Search Results (1,758)

This study was designed to address the challenges of autonomous navigation facing UAVs in urban air mobility environments without GPS. Unlike traditional localization methods that rely heavily on GPS and pre-mapped routes, Mamba-VNPS leverages a self-supervised learning framework and advanced feature extraction techniques to achieve robust real-time localization without external signal dependence. The results show that Mamba-VNPS significantly outperforms traditional methods across multiple aspects, including localization error. These innovations provide a scalable and effective solution for UAV navigation, enhancing operational efficiency in complex spaces. This study highlights the urgent need for adaptive positioning systems in urban air mobility (UAM) and provides a methodology for future research on autonomous navigation technologies in both aerial and ground applications. Full article

Background/Objectives: Roxadustat is an oral hypoxia-inducible factor prolyl hydroxylase inhibitor approved to treat anemia of chronic kidney disease (CKD). The efficacy and safety of roxadustat compared with parenteral erythropoiesis-stimulating agents (ESAs) were evaluated in patients with anemia of CKD receiving peritoneal dialysis (PD). Methods: This analysis pooled data from four phase 3, multicenter, randomized, open-label, active-comparator studies (PYRENEES, SIERRAS, HIMALAYAS, ROCKIES). The primary endpoints evaluated were hemoglobin change from baseline (CFB) to Weeks 28–36 without rescue therapy and hemoglobin CFB to Weeks 28–52 regardless of rescue therapy use. Safety data were reported. Results: This analysis included 422 patients (215 roxadustat, 207 ESA). Hemoglobin CFB to Weeks 28–36 without rescue therapy and hemoglobin CFB to Weeks 28–52 regardless of rescue therapy achieved non-inferiority for roxadustat vs. ESAs. The mean weekly dose of roxadustat was maintained over time (Weeks 1–4, 3.86 mg/kg/week; Weeks 101–104, 3.27 mg/kg/week), whereas the mean weekly ESA dose increased by 24% (Weeks 1–4, 115.70 IU/kg/week; Weeks 101–104, 143.40 IU/kg/week). Fewer patients treated with roxadustat received intravenous iron supplementation and rescue therapy, and patients treated with an ESA required blood transfusions sooner. Roxadustat-treated patients experienced a greater decrease in low-density lipoprotein cholesterol levels relative to baseline vs. ESA-treated patients. Treatment-emergent adverse events were similar in both treatment groups. Major adverse cardiovascular event (MACE), MACE plus unstable angina or congestive heart failure, and all-cause mortality hazard ratios were <1; the lower limit of the 95% CIs was <0.6, and the upper limit was >1.3. Conclusions: Roxadustat was non-inferior to ESAs in correcting and maintaining hemoglobin levels, with stable dosing and a comparable safety profile, in anemic patients receiving PD. Full article

The threat of plastic pollution has escalated to unprecedented levels, with particular concern surrounding microplastics (MPs) and artificial fibers or particles (AFs) due to their wide distribution across ecosystems and their bioavailability to wildlife. Although research on the impact of plastic on wild birds is rapidly growing, knowledge of terrestrial species remains limited, especially regarding raptors, which have been significantly understudied. Here, we investigated the prevalence of MPs and AFs in regurgitated pellets from six protected terrestrial raptor species, namely the Cinereous Vulture (Aegypius monachus), the Bonelli’s Eagle (Aquila fasciata), the Little Owl (Athene noctua), the Lesser Kestrel (Falco naumanni), the Red Kite (Milvus milvus), and the Barn Owl (Tyto alba), collected between 2022 and 2023. Our analysis revealed that 68% of the pellets contained MPs (47 out of 69), and 81% contained AFs (56 out of 69). Additionally, two macroplastics were found inside the pellets: a cable tie in a Red Kite and a bird identification ring in a Cinereous Vulture. The concentrations (mean ± standard error of the mean) were 2.39 ± 0.39 MPs/pellet and 5.16 ± 0.72 AFs/pellet. The concentration of MPs and AFs varied significantly among some of the studied species; however, no significant differences were observed among urban, rural, and protected areas. This could indicate that contamination levels are mainly related to the type of species. Fibers emerged as the predominant contaminant shape, with six different polymers identified, among which PET, PE, and acrylics were the most prevalent. These findings highlight that plastic pollution has reached protected terrestrial raptors and that the impact of plastic on their life cycles needs to be assessed. Full article

Recent advances in machine learning technologies and omics methodologies are revolutionizing dietary assessment by integrating phenotypical, clinical, and metabolic biomarkers, which are crucial for personalized precision nutrition. This investigation aims to evaluate the feasibility and efficacy of artificial intelligence tools, particularly machine learning (ML) methods, in analyzing these biomarkers to characterize food and nutrient intake and to predict dietary patterns. Methods: We analyzed data from 138 subjects from the European Dietary Deal project through comprehensive examinations, lifestyle questionnaires, and fasting blood samples. Clustering was based on 72 h dietary recall, considering sex, age, and BMI. Exploratory factor analysis (EFA) assigned nomenclature to clusters based on food consumption patterns and nutritional indices from food frequency questionnaires. Elastic net regression identified biomarkers linked to these patterns, helping construct algorithms. Results: Clustering and EFA identified two dietary patterns linked to biochemical markers, distinguishing pro-Mediterranean (pro-MP) and pro-Western (pro-WP) patterns. Analysis revealed differences between pro-MP and pro-WP clusters, such as vegetables, pulses, cereals, drinks, meats, dairy, fish, and sweets. Markers related to lipid metabolism, liver function, blood coagulation, and metabolic factors were pivotal in discriminating clusters. Three computational algorithms were created to predict the probabilities of being classified into the pro-WP pattern. The first is the main algorithm, followed by a supervised algorithm, which is a simplified version of the main model that focuses on clinically feasible biochemical parameters and practical scientific criteria, demonstrating good predictive capabilities (ROC curve = 0.91, precision–recall curve = 0.80). Lastly, a reduced biochemical-based algorithm is presented, derived from the supervised algorithm. Conclusions: This study highlights the potential of biochemical markers in predicting nutritional patterns and the development of algorithms for classifying dietary clusters, advancing dietary intake assessment technologies. Full article

Chronic viral inflammation is associated with oxidative stress and changes in gut microbiota. The Mediterranean diet (MD), with recognized anti-inflammatory and antioxidant properties, modulates gut microorganisms, specifically on the interaction between extra virgin olive oil, a key component of the MD with well-documented antioxidant effects. This study investigated the influence of adherence to MD and antioxidant-rich foods (extra virgin olive oil) on biochemical, inflammatory, and microbiota profiles in patients with chronic inflammation defined as a prolonged inflammatory response due to immune dysregulation following the acute phase of the viral infection. Participants were classified into low (n = 54) and high (n = 134) MD adherence groups (cut-off of 7 points based on previous studies utilizing the same threshold in the assessment of MD adherence). Gut microbiota was sequenced using the 16S technique, and the adherence to MD was assessed using a validated questionnaire for a Spanish population. High adherence to the MD was linked to significant improvements in inflammatory and oxidative stress markers, including reductions in LDL-cholesterol, glucose, and lactate dehydrogenase (LDH) levels, an indicative of redox balance, as well as a significant higher consumption of antioxidant foods. Moreover, gut microbiota analysis revealed distinct compositional shifts and a lower abundance of the Oscillibacter genus in the high adherence group. Notably, a significant interaction was observed between MD adherence and extra virgin olive oil consumption, with Oscillibacter abundance influencing LDH levels, suggesting that the MD antioxidant properties may modulate inflammation through gut microbiota-mediated mechanisms. These findings provide new evidence that adherence to the Mediterranean diet can reduce inflammatory markers in patients with long-COVID-19, a population that has not been extensively studied, while also highlighting the potential role of the bacterial genus Oscillibacter in modulating this effect. Full article

Objective: IgA vasculitis (IgAV), previously named as Henoch–Schönlein purpura, is the most frequent systemic vasculitis in children. In adults, IgAV is less common although it is associated with more severe disease. In fact, the frequency of glomerulonephritis (referred to as IgAV nephritis) in adults is higher than in children and tends to present more severely, with around 10–30% of those affected eventually progressing to end-stage renal disease. In this review, we describe the pathophysiology, main clinical features, diagnosis of the disease, and latest clinical data regarding IgAV therapy. Methods: A narrative literature review, primarily based on articles published in PubMed, was conducted. In addition to discussing the main aspects of glucocorticoids and conventional disease-modifying drugs used in the management of IgAV, this review focuses on the latest information reported regarding biologics and potential future therapies. Results: Glucocorticoids are the first-line therapy for IgAV, especially in adults with severe manifestations. Colchicine, dapsone, and methotrexate can be useful for controlling minor manifestations. Several immunomodulatory agents, such as cyclosporine A, tacrolimus, and mycophenolate mofetil, have shown favorable results as glucocorticoid-sparing agents. Leflunomide has shown promising results but requires further study. The use of rituximab has demonstrated efficacy in reducing relapse frequency, lowering the cumulative glucocorticoid burden, and achieving long-term remission of the disease in children and adults with IgAV. Immunoglobulins and plasma exchange therapy can also be useful in difficult and life-threatening situations. Other potential therapies with encouraging results include TRF-budesonide, B-cell-directed therapy, B-cell-depleting agents, sodium–glucose cotransporter-2 inhibitors, endothelin receptor antagonists, and complement pathway inhibitors. Conclusions: Glucocorticoids are the first-line therapy for IgAV, especially in adults with severe manifestations. The role of various immunomodulatory therapies, such as calcineurin inhibitors and mycophenolate mofetil, remains promising, while rituximab reduces the long-term side effects of glucocorticoids and can help achieve disease remission. Other potential therapies with encouraging results require further research. Full article

Many types of viruses directly or indirectly target the vascular endothelial growth factor (VEGF) system, which is a central regulator of vasculogenesis and angiogenesis in physiological homeostasis, causing diverse pathologies. Other viruses have been developed into effective therapeutic tools for VEGF modulation in conditions such as cancer and eye diseases. Some viruses may alter the levels of VEGF in the pathogenesis of respiratory syndromes, or they may encode VEGF-like factors, promoting vascular disruption and angiogenesis to enable viruses’ systemic spread. Oncogenic viruses may express interactive factors that perturb VEGF’s functional levels or downstream signaling, which increases the neovascularization and metastasis of tumors. Furthermore, many viruses are being developed as therapeutic vectors for vascular pathologies in clinical trials. Major examples are those viral vectors that inhibit the role of VEGF in the neovascularization required for cancer progression; this is achieved through the induction of immune responses, by exposing specific peptides that block signaling or by expressing anti-VEGF and anti-VEGF receptor-neutralizing antibodies. Other viruses have been engineered into effective pro- or anti-angiogenesis multitarget vectors for neovascular eye diseases, paving the way for therapies with improved safety and minimal side effects. This article critically reviews the large body of literature on these issues, highlighting those contributions that describe the molecular mechanisms, thus expanding our understanding of the VEGF–virus interactions in disease and therapy. This could facilitate the clinical use of therapeutic virus vectors in precision medicine for the VEGF system. Full article

Background/Objectives: This study examined the effects of an intervention on anthropometrics, body composition, physical fitness, and sleep quality in aged individuals, comparing a control group (N = 11) and an experimental group (N = 13) across two measurement points. Methods: A multicomponent training program of 8 months was adopted as the intervention group. A bioimpedance balance, functional fitness test, and Pittsburgh Sleep Quality Index measured body composition, functional fitness, and sleep quality. Results: Both groups showed minimal changes in body mass and hand grip strength. However, the experimental group experienced significant improvements in physical fitness, including a 26% increase in arm curl repetitions, an 18% reduction in 5 times sit-to-stand (5TSTS) completion time, and a 29% rise in 2-min step test (2MST) steps, indicating enhanced muscle endurance and cardiovascular fitness. Flexibility decreased significantly in the experimental group, while body fat percentage was reduced by 10%. Sleep quality improved by 47% in the experimental group but declined by 14% in the control group. Correlational analysis revealed that better sleep quality was linked to improved fitness performance and reduced body fat in the experimental group, with post-intervention results further confirming the connection between sleep and fat reduction. In the control group, improved sleep quality was associated with higher metabolic rates after 8 months. Conclusions: These findings suggest that the intervention positively impacted physical fitness and sleep quality, with potential benefits for overall health. Full article

Background: Determinants and motives related to food selection have evolved in a globalized and changing world. The traditional and useful Food Choice Questionnaire (FCQ), created in 1995, needs to be updated, adapted to new scenarios, and validated. Objectives: This study aimed to: (1) assess face validity (FV) of the original 36-item FCQ, (2) generate an Updated-FCQ (U-FCQ) and assess its content validity (CV) (instrument suitability), and (3) evaluate its construct validity and reliability in a Spanish-speaking population from Mexico. Methods: FV involved a panel of nutrition professionals (NPs) rating the original items’ clarity, relevance, specificity, and representativeness. A literature review process updated the FCQ by adding new items. CV with a second NP panel allowed calculating content validity ratio (CVR). Construct validation was performed via exploratory and confirmatory factor analysis (EFA-CFA). Internal consistency through Cronbach’s alpha (CA) and test–retest reliability via intra-class correlation (ICC) were assessed. Results: The FV (n = 8) resulted in the modification of 11 original items. The literature review added 36 new items (15 from previous adaptations and 21 original items). The CV (n = 13) identified nine items (non-acceptable CVR), prompting reformulation of seven and removal of two. The NPs’ feedback added six new items. The EFA-CFA (n = 788) developed a 75-item U-FCQ with eight dimensions: sensory appeal, mood, health and nutritional content, price, food identity, environmental and wildlife awareness, convenience, and image management. CA ranged from 0.74–0.97 (good–excellent) and ICC from 0.51–0.78 (moderate–good). Conclusions: This study provides a useful instrument for the assessment of food choices and lays the groundwork for future cross-cultural comparisons, expanding its applicability in wider settings. Full article

Nowadays, efficient spectrum usage is one of the most important design principles to take into account in wireless communications due to the exponential growth of mobile devices. In that sense, solutions such as Non-Orthogonal Multiple Access (NOMA) and cognitive radio (CR) have been proposed. In essence, NOMA allows some interference level by using non-orthogonal resource allocation with a tolerable increase in receiver complexity employing successive interference cancellation (SIC). In this work, a novel mathematical model of teletraffic for users performing accessment, simultaneously, by means of Orthogonal Multiple Access (OMA) and NOMA, is developed using a Markovian process that considers bursts of arrivals to model the access schemes. This novel procedure implies a closed-form solution of the proposed system compared to other works where these parameters are estimated assuming the moment generating function obtained with approximation models. The model is validated with a discrete event simulator, considering different scenarios and simulation conditions. The simulation results are in agreement with the mathematical solution proposed. Full article

Background and Objectives: The Ventilatory Workload Kinetic Index (VWKI) has been proposed as a clinical instrument to evaluate ventilatory balance–imbalance. However, the regulated application of scales that allow an integral evaluation of the object of study and their subsequent reliability evaluation should be continuous. The objective was to determine the reliability of the VWKI between two evaluators and its applicability in the clinical field of physiotherapy. Materials and Methods: The methodology was divided into three stages: (i) induction period, (ii) application of the VWKI, and (iii) assessment of reliability. Results: The VWKI total score obtained excellent inter-rater reliability (ICC = 0.913, p < 0.05). The airway resistance (AR) showed moderate inter-rater reliability (ICC = 0.528, p < 0.05), while the use of accessory musculature (UAM) showed poor inter-rater reliability (ICC = 0.483, p < 0.05). In the physiotherapy care prioritization system, for both evaluator A (EA) and evaluator B (EB), the total VWKI score was significantly higher in priority 1 (p = 0.001; p < 0.05, respectively). Regarding the total VWKI score by services, it was observed that both EA and EB rated the VWKI significantly higher in the intensive care unit (ICU) than in medicine and the other services (p = 0.001, p = 0.0001 and p < 0.05, p < 0.05, respectively). Conclusions: VWKI is highly reliable in the total score. It is also consistent with the system of prioritization of physiotherapy care and the ability to determine the severity of clinical respiratory symptoms. Full article

SARS-CoV-2, the causative virus for the COVID-19 disease, uses its spike glycoprotein to bind to human ACE2 as a first step for viral entry into the cell. For this reason, great efforts have been made to find mechanisms that disrupt this interaction, avoiding the infection. Nitric oxide (NO) is a soluble endogenous gas with known antiviral and immunomodulatory properties. In this study, we aimed to test whether NO could inhibit the binding of the viral spike to ACE2 in human cells and its effects on ACE2 enzymatic activity. Our results show that ACE2 activity was decreased by the NO donors DETA-NONOate and GSNO and by the NO byproduct peroxynitrite. Furthermore, we found that DETA-NONOate could break the spike–ACE2 interaction using the spike from two different variants (Alpha and Gamma) and in two different human cell types. Moreover, the same result was obtained when using NO-producing murine macrophages, while no significant changes were observed in ACE2 expression or distribution within the cell. These results support that it is worth considering NO as a therapeutic agent for COVID-19, as previous reports have suggested. Full article

Neointimal hyperplasia is the main cause of vascular graft failure in the medium term. NFκB is a key mediator of inflammation that is activated during neointimal hyperplasia following endothelial injury. However, the molecular mechanisms involved in NFκB activation are poorly understood. NFκB may be activated through canonical (transient) and non-canonical (persistent) pathways. NFκB-inducing kinase (NIK, MAP3K14) is the upstream kinase of the non-canonical pathway. We have now explored the impact of NIK deficiency on neointimal hyperplasia following guidewire-induced endothelial cell injury and on local inflammation by comparing NIK activity–deficient alymphoplasia mice (NIK^aly/aly) with control wild-type (NIK^+/+) mice. Guidewire-induced endothelial cell injury caused neointimal hyperplasia and luminal stenosis and upregulated the local expression of NIK and the NFκB target chemokines monocyte chemoattractant protein-1 (MCP-1/CCL2) and chemokine ligand 5 (RANTES/CCL5). Immunohistochemistry disclosed the infiltration of the media and intima by F4/80 positive macrophages. The intima/media ratio and percentage of stenosis were milder in the NIK^aly/aly than in the NIK^+/+ mice. Additionally, the gene expression for MCP-1 and RANTES was lower and F4/80+ cell infiltration was milder in the NIK^aly/aly than in the NIK^+/+ mice. Finally, circulating MCP-1 levels were lower in the NIK^aly/aly than in the NIK^+/+ mice, reflecting milder systemic inflammation. In conclusion, NIK is a driver of vascular wall inflammation and stenosis following guidewire-induced endothelial cell injury. NIK targeting may be a novel therapeutic approach to limit arterial stenosis following endothelial cell injury. Full article

Ultrasonic additive manufacturing (UAM) is a process used for the three-dimensional printing of metal foil stock that can produce near-net-shaped metallic parts. This work details the development of an energy-based tool to identify the relationships between input energy, energy stored in the interface microstructure, and the strength of the weld interface in UAM. The stored energy in the grain boundaries of the crystallized grains in the interface microstructure are estimated using the Read–Shockley relationship. The energy stored in the interface is found to be positively correlated with the resulting weld strength. An energy flow diagram is developed to map the flow of energy from the welder to the workpiece and quantify the key participating energies such as the energy of plastic deformation, energy stored in the interface microstructure, energy required for asperity collapse, and heat generation. A better understanding of the flow of energy in UAM can assist in optimizing the process to maximize the portion of energy input by the welder that is used for bond formation. Full article

Residual rights are the right to choose asset uses not specified in the contract. They are essential in situations of uncertainty. The current energy transition presents a greater variety of assets. Moreover, it is impossible to anticipate all relevant states that the assets and the environment can embody, making it impossible to optimize them contractually. Furthermore, there is consensus that the transition must occur quickly, which means high levels of investment in new specific assets. How should we distribute property rights to maximize social benefits in a context with specific and dispersed assets? Because of the complementarity between network and distributed resources, this article questions the premise that deverticalization is invariably beneficial to consumers and argues for the need to revise the concept of network and develop the regulatory implications of such a reconceptualization. We defend the need to evaluate alternative network concepts considering the technological repertoire available to operationalize them. When considering the technological repertoire available today, characterized by the competitiveness of information and communications technology (ICT) and distributed resources, we should recognize the inherently incomplete nature of the contracts signed between network operators and users. Full article