Search Results (26)

While open-set recognition algorithms have been extensively explored in computer vision, their application to environmental sound analysis remains understudied. To address this gap, this study investigates how to effectively recognize unknown sound categories in real-world environments by proposing a novel Kernel Density Estimation-based Generative Adversarial Network (KDE-GAN) for data augmentation combined with Attractor–Reciprocal Point Learning for open-set classification. Specifically, our approach addresses three key challenges: (1) How to generate boundary-aware synthetic samples for robust open-set training: A closed-set classifier’s pre-logit layer outputs are fed into the KDE-GAN, which synthesizes samples mapped to the logit layer using the classifier’s original weights. Kernel Density Estimation then enforces Density Loss and Offset Loss to ensure these samples align with class boundaries. (2) How to optimize feature space organization: The closed-set classifier is constrained by an Attractor–Reciprocal Point joint loss, maintaining intra-class compactness while pushing unknown samples toward low-density regions. (3) How to evaluate performance in highly open scenarios: We validate the method using UrbanSound8K, AudioEventDataset, and TUT Acoustic Scenes 2017 as closed sets, with ESC-50 categories as open-set samples, achieving AUROC/OSCR scores of 0.9251/0.8743, 0.7921/0.7135, and 0.8209/0.6262, respectively. The findings demonstrate the potential of this framework to enhance environmental sound monitoring systems, particularly in applications requiring adaptability to unseen acoustic events (e.g., urban noise surveillance or wildlife monitoring). Full article

Pore structure plays a critical role in evaluating shale “sweet spots”. Compared to marine shale, lacustrine shale has more diverse lithofacies types and greater heterogeneity in pore structure due to frequently changing environmental conditions. Using methods such as mercury intrusion porosimetry (MIP), field emission scanning electron microscopy (FE-SEM), nuclear magnetic resonance (NMR), and X-ray diffraction (XRD), this study investigates the micropore structures and heterogeneity of different lithofacies in the Jurassic Dongyuemiao Member lacustrine shale. Image processing and multifractal theory were employed to identify the controlling factors of pore structure heterogeneity. The key findings are as follows. (1) Based on mineral content and laminae types, the lithofacies types of Dongyuemiao lacustrine shale are classified into four types: shell–laminae mixed shale (SLMS), silty–laminae clay shale (SLCS), clast–laminae clay shale (CLCS), and clay shale (CS). (2) Based on genesis, shale reservoirs’ pore and permeability space are categorized into inorganic pores, organic pores, and micro-fractures. Inorganic pores consist of inter-particle pores and intra-particle pores. Pore size distribution curves for all four lithofacies exhibit two main peaks, with pore sizes concentrated in the ranges of 2–10 nm and 50–80 nm. Mesopores and macropores dominate, accounting for over 80% of the total pore volume. Mesopores are most developed in CLCS, representing 56.3%. (3) Quartz content is positively correlated with the multifractal dimension, while clay content shows a negative correlation. Higher quartz content, coupled with lower clay content, weakens pore structure heterogeneity. A negative correlation exists between total organic carbon (TOC) and the multifractal dimension, indicating that higher organic matter content enhances organic pore development and increases microscopic heterogeneity. (4) Porosity heterogeneity in SLMS is effectively characterized by D₀-D_max, while in the other three lithofacies, it is characterized by D_min-D₀. Permeability across all lithofacies correlates with D₀-D_max. In CS, SLMS, and SLCS, permeability is positively correlated with D₀-D_max, with higher values indicating greater permeability heterogeneity. In CLCS, permeability is negatively correlated with D₀-D_max, such that lower values reflect stronger heterogeneity. Full article

Omphalocele is a rare congenital abdominal wall defect, occurring in approximately 3.38 per 10,000 pregnancies. It is characterized by the herniation of abdominal organs through the base of the umbilical cord, enclosed by a peritoneal sac. While omphalocele can occur as an isolated anomaly, it is more commonly associated with congenital syndromes and structural abnormalities. Among its most significant complications, pulmonary hypoplasia (PH) and pulmonary hypertension (PPH) have been shown to negatively impact neonatal prognosis. These conditions result from impaired pulmonary vascular development, leading to respiratory distress and hypoxemia. Unlike many congenital disorders, there is no universally accepted surgical approach for omphalocele repair. The choice of surgical strategy depends on multiple factors, including the size of the abdominal wall defect, presence of herniated solid organs, associated anomalies, and severity of pulmonary complications. Notably, giant omphaloceles are frequently linked to lung hypoplasia, as reduced intra-abdominal space restricts fetal lung expansion, leading to structural lung abnormalities and increased pulmonary vascular resistance. These factors contribute to a higher risk of respiratory morbidity and mortality in affected neonates. This literature review examines the prevalence, significance, and clinical implications of the association between omphalocele and pulmonary abnormalities. Through a systematic analysis of published studies, we evaluated 157 full-text articles along with available titles and abstracts. Our findings indicate that infants with omphalocele often exhibit respiratory complications detectable prenatally and at birth. Severe respiratory insufficiency, particularly due to pulmonary hypoplasia and pulmonary hypertension, significantly increases neonatal morbidity and mortality. While surgical correction may initially exacerbate respiratory challenges, most patients demonstrate short-term recovery with appropriate multidisciplinary management. This review highlights the importance of early diagnosis, comprehensive prenatal assessment, and tailored postnatal management to improve outcomes in newborns with omphalocele and associated pulmonary complications. Further research is needed to establish standardized treatment protocols and optimize long-term respiratory outcomes in these patients. Full article

For over a century, the somatic gene mutation theory of cancer has been a scientific orthodoxy. The recent failures of causal explanations using this theory and the lack of significant progress in addressing the cancer problem medically have led to a new competition of ideas about just what cancer is. This essay presents an alternative view of cancer as a developmental process gone wrong. More specifically, cancer is a breakdown in the autopoietic process of organ maintenance and the multicellular coordination of tissues. Breast cancer is viewed through a systems science perspective as an example of the importance of framing one’s theoretical assumptions before making empirical judgments. Finally, a new understanding of the histoarchitecture of the interstitium is presented as a first principle of cancer: a process of cells coming from cells, invading the space between cells. Full article

The objective of this article is to analyze the social and symbolic resources that intra-prison Pentecostalism provides to converted inmates for their intra- and then extra-prison community reintegration. To conduct this analysis, we present two sections. Firstly, we present a characterization of two prison spaces between 1950 and 1970: the Public Prison and the Santiago Penitentiary, both located in the city of Santiago de Chile. In them, Pentecostal communities developed and adjusted to the prison contexts with different proposals. Secondly, we see religious work as an organizer of meaning based on the three most important religious rituals of prison spaces: the invocation ritual, which is prayer as sacred work; music, which is sung work; and preaching, which is the work that makes the community grow. The theoretical framework we employ is that of structuralism, to adapt to the era explored in this article, complemented by the phenomenological proposal of René Girard. Methodologically, this study is a qualitative vision focused on the autobiography of a religious leader, to which two autobiographical novels of the time are added, in addition to institutional magazines (Pentecostal) and a magazine of journalistic reportage, to contextualize the information provided by the autobiography. Full article

Introduction: Intra-abdominal cystic formations represent heterogeneous pathologies with varied localization and clinical manifestation. The first challenge of a giant intra-abdominal cystic lesion is identifying the organ of origin. The clinical presentation of intra-abdominal cystic lesions varies from acute manifestations to non-specific symptoms or accidental discovery. Case presentation: A 2-year-old girl presents to the emergency unit with a fever of 38.5 Celsius, loss of appetite, and apathy. The investigations showed a gigantic intra-abdominal mass whose organ belonging could not be specified. Postoperatively, a giant mesenteric lymphangioma was evident, which was completely excised. Discussion: Giant cystic formations modify the anatomical reports and become space-replacing formations, and the starting point is even more challenging to assess preoperatively. Nevertheless, the careful evaluation of the characteristics of the formation, the effect on the adjacent organs, the age of the patient, and the clinical picture can provide elements of differential diagnosis. The stated purpose of this work is to systematize intra-abdominal lesions according to the organ of origin and to make the preoperative diagnosis of an intra-abdominal cystic lesion in the pediatric patient easy to perform starting from the presented case. Full article

The quantitative evolution pattern of pore space and genetic pore types along the maturation process in organic-rich shale reservoirs is unclear, which affects the assessment of shale storage capacity and petroleum production. A black shale outcrop sample from Kansas that is of Permian–Pennsylvanian age was collected and subjected to thermal simulation experiments at 10 different maturity stages to understand the pore sizes and pore types. Scanning electron microscopy (SEM) and image processing were used to characterize the full-scale pore-size distribution and volume evolution of this shale sample by combining low-temperature gas (CO₂ and N₂) physisorption and mercury intrusion porosimetry (MIP) in order to discuss the effects of hydrocarbon generation and diagenesis (HG&D) on pore development at different pore sizes. The study showed that the original shale sample is dominated by slit-like pores, with mainly organic matter (OM) pores distributed in 0–100 nm, intraparticle pores (Intra-P) of clays distributed in 30–100 nm, and interparticle pores (Inter-P) distributed in 100–1000 nm. With the increase in maturity or Ro, the OM pores increased gradually, and the OM pore-size distribution diverged to the two poles. In the oil generation stage, the OM pores were distributed in the range of 30–100 nm, while in the gas generation stage, the OM-hosted pores were mainly distributed in the range of 10–20 nm and 100–500 nm. Further into the over-maturity stage, the OM pores were mainly distributed in the range of 0–10 nm and >100 nm. The pore volume distribution across the whole pore sizes showed that the pore volume of low-maturity shale samples was mainly provided by 100–1000 nm (macropores), and the pore volumes of 0–2 nm, 30–100 nm and 1000+ nm pores gradually increase with increasing thermal maturity, with the final pore-size distribution having four peaks at 0–2, 30–100, 500–1000 nm, and 10–100 µm. Hydrocarbon generation mainly affects the pore volume in the 0–2 nm and 100–1000 nm intervals, with a positive correlation. The 2–30 nm and 30–100 nm pores were likely controlled by diagenesis, such as mineral transformation, illitization, and cementation during the maturation process. Full article

Background: Radical cystectomy is a complex procedure imposing significant post-operation complications. Objective: Explore the impact of peri-operative pRBC transfusion on mortality and overall morbidity in a matched cohort. Methods: The American College of Surgeons—National Surgical Quality Improvement Program’s (ACS-NSQIP) dataset was used to select patients who underwent RC in 2008–2019. Patients who witnessed pre-operative transfusion and emergency cases were excluded. Peri-operative pRBC transfusion was defined as an intra-operative or up to 24-h post-operative pRBC transfusion. We matched patients who underwent peri-operative pRBC transfusion to patients who did not receive transfusion. Length of stay, mortality, and overall morbidity were compared between the two matched cohorts. Results: The match cohort was matched on all pre-operative demographics and medical history variables and yielded 3578 matched patients. Patients who underwent peri-operative pRBC transfusion had a longer length of hospital stay (9.3 days) as compared to patients who did not undergo transfusion (8.13 days) (p < 0.001). Furthermore, patients who underwent transfusion also had higher odds of mortality (OR = 1.934) and overall morbidity (OR = 1.443) (p < 0.03). Specifically, patients who underwent transfusion had higher odds of organ space SSI, pneumonia, unplanned intubation, pulmonary embolism, failure to wean off of ventilator, renal insufficiency, urinary tract infections, stroke, myocardial infarction, cardiac arrest requiring CPR, deep vein thrombosis, and septic shock (p < 0.047). Conclusion: Peri-operative pRBC transfusion in RC was associated with longer hospital stays, significant morbidity, and mortality. For this reason, pre-operative patient optimization and possible alternatives to common pRBC practices should be considered in RC to circumvent complications. Full article

(1) Background: Surgical site infections (SSIs) are a relevant problem with a 25% incidence rate after elective laparotomy due to inflammatory bowel disease (IBD). The aim of this study was to evaluate whether stricter hygienic measures during the COVID-19 pandemic influenced the rate of SSI. (2) Methods: This is a monocentric, retrospective cohort study comparing the rate of SSI in patients with bowel resection due to IBD during COVID-19 (1 March 2020–15 December 2021) to a cohort pre-COVID-19 (1 February 2015–25 May 2018). (3) Results: The rate of SSI in IBD patients with bowel resection was 25.8% during the COVID-19 pandemic compared to 31.8% pre-COVID-19 (OR 0.94; 95% CI 0.40–2.20; p = 0.881). There were seventeen (17.5%) superficial and four (4.1%) deep incisional and organ/space SSIs, respectively, during the COVID-19 pandemic (p = 0.216). There were more postoperative intra-abdominal abscesses during COVID-19 (7.2% vs. 0.9%; p = 0.021). The strictness of hygienic measures (mild, medium, strict) had no influence on the rate of SSI (p = 0.553). (4) Conclusions: Hygienic regulations in hospitals during COVID-19 did not significantly reduce the rate of SSI in patients with bowel resection due to IBD. A ban on surgery, whereby only emergency surgery was allowed, was likely to delay surgery and exacerbate the disease, which probably contributed to more SSIs and postoperative complications. Full article

Shale oil and gas are currently the major fields of unconventional hydrocarbon exploration and development. The Fengcheng Formation (FF) shale in the Mahu Sag of the Junggar Basin is an alkaline lacustrine organic-rich shale with an extremely prospective shale oil potential. However, its strong heterogeneity and complex pore structure greatly influence the development of shale oil. It is significant to investigate the pore and geochemical characteristics of shale reservoirs for shale oil extraction. In this study, the pore structure and geochemical characteristics of FF have been investigated using core analysis, Rock-Eval pyrolysis, X-ray diffraction (XRD), field-emission scanning electron microscopy (FE-SEM), mercury injection capillary pressure (MICP), low-temperature gas adsorption (LTGA), and X-ray computed tomography (X-ray CT). The results show that the shale of FF has moderate organic matter abundance, and the kerogen is mainly of Type II, which is now at the peak of oil generation. Shale minerals are mainly composed of carbonate (dolomite and calcite) and siliceous (quartz and feldspar) minerals, with extremely low clay mineral content. The pore types are mainly intergranular pores (inter-P), intragranular pores (intra-P), and microfractures associated with mineral particles. The pore space is contributed predominantly by micropores of 0.5–1.2 nm and mesopores of 10–50 nm, whereas macropores are underdeveloped. The pores are mostly ink bottle- and slit-shaped, and the pore connectivity is relatively poor. The pore development of shale in the FF is influenced by organic matter abundance, thermal maturity, mineral composition, etc. Organic matter content (TOC), thermal maturity (Ro), and carbonate minerals have a positive effect on pore development, and the pore volume (PV) increases with TOC, Ro, and carbonate minerals. While clay minerals show a negative effect, the PV decreases with clay minerals. Additionally, the influence of the clay mineral content on the pore morphology of shale should not be ignored. This study investigates the pore structure and geochemical characteristics of the alkaline lacustrine shale of FF in Mahu Sag, which is significant to deepen the understanding of alkaline lacustrine shale and to improve the production of shale oil. Full article

This paper reports an easy route to immobilize the antiseptic drug miramistin (MR) molecules between the sheets of molybdenum disulfide, known for excellent photothermal properties. Two hybrid layered compounds (LCs) with regularly alternating monolayers of MR and MoS₂, differing in thickness of organic layer are prepared and studied by powder X-ray diffraction (PXRD), X-ray photoelectron spectroscopy (XPS), density functional theory (DFT) calculations and quantum theory of atoms in molecules (QTAIM) topological analysis. The obtained structural models elucidate the noncovalent interaction network of MR molecules confined in the two-dimensional spacing surrounded by sulfide sheets. It emerged that the characteristic folded geometry of MR molecule previously evidenced for pure miramistin is preserved in the hybrid structures. Quantification of the energetics of bonding interactions unveils that the most important contribution to structure stabilization of both compounds is provided by the weak but numerous CH…S bonding contacts. They are accompanied by the intra- and inter-molecular interactions within the MR layers, with dominating bonding effect of intermolecular hydrophobic interaction. The results obtained in the models provide a comprehensive understanding of the driving forces controlling the assembly of MR and MoS₂ and may lead towards the development of novel promising MoS₂-based photothermal therapeutic agents. Full article

Background: Placenta accreta spectrum (PAS) disorders are associated with high mortality and morbidity due to postpartum hemorrhage, hysterectomy, and organ injury, and a multidisciplinary team is required for an individualized case management. In this study, we assessed the diagnostic and prognostic accuracy of the most important ultrasonographic (US) and magnetic resonance imagining (MRI) markers for PAS disorders. Material and Methods: The study included 39 adult pregnant patients with at least one previous cesarean delivery and both US and MRI investigations for placenta previa evaluated at the tertiary maternity hospital ‘Cuza Voda’, Iasi, between 2019 and 2021. The following US signs were evaluated: intra-placental lacunae, loss of the retroplacental hypoechoic zone, myometrial thinning < 1 mm, bladder wall interruption, placental bulging, bridging vessels, and the hypervascularity of the uterovesical or retroplacental space. The MRI signs that were evaluated were intra-placental dark T2 bands, placental bulging, loss of the retroplacental hypointense line on T2 images, myometrial thinning, bladder wall interruption, focal exophytic placental mass, and abnormal vascularization of the placental bed. Results: The US and MRI signs analyzed in our study presented adequate sensitivities and specificities for PAS, but no sign proved to be a useful predictor by itself. The presence of three or more US markers for accretion was associated with a sensitivity of 84.6.6% and a specificity of 92.3% (p < 0.001). The presence of three or more MRI signs supplemented these results and were associated with a sensitivity of 92.3% and a specificity of 61.5% for predicting PAS (p < 0.001). Moreover, US and MRI findings were correlated with FIGO grading and severity of PAS. Conclusions: Even though no US or MRI finding alone can predict PAS with high sensitivity and specificity, our study proves that the presence of three or more imagistic signs could significantly increase the diagnostic accuracy of this condition. Furthermore, US and MRI could be useful tools for evaluating prognostic and perinatal planning. Full article

Organizational routines have been investigated by scholars from two opposite perspectives: the first is rooted in the evolutionary economics of Nelson and Winter; the second relies on the reconceptualization of routines proposed by Feldman and Pentland. The main reason that has kept the perspectives separated concerns the issue of routine replication, which found space in the former while it remained in the shadows in the latter. Studies that have dealt with this issue offer many clues on the one or other form that replication can take. What is lacking is a routine-based theory of routine replication capable of comparing their different forms. The paper pursues this goal in two stages. First, routines are reconceptualized as repetitive, recognizable patterns of interdependent actions, connected with the external environment, guided by specific knowledge and involving multiple, interacting actors and artifacts. Then, this reconceptualization leads to a discussion of the issue of routine replication and its forms. This way of conceiving routines leads to developing an original and unitary theoretical framework covering the different forms of routine replication. What lends intra-organizational replication a greater replicability than inter-organizational replication is the presence of a template and of actors specialized in planning the replication process. In its serial and routinized form, intra-organizational replication can potentially reach the highest level of replicability. The same results can be achieved by the routine replication that underlies franchise systems. In the two forms of inter-organizational replication—spin-offs and employee mobility—the template is replaced by a weaker knowledge repository consisting of the memory of individuals who leave one organization and try to replicate its routines at another. The disadvantage deriving from the lack of a template can be contained when specific factors are present that facilitate the work of replication actors. Full article

Patients with severe acute pancreatitis (SAP) present complications and organ failure, which require treatment in critical care units. These extrapancreatic complications determine the clinical outcome of the disease. Intra-abdominal hypertension (IAH) deteriorates the prognosis of SAP. In this paper, relevant recent literature was reviewed, as well as the authors’ own experiences, concerning the clinical importance of IAH and its treatment in SAP. The principal observations confirmed that IAH is a frequent consequence of SAP but is practically absent in mild disease. Common manifestations of AP such as pain, abdominal distension, and paralytic ileus contribute to increased abdominal pressure, as well as fluid loss in third space and aggressive fluid replacement therapy. A severe increase in IAP can evolve to abdominal compartment syndrome and new onset organ failure. Conservative measures are useful, but invasive interventions are necessary in several cases. Percutaneous drainage of major collections is preferred when possible, but open decompressive laparotomy is the final possibility in some cases in order to definitively reduce abdominal pressure. Intra-abdominal pressure should be measured in all SAP cases that worsen despite adequate treatment in critical care units. Conservative measures must be introduced to treat IAH, including negative fluid balance, digestive decompression by gastric–rectal tube, and prokinetics, including neostigmine. In the case of insufficient responses to these measures, minimally invasive interventions should be preferred. Full article

New antenna ligand, 2-(phenylethynyl)-1,10-phenanthroline (PEP), and its luminescent Eu (III) complexes, Eu(PEP)₂Cl₃ and Eu(PEP)₂(NO₃)₃, are synthesized and characterized. The synthetic procedure applied is based on reacting of europium salts with ligand in hot acetonitrile solutions in molar ratio 1 to 2. The structure of the complexes is refined by X-ray diffraction based on the single crystals obtained. The compounds [Eu(PEP)₂Cl₃]·2CH₃CN and [Eu(PEP)₂(NO₃)₃]∙2CH₃CN crystalize in monoclinic space group P2_1/n and P2_1/c, respectively, with two acetonitrile solvent molecules. Intra- and inter-ligand π-π stacking interactions are present in solid stat and are realized between the phenanthroline moieties, as well as between the substituents and the phenanthroline units. The optical properties of the complexes are investigated in solid state, acetonitrile and dichloromethane solution. Both compounds exhibit bright red luminescence caused by the organic ligand acting as antenna for sensitization of Eu (III) emission. The newly designed complexes differ in counter ions in the inner coordination sphere, which allows exploring their influence on the stability, molecular and supramolecular structure, fluorescent properties and symmetry of the Eu (III) ion. In addition, molecular simulations are performed in order to explain the observed experimental behavior of the complexes. The discovered structure-properties relationships give insight on the role of the counter ions in the molecular design of new Eu (III) based luminescent materials. Full article