Search

Abstract Moisture-capturing materials can enable potentially game-changing energy-water technologies such as atmospheric water production, heat storage, and passive cooling. Hydrogel composites recently emerged as outstanding moisture-capturing materials due to their low cost, high affinity for humidity, and design versatility. Despite extensive efforts to experimentally explore the large design space of hydrogels for high-performance moisture capture, there is a critical knowledge gap on our understanding behind the moisture-capture properties of these materials. This missing understanding hinders the fast development of novel hydrogels, material performance enhancements, and device-level optimization. In this work, we combine synthesis and characterization of hydrogel-salt composites to develop and validate a theoretical description that bridges this knowledge gap. Starting from a thermodynamic description of hydrogel-salt composites, we develop models that accurately capture experimentally measured moisture uptakes and sorption enthalpies. We also develop mass transport models that precisely reproduce the dynamic absorption and desorption of moisture into hydrogel-salt composites. Altogether, these results demonstrate the main variables that dominate moisture-capturing properties, showing a negligible role of the polymer in the material performance under all considered cases. Our insights guide the synthesis of next-generation humidity-capturing hydrogels and enable their system-level optimization in ways previously unattainable for critical water-energy applications.

Abstract Purpose The objective is to suggest time as an important variable to consider in the network model, specifically when discussing causality. Methods There is a consideration of the context of functional connectivity because of the time importance of observing the feature inside the neuroscience context. A network model was constructed using the Bayesian network method, utilizing a dataset consisting of three rats’ local field potentials. The model took into consideration the time delay of communication among brain areas, as recorded in this study. In pursuit of this objective, the delayed mutual information method was employed to ascertain the temporal delay between local field potentials and K2 score for the purpose of model comparison. Results Bayesian network depicted the probabilistic relationship among rat’s brain areas. Delayed mutual information captured the lag among brain areas, and after its appliance on the Bayesian network model, posed better results. Conclusion The primary novelty of this research lies in its integration of minor delays within the Bayesian network approach, accomplished through the utilization of the delayed mutual information technique prior to its implementation. The suggested methodology incorporates an essential feature that supports the analysis of functional connectivity among brain areas, thereby providing support for the dynamics of neurophysiology.

Abstract Background Polygenic risk scores (PRS) derived from European individuals have reduced portability across global populations, limiting their clinical implementation at worldwide scale. Here, we investigate the performance of a wide range of PRS models across four ancestry groups (Africans, Europeans, East Asians, and South Asians) for 14 conditions of high-medical interest. Methods To select the best-performing model per trait, we first compared PRS performances for publicly available scores, and constructed new models using different methods (LDpred2, PRS-CSx and SNPnet). We used 285 K European individuals from the UK Biobank (UKBB) for training and 18 K, including diverse ancestries, for testing. We then evaluated PRS portability for the best models in Europeans and compared their accuracies with respect to the best PRS per ancestry. Finally, we validated the selected PRS models using an independent set of 8,417 individuals from Biobank of the Americas-Genomelink (BbofA-GL); and performed a PRS-Phewas. Results We confirmed a decay in PRS performances relative to Europeans when the evaluation was conducted using the best-PRS model for Europeans (51.3% for South Asians, 46.6% for East Asians and 39.4% for Africans). We observed an improvement in the PRS performances when specifically selecting ancestry specific PRS models (phenotype variance increase: 1.62 for Africans, 1.40 for South Asians and 0.96 for East Asians). Additionally, when we selected the optimal model conditional on ancestry for CAD, HDL-C and LDL-C, hypertension, hypothyroidism and T2D, PRS performance for studied populations was more comparable to what was observed in Europeans. Finally, we were able to independently validate tested models for Europeans, and conducted a PRS-Phewas, identifying cross-trait interplay between cardiometabolic conditions, and between immune-mediated components. Conclusion Our work comprehensively evaluated PRS accuracy across a wide range of phenotypes, reducing the uncertainty with respect to which PRS model to choose and in which ancestry group. This evaluation has let us identify specific conditions where implementing risk-prioritization strategies could have practical utility across diverse ancestral groups, contributing to democratizing the implementation of PRS.

Abstract One major limitation of effective vaccine delivery is its dependency on a robust cold chain infrastructure. While Vesicular stomatitis virus (VSV) has been demonstrated to be an effective viral vaccine vector for diseases including Ebola, its −70 °C storage requirement is a significant limitation for accessing disadvantaged locations and populations. Previous work has shown thermal stabilization of viral vaccines with a combination of pullulan and trehalose (PT) dried films. To improve the thermal stability of VSV, we optimized PT formulation concentrations and components, as well as drying methodology with enhanced vacuum drying. When formulated in PT films, VSV can be stored for 32 weeks at 4 °C with less than 2 log PFU loss, at 25 °C with 2.5 log PFU loss, and at 37 °C with 3.1 log PFU loss. These results demonstrate a significant advancement in VSV thermal stabilization, decreasing the cold chain requirements for VSV vectored vaccines.

Abstract As bacteriophages continue to gain regulatory approval for personalized human therapy against antibiotic-resistant infections, there is a need for transformative technologies for rapid target identification through multiple, large, decentralized therapeutic phages biobanks. Here, we design a high throughput phage screening platform comprised of a portable library of individual shelf-stable, ready-to-use phages, in all-inclusive solid tablets. Each tablet encapsulates one phage along with luciferin and luciferase enzyme stabilized in a sugar matrix comprised of pullulan and trehalose capable of directly detecting phage-mediated adenosine triphosphate (ATP) release through ATP bioluminescence reaction upon bacterial cell burst. The tablet composition also enhances desiccation tolerance of all components, which should allow easier and cheaper international transportation of phages and as a result, increased accessibility to therapeutic phages. We demonstrate high throughput screening by identifying target phages for select multidrug-resistant clinical isolates of Pseudomonas aeruginosa, Salmonella enterica, Escherichia coli, and Staphylococcus aureus with targets identified within 30-120 min.

Abstract Metabolite extraction is the critical first-step in metabolomics experiments, where it is generally regarded to inactivate and remove proteins. Here, arising from efforts to improve extraction conditions for polar metabolomics, we discover a proteomic landscape of over 1000 proteins within metabolite extracts. This is a ubiquitous feature across several common extraction and sample types. By combining post-resuspension stable isotope addition and enzyme inhibitors, we demonstrate in-extract metabolite interconversions due to residual transaminase activity. We extend these findings with untargeted metabolomics where we observe extensive protein-mediated metabolite changes, including in-extract formation of glutamate dipeptide and depletion of total glutathione. Finally, we present a simple extraction workflow that integrates 3 kDa filtration for protein removal as a superior method for polar metabolomics. In this work, we uncover a previously unrecognized, protein-mediated source of observer effects in metabolomics experiments with broad-reaching implications across all research fields using metabolomics and molecular metabolism.

The COVID-19 pandemic enabled a natural experiment examining how spectator absence impacted home advantage in football. This systematic review analysed research characterizing home advantage dynamics with no fans present across diverse leagues worldwide. The aim was assessing the profile, trends, methodologies, procedures, and developments in this emerging field. Searches in specialized databases identified 50 relevant studies following PRISMA guidelines. These works were systematically assessed to extract key details related to design, country, competition level, analytic approach, performance variables, and home advantage findings. Overall methodological quality was categorized as excellent. Most research occurred in top European men's leagues, with limited attention to other levels. Predictive (58%) and descriptive (36%) investigations predominated, chiefly utilizing regression and group comparisons. Points, goals, cards, and result were the primary metrics. Results demonstrated home advantage decreases without spectators in most leagues, conforming to social facilitation theories stipulating performance declines minus audience encouragement. Additional research is warranted across female competitions, youth categories, amateur settings, and knockout tournament stages. Maintaining methodological rigor while expanding domains will solidify understanding of this intricate phenomenon to guide teams performing both home and away.

Abstract The precise neural mechanisms within the brain that contribute to the remarkable lifetime persistence of memory are not fully understood. Two-photon calcium imaging allows the activity of individual cells to be followed across long periods, but conventional approaches require head-fixation, which limits the type of behavior that can be studied. We present a magnetic voluntary head-fixation system that provides stable optical access to the brain during complex behavior. Compared to previous systems that used mechanical restraint, there are no moving parts and animals can engage and disengage entirely at will. This system is failsafe, easy for animals to use and reliable enough to allow long-term experiments to be routinely performed. Animals completed hundreds of trials per session of an odor discrimination task that required 2–4 s fixations. Together with a reflectance fluorescence collection scheme that increases two-photon signal and a transgenic Thy1-GCaMP6f rat line, we are able to reliably image the cellular activity in the hippocampus during behavior over long periods (median 6 months), allowing us track the same neurons over a large fraction of animals’ lives (up to 19 months).

Background: Coronary plaque is common among people with HIV (PWH) with low-to-moderate traditional atherosclerotic cardiovascular disease (ASCVD) risk. Objectives: The purpose of this study was to determine the association of high-sensitivity cardiac troponin T (hs-cTnT) levels with coronary plaque characteristics and evaluate if hs-cTnT improves identification of these features beyond traditional ASCVD risk factors among PWH. Methods: Among PWH receiving stable antiretroviral therapy with low-to-moderate ASCVD risk and no known history of ASCVD, hs-cTnT levels and measures of plaque by coronary computed tomography angiography were assessed. Primary outcomes included the association of hs-cTnT level with the presence of any plaque, vulnerable plaque, coronary artery calcium (CAC) score, and Leaman score. Assessment of model discrimination of hs-cTnT for plaque characteristics was also performed. Results: The cohort included 708 U.S. participants with a mean age of 51 ± 6 years, 119 (17%) females, a median ASCVD risk score of 4.4% (Q1-Q3: 2.5%-6.6%), and a median hs-cTnT level of 6.7 ng/L (detectable level ≥6 ng/L in 61%). Any plaque was present in 341 (48%), vulnerable plaque in 155 (22%), CAC>100 in 68 (10%), and a Leaman score >5 in 105 (15%). After adjustment for ASCVD risk score, participants with hs-cTnT >9.6 ng/L (highest category) versus an undetectable level (100 (2.58, 95% CI: 1.37-4.83), and Leaman score >5 (2.13, 95% CI: 1.32-3.46). The addition of hs-cTnT level modestly improved the discrimination of ASCVD risk score to identify critical plaque features. Conclusions: In PWH without known ASCVD, hs-cTnT levels were strongly associated with and improved prediction of subclinical coronary plaque. (Evaluating the Use of Pitavastatin to Reduce the Risk of Cardiovascular Disease in HIV-Infected Adults [REPRIEVE]; NCT02344290)

In this study, the sizing problem of hybrid diesel–photovoltaic–battery systems was determined using a particle swarm optimization approach. The goal was to optimize the number of solar panels and batteries that could be installed to reduce the overall cost of an isolated grid system, originally powered by diesel generators, located on Isabela Island in the Galapagos, Ecuador. In this study, real solar radiation and temperature profiles were used, as well as the load demand and electrical distribution system relative to this island. The results reveal that the total cost for the proposed approach is lower as it reaches the global optimal solution. It also highlights the advantage of a hybrid diesel–photovoltaic–battery (DG-PV-BAT) system compared to conventional systems operated exclusively by diesel generators (DGs) and systems made up of DGs and PV panels; compared to them, a reduction in diesel consumption and total cost (71% and 56%, respectively) is achieved. The DG-PV-BAT system also considerably improves environmental factors and the quality of the power line. This study demonstrates the advantages of hybridizing systems isolated from the network through the proposed approach.

Abstract With both foodborne illness and food spoilage detrimentally impacting human health and the economy, there is growing interest in the development of in situ sensors that offer real-time monitoring of food quality within enclosed food packages. While oligonucleotide-based fluorescent sensors have illustrated significant promise, the development of such on-food sensors requires consideration towards sensing-relevant fluorescence properties of target food products—information that has not yet been reported. To address this need, comprehensive fluorescence profiles for various contamination-prone food products are established in this study across several wavelengths and timepoints. The intensity of these food backgrounds is further contextualized to biomolecule-mediated sensing using overlaid fluorescent oligonucleotide arrays, which offer perspective towards the viability of distinct wavelengths and fluorophores for in situ food monitoring. Results show that biosensing in the Cyanine3 range is optimal for all tested foods, with the Cyanine5 range offering comparable performance with meat products specifically. Moreover, recognizing that mass fabrication of on-food sensors requires rapid and simple deposition of sensing agents onto packaging substrates, RNA-cleaving fluorescent nucleic acid probes are successfully deposited via microcontact printing for the first time. Direct incorporation onto food packaging yields cost-effective sensors with performance comparable to ones produced using conventional deposition strategies.

Abstract Europe imports large amounts of soybean that are predominantly used for livestock feed, mainly sourced from Brazil, USA and Argentina. In addition, the demand for GM-free soybean for human consumption is project to increase. Soybean has higher protein quality and digestibility than other legumes, along with high concentrations of isoflavones, phytosterols and minerals that enhance the nutritional value as a human food ingredient. Here, we examine the potential to increase soybean production across Europe for livestock feed and direct human consumption, and review possible effects on the environment and human health. Simulations and field data indicate rainfed soybean yields of 3.1 ± 1.2 t ha−1 from southern UK through to southern Europe (compared to a 3.5 t ha−1 average from North America). Drought-prone southern regions and cooler northern regions require breeding to incorporate stress-tolerance traits. Literature synthesized in this work evidenced soybean properties important to human nutrition, health, and traits related to food processing compared to alternative protein sources. While acknowledging the uncertainties inherent in any modelling exercise, our findings suggest that further integrating soybean into European agriculture could reduce GHG emissions by 37–291 Mt CO2e year−1 and fertiliser N use by 0.6–1.2 Mt year−1, concurrently improving human health and nutrition.

Abstract The application of natural deep eutectic solvents (NADES) in the pharmaceutical, agricultural, and food industries represents one of the fastest growing fields of green chemistry, as these mixtures can potentially replace traditional organic solvents. These advances are, however, limited by the development of new NADES which is today, almost exclusively empirically driven and often derivative from known mixtures. To overcome this limitation, we propose the use of a transformer-based machine learning approach. Here, the transformer-based neural network model was first pre-trained to recognize chemical patterns from SMILES representations (unlabeled general chemical data) and then fine-tuned to recognize the patterns in strings that lead to the formation of either stable NADES or simple mixtures of compounds not leading to the formation of stable NADES (binary classification). Because this strategy was adapted from language learning, it allows the use of relatively small datasets and relatively low computational resources. The resulting algorithm is capable of predicting the formation of multiple new stable eutectic mixtures (n = 337) from a general database of natural compounds. More importantly, the system is also able to predict the components and molar ratios needed to render NADES with new molecules (not present in the training database), an aspect that was validated using previously reported NADES as well as by developing multiple novel solvents containing ibuprofen. We believe this strategy has the potential to transform the screening process for NADES as well as the pharmaceutical industry, streamlining the use of bioactive compounds as functional components of liquid formulations, rather than simple solutes.

Introduction and Objectives: Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease worldwide and can progress to non-alcoholic steatohepatitis (NASH) and, ultimately, cirrhosis. Clostridioides difficile is the most common nosocomial cause of diarrhea and is associated with worse clinical outcomes in other liver diseases, including cirrhosis, but has not been extensively evaluated in concomitant NAFLD/NASH. Materials and Methods: We conducted a retrospective cohort study using the National Inpatient Sample database from 2015 to 2017. Patients with a diagnosis of CDI, NAFLD, and NASH were identified using International Classification of Diseases (Tenth Revision) codes. The outcomes of our study include length of stay, hospitalization cost, mortality, and predictors of mortality. Results: The CDI and NASH cohort had a higher degree of comorbidity burden and prevalence of peptic ulcer disease, congestive heart failure, diabetes mellitus, and cirrhosis. Patients with NASH and CDI had a significantly higher mortality rate compared to the CDI only cohort (mortality, 7.11 % vs. 6.36 %; P = 0.042). Patients with CDI and NASH were at increased risk for liver-related complications, acute kidney injury, and septic shock (P < 0.001) compared to patients with CDI only. Older age, intestinal complications, pneumonia, sepsis and septic shock, and liver failure conferred an increased risk of mortality among the CDI and NASH cohort. Conclusions: Patients with NASH had a higher rate of liver-related complications, progression to septic shock, and mortality rate following CDI infection compared to the CDI only cohort.

BackgroundMultiple Sclerosis (MS) is a common neurological disease among white populations of European origin. Frequencies among Latin Americans continue to be studied, however, epidemiologic, and clinical characterization studies lack from Central American and Caribbean countries. Ethnicity in these countries is uniformly similar with a prevalent Mestizo population.Methods and resultsData from January 2014 to December 2019 from Guatemala, El Salvador, Honduras, Nicaragua, Costa Rica, Panama, Dominican Republic, and Aruba on demographic, clinical, MRI and phenotypic traits were determined in coordinated studies: ENHANCE, a population-based, retrospective, observational study on incidence and clinical characteristics, and from the subgroup with MS national registries (Aruba, Dominican Republic, Honduras, and Panama), data on prevalence, phenotypes and demographics. Expanded Disability Status Scale (EDSS), and therapeutic schemes were included. ENHANCE data from 758 patients disclosed 79.8% of Mestizo ethnicity; 72.4% female; median age at onset 31.0 years and 33.2 at diagnosis. The highest incidence rate was from Aruba, 2.3–3.5 × 100,000 inhabitants, and the lowest, 0.07–0.15 × 100,000, from Honduras. Crude prevalence rates per 100,000 inhabitants fluctuated from 27.3 (Aruba) to 1.0 (Honduras). Relapsing MS accounted for 87.4% of cases; EDSS

Summary: Recent studies have implicated a crucial role of Hippo signaling in cell fate determination by biomechanical signals. Here we show that mechanical loading triggers the activation of a Hippo-PKCζ-NFκB pathway in chondrocytes, resulting in the expression of NFκB target genes associated with inflammation and matrix degradation. Mechanistically, mechanical loading activates an atypical PKC, PKCζ, which phosphorylates NFκB p65 at Serine 536, stimulating its transcriptional activation. This mechanosensitive activation of PKCζ and NFκB p65 is impeded in cells with gene deletion or chemical inhibition of Hippo core kinases LATS1/2, signifying an essential role of Hippo signaling in this mechanotransduction. A PKC inhibitor AEB-071 or PKCζ knockdown prevents p65 Serine 536 phosphorylation. Our study uncovers that the interplay of the Hippo signaling, PKCζ, and NFκB in response to mechanical loading serves as a therapeutic target for knee osteoarthritis and other conditions resulting from mechanical overloading or Hippo signaling deficiencies.

Principal component analysis (PCA) has been widely employed for dimensionality reduction prior to multivariate pattern classification (decoding) in EEG research. The goal of the present study was to provide an evaluation of the effectiveness of PCA on decoding accuracy (using support vector machines) across a broad range of experimental paradigms. We evaluated several different PCA variations, including group-based and subject-based component decomposition and the application of Varimax rotation or no rotation. We also varied the numbers of PCs that were retained for the decoding analysis. We evaluated the resulting decoding accuracy for seven common event-related potential components (N170, mismatch negativity, N2pc, P3b, N400, lateralized readiness potential, and error-related negativity). We also examined more challenging decoding tasks, including decoding of face identity, facial expression, stimulus location, and stimulus orientation. The datasets also varied in the number and density of electrode sites. Our findings indicated that none of the PCA approaches consistently improved decoding performance related to no PCA, and the application of PCA frequently reduced decoding performance. Researchers should therefore be cautious about using PCA prior to decoding EEG data from similar experimental paradigms, populations, and recording setups.

Abstract This study is the first to apply training impulse (TRIMP) and Training Monotony (TM) methodologies, within the realm of sport science, in animal model studies. Rats were divided into Sedentary (SED, n=10) and Training (TR, n=13). TR performed a four-week moderate-intensity interval training with load progression. Lactate kinetics, lactate training impulse (TRIMPLac), maximal speed training impulse (TRIMPSmax) and TM were utilized to develop and monitor training protocol. TR showed an 11.9% increase in time to exhaustion at the second maximum incremental test and a 17.5% increase at the third test. External work was increased by 17.8% at the second test and 30.3% at the third. There was a 10.6% increase in external work at the third test compared to the second for TR. No difference in TRIMPLac between the 1st week (94±9 A.U) and 3rdweek (83±10 A.U) were seen. TRIMPSmax was 2400 A.U. in the 1st week, 2760 A.U. in the 2nd and 3rd weeks, and 3120 A.U. in the 4th week. The TM remained at 1.24 A.U throughout the protocol and there was no dropouts. TRIMPLac and TRIMPSmax contributed to the development and monitoring loads, demonstrating their potential to improve the accuracy of training protocols in animal model research.

Abstract Trial history biases and lapses are two of the most common suboptimalities observed during perceptual decision-making. These suboptimalities are routinely assumed to arise from distinct processes. However, previous work has suggested that they covary in their prevalence and that their proposed neural substrates overlap. Here we demonstrate that during decision-making, history biases and apparent lapses can both arise from a common cognitive process that is optimal under mistaken beliefs that the world is changing i.e. nonstationary. This corresponds to an accumulation-to-bound model with history-dependent updates to the initial state of the accumulator. We test our model’s predictions about the relative prevalence of history biases and lapses, and show that they are robustly borne out in two distinct decision-making datasets of male rats, including data from a novel reaction time task. Our model improves the ability to precisely predict decision-making dynamics within and across trials, by positing a process through which agents can generate quasi-stochastic choices.

Los telares constituyen uno de los principales instrumentos para la producción textil en la Antigüedad. No obstante, su localización en el registro arqueológico es escasa y limitada. Los telares verticales de pesas son la tipología más conocida, pero no la única. Excepcionalmente, se encuentran en el registro arqueológico evidencias materiales de telares de bandas para el desarrollo de estrechas cenefas que, por lo general, presentan ricas decoraciones. Una de las principales problemáticas ha sido la identificación de estas piezas, la definición de su funcionalidad textil y la confusión existente entre los distintos tipos de telares de bandas. En consecuencia, no solo son difíciles de encontrar arqueológicamente, sino que a menudo no han sido reconocidas como instrumental textil. En este trabajo, aportamos un acercamiento a la tecnología de los telares de bandas en Hispania a partir de un nuevo hallazgo: un telar de rejilla o lizo de marco procedente de un contexto funerario recientemente intervenido en Augusta Emerita (Mérida, Badajoz). Además del análisis de la pieza, planteamos un estudio contextual que permita hacer apreciaciones cronológicas. A ello se le une el estudio antropológico del difunto varón. Esto nos ayuda a plantear y discutir interesantes apreciaciones de género respecto a la configuración social del artesanado textil. Del mismo modo, recogemos un estado actual de la cuestión sobre la tecnología del telar de lizo de marco gracias a una revisión de todas las evidencias encontradas hasta la fecha a lo largo del Imperio. Con este artículo, esperamos ahondar en este tipo de tecnologías textiles, visibilizarlas y dar a conocer su materialización en el registro arqueológico.

Chronic hepatitis B virus (HBV) infection affects about 262 million people worldwide, leading to over 820,000 deaths each year primarily due to cirrhosis and hepatocellular carcinoma. The World Health Organization has pledged to eliminate HBV as a health threat by 2030, but currently, no countries are on track to achieve this goal. One of the barriers to HBV elimination is stigma, causing shame, denial, self-isolation, self-rejection, and depression leading to those with chronic HBV less likely to get tested or seek treatment and more likely to conceal their infection. Other barriers include limited access to care and complicated and restrictive clinical practice guidelines. Increasing public and political efforts are necessary to raise awareness, increase access to care, and change screening and treatment guidelines. The current guidance of the American Association for the Study of Liver Diseases (AASLD) recommends testing only if patients are considered at risk, but this has proven to be ineffective. We propose a simplified “test all and treat all” approach with a 5-line guideline for HBV infection. Universal screening and treatment of adults is cost-effective and can prevent transmission by effectively managing chronic HBV. All patients who are hepatitis B surface antigen (HBsAg) positive with detectable HBV-DNA should receive treatment until HBsAg is undetectable for 12 months, as HBV-DNA transmission via blood transfusion can occur even at low viral loads of 16 copies/mL, and mother-to-child transmission is still a risk even with passive-active immunoprophylaxis. Furthermore, clinical outcomes after HBsAg clearance are significantly better than the clinical outcomes of those who remain HBsAg positive.

Background/Purpose: To develop a prediction model for emergency medical technicians (EMTs) to identify trauma patients at high risk of deterioration to emergency medical service (EMS)-witnessed traumatic cardiac arrest (TCA) on the scene or en route. Methods: We developed a prediction model using the classical cross-validation method from the Pan-Asia Trauma Outcomes Study (PATOS) database from 1 January 2015 to 31 December 2020. Eligible patients aged ≥18 years were transported to the hospital by the EMS. The primary outcome (EMS-witnessed TCA) was defined based on changes in vital signs measured on the scene or en route. We included variables that were immediately measurable as potential predictors when EMTs arrived. An integer point value system was built using multivariable logistic regression. The area under the receiver operating characteristic (AUROC) curve and Hosmer-Lemeshow (HL) test were used to examine discrimination and calibration in the derivation and validation cohorts. Results: In total, 74,844 patients were eligible for database review. The model comprised five prehospital predictors: age 20/minute, pulse oximetry

The epidemiology of Hepatitis B virus (HBV) has drastically changed in recent decades due to public health initiatives, including universal infant vaccination programs,urbanization driving global travel, and migration patterns. Despite screening of pregnant women and newborns significantly reducing the rate of perinatal transmission in certain parts of the world, other, perhaps more uncommon, routes (e.g., parenteral) have led to outbreaks in specific areas affected by the opioid epidemic and injection drug use. Although our current understanding of the effect of genetic variants of HBV is lacking, we review current knowledge and patterns of genetic variants with geographical predominance, pathophysiology, and clinical manifestations. Serologic and molecular markers are used to screen, identify phase and activity of infection, and monitor response to antivirals and/or reactivation. This review will provide the most up-to-date summary of the epidemiology, transmission, genotype, replication, and current methods of screening to follow the various phases of HBV, including immunotolerance and reactivation.

This study determined the level of acceptability of the e-learning module in Seamanship 2A as well as its strengths and weaknesses. The respondents of this study were the 286 randomly chosen Bachelor of Science in Marine Transportation students who took up Seamanship 2A during the first semester of the school year 2021-2022 and five purposively chosen experts in the field of maritime education, Information and Communication Technology, and production of learning materials. This study utilized a two-part research instrument where the first part was a 30-item Likert-type questionnaire, while the second part consisted of two open-ended questions. It utilized a survey research design. The results show that the students and the experts found the e-learning module in Seamanship 2A to have high acceptability in general and in terms of appearance, learning activities, evaluation procedure, ease of use, and usefulness. According to students, the strengths of the e-learning module in Seamanship 2A were: accessible, convenient, easy to understand, informative, relevant, sufficient content, user-friendly, several varied sources available, self-paced, well-organized, efficient, and systematic. Meanwhile, its weaknesses include the need for internet access, incomprehensive discussion of the contents, unreliable/unstable site, lack of human interaction, lack of hands-on experience, difficulty in using the site, misaligned lesson content and quizzes, excessive screen time, and availability of gadgets. It is recommended that the e-learning module in Seamanship 2A may be improved based on its strengths and weaknesses. Future researchers may conduct similar studies on other subject areas, look into longitudinal research or determine the effectiveness of the e-learning module.Received: 12 October 2023 Accepted: 02 December 2023 Published: 12 December 2023

Abstract European-ancestry populations are recognized as stratified but not as admixed, implying that residual confounding by locus-specific ancestry can affect studies of association, polygenic adaptation, and polygenic risk scores. We integrate individual-level genome-wide data from ~19,000 European-ancestry individuals across 79 European populations and five European American cohorts. We generate a new reference panel that captures ancestral diversity missed by both the 1000 Genomes and Human Genome Diversity Projects. Both Europeans and European Americans are admixed at the subcontinental level, with admixture dates differing among subgroups of European Americans. After adjustment for both genome-wide and locus-specific ancestry, associations between a highly differentiated variant in LCT (rs4988235) and height or LDL-cholesterol were confirmed to be false positives whereas the association between LCT and body mass index was genuine. We provide formal evidence of subcontinental admixture in individuals with European ancestry, which, if not properly accounted for, can produce spurious results in genetic epidemiology studies.

Tropical dry forest (TDF) is an ecosystem with a pronounced seasonality and high animal diversity. It is threatened by a wide variety of anthropogenic activities such as human population growth, deforestation rate, tourism development, forest fires, overhunting, and wildlife trade. One of the strategies for this biodiversity conservation is the creation of Communal Natural Protected Areas (CNPA), which are poorly explored. The aim of this study was to supply an assessment of the avian diversity in the CNPA El Gavilán on the Central Coast of Oaxaca (Mexico) during two seasons (dry and rainy). Sampling has been carried out at two localities (named as Centre and Mountain) between November 2018 and September 2019, using a point count method. At each locality, we sampled one transect varying in length, but with five-point counts separated by a minimum of 200 m. We made monthly two visits per transect. Birds were counted from a fixed raising position within a circle of 50-m radius for a specific period (10 min.) at every point. In total, 85 species were recorded, which belong to 65 genera, 24 families, and 13 orders. The most representative order was Passeriformes with 53 species. Most species (83) were considered very rare, and two species (Aratinga canicularis and Calocitta formosa) were rare. Regarding the avian diversity, 0D, the Centre locality had 74 species (19 exclusive species), while the Mountain locality had 65 species (11 exclusive species). The dry season had a higher diversity (Hʹ = 3.44) than the rainy season (Hʹ= 3.41), but there were no significant differences (Hutcheson t = 0.365, d.f. = 1, p > 0.05). Eighty-two percent (70 species) were considered residents, 15.3% (13 species) were winter migrants, 1.2% (one species) were summer migrants, and 1.2% (one species) were transient. Of the total registered taxa, 50 species were principally insectivorous, 14 species were grain-frugivorous, eight species were omnivorous, six species were carnivorous, and six species were nectarivorous. The avifauna of CNPA El Gavilán shows that a marked effect does not exist in the species composition between seasons. Due to the species richness recorded and estimated there, the study area should be considered in conservation policies, particularly because this territory is under intense pressure due to changes in land use.

In this study, poly(HEMA-PEGxMEM-IA) hydrogels were prepared by radical copolymerization of poly(ethylene glycol) methyl ether methacrylate (PEGxMEM), 2-hydroxyethyl methacrylate (HEMA), and itaconic acid (IA). The reaction was carried out in ethanolic solution using N,N′-methylenebisacrylamide (MBA) as a crosslinking agent and 1-hydroxycyclohexyl phenyl ketone (HCPK) as a photo-initiator. The poly(HEMA-PEGxMEM-IA) hydrogels (HGx) were evaluated as a delivery system for ursolic acid (UA), a phytochemical extracted from the plant Clinopodium revolutum, “flor de arena”. The hydrogels were characterized by Fourier-transform infrared spectroscopy (FTIR-ATR), Raman spectroscopy, X-Ray diffraction (XRD), thermogravimetric analysis (TGA), and scanning electron microscopy (SEM). The swelling behavior was studied in buffer solutions from pH 2 to 10, specifically at pH 2.2 (gastric environment) and 7.4 (intestinal environment). It was found that the hydrogels studied showed sensitivity to pH. At pH 2.2, the degree of swelling for HG5 and HG9 hydrogels was 0.45 and 0.93 (g water/g hydrogel), respectively. At pH 7.4, the degree of swelling for HG5 and HG9 hydrogels was 1.97 and 2.64 (g water/g hydrogel), respectively. The SEM images show the variation in pore size as a function of pH, and the UA crystals in the pores of the hydrogels can also be observed. The in vitro UA release data best fit the Korsmeyer–Peppas kinetic model and the diffusion exponent indicates that the release mechanism is governed by Fickian diffusion.

IntroductionThe present study aims to determine whether anxiety due to COVID-19 (AC) and disposition to critical thinking (DCT) predict academic self-efficacy (AS).MethodThe study is non-experimental, predictive, and cross-sectional. The sample was made up of 218 university students from northern Peru. The instruments used were the CAS, CTDS, and the EAPESA.ResultsThe results showed that the AS was negatively and positively related to AC and DCT, respectively. AS in university students was significantly predicted by DCT (p 0.05).ConclusionDCT is a significant predictor of AS, while AC ins not. Strategies must be sought to improve and support this important aspect in each student to improve their disposition to critical thinking and academic self-efficacy. It is recommended for future studies to continue investigating variables associated with academic factors, such as those in this study, that lead to taking action for the effective development of university students.

Left atrial appendage occlusion (LAAO) is a suitable alternative to oral anticoagulant therapy to prevent stroke in patients with AF. Most procedures are performed under transoesophageal echocardiography (TOE) guidance, which facilitates transseptal puncture, reduces the risk of procedure-related complications and provides an additional method for device selection and real-time monitoring during device deployment. However, TOE has significant shortcomings, including the need for general anaesthesia/deep sedation as well as a significant risk of procedure-related adverse events. More recently, intracardiac echocardiography has been proposed as an alternative to TOE guidance during LAAO procedures. In this review, we summarise the available evidence as well as providing a step-by-step approach for intracardiac echocardiography-guided LAAO.

Background: The BONEBRIDGE® (Med-El GmbH) is a bone-conduction device comprising an external audio processor and an internal Bone Conduction-Floating Mass Transducer (BC-FMT) surgically anchored to the temporal bone. Due to the implant's size, its placement may be challenging in certain anatomies, necessitating thorough surgical planning. Manual planning methods are laborious, time-intensive, and prone to errors. This study aimed to develop and validate an automated algorithm for determining skull thickness, aiding in the surgical planning of the BONEBRIDGE and other devices requiring similar bone thickness estimations. Materials and methods: Twelve cadaveric temporal bones underwent clinical computed tomography (CT). A custom Python algorithm was developed to automatically segment bone from soft tissue, generate 3D models, and perform ray-tracing to estimate bone thickness. Two thickness colormaps were generated for each sample: the cortical thickness to the first air cell and the total thickness down to the dura. The algorithm was validated against expert manual measurements to achieve consensus interpretation. Results: The algorithm estimated bone-to-air thicknesses (mean = 4.7 mm, 95% Confidence Interval [CI] of 4.3–5.0 mm) that closely matched the expert measurements (mean = 4.7 mm, CI of 4.4–5.0 mm), with a mean absolute difference (MAD) of 0.3 mm. Similarly, the algorithm's estimations to the dura (6.0 mm, CI of 5.4–6.5 mm) were comparable to the expert markings (5.9 mm, CI of 5.4–6.5 mm), with a MAD of 0.3 mm. Conclusions: The first automated algorithm to calculate skull thickness to both the air cells and dura in the temporal bone was developed. Colormaps were optimized to aid with the surgical planning of BONEBRIDGE implantation, however the tool can be generalized to aid in the surgical planning of any bone thickness application. The tool was published as a freely available extension to the open-source 3D Slicer software program (www.slicer.org).

Phaeohyphomycosis, a worldwide fungal infection, refers to uncommon superficial, subcutaneous, or systemic infections caused by melanized fungi. Currently, about 70 genera and 150 species have been described. It can be confirmed by mycological, histopathological, or molecular methods. Treatment can be performed by surgery or systemic antifungals.

Sampling frequency of microsensors that measure the position of the players in team sports is a variable that could affect the accuracy of the measurement. The aim of the present study was to assess the impact of the sampling frequency on the measurement of a collective tactical behaviour variable: the total area (TA). Sixteen young U16 male soccer players participated in the study. They carried out three controlled tasks. Tactical variable was measured by a radio ultra-wide band technology (IMU; WIMU PROTM, RealTrack Systems, Almeria, Spain). For TA different sampling frequencies were applied (i.e. 1 Hz, 2 Hz, 4 Hz and 10 Hz). Trivial differences (p 0.05) were found between the TA values across the different amounts of inserted data per second across Task 1 (ES= 0.04-0.08), Task 2 (ES= 0.01-0.09) and Task 3 (ES= -0.03-0.04). Also High to perfect ICCs (0.91-1) and linear correlations (r= 0.961-1; p 0.01) were found among the TA values obtained through all sampling frequencies. The sampling frequency (i.e. 1 Hz, 2 Hz, 4 Hz and 10 Hz) does not affect the measurement of total area during tactical behaviour analysis but does significantly affect the change in centroid position measurement. Thus, it is recommended the use of 1 Hz to measure TA, but further studies should analyse the impact of lower than 1 Hz and greater than 10 Hz sampling frequencies to measure this collective tactical behavior.

Abstract The indigenous population of the Canary Islands, which colonized the archipelago around the 3rd century CE, provides both a window into the past of North Africa and a unique model to explore the effects of insularity. We generate genome-wide data from 40 individuals from the seven islands, dated between the 3rd–16rd centuries CE. Along with components already present in Moroccan Neolithic populations, the Canarian natives show signatures related to Bronze Age expansions in Eurasia and trans-Saharan migrations. The lack of gene flow between islands and constant or decreasing effective population sizes suggest that populations were isolated. While some island populations maintained relatively high genetic diversity, with the only detected bottleneck coinciding with the colonization time, other islands with fewer natural resources show the effects of insularity and isolation. Finally, consistent genetic differentiation between eastern and western islands points to a more complex colonization process than previously thought.

In this study, we introduce an advanced system for sustainable pavement management that leverages cutting-edge machine learning and computer vision techniques to detect and classify pavement damage. By utilizing models such as EfficientNetB3, ResNet18, and ResNet50, we develop robust classifiers capable of accurately identifying various types of pavement distress. To further enhance our dataset, we employ a Swin Transformer-based Generative Adversarial Network (GAN) to synthetically generate images of pavement cracks, thereby augmenting the training data. Our approach aims to improve the efficiency and accuracy of pavement damage assessment, contributing to more effective and sustainable road maintenance practices. This research aligns with the sustainable development goals by fostering innovative methods that extend the lifespan of infrastructure, reducing the need for resource-intensive repairs, and promoting the longevity and reliability of road networks. The outcomes of this study are discussed in terms of their potential impact on infrastructure safety and sustainability, with suggestions for future research directions. This study demonstrates how integrating advanced machine learning techniques into pavement management systems can enhance decision-making, optimize resource allocation, and improve the sustainability of infrastructure maintenance practices. By leveraging big data and sophisticated algorithms, stakeholders can proactively address pavement deterioration, extend asset lifespan, and optimize maintenance efforts based on real-time data-driven insights.

The ongoing issues in global supply chain disruptions have raised many concerns of port productivity, among which port congestion is a key issue. This article implements an integrated tactical–operational optimization framework which raises the capabilities of port information systems to deliver smarter decision-making processes in ports through a decision support system. To this end, we developed a library of multiple smart models for the optimization of port operations, independently engaged in parallel but mathematically coordinated to achieve autonomous real-time distributed optimization, using a novel event-driven structure to enable future implementations using digital twins. The framework was tested to benchmark different commercial solvers on several real instances for the port under study. The results show a strong improvement in port operational planning.

A congested match and training schedule could alter internal load, and this could be reflected in biomarkers of stress and immunity in elite futsal players. The aim of this study was to analyze the effects of a congested match and training schedule on internal load and levels of total protein, total oxidant status (TOS), total antioxidant capacity (TAC), oxidative stress index, and the concentrations of salivary immunoglobulin A (SIgA) in 17 professional players from the same Portuguese elite futsal club (age: 23.07 ± 6.76 years old; height: 1.75 ± 0.06 m; body mass: 75.47 ± 7.47 kg; experience in playing in elite: 5.38 ± 2.03 years) who performed 5 matches and 16 training sessions in a period of 27 days. The salivary content of total protein, TOS, TAC, oxidative stress index, and SIgA were calculated before and after the training sessions and the unofficial matches under study. Saliva sampling was conducted 10 min before each match or training session and 40 min after (post-match and post-training). The MANOVA of repeated measures showed a significant difference for total protein and SIgA (p < 0.01). Total protein (sphericity = 0.007; statistical power = 0.818) and SIgA (sphericity = 0.018; statistical power = 0.693) are highly correlated with the time factor. The main findings revealed several key points: (a) There was a significant increase in total protein, SIgA, and TAC during acute load (pre- vs. post-session) in both training and match contexts. Specifically, total protein and SIgA displayed notable increments in both training and match settings, while TAC exhibited significant increases exclusively during matches. (b) No changes in TOS and oxidative stress index were observed during acute load in either training or match contexts. (c) A positive trend was noted between the chronic load during a congested week of the precompetitive season and the decrease in total protein and SIgA levels. (d) Additionally, a positive correlation between internal training loads and oxidative/antioxidant responses was found, as expressed by the oxidative stress index, without significant differences (p-value > 0.05) in acute and chronic loads during congested matches and training schedules.

In recent decades, wildfires have become common disasters that threaten people’s lives and assets, particularly in wildland–urban interfaces (WUIs). Developing an effective evacuation strategy for a WUI presents challenges to emergency planners because of the spatial variations in biophysical hazards and social vulnerability. The aim of this study was to map priority WUIs in terms of evacuation. The factors considered were the seriousness of the risk of wildfire exposure, and the population centres whose greatest constraints on the evacuation process stemmed from the nature of the exposed population and the time required to travel to the nearest shelter/refuge. An integrated framework linking wildfire hazard, social vulnerability, and the time taken to travel by foot or by car to the nearest refuge/shelter was applied. The study area includes two municipalities (Lousã and Sertã) in the mountainous areas of central Portugal that are in high-wildfire-risk areas and have very vulnerable and scattered pockets of exposed population. The combination of wildfire risk and travelling time to the nearest shelters made it possible to identify 20% of the WUIs that were priority areas for evacuation in the case of Sertã. In the case of Lousã, 3.4% were identified, because they were highly exposed to wildfire risk and had a travelling time to the nearest shelter of more than 15 min on foot. These results can assist in designing effective pre-fire planning, based on fuel management strategies and/or managing an effective and safe evacuation.

Beach variants of popular sports like soccer and handball have grown in participation over the last decade. However, the characterization of the workload demands in beach sports remains limited compared to their indoor equivalents. This systematic review aimed to: (1) characterize internal and external loads during beach invasion sports match-play; (2) identify technologies and metrics used for monitoring; (3) compare the demands of indoor sports; and (4) explore differences by competition level, age, sex, and beach sport. Fifteen studies ultimately met the inclusion criteria. The locomotive volumes averaged 929 ± 269 m (average) and 16.5 ± 3.3 km/h (peak) alongside 368 ± 103 accelerations and 8 ± 4 jumps per session. The impacts approached 700 per session. The heart rates reached 166–192 beats per minute (maximal) eliciting 60–95% intensity. The player load was 12.5 ± 2.9 to 125 ± 30 units. Males showed 10–15% higher external but equivalent internal loads versus females. Earlier studies relied solely on a time–motion analysis, while recent works integrate electronic performance and tracking systems, enabling a more holistic quantification. However, substantial metric intensity zone variability persists. Beach sports entail intermittent high-intensity activity with a lower-intensity recovery. Unstable surface likely explains the heightened internal strain despite moderately lower running volumes than indoor sports. The continued integration of technology together with the standardization of workload intensity zones is needed to inform a beach-specific training prescription.

Early childhood is a critical period for physical and motor development with implications for long-term health. This systematic review examined the relationship between anthropometric characteristics and measures of physical fitness and motor skills in preschool-aged children (typically 2–6 years). The search strategy was applied in four databases (PubMed, ProQuest Central, Scopus, and Web of Science) to find articles published before 11 April 2024. The results consistently demonstrated significant associations between anthropometric variables (height, weight, body mass index [BMI], body composition) and physical performance measures. Notably, height and mass were often better predictors of fitness status than BMI alone. Indicators of undernutrition (stunting, wasting) were negatively associated with motor development, emphasizing the importance of adequate nutrition. While some studies reported impaired fitness and motor skills among overweight/obese preschoolers compared to normal-weight peers, others found no differences based on weight status. Relationships between physical activity levels, anthropometrics, and motor outcomes were complex and inconsistent across studies. This review highlights key findings regarding the influence of anthropometric factors on physical capabilities in early childhood. Early identification of children with impaired growth or excessive adiposity may inform tailored interventions to promote optimal motor development and prevent issues like obesity. Creating supportive environments for healthy growth and age-appropriate physical activity opportunities is crucial during this critical developmental window.

Basketball involves frequent high-intensity movements requiring optimal aerobic power. Altitude training can enhance physiological adaptations, but research examining its effects in basketball is limited. This study aimed to characterize the internal/external workload of professional basketball players during preseason and evaluate the effects of altitude and playing position. Twelve top-tier professional male basketball players (Liga Endesa, ACB; guards: n = 3, forwards: n = 5, and centers: n = 4) participated in a crossover study design composed of two training camps with nine sessions over 6 days under two different conditions: high altitude (2320 m) and sea level (10 m). Internal loads (heart rate, %HRMAX) and external loads (total distances covered across speed thresholds, accelerations/decelerations, impacts, and jumps) were quantified via wearable tracking and heart rate telemetry. Repeated-measures MANOVA tested the altitude x playing position effects. Altitude increased the total distance (+10%), lower-speed running distances (+10–39%), accelerations/decelerations (+25–30%), average heart rate (+6%), time in higher-intensity HR zones (+23–63%), and jumps (+13%) across all positions (p < 0.05). Positional differences existed, with guards accruing more high-speed running and centers exhibiting greater cardiovascular demands (p < 0.05). In conclusion, a 6-day altitude block effectively overloads training, providing a stimulus to enhance fitness capacities when structured appropriately. Monitoring workloads and individualizing training by playing position are important when implementing altitude training, given the varied responses.

Objective. To determine whether there is an association between subclinical hypothyroidism and glycemic control in older adults who received care at the “Centro Médico Naval” from 2010 to 2015. Methods. This retrospective analytical study analyzed a secondary database of the care of elderly in the study hospital. The sample was comprised of 1,385 older adults. To detect an association between variables, the Poisson regression with robust variance was used at a significance level of 95%. The analyses were carried out with the STATA 16 program. Results. Of the elderly 45.6% were between 71 and 80 years old; 58.4% were women and 43.8% had a normal body mass index. There was evidence of inadequate glycemic control in 8.1% and subclinical hypothyroidism in 15.2% of the elderly patients. Subclinical hypothyroidism was more frequent in the inadequate glycemic control vs. adequate glycemic control populations (41.1% vs. 13.0%). In the multivariance analysis, subclinical hypothyroidism (aPR = 2.22 95% CI [1.47–3.36]) was independent factor associated with inadequate glycemic control (p

Cardiac resynchronisation therapy (CRT) reduces the risk of heart failure-related hospitalisations and all-cause mortality, as well as improving quality of life and functional status in patients with persistent heart failure symptoms despite optimal medical treatment and left bundle branch block. CRT has traditionally been delivered by implanting a lead through the coronary sinus to capture the left ventricular epicardium; however, this approach is associated with significant drawbacks, including a high rate of procedural failure, phrenic nerve stimulation, high pacing thresholds and lead dislodgement. Moreover, a significant proportion of patients fail to derive any significant benefit. Left bundle branch area pacing (LBBAP) has recently emerged as a suitable alternative to traditional CRT. By stimulating the cardiac conduction system physiologically, LBBAP can result in a more homogeneous left ventricular contraction and relaxation, thus having the potential to improve outcomes compared with conventional CRT strategies. In this article, the evidence supporting the use of LBBAP in patients with heart failure is reviewed.

Transition metal ion-containing oxidoreductases, which carry out long-distance electron transfer reactions, are a large family of metalloproteins that are widely distributed in nature. The metal ions are either present as mononuclear centers or are organized in clusters. One of the metal cofactors is the active site of the enzyme where the substrate is converted to a product, while the others serve as electron transfer centers. Metal cofactors are paramagnetic in certain protein redox states and may additionally exhibit different relaxation rates and weak superexchange interactions transferred via intraprotein electron transfer pathways. Cu-containing nitrite reductase and Mo-containing aldehyde oxidoreductase are two representative examples of oxidoreductases in which these phenomena occur, making them interesting systems to study using electron magnetic resonance techniques. We summarize here several X-band Continuous-Wave Electron Paramagnetic Resonance (CW-EPR) studies that have allowed insights into structural and functional aspects of these two proteins and may help characterize closely related systems.

The availability of high-dimensional genomic data and advancements in genome-based prediction models (GP) have revolutionized and contributed to accelerated genetic gains in soybean breeding programs. GP-based sparse testing is a promising concept that allows increasing the testing capacity of genotypes in environments, of genotypes or environments at a fixed cost, or a substantial reduction of costs at a fixed testing capacity. This study represents the first attempt to implement GP-based sparse testing in soybeans by evaluating different training set compositions going from non-overlapped RILs until almost the other extreme of having same set of genotypes observed across environments for different training set sizes. A total of 1,755 recombinant inbred lines (RILs) tested in nine environments were used in this study. RILs were derived from 39 bi-parental populations of the Soybean Nested Association Mapping (NAM) project. The predictive abilities of various models and training set sizes and compositions were investigated. Training compositions included a range of ratios of overlapping (O-RILs) and non-overlapping (NO-RILs) RILs across environments, as well as a methodology to maximize or minimize the genetic diversity in a fixed-size sample. Reducing the training set size compromised predictive ability in most training set compositions. Overall, maximizing the genetic diversity within the training set and the inclusion of O-RILs increased prediction accuracy given a fixed training set size; however, the most complex model was less affected by these factors. More testing environments in the early stages of the breeding pipeline can provide a more comprehensive assessment of genotype stability and adaptation which are fundamental for the precise selection of superior genotypes adapted to a wide range of environments.

El objetivo del estudio fue realizar una revisión sistemática exploratoria relacionada con el Baloncesto en Silla de Ruedas, y el empleo de dispositivos inerciales como herramienta novedosa para cuantificar la carga interna y externa durante los entrenamientos y partidos. Para la búsqueda de manuscritos científicos, se utilizó las siguientes palabras claves, en inglés: “Basketball”, “Wheelchair” e “Inertial device”; y, en español: “Baloncesto”, “Silla de ruedas” y “Dispositivo inercial”. Las bases de datos utilizadas fueron Web Of Science y Google Académico. Además, para limitar la búsqueda, se establecieron una serie de criterios de inclusión y exclusión de documentos, con la finalidad de recopilar los manuscritos más adecuados a la temática objeto de estudio. Se seleccionaron doce documentos científicos, los cuales fueron clasificados en función de las variables predeterminada por los investigadores. El mayor número de publicaciones relacionada con la temática se produce en el año 2019, y son principalmente Estudios empírico cuantitativos. Por ello, resulta interesante aumentar el conocimiento científico en el BSR.