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Cough is one of the most common reasons leading to pediatric consultations, negatively impacting the quality of life of patients and caregivers. It is defined as a sudden and forceful expulsion of air from the lungs through the mouth, typically triggered by irritation or the stimulation of sensory nerves in the respiratory tract. This reflex is controlled by a neural pathway that includes sensory receptors, afferent nerves, the brainstem's cough center, efferent nerves, and the muscles involved in coughing. Based on its duration, cough in children may be classified as acute, lasting less than four weeks, and chronic, persisting for more than four weeks. Neuromodulators have shown promise in reducing the frequency and severity of cough by modulating the neural pathways involved in the cough reflex, although they require careful monitoring and patient selection to optimize the outcomes. This review aims to examine the rationale for using neuromodulators in the management of cough in children. [ABSTRACT FROM AUTHOR]

Hen's egg allergy is one of the most common food allergies in the Western world, with an increase in recent years. It affects about 9.5% of the pediatric population, and the onset most often occurs before the first year of life. The occurrence of spontaneous oral tolerance acquisition varies among studies, but it is generally high by school age. Nowadays, allergen immunotherapy may represent the only therapeutic strategy able to modify the natural history of hen's egg allergy. Specifically, many children with hen's egg allergy may tolerate baked eggs. Food processing, specifically high temperatures, alters the allergenicity of hen's egg proteins by causing conformational changes in allergen epitopes, which makes them less allergenic. This review aims to discuss the scientific evidence in the field of baked egg oral immunotherapy in hen's egg-allergic children, with a meticulous examination of the pertinent literature surrounding the subject matter. [ABSTRACT FROM AUTHOR]

Post COVID-19 condition (PCC) is defined as ongoing symptoms at ≥1 month after acute COVID-19. We investigated the risk of PCC in an international cohort according to viral variants. We included 7699 hospitalized patients in six centers (January 2020–June 2023); a subset of participants with ≥1 visit over the year after clinical recovery were analyzed. Variants were observed or estimated using Global Data Science Initiative (GISAID) data. Because patients returning for a post COVID-19 visit may have a higher PCC risk, and because the variant could be associated with the probability of returning, we used weighted logistic regressions. We estimated the proportion of the effect of wild-type (WT) virus vs. Omicron on PCC, which was mediated by Intensive Care Unit (ICU) admission, through a mediation analysis. In total, 1317 patients returned for a post COVID visit at a median of 2.6 (IQR 1.84–3.97) months after clinical recovery. WT was present in 69.6% of participants, followed by the Alpha (14.4%), Delta (8.9%), Gamma (3.9%) and Omicron strains (3.3%). Among patients with PCC, the most common manifestations were fatigue (51.7%), brain fog (32.7%) and respiratory symptoms (37.2%). Omicron vs. WT was associated with a reduced risk of PCC and PCC clusters; conversely, we observed a higher risk with the Delta and Alpha variants vs. WT. In total, 42% of the WT effect vs. Omicron on PCC risk appeared to be mediated by ICU admission. A reduced PCC risk was observed after Omicron infection, suggesting a possible reduction in the PCC burden over time. A non-negligible proportion of the variant effect on PCC risk seems mediated by increased disease severity during the acute disease. [ABSTRACT FROM AUTHOR]

Biomass continues to play a key role as an alternative to fossil fuels. Woody biomass produces lower greenhouse gas emissions than fossil fuels. However, in order to consider biomass as 'green energy', a number of factors should be taken into account, including the characterization of the quality of the resource. Therefore, monitoring quality parameters, such as moisture, ash, N content, is essential to assess the sustainability of biomass for energy production. This paper presents the results of laboratory analyses performed on wood chip samples from four Italian regions over a five-year period (2019–2023). In particular, all quality parameters defined by ISO 17225-9 for industrial wood chips were assessed. Data were analyzed using descriptive, parametric, non-parametric statistics, and multivariate analysis. An interest in quality monitoring has been observed, indicated by an increase in the number of samples received from suppliers and an enhancement in the average values of quality parameters. Moreover, an overall decrease in moisture and N content has been observed, while ash content and heating value have undergone non-linear variations. Statistically significant quality differences between samples from different regions may be the result of different practices, such as outdoor or indoor storage, climate differences, different biomass growth conditions. [ABSTRACT FROM AUTHOR]

Curcuminoids are widely studied due to their well-recognized therapeutic properties. These molecules are often derivatized with metals, producing their corresponding homoleptic metal complexes. Numerous crystal structures of homoleptic symmetric curcuminoids with physiologically essential metals are known, although the literature lacks reports of homoleptic metal complexes of unsymmetric curcuminoids (or hemi-curcuminoids) as ligands. Three unknowns must be solved when an unsymmetric curcuminoid ligand is reacted with a metal ion: (a) the degree of coordination (MLn); (b) the spatial geometry; and (c) the conformational nature (syn or anti) of the complex. Herein, we report the structure of the anti-isomer of the Zn complex of the hemi-curcuminoid 5-hydroxy-1-(4-methoxyphenyl)hexa-1,4-dien-3-one. While the NMR shows only one set of signals for this homoleptic complex, the unambiguous stereochemistry was established through single-crystal X-ray diffractometry, revealing an anti-hexacoordinated octahedral ML2 structure. [ABSTRACT FROM AUTHOR]

The Iberian Pyrite Belt (IPB) represents one of the largest districts of volcanogenic massive sulfide (VMS) deposits in the world, and is a critical source of base metals (Cu, Pb, and Zn) for Europe. Confirmed resources exceed 1700 Mt of massive sulfides with grades of around 1.2% Cu, 1% Pb, and 3% Zn as well as more than 300 Mt of stockwork-type copper mineralization. Significant resources of Sn, precious metals (Au and Ag), and critical metals (Co, Bi, Sb, In, and Se) have also been evaluated. The genesis of these deposits is related to a complex geological evolution during the late Devonian and Mississippian periods. The geological record of such evolution is represented by three main lithological units: Phyllite–Quartzite Group, the volcano–sedimentary Complex (VSC), and the so-called Culm Group. The sulfide deposits are located in the VSC, associated with felsic volcanic rocks or sedimentary rocks such as black shales. The massive sulfide deposits occur as tabular bodies and replacement masses associated with both volcanic and sedimentary rocks. Their mineralogical composition is relatively simple, dominated by pyrite, chalcopyrite, sphalerite, and galena. Their origin is related to three evolutionary stages at increasing temperatures, and a subsequent stage associated with the Variscan deformation. The present paper summarizes the latest developments in the IPB and revises research areas requiring further investigation. [ABSTRACT FROM AUTHOR]

Linear temporal logic (LTL) formalism can ensure the correctness of mobile robot planning through concise, readable, and verifiable mission specifications. For uneven terrain, planning must consider motion constraints related to asymmetric slope traversability and maneuverability. However, even though model checker tools like the open-source Simple Promela Interpreter (SPIN) include search optimization techniques to address the state explosion problem, defining a global LTL property that encompasses both mission specifications and motion constraints on digital elevation models (DEMs) can lead to complex models and high computation times. In this article, we propose a system model that incorporates a set of uncrewed ground vehicle (UGV) motion constraints, allowing these constraints to be omitted from LTL model checking. This model is used in the LTL synthesizer for path planning, where an LTL property describes only the mission specification. Furthermore, we present a specific parameterization for path planning synthesis using a SPIN. We also offer two SPIN-efficient general LTL formulas for representative UGV missions to reach a DEM partition set, with a specified or unspecified order, respectively. Validation experiments performed on synthetic and real-world DEMs demonstrate the feasibility of the framework for complex mission specifications on DEMs, achieving a significant reduction in computation cost compared to a baseline approach that includes a global LTL property, even when applying appropriate search optimization techniques on both path planners. [ABSTRACT FROM AUTHOR]

Objective: This study evaluated anthropometric, biochemical, and inflammatory biomarkers, as well as dietary intake in Brazilian children diagnosed with small intestinal bacterial overgrowth (SIBO) and compared them with their counterparts without SIBO. Methods: This was a cross-sectional study with 106 children aged 7 to 10 years. A glucose-hydrogen breath test was performed to diagnose small intestinal bacterial overgrowth (SIBO). Anthropometric and dietary characteristics were assessed. Blood samples were collected and serum biochemical parameters and cytokines were measured. Results: The occurrence of SIBO was 13.2%. Age, BMI, BMI/age WC, BFP, sex and biochemical markers were similar between SIBO-positive and SIBO-negative children (p > 0.05). High consumption of ultra-processed foods tended to be higher in SIBO-positive compared to SIBO-negative children (47.8 ± 8.2 vs. 42.6 ± 9.5, p = 0.06). Serum levels of IL-17 were higher in SIBO-positive than in SIBO-negative children [69.5 (5.4–125.7) vs. 53.4 (2.3–157.7), p = 0.03], while serum levels of IL-10 were lower in SIBO-positive than in SIBO-negative children [2.3 (0.6–7.2) vs. 5.7 (0.5–30.8), p = 0.04]. Finally, in a logistic regression adjusted for sex, BMI and age, consumption of ultra-processed foods (p = 0.03) and IL-6 levels (p = 0.003) were found to contribute to the occurrence of SIBO. Conclusion: this study identified for the first time an occurrence of 13% of SIBO in children living in the northeastern region of Brazil and showed that consumption of ultra-processed foods and serum levels of IL-6 may influence the occurrence of the SIBO in the pediatrics population. [ABSTRACT FROM AUTHOR]

Background: The SOUND study demonstrated that an axillary de-escalation may be sufficient in locoregional and distant disease control in selected early breast cancer (EBC) patients. To establish any preoperative variables that may drive sentinel lymph node biopsy (SLNB) omission, a study named sentinel omission risk factor (SOFT) 1.23 was planned. Methods: A single-center retrospective study from a prospectively maintained database was designed, aiming at underlying preoperative prognostic factors involved in sentinel lymph node (SLN) metastasis (lymph node involvement (LN+) vs. negative lymph node (LN−) group). Secondary outcomes included surgical room occupancy analysis for SLNB in patients fulfilling the SOUND study inclusion criteria. The institutional ethical committee Area Territoriale Lazio 2 approved the study (n° 122/23). Results: Between 1 January 2022 and 30 June 2023, 160 patients were included in the study and 26 (%) were included in the LN+ group. Multifocality, higher cT stage, and larger tumor diameter were reported in the LN+ group (p = 0.020, p = 0.014, and 0.016, respectively). Tumor biology, including estrogen and progesterone receptors, and molecular subtypes showed association with the LN+ group (p < 0.001; p = 0.001; and p = 0.001, respectively). A total of 117 (73.6%) patients were eligible for the SOUND study and the potential operating room time saved was 2696.81 min. Conclusions: De-escalating strategies may rationalize healthcare activities. Multifactorial risk stratification may further refine the selection of patients who could benefit from SLNB omission. [ABSTRACT FROM AUTHOR]

Hydrothermal carbonization (HTC) is a promising method for the conversion of agricultural and agro-industrial residues into valuable products. HTC processes biomass through chemical reactions that produce hydrochar, a carbon-rich solid similar to lignite. Unlike other thermochemical processes, HTC can handle high-moisture biomass without pre-drying. This article evaluates the efficiency of HTC on wood chips, wheat straw, and grape pomace, examining their chemical and structural characteristics and critical operational parameters such as the temperature, pressure, biomass/water ratio, and reaction time. The obtained results highlight that the two key process parameters are the temperature and the ratio between the solid biomass and liquid phase. Increasing the first parameter increases the energy content by 20% and increases the carbon concentration by up to 50%, while reducing the oxygen content by 30% in the hydrochar. Varying the second parameter leads to the alternating reduction of the ash content but simultaneously reduces the energy content. The reaction time seems to have a limited influence on the quality parameters of the biochar produced. Lastly, HTC appears to successfully enhance the overall quality of widely available agricultural wastes, such as grape pomace. [ABSTRACT FROM AUTHOR]

Discrete tomography is a specific case of computerized tomography that deals with the reconstruction of objects made of a few density values on a discrete lattice of points (integer valued coordinates). In the general case of computerized tomography, several hundreds of projections are required to obtain a single high-resolution slice of the object; in the case of discrete tomography, projections of an object made by just one homogeneous material are sums along very few angles of the pixel values, which can be thought to be 0's or 1's without loss of generality. Genetic algorithms are global optimization techniques with an underlying random approach and, therefore, their convergence to a solution is provided in a probabilistic sense. We present here a genetic algorithm able to straightforwardly reconstruct binary objects in the three-dimensional space. To the best of our knowledge, our methodology is the first to require no model of the shape (e.g., periodicity, convexity or symmetry) to reconstruct. Experiments were carried out to test our new approach in terms of computational time and correctness of the solutions. Over the years, discrete tomography has been studied for many interesting applications to computer vision, non-destructive reverse engineering and industrial quality control, electron microscopy, X-rays crystallography, biplane angiography, data coding and compression. [ABSTRACT FROM AUTHOR]

This study investigated the impact of adding hydroxyapatite nanoparticles to implant surfaces treated with zirconia blasting and acid etching (ZiHa), focusing on structural changes and bone healing parameters in low-density bone sites. The topographical characterization of titanium discs with a ZiHa surface and a commercially modified zirconia-blasted and acid-etched surface (Zi) was performed using scanning electron microscopy, profilometry, and surface-free energy. For the in vivo assessment, 22 female rats were ovariectomized and kept for 90 days, after which one implant from each group was randomly placed in each tibial metaphysis of the animals. Histological and immunohistochemical analyses were performed at 14 and 28 days postoperatively (decalcified lab processing), reverse torque testing was performed at 28 days, and histometry from calcified lab processing was performed at 60 days The group ZiHa promoted changes in surface morphology, forming evenly distributed pores. For bone healing, ZiHa showed a greater reverse torque, newly formed bone area, and bone/implant contact values compared to group Zi (p < 0.05; t-test). Qualitative histological and immunohistochemical analyses showed higher features of bone maturation for ZiHa on days 14 and 28. This preclinical study demonstrated that adding hydroxyapatite to zirconia-blasted and acid-etched surfaces enhanced peri-implant bone healing in ovariectomized rats. These findings support the potential for improving osseointegration of dental implants, especially in patients with compromised bone metabolism. [ABSTRACT FROM AUTHOR]

This paper presents a non-invasive methodology for structural health monitoring (SHM) integrated with inertial sensors and signal conditioning techniques. The proposal uses the signal of an IMU (inertial measurement unit) tri-axial accelerometer and gyroscope to continuously measure the displacements of a structure in motion due to seismic vibrations. A system, called the "Inertial Displacement Monitoring System" or "IDMS", is implemented to attenuate the signal error of the IMU with methodologies such as a Kalman filter to diminish the influence of white noise, a Chebyshev filter to isolate the frequency values of a seismic motion, and a correction algorithm called zero velocity observation update (ZVOB) to detect seismic vibrations and diminish the influence of external perturbances. As a result, the IDMS is a methodology developed to measure displacements when a structure is in motion due to seismic vibration and provides information to detect failures opportunely. [ABSTRACT FROM AUTHOR]

Currently, the use of acoustic echo cancellers (AECs) plays a crucial role in IoT applications, such as voice control appliances, hands-free telephony and intelligent voice control devices, among others. Therefore, these IoT devices are mostly controlled by voice commands. However, the performance of these devices is significantly affected by echo noise in real acoustic environments. Despite good results being achieved in terms of echo noise reductions using conventional adaptive filtering based on gradient optimization algorithms, recently, the use of bio-inspired algorithms has attracted significant attention in the science community, since these algorithms exhibit a faster convergence rate when compared with gradient optimization algorithms. To date, several authors have tried to develop high-performance AEC systems to offer high-quality and realistic sound. In this work, we present a new AEC system based on the grey wolf optimization (GWO) and particle swarm optimization (PSO) algorithms to guarantee a higher convergence speed compared with previously reported solutions. This improvement potentially allows for high tracking capabilities. This aspect has special relevance in real acoustic environments since it indicates the rate at which noise is reduced. [ABSTRACT FROM AUTHOR]

Grounded in the Conservation of Resources (COR) theory, this study explored the contribution of flexible work arrangements within the increasing digitalization of workplaces. In particular, with a specific focus on what happened when employees teleworked, it examined whether flextime perceptions, accounting for employees' perception of control over their working hours, were related to job performance and if family–work conflict mediated this relationship. Additionally, the study investigated if the ability to cope with work tasks moderated the relationships between flextime and both family–work conflict and job performance. The study was conducted in an Italian research institute involving 598 respondents engaged in hybrid work with over two years of remote working experience. The SPSS Process macro was used, and findings showed a positive direct association between flextime and job performance. Intriguingly, no indirect effect of flextime on job performance through family–work conflict was observed. However, the introduction of the ability to cope in the model generated a significant mediation at specific levels of the moderator. The study highlighted the moderating role of the ability to cope in the relationships between flextime and family–work conflict on one side and job performance on the other. This research provides insights into the complexities of hybrid work and discusses the advantages of flextime and the intricate interplay it has with family–work conflict and job performance. The study concludes with theoretical and practical implications, offering guidance for both researchers and practitioners navigating the multifaceted realm of flexible work arrangements. [ABSTRACT FROM AUTHOR]

The skin mycobiota plays a significant role in infection risk, pathogen transmission, and personalized medicine approaches in intensive care settings. This prospective multicenter study aimed to enhance our understanding of intensive care units' (ICUs') Candida colonization dynamics, identify modifiable risk factors, and assess their impact on survival risk. Specimens were taken from 675, 203, and 110 patients at the admission (D1), 5th (D5), and 8th (D8) days of ICU stay, respectively. The patient's demographic and clinical data were collected. Candida isolates were identified by conventional culture-based microbiology combined with molecular approaches. Overall, colonization was 184/675 (27.3%), 87/203 (42.8%), and 58/110 (52.7%) on D1, D5, and D8, respectively. Candida colonization dynamics were significantly associated with ICU type (odds ratio (OR) = 2.03, 95% CI 1.22–3.39, p = 0.007), respiratory infection (OR = 1.74, 95% CI 1.17–2.58, p = 0.006), hemodialysis (OR = 2.19, 95% CI 1.17–4.10, p = 0.014), COVID-19 (OR = 0.37, 95% CI 0.14–0.99, p = 0.048), and with a poor 3-month outcome (p = 0.008). Skin Candida spp. colonization can be an early warning tool to generate valuable insights into the epidemiology, risk factors, and survival rates of critically ill patients, and should be considered for epidemiological surveillance. [ABSTRACT FROM AUTHOR]

Background: In atherothrombotic acute ischemic stroke (AIS), when the atheroma breaks down, the clot can incorporate foam cells (FCs). The identification of the correct etiology is paramount for secondary stroke prevention. This study aims to evaluate the presence of the FC in the arterial clot, and to determine whether patients with FCs and patients without FCs (NFCs) had different cerebrovascular risk factors, haemato-chemical parameters, and atherosclerotic disease incidence, in order to predict the etiological diagnosis. Methods: We collected 100 clots retrieved by mechanical thrombectomy from 495 consecutive AIS patients with large vessel occlusion. An expert pathologist evaluated the FC presence by histological examination stained with hematoxylin and eosin. Results: We observed FCs in 29/100 (29%) of retrieved clots and divided the patients into two groups, with/without FCs. The two groups had similar clinical and laboratory features, with a discrepancy between the FC presence in the clot and the clinical etiological diagnosis, even if not statistically significant. Conclusions: Our study showed the presence of FCs in approximately one-third of the retrieved clots, but the identification of the clot that presumably comes from the atheromatous plaque rupture tended to disagree with the clinical diagnosis. Future studies may reveal their potential to disclose clot origin or specific patient characteristics, guiding treatment options. [ABSTRACT FROM AUTHOR]

Current guidelines for the care of heart transplantation recipients recommend routine endomyocardial biopsy and invasive coronary angiography as the cornerstones in the surveillance for acute rejection (AR) and coronary allograft vasculopathy (CAV). Non-invasive tools, including coronary computed tomography angiography and cardiac magnetic resonance, have been introduced into guidelines without roles of their own as gold standards. These techniques also carry the risk of contrast-related kidney injury. There is a need to explore non-invasive approaches providing valuable information while minimizing risks and allowing their application independently of patient comorbidities. Echocardiographic examination can be performed at bedside, serially repeated, and does not carry the burden of contrast-related kidney injury and procedure-related risk. It provides comprehensive assessment of cardiac morphology and function. Advanced echocardiography techniques, including Doppler tissue imaging and strain imaging, may be sensitive tools for the detection of minor myocardial dysfunction, thus providing insight into early detection of AR and CAV. Stress echocardiography may offer a valuable tool in the detection of CAV, while the assessment of coronary flow reserve can unravel coronary microvascular impairment and add prognostic value to conventional stress echocardiography. The review highlights the role of Doppler echocardiography in heart transplantation follow-up, weighting advantages and limitations of the different techniques. [ABSTRACT FROM AUTHOR]

Chagas disease, caused by the protozoan Trypanosoma cruzi, remains a major public health challenge affecting millions in Latin America and worldwide. Although significant progress has been made in vector control, no vaccine exists to prevent infection or mitigate disease pathogenesis. We developed a rationally designed chimeric protein vaccine, N-Tc52/TSkb20, incorporating immunodominant epitopes from two T. cruzi antigens, the amino-terminal portion of Tc52 and the TSkb20 epitope derived from trans-sialidase. The objectives of this study were to construct and characterize the antigen and evaluate its protective potential in an immunoprophylactic murine model of T. cruzi infection. The N-Tc52/TSkb20 protein was recombinantly expressed in E. coli and its identity was confirmed using mass spectrometry and Western blotting. Immunization with the chimeric protein significantly controlled parasitemia and reduced the heart, colon, and skeletal muscle parasite burdens compared to non-vaccinated mice. Protection was superior to vaccination with the individual parental antigen components. Mechanistically, the vaccine induced potent CD8+ T-cell and IFNγ responses against the incorporated epitopes and a protective IgG antibody profile. A relatively low IL-10 response favored early parasite control. These results validate the promising multi-epitope approach and support the continued development of this type of rational vaccine design strategy against Chagas disease. [ABSTRACT FROM AUTHOR]

The main objective of this study was (1) to analyze the patterns of acceleration (Ac) and deceleration (Dec) during football matches in elite youth football, both within and between different segments of the match; and (2) to investigate the impact of ball possession and various playing positions on these acceleration and deceleration patterns. To provide a broader explanatory context, the influence of tactical space management was assessed in terms of depth and width. A descriptive comparative design was used, and data were collected during two friendly matches. Player and ball tracking data were collected using a local positioning system. In the attack phase, differences were obtained in the average Ac (first half: 0.42 ± 0.06 m·s−2, second half: 0.38 ± 0.07 m·s−2; p = 0.021, d = 0.50) and average Dec (first half: −0.44 ± 0.09 m·s−2, second half: −0.36 ± 0.08 m·s−2; p = 0.001, d = 0.84). Wingers in the attack phase obtained higher values in maximum Ac (1.65 ± 0.65 m·s−2; p = 0.007, η2 = 0.03), and in the total number of both Ac (68.7 ± 45.22; p = 0.001, η2 = 0.10) and Dec (70.6 ± 45.70; p = 0.001, η2 = 0.10). In the defense phase, full-backs obtained higher values in average Ac (0.53 ± 0.17 m·s−2; p = 0.001, η2 = 0.07) and average Dec (−0.49 ± 0.18 m·s−2; p = 0.001, η2 = 0.05) and wingers in the total number of Ac (43.9 ± 27.30; p = 0.001, η2 = 0.11) and Dec (43.8 ± 28.60; p = 0.001, η2 = 0.10). In young football players, Ac and Dec do not follow a decreasing end throughout the match, and their behavior is uneven depending on ball possession and the position assigned to the player, with the highest demands on Ac/Dec in winger and full-back positions. [ABSTRACT FROM AUTHOR]

Cassava is a staple food mainly produced with low management inputs, causing soil depletion and low yields. The use of organic inputs, such as humic substances (HSs), represents a sustainable alternative to increase cassava growth and production, mainly in semi-arid regions such as the Brazilian Northeast. Thus, the objective was to evaluate the foliar application of a biostimulant based on humic substances on the morphophysiology, production, and mineral nutrient contents of cassava. The biofortified cultivar BRS Dourada was grown under field conditions and foliar application of a biostimulant based on humic substances (BHSs, treated plants) or water (untreated, control). The experiment was conducted in a randomized block design with four repetitions. At 225 days after planting, the growth, productivity, and mineral nutrient contents of soil, roots, and leaves were determined. No differences between treated and untreated plants were found for growth and productivity (average 15.2 t ha−1). On the other hand, BHS treatment reduced net carbon assimilation, water use efficiency, and carboxylation efficiency by 34%, 24%, and 47%, respectively. Moreover, BHS treatment reduced nutrient uptake from soil, and Na and K contents in roots and leaves, respectively. A foliar BHS application is not recommended for cassava production in the conditions evaluated here. [ABSTRACT FROM AUTHOR]

Investigational drug services need to be organised in a structured approach, especially for sites with a large number of ongoing clinical trials. The aim of this study was to develop a tool to assess the complexity of pharmacy involvement in a sponsored oncology clinical trial. Categorisation into ordinal complexity categories was used to assess the complexity of the clinical trials for consistent pharmacy grant applications. The 15 items of the tool were divided into three sections, and individual item scores were agreed upon among four pharmacists with experience in the conduct of clinical trials at two different centres. A final version of the tool, named Pharm-CAT, was approved. The pharmacists were instructed to use Pharm-CAT to assign a score to each new sponsored trial. To determine the cut-offs for the complexity categories, the scores were sorted in ascending order and the cut-offs corresponding to the first and third tertiles of the score distribution were selected. To verify the reproducibility of the results, Pharm-CAT was applied by two pharmacists independently for each trial. Pharm-CAT proved to be user-friendly. Sixty clinical trials were evaluated and a total of 120 scores were recorded. Low-complexity scores ranged from 0 to 19, medium-complexity scores ranged from 20 to 25, and high-complexity scores were 26 or higher. The average score recorded was 22.88 points. Prospective multicentre validation of Pharm-CAT is needed to confirm its applicability. [ABSTRACT FROM AUTHOR]

One of the principal sources of pollution, on a local scale for a water city, with a tourist and commercial port, is certainly the port. Monitoring what is happening here is essential in order to implement suitable measures to control and contain emissions with consideration for the increasingly delicate environmental problem. This paper details the methods and results of an experimental campaign of local-scale emission measurements conducted in the port of Naples for two weeks in 2021. The chosen instrumentation, its setup, post-processing of the data, and an analysis critique of the results will be presented in detail. The campaign is part of broader research attempting to superimpose the concentrations of pollutants measured ashore in the port area with what is emitted by moored ships. [ABSTRACT FROM AUTHOR]

Hip fracture is a common condition in older adults, leading to disability and mortality. Several studies have demonstrated the association between nutritional status and the risk of a negative health outcome after fractures. In this systematic review, we evaluated the association between malnutrition and mortality, changes in mobility/living arrangements, and postoperative complications, such as delirium, in older patients with hip fractures. A literature search on the PubMed, Web of Science, and Scopus databases, up to September 2023, was conducted to identify all studies involving older subjects that reported an association between MNA/GNRI/PNI/CONUT and health outcome after hip fracture. Meta-analysis was performed by a random-effects model using risk values (RR, OR, and HR) extracted from the 14 eligible selected studies. Malnutrition significantly increased the risk of any analyzed adverse outcome by 70% at 1 month, and up to 250% at 1 year. Malnutrition significantly increased delirium risk by 275% (OR = 2.75; 95% CI 1.80–4.18; p ≤ 0.05), mortality risk by 342% (OR = 3.42; 95% CI 2.14–5.48; p ≤ 0.05), mortality hazard risk by 351% (HR = 3.51; 95% CI 1.63–7.55; p ≤ 0.05) at 1 month, and transfer-to-more-supported-living-arrangements risk by 218% (OR = 2.18; 95% CI 1.58–3.01; p ≤ 0.05), and declined mobility risk by 41% (OR = 1.41; 95% CI 1.14–1.75; p ≤ 0.05), mortality risk by 368% (OR = 3.68; 95% CI 3.00–4.52; p ≤ 0.05), and mortality hazard risk by 234% (HR = 2.34; 95% CI 1.91–2.87; p ≤ 0.05) at 1 year. Malnutrition of older patients increases the risk of death and worsens mobility and independence after hip fractures. The results of the present study highlight the importance of nutritional status evaluation of older subjects with hip fractures in order to prevent potential adverse outcomes (Registration No: CRD42023468751). [ABSTRACT FROM AUTHOR]

For vaccine development and adoption decisions, the 'Full Value of Vaccine Assessment' (FVVA) framework has been proposed by the WHO to expand the range of evidence available to support the prioritization of candidate vaccines for investment and eventual uptake by low- and middle-income countries. Recent applications of the FVVA framework have already shown benefits. Building on the success of these applications, we see important new opportunities to maximize the future utility of FVVAs to country and global stakeholders and provide a proof-of-concept for analyses in other areas of disease control and prevention. These opportunities include the following: (1) FVVA producers should aim to create evidence that explicitly meets the needs of multiple key FVVA consumers, (2) the WHO and other key stakeholders should develop standardized methodologies for FVVAs, as well as guidance for how different stakeholders can explicitly reflect their values within the FVVA framework, and (3) the WHO should convene experts to further develop and prioritize the research agenda for outcomes and benefits relevant to the FVVA and elucidate methodological approaches and opportunities for standardization not only for less well-established benefits, but also for any relevant research gaps. We encourage FVVA stakeholders to engage with these opportunities. [ABSTRACT FROM AUTHOR]

In Italy, the use of chainsaws for field operations such as Felling (FE), Delimbing (DE), and Bucking (BU) is widespread due to the topography, the medium–small size of farms, and the predominant presence of broad-leaved forests managed through coppicing. However, this has led to an increase in injuries and illnesses due to exposure to physical factors (e.g., noise, dust, and vibrations) and chemical agents (e.g., various volatile compounds). Occupational health and safety legislation in Italy has undergone several phases, including the approval of U.T. 81/2008. The present study aims to evaluate the noise generated by chainsaws and the concentration of pollutants (CO, VOC, and C6H6) present in chainsaw exhaust gases during interventions in a chestnut coppice in relation to the limits set by current legislation. The analysis of the noise generated by chainsaws during chestnut cutting operations showed that it exceeded the legal noise limits during all chainsaw activities, with peak levels of about 110 dB. The detected noise could cause important critical issues in relation to the health and safety of specialized operators. Furthermore, the correlation between the specific work (FE, DE, and BU) and the ratio between maximum and average values of CO and VOC emissions was evaluated. Notably, comparable levels of maximum VOC emissions were observed during the FE and BU phases. However, the average emission values during these phases exhibited significant differences, suggesting higher VOC production when the engine was running but not actively engaged in cutting. The highest emissions were recorded during the FE phase (CO = 135 ppm, VOC = 17.28 ppm, and C6H6 = 2.13 ppm). [ABSTRACT FROM AUTHOR]

Skin cancer poses a serious risk to one's health and can only be effectively treated with early detection. Early identification is critical since skin cancer has a higher fatality rate, and it expands gradually to different areas of the body. The rapid growth of automated diagnosis frameworks has led to the combination of diverse machine learning, deep learning, and computer vision algorithms for detecting clinical samples and atypical skin lesion specimens. Automated methods for recognizing skin cancer that use deep learning techniques are discussed in this article: convolutional neural networks, and, in general, artificial neural networks. The recognition of symmetries is a key point in dealing with the skin cancer image datasets; hence, in developing the appropriate architecture of neural networks, as it can improve the performance and release capacities of the network. The current study emphasizes the need for an automated method to identify skin lesions to reduce the amount of time and effort required for the diagnostic process, as well as the novel aspect of using algorithms based on deep learning for skin lesion detection. The analysis concludes with underlying research directions for the future, which will assist in better addressing the difficulties encountered in human skin cancer recognition. By highlighting the drawbacks and advantages of prior techniques, the authors hope to establish a standard for future analysis in the domain of human skin lesion diagnostics. [ABSTRACT FROM AUTHOR]

The transport sector is under an intensive renovation process. Innovative concepts such as shared and intermodal mobility, mobility as a service, and connected and autonomous vehicles (CAVs) will contribute to the transition toward carbon neutrality and are foreseen as crucial parts of future mobility systems, as demonstrated by worldwide efforts in research and industry communities. The main driver of CAVs development is road safety, but other benefits, such as comfort and energy saving, are not to be neglected. CAVs analysis and development usually focus on Information and Communication Technology (ICT) research themes and less on the entire vehicle system. Many studies on specific aspects of CAVs are available in the literature, including advanced powertrain control strategies and their effects on vehicle efficiency. However, most studies neglect the additional power consumption due to the autonomous driving system. This work aims to assess uncertain CAVs' efficiency improvements and offers an overview of their architecture. In particular, a combination of the literature survey and proper statistical methods are proposed to provide a comprehensive overview of CAVs. The CAV layout, data processing, and management to be used in energy management strategies are discussed. The data gathered are used to define statistical distribution relative to the efficiency improvement, number of sensors, computing units and their power requirements. Those distributions have been employed within a Monte Carlo method simulation to evaluate the effect on vehicle energy consumption and energy saving, using optimal driving behaviour, and considering the power consumption from additional CAV hardware. The results show that the assumption that CAV technologies will reduce energy consumption compared to the reference vehicle, should not be taken for granted. In 75% of scenarios, simulated light-duty CAVs worsen energy efficiency, while the results are more promising for heavy-duty vehicles. [ABSTRACT FROM AUTHOR]

The relevant growth of the wood pellet market in Europe in the last decade led to an increased focus on solid biofuel as a necessary and available renewable resource for energy production. Among biofuels, wooden pellets are among the most widespread for domestic heating. Therefore, monitoring the qualitative properties of commercialized pellets is crucial in order to minimize the amount of harmful emissions in residential areas. Standard ISO 17225 sets threshold values for the chemical and physical properties that commercialized biofuels must fulfil. Specifically, ISO 17225-2 defines that pellets for residential use must be produced from virgin wood, but no method is proposed to assess the actual origin of the material, leading to the risk of the commercialization of pellets made up from chemically treated materials. This study proposes a model obtained via near infrared spectroscopy analyses and chemometrics methods, such as classification, to rapidly assess whether pellets are made up of virgin or chemically treated wood. The result suggests the effectiveness of NIRs for the detection of non-virgin pellets with an accuracy greater than 99%. Furthermore, the model appeared to be accurate in the assessment of both milled and intact pellets, making it a potential in-line instrument for assessments of pellets' quality. [ABSTRACT FROM AUTHOR]

Anthropogenic and environmental processes present unique challenges for preserving cultural heritage in North Africa. Large parts of this region are characterised by unfavourable arid and semi-arid conditions and rapid changes to the landscapes caused by heightened regional development (e.g., urban expansion, road building, agricultural intensification, and socio-political conflicts). As a result, we are facing a fast-paced disappearance of heritage sites in regions that are still poorly understood. Following this, the utilisation of Earth observation data through aerial photographs and satellite imagery has emerged as an unmatched tool in the exploration of endangered archaeological heritage. Drawing on this context, this paper underscores the critical significance of incorporating digital research methods, such as remote sensing, GIS, or cartographic analysis, to ensure the evaluation and (digital) preservation of the historical sites along these vulnerable areas. Furthermore, our study seeks to provide new insights into data management and dissemination, fostering open research practices within North African archaeological research. [ABSTRACT FROM AUTHOR]

Lophomonas are flagellated protozoa that have been increasingly associated with upper and lower airway infection in humans. The prevalence and characterization of this disease in the critically ill remains poorly understood. We present a series of eleven ICU patients with confirmed Lophomonas spp. identification in respiratory samples. [ABSTRACT FROM AUTHOR]

Agrivoltaics' share of renewable generation is relevant for countries to achieve their energy transition targets. Agrivoltaics is the dual and synergistic use of the land by agricultural crop production and photovoltaic (PV) systems. For their development around a country, a fundamental step is to determine which areas are suitable. This research work has developed a methodological framework for a reliable agrivoltaic land eligibility analysis at regional scale based on a spatial multicriteria analysis (i.e., GIS/MCDM-AHP). The challenging step has been to select a set of relevant criteria, also based on experts' knowledge, able to capture the factors that can affect both the solar PV potential and agriculture-oriented factors. On the basis of these criteria, properly weighted, a 30 m-resolution land eligibility map for agrivoltaic systems has been generated for the NUTS-2 regions of Italy. We have found that Italy has an eligible area of 10.7 million hectares and a capacity potential of 6435 GW, assuming an installed power density of 0.6 MW/ha. Thus, a land coverage of only 1.24% of this area would allow to reach the national 80 GW target of new renewable capacity to achieve the country's decarbonisation and energy transition objectives by 2030. The potential of installed capacity results at GW scale for the main land categories of arable land and permanent crops if they are just covered by only 5% with agrivoltaic systems. Thus, the impact of agrivoltaic systems development on land occupation can be considered marginal especially in relation to benefits generated for both the energy and agricultural sectors. Such a method is essentially targeted to regional authorities for planning the sustainable development of agrivoltaic systems at the local level. [ABSTRACT FROM AUTHOR]

Adolescent Idiopathic Scoliosis (AIS) is the most common form of three-dimensional spinal disorder in adolescents between the ages of 10 and 18 years of age, most commonly diagnosed in young women when severe disease occurs. Patients with AIS are characterized by abnormal skeletal growth and reduced bone mineral density. The etiology of AIS is thought to be multifactorial, involving both environmental and genetic factors, but to date, it is still unknown. Therefore, it is crucial to further investigate the molecular pathogenesis of AIS and to identify biomarkers useful for predicting curve progression. In this perspective, the relative abundance of a panel of microRNAs (miRNAs) was analyzed in the plasma of 20 AIS patients and 10 healthy controls (HC). The data revealed a significant group of circulating miRNAs dysregulated in AIS patients compared to HC. Further bioinformatic analyses evidenced a more restricted expression of some miRNAs exclusively in severe AIS females. These include some members of the miR-30 family, which are considered promising regulators for treating bone diseases. We demonstrated circulating extracellular vesicles (EVs) from severe AIS females contained miR-30 family members and decreased the osteogenic differentiation of mesenchymal stem cells. Proteomic analysis of EVs highlighted the expression of proteins associated with orthopedic disease. This study provides preliminary evidence of a miRNAs signature potentially associated with severe female AIS and suggests the corresponding vesicular component may affect cellular mechanisms crucial in AIS, opening the scenario for in-depth studies on prognostic differences related to gender and grade. [ABSTRACT FROM AUTHOR]

There is increasing interest in using magnesium (Mg) alloy orthopedic devices because of their mechanical properties and bioresorption potential. Concerns related to their rapid degradation have been issued by developing biodegradable micro- and nanostructured coatings to enhance corrosion resistance and limit the release of hydrogen during degradation. This systematic review based on four databases (PubMed®, Embase, Web of Science™ and ScienceDirect®) aims to present state-of-the-art strategies, approaches and materials used to address the critical factors currently impeding the utilization of Mg alloy devices. Forty studies were selected according to PRISMA guidelines and specific PECO criteria. Risk of bias assessment was conducted using OHAT and SYRCLE tools for in vitro and in vivo studies, respectively. Despite limitations associated with identified bias, the review provides a comprehensive analysis of preclinical in vitro and in vivo studies focused on manufacturing and application of Mg alloys in orthopedics. This attests to the continuous evolution of research related to Mg alloy modifications (e.g., AZ91, LAE442 and WE43) and micro- and nanocoatings (e.g., MAO and MgF2), which are developed to improve the degradation rate required for long-term mechanical resistance to loading and excellent osseointegration with bone tissue, thereby promoting functional bone regeneration. Further research is required to deeply verify the safety and efficacy of Mg alloys. [ABSTRACT FROM AUTHOR]

Tryptase has proven to be a very useful and specific marker to demonstrate mast cell activation and degranulation when an acute (i.e., within 4 h after the event) and baseline value (i.e., at least 24 h after the event) are compared and meet the consensus formula (i.e., an increase of 20% + 2). The upper limit of normal determined by the manufacturer is 11.4 ng/mL; however, this boundary has been the subject of debate. According to ECNM and AIM experts, the normal range of baseline tryptase should be 1 to 15 ng/mL. A genetic trait, hereditary alpha tryptasemia, characterized by an increased alpha coding TPSAB1 copy number is associated with a baseline value above 8 ng/mL. Elevated tryptase can also be found in chronic kidney disease, obesity, and hematological neoplasms. A tryptase > 20 ng/mL serves as a minor criterion to diagnose systemic mastocytosis and an increase in tryptase > 20% + 2 during an acute event is a required criterion in the diagnosis of mast cell activation syndrome. The goal of this review is to demonstrate the (in)significance of tryptase using some clinical vignettes and to provide a practical guide on how to manage and interpret an elevated tryptase level. [ABSTRACT FROM AUTHOR]

Environmental sustainability is a relevant challenge for companies, and employees' perceptions of the advantages of ecological innovation, or eco-innovation, introduced by the company represent an important driver of organizational change adoption. This study examines if employees' environmental concerns, considered as a general attitude and a value orientation, are related to the perception of the advantages of eco-innovation. Building on climate literature, it also investigates if the climate of support for innovation moderates that relationship. A cross-sectional study was conducted with 130 Italian workers. A confirmatory factor analysis and a moderation model were tested. Results show a significant positive relationship between employees' environmental concern and perceived benefits of eco-innovation. Intriguingly, the climate of support for innovation negatively, instead of positively, moderated this relationship. Results suggest that in order to increase the perception of the benefits of the introduced eco-innovations, organizations should consider the whole set of innovations undertaken and address, especially to very concerned and value oriented employees, the unique environmental benefits of those innovations. [ABSTRACT FROM AUTHOR]

In recent years, owing to intense urbanization and global change with the consequent extreme climate effects, interest in green roofs, even extensive ones, in the Mediterranean environment has increased. To this end, the choice of plant species is crucial because, owing to the identification of the most suitable plants, it will be possible to expand this type of green infrastructure and increase its ecosystem services in the urban environment. In this context, the objective of the review, through a critical analysis of some of the references on the topic, is to identify suitable criteria for plant species selection that are simple to apply and able to respond to the need to have plants capable of surviving, ensuring a suitable aesthetic effect, and providing essential ecosystem services. We also investigated whether, and to what extent, associations of different species can better adapt to the difficult environmental conditions of Mediterranean green roofs. Two possible strategies to identify the plant idiotype were analyzed: the analysis of plants present in habitat analogues or the identification of morpho-functional characters capable of discriminating the response to abiotic stress, and in particular to drought stress. The use of plant communities, rather than a single species, seems capable of improving aesthetic effects, plant survival, and ecosystem services. [ABSTRACT FROM AUTHOR]

Featured Application: Multifunctional protective layer for fiber reinforced composites. In the aerospace sector, structural and non-structural composite components are usually subjected to a wide range of environmental conditions. Among all, moisture can seriously damage these materials' performance, reducing their mechanical, thermal, electrical, and physical properties as well as their service time. Lightweight protective barrier coatings capable of reducing the diffusion of gases and/or liquids in a material can improve the material's resistance in humid environments. In this work, nanolamellar nanocomposites characterized by a high in-plane orientation of nanoplatelets have been employed as protective coatings for Kevlar sandwich panels, reproducing the construction of a nacelle engine. The effectiveness of the protection against water uptake of nanocomposites reinforced with graphite nanoplatelets (GNPs) at high filler contents (70, 80 and 90 wt%) has been investigated using moisture uptake and Ground-Air-Ground (GAG) tests in an environmental chamber. GNP coatings effectively work as barrier by generating highly tortuous paths for molecule diffusion. Results showed a dependence of the absorption on the coating composition and inner structure. Films @70 wt% GNPs showed the best protection against moisture uptake by delaying the phenomenon and reducing the absorption by −80% after 3 days and −35% after 41 days. [ABSTRACT FROM AUTHOR]

The rapid evolution of the Internet of Everything (IoE) has significantly enhanced global connectivity and multimedia content sharing, simultaneously escalating the unauthorized distribution of multimedia content, posing risks to intellectual property rights. In 2022 alone, about 130 billion accesses to potentially non-compliant websites were recorded, underscoring the challenges for industries reliant on copyright-protected assets. Amidst prevailing uncertainties and the need for technical and AI-integrated solutions, this study introduces two pivotal contributions. First, it establishes a novel taxonomy aimed at safeguarding and identifying IoE-based content infringements. Second, it proposes an innovative architecture combining IoE components with automated sensors to compile a dataset reflective of potential copyright breaches. This dataset is analyzed using a Bidirectional Encoder Representations from Transformers-based advanced Natural Language Processing (NLP) algorithm, further fine-tuned by a dense neural network (DNN), achieving a remarkable 98.71% accuracy in pinpointing websites that violate copyright. [ABSTRACT FROM AUTHOR]

Estuaries are excellent environments for identifying pollution episodes that have affected river basins, as their sediments are the final destination of some of the pollutants. This paper studies the geochemical evolution of five elements (As, Co, Cu, Pb, Zn) in a core extracted from the middle estuary of the Tinto River (SW Spain). The results are based on facies interpretation, ICP atomic emission spectrometry analysis, the application of a regional background to obtain the geoaccumulation index and dating. The main objective of this communication is the detection of natural or anthropogenic pollution episodes in the middle estuary of the Tinto River (SW Spain). Four pollution episodes have been detected: (1) ~5.8 cal. kyr BP, probably caused by natural acid rock drainage processes derived from the oxidation of the Iberian Pyritic Belt deposits found in its drainage basin; (2) 4.7–4.5 kyr BP, coming from the first mining activities and characterized by a significant increase in the concentrations of the five elements analyzed; (3) 1850–1960 interval, coinciding with intensive mining and characterized by increasing values of As and, to a lesser extent, Pb (intensive mining); and (4) the second half of the 20th century, with high element concentrations from mining and industrial effluents. All episodes show an increase in their geochemical classes deduced from the geoaccumulation index. This communication can serve as an example for assessing the impact of different types of pollution in estuarine environments. [ABSTRACT FROM AUTHOR]

The crystal structure determination of metal complexes of curcuminoids is a relevant topic to assess their unequivocal molecular structure. We report herein the first two X-ray crystal structures of homoleptic metal complexes of a curcuminoid, namely Dimethoxycurcumin (DiMeOC), with gallium and indium. Such successful achievement can be attributed to the suppression of interactions from the phenolic groups, which favor an appropriate molecular setup, rendering Dimethoxycurcumin gallium ((DiMeOC)2-Ga) and Dimethoxycurcumin indium ((DiMeOC)3-In) crystals. Surprisingly, the conformation of ligands in the crystal structures shows differences in each metal complex. Thus, the ligands in the (DiMeOC)2-Ga complex show two different conformers in the two molecules of the asymmetric unit. However, the ligands in the (DiMeOC)3-In complex exhibit three different conformations within the same molecule of the asymmetric unit, constituting the first such case described for an ML3 complex. The cytotoxic activity of the (DiMeOC)2-Ga complex is 4-fold higher than cisplatin against the K562 cell line and has comparable activity towards U251 and PC-3 cell lines. Interestingly, this complex exhibit three times lesser toxicity than cisplatin and even slightly lesser cytotoxicity than curcumin itself. [ABSTRACT FROM AUTHOR]

Recent phylogenetic studies have unveiled a novel class of ascorbate peroxidases called "ascorbate peroxidase-related" (APX-R). These enzymes, found in green photosynthetic eukaryotes, lack the amino acids necessary for ascorbate binding. This study focuses on the sole APX-R from Chlamydomonas reinhardtii referred to as ascorbate peroxidase 2 (APX2). We used immunoblotting to locate APX2 within the chloroplasts and in silico analysis to identify key structural motifs, such as the twin-arginine transport (TAT) motif for lumen translocation and the metal-binding MxxM motif. We also successfully expressed recombinant APX2 in Escherichia coli. Our in vitro results showed that the peroxidase activity of APX2 was detected with guaiacol but not with ascorbate as an electron donor. Furthermore, APX2 can bind both copper and heme, as evidenced by spectroscopic, and fluorescence experiments. These findings suggest a potential interaction between APX2 and plastocyanin, the primary copper-containing enzyme within the thylakoid lumen of the chloroplasts. Predictions from structural models and evidence from 1H-NMR experiments suggest a potential interaction between APX2 and plastocyanin, emphasizing the influence of APX2 on the copper-binding abilities of plastocyanin. In summary, our results propose a significant role for APX2 as a regulator in copper transfer to plastocyanin. This study sheds light on the unique properties of APX-R enzymes and their potential contributions to the complex processes of photosynthesis in green algae. [ABSTRACT FROM AUTHOR]

To aid the possible prevention of multidrug resistance in tumors and cause lower toxicity, a set of sixteen novel dihydropyridine carboxylic acids derivatives 3a–p were produced; thus, the activation of various ynones with triflic anhydride was performed, involving a nucleophilic addition of several bis(trimethylsilyl) ketene acetals, achieving good yields requiring easy workup. The target molecules were unequivocally characterized by common spectroscopic methods. In addition, two of the tested compounds (3a, and 3b) were selected to perform in silico studies due to the highest cytotoxic activity towards the HCT-15 cell line (7.94 ± 1.6 μM and 9.24 ± 0.9 μM, respectively). Employing theoretical calculations with density functional theory (DFT) using the B3LYP/6-311++G(d,p) showed that the molecular parameters correlate adequately with the experimental results. In contrast, predictions employing Osiris Property Explorer showed that compounds 3a and 3b present physicochemical characteristics that would likely make it an orally active drug. Moreover, the performance of Docking studies with proteins related to the apoptosis pathway allowed a proposal of which compounds could interact with PARP-1 protein. Pondering the obtained results (synthesis, in silico, and cytotoxic activity) of the target compounds, they can be judged as suitable antineoplastic agent candidates. [ABSTRACT FROM AUTHOR]

Introduction: In the last decade, healthcare for the transgender population has increased considerably in many countries thanks to depathologization movements and the easier accessibility of medical assistance. The age at which they request to start gender-affirming hormones (GAHs) is increasingly younger. The cardiovascular risk associated with hormonal treatment is a novel research field, and the published studies are heterogeneous and inconclusive. Our objective is to determine the metabolic impact of GAHs in the transgender people treated in our Gender Identity Treatment Unit. Methods: We designed a pre–post study to analyze changes in anthropometric parameters (weight and body mass index), analytical determinations (fasting blood glucose, glycated hemoglobin, and lipoproteins), and blood pressure control in the transgender population treated with GAHs in Puerta del Mar University Hospital. These variables were collected before and one year after hormonal therapy. Results: A total of 227 transgender people were recruited between 2017 and 2020, 97 (40.09%) transwomen and 136 (59.91%) transmen. The average age at which GAHs began was 18 years. Weight, body mass index, and blood pressure increased significantly in both genders. Transmen showed a more atherogenic lipid profile, with a decrease in cholesterol LDL (p < 0.001) and an increase in triglycerides (p < 0.001). The risk of developing prediabetes or diabetes did not increase one year after treatment, although non-specific alterations in carbohydrate metabolism were detected, such as an increase in glycated hemoglobin in transmen (p = 0.040) and fasting blood glucose in transwomen (p = 0.008). No thromboembolic processes or cardiovascular events were reported during the first year of treatment. Conclusion: In our setting, transgender people developed changes in their metabolic profiles in the first year after hormonal treatment. Both transmen and transwomen showed early alterations in lipid and carbohydrate metabolism, slight elevations in blood pressure, and a tendency to gain weight. This makes lifestyle interventions necessary from the beginning of GAHs. [ABSTRACT FROM AUTHOR]

Global market developments of wooden pellets have led to an increased attention towards pellet quality. ISO 17829 defines the procedure to assess pellets' geometrical parameters, which play a key role in pellet overall quality. For instance, pellet length influences the spatial arrangement within the stove brazier, affecting the interaction between combustion air and solid biofuel, thus affecting CO emissions. The ISO 17829 method is time-consuming and affected by the operator's accuracy. Recent studies have investigated the application of new methods, such as image processing, for monitoring the aforementioned parameter. While also assessing the representativeness of ISO 17829's method, this paper proposes an alternative measuring tool based on image processing named Pellet Length Detector (PLD). Samples were obtained from Italian pellet suppliers and subjected to a multiple dimensional analysis via PLD and caliper. The PLD's overall performance led to satisfactory results, with only 10% of the samples having a bias between replicates of >2 mm. Compared to caliper, PLD led to an average bias of 0.5 mm. Moreover, a one-way ANOVA highlighted that increasing the sample size between caliper and PLD leads to a greater statistical similarity of the data obtained for different replicates. Given the prototype status of the device, a further performance upgrade is possible, especially through error modeling. [ABSTRACT FROM AUTHOR]

SARS-CoV-2 infection and its resulting sequelae have increased the prevalence of people with respiratory symptoms, with impacts on functional capacity, quality of life, anxiety, depression, and mental health. To mitigate this problem, one challenge has been the design and implementation of interventions that simultaneously allow for education, rehabilitation, and monitoring of people with long COVID, at a time when health services were on the verge of rupture due to the volume of people with active COVID and in need of intensive care. Telerehabilitation emerged as a mode for providing rehabilitative care that brought professionals closer to patients and enabled continuity of care. The present study aimed to evaluate the results of a telerehabilitation intervention for people with injuries associated with SARS-CoV-2 infection in hospital-community transitions, considering their degree of dependence in performing activities of daily living, respiratory symptoms, fatigue, gait capacity, muscle strength, and experience with anxiety and depression. A pre-post study with a non-equivalent control group was carried out with a total of 49 participants (intervention group n = 24; control group n = 25). The post-intervention results showed an increase in saturation, a decrease in heart rate, an improvement in the impact of post-COVID functionality, a decrease in fatigue, a decrease in perceived effort, and a decrease in depressive and anxiety symptoms. The telerehabilitation intervention, which combined educational strategies with respiratory and motor rehabilitation, helped improve global functionality and self-care, with clinical and functional impacts. [ABSTRACT FROM AUTHOR]