This experiment aimed to evaluate the effects of supplementing tributyrin (TB) on the meat quality characteristics of foreshank muscle of weaned lambs. A total of 30 healthy weaned Small-Tailed Han female lambs with body weights ranging from 23.4 to 31.6 kg were selected and randomly divided into five groups, and each group consisted of 6 lambs. The control group was fed a basic total mixed ration, while other groups were fed the same ration supplemented with 0.5, 1.0, 2.0, and 4.0 g/kg TB, respectively. The experiment lasted 75 d, including 15 d of adaptation. Foreshank muscle obtained at the same position from each lamb was used for chemical analysis and sensory evaluation. The results showed that supplementing TB increased the muscle contents of ether extract (p = 0.029), calcium (p = 0.030), phosphorus (p = 0.007), and intermuscular fat length (p = 0.022). Besides, TB increased the muscle pH (p = 0.001) and redness (p < 0.001) but reduced the lightness (p < 0.001), drip loss (p = 0.029), cooking loss (p < 0.001), shear force (p = 0.001), hardness (p < 0.001), cohesiveness (p < 0.001), springiness (p < 0.001), gumminess (p < 0.001), and chewiness (p < 0.001). In addition, TB increased the muscle content of inosine-5′-phosphate (p = 0.004). Most importantly, TB increased the muscle contents of essential amino acids (p < 0.001). Furthermore, TB increased the saturated fatty acids level in the muscle (p < 0.001) while decreasing the unsaturated fatty acids content (p < 0.001). In conclusion, supplementing TB could influence the meat quality of foreshank muscle of weaned lambs by modifying the amino acid and fatty acid levels. Full article

Students’ and teachers’ acceptance of the COVID-19 vaccination may help boost the uptake of the vaccines in the general population because teachers and students serve as a source of information and campaign mechanisation for vaccination. This review aimed to map evidence on the prevalence and predictors of COVID-19 vaccine acceptance and hesitancy among teachers and students. After removing duplicates, a search in several databases (Dimensions, PubMed Central, JSTOR, Google Scholar, Google, the WHO Library, and HINARI) produced 2060 records. Through screening based on the inclusion criteria, 27 records were used for this review. A relatively high prevalence of vaccine hesitancy was found among teachers and students. Teachers and students in countries such as China, Egypt, the USA, and India however, reported relatively low levels of COVID-19 vaccine acceptance. Vaccine hesitancy depends on perceived adverse effects, safety, efficacy, and benefits among teachers and students, with male teachers and male students being more likely to accept the COVID-19 vaccine than their female counterparts. Moreover, we found that vaccine acceptance could result from trust in the healthcare system and pharmaceutical companies, sources of COVID-19 information, and trust in healthcare providers. Public health experts, academics, other scientists, and health practitioners are required to take a more distinctive, multidisciplinary, and structured approach that focused on communicating effective evidence-based information to combat misinformation concerning COVID-19 vaccines. Full article

While some streams have dense populations of aquatic detritivorous isopods, research on the colonization of leaf packs typically focuses on aquatic insects. To determine whether shifts in dominant local forest species might impact isopod populations, we placed leaf packs of red/sugar maple, American beech, and red oak on the substratum of riffles and pools in Cedar Creek (Allentown, PA, USA) in April 2019. We retrieved the packs after one week, re-deployed them, and re-collected them after two weeks of submersion, enumerating the number of isopods (Lirceus sp.) upon each retrieval. Surprisingly, neither the species of leaf nor the stream microhabitat significantly affected the number of isopods. However, the duration of leaf conditioning was important; significantly more isopods inhabited leaves after two weeks of submersion than after only one week. Maple and oak leaves displayed significantly more skeletonization after two weeks than the beech leaves, which remained intact. However, the similar numbers of isopods across leaf species suggest either the presence of acceptable, consumable microbial communities on all three species of leaves or that a tradeoff exists between the value of food and the importance of refuge provided by intact leaves. Full article

Social structure may have changed from hierarchical to egalitarian and back along the evolutionary line of humans. Within the tradition of sociophysics, we construct a mathematical model of a society of agents subject to competing cognitive and social navigation constraints and predict, using statistical mechanics methods, that its degree of hierarchy decreases with encephalization and increases with group size, hence suggesting human societies were driven from hierarchical to egalitarian structures by the encephalization during the last few million years and back to hierarchical due to fast demographic changes during the Neolithic. In addition, applied to a different problem, the theory leads to the following predictions for modern pre-literary humans: (i) an intermediate hierarchy degree in mild climates. In harsher climates, societies will be (ii) more egalitarian if organized in small groups (of less than 100 persons) but (iii) more hierarchical if in larger (of more than 1000 persons) groups. The predicted bifurcation, characteristic of a phase transition, is also seen in the empirical cross-cultural record (248 cultures in the Ethnographic Atlas). Full article

Botrytis cinerea is a well-known pathogen that can be challenging to control in crops, such as wine grapes. To adapt to the increasing problems of climate change and strain resistance, it is important to find new methods to detect Botrytis cinerea and differentiate strains. These methods include strain differentiation and classification by simple sequence repeats (SSRs) and early detection of the fungus by qPCR. Various strains were analysed using SSR markers and either agarose gel electrophoresis or capillary sequencing via PCR. A sensitive qPCR method was refined to achieve an early detection method for the pathogen. The results demonstrate promising ways to distinguish between strains using both agarose gel electrophoresis and capillary sequencing as well as to detect infection before it becomes visible on grapes. This can be used to further understand and analyse different Botrytis cinerea strain characteristics such as laccase activity, regional or annual effects. The early detection method can be used to better prepare growers for an impending infection so that targeted efforts can be made. Full article

The use of assistive technology (AT) devices enhances older adults’ function in daily activities. However, the lack of awareness of AT among potential AT users has been identified as a major barrier to its adoption. This study aimed to assess the quality of the Mi Guía de Asistencia Tecnológica (MGAT) web app, which provides information on AT, from the perspective of older Latinos with physical disabilities, and to explore their experience using the MGAT. We employed a convergent parallel mixed-method design involving 12 older Latinos living in Puerto Rico. In Phase I, the researchers trained the participants in the use of the MGAT. In Phase II, participants were encouraged to use it for 30 days. In Phase III, the participants completed the User Mobile Application Rating Scale and individual interviews, analyzed with descriptive statistics and a directed thematic content analysis. The quality of the MGAT was rated high in both the objective (mean = 3.99; SD = 0.7) and subjective (mean = 4.13; SD = 1.1) domains. Qualitative data revealed the MGAT was accessible, usable, desirable, credible, useful, and valuable to increasing older Latinos’ AT knowledge, function, and autonomy. The MGAT has the potential to increase AT awareness and adoption among older adults. Full article

Cardiovascular disease remains the main cause of mortality in the 21st century. Hypertension, vessel atherosclerosis, and familial hypercholesterolemia (FH) are responsible for increased mortality and morbidity in patients. Therapies for cardiovascular disease are based on drug treatment options, but in the era of precision medicine, personalized treatments are being developed. Studies have shown that these conditions have a strong genetic background, creating an opportunity for the implementation of gene therapy for these diseases. Currently, gene therapy is not widely used in clinical practice. Recent advances in this research field are making gene therapy a very promising preventive and therapeutic tool for cardiovascular disease. Essential hypertension’s (EH) pathophysiology is mostly based on the activation of both the sympathetic nervous system and the renin angiotensin aldosterone system (RAAS), natriuretic peptide production, and endothelial dysfunction. Plasmid DNA and viral vectors can be used, targeting the main mechanisms in the pathogenesis of EH. Many preclinical studies have been developed across the years, presenting a significant decrease in blood pressure. Nevertheless, no clinical studies have been developed studying the implementation of gene therapy in EH. Atherosclerotic damage is caused by monogenic diseases or is deteriorated by the activation of inflammation in the vessel wall. Gene therapy studies have been developed in the pre- and clinical phases targeting the lipoprotein and cholesterol metabolism and the inflammation of the vessels. FH is a common inherited metabolic disease associated with high levels of cholesterol in the blood. Clinical trials of gene therapy have been developed and presented optimistic results. In this review, the challenges of gene therapy for cardiovascular disease are outlined. Nevertheless, more clinical trials are needed to be performed for the development of convenient and safe drug schemes for our patients. Full article

The intratarsal keratinous cyst (IKC) is a recently described entity, often clinically misdiagnosed as a chalazion. We report a case of a 61-year-old male patient with a chief complaint of a small lesion on the upper eyelid that evolved over six months. On physical examination, an asymptomatic, firm nodule was identified on the left upper eyelid. The patient reported no history of trauma. A provisional diagnosis of chalazion was established, and an excisional biopsy was performed. Histopathologically, the lesion was lined with a stratified squamous epithelium, with a corrugated epithelial surface showing abrupt keratinization without keratohyalin granules, and compact keratinous-appearing material in the cystic lumen. The diagnosis was IKC. No signs of recurrence were observed after one year of follow-up. It is essential to accurately diagnose IKC and distinguish it from chalazion and epidermal inclusion cysts, because IKC requires complete surgical excision and can exhibit multiple recurrences if not properly removed. Full article

Background and Objectives: Differentiating between a high-grade glioma (HGG) and solitary cerebral metastasis presents a challenge when using standard magnetic resonance imaging (MRI) alone. Magnetic resonance spectroscopy (MRS), an advanced MRI technique, may assist in resolving this diagnostic dilemma. N-acetylaspartate (NAA), an amino acid found uniquely in the central nervous system and in high concentrations in neurons, typically suggests HGG over metastatic lesions in spectra from ring-enhancing lesions. This study investigates exceptions to this norm. Materials and Methods: We conducted an MRS study on 49 histologically confirmed and previously untreated patients with brain metastases, employing single-voxel (SVS) techniques with short and long echo times, as well as magnetic resonance spectroscopic imaging (MRSI). Results: In our cohort, 44 out of 49 (90%) patients demonstrated a typical MR spectroscopic profile consistent with secondary deposits: a Cho peak, very low or absent Cr, absence of NAA, and the presence of lipids. A peak at approximately 2 ppm, termed the “NAA-like peak”, was present in spectra obtained with both short and long echo times. Among the MRS data from 49 individuals, we observed a peak at 2.0 ppm in five brain metastases from mucinous carcinoma of the breast, mucinous non-small-cell lung adenocarcinoma, two metastatic melanomas, and one metastatic non-small-cell lung cancer. Pathohistological verification of mucin in two of these five cases suggested this peak likely represents N-acetyl glycoproteins, indicative of mucin expression in cancer cells. Conclusions: The identification of a prominent peak at 2.0 ppm could be a valuable diagnostic marker for distinguishing single ring-enhancing lesions, potentially associated with mucin-expressing metastases, offering a new avenue for diagnostic specificity in challenging cases. Full article

Many plant species are well-adapted to historical fire regimes. An increase in the severity, frequency, and extent of wildfires could compromise the regenerative capacity of species, resulting in permanent shifts in plant diversity. We surveyed extant vegetation and soil seed banks across two forest types with contrasting historical fire regimes—Shrubby Dry Forest (fire return interval: 10–20 years) and Sub-Alpine Woodland (50–100 years). Over the past 20 years, both forests have been subject to repeated, high-severity wildfires at intervals significantly shorter than their historical return intervals. We examined the soil seed bank response to fire-cued germination, and whether the plant diversity in soil seed banks and extant vegetation demonstrated similar responses to short-interval, high-severity wildfires. The soil seed bank demonstrated a positive response to heat in combination with smoke, and for the Sub-Alpine Woodland, this was limited to sites more frequently burnt by fire. With an increase in fire frequency, there was a decline in species richness and Shannon’s Diversity and a shift in species composition in both extant vegetation and the soil seed bank. The fire frequency effects on the relative richness of trait associations were restricted to the Shrubby Dry Forest, and included an increase in short-lived obligate seeders, wind-dispersed species, and ant-dispersed shrubs in burnt relative to long unburnt sites in both extant vegetation and the soil seed bank. Graminoids were the most abundant component of the soil seed banks of Sub-Alpine Woodlands, and this increased with more frequent fire, with a similar trend (p = 0.06) in extant vegetation. Clear shifts in plant diversity in both soil seed banks and extant vegetation in forest types with contrasting historical fire regimes suggest that emerging fire regimes are pushing ecosystems beyond their historical range of variability, including potentially more flammable states and a decline in the buffering capacity of soil seed banks. Full article

In this study, we investigate multiscale auto- and cross-correlation structural characteristics of sea surface temperature (SST) variability using our new methodology, called the multifractal asymmetric cross-correlation analysis (MF-ACCA), incorporating signs of a segment’s detrended covariance and linear trend. SST is greatly affected by air–sea interactions and the advection of water masses with a wide range of spatiotemporal scales. Since these force factors are imprinted on SST variability, their features can be revealed in terms of long-range auto- and cross-correlation structures of SST variability via a multifractal analysis. By applying the MF-ACCA methodology to SST variability in the East/Japan Sea, we have found the following features: (1) the auto- and cross-correlation multifractal features are dependent on several parameters, such as the location, linear trends (rising or falling), level of fluctuations, and temporal scales; (2) there are crossover behaviors that are discrete for small scales (less than 1000 days) but continuous for large scales (more than 1000 days); (3) long-range persistence of auto- and cross-correlations is random for large scales during the falling phase; (4) long-range persistence is stronger during the rising phase than during the falling phase; (5) the degree of asymmetry is greater for large scales than for small scales. Full article

The convergence of vehicular communications, 5th generation mobile network (5G) technology, and edge computing marks a paradigm shift in intelligent transportation. Vehicular communication systems, including Vehicle-to-Vehicle and Vehicle-to-Infrastructure, are integral to Intelligent Transportation Systems. The advent of 5G enhances connectivity, while edge computing brings computational processes closer to data sources. This synergy holds the potential to revolutionize transportation efficiency and safety. This research investigates vehicular communication and edge computing dynamics within a 5G network, considering varying distances between On Board Units and Roadside Units. Energy consumption patterns and CPU load at the RSU are analyzed through meticulous real-world experiments and simulations. Our results show stable energy consumption at shorter distances, with fluctuations increasing at greater ranges. CPU load correlates with communication distance, highlighting the need for adaptive algorithms. While experiments exhibit higher variability, our simulations validate these findings, emphasizing the importance of considering transmission range in vehicular communication network design. Full article

This paper introduces a quadrotor trajectory tracking controller comprising a steady-state optimal position controller with a normed input saturation and modular integrative action coupled with a backstepping attitude controller. First, the translational and rotational dynamical models are designed in the body-fixed frame to avoid external rotations and are partitioned into an underactuated position system and a quaternion-based attitude system. Secondly, a controller is designed separately for each subsystem, namely, (i) the position controller synthesis is derived from the Maximum Principle, Lyapunov, and linear quadratic regulator (LQR) theory, ensuring the global exponential stability and steady-state optimality of the controller within the linear region, and global asymptotic stability is guaranteed for the saturation region when coupled with any local exponential stable attitude controller, and (ii) the attitude system, with the quaternion angles and the angular velocity as the controlled variables, is designed in the error space through the backstepping technique, which renders the overall system, position, and attitude, with desirable closed-loop properties that are almost global. The overall stability of the system is achieved through the propagation of the position interconnection term to the attitude system. To enhance the robustness of the tracking system, integrative action is devised for both position and attitude, with emphasis on the modular approach for the integrative action on the position controller. The proposed method is experimentally validated on board an off-the-shelf quadrotor to assess the resulting performance. Full article

Background: Amniotic membrane (AM) holds significant promise in various medical fields due to its unique properties and minimal ethical concerns. This study aims to explore the diverse applications of the human amniotic membrane (HAM) in maxillofacial surgery. Methodology: A comprehensive search was conducted on databases, namely Google Scholar, PubMed, and Scopus, from January 1985 to March 2024. Articles in English, Polish, and Spanish were included, focusing on keywords related to amniotic membrane and oral surgery. Results: Various preservation methods for HAM were identified, namely fresh, decellularized, cryopreserved, lyophilized, and air-dried formats. Clinical studies demonstrated the efficacy of HAM in repairing oral mucosal defects, vestibuloplasty, oronasal fistula closure, cleft palate treatment, bone defect repair, and medication-related osteonecrosis of the jaw (MRONJ). Surgeon evaluations highlighted the ease of handling but noted challenges in suturing and stability during application. Conclusions: Amniotic membranes offer a versatile and effective option in maxillofacial surgery, promoting wound healing, reducing inflammation, and providing a scaffold for tissue regeneration. Further research, including randomized trials and comparative studies, is warranted to validate the efficacy and optimize the utilization of HAM in clinical practice. Full article

The present study focuses on the dry and wet end milling of three distinct Aluminum 7075 alloys: A7075, A7075–Sc (with a 0.18% Sc addition), and A7075–Li–Sc (containing 2.2% Li and 0.18% Sc additions). The main objective is to explore how cutting parameters (cutting speed and feed rate), heat treatment, alloy composition, and cooling methods influence A lcutting force. In the initial phase of the investigation, all three alloys underwent heat treatment. Subsequently, the machining process centered on the softest and hardest conditions, aiming at analyzing the impact of hardness on machinability behavior of the three studied alloys, using the same milling tool and a consistent depth of cut under both dry and wet conditions. The investigations also highlight the role of Li and Sc additions on the quality of surface finish, as well as burr and chip formation. In total, a sum of 108 operations have been performed on the present alloys. Full article

The nonlinear sloshing of an incompressible fluid with irrotational flow in a complicated-shape tank due to horizontal excitation is studied with a semi-analytical method proposed in this study. In this method, the velocity potential function of a liquid in a complicated-shape tank is estimated by using an approximate analytical transformation function from a complicated-shape region to a rectangular region. This function is obtained through Schwarz–Christoffel mapping and polynomial fitting. Nonlinear dynamic equations for the fluid–structure coupled system are developed based on the Hamilton–Ostrogradskiy principle. Nonlinear kinematic equations for the fluid–structure coupled system are derived based on the relationship between the liquid velocity and the free-surface equation. The Galerkin method is used to convert partial differential equations into ordinary differential equations. When tank movement is given, nonlinear models for the coupled system can be reduced to simple ones for liquid sloshing. Natural frequencies for the coupled system and liquid sloshing are analyzed, and the semi-analytical results agree with the numerical ones calculated with the software DampSlosh. Hydrodynamic forces and moments are also analyzed, and the semi-analytical results agree well with the numerical ones calculated with the Flow3D v10.1.1. Full article

Chinese plum (Prunus salicina) cv. Wushancuili has a green coloration, high fruit quality, and is economically important in eliminating poverty and protecting ecology in the Yangtze River Three Gorges Reservoir. However, large-scale production and synchronous ripening times present a huge postharvest storage challenge. This study investigated the effect of different postharvest storage temperatures on the ‘Wushancuili’ plum fruit flavor. The dynamics of soluble sugars, organic acids, and aroma substances were investigated at four temperatures mimicking large-scale commercial storage applications: 0–2 °C, 4–6 °C, 8–10 °C, and 20 °C, for 0, 3, 5, 7, 10, 15, and 20 days. Storage under the 0–2 °C regime was the best at preserving fruit flavor and reducing decay compared to the other settings. At 0–2 °C, fruit maintained a stable level of soluble sugars and organic acids during storage. Moreover, this storage temperature facilitated the formation of aroma compounds such as alcohols, aldehydes, ketones, and acids, which contributed to the distinct fruit aromatic characteristics. Taken together, our findings indicate that 0–2 °C is the most favorable temperature for commercial storage and maintenance of the ‘Wushancuili’ plum flavor. Full article

Sedimentation is an important property of colloidal systems that should be considered when designing pharmaceutical formulations. In pharmaceutical applications, sedimentation is normally described using Stokes’ law, which assumes laminar flow of fluid. In this work we studied swelling and hydration of spherical cross-linked amorphous starch microspheres in pure water, solutions of sodium chloride, and in pH-adjusted aqueous solutions. We demonstrated that Reynolds numbers obtained in these experiments correspond to the transition regime between the laminar flow and the turbulent flow and, hence, expressions based on the non-Stokes drag coefficient should be used for calculations of sedimentation velocity from known density or for assessment of density from observed sedimentation velocity. The density of starch microparticles hydrated in water was about 1050 kg/m³, while densities obtained from experiment with other liquids were dependent on the liquids’ densities. The data indicate that the swelling of the cross-linked starch microparticles as characterized by their densities is not sensitive to pH and salt concentration in the studied range of these parameters. Full article

Anti-hypotensive treatment, which includes dopamine, dobutamine, epinephrine, norepinephrine, milrinone, vasopressin, terlipressin, levosimendan, and glucocorticoids, is a long-established intervention in neonates with arterial hypotension (AH). However, there are still gaps in knowledge and issues that need clarification. The main questions and challenges that neonatologists face relate to the reference ranges of arterial blood pressure in presumably healthy neonates in relation to gestational and postnatal age; the arterial blood pressure level that potentially affects perfusion of critical organs; the incorporation of targeted echocardiography and near-infrared spectroscopy for assessing heart function and cerebral perfusion in clinical practice; the indication, timing, and choice of medication for each individual patient; the limited randomized clinical trials in neonates with sometimes conflicting results; and the sparse data regarding the potential effect of early hypotension or anti-hypotensive medications on long-term neurodevelopment. In this review, after a short review of AH definitions used in neonates and existing data on pathophysiology of AH, we discuss currently available data on pharmacokinetic and hemodynamic effects, as well as the effectiveness and safety of anti-hypotensive medications in neonates. In addition, data on the comparisons between anti-hypotensive medications and current suggestions for the main indications of each medication are discussed. Full article

Background: MiR-484, implicated in various carcinomas, holds promise as a prognostic marker, yet its relevance to cervical cancer (CC) remains unclear. Our prior study demonstrated the Polyalthia longifolia downregulation of miR-484, inhibiting HeLa cells. This study investigates miR-484’s potential as a biomarker and therapeutic target in CC through integrated bioinformatics and an in vitro analysis. Methods: MiR-484 levels were analyzed across cancers, including CC, from The Cancer Genome Atlas. The limma R package identified differentially expressed genes (DEGs) between high- and low-miR-484 CC cohorts. We assessed biological functions, tumor microenvironment (TME), immunotherapy, stemness, hypoxia, RNA methylation, and chemosensitivity differences. Prognostic genes relevant to miR-484 were identified through Cox regression and Kaplan–Meier analyses, and a prognostic model was captured via multivariate Cox regression. Single-cell RNA sequencing determined cell populations related to prognostic genes. qRT-PCR validated key genes, and the miR-484 effect on CC proliferation was assessed via an MTT assay. Results: MiR-484 was upregulated in most tumors, including CC, with DEGs enriched in skin development, PI3K signaling, and immune processes. High miR-484 expression correlated with specific immune cell infiltration, hypoxia, and drug sensitivity. Prognostic genes identified were predominantly epidermal and stratified patients with CC into risk groups, with the low-risk group showing enhanced survival and immunotherapeutic responses. qRT-PCR confirmed FGFR3 upregulation in CC cells, and an miR-484 mimic reversed the P. longifolia inhibitory effect on HeLa proliferation. Conclusion: MiR-484 plays a crucial role in the CC progression and prognosis, suggesting its potential as a biomarker for targeted therapy. Full article

This study focuses on addressing the challenges associated with doxorubicin (DOX), an anthracycline chemotherapeutic widely used in cancer treatment. Despite its efficacy, DOX is linked to severe side effects that limit its clinical applications. Novel pharmaceutical formulations aim to mitigate these issues, providing better safety profiles. The development of these formulations requires analytical methods that can accurately and quickly quantify DOX. A cost-effective and portable electrochemical sensor for DOX detection was developed utilizing in-house printed carbon electrodes decorated with gold nanoparticles. DOX was detected using differential pulse voltammetry. The sensor demonstrated an accurate quantification of DOX from novel pharmaceutical formulations and serum, presenting a dynamic range of 1 to 500 μg/mL and a low detection limit of 0.3 μg/mL. The method, successfully applied to characterize DOX-loaded nanosomes, offers a valuable alternative in the early stages of formulation development, reducing costs and saving time, while maintaining accuracy. Full article

Heart failure (HF) is a growing issue in developed countries; it is often the result of underlying processes such as ischemia, hypertension, infiltrative diseases or even genetic abnormalities. The great majority of the affected patients present a reduced ejection fraction (≤40%), thereby falling under the name of “heart failure with reduced ejection fraction” (HFrEF). This condition represents a major threat for patients: it significantly affects life quality and carries an enormous burden on the whole healthcare system due to its high management costs. In the last decade, new medical treatments and devices have been developed in order to reduce HF hospitalizations and improve prognosis while reducing the overall mortality rate. Pharmacological therapy has significantly changed our perspective of this disease thanks to its ability of restoring ventricular function and reducing symptom severity, even in some dramatic contexts with an extensively diseased myocardium. Notably, medical therapy can sometimes be ineffective, and a tailored integration with device technologies is of pivotal importance. Not by chance, in recent years, cardiac implantable devices witnessed a significant improvement, thereby providing an irreplaceable resource for the management of HF. Some devices have the ability of assessing (CardioMEMS) or treating (ultrafiltration) fluid retention, while others recognize and treat life-threatening arrhythmias, even for a limited time frame (wearable cardioverter defibrillator). The present review article gives a comprehensive overview of the most recent and important findings that need to be considered in patients affected by HFrEF. Both novel medical treatments and devices are presented and discussed. Full article