When we grow old, we experience loss of muscle strength and power, a condition commonly referred to as sarcopenia (ICD-10-CM code (M62.84)). Sarcopenia leads to disability in 5-10% of the population. In this review we emphasise that it is not a sudden event, but a deterioration that occurs over time but is only recognised as a disease when it becomes clinically manifest in the 6th-7th decade of life. Evidence from animal studies, elite athletes and longitudinal population studies all confers that once sarcopenia is manifested, the underlying process has been ongoing for decades. We present various hypotheses about the underlying cause(s) of this process and their supporting evidence, i.e. does this disease have a neurogenic, a myogenic or a scaffold-related origin? We briefly review various proposals to alleviate sarcopenia, including stem cell rejuvenation, combating scaffold degeneration, reducing senescent cell burden, skeletal muscle secretomes and muscle innervation. We conclude that although there are potential target candidates and ongoing preclinical and clinical trials with drug treatments, the only evidence-based intervention today is exercise. We present different execrcise programmes and discuss to what extent the inter-individual susceptibility to developing sarcopenia is due to our genetic predisposition or lifestyle factors.

This paper introduces a systematic approach to the design of Direct Current-to-Digital Converter (DCDC) specifically engineered to overcome the limitations of traditional current measurement methodologies in System-on-Chip (SoC) designs. The proposed DCDC addresses critical challenges such as high power consumption, large area requirements, and the need for intermediate analog signals. By incorporating a current mirror in a cascode topology and managing the current across multiple binary-sized branches with the Successive Approximation Register (SAR) logic, the design achieves precise current measurement. A simple comparator, coupled with an isolation circuit, ensures accurate and reliable sensing. Fabricated using the TSMC 180 nm process, the DCDC achieves 8-bit precision without the need for nonlinearity calibration, showcasing remarkable energy efficiency with an energy per conversion of 1.52 pJ, power consumption of 117 µW, and a compact area of 0.016 mm². This innovative approach not only reduces power consumption and area, but also provides a scalable and efficient solution for next-generation semiconductor technologies. The ability to conduct online measurements during both standard operations and in-field conditions significantly enhances the performance and reliability of SoCs, making this DCDC a promising advancement in the field.

Extreme Ultraviolet (EUV) photolithography process, is a cornerstone of semiconductor manufacturing and operates under demanding precision standards realized via nanometer-level overlay (OVL) error modeling. This procedure allows the machine to anticipate and correct OVL errors before impacting the wafer, thereby facilitating near-optimal image exposure while simultaneously minimizing the overall OVL error. Such models are usually high dimensional and exhibit rigorous statistical phenomena such as collinearities that play a crucial role in the process of tuning their parameters. Ordinary Least Squares (OLS) is the most widely used method for parameters tuning of Overlay models but in most cases it fails to compensate for such phenomena. In this paper we propose the usage of Ridge Regression, a widely known Machine Learning (ML) algorithm especially suitable for datasets that exhibit high multicollinearity. The proposed method has been applied in perturbed data from a 300 mm wafer fab and the results show reduced residuals when ridge regression is applied instead of OLS.

This paper intoduces a non-standard research technique to clarify how complex phenomena, such as those that are abundantly present in human physiology, can be faithfully described using fractal dynamical models with and without stochastic forces. This method for conducting research involves tracing the his- torical evolution of understaning an empirical medical process faciltated by the fractal calculus perspective. Herein we trace the analysis of the time series for heart rate varability (HRV) developed for diagnosing the cardiovascular health of a patient. This is done herein by introducing four (one empirical which en- tails three theoretical fractal models) distinct but related fractal models each one introduced to solve a particular problem arising from a fundamental defect in the previous model but in generalizing a model at one stage to resolve the problem associated with the defect another is invariably introduced by the re- placement model. It is through the utilization of the fractional calculus that the necessity for rethinking how to systematically incorporate additonal layers of complexity are revealed ultimately resulting in a 'complete' description of its empirical dynamics in fractal terms.

Respiratory infections with RSV account for an important part of hospital admissions for acute respiratory infections. Nirsevimab has been developed to reduce the hospital burden RSV (respiratory syncytial virus) infections: Compared with the product previously used, it has a stronger binding capacity to RSV F protein and a high affinity for FcRn (neonatal receptor for the Fc fragment of IgG), which extends its lifespan. Nirsevimab has been shown to be highly effective in reducing hospitalization rates for RSV infections but a large or unknown number of treated subjects have been excluded in clinical and post-marketing studies. However, analysis of these studies cannot exclude that in rare cases, nirsevimab facilitates and worsens RSV infection (or other respiratory infections). This could be attributable to ADE (antibody-dependent-enhancement) which has been observed with RSV F-protein antibodies in inactivated vaccine trials. This risk has been incompletely assessed in preclinical and clinical trials (incomplete exploration of nirsevimab effector functions and pharmacokinetics). ADE by disruption of the immune system (not studied and due to FcRn binding) could explain there is no reduction in all-cause hospital admissions in treated age groups. Given the high price of nirsevimab, the cost-effectiveness of mass immunization campaigns may therefore be debated from an economic as well as a scientific point of view.

With the development of economy, maritime transportation has increased rapidly, which has had a significant impact on the marine environment and resources. In recent years, Synthetic Aperture Radar (SAR) has been widely used to observe maritime environmental incident. Through the large coverage area of SAR, marine environmental emergencies, especially oil pollution, can be better monitored and responded to. This study first proposed an improved Full-scale Aggregated MobileUNet (FA-MobileUNet) model to achieve more complete detection results of oil spill areas. The convolutional block attention module (CBAM) in FA-MobileUNet was modified based on morphological concepts. By introducing the morphological attention module (MAM), the improved FA-MobileUNet model can reduce the fragments and holes in the detection results, providing complete oil spill areas which were more suitable for describing the location and scope of oil pollution incidents. In addition, to overcome the inherent category imbalance of the dataset, label smoothing was applied in model training to reduce the model’s overconfidence in majority class samples while improving the model’s generalization ability. The detection performance of the improved FA-MobileUNet model reached 84.55% mIoU (mean Intersection over Union), which was 17.15% higher than that of the original U-Net model. The improved FA-MobileUNet model was then examined by some oil pollution incidents. According to the detection results, if the oil spill was suspected to be caused by a ship, the corresponding Automatic Identification System (AIS) data were collected based on the acquisition time and geo-location of the SAR image to search for the ship suspected of causing oil pollution. Finally, some oil pollution incidents in Taiwan marine area were collected to verify the effectiveness of the proposed model for marine oil pollution monitoring. Experimental results showed that the extent of the detected oil spill was consistent with the oil pollution area recorded in the incident reports.

This study focuses on evaluating and improving the effectiveness of village fund management in Merauke Regency, South Papua. Village fund management faces unique challenges due to the region's geographical and socio-economic conditions. Organizational behavior transformation is critical, particularly in addressing weaknesses in organizational structure, communication, work culture, and monitoring systems, to achieve sustainable development outcomes. A qualitative case study approach was employed, with data collected through in-depth interviews, participant observation, and document analysis between May and August 2024. Merauke Regency was selected for its diversity in management practices. Thematic analysis and triangulation techniques were used to ensure the reliability and validity of findings. The findings reveal that transforming the organizational structure from hierarchical to flexible team-based models, improving communication, and fostering a positive work culture significantly enhanced village fund management. These changes led to better coordination, responsiveness, efficiency, and transparency. Increased community participation and strengthened monitoring and evaluation also contributed to more effective development outcomes.This study provides practical recommendations for policymakers to design more sustainable and inclusive village fund management strategies. Data-driven and participatory approaches are crucial for maximizing development impacts and ensuring socio-economic benefits at the village level.

This paper introduces the self-supervised pretext task of rare visual token enhancement: given an image, the model is trained to push the rarest visual tokens far from all the others. This pretext task slightly-but-consistently improves baseline performances for both registration and few-shot change detection on OSCD, LEVIR-CD and S2looking.

Bearing fault diagnosis is crucial for ensuring the stable operation of mechanical equipment. With the continuous development of deep learning technology, Convolutional Neural Networks (CNNs) have demonstrated significant advantages in the field of fault diagnosis. This paper proposes a new method that combines various CNN architectures to improve the accuracy of bearing fault diagnosis. We designed five different convolutional network structures, including SerConv, ResConv, One-Shot Aggregation Convolution (OSAConv), Cross-Stage Aggregation Convolution (CSAConv), and MD-DAConv. Experimental results on the Case Western Reserve University (CWRU) bearing dataset show that the proposed method exhibits high accuracy and robustness in fault diagnosis. The results indicate that strategies such as multi-directional, multi-scale, and residual connections play a crucial role in enhancing the depth and breadth of feature extraction, while simple and effective feature fusion and information transmission mechanisms are key to ensuring the robustness and generalization ability of the model.

Social responsibility is imperative for its important function in the growth of societies and organizations. However, the research on corporate social responsibility (OSR) has predominantly focused on the actions of organizations. Not much has been discussed regarding the employee's behaviours in promoting the development of social responsibility within organizations. CI is known for its significant role in the organization's various outcomes, Although a conceptualization and some empirical support have been provided for its relationship with the behaviour of employees, However, the effect of CI on employee socially responsible behaviours has not yet been investigated. In this article, following OC and OI theories, we improve the research model which can describe mechanisms underpinning through which CI, OI and POS support actions for employees' social responsibility. Data was collected from members of service professionals in Saudi Arabia and examined using Structural Equation Modeling- Partial Least Squares. The findings indicated that CI actions and activities develop the skills that motivate employees to support social responsibility inside and outside the organization. Moreover, our research paper explained the mechanism under which CI activities reshape employees' socially responsible manners. The current study is among the first to look at how to modify the socially responsible behaviour of employees across organizations, which can be a starting point for transforming those employees into a sustainable society.

The P versus NP problem is a fundamental question in computer science. It asks whether problems whose solutions can be quickly verified can also be quickly solved. Here, "quickly" refers to computational time that grows proportionally to the size of the input (polynomial time). While the problem's roots trace back to a 1955 letter from John Nash, its formalization is attributed to Stephen Cook and Leonid Levin. Despite extensive research, a definitive answer remains elusive. Closely tied to this is the concept of NP-completeness. If a single NP-complete problem could be solved efficiently, it would imply that all problems in NP can be solved efficiently, proving that P equals NP. This work posits that MONOTONE ONE-IN-THREE 3SAT, a notoriously difficult NP-complete problem, can be solved efficiently, thereby establishing the equivalence of P and NP.

Background/Objectives: Chemerin, which is a multifunctional cytokine and adipokine, has been implicated in inflammatory and metabolic processes and might play a role in upper gastrointes-tinal (GI) malignancies, particularly gastric and esophageal cancer. The aim of this review is to explore the role of chemerin in the pathophysiology of upper GI cancers, as well as its potential as a biomarker for early detection and as a therapeutic target. Methods: A comprehensive review of recent studies about chemerin's biochemical properties and interaction with its receptors, as well as its effects on inflammatory responses, immune regulation and metabolic processes was con-ducted. Clinical implications of chemerin on gastric and esophageal cancer were analyzed, whereas the potential therapeutic strategies targeting chemerin were discussed. Results: Elevated chemerin levels are associated with poor prognosis in gastric cancer and promote invasiveness and metastasis in esophageal cancer. Chemerin receptor antagonists show promising results in inhibiting cancer cell migration, invasion and progression. Conclusions: Chemerin could repre-sent a valuable prognostic biomarker and therapeutic target for upper GI cancers. Future observa-tional studies should validate its clinical applications and investigate the efficacy of chemerin in-hibitors as potential therapeutic targets.

In the context of armed conflicts, regions often face infrastructure destruction and economic difficulties. The development of tourism can be a key factor in recovery and economic growth. Geospatial platforms for interactive charitable tourism offer a promising solution for attracting tourists and stimulating the development of affected regions. The aim of this study is to assess the effectiveness of geospatial platforms for interactive charitable tourism as a tool for attracting tourists and promoting the recovery and development of regions affected by armed conflicts. The study employed regression and correlation analysis methods. The analysis revealed significant positive correlations for all variables. The correlation coefficient for audience reach was 0.75, for the effectiveness of attracting donations - 0.8, for the economic impact on the region - 0.9, for user interaction with the platform - 0.85, for platform sustainability - 0.78, and for social impact - 0.92. The t-statistic values exceeded the critical thresholds, and the p-values were below 0.05, confirming the statistical significance of the results. The coefficient of determination was 0.91, indicating a high explanatory power of the model. For the four obtained clusters, approaches to the development and use of geospatial platforms were justified. For regions of cluster 1 with high audience reach (0.75) and moderate effectiveness of attracting donations (0.8), it is recommended to use technologies to improve connectivity and effectively promote their strengths. For regions of cluster 2 with high sustainability and high tourism potential (high social impact = 0.92), it is necessary to include advanced geospatial solutions to increase visitor engagement and optimize recovery strategies, building on existing strengths to attract more tourists and stimulate sustainable development. For regions of cluster 3, significant investments are required both in geospatial platforms and in tourism infrastructure to benefit from high tourism potential (economic impact on the region = 0.9). Strategic development and targeted marketing should be a priority to attract tourists and stimulate economic growth. For regions of cluster 4 with low sustainability and tourism potential (low user interaction with the platform = 0.85 and platform sustainability = 0.78) require comprehensive support, as they are in a crisis situation.

T-cell redirecting therapies, which include chimeric antigen receptor T-cells (CAR-T) and bispecific antibodies (BSAs), have revolutionized the treatment of relapsed\refractory large B-cell lymphoma (LBCL). Expanding clinical experience with these advanced therapies shows the potential for optimization of their use with combination or consolidation strategies, which necessitates prognostic stratification of patients. While traditional clinical prognostic factors identified in the era of chemotherapy are characterized by limited value, the tumor microenvironment (TME) is becoming a new prognostic cluster. We examine how the heterogeneity of LBCL, characterized by variations in tumor parameters and differences in TME immune cell composition, immune checkpoint expression, and cytokine milieu, correlates with both positive responses and resistance to treatment. While classical parameters such as histological subtype, cell of origin, and target antigen expression lack proven prognostic value for T-cell redirecting therapies, the density and functional state of tumor-infiltrating lymphocytes, tumor-associated macrophages, and immune checkpoint molecules are shown to be critical determinants of therapeutic success, particularly in CAR-T therapy. We identify several gaps in current knowledge and suggest that insights gained from CAR-T experience could be instrumental in refining BSA applications. This report also highlights limitations in current knowledge, as TME data derive from a limited number of registrational trials with varying methodologies, complicating cross-study comparisons and often focusing on immediate response metrics rather than long-term outcomes. By dissecting the complex interactions within the TME, this review aims to identify new prognostic factors and targets, ultimately fostering more effective and tailored treatment strategies for LBCL patients.

In the dynamic realm of agribusiness construction, firms are striving to bolster their operational efficiency and profitability amidst the global shift from traditional farming to commercial agriculture. This transition has intensified the demand for sophisticated infrastructure development, presenting new challenges for commercial managers. A critical hurdle is the accurate estimation of profitability for prospective contracts, a task often reliant on intuition rather than data-driven methods. To address this, we propose the development of a mathematical model utilising machine learning techniques to predict contract profitability and identify influential factors. This model aims to aid in bid decision-making, financial forecasting, and enhancing competitiveness in the marketplace. Furthermore, it would provide valuable insights into how altering specific contract attributes might affect predicted profitability. The implementation of such a system necessitates close collaboration between IT professionals and construction executives. This study delineates the development of this predictive model, outlining the data analysis process and the application of machine learning algorithms to tackle this complex commercial challenge. The ultimate goal is to bridge the gap between intuitive estimation and data-driven prediction, thereby enhancing the financial performance and strategic decision-making capabilities of firms in the agribusiness construction sector.

Global demand for food shows an increasing trend, which implies that volumes of food waste also increase. These wastes contain bioactive compounds that are not properly utilized or valorized. It was reported that ginger waste contains phenolic compounds with high antioxidant activity. Thus, this study aimed to evaluate the effect of temperature, time, and particle size on the total phenolic content (TPC) and antioxidant activity (AA) of ginger (Zingiber officinale R.) waste aqueous extract using the Pressurized Liquid Extraction (PLE) method with water as the sole solvent. Box-Behnken design was used. The sample was 1.60 kg of dried ginger peel powder. Data analysis was performed with Minitab ® 19.1 (64-bit). TPC ranged from 10.42 to 14.1 mg GAE/g, and AA (DPPH method) ranged from 72.9 to 111.9 μmol TE/g. The model explained 81.07% of AA’s total variability. Positive correlation was found between TPC and AA (Pearson's ρ = 0.58, p < 0.05). Response optimization values were 126 °C and 38 min. Temperature was a significant factor (p < 0.05) influencing AA, while time and particle size were not significant. Higher temperatures, longer extraction times and smaller particle sizes increase TPC and AA of the ginger waste aqueous extract.

The effective macroscopic model describing interactions of a viscous compressible heat-conducting fluid and a two-level fine bristly thermoelastic structure is derived from microstructure by means of the Allaire–Briane multi-scale convergence method. This new model naturally generalizes the isothermal formulation earlier constructed by the authors in 2020, see in Siberian Electronic Mathematical Reports, vol. 17 (https://doi.org/10.33048/semi.2020.17.100). In applications, the established model can be used, for example, in description, with account of heat transfer phenomemon, of airflow near surface of plant’s leaf, in simulation of epithelium surfaces of blood vessels, and in design of biotechnological devices operating in liquids.

There have been multiple technological advancements that promise to gradually enable devices to measure and record signals with high resolution and accuracy in the domain of Brain Computer Interfaces (BCI). Multi-modal BCIs have been able to gain significant traction given the potential to enhance signal processing by integrating different recording modalities. In this review, we explore the integration of multiple neuroimaging and neurophysiological modalities including Electroencephalography (EEG), Magnetoencephalography (MEG), Functional Magnetic Resonance Imaging (fMRI), Electrocorticography (ECoG), and Single-Unit Activity (SUA). This multimodal approach leverages the high temporal resolution of EEG and MEG with the spatial precision of fMRI, the invasive yet precise nature of ECoG, and the single-neuron specificity provided by SUA. The paper highlights the advantages of integrating multiple modalities, such as increased accuracy and reliability, and discusses the challenges and limitations of multimodal integration. Furthermore, we explain the data acquisition approaches for each of these modalities. We also demonstrate various software programs that help in extracting, cleaning, and refining the data. We conclude this paper with discussion on the available literature highlighting recent advances, challenges, and future directions for each of these modalities.

This paper presents the analysis of four error models that can appear in the field of adaptive systems, where adaptive laws for parameter estimation are represented as fractional order differential equations whose order can switch between an order within the range (0,1) and 1. These switched adaptive laws have been proposed in the past few years to improve the balance between control energy and system performance, which is often a challenge when using traditional integer-order or fractional-order adaptive laws in adaptive identification and control. Boundedness of the solutions is proved for all cases, together with the convergence to zero of the estimation/tracking error. Additionally, sufficient conditions for parameter convergence are presented, showing that the excitation condition required for parameter convergence in the vector case is also sufficient for parameter estimation in the matrix case.

Hepatocellular carcinoma (HCC) is a liver cancer that originates from hepatocytes. It is a primary health issue and one of the most common malignant tumors. The US FDA approved Sorafenib as the first-line anti-cancer drug for advanced HCC patients. A few patients with advanced HCC may benefit from Sorafenib treatment, but most of the patients eventually develop resistance to Sorafenib, which leads to its poor prognosis. Long-noncoding RNAs (lncRNA) have been found to play a critical role in tumorigenesis and the development of HCC, as well as various cancers. It also plays a vital role in tumor drug resistance, while the mechanisms of LncRNAs in HCC sorafenib resistance have not been characterized yet. In this review article, we summarized the molecular mechanisms, such as the involvement of transporters, receptors, cell death regulation, and other factors impacting sorafenib resistance in HCC.

In a follow-up to Tenenbaum et al.’s (2024) study we explored differences in momentum shift between regular season and playoff matchups, considering home vs. away games and score at the time of the technical foul call (leading or trailing). Analyzing 4,196 cases of technical fouls (TFs) against coaches from 2000-2021 (3,950 in the regular season, 246 in playoffs), logistic regression revealed a significant (p < .03) season by location interaction showing that in the regular season, home games TFs resulted in a 44%-win rate versus 28% in away games. In the playoffs, this changed to 50% at home and 23% away. The findings provide insights and practical considerations for the TF-momentum shift phenomenon.

The integration of digital technologies in managing technical and design information is trans-forming the fields of architecture and construction. This article presents a website developed to compile detailed information on the construction processes of buildings at Pontificia Universidad Javeriana (PUJ) campus. The site offers comprehensive construction records and interviews with designers, engineers and other professionals who collaborated to align design approaches with technical construction requirements. A chronological record of the construction processes was maintained, from inception to completion of the buildings. Digital tools include interactive modules that facilitate access and data updates, improving coordination and efficiency for man-aging future projects. Gamification elements and social media dissemination boost user engage-ment. The study also assesses the impact of the website on the university community, analyzing usability and user (N=235), among students, teachers, and staff members. Findings indicate that digital technologies optimize construction processes and improve the management of technical and design information, and reveal opportunities for future projects and research, benefiting both internal and external stakeholders.

Heusler compounds and alloys represent a rapidly expanding family of materials that exhibit novel properties of significant interest for advanced technological applications. Electronic band structure calculations play a pivotal role in advancing research in this area. In a recent publication [Özdoğan, K.; Galanakis, I. . Crystals 2024, 14, 693], we explored the properties of a new class of Heusler compounds based on Li, referred to as "p0-d Semi-Heusler Compounds." In this study, we take the research a step further by focusing on "d0-d Semi-Heusler Compounds," with the chemical formula KZ(Ga, Ge, As, or Se), where Z represents a transition metal. Our investigation centers on the structural, electronic, and magnetic properties of these compounds, particularly in relation to the three possible C1b structures. Most of these compounds are found to be magnetic and, notably, several among them exhibit half-metallicity making them appealing for applications in spintronics. Our findings provide a foundation for future experimental research on these materials.

Freeze drying (FD) is a technique used to preserve the bioactive content and flavor of samples. Foods with a short shelf life due to nature have been preserved by FD in recent years. The success of the drying technique is thanks to the high retention ability of the bioactive compounds and the flavor of the sample. However, the high cost and energy consumption of the FD limit its usage in several fields. Freezing, primary drying, and secondary drying, which take place in the same device, are the stages of the FD. In addition, several parameters, including pretreatment, size, temperature, sample species, time, and pressure, affect the FD process. These parameters are controlled to increase the effectiveness of the FD on the samples. Moreover, FD was compared with other drying techniques including hot-air drying, microwave drying, vacuum drying, and solar drying to determine its protective capability. It has also been applied to the valorization of waste products, which is a common problem worldwide. For valorization, microencapsulation and powder production have been achieved by FD. In recent years, studies on the effects and use of the FD on various materials increased, providing new aspects for the future of science and food industry.

Chronic inflammation alters lipoprotein metabolism and causes changes in serum concentrations of lipids, C-reactive protein (CRP), and paraoxonase-1 activity (PON-1), an enzyme, which in the gastrointestinal tract may act as a local detoxifier, antioxidant, and immunomodulator. However, unlike in people with inflammatory bowel disease, scarce information is available in dogs with protein-losing enteropathy secondary to chronic inflammatory enteropathy (iPLE). The first aim was to describe and compare the lipid profile, CRP concentrations and PON-1 activity in healthy dogs and in dogs with iPLE. The second aim was to evaluate correlations among clinicopathological, histologic data, and lipid profiles in dogs with iPLE. Serum samples from 51 iPLE and 40 healthy dogs were used to study albumin, total protein, CRP, PON-1 activity, cholesterol, triglycerides, and lipoprotein classes obtained by electrophoretic separation. There was a significant difference of all serum analytes between iPLE and healthy dogs. Significant correlations between the lipid profile and the existing chronic enteropathy activity index were not found. Some lipoprotein classes correlated with CRP and PON-1. Triglycerides were significantly higher in dogs with both inflammation and lymphangiectasia. Lipoproteins, CRP and PON-1 activity are altered in dogs with iPLE. Results need to be confirmed in further studies.

Digital gait monitoring is increasingly used to assess locomotion and fall risk. The aim of this work is analyzing the changes in the foot-floor contact sequences of Parkinson’s Disease (PD) patients in the year following the implant for deep brain stimulation (DBS). During their best-ON condition, 30 PD patients underwent gait analysis at baseline (T0), at 3 months (T1), and 12 months (T2) after the DBS neurosurgery for bilateral high-frequency subthalamic nucleus stimulation. Thirty age-matched controls underwent gait analysis once. Each subject was equipped with bilateral foot-switches and a 5-minute walk was recorded, including both straight-line and turnings. The walking speed, turning time, stride time variability, percentage of atypical gait cycles, stance, swing, and double support duration were estimated. Overall, the gait performance of PD patients improved after DBS, as also confirmed by the decrease in the UPDRS-III score from 19.4±1.8 to 10.2±1.0 points (T0 vs. T2) (p < 0.001). In particular, the percentage change of atypical gait cycles of PD more affected side decreased at T1 (Straigh-line: -72%; Turnings: -43%) and at T2 (Straigh-line: -54%; Turnings: -20%). The percentage of atypical gait cycles proved an informative digital biomarker for quantifying PD gait changes after DBS, both in straight-line paths and turnings.

Search for the new non-invasive methods of investigating the functioning of human internal organs is an urgent task. One of these methods for assessing the functioning of the human res-piratory system is electromagnetic sensing, based on a significant difference in the dielectric permittivity of muscle tissue and air. During breathing, when the lungs are filled with air, the dielectric permittivity of the lungs decreases, which leads to a change in the level of the elec-tromagnetic signal passing through the body. Results of experiments on recording changes in the level of electromagnetic radiation passing through the human body, performed on an experimental device consisting of eight transmitting and receiving antennas located on opposite sides of the chest have been presented in the article. The possibility of visualizing the measured “pulmonograms” in the form of dynamic two-dimensional images showing the process of filling various parts of the lungs with air has been demonstrated.

Background/Objectives: Habituation and sensitization are opposite phenomena that play a role in the pathophysiology of episodic migraine and its progression to chronic migraine (CM). There have been just a few studies that have investigated these phenomena in patients with medication overuse headache (MOH) in comparison to those with chronic migraine (CM) and healthy controls (HCs), and the findings have been inconsistent. Methods: We measured and examined visual evoked potentials (VEPs) in 81 patients with MOH and 24 patients with CM, as well as 24 HCs. The VEPs were used to assess sensitization by analyzing the amplitude of the first block (100 sweeps), and to evaluate habituation by measuring the amplitude response decrement after 6 blocks. We further examined patients diagnosed with MOH based on their acute medication type and after a 3-week acute medication withdrawal program. Results: There were no significant differences between groups in terms of the first N1-P1 VEP amplitude block and its habituation. It was found that patients with MOH had a greater drop in the amplitude of the VEP P1-N2 complex after repeated stimulation than patients with CM or HC. The VEPs parameters showed no significant differences based on the specific overused drug and after a 3-week acute medication off. Conclusions: We propose that the results obtained in patients with MOH indicate an abnormal activation of inhibitory circuits in the parieto-occipital region in response to repeated modulatory stimuli.

Aim: This study aims to analyze the structure of the co-authorship network in Budd-Chiari syndrome (BCS) research from 2000 to 2023 using data from the Web of Science (WoS) Core Collection. The objective is to identify key researchers, evaluate the collaborative dynamics, and understand the evolution of scientific contributions in this field. Method: This study utilized network analysis techniques to evaluate 2,877 publications related to BCS research indexed in the WoS Core Collection between 2000 and 2023. The analysis was conducted using Python (Version 3.10.5) in the PyCharm development environment (Software Version 2022.1.3). The co-authorship networks were assessed using macro-level indicators such as network density (the ratio of actual to possible connections), clustering coefficient (degree of node clustering), number of components (distinct connected subgroups), and average path length (average distance between nodes). Micro-level indicators including degree centrality (importance based on the number of connections), closeness centrality (proximity to other nodes), and betweenness centrality (frequency of a node on the shortest paths between others) were also analyzed.Result: The results revealed a highly fragmented network structure in the early years (2000-2009), characterized by low network density (0.0017) and a large number of disconnected components (533). Key researchers such as Aurelie Plessier and Dominique Valla emerged as central figures in terms of degree and closeness centrality. In the 2010-2019 period, the network showed slight improvements, with density decreasing to 0.0016 but an increase in the number of components to 645, indicating persistent fragmentation. From 2020 to 2023, the network demonstrated increased cohesiveness with a density of 0.0032 and a reduction in components to 376. Influential researchers in the final period included Virginia Hernandez-Gea and Valerie Paradis, who played pivotal roles in connecting disparate research clusters.Conclusion: The co-authorship network analysis of BCS research over the past two decades highlights a gradual yet incomplete evolution towards greater collaboration and integration among researchers. While the network's cohesiveness has improved, significant fragmentation remains, suggesting that further efforts are needed to enhance global and interdisciplinary collaboration. Addressing these challenges is crucial for fostering a more connected and productive research community that can advance the understanding and management of BCS.

Using the data of China's A-share non-financial listed enterprises from 2015 to 2022 as a sample, this study empirically tests the impact of ESG rating disagreement on corporate debt financing cost. The results show that ESG rating disagreement significantly increases the debt financing costs of enterprises, and this result still holds after a series of robustness tests such as replacing the dependent and independent variables and PSM approach. Meanwhile, the heterogeneity analysis reveals that non-state-owned enterprises and enterprises in non-heavily polluting industries are more sensitive to ESG ratings disagreement. In addition, mechanism analysis shows that corporate financing constraints mediate the relationship between ESG rating disagreements and debt financing costs. The findings of this study provide important evidence for understanding the impact of ESG rating disagreement on the costs of debt financing, enrich the meaning of ESG rating disagreement, and reveal the significance of unifying ESG rating standards.

Background: Handheld cameras may increase access to teleretinal diabetic retinopathy screenings (TDRS), as they are more economical and nimbler than traditional desktop cameras. However, their use in safety-net clinical settings is less understood. Methods: The Los Angeles County Department of Public Health collaborated with the Los Angeles County Department of Health Services (DHS) to pilot the use of handheld cameras in DHS’s TDRS program. This study assessed screening metrics and interviewed TDRS coordinators and photographers about their experiences using these cameras. Results: Handheld cameras are harder to operate and performed less optimally on key screening metrics (e.g., image quality) compared to desktop cameras. However, this challenge appeared to be linked to the selected model, rather than to all handheld cameras. The adoption of handheld cameras in DHS was aided by their integration into an existing agency infrastructure that already supports the use of desktop cameras; these operational supports include an established workflow, a data platform, and experienced photographers. Conclusions: The use of handheld cameras for TDRS is a promising practice for assuring equitable access to screenings. Handheld cameras are portable, smaller in size, and lower in cost than desktop cameras. Future projects should invest in and assess the performance of higher-quality models of these cameras, especially their use in safety-net clinical settings.

People with aphantasia exhibit the inability to voluntarily generate or form mental imagery in their minds. Since the term “aphantasia” was proposed by Zeman et al. in 2015 to describe this, it has gained increasing attention from psychiatrists, neuroscientists, and clinicians. Previous studies have mainly focused on definition, prevalence, and measurement, its impacts on individuals’ cognitive and emotional processing, and theoretical frameworks synthesizing existing findings, which have contributed greatly to our understanding of aphantasia. However, there are still some debates regarding the conclusions derived from existing research and the theories that were constructed from various sources of evidence. Building upon existing endeavors, the current systematic review emphasizes that future research is much needed to refine definition and diagnosis of aphantasia, strengthen empirical investigations at behavioral and neural levels, and more importantly, develop or update theories. These multiple lines of efforts could lead to a deeper understanding of aphantasia and further guide researchers in future research directions.

Introduction: Transesophageal echocardiography (TEE) is a vital diagnostic tool in clinical prac-tice, particularly in transcatheter interventions where it aids in both pre-operative planning and intra-operative guidance. Traditional TEE probes often require general anesthesia due to patient discomfort. However, the development of miniaturized TEE probes presents a promising alter-native, enabling routine examinations and interventions with minimal sedation. This study evaluates the feasibility of performing a complete 2D/4D TEE protocol with the new 4D-mini-TEE probe in echocardiography departments and its application in transcatheter interventions. Methods: This prospective, observational study included 30 consecutive patients from two high-volume European hospitals (Interbalkan Medical Center, Thessaloniki, Greece, and Rennes University, France) undergoing TEE or transcatheter interventions. The new 4D-mini-TEE 9VT-D probe (GE Healthcare) was utilized. The quality of the images and the tolerance of the probe were assessed in the Cath lab during interventions and in the echocardiography department during routine TEE examinations. Results: Direct comparison of the 4D-mini-TEE probe with the standard 6VT-D probe, confirmed the excellent image quality of this new pediatric probe. Most of the patients required minimal sedation or local oropharyngeal anesthesia, with satisfactory tolerance reported. Most of the transcatheter procedures did not require general anesthesia and intubation, resulting in shorter procedural time. Both 2D and 4D imaging modalities offered adequate intra-operative guidance for transcatheter procedures. Conclusions: The 4D-mini-TEE probe delivers exceptional imaging capabilities for routine ex-aminations and transcatheter interventions without needing sedation. Its use reduces esophageal trauma and the need for general anesthesia, enhancing patient comfort and safety.

Purpose: Decomposition analysis of forecasting errors relating to time series generated by a 3PL logistics operator for ten distribution channels operated by the logistics operator. Design / methodology / approach: The studies were focused on the analysis of 10 distribution channels operated by the 3PL logistics operator who used a forecasting tool based on a modified ARIMA algorithm to prepare forecasts. In this paper, R environment was used. The studies focused on the visual analysis of forecasting error series, on the analysis of the basic parameters of the error time series distributions, on the analysis of STL decomposition and statistical tests relating to trend and seasonality. Findings: The forecasting error analysis indicates that there are different patterns and characteristics of errors for individual channels. The statistical test results for various channels display significant differences between forecast groups in some cases. This suggests that the forecasting tool can be more accurate for some than for other channels. Research limitations: Logistic operations are usually based on numerous variables which may influence forecast quality. Moreover, the absence of any information on the forecasting models and input data used may prevent complete understanding of error sources. Value of the paper: The studies described in this paper emphasized valuable conclusions which can be drawn from the analysis of time series forecasting errors in the context of logistic operations. The findings indicated the need for an adapted approach to forecasting for each and every channel, the importance of improving the forecasting tool and the potential to optimize the forecast accuracy by focusing on the trend and seasonality. For this reason, the analysis is an important input into the theory and practice relating to demand forecasting by logistics operators in distribution networks. The studies contribute to the works related to demand forecasting by logistics operators.

: Information on the detection of the presence and potential for degradation of synthetic polymers (SPs) under various environmental conditions is of increasing interest and concern to a wide range of specialists. At this stage, there is a need to understand the relationship between the main par-ticipants in the processes of (bio)degradation of SPs in various ecosystems (reservoirs with fresh and sea water, soils, etc.), namely the polymers themselves, the cells of microorganisms (MOs) partici-pating in their degradation, and humic substances (HSs), which constitute a macrocomponent of natural non-living organic matter of aquatic and soil ecosystems, formed and transformed in the processes of mineralization of bioorganic substances in environmental conditions. Analysis of the main mechanisms of their influence on each other and the effects produced that accelerate or inhibit polymer degradation can create the basis for scientifically based approaches to the most effective solution to the problem of degradation of SPs, including in the form of microplastics. This review is aimed at comparing various aspects of interactions of SPs, MOs and HSs in laboratory experiments (in vitro) and environmental investigations (in situ) aimed at the biodegradation of polymers, as well as pollutants (antibiotics and pesticides) that they absorb. Comparative calculations of deg-radation velocity of different SPs in different environments are presented. A special place in the analysis is given to the elemental chemical composition of HSs, which are most successfully in-volved in the biodegradation of SPs. In addition, the role of photooxidation and photoaging of polymers under the influence of the ultraviolet spectrum of solar radiation under environmental conditions on the (bio)degradation of SPs in the presence of HSs is discussed.

The growing emphasis on sustainability and environmental stewardship in the pharmaceutical industry necessitates innovative solutions to manage pharmaceutical waste, particularly medication bottles. This research paper explores the potential of integrating Radio Frequency Identification (RFID) and blockchain technology to enhance the traceability, accountability, and efficiency of recycling empty medication bottles. By utilizing RFID for real-time tracking and blockchain for secure, immutable data storage, this proposed system improves transparency across the supply chain and incentivizes consumer participation in recycling programs. The solution provides benefits to pharmaceutical manufacturers, regulators, and consumers, contributing to sustainability, regulatory compliance, and environmental protection.

This research centres on advancing the utilisation of a novel Deep Ensemble model called RicEns-Net for predicting crop yields through sophisticated multi-modal data engineering. Initially, data for the study were acquired from Ernst \& Young (EY), a prominent global technology and management consulting firm, as part of their annual data science challenge (EY Open Science Challenge 2023). The predictive models leverage multi-modal data by integrating radar and optical-type remote sensing data alongside meteorological data to create supplementary features essential for predicting crop yield. The primary data features are derived from spectral indices extracted from Sentinel 2 satellites, while more advanced features are generated through combinations and interactions of these fundamental features. Furthermore, data from Sentinel 1 and 3, along with meteorological measurements such as surface temperature and rainfall, account for the intricate natural factors influencing crop yield, creating a comprehensive set of data features based on existing research. To tackle the complexity introduced by numerous data features, extensive data engineering was conducted to identify the most predictive features among 100+ and mitigate the "curse of dimensionality," resulting in 15 features from 5 different modalities. The proposed RicEns-Net comprises multiple machine learning algorithms in a deep ensemble approach to leverage the best features of each of these techniques, achieving optimal performance. The proposed model achieves an MAE value of 341 kg/Ha for prediction, surpassing the performance of the EY Open Science Challenge 2023 winner models and state-of-the-art deep/machine learning approaches.

Background/Objectives: Obstructive Sleep Apnoea Syndrome (OSA) in children disrupts standard breathing patterns and sleep architecture, potentially leading to severe consequences. Early identification and intervention for OSA are crucial to prevent these issues. This study explored the relationships between waiting times for polysomnography (PSG), clinical history, age at the time of PSG, and PSG outcomes in children; Methods: Two hundred and fourteen children were prospectively enrolled. Data were extracted from medical records on the age at referral for PSG and at the time of its execution, the waiting time for PSG, diagnosis (primary snoring, mild, moderate, and severe OSA), history of snoring and apnoea, medications taken, surgical interventions, passive smoke exposure, and allergies. The records also included the Pediatric Sleep Questionnaire (PSQ); Results: The mean age at referral for PSG was 5.2 (2.8) years, the waiting time for PSG was 5.2 (5.0) months, and the age at the time of PSG was 5.6 (2.8) years. Children with a shorter history of OSA (≤12 months) underwent PSG at an earlier age (4.9 (2.7) years) compared to those with a more extended history (6.0 (2.7) years; p=0.006). A younger age at referral for PSG was associated with a lower PSQ score (r=0.167; p=0.015), a shorter history of apnoea (r=0.216; p=0.003) and snoring (r=0.187; p=0.023), but also with greater OSA severity, expressed as oxygen desaturation index (r=-0.152; p=0.026). In the correlation analysis, the waiting time for PSG, adjusted for age at referral, was longer in children with a prolonged history of apnoea (r=0.195; p=0.023) and snoring (r=0.259; p=0.002) but with a lower PSQ score (r=-0.172; p=0.045); Conclusions: Some children receive delayed treatment, increasing the risk of long-term complications. In evaluating children with suspected OSA, the duration of symptoms and the PSQ score at referral emerge as crucial factors that should be considered to optimise prioritisation for PSG access.

There is a growing awareness of the detrimental environmental impact of the construction industry, primarily due to the utilization of building materials that necessitate energy-intensive processes for their production. The objective of this paper is to explore whether mixing wood and cement could serve as a viable solution to mitigate this adverse environmental effect. The data was obtained by extensively investigating the Clarivate Web of Science database, adhering to the PRISMA technique guidelines, and subsequently processed using Bibliometrix and VOSviewer software. An in-depth critical analysis of the literature revealed a heightened interest in this subject matter in recent years, with the focal points evolving from initial experimental endeavors aimed at understanding the behavior of the innovative wood cement composites, primarily in terms of their mechanical properties, to assessing their environmental impact and the advantages associated with their use. The researchers suggest that optimal results can be achieved by treating the wood with tetraethyl orthosilicate, incorporating cellulose nanocrystal particles or wollastonite into the mixture, and utilizing wood from the Pinus species. Furthermore, it was discovered that a noticeable improvement in strength is only attainable if a low percentage of wood, up to 30%, when wood ash is employed. Ongoing research concerning wood and cement composites continues to progress, with regular advancements and breakthroughs, thus offering promising prospects for the development of superior and eco-friendly building materials.

The study focused on assessing passenger risks specifically at the platform-train interface (PTI). The primary aim of this investigation is to analyze how various factors, including station design, passenger flow, and weather conditions, impact the frequency and types of incidents occurring at this critical interaction point. To achieve this, the study utilized a comprehensive data analysis approach, examining records from the Valparaiso Metro for the period of 2022-2023. During this timeframe, a total of 361 incidents were documented, providing a substantial dataset for evaluating incident patterns and their correlations with different influencing factors. The analysis revealed that incidents are notably influenced by peak hour conditions and weekdays. Specifically, the study found that crowded conditions inside the train during peak hours, which typically occur in the morning and evening rush periods, contribute significantly to the occurrence of incidents. When examining incidents occurring on the platform, the study identified that these are closely related to the type of station and the presence of stairs for station access. Conversely, stations designed with more accessible features might experience fewer such incidents. Future studies will focus on incorporating additional factors and analysing new data to provide a more comprehensive understanding of incident dynamics.

The study put forward a data fusion approach for urban remote sensing that combines SAR (Synthetic Aperture Radar) and optical satellite data. By integrating datasets from different sensors and spatial-temporal scales, the technique aims to extract more accurate information. The fusion approach utilizes two methods: feature-based fusion, where relevant features are extracted and fused, and simple layer stacking (SLS), where the original datasets are directly stacked as multiple layers. This study extracted features using SAR textures (using Sentinel-1) and modified indices (using Landsat-8), and then classified these features using an XGBoost algorithm implemented in Python and Google Earth Engine. Researchers examined five cities, each representing a distinct climatic zone and urban dynamic: Cape Town, Guangzhou, Los Angeles, Mumbai, and Osaka. An accuracy assessment was conducted using random validation points, achieving an overall accuracy of 89.5% using the proposed MSFI method. A comparison was also performed with three well-known global products. The proposed approach, outperformed all three global products achived 89% accuracy while ESA (84%), ESRI (81%) and Dynamic World (82%). Additionally, Land surface temperature analysis was accomplished to investigate the relationship between extracted UIS and Land Surface Temperature (LST) across selected cities to show the practical use of proposed MSFI method. Los Angeles, a warm temperate city, showed the highest LST among all five cities. The datasets, along with the GEE and Python codes, are available at https://github.com/mnasarahmad/sls.

Background: Several GLP-1 receptor agonists (GLP-1 RAs) are used to treat type 2 diabetes (T2DM). Their cardio- and renal protective effects and substantial weight loss have been evident and progressively expanded their role in the American Diabetes Association (ADA) guidelines, which are endorsed by the European Association for the Study of Diabetes (EASD). The increased demand leads to a global shortage. Methods: We utilized a repeated cross-sectional design, drawing data from national prescribing databases, to analyze six GLP-1 RAs: Dulaglutide, Enatide, Liraglutide, Lisenatide, Semaglutide, and Tirzepatide. AutoRegressive Integrated Moving Average (ARIMA) models with exogenous variables were applied to assess trends over time and regions. Results: The prescription rates significantly differ between regions. Wales shows the highest prescribing for most GLP-1 RAs. The ARIMA models indicated a significant increase in their prescribing after ADA guidelines 2022 (e.g., Dulaglutide: Post-ADA effect of 15.22, 95% CI: [12.97, 17.47]). Following GLP-1 RAs shortages in July 2023, the prescribing rates, particularly for Semaglutide, increased (Shortage effect: 74.36, 95% CI: [71.92, 76.80]). Model diagnostics, including the Akaike Information Criterion (AIC) and Durbin-Watson statistics, confirmed the robustness of these trends. Conclusion: Informed decisions should be made by considering prescribing trends before and after important events such as the issuing of new guidelines or safety alerts.

The purpose of the study is to analyse and to identify specific structural characteristics of melanocytic nevi, to youth pacients. Using the optical microscope, could be possible a proper describtion related melanocytic nevi. In this study play a significant role, different factors, such as genetic, epigenetic, microbiomic and proteomic factors. Future directions refers to preventive and prophylactic methods. Disease diagnostic and management directions are also important key points.

Millet is a staple food in Northern Nigeria, widely used for the preparation of various millet-based dishes. However, traditional processing methods, such as de-husking, can significantly affect the grain's nutritional and antioxidant properties. This study evaluates the antioxidant composition and nutritional value of four millet varieties cultivated in Northern Nigeria, with a particular focus on the impact of de-husking on these parameters. Our analysis encompasses the proximate composition, phytochemical content, antioxidant vitamins, mineral elements, amino acid profile, and antioxidant activities of the millet samples. The findings reveal that all millet varieties contain significant levels of antioxidant compounds, including phenolics, flavonoids, and vitamins, although their concentrations varied due to genetic differences and environmental factors. Notably, in the mineral composition, higher (p

The knowledge in chemical composition of propolis is crucial for understanding the characteristics of products of different origin, but also for quality control and regulatory purposes. To date, offical monographs or official analyses that allow to evaluate propolis in a proper way have not yet been released. This study focuses on the characterization of twenty-seven Italian propolis and the identification of chemical markers that define its geographical provenance. Total polyphenol (TP) and total flavonoid (TF) content, alongside the quantification of pinocembrin, chrysin, galangin, and caffeic acid phenethyl ester (CAPE), were identified as as potential markers. Additionally, DPPH assays was conducted to evaluate antiradicalic activity of propolis samples. Our findings demonstrated that TP, TF and pinocembrin differed in propolis of different origin, especially in samples from the islands. However, the quantification of the sum of chrysin and galangin and CAP provided a clear distinction of the geographical origin of the propolis samples. In contrast, the DPPH assay did not prove useful for this purpose, as most results were similar and, therefore, not significant. This study lays the groundwork for future research on propolis. These findings could contribute to the development of more refined methods for distinguishing propolis origins, enhancing the understanding, valuation and quality control of this natural product in various applications.

A biobased and conductive ink composed of elastomeric vinyl acetate-vinyl laurate copolymer (PVAc-VL) and carbon nanofibers (CNF) has been developed to create stretchable and flexible tactile devices (taxels) for robotics and prosthetics applications. The ink can be sprayed onto elastomeric surfaces (Ecoflex) to produce an electronic skin for applications such as the iCub robot and the Hannes prosthetic hand. Electron microscopy analysis confirms good dispersion of the CNF within the ink, and the ink remains conductive even after 150 mechanical cycles of stretching up to 25% and unloading. Compression tests up to 50% deformation show a small influence on the coating, and stretching cycles allow for rearrangement of the CNF, improving the electrical behaviour due to mechanical energy dissipation. The measured electrical performance exhibits a twofold increase in the R/R0 ratio, succeeded by a rapid decline (recovery), and eventually stabilizes near the initial value, indicating enhanced electronic performance.

The composition simplex (N, P, K, Ca, and Mg) of the leaf is the main scores used by different approaches like the Diagnosis and Recommendation Integrated System and Compositional Nutrient Diagnosis to study the nutrient interactions and balance in plant leaves. However, the application and validation of these concepts to grain composition remains unexplored. Contrary to foliar analysis's early intervention for nutrient deficiency detection and correction, applying this approach to seeds assesses diverse cultivars' potential, enabling anticipation of their adaptation to climate conditions and informed selection for future crops. In the present study, a collected database of more than 924 scores including the grain yield (kg ha-1) and the nutrient composition (mg kg-1) of different corn varieties is used to develop a novel nutrient-based diagnostic approach to identify reliable markers of nutrient imbalance. A 'nutrient signature' model is proposed based on the impact of the environ-mental conditions on the nutrient indices and composition (N, P, K, Ca, and Mg) of the corn grains. The yield threshold used to differentiate between low and high-yielding subpopulations is established at 12.000 kg ha-1and the global nutrient imbalance index (GNII) of 2.2 is determined using the chi-square distribution function and vali-dated by the Cate-Nelson partitioning method, which correlated yield data distribution with the GNII. Therefore, the nutrient compositions were classified into highly balanced (GNII ≤ 1.6), balanced (1.6 < GNII ≤ 2.2), and imbalanced (GNII > 2.2). In addition, we found that the Xgboost model's predictive accuracy for GNII is signif-icantly affected by soil pH, organic matter, and rainfall. These results pave the way for adapted agricultural practices by providing insights into the nutrient dynamics of corn grains under varying environmental conditions.

Inertinite, a product of wildfire, holds important information on global temperature change. The relationship between its reflectance and temperature has been widely used to identify wildfire events in paleo-sedimentary environments, but the currently used equations relating inertinite reflectance and combustion temperature are subject to large errors. Therefore, to clarify the relationship between inertinite reflectance and combustion temperature further, we systematically analyzed the changes in inertinite reflectance under different combustion durations based on literature data. The results confirmed that inertinite reflectance is related to combustion duration. Disregarding combustion duration, the combustion equation is T=267.52+110.19*Ro(R²=0.91), where T is the combustion temperature, Ro% is the measured inertinite reflectance, and R² is the correlation coefficient. Under a combustion duration of 1 hour, the equation is T=273.57+113.89*Ro(R²=0.91), and under a combustion duration longer than 4 hours, the equation is T=232.91+110.6*Ro(R²=0.94). These three equations not only account for the temporal factor but are also more precise than the commonly used formula. This study provides a scientific basis for research on paleo-wildfire.

This research introduces a novel approach to evaluate energy utilization in agribusiness within a cost-based framework, addressing the complexities associated with uncertain input energy content. The study focuses on the agricultural sector in Latin America, with particular emphasis on banana plantations, examining the sector's growing dependence on energy-intensive methods and inputs. We differentiate between technical and allocative efficiency, employing a frontier-based methodology. The analysis encompasses data from 21 state-owned banana plantations in Latin America, revealing significant room for improvement in energy efficiency. Our findings indicate an average Technical Efficiency of 0.69, Allocative Efficiency of 0.91, and overall Energy Efficiency of 0.59, suggesting potential reductions in input and energy consumption of up to 38%. The study underscores the importance of addressing both input mismanagement and misallocation to enhance energy efficiency. While the proposed methodology offers valuable insights for public sector enterprises, particularly in agriculture, further research is necessary to extend this approach to scenarios with uncertain input energy content, potentially incorporating stochastic frontier analysis or fuzzy logic methodologies.

One-third of approximately 10 million deaths due to sepsis in a year are due to acute lung injury, and there is no effective treatment yet. Due to its high phenol content, Punica granatum L. bark extract exhibits high antioxidant activity. Amifostine is a free radical scavenger that converts into active thiol in tissues. This study aimed to investigate the antioxidative and anti-inflammatory effects of 2 different doses of PG peel extract and amifostine in sepsis-related acute lung injury. Fifty rats were randomly allocated into 5 groups. Group 1 served as the control group with no sepsis. The remaining groups 2-5 served as the cecal-ligation-puncture (CLP) groups. Group 3 was administered 200 mg/kg amifostine intraperitoneally (ip) 15 minutes before sepsis induction. Groups 4 and 5 received, respectively, 250 mg/kg and 500 mg/kg PG peel extract by oral gavage 9 days before and 30 minutes after the CLP procedure, with a total of 10 doses. MMP-2 and MMP-9 were investigated by immunohistochemical methods. MMP-2 and MMP-9 concentrations significantly increased in the sepsis group compared to the other 4 groups. This study provides evidence that Amifostine and Punica granatum pericarp benefit lung tissue in a rat model of sepsis induced by cecal-ligation puncture.

.This paper explores the effectiveness of the Non-dominated Sorting Genetic Algorithm III (NSGA-III) and traditional Mean-Variance optimization in financial portfolio management. Using a dataset comprising global financial assets, we applied both methodologies to optimize portfolios based on multiple objectives, including risk, return, skewness, and kurtosis. The findings reveal that NSGA-III outperforms the Mean-Variance method in achieving a more diverse set of Pareto-optimal portfolios. NSGA-III portfolios exhibited superior performance in balancing risk and return, demonstrated by higher Sharpe ratios, more favorable skewness, and lower kurtosis. Additionally, NSGA-III's ability to simultaneously optimize across multiple conflicting objectives highlights its robustness in navigating complex financial landscapes, offering enhanced portfolio resilience. In contrast, the Mean-Variance approach, while effective in achieving balanced risk and return, was limited in addressing higher-order moments of the return distribution. These results underscore NSGA-III's potential as a powerful tool for portfolio optimization, providing a comprehensive alternative to traditional methods in modern financial markets where multiple objectives must be considered.

Background/Objectives: The COVID-19 pandemic reduced in-person pediatric visits in the United States by over 50%, while telehealth visits increased significantly. The national use of telehealth for children and the factors influencing its use have been rarely studied. This study aimed to investigate the prevalence of telehealth use during the COVID-19 pandemic and explore the potential factors linked to its use at the state level. Methods: A cross-sectional study of the National Survey of Children’s Health (2021-22) sponsored by the federal Maternal and Child Health Bureau was performed. We used the least absolute shrinkage and selection operator (LASSO) regression to predict telehealth use during the pandemic. A bar map showing the significant factors from the multivariable regression was created. Results: Of the 101,136 children, 15.25% reported using telehealth visits due to COVID-19, and 3.67% reported using telehealth visits due to other health conditions. The Northeast states showed the highest telehealth use due to COVID-19. In the Midwest and Southern states, children had a lower prevalence of telehealth usage unrelated to COVID-19. The LASSO regressions demonstrated that telehealth usage (due to and not due to) was associated with age, insurance type, household income, usual source of pediatric preventive care, perceived child health, blood disorders, allergy, brain injury, seizure, ADHD, anxiety, depression, and special needs. Conclusions: This study demonstrated significant variability in the use of telehealth among states during the COVID-19 pandemic. Understanding who uses telehealth and why, as well as identifying access barriers, helps maximize telehealth potential and improve healthcare outcomes for all.

While the surface of the Earth plays a key role in weather forecasting through its interaction with the atmosphere, in ensemble numerical weather predictions the uncertainty on the surface is only represented with perturbations in the parameterisations representing the surface processes. Data representing the surface, such as the land cover, are not perturbed. As fully data-driven forecasts without parameterisations are growing in importance, sampling the uncertainty on the land cover data brings a new way of making ensemble forecasts. Our work describes a method of generating ensemble land cover maps for numerical weather prediction. The target land cover map has the ECOCLIMAP-SG labels, used in the SURFEX surface model, and therefore is expected to have all relevant labels for surface-atmosphere interactions. The method translates the ESA WorldCover map to ECOCLIMAP-SG labels and resolution using auto-encoders. The land cover ensemble members are obtained by sampling the land cover probabilities in the output of the neural network. This paper builds upon the work done in a companion paper describing the high-resolution version of ECOCLIMAP-SG, called ECOCLIMAP-SG+, used for the training and evaluation of the neural network. The output map presented here, called ECOCLIMAP-SG-ML, improves upon the ECOCLIMAP-SG map in terms of resolution (from 300~m to 60~m), overall accuracy (from 0.41 to 0.63) and the ability to produce ensemble members.

In this work, we investigate how to obtain the optimal active elements in Hybrid Relay-Reflecting Intelligent Surface (HR-RIS) systems while considering enhancing the sum rate of the communication system in the presence of malevolent eavesdropper. Therefore, when dealing with numerous elements in the HR-RIS, the complicated optimization task of activating and deactivating the active elements of RIS renders typical exhaustive search methods impracticable. Standard techniques, such as alternating optimization, often frequently converge and unfortunately become trapped in local optima, leading to less-than-ideal results. To address these issues, we suggest performing the Jaya algorithm, which modifies its search strategy in response to historical data to find a compromise between investigating novel avenues and taking advantage of well-established answers. Our simulation findings demonstrate that this strategy outperforms the most recent techniques, yielding higher sum rates with the best possible user location and robust security against eavesdropping. It’s interesting to observe that even at lower total power levels, the Jaya algorithm performs incredibly well and efficiently identifies the optimal amount of active elements. This demonstrates how it can decrease interference, increase signal quality, improve Signal-to-Interference-plus-Noise Ratio (SINR), and increase secrecy rates, opening the door for more efficient and secure wireless communication systems.

Invertebrate striated muscle myosin filaments are highly variable in structure. The best characterized myosin filaments are those of insect indirect flight muscle (IFM) in which the flight powering muscles are not attached directly to the wings. Four insect orders, Hemiptera, Diptera, Hymenoptera and Coleoptera, have evolved IFM. IFM thick filaments from the first three orders have highly similar myosin arrangements but differ significantly among the non-myosin proteins. Cryo-electron microscopy of isolated IFM myosin filaments from the Dipteran Drosophila melanogaster described here reveal the coexistence of two distinct filament types. One presenting a tubular backbone like previous work, the other a solid backbone. Inside an annulus of myosin tails, tubular filaments show no noticeable densities; solid filaments show four paired paramyosin densities. Both myosin heads of tubular filaments are disordered; solid filaments have one completely and one partially immobilized head. Tubular filaments have the protein stretchin-klp on their surface; solid filaments do not. Two proteins, flightin and myofilin, are identifiable in all IFM filaments previously determined. In Drosophila, flightin assumes two conformations, compact in solid filaments, and extended in tubular filaments. Nearly identical solid filaments occur in the large water bug Lethocerus indicus, which spends most of its time under water, suggesting solid filaments conserve ATP utilizing the super relaxed state. The solid filaments in Drosophila may function similarly.

The study used the data from emerging markets to examine the impact of restrictive macroprudential policies on income inequality from 2000–2019 using Bayesian panel vector autoregression and Bayesian panel dynamics generalized method of moments models. The chosen models are suitable for addressing multiple entity dynamics, accommodating a wide range of variables, handling dense parameterization, and optimizing formativeness and heterogeneous individualspecific factors. The empirical analysis utilized various macroprudential policy proxies and income inequality measures. The results show that when the central banks tighten systems using macroprudential policy instruments to sticker debt-to-income and financial instruments for lower-income borrowers (the bottom 40% of the income distribution) promote income inequality in these countries while reducing income inequality for high-income borrowers (the high 1 per-cent of the income distribution). The impact loan-to-value ratios were found to be insignificant in these countries. Fiscal policy through government expenditure and economic development reduces income inequality, while money supply and oil price shocks exacerbate it. The study suggests implementing a progressive debt-to-income (DTI) ratio system in emerging markets to ad-dress income inequality among lower-income borrowers. This would adjust DTI thresholds based on income brackets, allowing lenient credit access for lower-income borrowers while stricter limits for higher-income borrowers. This would improve financial stability and reduce income disparities. Additionally, targeted financial literacy programs and a petroleum-linked basic income program could be implemented to distribute oil revenue to lower-income households. Monetary Supply Stabilization Fund could also be established to maintain financial stability and prevent excessive inflation.

Prime numbers are the building blocks of number theory, and their properties have intrigued mathematicians for centuries. In this paper, we explore a specific categorization of primes, which we refer to as "twin primes", “cousin primes” and "sexy primes". We begin by examining the form of prime numbers greater than 7 and analyze their potential to be expressed in terms of $6n + 5$ or $6n + 7$. This investigation leads to the identification of conditions under which prime numbers can form twin, cousin and sexy pairs. We further develop a general framework to characterize the product of all twin (except 15), cousin (except 21) and sexy primes, providing insights into their algebraic structure.

The objective of this study was to compare single-needle arthrocentesis with the conventional two-needle arthrocentesis, as well as, additional intracapsular injection of hyaluronic acid or platelet rich fibrin. 96 patients with established osteoarthritis (OA) (n= 48) or with internal de-arrangement (DD) (n= 48) were assigned for single-needle arthrocentesis with distension of the joint or conventional two-needle arthrocentesis with or without intracapsular injection of the medication (hyaluronic acid- HA or platelet-rich plasma- PRP) performed every month in the period of 6 months. The maximum mouth opening and pain as measured by the visual analog scale (VAS) were compared. Each group exhibited significant improvement: decrease of pain and in-creased mouth opening. Single- puncture technique provided similar pain reduction as two needle approach but provided significantly better results in maximum mouth opening. Reduction of pain was similar when comparing between the OA and DD cohorts, however patients with disc dis-placement reached significantly better mouth opening than OA. Intracapsular application of medication contributed to significant decrease of pain in both HA and PRP groups, with plate-let-rich fibrin being significantly superior in terms of mouth opening increase over HA.

Background: We explored the potential value of serum MUC5AC (sMUC5AC) as a biomarker to guide perioperative management of early-stage pancreatic ductal adenocarcinoma (PDA) patients receiving neoadjuvant therapy (NAT). Methods: We performed enzyme-linked immunoassays using a human MUC5AC kit (NBP2-76703) in serum samples obtained from The Ohio State Uni-versity biorepository (between January 2010 and June 2021). Univariate (UV) and multivariate (MV) Cox regression models were used to quantify progression-free survival (PFS); clinical and pathological variables were adjusted in the MV models. UV logistic regression analysis was utilized to examine the association of sMUC5AC with pathological features and survival. Results: Overall, 23 samples (19 FOLFIRINOX, 3 gemcitabine/nab-paclitaxel, 1 FOLFOX) were available for analysis. The median age was 66 years, and 52% were females. sMUC5AC was associated with a) treatment response, margin status, and residual disease (R0 vs. R1/R2) (all P

Abstract: Emerging risk factors for childhood (

ECOCLIMAP-SG+ is a new 60~m land use land cover dataset, which covers a continental domain, and represents the 33 labels of the original ECOCLIMAP-SG dataset. ECOCLIMAP-SG is used in HARMONIE-AROME, the numerical weather prediction model used operationally by Met Éireann and other national meteorological services. ECOCLIMAP-SG+ was created using an agreement-based method to combine information from many maps to overcome variations in semantic and geographical coverage, resolutions, formats, accuracies, and representative periods. In addition to ECOCLIMAP-SG+, the process generates an agreement score map, which estimates the uncertainty of the land cover labels in ECOCLIMAP-SG+ at each location in the domain. This work presents the first evaluation of ECOCLIMAP-SG and ECOCLIMAP-SG+ against the following trusted land cover maps: LUCAS 2022, the Irish National Land Cover 2018 dataset, and an Icelandic version of ECOCLIMAP-SG. Using a set of primary labels, ECOCLIMAP-SG+ outperforms ECOCLIMAP-SG regarding the F1-score against LUCAS 2022 over Europe and the Irish national land cover 2018 dataset. Similarly, it outperforms ECOCLIMAP-SG against the Icelandic version of ECOCLIMAP-SG for most of the represented secondary labels. The score map shows that the quality ECOCLIMAP-SG+ is hetereogeneous. It could be improved once new maps once they become available but we do not control when they will be available. Therefore, the second-part of this publication series aims at improving the map using machine learning.

Existing scales assessing family relations are usually quite long. Our aim was to develop and validate the Family Functioning and Cohesion Scale (FFCS), a self-reported short instrument consisting of 14 items. The validation of the FFCS was based on its administration through an online platform to 481 subjects living in 46 different countries around the world. Cronbach's alpha was 0.85 (ranging from 0.83 to 0.86 if any one item was deleted), signifying high internal consistency. The scale can be considered as a sole factor based on its high consistency, while factor analysis produced three factors corresponding to “communication”, “anger/resentment/aggression” and “values and beliefs”. Test-retest reliability correlation coefficient was found to be 0.88 at a 2-week interval. As far as external validity is concerned, the correlation coefficient of the FFCS with the General Functioning subscale of the McMaster Family Assessment Device (FAD) was 0.83. The high measures of consistency, reliability, and validity of the FFCS, combined with its short length, make it an invaluable tool for use in research as well as in any professional dealing with families in the clinical fields of psychiatry, psychology, social work or any other relevant specialty.

The dynamic development of robotics is affecting people's lives. Flying robots replace pilots and crews in performing dangerous tasks. There are various designs of the above-mentioned robots such as multi-rotors, fixed-wing aircraft, helicopters, among which wing-in-ground (WIG) units can also be distinguished. WIG vehicles, which utilize ground effect to enhance efficiency and stability, share similarities with UAVs in their control and aerodynamic challenges. The article presented the results of the autopilot test for the NeoX UAV, which have the potential to be utilized in WIG UAVs. The NeoX was developed at the Air Force Institute of Technology as a reconnaissance flying robot and is a tailless mini UAV. It has a characteristic feature which is the flying wing with a small fuselage. The electric engine with the pusher propeller ensures thrust. The tailless airplane has a greater drag-to-lift ratio than a conventional airplane, but this airplane configuration needs a control system that ensures a stable flight. The structure of auto-pilot for the horizontal flight phase (a cruise phase), the climbing, and the descending phase were presented. The authors concentrated on the longitudinal channel of autopilot and showed the recorded results from the flight tests. The research focused on developing autopilot system that could be adapted for use in WIG craft, which operate with similar aerodynamic principles but require unique control adaptations due to their proximity to the water or ground. The findings from the NeoX UAV tests are instru-mental in enhancing the stability and performance of these specialized crafts, ensuring safer and more efficient operation in their respective environments.

This study presents a novel Fe-CNs-P/S carbon composite material, synthesized by doping elements P and S into NH2-MIL-101 (Fe) using carbonization method. The material's application in sustainable water treatment was evaluated, focusing on its effectiveness in activating persulfate for pollutant degradation. The research thoroughly investigates the synthesis process, structural characteristics, and performance in degrading pollutants. Results indicate that Fe-CNs-P/S-5 with 50% P and S co-doping is higher than that of other samples, where the degradation rate of TC in 30min is as high as 98.11% under the optimum conditions, that is temperature at 25 ℃, 0.05 g/L of catalyst concentration, and 0.2 g/L of PMS concentration. The composite material demonstrates robust versatility and stability, maintaining high degradation efficiency across multiple organic pollutants, with no significant reduction in catalytic performance after four cycles. Furthermore, the free radical quenching experiments displays that the singlet oxygen 1O2 is the main active species. It is demonstrated that the doping of P and S play a role in the enhancement of PMS activation over the Fe-CNs-P/S catalyst. This material demonstrates remarkable efficacy in treating a range of organic contaminants and exhibits excellent reusability, presenting a promising approach for enhancing sustainability in water treatment applications.

Small and medium-sized enterprises (SMEs) face unique challenges that can be effectively addressed through the adoption of data mining and business intelligence (BI) tools. This systematic literature review scrutinizes the deployment and efficacy of BI and data mining technologies across SME sectors, assessing their impact on operational efficiency, strategic decision-making, and market competitiveness. Therefore, drawing from a methodologically rigorous analysis of 93 scholarly articles published between 2014 and 2024, the review elucidates the evolving landscape of BI tools and techniques that have shaped SME practices. It reveals that advanced analytics such as predictive modeling and machine learning are increasingly being adopted, though significant gaps remain, particularly shaped by economic factors. The utilization of BI and data mining enhances decision-making processes and enables SMEs to adapt effectively to market dynamics. Despite these advancements, SMEs encounter barriers such as technological complexity, high implementation costs, and substantial skills gaps, impeding effective utilization. Our review, grounded in the analysis of business intelligence tools used indicates that dashboards (31.18%) and clustering techniques (10.75%) are predominantly utilized, highlighting their strategic importance in operational settings. However, a considerable number of studies (66.67%) do not specify the BI tools or data mining techniques employed, pointing to a need for more detailed methodological transparency in future research. The predominant focus on the ICT and manufacturing sectors underscores the industrial context sector specific applicability of these technologies, with ICT accounting for 45.16% and manufacturing 22.58% of the studies. We advocate for targeted educational programs, development of user-friendly and cost-effective BI solutions, and strategic partnerships to facilitate knowledge transfer and technological empowerment in SMEs. Empirical research validating the impacts of BI and data mining on SME performance is crucial, providing a directional pathway for future academic inquiries and policy formulation.

There are currently no effective screening measures to detect early or occult tubo-ovarian cancers resulting in late-stage detection and high mortality. This work explores whether an optical imaging catheter can detect early-stage tubo-ovarian cancers or precursor lesions where they originate in the fallopian tubes. This device collects co-registered optical coherence tomography (OCT) and autofluorescence imaging (AFI). OCT provides three-dimensional assessment of underlying tissue structures; autofluorescence imaging provides functional contrast of endogenous fluorophores. Ex vivo fallopian tubes (n=28; n=7 cancer) are imaged; we present methods for the calculation of and analyze eleven imaging biomarkers related to fluorescence, optical attenuation, and OCT texture for their potential to detect tubo-ovarian cancers and other lesions of interest. We visualize folded plicae, vessel-like structures, tissue layering, hemosiderin deposits, and regions of fibrotic change. High grade serous ovarian carcinoma appears as reduced autofluorescence paired with homogenous OCT and reduced mean optical attenuation. Specimens containing a cancerous lesion demonstrate significant increase in median autofluorescence intensity and decrease in entropy compared specimens with no lesion. Non-cancerous specimens demonstrate an increase in optical attenuation in the fimbriae when compared to the isthmus or ampulla. We conclude that this approach shows promise and merits further investigation of diagnostic potential.

This paper explores the application of the generalized double reduction method to the (1+1)-dimensional Kaup-Boussinesq (K-B) system, which models nonlinear wave propagation. Double reduction method is a structured and systematic approach in the analysis of partial differential equations (PDEs). We first identify the Lie point symmetries of the K-B system and construct four non-trivial conservation laws using the multiplier method. The association between the Lie point symmetries and the conservation laws is established, and the generalized double reduction method is then applied to transform the B-K system into second-order differential equations or algebraic equations. The reduction process allowed us to derive two exact solutions for the K-B system, illustrating the method’s effectiveness in handling nonlinear systems. This work highlights the effectiveness of the generalized double reduction method in simplifying and solving nonlinear nonlinear systems of PDEs, contributing to a deeper understanding of the systems.

Various measures have been attempted to prevent infectious diseases in calves, such as envi-ronmental improvement and vaccine administration. Probiotics are commonly used to im-prove the body condition of newborn calves and prevent disease. In our previous research, Lactiplantibacillus plantarum RGU-LP1 (LP1) inhibited the expression of inflammatory cyto-kines in PBMC from cows fed LP1. In this study, we evaluated the effect of LP1 on calf growth and disease control. Methods: Twenty-six one-week-old Holstein bull calves were divided into two groups (13 each), LP1 group (LP1 treated) and CN group (no LP1 fed), and tested as follows. The LP1 group was fed lyophilised LP1 (10⁹ CFU/head/day) in milk replacer for 40 days. The CN group was fed the same diet only. Calves were followed for 63 days. During this period, the weight and treatment times of the calves were recorded. Faeces and blood were collected from each calf during this period. Faeces were examined for gut microbiota, and blood for immune assay and cytokine gene expression. The LP1-treated group showed a de-crease in disease incidence and an increase in body mass compared to controls. Results: The average treatment cost during the observation period was significantly reduced compared to the CN group. The expression of TGFβ and IL10, inhibitory cytokines of inflammation, was sig-nificantly increased. The simultaneous expression of this set of inhibitory molecules resulted in low serum IL1β levels during the growth period. Conclusions: The Th1-type cytokine IFNγ was also significantly increased in LP1-treated calves. By reducing the number of disease treatment times and increasing body weight, LP1 is effective in preventing infectious diseases in calves. In addition, the increase in IFNγ by LP1 indicates improved Th1-type immunity in calves. These results show that LP1 has effects on the regulated inflammatory response and growth of calves.

The study addresses the fabrication of indium aluminum nitride (InAlN) layers by DC co-sputtering at room temperature, highlighting their potential in optoelectronic and solar cell applications. Experiments were carried out with different powers for the aluminum target, observing changes in the stoichiometry and material properties. XPS and AES analysis confirmed the variation in indium and aluminum concentration, directly affecting bandgap and electrical properties such as mobility and free carrier concentration. The layers showed smooth surfaces with low roughness, suitable for high efficiency interfaces. This method promises to reduce costs and improve the accessibility of efficient solar technologies based on InAlN semiconductor alloy.

The knee joint plays a vital role in human movement, bearing mechanical loads during daily and athletic activities. This review explores the knee joint's response to mechanical loading, particularly focusing on mechanotransduction—the process by which cells convert mechanical stimuli into biochemical signals. These signals trigger cellular responses crucial for maintaining joint health, promoting repair, and adapting to mechanical changes. Understanding mechanotransduction is key to developing effective rehabilitation strategies for knee injuries and managing conditions like osteoarthritis. This review synthesizes current research on the cellular and molecular pathways involved in knee joint mechanotransduction, examining how various loading conditions—such as compression, tension, and shear—affect tissues like cartilage, synovium, ligaments, and tendons. The review discusses the impact of mechanotransduction on cellular components such as chondrocytes, synoviocytes, and fibroblasts, which are essential for maintaining tissue integrity and function. It also highlights the role of signaling pathways like MAPK, NF-κB, and Wnt in mediating cellular responses to mechanical stimuli, influencing gene expression, protein synthesis, and metabolism. By understanding these mechanisms, clinicians can develop targeted therapeutic interventions, including controlled loading protocols, exercise regimens, and manual therapies. This review underscores the importance of integrating mechanobiology insights into rehabilitation practices to enhance tissue repair, restore function, and prevent further joint degeneration, ultimately improving knee joint health and patient outcomes.

The study compares three machine learning and deep learning models—Support Vector Regression (SVR), Recurrent Neural Networks (RNN), and Long Short-Term Memory (LSTM)—for predicting market prices using the NGX All-Share Index dataset. The models were evaluated using multiple error metrics, including Mean Absolute Error (MAE), Mean Squared Error (MSE), Root Mean Square Error (RMSE), Mean Percentage Error (MPE), and R-squared. RNN and LSTM were tested with both 30 and 60-day windows, with performance compared to SVR. LSTM delivered better R-squared values, with a 60-day LSTM achieving the best accuracy (R-squared = 0.993) when using a combination of endogenous market data and technical indicators. SVR showed reliable results in certain scenarios but struggled in fold 2 with sudden spike that shows high probability of not capturing the entire underlying NGX pattern in the dataset correctly as witnessed with the high validation loss during the period. Additionally, RNN faced the vanishing gradient problem that limits its long-term performance. Despite challenges, LSTM's ability to handle temporal dependencies, especially with the inclusion of On-Balance Volume, led to significant improvements in prediction accuracy. The use of the Optuna optimization framework further enhanced model training and hyperparameter tuning, contributing to the performance of the LSTM model.

Accurate forecasting and efficient management of commodities are crucial for stakeholders in the industry, given the volatile nature of these markets. This study addresses these needs by leveraging advanced forecasting techniques and machine learning models to predict prices and enhance supply chain efficiency. TThe focus is on utilizing ARIMA, SARIMAX, and LSTM models to analyze historical trading data for commodities such as cocoa, coffee, and sugar sourced from Kaggle’s comprehensive dataset. The research applies ARIMA and SARIMAX models to forecast price trends, overcoming initial challenges related to data index frequency and seasonality. LSTM models are employed for more nuanced demand forecasting, particularly for random-length lumber, demonstrating the model's capability to predict future market trends accurately. The study highlights significant improvements in prediction accuracy and supply chain management through meticulous feature engineering and model optimization, offering valuable insights for strategic decision-making in the supply chain sector.

Objective: Despite long simulation times, recently developed finite element analysis (FEA) models of knee joints have demonstrated their suitability for predicting individual risk of onset and progression of knee osteoarthritis. Therefore, the objective of this study was to assess the feasibility of machine learning (ML) to replicate outcomes obtained from FEA when simulating mechanical responses and predicting cartilage degeneration within knee joint. Design: Two ML models based on the Gaussian Process Regression (GPR) algorithms were developed. The first model (GPR1) utilized age, weight, and anatomical joint dimensions as predictor variables to predict tissue mechanical responses and cartilage degeneration based on FEA data. The second model (GPR2) utilized age, weight, height, and gender to predict anatomical joint dimensions, which were then used as inputs in the GPR1 model. Finally, the GPR1 and combined GPR1+GPR2 models were used to investigate the importance of clinical imaging when making personalized predictions for knees from healthy subjects with no history of knee injuries. Results: In the GPR1 model, R2 of 0.9 was exceeded for most of the predicted mechanical parameters. The GPR2 model was able to predict knee shape with R2 of 0.67 - 0.9. Both GPR1 and combined GPR1+GPR2 models offered equally good performance (AUC = 0.73 - 0.74) at classifying patients at high risk for the onset and development of knee osteoarthritis. Conclusions: In the future, real-time and easy-to-use GPR models may provide a rapid technology to evaluate mechanical responses within knee for researchers or clinicians who have no former knowledge from FEA.

Serious crime modelling typically needs to be undertaken securely behind a firewall where police knowledge and capabilities can remain undisclosed. Data informing an ongoing incident is often sparse, with a large proportion of relevant data only coming to light after the incident culminates or after police intervene - by which point it is too late to make use of the data to aid real-time decision making for the incident in question. Much of the data that is available to police to support real-time decision making is highly confidential so cannot be shared with academics, and is therefore missing to them. In this paper, we describe the development of a formal protocol where a graphical model is used as a framework for securely translating a model designed by an academic team to a model for use by a police team. We then show, for the first time, how libraries of these models can be built and used for real-time decision support to circumvent the challenges of data missingness and tardiness seen in such a secure environment. The parallel development described by this protocol ensures that any sensitive information collected by police, and missing to academics, remains secured behind a firewall. The protocol nevertheless guides police so that they are able to combine the typically incomplete data streams that are open source with their more sensitive information in a formal and justifiable way. We illustrate the application of this protocol by describing how a new entry - a suspected vehicle attack - can be embedded into such a police library of criminal plots.

Background: In response to the COVID-19 pandemic, the European Association of Urology (EAU) Guidelines defined priority groups to guide the prioritization of surgery for urological malignancies. The objective of this study was to evaluate the impact of the COVID-19 prioritization recommendations on tumor pathological characteristics in a real-world setting at our academic referral Institution. Methods: We compared baseline and pathological tumor features of all patients with urological malignancies treated during the pandemic period (2020-2021) versus in the post-pandemic period (2022-2023). Our institution adhered to the International recommendations and prioritized those cases defined as “high-risk”. Results: Data of 9196 patients treated for urological malignancies were reviewed and grouped according to period of surgery (4401 in the pandemic vs 4785 in non-pandemic period). The overall number of surgical procedures was comparable for all diseases except for the number of radical prostatectomy (1117 vs 1405; p=0.03) and partial nephrectomy (609 vs 759; p=0.02) which were significantly lower in the pandemic period. Regarding tumors’ pathological features, none of the recorded variable was found to differ according to period of surgery, including disease stage, tumor grading, presence of necrosis, lymphovascular invasion, histological variants. Conclusion: A correct policy of prioritization of oncological pathologies during emergency periods and a centralization of oncological cases in reference centers reduces the possible risk of worsening cancer disease features related to the reorganization of healthcare resources.

Cervical cancer is 4th the most common cancer in women worldwide. Due to the prevalence of HPV in the population (80-90%), the scientists are likely to discover even more associations of this pathogen with other diseases in the future. In recent years, ISH assays that use automated signal-detecting methods in ormalin-fixed, paraffin-embedded (FFPE) cervical tissue, such as the enzyme-categorized signal-detecting system, have shown a higher sensitivity. To evaluate automatic signal detection of in situ hybridization (ISH) assay for detecting human papillomavirus (HPV) DNA, we compared the ability of an ISH probe, Inform HPV II and III (Ventana Medical Systems, Tucson, AZ), to that of PCR assays to detect HPV DNA in cervical tissue specimens with cervical intraepithelial neoplasia (CIN; CIN 1, 28 cases; CIN 2, 22 cases; and CIN 3, 20 cases) and normal cervix (2 cases). Our findings showed significant relation was confirmed between ISH III level and HPV outcome (positive/negative). Patients with positive HPV outcomes had significantly lower ISH III levels, MD = -7961.82 CI95 [-17230.00; -199.21], p = 0.005. Automatic signal detection of ISH assay is not particularly applicable to cervical tissue material. A more useful method of confirming the presence of HPV in the cervix is ​​the HPV test with genotyping, as it allows for collecting a larger amount of material from the cervical disc and canal. The interpretation of a positive or negative ISH test must be guided in the context of clinical history and morphology.

Human papillomavirus (HPV) is the most sexually transmitted infection associated with the development of cervical cancer. This study investigated cervical HPV prevalence, characteristics and distribution according to age and human immunodeficiency virus (HIV) among women attending public community health facility in the Eastern Cape Province of South Africa. A total of 325 participants (aged 18 to 60) visiting a community health facility for any reason were recruited. Cervical HPV infection was detected using the Seegene Anyplex™ II HPV28 assay. Overall HPV prevalence was 65.2% (95% CI: 59.9–70.2%), with the highest prevalence of 80.9% (95% CI: 67.2–89.8%) observed in the 18–25 years age group and lowest prevalence of 46.3% (95% CI: 35.8–57.1%) in 46–60 years of age. HR-HPV infection was found to decrease with increasing age among women who were HPV infected by any type (p=0.02), but not when stratified according to HIV status. A proportion of 12.9% (42/325) were infected with one or more HPV types covered by the Cervarix® HPV vaccine (HPV-16 and/or -18), 18.8% (61/325) by those covered by Gardasil®4 (HPV-6, -11, -16 and/or -18) and 42.2% (137/325) by those covered by Gardasil®9 (HPV-6, -11, -16, -18, -31, -33, -45, -52 and/or -58). Alpha-9 HPV species were the most dominant species (40.6%, 132/325), followed by alpha-7 species (29.8%, 97/325). In the overall population, alpha-9 HPV species were always part of the most dominant HPV alpha species co-infection, which were alpha-9 and -7 species (17.5%, 57/325), alpha-9 and -5 species (9.8%, 32/325), and alpha-9 and -6 species (9.5%, 31/325). High overall HPV, HR-HPV, and alpha-9 species prevalence were observed among women attending the public health facility. These findings contribute to the limited HPV distribution data among Eastern Cape women, which could be used to improve HPV-related policy and assess the effectiveness of the HPV vaccination.

This article aims to explore the existence and stability of solutions to differential equations involving a regularized ψ−Hilfer fractional derivative, which, compared to standard ψ−Hilfer fractional derivatives, provide a clear physical interpretation when dealing with initial conditions. We discovered that the regularized ψ−Hilfer fractional derivative can be represented as the inverse operation of the ψ−Riemann–Liouville fractional integral, and used this property to prove the existence of solutions for linear differential equations with a regularized ψ−Hilfer fractional derivative. Additionally, we applied the Mönch’s fixed-point theorem and knowledge of non-compactness measures to demonstrate the existence of solutions for nonlinear differential equations with a regularized ψ−Hilfer fractional derivative, and further discussed Ulam-Hyers-Rassias stability and semi-Ulam-Hyers-Rassias stability of these solutions. Finally, we illustrated our results through case studies.

Modular inversion on large operands is a time-consuming calculation used in elliptic curve cryptography. Its hardware implementation requires extensive hardware resources such as lookup tables and registers. We investigate state-of-the-art modular inversion algorithms and evaluate the performance and cost of the algorithms and their hardware implementations. We then propose a high-radix modular inversion algorithm aimed at short execution time and low hardware cost. We present a detailed radix-8 hardware implementation based on 256-bit primes in Verilog HDL and compare its cost performance with other implementations. Our implementation on the Altera Cyclone V FPGA chip uses 1227 ALMs (Adaptive logic modules) and 1037 registers. The modular inversion calculation takes 3.67 microseconds. The AT (Area time) factor is 8.30, outperforming other implementations. We also present an implementation of elliptic curve cryptography using the proposed radix-8 modular inversion algorithm. The implementation results also show that our modular inversion algorithm is more efficient in area time than other algorithms.

A tritium resistant coating on the surface of materials is one of the main methods to reduce tritium permeability. In actual operating processes, mechanical damage such as spalling and scratches will occur on the surface of tritium resistant coatings. These mechanical damages will affect the hydrogen permeability resistance of the coatings. It is an important engineering problem that evaluate the effect of these damage on the tritium resistance of the coating. In this experiment, the mechanical damage of FeAl/Al2O3 tritium resistant coating on 316L stainless steel was simulated by scratching, debonding and thermal shock, and the gas hydrogen isotope permeation (GDP) test was carried out. The influence of mechanical damage degree on the tritium permeation behaviour of the coating was evaluated and discussed.

BACKGROUND: Endoscopic ultrasound-guided tissue acquisition (EUS-TA) is essential technique for sampling solid pancreatic lesions. However, the optimal needle type for achieving high histological diagnostic capability remains unclear. This study compares the histological diagnostic capabilities of the 19G FNA needle and the 22G FNB needle for solid pancreatic lesions. METHODS: This single-center, retrospective study was conducted in patients who underwent EUS-TA for solid pancreatic lesions. Patients were allocated to either Group A, utilizing the 19G FNA needle, or Group B, utilizing the 22G FNB needle. The primary outcome was the diagnostic accuracy based on histology alone. RESULTS: 143 patients were analyzed, with 61 in Group A and 82 in Group B. Diagnostic accuracy was significantly higher in Group B for both histology alone (85.4% vs. 68.9%, p=0.02) and overall diagnostic accuracy (85.4% vs. 73.8%, p=0.02). Logistic regression analysis revealed that lesion size ≥25 mm was an independent factor contributing to higher diagnostic accuracy (OR 3.32, 95% CI 1.28-8.64, p=0.01). Subgroup analysis showed that diagnostic accuracy for 15–25 mm lesions was significantly higher in Group B (90.0% vs. 63.2%, p=0.02). Additionally, trans-gastric punctures had higher accuracy in Group B (94.7% vs. 73.5%, p=0.01). CONCLUSIONS: Our study showed the overall superiority of the 22G FNB needle for EUS-TA of solid pancreatic lesions. However, 19G FNA needle remains a valuable option under specific conditions.

Breast cancer is the most prevalent type of disease among women. It has become one of the foremost causes of death among women globally. Early detection plays a significant role in administering personalized treatment and improving patient outcomes. Mammography procedures are often used to detect early-stage cancer cells. This traditional method of mammography while valuable has limitations of potential for false positives and negatives, patient discomfort, and radiation exposure. Therefore, there is a probe for more accurate techniques required in detecting breast cancer, leading to exploring the potential of machine learning in the classification of diagnostic images due to its efficiency and accuracy. This study conducted a comparative analysis of pre-trained CNNs (ResNet50 and VGG16) and Vision Transformers (ViT-Base and SWIN Transformer) with the inclusion of ViT-Base trained from scratch model architectures to effectively classify breast cancer mammographic images into benign and malignant cases. The Swin transformer exhibits superior performance with 99.8% accuracy and a precision of 99.8%. These findings demonstrate the efficiency of deep learning to accurately classify breast cancer mammographic images for the diagnosis of breast cancer, leading to improvement in patient outcomes.

In this paper, we define the consumer preference relation from scratch. We study algebraic and topological properties for the preference magma that reflects the consumer. We also consider the influence of society on an individual's preference.

In both capitalist and socialist economies, agricultural planning has been un-derstood as the allocation of planting areas to certain products, and the exist-ence of farmers, who are the main productive actors, as humans, their pro-duction potential and their ability to act rationally have been neglected. In ad-dition, in both economic structures, the desired results have only been achieved partially by determining prices. These experiences also reveal two important results: Agriculture is not fully planned, but it cannot be continued without planning either. Secondly, in a structure where production is social, it is nec-essary for agricultural products to have an exchange value, but price is a mul-tifunctional phenomenon and how it is determined is important. The current equivalent of the claim that prices are determined through the market mecha-nism is to advocate that prices are determined by capitalist companies that have monopoly power in the markets. The increasingly severe problems and in-creasing fragility of agricultural-food markets, which are already largely under the control of these institutions, already prove that this structure is not a solu-tion. On the other hand, it is no longer possible to provide food security by planning primary agricultural products alone, agri-food production and dis-tribution have acquired different structural characteristics, and it has become necessary to address food security within the framework of agri-food systems. Therefore, effective agricultural planning actually requires the planning of the agricultural food system as a whole. The e-nam system, which is being popu-larized in India and has achieved a certain success, points out that it is possible to organize and manage agricultural food markets after primary production. Moreover, it also shows that technological opportunities offer more effective planning opportunities. In this study, first of all, based on historical and current experiences, the inadequacies of the market mechanism, the fact that agricul-tural production is carried out by using living things to produce living things and depending on uncontrollable factors have been taken into consideration. Then, it has been concluded that a democratic, mix of centralized and decen-tralized planning, aiming to determine both production quantities and prices by utilizing the capacity and conditions of farmers and technological opportunities will meet today's needs. And in accordance with this result, a basic planning proposal has been presented.

Mortality due to suicide is amongst the largest public health concerns across the world today and in Bharat (India). There have been concerns that the COVID-19 pandemic has contributed to worsening mental health outcomes across the world, and in Bharat. Furthermore, long COVID has been proposed to be a major consequence of COVID-19, which can also worsen mental health outcomes. Therefore, our objective in this study was to analyse trends in suicide mortality across Bharat, and to compare these trends to changes prior to the COVID-19 pandemic; as well, we aimed to analyse if long COVID had any role in these changes. It was found that, at a national level, the average annual increase of the suicide rate between 2019 and 2022 was 0.7 per 100,000 people (6.41% increase)., There was also an average annual rise in suicide rates across 27 states/union territories (out of the 33 that were analysed). States/UTs with the highest annual increases since the start of the COVID-19, despite a decrease from 2018 to 2019, were Tamil Nadu (increase by 2.7; 15.17% increase), and Telangana (increase by 1.9; 9.22% increase), Multi-linear regression had shown that the annual suicide rate changes were not associated with COVID-19 deaths per 10,000 people (standardized beta coefficient = 0.077; p = 0.605) but were associated with COVID cases per 100 people (standardized beta coefficient = 0.578; p

A comprehensive 3D Multiphysics model was developed to simulate a plate fin heat exchanger designed for hydrogen liquefaction, incorporating ortho-para- hydrogen conversion catalyst in the hot fin channel. The model encompassed the 3D serrate fin structure, turbulent flow within the cold fin channel, and porous flow through the catalytic hot fin channel. Species transportation within the hot fin channel is coupled with ortho-para hydrogen conversion kinetics, while heat transfer mechanisms between the hot and cold fin channels are rigorously accounted for. Addi-tionally, the state- of- art equation of state is employed to accurately describe the thermodynamic properties of ortho- and para- hydrogen within the model. Numerous operational parameters, including the gas hourly space velocity, cold gas velocity, ortho-para- hydrogen conversion ki-netics, and operating pressure, were systematically varied to identify the kinetic and heat transfer constraints during the heat exchanger operation. The findings revealed that the ortho-para- hy-drogen conversion kinetic parameter predominantly governs operations requiring high gas hourly space velocity, particularly in large- scale hydrogen liquefaction processes. Furthermore, significant pressure drop within the catalytic filled channel was observed, however, operating at higher pressure mitigates this issue while mildly enhancing ortho-para-hydrogen conversion kinetics.

Objective: African Americans (AA) carry the largest burden for almost every type of cancer in the US and are also more likely to die from cancer. Approximately 10% of cancers can be explained by a hereditary factor and detected earlier. Many AA however have inequitable access to hereditary cancer risk assessment (HCRA) tools and information, further exacerbating cancer disparities. Innovative communication strategies to promote community-based HCRA information have promise to bridge AA to optimal primary cancer screening. The current pilot study followed a participatory process where researchers engaged with a Community Advisory Board (CAB) to explore how Communication Asset Mapping could assist Lay Health Advisors with dissemination of evidence-based HCRA information within AA faith communities. Methods: The research team and CAB conducted exploratory community group discussions with residents (N=21) guided by Communication Infrastructure Theory, and a community-engaged mapping process to inform the development of a Communication Asset Mapping (CAM) dissemination strategy. Results: Themes included: (1) Optimal locations (e.g. community centers) within identified networks (specified neighborhood networks) should have representatives who are trusted ambassadors to assist with HCRA information dissemination; (2) Trusted community member voices should fully represent the trusted network; and (3) Well-known and frequented geographic locations should be a true representation of participants’ neighborhoods for creating a robust health information network concerning HCRA. Conclusion: CAB and community residents appreciated the engagement process however, felt the impact was limited due to missing community voices within their neighborhoods to identify communication assets within the network for optimal HCRA information dissemination. CAM therefore is an important public health strategy in identification of trusted networks. The strategy was also helpful in pinpointing people who are critical communicators of emerging health information akin to HCRA.

Gut dysbiosis and an inflamed bowel are growing concerns in mammals, including dogs. Probiotic supplements have been used to restore the natural microbial community and improve gastrointestinal health. Biofilm formation, antimicrobial activities, and immunological responses of probiotics are crucial to improving gut health. Thus, we tested a commercial probiotic blend (LabMAX-3), a canine kibble additive comprising Lactobacillus acidophilus, Lacticasibacillus casei, and Enterococcus faecium for their ability to inactivate common enteric pathogens; their ability to form biofilms, epithelial cell adhesion and anti-inflammatory response on Madin-Darby Canine Kidney (MDCK) cell line. Probiotic LabMAX-3 blend, or individual isolates, showed a strong inhibitory effect against Salmonella enterica, Listeria monocytogenes, enterotoxigenic Escherichia coli, and Campylobacter jejuni. LabMAX-3 formed biofilms comparable to Staphylococcus aureus. LabMAX-3 adhesion to the MDCK cell line (with or without lipopolysaccharide, LPS) pretreatment showed comparable adhesion and biofilm formation (p < 0.05) to L. casei ATCC 334 used as a control. LabMAX-3 had no cytotoxic effects on the MDCK cell line during 1 h exposure. The IL-10 and TNFα ratio of LabMAX-3, compared to the L. casei control, showed a significant increase (p < 0.05), indicating a more pronounced anti-inflammatory response. The data show that LabMAX-3, a canine kibble supplement, can improve gastrointestinal health.

Introduction: Pharmaceutical tablets are solid forms administrated orally and they constitute 80% of the market because of its best stability and ease of large-scale production, adherence and treatment. The Brazilian Legislation establishes that for a drug to be registered as a similar or generic drug is necessary to verify the pharmaceutical equivalence in relation to the reference drug, indicated by ANVISA, through quality control tests, ensuring that the drug is approved with satisfactory quality. Objective: to evaluate the reference, generic and similar glibenclamide tablets through quality control tests, comparing the results with each other and relate clinical impacts on the patient in the face of changes in the quality control of medicines. Methodology: tests of average weight, friability and disintegration were done, according to the Brazilian Pharmacopoeia VI Edition, in uncoated tablets of Glibenclamide 5mg Reference (Daonil), Generic (Glibenclamide) and Similar (Glionil), and the results obtained were compared with the that advocates the scientific literature. Results: Data referring to the average weight: Reference 0.1591g, Generic 0.1002g and Similar 0.0996g; For friability: Reference value 0.54%, Generic value 0.49% and Similar value 0.28%. The disintegration tests showed the following times: Reference 35 seconds, Generic 29 seconds and Similar 33 seconds. Conclusion: the tests to which the glibenclamide tablets were submitted showed results within the parameters established by the Brazilian Pharmacopoeia.

Background: Old age and illnesses can limit physical activity (PA). Objectives: To assess the level of PA and its limitations. Design: Cross-sectional study, January and June 2024. Setting: Diabetes Center. Subjects: Patients (N=207) >64 years with diabetes (DM). Methods: Surveying using: IPAQ, Accompanying Survey (AS). The significance was assessed by: Student’s t-test, Mann-Whitney U test, Pearson’s test. The relationships between the IPAQ and the AS results were analyzed based on a meta-analysis model for variable effects, OR with a 95% CI. ROC curve was used to determine the threshold values for age, BMI. Correlations between selected key variables were evaluated using the PCA. Results: The median age: 72 years (65–87), BMI: 28.70 kg/m2 (18.61–49.69). The median PA level: 1,837 MET-min/week (0–9,891). The individuals who obtained insufficient (n=28), sufficient (n=75), and high levels of PA (n=53) were 17.95%, 48.08%, and 33.97%, respectively. Diseases were the main factor limiting PA (53,54%) in patient’s opinion, followed by the lack of a companion or motivation. The meta-analysis found no diseases linked to insufficient PA, but those with BMI > 33.3 kg/m² and over 75 years old more often had insufficient PA. PCA revealed several characteristics that predispose individuals to insufficient PA. Conclusions: People over 75 years of age tend to avoid PA more than younger seniors, leading to its insufficient level, similarly like higher BMI. The individual with DM who has an insufficient level of PA is typically a single, woman, over 75, BMI>33.

Background/Objectives: Congenital Radioulnar Synostosis (CRS) is a rare elbow joint disorder resulting from abnormal fusion of the radius and ulna during fetal development. Methods: Although predominantly sporadic, familial cases exist with autosomal dominant inheritance. Diagnosis relies on clinical evaluation and radiological findings, showcasing synostosis. Surgical decisions hinge on factors like age and symptom severity. Results: Multiple surgical treatments have been described but derotation osteotomy offers predictable results. Challenges include potential complications and cultural considerations influencing final forearm positioning. Conclusions: A nuanced approach is crucial for optimal management, highlighting the need for ongoing research to refine diagnostic and therapeutic strategies for improved outcomes in CRS patients.

Dual generalized commutative quaternions have broad application prospects in many fields. Additionally, the matrix equation AXB = C has important applications in mathematics and engineering, especially in control systems, economics, computer science, and other disciplines. However, research on the matrix equation AXB = C over the dual generalized commutative quaternions remains relatively insufficient. In this paper, we derive the necessary and sufficient conditions for the solvability of the dual generalized commutative quaternion matrix equation AXB = C. Furthermore, we provide the general solution expression for this matrix equation, when it is solvable. Finally, a numerical algorithm and an example are provided to confirm the reliability of the main conclusions.

The field of smart materials is attaining global industrial importance rapidly. The ionic polymer metal metaIl composites withheld there importance in this field. They are not only used as biocompatible devices but also in the field of thin and conformal bio coatings. The nafion 117 is unstable at elevated temperatures and its water intake resistance is low, so the nafion 117 is coated with the noble material to increase its thermal stability and water resistant property. The high cost of noble metal make its too costly to use in day to day applications so parylene has been used as substitute for noble metal in order to reduce the cost. The high thermal stability and water intake property if parylene make its suitable for the same. Multiple chemical treatments like plasma ionization and others have been done on the parylene coated nafion to increase its desirable properties considerably. The low adhesion rate between parylene and nafion 117 has been increased upto the certain extend by the use of ionized plasma. This paper reviewed the plasma chemical treatment of paryelene coatings for the biocompatible devices and provides an insight knowledge on classification, structure and thermal stability of the parylene coatings

Objective: A 1964 study challenged the consensus that saturated fat consumption increased the risk for myocardial infarction (MI). Roseto Pennsylvania, an Italian-American enclave of 1600 people, had similar rates of cigarette smoking, obesity and higher saturated fat consumption as neighboring towns, but far lower MI death rates. More than 50 years later, it remains uncertain if Roseto’s residents had better heart health than the average American and if so, what factors were responsible. Methods: We compared MI deaths in Roseto and neighboring towns to the Framingham Heart Study cohort matched for age and sex. Results: We found no evidence that MI deaths were lower in Roseto, PA than in Framingham, MA when controlling for age and sex. While the role of social support in health is uncontested, methodological issues, confounding factors and biases challenge the validity of the Roseto study. Conclusions: The dramatically lower MI and MI mortality rates among males in Roseto reflects biases in sampling and comparison populations, which also impacted the contrasting Diet-Heart hypothesis that saturated fats cause heart disease. Although social support enhances health outcomes, the Roseto study neither supported nor refuted this connection.

Background: Chronic diseases are major causes of morbidity, disability, and death worldwide. In many cases, they are potentially preventable and treatable. Glaucoma is one of the leading causes of morbidity and blindness, the early recognition of which can help reduce the adverse outcomes of the disease. Health illiteracy among these patients and the absence of self-management of these diseases are barriers to effective management worldwide. Therefore, the present study aimed to calculate the level of health literacy and activity level of patients’ activation in self-management and to explore the link between them among patients with glaucoma in outpatient clinics. Material and methods: Convenience sampling of patients with glaucoma attending the outpatient ophthalmology clinics of a university hospital in Heraklion-Greece was performed. Convenience sampling was used to recruit 312 participants. Data were collected between November 2023 and May 2024. The Patient Activation Measure-13 (PAM-13) questionnaire, in its Greek version, was used to evaluate patients’ activation level in self-management, whereas the Greek version of the European Health Literacy Survey Questionnaire 16 (HLS-EU-16) was used to assess health literacy. Results: Participants were classified as level 1(disengaged & overwhelmed) level in self-management (= 40.7, SD: ±29.9) and a sufficient health literacy level (= 10.7, SD ±3.7). However, there was no statistically significant relationship between health literacy levels and patient activation in self-management (p=0.602). Conclusions: Glaucoma patients experience challenges with health literacy and self-management activation, though there is no significant relationship between these two parameters. Multifaceted interventions seem essential for enhancing patients’ activation. Further research involving larger sample sizes, multi-center studies, and interventional design is needed.

Following the course of critical researchers in management and organisation studies, striving to move away from traditional norms of academic writing that has created an empty, homogenous time with a focus on counting rather than content towards a more vertical writing, I dig deep down in this paper along the slope of what touches me deeply – a democratic decline in climate politics. Resonating with my own experiences of hate and threat campaigns, not locking my own vulnerabilities in, I analyse qualitatively the usage, reasons, contents, senders and targets of ‘nasty rhetoric’ in Swedish climate politics, and the implications thereof for democracy. With the 2022 elections to the Swedish parliament, a far-right populist nativist party gained tangible powers dictating the content and process of Swedish climate politics. In less than two years, Swedish climate politics have turned into an antidemocratic divisive politics portraying climate science as “a point of view”, female journalists writing about climate change and climate policy as “crypto environmentalists”, “motherfuckers” and “moron hags” that should be “fired” and “raped”, and the climate justice movement as “terrorists” and “a threat to Swedish democracy” that should be “sent to prison” and “executed”. Such ‘nasty rhetoric’ is used not only by anonymous trolls in social media, but by the prime minister, cabinet ministers and parliamentarians, even in debates in the Swedish parliament. It has inspired the far-right extremist movement to use physical violence. Use of nasty politics aims to silence the opponents to the government’s climate policy, the political opposition, climate scientists, the climate justice movement and journalists, breaching liberal and deliberative democratic norms such as legitimacy, accountability and justice. It is a powerful tactic that leaves its targets with an anxious fear of losing control and often a need for disappearance. Many targets resign or stay silent. I chose to break the silence and write differently about the issue.

The emerging working mode of coordinated trucks and drones has demonstrated significant practical potential in various fields, including logistics and delivery, intelligence surveillance reconnaissance, area monitoring, and patrol. The seamless collaboration between trucks and drones is garnering widespread attention in academia and has emerged as a key technology for achieving efficient and secure transportation. This paper provides a comprehensive and in-depth review of the research status on the routing problem for coordinated trucks and drones, covering aspects such as application background, cooperative modes, configurations, issues have been taken into consideration, and solution methodologies.

Background: The advantage of a robotic assisted (RARP) over a laparoscopic (LRP) approach in radical prostatectomy (RP) remains to be demonstrated. Aim of the study is to use a homogeneous population in real life and single surgeon surgery, to analyze the oncological and functional results based on the type of the surgical approach. Methods: This is a prospective trial on non-metastatic prostate cancers (PC) patients considered after multidisciplinary decision to RP, using RARP or LRP. A real-life setting was analyzed at our Urological Departments, using homogeneous criteria for the management of PC cases and a one surgeon experience on 444 cases (284 LRP and 160 RARP) .Results: Mean operative time was significantly lower in RARP (173.33±44.3 min) than in LRP (153.21±25.1 min) (p<0.001). In cases submitted to an extended lymph node dissection (eLND), the mean number of lymph nodes removed was 15.16±7.83 and 19.83±4.78 respectively in LRP and RARP procedures (p<0.001), but positive lymph nodes (pN1) were similarly found in 15.8% of LRP patients and 13.6% of RARP patients (p=0.430). Surgical margins (SM) positivity was not significantly higher in RARP group (20.0%) when compared to LRP group (15.9%) (p=0.145). During the postoperative follow-up, a biochemical recurrence (BCR) was detected in 14.4% and 7.5% of cases in the LRP and RARP group respectively (p=0.014). Better results of PAD test at 3-month interval using RARP approach (mean pad weight 75.57±122 grams and 14±42 grams respectively in LRP and RARP (p<0.01)) were described. Conclusions: In the comparison between RARP and LRP approach, a clear advantage of the robotic approach is a significant reduction in operating times, days of hospitalization and postoperative catheterization compared to laparoscopic surgery. It is not possible to describe any certain oncological advantage both in terms of surgical margins and pathological lymph nodes removed. In RARP cases a reduction to the limit of significance is described in terms of biochemical recurrence. RARP produces a more rapid recovery of urinary continence at 3 months postoperatively without significant advantages in terms of erective potency recovery.

Background/Objectives: Malnutrition is a common issue among cancer patients, leading to adverse outcomes and reduced survival rates; therefore, nutritional screening and assessment are essential. Our study aims to evaluate the diagnostic efficacy of the GLIM criteria to assess malnutrition and to compare the performance of various nutritional screening tests in evaluating nutritional risk. Methods: A cross-sectional observational study was conducted on outpatient oncologic patients. Malnutrition was assessed using PG-SGA and GLIM criteria. Nutritional screening was performed using NRS-2002, MUST, MST, and NUTRISCORE. Anthropometric measurements, handgrip strength, cancer medical records and descriptive data were collected and analyzed. Results: A total of 396 patients were involved. Malnutrition was diagnosed in 37.4% according to GLIM criteria and in 25.8% according to PG-SGA (p<0.001). The agreement between GLIM criteria and PG-SGA was substantial (ƙ= 0.63). The diagnostic performance of PG-SGA showed a sensitivity of 93% and a specificity of 96.3%, whereas the GLIM criteria demonstrated a sensitivity of 81.3% and a specificity of 91.2%. Both tools had a significant association with low dynamometry and low BMI (p<0.001). Nutritional risk was identified in 22.7% of the patients using NRS-2002, 25.8% with MUST, 26.5% with MST, and 12.9% with NUTRISCORE. The highest agreement among the nutritional screening tests was observed between MUST and PG-SGA (ƙ =0.64). Conclusions: GLIM criteria detected a higher prevalence of malnutrition compared to PG-SGA; however, PG-SGA demonstrated higher sensitivity and specificity. Both significantly agree with low dynamometry and low BMI. Among the nutritional screening tests, MUST and PG-SGA showed the highest agreement.

Various cultivars of citrus fruits have unique construction, such as thick outer skin. These constructions generate gas diffusion resistance between atmosphere and fruit, which can limit a gas exchange of O2 and CO2. However, it has not been sufficiently investigated. In this study on 7 cultivars of citrus fruit, it was aimed firstly to investigate a gas diffusion resistance utilizing ethane efflux method and secondly to investigate internal gas concentration of O2 and CO2. As a result, a cultivar of citrus fruit with slimer outer skin thickness had lower resistance. For the internal gas, a high CO2 concentration in comparison with the atmosphere was observed even in the fruits with the minimum resistance, which no considerable difference among all cultivars was observed in regardless of gas diffusion resistance value. However, when the fruits stored at 25 °C for 2 weeks, it was tended to increase CO2 gas concentration and decrease O2 gas concentration with increase in the resistance value. Therefore, when respiration of citrus fruits is activated at ambient temperature, self-control system of internal gas concentration can be driven to suppress their respiration, which was induced by gas diffusion resistance generated from their construction.