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22 pages, 6113 KiB  
Article
Laponite vs. Montmorillonite as Eugenol Nanocarriers for Low Density Polyethylene Active Packaging Films
by Achilleas Kechagias, Constantinos E. Salmas, Nikolaos Chalmpes, Areti A. Leontiou, Michael A. Karakassides, Emmanuel P. Giannelis and Aris E. Giannakas
Nanomaterials 2024, 14(23), 1938; https://doi.org/10.3390/nano14231938 - 2 Dec 2024
Viewed by 502
Abstract
Although a lot of recent research revealed advantages of novel biopolymers’ implementation as active food packaging polymers, there is not an equivalent effort from industry to use such films, probably because of the required cost to change the supply chain and the equipment. [...] Read more.
Although a lot of recent research revealed advantages of novel biopolymers’ implementation as active food packaging polymers, there is not an equivalent effort from industry to use such films, probably because of the required cost to change the supply chain and the equipment. This study investigates the use of two natural abundant nanoclays, laponite (Lap) and montmorillonite (Mt), as eugenol slow-release carriers for enhancing the functionality of low-density polyethylene (LDPE) active packaging films. The target is to combine the spirit of the circular economy with the existent technology and the broadly used materials to develop a novel attractive product for active food packaging applications. Utilizing a vacuum-assisted adsorption method, eugenol was successfully intercalated into Lap and Mt nanoclays, forming EG@Lap and EG@Mt nanohybrids. Testing results confirmed effective integration and dispersion of the nanohybrids within the LDPE matrix. The most promising final film seems to be the LDPE with 15% w/w EG@Lap nanohybrid which exhibited a higher release rate (k2 = 5.29 × 10−4 s−1) for temperatures ≤70 °C, similar mechanical properties, a significantly improved water barrier (Dwv = 11.7 × 10−5 cm2·s−1), and a slightly improved oxygen barrier (PeO2 = 2.03 × 10−8 cm2·s−1) compared with neat LDPE. Antimicrobial and sensory tests on fresh minced pork showed two days’ shelf-life extension compared to pure LDPE and one more day compared to LDPE with 15% w/w EG@Mt nanohybrid. Full article
(This article belongs to the Special Issue Antimicrobial and Antioxidant Activity of Nanoparticles)
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Graphical abstract

Graphical abstract
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<p>Schematic presentation (<b>left</b> part) and image (<b>right</b> part) of handmade apparatus used for the preparation of the EG@Lap and EG@Mt nanohybrids: (1) stirrer with a heating plate, (2) spherical glass flask, (3) security valve of the pump, (4) security valve of the CV tank, (5) air vacuum pump, and (6) CV tank. CV: carvacrol and NZ: natural zeolite.</p>
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<p>(<b>a</b>) XRD plots of (1) pure Lap, (2) dried Lap, and (3) EG@Lap nanohybrid; (<b>b</b>) XRD plots of (1) pure Mt, (2) dried Mt, and (3) EG@Mt nanohybrid.</p>
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<p>EG desorption isotherm kinetic plots (in triplicates) for EG@Lap (<b>left</b> part (<b>a</b>–<b>c</b>) plots) and EG@Mt (<b>right</b> part (<b>d</b>–<b>f</b>) plots) nanohybrids at 70 °C ((<b>a</b>,<b>d</b>) plots), 90 °C ((<b>b</b>,<b>e</b>) plots), and 110 °C ((<b>c</b>,<b>f</b>) plots). The red line shows the simulation plots according to the pseudo-second-order kinetic model.</p>
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<p>Plot of ln(1/k<sub>2</sub>) values as a function of (1/T) for both EG@Lap and EG@Mt nanohybrids.</p>
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<p>Representative SEM images of (<b>a</b>) pure Lap, (<b>b</b>) pure Mt, (<b>c</b>) EG@Lap, and (<b>d</b>) EG@Mt.</p>
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<p>(<b>a</b>) XRD plots of (1) pure LDPE film, (2) LDPE/5EG@Lap active film, (3) LDPE/10EG@Lap active film, and (4) LDPE/15EG@Lap active film; (<b>b</b>) XRD plots of (1) pure LDPE film, (2) LDPE/5EG@Mt active film, (3) LDPE/10EG@Mt active film, and (4) LDPE/15EG@Mt active film.</p>
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<p>SEM images of (<b>a</b>) LDPE/5EG@Lap, (<b>b</b>) LDPE/10EG@Lap, (<b>c</b>) LDPE/15EG@Lap, (<b>d</b>) LDPE/5EG@Mt, (<b>e</b>) LDPE/10EG@Mt, and (<b>f</b>) LDPE/15EG@Mt active films.</p>
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<p>Stress-strain curves for (1) black line, LDPE, (2) blue line, LDPE/5EG@Lap, (3) green line, LDPE/10EG@Lap, (4) red line, LDPE/15EG@Lap, (5) dashed blue line, LDPE/5EG@Mt, (6) dashed green line, LDPE/10EG@Mt, and (7) dashed red line, LDPE/15EG@Mt.</p>
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<p>EG desorption isotherm kinetic plots (in triplicates) for all LDPE/xEG@Lap (<b>left</b> part (<b>a</b>–<b>c</b>) plots) and all LDPE/xEG@Mt (<b>right</b> part (<b>d</b>–<b>f</b>) plots) nanohybrids at 70 °C. The red line shows the simulation plots according to the pseudo-second-order kinetic model.</p>
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10 pages, 1020 KiB  
Article
Endothelial Glycocalyx Anomalies and Ocular Manifestations in Patients with Post-Acute COVID-19
by Georges Azar, Youssef Abdelmassih, Sophie Bonnin, Damien Guindolet, Vivien Vasseur, Francine Behar Cohen, Dominique Salmon and Martine Mauget-Faÿsse
J. Clin. Med. 2024, 13(23), 7272; https://doi.org/10.3390/jcm13237272 - 29 Nov 2024
Viewed by 2038
Abstract
Objectives: To report ophthalmological and microvascular findings in patients with post-acute COVID-19. Methods: In this prospective, monocentric cohort study, we included patients with post-acute COVID-19 who presented with ophthalmological symptoms. All patients underwent indocyanine green angiography (ICGA), OCT, OCT-angiography, adaptive optics, [...] Read more.
Objectives: To report ophthalmological and microvascular findings in patients with post-acute COVID-19. Methods: In this prospective, monocentric cohort study, we included patients with post-acute COVID-19 who presented with ophthalmological symptoms. All patients underwent indocyanine green angiography (ICGA), OCT, OCT-angiography, adaptive optics, and GlycoCheck assessments. Results: We included 44 patients, predominantly female (81.8%), with a mean age of 47.5 ± 11.5 years. Key ICGA findings revealed hyperreflective dots in 32 eyes (36.4%) and hemangioma-like lesions in 7 eyes (8.0%). Capillary non-perfusion in the superficial capillary plexus (SCP) and deep capillary plexus (DCP) was observed in 42 eyes (47.7%) and 21 eyes (23.9%), respectively. Eyes with hyperreflective dots exhibited a lower perfused boundary region (PBR), while those with superficial punctate keratitis showed a higher PBR (p = 0.02 and p = 0.002, respectively). Eyes with capillary non-perfusion in the SCP displayed lower capillary densities (CD4, CD5, and CD4-6; p = 0.001, 0.03, and 0.03, respectively), and eyes with non-perfusion in the DCP had lower CD4 (p = 0.03). A negative correlation was identified between capillary density and the wall-to-lumen ratio. Conclusions: Patients with post-acute COVID-19 demonstrate both retinal and choroidal vascular anomalies. Ocular pathology was associated with reduced capillary density. These injuries appear to stem more from microvascular disruptions than from persistent glycocalyx abnormalities. Full article
(This article belongs to the Section Ophthalmology)
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<p>Indocyanine green angiography (ICGA) showing hyperreflective dots defined as pinpoint leakage visible in the intermediate- or late-phases mostly seen in the retinal mid periphery (yellow arrows); choroidal hemangioma-like lesion, defined as a well-circumscribed hyperfluorescent choroidal area with pinpoints in the ICGA mid-phase (red arrow).</p>
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<p>(<b>A</b>): In vivo assessment of the sublingual microcirculation and glycocalyx dimensions using the GlycoCheck 5.2 software and assessment of retinal vessel microstructure. (<b>B</b>): adaptive optics showing a representative image from the retinal artery analysis with an example of microvascular changes that could be seen in post-acute COVID-19 patients with ocular manifestations.</p>
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12 pages, 1022 KiB  
Article
Genome-Wide Association Studies Revealed Several Candidate Genes of Meat Productivity in Saryarka Fat-Tailed Coarse-Wool Sheep Breed
by Kairat Dossybayev, Makpal Amandykova, Ainur Orakbayeva, Sholpan Adylkanova, Altynay Kozhakhmet, Kanagat Yergali, Temirlan Kulboldin, Beibit Kulataev and Aibyn Torekhanov
Genes 2024, 15(12), 1549; https://doi.org/10.3390/genes15121549 - 29 Nov 2024
Viewed by 333
Abstract
Background: Saryarka sheep belong to fat-tailed coarse-wool sheep breed. This breed is distinguished by increased meat productivity while being competitive in young lamb production. Live weight and body indices are relevant data for assessing sheep body constitution, which directly affects the breeding characteristics [...] Read more.
Background: Saryarka sheep belong to fat-tailed coarse-wool sheep breed. This breed is distinguished by increased meat productivity while being competitive in young lamb production. Live weight and body indices are relevant data for assessing sheep body constitution, which directly affects the breeding characteristics and meat productivity of animals. Objectives: This study aimed to find associations with SNPs and nine phenotypic characteristics of the Saryarka fat-tailed coarse-wool sheep breed including live weight and eight body indices (wither height, rump height, bicoastal diameter, body depth, body length, rump width, heart girth, and cannon bone circumference), and find candidate genes related to these characteristics. Methods: A total of 100 animals from the Karaganda region of Kazakhstan were used in this study. Live weight and eight body indices of sheep were measured using tape and electronic scales. The blood samples of the animals were used for DNA extraction. DNA samples were genotyped with the OvineSNP50 Genotyping BeadChip and analyzed using GWAS. Statistically significant SNPs were identified for each characteristic trait referencing the genome of Ovis aries (Oar_v3.1) using BioMart. Results: The GWAS results demonstrated a substantial chromosomal-level correlation between 32 chromosome-wide significant and suggestively significant SNPs in the studied sheep breed. Overall, seven SNPs located in seven different genes were revealed as candidates for live weight and four body indices: s20793.1 SNP in the IGFBP6 gene for live weight, OAR4_54217431.1 SNP in the ST7 gene for bicoastal diameter, s25229.1 in the SCD5 gene, and s01175.1 SNP in the DTNBP1 gene for rump width, OAR2_175574781.1 SNP in the KYNU gene for heart girth, and OAR1_209022621.1 SNP in the FGF12 gene and s15415.1 SNP in the FTO gene for cannon bone circumference. Some of these genes were previously reported to be involved in body constitution and fat deposit in other sheep breeds. Conclusions: The results of the present study open up new opportunities for targeted sheep breeding for meat and fat productivity. Full article
(This article belongs to the Special Issue Genetics and Genomics of Sheep and Goat)
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<p>Principal component analysis of the physical characteristics of the studied sheep.</p>
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<p>Manhattan plots of GWASs of nine physical characteristics of Saryarka fat-tailed sheep: (<b>1</b>) LW; (<b>2</b>) WH; (<b>3</b>) RH; (<b>4</b>) BCD; (<b>5</b>) BD; (<b>6</b>) BL; (<b>7</b>) RW; (<b>8</b>) HG; (<b>9</b>) CBG. The horizontal red line represents the genome-wide significance level threshold, and SNPs located above the red line indicate reaching the genome-wide significance level.</p>
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14 pages, 737 KiB  
Article
Multilocus Sequence Typing and Antimicrobial Susceptibility of Listeria monocytogenes Isolated from Foods Surveyed in Kosovo
by Besart Jashari, Beatrix Stessl, Benjamin Félix, Armend Cana, Bledar Bisha, Dean Jankuloski, Katerina Blagoevska and Adeoye J. Kayode
Microorganisms 2024, 12(12), 2441; https://doi.org/10.3390/microorganisms12122441 - 27 Nov 2024
Viewed by 630
Abstract
In the absence of data on the reporting of L. monocytogenes resistance to antibiotics, we sought to determine which clonal complexes (CCs)/sequence types (STs) circulate in the food chain in Kosovo and to determine their antibiogram profiles to a panel of 18 antibiotics. [...] Read more.
In the absence of data on the reporting of L. monocytogenes resistance to antibiotics, we sought to determine which clonal complexes (CCs)/sequence types (STs) circulate in the food chain in Kosovo and to determine their antibiogram profiles to a panel of 18 antibiotics. From a total of 114 isolates, 21 different typical STs were identified by multilocus sequence typing (MLST). Each isolate derived from the food categories was subjected to tests to verify its susceptibility to the selected antibiotics according to the designed Sensititre GPN3F panel. Among the different STs that were identified, CC9-ST9 was more abundant in meat products (38.75%) while CC29-ST29 was more abundant (24.0%) in dairy products. Moreover, these isolates showed marked resistance against levofloxacin (22.8%), gentamicin and rifampicin (17.5%), quinupristin/dalfopristin (14.9%), erythromycin (11.4%), penicillin (7.89%), tetracycline (1.75%), and streptomycin (0.88%). A total of 27 multiple antibiotic resistance (MAR) phenotypes were observed amongst the isolates, which ranged from 3 to 12. The ARI of the food category including meat and meat products (MMP, 0.22) and fish meat products (FMP, 0.26) were >0.2, the permissible Krumperman threshold. The number of strains with MAR values >0.2 was 34, (29.8%). The identification of typical multidrug-resistant STs among L. monocytogenes isolates in Kosovo constitutes a potential threat to food safety and public health, which requires a continuous and expanded surveillance system to prevent the further spread of antimicrobial resistant (AMR) isolates. Full article
(This article belongs to the Special Issue An Update on Listeria monocytogenes, Third Edition)
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<p>Overview of <span class="html-italic">L. monocytogenes</span> strains (sequence type–ST) isolated from the food chain in Kosovo. (<b>a</b>) Strains resistant against nine emergency antimicrobials LEVO, CIP, PEN, RIF, SYN, TET, ERY, STR, and GEN, shown in respective colors for each CC-STs. (<b>b</b>) Four antibiotics, which <span class="html-italic">L. monocytogenes</span>, are naturally resistant (intrinsic resistance) to DAP, CLI, OXA+, and AXO, shown in respective colors for each CC-STs. (<b>c</b>) A pie chart displays that all isolates are sensitive to VAN, SXT, LZD, GAT, and AMP. (<b>d</b>) Sankey chart—correlation of antibiotics to CC–ST and phylogenetic lineage I and II.</p>
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25 pages, 3822 KiB  
Article
Doppler Compensation Techniques for M-Ary Sequence Spread Spectrum Signals Based on Correlation Cost Factors in Mobile Underwater Acoustic Communication
by Yubo Han, Shuping Han, Heng Zhao, Yaohui Hu, Jingfeng Xu and Gang Yang
J. Mar. Sci. Eng. 2024, 12(12), 2151; https://doi.org/10.3390/jmse12122151 - 25 Nov 2024
Viewed by 366
Abstract
Unlike terrestrial radio, the speed of sound in the ocean is relatively slow, which results in mobile underwater M-ary spread spectrum communication typically exhibiting significant and variable multipath effects along with strong Doppler effects, leading to rapid carrier phase shifts in the received [...] Read more.
Unlike terrestrial radio, the speed of sound in the ocean is relatively slow, which results in mobile underwater M-ary spread spectrum communication typically exhibiting significant and variable multipath effects along with strong Doppler effects, leading to rapid carrier phase shifts in the received signal that severely impact decoding accuracy. This study aims to address the issue of rapid carrier phase shifts caused by significant time-varying Doppler shifts during mobile underwater M-SS communication. This paper innovatively proposes a method for updating matched filters based on correlation cost factors. By calculating the correlation cost factors for each received symbol, the method guides the direction of Doppler estimation and updates the matched filters. After identifying the optimal match, the received symbols are shifted, correlated, and decoded. Simulation and sea trial results indicate that this method demonstrates higher computational efficiency and improved decoding accuracy compared to traditional Doppler estimation matched filters under low signal-to-noise ratio conditions, and exhibits greater robustness under complex motion conditions. Full article
(This article belongs to the Section Ocean Engineering)
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<p>Underwater acoustic communication system model.</p>
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<p>Doppler estimation process.</p>
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<p>Frame structure.</p>
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<p>Time-varying channel impulse response (TVCIR) of KAU1 and KAU2, including both a 3D representation of the channel and its 2D projections.</p>
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<p>The BER curves for different reception methods under two types of channels with varying motion states are presented: (<b>a</b>) represents the BER curve for constant velocity motion under the KAU1 channel; (<b>b</b>) represents the BER curve for constant velocity motion under the KAU2 channel; (<b>c</b>) represents the BER curve for variable velocity motion under the KAU1 channel; (<b>d</b>) represents the BER curve for variable velocity motion under the KAU2 channel.</p>
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<p>(<b>a</b>) illustrates the variation in Doppler factors during variable velocity motion under two types of channels; (<b>b</b>) depicts the changes in acceleration during variable velocity motion under both channels (with identical acceleration variations).</p>
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<p>Map of sea trial scope of Laoshan Bay.</p>
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<p>(<b>a</b>) is the speed of the first group processes recorded by BDS. (<b>b</b>) is the first group processes channel impulse response.</p>
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<p>The accuracy rates of each frame obtained by different methods: (<b>a</b>,<b>b</b>) correspond to the first sea trial, (<b>c</b>,<b>d</b>) correspond to the second sea trial, and (<b>e</b>,<b>f</b>) correspond to the third sea trial.</p>
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<p>(<b>a</b>) is the CFO compensation estimated by CCF-MSS, (<b>b</b>) is the CFO compensation estimated by BDS output speed, (<b>c</b>) is the CFO compensation estimated by FDE-MSS (first group).</p>
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<p>(<b>a</b>,<b>c</b>) is despreading correlation peaks of symbols 32 and 33 by CCF-MSS, (<b>b</b>,<b>d</b>) is despreading correlation peaks of symbols 32 and 33 by FDE-MSS (first frame of first group).</p>
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<p>(<b>a</b>) is the speed of the second group processes recorded by BDS, (<b>b</b>) is the second group processes channel impulse response.</p>
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<p>(<b>a</b>) is the CFO compensation estimated by CCF-MSS, (<b>b</b>) is the CFO compensation estimated by BDS output speed, (<b>c</b>) is the CFO compensation estimated by FDE-MSS (second group).</p>
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<p>(<b>a</b>,<b>c</b>) is despreading correlation peaks of symbols 3 and 4 by CCF-MSS, (<b>b</b>,<b>d</b>) is despreading correlation peaks of symbols 3 and 4 by FDE-MSS (third frame of second group).</p>
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<p>(<b>a</b>) is the speed of the third group processes recorded by BDS, (<b>b</b>) is the third group processes channel impulse response.</p>
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<p>(<b>a</b>) is the CFO compensation estimated by CCF-MSS, (<b>b</b>) is the CFO compensation estimated by BDS output speed, (<b>c</b>) is the CFO compensation estimated by FDE-MSS (third group).</p>
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<p>(<b>a</b>,<b>c</b>) is despreading correlation peaks of symbols 21 and 31 by CCF-MSS, (<b>b</b>,<b>d</b>) is despreading correlation peaks of symbols 21 and 31 by FDE-MSS (thirteen frame of third group).</p>
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<p>BER curves of sea trial data with random ocean noise added under different motion states.</p>
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17 pages, 634 KiB  
Review
Predictors of Successful Testicular Sperm Extraction: A New Era for Men with Non-Obstructive Azoospermia
by Aris Kaltsas, Sofoklis Stavros, Zisis Kratiras, Athanasios Zikopoulos, Nikolaos Machairiotis, Anastasios Potiris, Fotios Dimitriadis, Nikolaos Sofikitis, Michael Chrisofos and Athanasios Zachariou
Biomedicines 2024, 12(12), 2679; https://doi.org/10.3390/biomedicines12122679 - 25 Nov 2024
Viewed by 527
Abstract
Background/Objectives: Non-obstructive azoospermia (NOA) is a severe form of male infertility characterized by the absence of sperm in the ejaculate due to impaired spermatogenesis. Testicular sperm extraction (TESE) combined with intracytoplasmic sperm injection is the primary treatment, but success rates are unpredictable, [...] Read more.
Background/Objectives: Non-obstructive azoospermia (NOA) is a severe form of male infertility characterized by the absence of sperm in the ejaculate due to impaired spermatogenesis. Testicular sperm extraction (TESE) combined with intracytoplasmic sperm injection is the primary treatment, but success rates are unpredictable, causing significant emotional and financial burdens. Traditional clinical and hormonal predictors have shown inconsistent reliability. This review aims to evaluate current and emerging non-invasive preoperative predictors of successful sperm retrieval in men with NOA, highlighting promising biomarkers and their potential clinical applications. Methods: A comprehensive literature review was conducted, examining studies on clinical and hormonal factors, imaging techniques, molecular biology biomarkers, and genetic testing related to TESE outcomes in NOA patients. The potential role of artificial intelligence and machine learning in enhancing predictive models was also explored. Results: Traditional predictors such as patient age, body mass index, infertility duration, testicular volume, and serum hormone levels (follicle-stimulating hormone, luteinizing hormone, inhibin B) have limited predictive value for TESE success. Emerging non-invasive biomarkers—including anti-Müllerian hormone levels, inhibin B to anti-Müllerian hormone ratio, specific microRNAs, long non-coding RNAs, circular RNAs, and germ-cell-specific proteins like TEX101—show promise in predicting successful sperm retrieval. Advanced imaging techniques like high-frequency ultrasound and functional magnetic resonance imaging offer potential but require further validation. Integrating molecular biomarkers with artificial intelligence and machine learning algorithms may enhance predictive accuracy. Conclusions: Predicting TESE outcomes in men with NOA remains challenging using conventional clinical and hormonal parameters. Emerging non-invasive biomarkers offer significant potential to improve predictive models but require validation through large-scale studies. Incorporating artificial intelligence and machine learning could further refine predictive accuracy, aiding clinical decision-making and improving patient counseling and treatment strategies in NOA. Full article
(This article belongs to the Section Molecular Genetics and Genetic Diseases)
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<p>Flowchart of TESE success prediction in NOA patients using clinical data, molecular biomarkers, imaging techniques, and AI.</p>
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11 pages, 2800 KiB  
Article
A Data-Assisted and Inter-Symbol Spectrum Analysis-Based Speed Estimation Method for Radiated Signals from Moving Sources
by Gaohui Liu and Boquan Chen
Appl. Sci. 2024, 14(23), 10869; https://doi.org/10.3390/app142310869 - 24 Nov 2024
Viewed by 377
Abstract
Aiming at the problem of estimating the speed of M-ary Phase Shift Keying (MPSK) communication radiated sources and their carrying platform targets, this paper proposes a data-assisted and inter-symbol spectrum analysis-based speed estimation method for MPSK communication radiated sources. The method first demodulates [...] Read more.
Aiming at the problem of estimating the speed of M-ary Phase Shift Keying (MPSK) communication radiated sources and their carrying platform targets, this paper proposes a data-assisted and inter-symbol spectrum analysis-based speed estimation method for MPSK communication radiated sources. The method first demodulates a signal-carrying message symbol from the received MPSK signal; then segments the signal according to the symbol synchronization information and the symbol period; and then compensates the phase of the symbol waveform corresponding to the message data according to the demodulated message symbol; finally combines the phase-compensated symbol waveform data into a two-dimensional matrix and finds the Doppler frequency of the data at the same sampling moment of different symbols using the vertical Fourier transform to obtain the moving target speed. The speed measurement accuracy and anti-noise performance of the method are analyzed through simulation experiments, and the simulation results show that the speed measurement accuracy of the method is 98.5%. Full article
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<p>Schematic diagram of the speed estimation algorithm.</p>
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<p>Schematic diagram of the signal segmentation principle.</p>
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<p>Schematic diagram of transmission signal.</p>
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<p>Signal segmentation simulation diagram.</p>
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<p>Signal arrangement simulation diagram.</p>
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<p>Vertical FFT simulation of the unbalanced initial phase.</p>
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<p>Vertical FFT simulation diagram of the velocity 100 m/s after the initial equilibrium phase.</p>
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<p>Schematic diagram of the signal segmentation principle.</p>
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<p>Relationship between actual speed measurement accuracy and symbol period.</p>
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<p>SNR −10 dB speed 100 m/s simulation diagram.</p>
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<p>Simulation diagram of 100 m/s when there is one demodulation error within 10 symbols.</p>
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<p>Simulation diagram of 100 m/s when there is one demodulation error in 100 symbols.</p>
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20 pages, 1153 KiB  
Review
Paternal Contributions to Recurrent Pregnancy Loss: Mechanisms, Biomarkers, and Therapeutic Approaches
by Aris Kaltsas, Athanasios Zikopoulos, Vladimir Kojovic, Fotios Dimitriadis, Nikolaos Sofikitis, Michael Chrisofos and Athanasios Zachariou
Medicina 2024, 60(12), 1920; https://doi.org/10.3390/medicina60121920 - 22 Nov 2024
Viewed by 433
Abstract
Background and Objectives: Recurrent pregnancy loss (RPL) affects numerous couples worldwide and has traditionally been attributed mainly to maternal factors. However, recent evidence highlights significant paternal influences on pregnancy viability and outcomes. This review aims to comprehensively examine male contributions to pregnancy [...] Read more.
Background and Objectives: Recurrent pregnancy loss (RPL) affects numerous couples worldwide and has traditionally been attributed mainly to maternal factors. However, recent evidence highlights significant paternal influences on pregnancy viability and outcomes. This review aims to comprehensively examine male contributions to pregnancy loss, focusing on underlying mechanisms, novel biomarkers, and integrated strategies for improved reproductive success. Materials and Methods: A comprehensive narrative review was conducted by searching databases including PubMed and Embase for the literature published from January 2004 to October 2024. Studies focusing on paternal influences in RPL—encompassing oxidative stress, genetic and epigenetic mechanisms, health conditions, lifestyle factors, environmental exposures, and advancements in sperm proteomics—were included. Inclusion criteria were peer-reviewed articles in English that directly addressed paternal factors in RPL; studies not meeting these criteria were excluded. Results: The review identified that paternal factors such as advanced age, metabolic and cardiovascular health issues, chronic diseases, lifestyle habits (e.g., smoking, alcohol consumption, poor diet), and environmental exposures significantly affect sperm integrity through mechanisms like oxidative stress, DNA fragmentation, and epigenetic alterations. Advanced paternal age and poor health conditions are associated with increased risks of miscarriage and adverse pregnancy outcomes. Novel sperm proteomic biomarkers have been identified, offering potential for enhanced diagnostics and personalized interventions. Integrated approaches involving multidisciplinary assessments, preventive strategies, and genetic counseling are essential for effectively addressing RPL. Conclusions: Integrating paternal factors into clinical evaluations is crucial for effectively addressing recurrent pregnancy loss. Recognizing and modifying paternal risk factors through lifestyle changes, medical interventions, and environmental management can improve pregnancy outcomes. The findings underscore the need for incorporating paternal assessments into standard care and highlight the importance of future research focusing on standardizing diagnostic protocols, expanding studies on paternal contributions, and integrating proteomic biomarkers into clinical practice to facilitate personalized treatment strategies. Full article
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<p>Paternal influences on reproductive health.</p>
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8 pages, 1106 KiB  
Article
Clinical Study of Vitamin D Levels in Hospitalized Children with Acute Respiratory Infections
by Gena Stoykova Petkova, Eleonora Nikolaeva Mineva and Venetsia Tsvetkova Botsova
Pediatr. Rep. 2024, 16(4), 1034-1041; https://doi.org/10.3390/pediatric16040088 - 22 Nov 2024
Viewed by 664
Abstract
The aim of our research was to evaluate and analyze serum 25(OH) vitamin D and parathyroid hormone (PTH) levels to investigate whether vitamin D deficiency serves as a risk factor for an increased incidence of acute respiratory infections (ARI) in children. Serum PTH [...] Read more.
The aim of our research was to evaluate and analyze serum 25(OH) vitamin D and parathyroid hormone (PTH) levels to investigate whether vitamin D deficiency serves as a risk factor for an increased incidence of acute respiratory infections (ARI) in children. Serum PTH levels were used as an indicator of vitamin D sufficiency, as normal PTH levels require an optimal concentration of 25(OH) vitamin D. The study included 129 children, divided into five subgroups: children with acute bronchopneumonia (n = 42), acute laryngotracheitis (n = 7), acute bronchiolitis (n = 32), acute bronchitis (n = 18), and a control group (n = 30). No statistically significant differences in 25(OH)D levels were observed between the overall population of children with ARI and the control group (p = 0.073). However, significant differences in 25(OH)D levels were identified between the control group and children with bronchopneumonia, acute bronchitis, and laryngotracheitis (p < 0.01, p < 0.05). Regarding PTH levels, statistical significance was found between the control group and the acute bronchiolitis group, due to the high percentage of children with hypervitaminosis in this subgroup. These results highlight the crucial role of vitamin D in the onset and progression of acute respiratory tract infections in children, emphasizing its impact on their overall respiratory health. Full article
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<p>Distribution of the study population by group: acute bronchiolitis (n = 32), acute bronchopneumonia (n = 42), acute laryngotracheitis (n = 7), acute bronchitis (n = 18), and control group (n = 30).</p>
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<p>Distribution of the study population based on serum 25 (OH) D levels. <span class="html-italic">p</span> = 0.01.</p>
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<p>Vitamin D status in children with acute respiratory infections (ARIs) versus healthy controls.</p>
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17 pages, 561 KiB  
Article
Studying Intra-Night Optical Variability of AGNs Using the TESS Survey Data
by Yujian Yang, Bo Ma and Chen Chen
Universe 2024, 10(12), 434; https://doi.org/10.3390/universe10120434 - 21 Nov 2024
Viewed by 397
Abstract
Active galactic nuclei (AGNs) exhibit significant luminosity variations across the entire electromagnetic spectrum, with timescales ranging from hours to years. Studying the optical variability of AGNs provides crucial insights into their physical properties. In this study, we explore the intra-night optical variability (INOV) [...] Read more.
Active galactic nuclei (AGNs) exhibit significant luminosity variations across the entire electromagnetic spectrum, with timescales ranging from hours to years. Studying the optical variability of AGNs provides crucial insights into their physical properties. In this study, we explore the intra-night optical variability (INOV) of AGNs using data from the TESS satellite’s all-sky survey. We derive differential light curves for a sample of 56 AGNs from 30-min cadence TESS full-frame images. Our analysis confirms that BL Lac objects typically exhibit stronger INOV compared to quasars, which generally show weaker variability. The duty cycle for INOV with an amplitude greater than 3% is approximately 4±0.7% for quasars and 22±5% for BL Lac objects. For INOV with an amplitude exceeding 10%, the corresponding duty cycle decreases to about 0.5±0.3% and 5±2%, respectively. Furthermore, we identify a potential linear-log relationship between the duty cycle and the INOV amplitude, based on results from this study and previous findings, particularly from the ARIES program. Full article
(This article belongs to the Section Galaxies and Clusters)
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<p>The distribution of <math display="inline"><semantics> <msub> <mi>f</mi> <mn>1</mn> </msub> </semantics></math> and <math display="inline"><semantics> <msub> <mi>f</mi> <mn>2</mn> </msub> </semantics></math> calculated from the TESS light curves for the initial sample of 428 AGNs. The distribution of <math display="inline"><semantics> <msub> <mi>f</mi> <mn>1</mn> </msub> </semantics></math> reflects that there are unknown systematic errors when deriving the TESS light curves. The distribution of <math display="inline"><semantics> <msub> <mi>f</mi> <mn>2</mn> </msub> </semantics></math> reflects the existence of INOV on the level of ∼1–3% for most of the AGNs in our sample.</p>
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<p>Example light curves for Quasar RXS J10547+4831 and BL Lac object RXS J10586+5628, obtained from the TESS full-frame image. The gap in the middle indicates the removal of noisy data, which are caused by contamination from scattered light.</p>
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<p>INOV duty cycle for quasar and blazer (BL Lac object). The DC data are taken from this study and the literature [<a href="#B6-universe-10-00434" class="html-bibr">6</a>,<a href="#B9-universe-10-00434" class="html-bibr">9</a>,<a href="#B10-universe-10-00434" class="html-bibr">10</a>,<a href="#B15-universe-10-00434" class="html-bibr">15</a>,<a href="#B17-universe-10-00434" class="html-bibr">17</a>,<a href="#B34-universe-10-00434" class="html-bibr">34</a>]. There seems to exist a logarithmic relation between DC and the INOV amplitude threshold, awaiting verification from future studies. The shaded area indicates an arbitrary 50% deviation of the DC values from the fitted linear-log relationship.</p>
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25 pages, 10652 KiB  
Article
Enhancing Sustainable Automated Fruit Sorting: Hyperspectral Analysis and Machine Learning Algorithms
by Dmitry O. Khort, Alexey Kutyrev, Igor Smirnov, Nikita Andriyanov, Rostislav Filippov, Andrey Chilikin, Maxim E. Astashev, Elena A. Molkova, Ruslan M. Sarimov, Tatyana A. Matveeva and Sergey V. Gudkov
Sustainability 2024, 16(22), 10084; https://doi.org/10.3390/su162210084 - 19 Nov 2024
Viewed by 478
Abstract
Recognizing and classifying localized lesions on apple fruit surfaces during automated sorting is critical for improving product quality and increasing the sustainability of fruit production. This study is aimed at developing sustainable methods for fruit sorting by applying hyperspectral analysis and machine learning [...] Read more.
Recognizing and classifying localized lesions on apple fruit surfaces during automated sorting is critical for improving product quality and increasing the sustainability of fruit production. This study is aimed at developing sustainable methods for fruit sorting by applying hyperspectral analysis and machine learning to improve product quality and reduce losses. The employed hyperspectral technologies and machine learning algorithms enable the rapid and accurate detection of defects on the surface of fruits, enhancing product quality and reducing the number of rejects, thereby contributing to the sustainability of agriculture. This study seeks to advance commercial fruit quality control by comparing hyperspectral image classification algorithms to detect apple lesions caused by pathogens, including sunburn, scab, and rot, on three apple varieties: Honeycrisp, Gala, and Jonagold. The lesions were confirmed independently using expert judgment, real-time PCR, and 3D fluorimetry, providing a high accuracy of ground truth data and allowing conclusions to be drawn on ways to improve the sustainability and safety of the agrocenosis in which the fruits are grown. Hyperspectral imaging combined with mathematical analysis revealed that Venturia inaequalis is the main pathogen responsible for scab, while Botrytis cinerea and Penicillium expansum are the main causes of rot. This comparative study is important because it provides a detailed analysis of the performance of both supervised and unsupervised classification methods for hyperspectral imagery, which is essential for the development of reliable automated grading systems. Support Vector Machines (SVM) proved to be the most accurate, with the highest average adjusted Rand Index (ARI) scores for sunscald (0.789), scab (0.818), and rot (0.854), making it the preferred approach for classifying apple lesions during grading. K-Means performed well for scab (0.786) and rot (0.84) classes, but showed limitations with lower metrics for other lesion types. A design and technological scheme of an optical system for identifying micro- and macro-damage to fruit tissues is proposed, and the dependence of the percentage of apple damage on the rotation frequency of the sorting line rollers is obtained. The optimal values for the rotation frequency of the rollers, at which the damage to apples is less than 5%, are up to 6 Hz. The results of this study confirm the high potential of hyperspectral data for the non-invasive recognition and classification of apple diseases in automated sorting systems with an accuracy comparable to that of human experts. These results provide valuable insights into the optimization of machine learning algorithms for agricultural applications, contributing to the development of more efficient and accurate fruit quality control systems, improved production sustainability, and the long-term storage of fruits. Full article
(This article belongs to the Special Issue Agricultural Engineering for Sustainable Development)
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<p>A graphical diagram representing the objectives of the work, which consists of creating an optical hyperspectral device for automatic sorting of damaged and undamaged apple fruits.</p>
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<p>Architecture diagram of proposed approach.</p>
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<p>Design and technological scheme of optical system for identifying micro- and macrodamage to plant tissues. 1—sensor; 2—optics module; 3—sample illumination module; 4—conveyor belt; 5—short filter; 6—lens; 7—adjustable slit; 8—CCD matrix; 9—CCD matrix controller interface; 10—light-conducting flow; 11—light prism; 12—reflector; 13—matrix with backlight; 14—fluorescent lamp package; 15—long-pass light filter; 16—micrometer drive; 17—conveyor belt.</p>
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<p>Representative photographs of apple fruits affected by different types of diseases used in studies: (<b>a</b>) sunburn; (<b>b</b>) scab; (<b>c</b>) rot.</p>
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<p>Three-dimensional maps of the fluorescence intensity of the surface of healthy (<b>a</b>), rotted (<b>b</b>), scab (<b>c</b>), and sunburned (<b>d</b>) apples. The abscissa shows the fluorescence wavelength, and the ordinate shows the wavelength of the exciting radiation. The fluorescence intensity is expressed by a color scale; for each case the color scale has differences in intensity. The asterisk on the map marks the fluorescence intensity maxima.</p>
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<p>Hyperspectral imaging of a rotten apple. A general view of the marked-up image with the allocation of damaged areas’ ROI. (<b>a</b>). The spectra characteristics of different image types (<b>b</b>). 1—background, area to the left of the apple; 2—petiole area; 3—area along the apple contour, upper left edge of the apple; 4—area of the apple with red skin; 5—area of the apple with green skin; 6—area affected by rot, dark spot in the center.</p>
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<p>Bench for obtaining and processing hyperspectral images of apple fruit: (<b>a</b>) general view of bench; (<b>b</b>) working area; (1) bench frame; (2) stepper bipolar motors; (3) ball screw gear; (4) transmission; (5) table with rubber rollers; (6) suspension; (7) tungsten halogen lamps; (8) hyperspectrometer; (9) control unit.</p>
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<p>The effect of the rotation frequency of rubber rollers of the sorting line on the quality of hyperspectral imaging. Representative frames of the imaging obtained at different rotation frequencies of rubber rollers (<b>a</b>). The dependence of the efficiency of hyperspectral imaging on the rotation frequency of rubber rollers of the sorting line unit (<b>b</b>).</p>
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<p>The dependence of the rotation frequency of the rollers of the automated device for obtaining images and sorting from damage to apples. (<b>a</b>). Photography of the controls of the device. (<b>b</b>). Photography illustrating the placement of controls on the device. (<b>c</b>). Dependence of the degree of damage to fruits on the rotation speed of the rollers of the device.</p>
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<p>Results of recognition and classification of hyperspectral cube images of apple fruit using supervised classification and unsupervised classification methods: (<b>a</b>) Hypercube, Maximum Likelihood, Minimum Distance, Parallelepiped; (<b>b</b>) Binary Encoding, SVM, IsoData, K-Means.</p>
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<p>Results of recognition and classification of hyperspectral cube images of apple fruit using supervised classification and unsupervised classification methods: (<b>a</b>) Hypercube, Maximum Likelihood, Minimum Distance, Parallelepiped; (<b>b</b>) Binary Encoding, SVM, IsoData, K-Means.</p>
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15 pages, 517 KiB  
Review
Update on Genitourinary Syndrome of Menopause: A Scoping Review of a Tailored Treatment-Based Approach
by Ilaria Cuccu, Tullio Golia D’Augè, Ilaria Firulli, Emanuele De Angelis, Giovanni Buzzaccarini, Ottavia D’Oria, Aris Raad Besharat, Donatella Caserta, Giorgio Bogani, Ludovico Muzii, Violante Di Donato and Andrea Giannini
Life 2024, 14(11), 1504; https://doi.org/10.3390/life14111504 - 19 Nov 2024
Viewed by 815
Abstract
This scoping review explores the therapeutic strategies available for managing genitourinary syndrome of menopause (GSM), a condition often underdiagnosed and undertreated despite significantly affecting women’s quality of life. GSM results from decreased estrogen levels during menopause, leading to a range of symptoms including [...] Read more.
This scoping review explores the therapeutic strategies available for managing genitourinary syndrome of menopause (GSM), a condition often underdiagnosed and undertreated despite significantly affecting women’s quality of life. GSM results from decreased estrogen levels during menopause, leading to a range of symptoms including vulvovaginal atrophy and urinary tract issues. Material and Methods: we screened the literature for original studies with “menopause”, “hormonal therapy”, “vulvovaginal atrophy”, “urinary incontinence”, “urinary infections”, “genitourinary syndrome”. Results: A total of 451 relevant articles were retrieved. After screening, 19 articles were included in this scoping review. Discussion: First-line treatments typically include lubricants and moisturizers for short-term symptom relief, while unresolved or severe cases may warrant hormonal treatment. Topical hormonal treatments often have fewer side effects than systemic alternatives. Special attention is given to selective estrogen receptor modulators like ospemifene and steroid hormones like dehydroepiandrosterone (DHEA), which have shown beneficial effects on GSM symptoms. Moreover, innovative therapeutic approaches, such as laser treatment, are discussed in the context of their efficacy and accessibility. The safety of GSM hormonal therapy in women with a history or risk of cancer is also addressed, noting the need for more definitive research in this area. While there is a growing demand for tailored therapy, this scoping review emphasizes the importance of effective communication and counseling to allow women to make informed decisions about their treatment. Overall, this review underscores the need for increased awareness and further research into effective treatment options for GSM. Full article
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<p>PRISMA flow diagram results of the search strategy [<a href="#B28-life-14-01504" class="html-bibr">28</a>].</p>
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18 pages, 314 KiB  
Article
The Technical–Tactical Patterns of Scoring Actions in Male Visually Impaired Judokas: A Weight Category Analysis
by Alfonso Gutiérrez-Santiago, Anxo Fernández-Moscoso, Xoana Reguera-López-de-la-Osa, Antonio José Silva-Pinto, Juan Carlos Argibay-González and Iván Prieto-Lage
Appl. Sci. 2024, 14(22), 10594; https://doi.org/10.3390/app142210594 - 17 Nov 2024
Viewed by 441
Abstract
In Para-judo, the technical actions and tactical situations suitable for scoring in a combat have not been studied. The aim of this research was to determine the technical–tactical patterns of scoring actions in Para-judo, focusing on weight categories. An observational methodology was employed [...] Read more.
In Para-judo, the technical actions and tactical situations suitable for scoring in a combat have not been studied. The aim of this research was to determine the technical–tactical patterns of scoring actions in Para-judo, focusing on weight categories. An observational methodology was employed to conduct this study. The sample consisted of all male judokas with visual impairment (n = 172) in the senior category who participated in the World Championships held in Odivelas in 2018. A total of 232 combats and 313 scoring actions were analyzed. To obtain the results, we used different analytical techniques with SPSS: descriptive analysis, chi-square test, and T-pattern analysis. The significance level used was p < 0.05. Key findings show that the majority of scoring actions occurred in the first two minutes of combat, highlighting the importance of early initiative. Techniques such as ashi-waza, te-waza, and sutemi-waza demonstrated particular effectiveness across categories, with a focus on movements like sumi-otoshi, ouchi-gari, and ko-soto-gake. Moreover, the most common grip—lapel-sleeve—proved advantageous, aiding judokas in controlling the bout and achieving scores, especially when coupled with effective transition techniques. The study’s weight-specific analysis further revealed distinct patterns, emphasizing the importance of tailored training approaches. For instance, lighter judokas benefited from countering leg attacks with arm or sacrifice techniques to score waza-ari, while heavier judokas favored leg-to-leg counterattacks, often achieving ippon. The results suggest that judokas and coaches could benefit from a more systematic focus on grip stability, strategic positional work, and transition efficiency, particularly from standing to ground. This research contributes valuable insights into optimal techniques and strategies for visually impaired judokas, providing clear guidelines for training and competition. Full article
(This article belongs to the Special Issue Advances in Sports Science and Movement Analysis)
15 pages, 902 KiB  
Article
Prevalence of Child Fever, Acute Respiratory Infection, and Diarrhea and Their Risk Factors in Sierra Leone
by Hana Kim and Yan Jin
Life 2024, 14(11), 1493; https://doi.org/10.3390/life14111493 - 16 Nov 2024
Viewed by 638
Abstract
Sierra Leone has the fourth-highest child mortality rate in Sub-Saharan Africa. This retrospective study aimed to estimate the nationwide prevalence of fever, acute respiratory infection (ARI), and diarrhea in children under 5 years in Sierra Leone, and to identify the risk factors associated [...] Read more.
Sierra Leone has the fourth-highest child mortality rate in Sub-Saharan Africa. This retrospective study aimed to estimate the nationwide prevalence of fever, acute respiratory infection (ARI), and diarrhea in children under 5 years in Sierra Leone, and to identify the risk factors associated with these diseases. We extracted patient information from the 2019 Sierra Leone Demographic and Health Survey data. Data were analyzed using multivariate logistic regression. In total, 8659, 8652, and 8650 children were included in the analyses of fever, ARI, and diarrhea, respectively. The analysis revealed that the nationwide prevalence rates of fever, ARI, and diarrhea were 16.8%, 14.2%, and 7.2%, respectively. Children aged 12–23 months were found to be the most susceptible. Compared to children consuming unimproved water, the highest prevalence rates of fever, ARI, and diarrhea were observed among children residing in households with tube wells or boreholes. The adjusted odds ratio for diarrhea prevalence among children drinking water from household tube wells or boreholes was 1.47 (95% confidence interval: 1.17–1.84, p < 0.001). This study has several limitations, including recall bias due to parental reporting. We suspect that the diseases may be associated with potential water contamination in tube wells or boreholes. We recommend national-level periodic inspections of water quality and community-level education on water supply management. Full article
(This article belongs to the Section Epidemiology)
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<p>Conceptual framework.</p>
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<p>Selection of study participants. ARI, acute respiratory infection.</p>
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<p>Weighted prevalence of fever, ARI, and diarrhea among children under 5 years.</p>
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13 pages, 2211 KiB  
Article
Perifoveal Exudative Vascular Anomalous Complex (PEVAC): Retinal Vascular Density Findings
by Hamzah Aweidah, Deborah Cosette, Natan Lishinsky-Fischer, Tarek B. Eshak, Tomer Batash, Itay Chowers, Tareq Jaouni, Nadav Levinger and Jaime Levy
J. Clin. Med. 2024, 13(22), 6879; https://doi.org/10.3390/jcm13226879 - 15 Nov 2024
Viewed by 444
Abstract
Objectives: This study aimed to describe the clinical, optical coherence tomography (OCT) and OCT angiography (OCTA) findings and characteristics in patients with perifoveal exudative vascular anomalous complex (PEVAC) and compare the macular vascular density with the age-matched control group. Methods: We [...] Read more.
Objectives: This study aimed to describe the clinical, optical coherence tomography (OCT) and OCT angiography (OCTA) findings and characteristics in patients with perifoveal exudative vascular anomalous complex (PEVAC) and compare the macular vascular density with the age-matched control group. Methods: We conducted a case–control study to compare demographic information, clinical observations, and OCT/OCTA findings in eyes with PEVAC (n = 5 eyes in 5 patients) and a control group of subjects matched for age (n = 9). The Advanced Retina Imaging (ARI) network algorithms were utilized to evaluate OCTA observations. Statistical analysis was performed by the nonparametric Mann–Whitney U test. Results: Patients with PEVAC had a mean (±SD) age at presentation of 70 ± 12.6 years, the mean follow-up period was 7.8 ± 5.2 months, and unilateral disease was observed. Four out of the five patients in our cohort had a history of systemically treated hypertension and dyslipidemia. Three eyes had lesions in the inner temporal retinal zone, while the remaining two eyes had lesions in the inner inferior or central zone. Retina slab analysis using OCTA showed no significant difference in vascular density parameters between the PEVAC and control groups. Conclusions: Although limited by a small sample size, our study suggests that macular vessel density shows no significant difference between PEVAC cases and control eyes. Full article
(This article belongs to the Section Ophthalmology)
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<p>Pseudocolor (<b>A</b>) and autofluorescence (<b>B</b>) ultra-widefield Optos images showing a perifoveal isolated aneurysmal lesion of P-5 (arrowheads).</p>
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<p>B-scan with slab segmentation (highlighted between the yellow dotted lines) and OCTA imaging PEVAC eye and a control eye. Panel (<b>A</b>) represents the retina slab of the left eye in patient P-2. Panel (<b>B</b>) represents the choroid slab of the left eye in patient P-2. Panel (<b>C</b>) represents the retina slab of the right eye in patient C-3. Panel (<b>D</b>) represents the choroid slab of the right eye in patient C-3.</p>
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<p>Optical coherence tomography angiography (OCTA) imaging of the right eye in patient P-2. (<b>A</b>) Superficial angio en face perfusion map showing the 9 zones (the central zone and the inner and outer nasal, temporal, superior, and inferior zones). (<b>B</b>) A retina slab image of the same eye shown in (<b>A</b>). (<b>C</b>) A skeletonized image of the retina slab shown in (<b>B</b>).</p>
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<p>OCTA of the affected eye in patient P-4, confirming the presence of perifoveal capillary abnormalities (crossing lines) in the superficial capillary plexus (<b>A</b>) and deep capillary plexus (<b>B</b>). (<b>C</b>) B-scan image showing the presence of an isolated, well-defined perifoveal aneurismal lesion (purple line) with small intraretinal cystoid macular edema close to the PEVAC lesion.</p>
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<p>OCTA images of the retina slab in the affected eye of PEVAC patients and one control eye. Panel (<b>A</b>) represents the left eye of patient P-1, panel (<b>B</b>) shows the left eye of patient P-2, panel (<b>C</b>) displays the left eye of patient P-3, panel (<b>D</b>) shows the left eye of patient P-4, panel (<b>E</b>) shows the right eye of patient P-5, and panel (<b>F</b>) shows the right eye of control subject C3. The PECAC lesion(s) are marked with a green asterisk.</p>
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