Search Results (3,832)

Background: The influence of the initial ablation modality on pulmonary vein (PV) reconnection and substrate characteristics in redo procedures for recurrent atrial fibrillation (AF) remains unclear. We assessed how different thermal strategies—ablation index (AI)-guided radiofrequency (RF) versus cryoballoon (CB) ablation—affect remapping findings during redo pulmonary vein isolation (PVI). Methods: We included patients undergoing redo ablation between 2015 and 2024 with high-density electroanatomic mapping. Initial PVI modalities were retrospectively classified as low-power, long-duration (LPLD) RF; high-power, short-duration (HPSD) RF; or second-/third-generation CB. Reconnection sites were mapped using multielectrode catheters. Redo PVI was performed using AI-guided RF. Segments showing PV reconnection were reisolated; if all PVs remained isolated and AF persisted, posterior wall isolation was performed. Results: Among 195 patients (LPLD: 63; HPSD: 30; CB: 102), complete PVI at redo was observed in 0% (LPLD), 23.3% (HPSD), and 10.1% (CB) (p < 0.01 for LPLD vs. HPSD). Reconnection patterns varied by technique; LPLD primarily affected the right carina, while HPSD and CB showed reconnections at the LSPV ridge. Organized atrial tachycardia was least frequent after CB (12.7%, p < 0.002). Conclusion: Initial ablation strategy significantly influences PV reconnection and post-PVI arrhythmia patterns, with implications for redo procedure planning. Full article

Solving competitive facility location problems can optimize market share or operational efficiency in environments where multiple firms compete for customer attention. In such contexts, facility attractiveness is shaped not only by geographic proximity but also by customer preference characteristics. This study presents a novel heuristic framework that integrates multi-view K-means clustering with customer behavior modeling reinforced by a co-regularization mechanism to align clustering results across heterogeneous data views. By jointly exploiting spatial and behavioral information, the framework clusters customers and facilities into meaningful market segments. Within each segment, a bilevel optimization model is applied to represent the sequential decision-making of competing entities—where a leader first selects facility locations, followed by a reactive follower. An empirical evaluation on a real-world dataset from San Francisco demonstrates that the proposed approach, using optimal co-regularization parameters, achieves a total runtime of approximately 4.00 s—representing a 99.34% reduction compared to the full CFLBP-CB model (608.58 s) and a 99.32% reduction compared to a genetic algorithm (585.20 s). Concurrently, it yields an overall profit of 16,104.17, which is an approximate 0.72% increase over the Direct CFLBP-CB profit of 15,988.27 and is only 0.21% lower than the genetic algorithm’s highest profit of 16,137.75. Moreover, comparative analysis reveals that the proposed multi-view clustering with co-regularization outperforms all single-view baselines, including K-means, spectral, and hierarchical methods. This superiority is evidenced by an approximate 5.21% increase in overall profit and a simultaneous reduction in optimization time, thereby demonstrating its effectiveness in capturing complementary spatial and behavioral structures for competitive facility location. Notably, the proposed two-stage approach achieves high-quality solutions with significantly shorter computation times, making it suitable for large-scale or time-sensitive competitive facility planning tasks. Full article

The incorporation of residues into rubber composites has gained attention as a sustainable strategy to address waste management challenges while replacing commercial fillers. In this study, we investigated the potential use of water filter cartridge residue after exhaustion, composed of activated carbon, as a reinforcing filler in vulcanized natural rubber composites. Samples were prepared with 5, 10, 15, and 20 phr (per hundred rubber) of residue and compared to unfilled natural rubber. Stress vs. strain tests reached 13.9 MPa of tension at rupture for composites containing 10 phr of carbon-activated residues, representing a 21.9% increase compared to natural rubber. Interestingly, the tension at rupture for NR/AC_10phr reached values close to those of NR/CB_5phr (with carbon black N330) attaining 14.4 MPa. These results indicate that, even at relatively low concentrations, the carbon filter can offer partial substitution for commercial fillers. Moreover, the use of activated carbon from filter cartridges as filler in rubber composites provides an environmentally favorable alternative to energy-intensive regeneration processes for activated carbon. Full article

There is insufficient evidence regarding the cytotoxicity of restorative 3D-printing resins, used as part of the digital workflow in dentistry. This study presents a novel comparative evaluation of cell viability and adhesion using human Wharton’s jelly-derived mesenchymal stem cells (WJ-MSCs), a less commonly used but clinically relevant cell line in dental biomaterials research. The aim of this study was to evaluate the cell viability of WJ-MSCs seeded on 3D-printed resins intended for temporary restorations. Resin discs of three commercial 3D-printing resins (NextDent C&B, Leaf Dental C&B, and UNIZ Temp) and a conventional self-curing acrylic resin (NicTone) were used. WJ-MSCs were cultured on the specimens for 1, 4, and 10 days. Cell viability was assessed using the PrestoBlue assay, Live/Dead immunofluorescence staining, and 7AAD/Annexin V staining. Cell adhesion was evaluated using scanning electron microscopy. Direct exposure to the 3D-printed resins and the self-curing acrylic caused slight reductions in cell viability compared to the control group in both microscopic analyses. 7AAD/Annexin V showed the highest percentage of viable WBCs for the conventional acrylic (34%), followed by UNIZ (35%), NextDent (42%), and Leaf Dental (36%) (ANOVA p < 0.05 Tukey’s post-hoc test p < 0.05). These findings suggest that 3D-printed resins could be considered safe for use in temporary restorations. Full article

The motivation for increasing the efficiency of renewable energy sources is the basic problem of ongoing research. Currently, intensive research is underway in technology based on the use of dye-sensitized solar cells (DSSCs). The aim of this work is to investigate the effect of modifying the iodide electrolyte with liquid crystals (LCs) known for the self-organization of molecules into specific mesophases. The current–voltage (I-V) and power–voltage (P-V) characteristics were determined for the ruthenium-based dyes N3, Z907, and N719 to investigate the influence of their structure and concentration on the efficiency of DSSCs. The addition of a nematic LC of 4-n-pentyl-4-cyanobiphenyl (5CB) to the iodide electrolyte influences the I-V and P-V characteristics. A modification of the I-V characteristics was found, especially a change in the values of short circuit current (I_SC) and open circuit voltage (V_OC). The conversion efficiency for cells with modified electrolyte shows a complex dependence that first increases and then decreases with increasing LC concentration. It may be caused by the orientational interaction of LC molecules with the titanium dioxide (TiO₂) layer on the photoanode. A too high concentration of LC may lead to a reduction in total ionic conductivity due to the insulating effect of the elongated polar molecules. Full article

The cigarette butt (CB) recycling process yields several byproducts, including cleaned filters, solid debris (mainly paper and tobacco), and wastewater. This study aimed to assess, for the first time, the long-term suitability of these recycled byproducts for turfgrass cultivation. Under controlled conditions, Paspalum vaginatum Swartz was grown in sand–peat substrate, either unmodified (control) or amended with small pieces of uncleaned CBs or solid byproducts from CB recycling at concentrations of 25% or 50% (v/v). In additional tests, turfgrass grown in unmodified substrate received wastewater instead of tap water once or twice weekly. Over 7 weeks, physiological and biometric parameters were assessed. Plants grown with solid debris showed traits comparable to the control. Those grown with intact CBs or cleaned filters had similar biomass and coverage as the control but accumulated more carotenoids and antioxidants. Wastewater significantly enhanced plant growth when applied once weekly, while becoming toxic when applied twice, reducing biomass and coverage. After scalping, turfgrass recovered well across all treatments, and in some cases biomass improved. Overall, recycled CB byproducts, particularly wastewater used at optimal concentrations, can be a sustainable resource for promoting turfgrass growth. Full article

Malware evolution presents growing security threats for resource-constrained Internet of Medical Things (IoMT) devices. Conventional federated learning (FL) often suffers from slow convergence, high communication overhead, and fairness issues in dynamic IoMT environments. In this paper, we propose FedGCL, a secure and efficient FL framework integrating contrastive graph representation learning for enhanced feature discrimination, a Jain-index-based fairness-aware aggregation mechanism, an adaptive synchronization scheduler to optimize communication rounds, and secure aggregation via homomorphic encryption within a Trusted Execution Environment. We evaluate FedGCL on four benchmark malware datasets (Drebin, Malgenome, Kronodroid, and TUANDROMD) using 5 to 15 graph neural network clients over 20 communication rounds. Our experiments demonstrate that FedGCL achieves 96.3% global accuracy within three rounds and converges to 98.9% by round twenty—reducing required training rounds by 45% compared to FedAvg—while incurring only approximately 10% additional computational overhead. By preserving patient data privacy at the edge, FedGCL enhances system resilience without sacrificing model performance. These results indicate FedGCL’s promise as a secure, efficient, and fair federated malware detection solution for IoMT ecosystems. Full article

Carbon black (CB)-filled rubber materials are extensively used in civil engineering seismic isolation. However, CB-filled rubber materials often experience mechanical property degradation because of exposure to environmental factors. To better understand the influences of thermo-oxidative, ultraviolet and ozone aging on mechanical property degradation, uniaxial tension and dynamic mechanical analysis (DMA) tests were carried out. In the uniaxial tension tests, the stress strength and elongation decreased with an increase in aging time. In the DMA tests, the effective temperature ranges decreased by 3.4–14%. And the neo-Hookean model was applied to simulate the hyperelasticity of CB-filled rubber materials. The relationship between the elastic modulus (a constant of the neo-Hookean model) and aging time was established, which provided a qualitative relationship between crosslink density and aging time. In addition, the dispersion of the CB aggregate was investigated using an atomic force microscope (AFM). The results indicated that the mechanical property degradation might be closely related to the aggregate diameter. This paper establishes a bridge between the microstructure and mechanical properties of CB-filled rubber materials, which can improve the understanding of the mechanical property degradation mechanisms of rubber materials and the fabrication of rubber components. Full article

This study evaluated the production performance and egg quality of Lohmann Brown laying hens fed diets containing different levels of Corn Bran with Solubles (CBS). A total of 144 hens aged 44 weeks were assigned to three treatments in a completely randomized design, with eight replicates per treatment and six birds per replicate. The experimental treatments included diets with CBS inclusion levels of 0%, 5%, and 10%. The experiment lasted 84 days (44 to 55 weeks of age). Data were analyzed via one-way ANOVA, with mean differences evaluated using Tukey’s HSD test (α = 0.05). No significant effects were observed for laying rate, feed intake, feed conversion ratio, or egg mass (p > 0.05). However, egg quality parameters such as shell percentage, shell weight per unit surface area (SWUSA), and yolk color were influenced by the treatments (p < 0.05). Hens fed diets with 5% CBS exhibited higher shell percentage and SWUSA compared to those on the 0% CBS diet. Yolk color intensity increased with higher CBS inclusion levels. In conclusion, incorporating up to 10% CBS in corn–soybean meal diets for laying hens can enhance egg yolk pigmentation. Notably, including 5% CBS improves eggshell quality. Full article

: This study reports the development of a sustainable biocatalyst system for free fatty acid (FFA) production from cocoa bean shell (CBS) oil using Burkholderia cepacia lipase (BCL). CBS was explored as both a support material and a reaction substrate. Six immobilized systems were prepared using organic (CBS), inorganic (silica), and hybrid (CBS–silica) supports via physical adsorption or covalent binding. Among them, the covalently immobilized enzyme on CBS (ORG-CB) showed the most balanced performance, achieving a catalytic efficiency (Ke) of 0.063 mM⁻¹·min⁻¹ (18.6% of the free enzyme), broad pH–temperature tolerance, and over 50% activity retention after eight reuse cycles. Thermodynamic analysis confirmed enhanced thermal resistance for ORG-CB (Ed = 32.3 kJ mol⁻¹; ΔH‡ = 29.7 kJ mol⁻¹), while kinetic evaluation revealed that its thermal deactivation occurred faster than for the free enzyme under prolonged heating. In application trials, ORG-CB reached 60.1% FFA conversion from CBS oil, outperforming the free enzyme (49.9%). These findings validate CBS as a dual-function material for enzyme immobilization and valorization of agro-industrial waste. The results also reinforce the impact of immobilization chemistry and support composition on the operational and thermal performance of biocatalysts, contributing to the advancement of green chemistry strategies in enzyme-based processing. Full article

Background: Dystonic cerebral palsy (DCP) is a complex, disabling manifestation of secondary dystonia, which significantly impacts motor function, quality of life, and well-being. Conventional pharmacologic therapies frequently do not relieve symptoms sufficiently. Deep brain stimulation (DBS) of the globus pallidus internal segment (GPi) has gained increasing attention as a neuromodulatory therapy for refractory dystonia. Still, the experience of the effect of GPi DBS treatment in adults with DCP has, until recently, been limited. Methods: We performed a retrospective, two-center case series of 11 adult patients with medically refractory DCP who underwent bilateral GPi-DBS. The clinical outcomes were evaluated based on the Burke–Fahn–Marsden Dystonia Rating Scale (BFMDRS), the Functional Independence Measure (FIM), the Gross Motor Function Classification System (GMFCS), and the Caregiver Burden Scale (CBS). The assessments were done preoperatively and at 1-year follow-up. Changes in continuous variables were analyzed using paired t-tests. Results: At the 1-year follow-up, the mean BFMDRS score improved from 69.6 ± 27.6 to 54.3 ± 36.5 (p = 0.001), indicating a significant reduction in overall dystonia severity. Functional independence also improved, demonstrated by the rise in FIM scores from 65.3 ± 33.9 to 79.2 ± 43.4 (p = 0.006). Although GMFCS levels did not change in most patients (p = 0.125), the burden on caregivers decreased significantly, with CBS scores falling from 35.7 ± 18.8 to 32.0 ± 17.1 (p = 0.015). There were no surgical complications. Conclusions: In adults, bilateral GPi-DBS is a safe and effective intervention for DCP, improving motor control and increasing functional independence while decreasing caregiver burden. These findings lend support to its role in the multidisciplinary management of DCP. Full article

Background/Objectives: Emotional intelligence has emerged as a key factor in shaping nursing performance and care quality, yet its specific mechanisms and impact within the Greek public healthcare context remain underexplored. This study aimed to investigate the role of emotional intelligence in ethical behavior, crisis management, and the perceived quality of care among nurses working in Greek public hospitals. Methods: A cross-sectional survey was conducted among practicing nurses using validated instruments to assess emotional intelligence, ethical compliance, crisis management skills, and care quality. Data were analyzed using covariance-based structural equation modeling (CB SEM) to examine both direct and indirect relationships among variables. Results: The results indicated that emotional intelligence training had a strong and significant effect on nurses’ ethical behavior and their ability to manage critical situations. However, the direct effect of emotional intelligence on the perceived quality of care was not significant; instead, its influence was mediated through improvements in ethics and crisis management. Conclusions: These findings suggest that the benefits of emotional intelligence in nursing are most evident when integrated with supportive organizational practices and ongoing professional development. Overall, this study highlights the need for comprehensive emotional intelligence training and a supportive workplace culture to enhance ethical standards, resilience, and patient care quality in Greek healthcare settings. Full article

Exploring the interactions between compulsive buying and dietary practices is crucial in terms of understanding these behaviors from a behavioral standpoint. This paper investigates the relationships between compulsive buying (CB) and non-compulsive buying (non-CB), focusing on the influence of dietary habits (TFEQ), body mass index (BMI), and emotional valence. The study involved a representative sample of 707 Polish adults and employed tools such as the Compulsive Buying Scale, the Three-Factor Eating Questionnaire (TFEQ), and the Emotional Appetite Questionnaire (EMAQ). The results revealed that compulsive buyers (CBs) had higher levels of cognitive restraint, emotional eating, and uncontrolled eating than non-compulsive buyers (non-CBs). Importantly, emotional valence—which includes both positive and negative emotions—significantly influenced dietary behaviors, illustrating the complex role emotions play in food consumption. Additionally, the results highlighted that the BMI significantly affects these relationships, suggesting different eating patterns across BMI categories. This study underscores the need for targeted interventions focusing on psychological and nutritional aspects to address these interconnected compulsive behaviors. Full article

Polymer-based electrothermal composites (PECs) have been increasingly attracting attention in recent years owing to their flexibility, low density, and high electrothermal efficiency. However, although a large number of reviews have focused on flexible and transparent film heaters as well as polymer-based conductive composites, comprehensive reviews of polymer-based electrothermal composites remain limited. Herein, we provide a comprehensive review of recent advancements in polymer-based electrothermal materials. This review begins with an introduction to the electrothermal theoretical basis and the research progress of PECs incorporating various conductive fillers, such as graphene, carbon nanotubes (CNTs), carbon black (CB), MXenes, and metal nanowires. Furthermore, a critical discussion is provided to emphasize the factors influencing the electrothermal conversion efficiency of these composites. Meanwhile, the development of multi-functional electrothermal materials has been also summarized. Finally, the application progress, future prospects, limitations, and potential directions for PEC are discussed. This review aims to serve as a practical guide for engineers and researchers engaged in the development of polymer-based electrothermal composites. Full article

Calcium microcapsules were developed by spray-drying using mannoproteins (MPs) extracted from brewer’s spent yeast, xanthan gum (XG), and maltodextrin as encapsulating materials. The formulas included 11 g of calcium, 24 g of MP, and 0, 2, 4, or 8 g of XG 100 g⁻¹ solids, obtaining C1, C2, C3, and C4 microcapsules, respectively. Maltodextrin was added to complete 100 g of solids. Calcium intestinal (IB), colonic (CB), and total bioaccessibility (TB) were estimated after a simulated gastrointestinal digestion followed by in vitro colonic fermentation. The macromolecules of microcapsules interacted by ionic and hydrophobic forces. Microcapsules C1 and C2 showed a spherical shape. However, the addition of XG to the formulation contributed to the formation of concavities in the microcapsules. All microcapsules had higher IB than the control (CaCl₂), probably due to the calcium-chelating peptides dialyzed from MP. Moreover, C1 and C2 showed the highest IB values (≈23%). However, C3 and C4 showed the highest CB values (≈11%), attributing this effect to the short-chain fatty acids produced during colonic fermentation. Finally, C1 and C2 showed the highest TB (31.8 ± 0.1 and 32.0 ± 0.4%, respectively). The use of MP allowed for obtaining a supplement with high calcium bioaccessibility. Full article