Aberrant right subclavian artery (ARSA) causing dysphagia, the so-called “dysphagia lusoria”, is a frequent embryologic anomaly of the aortic arch. In symptomatic patients, studies report several management options including surgical, hybrid, and totally endovascular strategies. Hybrid techniques have the advantage of no chest opening with reduced morbidity, but the problem of the ARSA stump causing recurrent or persistent dysphagia remains challenging in some cases. We conducted a literature review on the management strategies of ARSA and presented the case of a 72-year-old female patient with ARSA and dysphagia managed with thoracic endovascular repair of the aorta (TEVAR) and bilateral carotid–subclavian artery bypass. This technique was chosen because of the severe calcifications at the level of ARSA origin that would make surgical ligation difficult, or if an occluder device not suitable. We think that a patient-tailored approach should be considered in cases of dysphagia lusoria, considering that a multitude of strategies are reported. Full article

This study focusses on non-adverbial uses of lá in European Portuguese, whose exact meaning contribution still remains an open research question. Applying a multidimensional semantics framework, the central claim is that non-adverbial uses of lá represent use-conditional items. Passing the standard tests suggested in the literature, they thus do not contribute to the truth conditions of an utterance but specify particular use conditions. It is argued that they are felicitously used if a speaker wants to convey illocutionary modification, which pragmatically leads to mitigation or reinforcement effects. Diachronically, substantiated by historical data from the Corpus do Português, use-conditional lá is argued to be a product of a pragmaticalization process that led to so-called pragmatic fission at some point, i.e., to the polysemy of two synchronically available configurations of a truth-conditional and a use-conditional lá. Full article

To date, only 13 studies have described patients with large overlapping deletions of 10p11.2-p12. These individuals shared a common phenotype characterized by intellectual disability, developmental delay, distinct facial dysmorphic features, abnormal behaviour, visual impairment, cardiac malformation, and cryptorchidism in males. Molecular cytogenetic analysis revealed that the deletion in this chromosomal region shares a common smallest region of overlap (SRO) of 80 kb, which contains only the WAC gene (WW-domain-containing adaptor with coiled coil). In this clinical case report, we report a 5-year-old girl, born from non-consanguineous parents, with a 10p11.22p11.21 microdeletion. She presents clinical features that overlap with other patients described in the literature, such as dysmorphic traits, speech delay, and behavioural abnormalities (hyperactivity), even though the WAC gene is not involved in the microdeletion. Our results are the first to highlight that the deletion described here represents a contiguous gene syndrome that is enough to explain the distinct phenotype but partially overlaps with the previous cases reported in the literature, even though the same genes are not involved. In particular, in this study, we speculate about the role of the WAC gene that seems to be associated with normal motor development. In fact, we found that our patient is the only one described in the literature with a large deletion in the 10p11.22p11.21 region without the involvement of the WAC gene deletion, and, interestingly, the patient did not have motor delay. Full article

We propose a multimode fiber laser sensor utilizing PI-SMF (polyimide-coated single mode fiber) for low-error relative humidity (RH) measurement, which is temperature compensated based on FBG. The PI-SMF in the laser cavity is used as a sensing element, and its length varies with humidity and temperature by volume-variation induced strain, which leads to frequency shift of the longitudinal mode beat frequency signal (BFS). When the 2000 MHz BFS is selected as the sensing signal, a RH sensitivity of −2.68 kHz/%RH and a temperature sensitivity of −14.05 kHz/°C are achieved. The peak shift of the FBG-based laser emission spectrum is only sensitive to temperature rather than RH with a temperature sensitivity of 9.95 pm/°C, which is used as the temperature compensation for RH measurements. By monitoring the response of the BFS and the laser wavelength, the cross-sensitivity effect of RH and temperature is overcome, and low-error RH measurement in the temperature range of 20 to 65 °C is realized with errors within ±0.67 %RH (25 to 85 %RH). The scheme does not require the design and production of complex structures and hygroscopic material coating processes, owning the advantages of simple structure, easy operation and high accuracy, and is expected to be practically applied in food safety and environmental monitoring. Full article

Grasslands differ in many types depending on the diversity of climatic conditions and substrates. Due to the great wealth of species found in semi-natural grasslands, they conserve an essential part of the biodiversity of the European Union (EEC 43/92), defined as habitats of community interest. Using the region of Calabria (southern Italy) as a case study, this study aims to evaluate how species assemblages and a set of indicators applied to them can be used to analyse and characterize the diversity, ecological features and conservation status of grassland habitats. Vegetation analysis was carried out using the phytosociological method, and habitat ecological characteristics were defined by Ellenberg’s ecological indicator adapted to the Italian flora. Multivariate analysis of the surveys by means of cluster analysis and Principal Components Analysis (PCA) made it possible to define eight habitat groups according to EEC Directive 43/92: 6110 Rocky or basophilous calcareous grasslands of the Alysso-Sedion albi, 6170 Alpine and subalpine calcareous grasslands, 6220*a Pseudo-steppe with grasses and annuals of the Thero-Brachypodietea dominated by a Lygeum spartum, 6220*b Pseudo-steppe with grasses and annuals of the Thero-Brachypodietea dominated by Hyparrhenia hirta, 6210* Semi-natural dry grasslands and scrub facies on calcareous substrates (Festuco-Bromometalia) (*important orchid sites), 6230* Species-rich Nardus grasslands, on siliceous substrates in mountain areas (and submountain areas, in Continental Europe), 6410 Molinia meadows on calcareous, peaty or clayey-siltladen soils (Molinion caeruleae), 6420 Mediterranean tall humid herb grasslands of the Molinio-Holoschoenion, 6430 Hydrophilous tall herb fringe communities of plains and of the montane to alpine levels. Temperature (T) and oisture (U) are the most statistically significant ecological factors in differentiating different habitat types. Analysis of diversity, assessed through Shannon and Evenness indices, showed that it is strongly correlated with habitat diversity as soil moisture increases. The study of ecological characteristics, correlated with biodiversity indices, helps to characterize grassland habitats, providing guidance for the implementation of active conservation policies for these habitats. Full article

The increased volume of images and galaxies surveyed by recent and upcoming projects consolidates the need for accurate and scalable automated AI-driven classification methods. This paper proposes a new algorithm based on a custom neural network architecture for classifying galaxies from deep space surveys. The convolutional neural network (CNN) presented is trained using 10,000 galaxy images obtained from the Galaxy Zoo 2 dataset. It is designed to categorize galaxies into five distinct classes: completely round smooth, in-between smooth (falling between completely round and cigar-shaped), cigar-shaped smooth, edge-on, and spiral. The performance of the proposed CNN is assessed using a set of metrics such as accuracy, precision, recall, F1 score, and area under the curve. We compare our solution with well-known architectures like ResNet-50, DenseNet, EfficientNet, Inception, MobileNet, and one proposed model for galaxy classification found in the recent literature. The results show an accuracy rate of 96.83%, outperforming existing algorithms. Full article

Background: Evidence on the association between environmental factors and fluid intake behavior remains limited. The current study aims to explore seasonal variations in fluid intake behaviors among young adults in China. Methods: A prospective cohort of 79 healthy young adults (43 males and 36 females) aged 19–21 in Hebei, China, was assessed for fluid intake behaviors for four seasons. For each assessment, the participants’ anthropometric measurements were collected. Temperature and humidity on survey days were measured. Participants’ total drinking fluid (TDF) was recorded using a self-administrative 7 d, 24 h fluid intake questionnaire. To calculate water from food (WFF), we weighed all foods consumed by participants. Duplicates of consumed food samples were collected to measure the water content via the drying method. Results: The mean total water intake (TWI) was 2761 ± 881, 2551 ± 845, 2210 ± 551, and 1989 ± 579 for spring, summer, fall, and winter, respectively (F(2.37) = 42.29, p < 0.001). The volume and proportion of TWI from TDF and WFF varied across the four seasons. The volume of WFF in spring (1361 ± 281, F(2.61) = 17.21, p < 0.001) and TDF in summer (1218 ± 502, F(2.62) = 9.36, p < 0.001) was among the highest, while participants’ fluid intake behaviors in spring and summer were less distinct than the other pairwise comparisons. A moderate association was found between outdoor temperature and TDF (r = 0.53, p < 0.01). Different general estimating equations suggested that gender, seasonality, outdoor temperature, differences in indoor and outdoor temperature, and mean temperature were independent factors of TDF. An interactive effect was found for gender and temperature, showing that the expected TDF of males may increase more as the temperature climbs. Conclusions: Gender, seasonality, and air temperature could significantly affect fluid intake behaviors, including the amount and type of fluid intake. However, the independent effect of BMI and humidity remains unclear. Full article

All types of sports are potential application scenarios for automatic and real-time visual object and event detection. In rink hockey, the popular roller skate variant of team hockey, it is of great interest to automatically track player movements, positions, and sticks, and also to make other judgments, such as being able to locate the ball. In this work, we present a real-time pipeline consisting of an object detection model specifically designed for rink hockey games, followed by a knowledge-based event detection module. Even in the presence of occlusions and fast movements, our deep learning object detection model effectively identifies and tracks important visual elements in real time, such as: ball, players, sticks, referees, crowd, goalkeeper, and goal. Using a curated dataset consisting of a collection of rink hockey videos containing 2525 annotated frames, we trained and evaluated the algorithm’s performance and compared it to state-of-the-art object detection techniques. Our object detection model, based on YOLOv7, presents a global accuracy of 80% and, according to our results, good performance in terms of accuracy and speed, making it a good choice for rink hockey applications. In our initial tests, the event detection module successfully detected an important event type in rink hockey games, namely, the occurrence of penalties. Full article

Changes in the hydrologic regime impose great challenges for grain production. We investigated the impact of dry and wet extremes on the recent losses of crops in Severo-Kazakhstanskaya Oblast (SKO), where 25% of Kazakhstan’s wheat is produced. We reconstructed the Palmer Drought Severity Index (June–August PDSI) and average grain yields (with an explained variance of 48% and 44%, respectively) using five tree ring width chronologies. The extended history of the moisture variability and yields of spring wheat, oats, and barley shows the strong impact of hydrology, rather than the heat, on the grain production. We defined three distinctive hydrologic regimes in SKO: (1) 1886–1942, (2) 1943–1977, (3) 1978–2023. The early regime had fewer drought events, including some that covered a single year. Their duration increased up to 3 years in the second period. The latest regime is an extreme mode of hydrologic variability with events abruptly switching from extremely dry to extremely wet conditions (called “whiplash”). The 21st century regime signifies that the intensified and prolonged decade-long drought transitioned into pluvial condition. The new regime created sizable instability for grain producers. This crop yield reconstruction denotes the potential of the tree-ring proxy for understanding the impact of climate change on the agriculture and food security of Central Asia. Full article

The chemical stability of azithromycin (AZM) may be compromised depending on the imposed thermo-oxidative conditions. This report addresses evidence of this process under varying conditions of temperature (20–80 °C), exposure time to UV radiation (1–3 h irradiation at 257 nm), and air saturation (1–3 h saturation with atmospheric air at 1.2 L min⁻¹ and 15 kPa) through electrochemical measurements performed with a thermoactivated cerium molybdate (Ce₂(MoO₄)₃)/multi-walled carbon nanotubes (MWCNT)-based composite electrode. Thermal treatment at 120 °C led to coordinated water elimination in Ce₂(MoO₄)₃, improving its electrocatalytic effect on antibiotic oxidation, while MWCNT were essential to reduce the charge-transfer resistance and promote signal amplification. Theoretical–experimental data revealed remarkable reactivity for the irreversible oxidation of AZM on the working sensor using phosphate buffer (pH = 8) prepared in CH₃OH/H₂O (10:90%, v/v). Highly sensitive (230 nM detection limit) and precise (RSD < 4.0%) measurements were recorded under these conditions. The results also showed that AZM reduces its half-life as the temperature, exposure time to UV radiation, and air saturation increase. This fact reinforces the need for continuous quality control of AZM-based pharmaceuticals, using conditions closer to those observed during their transport and storage, reducing impacts on consumers’ health. Full article

Triboelectric nanogenerators (TENGs) have emerged as viable micro power sources for an array of applications. Since their inception in 2012, TENGs have been the subject of significant advancements in terms of structural design and the development of friction materials. Despite these advancements, the complexity of their structural designs and the use of costly friction materials hinder their practical application. This study introduces a simplified TENG model utilizing an economical composite film of fullerene carbon soot (FS)-doped polydimethylsiloxane (PDMS) (FS-TENG). It confirms the FS-TENG’s ability to convert mechanical energy into electrical energy, as demonstrated through experimental validation. The generated electricity by the FS-TENG can power devices such as light-emitting diodes (LEDs), digital watches, kitchen timers, and sports stopwatches, highlighting its efficiency. This research enhances the development of TENGs featuring low-cost, streamlined structures for sustainable and autonomous energy sensing applications. Full article

In the existing building stock, typically characterised by a high degree of irregularity, the effects of earthquakes are strongly dependent on the epicentre–structure direction and the angle of incidence of the seismic motion. However, the scientific community has not yet reached a unanimous consensus on the evaluation of the effects of seismic incidence angles. Therefore, this paper conducts an extensive investigation of the international literature on current methods to consider seismic directionality, systematically reviewing more than 80 publications on this topic. Following a brief overview of the problem and an analysis of the initial developments of the multidirectionality concept of seismic input, a state-of-the-art review is presented based on the considered analysis methods, specifically response spectrum analysis, nonlinear static analysis, and nonlinear response history analysis. Moreover, the adoption of multidirectional seismic input in popular codes and standards is presented and discussed. This study provides the first comprehensive synthesis of research on the seismic incidence angles across diverse building typologies, offering crucial insights for future code revisions and highlighting significant gaps in current analytical methods and standards, thereby setting a new direction for subsequent empirical investigations. Specifically, the extensive state-of-the-art review revealed that, until now, the evaluation of the angle of incidence was primarily conducted on existing reinforced concrete buildings with a limited number of storeys, analysed with nonlinear response history analysis. This underscores the need for future research to extensively investigate the impact of the angle of incidence on other types of construction typologies. Full article

This research focuses on 72 approved varieties of colored wheat from different provinces in China. Utilizing coefficients of variation, structural equation models, and correlation analyses, six agronomic traits of colored wheat were comprehensively evaluated, followed by further research on different dwarfing genes in colored wheat. Using the entropy method revealed that among the 72 colored wheat varieties, 10 were suitable for cultivation. Variety 70 was the top-performing variety, with a comprehensive index of 87.15%. In the final established structural equation model, each agronomic trait exhibited a positive direct effect on yield. Notably, plant height, spike length, and flag leaf width had significant impacts on yield, with path coefficients of 0.55, 0.40, and 0.27. Transcriptome analysis and real-time fluorescence quantitative polymerase chain reaction (RT-qPCR) validation were used to identify three dwarfing genes controlling plant height: Rht1, Rht-D1, and Rht8. Subsequent RT-qPCR validation clustering heatmap results indicated that Rht-D1 gene expression increased with the growth of per-acre yield. Rht8 belongs to the semi-dwarf gene category and has a significant positive effect on grain yield. However, the impact of Rht1, as a dwarfing gene, on agronomic traits varies. These research findings provide crucial references for the breeding of new varieties. Full article

As reported by the World Health Organization (WHO), about 10–20% of people have experienced mid- to long-term effects following SARS-CoV-2 infection, collectively referred to as post-COVID-19 condition or long-COVID, including some neurovegetative symptoms. Numerous findings have suggested that the onset of these neurovegetative symptoms upon viral infection may be caused by the production of autoantibodies through molecular mimicry phenomena. Accordingly, we had previously demonstrated that 22 of the human proteins sharing putatively immunogenic peptides with SARS-CoV-2 proteins are expressed in the dorsal motor nucleus and nucleus ambiguous. Therefore, if molecular mimicry occurs following severe forms of COVID-19, there could be transitory or permanent damage in some vagal structures, resulting in a lower vagal tone and all the related clinical signs. We investigated the presence of autoantibodies against two proteins of vagal nuclei sharing a peptide with SARS-CoV-2 spike glycoprotein using an immunoassay test on blood obtained from patients with cardiorespiratory symptoms in patients affected by ongoing symptomatic COVID-19 (long-COVID), subjects vaccinated without a history of SARS-CoV-2 infection, and subjects not vaccinated without a history of SARS-CoV-2 infection. Interestingly, putative autoantibodies were present in both long-COVID-19 and vaccinated groups, opening interesting questions about pathogenic mechanisms of the disease. Full article

The aim of this study was to evaluate the level of knowledge of resident dentists and new graduates regarding the etiology, clinical diagnosis, and treatment of the main medical emergency conditions. The study included a sample of 152 new graduates and residents in the first, second, and third year of training in Prosthodontics and General Dentistry from the Faculty of Dental Medicine in Iasi, Romania. Their level of knowledge and the attitudes were assessed using a questionnaire with 24 questions, divided into four sections. The differences among groups were identified using the chi-square test (p < 0.05). A high level of knowledge was found among the three groups of subjects for the questions regarding the recognition of clinical signs in hypoglycemic crisis (88–100%), in anaphylactic shock (83.3–94.5%), and the treatment of angina pectoris (76.2–84.2%). In contrast, a low level of knowledge was found for the questions regarding pulse evaluation in the case of an emergency (26.3–35.7%), the parameters of normal breathing (28.9–43%), and the treatment of hypoglycemic crisis (27.8–44.8%). The study indicated that the dentists had a moderate understanding of dental office medical emergencies and preferred practical training over theoretical courses. Full article

The densification of solid wood is a well-studied technique that aims to increase the strength and hardness of the material by permanently compressing the wood tissue. To optimise the densification process in this study, a pre-treatment with sodium sulphite was used (delignification). With delignification prior to densification, one achieves higher compression ratios and better mechanical properties compared to densification without pre-treatment. The reactivity of syringyl (dominant in hardwoods) and guaiacyl (dominant in softwoods) lignin towards delignification is different. The influences of this difference on the delignification and densification of softwoods and hardwoods need to be investigated. This study aimed to densify wood after delignification and investigate how variations in chemical composition between coniferous and deciduous species affect the densification process. Scots pine and Eurasian aspen specimens with a similar initial density were investigated to study the influence of the different lignin chemistry in softwoods and hardwoods on the densification process. Both timbers were delignified with sodium sulphite and sodium hydroxide and subsequently densified. While the delignification was twice as efficient in aspen than in pine, the compression ratios were almost identical in both species. The Brinell hardness and compressive strength showed a more significant increase in aspen than in Scots pine; however, one exception was the compressive strength in a radial direction, which increased more effectively in Scots pine. Scanning electron microscopy (SEM) revealed the microstructure of densified aspen and Scots pine, showing the crushing and collapse of the cells. Full article

The aim was to investigate how the congruence of odors and visual objects in virtual reality (VR) affects later memory recall of the objects. Participants (N = 30) interacted with 12 objects in VR. The interaction was varied by odor congruency (i.e., the odor matched the object’s visual appearance, the odor did not match the object’s visual appearance, or the object had no odor); odor quality (i.e., an authentic or a synthetic odor); and interaction type (i.e., participants could look and manipulate or could only look at objects). After interacting with the 12 objects, incidental memory performance was measured with a free recall task. In addition, the participants rated the pleasantness and arousal of the interaction with each object. The results showed that the participants remembered significantly more objects with congruent odors than objects with incongruent odors or odorless objects. Furthermore, interaction with congruent objects was rated significantly more pleasant and relaxed than interaction with incongruent objects. Odor quality and interaction type did not have significant effects on recall or emotional ratings. These results can be utilized in the development of multisensory VR applications. Full article

Allergic conjunctivitis is an allergen-induced immune response secondary to the binding of immunoglobulin-E (IgE) to sensitized mast cells. Approximately 40% of North Americans and 20% of the world’s population are impacted by some form of allergy and it continues to increase in prevalence, especially among children. Specified IgE antibodies can be found in almost all cases of exposure to seasonal or perennial allergens. Activation and degranulation of mast cells lead to increased tear levels of histamine, tryptase, leukotrienes, cytokines, and prostaglandins. The release of these factors initiates the recruitment of inflammatory cells in the conjunctival mucosa, which causes the late-phase reaction. Signs and symptoms of ocular allergies include itching, tearing, chemosis, and hyperemia, which can lead to decreased productivity and poor quality of life. Many treatment options are available to improve symptoms, including, mast cell stabilizers, antihistamines, dual-acting agents, steroids, nonsteroidal anti-inflammatory drugs (NSAIDS), and other off-label treatment modalities. This review article provides an overview of different types of allergic conjunctivitis, its pathology and immunology, and recommended methods of treatment. Full article

Abiraterone acetate (AA) serves as a medication for managing persistent testosterone production in patients with metastatic castration-resistant prostate cancer (mCRPC). However, its efficacy varies among individuals; thus, the identification of biomarkers to predict and follow treatment response is required. In this pilot study, we explored the potential of circulating microRNAs (c-miRNAs) to stratify patients based on their responsiveness to AA. We conducted an analysis of plasma samples obtained from a cohort of 33 mCRPC patients before and after three, six, and nine months of AA treatment. Using miRNA RT-qPCR panels for candidate discovery and TaqMan RT-qPCR for validation, we identified promising miRNA signatures. Our investigation indicated that a signature based on miR-103a-3p and miR-378a-5p effectively discriminates between non-responder and responder patients, while also following the drug’s efficacy over time. Additionally, through in silico analysis, we identified target genes and transcription factors of the two miRNAs, including PTEN and HOXB13, which are known to play roles in AA resistance in mCRPC. In summary, our study highlights two c-miRNAs as potential companion diagnostics of AA in mCRPC patients, offering novel insights for informed decision-making in the treatment of mCRPC. Full article

Myeloid sarcoma, a rare extramedullary manifestation of acute myeloid leukemia (AML), can occur in various anatomic sites but seldom involves the gastrointestinal tract. We report the unusual case of a 49-year-old man with a history of AML who initially presented with abdominal pain and imaging findings suggestive of a paracolic abscess. However, the lesion rapidly progressed to a large descending colon mass with peritoneal involvement over five weeks. Surgical resection and histopathological examination confirmed a diagnosis of myeloid sarcoma. This case highlights the potential of myeloid sarcoma to mimic an inflammatory colonic process at initial presentation prior to manifesting as an overt mass lesion. Although exceedingly rare, myeloid sarcoma should be considered in patients with a history of AML presenting with colon lesions, particularly in those with an aggressive clinical course. Early recognition may expedite appropriate treatment and prevent unnecessary procedures. This report also underscores the importance of correlating imaging findings with clinical history and histopathology findings to establish an accurate diagnosis. Full article