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35 pages, 1745 KiB  
Article
Balanced Fertilization of Winter Wheat with Potassium and Magnesium—An Effective Way to Manage Fertilizer Nitrogen Sustainably
by Agnieszka Andrzejewska, Katarzyna Przygocka-Cyna and Witold Grzebisz
Sustainability 2025, 17(15), 6705; https://doi.org/10.3390/su17156705 - 23 Jul 2025
Viewed by 394
Abstract
In agricultural practice, in addition to determining the nitrogen (Nf) dose, it is necessary to effectively control its effect on currently grown crops. Meeting these conditions requires not only the use of phosphorus (P) and potassium (K), but also nutrients such [...] Read more.
In agricultural practice, in addition to determining the nitrogen (Nf) dose, it is necessary to effectively control its effect on currently grown crops. Meeting these conditions requires not only the use of phosphorus (P) and potassium (K), but also nutrients such as magnesium (Mg) and sulfur (S). This hypothesis was verified in a single-factor field experiment with winter wheat (WW) carried out in the 2015/2016, 2016/2017, and 2017/2018 growing seasons. The experiment consisted of seven variants: absolute control (AC), NP, NPK-MOP (K as Muriate of Potash), NPK-MOP+Ki (Kieserite), NPK-KK (K as Korn–Kali), NPK-KK+Ki, and NPK-KK+Ki+ES (Epsom Salt). The use of K as MOP increased grain yield (GY) by 6.3% compared to NP. In the NPK-KK variant, GY was 13% (+0.84 t ha−1) higher compared to NP. Moreover, GYs in this fertilization variant (FV) were stable over the years (coefficient of variation, CV = 9.4%). In NPK-KK+Ki+ES, the yield increase was the highest and mounted to 17.2% compared to NP, but the variability over the years was also the highest (CV ≈ 20%). The amount of N in grain N (GN) increased progressively from 4% for NPK-MOP to 15% for NPK-KK and 25% for NPK-KK+Ki+ES in comparison to NP. The nitrogen harvest index was highly stable, achieving 72.6 ± 3.1%. All analyzed NUE indices showed a significant response to FVs. The PFP-Nf (partial factor productivity of Nf) indices increased on NPK-MOP by 5.8%, NPK-KK by 12.9%, and NPK-KK+Ki+ES by 17.9% compared to NP. The corresponding Nf recovery of Nf in wheat grain was 47.2%, 55.9%, and 64.4%, but its total recovery by wheat (grain + straw) was 67%, 74.5%, and 87.2%, respectively. In terms of the theoretical and practical value of the tested indexes, two indices, namely, NUP (nitrogen unit productivity) and NUA (nitrogen unit accumulation), proved to be the most useful. From the farmer’s production strategy, FV with K applied in the form of Korn–Kali proved to be the most stable option due to high and stable yield, regardless of weather conditions. The increase in the number of nutritional factors optimizing the action of nitrogen in winter wheat caused the phenomenon known as the “scissors effect”. This phenomenon manifested itself in a progressive increase in nitrogen unit productivity (NUP) combined with a regressive trend in unit nitrogen accumulation (NUA) in the grain versus the balance of soil available Mg (Mgb). The studies clearly showed that obtaining grain that met the milling requirements was recorded only for NUA above 22 kg N t−1 grain. This was possible only with the most intensive Mg treatment (NPK-KK+Ki and NPK-KK+Ki+ES). The study clearly showed that three of the six FVs fully met the three basic conditions for sustainable crop production: (i) stabilization and even an increase in grain yield; (ii) a decrease in the mass of inorganic N in the soil at harvest, potentially susceptible to leaching; and (iii) stabilization of the soil fertility of P, K, and Mg. Full article
(This article belongs to the Special Issue Soil Fertility and Plant Nutrition for Sustainable Cropping Systems)
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24 pages, 15306 KiB  
Article
Hop-by-Hop Multipath Overlay Routing for Optimizing Network Resource Allocation in WANs
by Yibing Zhao, Chenhui Wang and Haojiang Deng
Electronics 2025, 14(13), 2542; https://doi.org/10.3390/electronics14132542 - 23 Jun 2025
Viewed by 254
Abstract
The widespread deployment and rapid expansion of data centers have intensified the traffic between data centers and users, which highlights the need to improve Wide Area Network (WAN) link utilization. Existing centralized traffic control methods based on Software-Defined Wide Area Networks(SD-WAN) often rely [...] Read more.
The widespread deployment and rapid expansion of data centers have intensified the traffic between data centers and users, which highlights the need to improve Wide Area Network (WAN) link utilization. Existing centralized traffic control methods based on Software-Defined Wide Area Networks(SD-WAN) often rely on source-based routing, resulting in limited path diversity and inefficient network resource allocation. To address these issues, we propose a hop-by-hop multipath routing method for overlay networks, leveraging the routing decision-making capabilities of intermediate nodes. First, we introduce a Multipath Overlay node Placement (MOP) algorithm to establish an overlay network for hop-by-hop multipath transmission. The spatial relationships among overlay nodes are considered to enhance the diversity of multi-hop multipath overlay routing. Next, we propose an Overlay Next-Hop Selection (ONHS) algorithm for intermediate overlay nodes. This algorithm adjusts transmission paths at intermediate overlay nodes by sensing the network congestion state of overlay tunnels, enhancing the efficiency of network resource utilization. The results demonstrate that, under various topologies and with different numbers of overlay nodes, MOP significantly improves both end-to-end path diversity and link utilization for hop-by-hop multipath transmission. Additionally, ONHS effectively mitigates congestion escalation during next-hop selection. Full article
(This article belongs to the Section Networks)
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38 pages, 71504 KiB  
Article
Understanding the Spatiotemporal Patterns and Drivers of Carbon Stock in Central-Southern China’s Hilly Regions Through Land Use Change and Scenario Simulation
by Yali Zhang, Jia Tang, Xijun Hu, Cunyou Chen, Ziwei Luo, Qian Li and Qizhen Li
Sustainability 2025, 17(12), 5578; https://doi.org/10.3390/su17125578 - 17 Jun 2025
Viewed by 409
Abstract
Land use and land cover (LULC) changes play a crucial role in regional carbon dynamics and climate regulation. This study assesses the impact of LULC changes on carbon stocks in Hunan Province, China, from 2000 to 2035 using a MOP-PLUS–InVEST–OPGD integrated modeling framework. [...] Read more.
Land use and land cover (LULC) changes play a crucial role in regional carbon dynamics and climate regulation. This study assesses the impact of LULC changes on carbon stocks in Hunan Province, China, from 2000 to 2035 using a MOP-PLUS–InVEST–OPGD integrated modeling framework. Results show that carbon stock declined by 45.96 million tons from 2000 to 2020 due to rapid urban expansion and conversion of forest and grassland to construction land. Scenario simulations reveal that by 2035, carbon stock will increase by 4.82% under the ecological protection scenario (EP) but decrease by 3.26% under the natural trend scenario (NT). Economic development scenario (ED) and sustainable development scenario (SD) produce intermediate outcomes. Spatially, high-carbon regions are concentrated in high-altitude forested areas, while urbanized lowlands exhibit the lowest carbon density. The optimal parameters-based geographical detector (OPGD) model identifies land use intensity, elevation, and net primary productivity as the dominant drivers of carbon stock variation, with significant interactions between natural and socioeconomic factors. These findings underscore the need for integrated land-use planning and ecological conservation policies that align with carbon neutrality goals. This study provides a replicable spatial framework and policy-oriented insights for managing carbon stocks in rapidly developing regions. Full article
(This article belongs to the Section Social Ecology and Sustainability)
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20 pages, 2890 KiB  
Article
Analysis of the Multi-Objective Control Sequence Optimization Problem in Bivariate Fertilizer Applicators
by Jiqin Zhang, Qibin Zhuang and Gang Liu
Symmetry 2025, 17(6), 926; https://doi.org/10.3390/sym17060926 - 11 Jun 2025
Viewed by 306
Abstract
The bivariate fertilizer applicator (BAF) is a crucial device for precision agriculture, and the optimization of the control sequence optimization (CSO) significantly impacts the performance of variable-rate fertilization (VRF). This study investigates the CSO problem as a multi-objective optimization problem (CSO-MOP) for BFA [...] Read more.
The bivariate fertilizer applicator (BAF) is a crucial device for precision agriculture, and the optimization of the control sequence optimization (CSO) significantly impacts the performance of variable-rate fertilization (VRF). This study investigates the CSO problem as a multi-objective optimization problem (CSO-MOP) for BFA through the lens of balanced trade-offs among conflicting objectives, including fertilization accuracy, uniformity, and adjustment rapidity. We employed three multi-objective evolutionary algorithms (MOEAs), including NSGA-III, MOEAD-D, and AR-MOEA. To investigate the problem, we solved several instances for different target fertilization rates and selected appropriate evaluation metrics. Finally, we obtained the Pareto set (PS) from each MOEA and conducted a comparative analysis, including the performance of each algorithm in addressing the CSO-MOP, the conflicts between each pair of objectives, and the effects of the optimized control sequences derived from each algorithm on the three objectives. Full article
(This article belongs to the Section Engineering and Materials)
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29 pages, 3412 KiB  
Review
A Comprehensive Literature Review for Total Hip Arthroplasty (THA): Part 2—Material Selection Criteria and Methods
by Salvatore Garofalo, Chiara Morano, Luigi Bruno and Leonardo Pagnotta
J. Funct. Biomater. 2025, 16(5), 184; https://doi.org/10.3390/jfb16050184 - 18 May 2025
Viewed by 2215
Abstract
Total Hip Arthroplasty (THA) is a widely used surgical procedure to restore mobility and reduce pain in patients with hip joint disorders. Implant success and longevity are influenced by the selection of appropriate materials. This study presents a comprehensive literature review based on [...] Read more.
Total Hip Arthroplasty (THA) is a widely used surgical procedure to restore mobility and reduce pain in patients with hip joint disorders. Implant success and longevity are influenced by the selection of appropriate materials. This study presents a comprehensive literature review based on structured searches in Scopus and Web of Science, focusing on material selection criteria and methods in THA. The inclusion criteria targeted original studies and reviews addressing material properties, selection techniques, and clinical performance. A bibliometric analysis and keyword co-occurrence network were used to highlight major research themes. The review examines traditional materials such as Metal-on-Polyethylene (MoP), as well as advanced options like ceramics, composites, and Functionally Graded Materials (FGMs). Key challenges discussed include aseptic loosening, wear resistance, and stress shielding. Selection methodologies such as Multi-Criteria Decision-Making (MCDM), Weighted Properties Methods (WPM), and computational tools like Ashby charts and CES Selector are analyzed. The findings from international arthroplasty registries show that more than half of implant failures are linked to material-related factors. This study therefore aims to guide material selection processes in THA by aligning clinical performance with biomechanical and biological requirements, supporting improved implant outcomes and long-term surgical success. Future developments should focus on patient-specific solutions and continuous innovation. Full article
(This article belongs to the Section Bone Biomaterials)
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28 pages, 5728 KiB  
Article
Reference Set Generator: A Method for Pareto Front Approximation and Reference Set Generation
by Angel E. Rodriguez-Fernandez, Hao Wang and Oliver Schütze
Mathematics 2025, 13(10), 1626; https://doi.org/10.3390/math13101626 - 15 May 2025
Viewed by 665
Abstract
In this paper, we address the problem of obtaining bias-free and complete finite size approximations of the solution sets (Pareto fronts) of multi-objective optimization problems (MOPs). Such approximations are, in particular, required for the fair usage of distance-based performance indicators, which are frequently [...] Read more.
In this paper, we address the problem of obtaining bias-free and complete finite size approximations of the solution sets (Pareto fronts) of multi-objective optimization problems (MOPs). Such approximations are, in particular, required for the fair usage of distance-based performance indicators, which are frequently used in evolutionary multi-objective optimization (EMO). If the Pareto front approximations are biased or incomplete, the use of these performance indicators can lead to misleading or false information. To address this issue, we propose the Reference Set Generator (RSG), which can, in principle, be applied to Pareto fronts of any shape and dimension. We finally demonstrate the strength of the novel approach on several benchmark problems. Full article
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26 pages, 16947 KiB  
Article
Optimization Simulation and Comprehensive Evaluation Coupled with CNN-LSTM and PLUS for Multi-Scenario Land Use in Cultivated Land Reserve Resource Area
by Shaner Li, Chao Zhang, Chang Chen, Cuicui Yang, Lihua Zhao and Xuechuan Bai
Remote Sens. 2025, 17(9), 1619; https://doi.org/10.3390/rs17091619 - 2 May 2025
Cited by 1 | Viewed by 787
Abstract
The scientific development and utilization of cultivated land reserve resource areas is an important basis for realizing national food security and regional ecological protection. This paper focuses on land use optimization simulations to explore the paths of sustainable land use in cultivated land [...] Read more.
The scientific development and utilization of cultivated land reserve resource areas is an important basis for realizing national food security and regional ecological protection. This paper focuses on land use optimization simulations to explore the paths of sustainable land use in cultivated land reserve resources areas. Deep learning technology was introduced to calculate the growth probability of each land use type. A land use change simulation method coupling CNN-LSTM and PLUS was constructed to dynamically simulate the land use pattern, and the spatial accuracy of the simulation was improved. Markov chains and multi-objective planning (MOP) model were used to set historical development (HD) scenarios, ecological conservation (EP) scenarios, land consolidation (LC) scenarios, and sustainable development (SD) scenarios. The comprehensive impact of land use change on ecosystem service value (ESV), agricultural production benefits (APBs), and carbon balance (CB) was evaluated by systematically analyzing the quantitative and spatial distribution characteristics of land use change in different scenarios from 2020 to 2030. Da’an City, Jilin province, China was selected as the study area. The results of this study show the following: (1) The CNN-LSTM coupled with the PLUS model was designed to capture the dynamic change characteristics of land use, which achieves high accuracy (Kappa of 0.8119). (2) In the EP scenario, the increase in ESV was 4.36%, but the increase in APB was only 7.33%. In the LC scenario, APB increased by 22.11%, while ESV decreased by 3.44%. In the SD scenario, a dynamic balance was achieved between ESV and APB, and it was the optimal path for sustainable development. (3) The SD scenario performed best, with a CB of 5,532,100 tons, while the EP scenario was the lowest, at only 1,493,500 tons. The SD scenario shows the optimal potential of combining carbon reduction and agricultural development. In this paper, deep learning and spatial modeling for multi-scenario simulation were integrated, and a scientific basis for the planning and management of cultivated land reserve resource areas was provided. Full article
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24 pages, 485 KiB  
Article
The Weighted Flexible Weibull Model: Properties, Applications, and Analysis for Extreme Events
by Ziaurrahman Ramaki, Morad Alizadeh, Saeid Tahmasebi, Mahmoud Afshari, Javier E. Contreras-Reyes and Haitham M. Yousof
Math. Comput. Appl. 2025, 30(2), 42; https://doi.org/10.3390/mca30020042 - 16 Apr 2025
Cited by 2 | Viewed by 629
Abstract
The weighted flexible Weibull distribution focuses on its unique point of flaunting a bathtub-shaped hazard rate, characterized by an initial increase followed by a drop over time. This property plays a major role in reliability analysis. In this paper, this distribution and its [...] Read more.
The weighted flexible Weibull distribution focuses on its unique point of flaunting a bathtub-shaped hazard rate, characterized by an initial increase followed by a drop over time. This property plays a major role in reliability analysis. In this paper, this distribution and its main properties are examined, and the parameters are estimated using several estimation methods. In addition, a simulation study is done for different sample sizes. The performance of the proposed model is illustrated through two real-world applications: component failure times and COVID-19 mortality. Moreover, the value-at-risk (VaR), tail value-at-risk (TVaR), peaks over a random threshold VaR (PORT-VaR), the mean of order P (MOPP) analysis, and optimal order of P due to the true mean value can help identify and characterize critical events or outliers in failure events and COVID-19 death data across different counties. Finally, the PORT-VaR estimators are provided under a risk analysis for both applications. Full article
(This article belongs to the Section Social Sciences)
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10 pages, 177 KiB  
Article
Bicomponent Split Microfiber Reusable Textile Products to Achieve a Hygienically Clean Healthcare Setting with a More Sustainable Environmental Footprint
by Evan Griffing and Michael Overcash
Sustainability 2025, 17(6), 2669; https://doi.org/10.3390/su17062669 - 18 Mar 2025
Viewed by 637
Abstract
Background: Bicomponent split microfiber reusable wipers and flat mops are innovative textiles used to hygienically clean healthcare surfaces and, hence, reduce hospital-acquired infections. Sustainability improvements are reflected as reduced energy and mass requirements over a life cycle. Methods: The environmental impacts of reusables [...] Read more.
Background: Bicomponent split microfiber reusable wipers and flat mops are innovative textiles used to hygienically clean healthcare surfaces and, hence, reduce hospital-acquired infections. Sustainability improvements are reflected as reduced energy and mass requirements over a life cycle. Methods: The environmental impacts of reusables were compared to disposable equivalents using standard life cycle assessment procedures. Results: With information from 80 hospitals, disposable flat mops and wipers were used at a higher rate than reusable counterparts; the disposable/reusable ratio was 2.3:1 for wipers and 2.5:1 for flat mop pads. Bicomponent split microfiber reusable products had lower impacts (65–95%) in all categories considered: global warming potential, natural resource energy, blue water use, and solid waste production. Discussion: Results reinforce other studies that compare reusable and disposable textile options in healthcare. Laundry energy is an important driver of energy use for reusables. The energy associated with water consumption for disposables’ supply chains is significantly greater than net water consumption for reusables laundry. Conclusions: Selecting disposables versus bicomponent split microfiber reusable flat mops and wipers increases these specific environmental life cycle assessment (LCA) impacts by 320% to 2000%, which is clearly not an environmental sustainability improvement. Group Purchasing Organizations may be barriers to hospital adoption of these reusables. Full article
(This article belongs to the Section Resources and Sustainable Utilization)
11 pages, 6138 KiB  
Article
Facile Synthesis of MoP and Its Composite Structure with Ru as an Efficient Electrocatalyst for Hydrogen Evolution Reaction in Both Acidic and Alkaline Conditions
by Pinyun Ren, Rui Wang, Yujie Yang, Tianyu Wang, Yilun Hong, Yi Zheng, Qianying Zheng, Xianpei Ren and Zhili Jia
Materials 2025, 18(5), 1184; https://doi.org/10.3390/ma18051184 - 6 Mar 2025
Viewed by 888
Abstract
Developing low-cost electrocatalysts for efficient hydrogen evolution in both acidic and alkaline conditions is crucial for water-electrolytic hydrogen applications. Herein, MoP was synthesized via a simple, low-cost, and green phosphorization route. More importantly, the Ru/MoP composite prepared using the as-synthesized MoP as a [...] Read more.
Developing low-cost electrocatalysts for efficient hydrogen evolution in both acidic and alkaline conditions is crucial for water-electrolytic hydrogen applications. Herein, MoP was synthesized via a simple, low-cost, and green phosphorization route. More importantly, the Ru/MoP composite prepared using the as-synthesized MoP as a reactant, which exhibited excellent catalytic activity for the hydrogen evolution reaction. It showed lower overpotentials of 108 and 55 mV at 10 mA·cm−2 in acidic and alkaline solutions, respectively, which are superior to those of bare Ru and pristine MoP as well as comparable or even better than those of previously reported excellent Ru- or MoP-based catalysts. In addition, it also demonstrated small Tafel slopes of 52.6 mV dec−1 and 67.9 mV dec−1 in acidic and alkaline solutions, respectively, along with long-term stability. This work provides an effective and feasible route to design high-efficient MoP-based electrocatalysts for hydrogen evolution reaction. Full article
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28 pages, 3406 KiB  
Review
Advancements in Surface Coatings for Enhancing Longevity in Hip Implants: A Review
by Nishant Nikam, Satish Shenoy B, Chethan K N, Laxmikant G. Keni, Sawan Shetty and Shyamasunder Bhat N
Prosthesis 2025, 7(1), 21; https://doi.org/10.3390/prosthesis7010021 - 18 Feb 2025
Cited by 6 | Viewed by 2204
Abstract
Background/Objectives: The increasing demand for total hip arthroplasty (THA), due to aging populations and active lifestyles, necessitates advancements in implant materials and design. This review evaluates the role of surface coatings in enhancing the performance, biocompatibility, and longevity of hip implants. It addresses [...] Read more.
Background/Objectives: The increasing demand for total hip arthroplasty (THA), due to aging populations and active lifestyles, necessitates advancements in implant materials and design. This review evaluates the role of surface coatings in enhancing the performance, biocompatibility, and longevity of hip implants. It addresses challenges like wear, corrosion, and infection, focusing on innovative surface engineering solutions. Methods: The review analyzes various surface modification techniques, including physical vapor deposition (PVD), chemical vapor deposition (CVD), electrophoretic deposition (EPD), plasma spraying, and ion implantation. It also examines their effectiveness in improving tribological properties, biocompatibility, and resistance to infection. Computational methods such as finite element analysis (FEA) are discussed for predicting potential coating failures. Results: The findings underscore the challenges posed by wear debris and corrosion in common configurations, like metal-on-metal (MoM) and metal-on-polyethylene (MoP). Innovative coatings, such as diamond-like carbon (DLC) films and hydroxyapatite (HA) layers, demonstrate enhanced performance by reducing friction, wear, and bacterial adhesion, while promoting osteogenic cell attachment. Surface textures and optimized tribological properties further improve implant functionality. Multifunctional coatings exhibit potential in balancing biocompatibility and infection resistance. Conclusions: Surface engineering plays a critical role in advancing next-generation hip implants. The integration of advanced coatings and surface modifications enhances implant durability, reduces complications, and improves patient outcomes. Future research should focus on combining innovative materials and computational modeling to refine coating strategies for long-term success in THA. Full article
(This article belongs to the Section Orthopedics and Rehabilitation)
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23 pages, 22993 KiB  
Article
Deformation History of the Heilongjiang Complex and Subduction Polarity of the Mudanjiang Ocean, NE Asia
by Haoyuan Lan, Lingli Guo, Jianping Zhou, Jianwen Chen, Chuansheng Yang and Sanzhong Li
Minerals 2025, 15(2), 164; https://doi.org/10.3390/min15020164 - 11 Feb 2025
Viewed by 784
Abstract
During the Mesozoic, NE Asia experienced intense tectonic and magmatic activity, including the closure of the Mongol–Okhotsk Ocean (MOO), the subduction and demise of the Mudanjiang Oceanic Plate (MOP), and the continuous westward subduction of the Paleo-Pacific Plate (PPP). The evolution of the [...] Read more.
During the Mesozoic, NE Asia experienced intense tectonic and magmatic activity, including the closure of the Mongol–Okhotsk Ocean (MOO), the subduction and demise of the Mudanjiang Oceanic Plate (MOP), and the continuous westward subduction of the Paleo-Pacific Plate (PPP). The evolution of the MOP remains highly contentious, particularly regarding its final closure timing and subduction polarity, and warrants further investigation. The Heilongjiang Complex (HLC), primarily distributed within the Mudanjiang Suture Zone (MSZ), which separates the Jiamusi and Songnen blocks, preserves key geological records of the Mudanjiang Oceanic subduction and closure. By employing detailed structural analysis, zircon U-Pb dating, and tomographic imaging, we reconstruct the tectonic history of the HLC and propose its five stages of deformation since the Mesozoic. The first stage, which occurs from the Late Triassic to the Early Jurassic, is characterized by SE-dipping schistosity within the HLC. Integrating the identification of the east-dipping remnants of the oceanic lithosphere west of the MSZ by tomographic imaging suggests an eastward subduction of the MOP underneath the Jiamusi Block during the Early Mesozoic. The second stage, spanning the Early Jurassic to the Late Jurassic, is characterized by E–W-striking tight folds associated with the MOO’s SSE-ward subduction and PPP’s NNW-ward subduction. The third stage of deformation, occurring from the Late Jurassic to Early Cretaceous, features S–N-striking box folds, indicative of the final amalgamation of the Jiamusi, Songnen, and Nadanhada terranes. The fourth stage, taking place in the late Early Cretaceous, is marked by near E–W-striking thrust faults that are associated with the closure of the eastern segment of the MOO. Finally, the fifth stage, which follows the Early Cretaceous, involves nearly NE-striking thrust faults related to NW-ward subduction of the PPP. Full article
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22 pages, 3581 KiB  
Article
A Real-Life Study in Sequential Therapy for Severe Menopausal Osteoporosis
by Oana-Claudia Sima, Mihai Costachescu, Mihaela Stanciu, Claudiu Nistor, Mara Carsote, Denisa Tanasescu, Florina Ligia Popa and Ana Valea
J. Clin. Med. 2025, 14(2), 627; https://doi.org/10.3390/jcm14020627 - 19 Jan 2025
Cited by 1 | Viewed by 1224
Abstract
Background: Teriparatide (TPT) acts against severe primary (postmenopausal) osteoporosis (MOP), and it requires continuation with another anti-resorptive drug to conserve or enhance the effects on fracture risk reduction. Objective: To analyse the sequential pharmacotherapy in MOP who were treated upon a 24-month daily [...] Read more.
Background: Teriparatide (TPT) acts against severe primary (postmenopausal) osteoporosis (MOP), and it requires continuation with another anti-resorptive drug to conserve or enhance the effects on fracture risk reduction. Objective: To analyse the sequential pharmacotherapy in MOP who were treated upon a 24-month daily 20 µg TPT protocol (24-mo-TPT) followed by another 12 months of anti-resorptive drugs (12-mo-AR) amid real-life settings. Hypotheses: 1. TPT candidates had a more severe fracture risk profile versus those who did not fulfil the TPT criteria according to the national protocol of TPT initiation; 2. Patients treated with TPT improved their DXA profile after 24 mo; 3. After 1 year of therapy since the last TPT injection, the improved bone profile and fracture risk at the end of the TPT protocol were conserved; 4. The mineral metabolism assays and fracture risk status were similar at TPT initiation between those who finished the 24 mo protocol and those who prematurely stopped it. Methods: This was a longitudinal, retrospective, multicentre study in MOP. The entire cohort (group A) included the TPT group (B) versus the non-TPT group (non-B). Group B included subjects who finished 24-mo-TPT (group P) and early droppers (ED), and then both continued 12-mo-AR. Results: Group B (40.5%) from cohort A (N = 79) vs. non-B had lower T-scores, increased age and years since menopause. A similar profile of demographic features, BTM, and prevalent fractures (73%, respectively, 57%) was found in group P (72%) vs. ED (21.8%). Group P: osteocalcin was statistically significantly higher at 12 mo (+308.39%), respectively, at 24 mo (+171.65%) vs. baseline (p < 0.001 for each), while at 12-mo-AR became similar to baseline (p = 0.615). The cumulative probability of transient hypercalcemia-free follow-up of protocol had the highest value of 0.97 at 6 mo. An incidental fracture (1/32) was confirmed under 24-mo-TPT. BMD had a mean percent increase at the lumbar spine of +8.21% (p < 0.001), of +12.22% (p < 0.001), respectively, of +11.39% (p < 0.001). The pharmacologic sequence for 12-mo-AR included bisphosphonates (24.24% were oral BP) or denosumab (13%). BTM showed a suppression at 12-mo-AR (p < 0.05), while all BMD/T-scores were stationary. No incidental fracture was registered during 12-mo-AR. Conclusions: All research hypotheses were confirmed. This study in high-risk MOP highlighted an effective sequential pharmacotherapy in reducing the fracture risk as pinpointed by BMD/T-score measurements and analysing the incidental fractures profile. Full article
(This article belongs to the Special Issue Advances in Clinical Rheumatology)
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14 pages, 1613 KiB  
Article
The Role of Endogenous Beta-Endorphin and Enkephalins in the Crosstalk Between Ethanol and Morphine
by Andy Tseng, Syed Muzzammil Ahmad, Abdul Hamid and Kabirullah Lutfy
Pharmaceuticals 2025, 18(1), 107; https://doi.org/10.3390/ph18010107 - 16 Jan 2025
Viewed by 993
Abstract
Background: There is clinical concern about the combined use of alcohol and opiates. Several lines of evidence support an interaction between alcohol and the endogenous opioid system. Thus, we hypothesized that ethanol, by causing the release of opioid peptides, may sensitize the system [...] Read more.
Background: There is clinical concern about the combined use of alcohol and opiates. Several lines of evidence support an interaction between alcohol and the endogenous opioid system. Thus, we hypothesized that ethanol, by causing the release of opioid peptides, may sensitize the system to the action of exogenous opioids such as morphine. Objectives: In this study, using the place conditioning paradigm, a model of reward, we determined whether a morphine challenge would alter the pre-established preference induced by ethanol conditioning in mice, and whether this response was mediated by the mu opioid receptor (MOP). Given that ethanol exposure stimulates the release of opioid peptides, we also assessed the role of beta-endorphin (β-END) and enkephalins (ENKs) in this response. Methods: Mice lacking MOPs, β-END, and/or ENKs, and their respective wild-type controls were tested for preconditioning place preference on day 1. Mice were then conditioned with ethanol (2 g/kg) versus saline on days 2 to 4 and then tested under a drug-free state for postconditioning place preference on day 5. On day 8, mice received a single injection of morphine (5 mg/kg) and were tested for place preference. On the test days, mice were placed in the central chamber and allowed to explore the chambers. The amount of time that mice spent in the drug-paired chamber was recorded. Results: We found that a challenge dose of morphine given on day 8 enhanced the conditioned place preference (CPP) response in mice previously conditioned with ethanol. This response was abolished in MOP-null mice, confirming the role of MOPs in this response. Although this enhanced response was not altered in mice lacking either β-END or ENKs compared to their wild-type littermates/controls, it was completely blunted in mice lacking both β-END and enkephalins. Conclusions: Together, these results suggest that these opioid peptides jointly mediate the crosstalk between the rewarding actions of morphine and ethanol. Full article
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24 pages, 734 KiB  
Article
Economic Peaks and Value-at-Risk Analysis: A Novel Approach Using the Laplace Distribution for House Prices
by Jondeep Das, Partha Jyoti Hazarika, Morad Alizadeh, Javier E. Contreras-Reyes, Hebatallah H. Mohammad and Haitham M. Yousof
Math. Comput. Appl. 2025, 30(1), 4; https://doi.org/10.3390/mca30010004 - 7 Jan 2025
Cited by 9 | Viewed by 1038
Abstract
In this article, a new extension of the standard Laplace distribution is introduced for house price modeling. Certain important properties of the new distribution are deducted throughout this study. We used the new extension of the Laplace model to conduct a thorough economic [...] Read more.
In this article, a new extension of the standard Laplace distribution is introduced for house price modeling. Certain important properties of the new distribution are deducted throughout this study. We used the new extension of the Laplace model to conduct a thorough economic risk assessment utilizing several metrics, including the value-at-risk (VaR), the peaks over a random threshold value-at-risk (PORT-VaR), the tail value-at-risk (TVaR), the mean of order-P (MOP), and the peaks over a random threshold based on the mean of order-P (PORT-MOP). These metrics capture different facets of the tail behavior, which is essential for comprehending the extreme median values in the Boston house price data. Notably, PORT-VaR improves the risk evaluations by incorporating randomness into the selection of the thresholds, whereas VaR and TVaR focus on measuring the potential losses at specific confidence levels, with TVaR offering insights into significant tail risks. The MOP method aids in balancing the reliability goals while optimizing the performance in the face of uncertainty. Full article
(This article belongs to the Section Social Sciences)
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