review
Autoimmune Hepatitis Management: Recent Advances and Future Prospects
by Rebeca Sierra, Ana Marenco-Flores, Marwan Alsaqa, Romelia Barba, Marcela Cuellar-Lobo, Carla Barberan and Leandro Sierra
Livers 2024, 4(2), 240-252; https://doi.org/10.3390/livers4020017 - 15 May 2024
Abstract
Autoimmune hepatitis (AIH) is a varied inflammatory chronic liver disease. AIH’s prevalence varies and has increased recently. Diagnosis involves the discovery of histologic features following liver biopsy and serologic testing. Clinical features vary, and up to 40% of patients may be asymptomatic. Evaluating [...] Read more.
Autoimmune hepatitis (AIH) is a varied inflammatory chronic liver disease. AIH’s prevalence varies and has increased recently. Diagnosis involves the discovery of histologic features following liver biopsy and serologic testing. Clinical features vary, and up to 40% of patients may be asymptomatic. Evaluating thiopurine methyltransferase (TMPM) activity before treatment is crucial for an optimal response. The primary treatment goal is biochemical remission, normalized serum IgG, and liver enzymes. Induction therapy typically involves azathioprine and corticosteroids. Close monitoring of liver function tests and serum immunoglobulin levels is essential. Medications can be tapered after achieving biochemical remission. Liver transplantation may be required for refractory disease or cirrhosis. Further therapeutic approaches are needed, particularly for non-responders to first-line treatments. Full article
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13 pages, 2533 KiB  
Article
Understanding Demographic Factors Influencing Open Burning Incidents in Kentucky
by Major Ballard, Buddhi R. Gyawali, Shikha Acharya, Maheteme Gebremedhin, George Antonious and Jeffrey Scott Blakeman
Pollutants 2024, 4(2), 263-275; https://doi.org/10.3390/pollutants4020017 - 15 May 2024
Abstract
Open burning poses a significant threat to human health and the environment by releasing hazardous chemicals and exacerbating plastic pollution. Urgent action is required to address its pervasive impact and the substantial release of gaseous pollutants. Limited research has explored the demographic aspect [...] Read more.
Open burning poses a significant threat to human health and the environment by releasing hazardous chemicals and exacerbating plastic pollution. Urgent action is required to address its pervasive impact and the substantial release of gaseous pollutants. Limited research has explored the demographic aspect of open burning behavior, with none specifically conducted in Kentucky. An analysis of open burning complaints reported to the Kentucky Division for Air Quality in 2015, 2019, and 2021 revealed no significant differences in reported incidents by month and county. Binary logistic regression analyses identified the urban vs rural divide as significant predictors of open burning incidents, while violations were influenced by both urban and rural factors and average household income. Unemployment rates and the percentage of individuals with less than a high school diploma did not significantly predict open burning violations. Targeted interventions at the state and local level, focusing on rural areas and economically disadvantaged communities, can effectively address and mitigate open burning issues. Full article
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Article
Blockchain-Based Unbalanced PSI with Public Verification and Financial Security
by Zhanshan Wang and Xiaofeng Ma
Mathematics 2024, 12(10), 1544; https://doi.org/10.3390/math12101544 (registering DOI) - 15 May 2024
Abstract
Private set intersection (PSI) enables two parties to determine the intersection of their respective datasets without revealing any information beyond the intersection itself. This paper particularly focuses on the scenario of unbalanced PSI, where the sizes of datasets possessed by the parties can [...] Read more.
Private set intersection (PSI) enables two parties to determine the intersection of their respective datasets without revealing any information beyond the intersection itself. This paper particularly focuses on the scenario of unbalanced PSI, where the sizes of datasets possessed by the parties can significantly differ. Current protocols for unbalanced PSI under the malicious security model exhibit low efficiency, rendering them impractical in real-world applications. By contrast, most efficient unbalanced PSI protocols fail to guarantee the correctness of the intersection against a malicious server and cannot even ensure the client’s privacy. The present study proposes a blockchain-based unbalanced PSI protocol with public verification and financial security that enables the client to detect malicious behavior from the server (if any) and then generate an irrefutable and publicly verifiable proof without compromising its secret. The proof can be verified through smart contracts, and some economic incentive and penalty measures are executed automatically to achieve financial security. Furthermore, we implement the proposed protocol, and experimental results demonstrate that our scheme exhibits low online communication complexity and computational overhead for the client. At the same time, the size of the generated proof and its verification complexity are both O(logn), enabling cost-effective validation on the blockchain. Full article
(This article belongs to the Special Issue Applied Mathematics in Blockchain and Intelligent Systems)
14 pages, 738 KiB  
Review
Modifications to Enhance Outcomes of Family-Based Treatment for Anorexia Nervosa: A Scoping Review
by Signe Holm Pedersen, Lasse Carlsson and Mette Bentz
Psychiatry Int. 2024, 5(2), 217-230; https://doi.org/10.3390/psychiatryint5020015 - 15 May 2024
Abstract
Family-based treatment (FBT) is recommended for anorexia nervosa (AN) in young people (YP). However, a substantial proportion of YP undergoing FBT do not recover. Several modifications to standard FBT have been tested to improve recovery rates. This review provides an updated overview of [...] Read more.
Family-based treatment (FBT) is recommended for anorexia nervosa (AN) in young people (YP). However, a substantial proportion of YP undergoing FBT do not recover. Several modifications to standard FBT have been tested to improve recovery rates. This review provides an updated overview of empirically tested modifications to FBT for AN in YP and estimates whether such modifications increase the percentage recovering. Computerized searches performed in five databases resulted in the inclusion of 43 papers (representing 40 original studies), highlighting that a variety of modifications to standard FBT have been tested and appear promising. However, only 11 studies compared the results of a modification to standard FBT. In conclusion, some modifications, such as parent-focused treatment, the addition of home treatment, or interventions for families at risk of non-response, appear to have the potential to improve the recovery rate, either at the group or subgroup level. Other modifications, such as FBT-based guided self-help, virtually delivered FBT, or FBT delivered during in- or day-patient stays, enable the dissemination of FBT principles to other contexts and to patient groups with limited access. Small additions to FBT, such as a workshop or parent-to-parent consultation, do not seem to improve the recovery rate. Full article
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