The 2023 MDPI Annual Report has
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29 pages, 9640 KiB  
Systematic Review
RSV Infection in Refugees and Asylum Seekers: A Systematic Review and Meta-Analysis
by Matteo Riccò, Silvia Corrado, Marco Bottazzoli, Federico Marchesi, Renata Gili, Francesco Paolo Bianchi, Emanuela Maria Frisicale, Stefano Guicciardi, Daniel Fiacchini and Silvio Tafuri
Epidemiologia 2024, 5(2), 221-249; https://doi.org/10.3390/epidemiologia5020016 (registering DOI) - 27 May 2024
Abstract
Respiratory diseases, including respiratory syncytial virus (RSV) infections, are common reasons for seeking healthcare among refugees and asylum seekers. A systematic review with meta-analysis was designed to appraise all the available evidence on RSV infections among individuals in refugee camps. Three medical databases [...] Read more.
Respiratory diseases, including respiratory syncytial virus (RSV) infections, are common reasons for seeking healthcare among refugees and asylum seekers. A systematic review with meta-analysis was designed to appraise all the available evidence on RSV infections among individuals in refugee camps. Three medical databases (PubMed, Embase, and Scopus) as well as the preprint repository medRxiv.org were searched for eligible observational studies, and the collected cases were pooled in a random-effects meta-analysis model. Heterogeneity was assessed using the I2 statistics. Funnel plots and a regression analysis were calculated for analyzing reporting bias. Eventually, six studies were retrieved from three areas (Bangladesh, Thailand, and Kenya), with pooled estimates of 129.704 cases per 1000 samples (95% CI 66.393 to 237.986) for RSV compared to 110.287 per 1000 people for influenza A (95% CI 73.186 to 162.889), 136.398 cases per 1000 people (95% CI 84.510 to 212.741) for human adenovirus (HAdV), 69.553 per 1000 people (95% CI 49.802 to 96.343) for parainfluenzavirus (PIFV), and 60.338 per 1000 people (95% CI 31.933 to 111.109) for human metapneumovirus (hMPV). Using influenza A as a reference group, the risk for a positive specimen was greater for RSV (relative risk [RR] 1.514, 95% CI 1.396 to 1.641) and HAdV (RR 1.984, 95% CI 1.834 to 2.146) and lower for influenza B (RR 0.276, 95% CI: 0.239 to 0.319), PIFV (RR: 0.889, 95% CI 0.806 to 0.981), and hMPV (RR 0.594, 95% CI 0.534 to 0.662). In summary, high rates of RSV infections were documented among individuals sheltered in refugee camps, stressing the importance of specifically designed preventive strategies. Full article
(This article belongs to the Special Issue Global Health Epidemiology and Disease Control)
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19 pages, 1111 KiB  
Article
A Robust CoS-PVNet Pose Estimation Network in Complex Scenarios
by Jiu Yong, Xiaomei Lei, Jianwu Dang and Yangping Wang
Electronics 2024, 13(11), 2089; https://doi.org/10.3390/electronics13112089 (registering DOI) - 27 May 2024
Abstract
Object 6D pose estimation, as a key technology in applications such as augmented reality (AR), virtual reality (VR), robotics, and autonomous driving, requires the prediction of the 3D position and 3D pose of objects robustly from complex scene images. However, complex environmental factors [...] Read more.
Object 6D pose estimation, as a key technology in applications such as augmented reality (AR), virtual reality (VR), robotics, and autonomous driving, requires the prediction of the 3D position and 3D pose of objects robustly from complex scene images. However, complex environmental factors such as occlusion, noise, weak texture, and lighting changes may affect the accuracy and robustness of object 6D pose estimation. We propose a robust CoS-PVNet (complex scenarios pixel-wise voting network) pose estimation network for complex scenes. By adding a pixel-weight layer based on the PVNet network, more accurate pixel point vectors are selected, and dilated convolution and adaptive weighting strategies are used to capture local and global contextual information of the input feature map. At the same time, the perspective-n-point localization algorithm is used to accurately locate 2D key points to solve the pose of 6D objects, and then, the transformation relationship matrix of 6D pose projection is solved. The research results indicate that on the LineMod and Occlusion LineMod datasets, CoS-PVNet has high accuracy and can achieve stable and robust 6D pose estimation even in complex scenes. Full article
21 pages, 5224 KiB  
Article
A Study on Predicting the Deviation of Jet Trajectory Falling Point under the Influence of Random Wind
by Hengyu Cheng, Jinsong Zhu, Sining Wang, Ke Yan and Haojie Wang
Sensors 2024, 24(11), 3463; https://doi.org/10.3390/s24113463 (registering DOI) - 27 May 2024
Abstract
As one of the main external factors affecting the fire extinguishing accuracy of sprinkler systems, it is necessary to analyze and study random wind. However, in practical applications, there is little research on the impact of random wind on sprinkler fire extinguishing points. [...] Read more.
As one of the main external factors affecting the fire extinguishing accuracy of sprinkler systems, it is necessary to analyze and study random wind. However, in practical applications, there is little research on the impact of random wind on sprinkler fire extinguishing points. To address this issue, a new random wind acquisition system was constructed in this paper, and a method for predicting jet trajectory falling points in Random Forest (RF) under the influence of random wind was proposed, and compared with the commonly used prediction model Support Vector Machine (SVM). The method in this article reduces the error in the x direction of the 50 m prediction result from 2.11 m to 1.53 m, the error in the y direction from 0.64 m to 0.6 m, and the total mean absolute error (MAE) from 31.3 to 23.5. Simultaneously, predict the falling points of jet trajectory at different distances under the influence of random wind, to demonstrate the feasibility of the proposed method in practical applications. The experimental results show that the system and method proposed in this article can effectively improve the influence of random wind on the falling points of a jet trajectory. In summary, the image acquisition system and error prediction method proposed in this article have many potential applications in fire extinguishing. Full article
(This article belongs to the Section Sensing and Imaging)
18 pages, 3817 KiB  
Article
Effects of Access Cavity Design and Placement Techniques on Mineral Trioxide Aggregate Obturation Quality in Simulated Immature Teeth: A Micro-Computed Tomography Study
by Emine Odabaşı Tezer, Arda Buyuksungur, Berkan Celikten, Pınar Hava Dursun and Fatma Semra Sevimay
Medicina 2024, 60(6), 878; https://doi.org/10.3390/medicina60060878 - 27 May 2024
Abstract
Background and Objectives: In teeth with open apices, performing single session apexification is a challenging treatment due to the difficulty in handling mineral trioxide aggregate (MTA). Minimally invasive approaches in dentistry have also influenced the cavity designs in endodontics. Until now, different techniques [...] Read more.
Background and Objectives: In teeth with open apices, performing single session apexification is a challenging treatment due to the difficulty in handling mineral trioxide aggregate (MTA). Minimally invasive approaches in dentistry have also influenced the cavity designs in endodontics. Until now, different techniques have not been investigated in addition to manual condensation during the process of placing MTA in traditional (TradACs) or conservative (ConsACs) endodontic access cavities. The aim of this in vitro study was to compare and evaluate the obturation quality of MTA apical plugs placed with different techniques in TradACs or ConsACs. Materials and Methods: Sixty upper central teeth were divided into two main groups based on cavity design, and then each main group was further divided into three subgroups according to MTA placement techniques (n = 10): TradAC-manual, TradAC-manual + indirect ultrasonic activation, TradAC-manual + XP-endo Shaper (XPS), ConsAC-manual, ConsAC-manual + indirect ultrasonic activation, and ConsAC-manual + XPS. Subsequently, the porosity percentages in the MTA apical plug were analyzed using micro-computed tomography. The statistical analysis was performed using the Kruskal–Wallis H test and Mann–Whitney U test. Statistical significance was set at p < 0.05. Results: There were differences in volume of porosity percentages (%) according to cavity designs and MTA application techniques (p < 0.05). Except for the XPS group, more porosity was observed in ConsACs compared to TradACs. In TradACs, the significantly lowest open and total porosity was observed in the manual, ultrasonic, and XPS techniques, respectively. In ConsACs, the significantly lowest porosity was observed in the manual, XPS, and ultrasonic techniques, respectively (p < 0.05). Conclusions: In MTA obturation, cavity designs and application techniques had an impact on the MTA porosity. Creating an apical plug in ConsACs may result in more porosity compared to TradACs, especially when manual or indirect ultrasonic activation is preferred. Opting for the manual technique alone may be considered sufficient for controlling porosity for both TradACs and ConsACs. Full article
(This article belongs to the Section Dentistry)
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9 pages, 5511 KiB  
Case Report
Prostate Adenocarcinoma with Signet-Ring Cells and Features of Mucin: A Clinical Case and Literature Review
by Migle Sakalauskaite, Ausra Garnelyte, Ignas Civilka, Audrius Dulskas, Marius Kincius and Ausvydas Patasius
Medicina 2024, 60(6), 877; https://doi.org/10.3390/medicina60060877 - 27 May 2024
Abstract
Introduction: Signet-ring cells are typically associated with mucin-secreting epithelium; thus, they are most commonly found in the gastrointestinal tract, but not exclusively. Primary signet-ring cell carcinoma of the prostate is a rare and poorly differentiated, aggressive acinar adenocarcinoma variant with a grim [...] Read more.
Introduction: Signet-ring cells are typically associated with mucin-secreting epithelium; thus, they are most commonly found in the gastrointestinal tract, but not exclusively. Primary signet-ring cell carcinoma of the prostate is a rare and poorly differentiated, aggressive acinar adenocarcinoma variant with a grim prognosis. Clinical Case: In June of 2023, a 54-year-old Caucasian male presented with a complaint of lower urinary tract obstructive symptoms with occasional macrohematuria, non-specific body aches, and shortness of breath. A prostate specimen obtained in transurethral resection of the prostate was sent for histopathological examination. After a series of extraprostatic diagnostic workups, including fibrogastroduodenoscopy, colonoscopy computed tomography imaging, and immunohistochemical studies, the patient was diagnosed with primary prostatic signet-ring cell adenocarcinoma stage IV. Unfortunately, due to the advanced stage of the disease, PE, and third-degree thrombocytopenia, the patient was not a candidate for chemotherapy and died of cardiopulmonary insufficiency later that week. Discussion: Prostatic signet-ring cell carcinoma accounts for 0.02% of all prostate adenocarcinoma cases. Due to its nature and epidemiology, a diligent extraprostatic investigation has to be carried out. The disease often presents with unremarkable clinical symptoms and variable serum prostate-specific antigen results, which may contribute to its late diagnosis. Inconsistent immunohistochemical findings and an unpredictable response to hormonal treatment together pose both diagnostic and therapeutic challenges that negatively affect the prognosis. Conclusions: This study highlights the importance of a multidisciplinary approach and the need for diagnostic and therapeutic consensus within the research community in search of the primary site of the disease, which may positively influence the prognosis. Full article
(This article belongs to the Section Urology & Nephrology)
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10 pages, 3222 KiB  
Case Report
Palsy of Both the Tibial Nerve and Common Peroneal Nerve Caused by a Ganglion Cyst in the Popliteal Area
by Sang-Heon Lee, Sung-Hwan Kim, Ho-Sung Kim and Hyun-Uk Lee
Medicina 2024, 60(6), 876; https://doi.org/10.3390/medicina60060876 - 27 May 2024
Abstract
A ganglion cyst is a benign mass consisting of high-viscosity mucinous fluid. It can originate from the sheath of a tendon, peripheral nerve, or joint capsule. Compressive neuropathy caused by a ganglion cyst is rarely reported, with the majority of documented cases involving [...] Read more.
A ganglion cyst is a benign mass consisting of high-viscosity mucinous fluid. It can originate from the sheath of a tendon, peripheral nerve, or joint capsule. Compressive neuropathy caused by a ganglion cyst is rarely reported, with the majority of documented cases involving peroneal nerve palsy. To date, cases demonstrating both peroneal and tibial nerve palsies resulting from a ganglion cyst forming on a branch of the sciatic nerve have not been reported. In this paper, we present the case of a 74-year-old man visiting an outpatient clinic complaining of left-sided foot drop and sensory loss in the lower extremity, a lack of strength in his left leg, and a decrease in sensation in the leg for the past month without any history of trauma. Ankle dorsiflexion and great toe extension strength on the left side were Grade I. Ankle plantar flexion and great toe flexion were Grade II. We suspected peroneal and tibial nerve palsy and performed a screening ultrasound, which is inexpensive and rapid. In the operative field, several cysts were discovered, originating at the site where the sciatic nerve splits into peroneal and tibial nerves. After successful surgical decompression and a series of rehabilitation procedures, the patient’s neurological symptoms improved. There was no recurrence. Full article
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11 pages, 7214 KiB  
Article
Selenoprotein-P1 (SEPP1) Expression in Human Proximal Tubule Cells after Ischemia-Reperfusion Injury: An In Vitro Model
by Giuseppe Coppolino, Marilena Celano, Michela Musolino, Mario D’Agostino, Mariateresa Zicarelli, Michele Andreucci, Carmen De Caro, Diego Russo, Emilio Russo and Davide Bolignano
Medicina 2024, 60(6), 875; https://doi.org/10.3390/medicina60060875 - 27 May 2024
Abstract
Background and Objectives: Selenium deficiency represents a risk factor for the occurrence of severe diseases, such as acute kidney injury (AKI). Recently, selenoprotein-p1 (SEPP1), a selenium transporter, mainly released by the liver, has emerged as a promising plasmatic biomarker of AKI as [...] Read more.
Background and Objectives: Selenium deficiency represents a risk factor for the occurrence of severe diseases, such as acute kidney injury (AKI). Recently, selenoprotein-p1 (SEPP1), a selenium transporter, mainly released by the liver, has emerged as a promising plasmatic biomarker of AKI as a consequence of cardio-surgery operations. The aim of the present study was to investigate, on an in vitro model of hypoxia induced in renal tubular cells, HK-2, the effects of sodium selenite (Na2SeO3) and to evaluate the expression of SEPP1 as a marker of injury. Materials and Methods: HK-2 cells were pre-incubated with 100 nM Na2SeO3 for 24 h, and then, treated for 24 h with CoCl2 (500 µM), a chemical hypoxia inducer. The results were derived from an ROS assay, MTT, and Western blot analysis. Results: The pre-treatment determined an increase in cells’ viability and a reduction in reactive oxygen species (ROS), as shown by MTT and the ROS assay. Moreover, by Western blot an increase in SEPP1 expression was observed after hypoxic injury as after adding sodium selenite. Conclusions: Our preliminary results shed light on the possible role of selenium supplementation as a means to prevent oxidative damage and to increase SEPP1 after acute kidney injury. In our in vitro model, SEPP1 emerges as a promising biomarker of kidney injury, although further studies in vivo are necessary to validate our findings. Full article
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8 pages, 13835 KiB  
Case Report
Augmented Reality in Spine Surgery: A Case Study of Atlantoaxial Instrumentation in Os Odontoideum
by Chi-Ruei Li, Yu-Jui Chang, Mao-Shih Lin and Hsi-Kai Tsou
Medicina 2024, 60(6), 874; https://doi.org/10.3390/medicina60060874 - 27 May 2024
Abstract
Despite advancement in surgical innovation, C1-C2 fixation remains challenging due to risks of screw malposition and vertebral artery (VA) injuries. Traditional image-based navigation, while useful, often demands that surgeons frequently shift their attention to external monitors, potentially causing distractions. In this article, we [...] Read more.
Despite advancement in surgical innovation, C1-C2 fixation remains challenging due to risks of screw malposition and vertebral artery (VA) injuries. Traditional image-based navigation, while useful, often demands that surgeons frequently shift their attention to external monitors, potentially causing distractions. In this article, we introduce a microscope-based augmented reality (AR) navigation system that projects both anatomical information and real-time navigation images directly onto the surgical field. In the present case report, we discuss a 37-year-old female who suffered from os odontoideum with C1-C2 subluxation. Employing AR-assisted navigation, the patient underwent the successful posterior instrumentation of C1-C2. The integrated AR system offers direct visualization, potentially minimizing surgical distractions. In our opinion, as AR technology advances, its adoption in surgical practices and education is anticipated to expand. Full article
(This article belongs to the Special Issue Clinical Application of Augmented Reality (AR) in Neurosurgery)
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8 pages, 556 KiB  
Systematic Review
Exploring the Prevalence of Psychiatric Disorders in Otosclerosis Patients: A Systematic Review
by Soroush Farsi, Alexa N. Pearce, Emily Goodman, Siddharth Patel, Deanne King, John Dornhoffer and Robert Saadi
J. Otorhinolaryngol. Hear. Balance Med. 2024, 5(1), 7; https://doi.org/10.3390/ohbm5010007 - 27 May 2024
Abstract
Objective: The primary objective of this research is to conduct a systematic review of the available studies and evidence to determine if there is a significant relationship between otosclerosis and psychiatric disorders. By critically evaluating the existing data, this study aims to provide [...] Read more.
Objective: The primary objective of this research is to conduct a systematic review of the available studies and evidence to determine if there is a significant relationship between otosclerosis and psychiatric disorders. By critically evaluating the existing data, this study aims to provide insights into the potential interplay between these medical conditions. Data Sources: PubMed, Embase, Ebsco, Proquest, and Web of Science Review Methods: PubMed, Embase, Ebsco, Proquest, and Web of Science databases were queried for original English articles from 1950 to 2023. This review was conducted in accordance with the 2020 PRISMA guidelines. The publications were screened by two independent viewers. The Newcastle–Ottawa Scale quality instrument was used to assess the quality of studies. Results: Initially, 153 abstracts were screened for eligibility. After a rigorous selection process, five studies met the criteria, collectively encompassing 262 patients diagnosed with otosclerosis. The reported mean ages ranged from 25 to 52 years. A combined assessment of psychiatric disorder rates among otosclerosis patients revealed a rate of 36%. Depression, anxiety, and schizophrenia were the most common mental illnesses reported in all six studies. One of the studies specifically examined psychiatric disorder rates before and after stapedectomy, revealing a statistically significant decrease in depressive and anxiety-related symptoms following the surgical intervention. Conclusions: This systematic review emphasizes the emerging evidence connecting otosclerosis with psychiatric disorders and underscores the importance of adopting a multidisciplinary approach to assess and manage otosclerosis patients. Full article
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27 pages, 512 KiB  
Article
De-Anonymizing Users across Rating Datasets via Record Linkage and Quasi-Identifier Attacks
by Nicolás Torres and Patricio Olivares
Data 2024, 9(6), 75; https://doi.org/10.3390/data9060075 - 27 May 2024
Abstract
The widespread availability of pseudonymized user datasets has enabled personalized recommendation systems. However, recent studies have shown that users can be de-anonymized by exploiting the uniqueness of their data patterns, raising significant privacy concerns. This paper presents a novel approach that tackles the [...] Read more.
The widespread availability of pseudonymized user datasets has enabled personalized recommendation systems. However, recent studies have shown that users can be de-anonymized by exploiting the uniqueness of their data patterns, raising significant privacy concerns. This paper presents a novel approach that tackles the challenging task of linking user identities across multiple rating datasets from diverse domains, such as movies, books, and music, by leveraging the consistency of users’ rating patterns as high-dimensional quasi-identifiers. The proposed method combines probabilistic record linkage techniques with quasi-identifier attacks, employing the Fellegi–Sunter model to compute the likelihood of two records referring to the same user based on the similarity of their rating vectors. Through extensive experiments on three publicly available rating datasets, we demonstrate the effectiveness of the proposed approach in achieving high precision and recall in cross-dataset de-anonymization tasks, outperforming existing techniques, with F1-scores ranging from 0.72 to 0.79 for pairwise de-anonymization tasks. The novelty of this research lies in the unique integration of record linkage techniques with quasi-identifier attacks, enabling the effective exploitation of the uniqueness of rating patterns as high-dimensional quasi-identifiers to link user identities across diverse datasets, addressing a limitation of existing methodologies. We thoroughly investigate the impact of various factors, including similarity metrics, dataset combinations, data sparsity, and user demographics, on the de-anonymization performance. This work highlights the potential privacy risks associated with the release of anonymized user data across diverse contexts and underscores the critical need for stronger anonymization techniques and tailored privacy-preserving mechanisms for rating datasets and recommender systems. Full article
(This article belongs to the Section Information Systems and Data Management)
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12 pages, 1259 KiB  
Article
The Hemodynamic Changes Induced by Lung Recruitment Maneuver to Predict Fluid Responsiveness in Children during One Lung Ventilation—A Prospective Observational Study
by Ting Liu, Pan He, Jie Hu, Yanting Wang, Yang Shen, Zhezhe Peng and Ying Sun
Children 2024, 11(6), 649; https://doi.org/10.3390/children11060649 - 27 May 2024
Abstract
Background: The prediction of fluid responsiveness in critical patients helps clinicians in decision making to avoid either under- or overloading of fluid. This study was designed to determine whether lung recruitment maneuver (LRM) would have an effect on the predictability of fluid responsiveness [...] Read more.
Background: The prediction of fluid responsiveness in critical patients helps clinicians in decision making to avoid either under- or overloading of fluid. This study was designed to determine whether lung recruitment maneuver (LRM) would have an effect on the predictability of fluid responsiveness by the changes of hemodynamic parameters in pediatric patients who were receiving lung-protective ventilation and one-lung ventilation (OLV). Methods: A total of 34 children, aged 1–6 years old, scheduled for heart surgeries via right thoracotomy were enrolled. Patients were anesthetized and OLV with lung-protection ventilation settings was established, and then, positioned on left lateral decubitus. LRM and volume expansion (VE) were performed in sequence. Heart rate (HR), systolic arterial pressure (SAP), mean arterial pressure (MAP) diastolic arterial pressure (DAP), stroke volume (SV), stroke volume variation (SVV), and pulse pressure variation (PPV) were recorded via an A-line based monitor system at the following time points: before and after LRM (T1 and T2) and before and after VE (T3 and T4). An increase in stroke volume (SV) or mean arterial pressure (MAP) of ≥10% following fluid loading identified fluid responders. The predictability of fluid responsiveness by the changes of SV (ΔSVLRM) and MAP (ΔMAPLRM) after LRM and VE were statistically evaluated by receiver operating characteristic curves [area under the curves (AUC)]. Results: SVs in all patients were significantly decreased after LRM (p < 0.01) and then, increased and returned to baseline after VE (p < 0.01). In total, 16 out of 34 patients who were fluid responders had significantly lower SV after LRM compared to that in fluid non-responders. The area under the receiver operating characteristic curves for ΔSVLRM was 0.828 (95% confidence interval [CI], 0.660 to 0.935; p < 0.001) and it indicated that ΔSVLRM was able to predict the fluid responsiveness of pediatric patients. MAPs in all patients were also decreased significantly after LRM, and 12 of them fell into the category of fluid responders after VE. Statistically, ΔMAPLRM did not predict fluid responsiveness when LRM was considered as an influential factor (p = 0.07). Conclusions: ΔSVLRM, but not ΔMAPLRM, showed great reliability in the prediction of the fluid responsiveness following VE in children during one-lung ventilation with lung-protective settings. Trial registration: ChiCTR2300070690. Full article
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10 pages, 1020 KiB  
Article
Correlation between Obesity and Socioeconomic and Psychological Characteristics of Students Attending Different Rural School Types
by Stephan Gretschel, Annabell Morgner, Cornelia Schindler, Nina Amelie Zierenberg, Henry Kusian, Meike Herkner, Stefan Reinsch, Frank Schoeneich, Edmund A. M. Neugebauer and Ulf Elbelt
Children 2024, 11(6), 648; https://doi.org/10.3390/children11060648 - 27 May 2024
Abstract
We examined the prevalence of obesity in two types of schools—a comprehensive school and a grammar school—in a rural German region of Brandenburg. Methods: In a cross-sectional study, BMI values were measured in 114 students in grades 5, 7, and 10. In addition [...] Read more.
We examined the prevalence of obesity in two types of schools—a comprehensive school and a grammar school—in a rural German region of Brandenburg. Methods: In a cross-sectional study, BMI values were measured in 114 students in grades 5, 7, and 10. In addition to the demographic data, data on nutrition, physical activity, and mental well-being were collected using a questionnaire. Results: A total of 44% (11/25) of the comprehensive school students and 15% (13/89) of the high school students are overweight, and 24% (6/25) of the comprehensive school pupils and 6% (5/89) of the grammar school pupils (p = 0.009) are obese. In addition, 91% (10/11) of the students with obesity, 36% (4/11) of the students with pre-obesity, and 31% (26/84) of the normal-weight students (p = 0.001) are concerned about their weight. Among the children with obesity, 82% (9/11) are afraid of gaining weight. In addition, 6% (5/82) of the normal-weight students, 25% (3/12) of the students with pre-obesity, and 70% (7/10) of the students with obesity feel restricted by their weight when exercising. Conclusion: School attendance and parental socioeconomic status appear to correlate with students’ weight statuses. There is a high level of suffering, and they feel uncomfortable with their bodies and worry about weight regulation. Full article
(This article belongs to the Special Issue Childhood Adiposity: Intervention and Prevention)
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13 pages, 275 KiB  
Article
Clinical Characteristics and Whole Exome Sequencing Analysis in Serbian Cases of Clubfoot Deformity—Single Center Study
by Filip Milanovic, Sinisa Ducic, Milena Jankovic, Sanja Sindjic-Antunovic, Emilija Dubljanin-Raspopović, Milica Aleksic, Goran Djuricic and Dejan Nikolic
Children 2024, 11(6), 647; https://doi.org/10.3390/children11060647 - 27 May 2024
Abstract
Background: Recognized as one of the most serious musculoskeletal deformities, occurring in 1–2 per 1000 newborns, 80% of clubfeet are idiopathic while 20% present with associated malformations. The etiopathogenesis of clubfoot is described as multifactorial, including both genetic and environmental risk factors. The [...] Read more.
Background: Recognized as one of the most serious musculoskeletal deformities, occurring in 1–2 per 1000 newborns, 80% of clubfeet are idiopathic while 20% present with associated malformations. The etiopathogenesis of clubfoot is described as multifactorial, including both genetic and environmental risk factors. The aim of this study was to analyze possible genetic causes of isolated and syndromic clubfoot in Serbian children, as well as to correlate clinical and genetic characteristics that would provide insight into clubfoot etiopathogenesis and possibly contribute to global knowledge about clinical features of different genetically defined disorders. Methods: We evaluated 50 randomly selected, eligible children with clubfoot aged 3 to 16 years that were initially hospitalized and treated at University Children’s Hospital between November 2006 and November 2022. The tested parameters were gender, age, dominant foot, affected foot, degree of deformity, treatment, neuromuscular disorders, positive family history, and maternal smoking. According to the presence of defined genetic mutation/s by whole exome sequencing (WES), patients were separated into two groups: positive (with genetic mutation/s) and negative (without genetic mutation/s). Results: Seven patients were found to be positive, i.e., with genetic mutation/s. A statistically significant difference between categorical variables was found for families with a history of clubfoot, where more than half (57.14%) of patients with confirmed genetic mutation/s also had a family history of genetic mutation/s (p = 0.023). Conclusions: The results from this study further expand the genetic epidemiology of clubfoot. This study contributes to the establishment of genetic diagnostic strategies in pediatric patients with this condition, which can lead to more efficient genetic diagnosis. Full article
11 pages, 727 KiB  
Article
Effectiveness of Learning through Play Plus (LTP Plus) Parenting Intervention on Behaviours of Young Children of Depressed Mothers: A Randomised Controlled Trial
by Nusrat Husain, Rabia Sattar, Tayyeba Kiran, Mina Husain, Suleman Shakoor, Zamir Suhag, Zainab Zadeh, Siham Sikander and Nasim Chaudhry
Children 2024, 11(6), 646; https://doi.org/10.3390/children11060646 - 27 May 2024
Abstract
Evidence has shown that parenting intervention programmes improve parental knowledge, attitudes, and practices, which helps in promoting child development. This study aims to examine the effectiveness of parenting intervention in improving child behaviours. This is a secondary analysis of data from a cluster-randomised [...] Read more.
Evidence has shown that parenting intervention programmes improve parental knowledge, attitudes, and practices, which helps in promoting child development. This study aims to examine the effectiveness of parenting intervention in improving child behaviours. This is a secondary analysis of data from a cluster-randomised controlled trial with depressed mothers aged 18–44 years with a child aged 0 to 36 months. This paper reports findings from the dataset of participants with a child aged between 24 and 36 months. Villages (n = 120) were randomised into either of two arms: learning through play plus (LTP Plus) or treatment as usual (TAU). LTP Plus is a 10-session, group parenting intervention integrated with cognitive behaviour therapy, delivered over 3 months. This secondary analysis reports findings on the Eyberg Child Behaviour Inventory (ECBI) and the Home Observation for Measurement of the Environment (HOME). Findings show a significant improvement in child behaviour (ECBI) scores (p < 0.011) and HOME scores (p < 0.001) in the intervention group compared to TAU at 3-month follow-up. In a low-resource setting, low-cost group parenting intervention delivered by community health workers has the potential to improve child behaviours and quality of the home environment. Parenting interventions aimed at improving child behavioural problems can have significant implications for the child, family, and broader societal outcomes. Addressing behavioural problems in early years, parenting interventions can potentially reduce long-term consequences and costs associated with untreated child behavioural issues. Full article
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17 pages, 1346 KiB  
Article
Effect of the Different Dietary Supplements on the Average Surface Roughness and Color Stability of Direct Restorative Materials Used in Pediatric Dentistry
by Nagehan Aktaş, Yasemin Akın, Cenkhan Bal, Mehmet Bani and Merve Bankoğlu Güngör
Children 2024, 11(6), 645; https://doi.org/10.3390/children11060645 - 27 May 2024
Abstract
Increased surface roughness and discoloration of the direct restorative materials used in pediatric patients affect the longevity of restorations and impair children’s oral health. Many factors can alter these properties. One of these factors is the intake of dietary supplements. It is crucial [...] Read more.
Increased surface roughness and discoloration of the direct restorative materials used in pediatric patients affect the longevity of restorations and impair children’s oral health. Many factors can alter these properties. One of these factors is the intake of dietary supplements. It is crucial to predict the properties of restorative materials when exposed to dietary supplements to maintain the dental care of children. Thus, this study aimed to investigate the effect of various syrup-formed dietary supplements on the average surface roughness and color stability of current restorative materials used in pediatric dentistry. Seven different restorative materials (conventional glass ionomer [Fuji IX GP], resin-modified glass ionomer, [Fuji II LC], zirconia-reinforced glass ionomer [Zirconomer Improved], polyacid-modified composite resin [Dyract®XTRA], bulk-fill glass hybrid restorative [Equia Forte HT Fill], conventional resin composite [Charisma Smart], and resin composite with reactive glass fillers [Cention N]) were tested. The specimens prepared from each type of restorative material were divided into five subgroups according to dietary supplements (Sambucol Kids, Resverol, Imunol, Umca, and Microfer). These specimens were immersed daily in supplement solution over a period of 28 days. Surface roughness and color difference measurements were performed at baseline and at the 7th and 28th days. The color difference and Ra values showed that there was an interaction among the type of restorative material, type of dietary supplement, and immersion time factors (p < 0.05). Whereas lower Ra values were found in the composite resin group, the highest Ra values were found in the conventional glass ionomer group. All supplements caused increasing color difference values, and Resverol and Umca showed higher discoloration values above the clinically acceptable threshold. The intake of dietary supplement type, the immersion time of the dietary supplement, and the restorative material type affected the surface roughness and color stability of the tested direct restorative materials. All of the experimental groups showed higher Ra values than clinically acceptable surface roughness values (0.2 µm). The color difference values also increased with the immersion time. Full article
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10 pages, 218 KiB  
Article
Variations in Perceptions of Well-Being within Families of Youths with Intellectual Disabilities in Saudi Arabia
by Ghaleb H. Alnahdi
Children 2024, 11(6), 644; https://doi.org/10.3390/children11060644 - 27 May 2024
Abstract
This study investigates the family well-being among Saudi Arabian families with youth who have an intellectual disability. A sample of 148 family members, including parents and other relatives, was surveyed on emotional well-being, family interactions, and parenting. This study aimed to explore the [...] Read more.
This study investigates the family well-being among Saudi Arabian families with youth who have an intellectual disability. A sample of 148 family members, including parents and other relatives, was surveyed on emotional well-being, family interactions, and parenting. This study aimed to explore the unique challenges and dynamics within these families, providing insights into how an intellectual disability in a youth affects the family unit. The research highlights a gap in understanding the specific impacts of intellectual disability on family life in the Saudi context. Key findings include variations in family quality of life perceptions among different family members, with fathers showing distinct levels of satisfaction. This study contributes to the development of culturally sensitive support strategies and policies, emphasizing the need for targeted interventions to enhance the well-being of these families in Saudi Arabia. Full article
19 pages, 3842 KiB  
Article
Intelligent Cane for Assisting the Visually Impaired
by Claudiu-Eugen Panazan and Eva-Henrietta Dulf
Technologies 2024, 12(6), 75; https://doi.org/10.3390/technologies12060075 - 27 May 2024
Abstract
Those with visual impairments, including complete blindness or partial sight loss, constitute a significant global population. According to estimates by the World Health Organization (WHO), there are at least 2.2 billion people worldwide who have near or distance vision disorders. Addressing their needs [...] Read more.
Those with visual impairments, including complete blindness or partial sight loss, constitute a significant global population. According to estimates by the World Health Organization (WHO), there are at least 2.2 billion people worldwide who have near or distance vision disorders. Addressing their needs is crucial. Introducing a smart cane tailored for the blind can greatly improve their daily lives. This paper introduces a significant technical innovation, presenting a smart cane equipped with dual ultrasonic sensors for obstacle detection, catering to the visually impaired. The primary focus is on developing a versatile device capable of operating in diverse conditions, ensuring efficient obstacle alerts. The strategic placement of ultrasonic sensors facilitates the emission and measurement of high-frequency sound waves, calculating obstacle distances and assessing potential threats to the user. Addressing various obstacle types, two ultrasonic sensors handle overhead and ground-level barriers, ensuring precise warnings. With a detection range spanning 2 to 400 cm, the device provides timely information for user reaction. Dual alert methods, including vibrations and audio signals, offer flexibility to users, controlled through intuitive switches. Additionally, a Bluetooth-connected mobile app enhances functionality, activating audio alerts if the cane is misplaced or too distant. Cost-effective implementation enhances accessibility, supporting a broader user base. This innovative smart cane not only represents a technical achievement but also significantly improves the quality of life for visually impaired individuals, emphasizing the social impact of technology. The research underscores the importance of technological research in addressing societal challenges and highlights the need for solutions that positively impact vulnerable communities, shaping future directions in research and technological development. Full article
(This article belongs to the Section Assistive Technologies)
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30 pages, 25427 KiB  
Article
Numerical Modeling of Atmospheric Temperature and Stratospheric Ozone Sensitivity to Sea Surface Temperature Variability
by Sergei P. Smyshlyaev, Andrew R. Jakovlev and Vener Ya Galin
Climate 2024, 12(6), 79; https://doi.org/10.3390/cli12060079 - 27 May 2024
Abstract
The results of numerical experiments with a chemistry–climate model of the lower and middle atmosphere are presented to study the sensitivity of the polar stratosphere of the Northern and Southern Hemispheres to sea surface temperature (SST) variability, both as a result of interannual [...] Read more.
The results of numerical experiments with a chemistry–climate model of the lower and middle atmosphere are presented to study the sensitivity of the polar stratosphere of the Northern and Southern Hemispheres to sea surface temperature (SST) variability, both as a result of interannual variability associated with the Southern Oscillation, and because of long-term increases in SST under global warming. An analysis of the results of model experiments showed that for both scenarios of SST changes, the response of the polar stratosphere for the Northern and Southern Hemispheres is very different. In the Arctic, during the El Niño phase, conditions are created for the polar vortex to become less stable, and in the Antarctic, on the contrary, for it to become more stable, which is expressed in a weakening of the zonal wind in the winter in the Arctic and its increase in the Antarctic, followed by a spring decrease in temperature and concentration of ozone in the Antarctic and their increase in the Arctic. Global warming creates a tendency for the polar vortex to weaken in winter in the Arctic and strengthen it in the Antarctic. As a result, in the Antarctic, the concentration of ozone in the polar stratosphere decreases both in winter (June–August) and, especially, in spring (September–November). Global warming may hinder ozone recovery which is expected as a result of the reduced emissions of ozone-depleting substances. The model results demonstrate the dominant influence of Brewer–Dobson circulation variability on temperature and ozone in the polar stratosphere compared with changes in wave activity, both with changes in SST in the Southern Oscillation and with increases in SST due to global warming. Full article
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21 pages, 33960 KiB  
Article
Multiple-Object Grasping Using a Multiple-Suction-Cup Vacuum Gripper in Cluttered Scenes
by Ping Jiang, Junji Oaki, Yoshiyuki Ishihara and Junichiro Ooga
Robotics 2024, 13(6), 85; https://doi.org/10.3390/robotics13060085 - 27 May 2024
Abstract
Multiple-suction-cup grasping can improve the efficiency of bin picking in cluttered scenes. In this paper, we propose a grasp planner for a vacuum gripper to use multiple suction cups to simultaneously grasp multiple objects or an object with a large surface. To take [...] Read more.
Multiple-suction-cup grasping can improve the efficiency of bin picking in cluttered scenes. In this paper, we propose a grasp planner for a vacuum gripper to use multiple suction cups to simultaneously grasp multiple objects or an object with a large surface. To take on the challenge of determining where to grasp and which cups to activate when grasping, we used 3D convolution to convolve the affordable areas inferred by a neural network with the gripper kernel in order to find graspable positions of sampled gripper orientations. The kernel used for 3D convolution in this work was encoded, including cup ID information, which helps to directly determine which cups to activate by decoding the convolution results. Furthermore, a sorting algorithm is proposed to determine the optimal grasp among the candidates. Our planner exhibited good generality and successfully found multiple-cup grasps in previous affordance map datasets. Our planner also exhibited improved picking efficiency using multiple suction cups in physical robot-picking experiments. Compared with single-object (single-cup) grasping, multiple-cup grasping contributed to 1.45×, 1.65×, and 1.16× increases in efficiency for picking boxes, fruits, and daily necessities, respectively. Full article
(This article belongs to the Special Issue Advanced Grasping and Motion Control Solutions, Volume II)
20 pages, 13470 KiB  
Article
Network Pharmacology Analysis of the Potential Pharmacological Mechanism of a Sleep Cocktail
by Yuyun Liang, Yanrong Lv, Jing Qin and Wenbin Deng
Biomolecules 2024, 14(6), 630; https://doi.org/10.3390/biom14060630 - 27 May 2024
Abstract
Insomnia, also known as sleeplessness, is a sleep disorder due to which people have trouble sleeping, followed by daytime sleepiness, low energy, irritability, and a depressed mood. It may result in an increased risk of accidents of all kinds as well as problems [...] Read more.
Insomnia, also known as sleeplessness, is a sleep disorder due to which people have trouble sleeping, followed by daytime sleepiness, low energy, irritability, and a depressed mood. It may result in an increased risk of accidents of all kinds as well as problems focusing and learning. Dietary supplements have become popular products for alleviating insomnia, while the lenient requirements for pre-market research result in unintelligible mechanisms of different combinations of dietary supplements. In this study, we aim to systematically identify the molecular mechanisms of a sleep cocktail’s pharmacological effects based on findings from network pharmacology and molecular docking. A total of 249 targets of the sleep cocktail for the treatment of insomnia were identified and enrichment analysis revealed multiple pathways involved in the nervous system and inflammation. Protein–protein interaction (PPI) network analysis and molecular complex detection (MCODE) analysis yielded 10 hub genes, including AKT1, ADORA1, BCL2, CREB1, IL6, JUN, RELA, STAT3, TNF, and TP53. Results from weighted correlation network analysis (WGCNA) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis of insomnia-related transcriptome data from peripheral blood mononuclear cells (PBMCs) showed that a sleep cocktail may also ease insomnia via regulating the inflammatory response. Molecular docking results reveal good affinity of Sleep Cocktail to 9 selected key targets. It is noteworthy that the crucial target HSP90AA1 binds to melatonin most stably, which was further validated by MD simulation. Full article
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20 pages, 4382 KiB  
Article
Enhancing Selenium Accumulation in Rhodotorula mucilaginosa Strain 6S Using a Proteomic Approach for Aquafeed Development
by Paola Díaz-Navarrete, Alberto Sáez-Arteaga, Luis Marileo, David Alors, David Correa-Galeote and Patricio Dantagnan
Biomolecules 2024, 14(6), 629; https://doi.org/10.3390/biom14060629 - 27 May 2024
Abstract
It is known that selenium (Se) is an essential trace element, important for the growth and other biological functions of fish. One of its most important functions is to contribute to the preservation of certain biological components, such as DNA, proteins, and lipids, [...] Read more.
It is known that selenium (Se) is an essential trace element, important for the growth and other biological functions of fish. One of its most important functions is to contribute to the preservation of certain biological components, such as DNA, proteins, and lipids, providing protection against free radicals resulting from normal metabolism. The objective of this study was to evaluate and optimize selenium accumulation in the native yeast Rhodotorula mucilaginosa 6S. Sodium selenite was evaluated at different concentrations (5–10–15–20–30–40 mg/L). Similarly, the effects of different concentrations of nitrogen sources and pH on cell growth and selenium accumulation in the yeast were analyzed. Subsequently, the best cultivation conditions were scaled up to a 2 L reactor with constant aeration, and the proteome of the yeast cultured with and without sodium selenite was evaluated. The optimal conditions for biomass generation and selenium accumulation were found with ammonium chloride and pH 5.5. Incorporating sodium selenite (30 mg/L) during the exponential phase in the bioreactor after 72 h of cultivation resulted in 10 g/L of biomass, with 0.25 mg total Se/g biomass, composed of 25% proteins, 15% lipids, and 0.850 mg total carotenoids/g biomass. The analysis of the proteomes associated with yeast cultivation with and without selenium revealed a total of 1871 proteins. The results obtained showed that the dynamic changes in the proteome, in response to selenium in the experimental medium, are directly related to catalytic activity and oxidoreductase activity in the yeast. R. mucilaginosa 6S could be an alternative for the generation of selenium-rich biomass with a composition of other nutritional compounds also of interest in aquaculture, such as proteins, lipids, and pigments. Full article
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12 pages, 1208 KiB  
Review
Duckweed: Beyond an Efficient Plant Model System
by Doni Thingujam, Karolina M. Pajerowska-Mukhtar and M. Shahid Mukhtar
Biomolecules 2024, 14(6), 628; https://doi.org/10.3390/biom14060628 - 27 May 2024
Abstract
Duckweed (Lemnaceae) rises as a crucial model system due to its unique characteristics and wide-ranging utility. The significance of physiological research and phytoremediation highlights the intricate potential of duckweed in the current era of plant biology. Special attention to duckweed has [...] Read more.
Duckweed (Lemnaceae) rises as a crucial model system due to its unique characteristics and wide-ranging utility. The significance of physiological research and phytoremediation highlights the intricate potential of duckweed in the current era of plant biology. Special attention to duckweed has been brought due to its distinctive features of nutrient uptake, ion transport dynamics, detoxification, intricate signaling, and stress tolerance. In addition, duckweed can alleviate environmental pollutants and enhance sustainability by participating in bioremediation processes and wastewater treatment. Furthermore, insights into the genomic complexity of Lemnaceae species and the flourishing field of transgenic development highlight the opportunities for genetic manipulation and biotechnological innovations. Novel methods for the germplasm conservation of duckweed can be adopted to preserve genetic diversity for future research endeavors and breeding programs. This review centers around prospects in duckweed research promoting interdisciplinary collaborations and technological advancements to drive its full potential as a model organism. Full article
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14 pages, 6160 KiB  
Article
Energy-Absorption Behavior of Novel Bio-Inspired Thin-Walled Honeycomb Tubes Filled with TPMS Structure
by Jian Song, Qidong Huo, Dongming Li, Bingzhi Chen and Jun Zhang
Coatings 2024, 14(6), 675; https://doi.org/10.3390/coatings14060675 - 27 May 2024
Abstract
The application of bionic structures for the design of energy-absorbing structures has been proposed recently. The rapid advancement of additive manufacturing technology provides technical support for the fabrication of non-traditional structures and further improves the energy-absorbing properties of bionic structures. This work proposes [...] Read more.
The application of bionic structures for the design of energy-absorbing structures has been proposed recently. The rapid advancement of additive manufacturing technology provides technical support for the fabrication of non-traditional structures and further improves the energy-absorbing properties of bionic structures. This work proposes a novel bionic hybrid structure that consists of honeycomb-inspired thin-walled tubes filled with weevil-inspired diamond TPMS (triple periodic minimal surface) structures. The energy-absorbing properties and the deformation behaviors of these topologies under axial crushing loads were investigated using combined numerical simulations and experimental tests. First, the effect of filling quantity and filling distribution on energy absorption of the hybrid structures was investigated. Results show that honeycomb tubes and diamond TPMS structures produce a synergistic effect during compression, and the hybrid structures exhibit excellent stability and energy absorption capacity. The bionic hybrid structure improves specific energy absorption (SEA) by 299% compared to honeycomb tubes. Peak crush force (PCF) and SEA are more influenced by filling quantity than by filling distribution. The effects of diamond TPMS structure volume fraction and honeycomb tube wall thickness on the energetic absorptive capacity of the hybrid structure were furthermore investigated numerically. Finally, a multi-objective optimization method was used to optimize the design of the bionic hybrid structure and balance the relationship between crashworthiness and cost to obtain a bionic hybrid energy-absorbing structure with superior performance. This study provides valuable guidelines for designing and fabricating lightweight and efficient energy-absorbing structures with significant potential for engineering applications. Full article
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