Search Results (203,656)

There are many papers presenting quantum computing models. The definitions parallel the classical definitions of finite state automata, push-down automata, context-free grammars, etc. Classical computing model definitions define languages precisely. We can state that a string belongs to a language or does not belong to it with no room for error. Quantum definitions do not possess this certainty. Sacrificing the certainty and adopting a quantum definition of a computing model does not appear to provide any concrete power to the model. Therefore, the path of this paper is to begin from the classical definition and end in a quantum circuit. In this paper, we start from a deterministic push-down automaton (DPDA). We present circuits for state transition and stack operations. The circuits presented can be viewed as independent algorithms. As an example, the approach used to construct the circuit for state transition can be utilized to build the circuit for a function presented as a Boolean matrix. Full article

Owning a home has become a distant, often unattainable dream for many Americans since the 2007–2009 recession. The shortage of homes has decreased affordability, forcing 43 million U.S. households to become renters rather than owners. Racially targeted policies and widespread discrimination, coupled with neoliberal urban renewal policies, have forced communities of color, especially immigrants and the foreign-born, at the greatest disadvantage in homeownership. This paper examines tract-scale disparities in homeownership across major racial/ethnic groups. Using the U.S. Census Office of Management and Budget’s (OMB) 2019 definition of the 13-county-metropolitan statistical area (MSA) of Nashville, Tennessee, as the study area, I use five-year American Community Survey (ACS) (2015–2019) data estimates to examine the spatial disparity in homeownership and its predictors. Nashville MSA is one of the fastest-growing southern gateways, and it is also the largest, most diverse, and most intermixed metropolis in Tennessee. It contains higher than the state’s overall share of foreign-born, and during 2019–2040, its share of immigrants is projected to grow by 40.7%, making it the best-suited laboratory for race/immigrant-focused research on housing. This analysis finds significant differences in race-based mean per-capita income, with Whites ($32,522) and Asians ($32,556) at the top, whereas Blacks ($25,062) and Hispanics ($20,091) are at the lowest. The ratio of race-based per-capita-income-versus-median housing values is the highest for Whites (15.19) and Asians (15.07) and the lowest for Blacks (11.49) and Hispanics (9.27), putting these two groups as the most disadvantaged regarding their affordability. Regression models suggest lower White homeownership in higher diversity tracts among foreign-born-not-citizens (FBNCs), whereas Black and Hispanic homeownerships are higher in tracts with higher diversity among FBNCs. Interestingly, Asian homeownership is high in tracts with high-income Blacks tracts, pointing toward the increasing significance of class. Full article

Background/Objectives: Patients with diabetes have been reported to experience a higher prevalence of shoulder disorders compared to those without diabetes or with other medical conditions. However, the specific types of shoulder injuries and the extent of functional impairment associated with diabetes mellitus remain unclear. This study aimed to assess the association between diabetes and specific shoulder injuries, as well as the degree of functional impairment in affected patients. Methods: A case–control study was conducted involving 136 patients with shoulder functional impairment (UCLA Shoulder Scale ≤ 27). The study included 38 patients with diabetes and 98 non-diabetic controls. Shoulder injuries were diagnosed using ultrasonography, focusing on the supraspinatus tendon, long head of the biceps tendon, subscapularis tendon, and the presence of adhesive capsulitis or rotator cuff tears. Results: Diabetic patients had significantly higher rates of poor shoulder function compared to non-diabetic controls (89.47% vs. 63.26%, adjusted OR [adOR] 5.22, 95% CI 1.57–17.32, p = 0.007). While both groups had high rates of supraspinatus and long head of the biceps tendon injuries (~80%), no significant differences were found between them (p > 0.300). However, diabetic patients were more than three times as likely to have subscapularis tendon injuries (adOR 3.15, 95% CI 1.26–7.90, p = 0.014) and massive rotator cuff tears (adOR 3.76, 95% CI 1.16–12.15, p = 0.027). Additionally, diabetes was associated with a fourfold increased risk of adhesive capsulitis (adOR 4.16, 95% CI 1.20–14.47, p = 0.025). Conclusions: Diabetes mellitus is linked to greater functional and structural deterioration of the shoulder, highlighting the importance of considering diabetes as a risk factor for specific shoulder injuries. Early diagnosis and treatment may improve outcomes for diabetic patients with shoulder disorders. Full article

Background: The effect of differing post-contrast phases on CT body composition measurements is not yet known. Methods: A fully automated AI-based body composition analysis using DAFS was performed on a retrospective cohort of 278 subjects undergoing pre-treatment triple-phase CT for pancreatic intraductal papillary mucinous neoplasm. The CT contrast phases included noncontrast (NON), arterial (ART), and venous (VEN) phases. The software selected a single axial CT image at mid-L3 on each phase for body compartment segmentation. The areas (cm²) were calculated for skeletal muscle (SM), intermuscular adipose tissue (IMAT), visceral adipose tissue (VAT), and subcutaneous adipose tissue (SAT). The mean Hounsfield units of skeletal muscle (SMHU) within the segmented regions were calculated. Bland–Altman and Chi Square analyses were performed. Results: SM-NON had a lower percentage of bias [LOA] than SM-ART, −0.7 [−7.6, 6.2], and SM-VEN, −0.3 [−7.6, 7.0]; VAT-NON had a higher percentage of bias than ART, 3.4 [−18.2, 25.0], and VEN, 5.8 [−15.0, 26.6]; and this value was lower for SAT-NON than ART, −0.4 [−14.9, 14.2], and VEN, −0.5 [−14.3, 13.4];] and higher for IMAT-NON than ART, 5.9 [−17.9, 29.7], and VEN, 9.5 [−17.0, 36.1]. The bias in SMHU NON [LOA] was lower than that in ART, −3.8 HU [−9.8, 2.1], and VEN, −7.8 HU [−14.8, −0.8]. Conclusions: IV contrast affects the voxel HU of fat and muscle, impacting CT analysis of body composition. We noted a relatively smaller bias in the SM, VAT, and SAT areas across the contrast phases. However, SMHU and IMAT experienced larger bias. During threshold risk stratification for CT-based measurements of SMHU and IMAT, the IV contrast phase should be taken into consideration. Full article

We analytically determine neutrino transitional probabilities and abundance ratios at various distances from the source of creation in several astrophysical contexts, including the Sun, supernovae and cosmic rays. In doing so, we determine the probability of a higher-order transition state from ντ→νλ, where νλ represents a more massive generation than Standard Model neutrinos. We first calculate an approximate cross-section for high-energy neutrinos which allows us to formulate comparisons for the oscillation distances of solar, supernova and higher-energy cosmic ray neutrinos. The flavor distributions of the resulting neutrino populations from each source detected on Earth are then compared via fractional density charts. Full article

Spatial navigation allows animals to understand their environment position and is crucial to survival. An animal’s primary mode of spatial navigation (horizontal or vertical) is dependent on how they naturally move in space. Observations of the domestic dog (Canis familiaris) have shown that they, like other terrestrial animals, navigate poorly in vertical space. This deficit is visible in their use of multi-story buildings. To date, no research has been conducted to determine if dogs can learn how to navigate in an anthropogenic vertical environment with the help of a landmark. As such, we herein investigate the effect of the addition of a visual or olfactory landmark on dogs’ ability to identify when they are on their home floor. Subject behaviors toward their home door and a contrasting floor door were compared before and after exposure to a landmark outside of their home door. While subjects initially showed no difference in latency to approach an apartment door on their home or a wrong floor, we found a significant difference in latency to approach the doors in the test trials for subjects who approached the doors in every trial. Other findings are equivocal, but this result is consistent with the hypothesis that dogs can learn to navigate in vertical space. Full article

Like many other industries, healthcare is constantly evolving. Driven by rapid advances in technology and the ever-growing influence of the digital landscape, the art of caring for the physical body and the digital world are becoming increasingly intertwined. The field of cosmetic dermatology is no exception; in fact, it may exceedingly embody this entanglement. The marriage of innovation, social media, and telehealth consultations has changed how patients perceive and seek beauty and how they engage with dermatologists. As such, dermatologists must engage as active participants as cosmetic dermatology continues to grow in the digital age [...] Full article

The convergence order of an iterative method used to solve equations is usually determined by using Taylor series expansions, which in turn require high-order derivatives, which are not necessarily present in the method. Therefore, such convergence analysis cannot guarantee the theoretical convergence of the method to a solution if these derivatives do not exist. However, the method can converge. This indicates that the most sufficient convergence conditions required by the Taylor approach can be replaced by weaker ones. Other drawbacks exist, such as information on the isolation of simple solutions or the number of iterations that must be performed to achieve the desired error tolerance. This paper positively addresses all these issues by considering a technique that uses only the operators on the method and Ω-generalized continuity to control the derivative. Moreover, both local and semi-local convergence analyses are presented for Banach space-valued operators. The technique can be used to extend the applicability of other methods along the same lines. A large number of concrete examples are shown in which the convergence conditions are fulfilled. Full article

The black skimmer (Rynchops niger) is a state-threatened, colonially nesting seabird in Florida, USA. Conservation threats include habitat alteration, human disturbances, severe weather, and predation. During nest monitoring (May–September, 2020–2022), black skimmer juveniles at colonies on Fort Myers Beach and Marco Island, Florida, had polyarthritis and died or were euthanized due to severe illness. Similarly-aged skimmers from geographically distant (considered unaffected) colonies were evaluated for comparison (2021–2023). We documented field, clinical, radiographical, and pathological findings to characterize disease and purported pathogenesis. The majority were lame and lethargic, in poor nutritional condition, and dehydrated. Additionally, 8/23 of the skimmers with dermatitis and arthritis from affected colonies also had penetrating sandspurs associated with skin ulceration, scabbing, and/or hemorrhage. The affected joints were often in limbs (interphalangeal and hock; less commonly stifle, elbow, carpus). A postmortem evaluation and bacteriology revealed Staphylococcal aureus-associated dermatitis, arthritis, tenosynovitis, and/or osteomyelitis in 21/22 of the juvenile skimmers from southwestern nest colonies. Staphylococcus aureus dissemination to internal organs occurred in 10/13 of the skimmers tested. Among skimmers evaluated from distant colonies, 5/10 that were examined histologically had skin crusting and inflammation but lacked arthritis. Occasional coinfections were documented (e.g., West Nile virus, Gram-negative bacilli). The results suggest that staphylococcal joint disease originated from sandspur-induced skin damage, followed by hematogenous dissemination to the joints and, occasionally, the internal organs. Additional nest sites should be tested to evaluate disease risk and potentially contributing environmental factors. We recommend that site managers employ techniques that reduce the risk of skimmer interactions with sandspurs. Full article

Emerging evidence indicates periostin (POSTN) is upregulated in patients with OA, and studies have shown that it can induce the activation of inflammatory cytokines and catabolic enzymes, making it a potential therapeutic target. Link N (LN) is a peptide fragment derived from the link protein and has been demonstrated as an anabolic-like factor and anti-catabolic and anti-inflammatory factors both in vitro and in vivo. This study aims to determine if LN can regulate POSTN expression and function in OA cartilage. Articular cartilage was recovered from donors undergoing total knee replacements to isolate chondrocytes and prepare osteochondral explants. Cells and explants were treated with POSTN and LN (1 and 100 μg) and measured for changes in POSTN expression and various matrix proteins, catabolic and proinflammatory factors, and signaling. To determine the effects of POSTN expression in vivo, a rabbit OA model was used. Immunoprecipitation and in silico modeling were used to determine peptide/POSTN interactions. Western blotting, PCR, and immunohistochemistry demonstrated that LN decreased POSTN expression both in vitro and in vivo. LN was also able to directly inhibit POSTN signaling in OA chondrocytes. In silico docking suggested the direct interaction of LN with POSTN at residues responsible for its oligomerization. Immunoprecipitation experiments confirmed the direct interaction of LN with POSTN and the destabilization of its oligomerization. This study demonstrates the ability of a peptide, LN, to suppress the overexpression and function of POSTN in OA cartilage. Full article

We evaluated the long-term impacts of various forest management practices on the structure and biodiversity of Estonian hemiboreal forests, a unique ecological transition zone between temperate and boreal forests, found primarily in regions with cold winters and moderately warm summers, such as the northern parts of Europe, Asia, and North America. The study examined 150 plots across stands of different ages (65–177 years), including commercial forests and Natura 2000 habitat 9010* “Western Taiga”. These plots varied in stand origin—multi-aged (trees of varying ages) versus even-aged (uniform tree ages), management history—historical (practices before the 1990s) and recent (post-1990s practices), and conservation status—protected forests (e.g., Natura 2000 areas) and commercial forests focused on timber production. Data on forest structure, including canopy tree diameters, deadwood volumes, and species richness, were collected alongside detailed field surveys of vascular plants and bryophytes. Management histories were assessed using historical maps and records. Statistical analyses, including General Linear Mixed Models (GLMMs), Multi-Response Permutation Procedures (MRPP), and Indicator Species Analysis (ISA), were used to evaluate the effects of origin, management history, and conservation status on forest structure and species composition. Results indicated that multi-aged origin forests had significantly higher canopy tree diameters and deadwood volumes compared to even-aged origin stands, highlighting the benefits of varied-age management for structural diversity. Historically managed forests showed increased tree species richness, but lower deadwood volumes, suggesting a biodiversity–structure trade-off. Recent management, however, negatively impacted both deadwood volume and understory diversity, reflecting short-term forestry consequences. Protected areas exhibited higher deadwood volumes and bryophyte richness compared to commercial forests, indicating a small yet persistent effect of conservation strategies in sustaining forest complexity and biodiversity. Indicator species analysis identified specific vascular plants and bryophytes as markers of long-term management impacts. These findings highlight the ecological significance of integrating historical legacies and conservation priorities into modern management to support forest resilience and biodiversity. Full article

Holographic displays are an upcoming technology for AR and VR applications, with the ability to show 3D content with accurate depth cues, including accommodation and motion parallax. Recent research reveals that only a fraction of holographic pixels are needed to display images with high fidelity, improving energy efficiency in future holographic displays. However, the existing iterative method for computing sparse amplitude and phase layouts does not run in real time; instead, it takes hundreds of milliseconds to render an image into a sparse hologram. In this paper, we present a non-iterative amplitude and phase computation for sparse Fourier holograms that uses Perlin noise in the image–plane phase. We conduct simulated and optical experiments. Compared to the Gaussian-weighted Gerchberg–Saxton method, our method achieves a run time improvement of over 600 times while producing a nearly equal PSNR and SSIM quality. The real-time performance of our method enables the presentation of dynamic content crucial to AR and VR applications, such as video streaming and interactive visualization, on holographic displays. Full article

Background/Objectives: Cutaneous infections of fungal and bacterial origins are common. An accurate diagnosis—especially concerning pathogens that are difficult to isolate on culture—can be achieved using molecular methods (PCR) with a short turnaround time. Methods: We reviewed records of skin specimens (superficial scrapings) submitted by dermatologists across the United States with a clinically suspected dermatitis. As per physician’s order, specimens were tested for infections either fungal (N = 4262) or bacterial (N = 1707) in origin. All unique specimens (one per patient) were subjected to real-time PCR assays where cases suspected of a fungal etiology were tested for dermatophytes, Malassezia and Candida, and cases suspected of a bacterial etiology were tested for Streptococcus pyogenes, Staphylococcus aureus, and the mecA gene potentially conferring β-lactam resistance. Results: Fungal agents were detected in 32.8% (SD: 4.5) of the submitted specimens, with most attributed to dermatophytes (19.3% (SD: 4.9)), followed by Malassezia (8.7% (SD: 2.8)) and Candida (2.9% (SD: 1.0)). Dermatophyte detection was more common in the elderly (≥65 years) compared to young adults (18–44 years) (OR: 1.8 (95% CI: 1.5, 2.2)), whereas Malassezia was more commonly detected in younger age groups (12.1–13.6%) than the elderly (5.6%). Candida was more frequently observed in females while dermatophytes and Malassezia were more frequently observed in males. Approximately one quarter of the submitted skin specimens tested positive for S. aureus (23.6% (SD: 3.4)), of which 34.4% (SD: 9.8) exhibited concurrent detection of the mecA gene. An S. aureus detection was more frequently observed in males (OR: 1.5 (95% CI: 1.2, 1.9)) and in children (OR: 1.7 (95% CI: 1.2, 2.5)). Streptococcus pyogenes was rarely detected. Among specimens positive for dermatophytes, 12.0% (20/166) showed co-detection of S. aureus and mecA, which is in contrast to 6.8% (70/1023) detected in samples without a fungal co-detection and 6.2% (8/130) in samples positive for Malassezia. Conclusions: PCR testing, when available, can be valuable as a part of routine care for diagnosing patients with clinically suspected skin infections. Further studies are warranted to survey the prevalence of resistant S. aureus isolates in dermatology outpatients, in particular with regard to the association with dermatophyte infections. Full article

Background: Resected rectal polyps with deep invasion into the submucosa (pT1b-sm2,3) or the muscle layer (pT2) are currently confronted with surgery due to non-curative resection. Aims: We evaluated the efficacy, safety, and locoregional control of adjuvant radiotherapy (RT) and/or chemotherapy (CT) following endoscopic KAR (knife-assisted resection) in patients with invasive early rectal cancers who are unwilling or unsuitable for additional surgical resection. Methods: Fifty-one patients with early rectal cancers, pT1b or pT2, underwent post-resection adjuvant RT and/or CT in 15 centers worldwide. “En bloc” macroscopic resection, R0 resection, recurrence rate, and adverse events following resection and adjuvant therapy were recorded in a multicenter retrospective cohort study. Results: Diagnostic staging (38/51, 75%) was the main reason for ELE. Macroscopic “en bloc” resection was demonstrated in 50/51 (98%), with an average follow-up of 20.6 months. Endoscopic recurrence occurred in 7/51 (13.7%) of patients, with mean time for diagnosis of recurrence at 8.9 months. Adjuvant therapy consisted of RT in 49.0% (25/51), CT in 11.8% (6/51), and combined CRT in 39.2% (20/51) of the cases. Perforation, severe post-procedural bleeding, and incontinence were the most frequent complications. The absence of superficial ulceration was associated with macroscopic complete resection, while the lesions with lower budding stage, clear lateral margins, lesion size <40 mm, and needle-type knife used were associated with less endoscopic recurrencies. Conclusions: Our data investigated adjuvant RT and/or CT after endoscopic KAR of infiltrative rectal cancers (pT1bsm2,3-pT2) as being safe and effective for locoregional control and providing a non-surgical treatment option for patients with a non-curative resection. Full article

Background: The relationship between consuming Thai desserts—predominantly composed of carbohydrates—and gut microbiome profiles remains unclear. This study aimed to evaluate the effects of consuming various Thai desserts with different GI values on the gut microbiomes of healthy volunteers. Methods: This open-label, parallel randomized clinical trial involved 30 healthy individuals aged 18 to 45 years. Participants were randomly assigned to one of three groups: Phetchaburi’s Custard Cake (192 g, low-GI group, n = 10), Saraburi’s Curry Puff (98 g, medium-GI group, n = 10), and Lampang’s Crispy Rice Cracker (68 g, high-GI group, n = 10), each consumed alongside their standard breakfast. Fecal samples were collected at baseline and 24 h post-intervention for metagenomic analysis of gut microbiome profiles using 16S rRNA gene sequencing. Results: After 24 h, distinct trends in the relative abundance of various gut microbiota were observed among the dessert groups. In the high-GI dessert group, the abundance of Collinsella and Bifidobacterium decreased compared to the low- and medium-GI groups, while Roseburia and Ruminococcus showed slight increases. Correlation analysis revealed a significant negative relationship between sugar intake and Lactobacillus abundance in the medium- and high-GI groups, but not in the low-GI group. Additionally, a moderately negative association was observed between Akkermansia abundance and sugar intake in the high-GI group. These bacteria are implicated in energy metabolism and insulin regulation. LEfSe analysis identified Porphyromonadaceae and Porphyromonas as core microbiota in the low-GI group, whereas Klebsiella was enriched in the high-GI group, with no predominant bacteria identified in the medium-GI group. Conclusions: The findings suggest that Thai desserts with varying GI levels can influence specific gut bacteria, though these effects may be temporary. Full article