This paper introduces the election optimization algorithm (EOA), a meta-heuristic approach for engineering optimization problems. Inspired by the democratic electoral system, focusing on the presidential election, EOA emulates the complete election process to optimize solutions. By simulating the presidential election, EOA introduces a novel position-tracking strategy that expands the scope of effectively solvable problems, surpassing conventional human-based algorithms, specifically, the political optimizer. EOA incorporates explicit behaviors observed during elections, including the party nomination and presidential election. During the party nomination, the search space is broadened to avoid local optima by integrating diverse strategies and suggestions from within the party. In the presidential election, adequate population diversity is maintained in later stages through further campaigning between elite candidates elected within the party. To establish a benchmark for comparison, EOA is rigorously assessed against several renowned and widely recognized algorithms in the field of optimization. EOA demonstrates superior performance in terms of average values and standard deviations across the twenty-three standard test functions and CEC2019. Through rigorous statistical analysis using the Wilcoxon rank-sum test at a significance level of 0.05, experimental results indicate that EOA consistently delivers high-quality solutions compared to the other benchmark algorithms. Moreover, the practical applicability of EOA is assessed by solving six complex engineering design problems, demonstrating its effectiveness in real-world scenarios. Full article

The fall webworm (FWW), H. cunea (Drury) (Lepidoptera: Erebidae: Arctiidae), is an extremely high-risk globally invasive pest. Understanding the invasion dynamics of invasive pests and identifying the critical factors that promote their spread is essential for devising practical and efficient strategies for their control and management. The invasion dynamics of the FWW and its influencing factors were analyzed using standard deviation ellipse and spatial autocorrelation methods. The analysis was based on statistical data on the occurrence of the FWW in China. The dissemination pattern of the FWW between 1979 and 2022 followed a sequence of “invasion-occurrence-transmission-outbreak”, spreading progressively from coastal to inland regions. Furthermore, areas with high nighttime light values, abundant ports, and non-forested areas with low vegetation cover at altitudes below 500 m were more likely to be inhabited by the black-headed FWW. The dynamic invasion pattern and the driving factors associated with the fall webworm (FWW) provide critical insights for future FWW management strategies. These strategies serve not only to regulate the dissemination of insects and diminish migratory tendencies but also to guarantee the implementation of efficient early detection systems and prompt response measures. Full article

Tonsillectomy with steroid pulse therapy (SPT) has been established as an effective treatment for immunoglobulin A nephropathy (IgAN) in Japan. However, the underlying mechanisms supporting tonsillectomy remain unclear. This study assessed palatine tonsils from 77 patients with IgAN, including 14 and 63 who received SPT before and after tonsillectomy, respectively. Tonsils from 21 patients with chronic tonsillitis were analyzed as controls. Specific tonsillar lesions were confirmed in patients with IgAN, correlating with active or chronic renal glomerular lesions and SPT. T-nodule and involution of lymphoepithelial symbiosis scores in tonsils correlated with the incidence of active crescents and segmental sclerosis in the glomeruli, respectively. The study revealed an essential role of the tonsil–glomerular axis in early active and late chronic phases. Moreover, the SPT-preceding group demonstrated no changes in the T-nodule score, which correlated with active crescent formation, but exhibited a considerable shrinkage of lymphatic follicles that produced aberrant IgA1. The study underscores the involvement of innate and cellular immunity in IgAN and advocates for tonsillectomy as a necessary treatment alongside SPT for IgAN, based on a stepwise process. Full article

Desktop-based virtual colonoscopy is a proven and accurate process for identifying colon abnormalities. However, it is time-consuming. Faster, immersive interfaces for virtual colonoscopy are still incipient and need to be better understood. This article introduces a novel design that leverages VR paradigm components to enhance the efficiency and effectiveness of immersive analysis. Our approach contributes a novel tool highlighting unseen areas within the colon via eye-tracking, a flexible navigation approach, and a distinct interface for displaying scans blended with the reconstructed colon surface. The path to evaluating and validating such a tool for clinical settings is arduous. This article contributes a formative evaluation using think-aloud sessions with radiology experts and students. Questions related to colon coverage, diagnostic accuracy, and time to complete are analyzed with different user profiles. Although not aimed at quantitatively measuring performance, the experiment provides lessons learned to guide other researchers in the field. Full article

Protein ubiquitination is common and crucial in cellular functions, however, little is known about how deubiquitinating enzymes (DUBs) reverse regulate the ubiquitination signaling process. PPPDE family proteins are a novel class of deubiquitinating peptidases with demonstrated deubiquitination/deSUMOylating activities. In this study, we identified 10 PPPDE genes from the rice (Oryza sativa L.) genome unevenly distributed on five chromosomes, where most of these members have not been reported to date. Based on the gene structure, the OsPPPDE family consists of three distinct subgroups within the phylogenetic tree. Cis-element analysis identified light/phytohormone-responsive, development, and abiotic stress-related elements in the promoters of OsPPPDE. Furthermore, we conducted and analyzed the transcript abundance of OsPPPDE under various tissues and stresses using the transcriptome data of 352 samples from the Rice Expression Database and GEO datasets. Moreover, OsPPPDE5 showed differential regulation of its transcript abundance during Cd and drought stress. Collinearity and syntenic analysis of 101 PPPDEs and PPPDE-like proteins in 10 plant genomes indicated that this family is evolutionarily conserved. Domestication analysis suggests that OsPPPDEs may contribute to indica–japonica divergence using the data from the 3K Rice Genome Project. Our study provides a foundation for further study on the function and molecular mechanism of the OsPPPDE gene family. Full article

Background: Research has shown that Adverse Childhood Experiences (ACEs) are prevalent and are associated with psychological distress. Some studies indicate facing these adversities can lead to post-traumatic growth. This study aims to assess the impact of ACEs on psychological distress and post-traumatic growth and to determine the mediating effect of post-traumatic growth between ACEs and psychological distress, in a sample of adults. Methods: In this study, there were 521 participants (mean = 31.32, SD = 12.28), who answered the following surveys online: a sociodemographic questionnaire, the Family ACE Questionnaire, the Kessler Psychological Distress Scale (K10) and the Post-Traumatic Growth Inventory (PTGI). Results: ACEs were positive and significant predictors of psychological distress, and the “Change in the perception of the self and life in general” factor of post-traumatic growth was the strongest predictor of lower perceived psychological distress. Post-traumatic growth did not mediate the relationship between ACEs and psychological distress. Conclusions: These findings contribute to the improvement of clinical practice and health policies and highlight the need for a more in-depth understanding of the impact of ACEs on mental health. Full article

Highly selective etching of silicon nitride (Si₃N₄) and silicon dioxide (SiO₂) has received considerable attention from the semiconductor community owing to its precise patterning and cost efficiency. We investigated the etching selectivity of Si₃N₄ and SiO₂ in an NF₃/O₂ radio-frequency glow discharge. The etch rate linearly depended on the source and bias powers, whereas the etch selectivity was affected by the power and ratio of the gas mixture. We found that the selectivity can be controlled by lowering the power with a suitable gas ratio, which affects the surface reaction during the etching process. X-ray photoelectron spectroscopy of the Si₃N₄ and QMS measurements support the effect of surface reaction on the selectivity change by surface oxidation and nitrogen reduction with the increasing flow of O₂. We suggest that the creation of SiO_xN_y bonds on the surface by NO oxidation is the key mechanism to change the etch selectivity of Si₃N₄ over SiO₂. Full article

Unsaturated fat replacement should be used to reduce the use of saturated fat and trans fatty acids in the diet. In this study, pea protein micro-gels (PPMs) with different structures were prepared by microparticulation at pH 4.0–7.0 and named as PPM (pH 4.0), PPM (pH 4.5), PPM (pH 5.0), PPM (pH 5.5), PPM (pH 6.0), PPM (pH 6.5), and PPM (pH 7.0). Pea protein was used as a control to evaluate the structure and interfacial properties of PPMs by particle size distribution, Fourier transform infrared spectroscopy (FTIR), free sulfhydryl group content, and emulsifying property. PPM (pH 7.0) was suitable for application in O/W emulsion stabilization because of its proper particle size, more flexible structure, high emulsifying activity index (EAI) and emulsifying stability index (ESI). The Pickering emulsion stabilized by PPM (pH 7.0) had a uniform oil droplet distribution and similar rheological properties to cream, so it can be used as a saturated fat replacement in the manufacture of ice cream. Saturated fat was partially replaced at different levels of 0%, 20%, 40%, 60%, 80%, and 100%, which were respectively named as PR0, PR20, PR40, PR60, PR80, and PR100. The rheological properties, physicochemical indexes, and sensory properties of low-saturated fat ice cream show that PPM (pH 7.0)-stabilized emulsion can be used to substitute 60% cream to manufacture low-saturated fat ice cream that has high structural stability and similar melting properties, overrun, and sensory properties to PR0. The article shows that it is feasible to prepare low-saturated fat ice cream with PPM (pH 7.0)-stabilized Pickering emulsion, which can not only maintain the fatty acid profile of the corn oil used, but also possess a solid-like structure. Its application is of positive significance for the development of nutritious and healthy foods and the reduction of chronic disease incidence. Full article

Background/Objectives: Endometriosis represents substantial direct and indirect healthcare costs impacted by an absence of uniformly accurate, non-invasive diagnostic tools. We endeavored to demonstrate gastrointestinal myoelectrical activity (GIMA) biomarkers, unique to endometriosis, will allow non-invasive, uniformly accurate diagnosis or exclusion of endometriosis. Methods: Prospective open-label comparative study of 154 patients, age ≥ 18, with or without diagnosed endometriosis. Population included 62 non-endometriosis controls (Cohort 1), 43 subjects with surgically/histologically confirmed endometriosis (Cohort 2), and 49 subjects with abdominal pain and negative imaging (Cohort 3). Non-invasive electroviscerography (EVG) recorded GIMA biomarkers from three abdominal electrodes before and 30 min post water load protocol. Cohort 2 had postoperative EVG and Cohort 3 had preoperative EVG. Calculated specificity, sensitivity, negative predictive value (NPV), positive predictive value (PPV), and predictive probability or C-statistic used univariate, multivariate, linear, and logistical regression analyses of the area under the curve (AUC) at all frequency and time points, including age and pain covariants. Results: The non-endometriosis cohort differed significantly from the endometriosis cohorts (p < 0.001) for median (IQR) and AUC percent frequency distribution of power at baseline, 10 min, 20 min, and 30 min post water load at all frequency ranges: 15–20 cpm, 30–40 cpm, and 40–50 cpm. The endometriosis cohorts were statistically similar (p > 0.05). GIMA biomarker threshold scoring demonstrated 95%/91% sensitivity and PPV, 96%/95% specificity and NPV, and a C-statistic of >99%/98%, respectively, for age subsets. GIMA biomarkers in Cohort 3 predicted 47/49 subjects positive and 2/49 negative for endometriosis, confirmed surgically. Hormonal therapy, surgical stage, nor pain score affected diagnostic accuracy. Conclusions: EVG with GIMA biomarker detection distinguished participants with and without endometriosis based upon endometriosis-specific GIMA biomarkers threshold scoring. Full article

In recent years, the adverse effects of nanoplastics (NPs) and pyriproxyfen on aquatic environments have attracted widespread attention. However, research on their combined exposure to aquatic organisms could be more extensive. This work evaluated the acute and chronic toxic effects of polystyrene NPs (PS-NPs) and pyriproxyfen on Daphnia magna (D. magna) under their combined exposure conditions. The addition of PS-NPs within 24 h reduced the acute toxicity of pyriproxyfen to D. magna, resulting in an increase in the 24-h EC₅₀ values of pyriproxyfen on D. magna from 0.24 mg/L to 0.35, 0.51, and 1.26 mg/L, respectively when 1, 5, and 10 mg/L of PS-NPs were added. Compared with PS-NPs, pyriproxyfen significantly disturbed the growth and reproduction of D. magna in the chronic toxicity test at 21 days. The adverse effects caused by pyriproxyfen were alleviated when PS-NPs and pyriproxyfen were co-exposed. In addition, it was observed that the addition of pyriproxyfen resulted in less PS-NPs uptake by D. magna using a time-gated imaging technique. These findings provide new insight into the combined toxic effects of NPs and pyriproxyfen on the reproduction and growth of D. magna, and it is important to understand the effects of complex pollutants on aquatic systems. Moreover, it has provided an important scientific basis for environmental protection and sustainable development. Full article

Currently, staging the degree of liver fibrosis predominantly relies on liver biopsy, a method fraught with potential risks, such as bleeding and infection. With the rapid development of medical imaging devices, quantification of liver fibrosis through image processing technology has become feasible. Stacking technology is one of the effective ensemble techniques for potential usage, but precise tuning to find the optimal configuration manually is challenging. Therefore, this paper proposes a novel EVO-MS model—a multiple stacking ensemble learning model optimized by the energy valley optimization (EVO) algorithm to select most informatic features for fibrosis quantification. Liver contours are profiled from 415 biopsied proven CT cases, from which 10 shape features are calculated and inputted into a Support Vector Machine (SVM) classifier to generate the accurate predictions, then the EVO algorithm is applied to find the optimal parameter combination to fuse six base models: K-Nearest Neighbors (KNNs), Decision Tree (DT), Naive Bayes (NB), Extreme Gradient Boosting (XGB), Gradient Boosting Decision Tree (GBDT), and Random Forest (RF), to create a well-performing ensemble model. Experimental results indicate that selecting 3–5 feature parameters yields satisfactory results in classification, with features such as the contour roundness non-uniformity (Rmax), maximum peak height of contour (Rp), and maximum valley depth of contour (Rm) significantly influencing classification accuracy. The improved EVO algorithm, combined with a multiple stacking model, achieves an accuracy of 0.864, a precision of 0.813, a sensitivity of 0.912, a specificity of 0.824, and an F1-score of 0.860, which demonstrates the effectiveness of our EVO-MS model in staging the degree of liver fibrosis. Full article

The use of mobile laser scanning for mapping forests has scarcely been studied in difficult forest conditions. In this paper, we compare the accuracy of retrieving tree attributes, particularly diameter at breast height (DBH), stem curve, stem volume, and tree height, using six different laser scanning systems in a managed natural boreal forest. These compared systems operated both under the forest canopy on handheld and unmanned aerial vehicle (UAV) platforms and above the canopy from a helicopter. The complexity of the studied forest sites ranged from easy to difficult, and thus, this is the first study to compare the performance of several laser scanning systems for the direct measurement of stem curve in difficult forest conditions. To automatically detect tree stems and to calculate their attributes, we utilized our previously developed algorithm integrated with a novel bias compensation method to reduce the overestimation of stem diameter arising from finite laser beam divergence. The bias compensation method reduced the absolute value of the diameter bias by 55–99%. The most accurate laser scanning systems were equipped with a Velodyne VLP-16 sensor, which has a relatively low beam divergence, on a handheld or UAV platform. In easy plots, these systems found a root-mean-square error (RMSE) of below 10% for DBH and stem curve estimates and approximately 10% for stem volume. With the handheld system in difficult plots, the DBH and stem curve estimates had an RMSE under 10%, and the stem volume RMSE was below 20%. Even though bias compensation reduced the difference in bias and RMSE between laser scanners with high and low beam divergence, the RMSE remained higher for systems with a high beam divergence. The airborne laser scanner operating above the forest canopy provided tree attribute estimates close to the accuracy of the under-canopy laser scanners, but with a significantly lower completeness rate for stem detection, especially in difficult forest conditions. Full article

Chronic kidney disease (CKD) affects more than 10% of the global population, and its incidence is increasing, partially due to an increase in the prevalence of disease risk factors. Acute kidney injury (AKI) is an independent risk factor for CKD and end-stage renal disease (ESRD). The pathogenic mechanisms of CKD provide several potential targets for its treatment. However, due to off-target effects, conventional drugs for CKD typically require high doses to achieve adequate therapeutic effects, leading to long-term organ toxicity. Therefore, ideal treatments that completely cure the different types of kidney disease are rarely available. Several approaches for the drug targeting of the kidneys have been explored in drug delivery system research. Nanotechnology-based drug delivery systems have multiple merits, including good biocompatibility, suitable degradability, the ability to target lesion sites, and fewer non-specific systemic effects. In this review, the development, potential, and limitations of low-molecular-weight protein–lysozymes, polymer nanomaterials, and lipid-based nanocarriers as drug delivery platforms for treating AKI and CKD are summarized. Full article

The ‘Beautification of Roads and Parks in Qatar’ is an urban development project that intends to provide space for exercising in roadside greenery in central Doha due to a lack of accessible open spaces. Considering the potential health risks associated with inhaling traffic-borne PM2.5, this study investigated the efficacy of four common road vegetation scenarios in reducing traffic-borne PM2.5 concentration in roadside user zones using ENVI-met. It examined Spearman’s rank correlation between air temperature, relative humidity, traffic emission rate, and PM2.5 concentration in roadside user zones. Based on the results, (1) hedgerows lower PM2.5 concentrations in roadside user zones, while trees significantly increase the concentration. (2) There is a strong association between air temperature and relative humidity and the PM2.5 concentration. The PM2.5 concentration decreases as air temperature increases but it increases as relative humidity increases. (3) There is a moderately negative association between the traffic emission rate and the PM2.5 concentration; however, this association is not found to be statistically significant. The ENVI-met simulation showed a slight overestimation of PM2.5 concentration compared to the wind tunnel simulation. These findings provide insight into planning road vegetation to reduce traffic-borne PM2.5 in roadside user zones in the local hot arid climate. Full article

Ensuring global food security in the face of climate change is critical to human survival. With a predicted human population of 9.6 billion in 2050 and the demand for food supplies expected to increase by 60% globally, but with a parallel potential reduction in crop production for wheat by 6.0%, rice by 3.2%, maize by 7.4%, and soybean by 3.1% by the end of the century, maintaining future food security will be a challenge. One potential solution is new climate-smart varieties created using the breadth of diversity inherent in crop wild relatives (CWRs). Yet CWRs are threatened, with 16–35% regarded as threatened and a significantly higher percentage suffering genetic erosion. Additionally, they are under-conserved, 95% requiring additional ex situ collections and less than 1% being actively conserved in situ; they also often grow naturally in disturbed habitats limiting standard conservation measures. The urgent requirement for active CWR conservation is widely recognized in the global policy context (Convention on Biological Diversity post-2020 Global Biodiversity Framework, UN Sustainable Development Goals, the FAO Second Global Plan of Action for PGRFA, and the FAO Framework for Action on Biodiversity for Food and Agriculture) and breeders highlight that the lack of CWR diversity is unnecessarily limiting crop improvement. CWRs are not spread evenly across the globe; they are focused in hotspots and the hottest region for CWR diversity is in West Asia and North Africa (WANA). The region has about 40% of global priority taxa and the top 17 countries with maximum numbers of CWR taxa per unit area are all in WANA. Therefore, improved CWR active conservation in WANA is not only a regional but a critical global priority. To assist in the achievement of this goal, we will review the following topics for CWRs in the WANA region: (1) conservation status, (2) community-based conservation, (3) threat status, (4) diversity use, (5) CURE—CWR hub: (ICARDA Centre of Excellence), and (6) recommendations for research priorities. The implementation of the recommendations is likely to significantly improve CWRs in situ and ex situ conservation and will potentially at least double the availability of the full breadth of CWR diversity found in WANA to breeders, and so enhance regional and global food and nutritional security. Full article

Background and Objectives: Besides classical stapedotomy, reverse stapedotomy has been used for many years in the management of otosclerosis. Our study aims to investigate whether reversing the surgical steps in stapedotomy impacts vestibular function and hearing improvement. Materials and Methods: A cohort of 123 patients underwent either classic or reverse stapedotomy procedures utilizing a fiber–optic argon laser. Audiological assessments, following the guidelines of the Committee on Hearing and Equilibrium, were conducted, including pure tone average, air–bone (AB) gap, overclosure, and AB gap closure. Vestibular evaluation involved pre- and postoperative comparison of rotatory test parameters, including frequency, amplitude, and slow phase velocity of nystagmus. Results: The study demonstrated an overall median overclosure of 3.3 (3.3, 5.0) dB and a mean AB gap closure of 20.3 ± 8.8 dB. Postoperative median AB gap was 7.5 (7.5, 11.3) dB in the reverse stapedotomy group and 10.0 (10.0, 12.5) dB in the classic stapedotomy group. While overclosure and AB gap closure were marginally superior in the reverse stapedotomy group, these differences did not reach statistical significance. No significant disparities were observed in the frequency, slow phase velocity, or amplitude of nystagmus in the rotational test. Conclusions: Although not always possible, reverse stapedotomy proved to be a safe surgical technique regarding postoperative outcomes. Its adoption may mitigate risks associated with floating footplate, sensorineural hearing loss, and incus luxation/subluxation, while facilitating the learning curve for less experienced ear surgeons. Full article

In the context of the transition to sustainable agriculture in Kazakhstan, the article considers one of its forms—organic farming. The adopted laws and by-laws not only have not contributed to but have also significantly hindered the development of organic farming due to the complexity of their implementation in the Kazakh legal field. The activities of Kazakhstani public organizations, deprived of any state support, are symbolic in nature. The absolute instability of organic production, the multidirectional long-term dynamics of the area of organic land and the cost yield of the products are demonstrated. The lack of demand for organic farming products among the population of Kazakhstan is due to socio-economic determinants, the dominance of livestock products in the nutrition structure of the indigenous population, only a small part of the inhabitants of megacities being the main consumers of any organic products, the exorbitant share of food costs and the high premium of organic products. The reasons for the ecological and economic instability of organic farming are the extensive development model, the lack of subsidiary obligations of the state and the zero-marginal cost of the export product. Conservative, utilitarian and innovative ways of developing organic farming are proposed. Full article

Emergency vehicle detection plays a critical role in ensuring timely responses and reducing accidents in modern urban environments. However, traditional methods that rely solely on visual cues face challenges, particularly in adverse conditions. The objective of this research is to enhance emergency vehicle detection by leveraging the synergies between acoustic and visual information. By incorporating advanced deep learning techniques for both acoustic and visual data, our aim is to significantly improve the accuracy and response times. To achieve this goal, we developed an attention-based temporal spectrum network (ATSN) with an attention mechanism specifically designed for ambulance siren sound detection. In parallel, we enhanced visual detection tasks by implementing a Multi-Level Spatial Fusion YOLO (MLSF-YOLO) architecture. To combine the acoustic and visual information effectively, we employed a stacking ensemble learning technique, creating a robust framework for emergency vehicle detection. This approach capitalizes on the strengths of both modalities, allowing for a comprehensive analysis that surpasses existing methods. Through our research, we achieved remarkable results, including a misdetection rate of only 3.81% and an accuracy of 96.19% when applied to visual data containing emergency vehicles. These findings represent significant progress in real-world applications, demonstrating the effectiveness of our approach in improving emergency vehicle detection systems. Full article

Hydrogels, recognized for their flexibility and diverse characteristics, are extensively used in medical fields such as wearable sensors and soft robotics. However, many hydrogel sensors derived from biomaterials lack mechanical strength and fatigue resistance, emphasizing the necessity for enhanced formulations. In this work, we utilized acrylamide and polyacrylamide as the primary polymer network, incorporated chemically modified poly(ethylene glycol) (DF-PEG) as a physical crosslinker, and introduced varying amounts of methacrylated lysine (LysMA) to prepare a series of hydrogels. This formulation was labeled as poly(acrylamide)-DF-PEG-LysMA, abbreviated as pADLx, with x denoting the weight/volume percentage of LysMA. We observed that when the hydrogel contained 2.5% w/v LysMA (pADL2.5), compared to hydrogels without LysMA (pADL0), its stress increased by 642 ± 76%, strain increased by 1790 ± 95%, and toughness increased by 2037 ± 320%. Our speculation regarding the enhanced mechanical performance of the pADL2.5 hydrogel revolves around the synergistic effects arising from the co-polymerization of LysMA with acrylamide and the formation of multiple intermolecular hydrogen bonds within the network structures. Moreover, the acid, amine, and amide groups present in the LysMA molecules have proven to be instrumental contributors to the self-adhesion capability of the hydrogel. The validation of the pADL2.5 hydrogel’s exceptional mechanical properties through rigorous tensile tests further underscores its suitability for use in strain sensors. The outstanding stretchability, adhesive strength, and fatigue resistance demonstrated by this hydrogel affirm its potential as a key component in the development of robust and reliable strain sensors that fulfill practical requirements. Full article

Accelerometry is a crucial tool in basketball for quantifying the external load borne by players in response to the demands of intermittent high-intensity sports. To advance scientific knowledge in this field, it is imperative to study accelerometry across various populations, sexes, and competitive levels. The primary objective of this research was to characterize the acceleration (ACC) and deceleration (DEC) profiles of male under-18 basketball players during official games, identifying differences in acceleration and deceleration thresholds during playing periods and specific positions. Additionally, the interaction between specific positions and playing periods in acceleration thresholds was examined. Acceleration and deceleration were characterized using four variables: maximum ACC and DEC, distance covered, initial velocity and final velocity. These parameters were analyzed to understand the response of players participating in the Euroleague Basketball based on playing position and game period. A one-way ANOVA, along with effect size, was employed for statistical analysis. Demands exceeding ACC and DEC > 4 m·s⁻² were found to differentiate player interventions. High-intensity ACC was greater in the first period compared to the third and fourth periods. Distinctions were observed between Guards and Forwards concerning high-intensity ACC being superior to the Centers, and Guards differed from Centers in moderate DEC (2–4 m·s⁻²), presenting higher values. For all playing positions, high-intensity accelerations were greater during the first period compared to subsequent periods. The four variables used for characterizing ACC and DEC were found to be interrelated. Distance covered depended on maximum ACC and DEC, initial velocity on covered distance, and final velocity on maximum ACC and DEC, distance, and initial velocity. Full article

When stroke occurs in pediatric age, it might be mistakenly interpreted as non-accidental head injury (NAHI). In these situations, a multidisciplinary approach is fundamental, including a thorough personal and familial history, along with accurate physical examination and additional investigations. Especially when the clinical picture is uncertain, it is important to remember that certain genetic conditions can cause bleeding inside the brain, which may resemble NAHI. Pediatric strokes occurring around the time of birth can also be an initial sign of undiagnosed genetic disorders. Hence, it is crucial to conduct a thorough evaluation, including genetic testing, when there is a suspicion of NAHI but the symptoms are unclear. In these cases, a characteristic set of symptoms is often observed. This study aims to summarize some of the genetic causes of hemorrhagic stroke in the pediatric population, thus mimicking non-accidental head injury, considering elements that can be useful in characterizing pathologies. A systematic review of genetic disorders that may cause ICH in children was carried out according to the Preferred Reporting Item for Systematic Review (PRISMA) standards. We selected 10 articles regarding the main genetic diseases in stroke; we additionally selected 11 papers concerning patients with pediatric stroke and genetic diseases, or studies outlining the characteristics of stroke in these patients. The disorders we identified were Moyamoya disease (MMD), COL4A1, COL4A2 pathogenic variant, Ehlers–Danlos syndrome (E-D), neurofibromatosis type 1 (Nf1), sickle cell disease (SCD), cerebral cavernous malformations (CCM), hereditary hemorrhagic telangiectasia (HHT) and Marfan syndrome. In conclusion, this paper provides a comprehensive overview of the genetic disorders that could be tested in children when there is a suspicion of NAHI but an unclear picture. Full article