Search Results (331)

In recent years, an increasing number of women worldwide have been affected by breast cancer. Early detection is crucial, as it is the only way to identify abnormalities at an early stage. However, most deep learning models developed for classifying breast cancer abnormalities tend to be large-scale and computationally intensive, often overlooking the constraints of cost and limited computational resources. This research addresses these challenges by utilizing the CBIS-DDSM dataset and introducing a novel concatenated classification architecture and a two-stage strategy to develop an optimized, lightweight model for breast mass abnormality classification. Through data augmentation and image preprocessing, the proposed model demonstrates a superior performance compared to standalone CNN and DNN models. The two-stage strategy involves first constructing a compact model using knowledge distillation and then refining its structure with a heuristic approach known as Simplified Swarm Optimization (SSO). The experimental results confirm that knowledge distillation significantly enhances the model’s performance. Furthermore, by applying SSO’s full-variable update mechanism, the final model—SSO-Concatenated NASNetMobile (SSO-CNNM)—achieves outstanding performance metrics. It attains a compression rate of 96.17%, along with accuracy, precision, recall, and AUC scores of 96.47%, 97.4%, 94.94%, and 98.23%, respectively, outperforming other existing methods. Full article

As the demand for smaller and more multifunctional integrated circuit (IC) products increases, system-in-package (SiP) has emerged as a key trend in IC encapsulation. However, the use of polymer-based materials such as epoxy molding compounds (EMCs) introduces complex flow behaviors during the encapsulation process, often leading to void formation, especially in highly integrated SiP structures. This study employs the Moldex3D 2024 R3 simulation software to perform mold-filling analyses of SiP packages using EMC as the encapsulant. The objective is to investigate why voids are consistently observed in the leftmost column of the strip and to determine how to reduce the void size using the Taguchi optimization method. To replicate the actual vacuum-assisted molding conditions, a 1/5 strip model with venting was established. Results show that the flow dynamics of the polymeric encapsulant are significantly affected by shielding frame geometry. Among various design modifications, adding an additional column of shielding metal frame on the left side of the strip most effectively reduces void formation. This research highlights the importance of polymer flow behavior in void prediction and optimization for advanced SiP packaging, providing practical guidelines for material-driven design improvements in IC encapsulation processes. Full article

Background: Calmodulin is a calcium-signaling protein implicated in cardiac remodeling and could be released extracellularly. It was previously identified as differentially expressed in hypertensive pediatric chronic kidney disease (CKD). This study assessed plasma calmodulin as a cardiovascular disease (CVD) biomarker in pediatric CKD and compared it with traditional risk markers. Methods: We conducted a cross-sectional study of 81 children with CKD aged 3–18 years. All underwent clinical assessments and echocardiography; 44 had carotid ultrasound, and 38 completed ambulatory blood pressure monitoring (ABPM). Results: Most participants had preserved renal function (median eGFR, 104.4 mL/min/1.73 m²). Plasma calmodulin levels were significantly associated with early markers of CVD, including interventricular septal thickness, left ventricular mass, carotid intima–media thickness, and ABPM systolic measures (all r > 0.2; p < 0.05). In multivariable analysis, only calmodulin and office systolic blood pressure (BP) independently predicted abnormal BP profiles. Conclusions: Plasma calmodulin may serve as a sensitive, though non-specific, early CVD biomarker in pediatric CKD and could complement conventional screening tools. Full article

Hip fractures significantly affect mortality and quality of life in the elderly population. Although alpha-blockers are commonly prescribed for lower urinary tract symptoms after transurethral resection of the prostate (TURP), their long-term safety regarding fracture risk remains controversial. This study aimed to investigate whether long-term alpha-blocker use after TURP affects the risk of hip fractures requiring surgery in elderly men. This study included 6853 male patients aged ≥50 years who underwent TURP between 2000 and 2018. The alpha-blocker group (n = 1371) included patients who continued alpha-blocker treatment after TURP, while the control group (n = 5482) included those who had discontinued the medication. The primary outcome was hip fracture requiring surgical intervention. During follow-up (3.80 ± 1.64 years), hip fracture occurred in 4.2% of the alpha-blocker group versus 5.6% of controls. After adjusting for baseline characteristics and competing risk analysis, alpha-blocker use was associated with a significantly lower risk of hip fracture (p = 0.005). Subgroup analysis revealed particularly strong protective effects in patients with diabetes. Long-term use of alpha-blockers after TURP was associated with reduced hip fracture risk, particularly in patients with diabetes. These findings suggest the safety of continued alpha-blocker therapy after TURP in these patients. Full article

Parkinson’s disease (PD) is a neurodegenerative disorder affecting nearly 10 million people worldwide, and for which no cure is currently known. Mutations in the Leucine-Rich Repeat Kinase 2 (LRRK2) gene, age, as well as environmental factors such as neurotoxin exposure and stress, are known to increase the risk of developing the disease in humans. To investigate the role of a specific Asian variant of the LRRK2 gene to induce susceptibility to stress and trigger PD phenotypes with time, knock-in (KI) mice bearing the human LRRK2 R1628P risk variant have been generated and studied from 2 to 16 months of age in the presence (or absence) of stress insults, including neurotoxin injections and chronic mild stress applied at 3 months of age. Pathophysiological and behavioural phenotypes have been measured at different ages and primary neurons and fibroblast cells were cultured from the KI mouse line and treated with H₂O₂ to study susceptibility towards oxidative stress in vitro. KI mice displayed specific PD features and these phenotypes were aggravated by environmental stresses. In particular, KI mice developed locomotion impairment and increased constipation. In addition, dopamine-related proteins were dysregulated in KI mice brains: Dopamine transporter (DAT) was decreased in the midbrain and striatum and dopamine levels were increased. Primary fibroblast cells and cortical neurons from KI mice also displayed increased susceptibility to oxidative stress. Therefore, the LRRK2 R1628P KI mice are an excellent model to study the progressive development of PD. Full article

Limited studies have addressed the effects of multi-strain probiotics on gut microbiota and their influence on meat traits in pigs. Thus, this study investigated the impact of including a commercialized multi-strain probiotic product (SYN) (SYNLAC-LeanAd) into the dietary regimen of crossbred Landrace × Yorkshire × Duroc (LYD) pigs. The study spanned a duration of 22 weeks, from weaning until slaughtering, during which the carcass traits, meat quality, and fecal microbiota profile were compared to those of pigs fed diets with or without an antibiotic growth promoter (AGP). The results demonstrated that the inclusion of SYN significantly improved meat quality parameters, including marbling score, tenderness, and intramuscular fat (p < 0.05) in comparison to pigs fed with AGP. The analysis of fecal microbiota revealed that SYN inclusion increased the populations of Clostridiaceae, Coriobacteriaceae, and Erysipelotrichaceae compared to the control and AGP groups. Additionally, the Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis predicted that the amino acid and lipid metabolism pathways were facilitated in pigs from the SYN group. These findings suggest that the inclusion of SYNLAC-LeanAd has the potential to positively impact the fecal microbiota profile, which in turn may lead to improved carcass traits and meat quality in commercial crossbred pigs. Full article

This study explores the influence of Electric Arc Furnace (EAF) slag particle size and replacement percentage on the engineering performance of concrete, providing valuable insights into its optimal utilization for sustainable construction. By analyzing particle size ranges—R1 (0.8–2.36 mm), R2 (2.36–4.75 mm), and R3 (4.75–7.0 mm)—this research highlights their distinct contributions to compressive strength and carbonation potential. Medium-sized particles (R2) emerged as the most suitable due to consistent compressive strength across different replacement percentages, high calcium content, and superior carbonation efficiency, leading to the highest calcium carbonate formation and CO₂ uptake. The novelty of this work lies in integrating advanced analytical techniques, including Scanning Electron Microscopy (SEM) and Energy Dispersive X-ray Spectroscopy (EDX), to elucidate the microstructural mechanisms driving these performance enhancements. The findings establish a quantifiable relationship between EAF slag’s high calcium and magnesium oxide content and its role in mechanical improvements and carbon dioxide sequestration via mineral carbonation reactions, with R2 achieving the highest CO₂ uptake. This comprehensive approach addresses the apparent contradiction between early-stage and long-term performance, emphasizing R2’s suitability, with 45% of the replacement of fine aggregate as the optimal choice for sustainable high-performance concrete with superior strength stability and carbonation efficiency. Full article

Amid the global rise in type 2 diabetes, natural peptide-based therapies provide a safer alternative to synthetic drugs with fewer side effects. This study highlights the antidiabetic potential of peptides derived from cultured Chinese giant salamander (CGS) meat hydrolyzed by Alcalase 2.4L FG through DPP4 inhibitory activity. The hydrolysate exhibited significant DPP4 inhibitory activity, with an IC₅₀ value of 1317.0 ± 29.5 μg/mL. Using activity-guided modified-SPE fractionation, the most potent DPP4 inhibitory peptide, PPAAQLL (PL7), was identified from CGS alcalase hydrolysate, with an IC₅₀ of 230.1 ± 4.9 μM. PL7 was identified as a non-competitive inhibitor through enzyme kinetic studies, and intermolecular docking simulations suggested that it does not interact with the active site of DPP4. Additionally, PL7’s stability against DPP4 and simulated gastrointestinal protease digestion suggested that its inhibitory activity remains intact, indicating potential for effective oral administration. SRM quantification analysis revealed nearly a six-fold enrichment of PL7 in the RP-SPE fraction S1 compared to the crude hydrolysate, underscoring the effectiveness of the fractionation method. These findings highlight CGS alcalase hydrolysate as a promising source of DPP4 inhibitory peptides for managing type 2 diabetes. Future studies should focus on the in vivo efficacy, bioavailability, and pharmacokinetics of PL7. Full article

Background: Liver transplantation (LT) is a promising treatment option for patients with hepatocellular carcinoma (HCC) comorbid with cirrhosis. However, HCC with portal vein tumor thrombosis (PVTT) remains an absolute contraindication for LT. This study aimed to analyze the outcomes of LT in patients with HCC plus portal vein thrombosis and further evaluate the impact of PVTT on the long-term outcomes of patients. Methods: Among the 501 patients who underwent LT for HCC between January 2000 and March 2023, 29 (5.8%) patients with HCC who had portal vein thrombosis were further analyzed. Of these 29 patients with portal vein thrombosis, 12 (41.4%) were preoperatively diagnosed with PVTT and underwent LT after receiving downstaging therapy. The remaining 17 (58.6%) patients were PVTT-free prior to LT. Results: Overall, the recurrence-free survival rates at 1, 3, and 5 years were 96.3%, 74.2%, and 74.2%, respectively, while the 1-, 3-, and 5-year overall survival rates were 82.4%, 74.2%, and 70.1%, respectively. However, patients with viable PVTT had significantly worse outcomes than those without viable PVTT (p = 0.030). The 5-year recurrence-free and overall survival rates for patients with viable PVTT were 57.5% and 57.0%, respectively. Conclusions: LT may still be a promising option for patients with HCC and PVTT after appropriate downstaging. However, caution should be adopted, as remnant viable PVTT might lead to unsatisfactory outcomes after transplantation. Full article

Background: Endoscopic assessment for the diagnosis of gastric cancer is limited by interoperator variability and lack of real-time capability. Recently, Raman spectroscopy-based artificial intelligence (AI) has been proposed as a solution to overcome these limitations. Objective: To compare the performance of the AI-enabled Raman spectroscopy with that of high-definition white light endoscopy (HD-WLE) for the risk classification of gastric lesions. Methods: This was a randomized double-arm feasibility proof-of-concept trial in which participants with suspected gastric neoplasia underwent endoscopic assessment using either the Raman spectroscopy-based AI (SPECTRA IMDx™) or HD-WLE performed by expert endoscopists. Identified lesions were classified in real time as having either low or high risk for neoplasia. Diagnostic outcomes were compared between the two groups using histopathology as the reference. Results: A total of 20 patients with 25 lesions were included in the study. SPECTRA, in real-time, performed at a statistically similar level to that of HD-WLE performed by expert endoscopists, achieving an overall sensitivity, specificity, and accuracy of 100%, 80%, and 89.0%, respectively, by patient; and 100%, 80%, and 92%, respectively, by lesion, while expert endoscopists using HD-WLE attained a sensitivity, specificity, and accuracy of 100%, 80%, and 90%, respectively, by patient; and 100%, 83.3%, and 91.7%, respectively, by lesion, in differentiating high-risk from low-risk gastric lesions. Conclusions: The SPECTRA’s comparable performance with that of HD-WLE suggests that it can potentially be a valuable adjunct for less experienced endoscopists to attain accurate and real-time diagnoses of gastric lesions. Larger-scale prospective randomized trials are recommended to validate these promising results further. Full article

The effects of different forms of multi-strain probiotics on weaning piglets are limitedly addressed. Thus, this study investigated the effects of live or inanimate multi-strain probiotics comprising Lactobacillus plantarum, Streptococcus thermophilus, and Bacillus subtilis on growth performance, intestinal morphology, fecal microbiota, short-chain fatty acids, and intestinal gene expression of weaning piglets. A total of 160 weaning piglets (4 weeks old) were randomly allocated into four treatments (CON: basal diet; AB: basal diet with 110 ppm and 66 ppm colistin in the weaning and nursery phases, respectively; LP: basal diet with 2.0 × 10⁹ CFU/kg live probiotics; and IP: basal diet with 2.0 × 10⁹ CFU/kg inanimate probiotics). Piglets fed with LP had significantly lower FCR compared to those of the CON and IP groups in week 4 to week 8 (p < 0.05). Moreover, the LP group had significantly higher villus height (VH) compared with AB at week 6, lower crypt depth (CD) compared with IP, and higher VH/CD ratio compared to other treatments at week 10 (p < 0.05), which indicate healthier intestinal morphology. Probiotic treatments (LP and IP) increased Bifidobacterium population compared to CON at week 6 and lowered Enterobacteriaceae at week 6 and week 10 (p < 0.05). Regarding gene expressions of intestinal integrity, LP showed significantly higher TFF3 expression compared with CON and AB at week 6 and compared with other treatments in jejunum at week 10 (p < 0.05). IP treatment had significantly higher MUC2 expression compared to other treatments at week 6 and week 10 (p < 0.05). Overall, live multi-strain probiotics improved growth efficiency by enhancing gut integrity and microbiome balance, making them a potential antibiotic alternative to ameliorate weaning stress and promote productive performance in weaning piglets. Full article

Background/Objectives: Positive symptoms, negative symptoms, and emotional disturbances are core features of schizophrenia. Although horticultural therapy (HT) has shown promise as an adjunctive treatment, evidence supporting its effectiveness remains limited. This systematic review and meta-analysis aimed to assess the impact of HT on total symptoms, positive symptoms, negative symptoms, and emotional disturbances in individuals with schizophrenia. Methods: We conducted a search for randomized controlled trials (RCTs) published up to March 2024 across multiple databases, including PubMed, Embase, Cochrane Library, CINAHL, CEPS, CNKI, Wanfang, and Yiigle. A random-effects model was employed to calculate the standardized mean difference (SMD). Results: A total of 35 studies enrolling 2899 participants were included. Our results indicated that, in the short term (≦3 months), HT has moderate to large effect sizes on total symptoms (SMD = 0.690, 95% CI 0.463 to 0.916), positive symptoms (SMD = 0.695, 95% CI 0.038 to 1.351), negative symptoms (SMD = 0.681, 95% CI 0.395 to 0.967), depression (SMD = 0.646, 95% CI 0.334 to 0.959), and anxiety (SMD = 0.627, 95% CI 0.364 to 0.890), with more pronounced benefits for anxiety symptoms in patients with a shorter duration of illness. In the long term (>3 months), HT shows large effect sizes for total symptoms (SMD = 1.393, 95% CI 0.858 to 1.928), negative symptoms (SMD = 1.389, 95% CI 0.935 to 1.842), anxiety (SMD = 1.541, 95% CI 1.042 to 2.040), and moderate to large effect sizes for positive symptoms (SMD = 0.667, 95% CI 0.077 to 1.258) and depression (SMD = 0.707, 95% CI 0.198 to 1.217). Additionally, longer weekly treatment durations are associated with better outcomes for total symptoms and negative symptoms. Schizophrenia patients with more severe initial symptoms may be potential responders to HT. Conclusions: These findings support the efficacy of HT in improving symptoms and emotional well-being in schizophrenia patients. Further trials with more rigorous designs are warranted to confirm these benefits. Full article

Metabolic syndrome (MetS) includes cardiovascular risk factors like obesity, dyslipidemia, hypertension, and glucose intolerance, which increase the risk of overactive bladder (OAB), characterized by urgency, frequency, urge incontinence, and nocturia. Both MetS and ovarian hormone deficiency (OHD) are linked to bladder overactivity. Nitric oxide (NO) is known to reduce inflammation and promote healing but its effect on bladder overactivity in MetS and OHD is unclear. This study aimed to investigate NO’s impact on detrusor muscle hyperactivity in rats with MetS and OHD. Female Sprague-Dawley rats were divided into seven groups based on diet and treatments involving L-arginine (NO precursor) and L-NAME (NOS inhibitor). After 12 months on a high-fat, high-sugar diet with or without OVX, a cystometrogram and tracing analysis of voiding behavior were used to identify the symptoms of detrusor hyperactivity. The MetS with or without OHD group had a worse bladder contractile response while L-arginine ameliorated bladder contractile function. In summary, MetS with or without OHD decreased NO production, reduced angiogenesis, and enhanced oxidative stress to cause bladder overactivity, mediated through the NF-kB signaling pathway, whereas L-arginine ameliorated the symptoms of detrusor overactivity and lessened oxidative damage via the NRF2/HIF-1α signaling pathway in MetS with or without OHD-induced OAB. Full article

The epithelial-to-mesenchymal transition (EMT) plays a key role in the pathogenesis of kidney fibrosis, and kidney fibrosis is associated with an adverse renal prognosis. Beta-mangostin (β-Mag) is a xanthone derivative obtained from mangosteens that is involved in the generation of antifibrotic and anti-oxidation effects. The purpose of this study was to examine the effects of β-Mag on renal tubulointerstitial fibrosis both in vivo and in vitro and the corresponding mechanisms involved. As shown through an in vivo study conducted on a unilateral ureteral obstruction mouse model, oral β-Mag administration, in a dose-dependent manner, caused a lesser degree of tubulointerstitial damage, diminished collagen I fiber deposition, and the depressed expression of fibrotic markers (collagen I, α-SMA) and EMT markers (N-cadherin, Vimentin, Snail, and Slug) in the UUO kidney tissues. The in vitro part of this research revealed that β-Mag, when co-treated with transforming growth factor-β1 (TGF-β1), decreased cell motility and downregulated the EMT (in relation to Vimentin, Snail, and N-cadherin) and phosphoryl-JNK1/2/Smad2/Smad3 expression. Furthermore, β-Mag co-treated with SB (Smad2/3 kinase inhibitor) or SP600125 (JNK kinase inhibitor) significantly inhibited the TGF-β1-associated downstream phosphorylation and activation of JNK1/2-mediated Smad2 targeting the Snail/Vimentin axis. To conclude, β-Mag protects against EMT and kidney fibrotic processes by mediating the TGF-β1/JNK/Smad2 targeting Snail-mediated Vimentin expression and may have therapeutic implications for renal tubulointerstitial fibrosis. Full article