The 2023 MDPI Annual Report has
been released!
 
8 pages, 619 KiB  
Article
Variation in Follow-Up after Radical Cystectomy for Bladder Cancer—An Inventory Roundtable and Literature Review
by Roberto Contieri, Renate Pichler, Francesco del Giudice, Gautier Marcq, Andrea Gallioli, Simone Albisinni, Francesco Soria, David d’Andrea, Wojciech Krajewski, Diego M. Carrion, Andrea Mari, Bas W. G. van Rhijn, Marco Moschini, Benjamin Pradere and Laura S. Mertens
J. Clin. Med. 2024, 13(9), 2637; https://doi.org/10.3390/jcm13092637 (registering DOI) - 30 Apr 2024
Abstract
Background: Follow-up after radical cystectomy (RC) for bladder cancer can be divided into oncological and functional surveillance. It remains unclear how follow-up after RC should ideally be scheduled. The aim of this report was to gain insight into the organization of follow-up after [...] Read more.
Background: Follow-up after radical cystectomy (RC) for bladder cancer can be divided into oncological and functional surveillance. It remains unclear how follow-up after RC should ideally be scheduled. The aim of this report was to gain insight into the organization of follow-up after RC in Europe, for which we conducted a roundtable inventory within the EAU Young Academic Urologists Urothelial Cancer working group. Methods: An inventory semi-structured survey was performed among urologists of the EAU Young Academic Urologists Urothelial Cancer working group to describe the organization of follow-up. The surveys were analyzed using a deductive approach. Similarities and differences in follow-up after RC for bladder cancer were described. Results: The survey included 11 urologists from six different European countries. An institutional follow-up scheme was used by six (55%); three (27%) used a national or international guideline, and two (18%) indicated that there was no defined follow-up scheme. Major divergent aspects included the time points of follow-up, the frequency, and the end of follow-up. Six centers (55%) adopted a risk-adapted follow-up approach tailored to (varying) patient and tumor characteristics. Laboratory tests and CT scans were used in all cases; however, the intensity and frequency varied. Functional follow-up overlapped with oncological follow-up in terms of frequency and duration. Patient-reported outcome measures were only used by two (18%) urologists. Conclusions: Substantial variability exists across European centers regarding the follow-up after RC for bladder cancer. This highlights the need for an international analysis focusing on its organization and content as well as on opportunities to improve patients’ needs during follow-up after RC. Full article
(This article belongs to the Special Issue Clinical Therapeutic Advances in Urological Cancer)
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17 pages, 1120 KiB  
Article
Modeling the Impact of Misinformation on the Transmission Dynamics of COVID-19
by Ziyi Su and Ephraim Agyingi
AppliedMath 2024, 4(2), 544-560; https://doi.org/10.3390/appliedmath4020029 (registering DOI) - 30 Apr 2024
Abstract
The threat posed by the COVID-19 pandemic has been accompanied by an epidemic of misinformation, causing confusion and mistrust among the public. Misinformation about COVID-19 whether intentional or unintentional takes many forms, including conspiracy theories, false treatments, and inaccurate information about the origins [...] Read more.
The threat posed by the COVID-19 pandemic has been accompanied by an epidemic of misinformation, causing confusion and mistrust among the public. Misinformation about COVID-19 whether intentional or unintentional takes many forms, including conspiracy theories, false treatments, and inaccurate information about the origins and spread of the virus. Though the pandemic has brought to light the significant impact of misinformation on public health, mathematical modeling emerged as a valuable tool for understanding the spread of COVID-19 and the impact of public health interventions. However, there has been limited research on the mathematical modeling of the spread of misinformation related to COVID-19. In this paper, we present a mathematical model of the spread of misinformation related to COVID-19. The model highlights the challenges posed by misinformation, in that rather than focusing only on the reproduction number that drives new infections, there is an additional threshold parameter that drives the spread of misinformation. The equilibria of the model are analyzed for both local and global stability, and numerical simulations are presented. We also discuss the model’s potential to develop effective strategies for combating misinformation related to COVID-19. Full article
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11 pages, 3764 KiB  
Article
Enhancing the Uniformity of a Memristor Using a Bilayer Dielectric Structure
by Yulin Liu, Qilai Chen, Yanbo Guo, Bingjie Guo, Gang Liu, Yanchao Liu, Lei He, Yutong Li, Jingyan He and Minghua Tang
Micromachines 2024, 15(5), 605; https://doi.org/10.3390/mi15050605 (registering DOI) - 30 Apr 2024
Abstract
Resistive random access memory (RRAM) holds great promise for in-memory computing, which is considered the most promising strategy for solving the von Neumann bottleneck. However, there are still significant problems in its application due to the non-uniform performance of RRAM devices. In this [...] Read more.
Resistive random access memory (RRAM) holds great promise for in-memory computing, which is considered the most promising strategy for solving the von Neumann bottleneck. However, there are still significant problems in its application due to the non-uniform performance of RRAM devices. In this work, a bilayer dielectric layer memristor was designed based on the difference in the Gibbs free energy of the oxide. We fabricated Au/Ta2O5/HfO2/Ta/Pt (S3) devices with excellent uniformity. Compared with Au/HfO2/Pt (S1) and Au/Ta2O5/Pt (S2) devices, the S3 device has a low reset voltage fluctuation of 2.44%, and the resistive coefficients of variation are 13.12% and 3.84% in HRS and LRS, respectively, over 200 cycles. Otherwise, the bilayer device has better linearity and more conductance states in multi-state regulation. At the same time, we analyze the physical mechanism of the bilayer device and provide a physical model of ion migration. This work provides a new idea for designing and fabricating resistive devices with stable performance. Full article
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20 pages, 4458 KiB  
Article
Beyond the Beach: Multi-Parameter Interpretation of Shore Deterioration in a Caribbean Reef System
by Laura R. de Almeida, S. Valery Ávila-Mosqueda, Edgar Mendoza, Brigitta I. van Tussenbroek and Rodolfo Silva
Diversity 2024, 16(5), 266; https://doi.org/10.3390/d16050266 (registering DOI) - 30 Apr 2024
Abstract
Throughout the Caribbean region, coastal areas are of vital importance for national incomes from the tourism industry. However, accelerated coastal development has impacted the coastal ecosystems, including the beaches, and deterioration of the shore results from cumulative impacts on both marine and coastal [...] Read more.
Throughout the Caribbean region, coastal areas are of vital importance for national incomes from the tourism industry. However, accelerated coastal development has impacted the coastal ecosystems, including the beaches, and deterioration of the shore results from cumulative impacts on both marine and coastal ecosystems. It is essential to identify the areas that need special attention for targeted management plans and actions, especially in areas with high anthropogenic pressure. This research proposes an integrated assessment of the conservation state of shore and coastal ecosystems in the Puerto Morelos National Reef Park (PNAPM) in the Mexican Caribbean, through the spatial monitoring of key parameters. A Geographic Information System (GIS) was employed to analyze the land use on the shore, foredune condition, morphological characteristics of the beaches, shoreline evolution, and the condition of coral reefs and seagrass meadows. The analysis identified the most critical areas in relation to shore deterioration and priority areas for the preservation of ecosystems. The spatial data obtained for the PNAPM can serve as a basis for ongoing shore monitoring, and targeted management actions through the designation of areas that require either preservation or ecosystem restoration practices. This methodology can be applied to other reef systems in the Caribbean. Full article
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19 pages, 2086 KiB  
Article
Sexual Orientation, Health, and Well-Being in Spanish People
by Roberto Matías and M. Pilar Matud
Healthcare 2024, 12(9), 924; https://doi.org/10.3390/healthcare12090924 (registering DOI) - 30 Apr 2024
Abstract
Although several studies have found disparities in health outcomes between heterosexual and lesbian, gay, and bisexual (LGB)-identifying individuals, few studies have focused on subjective well-being and protective factors for health and well-being. The purpose of this work is twofold: (1) to examine the [...] Read more.
Although several studies have found disparities in health outcomes between heterosexual and lesbian, gay, and bisexual (LGB)-identifying individuals, few studies have focused on subjective well-being and protective factors for health and well-being. The purpose of this work is twofold: (1) to examine the relevance of sexual orientation to health and well-being in women and men; (2) to identify protective and risk factors for psychological distress, self-rated health, and well-being for gay men, lesbian women, bisexual women and men, and heterosexual women and men. The sample consisted of 908 women and 586 men from the general Spanish population aged 16–64, half of whom identified themselves as LGB and half as heterosexual. All were assessed using eight questionnaires and inventories. The results showed that differences varied depending on the health indicator considered. In general, bisexuals had the poorest health, with lower self-rated health and lower self-esteem. In all groups, self-esteem was a protective factor against psychological distress and was associated with better health and well-being. To a lesser extent, social support served as a protective factor against psychological distress and was associated with greater well-being in all groups. It is concluded that although sexual orientation is relevant to the health and well-being of individuals, there are differences among sexual minorities, with bisexuals having lower self-esteem than homosexuals. Full article
(This article belongs to the Special Issue Psychology in Sex and Gender)
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26 pages, 4941 KiB  
Article
Constructing the Buddha’s Life in Early Buddhist Monastic Arrangements at Nagarjunakonda
by Young-Jae Kim
Religions 2024, 15(5), 559; https://doi.org/10.3390/rel15050559 (registering DOI) - 30 Apr 2024
Abstract
This study investigates the rationale behind the combination of Buddha mahāstūpas (mahācetiyas) and cetiyas (caityas) within a Buddhist monastery. In integrating a broader intellectual program, the universality of the concept is exemplified, wherein “mahācetiya and cetiya” are combined to symbolize the life of [...] Read more.
This study investigates the rationale behind the combination of Buddha mahāstūpas (mahācetiyas) and cetiyas (caityas) within a Buddhist monastery. In integrating a broader intellectual program, the universality of the concept is exemplified, wherein “mahācetiya and cetiya” are combined to symbolize the life of Buddha through architectural arrangements. Adopting a broader intellectual program grounded in the causality principle signifies an inclination toward universality. These combinations represent sacred places and events in Buddha’s life, from birth to Mahaparinirvana. They encompass significant moments, such as great departures, meditation, enlightenment, and preaching. The synthesis of mahācetiyas and apsidal shrines was a pivotal moment at the site, guided by the Mahāsaṅghika School, representing an innovative invention in the pursuit of narrative framing of Buddha’s biography. Full article
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15 pages, 5025 KiB  
Article
High-Throughput Phenotyping for the Evaluation of Agronomic Potential and Root Quality in Tropical Carrot Using RGB Sensors
by Fernanda Gabriela Teixeira Coelho, Gabriel Mascarenhas Maciel, Ana Carolina Silva Siquieroli, Rodrigo Bezerra de Araújo Gallis, Camila Soares de Oliveira, Ana Luisa Alves Ribeiro and Lucas Medeiros Pereira
Agriculture 2024, 14(5), 710; https://doi.org/10.3390/agriculture14050710 (registering DOI) - 30 Apr 2024
Abstract
The objective of this study was to verify the genetic dissimilarity and validate image phenotyping using RGB (red, green, and blue) sensors in tropical carrot germplasms. The experiment was conducted in the city of Carandaí-MG, Brazil, using 57 tropical carrot entries from Seminis [...] Read more.
The objective of this study was to verify the genetic dissimilarity and validate image phenotyping using RGB (red, green, and blue) sensors in tropical carrot germplasms. The experiment was conducted in the city of Carandaí-MG, Brazil, using 57 tropical carrot entries from Seminis and three commercial entries. The entries were evaluated agronomically and two flights with Remotely Piloted Aircraft (RPA) were conducted. Clustering was performed to validate the existence of genetic variability among the entries using an artificial neural network to produce a Kohonen’s self-organizing map. The genotype–ideotype distance index was used to verify the best entries. Genetic variability among the tropical carrot entries was evidenced by the formation of six groups. The Brightness Index (BI), Primary Colors Hue Index (HI), Overall Hue Index (HUE), Normalized Green Red Difference Index (NGRDI), Soil Color Index (SCI), and Visible Atmospherically Resistant Index (VARI), as well as the calculated areas of marketable, unmarketable, and total roots, were correlated with agronomic characters, including leaf blight severity and root yield. This indicates that tropical carrot materials can be indirectly evaluated via remote sensing. Ten entries were selected using the genotype–ideotype distance (2, 15, 16, 22, 34, 37, 39, 51, 52, and 53), confirming the superiority of the entries. Full article
(This article belongs to the Section Genotype Evaluation and Breeding)
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18 pages, 620 KiB  
Article
The Influence Mechanism of Online Social Network Relationships on Sustainable Entrepreneurial Success
by Xianhuan Chen, Yiming Ma and Yuguang Xie
Sustainability 2024, 16(9), 3755; https://doi.org/10.3390/su16093755 (registering DOI) - 30 Apr 2024
Abstract
Affected by economic uncertainty, the success rate of sustainable entrepreneurship is not optimistic at present. Effectively improving the success rate of sustainable entrepreneurship is of great significance for ensuring and maintaining sustainable development for long-term socioeconomic and environmental sustainability. Based on social network [...] Read more.
Affected by economic uncertainty, the success rate of sustainable entrepreneurship is not optimistic at present. Effectively improving the success rate of sustainable entrepreneurship is of great significance for ensuring and maintaining sustainable development for long-term socioeconomic and environmental sustainability. Based on social network theory, entrepreneurial capital theory, psychological capital theory, and the literature on sustainable entrepreneurship, this study explores the influence mechanism of online social network relationships on sustainable entrepreneurial success from the perspective of those relationships, dividing entrepreneurs’ abilities into an online relationship-building ability and online relationship coordination ability. We used an empirical study with 346 valid questionnaires. The results of a PLS-SEM analysis show that online social network relationships have a significant impact on sustainable entrepreneurial capital, in which online relationship-building capacity has a similar impact on both sustainable entrepreneurial resource integration and acquisition; online relationship-building capacity can positively affect both transactional and interpersonal psychological capital; sustainable entrepreneurial resource integration can be more effective than resource acquisition in promoting sustainable entrepreneurial success through the use of social media; and transactional psychological capital has a more significant impact on sustainable entrepreneurial success than does interpersonal psychological capital. This study provides new insights into how entrepreneurs can fully utilize their online social network relationships to achieve entrepreneurial success. Full article
(This article belongs to the Special Issue Sustainable Entrepreneurship during Economic Uncertainty)
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17 pages, 7237 KiB  
Data Descriptor
A Comprehensive Dataset of the Aerodynamic and Geometric Coefficients of Airfoils in the Public Domain
by Kanak Agarwal, Vedant Vijaykrishnan, Dyutit Mohanty and Manikandan Murugaiah
Data 2024, 9(5), 64; https://doi.org/10.3390/data9050064 (registering DOI) - 30 Apr 2024
Abstract
This study presents an extensive collection of data on the aerodynamic behavior at a low Reynolds number and geometric coefficients for 2900 airfoils obtained through the class shape transformation (CST) method. By employing a verified OpenFOAM-based CFD simulation framework, lift and drag coefficients [...] Read more.
This study presents an extensive collection of data on the aerodynamic behavior at a low Reynolds number and geometric coefficients for 2900 airfoils obtained through the class shape transformation (CST) method. By employing a verified OpenFOAM-based CFD simulation framework, lift and drag coefficients were determined at a Reynolds number of 105. Considering the limited availability of data on low Reynolds number airfoils, this dataset is invaluable for a wide range of applications, including unmanned aerial vehicles (UAVs) and wind turbines. Additionally, the study offers a method for automating CFD simulations that could be applied to obtain aerodynamic coefficients at higher Reynolds numbers. The breadth of this dataset also supports the enhancement and creation of machine learning (ML) models, further advancing research into the aerodynamics of airfoils and lifting surfaces. Full article
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18 pages, 796 KiB  
Review
The Variety of Mechanosensitive Ion Channels in Retinal Neurons
by Ji-Jie Pang
Int. J. Mol. Sci. 2024, 25(9), 4877; https://doi.org/10.3390/ijms25094877 (registering DOI) - 30 Apr 2024
Abstract
Alterations in intraocular and external pressure critically involve the pathogenesis of glaucoma, traumatic retinal injury (TRI), and other retinal disorders, and retinal neurons have been reported to express multiple mechanical-sensitive channels (MSCs) in recent decades. However, the role of MSCs in visual functions [...] Read more.
Alterations in intraocular and external pressure critically involve the pathogenesis of glaucoma, traumatic retinal injury (TRI), and other retinal disorders, and retinal neurons have been reported to express multiple mechanical-sensitive channels (MSCs) in recent decades. However, the role of MSCs in visual functions and pressure-related retinal conditions has been unclear. This review will focus on the variety and functional significance of the MSCs permeable to K+, Na+, and Ca2+, primarily including the big potassium channel (BK); the two-pore domain potassium channels TRAAK and TREK; Piezo; the epithelial sodium channel (ENaC); and the transient receptor potential channels vanilloid TRPV1, TRPV2, and TRPV4 in retinal photoreceptors, bipolar cells, horizontal cells, amacrine cells, and ganglion cells. Most MSCs do not directly mediate visual signals in vertebrate retinas. On the other hand, some studies have shown that MSCs can open in physiological conditions and regulate the activities of retinal neurons. While these data reasonably predict the crossing of visual and mechanical signals, how retinal light pathways deal with endogenous and exogenous mechanical stimulation is uncertain. Full article
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17 pages, 2597 KiB  
Article
Effect of Sugar- and Polyphenol-Rich, Diluted Cloudy Apple Juice on the Intestinal Barrier after Moderate Endurance Exercise and in Ultra-Marathon Runners
by Sarah Valder, Raphaela Staltner, Daniel Alexander Bizjak, Tuba Esatbeyoglu, Volker Herdegen, Magdalena Köpsel, Tihomir Kostov, Ina Bergheim and Patrick Diel
Nutrients 2024, 16(9), 1353; https://doi.org/10.3390/nu16091353 (registering DOI) - 30 Apr 2024
Abstract
Background: Exercise and the consumption of sugars result in a dysfunction of the intestinal barrier (IB). Here, we determined the effect of sugar in a natural matrix on the intestinal barrier after moderate (A) and intensive endurance exercise (B). Method: The IB function [...] Read more.
Background: Exercise and the consumption of sugars result in a dysfunction of the intestinal barrier (IB). Here, we determined the effect of sugar in a natural matrix on the intestinal barrier after moderate (A) and intensive endurance exercise (B). Method: The IB function was determined before (pre) and after running (post), and 120 and 180 min after consuming the drink by measuring serum endotoxin concentrations (lipopolysaccharides—LPS), IL-6, CD14, and i-FABP. In study A, nonspecifically trained participants (n = 24, males and females, age 26 ± 4) ran for one hour at 80% of their individual anaerobic threshold (IAT). After finishing, the runners consumed, in a crossover setup, either 500 mL of water, diluted cloudy apple juice (test drink), or an identical drink (placebo) without the fruit juice matrix (FJM). In study B, the participants (n = 30, males and females, age 50 ± 9) completed an ultra-marathon run, were divided into groups, and consumed one of the above-mentioned drinks. Results: Study A: Exercise resulted in a significant increase in serum LPS, i-FABP, and IL-6, which decreased fast after finishing. No impact of the different drinks on LPS i-FABP, or IL-6 could be observed, but there was an impact on CD14. Study B: The ultra-marathon resulted in a strong increase in serum LPS, which decreased fast after finishing in the water and test drink groups, but not in the placebo group. Conclusions: The consumed drinks did not affect the kinetics of IB regeneration after moderate exercise, but impacted CD14 serum concentrations, indicating possible beneficial effects of the FJM on the immune system. After an ultra-marathon, IB function regenerates very fast. The intake of sugar (placebo) seems to have had a negative impact on IB regeneration, which was diminished by the presence of the FJM. Full article
(This article belongs to the Section Sports Nutrition)
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15 pages, 4531 KiB  
Article
Recycling of Rhenium from Superalloys and Manganese from Spent Batteries to Produce Manganese(II) Perrhenate Dihydrate
by Katarzyna Leszczyńska-Sejda, Arkadiusz Palmowski, Michał Ochmański, Grzegorz Benke, Alicja Grzybek, Szymon Orda, Karolina Goc, Joanna Malarz and Dorota Kopyto
Recycling 2024, 9(3), 36; https://doi.org/10.3390/recycling9030036 (registering DOI) - 30 Apr 2024
Abstract
This work presents the research results on the development of an innovative, hydrometallurgical technology for the production of manganese(II) perrhenate dihydrate from recycled waste. These wastes are scraps of Ni-based superalloys containing Re and scraps of Li–ion batteries containing Mn—specifically, solutions from the [...] Read more.
This work presents the research results on the development of an innovative, hydrometallurgical technology for the production of manganese(II) perrhenate dihydrate from recycled waste. These wastes are scraps of Ni-based superalloys containing Re and scraps of Li–ion batteries containing Mn—specifically, solutions from the leaching of black mass. This work presents the conditions for the production of Mn(ReO4)2·2H2O. Thus, to obtain Mn(ReO4)2·2H2O, manganese(II) oxide was used, precipitated from the solutions obtained after the leaching of black mass from Li–ion batteries scrap and purified from Cu, Fe and Al (pH = 5.2). MnO2 precipitation was carried out at a temperature < 50 °C for 30 min using a stoichiometric amount of KMnO4 in the presence of H2O2. MnO2 precipitated in this way was purified using a 20% H2SO4 solution and then H2O. Purified MnO2 was then added alternately with a 30% H2O2 solution to an aqueous HReO4 solution. The reaction was conducted at room temperature for 30 min to obtain a pH of 6–7. Mn(ReO4)2·2H2O precipitated by evaporating the solution to dryness was purified by recrystallization from H2O with the addition of H2O2 at least twice. Purified Mn(ReO4)2·2H2O was dried at a temperature of 100–110 °C. Using the described procedure, Mn(ReO4)2·2H2O was obtained with a purity of >99.0%. This technology is an example of the green transformation method, taking into account the 6R principles. Full article
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20 pages, 1061 KiB  
Article
Results of a Competency-Based Approach to Prepare General Educators to Effectively Include Students with Disabilities
by Andrea R. Harkins-Brown, Nicholas Gillon and Andrea Schanbacher
Educ. Sci. 2024, 14(5), 475; https://doi.org/10.3390/educsci14050475 (registering DOI) - 30 Apr 2024
Abstract
Research has shown that general educators may lack the competencies to effectively include students with disabilities, thus widening the gaps in outcomes between students with disabilities and their peers. In this study, we outline the development and implementation of a competency-based continuing education [...] Read more.
Research has shown that general educators may lack the competencies to effectively include students with disabilities, thus widening the gaps in outcomes between students with disabilities and their peers. In this study, we outline the development and implementation of a competency-based continuing education program, designed to equip general educators to effectively include students with disabilities (SWDs) and earn special education certification. This paper presents the results of a program evaluation conducted using both validated measures and author-developed instruments. Participants included general education teachers, instructional coaches, and those in similar roles. Results indicated that participants significantly increased their knowledge of professional standards, demonstrated knowledge in high-leverage practices, and showed high levels of self-efficacy to implement inclusive practices. We discuss these results, emphasizing the timeliness of this nontraditional approach and its implications for teacher preparation, research, and policy amid the troubling national special education teacher shortage. Namely, this approach epitomizes a model that allows leaders to strategically utilize their existing workforce to address vacancies in special education and emphasizes that the responsibility to support SWDs rests squarely upon all educators. Full article
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10 pages, 633 KiB  
Communication
Immune-Escape Mutations Are Prevalent among Patients with a Coexistence of HBsAg and Anti-HBs in a Tertiary Liver Center in the United States
by Mukarram Jamat Ali, Pir Ahmed Shah, Khalil Ur Rehman, Satinder Kaur, Vera Holzmayer, Gavin A. Cloherty, Mary C. Kuhns and Daryl T. Y. Lau
Viruses 2024, 16(5), 713; https://doi.org/10.3390/v16050713 (registering DOI) - 30 Apr 2024
Abstract
The concurrent seropositivity of HBsAg and anti-HBs has been described among patients with chronic hepatitis B (CHB), but its prevalence is variable. HBV S-gene mutations can affect the antigenicity of HBsAg. Patients with mutations in the ‘α’ determinant region of the S gene [...] Read more.
The concurrent seropositivity of HBsAg and anti-HBs has been described among patients with chronic hepatitis B (CHB), but its prevalence is variable. HBV S-gene mutations can affect the antigenicity of HBsAg. Patients with mutations in the ‘α’ determinant region of the S gene can develop severe HBV reactivation under immunosuppression. In this study at a tertiary liver center in the United States, we evaluated the frequency and virological characteristics of the HBsAg mutations among CHB patients with the presence of both HBsAg and anti-HBs. In this cohort, 45 (2.1%) of 2178 patients were identified to have a coexistence of HBsAg and anti-HBs, and 24 had available sera for the genome analysis of the Pre-S1, Pre-S2, and S regions. The frequency of mutations in the S gene was significantly higher among those older than 50 years (mean 8.5 vs. 5.4 mutations per subject, p = 0.03). Twelve patients (50%) had mutations in the ‘α‘ determinant region of the S gene. Mutations at amino acid position 126 were most common in eight subjects. Three had a mutation at position 133. Only one patient had a mutation at position 145—the classic vaccine-escape mutation. Despite the universal HBV vaccination program, the vaccine-escape mutant is rare in our cohort of predominantly Asian patients. Full article
(This article belongs to the Special Issue Viral Genetic Variation)
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18 pages, 654 KiB  
Review
Premature Ventricular Contraction-Induced Cardiomyopathy: Contemporary Evidence from Risk Stratification, Pathophysiology, and Management
by Tanawat Attachaipanich, Ben Thiravetyan, Narisara Tribuddharat, Surachat Jaroonpipatkul and Leenhapong Navaravong
J. Clin. Med. 2024, 13(9), 2635; https://doi.org/10.3390/jcm13092635 (registering DOI) - 30 Apr 2024
Abstract
Premature ventricular complexes (PVCs) are commonly encountered problems in clinical settings. The range of symptoms can be from asymptomatic to palpitations, fatigue, or heart failure symptoms. A higher burden of PVCs is a risk factor for development of PVC-induced cardiomyopathy (PIC). Rhythm evaluation [...] Read more.
Premature ventricular complexes (PVCs) are commonly encountered problems in clinical settings. The range of symptoms can be from asymptomatic to palpitations, fatigue, or heart failure symptoms. A higher burden of PVCs is a risk factor for development of PVC-induced cardiomyopathy (PIC). Rhythm evaluation by 12-lead ECG and an ambulatory monitoring device are essential. Currently, several imaging modalities, such as echocardiography and cardiac magnetic resonance imaging, are utilized to evaluate the underlying structure that may be related to PIC. Beta blockers and antiarrhythmic drugs are typically part of the initial management strategy. If these fail, catheter ablation of PVCs is typically the next step. The purpose of this article is to summarize the current evidence/knowledge about PIC. Full article
(This article belongs to the Section Cardiology)
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19 pages, 2826 KiB  
Article
Synbiotic Bacillus megaterium DSM 32963 and n-3 PUFA Salt Composition Elevates Pro-Resolving Lipid Mediator Levels in Healthy Subjects: A Randomized Controlled Study
by Bodo Speckmann, Tanja Wagner, Paul M. Jordan, Oliver Werz, Manfred Wilhelm, Heike tom Dieck and Christiane Schön
Nutrients 2024, 16(9), 1354; https://doi.org/10.3390/nu16091354 (registering DOI) - 30 Apr 2024
Abstract
Beneficial health effects of omega-3 polyunsaturated fatty acids (n-3 PUFA) are partly attributed to specialized pro-resolving mediators (SPMs), which promote inflammation resolution. Strategies to improve n-3 PUFA conversion to SPMs may, therefore, be useful to treat or prevent chronic inflammatory [...] Read more.
Beneficial health effects of omega-3 polyunsaturated fatty acids (n-3 PUFA) are partly attributed to specialized pro-resolving mediators (SPMs), which promote inflammation resolution. Strategies to improve n-3 PUFA conversion to SPMs may, therefore, be useful to treat or prevent chronic inflammatory disorders. Here, we explored a synbiotic strategy to increase circulating SPM precursor levels. Healthy participants (n = 72) received either SynΩ3 (250 mg eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA) lysine salts; two billion CFU Bacillus megaterium; n = 23), placebo (n = 24), or fish oil (300 mg EPA plus DHA; N = 25) capsules daily for 28 days in a randomized, double-blind placebo-controlled parallel 3-group design. Biomarkers were assessed at baseline and after 2 and 28 days of intervention. The primary analysis involved the comparison between SynΩ3 and placebo. In addition, SynΩ3 was compared to fish oil. The synbiotic SynΩ3 comprising Bacillus megaterium DSM 32963 and n-3 PUFA salts significantly increased circulating SPM precursor levels, including 18-hydroxy-eicosapentaenoic acid (18-HEPE) plus 5-HEPE, which was not achieved to this extent by fish oil with a similar n-3 PUFA content. Omega-3 indices were increased slightly by both SynΩ3 and fish oil. These findings suggest reconsidering conventional n-3 PUFA supplementation and testing the effectiveness of SynΩ3 particularly in conditions related to inflammation. Full article
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18 pages, 4508 KiB  
Article
Examining Mechanical Property Differences in Concrete with Natural and Synthetic Fiber Additives
by Walid Fouad Edris, Samy Elbialy, Ayman El-Zohairy, Ashraf Mohamed Soliman, Shymaa M. M. Shawky, Tarek Ibrahim Selouma and Abd Al-Kader A. Al Sayed
J. Compos. Sci. 2024, 8(5), 167; https://doi.org/10.3390/jcs8050167 (registering DOI) - 30 Apr 2024
Abstract
The rapid growth of Natural Fiber Laminate (NFL) innovation is a direct response to environmental challenges, positioning these materials as superior alternatives to synthetic fiber composites. This paper delved into the outcomes of an extensive experimental study investigating the influence of sisal fiber [...] Read more.
The rapid growth of Natural Fiber Laminate (NFL) innovation is a direct response to environmental challenges, positioning these materials as superior alternatives to synthetic fiber composites. This paper delved into the outcomes of an extensive experimental study investigating the influence of sisal fiber (SLF), banana fiber (BF), and glass fiber (GF) on the mechanical and microstructural characteristics of concrete. The water absorption curves were established for sisal fiber concrete (SLFC), banana fiber concrete (BFC), and glass fiber concrete (GFC). Furthermore, Scanning Electron Microscope (SEM) observations were conducted to perform microanalysis and failure analysis of the tested specimens. The results revealed significant improvements in the concrete containing fibers compared to its counterpart in fiber-free concrete. For mixtures with a water-to-binder (W/B) ratio of 0.3, the most optimal mix (GF-30-135) showed improvements in compressive strength, flexural strength, and splitting tensile strengths by 4.13%, 8.93%, and 10.10%, respectively. On the other hand, for W/B of 0.4, mix GF-30-135 showed improvements of 5.05%, 8.55%, and 11.60%, respectively. Furthermore, as the fiber content increased, microscopic analyses revealed a weakening of the bond between the fibers and the rest of the matrix, contributing to the deterioration of the mechanical properties. Full article
(This article belongs to the Section Fiber Composites)
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22 pages, 9834 KiB  
Article
Anticancer Activity of Encapsulated Pearl Millet Polyphenol-Rich Extract against Proliferating and Non-Proliferating Breast Cancer Cells In Vitro
by Latifa Hajri, Anna Lewińska, Iwona Rzeszutek, Bernadetta Oklejewicz, Renata Wojnarowska-Nowak, Agnieszka Krogul-Sobczak, Ewa Szpyrka, Alfredo Aires, Soumaya Ghodbane, Mohamed Ammari and Maciej Wnuk
Cancers 2024, 16(9), 1750; https://doi.org/10.3390/cancers16091750 (registering DOI) - 30 Apr 2024
Abstract
Plant-derived polyphenols are bioactive compounds with potential health-promoting properties including antioxidant, anti-inflammatory, and anticancer activity. However, their beneficial effects and biomedical applications may be limited due to their low bioavailability. In the present study, we have considered a microencapsulation-based drug delivery system to [...] Read more.
Plant-derived polyphenols are bioactive compounds with potential health-promoting properties including antioxidant, anti-inflammatory, and anticancer activity. However, their beneficial effects and biomedical applications may be limited due to their low bioavailability. In the present study, we have considered a microencapsulation-based drug delivery system to investigate the anticancer effects of polyphenol-rich (apigenin, caffeic acid, and luteolin) fractions, extracted from a cereal crop pearl millet (Pennisetum glaucum), using three phenotypically different cellular models of breast cancer in vitro, namely triple negative HCC1806, ER-positive HCC1428, and HER2-positive AU565 cells. Encapsulated polyphenolic extract induced apoptotic cell death in breast cancer cells with different receptor status, whereas it was ineffective against non-tumorigenic MCF10F cells. Encapsulated polyphenolic extract was also found to be cytotoxic against drug-resistant doxorubicin-induced senescent breast cancer cells that were accompanied by increased levels of apoptotic and necrotic markers, cell cycle inhibitor p21 and proinflammatory cytokine IL8. Furthermore, diverse responses to the stimulation with encapsulated polyphenolic extract in senescent breast cancer cells were observed, as in the encapsulated polyphenolic extract-treated non-proliferating AU565 cells, the autophagic pathway, here cytotoxic autophagy, was also induced, as judged by elevated levels of beclin-1 and LC3b. We show for the first time the anti-breast cancer activity of encapsulated polyphenolic extract of pearl millet and postulate that microencapsulation may be a useful approach for potentiating the anticancer effects of phytochemicals with limited bioavailability. Full article
(This article belongs to the Section Cancer Drug Development)
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11 pages, 614 KiB  
Article
Fluoroscopy-Guided Transgluteal Pudendal Nerve Block for Pudendal Neuralgia: A Retrospective Case Series
by Danielle Levin, Daniel Van Florcke, Monika Schmitt, Lucinda Kurzava Kendall, Alopi Patel, Lisa V. Doan and Meera Kirpekar
J. Clin. Med. 2024, 13(9), 2636; https://doi.org/10.3390/jcm13092636 (registering DOI) - 30 Apr 2024
Abstract
Background/Objective: Pudendal neuralgia is a distressing condition that presents with pain in the perineum. While a positive anesthetic pudendal nerve block is one of the essential criteria for diagnosing this condition, this block can also provide a therapeutic effect for those afflicted with [...] Read more.
Background/Objective: Pudendal neuralgia is a distressing condition that presents with pain in the perineum. While a positive anesthetic pudendal nerve block is one of the essential criteria for diagnosing this condition, this block can also provide a therapeutic effect for those afflicted with pudendal neuralgia. There are multiple ways in which a pudendal nerve block can be performed. The objective of this study is to share our results and follow-up of fluoroscopy-guided transgluteal pudendal nerve blocks. Methods: This is a retrospective case series. Included were 101 patients who met four out of the five Nantes criteria (pain in the anatomical territory of the pudendal nerve, pain worsened by sitting, pain that does not wake the patient up at night, and no objective sensory loss on clinical examination) who did not respond to conservative treatment and subsequently underwent a fluoroscopy-guided transgluteal pudendal nerve block. Therapeutic success was defined as a 30% or greater reduction in pain. Success rates were calculated, and the duration over which that success was sustained was recorded. Results: For achieving at least 30% relief of pain, using worst-case analysis, the success rate at two weeks was 49.4% (95% CI: 38.5%, 60.3%). In addition to pain relief, patients experienced other therapeutic benefits, such as reductions in medication use and improvements in activities of daily living. Conclusions: Fluoroscopy-guided transgluteal pudendal nerve block appears to be effective in patients who have pudendal neuralgia that is resistant to conservative therapy, with good short-term success. Full article
(This article belongs to the Special Issue Anesthesia and Pain Management for Women)
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19 pages, 1720 KiB  
Review
piRNA-Guided Transposon Silencing and Response to Stress in Drosophila Germline
by Samantha Ho, William Theurkauf and Nicholas Rice
Viruses 2024, 16(5), 714; https://doi.org/10.3390/v16050714 (registering DOI) - 30 Apr 2024
Abstract
Transposons are integral genome constituents that can be domesticated for host functions, but they also represent a significant threat to genome stability. Transposon silencing is especially critical in the germline, which is dedicated to transmitting inherited genetic material. The small Piwi-interacting RNAs (piRNAs) [...] Read more.
Transposons are integral genome constituents that can be domesticated for host functions, but they also represent a significant threat to genome stability. Transposon silencing is especially critical in the germline, which is dedicated to transmitting inherited genetic material. The small Piwi-interacting RNAs (piRNAs) have a deeply conserved function in transposon silencing in the germline. piRNA biogenesis and function are particularly well understood in Drosophila melanogaster, but some fundamental mechanisms remain elusive and there is growing evidence that the pathway is regulated in response to genotoxic and environmental stress. Here, we review transposon regulation by piRNAs and the piRNA pathway regulation in response to stress, focusing on the Drosophila female germline. Full article
(This article belongs to the Special Issue The Diverse Regulation of Transcription in Endogenous Retroviruses)
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10 pages, 297 KiB  
Article
Effects of Removable Functional Appliances on the Dentoalveolar Unit in Growing Patients
by Filippo Cardarelli, Sara Drago, Luigi Rizzi, Martina Bazzani, Paolo Pesce, Maria Menini and Marco Migliorati
Medicina 2024, 60(5), 746; https://doi.org/10.3390/medicina60050746 (registering DOI) - 30 Apr 2024
Abstract
Background and Objectives: The objective of this retrospective controlled study is to compare class II growing patients who underwent treatment with two different functional appliances: the Fraenkel regulator (FR-2), utilized as the control group, and the elastodontic device “Cranium Occluded Postural Multifunctional Harmonizers” [...] Read more.
Background and Objectives: The objective of this retrospective controlled study is to compare class II growing patients who underwent treatment with two different functional appliances: the Fraenkel regulator (FR-2), utilized as the control group, and the elastodontic device “Cranium Occluded Postural Multifunctional Harmonizers” (AMCOP), utilized as the test group. Materials and Methods: The study sample consisted of 52 patients with class II division I malocclusion (30 males, 22 females, mean age 8.6 ± 1.4 years) who were treated with the two different types of appliances: Group 1 (n = 27, mean age 8 [7.00, 9.00] years, 12 females, 15 males) received treatment with AMCOP, while Group 2 (n = 25, mean age 9.2 years [8.20, 10.00], 10 females, 15 males) received treatment with FR-2. The mean treatment duration for Group 1 was 28.00 [21.50, 38.00] months, while for Group 2 it was 23.70 [17.80, 27.40] months. Cephalometric analyses were performed on lateral cephalograms taken before treatment (T1) and after treatment (T2). Results: Significant intragroup differences were observed over time in Group 1 for 1^/PP. Similarly, significant intragroup differences were observed over time in Group 2 for SNB, ANB, and IMPA. Conclusions: Both treatment modalities resulted in the correction of class II malocclusion with dentoalveolar compensation, although the treatment duration with AMCOP tended to be longer on average. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Oral Health)
16 pages, 2820 KiB  
Review
The Evolving Classification of Meningiomas: Integration of Molecular Discoveries to Inform Patient Care
by S. Joy Trybula, Mark W. Youngblood, Constantine L. Karras, Nikhil K. Murthy, Amy B. Heimberger, Rimas V. Lukas, Sean Sachdev, John A. Kalapurakal, James P. Chandler, Daniel J. Brat, Craig M. Horbinski and Stephen T. Magill
Cancers 2024, 16(9), 1753; https://doi.org/10.3390/cancers16091753 (registering DOI) - 30 Apr 2024
Abstract
Meningioma classification and treatment have evolved over the past eight decades. Since Bailey, Cushing, and Eisenhart’s description of meningiomas in the 1920s and 1930s, there have been continual advances in clinical stratification by histopathology, radiography and, most recently, molecular profiling, to improve prognostication [...] Read more.
Meningioma classification and treatment have evolved over the past eight decades. Since Bailey, Cushing, and Eisenhart’s description of meningiomas in the 1920s and 1930s, there have been continual advances in clinical stratification by histopathology, radiography and, most recently, molecular profiling, to improve prognostication and predict response to therapy. Precise and accurate classification is essential to optimizing management for patients with meningioma, which involves surveillance imaging, surgery, primary or adjuvant radiotherapy, and consideration for clinical trials. Currently, the World Health Organization (WHO) grade, extent of resection (EOR), and patient characteristics are used to guide management. While these have demonstrated reliability, a substantial number of seemingly benign lesions recur, suggesting opportunities for improvement of risk stratification. Furthermore, the role of adjuvant radiotherapy for grade 1 and 2 meningioma remains controversial. Over the last decade, numerous studies investigating the molecular drivers of clinical aggressiveness have been reported, with the identification of molecular markers that carry clinical implications as well as biomarkers of radiotherapy response. Here, we review the historical context of current practices, highlight recent molecular discoveries, and discuss the challenges of translating these findings into clinical practice. Full article
(This article belongs to the Special Issue Molecular Pathology of Brain Tumors)
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26 pages, 4807 KiB  
Review
Progress, Challenges and Opportunities of Electromobility in Mexico
by Lizbeth Salgado-Conrado, Carlos Álvarez-Macías, Rodrigo Loera-Palomo and C. Pamela García-Contreras
Sustainability 2024, 16(9), 3754; https://doi.org/10.3390/su16093754 (registering DOI) - 30 Apr 2024
Abstract
This paper highlights the attempts made by the government to integrate electromobility in Mexico, despite not having a well-defined National Electric Mobility Strategy, and compares the advances, challenges and future opportunities of electromobility with other countries with similar conditions in terms of the [...] Read more.
This paper highlights the attempts made by the government to integrate electromobility in Mexico, despite not having a well-defined National Electric Mobility Strategy, and compares the advances, challenges and future opportunities of electromobility with other countries with similar conditions in terms of the public policy, the evolution of the electric vehicles market, the charging infrastructure, incentives and legal framework, and diffusion channels. The results showed that Mexico has made partial advances in the infrastructure, production and exportation of electric vehicles, consumer incentives and project implementation. However, the country requires strengthening strategies on the economic incentives for the user and industry, homologation of chargers, training of personnel specialised in electric vehicles, handling and destination of batteries, and defining its National Electric Mobility Strategy. As a way forward, our study suggests comparing the electromobility strategies of other countries and understanding the key aspects that might enable the successful introduction of electric vehicles. Full article
(This article belongs to the Topic Advanced Electric Vehicle Technology, 2nd Volume)
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