The 2023 MDPI Annual Report has
been released!
 
15 pages, 1563 KiB  
Review
Reassessing Gout Management through the Lens of Gut Microbiota
by Jean Demarquoy and Oumaima Dehmej
Appl. Microbiol. 2024, 4(2), 824-838; https://doi.org/10.3390/applmicrobiol4020057 (registering DOI) - 22 May 2024
Abstract
Gout, recognized as the most common form of inflammatory arthritis, arises from the accumulation of uric acid crystals, leading to intense pain, particularly in the big toe. This condition has traditionally been associated with the overproduction or reduced clearance of uric acid. Recent [...] Read more.
Gout, recognized as the most common form of inflammatory arthritis, arises from the accumulation of uric acid crystals, leading to intense pain, particularly in the big toe. This condition has traditionally been associated with the overproduction or reduced clearance of uric acid. Recent studies, however, have underscored the significant role of the gut microbiota in uric acid metabolism, impacting both its production and elimination. This emerging understanding suggests that maintaining gut health could offer innovative approaches to treating gout, complementing traditional dietary and pharmacological interventions. It highlights the potential of probiotics or microbiome-based therapies, indicating a future where treatments are tailored to an individual’s microbiome. This offers a fresh perspective on gout management and underscores the broader influence of the microbiota on health and disease. Full article
(This article belongs to the Special Issue Microbiome in Ecosystem 3.0)
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12 pages, 1348 KiB  
Article
Mutational Profiles of Cutaneous Squamous Cell Carcinomas with Different Patterns of Clinical Aggression from Head and Neck Regions
by Maria Colombino, Giuseppe Palmieri, Manuela Rodio, Matilde Tettamanzi, Silvia Rampazzo, Raffaello Margani, Emilio Trignano, Antonio Cossu, Maria Antonietta Fedeli, Giovanni Maria Fadda and Corrado Rubino
Cancers 2024, 16(11), 1956; https://doi.org/10.3390/cancers16111956 (registering DOI) - 22 May 2024
Abstract
Cutaneous squamous cell carcinoma is a prevalent malignancy with a rising incidence and a notably high mutational load. Exploring the genetic nuances of cSCC and investigating molecular approaches stands as a potential avenue for improving outcomes in high-risk patients. This retrospective case-control study [...] Read more.
Cutaneous squamous cell carcinoma is a prevalent malignancy with a rising incidence and a notably high mutational load. Exploring the genetic nuances of cSCC and investigating molecular approaches stands as a potential avenue for improving outcomes in high-risk patients. This retrospective case-control study involved two cohorts, one of 14 patients (the “discovery cohort”) and the other of 12 patients (the “validation cohort”), with cSCC located in the head/neck anatomical region and diagnosed at the pT2 stage. Overall, cases developed early local relapses of the disease, whereas controls never relapsed during the entire follow-up period. A next-generation sequencing (NGS) approach conducted on histological samples revealed that TP53 and CDKN2A were the most frequently mutated genes in our series. No specific mutations were identified as potential prognostic or therapeutic targets. Controls exhibited a tendency toward a higher mutational rate compared to cases. It is possible that an increased number of mutations could prompt the cSCC to expose more antigens, becoming more immunogenic and facilitating recognition by the immune system. This could enhance and sustain the immunological response, potentially preventing future recurrences. Full article
(This article belongs to the Special Issue Advances in Genetic and Molecular Approaches to Skin Cancer)
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13 pages, 1459 KiB  
Article
Evidence of the Existence of Site-Specific Female Contact Pheromones Involved in the Sexual Interaction Behavior of the Pacific Whiteleg Shrimp Penaeus vannamei
by José A. Gutiérrez-Vera, Elizabeth Ponce-Rivas, André Braga, Carmen G. Paniagua-Chávez, Jorge Alfaro-Montoya and Misael Rosales-Leija
Animals 2024, 14(11), 1523; https://doi.org/10.3390/ani14111523 (registering DOI) - 22 May 2024
Abstract
Although the presence of female contact sex pheromones in P. vannamei has been hypothesized, to date its existence has not been proven. To gather more evidence of their existence, cuticular liposoluble extracts were obtained from the following samples of adult females to [...] Read more.
Although the presence of female contact sex pheromones in P. vannamei has been hypothesized, to date its existence has not been proven. To gather more evidence of their existence, cuticular liposoluble extracts were obtained from the following samples of adult females to be used as the experimental treatments: (1) ventral exoskeleton of immature female (VI), (2) dorsolateral exoskeleton of immature female (DI), (3) ventral exoskeleton of mature female (VM), and (4) dorsolateral exoskeleton of mature female (DM). Polyvinyl chloride tubes (artificial females; AF) were coated with each extract and the behavior displayed by sexually mature males in contact with the AF was recorded and classified as follows: 0 = no response; 1 = contact; 2 = pushing; and 3 = prolonged contact (≥10 s). To test the hypothesis that the extracts collected from the ventral portion of the abdomen exoskeleton have a higher effect on the behavior of males than the extracts collected from the dorsolateral portion of the abdomen exoskeleton, the experiment was divided into two bioassays: Bioassay I (VI vs. DI) and Bioassay II (VM vs. DM). In each bioassay, all experimental treatments were significantly different (p > 0.05) from the CTL group (AF coated with hexane). Notably, the pushing behavior was significantly higher (p < 0.05) in the VI treatment compared to the CTL and DI treatment. These results provide evidence of the existence of contact female sex pheromones with sexual recognition function located primarily in the ventral portion of the abdomen exoskeleton of P. vannamei. Full article
(This article belongs to the Section Aquatic Animals)
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21 pages, 5260 KiB  
Article
Using Voxelisation-Based Data Analysis Techniques for Porosity Prediction in Metal Additive Manufacturing
by Abraham George, Marco Trevisan Mota, Conor Maguire, Ciara O’Callaghan, Kevin Roche and Nikolaos Papakostas
Appl. Sci. 2024, 14(11), 4367; https://doi.org/10.3390/app14114367 (registering DOI) - 22 May 2024
Abstract
Additive manufacturing workflows generate large amounts of data in each phase, which can be very useful for monitoring process performance and predicting the quality of the finished part if used correctly. In this paper, a framework is presented that utilises machine learning methods [...] Read more.
Additive manufacturing workflows generate large amounts of data in each phase, which can be very useful for monitoring process performance and predicting the quality of the finished part if used correctly. In this paper, a framework is presented that utilises machine learning methods to predict porosity defects in printed parts. Data from process settings, in-process sensor readings, and post-process computed tomography scans are first aligned and discretised using a voxelisation approach to create a training dataset. A multi-step classification system is then proposed to classify the presence and type of porosity in a voxel, which can then be utilised to find the distribution of porosity within the build volume. Titanium parts were printed using a laser powder bed fusion system. Two discretisation techniques based on voxelisation were utilised: a defect-centric and a uniform discretisation method. Different machine learning models, feature sets, and other parameters were also tested. Promising results were achieved in identifying porous voxels; however, the accuracy of the classification requires improvement before being applied industrially. The potential of the voxelisation-based framework for this application and its ability to incorporate data from different stages of the additive manufacturing workflow as well as different machine learning models was clearly demonstrated. Full article
(This article belongs to the Special Issue Computer Vision in Automatic Detection and Identification)
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13 pages, 2553 KiB  
Article
Radiotherapy for Recurrent Medulloblastoma in Children and Adolescents: Survival after Re-Irradiation and First-Time Irradiation
by Jonas E. Adolph, Gudrun Fleischhack, Sebastian Tschirner, Lydia Rink, Christine Dittes, Ruth Mikasch, Philipp Dammann, Martin Mynarek, Denise Obrecht-Sturm, Stefan Rutkowski, Brigitte Bison, Monika Warmuth-Metz, Torsten Pietsch, Stefan M. Pfister, Kristian W. Pajtler, Till Milde, Rolf-Dieter Kortmann, Stefan Dietzsch, Beate Timmermann and Stephan Tippelt
Cancers 2024, 16(11), 1955; https://doi.org/10.3390/cancers16111955 (registering DOI) - 22 May 2024
Abstract
Background: Radiotherapy (RT) involving craniospinal irradiation (CSI) is important in the initial treatment of medulloblastoma. At recurrence, the re-irradiation options are limited and associated with severe side-effects. Methods: For pre-irradiated patients, patients with re-irradiation (RT2) were matched by sex, histology, time to recurrence, [...] Read more.
Background: Radiotherapy (RT) involving craniospinal irradiation (CSI) is important in the initial treatment of medulloblastoma. At recurrence, the re-irradiation options are limited and associated with severe side-effects. Methods: For pre-irradiated patients, patients with re-irradiation (RT2) were matched by sex, histology, time to recurrence, disease status and treatment at recurrence to patients without RT2. Results: A total of 42 pre-irradiated patients with RT2 were matched to 42 pre-irradiated controls without RT2. RT2 improved the median PFS [21.0 (CI: 15.7–28.7) vs. 12.0 (CI: 8.1–21.0) months] and OS [31.5 (CI: 27.6–64.8) vs. 20.0 (CI: 14.0–36.7) months]. Concerning long-term survival after ten years, RT2 only lead to small improvements in OS [8% (CI: 1.4–45.3) vs. 0%]. RT2 improved survival most without (re)-resection [PFS: 17.5 (CI: 9.7–41.5) vs. 8.0 (CI: 6.6–12.2)/OS: 31.5 (CI: 27.6–NA) vs. 13.3 (CI: 8.1–20.1) months]. In the RT-naïve patients, CSI at recurrence improved their median PFS [25.0 (CI: 16.8–60.6) vs. 6.6 (CI: 1.5–NA) months] and OS [40.2 (CI: 18.7–NA) vs. 12.4 (CI: 4.4–NA) months]. Conclusions: RT2 could improve the median survival in a matched cohort but offered little benefit regarding long-term survival. In RT-naïve patients, CSI greatly improved their median and long-term survival. Full article
(This article belongs to the Section Pediatric Oncology)
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46 pages, 1768 KiB  
Review
Multiobjective Path Problems and Algorithms in Telecommunication Network Design—Overview and Trends
by José Craveirinha, João Clímaco, Rita Girão-Silva and Marta Pascoal
Algorithms 2024, 17(6), 222; https://doi.org/10.3390/a17060222 (registering DOI) - 22 May 2024
Abstract
A major area of application of multiobjective path problems and resolution algorithms is telecommunication network routing design, taking into account the extremely rapid technological and service evolutions. The need for explicit consideration of heterogeneous Quality of Service metrics makes it advantageous for the [...] Read more.
A major area of application of multiobjective path problems and resolution algorithms is telecommunication network routing design, taking into account the extremely rapid technological and service evolutions. The need for explicit consideration of heterogeneous Quality of Service metrics makes it advantageous for the development of routing models where various technical–economic aspects, often conflicting, should be tackled. Our work is focused on multiobjective path problem formulations and resolution methods and their applications to routing methods. We review basic concepts and present main formulations of multiobjective path problems, considering different types of objective functions. We outline the different types of resolution methods for these problems, including a classification and overview of relevant algorithms concerning different types of problems. Afterwards, we outline background concepts on routing models and present an overview of selected papers considered as representative of different types of applications of multiobjective path problem formulations and algorithms. A broad characterization of major types of path problems relevant in this context is shown regarding the overview of contributions in different technological and architectural network environments. Finally, we outline research trends in this area, in relation to recent technological evolutions in communication networks. Full article
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13 pages, 1541 KiB  
Article
Differential Effects of Intra-Abdominal Hypertension and ARDS on Respiratory Mechanics in a Porcine Model
by Benjamin Seybold, Anna M. Deutsch, Barbara Luise Deutsch, Emilis Simeliunas, Markus A. Weigand, Mascha O. Fiedler-Kalenka and Armin Kalenka
Medicina 2024, 60(6), 843; https://doi.org/10.3390/medicina60060843 (registering DOI) - 22 May 2024
Abstract
Background and Objectives: Intra-abdominal hypertension (IAH) and acute respiratory distress syndrome (ARDS) are common concerns in intensive care unit patients with acute respiratory failure (ARF). Although both conditions lead to impairment of global respiratory parameters, their underlying mechanisms differ substantially. Therefore, a [...] Read more.
Background and Objectives: Intra-abdominal hypertension (IAH) and acute respiratory distress syndrome (ARDS) are common concerns in intensive care unit patients with acute respiratory failure (ARF). Although both conditions lead to impairment of global respiratory parameters, their underlying mechanisms differ substantially. Therefore, a separate assessment of the different respiratory compartments should reveal differences in respiratory mechanics. Materials and Methods: We prospectively investigated alterations in lung and chest wall mechanics in 18 mechanically ventilated pigs exposed to varying levels of intra-abdominal pressures (IAP) and ARDS. The animals were divided into three groups: group A (IAP 10 mmHg, no ARDS), B (IAP 20 mmHg, no ARDS), and C (IAP 10 mmHg, with ARDS). Following induction of IAP (by inflating an intra-abdominal balloon) and ARDS (by saline lung lavage and injurious ventilation), respiratory mechanics were monitored for six hours. Statistical analysis was performed using one-way ANOVA to compare the alterations within each group. Results: After six hours of ventilation, end-expiratory lung volume (EELV) decreased across all groups, while airway and thoracic pressures increased. Significant differences were noted between group (B) and (C) regarding alterations in transpulmonary pressure (TPP) (2.7 ± 0.6 vs. 11.3 ± 2.1 cmH2O, p < 0.001), elastance of the lung (EL) (8.9 ± 1.9 vs. 29.9 ± 5.9 cmH2O/mL, p = 0.003), and elastance of the chest wall (ECW) (32.8 ± 3.2 vs. 4.4 ± 1.8 cmH2O/mL, p < 0.001). However, global respiratory parameters such as EELV/kg bodyweight (−6.1 ± 1.3 vs. −11.0 ± 2.5 mL/kg), driving pressure (12.5 ± 0.9 vs. 13.2 ± 2.3 cmH2O), and compliance of the respiratory system (−21.7 ± 2.8 vs. −19.5 ± 3.4 mL/cmH2O) did not show significant differences among the groups. Conclusions: Separate measurements of lung and chest wall mechanics in pigs with IAH or ARDS reveals significant differences in TPP, EL, and ECW, whereas global respiratory parameters do not differ significantly. Therefore, assessing the compartments of the respiratory system separately could aid in identifying the underlying cause of ARF. Full article
(This article belongs to the Special Issue Current Concepts and Advances in Respiratory and Emergency Medicine)
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14 pages, 3072 KiB  
Article
A New Cell Line from the Brain of Red Hybrid Tilapia (Oreochromis spp.) for Tilapia Lake Virus Propagation
by Aslah Mohamad, Matepiya Khemthong, Pirada Trongwongsa, Tuchakorn Lertwanakarn, Piyathip Setthawong and Win Surachetpong
Animals 2024, 14(11), 1522; https://doi.org/10.3390/ani14111522 (registering DOI) - 22 May 2024
Abstract
Tilapia lake virus (TiLV) presents a substantial threat to global tilapia production. Despite the development of numerous cell lines for TiLV isolation and propagation, none have been specifically derived from red hybrid tilapia (Oreochromis spp.). In this study, we successfully established a [...] Read more.
Tilapia lake virus (TiLV) presents a substantial threat to global tilapia production. Despite the development of numerous cell lines for TiLV isolation and propagation, none have been specifically derived from red hybrid tilapia (Oreochromis spp.). In this study, we successfully established a new cell line, RHTiB, from the red hybrid tilapia brain. RHTiB cells were cultured for 1.5 years through over 50 passages and demonstrated optimal growth at 25 °C in Leibovitz-15 medium supplemented with 10% fetal bovine serum at pH 7.4. Morphologically, RHTiB cells displayed a fibroblast-like appearance, and cytochrome oxidase I gene sequencing confirmed their origin from Oreochromis spp. Mycoplasma contamination testing yielded negative results. The revival rate of the cells post-cryopreservation was observed to be between 75 and 80% after 30 days. Chromosomal analysis at the 25th passage revealed a diploid count of 22 pairs (2n = 44). While no visible cytopathic effects were observed, both immunofluorescence microscopy and RT-qPCR analysis demonstrated successful TiLV propagation in the RHTiB cell line, with a maximum TiLV concentration of 107.82 ± 0.22 viral copies/400 ng cDNA after 9 days of incubation. The establishment of this species-specific cell line represents a valuable advancement in the diagnostic and isolation tools for viral diseases potentially impacting red hybrid tilapia. Full article
(This article belongs to the Special Issue Viral Diseases in Aquaculture)
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21 pages, 3849 KiB  
Article
Unraveling Divergent Transcriptomic Profiles: A Comparative Single-Cell RNA Sequencing Study of Epithelium, Gingiva, and Periodontal Ligament Tissues
by Ali T. Abdallah and Anna Konermann
Int. J. Mol. Sci. 2024, 25(11), 5617; https://doi.org/10.3390/ijms25115617 (registering DOI) - 22 May 2024
Abstract
The periodontium comprising periodontal ligament (PDL), gingiva, and epithelium play crucial roles in maintaining tooth integrity and function. Understanding tissue cellular composition and gene expression is crucial for illuminating periodontal pathophysiology. This study aimed to identify tissue-specific markers via scRNA-Seq. Primary human PDL, [...] Read more.
The periodontium comprising periodontal ligament (PDL), gingiva, and epithelium play crucial roles in maintaining tooth integrity and function. Understanding tissue cellular composition and gene expression is crucial for illuminating periodontal pathophysiology. This study aimed to identify tissue-specific markers via scRNA-Seq. Primary human PDL, gingiva, and epithelium tissues (n = 7) were subjected to cell hashing and sorting. scRNA-Seq library preparation using 10× Genomics protocol and Illumina sequencing was conducted. The analysis was performed using Cellranger (v3.1.0), with downstream analysis via R packages Seurat (v5.0.1) and SCORPIUS (v1.0.9). Investigations identified eight distinct cellular clusters, revealing the ubiquitous presence of epithelial and gingival cells. PDL cells evolved in two clusters with numerical superiority. The other clusters showed varied predominance regarding gingival and epithelial cells or an equitable distribution of both. The cluster harboring most cells mainly consisted of PDL cells and was present in all donors. Some of the other clusters were also tissue-inherent, while the presence of others was environmentally influenced, revealing variability across donors. Two clusters exhibited genetic profiles associated with tissue development and cellular integrity, respectively, while all other clusters were distinguished by genes characteristic of immune responses. Developmental trajectory analysis uncovered that PDL cells may develop after epithelial and gingival cells, suggesting the inherent PDL cell-dominated cluster as a final developmental stage. This single-cell RNA sequencing study delineates the hierarchical organization of periodontal tissue development, identifies tissue-specific markers, and reveals the influence of environmental factors on cellular composition, advancing our understanding of periodontal biology and offering potential insights for therapeutic interventions. Full article
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13 pages, 14385 KiB  
Article
Mycophagous Mite, Tyrophagus putrescentiae, Prefers to Feed on Entomopathogenic Fungi, except Metarhizium Generalists
by Cuiyi Ou, Qichun Chen, Xiangyu Hu, Yuhao Zeng, Ke Zhang, Qiongbo Hu and Qunfang Weng
Microorganisms 2024, 12(6), 1042; https://doi.org/10.3390/microorganisms12061042 (registering DOI) - 22 May 2024
Abstract
(1) Background: The mycophagous mite, Tyrophagus putrescentiae, was found to feed on entomopathogenic fungi (EPF) in our previous experiments, which seriously impacted the culture and preservation of fungal strains. Therefore, it is necessary to investigate the biological characteristics of the occurrence and [...] Read more.
(1) Background: The mycophagous mite, Tyrophagus putrescentiae, was found to feed on entomopathogenic fungi (EPF) in our previous experiments, which seriously impacted the culture and preservation of fungal strains. Therefore, it is necessary to investigate the biological characteristics of the occurrence and damage to EPF. (2) Methods: The mite’s growth and development and feeding preference were surveyed by comparative culture and observation; also, optical and electronic microscopies were employed. (3) Results: T. putrescentiae could survive normally after being fed on seven EPF species, including Purpureocillium lilacinum, Marquandii marquandii, Cordyceps fumosorosea, Beauveria bassiana, Metarhizium flavoviride, Lecanicillium dimorphum, and Metacordyceps chlamydosporia. The first four fungi were the mite’s favorites with their greater feeding amount and shorter developmental duration. Interestingly, the mite could also feed on Metarhizium anisopliae and Metarhizium robertsii, but this led to the mite’s death. After feeding on M. anisopliae and M. robertsii, the mites began to die after 24 h, and the mortality rate reached 100% by 72 h. Observation under optical microscopy and scanning electron microscopy revealed that the conidia of M. anisopliae and M. robertsii adhered to the mite’s surface, but there was no evidence of penetration or invasion. However, dissection observation indicated that the two Metarhizium species germinate and grow within the mite’s digestive tract, which implies that Metarhizium generalists with broad-spectrum hosts and the production of destruxins have acaricidal activity toward the mycophagous mites. Full article
(This article belongs to the Section Plant Microbe Interactions)
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16 pages, 2390 KiB  
Article
Nutritive and Fermentative Traits of African Stargrass (Cynodon nlemfuensis Vanderyst) Forage Preserved for Silage and Haylage
by Tania Picado-Pérez, Rocky Lemus, Daniel Rivera and Luis A. Villalobos-Villalobos
Fermentation 2024, 10(6), 268; https://doi.org/10.3390/fermentation10060268 (registering DOI) - 22 May 2024
Abstract
Climate shifts have significantly affected livestock systems due to their environmental interdependence. Among the strategies adopted by livestock systems to fill the gaps in forage biomass, preserved forages are the most commonly used. This research assessed the nutritional profile of African Stargrass ( [...] Read more.
Climate shifts have significantly affected livestock systems due to their environmental interdependence. Among the strategies adopted by livestock systems to fill the gaps in forage biomass, preserved forages are the most commonly used. This research assessed the nutritional profile of African Stargrass (Cynodon nlemfuensis Vanderyst) preserved as silage and haylage at different feed-out periods (45, 60, 90, and 120 days). We found greater dry matter (DM) content in haylage (29.7%), with no important variations in silage over time. Stargrass silage had crude protein (CP) levels greater (13.0%) than haylage (11.9%); the former was not affected by the duration of the preservation period. Silage had lower levels of neutral detergent fiber (NDF) and higher levels of in vitro dry matter digestibility (IVDMD). The net energy for lactation (NEL) was similar for the two types of preservations evaluated. A principal component analysis (PCA) revealed that most of the variance in the dataset (69.6%) was explained by two principal components. PC1 showed that the most relevant variables were ADF, α-NDF, dNDF30, d NDF48, and NDICP, while Ash, Ca, and insoluble CP were the most relevant variables in PC2. Unlike haylage, the nutritional value of silage remained constant (p > 0.05) up to 120 days of preservation. It is important to note that haylage should not be stored beyond 90 days, regardless of the type of preservation. Full article
(This article belongs to the Section Fermentation Process Design)
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13 pages, 1280 KiB  
Article
Automated Classification of Physiologic, Glaucomatous, and Glaucoma-Suspected Optic Discs Using Machine Learning
by Raphael Diener, Alexander W. Renz, Florian Eckhard, Helmar Segbert, Nicole Eter, Arnim Malcherek and Julia Biermann
Diagnostics 2024, 14(11), 1073; https://doi.org/10.3390/diagnostics14111073 (registering DOI) - 22 May 2024
Abstract
In order to generate a machine learning algorithm (MLA) that can support ophthalmologists with the diagnosis of glaucoma, a carefully selected dataset that is based on clinically confirmed glaucoma patients as well as borderline cases (e.g., patients with suspected glaucoma) is required. The [...] Read more.
In order to generate a machine learning algorithm (MLA) that can support ophthalmologists with the diagnosis of glaucoma, a carefully selected dataset that is based on clinically confirmed glaucoma patients as well as borderline cases (e.g., patients with suspected glaucoma) is required. The clinical annotation of datasets is usually performed at the expense of the data volume, which results in poorer algorithm performance. This study aimed to evaluate the application of an MLA for the automated classification of physiological optic discs (PODs), glaucomatous optic discs (GODs), and glaucoma-suspected optic discs (GSODs). Annotation of the data to the three groups was based on the diagnosis made in clinical practice by a glaucoma specialist. Color fundus photographs and 14 types of metadata (including visual field testing, retinal nerve fiber layer thickness, and cup–disc ratio) of 1168 eyes from 584 patients (POD = 321, GOD = 336, GSOD = 310) were used for the study. Machine learning (ML) was performed in the first step with the color fundus photographs only and in the second step with the images and metadata. Sensitivity, specificity, and accuracy of the classification of GSOD vs. GOD and POD vs. GOD were evaluated. Classification of GOD vs. GSOD and GOD vs. POD performed in the first step had AUCs of 0.84 and 0.88, respectively. By combining the images and metadata, the AUCs increased to 0.92 and 0.99, respectively. By combining images and metadata, excellent performance of the MLA can be achieved despite having only a small amount of data, thus supporting ophthalmologists with glaucoma diagnosis. Full article
(This article belongs to the Special Issue Artificial Intelligence in Ophthalmology)
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10 pages, 608 KiB  
Article
Pilot Study of SATELLITE Education on Nurses’ Knowledge and Confidence toward Assessing and Caring for Female Victims of Sexual Violence
by Ratchneewan Ross, Francine Hebert Sheppard, Monir M. Almotairy, Joelle Hirst and Marjorie Jenkins
Nurs. Rep. 2024, 14(2), 1287-1296; https://doi.org/10.3390/nursrep14020097 (registering DOI) - 22 May 2024
Abstract
Sexual violence (SV) can deeply impact victims’ physical and psychosocial well-being. Yet many healthcare providers, including registered nurses (RNs), hesitate to screen patients due to a lack of confidence and knowledge. The SATELLITE Sexual Violence Assessment and Care Guide was developed to address [...] Read more.
Sexual violence (SV) can deeply impact victims’ physical and psychosocial well-being. Yet many healthcare providers, including registered nurses (RNs), hesitate to screen patients due to a lack of confidence and knowledge. The SATELLITE Sexual Violence Assessment and Care Guide was developed to address this gap; however, the guide’s educational effectiveness remained untested. This pilot study aimed to assess the feasibility, acceptability, and efficacy of an education program based on the SATELLITE guide among RNs in clinical settings (n = 8), using a pre- and post-test design. Results indicated that the education was not only feasible and acceptable, but also demonstrated the effects as desired with significant increases in RNs’ knowledge and confidence in SV screening and care. The program’s assessment tool was reliable, and participant recruitment was feasible. Based on these findings, it is recommended that the SATELLITE education program be further tested with a larger RN sample and extended to other healthcare providers. Additionally, exploring SATELLITE’s use in different regions, cultural contexts, and healthcare settings would enhance understanding of the program’s broader applicability and effectiveness. Full article
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7 pages, 669 KiB  
Case Report
The Phenotype-Based Approach Can Solve Cold Cases: The Paradigm of Mosaic Mutations of the CREBBP Gene
by Giulia Bruna Marchetti, Donatella Milani, Livia Pisciotta, Laura Pezzoli, Paola Marchisio, Berardo Rinaldi and Maria Iascone
Genes 2024, 15(6), 654; https://doi.org/10.3390/genes15060654 (registering DOI) - 22 May 2024
Abstract
Rubinstein–Taybi syndrome (RTS) is a rare genetic disorder characterized by intellectual disability, facial dysmorphisms, and enlarged thumbs and halluces. Approximately 55% of RTS cases result from pathogenic variants in the CREBBP gene, with an additional 8% linked to the EP300 gene. Given the [...] Read more.
Rubinstein–Taybi syndrome (RTS) is a rare genetic disorder characterized by intellectual disability, facial dysmorphisms, and enlarged thumbs and halluces. Approximately 55% of RTS cases result from pathogenic variants in the CREBBP gene, with an additional 8% linked to the EP300 gene. Given the close relationship between these two genes and their involvement in epigenomic modulation, RTS is grouped into chromatinopathies. The extensive clinical heterogeneity observed in RTS, coupled with the growing number of disorders involving the epigenetic machinery, poses a challenge to a phenotype-based diagnostic approach for these conditions. Here, we describe the first case of a patient clinically diagnosed with RTS with a CREBBP truncating variant in mosaic form. We also review previously described cases of mosaicism in CREBBP and apply clinical diagnostic guidelines to these patients, confirming the good specificity of the consensus. Nonetheless, these reports raise questions about the potential underdiagnosis of milder cases of RTS. The application of a targeted phenotype-based approach, coupled with high-depth NGS, may enhance the diagnostic yield of whole-exome sequencing (WES) in mild and mosaic conditions. Full article
(This article belongs to the Special Issue Current Diagnostics for Rare and Ultrarare Diseases)
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8 pages, 258 KiB  
Communication
Influence of Deliverable Form of Dietary Vitamin D3 on the Immune Response in Late-Lactating Dairy Goats
by Adela Mora-Gutierrez, Maryuri T. Núñez de González, Selamawit Woldesenbet, Rahmat Attaie and Yoonsung Jung
Dairy 2024, 5(2), 308-315; https://doi.org/10.3390/dairy5020025 (registering DOI) - 22 May 2024
Abstract
Mastitis-causing bacteria can establish persistent infections in the mammary glands of commercially important dairy animals despite the presence of strong specific humoral and cellular immune mechanisms. We investigated the effect of vitamin D3 in the diet at a set level, but in [...] Read more.
Mastitis-causing bacteria can establish persistent infections in the mammary glands of commercially important dairy animals despite the presence of strong specific humoral and cellular immune mechanisms. We investigated the effect of vitamin D3 in the diet at a set level, but in two different forms (i.e., unencapsulated and encapsulated by complex coacervation with sulfur-saturated bovine lactoferrin-alginate using microbial transglutaminase-catalyzed crosslinking) on the immune response in late-lactating dairy goats. Dairy goats (n = 18) were randomly assigned to three experimental groups (n = 6). Dairy goats were orally administered 0.35 mg of vitamin D3/day in the unencapsulated form and 0.35 mg of vitamin D3/day in the encapsulated powder form. Another group received the basal diet. The experimental period lasted 6 weeks. The blood serum concentrations of 25-hydroxyvitamin D3 [25-(OH)-D3], lactoferrin, immunoglobulin A (IgA), and interferon-gamma (INF-γ) were measured. There were major differences in these parameters between dietary groups. However, the delivery of vitamin D3 in the encapsulated powder form to dairy goats resulted in a marked increase in 25-(OH)-D3 concentration in serum, while the serum level of lactoferrin also increased. Alternatively, the serum levels of IgA and the immunomodulatory cytokine INF-γ were elevated following supplementation with the encapsulated vitamin D3. The observed effects suggest that the deliverable form of dietary vitamin D3 results in differences in the immune response in late-lactating dairy goats. Full article
22 pages, 3844 KiB  
Article
Transportation Simulation Modeling and Location-Based Services Data Completion Based on a Data and Model Dual-Driven Approach
by Hantong Wang, Ziyi Shi, Yong Chen, Zheng Zhu and Xiqun Chen
Appl. Sci. 2024, 14(11), 4366; https://doi.org/10.3390/app14114366 (registering DOI) - 22 May 2024
Abstract
The evolving economic and technological landscape has brought about significant changes in travel behaviors and traffic patterns. These changes have led to the emergence of complex, multi-modal travel demands that interact with transportation networks, posing new challenges in transportation analysis and control. The [...] Read more.
The evolving economic and technological landscape has brought about significant changes in travel behaviors and traffic patterns. These changes have led to the emergence of complex, multi-modal travel demands that interact with transportation networks, posing new challenges in transportation analysis and control. The primary objective of this study is to address these challenges by improving transportation modeling and data completeness using advanced modeling tools and transportation big data. We propose a dual-driven simulation model that integrates transportation simulation and big data. The approach begins by utilizing initial Location-Based Services (LBS) data to establish a mesoscopic multi-modal simulation model, which is then calibrated. This calibrated model is then employed to complete the missing trajectories of the LBS data. The innovative aspect of this dual-driven simulation model lies in its novel approach to constructing transportation models and completing LBS data, thereby enhancing both the simulation accuracy and the results of missing path completion. We conduct tests using the urban area of Hangzhou as an example, and the results show that the Normalized Root Mean Square Error (NRMSE) between the average link speeds in the simulation model and in real world observation is reduced to 24.1%. In the LBS data completion process, our proposed method achieves a travel mode identification accuracy of 95.3% for private car travel. Compared to the two baseline methods, the average accuracy of completed trajectories increases by 6.31% and 2.46%, respectively. Full article
(This article belongs to the Special Issue Applications of Big Data in Public Transportation Systems)
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12 pages, 3554 KiB  
Article
Modeling and Experiments on Temperature and Electrical Conductivity Characteristics in High-Temperature Heating of Carbide-Bonded Graphene Coating on Silicon
by Lihua Li, Ruiying Wang, Yingwei Huang and Xingbang Li
Micromachines 2024, 15(6), 673; https://doi.org/10.3390/mi15060673 (registering DOI) - 22 May 2024
Abstract
A novel non-isothermal glass hot embossing system utilizes a silicon mold core coated with a three-dimensional carbide-bonded graphene (CBG) coating, which acts as a thin-film resistance heater. The temperature of the system significantly influences the electrical conductivity properties of silicon with a CBG [...] Read more.
A novel non-isothermal glass hot embossing system utilizes a silicon mold core coated with a three-dimensional carbide-bonded graphene (CBG) coating, which acts as a thin-film resistance heater. The temperature of the system significantly influences the electrical conductivity properties of silicon with a CBG coating. Through simulations and experiments, it has been established that the electrical conductivity of silicon with a CBG coating gradually increases at lower temperatures and rapidly rises as the temperature further increases. The CBG coating predominantly affects electrical conductivity until 400 °C, after which silicon becomes the dominant factor. Furthermore, the dimensions of CBG-coated silicon and the reduction of CBG coating also affect the rate and outcome of conductivity changes. These findings provide valuable insights for detecting CBG-coated silicon during the embossing process, improving efficiency, and predicting the mold core’s service life, thus enhancing the accuracy of optical lens production. Full article
(This article belongs to the Special Issue Design and Manufacture of Micro-Optical Lens)
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18 pages, 3779 KiB  
Article
Can Lagoons Serve as a Quaternary Treatment for Micropollutants in Wastewater Treatment Plants? Recent Implications for Compliance with the New Urban Wastewater Treatment Directive
by Lissette Díaz-Gamboa, Sofía Martínez-López, Luis Miguel Ayuso-García, Agustín Lahora and Isabel Martínez-Alcalá
Environments 2024, 11(6), 105; https://doi.org/10.3390/environments11060105 (registering DOI) - 22 May 2024
Abstract
This study explores the potential of storage lagoons as a quaternary treatment step in wastewater treatment plants (WWTPs), focusing on compliance with the recent European Urban Wastewater Treatment Directive (UWWTD), which mandates an 80% reduction in specific micropollutants. While conventional treatments effectively remove [...] Read more.
This study explores the potential of storage lagoons as a quaternary treatment step in wastewater treatment plants (WWTPs), focusing on compliance with the recent European Urban Wastewater Treatment Directive (UWWTD), which mandates an 80% reduction in specific micropollutants. While conventional treatments effectively remove residual nutrients and solids, the potential of storage lagoons as an additional treatment is not fully defined. This research aims to address this gap by assessing the efficacy of storage lagoons in refining the effluent quality at the Cabezo Beaza WWTP, considering recent UWWTD requirements. We conduct a comprehensive assessment of the water quality parameters and micropollutants, before and after the storage lagoon stage, at the Cabezo Beaza WWTP. The results indicate that this strategy of prolonged storage in lagoons manages to meet the reduction objectives established by the Directive, reaching elimination percentages greater than 80% for the majority of the analyzed micropollutants. Our findings suggest that lagoons significantly improve water quality and reduce contaminants beyond conventional treatments, offering environmental and economic benefits. This paper discusses the mechanisms behind these improvements, such as natural sedimentation, microbial activity, and potential phytoremediation. This study contributes to the research on advanced wastewater treatment and supports the integration of storage lagoons as a viable quaternary treatment solution that meets the UWWTD standards. Full article
(This article belongs to the Special Issue Advanced Research on Micropollutants in Water)
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11 pages, 2571 KiB  
Systematic Review
Early Enteral Nutrition (within 48 h) for Patients with Sepsis or Septic Shock: A Systematic Review and Meta-Analysis
by Carlos F. Grillo-Ardila, Diego Tibavizco-Palacios, Luis C. Triana, Saúl J. Rugeles, María T. Vallejo-Ortega, Carlos H. Calderón-Franco and Juan J. Ramírez-Mosquera
Nutrients 2024, 16(11), 1560; https://doi.org/10.3390/nu16111560 (registering DOI) - 22 May 2024
Abstract
OBJECTIVE: Medical nutrition therapy provides the opportunity to compensate for muscle wasting and immune response activation during stress and trauma. The objective of this systematic review is to assess the safety and effectiveness of early enteral nutrition (EEN) in adults with sepsis or [...] Read more.
OBJECTIVE: Medical nutrition therapy provides the opportunity to compensate for muscle wasting and immune response activation during stress and trauma. The objective of this systematic review is to assess the safety and effectiveness of early enteral nutrition (EEN) in adults with sepsis or septic shock. METHODS: The MEDLINE, Embase, CENTRAL, CINAHL, ClinicalTrials.gov, and ICTRP tools were searched from inception until July 2023. Conference proceedings, the reference lists of included studies, and expert content were queried to identify additional publications. Two review authors completed the study selection, data extraction, and risk of bias assessment; disagreements were resolved through discussion. Inclusion criteria were randomized controlled trials (RCTs) and non-randomized studies (NRSs) comparing the administration of EEN with no or delayed enteral nutrition (DEE) in adult populations with sepsis or septic shock. RESULTS: Five RCTs (n = 442 participants) and ten NRSs (n = 3724 participants) were included. Low-certainty evidence from RCTs and NRSs suggests that patients receiving EEN could require fewer days of mechanical ventilation (MD −2.65; 95% CI, −4.44–0.86; and MD −2.94; 95% CI, −3.64–−2.23, respectively) and may show lower SOFA scores during follow-up (MD −1.64 points; 95% CI, −2.60–−0.68; and MD −1.08 points; 95% CI, −1.90–−0.26, respectively), albeit with an increased frequency of diarrhea episodes (OR 2.23, 95% CI 1.115–4.34). Even though the patients with EEN show a lower in-hospital mortality rate both in RCTs (OR 0.69; 95% CI, 0.39–1.23) and NRSs (OR 0.89; 95% CI, 0.69–1.13), this difference does not achieve statistical significance. There were no apparent differences for other outcomes. CONCLUSIONS: Low-quality evidence suggests that EEN may be a safe and effective intervention for the management of critically ill patients with sepsis or septic shock. Full article
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3 pages, 947 KiB  
Interesting Images
Navigating the Labyrinth: When the “Mesenterium Commune” Turns Colonoscopy into an Endoscopic Rollercoaster
by Giacomo Emanuele Maria Rizzo, Silvia Ferriolo, Lucio Carrozza, Gabriele Rancatore and Mario Traina
Diagnostics 2024, 14(11), 1072; https://doi.org/10.3390/diagnostics14111072 (registering DOI) - 22 May 2024
Abstract
These images involved the case of a 51-year-old woman who had a history of chronic abdominal pain, iron deficiency, and diarrhoea but no blood or mucus in her stool. She had never undergone major abdominal surgery, and her past medical evaluation diagnosed her [...] Read more.
These images involved the case of a 51-year-old woman who had a history of chronic abdominal pain, iron deficiency, and diarrhoea but no blood or mucus in her stool. She had never undergone major abdominal surgery, and her past medical evaluation diagnosed her with celiac disease, leading to the adoption of a gluten-free diet alleviating most of her gastrointestinal symptoms. However, years later, her abdominal pain returned, so she underwent an abdominal ultrasound, revealing non-specific bowel loop dilation, and a weakly positive faecal occult blood test led to a colonoscopy. Despite many efforts to advance the scope beyond the transverse colon, colonoscopy was arduous and not complete, even after several changes in decubitus and abdominal compressions. Therefore, a virtual colonoscopy was conducted, revealing no intraluminal masses, but the entire colon was located on the left side of the abdomen. Indeed, the results showed sigma and that most of the colon was curled up in the small pelvis. This rare anatomical variant, known as “Mesenterium commune” (MC), is a type of gut malrotation that develops in childhood due to a lack of omphalomesenteric loop rotation during the embryonic period. This condition can lead to episodes of intestinal obstruction, potentially resulting in an acute abdomen and leading to surgical correction. Symptoms include chronic recurring abdominal pain, nausea, vomiting, and occasionally bloody stools. Few cases of this extremely rare condition have been reported in the literature so far. Full article
(This article belongs to the Special Issue Advances in the Diagnostic Imaging of Gastrointestinal Diseases)
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12 pages, 5442 KiB  
Article
Image Enhancement of Steel Plate Defects Based on Generative Adversarial Networks
by Zhideng Jie, Hong Zhang, Kaixuan Li, Xiao Xie and Aopu Shi
Electronics 2024, 13(11), 2013; https://doi.org/10.3390/electronics13112013 (registering DOI) - 22 May 2024
Abstract
In this study, the problem of a limited number of data samples, which affects the detection accuracy, arises for the image classification task of steel plate surface defects under conditions of small sample sizes. A data enhancement method based on generative adversarial networks [...] Read more.
In this study, the problem of a limited number of data samples, which affects the detection accuracy, arises for the image classification task of steel plate surface defects under conditions of small sample sizes. A data enhancement method based on generative adversarial networks is proposed. The method introduces a two-way attention mechanism, which is specifically designed to improve the model’s ability to identify weak defects and optimize the model structure of the network discriminator, which augments the model’s capacity to perceive the overall details of the image and effectively improves the intricacy and authenticity of the generated images. By enhancing the two original datasets, the experimental results show that the proposed method improves the average accuracy by 8.5% across the four convolutional classification models. The results demonstrate the superior detection accuracy of the proposed method, improving the classification of steel plate surface defects. Full article
(This article belongs to the Topic Computer Vision and Image Processing, 2nd Edition)
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14 pages, 9655 KiB  
Article
3D Acoustic Map Analysis of the National Theatre of Zagreb
by Lamberto Tronchin and Antonella Bevilacqua
Appl. Sci. 2024, 14(11), 4365; https://doi.org/10.3390/app14114365 (registering DOI) - 22 May 2024
Abstract
Rapid technological advances in recent decades have led researchers to refine the accuracy of their studies. In the field of acoustics, the impact of new devices is noticeable, especially in the investigations of cultural heritage buildings. The selection of a seat in theatres [...] Read more.
Rapid technological advances in recent decades have led researchers to refine the accuracy of their studies. In the field of acoustics, the impact of new devices is noticeable, especially in the investigations of cultural heritage buildings. The selection of a seat in theatres and concert halls has always been a concern, since the live experience of artistic performance depends on the quality of hearing and sight view. This paper deals with the elaboration of 360° acoustic maps made in the National Theatre of Zagreb, one of the opera theatres investigated with the Sipario project. The analysis of the main acoustic parameters has been carried out, starting with site measurements describing the acoustic response at various representative points of the main hall by covering the audience area. In addition, acoustic maps have been created for some selected positions based on a 3-degree-of-freedom (3dof) technique that allows a panoramic visualization of the impulse responses (IRs). This methodology completes the determination of early and late reflections that contribute to the acoustic quality of a place. In addition to the interest of experts in acoustics, this methodology can also be adopted by music lovers who can find a reasonable explanation for seat selection when booking their tickets. Full article
(This article belongs to the Special Issue Architectural Acoustics: From Theory to Application)
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14 pages, 1532 KiB  
Article
Impact of Various Prefermentation Treatments on the Pigment, Polyphenol, and Volatile Composition of Industrial Red Wines Made from Vitis vinifera cv Maratheftiko
by Kosmas Roufas, Vassilis Athanasiadis, Theodoros Chatzimitakos, Stavros I. Lalas, Artemis Toulaki and Dimitris P. Makris
Beverages 2024, 10(2), 39; https://doi.org/10.3390/beverages10020039 (registering DOI) - 22 May 2024
Abstract
The grape variety Maratheftiko (V. vinifera sp.) is one of the most prestigious Cypriot varieties, yet Maratheftiko wines are rather poorly studied with regard to principal quality characteristics, such as the polyphenolic and aromatic profile. The current study was undertaken with the [...] Read more.
The grape variety Maratheftiko (V. vinifera sp.) is one of the most prestigious Cypriot varieties, yet Maratheftiko wines are rather poorly studied with regard to principal quality characteristics, such as the polyphenolic and aromatic profile. The current study was undertaken with the scope to investigate the effect of various common industrial prefermentation treatments on the non-volatile and volatile fractions of Maratheftiko wines, in two consecutive harvests. Different lots of grapes underwent the saigneé process, which was also combined with cold maceration, and/or enzyme and tannin addition, and the wines produced on industrial scale were analyzed to portray their profiles of anthocyanins, non-anthocyanin polyphenols, and volatiles. The non-anthocyanin composition was found to be dominated by flavonol glycosides (mainly quercetin 3-O-glucuronide), but also caftaric acid. The major anthocyanin pigment in all wines examined was malvidin 3-O-glucoside, accompanied by its p-coumarate derivative. The principal volatiles determined were isoamyl alcohol, ethyl octanoate, 2-phenylethanol, ethyl caprate, and isoamyl acetate. Principal component analysis revealed that the wines could be clearly discriminated based on vintage year but not based on the different treatments. This study offered novel insights into the composition of Maratheftiko wines and provided some evidence regarding the impact of common enological techniques on their non-volatile and volatile fractions. Full article
(This article belongs to the Collection Wine and Beverage: Fermentation and Conservation Technologies)
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