Search Results (77)

Background/Objectives: Bisphenol A (BPA) is an organic compound used in producing polycarbonates and epoxy resins found in products such as food containers, disposable bottles, CDs, and DVDs. Its structure resembles that of endogenous estrogen, which classifies BPA as an endocrine-disrupting chemical (EDC). BPA has been associated with various health abnormalities, including cancer and reproductive system cancer. In this study, we examine the association between BPA exposure, BPA levels in blood serum, and the occurrence of breast cancer and reproductive system cancer. Methods: A total of 84 females were included in this cross-sectional study. All participants completed a questionnaire assessing BPA exposure and underwent a blood test to measure BPA levels in serum. Results: Analysis of the lifestyle questionnaire revealed behavioral differences potentially associated with BPA exposure. A statistically significant difference was observed for responses to Question 13, related to food preparation methods, while responses to Questions 5, 6, and 17 showed trends approaching statistical significance in cancer groups. Serum BPA concentrations were significantly higher in patients with reproductive system cancer compared to the control group (p = 0.045), while a non-significant trend was observed between breast cancer patients and patients with reproductive system cancer (p = 0.0884). Conclusions: In summary, our study demonstrated significantly elevated serum BPA levels in patients with reproductive system cancer compared to controls. These results suggest the hypothesis that higher exposure to BPA may influence or be associated with the development of estrogen-dependent cancers such as breast and endometrial cancer. However, due to the cross-sectional design of the study, causality cannot be established, and further longitudinal studies are warranted. Full article

Background: Adrenal glands are situated cranially and in close proximity to both kidneys. The rabbit is a preferred animal pet species and is also used as an experimental model in research. The aim of this study was to investigate the CT anatomical features of the rabbit adrenal glands, using the CT device SOMATOM. Methods: Ten sexually mature clinically healthy rabbits, with body weights from 2.5 to 3.0 kg were used. They were separated into two groups—five males and five females. CT algorithm: Transverse, sagittal, and dorsal CT studies were performed. The animals were positioned in supine recumbency. They were anesthetized with 15 mg/kg Zoletil^® 50. Helical CT was carried out. The body was scanned from the intrathoracic part of the abdominal cavity to the pelvic inlet. CCD, DVD, and MLD dimensions were measured. Results: Transverse CT scans at the Th12 and L1 level visualized the topography of the right and left adrenal glands. Sagittal CT scans of Regio abdominis, 10 mm to the right and to the left of the median plane, showed the right and left adrenal glands as findings with intermediate attenuation. The dorsal CT investigation of Regio abdominis 30 mm and 45 mm ventral to the spine demonstrated both glands in the vicinity of abdominal organs and large blood vessels. CCD of the right adrenal gland was 6.9 ± 0.5 mm, DVD of the same gland was 5.7 ± 0.7 mm, and MLD was—3.9 ± 0.3 mm. CCD of the left adrenal gland was 5.4 ± 0.6 mm, DVD was—4.0 ± 1.1 mm, and MLD was—4.1 ± 0.9 mm. Conclusions: CCD and DVD of the right adrenal gland were greater than the same parameters of the left gland. MLD of the right adrenal gland was lower than the same parameter measured for the left one. Full article

The current study aimed to investigate mathematical modeling, drying kinetics, and thermodynamic properties for cost-effectively drying marjoram leaves under different operating pressures (OPs) and drying temperatures (DTs). Three DTs of 40, 50, and 60 °C and three OPs of (atm) atmospheric, −5 kPa, and −10 kPa were used in this study. All drying processes were conducted using the developed vacuum dryer (DVD) and a constant layer thickness of 1 cm and initial moisture content of 817.43 on a dry basis (d.b.). The results obtained showed that increasing the DT from 40 to 60 °C at OPs of atm, −5 kPa, and −10 kPa led to a decrease in the drying time by about 55.6%, 36.4%, and 42.9%, respectively. On the other hand, decreasing the OP from atm to −10 kPa resulted in a decrease in drying time of about 58.8%, 45.5%, and 50% at DTs of 40, 50, and 60 °C, respectively. The moisture diffusivity (D_eff) ranged between 1.13 and 5.51 × 10⁻⁹ m²/s, with the highest value of D_eff observed at an OP of −10 kPa and a DT of 60 °C. Under these conditions, the activation energy (AE) was minimal, at approximately 2.68 kJ/mol. Mathematical modeling revealed that the Modified Midilli (I) model was the most suitable for describing the drying kinetics of marjoram leaves under experimental conditions. Among the thermodynamic parameters of marjoram leaves, it was observed that enthalpy values decrease with increasing DT and decreasing OP. Additionally, all tests showed negative entropy, suggesting that the chemical adsorption and/or structural modifications of the adsorbent are responsible for these results. The economic analysis revealed that drying marjoram leaves at an OP of 10 kPa and a DT of 60 °C resulted in yearly cost savings of up to USD 2054.19 and reduced the investment payback period to approximately 0.139 years (about 2 months). Full article

Sprinkler system performance enhancement has been a key area of research due to concerns about water shortages and rising energy costs. This study evaluated the hydraulic performance of the newly designed Spiral Fluidic Sprinkler (SFS) with various nozzles under different operating pressures. MATLAB R2020b software was used to simulate sprinkler uniformities under various operating pressures and the droplet diameter, velocity, and kinetic energy were measured using a 2DVD video raindrop spectrometer. The results showed that larger nozzle sizes generally improved application uniformity and efficiency. The 4 mm nozzle at 200 kPa achieved the lowest coefficient of variation (CV) at 6.2%, while the 3 mm nozzle showed a higher CV of 10.4%. Under 200 and 250 kPa of pressure, a statistically significant difference (p < 0.05) was observed between the CVs for the 4 mm nozzle. Droplet size distributions revealed that over 90% of droplets produced by the 4 mm nozzle were under 3 mm in diameter across all pressures. Kinetic energy analysis indicated that droplet momentum increased with pressure, enhancing coverage but potentially increasing drift at higher levels. Overall, the SFS demonstrated strong potential for water conservation and improved irrigation efficiency in controlled agricultural environments. Full article

Background: The aim of this study was to explore the effects of distance yoga learning in improving depression and pregnancy stress in pregnant women during the pandemic. Methods: A preference-based quasi-experimental study design with an experimental group (n = 30) and a control group (n = 31) was used to test both self-reported depression and stress status. The experimental group received a 12-week pregnancy yoga program, including one weekly 60 min distance yoga class followed by two sessions of DVD yoga exercise at home, while the control group received only routine nursing care. Results: There were significant differences in the depression and pregnancy stress indices between the two groups. As the number of weeks of pregnancy increased, both pregnancy depression and stress tended to gradually increase (p < 0.001). However, the experimental group had less pregnancy depression than the control group (p < 0.001), while there was no significant difference between the two groups in stress (p = 0.970). Conclusions: The findings inform clinical practice regarding the use of alternative exercise options such as distance yoga classes for pregnant women’s mental health during a pandemic to reduce depression and pregnancy stress. Full article

Background and Objectives: This study explores the relationship between retinal structure, vascular densities (VD), and the progression of myopia, aiming to identify novel biomarkers for assessing myopia severity. Materials and Methods: A total of 260 eyes were divided into four groups: Emmetropia (EM) (n = 74), Low Myopia (LM) (n = 68), Moderate Myopia (MM) (n = 64), and High Myopia (HM) (n = 54). VD and retinal thickness (RT) in the macular and peripheral quadrants were measured using optical coherence tomography-angiography (OCTA). SVD and DVD were analyzed across the paranasal, peritemporal, perisuperior, and peri-inferior quadrants. Results: Significant differences in superficial vessel density (SVD) were found in the paranasal (EM vs. MM, p = 0.017; EM vs. HM, p = 0.001), peritemporal (EM vs. MM, p = 0.006; EM vs. HM, p = 0.001; LM vs. HM, p = 0.004; MM vs. HM, p = 0.032), perisuperior (EM vs. MM, p = 0.005; EM vs. HM, p = 0.001; LM vs. HM, p = 0.027), and perifoveal quadrants (EM vs. MM, p = 0.003; EM vs. HM, p = 0.008; LM vs. HM, p = 0.004; MM vs. HM, p = 0.012). Deep vessel density (DVD) showed significant differences in the paranasal (p = 0.012–0.022), peritemporal (p = 0.002–0.026), perisuperior (p = 0.003–0.034), perifoveal (p = 0.002–0.017), and peri-inferior (p = 0.002–0.022) quadrants. Retinal thickness was significantly reduced in HM eyes, with the most pronounced reduction in the peritemporal quadrant (mean difference: 16.7 ± 3.2 µm; p < 0.001). Conclusions: Structural and vascular changes in the retina become more pronounced as myopia progresses from moderate to high. The strong correlation between DVD, RT, and myopia severity highlights their potential as reliable biomarkers for monitoring myopia progression through OCTA imaging. These findings provide new insights into the vascular and structural changes underlying myopia and their diagnostic significance. Full article

This review aimed to explore advances in radon detection methods, emphasizing cost-effectiveness and accessible techniques such as CDs, DVDs, and glass-based detectors. In this review, we compared traditional methods like alpha track detectors and continuous radon monitors with emerging innovations that leverage polycarbonate material and IoT-integrated systems. Our evaluation of the synthesis suggests that CDs and DVDs provide scalable solutions for long-term radon monitoring, while glass-based detectors like CR-39 offer high sensitivity for epidemiological studies. The integration of IoT and AI technologies further enhances real-time radon monitoring, paving the way for precise, scalable, and affordable radon mitigation strategies. This work highlights the importance of low-cost, innovative approaches in reducing radon-related lung cancer risks and informs future research on optimizing the technologies for diverse environments. Full article

Background: Daratumumab (Dara) is the first monoclonal antibody introduced into clinical practice to treat multiple myeloma (MM). It currently forms the backbone of therapy regimens in both newly diagnosed (ND) and relapsed/refractory (RR) patients. However, previous reports indicated an increased risk of infectious complications (ICs) during Dara-based treatment. In this study, we aimed to determine the profile of ICs in MM patients treated with Dara-based regimens and establish predictors of their occurrence. Methods: This retrospective, real-life study included MM patients treated with Dara-based regimens between July 2019 and March 2024 at our institution. Infectious events were evaluated using the Terminology Criteria for Adverse Events (CTCAE) version 5.0. Results: The study group consisted of a total of 139 patients, including 49 NDMM and 90 RRMM. In the RR setting, the majority (60.0%) of patients received the Dara, bortezomib, and dexamethasone (DVd) regimen, whereas ND patients were predominantly (98%) treated with the Dara, bortezomib, thalidomide, and dexamethasone (DVTd) regimen. Overall, 55 patients (39.6%) experienced ICs. The most common IC was pneumonia (37.5%), followed by upper respiratory tract infections (26.8%). Finally, twenty-five patients had severe ICs (grade ≥ 3) and required hospitalization, and eight patients died due to ICs. In the final multivariable model adjusted for setting (ND/RR) and age, hemoglobin level (OR 0.77, 95% CI: 0.61–0.96, p = 0.0037), and Eastern Cooperative Oncology Group (ECOG) >1 (OR 4.46, 95% CI: 1.63–12.26, p = 0.0037) were significant factors influencing severe IC occurrence. Additionally, we developed predictive models using the J48 decision tree, gradient boosting, and random forest algorithms. After conducting 10-fold cross-validation, these models demonstrated strong performance in predicting the occurrence of pneumonia during treatment with daratumumab-based regimens. Conclusions: Simple clinical and laboratory assessments, including hemoglobin level and ECOG scale, can be valuable in identifying patients vulnerable to infections during Dara-based regimens, facilitating personalized prophylactic strategies. Full article

This study presents the results of a pilot survey utilizing an innovative DVD-based method to measure outdoor radon and thoron levels. Twenty-six discriminative radon/thoron detectors were deployed across four different territorial zones in Bulgaria. Positioned 1 m above the ground, these detectors were left in place for several months. Notably, the dataset reveals significant variability in measurements, even over short distances, with thoron exhibiting greater variability than radon. Radon levels ranged from 7 ± 1 to 34 ± 3 Bq m⁻³ (average: 21 Bq m⁻³), while thoron levels ranged from 13 ± 5 to 307 ± 54 Bq m⁻³ (average: 170 Bq m⁻³). A weak but statistically significant correlation (correlation coefficient: 0.559) was observed between radon and thoron levels, which improved significantly when averaged across the four zones. These findings underscore the importance of measuring both radon and thoron in outdoor surveys. High thoron levels can significantly bias radon measurements, particularly when radon concentrations are substantially lower than those of thoron. If further studies confirm the good correlation between area averages, the observed correlation between area-average values could be used to correct average radon levels in large areas (e.g., radon priority areas) for thoron interference when thoron data are missing from the analyzed radon dataset. Full article

Background: Dissection of the axillary lymph nodes during surgery for breast cancer with lymph node involvement is burdened by a complication: lymphedema. Approximately half of women undergoing axillary dissection suffer from it, with a notable impact in terms of perceived discomfort, presented quality of life, and alteration of body image. There is also no shortage of problems in the patient’s social and professional life. Methods: The present review aims to select Randomized Controlled Trials (RCTs) present in the literature regarding the effects of yoga as an alternative therapy in patients with breast cancer-related lymphedema. A search of four databases was undertaken: Cochrane, Pubmed, Scopus, and Web of Science. The searches were conducted on 19 May 2024, and updated to 30 June 2024 without date limits. RCTs without language limitations, in any context, and with any yoga variant were considered. Results: The postulated search strings highlighted a total of 69 potentially eligible studies. The study selection system consisted of two levels of screening, (1) abstract selection and (2) full-text selection, for a total of three studies included in the review. The three RCTs included involved mixed treatment sessions in an outpatient setting with a yoga teacher and at home using a DVD. In the various studies, the outcome measures concerned quality of life, ROM, spinal mobility, limb volume, and tissue induration. Conclusions: According to the analysis of the data obtained, yoga as an alternative therapy could be useful if combined with the usual care routine in women with lymphedema related to sensory cancer, in terms of improving physical, professional, and emotional quality of life and reducing symptoms such as fatigue, pain, and insomnia. Furthermore, yoga could bring about a reduction in tissue induration of the limb, greater spinal mobility evaluated in terms of improvement of the pelvic and kyphotic angle, and greater strength in shoulder abduction. Full article

The big data era demands an efficient and permanent data storage technology with the capacity of PB to EB scale. Optical data storage (ODS) offers a good candidate for long-lifetime storage, as the developing far-field super-resolution nanoscale writing technology improves its capacity to the PB scale. However, methods to efficiently read out this intensive ODS data are still lacking. In this paper, we demonstrate a sub-diffraction readout method based on polarization modulation, which experimentally achieves the sub-diffraction readout on Disperse Red 13 thin film with a resolution of 500 nm, exceeding the diffraction limit by 1.2 times (NA = 0.5). Differing from conventional binary encoding, we propose a specific polarization encoding method that enhances the capacity of ODS by 1.5 times. In the simulation, our method provides an optical data storage readout resolution of 150 nm, potentially to 70 nm, equivalent to 1.1 PB in a DVD-sized disk. This sub-diffraction readout method has great potential as a powerful readout tool for next-generation optical data storage. Full article

The current recommendation for bioprosthetic valve replacement in severe aortic stenosis (AS) is either surgical aortic valve replacement (SAVR) or transcatheter aortic valve replacement (TAVR). We evaluated the performance of a machine learning-based predictive model using existing periprocedural variables for valve replacement modality selection. We analyzed 415 patients in a retrospective longitudinal cohort of adult patients undergoing aortic valve replacement for aortic stenosis. A total of 72 clinical variables including demographic data, patient comorbidities, and preoperative investigation characteristics were collected on each patient. We fit models using LASSO (least absolute shrinkage and selection operator) and decision tree techniques. The accuracy of the prediction on confusion matrix was used to assess model performance. The most predictive independent variable for valve selection by LASSO regression was frailty score. Variables that predict SAVR consisted of low frailty score (value at or below 2) and complex coronary artery diseases (DVD/TVD). Variables that predicted TAVR consisted of high frailty score (at or greater than 6), history of coronary artery bypass surgery (CABG), calcified aorta, and chronic kidney disease (CKD). The LASSO-generated predictive model achieved 98% accuracy on valve replacement modality selection from testing data. The decision tree model consisted of fewer important parameters, namely frailty score, CKD, STS score, age, and history of PCI. The most predictive factor for valve replacement selection was frailty score. The predictive models using different statistical learning methods achieved an excellent concordance predictive accuracy rate of between 93% and 98%. Full article

Daratumumab-based combinations with pomalidomide/dexamethasone (DPd), or bortezomib/dexamethasone (DVd), have shown activity in relapsed/refractory multiple myeloma (RRMM) patients. However, no direct comparisons of safety or efficacy of the two regimens have been published to date. We conducted a retrospective study to compare the safety and efficacy of DPd and DVd in daratumumab-naïve RRMM patients. We included 140 daratumumab-naïve patients who had received DPd or DVd for RRMM. Overall, the DPd group had a greater number of patients who had high-risk disease characteristics. Although response was deeper in the DPd group, the median progression-free survival (PFS) and overall survival (OS) were similar between the two groups. The DPd group exhibited a higher incidence of hematologic toxicities, whereas the DVd group had a higher incidence of peripheral neuropathy. The study results showed that while DPd may provide a deeper response, there was no significant difference in PFS or OS compared to DVd. For the high proportion of difficult-to-treat patients, duration of treatment may have contributed to these results, indicating that patient and disease characteristics should be considered when selecting salvage treatments. Full article

Rare earth element (REE) permanent magnets (NdFeB) are a critical element in a vast and growing number of industrial applications. In consumer electronics, a broad category encompassing computer, CD, and DVD hard drives, in addition to the ubiquitous cell phones, the nominal NdFeB magnet content may be small, but the global market share for this sector accounts for almost 30% of NdFeB demand, due to a large and continually increasing consumer base. It is estimated that wind turbines that primarily employ permanent magnets will add roughly 110 GW annually of on- and off-shore capability over the next few years. Electric vehicles (EVs) and E-bicycles (EBs) equipped with permanent magnet motors comprise the transportation contribution. Permanent magnet motors have garnered nearly 100% of the market share among EV manufacturers worldwide. Industrial, professional service, and personal robots, most using permanent magnets, are also included in the projected global need for rare earths, particularly Nd and Dy. The sector projects significant growth of approximately 10% across robotic categories. In this paper, we calculate the future demand for Nd and Dy through 2050 across these sectors using a compounded annual growth rate coupled with magnet weight and rare earth content. Uncertainties in the estimates, such as the true global production of Nd, a range of end-product scales and/or unit types in each sector, varied magnet compositions, and the variety of uses within a sector, are all considered. Full article

Renal function impairment (RI) is a common complication in multiple myeloma (MM). However, limited data exist on the safety and efficacy of anti-MM regimens in patients with severe RI, as these patients are frequently excluded from clinical trials. This investigator-initiated multicentric phase II GMMG-DANTE trial evaluated daratumumab, bortezomib, and dexamethasone (DVd) in relapsed or refractory (r/r) MM patients with severe RI. r/rMM patients with ≥1 prior treatment line and a GFR <30 mL/min/1.73 m² or undergoing hemodialysis were eligible and received eight cycles of DVd followed by daratumumab maintenance. The trial closed prematurely after 22/36 planned patients. The primary endpoint was overall response rate (ORR). Median age of patients was 70 (range 55–89) years, with a median GFR of 20.1 mL/min/1.73 m² (interquartile range, 9.4–27.3 mL/min/1.73 m²), and eight patients under hemodialysis. Median number of prior lines was two (range 1–10). The trial was successful, albeit with premature termination, as it met its primary endpoint, with an ORR of 67% (14/21). The rates of partial response, very good partial response, and complete response were 29%, 29%, and 10%, respectively (n = 6, 6, and 2). Fourteen patients (67%) achieved renal response. After median follow-up of 28 months, median progression-free survival was 10.4 months; median overall survival was not reached. Higher-grade toxicity was mainly hematologic, and non-hematologic toxicities ≥Grade 3 were mostly infections (24%). The prospective GMMG-DANTE trial investigating DVd exclusively in r/rMM patients with severe RI showed efficacy and safety to be comparable to data from patients without RI. Full article