Search Results (39)

Background: Studies comparing systemic and salivary antibody responses against SARS-CoV-2 between children and adults show conflicting results. Furthermore, it is still unclear whether salivary antibody testing could be a non-invasive approach to evaluate the humoral immune response. Methods: anti-SARS-CoV-2 IgG antibodies were measured in blood and saliva sample pairs from vaccinated adults to investigate whether salivary antibody response could be a non-invasive assessment of immune response. Salivary antibody levels were also compared between vaccinated children and adults to investigate local antibody responses. Results: Salivary IgG antibody response against SARS-CoV-2 largely reflects the systemic response in vaccinated adults. Salivary and systemic antibody concentrations were higher in vaccinated adults who had been infected, received schemes including mRNA-based vaccines, had more exposures, and a shorter time from last exposure. Salivary antibody detection was associated with schemes including mRNA-based vaccines, time from last exposure, and systemic antibody concentrations. Vaccinated children showed higher salivary antibody concentrations than adults. This difference remained when comparing antibody levels between children and adults under equal conditions (vaccination schemes, number of exposures, time from last exposure, COVID-19 history). Younger age, number of exposures, schemes including mRNA-based vaccines, and shorter time from last exposure were associated with salivary antibody levels in a multivariable linear regression analysis (p < 0.0001). Conclusions: Salivary antibody determination against SARS-CoV-2 could be a non-invasive assessment of the short-term immune response in adults with multiple exposures. Furthermore, the stronger salivary antibody response in children suggests that local immune protection may differ between children and adults, contributing to different outcomes. Full article

The antagonistic geochemical behaviors of cadmium (Cd) and arsenic (As) in co-contaminated soils complicate their simultaneous remediation. This study aimed to develop a synergistic immobilization strategy by converting Spirulina residue into a magnetic biochar-layered double hydroxide composite (FSRBL). The composite was applied to both acidic red and calcareous black soils, and its effects on Cd and As, immobilization efficiency, and ecotoxicity were evaluated. The results showed that FSRBL effectively transforms Cd and As from mobile fractions to stable residual forms. At a 2.5% application rate, FSRBL achieved remarkable immobilization efficiencies of 39.2% for Cd and 57.5% for As, representing effectiveness 3.55 and 5.97 times higher than that of unmodified biochar, respectively. A dose–response relationship between the application amount of FSRBL and the immobilization efficiency of As and Cd was observed and further quantified using a logistic model. The results indicate that while increased FSRBL application enhances immobilization efficiency, the marginal benefit of each additional unit diminishes as the application rate increases, demonstrating a significant diminishing marginal effect. According to the ecotoxicity assessment experiment, the soil leachate from FSRBL-amended soil remarkably decreased the ecological toxicity to rice (Oryza sativa L.). Mechanistic investigations employing SEM/TEM-EDS, XRD, and XPS revealed that the synergistic immobilization could be ascribed to the multi-component cooperation within FSRBL, which resolved the conflicting pH/Eh requirements for the immobilization of Cd and As: (1) the LDH phase efficiently immobilized As oxyanions through anion exchange and isomorphic substitution; (2) the magnetic Fe phase concurrently immobilized Cd²⁺ and As oxyanions via redox transformation and coprecipitation, resulting in the formation of precipitates such as Fe/Ca/Cd–As(V). This work demonstrates a feasible approach to upcycle biomass waste into a value-added material for sustainable remediation of Cd–As co-contaminated soil. Full article

Atomically precise control of metal adatoms on metal surfaces is critical for designing novel low-dimensional materials, and the Sn-Cu(111) system is of particular interest due to the potential of stanene in topological physics. However, conflicting reports on Sn-induced superstructures on Cu(111) highlight the need for clarifying their geometric and electronic properties at low temperatures. We employed scanning tunneling microscopy (STM), low-energy electron diffraction (LEED), angle-resolved photoemission spectroscopy (ARPES), and density functional theory (DFT) to investigate submonolayer (<0.25 ML) Sn adsorption on Cu(111) at 100 K. We confirmed a p(2 × 2) Sn/Cu(111) superstructure with one Sn atom per unit cell and found that Sn preferentially occupies three-fold hcp sites. ARPES measurements of the band structure—including a ~0.3 eV local gap between two specific bands at the ${\overline{\Gamma }}_2$ point in a metallic overall electronic structure—were in good agreement with the DFT results. Notably, the STM-observed p(2 × 2) morphology differs from the honeycomb-like or buckled stanene structures reported on Cu(111), which highlights the intricate interactions between adatoms and the substrate. Full article

Traditional perforated duct designs fail to resolve the energy consumption-uniformity conflict in semi-closed greenhouses. To address this, we develop a CFD-RSM-NSGA-II framework that simultaneously minimizes velocity non-uniformity (CV-v), pressure loss (ΔP), and temperature variation (CV-t). Key parameters—hole diameter (6–10 mm), spacing (30–70 mm), and inlet velocity (4–8 m/s)—are co-optimized. Model validation showed that the mean relative errors were 8.6% for velocity, 2.3% for temperature, and pressure deviations below 5 Pa, with the response surface model achieving an R² of 0.9831 (p < 0.0001). Larger hole diameters improved CV-v, while wider spacings led to a decrease in uniformity. Pressure loss followed an opposite trend. Temperature variation was mostly affected by inlet velocity. Sensitivity analysis revealed that hole diameter was the most influential factor, followed by spacing and velocity, with a significant interaction between diameter and spacing. Using entropy-weighted TOPSIS coupled with NSGA-II, the optimization identified an optimal configuration (hole diameter = 9.0 mm, spacing = 65 mm, velocity = 7.0 m/s). This solution achieved a 58.8% reduction in CV-v, a 10.8% decrease in ΔP, and a 5.2% improvement in CV-t, while stabilizing inlet static pressure at 72.8 Pa. Critically, it reduced power consumption by 17.4%—directly lowering operational costs for farmers. The “larger diameter, wider spacing” strategy resolves energy-uniformity conflicts, demonstrating how integrated multi-objective process control enables efficient greenhouse ventilation. Full article

This study proposes a novel framework integrating long short-term memory (LSTM) networks with Bayesian optimization (BO) to address process–device co-optimization challenges in trench-gate metal–oxide–semiconductor field-effect transistor (MOSFET) manufacturing. Conventional TCAD simulations, while accurate, suffer from computational inefficiency in high-dimensional parameter spaces. To overcome this, an LSTM-based TCAD proxy model is developed, leveraging hierarchical temporal dependencies to predict electrical parameters (e.g., breakdown voltage, threshold voltage) with deviations below 3.5% compared to physical simulations. The model, validated on both N-type and P-type 20 V trench MOS devices, outperforms conventional RNN and GRU architectures, reducing average relative errors by 1.78% through its gated memory mechanism. A BO-driven inverse optimization methodology is further introduced to navigate trade-offs between conflicting objectives (e.g., minimizing on-resistance while maximizing breakdown voltage), achieving recipe predictions with a maximum deviation of 8.3% from experimental data. Validation via TCAD-simulated extrapolation tests and SEM metrology confirms the framework’s robustness under extended operating ranges (e.g., 0–40 V drain voltage) and dimensional tolerances within industrial specifications. The proposed approach establishes a scalable, data-driven paradigm for semiconductor manufacturing, effectively bridging TCAD simulations with production realities while minimizing empirical trial-and-error iterations. Full article

Background/Objectives: With the growing population of kidney transplant recipients (KTRs) in intensive care units (ICUs), understanding their prognostic outcomes is critical. As conflicting findings exist, we aim to systematically evaluate and meta-analyze ICU outcomes in kidney transplant recipients compared to non-recipients. Methods: We conducted a comprehensive search of the PubMed, Embase, and Cochrane databases, from inception through 23 December 2024, to identify relevant studies comparing the outcomes of KTRs and non-transplant ICU patients. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated for dichotomous outcomes, and weighted mean differences (WMDs) were calculated for continuous outcomes. The risk of bias was assessed using the ROBINS-I V2 tool. The study protocol was registered in the International Prospective Register of Systematic Reviews (CRD42024595104). Results: Seven studies, including 12,062 patients, were analyzed. Demographics, including age and sex, were comparable across groups. No statistically significant associations were found for overall mortality (OR: 1.82, 95% CI: 0.79 to 4.16), ICU mortality (OR: 1.06, 95% CI: 0.45 to 2.48), or 28/30-day mortality (OR: 2.06, 95% CI: 0.30 to 14.10) in KTRs, though there was a trend suggesting a potential increase in the odds of overall mortality. KTRs tended to have longer ICU stays (WMD: +1.96 days, 95% CI: 0.81–3.11) and higher Sequential Organ Failure Assessment (SOFA) scores (WMD: +0.79, 95% CI: −0.78–2.36), but these findings did not reach statistical significance. One study reported higher 1-year and 5-year mortality for KTRs. Sensitivity analyses revealed one influential study. Begg’s test for overall mortality suggested non-significant publication bias (p = 1.0). Conclusions: KTRs in ICUs are at significantly higher risk for long-term mortality, emphasizing the need for tailored critical care strategies and long-term management. Future research should focus on standardizing methodologies, reducing heterogeneity, and addressing gaps in data to improve evidence-based care for this vulnerable population. Full article

To investigate the role of the intestinal bacterial microbiota in the pathogenesis of calcium oxalate nephrolithiasis in cats, a condition characterized by the formation of kidney stones, it is desirable to identify a sample collection method that accurately reflects the microbiota’s composition. The objective of this study was to evaluate the impact of fecal sample collection methods on the intestinal microbiota composition in two cat populations: healthy cats and kidney stone-diseased cats. The study included eighteen cats from the same colony, comprising nine healthy cats and nine cats with spontaneously occurring presumed calcium oxalate kidney stones. Three fecal collection methods were compared: rectal swabs, the collection of fresh stool, and the collection of stool exposed to ambient air for 24 h. The bacterial microbiota was analyzed through the high-resolution sequencing of the V3–V4 region of the 16S rRNA gene. For all cats, within the same individual, a one-way PERMANOVA analysis showed a significant difference between the rectal swabs and fresh stool (p = 0.0003), as well as between the rectal swabs and stool exposed to ambient air for 24 h (p = 0.0003), but no significant difference was identified between the fresh stool and non-fresh stool (p = 0.0651). When comparing the two populations of cats, this study provides seemingly conflicting results. (1) A principal component analysis (PCA) comparison revealed a significant difference in the bacterial composition between the healthy cats and the cats with kidney stones only when the sample was a fresh fecal sample (p = 0.0037). This finding suggests that the intestinal bacteria involved in the pathogenesis of kidney stones in cats are luminal and strictly anaerobic bacteria. Consequently, exposure to ambient air results in a loss of information, preventing the identification of dysbiosis. For clinical studies, non-fresh stool samples provided by owners does not appear suitable for studying the gut microbiota of cats with kidney stones; fresh stool should be favored. (2) Interestingly, the rectal swabs alone highlighted significant differences in the proportion of major phyla between the two populations. These findings highlight the critical importance of carefully selecting fecal collection methods when studying feline gut microbiota. Combining rectal swabs and fresh stool sampling provides complementary insights, offering the most accurate understanding of the gut microbiota composition in the context of feline kidney stone pathogenesis. Full article

There is conflicting evidence on whether concurrent aerobic endurance and resistance training (RT) leads to synergistic enhancements in aerobic capacity and muscular strength or causes interference, limiting performance gains. We developed a concurrent training (CT) intervention, including full-body dynamic RT combined with high-intensity interval training (HIIT), on a cycle ergometer to determine whether a brief CT intervention is beneficial to both muscular strength and aerobic capacity. In an exploratory pilot study, participants (n = 10; male = 4) undertook a four-week CT intervention consisting of RT, including six compound movements (bench press, squat, deadlift, Pendley row, squat jumps, and rack pulls), plus cycle HIIT. The pre-/post-intervention improvements were assessed via bench press and leg press 3RM testing, an isometric mid-thigh pull, a countermovement jump, and the change in the relative $\dot{\mathrm{V}}$O₂max. We observed significant (p < 0.1) increases in the bench press (6.4%), leg press (6.7%), IMTP (11.1%), and relative $\dot{\mathrm{V}}$O₂max (7%) results. Interestingly, the participants with the highest pre-intervention relative $\dot{\mathrm{V}}$O₂max demonstrated no performance improvements. These pilot test results suggest that CT is an effective strategy that enables synergistic enhancements that can be observed with very low training volumes. This suggests that CT is an effective strategy for improving muscular strength and aerobic endurance in non-elite physically active individuals. Full article

This paper examined the accuracy of six installed LiDAR sensors at six different signalized intersections in Trois-Rivières City, Quebec, Canada. At each intersection, the crucial leading and following movements that cause vehicle–vehicle (V2V) and vehicle–pedestrian (V2P) conflicts were identified, and the LiDAR results were compared to crash reports recorded by police, insurance companies, and other reliable resources. Furthermore, the intersection crash rates were calculated based on the daily entering vehicle traffic and the frequency of crashes at each intersection. Convolutional Neural Networks (CNNs) were utilized over 970,000 V2V and V2P conflicts based on the post encroachment time (PET) and time-to-collision (TTC) safety assessment measures. Bayesian models were used to assess the relationships between different intersection characteristics and the occurrence of conflicts, providing insights into the factors influencing V2V and V2P conflict occurrences. Additionally, a developed image-processing algorithm was utilized to examine the conflicts’ trajectories. The intersections’ crash rates indicated that safety considerations should be implemented at intersections #3, #6, #4, #1, #5, and #2, respectively. Additionally, intersections #6, #4, and #3 were the intersections with the highest rates of vehicle–pedestrian conflicts. Analysis revealed the intricate nature of vehicle and pedestrian interactions, demonstrating the potential of LiDAR sensors in discerning conflict-prone areas at intersections. Full article

The photocurrent across crystalline GaAs p-n junction induced by Nd:YAG laser radiation was investigated experimentally. It is established that the displacement current is dominant at reverse and low forward bias voltages in the case of pulsed excitation. This indicates that hot carriers do not have enough energy to overcome the p-n junction until the forward bias significantly reduces the potential barrier. At a sufficiently high forward bias, the photocurrent is determined by the diffusion of hot carriers across the p-n junction. The current–voltage (I-V) characteristics measured at different crystal lattice temperatures show that the heating of carriers by laser radiation increases with a drop in crystal lattice temperature. This study proposes a novel model for evaluating carrier temperature based on the temperature coefficient of the I-V characteristic. It is demonstrated that the heating of carriers by light diminishes the conversion efficiency of a solar cell, not only through thermalisation but also because of the conflicting interactions between the hot carrier and conventional photocurrents, which exhibit opposite polarities. These findings contribute to an understanding of hot carrier phenomena in photovoltaic devices and may prompt a revision of the intrinsic losses in solar cells. Full article

Inherited defects in the genes of blood coagulation essentially express the severity of the clinical phenotype that is directly correlated to the number of mutated alleles of the candidate leader gene (e.g., heterozygote vs. homozygote) and of possible additional coinherited traits. The F5 gene, which codes for coagulation factor V (FV), plays a two-faced role in the coagulation cascade, exhibiting both procoagulant and anticoagulant functions. Thus, defects in this gene can be predisposed to either bleeding or thrombosis. A Sanger sequence analysis detected a premature stop-codon in exon 13 of the F5 gene (c.3481C>T; p.R1161Ter) in several members of a family characterised by low circulating FV levels and contrasting clinical phenotypes. The propositus, a 29 y.o. male affected by recurrent haemorrhages, was homozygous for the F5 stop-codon and for the F5 c.1691G>A (p.R506Q; FV-Leiden) inherited from the heterozygous parents, which is suggestive of combined cis-segregation. The homozygous condition of the stop-codon completely abolished the F5 gene expression in the propositus (FV:Ag < 1%; FV:C < 1%; assessed by ELISA and PT-based one-stage clotting assay respectively), removing, in turn, any chance for FV-Leiden to act as a prothrombotic molecule. His father (57 y.o.), characterised by severe recurrent venous thromboses, underwent a complete molecular thrombophilic screening, revealing a heterozygous F2 G20210A defect, while his mother (56 y.o.), who was negative for further common coagulation defects, reported fully asymptomatic anamnesis. To dissect these conflicting phenotypes, we performed the ProC^®Global (Siemens Helthineers) coagulation test aimed at assessing the global pro- and anticoagulant balance of each family member, investigating the responses to the activated protein C (APC) by means of an APC-sensitivity ratio (APC-sr). The propositus had an unexpectedly poor response to APC (APC-sr: 1.09; n.v. > 2.25), and his father and mother had an APC-sr of 1.5 and 2.0, respectively. Although ProC^®Global prevalently detects the anticoagulant side of FV, the exceptionally low APC-sr of the propositus and his discordant severe–moderate haemorrhagic phenotype could suggest a residual expression of mutated FV p.506QQ through a natural readthrough or possible alternative splicing mechanisms. The coagulation pathway may be physiologically rebalanced through natural and induced strategies, and the described insights might be able to track the design of novel treatment approaches and rebalancing molecules. Full article

Introduction: Surgical management of gastric adenocarcinoma can have a drastic impact on a patient’s quality of life (QoL). There is high variability among surgeons’ preferences for the type of resection and reconstructive method. Peri-operative and cancer-specific outcomes remain equivalent between the different approaches. Therefore, postoperative quality of life can be viewed as a deciding factor for the surgical approach. The goal of this study was to interrogate patient QoL using patient-reported outcomes (PROs) following gastrectomy for gastric cancer. Methods: This systematic review was registered at Prospero and followed PRISMA guidelines. Medline, Embase, and Scopus were used to perform a literature search on 18 January 2020. A set of selection criteria and the data extraction sheet were predefined. Covidence (Melbourne, Australia) software was used; two reviewers (P.C.V. and E.J.) independently reviewed the articles, and a third resolved conflicts (A.B.F.). Results: The search yielded 1446 studies; 308 articles underwent full-text review. Ultimately, 28 studies were included for qualitative analysis, including 4630 patients. Significant heterogeneity existed between the studies. Geography was predominately East Asian (22/28 articles). While all aspects of quality of life were found to be affected by a gastrectomy, most functional or symptom-specific measures reached baseline by 6–12 months. The most significant ongoing symptoms were reflux, diarrhoea, and nausea/vomiting. Discussion: Generally, patients who undergo a gastrectomy return to baseline QoL by one year, regardless of the type of surgery or reconstruction. A subtotal distal gastrectomy is preferred when proper oncologic margins can be obtained. Additionally, no one form of reconstruction following gastrectomy is statistically preferred over another. However, for subtotal distal gastrectomy, there was a trend toward Roux-en-Y reconstruction as superior to abating reflux. Full article

Background: Chronic obstructive pulmonary disease-associated pulmonary hypertension (PH-COPD) results in a significant impact on symptoms, quality of life, and survival. There is scant and conflicting evidence about the use of pulmonary hypertension (PH) specific therapy in patients with PH-COPD. Study Design and Methods: PubMed, OVID, CINAHL, Cochrane, Embase, and Web of Science were searched using various MESH terms to identify randomized controlled trials (RCTs) or observational studies investigating PH-specific therapies in patients with severe PH-COPD, defined by mean pulmonary artery pressure (mPAP) of more than 35 mm Hg or pulmonary vascular resistance (PVR) of more than 5 woods units on right heart catheterization. The primary outcome was a change in mPAP and PVR. Secondary outcomes were changes in six-minute walk distance (6MWD), changes in the brain-natriuretic peptide (BNP), New York Heart Association (NYHA) functional class, oxygenation, and survival. Results: Thirteen studies satisfied the inclusion criteria, including a total of 328 patients with severe PH-COPD. Out of these, 308 patients received some type of specific therapy for PH. There was a significant reduction in mPAP (mean difference (MD) −3.68, 95% CI [−2.03, −5.32], p < 0.0001) and PVR (MD −1.40 Wood units, 95% CI [−1.97, −0.82], p < 0.00001). There was a significant increase in the cardiac index as well (MD 0.26 L/min/m², 95% CI [0.14, 0.39], p < 0.0001). There were fewer patients who had NYHA class III/lV symptoms, with an odds ratio of 0.55 (95% CI [0.30, 1.01], p = 0.05). There was no significant difference in the 6MWD (12.62 m, 95% CI [−8.55, 33.79], p = 0.24), PaO₂ (MD −2.20 mm Hg, 95% CI [−4.62, 0.22], p = 0.08), or BNP or NT-proBNP therapy (MD −0.15, 95% CI [−0.46, 0.17], p = 0.36). Conclusion: The use of PH-specific therapies in severe PH-COPD resulted in a significant reduction in mPAP and PVR and increased CI, with fewer patients remaining in NYHA functional class III/IV. However, no significant difference in the 6MWD, biomarkers of right ventricular dysfunction, or oxygenation was identified, demonstrating a lack of hypoxemia worsening with treatment. Further studies are needed to investigate the use of PH medications in patients with severe PH-COPD. Full article

High strain with low hysteresis is crucial for commercial applications in high precision actuators. However, the clear conflict between the high strain and low hysteresis in BNT-based ceramics has long been an obstacle to actual precise actuating or positioning applications. To obtain piezoceramics with high strain and low hysteresis, it is necessary to enhance the electrostrictive effect and develop an ergodic relaxor (ER) and nonergodic relaxor (NR) phase boundary under ambient conditions. In this work, (Co_0.5Nb_0.5)⁴⁺ doped 76Bi_0.5Na_0.5TiO₃-24SrTiO₃ (BNST24) relaxors were fabricated using the conventional solid state reaction route. X-ray diffraction patterns revealed the B-site substitution in BNST24 ceramics. By adjusting the (Co_0.5Nb_0.5)⁴⁺ doping in BNST24, we effectively tuned the T_NR-ER and T_d close to ambient temperature, which contributed to the development of the ergodic relaxor phase and enhanced the electrostrictive effect at ambient temperature. The I-P-E loops and bipolar strain curves verified the gradual evolution from NR to ER states, while the enhanced electrostrictive effect was verified by the nearly linear S-P² curves and improved electrostrictive coefficient of the BNST24-xCN relaxors. An enhanced strain of 0.34% (d^*₃₃ = 483 pm/V) with low hysteresis of 8.9% was simultaneously achieved in the BNST24-0.02CN relaxors. The enhanced strain was mainly attributed to the proximity effect at the ER and NR phase boundary of BNST24-0.02CN, while the improved electrostrictive effect contributed to the reduced strain hysteresis. Our work demonstrates an effective strategy for balancing the paradox of high strain and low hysteresis in piezoceramics. Full article

Purpose: During the coronavirus disease 2019 (COVID-19) pandemic, healthcare professionals were more frequently affected by post-traumatic stress disorder than the general population. The purpose of this historical, prospective study was to determine the influence of occupational stressors and personality traits on the magnitude of post-traumatic stress symptoms in nurses. The secondary objective was to examine the mediating role of protective equipment use on the relationship between exposure to pandemic-related stressors and levels of post-traumatic stress symptoms in nurses. Methods: The study was conducted after the first wave of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic among nurses working at the University Hospital of Split, Croatia. A total of 380 nurses completed the web-based survey. Among them, 217 (57.1%) worked with COVID-19 patients and 163 (42.9%) worked in non-COVID departments. A quantitative, cross-sectional, descriptive, and comparative design was used. Results: Personality traits (introversion, neuroticism, and openness), along with exposure to work stressors (public criticism, workplace hazards and harms, and work conflicts) and direct exposure to work with patients suffering from SARS-CoV-2 infection, may serve as significant risk factors for the development of post-traumatic stress symptoms (p < 0.05). The use of protective equipment did not alter the effect of exposure to pandemic-related stressors on the amount of trauma experienced during the COVID-19 pandemic. Conclusion: Personality characteristics and levels of work stress are the most important predictors of the development of post-traumatic stress symptoms in nurses who worked during the first wave of the COVID-19 pandemic. Healthcare facilities and their leaders need to make more efforts to provide better psychosocial support services for nurses. Full article