With the continuous advancement of information technology, a growing number of works, including articles, paintings, and music, are being digitized. Digital content can be swiftly shared and disseminated via the Internet. However, it is also vulnerable to malicious plagiarism, which can seriously infringe upon the rights of creators and dampen their enthusiasm. To protect creators’ rights and interests, a sophisticated method is necessary to authenticate digital intellectual property rights. Traditional authentication methods rely on centralized, trustworthy organizations that are susceptible to single points of failure. Additionally, these methods are prone to network attacks that can lead to data loss, tampering, or leakage. Moreover, the circulation of copyright information often lacks transparency and traceability in traditional systems, which leads to information asymmetry and prevents creators from controlling the use and protection of their personal information during the authentication process. Blockchain technology, with its decentralized, tamper-proof, and traceable attributes, addresses these issues perfectly. In blockchain technology, each node is a peer, ensuring the symmetry of information. However, the transparent feature of blockchains can lead to the leakage of user privacy data. Therefore, this study designs and implements an Ethereum blockchain-based intellectual property authentication scheme with privacy protection. Firstly, we propose a method that combines elliptic curve cryptography (ECC) encryption with digital signatures to achieve selective encryption of user personal information. Subsequently, an authentication algorithm based on Zero-Knowledge Succinct Non-Interactive Argument of Knowledge (zk-SNARK) is adopted to complete the authentication of intellectual property ownership while encrypting personal privacy data. Finally, we adopt the InterPlanetary File System (IPFS) to store large files, solving the problem of blockchain storage space limitations. Full article

This paper reports on the testing and evaluation of a passive autoranging (AR) method designed to dynamically extend the measurement range of a photonic current transducer (PCT) to pave the way toward a realization of a combined metering- and protection-class current sensor. The PCT utilizes a current transformer (CT), a piezoelectric transducer (PZT), and a fiber Bragg grating (FBG) to enable current measurement at multiple points in an electrical power network whereby multiple sensors are deployed and interrogated serially using a single optical fiber. The autoranging technique relies on incorporating static MOSFET switches to instantaneously short individual serially connected CT burdens in response to a measured current magnitude exceeding pre-set thresholds. The AR circuit switching events produce distinctive signal features that are used by the proposed switching algorithm to apply appropriate scaling factors to reconstruct the measured current from the optical signal. It is shown through laboratory experiments that the AR circuit correctly reacts to pre-set burden current thresholds of 130% of the nominal value and 22 times the nominal value, signifying its “metering” and “protection” range boundaries. The circuit reaction time is below 4 ms, rendering it suitable for standard power system protection purposes. Moreover, the operation of the AR circuit is demonstrated for burden currents of up to 100 A for over 1 s, satisfying a test procedure for the secondary CT circuit, as required by some power system operators. It is demonstrated that the proposed switching algorithm allows for a correct reconstruction of the burden currents from the optical signal acquired by the FBG interrogator, offering the potential to realize a dual-class optical current sensor. Full article

In the context of small unmanned aerial vehicles (UAVs), infrared imaging faces challenges such as low quality, difficulty in detecting small targets, high false alarm rates, and computational resource constraints. To address these issues, we introduce AIMED-Net, an enhancing infrared small target detection net in UAVs with multi-layer feature enhancement for edge computing. Initially, the network encompasses a multi-layer feature enhancement architecture for infrared small targets, including a generative adversarial-based shallow-feature enhancement network and a detection-oriented deep-feature enhancement network. Specifically, an infrared image-feature enhancement method is proposed for the shallow-feature enhancement network, employing multi-scale enhancement to bolster target detection performance. Furthermore, within the YOLOv7 framework, we have developed an improved object detection network integrating multiple feature enhancement techniques, optimized for infrared targets and edge computing conditions. This design not only reduces the model’s complexity but also enhances the network’s robustness and accuracy in identifying small targets. Experimental results obtained from the HIT-UAV public dataset indicate that, compared to YOLOv7s, our method achieves a 2.5% increase in F1 score, a 6.1% rise in AP for detecting OtherVehicle targets, and a 2.6% improvement in mAP across all categories, alongside a 15.2% reduction in inference time on edge devices. Compared to existing state-of-the-art approaches, our method strikes a balance between detection efficiency and accuracy, presenting a practical solution for deployment in aerial edge computing scenarios. Full article

Mitral stenosis (MS) poses significant challenges in diagnosis and management due to its varied etiologies, such as rheumatic mitral stenosis (RMS) and degenerative mitral stenosis (DMS). While rheumatic fever-induced RMS has declined in prevalence, DMS is rising with aging populations and comorbidities. Starting from a complex clinical case of DMS, the aim of this paper is to review the literature on mitral stenosis by analyzing the available tools and the differences in terms of diagnosis and treatment for rheumatic and degenerative stenosis. Emerging transcatheter techniques, such as transcatheter mitral valve replacement (TMVR) and lithotripsy-facilitated percutaneous mitral commissurotomy (PMC), represent promising alternatives for DMS patients deemed unfit for surgery. In particular, intravascular lithotripsy (IVL) has shown potential in facilitating percutaneous interventions by fracturing calcific deposits and enabling subsequent interventions. However, larger prospective studies are warranted to validate these findings and establish IVL’s role in DMS management. To further enhance this technique, research could focus on investigating the long-term outcomes and durability of mitral lithotripsy, as well as exploring its potential in combination with PMC or TMVR. Full article

Background and Objectives: Mutations in succinate dehydrogenase (SDH) and fumarate hydratase (FH) give rise to various familial cancer syndromes, with these alterations being characteristic of certain types of histomorphologically specific leiomyomas that hold significant predictive value. Materials and Methods: This study presents two cases of uterine leiomyomas exhibiting rare histomorphological and genetic characteristics, which are crucial for prognosis and further treatment. Results: Distinct histopathological features such as marked nuclear atypia, intracellular eosinophilic globules, and abnormal intratumoral vessels raise suspicion for specific leiomyoma subtypes, which carry predictive significance for additional hereditary cancer syndromes. Immunohistochemical analysis confirmed FH/SDH deficiency in both patients, who underwent careful follow-up. Conclusions: This study describes two cases involving unusual leiomyomas, the histopathological characteristics of which may easily go unrecognized. These features hold predictive significance because their specific mutations point to additional hereditary cancer syndromes, highlighting the need for further examinations. Full article

Human papillomavirus (HPV) is the most prevalent sexually transmitted infection among young women. Notably, more than ten years after the introduction of HPV vaccination programs in Europe, it is essential to review the real-world evidence of the incidence of anogenital warts (GWs) among women vaccinated during childhood. In this systematic review, three databases were searched for studies published between January 2008 and September 2023. Nine cohort studies were included. A total of 890,320 HPV-vaccinated women and 1,922,033 unvaccinated women were evaluated. All the studies but one investigated the 4vHPV vaccine. The incidence rate of GWs in vaccinated women ranged from 0.0 to 1650 per 100,000 person-years. The highest incidence rates were found in women vaccinated with one dose at the age of 17–19 years old and in fully vaccinated women only after 19 years of age. Similar incidence values were reported among unvaccinated women. The incidence of GWs was lower when the age at first dose was 9–11 years old. This systematic review reveals that the incidence of GWs among HPV-vaccinated women is related to the age of vaccination and the number of vaccine doses received. In the post-vaccination era, epidemiological surveillance of the incidence of GWs and their genotypes is crucial. Full article

Non-symbiotic diazotrophic microbes are important contributors to global N budgets in cereal crops. Knowledge of the biogeography of the organisms in this functional guild increases our understanding of biological N fixation in diverse locations and climates. Here, we describe the diazotrophic community in the previously unstudied, extensive ricefields of southeast Missouri, using restriction fragment length polymorphism (RFLP) analysis and sequencing of nifH gene clones. While nine RFLP patterns were observed in random nifH clones, these groups were not all supported by gene sequencing, suggesting that the RFLP of nifH genes alone is not suitable for describing diazotrophic guilds. Dozens of nifH clones from Missouri ricefield soils were sequenced and analyzed phylogenetically. The nifH genes detected were predominantly from Geobacteraceae, most closely related to Geobacter and Geomonas species. There were substantial clusters of nifH clones most closely related to Desulfovibrionales and other Proteobacteria. Many of the clones did not closely cluster with nifH sequences from known isolates or clades. No cyanobacterial or archaeal sequences were detected in the Missouri ricefield soils. The microbial guild fixing N appeared to be rich in anaerobes and lithotrophs. Organisms in Geobacter and Geomonas seem to be cosmopolitan, but endemism was evident, since nifH clones were recovered that formed clusters not previously reported from ricefields in other locations. Full article

This paper presents empirical evidence to support the so-called syntactization of discourse, that is, the projection of relevant pragmatic features in the narrow syntax. In particular, it analyses deictic inversion in English, a construction which is used by the speaker to point at a proximal or distal location and bring the addressee’s attention to an entity related to that location (e.g., Here comes the bus). It offers a novel account of this construction, which takes it to be an evidential strategy in a language that does not have standard evidential markers; this evidential status explains its main differences with locative inversion, a construction with which it is pragmatically and structurally related. Deictic inversion therefore receives a natural explanation in a framework that maps syntax with the speech act and introduces in the derivation pragmatic information about the participants in the communicative exchange and about the source of the information for the proposition asserted. Full article

This study introduces a novel magnetic nanohybrid material consisting of ferromagnetic (FM) bcc Fe–Co nanoparticles (NPs) grown on nanodiamond (ND) nanotemplates. A combination of wet chemistry, which produces chemical precursors and their subsequent thermal treatment under vacuum, was utilized for its development. The characterization and study of the prepared samples performed with a range of specialized experimental techniques reveal that thermal treatment of the as-prepared hybrid precursors under a range of annealing conditions leads to the development of Co-rich Fe–Co alloy NPs, with average sizes in the range of 6–10 nm, that exhibit uniform distribution on the surfaces of the ND nanotemplates and demonstrate FM behavior throughout a temperature range from 2 K to 400 K, with maximum magnetization values ranging between 18.9 and 21.1 emu/g and coercivities ranging between 112 and 881 Oe. Moreover, ⁵⁷Fe Mössbauer spectroscopy reveals that apart from the predominant bcc FM Fe–Co phase, iron atoms also participate in the formation of a secondary martensitic-type Fe–Co phase. The emergence of this distinctive phase is attributed to the diffusion of carbon atoms within the Fe–Co lattices during their formation at elevated temperatures. The source of these carbon atoms is related to the unique morphological properties of the ND growth matrices, which facilitate surface sp² formations. Apart from their diffusion within the Fe–Co NP lattice, the carbon atoms also reconstruct layered graphitic-type nanostructures enveloping the metallic alloy NPs. These non-typical nanohybrid materials, reported here for the first time in the literature, hold significant potential for use in applications related, but not limited to, biomedicine, biopharmaceutics, catalysis, and other various contemporary technological fields. Full article

Background: The escalating prevalence of obesity in women of reproductive age raises concerns about its impact on maternal and fetal health during pregnancy. This study aimed to thoroughly assess how obesity affects pregnancy and neonatal outcomes among Saudi pregnant women. Methods: In a retrospective cross-sectional study, we analyzed 8426 pregnant women who delivered at King Fahad National Guard Hospital in Riyadh in 2021. Of these, 3416 had obesity, and 341 of them, meeting the inclusion criteria, were selected. Maternal and neonatal outcomes were compiled using a structured questionnaire and extracted from the hospital’s “Best Care” data-based registration system. Results: The findings highlighted that 40.5% of pregnant women were classified as obese, with almost half falling into obesity class II based on BMI. Obesity correlated significantly with adverse maternal outcomes like gestational diabetes and increased rates of cesarean deliveries. Additionally, maternal obesity was linked to unfavorable fetal outcomes, including higher rates of newborn intensive care unit admissions, lower APGAR scores at 1 min, and a greater likelihood of macrosomia. Conclusions: This study underscores the important impact of maternal obesity on both maternal and fetal health during pregnancy. Addressing this high-risk condition demands targeted educational programs for women of reproductive age focusing on BMI control, dietary adjustments, and lifestyle modifications to mitigate obesity-related complications during pregnancy. Full article

Background: In this multicenter case series analysis, the authors present successful instances of 20 single-screw-retained and implant-supported prosthetic rehabilitation samples. Methods: A high-density heterologous dermal matrix (Derma^® Osteobiol by Tecnoss, Torino, Italy) was employed with a specific technique named the matrix tissue graft (MTG) in all these cases characterized by an inadequate initial supra-crestal tissue height (thin if 1 mm or medium if 2 mm) to enhance the peri-implant soft tissues both vertically and horizontally. Results: The implants were deemed successful in all cases, yielding a success proportion of 100% (one-sided 97.5% confidence interval = 83.2–100%). The buccal and lingual gains were, respectively, 2.2 ± 0.38 mm (range 1.7–3.22 mm) and 0.83 ± 0.33 mm (range 0.1–1.5 mm). These measurements were calculated as the maximum distance between two superimposed .stl file models (derived from two different IOS devices) scanned before implant placement and 1 year after dermal matrix healing. Conclusions: An outstanding vertical and horizontal gain was obtained using this heterologous derma matrix placed above the bone crest and surrounding the dental implants. Full article

Consumption of nitrate-rich vegetables increases nitric oxide bioavailability, lowers blood pressure, and improves endothelial function. These effects could also translate into reduced cardiovascular disease (CVD) risk and mortality. This systematic review aimed to investigate the associations between habitual vegetable nitrate intake and CVD incidence and mortality. A secondary aim was to identify factors that moderate the relationship between vegetable nitrate intake and CVD incidence/mortality. Seven databases (PubMed, MEDLINE, Embase, Scopus, Web of Science, CINAHL, and APA PsycINFO) were searched from inception to 13 February 2023. Observational studies quantifying vegetable nitrate intake in participants aged 18+ years through self-reported dietary exposure and assessing incidence or mortality from CVD overall, or individual CVD subtypes, were eligible. Five studies including a total of 63,155 participants were included. There was an inverse association between vegetable nitrate intake and most reported CVD outcomes. Reported risk reductions tended to plateau at moderate intake, suggesting a possible ceiling effect. The risk of bias across all studies was low. The results of this systematic review suggest a potential role for vegetable nitrate in reducing CVD risk and mortality. Further randomised controlled trials are now required to corroborate these findings. Full article

Immunotherapy with checkpoint inhibitors, albeit commonly used against tumors, is still at its infancy against chronic virus infections. It relies on the reinvigoration of exhausted T lymphocytes to eliminate virus-infected cells. Since T cell exhaustion is a physiological process to reduce immunopathology, the reinvigoration of these cells might be associated with an augmentation of pathological changes. To test this possibility, we here analyzed in the model system of chronic lymphocytic choriomeningitis virus (LCMV)-infected mice whether treatment with the checkpoint inhibitor anti-PD-L1 antibody would increase CD8 T cell-dependent fibrosis. We show that pre-existing spleen fibrosis did not worsen under conditions that increase CD8 T cell functionality and reduce virus loads suggesting that the CD8 T cell functionality increase remained below its pathogenicity threshold. These promising findings should further encourage immunotherapeutic trials against chronic virus infections. Full article

Background: Allergic contact dermatitis (ACD) is a delayed hypersensitivity reaction occurring in sensitized individuals due to exposure to allergens. Polysensitization, defined as positive reactions to multiple unrelated haptens, increases the risk of ACD development and affects patients’ quality of life. The aim of this study is to apply machine learning in order to analyze the association between ACD, polysensitization, individual susceptibility, and patients’ characteristics. Methods: Patch test results and demographics from 400 ACD patients (Study protocol Nr. 3765/2022), categorized as polysensitized or monosensitized, were analyzed. Classic statistical analysis and multiple correspondence analysis (MCA) were utilized to explore relationships among variables. Results: The findings revealed significant associations between patient characteristics and ACD patterns, with hand dermatitis showing the strongest correlation. MCA provided insights into the complex interplay of demographic and clinical factors influencing ACD prevalence. Conclusion: Overall, this study highlights the potential of machine learning in unveiling hidden patterns within dermatological data, paving the way for future advancements in the field. Full article

Partial discharge (PD) is the dominant insulating defect in Gas-Insulated Switchgear (GIS). The existing detection methods are mainly divided into built-in wire-connected disk antennas with destructive drilling and external ultra-high frequency antennas with poor anti-interference ability. This research introduces a passive wireless PD sensor implanted inside GIS on the observation window. The sensor is implemented by a sheeting branch-inductor with multiple resonances which is able to enhance detection sensitivity. A coaxially aligned readout circuit, positioned outside the GIS, interrogates the PD sensor to wirelessly obtain the PD signal. The proposed sensing scheme improves signal-to-noise ratio and ensures minimal disruption to the electric field distribution inside GIS. An experimental setup was established in a controlled laboratory environment to benchmark the multi-resonant sensor against the commercial UHF sensor. A 2.5-times enhancement of signal strength was observed. Since our sensor was implanted inside the GIS, a high signal-to-noise ratio (68.82 dB) was obtained. Moreover, we constructed a wireless calibration test to investigate the accuracy of the proposed sensor. The precision of the signal test was as high as 0.72 pC. The pulse phase distribution information was collected to demonstrate a phase-resolved partial discharge (PRPD) pattern. The experiment results validate the effectiveness of the proposed method and demonstrate excellent performance in PD detection. Full article

Clostridioides difficile infection (CDI), though identified nearly five decades ago, still remains a major challenge, being associated with significant mortality rates. The strains classified as hypervirulent, notably 027/NAP1/BI, have garnered substantial attention from researchers and clinicians due to their direct correlation with the severity of the disease. Our study aims to elucidate the significance of toxigenic Clostridioides difficile (CD) strains in the clinical and therapeutic aspects of managing patients diagnosed with CDI. We conducted a single-center prospective study, including patients with CDI from north-eastern Romania. We subsequently conducted molecular biology testing to ascertain the prevalence of the presumptive 027/NAP1/BI strain within aforementioned geographic region. The patients were systematically compared and assessed both clinically and biologically, employing standardized and comparative methodologies. The study enrolled fifty patients with CDI admitted between January 2020 and June 2020. Among the investigated patients, 43 (86%) exhibited infection with toxigenic CD strains positive for toxin B genes (tcdB), binary toxin genes (cdtA and cdtB), and deletion 117 in regulatory genes (tcdC), while the remaining 7 (14%) tested negative for binary toxin genes (cdtA and cdtB) and deletion 117 in tcdC. The presence of the presumptive 027/NAP1/BI strains was linked to a higher recurrence rate (35.56%, p = 0.025), cardiovascular comorbidities (65.1% vs. 14.2%, p = 0.016), and vancomycin treatment (55.8% vs. 14.3%, p = 0.049). The findings of our investigation revealed an elevated incidence of colitis attributed to presumptive 027/NAP1/BI. Despite the prevalence of the presumptive 027 strain and its associated heightened inflammation among the patients studied, no significant differences were observed regarding the clinical course or mortality outcomes. Full article

For a long time, a company’s Product Development Process (PDP) was seen as supporting the operations department, although PDP decisions and mistakes have a considerable impact on market performance. This is critical even in agriculture where bad habits and practices in the PDP can lead rural producers to great losses. Therefore, this research investigates the effect of the PDP on the market performance of rural products (bananas) in the southern region of Brazil, based on two analyses: (i) how sustainability practices support the PDP phases and (ii) how the phases of the Product Life Cycle Assessment (LCA) mediate sustainability practices and PDP phases. This study presents a quantitative analysis using Confirmatory Factor Analysis (CFA) and hierarchical ordinary least squares (OLS) regression of data obtained from a survey of 110 rural producers who directly participate in the banana production and planning process in southern Brazil. Our results show that sustainability practices support the PDP, and we confirm that the product development and post-development phase has an effect on market performance. In addition, we identify that in the pre-development phase of the PDP, dealing with rural products (bananas), the maturity stage of the LCA mediates sustainability. In the PDP development phase, we conclude that rural families who develop economic and environmental practices with their products, which are in the market growth phase may have reduced results. As for the post-development phase of the PDP, we conclude that when companies invest in environmental and social practices, there is a complete mediation of the effect, where these practices lose strength if the product is in the introductory and maturity phases in the market. In an original matter, our study contributes to demonstrating the value of the product life cycle for the Product Development Process in agriculture using sustainability practices through a systemic approach, filling the gap in the literature due to a lack of integrated research on these areas seen. Full article

Dendritic cells (DC) along with macrophages are the main host cells of the intracellular parasite Leishmania. DC traverse a process of maturation, passing through an immature state with phagocytic ability to a mature one where they can modulate the immune response through the secretion of cytokines. Several studies have demonstrated that Leishmania inhibits DC maturation. Nevertheless, when cells are subjected to a second stimulus such as LPS/IFN-γ, they manage to mature. In the maturation process of DC, several signaling pathways have been implicated, importantly MAPK. On the other hand, Akt is a signaling pathway deeply involved in cell survival. Some Leishmania species have shown to activate MAPK and Akt in different cells. The aim of this work was to investigate the role of ERK and Akt in the maturation of monocyte-derived DC (moDC) infected with L. mexicana. moDC were infected with L. mexicana metacyclic promastigotes, and the phosphorylation of ERK and Akt, the expression of MHCII and CD86 and IL-12 transcript, and secretion were determined in the presence or absence of an Akt inhibitor. We showed that L. mexicana induces a sustained Akt and ERK phosphorylation, while the Akt inhibitor inhibits it. Moreover, the infection of moDC downregulates CD86 expression but not MHCII, and the Akt inhibitor reestablishes CD86 expression and 12p40 production. Thus, L. mexicana can modulate DC maturation though Akt signaling. Full article

Primary cutaneous lymphomas (PCLs) are a heterogeneous group of lymphoproliferative disorders caused by the accumulation of neoplastic T or B lymphocytes in the skin. Sézary syndrome (SS) is an aggressive and rare form of cutaneous T cell lymphoma (CTCL) characterized by an erythroderma and the presence of atypical cerebriform T cells named Sézary cells in skin and blood. Most of the available treatments for SS are not curative, which means there is an urgent need for the development of novel efficient therapies. Recently, targeting cancer metabolism has emerged as a promising strategy for cancer therapy. This is due to the accumulating evidence that metabolic reprogramming highly contributes to tumor progression. Genes play a pivotal role in regulating metabolic processes, and alterations in these genes can disrupt the delicate balance of metabolic pathways, potentially contributing to cancer development. In this review, we discuss the importance of targeting energy metabolism in tumors and the currently available data on the metabolism of Sézary cells, paving the way for potential new therapeutic approaches aiming to improve clinical outcomes for patients suffering from SS. Full article

The aim of this study is to analyze the resorption rate of bone graft materials after crestal sinus floor elevation, study its influencing factors, and improve the long-term success rate of implants after crestal maxillary sinus floor elevation. Measurement and analysis were conducted at six postoperative timepoints (0 months, 6 months, 12 months, 18 months, 24 months, and 30 months) using cone beam computed tomography (CBCT) data on 31 patients from the Chenghuaxinguanghua Dental Clinic who underwent crestal maxillary sinus floor elevation, involving 38 graft sites. The materials resorption rates of the bone graft height (BH) and bone graft width (BW) were assessed. BH and BW resorption rates followed the same trend (p = 0.07), with BH and BW resorption rates decreasing with time (r_BH = −0.32, p < 0.01; r_BW = −0.18, p < 0.01), and were maximal in the 0–6 month interval, with BH and BW resorption rates of 3.42%/mth and 3.03%/mth, respectively. The average monthly BH and BW resorption rates in the 6–12 month interval rapidly decreased to 1.75%/mth and 1.29%/mth, respectively. The monthly BH and BW resorption rates in the 12–30 month intervals stabilized at 1.45%/mth (p > 0.05) and 1.22%/mth (p > 0.05), respectively. The higher the initial bone graft height (BH₀), the lower the BH resorption rates (r_BH = −0.98, p < 0.05), and the BW resorption rate was different for different graft sites (p = 0.01). The resorption rates of bone graft materials implanted through crestal maxillary sinus floor elevation decreased rapidly within the first 12 months post operation and remained stable after 12 months. BH₀ was identified as a significant factor influencing the resorption rates of bone graft materials. These results could suggest dentists should pay attention to the trend of resorption rates over time and carefully manage the initial height of bone grafts and inspire the research of new bone grafting materials for crestal maxillary sinus floor elevation. Full article