Search Results (11)

Background/Aims: Sepsis as an acute cause of liver dysfunction is associated with high mortality. Routine infection/inflammation markers—C-reactive-protein (CRP), procalcitonin (PCT), and leukocyte count (LeuC)—are frequently used for risk stratification in septic patients. This study aimed to evaluate these markers as predictors of short-term and 12-month mortality in septic patients with distinct liver dysfunction phenotypes. Methods: This single-center retrospective pilot analysis involved adults with sepsis and varying degrees of liver dysfunction—acute liver failure (ALF), acute-on-chronic liver failure (ACLF), or acute-on-cirrhosis (ACOC)—treated in intermediate or intensive care units between 2016 and 2017. At sepsis onset, patients were categorized into ACOC, ACLF, and ALF groups. Only patients with recorded CRP, PCT, and LeuC measurements 24 h before, on the day of, and 24/48 h after sepsis onset were included in the analysis. Associations with in-hospital and 12-month mortality were analyzed using Firth bias-reduced logistic regression, ROC analysis, and internal validation by bootstrapping and cross-validation. Results: 49 patients were included (ACOC n = 21; ACLF n = 20; ALF n = 8). In-hospital and 12-month mortality rates were 34.7% and 61.2%, respectively, with the highest long-term mortality observed in the ACOC group (76.2%). In the ACOC group, PCT 24 h before sepsis onset independently predicted in-hospital mortality (OR ~5 per PCT doubling; AUC 0.94), with an optimal rule-in cut-off of 1.0 ng/mL (specificity 1.00, PPV 1.00). PCT was not predictive in ACLF/ALF, and CRP/LeuC offered limited prognostic value. Conclusions: In this hypothesis-generating analysis, PCT 24 h before sepsis onset shows a phenotype-specific association with early mortality in ACOC. Larger, prospective multicenter studies are needed to validate PCT-guided risk stratification. Full article

In this study, we examine the presence of bias in weighted least squares (WLS) estimation within the context of first-order bifurcating autoregressive (BAR(1)) models. These models are widely used in the analysis of binary tree-structured data, particularly in cell lineage research. Our findings suggest that WLS estimators may exhibit significant and problematic biases, especially in finite samples. The magnitude and direction of this bias are influenced by both the autoregressive parameter and the correlation structure of the model errors. To address this issue, we propose two bootstrap-based methods for bias correction of the WLS estimator. The paper further introduces shrinkage-based versions of both single and fast double bootstrap bias correction techniques, designed to mitigate the over-correction and under-correction issues that may arise with traditional bootstrap methods, particularly in larger samples. Comprehensive simulation studies were conducted to evaluate the performance of the proposed bias-corrected estimators. The results show that the proposed corrections substantially reduce bias, with the most notable improvements observed at extreme values of the autoregressive parameter. Moreover, the study provides practical guidance for practitioners on method selection under varying conditions. Full article

We investigated the prevalence and genetic diversity of Wolbachia pipientis strains in Aedes albopictus populations in Greece. Using a combination of PCR and Sanger sequencing techniques, we genotyped Wolbachia strains in 105 mosquitoes collected across eight different administrative regions in 2021. We found a high prevalence of Wolbachia in both male (90%) and female (97%) mosquitoes. Among the infected samples, 84% had double infections with both wAlbA and wAlbB strains, while 16% had infections with only wAlbB. Our comparison of the Multi-Locus Sequence Typing (MLST) profile, employing gatB–coxA–hcpA–ftsZ–fbpA genotyping, revealed a single MLST profile for each wAlbA and wAlbB strain in Greek populations. The same MLST profiles were also reported in populations from China, Russia, and Argentina, suggesting low levels of global diversity in wAlbA and wAlbB strains. Furthermore, our results indicated a significant association between temperature and the prevalence of single infections (p = 6.498 × 10⁻⁷), with higher temperatures correlating with an increased likelihood of single infections. Although male bias showed a tendency towards single infections, the effect was marginally non-significant (p = 0.053). These results were confirmed using a bootstrap-with-replacement analysis approach. Overall, our findings offer novel insights into the distribution and species diversity of Wolbachia strains in Greek Ae. albopictus populations, emphasizing the importance of understanding the short-term plastic and adaptive responses of these organisms to environmental stressors and rapid climate change. Full article

Azo compounds such as the Sudan dyes I–IV are frequently used illegally as colorants and added to a wide range of foods. These compounds have been linked to a number of food safety hazards. Several methods have been proposed to detect food contamination by azo compounds and most of these are laboratory based; however, the development of reliable and portable methods for the detection and quantification of food contaminated by these chemicals in low concentration is still needed due to their potentially carcinogenic properties. In this study, we investigated the ability of surface enhanced Raman scattering (SERS) combined with chemometrics to quantify Sudan I–IV dyes. SERS spectra were acquired using a portable Raman device and gold nanoparticles were employed as the SERS substrate. As these dyes are hydrophobic, they were first dissolved in water: acetonitrile (1:10, v/v) as single Sudan dyes (I–IV) at varying concentrations. SERS was performed at 785 nm and the spectra were analyzed by using partial least squares regression (PLS-R) with double cross-validations. The coefficient of determination (Q²) were 0.9286, 0.9206, 0.8676 and 0.9705 for Sudan I to IV, respectively; the corresponding limits of detection (LOD) for these dyes were estimated to be 6.27 × 10⁻⁶, 5.35 × 10⁻⁵, 9.40 × 10⁻⁶ and 1.84 × 10⁻⁶ M. Next, quadruplex mixtures were made containing all four Sudan dyes. As the number of possible combinations needed to cover the full concentration range at 5% intervals would have meant collecting SERS spectra from 194,481 samples (21⁴ combinations) we used a sustainable solution based on Latin hypercubic sampling and reduced the number of mixtures to be analyzed to just 90. After collecting SERS spectra from these mixture PLS-R models with bootstrapping validations were employed. The results were slightly worse in which the Q² for Sudan I to IV were 0.8593, 0.7255, 0.5207 and 0.5940 when PLS1 models (i.e., one model for one dye) was employed and they changed to 0.8329, 0.7288, 0.5032 and 0.5459 when PLS2 models were employed (i.e., four dyes were modelled simultaneously). These results showed the potential of SERS to be used as a high-throughput, low-cost, and reliable methods for detecting and quantifying multiple Sudan dyes in low concentration from illegally adulterated samples. Full article

Real-time isolated signal control (RISC) at an intersection is of interest in the field of traffic engineering. Energizing RISC with reinforcement learning (RL) is feasible and necessary. Previous studies paid less attention to traffic engineering considerations and under-utilized traffic expertise to construct RL tasks. This study profiles the single-ring RISC problem from the perspective of traffic engineers, and improves a prevailing RL method for solving it. By qualitative applicability analysis, we choose double deep Q-network (DDQN) as the basic method. A single agent is deployed for an intersection. Reward is defined with vehicle departures to properly encourage and punish the agent’s behavior. The action is to determine the remaining green time for the current vehicle phase. State is represented in a grid-based mode. To update action values in time-varying environments, we present a temporal-difference algorithm TD(Dyn) to perform dynamic bootstrapping with the variable interval between actions selected. To accelerate training, we propose a data augmentation based on intersection symmetry. Our improved DDQN, termed D3ynQN, is subject to the signal timing constraints in engineering. The experiments at a close-to-reality intersection indicate that, by means of D3ynQN and non-delay-based reward, the agent acquires useful knowledge to significantly outperform a fully-actuated control technique in reducing average vehicle delay. Full article

The aim of this study was to evaluate the population pharmacokinetics of tranexamic acid (TXA) administered intravenously at a single dose of 0.5 or 1 g in parturients undergoing active hemorrhagic cesarean delivery and to evaluate the influence of patient variables on TXA pharmacokinetics. Subjects from three recruiting centers were included in this PK sub-study if randomized in the experimental group (i.v TXA 0.5 g or 1 g over one minute) of the TRACES study. Blood samples and two urinary samples were collected within 6 h after TXA injection. Parametric non-linear mixed-effect modeling (Monolix v2020R1) was computed. The final covariate model building used 315 blood and 117 urinary concentrations from seventy-nine patients. A two-compartment model with a double first-order elimination from the central compartment best described the data. The population estimates of clearance (CL), central volume of distribution (V1), and half-life for a typical 70 kg patient with an estimated renal clearance of 150 mL/min (Cockroft–Gault) were 0.14 L/h, 9.25 L, and 1.8 h. A correlation between estimated creatinine clearance and CL, body weight before pregnancy, and V1 was found and partly explained the PK variability. The final model was internally validated using a 500-run bootstrap. The first population pharmacokinetic model of TXA in active hemorrhagic caesarean section was successfully developed and internally validated. Full article

A single and a double bootstrap of data envelopment analysis examines Harran Plain cotton farming in Turkey. The single bootstrap technique was employed to derive the bias-corrected efficiency values under both constant returns to scale (CRS) and versus variable returns to scale (VRS) technologies while discriminating between the two technologies using a smoothed bootstrap test statistic. Results indicated that the farms operated under VRS technology. Given that VRS technology prevailed across Harran Plain cotton farmers sampled, we then determined factors affecting the bias-corrected technical efficiencies using the double bootstrap technique. Another important finding in the single bootstrap analysis is that cotton farmers in the region have a U-shaped technical efficiency based on the input and output scale. Thus, small-scale farmers tend to use their resources more efficiently in cotton farming than that of both medium- and large-scale farmers. Interestingly, the medium-scale farmers with resource inefficiency are at the forefront of the other two types of farmers (i.e., small-scale and large-scale) on the Harran Plain in Turkey. The results also showed that most of the farm and farmer specific as well as economic factors play a significant role in explaining the technical efficiency values. Full article

Eco-efficiency has been receiving attention worldwide, and the effective implementation of environmental regulations (ERs) has become crucial to regional eco-efficiency. This paper uses a method combining mixed directional distance function and bootstrapping approach to investigate the spatial and temporal distribution characteristics of eco-efficiency under the constraint of land use carbon emission in China from 2004 to 2016. The nonlinear relationship between ER and eco-efficiency is observed with a panel threshold model. Results from empirical tests reveal that eco-efficiency in China during the study period has an upward trend, and the spatial and temporal distribution of eco-efficiency is unbalanced and concentrated. Technical innovation and land marketization (LM) shows double threshold, whereas industrial structure (IS) has a single threshold effect. LM has a promotional effect on eco-efficiency, which differs in the promotion before and after promotion across the threshold value. Reasonable ER can reduce cost by stimulating the innovation of green production technology and achieves a win-win situation between environment and output. This finding further verifies that the ER for eco-efficiency under the constraint of land use carbon emission conforms to the Porter hypothesis. The effect of ER on eco-efficiency changes from negative to positive with the increase of IS level. Adjusting the ownership structure and increasing the proportion of green achievements in the promotion and assessment of officials are important measures in the upgrading of eco-efficiency. Full article

The article discusses the environmental efficiency of the countries of the European Union and its main objective is to verify models that could be used to explain changes in efficiency in selected countries and to add to the contributions of other authors. Two-step Data Envelopment Analysis (DEA) has been used, which is a suitable method for verifying the statistical significance of environmental variables. Two DEA models—CCR and BCC—were used and efficiencies have undergone a double-bootstrap procedure. As input variables, three emission per capita indices were computed to single output GDP per capita. Three truncated regression models have been proposed. Results have shown that the model with drivers of climate change and variables connected to socio-economic factors is the most relevant and significant. There are common variables, whose improvement increases the efficiencies in all European Union countries, but there are also indices which have to be considered in individual/subgroup policies and implications, such as environmental taxes, waste management, resources productivity, and transport of goods management. Full article

This paper presents a minimally-invasive neural interface for distributed wireless electrocorticogram (ECoG) recording systems. The proposed interface equips all necessary components for ECoG recording, such as the high performance front-end integrated circuits, a fabricated flexible microelectrode array, and wireless communication inside a miniaturized custom-made platform. The multiple units of the interface systems can be deployed to cover a broad range of the target brain region and transmit signals via a built-in intra-skin communication (ISCOM) module. The core integrated circuit (IC) consists of 16-channel, low-power push-pull double-gated preamplifiers, in-channel successive approximation register analog-to-digital converters (SAR ADC) with a single-clocked bootstrapping switch and a time-delayed control unit, an ISCOM module for wireless data transfer through the skin instead of a power-hungry RF wireless transmitter, and a monolithic voltage/current reference generator to support the aforementioned analog and mixed-signal circuit blocks. The IC was fabricated using 250 nm CMOS processes in an area of 3.2 × 0.9 mm² and achieved the low-power operation of 2.5 µW per channel. Input-referred noise was measured as 5.62 µV_rms for 10 Hz to 10 kHz and ENOB of 7.21 at 31.25 kS/s. The implemented system successfully recorded multi-channel neural activities in vivo from a primate and demonstrated modular expandability using the ISCOM with power consumption of 160 µW. Full article

Notopterygium H. de Boissieu (Apiaceae) is an endangered perennial herb endemic to China. A good knowledge of phylogenetic evolution and population genomics is conducive to the establishment of effective management and conservation strategies of the genus Notopterygium. In this study, the complete chloroplast (cp) genomes of four Notopterygium species (N. incisum C. C. Ting ex H. T. Chang, N. oviforme R. H. Shan, N. franchetii H. de Boissieu and N. forrestii H. Wolff) were assembled and characterized using next-generation sequencing. We investigated the gene organization, order, size and repeat sequences of the cp genome and constructed the phylogenetic relationships of Notopterygium species based on the chloroplast DNA and nuclear internal transcribed spacer (ITS) sequences. Comparative analysis of plastid genome showed that the cp DNA are the standard double-stranded molecule, ranging from 157,462 bp (N. oviforme) to 159,607 bp (N. forrestii) in length. The circular DNA each contained a large single-copy (LSC) region, a small single-copy (SSC) region, and a pair of inverted repeats (IRs). The cp DNA of four species contained 85 protein-coding genes, 37 transfer RNA (tRNA) genes and 8 ribosomal RNA (rRNA) genes, respectively. We determined the marked conservation of gene content and sequence evolutionary rate in the cp genome of four Notopterygium species. Three genes (psaI, psbI and rpoA) were possibly under positive selection among the four sampled species. Phylogenetic analysis showed that four Notopterygium species formed a monophyletic clade with high bootstrap support. However, the inconsistent interspecific relationships with the genus Notopterygium were identified between the cp DNA and ITS markers. The incomplete lineage sorting, convergence evolution or hybridization, gene infiltration and different sampling strategies among species may have caused the incongruence between the nuclear and cp DNA relationships. The present results suggested that Notopterygium species may have experienced a complex evolutionary history and speciation process. Full article