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26 pages, 2960 KiB  
Article
Modelling of Reliability Indicators of a Mining Plant
by Boris V. Malozyomov, Nikita V. Martyushev, Nikita V. Babyr, Alexander V. Pogrebnoy, Egor A. Efremenkov, Denis V. Valuev and Aleksandr E. Boltrushevich
Mathematics 2024, 12(18), 2842; https://doi.org/10.3390/math12182842 (registering DOI) - 12 Sep 2024
Abstract
The evaluation and prediction of reliability and testability of mining machinery and equipment are crucial, as advancements in mining technology have increased the importance of ensuring the safety of both the technological process and human life. This study focuses on developing a reliability [...] Read more.
The evaluation and prediction of reliability and testability of mining machinery and equipment are crucial, as advancements in mining technology have increased the importance of ensuring the safety of both the technological process and human life. This study focuses on developing a reliability model to analyze the controllability of mining equipment. The model, which examines the reliability of a mine cargo-passenger hoist, utilizes statistical methods to assess failures and diagnostic controlled parameters. It is represented as a transition graph and is supported by a system of equations. This model enables the estimation of the reliability of equipment components and the equipment as a whole through a diagnostic system designed for monitoring and controlling mining equipment. A mathematical and logical model is proposed to calculate availability and downtime coefficients for different structures within the mining equipment system. This analysis considers the probability of failure-free operation of the lifting unit based on the structural scheme, with additional redundancy for elements with lower reliability. The availability factor of the equipment for monitoring and controlling the mine hoisting plant is studied for various placements of diagnostic systems. Additionally, a logistic concept is introduced for organizing preventive maintenance systems and reducing equipment recovery time by optimizing spare parts, integrating them into strategies aimed at enhancing the reliability of mine hoisting plants. Full article
10 pages, 558 KiB  
Article
Comparative Study of Endoscopic Treatment for Intrahepatic and Common Bile Duct Stones Using Peroral Cholangioscopy
by Yuri Sakamoto, Yohei Takeda, Taro Yamashita, Yuta Seki, Shiho Kawahara, Takayuki Hirai, Noriyuki Suto, Takuya Shimosaka, Wataru Hamamoto, Hiroki Koda, Takumi Onoyama, Kazuya Matsumoto, Kazuo Yashima, Hajime Isomoto and Naoyuki Yamaguchi
J. Clin. Med. 2024, 13(18), 5422; https://doi.org/10.3390/jcm13185422 (registering DOI) - 12 Sep 2024
Abstract
Objectives: Although peroral cholangioscopy has improved the endoscopic treatment of difficult stones, the treatment of intrahepatic stones remains challenging. The incidence of cholangitis is high when peroral cholangioscopy is used to treat intrahepatic stones. This study aimed to investigate the efficacy and [...] Read more.
Objectives: Although peroral cholangioscopy has improved the endoscopic treatment of difficult stones, the treatment of intrahepatic stones remains challenging. The incidence of cholangitis is high when peroral cholangioscopy is used to treat intrahepatic stones. This study aimed to investigate the efficacy and safety of endoscopic treatment with peroral cholangioscopy for intrahepatic and common bile duct stones. Methods: Patients aged ≥20 years, who underwent endoscopic treatment with peroral cholangioscopy for intrahepatic or common bile duct stones at Tottori University Hospital from January 2016 to December 2022, were retrospectively evaluated to determine the efficacy and safety of the treatment. Results: Overall, 70 patients were included in this study: 22 in the intrahepatic stone group and 48 in the common bile duct stone group. Stones were smaller (8 vs. 17.5 mm, p < 0.001) and more numerous (p = 0.016) in the intrahepatic stone group than in the common bile duct stone group. Although the common bile duct stone group exhibited a higher rate of complete stone clearance in the first session, no significant differences were observed in the final results. The intrahepatic stone group had a higher incidence of cholangitis (36% vs. 8%, p = 0.007); however, all cases were mild. Conclusions: Endoscopic treatment with peroral cholangioscopy for intrahepatic stones may be associated with a higher incidence of cholangitis than that for common bile duct stones. Since saline irrigation may contribute to the development of cholangitis, it is important to be aware of intraductal bile duct pressure when performing peroral cholangioscopy. Full article
25 pages, 1082 KiB  
Article
On the Existence, Uniqueness and a Numerical Approach to the Solution of Fractional Cauchy–Euler Equation
by Nazim I. Mahmudov, Suzan Cival Buranay and Mtema James Chin
Axioms 2024, 13(9), 627; https://doi.org/10.3390/axioms13090627 (registering DOI) - 12 Sep 2024
Abstract
In this research paper, we consider a model of the fractional Cauchy–Euler-type equation, where the fractional derivative operator is the Caputo with order 0<α<2. The problem also constitutes a class of examples of the Cauchy problem of the [...] Read more.
In this research paper, we consider a model of the fractional Cauchy–Euler-type equation, where the fractional derivative operator is the Caputo with order 0<α<2. The problem also constitutes a class of examples of the Cauchy problem of the Bagley–Torvik equation with variable coefficients. For proving the existence and uniqueness of the solution of the given problem, the contraction mapping principle is utilized. Furthermore, a numerical method and an algorithm are developed for obtaining the approximate solution. Also, convergence analyses are studied, and simulations on some test problems are given. It is shown that the proposed method and the algorithm are easy to implement on a computer and efficient in computational time and storage. Full article
(This article belongs to the Special Issue Applied Mathematics and Numerical Analysis: Theory and Applications)
19 pages, 1998 KiB  
Article
Collision-Free Path Planning for Multiple Drones Based on Safe Reinforcement Learning
by Hong Chen, Dan Huang, Chenggang Wang, Lu Ding, Lei Song and Hongtao Liu
Drones 2024, 8(9), 481; https://doi.org/10.3390/drones8090481 (registering DOI) - 12 Sep 2024
Abstract
Reinforcement learning (RL) has been shown to be effective in path planning. However, it usually requires exploring a sufficient number of state–action pairs, some of which may be unsafe when deployed in practical obstacle environments. To this end, this paper proposes an end-to-end [...] Read more.
Reinforcement learning (RL) has been shown to be effective in path planning. However, it usually requires exploring a sufficient number of state–action pairs, some of which may be unsafe when deployed in practical obstacle environments. To this end, this paper proposes an end-to-end planning method based model-free RL framework with optimization, which can achieve better learning performance with a safety guarantee. Firstly, for second-order drone systems, a differentiable high-order control barrier function (HOCBF) is introduced to ensure the output of the planning algorithm falls in a safe range. Then, a safety layer based on the HOCBF is proposed, which projects RL actions into a feasible solution set to guarantee safe exploration. Finally, we conducted a simulation for drone obstacle avoidance and validated the proposed method in the simulation environment. The experimental results demonstrate a significant enhancement over the baseline approach. Specifically, the proposed method achieved a substantial reduction in the average cumulative number of collisions per drone during training compared to the baseline. Additionally, in the testing phase, the proposed method realized a 43% improvement in the task success rate relative to the MADDPG. Full article
(This article belongs to the Special Issue Distributed Control, Optimization, and Game of UAV Swarm Systems)
14 pages, 4077 KiB  
Article
Sensitive Detection of Fungicide Folpet by Surface-Enhanced Raman Scattering: Experimental and Theoretical Approach
by Oumaima Douass, Bousselham Samoudi and Santiago Sanchez-Cortes
Chemosensors 2024, 12(9), 186; https://doi.org/10.3390/chemosensors12090186 (registering DOI) - 12 Sep 2024
Abstract
In this work, Surface-Enhanced Raman Spectroscopy (SERS) was employed as an effective detection technique for folpet, characterized by its notable specificity and sensitivity. The investigation involved the use of UV–Vis, Raman, and SERS spectroscopy of folpet at different concentrations for a comprehensive study [...] Read more.
In this work, Surface-Enhanced Raman Spectroscopy (SERS) was employed as an effective detection technique for folpet, characterized by its notable specificity and sensitivity. The investigation involved the use of UV–Vis, Raman, and SERS spectroscopy of folpet at different concentrations for a comprehensive study of plasmon-driven effects such as plasmon resonance, plasmon hybridization, and electric field enhancement resulting in the SERS’ intensification. Specifically, SERS detection of folpet solutions at concentrations below 100 µM is presented in detail by using Ag nanoparticles prepared with hydroxylamine reduction. The experimentation encompassed diverse conditions to optimize the detection process, with Raman spectra acquired for both folpet powder and aqueous solution of folpet at the natural pH. SERS analyses were conducted across a concentration range of 9.5 × 10−8 to 1.61 × 10−4 M, employing 532 nm excitation. The differences in the spectral profiles observed for folpet Raman powder and SERS are ascribed to N–S cleavage; these changes are attributed to plasmon catalysis induced by the used Ag nanoparticles. Transmission electron microscopy (TEM) was also important in the present analysis to better understand which mechanism of nanoparticles aggregation is more favorable for the SERS detection regarding the formation of hot spots in the suspension. Complementing the experimental data, the molecular structure and theoretical Raman spectra of the folpet molecule were calculated through density functional theory (DFT) methods. The outcomes of these calculations were crucial in the elucidation of folpet’s vibrational modes. The culmination of this research resulted in the successful detection of folpet, achieving a notable limit of detection at 4.78 × 10−8 M. This comprehensive approach amalgamates experimental and theoretical methodologies, offering significant insights into the detection capabilities and molecular characteristics of folpet via SERS analysis. Full article
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<p>(<b>Left</b>): Scheme of the experiment carried out to obtain SERS spectra of the folpet using Ag nanoparticles in colloidal suspensions. (<b>Right</b>): chemical structure of folpet.</p>
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<p>UV absorption spectra of Ag colloid (AgH) and Ag colloid (AgH)-KNO<sub>3</sub>. Inset: TEM images of Ag colloid (AgH) and Ag colloid (AgH)-KNO<sub>3</sub>.</p>
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<p>Extinction spectra of Ag colloid in the absence and presence of folpet from 3.8 × 10<sup>−5</sup> to 1.9 × 10<sup>−6</sup> M. Variation in the extinction intensity of the band (peak intensity) with a maximum at 410 nm.</p>
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<p>Raman spectrum recorded for the folpet powder and the SERS spectrum for folpet in Ag colloid (4.5 × 10<sup>−6</sup> M), both using the 532 nm laser line.</p>
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<p>Structure of folpet (<b>a</b>), phthalimide (<b>b</b>), thiophosgene (<b>c</b>), phthalimidic acid (<b>d</b>), and terephthalic (<b>e</b>) molecules.</p>
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<p><b>Top</b>: Folpet SERS spectra recorded from 9.5 × 10<sup>−8</sup> to 1.61 × 10<sup>−4</sup> M using Ag colloid. <b>Bottom</b>: Variation in the integrated area of the bands with maxima at 804 and 1622 cm<sup>−1</sup> with increasing folpet concentration. Laser excitation at 532 nm.</p>
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<p>TEM images recorded from 9.5 × 10<sup>−7</sup> to 1.61 × 10<sup>−4</sup> M using the external standard method.</p>
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<p>(<b>Left</b>): DFT-calculated Raman spectra of folpet and different candidate-degraded molecules. (<b>Right</b>): The optimized structures using the DFT-B3LYP/6-311++G(d,p) basis set.</p>
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<p>(<b>Left</b>): The calculated spectra of folpet, degraded folpet, and degraded folpet-Ag<sub>n</sub> (<span class="html-italic">n</span> = 1–3) complexes. (<b>Right</b>): The optimized structures. The term “degraded” refers to folpet N–S bond cleavage.</p>
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35 pages, 3519 KiB  
Article
Research on the Correlation between Mechanical Seal Face Vibration and Stationary Ring Dynamic Behavior Characteristics
by Yunfeng Song, Hua Li, Wang Xiao, Shuangxi Li and Qingfeng Wang
Lubricants 2024, 12(9), 316; https://doi.org/10.3390/lubricants12090316 (registering DOI) - 12 Sep 2024
Abstract
To address the lack of reliable measurement methods for identifying wear mechanisms and predicting the state of mechanical seal tribo-parts, this study proposes a method for characterizing tribological behavior based on measuring face vibration acceleration. It aims to uncover the source mechanism of [...] Read more.
To address the lack of reliable measurement methods for identifying wear mechanisms and predicting the state of mechanical seal tribo-parts, this study proposes a method for characterizing tribological behavior based on measuring face vibration acceleration. It aims to uncover the source mechanism of mechanical seal face vibration acceleration influenced by tribology and dynamic behavior. This research delves into the dynamic behavior characteristics and vibration acceleration of the mechanical seal stationary ring. We explored the variation pattern of face vibration acceleration root mean square (RMS) with rotation speed, sealing medium pressure, and face surface roughness. The results indicate that under constant medium pressure, an increase in rotation speed leads to a decrease in acceleration RMS and an increase in face temperature. Similarly, under constant rotation speed, an increase in medium pressure results in nonlinear changes in acceleration RMS, forming an “M” shape, along with an increase in face temperature. Furthermore, under conditions of constant medium pressure and rotation speed, an increase in the surface roughness of the rotating ring face corresponds to an increase in acceleration RMS and face temperature. Upon starting the mechanical seal, both acceleration RMS and temperature initially increase before decreasing, a trend consistent with the Stribeck curve. Full article
(This article belongs to the Special Issue Wear Mechanism Identification and State Prediction of Tribo-Parts)
25 pages, 8184 KiB  
Article
A Novel Integration of Data-Driven Rule Generation and Computational Argumentation for Enhanced Explainable AI
by Lucas Rizzo, Damiano Verda, Serena Berretta and Luca Longo
Mach. Learn. Knowl. Extr. 2024, 6(3), 2049-2073; https://doi.org/10.3390/make6030101 - 12 Sep 2024
Abstract
Explainable Artificial Intelligence (XAI) is a research area that clarifies AI decision-making processes to build user trust and promote responsible AI. Hence, a key scientific challenge in XAI is the development of methods that generate transparent and interpretable explanations while maintaining scalability and [...] Read more.
Explainable Artificial Intelligence (XAI) is a research area that clarifies AI decision-making processes to build user trust and promote responsible AI. Hence, a key scientific challenge in XAI is the development of methods that generate transparent and interpretable explanations while maintaining scalability and effectiveness in complex scenarios. Rule-based methods in XAI generate rules that can potentially explain AI inferences, yet they can also become convoluted in large scenarios, hindering their readability and scalability. Moreover, they often lack contrastive explanations, leaving users uncertain why specific predictions are preferred. To address this scientific problem, we explore the integration of computational argumentation—a sub-field of AI that models reasoning processes through defeasibility—into rule-based XAI systems. Computational argumentation enables arguments modelled from rules to be retracted based on new evidence. This makes it a promising approach to enhancing rule-based methods for creating more explainable AI systems. Nonetheless, research on their integration remains limited despite the appealing properties of rule-based systems and computational argumentation. Therefore, this study also addresses the applied challenge of implementing such an integration within practical AI tools. The study employs the Logic Learning Machine (LLM), a specific rule-extraction technique, and presents a modular design that integrates input rules into a structured argumentation framework using state-of-the-art computational argumentation methods. Experiments conducted on binary classification problems using various datasets from the UCI Machine Learning Repository demonstrate the effectiveness of this integration. The LLM technique excelled in producing a manageable number of if-then rules with a small number of premises while maintaining high inferential capacity for all datasets. In turn, argument-based models achieved comparable results to those derived directly from if-then rules, leveraging a concise set of rules and excelling in explainability. In summary, this paper introduces a novel approach for efficiently and automatically generating arguments and their interactions from data, addressing both scientific and applied challenges in advancing the application and deployment of argumentation systems in XAI. Full article
(This article belongs to the Section Data)
13 pages, 969 KiB  
Article
Value of Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in Identifying Osteoarticular Septic Grafts in Suspected Infective Endocarditis: Results from a Large Monocentric Cohort
by Cédric Luczak, Lionel Lerman, Laura Pina Vegas, Berivan Emsen, Benjamin Hugues, Raphaël Lepeule, Julien Ternacle, Raphaëlle Huguet, Pascal Lim, Jean-Winoc Decousser, Antonio Fiore, Emmanuel Itti, Xavier Chevalier, Mukedaisi Abilizi and Florent Eymard
J. Clin. Med. 2024, 13(18), 5419; https://doi.org/10.3390/jcm13185419 - 12 Sep 2024
Abstract
Background: 18F-fluorodeoxyglucose positron emission tomography–CT (FDG-PET/CT) is useful for identifying infective endocarditis (IE) but also the detection of other concomitant septic foci. Previously, we found that FDG-PET/CT identified an osteoarthritic septic graft (OASG) in 19.1% of IE patients, frequently asymptomatic. These preliminary results [...] Read more.
Background: 18F-fluorodeoxyglucose positron emission tomography–CT (FDG-PET/CT) is useful for identifying infective endocarditis (IE) but also the detection of other concomitant septic foci. Previously, we found that FDG-PET/CT identified an osteoarthritic septic graft (OASG) in 19.1% of IE patients, frequently asymptomatic. These preliminary results encouraged us to extend our analyses to a larger population, including all patients initially explored for suspected IE, to assess the prevalence, characteristics, and OASG locations brought out by FDG-PET/CT and to identify predictive factors. Methods: From a single-center cohort of patients referred for a clinical and/or biological suspicion of IE, we included all patients who underwent FDG-PET/CT, mainly performed to confirm a prosthesis heart valve or a foreign cardiac device infection. We excluded those who did not meet the 2015 modified Duke Criteria and those for whom another infectious diagnosis was finally retained or for whom all bacterial samples were negative. Demographic, clinical, bacteriological, imaging, and therapeutic data were collected. FDG-PET/CT images were retrospectively analyzed by three blinded nuclear medicine specialists to identify OASGs. Results: We identified 72 distinct OASG locations by FDG-PET/CT in 48 of 174 patients (27.6%), mainly located in the spine (21 OASGs in 20 patients); 14 patients (8.0%) had several OASG locations. In total, 43.8% of OASG locations were asymptomatic. In multivariate analysis, the presence of OASGs was associated with musculoskeletal pain (p < 0.001) and tricuspid valve involvement (p = 0.002). Conclusions: FDG-PET/CT is useful for identifying OASGs in patients with suspected IE, especially those with tricuspid IE or musculoskeletal pain. The identification of OASGs could impact antibiotic therapy and would allow adapted orthopedic management to be proposed. Full article
(This article belongs to the Section Infectious Diseases)
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<p>Flowchart of the study.</p>
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<p>Sternoclavicular and spine OASGs detected by FDG-PET/CT. (<b>A</b>,<b>B</b>): Arthritis of the left sternoclavicular joint (white arrow; (<b>A</b>): coronal section, (<b>B</b>): axial section); (<b>C</b>): spondylodiscitis at the L4–L5 level (white star).</p>
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12 pages, 4198 KiB  
Article
Decorating TiO2 Nanoparticle Thin Film with SnSx (x < 1): Preparation, Characterization, and Photocatalytic Activity
by Fang Xu, Nicola Scaramuzza and Carlo Versace
Coatings 2024, 14(9), 1185; https://doi.org/10.3390/coatings14091185 - 12 Sep 2024
Abstract
We report a study on the SnSx (x < 1) decoration of porous TiO2 nanoparticle thin films using the ionic layer adsorption and reaction (ILAR) method. UV-vis absorption measurements revealed a direct bandgap of 1.40–2.10 eV for SnSx (with [...] Read more.
We report a study on the SnSx (x < 1) decoration of porous TiO2 nanoparticle thin films using the ionic layer adsorption and reaction (ILAR) method. UV-vis absorption measurements revealed a direct bandgap of 1.40–2.10 eV for SnSx (with x = 0.85) and 3.15 eV for TiO2. Degradation of rhodamine B molecules in aqueous solutions shows that coating with a Sn-to-Ti molar ratio of 2% improves the efficiency of the photocatalytic performance of titanium dioxide, but excessive coverage decreases it. We interpret the observed behavior as due to a delicate balance of many competing factors. The formation of intimate interfaces guaranteed by the ILAR growth technique and a nearly optimal alignment of conduction band edges facilitate electron transfer, reducing electron–hole recombination rates. However, the valence hole transfer from TiO2 to SnS reduces the oxidative potential, which is crucial in the degradation mechanism. Full article
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<p>SEM images of a pure TiO<sub>2</sub> thin film (<b>A</b>,<b>C</b>) and an SnS<span class="html-italic"><sub>x</sub></span> (Sn100S600)-coated TiO<sub>2</sub> film (<b>B</b>,<b>D</b>). The beam energy was 5 keV for (<b>A</b>,<b>B</b>) and 10 keV for (<b>C</b>,<b>D</b>), while the magnification was 500 k for all images.</p>
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<p>Cross-sectional SEM image showing a TiO<sub>2</sub> thin film about 11 μm thick.</p>
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<p>EDX spectra for a pure TiO<sub>2</sub> thin film (<b>A</b>) and two SnS<span class="html-italic"><sub>x</sub></span>-coated TiO<sub>2</sub> thin films (<b>B</b>,<b>C</b>). Also indicated are the molar ratios between various elements.</p>
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<p>XRD pattern for a pure TiO<sub>2</sub> nanoparticle (P25) thin film deposited on an FTO-grazed glass substrate (a); decorated with SnS<span class="html-italic"><sub>x</sub></span> Sn020S120 (b); Sn100S600 (c); and Sn100S600 (5 cycles) (d).</p>
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<p>XPS spectra of Ti 2p, O 1s, Sn 3d, and S 2p levels for films of pure TiO<sub>2</sub> (Sn000S000) and SnS<span class="html-italic"><sub>x</sub></span>-coated (Sn100S600) TiO<sub>2</sub> films.</p>
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<p>Upper panel: UV-vis optical absorption spectra of pure TiO<sub>2</sub> thin film and decorated TiO<sub>2</sub> films with SnS<span class="html-italic"><sub>x</sub></span> NPs of different amounts; Lower panel: bandgap energy determination made using the Tauc plots.</p>
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<p>Upper panel: Time evolution of the RhB absorption spectra for the sample Sn005S030. Middle panel: Relative RhB concentration change C(t)/C<sub>0</sub> as a function of Xe lamp irradiation time t for various SnS<span class="html-italic"><sub>x</sub></span>@TiO<sub>2</sub> films. The lines are the linear fittings. Lower panel: The zero-order degradation rate constant vs. Sn-to-Ti molar ratio.</p>
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<p>Energy level potential diagram of SnS, TiO<sub>2</sub>, RhB, and relevant redox reactions.</p>
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15 pages, 1230 KiB  
Article
Evaluation of Glucose 6-Phosphate Dehydrogenase, Pyruvate Kinase, and New Generation Inflammation Biomarkers in Prolonged Neonatal Jaundice
by Omer Okuyan, Seyma Dumur, Neval Elgormus and Hafize Uzun
Medicina 2024, 60(9), 1491; https://doi.org/10.3390/medicina60091491 - 12 Sep 2024
Abstract
Background and Objectives: To evaluate the clinical findings of glucose 6-phosphate dehydrogenase (G6PD) and pyruvate kinase (PK) deficiency in prolonged jaundice and to determine whether the systemic immune inflammation index (SII), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) can be used in [...] Read more.
Background and Objectives: To evaluate the clinical findings of glucose 6-phosphate dehydrogenase (G6PD) and pyruvate kinase (PK) deficiency in prolonged jaundice and to determine whether the systemic immune inflammation index (SII), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) can be used in the diagnosis of neonatal prolonged jaundice. Materials and Methods: Among full-term neonates with hyperbilirubinemia who were admitted to Medicine Hospital between January 2019 and January 2024 with the complaint of jaundice, 167 infants with a serum bilirubin level above 10 mg/dL, whose jaundice persisted after the 10th day, were included in this study. Results: G6PD activity was negatively correlated with NLR, SII, age, and hematocrit (Hct). There was a weak negative correlation between G6PD and NLR and a moderate negative correlation between G6PD activity and SII when adjusted for age and Hct. PK activity showed no significant correlation with G6PD, NLR, PLR, SII, age, and Hct. A linear relationship was observed between G6PD activity and SII and NLR. Conclusions: NLR and SII can be easily calculated in the evaluation of prolonged jaundice in G6PD deficiency has a considerable advantage. NLR and SII levels may contribute by preventing further tests for prolonged jaundice and regulating its treatment. It may be useful to form an opinion in emergencies and in early diagnostic period. Full article
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<p>Flowchart of the selection of cases.</p>
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<p>Correlation between G6PD activity and NLR. The black line is the regression line and the blue area is the confidence interval of regression line.</p>
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<p>Correlation between G6PD activity and SII. The black line is the regression line and the blue area is the confidence interval of regression line.</p>
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<p>ROC analysis graphic of G6PD activity.</p>
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24 pages, 8434 KiB  
Article
Computational Modeling Approach to Profile Hemodynamical Behavior in a Healthy Aorta
by Ahmed M. Al-Jumaily, Mohammad Al-Rawi, Djelloul Belkacemi, Radu Andy Sascău, Cristian Stătescu, Florin-Emilian Țurcanu and Larisa Anghel
Bioengineering 2024, 11(9), 914; https://doi.org/10.3390/bioengineering11090914 - 12 Sep 2024
Abstract
Cardiovascular diseases (CVD) remain the leading cause of mortality among older adults. Early detection is critical as the prognosis for advanced-stage CVD is often poor. Consequently, non-invasive diagnostic tools that can assess hemodynamic function, particularly of the aorta, are essential. Computational fluid dynamics [...] Read more.
Cardiovascular diseases (CVD) remain the leading cause of mortality among older adults. Early detection is critical as the prognosis for advanced-stage CVD is often poor. Consequently, non-invasive diagnostic tools that can assess hemodynamic function, particularly of the aorta, are essential. Computational fluid dynamics (CFD) has emerged as a promising method for simulating cardiovascular dynamics efficiently and cost-effectively, using increasingly accessible computational resources. This study developed a CFD model to assess the aorta geometry using tetrahedral and polyhedral meshes. A healthy aorta was modeled with mesh sizes ranging from 0.2 to 1 mm. Key hemodynamic parameters, including blood pressure waveform, pressure difference, wall shear stress (WSS), and associated wall parameters like relative residence time (RRT), oscillatory shear index (OSI), and endothelial cell activation potential (ECAP) were evaluated. The performance of the CFD simulations, focusing on accuracy and processing time, was assessed to determine clinical viability. The CFD model demonstrated clinically acceptable results, achieving over 95% accuracy while reducing simulation time by up to 54%. The entire simulation process, from image construction to the post-processing of results, was completed in under 120 min. Both mesh types (tetrahedral and polyhedral) provided reliable outputs for hemodynamic analysis. This study provides a novel demonstration of the impact of mesh type in obtaining accurate hemodynamic data, quickly and efficiently, using CFD simulations for non-invasive aortic assessments. The method is particularly beneficial for routine check-ups, offering improved diagnostics for populations with limited healthcare access or higher cardiovascular disease risk. Full article
(This article belongs to the Section Biomechanics and Sports Medicine)
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<p>The current processes used for CFD simulation.</p>
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<p>(<b>a</b>) The aortic geometry showing the lateral and medial views with the boundary conditions and the computational domain; (<b>b</b>) the location of the points considered for investigation (adapted from [<a href="#B2-bioengineering-11-00914" class="html-bibr">2</a>]).</p>
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<p>The mesh for the inlet face shows the inflation used for (<b>a</b>) tetrahedral and (<b>b</b>) polyhedral meshes.</p>
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<p>(<b>a</b>) The systolic pressure values for the different meshes; (<b>b</b>) the diastolic pressure values for the different meshes.</p>
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<p>The computational fluid dynamics result was validated against the clinical data for the mesh element size of 0.2 mm for both polyhedral and tetrahedral meshes.</p>
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<p>The pressure waveforms at the aortic arch for the different meshes: (<b>a</b>) tetrahedral; (<b>b</b>) polyhedral; (<b>c</b>) the ΔP2 at the aortic arch, showing that the difference between the meshes is minimal; and (<b>d</b>) the normal central aortic pressure waveform.</p>
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<p>TAWSS for the different meshes to see the development of high contours for healthy aorta. (Tetrahedral = Tetra; polyhedral = Poly).</p>
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<p>The threshold values for the TAWSS for the different meshes (blue for values below the threshold of 5 Pa and red for values above 5 Pa) are used to visualize areas higher and lower than the threshold value. (Tetra = tetrahedral; Poly = polyhedral).</p>
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<p>The OSI for the different meshes to see the development of high contours for healthy aorta. (Tetrahedral = Tetra; polyhedral = Poly).</p>
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<p>The RRT for the different meshes to see the development of high contours for healthy aorta. (Tetrahedral = Tetra; polyhedral = Poly).</p>
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<p>The ECAP for the different meshes to see the development of high contours for healthy aorta. (Tetrahedral = Tetra; polyhedral = Poly).</p>
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<p>The TAWSS for the three-time steps (0.005, 0.001, and 0.0005 s) for 0.4 mm mesh element size: (<b>a</b>) polyhedral mesh; and (<b>b</b>) tetrahedral mesh.</p>
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<p>The OSI for the three-time steps (0.005, 0.001, and 0.0005 s) for 0.4 mm mesh element size: (<b>a</b>) polyhedral mesh; and (<b>b</b>) tetrahedral mesh.</p>
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<p>The RRT for the three-time steps (0.005, 0.001, and 0.0005 s) for 0.4 mm mesh element size: (<b>a</b>) polyhedral mesh; and (<b>b</b>) tetrahedral mesh.</p>
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<p>The ECAP for the three-time steps (0.005, 0.001, and 0.0005 s) for 0.4 mm mesh element size: (<b>a</b>) polyhedral mesh; and (<b>b</b>) tetrahedral mesh.</p>
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<p>The threshold values of OSI for the different meshes presented in this study illustrate the high and low mechanical shear oscillation WSS per cardiac cycle on the aortic wall. (Tetrahedral = Tetra; polyhedral = Poly).</p>
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<p>The threshold contours for the RRT for the different meshes illustrate the relative residence time based on the mechanical oscillation during a cardiac cycle and WSS values on the aortic wall. (Tetrahedral = Tetra; polyhedral = Poly).</p>
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<p>The threshold for the ECAP for the different meshes illustrates the degree of thrombogenic susceptibility of the endothelial cell to localize the possible location for high mechanical oscillation. (Tetrahedral = Tetra; polyhedral = Poly).</p>
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11 pages, 1610 KiB  
Article
Enhancing Telemedicine Communication for Improved Outpatient Pediatric Trauma Care
by Nariman Mokhaberi, Benjamin Schoof, André Strahl, Konrad Reinshagen and Kristofer Wintges
Children 2024, 11(9), 1120; https://doi.org/10.3390/children11091120 - 12 Sep 2024
Abstract
Introduction. Pediatric traumatology is a complex field that requires a comprehensive understanding of physeal development, remodeling potential, and the ossification process in order to ensure appropriate patient treatment. The objective of this study was to assess the willingness of practicing physicians to participate [...] Read more.
Introduction. Pediatric traumatology is a complex field that requires a comprehensive understanding of physeal development, remodeling potential, and the ossification process in order to ensure appropriate patient treatment. The objective of this study was to assess the willingness of practicing physicians to participate in a telemedicine collaboration aimed at enhancing the exchange between the outpatient and inpatient sectors and promoting the digitalization of the pediatric sector. This is in response to the growing significance of digitalization in the medical field. Methods. A survey consisting of 15 items was sent to 800 practicing trauma surgeons, pediatric surgeons, and pediatricians within a 100 km radius of Hamburg, Germany. The survey included questions about the respondents’ professional experience and telemedicine experience, as well as inquiries about possible telemedicine collaborations. Results. The response rate was 19.3%. Less than half of the participants already used telemedicine in daily practice. In general, 75% of respondents expressed an interest in collaborating with the inpatient sector. The most common reasons for hospital referral were the need for surgery, inadequate treatment of children in practice and co-assessment. The majority were in favor of flexible communication, either via video telephony, imaging applications like or messaging applications. Conclusions. The study revealed a high level of interest in telemedicine collaboration. Information exchange should be tailored to individual needs, with practitioners requiring a versatile and personalized approach that includes imaging. Strict enforcement of data protection regulations is essential. Further research is needed to evaluate the effectiveness of telemedicine collaboration in the treatment of pediatric trauma in both hospital and outpatient settings. Full article
(This article belongs to the Section Pediatric Surgery)
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<p>Flowchart of participant distribution.</p>
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<p>Number of pediatric trauma patients treated per week by specialization.</p>
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<p>Telemedicine in daily practice.</p>
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<p>Application-download and exchange between practitioners.</p>
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<p>Referral to the hospital.</p>
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16 pages, 9164 KiB  
Article
Exploring the Role of Fibrin Gels in Enhancing Cell Migration for Vasculature Formation
by Joana A. Moura, Hugh J. Barlow, Shareen H. Doak, Karl Hawkins, Iris Muller and Martin J. D. Clift
J. Funct. Biomater. 2024, 15(9), 265; https://doi.org/10.3390/jfb15090265 - 12 Sep 2024
Abstract
A hallmark of angiogenesis is the sprouting of endothelial cells. To replicate this event in vitro, biomaterial approaches can play an essential role in promoting cell migration. To study the capacity of a scaffold of fibrin (fibrinogen:thrombin mix) to support the movement of [...] Read more.
A hallmark of angiogenesis is the sprouting of endothelial cells. To replicate this event in vitro, biomaterial approaches can play an essential role in promoting cell migration. To study the capacity of a scaffold of fibrin (fibrinogen:thrombin mix) to support the movement of the endothelial cells, the migration area of spheroids formed with the HULEC cell line was measured. The cells were first allowed to form a spheroid using the hanging drop technique before being encapsulated in the fibrin gel. The cells’ migration area was then measured after two days of embedding in the fibrin gel. Various conditions affecting fibrin gel polymerization, such as different concentrations of fibrinogen and thrombin, were evaluated alongside rheology, porosity, and fiber thickness analysis to understand how these factors influenced cell behavior within the composite biomaterial. Data point toward thrombin’s role in governing fibrin gel polymerization; higher concentrations result in less rigid gels (loss tangent between 0.07 and 0.034) and increased cell migration (maximum concentration tested: 5 U/mL). The herein presented method allows for a more precise determination of the crosslinking conditions of fibrin gel that can be used to stimulate angiogenic sprouting. Full article
(This article belongs to the Topic Advanced Functional Materials for Regenerative Medicine)
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<p>Endothelial cell 2D characterization. (<b>A</b>) Live cell quantification with trypan blue over 7 days. The cell growth fits the following exponential curve: y = 5381e0.2741x. (<b>B</b>) Live and dead cell ratio using trypan blue assay. (<b>C</b>) Picogreen dsDNA quantification over 7 days on the left y-axis. The increase in dsDNA is statistically significant from day 1 to 7 with a <span class="html-italic">p</span>-value of 0.0070. The right y-axis corresponds to the MTS absorbance over the number of live cells. The cell’s metabolism increases from day 1 to 7 and is also statistically significant, with a <span class="html-italic">p</span>-value of 0.0040. (<b>D</b>) Expression of the CD31 marker on days 5 and 7. The increase in CD31 surface marker from day 5 to 7 is statistically significant, with a <span class="html-italic">p</span>-value of 0.044. This is associated also with a decrease in CD31, with a <span class="html-italic">p</span>-value of 0.044. (<b>E</b>) Endothelial cells on day 7 of the cell culture stained with DAPI, Phalloidin, and CD31 (scale bar represents 50 µm). (<b>F</b>) VE-Cadherin (scale bar represents 50 µm). The significance values were taken when <span class="html-italic">p</span>-No value &lt; 0.05, graphically denoted as * <span class="html-italic">p</span> &lt; 0.05 and ** <span class="html-italic">p</span> &lt; 0.01. The error bars correspond to the Standard Deviation. <span class="html-italic">n</span> = 3.</p>
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<p>Fibrin gel rheological characterization. (<b>A</b>) Storage (G′) and (<b>B</b>) Loss modulus (G″) of fibrin gel in Pascal (Pa). The data are grouped by the fibrinogen concentration. (<b>C</b>) Storage (G′) and (<b>D</b>) Loss modulus (G″) of fibrin gel in Pascal (Pa). The data are grouped by the thrombin concentration. (<b>E</b>) The table below shows the loss tangent values. The color scheme highlights values in the same range. The fibrinogen concentrations tested were 5, 2.5, and 1.25 mg/mL, and for thrombin, they were 5, 1, and 0.1 U/mL. The error bars correspond to the Standard Deviation. The data are between <span class="html-italic">n</span> = 3 and 6. The significance values were taken when <span class="html-italic">p</span> &lt; 0.05, graphically denoted as * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, *** <span class="html-italic">p</span> &lt; 0.001 and **** <span class="html-italic">p</span> &lt; 0.0001.</p>
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<p>Confocal microscope images of fibrin gel polymerized with 5, 2.5, and 1.25 mg/mL of fibrinogen and 5, 1, and 0.1 U/mL of thrombin. The fibrinogen solution was mixed with 4% of fibrinogen from human plasma Alexa Fluor 488 conjugated to allow for fiber visualization when excited with a 488 laser. The scale represents 20 µm. <span class="html-italic">n</span> = 6 to 9.</p>
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<p>Scanning electron microscope images of fibrin gel polymerized with 5, 2.5, and 1.25 mg/mL of fibrinogen and 5, 1, and 0.1 U/mL of thrombin. The scale bar represents 5 µm, except for condition 1.25 mg/mL with 0.1 U/mL, which represents 4 µm. <span class="html-italic">n</span> = 3.</p>
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<p>Fibrin gel porosity and fiber diameter. (<b>A</b>) Percentage of the area corresponding to pores in the fibrin gel in function of fibrinogen and thrombin concentration (<span class="html-italic">n</span> = 6 to 9). (<b>B</b>) Fiber diameter in micrometers (µm) in function of fibrinogen and thrombin concentration (<span class="html-italic">n</span> = 3). The significance values were taken when <span class="html-italic">p</span> &lt; 0.05, graphically denoted as * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, and *** <span class="html-italic">p</span> &lt; 0.001. The error bars represent the Standard Deviation.</p>
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<p>Endothelial cell migration area in function of the fibrinogen and thrombin polymerization conditions. The asterisk symbol in the plot represents * <span class="html-italic">p</span> &lt; 0.05. The error bars represent the Standard Deviation. <span class="html-italic">n</span> = 5.</p>
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<p>Spheroid bright and fluorescence staining. Spheroids on day 2 after fibrin embedding. The column on the left represents hematoxylin stain, and on the right, Hoechst and PI. The scale bar represents 200 µm. <span class="html-italic">n</span> = 5.</p>
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15 pages, 794 KiB  
Article
Effects of Maltodextrin–Fructose Supplementation on Inflammatory Biomarkers and Lipidomic Profile Following Endurance Running: A Randomized Placebo-Controlled Cross-Over Trial
by Stefano Righetti, Alessandro Medoro, Francesca Graziano, Luca Mondazzi, Serena Martegani, Francesco Chiappero, Elena Casiraghi, Paolo Petroni, Graziamaria Corbi, Riccardo Pina, Giovanni Scapagnini, Sergio Davinelli and Camillo Ricordi
Nutrients 2024, 16(18), 3078; https://doi.org/10.3390/nu16183078 - 12 Sep 2024
Abstract
Background: Managing metabolism for optimal training, performance, and recovery in medium-to-high-level endurance runners involves enhancing energy systems through strategic nutrient intake. Optimal carbohydrate intake before, during, and after endurance running can enhance glycogen stores and maintain optimal blood glucose levels, influencing various physiological [...] Read more.
Background: Managing metabolism for optimal training, performance, and recovery in medium-to-high-level endurance runners involves enhancing energy systems through strategic nutrient intake. Optimal carbohydrate intake before, during, and after endurance running can enhance glycogen stores and maintain optimal blood glucose levels, influencing various physiological responses and adaptations, including transitory post-endurance inflammation. This randomized trial investigates the impact of a high-dose 2:1 maltodextrin–fructose supplementation to medium-to-high-level endurance runners immediately before, during, and after a 15 km run at 90% VO2max intensity on post-exercise inflammatory stress. Methods: We evaluated inflammatory biomarkers and lipidomic profiles before the endurance tests and up to 24 h after. We focused on the effects of high-dose 2:1 maltodextrin–fructose supplementation on white blood cell count, neutrophil number, IL-6, cortisol, and CRP levels, as well as polyunsaturated fatty acids, ω-3 index, and AA/EPA ratio. Results: This supplementation significantly reduced inflammatory markers and metabolic stress. Additionally, it may enhance the post-activity increase in blood ω-3 fatty acid levels and reduce the increase in ω-6 levels, resulting in a lower trend of AA/EPA ratio at 24 h in the treated arm. Conclusions: Adequate carbohydrate supplementation may acutely mitigate inflammation during a one-hour endurance activity of moderate-to-high intensity. These effects could be beneficial for athletes engaging in frequent, high-intensity activities. Full article
(This article belongs to the Section Sports Nutrition)
25 pages, 772 KiB  
Article
Characteristics of Out-of-Hospital Cardiac Arrest Trials Registered in ClinicalTrials.gov
by Jacopo D’Andria Ursoleo, Samuele Bugo, Rosario Losiggio, Alice Bottussi, Viviana Teresa Agosta and Fabrizio Monaco
J. Clin. Med. 2024, 13(18), 5421; https://doi.org/10.3390/jcm13185421 (registering DOI) - 12 Sep 2024
Abstract
Background/Objective: Out-of-hospital cardiac arrest (OHCA) poses a substantial public health concern. A collective evaluation of clinical trials is crucial for understanding systemic trends and progress within a specific research area of interest, ultimately shaping future directions. We performed a comprehensive analysis of [...] Read more.
Background/Objective: Out-of-hospital cardiac arrest (OHCA) poses a substantial public health concern. A collective evaluation of clinical trials is crucial for understanding systemic trends and progress within a specific research area of interest, ultimately shaping future directions. We performed a comprehensive analysis of the characteristics of trials in the adult OHCA population registered on ClinicalTrials.gov. Methods: Aided by medical subject headings (MeSH), we systematically searched the ClinicalTrials.gov database. Trends over time were assessed with the Cochran–Mantel–Haenszel test. The association between publication year and annual number was assessed with the Pearson correlation coefficient. Results: Out of 152 trials spanning the 2003–2023 period, 29.6% were observational and 70.4% were interventional. Compared with the observational trials, interventional trials were more often randomized (RCT) and achieved full publication status in 84% of cases (p = 0.03). The primary focus of interventional trials was “procedures” (43%), “devices” (23%), and “drugs” (21%). Observational studies focused on “biomarkers” (16%) and “diagnostic test” (13%) (p < 0.001). A decrement in the number of interventional trials with a sample size ≥100 patients across three temporal study points was observed. Nevertheless, published studies predominantly had a sample size ≥ 100 patients (76%), in contrast to unpublished trials (p ≤ 0.001). An increase in the number of interventional studies funded by the “academic/university” sector was also recorded. Conclusions: Clinical trials on OHCA primarily involved interventions aimed at treatment and were more often randomized, single-center, with small (<100) sample sizes, and funded by the “academic/university” sector. Full article
(This article belongs to the Section Emergency Medicine)
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