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24 pages, 4970 KiB  
Article
A Perturbation and Symmetry-Based Analysis of Mobile Malware Dynamics in Smartphone Networks
by Mohammad Ababneh, Yousef AbuHour and Ammar Elhassan
Appl. Sci. 2025, 15(14), 8086; https://doi.org/10.3390/app15148086 - 21 Jul 2025
Viewed by 213
Abstract
In this paper, we present a mathematical model, Msiqr, to analyze the dynamics of mobile malware propagation in smartphone networks. The model segments the mobile device population into susceptible, exposed, infected, quarantined, and recovered compartments, integrating critical control [...] Read more.
In this paper, we present a mathematical model, Msiqr, to analyze the dynamics of mobile malware propagation in smartphone networks. The model segments the mobile device population into susceptible, exposed, infected, quarantined, and recovered compartments, integrating critical control parameters such as infection and quarantine rates. The analytical results include the derivation of the basic reproduction number, R0, along with equilibrium and stability analyses that provide insights into long-term system behavior. A focused scenario analysis compares the baseline dynamics with a more aggressive malware variant and a more effective quarantine response. The results show that increased infectivity sharply escalates the peak of infection, while enhanced quarantine measures effectively suppress it. This highlights the importance of prompt containment strategies even under more virulent conditions. The sensitivity analysis identifies the infection rate as the most influential parameter driving peak infection, while the quarantine rate exerts the most significant dampening effect. Monte Carlo simulations of parameter uncertainty reveal a consistently high epidemic potential across varied conditions. A parameter sweep across the infection–quarantine space further maps out the conditions under which malware outbreaks can be mitigated or prevented. Overall, the model demonstrates that mobile malware poses sustained epidemic risk under uncertainty, but effective control parameters—particularly quarantine—can drastically alter outbreak trajectories. Full article
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24 pages, 3774 KiB  
Article
A Novel Stochastic SVIR Model Capturing Transmission Variability Through Mean-Reverting Processes and Stationary Reproduction Thresholds
by Yassine Sabbar and Saud Fahad Aldosary
Mathematics 2025, 13(13), 2097; https://doi.org/10.3390/math13132097 - 26 Jun 2025
Viewed by 364
Abstract
This study presents a stochastic SVIR epidemic model in which disease transmission rates fluctuate randomly over time, driven by independent, mean-reverting processes with multiplicative noise. These dynamics capture environmental variability and behavioral changes affecting disease spread. We derive analytical expressions for the conditional [...] Read more.
This study presents a stochastic SVIR epidemic model in which disease transmission rates fluctuate randomly over time, driven by independent, mean-reverting processes with multiplicative noise. These dynamics capture environmental variability and behavioral changes affecting disease spread. We derive analytical expressions for the conditional moments of the transmission rates and establish the existence of their stationary distributions under broad conditions. By averaging over these distributions, we define a stationary effective reproduction number that enables a probabilistic classification of outbreak scenarios. Specifically, we estimate the likelihood of disease persistence or extinction based on transmission uncertainty. Sensitivity analyses reveal that the shape and intensity of transmission variability play a decisive role in epidemic outcomes. Monte Carlo simulations validate our theoretical findings, showing strong agreement between empirical distributions and theoretical predictions. Our results underscore how randomness in disease transmission can fundamentally alter epidemic trajectories, offering a robust mathematical framework for risk assessment under uncertainty. Full article
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21 pages, 16156 KiB  
Article
Beneficial Analysis of the Effect of Precipitation Enhancement on Highland Barley Production on the Tibetan Plateau Under Different Climate Conditions
by Jiandong Liu, Fei Wang, De Li Liu, Jun Du, Rihan Wu, Han Ding, Fengbin Sun and Qiang Yu
Climate 2025, 13(5), 83; https://doi.org/10.3390/cli13050083 - 26 Apr 2025
Viewed by 431
Abstract
While highland barley on the Tibetan Plateau is adversely affected by water stress during its growth period, precipitation enhancement could potentially mitigate this issue. Accurate assessment of the benefits obtained through precipitation enhancement is crucial for local governments to develop policies for sustainable [...] Read more.
While highland barley on the Tibetan Plateau is adversely affected by water stress during its growth period, precipitation enhancement could potentially mitigate this issue. Accurate assessment of the benefits obtained through precipitation enhancement is crucial for local governments to develop policies for sustainable agriculture. To quantify these benefits, the WOFOST model was employed to evaluate the effects under four different precipitation enhancement scenarios. The model demonstrated strong performance, with a Nash–Sutcliffe Efficiency (NSE) of 0.93 and a root mean square error (RMSE) of 3.66. Using the calibrated WOFOST model, yield increases were simulated under three meteorological drought conditions classified by the Standardized Precipitation Evapotranspiration Index (SPEI). The results showed that yield increases were minimal during years with less rainfall, primarily due to a lower leaf area index under extreme meteorological drought conditions. Additionally, the impact of precipitation enhancement on yield increases was nonlinear. An enhancement of 5% had negligible effects, while enhancements greater than 10% led to significant increases. Specifically, precipitation enhancement during the reproductive stage resulted in regional yield increases of 170.7, 325.5, 465.9, and 580.5 kg/ha for enhancements of 5%, 10%, 15%, and 20%, respectively, surpassing yield increases from enhancements during the vegetative stage. This greater yield increase is attributed to highland barley’s sensitivity to water stress at critical growth stages and the unique climate conditions of the Tibetan Plateau. For Longzi—the largest base for highland barley production, with a planting area of 3440 ha in 2024—a 10% enhancement at the reproductive stage could yield an economic benefit of CNY 9.8 million. Under climate change scenarios, the decreasing trends in highland barley yields could be effectively offset by precipitation enhancement, highlighting the applicability of precipitation enhancement as an effective tool for mitigating climate change in Tibet. Future studies should integrate crop models with weather numerical models to better address uncertainties. Full article
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11 pages, 773 KiB  
Article
The New Italian Guidelines for Assisted Reproduction Technologies (ART): Ethical and Medico-Legal Issues
by Costanza Raimondi, Claudia Casella, Emanuele Capasso, Laura L. Campanozzi, Giulia Mercuri, Antonio Oliva, Antonio G. Spagnolo and Pietro Refolo
Healthcare 2025, 13(2), 195; https://doi.org/10.3390/healthcare13020195 - 19 Jan 2025
Viewed by 1395
Abstract
Background: On 20 March 2024, the Italian Minister of Health, in collaboration with the Italian National Institute of Health (Istituto Superiore di Sanità) and the National Health Council (Consiglio Superiore di Sanità), issued updated guidelines for assisted reproduction technologies (ART). They introduced two [...] Read more.
Background: On 20 March 2024, the Italian Minister of Health, in collaboration with the Italian National Institute of Health (Istituto Superiore di Sanità) and the National Health Council (Consiglio Superiore di Sanità), issued updated guidelines for assisted reproduction technologies (ART). They introduced two key changes: (1) permitting post-mortem embryo transfers, allowing a woman to proceed with the procedure after her male partner’s death, and (2) permitting embryo transfer even if the male partner is alive but the relationship has ended. Objectives: This study explores the ethical and medico-legal challenges posed by the updated Italian ART Guidelines, with a specific focus on the complexities of informed consent and the ethical dilemmas introduced by these provisions. Methods: This study employs a comprehensive review of legislation, case law, and a comparative analysis of national and international norms. Primary and secondary sources include laws, regulations, court decisions, and key ethical and medico-legal perspectives. Results were organized into two thematic areas: the medico-legal dimension, focusing on informed consent, and the ethical dimension, addressing post-mortem and ex-partner embryo transfers. Results: The new guidelines exacerbate the already intricate ART landscape in Italy. Post-mortem and post-relationship embryo transfers raise significant ethical concerns and amplify legal uncertainties. Conclusions: These updates highlight the pressing need for legislative reform to address unresolved ethical and legal issues in ART. Full article
(This article belongs to the Special Issue Ethics of Well-Done Work and Proposals for a Better Healthcare System)
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16 pages, 886 KiB  
Review
Female Oncofertility and Immune Checkpoint Blockade in Melanoma: Where Are We Today?
by Cha Len Lee, Erika Martinez, Diego Malon Gimenez, Thiago Pimentel Muniz, Marcus Otho Butler and Samuel David Saibil
Cancers 2025, 17(2), 238; https://doi.org/10.3390/cancers17020238 - 13 Jan 2025
Viewed by 1318
Abstract
The incidence of melanoma among young adults has risen, yet mortality has declined annually since the introduction of immune checkpoint inhibitors (ICI). The utilization of peri-operative ICI has significantly altered the treatment landscape in melanoma, with PD-1 inhibitors showing promising efficacy in improving [...] Read more.
The incidence of melanoma among young adults has risen, yet mortality has declined annually since the introduction of immune checkpoint inhibitors (ICI). The utilization of peri-operative ICI has significantly altered the treatment landscape in melanoma, with PD-1 inhibitors showing promising efficacy in improving relapse-free survival rates in high-risk stage II-III disease. With the increasing use of ICI, secondary concerns have emerged regarding the impact of cancer drugs on fertility and reproductive health among women of childbearing potential, especially in early-stage cancer settings. The exclusion of pregnant women from trials contributes to limited human data and clinical uncertainties, such as maternal and fetal toxicities related to ICI exposure during pregnancy, as well as the value of fertility preservation before ICI therapy. Uncertainty persists regarding pregnancy post-adjuvant immunotherapy, given the potential detrimental effects of hormonal and immunological changes during pregnancy on melanoma relapse. There is additional uncertainty about whether pregnancy-associated melanoma (PAM) represents a distinct disease entity that warrants tailored management compared to non-pregnant cases. Our review aims to give an overview of oncofertility practices among female melanoma patients after immunotherapy. We also focus on the literature gap in the published evidence and synthesize summaries regarding ICI toxicities on reproductive health and fetal development, pregnancy planning, and recurrence risks after melanoma treatment. Full article
(This article belongs to the Special Issue Adjuvant Therapy and Neoadjuvant Therapy for Melanoma)
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28 pages, 3510 KiB  
Review
Harnessing Ascidians as Model Organisms for Environmental Risk Assessment
by Amalia Rosner and Baruch Rinkevich
Environments 2024, 11(11), 232; https://doi.org/10.3390/environments11110232 - 23 Oct 2024
Cited by 2 | Viewed by 2326
Abstract
Environmental Risk Assessment (ERA) often relies on a restricted set of species as bio-indicators, introducing uncertainty when modeling complex environmental variables. This may lead to oversimplified or erroneous risk assessments. Ascidians, marine filter-feeding sessile chordates, are valuable models for scientific research in various [...] Read more.
Environmental Risk Assessment (ERA) often relies on a restricted set of species as bio-indicators, introducing uncertainty when modeling complex environmental variables. This may lead to oversimplified or erroneous risk assessments. Ascidians, marine filter-feeding sessile chordates, are valuable models for scientific research in various biological fields such as stem cell biology, embryogenesis, regeneration, innate immunity, and developmental biology. Their global distribution, sensitivity to pollutants, high abundance, mass sexual reproduction, and habitation in coastal areas impacted by anthropogenic pollution make them excellent indicators for monitoring marine pollution and global environmental changes, including biological invasions and species diversity diminution cases. Despite their potential as environmental bioindicators, ascidians remain underutilized in ERAs (≤0.13% of ERA studies), particularly in the field of chemical pollution impact assessment, primarily due to a lack of standardization. This underrepresentation poses a challenge for accurate modeling, especially in models relying on a broad range of species (e.g., Species Sensitivity Distributions). Given these constraints, expanding the use of ascidians in ERAs could improve the comprehension and precision of environmental changes and their assessments. This underscores the necessity for future research to establish standardized testing protocols and choose the most suitable ascidian species for inclusion in ERAs. Full article
(This article belongs to the Special Issue Environmental Risk Assessment of Aquatic Ecosystem)
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45 pages, 1174 KiB  
Review
Proton Radiation Therapy: A Systematic Review of Treatment-Related Side Effects and Toxicities
by Peter P. Salem, Perla Chami, Remy Daou, Joseph Hajj, Haibo Lin, Arpit M. Chhabra, Charles B. Simone, Nancy Y. Lee and Carla Hajj
Int. J. Mol. Sci. 2024, 25(20), 10969; https://doi.org/10.3390/ijms252010969 - 11 Oct 2024
Cited by 8 | Viewed by 5116
Abstract
Cancer is the second leading cause of death worldwide. Around half of all cancer patients undergo some type of radiation therapy throughout the course of their treatment. Photon radiation remains (RT) the most widely utilized modality of radiotherapy despite recent advancements in proton [...] Read more.
Cancer is the second leading cause of death worldwide. Around half of all cancer patients undergo some type of radiation therapy throughout the course of their treatment. Photon radiation remains (RT) the most widely utilized modality of radiotherapy despite recent advancements in proton radiation therapy (PBT). PBT makes use of the particle’s biological property known as the Bragg peak to better spare healthy tissue from radiation damage, with data to support that this treatment modality is less toxic than photon RT. Hence, proton radiation dosimetry looks better compared to photon dosimetry; however, due to proton-specific uncertainties, unexpected acute, subacute, and long-term toxicities can be encountered. Reported neurotoxicity resulting from proton radiation treatments include radiation necrosis, moyamoya syndrome, neurosensory toxicities, brain edema, neuromuscular toxicities, and neurocognitive toxicities. Pulmonary toxicities include pneumonitis and fibrosis, pleural effusions, and bronchial toxicities. Pericarditis, pericardial effusions, and atrial fibrillations are among the cardiac toxicities related to proton therapy. Gastrointestinal and hematological toxicities are also found in the literature. Genitourinary toxicities include urinary and reproductive-related toxicities. Osteological, oral, endocrine, and skin toxicities have also been reported. The side effects will be comparable to the ones following photon RT, nonetheless at an expected lower incidence. The toxicities collected mainly from case reports and clinical trials are described based on the organs affected and functions altered. Full article
(This article belongs to the Special Issue New Insights into Radiation Oncology)
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14 pages, 1629 KiB  
Article
Per- and Polyfluoroalkyl Substances (PFAS) Accumulation, Reproductive Impairment, and Associations with Nestling Body Condition in Great (Parus major)- and Blue Tits (Cyanistes caeruleus) Living near a Hotspot in Belgium
by Thimo Groffen, Jodie Buytaert, Els Prinsen, Lieven Bervoets and Marcel Eens
Toxics 2024, 12(9), 636; https://doi.org/10.3390/toxics12090636 - 29 Aug 2024
Cited by 2 | Viewed by 1780
Abstract
Due to the limited number of field studies investigating associations between environmentally relevant per- and polyfluoroalkyl substances (PFAS) mixtures and reproductive impairment, there is uncertainty as to whether birds are affected by PFAS pollution, whether species differ in sensitivity to PFAS, and whether [...] Read more.
Due to the limited number of field studies investigating associations between environmentally relevant per- and polyfluoroalkyl substances (PFAS) mixtures and reproductive impairment, there is uncertainty as to whether birds are affected by PFAS pollution, whether species differ in sensitivity to PFAS, and whether the observed reproductive impairment is caused by PFAS or rather due to other potential confounding variables. Therefore, we investigated PFAS concentrations in eggs and blood plasma of great tit (Parus major) and blue tit (Cyanistes caeruleus) nestlings near a PFAS hotspot in Belgium, reproductive impairment, and associations between the accumulated levels and nestling body condition. In total, 29 eggs and 22 blood plasma samples of great tit clutches, and 10 egg and 10 blood plasma samples of blue tit clutches, were collected. Despite more types of PFAS being detected in eggs compared to plasma, only minor differences in profiles were observed between species. On the other hand, tissue-specific differences were more pronounced and likely reflect a combination of maternal transfer and dietary exposure post-hatching. Despite the high concentrations detected in both species, limited reproductive impairment was observed. Our results support previous findings that great tits and blue tits may not be very susceptible to PFAS pollution and provide evidence that other factors, including ecological stoichiometry, may be more important in explaining inter-species variation in PFAS accumulation and reproductive impairment. Full article
(This article belongs to the Section Ecotoxicology)
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15 pages, 549 KiB  
Article
Dynamics of Activation and Regulation of the Immune Response to Attack by Viral Pathogens Using Mathematical Modeling
by Ledyz Cuesta-Herrera, Luis Pastenes, Ariel D. Arencibia, Fernando Córdova-Lepe and Cristhian Montoya
Mathematics 2024, 12(17), 2681; https://doi.org/10.3390/math12172681 - 28 Aug 2024
Cited by 1 | Viewed by 1633
Abstract
In this paper, a mathematical model is developed to simulate the activation of regulatory T lymphocytes dynamics. The model considers the adaptive immune response and consists of epithelial cells, infected cells, free virus particles, helper and cytotoxic T lymphocytes, B lymphocytes, and regulatory [...] Read more.
In this paper, a mathematical model is developed to simulate the activation of regulatory T lymphocytes dynamics. The model considers the adaptive immune response and consists of epithelial cells, infected cells, free virus particles, helper and cytotoxic T lymphocytes, B lymphocytes, and regulatory T lymphocytes. A mathematical analysis was carried out to discuss the conditions of existence and stability of equilibrium solutions in terms of the basic reproductive number. In addition, the definitions and properties necessary to preserve the positivity and stability of the model are shown. The precision of these mathematical models can be affected by numerous sources of uncertainty, partly due to the balance between the complexity of the model and its predictive capacity to depict the biological process accurately. Nevertheless, these models can provide remarkably perspectives on the dynamics of infection and assist in identification specific immunological traits that improve our comprehension of immune mechanisms. The theoretical results are validated by numerical simulations using data reported in the literature. The construction, analysis, and simulation of the developed models demonstrate that the increased induced regulatory T lymphocytes effectively suppress the inflammatory response in contrast to similar cells at lower contents, playing a key role in maintaining self-tolerance and immune homeostasis. Full article
(This article belongs to the Special Issue Applied Mathematical Modelling and Dynamical Systems, 2nd Edition)
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15 pages, 1747 KiB  
Article
Classifying Cockroaches According to Forewings: Pitfalls and Implications for Fossil Systematics
by Xin-Ran Li
Taxonomy 2024, 4(3), 618-632; https://doi.org/10.3390/taxonomy4030031 - 15 Aug 2024
Cited by 3 | Viewed by 2374
Abstract
A reliable character system is crucial to taxonomy and systematics, and it promises valid downstream inferences, e.g., estimates of diversity and disparity, reconstruction of evolutionary history, and even stratigraphic correlations. Modern taxonomy and systematics of extant cockroaches requires an integrative study involving multiple [...] Read more.
A reliable character system is crucial to taxonomy and systematics, and it promises valid downstream inferences, e.g., estimates of diversity and disparity, reconstruction of evolutionary history, and even stratigraphic correlations. Modern taxonomy and systematics of extant cockroaches requires an integrative study involving multiple lines of evidence with emphasis on genital and reproductive characteristics and molecular data. In contrast, many fossil cockroach taxa published recently are based solely on forewings. Many studies have shown that forewing-based taxa are questionable. In order to find out how much of the phylogenetic signal we could ascertain from venational similarity, and how confident we could be, this study used forewing characters to reconstruct phylogenies of the genera of well-recognized family-group taxa. The intuitively reconstructed phylogeny of 75 extant genera failed to recover those taxa or their relationships. Parsimony analyses of various datasets all yielded strong polyphyly and chaotic relationships. In conclusion, the forewing of cockroaches is not a universally competent character system. The underlying causes are the complicated nature of veins and the limitations of current analytical techniques. The uncertainty in forewing-based taxonomy and systematics has been underestimated in the literature. Forewing-based fossil taxa warrant re-evaluation; some of them are herein deemed nomina dubia in their current state. Full article
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14 pages, 1627 KiB  
Article
Species Richness Net Primary Productivity and the Water Balance Problem
by Allen G. Hunt, Muhammad Sahimi and Erica A. Newman
Entropy 2024, 26(8), 641; https://doi.org/10.3390/e26080641 - 28 Jul 2024
Cited by 3 | Viewed by 2255
Abstract
Species energy theory suggests that, because of limitations on reproduction efficiency, a minimum density of plant individuals per viable species exists and that this minimum correlates the total number of plant individuals N with the number of species S. The simplest assumption [...] Read more.
Species energy theory suggests that, because of limitations on reproduction efficiency, a minimum density of plant individuals per viable species exists and that this minimum correlates the total number of plant individuals N with the number of species S. The simplest assumption is that the mean energy input per individual plant is independent of the number of individuals, making N, and thus S as well, proportional to the total energy input into the system. The primary energy input to a plant-dominated ecosystem is estimated as its Net Primary Productivity (NPP). Thus, species energy theory draws a direct correspondence from NPP to S. Although investigations have verified a strong connection between S and NPP, strong influences of other factors, such as topography, ecological processes such as competition, and historical contingencies, are also at play. The lack of a simple model of NPP expressed in terms of the principal climate variables, precipitation P, and potential evapotranspiration, PET, introduces unnecessary uncertainty to the understanding of species richness across scales. Recent research combines percolation theory with the principle of ecological optimality to derive an expression for NPP(P, PET). Consistent with assuming S is proportional to NPP, we show here that the new expression for NPP(P, PET) predicts the number of plant species S in an ecosystem as a function of P and PET. As already demonstrated elsewhere, the results are consistent with some additional variation due to non-climatic inputs. We suggest that it may be easier to infer specific deviations from species energy predictions with increased accuracy and generality of the prediction of NPP(P, PET). Full article
(This article belongs to the Special Issue 180th Anniversary of Ludwig Boltzmann)
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17 pages, 1930 KiB  
Article
Research on the Three-Level Integrated Environmental Evaluation Model for Multi-Greenhouse Potatoes
by Shize Liu, Tao Zhong, Huan Zhang, Jian Zhang, Zhiguo Pan and Ranbing Yang
Agriculture 2024, 14(7), 1043; https://doi.org/10.3390/agriculture14071043 - 29 Jun 2024
Viewed by 1010
Abstract
Aiming at the problems of large error and redundancy in the multi-node data acquisition of multi-greenhouse photo growth environmental information, a three-level fusion algorithm based on adaptive weighting, an LMBP network, and an improved D-S theory is proposed. The box-and-line graph method recognizes [...] Read more.
Aiming at the problems of large error and redundancy in the multi-node data acquisition of multi-greenhouse photo growth environmental information, a three-level fusion algorithm based on adaptive weighting, an LMBP network, and an improved D-S theory is proposed. The box-and-line graph method recognizes the original data and then replaces it based on the mean value method; the air temperature, humidity, and light intensity measurements are unbiased estimations of the true value to be estimated, so the first level of fusion chooses the adaptive weighted average algorithm to find the optimal weights of each sensor under the condition of minimizing the total mean-square error and obtains the optimal estimation of the weights of the homogeneous sensors of a greenhouse. The Levenberg–Marquardt algorithm was chosen for the second level of fusion to optimize the weight modification of the BP neural network, i.e., the LMBP network, and the three environmental factors corresponding to “suitable”, “uncertain” and “unsuitable” potato growth environments were trained for the three environmental factors in the reproductive periods. The output of the hidden layer was converted into probability by the Softmax function. The third level is based on the global fusion of evidence theory (also known as D-S theory), and the network output is used as evidence to obtain a consistent description of the multi-greenhouse potato cultivation environment and the overall scheduling of farming activities, which better solves the problem of the difficulty in obtaining basic probability assignments in the evidence theory; in the case of a conflict between the evidence, the BPA of the conflicting evidence is reallocated, i.e., the D-S theory is improved. Example validation shows that the total mean square error of the adaptive weighted fusion value is smaller than the variance of each sensor estimation, and sensors with lower variance are assigned lower weights, which makes the fusion result not have a large deviation due to the failure of individual sensors; when the fusion result of a greenhouse feature level is “unsuitable”, the fusion result of each data level is considered comprehensively, and the remote control agency makes a decision, which makes full use of the complementary nature of multi-sensor information resources and solves the problem of fusion of multi-source environmental information and the problem of combining conflicting environmental evaluation factors. Compared with the traditional D-S theory, the improved D-S theory reduces the probability of the “uncertainty” index in the fusion result again. The three-level fusion algorithm in this paper does not sacrifice data accuracy and greatly reduces the noise and redundancy of the original data, laying a foundation for big data analysis. Full article
(This article belongs to the Special Issue Application of Machine Learning and Data Analysis in Agriculture)
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15 pages, 525 KiB  
Systematic Review
Atypical Endometriosis: A Comprehensive Systematic Review of Pathological Patterns and Diagnostic Challenges
by Vito Andrea Capozzi, Elisa Scarpelli, Sara dell’Omo, Martino Rolla, Alessandra Pezzani, Giovanni Morganelli, Michela Gaiano, Tullio Ghi and Roberto Berretta
Biomedicines 2024, 12(6), 1209; https://doi.org/10.3390/biomedicines12061209 - 29 May 2024
Cited by 7 | Viewed by 3196
Abstract
Endometriosis is a benign condition affecting women of reproductive age. A potential association with ovarian cancer has been documented. Atypical endometriosis (AE) is characterized by deviations from the typical microscopic appearance of endometriosis, including cytologic and architectural atypia. AE has been recognized as [...] Read more.
Endometriosis is a benign condition affecting women of reproductive age. A potential association with ovarian cancer has been documented. Atypical endometriosis (AE) is characterized by deviations from the typical microscopic appearance of endometriosis, including cytologic and architectural atypia. AE has been recognized as a potential precursor to endometriosis-associated ovarian cancers (EAOC), particularly endometrioid and clear cell subtypes. AE presents challenges in diagnosis due to its diverse clinical and pathological features, often requiring careful histological evaluation for accurate identification. Architectural AE, defined by localized proliferation of crowded glands with atypical epithelium resembling endometrial neoplasia, and cytologic AE, characterized by nuclear atypia within the epithelial lining of endometriotic cysts, are key subtypes. Immunohistochemical and molecular studies have revealed aberrant expression of markers such as Ki67, COX-2, BAF250a, p53, estrogen receptor, progesterone receptor, and IMP-3. Long-term follow-up studies suggest relatively low recurrence and malignant transformation rates among patients with AE, but uncertainties persist regarding its exact malignancy potential and optimal management strategies. Integration of artificial intelligence and shared molecular aberrations between AE and EAOC may enhance diagnostic accuracy. Continuous interdisciplinary collaboration and ongoing research efforts are crucial for a deeper understanding of the relationship between endometriosis and carcinogenesis, ultimately improving patient care and surveillance. Full article
(This article belongs to the Special Issue Molecular and Biochemical Mechanisms of Endometriosis)
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17 pages, 335 KiB  
Review
Stem Cells and Infertility: A Review of Clinical Applications and Legal Frameworks
by Gaspare Cucinella, Giuseppe Gullo, Erika Catania, Antonio Perino, Valentina Billone, Susanna Marinelli, Gabriele Napoletano and Simona Zaami
J. Pers. Med. 2024, 14(2), 135; https://doi.org/10.3390/jpm14020135 - 24 Jan 2024
Cited by 16 | Viewed by 6562
Abstract
Infertility is a condition defined by the failure to establish a clinical pregnancy after 12 months of regular, unprotected sexual intercourse or due to an impairment of a person’s capacity to reproduce either as an individual or with their partner. The authors have [...] Read more.
Infertility is a condition defined by the failure to establish a clinical pregnancy after 12 months of regular, unprotected sexual intercourse or due to an impairment of a person’s capacity to reproduce either as an individual or with their partner. The authors have set out to succinctly investigate, explore, and assess infertility treatments, harnessing the potential of stem cells to effectively and safely treat infertility; in addition, this paper will present the legal and regulatory complexities at the heart of stem cell research, with an overview of the legislative state of affairs in six major European countries. For couples who cannot benefit from assisted reproductive technologies (ART) to treat their infertility, stem-cells-based approaches have been shown to be a highly promising approach. Nonetheless, lingering ethical and immunological uncertainties require more conclusive findings and data before such treatment avenues can become mainstream and be applied on a large scale. The isolation of human embryonic stem cells (ESCs) is ethically controversial, since their collection involves the destruction of human embryonic tissue. Overall, stem cell research has resulted in important new breakthroughs in the treatment of infertility. The effort to untangle the complex web of ethical and legal issues associated with such therapeutic approaches will have to rely on evidence-based, broadly shared standards, guidelines, and best practices to make sure that the procreative rights of patients can be effectively reconciled with the core values at the heart of medical ethics. Full article
(This article belongs to the Section Regenerative Medicine and Therapeutics)
14 pages, 338 KiB  
Review
Impact of GLP-1 Agonists on Male Reproductive Health—A Narrative Review
by Alexandra Aponte Varnum, Edoardo Pozzi, Nicholas Allen Deebel, Aymara Evans, Nathalie Eid, Hossein Sadeghi-Nejad and Ranjith Ramasamy
Medicina 2024, 60(1), 50; https://doi.org/10.3390/medicina60010050 - 27 Dec 2023
Cited by 13 | Viewed by 10270
Abstract
Background and objective—Obesity is a prevalent health concern that notably impairs male fertility through hormonal disruptions and other pathophysiological alterations. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) can significantly reduce weight. This narrative review synthesizes the existing literature discussing the impact of glucagon-like [...] Read more.
Background and objective—Obesity is a prevalent health concern that notably impairs male fertility through hormonal disruptions and other pathophysiological alterations. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) can significantly reduce weight. This narrative review synthesizes the existing literature discussing the impact of glucagon-like peptide-GLP-1 RAs on the male reproductive system, particularly on the hypothalamic–pituitary–gonadal axis and spermatogenesis, highlighting their potential impact on male fertility. Material and methods—PubMed database was used for the retrieval of English-language articles published up to November 2023. This non-systematic literature review predominantly concentrates on both pre-clinical and clinical studies pertaining to GLP-1 RAs, specifically exploring their impact on male reproductive hormones and sperm parameters. Results—GLP-1 receptors have been identified within the male reproductive system according to the existing literature. While the exact mechanisms are not well understood, they appear to be involved in glucose homeostasis and energy metabolism, both vital processes in spermatogenesis. Multiple clinical trials have demonstrated the efficacy of GLP-1 RAs for promoting weight loss. Recent studies show that the use of GLP-1 RAs in obese males may enhance sperm metabolism, motility, and insulin secretion in vitro, along with positive effects on the human Sertoli cells. Recent clinical trials discussed in this review demonstrate weight loss associated with GLP-1 RAs is correlated with improvements in sperm count, concentration, and motility. However, the direct impact of GLP-1 RAs on male reproductive hormones remains unclear, necessitating further research to confirm their potential role in treating male infertility. Conclusions—This narrative review summarizes the existing literature discussing the potential impact of GLP-1 RA on the male reproductive system, emphasizing their potential therapeutic role in addressing idiopathic infertility in obese men. Despite numerous studies exploring the influence of GLP-1 and GLP-1 RAs on reproductive hormones, testicular function, and spermatogenesis, further clinical trials are crucial to validate initial evidence. Longer follow-up periods are essential to address uncertainties regarding the long-term repercussions and outcomes of GLP-1 RA use. While this holds true, the current literature suggests that GLP-1RAs show promise as a potential therapeutic approach for improving sperm parameters in obese men. Full article
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