Direct current motors are widely used in industry applications, and it has become necessary to carry out studies and experiments for their optimization. In this manuscript, a comparison between heuristic and metaheuristic algorithms is presented, specifically, the Steiglitz–McBride, Jaya, Genetic Algorithm (GA), and Grey Wolf Optimizer (GWO) algorithms. They were used to estimate the parameters of a dynamic model that approximates the actual responses of current and angular velocity of a DC motor. The inverse of the Euclidean distance between the current and velocity errors was defined as the fitness function for the metaheuristic algorithms. For a more comprehensive comparison between algorithms, other indicators such as mean squared error (MSE), standard deviation, computation time, and key points of the current and velocity responses were used. Simulations were performed with MATLAB/Simulink 2010 using the estimated parameters and compared to the experiments. The results showed that Steiglitz–McBride and GWO are better parametric estimators, performing better than Jaya and GA in real signals and nominal parameters. Indicators say that GWO is more accurate for parametric estimation, with an average MSE of 0.43%, but it requires a high computational cost. On the contrary, Steiglitz–McBride performed with an average MSE of 3.32% but required a much lower computational cost. The GWO presented an error of 1% in the dynamic response using the corresponding indicators. If a more accurate parametric estimation is required, it is recommended to use GWO; however, the heuristic algorithm performed better overall. The performance of the algorithms presented in this paper may change if different error functions are used. Full article

In recent years, there has been a growing tendency towards using organic fertilizers instead of chemical ones. This study aimed to evaluate the influence of the organic fertilizer, Prima Humica, on agronomic characteristics and herbaceous plant diversity on Origanum dictamnus (Dittany) cultivation. A field experiment was carried out in Kalo Xorio (Lasithi, Crete) and included three different nitrogen organic fertilization schemes: 0 g/plant (T0—unfertilized), 300 g/plot (T1), and 600 g/plot (T2). Plant height, fresh and dry weight, Leaf Area Index (LAI), and plant diversity during the growing season were measured. The results showed that when the T2 treatment was compared with the unfertilized and the T1 fertilizer, the increase in plant height ranged between 9.18% and 40.61%. Moreover, the total fresh and dry weight were positively affected by the T2 treatment. The total fresh and dry weight varied from 111.6 to 239.8 g per plant and from 36.7 to 77.6 g per plant, respectively. Furthermore, LAI was ameliorated using the T2 fertilizer scheme. Concerning plant diversity, a key finding in this study is that the O. dictamnus ecosystem favors herbaceous plant species richness and Shannon’s diversity index. In total, 18 plant species in the O. dictamnus ecosystem were recorded in the study area. The most frequently occurring plants were Anthemis arvensis L. and Piptatherum miliaceum (L.) Coss. Finally, the highest Shannon’s diversity index of herbaceous plants was detected using the T2 fertilizer scheme. Full article

Floods induce hypoxic stress and reduce wheat growth. On the other hand, rice is a semi-aquatic plant and usually grows even when partially submerged. To clarify the dynamic differences in the cellular mechanism between rice and wheat under flooding stress, morphological and biochemical analyses were performed. Although the growth of wheat in the early stage was significantly suppressed due to flooding stress, rice was hardly affected. Amino-acid analysis revealed significant changes in amino acids involved in the gamma-aminobutyric acid (GABA) shunt and anaerobic/aerobic metabolism. Flood stress significantly increased the contents of GABA and glutamate in wheat compared with rice, though the abundances of glutamate decarboxylase and succinyl semialdehyde dehydrogenase did not change. The abundance of alcohol dehydrogenase and pyruvate carboxylase increased in wheat and rice, respectively. The contents of aspartic acid and pyruvic acid increased in rice root but remained unchanged in wheat; however, the abundance of aspartate aminotransferase increased in wheat root. These results suggest that flooding stress significantly inhibits wheat growth through upregulating amino-acid metabolism and increasing the alcohol-fermentation system compared to rice. When plant growth is inhibited by flooding stress and the aerobic-metabolic system is activated, GABA content increases. Full article

The 2020–2021 COVID-19 pandemic has had a tremendous impact on the daily lives of everyone, including local communities and entire societies. Under the influence of this new experience, the importance of the services and benefits provided by forests and other green spaces has increased. A very large role in this aspect was played by media messages promoting the idea of being close to nature as a remedy for malaise and stress, and pushing the thesis that the risk of spreading the virus outdoors is lower than it is indoors. Thanks to media messages, as well as government responses (i.e., lockdown, temporary bans on entering the forest), public attention has been directed toward forests, generating greater interest in forest management and conservation issues, as well as in nature and forestry education. The purpose of our research was to determine how the pandemic affected the frequency of visits to the forest and how it changed the public’s views on the role of forests. The research material consists of the results of a questionnaire survey (online and traditionally way) carried out in Poland from September to October in 2020. A total of 1402 people were surveyed. The results show that nearly 52% of respondents increased their use of forest recreational services during the COVID-19 pandemic. We also found that more than 80% of respondents agreed with statements that the forest is a safer space than, for example, parks or squares, and it is more difficult to contract the virus there. Men were more likely to agree with this statement than women (1.51), respondents without children (1.45), respondents over the age of 31 (1.72), and respondents with more than primary or secondary education (1.37). Also, more than 80% of respondents said that the social functions of the forest (e.g., recreational) had gained importance as a result of the pandemic. The social functions of the forest gained importance primarily among respondents with higher education (2.40), and among respondents who had visited the forest rather infrequently (several times a year) for recreational purposes before the pandemic (1.72). Those with children were more likely to agree with the statement that the economic functions of the forest have lost their importance (1.43), as were those who had formerly visited the forest several times a year (1.53). With regard to the statement “the slowdown of the economy has contributed to the improvement of the environment,” there were no statistically significant differences in the views of respondents in terms of their socio-demographic characteristics. Full article

Metabolic syndrome poses a significant health challenge worldwide, prompting the need for comprehensive strategies integrating physical activity monitoring and energy expenditure. Wearable sensor devices have been used both for energy intake and energy expenditure (EE) estimation. Traditionally, sensors are attached to the hip or wrist. The primary aim of this research is to investigate the use of an eyeglass-mounted wearable energy intake sensor (Automatic Ingestion Monitor v2, AIM-2) for simultaneous recognition of physical activity (PAR) and estimation of steady-state EE as compared to a traditional hip-worn device. Study data were collected from six participants performing six structured activities, with the reference EE measured using indirect calorimetry (COSMED K5) and reported as metabolic equivalents of tasks (METs). Next, a novel deep convolutional neural network-based multitasking model (Multitasking-CNN) was developed for PAR and EE estimation. The Multitasking-CNN was trained with a two-step progressive training approach for higher accuracy, where in the first step the model for PAR was trained, and in the second step the model was fine-tuned for EE estimation. Finally, the performance of Multitasking-CNN on AIM-2 attached to eyeglasses was compared to the ActiGraph GT9X (AG) attached to the right hip. On the AIM-2 data, Multitasking-CNN achieved a maximum of 95% testing accuracy of PAR, a minimum of 0.59 METs mean square error (MSE), and 11% mean absolute percentage error (MAPE) in EE estimation. Conversely, on AG data, the Multitasking-CNN model achieved a maximum of 82% testing accuracy in PAR, a minimum of 0.73 METs MSE, and 13% MAPE in EE estimation. These results suggest the feasibility of using an eyeglass-mounted sensor for both PAR and EE estimation. Full article

The interconnection of Operational Technology (OT) and Information Technology (IT) has created new opportunities for remote management, data storage in the cloud, real-time data transfer over long distances, or integration between different OT and IT networks. OT networks require increased attention due to the convergence of IT and OT, mainly due to the increased risk of cyber-attacks targeting these networks. This paper focuses on the analysis of different methods and data processing for protocol recognition and traffic classification in the context of OT specifics. Therefore, this paper summarizes the methods used to classify network traffic, analyzes the methods used to recognize and identify the protocol used in the industrial network, and describes machine learning methods to recognize industrial protocols. The output of this work is a comparative analysis of approaches specifically for protocol recognition and traffic classification in OT networks. In addition, publicly available datasets are compared in relation to their applicability for industrial protocol recognition. Research challenges are also identified, highlighting the lack of relevant datasets and defining directions for further research in the area of protocol recognition and classification in OT environments. Full article

Background: Multiple myeloma (MM) is associated with high morbidity and mortality, with elevated rates of arterial thrombosis and venous thromboembolism (VTE) and ischemic stroke (IS). We aimed to estimate the incidence of VTE and IS categorized by the VTE risk grade among individuals with MM in Korea. Additionally, we explored the potential of the IMPEDE VTE score as a tool for assessing IS risk in patients with MM. Methods: This retrospective cohort study comprised 37,168 individuals aged ≥ 18 years newly diagnosed with MM between January 2008 and December 2021 using the representative claims database of the Korean population. The risk of the incidence of VTE and IS within 6 months after MM diagnosis was stratified based on high-risk (IMPEDE VTE score ≥ 8) and low-risk (<8) categories. The hazard ratios (HRs) were estimated using Cox proportional hazard models. Results: The VTE incidence was 120.4 per 1000 person-years and IS incidence was 149.3 per 1000 person-years. Statistically significant differences were observed in the cumulative incidence rates of VTE between groups with high and low VTE scores (p < 0.001) and between individuals aged ≤ 65 years (p < 0.001) and those with a Charlson comorbidity index (CCI) ≥ 3 compared to lower scores (p < 0.001). Additionally, the cumulative incidence rate of IS differed significantly across all groups (p < 0.001). The HR for the high-risk group in VTE and IS occurrence was 1.59 (95% CI, 1.26–2.00) and 3.47 (95% CI, 2.99–4.02), respectively. Conclusions: It is important to screen and manage high-risk groups for the early development of VTE or IS in patients with newly diagnosed MM. Full article

A new dual-frequency, dual-mode reconfigurable digital receiver based on Field-Programmable Gate Array (FPGA) dynamic reconfiguration is proposed, which is based on a common hardware platform of high-bandwidth RF front-end, high-speed data acquisition, and real-time signal processing. The receiver adopts the design of dynamically reconfigurable down-conversion, filter extraction, and matched filtering in the digital domain. In this study, we completed the design and development of the digital receiver, experimental platform construction, and field detection test with hardware and software cooperation. The experimental results show that the receiver achieves full digital reception and signal processing for 53.8 MHz stratosphere–troposphere (ST) detection and 35.0 MHz meteor detection and successfully acquired the number of meteors versus time, the meteor trail, and low-altitude atmospheric radial winds. This dual-frequency, dual-mode reconfigurable digital receiver can be applied to new-generation multifunction integrated radar systems such as dual-frequency ST/meteor radars. Full article

Starlike and convex functions have gained increased prominence in both academic literature and practical applications over the past decade. Concurrently, logarithmic coefficients play a pivotal role in estimating diverse properties within the realm of analytic functions, whether they are univalent or nonunivalent. In this paper, we rigorously derive bounds for specific Toeplitz determinants involving logarithmic coefficients pertaining to classes of convex and starlike functions concerning symmetric points. Furthermore, we present illustrative examples showcasing the sharpness of these established bounds. Our findings represent a substantial contribution to the advancement of our understanding of logarithmic coefficients and their profound implications across diverse mathematical contexts. Full article

Land degradation and soil erosion, intensified by frequent intense hydro-meteorological events, pose significant threats to ecological processes. In response to the environmental challenges, there is a growing emphasis on employing Nature-Based Solutions (NBS), such as Soil and Water Bioengineering (SWBE) techniques, which promote a sustainable approach and materials for the restoration of natural areas damaged by climate events, unlike traditional “grey” engineering works. However, the effective implementation of SWBE interventions requires a multidisciplinary monitoring approach, considering engineering, geological, ecological, biological, and landscape aspects. The success of these interventions depends on evaluating both short-term stabilities provided by the non-living supporting structure and the long-term development of vegetation introduced during the work. Monitoring should regard structural integrity assessments, vegetation evolution studies, and analyses of root system efficiency (distribution, mechanical characteristics, etc.). This study wants to fill the research gap in SWBE management by proposing a comparison of two study techniques for a root system development evaluation, within a multi-approach methodology for the assessment of these interventions in terms of soil stability and natural evolution. The paper provides insights into geotechnical analysis within a shallow landslide, comparing two different methods for the evaluation of root system evolution. Direct methods (RAR) and indirect methods (ERT) were used for root development monitoring and then compared. Vegetation development was assessed by NDVI parameter by analysing Landsat satellite images. An overall analysis of the data obtained from monitoring the study area shows good plant development, thanks to the SWBE intervention, which in addition to the slope stability effect contributes to better water regulation and initiates a natural ecological succession. The findings contribute to advancing the understanding of the effectiveness of SWBE techniques, offering valuable information for future bioengineering projects and environmental conservation efforts, and promoting them as sustainable techniques for natural recovery. Full article

Mangifera indica var Ataulfo is the main variety grown in the Soconusco region of Chiapas, Mexico and faces a decrease in firmness and weight loss due to hydrothermal treatment, in addition to non-uniform ripening and consequently a decrease in price as the harvest period lengthens. In order to improve the postharvest quality of the “Ataulfo” mango fruit, preharvest applications of aminoethoxyvinylglycine (AVG; ReTain^®, a.i. 15%) were carried out in “La Norteña” with Phaeozem soil, 1500 mm of annual precipitation, and applications of agrochemicals, and in “Santa Cecilia” with Acrisol soil, 2500 mm of annual precipitation, and without agrochemicals. The treatments were: (1) Control, (2) One application 7 days before harvest (0.1 g L⁻¹), (3) Two applications (14 days and 7 days before harvest, 0.2 g L⁻¹) and (4) Three applications (21, 14 and 7 days before harvest, in total 0.3 g L⁻¹), with completely randomized design in the laboratory. The results show contrasting differences between the evaluation sites, with lower weight loss (18.4%) and 3.1% more firmness in a drier climate and higher soil calcium content. The average firmness (N) on day 14 was 18.3 and with three applications of AVG it was 22.0. The °Brix at the end of the study in the control was 11.3 and on average with AVG applications it was 14.4. Three-time applications of AVG in preharvest delayed the weight loss with an increase in the maintenance of the firmness of the fruits. The weight of the fruit epidermis was lower with AVG applications, and increased with the number of applications. Full article

Ryan S. Schellenberg recaptures a more human version of the Apostle Paul by challenging the mainstream understandings of boasting and joy as rhetorical. This essay, with reference to the concept of “rhetorical framing”, suggests that Schellenberg is right in what he affirms but wrong in what he denies and that a “strategic” understanding of boasting and joy language in Philippians is still possible, and no less human. Full article

Neutralizing antibodies targeting the spike (S) protein of SARS-CoV-2, elicited either by natural infection or vaccination, are crucial for protection against the virus. Nonetheless, the emergence of viral escape mutants presents ongoing challenges by contributing to breakthrough infections. To define the evolution trajectory of SARS-CoV-2 within the immune population, we co-incubated replication-competent rVSV/SARS-CoV-2/GFP chimeric viruses with sera from COVID-19 convalescents. Our findings revealed that the E484D mutation contributes to increased viral resistant against both convalescent and vaccinated sera, while the L1265R/H1271Y double mutation enhanced viral infectivity in 293T-hACE2 and Vero cells. These findings suggest that under the selective pressure of polyclonal antibodies, SARS-CoV-2 has the potential to accumulate mutations that facilitate either immune evasion or greater infectivity, facilitating its adaption to neutralizing antibody responses. Although the mutations identified in this study currently exhibit low prevalence in the circulating SARS-CoV-2 populations, the continuous and meticulous surveillance of viral mutations remains crucial. Moreover, there is an urgent necessity to develop next-generation antibody therapeutics and vaccines that target diverse, less mutation-prone antigenic sites to ensure more comprehensive and durable immune protection against SARS-CoV-2. Full article

A 3D vertical seismic profiling (VSP) survey was acquired using a distributed acoustic sensing (DAS) system in the Permian Basin, West Texas. In total, 682 shot points from a pair of vibroseis units were recorded using optical fibers installed in a 9000 ft (2743 m) vertical part and 5000 ft (1524 m) horizontal reach of a well. Transmitted and reflected P, S, and converted waves were evident in the DAS data. From first-break P and S arrivals, we found average P-wave velocities of approximately 14,000 ft/s (4570 m/s) and S-wave velocities of 8800 ft/s (3000 m/s) in the deep section. We modified the conventional geophone VSP processing workflow and produced P–P reflection and P–S volumes derived from the well’s vertical section. The Wolfcamp formation can be seen in two 3D volumes (P–P and P–S) from the vertical section of the well. They cover an area of 3000 ft (914 m) in the north–south direction and 1500 ft (460 m) in the west–east direction. Time slices showed coherent reflections, especially at 1.7 s (~11,000 ft), which was interpreted as the bottom of the Wolfcamp formation. Vp/Vs values from 2300 ft (701 m) –8800 ft (2682 m) interval range were between 1.7 and 2.0. These first data provide baseline images to compare to follow-up surveys after hydraulic fracturing as well as potential usefulness in extracting elastic properties and providing further indications of fractured volumes. Full article

Algal blooms are caused by excessive levels of nitrogen, phosphorus, and other plant nutrients in water. Algae and algal organic matter (AOM) pose a great threat to the quality of drinking water. This manuscript offers a systematic review of algal removal by ferrate (Fe(VI)) oxidation, including the conditions for the removal of different algae by Fe(VI) and the factors affecting the removal efficiency. On this basis, the oxidation and coagulation mechanisms of algae removal by Fe(VI) are discussed. Then, the review introduces the process combining Fe(VI) pre-oxidation with aluminum sulfate action. The addition of aluminum sulfate can further enhance the coagulation effect and reduce the formation of disinfection byproducts (DBPs) in the subsequent chlorination process by effectively removing AOM, which is recognized as a precursor of DBPs. In addition, recent studies on the combined application of Fe(VI) and Fe(II) are also reviewed. In a reasonable dose range, the synergistic effect of Fe(VI) and Fe(II) can significantly improve the removal of algae and algal toxins. Finally, this review provides a comprehensive evaluation of the applicability of Fe(VI) in removing algal material, offers guidance for the harmless treatment of algae with Fe(VI), and identifies future research questions. Full article

Fritillaria cirrhosa is an important cash crop, and its industrial development is being hampered by continuous cropping obstacles, but the composition and changes of rhizosphere soil microorganisms and metabolites in the cultivation process of Fritillaria cirrhosa have not been revealed. We used metagenomics sequencing to analyze the changes of the microbiome in rhizosphere soil during a three-year cultivation process, and combined it with LC-MS/MS to detect the changes of metabolites. Results indicate that during the cultivation of Fritillaria cirrhosa, the composition and structure of the rhizosphere soil microbial community changed significantly, especially regarding the relative abundance of some beneficial bacteria. The abundance of Bradyrhizobium decreased from 7.04% in the first year to about 5% in the second and third years; the relative abundance of Pseudomonas also decreased from 6.20% in the first year to 2.22% in the third year; and the relative abundance of Lysobacter decreased significantly from more than 4% in the first two years of cultivation to 1.01% in the third year of cultivation. However, the relative abundance of some harmful fungi has significantly increased, such as Botrytis, which increased significantly from less than 3% in the first two years to 7.93% in the third year, and Talaromyces fungi, which were almost non-existent in the first two years of cultivation, significantly increased to 3.43% in the third year of cultivation. The composition and structure of Fritillaria cirrhosa rhizosphere metabolites also changed significantly, the most important of which were carbohydrates represented by sucrose (48.00–9.36–10.07%) and some amino acid compounds related to continuous cropping obstacles. Co-occurrence analysis showed that there was a significant correlation between differential microorganisms and differential metabolites, but Procrustes analysis showed that the relationship between bacteria and metabolites was closer than that between fungi and metabolites. In general, in the process of Fritillaria cirrhosa cultivation, the beneficial bacteria in the rhizosphere decreased, the harmful bacteria increased, and the relative abundance of carbohydrate and amino acid compounds related to continuous cropping obstacles changed significantly. There is a significant correlation between microorganisms and metabolites, and the shaping of the Fritillaria cirrhosa rhizosphere’s microecology by bacteria is more relevant. Full article

Myofascial stretching is often prescribed in the management of musculoskeletal pain. However, the neural mechanisms contributing to a decrease in pain are unknown. Stretching produces a sensation that may act as a conditioning stimulus in a conditioned pain modulation response. The purpose of this study was to compare immediate changes in pressure pain thresholds (PPTs) during a low-intensity stretch, moderate-intensity stretch, and cold water immersion task. A secondary purpose was to examine if personal pain sensitivity and psychological characteristics were associated with the responses to these interventions. Twenty-seven (27) healthy participants underwent a cross-over study design in which they completed a cold water immersion task, upper trapezius stretch to the onset of the stretch sensation, and a moderate-intensity stretch. A significant condition x time effect was observed (F (8,160) = 2.85, p < 0.01, partial eta² = 0.13), indicating reductions in pain sensitivity were significantly greater during a cold water immersion task compared to moderate-intensity stretching at minutes two and four. Widespread increases in heat pain threshold and lower pain-related anxiety were moderately correlated with the response to the cold water immersion task but not stretching. Moderate-intensity stretching may not elicit a conditioned pain modulation response possibly because the stretch was not intense enough to be perceived as painful. Full article

Lumpy skin disease is one of the fast-spreading viral diseases of cattle and buffalo that can potentially cause severe economic impact. Lesotho experienced LSD for the first time in 1947 and episodes of outbreaks occurred throughout the decades. In this study, eighteen specimens were collected from LSD-clinically diseased cattle between 2020 and 2022 from Mafeteng, Leribe, Maseru, Berea, and Mohales’ Hoek districts of Lesotho. A total of 11 DNA samples were analyzed by PCR and sequencing of the extracellular enveloped virus (EEV) glycoprotein, G-protein-coupled chemokine receptor (GPCR), 30 kDa RNA polymerase subunit (RPO30), and B22R genes. All nucleotide sequences of the above-mentioned genes confirmed that the PCR amplicons of clinical samples are truly LSDV, as they were identical to respective LSDV isolates on the NCBI GenBank. Two of the elevem samples were further characterized by whole-genome sequencing. The analysis, based on both CaPV marker genes and complete genome sequences, revealed that the LSDV isolates from Lesotho cluster with the NW-like LSDVs, which includes the commonly circulating LSDV field isolates from Africa, the Middle East, the Balkans, Turkey, and Eastern Europe. Full article

Cardiovascular diseases, among which includes coronary artery disease, represent one of the most important causes of mortality and morbidity worldwide. Research aimed at determining the risk factors involved recognizes a group of “traditional” risk factors, but also more recent studies identified over 100 “novel” ones which may have a role in the disease. Among the latter is the thrombophilia profile of a patient, a pathology well-established for its involvement in venous thromboembolism, but with less studied implications in arterial thrombosis. This paper reviews the literature, explaining the pathophysiology of the thrombophilia causes associated most with coronary thrombosis events. Results of several studies on the subject, including a meta-analysis with over 60,000 subjects, determined the significant involvement of factor V Leiden, prothrombin G20210A mutation, plasminogen activator inhibitor–1 and antiphospholipid syndrome in the development of coronary artery disease. The mechanisms involved are currently at different stages of research, with some already established and used as therapeutic targets. Full article

Post-hepatectomy liver failure (PHLF) remains the major contributor to death after liver resection. Oxidative stress is associated with postoperative complications, but its impact on liver function is unclear. This first in-human, prospective, single-center, observational pilot study evaluated perioperative oxidative stress and PHLF according to the ISGLS (International Study Group for Liver Surgery). Serum 8-isoprostane, 4-hydroxynonenal (4-HNE), total antioxidative capacity, vitamins A and E, and intraoperative, sequential hepatic tissue 4-HNE and UCP2 (uncoupling protein 2) immunohistochemistry (IHC) were assessed. The interaction with known risk factors for PHLF and the predictive potential of oxidative stress markers were analyzed. Overall, 52 patients were included (69.2% major liver resection). Thirteen patients (25%) experienced PHLF, a major factor for 90-day mortality (23% vs. 0%; p = 0.013). Post-resection, pro-oxidative 8-isoprostane significantly increased (p = 0.038), while 4-HNE declined immediately (p < 0.001). Antioxidative markers showed patterns of consumption starting post-resection (p < 0.001). Liver tissue oxidative stress increased stepwise from biopsies taken after laparotomy to post-resection in situ liver and resection specimens (all p < 0.001). Cholangiocarcinoma patients demonstrated significantly higher serum and tissue oxidative stress levels at various timepoints, with consistently higher preoperative values in advanced tumor stages. Combining intraoperative, post-resection 4-HNE serum levels and in situ IHC early predicted PHLF with an AUC of 0.855 (63.6% vs. 0%; p < 0.001). This was also associated with grade B/C PHLF (36.4% vs. 0%; p = 0.021) and 90-day mortality (18.2% vs. 0%; p = 0.036). In conclusion, distinct patterns of perioperative oxidative stress levels occur in patients with liver dysfunction. Combining intraoperative serum and liver tissue markers predicts subsequent PHLF. Cholangiocarcinoma patients demonstrated pronounced systemic and hepatic oxidative stress, with increasing levels in advanced tumor stages, thus representing a worthwhile target for future exploratory and therapeutic studies. Full article

Background: The development and course of myocardial infarction with non-obstructive coronary artery (MINOCA) disease is still not fully understood. In this study, we aimed to examine the baseline characteristics of in-hospital outcomes and long-term outcomes of a cohort of troponin-positive patients without obstructive coronary artery disease based on different left ventricular ejection fractions (LVEFs). Methods and results: We included a cohort of 254 patients (mean age: 64 (50.8–75.3) years, 120 females) with suspected myocardial infarction and no obstructive coronary artery disease (MINOCA) in our institutional database between 2010 and 2021. Among these patients, 170 had LVEF ≥ 50% (84 females, 49.4%), 31 patients had LVEF 40–49% (15 females, 48.4%), and 53 patients had LVEF < 40% (20 females, 37.7%). The mean age in the LVEF ≥ 50% group was 61.5 (48–73) years, in the LVEF 40–49% group was 67 (57–78) years, and in the LVEF < 40% group was 68 (56–75.5) years (p = 0.05). The mean troponin value was highest in the LVEF < 40% group, at 3.8 (1.7–4.6) µg/L, and lowest in the LVEF ≥ 50% group, at 1.1 (0.5–2.1) µg/L (p = 0.05). Creatine Phosphokinase (CK) levels were highest in the LVEF ≥ 50% group (156 (89.5–256)) and lowest in the LVEF 40–49% group (127 (73–256)) (p < 0.05), while the mean BNP value was lowest in the LVEF ≥ 50% group (98 (48–278) pg/mL) and highest in the <40% group (793 (238.3–2247.5) pg/mL) (p = 0.001). Adverse in-hospital cardiovascular events were highest in the LVEF < 40% group compared to the LVEF 40–49% group and the LVEF ≥ 50% group (56% vs. 55% vs. 27%; p < 0.001). Over a follow-up period of 6.2 ± 3.1 years, the all-cause mortality was higher in the LVEF < 40% group compared to the LVEF 40–49% group and the LVEF ≥ 50% group. Among the different factors, LVEF < 40% and LVEF 40–49% were associated with an increased risk of in-hospital cardiovascular events in the multivariable Cox regression analysis. Conclusions: LVEF has different impacts on in-hospital cardiovascular events in this cohort. Furthermore, LVEF influences long-term all-cause mortality. Full article