Search Results (2,438)

Background/Objectives: The use of artificial sweeteners (AS) is increasing globally despite growing evidence suggesting potential health risks. This study investigates the sociodemographic and health-related factors associated with AS use in the Hungarian population. Methods: We conducted a cross-sectional analysis using data from the 2019 European Health Interview Survey (EHIS), comprising 5603 participants. AS users were identified based on self-reported use of AS. Logistic regression models were used to examine associations between regular AS use and demographic, socioeconomic, and health variables. Interaction terms were included to explore potential effect modification. Results: AS use was reported by 20.1% of participants. Older adults, individuals with overweight or obesity, and those reporting poorer self-perceived health were more likely to use AS. AS use was also higher among individuals in lower and middle-income quintiles. Interaction analyses revealed that overweight and obese individuals with the lowest income, as well as older adults in poor health, were particularly likely to use AS. Conclusions: The findings highlight disparities in AS use across age, income, BMI, and health status, raising concerns about the public’s perception of AS as a healthier alternative. Public health strategies should focus on increasing awareness of the potential risks and encourage evidence-based dietary choices. Full article

Background/Objectives: The Janus kinase-signal transducer and activator of transcription (JAK-STAT) signaling pathway is a critical mediator of immune regulation, inflammation, and cancer progression. Although implicated in colorectal cancer (CRC) pathogenesis, its molecular heterogeneity and clinical significance remain insufficiently characterized—particularly within early-onset CRC (EOCRC) and across diverse treatment and demographic contexts. We present AI-HOPE-JAK-STAT, a novel conversational artificial intelligence platform built to enable the real-time, natural language-driven exploration of JAK/STAT pathway alterations in CRC. The platform integrates clinical, genomic, and treatment data to support dynamic, hypothesis-generating analyses for precision oncology. Methods: AI-HOPE-JAK-STAT combines large language models (LLMs), a natural language-to-code engine, and harmonized public CRC datasets from cBioPortal. Users define analytical queries in plain English, which are translated into executable code for cohort selection, survival analysis, odds ratio testing, and mutation profiling. To validate the platform, we replicated known associations involving JAK1, JAK3, and STAT3 mutations. Additional exploratory analyses examined age, treatment exposure, tumor stage, and anatomical site. Results: The platform recapitulated established trends, including improved survival among EOCRC patients with JAK/STAT pathway alterations. In FOLFOX-treated CRC cohorts, JAK/STAT-altered tumors were associated with significantly enhanced overall survival (p < 0.0001). Stratification by age revealed survival advantages in younger (age < 50) patients with JAK/STAT mutations (p = 0.0379). STAT5B mutations were enriched in colon adenocarcinoma and correlated with significantly more favorable trends (p = 0.0000). Conversely, JAK1 mutations in microsatellite-stable tumors did not affect survival, emphasizing the value of molecular context. Finally, JAK3-mutated tumors diagnosed at Stage I–III showed superior survival compared to Stage IV cases (p = 0.00001), reinforcing stage as a dominant clinical determinant. Conclusions: AI-HOPE-JAK-STAT establishes a new standard for pathway-level interrogation in CRC by empowering users to generate and test clinically meaningful hypotheses without coding expertise. This system enhances access to precision oncology analyses and supports the scalable, real-time discovery of survival trends, mutational associations, and treatment-response patterns across stratified patient cohorts. Full article

Background: Sarcopenia is a progressive muscle disease that compromises mobility and quality of life in older adults. Although dual-energy X-ray absorptiometry (DXA) is the standard for assessing Appendicular Lean Mass Index (ALMI), it is costly and often inaccessible. This study aims to develop machine learning models using anthropometric measurements to predict low ALMI for the diagnosis of sarcopenia. Methods: A cross-sectional study was conducted on 183 Mexican adults (67.2% women and 32.8% men, ≥60 years old). ALMI was measured using DXA, and anthropometric data were collected following the International Society for the Advancement of Kinanthropometry (ISAK) protocols. Predictive models were developed using Logistic Regression (LR), Decision Trees (DTs), Random Forests (RFs), Artificial Neural Networks (ANNs), and LASSO regression. The dataset was split into training (70%) and testing (30%) sets. Model performance was evaluated using classification performance metrics and the area under the ROC curve (AUC). Results: ALMI indicated strong correlations with BMI, corrected calf girth, and arm relaxed girth. Among models, DT achieved the best performance in females (AUC = 0.84), and ANN indicated the highest AUC in males (0.92). Regarding the prediction of low ALMI, specificity values were highest in DT for females (100%), while RF performed best in males (92%). The key predictive variables varied depending on sex, with BMI and calf girth being the most relevant for females and arm girth for males. Conclusions: Anthropometry combined with machine learning provides an accurate, low-cost approach for identifying low ALMI in older adults. This method could facilitate sarcopenia screening in clinical settings with limited access to advanced diagnostic tools. Full article

Reproductive efficiency is a critical determinant of productivity and profitability in sheep farming. Traditional selection methods have largely relied on phenotypic traits and historical reproductive records, which are often limited by subjectivity and delayed feedback. Recent advancements in artificial intelligence (AI), including video tracking, wearable sensors, and machine learning (ML) algorithms, offer new opportunities to identify behavior-based indicators linked to key reproductive traits such as estrus, lambing, and maternal behavior. This review synthesizes the current research on AI-powered behavioral monitoring tools and proposes a conceptual model, ReproBehaviorNet, that maps age- and sex-specific behaviors to biological processes and AI applications, supporting real-time decision-making in both intensive and semi-intensive systems. The integration of accelerometers, GPS systems, and computer vision models enables continuous, non-invasive monitoring, leading to earlier detection of reproductive events and greater breeding precision. However, the implementation of such technologies also presents challenges, including the need for high-quality data, a costly infrastructure, and technical expertise that may limit access for small-scale producers. Despite these barriers, AI-assisted behavioral phenotyping has the potential to improve genetic progress, animal welfare, and sustainability. Interdisciplinary collaboration and responsible innovation are essential to ensure the equitable and effective adoption of these technologies in diverse farming contexts. Full article

In this post-digital age, writing assessment has been markedly influenced by advancements in artificial intelligence (AI), emphasizing the role of automated formative feedback in supporting second language (L2) writing. This study investigates how Norwegian teachers use an AI-driven automated feedback tool, the Essay Assessment Technology (EAT), in process writing for the first time. Framed by the second and third-order barriers framework, we looked at teachers’ beliefs and the design level changes that they made in their teaching. Data were collected in Autumn 2022, during the testing of EAT’s first prototype. Teachers were first introduced to EAT in a workshop. A total of 3 English as a second language teachers from different schools were informants in this study. Teachers then used EAT in the classroom with their 9th-grade students (13 years old). Through individual teacher interviews, this descriptive qualitative study explores teachers’ perceptions, user experiences, and pedagogical decisions when incorporating EAT into their practices. The findings indicate that teachers’ beliefs about technology and its role in student learning, as well as their views on students’ responsibilities in task completion, significantly influence their instructional choices. Additionally, teachers not only adopt AI-driven tools but are also able to reflect and solve complex teaching and learning activities in the classroom, which demonstrates that these teachers have applied design thinking processes in integrating technology in their teaching. Based on the results in this study, we suggest the need for targeted professional development to support effective technology integration. Full article

This study investigates the fabrication and residual stress behavior of a 0.5 wt.% graphene-reinforced AA2195 aluminum matrix composite, developed for advanced aerospace structural applications. The composite was synthesized via squeeze casting, followed by a multi-pass hot rolling process and subsequent T8 heat treatment. The evolution of residual stress was systematically examined after each rolling pass and during thermal treatments. The successful incorporation of graphene into the matrix was confirmed through Energy-Dispersive Spectroscopy (EDS) analysis. Residual stress measurements after each pass revealed a progressive increase in compressive stress, reaching a maximum of −68 MPa after the fourth hot rolling pass. Prior to the fifth pass, a solution treatment at 530 °C was performed to dissolve coarse precipitates and relieve internal stresses. Cold rolling during the fifth pass reduced the compressive residual stress to −40 MPa, and subsequent artificial aging at 180 °C for 48 h further decreased it to −23 MPa due to recovery and stress relaxation mechanisms. Compared to the unreinforced AA2195 alloy in the T8 condition, which exhibited a tensile residual stress of +29 MPa, the graphene-reinforced composite in the same condition retained a compressive residual stress of −23 MPa. This represents a net improvement of 52 MPa, highlighting the composite’s superior capability to retain compressive residual stress. The presence of graphene significantly influenced the stress distribution by introducing thermal expansion mismatch and acting as a barrier to dislocation motion. Overall, the composite demonstrated enhanced residual stress characteristics, making it a promising candidate for lightweight, fatigue-resistant aerospace components. Full article

The weight reduction is a key objective in modern engineering, particularly in the automotive industry, to enhance vehicle performance and reduce the carbon footprint. In this context aluminum alloys are widely used in structural automotive applications, often through forging processes that enhance mechanical properties compared to the results for casting. However, the high cost of forging can limit its economic feasibility. Low pressure forging (LPF) combines the benefits of casting and forging, employing controlled pressure to fill the mold cavity and improve metal purity. This study investigates the effectiveness of the LPF process in optimizing the mechanical properties of AlSi7Mg aluminum alloy by evaluating the influence of three different magnesium content levels. The specimens underwent T6 heat treatment (solubilization treatment followed by artificial aging), with varying aging times and temperatures. Microstructural analysis and tensile tests were conducted to determine the optimal conditions for achieving superior mechanical strength, contributing to the design of lightweight, high-performance components for advanced automotive applications. The most promising properties were achieved with a T6 treatment consisting of solubilization at 540 °C for 6 h followed by aging at 180 °C for 4 h, resulting in mechanical properties of σ_y 280 MPa, σ_m 317 MPa, and A% 3.5%. Full article

This conceptual paper explores how artificial intelligence—particularly machine learning-based algorithmic systems—is reshaping cultural transmission and symbolic power in the digital age. It argues that algorithms operate as cultural agents, acquiring a form of operative agency that enables them to intervene in the production, circulation, and legitimation of meaning. Drawing on critical pedagogy, sociotechnical theory, and epistemological perspectives, the paper introduces an original framework: Critical Algorithmic Mediation (CAM). CAM conceptualizes algorithmic agency through three interrelated dimensions—structural, operational, and symbolic—providing a lens to analyze how algorithmic systems structure knowledge hierarchies and cultural experience. The article examines the historical role of media in cultural transmission, the epistemic effects of algorithmic infrastructures, and the emergence of algorithmic hegemony as a regime of symbolic power. In response, it advocates for a model of critical digital literacy that promotes algorithmic awareness, epistemic justice, and democratic engagement. By reframing education as a space for symbolic resistance and cultural reappropriation, this work contributes to rethinking digital literacy in societies increasingly governed by algorithmic infrastructures. Full article

Pancreatic ductal adenocarcinoma (PDAC) remains among the most lethal malignancies, with a five-year survival rate below 12%, largely attributable to its asymptomatic onset, late-stage diagnosis, and limited curative treatment options. Although PDAC accounts for approximately 3% of all cancers, it is projected to become the second leading cause of cancer-related mortality in the United States by 2030. A major contributor to its dismal prognosis is the lack of validated early detection strategies for asymptomatic individuals. In this review, we present a comprehensive synthesis of current advances in the early detection of PDAC, with a focus on the identification of high-risk populations, novel biomarker platforms, advanced imaging modalities, and artificial intelligence (AI)-driven tools. We highlight high-risk groups—such as those with new-onset diabetes after age 50, pancreatic steatosis, chronic pancreatitis, cystic precursor lesions, and hereditary cancer syndromes—as priority populations for targeted surveillance. Novel biomarker panels, including circulating tumor DNA (ctDNA), miRNAs, and exosomes, have demonstrated improved diagnostic accuracy in early-stage disease. Recent developments in imaging, such as multiparametric MRI, contrast-enhanced endoscopic ultrasound, and molecular imaging, offer improved sensitivity in detecting small or precursor lesions. AI-enhanced radiomics and machine learning models applied to prediagnostic CT scans and electronic health records are emerging as valuable tools for risk prediction prior to clinical presentation. We further refine the Define–Enrich–Find (DEF) framework to propose a clinically actionable strategy that integrates these innovations. Collectively, these advances pave the way for personalized, multimodal surveillance strategies with the potential to improve outcomes in this historically challenging malignancy. Full article

Background: Electronic patient-reported outcomes (ePROs) enable real-time symptom monitoring and early intervention in oncology. Large language models (LLMs), when combined with retrieval-augmented generation (RAG), offer scalable Artificial Intelligence (AI)-driven education tailored to individual patient needs. However, few studies have examined the feasibility and clinical impact of integrating ePRO with LLM-RAG feedback during radiotherapy in high-toxicity settings such as head and neck cancer. Methods: This prospective observational study enrolled 42 patients with head and neck cancer undergoing radiotherapy from January to December 2024. Patients completed ePRO entries twice weekly using a web-based platform. Following each entry, an LLM-RAG system (Gemini 1.5-based) generated real-time educational feedback using National Comprehensive Cancer Network (NCCN) guidelines and institutional resources. Primary outcomes included percentage weight loss and treatment interruption days. Statistical analyses included t-tests, linear regression, and receiver operating characteristic (ROC) analysis. A threshold of ≥6 ePRO entries was used for subgroup analysis. Results: Patients had a mean age of 53.6 years and submitted an average of 8.0 ePRO entries. Frequent ePRO users (≥6 entries) had significantly less weight loss (4.45% vs. 7.57%, p = 0.021) and fewer treatment interruptions (0.67 vs. 2.50 days, p = 0.002). Chemotherapy, moderate-to-severe pain, and lower ePRO submission frequency were associated with greater weight loss. ePRO submission frequency was negatively correlated with both weight loss and treatment interruption days. The most commonly reported symptoms were appetite loss, fatigue, and nausea. Conclusions: Integrating LLM-RAG feedback with ePRO systems is feasible and may enhance symptom control, treatment continuity, and patient engagement in head and neck cancer radiotherapy. Further studies are warranted to validate the clinical benefits of AI-supported ePRO platforms in routine care. Full article

The underwater environment severely degrades image quality by absorbing and scattering light. This causes significant challenges, including non-uniform illumination, low contrast, color distortion, and blurring. These degradations compromise the performance of critical underwater applications, including water quality monitoring, object detection, and identification. To address these issues, this study proposes a detail-oriented hybrid framework for underwater image enhancement that synergizes the strengths of traditional image processing with the powerful feature extraction capabilities of unsupervised deep learning. Our framework introduces a novel multi-scale detail enhancement unit to accentuate structural information, followed by a Latent Low-Rank Representation (LatLRR)-based simplification step. This unique combination effectively suppresses common artifacts like oversharpening, spurious edges, and noise by decomposing the image into meaningful subspaces. The principal structural features are then optimally combined with a gamma-corrected luminance channel using an unsupervised MU-Fusion network, achieving a balanced optimization of both global contrast and local details. The experimental results on the challenging Test-C60 and OceanDark datasets demonstrate that our method consistently outperforms state-of-the-art fusion-based approaches, achieving average improvements of 7.5% in UIQM, 6% in IL-NIQE, and 3% in AG. Wilcoxon signed-rank tests confirm that these performance gains are statistically significant (p < 0.01). Consequently, the proposed method significantly mitigates prevalent issues such as color aberration, detail loss, and artificial haze, which are frequently encountered in existing techniques. Full article

This study aims to analyse the effect of selected variation factors on the ejaculate characteristics of boars and to characterise changes in ejaculate characteristics in Landrace, Large White, Duroc, and Pietrain boars during their use for artificial insemination. The original value of this work lies in the estimation of the percentage share of individual components of variability in shaping the traits of boar ejaculate. A total of 943 ejaculates collected from 77 boars used for artificial insemination were analysed. This study began when the boars were at 8–9 months old. Ejaculates were collected in nine consecutive months from the start of the boars’ use. Immediately after collection, they were analysed for ejaculate volume, sperm concentration, percentage of sperm with progressive motility, total number of spermatozoa, and number of insemination doses per ejaculate. The results were analysed according to three criteria: breed of boar (Landrace, Large White, Duroc, and Pietrain), age of boar (up to 10 months, 11–13 months, 14–17 months, and more than 17 months), and season (spring, summer, autumn, and winter). The analysis of the variation in ejaculate characteristics took into account the share of each factor (boar breed, boar age, and season) in the variation, as well as the interactions between factors. The effects of the three factors and interactions between them were calculated using an ANOVA (analysis of variance). The variation was shown to depend mainly on the breed and age. These two factors and the interaction between them determine about 80% of the variation in ejaculate characteristics. The season also has an effect, but its share in the influence of variation on ejaculate characteristics is relatively small. Ejaculates from Landrace boars are the most favourable for insemination, with a large volume, a relatively high sperm concentration, and the highest number of sperm. The highest number of insemination doses can be prepared from Landrace ejaculates—on average, 2.7–6.7 more doses than from the other breeds. Duroc boar ejaculates are most distinctive, with a very low volume but a very high sperm concentration and the highest sperm motility. The ejaculates of Pietrain boars showed the opposite pattern, with the largest volume but the lowest sperm concentration. The sexual development of young boars, expressed as an increase in ejaculation performance, progresses during their first year of insemination use. Full article

With the rapid advancement of artificial intelligence and smart manufacturing technologies, the penetration of industrial robots into Chinese markets has profoundly reshaped the structure of the labor market. However, existing studies have largely concentrated on the employment substitution effect and the diffusion path of these technologies, while systematic analyses of how industrial robots affect labor resource allocation efficiency across different regional and industrial contexts in China remain scarce. In particular, research on the mechanisms and heterogeneity of these effects is still underdeveloped, calling for deeper investigation into their transmission channels and policy implications. Drawing on panel data from 280 prefecture-level cities in China from 2006 to 2023, this paper employs a Bartik-style instrumental variable approach to measure the level of industrial robot penetration and constructs a two-way fixed effects model to assess its impact on urban labor misallocation. Furthermore, the analysis introduces two mediating variables, industrial upgrading and urban innovation capacity, and applies a mediation effect model combined with Bootstrap methods to empirically test the underlying transmission mechanisms. The results reveal that a higher level of industrial robot adoption is significantly associated with a lower degree of labor misallocation, indicating a notable improvement in labor resource allocation efficiency. Heterogeneity analysis shows that this effect is more pronounced in cities outside the Yangtze River Economic Belt, in those experiencing severe population aging, and in areas with a relatively weak manufacturing base. Mechanism tests further indicate that industrial robots indirectly promote labor allocation efficiency by facilitating industrial upgrades and enhancing innovation capacity. However, in the short term, improvements in innovation capacity may temporarily intensify labor mismatch due to structural frictions. Overall, industrial robots not only exert a direct positive impact on the efficiency of urban labor allocation but also indirectly contribute to resource optimization through structural transformation and innovation system development. These findings underscore the need to account for regional disparities and demographic structures when advancing intelligent manufacturing strategies. Policymakers should coordinate the development of vocational training systems and innovation ecosystems to strengthen the dynamic alignment between technological adoption and labor market restructuring, thereby fostering more inclusive and high-quality economic growth. Full article

Pelvic organ prolapse (POP) is a common pelvic floor disorder with substantial impact on women’s quality of life, necessitating accurate and reproducible diagnostic methods. This study investigates the use of three-dimensional (3D) transperineal ultrasound, integrated with artificial intelligence (AI), to evaluate pelvic floor biomechanics and identify correlations between biometric parameters and prolapse severity. Thirty-seven female patients diagnosed with genital prolapse (mean age: 65.3 ± 10.6 years; mean BMI: 29.5 ± 3.8) were enrolled. All participants underwent standardized 3D transperineal ultrasound using the Mindray Smart Pelvic system, an AI-assisted imaging platform. Key biometric parameters—anteroposterior diameter, laterolateral diameter, and genital hiatus area—were measured under three functional states: rest, maximal Valsalva maneuver, and voluntary pelvic floor contraction. Additionally, two functional indices were derived: the distensibility index (ratio of Valsalva to rest) and the contractility index (ratio of contraction to rest), reflecting pelvic floor elasticity and muscular function, respectively. Statistical analysis included descriptive statistics and univariate correlation analysis using Pelvic Organ Prolapse Quantification (POP-Q) system scores. Results revealed a significant correlation between laterolateral diameter and prolapse severity across multiple compartments and functional states. In apical prolapse, the laterolateral diameter measured at rest and during both Valsalva and contraction showed positive correlations with POP-Q point C, indicating increasing transverse pelvic dimensions with more advanced prolapse (e.g., r = 0.42 to 0.58; p < 0.05). In anterior compartment prolapse, the same parameter measured during Valsalva and contraction correlated significantly with POP-Q point AA (e.g., r = 0.45 to 0.61; p < 0.05). Anteroposterior diameters and genital hiatus area were also analyzed but showed weaker or inconsistent correlations. AI integration facilitated real-time image segmentation and automated measurement, reducing operator dependency and increasing reproducibility. These findings highlight the laterolateral diameter as a strong, reproducible anatomical marker for POP severity, particularly when assessed dynamically. The combined use of AI-enhanced imaging and functional indices provides a novel, standardized, and objective approach for assessing pelvic floor dysfunction. This methodology supports more accurate diagnosis, individualized management planning, and long-term monitoring of pelvic floor disorders. Full article

Background/Objectives: Transcatheter aortic valve replacement (TAVR) has been introduced as an optimal treatment for patients with severe aortic stenosis, offering a minimally invasive alternative to surgical aortic valve replacement. Predicting these outcomes following TAVR is crucial. Artificial intelligence (AI) has emerged as a promising tool for improving post-TAVR outcome prediction. In this systematic review and meta-analysis, we aim to summarize the current evidence on utilizing AI in predicting post-TAVR outcomes. Methods: A comprehensive search was conducted to evaluate the studies focused on TAVR that applied AI methods for risk stratification. We assessed various ML algorithms, including random forests, neural networks, extreme gradient boosting, and support vector machines. Model performance metrics—recall, area under the curve (AUC), and accuracy—were collected with 95% confidence intervals (CIs). A random-effects meta-analysis was conducted to pool effect estimates. Results: We included 43 studies evaluating 366,269 patients (mean age 80 ± 8.25; 52.9% men) following TAVR. Meta-analyses for AI model performances demonstrated the following results: all-cause mortality (AUC = 0.78 (0.74–0.82), accuracy = 0.81 (0.69–0.89), and recall = 0.90 (0.70–0.97); permanent pacemaker implantation or new left bundle branch block (AUC = 0.75 (0.68–0.82), accuracy = 0.73 (0.59–0.84), and recall = 0.87 (0.50–0.98)); valve-related dysfunction (AUC = 0.73 (0.62–0.84), accuracy = 0.79 (0.57–0.91), and recall = 0.54 (0.26–0.80)); and major adverse cardiovascular events (AUC = 0.79 (0.67–0.92)). Subgroup analyses based on the model development approaches indicated that models incorporating baseline clinical data, imaging, and biomarker information enhanced predictive performance. Conclusions: AI-based risk prediction for TAVR complications has demonstrated promising performance. However, it is necessary to evaluate the efficiency of the aforementioned models in external validation datasets. Full article