The 2023 MDPI Annual Report has
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9 pages, 902 KiB  
Article
Effects of Hydrotherapy on the Management of Childbirth and Its Outcomes—A Retrospective Cohort Study
by Elena Mellado-García, Lourdes Díaz-Rodríguez, Jonathan Cortés-Martín, Juan Carlos Sánchez-García, Beatriz Piqueras-Sola, Juan Carlos Higuero Macías and Raquel Rodríguez-Blanque
Nurs. Rep. 2024, 14(2), 1251-1259; https://doi.org/10.3390/nursrep14020095 (registering DOI) - 20 May 2024
Abstract
The use of hydrotherapy during childbirth has gained relevance due to the demand for natural childbirth and greater respect for the woman’s choice. Studies have shown benefits such as less use of epidural analgesia, increased ability to cope with pain, shorter labor, and [...] Read more.
The use of hydrotherapy during childbirth has gained relevance due to the demand for natural childbirth and greater respect for the woman’s choice. Studies have shown benefits such as less use of epidural analgesia, increased ability to cope with pain, shorter labor, and a better overall birth experience. Objective: The main objective of this study was to generate further evidence on maternal and birth outcomes associated with the use of hydrotherapy during labor, specifically aiming to describe the effects of water immersion during all stages of labor (first, second, and third) on women. Methodology: A retrospective cohort study was carried out on a random sample of women who gave birth at the Costa del Sol Hospital between January 2010 and December 2020. The calculated sample size was 377 women and the data were extracted from their partograms. After data extraction, two groups were formed: one group used hydrotherapy during childbirth (n = 124), while the other group included women who did not use hydrotherapy during the childbirth process (n = 253). Results: The results highlight significant differences in pain perception, analgesia use, types of labor, and delivery times between the two groups. Women who did not use hydrotherapy reported higher pain perception, with a median (IQR) of 8 (7–9) on a numerical scale, compared to a median (IQR) of 6 (5–7) for the hydrotherapy group. Furthermore, the group without hydrotherapy required epidural analgesia in 40% of cases, while in the hydrotherapy group, it was only necessary in 20%. In terms of the type of delivery, the hydrotherapy group had more spontaneous vaginal deliveries compared to the non-hydrotherapy group, which had more operative vaginal deliveries. The overall duration of labor was longer in the hydrotherapy group, especially in women who arrived at the hospital late in labor. Conclusions: Hydrotherapy is associated with a longer time to delivery. Women with a higher pain tolerance tend to opt for hydrotherapy instead of epidural analgesia. Full article
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11 pages, 269 KiB  
Review
Keratin-Positive Giant Cell-Rich Tumor: A Review and Update
by Jun Nishio, Shizuhide Nakayama, Kaori Koga and Mikiko Aoki
Cancers 2024, 16(10), 1940; https://doi.org/10.3390/cancers16101940 (registering DOI) - 20 May 2024
Abstract
Keratin-positive giant cell-rich tumor (KPGCT) is an extremely rare and recently described mesenchymal neoplasm that occurs in both soft tissue and bone, frequently found in young women. It has locally recurrent potential if incompletely excised but low risk for metastasis. KPGCT is histologically [...] Read more.
Keratin-positive giant cell-rich tumor (KPGCT) is an extremely rare and recently described mesenchymal neoplasm that occurs in both soft tissue and bone, frequently found in young women. It has locally recurrent potential if incompletely excised but low risk for metastasis. KPGCT is histologically similar to conventional giant cell tumors of soft tissue but shows the presence of keratin-positive mononuclear cells. Interestingly, KPGCT also shares some morphological features with xanthogranulomatous epithelial tumors. These two tumors have recently been shown to harbor an HMGA2NCOR2 fusion, arguing in favor of a single entity. Surgery is the treatment of choice for localized KPGCT. Therapeutic options for advanced or metastatic disease are unknown. This review provides an overview of the current knowledge on the clinical presentation, pathogenesis, histopathology, and treatment of KPGCT. In addition, we will discuss the differential diagnosis of this emerging entity. Full article
20 pages, 7666 KiB  
Article
Identification of Milling Cutter Wear State under Variable Working Conditions Based on Optimized SDP
by Hao Chang, Feng Gao, Yan Li and Lihong Chang
Appl. Sci. 2024, 14(10), 4314; https://doi.org/10.3390/app14104314 (registering DOI) - 20 May 2024
Abstract
Traditional data-driven tool wear state recognition methods rely on complete data under targeted working conditions. However, in actual cutting operations, working conditions vary, and data for many conditions lack labels, with data distribution characteristics differing between conditions. To address these issues, this article [...] Read more.
Traditional data-driven tool wear state recognition methods rely on complete data under targeted working conditions. However, in actual cutting operations, working conditions vary, and data for many conditions lack labels, with data distribution characteristics differing between conditions. To address these issues, this article proposes a method for recognizing the wear state of milling cutters under varying working conditions based on an optimized symmetrized dot pattern (SDP). This method utilizes complete data from source working conditions for representation learning, transferring a generalized milling cutter wear state recognition model to varying working condition scenarios. By leveraging computer image processing features, the vibration signals produced by milling are converted into desymmetrization dot pattern images. Clustering analysis is used to extract template images of different wear states, and differential evolution algorithms are employed to adaptively optimize parameters using the maximization of Euclidean distance as an indicator. Transfer learning with a residual network incorporating an attention mechanism is used to recognize the wear state of milling cutters under varying working conditions. The experimental results indicate that the method proposed in this paper reduces the impact of working condition changes on the mapping relationship of milling cutter wear states. In the wear state identification experiment under varying conditions, the accuracy reached 97.39%, demonstrating good recognition precision and generalization ability. Full article
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16 pages, 2835 KiB  
Article
Analysis of the Coupling Coordinated Development of the Water-Soil-Energy-Carbon System in Northwest China
by Min Wang, Yiming An, Rupu Yang, Xiaoyu Shan, Liping Li and Xiangzhao Feng
Land 2024, 13(5), 715; https://doi.org/10.3390/land13050715 (registering DOI) - 20 May 2024
Abstract
The intricate interplay between water resources, land resources, energy systems, and carbon emissions has emerged as a prominent discourse in academic research. Nonetheless, there remains a dearth of comprehensive research dedicated to fostering environmentally friendly and low-carbon development through systematic integration and coordination [...] Read more.
The intricate interplay between water resources, land resources, energy systems, and carbon emissions has emerged as a prominent discourse in academic research. Nonetheless, there remains a dearth of comprehensive research dedicated to fostering environmentally friendly and low-carbon development through systematic integration and coordination efforts. This study aimed to fill this gap by integrating the coupling mechanism of the Water-Land-Energy-Carbon (WLEC) system, thereby constructing an evaluation index framework that assesses coordinated developments in Northwest China’s WLEC system. It scrutinizes the security levels within the Water-Land-Energy (WLE) subsystem while conducting quantitative analyses on the degrees of coupling coordination within the WLEC systems, alongside their associated hindering factors. The preliminary findings were as follows: Firstly, the safety development within the WLE system demonstrates a positive trend across Northwest China, with notable advancements primarily observed in the Qinghai and Gansu provinces. In 2021, all five Northwestern provinces exhibited moderate levels of safe development, except for the Qinghai province, which transitioned from moderate to robust. Secondly, the coupling coordination degree of the WLEC system across the five provinces has consistently illustrated an upward trajectory over the years. However, as of 2021, the system remains in a state characterized by marginal disorder. Notably, the Qinghai and Gansu provinces have shown particularly encouraging upward trends, with the Shaanxi province also making notable progress. Conversely, Xinjiang has declined since 2017 due to negative interactions between the subsystems of water, soil, energy, and carbon emissions. Thirdly, spatial variations exist in the distribution patterns between the provinces regarding the influence of obstructing factors on indicators related to coupled coordinated development, such as per capita arable land area, per capita energy consumption, per capita carbon emissions, per capita construction land area, and the proportion of groundwater water in the total amount of water supply, which demonstrated an increasing trend. These findings carry significant practical implications for actively and steadily promoting carbon peaking and carbon neutrality in Northwest China. Full article
(This article belongs to the Special Issue Balancing Ecosystems and Renewable Energy in Landscapes)
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11 pages, 537 KiB  
Review
A Mini-Review of In Vitro Data for Candida Species, Including C. auris, Isolated during Clinical Trials of Three New Antifungals: Fosmanogepix, Ibrexafungerp, and Rezafungin
by Ana Espinel-Ingroff and Nathan P. Wiederhold
J. Fungi 2024, 10(5), 362; https://doi.org/10.3390/jof10050362 (registering DOI) - 20 May 2024
Abstract
This mini-review summarizes the clinical outcomes and antifungal susceptibility results, where available, for three new antifungals, including fosmanogepix, ibrexafungerp, and rezafungin, against Candida isolates cultured from patients in clinical trials. When reported, most of the data were generated by the Clinical and Laboratory [...] Read more.
This mini-review summarizes the clinical outcomes and antifungal susceptibility results, where available, for three new antifungals, including fosmanogepix, ibrexafungerp, and rezafungin, against Candida isolates cultured from patients in clinical trials. When reported, most of the data were generated by the Clinical and Laboratory Standards Institute (CLSI) broth microdilution method or by both the CLSI and European Committee on Antimicrobial Susceptibility Testing (EUCAST) methodologies. For fosmanogepix, we summarize the in vitro data for C. auris isolates from 9 patients and for Candida spp. cultured from 20 patients in two clinical trials. Ibrexafungerp has also been evaluated in several clinical trials. From conference proceedings, a total of 176 Candida isolates were evaluated in the FURI and CARES studies, including 18 C. auris isolates (CARES study). However, MIC data are not available for all clinical isolates. Results from the ReSTORE rezafungin phase 3 clinical study also included in vitro results against Candida spp., but no patients with C. auris infections were included. In conclusion, this mini-review summarizes insights regarding clinical outcomes and the in vitro activity of three new antifungals against Candida spp. cultured from patients in clinical trials. Full article
(This article belongs to the Collection Invasive Candidiasis)
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15 pages, 39311 KiB  
Article
Synchronization Mechanism for Controlled Complex Networks under Auxiliary Effect of Dynamic Edges
by Lizhi Liu, Zilin Gao and Yi Peng
Electronics 2024, 13(10), 1990; https://doi.org/10.3390/electronics13101990 (registering DOI) - 20 May 2024
Abstract
The scope of complex dynamical networks (CDNs) with dynamic edges is very wide, as it is composed of a class of realistic networks including web-winding systems, communication networks, neural networks, etc. However, a classic research topic in CDNs, the synchronization control problem, has [...] Read more.
The scope of complex dynamical networks (CDNs) with dynamic edges is very wide, as it is composed of a class of realistic networks including web-winding systems, communication networks, neural networks, etc. However, a classic research topic in CDNs, the synchronization control problem, has not been effectively solved for CDNs with dynamic edges. This paper will investigate the emergence mechanism of synchronization from the perspective of large-scale systems. Firstly, a CDN with dynamic edges is conceptualized as an interconnected coupled system composed of an edge subsystem (ES) and a node subsystem (NS). Then, based on the proposed improved directed matrix ES model and expanded matrix inequality, this paper overcomes the limitations of coupling term design in node models and the strong correlation of tracking targets between nodes and edges. Due to the effect of the synthesized node controller and the auxiliary effect of the ES, state synchronization can be realized in the CDN. Finally, through simulation examples, the validity and advantages of our work compared to existing methods are demonstrated. Full article
(This article belongs to the Special Issue Networked Control System and Its Latest Applications)
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14 pages, 652 KiB  
Article
Antijamming Schemes for the Generalized MIMO Y Channel
by Karolina Lenarska and Krzysztof Wesołowski
Sensors 2024, 24(10), 3237; https://doi.org/10.3390/s24103237 (registering DOI) - 20 May 2024
Abstract
Signal space alignment (SSA) is a promising technique for interference management in wireless networks. However, despite the excellent work done on SSA, its robustness against jamming attacks has not been considered in the literature. In this paper, we propose two antijamming strategies for [...] Read more.
Signal space alignment (SSA) is a promising technique for interference management in wireless networks. However, despite the excellent work done on SSA, its robustness against jamming attacks has not been considered in the literature. In this paper, we propose two antijamming strategies for the SSA scheme applied in the multiple-input–multiple-output (MIMO) Y channel. The first scheme involves projecting the jamming signal into the null space of each source’s precoding vectors, effectively eliminating it entirely. The second scheme removes interference originating from the jammer by subtracting the disturbance estimate from the incoming signal. The estimate is derived on the basis of the criterion of minimizing the received signal energy. The block error rate (BLER) performance of the proposed strategies in various channel configurations is verified by link level simulations and is presented to show the efficiency in mitigating jamming signals within the SSA-based MIMO Y channel. Full article
(This article belongs to the Section Communications)
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20 pages, 12379 KiB  
Review
Opportunities, Challenges, and Scientific Progress in Hemp Crops
by Kacper Piotr Kaminski, Julia Hoeng, Fernando Goffman, Walter K. Schlage and Diogo Latino
Molecules 2024, 29(10), 2397; https://doi.org/10.3390/molecules29102397 (registering DOI) - 20 May 2024
Abstract
The resurgence of cannabis (Cannabis sativa L.) has been propelled by changes in the legal framework governing its cultivation and use, increased demand for hemp-derived products, and studies recognizing the industrial and health benefits of hemp. This has led to the creation [...] Read more.
The resurgence of cannabis (Cannabis sativa L.) has been propelled by changes in the legal framework governing its cultivation and use, increased demand for hemp-derived products, and studies recognizing the industrial and health benefits of hemp. This has led to the creation of novel high-cannabidiol, low-Δ9-tetrahydrocannabinol varieties, enabling hemp crop expansion worldwide. This review elucidates the recent implications for hemp cultivation in Europe, with a focus on the legislative impacts on the cultivation practices, prospective breeding efforts, and dynamic scientific landscape surrounding this crop. We also review the current cultivars’ cannabinoid composition of the European hemp market and its major differences with that of the United States. Full article
(This article belongs to the Special Issue Recent Advances in Cannabis and Hemp Research)
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11 pages, 1172 KiB  
Article
Functional Characteristics of Antioxidant Long-Life Ultra-Fine Bubble Hydrogen Water
by Chikashi Kamimura, Riichiro Ohba, Masaru Yamaguchi, Masato Hosoda and Ikuo Kashiwakura
Inorganics 2024, 12(5), 141; https://doi.org/10.3390/inorganics12050141 (registering DOI) - 20 May 2024
Abstract
Free radicals, including reactive oxygen species resulting from oxidative stress, are one of the major causes of biological disorders and are known to be closely related to the onset of lifestyle-related diseases such as aging, atherosclerosis, and diabetes, and their complications. Hydroxyl radicals, [...] Read more.
Free radicals, including reactive oxygen species resulting from oxidative stress, are one of the major causes of biological disorders and are known to be closely related to the onset of lifestyle-related diseases such as aging, atherosclerosis, and diabetes, and their complications. Hydroxyl radicals, the most reactive and cytotoxic of reactive oxygen species, are selectively reduced by hydrogen. We have developed a method to produce more stable hydrogen water by dispersing hydrogen in water using ultra-fine bubbles (UFBs) with a bubble diameter of less than 1 μm. The present study reported on the functional characteristics of antioxidant long-life UFB hydrogen water. UFB hydrogen water with excellent storage stability is expected to have a variety of potential medical applications, including radiation damage reduction. Full article
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13 pages, 3865 KiB  
Article
Bibliometric Analysis of Nitrogen Removal in Constructed Wetlands: Current Trends and Future Research Directions
by Jiahao Dong and Shaoping Kuang
Water 2024, 16(10), 1453; https://doi.org/10.3390/w16101453 (registering DOI) - 20 May 2024
Abstract
Nitrogen pollution in water environments has reached critical levels globally, primarily stemming from agricultural runoff, industrial discharges, and untreated sewage. The excessive presence of nitrogen compounds poses a significant threat to water quality, leading to adverse impacts on ecosystems and human health. Reaching [...] Read more.
Nitrogen pollution in water environments has reached critical levels globally, primarily stemming from agricultural runoff, industrial discharges, and untreated sewage. The excessive presence of nitrogen compounds poses a significant threat to water quality, leading to adverse impacts on ecosystems and human health. Reaching a breakthrough in the technology of constructed wetlands (CWs) for mitigating nitrogen pollution is hindered by existing knowledge gaps regarding the mechanisms involved in the removal process. Reaching this understanding, we offer a comprehensive summary of current advancements and theories in this research field. Initially, bibliometric techniques were employed to identify yearly patterns in publications and areas of research focus. Subsequently, the chosen documents underwent statistical analysis using VOSviewer_1.6.20 to determine countries’ annual productivity, significant publication years, influential authors, keyword clustering analysis, and more. Finally, a comprehensive overview is provided on the elimination of nitrogen through CWs, encompassing insights into microbial communities and structure types. This analysis aims to uncover potential strategies for optimizing the rate of nitrogen removal. Furthermore, this study elucidates the current research trend concerning the nitrogen removal performance of CWs and identifies challenges and future research directions in this field. Full article
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23 pages, 5075 KiB  
Article
Selective Isolation and Identification of Microorganisms with Dual Capabilities: Leather Biodegradation and Heavy Metal Resistance for Industrial Applications
by Manuela Bonilla-Espadas, Basilio Zafrilla, Irene Lifante-Martínez, Mónica Camacho, Elena Orgilés-Calpena, Francisca Arán-Aís, Marcelo Bertazzo and María-José Bonete
Microorganisms 2024, 12(5), 1029; https://doi.org/10.3390/microorganisms12051029 (registering DOI) - 20 May 2024
Abstract
Tanning, crucial for leather production, relies heavily on chromium yet poses risks due to chromium’s oxidative conversion, leading to significant wastewater and solid waste generation. Physico-chemical methods are typically used for heavy metal removal, but they have drawbacks, prompting interest in eco-friendly biological [...] Read more.
Tanning, crucial for leather production, relies heavily on chromium yet poses risks due to chromium’s oxidative conversion, leading to significant wastewater and solid waste generation. Physico-chemical methods are typically used for heavy metal removal, but they have drawbacks, prompting interest in eco-friendly biological remediation techniques like biosorption, bioaccumulation, and biotransformation. The EU Directive (2018/850) mandates alternatives to landfilling or incineration for industrial textile waste management, highlighting the importance of environmentally conscious practices for leather products’ end-of-life management, with composting being the most researched and viable option. This study aimed to isolate microorganisms from tannery wastewater and identify those responsible for different types of tanned leather biodegradation. Bacterial shifts during leather biodegradation were observed using a leather biodegradation assay (ISO 20136) with tannery and municipal wastewater as the inoculum. Over 10,000 bacterial species were identified in all analysed samples, with 7 bacterial strains isolated from tannery wastewaters. Identification of bacterial genera like Acinetobacter, Brevundimonas, and Mycolicibacterium provides insights into potential microbial candidates for enhancing leather biodegradability, wastewater treatment, and heavy metal bioremediation in industrial applications. Full article
(This article belongs to the Special Issue New Insights into the Diversity and Characterization of Extremophiles)
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15 pages, 1760 KiB  
Article
Can Microfluidics Improve Sperm Quality? A Prospective Functional Study
by Fernando Meseguer, Carla Giménez Rodríguez, Rocío Rivera Egea, Laura Carrión Sisternas, Jose A. Remohí and Marcos Meseguer
Biomedicines 2024, 12(5), 1131; https://doi.org/10.3390/biomedicines12051131 (registering DOI) - 20 May 2024
Abstract
The same sperm selection techniques in assisted reproduction clinics have remained largely unchanged despite their weaknesses. Recently, microfluidic devices have emerged as a novel methodology that facilitates the sperm selection process with promising results. A prospective case-control study was conducted in two phases: [...] Read more.
The same sperm selection techniques in assisted reproduction clinics have remained largely unchanged despite their weaknesses. Recently, microfluidic devices have emerged as a novel methodology that facilitates the sperm selection process with promising results. A prospective case-control study was conducted in two phases: 100 samples were used to compare the microfluidic device with Density Gradient, and another 100 samples were used to compare the device with the Swim-up. In the initial phase, a significant enhancement in progressive motility, total progressive motile sperm count, vitality, morphology, and sperm DNA fragmentation were obtained for the microfluidic group compared to Density Gradient. Nevertheless, no statistically significant differences were observed in sperm concentration and chromatin structure stability. In the subsequent phase, the microfluidic group exhibited significant increases in sperm concentration, total progressive motile sperm count, and vitality compared to Swim-up. However, non-significant differences were seen for progressive motility, morphology, DNA structure stability, and DNA fragmentation. Similar trends were observed when results were stratified into quartiles. In conclusion, in a comparison of microfluidics with standard techniques, an improvement in sperm quality parameters was observed for the microfluidic group. However, this improvement was not significant for all parameters. Full article
(This article belongs to the Special Issue Molecular Regulation of Spermatozoa)
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10 pages, 264 KiB  
Review
Interpreting Prostate MRI Reports in the Era of Increasing Prostate MRI Utilization: A Urologist’s Perspective
by Kevin Miszewski, Katarzyna Skrobisz, Laura Miszewska and Marcin Matuszewski
Diagnostics 2024, 14(10), 1060; https://doi.org/10.3390/diagnostics14101060 (registering DOI) - 20 May 2024
Abstract
Multi-parametric prostate MRI (mpMRI) is crucial for diagnosing, staging, and assessing treatment response in individuals with prostate cancer. Radiologists, through an accurate and standardized interpretation of mpMRI, stratify patients who may benefit from more invasive treatment or exclude patients who may be harmed [...] Read more.
Multi-parametric prostate MRI (mpMRI) is crucial for diagnosing, staging, and assessing treatment response in individuals with prostate cancer. Radiologists, through an accurate and standardized interpretation of mpMRI, stratify patients who may benefit from more invasive treatment or exclude patients who may be harmed by overtreatment. The integration of prostate MRI into the diagnostic pathway is anticipated to generate a substantial surge in the demand for high-quality mpMRI, estimated at approximately two million additional prostate MRI scans annually in Europe. In this review we examine the immediate impact on healthcare, particularly focusing on the workload and evolving roles of radiologists and urologists tasked with the interpretation of these reports and consequential decisions regarding prostate biopsies. We investigate important questions that influence how prostate MRI reports are handled. The discussion aims to provide insights into the collaboration needed for effective reporting. Full article
14 pages, 3879 KiB  
Review
Potential of Cold-Water Agriculture (ColdAg) in Mexico: Challenges and Opportunities for Sustainable Food Production
by Alejandro García-Huante, Fernando Carlos Gómez-Merino, Libia Iris Trejo-Téllez and Amelia López-Herrera
Sustainability 2024, 16(10), 4298; https://doi.org/10.3390/su16104298 (registering DOI) - 20 May 2024
Abstract
To guarantee sustainable development at a global level, humanity currently faces serious challenges related to a greater demand and better distribution of food to meet the needs of the growing population in environments affected by global climate change (GCC), and in limiting conditions [...] Read more.
To guarantee sustainable development at a global level, humanity currently faces serious challenges related to a greater demand and better distribution of food to meet the needs of the growing population in environments affected by global climate change (GCC), and in limiting conditions with respect to natural, genetic, financial, and technological resources. Therefore, there is a dire need to implement technologies that can guarantee food security and sovereignty around the world, enabling sustainable development for all nations. Cold-Water Agriculture (ColdAg) is an available technology that offers an alternative to conventional food production in coastal areas and islands of the tropical and subtropical belts worldwide, making use of cold deep ocean water. Mexico has places with the optimal environmental conditions to adapt this technology, mainly in coastal areas and islands, which can contribute to ensuring access to food and drinking water. Initial tests have shown its viability, while production costs need to be adjusted to make this technology accessible to the poorest populations, so that it can contribute to their sustainable development and wealth. In this review article, we aimed to critically analyze some of the most salient literature on the ColdAg technology and outline the feasibility of this technology to be implemented and exploited in Mexico to contribute to alternative food production in a sustainable manner. Full article
(This article belongs to the Collection Designing More Diverse and Resilient Food Systems for the Future)
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17 pages, 18116 KiB  
Article
Symbolist Androgyny: On the Origins of a Proto-Queer Vision
by Damien F. Delille
Arts 2024, 13(3), 90; https://doi.org/10.3390/arts13030090 (registering DOI) - 20 May 2024
Abstract
This article focuses on artistic and aesthetic practices within the idealist and symbolist movements of the late 19th century in France. It investigates how artists and art critics embraced androgynous imaginaries derived from Greco-Roman antiquity and the Platonic myth, transforming them into tools [...] Read more.
This article focuses on artistic and aesthetic practices within the idealist and symbolist movements of the late 19th century in France. It investigates how artists and art critics embraced androgynous imaginaries derived from Greco-Roman antiquity and the Platonic myth, transforming them into tools for social and sexual emancipation and giving rise to a proto-queer vision. An analysis of the art of Alexandre Séon, Odilon Redon, Jeanne Jacquemin, and Léonard Sarluis, in conjunction with the symbolist theories of Joséphin Péladan, Gabriel-Albert Aurier, and Émile Verhaeren, reveals an idealistic pursuit grounded in the union of the masculine and the feminine through the act of creation. Through the examination of artworks, contemporary critical discourse, and the personal correspondence of these art figures, this study posits that the androgyne serves as a heuristic model for a queer art history. The ideal androgyne, as theorized in Freud’s psychoanalytic writings, can function as a methodological paradigm in art studies as a tool for visualizing and conceptualizing homosexuality in art. Full article
(This article belongs to the Special Issue Queerness in 18th- and 19th-Century European Art and Visual Culture)
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15 pages, 1820 KiB  
Article
Identification of Transcripts with Shared Roles in the Pathogenesis of Postmenopausal Osteoporosis and Cardiovascular Disease
by Sjur Reppe, Sveinung Gundersen, Geir K. Sandve, Yunpeng Wang, Ole A. Andreassen, Carolina Medina-Gomez, Fernando Rivadeneira, Tor P. Utheim, Eivind Hovig and Kaare M. Gautvik
Int. J. Mol. Sci. 2024, 25(10), 5554; https://doi.org/10.3390/ijms25105554 (registering DOI) - 20 May 2024
Abstract
Epidemiological evidence suggests existing comorbidity between postmenopausal osteoporosis (OP) and cardiovascular disease (CVD), but identification of possible shared genes is lacking. The skeletal global transcriptomes were analyzed in trans-iliac bone biopsies (n = 84) from clinically well-characterized postmenopausal women (50 to 86 years) [...] Read more.
Epidemiological evidence suggests existing comorbidity between postmenopausal osteoporosis (OP) and cardiovascular disease (CVD), but identification of possible shared genes is lacking. The skeletal global transcriptomes were analyzed in trans-iliac bone biopsies (n = 84) from clinically well-characterized postmenopausal women (50 to 86 years) without clinical CVD using microchips and RNA sequencing. One thousand transcripts highly correlated with areal bone mineral density (aBMD) were further analyzed using bioinformatics, and common genes overlapping with CVD and associated biological mechanisms, pathways and functions were identified. Fifty genes (45 mRNAs, 5 miRNAs) were discovered with established roles in oxidative stress, inflammatory response, endothelial function, fibrosis, dyslipidemia and osteoblastogenesis/calcification. These pleiotropic genes with possible CVD comorbidity functions were also present in transcriptomes of microvascular endothelial cells and cardiomyocytes and were differentially expressed between healthy and osteoporotic women with fragility fractures. The results were supported by a genetic pleiotropy-informed conditional False Discovery Rate approach identifying any overlap in single nucleotide polymorphisms (SNPs) within several genes encoding aBMD- and CVD-associated transcripts. The study provides transcriptional and genomic evidence for genes of importance for both BMD regulation and CVD risk in a large collection of postmenopausal bone biopsies. Most of the transcripts identified in the CVD risk categories have no previously recognized roles in OP pathogenesis and provide novel avenues for exploring the mechanistic basis for the biological association between CVD and OP. Full article
(This article belongs to the Special Issue Molecular Biology of Osteoporosis)
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11 pages, 831 KiB  
Article
Factors Associated with All-Cause 30-Day Mortality in Indonesian Inpatient COVID-19 Patients at Cipto Mangunkusumo National General Hospital
by Ikhwan Rinaldi, Mira Yulianti, Evy Yunihastuti, Wulyo Rajabto, Cosphiadi Irawan, Lugyanti Sukrisman, Andhika Rachman, Nadia Ayu Mulansari, Anna Mira Lubis, Findy Prasetyawaty, Rahmat Cahyanur, Dimas Priantono, Ardhi Rahman Ahani, Abdul Muthalib, Aru Sudoyo, Tubagus Djumhana Atmakusuma, Arry Harryanto Reksodiputro, Zubairi Djoerban, Karmel Tambunan, Kevin Winston, Yuli Maulidiya Shufiyani, Lowilius Wiyono, Samuel Pratama and Brenda Cristie Edinaadd Show full author list remove Hide full author list
J. Clin. Med. 2024, 13(10), 2998; https://doi.org/10.3390/jcm13102998 (registering DOI) - 20 May 2024
Abstract
Introduction: Indonesia, as a developing country, has limited data on the factors associated with 30-day mortality in COVID-19 patients in Indonesia. As a matter of fact, study analyzing factors associated with 30-day mortality of COVID-19 infection in Indonesia has never been conducted. [...] Read more.
Introduction: Indonesia, as a developing country, has limited data on the factors associated with 30-day mortality in COVID-19 patients in Indonesia. As a matter of fact, study analyzing factors associated with 30-day mortality of COVID-19 infection in Indonesia has never been conducted. This study aims to fill this gap in the literature by conducting a large-scale analysis of factors associated with 30-day mortality in COVID-19 patients in Indonesia. Method: This study employed a single-center retrospective cohort observational design, and was conducted at Cipto Mangunkusumo National General Hospital between the years 2022 and 2023. Sampling was conducted using the consecutive sampling method. The study included patients aged 18 years and above who had been confirmed to have COVID-19 infection. Survival analysis was conducted using Kaplan–Meier and multivariate Cox regression analysis. Result: Our study included a total of 644 patients, with 120 patients (18.6%) expiring within 30 days. In the multivariate analysis using the backward Wald method, severe COVID-19 (HR: 7.024; 95% CI: 3.971–12.744; p value: <0.0001), moderate COVID-19 infection (HR: 1.660; 95% CI: 1.048–2.629; p value: 0.031), liver cirrhosis (HR: 3.422; 95% CI: 1.208–9.691; p value: 0.021), female sex (HR: 1.738; 95% CI: 1.187–2.545; p value: 0.004), old age (HR: 2.139; 95% CI: 1.279–3.577; p value: 0.004), high leukocyte (HR: 11.502; 95% CI: 1.523–86.874; p value: 0.018), high NLR (HR: 1.720; 95% CI: 1.049–2.819; p value: 0.032), high CRP (HR: 1.906; 95% CI: 1.092–3.329; p value: 0.023), high procalcitonin (HR: 3.281; 95% CI: 1.780–6.049; p value: 0.001), and high creatinine (HR: 1.863; 95% CI: 1.240–2.800; p value: 0.003) were associated with 30-day mortality from COVID-19 infection. Subgroup analysis excluding cancer patients showed that age, D-Dimer, CRP, and PCT were associated with 30-day mortality in COVID-19 patients, while steroid therapy is protective. Conclusions: This study finds that COVID-19 severity, liver cirrhosis, sex, age, leukocyte, NLR, CRP, creatinine, and procalcitonin were associated with COVID-19 mortality within 30 days. These findings underscore the multifactorial nature of COVID-19 infection mortality. It is important, therefore, that patients which exhibit these factors should be treated more aggressively to prevent mortality. Full article
(This article belongs to the Section Infectious Diseases)
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13 pages, 311 KiB  
Article
Real-World Evidence to Reinforce Clinical Trial Evidence in Health Technology Assessment: A Critical Review of Real-World Evidence Requirements from Seven Countries and Recommendations to Improve Acceptance
by Katia Thokagevistk, Céline Coppo, Laetitia Rey, Amanda Carelli, Veronica Díez, Sarah Vaselenak, Liana Oliveira, Ajay Patel, Emilia Sicari, Teresa Ramos, Susanne Schach, Erika Schirghuber, Alex Simpson, Remy Choquet and Katell Le Lay
J. Mark. Access Health Policy 2024, 12(2), 105-117; https://doi.org/10.3390/jmahp12020009 (registering DOI) - 20 May 2024
Abstract
Background: Real-world evidence (RWE) can reinforce clinical trial evidence in health technology assessment (HTA). Objectives: Review HTA bodies’ (HTAbs) requirements for RWE, real uses, and acceptance across seven countries (Brazil, Canada, France, Germany, Italy, Spain, and the United Kingdom) and outline recommendations that [...] Read more.
Background: Real-world evidence (RWE) can reinforce clinical trial evidence in health technology assessment (HTA). Objectives: Review HTA bodies’ (HTAbs) requirements for RWE, real uses, and acceptance across seven countries (Brazil, Canada, France, Germany, Italy, Spain, and the United Kingdom) and outline recommendations that may improve acceptance of RWE in efficacy/effectiveness assessments and appraisals processes. Methods: RWE requirements were summarized based on HTAbs’ guidelines. Acceptance by HTAbs was evaluated based on industry experience and case studies. Results: As of June 2022, RWE methodological guidelines were in place in three of the seven countries. HTAbs typically requested analyses based on local data sources, but the preferred study design and data sources differed. HTAbs had individual submission, assessment, and appraisal processes; some allowed early meetings for the protocol and/or results validation, though few involved external experts or medical societies to provide input to assessment and appraisal. The extent of submission, assessment, and appraisal requirements did not necessarily reflect the degree of acceptance. Conclusion: All the countries reviewed face common challenges regarding the use of RWE. Our proposals address the need to facilitate collaboration and communication with industry and regulatory agencies and the need for specific guidelines describing RWE design and criteria of acceptance throughout the assessment and appraisal processes. Full article
17 pages, 11323 KiB  
Article
Improvement in the Sustained-Release Performance of Electrospun Zein Nanofibers via Crosslinking Using Glutaraldehyde Vapors
by Shumin Wang, Jingyu Li, Pengjie Wang, Ming Zhang, Siyuan Liu, Ran Wang, Yixuan Li, Fazheng Ren and Bing Fang
Foods 2024, 13(10), 1583; https://doi.org/10.3390/foods13101583 (registering DOI) - 20 May 2024
Abstract
Volatile active ingredients in biopolymer nanofibers are prone to burst and uncontrolled release. In this study, we used electrospinning and crosslinking to design a new sustained-release active packaging containing zein and eugenol (EU). Vapor-phase glutaraldehyde (GTA) was used as the crosslinker. Characterization of [...] Read more.
Volatile active ingredients in biopolymer nanofibers are prone to burst and uncontrolled release. In this study, we used electrospinning and crosslinking to design a new sustained-release active packaging containing zein and eugenol (EU). Vapor-phase glutaraldehyde (GTA) was used as the crosslinker. Characterization of the crosslinked zein nanofibers was conducted via scanning electron microscopy (SEM), mechanical properties, water resistance, and Fourier transform infrared (FT-IR) spectroscopy. It was observed that crosslinked zein nanofibers did not lose their fiber shape, but the diameter of the fibers increased. By increasing the crosslink time, the mechanical properties and water resistance of the crosslinked zein nanofibers were greatly improved. The FT-IR results demonstrated the formation of chemical bonds between free amino groups in zein molecules and aldehyde groups in GTA molecules. EU was added to the zein nanofibers, and the corresponding release behavior in PBS was investigated using the dialysis membrane method. With an increase in crosslink time, the release rate of EU from crosslinked zein nanofibers decreased. This study demonstrates the potential of crosslinking by GTA vapors on the controlled release of the zein encapsulation structure containing EU. Such sustainable-release nanofibers have promising potential for the design of fortified foods or as active and smart food packaging. Full article
(This article belongs to the Section Food Physics and (Bio)Chemistry)
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14 pages, 7735 KiB  
Article
Numerical Calculation and Experimental Study of the Axial Force of Aero Fuel Centrifugal Pumps
by Shebin Yan, Yinhui Kan, Xin Li, Lingfei Xiao and Zhifeng Ye
Appl. Sci. 2024, 14(10), 4313; https://doi.org/10.3390/app14104313 (registering DOI) - 20 May 2024
Abstract
Axial force is one of the important factors affecting the life and reliability of centrifugal pumps. Based on the SST turbulence model, the unsteady internal flow field of an aero fuel centrifugal pump under various working conditions was analyzed by using the finite [...] Read more.
Axial force is one of the important factors affecting the life and reliability of centrifugal pumps. Based on the SST turbulence model, the unsteady internal flow field of an aero fuel centrifugal pump under various working conditions was analyzed by using the finite volume method and the axial force of the impeller component was predicted. The position servo force measuring system was used to measure the axial force of the fuel centrifugal pump and the theoretical formula of axial force was modified according to the numerical results and experimental values. The study shows that the pressure distribution of the front and rear pump chambers presented uneven circumferential distribution under the influence of dynamic and static interference through numerical simulation. The simulated head number is basically consistent with the test result and the maximum error of the axial force value obtained by the numerical calculation and the experimental value was 9.7% under different speeds, which verified the accuracy of the numerical simulation. Furthermore, the modified formula can accurately calculate the axial force of the fuel centrifugal pump with an error of less than 9.88%. The results of the study provide a theoretical basis for the calculation and balance of axial force in an aero aero fuel centrifugal pump. Full article
(This article belongs to the Section Aerospace Science and Engineering)
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15 pages, 3350 KiB  
Article
Development of a Combat-Relevant Murine Model of Wound Mucormycosis: A Platform for the Pre-Clinical Investigation of Novel Therapeutics for Wound-Invasive Fungal Diseases
by Rex J. R. Samdavid Thanapaul, Yonas A. Alamneh, Daniel K. Finnegan, Vlado Antonic, Rania Abu-Taleb, Christine Czintos, Dylan Boone, Wanwen Su, Venkatasivasai S. Sajja, Derese Getnet, Ashleigh Roberds, Thomas J. Walsh and Alexander G. Bobrov
J. Fungi 2024, 10(5), 364; https://doi.org/10.3390/jof10050364 (registering DOI) - 20 May 2024
Abstract
Wound-invasive fungal diseases (WIFDs), especially mucormycosis, have emerged as life-threatening infections during recent military combat operations. Many combat-relevant fungal pathogens are refractory to current antifungal therapy. Therefore, animal models of WIFDs are urgently needed to investigate new therapeutic solutions. Our study establishes combat-relevant [...] Read more.
Wound-invasive fungal diseases (WIFDs), especially mucormycosis, have emerged as life-threatening infections during recent military combat operations. Many combat-relevant fungal pathogens are refractory to current antifungal therapy. Therefore, animal models of WIFDs are urgently needed to investigate new therapeutic solutions. Our study establishes combat-relevant murine models of wound mucormycosis using Rhizopus arrhizus and Lichtheimia corymbifera, two Mucorales species that cause wound mucormycosis worldwide. These models recapitulate the characteristics of combat-related wounds from explosions, including blast overpressure exposure, full-thickness skin injury, fascial damage, and muscle crush. The independent inoculation of both pathogens caused sustained infections and enlarged wounds. Histopathological analysis confirmed the presence of necrosis and fungal hyphae in the wound bed and adjacent muscle tissue. Semi-quantification of fungal burden by colony-forming units corroborated the infection. Treatment with liposomal amphotericin B, 30 mg/kg, effectively controlled R. arrhizus growth and significantly reduced residual fungal burden in infected wounds (p < 0.001). This study establishes the first combat-relevant murine model of wound mucormycosis, paving the way for developing and evaluating novel antifungal therapies against combat-associated WIFDs. Full article
(This article belongs to the Section Fungal Pathogenesis and Disease Control)
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14 pages, 1782 KiB  
Systematic Review
Bone Bruises and Concomitant Meniscus and Cartilage Damage in Anterior Cruciate Ligament Injuries: A Systematic Review and Meta-Analysis
by Sueen Sohn, Saad Mohammed AlShammari, Jeong Han Lee and Man Soo Kim
Bioengineering 2024, 11(5), 515; https://doi.org/10.3390/bioengineering11050515 (registering DOI) - 20 May 2024
Abstract
(1) Background: Bone bruises in acute anterior cruciate ligament (ACL) injuries are closely linked to the occurrence of simultaneous meniscal and cartilage damage. Despite the frequent occurrence of associated injuries including bone bruises, meniscus, and cartilage damage in patients with ACL injuries, a [...] Read more.
(1) Background: Bone bruises in acute anterior cruciate ligament (ACL) injuries are closely linked to the occurrence of simultaneous meniscal and cartilage damage. Despite the frequent occurrence of associated injuries including bone bruises, meniscus, and cartilage damage in patients with ACL injuries, a systematic review of the relationships between the presence of bone bruises and the extent of meniscus and cartilage injuries has yet to be conducted. (2) Methods: Multiple comprehensive databases, including MEDLINE, EMBASE, and the Cochrane Library, were searched for studies that evaluated the relationship between bone bruises and meniscus or cartilage injuries following ACL injuries. Study selection, data extraction, and meta-analysis were performed. The Methodological Index for Non-Randomized Studies (MINORS) was used for quality assessments, and Review Manager 5.3 was used for data analysis. (3) Results: Data were extracted from 22 studies encompassing a total of 2891 patients with ACL injuries. Among the included studies, six studies investigated the relationships between bone bruises and medial meniscus (MM) or lateral meniscus (LM) injuries, while three studies investigated the relationships between bone bruises and cartilage injuries. There were no significant correlations between the presence of bone bruises and MM injuries (relative risk (RR) = 1.32; p = 0.61). A quantitative analysis indicated that individuals with bone bruises had a 2.71-fold higher likelihood of sustaining LM injuries than those without bone bruises (RR = 2.71; p = 0.0003). The analysis confirmed a significant relationship between bone bruises and cartilage injuries (RR = 6.18; p = 0.003). (4) Conclusions: Bone bruises occur most frequently in the lateral compartment. Bone bruises resulting from ACL injuries are related to accompanying LM injuries and cartilage injuries. Knowing these associations and the frequency of injuries may allow orthopedic surgeons to promptly address ACL-related meniscus and cartilage injuries on MRI results and in future clinical practice. Full article
(This article belongs to the Section Biomechanics and Sports Medicine)
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16 pages, 2316 KiB  
Communication
Murine iPSC-Loaded Scaffold Grafts Improve Bone Regeneration in Critical-Size Bone Defects
by Franziska Kessler, Kevin Arnke, Benjamin Eggerschwiler, Yvonne Neldner, Sonja Märsmann, Olivier Gröninger, Elisa A. Casanova, Fabienne A. Weber, Matthias A. König, Wendelin J. Stark, Hans-Christoph Pape, Paolo Cinelli and Simon Tiziani
Int. J. Mol. Sci. 2024, 25(10), 5555; https://doi.org/10.3390/ijms25105555 (registering DOI) - 20 May 2024
Abstract
In certain situations, bones do not heal completely after fracturing. One of these situations is a critical-size bone defect where the bone cannot heal spontaneously. In such a case, complex fracture treatment over a long period of time is required, which carries a [...] Read more.
In certain situations, bones do not heal completely after fracturing. One of these situations is a critical-size bone defect where the bone cannot heal spontaneously. In such a case, complex fracture treatment over a long period of time is required, which carries a relevant risk of complications. The common methods used, such as autologous and allogeneic grafts, do not always lead to successful treatment results. Current approaches to increasing bone formation to bridge the gap include the application of stem cells on the fracture side. While most studies investigated the use of mesenchymal stromal cells, less evidence exists about induced pluripotent stem cells (iPSC). In this study, we investigated the potential of mouse iPSC-loaded scaffolds and decellularized scaffolds containing extracellular matrix from iPSCs for treating critical-size bone defects in a mouse model. In vitro differentiation followed by Alizarin Red staining and quantitative reverse transcription polymerase chain reaction confirmed the osteogenic differentiation potential of the iPSCs lines. Subsequently, an in vivo trial using a mouse model (n = 12) for critical-size bone defect was conducted, in which a PLGA/aCaP osteoconductive scaffold was transplanted into the bone defect for 9 weeks. Three groups (each n = 4) were defined as (1) osteoconductive scaffold only (control), (2) iPSC-derived extracellular matrix seeded on a scaffold and (3) iPSC seeded on a scaffold. Micro-CT and histological analysis show that iPSCs grafted onto an osteoconductive scaffold followed by induction of osteogenic differentiation resulted in significantly higher bone volume 9 weeks after implantation than an osteoconductive scaffold alone. Transplantation of iPSC-seeded PLGA/aCaP scaffolds may improve bone regeneration in critical-size bone defects in mice. Full article
(This article belongs to the Special Issue Frontiers on Induced Pluripotent Stem Cells (iPSCs))
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