Joint Application Research Articles

The Procedure for the Exercise by Parents of the Right and Obligation to Determine the Surname of the Child and its Change

Introduction. The article discusses the features of the exercise by parents of the right and obligation to determine the name of the child and its change, which are included in the list of personal non-property rights and obligations of parents, evasion of which may lead to deprivation of parental rights. Theoretical Basis. Methods. The methodological basis of the study was philosophical methodology (dialectical method of cognition), general scientific methodology (modeling, logical analysis) and private methodology (comparative legal method, method of interpretation of law). Results. It is determined that the exercise of the right and the fulfillment of the obligation by parents to determine the name of the child takes place when registering the birth of the child. The authority of the father depends on the state of marriage with the mother of the child and the presence or absence of the will to establish paternity on a voluntary basis. In connection with the admission of registration of the birth of a child at the request of other persons, the authority of parents to determine the name of the child should be interpreted broadly. Parents should take steps to register the child’s birth with the civil registration authorities. The change of the child’s surname may take place after the registration of the child’s birth, but before the child reaches the age of sixteen. The procedure for such a change, the conditions that must be observed to change the surname, depend on a number of facts – the family legal status of the parent, the presence or absence of the will of both parents, the age of the child, the presence or absence of the consent of the child who has reached the age of ten. Discussion and Conclusion. Parents exercise the right and obligation to determine the child’s surname when registering the child’s birth with the civil registration authorities. After registering the birth of a child, a change in the child’s surname may take place if he has not reached the age of sixteen. Changing the surname of a child under the age of sixteen is the responsibility of the parents only in the event of a surname change by both parents. In cases where paternity is established on a voluntary basis, when submitting a joint application for registration of the establishment of paternity, the parents in the joint application exercise their right to determine the child’s surname, since the choice from the surnames of the parents is carried out regardless of the discretion of the law enforcement authorities. The powers of parents to change the name of the child are limited by the discretion of law enforcement authorities.

Scale agreement, ceiling and floor effects, construct validity, and relative efficiency of the PROPr and EQ-5D-3L in low back pain patients

BackgroundThe PROMIS Preference score (PROPr) is a new health state utility (HSU) score that aims to comprehensively incorporate the biopsychosocial model of health and apply favorable psychometric properties from the descriptive PROMIS system to HSU measurements. However, minimal evidence concerning comparisons to the EQ-5D-3L and the PROPr’s capability to differentiate clinical severity are available. Therefore, the aim of this study was to compare the PROPr to the EQ-5D-3L in terms of scale agreement, ceiling/floor effects, distribution, construct validity, discriminatory power, and relative efficiency (RE) in terms of the Oswestry Disability Index (ODI) for patients with low back pain (LBP).MethodsWe used intra-class correlation coefficients (ICC) and Bland–Altman plots to compare the PROPr and EQ-5D-3L with regared to scale agreement in a cross-sectional routine sample of LBP patients. For distribution, we used the Pearson’s coefficient for skewness and for ceiling/floor effects, a 15%-top/bottom threshold. For convergent validity, we used Pearson’s correlation coefficients. For known-groups validity, we applied a linear regression with interaction terms (predictors sex, age, and ODI level) and an analysis of variance (ANOVA). For discriminatory power, we calculated the effect size (ES) using Cohen’s d and the ratio of the area under the receiver-operating characteristics curves (AUROC-ratio = AUROCPROPr/AUROCEQ-5D-3L). RE was measured using the ratio of F-values (RE = FPROPr/FEQ-5D-3L).ResultsOf 218 LBP patients, 50.0% were female and the mean age was 61.8 years. The mean PROPr (0.20, 95%CI: 0.18; 0.22) and EQ-5D-3L scores (0.55, 95%CI: 0.51; 0.58) showed low agreement (d = 0.35, p < 0.001; ICC 0.27, 95%CI: -0.09; 0.59). The PROPr’s distribution was positively skewed, whereas the EQ-5D-3L’s was negative. Neither tool showed ceiling/floor effects, but all EQ-5D-3L dimensions did. Pearson correlation was r = 0.66 (95%CI: 0.58; 0.73). Differences were invariant to sex and age but not to ODI severity: ESEQ-5D-3L > ESPROPr and RE < 1 in higher ODI severity; ESEQ-5D-3L < ESPROPr and RE > 1 in lower ODI severity. AUROC-ratios did not show significant differences in terms of ODI severity.ConclusionsAll PROPr and EQ-5D-3L biopsychosocial dimensions of health showed impairment in LPB patients. The capability of EQ-5D-3L and PROPr to differentiate ODI levels depends on ODI severity. Joint application of both tools may provide additional information.

Influence of the use of liquid fertilizers on the quality indicators of grain of the spring wheat variety DalGAU 1

Relevance. Recently, liquid fertilizers have been increasingly used in the technology of cultivating spring wheat. They are ideal for spraying on the surface of a field with cereals and other plants. Compared to solid fertilizers, the advantages of automated control of their distribution over the field, the possibility of joint application of herbicides, insecticides, microelements.Methods. Field experiments to study the influence of methods of using liquid fertilizers were conducted at the experimental field of the Far Eastern State Agricultural University in the southern agricultural district of the Amur region (Blagoveshchensk district, village of Gribskoye). The laying of the field experience was carried out according to the method of B.A. Dospekhov in fourfold repetition. The registered area of the plot is 16 m², the placement is randomized, the previous crop is soy. The studies included field and laboratory observations.Results. It was found that when using liquid fertilizers, the weight of 1000 seeds changed according to the variants of the experiment with the use of fertilizers relative to the control without the use of fertilizers from 1.5 to 4.9 g. Сombined use of Nertus Start and Photosynthesis — 696.6 g/l, which is higher than the control by 48.7 g/l and the background by 19.2 g/l. The maximum value of the natural grain weight for an average of four years was in the variant with the combined use of Nertus Start and Photosynthesis — 696.6 g/l, which is higher than the control (by 48.7 g/l) and background (by 19.2 g/l).

Radio frequency identification review and development prospect research

Based on the existing literature and data, this paper starts from the principle of radio frequency identification technology, analyses the situation of the application field of RFID and predicts its development prospect. The results show that RFID technology is a kind of technology that uses the transmission characteristics of RF signals through space alternating electromagnetic coupling to identify targets and thus realize rapid automatic identification. Since it was developed and used in warfare in the mid-twentieth century, RF identification technology has developed rapidly and developed a variety of applications. Today, with the development of electronic technology and communication technology, RF identification technology already has a wide and irreplaceable role in medicine, military and food safety. It is not difficult to imagine that with more joint applications of new technology, radio frequency-related algorithm improvement, radio frequency tag price reduction, and other conditions, the technology will have a more extensive and profound application in the future.

Leucogranite mapping via convolutional recurrent neural networks and geochemical survey data in the Himalayan orogen

Geochemical survey data analysis is recognized as an implemented and feasible way for lithological mapping to assist mineral exploration. With respect to available approaches, recent methodological advances have focused on deep learning algorithms which provide access to learn and extract information directly from geochemical survey data through multi-level networks and outputting end-to-end classification. Accordingly, this study developed a lithological mapping framework with the joint application of a convolutional neural network (CNN) and a long short-term memory (LSTM). The CNN-LSTM model is dominant in correlation extraction from CNN layers and coupling interaction learning from LSTM layers. This hybrid approach was demonstrated by mapping leucogranites in the Himalayan orogen based on stream sediment geochemical survey data, where the targeted leucogranite was expected to be potential resources of rare metals such as Li, Be, and W mineralization. Three comparative case studies were carried out from both visual and quantitative perspectives to illustrate the superiority of the proposed model. A guided spatial distribution map of leucogranites in the Himalayan orogen, divided into high-, moderate-, and low-potential areas, was delineated by the success rate curve, which further improves the efficiency for identifying unmapped leucogranites through geological mapping. In light of these results, this study provides an alternative solution for lithologic mapping using geochemical survey data at a regional scale and reduces the risk for decision making associated with mineral exploration.

Architecture of soil microaggregates: Advanced methodologies to explore properties and functions

AbstractThe functions of soils are intimately linked to their three‐dimensional pore space and the associated biogeochemical interfaces, mirrored in the complex structure that developed during pedogenesis. Under stress overload, soil disintegrates into smaller compound structures, conventionally named aggregates. Microaggregates (&lt;250 µm) are recognized as the most stable soil structural units. They are built of mineral, organic, and biotic materials, provide habitats for a vast diversity of microorganisms, and are closely involved in the cycling of matter and energy. However, exploring the architecture of soil microaggregates and their linkage to soil functions remains a challenging but demanding scientific endeavor. With the advent of complementary spectromicroscopic and tomographic techniques, we can now assess and visualize the size, composition, and porosity of microaggregates and the spatial arrangement of their interior building units. Their combinations with advanced experimental pedology, multi‐isotope labeling experiments, and computational approaches pave the way to investigate microaggregate turnover and stability, explore their role in element cycling, and unravel the intricate linkage between structure and function. However, spectromicroscopic techniques operate at different scales and resolutions, and have specific requirements for sample preparation and microaggregate isolation; hence, special attention must be paid to both the separation of microaggregates in a reproducible manner and the synopsis of the geography of information that originates from the diverse complementary instrumental techniques. The latter calls for further development of strategies for synlocation and synscaling beyond the present state of correlative analysis. Here, we present examples of recent scientific progress and review both options and challenges of the joint application of cutting‐edge techniques to achieve a sophisticated picture of the properties and functions of soil microaggregates.

Preparation and biotribological properties of PSBMA polyelectrolyte brush on PEEK surface

AbstractPEEK has been widely used in orthopedic implants for three decades. However, poor hydrophilicity and lower tribological properties are the weaknesses of PEEK that need to be optimized in artificial joint applications. Zwitterionic sulfobetaine methacrylate (SBMA) polyelectrolyte brushes are prepared on the PEEK surface by UV irradiation to improve the hydrophilicity and biotribological properties. The three‐factor and three‐level orthogonal experiments are designed to investigate the effects of monomer concentration, irradiation time, and temperature of the grafting quantity of SBMA on the PEEK surface. The composition of the grafted PEEK specimens is characterized by attenuated total reflection Fourier transform infrared spectroscopy (ATR‐FTIR) and X‐ray photoelectron spectroscopy (XPS). Hydrophilicity and biotribological properties are also characterized. Results show that SBMA is successfully grafted onto the PEEK surface by UV‐induced grafting polymerization, and the effects of the three process parameters on the grafting quantity are ranked as concentration &gt; time &gt; temperature. The hydrophilicity and biotribological properties are significantly improved due to the graft of the hydrophilic PSBMA polyelectrolyte brushes, and the improved biotribological can be attributed to the load‐bearing capacity of PSBMA polyelectrolyte brush and the boundary lubrication formed by the adsorption of water molecules.

Simplified Self-Coherent FSO Transmission Boosted by Digital Resolution Enhancer

The joint application of free-space optics (FSO) transmission with coherent detection has recently appeared to enable unprecedented optical wireless capacity. Nevertheless, due to the associated cost and power consumption, simplified self-coherent FSO links are currently being explored to optimize the performance vs. complexity tradeoff. In particular, the utilization of low-complexity virtual carrier self-coherent transmission provides an appealing cost-effective alternative for high-capacity FSO links. However, this transmission paradigm is associated with quantization noise problems due to limited digital-to-analog converter (DAC) resolution. Following all the stated requirements, this work presents a simplified virtual carrier-assisted self-coherent FSO link supported by a low-resolution DAC and Nyquist rate phase reconstruction using the DC-Value algorithm. The utilization of such a low-resolution DAC is aided by a digital resolution enhancement (DRE) method. Employing this simplified self-coherent approach, we experimentally demonstrated 100 Gbps FSO transmission over an outdoor 42 m link using a DAC with resolution as low as 3 bits.

Combined Use of Short-Lived Radionuclides (234Th and 210Po) as Tracers of Sinking Particles in the Ocean.

Radionuclides can provide key information on the temporal dimension of environmental processes, given their well-known rates of radioactive decay and production. Naturally occurring radionuclides, such as 234Th and 210Po, have been used as powerful particle tracers in the marine environment to study particle cycling and vertical export. Since their application to quantify the magnitude of particulate organic carbon (POC) export in the 1990s, 234Th and, to a lesser extent, 210Po have been widely used to characterize the magnitude of the biological carbon pump (BCP). Combining both radionuclides, with their different half-lives, biogeochemical behaviors, and input sources to the ocean, can help to better constrain POC export and capture BCP dynamics that would be missed by a single tracer. Here, we review the studies that have simultaneously used 234Th and 210Po as tracers of POC export, emphasizing what can be learned from their joint application, and provide recommendations and future directions.

Probing the Effect of Cuttings Particle Size on the Friction and Wear Mechanism at the Casing Friction Interface: A Molecular Dynamics Study.

Cuttings particles of different sizes in the drilling fluid are the leading cause of wear at the casing and drill pipe joints, and diamond-like carbon (DLC) films have excellent research potential in reducing tool wear due to their ultra-low friction coefficient and high wear resistance. In this paper, a corresponding molecular dynamics model was developed using LAMMPS to investigate the effect of silica particles of different particle sizes on the friction and wear mechanisms of Fe/DLC friction pairs at the microscale. The results show that small cuttings particles in a dry environment are more likely to cause interface wear between the casing and drill pipe joint, while in a water environment, the opposite is true. The main reason is that small particles in a dry environment have smaller contact areas and greater indentation depth, leading to greater wear at the friction interface. The movement of water molecules in the water environment will promote the composite movement of large particles, thereby exacerbating the wear of the interface. Moreover, the relevant research results at the micro-scale indicate that DLC films can effectively reduce wear, which provides theoretical support for its application in drill pipe joints.

Nanostructured sol-gel bioactive glass 60S: In vitro study of bioactivity and antibacterial properties in combination with vancomycin

Nanostructured samples of bioactive glass 60S (BG 60S) with a composition (mol %) of 60% SiO2, 36% CaO, 4% P2O5 were synthesized by the sol-gel method in this research. The bioactivity of the synthesized material was evaluated by in vitro assays. The dynamics of the formation of hydroxyapatite (HA), contributing to the formation of effective bonds with bones and soft tissues during immersion in a simulated body fluid (SBF Kokubo), was evaluated using FTIR, XRD, and SEM-EDX. Changes of the specific surface values, particle size and zeta potential for soaked samples in SBF were also investigated. Determination of the antibacterial activity of BG 60S/vancomycin composites was carried out on test cultures of gram-positive microorganisms being one of the most frequent etiological factors of infectious complications in injuries – Staphylococcus aureus. The effectiveness of the release of the antibiotic was confirmed by determining the zone of inhibition of the test culture using the modified Kirby–Bauer disk diffusion method. It is shown that BG 60S/vancomycin composites are characterized by the preservation of antibacterial properties of vancomycin with its prolonged release, and osteoconductive properties, which are inherent in bioactive sol-gel glass and are promising for practical use in the surgical treatment of bone diseases. Based on the foundings, it is possible to suggest a positive effect of the joint application of BG 60S and vancomycin as part of composites with an effective combination of the functions of bone tissue restoration, treatment and prevention of postoperative infectious complications.

Melatonin improved efficiency of 24-epibrassinolide to counter the collective stress of drought and salt through osmoprotectant and antioxidant system in pea plants

Plant hormones and several small signalling molecules are known to provide tolerance against various abiotic stresses. The individual contributions of 24-Epibrassinolide (EBL) and Melatonin (ML) in enhancing plant tolerance to different abiotic stresses have been well-documented, but their combined effect in alleviating the impact of combined stress remains unexplored. In this study, joint effect of EBL and ML has been tested on growth, photosynthesis, biochemical traits and oxidative stress markers in Pisum sativum (pea) plants exposed to combination of drought and salt stress. The individual application of EBL and ML exhibited nearly similar responses to both stresses. However, when EBL and ML were applied together, significant changes in growth, photosynthetic traits, proline accumulation, and activities of various antioxidant enzymes were observed in pea plants exposed to the combined stress of drought and salt. Enhanced level of antioxidant enzymes and accumulation of proline indicates mitigation of excess ROS elicited by joint application of EBL and ML that provides tolerance against combined stress of drought and salt in pea plants. This study indicates that joint application EBL and ML is an operational approach for mitigation of combined stress of drought and salt in plants and could be exploited for sustainable agricultural practices on the stressed soils.

Application of Advanced Technologies-Nanotechnology, Genomics Technology, and 3D Printing Technology-In Precision Anesthesia: A Comprehensive Narrative Review.

There has been increasing interest and rapid developments in precision medicine, which is a new medical concept and model based on individualized medicine with the joint application of genomics, bioinformatics engineering, and big data science. By applying numerous emerging medical frontier technologies, precision medicine could allow individualized and precise treatment for specific diseases and patients. This article reviews the application and progress of advanced technologies in the anesthesiology field, in which nanotechnology and genomics can provide more personalized anesthesia protocols, while 3D printing can yield more patient-friendly anesthesia supplies and technical training materials to improve the accuracy and efficiency of decision-making in anesthesiology. The objective of this manuscript is to analyze the recent scientific evidence on the application of nanotechnology in anesthesiology. It specifically focuses on nanomedicine, precision medicine, and clinical anesthesia. In addition, it also includes genomics and 3D printing. By studying the current research and advancements in these advanced technologies, this review aims to provide a deeper understanding of the potential impact of these advanced technologies on improving anesthesia techniques, personalized pain management, and advancing precision medicine in the field of anesthesia.

ОСОБЕННОСТИ ПЛАНИРОВАНИЯ ДВИЖЕНИЯ НАЗЕМНОГО РОБОТА С ОБХОДОМ СТАЦИОНАРНОГО ПРЕПЯТСТВИЯ НА ОСНОВЕ ПОДХОДА VC/APF+BCτ

The article considers the properties of optimal motion planning for a ground robot with a bypass of a static obstacle for given boundary conditions (coordinates, velocities) and motion time (BCτ1). Motion planning is implemented on the basis of the VC/APF+BCτ1 approach - the joint application of the calculus of variations (VC) and the artificial potential field (APF).

Legal Aspects of the Circulation of Digital Currencies

The appearance in practice of “cryptocurrencies”, “digital currencies”, “electronic currencies” makes lawyers to give a legal qualification to this phenomenon. To answer the question about its legality. In recent years, Russian legislation has been amended in order to regulate relations in this area. This confirms the relevance and novelty of the study. Using general scientific and special-legal methods of scientific knowledge, which is based on analysis, synthesis and deduction and induction, the work assesses prospects of development and degradation of social relations related to the circulation of digital currency. A critical analysis of the Russian legislation regulating relations in the field of creation and circulation of digital currency and electronic money, which in practice is called cryptocurrency, is made. Foreign experience in this area is reviewed. The style of the Russian legislator is criticized, in which any new law regulating similar legal relations synthesizes new terms, which creates difficulties in their joint application in practice. The problems of using various forms of money in practice are identified and illustrated. It is predicted that the creation by the legislator of a new specific form of money will lead to a difference in the economic fate of these various forms. The legal capacity and economic potential of these assets to perform the functions of money are assessed.

Causal Effects of Plasma Haptoglobin Levels on Alzheimer's Disease: A Two-Sample Mendelian Randomization Study.

A connection between plasma levels of haptoglobin (Hp) and Alzheimer's disease (AD) has been shown in several observational studies. It is debatable, nonetheless, how the two are related causally. To establish the causal relationship between Hp and AD using a two-sample Mendelian randomization (MR) study. From the extensive genome-wide association studies and FinnGen dataset, summaries and statistics pertaining to AD were gathered. We investigated the possibility of a causal link between Hp and AD using a two-sample MR study. Inverse variance weighting was used as the primary analytical technique, and it was supported by the joint application of complementary analyses and fixed effects meta-analysis to combine results from various sources. Genetically determined Hp was causally associated with AD [odds ratio (OR), 1.05; 95% confidence interval (CI), 1.02 to 1.09; p = 8.96×10-4]; Inverse variance-weighted estimates coming from different data sources were combined in a meta-analysis with consistent findings (OR, 1.03; 95% CI, 1.01 to 1.05; p = 2.00×10-3). The outcomes of the inverse MR analysis showed that AD had no appreciable causal impact on Hp. The present MR analysis shows that higher plasma Hp leads to an increased risk of AD. Strategies for plasma Hp testing may open up new doors for the early diagnosis and prevention of AD.

Calculation and optimization of inter-regional available transfer capability considering wind power uncertainty and system improvement measures

The intermittency and uncertainty of wind energy make transmission congestion management increasingly complex. In this paper, we investigate the impact of wind energy on available transmission capacity (ATC) and then explore ways to mitigate transmission congestion from the grid and load side, respectively. The impact of a stochastic variable is considered by applying Latin Hypercube Sampling (LHS) and backward curtailment techniques to generate typical scenarios. ATC is improved by the optimal allocation of Thyristor Controlled Series Compensation (TCSC) on the grid side and the use of Demand Response (DR) on the load side. The source-grid-load cooperative optimisation model for ATC is solved by an improved particle swarm optimisation (PSO) algorithm. Based on the IEEE-30 bus system, an experimental scheme is designed and analytical calculations are performed. The results show that the joint application of TCSC and DR can help to improve ATC in a comprehensive way. The work done in this paper can achieve the purpose of promoting renewable energy consumption by improving the utilisation efficiency of the transmission network without changing the network structure.

Data-Driven Approach to Analyze Interdependencies between Electrode Manufacturing Parameters and Electrochemical Performance of the Lithium-Ion Battery Cell

The lithium-ion battery cell production is a complex process chain with a high number of process steps and manifold interdependencies. The majority of the properties determining the electrochemical performance of the battery cell are established during electrode manufacturing. An in-depth understanding of electrode manufacturing and its influence on cell performance can pave the way toward high-quality, cost-efficient cell production. Considering the complexity of the process chain and the high share of material costs in battery production, the classic one-factor-at-a-time experimentation is deemed inadequate and expensive.Machine learning (ML) approaches have been proven suitable for analyzing complex process chains. Design of experiment (DoE) methods can be used to generate a sufficient informative database for ML techniques. This study was based on the joint application of DoE and ML methods in electrode manufacturing. For this purpose, in the first step, the response surface methodology (RSM) was used to conduct experiments and analyze the effect of mass loading, drying temperature, and porosity on cell performance. The study was focused on graphite anodes produced at a pilot scale. The electrochemical performance of electrodes was assessed on coin cells at discharge C-rates from C/10 to 5C. Additionally, symmetric coin cells were used to analyze the electrochemical impedance spectra. Supervised machine learning models were adopted to predict the cell characteristics based on the electrode properties. Additionally, a factor analysis reflecting the contribution and importance of each factor on the final cell properties was conducted. The efficient experiment-based data generation using RSM combined with the applied ML techniques can support practitioners towards smart quality-oriented battery cell production.

PENGEMBANGAN DATA RECORD PASIEN DENGAN METODE JOINT APPLICATION DEVELOPMENT (Studi kasus KLINIK ALFIZA MEDIKA UTAMA)

&lt;strong&gt;Abstrak: &lt;/strong&gt;&lt;em&gt;Patient record data or patient data recording is something that exists in every health care facility, which contains records and documents about patient identity, examination, treatment, and actions given to patients which are then stored either in the form of physical documents or computerized, but on Patient data recording often experiences a problem that arises because there is no management of patient data records, causing multiple data records. Multiple data records become a problem point so that it becomes the basis for how to do a solution to multiple patient data records at the Alfiza Medika Utama Clinic. The purpose of the study was to design the development of patient data records using the joint application development method at the Alfiza Medika Utama clinic. This research was conducted using the JAD method because the data collection process involved users, managers and information technology specialists who jointly designed and developed it. The results of which can make it easier for the main Alfiza Medika clinic to record patient data so that there is no more duplicate data and make it easier in terms of services and patients in terms of registration.&lt;/em&gt;

The Role of Echocardiography and Cardiac Computed Tomography in Diagnosis of Infective Endocarditis.

Infective endocarditis (IE) is a rare disease with a high mortality rate and rising incidence, requiring timely and precise diagnosis in order to choose appropriate therapy. Imaging of morphologic lesions is an integrative part of diagnosis. Artifacts and the patient's habitus make echocardiography difficult to visualize advanced-form IE. Cardiac computed tomography (CCT) constantly shows an additive diagnostic value due to high resolution of cardiac anatomy. Conjecturally, joint application of both diagnostic tests improves overall sensitivity and specificity in diagnosing IE. Patients with definite IE underwent transthoracic echocardiography (TTE), transesophageal echocardiography (TEE), and CCT. We analyzed valvular and paravalvular IE lesions in all three imaging methods and compared them to surgical or autopsy findings. We calculated sensitivity, specificity, diagnostic accuracy, and positive and negative predictive value of both imaging tests individually and jointly used. We examined 78 patients, male to female ratio 2:1, mean age 52.29 ± 16.62. We analyzed 85 valves, 70 native valves, 13 prosthetic valves, and 2 corrected valves due to Ozaki procedure, along with a central shunt and 4 pacemaker leads. As a single test, the sensitivity and specificity of CCT, TTE, and TEE for valvular lesions were 91.6/20%, 65.5/57.9%, and 60/84%, and paravalvular lesions were 100/0%, 46/10.5%, and 14.7/100%. When combined together, sensitivity and specificity for valvular lesions rose to 96.6/0% and paravalvular lesions to 100/0%. We also analyzed the diagnostic performance for each test in single and mutual application, per specific IE lesion. In the individual application, CCT in comparison to TTE and TEE shows better diagnostic performance in detection of valvular and paravalvular lesions. In joint application, there is a statistically significant difference in performance compared to their single use, especially in prosthetic valves and invasive forms of IE native valves.