In this study we focus on measurements and modeled UV index at the region of Athens, Greece, during a period of a low ozone event. During the period of 12 to 19 of May 2020, total column ozone (TOC) showed extremely low values 35-55 DU (up to 15%) decrease from the climatic mean (being lower than the -2σ). This condition favors the increase of UV erythemal irradiance, since stratospheric ozone is the most important attenuator at the UVB spectral region. A parallel intrusion of Saharan Dust aerosols in the region has masked a large part of the low ozone effect on UV irradiance. In order to investigate the event, we have used spectral solar irradiance measurements from the Precision Solar Radiometer (PSR), total column ozone from the BREWER spectrophotometer and Radiative Transfer Model (RTM) calculations. Model calculations of UV Index (UVI) showed an increase of ~30% compared to the long term normal UVI due to the low TOC while at the same time and for particular days, aerosols masked this effect by ~20%. The study points out the importance of accurate measurements or forecasts of both ozone and aerosols when deriving UVI under unusual low ozone-high aerosol conditions.

The direct radiative effects of atmospheric aerosols are essential for climate, as well as for other societal areas, like the energy sector. The goal of the present study is to exploit the newly devel-oped ModIs Dust AeroSol (MIDAS) dataset for quantifying the direct effects on the downwelling surface solar irradiance (DSSI), induced by the total and dust aerosols amount, under clear-sky conditions and the associated impacts on solar energy for the broader Mediterranean basin, over the period 2003 – 2017. Aerosol optical depth (AOD) and dust optical depth (DOD) derived by the MIDAS dataset, along with additional aerosol and dust optical properties and atmospheric variables were used as inputs to radiative transfer modeling to simulate DSSI components. A 15-year climatology of AOD, DOD and of clear-sky Global Horizontal Irradiation (GHI) and Direct Normal Irradiation (DNI) was derived. The spatial and temporal variability of the aerosol and dust effects on the different DSSI components was assessed. Aerosol attenuation of annual GHI and DNI range from 1-13% and 5-47%, respectively. Significant attenuation by dust 2-10% and 9-37% was found over North Africa and the Middle East, contributing to 45-90% of the total aero-sol effects. The mean GHI and DNI attenuation during extreme dust episodes reached values up to 12% and 44%, respectively, for different areas. After 2008 a decline of aerosol effects on DSSI was found, attributed mainly to the dust component. Sensitivity analysis using different AOD/DOD inputs from Copernicus Atmosphere Monitoring Service (CAMS) reanalysis dataset, revealed CAMS underestimation of aerosol and dust radiative effects compared to MIDAS, due to slight AOD and stronger DOD underestimation, respectively.

Biogenic emissions affect the urban air quality as they are ozone and SOA precursors and should be taken into account when applying photochemical pollution models. The present study presents an estimation of the magnitude of Non-Methane Volatile Organic Compounds emissions (NMVOCs) emitted by vegetation over Greece. The methodology is based on computation performed with the aid of a Geographic Information System (GIS) and theoretical equations in order to develop an emission inventory on a 6x6 spatial resolution, in a temporal resolution of 1hr covering one year (2016). For this purpose, a variety of input data was used: improved satellite land-use data, land-use specific emission potentials, foliar biomass densities, temperature and solar radiation data. Hourly, daily and annual isoprene, monoterpenes and other volatile organic compounds (OVOCs) were estimated. In the area under study, the annual biogenic emissions were estimated up to 472 kt, consisting of 46.6% isoprene, 28% monoterpenes and 25.4% OVOCs. Results delineate an annual cycle with increasing values from March to April, while maximum emissions were observed from May to September, followed by a decrease from October to January.

Cyprus plans to drastically increase the share of renewable energy sources from 13.9% in 2020 to 22.9% in 2030. Solar energy can play a key role in the effort to fulfil this goal. The potential for production of solar energy over the island is much higher than most of European territory because of the low latitude of the island and the nearly cloudless summers. In this study, high quality and fine resolution satellite retrievals of aerosols and dust, from the newly developed MIDAS climatology, as well as information for clouds from CMSAF are used in order to quantify the effects of aerosols, dust, and clouds on the levels of surface solar radiation (SSR) and the corresponding financial loss for different types of installations for production of solar energy. An SSR climatology has been also developed based on the above information. Ground-based measurements were also incorporated to study the contribution of different species to the aerosol mixture and the effects of day-to-day variability of aerosols on SSR. Aerosols attenuate 5 – 10% of annual GHI and 15 – 35% of annual DNI, while clouds attenuate ~25 – 30% and 35 – 50% respectively. Dust is responsible for 30 – 50% of the overall attenuation by aerosols.

Abstract Purpose Since their introduction, intrauterine devices (IUDs) have been associated with various complications. Avery rare complication is the perforation of the cervix by the strings of the IUD. Purpose of the current study is to present a novel case of cervical perforation by the strings of a copper IUD and to perform a systematic review of the literature. Materials and Methods The patient a 43-year-old attended the gynecology clinic in order to remove her copper IUD. Speculum examination revealed that both the strings of the IUD perforated the anterior lip of the cervix. Management options were offered, the patient opted for a hysteroscopic removal. We searched the electronic databases: MEDLINE, Cochrane Library,Google Scholar,EBSCO for similar cases. Results Electronic search yielded 1821 articles; 8 were selected for inclusion. Mean age of the women was 35,37±7,781, range (26-47) years. One woman (12.5%) was nulligravida;3 women were multigravida (37,5%). Seven women (87,5%) were asymptomatic. Three IUDs (37,5%) were LNG-IUS; 5 IUDs (62,5%) contained copper. Conclusions Cervical perforation by the strings of IUD is an extremely rare clinical entity. It is asymptomatic in general and in most cases the strings of the IUD may be returned back to the endocervical canal after surgical maneuvers.

The rapid growth in the number of interconnected devices on the Internet (referred to as the Internet of Things – IoT), along with the huge volume of data that are exchanged and processed, has created a new landscape in network design and operation. Due to the limited battery size and computational capabilities of IoT nodes, data processing usually takes place on external devices. Since latency minimization is a key concept in modern era networks, edge servers that are in close proximity to IoT nodes gather and process related data, while in some cases data offloading in the cloud might have to take place. The interconnection of a vast number of heterogeneous IoT devices with the edge servers and the cloud, where IoT, edge and cloud converge to form a computing continuum, is also known as IoT-edge-cloud (IEC) continuum. Several key challenges are associated with this new computing systems architectural approach, including: i) design of connection and programming protocols aimed at properly manipulating a huge number of heterogeneous devices over diverse infrastructures; ii) design of efficient task offloading algorithms aimed at optimizing services execution; iii) support for security and privacy enhancements during data transfer to deal with the existent and even unforeseen attacks and threats landscape; iv) scalability, flexibility and reliability guarantees to face the expected mobility for IoT systems, and; v) design of optimal resource allocation mechanisms to make the most out of the available resources. These challenges become even more significant towards the new era of sixth generation (6G) networks, which will be based on the integration of various cutting edge heterogeneous technologies. Therefore, the goal of this survey paper is to present all recent developments in the field of IEC continuum systems, with respect to the aforementioned deployment challenges. In the same context, potential limitations and future challenges are highlighted as well. Finally, indicative use cases are also presented, from an IEC continuum perspective.

Systemic lupus erythematosus (SLE), the prototype of systemic autoimmune diseases is characterized by extreme heterogeneity with a variable clinical course. Renal involvement may be observed and affects the outcome. Hydroxychloroquine is the cornerstone of lupus treatment. Conventional immunosuppressive therapy includes corticosteroids, methotrexate, azathioprine, cyclosporine and tacrolimus. Cyclophosphamide and mycophenolate mofetil may also be used. However, despite conventional immunosuppressive treatment flares occur and broad immunosuppression is accompanied by multiple side effects. Flare occurrence, target organ involvement, side effects of broad immunosuppression, increased knowledge of the pathogenetic mechanisms involved in SLE pathogenesis as well as the availability of biologic agents has led to the application of biologic agents in SLE management. Biologic agents targeting various pathogenetic paths have been applied. B cell targeting agents have been used successfully. Belimumab, a B cell targeting agent has been approved for the treatment of SLE. Rituximab, an anti-CD20 targeting agent is also used in SLE. Anifrolumab, an interferon I receptor targeting agent has beneficial effects on SLE. In conclusion, biologic treatment is applied in SLE and should be further evaluated with the aim of a good treatment response and a significant improvement in quality of life.

A high performance Driver State Monitoring (DSM) application for the detection of driver drowsiness is presented in this paper. It relies on the usage of an Ensemble of Regression Trees (ERTs) machine learning method that aligns 68 facial landmarks. Special focus is given on the acceleration of the frame processing using reconfigurable hardware. Reducing the frame processing latency saves time that can be used to apply frame-to-frame facial shape coherency rules. False face detection and false shape estimations can be ignored for higher robustness and accuracy in the operation of the DSM application without reducing the frame processing rate that can reach 65 frames per second. The sensitivity and precision in yawning recognition can reach 93% and 97%, respectively. The implementation of the employed DSM algorithm in reconfigurable hardware is challenging since the kernel arguments require large data transfers and the degree of data reuse in the computational kernel is low. Due to this, unconventional hardware acceleration techniques have been employed that can also be useful for the acceleration of several other applications.

The behaviour of steel frame buildings under progressive collapse conditions depends on a combination of several parameters including the interplay between different collapse resistance mechanisms mobilized in different structural components. Previous studies have shown that the extent to which these mechanisms may contribute to progressive collapse resistance depends on the ability of the beam-column connections to undergo large inelastic deformations prior to reaching their deformation capacity limits. For this reason, and due to the important role of their flexural strength and tying capacity in the development of essential collapse resistance mechanisms, the response of beam-column connections is one of the most important features of progressive collapse performance. Based on the knowledge gained through previous studies on the mechanics of the problem, the role of the connections is critically reviewed by examining the results of several experimental studies conducted during the past decade. The factors that may adversely affect progressive collapse resistance – such as failure modes of certain connection types – are evaluated, and novel approaches of limiting these factors which are currently under development are reviewed. The assessment of these parameters leads to useful conclusions of practical significance, while highlighting the aspects of the problem that need further study and understanding.

Climate change is challenging the agricultural sector worldwide. The pressure exerted by the altered thermal conditions drives the zonal shift for various cultivations. This study presents the multiyear analysis of the Growing Degree Days (GDD) index over the Northern Mediterranean Basin (NMB), focused on the high-value vine cultivation derived from the E-OBS dataset. To handle this extensive environmental dataset, R-language scripts and packages were applied, along with the capabilities of the GIS software. The investigated time period spans from 1969 to 2018, and the performed analysis indicates a broad shift/expansion in areas of GDD exceeding 2000 heat units. The extracted results specify the viticultural areas where the GDD index surpasses the suitable values for vine cultivation, owing to the increase of the thermal stress risk. In addition to mapping areas with GDD ≥ 2000, spatial calculations of the surface of areas meeting this criterion per country in the study area were made. In the northern parts of the NMB, the rise of the GDD index values indicates the establishment of vine plantations in the future.

In traditional finance, option prices are typically calculated using crisp sets of variables. However, in a proposed new approach, the assumption is made that these parameters have a degree of fuzziness or uncertainty associated with them. This allows participants to estimate option prices based on their risk preferences and beliefs, considering a range of possible values for the parameters. To determine the belief degree associated with a particular option price, an interpolation search algorithm was proposed recently[1]. Interpolation is a mathematical technique used to estimate values between known data points. In this case, the algorithm is applied to determine the belief degree associated with a specific option price within the range of possible prices. By incorporating fuzzy numbers and the belief degree, this approach provides a more flexible framework for practitioners to make their investment decisions. It allows them to consider their risk preferences and beliefs about the uncertain parameters when selecting an option price. In this paper, we will review a unified framework for combining fractional Brownian motion with fuzzy processes and obtain a joint measure space. We start by constructing a product measure space that captures the randomness and fuzziness inherent in the respective processes. We begin with the usual Kolmogorov filtered probability space (Ω, F, ℙ), where ℙ represents the probability measure, Ω is the set of all possible outcomes or states that a random process can take and {Ft, t ∈ [0, T]} is an information filtration. We will review the work of Merton (1976) on option pricing when the underlying stock returns have jumps [2] and expand it to fuzzy fractional processes.

Substantial reductions of the human and economic activities like road traffic for several months in 2020 were one of the consequences of the Coronavirus disease. This unprecedented change in urban metabolism also affected temperature and air pollutants. This study investigates the effects of the first COVID-19 lockdown over 43 cities in Europe. It determines the influence of anthropogenic activities on nitrogen dioxide (NO2), ozone (O3), and particulate matter (PM2.5) as well as on land surface temperature (LST), and the surface urban heat island intensity (SUHII), using satellite, modelled, and mobility data. Our findings show that there are great temporal and spatial differences and distinct patterns between the cities regarding the magnitude of change of the variables under study. In general, the results indicate a significant decrease in NO2 concentrations in most of the studied cities compared to the reference period 2015-2019. However, reductions could not be attributed to mobility changes like less traffic at transit stations, contrary to the results of previous studies. O3 levels increased during the first lockdown mainly influenced by the decreasing NO2 concentrations. The PM pattern was inconsistent over time and space. Similar as the NO2 results, no relation to the altered mobility behavior was found. No clear signal could be detected for LST and the SUHII, likely due to dominating meteorological influences. Therefore, single city case studies may be misleading.

Background: Given that VR is applied in multiple domains, understanding the effects of cybersickness on human cognition and motor skills and the factors contributing to cybersickness gains urgency. This study aimed to explore the predictors of cybersickness and its interplay with cognitive and motor skills. Methods: 30 participants, 20-45 years old, completed the MSSQ and the CSQ-VR, and were immersed in VR. During immersion, they were exposed to a roller coaster ride. Before and after the ride, participants responded to CSQ-VR and performed VR-based cognitive and psychomotor tasks. Post VR session, participants completed the CSQ-VR again. Results: Motion sickness susceptibility, during adulthood, was the most prominent predictor of cybersickness. Pupil dilation emerged as a significant predictor of cybersickness. Experience in videogaming was a significant predictor of both cybersickness and cognitive/motor functions. Cybersickness negatively affected visuospatial working memory and psychomotor skills. Overall cybersickness’, nausea and vestibular symptoms’ intensities significantly decreased after removing the VR headset. Conclusions: In order of importance, motion sickness susceptibility and gaming experience are significant predictors of cybersickness. Pupil dilation appears as a cybersickness’ biomarker. Cybersickness negatively affects visuospatial working memory and psychomotor skills. Cybersickness and its effects on performance should be examined during and not after immersion.

Videogames have been the focus of research since their widespread popularity, with particular emphasis on their effects on cognitive and affective abilities, especially in children and adolescents. Despite numerous correlational studies, robust evidence on the causal relationship between videogames and cognition remains scarce, hindered by the absence of a comprehensive assessment tool for gaming skills across various genres. This study aimed to develop and validate the Gaming Skill Questionnaire (GSQ) and to assess the impact of gaming skills in six different genres (Sport, First-Person Shooters, Role-Playing Games, Action-Adventure, Strategy, and Puzzle Games) on adolescents’ cognitive and affective abilities. The GSQ exhibited strong reliability and validity, highlighting its potential as a valuable tool. Gaming skills positively affected executive function, memory, overall cognition, cognitive flexibility, and emotion recognition, except for empathy. Various game genres had different effects on cognitive and affective abilities, with verbal fluency influenced mainly by sports, executive functions by action, strategy, and puzzle, and emotion recognition positively impacted by action and puzzle but negatively by sports and strategy games. Both age and gaming skills influenced cognitive flexibility, with gaming having a greater effect. These intriguing genre-specific effects on cognitive and affective functioning postulate further research with GSQ's contribution.

Carbon Capture and Storage (CCS) stands as a pivotal technological stride toward a sustainable future, with the practice of injecting supercritical CO2 into subsurface formations having already been an established practice for enhanced oil recovery operations. The overarching objective of CCS is to protract the operational viability and sustainability of platforms and oilfields, thereby facilitating a seamless transition towards sustainable practices. This study introduces a comprehensive framework for optimizing well placements in CCS operations, employing a derivative-free method known as Bayesian optimization. The development plan is tailored for scenarios featuring aquifers devoid of flow boundaries, incorporating production wells tasked with controlling pressure buildup and injection wells dedicated to CO2 sequestration. Notably, the wells operate under group control, signifying predefined injection and production targets and constraints that must be adhered to throughout the project’s lifespan. As a result, the objective function remains invariant under specific permutations of the well locations. Our investigation delves into the efficacy of Bayesian optimization under the introduced permutation invariance. The results reveal that it demonstrates critical efficiency in handling the optimization task extremely fast. In essence, this study advocates for the efficacy of Bayesian optimization in the context of optimizing well placements for CCS operations, emphasizing its potential as a preferred methodology for enhancing sustainability in the energy sector.

Τhe concept of remote insect surveillance at large spatial scales for a number of serious insect pests of agricultural and medical importance is introduced in a series of our papers. We augment typical, low-cost plastic traps for many insect pests with the necessary optoelectronic sensors to guard the entrance of the trap in order to detect, time-stamp, GPS tag, and –in relevant cases- identify the species of the incoming insect from their wingbeat. For every important crop pest there are monitoring protocols to be followed in order to decide when to initiate a treatment procedure before a serious infestation occurs. Monitoring protocols are mainly based on specifically designed insect traps. Traditional insect monitoring suffers in that the scope of such monitoring: is curtailed by its cost, requires intensive labor, is time consuming, an expert is often needed for sufficient accuracy and can sometimes raise safety issues for humans. These disadvantages reduce the extent to which manual insect monitoring is applied and therefore its accuracy, which finally results in significant crop loss due to damage caused by pests. With the term ‘surveillance’ we intend to push the monitoring idea to unprecedented levels of information extraction regarding the presence, time-stamping detection events, species identification and population density of targeted insect pests. Insect counts as well as environmental parameters that correlate with insect’s population development are wirelessly transmitted to the central monitoring agency in real time, are visualized and streamed to statistical methods to assist enforcement of security control to insect pests. In this work we emphasize on how the traps can be self-organized in networks that collectively report data at local, regional, country, continental, and global scales using the emerging technology of the Internet of Things (IoT). This research is necessarily interdisciplinary and falls at the intersection of entomology, optoelectronic engineering, data-science and crop science and encompasses the design and implementation of low-cost, low-power technology to help reduce the extent of quantitative and qualitative crop losses by many the most significant agricultural pests. We argue that smart traps communicating through IoT to report in real-time the level of the pest population from the field straight to a human controlled agency can, in the very near future, have a profound impact on the decision making process in crop protection and will be disruptive of existing manual practices. In the present study, three cases are investigated : monitoring Rhynchophorus ferrugineus (Olivier) (Coleoptera: Curculionidae) using a) Picusan and b) Lindgren trap, and c) monitoring various stored grain beetle pests using the pitfall trap.

The existence of low-cost and accurate tools that can equip the First Responders (FRs) to detect trapped victims and provide insights about their health condition in the aftermath of a disaster, is imperative. To address the problem of detecting trapped victims behind walls or debris, we have developed a tool that exploits an Ultra-Wide Band (UWB) radar sensor for data collection and Machine Learning (ML) algorithms for data analysis. To evaluate the efficacy of our approach, we collected data from nine humans, both in standing and lying down positions. Next, we applied various ML algorithms to the collected dataset for two discrete sub-tasks that are of interest from an FR’s perspective. The first task is the detection of the victim’s presence, where the algorithms attained more than 95% accuracy and F1-Score. The second task is the estimation of the distance between the radar sensor and the victim, where the tool showed an average error of less than 40 cm.

In the present study we examine the relationship among sovereign yields, temperature and precipitation using a large monthly panel data set which consists of 20 eurozone members, over the period 1980M1 – 2023M4. To account for possible asymmetries along the distribution of the climate variables we assume a quadratic modelling specification and apply various mean panel estimation techniques of heterogeneous coefficients. At a next step, to consider possible nonlinearities in the distribution of the dependent variable (sovereign yields), we apply the quantile via moments methodology of Machado and Santos Silva (2019), which accounts for possible cross-sectional dependence and slope heterogeneity. We contribute to the existing literature in two main ways. First, by applying a quantile methodology that provides a more in-depth analysis of the climate effects along the distribution of the sovereign yields, especially in the presence of non-normally distributed data. Second, we find that climate change, as proxied by higher temperatures or lower precipitation (drought), will increase the sovereign risk of all countries, but the magnitude of the impact will be higher for countries that are already characterized by higher sovereign risk levels and/or face extreme weather conditions (hotter countries and/or countries with low levels of precipitation).

This paper presents a numerical study on the laser shock wave propagation in a 3D woven CFRP material by means of detailed and homogenized FE models. The aim of the study is to numerically characterize the shock wave response of the 3D woven CFRP in terms of back face velocity profiles and the induced damage and to investigate whether the detailed FE models could be replaced by homogenized FE models. The 3D woven geometry was designed using the TexGen software, while the numerical analyses were executed using the LS-Dyna explicit FE software. A high-strain rate behavior was considered for the matrix. The fiber bundles in the detailed models were modeled as a high fiber content unidirectional composite laminate, with its mechanical properties calculated by micromechanical equations. Both for the fiber bundles of the detailed model and the homogenized models a progressive damage material model was applied. The results of the detailed model reveal a considerable effect of material’s architecture on the shock wave propagation and the sensitivity of the back face velocity profile to the spot location. Consequently, the homogenized model is not capable of accurately simulating the shock wave response of the 3D woven composite. Moreover, the detailed predicts with high accuracy matrix cracking in the resin-rich areas and in the bundles as well as fiber failure. On the contrary, the homogenized model predicts matrix cracking at the same areas and no fiber failure.

Understanding the origins of life involves dealing with the unresolved question of how the first informational polymers and cell-like structures emerged from prebiotic chemistry. The formation of thermal proteinoids through the heating of mixtures of amino acids, leading to the spontaneous formation of protocells enclosed by membranes, presents a compelling model for the synthesis of polypeptides in an abiogenic context. Recent research has revealed the presence of electrical excitability and signal processing capacities in proteinoids, indicating the possibility of primitive cognitive functions and problem-solving capabilities. The present study provides a comprehensive examination of the features shown by heat proteinoids and their potential significance in the context of the artificial formation of polypeptides during the early stages of Earth’s development. Experiments showcasing the possibility for unconventional computing with proteinoids as well as modelling proteinoid assemblies into synthetic proto-brains are given. Proteinoids’ robust abiogenic production, biomimetic features, and computational capability shed light on potential phases in the evolution of polypeptides and primitive life from the primordial environment.

State-of-the-art remote sensing scene classification methods employ different Convolutional Neural Network architectures for achieving very high classification performance. A trait shared by the majority of these methods is that the class associated with each example is ascertained by examining the activations of the last fully connected layer, and the networks are trained to minimize the cross-entropy between predictions extracted from this layer and ground-truth annotations. In this work, we extend this paradigm by introducing an additional output branch which maps the inputs to low dimensional representations, effectively extracting additional feature representations of the inputs. The proposed model imposes additional distance constrains on these representations with respect to identified class representatives, in addition to the traditional categorical cross-entropy between predictions and ground-truth. By extending the typical cross-entropy loss function with a distance learning function, our proposed approach achieves significant gains across a wide set of benchmark datasets in terms of classification, while providing additional evidence related to class membership and classification confidence.

The goal of the study presented in this article is to investigate interconnection issues of the Intelligent Electrical Networks (IENs) with the existing ones, as well as the deployment of the appropriate load forecasting demand techniques. The concept of IENs has recently emerged as a potential solution to the global energy problem, due to the more flexible dispersed production units that are involved. In the same context, additional issues, such as the reduction of production-transfer-distribution costs as well as power losses are analyzed as well, via the penetration of Renewable Energy Sources (RESs). To this end, it is necessary to use appropriate advanced infrastructure, where in combination with modern telecommunication networks will make possible the full exploitation of IENs. Moreover, to make the electricity system more efficient, to avoid voltage and frequency imbalance issues and to implement optimal production and consumption planning, the Electric Load Forecast (ELF) is a vital process and plays a key role in the planning as well as in the management of electricity systems. Therefore, recent state of the art approaches in ELF methods are discussed as well.

The paper presents a three-dimensional slope stability limit equilibrium solution for translational, planar failure modes. The proposed solution uses Bishop’s average skeleton stress combined with the Mohr – Coulomb failure criterion to describe soil strength evolution under unsaturated conditions while its formulation ensures a natural and smooth transition from the unsaturated to the saturated regime and vice versa. The proposed analytical solution is evaluated by comparing its predictions with the results of the Ruedlingen slope failure experiment [1]. The comparison suggests that despite its relative simplicity the analytical solution can capture well the experimentally observed behaviour and highlights the importance of lateral resistance consideration together with a realistic interplay between mechanical parameters (cohesion) and hydraulic (pore water pressure) conditions.

The goal of this paper is the performance evaluation of a deep learning approach when deployed in fifth-generation (5G) millimeter wave (mmWave) multicellular networks. To this end, the optimum beamforming configuration is defined by two neural networks (NNs) that are properly trained, according to mean square error (MSE) minimization. The first network has as input the requested spectral efficiency (SE) per active sector, while the second network the corresponding energy efficiency (EE). Hence, channel and power variations can now be taken into consideration during adaptive beamforming. The performance of the proposed approach is evaluated with the help of a developed system level simulator via extensive Monte Carlo simulations. According to the presented results, machine learning (ML)-adaptive beamforming can significantly improve EE compared to the standard non-ML framework. Although this improvement comes at the cost of increased blocking probability (BP) and radiating elements (REs) for high data rate services, the corresponding increase ratios are significantly reduced compared to the EE improvement ratio. In particular, considering 21.6 Mbps per active user and ML adaptive beamforming, then EE can reach up to 5.3 Mbps/W, which is significantly improved compared to the non-ML case (0.9 Mbps/W). In this context, BP does not exceed 2.6%, which is slightly worse compared to 1.7% in the standard non-ML case. Moreover, approximately 20% additional REs are required, with respect to the non-ML framework.

The main objective of this work is the assessment of the annual number of hospital admissions for respiratory disease (HARD) due to the exposure to in-healable particulate matter (PM10), within the greater Athens area (GAA), Greece. Towards this aim, the time series of the particulate matter with aerodynamic diameter less than 10μm (PM10) recorded in six monitoring stations located in the GAA, for a 13-year period 2001-2013, is used. Initially, a descriptive statistical treatment of PM10 concentrations took place. Furthermore, the AirQ2.2.3 software developed by the WHO was used to evaluate adverse health effects by PM10 in the GAA during the examined period. The results show that, during the examined period PM10 concentrations present a significant decreasing trend. Also, the mean annual HARD cases per 100,000 inhabitants ranged between 20 (suburban location) and 40 (city centre location). Approximately 70% of the annual HARD cases are due to city centre residents. In all examined locations, a declining trend in the annual number of HARD cases is appeared. Moreover, a strong relation between the annual number of HARD cases and the annual number of days exceeding the European Union daily PM10 threshold value was found.

The main objective of this work is to investigate the temporal variation of PM10 concentrations within the urban area of Athens during the years 2001-2015. For this purpose, the time series of the particulate matter with aerodynamic diameter less than 10μm (PM10) is recorded for a 15-year period (2001-2015) in two different monitoring stations located in the urban area of Athens. The results show a totally different behavior of PM10 concentrations between the Athens city center and the suburban areas. It seems that in the city center the main sources of PM10 are traffic and heating systems especially during the cold period of the year. Furthermore, in the city center a significant seasonal variation was found with high concentrations during the cold period of the year and lower concentrations during the warm period of the year. Moreover, it was found that during the weekends, there is a decrease in PM10 concentrations probably due to the fact that majority of people do not use their vehicles. Finally, for both locations a significant temporal decreasing trend of the mean annual PM10 concentrations was found which indicates that during the last years, there have been improvements towards a better air quality.

We identify the source of the Mw = 5.6 earthquake that hit west-central Epirus on March 21, 2020 00:49:52 UTC. We use synthetic aperture radar interferograms tied to one permanent Global Navigation Satellite System (GNSS) station (GARD). We model the source by inverting the INSAR displacement data. The inversion model suggests a shallow source on a low-angle fault (39°) dipping towards east with a centroid depth of 8.5 km. The seismic moment deduced from our model agrees with those of the published seismic moment tensors. This geometry is compatible with the Margariti thrust fault within the collision zone between Apulia and Eurasia. We also processed new GNSS data and estimate a total convergence rate between Apulia and Eurasia of 8.9 mm yr-1 , of which shortening of the crust between the Epirus coastal GNSS stations and station PAXO in the Ionian Sea is equivalent to ~ 50% of it or 4.6 mm yr−1. A 60-km wide deformation zone takes up nearly most of the convergence between Apulia-Eurasia, trending N318°E. Its central axis runs along the southwest coast of Corfu, along the northeast coast of Paxos, heading toward the northern extremity of the Lefkada island.

In this study, multi-layer ceramic capacitors (MLCCs) detached from lighting sector's waste electrical-electronic equipment (WEEE) are characterised for the presence of rare earth elements (REEs) and precious metals (PMs). Their digestion was carried out with HNO3 & aqua regia on a heating plate and characterised with the use of inductively coupled plasma optical emission spectroscopy (ICP-OES) & scanning electron microscopy with energy dispersive X-ray spectroscopy (SEM-EDX). The contents of REEs and PMs are 0.84 wt% and 0.60 wt%, respectively, and create an economic stored value in MLCCs that is essentially defined by PMs of 98.67% and by Pd 78.37%. The content of the main elements is: Nd 0.366 wt%, Y 0.220 wt%, Dy 0.131 wt%, Ag 0.467 wt%, and Pd 0.105 wt%. The results confirm the need of selective removal and separate recycling process of MLCCs from WEEE drivers.

The Internet of Things (IoT) is a technological paradigm that has gained significant momentum that last decade and, among others, enables the development of intelligent and interoperable device networks. In this respect, it has triggered the creation and evolution of VANETs (Vehicular Ad Hoc Networks), which are initially implemented in order to guarantee the safety of the drivers and the avoidance of traffic accidents. The drawback is that this fast evolution flags serious concerns as far as the privacy of users is concerned, while the population of attackers or entities that try to eavesdrop and intercept information has significantly increased. This imposes a serious risk for drivers moving across a Smart City. The research presented in this paper aims to evaluate privacy protection mechanisms in VANET environments, based on their efficiency and security level ensured, considering the fact that VANETs provide limited resources to users/drivers. Moreover, the usage of the elliptic curve cryptography in reduced resources environments is discussed. Finally, this paper compares the performance of three cryptographic algorithms, i.e., Elliptic Curve Cryptography (ECC), Hyperelliptic Curve Cryptography genus 2 (HECC-2) and HECC genus 3 (HECC-3), employed for an efficient authentication and safe message transmission mechanism in VANETs, targeting to extract conclusions related to the implementation of each cryptographic scheme in this specific application area.

MicroRNAs (miRNAs) are small non-coding RNAs that play a central role in the post-transcriptional regulation of biological processes. miRNAs regulate transcripts by direct binding involving the Argonaute protein family. The exact rules of binding are not known, and several in silico miRNA target prediction methods have been developed to date. Deep Learning has recently revolutionized miRNA target prediction. However, the higher predictive power comes with decreased ability to interpret increasingly complex models. Here, we present a novel interpretation technique, called attribution sequence alignment, for miRNA target site prediction models that can interpret such Deep Learning models on a two-dimensional representation of miRNA and putative target sequence. Our method produces a human readable visual representation of miRNA:target interactions and can be used as a proxy for further interpretation of biological concepts learned by the neural network. We demonstrate applications of this method in clustering of experimental data into binding classes, as well as using the method to narrow down predicted miRNA binding sites on long transcript sequences. Importantly, the presented method works with any neural network model trained on a two-dimensional representation of interactions and can be easily extended to further domains such as protein-protein interactions.

This study provides a thorough review and analysis of the evolution of the Greek vehicle fleet over the last ~30 years, which is next used for the generation of high granularity fleet projections and for the estimation of relevant environmental benefits by 2030. The integrated methodology developed takes also into account vehicle clustering and the Brown’s Double Simple Exponential Smoothing technique that together with the adoption of COPERT based emission factors allow for the estimation of the anticipated emissions in 2030. Expected 2030 emissions levels suggest a reduction across all pollutants in comparison to 2018, ranging from 3.7% for PM10 to 54.5% for NMVOC (and 46% for CO, 14% for SO2, 28% for NOX and 21% for CO2). We find that Greece is on track with national goals concerning the reduction of air pollution from the transportation sector, stressing the positive contribution of EVs and new, "greener" vehicles, and setting new challenges for the further improvement of the sector beyond the 2030 outlook.

We introduce a device for automatic detection and reporting of crawling insects in urban environments. It is a monitoring device for urban pests that complies with the context of smart homes, smart cities and is compatible with the emerging discipline of the Internet of Things (IoT). We believe it can find its place to every room of a hotel, hospital, military camp and residence. This box-shaped device attracts targeted insect pests, senses the entering insect and takes automatically a picture of the internal space of the box. The picture is communicated through the Wi-Fi commonly found in such establishments to an authorized person/stakeholder receiving the picture to take proper action. The e-trap includes strong attractants (pheromone and/or food) to increase capture efficiency. The insect is trapped on the sticky floor of the device. The device carries the necessary optoelectronic sensors to guard all entrances of the trap. As the insect enters it interrupts the infrared light source. This triggers a detection event; a picture is taken, and a time-stamp is set before reporting the event through the Wi-Fi. The device can be integrated seamlessly in urban environments and operates unobtrusively to human activities. We report results on various insect pests and depending on the insect species, can reach a detection accuracy ranging from 96-99%.

Haemolytic anaemia represents a risk factor for the development of pulmonary hypertension (PH), currently classified as World Health Organization group 5 PH and data regarding appropriate therapeutic strategy are limited. A total of 28 patients, 85.7% with thalassemia and 14,3% with sickle cell disease, with a diagnosis of PH confirmed by right heart catheterization, were included in the study. The patients were divided into three groups according to haemodynamics and overall diagnostic approach: 42,9% had precapillary PH (Pulmonary Arterial Hypertension -PAH group), 25% post-capillary PH and 32.1% Chronic Thromboembolic PH (CTEPH) (29% of b-thalassemia and 50% of SCD patients). The therapeutic approach in each group and its impact on the outcome and haemodynamics was recorded. PAH-specific drug therapy received 82.1% of patients and Balloon Pulmonary Angioplasty (BPA) was performed in 6 patients with CTEPH. There were statistically significant differences in baseline mPAP and PVR values between the CTEPH-haemolytic anaemia group and other groups. PAH-specific drug therapy resulted in haemodynamic improvement for PAH-group. Patients who underwent BPA improved Pulmonary Haemodynamics. Median survival time was 162 months and the survival rate was 1yr-100%, 2,3,4,5,6 years 96%, 9yrs 90% and 13yrs 78%. In patients with haemolytic anaemia, the wide spectrum of induced PH highlights the importance of a correct diagnosis. BPA in CTEPH patients and specific-PAH drug therapy for PAH patients represent potential therapeutic strategies, however the management should be offered in expert PH centers under patients’ individualized approach.

Biowaste management is in the center of attention in recent years, due to the increased focus on Circular Economy practices. Recent management solutions promote exploration for small and medium scale processing and monitoring practices. In this context, two pathways of biowaste valorization are analyzed: composting and anaerobic digestion. This study focuses on energy production with the hydrothermal carbonization (HTC) of anaerobic residues from biogas production. Lesvos has numerous processing facilities and olive mills, and therefore Olive Mill Wastewater (OMWW) are the main biowaste streams in the island, along with olive tree pruning, the organic fraction of municipal solid waste and sludge from wastewater treatment facilities. Most studies present applications on specific types of biowaste, while this study aims to co-treat several biowaste streams. A holistic experimental set-up that combines aerobic and anaerobic treatment strategies was developed taking into consideration the hydrothermal treatment of AD digestate along with locally available biowaste, like OMWW, sludge etc. A main target objective is to investigate if solid fraction could have a high heating potential In addition, HTC was able significantly to reduce the COD of OMWW while resulting in hydrochars with increased heating values.

Machine learning has become widely adopted as a strategy for dealing with a variety of cybersecurity issues, ranging from insider threat detection to intrusion and malware detection. However, by their very nature, machine learning systems can introduce vulnerabilities to a security defence whereby a learnt model is unaware of so-called adversarial examples that may intentionally result in mis-classification and therefore bypass a system. Adversarial machine learning has been a research topic for over a decade and is now an accepted but open problem. Much of the early research on adversarial examples has addressed issues related to computer vision, yet as machine learning continues to be adopted in other domains, then likewise it is important to assess the potential vulnerabilities that may occur. A key part of transferring to new domains relates to functionality-preservation, such that any crafted attack can still execute the original intended functionality when inspected by a human and/or a machine. In this literature survey, our main objective is to address the domain of adversarial machine learning attacks and examine the robustness of machine learning models in the cybersecurity and intrusion detection domains. We identify the key trends in current work observed in the literature, and explore how these relate to the research challenges that remain open for future works. Inclusion criteria were: articles related to functionality-preservation in adversarial machine learning for cybersecurity or intrusion detection with insight into robust classification. Generally, we excluded works that are not yet peer-reviewed; however, the authors include some significant papers that make a clear contribution to the domain. There is a risk of subjective bias in the selection of non-peer reviewed articles; however, this is mitigated by co-author review. We selected the following databases with a sizeable computer science element to search and retrieve literature: IEEE Xplore, ACM Digital Library, ScienceDirect, Scopus, SpringerLink,Google Scholar. The literature search was conducted upto January 2022. We have striven to ensure a comprehensive coverage of the domain to the best of our knowledge. We have performed systematic searches of the literature, noting our search terms and results, and following up on all materials that appear relevant and fit within the topic domains of this review. This research was funded by the Partnership PhD scheme at the University of the West of England in collaboration with Techmodal Ltd.

The aim was to identify if surface electromyography (sEMG) parameters are indicative of post-activation potentiation (PAP)/post-activation performance enhancement (PAPE), in terms of twitch potentiation and voluntary performance. Three databases were used in March 2024, with the following inclusion criteria: (a) original research, assessed in healthy human adults, (b) sEMG parameters were measured. The exclusion criteria were: (a) studies with no PAP/PAPE-protocol, (b) non-randomized control trials. The following data were extracted: study characteristics/demographics, PAP/PAPE-protocols, sEMG parameters, twitch/performance outcomes, and study findings. A modified physiotherapy evidence database (PEDro) scale was used for quality assessment. Fifteen randomized controlled trials (RCTs), with a total of 199 subjects were included. The M-wave amplitude (combined with a twitch torque outcome) was shown to generally be indicative of PAP. The sEMG amplitude (in some muscles) were found to be indicative of PAPE during ballistic movements, while a small decrease in the MdF (in certain muscles) were shown to reflect PAPE. Changes in the Hmax/Mmax ratio were found to contribute (temporally) to PAP, while the H-reflex amplitude was shown to be neither indicative of PAP nor PAPE. This review provides preliminarily findings suggesting that certain sEMG parameters could be indicative of PAP/PAPE. However, future research is warranted.

Cavitation resulting from underwater explosions in compressible multiphase or multicomp-onent flows presents significant challenges due to the dynamic nature of shock-cavitation-structure interactions, as well as the complex and discontinuous nature of the involved interfaces. Achieving accurate resolution of interfaces between different phases or components, in the presence of shocks, cavitating regions, and structural interactions, is crucial for modeling such problems. Furthermore, pressure convergence in simulations involving shock-cavitation-structure interactions requires accurate algorithms. In this research paper, we employ the diffuse interface method, also known as the interface capturing scheme, to investigate cavitation in various underwater explosion test cases near different surfaces; free surface and a rigid surface. The simulations are conducted using the Unstructured Compressible Navier-Stokes (UCNS3D) finite volume framework employing central-weighted essentially non-oscillatory (CWENO) reconstruction schemes, utilising the five-equation diffuse interface family of methods. Quantitative comparisons are made between the performance of both models. Additionally, we examine the effects of cavitation as a secondary loading source on structures, and evaluate the ability of the CWENO schemes to accurately capture and resolve material interfaces between fluids with minimal numerical dissipation or smearing. The results are compared with existing high-order methods and experimental data, where possible, to demonstrate the robustness of the CWENO schemes in simulating cavitation bubble dynamics, as well as their limitations within the current implementation of interface capturing.

Vibration suppression in a field of frequencies and the creation of band gaps which do not allow the propagation of the waves is studied in this paper by means of microstructures designed through topology optimization. Topology optimization is formulated in frequency domain. Band gap design is based on Floquet-Bloch theory and genetic optimization. The result is appealing in view of modern 3D printing techniques.

Non-alcoholic fatty liver disease (NAFLD) is defined as the accumulation of lipids in the form of lipid droplets in more than 5% of hepatocytes. It is regarded as a range of diverse pathologies, including simple steatosis and steatohepatitis. The structural characteristics of lipid droplets have been implicated in the etiology of the disease, along with their protein composition, mainly perilipins. These proteins have garnered increasing attention as a pivotal regulator, since their levels and distinct expression appear to be associated with the progression from simple steatosis to steatohepatitis. Perilipins are target proteins of chaperone-mediated autophagy, and their degradation is a prerequisite for lipolysis and lipophagy to access the lipid core. Both lipophagy and chaperone-mediated autophagy have significant implications in the development of the disease, as evidenced by their upregulation during the initial phases of simple steatosis, and their subsequent downregulation once steatosis is established. On the contrary, during steatohepatitis, the process of chaperone-mediated autophagy is enhanced, although lipophagy remains suppressed. Evidently, the reduced levels of autophagic pathways observed in simple steatosis serve as a defensive mechanism against lipotoxicity. Conversely, in steatohepatitis chaperone mediated autophagy fails to compensate for the continuous generation of small lipid droplets and thus cannot protect hepatocytes from lipotoxicity.

The study presents the evaluation of integrating Extended Reality applications in situ to foster visitors' experience at the Tomato Industrial Museum "D. Nomikos". This paper firstly provides an outline of the methodological, technological, and museological approaches undertaken to integrate XR in a quest to enhance visitors’ meaningful engagement with the industrial heritage-related exhibition. Storytelling and narration are key elements of the museums’ museological design [1] through audio tours and interactive AR-based visualization of the machinery’s role as well as internal function. This paper presents and discusses the evaluation findings. We adopted the User Experience Questionnaire method as the main vehicle for gathering quantitative data and analyzing the results with the use of corresponding metrics and benchmarks embedded in this evaluation tool. Moreover, we conducted semi-structured interviews and combined the qualitative data accrued in the form of accounts, suggestions, and remarks to reach more rich and dependable conclusions. This paper aims to offer both an instance of practice to the research community and a broader discussion of the challenges and prospects connected to the quest of employing emerging technologies and assessing their impact on visitors’ museum experience.

Most people living in Europe's cities are still exposed to levels of air pollution deemed harmful by the World Health Organization. In the modern world, air pollution is the foremost concern because of its impact in human health and economy. This strong connection appears gaining a lot of concern, driven by new installed low-cost electrochemical sensors monitoring systems. Highly accuracy, real-time monitoring, daily and yearly statistics, data access from experts or simple users, low-cost equipment and forecasting needs, enforce the market to develop new air quality monitoring systems using advanced technologies and protocols. In this study, a comparison via low-cost electrochemical sensors and of static, fixed site measurement monitoring station, is taking place in Athens, Greece, along with the data quality and Air Quality Index (AQI) including data accuracy and quality of data concerning adverse health effects due to air pollution. The findings presented in this work, relate to different flexible and affordable alternatives adopted during the evaluation and calibration of low-cost gas sensors for the monitoring. The significance of the positive results is particularly useful, especially considering the founding for interference, environmental conditions affections and air quality information including indexes and health recommendations for a specific location.

This study evaluated the influence of the addition of increasing quantities of Hippophae rhamnoides L. leaves (HRL) on the radical scavenging activity, main oenological parameters and organoleptic characteristics of three white wines made from moschofilero and one white wine made from riesling grapes respectively. Radical Scavenging activity, reducing power, total phenol content (TPC) and color intensity increased in a linear manner in relation to HRL treatments. Indicatively the addition of 0.8 g/L of HRL increased the radical scavenging activity as determined via the inhibition of the DPPH radical from 23.2 to 58.4% in comparison to the initial values. Equally the reducing power as determined by the FRAP assay increased from 34.5 to 82.3%, TPC increased from 12.3 to 26.8% and the color intensity increased from 39-50% . The main oenological attributes examined, remained unchanged after the HRL addition. The addition of up to 0.4 g/L of HRL did not have a major impact on the organoleptic characteristics of the wines tasted whereas concentrations higher than 0.8 g/L were not considered beneficial. Results denote that the addition of Hippophae rhamnoides L. leaves to white wines contributes positively to the overall antioxidant capacity and could be used as an antioxidant agent in wines vinified in the absence of sulphur dioxide.

Investments in small and medium-sized anaerobic digestion facilities have the potential to boost biogas production in Greece and other EU countries. This study aimed to evaluate the economic feasibility of anaerobic digestion facilities equipped with combined heat and power (CHP) units ranging from 50 to 400 kW, while treating livestock waste. For this purpose, data were gathered from various livestock operations (dairy cattle, poultry, swine, dairy sheep and goat) regarding their annual production, revenues, electricity and fuel usage, and waste generation. Waste samples were then collected and analyzed to assess their biochemical methane production potential. The capital and operational costs of anaerobic digestion facilities, from 50 and 400 kW, were calculated using the equations developed within the “eMT cluster” project. Findings indicate that current feed-in tariffs (FIT) of 0.21 € kWh-1 are insufficient to incentivize investment in anaerobic digestion facilities with capacities below 250 kW, highlighting the need for increased FIT rates or capital expenditure subsidies. Recommendations include shifting towards simplified technology and business models with reduced farmer involvement, coupled with supportive legislative framework and long-term electricity price guarantees. These measures are expected to foster the implementation of anaerobic digestion projects in the animal husbandry sector.

Classic Hodgkin lymphoma (cHL) is a lymphoid neoplasm composed of rare neoplastic Hodgkin and Reed-Sternberg (HRS) cells surrounded by a reactive tumor microenvironment (TME) with suppressive properties against anti-tumor immunity. TME is mainly composed of T-cells (CD4 helper, CD8 cytotoxic and regulatory), and tumor-associated macrophages (TAMs) but the impact of these cells on the natural course of the disease is not absolutely understood. TME contributes to the immune evasion of neoplastic HRS cells through production of various cytokines and/or aberrant expression of immune checkpoint molecules, in ways that have not been fully understood yet. Herein, we present a comprehensive review of findings regarding the cellular components and the molecular features of the immune TME in cHL, its correlation with treatment response and prognosis as well as the potential targeting of the TME with novel therapies. Among all cells, macrophages appear to be a most appealing target for immunomodulatory therapies, based on their functional plasticity and antitumor potency.

The use of biostimulants consisting of plant growth promoting rhizobacteria (PGPR) is rapidly expanding in horticulture in recent years. In the current study, a novel mix of six Bacillus sp. strains was tested as a PGPR biostimulant in two experiments with zucchini squash (Cucurbita pepo L.) cultivated in the greenhouse soil and in an open field, respectively. In both experiments, seeds of the local landrace ‘Kompokolokytho’ and the commercial hybrid ‘ARO-800’ were either inoculated or non-inoculated with the PGPR biostimulant. The application of the six Bacillus sp. strains increased both the vegetative growth and the yield of zucchini squash, and these effects were associated with significantly higher shoot phosphorus levels in both experiments and both genotypes. Furthermore, at the end of the cultivation, the colony forming units of Bacillus sp. were appreciably higher in plants originating from inoculated compared to non-inoculated seeds, indicating that the tested mix of Bacillus sp can be successfully applied through seed inoculation. ‘ARO-800’ produced more vegetative and fruit biomass than ‘kompokolokytho’ under greenhouse cropping conditions, while in the open-field crop both genotypes performed equally, presumably because the local landrace is traditionally grown in open fields, and thus it is not well adapted to greenhouse cropping.

Atrial fibrillation has progressively become a more common reason for emergency de-partment visits, representing 0.5% of presenting reasons. Registry data have indicated that about 60% of atrial fibrillation patients who present to the emergency department are admitted, emphasizing the need for more-efficient management of atrial fibrillation in the acute phase. Management of atrial fibrillation in the setting of emergency department varies between countries and health care systems. The most plausible reason to justify a conservative rather than aggressive strategy in the management of atrial fibrillation is the absence of specific guidelines from diverse societies. Several trials of atrial fibrillation treatment strategies, including cardioversion, have demonstrated that atrial fibrillation in emergency department can be treated safely and effectively, avoiding admission. In the present study, we review the epidemiology and characteristics of atrial fibrillation pa-tients presenting to the emergency department will be reviewed, as well as the impact of diverse management strategies on atrial fibrillation-related hospital admissions. Lastly, the design and initial data of the HEROMEDICUS protocol, which constitutes an elec-trophysiology-based aggressive rhythm control strategy in patients with atrial fibrillation in the emergency department setting will be presented.

Evaluation of structural behaviour of a masonry Venetian Church with pointed vault, is presented in this paper through an analysis following the neccessary steps of a monument study. Having a detailed geometric model and the material estimation, the finite element method was used in order the influence of specific structural parts of the structure like masonry butresses and walls connections to the structural behaviour are examined. The comparison of the eigenfrequencies which are estimated by in situ measurements and finite element modal analysis is used to model identification. The response spectrum analysis, the static analysis for subsidence of some parts and the transient analysis of a specific seismic excitation are used to evaluation of the church strength. Comparison of modal analysis results with the structural pathology is helpful to this research about the structural behaviour of the church.

In recent years, drones have become increasingly prevalent in a wide range of applications, performing complex and critical tasks. To accomplish these tasks, drones cooperate by forming a Fly Ad-hoc Network (FANET) using specific routing protocols for communication. However, most of the routing protocols used in this type of network lack appropriate built-in security mechanisms, which creates numerous security challenges and concerns. To reduce the resulting security vulnerabilities and mitigate the impact of potential attacks, it is crucial to address these challenges before any deployment of FANETs. In this paper, we address two of the most harmful routing attacks - Sybil and Gray Hole and propose mitigating techniques to alleviate these attacks on FANET routing protocols. The proposed solution is secGPSR a secure version of the Greedy Perimeter Stateless Routing Protocol (GPSR). We validate the robustness of secGPSR through simulation using Omnet++ and present the results which show its effectiveness against Sybil and Gray Hole attacks.

Multibeam echo-sounders provide ideal data for semi-automated seabed feature extraction and accurate morphometric measurements. However, these methods have not been tested in morphologically highly complex environments. In this study, bathymetric and raw backscatter data were initially used to manually map the complex reef morphology found in the semi-enclosed Gera Gulf, in the northern Aegean Sea (Greece). A large number of reefs (more than 7000) were detected, making manual mapping extremely time-consuming. Benthic Terrain Modeller (BTM) was selected as a semi-automated method to map the reefs. The BTM did not function properly in this irregular relief and the results were discouraging. Trying to improve the BTM functionality, both bathymetry and slope were modified (enhanced); this time, the BTM outcome was unexpectedly improved, producing accurate results that appeared to exceed the accuracy of manual mapping. To compare the final maps with the distribution of the reefs, mapcurves were created to estimate the Goodness-of-Fit (GOF), while Precision, Recall, and F1 Score were also calculated. GOF values suggest more than 50% overlap between the resulting polygons while, Precision, Recall and F1 score resulted in values higher than 0.78 suggesting good detection accuracy for the semi-automated method. It becomes apparent that BTM provided more efficient results in comparison to the time-consuming manual mapping. This study asserts that semi-automated mapping stands as an effective method for delineating the geomorphometry of intricate relief and serves as a powerful tool for habitat mapping and decision-making.

Parametric models have been widely used in pertinent literature for reconstructing, modifying and representing a wide range of airfoil and/or hydrofoil profile geometries. Design spaces corresponding to these models can be exploited for modeling and profile-shape optimization under various performance criteria. Accuracy requirements, along with the need for modeling local features, often lead to high-dimensional design spaces that hinder the process of shape optimization and design through analysis. In this work, we propose a shape-informed dimensional reduction approach that attempts to tackle this deficiency by producing low-dimensional latent design spaces that can be efficiently used in shape representation and optimization. Furthermore, geometric moments are introduced in an attempt to cost-effectively capture analysis-relevant information that is generally expensive to produce. Specifically, geometric integral properties, although intrinsic features of the shape, are quite commonly related to performance indicators employed in performance optimization and therefore provide a cost-effective physics-informed component in the description of the design in the latent space. To this end, we employ the generalized Karhunen-Loeve expansion to produce a shape- and physics-informed subspace retaining the highest possible geometric variance and robustness, that is, lack of invalid designs. At the same time, a series of shape discretizations, encoding the foil's shape profile, are examined with regards to their effect on the resulting latent space's quality and efficiency. Our results demonstrate a significant reduction in the dimensionality of the original design space while maintaining a high representational capacity and a large percentage of valid geometries that facilitate fast convergence to optimal solutions in performance-based optimization.

Bayesian techniques for engineering problems, that rely on Gaussian process (GP) regression, are known for their ability to quantify epistemic and aleatory uncertainties and for being data efficient. The mathematical elegance of applying these methods usually comes at a high computational cost when compared to deterministic and empirical Bayesian methods. Furthermore, using these methods becomes practically infeasible in scenarios characterized by a large number of inputs and thousands of training data. The focus of this work is on enhancing Gaussian Process-based metamodeling and model calibration tasks, when the size of the training datasets is significantly large. To achieve this goal, we employ a stochastic variational inference algorithm that enables rapid statistical learning of the calibration parameters and hyperparameter tuning, while retaining the rigor of Bayesian inference. The numerical performance of the algorithm is demonstrated on multiple metamodeling and model calibration problems with thousands of training data.

A widely discussed topic in the pathophysiology of thyroid nodules is the role of obesity that leads to increased systemic inflammatory markers. Leptin plays a vital role in forming thyroid nodules and cancer through several mechanisms. Together with chronic inflammation, there is an augmentation in the secretion of tumor necrosis factor (TNF) and cytokines interleukin 6 (IL-6), contributing to cancer development, progression and metastasis. In addition, leptin exerts a modulatory action in the growth, proliferation and invasion of thyroid carcinoma cell lines via activating various signal pathways, such as Janus kinase/signal transducer and activator of transcription, mitogen-activated protein kinase (MAPK) and/or phosphoinositide 3-kinase (PI3K) /protein kinase B (Akt). Through several proposed mechanisms, aberrant endogenous estrogen levels have been suggested to play a vital role in the development of both benign and malignant nodules. Metabolic syndrome triggers the development of thyroid nodules by stimulating thyroid proliferation and angiogenesis due to hyperinsulinemia, hyperglycemia and dyslipidemia. Insulin resistance influences the distribution and structure of the thyroid blood vessels. Insulin growth factor -1 (IGF-1) and insulin affect the regulation of the expression of thyroid genes and the proliferation and differentiation of thyroid cells. TSH can promote the differentiation of pre-adipocytes to mature adipocytes, but also, in the presence of insulin, TSH possesses mitogenic properties. This review aims to summarize the underlying mechanisms explaining the role of obesity in the pathophysiology of thyroid nodules and discuss potential clinical implications.

Acute myeloid leukemia (AML) remains a challenging hematologic malignancy. The presence of TP53 mutations in AML poses a therapeutic challenge, considering that standard treatments face significant setbacks in achieving meaningful responses. There is a pressing need for the development of innovative treatment modalities to overcome resistance to conventional treatments attributable to the unique biology of TP53-mutated (TP53mut) AML. This review underscores the role of TP53 mutations in AML, examines the current landscape of treatment options, and highlights novel therapeutic approaches, including targeted therapies, combination regimens, and emerging immunotherapies as well as agents being explored in preclinical studies, for their potential to address the unique hurdles posed by TP53mut AML.

Different methodologies are being used to study the effects of autonomous vehicle (AV) in the mixed traffic indicating the interaction among autonomous and human-driven vehicles. Micro-scopic simulation tools are popular in such assessment as it offers scope to experiment in eco-nomical, robust, and optimistic way. Lack of reliable real-world data to calibrate and evaluate the connected autonomous vehicles (CAV) simulation model is a major challenge. One interesting methodology could be dealing the CAVs as conventional human driven vehicles and predict its possible characteristics based on the simulation inputs. The conventional human driven vehicles from real world, in this methodology, come to aid as benchmark to offer the measure of effective-ness (MoE) for the calibration and validation. For the three most common driving modules, a sensitivity analysis of the driving behaviors of AVs and an effect assessment of CAVs in a mixed traffic environment were done to explore the human alike autonomous technology. The findings show that, up to a point, which is directly re-lated to the quantity of interacting vehicles, the impact of CAVs is typically favorable. This study validates the approach and supports past studies by showing that CAVs perform better in traffic than AVs for traffic performance and safety aspects. On top of that, the sensitivity analysis has shown that enhancements in technology are required for obtaining the maximum advantages.

Consistent increment of road traffic in cities is remained a threat to traffic performance and causes confliction. The researcher repeatedly emphasized the connected autonomous vehicles (CAVs) as stronger solution to deal with traffic related issues. While having autonomous system in the dedicated lanes is found to be safe by many investigators because of predictable surrounding maneuvers, in contrast, the mixed lane states remain questionable. Different methodologies are being used to study the effects of autonomous vehicles (AVs) in the mixed traffic. Microscopic simulation tools are popular in such cases as it offers scope to experiment in cheap, robust, and optimistic way. One interesting methodology to deal with CAVs is considering it as conventional human driven vehicles and predict its possible characteristics based on the simulation inputs. One big challenge is, as there is no regular real-world data to calibrate and to validate the simulated model for CAVs. This is where conventional human driven vehicles from real world, come to aid as benchmark to offer the measure of effectiveness (MoE) for the calibration and validation. For the three most common driving modules, a sensitivity analysis of the driving behaviors of autonomous vehicles (AVs) and an effect assessment of CAVs in a mixed traffic environment were done to explore the human alike autonomous technology. The findings show that, up to a point, which is directly related to the quantity of interacting vehicles, the impact of CAVs is typically favorable. This study supports earlier research by demonstrating that CAVs outperform AVs in traffic. In addition, the sensitivity analysis has shown that technical and infrastructural advances are necessary to achieve the greatest benefits.

Coronavirus disease since December 2019 has significantly affected millions of people. Given the effect this disease has on the pulmonary systems of humans, there is a need for chest radiographic imaging (CXR) for monitoring the disease and preventing further deaths. Several studies have been shown that Deep Learning models can achieve promising results for COVID-19 diagnosis towards the CXR perspective. However, this research field is at an initial stage since there is a limited number of large CXR repositories regarding COVID-19. In this study, five deep learning models were analyzed and evaluated with the aim of identifying COVID-19 from chest X-Ray images. More specifically, we utilized the ResNet50, ResNet101, DenseNet121, DenseNet169 and InceptionV3 using Transfer Learning. All models were trained and validated on the largest publicly available repository for COVID-19 CXR images. Furthermore, they were evaluated on unknown data as well, that was not used for training or validation, authenticating their performance, and clarifying their usage in a medical scenario. All models achieved satisfactory performance where ResNet101 was the superior model achieving 96% in Precision, Recall, and Accuracy. Our outcomes show the potential of deep learning models on COVID-19 medical offering a promising way for the deeper understanding of COVID-19.

The concentrations and fluxes of arsenic (As) and cadmium (Cd) were examined in the hydrological cycle (bulk, throughfall deposition and percolation water), litterfall and soils in a maquis broadleaved evergreen forest stand in western Greece. It was found that the enrichment of As in the atmosphere was both due to suspended geogenic material and long range transfer, whereas for Cd the long range transfer was the predominant way for deposition in the ecosystem. Three models were assessed to find the volumes of percolation water and therefore the fluxes of As and Cd in the water that leave the ecosystem permanently. When calculating the total amounts of the heavy metals in soils, the statistical uncertainty derived from every soil layer has to be taken into account.

Towards the investigation and further understanding of the development and propagation of Medicanes, this study explores the forecasting capability of WRF model in case of cyclone “Cleopatra” which affected with extreme rainfall and strong winds Sardinia and Calabria, Italy, in November 2013. This cyclone was unusual in that it developed a warm core but did not fulfill its transformation into a tropical-like cyclone because its core did not expand high enough in the tropospnere. The ERA5 reanalysis dataset was dynamically downscaled from 31 km spatial horizontal resolution to 9 km using WRF model. The methodology consists of; firstly, an extensive physical parameterization schemes sensitivity test and consequently, a short-range ensemble forecasting implementation based on the highest statistical scored physics configuration. All simulation results were validated against surface observations and remote sensing products. Subsequently, the modeled cyclone trajectories are compared to satellite imagery derived from EUMETSAT-SEVIRI gridded data. The findings of the conducted analysis illustrate that ensemble average displays significant difference in performance compared to any of the deterministic runs individually, suggesting that ensemble forecasts will be beneficial in studies assessing cyclonic events in the Mediterranean region.

Background: Gluten neuropathy (GN) is defined as an otherwise idiopathic peripheral neuropathy in the presence of serological evidence of gluten sensitivity (positive antigliadin and/or transglutaminase or endomysium antibodies). We aimed to compare the quality of life (QoL) of GN patients with control subjects and to investigate the effect of a gluten free diet (GFD) on the QoL. Methods: All consecutive patients with GN attending a specialist neuropathy clinic were invited to participate. Overall Neuropathy Limitations Scale (ONLS) was used to assess the severity of neuropathy. The SF-36 questionnaire was used to measure participants’ QoL. A strict GFD was defined as effectively been able to eliminate all circulating gluten sensitivity-related antibodies whilst on the diet. Results: Fifty-three patients with GN and 53 age and gender matched controls were recruited. Compared to controls, GN showed significantly worse scores in physical functioning, role limitations due to physical health, energy/fatigue and general health subdomains of SF-36. After having adjusted for age, gender and disease severity, being on a strict GFD correlated with better SF-36 scores on the pain domain of the SF-36 (beta 0.317, p=0.019) and the overall health change domain of the SF-36 (beta 0.306, p=0.017). Conclusion: In GN physical dysfunctioning is the major determinant of poor QoL compared to controls. Routine checking for elimination of gluten sensitivity-related antibodies that results from a strict GFD should be encouraged as such elimination ameliorates the overall pain and health scores, indicating better QoL.

A close-range photogrammetric approach and its implementation using a CNC device and a macro camera are proposed. A tailored image acquisition approach is proposed that is implemented using this device. To increase reconstruction robustness and accuracy, the key point features detected in the acquired images are tracked across multiple views from multiple viewpoints at multiple distances. This approach reduces spurious correspondences and, as a result, the estimation accuracy of calibration parameters is increased and reconstruction errors are reduced. Qualitative and quantitative evaluation demonstrate the efficacy and accuracy of the proposed approach, which exhibits micrometre resolution and low implementation cost.

The Predicted Mean Vote (PMV) and the Predicted Percentage of Dissatisfied (PPD) indices are used to assess the indoor environment in terms of human thermal comfort-discomfort. In this study, an experimental combined objective and subjective investigation of thermal comfort perception has been performed in students between 16-18 years old, in a non-air-conditioned school building. The objective approach included instrumentation measurements and data processing according to ISO 7730, whereas, the subjective one was based on answers collection following ISO 10551. The study is mainly devoted to the verification of Fanger’s approach in a building, in free running conditions, under a mild (moderate) climate.The comparison between instrumentation data and questionnaire results presented an underestimation of the mean vote, predicting a cooler sensation than the actual one.

This study describes the development of an image-based insect trap diverging from the plug-in camera insect trap paradigm. In short, a) it does not require manual annotation of images to learn how to count targeted pests and, b) it self-disposes the captured insects, and therefore is suitable for long-term deployment. The device consists of an imaging sensor integrated with Raspberry Pi microcontroller units with embedded deep learning algorithms that count agricultural pests inside a pheromone-based funnel trap. The device also receives commands from the server which configures its operation while an embedded servomotor can automatically rotate the detached bottom of the bucket to dispose of hydrated insects as they begin to pile up. Therefore, it completely overcomes a major limitation of camera-based insect traps: the inevitable overlap and occlusion caused by the decay and layering of insects during long-term operation, thus extending the autonomous operational capability. We study cases that are underrepresented in literature such as counting in situations of congestion and significant debris using crowd counting algorithms encountered in human surveillance. Finally, we perform comparative analysis of the results from different deep-learning approaches (YOLO7/8, crowd counting, deep learning regression) and we open-source the code and a large database of Lepidopteran plant pests.

The aim of this study is to provide a detailed strategy for Safe-by-Design (SbD) 3D printed lab-on-a-chip (LOC) device manufacturing, using Fused Filament Fabrication (FFF) technology. At first, the applicability of FFF in lab-on-a-chip device development is briefly discussed. Subsequently, a methodology to categorize, identify and implement SbD measures for FFF is suggested. Furthermore, the most crucial health risks involved in FFF processes are examined, placing the focus on the examination of ultrafine particle (UFP) and Volatile Organic Compound (VOC) emission hazards. Thus, a SbD scheme for lab-on-a-chip manufacturing is provided, while also taking into account process optimization for obtaining satisfactory printed LOC quality. This work can serve as a guideline for the effective application of FFF technology for lab-on-a-chip manufacturing through the safest applicable way, towards a continuous effort to support sustainable development of lab-on-a-chip devices through cost-effective means.

In the present study Aprepitant (APT) ternary solid dispersions (SDs) were developed and evaluated for the first time. Specifically, ternary SDs of APT with Poloxamer 188 and Soluplus^® (SOL) were prepared via melt mixing and compared to binary APT/Poloxamer 188 and APT/SOL SDs. Initially, combined thermo-gravimetric and hot-stage polarized light microscopy studies indicated that all tested compounds were thermally stable up to 280 °C, while Poloxamer 188 acted as a plasticizer to SOL by significantly reducing the temperature required to fully solubilize the API during SD preparation. Differential scanning calorimetry combined with wide angle X-ray diffraction studies showed that crystalline API was dispersed in both binary and ternary SDs, while Fourier transformation-infrared spectroscopy studies revealed no molecular interactions among the components. Scanning electron microscopy combined with EDAX element analysis showed that the API was dispersed in nano-scale within the polymer matrices, while increasing APT content led to increasing API nano-crystals within the SDs. Finally, dissolution studies showed that the prepared formulations enhanced dissolution of Aprepitant and its mechanism analysis was further studied. A mathematical model was also investigated to evaluate the drug release mechanism

Background and Objectives: Proper use of oral anticoagulants is crucial in the management of non-valvular atrial fibrillation (AF) patients. Left atrial appendage closure (LAAC) may be considered for stroke prevention in patients with AF and contraindications for long-term anticoagulant treatment. We aimed to assess the anticoagulation status and LAAC indications in patients with AF from HECMOS (Hellenic Cardiorenal Morbidity Snapshot) survey. Materials and Methods: HECMOS was a nationwide snapshot survey of cardiorenal morbidity in hospitalized cardiology patients. HECMOS used an electronic platform to collect demographic and clinically relevant information from all patients hospitalized on March 3, 2022, in 55 different cardiology departments. In this substudy, we included patients with known AF without mechanical prosthetic valves and moderate to severe mitral valve stenosis. Patients with prior stroke, previous major bleeding, poor adherence to anticoagulants, and end-stage renal disease were considered candidates for LAAC. Results: Two hundred fifty-six patients (mean age 76.6±11.7, 148 males) were included in our analysis. Most of them (n=159; 62%) suffered from persistent AF. Mean CHA2DS2-VASc score was 4.28±1.7, while mean HAS-BLED score was 1.47±0.9. Three out of 3 patients with a CHA2DS2-VASc 0 or 1 (female) received improperly anticoagulants. Sixteen out of 18 patients with a CHA2DS2-VASc 1 or 2 (female) received anticoagulants. Thirty-three out of 235 patients with a CHA2DS2-VASc > 1 or 2 (for female) did not receive improperly anticoagulants. Among 221 under anticoagulant therapy, 191 (86.4%) received non-vitamin K antagonist oral anticoagulants (NOACs) and 30 (13.6%) received vitamin K antagonists. Relative indications for LAAC were present in 64 patients with NVAF (60 had only one risk factor and 2 had two concurrent risk factors). In detail, 36 had a prior stroke, 17 patients had a history of major bleeding, 15 patients reported poor or no adherence to the anticoagulant therapy and 5 had eGFR< 15 ml/min/1.73m2. Moreover, 33 had a HAS-BLED score ≥3. No LAAC treatment was recorded. Conclusions: Anticoagulation status was nearly optimal in a high thromboembolic risk population of cardiology patients, mainly treated with NOACs. One out of four AF patients should be screened for LAAC.

Aerobic vaginitis (AV) is a distinct clinical entity characterized by inflammation and abnormal vaginal microflora. Often mistaken for bacterial vaginosis, AV remains relatively unknown and underdiagnosed. AV's understanding is evolving, with some experts suggesting it may primarily be an immunological disorder, the prevalence of which ranges from 7-13% in non-pregnant women and 4.1-8.3% during pregnancy. Pregnancy can affect susceptibility to vaginal infections, leading to adverse outcomes for the woman and the newborn. This review summarizes the correlation between AV and adverse pregnancy outcomes, particularly preterm birth, the leading cause of morbidity and mortality among neonates. Improved understanding of AV's impact on pregnancy outcomes can lead to early recognition, proper management, and effective interventions. While some studies support an association between AV and preterm labor, the existing knowledge of this relationship remains limited. The evidence suggests that AV may contribute to adverse pregnancy outcomes, mainly preterm birth, but further research is needed to establish a definitive link. Further studies are needed to investigate the underlying mechanisms and clarify AV's role in premature labor. A comprehensive understanding of AV's impact on pregnancy outcomes is crucial for early recognition, appropriate management, and effective interventions.

The DNA Damage Response (DDR) network and the mitogen-activated protein kinase (MAPK) signaling pathway are crucial mechanisms for the survival of all living beings. An accumulating body of evidence suggests that there is a crosstalk between these two systems, thus favoring the appropriate functioning of multi-cellular organisms. On the other hand, aberrations within these mechanisms are thought to play a vital role in the onset and progression of several diseases, including cancer, as well as in the emergence of drug resistance. Here, we provide an overview of the current knowledge regarding alterations in the DDR machinery and the MAPK signaling pathway, as well as abnormalities in the DDR-MAPK functional crosstalk in multiple myeloma, the second most common hematologic malignancy. We also present the latest advances in the development of anti-myeloma drugs targeting crucial DDR- and MAPK-associated molecular components. These data could potentially be exploited to discover new therapeutic targets and effective biomarkers, as well as for the design of novel clinical trials. Interestingly, they might provide a new approach to increase the efficacy of anti-myeloma therapy by combining drugs targeting the DDR network and the MAPK signaling pathway.

Total hip arthroplasty (THA) is a preferred treatment for primary osteoarthritis (OA) or secondary due to developmental hip dysplasia (DDH). Gait analysis is considered a golden standard for evaluating post-arthroplasty walking patterns. This study compared post-THA spatiotemporal gait parameters (SGPs) between OA and DDH patients and explored correlations with demographic and clinical variables. Thirty patients (15 per group) were recorded during gait, and their SGPs were analyzed. Functionality was evaluated with the Oxford Hip Score (OHS). The OA patients were significantly older than DDH (pr< 0.51, all p< 0.05). The preoperative gait alterations associated with OA or DDH were improved to similar levels in both groups after THA. Post-arthroplasty SGPs and OHS correlations indicate limitations in certain activities. These find-ings must be correlated with kinetic gait analysis data to fully evaluate gait and functionality dif-ferences among patient groups.

The behavioral variant of frontotemporal dementia (bvFTD) has a devastating effect on multiple domains of daily living. The purpose of this PRISMA-compliant systematic review is to summarize the most important factors associated with functional impairment in this clinical group by critically analyzing the existing literature spanning the period from 2000 to 2023. To be included in the review, the study had to investigate any kind of correlates of functional status in bvFTD patients, using a previously validated instrument of functional assessment. Out of 40 articles assessed for eligibility, 18 met the inclusion criteria. The anatomical pattern of cerebral atrophy at baseline appeared to be the strongest predictor of the rate of functional decline over time, with the frontal-dominant anatomical subtype being associated with a faster rate of functional impairment. Additionally, executive dysfunction as well as apathy appeared to contribute significantly to functional disability in bvFTD patients. A comparative examination of bvFTD in relation to other clinical subtypes of FTD and other types of dementia in general suggests that it’s the predominant atrophy of the frontal lobes along with the subsequent unique combination of cognitive and neuropsychiatric manifestations that account for the pronounced functional limitations observed in these individuals, even from the early stages of the disease.

In photolithography process, nanometer level precise, wavefront aberration models enable the machine to be able to meet the overlay (OVL) drift and critical dimension (CD) specifications. Software control algorithms take as input these models and correct any expected wavefront imperfections before reaching the wafer. In such way a near optimal image is exposed on the wafer surface. Optimizing the parameters of these models though, involves several time costly sensor measurements which reduce the throughput performance, in terms of exposed wafers per hour, of the machine. In that case, photolithography machines come across the trade-off between throughput and quality. Therefore one of the most common Optimal Experimental Design (OED) problems in photolithography machines (and not only) is how to choose the minimum amount of sensor measurements that will provide the maximum amount of information. Additionally, each sensor measurement corresponds to a point on the wafer surface and therefore we must measure uniformly around the wafer surface as well. In order to solve this problem, we propose a Sensor Marks Selection Algorithm which exploits Genetic Algorithms. The proposed solution first selects a pool of points that qualify as candidates to be selected in order to meet the uniformity constraint. Then, the point that provides the maximum amount of information, quantified by the Fisher based criteria of G, D and A-Optimality, is selected and added to the measurement scheme. This process though is considered "greedy", and for this reason Genetic Algorithms (GA) are exploited to further improve the solution. By repeating in parallel the "greedy" part several times we get an initial population that will be the input to our GA. This meta-heuristic approach outperforms the "greedy" approach significantly. The proposed solution is applied in a real life semiconductors industry use case and achieves interesting industry and academical results as well.

ABSTRACT: Understanding the basis of osteoarthritis (OA) has seen some interesting advancements in recent years. It has been observed that cartilage degeneration is preceded by subchondral bone lesions, suggesting a key role of this mechanism within the pathogenesis and progression of OA, including the formation of ectopic bone and osteophytes. Moreover, low-grade, chronic inflammation of the synovial lining has gained a central role in the definition of OA pathophysiology, and central immunological mechanisms, innate but also adaptive, are now considered crucial in driving inflammation and tissue destruction. In addition, the role of neuroinflammation and central sensitization mechanisms has been characterized as underlying causes of pain chronicity. This has led to a renewed definition of OA, which is now intended as a complex multifactorial joint pathology caused by inflammatory and metabolic factors underlying joint damage. Since this evidence can directly affect the definition of the correct therapeutic approach to OA, an improved understanding of these pathophysiological mechanisms is fundamental. This review provides an overview of the most updated evidence on OA pathogenesis; it presents the most recent insight on the pathophysiology of OA, describing the interplay between immunological and biochemical mechanisms proposed to drive inflammation and tissue destruction, as well as central sensitization mechanisms. Moreover, although the therapeutic implications consequent to the renewed definition of OA are beyond this review scope, some suggestions for intervention have been addressed.

The Absorbing/scattering nature of aerosols affects the total radiative forcing and this absorption to total extinction ratio is quantified by single scattering albedo (SSA). Effect of SSA in the Ultraviolet (UV) irradiance is less studied and limited measurements are available. SSA retrieved at Athens, Greece during 2009-2014 from Ultraviolet Multifilter Radiometer (UVMFR) at 332 and 368 nm, were used to calculate incoming UV irradiance, alongside with ones from AERONET at visible wavelengths, from OMI satellite at 342.5 nm and from AEROCOM climatological database at 300 nm. UVA and UVB irradiances were estimated using a Radiative Transfer Model and we found that relative differences could be as high as 20%, while average relative differences varied from 2% to 8.7 % for the whole experimental period. Both UVA and UVB drop by a rate of ~12% for 0.05 aerosol absorption optical depth compared to ones estimated using SSA at visible range. Brewer irradiance measurements at 324nm were used to validate simulated irradiances and a better agreement was found when UVMFR SSAs were used with an average difference of 0.86%, while when using visible or climatological input, relative differences were estimated +4.91 and +4.15% accordingly.

The work provides insights on the effect of fire on soil processes in Mediterranean-type ecosystems of Cyprus. Soil samples from mountainous sites that were subjected to a summer wildfire and adjacent control samples were collected. Incubations were used to estimate basal respiration and isolate soil CO2 release of heterotrophic microorganisms from autotrophic root respiration and heterotrophic respiration from litter decomposition. Physicochemical properties changes, bacteria community changes using DNA extraction and 16S rRNA gene analysis, and the effects of ash and fresh litter addition were studied to reveal the microbial composition and the post-fire soil function. Laboratory incubation showed that burned soils constantly showed higher microbial respiration rates compared with control unburned areas, even six months after fire. Adding ash to unburned samples increased microbial respiration, suggesting that increased nutrient availability positively corelates with increased release of CO2 from fire-affected soil. Elevated temperatures due to the wildfire exerted significant effects on the composition of soil bacterial community. Nevertheless, the wildfire did not affect the alpha-diversity of soil bacteria. New communities of microorganisms are still able to decompose fresh plant material after fire, but at a slower rate than natural pre-fire populations.

Formidable and often seemingly insurmountable conceptual, technical, and methodological challenges hamper the measurement of oxidative stress in humans. For instance, fraught and flawed methods, such as the thiobarbituric acid reactive substances assay kits for lipid peroxidation, rate-limit progress. To advance translational redox research, we present ten comprehensive “cheat codes” for measuring oxidative stress in humans. The cheat codes include analytical approaches to assess reactive oxygen species, antioxidants, biomarkers of oxidative damage and redox regulation. They provide essential conceptual, technical, and methodological information inclusive of curated “do” and “don’t” guidelines. Given the biochemical complexity of oxidative stress, we present a research question-grounded decision tree guide for selecting the most appropriate cheat code (s) to implement in a prospective human experiment. Worked examples demonstrate the benefits of the decision tree-based cheat code selection tool. The ten cheat codes define an invaluable resource for measuring oxidative stress in humans.

Worldwide, the cesarean section rate has steadily increased from 6.7% in 1990 to 21.1% in 2018 and is expected to rise even more. World Health Organization propose the adoption of the Robson classification system as a global standard for monitoring, evaluating, and comparing delivery rates. The purpose of the current study is to use the Robson classification system to investigate how, independently of medical factors, the day of the week and time of delivery may affect the mode of birth. In the sample analysis, we included the records of 8572 women giving birth in one private health facility in Greece. Over 60% of deliveries during the study period were performed by a cesarean section and 8.5% of deliveries were performed by operative vaginal delivery. The results of this study indicate that the lowest birth rates are observed on Monday, Saturday, and Sunday. In Robson category 1 women are 73% more likely to deliver by cesarean section between 08:00 a.m. - 03:59 p.m. compared to those who give birth between 12:00 a.m. - 07:59 a.m. Also, women in group 5.1 are 16.7 times more likely to deliver by cesarean section in the morning compared to overnight deliveries. These result point out two non-clinical variables that influences the CS rate. The Robson classification system was a useful tool for the above comparisons.

The incidence of breast cancer and therefore need for breast reconstruction is expected to increase. The many reconstructive options available and the changing aspects of the field make this a complex area of plastic surgery, requiring knowledge and expertise. Two major types of breast reconstruction can be distinguished: Breast Implants and Autologous Flaps. Both present advantages and disadvantages. Autologous fat grafting is also commonly used. MRI is the modality of choice for evaluating breast reconstruction. Knowledge of the type of reconstruction is preferable to provide the maximum of pertinent information and avoid false positives. Early complications include seroma, hematoma, and infection. Late complications depend on the type of reconstruction. Implant rupture and implant capsular contracture are frequently encountered. Depending on the implant type, specific MRI signs can be depicted. In case of myocutaneous flap, fat necrosis, fibrosis and vascular compromise represent the most common complications. Late cancer recurrence is much less common. Rare reported late complications include breast implant associated large cell anaplastic lymphoma (BIA-ALCL) and, recently described and even rarer, Breast implant-associated squamous cell carcinoma (BIA-SCC). In this review article, the various types of breast reconstruction will be presented, with emphasis on pertinent imaging findings and complications.

Background and Objectives: Thyroid disease has been associated with autoimmune disorders. As systemic lupus erythematosus (SLE) is a systemic autoimmune disease with diverse manifestations spanning across all organ systems, the relationship of SLE with thyroid disorders needs investigation. In particular, the relationship of SLE with autoimmune thyroid disease has attracted the interest of the research community. The aim was to evaluate the relationship of SLE with autoimmune thyroid disease. Materials and Methods: A cohort of 45 consecutive patients, mean age 47,97 years (range 21-79 years) and 45 age and sex-matched controls were prospectively studied over a period of 12 months for the presence of thyroid disease and the prevalence of antithyroid antibodies. Results: Four patients (8.9%) were found to suffer from primary hypothyroidism, 5 (11.11%) from subclinical hypothyroidism and 1 (2.22%) from hyperthyroidism, whereas 1 (2.22%) of the controls had primary hypothyroidism and 1 (2.22%) had hyperthyroidism. Five patients (11.11%) had a thyroid hormone profile compatible with the presence of euthyroid sick syndrome. Thyroid peroxidase (TPOab) and thyroglobulin (Tgab) antibodies were detected in 20/45 and 15/45 of the SLE population and in 7/45 and 5/45 of the controls, respectively (p&lt;0.05, chi square test). Conclusions: In conclusion, the incidence of clinical thyroid disease is greater amongst SLE patients than in a control population and in a significant number of these patients antithyroid antibodies are detectable. Thus, a subset of lupus patients appears to be predisposed to the development of thyroid disease and this should be considered when evaluating patients with SLE.

This paper examines the effect of the aggregate type on concrete strength and more specifically how the petrographic characteristics of various aggregate rocks as well as their physico-mechanical properties influences the durability of C 25/30 strength class concrete. The studied aggregate rocks are derived from Veria-Naousa and Edessa ophiolitic complexes as well as granodiorite and albitite rocks from their surrounding areas in central Macedonia (Greece). Concretes are produced with constant volume proportions, workability, mixing and curing conditions using different sizes of each aggregate type. Aggregates were mixed both in dry and water saturated states in concretes. Six different types of aggregates were examined and classified in three district groups according to their physicomechanical properties, petrographic characteristics and surface texture. The classification in groups after the concrete compressive strength test verified the initial classification in the same three groups. Group I (ultramafic rocks) presents the lowest concrete strengths, depending on their high alteration degree and the low mechanical properties of ultramafic aggregates. Group II (mafic rocks and granodiorite) presents a wide range of concrete strengths, depending on different petrographic characteristics and mechanical properties. Group III (albite rocks) presents the highest concrete strengths, depending on their lowest alteration degree and their highest mechanical properties. Therefore mineralogy and microstructure of the coarse aggregates affects the final strength of the concrete specimens.

Poor social skills in autism spectrum disorder (ASD) are associated with reduced independence in daily life. Current interventions for improving the social skills of individuals with ASD fail to represent the complexity of real-life social settings and situations. Virtual reality (VR) may facilitate social skills training in social environments and situations proximal to real life, however, more research is needed for elucidating aspects such as the acceptability, usability, and user experience of VR systems in ASD. Twenty-five participants with ASD attended a neuropsychological evaluation and three sessions of VR social skills training, incorporating 5 social scenarios with three difficulty levels for each. Participants reported high acceptability, system usability, and user experience. Significant correlations were observed between performance in social scenarios, self-reports, and executive functions. Working memory and planning ability were significant predictors of functionality level in ASD and the VR system’s perceived usability respectively. Yet, performance in social scenarios was the best predictor of usability, acceptability, and functionality level in ASD. Planning ability substantially predicted performance in social scenarios, postulating an implication in social skills. Immersive VR social skills training appears effective in individuals with ASD, yet an error-less approach, which is adaptive to the individual’s needs, should be preferred.

AK is a common precancerous skin condition that requires effective detection and treatment monitoring. To improve the monitoring of AK burden in clinical settings with enhanced automation and precision, the present study evaluates the application of semantic segmentation based on the U-Net architecture (AKU-Net). AKU-Net employs transfer learning to compensate for the relatively small dataset of annotated images and integrates a recurrent process based on convLSTM to exploit contextual information and address the challenges related to low contrast and ambiguous boundaries of AK-affected skin regions. We used an annotated dataset of 569 clinical photographs from 115 patients with actinic keratosis to train and evaluate the model. From each photograph, patches of 512x512 pixels were extracted using translation lesion boxes that encompass lesions in different positions and capture different contexts of perilesional skin. In total, 16488 translation augmented crops were used for training the model, and 403 lesion center crops were used for testing. To demonstrate the improvements in AK detection, AKU-net was compared with plain U-Net and U-Net++ architectures. The experimental results highlighted the effectiveness of AKU-Net, improving both automation and precision over existing approaches, paving the way for more effective and reliable evaluation of actinic keratosis in clinical settings.

The ubiquitous peptide endothelin is currently under investigation as a modulatory factor of autonomic responses to acute emotional stress. Baseline plasma levels of endothelin alter blood pressor responses, but it remains unclear whether autonomic activity and arrhythmogenesis are affected. We recorded sympathetic and vagal indices (derived from heart rate variability analysis), rhythm disturbances, voluntary motion, and blood pressure after acute emotional stress in conscious rats with implanted telemetry devices. Two strains were compared, namely wild-type and ETB-deficient rats, the latter displaying elevated plasma endothelin. No differences in heart rate or blood pressure were evident, but sympathetic responses were blunted in ETB-deficient rats, contrasting prompt activation in wild-type rats. Vagal withdrawal was observed in both strains at the onset of stress, but vagal activity was subsequently restored in ETB-deficient rats, accompanied by low voluntary motion during recovery. Reflecting such distinct autonomic patterns, frequent premature ventricular contractions were recorded in wild-type rats, as opposed to sinus pauses in ETB-deficient rats. Thus, chronically elevated plasma endothelin levels blunt autonomic responses to acute emotional stress, resulting in vagal dominance and bradyarrhythmias. Our findings provide further insights into the pathophysiology of stress-induced tachyarrhythmias and syncope.

The increased prevalence of obesity worldwide has been implicated for the alarming rise of the incidence of gestational diabetes and preeclampsia as well, both considered as threatening conditions for both mother and fetus. We studied gene polymorphisms of the proinflammatory cytokine Interleukin 6 (IL-6) and the gene expression levels of VEGF and VEGF-receptor all known to be involved in pregnancy complications aiming to identify possible predisposing risk factors in pregnancies with obesity. G allele of IL-6 was found to correspond with an increased risk for gestational diabetes and preeclampsia occurrence. Furthermore, in obese pregnant mothers with either gestational diabetes or pre-existing type 2 diabetes and to those developed preeclampsia it was confirmed that gene expression levels of VEGF were reduced while they were increased for VEGF receptor. We conclude that the genetic profile of the obese pregnant woman shares a common background with that of a pre-existing type 2 diabetes mellitus and therefore predisposes to complications in pregnancy.

Premature ventricular complexes (PVCs) are frequently encountered in clinical practice. The association of PVCs with adverse cardiovascular outcomes in the context of structural heart disease is well established, yet the association between PVCs and cardiovascular outcomes in the absence of structural heart disease is not fully elucidated. Cardiac magnetic resonance (CMR) seems to contribute prognostically in the latter subgroup. PVC- induced myocardial dysfunction refers to the impairment of ventricular function due to the PVCs and is mainly associated with a PVC burden greater than 10%. The surface 12- lead ECG is used to localize the anatomic site of origin and multiple algorithms have been developed to differentiate right ventricular and left ventricular outflow tract (RVOT and LVOT, respectively) origin. Novel algorithms include alternative ECG configurations and lately, sophisticated artificial intelligence methods have been utilized to distinguish the origins of outflow tract arrhythmias. The decision to therapeutically address PVCs should be taken upon the presence of symptoms or the development of PVC- induced myocardial dysfunction. The therapeutic modalities include pharmacological therapy, namely I-C antiarrhythmic drugs and beta blockers, as well as catheter ablation, which demonstrates superior efficacy and safety.

Coronary artery disease (CAD) represents a modern pandemic associated with significant morbidity and mortality. The multi-faceted pathogenesis of this entity has long been investigated, highlighting the contribution of systemic factors such as hyperlipidemia and hypertension. Nevertheless, recent research has drawn light to the importance of geometrical features of coronary vasculature on the complexity and vulnerability of coronary atherosclerosis. Various parameters have been investigated so far, including vessel-length, cross-sectional area, curvature, and tortuosity, using primarily invasive angiography and recently non-invasive cardiac computed tomography angiography (CCTA). It is clear that there is correlation between geometrical parameters and both the haemodynamic alterations augmenting the atherosclerosis-prone environment and the extent of plaque burden. The purpose of this review is to discuss the currently available literature regarding this issue and propose a potential non-invasive imaging biomarker, the geometric risk score, which could be of importance to allow early detection of individuals at increased risk of developing CAD.

Surfactants are widely used in the synthesis of nanoparticles, as they have a remarkable ability to direct their growth to obtain well-defined shapes and sizes. However, their post-synthesis removal is a challenge, and the methods used often result in morphological changes that defeat the purpose of the initial controlled growth. The cleaning methods could be classified as thermal or non-thermal. In general, the structure of materials can be better preserved by non-thermal treatments. After the removal of surfactants, the highly active surfaces of nanomaterials may undergo structural reconstruction by exposure to a different environment. Thus, ex situ characterization after air exposure may not reflect the effect of the cleaning methods. In situ characterization is required to better understand the impact of various cleaning procedures. Combining X-ray photoelectron spectroscopy, in situ infrared reflection absorption spectroscopy, and environmental transmission electron microscopy measurements with CO probe experiments, we investigated different surfactant-removal methods to produce clean metallic Pt nanoparticles from surfactant-encapsulated ones. Non-thermal plasmas show the best results. It was demonstrated that both UV-ozone treatment and room temperature O2 plasma treatment lead to the formation of Pt oxides on the surface after the removal of the surfactant. These oxides are reduced to metallic Pt during in situ CO probe experiments. On the other hand, when H2 was used for plasma treatment, the Pt0 oxidation state and nanoparticle size distribution were preserved. In addition, H2 plasma treatment can reduce Pt oxides after O2-based treatments, resulting in metallic nanoparticles with clean surfaces. Thermal reduction in hydrogen leads to carbon species emerging onto nanoparticle surfaces after heating and agglomeration of Pt nanoparticles. Particularly, O2-based thermal treatments result in the formation of aggregates consisting of small nanoparticles. These findings provide a better understanding of the various options for surfactant removal from metal nanoparticles and point toward non-thermal plasmas as the best route if the integrity of the nanoparticle needs to be preserved.

Breast cancer and cardiovascular diseases (CVD) represent significant global health challenges, with CVD being the leading cause of mortality and breast cancer showing a complex pattern of incidence and mortality. We explore the intricate interplay between these two seemingly distinct medical conditions, shedding light on their shared risk factors and potential pathophysiological connections. A specific connection between hypertension (HTN), atrial fibrillation (AF), myocardial infarction (MI), and breast cancer was evaluated. HTN is explored in detail, emphasizing the role of aging, menopause, insulin resistance, and obesity as common factors linking HTN and breast cancer. Moreover, an attempt is made to identify the potential impact of antihypertensive medications and highlight the increased risk of breast cancer among those women, with a focus on potential mechanisms. A summary of key findings underscores the need for a multisystemic approach to understanding the relationship between CVD and breast cancer is also explored with a highlight for all the gaps in current research, such as the lack of clinical observational data on MI and breast cancer in humans and the need for studies specifically designed for breast cancer. This paper concludes that there should be a focus on potential clinical applications of further investigation in this field, including personalized prevention and screening strategies for women at risk. Overall, the authors attempt to provide a comprehensive overview of the intricate connections between breast cancer and cardiovascular diseases, emphasizing the importance of further research in this evolving field of cardio-oncology.

Whiteflies of Aleurocanthus spiniferus and A. woglumi (Hemiptera: Aleyrodidae) are serious pests of citrus and other important fruit crops. The problem in citrus has initiated the successful introductions of several natural enemies for biocontrol programs in Hawaii and many other countries. Here we summarized the history of infestation and biocontrol efforts of the two whiteflies in Hawaii for possible importation into Greece. Two Platygasteridae (Amitus hesperidum Silvestri, A. spiniferus (Brethes) and three Aphelinidae (Encarsia clypealis (Silvestri), E. smithi (Silvestri), E. perplexa Huang and Polaszek) were released in Hawaii for biocontrol of the citrus whiteflies during the period 1974-1999. The aphelinid, Cales noacki Howard, purposely released for Aleurothrixus flococcus (Maskell) in 1982 was also reported to attack other whiteflies including Aleurocanthus species on citrus. An additional aphelinid parasitoid, Encarsia nipponica Silvestri, native to Japan and China, was accidently introduced and found to attack both citrus whiteflies on the islands. Since the colonization of introduced parasitoids in infested fields on four Hawaiian Islands, no survey was done to evaluate their potential impact. We made two short surveys during September-November 2022 on Kauai, Hawaii, and Oahu Islands to introduce the dominant parasitoids to Greece for the biocontrol of A. spiniferus. Results showed that the infestation level was very low on Kauai, Hawaii, and Oahu Islands with mean infestation level ranged 1.4 - 3.1 on Hawaii and Oahu Islands mostly on pummelo and sweet orange, with no detection on Kauai Island. Only was E. perplexa the dominant parasitoid with parasitism rates ranged 0 -28 % on Hawaii Island and 11-65% on Oahu Island. Starter colony of the parasitoids has been colonized in Greece for evaluation and approval for release. This was the first field survey on Hawaii since the introduction and release of citrus whitefly natural enemies.

Fractional flow reserve (FFR) is well recognized as a gold standard measure for the estimation of functional coronary stenosis. Technological progressions in image processing have empowered the reconstruction of three-dimensional models of the coronary arteries via both non-invasive imaging modalities, such as Coronary Computed Tomography Angiography (CCTA), and invasive coronary angiography or intravascular imaging. The application of computational fluid dynamics (CFD) techniques to coronary 3D anatomical models allows the virtual evaluation of the hemodynamic significance of a coronary lesion with high diagnostic accuracy in comparison to the invasive FFR using pressure wires. These opportunities providing hemodynamic information based on anatomy have given rise to a new era of functional angiography and coronary imaging. However, further validations are needed to overcome several scientific and computational challenges before these methods are applied in everyday clinical practice. This review aims to present all the data on the studies and methodologies that have been presented for the virtual estimation of FFR, and the diagnostic execution of the virtual tools for the hemodynamic assessment of coronary lesions compared to the invasive FFR.

In a recent paper, we extended previous studies on solar-terrestrial relationships by investigating the origin of the March 2012 heatwave in northeast USA. In the present study we check the possible relationship of solar activity with the early March 2012 bad weather in northeast Thrace, Greece. To this end, we examined data from various remote sensing instrumentation monitoring the Sun (SDO satellite), the Interplanetary Space (ACE satellite), the Earth’s magnetosphere (Earth based measurements, NOAA-19 satellite), the top of the clouds (TERRA and AQUA satellites) and the near ground atmosphere. Our comparative data analysis suggests that: (i) the winter-like weather (rainfall, fast winds, decreased temperature) in Thrace started on 6 March 2012, on the same day as the heatwave starting in USA, (ii) during the March 2012 winter-like event in Thrace (6-15 March), the ACE satellite recorded enhanced fluxes of solar energetic particles (SEPs), while SOHO and PAMELA recorded solar protons at very high energies (> 500 MeV), (iii) Thrace experienced particularly intense cyclonic circulation, during periods of magnetic storms on 8 - 10 and 12-13 March, which occurred after the arrival at ACE of two interplanetary shock waves, on March 8 and March 11, respectively, (iv) at the beginning of the two above mentioned periods large atmospheric electric fields were recorded, with values ranging between ~-2000V/m - ~1800V/m on 8 March, (v) the winter-like 8-10 March 2012 weather occurred after the detection of the main SEP event related with a coronal mass ejection released in the interplanetary space as a result of intense solar flare activity observed by SDO on 7 March 2012, (vi) the 8-10 March weather was related with a deep drop of ~630C in the cloud top temperature measured by MODIS/TERRA, which favors strong precipitation. Finally, we analyzed data from the electric power network in Thrace (~410N) and we found, for the first time sudden voltage changes of ~3.5kV in the electric grid in Greece, during the decay phase of the March 2012 superstorm. We discuss the winter-like March 2012 event in Thrace in terms of solar cosmic ray influence on the low troposphere mediated by positive NAO. Finally, we infer that the novel finding of the geomagnetic effects on the electric power grid in Thrace may open a new window into space weather applications research.

Background: The COVID-19 pandemic has presented numerous challenges to global healthcare system and emerging evidence suggests a potential link between COVID-19 treatment, specifically steroid therapy, and the development of avascular necrosis (AVN) of the hip. This review aims to provide a comprehensive overview of recent studies and case reports investigating the relationship between COVID-19, corticosteroid therapy, and the development of AVN. Understanding the nuances of AVN in the context of COVID-19 is crucial for healthcare professionals to navigate treatment decisions and mitigate potential complications. Materials and Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used in the systematic review until September 1st, 2023. The full-texts of the remaining twenty-three (n=23) articles were independently reviewed by the authors of this review.  Conclusions: The association between steroid therapy for COVID-19 and the development of hip AVN is a noteworthy concern even though, no relationship is evident between the duration of treatment, cumulative dosage of medication, maximum daily dosage received, and the presence of AVN. Further research with larger cohorts and long-term follow-up is needed to better understand the causative relationship and optimal management strategies for hip AVN in the context of COVID-19 and steroid therapy

(1) Background: BRCA mutation and homologous recombination deficiency (HRD) are used to administrate PARP inhibitors (PARPi) maintenance therapy. It is known that PARPi efficacy is related to platinum sensitivity and that the latter can be demonstrated from the CA-125 elimination rate constant (KELIM). This study aims to investigate if KELIM can be another tool in the identification of patients that could be benefit from PARPi therapy.; (2) Methods: Retrospective analysis of patients with high-grade serous advanced ovarian cancer that underwent cytoreduction and was further tested for HRD status. The HRD status was tested either by myChoice HRD CDx assay or by RediScore assay. KELIM score was measured in both neoadjuvant and adjuvant settings with the online tool biomarker-kinetics.org.; (3) Results: Thirty-nine patients had available data for estimating both HRD status and KELIM score. When assuming KELIM as a binary index test with the value 1 as the cut-off point, the sensitivity was 0.86, 95% CI (0.64-0.97), and the specificity 0.83, 95% CI (0.59-0.96). On the other hand, when assuming KELIM as a continuous index test, the AUC was 81% and the optimal threshold, using the Youden index, was identified as 1.03 with a sensitivity of 85.7% and a specificity of 83.3%; (4) Conclusions: KELIM score seems to be a new, cheaper and faster tool to identify patients that can benefit from PARPi maintenance therapy.

Βottom-up management in catchment scale is deemed as the determinant way to avoid the conflict of the water users through the participation of stakeholders, strategy co-shaping and solutions co-creation. Water management cannot be one-dimensional but demands cross sectoral coop-eration. Usually, the difficulty lies in proper stakeholder training and their opinion inclusion, using a quantifiable manner in water management. The Laspias River watershed occupies an area of 221.8 km2, belonging to the River Basin District of Thrace and it is characterized by intense agricultural and industrial activity. Complying with the augmented water needs and pollution loads by respecting stakeholders’ opinion, this research aims to utilize a hybrid intuitionistic fuzzy multi-criteria-based methodology. It is a common difficulty to deal with supplier selection in resources management since it is a typically decision-making problem encompassing multiple (several conflicting) criteria, on which stakeholder’s opinions are usually imprecise and in a rather qualitative form. Therefore, the proposed method provides the mathematical tool to move into more comprehensive decisions with the public involvement. The weights are produced based on the stakeholder’s opinion. The alternatives’ ranking is achieved based on the fuzzified intuition-istic version of Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) and problems’ mitigation solutions’ hierarchy is achieved.

Background: Functional restoration of abdominal wall defects represent one of the fundamental challenges of reconstructive surgery. Synthetic grafts or crosslinked animal-derived biological grafts are characterized by significant adverse reactions, which are mostly observed after their implantation. The aim of this study was to evaluate the efficacy of the decellularization protocol to produce a completely acellular full-thickness abdominal wall scaffold. Methods: Full-thickness abdominal wall samples were harvested from Wistar rats and submitted to a 3 cylce decellularization process. Histological, biochemical and DNA quantification analyses were applied to evaluate the effect of the decellularization protocol. Mechanical testing and immunogenicity assessment were also performed. Results: Histological, biochemical and DNA analysis results showed the efficient decellularization abdominal wall samples after the 3rd cycle. Decellularized abdominal wall scaffolds were characterized by good biochemical and mechanical properties Conclusion: The data presented herein confirm the effective production of rat-derived full-thickness abdominal wall scaffold. Expanding this approach will allow the exploitation of the capacity of the proposed decellularization protocol in producing acellular abdominal wall scaffolds from larger animal models or human cadaveric donors. In this way, the utility of biological scaffolds with preserved in vivo remodelling properties may be one step closer to its application in clinical studies.

The paper focuses on the application of a multilevel, integrative and territorial approach to the protection of cultural heritage through planning instruments in Serbia. It points out the problems of the sectoral approach and discusses international recommendations that can be integrated into the planning methodology. The case study is the area of Djerdap National Park, which has an already established international and national importance. The research suggests that the cultural heritage in the area, with the exception of the Roman limes, is still recognized at the level of individual localities. The study emphasizes the importance of aligning all levels of governance to safeguard the whole spatial entity rather than focusing solely on its particular areas. The interna-tional and national importance of the planning area contributes to the strengthening of awareness of heritage and its institutional protection. However, the vitality of the area, which is key to its sustainable development, comes from the local level. Planning documents contribute to the inte-gration of local values and local communities into development programs and projects.

The storm 'Daniel' has caused the most severe flood phenomenon that Greece has ever experienced, with thousands of hectares of farmland submerged for days. This led to sediment deposition in the inundated areas, which significantly altered the chemical properties of the soil, as revealed by extensive soil sampling and laboratory analysis. Causal relationships between soil chemical properties and sediment deposition were extracted using the DirectLiNGAM algorithm. Results of causality analysis showed that the sediment deposition affected the CaCO3 concentration in the soil. Also, causal relationships were identified between CaCO3 and available phosphorus (P-Olsen), as well as between sediment deposit depth and available manganese. The quantified relationships between the soil variables were then used to generate data using a Multiple Linear Perceptron (MLP) regressor for various levels of deposit depth (0, 5, 10, 15, 20, 25 and 30 cm). Then linear regression equations were fitted across the different levels of deposit depth to determine the effect of deposit depth on CaCO3, P, and Mn. The results show that there is a linear slope of 0.12, -0.16, and 0.13, for CaCO3, P, and Mn with deposit depth, respectively. Statistical analysis indicates that corn growing in soils with sediment over 10 cm requires a 31.8% increase in P rate to prevent yield decline. Additional notifications regarding cropping strategies in the near future are also discussed.

During the period January 2014 – October 2018, four strong earthquakes occurred in the Ionian Sea, Greece. A rich aftershock sequence followed each event of them. More analytically, according to the manual solutions of National Observatory of Athens, the first event (K1), occurred on 26 January 2014 in Kefallinia Island with magnitude M_L = 5.8, which was followed by another in the same region (K2) on 3 February 2014 with magnitude M_L = 5.7. The third event occurred on 17 November 2015, M_L = 6.0 in Lefkas Island (L1) and the last on 25 October 2018, M_L = 6.6 in Zande Island (Z1). The first three of these earthquakes caused moderate structural damages mainly in houses and produced particular unrest to the local population. This work presents first the calculation of the source parameters of the strong events as well as for all earthquakes with magnitude M_L > 4.0, using the methodology of the Moment tensor inversion and secondary data from permanent GPS stations were analyzed to confirm the findings from seismological data and to investigate the displacement due to the earthquakes.

Glycosidic linkage analysis was conducted on the unfractionated polysaccharides in the alcohol-insoluble residues (AIRs) prepared from six red seaweeds (Gracilariopsis sp., Prionitis sp., Mastocarpus papillatus, Callophyllis sp., Mazzaella splendens, and Palmaria palmata) using GC-MS/FID analysis of partially methylated alditol acetates (PMAAs). The cell walls of P. palmata primarily contained mixed-linkage xylans and small amounts of sulfated galactans and cellulose. In contrast, the unfractionated polysaccharides of the other five species were rich in galactans displaying diverse 3,6-anhydro-galactose and galactose linkages with varied sulfation patterns. Different levels of cellulose were also observed. This glycosidic linkage method offers advantages for cellulose analysis over traditional monosaccharide analysis that is known for underrepresenting glucose in crystalline cellulose. Relative linkage compositions calculated from GC-MS and GC-FID measurements showed that anhydro sugar linkages generated more response in the latter detection method. This improved linkage workflow presents a useful tool for studying polysaccharide structural variations across red seaweed species. Furthermore, for the first time, relative linkage compositions from GC-MS and GC-FID measurements, along with normalized FID and total ion current (TIC) chromatograms without peak assignments, were analyzed using principal component analysis (PCA) as a proof-of-concept demonstration of the technique's potential to differentiate various red seaweed species.

Background: Educating college students about the importance of good sleep habits could lead to the adoption of healthier sleep routines, including sufficient sleep duration and sleep quality. The current pre-post study examines the impact of completing a sleep education program called “Sleep 101” on (1) sleep hygiene practices, (2) sleep quality, and (3) weekday and weekend sleep behaviors among college students. “Sleep 101” is an interactive online course developed to educate college students about the importance of sleep by addressing basic sleep physiology, the impact of sleep on mood, academic and physical performance, the interactions between sleep and various substances, and common sleep disorders. Methods: 338 college students were recruited from a midsized public university in the US and invited to participate in “Sleep 101”, of which 25 participants completed the baseline and post-intervention questionnaire. The Sleep Hygiene Index (SHI) was utilized to evaluate sleep hygiene practices, while standard questions were employed to assess weekday and weekend sleep behaviors and overall sleep quality. Results: Those who completed the study demonstrated a significant increase in weekday sleep duration and were less likely to engage in negative prior bedtime activities. In addition, 40% of those who completed baseline and post-intervention assessments noticed improvements in their sleep quality. Conclusion: These findings suggest that a brief online program is beneficial in improving sleep behaviors among college and could be a scalable approach to addressing current sleep issues and preventing future sleep problems in college students.

The profile of secondary metabolites occurring in apple cuticular layer is not only characteristic for particular apple cultivar, but also dynamically reflects various external factors in growing environment. In this study, the possibility to authenticate apple samples based on analysis of their cuticular layer extracts was investigated. Ultra-high-performance liquid chromatography coupled to high resolution tandem mass spectrometry (UHPLC-HRMS/MS) was employed for obtaining metabolomic fingerprints. In total, 274 authentic apple samples, four cultivars harvested within the seasons 2020 to 2022 in the Czech Republic and Poland were analysed. The generated complex data processed by univariate and multivariate statistical methods enabled to build classification models for discrimination of apple cultivars as well as their geographical origin. The models showed very good performance in differentiation of Czech and Polish samples for three of four cultivars: ‘Gala’, ‘Golden Delicious’ and ‘Idared’, moreover, the validity of the models was verified over harvest seasons. The diagnostic markers, besides metabolites of triterpene biosynthetic pathway, mainly represented wax esters. ‘Jonagold’, which is known to be susceptible to mutations, was the only cultivar for which the unambiguous classification of geographical origin was not possible.

Abstract: Background/Objectives: There are indications that the microbial composition of the maternal mucosal surfaces is associated with adverse events during pregnancy. The aim of this review is to investigate the link between vaginal microbiome alterations and gestational com-plications risk. Methods: This comprehensive literature review was performed using Medline and Scopus databases. The following search algorithm was used "Pregnancy Complications"[Mesh] AND (Vagin*) and after literature screening 44 studies were included in the final review. Results: The studies that were included investigated the association between vaginal microbial composi-tion and preterm birth, miscarriage, preeclampsia, ectopic pregnancy, gestational diabetes mellitus, chorioamnionitis and preterm premature rupture of membranes. In most of the studies, it was well established that increased microbial diversity is associated with these conditions. Also, the depletion of Lactobacillus species is linked to most of the gestational complication, while the increased relative abundance and especially L. crispatus may exerts a protective effect in favor of the pregnant woman. Several pathogenic taxa including Gardnerella, Prevotella, Sneathia, Bac-terial Vaginosis-Associated Bacteria-2, Atopobium and Megasphera seem to be correlated to higher maternal morbidity. Conclusions: Vaginal microbiome aberrations seem to have an as-sociation with pregnancy related adverse events, but more high-quality homogenous studies are necessary to reliably verify this link.