Clostridioides difficile is a causative agent of antibiotic-associated diarrhea as well as pseudomembranous colitis. So far, all known bacteriophages infecting these bacteria are temperate, which means that instead of prompt lysis of host cells, they can integrate into the host genome or replicate episomally. While C. difficile phages are capable of spontaneous induction and entering the lytic pathway, very little is known about the regulation of their maintenance in the state of lysogeny. In this study, we investigated the properties of a putative major repressor of the recently characterized C. difficile phiCDKH01 bacteriophage. A candidate protein belongs to the XRE family and controls the transcription of genes encoding putative phage antirepressors, known to be involved in the regulation of lytic development. Hence, the putative major phage repressor is likely to be responsible for maintenance of the lysogeny. Full article

Oil transportation becomes much more complicated due to the solidification of paraffins in them at low temperatures and the resulting increase in oil viscosity. To solve this problem, special additives as pour point depressants (PPDs) are used to prevent the agglomeration of paraffin crystals. In this work, 15 PPDs were obtained and tested, consisting of a solution of polyethylene in hexane and also, in some cases, from magnetic nanoparticles (MNPs) extracted from coal fly ash. The most effective result was observed with a mixture of 0.25% polyethylene in hexane and 2% MNPs, which managed to lower the oil’s pour point from 18 °C to −17 °C. Full article

Renewable dielectric materials have attracted the attention of industries and stakeholders, but such materials possess limited properties. This research focused on studying polylactic acid (PLA)/cellulose acetate (CA) blends produced by 3D printing to facilitate their integration into the electrical insulation field. The dielectric findings showed that a blend containing 40% of CA by weight had a dielectric constant of 2.9 and an electrical conductivity of 1.26 × 10⁻¹¹ S·cm⁻¹ at 100 Hz and 20 °C while exhibiting better mechanical rigidity in the rubbery state than neat PLA. In addition, it was possible to increase the electrical insulating effect by reducing the infill ratio at the cost of reduced mechanical properties. The differential scanning calorimetry, broadband dielectric spectroscopy, and dynamic mechanical analysis results showed that the PLA plasticizer reduced the energy required for PLA relaxations. These preliminary results demonstrated the benefits of using a combination of PLA, CA, and 3D printing for electrical insulation applications. Full article

The wide circulation of conspiracy narratives and their frequent intertwining with populist rhetoric is both an element of concern and a topic of intense scientific and philosophical debate. The depth of the link between conspiracy theories and populism represents a crucial issue whose comprehension can facilitate understanding their specific nature and the factors behind their diffusion in public communication. To this end, it is necessary to cultivate an interdisciplinary approach and great critical attention, eschewing monocausal explanations. This paper addresses the question of the essentially political nature of conspiracism, confronting the recent epistemological debate that, by putting the positivist paradigm aside, has sought to explore and understand the socio-cultural roots of conspiracy rhetoric, with its sceptical, antagonistic and hermetic traits. By integrating the reflections of epistemologists such as Cassam or Harris with the considerations of political scientists such as Taggart and with Schmitt’s radical reflections on politics, it is perhaps possible to reintegrate the different approaches to populist conspiracism into an overall social genealogical perspective, thanks also to recent demographic elaborations. Thus, we could ascribe the spread of conspiracism to the prevalence in societies of a hyperpolitical discursive regime, i.e., founded on the principle of opposition, without the possibility of compromise, between different groups and interests. At the basis of such Manichaeism, it is plausible to place in the first place the growing inequalities and related social disintegration, which hinder the circulation of trust and recognition between individuals and groups, thus ending up undermining democracy at its roots, as a political system that legitimises and thus peacefully regulates conflict. Full article

Auditory impairment stands as a pervasive global issue, exerting significant effects on individuals’ daily functioning and interpersonal engagements. Cochlear implants (CIs) have risen as a cutting-edge solution for severe to profound hearing loss, directly stimulating the auditory nerve with electrical signals. The success of CI procedures hinges on precise pre-operative planning and post-operative evaluation, highlighting the significance of advanced three-dimensional (3D) inner ear reconstruction software. Accurate pre-operative imaging is vital for identifying anatomical landmarks and assessing cochlear deformities. Tools like 3D Slicer, Amira and OTOPLAN provide detailed depictions of cochlear anatomy, aiding surgeons in simulating implantation scenarios and refining surgical approaches. Post-operative scans play a crucial role in detecting complications and ensuring CI longevity. Despite technological advancements, challenges such as standardization and optimization persist. This review explores the role of 3D inner ear reconstruction software in patient selection, surgical planning, and post-operative assessment, tracing its evolution and emphasizing features like image segmentation and virtual simulation. It addresses software limitations and proposes solutions, advocating for their integration into clinical practice. Ultimately, this review underscores the impact of 3D inner ear reconstruction software on cochlear implantation, connecting innovation with precision medicine. Full article

Although the incidence of infections in orthopedic surgeries, including periprosthetic surgeries, remains low at approximately 1–2%, the number of surgeries and the incidence of drug-resistant bacteria is increasing. The cost and morbidity associated with revision surgeries are huge. More effective drug combinations and delivery methods are urgently needed. In this paper, three anti-infective drugs (vancomycin, rifampicin, and silver sulfadiazine) have been jointly and effectively electrospun in thin (0.1 mm) flexible nanofiber mats of either poly (methyl methacrylate) (PMMA) or poly (lactic-co-glycolic acid) (PLGA). The inclusion of poly (ethylene glycol) (PEG) enabled optimal drug release with a reduced water contact angle for wetting. The controlled release of these three agents from 20% PEG (w/w to polymer)-blended PMMA or PLGA nanofiber mats may allow for the prophylactical prevention of implant-related infections or provide methods to treat orthopedic infections at the time of revision surgeries. These combinations of drugs provide excellent additive or synergistic antibiotic action against a broader spectrum of bacteria than each drug alone. Full article

White pepper, used both as a seasoning in people’s daily diets and as a medicinal herb, is typically produced by removing the pericarp of green pepper through the retting process. However, the mechanism of the retting process for peeling remains unclear. Therefore, this study aimed to investigate the changes in physicochemical factors, microbial community succession effects, and metabolites of the pepper pericarp during the pepper peeling process. The findings indicated that pre-treatment involving physical friction before the retting process effectively reduced the production time of white pepper. During the retting process, the pectinase activity increased, leading to a decrease in the pectin content in the pepper pericarp. There was a significant correlation observed between the changes in pH, pectin content, and peeling rate and the Shannon diversity index of bacteria and fungi. Prevotella, Lactococcus, and Candida were the dominant microbial genera during the retting. The functional predictions suggested that the monosaccharides degraded from the pepper pericarp could have been utilized by microbes through sugar metabolism pathways. Metabolomic analysis showed that the metabolic pathways of carbohydrates and amino acids were the main pathways altered during the pepper peeling process. The verification experiment demonstrated that the degradation of pectin into galacturonic acid by polygalacturonase was identified as the key enzyme in shortening the pepper peeling time. The structure of the pepper pericarp collapsed after losing the support of pectin, as revealed by scanning electron microscopy. These results suggest that the decomposition of the pepper pericarp was driven by key microbiota. The succession of microbial communities was influenced by the metabolites of the pepper pericarp during retting. These findings provide new insights into the retting process and serve as an important reference for the industrial production of white pepper. Full article

Chronic Obstructive Pulmonary Disease (COPD), as the third leading cause of death worldwide, is a major global health issue. The early detection and grading of COPD are pivotal for effective treatment. Traditional spirometry tests, requiring considerable physical effort and strict adherence to quality standards, pose challenges in COPD diagnosis. Volumetric capnography (VCap), which can be performed during natural breathing without requiring additional compliance, presents a promising alternative tool. In this study, the dataset comprised 279 subjects with normal pulmonary function and 148 patients diagnosed with COPD. We introduced a novel quantitative analysis method for VCap. Volumetric capnograms were converted into two-dimensional grayscale images through the application of Gramian Angular Field (GAF) transformation. Subsequently, a multi-scale convolutional neural network, CapnoNet, was conducted to extract features and facilitate classification. To improve CapnoNet’s performance, two data augmentation techniques were implemented. The proposed model exhibited a detection accuracy for COPD of 95.83%, with precision, recall, and F1 measures of 95.21%, 95.70%, and 95.45%, respectively. In the task of grading the severity of COPD, the model attained an accuracy of 96.36%, complemented by precision, recall, and F1 scores of 88.49%, 89.99%, and 89.15%, respectively. This work provides a new perspective for the quantitative analysis of volumetric capnography and demonstrates the strong performance of the proposed CapnoNet in the diagnosis and grading of COPD. It offers direction and an effective solution for the clinical application of capnography. Full article

Osteoarthritis is a degenerative joint disease caused by the wear and tear of joint cartilage. The definitive and resolving treatment is prosthetic replacement of the articular surface, the demand of which is on the rise for patients with mild to moderate severity. However, a conservative strategy may be considered that aims to reduce and contain pain symptoms by postponing surgical treatment in the case of worsening that can no longer be otherwise controlled. Intra-articular infiltrations, like other therapeutic strategies, are not without complications, and among these the most feared is joint infection, especially in anticipation of future prosthetic replacement. Is important to avoid periprosthetic joint infections because they represent one of the third most common reasons for revision surgery. Using cases found in the literature, the aim of this article is to determine if there is a real correlation between the type of injections, the number of doses injected and the time between infiltrations and the surgical procedure. Full article

Given that Ecuadorians are one of the largest groups of Hispanics living in New York, they have become a tight community that they now call little Ecuador. Although Ecuadorians living in the diaspora in NYC come from different parts of the country (mostly from the Andean region), they share the same cultural practices they performed in Ecuador that give them the sense of being in their country without bearing the instability and turmoil their country experiences. This shows how the group has fostered a sense of a multifaceted, multidimensional simultaneity between the host country and the motherland. The goal of this paper is to analyze the strategies Ecuadorian migrants use to validate their language and cultural practices to negotiate their identity as a group. Data for this paper come from ethnographic observations, semi-spontaneous conversations, oral interviews with members of the group, along with pictures taken while walking the community and participating in some of their events. Our study reveals that participants hold varying perceptions regarding their linguistic and cultural practices. However, it is noteworthy that they recognize these practices as a manifestation of Ecuadorianness, signifying a sense of solidarity among community members. Full article

Detonation engines are gaining prominence as next-generation propulsion systems that can significantly enhance the efficiency of existing engines. This study focuses on developing an injector utilizing liquid fuel and a gas oxidizer for application in detonation engines. In order to better understand the spray characteristics suitable for the pulse detonation engine (PDE) system, an injector was fabricated by varying the Venturi nozzle exit diameter ratio and the geometric features of the fuel injection hole. Analysis of high-speed camera images revealed that the Venturi nozzle exit diameter ratio plays a crucial role in determining the characteristics of air-assist or air-blast atomization. Under the conditions of an exit diameter ratio of R_e/R_i = 1.0, the formation of a liquid film at the exit was observed, and it was identified that the film’s length is influenced by the geometric characteristics of the fuel injection hole. The effect of the fuel injection hole and Venturi nozzle exit diameter ratio on SMD was analyzed by using droplet diameter measurement. The derived empirical correlation indicates that the atomization mechanism varies depending on the Venturi nozzle exit diameter ratio, and it also affects the distribution of SMD. The characteristics of the proposed injector, its influence on SMD, and its velocity, provide essential groundwork and data for the design of detonation engines employing liquid fuel. Full article

The aim of the article is to inventory gestures related to mockery, insult, attracting good luck, or warding off bad luck that a group of informants from Barcelona have performed. The data come from the application of the survey from the Atlas de Gestos, whose task is to collect gestures from the Pan-Hispanic context to describe the gestural repertoire of each territory and conduct comparative studies. The results, interpreted based on social factors (gender, age, and level of instruction), confirm the wide range of gestures for different functions (10 for mockery, 11 for insult and attracting good luck, and 9 for warding off bad luck). Regarding differences based on social variables, the results allow for indicating trends, namely, while the most used gesture to express mockery is sticking out the tongue, young people prefer the gesture of pointing and laughing, and informants over 55 years old only prefer laughing. Concerning insults, the use of peineta is widespread, although differences in behavior between men and women are observed. As for attracting good luck, Barcelona informants opt for crossing fingers, although older generations use gestures with more religious connotations, such as clasping hands. Finally, to ward off bad luck, Barcelona locals mention the gesture of crossing made with the index fingers of each hand. Full article

Sociolinguistic frameworks of race have not been widely applied to non-Latinx Spanish learners in the United States. Consequently, there is limited insight into the impact of race on different learners’ use of Spanish in their communities, including the local or national raciolinguistic dynamics between Latinxs and non-Latinxs that inform these outcomes. This article examines ethnographic interviews of women recounting interactions and experiences of using Spanish in different U.S. contexts. In their accounts, I identify three racialized sociolinguistic processes central to their Spanish learning journeys, which I title racialized positionality, racialized embodiment, and indexical fields of racialization. These processes highlight, respectively, (1) the raciolinguistic dynamics enacted by Spanish language usage in the U.S. by non-Latinxs, (2) the sociolinguistic input a learner comes across as raciogendered subjects, and (3) the social meaning they ascribe to racialized terms and discourses in Spanish. As critical approaches to Spanish language learning and pedagogy continue to emerge, more research is warranted on these three processes to trace the impact of race on Spanish language learning and use. Full article

Relieving the emotions of the public through government response is an important part of government emergency management. How governments respond in different situations can avoid stimulating negative emotions during emergencies? This paper analyzes the problem from the perspective of configuration; that is, this paper explores the combined effects of multiple factors on emotions. We construct the theoretical framework “Situation-Responder-Content” from situation, responder and response content, and use the government microblogs (n= 1517) from 23 major production accidents in China for the discussion with the use of fuzzy set qualitative comparison analysis (fsQCA). According to the results, the effective response types of different agencies in emergencies are summarized. Local authorities can respond in ways that include “Measures type” and “Measures-Emotion type”. Functional agencies can respond through “Measures type”, “Measures-Emotion type” and “Government feature-Driven” type. This study emphasizes that government response in emergencies is a systematic process. Responsive agencies need to release effective information on the basis of fully considering the situation and other factors. Configuration analysis should also be an important direction in government response research, which is helpful to the practice of government response in emergencies. Full article

Platelets play essential roles in the formation of blood clots by clumping with coagulation factors at the site of vascular injury to stop bleeding; therefore, a reduction in the platelet number or disorder in their function causes bleeding risk. In our research, we developed a method to assess platelet aggregation using an optical approach within a microfluidic chip’s channel by evaluating the size of laser speckles. These speckles, associated with slowed blood flow in the microfluidic channel, had a baseline size of 28.54 ± 0.72 µm in whole blood. Removing platelets from the sample led to a notable decrease in speckle size to 27.04 ± 1.23 µm. Moreover, the addition of an ADP-containing agonist, which activates platelets, resulted in an increased speckle size of 32.89 ± 1.69 µm. This finding may provide a simple optical method via microfluidics that could be utilized to assess platelet functionality in diagnosing bleeding disorders and potentially in monitoring therapies that target platelets. Full article

Cardiovascular diseases are the most common causes of mortality and disability worldwide. Eicosanoids are a group of bioactive metabolites that are mainly oxidized by arachidonic acid. Eicosanoids play a diverse role in cardiovascular diseases, with some exerting beneficial effects while others have detrimental consequences. However, a causal relationship between eicosanoid levels and cardiovascular disease remains unclear. Six single nucleotide polymorphisms (SNPs) with strong associations with plasma eicosanoid levels were selected. Summary-level data for cardiovascular disease were obtained from publicly available genome-wide association studies. A two-sample MR analysis identified that plasma eicosanoid levels were inversely correlated with unstable angina pectoris (OR 1.06; 95% CI 1–1.12; p = 0.04), myocardial infarction (OR 1.05; 95% CI 1.02–1.09; p = 0.005), ischemia stroke (OR 1.05; 95% CI 1–1.11; p = 0.047), transient ischemic attack (OR 1.03; 95% CI 1–1.07; p = 0.042), heart failure (OR 1.03; 95% CI 1.01–1.05; p = 0.011), and pulmonary embolism (OR 1.08; 95% CI 1.02–1.14; p = 1.69 × 10⁻⁶). In conclusion, our data strongly suggest a genetic causal link between high plasma eicosanoid levels and an increased cardiovascular disease risk. This study provides genetic evidence for treating cardiovascular diseases. Full article

Objectives: Ophthalmic three-dimensional (3D) digital surgery can reproduce high-definition surgical images; however, 3D digital surgery is limited by recording capacities. We examined the relationship between the minimum image quality required to reproduce surgical images and recording capacity. Methods: Patients who underwent simultaneous vitrectomy and cataract surgery by the same surgeon using a 3D digital surgery system at Juntendo University Urayasu Hospital between February and October 2021 were evaluated. Various quality (Q) and frame rate (FR) settings were used for each case. Four vitreous surgeons evaluated the reproducibility of recorded images of macular manipulation for epiretinal membrane (ERM) and macular hole (MH) cases and those of peripheral retinal manipulation for rhegmatogenous retinal detachment (RRD) cases. The video bitrate and minimum settings required to reproduce surgical images and factors affecting surgical image reproducibility were examined. Results: A total of 129 eyes of 129 patients were observed. The minimum image quality required to reproduce surgical images was 11.67 Mbps. The Q and FR for periretinal processing and Q for macular manipulation affected surgical image reproducibility (p = 0.025, p = 0.019, and p = 0.07, respectively). The minimum recording settings required to obtain highly reproducible images were Q = 3 and FR = 40. The total file size for vitrectomy video recordings with these settings was as compact as 3.17 GB for 28 min. Conclusions: During 3D digital surgery, highly reproducible surgical images can be obtained with a small storage capacity using settings of at least Q = 3 and FR = 40. Full article

The most common type of alopecia in women is female androgenetic alopecia (FAGA), characterized by progressive hair loss in a patterned distribution. Many oral therapies, including spironolactone (an aldosterone antagonist), androgen receptor blockers (e.g., flutamide/bicalutamide), 5-alpha-reductase inhibitors (e.g., finasteride/dutasteride), and oral contraceptives, target the mechanism of androgen conversion and binding to its respective receptor and therefore could be administered for the treatment of FAGA. Despite significant advances in the oral treatment of FAGA, its management in patients with a history of gynecological malignancies, the most common cancers in women worldwide, may still be a concern. In this review, we focus on the safety of antiandrogens for the treatment of FAGA patients. For this purpose, a targeted literature review was conducted on PubMed, utilizing the relevant search terms. To sum up, spironolactone seems to be safe for the systemic treatment of FAGA, even in high-risk populations. However, a general uncertainty remains regarding the safety of other medications in patients with a history of gynecologic malignancies, and further studies are needed to evaluate their long-term safety in patients with FAGA and risk factors to establish an optimal risk assessment and treatment selection protocol. Full article

Yb/Al multilayer films exhibit excellent theoretical reflectivity in the 54–90 nm wavelength range. This study attempted to incorporate 1.5% wt.% of Si impurities into Al to suppress the crystallization of Al, reduce interfacial roughness, and enhance the actual reflectivity of the prepared Yb/Al multilayer films. Internal microstructure changes in the film layers before and after Si impurity doping were investigated using GIXRR, AFM, and XRD techniques. The reflectivity of two types of multilayer films, Yb/Al (1.5 wt.% Si) and Yb/Al (pure), was tested to evaluate the effect of Si impurity on film performance. The reflectivity of Yb/Al (1.5 wt.% Si) multilayers compared to Yb/Al (pure) multilayers increased by approximately 4%. Full article

Using Philippians 1:27–2:4 as an example, this article will explore the role of positionality in biblical studies. Although the process of reflecting on one’s positionality is more prevalent in empirical-based research, one’s positionality is also relevant in text-based research, such as in biblical studies. This article will demonstrate this by observing the following: first, how some analyses of the collectivistic cultural context of Philippians have been inappropriately influenced by certain implicit individualistic perspectives; and second, how an interpretive lens derived from my positionality as a scholar from an explicitly collectivistic culture is able to highlight a mostly ignored intrinsic correlation between social relations and virtue. Full article

Objectives: The aim of this meta-analysis was to determine the effects of respiratory muscle training (RMT) on functional ability, pain-related outcomes, and respiratory function in individuals with sub-acute and chronic low back pain (LBP). Methods: The study selection was as follows: (participants) adult individuals with >4 weeks of LBP; (intervention) RMT; (comparison) any comparison RMT (inspiratory or expiratory or mixed) versus control; (outcomes) postural control, lumbar disability, pain-related outcomes, pain-related fear-avoidance beliefs, respiratory muscle function, and pulmonary function; and (study design) randomized controlled trials. Results: 11 studies were included in the meta-analysis showing that RMT produces a statistically significant increase in postural control (mean difference (MD) = 21.71 [12.22; 31.21]; decrease in lumbar disability (standardized mean difference (SMD) = 0.55 [0.001; 1.09]); decrease in lumbar pain intensity (SMD = 0.77 [0.15; 1.38]; increase in expiratory muscle strength (MD = 8.05 [5.34; 10.76]); and increase in forced vital capacity (FVC) (MD = 0.30 [0.03; 0.58]) compared with a control group. However, RMT does not produce an increase in inspiratory muscle strength (MD = 18.36 [−1.61; 38.34]) and in forced expiratory volume at the first second (FEV1) (MD = 0.36 [−0.02; 0.75]; and in the FEV1/FVC ratio (MD = 1.55 [−5.87; 8.96]) compared with the control group. Conclusions: RMT could improve expiratory muscle strength and FVC, with a moderate quality of evidence, whereas a low quality of evidence suggests that RMT could improve postural control, lumbar disability, and pain intensity in individuals with sub-acute and chronic LBP. However, more studies of high methodological quality are needed to strengthen the results of this meta-analysis. Full article

Al_0.6CoFeNi₂V_0.5 high entropy alloy was successfully designed and prepared via the nonconsumable arc-melting process, and it was annealed at 600 °C, 800 °C, and 1000 °C for 4 h. Its microstructure and mechanical properties were studied. The as-cast alloy consisted of FCC and BCC phases, and no phase transformation occurred during annealing at 600 °C. Hard Al₃V-type metal compounds precipitated during annealing at 800 °C, and BCC particles precipitated in the FCC matrix during annealing at 1000 °C. After annealing, the strength and hardness of Al_0.6CoFeNi₂V_0.5 high-entropy alloy both showed a decreasing trend, because the annealing process eliminated the internal stress in this alloy. However, as the annealing temperature increased, the strength and hardness of the Al_0.6CoFeNi₂V_0.5 high-entropy alloy samples gradually increased. This is because the hard Al₃V metal compounds precipitated when the annealing temperature was 800 °C, which produced the “second phase strengthening” effect. At 1000 °C, the larger volume fraction of the hard and fine BCC phase (21.81%) diffusely precipitated; the precipitation of this BCC phase not only produced a “second phase strengthening” effect, which also resulted in “solid solution strengthening”, ultimately exhibiting enhanced hardness and strength. These findings have important theoretical reference value for the study of the microstructure and mechanical properties of high-entropy alloys. And, this study plays a significant role in promoting the research and development of new component materials that bear compressive loads, such as columns in large factory buildings, supports for cranes, and clamping bolts for rolling mills in practical mechanical engineering. Full article