The 2023 MDPI Annual Report has
been released!
 
26 pages, 3223 KiB  
Article
How Does Environmental Protection Tax Affect Urban Energy Consumption in China? New Insights from the Intensity Difference-in-Differences Model
by Xianpu Xu and Lingyun Huang
Sustainability 2024, 16(10), 4141; https://doi.org/10.3390/su16104141 (registering DOI) - 15 May 2024
Abstract
Against the backdrop of accelerating environmental protection and resource conservation, it is of great significance to achieve energy conservation and sustainable growth. In this context, by collecting panel data from 284 cities in China from 2009 to 2021, this paper constructs an intensity [...] Read more.
Against the backdrop of accelerating environmental protection and resource conservation, it is of great significance to achieve energy conservation and sustainable growth. In this context, by collecting panel data from 284 cities in China from 2009 to 2021, this paper constructs an intensity difference-in-differences (I-DID) model, using the implementation of China’s environmental protection law in 2018 as an event shock, to explore the impact of environmental protection tax (EPT) on urban energy consumption. The results indicate that EPT significantly reduces urban energy consumption. After several robustness tests, the estimation results shown above still hold. The mechanism test reveals that EPT mainly reduces energy consumption by promoting urban industrial upgrading, economic openness, and technological innovation. In addition, the heterogeneity test shows that EPT has a greater impact on energy consumption in central and western cities, small and medium-sized cities, non-resource-based cities, and non-old industrial bases. Therefore, to fully improve the positive effect of EPT on urban energy consumption, we suggest increasing energy efficiency, promoting the green transformation of energy structures, enhancing the ability to open-up and innovate, and improving a differentiated regional EPT management system. Full article
(This article belongs to the Special Issue Energy and Environment: Policy, Economics and Modeling)
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16 pages, 1189 KiB  
Article
Effects of Rehabilitation Robot Training on Physical Function, Functional Recovery, and Daily Living Activities in Patients with Sub-Acute Stroke
by Se-Young Kim, Mi-Young Lee and Byoung-Hee Lee
Medicina 2024, 60(5), 811; https://doi.org/10.3390/medicina60050811 (registering DOI) - 15 May 2024
Abstract
Stroke often results in sensory deficits, muscular weakness, and diminished postural control, thereby restricting mobility and functional capabilities. It is important to promote neuroplasticity by implementing task-oriented exercises that induce changes in patients. Therefore, this study aimed to investigate the effects of rehabilitation [...] Read more.
Stroke often results in sensory deficits, muscular weakness, and diminished postural control, thereby restricting mobility and functional capabilities. It is important to promote neuroplasticity by implementing task-oriented exercises that induce changes in patients. Therefore, this study aimed to investigate the effects of rehabilitation robot training on physical function, functional recovery, and activities of daily living (ADLs) in patients with subacute stroke. The study participants were patients with subacute stroke receiving treatment at Hospitals A and B. They were selected as research subjects based on selection and exclusion criteria. The experimental group received rehabilitation robot training in sessions of 30 min, five times weekly, for a total of 20 sessions over four weeks. Conversely, the control group underwent standard rehabilitation equipment training with an identical frequency, duration, and number of sessions. Measurements were taken before and after the training period to assess changes in physical function, functional recovery, and activities of daily living using tools such as the MMT, BBS, FBG, FAC, FIM, and MBI. The results were as follows: in the within-group comparison, the rehabilitation robot training group showed significant differences in MMT, BBS, FBG, FAC, FIM, and MBI (p < 0.05), while the control group showed significant differences in FIM (p < 0.05). Statistically significant differences were observed in the time, group, and time × group interaction effects among the MMT, static seated FBG, dynamic seated FBG, FIM, and MBI (p < 0.05). Based on these results, rehabilitation robotic training resulted in significant improvements in physical function, functional recovery, and activities of daily living in patients with subacute stroke. Based on these findings, providing a basic protocol for a rehabilitation program that applies rehabilitation robot training to patients with subacute stroke may offer more effective treatment and outcomes in the future. Full article
(This article belongs to the Topic New Advances in Physical Therapy and Occupational Therapy)
Editorial
Recent Advances in Dysuricemia: Toward Optimal Serum Urate Level
by Masafumi Kurajoh and Akiyoshi Nakayama
Biomedicines 2024, 12(5), 1094; https://doi.org/10.3390/biomedicines12051094 (registering DOI) - 15 May 2024
Abstract
We are pleased to present the Special Issue “Dysuricemia: Recent Advances in Urate Research from Hypouricemia to Hyperuricemia/Gout” [...] Full article
Article
Detection Model of Tea Disease Severity under Low Light Intensity Based on YOLOv8 and EnlightenGAN
by Rong Ye, Guoqi Shao, Ziyi Yang, Yuchen Sun, Quan Gao and Tong Li
Plants 2024, 13(10), 1377; https://doi.org/10.3390/plants13101377 (registering DOI) - 15 May 2024
Abstract
In response to the challenge of low recognition rates for similar phenotypic symptoms of tea diseases in low-light environments and the difficulty in detecting small lesions, a novel adaptive method for tea disease severity detection is proposed. This method integrates an image enhancement [...] Read more.
In response to the challenge of low recognition rates for similar phenotypic symptoms of tea diseases in low-light environments and the difficulty in detecting small lesions, a novel adaptive method for tea disease severity detection is proposed. This method integrates an image enhancement algorithm based on an improved EnlightenGAN network and an enhanced version of YOLO v8. The approach involves first enhancing the EnlightenGAN network through non-paired training on low-light-intensity images of various tea diseases, guiding the generation of high-quality disease images. This step aims to expand the dataset and improve lesion characteristics and texture details in low-light conditions. Subsequently, the YOLO v8 network incorporates ResNet50 as its backbone, integrating channel and spatial attention modules to extract key features from disease feature maps effectively. The introduction of adaptive spatial feature fusion in the Neck part of the YOLOv8 module further enhances detection accuracy, particularly for small disease targets in complex backgrounds. Additionally, the model architecture is optimized by replacing traditional Conv blocks with ODConv blocks and introducing a new ODC2f block to reduce parameters, improve performance, and switch the loss function from CIOU to EIOU for a faster and more accurate recognition of small targets. Experimental results demonstrate that YOLOv8-ASFF achieves a tea disease detection accuracy of 87.47% and a mean average precision (mAP) of 95.26%. These results show a 2.47 percentage point improvement over YOLOv8, and a significant lead of 9.11, 9.55, and 7.08 percentage points over CornerNet, SSD, YOLOv5, and other models, respectively. The ability to swiftly and accurately detect tea diseases can offer robust theoretical support for assessing tea disease severity and managing tea growth. Moreover, its compatibility with edge computing devices and practical application in agriculture further enhance its value. Full article
(This article belongs to the Special Issue Research on Plant Pathology and Disease Management)
13 pages, 1180 KiB  
Article
The Role of Bacteria in Acute Oak Decline in South-West Poland
by Miłosz Tkaczyk and Katarzyna Sikora
Microorganisms 2024, 12(5), 993; https://doi.org/10.3390/microorganisms12050993 (registering DOI) - 15 May 2024
Abstract
The process of multifactorial oak disease has been of interest to scientists from all over the world for many years. Recently, a new phenomenon has been added to the model related to oak decline, acute oak dieback, which causes oak decline and was [...] Read more.
The process of multifactorial oak disease has been of interest to scientists from all over the world for many years. Recently, a new phenomenon has been added to the model related to oak decline, acute oak dieback, which causes oak decline and was first described in the UK. This study presents research on this phenomenon in the area of the largest oak stand complex in Poland, the so-called Krotoszyn Plateau. This work was carried out in two stages. In the first stage, 54 trees were tested for the presence of bacteria using molecular biology (real-time PCR). Subsequently, a tissue fragment was taken for inoculation from the trees in which the presence of B. goodwinii and G. quercinecans bacteria was confirmed. The isolates obtained were used to test Koch’s postulates and for biochemical analyses for Polish strains. In addition, the results obtained were also compared with the presence of A. biguttatus, which is considered a bacterial vector, which, in turn, confirmed that the bacteria responsible for the AOD phenomenon can also be present in trees not inhabited by this insect. The results obtained confirmed the presence of bacteria and their potential to cause necrosis in oaks, which fits into the model of the spiral disease that has been causing mass mortality of oaks in this naturally and economically valuable area since the 1980s. Full article
(This article belongs to the Special Issue Phytopathogens: Detection and Control)
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7 pages, 218 KiB  
Article
Comparison of Three Antibiotic Prophylaxis Protocols for Preventing Postoperative Infection in Tibial Plateau Fractures
by Carolina Montoya-delaTorre, Ernesto Muñoz-Mahamud, Jose Alonso Zumbado, Laura Morata, Judit Martínez-Peñas and Oscar Ares
Appl. Sci. 2024, 14(10), 4192; https://doi.org/10.3390/app14104192 (registering DOI) - 15 May 2024
Abstract
Background: The aim of this study was to compare the impact of three different types of intraoperative antibiotic prophylaxis on the risk of postoperative surgical site infection (SSI). Material and Methods: Single-center retrospective cohort study. Patients who underwent surgery for osteosynthesis of a [...] Read more.
Background: The aim of this study was to compare the impact of three different types of intraoperative antibiotic prophylaxis on the risk of postoperative surgical site infection (SSI). Material and Methods: Single-center retrospective cohort study. Patients who underwent surgery for osteosynthesis of a tibial plateau fracture (January 2009–November 2018) in Hospital Clinic i Provincial de Barcelona were included. Three types of prophylaxis during the study period were used: group A (cefuroxime single-dose treatment), group B (meropenem + teicoplanin), and group C (ceftriaxone + teicoplanin). Demographics, co-morbidity, type of fracture, need for external fixation, microbiology data, surgical time, and outcome were recorded. Failure was defined as the need for reintervention due to postoperative surgical site infection. Results: From a total of 148 patients included, 20 cases developed SSI, 8 from group A, 8 from group B, and 4 from group C. Higher ASA scores, Schatzker II classification, need for external fixation, and a prolonged surgical time were associated with a significantly (p < 0.005) increased incidence of SSI. Group C showed the overall highest survival and lowest cumulative risk, but differences were not statistically significant. Conclusions: Group C showed the lowest incidence of infection in this sample. It is necessary to confirm these findings with larger studies. Full article
19 pages, 2836 KiB  
Article
Cost-Effective Signcryption for Securing IoT: A Novel Signcryption Algorithm Based on Hyperelliptic Curves
by Junaid Khan, Congxu Zhu, Wajid Ali, Muhammad Asim and Sadique Ahmad
Information 2024, 15(5), 282; https://doi.org/10.3390/info15050282 (registering DOI) - 15 May 2024
Abstract
Security and efficiency remain a serious concern for Internet of Things (IoT) environments due to the resource-constrained nature and wireless communication. Traditional schemes are based on the main mathematical operations, including pairing, pairing-based scalar multiplication, bilinear pairing, exponential operations, elliptic curve scalar multiplication, [...] Read more.
Security and efficiency remain a serious concern for Internet of Things (IoT) environments due to the resource-constrained nature and wireless communication. Traditional schemes are based on the main mathematical operations, including pairing, pairing-based scalar multiplication, bilinear pairing, exponential operations, elliptic curve scalar multiplication, and point multiplication operations. These traditional operands are cost-intensive and require high computing power and bandwidth overload, thus affecting efficiency. Due to the cost-intensive nature and high resource requirements, traditional approaches are not feasible and are unsuitable for resource-limited IoT devices. Furthermore, the lack of essential security attributes in traditional schemes, such as unforgeability, public verifiability, non-repudiation, forward secrecy, and resistance to denial-of-service attacks, puts data security at high risk. To overcome these challenges, we have introduced a novel signcryption algorithm based on hyperelliptic curve divisor multiplication, which is much faster than other traditional mathematical operations. Hence, the proposed methodology is based on a hyperelliptic curve, due to which it has enhanced security with smaller key sizes that reduce computational complexity by 38.16% and communication complexity by 62.5%, providing a well-balanced solution by utilizing few resources while meeting the security and efficiency requirements of resource-constrained devices. The proposed strategy also involves formal security validation, which provides confidence for the proposed methodology in practical implementations. Full article
(This article belongs to the Special Issue Intelligent Information Processing for Sensors and IoT Communications)
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18 pages, 1165 KiB  
Article
The Role of Pigments and Cryptochrome 1 in the Adaptation of Solanum lycopersicum Photosynthetic Apparatus to High-Intensity Blue Light
by Aleksandr Ashikhmin, Pavel Pashkovskiy, Anatoliy Kosobryukhov, Alexandra Khudyakova, Anna Abramova, Mikhail Vereshchagin, Maksim Bolshakov and Vladimir Kreslavski
Antioxidants 2024, 13(5), 605; https://doi.org/10.3390/antiox13050605 (registering DOI) - 15 May 2024
Abstract
The effects of high-intensity blue light (HIBL, 500/1000 µmol m–2s–1, 450 nm) on Solanum lycopersicum mutants with high pigment (hp) and low pigment (lp) levels and cryptochrome 1 (cry1) deficiency on photosynthesis, chlorophylls, phenols, anthocyanins, nonenzymatic [...] Read more.
The effects of high-intensity blue light (HIBL, 500/1000 µmol m–2s–1, 450 nm) on Solanum lycopersicum mutants with high pigment (hp) and low pigment (lp) levels and cryptochrome 1 (cry1) deficiency on photosynthesis, chlorophylls, phenols, anthocyanins, nonenzymatic antioxidant activity, carotenoid composition, and the expression of light-dependent genes were investigated. The plants, grown under white light for 42 days, were exposed to HIBL for 72 h. The hp mutant quickly adapted to 500 µmol m–2s–1 HIBL, exhibiting enhanced photosynthesis, increased anthocyanin and carotenoids (beta-carotene, zeaxanthin), and increased expression of key genes involved in pigment biosynthesis (PSY1, PAL1, CHS, ANS) and PSII proteins along with an increase in nonenzymatic antioxidant activity. At 1000 µmol m–2s–1 HIBL, the lp mutant showed the highest photosynthetic activity, enhanced expression of genes associated with PSII external proteins (psbO, psbP, psbQ), and increased in neoxanthin content. This mutant demonstrated greater resistance at the higher HIBL, demonstrating increased stomatal conductance and photosynthesis rate. The cry1 mutant exhibited the highest non-photochemical quenching (NPQ) but had the lowest pigment contents and decreased photosynthetic rate and PSII activity, highlighting the critical role of CRY1 in adaptation to HIBL. The hp and lp mutants use distinct adaptation strategies, which are significantly hindered by the cry1 mutation. The pigment content appears to be crucial for adaptation at moderate HIBL doses, while CRY1 content and stomatal activity become more critical at higher doses. Full article
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Article
Investigation of the Antiviral Mechanism of Curcumin Analog EF-24 against Siniperca cachuatsi Rhabdovirus
by Pei-Mo Ju, Shi-Wei Ma, Yi-Yang Li, Shi-Fan Zhang, Jun Li and Guang-Zhou Zhou
Fishes 2024, 9(5), 179; https://doi.org/10.3390/fishes9050179 (registering DOI) - 15 May 2024
Abstract
Siniperca chuatsi rhabdovirus (SCRV) is a major strain of viral fish virus resulting in multiple transmissions and devastating damage in aquaculture. Currently, there are no available approved therapeutics. In this study, we screened and identified a novel curcumin analog (EF-24) for evaluating its [...] Read more.
Siniperca chuatsi rhabdovirus (SCRV) is a major strain of viral fish virus resulting in multiple transmissions and devastating damage in aquaculture. Currently, there are no available approved therapeutics. In this study, we screened and identified a novel curcumin analog (EF-24) for evaluating its in vitro anti-SCRV properties and potential molecular mechanisms. Present results demonstrated that EF-24 could strongly delay the occurrence of cytopathic effects (CPEs) in epithelioma papulosum cyprinid cells (EPCs) and inhibit SCRV replication and viral nucleoprotein expression in the early stages of infection by the time-of-addition assay. Furthermore, flow cytometry analysis after Annexin V-FITC/PI double staining and immunofluorescence microscopy observation after JC-1 incubation showed that EF-24 downregulated cell mitochondrial apoptosis induced by SCRV. The enzymatic activities of caspase-3 and caspase-9 were also reduced after EF-24 treatment, indicating that EF-24 may protect cells from SCRV infection by decreasing mitochondrial intrinsic apoptosis in infected cells. Collectively, we demonstrated for the first time that the curcumin analog EF-24 possesses antiviral ability against SCRV, suggesting its potential for effective control of fish rhabdovirus spreading. Full article
(This article belongs to the Section Welfare, Health and Disease)
Systematic Review
Is There Variation in the Morphology of the Frontal Sinus in Individuals with Different Craniofacial Patterns? A Systematic Review with Meta-Analysis
by Erika Calvano Küchler, Maria Beatriz Carvalho Ribeiro de Oliveira, Isabela Ribeiro Madalena, Christian Kirschneck, Svenja Beisel-Memmert, Daniela Silva Barroso de Oliveira, Ângela Graciela Deliga Schroder, César Penazzo Lepri, Maria Angélica Hueb de Menezes-Oliveira and Guido Artemio Marañón-Vásquez
Dent. J. 2024, 12(5), 143; https://doi.org/10.3390/dj12050143 (registering DOI) - 15 May 2024
Abstract
To evaluate differences in the morphology of the frontal sinus in adolescents and adults with different craniofacial patterns, searches up to April 2024 were conducted in six databases and other information sources to identify observational studies. Study selection, data extraction, and quality assessment [...] Read more.
To evaluate differences in the morphology of the frontal sinus in adolescents and adults with different craniofacial patterns, searches up to April 2024 were conducted in six databases and other information sources to identify observational studies. Study selection, data extraction, and quality assessment using the NOS scale were performed independently by two reviewers. Random effects meta-analyses were conducted to estimate the difference in frontal sinus measurements between different craniofacial skeletal patterns (α = 0.05). The certainty of the evidence was evaluated according to GRADE. Fourteen studies were included in the review. All studies had methodological limitations that affected their quality. The syntheses showed that skeletal Class II subjects presented a significantly smaller width of the frontal sinus than skeletal Class I subjects (MD = 0.56; 95% CI: 0.38, 0.74; p < 0.0001; I2 = 3%). Skeletal Class III subjects showed a frontal sinus width (MD = −0.91; 95% CI: −1.35, −0.47; p < 0.0001; I2 = 36%) and area (MD = −28.13; 95% CI: −49.03, −7.23; p = 0.0084; I2 = 66%) significantly larger than those of the skeletal Class I subjects. The available evidence suggests a positive relationship between mandibular and frontal sinus size. There is limited evidence to make reliable estimates of the association of other craniofacial patterns and frontal sinus characteristics. These reported results are not conclusive and should be evaluated carefully due to the very low certainty of the evidence. The current evidence is scarce and consists of studies with methodological limitations; the results of the studies are often inconsistent, and the pooled estimates are imprecise. New high-quality research is still necessary. Full article
16 pages, 5851 KiB  
Article
Tailoring Physicochemical Properties of V2O5 Nanostructures: Influence of Solvent Type in Sol-Gel Synthesis
by Klaudia Prusik, Daniel Jaworski, Justyna Gumieniak, Agnieszka Kramek, Kamila Sadowska and Marta Prześniak-Welenc
Materials 2024, 17(10), 2359; https://doi.org/10.3390/ma17102359 (registering DOI) - 15 May 2024
Abstract
The influence of different solvents, including aqueous and nonaqueous types, on the physicochemical properties of V2O5 nanostructures was thoroughly investigated. Various characterization techniques, such as XRD, XPS, FTIR, Raman spectroscopy, UV-vis DRS, SEM, TEM, and BET, were employed to analyze [...] Read more.
The influence of different solvents, including aqueous and nonaqueous types, on the physicochemical properties of V2O5 nanostructures was thoroughly investigated. Various characterization techniques, such as XRD, XPS, FTIR, Raman spectroscopy, UV-vis DRS, SEM, TEM, and BET, were employed to analyze the obtained materials. Additionally, the adsorption properties of the synthesized V2O5 nanostructures for methylene blue were examined, and kinetic parameters of adsorption were calculated. The results demonstrate that the morphology of the obtained crystals can be finely controlled by manipulating water concentration in the solution, showcasing its profound impact on both the structural characteristics and adsorption properties of the nanostructures. Furthermore, the structural changes of the resulting V2O5 material induced by solvents show strong impacts on its photocatalytic properties, making it a promising photocatalyst. Full article
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Article
Drone Safety and Security Surveillance System (D4S)
by Khalifa AL-Dosari, Ziad Hunaiti and Wamadeva Balachandran
Appl. Sci. 2024, 14(10), 4193; https://doi.org/10.3390/app14104193 (registering DOI) - 15 May 2024
Abstract
Drones offer significant safety and security advantages by enhancing situational awareness across various fields. However, realizing these benefits hinges on well-designed drone systems. This study builds upon previous research on drone deployment challenges and proposes the Drone Safety and Security Surveillance System (D4S). [...] Read more.
Drones offer significant safety and security advantages by enhancing situational awareness across various fields. However, realizing these benefits hinges on well-designed drone systems. This study builds upon previous research on drone deployment challenges and proposes the Drone Safety and Security Surveillance System (D4S). D4S aims to standardize similar drone-based systems, enhancing situational awareness and supporting decision-making processes. While initially tailored for safety and security, D4S holds potential for broader applications. Two system architectures have been proposed and evaluated with positive feedback from safety and security professionals. D4S has the potential to revolutionize safety practices, improve situational awareness, and facilitate timely decision making in critical scenarios. Full article
Article
Evaluation of Near Real-Time Global Precipitation Measurement (GPM) Precipitation Products for Hydrological Modelling and Flood Inundation Mapping of Sparsely Gauged Large Transboundary Basins—A Case Study of the Brahmaputra Basin
by Muhammad Jawad, Biswa Bhattacharya, Adele Young and Schalk Jan van Andel
Remote Sens. 2024, 16(10), 1756; https://doi.org/10.3390/rs16101756 (registering DOI) - 15 May 2024
Abstract
Limited availability of hydrometeorological data and lack of data sharing practices have added to the challenge of hydrological modelling of large and transboundary catchments. This research evaluates the suitability of latest near real-time global precipitation measurement (GPM)-era satellite precipitation products (SPPs), IMERG-Early, IMERG-Late [...] Read more.
Limited availability of hydrometeorological data and lack of data sharing practices have added to the challenge of hydrological modelling of large and transboundary catchments. This research evaluates the suitability of latest near real-time global precipitation measurement (GPM)-era satellite precipitation products (SPPs), IMERG-Early, IMERG-Late and GSMaP-NRT, for hydrological and hydrodynamic modelling of the Brahmaputra Basin. The HEC-HMS modelling system was used for the hydrological modelling of the Brahmaputra Basin, using IMERG-Early, IMERG-Late, and GSMaP-NRT. The findings showed good results using GPM SPPs for hydrological modelling of large basins like Brahmaputra, with Nash–Sutcliffe efficiency (NSE) and R2 values in the range of 0.75–0.85, and root mean square error (RMSE) between 7000 and 9000 m3 s−1, and the average discharge was 20611 m3 s−1. Output of the GPM-based hydrological models was then used as input to a 1D hydrodynamic model to assess suitability for flood inundation mapping of the Brahmaputra River. Simulated flood extents were compared with Landsat satellite-captured images of flood extents. In critical areas along the river, the probability of detection (POD) and critical success index (CSI) values were above 0.70 with all the SPPs used in this study. The accuracy of the models was found to increase when simulated using SPPs corrected with ground-based precipitation datasets. It was also found that IMERG-Late performed better than the other two precipitation products as far as hydrological modelling was concerned. However, for flood inundation mapping, all of the three selected products showed equally good results. The conclusion is reached that for sparsely gauged large basins, particularly for trans-boundary ones, GPM-era SPPs can be used for discharge simulation and flood inundation mapping. Full article
(This article belongs to the Topic Hydrology and Water Resources Management)
Systematic Review
Percutaneous Coronary Intervention versus Optimal Medical Therapy in Patients with Chronic Total Occlusion: A Meta-Analysis
by Sascha Macherey-Meyer, Khalid Salem, Sebastian Heyne, Max Maria Meertens, Karl Finke, Victor Mauri, Stephan Baldus, Christoph Adler and Samuel Lee
J. Clin. Med. 2024, 13(10), 2919; https://doi.org/10.3390/jcm13102919 (registering DOI) - 15 May 2024
Abstract
Background/Objectives:  Chronic total occlusion (CTO) is a prevalent finding in patients with coronary artery disease and is associated with increased mortality. Prior reports on the efficacy of percutaneous coronary intervention (PCI) compared to optimal medical therapy (OMT) were controversial. Following the emergence [...] Read more.
Background/Objectives:  Chronic total occlusion (CTO) is a prevalent finding in patients with coronary artery disease and is associated with increased mortality. Prior reports on the efficacy of percutaneous coronary intervention (PCI) compared to optimal medical therapy (OMT) were controversial. Following the emergence of recently published new evidence, a meta-analysis is warranted. The current meta-analysis assessed the effects of PCI compared to OMT in the treatment of CTO. Methods: A structured literature search was performed. Randomized controlled trials (RCTs) and non-randomized controlled studies of interventions were eligible. The primary outcome was an accumulated composite of cardiac mortality, myocardial infarction and target vessel/lesion revascularization events. Results: Thirty-two studies reporting on 11260 patients were included. Of these, 5712 (50.7%) were assigned to the PCI and 5548 (49.3%) were allocated to the OMT group. The primary outcome occurred in 14.6% of the PCI and 20.1% of the OMT group (12 trials, OR 0.66, 95% CI 0.50 to 0.88, p = 0.005, I2 = 67%). Subgrouping demonstrated a consistent reduction in the primary outcome for the PCI group in RCTs (six trials, OR 0.58, 95% CI 0.33 to 0.99, p = 0.05). The primary outcome reduction was irrespective of the study design, and it was replicable in sensitivity and subgroup analyses. Advantages in other outcomes were rather related to statistical pooling effects and dominated by observational data. Conclusions: CTO-PCI was associated with improved patient-oriented primary outcome compared to OMT in a study-level meta-analysis. This composite outcome effect was mainly driven by target vessel treatment, but a significant reduction in mortality and myocardial infarction was observed, irrespectively. These findings have hypothesis-generating implications. Future RCTs with adequate statistical power are eagerly awaited. Full article
(This article belongs to the Section Cardiology)
13 pages, 2196 KiB  
Article
Computationally Efficient Algorithm for Modeling Grain Growth Using Hillert’s Mean-Field Approach
by Shabnam Fadaei Chatroudi, Robert Cicoria and Hatem S. Zurob
Materials 2024, 17(10), 2341; https://doi.org/10.3390/ma17102341 - 15 May 2024
Abstract
To investigate the interconnected effects of manufacturing processes on microstructure evolution during hot-rolling, a through process model is required. A novel numerical implementation of the mean-field approach was introduced to efficiently describe the grain growth of larger systems and extended durations. In this [...] Read more.
To investigate the interconnected effects of manufacturing processes on microstructure evolution during hot-rolling, a through process model is required. A novel numerical implementation of the mean-field approach was introduced to efficiently describe the grain growth of larger systems and extended durations. In this approach, each grain is embedded within an average medium and interacts with the average medium, thus avoiding the complexities of individual grain interactions. The proposed upsampling approach dynamically adjusts the simulation grain ensemble, ensuring efficiency and accuracy regardless of the initial number of grains present. This adaptation prevents undersampling artifacts during grain growth. The accuracy of the model is verified against analytical solutions and experimental data, demonstrating high agreement. Moreover, the effects of different initial conditions are successfully investigated, demonstrating the model’s versatility. Due to its simplicity and efficiency, the model can be seamlessly integrated into other microstructure evolution models. Full article
(This article belongs to the Special Issue Advances in Steel Materials: Structure, Processing, and Properties)
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Article
In Vivo Immune-Modulatory Activity of Lefamulin in an Influenza Virus A (H1N1) Infection Model in Mice
by Susanne Paukner, Sandra Kimber, Charlotte Cumper, Tina Rea-Davies, Lorena Sueiro Ballesteros, Christopher Kirkham, Adam Hargreaves, Steven P. Gelone, Claire Richards and Wolfgang W. Wicha
Int. J. Mol. Sci. 2024, 25(10), 5401; https://doi.org/10.3390/ijms25105401 (registering DOI) - 15 May 2024
Abstract
Lefamulin is a first-in-class systemic pleuromutilin antimicrobial and potent inhibitor of bacterial translation, and the most recent novel antimicrobial approved for the treatment of community-acquired pneumonia (CAP). It exhibits potent antibacterial activity against the most prevalent bacterial pathogens that cause typical and atypical [...] Read more.
Lefamulin is a first-in-class systemic pleuromutilin antimicrobial and potent inhibitor of bacterial translation, and the most recent novel antimicrobial approved for the treatment of community-acquired pneumonia (CAP). It exhibits potent antibacterial activity against the most prevalent bacterial pathogens that cause typical and atypical pneumonia and other infectious diseases. Early studies indicate additional anti-inflammatory activity. In this study, we further investigated the immune-modulatory activity of lefamulin in the influenza A/H1N1 acute respiratory distress syndrome (ARDS) model in BALB/c mice. Comparators included azithromycin, an anti-inflammatory antimicrobial, and the antiviral oseltamivir. Lefamulin significantly decreased the total immune cell infiltration, specifically the neutrophils, inflammatory monocytes, CD4+ and CD8+ T-cells, NK cells, and B-cells into the lung by Day 6 at both doses tested compared to the untreated vehicle control group (placebo), whereas azithromycin and oseltamivir did not significantly affect the total immune cell counts at the tested dosing regimens. Bronchioalveolar lavage fluid concentrations of pro-inflammatory cytokines and chemokines including TNF-α, IL-6, IL-12p70, IL-17A, IFN-γ, and GM-CSF were significantly reduced, and MCP-1 concentrations were lowered (not significantly) by lefamulin at the clinically relevant ‘low’ dose on Day 3 when the viral load peaked. Similar effects were also observed for oseltamivir and azithromycin. Lefamulin also decreased the viral load (TCID50) by half a log10 by Day 6 and showed positive effects on the gross lung pathology and survival. Oseltamivir and lefamulin were efficacious in the suppression of the development of influenza-induced bronchi-interstitial pneumonia, whereas azithromycin did not show reduced pathology at the tested treatment regimen. The observed anti-inflammatory and immune-modulatory activity of lefamulin at the tested treatment regimens highlights a promising secondary pharmacological property of lefamulin. While these results require confirmation in a clinical trial, they indicate that lefamulin may provide an immune-modulatory activity beyond its proven potent antibacterial activity. This additional activity may benefit CAP patients and potentially prevent acute lung injury (ALI) and ARDS. Full article
(This article belongs to the Section Molecular Biology)
Review
The Science behind Stress: From Theory to Clinic, Is Basal Septal Hypertrophy the Missing Link between Hypertension and Takotsubo Cardiomyopathy?
by Boran Çağatay, Fatih Yalçin, Adnan Kıraç, Nagehan Küçükler and Maria Roselle Abraham
Stresses 2024, 4(2), 330-341; https://doi.org/10.3390/stresses4020021 (registering DOI) - 15 May 2024
Abstract
The modern theory of stress, initially proposed by Hans Selye in 1956, signifies an important development in our understanding of this phenomenon. Selye’s The Stress of Life serves as a foundational book for subsequent scientific questions. In this article, we focus on a [...] Read more.
The modern theory of stress, initially proposed by Hans Selye in 1956, signifies an important development in our understanding of this phenomenon. Selye’s The Stress of Life serves as a foundational book for subsequent scientific questions. In this article, we focus on a comprehensive look at stress and use a literature review to explain its theoretical foundations as well as its clinical equivalent. Our research focuses on the complex mechanisms of stress, with a particular emphasis on the consequences of cardiac remodeling and adaptation processes. Myocardial remodeling might be seen as a response to increased stress in acute or chronic situations. Stressed heart morphology (SHM) is a very interesting description representing basal septal hypertrophy (BSH), which is detectable in both acute emotional stress and chronic stress due to increased afterload in hypertension. Acute stress cardiomyopathy (ASC) and hypertension in the same individuals could be clinically linked. Also, in this report, we mention the geometric and functional similarity of the left ventricle (LV) septal base in both acute and chronic clinical situations. Therefore, cardiac imaging methods are crucial to assessing LV segmental aspects in ASC patients. We propose a new paradigm that ASC may develop in hypertensive patients with SHM. We document the segmental progression of microscopic LV remodeling using a third-generation microscopic ultrasound and note that BSH takes a longer time to occur morphologically than an acutely developed syndrome. However, the majority of ASC events have a predominant base, and the absence of segmental remodeling details, including BSH and cardiac decompensation with apical ballooning, on echocardiographic reports may mask the possible underlying hypertensive disease. In fact, beyond ASC cases, previously undiagnosed hypertension is very common, even in developed countries, and is associated with masked target organ damage. Full article
(This article belongs to the Collection Feature Papers in Human and Animal Stresses)
Article
Proposal for a Flipped Classroom Program with Massive Open Online Courses to Improve Access to Information and Information Literacy in Primary School Teachers
by Ana Lendínez Turón, José Manuel Ortiz Marcos, Oswaldo Lorenzo Quiles and Fiorela Anaí Fernández-Otoya
Societies 2024, 14(5), 68; https://doi.org/10.3390/soc14050068 (registering DOI) - 15 May 2024
Abstract
The objective of this study was to propose a teacher training program based on the flipped classroom model with MOOCs to strengthen access to information and information literacy among primary education teachers in the Lambayeque region of Peru. The non-experimental design was assumed [...] Read more.
The objective of this study was to propose a teacher training program based on the flipped classroom model with MOOCs to strengthen access to information and information literacy among primary education teachers in the Lambayeque region of Peru. The non-experimental design was assumed with a quantitative approach and a propositional, descriptive type. A diagnosis was made using a questionnaire given to 917 primary school teachers. It was discovered that nearly all of the items in the questionnaire revealed a deficiency in the ability to navigate, search, and filter information, data, and digital content; the highest percentages were at the Basic level, with the exception of the item expressing information needs in an organized manner, which was at the Advanced C2 level. The lowest percentage was at the Advanced C1 level, and the majority of the lower percentages were at the Advanced level. In addition, there are competency deficiencies in the evaluation of information, data, and digital content of nearly all the items: the highest percentages were at the Basic level, with the exception of the item involving the processing of information, data, and digital content, where 26.4% were at the Intermediate B1 level and just 2.8% managed to be at the highest level, which is Advanced C2. Furthermore, when it came to storage and retrieval of information, data, and digital content competency, all the high percentages were at the Basic level, and all the low percentages were at the highest level, that is, Advanced. These findings helped us to understand that teachers have only a basic knowledge of information literacy and information competency. As a result, it is necessary to advocate for a teacher training program based on the flipped classroom model with MOOCs. This idea was supported by the opinions of five experts, who stated that its implementation would enable primary teachers of Regular Basic Education in the region of Lambayeque (Peru) to develop their access to information and information literacy competency area. Full article
21 pages, 1419 KiB  
Article
On Stock Volatility Forecasting under Mixed-Frequency Data Based on Hybrid RR-MIDAS and CNN-LSTM Models
by Wenfeng Ma, Yuxuan Hong and Yuping Song
Mathematics 2024, 12(10), 1538; https://doi.org/10.3390/math12101538 (registering DOI) - 15 May 2024
Abstract
Most of the deep-learning algorithms on stock price volatility prediction in the existing literature use data such as same-frequency market indicators or technical indicators, and less consider mixed-frequency data, such as macro-data. Compared with the traditional model that only inputs the same-frequency data [...] Read more.
Most of the deep-learning algorithms on stock price volatility prediction in the existing literature use data such as same-frequency market indicators or technical indicators, and less consider mixed-frequency data, such as macro-data. Compared with the traditional model that only inputs the same-frequency data such as technical indicators and market indicators, this study proposes an improved deep-learning model based on mixed-frequency big data. This paper first introduces the reserve restricted mixed-frequency data sampling (RR-MIDAS) model to deal with the mixed-frequency data and, secondly, extracts the temporal and spatial features of volatility series by using the parallel model of CNN-LSTM and LSTM, and finally utilizes the Optuna framework for hyper-parameter optimization to achieve volatility prediction. For the deep-learning model with mixed-frequency data, its RMSE, MAE, MSLE, MAPE, SMAPE, and QLIKE are reduced by 18.25%, 14.91%, 30.00%, 12.85%, 13.74%, and 23.42%, respectively. This paper provides a more accurate and robust method for forecasting the realized volatility of stock prices under mixed-frequency data. Full article
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16 pages, 5213 KiB  
Article
Effects of Bacillus subtilis on Cucumber Seedling Growth and Photosynthetic System under Different Potassium Ion Levels
by Chun Li, Qingpan Zeng, Yuzhu Han, Xiaofu Zhou and Hongwei Xu
Biology 2024, 13(5), 348; https://doi.org/10.3390/biology13050348 (registering DOI) - 15 May 2024
Abstract
Potassium deficiency is one of the important factors restricting cucumber growth and development. This experiment mainly explored the effect of Bacillus subtilis (B. subtilis) on cucumber seedling growth and the photosynthetic system under different potassium levels, and the rhizosphere bacteria (PGPR) [...] Read more.
Potassium deficiency is one of the important factors restricting cucumber growth and development. This experiment mainly explored the effect of Bacillus subtilis (B. subtilis) on cucumber seedling growth and the photosynthetic system under different potassium levels, and the rhizosphere bacteria (PGPR) that promote plant growth were used to solubilize potassium in soil, providing theoretical support for a further investigation of the effect of biological bacteria fertilizer on cucumber growth and potassium absorption. “Xinjin No. 4” was used as the test material for the pot experiment, and a two-factor experiment was designed. The first factor was potassium application treatment, and the second factor was bacterial application treatment. The effects of different treatments on cucumber seedling growth, photosynthetic characteristics, root morphology, and chlorophyll fluorescence parameters were studied. The results showed that potassium and B. subtilis had obvious promotion effects on the cucumber seedling growth and the photosynthesis of leaves. Compared with the blank control, the B. subtilis treatment had obvious effects on the cucumber seedling height, stem diameter, leaf area, total root length, total root surface area, total root volume, branch number, crossing number, gs, WUE, Ci, and A; the dry weight of the shoot and root increased significantly (p ≤ 0.05). Potassium application could significantly promote cucumber growth, and the effect of B. subtilis and potassium application was greater than that of potassium application alone, and the best effect was when 0.2 g/pot and B. subtilis were applied. In conclusion, potassium combined with B. subtilis could enhance the photosynthesis of cucumber leaves and promote the growth of cucumber. Full article
(This article belongs to the Special Issue Beneficial Microorganisms for Plants)
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Article
The Association between Low Fetal Fraction of Non-Invasive Prenatal Testing and Adverse Pregnancy Outcomes for Placental Compromise
by Soo Hyun Kim, You Mi Hong, Ji Eun Park, Sung Shin Shim, Hee Jin Park, Yeon Kyung Cho, June Seek Choi, Joong Sik Shin, Hyun Mee Ryu, Moon Young Kim, Dong Hyun Cha and You Jung Han
Diagnostics 2024, 14(10), 1020; https://doi.org/10.3390/diagnostics14101020 (registering DOI) - 15 May 2024
Abstract
(1) Background: Non-invasive prenatal testing (NIPT) is a screening test for fetal aneuploidy using cell-free fetal DNA. The fetal fragments (FF) of cell-free DNA (cfDNA) are derived from apoptotic trophoblast of the placenta. The level of fetal cfDNA is known to be influenced [...] Read more.
(1) Background: Non-invasive prenatal testing (NIPT) is a screening test for fetal aneuploidy using cell-free fetal DNA. The fetal fragments (FF) of cell-free DNA (cfDNA) are derived from apoptotic trophoblast of the placenta. The level of fetal cfDNA is known to be influenced by gestational age, multiple pregnancies, maternal weight, and height. (2) Methods: This study is a single-center retrospective observational study which examines the relationship between the fetal fraction (FF) of cell-free DNA in non-invasive prenatal testing (NIPT) and adverse pregnancy outcomes in singleton pregnancies. A total of 1393 samples were collected between 10 weeks and 6 days, and 25 weeks and 3 days of gestation. (3) Results: Hypertensive disease of pregnancy (HDP) occurred more frequently in the low FF group than the normal FF group (5.17% vs. 1.91%, p = 0.001). Although the rates of small for gestational age (SGA) and placental abruption did not significantly differ between groups, the composite outcome was significantly higher in the low FF group (7.76% vs. 3.64%, p = 0.002). Furthermore, women who later experienced complications such as HDP or gestational diabetes mellitus (GDM) had significantly lower plasma FF levels compared to those without complications (p < 0.001). After adjustments, the low FF group exhibited a significantly higher likelihood of placental compromise (adjusted odds ratio: 1.946). (4) Conclusions: Low FF in NIPT during the first and early second trimesters is associated with adverse pregnancy outcomes, particularly HDP, suggesting its potential as a predictive marker for such outcomes. Full article
(This article belongs to the Special Issue Advancements in Maternal–Fetal Medicine)
14 pages, 8016 KiB  
Article
Circulating Anti-Endothelial Cell Antibodies in Patients with Geographic Atrophy Related to Dry Age-Related Macular Degeneration
by Katarzyna Żuber-Łaskawiec, Joanna Wilańska, Izabella Karska-Basta, Weronika Pociej-Marciak, Bożena Romanowska-Dixon, Marek Sanak and Agnieszka Kubicka-Trząska
Medicina 2024, 60(5), 810; https://doi.org/10.3390/medicina60050810 - 15 May 2024
Abstract
Background and Objectives: Age-related macular degeneration (AMD) is one of the leading causes of central vision loss among elderly patients, and its dry form accounts for the majority of cases. Although several causes and mechanisms for the development and progression of AMD [...] Read more.
Background and Objectives: Age-related macular degeneration (AMD) is one of the leading causes of central vision loss among elderly patients, and its dry form accounts for the majority of cases. Although several causes and mechanisms for the development and progression of AMD have previously been identified, the pathogenesis of this complex disease is still not entirely understood. As inflammation and immune system involvement are strongly suggested to play a central role in promoting the degenerative process and stimulating the onset of complications, we aimed to analyze the frequency of serum anti-retinal (ARAs) and anti-endothelial cell antibodies (AECAs) in patients with dry AMD and to determine their relationship with the clinical features of the disease, notably the area of geographic atrophy (GA). Materials and Methods: This study included 41 patients with advanced-stage dry AMD and 50 healthy controls without AMD, matched for gender and age. ARAs were detected by indirect immunofluorescence using monkey retina as an antigen substrate, and the presence of AECAs was determined using cultivated human umbilical vein endothelial cells and primate skeletal muscle. Results: ARAs were detected in 36 (87.8%) AMD patients (titers ranged from 1:20 to 1:320) and in 16 (39.0%) (titers ranged from 1:10 to 1:40) controls (p = 0.0000). Twenty of the forty-one patients (48.8%) were positive for AECAs, while in the control group, AECAs were present only in five sera (10.0%). The titers of AECAs in AMD patients ranged from 1:100 to 1:1000, and in the control group, the AECA titers were 1:100 (p = 0.0001). There were no significant correlations between the presence of AECAs and disease activity. Conclusions: This study demonstrates a higher prevalence of circulating AECAs in patients with dry AMD; however, no correlation was found between the serum levels of these autoantibodies and the area of GA. Full article
(This article belongs to the Section Ophthalmology)
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18 pages, 4548 KiB  
Article
Short-Term Climatic Oscillations in the Central Region of the East-European Plain at the Beginning of the Holocene Based on Palynological Studies of Lacustrine Deposits
by Olga Borisova, Natalia Naryshkina and Andrey Panin
Quaternary 2024, 7(2), 22; https://doi.org/10.3390/quat7020022 - 15 May 2024
Abstract
The Preboreal (11.75–10.70 ka BP) is still the least paleogeographically studied time interval in the central part of the East European Plain. High-resolution multi-proxy studies of lacustrine sediments at the Seltso site located in the Desna River floodplain (Dnieper River basin) were conducted. [...] Read more.
The Preboreal (11.75–10.70 ka BP) is still the least paleogeographically studied time interval in the central part of the East European Plain. High-resolution multi-proxy studies of lacustrine sediments at the Seltso site located in the Desna River floodplain (Dnieper River basin) were conducted. Radiocarbon dating, loss-on-ignition determination, sedimentological and palynological studies and identification of Non-Pollen Palynomorphs in lacustrine sediments allow us to reconstruct changes in vegetation caused by rapid warming at the Younger Dryas–Holocene boundary, short-term climatic fluctuations within the Preboreal and subsequent resumption of warming. Initial Preboreal warming reached its maximum at about 11.5 ka BP when a relatively dry continental climate existed. Between 11.4 and 11.2 ka BP, a short-term cooling corresponding to the Preboreal Oscillation in Greenland occurred, as indicated by a significant reduction of woody vegetation and expansion of open plant communities. In the Late Preboreal, approximately 11.2–10.7 ka BP, warming resumed, which was accompanied by a decrease in the climate continentality. Comparison with high-resolution lithological and palynological data from eight reliably dated sections of the central East European Plain indicates that in northwestern and central Europe, the impact of the Preboreal Oscillation cooling on the vegetation and the lake ecosystems’ development was probably somewhat stronger. Full article
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