Search Results (2,369)

Background/Objectives: Although increased nociceptive excitability and deficient endogenous pain modulation are considered key features of pronociception and central sensitization, their contribution to neuropathic pain (NP) characteristics, considering stage and severity of SCI, is unclear. The aim of this study was to characterize tonic cold perception and endogenous pain modulation in individuals with and without SCI-NP, considering the stage and severity of SCI and, secondarily, NP phenotype. Methods: Temporal summation of pain (TSP) and neuropathic features were assessed using the numerical rating scale (NRS) and Douleur Neuropathique 4 screening questionnaire (DN4) during the tonic cold pressor test (CPT, 12 °C 60 s) applied to the dominant hand and foot. CPT-induced pronociception was assessed as change in algometer pressure pain thresholds (PPTs) measured at the V2, C6, and L4 dermatomes. Results: A total of 72 individuals were recruited (age-sex-matched noninjured, n = 24; SCI-NP, n = 24; SCI-noNP, n = 24 [AIS A: n = 12, AIS B-D: n = 12; subacute SCI: n = 12, chronic SCI: n = 12]). TSP in response to the foot CPT was higher in subacute compared to chronic incomplete SCI-NP, while TSP to the hand CPT was significantly higher in chronic compared to the subacute complete SCI-NP group. Evoked pain intensity during the hand CPT correlated with duration of below-level SCI-NP. The hand CPT induced widespread pronociception (lower PPT), which correlated with 7-day non-evoked (spontaneous) pain intensity in individuals with incomplete SCI-NP. Individuals with below-level NP, but not at-level NP, showed higher TSP during the foot CPT and greater hand CPT-induced L4 dermatome pronociception. Conclusions: Collectively, measurements of above and below-level temporal summation of pain and translesional-induced pronociception in the SCI-NP group highlight the role of these mechanisms in widespread central sensitization, spontaneous pain intensity, and spinothalamic tract hyperexcitability, especially in individuals diagnosed with below-level NP. Full article

This study investigates the impact of enterprise digital transformation through information and communication technology (ICT) on auditing fees. Based on data from publicly listed companies in China and employing information asymmetry theory, the research finds that the adoption of three factors associated with digital transformation—artificial intelligence (AI), cloud computing (CC), and big data technologies (BD)—exhibits a significant inverted U-shaped effect on auditing fees. Further analysis reveals that this effect is moderated by the quality of internal controls, the level of corporate governance, and discretionary accruals. These findings underscore the necessity for a nuanced understanding of the relationship between technology and auditing, as well as the importance for audit organizations to integrate new technologies into their practices to effectively respond to the rapid adoption of digital technologies by enterprises. Full article

Big Data (BD) has emerged as a pivotal tool for small and medium-sized enterprises (SMEs), offering substantial benefits in enhancing business performance and growth. This review investigates the impact of BD on SMEs, specifically focusing on business improvement, economic performance, and revenue growth. The objective of this systematic review is to evaluate the drivers and barriers of BD adoption in SMEs and assess its overall impact on operational efficiency and business outcomes. A comprehensive systematic review of 93 research papers published between 2014 and 2024 was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. The methodology included detailed analysis of research approaches, addressing biases and gaps in the literature. BD adoption in SMEs led to significant improvements in operational efficiency, revenue generation, and competitiveness. However, the studies reveal persistent challenges, such as limited financial resources and technical expertise. The review identified a reporting bias, with 47% of studies using quantitative methods, 28% employing case studies, and mixed-method and qualitative studies underrepresented (22% and 17%, respectively). This imbalance highlights a potential overreliance on quantitative approaches, which may limit the depth of insights gained. While BD offers considerable potential for driving innovation and enhancing competitiveness in SMEs, addressing the current methodological biases and resource-related barriers is crucial to fully harness its benefits. Future research should focus on diverse approaches to provide a holistic understanding of BD’s impact on SMEs. Full article

Thanks to the performance improvement introduced by micro sized functional fillers, application of epoxy composites for electrical insulation purposes has become popular. This paper investigates the dielectric properties of epoxy micro-composites filled with alumina (Al₂O₃). In particular, measurements of relative permittivity, dissipation factor, and electrical breakdown are performed, and a comprehensive statistical analysis on dielectric properties was conducted. AC breakdown strength (AC-BDS) was analyzed for normal distribution using four methods (Anderson–Darling, Shapiro–Wilk, Ryan–Joiner, and Kolmogorov–Smirnov). In addition, the AC-BDS was analyzed at risk probabilities of 1%, 5%, 10%, and 50% using Weibull distribution functions. Both normal and Weibull distributions were evaluated using the Anderson–Darling (A-D) statistic and p-value. Additionally, the log-normal, gamma, and exponential distributions of AC-BDS were examined by A-D goodness-of-fit test. The hypothesis test results of AC-BDS were fit by normal and Weibull distributions, and the compliance was evaluated by p-value and each method statistics. In addition, the experimental results of AC-BDS were fit by log-normal and gamma distributions, and the goodness-of-fit was evaluated by p-value and A-D testing. On the other hand, exponential distribution was not suitable for p-value and A-D testing. The results showed that the distributions of AC-BDS were the best using log-normal distribution. Meanwhile, statistical analysis results verified the apparent effect of temperature on dielectric properties using a paired t-test. The analysis results of this paper not only contribute to better characterization of epoxy/Al₂O₃ micro-composites but also introduce a comprehensive approach for performing statistical analysis for electrical insulation materials. Full article

More and more investments are being made in energy conversion projects from renewable energy sources (RESs), and a large number of investors are entering this sector. The focus of this study is the decision-making by the investor BD Green Energy in the Brčko District of Bosnia and Herzegovina. In order to choose the RES system that would realize this investment in the most efficient way, expert decision-making based on the fuzzy–rough approach and the Bonferroni mean operator was used. Determining the importance of the criteria was conducted using the fuzzy–rough SiWeC (simple weight calculation) method. The results of this method showed that all used criteria have similar importance for the investor. RES system selection was conducted using the fuzzy–rough CoCoSo (combined compromise solution) method. The results of this method showed that investing in photovoltaic (PV) energy is the best for the investor. This research provided guidance on how investors should make investment decisions in RES systems with incomplete information and uncertainty in the decision-making process. Full article

Objectives: This systematic review evaluates the anti-suicidal properties of Lithium in children and adolescents with Bipolar Disorder (BD), addressing gaps in evidence regarding its efficacy and safety in reducing suicidality and self-harming behaviors. Methods: A comprehensive literature search was conducted across PubMed, Web of Science, and Scopus up to February 2024. Eligible studies were those focusing on patients aged 25 years or younger, examining Lithium therapy and its impact on suicidal ideation and behaviors. The review included randomized controlled trials, longitudinal prospective and retrospective studies, and cross-sectional studies, while excluding expert opinions and case reports. Results: Evidence generally supports the efficacy of Lithium in reducing suicidal ideation and self-harming behaviors in youth with BD, though results are mixed. Randomized controlled trials demonstrated its effectiveness in mitigating suicidal thoughts during acute manic episodes, with effects persisting post-treatment. Longitudinal studies suggested that Lithium might offer superior outcomes compared to other mood stabilizers, although its specific impact on suicidality remains inconclusive. Cross-sectional studies and retrospective analyses reveal associations between Lithium use and reduced self-harming behaviors, but causality remains uncertain. While mood-stabilizing effects of Lithium offer potential benefits for reducing suicidality in youth, evidence on its direct impact on emotional dysregulation (ED) and long-term efficacy is limited. Variability in individual responses and adherence issues underscore the need for further research. Future studies should include larger, diverse samples, focus on ED symptoms, and explore Lithium mechanisms in suicidality prevention. Conclusions: Lithium remains a promising treatment for mood stabilization and reduction in suicidality in youth with BD. Full article

High-precision DCBs are essential for effective multi-frequency and multi-constellation GNSS integration, especially in processing compatible signal observations. This study utilizes data from MGEX, iGMAS, and CORS stations to estimate and analyze long time series of BDS/GNSS DCBs, focusing on stability and influencing factors. Results indicate that DCBs for the same signal, but different channels exhibit similar ranges and trends. Among BDS DCBs, those from satellites with rubidium atomic clocks are more stable than those with hydrogen atomic clocks. An upgrade and maintenance of BDS in late 2022, reported by NABU, likely contributed to DCB jumps. BDS-compatible signal DCBs show weaker stability compared to GPS and Galileo. Variations in GNSS signal processing and receiver algorithms also impact DCB stability. Converting DCBs to OSBs and performing RMS statistics revealed that smaller differences between signals increase the susceptibility of observation equations to observation quality. Full article

Background: Bortezomib (B), known as Velcade, is a reversible proteasome inhibitor approved for relapsed/refractory multiple myeloma (RRMM) patients (pts). The standard of care protocol includes eight cycles of intravenous push (IVP) injections of B and oral dexamethasone (D), which increases the toxicity. Here, we describe the results of an open-label, phase II clinical trial employing only four cycles of B/D. Methods: RRMM pts treated with at least one previous therapy qualified for the trial. Pts were treated with B 1.3 mg/m² IVP or subcutaneous (SC) on day 1, 4, 8, and 11, followed by a 10-day rest, Q21 days for four cycles; followed by maintenance therapy with once weekly B 1.6 mg/m² IVP or SC on day 1, 8, 15, and 22, followed by 13 days’ rest, repeated Q36 day. Pts received D 20 mg on the days of and days after B. Pts with a complete response (CR) were removed. Those with a partial response (PR) or stable disease (SD) were placed on maintenance therapy until progressive disease (PD), unacceptable toxicity, or pts’ decision to stop. Results: A total of 24 pts were enrolled. CR was observed in six pts (25%), PR in eight pts (33%), and SD in nine pts (37.5%). Moreover, 14 of the 24 pts (58.3%) had PR or better. Four pts had PD during induction. The grade 3 toxicities included fatigue (58%), sensory neuropathy (54%), and thrombocytopenia (50%); the grade 4 toxicities were thrombocytopenia (12.5%), fatigue (12.5%), and sensory neuropathy (12.5%). Conclusions: A short course of B/D, plus maintenance with B, is well tolerated in RRMM pts. Long-term maintenance with B/D could become an alternative to new agents. Full article

Background/Objectives: Intestinal Behçet’s disease (iBD) often requires surgical intervention, with a significant proportion of patients needing reoperation. This study aimed to investigate the risk factors associated with reoperation in patients with iBD who underwent initial bowel resection and to evaluate the perioperative and long-term outcomes in these patients. Methods: This was a retrospective case-control study analyzing patients who underwent their initial bowel resection due to iBD between 2005–2021 at a tertiary referral hospital. Reoperation was considered a surgery due to postoperative complications (within 30 days of the initial surgery) or disease progression. Results: A total of 81 patients were included. The median follow-up duration was 107.1 months, during which 26 patients (32%) underwent reoperation. Multivariable analysis showed that the presence of hematological disorders (hazards ratio [HR], 9.13; 95% confidence interval [CI], 3.79–22.02, p < 0.001), higher c-reactive protein (CRP) levels before the initial surgery (HR, 1.01; 95% CI, 1.01–1.02, p < 0.001), and a shorter specimen resection length (HR, 0.96; 95% CI, 0.93–0.99, p = 0.011) were risk factors for reoperation. Patients who underwent reoperation had higher rates of postoperative complications (69.2% vs. 43.6%, p = 0.031), required longer antibiotic use (12 vs. 7 days, p = 0.012), and had extended hospital stays (18 vs. 9 days, p = 0.011). They also had worse 5-year survival rates than those who did not undergo reoperation (83.5% vs. 98.4%, p = 0.012). Conclusions: Concurrent hematological disorders, high preoperative CRP levels, and short specimen resection were associated with an increased risk of reoperation in patients with iBD who underwent their initial bowel resections. They also had worse perioperative and long-term outcomes. Full article

Background: Intraductal papillary mucinous neoplasms (IPMNs) display four histological subtypes: gastric foveolar, pancreaticobiliary, intestinal, and oncocytic. All of these subtypes harbor a different risk of cancer development. The clinical impact of these subtypes concerning the occurrence of high-grade dysplasia (HGD)/cancer (C) in specific morphological types, such as branch-duct (BD), main-duct (MD), and mixed-type (MT) IPMNs, has been less investigated. Hence, our aim was to investigate the prevalence of histological subtypes and their possible association with HGD/C concerning morphologically different IPMNs. Methods: This was a retrospective review of demographics, risk factors, and histological features in a surgical cohort of patients having undergone resection for suspect malignant IPMNs at a high-volume tertiary center from 2007 to 2017. Results: A total of 273 patients were resected for IPMNs from during the study period, of which 188 were included in the final analysis. With sex- and age-adjusted multivariable logistic regression analysis across the entire cohort, gastric foveolar subtypes were associated with a reduced prevalence of HGD/C (OR = 0.30; 0.11–0.81, 95% CI, 95%CI; p = 0.01). With univariable logistic regression analysis, in the BD-IPMN subgroup, the pancreaticobiliary subtype was associated with an increased prevalence of HGD/C (OR = 18.50, 1.03–329.65, 95% CI; p = 0.04). In MD- and MT-IPMNs, the gastric foveolar subtype was associated with a decreased prevalence of HGD/cancer (OR = 0.30, 0.13–0.69, 95% CI; p = 0.004). Conclusions: In MD and MT-IPMNs, the gastric-foveolar subtype is associated with a lower prevalence of HGD/C, possibly identifying in such a high-risk group, a subgroup with more indolent behavior. In BD-IPMNs, the pancreaticobiliary subtype is associated with a higher prevalence of HGD/C, conversely identifying among those patients, a subgroup deserving special attention. Full article

To address the issue of GNSS receivers being unable to function properly in tunnels due to the loss of Global Navigation Satellite System (GNSS) signals, this paper proposes a two-dimensional differential positioning system for tunnel environments based on dual leaky coaxial (LCX) cables with GNSS signal frequency relay forwarding. The system receives mixed GNSS signals from open environments and utilizes the frequency selection capabilities of the MAX2769E chip to separate and generate radio frequency signals at different frequencies corresponding to GPS, BDS, and GLONASS. These signals are then used to drive three ports of the LCX cables, which are laid in parallel within the tunnel. By leveraging the uniform radiation characteristics of the LCX cables, stable GNSS signal coverage is achieved throughout the tunnel. On the receiving end, the GNSS receiver achieves two-dimensional positioning by utilizing inter-satellite pseudorange differences and reference point error correction. The simulation results indicate that the dual T-shaped radiating LCX cables configuration offers excellent positioning accuracy and noise resistance, achieving meter-level positioning accuracy in tunnel environments. Full article

Fraxinus griffithii C. B. Clarke is introduced from Taiwan to Thailand by the Royal Project Foundation beginning of the 1980s for highland rehabilitation. To improve the growth traits and tree form characteristics, a tree breeding program for this species has been initiated. In the present study, we evaluated the among seed sources variations in growth traits (diameter at 1.3 m above the ground [DBH] and tree height) and wood traits (basic density [BD], modulus of elasticity [MOE], modulus of rupture [MOR], and compressive strength parallel to the grain [CS]) of 10-year-old F. griffithii trees originated from 15 seed sources planted in highland areas of Thailand. The mean values of measured trees were 7.25 cm in DBH, 11.59 m in tree height, 0.76 g/cm³ in basic density, 9.74 GPa in MOE, 100.78 MPa in MOR, and 38.46 MPa in CS, respectively. Broad-sense heritability ranged from 0.13 to 0.16 in growth traits and 0.02 to 0.85 in wood traits. As a result of principle component analysis and cluster analysis, 15 seed sources were classified into three groups. Of the three groups, one showed good performance in both growth and wood traits. Significant phenotypic and genetic correlations were found between growth traits and between wood traits. However, no significant correlations were found between growth and wood traits. Based on the results, it is concluded that progeny with good performance of both growth and wood traits can be produced from the combinations of superior seed sources tested in the present study. Full article

Heat stress can disrupt the balance between the heat poultry release into the environment and the heat they generate. Pequi oil has antioxidant properties, which may mitigate the heat stress effects. This study aimed to investigate the response of laying hens to pequi oil supplementation under heat stress using a proteomic approach. A total of 96 Lohmann White laying hens with 26 weeks old were housed in a completely randomized design with a 2 × 2 factorial arrangement. They were housed in two climate chambers, thermal comfort temperature ± 24.04 °C with the relative humidity ± 66.35 and heat stress (HS) ± 31.26 °C with the relative humidity ± 60.62. They were fed two diets: a control diet (CON), basal diet (BD) without additives, and with Pequi oil (PO), BD + 0.6% PO. After 84 days, plasma samples were analyzed using Shotgun and LC-MS/MS. Proteins related to anti-inflammation, transport, and the immune system were differentially expressed in hens fed PO and CON under heat stress compared to those in thermoneutral environments. This helps protect against oxidative stress and may support the body’s ability to manage heat-induced damage, stabilizing protein expression under stress conditions. The ovotransferrin proteins, fibrinogen isoforms, apolipoprotein A-I, Proteasome activator subunit 4, Transthyretin, and the enzyme serine Peptidase Inhibitor_Kazal Type 5, which presented Upregulated (Up) equal to 1, present characteristics that may be crucial for enhancing the adaptive responses of hens to thermal stress, thereby increasing their tolerance and minimizing the negative effects of heat on egg production. The data presented in this manuscript provides new insights into the plasma proteome alterations of laying hens fed a diet supplemented with pequi oil during heat stress challenges. Full article

Bacillus licheniformis 24 (BL24) is an efficient, non-pathogenic producer of 2,3-butanediol (2,3-BD). However, during inulin fermentation, the strain produces large amounts of exopolysaccharides (EPS), which interfere with the process’ performance. The present study aims to investigate the effect that inactivation of the sacB gene, encoding levansucrase in BL24, has on 2,3-BD production efficiency. Knockout of the sacB gene was accomplished via insertional inactivation. The sacB-knockout variant formed 0.57 g/L EPS from sucrose and 0.7–0.8 g/L EPS from glucose and fructose, a 15- and 2.5-fold reduction relative to the wild type, respectively. Likewise, during batch fermentation with soluble inulin Frutafit^® CLR, the mutant BLΔsacB produced significantly less EPS than the wild type, allowing the maintenance of pH at values favoring 2,3-BD synthesis. At pH 6.50, BLΔsacB reached a record titer of 128.7 g/L 2,3-BD, with productivity of 1.65 g/L/h, and a yield of 85.8% of the theoretical maximum. The obtained concentration of 2,3-BD is two-fold higher compared to that of the wild type. Subsequent RT-qPCR assays confirmed a successful sacB knockout. Three of the genes involved in inulin hydrolysis (sacA, sacC, and fruA) maintained their expression levels compared to the wild type, while that of levB increased. Although total EPS accumulation could not be completely eliminated via sacB gene knockout alone, the overall reduction in EPS content has enabled the highest yield of 2,3-BD from inulin to date, a promising result for the industrial production from inulin-rich substrates. Full article

The dynamically triple-tunable dual-band metamaterial absorber that can be electrically, thermally, and magnetically controlled is proposed in this paper. The absorber is composed of bulk Dirac Semimetal (BDS), SiO₂, and InSb layers. The physical absorption mechanism can be analyzed theoretically by the equivalent circuit model (ECM) and electric field intensity distributions at absorption peaks. In the absence of applied magnetic field, based on the bright–bright coupling effect, the average absorption rate of dual-band absorber can reach 99.4% when the Fermi energy of the BDS is 0.13 eV and the temperature of the InSb is 475 K. When the applied magnetic field is along the X axis, the absorption frequencies and rates of dual-band absorber can be electrically tuned by adjusting the BDS Fermi energy and thermally and magnetically controlled by adjusting the InSb temperature and magnetic field. Furthermore, the impacts of parameters in dual-band absorbers and the application prospects of the dual-band absorber model as a refractive index sensor are further discussed. This work provides a theoretical basis for the designs of triple-tunable absorbers and sensors. Full article