Background/Objectives: to assess surgical, oncological, and functional outcomes of robot-assisted radical prostatectomy (RARP) performed using the novel Hugo™ RAS system. Methods: A systematic review was conducted following the PRISMA guidelines, using PubMed, Web of Science, Scopus, and Embase databases. Eligible papers included studies involving adult males undergoing RARP with the Hugo™ RAS platform, with at least ten patients analyzed. The pooled analysis was performed using a random-effect model. Results: Quantitative analysis was conducted on 12 studies including 579 patients. The pooled median docking time, console time, and operative time were 11 min (95% CI 7.95–14.50; I² = 98.4%, ten studies), 142 min (95% CI 119.74–164.68; I² = 96.5%, seven studies), and 176 min (95% CI 148.33–203.76; I² = 96.3%, seven studies), respectively. The pooled median estimated blood loss was 223 mL (95% CI 166.75–280.17; I² = 96.5%, eleven studies). The pooled median length of hospital stay and time to catheter removal were 2.8 days (95% CI 1.67–3.89; I² = 100%, ten studies) and 8.3 days (95% CI 5.53–11.09; I² = 100%, eight studies), respectively. The pooled rate of postoperative CD ≥ 2 complications was 4.1% (95% CI 1–8.5; I² = 63.6%, eleven studies). The pooled rate of positive surgical margins and undetectable postoperative PSA were 20% (95% CI 12.6–28.5; I² = 71.5%, nine studies) and 94.2% (95% CI 87.7–98.6; I² = 48.9%, three studies), respectively. At three months, a pooled rate of social continence of 81.9% (95% CI 73.8–88.9; I² = 66.7%, seven studies) was found. Erectile function at six months was 31% in one study. Conclusions: despite the preliminary nature of the evidence, this systematic review and pooled analysis underscores the feasibility, safety, and reproducibility of the Hugo™ RAS system in the context of RARP. Full article

Determining criteria weights plays a crucial role in multi-criteria decision analyses. Entropy is a significant measure in information science, and several multi-criteria decision-making methods utilize the entropy weight method (EWM). In the literature, two approaches for determining the entropy weight method can be found. One involves normalization before calculating the entropy values, while the second does not. This paper investigates the normalization effect for entropy-based weights and Hellwig’s method. To compare the influence of various normalization methods in both the EWM and Hellwig’s method, a study evaluating the sustainable development of EU countries in the education area in the year 2021 was analyzed. The study used data from Eurostat related to European countries’ realization of the SDG 4 goal. It is observed that vector normalization and sum normalization did not change the entropy-based weights. In the case study, the max–min normalization influenced EWM weights. At the same time, these weights had only a very weak impact on the final rankings of countries with respect to achieving the SDG 4 goal, as determined by Hellwig’s method. The results are compared with the outcome obtained by Hellwig’s method with equal weights. The simulation study was conducted by modifying Eurostat data to investigate how the different normalization relationships discovered among the criteria affect entropy-based weights and Hellwig’s method results. Full article

This research paper delves into the nuanced effects of traffic-induced vibrations on human comfort and perception within residential and commercial buildings. By prioritizing the influence of vehicle types—including metro trains, trams, and cars—over their speed or mass, the study presents a novel perspective on addressing vibrational comfort. Conducted in the urban context of Warsaw’s metro line construction, this investigation employs a rigorous methodology, utilizing both the Root Mean Square (RMS) and Vibration Dose Value (VDV) analytical methods to quantify vibrational impacts. The findings illuminate the distinct contributions of various transportation modes to the perceived vibrations, offering significant insights into the complex relationship between the Human Perception of Vibration Index (HPVI) and VDV values. It underscores the necessity of integrating a multifaceted consideration of vehicle type, operational dynamics, and urban infrastructure in the strategic planning and design of buildings. Such a holistic approach is essential for mitigating the adverse effects of transportation-induced vibrations, thereby enhancing the quality of life and well-being of urban inhabitants. Full article

In this paper, we present a new processing method, called MOSES—Impacts, for the detection of micrometer-sized damage on glass plate surfaces. It extends existing methods by a separation of damaged areas, called impacts, to support state-of-the-art recycling systems in optimizing their parameters. These recycling systems are used to repair process-related damages on glass plate surfaces, caused by accelerated material fragments, which arise during a laser–matter interaction in a vacuum. Due to a high number of impacts, the presented MOSES—Impacts algorithm focuses on the separation of connected impacts in two-dimensional images. This separation is crucial for the extraction of relevant features such as centers of gravity and radii of impacts, which are used as recycling parameters. The results show that the MOSES—Impacts algorithm effectively separates impacts, achieves a mean agreement with human users of (82.0 ± 2.0)%, and improves the recycling of glass plate surfaces by identifying around 7% of glass plate surface area as being not in need of repair compared to existing methods. Full article

Bare land, as a significant land cover type on the Earth’s surface, plays a crucial role in supporting land-use planning, urban management, and ecological environmental research through the investigation of its spatial distribution. However, due to the diversity of land-cover types on the Earth’s surface and the spectral complexity exhibited by bare land under the influence of environmental factors, it is prone to confusion with urban and other land features. In order to extract bare land rapidly and efficiently, this study introduces a novel bare land extraction index called the Bare Land Extraction Index (BLEI). Then, considering both Ganzi Tibetan Autonomous Prefecture and Urumqi, China as the study areas, we compared BLEI with three presented indices: the Bare-soil Index (BI), Dry Bare Soil Index (DBSI), and Bare Soil Index (BSI). The results show that BLEI exhibits excellent efficacy in distinguishing bare land and urban areas. It gets the most outstanding accuracy in bare land identification and mapping, with overall accuracy (OA), kappa coefficient, and F1-score of 98.91%, 0.97, and 97.89%, respectively. Furthermore, BLEI is also effective in distinguishing bare land from sandy soil, which can not only improve the mapping accuracy of bare land in soil-deserted areas but also provide technological support for soil research and land-use planning. Full article

Over the last two decades, time- and angle-resolved photoemission spectroscopy (trARPES) has become a mature and established experimental technique for the study of ultrafast electronic and structural dynamics in materials. To date, most trARPES investigations have focused on the investigation of processes occurring on time scales of ≳30 fs, in particular, relaxation and thermalization, and have therefore been blind to the initial sub-10 fs dynamics related to electronic coherence and correlation effects. In this article, we illustrate how current trARPES setups reach their limits when it comes to addressing such extraordinarily short time scales and present an experimental configuration that provides the time, energy, and momentum resolutions required to monitor few-femtosecond dynamics on the relevant energy and momentum scales. We discuss the potential capabilities of such an experiment to study the electronic response of materials in the strong-field interaction regime at PHz frequencies and finally review a theoretical concept that may in the future even overcome the competing resolution limitations of trARPES experiments, as imposed by the time–bandwidth product of the probing laser pulse. Our roadmap for ultrafast trARPES indicates a path to break new experimental ground in quantum nonequilibrium electronic dynamics, from which new possibilities for ultrafast control of optical and electronic signals in quantum materials can be explored. Full article

This study focused on isolating tannin-tolerant yeasts from Miang, a fermented tea leaf product collected from northern Laos PDR, and investigating related food applications. From 43 Miang samples, six yeast isolates capable of ethanol production were obtained, with five isolates showing growth on YPD agar containing 4% (w/v) tannic acid. Molecular identification revealed three isolates as Saccharomyces cerevisiae (B5-1, B5-2, and C6-3), along with Candida tropicalis and Kazachstania humilis. Due to safety considerations, only Saccharomyces spp. were selected for further tannic acid tolerance study to advance food applications. Tannic acid at 1% (w/v) significantly influenced ethanol fermentation in all S. cerevisiae isolates. Notably, B5-2 and C6-3 showed high ethanol fermentation efficiency (2.5% w/v), while others were strongly inhibited. The application of tannin-tolerant yeasts in longan fruit wine (LFW) fermentation with longan seed extract (LSE) supplementation as a source of tannin revealed that C6-3 had the best efficacy for LFW fermentation. C6-3 showed promising efficacy, particularly with LSE supplementation, enhancing phenolic compounds, antioxidant activity, and inhibiting α-glucosidase activity, indicating potential antidiabetic properties. These findings underscore the potential of tannin-tolerant S. cerevisiae C6-3 for fermenting beverages from tannin-rich substrates like LSE, with implications for functional foods and nutraceuticals promoting health benefits. Full article

The genitourinary syndrome of menopause (GSM) is a widely occurring condition affecting millions of women worldwide. The current treatment of GSM involves the use of orally or vaginally administered estrogens, often with the risk of endometrial hyperplasia. The utilization of progestogens offers a means to counteract the effects of estrogen on the endometrial tissue, decreasing unwanted side effects and improving therapeutic outcomes. In this study, a norethindrone acetate (NETA)-loaded, hollow, cylindrical, and sustained release platform has been designed, fabricated, and optimized for implantation in the uterine cavity as a counter-estrogenic intervention in the treatment of GSM. The developed system, which comprises ethyl cellulose (EC) and polycaprolactone (PCL), has been statistically optimized using a two-factor, two-level factorial design, with the mechanical properties, degradation, swelling, and in vitro drug release of NETA from the device evaluated. The morphological characteristics of the platform were further investigated through scanning electron microscopy in addition to cytocompatibility studies using NIH/3T3 cells. Results from the statistical design highlighted the platform with the highest NETA load and the EC-to-PCL ratio that exhibited favorable release and weight loss profiles. The drug release data for the optimal formulation were best fitted with the Peppas–Sahlin model, implicating both diffusion and polymer relaxation in the release mechanism, with cell viability results noting that the prepared platform demonstrated favorable cytocompatibility. The significant findings of this study firmly establish the developed platform as a promising candidate for the sustained release of NETA within the uterine cavity. This functionality serves as a counter-estrogenic intervention in the treatment of GSM, with the platform holding potential for further advanced biomedical applications. Full article

Background: Guselkumab is the first approved human IgG1λ monoclonal antibody selectively targeting the p19 subunit of IL23. Its effectiveness and safety were widely reported by clinical trials. However, these results must be confirmed in real life since its safety deals with more complicated subjects with respect to trials. Currently, real-life data on the use of guselkumab following treatment failure with ustekinumab are limited, and existing studies usually show a small cohort and/or a reduced follow-up period. In this context, the aim of our study was to evaluate the use of guselkumab in patients who previously did not respond to ustekinumab after up to 3 years of treatment. Methods: A multicenter retrospective study was performed. The study enrolled patients affected by moderate-to-severe plaque psoriasis undergoing treatment with guselkumab who were attending the Psoriasis Center of nine different centers in the Campania region of Italy. Demographic and clinical features were collected for each patient at baseline. Moreover, data on psoriasis severity and adverse events (AEs) were collected at each follow-up visit (week (W)16-W36-W52-W104-W156). Results: A total of 112 patients (70 male, 62.5%; mean age 54.8 ± 11.7 years old) were enrolled. Of these, 48 (42.9%), 34 (30.4%), and 16 (14.3%) reached 1, 2, and 3 years, respectively, of follow-up under guselkumab. A statistically significant clinical improvement was observed since W16, and sustained effectiveness was reported at each timepoint up to W156. No serious AEs were collected. Moreover, a sub analysis on the body mass index, involvement of difficult-to-treat areas, and presence of psoriatic arthritis (PsA) showed that the presence of PsA or palmoplantar psoriasis was associated with a reduced clinical improvement at W16 and W36, without differences from W52. In contrast, the efficacy of guselkumab does not seem to be affected by the BMI, involvement of fingernails, or location in the genital or scalp area. Conclusions: To sum up, our long-term real-life multicenter retrospective study confirmed the efficacy and safety of guselkumab following ustekinumab discontinuation up to 156 weeks of treatment. Full article

There is a scarcity of published studies on the occurrence of Staphylococcus spp. Among dogs in South Africa. The objective of the study was to characterise the Staphylococcus spp. Isolated from dog samples submitted to a veterinary diagnostic laboratory in South Africa in terms of time, place, and person. This study utilised a dataset of 1627 positive Staphylococcus isolates obtained from a veterinary diagnostic laboratory in South Africa from 2012 to 2017. Out of the 1627 confirmed isolates, 10 different species of Staphylococcus were identified. Among these, 92.0% were classified as coagulase-positive staphylococci (CoPS), 6.0% were coagulase-negative staphylococci (CoNS), and 3.0% were coagulase-variable. Male dogs contributed just over half (53.2%) of the Staphylococcus isolates, while female dogs contributed the remaining 46.8%. The largest proportion of isolates (23.2%) were obtained from dogs aged ≥ 9 years, with the highest number of isolates originating from KwaZulu-Natal Province (45.0%) and the least from Northern Cape Province (0.1%). Out of the total samples included in the records, the majority (46.0%) were skin specimens. The number of Staphylococcus isolates recorded showed limited variation between the seasons (24.3% in autumn, 26.3% in winter, 26.0% in spring, and 24.0% in summer). This study highlighted the diversity of Staphylococcus spp. isolated from dogs, and the burden of staphylococcal carriage among dogs in South Africa. Further research is required to examine the factors that contribute to the observed discrepancies in the proportions of Staphylococcus spp. between the provinces. Full article

The aims of this study were (i) to determine the effect of an algoclay-based decontaminant on the oral availability of three mycotoxins (deoxynivalenol; DON, ochratoxin A; OTA, and aflatoxin B₁; AFB₁) using an oral bolus model and (ii) to determine the effect of this decontaminant on the performance, intestinal morphology, liver oxidative stress, and metabolism, in broiler chickens fed a diet naturally contaminated with DON. In experiment 1, sixteen 27-day-old male chickens (approximately 1.6 kg body weight; BW) were fasted for 12 h and then given a bolus containing either the mycotoxins (0.5 mg DON/kg BW, 0.25 mg OTA/kg BW, and 2.0 mg AFB₁/kg BW) alone (n = 8) or combined with the decontaminant (2.5 g decontaminant/kg feed; circa 240 mg/kg BW) (n = 8). Blood samples were taken between 0 h (before bolus administration) and 24 h post-administration for DON-3-sulphate, OTA, and AFB₁ quantification in plasma. The algoclay decontaminant decreased the relative oral bioavailability of DON (39.9%), OTA (44.3%), and AFB₁ (64.1%). In experiment 2, one-day-old male Ross broilers (n = 600) were divided into three treatments with ten replicates. Each replicate was a pen with 20 birds. The broiler chickens were fed a control diet with negligible levels of DON (0.19–0.25 mg/kg) or diets naturally contaminated with moderate levels of DON (2.60–2.91 mg/kg), either supplemented or not with an algoclay-based decontaminant (2 g/kg diet). Jejunum villus damage was observed on day 28, followed by villus shortening on d37 in broiler chickens fed the DON-contaminated diet. This negative effect was not observed when the DON-contaminated diet was supplemented with the algoclay-based decontaminant. On d37, the mRNA expression of glutathione synthetase was significantly increased in the liver of broiler chickens fed the DON-contaminated diet. However, its expression was similar to the control when the birds were fed the DON-contaminated diet supplemented with the algoclay-based decontaminant. In conclusion, the algoclay-based decontaminant reduced the systemic exposure of broiler chickens to DON, OTA, and AFB₁ in a single oral bolus model. This can be attributed to the binding of the mycotoxins in the gastrointestinal tract. Moreover, dietary contamination with DON at levels between 2.69 and 2.91 mg/kg did not impair production performance but had a negative impact on broiler chicken intestinal morphology and the liver redox system. When the algoclay-based decontaminant was added to the diet, the harm caused by DON was no longer observed. This correlates with the results obtained in the toxicokinetic assay and can be attributed to a decreased absorption of DON. Full article

Combretum micranthum, a plant native to Africa, has a well-documented traditional use in the treatment of various ailments such as fever, diabetes, and malaria. Its pharmaceutical benefits include nephroprotective, anti-inflammatory, antioxidant, and antimicrobial properties, which were proven. In addition, its potential for cosmetic applications is being explored due to its depigmenting, anti-inflammatory, and UV-damage-repairing properties. This article investigates the molecular composition and new cosmetically relevant biological activity of C. micranthum and enriched fractions to begin the establishment of the structure–activity relationship. Firstly, an extract of C. micranthum was prepared and selected for its overall biological response and then fractionated to obtain simplified molecular fractions. One fraction was particularly enriched in kinkeloids, a specific family of compounds to this species. All the fractions and the crude extract were then tested on biological targets to evaluate and compare their cosmetic activities. Molecular networks were constructed from the UHPLC-MS/HRMS data to better characterize the extract and fractions and to highlight structure–activity relationships. This study highlights the metabolic profiling of a butylene glycol extract of C. micranthum, showing its main chemical families and revealing that the kinkeloids, identified by HRMS and NMR, promote an increase in collagen I synthesis, an interesting cosmetic activity neither previously described for these compounds and neither for C. micranthum extract. Full article

Micro- and nanoplastic particles, including common forms like polyethylene and polystyrene, have been identified as relevant pollutants, potentially causing health problems in living organisms. The mechanisms at the cellular level largely remain to be elucidated. This study aims to visualize nanoplastics in bronchial smooth muscle (BSMC) and small airway epithelial cells (SAEC), and to assess the impact on mitochondrial metabolism. Healthy and asthmatic human BSMC and SAEC in vitro cultures were stimulated with polystyrene nanoplastics (PS-NPs) of 25 or 50 nm size, for 1 or 24 h. Live cell, label-free imaging by holotomography microscopy and mitochondrial respiration and glycolysis assessment were performed. Furthermore, 25 and 50 nm NPs were shown to penetrate SAEC, along with healthy and diseased BSMC, and they impaired bioenergetics and induce mitochondrial dysfunction compared to cells not treated with NPs, including changes in oxygen consumption rate and extracellular acidification rate. NPs pose a serious threat to human health by penetrating airway tissues and cells, and affecting both oxidative and glycolytic metabolism. Full article

Contactless and label-free detection of urea content in aqueous solutions is of great interest in chemical, biomedical, industrial, and automotive applications. In this work, we demonstrate a compact and low-cost instrumental configuration for label-free, reagent-free, and contactless detection of urea dissolved in water, which exploits the absorption properties of urea in the near-infrared wavelength region. The intensity of the radiation transmitted through the fluid under test, contained in a rectangle hollow glass tubing with an optical pathlength of 1 mm, is detected in two spectral bands. Two low-cost, low-power LEDs with emission spectra centered at λ = 1450 nm and λ = 2350 nm are used as readout sources. The photodetector is positioned on the other side of the tubing, in front of the LEDs. The detection performances of a photodiode and of a thermal optical power detector have been compared, exploiting different approaches for LED driving current modulation and photodetected signal processing. The implemented detection system has been tested on urea–water solutions with urea concentrations from 0 up to 525 mg/mL as well as on two samples of commercial diesel exhaust fluid (“AdBlue™”). Considering the transmitted intensity in presence of the urea–water solution, at λ = 1450 nm and λ = 2350 nm, normalized to the transmitted intensity in presence of water, we demonstrate that their ratio is linearly related to urea concentration on a wide range and with good sensitivity. Full article

In this study, we developed a green and multifunctional bioactive nanoemulsion (BBG-NEs) of Blumea balsamifera oil using Bletilla striata polysaccharide (BSP) and glycyrrhizic acid (GA) as natural emulsifiers. The process parameters were optimized using particle size, PDI, and zeta potential as evaluation parameters. The physicochemical properties, stability, transdermal properties, and bioactivities of the BBG-NEs under optimal operating conditions were investigated. Finally, network pharmacology and molecular docking were used to elucidate the potential molecular mechanism underlying its wound-healing properties. After parameter optimization, BBG-NEs exhibited excellent stability and demonstrated favorable in vitro transdermal properties. Furthermore, it displayed enhanced antioxidant and wound-healing effects. SD rats wound-healing experiments demonstrated improved scab formation and accelerated healing in the BBG-NE treatment relative to BBO and emulsifier groups. Pharmacological network analyses showed that AKT1, CXCL8, and EGFR may be key targets of BBG-NEs in wound repair. The results of a scratch assay and Western blotting assay also demonstrated that BBG-NEs could effectively promote cell migration and inhibit inflammatory responses. These results indicate the potential of the developed BBG-NEs for antioxidant and skin wound applications, expanding the utility of natural emulsifiers. Meanwhile, this study provided a preliminary explanation of the potential mechanism of BBG-NEs to promote wound healing through network pharmacology and molecular docking, which provided a basis for the mechanistic study of green multifunctional nanoemulsions. Full article

Chronic postsurgical pain (CPSP) following total knee arthroplasty (TKA) and total hip arthroplasty (THA) is a prevalent complication of joint replacement surgery which has the potential to decrease patient satisfaction, increase financial burden, and lead to long-term disability. The identification of risk factors for CPSP following TKA and THA is challenging but essential for targeted preventative therapy. Recent meta-analyses and individual studies highlight associations between elevated state anxiety, depression scores, preoperative pain, diabetes, sleep disturbances, and various other factors with an increased risk of CPSP, with differences observed in prevalence between TKA and THA. While the etiology of CPSP is not fully understood, several factors such as chronic inflammation and preoperative central sensitization have been identified. Other potential mechanisms include genetic factors (e.g., catechol-O-methyltransferase (COMT) and potassium inwardly rectifying channel subfamily J member 6 (KCNJ6) genes), lipid markers, and psychological risk factors (anxiety and depression). With regards to therapeutics and prevention, multimodal pharmacological analgesia, emphasizing nonopioid analgesics like acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs), has gained prominence over epidural analgesia. Nerve blocks and local infiltrative anesthesia have shown mixed results in preventing CPSP. Ketamine, an N-methyl-D-aspartate (NMDA)-receptor antagonist, exhibits antihyperalgesic properties, but its efficacy in reducing CPSP is inconclusive. Lidocaine, an amide-type local anesthetic, shows tentative positive effects on CPSP. Selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs) have mixed results, while gabapentinoids, like gabapentin and pregabalin, present hopeful data but require further research, especially in the context of TKA and THA, to justify their use for CPSP prevention. Full article

The reservoir of the M oilfield in Tarim Basin is an unconventional fracture-cave carbonate rock, encompassing various reservoir types like fractured, fracture-cave, and cave, exhibiting significant spatial heterogeneity. Despite the limited pore space in fractures, they can serve as seepage pathways, complicating the connectivity between reservoirs. High-precision fracture prediction is critical for the effective development of these reservoirs. The conventional post-stack seismic attribute-based approach, however, is limited in its ability to detect small-scale fractures. To address this limitation, a novel pre-stack fracture prediction method based on azimuthal Young’s modulus ellipse fitting is introduced. Offset Vector Tile (OVT) gather is utilized, providing comprehensive information on azimuth and offset. Through analyzing azimuthal anisotropies, such as travel time, amplitude, and elastic parameters, smaller-scale fractures can be detected. First, the original OVT gather data are preprocessed to enhance the signal-to-noise ratio. Subsequently, these data are partially stacked based on different azimuths and offsets. On this basis, pre-stack inversion is carried out for each azimuth to obtain the Young’s modulus in each direction, and, finally, the ellipse fitting algorithm is used to obtain the orientation of the long axis of the ellipse and the ellipticity, indicating the fracture orientation and density, respectively. The fracture prediction results are consistent with the geological structural features and fault development patterns of the block, demonstrating good agreement with the imaging logging interpretations. Furthermore, the results align with the production dynamics observed in the production wells within the block. This alignment confirms the high accuracy of the method and underscores its significance in providing a robust foundation for reservoir connectivity studies and well deployment decisions in this region. Full article

Enophthalmos is a severe complication of primary reconstruction following orbital floor fractures, oncological resections, or maxillo-facial syndromes. The goal of secondary orbital reconstruction is to regain a symmetrical globe position to restore function and aesthetics. In this article, we present a method of computer-assisted orbital floor reconstruction using a mirroring technique and a custom-made titanium or high-density polyethylene mesh printed using computer-aided manufacturing techniques. This reconstructive protocol involves four steps: mirroring of the healthy orbit computer tomography files at the contralateral affected site, virtual design of a customized implant, computer-assisted manufacturing (CAM) of the implant using Direct Metal Laser Sintering (DMLS) or Computer Numerical Control (CNC) methods, and surgical insertion of the device. Clinical outcomes were assessed using 3dMD photogrammetry and computed tomography measures in 13 treated patients and compared to a control group treated with stock implants. An improvement of 3.04 mm (range 0.3–6 mm) in globe protrusion was obtained for the patients treated with patient-specific implants (PSI), and no major complications have been registered. The technique described here appears to be a viable method for correcting complex orbital floor defects needing delayed reconstruction. Full article

(1) This document explores the impact of an interactive learning platform on students’ academic performance through a teaching innovation project. (2) The study involved 127 students in financial economics and accounting courses at a Spanish university. Preliminary and post-learning phase surveys, along with instructor evaluations, were conducted to assess students’ expectations, satisfaction, and performance using the Kahoot platform. The data underwent analysis using PLS-SEM and multivariate techniques. (3) Remarkably, 42.5% of students achieved high academic performance, surpassing their average scores. Notably, those who enjoyed using Kahoot and had higher expectations showed significantly higher performances (48.3% vs. 26.4% and 64.1% vs. 18.3%, respectively). These results highlight the positive impact of perceived usefulness on satisfaction and academic performance. The study also emphasizes the moderating role of students’ enjoyment in enhancing satisfaction and learning outcomes through Kahoot. (4) The document concludes with insights into students’ motivation to use Kahoot and its effectiveness in improving learning outcomes, providing valuable implications for interactive learning platforms in education. Full article

Over recent years, processes related to marine storms, sediment shortages and human intervention have caused the global retreat of many coastal systems and the degradation of their dunes. In this context, changes in the dune toe are commonly used as a proxy to study the interannual shoreline evolution, and it is usually analyzed using orthophotography, while high temporal- and spatial-scale resolution studies of dune toe evolution are not frequent. In this work, a quasi-monthly study of dune toe data was carried out between 2008 and 2018. These data, taken from the RTK-DGPS and UAS systems, were subjected to shoreline analysis, and they showed an average regression rate of −2.30 m/year, a higher value than the one registered until 2008 (1 m/year). This suggests an acceleration in the erosion suffered within the system, which was revealed to be more intense in the northern sector of the study area. Dune toe variability increased over the years, probably due to the presence of washover fans breaking the foredune that were reactivated and expanded during storm events. The ephemeral progradation of the dune toe was also noted, which could be explained with reference to wind events and/or beach nourishment that had been carried out over the studied period. From the analysis of the dune toe elevation, a decrease in this variable was obtained, especially in the areas affected due to washover fans. This finding is supported by the significant correlation of the dune toe elevation and erosion trend, suggesting that the areas where the dune toe was lower are prone to suffering a greater retreat. This correlation provides insight into the future evolution of the barrier, suggesting a state of degradation and a transition to a lower-resilience state. Full article

Water quality monitoring plays a crucial role in urban water supply systems for the production of safe drinking water. However, the traditional approach to water monitoring in Norway relies on a periodic (weekly/biweekly/monthly) sampling and analysis of biological indicators, which fails to provide a timely response to changes in water quality. This research addresses this issue by proposing a data-driven solution that enhances the timeliness of water quality monitoring. Our research team applied a case study in Ålesund Kommune. A sensor platform has been deployed at Lake Brusdalsvatnet, the water source reservoir in Ålesund. This sensor module is capable of collecting data for 10 different physico-chemical indicators of water quality. Leveraging this sensor platform, we developed a CNN-AutoEncoder-SOM solution to automatically monitor, process, and evaluate water quality evolution in the lake. There are three components in this solution. The first one focuses on anomaly detection. We employed a recurrence map to encode the temporal dynamics and sensor correlations, which were then fed into a convolutional neural network (CNN) for classification. It is noted that this network achieved an impressive accuracy of up to $99.6\%$. Once an anomaly is detected, the data are calibrated in the second component using an AutoEncoder-based network. Since true values for calibration are unavailable, the results are evaluated through data analysis. With high-quality calibrated data in hand, we proceeded to cluster the data into different categories to establish water quality standards in the third component, where a self-organizing map (SOM) is applied. The results revealed that this solution demonstrated significant performance, with a silhouette score of 0.73, which illustrates a small in-cluster distance and large intra-cluster distance when the water was clustered into three levels. This system not only achieved the objective of developing a comprehensive solution for continuous water quality monitoring but also offers the potential for integration with other cyber–physical systems (CPSs) in urban water management. Full article

The advent of immunotherapy has transformed the treatment paradigm for metastatic non-small cell lung cancer (NSCLC). In the past few years, several studies have investigated the potential role of immune checkpoint inhibitors (ICIs) in resectable and unresectable locally advanced disease, achieving remarkable results that led to their approval in clinical practice. However, there is limited evidence on immunotherapy rechallenge after recurrence, with the majority of available knowledge coming from retrospective studies which involve heavily pretreated patients with advanced NSCLC. The recent introduction in the curative setting and the potential regulatory restrictions raise questions about the optimal choice of first-line and subsequent therapies for patients with systemic relapse. The role of immunotherapy readministration in this new scenario needs to be clarified, as well as the identification of patients for whom it is more appropriate, including clinical characteristics, duration of response, switching to other ICIs, reasons for discontinuation and immune-related toxicity. Here, we review literature on rechallenge with immunotherapy, including efficacy, safety profile and potential predictive factors of response. Full article