Mathematical algorithms relate satellite data of ocean color with the surface Chlorophyll-a concentration (Chl-a), a proxy of phytoplankton biomass. These mathematical tools work best when they are adapted to the unique bio-optical properties of a particular oceanic province. Ocean color algorithms should also consider that there are significant differences between datasets derived from different sensors. Common solutions are to provide different parameters for each sensor or use merged satellite data. In this paper, we use satellite data from the Copernicus merged product suite and in situ data from the southernmost part of the California Current System to test two widely used global algorithms, OCx and CI, and a regional algorithm, CalCOFI2. The OCx algorithm yielded the most favorable results. Consequently, we regionalized it and conducted further testing, leading to significant improvements, especially in eutrophic and oligotrophic waters. The database was then separated according to (a) dynamic boundaries in the area, (b) bio-optical properties, and (c) climatic conditions (El Niño/La Niña). Regional algorithms were obtained and tested for each partition. The Chl-a retrievals for each model were tested and compared. The best fit for the data was for the regional algorithms that considered the climatic conditions (El Niño/La Niña). These results will allow for the construction of consistent regionally adapted time series and, therefore, will demonstrate the importance of El Niño/La Niña events on the bio-optical properties of the area. Full article

Surface plasmon resonance (SPR) has been extensively employed in biological sensing, environmental detection, as well as chemical industry. Nevertheless, the performance possessed by conventional surface plasmon resonance (SPR) biosensors can be further limited by the transport of analyte molecules to the sensing surface, noteworthily when small molecules or low levels of substances are being detected. In this study, a rapid and highly sensitive SPR biosensor is introduced to enhance the ability of the target analytes’ collection by integrating AC electroosmosis (ACEO) and dielectrophoresis (DEP). Both the above-mentioned phenomena principally arise from the generation of the AC electric fields. This generation can be tailored by shaping the interdigitated electrodes (IDEs) that also serve as the SPR biomarker sensing area. The effects exerted by different parameters (e.g., the frequency and voltage of the AC electric field as well as microelectrode structures) are considered in the iSPR (interdigitated SPR) biosensor operation, and the iSPR biosensors are optimized with the sensitivity. The results of this study confirm that the iSPR can efficiently concentrate small molecules into the SPR sensing area, such that SPR reactions achieve an order of magnitude increase, and the detection time is shortened. The rapid and sensitive sensor takes on critical significance in the development of on-site diagnostics in a wide variety of human and animal health applications. Full article

Polystyrene (PS) is an extremely stable polymer with a relatively high molecular weight and a strong hydrophobic character that makes it highly resistant to biodegradation. In this study, PS was subjected to biodegradation tests by Tenebrio Molitor (T. Molitor) and Zophobas Morio (Z. Morio) larvae. Specifically, six different experimental diets were compared: (i) T. Molitor fed with bran; (ii) T. Molitor fed only PS; (iii) T. Molitor fed only PS treated with H₂O₂; (iv) Z. Morio fed with bran; (v) Z. Morio fed only PS; and (vi) Z. Morio fed only PS treated with H₂O₂. Therefore, the mass change of the larvae and the survival rate were measured periodically, while the frass collected after 15 and 30 days was analyzed by different analyses, such as spectroscopy (FTIR), spectrometry (molecular weight and polydispersity), thermal analysis (TGA) and microscopy (scanning electron microscopy observations). The obtained results suggest that in the case of T. Molitor larvae, larvae feeding on bran showed the highest survival rate of ~94% at 30 days, while in the case of the Z. Morio larvae, the highest survival rate was exhibited by larvae eating PS-H₂O₂. Although not strongly pronounced, the M_w and M_n of PS in the frass of both T. Molitor and Z. Morio larvae decreased over 30 days, suggesting PS biodegradation. Finally, the morphological analysis shows that PS samples isolated from the frass of T. Molitor and Z. Morio larvae showed completely different, rough and irregularly carved surface structures, in comparison to PS before biodegradation. Full article

Taiwan is an island where the city and nature combine to become the most beautiful open-air museum in the world, known as Formosa. With climate change and industrial development as the main changes in consumption behavior, the integration of ecology, the environment, and agriculture into food culture is gradually becoming valued in Taiwan. This study explores the quality of the rural outdoor dining experience in Taiwan; therefore, questionnaires were distributed to outdoor dining attendees from the north, central, south, and east, and we obtained 396 valid questionnaires. The rural outdoor dining satisfaction experience can be improved using the innovative New Importance–Performance Analysis (NIPA) model, which is based on the original IPA methodology but modified by the performance of the risk management judge. Additionally, we applied the zone of tolerance (ZOT) to evaluate the quality of priority and the importance–performance analysis (IPA) to make innovation decisions. The model also encourages decision-makers to consider environmental factors and customer feedback. It has not only been used to measure customer satisfaction, assess customer behavior, identify customer needs, and determine areas where quality needs to be improved, but it can also be used to measure the success of business decisions and identify potential areas for improvement. The results show that rural outdoor dining experiences in Taiwan have led to the development of a low carbon economy and a new business model for operators in order to follow the result of NIPA and develop service marketing strategies. Full article

Spinal schwannomas are the second most common primary intradural spinal tumor. This study aimed to assess health-related quality of life (HRQoL) and the frequency of return to work after the surgical treatment of spinal schwannomas. HRQoL was compared to a sample of the general population. Patients operated for spinal schwannomas between 2006 and 2020 were identified in a previous study and those alive at follow-up (171 of 180) were asked to participate. Ninety-four (56%) responded and were included in this study. Data were compared to the Stockholm Public Health Survey 2006, a cross-sectional survey of a representative sample of the general population. An analysis for any potential non-response bias was performed and showed no significant differences between the groups. HRQoL was equal between the spinal schwannoma sample and the general population sample in all but one dimension; men in the spinal schwannoma sample reported more moderate problems in the usual activities dimension than men in the general population (p = 0.020). In the schwannoma sample, there were no significant differences between men and women in either of the dimensions EQ-5D_index or EQ_VAS. Before surgery, a total of 71 (76%) were working full-time and after surgery almost all (94%) returned to work, most of them within 3 months of surgery. Eighty-nine (95%) of the patients responded that they would accept the surgery for their spinal schwannoma if asked again today. To conclude, surgical treatment of spinal schwannomas is associated with good HRQoL and with a high frequency of return to work. Full article

Energy management is important for both consumers and utility providers. Utility providers are concerned with identifying and reducing energy wastage and thefts. Consumers are interested in reducing their energy consumption and bills. In Pakistan, residential and industrial estates account for nearly 31,000 MW of the maximum total demand, while the transmission and distribution capacity has stalled at about 22,000 MW. This 9000 MW gap in demand and supply, as reported in 2022, has led to frequent load shedding. Although the country now has an excess generation capacity of about 45,000 MW, the aging transmission and distribution network cannot deliver the requisite power at all times. Hence, electricity-related problems are likely to continue for the next few years in the country and the same is true for other low- and middle-income countries (LMICs). Several energy monitoring systems (EnMS) have been proposed, but they face limitations in terms of cost, ease of application, lack of universal installation capability, customization, and data security. The research below focused on the development of an economical, secure, and customizable real-time EnMS. The proposed EnMS comprises low-cost hardware for gathering energy data with universal compatibility, a secured communication module for real-time data transmission, and a dashboard application for visualization of real-time energy consumption in a user-preferred manner, making the information easily accessible and actionable. The experimental results and analysis revealed that approximately 40% cost savings in EnMS development could be achieved compared to other commercially available EnMSs. The performance of the EnMS hardware was evaluated and validated through rigorous on-site experiments. The front-end of the EnMS was assessed through surveys and was found to be interactive and user-friendly for the target clients. The developed EnMS architecture was found to be an economical end-product and an appropriate approach for small and medium clients such as residential, institutional, commercial, and industrial consumers, all on one platform. Full article

Compared to conventional energy sources, wind power is a clean energy source with high intermittence and uncertainty. As a system that converts wind energy into electricity, wind farms inevitably face severe reliability issues. In this paper, based on reliability theory, a new reliability modeling method for wind farms is proposed. Firstly, a belief reliability model for wind farms is constructed. Then, a power generation model based on two-directional rotor equivalent wind speed is established to represent the wind farm performance in the belief reliability model. Finally, several numerical studies are conducted to verify the power generation model under different wind speeds and directions, to demonstrate the belief reliability model with different levels of uncertainty, and to compare the belief reliability considering two-directional rotor equivalent wind speed with other methods. Full article

Benzoxazinoids (BXs) are tryptophan-derived indole metabolites and play a role in various physiological processes, such as auxin metabolism. Auxin is essential in the process of somatic embryogenesis (SE) in plants. In this study, we used bioinformatics, transcriptome data, exogenous treatment experiments, and qPCR analysis to study the evolutionary pattern of Bx genes in green plants, the regulatory mechanism of DlBx genes during early SE, and the effect of 2,4-dihydroxy-7-methoxy-1,4-benzoxazine-3-one (DIMBOA) on the early SE in Dimocarpus longan Lour. The results showed that 27 putative DlBxs were identified in the longan genome; the Bx genes evolved independently in monocots and dicots, and the main way of gene duplication for the DlBx was tandem duplication (TD) and the DlBx were strongly constrained by purification selection during evolution. The transcriptome data indicated varying expression levels of DlBx during longan early SE, and most DlBxs responded to light, temperature, drought stress, and 2,4-dichlorophenoxyacetic acid (2,4-D) treatment; qRT-PCR results showed DlBx1, DlBx6g and DlBx6h were responsive to auxin, and treatment with 0.1mg/L DIMBOA for 9 days significantly upregulated the expression levels of DlBx1, DlBx3g, DlBx6c, DlBx6f, DlB6h, DlBx7d, DlBx8, and DlBx9b. The correlation analysis showed a significantly negative correlation between the expression level of DlBx1 and the endogenous IAA contents; DIMBOA significantly promoted the early SE and significantly changed the endogenous IAA content, and the IAA content increased significantly at the 9th day and decreased significantly at the 13th day. Therefore, the results suggested that DIMBOA indirectly promote the early SE by changing the endogenous IAA content via affecting the expression level of DlBx1 and hydrogen peroxide (H₂O₂) content in longan. Full article

Personal identification is an important aspect of managing electronic health records (EHRs), ensuring secure access to patient information, and maintaining patient privacy. Traditionally, biometric, signature, username/password, photo identity, etc., are employed for user authentication. However, these methods can be prone to security breaches, identity theft, and user inconvenience. The security of personal information is of paramount importance, particularly in the context of EHR. To address this, our study leverages ResNet1D, a deep learning architecture, to analyze surface electromyography (sEMG) signals for robust identification purposes. The proposed ResNet1D-based personal identification approach using the sEMG signal can offer an alternative and potentially more secure method for personal identification in EHR systems. We collected a multi-session sEMG signal database from individuals, focusing on hand gestures. The ResNet1D model was trained using this database to learn discriminative features for both gesture and personal identification tasks. For personal identification, the model validated an individual’s identity by comparing captured features with their own stored templates in the healthcare EHR system, allowing secure access to sensitive medical information. Data were obtained in two channels when each of the 200 subjects performed 12 motions. There were three sessions, and each motion was repeated 10 times with time intervals of a day or longer between each session. Experiments were conducted on a dataset of 20 randomly sampled subjects out of 200 subjects in the database, achieving exceptional identification accuracy. The experiment was conducted separately for 5, 10, 15, and 20 subjects using the ResNet1D model of a deep neural network, achieving accuracy rates of 97%, 96%, 87%, and 82%, respectively. The proposed model can be integrated with healthcare EHR systems to enable secure and reliable personal identification and the safeguarding of patient information. Full article

A broadband differential-MMIC low-noise amplifier (DLNA) using metamorphic high-electron-mobility transistors of 70 nm in Gallium Arsenide (70 nm GaAs mHEMT technology) is presented. The design and results of the performance measurements of the DLNA in the frequency band from 1 to 16 GHz are shown, with a high dynamic range, and a noise figure ($NF$) below 1.3 dB is obtained. In this work, two low-noise amplifiers (LNAs) were designed and manufactured in the OMMIC foundry: a dual LNA, which we call balanced, and a differential LNA, which we call DLNA. However, the paper focuses primarily on DLNA because of its differential architecture. Both use a 70 nm GaAs mHEMT space-qualified technology with a cutoff frequency of 300 GHz. With a low power bias $V_{bias}/I_{bias}$ (5 V/40.5 mA), $NF$ < 1.07 dB “on wafer” was achieved, from 2 to 16 GHz; while with the measurements made “on jig”, $NF$ = 1.1 dB, from 1 to 10 GHz. Furthermore, it was obtained that $NF$ < 1.5 dB, from 1 to 16 GHz, with a figure of merit equal to 145.5 GHz/mW. Finally, with the proposed topology, several LNAs were designed and manufactured, both in the OMMIC process and in other foundries with other processes, such as UMS. The experimental results showed that the $NF$ of the DLNA MMIC with multioctave bandwidth that was built in the frequency range of the L-, S-, C-, and X-bands was satisfactory. Full article

The interaction between fig wasps and their host fig trees (Ficus spp.) is a striking example of an obligate pollination mutualism. Male and female fig wasps are confined within their natal patch instead of panmictic; under this circumstance, mating only occurs between individuals of the same patch. This is known as a local mate competition (LMC). It pays foundresses to invest mainly in daughters and to only produce enough sons to ensure that all female offspring can be fertilized, but in nature, pollinating fig wasps may face many problems with host quality, such as limitation of oviposition sites and the nutrition deficiency of the host fig. The sex ratio of wasps can determine the stability of fig–fig wasp mutualistic system and, thus, the stability of other species associated with it. In this study, we controlled the quality of host figs in three ways. The results showed that the host fig age can influence the sex ratio of pollinator offspring, while the foundress numbers and the presence of pollen have no significant effect on it. A compelling explanation for this result is that the sex-dependent mortality occurs. This is a novel finding of how host quality influences the interaction of fig and fig wasps, which can also help us understand the evolution and stability mechanism of this symbiotic system. Full article

(1) Background: A rare and unexpected consequence of childbirth, labor, or the immediate postpartum period is amniotic fluid embolism (AFE). This study aims to identify AFE cases during or immediately after birth from anesthetic management perspectives. Secondary goals include assessing patient clinical features, obstetric care techniques, birth outcomes, and case survival. (2) Methods: A retrospective observational study assessed AFE patients hospitalized in three Romanian clinical institutions from October 2007 to April 2023. Based on the Society of Maternal-Fetal Medicine (SMFM) criteria, we diagnosed 11 AFE patients. (3) Results: AFE occurred in eight cases (73%) during peripartum, two (18%) within 30 min after placental delivery, and 1 (9%) during a scheduled cesarean surgery. Only one of six cardiorespiratory arrest patients responded to external cardiac massage, while the other five (83%) needed defibrillation. The patients received, on average, five units of red blood cells, six of fresh frozen plasma, and two of activated platelets. Six patients (55%) received factor VIIa infusions. Maternal mortality was 36.3%. Six neonates (75%) needed neonatal resuscitation, and two (25%) died on the second and third days. (4) Conclusions: AFE management necessitates a multidisciplinary approach and the incorporation of advanced life support techniques to optimize outcomes for both the mother and newborn. Full article

The relevance of the interaction between Humanities-enhanced learning using immersive environments and simultaneous physiological signal analysis contributes to the development of Neurohumanities and advancements in applications of Digital Humanities. The present dataset consists of recordings from 24 participants divided in two groups (12 participants in each group) engaging in simulated learning scenarios, traditional learning, and partially immersive learning experiences. Data recordings from each participant contain recordings of physiological signals and psychometric data collected from applied questionnaires. Physiological signals include electroencephalography, real-time engagement and emotion recognition calculation by a Python EEG acquisition code, head acceleration, electrodermal activity, blood volume pressure, inter-beat interval, and temperature. Before the acquisition of physiological signals, participants were asked to fill out the General Health Questionnaire and Trait Meta-Mood Scale. In between recording sessions, participants were asked to fill out Likert-scale questionnaires regarding their experience and a Self-Assessment Manikin. At the end of the recording session, participants filled out the ITC Sense of Presence Inventory questionnaire for user experience. The dataset can be used to explore differences in physiological patterns observed between different learning modalities in the Humanities. Full article

Reproduction in goats is a highly complex and dynamic process of life regulation, involving coordinated regulation from various aspects such as central nervous system regulation, reproductive system development, oocyte maturation, and fertilized egg development. In recent years, researchers have identified numerous genes associated with goat reproductive performance through high-throughput sequencing, single-cell sequencing, gene knockout, and other techniques. However, there is still an urgent need to explore marker genes related to goat reproductive performance. In this study, a single-cell RNA sequencing dataset of oocytes (GSE136005) was obtained from the Gene Expression Omnibus (GEO) database. Weighted Gene Co-expression Network Analysis (WGCNA) was utilized to identify modules highly correlated with goat litter size. Through gene function enrichment analysis, it was found that genes within the modules were mainly enriched in adhesive junctions, cell cycle, and other signaling pathways. Additionally, the top 30 hub genes with the highest connectivity in WGCNA were identified. Subsequently, using Protein–Protein Interaction (PPI) network analysis, the top 30 genes with the highest connectivity within the modules were identified. The intersection of hub genes, key genes in the PPI network, and differentially expressed genes (DEGs) led to the identification of the RPL4 gene as a key marker gene associated with reproductive capacity in goat oocytes. Overall, our study reveals that the RPL4 gene in oocytes holds promise as a biological marker for assessing goat litter size, deepening our understanding of the regulatory mechanisms underlying goat reproductive performance. Full article

Glucocorticoid-induced osteoporosis (GIOP) is a side effect of glucocorticoid (GC) treatment; however, despite established prevention guidelines in various countries, a gap persists between these guidelines and clinical practice. To address this gap, we implemented a collaborative intervention between hospitals and community pharmacists, aiming to assess its effectiveness. Pharmacists recommended to the prescribing doctor osteoporosis treatment for patients who did not undergo osteoporosis treatment with a fracture risk score of ≥3 via tracing reports (TRs), between 15 December 2021, and 21 January 2022. Data were extracted from electronic medical records, including prescriptions, concomitant medications, reasons for not pursuing osteoporosis treatment, and TR contents. Of 391 evaluated patients, 45 were eligible for TRs, with 34 (75.6%) being males. Prednisolone was the most common GCs administered, and urology was the predominant treatment department. Among the 45 patients who received TRs, prescription suggestions were accepted for 19 (42.2%). After undertaking the intervention, guideline adherence significantly increased from 87% to 92.5%. This improvement indicates that TRs effectively bridged the evidence–practice gap in GIOP prevention among GC patients, suggesting their potential utility. Expansion of this initiative is warranted to further prevent GIOP. Full article

To meet the demand for higher performance and wearability, integrated circuits are developing towards having multilayered structures and greater flexibility. However, traditional circuit fabrication methods using etching and lamination processes are not compatible with flexible substrates. As a non-contact printing method in additive manufacturing, electrohydrodynamic printing possesses advantages such as environmental friendliness, sub-micron manufacturing, and the capability for flexible substrates. However, the interconnection and insulation of different conductive layers become significant challenges. This study took composite silver ink as a conductive material to fabricate a circuit via electrohydrodynamic printing, applied polyimide spraying to achieve interlayer insulation, and drilled micro through-holes to achieve interlayer interconnection. A 200 × 200 mm² ten-layer flexible circuit was thus prepared. Furthermore, we combined a finite element simulation with reliability experiments, and the prepared ten-layer circuit was found to have excellent bending resistance and thermal cycling stability. This study provides a new method for the manufacturing of low-cost, large-sized, multilayer flexible circuits, which can improve circuit performance and boost the development of printed electronics. Full article

A commercial activated carbon (AC) was modified through iron oxide incorporation to obtain microwave absorbers (MWAs) for microwave-assisted pyrolysis. The influence of iron oxide content (5 and 20 wt% Fe₃O₄) and the modification methods were tested as follows: (1) in situ co-precipitation + washing step with Milli-Q; (2) in situ co-precipitation + washing step with Milli-Q/ethanol; and (3) physical iron oxide blending. The resulting MWAs were evaluated on the microwave-assisted pyrolysis of hardwood in a Milestone Flexiwave microwave reactor. The biochar yield varied from 24 wt% to 89 wt% and was influenced by the modification method rather than the iron oxide addition. The MWAs with physically blended iron oxide resulted in biochar yields comparable to conventional biochar (450 °C). Furthermore, the addition of iron oxide-activated carbon composites during the microwave-assisted pyrolysis caused a significant decrease in the biochar’s 16 EPA polycyclic aromatic hydrocarbons, mainly by reducing the amount of pyrene in the biochar. Full article

Dense-phase-tower desulfurization technology is an emerging semi-dry flue-gas desulfurization ash process, i.e., the flue gas is allowed to enter the desulfurization tower from the bottom up and, at the same time, is sprayed with a desulfurizing agent that undergoes an acid–base reaction with the flue gas in the ascent process. The calcium sulfite and calcium sulfate produced by the reaction and the part of the desulfurization agent that is not involved in the reaction will enter the subsequent dust removal system, and what is retained is the by-product desulfurization ash. This desulfurization ash contains a large amount of calcium sulfite, which leads to its unstable nature; it is easily oxidized and expands in volume, and, if used in the field of building materials, it will lead to cracking and other problems, so it is difficult to effectively use it. In order to solve this problem, XRF, XRD, and iodometric and other analytical methods were used to determine the specific composition of desulfurization ash, and the muffle furnace and vertical tube furnace were used to study the thermal oxidative modification of calcium sulfite in desulfurization ash, to investigate the effects of the oxygen content, reaction temperature, medium flow rate, and chloride content on the oxidation of calcium sulfite, and to analyze the thermodynamics in the high-temperature oxidation reaction. The results showed that the oxidation rate of calcium sulfite increased with higher reaction temperatures. Increased oxygen content promoted the oxidation rate, particularly at low oxygen levels. The oxidation rate of calcium sulfite correlated positively with the medium flow rate until a rate of 75 mL·min⁻ was reached. At a reaction temperature of 420 °C and a gas flow rate of 85 mL·min⁻¹, the oxidation conversion efficiency exceeded 89%. Chloride content significantly reduced the oxidation rate of calcium sulfite, although this inhibition weakened at temperatures above 500 °C. Kinetic analysis suggested that the oxidation reaction of calcium sulfite predominantly occurred below 500 °C. These findings have both theoretical and practical implications for the thermal oxidation treatment and disposal of desulfurization ash. Full article

Space-based gravitational wave detection is extremely sensitive to disturbances. The Keplerian configuration cannot accurately reflect the variations in spacecraft configuration. Planetary gravitational disturbances are one of the main sources. Numerical simulation is an effective method to investigate the impact of perturbation on spacecraft orbits. This study shows that, in the context of the Taiji project, Earth’s gravity is an essential factor in the change in heliocentric formation configuration, contributing to the relative acceleration between spacecrafts in the order of $\mathcal{O}\left({10}^{-6}\right)\mathrm{m}$·${\mathrm{s}}^{-2}$. Considering 00:00:00 on 27 October 2032 as the initial orbiting moment, under the influence of Earth’s gravitational perturbation, the maximum relative change in armlengths and variation rates of armlengths for Taiji is $1.6\times {10}^5\mathrm{km}$, $32\mathrm{m}$·${\mathrm{s}}^{-1}$, respectively, compared with the unperturbed Keplerian orbit. Additionally, by considering the gravitational perturbations of Venus and Jupiter, the armlength and relative velocity for Taiji are reduced by $16.01\%$ and $17.45\%$, respectively, compared with when only considering that of Earth. The maximum amplitude of the formation motion indicator changes with the orbit entry time. Results show that the relative velocity increase between the spacecrafts is minimal when the initial orbital moment occurs in July. Moreover, the numerical simulation results are inconsistent when using different ephemerides. The differences between ephemerides DE440 and DE430 are smaller than those between DE440 and DE421. Full article

Background and Objectives: Secondary hyperparathyroidism (SHPT) poses a common condition among patients with chronic kidney disease (CKD) due to the chronic stimulation of the parathyroid glands as a result of persistently low calcium levels. As a first option for medical treatment, vitamin D receptor analogs (VDRAs) and calcimimetic agents are generally used. Apart from cinacalcet, which is orally taken, in recent years, another calcimimetic agent, etelcalcetide, is being administered intravenously during dialysis. Materials and Methods: In a 5-year retrospective study between 2018 and 2023, 52 patients undergoing dialysis were studied. The aim of this study is to highlight the possible effects and/or benefits that intravenously administered calcimimetic agents have on CKD patients. A total of 34 patients (65.4%) received cinacalcet and etelcalcetide while parathormone (PTH) and calcium serum levels were monitored on a monthly basis. Results: A total of 29 out of 33 patients (87.9%) that received treatment with etelcalcetide showed a significant decrease in PTH levels, which rose up to 57% compared to the initial values. None of the included patients needed to undergo parathyroidectomy (PTx) due to either extremely high and persistent PTH levels or severe side effects of the medications. It is generally strongly advised that parathyroidectomies should be performed by an expert surgical team. In recent years, a significant decrease in parathyroidectomies has been recorded globally, a fact that is mainly linked to the constantly wider use of new calcimimetic agents. This decrease in parathyroidectomies has resulted in an important decrease in complications occurring in cervical surgeries (e.g., perioperative hemorrhage and nerve damage). Conslusions: Despite the fact that these surgical complications cannot be easily compared to the pharmaceutical side effects, the recorded decrease in parathyroidectomies is considered to be notable, especially in cases of relapse where a difficult reoperation would be considered based on previously published guidelines. Full article

Background: Sjögren’s disease (SjD) is a common systemic autoimmune disease that affects mainly women. Key pathologic features include the infiltration of exocrine glands by lymphocytes and the activation of B lymphocytes with the production of autoantibodies. We aimed to analyze the transcriptome of circulating B cells from patients with SJD and healthy controls to decipher the B-cell-specific contribution to SJD. Methods: RNA from peripheral blood B cells of five untreated female patients with SjD and positive ANA, positive anti-SSA (both Ro-52 and Ro-60), positive anti-SSB and positive rheumatoid-factor, and five healthy controls was subjected to whole-transcriptome sequencing. A false discovery rate of < 0.1 was applied to define differentially expressed genes (DEG). Results: RNA-sequencing identified 56 up and 23 down DEG. Hierarchal clustering showed a clear separation between the two groups. Ingenuity pathway analysis revealed that these genes may play a role in interferon signaling, chronic mycobacterial infection, and transformation to myeloproliferative disorders. Conclusions: We found upregulated expression of type-I and type-II interferon (IFN)-induced genes, as well as genes that may contribute to other concomitant conditions, including infections and a higher risk of myeloproliferative disorders. This adds insight into the autoimmune process and suggests potential targets for future functional and prognostic studies. Full article

Due to the globally increasing life expectancies, many countries are raising their official retirement age to prevent labor shortages and sustain retirement systems. This trend emphasizes the need for sustainable employability. Unhealthy lifestyles pose a risk to sustainable employability as they contribute to chronic diseases and decreased productivity. Workplace Health Promotion (WHP) programs have gained attention as a strategy to enhance employee health and well-being. The Netherlands Armed Forces, a unique employer with demanding psychological and physical requirements, was used as a case study to investigate the associations of a WHP Program with workers health and sustainable employability. The program offered tailor-made guidance to participants (N = 341) through individual coaching trajectories. The program’s impact was evaluated by measuring self-reported health, mental well-being, and sustainable employability over a 6-month period. Results indicated significant improvements across all these dimensions after participation in the program. This study provides valuable insights into the benefits of tailor-made WHP programs. While this was an observational study without a control group, this study supports the importance of incorporating individualized approaches in WHP initiatives to foster positive outcomes in health and sustainable employability. Full article