Search Results (158)

Cardiac pacing has undergone a significant transformation in the last decade. Leadless pacing (LP), once only a conceptual idea stemming from the early interest in eliminating lead-related complications of transvenous pacemakers, has now become a reality in clinical practice. Since the introduction of the first human single-chamber asynchronous leadless ventricular pacing in 2012, atrioventricular-synchronized single- or dual-chamber leadless pacing systems have been approved for clinical use since 2020. Leadless cardiac resynchronization therapy (CRT) has shown optimistic results in case series and awaits its full utility in real-world clinical practice. With the successful feasibility study of leadless conduction system pacing, we are eagerly awaiting long-term safety and efficacy data on a large scale. Another important frontier is the development of self-rechargeable LP, which may be an ideal pacemaker for the future and may reduce the burden of multiple device replacements as batteries near the end-of-service. Totally extravascular percutaneous leadless pericardial micro-pacemaker system implantation is under development. In this state-of-the-art review, we examine the evolution of cardiac pacing, emphasizing the development and utility of LP to meet maximum physiological pacing needs, optimize atrioventricular synchrony and cardiac resynchronization, and broaden its indications. Full article

This paper describes recent engineering designs that allow full-duplex SerDes connectivity between a number of cascaded Xilinx radio frequency system-on-chip (RF-SoC) and VCU FPGA systems. The design allows for unlimited scalability with all-to-all connectivity across FPGA systems and RF-SoCs that allow for bidirectional data transport in streaming mode at a capacity of 50 Gbps per ADC-DAC channel. A custom massively parallel systolic-array architecture supporting 8 parallel data streams from time-interleaved ADC/DACs allow real-time matrix–vector-multiplication (MVM). The MVM can be 8 × 8, 8 × 16, …, 8 × 1024 in supported matrix size, and is demonstrated in real time sustained throughput of 1 TeraMAC/second, for matrix size 8 × 512. The MVM is the building block supporting machine learning and filtering, with the computational graph split across FPGA systems using the SerDes connections. The RF data processed by the FPGA chain can be further utilized for higher-level AI workloads on an NVIDIA DGX Spark platform connected to the system. We demonstrate two platforms in which ZCU111 and ZCU1285 RF-SoC boards perform direct-RF data acquisition, while compute engines operating in real time on VCU128 and VCU129 FPGA boards showcase both digital beamforming and polyphase FIR filterbanking in a real-time bandwidth of 1.0 GHz. Full article

Background/Objectives: Greater than 50% of surviving very preterm infants are affected by postnatal growth failure and are at high risk of associated development of bronchopulmonary dysplasia (BPD). Given the influence of enteral feeding on growth failure, we aimed to determine the impact of type, volume, and time of introduction of enteral feeds on mitigating the risk of postnatal growth failure and BPD risk. Methods: This was a retrospective chart review of mothers’ own milk (MOM), pooled pasteurized donor human milk (PDHM) feeding, postnatal growth, and BPD severity in preterm infants <33 weeks of gestation admitted to the Children’s Hospital of Richmond at VCU neonatal intensive care unit between 2021 and 2024. Statistical analysis included linear regression with moderation analysis using the Hayes Process model, chi-square tests, linear and multinomial logistic regression, with p-value < 0.05 considered significant. Results: After controlling for the percentage of MOM received at 34 weeks corrected gestational age (cGA), greater severity of BPD was associated with lower infant weight and growth failure, p < 0.001. Early introduction of MOM (3 days of life) and greater volume of MOM showed better linear growth and decreased risk of severe BPD, respectively (p < 0.001). Conclusions: Provision of MOM to preterm infants within 3 days of life was associated with a moderation of the relationship between gestational age and growth velocity, with improved growth velocity trajectory. Preterm infants who received a greater volume of MOM through 34 weeks cGA experienced less severe BPD compared to those fed higher volumes of PDHM. As the incidence of growth failure paralleled the incidence of BPD severity, identification of key MOM components becomes important to address and augment the value of PDHM in the management of preterm infants. Full article

The practical deployment of Orthogonal Frequency Division Multiplexing Passive Optical Networks (OFDM-PONs) is hindered by the lack of a Medium Access Network (MAC) protocol capable of managing their flexible, distance-dependent data rates, despite their high spectral efficiency. This paper proposes and validates a novel rate-adaptive, Time Division Multiplexing (TDM)-based MAC protocol for OFDM-PON systems. A key contribution is the design of a three-layer header frame structure that supports multi-ONU data scheduling with heterogeneous rate profiles. Furthermore, the protocol incorporates a unique channel probing mechanism to dynamically determine the optimal transmission rate for each Optical Network Unit (ONU) during activation. The proposed Optical Line Terminal (OLT) side MAC protocol has been fully implemented in hardware on a Xilinx VCU118 FPGA platform, featuring a custom-designed ring buffer pool for efficient multi-ONU data management. Experimental results demonstrate robust upstream and downstream data transmission and confirm the system’s ability to achieve flexible net data rate switching on the downlink from 8.1 Gbit/s to 32.8 Gbit/s, contingent on the assigned rate stage. Full article

Background/Objectives: Tumor cells exploit a variety of mechanisms to inhibit the immune response to lung cancer. The programmed cell death protein-1/programmed death-ligand-1 (PD-1/PD-L1) axis is frequently dysregulated in lung cancers with significant impacts on tumor growth. A sex difference has been observed in lung cancer progression and the response to PD-1/PD-L1 therapy, with the extent of benefits differing between men and women. The mechanism underlying these differences has not been fully established. Methods: In an attempt to better understand the nature of these differences, we searched the available literature for reports connecting sex specific bioactive molecules—including estrogens, progesterone, testosterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, leptin, and activin/inhibin—to sex differences in lung cancer and the response to PD-1/PDL-1 therapies. We then condensed this information to help generate testable hypotheses to explain the observed sex differences in lung cancer and its immunotherapies. Conclusions: From these efforts, we discovered potential roles for sex steroids, FSH, LH, prolactin, leptin, and activin/inhibin in both immune cell activity and cancer cell survival and in the response to PD-1/PD-L1 therapies. Full article

The selection of resistant cultivars is a cornerstone of crop production. Integrated Pest Management (IPM) guidelines explicitly emphasize the use of the genetic potential for natural resistance in cultivated varieties, which primarily enables a reduction in the use of chemical plant protection products. Post-Registration Variety Testing (PRVT) and Ecological Variety Testing (EVT) allow the identification of cultivars best adapted to local soil and climatic conditions and provide guidance for variety choice under conventional management with limited chemical inputs (PRVT) or organic farming (EVT). The objective of this study was to evaluate the response of selected cultivars of common oat (Avena sativa L.) and naked oat (Avena nuda L.) to different levels of fertilization and crop protection. We analyzed grain yield, thousand-grain weight (TGW), plant height, pre-harvest lodging, and susceptibility to two fungal pathogens (Drechslera avenae and Blumeria graminis f. sp. avenae). Experiments were performed in integrated (PRVT) and organic (EVT) systems in Pawłowice and Białogard during 2023–2024. The results highlight the importance of matching cultivar choice to the management system to achieve high and stable yields with minimal chemical inputs. Full article

The aim of this study was to investigate the nucleation, growth, and surface deposition of poly(2,2,2-trifluoroethyl methacrylate) [poly(TFEMA)] from the one-phase, cloud point, and two-phase regions of a supercritical CO₂–toluene solvent. A ternary mixture of 20 wt% toluene + 79 wt% scCO₂ + 1 wt% poly(TFEMA) at 40.0 °C was exposed to a fluorine-doped tin oxide (FTO) surface for 30 min at pressures placing the solution in (i) a one-phase region (15.86 MPa), (ii) the cloud point (12.37 MPa), and (iii) a two-phase region (8.96 MPa). Using the Altunin–Gadetskii–Haar–Gallagher–Kell (AG–HGK) equation of state (EOS), the corresponding CO₂ densities are 793.9, 729.2, and 477.8 kg m⁻³. Scanning electron microscopy (SEM) and particle-size analysis (sample sizes N = 852–1177) show particle-size distributions (PSDs) that are well described by the following lognormal form: the mean diameter increases monotonically with a decrease in pressure (1.767 μm → 2.605 μm → 2.863 μm), while dispersion tightens slightly near the cloud point (coefficient of variation, CV: ≈0.47 → 0.44) and then broadens strongly in the two-phase region (CV ≈ 1.02). Morphologies transition from sparse, compact islands (one-phase) to agglomerated, necked spheres (cloud point) and finally hierarchical populations containing hollow/pitted large particles (two-phase). These outcomes are consistent with a phase-state-controlled shift in nucleation pathways, as follows: from heterogeneous surface nucleation in the one-phase regime to homogeneous nucleation with agglomeration at the cloud point, and to homogeneous nucleation with coalescence and solvent capture in the two-phase regime. The results provide a mechanistic basis and practical design rules for pressure-programmable control of fluoropolymer coatings prepared from scCO₂/aromatic-cosolvent systems. Full article

Background/Objectives: Lung cancer is the leading cause of cancer death in the United States (U.S.). Virginia, South Carolina, and North Carolina are among the U.S. states with extraordinarily high rates of lung cancer mortality, particularly among Black residents. The current lung cancer screening guidelines, revised in 2021, support screening for younger, non-Medicare age-eligible individuals who smoke. However, their health insurance, if any, may not cover their screening. This lack of access could create more disparities in lung cancer mortality rates. Methods: To address this concern, the Virginia Commonwealth University Massey Comprehensive Cancer Center, the Medical University of South Carolina Hollings Cancer Center, and the University of North Carolina Chapel Hill Lineberger Comprehensive Cancer Center secured a four-year Stand Up To Cancer^® (SU2C) grant titled “Southeastern Consortium for Lung Cancer Screening (SC3) Study” with a novel aim to test the effectiveness of a multimodal, multilevel, barrier-focused patient navigation intervention to promote lung cancer screening among Black patients from federally qualified health centers. Results: A total of 170/675 Black participants have been recruited to date. The majority of participants (n = 134; 78.82%) were aged 55–74 years. Most participants were unmarried (n = 100; 58.82%), more than half had a high school education/GED or less (n = 111; 65.29%), most currently smoked (n = 142; 83.53%), and more males than females participated (n = 107; 62.94% male). Their reported lung cancer screening barriers, addressed by the patient navigators, were cost concerns, insurance coverage issues, and recent medical history precluding screening. Conclusions with Relevance to Cancer Health Equity: This SC3 study includes a unique lung cancer screening cohort that is in direct contrast to the predominantly White cohort in the National Lung Screening Trial. The SU2C study has created a novel, community-engaged approach to lung cancer screening navigation that could become the gold standard in high-risk medically underserved populations. Full article

The species Panellus stipticus presents a unique situation whereby some geographic strains are bioluminescent while others are not. This study investigates the factors affecting the bioluminescence of P. stipticus, focusing on culture media optimization, oxygen dependency, and genetic variation between luminescent and non-luminescent strains. Experiments revealed that 10% breadcrumb agar (BCA) significantly enhanced bioluminescence and colony size while supplementation with activated charcoal reduced luminescence. Comparative analysis of carbohydrate-based media showed that BCA outperformed malt extract and molasses in promoting luminescence. Oxygen was confirmed as essential for bioluminescence, with light emission ceasing rapidly under anaerobic conditions and recovering within minutes upon re-exposure to air. Phylogenetic analysis using ITS sequences distinguished luminescent and non-luminescent strains, aligning with biogeographical patterns. Dot plot synteny analysis of draft genomes of a bioluminescent (Panst LUM) and a non-bioluminescent strain (KUC8834) revealed high genomic conservation. However, absence of key bioluminescence genes in non-luminescent strains explains their lack of light emission. Protein sequence comparisons of core enzymes—LUZ, HISP, and H3H—showed functional similarity with Mycenoid lineage species. These findings deepen our understanding of fungal bioluminescence and its genetic and environmental determinants. Full article

Speculative execution attacks significantly compromise the security of modern processors by enabling information leakage. These well-known attacks exploit speculative cache-based covert channels to effectively exfiltrate secret data by altering cache states. Existing hardware defenses specifically designed to prevent cache-based covert channels are effective at blocking explicit channels. However, their protection against implicit attack variants remains limited, since these hardware defenses do not fully eliminate secret-dependent microarchitectural changes in caches. In this paper, we propose TrackRISC, a framework which comprises (i) a refined implicit attack flow model specifically for the exploration and analysis of implicit cache-based speculative execution attacks which severely compromise the security of existing hardware defenses, and (ii) a security-enhanced tracking and mitigation microarchitecture, termed TrackRISC-Defense, designed to mitigate both implicit and explicit attack variants that use speculative cache-based covert channels. To obtain realistic hardware evaluation results, we implement and evaluate both TrackRISC-Defense and a representative existing defense on top of the Berkeley’s out-of-order RISC-V processor core (SonicBOOM) using the VCU118 FPGA platform running Linux. Compared to the representative existing defense which incurs a performance overhead of 13.8%, TrackRISC-Defense ensures stronger security guarantees with a performance overhead of 19.4%. In addition, TrackRISC-Defense can mitigate both explicit and implicit speculative cache-based covert channels with a register-based hardware resource overhead of 0.4%. Full article

Background/Objectives: Parkinson’s disease (PD) is the second-most prevalent neurodegenerative disorder, characterized by the progressive loss of dopaminergic neurons in the Substantia Nigra pars compacta (SNpc). Experimental models that replicate core features of PD are critical to investigate underlying mechanisms and therapeutic strategies. Here we evaluated the effects of an acute unilateral intrastriatal lesion induced by 6-hydroxydopamine (6-OHDA) on neuronal loss and the associated inflammatory response. Methods: Adult male Wistar rats received an injection of 6-OHDA into the right striatum, while the contralateral side received vehicle. Motor behavior was assessed by cylinder and open field tests on post-lesion days (PLDs) 7 and 14. Brains were analyzed by immunohistochemistry for tyrosine hydroxylase (TH), glial response (GFAP and Iba1), and caspase-3 at PLD +14. Results: A marked reduction in TH-immunoreactivity in the lesioned striatum was observed, with ~40% loss of TH-positive neurons in the ipsilateral SNpc. Surviving neurons displayed a 28% increase in soma size compared to the contralateral side. The lesion was accompanied by robust astrocytic and microglial activation at the injection site, as well as enhanced GFAP immunoreactivity in the ipsilateral SN pars reticulata. Apoptotic profiles emerged in the SNpc at PLD +14. Functionally, these alterations were reflected in significant motor asymmetry and decreased locomotor activity. Conclusions: Our findings demonstrate that neuroinflammation accompanies early dopaminergic degeneration following intrastriatal 6-OHDA administration, contributing to motor deficits. Future studies with older animals and broader behavioral and anatomical assessments—including regions such as the ventral tegmental area and motivational or anxiety-related paradigms—may enhance translational relevance. Full article

Antimicrobial resistance is a critical global health issue exacerbated by biofilm-associated infections that often resist conventional therapies. Photodithazine-mediated antimicrobial photodynamic therapy (PDZ-aPDT) has emerged as a promising alternative, demonstrating a broad-spectrum antimicrobial efficacy against multidrug-resistant bacteria and fungi, including those in biofilms. This systematic review evaluates the efficacy, safety, and clinical applications of PDZ-aPDT by synthesizing evidence from preclinical and clinical studies. Databases including PubMed, Embase, Scopus, and Cochrane were systematically searched, resulting in the inclusion of 13 studies for qualitative analysis. PDZ-aPDT consistently reduced the microbial burden in various models, including oral candidiasis, denture stomatitis, acne, and infections related to medical devices. Synergistic combinations with conventional antimicrobials and adjunctive therapies (e.g., DNase I) further enhanced its effectiveness. However, the evidence base remains limited by methodological variability, small sample sizes, and short follow-up periods. Future research should focus on rigorous clinical trials with standardized protocols and extended follow-up to establish definitive efficacy and safety profiles, facilitating a broader clinical implementation in combating antimicrobial resistance. Full article

This paper proposes an AI-driven automated test generation framework for vehicle control units (VCUs), integrating natural language processing (NLP) and dynamic variable binding. To address the critical limitation of traditional AI-generated test cases lacking executable variables, the framework establishes a closed-loop transformation from requirements to executable code through a five-layer architecture: (1) structured parsing of PDF requirements using domain-adaptive prompt engineering; (2) construction of a multidimensional variable knowledge graph; (3) semantic atomic decomposition of requirements and logic expression generation; (4) dynamic visualization of cause–effect graphs; (5) path-sensitization-driven optimization of test sequences. Validated on VCU software from a leading OEM, the method achieves 97.3% variable matching accuracy and 100% test case executability, reducing invalid cases by 63% compared to conventional NLP approaches. This framework provides an explainable and traceable automated solution for intelligent vehicle software validation, significantly enhancing efficiency and reliability in automotive testing. Full article

Precision medicine is transforming hematologic cancer care by tailoring treatments to individual patient profiles and moving beyond the traditional “one-size-fits-all” model. This review outlines foundational technologies, disease-specific advances, and emerging directions in precision hematology. The field is enabled by molecular profiling techniques, including next-generation sequencing (NGS), whole-exome sequencing (WES), and RNA sequencing (RNA-seq), as well as epigenomic and proteomic analyses. Complementary tools such as liquid biopsy and minimal residual disease (MRD) monitoring have improved diagnosis, risk stratification, and therapeutic decision making. We discuss major molecular targets and personalized strategies across hematologic malignancies: FLT3 and IDH1/2 in acute myeloid leukemia (AML); Philadelphia chromosome–positive and Ph-like subtypes in acute lymphoblastic leukemia (ALL); BCR-ABL1 in chronic myeloid leukemia (CML); TP53 and IGHV mutations in chronic lymphocytic leukemia (CLL); molecular subtypes and immune targets in diffuse large B-cell lymphoma (DLBCL) and other lymphomas; and B-cell maturation antigen (BCMA) in multiple myeloma. Despite significant progress, challenges remain, including high costs, disparities in access, a lack of standardization, and integration barriers in clinical practice. However, advances in single-cell sequencing, spatial transcriptomics, drug repurposing, immunotherapies, pan-cancer trials, precision prevention, and AI-guided algorithms offer promising avenues to refine treatment and improve outcomes. Overcoming these barriers will be critical for ensuring the equitable and widespread implementation of precision medicine in routine hematologic oncology care. Full article

Objective: This in vitro study evaluated the effectiveness of three laser systems—diode, CO₂, and Er:YAG—for debonding composite attachments used in aligner orthodontic therapy. Materials and Methods: Fifty extracted human premolars with composite attachments were divided into five groups (n = 10): control, RT (rotary tools), diode laser (980 nm, irradiance was 4811 W/cm²), CO₂ laser (10.6 µm, irradiance 1531 W/cm²), and Er:YAG laser (2940 nm, irradiance 471.7 W/cm²). Shear bond strength (SBS) testing measured debonding forces. Enamel surface changes were evaluated using micro-CT, optical profilometry, and stereomicroscopy. The Adhesive Remnant Index (ARI) assessed residual bonding material. Results: Laser treatment increased enamel roughness (p < 0.05). Er:YAG laser caused the highest roughness (Sa = 2.03 µm) and up to 0.17 mm enamel loss but left minimal adhesive remnants and no fractures. Diode laser preserved surface smoothness with moderate bond weakening. CO₂ laser had intermediate effects. RT showed the highest SBS but resulted in greater enamel alteration. SBS was significantly reduced in the laser groups, lowest for Er:YAG (81.7 ± 45.5 MPa vs. control 196.2 ± 75.3 MPa). ARI indicated better adhesive removal in the laser-treated groups, with Er:YAG showing the highest percentage of clean enamel surfaces (67% vs. 25%). Conclusions: Er:YAG demonstrated the best balance between effective debonding and enamel preservation. Diode and CO₂ lasers also offer viable alternatives to rotary tools. Further clinical studies are recommended. Full article