Single umbilical artery (SUA) is considered an ultrasound marker of anomalies. Although it may be present in about 5% of normal gestations, it has been observed to be associated with an increased risk of intrauterine growth retardation, cardiac, genitourinary and gastrointestinal malformations, as well as with the appearance of chromosomal anomalies such as trisomy 21 and 18. Objectives: This study aims to check whether the presence of isolated SUA (ISUA) is related to adverse perinatal outcomes. Methods: This is a descriptive, observational and retrospective study with a total of 1266 gestations were studied (1189 normal gestations and deliveries collected from the registry of the Hospital Univeritario de Salamanca, during the period from January 1st to August 31st, 2023 and 77 cases of ISUA). Results: The presence of ISUA was associated with a lower gestational age (38 vs 39 weeks) and a lower birth weight (3013 vs 3181 g) though not increasing the prematurity rate. No significant differences were found in the increase in malformations, genetic disorders, Apgar test, pH at birth or admissions in the neonatal ICU. Conclusions: The presence of ISUA during gestation is associated with lower gestational age and lower birth weight though this did not result in a higher rate of prematurity or an increase in the number of admissions associated with low birth weight. No significant association was found between the presence of ISUA and genetic disorders or fetal malformations. Neither were worse Apgar test scores or lower pH values found in these newborns.

Aerobic exercise training (AET) has been used in the management of heart disease. AET may, totally or partially, restore the activity and/or expression of proteins that regulate calcium (Ca2+) handling, optimize intracellular Ca2+ flow, and attenuate cardiac functional impairment in failing hearts. However, the literature presents conflicting data regarding the effects of AET on Ca2+ transit and cardiac function in rats with heart failure resulting from aortic stenosis. The objective of this study was to evaluate the effects of AET on calcium handling and cardiac function in rats with heart failure due to aortic stenosis. Wistar rats were distributed into two groups: control (Sham; n= 61) and aortic stenosis (AoS; n= 44). After 18 weeks, the groups were redistributed into: non-exposed to exercise training (Sham, n = 28 and AoS, n = 22) and trained (Sham-ET, n = 33 and AoS-ET, n = 22) for 10 weeks. Treadmill exercise training was performed with a velocity equivalent to the lactate threshold. Echocardiogram, isolated papillary muscle, and isolated cardiomyocyte analyzed cardiac function. During isolated papillary muscle assay and isolated cardimyocyte was evaluated Ca2+. The expression of regulatory proteins of diastolic Ca2+ was analyzed via Western Blot. AET attenuated the diastolic dysfunction and benefited the systolic function. AoS-ET animals presented better response to post-rest contraction, and SERCA2a and L-type Ca2+ channels blocked than the AoS. Furthermore, AET was able to improve aspects of the mechanical function and the responsiveness of the myofilaments to the Ca2+ of the AoS-ET animals. AoS animals presented alteration in the protein expression of the SERCA2a and NCX, and AET restored SERCA2a and NCX levels near normal values. Therefore, AET increased SERCA2a activity, improved the cellular Ca2+ influx mechanism, and increased myofilament responsiveness to Ca2+, attenuating cardiac dysfunction at cellular, tissue, and chamber levels in animals with aortic stenosis and heart failure.

Background: Since March 2020, Spain is severely hit by the ongoing pandemic of coronavirus disease 19 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Understanding and disrupting the early transmission dynamics of the infection is crucial for impeding sustained transmission. Methods: We recorded all COVID-19 cases and traced their contacts in an isolated rural community. We also sampled 10 households, 6 public service sites and the wastewater from the village sewage for environmental SARS-CoV-2 RNA. Results: The first village patient diagnosed with COVID-19-compatible symptoms occurred on March 3, 2020, twelve days before lockdown. A peak of 39 cases occurred on March 30. By May 15, the accumulated number of symptomatic cases was 53 (6% of the population), of which only 22 (41%) had been tested and confirmed by RT-PCR as SARS-CoV-2 infected, including 16 hospitalized patients. Contacts (n=144) were six times more likely to develop symptoms. Environmental sampling detected SARS-CoV-2 RNA in two households with known active cases and in two public service sites: the petrol station and the pharmacy. Samples from other sites and the wastewater tested negative. Conclusions: The low proportion of patients tested by RT-PCR calls for urgent changes in disease management. We propose that early testing of all cases and their close contacts would reduce infection spread, reducing the disease burden and fatalities. In a context of restricted testing, environmental RNA surveillance might prove useful for early warning and to identify high-risk settings enabling a targeted resource deployment.

The energy supply for isolated systems remains a current challenge in Brazil and worldwide, particularly when known solutions are compared regarding cost, the ability to supply energy on demand, and sustainability. In this context, green hydrogen, which has been considered one of the main paths for the decarbonization of the energy chain, is also seen as a potential solution for energy supply in isolated systems. Based on a literature review of articles addressing the topics of green hydrogen and isolated systems, an analysis is conducted on the application of green hydrogen as an energy supply solution for isolated systems. The review identified and collected data on important parameters for comparing solutions, such as CAPEX, OPEX, energy cost, and the price per kilogram of hydrogen. Using these data, analyses were performed to provide an overview of the application of green hydrogen in isolated systems. One of the objectives of this work is to present a comprehensive analysis of the green hydrogen chain and its application in the context of electricity generation, particularly for isolated systems in Brazil.

The literature, aimed at understanding the income-price elasticity of air passenger demand, bases its analysis on airport movement. The diversity of studies regarding the casualty between air transportation and economic growth are examples. Some studies covering this link, estimate the income-price relationship with the demand considering international traffic. Considering a domestic setting, where this traffic is significant in Brazil, studies related to remote regions are scarce, and the existing ones focus on governmental policies and subsidies. In addition, empirical studies on the theme consenter themselves in developed regions, such as Europe, North America, and Australia. For Brazil, where we find the Amazon region, there are no empirical researches. This paper analyses the price-income elasticity of the demand regarding domestic passengers in air links from remote cities of the Brazilian Amazon. This study uses panel data regression analysis method on a database of domestic scheduled flights of Brazil´s National Civil Aviation Agency. The results show that air passengers involving remote region flights present a lower sensitiveness regarding local income and airline´s price variations than those in flights among capitals. The higher difference is in income-elasticity of the remote city of origin, which is lower than that of the air traffic among capitals.

The main objective of this study is to compare and investigate the proximate, sensory parameters of the biscuits fortified with (1) whey protein concentrate (WPC), (2) isolated soy protein (ISP) at various proportions as a source of protein enrichment. The fortified biscuits were analysed for sensory and proximate analysis. The study evaluated and compared the effect of fortifying whey protein concentrate and isolated soy protein at various proportions T0 control (0%), T1 (5%), T2 (10%), T3 (15%), T4 (20%). The protein content in both WPC and ISP samples tends to increase, but much higher in WPC formulated biscuits. At 20% WPC the protein content peaked to 29.11%, other nutritional components such as fat, ash, fibre and moisture content of WPC samples increased significantly, whereas no such significant changes were observed and only linear increase of protein content were in ISP fortified samples. The sensory analysis of ISP fortified samples were acceptable up to 10% proportion, exceeding 10% showed unacceptable results, on comparison WPC biscuits were acceptable at all proportions, more desirable at 20% WPC. Conclusively, fortifying biscuits with either WPC or ISP might be a source of protein without any significant effect on the quality of biscuits.

Objectives: Isolated mild neutropenia is a common clinical problem. The current study aims to validate our previous findings regarding the high prevalence of isolated neutropenia in Southern and Southwestern Saudi Arabia and explore the effect of altitude or regional differences. Methods: In this retrospective cross-sectional study, laboratory results of a commercial laboratory were screened over a period of 5 years (2016–2020) in seven different cities in South and southwestern Saudi Arabia. Participants’ laboratory investigations were reviewed and excluded for any ab-normal complete blood count, renal profile, liver profile, lipid profile, thyroid function test, fasting blood glucose, or HbA1c findings. Descriptive analysis and 95th percentile range were calculated using standard statistical methods. Results: A total of 91,880 complete blood count results were included in the final analysis. isolated neutropenia is common laboratory finding, with a prevalence ranging from 11-23%. The 2.5th percentile of the neutrophil count was lower than 1.5×109/L in all seven cities. Conclusions: Mild to moderate neutropenia is common in Southern and Southwestern Saudi Arabia. Benign ethnic neutropenia (BEN) may explain this high prevalence. Since BEN has no clinical significance, the reference range for normal neutrophil counts needs to be adjusted to reflect the effect of BEN.

To assess cognitive impairment and affective symptoms and their association with damage to normal-appearing white matter (NAWM) in patients with clinically isolated syndrome (CIS), we compared neuropsychological test scores between patients with CIS and healthy controls, and examined correlations between these and proton magnetic resonance spectroscopy (1H-MRS) outcomes in patients with CIS. Forty patients with CIS and 40 healthy participants were tested with the set of neuropsychological tests, the Beck Depression Inventory (BDI) and the Hospital Anxiety and Depression Scale (HADS). Single-voxel 1H-MRS was performed on frontal and parietal NAWM of patients with CIS to assess ratios of N-acetyl-aspartate (NAA) to creatine (Cr), myo-inositol (mI), and choline (Cho), as well as mI/Cr and Cho/Cr ratios. Patients with CIS had lower cognitive performance, higher scores for the BDI and anxiety subscale of HADS than healthy controls. There were significant correlations between the following neuropsychological tests and metabolic ratios in the frontal NAWM: Stroop Color-Word Test and Cho/Cr, Symbol Digit Modalities Test and mI/Cr as well as NAA/mI, Go/no-go reaction time and NAA/Cho as well as NAA/mI, Californian Verbal Learning Test and NAA/Cr. BDI scores were related to frontal NAA/mI and parietal NAA/Cr and Cho/Cr ratios, whereas HADS-depression scores were associated with frontal NAA/Cr and NAA/mI, and parietal NAA/Cr and Cho/Cr ratios. HADS-anxiety correlated with parietal NAA/Cr ratio. This study suggests that neurochemical changes in the NAWM assessed with single-voxel 1H-MRS are associated with cognitive performance and affective symptoms in patients with CIS.

Isolated fallopian tube torsions presenting to the emergency department are a very rare cause of childhood acute abdominal pain. Since the diagnosis to be made in the early period is of importance in terms of affecting tubal damage and fertility, it was aimed to evaluate the cases in the light of literature. Materials and Methods: This study included 10 patients under 18 years of age presented to the emergency department with abdominal pain between January 2003 and December 2018. The mean age was 14.5±1.43 years (range: 12-17years). The demographic characteristics, surgical findings, and methods, concomitant pathology results of these patients were retrospectively evaluated. Results: The reason for admitting to the emergency department of 10 patients included in the study was abdominal pain. The mean duration of hospital admission with pain was 4.97 days. The onset of pain was less than 24 hours in 7 patients (70%) and was more than 24 hours in three patients (30%). Of the patients, 9 (90%) had tenderness in the lower abdominal quadrant, 5 (5%) had the defense, and 3 (30%) had a rebound. Nausea, vomiting, and leucocytosis were present in 50% of the cases. Right and left tubal involvement of the cases was equal. Seven (70%) of the isolated tubal torsions were accompanied by paraovarian cysts. Of the patients, 8 (80%) underwent open surgery and 2 (20%) underwent laparoscopic intervention. Detorsion was performed in 5 (50%) and salpingectomy was performed in 5 (50%) cases. Conclusion: Isolated tubal torsion should be considered in children presenting with acute abdominal pain in early adolescence. Early diagnosis is important for the maintenance of fertility.

Lie algebra plays an important role in the study of singularity theory and other field of sciences. Finding numerous invariants linked with isolated singularities is always a main interest in the classification theory of isolated singularities. Any Lie algebra that characterizes simple singularity produces a natural question. The study of properties such as to find the dimensions of newly defined algebra is a remarkable work. Hussain, Yau and Zuo \cite{HYZ10} have been found a new class of Lie algebra \texorpdfstring{ $ \mathcal{L}_ k (V)$}{LG}, \texorpdfstring{$k\geq 1$}{LG} i.e., Der ($M_{k}(V), M_{k}(V)$) and purposed a conjecture over its dimension $\delta_{k}(V)$ for $k\geq0$. Later they proved it true for $k$ up to $k=1,2,3,4,5$. In this work, the main concern is whether it's true for a higher value of $k$. According to this, we calculate first, the dimension of Lie algebra \texorpdfstring{$\mathcal{L}_ k (V)$}{LG} for $k=6$ and then compute the upper estimate conjecture of fewnomial isolated singularities. Along with, we also justify the inequality conjecture: \texorpdfstring{$\delta_{k+1}(V) < \delta_{k}(V)$}{LG} for $k=6$. Our calculated results are innovative and a new addition to the study of singularity theory.

This article describes the choice of an optimization algorithm for solving problems and the optimal design of an unmanned aerial vehicle propeller. To solve the problem using evolutionary algorithms, it was transformed into an unconstrained optimization problem using a penalty function. The airfoil contours were constructed using a Bezier curve. Design variables were divided into two types: those that describe in general terms the propeller geometry or operation, such as propeller diameter, number of blades, and rev/min; and those that vary with propeller radius, such as chord length, effective airfoil angle, and airfoil geometry. The objective function is the calculation of the propeller power required to achieve a given thrust. The differential evolution algorithm was used to solve this problem.

The implementation of sentinel lymph node (SLN) biopsy is changing the scenario in the surgical treatment of early-stage cervical cancer and the oncologic safety of replacing bilateral pelvic lymphadenectomy with SLN biopsy is currently under investigation. One of the undisputed values of SLN biopsy is its diagnostic accuracy in detecting low-volume metastases (LVM) via pathologic ultrastaging. In early-stage cervical cancer, the reported incidence of LVM ranges from 4 to 20%. The prognostic impact and the role of adjuvant treatment in patients with LVM is still unclear. Some non-prespecified analyses in prospective studies showed no impact on the oncologic outcomes compared to node-negative disease. However, the heterogeneity of the studies, the differences in the disease stage and the use of adjuvant treatment, and the concomitant pelvic lymphadenectomy (PLND) make any conclusion on this topic hard. Current guidelines suggest considering micrometastasis (MIC) as a node-positive disease, while isolated tumor cells (ITC) as a node-negative disease, with a low level of evidence. This review aims to highlight the unanswered questions about the definition, identification, prognostic and therapeutic role of LVM and underline the present and future challenges we are facing. We hope this review will guide further research, giving robust evidence on LVM and their impact on clinical practice.

We construct a real square system related to a given over-determined real system. We prove that the simple real zeros of the over-determined system are the simple real zeros of the related square system and the real zeros of the two systems are one-to-one correspondence with the constraint that the value of the sum of squares of the polynomials in the over-determined system at the real zeros is identically zero. After certifying the simple real zeros of the related square system with the interval methods, we assert that the certified zero is a local minimum of the sum of squares of the input polynomials. If the value of the sum of the squares of the input polynomials at the certified zero is equal to zero, it is a zero of the input system. As an application, we also consider the heuristic verification of the isolated zeros of polynomial systems and their multiplicity structures. Notice that a complex system with complex zeros can be transformed into a real system with real zeros.

In general, isolators and dampers used in seismically isolated buildings are designed to be isotropic in any horizontal direction. However, in the case of buildings with plan irregularities, their nonlinear responses depend on the direction of seismic loading. To discuss the influence of the angle of seismic incidence (ASI) on the nonlinear response of irregular building structures, it is important to define the angle of the critical axis of the horizontal ground motion. One possible choice is the “principal axis of ground motion” proposed by Arias (1970). However, because this principal axis is independent of the natural period of a structure, it could be complicated to use for seismically isolated structures with long natural periods. In this study, the influence of the ASI of long-period pulse-like seismic input on an irregular base-isolated building is investigated. First, the angle of the principal axis of ground motion is defined in terms of the cumulative energy input. Then, a nonlinear time-history analysis of a five-story irregular base-isolated building is performed using 10 long-period pulse-like ground motion records considering various ASIs. The results show that, compared with the principal axis of ground motion proposed by Arias, defining the principal axis of ground motion in terms of the cumulative energy input is more suitable for discussions concerning the influence of the ASI on the response of an irregular base-isolated building.

Tailed phages are the most abundant and diverse group of viruses on the planet. Yet, the smallest tailed phages display relatively complex capsids and large genomes compared to other viruses. The lack of tailed phages forming the common icosahedral capsid architectures T = 1 and T = 3 is puzzling. Here, we extracted geometrical features from high-resolution tailed phage capsid reconstructions and built a statistical model based on physical principles to predict the capsid diameter and genome length of the missing small tailed phage capsids. We applied the model to 3,348 isolated tailed phage genomes and 1,496 gut metagenome-assembled tailed phage genomes. Four isolated tailed phages were predicted to form T = 3 icosahedral capsids, and twenty-one metagenome-assembled tailed phages were predicted to form T < 3 capsids. The smallest capsid predicted was a T = 4/3 ≈ 1.33 architecture. No tailed phages were predicted to form the smallest icosahedral architecture, T = 1. We discuss the feasibility of the missing T = 1 tailed phage capsids and the implications of isolating and characterizing small tailed phages for viral evolution and phage therapy.

We propose the Ramsey approach for the analysis of behavior of isolated mechanical systems containing interacting particles. The total momentum of the system in the frame of the center of masses is zero. The mechanical system is described by the Ramsey, bi-colored, complete graph. Vectors of momenta of the particles pi serve as the vertices of the graph. We start from the graph representing the system in the frame of the center of masses, the momenta of the particles in this system are pcmi. If (pcmi(t)∙pcmj(t))≥0 is true, vectors of momenta of the particles numbered i and j are connected with the red link; if (pcmi(t)∙pcmj(t))&lt;0 takes place, the vectors of momenta are connected with the green link. Thus, the complete, bi-colored graph emerges. Consider the isolated system built of six interacting particles. According to the Ramsey Theorem, the graph inevitably comprises at least one monochromatic triangle. The coloring procedure is invariant relatively rotations/translations of frames; thus, the graph representing the system contains at least one monochromatic triangle in any of frames emerging by rotation/translation of the original frame. This gives rise to the novel kind of a mechanical invariant. Similar coloring is introduced for the angular momenta of the particles. However, the coloring procedure is sensitive to Galilean/Lorenz transformations. Extensions of the suggested approach are discussed.

Analytics have become increasingly popular among sports in recent years, providing valuable information regarding physical and mental health. Many athletes have found that analytics during training can help to improve their performance, reduce the risk of injury, and enhance their overall well-being. This paper aims to improve the results of handball players by applying a method for measuring the influence of different trials on aggregate performance calculated per each athlete in order to qualify for the Olympic Games. By separating the isolated action of each trial, the result is an additional influence caused by the interaction of factors or the simultaneous action. That might explain why the neuromuscular feedback loop is utterly necessary to perform handball motor actions. Further on, the ML analysis can help identify areas for improvement, optimize training programs, and enhance overall team performance.

This paper presents a proposal for a non-isolated bidirectional converter (NIBC) controlled by a deep neural network (DNN) to enable vehicle-to-vehicle (V2V) and vehicle-to-grid (V2G) charging, which contributes to the development of more efficient and sustainable transportation and energy systems. The DNN controller manages power flow in both directions, making it possible to charge electric vehicles (EVs) and discharge power from EVs to the grid with improved efficiency and performance compared to traditional control methods. The non-isolated topology used in this proposal offers several benefits, including reduced cost, smaller size, and higher efficiency. To train the DNN controller, a large dataset of simulations was used, and the results were validated with a hardware setup. The real-time performance of the DNN controller was compared to a proportional-integral (PI) based controller through simulated results. The findings of the study show that the DNN controller outperforms traditional PI controllers.

This paper presents an optimal design for the inner current control loop of the continuous current conduction mode (CCM) power factor correction (PFC) stage, which it can be used as the front stage of the two stages alternating current-direct current (AC-DC) telecom power supply. Conventional single-phase CCM-PFC boost converter usually implemented with using of the proportional-integral (PI) controllers in both of the voltage and current control loops, to regulate the output DC voltage to the specified value, moreover to maintains the input current follows the input voltage which offers converter with high power factor (P.F) and low current total harmonic distortion (THD). However, due to the slow dynamic response of the PI controller at the zero-crossing point of the input supply current, input current can’t fully follow the input voltage which leads to high THD. Digitally controlled PFC converter with an optimal design of the inner current control loop using doubly control loops IP controller to reduce the THD and to offer input current with unity P.F was performed in this paper. Furthermore, for the economic design of the digitally control PFC converter, two isolated AC and DC voltage sensors are proposed and designed for the interfacing with the microcontroller unit (MCU). PSIM software was used to test the converter performance with using the proposed designed current controllers and isolated voltage sensors. High power density digitally controlled telecom PFC stage with P.F of about 99.93%, full load efficiency of about 98.70% and THD less 5.50% is achieved in this work.

The global consumption of vegan foods is experiencing an expressive upward trend, underscoring the critical need for quality control measures based on nutritional and functional considerations. This study aimed to evaluate the functional quality of caviar and salmon analogs food inks, based on pulses combined with nano ingredients. The primary objective of this work was to determine the total antioxidant compounds contained in these samples using a voltammetric technique with a glassy carbon electrode. Approximately 100 mg of samples underwent ethanolic extraction (70%) with 1 hour of stirring. The voltammograms were acquired under specific conditions: 10 mL of phosphate buffer electrolyte with a pH of 3.0; an initial potential (Ei) of 0.0 V; a final potential (Ef) of 1.0 V; a pulse amplitude of 50 mV; and a scan rate of 50 mV s-1. The reference electrode used was Ag/AgCl (KCl 3 mol L-1), and the auxiliary electrode was a platinum wire. The voltammograms revealed prominent anodic current peaks at 0.76-0.78 V, which are attributed to isoflavones. Isoflavones, known secondary metabolites with substantial antioxidant potential commonly found in pulses, were identified. The total isoflavone concentrations obtained ranged from 31.5 to 64.3 mg Eq genistein 100 g-1. The results not only validated the efficacy of the electrochemical sensor for quantifying total antioxidant compounds in the samples but also demonstrated that the concentration of total isoflavones in caviar and salmon analogs fell within the expected limits.

We study whether the center of relativistic energy (CRE) is always constant in an isolated frame of reference (IFR). First, we assume that two objects in a moving isolated frame of reference (MIFR) move parallel to and very close to a coordinate axis from opposite directions and with equal speed. Here each length in the direction of travel of the objects is much longer than that perpendicular to the direction of travel of them, and moreover the latter is negligibly extremely short. Hence, the location of the CRE (LCRE) of the objects is very close to the coordinate axis in initial condition. When they become perfectly symmetric with respect to the coordinate axis, the forces perpendicular to the direction of travel of the objects are applied to each CRE and thereby a perfectly inelastic collision between them occurs on the coordinate axis. The combined object (CO) resulting from the perfectly inelastic collision begins to rotate because each momentum of the objects before the combination between them acts like the moment of force on the CO. For simplicity, we examine the energy distribution of the CO when it becomes perpendicular to the coordinate axis due rotation. The magnitude of velocity of each minute portion (MP) symmetrical with respect to the coordinate axis are different depending on whether the direction of each rotational velocity is the same or opposite to the direction of travel of the MIFR. Then the energy of each MP is not the same. As a result, the LCRE of the CO moves to the direction perpendicular to the coordinate axis, and its LCRE becomes far from the coordinate axis since the length in such direction is long enough. Therefore, we conclude that the LCRE in the MIFR is not necessarily invariant. Second, we suppose a process in which a force causes a negative acceleration on a moving object (MO) and thereafter the MO eventually comes to rest. What is considered here is the LCRE when the MO comes to rest. We pay attention to the position of the force applied to the MO because the transmission time of force (TTF) inside the MO may vary depending on the position of the MO where the force is applied. As a result, we find that the position at which the MO comes to rest differs depending on the TTF inside the MO. Therefore, we conclude that the LCRE in an IFR differs depending on the position of the MO where the force is applied, in other words, it in an IFR is not necessarily uniquely determined.