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17 pages, 5431 KB  
Article
Localization Meets Uncertainty: Uncertainty-Aware Multi-Modal Localization
by Hye-Min Won, Jieun Lee and Jiyong Oh
Technologies 2025, 13(9), 386; https://doi.org/10.3390/technologies13090386 - 1 Sep 2025
Viewed by 223
Abstract
Reliable localization is critical for robot navigation in complex indoor environments. In this paper, we propose an uncertainty-aware localization method that enhances the reliability of localization outputs without modifying the prediction model itself. This study introduces a percentile-based rejection strategy that filters out [...] Read more.
Reliable localization is critical for robot navigation in complex indoor environments. In this paper, we propose an uncertainty-aware localization method that enhances the reliability of localization outputs without modifying the prediction model itself. This study introduces a percentile-based rejection strategy that filters out unreliable 3-degree-of-freedom pose predictions based on aleatoric and epistemic uncertainties the network estimates. We apply this approach to a multi-modal end-to-end localization that fuses RGB images and 2D LiDAR data, and we evaluate it across three real-world datasets collected using a commercialized serving robot. Experimental results show that applying stricter uncertainty thresholds consistently improves pose accuracy. Specifically, the mean position error, calculated as the average Euclidean distance between the predicted and ground-truth (x, y) coordinates, is reduced by 41.0%, 56.7%, and 69.4%, and the mean orientation error, representing the average angular deviation between the predicted and ground-truth yaw angles, is reduced by 55.6%, 65.7%, and 73.3%, when percentile thresholds of 90%, 80%, and 70% are applied, respectively. Furthermore, the rejection strategy effectively removes extreme outliers, resulting in better alignment with ground truth trajectories. To the best of our knowledge, this is the first study to quantitatively demonstrate the benefits of percentile-based uncertainty rejection in multi-modal and end-to-end localization tasks. Our approach provides a practical means to enhance the reliability and accuracy of localization systems in real-world deployments. Full article
(This article belongs to the Special Issue AI Robotics Technologies and Their Applications)
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12 pages, 2525 KB  
Article
A 55 V, 6.6 nV/√Hz Chopper Operational Amplifier with Dual Auto-Zero and Common-Mode Voltage Tracking
by Zhifeng Chen, Yuyan Zhang, Yaguang Yang and Chengying Chen
Eng 2025, 6(8), 192; https://doi.org/10.3390/eng6080192 - 6 Aug 2025
Viewed by 402
Abstract
For high-voltage signal detection applications, an auto-zero and chopper operational amplifier (OPA) is proposed in this paper. With the auto-zero and chopper technique, the OPA adopts an eight-channel Ping-Pong mechanism to reduce the high-frequency ripple and glitch generated by chopper modulation. The main [...] Read more.
For high-voltage signal detection applications, an auto-zero and chopper operational amplifier (OPA) is proposed in this paper. With the auto-zero and chopper technique, the OPA adopts an eight-channel Ping-Pong mechanism to reduce the high-frequency ripple and glitch generated by chopper modulation. The main transconductor effectively suppresses low-frequency noise and offset by combining input coarse and output fine auto-zero. A common-mode voltage tracking circuit is presented to ensure constant gate-source and gate-substrate voltages of the chopper, which reduces the charge injection caused by threshold voltage drift of their transistors and improves output signal resolution. The OPA is implemented using CMOS 180 nm BCD process. The post-simulation results show that the unit gain bandwidth (UGB) is 2.5 MHz and common-mode rejection ratio (CMRR) is 137 dB when the power supply voltage is 5–55 V. The noise power spectral density (PSD) is 6.6 nV/√Hz, and the offset is about 47 µV. The overall circuit consumes current of 960 µA. Full article
(This article belongs to the Topic Advanced Integrated Circuit Design and Application)
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24 pages, 9379 KB  
Article
Performance Evaluation of YOLOv11 and YOLOv12 Deep Learning Architectures for Automated Detection and Classification of Immature Macauba (Acrocomia aculeata) Fruits
by David Ribeiro, Dennis Tavares, Eduardo Tiradentes, Fabio Santos and Demostenes Rodriguez
Agriculture 2025, 15(15), 1571; https://doi.org/10.3390/agriculture15151571 - 22 Jul 2025
Viewed by 1105
Abstract
The automated detection and classification of immature macauba (Acrocomia aculeata) fruits is critical for improving post-harvest processing and quality control. In this study, we present a comparative evaluation of two state-of-the-art YOLO architectures, YOLOv11x and YOLOv12x, trained on the newly constructed [...] Read more.
The automated detection and classification of immature macauba (Acrocomia aculeata) fruits is critical for improving post-harvest processing and quality control. In this study, we present a comparative evaluation of two state-of-the-art YOLO architectures, YOLOv11x and YOLOv12x, trained on the newly constructed VIC01 dataset comprising 1600 annotated images captured under both background-free and natural background conditions. Both models were implemented in PyTorch and trained until the convergence of box regression, classification, and distribution-focal losses. Under an IoU (intersection over union) threshold of 0.50, YOLOv11x and YOLOv12x achieved an identical mean average precision (mAP50) of 0.995 with perfect precision and recall or TPR (true positive rate). Averaged over IoU thresholds from 0.50 to 0.95, YOLOv11x demonstrated superior spatial localization performance (mAP50–95 = 0.973), while YOLOv12x exhibited robust performance in complex background scenarios, achieving a competitive mAP50–95. Inference throughput averaged 3.9 ms per image for YOLOv11x and 6.7 ms for YOLOv12x, highlighting a trade-off between speed and architectural complexity. Fused model representations revealed optimized layer fusion and reduced computational overhead (GFLOPs), facilitating efficient deployment. Confusion-matrix analyses confirmed YOLOv11x’s ability to reject background clutter more effectively than YOLOv12x, whereas precision–recall and F1-score curves indicated both models maintain near-perfect detection balance across thresholds. The public release of the VIC01 dataset and trained weights ensures reproducibility and supports future research. Our results underscore the importance of selecting architectures based on application-specific requirements, balancing detection accuracy, background discrimination, and computational constraints. Future work will extend this framework to additional maturation stages, sensor fusion modalities, and lightweight edge-deployment variants. By facilitating precise immature fruit identification, this work contributes to sustainable production and value addition in macauba processing. Full article
(This article belongs to the Section Agricultural Technology)
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22 pages, 2530 KB  
Article
Effects of Gryllus bimaculatus Powder on Physicochemical Properties and Consumer Acceptability of 3D-Printed Gluten-Free Chocolate Cookies Using Survival Analysis
by Woonseo Baik, Dongju Lee and Youngseung Lee
Foods 2025, 14(13), 2291; https://doi.org/10.3390/foods14132291 - 27 Jun 2025
Viewed by 516
Abstract
To mitigate consumer aversion toward edible insects, it is essential to determine the optimal level of insect powder by considering consumer acceptability. In this study, gluten-free (GF) chocolate cookies were manufactured using 3D printing with varying concentrations (0, 3, 6, 9, 12, and [...] Read more.
To mitigate consumer aversion toward edible insects, it is essential to determine the optimal level of insect powder by considering consumer acceptability. In this study, gluten-free (GF) chocolate cookies were manufactured using 3D printing with varying concentrations (0, 3, 6, 9, 12, and 15%) of Gryllus bimaculatus (GB) powder. Physicochemical properties, sensory perception using rate-all-that-apply questions, and consumer acceptability using survival analysis were evaluated. The effects of GB powder concentration on the proximate composition, pH, color attributes, physical properties, 3D printing performance, and post-processing of the cookies were analyzed and discussed. As the concentration of GB powder increased, crude protein, ash, crude fat, a*, and mechanical force increased, while L*, b*, and the pH of both the dough and cookies decreased. Consumer tests showed a negative correlation between GB concentration and consumer acceptability, with cookies containing 3% GB receiving the highest overall liking scores. Principal component analysis and partial least squares regression showed that lower GB levels enhanced positive sensory attributes such as sweetness, chocolate flavor, and moistness, whereas higher levels intensified bitter taste and astringency, contributing to reduced acceptability. According to survival analysis, the GB concentration at which 50% of consumers were predicted to reject the product was estimated at 5.23%, indicating the necessity to limit GB incorporation below this threshold to ensure consumer acceptance. This study provides a comprehensive understanding of the quality characteristics and consumer acceptability of insect-based GF cookies, offering valuable insights for future product development and market applications. Full article
(This article belongs to the Special Issue Innovative Applications of Edible Insects in Food Systems)
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13 pages, 553 KB  
Article
Evaluating the Diagnostic Utility of dd-cfDNA in Renal Allograft Surveillance: A Single-Center Perspective
by Aja Aravamudhan, Kira Krug, Michelle Stoffel and Penn Muluhngwi
Genes 2025, 16(7), 724; https://doi.org/10.3390/genes16070724 - 21 Jun 2025
Viewed by 611
Abstract
Background: Donor-derived cell-free DNA (dd-cfDNA) testing offers a non-invasive approach for monitoring allograft health in transplant recipients. However, its diagnostic performance and clinical utility remain insufficiently characterized across diverse populations. Objectives: This study assesses concordance between dd-cfDNA, donor-specific antibody (DSA) testing, and biopsy, [...] Read more.
Background: Donor-derived cell-free DNA (dd-cfDNA) testing offers a non-invasive approach for monitoring allograft health in transplant recipients. However, its diagnostic performance and clinical utility remain insufficiently characterized across diverse populations. Objectives: This study assesses concordance between dd-cfDNA, donor-specific antibody (DSA) testing, and biopsy, while also comparing two commercial assays (AlloSure and Prospera) in kidney and pancreas transplant recipients. Methods: We retrospectively analyzed 271 transplant patient records from 2019 to 2024 at our institution, focusing on dd-cfDNA testing. Statistical analyses evaluated assay performance in relation to DSA and biopsy results. The impact of multi-organ transplantation (MOT) on dd-cfDNA levels was also assessed. Results: In our predominantly Caucasian cohort (61.5%) with a mean age of 53 years, increased levels of dd-cfDNA were significantly associated with DSA positivity, particularly within the Prospera group (p = 0.002), and were particularly higher in patients with HLA class II DSA. Both assays showed a limited correlation with biopsy-confirmed rejection. AlloSure had high specificity (80%) but low sensitivity (19%), whereas Prospera showed higher sensitivity (75%) with moderate specificity (60%). Dd-cfDNA levels were elevated in MOT recipients in a vendor-dependent manner. Conclusions: Our findings highlight the differing clinical strengths of dd-cfDNA assays: AlloSure demonstrates greater preference for ruling out rejection, whereas Prospera appears better suited for early detection. Dd-cfDNA interpretation in MOT recipients warrants cautious consideration. Overall, tailoring assay selection and optimizing diagnostic thresholds to clinical context may enhance transplant surveillance and patient management strategies. Full article
(This article belongs to the Special Issue Molecular Assays for Mutation and Infectious Agent Detection)
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14 pages, 701 KB  
Article
Mental Health Treatment in Adults with Congenital Heart Disease in Germany: An Online, Cross-Sectional Study of Status, Needs, and Treatment Reasons
by Anna-Lena Ehmann, Emily Schütte, Janina Semmler, Felix Berger, Ulrike M. M. Bauer, Katharina Schmitt, Constanze Pfitzer and Paul C. Helm
J. Cardiovasc. Dev. Dis. 2025, 12(6), 231; https://doi.org/10.3390/jcdd12060231 - 18 Jun 2025
Viewed by 586
Abstract
Improved medical treatments have extended survival and life expectancy in adults with congenital heart defects (ACHD), placing greater emphasis on psychosocial health. Up to one-third of ACHD experience anxiety or depression, and half develop a mental illness during their lifetime. While there is [...] Read more.
Improved medical treatments have extended survival and life expectancy in adults with congenital heart defects (ACHD), placing greater emphasis on psychosocial health. Up to one-third of ACHD experience anxiety or depression, and half develop a mental illness during their lifetime. While there is solid evidence on the prevalence of mental health, many do not receive psychological, psychotherapeutic, or psychiatric treatment (PST) and the psychological care situation remains understudied. In a nationwide, online cross-sectional survey conducted in Q1 2024, 1486 ACHD aged 18 to 85 (Mage = 36.84 years; 60.8% female) registered in the German National Register for Congenital Heart Defects (NRCHD) completed self-report questionnaires on sociodemographics, illness identity (Illness Identity Questionnaire), mental well-being, and utilisation of PST. CHD diagnoses were determined in conformity with the International Pediatric and Congenital Cardiac Code (IPCCC) and CHD was classified according to Warnes et al. (simple/moderate/complex). Analyses included chi-square tests, t-tests, and binary logistic regression. Overall, 32.8% of participants reported current and/or previous PST (women 37.5%, men 25.3%). PST utilisation was significantly higher in those with complex (40.2%) compared to moderate (29.6%) and simple CHD (25.3%) (ps < 0.01). Primary treatment reasons were mental illness (41.7%) and CHD-related concerns (37.2%). Nearly half of treatments were self-initiated (45.8%) and about one-third were physician-recommended (30.8%). Logistic regression revealed CHD severity as a significant predictor of PST use (ps < 0.05), with lower odds for simple (OR = 0.48) and moderate (OR = 0.66) compared to complex CHD when controlling for sex (p < 0.001, OR = 1.87), age (p = 0.022, OR = 1.011), education level (ps between 0.060 and 0.780), and net income (ps < 0.05). Those receiving PST showed significantly higher maladaptive illness-identity scores (engulfment, rejection) and lower acceptance. Approximately one in three ACHD requires mental health support, particularly those with complex CHD. The CHD itself acts as a key stressor and treatment motivator. Findings underscore the need for integrated care linking cardiological and psychosocial services. Routine screening for psychological distress and low-threshold access to PST—also for patients with simple and moderate CHD—are essential to identify and address mental health needs early. Full article
(This article belongs to the Section Pediatric Cardiology and Congenital Heart Disease)
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21 pages, 2438 KB  
Article
Robust Load Frequency Control in Cyber-Vulnerable Smart Grids with Renewable Integration
by Rambaboo Singh, Ramesh Kumar, Utkarsh Raj and Ravi Shankar
Energies 2025, 18(11), 2899; https://doi.org/10.3390/en18112899 - 31 May 2025
Viewed by 592
Abstract
Frequency regulation (FR) constitutes a fundamental aspect of power system stability, particularly in the context of the growing integration of intermittent renewable energy sources (RES) and electric vehicles (EVs). The load frequency control (LFC) mechanism, essential for achieving FR, is increasingly reliant on [...] Read more.
Frequency regulation (FR) constitutes a fundamental aspect of power system stability, particularly in the context of the growing integration of intermittent renewable energy sources (RES) and electric vehicles (EVs). The load frequency control (LFC) mechanism, essential for achieving FR, is increasingly reliant on communication infrastructures that are inherently vulnerable to cyber threats. Cyberattacks targeting these communication links can severely compromise coordination among smart grid components, resulting in erroneous control actions that jeopardize the security and stability of the power system. In light of these concerns, this study proposes a cyber-physical LFC framework incorporating a fuzzy linear active disturbance rejection controller (F-LADRC), wherein the controller parameters are systematically optimized using the quasi-opposition-based reptile search algorithm (QORSA). Furthermore, the proposed approach integrates a comprehensive cyberattack detection and prevention scheme, employing Haar wavelet transforms for anomaly detection and long short-term memory (LSTM) networks for predictive mitigation. The effectiveness of the proposed methodology is validated through simulations conducted on a restructured power system integrating RES and EVs, as well as a modified IEEE 39-bus test system. The simulation outcomes substantiate the capability of the proposed framework to deliver robust and resilient frequency regulation, maintaining system frequency and tie-line power fluctuations within nominal operational thresholds, even under adverse cyberattack scenarios. Full article
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15 pages, 1487 KB  
Article
The Effect of Early Spironolactone Administration on 2-Year Acute Graft Rejection in Cardiac Transplant Patients
by Dragos-Florin Baba, Alina Danilesco, Horatiu Suciu, Calin Avram, Marius Mihai Harpa, Mircea Stoian, Diana-Andreea Moldovan, Laurentiu Huma, Gabriel Rusu, Tunde Pal, Adina Stoian and Anca-Ileana Sin
Biomedicines 2025, 13(5), 1164; https://doi.org/10.3390/biomedicines13051164 - 10 May 2025
Viewed by 650
Abstract
Background: The objective of our study was to investigate the impact of mineralocorticoid receptor antagonists (MRAs), such as spironolactone, administrated early after cardiac transplantation on the occurrence of acute graft rejection (AGR) in the first 2 years post-transplant. Methods: This retrospective research was [...] Read more.
Background: The objective of our study was to investigate the impact of mineralocorticoid receptor antagonists (MRAs), such as spironolactone, administrated early after cardiac transplantation on the occurrence of acute graft rejection (AGR) in the first 2 years post-transplant. Methods: This retrospective research was conducted in the Emergency Institute for Cardiovascular Diseases and Transplantation of Targu Mures, Romania. After applying the inclusion criteria, between January 2011 and December 2023, 36 patients fit the study design. Using Cox proportional hazards regression and Kaplan–Meier curves, we determined the time-to-event distribution, for which the first episode of AGR was considered an event, with a significance threshold of 0.05. Results: The 1-year rate of AGR was 38.9% and was 47.2% at 2 years, with a 2-year mortality of 11.1%. The interpretation of the Cox regression indicated that early initiation of spironolactone represents a protective factor against the 2-year AGR (HR: 0.263; 95%CI: 0.076–0.922; p = 0.037 by the log-rank test). Conclusions: These results might suggest a possible benefit of the early administration of spironolactone after a heart transplant, but further prospective studies need to be performed for the validation of our findings. Full article
(This article belongs to the Special Issue Heart Failure: New Diagnostic and Therapeutic Approaches)
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20 pages, 580 KB  
Article
Analysis of BMAP/PH/N-Type Queueing System with Flexible Retrials Admission Control
by Sergei A. Dudin, Olga S. Dudina, Azam A. Imomov and Dmitry Y. Kopats
Mathematics 2025, 13(9), 1434; https://doi.org/10.3390/math13091434 - 27 Apr 2025
Viewed by 354
Abstract
This research examines a multi-server retrial queueing system with a batch Markov arrival process and a phase-type service time distribution. The system’s distinguishing feature is its ability to control the admission of retrial customers. An attempt by a customer to retry is successful [...] Read more.
This research examines a multi-server retrial queueing system with a batch Markov arrival process and a phase-type service time distribution. The system’s distinguishing feature is its ability to control the admission of retrial customers. An attempt by a customer to retry is successful only if the number of busy servers does not exceed certain threshold values, which may depend on the state of the fundamental process of the primary customer’s arrival. Impatient retrying customers may abandon the system without obtaining service. A group of primary customers that arrives while the number of available servers is fewer than the group size is either entirely rejected or occupies all available servers, while the remainder of the group transitions to the orbit. The system’s behavior, under a defined set of thresholds, is characterized by a multidimensional Markov chain classified as asymptotically quasi-Toeplitz. This enables the acquisition of the ergodicity condition and the computation of the steady-state distribution of the Markov chain and the system’s performance measures. The presented numerical examples demonstrate the impact of threshold value variation. An example of solving an optimization problem is presented. The importance of the account of the batch arrivals is shown. Full article
(This article belongs to the Special Issue Advances in Queueing Theory and Applications)
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18 pages, 5462 KB  
Article
A Composite Linear Active Disturbance Rejection Control-Sliding Mode Control Strategy with Nominal Model Compensation for Precision Motion Tracking in Semiconductor Die Attach Machines
by Huairong Chen, Yonghong Zhang, Wen Li, Xiang Zhang and Weiming Liang
Symmetry 2025, 17(5), 636; https://doi.org/10.3390/sym17050636 - 23 Apr 2025
Viewed by 429
Abstract
In this paper, the concept of symmetry is utilized to design the composite controller for the die attach machine’s motion platform—that is, the construction and the solution of the nominal model-based composite controller design approach are symmetrical. With escalating demands for ultra-high-speed operations [...] Read more.
In this paper, the concept of symmetry is utilized to design the composite controller for the die attach machine’s motion platform—that is, the construction and the solution of the nominal model-based composite controller design approach are symmetrical. With escalating demands for ultra-high-speed operations and microscale positioning accuracy (<5 μm) in semiconductor manufacturing, motion platforms face critical challenges, including high-speed instability, positioning jitter, and insufficient disturbance rejection. To address these limitations, a composite control strategy integrating nominal model-based linear active disturbance rejection control (NMLADRC) with sliding mode control (SMC) is developed. The synergistic interaction ensures the concurrent realization of robust tracking accuracy and rapid transient convergence. Simulation results demonstrate significant improvements over conventional PI control, LADRC, and NMLADRC. The phase lag is reduced by 50.04%, 36.34%, and 23.07%, respectively, while positioning time within ±5 μm accuracy threshold is shortened by 44.00%, 56.31%, and 31.51% when tracking the executed motion profile. The composite controller substantially enhances motion control precision, strengthens disturbance rejection capability, and improves system stability during high-speed operations. These advancements highlight the method’s strong practical applicability in precision motion control systems requiring both rapid response and microscale positioning accuracy. Full article
(This article belongs to the Section Engineering and Materials)
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18 pages, 4068 KB  
Article
Absolute Capacitance Measurement by Direct Digital Fitting of Proportional Coefficient
by Xuanze Wang, Qian Shi, Da Liu, Boya Xie, Siyuan Chen, Junzhe Luo and Peipei Lu
Appl. Sci. 2025, 15(8), 4589; https://doi.org/10.3390/app15084589 - 21 Apr 2025
Viewed by 600
Abstract
In the realm of capacitance measurement, traditional methods that gauge capacitance through timing charge and discharge intervals frequently suffer from inaccuracies, particularly due to noise affecting voltage threshold detection. These techniques are also inefficient for high-capacitance components, as their lengthy charge–discharge cycles limit [...] Read more.
In the realm of capacitance measurement, traditional methods that gauge capacitance through timing charge and discharge intervals frequently suffer from inaccuracies, particularly due to noise affecting voltage threshold detection. These techniques are also inefficient for high-capacitance components, as their lengthy charge–discharge cycles limit the measurable range within a given period. To this end, a method for directly sampling and analyzing the input and output signals of an RC first-order system under square wave excitation is proposed for a wide range of capacitance measurements. By establishing a proportional relationship between the differentiated output signal and the difference between input and output signals, one can deduce the capacitance. To counteract noise-induced errors during differentiation, data smoothing is applied, enhancing accuracy. This technique achieves a relative standard deviation of less than 0.9% for capacitances from 60 pF to 60,000 pF, using a 100 kΩ reference resistor and continuous square waves. For capacitances above 800 pF, precision further improves to less than 0.2%. The approach leverages least squares fitting and outlier rejection to manage noise effectively. It remains independent of the capacitor’s initial state, ensuring broad-range accuracy and faster measurement times. Full article
(This article belongs to the Section Electrical, Electronics and Communications Engineering)
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16 pages, 1716 KB  
Review
Immunological Avalanches in Renal Immune Diseases
by Davide Viggiano, Pietro Iulianiello, Antonio Mancini, Candida Iacuzzo, Luca Apicella, Renata Angela Di Pietro, Sarah Hamzeh, Giovanna Cacciola, Eugenio Lippiello, Andrea Gigliotti, Carmine Secondulfo, Giancarlo Bilancio and Giuseppe Gigliotti
Biomedicines 2025, 13(4), 1003; https://doi.org/10.3390/biomedicines13041003 - 21 Apr 2025
Viewed by 735
Abstract
The complex nature of immune system behavior in both autoimmune diseases and transplant rejection can be understood through the lens of avalanche dynamics in critical-point systems. This paper introduces the concept of the “immunological avalanche” as a framework for understanding unpredictable patterns of [...] Read more.
The complex nature of immune system behavior in both autoimmune diseases and transplant rejection can be understood through the lens of avalanche dynamics in critical-point systems. This paper introduces the concept of the “immunological avalanche” as a framework for understanding unpredictable patterns of immune activity in both contexts. Just as avalanches represent sudden releases of accumulated potential energy, immune responses exhibit periods of apparent stability followed by explosive flares triggered by seemingly minor stimuli. The model presented here draws parallels between immune system behavior and other complex systems such as earthquakes, forest fires, and neuronal activity, where localized events can propagate into large-scale disruptions. In autoimmune conditions like systemic lupus erythematosus (SLE), which affects multiple organ systems including the kidneys in approximately 50% of patients, these dynamics manifest as alternating periods of remission and flares. Similarly, in transplant recipients, the immune system exhibits metastable behavior under constant allograft stimulation. This critical-point dynamics framework is characterized by threshold-dependent activation, positive feedback loops, and dynamic non-linearity. In autoimmune diseases, triggers such as UV light exposure, infections, or stress can initiate cascading immune responses. In transplant patients, longitudinal analysis reveals how monitoring oscillatory patterns in blood parameters and biological age markers can predict rejection risk. In a preliminary study on kidney transplant, all measured variables showed temporal instability. Proteinuria exhibited precise log–log linearity in power law analysis, confirming near-critical-point system behavior. Two distinct dynamic patterns emerged: large oscillations in eGFR, proteinuria, or biological age predicted declining function, while small oscillations indicated stability. During avalanche events, biological age increased dramatically, with partial reversal leaving persistent elevation after acute episodes. Understanding these dynamics has important implications for therapeutic approaches in both contexts. Key findings suggest that monitoring parameter oscillations, rather than absolute values, better indicates system instability and potential avalanche events. Additionally, biological age calculations provide valuable prognostic information, while proteinuria measurements offer efficient sampling for system dynamics assessment. This conceptual model provides a unifying framework for understanding the pathogenesis of both autoimmune and transplant-related immune responses, potentially leading to new perspectives in disease management and rejection prediction. Full article
(This article belongs to the Section Immunology and Immunotherapy)
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12 pages, 1040 KB  
Article
Microcirculatory Dysfunction and Its Role in Diagnosing Acute Rejection in Pediatric Heart Transplantation: A Pilot Study
by Borja Rivero-Santana, Enrique Balbacid-Domingo, César Abelleira-Pardeiro, Carlos Labrandero de Lera, Viviana Arreo del Val, Santiago Jiménez-Valero, María Fernández-Velasco, Raúl Moreno and Federico Gutiérrez-Larraya
Diagnostics 2025, 15(5), 545; https://doi.org/10.3390/diagnostics15050545 - 24 Feb 2025
Viewed by 733
Abstract
Background/Objectives: Acute rejection remains a major challenge in pediatric heart transplantation (HT), with limited tools for early diagnosis. In adult HT recipients, microcirculatory dysfunction, as measured by the index of microcirculatory resistance (IMR), has been identified as a potential biomarker of rejection. [...] Read more.
Background/Objectives: Acute rejection remains a major challenge in pediatric heart transplantation (HT), with limited tools for early diagnosis. In adult HT recipients, microcirculatory dysfunction, as measured by the index of microcirculatory resistance (IMR), has been identified as a potential biomarker of rejection. However, its role in pediatric populations is largely unexplored. This pilot study aimed to evaluate the association between coronary microcirculatory dysfunction and acute rejection in pediatric heart transplant recipients, as well as its relationship with echocardiographic alterations. Methods: This prospective, single-center study included 10 pediatric HT recipients who underwent routine coronary angiography and endomyocardial biopsy. The IMR, coronary flow reserve (CFR), and fractional flow reserve (FFR) were assessed. Acute rejection was classified as either acute cellular rejection (ACR) or antibody-mediated rejection (AMR) based on ISHLT criteria. Echocardiographic parameters included left ventricular ejection fraction (LVEF), global longitudinal strain (GLS), right ventricular (RV) dysfunction, and diastolic function. Patients were followed for a median of 9.7 months [IQR: 7.0–11.7]. Results: Patients with a history of acute rejection (40%, n = 4) were exclusively found in the IMR ≥ 15 group (66.7%), while no cases were observed in the IMR < 15 group (0%; p = 0.04). During follow-up, only one patient experienced acute rejection, occurring in the IMR ≥ 15 group, although the difference between groups was not statistically significant (p = 0.39). Both LVEF and GLS were worse in patients with IMR ≥ 15 compared to IMR < 15 (62.5% vs. 76.3% and −17.3% vs. −18.8%, respectively), although these differences did not reach statistical significance. No complications were reported during coronary physiology assessment. Conclusions: Microcirculatory dysfunction, as measured by IMR, was significantly associated with a history of acute cellular rejection in pediatric heart transplant recipients. While its predictive value for acute rejection during follow-up remains unclear due to the small sample size, this pilot study highlights the safety and feasibility of coronary physiology assessment in this population. Larger studies are needed to validate these findings and establish pediatric-specific diagnostic thresholds. Full article
(This article belongs to the Special Issue Advances in Pediatric Cardiology: Diagnosis and Management)
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13 pages, 3092 KB  
Article
Modelling Systems with a Finite-Capacity Queue: A Theoretical Investigation into the Design and Operation of Real Systems
by Serban Raicu, Dorinela Costescu and Mihaela Popa
AppliedMath 2025, 5(1), 17; https://doi.org/10.3390/appliedmath5010017 - 13 Feb 2025
Viewed by 821
Abstract
This study investigates M/M/n:(m/FIFO) systems with a limited queue capacity (incorporating both “waiting and rejection”). This category of systems can be considered to be mixed-service systems. They operate as queuing systems for customers admitted to the [...] Read more.
This study investigates M/M/n:(m/FIFO) systems with a limited queue capacity (incorporating both “waiting and rejection”). This category of systems can be considered to be mixed-service systems. They operate as queuing systems for customers admitted to the system awaiting service, as well as systems that implement rejection or loss for customers who are denied when the system is full (when all servers and the buffer capacity are occupied). The correlation between the system size and a set of performance measures is analysed for the given arrival and service rates. The system size is determined based on a threshold rate of rejected customers. The correlation between the buffer size and the utilisation factor has direct relevance in the design of real systems (e.g., when the dynamics of the arrival rate can be estimated, it provides a solution for phasing the building of physical waiting places for a specific service capacity). In addition, the analysis of customer rejection probability and average waiting time as a function of the effective utilisation factor could yield practical insights for designing and operating real systems. The second part of this study presents a model for optimising the size of a multi-server system with a finite queue capacity. Initially, the number of servers is determined, assuming that the existing situation does not allow for an increase in the buffer capacity. Then, the case in which both server and buffer capacities become decision variables is presented. The operating losses (which are more straightforward to measure than the related costs) are used as an optimisation criterion. Full article
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19 pages, 502 KB  
Article
A Dual Tandem Queue as a Model of a Pick-Up Point with Batch Receipt and Issue of Parcels
by Alexander N. Dudin, Olga S. Dudina, Sergei A. Dudin and Agassi Melikov
Mathematics 2025, 13(3), 488; https://doi.org/10.3390/math13030488 - 31 Jan 2025
Viewed by 904
Abstract
Parcel delivery networks have grown rapidly during the last few years due to the intensive evolution of online marketplaces. We address the issue of managing the operation of a network’s pick-up point, including the selection of the warehouse’s capacity and the policy for [...] Read more.
Parcel delivery networks have grown rapidly during the last few years due to the intensive evolution of online marketplaces. We address the issue of managing the operation of a network’s pick-up point, including the selection of the warehouse’s capacity and the policy for accepting orders for delivery. The existence of the time lag between order placing and delivery to the pick-up point is accounted for via modeling the order’s processing as the service in the dual tandem queueing system. Distinguishing features of this tandem queue are the account of possible irregularity in order generation via consideration of the versatile Markov arrival process and the possibilities of batch transfer of the orders to the pick-up point, group withdrawal of orders there, and client no-show. To reduce the probability of an order rejection at the pick-up point due to the overflow of the warehouse, a threshold strategy of order admission at the first stage on a tandem is proposed. Under the fixed value of the threshold, tandem operation is described by the continuous-time multidimensional Markov chain with a block lower Hessenberg structure for the generator. Stationary performance measures of the tandem system are calculated. Numerical results highlight the dependence of these measures on the capacity of the warehouse and the admission threshold. The possibility of the use of the results for managerial goals is demonstrated. In particular, the results can be used for the optimal selection of the capacity of a warehouse and the policy of suspending order admission. Full article
(This article belongs to the Special Issue Recent Research in Queuing Theory and Stochastic Models, 2nd Edition)
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