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Search Results (261)

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13 pages, 1914 KiB  
Article
Utilizing Short Interspersed Nuclear Element as a Genetic Marker for Pre-Harvest Sprouting in Wheat
by Purnima Kandpal, Karminderbir Kaur, Raman Dhariwal, Simranjeet Kaur, Gagandeep Kaur Brar, Harpinder Randhawa and Jaswinder Singh
Plants 2024, 13(21), 2981; https://doi.org/10.3390/plants13212981 - 25 Oct 2024
Viewed by 919
Abstract
Pre-harvest sprouting (PHS) is a complex abiotic stress caused by multiple exogenous and endogenous variables that results in random but significant quality and yield loss at the terminal crop stage in more than half of the wheat-producing areas of the world. Systematic research [...] Read more.
Pre-harvest sprouting (PHS) is a complex abiotic stress caused by multiple exogenous and endogenous variables that results in random but significant quality and yield loss at the terminal crop stage in more than half of the wheat-producing areas of the world. Systematic research over more than five decades suggests that addressing this challenge requires tools beyond the traditional genetic manipulation approach. Previous molecular studies indicate a possible role of epigenetics in the regulation of seed dormancy and PHS in crops, especially through RNA-directed DNA methylation (RdDM) pathways mediated by Argonaute (AGO) proteins. In this study, we explore the role of the AGO802B gene associated with PHS resistance in wheat, through the presence of a SINE retrotransposon insertion. The current study found the SINE insertion at 3′UTR of the TaAGO802B present in 73.2% of 41 cultivars analyzed and in 92.6% of the resistant cultivar subset. The average expression of TaAGO802B in cultivars with the SINE insertion was 73.3% lower than in cultivars without insertion. This study also indicated a significant positive correlation between the PHS score and methylation levels in the cultivars. The resistant cultivars with the SINE insertion recorded 54.7% lower methylation levels than susceptible cultivars. Further analysis of a DH population (Sadash × P2711) reveals that SINE insertion co-segregates with PHS resistance. This sets forth the SINE insertion in TaAGO802B as a genetic marker for screening wheat germplasm and as an efficient tool for breeding PHS-resistant wheat cultivars. Full article
(This article belongs to the Section Crop Physiology and Crop Production)
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Graphical abstract

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<p>PHS score levels in diverse Canadian wheat germplasm. The pink line represents the distribution of scores on the scale represented by the radius. A higher score denotes high susceptibility to PHS, while values approaching 0 reflect increasing resistance.</p>
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<p>Analysis of SINE insertion in <span class="html-italic">AGO802B.</span> (<b>a</b>) Agarose gel displaying polymorphism in a subset of wheat cultivars. (<b>b</b>) Graphical representation of the association of SINE insertion with PHS tolerance in Canadian wheat cultivars.</p>
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<p>Expression of <span class="html-italic">AGO802</span> gene in various wheat cultivars. (<b>a</b>) Relative fold change in various wheat cultivars with varying levels of PHS. The lowercase letters above the bar indicate a significant difference (<span class="html-italic">p</span> ≤ 0.05). (<b>b</b>) Boxplot distribution of SINE insertion in PHS-resistant and PHS-susceptible wheat cultivars.</p>
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<p>The study of global 5-mC% methylation levels in Canadian wheat cultivar panel: (<b>a</b>) 5-mC% in wheat cultivars having different levels of PHS. The lowercase letter above the bar indicates the significant difference (<span class="html-italic">p</span> ≤ 0.05). (<b>b</b>) Boxplot distribution of SINE insertion in PHS-resistant and susceptible wheat cultivars.</p>
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<p>PHS level and SINE polymorphism seen in DH population (Sadash × P2711).</p>
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12 pages, 349 KiB  
Article
Lifted Codes with Construction of Echelon-Ferrers for Constant Dimension Codes
by Yongfeng Niu and Xuan Wang
Mathematics 2024, 12(20), 3270; https://doi.org/10.3390/math12203270 - 18 Oct 2024
Viewed by 397
Abstract
Finding the highest possible cardinality, Aq(n,d;k), of the set of k-dimensional subspaces in Fqn, also known as codewords, is a fundamental problem in constant dimension codes (CDCs). CDCs find applications [...] Read more.
Finding the highest possible cardinality, Aq(n,d;k), of the set of k-dimensional subspaces in Fqn, also known as codewords, is a fundamental problem in constant dimension codes (CDCs). CDCs find applications in a number of domains, including distributed storage, cryptography, and random linear network coding. The goal of recent research papers has been to establish Aq(n,d;k). We further improved the echelon-Ferrers construction with an algorithm, and enhanced the inserting construction by swapping specified columns of the generator matrix to obtain new lower bounds. Full article
19 pages, 8774 KiB  
Article
Simulation Environment for the Testing of Electrical Arc Fault Detection Algorithms
by Jinmi Lezama, Patrick Schweitzer, Etienne Tisserand and Serge Weber
Electronics 2024, 13(20), 4099; https://doi.org/10.3390/electronics13204099 - 17 Oct 2024
Viewed by 643
Abstract
Electrical arc fault detector development requires many tests to develop and validate detection algorithms. The use of artificial intelligence or mathematical transformation requires the use of consequential datasets of current signatures corresponding to as many different situations as possible. In addition, one of [...] Read more.
Electrical arc fault detector development requires many tests to develop and validate detection algorithms. The use of artificial intelligence or mathematical transformation requires the use of consequential datasets of current signatures corresponding to as many different situations as possible. In addition, one of the main drawbacks is that these experiments take a great deal of time and are often laborious in the laboratory. To overcome these limitations, a virtual test bench based on the modeling of a modular 230 VAC electrical circuit has been developed. The simulated network is composed of different home appliances (resistor, vacuum cleaner, dimmer, etc.) and its configurations are those of single and combined loads. The fault modeled is an electric arc, modeled by active diode switching, which can be inserted at any point of the circuit. This arc model takes into account the random variations in the restrike and arc voltage. All the appliance models are validated by comparing the frequential (harmonic distortion) and temporal (agreement index) signatures of the measured currents in real situations to those obtained by modeling. The results obtained using the model and experiment network show that the current signatures are comparable in both cases. Further, two detection algorithms are tested on those current signatures obtained by the modeling and experimentation. The results are comparable and provide identical detection thresholds. Full article
(This article belongs to the Special Issue Compatibility, Power Electronics and Power Engineering)
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<p>Architecture of proposed simulation environment.</p>
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<p>Laboratory test platform.</p>
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<p>Sample of carbonized wires to test arc fault based on IEC 62606 standard.</p>
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<p>Masking load circuit configuration.</p>
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<p>Line voltage and current measured signatures (resistive load).</p>
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<p>Re–strike voltage (red) and arc voltage (blue) measured for 4 different loads.</p>
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<p>Electric–model of the arc fault.</p>
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<p>Measured and simulated arc fault currents on a resistive load.</p>
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<p>Index of agreement (d) of arc fault current on a resistive load (Load 1).</p>
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<p>THD of arc fault current on a resistive load (Load 1).</p>
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<p>Universal motor representation.</p>
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<p>Universal–motor model.</p>
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<p>Appliance model in Matlab Simulink.</p>
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<p>Vacuum–cleaner measurement current signature.</p>
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<p>Vacuum–cleaner modeled current signature.</p>
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<p>Indexof agreement of the measured and modeled currents.</p>
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<p>THD of the measured and modeled currents.</p>
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<p>First configuration of masking load.</p>
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<p>Evolution of the index of agreement (blue) results for first masking load configuration of <a href="#electronics-13-04099-f018" class="html-fig">Figure 18</a>.</p>
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<p>Evolution of THD results for first masking load configuration of <a href="#electronics-13-04099-f018" class="html-fig">Figure 18</a>.</p>
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<p>Second configuration of masking load.</p>
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<p>Measurement current signature for second masking load configuration of <a href="#electronics-13-04099-f021" class="html-fig">Figure 21</a>.</p>
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<p>Modeled current signature for second masking load configuration of <a href="#electronics-13-04099-f021" class="html-fig">Figure 21</a>.</p>
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<p>Evolution of the index of agreement results (blue) for second masking load configuration of <a href="#electronics-13-04099-f021" class="html-fig">Figure 21</a>.</p>
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<p>Evolution of THD results for second masking load configuration of <a href="#electronics-13-04099-f021" class="html-fig">Figure 21</a>.</p>
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<p>Average correlation coefficient value for first masking load configuration of <a href="#electronics-13-04099-f018" class="html-fig">Figure 18</a>.</p>
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<p>Average correlation coefficient value for second masking load configuration of <a href="#electronics-13-04099-f021" class="html-fig">Figure 21</a>.</p>
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<p>Crest factor algorithm results for first masking load configuration of <a href="#electronics-13-04099-f018" class="html-fig">Figure 18</a>.</p>
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<p>Crest factor algorithm results for second masking load configuration of <a href="#electronics-13-04099-f021" class="html-fig">Figure 21</a>.</p>
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12 pages, 665 KiB  
Article
Outcomes of Simultaneous Liver–Kidney Transplant Recipients According to Pre-Transplant Transjugular Intrahepatic Portosystemic Shunt (TIPS) in the United States
by Tristan Meier, Kathryn Schmidt, Kristin Cole, Jody C. Olson, Timucin Taner, Douglas A. Simonetto and Samy Riad
Transplantology 2024, 5(4), 234-245; https://doi.org/10.3390/transplantology5040023 - 17 Oct 2024
Viewed by 556
Abstract
Background: Previous data suggested that the outcomes for liver-alone transplant recipients following transjugular intrahepatic portosystemic shunt (TIPS) insertion were comparable to those without TIPS. This study investigates the association between TIPS and outcomes among simultaneous liver–kidney (SLK) recipients in the United States. Methods: [...] Read more.
Background: Previous data suggested that the outcomes for liver-alone transplant recipients following transjugular intrahepatic portosystemic shunt (TIPS) insertion were comparable to those without TIPS. This study investigates the association between TIPS and outcomes among simultaneous liver–kidney (SLK) recipients in the United States. Methods: Utilizing the Scientific Registry for Transplant Recipients (SRTR) standard analysis file from 2003 to 2022, we examined 9717 adult SLK recipients, among whom 858 had undergone TIPS before transplantation. Kaplan–Meier curves were generated to assess recipient and death-censored liver and kidney graft survival. Mixed-effects Cox proportional hazard models were employed to analyze the association between TIPS and the outcomes of interest, where the transplant center was treated as a random effect. The models were adjusted for recipient age, sex, MELD score, diabetes, duration of listing, induction, steroid maintenance, hepatitis C status, donor age, donor sex, cold ischemia time, local vs. shipped organs, and allocation era. Results: Overall, the two groups were comparable, with minor differences. Notably, the median liver waiting time was significantly longer in the TIPS group compared to the non-TIPS group (4.1 vs. 2 months, p < 0.001). One-year rejection rates for liver and kidney allografts did not differ significantly between groups. Univariable Cox regression analyses demonstrated no association between TIPS and worse outcomes for recipient, liver, and kidney survival (p = 0.65, p = 0.22, and p = 0.54, respectively). TIPS did not emerge as a predictor of recipient or death-censored liver or kidney graft survival in multivariable models. Conclusion: In this extensive national cohort of SLK transplant recipients, pre-transplant TIPS was not linked to adverse outcomes for recipients or their allografts. Full article
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<p>SLK transplant recipient survival by TIPS prior to transplantation.</p>
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<p>Death-censored liver graft failure in SLK recipient by TIPS prior to transplantation.</p>
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<p>Death-censored kidney graft failure in SLK recipients by TIPS prior to transplant.</p>
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23 pages, 966 KiB  
Article
Super Learner Algorithm for Carotid Artery Disease Diagnosis: A Machine Learning Approach Leveraging Craniocervical CT Angiography
by Halil İbrahim Özdemir, Kazım Gökhan Atman, Hüseyin Şirin, Abdullah Engin Çalık, Ibrahim Senturk, Metin Bilge, İsmail Oran, Duygu Bilge and Celal Çınar
Tomography 2024, 10(10), 1622-1644; https://doi.org/10.3390/tomography10100120 - 9 Oct 2024
Viewed by 661
Abstract
This study introduces a machine learning (ML) approach to diagnosing carotid artery diseases, including stenosis, aneurysm, and dissection, by leveraging craniocervical computed tomography angiography (CTA) data. A meticulously curated, balanced dataset of 122 patient cases was used, ensuring reproducibility and data quality, and [...] Read more.
This study introduces a machine learning (ML) approach to diagnosing carotid artery diseases, including stenosis, aneurysm, and dissection, by leveraging craniocervical computed tomography angiography (CTA) data. A meticulously curated, balanced dataset of 122 patient cases was used, ensuring reproducibility and data quality, and this is publicly accessible at (insert dataset location). The proposed method integrates a super learner model which combines adaptive boosting, gradient boosting, and random forests algorithms, achieving an accuracy of 90%. To enhance model robustness and generalization, techniques such as k-fold cross-validation, bootstrapping, data augmentation, and the synthetic minority oversampling technique (SMOTE) were applied, expanding the dataset to 1000 instances and significantly improving performance for minority classes like aneurysm and dissection. The results highlight the pivotal role of blood vessel structural analysis in diagnosing carotid artery diseases and demonstrate the superior performance of the super learner model in comparison with state-of-the-art (SOTA) methods in terms of both accuracy and robustness. This manuscript outlines the methodology, compares the results with state-of-the-art approaches, and provides insights for future research directions in applying machine learning to medical diagnostics. Full article
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<p>Illustration of the CCA, ICA, and ECA values and bifurcation angles of the vessels.</p>
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<p>Diameters and angles of carotid artery with the help of Sectra software. (<b>a</b>) Diameter, (<b>b</b>) 3D imaging of carotid arteries, and (<b>c</b>) artery lumen centers.</p>
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<p>Set of 3D images of the carotid arteries obtained with AW Server software for patients: (<b>a</b>) normal, (<b>b</b>) stenosis, (<b>c</b>) aneurysm, and (<b>d</b>) dissection.</p>
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<p>Workflow of the proposed AI-based approach.</p>
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17 pages, 8199 KiB  
Article
Curriculum Design and Sim2Real Transfer for Reinforcement Learning in Robotic Dual-Arm Assembly
by Konstantin Wrede, Sebastian Zarnack, Robert Lange, Oliver Donath, Tommy Wohlfahrt and Ute Feldmann
Machines 2024, 12(10), 682; https://doi.org/10.3390/machines12100682 - 29 Sep 2024
Viewed by 853
Abstract
Robotic systems are crucial in modern manufacturing. Complex assembly tasks require the collaboration of multiple robots. Their orchestration is challenging due to tight tolerances and precision requirements. In this work, we set up two Franka Panda robots performing a peg-in-hole insertion task of [...] Read more.
Robotic systems are crucial in modern manufacturing. Complex assembly tasks require the collaboration of multiple robots. Their orchestration is challenging due to tight tolerances and precision requirements. In this work, we set up two Franka Panda robots performing a peg-in-hole insertion task of 1 mm clearance. We structure the control system hierarchically, planning the robots’ feedback-based trajectories with a central policy trained with reinforcement learning. These trajectories are executed by a low-level impedance controller on each robot. To enhance training convergence, we use reverse curriculum learning, novel for such a two-armed control task, iteratively structured with a minimum requirements and fine-tuning phase. We incorporate domain randomization, varying initial joint configurations of the task for generalization of the applicability. After training, we test the system in a simulation, discovering the impact of curriculum parameters on the emerging process time and its variance. Finally, we transfer the trained model to the real-world, resulting in a small decrease in task duration. Comparing our approach to classical path planning and control shows a decrease in process time, but higher robustness towards calibration errors. Full article
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<p>Environment consisting of two robot arms, peg and hole workpieces. (<b>a</b>) Setup in simulation. (<b>b</b>) Setup in reality.</p>
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<p>Hierachical control system architecture with a central policy in form of a NN generating setpoints for the decentral low-level impedance controllers.</p>
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<p>Quantities describing the geometric relationship between the peg and the hole.</p>
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<p>Iterative training procedure of the dual-robot peg-in-hole task as reverse curriculum. Quantities represented by positions marked red will change if DR is activated.</p>
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<p>Return per training episode. Each color highlights a new iteration of the curriculum.</p>
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<p>Comparison of process time for the proposed RL-based control system in simulation and reality.</p>
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<p>Comparison of process time for the classical and the proposed RL-based control in reality.</p>
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<p>Comparison of EE forces during insertion of a squared peg for the classical and RL control strategy.</p>
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<p>Adaptation of the peg to a circular base area. Comparison of process time for the classical and the proposed RL-based control system in reality.</p>
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<p>Distribution of process cycle times for RL control with an injected base offset of 2 mm and 3 mm.</p>
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12 pages, 1540 KiB  
Article
Efficacy of Photobiomodulation in the Management of Pain and Inflammation after Dental Implants: A Randomized Clinical Trial
by Yolanda Collado-Murcia, Francisco Parra-Perez and Pia López-Jornet
J. Clin. Med. 2024, 13(19), 5709; https://doi.org/10.3390/jcm13195709 - 25 Sep 2024
Viewed by 951
Abstract
Background: Photobiomodulation (PBM) is a non-invasive procedure used to manage pain and inflammation. The aim of this study is to quantitatively measure pain and inflammation and to compare the proposed PBM treatment with a simulated treatment (PBM-SHAM) in patients with dental implants. [...] Read more.
Background: Photobiomodulation (PBM) is a non-invasive procedure used to manage pain and inflammation. The aim of this study is to quantitatively measure pain and inflammation and to compare the proposed PBM treatment with a simulated treatment (PBM-SHAM) in patients with dental implants. Materials and Methods: A total of 62 patients were included and randomized into two groups. Group 1 (PBM) consisted of 31 patients subjected to the insertion of dental implants and a single intraoral PBM session with an EPIC X Biolase (0.5 W and 15 J/cm²) diode laser. Group II (PBM-SHAM) included 31 patients subjected to dental implants and a simulated PBM. Each patient was given a document with visual analog scales (VASs) to record pain and inflammation during the 7 days post-surgery. The patients were assessed at the end of the week to remove the sutures, to collect the VASs, and to re-evaluate the surveys. Results: Through the use of mixed effects models, it was found that the length of time after the surgery and the number of implants placed during the intervention were important variables that had an influence on pain and inflammation. Conclusions: PBM is a non-invasive and safe treatment. Postoperative pain and inflammation associated with implant surgery decreased in a similar manner over time, independently of the application of PBM. Therefore, more randomized studies are needed with a standardized methodology to adequately assess the efficacy of this therapy. Full article
(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
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<p>Scheme of the study design.</p>
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<p>Top left: Intraoperative placement of two implants. Top right: Suture placement after surgery. Bottom left: Status of the suture after one week. Bottom right: Suture removal. BIOLASE EpicX, Foothill Ranch, CA, USA, diode laser device with the Pain Therapy program loaded.</p>
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<p>(<b>A</b>,<b>B</b>) Changes in pain and inflammation scores by group a–b. Pairwise comparisons between days. Different lowercase letters indicate statistically significant differences between days in the same group (Bonferroni correction). A–A. Pairwise comparisons between groups. Different uppercase letters indicate statistically significant differences between groups in the same assessment (Bonferroni correction).</p>
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<p>(<b>A</b>,<b>B</b>) Pain and inflammation scores according to the number of implants per group. A–b. Pairwise comparisons between days. Different lowercase letters indicate statistically significant differences between days in the same group (Bonferroni correction). A–B. Pairwise comparisons between groups. Different capital letters indicate statistically significant differences between groups at the same assessment (Bonferroni correction).</p>
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41 pages, 1841 KiB  
Article
A Simulation of the Necessary Total Factor Productivity Growth and Its Feasible Dual Circulation Source Pathways to Achieve China’s 2035—Economic Goals: A Dynamic Computational General Equilibrium Study
by Zike Qi
Sustainability 2024, 16(18), 8237; https://doi.org/10.3390/su16188237 - 22 Sep 2024
Viewed by 1637
Abstract
An ambitious per capita GDP target has been envisioned by the Chinese government since 2020 to project its sustainable economic growth rate by 2035. Can China fully achieve its goal? This is a question worth investigating. By inserting relevant TABLO modules of the [...] Read more.
An ambitious per capita GDP target has been envisioned by the Chinese government since 2020 to project its sustainable economic growth rate by 2035. Can China fully achieve its goal? This is a question worth investigating. By inserting relevant TABLO modules of the final goods trade, the intermediate goods trade, and factor-strengthening technology spillovers, along with technology absorption thresholds effects of the global value chain, this study builds a global recursive dynamic computational general equilibrium (CGE) model on the basis of GTAP-RD. This approach enables us to consider total factor productivity (TFP) development through the “dual circulation” system, which was pointed out by the Chinese government as the only way for further growth. We simulate China’s technological progress under eight scenarios and use the latest GTAP Version 11 production and trade data (released in April 2023) for 141 countries and regions. The main conclusions are as follows: (1) If China maintains its trade opening policy, the 2035 vision goal can be achieved, with external circulation being more important than internal circulation. (2) The economic growth impacts of external and internal circulation function relatively independently. FDI offers a somewhat stronger synergistic effect on intermediate goods trade compared to final goods trade and consumption. (3) We find that the Regional Comprehensive Economic Partnership is the most important strategic partner for China. (4) FDI is not an effective way to lift the productive services sector’s TFP, and it is more realistic for China to open up the productive services market more widely. (5) China–US decoupling has an enormous global impact, and the United States is always the country that loses the most, with Europe being the group of countries that benefits when there is a large increase in TFP in the US. This study is entirely original in terms of its model structure, simulations, scenarios, and shocks. It aims to fill the gap of extending the application of the CGE model to specific issues, thereby making contributions and supplements to the three theories discussed in the article too. The limitation of this paper lies in the CGE linear description feature, which is concise and elegant and has the characteristics of extrapolation and long-term absorption of disturbances. However, it tends to overlook the randomness, non-convergence, and significant structural disturbances that may occur in future reality. Full article
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<p>Trend of the average gross national income (GNI) per capita for the high-income group of countries (USD, current value). Source: World Bank. <a href="https://ourworldindata.org/grapher/world-bank-income-groups" target="_blank">https://ourworldindata.org/grapher/world-bank-income-groups</a> (accessed on 1 August 2024).</p>
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<p>Modified model structure of production and TFP enhancement routes.</p>
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<p>Further elaboration of TFP enhancement routes.</p>
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<p>Comparison of the four results of simulating re–industrialization in the United States.</p>
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10 pages, 1962 KiB  
Article
Infectious Diseases-Approved Virtual Reality Goggles for Common Procedures in Pediatric Surgical Patients
by Yarden Gilboa Pras, Atara Indursky, Shai Gilboa Pras, Ortal Schaffer, Eleonora Niazov and Osnat Zmora
J. Clin. Med. 2024, 13(18), 5572; https://doi.org/10.3390/jcm13185572 - 20 Sep 2024
Viewed by 605
Abstract
Background/Objective: Virtual reality (VR) technology has been reported as effective in mitigating fear, anxiety, and pain in children undergoing various medical procedures. Our aim was to test the effectiveness of non-sponge-coated mobile phone-operated VR goggles approved by infectious diseases (ID) control in [...] Read more.
Background/Objective: Virtual reality (VR) technology has been reported as effective in mitigating fear, anxiety, and pain in children undergoing various medical procedures. Our aim was to test the effectiveness of non-sponge-coated mobile phone-operated VR goggles approved by infectious diseases (ID) control in pediatric surgical patients. Methods: A prospective randomized trial in which pre-procedural and post-procedural heart rate, fear, and anxiety, and post-procedural pain were measured in pediatric surgical patients assigned to receive standard care versus standard care and VR goggles. The patients underwent line insertions, peripheral venipunctures for blood draws, drain removals, and wound care. Results: The control group and the intention-to-treat group were each randomly assigned twenty-four patients. Since eight patients who received VR goggles removed them prior to completion of the procedure, the study group included sixteen patients. In the study group, heart rate, fear, and anxiety scores were significantly lower after the procedure as compared to prior to the procedure. In the control group, these parameters were similar before and after the procedure. Post-procedural decrease in fear and anxiety was significant when comparing VR to control. However, despite better post-procedural physiological and emotional scores in the VR group as compared to control, the differences were not statistically significant. Pre-procedural anxiety was significantly higher in the study group. Conclusions: ID-approved VR goggles can reduce fear and anxiety associated with procedures commonly performed in pedicatric surgical patients. However, since increased baseline anxiety might be associated with VR, a higher benefit might be achieved if goggles were worn only by children who express a clear desire to use them. Full article
(This article belongs to the Special Issue Pediatric Surgery—Current Hurdles and Future Perspectives)
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<p>ID-approved VR goggles with smartphone docked.</p>
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<p>Repeated measure analysis for comparing changes in physiological and emotional parameters before and after the procedure in the control group and study group. (<b>A</b>) Comparison of changes in heart rate; (<b>B</b>) comparison of changes in fear scores; (<b>C</b>) comparison of changes in anxiety scores.</p>
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20 pages, 2278 KiB  
Systematic Review
Risk Factors of Velamentous Cord Insertion in Singleton Pregnancies—A Systematic Review and Meta-Analysis
by Antonios Siargkas, Ioannis Tsakiridis, Athanasios Gatsis, Catalina De Paco Matallana, Maria Mar Gil, Petya Chaveeva and Themistoklis Dagklis
J. Clin. Med. 2024, 13(18), 5551; https://doi.org/10.3390/jcm13185551 - 19 Sep 2024
Viewed by 774
Abstract
Objective: This meta-analysis aims to quantitatively summarize current data on various potential risk factors of velamentous cord insertion (VCI). A better understanding of these risk factors could enhance prenatal identification both in settings with routine screening and in those where universal screening for [...] Read more.
Objective: This meta-analysis aims to quantitatively summarize current data on various potential risk factors of velamentous cord insertion (VCI). A better understanding of these risk factors could enhance prenatal identification both in settings with routine screening and in those where universal screening for cord insertion anomalies is not yet recommended. Methods: A systematic search was conducted in MEDLINE, Cochrane Library, and Scopus from their inception until 7 February 2024. Eligible studies included observational studies of singleton pregnancies with VCI, identified either prenatally or postnatally, compared with pregnancies with central or eccentric cord insertion. Analyses were performed using DerSimonian and Laird random-effects models, with outcomes reported as risk ratios (RR) or mean differences with 95% confidence intervals (CI). Results: In total, 14 cohort and 4 case-control studies were included, reporting on 952,163 singleton pregnancies. Based on the cohort studies, the overall prevalence of VCI among singleton pregnancies was calculated to be 1.54%. The risk of VCI was significantly higher among pregnancies conceived using assisted reproductive technology (RR, 2.32; 95% CI: 1.77–3.05), nulliparous women (RR, 1.21; 95% CI: 1.15–1.28), women who smoked (RR, 1.14; 95% CI: 1.08–1.19), and pregnancies diagnosed with placenta previa (RR, 3.60; 95% CI: 3.04–4.28). Conclusions: This meta-analysis identified assisted reproductive technology, nulliparity, smoking, and placenta previa as significant risk factors of VCI among singleton pregnancies. These findings could inform screening policies in settings where universal screening for cord insertion is not routinely performed, suggesting a targeted approach for women with these specific risk factors. Full article
(This article belongs to the Special Issue Clinical Risks and Perinatal Outcomes in Pregnancy and Childbirth)
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<p>Ultrasound image depicting a velamentous cord insertion.</p>
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<p>Study selection flow diagram.</p>
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<p>Forest plot demonstrating the risk for VCI in singleton pregnancies relative to the use of ART. Abbreviations: ART, assisted reproductive technology; CI, confidence interval; M−H, Mantel−Haenszel method; VCI, velamentous cord insertion.</p>
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<p>Forest plot demonstrating the risk for VCI in singleton pregnancies relative to mean maternal age. Abbreviations: CCI, central/eccentric cord insertion; CI, confidence interval; IV, weighted mean difference; SD, standard deviation; VCI, velamentous cord insertion.</p>
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<p>Forest plot demonstrating the risk for VCI in singleton pregnancies relative to parity. Abbreviations: CI, confidence interval; M−H, Mantel−Haenszel method; VCI, velamentous cord insertion.</p>
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<p>Forest plot demonstrating the risk for VCI in singleton pregnancies relative to smoking. Abbreviations: CI, confidence interval; M−H, Mantel−Haenszel method; VCI, velamentous cord insertion.</p>
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<p>Forest plot demonstrating the risk for VCI in singleton pregnancies relative to having a prior cesarean section. Abbreviations: CI, confidence interval; M−H, Mantel−Haenszel method; VCI, velamentous cord insertion.</p>
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<p>Forest plot of risk for VCI in singleton pregnancies relative to placenta previa. Abbreviations: CI, confidence interval; M−H, Mantel−Haenszel method; VCI, velamentous cord insertion.</p>
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<p>Forest plot demonstrating the risk for VCI in singleton pregnancies relative to chronic hypertension. Abbreviations: CI, confidence interval; M−H, Mante−Haenszel method; VCI, velamentous cord insertion.</p>
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<p>Forest plot demonstrating the risk for VCI in singleton pregnancies relative to pre-existing diabetes. Abbreviations: CI, confidence interval; M−H, Mante−Haenszel method; VCI, velamentous cord insertion.</p>
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<p>Funnel plot and Egger’s test regarding our most investigated outcome—assisted reproductive technology.</p>
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12 pages, 1537 KiB  
Article
Clinical Performance of Extra-Short (≤5.5 mm) Compared to Longer Implants Splinted under the Same Prosthesis: A Randomized Clinical Trial
by Eduardo Anitua, Adriana Montalvillo, Asier Eguia and Mohammad Hamdan Alkhraisat
Dent. J. 2024, 12(9), 292; https://doi.org/10.3390/dj12090292 - 13 Sep 2024
Viewed by 611
Abstract
Objective: This randomized controlled split-mouth trial compared the performance of 5.5 mm length implants (test group; TG) splinted within the same fixed prosthesis as longer implants (≥6.5 mm; control group; CG) in posterior regions. Methods: The primary hypothesis was that implant length does [...] Read more.
Objective: This randomized controlled split-mouth trial compared the performance of 5.5 mm length implants (test group; TG) splinted within the same fixed prosthesis as longer implants (≥6.5 mm; control group; CG) in posterior regions. Methods: The primary hypothesis was that implant length does not affect marginal bone loss (MBL) one year post-implantation, while the secondary hypotheses included implant survival, peri-implant clinical variables, and prosthetic complications. Fifteen patients (eight males, seven females) with a mean age of 67 ± 9 years were included. Results: No significant difference in the implant position between groups (p = 0.808) was observed. Implant diameters ranged from 3.00 to 4.25 mm, and the most common bone type was type I (67%). Bone density (p = 0.574) and implant insertion torque (p = 0.888) were similar between groups. Mesial MBL (mean: −0.1; range: −1.19 to 0.24 for TG, and −0.03; −1.75 to 0.45 for CG; p = 0.955) and distal MBL (mean: −0.05; range: −1.41 to 0.27 for TG, and 0.08; −1.45 to 0.72 for CG; p = 0.118) did not show statistical differences. There were no implant failures or technical complications. Conclusions: These findings suggest that 5.5 mm length implants could be a viable option for use in posterior regions, providing similar clinical outcomes to longer implants one year post-implantation. Full article
(This article belongs to the Special Issue Risk Factors in Implantology)
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<p>CONSORT flow diagram.</p>
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<p>Anatomical position of the dental implants according to the study group.</p>
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<p>(<b>a</b>) Implant placement and immediate loading. #3.6 position implant: 3.0 mm diameter; 5.5 mm length; intermediate abutment height of 4.0 mm. #3.7 position implant: 3.75 mm diameter; 6.5 mm length; intermediate abutment height of 3.5 mm. (<b>b</b>) Final restoration one year after implant placement. (Periapical rx).</p>
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10 pages, 1516 KiB  
Article
A Comparison of Conventional Rotating Method and Non-Rotating Method for Double-Lumen Tube Insertion Using a Customized Rigid J-Shaped Stylet for One-Lung Ventilation: A Randomized Controlled Trial
by Soomin Lee, Sung Joon Han, Jiho Park, Yoon-Hee Kim, Boohwi Hong, Chahyun Oh and Seok-Hwa Yoon
J. Clin. Med. 2024, 13(17), 5302; https://doi.org/10.3390/jcm13175302 - 6 Sep 2024
Viewed by 919
Abstract
Background: The conventional double-lumen tube (DLT) insertion method requires a rotatory maneuver that was developed using direct laryngoscopy and may not be optimal for video laryngoscopy. This study compared a new non-rotatory maneuver with the conventional method for DLT insertion using video [...] Read more.
Background: The conventional double-lumen tube (DLT) insertion method requires a rotatory maneuver that was developed using direct laryngoscopy and may not be optimal for video laryngoscopy. This study compared a new non-rotatory maneuver with the conventional method for DLT insertion using video laryngoscopy. Methods: Patients scheduled for thoracic surgery requiring one-lung ventilation were randomly assigned to either the rotating (R) or non-rotating (NR) method groups. All patients were intubated using a customized rigid J-shaped stylet, a video laryngoscope, and a left-sided silicone DLT. The conventional rotatory maneuver was performed in the R group. In the NR group, the stylet was inserted with its tip oriented anteriorly (12 o’clock direction) while maintaining the bronchial lumen towards the left (9 o’clock direction). After reaching the glottic opening, the tube was inserted using a non-rotatory maneuver, maintaining the initial orientation. The primary endpoint was the intubation time. Secondary endpoints included first-trial success rate, sore throat, hoarseness, and airway injury. Results: Ninety patients (forty-five in each group) were included. The intubation time was significantly shorter in the NR group compared to the R group (22.0 [17.0, 30.0] s vs. 28.0 [22.0, 34.0] s, respectively), with a median difference of 6 s (95% confidence interval [CI], 3–11 s; p = 0.017). The NR group had a higher first-attempt success rate and a lower incidence of sore throats. Conclusions: The non-rotatory technique with video laryngoscopy significantly reduced intubation time and improved first-attempt success rate, offering a viable and potentially superior alternative to the conventional rotatory technique. Full article
(This article belongs to the Section Anesthesiology)
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<p>Left-sided silicone double-lumen endotracheal tube (Human Broncho, INSUNG Medical Co., Ltd., Wonju, Republic of Korea) and a customized rigid J-shaped stylet. The stylet was designed with the same curvature as the UESCOPE<sup>®</sup> stylet for a single-lumen tube and was long enough to reach the end of the bronchial tip.</p>
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<p>The conventional method (rotatory maneuver) for double-lumen tube insertion. Initially, the stylet and bronchial lumen were aligned and oriented anteriorly (left-side image). The proximal (red arrow) and distal (yellow arrow) orifices of the tracheal lumen were oriented posteriorly. As the bronchial lumen of the tube passed through the vocal cords, the tube was rotated 90° counterclockwise (right-side image), with the proximal and distal orifices of the tracheal lumen now oriented to the right side.</p>
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<p>The new method (non-rotatory maneuver) for double-lumen tube insertion. Initially, the stylet was inserted with its tip oriented anteriorly while maintaining the bronchial lumen of the tube oriented towards the left (left-side image). The proximal (red arrow) and distal (yellow arrow) orifices of the tracheal lumen were oriented to the right side. The tube was inserted using a non-rotatory maneuver (right-side image), keeping the proximal and distal orifices oriented to the right side.</p>
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<p>CONSORT flow diagram. R group, rotatory (conventional method) group; NR group, non-rotatory (new method) group.</p>
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<p>The intubation time (T<sub>total</sub>) using conventional (R, rotatory) and the new (NR, non-rotatory) maneuvers. Left panel: Each dot represents the T<sub>total</sub> values of individual patients stratified by group, with the gapped lines on the left indicating the median (gap) and interquartile range (vertical end). Right panel: Effect size is plotted with the median difference (dot) and 95% confidence intervals (ends of the vertical error bar).</p>
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35 pages, 16771 KiB  
Article
Vulnerability Detection and Classification of Ethereum Smart Contracts Using Deep Learning
by Raed M. Bani-Hani, Ahmed S. Shatnawi and Lana Al-Yahya
Future Internet 2024, 16(9), 321; https://doi.org/10.3390/fi16090321 - 4 Sep 2024
Viewed by 753
Abstract
Smart contracts are programs that reside and execute on a blockchain, like any transaction. They are automatically executed when preprogrammed terms and conditions are met. Although the smart contract (SC) must be presented in the blockchain for the integrity of data and transactions [...] Read more.
Smart contracts are programs that reside and execute on a blockchain, like any transaction. They are automatically executed when preprogrammed terms and conditions are met. Although the smart contract (SC) must be presented in the blockchain for the integrity of data and transactions stored within it, it is highly exposed to several vulnerabilities attackers exploit to access the data. In this paper, classification and detection of vulnerabilities targeting smart contracts are performed using deep learning algorithms over two datasets containing 12,253 smart contracts. These contracts are converted into RGB and Grayscale images and then inserted into Residual Network (ResNet50), Visual Geometry Group-19 (VGG19), Dense Convolutional Network (DenseNet201), k-nearest Neighbors (KNN), and Random Forest (RF) algorithms for binary and multi-label classification. A comprehensive analysis is conducted to detect and classify vulnerabilities using different performance metrics. The performance of these algorithms was outstanding, accurately classifying vulnerabilities with high F1 scores and accuracy rates. For binary classification, RF emerged in RGB images as the best algorithm based on the highest F1 score of 86.66% and accuracy of 86.66%. Moving on to multi-label classification, VGG19 stood out in RGB images as the standout algorithm, achieving an impressive accuracy of 89.14% and an F1 score of 85.87%. To the best of our knowledge, and according to the available literature, this study is the first to investigate binary classification of vulnerabilities targeting Ethereum smart contracts, and the experimental results of the proposed methodology for multi-label vulnerability classification outperform existing literature. Full article
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<p>A sample of ScrawlD dataset.</p>
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<p>A sample of secure smart contracts in the Slither dataset.</p>
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<p>Sample RGB images.</p>
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<p>Sample Grayscale images.</p>
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<p>Sample of the dataset used in Binary Classification.</p>
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<p>The distribution of the dataset used in binary classification.</p>
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<p>VGG19 Model’s workflow.</p>
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<p>ResNet50 Model’s workflow.</p>
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<p>DenseNet201 Model’s workflow.</p>
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<p>Random Forest Model’s Workflow.</p>
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<p>KNN Model’s workflow.</p>
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<p>Sample of Multi-Dataset used.</p>
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<p>Distribution of the labels after removing the specified bytecodes.</p>
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<p>Multi-Label classification processes.</p>
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<p>VGG19-RGB-Binary.</p>
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<p>VGG19-GRAY–Binary.</p>
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<p>ResNet50-RGB-Binary.</p>
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<p>ResNet50-GRAY–Binary.</p>
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<p>DenseNet201-RGB-Binary.</p>
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<p>DenseNet201-GRAY–Binary.</p>
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<p>Random Forest-RGB-Binary.</p>
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<p>Random Forest-GRAY–Binary.</p>
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<p>KNN-RGB-Binary.</p>
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<p>KNN-GRAY-Binary.</p>
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<p>Random Forest-RGB using Approach 1 for ARTHM class.</p>
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<p>Random Forest-RGB using Approach 1 for RENT class.</p>
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<p>Random Forest-RGB using Approach 1 for TX-Origin class.</p>
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<p>Random Forest-RGB using Approach 1 for LE class.</p>
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<p>Random Forest-RGB using Approach 1 for DOS class.</p>
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<p>Random Forest-RGB using Approach 1 for TimeM class.</p>
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<p>Random Forest-RGB using Approach 1 for TimeO class.</p>
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<p>Random Forest-RGB using Approach 1 for UE class.</p>
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<p>Distribution of smart contract vulnerabilities in test set using Approach 2.</p>
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<p>Random Forest-GRAY using Approach 2 for ARTHM class.</p>
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<p>Random Forest-GRAY using Approach 2 for RENT class.</p>
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<p>Random Forest-GRAY using Approach 2 for TimeM class.</p>
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<p>Random Forest-GRAY using Approach 2 for LE class.</p>
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<p>Random Forest-GRAY using Approach 2 for the ‘Others’ class.</p>
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<p>Distribution of smart contracts vulnerabilities in test set using Approach 3.</p>
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<p>VGG19-RGB using Approach 3 for RENT class.</p>
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<p>VGG19-RGB using Approach 3 for TimeM class.</p>
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<p>VGG19-RGB using Approach 3 for TimeO class.</p>
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<p>VGG19-RGB using Approach 3 for TX-Origin class.</p>
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<p>VGG19-RGB using Approach 3 for the ‘Others’ class.</p>
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18 pages, 2711 KiB  
Review
10 Years of Convergent Neck Implants: A Systematic Review of Clinical Outcomes, Initial Original Concepts, and Changes in Surgical and Prosthetic Protocols
by Fausto Zamparini, Andrea Spinelli, Maria Giovanna Gandolfi and Carlo Prati
Appl. Sci. 2024, 14(17), 7568; https://doi.org/10.3390/app14177568 - 27 Aug 2024
Viewed by 744
Abstract
The study reviewed the state of the art of the clinical use of a convergent-neck-designed Prama implant. This implant was introduced approximately 10 years ago and was characterized by a specific and unique convergent neck with a microtextured surface (UTM surface) and Zirconium [...] Read more.
The study reviewed the state of the art of the clinical use of a convergent-neck-designed Prama implant. This implant was introduced approximately 10 years ago and was characterized by a specific and unique convergent neck with a microtextured surface (UTM surface) and Zirconium Titanium (ZirTi) implant body surface. The neck design was developed to adopt the biologically oriented preparation technique (BOPT). A critical analysis of the published clinical studies and an evaluation of the adopted clinical protocols were performed. A total of forty-six articles were eligible to be reviewed. Only sixteen clinical studies reported clinical outcomes on Prama implants, and nine of these were selected having the longest follow-up from different research groups. The clinical follow-up/duration of the studies ranged from 12 months to 6 years. The initially proposed protocols explored neck supracrestal–transmucosal placement and gained interest due to its minimally invasive concept and the ability to proceed without a pre-prosthesis second surgery. The following investigations dedicated attention to the subcrestal or equicrestal implant placement with the conventional flap approach. The clinical studies characterized by the transmucosal exposed neck approach reported high survival rates with a stable bone morphology and reduced bone loss during the follow-up. Further recent implementations included the introduction of different convergent neck heights that need to be evaluated. The use of intraoral scanner technologies and digital workflow resulted in a simpler methodology with control of the marginal crown morphology. The studies support the concept that the hard tissue parameters (such as marginal bone level, MBL) and soft tissue parameters (such as pink esthetic score, PES) were stable or improved during the follow-up. Definitive crowns, designed with low invasiveness for soft tissues, were possible thanks to the morphology of the neck. The clinical studies support the use of the Prama implant with the different neck positions, demonstrating hard tissue preservation and optimal esthetic results in the first years following insertion. However, the current body of evidence is not robust enough to draw definitive conclusions, especially in the long term, and further high-quality research (long-term randomized trials) is required to consolidate these early observations. Full article
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<p>Minimally invasive protocol performed in 2014–2015. Implant insertion in different scenarios. (<b>a</b>) Implant positioned with neck partially exposed (transmucosal insertion technique); (<b>b</b>) in post-extractive areas; (<b>c</b>) in healed crests. Note the different neck heights, decided on the basis of the soft tissue thickness.</p>
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<p>Minimally invasive protocol performed in 2014–2015 on 3 elderly patients (Patient 1 images (<b>a</b>,<b>d</b>,<b>g</b>); Patient 2 images (<b>b</b>,<b>e</b>,<b>h</b>); Patient 3 images (<b>c</b>,<b>f</b>,<b>i</b>)). Implant impression protocol with customized pick-up transfer impressions on customized trays after 3 months from impressions (<b>a</b>–<b>c</b>). Customized abutment application (<b>d</b>–<b>f</b>) and cementation of definitive crowns designed with different designs and soft tissue compressions (<b>g</b>–<b>i</b>). Note the different abutment heights and crown profiles, which were designed in accordance with the thickness of the soft tissues. In all cases, the implant abutment connection was internal to the crown, leading to lower chance of bacterial contamination.</p>
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<p>Minimally invasive protocol performed in 2014–2015. (<b>a</b>) Clinical view of convergent neck implant placed with a flapless technique immediately after flapless surgeries, (<b>b</b>) after 3 months, (<b>c</b>) after definitive crown cementation, and (<b>d</b>) after 10-year follow-up. Soft tissue stability and optimal results were observed.</p>
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<p>Clinical case performed in 2015–2016. (<b>a</b>) Post-extractive insertion of a Prama implant (#25) and (<b>b</b>) delayed insertion of a Premium SP implant (#26). Both implants were placed submerged with no exposition of the neck. A cover screw was placed on the Prama implant, while a healing screw was immediately placed on the Premium SP implant to avoid second surgeries during the subsequent prosthetic phases. (<b>c</b>) Periapical X-rays at 1-year follow-up bone stability around Prama implant and slight cervical bone loss around Premium implant. (<b>d</b>) The MBL was stable at the 8-year follow-up.</p>
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<p>Clinical case performed in 2021. Single edentulous area due to the extraction of an upper left molar with recurrent endodontic pathology (<b>a</b>). Typical morphology of Prama neck (<b>b</b>) and prosthetic crown placed with the margin at gingival level (<b>c</b>). Note the integrity of cortical bone and its stability during time (follow-up at 3 years from insertion) (<b>d</b>). The implant abutment connection was internal to the crown, leading to decreased possibility of bacterial infections and also decreased chance of screw loosening. Digital impression images before and after scan body positioning and analysis of the occlusal contacts (<b>e</b>,<b>f</b>).</p>
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<p>Digital acquisition of scan body (Carestream CS) (<b>a</b>–<b>e</b>) of Prama implant and prosthetic workflow of provisional (<b>e</b>,<b>f</b>) and definitive restoration (metal and ceramic structure) (<b>g</b>,<b>h</b>).</p>
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<p>Digital workflow around Prama Short neck implant. (<b>a</b>) The implant has a shorter convergent neck compared to traditional Prama implant. (<b>b</b>,<b>c</b>) Provisional crown was designed with graphene-reinforced resin. (<b>d</b>) Full monolithic zirconia definitive crown was subsequently digitally designed and cemented.</p>
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16 pages, 337 KiB  
Article
Probability Bracket Notation for Probability Modeling
by Xing M. Wang and Tony C. Scott
Axioms 2024, 13(8), 564; https://doi.org/10.3390/axioms13080564 - 20 Aug 2024
Viewed by 759
Abstract
Following Dirac’s notation in Quantum Mechanics (QM), we propose the Probability Bracket Notation (PBN), by defining a probability-bra (P-bra), P-ket, P-bracket, P-identity, etc. Using the PBN, many formulae, such as normalizations and expectations in systems of one or more random variables, can now [...] Read more.
Following Dirac’s notation in Quantum Mechanics (QM), we propose the Probability Bracket Notation (PBN), by defining a probability-bra (P-bra), P-ket, P-bracket, P-identity, etc. Using the PBN, many formulae, such as normalizations and expectations in systems of one or more random variables, can now be written in abstract basis-independent expressions, which are easy to expand by inserting a proper P-identity. The time evolution of homogeneous Markov processes can also be formatted in such a way. Our system P-kets are identified with probability vectors and our P-bra system is comparable with Doi’s state function or Peliti’s standard bra. In the Heisenberg picture of the PBN, a random variable becomes a stochastic process, and the Chapman–Kolmogorov equations are obtained by inserting a time-dependent P-identity. Also, some QM expressions in Dirac notation are naturally transformed to probability expressions in PBN by a special Wick rotation. Potential applications show the usefulness of the PBN beyond the constrained domain and range of Hermitian operators on Hilbert Spaces in QM all the way to IT. Full article
(This article belongs to the Special Issue Stochastic Processes in Quantum Mechanics and Classical Physics)
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