Search Results (125)

Reliable acupoint localization is essential for developing artificial intelligence (AI) and extended reality (XR) tools in traditional Korean medicine; however, conventional annotation of 2D images often suffers from inter- and intra-annotator variability. This study presents a low-cost dual-camera imaging system that fuses infrared (IR) and RGB views on a Raspberry Pi 5 platform, incorporating an IR ink pen in conjunction with a 780 nm emitter array to standardize point visibility. Among the tested marking materials, the IR ink showed the highest contrast and visibility under IR illumination, making it the most suitable for acupoint detection. Five feature detectors (SIFT, ORB, KAZE, AKAZE, and BRISK) were evaluated with two matchers (FLANN and BF) to construct representative homography pipelines. Comparative evaluations across multiple camera-to-surface distances revealed that KAZE + FLANN achieved the lowest mean 2D error (1.17 ± 0.70 px) and the lowest mean aspect-aware error (0.08 ± 0.05%) while remaining computationally feasible on the Raspberry Pi 5. In hand-image experiments across multiple postures, the dual-camera registration maintained a mean 2D error below ~3 px and a mean aspect-aware error below ~0.25%, confirming stable and reproducible performance. The proposed framework provides a practical foundation for generating high-quality acupoint datasets, supporting future AI-based localization, XR integration, and automated acupuncture-education systems. Full article

Tumor mutational burden (TMB) and tumor-infiltrating lymphocytes (TILs) are key biomarkers for predicting immunotherapy responses in cutaneous melanoma. The discordance between brisk TIL morphology and absent cytokine signals complicates immune profiling. We examined the interactions between TMB, TIL patterns, cytokine expression, and genomic alterations to uncover immune escape mechanisms and refine prognostic tools. A structure-based BRAF druggability analysis was performed to anchor the genomic findings in a therapeutic context. Primary cutaneous melanoma cases (N = 205) were classified as brisk (n = 65), non-brisk (n = 60), or absent TILs (n = 80) according to the American association for cancer research (AACR) guidelines. Inter-observer concordance was measured using intraclass correlation. Tumor necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ) levels were graded using immunohistochemistry. Eleven brisk TIL cases lacking TNF-α expression were analyzed using the (Illumina TruSight Oncology 500, Illumina-San Diego, CA, USA). Dabrafenib docking to the BRAF ATP site was performed with Glide SP/XP and rescored with Prime MM-GBSA. Brisk TILs lacking cytokine signals suggested post-translational silencing of TNF-α/IFN-γ. Among the 11 profiled cases, eight exhibited high TMB and copy number alterations, with enrichment of nine metastasis/immune regulation genes. Inter-observer concordance was high (absent TILs, 95%; brisk TILs, 90.7%). BRAF docking yielded a canonical type-I pose and strong ATP pocket engagement (ΔG_bind −84.93 kcal·mol⁻¹). Single biomarkers are insufficient for diagnosis. A multiparametric framework combining histology, cytokine immunohistochemistry (IHC), and genomic profiling enhances stratification and reveals immune escape pathways, with BRAF modeling providing a mechanistic anchor for the targeted therapy. Full article

This paper presents a comprehensive evaluation of keypoint detection and description algorithms for stereo vision-based odometry in dynamic environments. Five widely used methods—FAST, GFTT, ORB, BRISK, and KAZE—were analyzed in terms of detection accuracy, robustness to image distortions, computational efficiency, and suitability for embedded systems. Using the KITTI dataset, the study assessed the influence of image resolution, noise, blur, and contrast variations on keypoint performance. The matching quality between stereo image pairs and across consecutive frames was also examined, with particular attention to drift—cumulative trajectory error—during motion estimation. The results show that while FAST and ORB detect the highest number of keypoints, GFTT offers the best balance between matching quality and processing time. KAZE provides high robustness but at the cost of computational load. The findings highlight the trade-offs between speed, accuracy, and resilience to environmental changes, offering practical guidance for selecting keypoint algorithms in real-time stereo visual odometry systems. The study concludes that GFTT is the most suitable method for trajectory estimation in dynamic, real-world conditions. Full article

When was the modern ‘self’ born? This question lies at the heart of major debates by contemporary historians and philosophers. What does rabbinic thought have to do with such questions? This essay examines a pivotal debate in modern rabbinic thought concerning the nature of intentionality in prayer. The analysis centers on R. Chaim Soloveichik of Brisk’s (1853–1918) revolutionary distinction between two forms of intention in prayer. R. Chaim argued that the conscious experience of divine presence is conditional to define prayer. By tracing the precedents and critics of this idea, this essay is an exercise in the unwritten history of rabbinic subjectivity. Full article

Objectives. The objectives of this study were (i) to design in detail an exercise program for individuals with sleep-disordered breathing (SDB) that would be reproducible, and (ii) to present a system for monitoring training load (volume × intensity) within such a program. Methods. A comprehensive exercise program was developed for individuals with SDB, detailing not only the session structure (warm-up, main part—circuit training and brisk walking—and cool-down) but also the specific exercises, training volume (actual exercise time excluding rest), intensity (Borg Rating of Perceived Exertion—RPE), and training load (calculated as time × RPE, in arbitrary units). This detailed program was previously implemented in a RCT (ISRCTN16974764). A comparison was also made between the planned and performed intensity, and training load through a paired t-test. Results. A fully replicable program was presented. No significant difference was found between the planned and performed training load (p = 0.482). When analyzed by week, a significant difference was found only for overestimation in weeks 9–12 (p < 0.001). Conclusions. In general terms, it can be concluded that a detailed exercise program was described for individuals with SDB. The program is reproducible in terms of content, training volume, intensity, and load. Moreover, the RPE proved to be a valid parameter for quantifying intensity, allowing for the integration of all parts of the session, as well as various types of content. The planned and performed programs (as quantified via participants’ RPE) matched appropriately. Therefore, this program can be reproduced and applied to this type of population. Full article

Introduction: Asthma and chronic obstructive pulmonary disease (COPD) are chronic respiratory illnesses frequently accompanied by anxiety and depression. These psychological symptoms often go undetected due to their overlap with somatic complaints. According to the regulatory theory of temperament (RTT), biologically based temperament traits may influence emotional responses to chronic illness. This study examined whether RTT-defined temperament traits predict depression and anxiety severity in patients with asthma and/or COPD. Material and Methods: The study included 210 adult patients with asthma and/or COPD recruited from a university hospital and pulmonology clinics. Individuals with a prior history of mental illness were excluded. Participants completed three validated questionnaires: the Formal Characteristics of Behavior–Temperament Inventory (FCB-TI), the Beck Depression Inventory (BDI), and the State–Trait Anxiety Inventory (STAI). Additional demographic and clinical data were collected. Multiple linear regression was used to assess the predictive value of six temperament traits for depression, state anxiety, and trait anxiety. A significance threshold of α = 0.05 was used in all statistical tests. Results: Temperament structure significantly predicted all three mental health outcomes: depression (R² = 0.37), state anxiety (R² = 0.45), and trait anxiety (R² = 0.35). Briskness negatively correlated with all outcomes, while emotional reactivity showed a positive correlation. No significant associations were found for the remaining four traits. Socioeconomic and lifestyle factors were not significant predictors. Conclusions: Temperament traits, particularly briskness and emotional reactivity, significantly influence depression and anxiety severity in asthma and COPD. Temperament assessment may serve as a low-cost, telemedicine-compatible tool to identify at-risk patients and support integrated, personalized care. Full article

To address the challenges posed by significant parallax, dynamic changes in monitoring camera positions, and the need for rapid wide-field image stitching in underground coal mine tunneling faces, this paper proposes a fast image stitching method for tunneling face images based on navigation and positioning data. First, using a pixel-based calculation approach, the tunneling face scene is partitioned into the cutting section and the ground, enhancing the reliability of scene segmentation. Then, the spatial distance between the camera and the cutting plane is computed based on the tunneling machine’s navigation and positioning data, and a plane-induced homography model is employed to efficiently determine the dynamic transformation matrix of the cutting section. Finally, the Dual-Homography Warping (DHW) method is applied to achieve fast panoramic image stitching of the tunneling face. Comparative experiments with three classical stitching methods, SURF, SIFT, and BRISK, demonstrate that the proposed method reduces stitching time by 60%. Field experiments in underground environments verify that this method can generate a complete panoramic stitched image of the tunneling face, providing an unobstructed perspective beyond the machine body and cutting head to clearly observe the shovel plate and surrounding ground conditions, significantly enhancing the visibility and convenience of remote operation. Full article

Background: Congenital long QT syndrome (LQTS) is a rare cardiac disorder caused by repolarization abnormalities in the myocardium that predisposes to ventricular arrhythmias and sudden cardiac death. Potassium channel-mediated LQT1 and LQT2 are the most common types of channelopathy. Recently, LQTS has been acknowledged as an electromechanical disease. Methods: A total of 87 genotyped LQT1/LQT2 patients underwent cardiac evaluation. A comparison between LQT1 and LQT2 electrical and mechanical parameters was performed. Results: LQT2 patients had worse electrical parameters at rest: a longer QTc interval (p = 0.007), a longer T_pe in lead V2 (p = 0.028) and in lead V5 (p < 0.001), and a higher T_pe/QT ratio in lead V2 (p = 0.011) and in lead V5 (p = 0.005). T_pe and T_pe/QT remained significantly higher in the LQT2 group after brisk standing. T_pe was longer in LQT2 patients compared with LQT1 patients during peak exercise (p = 0.007) and almost all recovery periods in lead V2 during EST. The mid-cavity myocardium mean radial contraction duration (CD) was longer in LQT2 patients (p = 0.02). LQT2 patients had a longer mean radial CD in mid-septal (p = 0.015), mid-inferior (p = 0.034), and mid-posterior (p = 0.044) segments. Conclusions: Potassium channel-mediated LQTS has different effects on cardiac electromechanics with a more pronounced impact on LQT2 patients. T_pe was more prominent in the LQT2 cohort, not only at rest and brisk standing but also during EST exercise and at recovery phases. The altered mean radial CD in the mid-cavity myocardium was also specific for LQT2 patients. Full article

Background: Ageing and sedentary lifestyles affect physical and cognitive function and markers of frailty, increasing the risk of falls in older adults and affecting their quality of life. The aim of this study was to evaluate the effects of a Square Step Exercise programme on physical and cognitive function and plasma SMP30 levels for the prevention of falls in older adults. Methods: A randomised controlled trial was designed with 44 participants assigned to an experimental group (SSE group) and a control group. The SSE group performed SSE sessions twice a week for three months, with a follow-up in the fourth month. The assessments of physical function included tests such as the Four-Square Step Test, Brisk Walking and its dual-task variant, Time Up and Go and its imagined and dual-task variants, 30 s Sit-to-Stand and its dual-task and imagined variants and a 6 min walking test. Questionnaires were also used to assess the risk and fear of falling. Resting EEG activity was also recorded to assess electrocortical brain activity. SMP30 levels were measured by Western blotting. Results: The SSE group showed significant improvements compared to the control group in the Four-Square Step Test (p < 0.001), Brisk Walking (p < 0.05) and reduction in the fear of falling (p < 0.001) after the training programme, but these adaptations were not maintained one month after the programme ended (p < 0.05). No significant changes were observed in the remaining variables of physical function, cognitive function, fall risk questionnaire, EEG activity or plasma levels of SMP30 compared to the control group (p > 0.05). Conclusions: The SSE programme showed efficacy in improving balance, gait speed and reducing fear of falling in older adults but did not show improvement over the control group in other areas of physical or cognitive function or plasma SMP30 levels for fall prevention. Full article

During the production of Wuyi rock tea, withering and fermentation play a crucial role in the primary processing of the tea, greatly influencing the development of its distinct taste characteristics. In this study, Rougui (Camellia sinensis) was selected as the research object to investigate the effects of withering and fermentation on metabolites and taste characteristics in tea leaves. The findings revealed that a total of 1249 metabolites were detected in Rougui leaves at various processing stages, of which only 40 key metabolites were significantly altered. The process of withering and fermentation is crucial to increase the content of organic acids, plumerane, alkaloids, nucleotides and derivatives, amino acids and derivatives, and free fatty acids in the leaves of Rougui and to decrease the content of saccharides, phenolic acids, flavonols, flavones, and flavanols, which in turn enhances the mellowness, fresh and brisk taste, and aroma of tea and attenuates the saccharides, bitterness, and astringency. Withering and fermentation had the greatest effect on the bitterness and astringency of Rougui taste characteristics, followed by mellowness. It can be seen that withering and fermentation were extremely important for the development of Rougui’s special taste characteristics. The present study provides important support for optimizing Rougui processing and the formation of its special taste characteristics. Full article

Background: Diffuse midline glioma (DMG), H3 K27-altered, is a WHO grade 4 malignant glioma located at midline structures, including the thalamus, brainstem and spinal cord. While H3 K27-altered DMG is more common in pediatric age in which it shows a uniformly aggressive clinical behavior, its occurrence is relatively unusual among adults, and its clinico–pathological and prognostic features are not fully characterized in this age group. Methods: In this present paper, a review of the literature, including all cases of adult H3 K27-altered DMG published from January 2010 to December 2023 was performed, and the following clinical parameters were evaluated: sex, age (median and range), anatomic site, median follow-up, leptomeningeal dissemination, local recurrence and treatment. In addition, the clinico–pathological features of three additional adult cases from our retrospective series were also reported and discussed. Results: All tumors from our series exhibited a high-grade morphology with brisk mitotic activity; microvascular proliferation and necrosis were seen only in one case. The immunohistochemical loss of H3 K27me3 along with diffuse and strong immunoreactivity for H3 K27M was found in all cases, leading to the diagnosis of H3 K27-altered DMG. Conclusions: The literature review showed that adult H3 K27-altered DMG more frequently occurred in males aged between 18 and 40 years. The thalamus was the most affected site, followed by the brainstem and spinal cord, in both sex groups. Adult tumors exhibited less aggressive clinical behavior, with leptomeningeal dissemination and local recurrence reported in only 23.78% and 37.75% of cases, respectively. Full article

Aerospace mutagenesis can alter the physiological metabolism and growth of tea trees and affect tea leaf quality. In this study, the effect of aerospace mutagenesis on the metabolite content and taste characteristics of Dahongpao fresh leaves and raw tea were analyzed. The results showed that aerospace mutagenesis had little effect on the composition and total amount of metabolites in fresh leaves and raw tea, but significantly changed the content of different metabolites. Aerospace mutagenesis improved the content of lipids, lignans and coumarins, and amino acids and derivatives, which in turn enhanced the aroma and fresh and brisk taste of fresh leaves. Aerospace mutagenesis increased the content of alkaloids, tannins, flavonoids, lignans and coumarins, amino acids and derivatives, and organic acids in raw tea, and enhanced the bitterness, mellowness, and fresh and brisk taste of raw tea. This study provides a basis for the development of aerospace mutagenesis Dahongpao tea products and the establishment of processing techniques. Full article

This paper presents a novel hybrid approach to feature detection designed specifically for enhancing Feature-Based Image Registration (FBIR). Through an extensive evaluation involving state-of-the-art feature detectors such as BRISK, FAST, ORB, Harris, MinEigen, and MSER, the proposed hybrid detector demonstrates superior performance in terms of keypoint detection accuracy and computational efficiency. Three image acquisition methods (i.e., rotation, scene-to-model, and scaling transformations) are considered in the comparison. Applied across a diverse set of remote-sensing images, the proposed hybrid approach has shown marked improvements in match points and match rates, proving its effectiveness in handling varied and complex imaging conditions typical in satellite and aerial imagery. The experimental results have consistently indicated that the hybrid detector outperforms conventional methods, establishing it as a valuable tool for advanced image registration tasks. Full article

Perovskites have been largely implemented into optoelectronics as they provide several advantages such as long carrier diffusion length, high absorption coefficient, high carrier mobility, shallow defect levels and finally, high crystal quality. The brisk technological development of perovskite devices is connected to their relative simplicity, high-efficiency processing and low production cost. Significant improvement has been made in the detection performance and the photodetectors’ design, especially operating in the visible (VIS) and near-infrared (NIR) regions. This paper attempts to determine the importance of those devices in the broad group of standard VIS and NIR detectors. The paper evaluates the most important parameters of perovskite detectors, including current responsivity (R), detectivity (D*) and response time (τ), compared to the standard photodiodes (PDs) available on the commercial market. The conclusions presented in this work are based on an analysis of the reported data in the vast pieces of literature. A large discrepancy is observed in the demonstrated R and D*, which may be due to two reasons: immature device technology and erroneous D* estimates. The published performance at room temperature is even higher than that reported for typical detectors. The utmost D* for perovskite detectors is three to four orders of magnitude higher than commercially available VIS PDs. Some papers report a D* close to the physical limit defined by signal fluctuations and background radiation. However, it is likely that this performance is overestimated. Finally, the paper concludes with an attempt to determine the progress of perovskite optoelectronic devices in the future. Full article

We investigate the etiology of amyotrophic lateral sclerosis (ALS) in a 35-year-old woman presenting with progressive weakness in her left upper limb. Prior to sequencing, a comprehensive neurological work-up was performed, including neurological examination, electrophysiology, biomarker assessment, and brain and spinal cord MRI. Six months before evaluation, the patient experienced weakness and atrophy in her left hand, accompanied by brisk reflexes and Hoffman sign in the same arm. Electroneuromyography revealed lower motor neuron involvement in three body regions. Neurofilament light chains were elevated in her cerebrospinal fluid. Brain imaging showed asymmetrical T2 hyperintensity of the corticospinal tracts and T2 linear hypointensity of the precentral gyri. Trio genome sequencing identified a likely pathogenic de novo variant in the KIF1A gene (NM_001244008.2): c.574A>G, p.(Ile192Val). Pathogenic variants in KIF1A have been associated with a wide range of neurological manifestations called KIF1A-associated neurological diseases (KAND). This report describes a likely pathogenic de novo variant in KIF1A associated with ALS, expanding the phenotypic spectrum of KAND and our understanding of the pathophysiology of ALS. Full article