The 2023 MDPI Annual Report has
been released!
 
12 pages, 1413 KiB  
Article
L-Arginine-Dependent Nitric Oxide Production in the Blood of Patients with Type 2 Diabetes: A Pilot, Five-Year Prospective Study
by Irina Stoian, Liviu Iosif, Marilena Gilca, Adelina Vlad, Ioan Tivig, Ovidiu Marius Bradescu and Octavian Savu
Life 2024, 14(5), 556; https://doi.org/10.3390/life14050556 (registering DOI) - 26 Apr 2024
Abstract
Backgound: Type 2 diabetes mellitus (T2DM) is a major cardiovascular risk factor. Nitric oxide (NO) is one of the many molecules that regulate vascular tone, and red blood cells (RBCs) are known to play an important role in adjusting cardiac function through [...] Read more.
Backgound: Type 2 diabetes mellitus (T2DM) is a major cardiovascular risk factor. Nitric oxide (NO) is one of the many molecules that regulate vascular tone, and red blood cells (RBCs) are known to play an important role in adjusting cardiac function through NO export from RBCs. Our study prospectively investigated the L-arginine (L-arg)–nitric oxide (NO) metabolic pathway in the erythrocytes and plasma of subjects with T2DM. Methods: RBCs and plasma were collected from patients with T2DM (n = 10), at first clinical onset (baseline) and after five years of disease evolution (follow-up). L-arg content was assayed by competitive enzyme-linked immunoassay. Arginase activity and nitrate/nitrite levels were measured using spectrophotometry. Results: When compared to baseline, L-arg content decreased in RBCs and remained similar in the plasma; NO production decreased in RBCs and the plasma; and arginase activity was lower in RBCs and increased in plasma. Conclusions: The L-arg/NO metabolic pathway decreases in the RBCs of patients with T2DM five years after the first clinical onset. The persistent decrease in RBCs’ arginase activity fails to compensate for the sustained decrease in RBCs’ NO production in the diabetic environment. This pilot study indicates that the NO-RBC pool is depleted during the progression of the disease in the same cohort of T2DM patients. Full article
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16 pages, 440 KiB  
Article
Online Health Information-Seeking Behaviour among People of African Descent in the United Kingdom: A Qualitative Study
by Jesse Enebi Usman, Charmaine Childs, David Rogerson and Markos Klonizakis
Healthcare 2024, 12(9), 897; https://doi.org/10.3390/healthcare12090897 (registering DOI) - 26 Apr 2024
Abstract
Effective public health interventions rely on understanding how individuals access, interpret, and utilise health information. Studying the health information-seeking behaviour (HISB) of a community can provide valuable insights to inform strategies that address community health needs and challenges. This study explored the online [...] Read more.
Effective public health interventions rely on understanding how individuals access, interpret, and utilise health information. Studying the health information-seeking behaviour (HISB) of a community can provide valuable insights to inform strategies that address community health needs and challenges. This study explored the online HISBs of People of African Descent (PoAD) in the United Kingdom (UK), a demographic that comprises four percent of the UK population and has a 92.8% active Internet usage rate. Data on the HISB were collected from 21 PoAD across various UK regions through online semi-structured interviews before being analysed using reflexive Thematic Analysis (TA). The participants ranged in age from 20 to 70 years and had a mean age of 42.8 (SD ± 11.4). Our analysis of the interview transcripts revealed five key themes: Internet usage and preferences, attitudes toward social media, barriers to seeking health information online, trust in online health information, and cultural influences on online HISB. Our findings indicate a proactive engagement among PoAD in seeking health information online that is underscored by a preference for professional sources over ethnic congruence. However, concerns about misinformation exist, and there are barriers to accessing health information online, including data privacy, unreliable information, and information relevance and overload. We also found that cultural factors and traditional beliefs impact the adoption of Internet-based interventions among PoAD, highlighting the need for culturally sensitive approaches. Preferences regarding the frequency and delivery of online health information varied among participants, with a majority preferring a weekly update. This study emphasises the critical need for accessible, culturally appropriate, secure, and reliable online health resources tailored to the needs and preferences of the PoAD. Full article
(This article belongs to the Special Issue Digital Health for Equity)
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15 pages, 4732 KiB  
Article
Detection and Analysis of Aircraft Composite Material Structures Using UAV
by Kuo-Chien Liao, Jian-Liang Liou, Muhamad Hidayat, Hung-Ta Wen and Hom-Yu Wu
Inventions 2024, 9(3), 47; https://doi.org/10.3390/inventions9030047 (registering DOI) - 26 Apr 2024
Abstract
Pre-flight inspection and maintenance are essential prerequisites for aviation safety. This study focused on developing a real-time monitoring system designed to assess the condition of composite material structures on the exterior of aircraft. Implementing such a system can reduce operational costs, enhance flight [...] Read more.
Pre-flight inspection and maintenance are essential prerequisites for aviation safety. This study focused on developing a real-time monitoring system designed to assess the condition of composite material structures on the exterior of aircraft. Implementing such a system can reduce operational costs, enhance flight safety, and increase aircraft availability. This study aims to detect defects in aircraft fuselages manufactured from composite materials by applying image visual recognition technology. This study integrated a drone and an infrared camera for real-time image transmission to ground stations. MATLAB image analysis software (MATLAB 2020b) was used to analyze infrared (IR) images and detect structural defects in the aircraft’s appearance. This methodology was based on the inspection of damaged engine cowlings. The developed approach compares composite material conditions with known defects before and after repair, considering mechanical performance, defect size, and strength. Simultaneously, tests were conducted on various composite material panels with unknown defects, yielding favorable results. This study underscores an integrated system offering rapid detection, real-time feedback, and analysis, effectively reducing time, and potential hazards associated with high-altitude operations. Furthermore, it addresses blind spots in aircraft inspections, contributing to effective flight safety maintenance. Full article
(This article belongs to the Special Issue Quadrotor UAV with Advanced Applications)
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6 pages, 195 KiB  
Brief Report
Still an Unsolved Question: The Place of Cranial Magnetic Resonance Imaging in Acute Acquired Concomitant Esotropia
by Luisa Mittendorf, Matthias K. Bernhard, Ina Sterker, Wieland Kiess, Janina Gburek-Augustat and Andreas Merkenschlager
Children 2024, 11(5), 519; https://doi.org/10.3390/children11050519 (registering DOI) - 26 Apr 2024
Abstract
Purpose: The aim of this study was to collect further data to estimate the risk of relevant intracranial pathology and thereby better assess the need for cranial imaging in children with acute acquired comitant esotropia (AACE). To date, there is still not enough [...] Read more.
Purpose: The aim of this study was to collect further data to estimate the risk of relevant intracranial pathology and thereby better assess the need for cranial imaging in children with acute acquired comitant esotropia (AACE). To date, there is still not enough literature on this topic to enable a consensus on the diagnostic algorithm. Methods: We analyzed data from patients with convergent strabismus who received cranial imaging via magnetic resonance imaging (MRI). Twenty-one patients received a cranial MRI for the diagnostic evaluation of AACE. The age range was from 2 to 12 years, and the mean age at the time of diagnosis was 5.5 years. Of these patients, only one exhibited insignificant MRI findings, with no therapeutic consequences. Conclusions: Our data add further evidence that AACE without neurological findings or other ophthalmologic anomalies might not be an indication for cranial MRI as a diagnostic screening tool. Full article
10 pages, 11710 KiB  
Article
A New Method to Obtain Infective Ustilago maydis Binucleate Conidia for Corn Smut Production
by Isaac Tello-Salgado, Dulce Teresa Hernández-Castañeda, Elizur Montiel-Arcos, Elizabeth Nava-García and Daniel Martínez-Carrera
Agriculture 2024, 14(5), 672; https://doi.org/10.3390/agriculture14050672 (registering DOI) - 26 Apr 2024
Abstract
The fungus Ustilago maydis produces galls or tumors on corn ears called corn smut or huitlacoche. Used for human consumption in several countries for its nutritional and sensory traits, huitlacoche is considered a delicacy in Mexican cuisine and has a significant economic value. [...] Read more.
The fungus Ustilago maydis produces galls or tumors on corn ears called corn smut or huitlacoche. Used for human consumption in several countries for its nutritional and sensory traits, huitlacoche is considered a delicacy in Mexican cuisine and has a significant economic value. Hybrid U. maydis strains are regularly used for the large-scale production of huitlacoche; however, depending on the genetic characteristics of the parent strains, the pathogenicity and infection rate of hybrid fungi are often suboptimal due to compatibility issues between different strains. Using double-loaded organisms is common in agriculture to improve product characteristics, performance, and shelf-life. A methodology to obtain unicellular U. maydis strains with a double genetic load (n + n) capable of producing galls on corn ears without mating (hybridization) is reported herein. This methodology resulted in 206 U. maydis isolates. Screening showed that 147 corn plants (>70%) underwent infection and gall production. Of the 147 gall-producing U. maydis strains, those with the highest field performance were selected. Three strains, Um-UAEMor-78 (yielding 21.65 ton/ha), Um-UAEMor-120 (22.31 ton/ha), and Um-UAEMor-187 (22.99 ton/ha), showed higher yields than the control strain, CP-436(a1b1) × CP-437(a2b2) (17.80 ton/ha). A specific methodology to obtain unicellular U. maydis strains with a double genetic load capable of infecting baby corn ears and forming galls is described for the first time, providing a novel alternative for producing huitlacoche and helping to improve the yields and morphological traits of galls. Full article
(This article belongs to the Section Crop Protection, Diseases, Pests and Weeds)
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11 pages, 4750 KiB  
Article
Hauling Snow Crab Traps in Eastern Canada: A Study Documenting Tension in Ropes
by Genevieve Peck, Tomas Araya-Schmidt and Paul D. Winger
Fishes 2024, 9(5), 154; https://doi.org/10.3390/fishes9050154 (registering DOI) - 26 Apr 2024
Abstract
Entanglement in commercial fishing gear is one of the main factors inhibiting the recovery of critically endangered North Atlantic right whales. Installing low-breaking-strength (LBS) components in the buoy lines and main lines of stationary fishing gear may be a viable solution for some [...] Read more.
Entanglement in commercial fishing gear is one of the main factors inhibiting the recovery of critically endangered North Atlantic right whales. Installing low-breaking-strength (LBS) components in the buoy lines and main lines of stationary fishing gear may be a viable solution for some fisheries. But is it an effective solution for deep-water trap fisheries? This study quantified in-line rope tensions observed during fishing operations for snow crab (Chionoecetes opilio) in Newfoundland and Labrador, Canada. We conducted a controlled fishing experiment in which we documented the loads experienced while hauling fleets of traps. The results showed that several factors contributed to the loads observed, including the components of the traps, the presence of crabs, and environmental conditions such as wind direction and wave height. According to the statistical models, the maximum tension from the estimated marginal means was 477.53 kgf in the buoy line and 987.99 kgf in the main line for the baited hauls, which exceeds the safe working load (154 kgf) of the proposed low-breaking-strength components. Our results suggest that LBS components are not a viable solution for this deep-water fishery. Full article
(This article belongs to the Special Issue Advances in Crab Fisheries)
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10 pages, 708 KiB  
Article
The Effect of Humic Substances on the Colony Growth and Conidial Germination of Entomopathogenic Fungi from the Genus Metarhizium
by Anna Majchrowska-Safaryan, Cezary Tkaczuk and Marta Wrzosek
Sustainability 2024, 16(9), 3616; https://doi.org/10.3390/su16093616 (registering DOI) - 26 Apr 2024
Abstract
The development of sustainable agricultural production involves the use of new plant protection products, with low toxicity to non-target organisms and high biodegradability. The aim of this study was to investigate the effect of commercially available preparations containing humic substances, in comparison with [...] Read more.
The development of sustainable agricultural production involves the use of new plant protection products, with low toxicity to non-target organisms and high biodegradability. The aim of this study was to investigate the effect of commercially available preparations containing humic substances, in comparison with pure humic acids, on the growth and germination of spores of entomopathogenic fungi (EPFs) from the genus Metarhizium in vitro. AmiAGRA, HumiAGRA, AlgoHUM (recommended field dose) and pure humic acids extracted from peat, brown coal and spent mushroom substrate were added to Sabouraud’s culture substrate. Observation of the growth of the colonies of the tested species of EPFs was carried out every 5 days until day 20, measuring their diameter (mm). In the second stage of the experiment, the culture medium with the addition of preparations and pure humic acids was applied in a thin layer to the surface of glass slides and an aqueous solution with spores was introduced. Observation was carried out after 24 and 48 h, and the results obtained were expressed as percentages in relation to the control. The conducted research showed that on the 20th day of the culture (on average), preparations containing humic substances had a stimulating effect, while pure acids limited the growth of the colonies of the tested isolates slightly. The growth of M. anisopliae fungal colonies was most strongly stimulated by AlgoHUM, and M. flavoviride by HumiAGRA. The share of germinated spores after 48 h of contact with the substrate was higher than after 24 h, and more spores germinated on substrates with the addition of preparations containing humic substances than on pure humic acids. Full article
(This article belongs to the Special Issue Toward Sustainable Agriculture: Crop Protection and Pest Control)
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10 pages, 3939 KiB  
Article
Low-Temperature and High-Efficiency Solid-Phase Amplification Based on Formamide
by Jialing Huang, Huan Li, Fengfeng Shu, Wenchao Zhou, Yihui Wu, Yue Wang, Xiao Lv, Ming Gao, Zihan Song and Shixun Zhao
Micromachines 2024, 15(5), 565; https://doi.org/10.3390/mi15050565 (registering DOI) - 26 Apr 2024
Abstract
The thermal stability of DNA immobilized on a solid surface is one of the factors that affects the efficiency of solid-phase amplification (SP-PCR). Although variable temperature amplification ensures high specificity of the reaction by precisely controlling temperature changes, excessively high temperatures during denaturation [...] Read more.
The thermal stability of DNA immobilized on a solid surface is one of the factors that affects the efficiency of solid-phase amplification (SP-PCR). Although variable temperature amplification ensures high specificity of the reaction by precisely controlling temperature changes, excessively high temperatures during denaturation can negatively affect DNA stability. Formamide (FA) enables DNA denaturation at lower temperatures, showing potential for SP-PCR. Research on FA’s impacts on DNA microarrays is still limited, necessitating further optimization in exploring the characteristics of FA in SP-PCR according to particular application needs. We immobilized DNA on a chip using a crosslinker and generated DNA microarrays through bridge amplification based on FA denaturation on our automated reaction device. We optimized the denaturation and hybridization parameters of FA, achieving a maximum cluster density of 2.83 × 104 colonies/mm2. Compared to high-temperature denaturation, FA denaturation required a lower template concentration and milder reaction conditions and produced higher cluster density, demonstrating that FA effectively improves hybridization rates on surfaces. Regarding the immobilized DNA stability, the FA group exhibited a 45% loss of DNA, resulting in a 15% higher DNA retention rate compared to the high-temperature group, indicating that FA can better maintain DNA stability. Our study suggests that using FA improves the immobilized DNA stability and amplification efficiency in SP-PCR. Full article
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10 pages, 1162 KiB  
Article
Three-Dimensional Assessment of Upper Airway Volume and Morphology in Patients with Different Sagittal Skeletal Patterns
by Silvia Izabella Pop, Ana Procopciuc, Bianca Arsintescu, Mihai Mițariu, Loredana Mițariu, Radu Vasile Pop, Diana Cerghizan and Kinga Mária Jánosi
Diagnostics 2024, 14(9), 903; https://doi.org/10.3390/diagnostics14090903 (registering DOI) - 26 Apr 2024
Abstract
Background: The relationship between respiratory function and craniofacial morphology has garnered significant attention due to its implications for upper airway and stomatognathic development. Nasal breathing plays a key role in craniofacial growth and dental positioning. This study investigated upper airway morphology and volume [...] Read more.
Background: The relationship between respiratory function and craniofacial morphology has garnered significant attention due to its implications for upper airway and stomatognathic development. Nasal breathing plays a key role in craniofacial growth and dental positioning. This study investigated upper airway morphology and volume differences among individuals with class I, II, and III skeletal anomalies. Methods: Ninety orthodontic patients’ CBCT scans were analyzed to assess the oropharynx and hypopharynx volumes. Skeletal diagnosis was established based on the cephalometric analysis. Results: A significant volume change in the oropharynx and pharynx was demonstrated when comparing class II with class III anomalies (p = 0.0414, p = 0.0313). The total volume of the pharynx was increased in class III anomalies. The area of the narrowest part of the pharynx (MIN-CSA) significantly decreased in classes I and II compared to class III (p = 0.0289, p = 0.0003). Patients with Angle class III anomalies exhibited higher values in the narrowest pharyngeal segment. Gender differences were significant in pharyngeal volumes and morphologies across malocclusion classes. Conclusions: The narrowest segment of the pharynx had the highest values in patients with Angle class III. The volume of the oropharynx was found to be greater in patients with Angle class III versus patients with Angle class II. Full article
(This article belongs to the Special Issue Advances in Oral Imaging)
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12 pages, 3090 KiB  
Article
Three-Dimensional Mesoporous Ni-CeO2 Catalyst for Dry Reforming of Methane
by Huiyao Jin, Yuanqiao Liu, Lizhi Huang, Yali Liu, Sha Cui, Hui Liu, Jing Xu and Luhui Wang
Catalysts 2024, 14(5), 291; https://doi.org/10.3390/catal14050291 (registering DOI) - 26 Apr 2024
Abstract
Using the colloidal solution combustion approach, a three-dimensional mesoporous 5%Ni-CeO2-M catalyst was developed, with Ni incorporated into the pores, and applied in the dry reforming of methane. Comprehensive characterization revealed that the 5%Ni-CeO2-M catalyst had a large specific surface [...] Read more.
Using the colloidal solution combustion approach, a three-dimensional mesoporous 5%Ni-CeO2-M catalyst was developed, with Ni incorporated into the pores, and applied in the dry reforming of methane. Comprehensive characterization revealed that the 5%Ni-CeO2-M catalyst had a large specific surface area and a three-dimensional mesoporous structure. A rich Ni-CeO2 interface was formed by closely spaced tiny CeO2 and NiO nanoparticles within the spherical pore wall. With very little carbon deposition over a 100 h period at 700 °C, the catalyst showed excellent activity and stability. The tiny Ni nanoparticles, along with the substantial Ni-CeO2 interfaces that make up this three-dimensional in-form mesoporous catalyst, are responsible for the outstanding effectiveness of this 5%Ni-CeO2-M catalyst. Full article
(This article belongs to the Section Industrial Catalysis)
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10 pages, 1592 KiB  
Article
The Three-Dimensional Criteria of Developmental Dysplasia of the Hip Using the Functional Pelvic Plane Is More Useful Than That Using the Anterior Pelvic Plane
by Shinya Ibuchi, Norio Imai, Yoji Horigome, Hayato Suzuki and Hiroyuki Kawashima
J. Clin. Med. 2024, 13(9), 2536; https://doi.org/10.3390/jcm13092536 (registering DOI) - 26 Apr 2024
Abstract
Background: This retrospective cross-sectional study investigated the cutoff values (COVs) for developmental dysplasia of the hip (DDH) using a three-dimensional (3D) pelvic model reconstructed using computed tomography (CT). We included 107 healthy Japanese participants and 73 patients who had undergone curved periacetabular osteotomy [...] Read more.
Background: This retrospective cross-sectional study investigated the cutoff values (COVs) for developmental dysplasia of the hip (DDH) using a three-dimensional (3D) pelvic model reconstructed using computed tomography (CT). We included 107 healthy Japanese participants and 73 patients who had undergone curved periacetabular osteotomy (CPO) for DDH between 2012 and 2017. Methods: The hip CT images were adjusted to the anterior pelvic plane (APP), functional pelvic plane (FPP), sagittal anterior center-edge angle (ACEA), and sagittal posterior center-edge angle (PCEA). The lateral center-edge angle (LCEA), acetabular roof obliquity (ARO), anterior acetabular sector angle (AASA), and posterior acetabular sector angle (PASA) were measured. Receiver operating characteristic (ROC) curves were used to calculate the COVs, and the association between the parameters was analyzed using multiple logistic regression. Results: The ARO (≥10.2°) and LCEA (≤22.2°) were independent influencing factors for the APP, whereas the AASA (≤53.1°) and LCEA (≤24.5°) were independent influencing factors for the FPP. Conclusions: The 3D criteria for the diagnosis of DDH in Japanese individuals can identify DDH with insufficient anterior coverage, which anteroposterior plain radiographs cannot visualize, and can help determine indications for acetabular osteotomy. Full article
(This article belongs to the Special Issue Hip Surgery: Clinical Updates and Perspectives)
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11 pages, 1006 KiB  
Article
Time to Positivity in Blood Culture Bottles Inoculated with Sonication Fluid from Fracture-Related Infections
by Leopold Henssler, Lena Schellenberger, Susanne Baertl, Lisa Klute, Robert Heyd, Maximilian Kerschbaum, Volker Alt and Daniel Popp
Microorganisms 2024, 12(5), 862; https://doi.org/10.3390/microorganisms12050862 (registering DOI) - 26 Apr 2024
Abstract
The timely and accurate identification of causative agents is crucial for effectively managing fracture-related infections (FRIs). Among various diagnostic methods, the “time to positivity” (TTP) of cultures has emerged as a valuable predictive factor in infectious diseases. While sonication of implants and inoculation [...] Read more.
The timely and accurate identification of causative agents is crucial for effectively managing fracture-related infections (FRIs). Among various diagnostic methods, the “time to positivity” (TTP) of cultures has emerged as a valuable predictive factor in infectious diseases. While sonication of implants and inoculation of blood culture bottles with sonication fluid have enhanced sensitivity, data on the TTP of this microbiological technique remain limited. Therefore, patients with ICM criteria for confirmed FRI treated at our institution between March 2019 and March 2023 were retrospectively identified and their microbiological records were analyzed. The primary outcome parameter was TTP for different microorganism species cultured in a liquid culture collected from patients with confirmed FRI. A total of 155 sonication fluid samples from 126 patients (average age 57.0 ± 17.4 years, 68.3% males) was analyzed. Positive bacterial detection was observed in 78.7% (122/155) of the liquid culture pairs infused with sonication fluid. Staphylococcus aureus was the most prevalent organism (42.6%). Streptococcus species exhibited the fastest TTP (median 11.9 h), followed by Staphylococcus aureus (median 12.1 h) and Gram-negative bacteria (median 12.5 h), all of which had a 100% detection rate within 48 h after inoculation. Since all Gram-negative pathogens yielded positive culture results within 24 h, it could be discussed if empirical antibiotic therapy could be de-escalated early and limited towards the Gram-positive germ spectrum if no Gram-negative pathogens are detected up to this time point in the context of antibiotic stewardship. Full article
(This article belongs to the Special Issue Device-Related Infections and Bacterial Biofilms)
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23 pages, 2765 KiB  
Article
Fruit and Vegetables Blockchain-Based Traceability Platform
by Ricardo Morais, António Miguel Rosado da Cruz and Estrela Ferreira Cruz
Computers 2024, 13(5), 112; https://doi.org/10.3390/computers13050112 (registering DOI) - 26 Apr 2024
Abstract
Fresh food is difficult to preserve, especially because its characteristics can change, and its nutritional value may decrease. Therefore, from the consumer’s point of view, it would be very useful if, when buying fresh fruit or vegetables, they could know where it has [...] Read more.
Fresh food is difficult to preserve, especially because its characteristics can change, and its nutritional value may decrease. Therefore, from the consumer’s point of view, it would be very useful if, when buying fresh fruit or vegetables, they could know where it has been cultivated, when it was harvested and everything that has happened from its harvest until it reached the supermarket shelf. In other words, the consumer would like to have information about the traceability of the fruit or vegetables they intend to buy. This article presents a blockchain-based platform that allows institutions, consumers and business partners to track, back and forward, quality and sustainability information about all types of fresh fruits and vegetables. Full article
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8 pages, 502 KiB  
Communication
Switching from Beraprost to Selexipag in the Treatment of Pulmonary Arterial Hypertension: Insights from a Phase IV Study of the Japanese Registry (The EXCEL Study: EXChange from bEraprost to seLexipag Study)
by Yuichi Tamura, Hiraku Kumamaru, Ichizo Tsujino, Rika Suda, Kohtaro Abe, Takumi Inami, Koshin Horimoto, Shiro Adachi, Satoshi Yasuda, Fusako Sera, Yu Taniguchi, Masataka Kuwana and Koichiro Tatsumi
Pharmaceuticals 2024, 17(5), 555; https://doi.org/10.3390/ph17050555 (registering DOI) - 26 Apr 2024
Abstract
Pulmonary arterial hypertension (PAH) remains a significant challenge in cardiology, necessitating advancements in treatment strategies. This study explores the safety and efficacy of transitioning patients from beraprost to selexipag, a novel selective prostacyclin receptor agonist, within a Japanese cohort. Employing a multicenter, open-label, [...] Read more.
Pulmonary arterial hypertension (PAH) remains a significant challenge in cardiology, necessitating advancements in treatment strategies. This study explores the safety and efficacy of transitioning patients from beraprost to selexipag, a novel selective prostacyclin receptor agonist, within a Japanese cohort. Employing a multicenter, open-label, prospective design, 25 PAH patients inadequately managed on beraprost were switched to selexipag. Key inclusion criteria included ongoing beraprost therapy for ≥3 months, a diagnosis of PAH confirmed by mean pulmonary artery pressure (mPAP) ≥ 25 mmHg, and current treatment with endothelin receptor antagonists and/or phosphodiesterase type 5 inhibitors. Outcomes assessed were changes in hemodynamic parameters (mPAP, cardiac index, pulmonary vascular resistance) and the 6 min walk distance (6-MWD) over 3–6 months. The study found no statistically significant changes in these parameters post-switch. However, a subset of patients, defined as responders, demonstrated improvements in all measured hemodynamic parameters, suggesting a potential benefit in carefully selected patients. The transition was generally well-tolerated with no serious adverse events reported. This investigation underscores the importance of personalized treatment strategies in PAH, highlighting that certain patients may benefit from switching to selexipag, particularly those previously on higher doses of beraprost. Further research is needed to elucidate the predictors of positive response to selexipag and optimize treatment regimens for this complex condition. Full article
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14 pages, 1728 KiB  
Article
Minimizing Entropy and Complexity in Creative Production from Emergent Pragmatics to Action Semantics
by Stephen Fox
Entropy 2024, 26(5), 364; https://doi.org/10.3390/e26050364 (registering DOI) - 26 Apr 2024
Abstract
New insights into intractable industrial challenges can be revealed by framing them in terms of natural science. One intractable industrial challenge is that creative production can be much more financially expensive and time consuming than standardized production. Creative products include a wide range [...] Read more.
New insights into intractable industrial challenges can be revealed by framing them in terms of natural science. One intractable industrial challenge is that creative production can be much more financially expensive and time consuming than standardized production. Creative products include a wide range of goods that have one or more original characteristics. The scaling up of creative production is hindered by high financial production costs and long production durations. In this paper, creative production is framed in terms of interactions between entropy and complexity during progressions from emergent pragmatics to action semantics. An analysis of interactions between entropy and complexity is provided that relates established practice in creative production to organizational survival in changing environments. The analysis in this paper is related to assembly theory, which is a recent theoretical development in natural science that addresses how open-ended generation of complex physical objects can emerge from selection in biology. Parallels between assembly practice in industrial production and assembly theory in natural science are explained through constructs that are common to both, such as assembly index. Overall, analyses reported in the paper reveal that interactions between entropy and complexity underlie intractable challenges in creative production, from the production of individual products to the survival of companies. Full article
(This article belongs to the Special Issue Entropy and Organization in Natural and Social Systems II)
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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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