Sort by
Ewing Sarcoma Beyond the Bone: A Rare Primary Renal Presentation
Miroslava Benkova-Petrova
,Alexander Petrov
,Stanila Stoeva-Grigorova
,Lyuben Stoev
,Mari Hachmerian
,Simeon Marinov
Background: Primary renal Ewing sarcoma (ES) is an exceptionally rare and aggressive malignancy, posing significant diagnostic and therapeutic challenges in adults. Clinical presentation is often nonspecific, frequently resulting in delayed diagnosis and early metastatic dissemination. Methods: We report a case of a 45-year-old woman presenting with right lumbar pain and hematuria. Imaging included ultrasound and magnetic resonance imaging, revealing a well-demarcated multicystic lesion of the right kidney. Partial nephrectomy was performed, followed by histopathology, immunohistochemistry, and molecular analysis using fluorescence in situ hybridization to confirm ES breakpoint region 1 (EWSR1) rearrangement. Subsequent management included right nephrectomy and systemic chemotherapy following the vincristine, doxorubicin, cyclophosphamide/ifosfamide, etoposide (VDC/IE) protocol. Results: Histopathology demonstrated sheets of small round cells with Homer-Wright rosettes and strong membranous CD99 expression. Molecular testing confirmed EWSR1 rearrangement. The patient tolerated surgery and chemotherapy well, with no evidence of recurrence or metastasis at six-month follow-up. The case highlights the critical role of integrated imaging, histopathology, immunophenotyping, and molecular diagnostics in establishing the diagnosis of primary renal ES. Conclusion: Primary renal ES in adults requires a high index of suspicion, multidisciplinary evaluation, and personalized therapeutic strategies. Surgical resection combined with systemic chemotherapy can achieve disease control. Early recognition, molecular confirmation, and interdisciplinary coordination are essential to optimize outcomes in this rare malignancy.
Background: Primary renal Ewing sarcoma (ES) is an exceptionally rare and aggressive malignancy, posing significant diagnostic and therapeutic challenges in adults. Clinical presentation is often nonspecific, frequently resulting in delayed diagnosis and early metastatic dissemination. Methods: We report a case of a 45-year-old woman presenting with right lumbar pain and hematuria. Imaging included ultrasound and magnetic resonance imaging, revealing a well-demarcated multicystic lesion of the right kidney. Partial nephrectomy was performed, followed by histopathology, immunohistochemistry, and molecular analysis using fluorescence in situ hybridization to confirm ES breakpoint region 1 (EWSR1) rearrangement. Subsequent management included right nephrectomy and systemic chemotherapy following the vincristine, doxorubicin, cyclophosphamide/ifosfamide, etoposide (VDC/IE) protocol. Results: Histopathology demonstrated sheets of small round cells with Homer-Wright rosettes and strong membranous CD99 expression. Molecular testing confirmed EWSR1 rearrangement. The patient tolerated surgery and chemotherapy well, with no evidence of recurrence or metastasis at six-month follow-up. The case highlights the critical role of integrated imaging, histopathology, immunophenotyping, and molecular diagnostics in establishing the diagnosis of primary renal ES. Conclusion: Primary renal ES in adults requires a high index of suspicion, multidisciplinary evaluation, and personalized therapeutic strategies. Surgical resection combined with systemic chemotherapy can achieve disease control. Early recognition, molecular confirmation, and interdisciplinary coordination are essential to optimize outcomes in this rare malignancy.
Posted: 09 April 2026
Influence of Tooth Morphology on Local Mesh Density Distribution in Intraoral Scanner-Derived STL Models of Selected Maxillary Teeth
Dubravka Knezović Zlatarić
,Maja Žagar
,Egon Neskusil
,Daren Dreo Bračun
,Robert Ćelić
Background/Objectives: The quality of intraoral scanner-derived digital models depends not only on deviation-based accuracy, but also on how scanned surfaces are reconstructed into a polygonal mesh. The aim of this prospective within-subject observational study was to evaluate whether tooth morphology influences local mesh density distribution in intraoral scanner-derived STL models of selected maxillary teeth. Methods: Twenty participants underwent maxillary intraoral scanning using a Medit i900 wired intraoral scanner under standardized clinical conditions. For each participant, the buccal surfaces of the maxillary right central incisor (11), canine (13), first premolar (15), and first molar (16) were selected as regions of interest. Surface area (A), number of vertices (V), and number of faces (F) were recorded, and the surface-normalized mesh density parameters vertices per unit area (V/A) and faces per unit area (F/A) were calculated. Comparisons among tooth types were performed using repeated-measures analysis of variance (ANOVA) with Bonferroni post hoc correction. Results: Significant differences were found among tooth types for both V/A and F/A (p < 0.001). Mean V/A values were 18.2 ± 1.9 for tooth 11, 19.8 ± 1.4 for tooth 13, 23.8 ± 1.7 for tooth 15, and 22.9 ± 2.0 vertices/mm² for tooth 16. Mean F/A values were 34.3 ± 3.6, 37.5 ± 2.7, 44.4 ± 3.3, and 42.9 ± 3.8 faces/mm², respectively. Post hoc comparisons showed significant differences between teeth 11 and 13, 11 and 15, 11 and 16, 13 and 15, and 13 and 16, whereas no significant difference was observed between teeth 15 and 16. Conclusions: Tooth morphology significantly influenced local mesh density distribution in intraoral scanner-derived STL models of selected maxillary teeth. These findings suggest that local anatomical form affects STL mesh reconstruction under standardized in vivo scanning conditions and support local mesh density analysis as a useful complementary approach to conventional deviation-based digital assessment.
Background/Objectives: The quality of intraoral scanner-derived digital models depends not only on deviation-based accuracy, but also on how scanned surfaces are reconstructed into a polygonal mesh. The aim of this prospective within-subject observational study was to evaluate whether tooth morphology influences local mesh density distribution in intraoral scanner-derived STL models of selected maxillary teeth. Methods: Twenty participants underwent maxillary intraoral scanning using a Medit i900 wired intraoral scanner under standardized clinical conditions. For each participant, the buccal surfaces of the maxillary right central incisor (11), canine (13), first premolar (15), and first molar (16) were selected as regions of interest. Surface area (A), number of vertices (V), and number of faces (F) were recorded, and the surface-normalized mesh density parameters vertices per unit area (V/A) and faces per unit area (F/A) were calculated. Comparisons among tooth types were performed using repeated-measures analysis of variance (ANOVA) with Bonferroni post hoc correction. Results: Significant differences were found among tooth types for both V/A and F/A (p < 0.001). Mean V/A values were 18.2 ± 1.9 for tooth 11, 19.8 ± 1.4 for tooth 13, 23.8 ± 1.7 for tooth 15, and 22.9 ± 2.0 vertices/mm² for tooth 16. Mean F/A values were 34.3 ± 3.6, 37.5 ± 2.7, 44.4 ± 3.3, and 42.9 ± 3.8 faces/mm², respectively. Post hoc comparisons showed significant differences between teeth 11 and 13, 11 and 15, 11 and 16, 13 and 15, and 13 and 16, whereas no significant difference was observed between teeth 15 and 16. Conclusions: Tooth morphology significantly influenced local mesh density distribution in intraoral scanner-derived STL models of selected maxillary teeth. These findings suggest that local anatomical form affects STL mesh reconstruction under standardized in vivo scanning conditions and support local mesh density analysis as a useful complementary approach to conventional deviation-based digital assessment.
Posted: 09 April 2026
mRNA-Based Solution for 47, 48, 51, and 52 Dystrophin Exon Deletions: DMD Patient-Donate Primer Cells (In Vitro) and Transgenic Mice Experimental Study (In Vivo)
Ali Taghizadehghalehjoughi
,Sidika Genc
,Kubra Karabulut
,Esmanur Nigde
,Serkan Yildirim
,Metin Kılıclıoglu
,Damla Gul Findik
,Erhan Şahin
,Ramazan Çınar
,Demet Celebi
+3 authors
Posted: 09 April 2026
Context-Dependent Effects of Maternal Behaviour on Lamb Growth in Tibetan Sheep
Zihao Gu
,Mingdi Wang
,Zhong Liang
,Yonggui Ma
,Yinglian Qi
,Jiapeng Qu
Posted: 09 April 2026
Tackling Biofilm-Forming Pathogens: A Challenge to Overcome in the Fight Against Infectious Diseases
Elenoire Sole
,Giuseppe Motta
,Federica Marcoli
,Angelina Midiri
,Cinzia Sindona
,Liliana Imbesi
,Giuseppe Mancuso
,Mohamed Zemzem
,Carmelo Biondo
Posted: 09 April 2026
Identifying Postural Dysfunction as a Common Phenotype in Flatfoot, Pronated Foot, and Genu Valgum: A Cross-Sectional Study in the Pediatric Population
Raoul Saggini
,Donatella Di Corrado
,Francesca Orofino
,Rosa Grazia Bellomo
,Cristian Vincenzo Francavilla
,Francesco Pegreffi
Posted: 09 April 2026
Changes in Self-Rated Health Among Korean Men and Women in Their 20s and 30s Over 15 Years: Achievements and Challenges of Policies Promoting Physical Education for Female Students
Byung-Kweon Chang
Posted: 09 April 2026
Beyond Outbreak Detection: Mandatory Genomic Surveillance in the EU as an Opportunity to Quantify Metal-Mediated Co-Selection of Antimicrobial Resistance from a One Health Perspective
Javier Gamboa
Posted: 09 April 2026
Zero-Knowledge Proofs and Behavioural Analytics Mitigating Insider Threats in Contemporary Software Ecosystems
Thangamari D
Posted: 09 April 2026
Quantum-Enhanced LLM Cascade Routing: A QAOA Approach to Cost-Optimal Model Selection in Multi-Agent Systems
Amit Patole
Posted: 09 April 2026
Impact Investing in NSE-Listed ESG Indices: Abnormal Returns, Calendar Effects, and GARCH-Based Volatility Dynamics in the Indian Stock Market
Suneel Maheshwari
,Deepak Raghava Naik
,Rajendar Kumar Garg
This study investigates whether impact investing through Environmental, Social, and Governance (ESG) indices listed on India’s National Stock Exchange (NSE) can generate abnormal returns relative to the broader market benchmark. Using data from ESG indices listed on the National Stock Exchange between April 2011 and June 2023, the analysis evaluates the risk–return performance of the Nifty100 ESG and Nifty Enhanced ESG indices relative to the Nifty 100 benchmark. We applied a comprehensive suite of time-series methodologies encompassing unit root testing, month-of-the-year dummy regressions, ARIMA residual modelling, and, critically, Generalised Autoregressive Conditional Heteroscedasticity (GARCH) family models to test the impact investing hypothesis. Conditional volatility surged in April 2020 during the COVID-19 market shock, however the ESG indices exhibited slightly lower peak volatility than the Nifty 100. Results show that both ESG indices outperformed the conventional benchmark over the full sample period, achieving cumulative gains of about 272–274% compared with 240% for the Nifty 100. A distinct March effect—analogous to the January effect in developed markets—is detected at the 10% significance level for ESG indices. Our findings underscore the growing importance of responsible investing and time-varying risk premia in the Indian equity market.
This study investigates whether impact investing through Environmental, Social, and Governance (ESG) indices listed on India’s National Stock Exchange (NSE) can generate abnormal returns relative to the broader market benchmark. Using data from ESG indices listed on the National Stock Exchange between April 2011 and June 2023, the analysis evaluates the risk–return performance of the Nifty100 ESG and Nifty Enhanced ESG indices relative to the Nifty 100 benchmark. We applied a comprehensive suite of time-series methodologies encompassing unit root testing, month-of-the-year dummy regressions, ARIMA residual modelling, and, critically, Generalised Autoregressive Conditional Heteroscedasticity (GARCH) family models to test the impact investing hypothesis. Conditional volatility surged in April 2020 during the COVID-19 market shock, however the ESG indices exhibited slightly lower peak volatility than the Nifty 100. Results show that both ESG indices outperformed the conventional benchmark over the full sample period, achieving cumulative gains of about 272–274% compared with 240% for the Nifty 100. A distinct March effect—analogous to the January effect in developed markets—is detected at the 10% significance level for ESG indices. Our findings underscore the growing importance of responsible investing and time-varying risk premia in the Indian equity market.
Posted: 09 April 2026
Chemical Characterization and In Vitro Evaluation of Antioxidant and Antimicrobial Activities of Vaccinium myrtillus L. Leaves from Estonia
Despina Vougiouklaki
,Anastasia Bagaki
,Konstantina Papapanagiotou
,Dimitra Houhoula
,Vasiliki S Lagouri
,Maria Trapali
Posted: 09 April 2026
Mathematical Formalization of Zero-Distance Interaction: An Optimization and Control-Theoretic Reformulation of Fitts’s Law
Aleksandra Ivanov
,Lazar Stošić
,Olja Krčadinac
,Vladimir Đokić
,Dragana Đokić
Posted: 09 April 2026
Gestational Week 20 as the Mechanobiological Inflection Point of Retroperitoneal Fascial Lamination: A Poisson Effect Model
Hiromu Tokuchi
Posted: 09 April 2026
On the Cross-Scale Prospects of the Logarithmically Corrected Gravitational Potential: From Black Hole Singularities to Galactic Rotation
Huang Hai
Posted: 09 April 2026
Clinicopathological and Diagnostic Determinants of Surgical Approach in Breast Cancer: A Retrospective Comparative Study of Breast-Conserving Surgery Versus Modified Radical Mas-Tectomy from a Tertiary Center
Florin Bobircă
,Dan Dumitrescu
,Florentina Gherghiceanu
,Anca Bobircă
,Octavian Mihalache
,Cristina Alexandru
,Dragos Serban
,Amalia Calinoiu
,Raluca Boboc
,Maria Sutu
+7 authors
Posted: 09 April 2026
Enhancing Quercetin Bioavailability Attenuates Aging Phenotypes via the Gut Microbiota–Intestinal Barrier Axis in Aged Mice
Yuji Naito
,Katsura Mizushima
,Ryo Inoue
,Tomohisa Takagi
Posted: 09 April 2026
Fast Triangle Detection: The Aegypti Algorithm
Frank Vega
We present \textsc{Aegypti}, a hybrid algorithm for detecting a single triangle in an undirected graph \( G = (V, E) \) with \( n = |V| \) vertices and \( m = |E| \) edges. The algorithm operates in two phases. In the \emph{fast path}, a clique-constrained Union-Find structure (\textsc{FastCliqueUF}) streams over the edges and merges components only when the union remains a clique; the moment any component reaches size~\( \geq 3 \), a triangle witness is returned. Because components remain of size at most \( 2 \) until the detecting merge, each \textsc{Union} costs only \( \Oh(1) \) (bitset operations touch \( \Oh(k/\wordlen) \) blocks with \( k=O(1) \)). The fast path therefore runs in \( \Oh(n^2/\wordlen + m) \) time (dominated by initialisation), using packed \texttt{uint64} SIMD bitset operations; on triangle-rich graphs this reduces to \( \Oh(n^2/\wordlen) \) in practice and is \( \Oh(n^2) \) in the RAM model. If the fast path finds no triangle, a \emph{fallback} using adjacency-set intersections solves the problem in \( \Oh(m^{3/2}) \) time. The overall running time is therefore \( T(G) \;=\; \Oh\!\left( \frac{n^2}{\wordlen} + m^{3/2} \right) \) in the worst case. On triangle-rich graphs the fast path typically terminates after processing only a small fraction of the edges, achieving \( \Oh(n^2/\wordlen) \) time in practice; on triangle-free graphs the fallback dominates. For triangle-containing graphs, \( \Oh(n^2/\wordlen) \)is at most as large as \( \Oh(m^{3/2}) \) whenever \( m = \Omega(n^{4/3}) \) (the dense regime), and the constant-factor savings from SIMD make it substantially faster in practice. We prove correctness, analyse the complexity of each phase, and validate the algorithm on the full Second DIMACS Implementation Challenge benchmark suite, where \textsc{Aegypti} detects triangles in all tested instances in under \( 12 \)s.
We present \textsc{Aegypti}, a hybrid algorithm for detecting a single triangle in an undirected graph \( G = (V, E) \) with \( n = |V| \) vertices and \( m = |E| \) edges. The algorithm operates in two phases. In the \emph{fast path}, a clique-constrained Union-Find structure (\textsc{FastCliqueUF}) streams over the edges and merges components only when the union remains a clique; the moment any component reaches size~\( \geq 3 \), a triangle witness is returned. Because components remain of size at most \( 2 \) until the detecting merge, each \textsc{Union} costs only \( \Oh(1) \) (bitset operations touch \( \Oh(k/\wordlen) \) blocks with \( k=O(1) \)). The fast path therefore runs in \( \Oh(n^2/\wordlen + m) \) time (dominated by initialisation), using packed \texttt{uint64} SIMD bitset operations; on triangle-rich graphs this reduces to \( \Oh(n^2/\wordlen) \) in practice and is \( \Oh(n^2) \) in the RAM model. If the fast path finds no triangle, a \emph{fallback} using adjacency-set intersections solves the problem in \( \Oh(m^{3/2}) \) time. The overall running time is therefore \( T(G) \;=\; \Oh\!\left( \frac{n^2}{\wordlen} + m^{3/2} \right) \) in the worst case. On triangle-rich graphs the fast path typically terminates after processing only a small fraction of the edges, achieving \( \Oh(n^2/\wordlen) \) time in practice; on triangle-free graphs the fallback dominates. For triangle-containing graphs, \( \Oh(n^2/\wordlen) \)is at most as large as \( \Oh(m^{3/2}) \) whenever \( m = \Omega(n^{4/3}) \) (the dense regime), and the constant-factor savings from SIMD make it substantially faster in practice. We prove correctness, analyse the complexity of each phase, and validate the algorithm on the full Second DIMACS Implementation Challenge benchmark suite, where \textsc{Aegypti} detects triangles in all tested instances in under \( 12 \)s.
Posted: 09 April 2026
Field Performance and Thermal-Electrical Mismatch Mechanism of Curved CIGS BIPV Modules: An Outdoor Experimental Study
Jun Wang
,Xinyi Tian
,Mingjun Jiang
,Guodong Lu
,Jie Ji
,Haitao Wang
,Qiansheng Fang
Posted: 09 April 2026
Quantum Utility Waves and Life Satisfaction: A Probabilistic Urban Welfare Model for New York City and Berlin
Zenagui Sid Ahmed
Posted: 09 April 2026
of 5,775