The 2023 MDPI Annual Report has
been released!
 
15 pages, 862 KiB  
Article
GraM: Geometric Structure Embedding into Attention Mechanisms for 3D Point Cloud Registration
by Pin Liu, Lin Zhong, Rui Wang, Jianyong Zhu, Xiang Zhai and Juan Zhang
Electronics 2024, 13(10), 1995; https://doi.org/10.3390/electronics13101995 (registering DOI) - 20 May 2024
Abstract
3D point cloud registration is a crucial technology for 3D scene reconstruction and has been successfully applied in various domains, such as smart healthcare and intelligent transportation. With theoretical analysis, we find that geometric structural relationships are essential for 3D point cloud registration. [...] Read more.
3D point cloud registration is a crucial technology for 3D scene reconstruction and has been successfully applied in various domains, such as smart healthcare and intelligent transportation. With theoretical analysis, we find that geometric structural relationships are essential for 3D point cloud registration. The 3D point cloud registration method achieves excellent performance only when fusing local and global features with geometric structure information. Based on these discoveries, we propose a 3D point cloud registration method based on geometric structure embedding into the attention mechanism (GraM), which can extract the local features of the non-critical point and global features of the corresponding point containing geometric structure information. According to the local and global features, the simple regression operation can obtain the transformation matrix of point cloud pairs, thereby eliminating the semantics that ignores the geometric structure relationship. GraM surpasses the state-of-the-art results by 0.548° and 0.915° regarding the relative rotation error on ModelNet40 and LowModelNet40, respectively. Full article
(This article belongs to the Special Issue Machine Intelligent Information and Efficient System)
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18 pages, 6551 KiB  
Article
NADH Intraperitoneal Injection Prevents Lung Inflammation in a BALB/C Mice Model of Cigarette Smoke-Induced Chronic Obstructive Pulmonary Disease
by Nada Slama, Amina Abdellatif, Karima Bahria, Sara Gasmi, Maamar Khames, Abderrahmene Hadji, George Birkmayer, Mustapha Oumouna, Yassine Amrani and Karine Benachour
Cells 2024, 13(10), 881; https://doi.org/10.3390/cells13100881 (registering DOI) - 20 May 2024
Abstract
Cigarette smoke is one of the main factors in Chronic Obstructive Pulmonary Disease (COPD), a respiratory syndrome marked by persistent respiratory symptoms and increasing airway obstruction. Perturbed NAD+/NADH levels may play a role in various diseases, including lung disorders like COPD. In our [...] Read more.
Cigarette smoke is one of the main factors in Chronic Obstructive Pulmonary Disease (COPD), a respiratory syndrome marked by persistent respiratory symptoms and increasing airway obstruction. Perturbed NAD+/NADH levels may play a role in various diseases, including lung disorders like COPD. In our study, we investigated the preventive effect of NADH supplementation in an experimental model of COPD induced by cigarette smoke extract (CSE). N = 64 mice randomly distributed in eight groups were injected with NADH (two doses of 100 mg/kg or 200 mg/kg) or dexamethasone (2 mg/kg) before being exposed to CSE for up to 9 weeks. Additionally, NADH supplementation preserved lung antioxidant defenses by preventing the functional loss of key enzymes such as superoxide dismutase (SOD), glutathione peroxidase (GPX), catalase, and the expression levels of glutathione (GSH) (n = 4, p < 0.001). It also reduced oxidative damage markers, such as malondialdehyde (MDA) and nitrites (n = 4, p < 0.001). A marked increase in tissue myeloperoxidase activity was assessed (MPO), confirming neutrophils implication in the inflammatory process. The latter was significantly ameliorated in the NADH-treated groups (p < 0.001). Finally, NADH prevented the CSE-induced secretion of cytokines such as Tumor Necrosis Factor alpha (TNF-α), IL-17, and IFN-y (n = 4, p < 0.001). Our study shows, for the first time, the clinical potential of NADH supplementation in preventing key features of COPD via its unique anti-inflammatory and antioxidant properties. Full article
(This article belongs to the Topic Inflammation: The Cause of all Diseases 2.0)
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14 pages, 1633 KiB  
Article
Characteristics of Vaginal Microbiota of Women of Reproductive Age with Infections
by Wanting Dong, Siyi Wang, Xi Wang, Guojin Xu, Qiuying Liu, Zheng Li, Na Lv, Yuanlong Pan, Qian Xiong, Donglai Liu and Baoli Zhu
Microorganisms 2024, 12(5), 1030; https://doi.org/10.3390/microorganisms12051030 (registering DOI) - 20 May 2024
Abstract
The vaginal microbiota can be classified into five major community state types (CSTs) based on the bacterial content. However, the link between different CST subtypes and vaginal infection remains unclear. Here, we analyzed 2017 vaginal microbiota samples from women of a reproductive age [...] Read more.
The vaginal microbiota can be classified into five major community state types (CSTs) based on the bacterial content. However, the link between different CST subtypes and vaginal infection remains unclear. Here, we analyzed 2017 vaginal microbiota samples from women of a reproductive age with vaginal infections that were published in the last decade. We found that L. iners was the most dominant in 34.8% of the vaginal samples, followed by L. crispatus (21.2%). CST I was common in healthy individuals, whereas CST III and IV were associated with dysbiosis and infection. CST III-B, IV-A, IV-B, and IV-C0 were prevalent in patients with bacterial vaginosis (BV). Based on the relative abundance of bacteria at the (sub)genus level, a random forest classifier was developed to predict vaginal infections with an area under the curve of 0.83. We further identified four modules of co-occurring bacterial taxa: L. crispatus, Gardnerella, Prevotella, and Bacteroides. The functional prediction revealed that nucleotide biosynthesis pathways were upregulated in patients with human papilloma virus, and carbohydrate degradation pathways were downregulated in patients with BV. Overall, our study identified the bacterial signatures of healthy and infected vaginal microbiota, providing unique insights into the clinical diagnosis and health status prediction of women of a reproductive age. Full article
(This article belongs to the Special Issue Vaginal Microbiome in Women's Health)
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13 pages, 2871 KiB  
Article
Outcomes of Corneal Compound Myopic Astigmatism with Presbyopia by Zeiss PRESBYOND® Laser Blended Vision LASIK Using Default CRS-Master® Target Refractions for Reduced Anisometropia
by Julia Hernández-Lucena, Federico Alonso-Aliste, Jonatan Amián-Cordero and José-María Sánchez-González
J. Clin. Med. 2024, 13(10), 3011; https://doi.org/10.3390/jcm13103011 (registering DOI) - 20 May 2024
Abstract
Background/Objectives: Presbyopia, a common age-related refractive error, affects over a billion people globally and significantly impacts daily life. Methods: This retrospective study analyzed 288 eyes of 144 patients undergoing LBV PRESBYOND® treatment for myopic presbyopia with astigmatism, aiming to evaluate precision, efficacy, [...] Read more.
Background/Objectives: Presbyopia, a common age-related refractive error, affects over a billion people globally and significantly impacts daily life. Methods: This retrospective study analyzed 288 eyes of 144 patients undergoing LBV PRESBYOND® treatment for myopic presbyopia with astigmatism, aiming to evaluate precision, efficacy, safety, and stability over six months. Results: Key findings include high efficacy, with 99% of distance-eyes achieving uncorrected distance visual acuity (UDVA) of 20/25 or better, and 85% of near-eyes achieving UDVA of 20/32 or better. The results show excellent refractive outcomes, with 99% of long-sighted eyes and 97% of near-sighted eyes having a postoperative spherical equivalent within ±1.00 D. Safety was demonstrated by no loss of two or more Snellen lines after treatment, with 94% of patients maintaining corrected distance visual acuity (CDVA) before and after surgery. Conclusions: Overall, LBV PRESBYOND® proved effective, safe, and well tolerated for myopic presbyopia correction, offering satisfactory visual outcomes and potential spectacle independence for various distances. This study underscores the importance of individualized treatment based on patient age, highlighting the positive impact of binocular summation on visual function. This study contributes to the growing body of evidence supporting LBV PRESBYOND® as a viable option for addressing presbyopic myopia, offering insights into its efficacy and safety profile. Further research could explore postoperative stereopsis and long-term outcomes to enhance understanding and refine treatment protocols. Full article
(This article belongs to the Special Issue Refractive Surgery—Where Are We Now?)
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25 pages, 20002 KiB  
Essay
Optimization Study of Soil Organic Matter Mapping Model in Complex Terrain Areas: A Case Study of Mingguang City, China
by Shuai Mei, Tong Tong, Shoufu Zhang, Chunyang Ying, Mengmeng Tang, Mei Zhang, Tianpei Cai, Youhua Ma and Qiang Wang
Sustainability 2024, 16(10), 4312; https://doi.org/10.3390/su16104312 (registering DOI) - 20 May 2024
Abstract
Traditional soil organic matter mapping is mostly polygonal drawing, which is even more difficult to accurately depict in complex terrain areas. The spatial distribution of soil organic matter is closely related to agricultural production, natural resources, environmental governance, and socio-economic development. Efficiently, economically, [...] Read more.
Traditional soil organic matter mapping is mostly polygonal drawing, which is even more difficult to accurately depict in complex terrain areas. The spatial distribution of soil organic matter is closely related to agricultural production, natural resources, environmental governance, and socio-economic development. Efficiently, economically, and accurately obtaining information on changes in soil organic matter in areas with diverse topography is an urgent problem to be solved. Mingguang City has a high research value because of its unique topography and natural landscape. To solve the problem of soil organic matter mapping in this area, this study will construct an excellent organic matter prediction model. Using 173 soil survey samples (123 for training and 50 for testing), the optimal feature variable subsets selected from 31 environmental variables through Pearson correlation, stepwise regression-variance inflation factor, and recursive feature elimination models based on different algorithms were employed. Each selected feature subset was then used to construct organic matter prediction models using multiple advanced machine learning algorithms. By comparing accuracy validation and model performance, the organic matter prediction model suitable for Mingguang City (RFE-RF_SVM) was obtained, that is, the prediction model of organic matter based on support vector machines with the feature variables screened by the feature recursive elimination algorithm of random forest with RMSE = 3.504, VSI = 0.036, and R-squared = 0.730. Furthermore, the analysis focused on assessing the significance of the predictive factors. The mapping results of this study show that the soil organic matter content in the central and northwestern parts of the study area is low, and the reasons for this situation are different. The central part is mainly caused by the change of land use and topography, while the northwestern part is caused by the loose soil structure caused by the parent material. The government can take targeted measures to improve the soil in the areas with poor organic matter. Full article
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14 pages, 1279 KiB  
Article
Pilot-Study to Explore Metabolic Signature of Type 2 Diabetes: A Pipeline of Tree-Based Machine Learning and Bioinformatics Techniques for Biomarkers Discovery
by Fatma Hilal Yagin, Fahaid Al-Hashem, Irshad Ahmad, Fuzail Ahmad and Abedalrhman Alkhateeb
Nutrients 2024, 16(10), 1537; https://doi.org/10.3390/nu16101537 (registering DOI) - 20 May 2024
Abstract
Background: This study aims to identify unique metabolomics biomarkers associated with Type 2 Diabetes (T2D) and develop an accurate diagnostics model using tree-based machine learning (ML) algorithms integrated with bioinformatics techniques. Methods: Univariate and multivariate analyses such as fold change, a receiver operating [...] Read more.
Background: This study aims to identify unique metabolomics biomarkers associated with Type 2 Diabetes (T2D) and develop an accurate diagnostics model using tree-based machine learning (ML) algorithms integrated with bioinformatics techniques. Methods: Univariate and multivariate analyses such as fold change, a receiver operating characteristic curve (ROC), and Partial Least-Squares Discriminant Analysis (PLS-DA) were used to identify biomarker metabolites that showed significant concentration in T2D patients. Three tree-based algorithms [eXtreme Gradient Boosting (XGBoost), Light Gradient Boosting Machine (LightGBM), and Adaptive Boosting (AdaBoost)] that demonstrated robustness in high-dimensional data analysis were used to create a diagnostic model for T2D. Results: As a result of the biomarker discovery process validated with three different approaches, Pyruvate, D-Rhamnose, AMP, pipecolate, Tetradecenoic acid, Tetradecanoic acid, Dodecanediothioic acid, Prostaglandin E3/D3 (isobars), ADP and Hexadecenoic acid were determined as potential biomarkers for T2D. Our results showed that the XGBoost model [accuracy = 0.831, F1-score = 0.845, sensitivity = 0.882, specificity = 0.774, positive predictive value (PPV) = 0.811, negative-PV (NPV) = 0.857 and Area under the ROC curve (AUC) = 0.887] had the slight highest performance measures. Conclusions: ML integrated with bioinformatics techniques offers accurate and positive T2D candidate biomarker discovery. The XGBoost model can successfully distinguish T2D based on metabolites. Full article
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12 pages, 1023 KiB  
Article
Fractional Ablative Carbon Dioxide Laser versus Fractional Non-Ablative 1410 nm Diode Laser in the Treatment of Acne Scars: A Clinical and Immunohistochemical Study
by Mai Abdelraouf Osman, Shaimaa Mohamedadel Fawy, Dalia M. Abouelfadl, Mohamed Fouad Abdel Salam, Amin Sharobim and Abeer Attia Tawfik
Cosmetics 2024, 11(3), 81; https://doi.org/10.3390/cosmetics11030081 (registering DOI) - 20 May 2024
Abstract
Background: Effectively managing acne scars while minimizing consequences is still a challenging task. The primary determinant in selecting and continuing therapy for a specific device is stimulating collagen production and dermal remodeling with the fewest possible complications. Objective: To evaluate the clinical and [...] Read more.
Background: Effectively managing acne scars while minimizing consequences is still a challenging task. The primary determinant in selecting and continuing therapy for a specific device is stimulating collagen production and dermal remodeling with the fewest possible complications. Objective: To evaluate the clinical and immunohistochemical results of ablative fractional carbon dioxide (FCO2) laser versus fractional non-ablative diode laser for treating facial acne scars. Methods and Materials: Thirty patients with atrophic acne scars were included in a split-face comparative study. Right and left facial sides received three sessions of FCO2 and diode laser, respectively, at one-month intervals. One month after the third session, patients were evaluated using photographs, the Goodman and Baron qualitative and quantitative global scarring grading system, the investigator’s global assessment, and patient satisfaction. A sample was collected from the area that had been treated, and the tissue was examined using hematoxylin and eosin (H–E) staining and immunohistochemistry staining for collagen I. Results: Goodman and Baron global scores showed a statistically significant difference compared to baseline on both sides of the face. However, there was no statistically significant difference between the two treatment modalities. Biopsy specimens showed an increased deposition of collagen I by both laser devices, which was validated and described by immunohistochemistry staining. Conclusion: Both FCO2 and fractional non-ablative diode lasers proved their efficacy in treating different types of acne scars. For patients who are interested in no downtime and no complications, fractional non-ablative diode laser is recommended as an efficient alternative modality. Full article
(This article belongs to the Special Issue Laser Therapy and Phototherapy in Cosmetic Dermatology)
27 pages, 2396 KiB  
Article
West Nile Virus Subgenomic RNAs Modulate Gene Expression in a Neuronal Cell Line
by Maria Bampali, Adamantia Kouvela, Nikolaos Kesesidis, Katerina Kassela, Nikolas Dovrolis and Ioannis Karakasiliotis
Viruses 2024, 16(5), 812; https://doi.org/10.3390/v16050812 (registering DOI) - 20 May 2024
Abstract
Subgenomic flaviviral RNAs (sfRNAs) are small non-coding products of the incomplete degradation of viral genomic RNA. They accumulate during flaviviral infection and have been associated with many functional roles inside the host cell. Studies so far have demonstrated that sfRNA plays a crucial [...] Read more.
Subgenomic flaviviral RNAs (sfRNAs) are small non-coding products of the incomplete degradation of viral genomic RNA. They accumulate during flaviviral infection and have been associated with many functional roles inside the host cell. Studies so far have demonstrated that sfRNA plays a crucial role in determining West Nile virus (WNV) pathogenicity. However, its modulatory role on neuronal homeostasis has not been studied in depth. In this study, we investigated the mechanism of sfRNA biosynthesis and its importance for WNV replication in neuronal cells. We found that sfRNA1 is functionally redundant for both replication and translation of WNV. However, the concurrent absence of sfRNA1 and sfRNA2 species is detrimental for the survival of the virus. Differential expression analysis on RNA-seq data from WT and ΔsfRNA replicon cell lines revealed transcriptional changes induced by sfRNA and identified a number of putative targets. Overall, it was shown that sfRNA contributes to the viral evasion by suppressing the interferon-mediated antiviral response. An additional differential expression analysis among replicon and control Neuro2A cells also clarified the transcriptional changes that support WNV replication in neuronal cells. Increased levels of translation and oxidative phosphorylation, post-translational modification processes, and activated DNA repair pathways were observed in replicon cell lines, while developmental processes such as axonal growth were deficient. Full article
(This article belongs to the Section Insect Viruses)
11 pages, 621 KiB  
Article
Synergistic Therapy for Graves’ Ophthalmopathy-Associated Eyelid Retraction: Steroid, 5-FU, and Botulinum Neurotoxin a Combination
by Yuri Kim and Helen Lew
J. Clin. Med. 2024, 13(10), 3012; https://doi.org/10.3390/jcm13103012 (registering DOI) - 20 May 2024
Abstract
Background: Graves’ ophthalmopathy (GO) is characterized by upper eyelid retraction (UER), the most prevalent clinical sign. We aimed to assess the clinical efficacy of a multimodal combination of steroids, 5-fluorouracil (5-FU), and botulinum neurotoxin A (BoNT-A) injections in managing UER with GO and [...] Read more.
Background: Graves’ ophthalmopathy (GO) is characterized by upper eyelid retraction (UER), the most prevalent clinical sign. We aimed to assess the clinical efficacy of a multimodal combination of steroids, 5-fluorouracil (5-FU), and botulinum neurotoxin A (BoNT-A) injections in managing UER with GO and analyze the clinical factors in relation to the injection response. Methods: A total of 37 eyes from 23 patients were enrolled for UER with GO. At the endocrinology clinic, the patients were referred to the ophthalmology clinic after taking antithyroid medication for an average of 5.76 months (13 patients), while 10 patients were initially diagnosed with GO and referred to the endocrinology clinic for management of the thyroid hormone function. They performed an orbital computed tomography (CT) scan and measured the cross-sectional area of the orbit, orbital fat, and each extra ocular muscle (EOM) except for the inferior oblique muscle 4 mm behind the eyeball. Each of the EOMs and orbital fat were calculated as a ratio to the total orbit area. A total of 0.1 cc of triamcinolone (40 mg/mL), dexamethasone (5 mg/mL), 5-FU, and BoNT-A (2.5 units) was injected transconjunctivally. Medical records were examined and photographs were utilized to assess MRD1, inferior palpebral fissure (IPF), and lid lag during down gaze before and after the injection. The patients were divided into two groups: responders (more than 1 mm decrease in MRD1 after injection) and non-responders. During the follow-up period (11.0 ± 11.6 months), any potential adverse effects were monitored. Results: CAS decreased from 3.0 ± 0.8 to 1.4 ± 0.5 after the injection, and MRD1 decreased from 5.0 ± 0.9 mm to 4.5 ± 1.3 mm. Sixty percent of the patients were responders. Before and after the injection, the difference between IPF and MRD1 in responders was 0.60 ± 1.10 mm and 0.90 ± 0.90 mm, respectively, whereas, in non-responders, it was −0.57 ± 0.88 mm and −0.15 ± 0.75 mm, respectively. In the responders, pre-injection IPF and FT4 were significantly higher (p < 0.05). Responders had a larger EOM cross-sectional area (153.5 ± 18.0 mm2), including a larger lateral rectus muscle cross-sectional area (37.6 ± 9.7 mm2) than non-responders (132.0 ± 27.9 mm2; 29.1 ± 8.1 mm2). In responders, the treatment effect on IPF and MRD1 remained consistent at 1.2 ± 3.4 mm and 1.2 ± 1.6 mm, respectively, during the latest follow-up assessment. Conclusions: The combination injection of corticosteroids, 5-FU, and BoNT-A would be effective, especially, in patients with hyperthyroidism and an elongated IPF. Additionally, an increase in EOM cross-sectional area on CT, up to 150 mm2, may serve as an additional positive indicator for the use of multimodal injections in UER with GO. Full article
(This article belongs to the Section Ophthalmology)
15 pages, 518 KiB  
Article
Next-Generation Dual Transceiver FSO Communication System for High-Speed Trains in Neom Smart City
by Yehia Elsawy, Ayshah S. Alatawi, Mohamed Abaza, Azza Moawad and El-Hadi M. Aggoune
Photonics 2024, 11(5), 483; https://doi.org/10.3390/photonics11050483 (registering DOI) - 20 May 2024
Abstract
Smart cities like Neom require efficient and reliable transportation systems to support their vision of sustainable and interconnected urban environments. High-speed trains (HSTs) play a crucial role in connecting different areas of the city and facilitating seamless mobility. However, to ensure uninterrupted communication [...] Read more.
Smart cities like Neom require efficient and reliable transportation systems to support their vision of sustainable and interconnected urban environments. High-speed trains (HSTs) play a crucial role in connecting different areas of the city and facilitating seamless mobility. However, to ensure uninterrupted communication along the rail lines, advanced communication systems are essential to expand the coverage range of each base station (BS) while reducing the handover frequency. This paper presents the dual transceiver free space optical (FSO) communication system as a solution to achieve these objectives in the operational environment of HSTs in Neom city. Our channel model incorporates log-normal (LN) and gamma–gamma (GG) distributions to represent channel impairments and atmospheric turbulence in the city. Furthermore, we integrated the siding loop model, providing valuable insights into the system in real-world scenarios. To assess the system’s performance, we formulated the received signal-to-noise ratio (SNR) of the network under assumed fading conditions. Additionally, we analyzed the system’s bit error rate (BER) analytically and through Monte Carlo simulation. A comparative analysis with reconfigurable intelligent surfaces (RIS) and relay-assisted FSO communications shows the superior coverage area and efficiency of the dual transceiver model. A significant reduction of up to 76% and 99% in the number of required BSs compared to RIS and relay, respectively, is observed. This reduction leads to fewer handovers and lower capital expenditure (CAPEX) costs. Full article
(This article belongs to the Special Issue Next-Generation Free-Space Optical Communication Technology)
19 pages, 2859 KiB  
Review
Advancements in Research on Duck Tembusu Virus Infections
by Yuting Cheng, Ruoheng Wang, Qingguo Wu, Jinying Chen, Anping Wang, Zhi Wu, Fang Sun and Shanyuan Zhu
Viruses 2024, 16(5), 811; https://doi.org/10.3390/v16050811 (registering DOI) - 20 May 2024
Abstract
Duck Tembusu Virus (DTMUV) is a pathogen of the Flaviviridae family that causes infections in poultry, leading to significant economic losses in the duck farming industry in recent years. Ducks infected with this virus exhibit clinical symptoms such as decreased egg production and [...] Read more.
Duck Tembusu Virus (DTMUV) is a pathogen of the Flaviviridae family that causes infections in poultry, leading to significant economic losses in the duck farming industry in recent years. Ducks infected with this virus exhibit clinical symptoms such as decreased egg production and neurological disorders, along with serious consequences such as ovarian hemorrhage, organ enlargement, and necrosis. Variations in morbidity and mortality rates exist across different age groups of ducks. It is worth noting that DTMUV is not limited to ducks alone; it can also spread to other poultry such as chickens and geese, and antibodies related to DTMUV have even been found in duck farm workers, suggesting a potential risk of zoonotic transmission. This article provides a detailed overview of DTMUV research, delving into its genomic characteristics, vaccines, and the interplay with host immune responses. These in-depth research findings contribute to a more comprehensive understanding of the virus’s transmission mechanism and pathogenic process, offering crucial scientific support for epidemic prevention and control. Full article
(This article belongs to the Section Animal Viruses)
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21 pages, 4455 KiB  
Article
Influence of Machine Tool Operating Conditions on the Resulting Circularity and Positioning Accuracy
by Matej Sarvas, Michal Holub, Tomas Marek, Jan Prochazka, Frantisek Bradac and Petr Blecha
Machines 2024, 12(5), 352; https://doi.org/10.3390/machines12050352 (registering DOI) - 20 May 2024
Abstract
The operating conditions of the production process significantly influence the resulting dimensional and form accuracy of the workpiece. The operating conditions include the position of the workpiece location, with internal and external heat sources influenced not only by the machine location but also [...] Read more.
The operating conditions of the production process significantly influence the resulting dimensional and form accuracy of the workpiece. The operating conditions include the position of the workpiece location, with internal and external heat sources influenced not only by the machine location but also by its operation. In addition, there are the cutting conditions and the feed rate requirements of CNC machine tools. These changes, such as workpiece position, feed rates, and machine heat load, are further reflected in the ability of the machine to run at the position required and interpolate within the given tolerances of circularity. For the accuracy and repeatability of positioning, the machine was set up according to ISO 230-2 and for the circular interpolation tests according to ISO 230-4. The obtained results show the importance of attention to the appropriate setting of the operating conditions of the production process, where the knowledge of the geometric accuracy of the CNC machine tool in its working space can systematically increase the manufacturing accuracy itself or be another tool suitable for predicting the dimensional and form accuracy of workpieces. Full article
(This article belongs to the Special Issue Precision Manufacturing and Machine Tools)
12 pages, 1498 KiB  
Article
The EWM-Based Evaluation of Healthy City Construction Levels in East China under the Concept of “Making Improvements Is More Important Than Reaching Standards”
by Haibo Li, Jiaming Guo, Chen Pan, Jiawei Wu and Xiaodong Liu
Sustainability 2024, 16(10), 4311; https://doi.org/10.3390/su16104311 (registering DOI) - 20 May 2024
Abstract
In order to effectively identify the shortcomings and potential health risks in the construction of healthy cities and achieve sustainable development, relevant improvement strategies have been formulated. According to the National Healthy City Evaluation Index System, with the concept of “Making improvements is [...] Read more.
In order to effectively identify the shortcomings and potential health risks in the construction of healthy cities and achieve sustainable development, relevant improvement strategies have been formulated. According to the National Healthy City Evaluation Index System, with the concept of “Making improvements is more important than reaching standards”, the healthy city construction levels of the first batch of 13 cities in East China were evaluated by combining entropy weight and linear coefficient weighting from the five dimensions of environment, population, society, service, and culture, based on the data of statistical yearbooks, bulletins, and government websites. The results show that Suzhou, Jiading, Wuxi, Hangzhou, Ningbo, Tongxiang, and Zhenjiang are in the first-grade group, Xiamen, Yantai, Jinan, and Weihai are in the second-grade group, and Yichun and Ma’anshan are in the third-grade group. There is also more significant heterogeneity in the healthy environment indicator among the 13 cities; at the same time, there are specific differences in the healthy culture indicator, and there are slight differences in the indicators of healthy population, society, and service. The study reveals the gaps and problems in the construction of healthy cities. It proposes constructive ideas for promoting follow-up improvement of “making up for shortcomings and strengthening the weaknesses”. Full article
(This article belongs to the Special Issue Sustainable Public Health, Urban Smart City and Economic Development)
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16 pages, 1235 KiB  
Article
High-Performance Materials Improve the Early Shrinkage, Early Cracking, Strength, Impermeability, and Microstructure of Manufactured Sand Concrete
by Mingming Zhang, Shan Gao, Tong Liu, Shuyu Guo and Shuotian Zhang
Materials 2024, 17(10), 2465; https://doi.org/10.3390/ma17102465 (registering DOI) - 20 May 2024
Abstract
The poor early shrinkage and cracking performances of manufactured sand concrete, waste powder concrete, and recycled aggregate concrete are the main difficulties in engineering applications. To solve these problems, early shrinkage and cracking, strength, and impermeability tests were performed on high-volume stone powder [...] Read more.
The poor early shrinkage and cracking performances of manufactured sand concrete, waste powder concrete, and recycled aggregate concrete are the main difficulties in engineering applications. To solve these problems, early shrinkage and cracking, strength, and impermeability tests were performed on high-volume stone powder manufactured sand concrete mixed with fly ash and slag powder (FS), a shrinkage-reducing agent (SRA), polyvinyl alcohol (PVA) fibers, and a superabsorbent polymer (SAP). Furthermore, the microstructures and pore structures of these concretes were revealed using nuclear magnetic resonance (NMR) and scanning electron microscopy (SEM). The results showed that the mixture of FS, SRA, PVA fibers, and SAP could effectively inhibit the shrinkage strain and cracking area of the concrete. The effect of the SAP on reducing the early shrinkage of the concrete is the greatest, and the shrinkage strain can be reduced by 76.49%. The PVA fibers had the most obvious effect on inhibiting the early cracking of the concrete, and the total cracking area was reduced by 66.91%. Significantly, the incorporation of the FS can improve the particle gradation and the pore structure and improve its compactness. The PVA fibers not only provide good carriers for cement-based materials but also enhance the bonding force between the particles inside the concrete, filling the pores inside the concrete, inhibiting the loss of water, and reducing the generation of internal microcracks. The FS and PVA can reduce the shrinkage and cracking risk and improve the strength and impermeability of the concrete. Although the SRA and SAP can reduce the shrinkage and cracking risks, it will lead to a significant decrease in the later strength and impermeability. The main reason is that the SRA leads to an increase in micropores in the matrix and microcracks near the aggregate, which are not conducive to the development of the strength and penetration resistance of the MS. Similarly, the SAP can promote the rapid formation of ettringite (Aft) at an early age and improve the early shrinkage, early cracking, and early strength of the concrete. However, with an increase in age, the residual pores, after SAP dehydration, will cause the deterioration of the concrete pore structure, resulting in the deterioration of the strength and impermeability. Full article
12 pages, 1346 KiB  
Case Report
A Clinical Approach for the Removal of a Large Antral Pseudocyst with Simultaneous Maxillary Sinus Augmentation: A Case Series
by Won-Bae Park, Jina Shin, Seungil Shin and Ji-Youn Hong
Medicina 2024, 60(5), 838; https://doi.org/10.3390/medicina60050838 (registering DOI) - 20 May 2024
Abstract
For a large benign lesion within the maxillary sinus, such as an antral pseudocyst, maxillary sinus floor augmentation is more commonly performed using a two-stage approach. This involves first removing the lesion, and then, re-entry following several months of healing. In this case [...] Read more.
For a large benign lesion within the maxillary sinus, such as an antral pseudocyst, maxillary sinus floor augmentation is more commonly performed using a two-stage approach. This involves first removing the lesion, and then, re-entry following several months of healing. In this case series, we described the “one-bony-window” approach, which is a technical surgical modification of the previous one-stage approach, for simultaneous cyst removal and maxillary sinus floor augmentation. Four patients with large maxillary antral pseudocysts were included. The “one-bony-window” approach involves the preparation of a large window opening of approximately 15 mm × 20 mm at the lateral wall. A mesiodistally extended intentional perforation was made in the upper part of the exposed membrane to enhance the access for instrumentation. The antral pseudocyst was removed in its entirety without being deformed to prevent rupture or leakage of the cystic contents. Subsequent detachment and elevation of the Schneiderian membrane at the sinus floor significantly reduced the perforation site, and bone grafting with implant placement was performed simultaneously. This alleviated the need to surgically repair the perforation. The lateral opening was either uncovered or repositioned using bony window lids. Healing abutments were connected after six months, and the final prosthesis was placed after two months. At the 1-year follow-up, the antral pseudocysts had resolved with no specific recurrence, and the stability of the augmented sinus was maintained with excellent implant survival. Within the limitations of our findings, the “one-bony-window” technique can be suggested for the simultaneous removal of large antral pseudocysts and maxillary sinus floor augmentation with favorable clinical outcomes. Full article
34 pages, 645 KiB  
Review
Macrocephaly and Finger Changes: A Narrative Review
by Cecilia Lazea, Romana Vulturar, Adina Chiș, Svetlana Encica, Melinda Horvat, Cristina Belizna and Laura-Otilia Damian
Int. J. Mol. Sci. 2024, 25(10), 5567; https://doi.org/10.3390/ijms25105567 (registering DOI) - 20 May 2024
Abstract
Macrocephaly, characterized by an abnormally large head circumference, often co-occurs with distinctive finger changes, presenting a diagnostic challenge for clinicians. This review aims to provide a current synthetic overview of the main acquired and genetic etiologies associated with macrocephaly and finger changes. The [...] Read more.
Macrocephaly, characterized by an abnormally large head circumference, often co-occurs with distinctive finger changes, presenting a diagnostic challenge for clinicians. This review aims to provide a current synthetic overview of the main acquired and genetic etiologies associated with macrocephaly and finger changes. The genetic cause encompasses several categories of diseases, including bone marrow expansion disorders, skeletal dysplasias, ciliopathies, inherited metabolic diseases, RASopathies, and overgrowth syndromes. Furthermore, autoimmune and autoinflammatory diseases are also explored for their potential involvement in macrocephaly and finger changes. The intricate genetic mechanisms involved in the formation of cranial bones and extremities are multifaceted. An excess in growth may stem from disruptions in the intricate interplays among the genetic, epigenetic, and hormonal factors that regulate human growth. Understanding the underlying cellular and molecular mechanisms is important for elucidating the developmental pathways and biological processes that contribute to the observed clinical phenotypes. The review provides a practical approach to delineate causes of macrocephaly and finger changes, facilitate differential diagnosis and guide for the appropriate etiological framework. Early recognition contributes to timely intervention and improved outcomes for affected individuals. Full article
18 pages, 4966 KiB  
Article
Conyza canadensis from Jordan: Phytochemical Profiling, Antioxidant, and Antimicrobial Activity Evaluation
by Lina M. Barhoumi, Ashok K. Shakya, O’la Al-Fawares and Hala I. Al-Jaber
Molecules 2024, 29(10), 2403; https://doi.org/10.3390/molecules29102403 (registering DOI) - 20 May 2024
Abstract
In this investigation, the chemical composition of the hydro-distilled essential oil (HD-EO), obtained from the fresh aerial parts (inflorescence heads (Inf), leaves (L), and stems (St)) of Conyza canadensis growing wild in Jordan was determined by GC/MS. Additionally, the methanolic extract obtained from [...] Read more.
In this investigation, the chemical composition of the hydro-distilled essential oil (HD-EO), obtained from the fresh aerial parts (inflorescence heads (Inf), leaves (L), and stems (St)) of Conyza canadensis growing wild in Jordan was determined by GC/MS. Additionally, the methanolic extract obtained from the whole aerial parts of C. canadensis (CCM) was examined for its total phenolic content (TPC), total flavonoids content (TFC), DPPH radical scavenging activity, iron chelating activity and was then analyzed with LC-MS/MS for the presence of certain selected phenolic compounds and flavonoids. The GC/MS analysis of CCHD-EOs obtained from the different aerial parts revealed the presence of (2E, 8Z)-matricaria ester as the main component, amounting to 15.4% (Inf), 60.7% (L), and 31.6% (St) of the total content. Oxygenated monoterpenes were the main class of volatile compounds detected in the Inf-CCHD-EO. However, oils obtained from the leaves and stems were rich in polyacetylene derivatives. The evaluation of the CCM extract showed a richness in phenolic content (95.59 ± 0.40 mg GAE/g extract), flavonoids contents (467.0 ± 10.5 mg QE/ g extract), moderate DPPH radical scavenging power (IC50 of 23.75 ± 0.86 µg/mL) and low iron chelating activity (IC50 = 5396.07 ± 15.05 µg/mL). The LC-MS/MS profiling of the CCM extract allowed for the detection of twenty-five phenolic compounds and flavonoids. Results revealed that the CCM extract contained high concentration levels of rosmarinic acid (1441.1 mg/kg plant), in addition to caffeic acid phenethyl ester (231.8 mg/kg plant). An antimicrobial activity assessment of the CCM extract against a set of Gram-positive and Gram-negative bacteria, in addition to two other fungal species including Candida and Cryptococcus, showed significant antibacterial activity of the extract against S. aureus with MIC value of 3.125 µg/mL. The current study is the first phytochemical screening for the essential oil and methanolic extract composition of C. canadensis growing in Jordan, its antioxidant and antimicrobial activity. Full article
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29 pages, 2166 KiB  
Article
Enhanced Sequence-to-Sequence Deep Transfer Learning for Day-Ahead Electricity Load Forecasting
by Vasileios Laitsos, Georgios Vontzos, Apostolos Tsiovoulos, Dimitrios Bargiotas and Lefteri H. Tsoukalas
Electronics 2024, 13(10), 1996; https://doi.org/10.3390/electronics13101996 (registering DOI) - 20 May 2024
Abstract
Electricity load forecasting is a crucial undertaking within all the deregulated markets globally. Among the research challenges on a global scale, the investigation of deep transfer learning (DTL) in the field of electricity load forecasting represents a fundamental effort that can inform artificial [...] Read more.
Electricity load forecasting is a crucial undertaking within all the deregulated markets globally. Among the research challenges on a global scale, the investigation of deep transfer learning (DTL) in the field of electricity load forecasting represents a fundamental effort that can inform artificial intelligence applications in general. In this paper, a comprehensive study is reported regarding day-ahead electricity load forecasting. For this purpose, three sequence-to-sequence (Seq2seq) deep learning (DL) models are used, namely the multilayer perceptron (MLP), the convolutional neural network (CNN) and the ensemble learning model (ELM), which consists of the weighted combination of the outputs of MLP and CNN models. Also, the study focuses on the development of different forecasting strategies based on DTL, emphasizing the way the datasets are trained and fine-tuned for higher forecasting accuracy. In order to implement the forecasting strategies using deep learning models, load datasets from three Greek islands, Rhodes, Lesvos, and Chios, are used. The main purpose is to apply DTL for day-ahead predictions (1–24 h) for each month of the year for the Chios dataset after training and fine-tuning the models using the datasets of the three islands in various combinations. Four DTL strategies are illustrated. In the first strategy (DTL Case 1), each of the three DL models is trained using only the Lesvos dataset, while fine-tuning is performed on the dataset of Chios island, in order to create day-ahead predictions for the Chios load. In the second strategy (DTL Case 2), data from both Lesvos and Rhodes concurrently are used for the DL model training period, and fine-tuning is performed on the data from Chios. The third DTL strategy (DTL Case 3) involves the training of the DL models using the Lesvos dataset, and the testing period is performed directly on the Chios dataset without fine-tuning. The fourth strategy is a multi-task deep learning (MTDL) approach, which has been extensively studied in recent years. In MTDL, the three DL models are trained simultaneously on all three datasets and the final predictions are made on the unknown part of the dataset of Chios. The results obtained demonstrate that DTL can be applied with high efficiency for day-ahead load forecasting. Specifically, DTL Case 1 and 2 outperformed MTDL in terms of load prediction accuracy. Regarding the DL models, all three exhibit very high prediction accuracy, especially in the two cases with fine-tuning. The ELM excels compared to the single models. More specifically, for conducting day-ahead predictions, it is concluded that the MLP model presents the best monthly forecasts with MAPE values of 6.24% and 6.01% for the first two cases, the CNN model presents the best monthly forecasts with MAPE values of 5.57% and 5.60%, respectively, and the ELM model achieves the best monthly forecasts with MAPE values of 5.29% and 5.31%, respectively, indicating the very high accuracy it can achieve. Full article
27 pages, 691 KiB  
Article
Diversity of Helminths of Insectivorous Mammals (Mammalia: Eulipothyphla) from Large Forest Protected Areas of the Middle Volga Region (European Russia)
by Nadezhda Yu. Kirillova, Alexander A. Kirillov, Alexander B. Ruchin and Alexander I. Fayzulin
Diversity 2024, 16(5), 307; https://doi.org/10.3390/d16050307 (registering DOI) - 20 May 2024
Abstract
Insectivores (Eulypotiphla) are a substantial component of Russian forest ecosystems. The parasites of these animals also form an important part of natural biocenoses and act as one of the factors in the formation of biodiversity. The Mordovia Nature Reserve and National Park “Smolny” [...] Read more.
Insectivores (Eulypotiphla) are a substantial component of Russian forest ecosystems. The parasites of these animals also form an important part of natural biocenoses and act as one of the factors in the formation of biodiversity. The Mordovia Nature Reserve and National Park “Smolny” are large, forested areas located in the center of European Russia. We studied the helminth fauna of insectivores in these protected areas in 2018–2022. In total, using the method of complete helminthological necropsy, we examined 478 individuals of shrews, moles, and hedgehogs and recorded 34 species of parasitic worms, i.e., 8 trematode, 7 cestode, 1 acanthocephalan, and 18 nematode species. The most diverse helminth fauna was found in Sorex araneus (22 species). The composition of helminths in Sorex isidon (12), Neomys fodiens (9), Sorex minutus, and Erinaceus roumanicus (8 species each) turned out to be less diverse. The lowest species diversity of helminths was observed in Neomys milleri (3) and Talpae europaea (2 species). Taking into account the newly obtained data, we conducted a review of the helminth diversity in shrews, hedgehogs, and moles in the Middle Volga region. According to our literature data, the helminth fauna of insectivores in this region consists of 52 species, including 14 cestodes, 13 trematodes, 22 nematodes, and 3 acanthocephalans. Most of them belong to the Palearctic faunal complex (36 species). The helminth fauna of insectivores in the studied protected areas was compared with the helminth fauna of micromammals in other areas of the Middle Volga region. Our comparative analysis showed a high and average degree of similarity in the helminth fauna within individual species and genera of Eulipotyphla. Full article
(This article belongs to the Section Animal Diversity)
13 pages, 1445 KiB  
Article
Silicon Microring Resonator Biosensor for Detection of Nucleocapsid Protein of SARS-CoV-2
by Yusuke Uchida, Taro Arakawa, Akio Higo and Yuhei Ishizaka
Sensors 2024, 24(10), 3250; https://doi.org/10.3390/s24103250 (registering DOI) - 20 May 2024
Abstract
A high-sensitivity silicon microring (Si MRR) optical biosensor for detecting the nucleocapsid protein of SARS-CoV-2 is proposed and demonstrated. In the proposed biosensor, the surface of a Si MRR waveguide is modified with antibodies, and the target protein is detected by measuring a [...] Read more.
A high-sensitivity silicon microring (Si MRR) optical biosensor for detecting the nucleocapsid protein of SARS-CoV-2 is proposed and demonstrated. In the proposed biosensor, the surface of a Si MRR waveguide is modified with antibodies, and the target protein is detected by measuring a resonant wavelength shift of the MRR caused by the selective adsorption of the protein to the surface of the waveguide. A Si MRR is fabricated on a silicon-on-insulator substrate using a CMOS-compatible fabrication process. The quality factor of the MRR is approximately 20,000. The resonant wavelength shift of the MRR and the detection limit for the environmental refractive index change are evaluated to be 89 nm/refractive index unit (RIU) and 10−4 RIU, respectively. The sensing characteristics are examined using a polydimethylsiloxane flow channel after the surface of the Si MRR waveguide is modified with the IgG antibodies through the Si-tagged protein. First, the selective detection of the protein by the MRR sensor is experimentally demonstrated by the detection of bovine serum albumin and human serum albumin. Next, various concentrations of nucleocapsid protein solutions are measured by the MRR, in which the waveguide surface is modified with the IgG antibodies through the Si-tagged protein. Although the experimental results are very preliminary, they show that the proposed sensor has a potential nucleocapsid sensitivity in the order of 10 pg/mL, which is comparable to the sensitivity of current antigen tests. The detection time is less than 10 min, which is much shorter than those of other antigen tests. Full article
(This article belongs to the Section Biosensors)
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13 pages, 981 KiB  
Article
Density Mediates the Predator-Induced Growth and Metamorphic Plasticity of Chinhai Spiny Newt Larvae
by Xihong Zhu, Xia Qiu, Wei Li, Shiyan Feng and Aichun Xu
Animals 2024, 14(10), 1510; https://doi.org/10.3390/ani14101510 (registering DOI) - 20 May 2024
Abstract
Predators significantly influence amphibian larval development. Predator-induced plasticity is often studied independently from conspecific density effects, but these environmental factors may interact. We conducted two-factor factorial experimental design to manipulate conspecific density and predator cues, aiming to investigate the independently or interactive impacts [...] Read more.
Predators significantly influence amphibian larval development. Predator-induced plasticity is often studied independently from conspecific density effects, but these environmental factors may interact. We conducted two-factor factorial experimental design to manipulate conspecific density and predator cues, aiming to investigate the independently or interactive impacts of these two factors on the development of Chinhai spiny newt larvae (Echinotriton chinhaiensis). Our findings reveal that both high and low conspecific densities constrain spiny newt larval growth and predators also limit growth. Interestingly, high conspecific density restricts predator-induced growth plasticity without interacting effects. Only lower density groups exhibit slower growth responses to predators. Our study investigates how density mediates predator-induced plasticity in the endangered Chinhai spiny newt larvae, providing insights into their intricate life history. These results contribute to the understanding of predator-induced plasticity in amphibians and provide insights into the adaptive strategies of endangered species like Chinhai spiny newt. Such knowledge informs the development of effective conservation strategies for their protection. Full article
(This article belongs to the Section Wildlife)
22 pages, 1564 KiB  
Review
Advances in Materials with Self-Healing Properties: A Brief Review
by Rashid Dallaev
Materials 2024, 17(10), 2464; https://doi.org/10.3390/ma17102464 (registering DOI) - 20 May 2024
Abstract
The development of materials with self-healing capabilities has garnered considerable attention due to their potential to enhance the durability and longevity of various engineering and structural applications. In this review, we provide an overview of recent advances in materials with self-healing properties, encompassing [...] Read more.
The development of materials with self-healing capabilities has garnered considerable attention due to their potential to enhance the durability and longevity of various engineering and structural applications. In this review, we provide an overview of recent advances in materials with self-healing properties, encompassing polymers, ceramics, metals, and composites. We outline future research directions and potential applications of self-healing materials (SHMs) in diverse fields. This review aims to provide insights into the current state-of-the-art in SHM research and guide future efforts towards the development of innovative and sustainable materials with enhanced self-repair capabilities. Each material type showcases unique self-repair mechanisms tailored to address specific challenges. Furthermore, this review investigates crack healing processes, shedding light on the latest developments in this critical aspect of self-healing materials. Through an extensive exploration of these topics, this review aims to provide a comprehensive understanding of the current landscape and future directions in self-healing materials research. Full article
30 pages, 695 KiB  
Article
Health and Wellbeing of Regional and Rural Australian Healthcare Workers during the COVID-19 Pandemic: Baseline Cross-Sectional Findings from the Loddon Mallee Healthcare Worker COVID-19 Study—A Prospective Cohort Study
by Mark McEvoy, Gabriel Caccaviello, Angela Crombie, Timothy Skinner, Stephen J. Begg, Peter Faulkner, Anne McEvoy, Kevin Masman, Laura Bamforth, Carol Parker, Evan Stanyer, Amanda Collings and Xia Li
Int. J. Environ. Res. Public Health 2024, 21(5), 649; https://doi.org/10.3390/ijerph21050649 (registering DOI) - 20 May 2024
Abstract
Background: Coronavirus 19 (COVID-19) has created complex pressures and challenges for healthcare systems worldwide; however, little is known about the impacts COVID-19 has had on regional/rural healthcare workers. The Loddon Mallee Healthcare Worker COVID-19 Study (LMHCWCS) cohort was established to explore and describe [...] Read more.
Background: Coronavirus 19 (COVID-19) has created complex pressures and challenges for healthcare systems worldwide; however, little is known about the impacts COVID-19 has had on regional/rural healthcare workers. The Loddon Mallee Healthcare Worker COVID-19 Study (LMHCWCS) cohort was established to explore and describe the immediate and long-term impacts of the COVID-19 pandemic on regional and rural healthcare workers. Methods: Eligible healthcare workers employed within 23 different healthcare organisations located in the Loddon Mallee region of Victoria, Australia, were included. In this cohort study, a total of 1313 participants were recruited from November 2020–May 2021. Symptoms of depression, anxiety, post-traumatic stress, and burnout were measured using the Patient Health Questionnaire-9 (PHQ-9), Generalised Anxiety Disorder-7 (GAD-7), Impact of Events Scale-6 (IES-6), and Copenhagen Burnout Inventory (CBI), respectively. Resilience and optimism were measured using the Brief Resilience Scale and Life Orientation Test—Revised (LOT-R), respectively. Subjective fear of COVID-19 was measured using the Fear of COVID-19 Scale. Results: These cross-sectional baseline findings demonstrate that regional/rural healthcare workers were experiencing moderate/severe depressive symptoms (n = 211, 16.1%), moderate to severe anxiety symptoms (n = 193, 14.7%), and high personal or patient/client burnout with median total scores of 46.4 (IQR = 28.6) and 25.0 (IQR = 29.2), respectively. There was a moderate degree of COVID-19-related fear. However, most participants demonstrated a normal/high degree of resilience (n = 854, 65.0%). Based on self-reporting, 15.4% had a BMI from 18.5 to 24.9 kgm2 and 37.0% have a BMI of 25 kgm2 or over. Overall, 7.3% of participants reported they were current smokers and 20.6% reported alcohol consumption that is considered moderate/high-risk drinking. Only 21.2% of the sample reported consuming four or more serves of vegetables daily and 37.8% reported consuming two or more serves of fruit daily. There were 48.0% the sample who reported having poor sleep quality measured using the Pittsburgh Sleep Quality Index (PSQI). Conclusion: Regional/rural healthcare workers in Victoria, Australia, were experiencing a moderate to high degree of psychological distress during the early stages of the pandemic. However, most participants demonstrated a normal/high degree of resilience. Findings will be used to inform policy options to support healthcare workers in responding to future pandemics. Full article
(This article belongs to the Special Issue Public Health: Rural Health Services Research)

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