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Search Results (18,022)

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11 pages, 216 KiB  
Article
Everyday Nationalism and the Politics of Public Space—How National Security Policies Create Zones of In(Security) in Vienna
by Elina Kränzle
Architecture 2024, 4(4), 1190-1200; https://doi.org/10.3390/architecture4040061 (registering DOI) - 19 Dec 2024
Abstract
While cities have always embodied difference, with their diverse inhabitants contributing to urban culture and economy, the underlying legitimation of belonging in the democratic nation-state continues to be based on an essentialized national identity. This study sheds light on the ways in which [...] Read more.
While cities have always embodied difference, with their diverse inhabitants contributing to urban culture and economy, the underlying legitimation of belonging in the democratic nation-state continues to be based on an essentialized national identity. This study sheds light on the ways in which diverse cities, and specifically public spaces as spaces of encounter, are produced discursively on the level of the nation-state. The study employs Critical Frame Analysis (CFA) to examine the Austrian Security Police Act amendments between 2005 and 2018. This analysis focuses on how policy-making processes on the level of national legislation have discursively shaped public spaces in Vienna as zones of (in)security. The analysis reveals that national governments in Austria have increasingly framed urban public spaces as areas of insecurity. This framing aligns with broader nationalist agendas that seek to delineate who belongs within the nation, thereby exacerbating tensions between local multicultural practices and national discourses. The study highlights a significant gap between everyday multicultural encounters in urban spaces and national policies that reinforce exclusionary, homogeneous identities. These findings underscore the role of public space as a battleground for broader ideological conflicts over national identity and belonging. Full article
(This article belongs to the Special Issue Social Change and Everyday Life in the Spatial Arts)
9 pages, 915 KiB  
Brief Report
Growth Differentiation Factor 15 as a Marker for Chronic Ventricular Pacing
by Christoph Edlinger, Marwin Bannehr, Michael Lichtenauer, Vera Paar, Paulina Jankowska, Laurenz Hauptmann, Uta C. Hoppe, Christian Butter and Christiana Schernthaner
J. Clin. Med. 2024, 13(24), 7748; https://doi.org/10.3390/jcm13247748 (registering DOI) - 18 Dec 2024
Abstract
Background/Objectives: Right ventricular pacing is an effective and safe treatment option for patients experiencing symptomatic bradycardia. However, some individuals may develop left ventricular dysfunction as a consequence. Growth differentiation factor 15 (GDF-15), which is not present in a healthy adult heart, is upregulated [...] Read more.
Background/Objectives: Right ventricular pacing is an effective and safe treatment option for patients experiencing symptomatic bradycardia. However, some individuals may develop left ventricular dysfunction as a consequence. Growth differentiation factor 15 (GDF-15), which is not present in a healthy adult heart, is upregulated in cardiomyocytes in response to various stress stimuli. This study aimed to explore the potential of GDF-15 as a biomarker for chronic right ventricular pacing. Methods: This single-center cross-sectional cohort study analyzed data from 265 consecutive patients (60.4% male) with either single- or dual-chamber pacemakers, all lacking pre-existing heart failure, who attended the outpatient department for routine follow-up. Chronic right ventricular (RV) pacing was defined as pacing exceeding 40% over the past year. Serum samples were collected, and GDF-15 levels were measured using a commercially available immunoassay (R&D Systems Inc., Minneapolis, MN, USA). Student’s t-test was utilized to assess group differences, and receiver operating characteristic (ROC) analysis was employed to evaluate diagnostic performance. Results: When stratifying patients by pacing burden, GDF-15 levels were significantly higher in those with pacing over 40% compared to those with 40% or less (789 ± 293 pg/mL vs. 1186 ± 592 pg/mL; p < 0.001). The ROC analysis indicated that GDF-15 serves as a marker for chronic RV pacing, yielding an area under the curve of 0.713 (95% confidence interval 0.650–0.776; p < 0.001). Conclusions: This study suggests that GDF-15 may be a valuable biomarker for chronic right ventricular pacing. Full article
(This article belongs to the Section Cardiology)
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<p>Patients’ flow through the study.</p>
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<p>* GDF-15 levels separated by a pacing burden of 40% [<a href="#B26-jcm-13-07748" class="html-bibr">26</a>]. This figure has already been presented by our group as a scientific abstract at the national level at the “Jahrestagung der deutschen Gesellschaft für Kardiologie 2023” congress.</p>
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<p>Receiver operating characteristics for GDF-15 levels and chronic RV pacing [<a href="#B26-jcm-13-07748" class="html-bibr">26</a>]. This figure has already been presented by our group as a scientific abstract at the national level at the “Jahrestagung der deutschen Gesellschaft für Kardiologie 2023” congress.</p>
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22 pages, 4171 KiB  
Article
Stability Analysis of DC Microgrids: Insights for Enhancing Renewable Energy Integration, Efficiency and Power Quality
by António Sousa, Bernhard Grasel and José Baptista
Appl. Sci. 2024, 14(24), 11851; https://doi.org/10.3390/app142411851 - 18 Dec 2024
Abstract
In the current context of smart grids, microgrids have proven to be an effective solution to meet the energy needs of neighborhoods and collective buildings. This study investigates the voltage behavior and other critical parameters within a direct current (DC) microgrid to enhance [...] Read more.
In the current context of smart grids, microgrids have proven to be an effective solution to meet the energy needs of neighborhoods and collective buildings. This study investigates the voltage behavior and other critical parameters within a direct current (DC) microgrid to enhance system efficiency, stability, and reliability. The dynamic performance of a DC microgrid is analyzed under varying load and generation conditions, with particular emphasis on the voltage response and load-sharing mechanisms required to ensure stable operation. The findings indicate that specific control strategies, particularly droop methods, are effective in mitigating voltage fluctuations, enhancing power quality, and ensuring proper load distribution across multiple sources. This study also addresses significant challenges, including voltage regulation and fault resilience, to provide guidelines for designing robust and efficient DC microgrids. These insights are essential to inspire further advancements in control strategies and facilitate the practical deployment of DC microgrids as a sustainable solution for distributed energy systems, especially in scenarios prioritizing high DC load penetration and renewable energy integration. Full article
(This article belongs to the Collection Advanced Power Electronics in Power Networks)
16 pages, 297 KiB  
Article
The Boltzmann Equation and Its Place in the Edifice of Statistical Mechanics
by Charlotte Werndl and Roman Frigg
Entropy 2024, 26(12), 1106; https://doi.org/10.3390/e26121106 - 18 Dec 2024
Abstract
It is customary to classify approaches in statistical mechanics (SM) as belonging either to Boltzmanninan SM (BSM) or Gibbsian SM (GSM). It is, however, unclear how the Boltzmann equation (BE) fits into either of these approaches. To discuss the relation between BE and [...] Read more.
It is customary to classify approaches in statistical mechanics (SM) as belonging either to Boltzmanninan SM (BSM) or Gibbsian SM (GSM). It is, however, unclear how the Boltzmann equation (BE) fits into either of these approaches. To discuss the relation between BE and BSM, we first present a version of BSM that differs from standard presentation in that it uses local field variables to individuate macro-states, and we then show that BE is a special case of BSM thus understood. To discuss the relation between BE and GSM, we focus on the BBGKY hierarchy and note the version of the BE that follows from the hierarchy is “Gibbsian” only in the minimal sense that it operates with an invariant measure on the state space of the full system. Full article
(This article belongs to the Special Issue Time and Temporal Asymmetries)
30 pages, 2218 KiB  
Article
A Global Collaborative Comparison of SARS-CoV-2 Antigenicity Across 15 Laboratories
by Polina Brangel, Sina Tureli, Barbara Mühlemann, Nicole Liechti, Daniel Zysset, Olivier Engler, Isabel Hunger-Glaser, Ioana Ghiga, Giada Mattiuzzo, Isabella Eckerle, Meriem Bekliz, Annika Rössler, Melanie M. Schmitt, Ludwig Knabl, Janine Kimpel, Luis Fernando Lopez Tort, Mia Ferreira de Araujo, Any Caroline Alves de Oliveira, Braulia Costa Caetano, Marilda Mendonça Siqueira, Matthias Budt, Jean-Marc Gensch, Thorsten Wolff, Tarteel Hassan, Francis Amirtharaj Selvaraj, Tandile Hermanus, Prudence Kgagudi, Carol Crowther, Simone I. Richardson, Jinal N. Bhiman, Penny L. Moore, Samuel M. S. Cheng, John K. C. Li, Leo L. M. Poon, Malik Peiris, Victor M. Corman, Christian Drosten, Lilin Lai, Taweewun Hunsawong, Kamonthip Rungrojcharoenkit, Jindarat Lohachanakul, Alex Sigal, Khadija Khan, Volker Thiel, G. Tuba Barut, Nadine Ebert, Anna Z. Mykytyn, Irene Owusu Donkor, James Odame Aboagye, Prince Adom Nartey, Maria D. Van Kerkhove, Jane Cunningham, Bart L. Haagmans, Mehul S. Suthar, Derek Smith and Lorenzo Subissiadd Show full author list remove Hide full author list
Viruses 2024, 16(12), 1936; https://doi.org/10.3390/v16121936 - 18 Dec 2024
Abstract
Setting up a global SARS-CoV-2 surveillance system requires an understanding of how virus isolation and propagation practices, use of animal or human sera, and different neutralisation assay platforms influence assessment of SARS-CoV-2 antigenicity. In this study, with the contribution of 15 independent laboratories [...] Read more.
Setting up a global SARS-CoV-2 surveillance system requires an understanding of how virus isolation and propagation practices, use of animal or human sera, and different neutralisation assay platforms influence assessment of SARS-CoV-2 antigenicity. In this study, with the contribution of 15 independent laboratories across all WHO regions, we carried out a controlled analysis of neutralisation assay platforms using the first WHO International Standard for antibodies to SARS-CoV-2 variants of concern (source: NIBSC). Live virus isolates (source: WHO BioHub or individual labs) or spike plasmids (individual labs) for pseudovirus production were used to perform neutralisation assays using the same serum panels. When comparing fold drops, excellent data consistency was observed across the labs using common reagents, including between pseudovirus and live virus neutralisation assays (RMSD of data from mean fold drop was 0.59). Utilising a Bayesian model, geometric mean titres and assay titre magnitudes (offsets) can describe the data efficiently. Titre magnitudes were seen to vary largely even for labs within the same assay group. We have observed that overall, live Microneutralisation assays tend to have the lowest titres, whereas Pseudovirus Neutralisation have the highest (with a mean difference of 3.2 log2 units between the two). These findings are relevant for laboratory networks, such as the WHO Coronavirus Laboratory Network (CoViNet), that seek to support a global surveillance system for evolution and antigenic characterisation of variants to support monitoring of population immunity and vaccine composition policy. Full article
(This article belongs to the Special Issue Host Cell-Virus Interaction, 4th Edition)
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<p>Titres of WHO International Standard NIBSC 21/338 measured in 15 labs using WHO BioHub virus isolates and estimated GMTs. (<b>A</b>) Dots in each panel indicate the measured titres of variants (with the colours indicating the variant as shown in the key) by each lab against the International Standard (for multiple repeats, the geometric mean is shown). The grey line indicates the geometric mean titre (GMT) of each of these measurements across all datasets. Up or down arrows, respectively, indicate titres at upper and lower limits of detection. The labels at the bottom of each figure indicate the lab making the measurement (the abbreviations are available in <a href="#app1-viruses-16-01936" class="html-app">Table S1</a>). Data are grouped according to assay types, which are indicated at the top-left corner for each group (MicroNeut, FRNT, PRNT, or PseudoVirusNeut). Labs labelled as (in-house) or labs using assay type of PseudoVirusNeut have isolated their own viruses for these measurements, whereas all the other measurements were made with virus stocks received from the WHO BioHub (and propagated according to each lab’s specified method, accession numbers 2021-WHO-LS-001, 2021-WHO-LS-003, 2022-WHO-LS-014, 2021-WHO-LS-016, 2022-WHO-LS-028, 2023-WHO-LS-001). (<b>B</b>) Each panel in this figure shows the data in Figure 3 after controlling for titre magnitude fitted by the model. The grey line shows the GMT fitted by the model. The bars indicate the 95% high-density interval (HDI) of the posterior for the GMT. The details of the model are given in the SI section Modelling Assay-wise Effects and GM Titres. The number of repeats performed by each lab is given in <a href="#app1-viruses-16-01936" class="html-app">Table S1</a>.</p>
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<p>Posterior distributions for lab-wise and assay-wise offset means. (<b>A</b>) This shows the posterior distribution for the offset parameter for each lab where each lab’s offset is a normal distribution whose mean is given by the assay-type offset whose posterior distributions are shown. (<b>B</b>) The white marker shows the mean, the thin vertical black line shows the 94% HDI, and the thick vertical black line shows the interquartile range.</p>
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<p>Fold-change reduction compared to Alpha. The figure shows the estimated fold drops of variant titres compared to Alpha. The bars indicate the 94% HDI for the posterior of estimated fold drops.</p>
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<p>The cluster groups, landscapes, and metadata. (<b>A</b>) The plot shows the three non-outlier clusters and the outlier cluster obtained from clustering the labs’ collated serum data. The black line shows the (mean centred) representative titre of the cluster, and the bars indicate the 94% HDI for the estimate. The coloured lines indicate individual serum titres after each serum’s titre magnitude (with respect to black line) was subtracted. Lower and upper triangles indicate titres censored from below and above. Colouring of the sera indicates the type of encounter, and encounter types’ colours are given in the legend. n+ indicates that the serum had encounters of infection and vaccination (at least n different times) with Alpha, earlier than Alpha, or unknown variants. Beta/Delta 2+ means that the serum had at least two encounters, one of which was confirmed Beta or Delta. BA.1+ indicates that the serum had at least one encounter with a BA.1 or later variant. The markers (and line segments left of these markers) for thresholded titres are shown in a more transparent colour. This figure shows only the sera whose probability of belonging to any other cluster is less than 0.1, see <a href="#app1-viruses-16-01936" class="html-app">Figure S14</a> for others. (<b>B</b>) This shows the landscapes fitted to the non-outlier clusters of sera shown in (<b>A</b>). The base map is from [<a href="#B23-viruses-16-01936" class="html-bibr">23</a>]. There is no unique lower limit of detection for the data since different labs have different ranges of dilutions. However they are all generally close to 10 (after the bias estimated in the first section is removed); therefore, in this figure, the lower limit of detection is also set to 10, which is shown by the base plane. One landscape per group is fitted due to the low number of antigens involved in this study. Interactive html plots can be found in the code repo [<a href="#B40-viruses-16-01936" class="html-bibr">40</a>]. (<b>C</b>) Bar plots indicate the distribution of encounters (infection or vaccination) of the sera for each cluster (as shown in (<b>B</b>)) as well as the overall distribution for the whole dataset (last bar plot). See <a href="#app1-viruses-16-01936" class="html-app">Figure S13</a> for further breakdown of these categories.</p>
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15 pages, 28046 KiB  
Article
Experimental Investigation into the Influence of Filament Layer Arrangement on the Tensile Strength of FFF-Manufactured Components
by Matthias Böhm and Christoph Buss
J. Manuf. Mater. Process. 2024, 8(6), 295; https://doi.org/10.3390/jmmp8060295 - 18 Dec 2024
Abstract
One major disadvantage of fused filament fabricated components (FFF) is its well-known anisotropy, which results from the layer-wise adding of material, and that it is not always possible to avoid loading in the layer build-up direction. In particular, components that are exposed to [...] Read more.
One major disadvantage of fused filament fabricated components (FFF) is its well-known anisotropy, which results from the layer-wise adding of material, and that it is not always possible to avoid loading in the layer build-up direction. In particular, components that are exposed to multi-axial load conditions must manage with reduced tensile strength in the build-up direction. This work is therefore concerned with improving the tensile strength transverse to the layering by changing the layer structure without directly changing the material itself. Therefore, the print-defining G-Code was modified to change the arrangement between the layers. The effectiveness of this method was investigated by means of tensile tests using thermoplastic samples made of Acrylonitrile Styrene Acrylate (ASA), Poly Cyclohexylenedimethylene Terephthalate Glycol (PCTG), Poly Ethylene Terephthalate Glycol (PETG) and Poly Lactic Acid (PLA) for layer thicknesses of 0.16 mm and 0.28 mm. The results show that the G-Code modification generally resulted in an increase in tensile strength. For PETG, an improvement of 25% was achieved. Full article
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<p>Scheme of the fused filament fabrication process.</p>
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<p>Schemes of enhanced building techniques: (<b>a</b>) wall-built brick bonds; (<b>b</b>) butt joint vs. finger joint on wooden laths.</p>
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<p>Scheme of layer modification: (<b>a</b>) conventional layering; (<b>b</b>) modified layering.</p>
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<p>Steps of G-Code modification: (<b>a</b>) algorithm flowchart; (<b>b</b>) loop definition.</p>
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<p>Schematic representation of the loop offset.</p>
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<p>Characteristics of the transition zone.</p>
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<p>Test series combinations and labelling scheme for test samples.</p>
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<p>Test bench overview.</p>
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<p>Stress–Strain Characteristics of pre-study.</p>
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<p>Micrograph of the material structure for different layer thicknesses and printing methods: (<b>a</b>) 0.16 mm, original; (<b>b</b>) 0.28 mm, original; (<b>c</b>) 0.16 mm, modified; (<b>d</b>) 0.28 mm, modified.</p>
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<p>Average tensile strength with standard deviation for ASA as a function of strain.</p>
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<p>Average tensile strength with standard deviation for PCTG as a function of strain.</p>
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<p>Average tensile strength with standard deviation for PETG as a function of strain.</p>
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<p>Average tensile strength with standard deviation for PLA as a function of strain.</p>
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16 pages, 7600 KiB  
Article
Targeting the Calcium-Sensing Receptor in Chemically Induced Medium-Grade Colitis in Female BALB/C Mice
by Karina Piatek, Valeriya Gushchina, Ava Kleinwächter, Nadja Kupper, Ildiko Mesteri, Taha Elajnaf, Luca Iamartino, Martina Salzmann, Christian Müller, Teresa Manhardt, Andrea Vlasaty, Enikö Kallay and Martin Schepelmann
Nutrients 2024, 16(24), 4362; https://doi.org/10.3390/nu16244362 - 18 Dec 2024
Abstract
Background/Objectives: The extracellular calcium-sensing receptor (CaSR) is a multifunctional receptor proposed as a possible drug target for inflammatory bowel disease. We showed previously that CaSR inhibition with NPS 2143, a negative allosteric modulator of the CaSR, somewhat ameliorated the symptoms of chemically induced [...] Read more.
Background/Objectives: The extracellular calcium-sensing receptor (CaSR) is a multifunctional receptor proposed as a possible drug target for inflammatory bowel disease. We showed previously that CaSR inhibition with NPS 2143, a negative allosteric modulator of the CaSR, somewhat ameliorated the symptoms of chemically induced severe colitis in mice. However, it was unclear whether the potential of CaSR inhibition to reduce colitis may have been overshadowed by the severity of the induced inflammation in our previous study. Therefore, we tested if CaSR inhibition could prevent medium-grade colitis. Methods: Female BALB/c mice were treated with NPS 2143 or a vehicle prior to the induction of colitis with 2.5% DSS. On the day of sacrifice, colons and plasma were collected. The histology score was determined based on hematoxylin-eosin-stained sections. Mucin content, proliferation (Ki67), and immune cell infiltration (CD3 and CD20) were quantified based on immunostainings. Gene expression was measured by RT-qPCR. Results: Treatment with NPS 2143 had no effect on the clinical symptom score of the mice. However, the colons of the mice in the treated group were significantly longer (p < 0.05), and NPS 2143 significantly reduced colon ulceration (p < 0.05). The treatment also significantly reduced the expression of COX2 in the proximal colon and IL-22 in the distal colon. The proliferation of cells in the lymph nodes was significantly lower after the treatment, but no difference was observed in the epithelial cells. Conclusions: In summary, while NPS 2143 had an anti-inflammatory effect on medium-grade colitis, this effect appeared to be milder than in severe colitis, as observed previously, indicating that the effectiveness of CaSR inhibition as an anti-inflammatory measure in the colon is proportional to disease severity. Full article
(This article belongs to the Section Nutritional Immunology)
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<p>Treatment protocol. Female BALB/c mice received on weekdays a daily dose of either the vehicle (20% cyclodextrin) or the negative allosteric modulator of CaSR, NPS 2143 (10 mg/kg), via gavage (indicated by dark cells). On day 8, colitis was induced by 2.5% dextran sulphate sodium (DSS) in drinking water (ad lib.) for 7 days. After a 3-day resolution phase, the mice were sacrificed.</p>
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<p>Effects of the negative allosteric modulator of CaSR NPS 2143 on macroscopic parameters of mice with DSS-induced colitis. (<b>A</b>) Body weight of the mice during the experiment. The 2.5% DSS treatment (day 8–14) is indicated in the graph. (<b>B</b>) Clinical score of the mice beginning with day 8 (start of the DSS treatment). (<b>C</b>) Cumulative clinical score over the duration of the experiment (area under the curve). (<b>D</b>) Effect of NPS 2143 on colon length, (<b>E</b>) colon weight, and (<b>F</b>) spleen weight, measured on the day of sacrifice Data are presented as mean ± SD, N = 9 (NPS 2143) and 10 (vehicle), two-sided <span class="html-italic">t</span>-test or Mann–Whitney U test for (<b>C</b>), * <span class="html-italic">p</span> &lt; 0.05.</p>
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<p>Effects of the negative allosteric CaSR modulator NPS 2143 on histological scores of colons from mice with DSS-induced colitis. Representative images of hematoxylin and eosin stainings of colon Swiss rolls from mice treated with either (<b>A</b>) vehicle or (<b>B</b>) NPS 2143. Squares in the overview indicate the region of the magnified images. The plots show (<b>C</b>) inflammation score, (<b>D</b>) ulceration score, (<b>E</b>) and mucosal remodeling of the colons from mice with DSS-induced colitis treated with either the vehicle or NPS 2143. Histological evaluation was performed by an experienced pathologist under blinded conditions. Data are presented as median ± interquartile range, N = 9 (NPS 2143) and 10 (vehicle), Mann–Whitney U test, * <span class="html-italic">p</span> &lt; 0.05.</p>
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<p>Effect of the negative allosteric CaSR modulator NPS 2143 on mucin abundance in the colonic epithelium from mice with DSS-induced colitis. Representative images of Alcian blue staining for mucin of colon Swiss rolls from mice treated with either (<b>A</b>) vehicle or (<b>B</b>) NPS 2143. Squares in the overview indicate the region of the magnified images. Contrast and brightness of Swiss rolls and fields of view (FOVs) were enhanced for the purpose of presentation only. (<b>C</b>) Quantification of mucin per epithelium of the colons from mice with DSS-induced colitis treated with either the vehicle or NPS 2143. Data are presented as mean ± SD, N = 9 (NPS 2143) and 10 (vehicle), two-sided unpaired <span class="html-italic">t</span>-test.</p>
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<p>Effect of the negative allosteric CaSR modulator NPS 2143 on cell proliferation in the colons from mice with DSS-induced colitis. Representative immunofluorescence images of colon Swiss rolls from mice treated with either (<b>A</b>) vehicle or (<b>B</b>) NPS 2143 stained for KI67 (red) and counterstained with DAPI (blue). Contrast and brightness of Swiss rolls and FOVs were enhanced for the purpose of presentation only. Squares in the overview indicate the region of the magnified images. Quantification of (<b>C</b>) KI67+ cells in the tissue (<b>D</b>) and KI67+ cells in the lymph nodes of the colons from mice with DSS-induced colitis treated with either the vehicle or NPS 2143. Data are presented as mean ± SD, N = 9 (NPS 2143) and 10 (vehicle), two-sided unpaired <span class="html-italic">t</span>-test, * <span class="html-italic">p</span> &lt; 0.05.</p>
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<p>Effect of the negative allosteric CaSR modulator NPS 2143 on immune cell infiltration in the colons of mice with DSS-induced colitis. Representative immunofluorescence staining for (<b>A</b>) CD3 or (<b>B</b>) CD20 markers (green) counterstained with DAPI (blue) of colon Swiss rolls from mice treated with either the vehicle or NPS 2143. Contrast and brightness of the images were enhanced for the purpose of presentation only. Arrows indicate lymph node infiltration. Quantification of CD3+ cells (<b>C</b>) in the tissue (<b>D</b>) and in the lymph nodes of the colons from mice with DSS-induced colitis treated with either the vehicle or NPS 2143. Quantification of CD20+ cells (<b>E</b>) in the tissue (<b>F</b>) and in the lymph nodes of the colons from mice with DSS-induced colitis treated with either the vehicle or NPS 2143. Data are presented as mean ± SD, N = 9 (NPS 2143) and 10 (vehicle), two-sided unpaired <span class="html-italic">t</span>-test.</p>
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<p>Gene expression of the inflammatory markers (<b>A</b>) IL6, (<b>B</b>) TNF-α, and (<b>C</b>) IL22, the tight-junction protein (<b>D</b>) Claudin-2, and of enzymes belonging to the PGE2 pathway, (<b>E</b>) COX2, (<b>F</b>) mPGES1, (<b>G</b>) 15-PGDH, and (<b>H</b>) EP4, in the colons of mice with DSS-induced colitis treated with either the vehicle or NPS 2143. Data are presented as mean ± SD, N = 9 (NPS 2143) and 10 (vehicle). Statistical analysis was performed with two-way ANOVA with a Šidák multiple comparison test, * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, *** <span class="html-italic">p</span> &lt; 0.001, and **** <span class="html-italic">p</span> &lt; 0.0001.</p>
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<p>Spearman correlation matrix between relevant variables (macroscopic parameters of the whole colon and molecular markers in the proximal (<b>A</b>,<b>B</b>) and distal colon (<b>C</b>,<b>D</b>)). The color and size of the circles represents the direction and size of the correlation coefficients, respectively. Blue circles represent positive correlation (r &gt; 0), and red circles represent negative correlation (r &lt; 0). Small, whitish circles display insignificant correlation. Asterisks indicate significant correlation coefficients (* <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, and *** <span class="html-italic">p</span> &lt; 0.001). Statistical analysis and visualization were performed using R (version 4.2.1) and RStudio (version 2022.07.02+576) (Boston, MA, USA).</p>
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11 pages, 934 KiB  
Article
Cardiac Damage in Patients Infected with Different SARS-CoV-2 Variants of Concern
by Francesco Robert Burkert, Martina Oberhollenzer, Daniela Kresse, Sarah Niederreiter, Vera Filippi, Lukas Lanser, Günter Weiss and Rosa Bellmann-Weiler
Microorganisms 2024, 12(12), 2617; https://doi.org/10.3390/microorganisms12122617 - 18 Dec 2024
Viewed by 180
Abstract
Coronavirus Disease 2019 causes significant morbidity, and different variants of concern (VOCs) can impact organ systems differently. We conducted a single-center retrospective cohort analysis comparing biomarkers and clinical outcomes in hospitalized patients infected with the wild-type or Alpha (wt/Alpha) VOC against patients infected [...] Read more.
Coronavirus Disease 2019 causes significant morbidity, and different variants of concern (VOCs) can impact organ systems differently. We conducted a single-center retrospective cohort analysis comparing biomarkers and clinical outcomes in hospitalized patients infected with the wild-type or Alpha (wt/Alpha) VOC against patients infected with the Omicron VOC. We included 428 patients infected with the wt/Alpha VOC and 117 patients infected with the Omicron VOC. The Omicron cohort had higher maximal median high-sensitivity Troponin-T (hs-TnT) levels (wt/Alpha: 12.8 ng/L, IQR 6.6–29.5 vs. Omicron: 27.8 ng/L, IQR 13.7–54.0; p < 0.001) and N-terminal prohormone of brain natriuretic peptide (NT-proBNP) (wt/Alpha: 256 ng/L, IQR 74.5–913.5 vs. Omicron: 825 ng/L, IQR 168–2759; p < 0.001) levels. This remained true for patients under 65 years of age and without pre-existing cardiovascular disease (hs-TnT (wt/Alpha: 6.1 ng/L, IQR 2.5–10.25 vs. Omicron: 8.6 ng/L, IQR 6.2–15.7; p = 0.007) and NT-proBNP (wt/Alpha: 63 ng/L, IQR 25–223.75 vs. Omicron: 158 ng/L, IQR 75.5–299.5; p = 0.006)). In-hospital mortality was similar between the two groups (wt/Alpha: 53 or 12.7% vs. Omicron: 9 or 7.7%; p = 0.132) and more patients infected with wt/Alpha VOC required intensive care admission (wt/Alpha: 93 or 22.2% vs. Omicron: 14 or 12%; p = 0.014). Increased cardiac biomarkers were correlated with a higher risk of mortality and ICU admission in both groups. Herein, we detected higher levels of cardiac biomarkers in hospitalized patients infected with the Omicron VOC when compared to wt/Alpha, being indicative of higher cardiac involvement. Although hs-TnT and NT-proBNP levels were higher in the Omicron cohort and both markers were linked to in hospital mortality in both groups, the mortality rates were similar. Full article
(This article belongs to the Special Issue Current Challenges in Infectious Diseases Post COVID-19 Pandemic)
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<p>Comparison of NT-proBNP, CK and TnT between wt/Alpha and Omicron (statistical test applied: Kruskal–Wallis test by ranks; statistical significance designated as <span class="html-italic">p</span> &lt; 0.05). Interpretation: Lower whisker: lower-quartile group; Box: interquartile range; Horizontal black line: median value; Upper whisker: upper-quartile group; Extreme outliers were excluded to ease interpretation.</p>
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<p>Forest plot analyzing the effects of pre-existing diseases on in-hospital mortality in both study periods.</p>
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<p>Forest plot analyzing the effects of pre-existing diseases and Omicron infection (as opposed to infection with the wt/Alpha variant) on in-hospital mortality.</p>
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21 pages, 3793 KiB  
Article
Long-Term Monitoring of the Behavior of Modified Bitumens of RC Type
by Michal Varaus, Ondřej Dašek, Petr Hýzl, Dušan Stehlík and Markus Spiegl
Appl. Sci. 2024, 14(24), 11794; https://doi.org/10.3390/app142411794 - 17 Dec 2024
Viewed by 197
Abstract
This paper discusses the properties of OMV Starfalt® PmB 45/80 RC bituminous binder developed by the Austrian oil company OMV Downstream GmbH (OMV, Vienna, Austria), intended to be used for the recycling of reclaimed asphalt mixtures (RAP). The binder is characterized by [...] Read more.
This paper discusses the properties of OMV Starfalt® PmB 45/80 RC bituminous binder developed by the Austrian oil company OMV Downstream GmbH (OMV, Vienna, Austria), intended to be used for the recycling of reclaimed asphalt mixtures (RAP). The binder is characterized by various adjusted properties like higher needle penetration, higher softening point and higher elastic recovery (close to 95–100%), with the aim to compensate for the properties of the aged binder contained in the reclaimed asphalt. Three experimental sections were laid in the Czech Republic. Monitoring was performed on these sections (cores were taken after 0, 6, 12, 24, 44 and 93 months) with a consecutive analysis of the properties of the used binder—the binder was extracted from the cores and tested for penetration, softening point, critical temperature at bending beam rheometer (BBR), complex modulus and phase angle using a dynamic shear rheometer (DSR). The previously described binder was used during the construction of trial sections in the villages Domasov and Lednice and near the city Opava. In the first case, a surface course mixture of asphalt concrete type (AC surf 11+) contained 18% of RAP, whereas in the second and third case, a binder course mixture of asphalt concrete type (AC bin 22 S) comprised 23% and 39% of RAP, respectively. After approx. 8 years (Domasov and Lednice) and 3.5 years (Opava) in service, no failures or defects were recorded at any of the sections. This paper gives an update of the research work carried out in 2019 with the latest results from 2023. Full article
(This article belongs to the Section Materials Science and Engineering)
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<p>Penetration of fresh PmB 45/80 RC binder and recovered binder at 0 years, half a year, 1 year, 2 years, approx. 4 years and approx. 8 years.</p>
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<p>Softening point of fresh PmB 45/80 RC binder and recovered binder after 0 years, half a year, 1 year, 2 years, approx. 4 years and approx. 8 years.</p>
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<p>Critical temperature at flexural creep stiffness (BBR) S = 300 MPa after 0 years, half a year, 1 year, 2 years, approx. 4 years and approx. 8 years.</p>
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<p>Critical temperature at m-value (BBR) m = 0.3 after 0 years, half a year, 1 year, 2 years, approx. 4 years and approx. 8 years.</p>
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<p>Critical temperature difference ΔTc after 0 years, half a year, 1 year, 2 years, approx. 4 years and approx. 8 years.</p>
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<p>Rheological properties in DSR—complex shear modulus G* of RAP, fresh PmB 45/80 RC and the resulting binder from the Domasov section.</p>
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<p>Rheological properties in DSR—phase angle of RAP, fresh PmB 45/80 RC and the resulting binder from the Domasov section.</p>
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<p>Rheological properties in DSR—Black diagrams of RAP, fresh PmB 45/80 RC and the resulting binder from the Domasov section.</p>
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<p>Needle penetration after 93 months of operation of the Domasov section for a total layer thickness of 40 mm, top half 20 mm and bottom half 20 mm.</p>
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<p>Softening point after 93 months of operation of the Domasov section for a total layer thickness of 40 mm, top half 20 mm and bottom half 20 mm.</p>
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<p>Elastic recovery after 93 months of operation of the Domasov section for a total layer thickness of 40 mm, top half 20 mm and bottom half 20 mm.</p>
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<p>Critical temperature from BBR at S = 300 MPa after 93 months of operation of the Domasov section for a total layer thickness of 40 mm, top half 20 mm and bottom half 20 mm.</p>
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<p>Critical temperature from BBR at m = 0.3 after 93 months of operation of the Domasov section for a total layer thickness of 40 mm, upper 20 mm and lower 20 mm.</p>
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<p>Difference in critical temperatures ΔTc from BBR after 93 months of operation of the Domasov section for a total layer thickness of 40 mm, top half 20 mm and bottom half 20 mm.</p>
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13 pages, 795 KiB  
Article
Irisin Predicts Poor Clinical Outcomes in Patients with Heart Failure with Preserved Ejection Fraction and Low Levels of N-Terminal Pro-B-Type Natriuretic Peptide
by Tetiana A. Berezina, Oleksandr O. Berezin, Evgen V. Novikov, Michael Lichtenauer and Alexander E. Berezin
Biomolecules 2024, 14(12), 1615; https://doi.org/10.3390/biom14121615 - 17 Dec 2024
Viewed by 267
Abstract
Background: Despite existing evidence of the high predictive value of natriuretic peptides (NPs) in patients with heart failure (HF), patients treated with guideline-directed therapy who have low or near-normal NP levels are unlikely to be correctly stratified for risk of clinical outcomes. The [...] Read more.
Background: Despite existing evidence of the high predictive value of natriuretic peptides (NPs) in patients with heart failure (HF), patients treated with guideline-directed therapy who have low or near-normal NP levels are unlikely to be correctly stratified for risk of clinical outcomes. The aim of this study is to detect plausible predictors for poor one-year clinical outcomes in patients with HFpEF and low NT-proBNP treated with in accordance with conventional guidelines. Methods: A total of 337 patients with HF with preserved ejection fraction (HFpEF) who had low levels of N-terminal natriuretic pro-peptide (NT-proBNP) at discharge due to optimal guideline-based therapy were enrolled in the study. The course of the observation was 3 years. Echocardiography and the assessment of conventional hematological and biochemical parameters, including NT-proBNP, tumor necrosis factor-alpha, high-sensitivity C-reactive protein (hs-CRP), adropin, irisin, visfatin, and fetuin-A, were performed at baseline and at the end of the study. Results: Three-year cumulative clinical endpoints (cardiovascular death, myocardial infarction or unstable angina or acute coronary syndrome, worsening HF, sudden cardiac death, or cardiac-related surgery or all-cause death) were detected in 104 patients, whereas 233 did not meet the endpoint. After adjusting for an age ≥ 64 years and a presence of atrial fibrillation, diabetes mellitus, chronic kidney disease (CKD) stages 1–3 and dilated cardiomyopathy, the multivariable Cox regression analysis showed that an irisin level of ≤7.2 ng/mL was an independent predictor of cumulative clinical endpoint. Moreover, patients with levels of irisin > 7.2 ng/mL had a better Kaplan–Meier survival rate than those with a lower serum irisin level (≤7.2 ng/mL). Conclusions: Multivariable analysis showed that an age ≥ 64 years; the presence of atrial fibrillation, diabetes mellitus, CKD stages 1–3 and dilated cardiomyopathy; an LAVI ≥ 39 mL/m2; and serum levels of hs-CRP ≥ 6.10 mg/L, irisin ≤ 7.2 ng/mL, and visfatin ≤ 1.1 ng/mL were predictors of poor clinical outcomes in HFpEF with low levels of NT-proBNP. A serum level of irisin ≤ 7.2 ng/mL could emerge as valuable biomarker for predicting long-term prognosis among HFpEF patients with low or near-normal levels of NT-proBNP. Full article
(This article belongs to the Special Issue New Insights into Cardiometabolic Diseases)
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<p>Flowchart of the study design. Abbreviations: ACS, acute coronary syndrome; CV, cardiovascular; ESRD, end-stage renal disease; HF, heart failure; HFpEF, heart failure with preserved ejection fraction; HFrEF, heart failure with reduced ejection fraction; HFmrEF, heart failure with mildly reduced ejection fraction; LVEF, left ventricular ejection fraction; MI, myocardial infarct; TNF-alpha, tumor necrosis factor-alpha; hs-CRP, high-sensitivity C-reactive protein; hs-TrT, high-sensitivity troponin T; NT-proBNP, N-terminal natriuretic pro-peptide.</p>
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<p>Kaplan–Meier curves for 3-year cumulative clinical endpoint. Abbreviations: OR, odds ratio; CI, confidence interval.</p>
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18 pages, 1730 KiB  
Article
Urinary Output as a Predictor of Mortality in Cardiogenic Shock: An Explorative Retrospective Analysis
by Sebastian Markart, Alexander Hermann, Florian Chiari, Gottfried Heinz, Walter S. Speidl, Max Lenz, Christian Hengstenberg, Peter Schellongowski, Thomas Staudinger and Robert Zilberszac
J. Clin. Med. 2024, 13(24), 7706; https://doi.org/10.3390/jcm13247706 - 17 Dec 2024
Viewed by 201
Abstract
Background/Objectives: Cardiogenic shock (CS) remains a critical condition with high mortality rates despite advances in treatment. This study aimed to evaluate the prognostic significance of urinary output at various time intervals during CS and its effectiveness as a predictor of 30-day mortality, [...] Read more.
Background/Objectives: Cardiogenic shock (CS) remains a critical condition with high mortality rates despite advances in treatment. This study aimed to evaluate the prognostic significance of urinary output at various time intervals during CS and its effectiveness as a predictor of 30-day mortality, particularly in comparison to the Simplified Acute Physiology Score 3 (SAPS 3). Methods: We conducted a retrospective analysis of 96 patients diagnosed with CS, assessing urinary output at different intervals (0–6 h, 6–12 h, 12–24 h, and 0–24 h) as potential predictors of 30-day mortality. SAPS 3 was calculated for all patients, and its predictive value was compared to that of urinary output using both univariate and multivariate analyses. Additional analyses included ROC curve assessment and Kaplan–Meier survival analysis. Results: Urinary output at 6–12 h was significantly associated with 30-day mortality in univariate analysis. Area under the receiver operating characteristic curves (AUROCs) for urinary output at 0–6 h, 6–12 h, and 12–24 h was 0.61 (p = 0.07), 0.63 (p = 0.04), and 0.61 (p = 0.08), respectively. These AUROCs did not differ significantly between the three urinary output parameters. Regarding the cumulative urinary output of 0–24 h, the most pronounced impact was observed in patients producing less than 0.5 mL/kg/h. In multivariate analysis, when combined with SAPS 3, the predictive power of urinary output diminished. SAPS 3 alone demonstrated significant predictive value with an AUROC of 0.77 (p < 0.001). Conclusions: While early urinary output is a valuable predictor of 30-day mortality in patients with CS, its prognostic strength is limited when considered alongside comprehensive risk assessments like SAPS 3. These findings suggest that a multifaceted approach, incorporating both early and comprehensive indicators, is essential for accurately predicting outcomes in CS patients. Full article
(This article belongs to the Section Intensive Care)
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<p>Patient selection flowchart.</p>
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<p>Boxplots illustrating urinary output parameters (mL/h) in relation to 30-day mortality. Outliers are marked as dots, with extreme values represented by asterisks. Abbreviations: UO0–6 = urinary output 0–6 h post-admission; UO6–12 = urinary output 6–12 h post-admission; UO12–24 = urinary output 12–24 h post-admission.</p>
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<p>Kaplan–Meier survival curves for cumulative urinary output after 24 h stratified into 4 groups (&lt;0.5 mL/kg/h, 0.5–1 mL/kg/h, 1–2 mL/kg/h, &gt;2 ml/kg/h). Exploratory log-rank test for patients with &lt;0.5 mL/kg/h versus all remaining patients with ≥0.5 ml/kg/h.</p>
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<p>Receiver operating characteristics (ROC) curves for urinary output parameters and SAPS 3 in relation to 30-day mortality. The reference line is set at an area of 0.5. Abbreviations: UO0–6 = urinary output 0–6 h in mL/h; UO6–12 = urinary output 6–12 h in mL/h; UO12–24 = urinary output 12–24 h in mL/h; SAPS 3 = Simplified Acute Physiology Score 3.</p>
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<p>Receiver operating characteristic (ROC) curves for the three primary urinary output parameters in multivariate combination (orange line) and for urinary output 0–24 h (violet line) in relation to 30-day mortality. AUCs are listed in <a href="#jcm-13-07706-t005" class="html-table">Table 5</a>.</p>
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22 pages, 7210 KiB  
Article
Unlocking Trust and Acceptance in Tomorrow’s Ride: How In-Vehicle Intelligent Agents Redefine SAE Level 5 Autonomy
by Cansu Demir, Alexander Meschtscherjakov and Magdalena Gärtner
Multimodal Technol. Interact. 2024, 8(12), 111; https://doi.org/10.3390/mti8120111 - 17 Dec 2024
Viewed by 258
Abstract
As fully automated vehicles (FAVs) advance towards SAE Level 5 automation, the role of in-vehicle intelligent agents (IVIAs) in shaping passenger experience becomes critical. Even at SAE Level 5 automation, effective communication between the vehicle and the passenger will remain crucial to ensure [...] Read more.
As fully automated vehicles (FAVs) advance towards SAE Level 5 automation, the role of in-vehicle intelligent agents (IVIAs) in shaping passenger experience becomes critical. Even at SAE Level 5 automation, effective communication between the vehicle and the passenger will remain crucial to ensure a sense of safety, trust, and engagement. This study explores how different types and combinations of information provided by IVIAs influence user experience, acceptance, and trust. A sample of 25 participants was recruited for the study, which experienced a fully automated ride in a driving simulator, interacting with Iris, an IVIA designed for voice-only communication. The study utilized both qualitative and quantitative methods to assess participants’ perceptions. Findings indicate that critical and vehicle-status-related information had the highest positive impact on trust and acceptance, while personalized information, though valued, raised privacy concerns. Participants showed high engagement with non-driving-related activities, reflecting a high level of trust in the FAV’s performance. Interaction with the anthropomorphic IVIA was generally well received, but concerns about system transparency and information overload were noted. The study concludes that IVIAs play a crucial role in fostering passenger trust in FAVs, with implications for future design enhancements that emphasize emotional intelligence, personalization, and transparency. These findings contribute to the ongoing development of IVIAs and the broader adoption of automated driving technologies. Full article
(This article belongs to the Special Issue Cooperative Intelligence in Automated Driving-2nd Edition)
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<p>Participant reading and playing games while driving in FAV.</p>
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<p>Rating overview of all IVIA-generated information.</p>
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<p>Situational Trust Scale for Automated Driving (<span class="html-italic">n</span> = 25).</p>
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<p>Car Technology Acceptance Model (<span class="html-italic">n</span> = 25).</p>
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<p>Subjective Assessment of Speech System Interfaces (<span class="html-italic">n</span> = 25).</p>
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<p>UEQ with trust, novelty and perspicuity scales (<span class="html-italic">n</span> = 25).</p>
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<p>Ratings of information types.</p>
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<p>Ratings of information types sub-categories.</p>
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<p>Driving simulation route with event descriptions.</p>
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25 pages, 1331 KiB  
Article
An Experiment of AI-Based Assessment: Perspectives of Learning Preferences, Benefits, Intention, Technology Affinity, and Trust
by Ari Alamäki, Umair Ali Khan, Janne Kauttonen and Stephan Schlögl
Educ. Sci. 2024, 14(12), 1386; https://doi.org/10.3390/educsci14121386 - 17 Dec 2024
Viewed by 342
Abstract
The rising integration of AI-driven assessment in education holds promise, yet it is crucial to evaluate the correlation between trust in general AI tools, AI-based scoring systems, and future behavioral intention toward using these technologies. This study explores students’ perspectives on AI-assisted assessment [...] Read more.
The rising integration of AI-driven assessment in education holds promise, yet it is crucial to evaluate the correlation between trust in general AI tools, AI-based scoring systems, and future behavioral intention toward using these technologies. This study explores students’ perspectives on AI-assisted assessment in higher education. We constructed a comprehensive questionnaire supported by relevant studies. Several hypotheses grounded in the literature review were formulated. In an experimental setup, the students were tasked to read a designated chapter of a paper, answer an essay question about this chapter, and then have their answers evaluated by an AI-based essay grading tool. A comprehensive data analysis using Bayesian regression was carried out to test several hypotheses. The study finds that remote learners are more inclined to use AI-based educational tools. The students who believe that AI-based essay grading is less effective than teacher feedback have less trust in AI-based essay grading, whereas those who find it more effective perceive more benefit from it. In addition, students’ affinity for technology does not significantly impact trust or perceived benefits in AI-based essay grading. Full article
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<p>Diagram of regression models and related hypotheses. Four separate regression models were fitted with outcomes preferring AI over teacher, intention to use AI tools, perceived benefits, and trust in AI-based essay tool. Variables marked with red were associated with the essay-grading tool.</p>
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<p>Marginal means for variables (<b>a</b>) preferring AI over teacher, and (<b>b</b>) preferred study style and preferred study location. Error bars indicate HDI 95%.</p>
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<p>Marginal means for variable preferring AI over teacher. Error bars indicate HDI 95%.</p>
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<p>Marginal means for variables (<b>a</b>) preferring AI over teacher, and (<b>b</b>) preferred study style and preferred study location. Error bars indicate HDI 95%.</p>
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17 pages, 4508 KiB  
Article
Towards Efficient Memory Architectures: Low-Power Noise-Immune RRAM
by Nermine M. Edward, Sahar M. Hamed, Wagdy R. Anis and Nahla Elaraby
Energies 2024, 17(24), 6349; https://doi.org/10.3390/en17246349 - 17 Dec 2024
Viewed by 191
Abstract
The performance of Static Nanomaterials Random-Access Memories (SRAMs) is often degraded in the sub-threshold region as it is susceptible to increased access energy and leakage power. However, the low-power operation of SRAM is very much essential for efficient device functioning. Accordingly, designing robust [...] Read more.
The performance of Static Nanomaterials Random-Access Memories (SRAMs) is often degraded in the sub-threshold region as it is susceptible to increased access energy and leakage power. However, the low-power operation of SRAM is very much essential for efficient device functioning. Accordingly, designing robust SRAM cells that maintain stability and minimize power consumption is a key challenge. In this regard, with this ongoing work, the authors present novel designs of SRAMs using memristor technology by mitigating the shortcomings discussed above. This paper proposes a novel SRAM architecture of four transistors and five memristors, by integrating memristor technology to achieve drastic improvement in performance at subthreshold regions. Further, it performs an analysis of the metrics of static noise margin and power consumption to comprehensively evaluate the proposed SRAM designs. Simulation using Cadence Virtuoso for 65 nm technology demonstrates that power consumption for a 4T5M cell is about two and a half times lower than for 4T4M and 1.2 times lower than for 4T3M, hence proving that it will be promising for extremely low-power applications. Full article
(This article belongs to the Section F3: Power Electronics)
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<p>A 6T SRAM cell [<a href="#B12-energies-17-06349" class="html-bibr">12</a>].</p>
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<p>Pinched hysteresis loop of memristor arrows shows the voltage vs. the current [<a href="#B26-energies-17-06349" class="html-bibr">26</a>].</p>
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<p>The 4T2M SRAM cell [<a href="#B26-energies-17-06349" class="html-bibr">26</a>].</p>
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<p>The 7T1M SRAM cell [<a href="#B25-energies-17-06349" class="html-bibr">25</a>].</p>
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<p>The 4T4M SRAM cell [<a href="#B29-energies-17-06349" class="html-bibr">29</a>].</p>
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<p>The 4T3M SRAM cell [<a href="#B28-energies-17-06349" class="html-bibr">28</a>].</p>
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<p>The 4T5M SRAM cell.</p>
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<p>Hysteresis loop of the memristor used in the 4T5M SRAM cell.</p>
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<p>Memristor-based inverter.</p>
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<p>Input and output waveforms of the inverter circuit.</p>
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<p>Evidence that the 4T5M SRAM cell is non-volatile.</p>
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<p>SNM of the 4T5M SRAM cell at different temperatures.</p>
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<p>WSNM values at 900 mv for various pull-up ratios for 65 nm.</p>
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<p>Write operation of the 4T5M SRAM cell.</p>
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<p>Read operation of the 4T5M SRAM cell.</p>
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14 pages, 5740 KiB  
Communication
MR Elastography Using the Gravitational Transducer
by Omar Isam Darwish, Vitali Koch, Thomas J. Vogl, Marcos Wolf, Katharina Schregel, Arnie Purushotham, Valérie Vilgrain, Valérie Paradis, Radhouene Neji and Ralph Sinkus
Sensors 2024, 24(24), 8038; https://doi.org/10.3390/s24248038 - 17 Dec 2024
Viewed by 250
Abstract
MR elastography is a non-invasive imaging technique that provides quantitative maps of tissue biomechanical properties, i.e., elasticity and viscosity. Currently, hepatic MR elastography is deployed in the clinic to assess liver fibrosis in MAFLD patients. In addition, research has demonstrated MR elastography’s ability [...] Read more.
MR elastography is a non-invasive imaging technique that provides quantitative maps of tissue biomechanical properties, i.e., elasticity and viscosity. Currently, hepatic MR elastography is deployed in the clinic to assess liver fibrosis in MAFLD patients. In addition, research has demonstrated MR elastography’s ability to non-invasively assess chronic liver disease and to characterize breast cancer lesions and brain tumors. MR elastography requires efficient mechanical wave generation and penetration, motion-sensitized MRI sequences, and MR elastography inversion algorithms to retrieve the biomechanical properties of the tissue. MR elastography promises to enable non-invasive and versatile assessment of tissue, leading to better diagnosis and staging of several clinical conditions. Full article
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<p>Dependence of shear wavelength on local stiffness. (<b>A</b>) Finite element simulation of a wavefield with a homogeneous background and a hard inclusion. (<b>B</b>) The corresponding line profile shows that the local wavelength (green arrows) changes depending on the underlying stiffness. Additionally, the amplitude of the wave drops due to an intrinsic loss mechanism (viscosity). “Imaging” the shear wave allows the local biomechanical properties to be recovered in return.</p>
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<p>Gravitational transducer concept. (<b>A</b>) The gravitational transducer consists of a casing that hosts a spinning eccentric mass (a) which is connected via a gearbox (b,c) to an external flexible driveshaft (d). (<b>B</b>) The closed transducer is very compact, and for abdominal applications, it is strapped to the patient’s body via an elastic belt. (<b>C</b>) Its generic design allows seamless integration into concepts that enable, for instance, cranial MRE. (<b>D</b>) The frequency response spectrum when operated at 30 Hz shows no upper harmonics. (<b>E</b>) The research demonstrator version of the gravitational MRE concept had the driving unit outside the MRI room with the flexible driveshaft going through the waveguide towards the patient table. The picture shows the installation at the University Hospital Frankfurt am Main, Hesse, Germany. (<b>F</b>) To improve patient comfort for abdominal applications, the transducer has a curved contact plate with a gel pad. Curvature and size of the contact plate are easily adaptable to different applications.</p>
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<p>MRE sequence concepts. (<b>A</b>) Sinusoidal mechanical vibration generated by the MRE transducer is for clinical applications typically in the 40–60 Hz range. Thus, one period corresponds to roughly Tvib~20 ms. (<b>B</b>) SE-based sequences typically use MEGs (green) that operate at the vibration frequency. This leads to a long shot duration, i.e., the time interval encompassing excitation and readout. Temporal delays (red rectangle) are used to shift to the next wave phase <math display="inline"><semantics> <mrow> <mi mathvariant="sans-serif">Φ</mi> </mrow> </semantics></math> once all slices Si have been acquired (i ∈ [1, 2, 3 … N], N = # of slices). (<b>C</b>) Fractional motion encoding concepts enable significant scan time reduction at the cost of a loss to motion sensitivity. Initial approaches still had the temporal delays separate from each shot, thereby perturbing eddy current steady state [<a href="#B12-sensors-24-08038" class="html-bibr">12</a>]. (<b>D</b>) More sophisticated concepts overcame this by incorporating the delays into each shot, thereby further reducing scan time. (<b>E</b>) SMS finally opened a straightforward way to acquire 3D MRE datasets within a single breath hold.</p>
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<p>From MRE raw data to wavefield displacement vector. The MRE data acquisition provides snapshots of the propagating wave. When looked at pixel-wise, a sinusoidal modulation of the MRI phase is observed for each of the three encoding directions (readout [M], phase encoding [P], slice direction [S]). A temporal Fourier transform yields the corresponding amplitudes <math display="inline"><semantics> <mrow> <msub> <mrow> <mi>A</mi> </mrow> <mrow> <mi>i</mi> </mrow> </msub> </mrow> </semantics></math> and phases <math display="inline"><semantics> <mrow> <msub> <mrow> <mi>φ</mi> </mrow> <mrow> <mi>j</mi> </mrow> </msub> </mrow> </semantics></math> of the complex-valued displacement vector of the wavefield in direction i ∈ (M, P, S). This approach assumes a temporal steady state, i.e., there are no transient effects, and the time component is purely described by sinusoidal temporal modulation at the driving frequency.</p>
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<p>Mathematical foundations of MRE reconstruction. (<b>A</b>) In general, any wavefield is the sum of three fields that exhibit very different mathematical properties: a source field, a rotational field, and a transport field. In our case, the total displacement vector is the sum of the compressional (source) and the transverse (rotational, shear) wave, because there are no transport effects in our experiments. (<b>B</b>) Both waves exhibit very different mathematical properties and different wavelengths since they are coupled to different mechanical properties of tissue; here, as shown for in vivo data in breast tissue: the compressional wave in our frequency domain has a very long wavelength (~m) as it is linked to the bulk modulus. Remember that tissue is incompressible, leading to a bulk modulus of the order of GPa. Conversely, the shear wave is relatively short (~m) as it is linked to the shear modulus (~kPa). Bear in mind that both moduli differ by 6 orders of magnitude! The final solution of the complex-valued shear modulus can now be interpreted in many ways: one possibility is to view tissue as if shear stiffness (elasticity, spring) and shear loss (viscosity, dashpot) were organized as spring and dashpot connected in a parallel fashion (Voigt model). In reality, tissue exhibits a more complex mechanical response function leading to fractal-like mathematical representations due to its hierarchical organization.</p>
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<p>Directional wave filtering for 2D MRE and viscosity. (<b>A</b>) Magnitude image of the liver in transverse orientation. The gravitational liver transducer is located on the RHS of the patient with the gel pad visible (arrow). (<b>B</b>) The pattern of the wavefield in through-slice direction shows mainly a plane wave propagating towards the center of the patient (arrow, [mm]). (<b>C</b>) Amplitude of the Fourier transform of the wave image shown in B segmented in a pie chart fashion with additional low-pass, high-pass, and circumferential filters to generate a virtual plane shear wave in image-space after inverse Fourier transform. Bear in mind that the Z-scale is logarithmic. (<b>D</b>) Corresponding plane shear wave image showing longer wavelengths within the liver when compared to regions of subcutaneous fat (arrow). (<b>E</b>) Result of the 2D approximation depicting an elevated shear stiffness of the liver of a patient with severe liver fibrosis (F4-grade) [kPa]. (<b>F</b>) Corresponding map of the shear viscosity resulting from a full 3D inversion of the wavefield [kPa]. Data from University Hospital Frankfurt am Main, Hesse, Germany.</p>
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<p>Ultrasound gel phantom results. (<b>A</b>) Magnitude image of the experimental setup. Additionally, a water bottle is attached to the US phantom to increase its weight. (<b>B</b>) Real part of the displacement field in through-slice direction showing a grid-like pattern which originates from the boundary conditions of the phantom, i.e., its semi-flexible plastic surface. (<b>C</b>) One of the plane waves extracted from the directional filter approach presented here is travelling from left to right in the image. (<b>D</b>) Magnitude of the complex shear modulus recovered from the 2D approach. The mean value agrees very well with the corresponding gauge obtained via the 3D inversion (<b>E</b>). (<b>F</b>) Phase angle Y ∈ [0, 1] of the phantom as obtained from the 3D inversion, indicating that the material is exhibiting mainly spring-like properties.</p>
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<p>Three-dimensional MRE results in the liver. The outlines of part of the liver and the spleen are highlighted in red and blue respectively. (<b>A</b>) Magnitude image of a liver patient with low-grade fibrosis related to non-alcoholic steatohepatitis (NASH). (<b>B</b>) Magnitude image of the complex shear modulus |G*| [kPa]. (<b>C</b>) Shear elasticity Gd [kPa]. (<b>D</b>) Shear viscosity Gl [kPa]. (<b>E</b>) Shear speed Cs [m/s]. (<b>F</b>) Shear absorption a [1/mm]. (<b>G</b>) Shear wavelength l [mm]. (<b>H</b>) Shear phase angle Y [0–1]. Data from University Hospital Frankfurt am Main, Hesse, Germany. The institutional ethical review board approved this prospective study. Written informed consent was obtained from the participants.</p>
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<p>Three-dimensional MRE results in the kidney and the prostate. The outlines of the kidney and the prostate are highlighted in red and blue respectively. (<b>A</b>,<b>B</b>) T2-weighted anatomical image of the kidney and corresponding image of the shear wave speed [m/s]. Data from University Hospital Vienna, Austria. (<b>C</b>,<b>D</b>) T2-weighted anatomical image of the prostate and corresponding image of the shear speed [m/s]. Data from University Hospital Frankfurt am Main, Hesse, Germany. The institutional ethical review board approved this prospective study. Written informed consent was obtained from the participants.</p>
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<p>Three-dimensional MRE results in the breast. (<b>A</b>) T1 weighted anatomical image of the breast depicting a tumor within the green ROI. (<b>B</b>) Corresponding Z-component of the curl field demonstrating that wave propagation is not in a plane wave fashion due to the very complex boundary conditions. (<b>C</b>) Resulting shear wave speed image showing the tumor as stiff object within the otherwise rather soft breast tissue. Data from King’s College London, UK. The institutional ethical review board approved this prospective study. Written informed consent was obtained from the participants.</p>
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<p>Three-dimensional MRE results in the brain. (<b>A</b>) Axial reformation of a T1-weighted 3D MPRAGE structural image of the brain. (<b>B</b>) Corresponding image of the Z-component of the curl showing the complex and intricate shear wave pattern within the brain. (<b>C</b>) The resulting image of the shear wave speed shows a very high level of symmetry within the brain parenchyma and low values within the lateral ventricles, as expected [m/s]. Data from University Hospital Heidelberg, Germany. The institutional ethical review board approved this prospective study. Written informed consent was obtained from the participants. The data were acquired in one of the investigators in preparation of a study approved by the Ethics Committee of Heidelberg University.</p>
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