Derived from axial structures, Sonic Hedgehog (Shh) is secreted into the paraxial mesoderm, where it plays crucial roles in sclerotome induction and myotome differentiation. Through conditional loss-of-function in quail embryos, we investigate the timing and impact of Shh activity during early formation of sclerotome-derived vertebrae and ribs, and of lateral mesoderm-derived sternum. To this end, Hedgehog interacting protein (Hhip) was electroporated at various times between days 2 and 5. While the vertebral body and rib primordium showed consistent size reduction, rib expansion into the somatopleura remained unaffected, and the sternal bud developed normally. Additionally, we compared these effects with those of locally inhibiting BMP activity. Transfection of Noggin in the lateral mesoderm hindered sternal bud formation. Unlike Hhip, BMP inhibition via Noggin or Smad6 induced myogenic differentiation of the lateral dermomyotome lip, while impeding the growth of the myotome/rib complex into the somatic mesoderm, thus affirming the role of the lateral dermomyotome epithelium in rib guidance. Overall, these findings underscore the continuous requirement for opposing gradients of Shh and BMP activity in the morphogenesis of proximal and distal flank skeletal structures, respectively. Future research should address the implications of these early interactions to the later morphogenesis and function of the musculo-skeletal system and of possible associated malformations. Full article

Samples using powders of four different fractions, 15–20 μm, 20–30 μm, 30–40 μm and 40–45 μm, were fabricated to investigate the wear resistance, corrosion resistance and tribological properties of the 86WC-10Co-4Cr coating obtained using the HVOF method. The phase composition, microstructure and elemental distribution were analyzed using X-ray diffraction, scanning electron microscopy and energy dispersive spectroscopy techniques. The hardness was measured on a Vickers microhardness tester, the friction coefficient and wear rate were investigated using a tribometer, and the corrosion resistance was evaluated on an electrochemical corrosion station. The results showed that the cross-sectional microstructure of the coating is mainly represented by multifaceted WC crystals embedded in the Co-Cr matrix and the presence of lower tungsten carbides, particularly W₂C. The 15–20 μm fraction particles were subjected to superheating, contributing to the decarburization process. The 20–30 µm and 30–40 µm sized particles prevented overheating and had a more homogeneous structure. The 40–45 µm powder fractions did not reach sufficient temperature for complete melting, resulting in the formation of pores in the coating layers. The phase composition of the coatings included WC, W₂C and CoO phases. According to the results of the study, it was found that the optimal powder fraction for coating the 86WC-10Co-4Cr composition with improved characteristics is the fraction of the 20–30 µm sized particles. Full article

This review addresses the role of tight junction proteins at the blood-brain barrier (BBB). Their expression is described, and their role in physiological and pathological processes at the BBB is discussed. Based on this, new approaches are depicted for paracellular drug delivery and diagnostics in the treatment of cerebral diseases. Recent data provide convincing evidence that, in addition to its impairment in the course of diseases, the BBB could be involved in the aetiology of CNS disorders. Further progress will be expected based on new insights in tight junction protein structure and in their involvement in signalling pathways. Full article

Orchid flowers have evolved in concert with pollinators to form highly specialized structures resulting in zygomorphy. In dicotyledons, it is widely accepted that CYC-like genes are involved in the dorsoventral polarity establishment of flowers, which determines the development of zygomorphic flowers. However, the function of TCP transcription factors involved in orchid floral development is rarely known. Here, we found 15 unigenes with TCP domain (EpTCPs) from the previously reported Erycina pusilla unigene database. The expression patterns of EpTCPs in various tissues and different floral organs were successively detected by quantitative real-time PCR. The results revealed that the CYC-like gene (EpTCP25) and CIN-like genes (EpTCP11 and EpTCP26) were highly expressed in inflorescences but lowly expressed in leaves and roots. What is more, these three genes were expressed relatively high in the dorsal labellum, and EpTCP26 showed differential expression along the dorsoventral polarity of tepals, which was high in the dorsal and low in the ventral. Ectopic expression of EpTCP25 in Arabidopsis repressed primary root growth and delayed flowering. EpTCP26 overexpression in Arabidopsis promoted primary root growth and leaf growth. In contrast, EpTCP11 overexpression repressed primary root growth and changed the radially symmetric flower to a bilaterally symmetric flower by inhibiting the elongation of one or two adjacent petals. In addition, the homeotic transition of floral organs is generated when these genes are ectopically expressed in Arabidopsis, suggesting their roles in floral morphogenesis. Altogether, our results indicate that CIN-like genes would be associated with the unique flower pattern development of Erycina pusilla. Full article

A coherent optical spectrum analyzer is integrated with a rotating quarter wave plate polarimeter. The combined polarimeter optical spectrum analyzer (POSA) allows the extraction of the state of polarization with high spectral resolution. The POSA is used in this work to study two optical systems. The first is an optical modulator based on a ferrimagnetic sphere resonator. The POSA is employed to explore the underlying magneto–optical mechanism responsible for modulation sideband asymmetry. The second system under study is a cryogenic fiber loop laser, which produces an unequally spaced optical comb. The polarization measurements provide insights into the nonlinear processes responsible for comb creation. Characterizations extracted from the POSA data provide guidelines for the performance optimization of applications based on the systems under study. Full article

Elevating the flavor profile of strong flavors Baijiu has always been a focal point in the industry, and pit mud (PM) serves as a crucial flavor contributor in the fermentation process of the fermented grains (FG). This study investigated the influence of wheat flour and bran (MC and FC) as PM culture enrichment media on the microbiota and metabolites of FG, aiming to inform strategies for improving strong-flavor Baijiu flavor. Results showed that adding PM cultures to FG significantly altered its properties: FC enhanced starch degradation to 51.46% and elevated reducing sugar content to 1.60%, while MC increased acidity to 2.11 mmol/10 g. PM cultures also elevated FG’s ester content, with increases of 0.36 times for MC-FG_60d and 1.48 times for FC-FG_60d compared to controls, and ethyl hexanoate rising by 0.91 times and 1.39 times, respectively. Microbial analysis revealed that Lactobacillus constituted over 95% of the Abundant bacteria community, with Kroppenstedtia or Bacillus being predominant among Rare bacteria. Abundant fungi included Rasamsonia, Pichia, and Thermomyces, while Rare fungi consisted of Rhizopus and Malassezia. Metagenomic analysis revealed bacterial dominance, primarily consisting of Lactobacillus and Acetilactobacillus (98.80–99.40%), with metabolic function predictions highlighting genes related to metabolism, especially in MC-FG_60d. Predictions from PICRUSt2 suggested control over starch, cellulose degradation, and the TCA cycle by fungal subgroups, while Abundant fungi and bacteria regulated ethanol and lactic acid production. This study highlights the importance of PM cultures in the fermentation process of FG, which is significant for brewing high-quality, strong-flavor Baijiu. Full article

Low motor competence (MC) has been associated with lower physical activity (PA) and long-term health risks in children. Less is known about sex-specific patterns and associations during early school age. The aim of this study was to explore how motor difficulties are associated with PA levels, screen time, and organised sports participation (OSP). Data from 479 children, seven years of age, participating in the Swedish Environmental, Longitudinal, Mother and child, Asthma, and allergy (SELMA) pregnancy cohort study were used. MC and activity-related outcomes were assessed with questionnaires answered by parents. Associations between MC and outcomes were evaluated using logistic regression models adjusted for sex, overweight, and parental education level. Sex differences were investigated with interaction analyses and in stratified models. Children with motor difficulties had the same level of PA as their peers, but more screen time and lower OSP. Compared with children with normal MC, boys with motor difficulties had lower rates of OSP, but girls did not. This indicates that the identification and compensatory support for motor difficulties for boys at an early age, as well as the development of inclusive leisure time activities, are of importance to facilitate health-promoting activities on equal terms. Full article

Soil microbial communities are essential to the terrestrial ecosystem processes by mediating nutrient cycling, and their function and composition may be altered under climate change. In this study, the effects of extreme climate events (extreme warming and precipitation pattern) on the microbial communities and extracellular enzyme activities in the soils planted with 1-year-old Pinus densiflora and Larix kaempferi seedlings were investigated. Open-field warming (+3 °C and +6 °C) and precipitation manipulation including drought induced by the complete interception of rainfall and heavy rainfall (113 mm per day) were applied from 13 July to 20 August 2020. The activities of soil enzymes, including β-glucosidase, acid phosphatase, N-acetyl-glucosaminidase, and leucine aminopeptidase, microbial biomass carbon and nitrogen, and changes in microbial community composition were determined. The microbial biomass carbon was 15.26% higher in Larix kaempferi-planted soils than in Pinus densiflora-planted soils. Fungal Chao 1 in the heavy rainfall and drought plots were 53.86% and 0.84% lower than the precipitation control, respectively, and 49.32% higher in the Larix kaempferi plots than under the Pinus densiflora. The fungal Shannon index was 46.61% higher in plots planted with Larix kaempferi than in those planted with Pinus densiflora. Regarding the dominant phyla, the relative abundance of Ascomycota in heavy rainfall plots was 14.16% and 13.10% higher than in the control and drought plots, respectively, and the relative abundance of Mortierllomycota was 55.48% higher under Larix kaempferi than under Pinus densiflora. The overall results are considered to reflect the microbial sensibility to environmental conditions and interaction with the planted species. Since the current study observed only short-term responses to extreme climate events, further study is required to determine the continuous effects of environmental changes on the associations between plants and soil microbes. Full article

The large amount of sampled data in coherent phase-sensitive optical time-domain reflectometry (Φ-OTDR) brings heavy data transmission, processing, and storage burdens. By using the comparator combined with undersampling, we achieve simultaneous reduction of sampling rate and sampling resolution in hardware, thus greatly decreasing the sampled data volume. But this way will inevitably cause the deterioration of detection signal-to-noise ratio (SNR) due to the quantization noise’s dramatic increase. To address this problem, denoising the demodulated phase signals using compressed sensing, which exploits the sparsity of spectrally sparse vibration, is proposed, thereby effectively enhancing the detection SNR. In experiments, the comparator with a sampling parameter of 62.5 MS/s and 1 bit successfully captures the 80 MHz beat signal, where the sampled data volume per second is only 7.45 MB. Then, when the piezoelectric transducer’s driving voltage is 1 Vpp, 300 mVpp, and 100 mVpp respectively, the SNRs of the reconstructed 200 Hz sinusoidal signals are respectively enhanced by 23.7 dB, 26.1 dB, and 28.7 dB by using compressed sensing. Moreover, multi-frequency vibrations can also be accurately reconstructed with a high SNR. Therefore, the proposed technique can effectively enhance the system’s performance while greatly reducing its hardware burden. Full article

The development of advanced tin and niobium bimetallic composite electrode materials is crucial for enhancing the performance of supercapacitors. In this paper, we present a novel bimetallic composite material consisting of zero-dimensional spherical-like SnNb₂O₆ nanocomposites synthesized through the reaction of tin oxide (SnO₂) and niobium pentoxide (Nb₂O₅) precursors, alongside comparative materials. The morphology of the spherical agglomerates comprising Sn/Nb oxide particles that were nucleated on the SnNb₂O₆ surface was characterized using field emission scanning electron microscopy (FE-SEM) and high-resolution transmission electron microscopy (HR-TEM). The as-prepared heterostructures of the SnNb₂O₆ composites were analyzed for elemental composition, including Sn3d, Nb3d, and O1s; moreover, chemical oxidative state analysis was performed through X-ray photoelectron spectroscopy (XPS). Additionally, cyclic voltammetry curves exhibited pseudocapacitive redox behavior for the SnNb₂O₆ composites, while the galvanostatic charge-discharge (GCD) performance demonstrated a maximum specific capacitance of 294.8 F/g at 1 A/g. Moreover, SnNb₂O₆ composite electrodes demonstrated rapid charge–discharge kinetics and excellent cycling stability, with a capacitance retention of 95.7% over 10,000 cycles. This study elucidated the synthesis of tin–niobium oxide-based composites, demonstrating their potential for high-performance supercapacitors. Full article

This study investigates the economic impact of the 2018 agricultural drought in Korea on the agricultural field through input–output analysis. Using industry linkage tables provided by the Bank of Korea, various economic impacts, including socio-economic and industry linkage effects, such as production, value added inducement effects, and employment inducement effects in the agricultural field, were analyzed. Our findings show the following: (1) It was found that an increase of 1 billion KRW (South Korean won) in output of agricultural, forestry, and fishery products induces an average of 0.6544 KRW in production inducement effects in other industries, 0.23756 KRW in value-added inducement effects, and 3.11363 in employment inducement effects per 1 billion KRW. (2) The supply shortage effect of agricultural, forestry, and fishery products was analyzed to cause a decrease in production of 2.3932 KRW across all industries, and the price inducing effect of a 10% increase in price was found to be 0.19400%, on average. The highest production inducement effects in the food and beverage industry (0.16514 KRW) and the highest value-added inducement effects (0.04391 KRW) came from agricultural, forestry, and fishery products. (3) In the industry linkage effect analysis, agricultural, forestry, and fishery products were found to have a forward linkage coefficient of 0.95652 and a backward linkage coefficient of 0.98911. It is implied by this result that the economic impact of agriculture on other industrial sectors is not significant. This study emphasizes the economic importance of agriculture by providing analytical results that can be utilized in agricultural policy formulation and economic decision-making. It can be used as an important basis for policy development for sustainable development and economic stability of the agricultural field. It can also contribute to a better understanding of how agriculture interacts with other industrial sectors and to the development of effective response strategies to natural disasters such as agricultural drought. Full article

High-resolution and wide-swath (HRWS) synthetic aperture radar (SAR) imaging with azimuth multi-channel always suffers from channel phase and amplitude errors. Compared with spatial-invariant error, the range-dependent channel phase error is intractable due to its spatial dependency characteristic. This paper proposes a novel parameterized channel equalization approach to reconstruct the unambiguous SAR imagery. First, a linear model is established for the range-dependent channel phase error, and the sharpness of the reconstructed Doppler spectrum is used to measure the unambiguity quality. Furthermore, the intrinsic relationship between the channel phase errors and the sharpness is revealed, which allows us to estimate the optimal parameters by maximizing the sharpness of the reconstructed Doppler spectrum. Finally, the results from real-measured data show that the suggested method performs exceptionally for ambiguity suppression in HRWS SAR imaging. Full article

Simple and sensitive determination of total antioxidant capacity (TAC) in food samples is highly desirable. In this work, an electrochemical platform was established based on a silica nanochannel film (SNF)-modified electrode, facilitating fast and highly sensitive analysis of TAC in colored food samples. SNF was grown on low-cost and readily available tin indium oxide (ITO) electrode. Fe³⁺-phenanthroline complex-Fe(III)(phen)₃ was applied as the probe, and underwent chemical reduction to form Fe²⁺-phenanthroline complex-Fe(II)(phen)₃ in the presence of antioxidants. Utilizing an oxidative voltage of +1 V, chronoamperometry was employed to measure the current generated by the electrochemical oxidation of Fe(II)(phen)₃, allowing for the assessment of antioxidants. As the negatively charged SNF displayed remarkable enrichment towards positively charged Fe(II)(phen)₃, the sensitivity of detection can be significantly improved. When Trolox was employed as the standard antioxidant, the electrochemical sensor demonstrated a linear detection range from 0.01 μM to 1 μM and from 1 μM to 1000 μM, with a limit of detection (LOD) of 3.9 nM. The detection performance is better that that of the conventional colorimetric method with a linear de range from 1 μM to 40 μM. Owing to the anti-interfering ability of nanochannels, direct determination of TAC in colored samples including coffee, tea, and edible oils was realized. Full article

The atmospheric circulation, not only near the surface but also at high altitudes, is probably the main factor determining the weather and climate of a given area, along with its latitude, altitude, the shape of the relief of the area and its surroundings, and the proximity of water basins of different sizes. The main objective of this study is to investigate the relationship between anticyclonic circulation types in the middle troposphere at the 500 hPa level and the seasonal summer temperature over the region of the central Balkan Peninsula, particularly Bulgaria. A previously compiled classification of atmospheric circulation is used, and the frequencies of the circulation types are correlated with the mean seasonal (monthly) temperature, where the extreme seasons and months are defined as the 10th percentile for cold summer seasons and months and the 90th percentile for warm ones. A positive and statistically significant correlation was found for the anticyclones located southwest of Bulgaria and a negative one for those located southeast of it. A comparison between the last two 30-year climatological periods (1961–1990 and 1991–2020) was also made, and an irrefutable decrease in the number of cold summer seasons from 257 to just 17 was found in the last 30 years, respectively, as well as a rapid increase in the number of extreme warm summer seasons from 26 to 263, encompassing all 15 meteorological stations studied. Full article

To provide diverse in-home services like elderly care, versatile activity recognition technology is essential. Radio-based methods, including WiFi CSI, RFID, and backscatter communication, are preferred due to their minimal privacy intrusion, reduced physical burden, and low maintenance costs. However, these methods face challenges, including environmental dependence, proximity limitations between the device and the user, and untested accuracy amidst various radio obstacles such as furniture, appliances, walls, and other radio waves. In this paper, we propose a frequency-shift backscatter tag-based in-home activity recognition method and test its feasibility in a near-real residential setting. Consisting of simple components such as antennas and switches, these tags facilitate ultra-low power consumption and demonstrate robustness against environmental noise because a context corresponding to a tag can be obtained by only observing frequency shifts. We implemented a sensing system consisting of SD-WiFi, a software-defined WiFi AP, and physical switches on backscatter tags tailored for detecting the movements of daily objects. Our experiments demonstrate that frequency shifts by tags can be detected within a 2 m range with 72% accuracy under the line of sight (LoS) conditions and achieve a 96.0% accuracy (F-score) in recognizing seven typical daily living activities with an appropriate receiver/transmitter layout. Furthermore, in an additional experiment, we confirmed that increasing the number of overlaying packets enables frequency shift-detection even without LoS at distances of 3–5 m. Full article

Carbon fiber-reinforced polymers (CFRPs) are extensively employed in the aerospace industry due to their excellent properties. Delamination damage occurring at critical locations in CFRPs can seriously reduce the safety of in-service components. The detection and localization of delamination damage using Lamb waves hold significant potential for widespread application in non-destructive testing. However, the choice of damage localization algorithm may produce different delamination damage localization results. This research presented an IRAPID (improved reconstruction algorithm for probabilistic inspection of defects) method derived from the RAPID (reconstruction algorithm for probabilistic inspection of defects) method, aiming to improve the accuracy and reliability of delamination damage localization. Three CFRP curved plates, including a healthy curved plate and two curved plates with delamination damage sizes of Φ20 mm and Φ40 mm, were prepared in the experiment. The detection experiment of the CFRP curved plate using lead zirconate titanate (PZT) as a transducer to excite and receive Lamb waves was conducted, and the influence of excitation signal frequency on the performance of the proposed method was discussed. Under the condition of an excitation signal frequency of 220~320 kHz and a step size of 10 kHz, the accuracy of the delamination damage localization method proposed in this paper was compared with that of existing methods. The experimental results indicate that the IRAPID algorithm exhibits good stability in the localization of delamination damage across the range of frequency variations considered. The localization error of the IRAPID algorithm for delamination damage is significantly lower than that of the DaS (delay-and-sum) algorithm and the RAPID algorithm. As the size of the delamination damage increases, so does the localization error. The accuracy of delamination damage localization is lower in the X-axis direction than in the Y-axis direction. By averaging the localization results across various frequencies, we can mitigate the potential localization errors associated with single-frequency detection to a certain extent. For the localization of delamination damage, Lamb waves at multiple frequencies can be employed for detection, and the detection results at each frequency are averaged to enhance the reliability of localization. Full article

The dynamic behaviors of articulated buses during braking and steering processes are exceedingly complex due to the transmission of various forces and torques by the articulated device. The coupling of forces between the front and rear carriages often renders the bus prone to yaw instability under extreme operating conditions. In this paper, according to the characteristics of the structure and parameter matching of an electrically driven articulated bus, a dynamic model of longitudinal and transverse coupling applied on an articulated bus is established, and the influence of the articulated structure on the yaw stability of the drive vehicle is analyzed. Combined with the relationship between the driving motor, the hinge device, and the vehicle motion, a cruise simulation model of the bus is developed, enabling a comparative analysis and verification of vehicle stability under typical road conditions. The results offer a theoretical foundation for the design and control of highly reliable articulated buses. Full article

Introduction: Hypoglycemia has been associated with cardiovascular events, and glucose variability has been suggested to be associated with increased cardiovascular risk. Therefore, in this study, we examined the effect on proteomic cardiovascular risk protein markers of (i) mild iatrogenic hypoglycemia and (ii) severe iatrogenic hypoglycemia followed by rebound hyperglycemia. Methods: Two iatrogenic hypoglycemia studies were compared; firstly, mild hypoglycemia in 18 subjects (10 type 2 diabetes (T2D), 8 controls; blood glucose to 2.8 mmoL/L (50 mg/dL) for 1 h), and secondly, severe hypoglycemia in 46 subjects (23 T2D, 23 controls; blood glucose to <2.2 mmoL/L (<40 mg/dL) transiently followed by intravenous glucose reversal giving rebound hyperglycemia). A SOMAscan assay was used to measure 54 of the 92 cardiovascular protein biomarkers that reflect biomarkers involved in inflammation, cellular metabolic processes, cell adhesion, and immune response and complement activation. Results: Baseline to euglycemia showed no change in any of the proteins measured in the T2D cohort. With severe hypoglycemia, the study controls showed an increase in Angiopoietin 1 (ANGPT1) (p < 0.01) and Dickkopf-1 (DKK1) (p < 0.01), but no changes were seen with mild hypoglycemia. In both the mild and severe hypoglycemia studies, at the point of hypoglycemia, T2D subjects showed suppression of Brother of CDO (BOC) (p < 0.01). At 1 h post-hypoglycemia, the changes in ANGPT1, DKK1, and BOC had resolved, with no additional protein biomarker changes despite rebound hyperglycemia from 1.8 ± 0.1 to 12.2 ± 2.0 mmol/L. Conclusions: Proteomic biomarkers of cardiovascular disease showed changes at hypoglycemia that resolved within 1 h following the hypoglycemic event and with no changes following hyperglycemia rebound, suggesting that any cardiovascular risk increase is due to the hypoglycemia and not due to glucose fluctuation per se. Full article

Solar water evaporation offers a promising solution to address global water scarcity, utilizing renewable energy for purification and desalination. Transition-metal selenite hydrates (specifically nickel and cobalt) have shown potential as solar absorbers with high evaporation rates of 1.83 and 2.34 kg∙m⁻²∙h⁻¹, but the reported discrepancy in evaporation rate deserves further investigation. This investigation aims to clarify their thermal stability for applications and determine the underlying mechanisms responsible for the differences. Nickel and cobalt selenite hydrate compositions were synthesized and investigated via thermogravimetric analysis, X-ray diffraction, and Raman spectroscopy to assess their temperature-induced structural and compositional variations. The results reveal distinct phase transitions and structural alterations under various temperature conditions for these two photothermal materials, providing valuable insights into the factors influencing water transportation and evaporation rates. Full article

Two-plus-one (2+1) highways are a special configuration of two-lane two-way (TLTW) highways with a continuous center lane that is used to alternate passing lanes. The main objective of this paper is, therefore, to evaluate the suitability of the 2+1 design for Middle East conditions as a replacement for traditional TLTW roads with higher traffic volumes or as an interim solution before transforming TLTW roads into four-lane highways. In our analysis, we considered both safety and mobility performances by comparing the 2+1 and TLTW designs. The new suggested 2+1 designs were evaluated, with the first design prohibiting overtaking in the opposite direction, while the second design permitted it. Additionally, two-speed-limit strategies, uniform speed limit (USL), and differential speed limit (DSL) were also evaluated. The results showed that the 2+1 design, which prohibited overtaking in the opposite direction, was superior to TLTW in terms of mobility and safety, while the other design compromised safety compared to TLTW. The results provide valuable information to policymakers, urban planners, and transport authorities to guide evidence-based decisions on the integration of the 2+1 design as a viable solution for sustainable and efficient transportation. Full article

Dogs are considered the main reservoir of several zoonoses endemic to the Mediterranean Basin. In this study, a prevalence of infections and coinfections of canine vector-borne diseases was analyzed in apparently healthy dogs of different canine pure breeds in Sicily (Italy), where these diseases are endemic. The seroprevalence of Leishmania infantum, Ricketsia ricketsii, Anaplasma phagocytophilum, and Erlichia canis was assessed, as single and coinfections. Biochemical and hematological parameters were evaluated, and epidemiological factors, including sex, age, and canine breed, were recovered. The most frequent infection was L. infantum (45.61%), following R. ricketsii (36.84%), both as single, double, or triple coinfections. Coinfections change the biochemical and hematological parameters of the host, and canine breeds are related to the infection frequency and the parameters observed during infections. Changes in the complete blood count (CBC) and biochemical values also differ between canine breeds, with the Cirneco dell’Etna dogs infected with L. infantum being the animals presenting the most interesting results in our study. High values of RBC, hemoglobin, hematocrit, mean corpuscular hemoglobin (MCH), the albumin/globulin (A/G) ratio, and albumin and low levels of β-2 globulin and γ-globulin were found only in this canine breed, suggesting some resistance to infection in these dogs. Future studies about the immune response of this canine breed could be interesting to determine their possible resistance to zoonotic pathogens, such as L. infantum. Full article

Endotracheal suctioning is an essential but labor-intensive procedure, with the risk of serious complications. A brand new automatic closed-suction device was developed to alleviate the workload of healthcare providers and minimize those complications. We evaluated the clinical efficacy and safety of the automatic suction system in mechanically ventilated patients with pneumonia. In this multicenter, randomized, non-inferiority, investigator-initiated trial, mechanically ventilated patients with pneumonia were randomized to the automatic device (intervention) or conventional manual suctioning (control). The primary efficacy outcome was the change in the modified clinical pulmonary infection score (CPIS) in 3 days. Secondary outcomes were the frequency of additional suctioning and the amount of secretion. Safety outcomes included adverse events or complications. A total of 54 participants, less than the pre-determined number of 102, were enrolled. There was no significant difference in the change in the CPIS over 72 h (−0.13 ± 1.58 in the intervention group, −0.58 ± 1.18 in the control group, p = 0.866), but the non-inferiority margin was not satisfied. There were no significant differences in the secondary outcomes and safety outcomes, with a tendency for more patients with improved tracheal mucosal injury in the intervention group. The novel automatic closed-suction system showed comparable efficacy and safety compared with conventional manual suctioning in mechanically ventilated patients with pneumonia. Full article