Search Results (378)

Background/Objectives: This paper presents a medical image analysis application designed to facilitate advanced edge detection and fuzzy processing techniques within an intuitive, modular graphical user interface. Methods: Key functionalities include classical edge detection, Ant Colony Optimization (ACO)-based edge extraction, and fuzzy edge generation, which offer improved boundary representation in images where uncertainty and soft transitions are prevalent. Results: One of the main novelties in contrast to the initial innovative Medical Image Analyzer, iMIA, is the fact that the system includes fuzzy C-means clustering to support tissue classification and unsupervised segmentation based on pixel intensity distribution. The application also features an interactive zooming and panning module with the option to overlay edge detection results. As another novelty, fuzzy performance metrics were added, including fuzzy false negatives, fuzzy false positives, fuzzy true positives, and the fuzzy index, offering a more comprehensive and uncertainty-aware evaluation of edge detection accuracy. Conclusions: The application executable file is provided at no cost for the purposes of evaluation and testing. Full article

Using interferometric synthetic aperture radar (InSAR) to observe slow ground deformation can be challenging due to many sources of error, with tropospheric phase delay and unwrapping errors being the most significant. While analytical methods, weather models, and data exist to mitigate tropospheric error, most of these techniques are unsuitable for all InSAR applications (e.g., complex tropospheric mixing in the tropics) or are deficient in spatial or temporal resolution. Likewise, there are methods for removing the unwrapping error, but they cannot resolve the true phase when there is a high prevalence (>40%) of unwrapping error in a set of interferograms. Applying tropospheric delay removal techniques is unnecessary for C-band Sentinel-1 InSAR time series studies, and the effect of unwrapping error can be minimized if the full dataset is utilized. We demonstrate that using interferograms with long temporal baselines (800 days to 1600 days) but very short perpendicular baselines (<5 m) (LTSPB) can lower the velocity detection threshold to 2 mm y⁻¹ to 3 mm y⁻¹ for long-term coherent permanent scatterers. The LTSPB interferograms can measure slow deformation rates because the expected differential phases are larger than those of small baselines and potentially exceed the typical noise amplitude while also reducing the sensitivity of the time series estimation to the noise sources. The method takes advantage of the Sentinel-1 mission length (2016 to present), which, for most regions, can yield up to 300 interferograms that meet the LTSPB baseline criteria. We demonstrate that low velocity detection can be achieved by comparing the expected LTSPB differential phase measurements to synthetic tests and tropospheric delay from the Global Navigation Satellite System. We then characterize the slow (~3 mm/y) ground deformation of the Socorro Magma Body, New Mexico, and the Tampa Bay Area using LTSPB InSAR analysis. The method we describe has implications for simplifying the InSAR time series processing chain and enhancing the velocity detection threshold. Full article

Equine piroplasmosis (EP) is an endemic parasitic disease in southern European countries, such as Spain. Andalusia, the most southwestern region of Europe, is the community with the highest number of registered horses and farms in Spain and one of the main international exporters of Andalusian (Spanish Purebred) horses worldwide. Considering the current expansion of this disease and the possible effect of climate change on its prevalence, studying the EP prevalence in this region is compelling. Molecular (PCR) and serological methods (cELISA and IFAT) were used to study the true and apparent prevalences during a period of three consecutive years, evaluating the effects of age, sex, season, year of testing, and province. Results showed different EP prevalences between western and eastern provinces, as well as among seasons. Moreover, a positive association was observed between age and T. equi seropositivity, without any effect of sex. Our findings demonstrate that Andalusia is an EP endemic region, but prevalences were lower compared to central and northern Spanish regions. Moreover, EP prevalence has not increased in Andalusia in recent years despite climate changes. Full article

Sexual dysfunction is a prevalent and often under-addressed concern among prostate cancer survivors, significantly affecting quality of life for patients and their partners. The True North Sexual Health and Rehabilitation eClinic (SHAReClinic) is a virtual, biopsychosocial intervention developed to improve access to sexual health support for prostate cancer survivors and their partners. This study used a qualitative descriptive design to examine barriers and facilitators influencing the integration of SHAReClinic into oncology care across nine Canadian health care centres. Semi-structured interviews were conducted with 17 knowledge users, including health care providers and institutional leaders. Data were analyzed using a hybrid deductive–inductive thematic approach guided by the Consolidated Framework for Implementation Research (CFIR) 2.0. Participants described SHAReClinic as a much-needed resource, particularly in the absence of standardized sexual health pathways in oncology care. The virtual format was seen as accessible and well suited to addressing sensitive topics. However, limited funding, lack of institutional support, and workflow integration challenges emerged as primary barriers to implementation. Findings offer practical, theory-informed guidance for integrating SHAReClinic into oncology care and highlight key considerations for developing sustainable and scalable survivorship care models. Full article

Porcine circoviruses are significant pathogens that affect swine populations worldwide, with implications for animal health and productivity. While PCV2 is well-documented, particularly due to widespread vaccination programs, PCV3 is less understood, and its epidemiological impact is still under investigation. This study screened for PCV2 and PCV3 in pigs and wild boars across Portugal to assess their prevalence. Also, nucleotide sequence determination was performed to evaluate the genetic diversity of these viruses. Stool samples from 160 pigs belonging to different groups (quarantine, nursery, fattening and adult pigs), as well as organ samples from 120 hunted wild boars, were analyzed. Samples were collected from twelve of the eighteen mainland Portuguese districts with positive cases being detected in nine of them. Pigs had a lower prevalence of PCV2 (1.9%) than PCV3 (11.2%), but the opposite was true in wild boars (76.7% for PCV2 and 55.0% for PCV3). The lower PCV2 prevalence in pigs can be attributed to the PCV2 vaccination program implemented. Additionally, these viruses were significantly more prevalent in wild boars (90.8% were infected with at least one of the viruses) than in domestic pigs (only 12.5%). This significant difference highlights the impact of the controlled environment in pig farms on disease prevention in contrast to the higher exposure risks faced by wild boars in their natural habitat. Compared to a previous study from 2023, we observed a slight decrease in the percentage of positive cases for both PCV2 and PCV3. Phylogenetic analysis of sequences obtained by Sanger sequencing allowed us to conclude that the samples from domestic pigs belong to the PCV2a and PCV3c clades, in contrast to the PCV2-positive cases detected in domestic pigs in 2023 that were classified in the PCV2d genotype. Conversely, samples from wild boars belong to the PCV2d and PCV3a clades. These results reveal genotype differences between wild and domestic pigs and shifts from 2023 to 2024. Our findings provide some information about the circulation of these viruses and emphasize the importance of vaccination and continued monitoring for a deeper understanding of their epidemiology to mitigate potential risks to swine health and production. Full article

Friedrich Nietzsche can be an awkward topic for classicists and ancient philosophers, especially since an important part of his heavily critical philosophy begins as a reaction to, and critique of, his contemporary classical scholarship with which he was intimately familiar, being one of the most impressive ‘products’ of its development. Nietzsche was a thinker who in many ways turned the prevalent opinions about Greeks and contemporaries upside down, challenging his predecessors and successors with provocative readings of some of the most cherished philosophies in Western culture. This essay examines Nietzsche’s treatment of sophists—an important group of intellectuals whose reception had suffered greatly under the devastating judgement of Plato and Aristotle. While recent scholarship frequently regards sophists as philosophers, Nietzsche’s contemporaries were generally extremely dismissive of this group and regarded them in negative light as illegitimate thinkers and opponents to their contemporary ‘true’ philosophers (i.e., Socrates, Plato, and Aristotle). This paper traces two different moments in Nietzsche’s philosophical output that exhibit closer engagement with the sophists: the ‘early’ Nietzsche regards sophists as innovators in language and style, the ‘late’ Nietzsche sees them as countercultural revolutionaries. Despite the fact that in both stages, sophists are introduced as champions for ideas that are central to Nietzsche’s own philosophical preoccupations (the development of language, the overthrowing of values), his treatment of this group of intellectuals appears at first sight superficial and surprisingly unenthusiastic. The paper will examine our existing sources on Nietzsche’s treatment of the sophists and will suggest, ultimately, that his engagement with them was probably far more complex and multilayered than has been thus far assumed. Full article

Background: Treacher Collins Syndrome (TCS) is a rare, congenital craniofacial syndrome. Its most characteristic feature is mandibular and midface hypoplasia. Due to malformations of the facial skeleton, airway abnormalities can also be observed, predisposing individuals to obstructive sleep apnoea (OSA). OSA in TCS may contribute to significant morbidity, including developmental delays, cardiovascular disorders and reduced quality of life. Objectives: This narrative review aims to present the true prevalence of OSA and the treatment options for TCS patients. Additionally, the pathophysiology and diagnostic tools for this condition were briefly outlined. Methods: The literature search included publications from PubMed, Scopus, Web of Science and Cochrane Library. The chosen period of time for these publications was 2000–2024. Results: The results showed that OSA is a serious problem among TCS patients. Although there is no standardised treatment protocol, the primary methods often include mandibular distraction osteogenesis (MDO) and continuous positive airway pressure (CPAP). Approaches such as hypoglossal nerve stimulation (HNS) need further investigation, especially with longitudinal observations. Conclusions: The development of treatment options seems to be promising, suggesting a favourable outlook for standardising the treatment protocols. Full article

Background and Objectives: Pelvic organ prolapse (POP) is a prevalent condition that negatively impacts women’s quality of life. Uterine-preserving procedures are increasingly demanded by patients with uterine prolapse, particularly when associated with true cervical elongation. The Manchester procedure, historically used for uterine preservation, has regained interest due to its effectiveness and low morbidity. This study aims to evaluate the anatomical and functional outcomes of the Manchester procedure in women with uterine prolapse due to cervical elongation, assessing patient satisfaction and associated clinical factors. Materials and Methods: We conducted a retrospective, observational, single-center study at the Regional University Hospital of Málaga, Spain, including patients undergoing the Manchester procedure between January 2017 and December 2022. Inclusion criteria required a diagnosis of uterine prolapse due to clinically confirmed true cervical elongation. Surgical details, complications, and postoperative outcomes were recorded. Patient satisfaction was assessed using a Likert scale during follow-up visits. Results: A total of 38 patients were included, with a mean age of 48.7 years. All presented with symptomatic uterine prolapse and elongated cervix (>5 cm). The anatomical success rate was 97%, with only one case of symptomatic recurrence. The most common early postoperative complication was urinary tract infection (10.5%). The average follow-up duration was 18.6 months. A high level of satisfaction was recorded: 94.8% of patients were either “very satisfied” (73.7%) or “satisfied” (21.1%), and only 5.3% reported dissatisfaction. Multicompartmental repair (anterior and/or posterior colporrhaphy) improved satisfaction outcomes. Conclusions: The Manchester procedure is a safe, effective uterine-sparing surgical option for patients with cervical elongation-related uterine prolapse. It demonstrates a high anatomical success rate and low morbidity, with excellent patient satisfaction. Comprehensive preoperative assessment and addressing modifiable risk factors such as obesity and smoking are key to optimizing results. Further prospective studies are needed to assess long-term durability and quality-of-life outcomes. Full article

Background/Objectives: The body mass index (BMI) is considered a key method for the classification of individuals’ weight status, according to cut-off points proposed by the World Health Organization (WHO); however, the use of this classification is still the subject of debate and criticism. We aimed to evaluate the accuracy of the WHO BMI classification in reflecting true adiposity in the Italian general population. Methods: This cross-sectional study included 1351 adults of mixed gender aged between 18 and 98 years, comprising 19 (1.4%) underweight individuals, 787 (58.3%) normal weight, 354 (26.2%) overweight, and 191 (14.1%) with obesity according to the WHO BMI. After that they were re-categorized according to adiposity based on body fat percentage (BF%) measured by dual-energy X-ray absorptiometry (DXA). The agreement between the two classification systems was tested using the kappa statistic (κ), with the system based on BF% being considered the gold standard. Results: According to the BMI classification, 78.1% of the individuals who were in the normal weight range were correctly classified. However, 53.4% of the overweight group and 68.4% of the underweight group were misclassified according to the BMI, as the majority of those misclassified fell within the normal weight range according to their BF%. Finally, regarding the obesity group, 34% who were classified as having obesity according to the BMI were misclassified, since they were revealed to be only affected by overweight according to adiposity status. Conclusions: Despite the fact that the BMI seems to be reliable in determining body weight status in the normal weight range, over a third of the general population was misclassified, as the current BMI classification appears to inflate the prevalence of underweight, overweight, and obesity among the general population. Accordingly, this may warrant consideration of revising the National Guidelines in Italy related to weight status classification. Healthcare practitioners should be advised not to rely solely on the BMI, and should integrate its use with adiposity measures (i.e., BF%) or alternative surrogate indicators (i.e., waist-based) in routine evaluations, especially in those with a BMI below or above 18.5 kg/m² or 25 kg/m². Full article

This study aims to determine the association between vegetable and fruit consumption and other lifestyle factors and the prevalence of psychological distress. Sex differences in these relationships are also examined. Data from 45,717 participants aged 18 and older, obtained via the Australian Bureau of Statistics National Health Survey (years 2011–12, 2014–15, and 2017–18), were analysed using logistic regression with jackknife parameter estimation. Vegetable consumption was inversely related to psychological distress. Eating two servings of fruit per day was associated with lower distress, but additional servings did not have the same effect. When stratified by sex, only women benefited from fruit consumption. When accounting for long-term health conditions, the sex difference in distress was ameliorated. Older age, higher exercise levels, and not smoking were significantly associated with lower distress. Frequency of alcohol consumption was inversely associated with distress. Lower-income groups consumed greater quantities of fruits and vegetables than higher-income individuals. Vegetable consumption appears to be more strongly associated with mental health than fruit consumption. Chronic disease symptom management may be one way of addressing sex differences with regard to distress levels. The differential impact of dietary components on men and women requires further investigation to determine if the effects are due to a true biological difference or unidentified confounders. Full article

Cryptosporidiosis is a gastrointestinal disease affecting terrestrial and aquatic vertebrates worldwide. This study investigated molecularly and microscopically the prevalence and the diversity of Cryptosporidium spp. in goats across the Bouira communes, Algeria. A total of 559 fecal samples were collected from 70 farms, representing 16.6% of the regional goat population. Samples were analyzed using microscopy (modified Ziehl-Neelsen staining) and molecular methods (i.e., qPCR and nested PCR targeting the 18S rRNA gene, followed by sequencing). Microscopy detected Cryptosporidium in 6.1% of samples, while qPCR revealed a significantly higher prevalence of 13.6% (p < 0.00001), confirming the superior sensitivity of molecular diagnostics. Spatial analysis identified significant clustering (Moran’s I = 0.330, p = 0.0003), with communes-level prevalence ranging from 6.7% to 45.7%. Infection rates correlated positively with humidity and rainfall but negatively with temperature. Phylogenetic analysis confirmed Cryptosporidium xiaoi as the sole species circulating, showing 100% genetic similarity to global caprine isolates. Despite C. xiaoi’s host adaptation, a GenBank review highlighted six other zoonotic species infecting goats worldwide, underscoring potential cross-species transmission risks. The study emphasizes the need for PCR-based surveillance to assess true prevalence and zoonotic threats, while climatic findings support targeted interventions in high-risk areas. Full article

This paper provides data on non-native fungus-like organisms (Oomycota, kingdom Stramenopila), their diversity, and distribution in Lithuania and is an addition to a previously published checklist of alien true fungi (Chytridiomycota, Ascomycota, and Basidiomycota; kingdom Fungi). All available published data were summarized, and the analysis showed that approximately 25% of recorded Lithuania stramenopilous fungus-like organism species are alien. The compiled list represented herein includes 54 species of alien terrestrial and aquatic stramenopilous fungus-like organisms (Oomycota). Most alien Oomycota are obligate pathogens of terrestrial plants. Aquatic organisms are represented by one alien dangerous crayfish pathogen, Aphanomyces astaci, which is currently noted as extinct in Lithuania. The taxonomy of the listed alien species of Oomycota has been revised, and the species names have been adjusted to reflect current nomenclature changes. The taxonomical and ecological analysis demonstrated the prevalence of terrestrial parasitic Peronosporales reported in Lithuania Oomycota and the highest diversity of alien species belonging to the Peronospora genus. The chronology of appearance, distribution within the country, and current status of these non-native organisms were assessed, and some of the most economically or ecologically important harmful invasive species were discussed. Full article

While accurate athlete load monitoring is crucial for preventing injury and optimizing performance, the commonly used session rating of perceived exertion training load or competition load method faces limitations due to compliance issues related to missing subjective data self-reported by the athlete and the subsequent challenges in imputing the sessional rating of perceived exertion (sRPE) component, an average value for a training or competition session. This study investigated the imputation of missing RPE scores from the mechanical work and from a Speed–Deceleration–Contact (SDC) model. A total of 1002 datasets were collected from women’s rugby sevens competitions. Using either the mechanical work or SDC, linear regression and random forest imputation models were assessed at different missingness levels and their results compared to those of a common method of daily team mean substitution (DTMS) using an ANOVA of the accuracy by the model type and missingness. The statistical equivalence was evaluated for true and imputed sRPE scores by the model and strategy. Significant interactions between the model type and missingness were found, with all the imputed scores being deemed statistically equivalent. From the ANOVA, DTMS was found to be the poorest-performing model and the random forest model was the best. However, the best-performing model was not superior to previously reported imputation approaches, which confirms the difficulty in using subjective measures of the load when missing data is a prevalent issue in team sports. Practitioners are encouraged to critically evaluate any method of imputation for an athlete’s load. Full article

Birds are hosts to a diverse assemblage of vector-transmitted haemosporidian parasites. However, the true genetic diversity and many host–parasite interactions are still unknown, particularly in under-represented species groups such as wild doves and pigeons (Columbiformes). In this study, we examined the prevalence and lineage diversity of haemosporidian genera Plasmodium, Leucocytozoon, and Haemoproteus in three species of wild columbids, sampled in Germany. Examinations were performed by applying molecular methods (nested PCR and one-step multiplex PCR) and blood smear examination, and their respective advantages and disadvantages are discussed. In the case of the European Turtle Dove Streptopelia turtur, samples were collected along a west–east gradient throughout Germany, covering migratory birds from the Western and Central-Eastern flyway of this species. Although no infection was detected in the Stock Dove Columba oenas samples, 53% of Turtle Dove and 86% of Common Woodpigeon Columba palumbus harbored a parasite of at least one haemosporidian genus, revealing previously unknown lineage–host interactions. We were not able to demonstrate a correlation between infection status (presence or absence of infection based on PCR results) and parasitemia with condition based on the heterophil to lymphocyte ratio (H/L ratio). Neither lineage occurrence nor prevalence of infection followed any geographically specific patterns. Thus, haemosporidian lineages found in Turtle Doves could not be used as a marker of geographic origin that would allow the tracking of their nonbreeding distribution. Full article

Alpha-1 antitrypsin deficiency (AATD) is a rare genetic condition classically associated with pulmonary emphysema and liver disease. However, the potential link between AATD and other respiratory diseases, particularly bronchial asthma, remains poorly understood and highly debated. This narrative review explores the current evidence regarding the epidemiological, clinical, and pathophysiological relationship between AATD and asthma. Data from prevalence studies show marked variability in the frequency of AATD-associated alleles among asthma patients, ranging from 2.9% to 25.4%, suggesting either a true association or selection biases. Conversely, asthma prevalence among AATD patients also varies widely, from 1.4% to 44.6%, with higher frequencies observed in countries with long-standing national registries. However, methodological inconsistencies and a lack of standardized diagnostic criteria limit the interpretation of these findings. Current evidence is insufficient to support a direct causal role for AATD mutations in asthma development, and no clear impact of AATD on asthma severity or prognosis has been established. Furthermore, there is no conclusive evidence that augmentation therapy is beneficial in asthma patients carrying AATD mutations. Despite these uncertainties, screening for AATD in selected asthma populations—especially those with severe or atypical phenotypes—may be warranted, as recommended by major respiratory societies. Future research should focus on large, well-powered, prospective studies that evaluate the potential pathophysiological interactions between AATD and specific asthma endotypes, particularly T2-low asthma. These efforts may help clarify the relevance of AATD mutations in asthma pathogenesis and identify potential therapeutic targets. Full article