Search Results (7,805)

Caffeine is widely consumed and generally considered safe at customary doses. How-ever, high-dose preparations available online pose a risk of severe and potentially fatal intoxication. Although uncommon, lethal caffeine poisoning is associated with profound cardiovascular and neurological toxicity. A rare case of intentional acute caffeine intoxication with fatal outcome is presented. A 25-year-old woman ingested an estimated 60 tablets containing 200 mg of caffeine each, purchased online. She was admitted to hospital shortly after ingestion of the caffeine tablets with palpitations, agitation, dizziness, and repeated vomiting. On examination, she presented with arterial hypotension (90/60 mmHg) and marked sinus tachycardia (150 beats/min), accompanied by psychomotor agitation. Her blood caffeine concentration measured by means of high-performance liquid chromatography (HPLC) was 177 µg/mL. The patient’s condition rapidly deteriorated, with the development of convulsive syndrome progressing to coma, extreme ventricular tachycardia, exotoxic shock, and toxic cardiomyopathy. Despite intensive care management, including mechanical ventilation and advanced cardiopulmonary resuscitation, the patient died several hours after admission. In conclusion, this case underscores the life-threatening potential of acute high-dose caffeine ingestion and highlights the risk associated with unrestricted access to concentrated caffeine products. Early recognition and aggressive management are crucial, yet may be insufficient in cases of massive overdose. Full article

Precision greenhouse agriculture enhances plant health and crop yields by continuously monitoring key plant parameters. Stem diameter is such a parameter and is monitored to support decisions on plant care. However, traditional contact-based methods induce thigmomorphogenic effects that impact plant growth. Here, we introduce the Optical Caliper (OC), a novel contactless device for precise, non-invasive stem diameter measurement. The OC operates by projecting a collimated light beam to cast a shadow of the stem onto a high-resolution image sensor. The shadow size is a measure for the stem diameter. Controlled laboratory tests show the OC offers an accuracy comparable to that of a Digital Caliper (DC). Field trials on irregular tomato and cucumber stems demonstrate a repeatability of 0.1–0.2 mm. The OC’s non-invasive design and high repeatability exceed the performance of a DC, making it particularly suited for accurately monitoring soft, variable plant structures. Bringing the advantage of avoiding thigmomophogenic effects and thus optimizing crop yield, the OC is a promising tool for high-throughput plant phenotyping and precision agriculture applications. Full article

The aim of this study was to examine temporal changes in eccentric hamstring strength, impulse-based mechanical outputs, and interlimb asymmetry in professional football players performing a football-specific eccentric hamstring training program. Forty male football players (18–25 years) from two teams competing in the Turkish Second Professional Football League participated in this longitudinal cohort study. Eccentric hamstring performance was assessed at three time points (pre-, mid-, and post-season) using the NordBord Hamstring Testing System. Mixed-design repeated-measures ANOVA revealed significant main effects of time and significant time × Team interactions for left and right maximal impulse values (p < 0.05). In contrast, maximal eccentric force variables showed no significant time effects, although significant time × Team interactions were observed for both limbs (p < 0.05). Interlimb maximal force asymmetry and mean asymmetry demonstrated significant time effects, while Team effects and interaction terms were not significant. Overall, these findings indicate that temporal changes in eccentric hamstring performance in professional football players may be more clearly reflected in force–time–dependent metrics, particularly impulse, rather than peak force outputs. Accordingly, impulse-based measures may provide additional insight into eccentric hamstring performance changes in professional football players. Full article

Assistive mobility devices for small animals require reliable monitoring to ensure safe and comfortable operation without increasing system complexity or invasiveness. This study presents a low-cost monitoring platform that integrates a laser-induced graphene (LIG) contact-temperature sensor into a passive mobility device for small dogs, supported by a lightweight Internet of Things (IoT) architecture. The system combines contact temperature, ambient temperature, speed, and obstacle distance using an energy-aware acquisition strategy and prioritized wireless transmission for near-real-time monitoring. An unsupervised anomaly detection framework based on Isolation Forest identifies potentially unsafe operating conditions without labeled pathological data by leveraging absolute temperature and the differential feature $\Delta T$ between contact and ambient measurements. Experimental validation was conducted under controlled indoor conditions across six independent sessions with a small-breed dog, including static and dynamic phases to ensure repeatability. The system achieved packet delivery ratios of approximately 95%, with typical end-to-end latencies below 500 ms and worst-case delays below 850 ms. The proposed approach detected localized thermal deviations associated with friction or prolonged contact while remaining robust to normal activity- and environment-driven variations. These results demonstrate the feasibility of integrating LIG-based sensing and unsupervised analytics into assistive animal mobility platforms to enhance safety through continuous, non-invasive monitoring. Full article

Background/Objectives: Over the last two decades, there has been a substantial change in the understanding of post-traumatic hypopituitarism (PTHP), which is no longer regarded as a marginal phenomenon. Clinical manifestations of pituitary hormone deficiency are frequently nonspecific, with fatigue and cognitive dysfunction predominating. Given that head injuries currently constitute a global burden for healthcare systems, the aim of the present study was to determine whether self-reported post-mild traumatic brain injury (mTBI) symptoms that may indicate hypopituitarism reflect true pituitary insufficiency or are attributable to other hormonal aberrations. The study aimed to assess the relationship between self-reported symptoms of PTHP and hormonal test results following mTBI. Setting: Patients were recruited from a tertiary trauma center Emergency Department (ED) in northern Poland from January 2023 to October 2025. Participants: The participants were adult (18 > y.o.) individuals with mTBI who met the inclusion criteria. Design: This was a prospective cohort study. During their post-head injury admission to the ED, patients had a blood sample taken. The procedure was repeated consecutively after 3, 6 and 12 months. After 6 and 12 months, patients were asked to complete a questionnaire. Methods: Pituitary and thyroid hormones were measured using the chemiluminescence immunoassay method and the heterogenous immunochemiluminescence method. The questionnaire used, Questionnaire for the Assessment of Symptoms of Anterior Pituitary Insufficiency in Patients After Mild Traumatic Brain Injury (mTBI) Hospitalized in the Emergency Department, was designed for the purposes of this study. Results: Self-reported symptoms suggestive of anterior pituitary dysfunction following mTBI were not confirmed by laboratory assessment of pituitary hormones. However, after 6 months, a statistically significant correlation was found between the number of reported symptoms and prolactin levels (ρ = 0.730; p = 0.0013), whereas after 12 months a downward trend in free triiodothyronine (fT3) levels was observed compared with the baseline. Conclusions: Persistent symptoms reported by patients following mTBI at 6 and 12 months, particularly fatigue and impaired concentration, showed statistical associations with prolactin levels at 6 months and lower fT3 levels at 12 months. These findings reflect correlations identified in the statistical analysis and do not support inferences regarding causality or the presence of true PTHP. Full article

The objective of this study was to evaluate the effects of dietary supplementation with vitamins C and E on productivity and egg and meat quality in laying Japanese quail (Coturnix japonica). A total of 60 laying quail were assigned to treatments consisting of supplementation with vitamin C, vitamin E, or a combination of vitamins C and E. A repeated-measures analysis of variance was conducted to assess differences among treatments. Data from egg quality traits and meat characteristics were analyzed using R studio software (version 4.3.1), focusing on the final five days of the experimental period. Significant differences were observed in whole egg weight in quail supplemented with vitamin C (p = 0.020; mean = 12.92 g). Shell weight and shell thickness (excluding shell membranes) were significantly higher in birds receiving the combined vitamin C and E treatment. Improved yolk and albumen coloration was also associated with vitamin C supplementation. In terms of meat production, quail supplemented with vitamin C showed a significantly higher final body weight (p < 0.05; mean = 298.7 g). These results indicate that dietary supplementation with vitamin C, alone or in combination with vitamin E, can positively influence egg quality parameters and growth performance in laying Japanese quail. Full article

Background: Active surveillance of small renal masses is challenged by cumulative radiation exposure from repeated CT imaging, raising long-term health concerns. Low-dose CT protocols offer a strategy to mitigate this risk but are limited by uncertainty regarding measurement accuracy and potential effects on clinical decision-making. Methods: We propose an uncertainty-aware analytical framework using a multi-observer dataset of 40 paired CT cases (low-dose vs. standard-dose). The methodology combines statistical agreement assessment (concordance correlation coefficient, intraclass correlation coefficient), multi-algorithm machine learning prediction (linear regression, random forest, gradient boosting, and SVR), and integrated uncertainty quantification to evaluate equivalence across imaging protocols. Results: Comparative analysis demonstrates near-perfect concordance between protocols (concordance correlation coefficient = 0.9930). Linear regression achieved the highest predictive performance (R² = 0.9933, MAE = 0.4239 mm, MAPE = 2.07%), outperforming more complex ensemble models, highlighting that interpretable models can achieve superior accuracy without compromising reliability. Conclusions: Clinically, the framework supports the safe adoption of low-dose CT for longitudinal tumor assessment, preserving measurement fidelity and diagnostic confidence essential for timely intervention or continued surveillance. Radiologically, it ensures robust lesion characterization across protocols while minimizing cumulative radiation exposure, particularly in younger patients. By integrating uncertainty quantification, this approach enhances transparency, informs clinical decision-making, and facilitates personalized, evidence-based surveillance strategies, promoting safer, dose-optimized imaging in the management of small renal masses. Full article

Japan is a super-aged society where community group multicomponent exercise is widely implemented, yet the age at which a fixed, low-frequency exercise dose no longer offsets functional decline is unclear. We examined 6-year trainability and explored “zero-change” ages in frail older women. Twenty community-dwelling frail women (80–86 years) participated in a once-weekly 90 min multicomponent exercise program for 6 years. Nine physical tests were assessed at baseline (Pre), 6 months, and annually. Overall time effects were tested using repeated-measures ANOVA and generalized estimating equations, with planned paired t-tests versus Pre. Age-specific annual percent changes (%/year) from Pre to each follow-up were annualized, grouped by age at follow-up (81–91 years), and tested against 0%/year. Separately, regression analyses related age to annual percent change across seven consecutive intervals to estimate “zero-change age” (predicted change = 0%). Time effects were significant for all nine measures (all p ≤ 0.032). Chair stand, 10 m fast/zigzag walk, supine-to-stand, maximal 5-step length, and 10-times knee lift generally improved in the early follow-up, whereas handgrip strength and sit-and-reach declined over time. In 6/9 tests, annual percent change diminished with advancing age; estimated zero-change ages ranged from ≈82 years (maximal 5-step length) to ≈88 years (chair stand and one-leg stance). Attendance remained high (≈90%). In this single-arm community program, several mobility-related functions improved or were maintained in frail women in their early 80s, whereas reduced trainability beyond the mid-80s may limit further protection. Threshold ages are exploratory statistical estimates; controlled trials are warranted. Full article

Background/Objectives: To characterize sectoral corneal thickness (CT) profiles in eyes with primary open-angle glaucoma (POAG) compared with healthy eyes and to evaluate potential associations between CT, retinal nerve fiber layer (RNFL) thickness, and optic disc rim area (RA). Methods: In this cross-sectional study, 192 participants (91 with POAG and 101 controls) contributed 297 eyes (145 glaucoma eyes and 152 control eyes). All participants underwent comprehensive ophthalmological examination and spectral-domain optical coherence tomography (OCT; Optovue Solix, Fremont, CA, USA) to obtain peripapillary RNFL measurements, optic disc rim area, and corneal pachymetry maps across five sectors (central, superior, inferior, temporal, and nasal). Repeated-measures correlation analyses were used to assess within-subject associations between CT and RA, and generalized estimating equation (GEE) models were applied to evaluate independent associations between CT, glaucoma status, disease severity, and RNFL thickness while adjusting for relevant covariates. Results: Eyes with POAG exhibited significantly thinner corneas across all sectors compared with controls (all p < 0.05), with the greatest differences observed in the superior (median 607.0 μm vs. 640.0 μm, p < 0.001) and temporal (562.0 μm vs. 579.5 μm, p < 0.001) regions. Average RNFL thickness and rim area were also significantly reduced in glaucoma eyes (all p < 0.001). However, no independent associations between sectoral CT and RNFL thickness or RA were observed after adjustment for multiple comparisons. Although nominal associations between thinner inferotemporal CT and reduced RNFL thickness were observed in unadjusted analyses, these did not remain statistically significant after false discovery rate correction. In multivariable GEE models, glaucoma diagnosis and greater disease severity were consistently associated with reduced RNFL thickness (β range: −11.0 to −42.2 μm; all p < 0.001), whereas CT was not independently associated with RNFL thickness (all adjusted p > 0.07). Conclusions: Sectoral corneal thickness is significantly reduced in eyes with POAG but does not independently correlate with RNFL thickness or optic disc rim area after adjustment for confounding factors. These findings support the concept that corneal thinning reflects structural and biomechanical susceptibility to glaucoma rather than serving as a marker of established neuroretinal damage severity. Further longitudinal studies incorporating comprehensive biomechanical assessments are warranted to clarify the role of corneal structure in glaucoma pathophysiology. Full article

This paper presents a zone-based method for the interim verification and spatial metrological characterization of a 2D vision measurement system. The approach relies on a system calibrated along a single axis and employs a stable yet non-calibrated artifact, demonstrating that spatial performance assessment can be achieved without the need for fully calibrated artifacts distributed across the entire field of view. To enable this process, a custom-designed reference standard was developed, providing a straightforward, robust, and cost-effective solution for performing interim verification tasks. The proposed method provides a structured framework for evaluating both precision and spatial consistency across the measurement surface, even in the absence of fully calibrated standards distributed across the surface. The method is applicable to a wide range of vision-based measurement systems, including those supporting industrial Optical Character Recognition (OCR), while maintaining alignment with established metrological principles. When combined with complementary optical performance tests, the approach supports robust and repeatable interim verification strategies in advanced manufacturing metrology. Full article

Unmanned aerial vehicles (UAVs) are increasingly being used as diagnostic platforms in electricity transmission and distribution, enabling safer and faster inspections compared to manual climbing operations or manned aerial support. This article presents an implementation-oriented inspection process that integrates RGB imaging, infrared (IR) thermography and (optionally) LiDAR documentation for critical energy infrastructure and photovoltaic (PV) installations. The survey consists of two stages: a preliminary stage under controlled conditions and an operational stage in a real-world environment, limited only by UAV flight restrictions. Thermal measurements are recorded in radiometric formats and analyzed using polygon- and profile-based tools to identify temperature anomalies (hot spots) and support maintenance escalation decisions. This manuscript presents standardized sample templates for mission logs, QA/QC activities, and anomaly lists, intended to support reproducible data collection in future studies. The proposed process supports predictive maintenance by enabling repeatable inspections, archive-based trend analysis, and integration with asset management processes, while minimizing operational risk and avoiding power outages when technically feasible. Full article

Motivated by altitude-induced fluctuations in oxygen partial pressure (pO₂) and their impacts on PCS off-line arc motion and erosion response, this study proposes a comparative experimental approach featuring single-variable control under constant total pressure and coordinated multi-source electrical-signal observation. A reciprocating current-carrying arc-generation rig was established, in which pO₂ was equivalently regulated via a constant-pressure gas substitution and mixing approach. High-speed imaging–based quantitative vision analysis was integrated with synchronized voltage–current measurements to evaluate the net effects of five O₂ volumetric fraction levels (6, 11, 14, 17, and 21 vol%) under a DC supply of 120 V/25 A on arc dynamics, electrochemical processes, and contact pair erosion. Based on repeated-test results, the 14 vol% case exhibited the poorest stability (maximum fluctuation coefficient 20.306%), whereas the 17 vol% case showed the lowest current-carrying efficiency (minimum 56.070%) together with the most severe erosion damage. Moreover, with increasing pO₂, the erosion morphology evolved in a staged manner, transitioning from localized central ablation accompanied by melt-related traces to adhesive wear-induced delamination, and ultimately to electrochemical oxidative wear. Overall, pO₂ imposes a pronounced non-monotonic “window effect” on arc stability and erosion, providing key evidence for PCS structural optimization and risk assessment in open operating environments. Full article

Idesia polycarpa Maxim. is an important woody oilseed species and is dioecious; however, systematic evidence for sex-specific differences in leaf physico-chemical traits and their spectral responses remains limited. In this study, mature female and male trees were investigated. Leaves were sampled throughout the growing season (May–October), and FTIR-ATR spectra were acquired to derive peak height and peak area metrics for diagnostic bands. In parallel, leaf antioxidant enzyme activities (SOD, CAT, POD, and APX), biomass-related traits, leaf nutrient concentrations, and rhizosphere soil nutrient indices were measured. Differences between sexes, seasonal dynamics, and spectrum–trait coupling were evaluated using repeated-measures analysis and correlation analyses. The results showed that the positions of major absorption bands were largely consistent between sexes, indicating broadly similar chemical composition, whereas the male plants lacked an obvious band near 1671 cm⁻¹ in May. Several spectral peak parameters were significantly correlated with leaf pH, leaf dry matter content, total phosphorus, and APX activity. Female and male plants exhibited month-dependent differences in enzyme activities, dry matter content, and leaf N and K, and leaf–soil nutrient linkages were also detected, suggesting sex-specific resource allocation patterns. Overall, FTIR-ATR peak metrics provide a rapid means to characterize seasonal variation in leaf physico-chemical properties of I. polycarpa and offer supporting evidence for studies of sexual dimorphism. Full article

Background/Objectives: Bone-anchored prostheses provide an alternative to socket prostheses, directly connecting the prosthesis to the residual limb via osseointegration. However, limited evidence exists on how spatiotemporal gait parameters and gait symmetry change over time following osseointegration in individuals with unilateral transfemoral amputation. This study aimed to examine changes in spatiotemporal and gait symmetry parameters before osseointegration and at 6 and 12 months post-surgery. Methods: Common spatiotemporal parameters were collected from six individuals with unilateral transfemoral amputation at baseline (with socket prosthesis) and at 6 and 12 months post-osseointegration using a motion analysis system. Group-level differences were assessed using repeated measures ANOVA. Gait symmetry was evaluated using selected spatiotemporal parameters. Results: Following osseointegration, individuals with unilateral transfemoral amputation experienced significant spatiotemporal changes over time. At the group level, walking velocity and stride length decreased at 6 months, with stride length increasing at 12 months. Step width and prosthetic-side step length increased at 12 months relative to 6 months, while intact-side step length decreased. Prosthetic-side toe-off timing was shorter at 12 months. Gait symmetry responses varied individually: some with poor baseline symmetry improved, while those with better baseline symmetry became more asymmetric, indicating heterogeneous outcomes. Conclusions: This study highlights longitudinal changes in gait biomechanics following osseointegration in individuals with unilateral transfemoral amputation. Gait adaptations were highly variable across individuals and time points. Future research should involve larger, more homogeneous samples and incorporate kinetic, muscle activity, and functional outcome measures to better understand the impact of bone-anchored prostheses on gait and mobility. Full article

There are limited data on sequential computed tomographic (CT) evaluation and objective CT assessment of the metacarpal condyles in Thoroughbred racehorses. This longitudinal study aimed to document changes in attenuation of the metacarpal condyles during the first two years of training and racing. Fan-beam CT examination of the metacarpophalangeal regions was performed on 40 non-lame Thoroughbred yearlings, and repeated four more times, approximately six months apart. Mean Hounsfield Unit (HU) measurements were obtained on sagittal reconstructions of the dorsal and palmar halves of the medial and lateral condyles and parasagittal grooves. One-way ANOVA with a post hoc Tukey’s Test was used to investigate differences between mean HU values over time at the different regions of interest. Multivariable mixed-effects linear regression models assessed the association between dorsal and palmar HU and potential explanatory variables. Mean HU increased significantly with training, especially during the first six months, with a maximal sequential mean increase found in the medial parasagittal groove (119.8 [95% confidence interval 85.3, 154.30], p < 0.001). Dorsal regions had higher HU than palmar regions, with the highest HU recorded in the dorsal aspect of the medial condyle at time 3 (mean HU 1120.1 ± 63.4). Condyles had higher HU than parasagittal grooves (p < 0.001), the palmar half of the right condyles had higher HU than the left (p = 0.045) and the dorsal aspect of the medial condyle had higher HU than the lateral (p < 0.001). An increasing number of race starts and higher body weight:height ratio were associated with higher HU (p < 0.001). The main limitation was the loss of horses to follow-up as the study progressed. In conclusion, density of most regions of the metacarpal condyles increased with time spent in training, reflecting adaption to racehorse training. Full article