The 2023 MDPI Annual Report has
been released!
 
28 pages, 7235 KiB  
Review
Lithium Silicate-Based Glass Ceramics in Dentistry: A Narrative Review
by Hanan Al-Johani, Julfikar Haider, Julian Satterthwaite and Nick Silikas
Prosthesis 2024, 6(3), 478-505; https://doi.org/10.3390/prosthesis6030034 - 02 May 2024
Abstract
Considering the rapid evolution of lithium silicate-based glass ceramics (LSCs) in dentistry, this review paper aims to present an updated overview of the recently introduced commercial novel LSCs. The clinical and in vitro English-language literature relating to the microstructure, manufacturing, strengthening, properties, surface [...] Read more.
Considering the rapid evolution of lithium silicate-based glass ceramics (LSCs) in dentistry, this review paper aims to present an updated overview of the recently introduced commercial novel LSCs. The clinical and in vitro English-language literature relating to the microstructure, manufacturing, strengthening, properties, surface treatments and clinical performance of LSC materials was obtained through an electronic search. Findings from relevant articles were extracted and summarised for this manuscript. There is considerable evidence supporting the mechanical and aesthetic competency of LSC variants, namely zirconia-reinforced lithium silicates and lithium–aluminium disilicates. Nonetheless, the literature assessing the biocompatibility and cytotoxicity of novel LSCs is scarce. An exploration of the chemical, mechanical and chemo-mechanical intaglio surface treatments—alternative to hydrofluoric acid etching—revealed promising adhesion performance for acid neutralisation and plasma treatment. The subtractive manufacturing methods of partially crystallised and fully crystallised LSC blocks and the additive manufacturing modalities pertaining to the fabrication of LSC dental restorations are addressed, wherein that challenges that could be encountered upon implementing novel additive manufacturing approaches using LSC print materials are highlighted. Furthermore, the short-term clinical performance of zirconia-reinforced lithium silicates and lithium–aluminium disilicates is demonstrated to be comparable to that of lithium disilicate ceramics and reveals promising potential for their long-term clinical performance. Full article
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17 pages, 1679 KiB  
Article
Optimizing Convolutional Neural Networks, XGBoost, and Hybrid CNN-XGBoost for Precise Red Tilapia (Oreochromis niloticus Linn.) Weight Estimation in River Cage Culture with Aerial Imagery
by Wara Taparhudee, Roongparit Jongjaraunsuk, Sukkrit Nimitkul, Pimlapat Suwannasing and Wisit Mathurossuwan
AgriEngineering 2024, 6(2), 1235-1251; https://doi.org/10.3390/agriengineering6020070 - 02 May 2024
Abstract
Accurate feeding management in aquaculture relies on assessing the average weight of aquatic animals during their growth stages. The traditional method involves using a labor-intensive approach and may impact the well-being of fish. The current research focuses on a unique way of estimating [...] Read more.
Accurate feeding management in aquaculture relies on assessing the average weight of aquatic animals during their growth stages. The traditional method involves using a labor-intensive approach and may impact the well-being of fish. The current research focuses on a unique way of estimating red tilapia’s weight in cage culture via a river, which employs unmanned aerial vehicle (UAV) and deep learning techniques. The described approach includes taking pictures by means of a UAV and then applying deep learning and machine learning algorithms to them, such as convolutional neural networks (CNNs), extreme gradient boosting (XGBoost), and a Hybrid CNN-XGBoost model. The results showed that the CNN model achieved its accuracy peak after 60 epochs, showing accuracy, precision, recall, and F1 score values of 0.748 ± 0.019, 0.750 ± 0.019, 0.740 ± 0.014, and 0.740 ± 0.019, respectively. The XGBoost reached its accuracy peak with 45 n_estimators, recording values of approximately 0.560 ± 0.000 for accuracy and 0.550 ± 0.000 for precision, recall, and F1. Regarding the Hybrid CNN-XGBoost model, it demonstrated its prediction accuracy using both 45 epochs and n_estimators. The accuracy value was around 0.760 ± 0.019, precision was 0.762 ± 0.019, recall was 0.754 ± 0.019, and F1 was 0.752 ± 0.019. The Hybrid CNN-XGBoost model demonstrated the highest accuracy compared to using standalone CNN and XGBoost models and could reduce the time required for weight estimation by around 11.81% compared to using the standalone CNN. Although the testing results may be lower than those from previous laboratory studies, this discrepancy is attributed to the real-world testing conditions in aquaculture settings, which involve uncontrollable factors. To enhance accuracy, we recommend increasing the sample size of images and extending the data collection period to cover one year. This approach allows for a comprehensive understanding of the seasonal effects on evaluation outcomes. Full article
22 pages, 5052 KiB  
Article
Low-Cost, Open-Source, Experimental Setup Communication Platform for Emergencies, Based on SD-WAN Technology
by Vasileios Cheimaras, Spyridon Papagiakoumos, Nikolaos Peladarinos, Athanasios Trigkas, Panagiotis Papageorgas, Dimitrios D. Piromalis and Radu A. Munteanu
Telecom 2024, 5(2), 347-368; https://doi.org/10.3390/telecom5020018 - 02 May 2024
Abstract
The rapid advancement of communication technologies underscores the urgent need for robust and adaptable emergency communication systems (ECSs), particularly crucial during crises and natural disasters. Although network-based ECSs have been extensively studied, integrating open-source technologies, such as software-defined wide area networks (SD-WAN) with [...] Read more.
The rapid advancement of communication technologies underscores the urgent need for robust and adaptable emergency communication systems (ECSs), particularly crucial during crises and natural disasters. Although network-based ECSs have been extensively studied, integrating open-source technologies, such as software-defined wide area networks (SD-WAN) with private long-term evolution (LTE) base stations, is a relatively unexplored domain. This study endeavors to fill this gap by introducing an experimental ECS platform that utilizes a hybrid network, incorporating a VoIP network to enhance open-source and on-premises communications in targeted areas. Our hypothesis posits that a hybrid network architecture, combining SD-WAN and private LTE, can substantially improve the reliability and efficiency of ECSs. Our findings, supported by the open-source OMNeT++ simulator, illuminate the enhanced communication reliability of the network. Moreover, the proposed platform, characterized by autonomous wireless 4G/LTE base stations and an Asterisk VoIP server, demonstrates improved quality of service (QoS) and quality of experience (QoE), with minimal data loss. This research not only has immediate practical applications but also bears significant implications for the development of cost-effective, open-source communication networks, optimized for emergencies, critical infrastructure, and remote areas. Full article
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12 pages, 885 KiB  
Article
A Multiple Scattering-Based Technique for Isotopic Identification in Cosmic Rays
by Francesco Dimiccoli and Francesco Maria Follega
Particles 2024, 7(2), 477-488; https://doi.org/10.3390/particles7020027 - 02 May 2024
Abstract
Analyzing the isotopic composition of cosmic rays (CRs) provides valuable insights into the galactic environment and helps refine existing propagation models. A particular interest is devoted to secondary-to-primary ratios of light isotopic components of CRs, the measurement of which can provide complementary information [...] Read more.
Analyzing the isotopic composition of cosmic rays (CRs) provides valuable insights into the galactic environment and helps refine existing propagation models. A particular interest is devoted to secondary-to-primary ratios of light isotopic components of CRs, the measurement of which can provide complementary information with respect to secondary-to-primary ratios like B/C. Given the complexity of the concurrent measurement of velocity and momentum required to differentiate isotopes of the same Z, a task typically accomplished using magnetic spectrometers, existing measurements of these ratios only effectively characterize the low-energy region (below 1 GeV/nucl). This study introduces a novel technique for isotopic distinction in CRs at high energies up to 100 GeV/nucl based on multiple scattering, which, combined with the proposed measurement of velocity, represent an interesting alternative to magnetic spectrometers. The performance of this technique was assessed through a dedicated simulation using the GEANT4 package, with specific emphasis on Z = 1 isotopes. Full article
(This article belongs to the Special Issue Innovative Techniques for Particle Physics in Space)
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12 pages, 493 KiB  
Article
Quantum Gravity Effective Action Provides Entropy of the Universe
by Ken-ji Hamada
Particles 2024, 7(2), 465-476; https://doi.org/10.3390/particles7020026 - 02 May 2024
Abstract
The effective action in the renormalizable quantum theory of gravity provides entropy because the total Hamiltonian vanishes. Since it is a renormalization group invariant that is constant in the process of cosmic evolution, we can show conservation of entropy, which is an ansatz [...] Read more.
The effective action in the renormalizable quantum theory of gravity provides entropy because the total Hamiltonian vanishes. Since it is a renormalization group invariant that is constant in the process of cosmic evolution, we can show conservation of entropy, which is an ansatz in the standard cosmology. Here, we study renormalizable quantum gravity that exhibits conformal dominance at high energy beyond the Planck scale. The current entropy of the universe is derived by calculating the effective action under the scenario of quantum gravity inflation caused by its dynamics. We then argue that ghost modes must be unphysical but are necessary for the Hamiltonian to vanish and for entropy to exist in gravitational systems. Full article
(This article belongs to the Special Issue Feature Papers for Particles 2023)
5 pages, 193 KiB  
Editorial
Acoustics, Soundscapes and Sounds as Intangible Heritage
by Lidia Alvarez-Morales and Margarita Díaz-Andreu
Acoustics 2024, 6(2), 408-412; https://doi.org/10.3390/acoustics6020022 - 02 May 2024
Abstract
Since UNESCO unveiled its declaration for an integrated approach to safeguarding tangible and intangible cultural heritage in 2003 [...] Full article
(This article belongs to the Special Issue Acoustics, Soundscapes and Sounds as Intangible Heritage)
14 pages, 1744 KiB  
Article
Effect of Processing Routes on Physical and Mechanical Properties of Advanced Cermet System
by Vikas Verma, Margarita García-Hernández, Jorge Humberto Luna-Domínguez, Edgardo Jonathan Suárez-Domínguez, Samuel Monteiro Júnior and Ronaldo Câmara Cozza
Ceramics 2024, 7(2), 625-638; https://doi.org/10.3390/ceramics7020041 - 02 May 2024
Abstract
The present research focuses on the effects of different processing routes on the physical and mechanical properties of nano Ti(CN)-based cermets with metallic binders. Tungsten carbide (WC) is added as a secondary carbide and Ni-Co is added as a metallic binder to nano [...] Read more.
The present research focuses on the effects of different processing routes on the physical and mechanical properties of nano Ti(CN)-based cermets with metallic binders. Tungsten carbide (WC) is added as a secondary carbide and Ni-Co is added as a metallic binder to nano Ti(CN)-based cermet processed via conventional and spark plasma sintering (SPS). A systematic comparison of the composition and sintering conditions for different cermets’ systems was carried out to design novel composition and sintering conditions. Nano TiCN powder was prepared by 30 h of ball milling. The highest density of >98.5% was achieved for the SPS-processed cermets sintered at 1200 °C and 1250 °C for 3 min at 60 MPa of pressure in comparison to the conventionally sintered cermets at 1400 °C for 1 h with a two-stage compaction process—uniaxially at 150 MPa and isostatically at 300 MPa of pressure. Comparative X-ray diffraction (XRD) analysis of the milled powders at different time intervals was performed to understand the characteristics of the as-received and milled powders. Peak broadening was observed after 5 h of ball milling, and it increased to 30 hr. Also, peak broadening and a refined carbide size was observed in the XRD and scanning electron microscope (SEM) micrographs of the SPS-processed cermet. Transmission electron microscope (TEM) analysis of the milled powder showed that its internal structure had a regular periodic arrangement of planes. SEM base scattered electron (BSE) images of all the cermets primarily showed three major microstructural phases of the core–rim–binder with black, grey, and white contrast, respectively. With the present sintering conditions, a high hardness of ~16 GPa and a fracture toughness of ~9 MPa m1/2 were obtained for SPS-processed cermets sintered at higher temperatures. Full article
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18 pages, 528 KiB  
Article
Dual-driven Learning-Based Multiple-Input Multiple-Output Signal Detection Unmanned Aerial Vehicle Air-to-Ground Communications
by Haihan Li , Yongming He , Shuntian Zheng , Fan Zhou  and Hongwen Yang 
Drones 2024, 8(5), 180; https://doi.org/10.3390/drones8050180 - 02 May 2024
Abstract
Unmanned aerial vehicle (UAV) air-to-ground (AG) communication plays a critical role in the evolving space–air–ground integrated network of the upcoming sixth-generation cellular network (6G). The integration of massive multiple-input multiple-output (MIMO) systems has become essential for ensuring optimal performing communication technologies. This article [...] Read more.
Unmanned aerial vehicle (UAV) air-to-ground (AG) communication plays a critical role in the evolving space–air–ground integrated network of the upcoming sixth-generation cellular network (6G). The integration of massive multiple-input multiple-output (MIMO) systems has become essential for ensuring optimal performing communication technologies. This article presents a novel dual-driven learning-based network for millimeter-wave (mm-wave) massive MIMO symbol detection of UAV AG communications. Our main contribution is that the proposed approach combines a data-driven symbol-correction network with a model-driven orthogonal approximate message passing network (OAMP-Net). Through joint training, the dual-driven network reduces symbol detection errors propagated through each iteration of the model-driven OAMP-Net. The numerical results demonstrate the superiority of the dual-driven detector over the conventional minimum mean square error (MMSE), orthogonal approximate message passing (OAMP), and OAMP-Net detectors at various noise powers and channel estimation errors. The dual-driven MIMO detector exhibits a 2–3 dB lower signal-to-noise ratio (SNR) requirement compared to the MMSE and OAMP-Net detectors to achieve a bit error rate (BER) of 1×102 when the channel estimation error is −30 dB. Moreover, the dual-driven MIMO detector exhibits an increased tolerance to channel estimation errors by 2–3 dB to achieve a BER of 1×103. Full article
(This article belongs to the Special Issue Advances in Detection, Security, and Communication for UAV)
15 pages, 1496 KiB  
Article
Phenomenal Socialism
by Sophie Grace Chappell
Philosophies 2024, 9(3), 63; https://doi.org/10.3390/philosophies9030063 - 02 May 2024
Abstract
Phenomenal socialism says that what we actually, directly, literally perceive is only or primarily instances of high-level phenomenal properties; this paper argues for phenomenal socialism in the weaker, primarily version. Phenomenal socialism is the philosophy of perception that goes with recognitionalism, which is [...] Read more.
Phenomenal socialism says that what we actually, directly, literally perceive is only or primarily instances of high-level phenomenal properties; this paper argues for phenomenal socialism in the weaker, primarily version. Phenomenal socialism is the philosophy of perception that goes with recognitionalism, which is the metaethics that goes with epiphanies. The first part states the recognitionalist manifesto. The second part situates this manifesto relative to some more global concerns, about naturalism, perception, the metaphysics of value, and theory vs. anti-theory in ethics. The third part rehearses two familiar views about the possible contents of perceptual experience, Phenomenal Conservativism and Phenomenal Liberalism. It notes that the usual catalogue omits two other theoretical possibilities, Phenomenal Socialism and Phenomenal Nihilism, and it defends a watered-down form of Phenomenal Socialism from four main objections. The fourth part makes some connections with the epistemology of modality and with the role of the imagination. Full article
(This article belongs to the Special Issue Moral Perception)
19 pages, 7263 KiB  
Article
SCFNet: Lightweight Steel Defect Detection Network Based on Spatial Channel Reorganization and Weighted Jump Fusion
by Hongli Li, Zhiqi Yi, Liye Mei, Jia Duan, Kaimin Sun, Mengcheng Li, Wei Yang and Ying Wang
Processes 2024, 12(5), 931; https://doi.org/10.3390/pr12050931 - 02 May 2024
Abstract
The goal of steel defect detection is to enhance the recognition accuracy and accelerate the detection speed with fewer parameters. However, challenges arise in steel sample detection due to issues such as feature ambiguity, low contrast, and similarity among inter-class features. Moreover, limited [...] Read more.
The goal of steel defect detection is to enhance the recognition accuracy and accelerate the detection speed with fewer parameters. However, challenges arise in steel sample detection due to issues such as feature ambiguity, low contrast, and similarity among inter-class features. Moreover, limited computing capability makes it difficult for small and medium-sized enterprises to deploy and utilize networks effectively. Therefore, we propose a novel lightweight steel detection network (SCFNet), which is based on spatial channel reconstruction and deep feature fusion. The network adopts a lightweight and efficient feature extraction module (LEM) for multi-scale feature extraction, enhancing the capability to extract blurry features. Simultaneously, we adopt spatial and channel reconstruction convolution (ScConv) to reconstruct the spatial and channel features of the feature maps, enhancing the spatial localization and semantic representation of defects. Additionally, we adopt the Weighted Bidirectional Feature Pyramid Network (BiFPN) for defect feature fusion, thereby enhancing the capability of the model in detecting low-contrast defects. Finally, we discuss the impact of different data augmentation methods on the model accuracy. Extensive experiments are conducted on the NEU-DET dataset, resulting in a final model achieving an mAP of 81.2%. Remarkably, this model only required 2.01 M parameters and 5.9 GFLOPs of computation. Compared to state-of-the-art object detection algorithms, our approach achieves a higher detection accuracy while requiring fewer computational resources, effectively balancing the model size and detection accuracy. Full article
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21 pages, 5915 KiB  
Article
YOLOv8-LMG: An Improved Bearing Defect Detection Algorithm Based on YOLOv8
by Minggao Liu, Ming Zhang, Xinlan Chen, Chunting Zheng and Haifeng Wang
Processes 2024, 12(5), 930; https://doi.org/10.3390/pr12050930 - 02 May 2024
Abstract
In industrial manufacturing, bearings are crucial for machinery stability and safety. Undetected wear or cracks can lead to severe operational and financial setbacks. Thus, accurately identifying bearing defects is essential for maintaining production safety and equipment reliability. This research introduces an improved bearing [...] Read more.
In industrial manufacturing, bearings are crucial for machinery stability and safety. Undetected wear or cracks can lead to severe operational and financial setbacks. Thus, accurately identifying bearing defects is essential for maintaining production safety and equipment reliability. This research introduces an improved bearing defect detection model, YOLOv8-LMG, which is based on the YOLOv8n framework and incorporates four innovative technologies: the VanillaNet backbone network, the Lion optimizer, the CFP-EVC module, and the Shape-IoU loss function. These enhancements significantly increase detection efficiency and accuracy. YOLOv8-LMG achieves a [email protected] of 86.5% and a [email protected]–0.95 of 57.0% on the test dataset, surpassing the original YOLOv8n model while maintaining low computational complexity. Experimental results reveal that the YOLOv8-LMG model boosts accuracy and efficiency in bearing defect detection, showcasing its significant potential and practical value in advancing industrial inspection technologies. Full article
(This article belongs to the Special Issue Fault Diagnosis Process and Evaluation in Systems Engineering)
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3 pages, 145 KiB  
Editorial
Special Issue Entitled “Immune Regulatory Properties of Natural Products”
by Jai-Eun Kim and Wansu Park
Processes 2024, 12(5), 929; https://doi.org/10.3390/pr12050929 - 02 May 2024
Abstract
Although the immunomodulatory effects of natural products have not yet been completely elucidated, attempts to use natural products in the treatment of immune-mediated inflammatory diseases such as autoimmune diseases, chronic inflammatory diseases, mutant viral infections, and even immunosenescence-related cancers are ongoing [...] Full article
(This article belongs to the Special Issue Immune Regulatory Properties of Natural Products)
14 pages, 1524 KiB  
Article
Biosensor-Based Assessment of Pesticides and Mineral Fertilizers’ Influence on Ecotoxicological Parameters of Soils under Soya, Sunflower and Wheat
by Ludmila Khmelevtsova, Maria Klimova, Shorena Karchava, Tatiana Azhogina, Elena Polienko, Alla Litsevich, Elena Chernyshenko, Margarita Khammami, Ivan Sazykin and Marina Sazykina
Chemosensors 2024, 12(5), 73; https://doi.org/10.3390/chemosensors12050073 - 02 May 2024
Abstract
Pesticides and fertilizers used in agriculture can negatively affect the soil, increasing its toxicity. In this work, a battery of whole-cell bacterial lux-biosensors based on the E. coli MG1655 strain with various inducible promoters, as well as the natural luminous Vibrio aquamarinus VKPM [...] Read more.
Pesticides and fertilizers used in agriculture can negatively affect the soil, increasing its toxicity. In this work, a battery of whole-cell bacterial lux-biosensors based on the E. coli MG1655 strain with various inducible promoters, as well as the natural luminous Vibrio aquamarinus VKPM B-11245 strain, were used to assess the effects of agrochemical soil treatments. The advantages of using biosensors are sensitivity, specificity, low cost of analysis, and the ability to assess the total effect of toxicants on a living cell and the type of their toxic effect. Using the V. aquamarinus VKPM B-11245 strain, the synergistic effect of combined soil treatment with pesticides and mineral fertilizers was shown, which led to an increase in the overall (integral) toxicity of soils higher than that of the individual application of substances. Several probable implementation mechanisms of agrochemical toxic effects have been discovered. DNA damage caused by both SOS response induction and alkylation, oxidative stress due to increased superoxide levels, and damage to cellular proteins and membranes are among them. Thus, the usage of biosensors makes it possible to assess the cumulative effect of various toxicants on living organisms without using expensive chemical analyses. Full article
(This article belongs to the Special Issue Chemiluminescent and Bioluminescent Sensors)
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21 pages, 711 KiB  
Review
Emerging Concepts of Mechanisms Controlling Cardiac Tension: Focus on Familial Dilated Cardiomyopathy (DCM) and Sarcomere-Directed Therapies
by R. John Solaro, Paul H. Goldspink and Beata M. Wolska
Biomedicines 2024, 12(5), 999; https://doi.org/10.3390/biomedicines12050999 - 02 May 2024
Abstract
Novel therapies for the treatment of familial dilated cardiomyopathy (DCM) are lacking. Shaping research directions to clinical needs is critical. Triggers for the progression of the disorder commonly occur due to specific gene variants that affect the production of sarcomeric/cytoskeletal proteins. Generally, these [...] Read more.
Novel therapies for the treatment of familial dilated cardiomyopathy (DCM) are lacking. Shaping research directions to clinical needs is critical. Triggers for the progression of the disorder commonly occur due to specific gene variants that affect the production of sarcomeric/cytoskeletal proteins. Generally, these variants cause a decrease in tension by the myofilaments, resulting in signaling abnormalities within the micro-environment, which over time result in structural and functional maladaptations, leading to heart failure (HF). Current concepts support the hypothesis that the mutant sarcomere proteins induce a causal depression in the tension-time integral (TTI) of linear preparations of cardiac muscle. However, molecular mechanisms underlying tension generation particularly concerning mutant proteins and their impact on sarcomere molecular signaling are currently controversial. Thus, there is a need for clarification as to how mutant proteins affect sarcomere molecular signaling in the etiology and progression of DCM. A main topic in this controversy is the control of the number of tension-generating myosin heads reacting with the thin filament. One line of investigation proposes that this number is determined by changes in the ratio of myosin heads in a sequestered super-relaxed state (SRX) or in a disordered relaxed state (DRX) poised for force generation upon the Ca2+ activation of the thin filament. Contrasting evidence from nanometer–micrometer-scale X-ray diffraction in intact trabeculae indicates that the SRX/DRX states may have a lesser role. Instead, the proposal is that myosin heads are in a basal OFF state in relaxation then transfer to an ON state through a mechano-sensing mechanism induced during early thin filament activation and increasing thick filament strain. Recent evidence about the modulation of these mechanisms by protein phosphorylation has also introduced a need for reconsidering the control of tension. We discuss these mechanisms that lead to different ideas related to how tension is disturbed by levels of mutant sarcomere proteins linked to the expression of gene variants in the complex landscape of DCM. Resolving the various mechanisms and incorporating them into a unified concept is crucial for gaining a comprehensive understanding of DCM. This deeper understanding is not only important for diagnosis and treatment strategies with small molecules, but also for understanding the reciprocal signaling processes that occur between cardiac myocytes and their micro-environment. By unraveling these complexities, we can pave the way for improved therapeutic interventions for managing DCM. Full article
13 pages, 1281 KiB  
Article
Natural Antibodies Produced in Vaccinated Patients and COVID-19 Convalescents Hydrolyze Recombinant RBD and Nucleocapsid (N) Proteins
by Anna M. Timofeeva, Liliya Sh. Shayakhmetova, Artem O. Nikitin, Tatyana A. Sedykh, Andrey L. Matveev, Daniil V. Shanshin, Ekaterina A. Volosnikova, Iuliia A. Merkuleva, Dmitriy N. Shcherbakov, Nina V. Tikunova, Sergey E. Sedykh and Georgy A. Nevinsky
Biomedicines 2024, 12(5), 1007; https://doi.org/10.3390/biomedicines12051007 - 02 May 2024
Abstract
Antibodies are protein molecules whose primary function is to recognize antigens. However, recent studies have demonstrated their ability to hydrolyze specific substrates, such as proteins, oligopeptides, and nucleic acids. In 2023, two separate teams of researchers demonstrated the proteolytic activity of natural plasma [...] Read more.
Antibodies are protein molecules whose primary function is to recognize antigens. However, recent studies have demonstrated their ability to hydrolyze specific substrates, such as proteins, oligopeptides, and nucleic acids. In 2023, two separate teams of researchers demonstrated the proteolytic activity of natural plasma antibodies from COVID-19 convalescents. These antibodies were found to hydrolyze the S-protein and corresponding oligopeptides. Our study shows that for antibodies with affinity to recombinant structural proteins of the SARS-CoV-2: S-protein, its fragment RBD and N-protein can only hydrolyze the corresponding protein substrates and are not cross-reactive. By using strict criteria, we have confirmed that this proteolytic activity is an intrinsic property of antibodies and is not caused by impurities co-eluting with them. This discovery suggests that natural proteolytic antibodies that hydrolyze proteins of the SARS-CoV-2 virus may have a positive impact on disease pathogenesis. It is also possible for these antibodies to work in combination with other antibodies that bind specific epitopes to enhance the process of virus neutralization. Full article
17 pages, 1351 KiB  
Article
Prioritizing Disease Diagnosis in Neonatal Cohorts through Multivariate Survival Analysis: A Nonparametric Bayesian Approach
by Jangwon Seo, Junhee Seok and Yoojoong Kim
Healthcare 2024, 12(9), 939; https://doi.org/10.3390/healthcare12090939 - 02 May 2024
Abstract
Understanding the intricate relationships between diseases is critical for both prevention and recovery. However, there is a lack of suitable methodologies for exploring the precedence relationships within multiple censored time-to-event data, resulting in decreased analytical accuracy. This study introduces the Censored Event Precedence [...] Read more.
Understanding the intricate relationships between diseases is critical for both prevention and recovery. However, there is a lack of suitable methodologies for exploring the precedence relationships within multiple censored time-to-event data, resulting in decreased analytical accuracy. This study introduces the Censored Event Precedence Analysis (CEPA), which is a nonparametric Bayesian approach suitable for understanding the precedence relationships in censored multivariate events. CEPA aims to analyze the precedence relationships between events to predict subsequent occurrences effectively. We applied CEPA to neonatal data from the National Health Insurance Service, identifying the precedence relationships among the seven most commonly diagnosed diseases categorized by the International Classification of Diseases. This analysis revealed a typical diagnostic sequence, starting with respiratory diseases, followed by skin, infectious, digestive, ear, eye, and injury-related diseases. Furthermore, simulation studies were conducted to demonstrate CEPA suitability for censored multivariate datasets compared to traditional models. The performance accuracy reached 76% for uniform distribution and 65% for exponential distribution, showing superior performance in all four tested environments. Therefore, the statistical approach based on CEPA enhances our understanding of disease interrelationships beyond competitive methodologies. By identifying disease precedence with CEPA, we can preempt subsequent disease occurrences and propose a healthcare system based on these relationships. Full article
(This article belongs to the Special Issue Applied Statistics and Data Analysis in Healthcare)
17 pages, 2537 KiB  
Article
Impact of Incorporating Future Mandatory Price Reductions with Generic Drug Entry on the Cost-Effectiveness of New Drugs: A Policy Simulation Study of Dupilumab in Atopic Dermatitis Treatment
by Maryanne Kim, Guiguan Quan, Youran Noh and Song Hee Hong
Healthcare 2024, 12(9), 938; https://doi.org/10.3390/healthcare12090938 - 02 May 2024
Abstract
The introduction of high-cost medications often poses challenges in achieving cost-effectiveness for drug insurance coverage. Incorporating future price reductions for these medications may enhance their cost-effectiveness. We examined the influence of future cost reductions mandated by the national insurer’s equal pricing for equivalent [...] Read more.
The introduction of high-cost medications often poses challenges in achieving cost-effectiveness for drug insurance coverage. Incorporating future price reductions for these medications may enhance their cost-effectiveness. We examined the influence of future cost reductions mandated by the national insurer’s equal pricing for equivalent drugs (EPED) policy on the cost-effectiveness of dupilumab, a biologic drug for moderate to severe atopic dermatitis in the Korean healthcare system. We conducted a policy simulation study using semi-Markovian cost utility analysis of dupilumab in combination with supportive care (SC) versus SC alone, with and without the EPED policy adjustment. The EPED would lower dupilumab’s price to 70% following the entry of a biosimilar drug in 10.3 years. Scenario analyses quantified the impact of changing time to the EPED, chemical versus biological designation, response criteria, discount rates, and time horizons on the Incremental Cost-Effectiveness Ratio (ICER) and acceptability with and without EPED adjustment. The EPED adjustment of dupilumab’s future price significantly improved its cost-effectiveness, with a 9.7% decrease in ICER and a substantial 14.6% increase in acceptability. Assuming EPED in 5 years, the ICER fell below the predefined willingness-to-pay threshold. If dupilumab were a chemical drug, EPED adjustment demonstrated a 19.1% increase in acceptability. Incorporating future cost reductions via the EPED system in economic evaluations is crucial, especially for drugs facing imminent generic entry. This study underscores the importance of EPED adjustment in the cost-effectiveness analysis of innovative medications, especially for those nearing willingness-to-pay thresholds. Full article
(This article belongs to the Section Health Policy)
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18 pages, 500 KiB  
Article
Appraising the Physical Activity Levels of Saudis with Physical Disabilities: Effects of Disability Type, Mobility Assistive Devices, and Demographic Factors
by Mohamed A. Said and Majed M. Alhumaid
Healthcare 2024, 12(9), 937; https://doi.org/10.3390/healthcare12090937 - 02 May 2024
Abstract
Physical activity (PA) has numerous health benefits for individuals with physical disabilities (IWPD). However, it is common for activity levels to fall below the suggested limits. This study aimed to evaluate the prevalence, pattern, and levels of PA among IWPD in Saudi Arabia. [...] Read more.
Physical activity (PA) has numerous health benefits for individuals with physical disabilities (IWPD). However, it is common for activity levels to fall below the suggested limits. This study aimed to evaluate the prevalence, pattern, and levels of PA among IWPD in Saudi Arabia. It also investigated the effects of individuals’ type of disability, mobility assistive devices, and demographic features on PA levels. Data were collected from 238 participants, mostly male (62.2%), aged 39.76 ± 12.19 years. Among them, 19.3% had spinal conditions, 14.7% had progressive muscular dystrophy, 15.1% had multiple sclerosis, 17.6% had cerebral palsy, 16.4% had poliomyelitis, and 16.8% had limb or foot amputations. The participants were assessed using the Arabic version of the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD-AR). The results showed that 62.6% (64.9% of males and 58.9% of females) met the minimum PA guidelines specified by the WHO. The average PASIPD-AR score was 10.33 ± 10.67 MET-hours/day, indicating lower PA levels, and 8.4% of individuals did not participate in any form of PA. Significant discrepancies were detected in disability type and mobility assistive device use after age adjustment. Marital status, education, and occupation greatly affected PA components. Greater attention should be paid to promoting an active lifestyle among IWPD in Saudi Arabia. Full article
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25 pages, 1225 KiB  
Article
Resolved Simulation for the Prediction of Classification in Decanter Centrifuges
by Helene Katharina Baust, Hermann Nirschl and Marco Gleiß
ChemEngineering 2024, 8(3), 48; https://doi.org/10.3390/chemengineering8030048 - 02 May 2024
Abstract
Solid–liquid separation plays a decisive role in various industrial applications particularly in the treatment and purification of suspensions. Solid bowl centrifuges, such as the decanter centrifuge, are commonly employed in these processes as they operate continuously and enable high throughputs with short processing [...] Read more.
Solid–liquid separation plays a decisive role in various industrial applications particularly in the treatment and purification of suspensions. Solid bowl centrifuges, such as the decanter centrifuge, are commonly employed in these processes as they operate continuously and enable high throughputs with short processing times. However, predicting the separation performance of solid bowl centrifuges proves to be challenging due to dynamic phenomena within the apparatus, such as particle settling, sediment build-up, consolidation and sediment transport. In practice, design considerations and the dimensioning of the apparatus rely on analytical models and the manufacturer’s expertise. Computational Fluid Dynamics (CFD) offers a way to deepen our understanding of these devices by allowing detailed examination of flow phenomena and their influence on the separation processes. This study utilizes the open-source software OpenFOAM to simulate multiphase flow in a laboratory-scale decanter centrifuge, solving individual transport equations for each particle size class. The basis is the characterization of the material through targeted laboratory experiments to derive material functions that describe the hindered settling and the sediment consolidation. Furthermore, experiments on a laboratory decanter served as validation. The results demonstrate the solver’s capability to replicate clarification and classification within the apparatus. Furthermore, the solver supports the definition of geometries tailored to specific separation tasks. This research demonstrates the potential of CFD for a better understanding of complex centrifuge processes and for optimizing their design to improve performance. Full article
(This article belongs to the Special Issue Process Intensification for Chemical Engineering and Processing)
24 pages, 685 KiB  
Article
A Feature Alignment Approach to Plural Realization in Eastern Andalusian Spanish
by Stuart Davis and Matthew Pollock
Languages 2024, 9(5), 166; https://doi.org/10.3390/languages9050166 - 02 May 2024
Abstract
Using an optimality theoretic analysis, this study offers a conception of the problem of plural realization in Eastern Andalusian Spanish (EAS) where plural suffix /s/ was deleted diachronically that differs from other accounts that assign the EAS plural an underlying suffixal /s/ synchronically. [...] Read more.
Using an optimality theoretic analysis, this study offers a conception of the problem of plural realization in Eastern Andalusian Spanish (EAS) where plural suffix /s/ was deleted diachronically that differs from other accounts that assign the EAS plural an underlying suffixal /s/ synchronically. Using alignment constraints, we argue that plural /s/ does not appear in the underlying form synchronically in EAS, but that instead the plural morpheme is represented by a floating [–ATR]PL feature that aligns to the right edge of the word and spreads left. The [–ATR] feature, represented phonetically as a laxing or opening of vowels, applies to all mid vowels, low vowels in word final position, and combines with vowel epenthesis to explain Eastern Andalusian pluralization tendencies in words with final consonants. We discuss the behavior of high vowels, which can be transparent to harmony, and focus in particular on the plural of words that end in a final stressed vowel that have been rarely discussed in the EAS literature. We develop an optimality-theoretic analysis on the Granada variety and extend that analysis to other varieties with somewhat different patterns. Full article
(This article belongs to the Special Issue Phonetics and Phonology of Ibero-Romance Languages)
18 pages, 578 KiB  
Systematic Review
Endothelial Dysfunction as a Key Link between Cardiovascular Disease and Frailty: A Systematic Review
by Hakan Calila, Elena Bălășescu, Roxana Ioana Nedelcu and Daniela Adriana Ion
J. Clin. Med. 2024, 13(9), 2686; https://doi.org/10.3390/jcm13092686 - 02 May 2024
Abstract
Frailty is increasingly recognized as a significant health concern, particularly due to its association with cardiovascular pathologies. This study aims to examine how vascular endothelial dysfunction, a known premorbid stage in the pathophysiology of cardiovascular diseases, contributes to the link between cardiovascular illness [...] Read more.
Frailty is increasingly recognized as a significant health concern, particularly due to its association with cardiovascular pathologies. This study aims to examine how vascular endothelial dysfunction, a known premorbid stage in the pathophysiology of cardiovascular diseases, contributes to the link between cardiovascular illness and frailty. Methods: The inclusion criteria allowed us to focus on original clinical research articles published in English between January 2014 and January 2024, which reported quantitative assessments of the relationship between frailty and vascular endothelial dysfunction. Excluded from the study were systematic literature reviews, meta-analyses, editorials, conference articles, theses, methodological articles, and studies using animal or cell culture models. Searches were conducted of electronic databases, including Scopus, ScienceDirect, and Medline, up to 22 January 2024. The risk of bias was assessed using the Joanna Briggs Institute’s critical appraisal tools. The methods used to present and synthesize the results involved data extraction and categorization based on biomolecular and clinical findings of endothelial dysfunction. Results: Following the application of the inclusion and exclusion criteria, a total of 29 studies were identified. Vascular endothelial dysfunction was associated with increased frailty phenotypes, and we also identified SGLT-2 inhibitors’ potential role as an anti-fragility treatment that affects endothelial dysfunction. This study found that the physical and biomolecular markers of endothelial dysfunction are associated with frailty measures and have predictive value for incident frailty. Furthermore, some studies have shown inflammation to have an impact on endothelial dysfunction and frailty, and an innovative age-related chronic inflammation measure has been proven to predict frailty scores. Conclusions: The current evidence suggests an association between endothelial dysfunction and frailty, highlighting the need for further research to elucidate the underlying mechanisms. Full article
(This article belongs to the Section Vascular Medicine)
21 pages, 918 KiB  
Article
Mathematics in Art and History Museums: An Informal Mathematics Education Case for Teachers’ In-Service Training
by Raffaele Casi and Cristina Sabena
Educ. Sci. 2024, 14(5), 489; https://doi.org/10.3390/educsci14050489 - 02 May 2024
Abstract
Recognizing the omnipresence of mathematics across various contexts, this paper addresses the untapped potential of museums as rich venues for informal mathematics learning beyond traditional educational settings like classrooms. This paper presents the InformalMath program, designed for the professional development of primary and [...] Read more.
Recognizing the omnipresence of mathematics across various contexts, this paper addresses the untapped potential of museums as rich venues for informal mathematics learning beyond traditional educational settings like classrooms. This paper presents the InformalMath program, designed for the professional development of primary and middle school teachers using integrating mathematics education within art and history museums through designing mathematics visit workshops. Specifically, the focus is placed on Phase 1 of the program, in which teachers participated in two informal mathematics education workshops at two museums in Turin, Italy, and were asked to reflect on their participation through a written essay. The analysis of the essays reveals significant engagement, appreciation of mathematics as a cultural artifact, and the emergence of creativity and inclusion among participating teachers. These findings highlight the benefits of such interdisciplinary approaches in enhancing mathematical understanding and pedagogical strategies. Conclusions emphasize the program’s success in not only enriching teachers’ instructional repertoire but also in promoting a more holistic, engaging, and contextualized approach to mathematics education, suggesting a promising avenue for future educational practices and research in informal learning environments. Full article
(This article belongs to the Special Issue Methodological Issues in STE(A)M Education)
18 pages, 1898 KiB  
Article
Design and Implementation of an L1 Adaptive Proportional Output Feedback Controller
by Deepanshu Bagati, Toufik Souanef and James F. Whidborne
Actuators 2024, 13(5), 172; https://doi.org/10.3390/act13050172 - 02 May 2024
Abstract
A new approach for output feedback L1 adaptive control based on a proportional adaptation law is presented. The effectiveness of this design is assessed in simulation and validated through real-time testing on an airfoil pitch control wind tunnel experimental rig. Experimental evaluation [...] Read more.
A new approach for output feedback L1 adaptive control based on a proportional adaptation law is presented. The effectiveness of this design is assessed in simulation and validated through real-time testing on an airfoil pitch control wind tunnel experimental rig. Experimental evaluation of the robustness of the controllers, assessed by introducing various disturbances into the control signals, shows that the adaptive control has a better performance compared to PID control, particularly in scenarios with reduced control effectiveness and time-varying disturbances. The experimental results demonstrate the efficacy of the proposed method in practical applications. Full article
(This article belongs to the Section Aircraft Actuators)

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