The escalating concern regarding increasing air pollution and its impact on the health risks associated with PM_2.5 in developing countries necessitates attention. Thus, this study utilizes the WRF-CMAQ model to simulate the effects of meteorological conditions on PM_2.5 levels in Changchun, a typical city in China, during January 2017 and January 2020. Additionally, it introduces a novel health risk-based air quality index (NHAQI) to assess the influence of meteorological parameters and associated health risks. The findings indicate that in January 2020, the 2-m temperature (T2), 10-m wind speed (WS10), and planetary boundary layer height (PBLH) were lower compared to those in 2017, while air pressure exhibited a slight increase. These meteorological parameters, characterized by reduced wind speed, heightened air pressure, and lower boundary layer height—factors unfavorable for pollutant dispersion—collectively contribute to the accumulation of PM_2.5 in the atmosphere. Moreover, the NHAQI proves to be more effective in evaluating health risks compared to the air quality index (AQI). The annual average decrease in NHAQI across six municipal districts from 2017 to 2020 amounts to 18.05%. Notably, the highest health risks are observed during the winter among the four seasons, particularly in densely populated areas. The pollutants contributing the most to the total excess risk (ERtotal) are PM_2.5 (45.46%), PM10 (33.30%), and O3 (13.57%) in 2017, and PM_2.5 (67.41%), PM10 (22.32%), and O3 (8.41%) in 2020. These results underscore the ongoing necessity for PM_2.5 emission control measures while emphasizing the importance of considering meteorological parameters in the development of PM_2.5 reduction strategies. Full article

In patients with COVID-19, broad panels of immune checkpoint molecules (ICPMs) and the purinergic signaling have not been studied in parallel. We aimed to perform in-depth immunophenotyping of major cell subsets present in human peripheral blood of COVID-19 patients and controls using PD1, TIM3, LAG3, TIGIT, and CD200R, as well as CD39, as markers for the purinergic signaling pathway. We studied 76 COVID-19 patients and 12 healthy controls using peripheral blood mononuclear cells on flow cytometry. Univariable and multivariable statistics were performed. All ICPMs studied were significantly overexpressed on different cell subsets of COVID-19 patients when compared with healthy controls. Elevated lactate dehydrogenase; C-reactive protein; age; and high expression of CD45+, CD39+CD45+, TIM3+CD39+CD4+CD45+, and TIM3+CD39+CD8+CD3+CD4+ cells were significantly associated with severe COVID-19. On multivariable analysis, however, only high expression of CD39+CD45+ (OR 51.4, 95% CI 1.5 to 1763) and TIM3+CD39+CD4+CD3+CD45+ (OR 22.6, 95% CI 1.8 to 277) cells was an independent predictor for severe COVID-19. In conclusion, numerous ICPMs are overexpressed in COVID-19 patients when compared with healthy controls, suggesting a pathophysiological role of these molecules in SARS-CoV-2 infection. However, only TIM3 in co-expression with CD39 remained as a significant independent prognostic ICPM on multivariable analysis. The flow cytometric evaluation of TIM3+CD39+CD4+CD3+CD45+, as well as CD39+CD45+, is a powerful tool for the prognostication of COVID-19 patients on hospital admission. Full article

Waste-Sorting Plant (WSP) workers are exposed to bioaerosols containing a large variety of bacterial and fungal species, posing a critical health risk that needs to be assessed and mitigated. The present study aimed to evaluate the indoor air quality in a Portuguese WSP and the air decontamination efficiency with UV-C. The concentrations of bacteria and fungi and particulate matter (PM_2.5 and PM₁₀), CO₂, relative humidity, and temperature were determined at different hours in manual sorting areas (cabin and ramp) in autumn and winter in 2022 and in administrative offices and canteen in the autumn of 2023. The PM_2.5 and PM₁₀ concentrations in the air increased with the daily waste-sorting activities, especially inside the cabin, averaging 22 and 42 μg/m³, respectively, while the CO₂ concentration was in the range of 343–578 ppm in both sampling sites. The bacterial species were mainly environmental (mesophilic bacteria) rather than human sources. In the waste-sorting areas, the concentration of bacteria was often found to exceed outdoor values by more than 1000 CFU/m³ on average. Additionally, the concentration of fungi indoors was consistently higher than outdoor values, in many cases exceeding 500 CFU/m³. These findings suggest that workers in these areas are frequently exposed to high levels of microbes. The indoor-to-outdoor (I/O) contamination ratios revealed that the air quality inside the administrative offices and the canteen had high pollutant concentrations during some time periods. The worst scenarios were observed in the canteen and offices with high occupancy in the afternoon. UV-C lamps at 253.7 nm and with 5.0 W irradiation power were used in the sorting cabin to test the indoor air and surface decontamination, and the results showed a high bacterial removal efficacy of over 87.6% after one hour of exposure to UV-C. The present study raises the question of whether 37 °C is the optimal incubation temperature for WSP samples since the microorganisms’ habitat before the sampling had a much lower temperature. As the waste-sorting industry expands, these findings show that the air quality of WSPs remains concerning and requires a holistic approach, integrating the working conditions of all personnel and the implementation and monitoring of mitigation measures. Full article

Background and Aims: An increase in the number of cases of acute hepatitis of unknown origin (HUO) in children was observed in 2021. Adenovirus and adeno-associated virus 2 (AAV2) infections have been suggested as possible triggers. However, the potential etiology is still unclear. We aimed to characterize a cohort of children with HUO in Israel in view of the COVID-19 pandemic. Method: Demographics, clinical data, and laboratory results on the children compatible with the CDC criteria for HUO were collected by the established registry of the Ministry of Health. Available specimens were sent to the Central Virology Laboratory. Results: A total of 39 children were included in the registry. A total of 20 were enrolled prospectively, in which human herpes virus 6 (HHV6) infection or reactivation was identified in 11/19, adenovirus was found in 4/19 of the cases, and AAV2 was detected in 2/16. Past COVID-19 exposure was recorded for 24/39 of the children. A total of 10 children underwent liver biopsy, and 8 were successfully treated with steroids and 2 underwent liver transplantation. Conclusions: The COVID-19 pandemic and the related containment measures combined with reactivation or active infection with other viruses could have been a trigger for the HUO outbreak. In our cohort, HHV6 was the most abundant finding. Full article

In order to improve the obstacle avoidance control performance and anti-interference ability of a stubble breaking device of a no-tillage planter, a back-propagation neural network (BPNN)-optimized fuzzy active disturbance rejection control (ADRC) controller was designed to optimize the control performance of a servo motor. Firstly, a negative feedback mathematical model was established for the obstacle avoidance control system. Then, the nonlinear state error feedback (NLSEF) parameters in the fuzzy ADRC were intelligently optimized by the BPNN algorithm. In this way, a fuzzy ADRC controller based on BPNN optimization was formed to optimize the control process of a servo motor. Matlab/Simulink (R2022b) was used to complete the simulation model design and parameter adjustment. Consequently, the response time was 0.089 s using the BPNN fuzzy ADRC controller, which was shorter than the 0.303 s of the ADRC controller and the 0.100 s of the fuzzy ADRC controller. The overshoot was 0.1% using a BPNN fuzzy ADRC controller, which was less than the 2% of the ADRC controller and the 1% of the fuzzy ADRC controller. After noise signal interference was introduced into the control system, the regression steady state time of the BPNN fuzzy ADRC controller was 0.22 s, which was shorter than the 0.56 s of the ADRC controller and the 0.45 s of the fuzzy ADRC controller. A hardware-in-the-loop simulation experimental platform of the obstacle avoidance control system was constructed. The experiment results show that the servo motor control system has a fast dynamic response, small steady-state error and strong anti-interference ability for obstacle avoidance at the target height. Then, the control system error was within the allowable range. The servo motor control effect of the BPNN fuzzy ADRC was better than the ADRC and fuzzy ADRC. This optimized servo motor control method can provide a reference for improving the obstacle avoidance control effect problem of no-tillage seeders in stubble breaking operations on rocky desertification areas. Full article

Pain, particularly musculoskeletal (MSK) and multi-site pain, significantly impacts activities of daily living (ADL) in the elderly, leading to a decline in overall quality of life (QoL). This study, comprising 7490 participants, (mean age: 69 ± 10; females: 57%) from the sixth wave of the Korean Longitudinal Study of Aging (KLoSA), aimed to assess the association between self-reported pain and ADL impairment among the elderly population. Notably, 62% of participants reported experiencing pain, with back pain being the most prevalent (36%) and stomachache the least (0.39%). A majority (61%) of individuals reported MSK-related pain. Additionally, 20% reported pain at one site and 0.03% experienced pain at 12 sites. ADL impairment was observed in 376 (5.0%) participants. Compared to those without pain, participants reporting moderate and severe pain had higher odds of ADL impairment [2.31 (95% CI, 1.66–3.21) and 2.98 (95% CI, 1.95–4.53), respectively]. Pain experienced in the shoulder, arm, wrist, back, hip, leg, and ankle had a significant association with ADL impairment, with ORs ranging from 2.66 (95% CI, 1.80–3.93; hip pain) to 1.36 (95% CI 1.07–1.72; back pain). Furthermore, multi-site pain was associated with higher ADL impairment [1–6 sites: OR: 1.49 (95% CI, 1.11–2.01); 7–12 sites: OR: 7.16 (95% CI, 3.60–14.26)]. These findings underscore the importance of addressing MSK and multi-site pain through targeted interventions, potentially enhancing ADL and contributing to an improved QoL among the elderly population. Full article

Ductus arteriosus closure may be delayed in preterm infants, and prostaglandin, a vasodilator, can affect ductal patency. Furosemide can increase renal prostaglandin synthesis, so its net effect on patent ductus arteriosus (PDA) is uncertain. Our goal is to explore the relationship between furosemide and spontaneous ductal closure in very-low-birth-weight preterm infants. Our treatment for PDA involves fluid restriction initially and furosemide administration for hemodynamically significant PDA until closure is confirmed by the echocardiogram. We enrolled 105 infants from 1 January 2019 to 30 June 2022 and evaluated the impact of furosemide on ductal closure, including exposure duration and cumulative dose. There is no correlation between furosemide exposure and spontaneous ductal closure (p = 0.384). Furosemide exposure does not delay the postmenstrual age at which spontaneous ductal closure occurs (p = 0.558). The time for spontaneous ductal closure is positively associated with furosemide prescription days (coefficient value = 0.547, p = 0.026) and negatively with gestational age (coefficient value = −0.384, p = 0.062). The prescription of furosemide does not impact the probability or time duration of ductus arteriosus spontaneous closure. The cumulative dose of furosemide has minimal impact on ductal closure. The correlation between furosemide exposure duration and ductal patency duration is likely due to our treatment protocol, with gestational age being a significant factor. Full article

The Shitou goose, a highly recognized indigenous breed with gray plumage originating from Chaozhou Raoping in Guangdong Province, China, is renowned for being the largest goose species in the country. Notably, during the pure breeding process of Shitou geese, approximately 2% of the offspring in each generation unexpectedly exhibited white plumage. To better understand the mechanisms underlying white plumage color formation in Shitou geese, we conducted a comparative transcriptome analysis between white and gray feather follicles, aiming to identify key genes and microRNAs that potentially regulate white plumage coloration in this unique goose breed. Our results revealed a number of pigmentation genes, encompassing TYR, TYRP1, EDNRB2, MLANA, SOX10, SLC45A2, GPR143, TRPM1, OCA2, ASIP, KIT, and SLC24A5, which were significantly down-regulated in the white feather follicles of Shitou geese. Among these genes, EDNRB2 and KIT emerged as the most promising candidate genes for white plumage coloration in Shitou geese. Additionally, our analysis also uncovered 46 differentially expressed miRNAs. Of these, miR-144-y may play crucial roles in the regulation of feather pigmentation. Furthermore, the expression of novel-m0086-5p, miR-489-y, miR-223-x, miR-7565-z, and miR-3535-z exhibits a significant negative correlation with the expression of pigmentation genes including TYRP1, EDNRB2, MLANA, SOX10, TRPM1, and KIT, suggesting these miRNAs may indirectly regulate the expression of these genes, thereby influencing feather color. Our findings provide valuable insights into the genetic mechanisms underlying white plumage coloration in Shitou geese and contribute to the broader understanding of avian genetics and coloration research. Full article

This article explores findings from research into the impact of adoption throughout the life course of adults who were adopted in the era of secrecy, the 1940s–1970s. A narrative approach was used to explore their reflections, and semi-structured interviews were undertaken with 11 adults. The findings were then analysed through the lens of the Life Course Perspective. Previous studies on adoption have largely explored the outcomes of searching for birth family members, but few have focused on how adoptees went about this, the challenges they encountered, the decisions made and what happened as they began to dismantle layers of secrecy surrounding their adoption. For most of the participants, resources such as genealogical websites and particular guidance were not available at the time they were searching for birth information or attempting to make contact with birth families. Their accounts highlighted how social workers with potential birth information did not appear to be able to consider the broader emotional impact this might entail for adoptees. Initial meetings were described by some adoptees as hurdles to be overcome, and little birth information was given. Some continued to search for birth relatives without support, using random methods to gain contact. The ways in which adults went about their search sometimes appeared to suggest a lack of consideration or awareness on their part of the possible impact on others involved. In reality, they were faced with obstacles and barriers as they attempted to learn about their origins. Their stories provide a valuable insight into how adult adoptees sought to dismantle layers of secrecy, highlighting the complex, challenging and isolated situation they found themselves in as they searched for birth information and birth families, as well as the ethical challenges and dilemmas they had to negotiate in order to do so. Full article

Objectives: The aim of this work was to systematically review and carry out a statistical metanalysis to identify the best treatment for close oroantral communications and fistulas and to avoid the risk of recurrence. Materials and Methods: An electronic search was conducted on the MEDLINE database (Pubmed), Scopus, and Google scholar using the following keywords: “oro antral communication (OAC)” OR “oro antral fistula (OAF)” OR “antro-oral communication” OR “communication between maxillary sinus and oral cavity” OR “oro-sinusal communication” OR “oro-sinusal fistula” OR “sinus communication” OR “sinus fistula” OR “antral communication” AND “treatment” OR “management” OR “surgical treatment” OR “surgical interventions”. This work was performed in accordance with the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). After article screening, 9 RCTs (randomized controlled trials), comparing two or more techniques, were included in this review. Results: A statistically significant difference was detected in favor of the buccal fat pad compared to the buccal advancement flap and palatal rotational flap. Conclusions: With the limitations of this study, the buccal fat pad showed the best results in terms of communication closure and reducing the risk of relapse. Full article

Modern advanced radiotherapy techniques have improved the precision and accuracy of radiotherapy delivery, with resulting plans being highly personalised based on individual anatomy. Adaptation for individual tumour biology remains elusive. There is an unmet need for biomarkers of intrinsic radiosensitivity that can predict tumour response to radiation to facilitate individualised decision-making, dosing and treatment planning. Over the last few decades, the use of high throughput molecular biology technologies has led to an explosion of newly discovered cancer biomarkers. Gene expression signatures are now used routinely in clinic to aid decision-making regarding adjuvant systemic therapy. They have great potential as radiotherapy biomarkers. A previous systematic review published in 2015 reported only five studies of signatures evaluated for their ability to predict radiotherapy benefits in clinical cohorts. This updated systematic review encompasses the expanded number of studies reported in the last decade. An additional 27 studies were identified. In total, 22 distinct signatures were recognised (5 pre-2015, 17 post-2015). Seventeen signatures were ‘radiosensitivity’ signatures and five were breast cancer prognostic signatures aiming to identify patients at an increased risk of local recurrence and therefore were more likely to benefit from adjuvant radiation. Most signatures (15/22) had not progressed beyond the discovery phase of development, with no suitable validated clinical-grade assay for application. Very few signatures (4/17 ‘radiosensitivity’ signatures) had undergone any laboratory-based biological validation of their ability to predict tumour radiosensitivity. No signatures have been assessed prospectively in a phase III biomarker-led trial to date and none are recommended for routine use in clinical guidelines. A phase III prospective evaluation is ongoing for two breast cancer prognostic signatures. The most promising radiosensitivity signature remains the radiosensitivity index (RSI), which is used to calculate a genomic adjusted radiation dose (GARD). There is an ongoing phase II prospective biomarker-led study of RSI/GARD in triple negative breast cancer. The results of these trials are eagerly anticipated over the coming years. Future work in this area should focus on (1) robust biological validation; (2) building biobanks alongside large radiotherapy randomised controlled trials with dose variance (to demonstrate an interaction between radiosensitivity signature and dose); (3) a validation of clinical-grade cost-effective assays that are deliverable within current healthcare infrastructure; and (4) an integration with biomarkers of other determinants of radiation response. Full article

(1) Background. Digital subtraction angiography (DSA) is indispensable for diagnosing cerebral aneurysms due to its superior imaging precision. However, optimizing X-ray parameters is crucial for accurate diagnosis, with X-ray tube settings significantly influencing image quality. Understanding the relationship between skull dimensions and X-ray parameters is pivotal for tailoring imaging protocols to individual patients. (2) Methods. A retrospective analysis of DSA data from a single center was conducted, involving 251 patients. Cephalometric measurements and statistical analyses were performed to assess correlations between skull dimensions and X-ray tube parameters (voltage and current). (3) Results. The study revealed significant correlations between skull dimensions and X-ray tube parameters, highlighting the importance of considering individual anatomical variations. Gender-based differences in X-ray parameters were observed, emphasizing the need for personalized imaging protocols. (4) Conclusions. Personalized approaches to DSA imaging, integrating individual anatomical variations and gender-specific differences, are essential for optimizing diagnostic outcomes. While this study provides valuable insights, further research across multiple centers and diverse imaging equipment is warranted to validate these findings. Full article

The resurgence of cannabis (Cannabis sativa L.) has been propelled by changes in the legal framework governing its cultivation and use, increased demand for hemp-derived products, and studies recognizing the industrial and health benefits of hemp. This has led to the creation of novel high-cannabidiol, low-Δ⁹-tetrahydrocannabinol varieties, enabling hemp crop expansion worldwide. This review elucidates the recent implications for hemp cultivation in Europe, with a focus on the legislative impacts on the cultivation practices, prospective breeding efforts, and dynamic scientific landscape surrounding this crop. We also review the current cultivars’ cannabinoid composition of the European hemp market and its major differences with that of the United States. Full article

Ovarian follicular fluid (FF) has a direct impact on oocyte quality, playing key roles in fertilization, implantation, and early embryo development. In our recent study, we found FF thromboxane (TX) to be a novel factor inversely correlated with oocyte maturation and identified thrombin, transforming growth factor β (TGFβ), TNF-α, and follicular granulosa cells (GCs) as possible contributors to FF TX production. Therefore, this study sought to investigate the role of TGFβ3 in regulating TX generation in human ovarian follicular GCs. TGFβ3 was differentially and significantly present in the FF of large and small follicles obtained from IVF patients with average concentrations of 68.58 ± 12.38 and 112.55 ± 14.82 pg/mL, respectively, and its levels were correlated with oocyte maturity. In an in vitro study, TGFβ3 induced TX generation/secretion and the converting enzyme-COX-2 protein/mRNA expression both in human HO23 and primary cultured ovarian follicular GCs. While TGFβRI and Smad2/3 signaling was mainly required for COX-2 induction, ERK1/2 appeared to regulate TX secretion. The participation of Smad2/3 and COX-2 in TGFβ3-induced TX generation/secretion could be further supported by the observations that Smad2/3 phosphorylation and nuclear translocation and siRNA knockdown of COX-2 expression compromised TX secretion in GCs challenged with TGFβ3. Taken together, the results presented here first demonstrated that FF TGFβ3 levels differ significantly in IVF patients’ large preovulatory and small mid-antral follicles and are positively associated with oocyte maturation. TGFβ3 can provoke TX generation by induction of COX-2 mRNA/protein via a TGFβR-related canonical Smad2/3 signaling pathway, and TX secretion possibly by ERK1/2. These imply that TGFβ3 is one of the inducers for yielding FF TX in vivo, which may play a role in folliculogenesis and oocyte maturation. Full article

Background/Objectives: Community-acquired pneumonia (CAP) is a common emergency presentation in Australia, with the choice of admitting specialty unit often influenced by pneumonia severity and comorbidities. However, it remains unclear whether there are between-specialty differences in patient characteristics and outcomes. We sought to address this issue by investigating the characteristics and outcomes of CAP patients admitted to General Medicine (GM) versus Respiratory units. Methods: This retrospective observational study utilised data from the two largest metropolitan hospitals in South Australia, encompassing all non-COVID-19-related CAP admissions throughout 2021 to 2023. The hospital length of stay (LOS), in-patient and 30-day mortality, and 30-day readmission rates were assessed by propensity score matching (PSM) using 17 variables. Results: Of the 3004 cases of non-COVID-19 CAP admitted across the two hospitals during the study period, 2673 (71.8%) were admitted under GM units and 331 (9.1%) under Respiratory units. GM patients were, on average, a decade older, presented with a significantly higher burden of comorbidities, exhibited a greater prevalence of frailty, and had higher pneumonia severity compared to those admitted under a Respiratory unit (p < 0.05). Unadjusted analysis revealed a shorter median LOS among GM-admitted patients (5.9 vs. 4.1 days, p < 0.001). After PSM adjustment, patients admitted under the Respiratory units had an 8-fold higher odds of a longer LOS compared to GM (adjusted odds ratio [aOR] 8.53, 95% CI 1.96–37.25, p = 0.004). Other clinical outcomes were comparable between the two groups. Conclusions: Our findings indicate that GM units compared to Respiratory units provide efficient and safe care for patients requiring hospitalisation for CAP. Full article

The nonlinear energy sink (NES) and Galfenol material can achieve vibration suppression and energy harvesting of the structure, respectively. Compared with a linear structure, the geometric nonlinearity can affect the output performances of the cantilever beam structure. This investigation aims to present a coupled system consisting of a nonlinear energy sink (NES) and a cantilever Galfenol energy harvesting beam with geometric nonlinearity. Based on Hamilton’s principle, linear constitutive equations of magnetostrictive material, and Faraday’s law of electromagnetic induction, the theoretical dynamic model of the coupled system is proposed. Utilizing the Galliakin decomposition method and Runge–Kutta method, the harvested power of the external load resistance, and tip vibration displacements of the Galfenol energy harvesting model are analyzed. The influences of the external excitation, external resistance, and NES parameters on the output characteristic of the proposed coupling system have been investigated. Results reveal that introducing NES can reduce the cantilever beam’s vibration while considering the geometric nonlinearity of the cantilever beam can induce a nonlinear softening phenomenon for the output behaviors. Compared to the linear system without NES, the coupling model proposed in this work can achieve dual efficacy goals over a wide range of excitation frequencies when selecting appropriate parameters. In general, large excitation amplitude and NES stiffness, small external resistance, and small or large NES damping values can achieve the effect of broadband energy harvesting. Full article

A sample of goethite iron ore sinter feed (G_SF) was employed as a raw material in a sintering bed. This sample partially replaced hematite sinter feed (H_SF), which is currently used as raw material in a sintering plant in the state of Minas Gerais, Brazil. This substitution did not adversely affect the chemical and metallurgical proprieties of the sinter mix product, provided that the utilization of G_SF was kept below 30% in weight. Despite the higher proportion of fines in G_SF, the presence of argillaceous minerals in the sample led to an improvement in the granulation index (GI) of the sinter mix product. The GI value increased from 68.4 to 82.7% for the experiments conducted without the presence of goethite ore and with 40% of goethite ore in the sintering mix, respectively. Consequently, the qualities of both the process and the produced sinter product were not compromised. The raw materials and the various sinters produced were characterized through X-ray fluorescence (XRF) and X-ray diffraction (XRD), as well as thermal gravimetric analysis (TGA). The XRD results were used to perform a quantitative assessment of the mineral phase using the Rietveld method (RM). This technique allowed for the determination of goethite content in the studied sample, which was 35.5%. Finally, the incorporation of G_SF in the sintering bed led to a 20% reduction in the cost of raw materials. Full article

Whispering gallery mode (WGM) resonators doped with fluorescent materials find impressive applications in biological sensing. They do not require special conditions for the excitation of WGM inside that provide the basis for in vivo sensing. Currently, the problem of materials for in vivo WGM sensors are substantial since their fluorescence should have stable optical properties as well as they should be biocompatible. To address this we present WGM microresonators of 5–7 $\mathsf{\mu }$m, where the dopant is made of carbon quantum dots (CDs). CDs are biocompatible since they are produced from carbon and demonstrate bright optical emission, which shows different bands depending on the excitation wavelength. The WGM sensors developed here were tested as label-free biosensors by detecting bovine serum albumin molecules. The results showed WGM frequency shifting, with the limit of detection down to ${10}^{-16}$ M level. Full article

The rapid and accurate detection of infectious people is crucial in controlling outbreaks. The aim of this study was to evaluate the kinetics of the viral load expressed as Ct in COVID-19 hospitalized patients. Nasopharyngeal swab specimens were collected for RT-PCR testing. Forty-one subjects were recruited, of which 48.8% developed severe symptoms and 51.2% showed milder symptoms. The distribution of Ct values measured from the symptom onset showed that the kinetics of the viral load decreased with increasing time. A Ct of 25 (high viral load) was reached after a mean of 9.9 ± 4.8 days from the symptom onset, without a significant difference between patients with severe (10.9 ± 5.7 days) and milder (9.0 ± 3.9 days) symptoms. In 65.8% of cases, a high viral load was maintained for more than 7 days from the symptom onset, especially in patients with severe symptoms (70.6%). A Ct of 30 (moderate viral load) and of 38 (low viral load) were reached after a mean of 16.1 ± 8.1 and 28.5 ± 22.4 days from the symptom onset, respectively, with a significant difference between patients with severe (Ct = 30:17.9 ± 9.8 days; Ct = 38:34.6 ± 29.6 days) and milder (Ct = 30:14.3 ± 5.8 days; Ct = 38:22.7 ± 9.9 days) symptoms. These results provide an understanding of the viral kinetics of SARS-CoV-2 and have implications for pandemic control strategies and practices. Full article

Based on the engineering background of the wide-width single cable-stayed bridge, the shear lag effects of the cross-section of these bridge box girders under the action of the eccentric load were experimentally studied. The behavior of shear lag effects in the horizontal and longitudinal bridge directions under eccentric load in the operational stage of a single cable-stayed bridge was analyzed by a model testing method and a finite element (FE) analytical method. The results showed that the plane stress calculation under unidirectional live load was similar to the results from spatial FE analysis and structural calculations performed according to the effective flange width described in the design specification. At the position of the main beam near the cable force point of action, the positive stress at its upper wing edge was greatest. At a distance from the cable tension point, the maximum positive stress position trend showed that from the center of the top flange to the junction of the top flange and the middle web to the junction of the top flange and the middle web and the side web. Under eccentric load, the positive and negative shear lag effects on the end fulcrum existed at the same time, and the shear lag coefficient on the web plate was larger than the shear lag coefficient on the unforced side. Due to the influence of constraint at the middle fulcrum near the middle pivot point, positive and negative shear lag effects were significant, and the coefficient variation range was large, resulting in large tensile stress on the roof plate in this area. According to FE analytical results, stress and shear forces of a single box three-chamber box girder under eccentric load were theoretically analyzed, the bending load decomposed into the accumulation of bending moment and axial force, using the bar simulation method, and the overall shear lag effect coefficient λ was obtained and verified. Full article

This crossover randomized controlled trial examined the acute psychological effects of a bout of moderate-intensity continuous aerobic exercise (MICE) and a bout of high-intensity functional exercise (HIFE), relative to a no-exercise sedentary control (SED), in participants (N = 21; 15 f; 24.7 ± 9.3 years) with subsyndromal post-traumatic stress disorder (PTSD). Affective state (Energy, Tiredness, Tension, Calmness) was assessed before (Pre), immediately after (Post 0), 20-min after (Post 20), and 40-min after (Post 40) each condition. Affective valence was assessed during each condition, and exercise enjoyment was assessed at Post 0. Enjoyment was significantly greater following HIFE and MICE relative to SED. Energy was significantly increased Post 0 HIFE and MICE but decreased Post 0 SED. Tension was reduced following all conditions and was significantly lower at Post 40 relative to Pre for HIFE, MICE, and SED. Tiredness was significantly reduced at Post 40 relative to Pre following MICE only, while Calmness was significantly lower at Post 40 relative to Pre following MICE and SED. Overall, both exercise conditions were enjoyed to a greater extent than the control, but MICE may provide greater psychological benefits with respect to Calmness and Tiredness. This study is among the first to assess acute changes in affective states relative to various exercise modes in individuals living with subsyndromal PTSD. Full article

Converting a camera’s RAW image to an RGB format for human perception involves utilizing an imaging pipeline, and a series of processing modules. Existing modules often result in varying degrees of original information loss, which can render the reverse imaging pipeline unable to recover the original RAW image information. To this end, this paper proposes a new, almost reversible image imaging pipeline. Thus, RGB images and RAW images can be effectively converted between each other. Considering the impact of original information loss, this paper introduces a two-stage tone mapping operation (TMO). In the first stage, the RAW image with a linear response is transformed into an RGB color image. In the second stage, color scale mapping corrects the dynamic range of the image suitable for human perception through linear stretching, and reduces the loss of sensitive information to the human eye during the integer process. effectively preserving the original image’s dynamic information. The DCRAW imaging pipeline addresses the problem of high light overflow by directly highlighting cuts. The proposed imaging pipeline constructs an independent highlight processing module, and preserves the highlighted information of the image. The experimental results demonstrate that the two-stage tone mapping operation embedded in the imaging processing pipeline provided in this article ensures that the image output is suitable for human visual system (HVS) perception and retains more original image information. Full article