Search Results (4,551)

Background: Breast cancer is the most prevalent malignancy among women globally. In Romania, it is the most frequent form of cancer affecting women, with approximately 12,000 new cases diagnosed annually, and the second most common cause of cancer-related mortality, second only to lung cancer. Methods: This study looked at 79 breast cancer patients from Oltenia, concentrating on epidemiology, histology, diagnostic features, and treatments. Patients were chosen based on inclusion criteria such as histopathologically verified diagnosis, availability of clinical and treatment data, and follow-up information. The analyzed biological material consisted of tissue samples taken from the breast parenchyma and axillary lymph nodes. Even though not the primary subject of this paper, all patients underwent immunohistochemical (IHC) evaluation both preoperatively and postoperatively. Results: We found invasive ductal carcinoma to be the predominant type, while ductal carcinoma in situ (DCIS) and mixed types were rare. We performed cross-tabulations of metastasis versus nodal status and age versus therapy type; none reached significance (all p > 0.05), suggesting observed differences were likely due to chance. A chi-square test comparing surgical interventions (breast-conserving vs. mastectomy) in patients who did or did not receive chemotherapy showed, χ² = 3.17, p = 0.367, indicating that chemotherapy did not significantly influence surgical choice. Importantly, adjuvant chemotherapy and radiotherapy were used at similar rates across age groups, whereas neoadjuvant hormonal (endocrine) therapy was more common in older patients (but without statistical significance). Conclusions: Finally, we discussed the consequences of individualized care and early detection. Romania’s shockingly low screening rate, which contributes to delayed diagnosis, emphasizes the importance of improved population medical examination and tailored treatment options. Also, the country has one of the lowest rates of mammography uptake in Europe and no systematic population screening program. Full article

This paper reports a statistical analysis of a database archiving information on the strengths of the materials in existing Italian bridges having pre- and post-tensioned concrete beams. Data were collected in anonymous form by analyzing a stock of about 170 bridges built between 1960 and 2000 and located in several Italian regions. To date, the database refers to steel reinforcing bars, concrete, and prestressing steel, whose strengths were gathered from design nominal values, acceptance certificates, and in situ test results, all derived by consulting the available documents for each examined bridge. At first, this paper describes how the available data were collected. Then, the results of a statistical analysis are presented and commented on. Moreover, goodness-of-fit tests are carried out to verify the assumption validity of a normal distribution for steel reinforcing bars and prestressing steel, and a log-normal distribution for concrete. The database represents a valuable resource for researchers and practitioners for the assessment of existing bridges. It may be applied for the use of prior knowledge within a framework where Bayesian methods are included for reducing uncertainties. The database provides essential information on the strengths of the materials to be used for a simulated design and/or for verification in the case of limited knowledge. Goodness-of-fit tests make the collected information very useful, even if probabilistic methods are applied. Full article

This paper presents the design, implementation, and experimental validation of a Condition Monitoring (CM) circuit for SiC-based Power Electronics Converters (PECs). The paper leverages in situ drain–source resistance (R_ds,on) measurements, interfaced with cloud connectivity for data processing and lifetime assessment, addressing key limitations in current state-of-the-art (SOTA) methods. Traditional approaches rely on expensive data acquisition systems under controlled laboratory conditions, making them unsuitable for real-world applications due to component variability, time delay, and noise sensitivity. Furthermore, these methods lack cloud interfacing for real-time data analysis and fail to provide comprehensive reliability metrics such as Remaining Useful Life (RUL). Additionally, the proposed CM method benefits from noise mitigation during switching transitions by utilizing delay circuits to ensure stable and accurate data capture. Moreover, collected data are transmitted to the cloud for long-term health assessment and damage evaluation. In this paper, experimental validation follows a structured design involving signal acquisition, filtering, cloud transmission, and temperature and thermal degradation tracking. Experimental testing has been conducted at different temperatures and operating conditions, considering coolant temperature variations (40 °C to 80 °C), and an output power of 7 kW. Results have demonstrated a clear correlation between temperature rise and R_ds,on variations, validating the ability of the proposed method to predict device degradation. Finally, by leveraging cloud computing, this work provides a practical solution for real-world Wide Band Gap (WBG)-based PEC reliability and lifetime assessment. Full article

Rural roads are critical for connecting isolated communities to essential services such as education and health and administrative services, as well as production and market opportunities in low-income countries. More than 70% of movements of people and goods in Sub-Saharan Africa are heavily reliant on rural transport systems, using both motorised but mainly alternative means of transport. However, rural roads often suffer from poor construction due to the use of low-strength, in situ soils and limited financial resources, leading to premature failures and subsequent traffic disruptions with significant economic losses. This study investigates the use of rice husk ash (RHA), a waste byproduct from rice production, as a sustainable supplement to Ordinary Portland Cement (OPC) for soil stabilisation in order to increase durability and sustainability of rural roads, hence limit recurrent maintenance needs and associated transport costs and challenges. To conduct this study, soil samples collected from Mulungushi, Zambia, were treated with combinations of 6–10% OPC and 10–15% RHA by weight. Laboratory tests measured maximum dry density (MDD), optimum moisture content (OMC), and California Bearing Ratio (CBR) values; the main parameters assessed to ensure the quality of road construction soils. Results showed that while the MDD did not change significantly and varied between 1505 kg/m³ and 1519 kg/m³, the OMC increased hugely from 19.6% to as high as 26.2% after treatment with RHA. The CBR value improved significantly, with the 8% OPC + 10% RHA mixture achieving the highest resistance to deformation. These results suggest that RHA can enhance the durability and sustainability of rural roads and hence improve transport systems and subsequently improve socioeconomic factors in rural areas. Full article

Hydrogen sulfide (H₂S) can be produced from the metabolism of foods containing sulfur in the gastrointestinal tract (GIT). At low doses, H₂S regulates the gut microbial community and supports GIT health, but depending on dose, age, and individual health conditions, it may also contribute to inflammatory responses and gut barrier dysfunction. Controlling H₂S production in the GIT is important for maintaining a healthy gut microbiome. However, research on this subject is limited due to the gaseous nature of the chemical and the difficulty of accessing the GIT in situ. In the present ex vivo experiment, we used a single-dose sodium sulfide preparation (SSP) as a H₂S precursor to test the effect of H₂S on the human gut microbiome across different age groups, including breastfed infants, toddlers, adults, and older adults. Metagenomic sequencing and metabolite measurements revealed that the development of the gut microbial community and the production of short-chain fatty-acids (SCFAs) were age-dependent; that the infant and the older adult groups were more sensitive to SSP exposure; that exogeneous SSP suppressed SCFA production across all age groups, except for butyrate in the older adult group, suggesting that H₂S selectively favors specific gut microbial processes. Full article

Background: Patients diagnosed with melanoma are at increased risk of developing multiple primary melanomas (MPMs). Identifying clinical and genetic factors associated with MPM is critical for implementing personalized surveillance strategies. This study aims to describe the clinical, histopathological, and genetic characteristics of patients with MPM managed in a tertiary hospital and to contextualize findings within the current literature. Methods: We conducted a retrospective review of patients diagnosed with two or more primary melanomas between 2010 and 2023 at a tertiary dermatology unit. Demographic data, personal and family cancer history, phototype, melanoma characteristics, genetic testing, staging, treatments, and outcomes were collected. These data were compared with findings from the recent literature. Results: Thirteen patients (ten males, three females; median age: 59 years) were found to have a total of 33 melanomas. Most patients had Fitzpatrick phototype II and no immunosuppression. The number of melanomas per patient ranged from two to five. Synchronous lesions were observed in two patients. Common locations included the trunk and extremities. Histologically, 57% were in situ melanomas, and subsequent melanomas were generally thinner than the index lesion. Two patients showed progression to advanced disease. One patient was positive for MC1R mutation; the rest were negative or inconclusive. Additional phenotypic and environmental risk factors were extracted from patient records and are summarized as follows: Ten patients (76.9%) had Fitzpatrick skin phototype II, and three (23.1%) had phototype III. Chronic occupational sun exposure was reported in four patients (30.8%), while five (38.5%) recalled having suffered multiple sunburns during childhood or adolescence. Eight patients (61.5%) presented with a total nevus count exceeding 50, and five (38.5%) exhibited clinically atypical nevi. None of the patients reported use of tanning beds. Conclusions: Our findings are consistent with the existing literature indicating that patients with MPM often present with thinner subsequent melanomas and require long-term dermatologic follow-up. The inclusion of genetic testing and phenotypic risk factors enables stratified surveillance and supports the application of personalized medicine in melanoma management. Full article

In this study, we successfully synthesized olivine-type FePO₄ via an in situ oxidation method and further developed two composite cathode materials (o-FePO₄-1/GR-1 and o-FePO₄-1/GR-2) by incorporating graphene. The composites were characterized using scanning electron microscopy (SEM), X-ray diffraction (XRD), and X-ray Photoelectron Spectroscopy (XPS), revealing a three-dimensional porous layered structure with an enhanced surface area and strong interaction between FePO₄ nanoparticles and graphene layers. Electrochemical tests demonstrated that the composite electrodes exhibited significantly improved performance compared to pristine FePO₄, with discharge capacities of 147 mAh g⁻¹ at 1C and 163 mAh g⁻¹ at 0.1C for o-FePO₄-1/GR-2, approaching the level of LiFePO₄. The incorporation of graphene effectively enhanced the electrochemical reaction kinetics, highlighting the innovation of our method in developing high-performance cathode materials for lithium-ion batteries. Full article

The aim of this study was to improve the efficiency of in situ uranium leaching by developing a specialized methodology for selecting rational parameters for the chemical treatment of production wells. This approach was designed to enhance the filtration properties of ores and extend the uninterrupted operation period of wells, considering the clay content of the productive horizon, the geological characteristics of the ore-bearing layer, and the composition of precipitation-forming materials. The mineralogical characteristics of ore and precipitate samples formed during the in situ leaching of uranium under various mining and geological conditions at a uranium deposit in the Syrdarya depression were identified using an X-ray diffraction analysis. It was established that ores of the Santonian stage are relatively homogeneous and consist mainly of quartz. During well operation, the precipitates formed are predominantly gypsum, which has little impact on the filtration properties of the ore. Ores of the Maastrichtian stage are less homogeneous and mainly composed of quartz and smectite, with minor amounts of potassium feldspar and kaolinite. The leaching of these ores results in the formation of gypsum with quartz impurities, which gradually reduces the filtration properties of the ore. Ores of the Campanian stage are heterogeneous, consisting mainly of quartz with varying proportions of clay minerals and gypsum. The leaching of these ores generates a variety of precipitates that significantly reduce the filtration properties of the productive horizon. Effective compositions and concentrations of decolmatant (clog removal) solutions were selected under laboratory conditions using a specially developed methodology and a TESCAN MIRA scanning electron microscope. Based on a scanning electron microscope analysis of the samples, the effectiveness of a decolmatizing solution based on hydrochloric and hydrofluoric acids (taking into account the concentration of the acids in the solution) was established for the destruction of precipitate formation during the in situ leaching of uranium. Geological blocks were ranked by their clay content to select rational parameters of decolmatant solutions for the efficient enhancement of ore filtration properties and the prevention of precipitation formation. Pilot-scale testing of the selected decolmatant parameters under various mining and geological conditions allowed the optimal chemical treatment parameters to be determined based on the clay content and the composition of precipitates in the productive horizon. An analysis of pilot well trials using the new approach showed an increase in the uninterrupted operational period of wells by 30%–40% under average mineral acid concentrations and by 25%–45% under maximum concentrations with surfactant additives in complex geological settings. As a result, an effective methodology for ranking geological blocks based on their ore clay content and precipitate composition was developed to determine the rational parameters of decolmatant solutions, enabling a maximized filtration performance and an extended well service life. This makes it possible to reduce the operating costs of extraction, control the geotechnological parameters of uranium well mining, and improve the efficiency of the in situ leaching of uranium under complex mining and geological conditions. Additionally, the approach increases the environmental and operational safety during uranium ore leaching intensification. Full article

Background: Population persistence for organisms to survive in a world with a rapidly changing climate will require either dispersal to suitable areas, evolutionary adaptation to altered conditions and/or sufficient phenotypic plasticity to withstand it. Given the slow growth and geographically isolated populations of many tree species, there is a high likelihood of local adaption or the acclimation of functional traits in these populations across the UK. Objectives: Given the slow growth and often isolated populations of Tilia cordata (lime tree), we hypothesised that there is a high likelihood of local adaptation or the acclimation of metabolic traits in these populations across the UK. Our aim was to test if the functional metabolomic traits of Tilia cordata (lime tree), collected in situ from natural populations, varied within and between populations and to compare this to neutral allele variation in the population. Methods: We used a metabolic fingerprinting approach to obtain a snapshot of the metabolic status of leaves collected from T. cordata from six populations across the UK. Environmental metadata, longer-term functional traits (specific leaf area) and neutral allelic variation in the population were also measured to assess the plastic capacity and local adaptation of the species. Results: The metabolic fingerprints derived from leaf material collected and fixed in situ from individuals in six populations of T. cordata across its UK range were similar, despite contrasting environmental conditions during sampling. Neutral allele frequencies showed almost no significant group structure, indicating low differentiation between populations. The specific leaf area did vary between sites. Conclusions: The low metabolic variation between UK populations of T. cordata despite contrasting environmental conditions during sampling indicates high levels of phenotypic plasticity. Full article

Ice accretion from marine icing events accumulating on structures poses a significant hazard to ship and offshore operations in cold regions, being relevant for offshore activities like oil explorations, offshore wind, and shipping in arctic regions. The adhesion strength of such ice is a critical factor in predicting the build-up of ice loads on structures. While the adhesion strength of freshwater ice has been extensively studied, knowledge about sea spray ice adhesion remains limited. This study intends to bridge this gap by investigating the adhesion strength of sea spray icing under controlled laboratory conditions. In this study, we built a new in situ ice adhesion test setup and grew ice at −7 °C to −15 °C on quadratic aluminium samples of 3 cm to 12 cm edge length. The results reveal that sea spray ice adhesion strength is in a significantly lower range—5 kPa to 100 kPa—compared to fresh water ice adhesion and shows a low dependency on the temperature during the spray event, but a notable size effect and influence of the brine layer thickness on the adhesion strength. These findings provide critical insights into sea spray icing, enhancing the ability to predict and manage ice loads in marine environments. Full article

Purpose: This study aimed to develop a predictive nomogram integrating AI-based BI-RADS lexicons and lesion-to-nipple distance (LND) ultrasound features to differentiate mass-type ductal carcinoma in situ (DCIS) from invasive ductal carcinoma (IDC) visible on ultrasound. Methods: The final study cohort consisted of 170 women with 175 pathologically confirmed malignant breast lesions, including 26 cases of DCIS and 149 cases of IDC. LND and AI-based features from the S-Detect system (BI-RADS lexicons) were analyzed. Rare features were consolidated into broader categories to enhance model stability. Data were split into training (70%) and validation (30%) sets. Logistic regression identified key predictors for an LND nomogram. Model performance was evaluated using receiver operating characteristic (ROC) curves, 1000 bootstrap resamples, and calibration curves to assess discrimination and calibration. Results: Multivariate logistic regression identified smaller lesion size, irregular shape, LND ≤ 3 cm, and non-hypoechoic echogenicity as independent predictors of DCIS. These variables were integrated into the LND nomogram, which demonstrated strong discriminative performance (AUC = 0.851 training; AUC = 0.842 validation). Calibration was excellent, with non-significant Hosmer-Lemeshow tests (p = 0.127 training, p = 0.972 validation) and low mean absolute errors (MAE = 0.016 and 0.034, respectively), supporting the model’s accuracy and reliability. Conclusions: The AI-based comprehensive nomogram demonstrates strong reliability in distinguishing mass-type DCIS from IDC, offering a practical tool to enhance non-invasive breast cancer diagnosis and inform preoperative planning. Full article

Infrared thermography is a common approach used in building inspection for identifying building envelope thermal anomalies that cause energy loss and occupant thermal discomfort. Detecting these anomalies is essential to improve the thermal performance of energy-inefficient buildings through energy retrofit design and correspondingly reduce operational energy costs and environmental impacts. A thermal bridge is an unwanted conductive heat transfer. On the other hand, an infiltration/exfiltration anomaly is an uncontrollable convective heat transfer, typically happening around windows and doors, but it can also be due to a defect that comprises a building envelope’s integrity. While the existing literature underscores the significance of automatic thermal anomaly identification and offers insights into automated methodologies, there is a notable gap in addressing an automated workflow that leverages building envelope component segmentation for enhanced detection accuracy. Consequently, an automatic thermal anomaly identification workflow from visible and thermal images was developed to test it, utilizing segmented building envelope information compared to a workflow without any semantic segmentation. Therefore, building envelope images (e.g., walls and windows) were segmented based on a U-Net architecture compared to a more conventional semantic segmentation approach. The results were discussed to better understand the importance of the availability of training data and for scaling the workflow. Then, thermal anomaly thresholds for different target domains were detected using probability distributions. Finally, thermal anomaly masks of those domains were computed. This study conducted a comprehensive examination of a campus building in Syracuse, New York, utilizing a drone-based data collection approach. The case study successfully detected diverse thermal anomalies associated with various envelope components. The proposed approach offers the potential for immediate and accurate in situ thermal anomaly detection in building inspections. Full article

Since the end of the Civil War, Cambodia has pursued economic development to enhance livelihoods, particularly in rural areas, where land is a critical resource. Previous studies have indicated that the country has changed land use and land cover. However, they have not explained how these changes can improve the livelihoods of local communities, thereby mitigating their negative impacts through an asset-based approach. Battambang Province, in the northwestern region, was the battleground until political integration in 1996. Since then, the province has been home to immigrants exploring the lands for livelihood. Thus, this study aims to examine agricultural livelihoods in the villages of Dei Kraham and Ou Toek Thla, located west of Battambang Town. These were selected because of their common characteristics. Adopting a quantitative approach and a sustainable livelihood framework, this study employed stratified random sampling to select 123 families for interviews across three population subgroups: old settlers, new settlers, and young settlers. In situ information was collected using structured questionnaires and analyzed using Kruskal–Wallis tests to assess the livelihood assets underlying the physical, natural, human, financial, and social capital. The statistical analysis results reveal no significant differences (p-value = 0.079) in livelihood assets between the strata at the village level. Meanwhile, significant differences were observed in physical, human, and financial capital between old and young settlers when examining the subgroups (p-value 0.000). The extent of the land resources held by old settlers was associated with household income and livelihoods related to agriculture. Based on livelihood asset scores, nearly half of the new settlers (0.49–0.5) and a quarter of the young settlers (0.47) are vulnerable groups requiring support. The youth will soon face an uncertain future if they do not prioritize education. Full article

Jute, a vital lignocellulosic fiber crop with substantial industrial and ecological relevance, continues to suffer considerable yield and quality degradation due to pervasive foliar pathologies. Traditional diagnostic modalities reliant on manual field inspections are inherently constrained by subjectivity, diagnostic latency, and inadequate scalability across geographically distributed agrarian systems. To transcend these limitations, we propose DERIENet, a robust and scalable classification approach within a deep ensemble learning framework. It is meticulously engineered by integrating three high-performing convolutional neural networks—ResNet50, InceptionV3, and EfficientNetB0—along with regularization, batch normalization, and dropout strategies, to accurately classify jute leaf diseases such as Cercospora Leaf Spot, Golden Mosaic Virus, and healthy leaves. A key methodological contribution is the design of a novel augmentation pipeline, termed Geometric Localized Occlusion and Adaptive Rescaling (GLOAR), which dynamically modulates photometric and geometric distortions based on image entropy and luminance to synthetically upscale a limited dataset (920 images) into a significantly enriched and diverse dataset of 7800 samples, thereby mitigating overfitting and enhancing domain generalizability. Empirical evaluation, utilizing a comprehensive set of performance metrics—accuracy, precision, recall, F1-score, confusion matrices, and ROC curves—demonstrates that DERIENet achieves a state-of-the-art classification accuracy of 99.89%, with macro-averaged and weighted average precision, recall, and F1-score uniformly at 99.89%, and an AUC of 1.0 across all disease categories. The reliability of the model is validated by the confusion matrix, which shows that 899 out of 900 test images were correctly identified and that there was only one misclassification. Comparative evaluations of the various ensemble baselines, such as DenseNet201, MobileNetV2, and VGG16, and individual base learners demonstrate that DERIENet performs noticeably superior to all baseline models. It provides a highly interpretable, deployment-ready, and computationally efficient architecture that is ideal for integrating into edge or mobile platforms to facilitate in situ, real-time disease diagnostics in precision agriculture. Full article

Of breast cancers, the triple-negative subtype (TNBC) is characterized by aggressive behavior, poor prognosis and limited treatment options due to its high molecular heterogeneity. Since insufficient programmed cell death response is a major hallmark of cancer, here we searched for apoptosis-related biomarkers of prognostic potential in TNBC. The expression of the pro-apoptotic caspase 8, cytochrome c, caspase 3, the anti-apoptotic BCL2 and the caspase-independent mediator, apoptosis-inducing factor-1 (AIF1; gene AIFM1) was tested in TNBC both in silico at transcript and protein level using KM-Plotter, and in situ in our clinical TNBC cohort of 103 cases using immunohistochemistry. Expression data were correlated with overall survival (OS), recurrence-free survival (RFS) and distant metastasis-free survival (DMFS). We found that elevated expression of the executioner apoptotic factors AIF1 and caspase 3, and of BCL2, grants significant OS advantage within TNBC, both at the mRNA and protein level, particularly for chemotherapy-treated vs untreated patients. The dominantly cytoplasmic localization of AIF1 and cleaved-caspase 3 proteins in primary TNBC suggests that chemotherapy may recruit them from the cytoplasmic/mitochondrial stocks to contribute to improved patient survival in proportion to their expression. Our results suggest that testing for the expression of AIF1, caspase 3 and BCL2 may identify partly overlapping TNBC subgroups with favorable prognosis, warranting further research into the potential relevance of apoptosis-targeting treatment strategies. Full article