Search Results (23)

Background/Objectives: A compartmental pharmacokinetics (PK) analysis of new extended half-life FVIII concentrates has never been performed in a large cohort of hemophilia patients. An improved PK analysis of individual outcomes may help to tailor hemophilia replacement treatment. Methods: PK outcomes after the infusion of a standard single dose of Efmoroctocog alfa were collected from 173 patients with severe/moderately severe hemophilia A in 11 Italian hemophilia centers. Factor VIII clotting activity (FVIII:C) was measured by one-stage clotting assay (OSA) in all patients, and chromogenic substrate assay (CSA) in a subgroup (n = 52). Fifty patients underwent a comparative PK assessment with standard half-life (SHL) recombinant FVIII (rFVIII) products. Non-compartmental analysis (NCA), one compartment model (OCM), and TCM were used to analyze the decay curves of all patients, and one-way paired ANOVA to compare the PK outcomes. Results: All 173 PKs conformed to the NCA and OCM, but only 106 (61%) conformed to the TCM based on the biphasic features of their decay curves. According to the TCM, the Beta HL and MRT of rFVIIIFc were 20.42 ± 7.73 and 25.64 ± 7.61 h, respectively. ANOVA analysis of the outcomes from the three PK models showed significant differences in clearance, half-life (HL), and mean residence time (MRT) (p < 0.001 for all parameters). As anticipated, the HL and MRT of rFVIIIFc were longer than those of SHL rFVIII. Comparing OSA with CSA outcomes, Cmax resulted higher when measured by CSA (p = 0.05) and, according to TCM, Beta HL resulted longer when measured by OSA (p = 0.03). FVIII:C trough levels obtained with SHL concentrates were significantly lower than those obtained with rFVIIIFc at each post-infusion time point. Conclusions: In a large group of hemophilia A (HA) patients, three different PK models confirmed the improved pharmacokinetic (PK) characteristics of rFVIIIFc, compared with standard half-life rFVIII concentrates. The TCM only fits two-thirds of the PKs, highlighting their biphasic decay and a long Beta half-life. In these patients, the TCM would be preferable to properly evaluate individual PK features. Full article

The electroencephalogram (EEG) has recently emerged as a pivotal tool in brain imaging analysis, playing a crucial role in accurately interpreting brain functions and states. To address the problem that the presence of ocular artifacts in the EEG signals of patients with obstructive sleep apnea syndrome (OSAS) severely affects the accuracy of sleep staging recognition, we propose a method that integrates a support vector machine (SVM) with genetic algorithm (GA)-optimized variational mode decomposition (VMD) and second-order blind identification (SOBI) for the removal of ocular artifacts from single-channel EEG signals. The SVM is utilized to identify artifact-contaminated segments within preprocessed single-channel EEG signals. Subsequently, these signals are decomposed into variational modal components across different frequency bands using the GA-optimized VMD algorithm. These components undergo further decomposition via the SOBI algorithm, followed by the computation of their approximate entropy. An approximate entropy threshold is set to identify and remove components laden with ocular artifacts. Finally, the signal is reconstructed using the inverse SOBI and VMD algorithms. To validate the efficacy of our proposed method, we conducted experiments utilizing both simulated data and real OSAS sleep EEG data. The experimental results demonstrate that our algorithm not only effectively mitigates the presence of ocular artifacts but also minimizes EEG signal distortion, thereby enhancing the precision of sleep staging recognition based on the EEG signals of OSAS patients. Full article

Promoting food security is one of the 17 Sustainable Development Goals (SDGs) proposed by the United Nations General Assembly, with a target date of 2030. Human nutrition based on legume consumption is essential to ensuring food security while reducing greenhouse gas emissions associated with nitrogen fertilizer use. Moreover, preserving legume biodiversity is critical to increasing agricultural resilience against climate change. The Andean lupine or “tarwi” (Lupinus mutabilis Sweet) is a legume native to the Andean region with high nutritional importance. Morphological characterization processes allow the determination of local agro-biodiversity and the identification of promising materials for genetic improvement programs. In the present investigation, 173 accessions of Andean lupine from the Germplasm Bank of INIAP, Ecuador, were evaluated. Thirteen quantitative and fifteen qualitative descriptors were used in the characterization. The results revealed that the genetic variability of the Andean lupine is represented by the conformation of four groups of accessions. Among those groups, two accessions stand out for having small plants and high yields, factors that could be used for genetic improvement processes or be reintroduced into farmers’ fields as they represent an option for the production, consumption, and marketing of the local germplasm of this relevant ancient crop. A phenotypic diversity map of the cultivated tarwi explained that areas with high morphological diversity are not completely identical to areas with high ecogeographic diversity. The distribution of the genetic variability of species appears to be more related to cultural aspects than environmental conditions. Full article

Introduction: Primary immune thrombocytopenia is a rare autoimmune disease characterised by a decreased platelet count resulting in an increased risk of bleeding events and even life-threatening haemorrhages. Thrombopoietin receptor agonists (TPO-RAs) are the standard of care second-line therapy for adult patients with chronic immune thrombocytopenia. The first TPO-RAs approved and reimbursed in Italy, eltrombopag and romiplostim, while effective, pose some issues in terms of safety (e.g., hepatotoxicity) or general management (e.g., dietary restrictions). Avatrombopag, an effective and well-tolerated TPO-RA, was recently granted reimbursement. Methods: A 3-year (2023–2025) budget impact analysis (BIA) was conducted to estimate its impact on the Italian National Health Service (NHS). Two scenarios were compared, of which one represents the current situation, without avatrombopag, and the other provides for an increasing market share of avatrombopag (up to 26.6%). Results: BIA shows that the increase in the use of avatrombopag correlates with savings for NHS: in the first year, saving would be €1,300,564, increasing to €2,774,210 in the third year, for a total of €6,083,231 over the 3-year period. The sensitivity analysis confirmed these savings in the scenario with avatrombopag. Conclusions: Based on this BIA, the introduction and reimbursement of avatrombopag is an efficient and advantageous choice for the Italian NHS. Full article

Multi-environment trials (METs) are essential in plant breeding programs to evaluate crop productivity and adaptability in diverse environments. In this study, we demonstrated the practical use of METs to evaluate grain yield and yield-related traits using 276 Korean rice cultivars, divided into three maturity groups (81 early-, 90 medium-, and 105 medium–late-maturing cultivars) grown in three regions (Jeonju, Suwon, and Miryang) and two planting seasons (early and regular planting) for two years. Due to the narrow genetic variability of the commercial cultivars, which are cultivated in relatively similar environmental conditions, genotype-by-environment interaction (GEI) effects were not statistically significant. However, genotype and environment evaluation using GGE biplot analysis exhibited distinct patterns of mega-environment formation, winning genotypes, ranking genotypes, discriminating power, and representativeness according to the differences in planting seasons and regions. Moreover, the simultaneous selection of stable high-performance genotypes using a weighted average of absolute scores from the singular-value decomposition of the matrix of BLUPs (WAASB) and a multi-trait stability index (MTSI) revealed six recommended genotypes each for early-maturing (Manho, Namil, Unkwang, Odae 1ho, Sinunbong 1ho, and Jonong) and medium-maturing (Sobi, Cheongdam, Shinbaeg, Boramchal, Mimyeon, and Saemimyeon) cultivars, and four genotypes for medium–late-maturing cultivars (Hanmauem, Dami, Baegseolchal, and Hangangchalbyeo). The winning genotypes of each trait can be used as parents to develop regional specialty cultivars by fine-tuning favorable traits, and recommended genotypes can be utilized as elite climate-resilient parents that can aid breeders in improving yield potential and stability across the planting seasons and regions. Full article

The influence of pharmacotherapy regimens on surgical patient outcomes is increasingly appreciated in the era of enhanced recovery protocols and institutional focus on reducing postoperative complications. Specifics related to medication selection, dosing, frequency of administration, and duration of therapy are evolving to optimize pharmacotherapeutic regimens for many enhanced recovery protocolized elements. This review provides a summary of recent pharmacotherapeutic strategies, including those configured within electronic health record (EHR) applications and functionalities, that are associated with the minimization of the frequency and severity of postoperative complications (POCs), shortened hospital length of stay (LOS), reduced readmission rates, and cost or revenue impacts. Further, it will highlight preventive pharmacotherapy regimens that are correlated with improved patient preparation, especially those related to surgical site infection (SSI), venous thromboembolism (VTE), nausea and vomiting (PONV), postoperative ileus (POI), and emergence delirium (PoD) as well as less commonly encountered POCs such as acute kidney injury (AKI) and atrial fibrillation (AF). The importance of interprofessional collaboration in all periprocedural phases, focusing on medication management through shared responsibilities for drug therapy outcomes, will be emphasized. Finally, examples of collaborative care through shared mental models of drug stewardship and non-medical practice agreements to improve operative throughput, reduce operative stress, and increase patient satisfaction are illustrated. Full article

With the development of portable EEG acquisition systems, the collected EEG has gradually changed from being multi-channel to few-channel or single-channel, thus the removal of single-channel EEG signal artifacts is extremely significant. For the artifact removal of single-channel EEG signals, the current mainstream method is generally a combination of the decomposition method and the blind source separation (BSS) method. Between them, a combination of empirical mode decomposition (EMD) and its derivative methods and ICA has been used in single-channel EEG artifact removal. However, EMD is prone to modal mixing and it has no relevant theoretical basis, thus it is not as good as variational modal decomposition (VMD) in terms of the decomposition effect. In the ICA algorithm, the implementation method based on high-order statistics is widely used, but it is not as effective as the implementation method based on second order statistics in processing EMG artifacts. Therefore, aiming at the main artifacts in single-channel EEG signals, including EOG and EMG artifacts, this paper proposed a method of artifact removal combining variational mode decomposition (VMD) and second order blind identification (SOBI). Semi-simulation experiments show that, compared with the existing EEMD-SOBI method, this method has a better removal effect on EOG and EMG artifacts, and can preserve useful information to the greatest extent. Full article

The monitoring and maintenance of existing civil infrastructure has recently received worldwide attention. Several structural health monitoring methods have been developed, including time-, frequency-, and time–frequency domain methods of modal identification and damage detection to estimate the structural and modal parameters of large-scale structures. However, there are several implementation challenges of these modal identification methods, depending on the size of the structures, measurement noise, number of available sensors, and their operational loads. In this paper, two modal identification methods, Second-Order Blind Identification (SOBI) and Time-Varying Filtering Empirical Mode Decomposition (TVF-EMD), are evaluated and compared for large-scale structures including a footbridge and a wind turbine blade with a wide range of dynamic characteristics. The results show that TVF-EMD results in better accuracy in modal identification compared to SOBI for both structures. However, when the number of sensors is equal to or more than the number of target modes of the structure, SOBI results in better computational efficiencies compared to TVF-EMD. Full article

Among the many neglected underutilized species, tuberous Andean root crops such as the ahipas (Pachyrhizus ahipa) constitute a promising alternative for increasing diversity in nutrient sources and food security at a regional level. ahipa × P. tuberosus). A significant objective was to determine protein and free amino acids in the roots to evaluate their food quality as protein supply. The interspecific hybrids have been found to possess the root quality to provide the crop with a higher dry matter content. The high dry matter content of the P. tuberosus Chuin materials is retained in the root quality of the hybrids. Food functional components such as carbohydrates, organic acids, and proteins were determined in several ahipa accessions and a stable (non-segregating) progeny of the interspecific hybrid, X207. The X207 roots showed a significantly higher dry matter content and a lower content in soluble sugars, but no significant differences were found in starch content or organic acids compared to the ahipa accessions. Regarding the root mineral contents, Fe and Mn concentrations in X207 were significantly raised compared to the average of ahipa accessions. Among the ahipa and the hybrid, no prominent differences in protein content or protein amino acids were found, being both partially defective in providing sufficient daily intake of some essential amino acids. Root weight, a central component of root yield, was significantly higher in X207, but thorough field studies are required to substantiate the hybrid’s superior yield performance. Full article

The addition of glycerol to protein solutions is often used to hinder the aggregation and denaturation of proteins. However, it is not a generalised practice against chemical degradation reactions. The chemical degradation of proteins, such as deamidation and isomerisation, is an important deteriorative mechanism that leads to a loss of functionality of pharmaceutical proteins. Here, the influence of glycerol on the chemical degradation of a protein and its correlation to glycerol-induced conformational changes is presented. The time-dependent chemical degradation of a pharmaceutical protein, GA-Z, in the absence and presence of glycerol was investigated in a stability study. The effect of glycerol on protein conformation and oligomerisation was characterised using asymmetric field-flow fractionation and small-angle neutron scattering in a wide glycerol concentration range of 0–90% v/v. The results from the stability study were connected to the observed glycerol-induced conformational changes in the protein. A correlation between protein conformation and the protective effect of glycerol against the degradation reactions deamidation, isomerisation, and hydrolysis was found. The study reveals that glycerol induces conformational changes of the protein, which favour a more compact and chemically stable state. It is also shown that the conformation can be changed by other system properties, e.g., protein concentration, leading to increased chemical stability. Full article

Cassava (Manihot esculenta Crantz) is a crop of nutritional and economic importance worldwide, cultivated in more than 100 tropical and subtropical countries including Ecuador, where it is traditionally cultivated in the three continental regions: Amazonia, the Coast and in the valleys of the Sierra. The purpose of this study is to characterize 195 accessions from INIAP’s Ecuadorian cassava collection through (1) morphological characterization with qualitative and quantitative descriptors; and (2) ecogeographic characterization to know the climatic, geophysical, and edaphic conditions in which cassava grows and which environments are frequent or marginal for its cultivation. For the morphological characterization, 27 morphological descriptors were used (18 qualitative and nine quantitative), and for the ecogeographic characterization, 55 variables (41 climatic, two geophysical and 12 edaphic). Four morphological groups and three ecogeographic groups were identified. Morphological variability was evidenced mainly in descriptors related to the leaves, stems, and inflorescences. In addition, it was possible to identify accessions that appear capable of growing under extreme conditions of drought and poor soils. These accessions could be used for improvement. Full article

In this paper, we experimentally investigated two high temperature polymer electrolyte membrane fuel cell (HT-PEMFC) stacks for their response to the presence of reformate impurities in an anode gas stream. The investigation was aimed at characterizing the effects of reformate impurities at the stack level, including in humidified conditions and identifying fault features for diagnosis purposes. Two HT-PEMFC stacks of 37 cells each with active areas of 165 cm2 were used with one stack containing a pre-doped membrane with a woven gas diffusion layer (GDL) and the other containing a post-doped membrane with non-woven GDL. Polarization curves and galvanostatic electrochemical impedance spectroscopy (EIS) were used for characterization. We found that both N₂ dilution and impurities in the anode feed affected mainly the charge transfer losses, especially on the anode side. We also found that humidification alleviated the poisoning effects of the impurities in the stack with pre-doped membrane electrode assemblies (MEA) and woven GDL but had detrimental effects on the stack with post-doped MEAs and non-woven GDL. We demonstrated that pure and dry hydrogen operation at the end of the tests resulted in significant recovery of the performance losses due to impurities for both stacks even after the humidified reformate operation. This implies that there was only limited acid loss during the test period of around 150 h for each stack. Full article

The aim of the study was to compare children with ASD from families with low and medium financial status in terms of quality of life and coping with stress during the SARS-CoV-2 pandemic and the material status of the family related to their financial situation during the pandemic. The diagnostic survey method was used in the research study. A total of 120 children with autism spectrum disorder (ASD) aged 11–14 years participated in the study. The following tools were used to achieve the goal: Quality of Life of Students by S. Kowalik, “Jak Sobie Radzisz” by Z. Juczyński and N. Ogińska-Bulik and a proprietary questionnaire by the author. The research results indicate that during the SARS-CoV-2 pandemic, children with ASD from families with an average financial status are more satisfied with functioning in the family and more satisfied with themselves than children from families with a low financial status. Moreover, children with ASD from low-status families prefer strategies of focusing on emotions, which are not constructive and make functioning difficult, more often than their peers from families with average financial status. The results of the research show a positive correlation between the quality of life in the dimensions of satisfaction with the family, one’s local environment and oneself and active coping (disposition) and seeking social support; and a negative correlation with the strategy of focusing on emotions (disposition). It is advised that families with children with ASD be supported during the pandemic. Full article

In order to assess the potential of 192 accessions of Capsicum L., from 21 countries, a morphological and agronomic characterization was carried out by applying 57 qualitative and quantitative descriptors. Multivariate analyses identified two large groups: the first including C. annuum (G3, G5, G7 and G8) and the second C. frutescens, C. baccatum, C. chinense and C. pubescens (G1, G2, G4, G6 and G9). The discriminant qualitative descriptors were the colour of the corolla, the colour of the anthers and position of the flower. The quantitative discriminant characteristics were length, weight and width of the fruit. The participatory selection identified 15 materials by colour, aroma, texture, flavour, size and thickness of fruits. Chemical analyses determined the highest concentration of flavonoids in the accessions 10,757 (16.64 mg/g) and 15,661 (15.77 mg/g). Accessions 17,750 (11.68 mg/g) and 10,757 (11.41 mg/g) presented the highest polyphenol contents. The highest capsaicin concentration was recorded in accessions 16,209 (55.90 mg/g) and 10,757 (48.80 mg/g). The highest antioxidant value was recorded in accessions 17,750 (90.85 mg/g) and 15,661 (87.03 mg/g). All these characteristics are important with a view to increasing industrial use and genetic improvement processes. These results show the existence of significant genetic variability within the genus Capsicum. Full article

Feature extraction plays a crucial role in the diagnosis of rotating machinery faults. However, the vibration signals measured are inherently complex and non-stationary and the features of faulty signals are often submerged by noise. The principle and method of blind source separation are introduced, and we point out that the blind source separation algorithm is invalid in an environment of strong impulse noise. In order to solve the problem of fast separation of multi-sensor signals in an environment of strong impulse noise, first, the window width of the median filter (MF) is calculated according to the sampling frequency, so that the impulse noise and part of the white noise can be effectively filtered out. Next, the filtered signals are separated by the improved second-order blind identification (SOBI) algorithm. At the same time, the method is tested on the strong pulse background noise and rub impact dataset. The results show that this method has higher efficiency and accuracy than the direct separation method. It is possible to apply the method to real-time signal analysis due to its speed and efficiency. Full article