45 research outputs found

    Exponential Log-Periodic Antenna Design Using Improved Particle Swarm Optimization with Velocity Mutation

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    An improved particle swarm optimization (PSO) method applied to the design of a new wideband log-periodic antenna (LPA) geometry is introduced. This new PSO variant, called PSO with velocity mutation (PSOvm), induces mutation on the velocities of those particles that cannot improve their position. The proposed LPA consists of wire dipoles with lengths and distances varied according to an exponential rule, which is defined by two specific parameters called length factor and spacing factor. The LPA is optimized for operation in 790-6000MHz frequency range, in order to cover the most usual wireless services in practice, and also to provide in this range the highest possible forward gain, gain flatness below 2dB, secondary lobe level below –20dB with respect to the main lobe peak, and standing wave ratio below 2. To demonstrate its superiority in terms of performance, PSOvm is compared to well-known optimization methods. The comparison is performed by applying all the methods on several test functions and also on the LPA optimization problem defined by the above-mentioned requirements. Furthermore, the radiation characteristics of the PSOvm-based LPA give prominence to the effectiveness of the proposed exponential geometry compared to the traditional Carrel’s geometry

    Neurosteroid Dehydroepiandrosterone Interacts with Nerve Growth Factor (NGF) Receptors, Preventing Neuronal Apoptosis

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    The neurosteroid dehydroepiandrosterone (DHEA), produced by neurons and glia, affects multiple processes in the brain, including neuronal survival and neurogenesis during development and in aging. We provide evidence that DHEA interacts with pro-survival TrkA and pro-death p75NTR membrane receptors of neurotrophin nerve growth factor (NGF), acting as a neurotrophic factor: (1) the anti-apoptotic effects of DHEA were reversed by siRNA against TrkA or by a specific TrkA inhibitor; (2) [3H]-DHEA binding assays showed that it bound to membranes isolated from HEK293 cells transfected with the cDNAs of TrkA and p75NTR receptors (KD: 7.4±1.75 nM and 5.6±0.55 nM, respectively); (3) immobilized DHEA pulled down recombinant and naturally expressed TrkA and p75NTR receptors; (4) DHEA induced TrkA phosphorylation and NGF receptor-mediated signaling; Shc, Akt, and ERK1/2 kinases down-stream to TrkA receptors and TRAF6, RIP2, and RhoGDI interactors of p75NTR receptors; and (5) DHEA rescued from apoptosis TrkA receptor positive sensory neurons of dorsal root ganglia in NGF null embryos and compensated NGF in rescuing from apoptosis NGF receptor positive sympathetic neurons of embryonic superior cervical ganglia. Phylogenetic findings on the evolution of neurotrophins, their receptors, and CYP17, the enzyme responsible for DHEA biosynthesis, combined with our data support the hypothesis that DHEA served as a phylogenetically ancient neurotrophic factor

    Correction to: Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members

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    Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis. Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years

    Efficient Filter Design to Compensate Fabrication Imperfections in 6G Communication Systems

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    In this paper, we present a consistent methodology for the reliable design of 6G-oriented filters with enhanced endurance to construction imperfections. The systematic formulation does not depend on the filter’s operating frequency and employs a robust strategy for obtaining new roots and poles of the filtering function. Essentially, it requires that all the local maxima of the filtering function do not fluctuate beyond the design attenuation levels for a set of predefined roots/poles distortions. To this purpose, two novel algorithms for the derivation of the appropriate filtering functions are developed, in the prior basis, together with a versatile optimization criterion and a heuristic comparison approach that guarantee optimal outcomes. Specifically, the principal idea of the first technique is to accurately extract the roots of the new polynomial from a system of equations on condition that the maximum local peaks of the distorted (due to imperfections) initial polynomial are below a prefixed threshold, such as the unit. Conversely, the second method develops an alternative polynomial, compressed in the amplitude and frequency range, so that a similar prerequisite regarding the maximum local peaks, is satisfied. It is stressed that both methods are fully generalized and may be applied to any polynomial combination, without increasing the overall complexity. The proposed framework is successfully verified in terms of theoretical examples and the numerical simulation of realistic waveguide and mictrostrip line filters, operating at frequencies from (Formula presented.) GHz to (Formula presented.) GHz, which unveil its superiority over existing schemes and implementations.</p

    The role of surgical treatment in isolated organ recurrence of esophageal cancer—a systematic review of the literature

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    Abstract Background Despite the improvements in the early detection and treatment of non-metastatic esophageal cancer, more than half of patients undergoing a curative treatment for esophageal cancer will develop recurrence within three years. The prognosis of these patients is poor. However, a wide range in overall survival has been reported, depending on the pattern of recurrence, and no optimal treatment strategy following recurrence has yet been uniformly accepted. Aim In this article, we aimed to systematically review the literature for the role of surgical resection of metachronous distant metastasis following primary treatment of esophageal cancer. Furthermore, we discuss possible factors that could possibly predict which patients may benefit from a surgical approach. A comprehensive literature search was conducted in PubMed using combinations of keywords. Results Patients with recurrence may benefit of a multimodality treatment. Regarding the isolated recurrence of esophageal cancer in solid visceral organs, operative intervention has been proposed as a treatment that may offer a survival benefit in an individual basis. No definitive conclusions regarding the potential survival advantage offered by the surgical treatment of solitary recurrent lesions can be drawn. However, recent improvements in surgical treatment and optimization of perioperative management guarantee an acceptable operative risk, making surgical resection of solitary recurrence lesions a considerable therapeutic option. Conclusions It can be conferred from the available studies that the surgical treatment of isolated recurrence from esophageal cancer may offer a survival benefit for properly selected patients. Prospective, multicenter studies might be useful to gain a better insight into those factors that affect selection of patients to take benefit from an operative intervention

    Design of a Button Sensor Antenna for Wireless Wearable Applications

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    A narrow-band wearable button sensor antenna (BSA) operating between 2.4 and 2.5 GHz has been designed and it is described in this paper. The top button shape is made of a Rogers substrate, that is properly arranged on a felt substrate and a conductive e-textile ground surface and is fed via a coaxial probe on the bottom side of the ground surface. The BSA is assessed in free space and on the body's chest location. The design is simulated in various configurations and the results are promising for a wireless body area network (WBAN). In free space, the simulated bandwidth, peak gain, and radiation efficiency are 59.3 MHz, 0.755 dBi, and 90%, respectively. While on certain on-body chest locations, these values reach up to 75.6 MHz, 2.69 dBi, and 75%. Furthermore, a wide omnidirectional radiation pattern is obtained in free space and on the body's chest location, which provides robustness across diverse environments. The specific absorption rate (SAR) is relatively low. Therefore, the design is the right solution for the WBAN system.</p
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