Volume Of Medium Research Articles

Abstract 4137708: Implementation of a Standard Hydration Protocol Improves Compliance of Pre-procedural Hydration, Reducing the Incidence of Contrast-Induced Acute Kidney Injury (CI-AKI) After Percutaneous Coronary Intervention (PCI)

Introduction: Intravenous hydration and contrast media volume reduction are the most important preventive factors against CI-AKI after PCI. Multiple studies have demonstrated the effectiveness of intravenous hydration before PCI, however, varied hydration protocols have rather complicated standardization. Doctors’ preferences and local institutional factors further hinder protocol implementation, resulting in reduced compliance. Hypothesis: Standardizing hydration protocol increases the compliance rate of preprocedural hydration orders and administration, reducing the incidence of CI-AKI. Methods: A team at Memorial Hermann The Woodlands Medical Center, comprising a cardiovascular nurse coordinator, catheterization laboratory director, pharmacist, information technologist, and hospital administrators, was formed to improve PCI outcomes through a multi-faceted approach. This involved a standardized hydration protocol with direct education, continuous monitoring, and repeated internal feedback, reviewed monthly. The new protocol included normal saline pre- and post-procedure maintenance fluids, with a 250 ml normal saline bolus pre-operatively. Maintenance fluids were set at 75 ml/hr, and 20 ml/hr for patients with congestive heart failure and an ejection fraction ≤ 40%. The team reviewed 233 patients under the old protocol and 281 under the new protocol. Compliance rates of pre-procedural intravenous hydration were compared and CI-AKI incidence, defined as a >50% increase or a 0.3 mg/dL increase in creatinine levels within 5 days post-procedure, was assessed. Chi square tests and t-tests were used to compare cohorts on 12 parameters and CI-AKI incidence assessment, with a p-value of 0.05. Results: Compliance with pre-procedural hydration significantly increased under the new protocol (86.1% vs 55.4%, p<0.05). CI-AKI incidence was lower in the new protocol group (7.5% vs 9.9%, p=0.33). Although statistically insignificant in this preliminary analysis, the results were still promising due to a relative CI-AKI reduction of 24.3%. A sample size of 352 patients per group is needed to achieve a power of 0.8. Conclusion: The new standardized hydration protocol, coupled with education, increased compliance with pre-procedural hydration and showed a promising trend towards reducing CI-AKI among PCI patients. The final report will be presented upon study completion.

Multi-energy CT and iodinated contrast

Spectral CT acquires images with the emission or detection of two separate energy spectra. This enables material decomposition due to the photoelectric effect (prevalent in low-energy photons) and Compton scattering (prevalent in high-energy photons).Iodine and other materials with high atomic numbers appear more hyperdense on low-energy monoenergetic images because of the direct relation between the photoelectric effect and the Z value.Given the way iodine behaves on spectral maps, radiologists can optimise the use of contrast media in these CTs, thus allowing lower doses of radiation and lower volumes of contrast media while achieving the same CT values and even enabling lower contrast flow rates, which is especially helpful in patients with poor vascular access. Moreover, in suboptimal diagnostic cases caused by poor contrast opacification, the resolution can be improved, thus avoiding the need to repeat the study.

Rheo-impedance behavior of cellulose nanofibers produced by mechanical processing

AbstractCNFs are one of the renewable and the sustainable resources with low environmental impact and have various characteristics such as increased strength and weight reduction when added to resins. Since CNFs are one of the new materials that can fulfill the goals of the Sustainable Development Goals (hereafter abbreviated as SDGs), many researchers have been studying the nano-fibrillation of wood fibers. From the viewpoint of SDGs, it is necessary to avoid using a large amount of chemical agents and consuming a large amount of energy for the production of CNFs. To realize these requirements, it is important to find a way to industrially utilize CNFs containing insufficiently nanosized fibers, and for these purposes, it is essential to evaluate the physical properties of these CNFs from multiple perspectives. Cellulose fibers are intrinsically insulating materials, but how their electrochemical properties are changed by nano-fibrillization has been little studied. Therefore, we decided to clarify the relationship between the size of CNFs and the electrochemical impedance properties of the CNF suspensions containing un-fibrillated fibers, which were prepared by a wet refinement system. The fiber diameter remained constant as the number of mechanical treatments (hereafter referred to as the “number of collisions”) increased. On the other hand, the cumulative medium volume diameter, D50, defined as the apparent fiber length (hereafter referred to as the “fiber length”, in microns), significantly decreases with the increasing number of collisions. The rheo-impedance |Z| of the CNF suspension remained nearly constant in the intermediate frequency range of 103–106 Hz, even if the internal structure of the system was deformed by the increasing shear rate. This means that the electrochemical properties of the CNFs are independent of the changes in the macroscopic aggregation structure. Furthermore, the internal resistance R1 calculated from the impedance |Z| characteristics (Nyquist plot) became decreased with the increasing number of collisions, indicating a proportional relationship between the resistance R1 and the CNF fiber length, D50. This suggests that R1 related to the resistance caused by the electrolyte in the suspensions or the protons dissociated by the hydration of the hydroxyl groups of the cellulose molecule as they move across the gaps between the microfibrils. Based on these results, it appears that the electrochemical properties of the CNF suspensions are independent of the changes in the macroscopic aggregation structure and simply depend on the fiber length, in other words, the electrochemical properties are a useful method for indirectly evaluating the fiber length of the CNFs.

Assessment of Cutting-Balloon Angioplasty with Novel Bioabsorbable Polymer-Coated Everolimus-Eluting Stent in Treating Calcified Coronary Lesions Guided by Intravascular Ultrasound (CUPID Trial): study design and protocol

BackgroundVarious devices and techniques have been used for plaque modification in the treatment of severe coronary artery calcification. This prospective, multicenter, randomized, open-label study aims to evaluate the safety and efficacy of cutting balloon angioplasty using a novel bioabsorbable polymer-coated everolimus-eluting coronary stent for treating various degrees of calcified coronary lesions.MethodsWe outline the trial design aimed at assessing whether the cutting balloon (Wolverine™) is non-inferior to the non-compliant balloon in treating patients with calcified lesions, encompassing both de novo and in-stent restenosis (ISR) lesions. We aim to enroll 250 patients who have undergone bioabsorbable polymer-coated everolimus-eluting coronary stent (Synergy™) implantation. The primary endpoint is the minimal stent cross-sectional area at the calcium site as determined by intravascular ultrasonography. The secondary endpoints include major adverse cardiac events and target lesion revascularization at 12 months, alongside procedural convenience and operator-centric parameters, such as the number of balloons used, procedure time, and total contrast medium volume used.DiscussionIn this study, we will evaluate the efficacy and safety of Wolverine™ and non-compliant balloon in patients with calcified coronary lesions and provide a rationale for which type of balloons will optimally modify calcium lesions. In addition, we will attempt to expand the indications of the cutting balloon for treating mild-to-severe calcified coronary lesions. As the scope of insurance coverage for cutting balloons remains limited in some countries, this study may provide evidence for extending insurance coverage to the treatment of de novo calcified and ISR lesions.Trial registrationClinicalTrials.gov NCT06177808. Registered on January 1, 2024.

Dual-Energy CT as a Well-Established CT Modality to Reduce Contrast Media Amount: A Systematic Review from the Computed Tomography Subspecialty Section of the Italian Society of Radiology.

Background: Our study aims to provide an overview of existing evidence regarding the image quality of dual-energy CT (DECT) employing reduced contrast media (CM) volumes, in comparison to single-energy CT (SECT) with standard CM loads. The advantages, indications, and possible applications of DECT were investigated from the perspective of providing better patient care, minimizing CM volume and managing CM shortage. Methods: In this systematic review (PRISMA methodology), PubMed and WOS were searched from January 2010 to January 2023 by two independent reviewers. The scan and CM characteristics, radiation dose, and results of quantitative (contrast to noise ratio, CNR, and signal to noise ratio, SNR) and qualitative assessment of image quality were collected. Sixty non-duplicated records eligible for full-text screening were examined. Results: Finally, 22 articles (1818 patients) were included. The average CM reduction with DECT ranged between 43.4 ± 11%. Despite the wide variability in CT scan protocols, no differences were found in radiation doses between DECT and SECT. Conclusions: DECT scanners allow the employment of lower CM volumes with equal or better image quality evaluated by quantitative and qualitative analyses and similar dose radiation compared to SECT. Using image reconstructions at low monochromatic energy levels, DECT increases iodine conspicuity and attenuation contributing to CM containment measures.

New Media Advertising Information Search Method Based on XML Technology

The sheer volume and complexity of new media advertising information pose significant challenges for users in searching and filtering advertisements. To enhance the match between search content and keywords, this paper proposes a multifunctional search method for new media advertising information based on eXtensible Markup Language (XML) technology. The collected user attribute data are organized into a set, and a membership function for user attributes is established. An information certainty index and a query certainty index are constructed to obtain the integrated attributes of new media advertisements and classify their attributes. The average value of the constant threshold element is calculated, and an attraction model of new media advertisements for random Internet users is constructed. The similarity between text information and query methods is determined, along with the calculation of browsing duration and frequency in any given area. According to the search model for new media advertising information, the sorted new media advertising information documents are merged to obtain search results. Experimental results demonstrate that the introduction of interactive elements enhances attraction, and dynamic new media advertisements exhibit stronger attraction compared to static advertisements. The proposed method shows significant advantages in search efficiency, achieving over 90% search efficiency, with the match between search content and keywords consistently remaining above 98%, the user satisfaction is higher, the system response time is shorter, the results can be obtained faster, and the search efficiency is improved.

Analysis of Surgeon and Center Case Volume and Stroke or Death after Transcarotid Artery Revascularization.

It has been suggested that the annual hospital volume of cases may affect the number of adverse events following carotid endarterectomy (CEA). We aim to study the associations between hospital as well as surgeon volume and the risk of stroke/death following TCAR. Retrospective review of the Vascular Quality Initiative data of patients undergoing TCAR from 2016 to 2021. Surgeon and center volume were calculated based on the mean number of cases (MNC) performed yearly by each surgeon and center. The primary outcome was a composite endpoint of in-hospital stroke/death. A total of 22,624 cases were included. Surgeon volume was divided into three quantiles: low (MNC=4), medium (MNC=10), and high (MNC=26). Center volume was also divided into low (MNC=14), medium (MNC=32), and high (MNC=64). After adjusting for potential confounders, and when compared to high volume centers, low and medium center volume was not associated with any increased odds of in-hospital stroke/death, stroke, death, or stroke/TIA. Compared to high volume surgeons, low surgeons' volume was associated with a higher odd of stroke (OR: 1.5, 95%CI (1.1-2.04), P=0.008), and stroke/TIA (OR: 1.5, 95%CI (1.2-1.9), P=.002). However, medium surgeon volume was not associated with higher odds of stroke/death, stroke, and stroke/TIA. Neither low nor medium surgeon volume was associated with a difference in mortality compared to high surgeon volume. In this retrospective study, center volume was not associated with any differences in outcomes among patients undergoing TCAR. On the other hand, surgeons with low volume were associated with a higher risk of stroke/death/MI and stroke/TIA when compared to high surgeon volume. There was no difference in outcomes between medium and high surgeon volume.

Bolus tracking from pulsed x-ray projections: A feasibility study using a five-dimensional cardiac CT contrast dynamics model.

Cardiac computed tomography (CT) exams are some of the most complex CT exams due to the need to carefully time the scan when the heart chambers are near the peak contrast concentration. With current "bolus tracking" and "timing bolus" techniques, after contrast medium is injected, a target vessel or chamber is scanned periodically, and images are reconstructed to monitor the opacification. Both techniques have opportunities for improvement, such as reducing the contrast medium volume, the exam time, the number of manual steps, and improving the robustness of correctly timing the peak opacification. The objective of our study is to (1) develop a novel autonomous cardiac CT clinical workflow to track contrast bolus dynamics directly from pulsed x-ray projections, (2) develop a new five-dimensional virtual cardiac CT data generation tool with programmable cardiac profiles and bolus dynamics, and (3) demonstrate the feasibility of projection-domain prospective bolus tracking using a neural network trained and tested with the virtual data to find the contrast peak. In our proposed workflow, pulsed mode projections (PMPs) are acquired with a wide-open collimator under sparse view conditions (monitoring phase). Each time a new PMP is acquired, the neural network is used to estimate the contrast enhancement inside the target chambers. To train such a network, we introduce a new approach to generate clinically realistic virtual scan data based on a five-dimensional cardiac model, by synthesizing user-defined contrast bolus dynamics and patient electrocardiogram profiles. In this study, we investigated a scenario with one single PMP per rotation. To find the optimal PMP view angle, 20 angles were explored. For each angle, 300 virtual exams were generated from 115 human subject datasets and divided into training, validation, and testing groups. Twenty neural networks were trained and evaluated in total to find the optimal network. Finally, a simple bolus peak time estimation algorithm was developed and evaluated by comparing to the ground truth bolus peak time. To evaluate the accuracy of a bolus time-intensity curve estimated by the network, the cosine similarity between the estimation and the ground truth was computed. The cosine similarity was larger than 0.97 for all projection angles. A view angle corresponding to the x-ray tube at 30 degrees from vertical (left-anterior of subject) showed the lowest errors. The amplitude of the estimated bolus curves (in Hounsfield Units) was not always correctly predicted, but the shape was accurately predicted. This resulted in an RMSE of 1.23s for the left chambers and 0.78s for the right chambers in the contrast peak time estimation. In this study, we proposed an innovative real-time way to predict the contrast bolus peak in cardiac CT as well as an innovative approach to train a neural network using virtual but clinically realistic data. Our trained network successfully estimated the shape of the time-intensity curve for the target chambers, which led to accurate bolus peak time estimation. This technique could be used for autonomous diagnostic cardiac CT to trigger a diagnostic scan for optimal contrast enhancement.

Characteristics of High-Intensity Interval Training Influence Anthropometrics, Glycemic Control, and Cardiorespiratory Fitness in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Exercise is a non-pharmacological intervention for type 2 diabetes mellitus (T2DM), including moderate-intensity continuous training (MICT) and high-intensity interval training (HIIT). Despite diverse exercise protocol variations, the impact of these variations in HIIT on T2DM anthropometrics, glycemic control, and cardiorespiratory fitness (CRF) remains unclear. The aim was to examine the influence of HIIT protocol characteristics on anthropometrics, glycemic control, and CRF in T2DM patients and compare it to control (without exercise) and MICT. This review is registered in PROSPERO (CRD42021281398) and follows Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search, employing "high-intensity interval training" and "diabetes mellitus" in PubMed and Web of Science databases, with a "randomized controlled trial" filter, spanned articles up to January 2023. Of 190 records, 29 trials were included, categorized by HIIT interval duration, training volume, and intervention period. Long-duration, high-volume, and long-term HIIT yields superior outcomes compared to control conditions for body mass, waist circumference, fasting plasma glucose, Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), glycosylated hemoglobin (%HbA1c), and CRF. The findings favored HIIT over MICT for body mass in long-duration, high-volume, and short-term intervals (mean difference[MD] - 3.45, - 3.13, and - 5.42, respectively, all p < 0.05) and for CRF in long and medium work intervals and high volume (MD 1.91, 2.55, and 2.43, respectively, all p < 0.05), as well as in medium and long-term intervention (MD 2.66 and 2.21, respectively, all p < 0.05). Regardless of specific HIIT characteristics, no differences were found in the HIIT versus MICT comparison for glycemic control. Specific HIIT protocol characteristics influence changes in anthropometrics, glycemic control, and CRF compared to control groups. However, compared to MICT, only longer duration, higher volume, and short-term HIIT improved body mass, waist circumference, and CRF in individuals with T2DM.

Impact of Center Volume on the Use of Status 2 Exceptions for Heart Transplantation.

There are limited data examining the relationship between transplant center volume and their use of Status 2 exceptions for heart transplant (OHT). A retrospective review of the Organ Procurement and Transplantation Network (OPTN) database identified all patients undergoing OHT under Status 2 exception between late 2018 and early 2023. Demographics were collected and transplant centers were categorized based on the number of OHT performed annually (very low volume = < 5 OHT per year; low volume = 5-24 OHT per year; medium volume = 25-50 OHT per year, high volume = > 50 OHT per year). Across all centers, 6348 OHT were included, with n = 68 performed at very low volume centers, n = 1001 performed at low volume centers, n = 1834 performed at medium volume centers, and n = 3445 performed at high volume centers. Medium and high volume centers applied for at least one Status 2 exception about 30%-35% of the time, compared to 50%-60% of the time observed at very low and low volume centers. Compared to very low volume centers, medium volume centers applied for half the amount of Status 2 exceptions (IRR = 0.52 [0.35-0.76]; p < 0.001) while high volume centers applied for less than half the amount (IRR = 0.42 [0.29-0.62]; p < 0.001). High-volume centers were also 18% less likely to apply for exceptions than medium-volume centers (IRR = 0.82 [0.74-0.91]; p < 0.001). Lower volume transplant centers apply for Status 2 exceptions at a significantly higher rate, with a stepwise decrease in exception use with increasing transplant center volume.

Microscope-enabled disc dissolution system: Concordance between drug and polymer dissolution from an amorphous solid dispersion disc and visual disc degradation

A microscopic erosion time test was recently described to anticipate amorphous solid dispersion (ASD) drug load dispersibility limit, using 0.5 ml media volume. Studies here build upon this microscope-enabled method but focus on drug and polymer dissolution from an ASD disc, along with imaging. The objective was 1) to design and build a microscope-enabled disc dissolution system (MeDDiS) with a 900 mL dissolution volume and 2) assess the ability of MeDDiS imaging of dissolving discs to provide concordance with measured drug and polymer dissolution profiles. MeDDiS employed a digital microscope to image ASD discs and a one-liter vessel for dissolution. ASD discs containing ritonavir (5–50 % drug load) and PVPVA were fabricated and subjected to in vitro dissolution using MeDDiS, where disc diameter was quantified with time. Ritonavir and PVPVA release were also measured. Results indicate concordance between imaging and dissolution. Both found 25 % drug load to provide high drug and polymer release, but 30 % yielded low release. Quantitatively, MeDDiS images predicted drug and polymer release profile, both above and below the drug load cliff. Overall, studies here describe a MeDDiS which has promised to anticipate drug and polymer dissolution, via imaging of dissolving discs, above and below the ASD drug load cliff.

Understanding the role of flux chamber configuration in the measurement of VOC emissions from porous media

The accurate quantification of volatile organic compound (VOC) emission rates from porous media to the air is a challenging problem, as measurements are affected by the chemical and physical characteristics of the porous media, and the operating parameters of the sampling device itself. The main objective of this study is to investigate how flux chamber (the most commonly used sampling device) configurations influence emission rate measurement from three selected porous media. Various parameters were studied, including sweep air flow rate, presence of a mixing fan, headspace volume and thickness of media. Controlled experiments focused on the behaviour of two VOCs commonly found in area sources: acetic acid and 1-butanol. Sweep gas flow rate emerged as the most influential factor, inducing turbulence and dilution over porous media surfaces and impacting emission rate measurements more significantly than headspace volume and fan installation. Variations in porous media properties also affected mass transfer, with emissions from coco coir showing higher mass transfer as its porosity and particle size facilitated gas transportation. While behaviour of acetic acid emission through the media supported the diffusion theory, emission of 1-butanol was affected by a combination of factors, highlighting the role of both diffusive and advective transport mechanisms. Understanding how flux chamber setups and porous media properties influence emission rates is crucial for accurately interpreting data. This knowledge also guides the design of studies, especially when investigating complex sources like biosolids and organic-amended soil.

Coronary CT angiography-based FFR with ultrahigh-resolution photon-counting detector CT: Intra-individual comparison to energy-integrating detector CT

PurposeTo evaluate the feasibility of CT angiography-derived fractional flow reserve (CT-FFR) calculations on ultrahigh-resolution (UHR) photon-counting detector (PCD)-CT series and to intra-individually compare the results with energy-integrating (EID)-CT measurements. MethodProspective patients with calcified plaques detected on EID-CT between April 1st, 2023 and January 31st, 2024 were recruited for a UHR CCTA on PCD-CT within 30 days. PCD-CT was performed using the same or a lower CT dose index and an equivalent volume of contrast media. An on-site machine learning algorithm was used to obtain CT-FFR values on a per-vessel and per-patient basis. For all analyses, CT-FFR values ≤ 0.80 were deemed to be hemodynamically significant. ResultsA total of 34 patients (age: 67.3 ± 6.6 years, 7 women [20.6 %]) were included. Excellent inter-scanner agreement was noted for CT-FFR values in the per-vessel (ICC: 0.93 [0.90–0.95]) and per-patient (ICC: 0.94 [0.88–0.97]) analysis. PCD-CT-derived CT-FFR values proved to be higher compared to EID-CT values on both vessel (0.58 ± 0.23 vs. 0.55 ± 0.23, p < 0.001) and patient levels (0.73 ± 0.23 vs. 0.70 ± 0.22, p < 0.001). Two patients (5.9 %) with hemodynamically significant lesions on EID-CT were reclassified as non-significant on PCD-CT. All remaining participants were classified into the same category with both scanner systems. ConclusionsWhile UHR CT-FFR values demonstrate excellent agreement with EID-CT measurements, PCD-CT produces higher CT-FFR values that could contribute to a reclassification of hemodynamic significance.

Heat transfer augmentation in a double lid-driven trapezoidal porous cavity with heated block using hybrid nanofluid

This study intends to understand the fundamental characteristics of hybrid nanofluids (HNF) in a porous cavity using computational modeling, which will aid in developing HNF within hydrodynamics and enable adaptability. The present research investigates the enhancement of the transmission of heat in a double lid-driven trapezoidal porous cavity containing a heated block, utilizing a HNF composed of aluminum oxide/copper-water (Al2O3/Cu-H2O) employing the Finite Element Method (FEM) based on Galerkin weighted residual (GWR). Additionally, the Darcy-Brinkman-Forchheimer comprehensive approach has been used to demonstrate fluid flow in the porous media. The governing parameters such as the Darcy number (10−4 ≤ Da ≤ 10−2), the porosity of the porous medium (0.6 ≤ ε ≤ 0.9), inclined angle (π/16 ≤ ϕ ≤ π/3), and solid volume fraction (0.001 ≤ δ ≤ 0.05) have been chosen to evaluate the impact within dimensionless time (0.1 ≤ τ ≤ 1). The simulation outcomes of flow and thermal fields are shown through streamlines, isotherms, average heat transfer rate at the hot surfaces, and average temperature inside the cavity. The outcomes of this study show that the HT rate rises by 41.02% when increasing the solid volume fraction (svf) from 0.1% to 5%. Also, it has been found that if the inclined angle is enhanced from π/16 to π/3 at non-dimensional time τ = 0.5, the average HT augmented by 63.16%.

CT imaging using variable helical pitch scanning for lower extremity arterial disease: Reduced contrast medium dose, improved image quality and diagnostic accuracy

ObjectivesThis study aimed to explore the feasibility of reducing contrast medium (CM) volume, improving image quality and diagnostic accuracy using variable helical pitch (VHP) scanning for patients with lower extremity arterial disease (LEAD). Materials and MethodsEighty patients who underwent lower extremity CT angiography (CTA) were prospectively enrolled and randomly assigned to either the VHP group (n = 40) or the conventional group (n = 40). Quantitative parameters and qualitative scores were compared between the two groups. Additionally, out of these patients, 72 arteries from 18 patients had DSA as the reference standard, and the diagnostic accuracy for the degree of vessel stenosis was assessed and compared. ResultsIn the VHP group, the contrast volume was significantly lower than in the conventional group (79.55 ± 11.87 mL vs. 89.63 ± 10.03 mL, p < 0.001), showing a reduction of 12.7 %. For all image quality characteristics, scores in VHP group were significantly superior to those in the conventional groups (all p < 0.05). Quantitative analysis revealed that images from the VHP group exhibited superior CT enhancement, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) in the anterior tibial arteries (ATA) and dorsali pedis arteries (DPA) compared to the conventional group (all p < 0.001). Moreover, segment-based analysis showed the VHP group had significantly higher positive predictive value (PPV) and accuracy than the conventional group (PPV: 100 % vs. 76.19 %, p = 0.01; accuracy: 100 % vs. 84.38 %, p = 0.01, respectively). ConclusionsThe implementation of the VHP protocol led to a 12.7% decrease in contrast medium dosage compared to the conventional lower extremity CTA scanning protocol. Furthermore, it improved image quality and diagnostic accuracy, particularly for arteries below the knee.

Maximizing chitin and chitosan recovery yields from Fusarium verticillioides using a many-factors-at-a-time approach

The extraction of chitin and chitosan presents challenges due to the complexity of the process and the influence of many variables. This study aimed to optimize chitin and chitosan extraction from Fusarium verticillioides by analyzing many additives and processing variables and modeling their yields using multiple linear regression (MLR) and evolutionary algorithms. FT-IR analysis confirmed the presence of characteristic bands in the extracted samples, and SEM analysis further revealed the microfibrillar appearance of the chitin and the dense, non-porous structure of the chitosan. The Ant Lion Optimizer (ALO) was employed to select significant factors and optimize model parameters. A transformation was applied to capture nonlinear relationships, and the fine-tuned models showed improved predictive power, with p-values of 0.00203 for chitin and 0.00884 for chitosan. Multi-objective optimization (MOO) using the Adaptive Geometry Estimation-based Multi-Objective Evolutionary Algorithm (AGE-MOEA) further identified significant factors for optimal yields, achieving 3 g of Arginine, 100 ml of culture medium volume, 7 to 11 days of incubation time, 0.2 to 1.76 ml of Oligochitin, 1.4 g of FeSO4, 1.5 g of K2HPO4, and 1 g of NaCl. Therefore, the integration of ALO and AGE-MOEA algorithms effectively modeled and optimized chitin and chitosan yields by maximizing biopolymer recovery, enabling significant industrial exploitation.

Intraindividual Comparison of Ultrahigh-Spatial-Resolution Photon-Counting Detector CT and Energy-Integrating Detector CT for Coronary Stenosis Measurement.

A recent simulation study proposed that stenosis measurements on coronary computed tomography (CT) angiography are influenced by the improved spatial resolution of photon-counting detector (PCD)-CT. The aim of the current study was to evaluate the impact of ultrahigh-spatial-resolution (UHR) on coronary stenosis measurements and Coronary Artery Disease Reporting and Data System (CAD-RADS) reclassification rates in patients undergoing coronary CT angiography on both PCD-CT and energy-integrating detector (EID)-CT and to compare measurements against quantitative coronary angiography. Patients with coronary calcification on EID-CT (collimation, 192×0.6 mm) were prospectively enrolled for a research coronary CT angiography with UHR PCD-CT (collimation, 120×0.2 mm) within 30 days (between April 1, 2023 and January 31, 2024). PCD-CT was acquired with the same or lower CT dose index and equivalent contrast media volume as EID-CT. Percentage diameter stenosis (PDS) for calcified, partially calcified, and noncalcified lesions were compared between scanners. Patient-level reclassification rates for CAD-RADS were evaluated. The accuracy of PDS measurements was validated against quantitative coronary angiography in patients who underwent invasive coronary angiography. In total, PDS of 278 plaques were quantified in 49 patients (calcified, 202; partially calcified, 51; noncalcified, 25). PCD-CT-based PDS values were lower than EID-CT measurements for calcified (45.1±20.7 versus 54.6±19.2%; P<0.001) and partially calcified plaques (44.3±19.6 versus 54.9±20.0%; P<0.001), without significant differences for noncalcified lesions (39.1±15.2 versus 39.0±16.0%; P=0.98). The reduction in stenosis degrees led to a 49.0% (24/49) reclassification rate to a lower CAD-RADS with PCD-CT. In a subset of 12 patients with 56 lesions, UHR-based PDS values showed higher agreement with quantitative coronary angiography (mean difference, 7.3%; limits of agreement, -10.7%/25.2%) than EID-CT measurements (mean difference, 17.4%; limits of agreement, -6.9%/41.7%). Compared with conventional EID-CT, UHR PCD-CT results in lower PDS values and more accurate stenosis measurements in coronary plaques with calcified components and leads to a substantial Coronary Artery Disease Reporting and Data System reclassification rate in 49.0% of patients.

Sound source localization via distance metric learning with regularization

Sound source localization (SSL) or simply direction of arrival (DOA) classification is an important ingredient in acoustic applications. Traditional model-based algorithms are susceptible to the effects of noise and reverberation, while data-driven deep learning algorithms maintain strong performance across a variety of acoustic circumstances, but typically require a large amount of labeled data. Nevertheless, the existing datasets for SSL are not sufficiently big and diverse to achieve the full potential of deep learning algorithms. Then, it is an imperative work to develop a non-data-hungry algorithm of SSL using small or medium data volume. To this end, we propose a regularized distance metric learning algorithm, that is, by means of the kernel method, we design a nonlinear feature transformation from two aspects: feature points and feature distributions. It transforms the data into a new feature space that brings features of the same class as close as possible and removes features of different classes as far away as possible, which can significantly improve the output of a DOA classifier that follows. Experimental results show that the proposed algorithm outperforms deep learning algorithms in diverse acoustic conditions.

Identification of a Fomitopsis pinicola from Xiaoxing’an Mountains and Optimization of Cellulase Activity

Brown-rot fungi are large fungi that can decompose the cell walls of wood; they are notable for their secretion of diverse and complex enzymes that synergistically hydrolyze natural wood cellulose molecules. Fomitopsis pinicola (F. pinicola) is a brown-rot fungus of interest for its ability to break down the cellulose in wood efficiently. In this study, through a combination of rDNA-ITS analysis and morphological observation, the wood decay pathogen infecting Korean pine (Pinus koraiensis Siebold and Zucc.) was identified. Endoglucanase (CMCase) and β-glucosidase were quantified using the DNS (3,5-Dinitrosalicylic acid) method, and the cellulase activity was optimized using a single-factor method and orthogonal test. The results revealed that the wood-decaying fungus NE1 identified was Fomitopsis pinicola with the ITS accession number OQ880566.1. The highest cellulase activity of the strain reached 116.94 U/mL under the condition of an initial pH of 6.0, lactose 15 g·L−1, KH2PO4 0.5 g·L−1, NH4NO3 15 g·L−1, MgSO4 0.5 g·L−1, VB1 0.4 g·L−1, inoculated two 5 mm fungal cakes in 80 mL medium volume cultured 28 °C for 5 days. This laid a foundation for improving the degradation rate of cellulose and biotransformation research, as well as exploring the degradation of cellulose by brown rot fungi.

Transcriptomic Differences by RNA Sequencing for Evaluation of New Method for Long-Time In Vitro Culture of Cryopreserved Testicular Tissue for Oncologic Patients.

Earlier studies have established that culturing human ovarian tissue in a 3D system with a small amount of soluble Matrigel (a basement membrane protein) for 7 days in vitro increased gene fusion and alternative splicing events, cellular functions, and potentially impacted gene expression. However, this method was not suitable for in vitro culture of human testicular tissue. To test a new method for long-time in vitro culture of testicular fragments, thawed with two different regimes, with evaluation of transcriptomic differences by RNA sequencing. Testicular tissue samples were collected, cryopreserved (frozen and thawed), and evaluated immediately after thawing and following one week of in vitro culture. Before in vitro culture, tissue fragments were encapsulated in fibrin. Four experimental groups were formed. Group 1: tissue quickly thawed (in boiling water at 100 °C) and immediately evaluated. Group 2: tissue quickly thawed (in boiling water at 100 °C) and evaluated after one week of in vitro culture. Group 3: tissue slowly thawed (by a physiological temperature 37 °C) and immediately evaluated. Group 4: tissue slowly thawed (by a physiological temperature 37 °C) and evaluated after one week of in vitro culture. There are the fewest differentially expressed genes in the comparison between Group 2 and Group 4. In this comparison, significantly up-regulated genes included C4B_2, LOC107987373, and GJA4, while significantly down-regulated genes included SULT1A4, FBLN2, and CCN2. Differential genes in cells of Group 2 were mainly enriched in KEGG: regulation of actin cytoskeleton, lysosome, proteoglycans in cancer, TGF-beta signaling pathway, focal adhesion, and endocytosis. These Group 2- genes were mainly enriched in GO: spermatogenesis, cilium movement, collagen fibril organization, cell differentiation, meiotic cell cycle, and flagellated spermatozoa motility. Encapsulation of testicular tissue in fibrin and long-time in vitro culture with constant stirring in a large volume of culture medium can reduce the impact of thawing methods on cryopreserved testicular tissue.