Error-based learning theories of language acquisition are highly influential in language development research, yet the predictive learning mechanism they propose has proven difficult to test experimentally. Prime surprisal—the observation that structural priming is stronger following more surprising primes—has emerged as a promising methodology for resolving this issue as it tests a key prediction of error-based learning theories: surprising input leads to increased structure repetition as well as learning. However, as prime surprisal is a relatively new paradigm, it is worth evaluating how far this promise has been fulfilled. We have conducted a systemic review of PS studies to assess the strengths and limitations of existing approaches, with 13 contributions selected out of 66 search results. We found that alongside inconsistency in statistical power and how the level of surprisal is measured, the limited scope of current results cast doubt on whether PS can be used as a general tool to assess error-based learning. We suggest two key directions for future research: firstly, targeting the scope of the prime surprisal effect itself with reliable statistical power and appropriate surprisal measurements across a greater variety of languages and grammatical structures; and secondly, using the prime surprisal method as a tool to assess the scope of an error-based learning mechanism utilising conditions in which prime surprisal has been reliably established. Full article

The study explored the potential protective impact of the probiotic fungus Eurotium amstelodami in Fuzhuan brick tea on ulcerative colitis, along with the underlying mechanism. A spore suspension of E. amstelodami was administered to C57BL/6 mice to alleviate DSS-induced colitis. The findings indicated that administering E. amstelodami evidently enhanced the ultrastructure of colonic epithelium, showing characteristics such as enhanced TJ length, reduced microvilli damage, and enlarged intercellular space. After HLL supplementation, the activation of the liver inflammation pathway, including TLR4/NF-kB and NLRP3 inflammasome caused by DSS, was significantly suppressed, and bile acid metabolism, linking liver and gut, was enhanced, manifested by restoration of bile acid receptor (FXR, TGR5) level. The dysbiosis of the gut microbes in colitis mice was also restored by HLL intervention, characterized by the enrichment of beneficial bacteria (Lactobacillus, Bifidobacterium, Akkermansia, and Faecalibaculum) and fungi (Aspergillus, Trichoderma, Wallemia, Eurotium, and Cladosporium), which was closely associated with lipid metabolism and amino acid metabolism, and was negatively correlated with inflammatory gene expression. Hence, the recovery of gut microbial community structure, implicated deeply in the inflammatory index and metabolites profile, might play a crucial role in the therapeutic mechanism of HLL on colitis. Full article

The Asian longhorned beetle (ALB) causes substantial economic and ecological losses, thus, an environmentally friendly management strategy is needed. Here, we propose high trunk truncation (HTT), the removal of the above 200 cm portion of trees, as a sustainable management strategy to control ALB. To examine the hypothesis, an initial step involved the assessment of various biological characteristics of ALB. Subsequently, a controlled field experiment was carried out utilizing HTT. Finally, HTT was applied in two additional ALB infestation regions. The results of the study of the biological characteristics of ALB showed that 76.31–78.88% of frass holes and 85.08–87.93% of emergence holes were located on branches above 200 cm. Adults preferred to feed on branches 2–3 cm in diameter, ALB eggs were predominantly laid on 5 cm branches, and both were primarily located above 200 cm. These results revealed a correlation between the number of ALBs and the tree crown height. The controlled field experiment showed that the number of ALBs was significantly decreased when the HTT strategy was implemented: approximately 90% of frass holes and 95% of adults were eradicated by HTT compared with the control. Different field surveys involving HTT have shown similar results. These findings provide valuable insights into a sustainable and efficient management strategy for reducing the number of ALBs. Full article

Currently, food allergies are closely related to intestinal health, and ensuring the integrity and health of intestinal mucosa could reduce the incidence of food allergies. In this study, a soybean-allergic mouse model was used to explore the mechanism of intestinal mucosa immune response induced by enzyme-cross-linked tofu. The effects of enzyme-cross-linked tofu on intestinal mucosal immunity in mice were determined by hematoxylin–eosin (HE) staining and flow cytometry. Our results reveled that the MTG-cross-linked tofu reduced the reactivity of the intestinal mucosal immune system, which mainly manifested as a decrease in the dendritic cell (DC) levels of mesenteric lymph nodes (MLNs), increasing the Th1 cells and Tregs in Peyer’s patch (PP) nodes and MLNs, and inhibiting the Th2 cells. Compared with soy protein, enzyme-cross-linked tofu had less damage to the small intestinal tract of mice. Therefore, the above-mentioned results fully revealed that the enzyme-cross-linked tofu promoted the transformation of intestinal mucosal immune cells, shifted the Th1/Th2 balance toward Th1, and reduced its sensitization effect. Full article

The rise in contaminated sites presents a significant issue for the environment and human health, necessitating the decontamination of the surroundings and the adoption of effective decontamination strategies. This investigation was initiated to assess the potential aspects of Acacia karroo in conjunction with enzyme activity, a method that shows promise for mitigating soil contamination. Acacia karroo, with its hyperaccumulator traits, demonstrates great capacity. Enzymes significantly efficiently convert and detoxify harmful substances to a non-toxic level. ICP-MS quantified the concentrations of trace elements in Acacia karroo, while colorimetric assays were used to determine the activity levels of the enzymes. Ten toxic elements were identified in leaf samples of Acacia karroo in the following sequence: Sr > Zn > Cr > V > Rb > Cu > Ni > Y > Sc > Co; concentrations ranged between 203.86 ± 4.48 ppm (Zn) and 10.12 ± 0.09 ppm (Sc). The concentration of these metals was very high, posing a potential risk of harming the environment. Meanwhile, the three identified enzymes, invertase (INV), phosphatase (PHO), and catalase (CAT), have high and average activity levels, respectively. PHO and CAT showed a positive correlation with Zn, Rb, Sr, and Y, while INV correlated positively with Sc, V, Cr, Co, Cu, and Ni content. The principal component analysis (PCA) findings in this study demonstrated an inconclusive correlation between soil enzyme activity and soil heavy metal content. Both positive and negative correlations between soil enzyme activity and heavy metals were observed. This investigation revealed Acacia karroo as an optimal botanical species for phytoremediation. Consequently, a correlation analysis demonstrated that incorporating the Acacia karroo species along with enzyme activity seems to be a highly promising environmentally friendly technique for remediating soil pollution. The Acacia species can also be used in phytoremediation efforts to help conserve biodiversity. Subsequent investigations should focus on the operational mechanisms of different plant parts used as herbal remedies, isolated compounds, their efficacy, adverse effects, and practical implications. Full article

Purpose: To evaluate the immediate alterations in the thickness of the macular ganglion cell–inner plexiform layer (mGCIPL), peripapillary retinal nerve fiber layer (RNFL), inner retinal layer (IRL), and outer retinal layer (ORL) using spectral domain optical coherence tomography (SD-OCT) subsequent to strabismus surgery in pediatric patients diagnosed with horizontal esotropia. Methods: Twenty-eight eyes from twenty-one child patients who had undergone uncomplicated horizontal rectus muscle surgery due to strabismus were included. Measurements of RNFL, mGCL-IPL, IRL, and ORL using structural OCT were conducted both before the surgery and one month after the surgical procedure. Importantly, a control group comprising 14 healthy eyes, matched for age and significant refractive error (<3.00 diopters), was included in the current analysis. Results: Our analysis indicated no significant disparity before and after surgery in terms of best-corrected visual acuity (BCVA), RNFL, IRL, and ORL. Conversely, concerning the macular ganglion cell layer–inner plexiform layer analysis, a substantial increase in mGCL-IPL was observed following the surgical intervention. The mean mGCL-IPL measured 60.8 ± 9.2 μm at baseline and 66.1 ± 13.2 μm one month after the surgery (p = 0.026). Notably, comparison between the strabismus group at baseline and the healthy group revealed a significant reduction in mGCL-IPL in the strabismus group (60.8 ± 9.2) compared to the healthy control group (68.3 ± 7.2; p = 0.014). Conclusions: Following strabismus surgery, our observations pointed towards a thickening of the mGCL-IPL layer, which is likely attributable to transient local inflammation. Additionally, we identified a significant differentiation in the mGCL-IPL complex between the pediatric patient group with strabismus and the control group. Full article

While crack detection is crucial for maintaining concrete structures, existing methods often overlook the analysis of large cracks that span multiple images. Such analyses typically rely on image stitching to create a complete image of a crack. Current stitching methods are not only computationally demanding but also require manual adjustments; thus, a fast and reliable solution is still lacking. To address these challenges, we introduce a stitching method that leverages the advantages of crack image-segmentation models. This method first utilizes the Mask R-CNN model for the identification of crack regions as regions of interest (ROIs) within images. These regions are then used to calculate keypoints of the scale-invariant feature transform (SIFT), and descriptors for these keypoints are computed with the original images for image matching and stitching. Compared with traditional methods, our approach significantly reduces the computational time; by 98.6% in comparison to the Brute Force (BF) matcher, and by 58.7% with respect to the Fast Library for Approximate Nearest Neighbors (FLANN) matcher. Our stitching results on images with different degrees of overlap or changes in shooting posture show superior structural similarity index (SSIM) values, demonstrating excellent detail-matching performance. Moreover, the ability to measure complete crack images is indicated by the relative error of 7%, which is significantly better than that of traditional methods. Full article

Food commodities and energy bills have experienced rapid undulating movements and hikes globally in recent times. This spurred this study to examine the possibility that the shocks that arise from fluctuations of one market spill over to the other and to determine how time-varying the spillovers were across a time. Data were daily frequency (prices of grains and energy products) from 1 July 2019 to 31 December 2022, as quoted in markets. The choice of the period was to capture the COVID pandemic and the Russian–Ukrainian war as events that could impact volatility. The returns were duly calculated using spreadsheets and subjected to ADF stationarity, co-integration, and the full BEKK-GARCH estimation. The results revealed a prolonged association between returns in the energy markets and food commodity market returns. Both markets were found to have volatility persistence individually, and time-varying bidirectional transmission of volatility across the markets was found. No lagged-effects spillover was found from one market to the other. The findings confirm that shocks that emanate from fluctuations in energy markets are impactful on the volatility of prices in food commodity markets and vice versa, but this impact occurs immediately after the shocks arise or on the same day such variation occurs. Full article

Mycobacterium tuberculosis (Mtb) is one of the major causes of human death. In its battle with humans, Mtb has fully adapted to its host and developed ways to evade the immune system. At the same time, the human immune system has developed ways to respond to Mtb. The immune system responds to viral and bacterial infections through a variety of mechanisms, one of which is alternative splicing. In this study, we summarized the overall changes in alternative splicing of the transcriptome after macrophages were infected with Mtb. We found that after infection with Mtb, cells undergo changes, including (1) directly reducing the expression of splicing factors, which affects the regulation of gene expression, (2) altering the original function of proteins through splicing, which can involve gene truncation or changes in protein domains, and (3) expressing unique isoforms that may contribute to the identification and development of tuberculosis biomarkers. Moreover, alternative splicing regulation of immune-related genes, such as IL-4, IL-7, IL-7R, and IL-12R, may be an important factor affecting the activation or dormancy state of Mtb. These will help to fully understand the immune response to Mtb infection, which is crucial for the development of tuberculosis biomarkers and new drug targets. Full article

Inorganic–organic hybrid biomaterials have been proposed for bone tissue repair, with improved mechanical flexibility compared with scaffolds fabricated from bioceramics. However, obtaining hybrids with osteoinductive properties equivalent to those of bioceramics is still a challenge. In this work, we present for the first time the synthesis of a class II hybrid modified with bioactive glass nanoparticles (nBGs) with osteoinductive properties. The nanocomposite hybrids were produced by incorporating nBGs in situ into a polytetrahydrofuran (PTHF) and silica (SiO₂) hybrid synthesis mixture using a combined sol–gel and cationic polymerization method. nBGs ~80 nm in size were synthesized using the sol–gel technique. The structure, composition, morphology, and mechanical properties of the resulting materials were characterized using ATR-FTIR, ²⁹Si MAS NMR, SEM-EDX, AFM, TGA, DSC, mechanical, and DMA testing. The in vitro bioactivity and degradability of the hybrids were assessed in simulated body fluid (SBF) and PBS, respectively. Cytocompatibility with mesenchymal stem cells was assessed using MTS and cell adhesion assays. Osteogenic differentiation was determined using the alkaline phosphatase activity (ALP), as well as the gene expression of Runx2 and Osterix markers. Hybrids loaded with 5, 10, and 15% of nBGs retained the mechanical flexibility of the PTHF–SiO₂ matrix and improved its ability to promote the formation of bone-like apatite in SBF. The nBGs did not impair cell viability, increased the ALP activity, and upregulated the expression of Runx2 and Osterix. These results demonstrate that nBGs are an effective osteoinductive nanoadditive for the production of class II hybrid materials with enhanced properties for bone tissue regeneration. Full article

Fetal growth restriction (FGR) and low birth weight increase the risk of non-communicable diseases such as type 2 diabetes and heart failure in adulthood. Placental insufficiency is widely considered a major contributor to FGR. Two crucial placental proteins involved in nutrient and stress sensing—O-linked N-acetylglucosamine transferase (OGT) and mechanistic target of rapamycin (mTOR) kinase—play roles in post-translational protein modification and protein translation, influencing cellular growth and metabolism in response to maternal stress, hypoxia, and nutritional status in the placenta. In our study, we examined the gene and protein profiles of OGT and mTOR in FGR and control placentae, comparing those appropriate for gestational age (AGA), while also considering potential confounding effects of fetal sex and delivery mode. Our findings revealed no significant differences in gene expression, protein levels, or activity of OGT, OGA, mTOR, or their associated markers between female AGA and FGR cesarean placentae, nor between female AGA and male AGA cesarean placentae. Additionally, the mode of delivery in female AGA placentae did not affect the levels or activity of these proteins. Overall, our study did not observe significant differences in nutrient sensor protein expression after stratifying by FGR, sex, and delivery mode. Nevertheless, these unbiased results provide a more comprehensive understanding of the complexities of placental gene expression involving OGT and mTOR. Full article

Fresh pork tenderloin was stored at −3 °C under different static magnetic fields (SMF) of 0, 4, and 10 mT (control, MF-4, and MF-10) to investigate their physicochemical properties changes during storage of 8 days. The initial equilibrium temperature of the samples stored with 4 mT MF was found to be −2.3 °C, which was slightly lower (0.3 °C) than that the control value. The super-chilling phenomenon on the pork was then observed, as the samples stored under the magnetic field did not freeze throughout storage period, but the control experienced a sudden change in temperature after 138 h and then froze. The preservation effect of MF-4 on meat quality was the best in all treatment groups. MF-4 achieved a higher water-retention rate, with drip and cook losses of 6.5% and 29.0% lower than the control, respectively. Meanwhile, the MF-4 effectively delayed the color change in the meat during the storage and the texture hardening after cooking, and effectively controlled the growth of the total volatile saline nitrogen content on the samples. In addition, MF-4 delayed the reduction in myofibrillar protein solubility, sulfhydryl content, and emulsification capacity, indicating that this field inhibited the denaturation of myofibrillar protein. This study can be considered as an application reference of magnetic fields during meat storage at a super-chilled temperature. Full article

This study examines the dynamic relationship between green human resource management (green HRM), environmental performance (EP), green employee behavior (GEB), and environmental knowledge and awareness (EKAW) within the Egyptian hospitality sector context. Using Pearson correlation coefficients and regression analyses on a sample of 400 staff members from hotels and tourist villages in Egypt, the study examines green HRM practices’ influence on EP, mediated by GEB and EKAW. The findings reveal significant positive correlations between green HRM practices and these mediators, indicating that comprehensive environmental strategies and incentive management are pivotal in promoting eco-friendly practices among employees. The study further confirms GEB and EKAW’s substantial mediating roles in enhancing EP. The results also suggest that while EKAW and GEB independently contribute to EP, their interaction, and the role of environmental awareness as a potential mediator warrant further examination. This research contributes to the literature on sustainable business practices by underscoring human resource strategies’ integral role in achieving environmental sustainability goals, highlighting the importance of incentivizing green practices, and cultivating an organizational culture prioritizing EKAW. These insights are precious for organizations seeking to enhance their ecological footprint through effective green HRM practices. Full article

Many onshore oil fields currently adopt water flooding as a means to supplement reservoir energy. However, due to reservoir heterogeneity, significant differences in permeability exist not only between different reservoirs but also within the same reservoir across different planar orientations. After prolonged fluid flushing in the near-wellbore zone of injection wells, the resulting increased flow resistance between layers exacerbates inefficient and ineffective circulation. A considerable amount of remaining oil is left unexploited in untouched areas, significantly impacting the overall recovery. To investigate the multiscale plugging mechanisms of fracture-dominated pore channels in high-water-cut oil reservoirs and achieve efficient management of fractured large channels, this study explores the formation of the fracture-flushing zone-low saturation oil zone. A physical experimental model with fractures and high-intensity flushing is established to analyze changes in pore structure, mineral composition, residual oil distribution, and other characteristics at different positions near the fractures. The research aims to clarify the mechanism behind the formation of large channels with fracture structures. The results indicate that under high-intensity water flushing, cementing materials are washed away by the flowing water, clay particles are carried to the surface with the injected fluid, and permeability significantly increases, forming high-permeability zones with fracture structures. In the rock interior away from the fracture end, channels, corners, and clustered oil content noticeably decrease, while the content of film-like oil substantially increases, and clay minerals are not significantly washed away. Under strong flushing conditions, the number of residual clay particles near the fracture end is mainly influenced by flow velocity and flushing time; thus, the greater the flushing intensity, the faster the water flow, and the longer the flushing time, the fewer residual clay particles near the fracture end. Full article

Skeletal muscle degeneration is responsible for major mobility complications, and this muscle type has little regenerative capacity. Several biomaterials have been proposed to induce muscle regeneration and function restoration. Decellularized scaffolds present biological properties that allow efficient cell culture, providing a suitable microenvironment for artificial construct development and being an alternative for in vitro muscle culture. For translational purposes, biomaterials derived from large animals are an interesting and unexplored source for muscle scaffold production. Therefore, this study aimed to produce and characterize bovine muscle scaffolds to be applied to muscle cell 3D cultures. Bovine muscle fragments were immersed in decellularizing solutions for 7 days. Decellularization efficiency, structure, composition, and three-dimensionality were evaluated. Bovine fetal myoblasts were cultured on the scaffolds for 10 days to attest cytocompatibility. Decellularization was confirmed by DAPI staining and DNA quantification. Histological and immunohistochemical analysis attested to the preservation of main ECM components. SEM analysis demonstrated that the 3D structure was maintained. In addition, after 10 days, fetal myoblasts were able to adhere and proliferate on the scaffolds, attesting to their cytocompatibility. These data, even preliminary, infer that generated bovine muscular scaffolds were well structured, with preserved composition and allowed cell culture. This study demonstrated that biomaterials derived from bovine muscle could be used in tissue engineering. Full article

Background: Human kidneys are an important target of SARS-CoV-2 infection, and many renal abnormalities have been found in patients with SARS-CoV-2 infection, including proteinuria, hematuria, and acute kidney injury. Acute kidney injury is now considered a common complication of COVID-19, and the epidemiology of AKI in SARS-CoV-2-infected patients continues to be controversial. Aim and Methods: We have carried out a narrative review to evaluate the frequency and risk factors for AKI among patients hospitalized due to COVID-19, and the latest surveys on this topic have been included. The mechanisms by which AKI occurs in COVID-19 patients have also been reviewed. Results: Multiple risk factors for the development of AKI in patients with SARS-CoV-2 infection have been identified; these have been classified in various groups (management and background factors, among others). SARS-CoV-2 targets the kidneys by indirect activity, but SARS-CoV-2 infects tubular epithelial cells and podocytes. We retrieved 24 reports (n = 502,593 unique patients with SARS-CoV-2 infection) and found an incidence of AKI of 31.8% (range, 0.5% to 56.9%). Only a minority (n = 2) of studies had a prospective design. We found that the AKI risk was greater in SARS-CoV-2 patients who underwent in-hospital deaths vs. those who survived; the summary estimate of the unadjusted RR of AKI was 2.63 (95% CI, 2.37; 2.93) (random-effects model). A stratified analysis showed that the incidence of AKI was greater in those reports where the frequency of COVID-19-positive patients having comorbidities (diabetes mellitus, arterial hypertension, and advanced age) was high. The unadjusted relative risk (aRR) of AKI was greater in SARS-CoV-2 patients who underwent ICU admission vs. those who did not; the pooled estimate of AKI risk was 2.64 (95% CI, 1.96; 3.56) according to the random-effects model. Conclusions: AKI is a common complication of hospitalized SARS-CoV-2-infected patients, and some comorbidities are important risk factors for it. The direct activity of the virus on the kidneys has been mentioned in the pathogenesis of AKI in SARS-CoV-2 patients. Further studies are ongoing in order to identify the mechanisms underlying the kidney injury in this population. The role of AKI on survival in SARS-CoV-2-infected patients is another area of active investigation. Full article

This study reviews the significance of archaeological parks in the tourism sector, with a specific focus on how digital presence and visitor feedback impact their cultural and touristic appeal. Utilizing statistical analyses such as regression and cluster analysis on data sourced from both Hungarian and Western European parks from the Roman Period, the research scrutinizes TripAdvisor and Google ratings, alongside the volume of photographs and reviews. The findings highlight a modest correlation between digital visibility and overall visitor ratings, underscoring the complex relationship between online engagement and the quality of visitor experience. Notably, the cluster analysis identified two distinct groups, signifying diverse levels of visitor engagement and digital visibility across the parks. The conclusions drawn advocate for a comprehensive strategy to enhance visitor experiences, emphasizing the integration of digital engagement with the promotion of the parks cultural and historical values. By exploring the influence of digital presence on the appeal of archaeological parks, our study sheds light on the evolving interface between urban studies and digital heritage, highlighting how digital tools and online platforms are becoming increasingly integral in shaping the perceptions and experiences of urban cultural sites. Full article

Most currently available wearable devices to noninvasively detect hypoxia use the spatially resolved spectroscopy (SRS) method to calculate cerebral tissue oxygen saturation (StO₂). This study applies the single source—detector separation (SSDS) algorithm to calculate StO₂. Near-infrared spectroscopy (NIRS) data were collected from 26 healthy adult volunteers during a breath-holding task using a wearable NIRS device, which included two source—detector separations (SDSs). These data were used to derive oxyhemoglobin (HbO) change and StO₂. In the group analysis, both HbO change and StO₂ exhibited significant change during a breath-holding task. Specifically, they initially decreased to minimums at around 10 s and then steadily increased to maximums, which were significantly greater than baseline levels, at 25–30 s (p-HbO < 0.001 and p-StO₂ < 0.05). However, at an individual level, the SRS method failed to detect changes in cerebral StO₂ in response to a short breath-holding task. Furthermore, the SSDS algorithm is more robust than the SRS method in quantifying change in cerebral StO₂ in response to a breath-holding task. In conclusion, these findings have demonstrated the potential use of the SSDS algorithm in developing a miniaturized wearable biosensor to monitor cerebral StO₂ and detect cerebral hypoxia. Full article

An ethyl acetate extract of a marine actinomycete strain, Nocardiopsis mentallicus SCSIO 53858, isolated from a deep-sea sediment sample in the South China Sea, exhibited anti-quorum-sensing (QS) activity against Chromobacterium violaceum CV026. Guided by the anti-QS activity, a novel active compound was isolated and purified from the extract and was identified as 2,3-dimethoxycinnamic acid (2,3-DCA) through spectral data analysis. At a concentration of 150 μg/mL, 2,3-DCA exhibited robust inhibitory effects on three QS-regulated traits of C. violaceum CV026: violacein production, swarming motility, and biofilm formation, with inhibition rates of 73.9%, 65.9%, and 37.8%, respectively. The quantitative reverse transcription polymerase chain reaction results indicated that 2,3-DCA can disrupt the QS system in C. violaceum CV026 by effectively suppressing the expression of QS-related genes, including cviR, vioA, vioB, and vioE. Molecular docking analysis revealed that 2,3-DCA hinders the QS system by competitively binding to the same binding pocket on the CviR receptor as the natural signal molecule N-hexanoyl-L-homoserine lactone. Collectively, these findings suggest that 2,3-DCA exhibits promising potential as an inhibitor of QS systems, providing a potential solution to the emerging problem of bacterial resistance. Full article

We investigate the zero-error coding for computing problems with encoder side information. An encoder provides access to a source X and is furnished with side information $g(Y)$. It communicates with a decoder that possesses side information Y and aims to retrieve $f(X,Y)$ with zero probability of error, where f and g are assumed to be deterministic functions. In previous work, we determined a condition that yields an analytic expression for the optimal rate $R^{*}(g)$; in particular, it covers the case where $P_{X,Y}$ is full support. In this article, we review this result and study the side information design problem, which consists of finding the best trade-offs between the quality of the encoder’s side information $g(Y)$ and $R^{*}(g)$. We construct two greedy algorithms that give an achievable set of points in the side information design problem, based on partition refining and coarsening. One of them runs in polynomial time. Full article

Objectives: Our objective was to assess the rate of complications and gastrointestinal adverse effects of rectal spacer insertion for salvage post prostatectomy radiation therapy. Methods: A retrospective observational study was performed. Between September 2018 and March 2022, 64 post-radical prostatectomy patients who were planned for salvage radiation therapy received a rectal spacer. The selected patients were those who had nerve-sparing prostatectomy with intrafascial or interfascial dissections (where Denonvillier’s fascia is retained). Radiation dose to the rectal wall and gastrointestinal symptoms were assessed. Symptoms were graded using the National Cancer Center Institute Common Terminology Criteria for Adverse Events v4.0 grading scheme. A total of 39 patients had pre-spacer planning computer tomography (CT) scans, and the rectal dose before and after the spacer insertion was calculated. Comparisons were made using the Student’s t-test, with a p-value < 0.05 representing statistical significance. Finally, clinicians were surveyed to rate the ease of the procedure using a 5-point Likert scale of 1 to 5 (1: very difficult, 2: difficult, 3: moderate, 4: easy, 5: very easy). Results: A total of 64 patients successfully underwent rectal spacer insertion. The mean age was 64.4 years (standard deviation: 5.7 years). After a median of 14 months’ (range 6 to 35) follow up, acute grade 1 and above gastrointestinal (GI) toxicities were seen in 28% of patients (grade 2 in 1.5%), and late grade 1 and above GI toxicities were seen in 12% of patients (grade 2 in 1.5%). Amongst the 39 patients with pre-spacer planning CT images, the volume of the rectum receiving 60%, 70%, 80%, 90%, and 100% of the prescribed radiation dose was reduced by 25.9%, 34.2%, 35.4%, 43.7%, and 61.7%, respectively. All dose reductions were statistically significant. The procedure was rated as “easy” or “very easy” to perform in 56% of cases. Conclusions: The insertion of a rectal spacer in selected patients undergoing PPRT is feasible and safe and significantly improves rectal wall radiation dosimetry in salvage post prostatectomy radiation therapy. It was accomplished in >95% of patients, increasing vesico-rectal separation from ‘immediate vicinity’ to 11 mm without any post-operative complications in experienced hands. In addition, it achieved significant reduction in rectal radiation doses, leading to low rates of acute and late grade 2 toxicity. Full article