The 2023 MDPI Annual Report has
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9 pages, 213 KiB  
Article
No Changes in Keratometry Readings and Anterior Chamber Depth after XEN Gel Implantation in Patients with Glaucoma
by Filippo Tatti, Claudia Tronci, Filippo Lixi, Giuseppe Demarinis, Sviatlana Kuzmich, Enrico Peiretti, Maurizio Fossarello and Giuseppe Giannaccare
J. Clin. Med. 2024, 13(9), 2537; https://doi.org/10.3390/jcm13092537 (registering DOI) - 26 Apr 2024
Abstract
Background: This study aimed to compare keratometry and anterior chamber depth (ACD) changes after XEN implantation in primary open-angle glaucoma (POAG) cases over a 3-month follow-up period. Methods: Twenty patients with POAG who underwent XEN63 implantation, either standalone or combined with cataract surgery, [...] Read more.
Background: This study aimed to compare keratometry and anterior chamber depth (ACD) changes after XEN implantation in primary open-angle glaucoma (POAG) cases over a 3-month follow-up period. Methods: Twenty patients with POAG who underwent XEN63 implantation, either standalone or combined with cataract surgery, were included. Preoperative data, including best-corrected visual acuity (BCVA), refraction, gonioscopy, ophthalmoscopy, intraocular pressure (IOP) evaluation, and axial length, were collected. Corneal topography and ACD measurements were assessed preoperatively and at postoperative days 1, 7, 15, 30, 60, and 90. Each patient’s eye that underwent XEN surgery was included in the study group, with the fellow eye serving as a control. Results: In the study group, there was a significant decrease in IOP after XEN stent implantation at all investigated time intervals (p < 0.05). However, changes in mean ACD did not show statistically significant differences at any follow-up examination in both the study and control groups. Additionally, keratometry readings revealed no significant changes in total astigmatism or steep keratometry values in either group. Conclusions: XEN implantation in POAG cases resulted in a significant decrease in IOP over the 3-month follow-up period. However, there were no significant changes observed in mean ACD or keratometry readings, indicating stability in these parameters post-XEN implantation. These findings suggest that XEN implantation may be an effective option for IOP reduction without affecting corneal curvature or ACD in POAG patients. Full article
(This article belongs to the Special Issue New Advances in Optic Nerve Diseases)
29 pages, 12905 KiB  
Article
An Investigation of the Anisotropic Mechanical Properties of Additive-Manufactured 316L SS with SLM
by Haibo Wang, Peng Jiang, Guangyong Yang and Yu Yan
Materials 2024, 17(9), 2017; https://doi.org/10.3390/ma17092017 (registering DOI) - 26 Apr 2024
Abstract
Selective laser melting (SLM) forms specimens that often exhibit anisotropic mechanical properties. Most existing research only explains that the mechanical properties of specimens perpendicular to the build direction are superior to those parallel to the build direction. In this paper, the mechanical properties [...] Read more.
Selective laser melting (SLM) forms specimens that often exhibit anisotropic mechanical properties. Most existing research only explains that the mechanical properties of specimens perpendicular to the build direction are superior to those parallel to the build direction. In this paper, the mechanical properties of SLM 316L SS specimens with different surfaces and different directions are compared. Finally, it was found that the mechanical properties of specimens on Face 3 are stronger than those on Face 1 and Face 2, while the mechanical properties of specimens on Face 1 and Face 2 are similar. For specimens in different directions on the same surface, the mechanical properties of Face 1 and Face 2 exhibit clear anisotropy, while the mechanical properties of Face 3 tend to be isotropic. In this paper, the EBSD technique was used to analyze the specimens. It was found that the anisotropy of the mechanical properties of Face 1 and Face 2 are attributed to the presence of texture and columnar crystals in the sample. This paper can provide accurate and reliable material performance data for the practical application of SLM 316L SS, thereby guiding the optimization of engineering design and manufacturing processes. Full article
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11 pages, 472 KiB  
Article
Increased Psychological Symptoms and Autonomic Arousal in Patients with Subclinical Hypothyroidism: A Case–Control Study
by Sara Guidotti, Augusto Innocenti, Chiara Cosentino, Fabio Monzani, Irene Guccini and Carlo Pruneti
Endocrines 2024, 5(2), 186-196; https://doi.org/10.3390/endocrines5020013 (registering DOI) - 26 Apr 2024
Abstract
(1) Background: Subclinical hypothyroidism (SHT) is a condition that has been a subject of controversy in the literature due to its association with psychological and psychiatric symptoms as well as autonomic imbalances. To gain a better understanding of the effects of SHT on [...] Read more.
(1) Background: Subclinical hypothyroidism (SHT) is a condition that has been a subject of controversy in the literature due to its association with psychological and psychiatric symptoms as well as autonomic imbalances. To gain a better understanding of the effects of SHT on patients, a research study has been undertaken to investigate the presence of psychological symptoms and autonomic imbalances in a group of individuals diagnosed with SHT. (2) Methods: In this case–control study, 50 patients diagnosed with SHT who accessed the Department of Endocrinology of the University of Pisa were consecutively recruited. Psychological symptoms were measured through the Crown–Crisp Experiential Index (CCEI), whereas autonomic imbalance was described using the Psychophysiological Stress Profile (PSP), with simultaneous recording of the following psychophysiological parameters: Surface Electromyogram (sEMG), Skin Conductance Level (SCL), heart rate (HR), and peripheral temperature (PT). The patients’ values were compared to those of 50 healthy control subjects. (3) Results: The comparison between groups highlighted significant differences in the CCEI and PSP. In particular, patients reported higher rates of psychological symptoms (anxiety, depression, somatic complaints, and hysteria behavior). Significantly higher levels of autonomic arousal were also recorded. More specifically, the sEMG, SCL, HR, and PT values were different between the two groups. (4) Conclusions: The study has confirmed the presence of autonomic hyperarousal in patients diagnosed with subclinical hypothyroidism. This is likely due to the body’s attempt to compensate for a general lack of energy by accelerating the autonomic activity. The findings also underline the significance of a comprehensive assessment approach that takes into account various dimensions such as psychological and psychophysical well-being. Such an approach helps in evaluating the impact of subclinical diseases on overall health and well-being. Full article
(This article belongs to the Section Thyroid Endocrinology)
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15 pages, 262 KiB  
Article
Nutritional Profiles and Their Links to Insulin Resistance and Anthropometric Variables in a Female Cohort
by Katarzyna Wiśniewska-Ślepaczuk, Karolina Żak-Kowalska, Adrian Moskal, Sebastian Kowalski, Ahmed M. Al-Wathinani, Mousa Alhajlah, Krzysztof Goniewicz and Mariusz Goniewicz
Metabolites 2024, 14(5), 252; https://doi.org/10.3390/metabo14050252 (registering DOI) - 26 Apr 2024
Abstract
This study investigates the relationship between dietary habits and metabolic health among women, emphasizing the role of anthropometric parameters as proxies for insulin resistance. We analyzed data from 443 women categorized into two groups based on the presence or absence of clinically diagnosed [...] Read more.
This study investigates the relationship between dietary habits and metabolic health among women, emphasizing the role of anthropometric parameters as proxies for insulin resistance. We analyzed data from 443 women categorized into two groups based on the presence or absence of clinically diagnosed insulin resistance. Our assessments included dietary quality, socio-demographic characteristics, and a series of anthropometric measurements such as body weight, Body Mass Index (BMI), Waist-Hip Ratio (WHR), Abdominal Volume Index (AVI), and Body Adiposity Index (BAI). The results indicated significant disparities in these parameters, with the insulin-resistant group exhibiting higher average body weight (78.92 kg vs. 65.04 kg, p < 0.001), BMI (28.45 kg/m2 vs. 23.17 kg/m2, p < 0.001), and other related measures, suggesting a strong influence of dietary patterns on body composition and metabolic risk. The study underscores the importance of dietary management in addressing insulin resistance, advocating for personalized dietary strategies to improve metabolic health outcomes in women. This approach highlights the need for integrating dietary changes with lifestyle modifications and socio-demographic considerations to combat metabolic risks effectively. Full article
18 pages, 17384 KiB  
Article
Tuning the Proportional–Integral–Derivative Control Parameters of Unmanned Aerial Vehicles Using Artificial Neural Networks for Point-to-Point Trajectory Approach
by Burak Ulu, Sertaç Savaş, Ömer Faruk Ergin, Banu Ulu, Ahmet Kırnap, Mehmet Safa Bingöl and Şahin Yıldırım
Sensors 2024, 24(9), 2752; https://doi.org/10.3390/s24092752 (registering DOI) - 26 Apr 2024
Abstract
Nowadays, trajectory control is a significant issue for unmanned micro aerial vehicles (MAVs) due to large disturbances such as wind and storms. Trajectory control is typically implemented using a proportional–integral–derivative (PID) controller. In order to achieve high accuracy in trajectory tracking, it is [...] Read more.
Nowadays, trajectory control is a significant issue for unmanned micro aerial vehicles (MAVs) due to large disturbances such as wind and storms. Trajectory control is typically implemented using a proportional–integral–derivative (PID) controller. In order to achieve high accuracy in trajectory tracking, it is essential to set the PID gain parameters to optimum values. For this reason, separate gain values are set for roll, pitch and yaw movements before autonomous flight in quadrotor systems. Traditionally, this adjustment is performed manually or automatically in autotune mode. Given the constraints of narrow orchard corridors, the use of manual or autotune mode is neither practical nor effective, as the quadrotor system has to fly in narrow apple orchard corridors covered with hail nets. These reasons require the development of an innovative solution specific to quadrotor vehicles designed for constrained areas such as apple orchards. This paper recognizes the need for effective trajectory control in quadrotors and proposes a novel neural network-based approach to tuning the optimal PID control parameters. This new approach not only improves trajectory control efficiency but also addresses the unique challenges posed by environments with constrained locational characteristics. Flight simulations using the proposed neural network models have demonstrated successful trajectory tracking performance and highlighted the superiority of the feed-forward back propagation network (FFBPN), especially in latitude tracking within 7.52745 × 10−5 RMSE trajectory error. Simulation results support the high performance of the proposed approach for the development of automatic flight capabilities in challenging environments. Full article
(This article belongs to the Section Sensors and Robotics)
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10 pages, 3011 KiB  
Article
Bacteroidales-Specific Antimicrobial Genes Can Influence the Selection of the Dominant Fecal Strain of Bacteroides vulgatus and Bacteroides uniformis from the Gastrointestinal Tract Microbial Community
by Hyunmin Koo and Casey D. Morrow
Life 2024, 14(5), 555; https://doi.org/10.3390/life14050555 (registering DOI) - 26 Apr 2024
Abstract
Bacteroides vulgatus and Bacteroides uniformis are known to be abundant in the human fecal microbial community. Although these strains typically remain stable over time in humans, disruption of this microbial community following antibiotics resulted in the transient change to new strains suggesting that [...] Read more.
Bacteroides vulgatus and Bacteroides uniformis are known to be abundant in the human fecal microbial community. Although these strains typically remain stable over time in humans, disruption of this microbial community following antibiotics resulted in the transient change to new strains suggesting that a complex, dynamic strain community exists in humans. To further study the selection of dominant fecal microbial strains from the gastrointestinal tract (GIT) community, we analyzed three longitudinal metagenomic sequencing data sets using BLAST+ to identify genes encoding Bacteroidales-specific antimicrobial proteins (BSAP) that have known functions to restrict species-specific replication of B. uniformis (BSAP-2) or B. vulgatus (BSAP-3) and have been postulated to provide a competitive advantage in microbial communities. In the HMP (Human Microbiome Project) data set, we found fecal samples from individuals had B. vulgatus or B. uniformis with either complete or deleted BSAP genes that did not change over time. We also examined fecal samples from two separate longitudinal data sets of individuals who had been given either single or multiple antibiotics. The BSAP gene pattern from most individuals given either single or multiple antibiotics recovered to be the same as the pre-antibiotic strain. However, in a few individuals, we found incomplete BSAP-3 genes at early times during the recovery that were replaced by B. vulgatus with the complete BSAP-3 gene, consistent with the function of the BSAP to specifically restrict Bacteroides spp. The results of these studies provide insights into the fluxes that occur in the Bacteroides spp. GIT community following perturbation and the dynamics of the selection of a dominant fecal strain of Bacteroides spp. Full article
(This article belongs to the Special Issue Microbiota in Health and Disease)
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13 pages, 5581 KiB  
Article
Microbial Community Response to Granular Peroxide-Based Algaecide Treatment of a Cyanobacterial Harmful Algal Bloom in Lake Okeechobee, Florida (USA)
by Forrest W. Lefler, Maximiliano Barbosa, David E. Berthold, Rory Roten, West M. Bishop and H. Dail Laughinghouse IV
Toxins 2024, 16(5), 206; https://doi.org/10.3390/toxins16050206 (registering DOI) - 26 Apr 2024
Abstract
Cyanobacterial harmful algal blooms (cyanoHABs) occur in fresh water globally. These can degrade water quality and produce toxins, resulting in ecological and economic damages. Thus, short-term management methods (i.e., algaecides) are necessary to rapidly mitigate the negative impacts of cyanoHABs. In this study, [...] Read more.
Cyanobacterial harmful algal blooms (cyanoHABs) occur in fresh water globally. These can degrade water quality and produce toxins, resulting in ecological and economic damages. Thus, short-term management methods (i.e., algaecides) are necessary to rapidly mitigate the negative impacts of cyanoHABs. In this study, we assess the efficacy of a hydrogen peroxide-based algaecide (PAK® 27) on a Microcystis dominated bloom which occurred within the Pahokee Marina on Lake Okeechobee, Florida, USA. We observed a significant reduction in chlorophyll a (96.81%), phycocyanin (93.17%), and Microcystis cell counts (99.92%), and a substantial reduction in microcystins (86.7%) 48 h after treatment (HAT). Additionally, there was a significant shift in bacterial community structure 48 HAT, which coincided with an increase in the relative abundance of photosynthetic protists. These results indicate that hydrogen peroxide-based algaecides are an effective treatment method for cyanoHAB control and highlight their effects on non-target microorganisms (i.e., bacteria and protists). Full article
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12 pages, 1112 KiB  
Article
Ultrasound-Assisted Alkaline Pretreatment of Biomass to Enhance the Extraction Yield of Valuable Chemicals
by Adina I. Gavrila, Anamaria Vartolomei, Ioan Calinescu, Mircea Vinatoru, Oana C. Parvulescu, Grigore Psenovschi, Petre Chipurici and Adrian Trifan
Agronomy 2024, 14(5), 903; https://doi.org/10.3390/agronomy14050903 (registering DOI) - 26 Apr 2024
Abstract
As a renewable and sustainable resource, lignocellulosic biomass serves as a crucial raw material for the production of biofuels, biochemicals, and various value-added products. This paper aims to develop and optimize a mild alkaline treatment of sawdust assisted by ultrasound, along with enzymatic [...] Read more.
As a renewable and sustainable resource, lignocellulosic biomass serves as a crucial raw material for the production of biofuels, biochemicals, and various value-added products. This paper aims to develop and optimize a mild alkaline treatment of sawdust assisted by ultrasound, along with enzymatic hydrolysis of the pretreated material. The alkaline sonochemical pretreatment emerged as the optimal approach to enhance the susceptibility of cellulose to subsequent enzymatic hydrolysis to improve the yield of reducing sugars. A comparative study was performed using various ultrasonic applicators (horn and bath) and conventional assisted alkaline pretreatment. The ultrasonic-assisted pretreatment revealed a higher delignification of 68% (horn) and 57% (bath) compared with conventional pretreatment. Processes were optimized using a statistical analysis based on a 23 factorial design. The ratios between sawdust and alkaline solution (RSL = 0.5–1.5 g/100 mL), US amplitude (A = 20–60%), and working temperature (t = 30–50 °C) were selected as process factors. The optimal operating conditions to maximize the reducing sugar yield (138.15 mg GE/gsubstrate) were found as follows: a solid/liquid ratio of RSL,opt = 1.25 g/100 mL, US amplitude of Aopt = 60%, and pretreatment temperature of topt = 50 °C. The overall outcomes clearly confirmed the intensification of delignification by ultrasound-assisted alkaline pretreatment. Full article
(This article belongs to the Special Issue Agricultural Biomass Waste Conversion into Value-Added Products)
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20 pages, 14449 KiB  
Article
Llamas, Barter and Travel Rituals: An Ethnographic Study on the Esquela Tusuy Dance of the Uchumiri Peasant Community, Condesuyos, Peru
by Aleixandre Brian Duche-Pérez and Lolo Juan Mamani-Daza
Religions 2024, 15(5), 534; https://doi.org/10.3390/rel15050534 (registering DOI) - 26 Apr 2024
Abstract
The “Esquela Tusuy” dance is a cultural manifestation deeply rooted in the Uchumiri Peasant Community (Condesuyos, Peru), reflecting the intersection between traditional cultural practices and community identity. This ethnographic study reveals how the dance, beyond being a mere artistic expression, is a complex [...] Read more.
The “Esquela Tusuy” dance is a cultural manifestation deeply rooted in the Uchumiri Peasant Community (Condesuyos, Peru), reflecting the intersection between traditional cultural practices and community identity. This ethnographic study reveals how the dance, beyond being a mere artistic expression, is a complex system of meanings that articulates social relations, economic practices of barter, and Andean spirituality, through the veneration of Pachamama and Apu Coropuna. The dance is organized around rituals that include the preparation, journey, and return of the llama herders, being a living expression of collective memory and a mechanism of social cohesion. The adopted methodology was based on participant observation and semi-structured interviews, allowing a detailed understanding of Uchumiri’s cultural dynamics. Despite contemporary challenges, “Esquela Tusuy” remains a central pillar for the affirmation of cultural identity and community resistance, underlining the importance of dance in the conservation of cultural heritage and in the articulation of local identities against national narratives. Full article
(This article belongs to the Special Issue Contemporary Religion, Media and Popular Culture)
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15 pages, 1902 KiB  
Article
Changes in and Recovery of the Turbulence Properties in the Magnetosheath for Different Solar Wind Streams
by Liudmila Rakhmanova, Alexander Khokhlachev, Maria Riazantseva, Yuri Yermolaev and Georgy Zastenker
Universe 2024, 10(5), 194; https://doi.org/10.3390/universe10050194 (registering DOI) - 26 Apr 2024
Abstract
Solar wind is known to have different properties depending on its origin at the Sun. In addition to the differences in plasma and magnetic field parameters, these streams differ due to the properties of turbulent fluctuations involved in the flow. The present study [...] Read more.
Solar wind is known to have different properties depending on its origin at the Sun. In addition to the differences in plasma and magnetic field parameters, these streams differ due to the properties of turbulent fluctuations involved in the flow. The present study addresses the changes in the turbulence properties in the magnetosheath—the transition region in front of the magnetosphere. This study is based on statistics from the simultaneous measurements of magnetic field fluctuations in the solar wind and in the magnetosheath. Both the dayside and flank magnetosheath regions are focused on to detect the evolution of the turbulent fluctuations during their flow around the magnetosphere. Turbulent cascade is shown to save its properties for fast solar wind streams. Conditions favorable for the preservation of the turbulence properties at the bow shock may correspond to the increased geoefficiency of large-scale solar wind structures. Full article
(This article belongs to the Section Space Science)
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4 pages, 182 KiB  
Commentary
The Rise of Lymphatic Intervention: A Rapid Evolution
by Bill S. Majdalany
Lymphatics 2024, 2(2), 79-82; https://doi.org/10.3390/lymphatics2020006 (registering DOI) - 26 Apr 2024
Abstract
For centuries, the lymphatic system was a known unknown [...] Full article
8 pages, 1211 KiB  
Article
Data on Demodex Ectoparasite Infestation in Patients Attending an Outpatient Clinic in Greece
by Anastasia Kargadouri, Stavroula Beleri and Eleni Patsoula
Parasitologia 2024, 4(2), 129-136; https://doi.org/10.3390/parasitologia4020011 (registering DOI) - 26 Apr 2024
Abstract
Demodex mites are acari, common ectoparasites of humans and other mammalian pilosebaceous units. Demodicosis occurs when mites overpopulate the skin, causing several skin disorders. Our aim was to investigate the prevalence of demodicosis in patients with suspicious clinical features, such as cheek redness, [...] Read more.
Demodex mites are acari, common ectoparasites of humans and other mammalian pilosebaceous units. Demodicosis occurs when mites overpopulate the skin, causing several skin disorders. Our aim was to investigate the prevalence of demodicosis in patients with suspicious clinical features, such as cheek redness, itching, and skin sensitivity, who presented at the outpatient clinic of the Andreas Syggros Dermatology Hospital in Greece. We studied 184 individuals aged between 18 and 97 years and analyzed the content of pilosebaceous units by microscopy to determine the density of Demodex mites. Samples were evaluated as positive when Demodex spp. densities equaled or exceeded 5 mites per square cm. Sixty-six percent of the examined subjects were positive for demodicosis. The age distribution was statistically normal (p = 0.2), and the median age was 51.29 years. Seventy percent of the patients were females, and 30% were males, while 64.46% of the demodicosis-positive individuals were females, and 35.54% were males. We observed a rise in the percentage of males as the age of the patients increased. Demodicosis can be a challenging disease because it presents apart from the typical symptoms, with a variety of nonspecific symptoms mimicking other dermatological skin conditions. Therefore, it is important to investigate Demodex spp. in patients who present with common facial dermatological diseases to improve treatment results. Further studies could contribute to a better understanding of the pathogenic role of Demodex mites and how this role is affected by mite density, host sex and age. Full article
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12 pages, 1778 KiB  
Review
Pediatric Hypertension: A Condition That Matters
by Martina Avesani, Giuseppe Calcaterra, Jolanda Sabatino, Giulia Pelaia, Irene Cattapan, Francesco Barillà, Francesco Martino, Roberto Pedrinelli, Pier Paolo Bassareo and Giovanni Di Salvo
Children 2024, 11(5), 518; https://doi.org/10.3390/children11050518 (registering DOI) - 26 Apr 2024
Abstract
Systemic hypertension has been considered mainly as an adult health issue for a long time, but it is now being increasingly acknowledged as a significant problem also among pediatric patients. The frequency of pediatric hypertension has grown mostly because of increases in childhood [...] Read more.
Systemic hypertension has been considered mainly as an adult health issue for a long time, but it is now being increasingly acknowledged as a significant problem also among pediatric patients. The frequency of pediatric hypertension has grown mostly because of increases in childhood obesity and sedentary lifestyles, but secondary forms of hypertension play a role as well. Considering that unaddressed hypertension during childhood can result in enduring cardiovascular complications, timely identification and intervention are essential. Strategies for addressing this disease encompass not only lifestyle adjustments, but also the use of medications when needed. Lifestyle modifications entail encouraging a nutritious diet, consistent physical activity, and the maintenance of a healthy weight. Moreover, educating both children and their caregivers about monitoring blood pressure at home can aid in long-term management. Thus, the aim of this review is to discuss the etiologies, classification, and principles of the treatment of hypertension in pediatric patients. Full article
(This article belongs to the Section Pediatric Cardiology)
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18 pages, 5491 KiB  
Article
FATE: A Flexible FPGA-Based Automatic Test Equipment for Digital ICs
by Jin Zhang, Zhenghui Liu, Xiao Hu, Peixin Liu, Zhiling Hu and Lidan Kuang
Electronics 2024, 13(9), 1667; https://doi.org/10.3390/electronics13091667 (registering DOI) - 26 Apr 2024
Abstract
The limits of chip technology are constantly being pushed with the continuous development of integrated circuit manufacturing processes and equipment. Currently, chips contain several billion, and even tens of billions, of transistors, making chip testing increasingly challenging. The verification of very large-scale integrated [...] Read more.
The limits of chip technology are constantly being pushed with the continuous development of integrated circuit manufacturing processes and equipment. Currently, chips contain several billion, and even tens of billions, of transistors, making chip testing increasingly challenging. The verification of very large-scale integrated circuits (VLSI) requires testing on specialized automatic test equipment (ATE), but their cost and size significantly limit their applicability. The current FPGA-based ATE is limited in its scalability and support for few test channels and short test vector lengths. As a result, it is only suitable for testing specific chips in small-scale circuits and cannot be used to test VLSI. This paper proposes a low-cost hardware and software solution for testing digital integrated circuits based on design for testability (DFT) on chips, which enables the functional and performance test of the chip. The solution proposed can effectively use the resources within the FPGA to provide additional test channels. Furthermore, the round-robin data transmission mode can also support test vectors of any length and it can satisfy different types of chip test projects through the dynamic configuration of each test channel. The experiment successfully tested a digital signal processor (DSP) chip with 72 scan test pins (theoretically supporting 160 test pins). Compared to our previous work, the work in this paper increases the number of test channels by four times while reducing resource utilization per channel by 37.5%, demonstrating good scalability and versatility. Full article
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10 pages, 324 KiB  
Article
The Relationship between Anxiety Symptoms and Perceived Quality of Life among Caregivers of Children with Autism Spectrum Disorder in the Amazon
by Rayanne Vieira da Silva, Manuela Maria de Lima Carvalhal and Daniela Lopes Gomes
Int. J. Environ. Res. Public Health 2024, 21(5), 545; https://doi.org/10.3390/ijerph21050545 (registering DOI) - 26 Apr 2024
Abstract
The relationship between anxiety symptoms and perceived quality of life among caregivers of children with autism was verified. To assess perceived quality of life, the Short Form Healthy Survey Item was used; perception of anxiety symptoms was assessed using the Beck Anxiety Inventory. [...] Read more.
The relationship between anxiety symptoms and perceived quality of life among caregivers of children with autism was verified. To assess perceived quality of life, the Short Form Healthy Survey Item was used; perception of anxiety symptoms was assessed using the Beck Anxiety Inventory. Eighty caregivers of children with autism participated, with 68.7% of caregivers being mothers. Of the total number of caregivers, 68.8% had a severe level of anxiety. Regarding perceived quality of life, they demonstrated greater impairment in limitation due to physical aspects, limitation due to emotional aspects, vitality, and pain. Caregivers with severe anxiety levels had a worse quality of life in the domains of pain (p = 0.012), social aspects (p < 0.001), limitation due to emotional aspects (p = 0.001), and mental health (p < 0.001). However, in the functional capacity domain, caregivers with a moderate level of anxiety had a better physical capacity score (p = 0.001). There was a negative correlation between the general anxiety score and the general physical (p = 0.029) and general emotional components of perceived quality of life (p < 0.001). It was found that caregivers of children with ASD have a high level of anxiety, which is a predictor of the perception of a worse quality of life. Full article
17 pages, 4560 KiB  
Article
Restoration of Pulmonary Compliance after Laparoscopic Gynecologic Surgery Using a Recruitment Maneuver
by Panagiota Griva, Christina Talliou, Loizos Rougeris, Dimitra Samara, Konstantina Panagouli, Giolanda Varvarousi, Maria Papa, Nikolaos Kathopoulis, Vasiliki Chantziara and Nikoletta Rovina
J. Pers. Med. 2024, 14(5), 451; https://doi.org/10.3390/jpm14050451 - 25 Apr 2024
Abstract
Background/Objectives: This study aimed to investigate the hypothesis that an alveolar recruitment maneuver can restore lung compliance to initial values after laparoscopic gynecological surgery. Methods: A total of 31 patients who underwent laparoscopic gynecological surgery were enrolled. Protective mechanical ventilation was applied, and [...] Read more.
Background/Objectives: This study aimed to investigate the hypothesis that an alveolar recruitment maneuver can restore lung compliance to initial values after laparoscopic gynecological surgery. Methods: A total of 31 patients who underwent laparoscopic gynecological surgery were enrolled. Protective mechanical ventilation was applied, and the radial artery was catheterized in all patients. An alveolar recruitment maneuver (incremental and decremental positive end-expiratory pressure) was applied ten minutes after the release of pneumoperitoneum. The respiratory mechanics and blood gas results were recorded at eight different time points: after induction of anesthesia (T1), in the lithotomy position (T2), in the Trendelenburg position (T3), 10 and 90 min after insufflation of carbon dioxide (T4 and T5), in the supine position (T6), after desufflation (T7), and 10 min after an alveolar recruitment maneuver at the end of surgery (T8). Results: Pneumoperitoneum and the Trendelenburg position caused a decline of 15 units in compliance (T7 vs. T1; p < 0.05) compared to baseline. After the alveolar recruitment maneuver, compliance increased by 17.5% compared with the mean value of compliance at time T1 (T8 vs. T1; p < 0.05). The recruitment maneuver had favorable results in patients with low initial compliance (41.5 mL/cmH2O, IQR: 9.75 mL/cmH2O), high Body Mass Index 30.32 kg/m2 (IQR: 1.05 kg/m2), and high initial plateau airway pressure (16.5 cmH2O, IQR: 0.75 cmH2O). Conclusions: Lung compliance does not return to initial values after performing laparoscopic gynecological procedures. However, after the release of pneumoperitoneum, an alveolar recruitment maneuver is beneficial as it improves compliance and gas exchange. Full article
(This article belongs to the Special Issue Obstetrics and Gynecology and Women's Health)
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13 pages, 1262 KiB  
Article
Randomized Controlled Trial of Cardiac Rehabilitation Using the Balance Exercise Assist Robot in Older Adults with Cardiovascular Disease
by Akihiro Hirashiki, Atsuya Shimizu, Takahiro Kamihara, Manabu Kokubo, Kakeru Hashimoto, Ikue Ueda, Kenji Sato, Koki Kawamura, Naoki Itoh, Toyoaki Murohara, Hitoshi Kagaya and Izumi Kondo
J. Cardiovasc. Dev. Dis. 2024, 11(5), 133; https://doi.org/10.3390/jcdd11050133 - 25 Apr 2024
Abstract
Background: Recent studies have investigated the effects of exercise on the functional capacity of older adults; training with a balance exercise assist robot (BEAR) effectively improves posture. This study compared the clinical safety and efficacy of training using BEAR video games to conventional [...] Read more.
Background: Recent studies have investigated the effects of exercise on the functional capacity of older adults; training with a balance exercise assist robot (BEAR) effectively improves posture. This study compared the clinical safety and efficacy of training using BEAR video games to conventional resistance training in older adults with cardiovascular disease (CVD). Methods: Ninety patients (mean age: 78 years) hospitalized due to worsening CVD were randomized to cardiac rehabilitation (CR) Group R (conventional resistance training) or Group B (training using BEAR). After appropriate therapy, patients underwent laboratory testing and functional evaluation using the timed up-and-go test (TUG), short physical performance battery (SPPB), and functional independence measure (FIM) just before discharge and 4 months after CR. The rates of CVD readmission, cardiac death, and fall-related fractures were monitored. Results: BEAR had no adverse effects during exercise. At 4 months, TUG and SPPB improved significantly in both groups, with no significant difference between them. FIM motor and the Geriatric Nutritional Risk Index were significantly improved in Group B versus Group R. There was no significant difference in cardiac events and fall-related fractures between the two groups. Conclusion: CR with BEAR is safe and comparable to conventional resistance training for improving balance in older adults with CVD. Full article
(This article belongs to the Special Issue Exercise and Cardiovascular Disease in Older Adults)
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13 pages, 29690 KiB  
Article
The Impact of System Sizing and Water Temperature on the Thermal Characteristics of Floating Photovoltaic Systems
by Maarten Dörenkämper, Simona Villa, Jan Kroon and Minne M. de Jong
Energies 2024, 17(9), 2027; https://doi.org/10.3390/en17092027 (registering DOI) - 25 Apr 2024
Abstract
Accurately calculating the annual yield of floating PV (FPV) systems necessitates incorporating appropriate FPV-specific heat loss coefficients into the calculation, including both wind-dependent and wind-independent factors. The thermal behavior of several FPV systems has been investigated within this study, through the analysis of [...] Read more.
Accurately calculating the annual yield of floating PV (FPV) systems necessitates incorporating appropriate FPV-specific heat loss coefficients into the calculation, including both wind-dependent and wind-independent factors. The thermal behavior of several FPV systems has been investigated within this study, through the analysis of heat loss coefficients across various system sizes and configurations. Over a one-year period, data were collected from two measurement sites with three distinct systems: two ~50 kWp demonstrator-scale setups of Solarisfloat (azimuthal tracking) and Solar Float (East-West orientation) and a 2 MWp commercial-scale East–West system by Groenleven. The Solarisfloat demonstrator revealed a wind-dependent heat loss coefficient of 3.2 W/m3Ks. In comparison, the Solar Float demonstrator system displayed elevated wind-dependent heat loss coefficients, measuring 4.0 W/m3Ks for the east-facing module and 5.1 W/m3Ks for the west-facing module. The Groenleven system, which shares design similarities with Solar Float, showed lower wind-dependent heat loss coefficients of 2.7 W/m3Ks for the east-facing module and 2.8 W/m3Ks for the west-facing module. A notable discrepancy in the wind-dependent coefficients, particularly evident under a north wind direction, indicates a more efficient convective cooling effect by the wind on the demonstrator scale system of Solar Float. This could possibly be attributed to improved wind flow beneath its PV modules, setting it apart from the Groenleven system. Additionally, a thermal model founded on a ‘balance-of-energy’ methodology, integrating water temperature as a variable was introduced. The heat loss coefficient, dependent on the surface water temperature, fluctuated around zero, depending on whether the water temperature surpassed or fell below the ambient air temperature. It can be concluded that it is not of added value to introduce this floating specific heat loss coefficient parameter, as this parameter can be integrated in the wind speed independent Uc parameter. Full article
(This article belongs to the Special Issue Floating PV Systems On and Offshore)
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21 pages, 387 KiB  
Review
Therapeutic Targeting of DNA Repair Pathways in Pediatric Extracranial Solid Tumors: Current State and Implications for Immunotherapy
by Sophia J. Zhao, Daniel Prior, Christine M. Heske and Juan C. Vasquez
Cancers 2024, 16(9), 1648; https://doi.org/10.3390/cancers16091648 - 25 Apr 2024
Abstract
DNA damage is fundamental to tumorigenesis, and the inability to repair DNA damage is a hallmark of many human cancers. DNA is repaired via the DNA damage repair (DDR) apparatus, which includes five major pathways. DDR deficiencies in cancers give rise to potential [...] Read more.
DNA damage is fundamental to tumorigenesis, and the inability to repair DNA damage is a hallmark of many human cancers. DNA is repaired via the DNA damage repair (DDR) apparatus, which includes five major pathways. DDR deficiencies in cancers give rise to potential therapeutic targets, as cancers harboring DDR deficiencies become increasingly dependent on alternative DDR pathways for survival. In this review, we summarize the DDR apparatus, and examine the current state of research efforts focused on identifying vulnerabilities in DDR pathways that can be therapeutically exploited in pediatric extracranial solid tumors. We assess the potential for synergistic combinations of different DDR inhibitors as well as combinations of DDR inhibitors with chemotherapy. Lastly, we discuss the immunomodulatory implications of targeting DDR pathways and the potential for using DDR inhibitors to enhance tumor immunogenicity, with the goal of improving the response to immune checkpoint blockade in pediatric solid tumors. We review the ongoing and future research into DDR in pediatric tumors and the subsequent pediatric clinical trials that will be critical to further elucidate the efficacy of the approaches targeting DDR. Full article
9 pages, 326 KiB  
Communication
Numerical Study on Monopole Production and Deconfinement Transition in Two-Condensate Charged Systems
by Kai Kang, Jie Li, Guo Wang, Jiangning Zhang, Jiantao Che, Tianyi Han and Hai Huang
Crystals 2024, 14(5), 397; https://doi.org/10.3390/cryst14050397 - 25 Apr 2024
Abstract
The condensed matter Bose system may contain effective monopole quasiparticles in its excitation spectrum. In this paper, we first accomplish the mapping of the two-band Ginzburg–Landau theory to the extended CP1 model, and then perform the Monte Carlo simulations on the [...] Read more.
The condensed matter Bose system may contain effective monopole quasiparticles in its excitation spectrum. In this paper, we first accomplish the mapping of the two-band Ginzburg–Landau theory to the extended CP1 model, and then perform the Monte Carlo simulations on the 50×50×50 cubic lattice with periodic boundary conditions. With the numerical data of monopole density and magnetic susceptibility, we indicate that there exists a monopole–antimonopole deconfinement transition for the two-band superconducting system with the critical temperature above 70 K. We also suggest the possible detection of this new monopole plasma phase in high-Tc iron-based superconductors. Full article
(This article belongs to the Special Issue Superconductors and Magnetic Materials)
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16 pages, 2585 KiB  
Article
ROS-Responsive PLGA-NPs for Co-Delivery of DTX and DHA for Colon Cancer Treatment
by Roberta Cassano, Sonia Trombino, Federica Curcio, Roberta Sole, Gabriella Calviello and Simona Serini
Int. J. Transl. Med. 2024, 4(2), 262-277; https://doi.org/10.3390/ijtm4020016 (registering DOI) - 25 Apr 2024
Abstract
The aim of this work was to evaluate the antineoplastic effect of newly synthesized nanoparticles based on poly(lactic-co-glycolic acid) (PLGA) alone or PLGA esterified with 2,2′-[propane-2,2-diylbis (thio)] diacetic acid (TKL), loaded with docetaxel (DTX) and/or docosahexaenoic acid (DHA), as innovative site-specific [...] Read more.
The aim of this work was to evaluate the antineoplastic effect of newly synthesized nanoparticles based on poly(lactic-co-glycolic acid) (PLGA) alone or PLGA esterified with 2,2′-[propane-2,2-diylbis (thio)] diacetic acid (TKL), loaded with docetaxel (DTX) and/or docosahexaenoic acid (DHA), as innovative site-specific therapeutic carriers. The obtained materials were characterized by FT-IR and 1H-NMR, while the dimensional analysis of the nanoparticles obtained was performed by Dynamic Light Scattering. The encapsulation efficiency of the nanoparticles was evaluated, and in vitro skin permeation tests were also performed. The antitumor activity of the nanomaterial was studied in the human adenocarcinoma HCT116 cell line. In particular, viability tests in bidimensional culture, as well as in tumor spheroids, were conducted. The use of these nanocarriers could facilitate the stable and efficient delivery of DTX and DHA through the upper segments of the gastrointestinal tract to the colon. In addition, the presence of the ROS-sensitive 2,2′-[propane-2,2-diylbis (thio)] diacetic acid in their matrix should promote the site-specific release of DTX in the tumor mass, where high levels of reactive oxygen species could be found. Full article
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10 pages, 1037 KiB  
Article
Analysis of Choriocapillaris Reperfusion Topography Following Faricimab Treatment for Neovascular Age-Related Macular Degeneration in Non-Treatment-Naïve Patients
by Max Brinkmann, Pasquale Viggiano, Giacomo Boscia, Mathis Danckwardt, Evelyn Susantija, Tom Müller, Niccolò Castellino, Jakob Schweighofer, Francesco Boscia, Mario Damiano Toro and Yosuf El-Shabrawi
Diagnostics 2024, 14(9), 901; https://doi.org/10.3390/diagnostics14090901 (registering DOI) - 25 Apr 2024
Abstract
To assess changes in choriocapillaris (CC) vascular density surrounding macular neovascularization (MNV) in age-related macular degeneration (AMD) when transitioning from various anti-VEGF treatments to faricimab, using optical coherence tomography angiography (OCTA). 25 eyes of 22 individuals who underwent intravitreal faricimab injections for neovascular [...] Read more.
To assess changes in choriocapillaris (CC) vascular density surrounding macular neovascularization (MNV) in age-related macular degeneration (AMD) when transitioning from various anti-VEGF treatments to faricimab, using optical coherence tomography angiography (OCTA). 25 eyes of 22 individuals who underwent intravitreal faricimab injections for neovascular AMD with type 1 MNV were included. OCTA images were obtained prior to (T0), after one (T1), and after three faricimab injections (T2); Noteworthy changes occurred in the first ring at T2 in comparison to T0. The percentage of CC flow deficit (FD%), FD average area (FDa), and FD number (FDn) in 5 rings (R1-R5) surrounding the dark halo around the MNV were calculated. A reduction in FD% at T2 compared to T0 (50.5 ± 10.2% at T0, 46.4 ± 10.6% at T2; p = 0.020) was seen, indicating CC reperfusion. Additionally, we observed a reduction in the average FDa (140.2 ± 172.1% at T0, 93.7 ± 101.8% at T2; p = 0.029). Our study highlights an FD% after three consecutive faricimab injections. The most pronounced effect was observed in the first ring, directly adjacent to the dark halo, suggesting a partial CC reperfusion surrounding the MNV, potentially indicating disease regression. Full article
16 pages, 3275 KiB  
Article
Study on the Influence of Moisture Content and Void Ratio on the Disintegration of Red Clay
by Hongming Wang, Zhikui Liu, Yongxiong Xie and Yuantao Li
Appl. Sci. 2024, 14(9), 3652; https://doi.org/10.3390/app14093652 (registering DOI) - 25 Apr 2024
Abstract
Guilin is a famous karst area, and currently the view that the disintegration of red clay will cause soil cave collapse is increasingly recognized. In order to study the influence of the coupling effect of moisture content and void ratio on the disintegration [...] Read more.
Guilin is a famous karst area, and currently the view that the disintegration of red clay will cause soil cave collapse is increasingly recognized. In order to study the influence of the coupling effect of moisture content and void ratio on the disintegration of red clay, different moisture contents and void ratios of Guilin red clay were placed on a self-made disintegration apparatus to record the real-time disintegration amount and observe the disintegration phenomenon. Images of the structural characteristics of soil were obtained by a scanning electron microscope (SEM). Additionally, nuclear magnetic resonance (NMR) was applied to analyze the distribution of water in both natural and saturated states. The results show that the disintegration rate of red clay decreases as the initial moisture content increases, but increases with the increase of void ratio. Both moisture content and void ratio affect the structural characteristics of red clay. When the moisture content remains constant, the soil changes from a three-peak to a two-peak structure as the void ratio increases. The total area and secondary peak area of the T2 spectrum increase, while the starting T2 value of the main peak shifts to the right and the area decreases. Meanwhile, the starting T2 value of the secondary peak shifts to the right and the area increases. When the void ratio remains constant, the starting T2 value of the main peak gradually shifts to the left and the area decreases as the moisture content increases. However, the starting T2 value of the secondary peak shifts to the right and the area decreases or first decreases and then increases. The disintegration rate does not exhibit a significant relationship with either pore volume or macropore volume. The combined water saturation shows a bilinear relationship with both the moisture content and void ratio, where it increases as the initial moisture content increases, but decreases as the void ratio increases, with a correlation coefficient of 0.9929. The disintegration rate has an exponential relationship with the combined water saturation, and it decreases as the combined water saturation increases, with a correlation coefficient of 0.9934. Full article
(This article belongs to the Section Earth Sciences)
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