Search Results (8,104)

Due to limited communication, computing resources, and unstable environments, traditional cold chain traceability systems are difficult to apply directly to marine cold chain traceability scenarios. Motivated by these challenges, we construct an improved blockchain-based cold chain traceability system for marine fishery vessels. Firstly, an Internet of Vessels system based on the Iridium Satellites (IoV-IMS) is proposed for marine cold chain monitoring. Aiming at the problems of low throughput, long transaction latency, and high communication overhead in traditional cold chain traceability systems, based on the Practical Byzantine Fault Tolerance (PBFT) consensus algorithm, a Node-grouped and Reputation-evaluated PBFT (NR-PBFT) is proposed to improve the reliability and robustness of blockchain system. In NR-PBFT, an improved node grouping scheme is designed, which introduces a consistent hashing algorithm to divide nodes into consensus and candidate sets, reducing the number of nodes participating in the consensus process, to lower communication overhead and transaction latency. Then, a reputation evaluation model is proposed to improve the node selection mechanism of NR-PBFT. It enhances the enthusiasm of nodes to participate in consensus, which considers the distance between fishery vessels, data size, and refrigeration temperature factors of nodes to increase throughput. Finally, we carried out experiments on marine fishery vessels, and the effectiveness of the cold chain traceability system and NR-PBFT were verified. Compared with PBFT, the transaction latency of NR-PBFT shortened by 81.92%, the throughput increased by 84.21%, and the communication overhead decreased by 89.4%. Full article

This paper employs the Panel Vector Autoregression (PVAR) method to examine the dynamic interrelationship between Economic Policy Uncertainty (EPU) and stock market returns. The existing literature has not reached a consensus on the relationship between EPU and stock market returns, and there is a lack of comparative analysis of domestic and foreign EPU. Therefore, this paper is the first to incorporate domestic and foreign EPU, stock market returns, and output into a unified framework, considering the dual impact of domestic and foreign EPU shocks. Additionally, the generalizability of the results is ensured by including a large sample of nine emerging and eleven advanced economies. The main findings are as follows: First, a positive shock to foreign EPU leads to a decline in stock market returns and is stronger than the impact of domestic EPU. Second, a positive shock to stock market returns reduces both domestic and foreign EPU. Third, a rise in stock market returns promotes domestic output growth, while increases in domestic and foreign EPU suppress domestic output growth. Finally, the United States is a net exporter of EPU rather than a net importer. Full article

Research into blockchain technology has expanded significantly due to its potential to enhance transparency and trust in business operations, yet adoption is limited by technical challenges like scalability, consensus mechanisms, and security, as well as non-technical barriers such as governance and standardization. This study synthesizes findings from 21 systematic literature reviews (SLR) published between January 2009 and January 2024, focusing on the technical performance of blockchain and its integration with technologies like cloud computing and machine learning. The analysis highlights advancements in scalability, security, privacy, and smart contracts alongside areas needing more research, such as interoperability and integration with legacy systems. This comprehensive review aims to map current technological developments, identify ongoing limitations, and identify specific technical challenges that impede broader adoption. The findings direct future research towards overcoming these barriers, facilitating the smoother implementation of blockchain across various business sectors. Full article

Presently, the practice of scientific crowdsourcing still suffers from user loss, platform operational inefficiency, and many other dilemmas, mainly because the process mechanism of realizing value co-creation through interaction between users and platforms has not yet been elaborated. To fill this gap, this study takes Kaggle as the research object and explores the realization process and internal mechanism of scientific crowdsourcing value co-creation from the perspective of knowledge flow. The results show that the operation process of Kaggle-based scientific crowdsourcing can be decomposed into five progressive evolutionary stages, including knowledge sharing, knowledge innovation, knowledge dissemination, knowledge application, and knowledge advantage formation. The knowledge flow activates a series of value co-creation activities of scientific crowdsourcing, forming a dynamic evolution and continuous optimization of the value co-creation process that includes the value proposition, value communication, value consensus, and all-win value. Institutional logic plays a key role as a catalyst in the value co-creation of scientific crowdsourcing, effectively facilitating the realization of value co-creation by controlling and guiding the flow of knowledge. The study unlocks the “gray box” from knowledge flow to value co-creation, providing new theoretical support and guidance for further enhancing the value co-creation capacity and accelerating the practice of scientific crowdsourcing. Full article

Background: Chronic intestinal failure (CIF) is a heterogeneous disease that affects pediatric and adult populations worldwide and requires complex multidisciplinary management. In recent years, many advances in intravenous supplementation support, surgical techniques, pharmacological management, and intestinal transplants have been published. Based on these advances, international societies have published multiple recommendations and guidelines for the management of these patients. The purpose of this paper is to show the differences that currently exist between the recommendations (ideal life) and the experiences published by different programs around the world. Methods: A review of the literature in PubMed from 1980 to 2024 was carried out using the following terms: intestinal failure, CIF, home parenteral nutrition, short bowel syndrome, chronic intestinal pseudo-obstruction, intestinal transplant, enterohormones, and glucagon-like peptide-2. Conclusions: There is a difference between what is recommended in the guidelines and consensus and what is applied in real life. Most of the world’s countries are not able to offer all of the steps needed to treat this pathology. The development of cooperative networks between countries is necessary to ensure access to comprehensive treatment for most patients on all continents, but especially in low-income countries. Full article

Background: Despite its high prevalence and impact on health, metabolic dysfunction-associated steatotic liver disease (MASLD) is inadequately addressed in European primary care (PC), with a large proportion of cases going undiagnosed or diagnosed too late. A multi-country European research consortium led a project to design and evaluate a patient-centered, integrated model for MASLD screening, diagnosis, and linkage to specialty care for European PC settings. Based on the lessons from this project, the latest research evidence, and existing guidelines for the management of MASLD, we sought to develop a set of practice recommendations for screening, referral, and management of MASLD in PC. Methods: The Rand/UCLA modified Delphi panel method, with two rounds, was used to reach consensus on practice recommendations. The international panel consisted of experts from six countries, representing family medicine, gastroenterology, hepatology, cardiology, and public health. Initially, fifteen statements were drafted based on a synthesis of evidence from the literature and earlier findings from our consortium. Prior to the consensus meeting, the statements were rated by the experts in the first round. Then, in a hybrid meeting, the experts discussed findings from round one, adjusted the statements, and reassessed the updated recommendations in a second round. Results: In round one, there was already a high level of consensus on 10 out of 15 statements. After round 2, there were fourteen statements with a high degree of agreement (>90%). One statement was not endorsed. The approved recommendations addressed the following practice areas: risk screening and diagnosis, management of MASLD–lifestyle interventions, pharmacological treatment of MASLD/MASH, pharmacological treatment for co-morbidity, integrated care, surgical management, and other referrals to specialists. Conclusions: The final set of 14 recommendations focuses on increasing comprehensive care for MASLD in PC. The recommendations provide practical evidence-based guidance tailored to PC practitioners. We expect that these recommendations will contribute to the ongoing discussion on systematic approaches to tackling MASLD and supporting European PC providers by integrating the latest evidence into practice. Full article

Background/Objectives: Elevated glycemic variability (GV) has been associated with postoperative morbidity. Traditional preoperative fasting guidelines may contribute to high GV by driving the body into catabolism. Enhanced recovery after surgery (ERAS) protocols that include a preoperative carbohydrate load (PCL) reduce hospital length of stay and healthcare costs; however, it remains unclear whether PCL improves GV in surgical patients. The aim of this retrospective study was to determine the effect of a PCL on postoperative GV in diabetic and non-diabetic patients having gynecological surgery. Methods: Retrospective data were collected on patients who had gynecological surgery before and after the rollout of an institutional ERAS protocol that included PCL ingestion. The intervention group included patients who underwent surgery in 2019 and were enrolled in the ERAS protocol and, therefore, received a PCL. The control group included patients who underwent surgery in 2016 and, thus, were not enrolled in the protocol. The primary endpoint was GV, calculated by the coefficient of variance (CV) and glycemic lability index (GLI). Results: A total of 63 patients in the intervention group and 45 in the control were analyzed. GV was not statistically significant between the groups for CV (19.3% vs. 18.6%, p = 0.65) or GLI (0.58 vs. 0.54, p = 0.86). Postoperative pain scores (4.5 vs. 5.2 p = 0.23) and incentive spirometry measurements (1262 vs. 1245 p = 0.87) were not significantly different. A subgroup analysis of patients with and without type 2 diabetes mellitus revealed no significant differences in GV for any of the subgroups. Conclusions: This retrospective review highlights the need for additional GV research, including consensus agreement on a gold standard GV measurement. Large-scale prospective studies are needed to test the effectiveness of the PCL in reducing GV. Full article

Iron is crucial for the metabolism and growth of most prokaryotic cells. The ferric uptake regulator (Fur) protein plays a central role in regulating iron homeostasis and metabolic processes in bacteria. It ensures the proper utilization of iron and the maintenance of cellular functions in response to environmental cues. Fur proteins are composed of an N-terminal DNA-binding domain (DBD) and a C-terminal dimerization domain (DD), typically existing as dimers in solution. Fur proteins have conserved metal-binding sites named S1, S2, and S3. Among them, site S2 serves as a regulatory site, and metal binding at S2 results in conformational changes. Additionally, as a transcriptional regulator, Fur specifically binds to a consensus DNA sequence called the Fur box. To elucidate the structural and functional properties of Fur proteins, various structures of metal- or DNA-bound Fur proteins or apo-Fur proteins have been determined. In this review, we focus on the structural properties of Fur proteins according to their ligand-bound state and the drug development strategies targeting Fur proteins. This information provides valuable insights for drug discovery. Full article

An increasing trend in ancestral and classical inbreeding coefficients as well as inbreeding depression for longevity were found in the German Brown population. In addition, the proportion of US Brown Swiss genes is steadily increasing in German Browns. Therefore, the aim of the present study was to analyze the presence and genomic localization of runs of homozygosity (ROH) in order to evaluate their associations with the proportion of US Brown Swiss genes and survival rates of cows to higher lactations. Genotype data were sampled in 2364 German Browns from 258 herds. The final data set included 49,693 autosomal SNPs. We identified on average 35.996 ± 7.498 ROH per individual with a mean length of 8.323 ± 1.181 Mb. The genomic inbreeding coefficient F_ROH was 0.122 ± 0.032 and it decreased to 0.074, 0.031 and 0.006, when genomic homozygous segments > 8 Mb (F_ROH>8), >16 Mb (F_ROH>16) and >32 Mb (F_ROH>32) were considered. New inbreeding showed the highest correlation with F_ROH>32, whereas ancestral inbreeding coefficients had the lowest correlations with F_ROH>32. The correlation between the classical inbreeding coefficient and F_ROH was 0.572. We found significantly lower F_ROH, F_ROH>4, F_ROH>8 and F_IS for US Brown Swiss proportions <60% compared to >80%. Cows surviving to the 2nd, 4th, 6th, 8th, and 10th lactation had lower genomic inbreeding for F_ROH and up to F_ROH>32, which was due to a lower number of ROH and a shorter average length of ROH. The strongest ROH island and consensus ROH shared by 50% of the animals was found on BTA 6 at 85–88 Mb. The genes located in this genomic region were associated with longevity (NPFFR2 and ADAMTS3), udder health and morphology (SLC4A4, NPFFR2, GC and RASSF6), milk production, milk protein percentage, coagulation properties of milk and milking speed (CSN3). On BTA 2, a ROH island was detected only in animals with <60% US Brown Swiss genes. Genes within this region are predominantly important for dual-purpose cattle breeds including Original Browns. For cows reaching more than 9 lactations, an exclusive ROH island was identified on BTA 7 with genes assumed to be associated with longevity. The analysis indicated that genomic homozygous regions important for Original Browns are still present and also ROH containing genes affecting longevity may have been identified. The breeding of German Browns should prevent any further increase in genomic inbreeding and run a breeding program with balanced weights on production, robustness and longevity. Full article

Big data and blockchain technology are coming together to revolutionize how decisions are made in a decentralized way across various industries. This review looks at how these technologies, along with distributed systems, can improve data security, transparency, and real-time processing, making decision-making more efficient and informed. The integration enhances data security with unchangeable records, increases transparency and traceability, and supports real-time data analysis. However, there are challenges to overcome, including scalability, data privacy, interoperability, regulatory compliance, and high costs. By examining case studies such as Estonia’s healthcare system, IBM and Walmart’s Food Trust, and the Brooklyn Microgrid project, we explore the practical applications and benefits of combining big data with blockchain. Despite these hurdles, the review finds that the ongoing advancements and innovative solutions in these technologies offer significant promise. They are set to drive the adoption and effectiveness of decentralized decision-making, ultimately leading to better efficiency and outcomes across multiple sectors. Full article

Background/Objectives: The textbook outcome (TO) is a composite tool introduced to uniform surgical units and regulate surgical quality and outcomes. A patient is considered TO only if all predetermined items are met. In colorectal surgery, TO represents a new tool that can achieve important results given the prevalence of colorectal cancers. However, at present, there is a lack of uniformity in the TO’s definition. This study utilized the Delphi process to define an Italian version of the TO in colorectal cancer. Methods: The survey consisted of two rounds of online questionnaires submitted to an expert panel in colorectal oncological surgery, renowned academic surgeons, who had attended multiple scientific conferences and who were authors of papers on this specific topic. Five main topics with 26 questions were investigated through an online modified Delphi method. Items with almost 75% agreement achieved consensus. Results: Twenty-eight Italian experts were selected and participated in the two rounds. The Italian version of the textbook outcome in colorectal surgery was defined as the presence of 90-day postoperative survival, negative margins and at least 12 lymph nodes, a minimally invasive approach, ostomy fashioning if preoperatively planned, postoperative complication < Clavien–Dindo 3b, at least 10 ERAS items, no readmission, proper CHT and RT regimens, complete colonoscopy after or before surgery and Tumor Board Evaluation. Conclusions: The textbook outcome in colorectal cancer patients is a quality instrument providing a complete overview of the care of such patients, from diagnosis to treatment. We hereby propose an Italian version of the TO with outcomes chosen by an expert panel. Full article

The construction and maintenance of road infrastructure is required for the sustained economic growth of communities and societies. Nonetheless, these activities imply the tangible risk of boosting the depletion of non-renewable resources (e.g., aggregates and binders). A widely used strategy for preserving as much of these natural resources as possible is the design of high-performance composite materials. For instance, antistripping agents (ASAs) are employed to mitigate the loss of adhesive bonding between asphalt binders and aggregates, enhancing the mechanical behaviour of hot-mix asphalts (HMAs). There is still no consensus on the effectiveness of ASAs. In this regard, the present research aims to contribute to the literature by conducting a case study on the influence of three different ASAs (hydrated lime, an amines-based liquid additive, and a silanes-based liquid additive) on the moisture susceptibility, stiffness, and rutting resistance of HMA. For these purposes, indirect tensile strength, indirect tensile stiffness modulus, and uniaxial cyclic compression tests were carried out. Overall, the involved experimental protocol drew the main conclusion that the incorporation of hydrated lime as a mineral filler (at a content of 1.68% by dry weight of aggregates) is capable of improving the mechanical performance of HMAs through decreases in humidity sensitivity and permanent deformation, together with a slight increase in rigidity. Full article

Two new diagnostic classifications of acute myeloid leukemia (AML) were published in 2022 to update current knowledge on disease biology. In previous 2017-edition categories of AML with myelodysplasia-related changes, AML was not otherwise specified, but AML with mutated RUNX1 experienced profound changes. We performed whole exome sequencing on a cohort of 69 patients with cytogenetic intermediate-risk AML that belonged to these diagnostic categories to correlate their mutational pattern and copy-number alterations with their new diagnostic distribution. Our results show that 45% of patients changed their diagnostic category, being AML myelodysplasia-related the most enlarged, mainly due to a high frequency of myelodysplasia-related mutations (58% of patients). These showed a good correlation with multilineage dysplasia and/or myelodysplastic syndrome history, but at the same time, 21% of de novo patients without dysplasia also presented them. RUNX1 was the most frequently mutated gene, with a high co-occurrence rate with other myelodysplasia-related mutations. We found a high prevalence of copy-neutral loss of heterozygosity, frequently inducing a homozygous state in particular mutated genes. Mild differences in current classifications explain the diagnostic disparity in 10% of patients, claiming a forthcoming unified classification. Full article

The adoption of blockchain platforms to bolster the security of Internet of Things (IoT) systems has attracted significant attention in recent years. Currently, there is a lack of comprehensive and systematic survey papers in the literature addressing these platforms. This paper discusses six of the most popular emerging blockchain platforms adopted by IoT systems and analyses their usage in state-of-the-art works to solve security problems. The platform was compared in terms of security features and other requirements. Findings from the study reveal that most blockchain components contribute directly or indirectly to IoT security. Blockchain platform components such as cryptography, consensus mechanism, and hashing are common ways that security is achieved in all blockchain platform for IoT. Technologies like Interplanetary File System (IPFS) and Transport Layer Security (TLS) can further enhance data and communication security when used alongside blockchain. To enhance the applicability of blockchain in resource-constrained IoT environments, future research should focus on refining cryptographic algorithms and consensus mechanisms to optimise performance and security. Full article

State agencies set up to manage the agricultural properties of the State Treasury, in subsequent years of their operation, have been implementing programs that are also intended to improve the social and living situation of the inhabitants of former state-owned farm villages. Such measures include non-refundable financial support distributed by the National Support Centre for Agriculture (NSCA). The research aimed to assess whether non-refundable financial aid improves the quality of life of local communities living in rural areas, particularly in former state-owned farm areas identified as problem areas. Another objective aspect of the research was to indicate the importance of this assistance in the opinion of the beneficiaries of this form of support (district authorities) and local communities. Improvement of the quality of life of rural inhabitants and support for the development of rural areas by local governments can be achieved by taking advantage of potential development factors and opportunities emerging in the environment and by being able to establish effective cooperation with various institutions. For local development to proceed smoothly, especially in rural areas, various institutions and economic players need to reach a consensus, become involved, and work together efficiently. A possible instrument to achieve this is the non-repayable financial support distributed by the National Support Centre for Agriculture (NSCA), which-according to the research-brings measurable effects. Full article