Search Results (10,347)

Modern energy systems are undergoing a profound transformation characterized by the active replacement of conventional fossil-fuel-based power plants with renewable energy sources. This transition aims to reduce the carbon emissions associated with electricity generation while enhancing the economic performance of electric power market players. However, alongside these benefits come several challenges, including reduced overall inertia within energy systems, heightened stochastic variability in grid operation regimes, and stricter demands on the rapid response capabilities and adaptability of emergency controls. This paper presents a novel methodology for selecting effective control laws for low-inertia energy systems, ensuring their dynamic stability during post-emergency operational conditions. The proposed approach integrates advanced techniques, including feature selection via decision tree algorithms, classification using Random Forest models, and result visualization through the Mean Shift clustering method applied to a two-dimensional representation derived from the t-distributed Stochastic Neighbor Embedding technique. A modified version of the IEEE39 benchmark model served as the testbed for numerical experiments, achieving a classification accuracy of 98.3%, accompanied by a control law synthesis delay of just 0.047 milliseconds. In conclusion, this work summarizes the key findings and outlines potential enhancements to refine the presented methodology further. Full article

This paper presents an automatic system for the classification of musical instruments from audio recordings. The project leverages deep learning (DL) techniques to achieve its objective, exploring three different classification approaches based on distinct input representations. The first method involves the extraction of Mel-Frequency Cepstral Coefficients (MFCCs) from the audio files, which are then fed into a two-dimensional convolutional neural network (Conv2D). The second approach makes use of mel-spectrogram images as input to a similar Conv2D architecture. The third approach employs conventional machine learning (ML) classifiers, including Logistic Regression, K-Nearest Neighbors, and Random Forest, trained on MFCC-derived feature vectors. To gain insight into the behavior of the DL model, explainability techniques were applied to the Conv2D model using mel-spectrograms, allowing for a better understanding of how the network interprets relevant features for classification. Additionally, t-distributed stochastic neighbor embedding (t-SNE) was employed on the MFCC vectors to visualize how instrument classes are organized in the feature space. One of the main challenges encountered was the class imbalance within the dataset, which was addressed by assigning class-specific weights during training. The results, in terms of classification accuracy, were very satisfactory across all approaches, with the convolutional models and Random Forest achieving around 97–98%, and Logistic Regression yielding slightly lower performance. In conclusion, the proposed methods proved effective for the selected dataset, and future work may focus on further improving class balance techniques. Full article

Surgical site infections (SSIs) remain a significant complication in spine surgery, especially in instrumented procedures with long operative times. Although guidelines recommend cefazolin as the first-line agent due to its efficacy against Staphylococcus aureus, predictable pharmacokinetics, and safety, its real-world practice is highly variable, with inappropriate and prolonged regimens reported across Europe. Vancomycin is often used as the first choice of therapy empirically and without screening, exposing patients to risks such as delayed infusion, nephrotoxicity, and the emergence of vancomycin-resistant enterococci (VRE).This review assesses the present function of vancomycin in relation to cefazolin for spinal prophylaxis and examines wider trends in the misuse of surgical antibiotic prophylaxis, which were identified through PubMed and Scopus searches. Evidence from randomized and prospective studies consistently supports cefazolin as the preferred prophylactic agent in clean spinal surgery. Observational data suggest that adjunctive or topical vancomycin may reduce infection rates in selected high-risk or revision cases, though the results are inconsistent and frequently limited by retrospective designs and heterogeneous outcome reporting. Importantly, the most rigorous randomized controlled trial found no benefit of intrawound vancomycin over the placebo. A small number of available investigations in vancomycin use with major design limitations have resulted in no significant VRE emergency. Unexpectedly, widespread use of vancomycin was followed by a notable transition toward Gram-negative and opportunistic organisms. In summary, vancomycin may only be considered in patients with documented MRSA colonization, β-lactam allergy, or selected revision procedures, but its widespread empirical use as a first-choice therapy is not supported. Full article

Spinal cord injury (SCI) often results in long-term locomotor impairments, and strategies to enhance functional recovery remain limited. While epidural electrical stimulation (EES) has shown clinical promise, our understanding of the mechanisms by which it improves function remains incomplete. Here, we use genetic tools in an animal model to perform neuromodulation and treadmill rehabilitation in a manner similar to EES, but with the benefit of the genetic tools and animal model allowing for targeted manipulation, precise quantification of the cells and circuits that were manipulated, and the gathering of extensive kinematic data. We used a viral construct that selectively transduces large diameter afferent fibers (LDAFs) with a designer receptor exclusively activated by a designer drug (hM3Dq DREADD; a chemogenetic construct) to increase the excitability of large fibers specifically, in the rat contusion SCI model. As changes in locomotion with afferent stimulation can be subtle, we carried out a detailed characterization of the kinematics of locomotor recovery over time. Adult Long-Evans rats received contusion injuries and direct intraganglionic injections containing AAV2-hSyn-hM3Dq-mCherry, a viral vector that has been shown to preferentially transduce LDAFs, or a control with tracer only (AAV2-hSyn-mCherry). These neurons then had their activity increased by application of the designer drug Clozapine-N-oxide (CNO), inducing tonic excitation during treadmill training in the recovery phase. Kinematic data were collected during treadmill locomotion across a range of speeds over nine weeks post-injury. Data were analyzed using a mixed effects model chosen from amongst several models using information criteria. That model included fixed effects for treatment (DREADDs vs. control injection), time (weeks post injury), and speed, with random intercepts for rat and time point nested within rat. Significant effects of treatment and treatment interactions were found in many parameters, with a sometimes complicated dependence on speed. Generally, DREADDs activation resulted in shorter stance duration, but less reduction in swing duration with speed, yielding lower duty factors. Interestingly, our finding of shorter stance durations with DREADDs activation mimics a past study in the hemi-section injury model, but other changes, including the variability of anterior superior iliac spine (ASIS) height, showed an opposite trend. These may reflect differences in injury severity and laterality (i.e., in the hemi-section injury the contralateral limb is expected to be largely functional). Furthermore, as with that study, withdrawal of DREADDs activation in week seven did not cause significant changes in kinematics, suggesting that activation may have dwindling effects at this later stage. This study highlights the utility of high-resolution kinematics for detecting subtle changes during recovery, and will enable the refinement of neuromechanical models that predict how locomotion changes with afferent neuromodulation, injury, and recovery, suggesting new directions for treatment of SCI. Full article

Broiler chickens are commonly reared in closed housing systems with limited exposure to sunlight, thereby relying entirely on dietary sources of vitamin D. The hydroxylated metabolite 25-hydroxycholecalciferol [25(OH)D₃] has been proposed as a more potent form than native vitamin D₃ (cholecalciferol). This study evaluated the effects of dietary supplementation with vitamin D₃ alone or in combination with 25(OH)D₃ on growth performance, bone characteristics, and cecal microbiota in Ross 308 broilers. A total of 952 one-day-old male chicks were allocated to four treatments: a negative control (no vitamin D₃), a positive control (vitamin D₃ according to Ross 308 specifications), and a positive control supplemented with 25(OH)D₃ at 1394 or 2788 IU/kg, in a randomized design with 17 replicates per treatment and 14 birds per replicate. Over a 40-day feeding trial, diets containing vitamin D₃ (positive control) or supplemented with 25(OH)D₃ significantly improved final body weight, weight gain, average daily gain, and feed conversion ratio compared with the negative control (p < 0.01), with no significant differences among the positive control and 25(OH)D₃-supplemented groups, with a clear linear dose-dependent response. Although tibia ash and bone-breaking strength were not significantly affected, linear responses indicated a slight numerical trend toward improved skeletal mineralization with increasing 25(OH)D₃. Microbiota analysis indicated that 25(OH)D₃ affected cecal microbial ecology: low-dose inclusion showed reduced species richness and evenness, whereas high-dose inclusion restored richness to levels comparable to the positive control and enriched taxa associated with fiber fermentation and bile acid metabolism while reducing Lactobacillus dominance. In conclusion, supplementation with 25(OH)D₃ in addition to vitamin D₃ enhanced growth performance and selectively shaped the cecal microbiota of broilers, with suggestive benefits for bone mineralization. These findings highlight 25(OH)D₃ as a more potent source of vitamin D than cholecalciferol alone and support its practical use in modern broiler nutrition to improve efficiency, skeletal health, and microbial balance. Full article

Steel products play an important role in daily production and life as a common production material. Currently, the quality of steel products is judged by manual experience. However, various inspection criteria employed by human operators and complex factors and mechanisms in the steelmaking process may lead to inaccuracies. To address these issues, we propose a learning-based method for steel quality prediction, which is named DRBoost,based on multiple machine learning techniques, including Decision tree, Random forest, and the LSBoost algorithm. In our method, the decision tree clearly captures the nonlinear relationships between features and serves as a solid baseline for making preliminary predictions. Random forest enhances the model’s robustness and avoids overfitting by aggregating multiple decision trees. LSBoost uses gradient descent training to assign contribution coefficients to different kinds of raw materials to obtain more accurate predictions. Five key chemical elements, including carbon, silicon, manganese, phosphorus, and sulfur, which significantly influence the major performance characteristics of steel products, are selected. Steel quality prediction is conducted by predicting the contents of these chemical elements. Multiple models are constructed to predict the contents of five key chemical elements in steel products. These models are symmetrically complementary, meeting the requirements of different production scenarios and forming a more accurate and universal method for predicting the steel product’s quality. In addition, the prediction method provides a symmetric quality control system for steel product production. Experimental evaluations are conducted based on a dataset of 2012 samples from a steel plant in Liaoning Province, China. The input variables include various raw material usages, while the outputs are the content of five key chemical elements that influence the quality of steel products. The experimental results show that the models demonstrate their advantages in different performance metrics and are applicable to practical steelmaking scenarios. Full article

Amid the global energy transition, rapidly expanding wind and solar installations challenge power grids with variability and uncertainty. We propose an adaptive framework for renewable energy accommodation assessment under high-dimensional uncertainties, integrating three innovations: (1) Response Surface Methodology (RSM) is adopted for the first time to construct a closed-form polynomial of renewable energy accommodation in terms of resource hours, load, installed capacity, and transmission limits, enabling millisecond-level evaluation; (2) LASSO-regularized RSM suppresses high-dimensional overfitting by automatically selecting key interaction terms while preserving interpretability; (3) a Bayesian kernel density extension yields full posterior distributions and confidence intervals for renewable energy accommodation in small-sample scenarios, quantifying risk. A case study on a renewable-rich grid in Northwest China validates the framework: two-factor response surface models achieve R² > 90% with < 0.5% mean absolute error across ten random historical cases; LASSO regression keeps errors below 1.5% in multidimensional space; Bayesian density intervals encompass all observed values. The framework flexibly switches between deterministic, sparse, or probabilistic modes according to data availability, offering efficient and reliable decision support for generation-transmission planning and market clearing under multidimensional uncertainty. Full article

Background: Atrial fibrillation (AF) is the most common sustained arrhythmia. AF catheter ablation (CA) is superior to antiarrhythmic drugs (AAD) therapy in maintaining sinus rhythm. However, not much is known regarding the optimal timing of the ablation. Methods: A comprehensive literature search was conducted using PubMed, Embase, and Scopus, focusing on studies published from 2013 until 2022 and including both observational studies and randomized controlled trials (RCTs) with patients undergoing ablation for symptomatic paroxysmal or persistent AF using radiofrequency, cryoablation, or both approaches, studies that reported diagnosis-to-ablation time (DAT), a follow-up period, AF recurrence, or AF burden. Studies that included a surgical ablation, a hybrid ablation approach, or an ablation for arrhythmias other than AF were excluded. Left atrial diameter and ejection fraction (EF) were assessed. Results: Ten studies were selected out of 1387 identified records. After a follow-up period of one year, the early ablation subgroup had a lower mean AF recurrence rate (29.8%) compared to that of the delayed ablation subgroup (39.5%). The median AF recurrence rate was in the radiofrequency ablation group (44.5%), in the cryoablation group (27.3%). In studies that included paroxysmal AF patients exclusively, the AF recurrence rate was directly proportional to the DAT. Conclusions: Our results suggest that DAT correlates with a recurrence rate at one year following AF CA, and that the shorter the DAT the better the outcome, particularly in paroxysmal AF population. Full article

Rice is one of the most important staple crops in China, and the rapid and accurate extraction of rice planting areas plays a crucial role in the agricultural management and food security assessment. However, the existing rice field identification methods faced the significant challenges in mountainous regions due to the severe cloud contamination, insufficient utilization of multi-dimensional features, and limited classification accuracy. This study presented a novel rice field identification method based on the Graph Convolutional Networks (GCN) that effectively integrated multi-source remote sensing data tailored for the complex mountainous terrain. A coarse-to-fine cloud removal strategy was developed by fusing the synthetic aperture radar (SAR) imagery with temporally adjacent optical remote sensing imagery, achieving high cloud removal accuracy, thereby providing reliable and clear optical data for the subsequent rice mapping. A comprehensive multi-feature library comprising spectral, texture, polarization, and terrain attributes was constructed and optimized via a stepwise selection process. Furthermore, the 19 key features were established to enhance the classification performance. The proposed method achieved an overall accuracy of 98.3% for the rice field identification in Huoshan County of the Dabie Mountains, and a 96.8% consistency compared to statistical yearbook data. The ablation experiments demonstrated that incorporating terrain features substantially improved the rice field identification accuracy under the complex topographic conditions. The comparative evaluations against support vector machine (SVM), random forest (RF), and U-Net models confirmed the superiority of the proposed method in terms of accuracy, local performance, terrain adaptability, training sample requirement, and computational cost, and demonstrated its effectiveness and applicability for the high-precision rice field distribution mapping in mountainous environments. Full article

Differentiating genuine hemiplegic gait (HG) in stroke survivors from hemiplegic-like gait voluntarily imitated by healthy adults (MHG) is essential for reliable assessment and intervention planning. Treadmill-based gait data were obtained from 79 participants—39 stroke patients (HG) and 40 healthy adults—instructed to mimic HG (MHG). Forty-eight spatiotemporal and force-related variables were extracted. Random Forest, support vector machine (SVM), and logistic regression classifiers were trained with (i) the full feature set and (ii) the 10 most important features selected via Random Forest Gini importance. Performance was assessed with 5-fold stratified cross-validation and an 80/20 hold-out test, using accuracy, F1-score, and the area under the receiver operating characteristic curve (AUC). All models achieved high discrimination (AUC > 0.93). The SVM attained perfect discrimination (AUC = 1.000, test set) with the full feature set and maintained excellent accuracy (AUC = 0.983) with only the top 10 features. Temporal asymmetries, delayed vertical ground reaction force peaks, and mediolateral spatial instability ranked highest in importance. Reduced-feature models showed negligible performance loss, highlighting their parsimony and interpretability. Supervised machine learning algorithms can accurately distinguish true hemiplegic gait from mimicked patterns using a compact subset of gait features. The findings support data-driven, time-efficient gait assessments for clinical neurorehabilitation and for validating experimental protocols that rely on gait imitation. Full article

The Bilbao parish, located on the slopes of the Tungurahua volcano (Ecuador), was heavily impacted by ashfall during eruptions between 1999 and 2016. Volcanic ash may contain toxic metals such as Pb, Cd, Hg, As, and Se, which are linked to neurological, renal, skeletal, pulmonary, and dermatological disorders. This study evaluated metal concentrations in soil (40–50 cm depth, corresponding to the rooting zone of forage grasses), forage (English ryegrass and Kikuyu grass), and raw milk to assess potential risks to livestock and human health. Sixteen georeferenced sites were selected using a simple random probabilistic sampling method considering geological variability, vegetation cover, accessibility, and cattle presence. Samples were digested and analyzed with a SpectrAA 220 atomic absorption spectrophotometer (Varian Inc., Victoria, Australia). Soils (Andisols) contained Hg (1.82 mg/kg), Cd (0.36 mg/kg), As (1.36 mg/kg), Pb (1.62 mg/kg), and Se (1.39 mg/kg); all were below the Ecuadorian limits, except for Hg and Se. Forage exceeded FAO thresholds for Pb, Cd, As, Hg, and Se. Milk contained Pb, Cd, and Hg below detection limits, while Se averaged 0.047 mg/kg, exceeding water safety guidelines. Findings suggest soils act as sources with significant bioaccumulation in forage but limited transfer to milk. Although immediate consumer risk is low, forage contamination highlights long-term hazards, emphasizing the need for monitoring, soil management, and farmer guidance. Full article

Background: Hip fractures are common in the elderly and often require ICU admission post-surgery due to high ASA scores and comorbidities. Length of hospital stay after ICU is a crucial indicator affecting patient recovery, complication rates, and healthcare costs. This study aimed to develop and validate a machine learning-based model to predict the factors associated with extended hospital stay (>7 days from surgery to discharge) in hip fracture patients requiring postoperative ICU care. The findings could help clinicians optimize ICU bed utilization and improve patient management strategies. Methods: In this retrospective single-centre cohort study conducted in a tertiary ICU in Turkey (2017–2024), 366 ICU-admitted hip fracture patients were analysed. Conventional statistical analyses were performed using SPSS 29, including Mann–Whitney U and chi-squared tests. To identify independent predictors associated with extended hospital stay, Least Absolute Shrinkage and Selection Operator (LASSO) regression was applied for variable selection, followed by multivariate binary logistic regression analysis. In addition, machine learning models (binary logistic regression, random forest (RF), extreme gradient boosting (XGBoost) and decision tree (DT)) were trained to predict the likelihood of extended hospital stay, defined as the total number of days from the date of surgery until hospital discharge, including both ICU and subsequent ward stay. Model performance was evaluated using AUROC, F1 score, accuracy, precision, recall, and Brier score. SHAP (SHapley Additive exPlanations) values were used to interpret feature contributions in the XGBoost model. Results: The XGBoost model showed the best performance, except for precision. The XGBoost model gave an AUROC of 0.80, precision of 0.67, recall of 0.92, F1 score of 0.78, accuracy of 0.71 and Brier score of 0.18. According to SHAP analysis, time from fracture to surgery, hypoalbuminaemia and ASA score were the variables that most affected the length of stay of hospitalisation. Conclusions: The developed machine learning model successfully classified hip fracture patients into short and extended hospital stay groups following postoperative intensive care. This classification model has the potential to aid in patient flow management, resource allocation, and clinical decision support. External validation will further strengthen its applicability across different settings. Full article

Vilobelimab, a first-in-class, human–mouse chimeric immunoglobulin G4 (IgG4) kappa monoclonal antibody, targets human complement component 5a (C5a) in plasma. Unlike upstream complement inhibitors, vilobelimab does not inhibit the generation of the membrane attack complex (C5b-9), necessary to mitigate certain infections. C5a is a strong anaphylatoxin and chemotactic agent that plays an essential role in both innate and adaptive immunity. Elevated levels of C5a have been associated with pathologic processes, including sepsis and inflammatory respiratory disorders such as acute respiratory distress syndrome (ARDS). Blocking C5a with vilobelimab has shown therapeutic promise. A randomized, multicenter placebo-controlled Phase III study of vilobelimab in patients with severe COVID-19 (PANAMO) found that patients treated with vilobelimab had a significantly lower risk of death by day 28 and 60. Based on this study, the United States Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for Gohibic^® (vilobelimab) injection for the treatment of COVID-19 in hospitalized adults when initiated within 48 h of receiving invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO). In January 2025, the European Commission (EC) granted marketing authorization for Gohibic^® (vilobelimab) for the treatment of adult patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-induced ARDS who are receiving systemic corticosteroids as part of standard of care and receiving IMV with or without ECMO. Herein, we review the mechanism of action of vilobelimab in selectively inhibiting C5a-induced inflammation, outlining its bench-to-bedside development from the fundamental biology of the complement system and preclinical evidence through to the clinical data demonstrating its life-saving potential in the management of COVID-19–induced ARDS. Full article

Automated quality control is critical in modern manufacturing, especially for metallic cast components, where fast and accurate surface defect detection is required. This study evaluates classical Machine Learning (ML) algorithms using extracted statistical parameters and deep learning (DL) architectures including ResNet50, Capsule Networks, and a 3D Convolutional Neural Network (CNN3D) using 3D image inputs. Using the Dataset Original, ML models with the selected parameters achieved high performance: RF reached 99.4 ± 0.2% precision and 99.4 ± 0.2% sensitivity, GB 96.0 ± 0.2% precision and 96.0 ± 0.2% sensitivity. ResNet50 trained with extracted parameters reached 98.0 ± 1.5% accuracy and 98.2 ± 1.7% F1-score. Capsule-based architectures achieved the best results, with ConvCapsuleLayer reaching 98.7 ± 0.2% accuracy and 100.0 ± 0.0% precision for the normal class, and 98.9 ± 0.2% F1-score for the affected class. CNN3D applied on 3D image inputs reached 88.61 ± 1.01% accuracy and 90.14 ± 0.95% F1-score. Using the Dataset Expanded with ML and PCA-selected features, Random Forest achieved 99.4 ± 0.2% precision and 99.4 ± 0.2% sensitivity, K-Nearest Neighbors 99.2 ± 0.0% precision and 99.2 ± 0.0% sensitivity, and SVM 99.2 ± 0.0% precision and 99.2 ± 0.0% sensitivity, demonstrating consistent high performance. All models were evaluated using repeated train-test splits to calculate averages of standard metrics (accuracy, precision, recall, F1-score), and processing times were measured, showing very low per-image execution times (as low as $3.69\times {10}^{-4}$ s/image), supporting potential real-time industrial application. These results indicate that combining statistical descriptors with ML and DL architectures provides a robust and scalable solution for automated, non-destructive surface defect detection, with high accuracy and reliability across both the original and expanded datasets. Full article

Selection decisions in plant breeding programs are complex, and breeders aim to integrate phenotypic impressions, genotypic data, and agronomic performance across multiple selection stages to develop successful varieties. This study investigates whether such decisions can be predicted in a commercial winter wheat (Triticum aestivum L.) breeding program using elastic net models trained on genome-wide distributed markers and genomic estimated breeding values. For this purpose, a dataset of several thousand lines tested between 2015 and 2019 in preliminary, advanced, and elite multi-environment yield trials was analyzed across three decision-making scenarios. The predictive models achieved a higher precision than random selection in all scenarios, with an increased performance when genomic estimated breeding values were included as predictors. Comparisons of breeder selections and model recommendations in terms of selection differentials for key agronomic traits showed a substantial overlap in breeding objectives, while both the breeder’s decisions and the model’s suggestions maintained similar levels of genetic diversity. Although the precision of the elastic net model was of moderate magnitude, divergent model recommendations often identified promising alternative lines, highlighting the potential of artificial intelligence to support decision-making in plant breeding. Full article