The 2023 MDPI Annual Report has
been released!
 
15 pages, 613 KiB  
Article
Effects of a Personalized Diet on Nutritional Status and Renal Function Outcome in Nephrectomized Patients with Renal Cancer
by Francesco Trevisani, Fabiana Laurenti, Francesco Fiorio, Matteo Paccagnella, Matteo Floris, Umberto Capitanio, Michele Ghidini, Ornella Garrone, Andrea Abbona, Andrea Salonia, Francesco Montorsi and Arianna Bettiga
Nutrients 2024, 16(9), 1386; https://doi.org/10.3390/nu16091386 (registering DOI) - 03 May 2024
Abstract
Nutritional therapy (NT) based on a controlled protein intake represents a cornerstone in managing chronic kidney disease (CKD). However, if a CKD patient is at the same time affected by cancer, oncologists and nutritionists tend to suggest a dietary regimen based on high [...] Read more.
Nutritional therapy (NT) based on a controlled protein intake represents a cornerstone in managing chronic kidney disease (CKD). However, if a CKD patient is at the same time affected by cancer, oncologists and nutritionists tend to suggest a dietary regimen based on high protein intake to avoid catabolism and malnutrition. International guidelines are not clear when we consider onco-nephrological patients and, as a consequence, no clinical shared strategy is currently applied in clinical practice. In particular, no precise nutritional management is established in nephrectomized patients for renal cell carcinoma (RCC), a specific oncological cohort of patients whose sudden kidney removal forces the remnant one to start a compensatory mechanism of adaptive hyperfiltration. Our study aimed to investigate the efficacy of a low–normal-protein high-calorie (LNPHC) diet based on a Mediterranean model in a consecutive cohort of nephrectomized RCC patients using an integrated nephrologist and nutritionist approach. A consecutive cohort of 40 nephrectomized RCC adult (age > 18) patients who were screened for malnutrition (malnutrition screening tool, MST < 2) were enrolled in a tertiary institution between 2020 and 2022 after signing a specific informed consent form. Each patient underwent an initial nephrological and nutritional evaluation and was subsequently subjected to a conventional CKD LNPHC diet integrated with aproteic foods (0.8 g/Kg/die: calories: 30–35 kcal per kg body weight/die) for a period of 6 months (±2 months). The diet was structured after considering eGFR (CKD-EPI 2021 creatinine formula), comorbidities, and nutritional status. MST, body mass index (BMI), phase angle (PA), fat mass percentage (FM%), fat-free mass index (FFMI), body cell mass index (BCMI), extracellular/intracellular water ratio (ECW/ICW), extracellular matrix/body cell mass ratio (ECM/BCM), waist/hip circumference ratio (WHC), lab test exams, and clinical variables were examined at baseline and after the study period. Our results clearly highlighted that the LNPHC diet was able to significantly improve several nutritional parameters, avoiding malnutrition and catabolism. In particular, the LNPHC diet preserved the BCM index (delta on median, ΔM + 0.3 kg/m2) and reduced the ECM/BCM ratio (ΔM − 0.03 *), with a significant reduction in the ECW/ICW ratio (ΔM − 0.02 *), all while increasing TBW (ΔM + 2.3% *). The LNPHC diet was able to preserve FFM while simultaneously depleting FM and, moreover, it led to a significant reduction in urea (ΔM − 11 mg/dL **). In conclusion, the LNPHC diet represents a new important therapeutic strategy that should be considered when treating onco-nephrological patients with solitary kidney due to renal cancer. Full article
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14 pages, 3420 KiB  
Article
Carnosic Acid Inhibits Herpes Simplex Virus Replication by Suppressing Cellular ATP Synthesis
by Georgina Horváth, Edit Molnár, Zoltán Szabó, Gábor Kecskeméti, László Juhász, Szabolcs Péter Tallósy, József Nyári, Anita Bogdanov, Ferenc Somogyvári, Valéria Endrész, Katalin Burián and Dezső P. Virok
Int. J. Mol. Sci. 2024, 25(9), 4983; https://doi.org/10.3390/ijms25094983 (registering DOI) - 03 May 2024
Abstract
Acquiring resistance against antiviral drugs is a significant problem in antimicrobial therapy. In order to identify novel antiviral compounds, the antiviral activity of eight plants indigenous to the southern region of Hungary against herpes simplex virus-2 (HSV-2) was investigated. The plant extracts and [...] Read more.
Acquiring resistance against antiviral drugs is a significant problem in antimicrobial therapy. In order to identify novel antiviral compounds, the antiviral activity of eight plants indigenous to the southern region of Hungary against herpes simplex virus-2 (HSV-2) was investigated. The plant extracts and the plant compound carnosic acid were tested for their effectiveness on both the extracellular and intracellular forms of HSV-2 on Vero and HeLa cells. HSV-2 replication was measured by a direct quantitative PCR (qPCR). Among the tested plant extracts, Salvia rosmarinus (S. rosmarinus) exhibited a 90.46% reduction in HSV-2 replication at the 0.47 μg/mL concentration. Carnosic acid, a major antimicrobial compound found in rosemary, also demonstrated a significant dose-dependent inhibition of both extracellular and intracellular forms of HSV-2. The 90% inhibitory concentration (IC90) of carnosic acid was between 25 and 6.25 μg/mL. Proteomics and high-resolution respirometry showed that carnosic acid suppressed key ATP synthesis pathways such as glycolysis, citrate cycle, and oxidative phosphorylation. Inhibition of oxidative phosphorylation also suppressed HSV-2 replication up to 39.94-fold. These results indicate that the antiviral action of carnosic acid includes the inhibition of ATP generation by suppressing key energy production pathways. Carnosic acid holds promise as a potential novel antiviral agent against HSV-2. Full article
(This article belongs to the Special Issue Recent Advances in Herpesviruses)
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10 pages, 963 KiB  
Article
Comparative Evaluation of Ultrasonic and Sonic Irrigant Activation Systems: Assessing Extrusion Risk, Debridement, and Biofilm Removal in Distinct Apical Preparation Sizes
by Sara Paixão, Pedro Sousa Gomes, Maria Helena Fernandes, Cláudia Rodrigues and Liliana Grenho
Appl. Sci. 2024, 14(9), 3904; https://doi.org/10.3390/app14093904 (registering DOI) - 03 May 2024
Abstract
This study aims to compare the effectiveness of ultrasonically and sonically activated irrigation in terms of extrusion risk, root canal debridement, and biofilm removal, considering distinct apical preparation sizes, through an ex vivo study in human teeth. Instrumented teeth, to an apical size [...] Read more.
This study aims to compare the effectiveness of ultrasonically and sonically activated irrigation in terms of extrusion risk, root canal debridement, and biofilm removal, considering distinct apical preparation sizes, through an ex vivo study in human teeth. Instrumented teeth, to an apical size of 35/.06 or 50/.06, were assigned to three different irrigation procedures: ultrasonically activated irrigation, sonically activated irrigation, and conventional manual irrigation. Apical extrusion risk was evaluated by quantifying irrigant and debris extrusion (n = 10/group). Debris evaluation and smear layer removal from the root canal wall were conducted by scanning electron microscopy (SEM) (n = 5/group), and the elimination of a mature biofilm of Enterococcus faecalis was assessed through resazurin assay and SEM (n = 10/group). For statistical analyses, Student’s paired t-test and the ANOVA with post-hoc Tukey were used. Activated irrigations exhibited a higher risk of extrusion for the larger apical size, while the risk for manual irrigation remained independent of the apical size. Substantially fewer residual debris and smear layers were observed after the activation of the irrigant, and there was a notable enhancement in biofilm elimination compared to manual irrigation (p < 0.05). Notably, the effectiveness of both activated irrigations was more pronounced in root canals prepared to a size 50/.06, with ultrasonic activation showing enhanced improvements. The findings of this study underscore the substantial impact of both ultrasonically and sonically activated irrigation on the effectiveness of root canal disinfection and debridement. This impact is especially prominent with larger apical size, albeit accompanied by an increased risk of extrusion. Full article
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14 pages, 2486 KiB  
Article
Changes in the Glucose Concentration Affect the Formation of Humic-like Substances in Polyphenol–Maillard Reactions Involving Gibbsite
by Nan Wang, Yongquan Cui, Yanhui Zhou, Pingxin Liu, Mingshuo Wang, Haihang Sun, Yubao Huang and Shuai Wang
Molecules 2024, 29(9), 2115; https://doi.org/10.3390/molecules29092115 (registering DOI) - 03 May 2024
Abstract
The polyphenol–Maillard reaction is considered one of the important pathways in the formation of humic-like substances (HLSs). Glucose serves as a microbial energy source that drives the humification process. However, the effects of changes in glucose, particularly its concentration, on abiotic pathways remain [...] Read more.
The polyphenol–Maillard reaction is considered one of the important pathways in the formation of humic-like substances (HLSs). Glucose serves as a microbial energy source that drives the humification process. However, the effects of changes in glucose, particularly its concentration, on abiotic pathways remain unclear. Given that the polyphenol–Maillard reaction requires high precursor concentrations and elevated temperatures (which are not present in soil), gibbsite was used as a catalyst to overcome energetic barriers. Catechol and glycine were introduced in fixed concentrations into a phosphate-buffered solution containing gibbsite using the liquid shake-flask incubation method, while the concentration of glucose was controlled in a sterile incubation system. The supernatant fluid and HLS components were dynamically extracted over a period of 360 h for analysis, thus revealing the influence of different glucose concentrations on abiotic humification pathways. The results showed the following: (1) The addition of glucose led to a higher degree of aromatic condensation in the supernatant fluid. In contrast, the supernatant fluid without glucose (Glu0) and the control group without any Maillard precursor (CK control group) exhibited lower degrees of aromatic condensation. Although the total organic C (TOC) content in the supernatant fluid decreased in all treatments during the incubation period, the addition of Maillard precursors effectively mitigated the decreasing trend of TOC content. (2) While the C content of humic-like acid (CHLA) and the CHLA/CFLA ratio (the ratio of humic-like acid to fulvic-like acid) showed varying increases after incubation, the addition of Maillard precursors resulted in a more noticeable increase in CHLA content and the CHLA/CFLA ratio compared to the CK control group. This indicated that more FLA was converted into HLA, which exhibited a higher degree of condensation and humification, thus improving the quality of HLS. The addition of glycine and catechol without glucose or with a glucose concentration of 0.06 mol/L was particularly beneficial in enhancing the degree of HLA humification. Furthermore, the presence of glycine and catechol, as well as higher concentrations of glucose, promoted the production of N-containing compounds in HLA. (3) The presence of Maillard precursors enhanced the stretching vibration of the hydroxyl group (–OH) of HLA. After the polyphenol–Maillard reaction of glycine and catechol with glucose concentrations of 0, 0.03, 0.06, 0.12, or 0.24 mol/L, the aromatic C structure in HLA products increased, while the carboxyl group decreased. The presence of Maillard precursors facilitated the accumulation of polysaccharides in HLA with higher glucose concentrations, ultimately promoting the formation of Al–O bonds. However, the quantities of phenolic groups and phenols in HLA decreased to varying extents. Full article
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24 pages, 2453 KiB  
Article
Improving Driving Style in Connected Vehicles via Predicting Road Surface, Traffic, and Driving Style
by Yahya Kadhim Jawad and Mircea Nitulescu
Appl. Sci. 2024, 14(9), 3905; https://doi.org/10.3390/app14093905 (registering DOI) - 03 May 2024
Abstract
This paper investigates the application of ensemble learning in improving the accuracy and reliability of predictions in connected vehicle systems, focusing on driving style, road surface quality, and traffic conditions. Our study’s central methodology is the voting classifier ensemble method, which integrates predictions [...] Read more.
This paper investigates the application of ensemble learning in improving the accuracy and reliability of predictions in connected vehicle systems, focusing on driving style, road surface quality, and traffic conditions. Our study’s central methodology is the voting classifier ensemble method, which integrates predictions from multiple machine learning models to improve overall predictive performance. Specifically, the ensemble method combines insights from random forest, decision tree, and K-nearest neighbors models, leveraging their individual strengths while compensating for their weaknesses. This approach resulted in high accuracy rates of 94.67% for driving style, 99.10% for road surface, and 98.80% for traffic predictions, demonstrating the robustness of the ensemble technique. Additionally, our research emphasizes the importance of model explanation ability, employing the tree interpreter tool to provide detailed insights into how different features influence predictions. This paper proposes a model based on the algorithm GLOSA for sharing data between connected vehicles and the algorithm CTCRA for sending road information to navigation application users. Based on prediction results using ensemble learning and similarity in driving styles, road surface conditions, and traffic conditions, an ensemble learning approach is used. This not only contributes to the predictions’ transparency and trustworthiness but also highlights the practical implications of ensemble learning in improving real-time decision-making and vehicle safety in intelligent transportation systems. The findings underscore the significant potential of advanced ensemble methods for addressing complex challenges in vehicular data analysis. Full article
(This article belongs to the Special Issue Intelligent Transportation System Technologies and Applications)
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13 pages, 1146 KiB  
Article
Simultaneous Analysis of 272 Pesticides in Agricultural Products by the QuEChERS Method and Gas Chromatography with Tandem Mass Spectrometry
by Da-Young Yun, Ji-Yeon Bae, Yoon-Jung Kang, Chae-Uk Lim, Gui-Hyun Jang, Mi-Ok Eom and Won-Jo Choe
Molecules 2024, 29(9), 2114; https://doi.org/10.3390/molecules29092114 (registering DOI) - 03 May 2024
Abstract
The aim of this study is to develop a rapid and accurate method for simultaneous analysis of multi-residue pesticides and conduct pesticide monitoring in agricultural products produced by the production and distribution stage in Korea. The representative agricultural products were selected as brown [...] Read more.
The aim of this study is to develop a rapid and accurate method for simultaneous analysis of multi-residue pesticides and conduct pesticide monitoring in agricultural products produced by the production and distribution stage in Korea. The representative agricultural products were selected as brown rice, soybean, potato, mandarin, and green pepper and developed using gas chromatography with tandem mass (GC-MS/MS) for the analysis of 272 pesticide residues. The experimental samples were extracted by the QuEChERS-EN method and then cleaned up by using d-SPE, including MgSO4 and primary secondary amine (PSA) sorbents. The established method was validated in accordance with Codex CAC-GL/40, and the limit of quantitation (LOQ) was determined to be 0.01 mg/kg. A total of 243 pesticides satisfied the guidelines in five samples at three levels with values of 60 to 120% (recovery) and ≤45% (coefficient of variation, CV). The remaining 29 pesticides did not satisfy the guidelines, and these pesticides are expected to be used as a screening method for the routine inspection of agricultural products. As a result of analyzing 223 agricultural products in South Korea by applying the simultaneous analysis method, none of the detected levels in the samples exceeded the standard values based on maximum residue limits (MRLs). The developed method in this study will be used to inspect residual pesticides in agricultural products, and it is anticipated to contribute to the distribution of safe agricultural products to consumers. Full article
(This article belongs to the Special Issue Chromatographic Methods for Monitoring Food Safety and Quality)
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13 pages, 3106 KiB  
Article
Catchment-Scale Hydrologic Effectiveness of Residential Rain Gardens: A Case Study in Columbia, Maryland, USA
by Benjamin J. Daniels and Jon Alan Yeakley
Water 2024, 16(9), 1304; https://doi.org/10.3390/w16091304 (registering DOI) - 03 May 2024
Abstract
To mitigate the adverse impacts of urban stormwater on streams, watershed managers are increasingly using low-impact development and green infrastructure (LID-GI) stormwater control measures, such as rain gardens—vegetated depressional areas that collect and infiltrate runoff from rooftops and driveways. Their catchment-scale performance, however, [...] Read more.
To mitigate the adverse impacts of urban stormwater on streams, watershed managers are increasingly using low-impact development and green infrastructure (LID-GI) stormwater control measures, such as rain gardens—vegetated depressional areas that collect and infiltrate runoff from rooftops and driveways. Their catchment-scale performance, however, can vary widely, and few studies have investigated the cumulative performance of residential rain gardens for event runoff control in intermediate-sized (i.e., 1–10 km2) suburban catchments. We modeled three years of continuous rainfall-runoff from a 3.1 km2 catchment in Columbia, MD, USA, using the Storm Water Management Model (SWMM). Various extents of rain garden implementation at residential houses were simulated (i.e., 25%, 50%, 75%, and 100% coverage) to determine the effects on peak flow, runoff volume, and lag time. On average, treating 100% of residential rooftops in the catchment reduced peak flows by 14.3%, reduced runoff volumes by 11.4%, and increased lag times by 3.2% for the 223 rainfall events during the simulation period. Peak flow reductions were greater for smaller storm events (p < 0.01). Our results show that residential rain gardens can significantly improve the runoff response of suburban catchments, and that they represent an effective and relatively low-cost option for urban watershed management and restoration. Full article
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25 pages, 3660 KiB  
Article
Biogeochemical Response of the Water Column of Concepción Bay, Chile, to a New Regime of Atmospheric and Oceanographic Variability
by Luis Bustos-Espinoza, Patricio Torres-Ramírez, Sergio Figueroa, Pablo S. González, Marcelo A. Pavez, Rodolfo Jerez, Gonzalo S. Saldías, Claudio Espinoza and Alexander Galán
Geosciences 2024, 14(5), 125; https://doi.org/10.3390/geosciences14050125 (registering DOI) - 03 May 2024
Abstract
Concepción Bay is a socio-economic and ecologically important embayment whose hydrographic variability has been historically regulated by wind-modulated seasonal upwelling events during spring–summer and by freshwater from precipitation and river discharges during fall–winter. This system is subject to several anthropogenic and environmental strains [...] Read more.
Concepción Bay is a socio-economic and ecologically important embayment whose hydrographic variability has been historically regulated by wind-modulated seasonal upwelling events during spring–summer and by freshwater from precipitation and river discharges during fall–winter. This system is subject to several anthropogenic and environmental strains due to the intense port activity and the increasing occurrence of extreme natural events. This study determines a new hydrographic regime and characterizes and analyzes the biogeochemical response of the water column to changes in rainfall and upwelling patterns. Despite the intrusion of nitrate-rich upwelled waters that enhance biological productivity remains more intense during spring–summer, the system remains fertilized year-long due to the occurrence of persistent upwelling pulses during fall–winter. The hydrographic structure presented a two-layer water column that was stratified thermally in spring–summer and primarily by freshwater inputs in fall–winter. Nevertheless, the regular pattern of the rainfall has changed (a decrease in precipitation and an increased frequency of extreme rainfall events), together with recurrent upwelling-favorable wind pulses during the non-upwelling season. This new regime has altered the seasonality of the physicochemical conditions and the structure of the microplanktonic communities, with productive and sanitary implications affecting the biogeochemical status of CB. Full article
(This article belongs to the Section Geochemistry)
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4 pages, 207 KiB  
Editorial
Special Issue “Pretreatment and Bioconversion of Crop Residues II”—Introduction to the Collection
by Carlos Martín and Eulogio Castro
Agronomy 2024, 14(5), 962; https://doi.org/10.3390/agronomy14050962 (registering DOI) - 03 May 2024
Abstract
Bioconversion in biorefineries is a way to valorize residues from agriculture and food processing. Pretreatment is an important step in the bioconversion of lignocellulosic materials, including crop residues. This Special Issue includes nine articles on several pretreatment and bioconversion approaches applied to different [...] Read more.
Bioconversion in biorefineries is a way to valorize residues from agriculture and food processing. Pretreatment is an important step in the bioconversion of lignocellulosic materials, including crop residues. This Special Issue includes nine articles on several pretreatment and bioconversion approaches applied to different agricultural residues and food-processing by-products. The materials addressed in this collection cover straw from wheat, rye, and miscanthus, olive tree pruning residue, almond shells and husks, avocado waste, sweet sorghum bagasse, soybean meal, and residues of non-edible oilseeds. Full article
(This article belongs to the Special Issue Pretreatment and Bioconversion of Crop Residues II)
19 pages, 2702 KiB  
Perspective
Two Old Wild-Type Strains of Drosophila melanogaster Can Serve as an Animal Model of Faster and Slower Aging Processes
by Lyudmila P. Zakharenko, Margarita A. Bobrovskikh, Nataly E. Gruntenko, Dmitrii V. Petrovskii, Evgeniy G. Verevkin and Arcady A. Putilov
Insects 2024, 15(5), 329; https://doi.org/10.3390/insects15050329 (registering DOI) - 03 May 2024
Abstract
Background: Drosophila melanogaster provides a powerful platform to study the physiology and genetics of aging, i.e., the mechanisms underpinnings healthy aging, age-associated disorders, and acceleration of the aging process under adverse environmental conditions. Here, we tested the responses of daily rhythms to age-accelerated [...] Read more.
Background: Drosophila melanogaster provides a powerful platform to study the physiology and genetics of aging, i.e., the mechanisms underpinnings healthy aging, age-associated disorders, and acceleration of the aging process under adverse environmental conditions. Here, we tested the responses of daily rhythms to age-accelerated factors in two wild-type laboratory-adapted strains, Canton-S and Harwich. Methods: On the example of the 24 h patterns of locomotor activity and sleep, we documented the responses of these two strains to such factors as aging, high temperature, carbohydrate diet, and diet with different doses of caffeine-benzoate sodium. Results: The strains demonstrated differential responses to these factors. Moreover, compared to Canton-S, Harwich showed a reduced locomotor activity, larger amount of sleep, faster rate of development, smaller body weight, lower concentrations of main sugars, lower fecundity, and shorter lifespan. Conclusions: It might be recommended to use at least two strains, one with a relatively fast and another with a relatively slow aging process, for the experimental elaboration of relationships between genes, environment, behavior, physiology, and health. Full article
(This article belongs to the Section Role of Insects in Human Society)
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15 pages, 322 KiB  
Review
Hepatitis B Virus Infection: A Mini Review
by Diana Asema Asandem, Selorm Philip Segbefia, Kwadwo Asamoah Kusi and Joseph Humphrey Kofi Bonney
Viruses 2024, 16(5), 724; https://doi.org/10.3390/v16050724 (registering DOI) - 03 May 2024
Abstract
Hepatitis B and C viruses (HBV and HCV) are the leading causes of end-stage liver disease worldwide. Although there is a potent vaccine against HBV, many new infections are recorded annually, especially in poorly resourced places which have lax vaccination policies. Again, as [...] Read more.
Hepatitis B and C viruses (HBV and HCV) are the leading causes of end-stage liver disease worldwide. Although there is a potent vaccine against HBV, many new infections are recorded annually, especially in poorly resourced places which have lax vaccination policies. Again, as HBV has no cure and chronic infection is lifelong, vaccines cannot help those already infected. Studies to thoroughly understand the HBV biology and pathogenesis are limited, leaving much yet to be understood about the genomic features and their role in establishing and maintaining infection. The current knowledge of the impact on disease progression and response to treatment, especially in hyperendemic regions, is inadequate. This calls for in-depth studies on viral biology, mainly for the purposes of coming up with better management strategies for infected people and more effective preventative measures for others. This information could also point us in the direction of a cure. Here, we discuss the progress made in understanding the genomic basis of viral activities leading to the complex interplay of the virus and the host, which determines the outcome of HBV infection as well as the impact of coinfections. Full article
(This article belongs to the Special Issue Viral Hepatitis Coinfection)
10 pages, 1738 KiB  
Article
Pan-Canadian Analysis of Practice Patterns in Small Cell Carcinoma of the Cervix: Insights from a Multidisciplinary Survey
by Kevin Yijun Fan, Rania Chehade, Andrew Yuanbo Wang, Anjali Sachdeva, Helen J. MacKay and Amandeep S. Taggar
Curr. Oncol. 2024, 31(5), 2610-2619; https://doi.org/10.3390/curroncol31050196 (registering DOI) - 03 May 2024
Abstract
Small-cell neuroendocrine carcinoma of the cervix (SCNECC) is a rare cancer with poor prognosis, with limited data to guide its treatment. The objective of this study was to evaluate practice patterns in the management of SCNECC. A 23-question online survey on management of [...] Read more.
Small-cell neuroendocrine carcinoma of the cervix (SCNECC) is a rare cancer with poor prognosis, with limited data to guide its treatment. The objective of this study was to evaluate practice patterns in the management of SCNECC. A 23-question online survey on management of SCNECC was disseminated to Canadian gynecologic oncologists (GO), radiation oncologists (RO) and medical oncologists (MO). In total, 34 practitioners from eight provinces responded, including 17 GO, 13 RO and four MO. During staging and diagnosis, 74% of respondents used a trimodality imaging approach, and 85% tested for neuroendocrine markers. In early-stage (1A1-1B2) SCNECC, 87% of practitioners used a surgical-based approach with various adjuvant and neoadjuvant treatments. In locally advanced (1B3-IVA) SCNECC, 53% favored primary chemoradiation, with cisplatin and etoposide, with the remainder using surgical or radiation-based approaches. In metastatic and recurrent SCNECC, the most common first-line regimen was etoposide and platinum, and 63% of practitioners considered clinical trials in the first line setting or beyond. This survey highlights diverse practice patterns in the treatment of SCNECC. Interdisciplinary input is crucial to individualizing multimodality treatment, and there is a need for prospective trials and intergroup collaboration to define the optimal approach towards managing this rare cancer type. Full article
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15 pages, 2675 KiB  
Article
Intra and Inter-Device Reliabilities of the Instrumented Timed-Up and Go Test Using Smartphones in Young Adult Population
by Thâmela Thaís Santos dos Santos, Amélia Pasqual Marques, Luis Carlos Pereira Monteiro, Enzo Gabriel da Rocha Santos, Gustavo Henrique Lima Pinto, Anderson Belgamo, Anselmo de Athayde Costa e Silva, André dos Santos Cabral, Szymon Kuliś, Jan Gajewski, Givago Silva Souza, Tacyla Jesus da Silva, Wesley Thyago Alves da Costa, Railson Cruz Salomão and Bianca Callegari
Sensors 2024, 24(9), 2918; https://doi.org/10.3390/s24092918 (registering DOI) - 03 May 2024
Abstract
The Timed-Up and Go (TUG) test is widely utilized by healthcare professionals for assessing fall risk and mobility due to its practicality. Currently, test results are based solely on execution time, but integrating technological devices into the test can provide additional information to [...] Read more.
The Timed-Up and Go (TUG) test is widely utilized by healthcare professionals for assessing fall risk and mobility due to its practicality. Currently, test results are based solely on execution time, but integrating technological devices into the test can provide additional information to enhance result accuracy. This study aimed to assess the reliability of smartphone-based instrumented TUG (iTUG) parameters. We conducted evaluations of intra- and inter-device reliabilities, hypothesizing that iTUG parameters would be replicable across all experiments. A total of 30 individuals participated in Experiment A to assess intra-device reliability, while Experiment B involved 15 individuals to evaluate inter-device reliability. The smartphone was securely attached to participants’ bodies at the lumbar spine level between the L3 and L5 vertebrae. In Experiment A, subjects performed the TUG test three times using the same device, with a 5 min interval between each trial. Experiment B required participants to perform three trials using different devices, with the same time interval between trials. Comparing stopwatch and smartphone measurements in Experiment A, no significant differences in test duration were found between the two devices. A perfect correlation and Bland–Altman analysis indicated good agreement between devices. Intra-device reliability analysis in Experiment A revealed significant reliability in nine out of eleven variables, with four variables showing excellent reliability and five showing moderate to high reliability. In Experiment B, inter-device reliability was observed among different smartphone devices, with nine out of eleven variables demonstrating significant reliability. Notable differences were found in angular velocity peak at the first and second turns between specific devices, emphasizing the importance of considering device variations in inertial measurements. Hence, smartphone inertial sensors present a valid, applicable, and feasible alternative for TUG assessment. Full article
(This article belongs to the Special Issue Human Movement Monitoring Using Wearable Sensor Technology)
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15 pages, 2373 KiB  
Article
Optimal Selection of Distribution, Power, and Type of Luminaires for Street Lighting Designs Using Multi-Criteria Decision Model
by Nataly Gabriela Valencia Pavón, Alexander Aguila Téllez, Marcelo García Torres, Javier Rojas Urbano and Narayanan Krishnan
Energies 2024, 17(9), 2194; https://doi.org/10.3390/en17092194 (registering DOI) - 03 May 2024
Abstract
This article introduces an innovative design method for public lighting systems that surpasses the limitations of conventional approaches, which rely on predefined lamp characteristics and spatial arrangements. By employing a linear additive model to solve a multi-criteria decision model, our study proposes an [...] Read more.
This article introduces an innovative design method for public lighting systems that surpasses the limitations of conventional approaches, which rely on predefined lamp characteristics and spatial arrangements. By employing a linear additive model to solve a multi-criteria decision model, our study proposes an optimal design methodology considering several key aspects, including the distance between lamps, their type, power, and light distribution. The goal is to achieve optimal illumination that enhances visibility on public roads for drivers and pedestrians while simultaneously minimizing glare and installation costs and maximizing energy efficiency. The proposed methodology is implemented through an algorithm developed in MATLAB R2023b, with results validated through simulations in DIALux evo 12.0. This information is used to construct a decision matrix, assessed using the CRITIC method across 180 different scenarios within a specific case study. The findings demonstrate the effectiveness of multi-criteria decision-making as a tool for significantly improving the planning and design of lighting in public illumination systems, allowing for selecting the optimal combination of parameters that ensure the best lighting conditions. Full article
(This article belongs to the Section F: Electrical Engineering)
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3 pages, 134 KiB  
Editorial
Recent Advances in Power Quality Analysis and Robust Control of Renewable Energy Sources in Power Grids
by Dinko Vukadinović
Energies 2024, 17(9), 2193; https://doi.org/10.3390/en17092193 (registering DOI) - 03 May 2024
Abstract
In modern power grids with a large share of distributed power production, achieving high-power quality is a challenging task [...] Full article
10 pages, 1412 KiB  
Article
The Equal Neutralizing Effectiveness of BNT162b2, ChAdOx1 nCoV-19, and Sputnik V Vaccines in the Palestinian Population
by Alexia Damour, Muriel Faure, Nicolas Landrein, Jessica Ragues, Narda Ardah, Haneen Dhaidel, Marie-Edith Lafon, Harald Wodrich and Walid Basha
Vaccines 2024, 12(5), 493; https://doi.org/10.3390/vaccines12050493 (registering DOI) - 03 May 2024
Abstract
Since the beginning of the COVID-19 pandemic, different viral vector-based and mRNA vaccines directed against the SARS-CoV-2 “S” spike glycoprotein have been developed and have shown a good profile in terms of safety and efficacy. Nevertheless, an unbiased comparison of vaccination efficiency, including [...] Read more.
Since the beginning of the COVID-19 pandemic, different viral vector-based and mRNA vaccines directed against the SARS-CoV-2 “S” spike glycoprotein have been developed and have shown a good profile in terms of safety and efficacy. Nevertheless, an unbiased comparison of vaccination efficiency, including post-vaccination neutralizing activity, between the different vaccines remains largely unavailable. This study aimed to compare the efficacy of one mRNA (BNT162b2) and two non-replicating adenoviral vector vaccines (ChAdOx1 nCoV-19 and Sputnik V) in a cohort of 1120 vaccinated Palestinian individuals who received vaccines on an availability basis and which displayed a unique diversity of genetic characteristics. We assessed the level of anti-S antibodies and further determined the antibody neutralizing activity in 261 of those individuals vaccinated with BNT162b2a (121), ChAdOx1 (72) or Sputnik V (68). Our results showed no significant difference in the distribution of serum-neutralizing activity or S-antibody serum levels for the three groups of vaccines, proving equivalence in efficacy for the three vaccines under real-life conditions. In addition, none of the eight demographic parameters tested had an influence on vaccination efficacy. Regardless of the vaccine type, the vaccination campaign ultimately played a pivotal role in significantly reducing the morbidity and mortality associated with COVID-19 in Palestine. Full article
(This article belongs to the Special Issue Advances in COVID-19 Vaccines and Neutralizing Antibody)
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6 pages, 1426 KiB  
Editorial
Emerging Topics in Metal Complexes: Pharmacological Activity
by Agnieszka Ścibior, Manuel Aureliano and Juan Llopis
Int. J. Mol. Sci. 2024, 25(9), 4982; https://doi.org/10.3390/ijms25094982 (registering DOI) - 03 May 2024
Abstract
This Special Issue (SI), ”Emerging Topics in Metal Complexes: Pharmacological Activity”, includes reports updating our knowledge on metals with multidirectional biological properties and metal-containing compounds/complexes for their potential therapeutic applications, with a focus on strategies improving their pharmacological features [...] Full article
(This article belongs to the Special Issue Emerging Topics in Metal Complexes: Pharmacological Activity)
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10 pages, 2513 KiB  
Article
CdSe/ZnS Quantum Rods (QRs) and Phenyl Boronic Acid BODIPY as Efficient Förster Resonance Energy Transfer (FRET) Donor–Acceptor Pair
by Gianluca Salerno, Pasquale Palladino, Marcello Marelli, Laura Polito, Maria Minunni, Debora Berti, Simona Scarano, Giacomo Biagiotti and Barbara Richichi
Nanomaterials 2024, 14(9), 794; https://doi.org/10.3390/nano14090794 (registering DOI) - 03 May 2024
Abstract
The reversibility of the covalent interaction between boronic acids and 1,2- or 1,3-diols has put the spotlight on this reaction for its potential in the development of sensors and for the fishing of bioactive glycoconjugates. In this work, we describe the investigation of [...] Read more.
The reversibility of the covalent interaction between boronic acids and 1,2- or 1,3-diols has put the spotlight on this reaction for its potential in the development of sensors and for the fishing of bioactive glycoconjugates. In this work, we describe the investigation of this reaction for the reversible functionalization of the surface of CdSe/ZnS Quantum Rods (QRs). With this in mind, we have designed a turn-off Förster resonance energy transfer (FRET) system that ensures monitoring the extent of the reaction between the phenyl boronic residue at the meso position of a BODIPY probe and the solvent-exposed 1,2-diols on QRs’ surface. The reversibility of the corresponding boronate ester under oxidant conditions has also been assessed, thus envisioning the potential sensing ability of this system. Full article
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37 pages, 14022 KiB  
Article
Toyok (Tuyugou) Cave 20: A Pure Land Cave Temple in the Desert with the Earliest Illustrations of the Visualization Sūtra
by Yi Zhao
Religions 2024, 15(5), 576; https://doi.org/10.3390/rel15050576 (registering DOI) - 03 May 2024
Abstract
In this paper, I examine the iconography, religious function and text–image relationship of one of the earliest illustrations of the apocryphal Visualization Sūtra, namely, the mural painting on the left (south) wall of Cave 20 at the Toyok Grottoes in Turfan created [...] Read more.
In this paper, I examine the iconography, religious function and text–image relationship of one of the earliest illustrations of the apocryphal Visualization Sūtra, namely, the mural painting on the left (south) wall of Cave 20 at the Toyok Grottoes in Turfan created in the late sixth century. I study this mural with a structuralist approach to situate it within the overall pictorial program of the cave temple. I argue that this wall painting was designed as a visual and verbal cue to assist the meditating monks in situ to separately visualize the different individual visions constituting the “Thirteen Visualizations” taught in the sutra, excluding the five visions directly related to the Amitāyus Triad, namely, the eighth, ninth, tenth, eleventh and thirteenth visualizations. These five visualizations were likely facilitated by icons of the Amitāyus Triad placed in the center of the cave. The meditators started from the contemplations of the impure represented on the right (north) wall as preparational practices to eliminate their sins, improve their karma and thereby enhance their spiritual purity to a level appropriate for performing the Pure Land visualizations. They then turned to the left wall to perform the Pure Land visualizations represented there that end with the twelfth visualization: imagining oneself being reborn in Sukhāvatī. Continuing from the twelfth visualization, the meditators, in a state of meditational concentration, turned their faces to the rear wall to enter the Western Pure Land via the various lotus ponds represented on the rear wall. Full article
(This article belongs to the Section Religions and Humanities/Philosophies)
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6 pages, 193 KiB  
Editorial
Current Research on Probiotics and Fermented Products
by Yushi Dong, Mohan Li and Xiqing Yue
Foods 2024, 13(9), 1406; https://doi.org/10.3390/foods13091406 (registering DOI) - 03 May 2024
Abstract
The history of probiotics and fermented products has evolved over millennia [...] Full article
(This article belongs to the Special Issue Current Research on Probiotics and Fermented Products)
16 pages, 1148 KiB  
Case Report
Short-Term Benefits from Manual Therapy as an Adjunct Treatment for Persistent Postural-Perceptual Dizziness Symptoms: A Preliminary Prospective Case Series
by Brent A. Harper and Larry Steinbeck
J. Funct. Morphol. Kinesiol. 2024, 9(2), 82; https://doi.org/10.3390/jfmk9020082 (registering DOI) - 03 May 2024
Abstract
Persistent dizziness and balance deficits are common, often with unknown etiology. Persistent Postural-Perceptual Dizziness (3PD) is a relatively new diagnosis with symptoms that may include dizziness, unsteadiness, or non-vertiginous dizziness and be persistent the majority of time over a minimum of 90 days. [...] Read more.
Persistent dizziness and balance deficits are common, often with unknown etiology. Persistent Postural-Perceptual Dizziness (3PD) is a relatively new diagnosis with symptoms that may include dizziness, unsteadiness, or non-vertiginous dizziness and be persistent the majority of time over a minimum of 90 days. The purpose of this case series was to investigate short-term outcomes of reducing dizziness symptoms using a manual therapy intervention focused on restoring mobility in the fascia using a pragmatically applied biomechanical approach, the Fascial Manipulation® method (FM®), in patients with 3PD. The preliminary prospective case series consisted of twelve (n = 12) patients with persistent complaints of dizziness who received systematic application of manual therapy to improve fascial mobility after previously receiving vestibular rehabilitation. The manual therapy consisted of strategic assessment and palpation based on the model proposed in the FM® Stecco Method. This model utilizes tangential oscillations directed toward the deep fascia at strategic points. Six males (n = 6) and females (n = 6) were included with a mean age of 68.3 ± 19.3 years. The average number of interventions was 4.5 ± 0.5. Nonparametric paired sample t-tests were performed. Significant improvements were observed toward the resolution of symptoms and improved outcomes. The metrics included the Dizziness Handicap Inventory and static and dynamic balance measures. The Dizziness Handicap Inventory scores decreased (i.e., improved) by 43.6 points (z = −3.1 and p = 0.002). The timed up and go scores decreased (i.e., improved) by 3.2 s (z = −2.8 and p = 0.005). The tandem left increased (i.e., improved) by 8.7 s (z = 2.8 and p = 0.005) and the tandem right increased (i.e., improved) by 7.5 s (z = 2.8 and p = 0.005). Four to five manual therapy treatment sessions appear to be effective for short-term improvements in dizziness complaints and balance in those with 3PD. These results should be interpreted with caution as future research using rigorous methods and a control group must be conducted. Full article
(This article belongs to the Special Issue Advances in Musculoskeletal Physiotherapy)
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14 pages, 962 KiB  
Review
Genetic Screening—Emerging Issues
by Martina C. Cornel, Karuna R. M. van der Meij, Carla G. van El, Tessel Rigter and Lidewij Henneman
Genes 2024, 15(5), 581; https://doi.org/10.3390/genes15050581 (registering DOI) - 03 May 2024
Abstract
In many countries, some form of genetic screening is offered to all or part of the population, either in the form of well-organized screening programs or in a less formalized way. Screening can be offered at different phases of life, such as preconception, [...] Read more.
In many countries, some form of genetic screening is offered to all or part of the population, either in the form of well-organized screening programs or in a less formalized way. Screening can be offered at different phases of life, such as preconception, prenatal, neonatal and later in life. Screening should only be offered if the advantages outweigh the disadvantages. Technical innovations in testing and treatment are driving changes in the field of prenatal and neonatal screening, where many jurisdictions have organized population-based screening programs. As a result, a greater number and wider range of conditions are being added to the programs, which can benefit couples’ reproductive autonomy (preconception and prenatal screening) and improve early diagnosis to prevent irreversible health damage in children (neonatal screening) and in adults (cancer and cascade screening). While many developments in screening are technology-driven, citizens may also express a demand for innovation in screening, as was the case with non-invasive prenatal testing. Relatively new emerging issues for genetic screening, especially if testing is performed using DNA sequencing, relate to organization, data storage and interpretation, benefit–harm ratio and distributive justice, information provision and follow-up, all connected to acceptability in current healthcare systems. Full article
(This article belongs to the Special Issue Human Genetics: Diseases, Community, and Counseling)
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11 pages, 1944 KiB  
Article
Mechanical Properties of Direct Composite Resins and CAD/CAM Composite Blocks
by João Carlos Ramos, Alfredo Marinho, Ana Messias, Gabriela Almeida, Alexandra Vinagre and Ricardo Dias
Oral 2024, 4(2), 206-216; https://doi.org/10.3390/oral4020017 (registering DOI) - 03 May 2024
Abstract
The widespread application of CAD/CAM technology in contemporary dentistry led to the development of promising restorative materials, such as resin composite blocks (RCBs). Thus, the present study aims to evaluate the mechanical properties of RCBs, comparing this material to the direct composite resin [...] Read more.
The widespread application of CAD/CAM technology in contemporary dentistry led to the development of promising restorative materials, such as resin composite blocks (RCBs). Thus, the present study aims to evaluate the mechanical properties of RCBs, comparing this material to the direct composite resin from the same manufacturer. Samples retrieved from three CAD/CAM resin composite blocks (Tetric CAD (TC), Ivoclar Vivadent, Grandio blocs (GB), VOCO GmbH and Brilliant Crios (BC), Coltene/Whaledent) and four direct composite resins (Tetric EvoCeram (TEC), Ivoclar Vivadent, GrandioSO (GS), VOCO GmbH, Brilliant EverGlow Translucent (BET) and Universal Shade (BEU), Coltene/Whaledent) were submitted to three-point bending flexural test and Vickers microhardness test. The resulting data of the flexural strength were analyzed using one-way ANOVA considering Bonferroni correction for post hoc tests (α = 0.05). The flexural modulus and Vickers microhardness results were analyzed using Welch’s ANOVA considering Games–Howell correction for post hoc tests (α = 0.05). Regarding results, flexural strength and flexural modulus values ranged from 81.1 MPa (BEU) to 246.5 MPa (GB) and 10.6 GPa (BEU) to 20.3 GPa (GB), respectively. GS (121.2) and GB (136.2) groups were associated with the highest microhardness values. According to the post hoc tests, statistically significant differences in flexure strength were found in RCBs (BC, GB, and TC) compared to all direct composite resins. Flexural modulus and Vickers microhardness of RCBs (BC, GB, TC) were also significantly different from the direct composite resin (BET, BED, and TEC), except when comparing GS and GB for microhardness. In conclusion, differences between RCBs and direct composite resins were observed regarding flexural strength, flexural modulus, and microhardness, revealing that RCBs have enhanced mechanical properties compared to direct composite resins. Full article
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