Protection from nuclear biochemical aerosol and air pollution pays attention to aerosol mass concentration. The concentration of upstream aerosol of the commonly used filtration efficiency detection device for high-efficiency filter materials is low, making it insufficient for detecting the filtration efficiency of high-efficiency filter materials. This study designed and built a set of filtration efficiency detection devices for high-efficiency filter materials based on mass concentration. By adjusting the oil bath temperature, injection pressure, the degree of spiral-separator separation, as well as the number and size of nozzles, we investigated the effects of each condition on the concentration and particle size distribution of aerosol generation. As a result, the oil mist generator of the device can stably generate high-concentration aerosol with a mass concentration of up to 1587.9 mg/m³ and a number concentration of up to 10⁷–10⁸ P/cm³. The high-concentration aerosol generated can meet the E11–U15 filter material performance requirements. Full article

This study reports on the magnetic hardening phenomenon of heavily helium ion-irradiated iron–chromium alloys. The alloys are important structural materials in next-generation nuclear reactors. In some cases, problems may arise when the magnetic properties of the materials change due to neutron irradiation. Therefore, it is necessary to understand the effects of irradiation on magnetism. Helium irradiation was conducted as a simulated irradiation, and the effect of cavity formation on magnetic properties was thoroughly investigated. High-quality single-crystal Fe-x%Cr (x = 0, 10, 20) films, with a thickness of 180–200 nm, were fabricated through ultra-high vacuum evaporation. Subsequently, irradiation of 19 dpa with 30 keV He⁺ ions was conducted at room temperature. X-ray diffraction measurements and electron microscopy observations confirmed significant lattice expansion and the formation of high-density cavities after irradiation. The magnetization curve of pure iron remained unchanged, while magnetic hardening was noticed in iron–chromium alloys. This phenomenon is believed to be due to the combined effect of cavity formation and changes in the atomic arrangement of chromium. Full article

The biflavonoid extraction from ginkgo (Ginkgo biloba L.) leaves using solvent-based extraction with 70% ethanol, alone and in combination with enzyme-assisted, ultrasound-assisted, mechanical-assisted, and chemically assisted methods was investigated and the influence of extraction duration was explored. The total content of polyphenols, flavonoids, and phenolic acids in the extracts was determined spectrophotometrically, while individual biflavonoids were identified and quantified using HPLC-DAD. Amentoflavone, bilobetin, ginkgetin, isoginkgetin, and sciadopitysin were identified in all our extracts. Among these, sciadopitysin emerged as the most prevalent biflavonoid with an amount above 1 mg g⁻¹ dw, followed by isoginkgetin. Comparative analysis of the extraction methods revealed that, except for chemically assisted extraction, similar levels of compounds were obtained after 45 min of extraction. However, enzymatic (EAE) and mechanical-assisted extraction (MAE) exhibited significantly higher individual (EAE: 19–41% higher; MAE: 22–67% higher) and total biflavonoid (EAE: 29% higher; MAE 50% higher) levels after just 5 min, suggesting their potential to abbreviate extraction duration and facilitate the efficient retrieval of target compounds. However, as extraction efficiency varies between individual biflavonoids, our findings also underscore the importance of considering specific compounds and extraction kinetics in the optimization of ginkgo leaf extraction processes. Full article

The purpose of this study is to clarify the role of IL-33 in the immune response to angiostrongyliasis, especially in terms of antibody production and isotype switching. In our experiment, C57BL/6 mice were each infected with 35 infectious larvae and were divided into groups that received an intraperitoneal injection of IL-33, anti-IL-33 monoclonal antibody (mAb), or anti-ST2 mAb 3 days post-infection (dpi) and were subsequently administered booster shots at 5-day intervals with the same dose. Serum samples from each group were collected weekly for ELISA assays. The levels of total IgG, IgG1, and IgG3 were significantly increased in A. cantonensis-infected mice that were treated with IL-33, and the levels decreased significantly in infected groups treated with anti-IL-33 or anti-ST2 mAb. These results suggest that IL-33 may play a critical role in the pathogenesis of human angiostrongyliasis and could be useful for understanding protective immunity against this parasitic infection. Full article

In the context of the digital evolution of the logistics industry, the interconnection of logistics information systems and associated data have become an obstacle of business collaboration among various stakeholders. A critical challenge in this domain is ensuring controllable access to logistics business data, given the industry’s current state characterized by independence, autonomy, disconnection, and heterogeneity, alongside the non-negotiable requirement for data privacy. We propose a novel model of trusted data access control based on of logistics business collaboration semantics. This approach incorporates semantic inference technologies into attribute-based access control mechanisms, thereby enabling the streamlined formulation of access control policies and facilitating unified authorization and control. Moreover, the method addresses the issue of access control policy management and maintenance at the semantic level. The proposed solution can pave the way for enhanced business collaboration between business entities, and further enable the building of a data exchange service platform within the logistics industry. Full article

The Escherichia coli (E. coli)-based protein synthesis using recombinant elements (PURE) system is a cell-free protein synthesis system reconstituted from purified factors essential for E. coli translation. The PURE system is widely used for basic and synthetic biology applications. One of the major challenges associated with the PURE system is that the protein yield of the system varies depending on the protein. Studies have reported that the efficiency of translation is significantly affected by nucleotide and amino acid sequences, especially in the N-terminal region. Here, we investigated the inherent effect of various N-terminal sequences on protein synthesis using the PURE system. We found that a single amino acid substitution in the N-terminal region significantly altered translation efficiency in the PURE system, especially at low temperatures. This result gives us useful suggestions for the expression of the protein of interest in vitro and in vivo. Full article

A common practice in inventory systems with several customers requiring differentiated service levels is to group them into two or three classes, where a customer class is a group of customers with the same preset service level in terms of product availability. However, there is no evidence that grouping customers into two or three classes is optimal in terms of the ordering policy parameters. This paper studies the effect of the number of customer classes on the inventory level of a single-period inventory system with stochastic demand and individual service-level requirements from multiple customer classes. Using a Sample Average Approximation approach, we formulate computationally tractable multi-class service level models, under responsive and anticipative priority policies in cases of shortage, as mixed integer linear problems (MIPs). The effect of the number of classes on the inventory level is determined using a round-up aggregation scheme; i.e., given a sufficiently large initial number of classes, it is reduced by adding the lower service level classes to the next higher class. We analytically characterize the optimal inventory level under responsive and anticipative priority policies as a function of the initial number of classes and the number of classes grouped based on the round-up aggregation scheme. Under a responsive priority policy, we show that there is an optimal number of classes, while under an anticipative priority policy, the optimal number of classes is equal to the initial number of classes. The effect of free-riders resulting from the round-up aggregation scheme on the optimal inventory level is studied through numerical experiments. Full article

Background/Objective: Cardiac magnetic resonance (CMR) is the reference method for right ventricular (RV) volume and function analysis, but time-consuming manual segmentation and corrections of imperfect automatic segmentations are needed. This study sought to evaluate the applicability of an echocardiographically established truncated cone–rhomboid pyramid formula (CPF) for simplified RV quantification using CMR. Methods: A total of 70 consecutive patients assigned to RV analysis using CMR were included. As standard method, the manual contouring of RV-short axis planes was performed for the measurement of end-diastolic volume (EDV) and end-systolic volume (ESV). Additionally, two linear measurements in four-chamber views were obtained in systole and diastole: basal diameters at the level of tricuspid valve (Dd and Ds) and baso-apical lengths from the center of tricuspid valve to the RV apex (Ld and Ls) were measured for the calculation of RV-EDV = 1.21 × Dd² × Ld and RV-ESV = 1.21 × Ds ² × Ls using CPF. Results: RV volumes using CPF were slightly higher than those using standard CMR analysis (RV-EDV index: 86.2 ± 29.4 mL/m² and RV-ESV index: 51.5 ± 22.5 mL/m² vs. RV-EDV index: 81.7 ± 24.1 mL/m² and RV-ESV index: 44.5 ± 23.2 mL/m²) and RV-EF was lower (RV-EF: 41.1 ± 13.5% vs. 48.4 ± 13.7%). Both methods had a strong correlation of RV volumes (ΔRV-EDV index = −4.5 ± 19.0 mL/m²; r = 0.765, p < 0.0001; ΔRV-ESV index = −7.0 ± 14.4 mL/m²; r = 0.801, p < 0.0001). Conclusions: Calculations of RV volumes and function using CPF assuming the geometrical model of a truncated cone–rhomboid pyramid anatomy of RV is feasible, with a strong correlation to measurements using standard CMR analysis, and only two systolic and diastolic linear measurements in four-chamber views are needed. Full article

This study presents the synthesis and characterization of polyimide (PI-2) films incorporated with spirulina powder for potential biomedical applications. The synthesis of PI-2 was achieved through a two-step polycondensation reaction using N-methyl-2-pyrrolidone (NMP) as the solvent. The incorporation of spirulina was systematically varied to investigate its effects on the structural and surface properties of the hybrid materials. Scanning electron microscopy revealed a tightly bound interface between spirulina and the PI-2 matrix, indicating effective dispersion and strong interfacial adhesion. Profilometry and Raman spectroscopy confirmed the homogeneous integration of spirulina within the polymer matrix, with resulting variations in surface roughness and chemistry. Contact angle measurements demonstrated altered wettability characteristics, with increased hydrophilicity observed with spirulina incorporation. Furthermore, blood component interaction studies indicated the variations in adhesion behavior observed for red blood cells, platelets, and plasma proteins. Water uptake studies revealed enhanced absorption capacity in PI-2 films loaded with spirulina, highlighting their potential suitability for applications requiring controlled hydration. Overall, this comprehensive characterization elucidates the potential of PI-2/spirulina hybrid materials for diverse biomedical applications, offering tunable properties that can be tailored to specific requirements. Full article

This paper intends to make an important contribution to the studies of religious utopianism by considering religions as comprehensive utopian systems which have an ontological and a social utopian mode. It argues that the ontological mode/utopia is related to human finality and that its fantastical content, abstractness and ontological Othering undermine the transformative powers of left religious social utopianism, while it encourages pernicious social Othering in religious fundamentalism. The article has four sections. In Section 1, it clarifies the definition of utopia on which the paper relies and the reasons for this particular choice. Section 2 discusses the religious ontological utopia and religions as utopian systems and utopian programs. Section 3 utilises E. Bloch’s considerations about concrete and abstract utopias to explain the reasons for the incapacity of politically left orientated religious utopianism to function as a revolutionary force. Finally, the Section 4 discusses the way religious fundamentalism employs social Othering as a way of defending the universality of its ontological vision against competing religious and pseudo-religious universals. Full article

The diagnosis of osteoarthritis (OA) is based on radiological changes that are delayed, along with clinical symptoms. Early and very early diagnosis at the stage of molecular pathology may eventually offer an opportunity for early therapeutic intervention that may retard and prevent future damage. Cartilage oligomeric matrix protein (COMP) is a non-collagenous extracellular matrix protein that promotes the secretion and aggregation of collagen and contributes to the stability of the extracellular matrix. There are contradictory literature data and currently, the parameter is used only for scientific purposes and its significance is not well-determined. The serum level of COMP in patients with metabolic type OA of the knee has not been evaluated. The aim of the study was to analyze serum COMP levels in metabolic knee OA and controls with different BMI. Our results showed that the mean COMP values were significantly higher in the control group (1518.69 ± 232.76 ng/mL) compared to the knee OA patients (1294.58 ± 360.77 ng/mL) (p = 0.0012). This may be related to the smaller cartilage volume in OA patients. Additionally, COMP levels negatively correlated with disease duration (p = 0.04). The COMP level in knee OA with BMI below 30 kg/m² (n = 61, 1304.50 ± 350.60 ng/mL) was higher compared to cases with BMI ≥ 30 kg/m² (n = 76, 1286.63 ± 370.86 ng/mL), but the difference was not significant (p = 0.68). Whether this finding is related to specific features in the evolution of the metabolic type of knee OA remains to be determined. Interestingly, comparison of COMP levels in the controls with different BMI revealed significantly higher values in overweight and obese individuals (1618.36 ± 203.76 ng/mL in controls with BMI ≥ 25 kg/m², n = 18, 1406.61 ± 216.41 ng/mL, n = 16; p = 0.0092). Whether this finding is associated with increased expression of COMP in the adipose tissue or with more intensive cartilage metabolism in relation to higher biomechanical overload in obese patients, considering the earlier development of metabolic type knee OA as an isolated finding, remains to be determined. Full article

Antibiotic resistance is a global health crisis. Notably, carbapenem-resistant Enterobacterales (CRE) pose a significant clinical challenge due to the limited effective treatment options. This problem is exacerbated by persisters that develop upon antibiotic exposure. Bacteria persisters can tolerate high antibiotic doses and can cause recalcitrant infections, potentially developing further antibiotic resistance. Iron is a critical micronutrient for survival. We aimed to evaluate the utility of iron chelators, alone and in combination with antibiotics, in managing persisters. We hypothesized that iron chelators eradicate CRE persisters in vitro, when administered in combination with antibiotics. Our screening revealed three clinical isolates with bacteria persisters that resuscitated upon antibiotic removal. These isolates were treated with both meropenem and an iron chelator (deferoxamine mesylate, deferiprone or dexrazoxane) over 24 h. Against our hypothesis, bacteria persisters survived and resuscitated upon withdrawing both the antibiotic and iron chelator. Pursuing our aim, we next hypothesized that iron chelation is feasible as a post-antibiotic treatment in managing and suppressing persisters’ resuscitation. We exposed bacteria persisters to an iron chelator without antibiotics. Flow cytometric assessments revealed that iron chelators are inconsistent in suppressing persister resuscitation. Collectively, these results suggest that the iron chelation strategy may not be useful as an antibiotic adjunct to target planktonic bacteria persisters. Full article

In this study, we develop an Atmospheric Motion Vector (AMV)-based method for retrieving wind vectors using 183.31 GHz water-vapor absorption channels. The method involves tracking water-vapor features from image triplets and subsequently deriving wind fields from motion vectors. The height of the derived wind for each channel is determined by calculating the weighing function peak using monthly averaged ERA5 reanalysis data. By utilizing Microwave Humidity Sounder-II (MWHS-II) brightness temperatures from the five channels centered around 183.31 GHz, wind vectors are retrieved within the Arctic region for the entire year of 2022. The retrieval quality is evaluated through comparative analysis with ERA5 reanalysis data and the Visible Infrared Imaging Radiometer Suite (VIIRS) wind product. The resultant vector root mean square errors (RMSEs) are approximately 4.5 m/s for the three lower-height channels and 5.5 m/s for the two upper-height channels. These findings demonstrate a wind retrieval performance comparable to the existing methods, highlighting its potential for augmenting wind availability at lower height levels. Full article

Background: Thoracic duct ligation (TDL) during esophagectomy has been proposed to reduce the risk of postoperative chylothorax. Because of its role in immunoregulation, some authors argued that it had an unfavorable TDL effect on survival. The aim of this study was to analyze the effect of TDL on overall survival (OS). Methods: PubMed, MEDLINE, Scopus, and Web of Science were searched through December 2023. The primary outcome was 5-year OS. The restricted mean survival time difference (RMSTD), hazard ratios (HRs), and 95% confidence intervals (CI) were used as pooled effect size measures. The GRADE methodology was used to summarize the certainty of the evidence. Results: Five studies (3291 patients) were included. TDL was reported in 54% patients. The patients’ age ranged from 49 to 69, 76% were males, and BMI ranged from 18 to 26. At the 5-year follow-up, the combined effect from the multivariate meta-analysis is -3.5 months (95% CI −6.1, −0.8) indicating that patients undergoing TDL lived 3.5 months less compared to those without TDL. TDL was associated with a significantly higher hazard for mortality at 12 months (HR 1.54, 95% CI 1.38–1.73), 24 months (HR 1.21, 95% CI 1.12–1.35), and 28 months (HR 1.14, 95% CI 1.02–1.28). TDL and noTDL seem comparable in terms of the postoperative risk for chylothorax (RR = 0.66; p = 0.35). Conclusions: In this study, concurrent TDL was associated with reduced 5-year OS after esophagectomy. This may suggest the need of a rigorous follow-up within the first two years of follow-up. Full article

Background: Recent reports on the national temporal trends of sepsis-related mortality in the United States (US) suggested improvement of outcomes in several race and ethnicity groups. However, it is unknown whether national data reflect state-level trajectories. Methods: We used the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research Multiple Cause of Death data set to identify all decedents with sepsis in the US during 2010–2019. Negative binomial regression models were fit to estimate national and state-level trends of age-adjusted sepsis-related mortality rates within race and ethnicity groups. Results: There were 1,852,610 sepsis-related deaths in the US during 2010–2019. Nationally, sepsis-related mortality rates decreased among Blacks and Asians, were unchanged among Hispanics and Native Americans, and rose among Whites. The percent of states with similar trends were 30.0% among Blacks, 32.1% among Asians, 74.3% among Hispanics, 75.0% among Native Americans, and 66.7%% among Whites, while trending in opposite direction from 3.6% among Asians to 15.0% among Blacks. Conclusions: National trends in sepsis-related mortality in the US did not represent state-level trajectories in race ethnicity groups. Gains in sepsis outcomes among race and ethnicity groups at the national level were not shared equitably at the state level. Full article

Gardasil 4, a human papilloma virus vaccine, has been shown to protect against various cancers, including cervical cancer. Common side effects include injection site pain, fever, headaches, and muscle aches. In some individuals, the severe side effect of postural orthostatic tachycardia syndrome (POTS) has been reported. POTS is characterized by the abnormal response of lightheadedness, blurry vision, and dizziness while transitioning to an upright posture. POTS predominately affects women, with more than eighty-five (85) percent of POTS patients being female. POTS, on average, takes five years and eleven months to receive diagnosis. Additionally, a strong association between POTS and Ehlers–Danlos Syndrome Type III (EDS) exists. Eighty (80) percent of patients with EDS have POTS. This severe side effect indicates that providers need to be aware of this strong association of HPV vaccinations and POTS. In this report, we will present a case of a young women with a past medical history significant for EDS type III who was diagnosed with POTS after receiving Gardasil 4 vaccination. This case demonstrates the need for physicians to be aware of the association of POTS with EDS type III and HPV vaccination. Physician awareness of the associations, signs, and symptoms of POTS and earlier testing at the first presentation of signs and symptoms will limit the negative impact on patient’s quality of life. Full article

A series of COMSOL numerical models were developed to explore how confining pressure impacts the microscopic structure and hydraulic conductivity of Geosynthetic Clay Liners (GCLs), taking into account the bentonite swelling ratio, mobile porosity, pore size, and tortuosity of the main flow path. The study reveals that the mobile porosity and pore size are critical factors affecting GCL hydraulic conductivity. As confining pressure increases, the transition of mobile water to immobile water occurs, resulting in a reduction in mobile water volume, the narrowing of pore channels, decreased flow velocity, and diminished hydraulic conductivity within the GCL. Mobile porosity undergoes a slight decrease from 0.273 to 0.104, while the ratio of mobile porosity to total porosity in the swelling process decreases significantly from 0.672 to 0.256 across the confining pressure range from 50 kPa to 500 kPa, which indicates a transition of mobile water toward immobile water. The tortuosity of the main flow path shows a slight increase, fluctuating within the range of 1.30 to 1.36, and maintains a value of around 1.34 as the confining pressure rises from 50 kPa to 500 kPa. At 50 kPa confining pressure, the minimum pore width measures 5.2 × 10⁻⁵ mm, with a corresponding hydraulic conductivity of 6.2 × 10⁻¹¹ m/s. With an increase in confining pressure to 300 kPa, this compression leads to a narrower minimum pore width of 1.81 × 10⁻⁵ mm and a decrease in hydraulic conductivity to 5.11 × 10⁻¹² m/s. The six-fold increase in confining pressure reduces hydraulic conductivity by one order of magnitude. A theoretical equation was derived to compute the hydraulic conductivity of GCLs under diverse confining pressure conditions, indicating a linear correlation between the logarithm of hydraulic conductivity and confining pressure, and exhibiting favorable agreement with experimental findings. Full article

Microsatellite Instability (MSI-H) occurs in approximately 15% of non-metastatic colon cancers, influencing patient outcomes positively compared to microsatellite stable (MSS) cancers. This systematic review focuses on the prognostic significance of KRAS, NRAS, and BRAF mutations within MSI-H colon cancer. Through comprehensive searches in databases like MEDLINE, EMBASE, and others until 1 January 2024, we selected 8 pertinent studies from an initial pool of 1918. These studies, encompassing nine trials and five observational studies involving 13,273 patients, provided insights into disease-free survival (DFS), survival after recurrence, and overall survival. The pooled data suggest that while KRAS and BRAF mutations typically predict poorer outcomes in MSS colorectal cancer, their impact is less pronounced in MSI contexts, with implications varying across different stages of cancer and treatment responses. In particular, adverse effects of these mutations manifest significantly upon recurrence rather than affecting immediate DFS. Our findings confirm the complex interplay between genetic mutations and MSI status, emphasizing the nuanced role of MSI in modifying the prognostic implications of KRAS, NRAS, and BRAF mutations in colon cancer. This review underscores the importance of considering MSI alongside mutational status in the clinical decision-making process, aiming to tailor therapeutic strategies more effectively for colon cancer patients. Full article

Atypical atrial flutter (AFL) can be challenging to ablate, especially when involving dual-loop re-entry. We sought to assess the electroanatomical characteristics of single- and dual-loop AFLs in patients undergoing catheter ablation. Methods: We analyzed 25 non-cavotricuspid isthmus-dependent macro-re-entrant AFL in 19 consecutive patients. Three-dimensional high-density activation mapping was performed, and active re-entry loops were confirmed by entrainment mapping. Results: Of 25 AFLs (24 left, 1 right atrial), 13 (52%) exhibited dual-loop re-entry. The most common circuits included, in 6/13 (46% of dual loops), a perimitral re-entry with a second loop around the right/left pulmonary veins (PV) and, in 6/13 (46%), involved a right PV ostium with a second loop around either a functional conduction block or another PV. Ablation at the common isthmus of dual-loop AFLs and at the critical isthmus of single-loop AFLs terminated the arrhythmia more frequently than ablation at a secondary isthmus of dual-loop AFLs (5/6 (83%) and 8/11 (73%) versus 1/8 (13%), respectively, p = 0.013). Conclusion: More than half of AFLs exhibited a dual-loop re-entrant mechanism. Most critical isthmuses were found at the mitral isthmus, the left atrial roof or right PV ostia. Ablation targeting the common isthmus resulted in a higher termination rate. Full article

Non-small cell lung cancer (NSCLC) is the most common pulmonary malignancy, frequently diagnosed at an advanced stage (III/IV). Patients in the Locally Advanced Stage Subgroup (IIIA) are relatively few, yet compose heterogenic phenotypes, posing a diagnostic and treating challenge, leading to a lack of clinical guidelines regarding the optimal standard of care. Several approaches exist, with a general agreement that a combined oncological and surgical modality approach is required. In this current retrospective descriptive study, patients with operable stage IIIA NSCLC who underwent surgery between 2013 and 2020 were evaluated on several aspects, including the initial diagnosis, neoadjuvant regimens, outcomes of surgical intervention, and overall survival at 2 years and 5 years following treatment. A total of 35 patients had neoadjuvant oncological treatment (mostly chemoradiation therapy) prior to surgery, out of which 28 patients were diagnosed with stage IIIA NSCLC. In post-operative assessment of pathological staging, downstaging was reported in 19 patients, of which 25% of cases were defined as a complete pathological response. The 2-year overall survival rate was 65% and the 5-year overall survival rate was 62%. The main pattern of disease recurrence was distant metastasis. Full article

(1) Background: Epizootic hemorrhagic disease virus (EHDV) and bluetongue virus (BTV) are orbiviruses that cause hemorrhagic disease (HD) with significant economic and population health impacts on domestic livestock and wildlife. In the United States, white-tailed deer (Odocoileus virginianus) are particularly susceptible to these viruses and are a frequent blood meal host for various species of Culicoides biting midges (Diptera: Ceratopogonidae) that transmit orbiviruses. The species of Culicoides that transmit EHDV and BTV vary between regions, and larval habitats can differ widely between vector species. Understanding how midges are distributed across landscapes can inform HD virus transmission risk on a local scale, allowing for improved animal management plans to avoid suspected high-risk areas or target these areas for insecticide control. (2) Methods: We used occupancy modeling to estimate the abundance of gravid (egg-laden) and parous (most likely to transmit the virus) females of two putative vector species, C. stellifer and C. venustus, and one species, C. haematopotus, that was not considered a putative vector. We developed a universal model to determine habitat preferences, then mapped a predicted weekly midge abundance during the HD transmission seasons in 2015 (July–October) and 2016 (May–October) in Florida. (3) Results: We found differences in habitat preferences and spatial distribution between the parous and gravid states for C. haematopotus and C. stellifer. Gravid midges preferred areas close to water on the border of well and poorly drained soil. They also preferred mixed bottomland hardwood habitats, whereas parous midges appeared less selective of habitat. (4) Conclusions: If C. stellifer is confirmed as an EHDV vector in this region, the distinct spatial and abundance patterns between species and physiological states suggest that the HD risk is non-random across the study area. Full article

Focused parathyroidectomy is the preferred surgical method for treating primary hyperparathyroidism (pHPT) sustained by the pre-operatively well-localized parathyroid adenoma. We aimed to compare the effectiveness, safety, and short-term clinical outcome of minimally invasive video-assisted parathyroidectomy (MIVAP) in locoregional anaesthesia (LA) vs. general anaesthesia (GA) by means of propensity score matching (PSM) analysis. Retrospective research of patients who underwent MIVAP between January 2014 and December 2022 was carried out. Patients were divided into two groups based on the anaesthesiologic procedure (LA vs. GA). Overall, 553 patients underwent MIVAP. After PSM, 115 patients in the LA group and 230 patients in the GA group were included. MIVAP under LA was associated with shorter median operative time (16 vs. 35 min, p < 0.001), shorter median operative room occupation time (44 vs. 73 min, p < 0.001), and lesser median post-operative visual analogue scale pain, with comparable post-operative hospital stay and complication rate. MIVAP under LA is a safe and feasible procedure with significant advantages over GA in terms of post-operative pain and operative room occupation time. This last step can finally result in more efficient utilisation of the operative room and the health care system’s resources. Full article