The 2023 MDPI Annual Report has
been released!
 
16 pages, 1713 KiB  
Article
Population Pharmacokinetics of Trametinib and Impact of Nonadherence on Drug Exposure in Oncology Patients as Part of the Optimizing Oral Targeted Anticancer Therapies Study
by Anne Ravix, Carole Bandiera, Evelina Cardoso, Adrian Lata-Pedreira, Haithem Chtioui, Laurent Arthur Decosterd, Anna Dorothea Wagner, Marie Paule Schneider, Chantal Csajka and Monia Guidi
Cancers 2024, 16(12), 2193; https://doi.org/10.3390/cancers16122193 (registering DOI) - 11 Jun 2024
Abstract
Trametinib is a targeted therapy used for the treatment of solid tumours, with significant variability reported in real-life studies. This variability increases the risk of suboptimal exposure, which can lead to treatment failure or increased toxicity. Using model-based simulation, this study aims to [...] Read more.
Trametinib is a targeted therapy used for the treatment of solid tumours, with significant variability reported in real-life studies. This variability increases the risk of suboptimal exposure, which can lead to treatment failure or increased toxicity. Using model-based simulation, this study aims to characterize and investigate the pharmacokinetics and the adequacy of the currently recommended doses of trametinib. Additionally, the simulation of various suboptimal adherence scenarios allowed for an assessment of the impact of patients’ drug adherence on the treatment outcome. The population data collected in 33 adult patients, providing 113 plasmatic trametinib concentrations, were best described by a two-compartment model with linear absorption and elimination. The study also identified a significant positive effect of fat-free mass and a negative effect of age on clearance, explaining 66% and 21% of the initial associated variability, respectively. Simulations showed that a maximum dose of 2 mg daily achieved the therapeutic target in 36% of male patients compared to 72% of female patients. A dose of 1.5 mg per day in patients over 65 years of age achieved similar rates, with 44% and 79% for male and female patients, respectively, reaching the therapeutic target. Poor adherence leads to a significant drop in concentrations and a high risk of subtherapeutic drug levels. These results underline the importance of interprofessional collaboration and patient partnership along the patient’s journey to address patients’ needs regarding trametinib and support medication adherence. Full article
(This article belongs to the Section Clinical Research of Cancer)
Show Figures

Figure 1

17 pages, 1309 KiB  
Article
Polyurethane Composites Recycling with Styrene–Acrylonitrile and Calcium Carbonate Recovery
by J. del Amo, S. Iswar, T. Vanbergen, A. M. Borreguero, D. De Vos, I. Verlent, J. Willems and J. F. Rodriguez
Materials 2024, 17(12), 2844; https://doi.org/10.3390/ma17122844 (registering DOI) - 11 Jun 2024
Abstract
The glycolysis process of flexible polyurethane foams containing styrene–acrylonitrile and calcium carbonate as fillers was explored in detail. The use of DABCO as a catalyst allowed us to reduce the catalyst concentration and the polyurethane-to-glycol mass ratio to 0.1% and 1:1, respectively. The [...] Read more.
The glycolysis process of flexible polyurethane foams containing styrene–acrylonitrile and calcium carbonate as fillers was explored in detail. The use of DABCO as a catalyst allowed us to reduce the catalyst concentration and the polyurethane-to-glycol mass ratio to 0.1% and 1:1, respectively. The glycolysis process allowed us to obtain a high-purity polyol (99%), which can totally replace raw polyols in the synthesis of new flexible polyurethane foams, maintaining the standard mechanical properties of the original one and modifying the ratio of isocyanates employed to correct the closed cell structure caused by the impurities present in the recovered polyol. This isocyanate mixture was also optimized, resulting in a ratio of 30 and 70% of the isocyanates TDI80 and TDI65, respectively. Additionally, the fillers incorporated in the glycolyzed foams were recovered. Both recovered fillers, styrene–acrylonitrile and calcium carbonate, were fully characterized, showing a quality very similar to that of commercial compounds. Finally, the replacement of commercial fillers by the recovered ones in the synthesis of new polyurethane foams was studied, demonstrating the feasibility of using them in the synthesis of new foams without significantly altering their properties. Full article
17 pages, 2212 KiB  
Review
The Effect of Body Mass Index on Melanoma Biology, Immunotherapy Efficacy, and Clinical Outcomes: A Narrative Review
by Jente Jansen, Marjan Garmyn and Canan Güvenç
Int. J. Mol. Sci. 2024, 25(12), 6433; https://doi.org/10.3390/ijms25126433 (registering DOI) - 11 Jun 2024
Abstract
Recent studies indicate that a higher body mass index (BMI) might correlate with improved responses to melanoma treatment, especially with immune checkpoint inhibitors (ICIs), despite the general association of obesity with an increased risk of cancer and higher mortality rates. This review examines [...] Read more.
Recent studies indicate that a higher body mass index (BMI) might correlate with improved responses to melanoma treatment, especially with immune checkpoint inhibitors (ICIs), despite the general association of obesity with an increased risk of cancer and higher mortality rates. This review examines the paradoxical relationship between BMI and clinical outcomes in melanoma patients by exploring molecular links, the efficacy of immunotherapy, and patient survival outcomes. Our comprehensive literature search across the PubMed and Embase databases revealed a consistent pattern: increased BMI is associated with a better prognosis in melanoma patients undergoing ICI treatment. This “obesity paradox” might be explained by the metabolic and immunological changes in obesity, which could enhance the effectiveness of immunotherapy in treating melanoma. The findings highlight the complexity of the interactions between obesity and melanoma, suggesting that adipose tissue may modulate the immune response and treatment sensitivity favorably. Our review highlights the need for personalized treatment strategies that consider the metabolic profiles of patients and calls for further research to validate BMI as a prognostic factor in clinical settings. This nuanced approach to the obesity paradox in melanoma could significantly impact treatment planning and patient management. Full article
(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
13 pages, 541 KiB  
Article
Intensive Intervention on Smoking Cessation in Patients Undergoing Elective Surgery: The Role of Family Physicians
by Anto Domić, Nataša Pilipović-Broćeta, Milkica Grabež, Nevena Divac, Rajko Igić and Ranko Škrbić
Medicina 2024, 60(6), 965; https://doi.org/10.3390/medicina60060965 (registering DOI) - 11 Jun 2024
Abstract
Background and Objectives: The aim of this study was to determine the role of physicians in the intensive intervention and education regarding the smoking cessation of patients undergoing elective surgery under general anaesthesia. Materials and Methods: A randomised prospective study was [...] Read more.
Background and Objectives: The aim of this study was to determine the role of physicians in the intensive intervention and education regarding the smoking cessation of patients undergoing elective surgery under general anaesthesia. Materials and Methods: A randomised prospective study was conducted in family physicians’ clinics in which smokers of both sexes, aged 21–65 years, without cognitive impairments, and who were not addicted to psychoactive substances voluntarily participated. Four weeks preoperatively, 120 smokers were randomised into two equal groups; the intervention group (IG) underwent an intervention for the purpose of smoking cessation and the control group (CG) underwent no intervention. Biochemical tests were performed in order to determine the smoking status of the participants in the phase of randomisation, one week preoperatively, as well as 40, 120, and 180 days and 12 months postoperatively. The examinees of the IG talked to the physician five times and received 140 telephone messages, leaflets, and motivational letters along with the pharmacotherapy, while the participants in the CG received little or no advice on smoking cessation. Results: The results of this study confirmed a significant influence of the intervention and education on the smoking abstinence in the IG compared to the CG (p < 0.001). The smokers in the IG had 7.31 (95% CI: 2.32–23.04) times greater odds of abstinence upon the 12-month follow-up than the smokers in the CG. The smokers in the IG who did not stop smoking had a lower degree of dependence and smoked fewer cigarettes (p < 0.0001) compared to those in the CG, as well as a multiple times higher prevalence of short- and long-term abstinence. Conclusions: It can be concluded that the intensive intervention and education can motivate patients preparing for elective surgery to stop smoking in the short- and long term. Full article
(This article belongs to the Section Epidemiology & Public Health)
Show Figures

Figure 1

22 pages, 2046 KiB  
Review
Pesticides Toxicity, Removal and Detoxification in Plants: A Review
by Boyu Zhang, Fang Lv and Jing Yang
Agronomy 2024, 14(6), 1260; https://doi.org/10.3390/agronomy14061260 (registering DOI) - 11 Jun 2024
Abstract
Pesticides play a crucial role in agricultural production by preventing diseases and pests and ensuring food yield. However, the irrational use of pesticides can lead to numerous issues that compromise crop quality and counteract the original intentions of their application. Therefore, it is [...] Read more.
Pesticides play a crucial role in agricultural production by preventing diseases and pests and ensuring food yield. However, the irrational use of pesticides can lead to numerous issues that compromise crop quality and counteract the original intentions of their application. Therefore, it is necessary to identify more effective methods to counteract pesticide stress. Here we review the impacts of herbicides, insecticides, and fungicides on plants and the measures taken to reduce pesticide residues on plants. We have found that despite the substantial differences in the mechanisms of action of the aforementioned three types of pesticides, the adverse effects they inflict on plants are similar, and at certain dosages, they can severely constrain plant growth and disrupt physiological functions. Also, most current research on using exogenous growth regulators to alleviate pesticide stress still focuses on photosynthesis, the antioxidant system, three-stage detoxification, and secondary metabolites, neglecting the search for genes that respond to pesticide stress. We believe that by combining biological protection with post-harvest treatment techniques and exploring potential genes that are responsive to pesticide stress, a better strategy for dealing with pesticide stress can be found, thereby promoting sustainable agricultural development. Full article
Show Figures

Figure 1

13 pages, 945 KiB  
Article
Nonsingular, Lump-like, Scalar Compact Objects in (2 + 1)-Dimensional Einstein Gravity
by Roberto V. Maluf, Gerardo Mora-Pérez, Gonzalo J. Olmo and Diego Rubiera-Garcia
Universe 2024, 10(6), 258; https://doi.org/10.3390/universe10060258 (registering DOI) - 11 Jun 2024
Abstract
We study the space-time geometry generated by coupling a free scalar field with a noncanonical kinetic term to general relativity in (2+1) dimensions. After identifying a family of scalar Lagrangians that yield exact analytical solutions in static and circularly [...] Read more.
We study the space-time geometry generated by coupling a free scalar field with a noncanonical kinetic term to general relativity in (2+1) dimensions. After identifying a family of scalar Lagrangians that yield exact analytical solutions in static and circularly symmetric scenarios, we classify the various types of solutions and focus on a branch that yields asymptotically flat geometries. We show that the solutions within such a branch can be divided in two types, namely naked singularities and nonsingular objects without a center. In the latter, the energy density is localized around a maximum and vanishes only at infinity and at an inner boundary. This boundary has vanishing curvatures and cannot be reached by any time-like or null geodesic in finite affine time. This allows us to consistently interpret such solutions as nonsingular, lump-like, static compact scalar objects whose eventual extension to the (3+1)-dimensional context could provide structures of astrophysical interest. Full article
(This article belongs to the Collection Open Questions in Black Hole Physics)
Show Figures

Figure 1

24 pages, 15082 KiB  
Article
EMA-YOLO: A Novel Target-Detection Algorithm for Immature Yellow Peach Based on YOLOv8
by Dandan Xu, Hao Xiong, Yue Liao, Hongruo Wang, Zhizhang Yuan and Hua Yin
Sensors 2024, 24(12), 3783; https://doi.org/10.3390/s24123783 (registering DOI) - 11 Jun 2024
Abstract
Accurate determination of the number and location of immature small yellow peaches is crucial for bagging, thinning, and estimating yield in modern orchards. However, traditional methods have faced challenges in accurately distinguishing immature yellow peaches due to their resemblance to leaves and susceptibility [...] Read more.
Accurate determination of the number and location of immature small yellow peaches is crucial for bagging, thinning, and estimating yield in modern orchards. However, traditional methods have faced challenges in accurately distinguishing immature yellow peaches due to their resemblance to leaves and susceptibility to variations in shooting angles and distance. To address these issues, we proposed an improved target-detection model (EMA-YOLO) based on YOLOv8. Firstly, the sample space was enhanced algorithmically to improve the diversity of samples. Secondly, an EMA attention-mechanism module was introduced to encode global information; this module could further aggregate pixel-level features through dimensional interaction and strengthen small-target-detection capability by incorporating a 160 × 160 detection head. Finally, EIoU was utilized as a loss function to reduce the incidence of missed detections and false detections of the target small yellow peaches under the condition of high density of yellow peaches. Experimental results show that compared with the original YOLOv8n model, the EMA-YOLO model improves mAP by 4.2%, Furthermore, compared with SDD, Objectbox, YOLOv5n, and YOLOv7n, this model’s mAP was improved by 30.1%, 14.2%,15.6%, and 7.2%, respectively. In addition, the EMA-YOLO model achieved good results under different conditions of illumination and shooting distance and significantly reduced the number of missed detections. Therefore, this method can provide technical support for smart management of yellow-peach orchards. Full article
(This article belongs to the Section Smart Agriculture)
Show Figures

Figure 1

24 pages, 3000 KiB  
Article
Fault Diagnosis of Wind Turbine Gearbox Based on Modified Hierarchical Fluctuation Dispersion Entropy of Tan-Sigmoid Mapping
by Xiang Wang and Yang Du
Entropy 2024, 26(6), 507; https://doi.org/10.3390/e26060507 (registering DOI) - 11 Jun 2024
Abstract
Vibration monitoring and analysis are important methods in wind turbine gearbox fault diagnosis, and determining how to extract fault characteristics from the vibration signal is of primary importance. This paper presents a fault diagnosis approach based on modified hierarchical fluctuation dispersion entropy of [...] Read more.
Vibration monitoring and analysis are important methods in wind turbine gearbox fault diagnosis, and determining how to extract fault characteristics from the vibration signal is of primary importance. This paper presents a fault diagnosis approach based on modified hierarchical fluctuation dispersion entropy of tan-sigmoid mapping (MHFDE_TANSIG) and northern goshawk optimization–support vector machine (NGO–SVM) for wind turbine gearboxes. The tan-sigmoid (TANSIG) mapping function replaces the normal cumulative distribution function (NCDF) of the hierarchical fluctuation dispersion entropy (HFDE) method. Additionally, the hierarchical decomposition of the HFDE method is improved, resulting in the proposed MHFDE_TANSIG method. The vibration signals of wind turbine gearboxes are analyzed using the MHFDE_TANSIG method to extract fault features. The constructed fault feature set is used to intelligently recognize and classify the fault type of the gearboxes with the NGO–SVM classifier. The fault diagnosis methods based on MHFDE_TANSIG and NGO–SVM are applied to the experimental data analysis of gearboxes with different operating conditions. The results show that the fault diagnosis model proposed in this paper has the best performance with an average accuracy rate of 97.25%. Full article
(This article belongs to the Special Issue Entropy Applications in Condition Monitoring and Fault Diagnosis)
20 pages, 40920 KiB  
Article
Digital Eddy Current Detection Method Based on High-Speed Sampling with STM32
by Xiong Cao, Erlong Li, Zilan Yuan and Kaituo Zheng
Micromachines 2024, 15(6), 775; https://doi.org/10.3390/mi15060775 (registering DOI) - 11 Jun 2024
Abstract
The electromagnetic eddy current non-destructive testing system enables the non-destructive analysis of surface defect information on tested materials. Based on the principles of eddy current detection, this paper presents a digital eddy current detection method using high-speed sampling based on STM32. A differential [...] Read more.
The electromagnetic eddy current non-destructive testing system enables the non-destructive analysis of surface defect information on tested materials. Based on the principles of eddy current detection, this paper presents a digital eddy current detection method using high-speed sampling based on STM32. A differential eddy current coil is used as the detection probe, and the combination of a differential bridge and a differential amplifier circuit helps to reduce common-mode noise interference. The detection signal is collected via an STM32-based acquisition circuit and transmitted to the host computer through Ethernet for digital demodulation processing. The host computer performs operations such as smoothing averaging, sinusoidal fitting, and outlier removal to extract the amplitude and phase of the detection signal. The system also visually displays the condition of the tested object’s surface in real time through graphical visualization. Testing showed that this system can operate at frequencies up to 8.84 MHz and clearly identify defects as narrow as 1 mm on the surface of the tested steel plate. Full article
15 pages, 2051 KiB  
Article
Anti-Infective Activity of Momordica charantia Extract with Molecular Docking of Its Triterpenoid Glycosides
by Mohammed Aldholmi, Rizwan Ahmad, Mohammad Habeeb Shaikh, Ayad Mohammed Salem, Maher Alqurashi and Mansour Alturki
Antibiotics 2024, 13(6), 544; https://doi.org/10.3390/antibiotics13060544 (registering DOI) - 11 Jun 2024
Abstract
Momordica charantia, commonly known as bitter melon, is a fruiting plant that has been used for several diseases including infectious diseases. In this study, we report the antibacterial, antifungal, and antiviral activity of different bitter melon fruit parts originating from India and [...] Read more.
Momordica charantia, commonly known as bitter melon, is a fruiting plant that has been used for several diseases including infectious diseases. In this study, we report the antibacterial, antifungal, and antiviral activity of different bitter melon fruit parts originating from India and Saudi Arabia. The in vitro experiments are supported by the molecular docking of karavilosides to verify their role in the bioactivity. The antimicrobial assays revealed activity against Candida albicans, Escherichia coli, and Staphylococcus aureus. The extracts exhibited the potent inhibition of HIV-I reverse transcriptase, with an IC50 of 0.125 mg/mL observed for the pith extract originating from Saudi Arabia and the standard drug doxorubicin. The molecular docking of karavilosides exhibited a significant affinity to reverse transcriptase comparable to Rilpivirine and higher than that of doxorubicin. These outcomes encourage the precious bioactive components of the seed and pith of the Saudi bitter melon fruits to be further studied for isolation and structure elucidation. Full article
Show Figures

Figure 1

20 pages, 542 KiB  
Review
MicroRNA Expression in Patients with Coronary Artery Disease and Hypertension—A Systematic Review
by Bartosz Kondracki, Mateusz Kłoda, Anna Jusiak-Kłoda, Adrianna Kondracka, Jakub Waciński and Piotr Waciński
Int. J. Mol. Sci. 2024, 25(12), 6430; https://doi.org/10.3390/ijms25126430 (registering DOI) - 11 Jun 2024
Abstract
Coronary artery disease (CAD) and hypertension significantly contribute to cardiovascular morbidity and mortality. MicroRNAs (miRNAs) have recently emerged as promising biomarkers and therapeutic targets for these conditions. This systematic review conducts a thorough analysis of the literature, with a specific focus on investigating [...] Read more.
Coronary artery disease (CAD) and hypertension significantly contribute to cardiovascular morbidity and mortality. MicroRNAs (miRNAs) have recently emerged as promising biomarkers and therapeutic targets for these conditions. This systematic review conducts a thorough analysis of the literature, with a specific focus on investigating miRNA expression patterns in patients with CAD and hypertension. This review encompasses an unspecified number of eligible studies that employed a variety of patient demographics and research methodologies, resulting in diverse miRNA expression profiles. This review highlights the complex involvement of miRNAs in CAD and hypertension and the potential for advances in diagnostic and therapeutic strategies. Future research endeavors are imperative to validate these findings and elucidate the precise roles of miRNAs in disease progression, offering promising avenues for innovative diagnostic tools and targeted interventions. Full article
(This article belongs to the Special Issue Recent Advances in Hypertension and Cardiovascular Disease)
16 pages, 1291 KiB  
Article
Emission Reduction Effects of China’s National Carbon Market: Evidence Based on the Power Sector
by Yingying Xu, Shan Zhao, Boxiao Chu and Yinglun Zhu
Energies 2024, 17(12), 2859; https://doi.org/10.3390/en17122859 (registering DOI) - 11 Jun 2024
Abstract
The power sector is one of the major CO2-emitting industries in China. It is also the first key emissions control industry included in China’s national carbon trading market established in 2021. Therefore, based on the data of 30 provinces and cities [...] Read more.
The power sector is one of the major CO2-emitting industries in China. It is also the first key emissions control industry included in China’s national carbon trading market established in 2021. Therefore, based on the data of 30 provinces and cities in China from 2015 to 2022, this study analyzes the impact of the national carbon market policy on the carbon emissions of the power industry based on the generalized Difference-in-Difference (DID) model. Based on the method of text analysis, this paper constructs the carbon market policy intensity index of each region and incorporates it into the DID model. Empirical analysis finds that the national carbon market policy can significantly inhibit the carbon emissions of the power industry. However, the heterogeneity analysis of 30 provinces and cities shows that the national carbon market policy has a significant impact on the regions that already have a carbon pilot, but not on the non-pilot regions. Therefore, this paper demonstrates the effectiveness of the national carbon market policy in the power industry emissions control, and also exposes the heterogeneity between regions, providing an important empirical basis for the inclusion of other energy-intensive industries. Full article
(This article belongs to the Special Issue Subsurface Energy and Environmental Protection)
Show Figures

Figure 1

20 pages, 4410 KiB  
Article
Screening and Identification of High-Yielding Strains of Conjugated Linoleic Acid and Optimization of Conditions for the Conversion of CLA
by Cunshe Chen, Fang Tong, Ruohao Sun, Ying Zhang, Zhihua Pang and Xinqi Liu
Foods 2024, 13(12), 1830; https://doi.org/10.3390/foods13121830 (registering DOI) - 11 Jun 2024
Abstract
Conjugated linoleic acid (CLA) is a class of naturally occurring octadecadienoic acid in humans and animals and is a general term for a group of conformational and positional isomers of linoleic acid. In order to obtain the development of excellent lactic acid strains [...] Read more.
Conjugated linoleic acid (CLA) is a class of naturally occurring octadecadienoic acid in humans and animals and is a general term for a group of conformational and positional isomers of linoleic acid. In order to obtain the development of excellent lactic acid strains with a high production of conjugated linoleic acid, 32 strains with a possible CLA conversion ability were obtained by initial screening using UV spectrophotometry, and then the strains were re-screened by gas chromatography, and finally, the strain with the highest CLA content was obtained. The strains were optimized for cultivation by changing the amount of substrate addition, inoculum amount, and fermentation time. The results showed that the yield of the experimentally optimized strain for the conversion of conjugated linoleic acid could reach 94.68 ± 3.57 μg/mL, which was 74.4% higher than the initial yield of 54.28 ± 2.12 μg/mL of the strain. The results of this study can provide some basis for the application of conjugated linoleic acid production by Lactobacillus paracasei in the fermentation of lactic acid bacteria. Full article
(This article belongs to the Section Food Biotechnology)
Show Figures

Figure 1

15 pages, 838 KiB  
Article
Missense and Non-Missense Lamin A/C Gene Mutations Are Similarly Associated with Major Arrhythmic Cardiac Events: A 20-Year Single-Centre Experience
by Cinzia Forleo, Maria Cristina Carella, Paolo Basile, Eugenio Carulli, Michele Luca Dadamo, Francesca Amati, Francesco Loizzi, Sandro Sorrentino, Ilaria Dentamaro, Marco Maria Dicorato, Stefano Ricci, Rosanna Bagnulo, Matteo Iacoviello, Vincenzo Ezio Santobuono, Carlo Caiati, Martino Pepe, Jean-Francois Desaphy, Marco Matteo Ciccone, Nicoletta Resta and Andrea Igoren Guaricci
Biomedicines 2024, 12(6), 1293; https://doi.org/10.3390/biomedicines12061293 (registering DOI) - 11 Jun 2024
Abstract
Arrhythmic risk stratification in patients with Lamin A/C gene (LMNA)-related cardiomyopathy influences clinical decisions. An implantable cardioverter defibrillator (ICD) should be considered in patients with an estimated 5-year risk of malignant ventricular arrhythmia (MVA) of ≥10%. The risk prediction score for MVA includes [...] Read more.
Arrhythmic risk stratification in patients with Lamin A/C gene (LMNA)-related cardiomyopathy influences clinical decisions. An implantable cardioverter defibrillator (ICD) should be considered in patients with an estimated 5-year risk of malignant ventricular arrhythmia (MVA) of ≥10%. The risk prediction score for MVA includes non-missense LMNA mutations, despite their role as an established risk factor for sudden cardiac death (SCD) has been questioned in several studies. The purpose of this study is to investigate cardiac features and find gene–phenotype correlations that would contribute to the evidence on the prognostic implications of non-missense vs. missense mutations in a cohort of LMNA mutant patients. An observational, prospective study was conducted in which 54 patients positive for a Lamin A/C mutation were enrolled, and 20 probands (37%) were included. The median age at first clinical manifestation was 41 (IQR 19) years. The median follow-up was 8 years (IQR 8). The type of LMNA gene mutation was distributed as follows: missense in 26 patients (48%), non-frameshift insertions in 16 (30%), frameshift deletions in 5 (9%), and nonsense in 7 (13%). Among the missense mutation carriers, two (8%) died and four (15%) were admitted onto the heart transplant list or underwent transplantation, with a major adverse cardiovascular event (MACE) rate of 35%. No statistically significant differences in MACE prevalence were identified according to the missense and non-missense mutation groups (p value = 0.847). Our data shift the spotlight on this considerable topic and could suggest that some missense mutations may deserve attention regarding SCD risk stratification in real-world clinical settings. Full article
Show Figures

Figure 1

6 pages, 183 KiB  
Editorial
Therapeutic Drug Monitoring and Pharmacokinetics-Based Individualization of Drug Therapy
by Gellert Balazs Karvaly and Barna Vásárhelyi
Pharmaceutics 2024, 16(6), 792; https://doi.org/10.3390/pharmaceutics16060792 (registering DOI) - 11 Jun 2024
Abstract
The philosophy, practice, and clinical impact of therapeutic drug monitoring (TDM) has changed profoundly with the appearance of widely available and, in a technical sense, commonly applicable modeling, simulation, and dosing software tools in the past decade [...] Full article
24 pages, 4198 KiB  
Article
Translational Medicine in Acute Ischemic Stroke and Traumatic Brain Injury—NeuroAiD Trials, from Traditional Beliefs to Evidence-Based Therapy
by Narayanaswamy Venketasubramanian, Tseng Tsai Yeo and Christopher Li Hsian Chen
Biomolecules 2024, 14(6), 680; https://doi.org/10.3390/biom14060680 (registering DOI) - 11 Jun 2024
Abstract
Acute ischemic stroke (AIS) and traumatic brain injury (TBI) are two severe neurological events, both being major causes of death and prolonged impairment. Their incidence continues to rise due to the global increase in the number of people at risk, representing a significant [...] Read more.
Acute ischemic stroke (AIS) and traumatic brain injury (TBI) are two severe neurological events, both being major causes of death and prolonged impairment. Their incidence continues to rise due to the global increase in the number of people at risk, representing a significant burden on those remaining impaired, their families, and society. These molecular and cellular mechanisms of both stroke and TBI present similarities that can be targeted by treatments with a multimodal mode of action, such as traditional Chinese medicine. Therefore, we performed a detailed review of the preclinical and clinical development of MLC901 (NeuroAiDTMII), a natural multi-herbal formulation targeting several biological pathways at the origin of the clinical deficits. The endogenous neurobiological processes of self-repair initiated by the brain in response to the onset of brain injury are often insufficient to achieve complete recovery of impaired functions. This review of MLC901 and its parent formulation MLC601 confirms that it amplifies the natural self-repair process of brain tissue after AIS or TBI. Following AIS and TBI where "time is brain", many patients enter the post-acute phase with their functions still impaired, a period when "the brain needs time to repair itself". The treatment goal must be to accelerate recovery as much as possible. MLC901/601 demonstrated a significant reduction by 18 months of recovery time compared to a placebo, indicating strong potential for facilitating the improvement of health outcomes and the more efficient use of healthcare resources. Full article
Show Figures

Figure 1

15 pages, 2660 KiB  
Article
Influence of Pressing Temperatures on Physical–Mechanical Properties of Wood Particleboards Made with Urea-Formaldehyde Adhesive Containing Al2O3 and CuO Nanoparticles
by Luana Cristal Lirya Silva, Felipe Oliveira Lima, Victor Almeida De Araujo, Herisson Ferreira Dos Santos, Francisco Antonio Rocco Lahr, André Luis Christoforo, Higor Rogério Favarim and Cristiane Inácio de Campos
Polymers 2024, 16(12), 1652; https://doi.org/10.3390/polym16121652 (registering DOI) - 11 Jun 2024
Abstract
Particleboards have gained attention in the global market. Understanding their physical–mechanical behavior in the current technological context is essential due to adhesive polymerization, which depends on variables such as pressing time and temperature. Today, the use of nanoparticles has become a plausible option [...] Read more.
Particleboards have gained attention in the global market. Understanding their physical–mechanical behavior in the current technological context is essential due to adhesive polymerization, which depends on variables such as pressing time and temperature. Today, the use of nanoparticles has become a plausible option for improving the properties of polymers used in wood-based composites. This study evaluates the influences of the addition of non-commercial 0.5% aluminum oxide (Al2O3) and aluminum oxide copper (CuO) nanoparticles using a greener route with a lower environmental impact obtaining a urea-formaldehyde (UF)-based polymeric adhesive to manufacture particle composites of Eucalyptus urophylla var. grandis wood. Regarding characterizations, the resin properties analyzed were viscosity, gel time, and pH, as well as panel properties, including density, moisture content, thickness swelling, modulus of elasticity, modulus of rupture, and thermal conductivity. The results were compared with scientific publications and standards. The addition of nanoparticles interfered with viscosity, and all treatments indicated a basic pH. It was not possible to determine the gel time after 10 min. Nanoparticles added to the polymers in the internal layer did not cause an improvement in the swelling properties in terms of thickness, with no significant statistical difference for density and moisture content. The increase from 150 °C to 180 °C may have caused an improvement in all physical–mechanical properties, indicating that the higher temperature positively influenced the polymerization of the formaldehyde-based adhesive. Therefore, the additions of both nanoparticles (0.5% in each condition) led to a limitation in the material influence with respect to physical–mechanical performance. Full article
(This article belongs to the Special Issue Advances in Wood Based Composites)
Show Figures

Figure 1

19 pages, 5868 KiB  
Article
OMGMed: Advanced System for Ocular Myasthenia Gravis Diagnosis via Eye Image Segmentation
by Jianqiang Li, Chujie Zhu, Mingming Zhao, Xi Xu, Linna Zhao, Wenxiu Cheng, Suqin Liu, Jingchen Zou, Ji-Jiang Yang and Jian Yin
Bioengineering 2024, 11(6), 595; https://doi.org/10.3390/bioengineering11060595 (registering DOI) - 11 Jun 2024
Abstract
This paper presents an eye image segmentation-based computer-aided system for automatic diagnosis of ocular myasthenia gravis (OMG), called OMGMed. It provides great potential to effectively liberate the diagnostic efficiency of expert doctors (the scarce resources) and reduces the cost of healthcare treatment for [...] Read more.
This paper presents an eye image segmentation-based computer-aided system for automatic diagnosis of ocular myasthenia gravis (OMG), called OMGMed. It provides great potential to effectively liberate the diagnostic efficiency of expert doctors (the scarce resources) and reduces the cost of healthcare treatment for diagnosed patients, making it possible to disseminate high-quality myasthenia gravis healthcare to under-developed areas. The system is composed of data pre-processing, indicator calculation, and automatic OMG scoring. Building upon this framework, an empirical study on the eye segmentation algorithm is conducted. It further optimizes the algorithm from the perspectives of “network structure” and “loss function”, and experimentally verifies the effectiveness of the hybrid loss function. The results show that the combination of “nnUNet” network structure and “Cross-Entropy + Iou + Boundary” hybrid loss function can achieve the best segmentation performance, and its MIOU on the public and private myasthenia gravis datasets reaches 82.1% and 83.7%, respectively. The research has been used in expert centers. The pilot study demonstrates that our research on eye image segmentation for OMG diagnosis is very helpful in improving the healthcare quality of expert doctors. We believe that this work can serve as an important reference for the development of a similar auxiliary diagnosis system and contribute to the healthy development of proactive healthcare services. Full article
(This article belongs to the Special Issue Artificial Intelligence in Auto-Diagnosis and Clinical Applications)
Show Figures

Figure 1

19 pages, 2259 KiB  
Article
Assessment of Chitosan/Gelatin Blend Enriched with Natural Antioxidants for Antioxidant Packaging of Fish Oil
by Mia Kurek, Mario Ščetar, Marko Nuskol, Tibor Janči, Marija Tanksoić, Damir Klepac, Mojca Čakić Semenčić and Kata Galić
Antioxidants 2024, 13(6), 707; https://doi.org/10.3390/antiox13060707 (registering DOI) - 11 Jun 2024
Abstract
In this research, bio-based films were developed using polyelectrolyte complexes derived from chitosan and gelatin for packaging fish oil. To further enhance the antioxidant functionality, the films were enriched with gallic acid and orange essential oils, either individually or in combination. Initially, the [...] Read more.
In this research, bio-based films were developed using polyelectrolyte complexes derived from chitosan and gelatin for packaging fish oil. To further enhance the antioxidant functionality, the films were enriched with gallic acid and orange essential oils, either individually or in combination. Initially, the films were characterized for their physico-chemical, optical, surface, and barrier properties. Subsequently, the phenolic compounds and antioxidant capacity of the films were assessed. Finally, the films were tested as antioxidant cover lids for packaging fish oil, which was then stored at ambient temperature for 30 days, with periodical monitoring of oil oxidation parameters. This study revealed that the inclusion of gallic acid-induced possible crosslinking effects, as evidenced by changes in moisture content, solubility, and liquid absorption. Additionally, shifts in the FTIR spectral bands suggested the binding of gallic acid and/or phenols in orange essential oils to CSGEL polymer chains, with noticeable alterations in film coloration. Notably, films containing gallic acid exhibited enhanced UV barrier properties crucial for preserving UV-degradable food compounds. Moreover, formulations with gallic acid demonstrated decreased water vapor permeability, while samples containing orange essential oils had lower CO2 permeability levels. Importantly, formulations containing both gallic acid and essential oils showed a synergistic effect and a significant antioxidant capacity, with remarkable DPPH inhibition rates of up to 88%. During the 30-day storage period, fish oil experienced progressive oxidation, as indicated by an increase in the K232 value in control samples. However, films incorporating gallic acid or orange essential oils as active antioxidants, even used as indirect food contact, effectively delayed the oxidation, highlighting their protective benefits. This study underscores the potential of sustainable bio-based films as natural antioxidant packaging for edible fish oil or fresh fish, offering a promising tool for enhancing food preservation while reducing its waste. Full article
(This article belongs to the Special Issue Antioxidants for the Oxidative Stabilisation of Food Lipids)
Show Figures

Graphical abstract

26 pages, 1408 KiB  
Article
Exploring Loneliness among Korean Adults: A Concept Mapping Approach
by Soo-Jung An and Young-Seok Seo
Behav. Sci. 2024, 14(6), 492; https://doi.org/10.3390/bs14060492 (registering DOI) - 11 Jun 2024
Abstract
In South Korea, the proportion of adults experiencing severe loneliness has been increasing rapidly. Accordingly, this study examines the elements of loneliness experienced by Korean adults and investigates their structural relevance using concept mapping. Korean adults (47) were recruited for individual in-depth interviews [...] Read more.
In South Korea, the proportion of adults experiencing severe loneliness has been increasing rapidly. Accordingly, this study examines the elements of loneliness experienced by Korean adults and investigates their structural relevance using concept mapping. Korean adults (47) were recruited for individual in-depth interviews based on their scores on the UCLA Loneliness Scale. The interviews yielded 80 unique statements, which were then evaluated using multidimensional scaling and a hierarchical cluster analysis. A cluster map of loneliness was derived, with three clusters: (1) emotional distress due to the actual or anticipated absence of connection in relationships, (2) emotional distance from oneself or from others in a relationship, and (3) powerlessness and emptiness due to being directionless. Two dimensions distinguished these clusters: the lack of a sense of connection or self-assurance, and an inward or outward focus. These findings reveal that loneliness encompasses more than unmet relational needs; it also involves self-attentional focus, indicating a need to reconceptualize the notion of loneliness. The study’s implications extend to counseling theory and practices by highlighting the importance of addressing both relational connections and self-perceptions in interventions for loneliness. By expanding the understanding of loneliness through empirical data, this research provides a more comprehensive framework for addressing loneliness. Full article
Show Figures

Figure 1

21 pages, 2349 KiB  
Article
An Optimized Artificial Neural Network Model of a Limaçon-to-Circular Gas Expander with an Inlet Valve
by Md Shazzad Hossain, Ibrahim Sultan, Truong Phung and Apurv Kumar
Thermo 2024, 4(2), 252-272; https://doi.org/10.3390/thermo4020014 (registering DOI) - 11 Jun 2024
Abstract
In this work, an artificial neural network (ANN)-based model is proposed to describe the input–output relationships in a Limaçon-To-Circular (L2C) gas expander with an inlet valve. The L2C gas expander is a type of energy converter that has great potential to be used [...] Read more.
In this work, an artificial neural network (ANN)-based model is proposed to describe the input–output relationships in a Limaçon-To-Circular (L2C) gas expander with an inlet valve. The L2C gas expander is a type of energy converter that has great potential to be used in organic Rankine cycle (ORC)-based small-scale power plants. The proposed model predicts the different performance indices of a limaçon gas expander for different input pressures, rotor velocities, and valve cutoff angles. A network model is constructed and optimized for different model parameters to achieve the best prediction performance compared to the classic mathematical model of the system. An overall normalized mean square error of 0.0014, coefficient of determination (R2) of 0.98, and mean average error of 0.0114 are reported. This implies that the surrogate model can effectively mimic the actual model with high precision. The model performance is also compared to a linear interpolation (LI) method. It is found that the proposed ANN model predictions are about 96.53% accurate for a given error threshold, compared to about 91.46% accuracy of the LI method. Thus the proposed model can effectively predict different output parameters of a limaçon gas expander such as energy, filling factor, isentropic efficiency, and mass flow for different operating conditions. Of note, the model is only trained by a set of input and target values; thus, the performance of the model is not affected by the internal complex mathematical models of the overall valved-expander system. This neural network-based approach is highly suitable for optimization, as the alternative iterative analysis of the complex analytical model is time-consuming and requires higher computational resources. A similar modeling approach with some modifications could also be utilized to design controllers for these types of systems that are difficult to model mathematically. Full article
(This article belongs to the Special Issue Innovative Technologies to Optimize Building Energy Performance)
Show Figures

Figure 1

22 pages, 9975 KiB  
Article
Embroidery Triboelectric Nanogenerator for Energy Harvesting
by Hasan Riaz Tahir, Benny Malengier, Sanaul Sujan and Lieva Van Langenhove
Sensors 2024, 24(12), 3782; https://doi.org/10.3390/s24123782 (registering DOI) - 11 Jun 2024
Abstract
Triboelectric nanogenerators (TENGs) are devices that efficiently transform mechanical energy into electrical energy by utilizing the triboelectric effect and electrostatic induction. Embroidery triboelectric nanogenerators (ETENGs) offer a distinct prospect to incorporate energy harvesting capabilities into textile-based products. This research work introduces an embroidered [...] Read more.
Triboelectric nanogenerators (TENGs) are devices that efficiently transform mechanical energy into electrical energy by utilizing the triboelectric effect and electrostatic induction. Embroidery triboelectric nanogenerators (ETENGs) offer a distinct prospect to incorporate energy harvesting capabilities into textile-based products. This research work introduces an embroidered triboelectric nanogenerator that is made using polyester and nylon 66 yarn. The ETENG is developed by using different embroidery parameters and its characteristics are obtained using a specialized tapping and friction device. Nine ETENGs were made, each with different stitch lengths and line spacings for the polyester yarn. Friction and tapping tests were performed to assess the electrical outputs, which included measurements of short circuit current, open circuit voltage, and capacitor charging. One sample wearable embroidered energy harvester collected 307.5 μJ (24.8 V) of energy under a 1.5 Hz sliding motion over 300 s and 72 μJ (12 V) of energy through human walking over 120 s. Another ETENG sample generated 4.5 μJ (3 V) into a 1 μF capacitor using a tapping device with a 2 Hz frequency and a 50 mm separation distance over a duration of 520 s. Measurement of the current was also performed at different pressures to check the effect of pressure and validate the different options of the triboelectric/electrostatic characterization device. In summary, this research explains the influence of embroidery parameters on the performance of ETENG (Embroidery Triboelectric Nanogenerator) and provides valuable information for energy harvesting applications. Full article
Show Figures

Figure 1

23 pages, 4435 KiB  
Article
Urban Safety—Socio-Technical Solutions for Urban Infrastructure: Case Studies
by Elvira Nicolini
Buildings 2024, 14(6), 1754; https://doi.org/10.3390/buildings14061754 (registering DOI) - 11 Jun 2024
Abstract
Urban space’s physical and environmental characteristics impact urban public safety. Specifically, many areas in the older urban core are morphologically unsafe. The historic city’s resilience to natural disasters and emergency phenomena often surpasses expectations thanks to settlement principles, post-disaster transformations, and redundancies that [...] Read more.
Urban space’s physical and environmental characteristics impact urban public safety. Specifically, many areas in the older urban core are morphologically unsafe. The historic city’s resilience to natural disasters and emergency phenomena often surpasses expectations thanks to settlement principles, post-disaster transformations, and redundancies that enhance the performance of the historic built environment. Yet, the necessity to introduce new qualities to reclaim urban heritages scattered throughout the territory, often abandoned or sparsely populated, underscores the need for maintenance and management measures to boost safety and resilience. This study aims to identify technological components in urban space that influence the safety of places and define a design method for safety planning in historic urban settings. Urban safety interventions encompass various technological aspects in conjunction with the widespread distribution of equipment, adaptation of public and private facilities, and networked infrastructure and services. This paper delineates the elements that converge in the technological design of an appropriate historic town center to address potential emergencies. It presents the initial findings of studies conducted on a minor center with a strong historical value. This document aims to be useful for administrations of smaller municipalities, as the proposed method can be replicated in similar contexts. Full article
(This article belongs to the Collection Strategies for Sustainable Urban Development)

Open Access Journals

Browse by Indexing Browse by Subject Selected Journals
Back to TopTop