Attention-Deficit/Hyperactivity Disorder (ADHD) is traditionally conceptualized within a framework emphasizing deficits in attention regulation and executive function. However, emerging evidence from the fields of predictive coding and active inference offers a novel lens through which to understand ADHD not merely as a disorder of attention but as a distinctive mode of neurodevelopmental variation. This article synthesizes current research and theoretical models to propose a redefined understanding of ADHD. By integrating insights from Ryan Smith, Paul B. Badcock, and Karl J. Friston (2020), we explore the premise that individuals with ADHD exhibit unique differences in how their brains generate and update predictions about the environment, leading to the characteristic behavioral patterns observed in ADHD. We argue that ADHD involves a divergence in the brain's predictive models and its ability to minimize prediction error, impacting sensory processing, attention allocation, and motor control. This perspective illuminates the adaptive aspects of ADHD, suggesting that what are often labeled as deficits could also reflect an adaptive fit to certain environmental contexts, underscoring the role of neurodiversity in human evolution. Furthermore, we discuss the implications of this reconceptualization for clinical practice, including diagnosis, treatment, and support for individuals with ADHD, emphasizing approaches that align with their unique neurocognitive profiles. This article calls for a shift in the narrative surrounding ADHD, advocating for a model that appreciates the complexity and adaptiveness of neurodevelopmental diversity.

Mobile devices (MD) are used by mobile cloud computing (MCC) customers users because of their 11 portability and robust connectivity and the ability to house and operate third-party applications 12 (apps). However, the apps installed on a MD may pose data security risks to the MD owner and to 13 other MCC users, especially when the requested permissions include access to sensitive data (e.g., 14 user’s location and contacts). Calculating the risk score of an app or quantifying its potential 15 harmfulness based on user input or on data gathered while the app is actually running may not 16 provide reliable and sufficiently accurate results to avoid harmful consequences. This study 17 develops and evaluates a risk assessment framework for Android-based MDs that does not depend 18 on user input or on actual app behaviour. Rather, an app risk evaluator assigns a risk category to 19 reach resident app based on the app’s classification (benign or malicious) and the app’s risk score. 20 The app classifier (a trained machine learning model) considers the permissions and the intents 21 requested by the app. The apps risk score is calculated by a probabilistic function based on the 22 app’s use of a set of selected dangerous permissions. The results from the testing of an instance of 23 the framework on a MD with real-life resident apps indicated that the proposed security solution 24 was effective and feasible.

The severe acquired respiratory coronavirus–2 (SARS–CoV-2) infection has initiated both acute and chronic COVID–19 disease between 2020 and 2023, currently evolving with other homologous prior coronavirus strains of the Nidoviridae order, which encompasses other prevalent alpha/ beta coronaviruses, but also the Middle East Respiratory Syndrome (MERS-CoV) and SARS-CoV-1, with recent SARS–CoV–2 variants, increasing demands for effective immunogens and therapeutic approaches that will reduce global disease burden and further infection from SARS–CoV-2 affected individuals that may experience post acute sequelae (PASC) or “Long COVID”. Following a worldwide programme of prophylactic vaccination, there is still a dilemma in the efforts to find prophylactic and early therapeutic approaches that would treat novel SARS-CoV-2 variants and prevent future epidemics or pandemics within host human and animal populations, where zoonotic or cross species transfer naturally occurs. Concerns about viral immune escape intersect at a specific point; a gained evolutionary ability of several viruses to co–infect and compete against previous scientific advances since 1796 that remain undetected or asymptomatic during the early stages of infection progressing to symptomatic and severe disease via the double methylation of the 5' end of eukaryotic DNA or RNA-based viral genomes, the 7-MeGpppA2’-O-Me cap, and its double methylation capping process is performed by the activated viral 2’ - O - Methyltransferase (MTase) enzyme, a complex of two viral non-structural proteins (NSPs) joined together through an activation process (NSP10/16) and by N7-Methyltransferase (N7-MTase/NSP14), respectively. Moreover, it was discovered that polymorphic viruses translate NSP1, which prevents the activation of various Pattern Recognition Receptors (PRRs), and consequently, detection of Pathogen-Associated Molecular Patterns (PAMPs) and Damage-Associated Molecular Patterns (DAMPs) alike. NSP1 also silences important interferon-encoding genes (INGs) and interferon-stimulated genes (ISGs), is signalled in a paracrine manner to neighbouring cells, and that induces the apoptosis of host cells, inducing an effect of “trace erase” effect and making the viral infection as immunologically “invisible” as possible during the initial, key stages of viral replication and distribution, all such mechanisms occurring independently of the viruses in cause. Another important viral NSP is NSP14, as it plays two functional roles that are independent of each other; to produce new viral genetic material for the purpose of maintaining the validity of the viral genome as well, and not just transfer a methyl group to the 5’ end of the viral genome. Other viral NSPs share a role with NSP1, 10, 14 and 16 in directly suppressing the activation of PRRs and ISGs, and all such viral proteins help the virus in its process of self-camouflaging against first- and second-line immunity, thereby often severely impacting the quality of the produced adaptive immune responses. The outcome of all such phenomena is the sharp decrease in the host Type I and Type III interferons' (IFNs) rate of synthesis by the host cells, that would usually occur and affect homeostatic cellular pathways, resulting in further viral replication and induced apoptosis. Nonetheless, effects of microbial immune evasion during the development of other viral or carcinogenic pathologies are not widely known. In short, polymorphic viruses developed a proportionate evolutionary response against developed adaptive immune responses, by currently relying on gaps mostly situated in the natural immune system in their process of molecular self-camouflaging. Scientists developed numerous approaches of early treatment that generally showed good success rates and fewer risks of adverse events, and the still early present stages of COVID-19 research should also be taken into consideration whilst filtering for the most appropriate solutions. For example, the administration of recombinant human interferons I and III into the nasal mucosa cellular layer, as key mediators of anti–viral activity, can simulate intracellular infection and stimulate cellular activity in a timely manner, training the innate and adaptive immune system cells to develop and appropriately stimulate an adequate immune response through B and T cells. Another example could involve the treatment of natural and adaptive lymphocytes with a low dose of IFNs I and possibly III, prior to their insertion into the host lymphatic system, possibly alongside additional recruitment of plasmacytoid dendritic cells (pDCs) as further interferon “factories”, all with the purpose of early infection management. It might be that focusing on directly offering the immune system the information about the genetics and protein structure of the pathogen, rather than training its first-line mechanisms to develop faster, excessively increases its specificity, making it reach a level that brings the virus the opportunity to evolve and escape previously-developed host immune mechanisms. It is until the scientific community realises this potentially crucial aspect that large proportions of the world population will probably continue to face serious epidemics and pandemics of respiratory diseases over the coming several decades, evidenced with dengue fever and more recently, monkeypox and possibly avian flu. Of note, it has been indicated that IFN I and / or III display significant immunising, early therapeutic and clinical disease onset-attenuating effects for many other microbial evoked diseases, as well as for a number of oncological diseases.

Supplier diversity initiatives in procurement have emerged as strategic imperatives for organizations aiming to enhance competitiveness and foster socio-economic equity. This research investigates the impact of supplier diversity initiatives across various industries, analyzing implementation strategies, challenges, and outcomes through a mixed-methods approach. Qualitative data, including interviews with procurement professionals and case studies of exemplary organizations, reveal diverse approaches to implementing supplier diversity—from formalized programs with dedicated resources to ad hoc initiatives driven by regulatory compliance or social responsibility goals. Challenges identified include the identification and qualification of diverse suppliers, scalability issues, and internal resistance within procurement teams. Quantitative analysis of survey data highlights positive impacts on organizational performance metrics, such as procurement spend allocation towards diverse suppliers, supplier-driven innovation, and enhanced supply chain resilience. Best practices in successful supplier diversity programs underscore strategic alignment with overall procurement strategies, effective supplier relationship management, and strong leadership commitment. Socio-economic impacts encompass economic inclusion, community engagement, and skills development among diverse supplier networks, contributing to local economic growth and broader social benefits. Despite these benefits, challenges remain in measuring qualitative outcomes and overcoming systemic barriers to implementation. Cultivating an inclusive organizational culture and leveraging leadership support are crucial for sustaining supplier diversity efforts. Continued collaboration and innovation in supplier diversity practices are recommended to maximize benefits and drive meaningful socio-economic impact globally.

We performed a literature review to identify articles regarding the state of urological cancers in low-to-middle income countries (LMIC). The challenges that LMIC face are multifactorial and can include, poor health education, inadequate screening, as well as limited access to treatment options and trained urologists. Many of the gold standard treatments in high income countries (HIC) are scarce in LMIC due to their poor socioeconomic status leading to advanced stage of disease at diagnosis and ultimately a higher mortality rate. These standards of care are vital components of oncological disease management, however, the current and sparse literature available from LMIC indicate that there are many obstacles delaying early diagnosis and management options in LMIC. In the era of evolving medical diagnosis and treatments, sufficient data must be gathered and understood in order to provide appropriate diagnostic and treatment options to curtail rising mortality rates, and therefore help to alleviate the bur-den in LMIC.

This qualitative research investigates sustainable procurement practices, focusing on the integration of environmental and social criteria in supplier evaluation processes. The study explores how organizations, ranging from large multinational corporations to smaller enterprises, navigate sustainability challenges and opportunities within their procurement strategies. Data were gathered through semi-structured interviews with procurement professionals and sustainability managers across diverse industries. Themes identified include varying organizational commitments to sustainability, from structured policies and resource allocation in larger firms to reactive approaches constrained by resource limitations in smaller entities. Effective supplier relationship management emerged as crucial, facilitating collaborative partnerships aimed at improving environmental and social performance across supply chains. Motivations for sustainable procurement practices encompass regulatory compliance and responding to consumer demands for eco-friendly products, shaping procurement decisions to enhance market competitiveness and stakeholder satisfaction. Environmental and social criteria integration in supplier evaluations highlighted strategies such as lifecycle assessments and sustainable sourcing practices, aimed at minimizing environmental footprints and promoting ethical labor practices. Benefits included cost savings and enhanced brand reputation, tempered by challenges such as higher procurement costs and supplier resistance. Leadership commitment and organizational culture were identified as critical enablers of sustainable procurement, influencing strategic alignment and fostering a culture of sustainability within organizations. The study underscores the transformative potential of sustainable procurement in achieving organizational resilience and contributing to global sustainability goals.

Extramammary Paget disease (EMPD) is an uncommon adenocarcinoma of apocrine gland-rich areas, presenting significant diagnostic challenges due to its nonspecific clinical appearance and frequent misidentification as benign, inflammatory skin conditions. Traditional diagnostic methods such as biopsy are invasive and uncomfortable, often required repeatedly due to high recurrence rates. Dermoscopy and non-invasive imaging techniques have been used but provide limited diagnostic accuracy due to their constraints in depth penetration and resolution. Recent advancements in imaging technologies, such as line-field confocal optical coherence tomography (LC-OCT), show promise in enhancing diagnostic precision while minimizing invasive procedures. LC-OCT merges high-resolution imaging with deep penetration capabilities, capturing detailed horizontal and vertical skin images akin to histopathology. This study evaluated the diagnostic performance of LC-OCT in detecting EMPD and its recurrence in 17 clinically suspicious anogenital regions, belonging to 6 patients. Data were collected prospectively at patient bedside by an LC-OCT expert with poor training for EMPD; and, then, reviewed retrospectively by an independent LC-OCT expert with adequate training for EMPD and no concerns about time. The prospective examination yielded 64.7%-accuracy, 71.4%-sensitivity, and 33.3%-specificity. The retrospective analysis achieved 94.1%-accuracy, 100%-sensitivity, and 66.7%-specificity, with the only false positive case being a difficult-to-diagnose concomitant presentation of a lichen sclerosus et atrophicus. Despite the need for specialized training, our results suggest that LC-OCT represents a valuable tool for accurately identifying EMPD and improve its management by reducing unnecessary biopsies. Further studies are needed to standardize its clinical application.

Introduction: In Traditional Chinese Medicine (TCM), tongue diagnosis plays an important role. Besides shape, colour and textural attributes of tongue regions have significance due to their association with different organs (viz. heart, lung, kidney-bladder, liver-gallbladder and stomach-spleen) in health and disease. Although numerous quantitative methods have been proposed to reduce inter and intra observer variability in tongue diagnosis, almost all of them considered only global colour/ textural features i.e. from entire body of tongue. In this work, regional colour and texture information of tongue have been analysed for healthy subjects (NOM) and patients suffering from chronic acidity-indigestion (ACD). Methods: Tongue boundaries are marked manually in each image and then tongue bodies are automatically partitioned into five regions linked with said internal organs. Rough assessments of regions’ boundaries are obtained from literature and then they are fine-tuned according to experts’ advice. As boundaries are not well defined, regions near the common boundary of two or more organs, are not assigned to any organ. Several first and second order statistical features based on grey scale intensities and a* values of LAB colour space (indicative of redness) have been extracted from five different regions of tongue images. Intragroup analysis using Wilcoxon signed rank test compared different regions within individual study group. Additionally, intergroup analysis using Wilcoxon rank sum test compared tongues of NOM with ACD for each region separately. Results: Intragroup analysis reveals a* values are statistically different (p<0.01) between stomach-spleen and liver-gallbladder regions for ACD while no significant change of a* are noted between these regions of normal tongue. It was found from intergroup analysis that correlation (one of the second order texture features extracted from grey scale images) of heart region has significantly decreased while correlation of kidney, liver-gallbladder and stomach-spleen regions significantly increased from NOM to ACD. Conclusion: This study sheds light on importance of inclusion of regional textural analysis of tongue in quantitative studies and can be applied to automated tongue diagnosis for other diseases.

The objective of this study was to analyze the epidemiological links of HIV, HCV and HIV-HCV coinfections to less studied types of transmission in certain populations. We performed an observational, prospective study on 903 patients aged between 15-87 years who took part in the Open Test Project. They were divided into two subgroups: general population and individuals from prisons, and questioned about multiple risk factors. Chi-Square Independence Test was used to establish correlations between the risk factors and the results of the screening tests. Logistic regression was used to calculate the probability of a reactive screening test based on each independent risk factor and age. HIV was very strongly associated with unprotected sexual intercourse with HIV-positive partners (the strongest association), unprotected sexual intercourse with sex workers, newly diagnosed sexually transmitted diseases (STDs), intravenous drug use (IDUs) and sharing injecting materials. In the case of HCV reactive tests, very strong associations have been established with injecting drug use (the strongest association), unprotected sexual intercourse with IDUs and sharing injecting materials. Our study indicates the need for implementing targeted public health programs, tailored to the local epidemiology that can ultimately lead to micro-elimination of hepatitis and HIV infections in this area.

Patient experience is key to patient-centered care and overall healthcare quality. This focus aligns with the growing trend of collaborative care, where patients actively participate in deci-sions alongside providers, leading to better outcomes. Patient experience goes beyond clinical results; it encompasses how patients feel throughout the care journey. Integrating patient per-spectives is essential for high-quality care. The study employed a multicenter, cross-sectional survey design utilizing a questionnaire-based approach. The data collection spanned two loca-tions within the Hospital Clínica Bíblica: San José, and Santa Ana, Costa Rica. The survey target-ed patients receiving treatment across the emergency department, surgery service, and inpatient department. A standardized Picker Patient Experience Questionnaire-33 (PPE-33) was adminis-tered to assess patients' overall experience with received services. A total of 390 questionnaires were analyzed. The participant demographics were as follows: 61.79% female, 56.15% aged be-tween 18 and 44, and 55.67% with undergraduate education. The hospital delivered high-quality service, with strong communication and accessibility (93.7%, 92.6%, and 94.4% positive respec-tively). Improvements are needed in patient rights education (22.7% positive), information about the patient's condition (74.3% positive), discharge instructions (36.5% and 71.4% positive for side effects and warning signs respectively) and addressing patient concerns (26.3% to 44.0%). Patients appreciated their privacy (95.2%), effective pain management (96.2%), respectful com-munication (97.0% and 94.8%), and overall respectful treatment. Satisfaction was influenced by factors like patient needs prioritization, rights communication, sociodemographic, health status, and comfort. The ward of admission had no significant impact on the experience. Enhancing pa-tient experience could boost loyalty and healthcare quality.

A new data processing method based on Machine Learning (ML) algorithms has been developed and tested in clinical environments during COVID-19 trials at the Medical University of South Carolina (MUSC). Breath samples have been collected in 2020–2021 from 100 participants using gas chromatography combined with ion mobility spectrometry (GC-IMS, G.A.S. mbH). Polymerase chain reaction (PCR) tests combined with clinical diagnostics were used as a reference method. Once the ML training-testing cycle is completed, the diagnostics of a single data set may be completed in as little as a few seconds. A convincing difference in the Volatile Organic Compounds (VOS) breath biomarker signature with COVID-19 positive and negative participants has been found. This approach is a generic method that can be applied to data sets collected with other types of hardware, e.g., different settings of GC, GC-MS, GC-GC, or other methods providing high information density in 2-dimensional data sets.

Taste and smell disorders can worsen the nutritional status of patients receiving chemotherapy and potentially affect drug treatment. However, there is limited knowledge on antineoplastic agents that induce taste and smell disorders. Therefore, we used the US Food and Drug Administration Adverse Event Reporting System database to analyze the characteristics of patients and antineoplastic agents in relation to taste and smell disorders. No gender differences related to onset of taste and smell disorders were found, whereas older age was identified as a possible risk factor. Among antineoplastic agent classes, protein kinase inhibitors appeared to be particularly likely to induce taste and smell disorders. Cluster analysis and principal component analysis that taste and smell disorders induced by antineoplastic agents are characterized by “disorder of taste/smell” and “decrease/change of taste and smell.” These findings might be useful in selecting drugs for patients experiencing similar side effects.

This paper presents a new algorithm to solve the optimal reconfiguration problem in distribution networks, using the algorithm called Improved Simulated Annealing combined with Hybrid Cooling (ISA-HC) and Selective Space Search, which leverages the capabilities of the Open Distribution System Simulator (OpenDSS) software and the selective space search concept to enhance performance and reduce the search space. The ISA-HC algorithm determines an adequate starting point for the temperature and initial solution according to the size of the system. For adequate cooling, a three-stage cooling approach was employed to achieve effective cooling, combining two methods widely used in the literature. Overall, the ISA-HC algorithm is a promising method for solving the optimal reconfiguration problem in distribution networks. The algorithm was tested on the systems of 5, 33, 69, and 94 buses and compared to other existing methods in the literature. The results show that the proposed method is more robust and efficient, providing better convergence and reliably achieving good-quality global solutions

The increasing prevalence of spinal disorders and the subsequent rise in spinal fusion surgeries stress the necessity for optimizing spinal fusion cages, crucial for stabilizing the spine and supporting osseointegration. Despite the widespread attempts at material modifications and surface enhancements to improve these devices, failure rates and complications remain significant. This research explores an imaginitive approach to enhancing spinal fusion cages through the application of geometric tiling designs, a method scarcely employed . The study systematically investigates the potential of triangular, diamond, and hexagonal tiling patterns to improve the structural integrity and capability for osseointegration of spinal fusion cages. Through a finite element analysis simulation, each design's ability to withstand multi-directional loads and effectively distribute stress was tested under simulated conditions that mimic the complexities of spinal motion. Preliminary findings in fields of engineering indicate that geometric tiling can significantly enhance the load-bearing capabilities and stress distribution of spinal fusion cages, potentially reducing the likelihood of implant subsidence and failure. The triangular and hexagonal designs, in particular, demonstrate superior performance in maintaining structural stability under axial and anterior compressive forces compared to traditional cage designs. This research opens a new pathway for the development of more durable and efficient spinal fusion cages. By leveraging the structural advantages of geometric tiling, future spinal implants could achieve better clinical outcomes, leading to improved patient recovery and reduced rates of complications.

Effective management of supplier relationships is crucial for e-commerce companies to navigate complex supply chain dynamics and mitigate risks associated with supplier disputes. This qualitative study explores the strategies and challenges involved in resolving supplier disputes through relationship management in the context of e-commerce. Through semi-structured interviews with supply chain managers, procurement officers, and executives from diverse e-commerce firms, the study investigates key themes including communication strategies, trust-building initiatives, negotiation dynamics, technological integration, organizational culture, and global supply chain alignment. Findings reveal that clear and transparent communication plays a foundational role in preventing misunderstandings and fostering collaboration with suppliers. Trust-building initiatives, such as consistency in commitments and transparency in business dealings, are essential for cultivating resilient supplier relationships. Negotiation strategies emphasizing principled negotiation and collaborative problem-solving facilitate the resolution of disputes while preserving long-term partnerships. Technological integration through data analytics, automation, and digital platforms enhances operational efficiency and decision-making capabilities in managing supplier relationships. Organizational culture characterized by collaboration, innovation, and leadership commitment to strategic alignment with global supply chains promotes resilience and responsiveness to market dynamics. Challenges including power dynamics, operational constraints, and cultural differences underscore the importance of proactive risk management and cultural sensitivity in supplier relationship management. This study contributes actionable insights for practitioners to enhance supplier relationship management practices, navigate disputes effectively, and foster sustainable competitive advantage in e-commerce. By integrating these findings into strategic planning, e-commerce firms can strengthen supplier partnerships, optimize supply chain performance, and mitigate risks in a dynamic business environment.

The emerging and promising paradigm of the Internet of Vehicles (IoV) employ vehicle-to-everything communication for facilitating vehicles to not only communicate with one another but also with the supporting roadside infrastructure, vulnerable pedestrians, and the backbone network in a bid to primarily address a number of safety-critical vehicular applications. Nevertheless, owing to the inherent characteristics of IoV networks, in particular, of being (a) highly dynamic in nature and which results in a continual change in the network topology and (b) non-deterministic owing to the intricate nature of its entities and their interrelationships, they are susceptible to a number of malicious attacks. Such sort of attacks, if and when materializes, jeopardizes the entire IoV network, thereby putting the human lives at risk. Whilst the cryptographic-based mechanisms are capable of mitigating the external attacks, the internal attacks are extremely hard to tackle. Trust, therefore, is an indispensable tool since it facilitates in the timely identification and eradication of malicious entities responsible for launching internal attacks in an IoV network. To date, there is no dataset pertinent to trust management in the context of IoV networks and the same has proven to be a bottleneck for conducting an in-depth research in this domain. The manuscript-at-hand, accordingly, presents a first of its kind trust-based IoV dataset encompassing 96,707 interactions amongst 79 vehicles at different time instances. The dataset involves 9 salient trust parameters, i.e., packet delivery ratio, similarity, external similarity, internal similarity, familiarity, external familiarity, internal familiarity, reward / punishment, and context, which play a considerable role for ascertaining the trust of a vehicle within an IoV network.

Amorphous Indomethacin has enhanced bioavailability over its’ crystalline forms, yet amorphous forms can still possess a wide variety of structures. Here, Empirical Potential Structure Refinement (EPSR) has been used to provide accurate molecular models on the structure of five different amorphous Indomethacin samples, that are consistent with their high energy x-ray diffraction patterns. It is found that the majority of molecules in amorphous Indomethacin are non-bonded or bonded to one neighboring molecule via a single hydrogen bond, in contrast the doubly bonded dimers found in the crystalline state. The EPSR models further indicate a substantial variation in hydrogen bonding between different amorphous forms, leading to a diversity of chain structures not found in any known crystal structures. The majority of hydrogen bonds are associated with the carboxylic acid group, although a significant number of amide hydrogen bonding interactions are also found in the models. Evidence of some dipole-dipole interactions are also observed in the more structurally ordered models. The results are consistent a distribution of Z-isomer intra-molecular type conformations in the more disordered structures, that dis-tort when stronger inter-molecular hydrogen bonding occurs. The findings are supported by 1H and 2H NMR studies of the hydrogen bond dynamics in amorphous Indomethacin.

The macular pigment optical density (MPOD) signifies a vital component of macular well-being and high-resolution visual acuity. MPOD can serve as a reliable biomarker for assessing the retinal defense mechanisms against oxidative stress and the deleterious effects of excessive light exposure. Elevated MPOD levels offer robust protection against the onset and progression of age-related macular degeneration (AMD) a prevalent cause of vision impairment among the elderly population. MPOD's implications in diverse ocular conditions, including diabetic retinopathy and glaucoma, have been explored and indicate a real need for clinical measurement of MPOD. This review looks at the potential of MPOD as a modifiable biomarker influencing the progression and onset of these conditions, particularly in the context of oxidative stress and retinal ischemia. The integration of MPOD measurement into routine eye examinations presents an unparalleled opportunity for early disease detection, precise treatment planning, and longitudinal disease monitoring. Emerging technologies and longitudinal investigations promise to elucidate the dynamic nuances of MPOD in the context of age-related ocular diseases.

In 2011-2012, Northern Vietnam suffered its first large scale hand foot and mouth disease (HFMD) epidemic. Two sets of official guidelines were issued during the outbreak to handle the HFMD crisis. The city of Hai Phong was therefore used as a model to analyze the impact of the guidelines release. 9621 HFMD cases were reported in Hai Phong city from April 2011 to December 2012. Three distinct waves of HFMD occurred. Enterovirus A71 and Coxackievirus A16 were successively associated to the epidemics. Two periods, before and after guidelines realease, could be distinguished which were characterized by different patient patterns Time to admission and severity changed notably. Guideline publication help the health system refocusing on the 0.5-3 years age group with highest incidence of the disease. The three waves showed different special distribution but main routes of infection were rivers and local secondary roads most likely through local trade and occupational movements of people.

in the context of advanced nanomaterials research, nanogels have recently gained considerable attention for their versatility and promising biomedical applications. To date, a significant number of nanogels have been developed to meet the growing demands in various fields of biomedical research. Summarising preparation methods, physicochemical and biological properties and recent applications of nanogels may be useful to help exploring new directions for their development. This article presents a comprehensive overview of the latest nanogel synthesis methodologies, highlighting advances in formulation with different types of hydrophilic or amphiphilic polymers. It also underlines recent biomedical applications of nanogels in drug delivery and imaging, with a short section dedicated to biosafety considerations of these innovative nanomaterials. In conclusion, this article summarises recent innovations in nanogel synthesis and their numerous applications, highlighting their considerable potential in the biomedical field.

Resilience is an important determinant of the quality of life in adults, among others in the sphere of cognitive activities. Developments in brain imaging technology make it possible to acquire a more accurate understanding of the neuronal mechanisms of these correlations. The aim of this study was to verify whether the level of mental resilience would differentiate reading comprehension performance when using different information carriers. More than 150 adults were surveyed with the use of two questionnaires (original and standardised) and near-infrared spectroscopy (fNIRS). The results obtained did not show differences in correct responses between the groups of individuals with different levels of resilience, however, the results in the group of subjects with moderate levels were differentiated by the type of carrier. Further analysis showed that the results referred to above resulted from different neuronal mechanisms. The differences affected many areas of the brain and also depended on the type of information carrier (medium). They affected, among others, attentional areas as well as areas directly involved in the reading process. This may result in increased energy consumption during the examined activities, which can result in greater fatigue, accelerated job burnout and progressive concentration difficulties.

Synthetic Aperture Radar has been extensively used in numerous fields and can gather a wealth of information about the area of interest. This large-scene data-intensive technology puts a high value on automatic target recognition (ATR) which can free the utilizers and boost the efficiency. Recent advances in artificial intelligence have made it possible to create a deep learning-based SAR ATR that can automatically identify target features from massive input data. In the last 6 years, intensive research has been conducted in this area, however, most papers in the current SAR ATR field used recurrent neural network (RNN) and convolutional neural network (CNN)-varied models to deepen the regime’s understanding of the SAR images. To equip SAR ATR with updated deep learning technology, this paper tries to apply a lightweight vision transformer (LViT)-based model to classify SAR images. The entire structure was verified by an open- accessed SAR data set and recognition results show that the final classification outcomes are robust and more accurate in comparison with referred traditional network structures without even using any convolutional layers.

Molecular hybridization is a widely used strategy in drug discovery and development processes that consists in the combination of two bioactive compounds toward a novel entity. In the current study, two libraries of hybrid derivatives coming from the linkage of sesquiterpene counterparts dihydroartemisinin and artesunic acid with a series of monoterpenes were synthesized and evaluated by cell viability assay on primary and metastatic melanoma cell lines. Almost all the obtained compounds showed micromolar antimelanoma activity and selectivity toward the metastatic form of this cancer. Four hybrid derivatives containing perillyl alcohol, citronellol, and nerol as monoterpene counterpart, emerged as the best compounds of the series, with nerol being active in combination with both sesquiterpenes, dihydroartemisinin and artesunic acid. Preliminary studies on the mechanism of action have shown the dependence of the pharmacological activity of newly synthesized hybrids on the formation of carbon- and oxygen-centered radical species. This study demonstrated the positive modulation of the pharmacodynamic effect of artemisinin semisynthetic derivatives dihydroartemisinin and artesunic acid due to the hybridization with monoterpene counterparts.

Knee osteoarthritis (KO) is an important health condition, affecting one third of the people aged 65 years or more. Pain is the main cause of disability. Pain management in KO includes pharmacological and non-pharmacological modalities. Patient education, lifestyle changes, physical exercise and physical agents are prescribed as a first approach for pain control. Laser therapy is part of many therapeutical protocols, with two forms, low-level laser therapy (LLLT) and high-intensity laser therapy (HILT). The paper aimed at stressing the advantages of HILT, based on a greater wavelength, higher energy delivery and deeper tissue penetration. Research on 23 published trials revealed that analgesic effect is rapid, cumulative and long lasting. Compared to sham, to LLLT or to other associations of therapeutical modalities, HILT provided significantly better results on pain reduction and functional improvement. Ultrasound examination showed reduction of intraarticular inflammation.

The Indian meal moth, Plodia interpunctella, poses a significant threat to global agricultural products. Although pheromone-based technologies show promise for P. interpunctella management, limitations like single-sex targeting necessitate exploring complementary strategies. Vegetable-based oils represent a potential alternative, but their efficacy, sex-specificity, and interaction with sex pheromones remain unclear. To answer these questions, we first examined attraction of P. interpunctella female and male adults to ten different vegetable oils, i.e., camellia, corn, olive, peanut, rapeseed, sesame, soybean, sunflower, walnut, and a blended oil (mixture of sunflower seed, rapeseed, soybean, peanut, and sesame oils), in the semi-field conditions. Sesame, olive, and blended oils demonstrated most attractive, capturing significantly more adults compared to other oils. We then evaluated effectiveness of these three attractive oils and their combinations with P. interpunctella sex pheromone in a grain warehouse. Traps baited with these oils captured significantly more females and males compared to control traps without attractants. However, sex pheromone addition did not improve male capture and significantly reduced female capture, suggesting an inhibitory effect. Our findings highlight the potential of blended, olive, or sesame oil trap alone as alternative monitoring and trapping tools for P. interpunctella, delivering novel insights into the development of efficient integrated pest management strategies for stored products.

The de-oxygenation process in water used in well injection operations is an important matter to eliminate corrosion in petroleum industry. This study used molecular dynamics simulations to understand the behavior of siloxane surface through studding the surface properties with two functional groups attached to the end of siloxane and their effect on de-oxygenation process. The simulations were performed using LAMMPS to characterize of surface properties. Jmol software was used to generate siloxane chains with (8, 20, and 35) repeat units. Firstly, we evaluated properties such as total energy, surface tension and viscosity. Then, we used siloxane as a membrane to compare the efficiency of de-oxygenation for the both types of functional groups. The results indicated that longer chains length increased total energy, viscosity while decreased surface tension. Replacing methyl groups with trifluoromethyl (CF3) groups increased all the above mentioned properties in varying proportions. Trifluoromethyl (CF3) groups showed better removal efficiency than methyl (CH3) groups but allowed more water to pass. Furthermore, the simulations were run using the class II potential developed by Sun, Rigby, and others within an explicit-atom (EA) model.

Academic procrastination, more than merely postponing tasks, represents a significant failure in the self-regulation process of learning. Research on study skills highlights academic time management as one of the crucial elements of learning strategies and sustainable education. These abilities will help achieve the Sustainable Development Goals fourth goal. Therefore, this study aimed to understand how students plan time management in school activities and its influence on study procrastination, analyzing differences between genders and the hours students spend studying. The Time Management Planning Inventory, the Study Procrastination Questionnaire, and a personal and school data sheet were used. A sample of 506 students from elementary schools in northern Portugal was utilized. The results revealed that gender and study hours significantly influence how students plan time management for school tasks in the short and long term. This variable also showed a significant impact on the procrastination of study activities. The practical implications of this study are substantial, as they provide educators and researchers insights into the factors influencing academic procrastination and the role of time management planning and study hours. These insights can be applied to develop effective strategies to reduce academic procrastination and promote sustainable education.

Metabolic dysfunction-associated steatotic liver disease (MASLD) is a serious health problem, and recent evidence indicates that gut microbiota plays a key role in its development. It is known that 2-oleoyl glycerol (2-OG) produced by the gut microbiota is associated with hepatic fibrosis, but it is not known whether this metabolite is involved in the development of hepatic steatosis. The aim of this study was to evaluate how a high-fat sucrose diet (HFS) increases 2-OG production through gut microbiota dysbiosis and to identify whether this metabolite modifies hepatic lipogenesis and mitochondrial activity for the development of hepatic steatosis as well as whether a combination of functional foods can reverse this process. Wistar rats were fed HFS diet for 7 mo. At the end of the study, body composition, biochemical parameters, gut microbiota, protein abundance of lipogenic and antioxidant enzymes, measurement of liver 2-OG, and mitochondrial function were assessed in rats and we studied the effect of HFS with functional foods. In humans with MASLD, we analyzed gut microbiota and serum 2-OG. Consumption of HFS diet in Wistar rats caused oxidative stress, hepatic steatosis and gut microbiota dysbiosis, decreasing α-diversity and increased Blautia producta abundance, which increased 2-OG. This metabolite increased de novo lipogenesis through ChREBP and SREBP-1. 2-OG significantly increased mitochondrial dysfunction. Addition of functional foods to the diet modified the gut microbiota, reducing B. producta and 2-OG levels, leading to a decrease in body weight gain, body fat mass, serum glucose, insulin, cholesterol, triglycerides, fatty liver formation, and increased mitochondrial function. In order to use 2-OG as biomarker, this metabolite was measured in healthy subjects or with MASLD and it was observed that subjects with hepatic steatosis II and III had significantly higher 2-OG than healthy subjects, suggesting that the abundance of this circulating metabolite could be a predictor marker of hepatic steatosis.

Microalgae cultivation for biotechnological purposes is an expanding field. Their cultivation is usually performed on a liquid culture medium and require the presence of an energy source. Culture media are water-salt solutions containing nitrogen, sulfur, phosphate sources, with trace of transition metals. Light source supplies energy through photosynthesis process, resulting in metabolic reactions and cell growth. Thanks to the huge number of existing species and their diversity, it is possible to exploit alternative water sources with chemical and physical properties far from the commonly used freshwater media. Among these, oilfield or formation waters (AFW) are saline wastewater produced during oil drilling. They represent over 95 % of the total fluids collected from gas and oil wells during fuel extraction. This study exploits the adaptation capability of a Galdieria sulphuraria strain in different salinity conditions to build up a more feasible microalgae-based platform. Batch cultivation of G. sulphuraria was evaluated in a range from 0 to 20 g/L NaCl in terms of growth rate, metabolite content, photophysiology, and intracellular redox state. Moreover, the same strain has been tested for artificial formation water growth in semicontinuous cultivation mode. In these condition, NaCl preadaptation effect has been assessed too. Results clearly demonstrate that biomass composition is influenced from medium salinity. Strains preadapted in 0 to 20 g/L range of NaCl salinity show almost same cell growth profile and a slightly different ratio between lipids, carbohydrates, and proteins. Pigments content and photophysiology point out that variations of osmotic pressure and ionic strength in medium affect Photosystem II (PSII). Regulation of light harvesting is necessary to trigger metabolism shift toward synthesis of metabolites required in the adaptation process.

Rett syndrome (RTT) is an X-linked neurodevelopment disorder associated with the single monogenic mutation in methyl-CpG binding protein 2 (MeCP2) in up to 95% of cases. The growing number of genome-wide association studies and incomplete concordance for autoimmune diseases in monozygotic twins concur to support the involvement of environmental factors, like infectious agents or chemicals, in the breakdown of tolerance leading to autoimmunity. In fact, the coexistence of a perturbation of the immune system in RTT patients has been previously hypothesized. We herein explored the hypothesis that an autoimmune component derived from environmental bacterial infection of non typeable Haemophilus influenzae may coexist in RTT. At this purpose we screened sera from RTT syndrome patients, non-RTT pervasive developmental disorders patients and healthy controls with the hyperglucosylated adhesin protein HMW1ct(Glc) used as a precise antigen in ELISA in order to identify specific antibodies to N-glucosylation sites. Results showed that HMW1ct(Glc) is able to significantly discriminate antibodies among RTT sera and controls. Competitive ELISA confirmed the specific interaction between antibodies characteristic of RTT syndrome and the N-glucosylation motifs of the bacterial adhesin protein HMW1ct(Glc).

The increasing adoption of student-centred learning environs by the institutions of higher education in business, has led to new mechanisms and methodologies such as the Simulation-Based Learning (SBL), Problem-Based Learning (PBL) and Challenge-Based Learning (CBL). Literature has shown evidence of raising interest in these methodologies towards a more experiential paradigm with regard to upcoming events from the surrounding real-world context. This paper presents a Systematic Bibliographic Literature Review (SBLR) with respect to the integration and application of these innovative and collaborative methodologies in higher education. It aimed to identify its relevant advantages, challenges, and consequences for the future of business education. Bibliographic databases were searched for documents published up to May 2024 to categorize key topics discussed in the literature on SBL, PBL and CBL. The review process identified 89 empirical and non-empirical papers on SBL, PBL and CBL, business related paperwork, which resulted from the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. PRISMA is a framework with evidence-based data designed to help authors perform a systematic literature review. Data analysis revealed diverse subthemes for those methodologies uses in business higher education institutions. The research questions “What are the advantages, challenges and implications of SBL, PBL and CBL altogether, in the training of business students?” guided the study. The central output of the research is the discovery of the varying uses of SBL, PBL and CBL overall, to cope with diverse demands arising within environmental context. Future research directions are suggested.

The Hyper-Torus Universe Model (HTUM) is a novel framework that unifies quantum mechanics, cosmology, and consciousness, proposing that the universe is a higher-dimensional hyper-torus containing all possible states of existence. This paper explores the fundamental concepts and implications of HTUM, which suggests that the universe is a quantum system in which all possible outcomes are inherently connected, with consciousness playing a crucial role in actualizing reality. HTUM addresses critical challenges in modern physics, such as the nature of quantum entanglement, the origin of the universe, and the relationship between mind and matter. By introducing concepts like singularity, quantum entanglement at a cosmic scale, and the self-actualization of the universe, HTUM provides a comprehensive framework for understanding the fundamental nature of reality. This paper discusses the mathematical formulation of HTUM, its implications for quantum mechanics and cosmology, and its potential to bridge the gap between science and philosophy. HTUM represents a significant shift in our understanding of the universe and our place within it, inviting further research and exploration into the nature of reality and consciousness.

Some business license commitments in online single submission (OSS) currently only consist of an independent statement from the business actor, and there is no time limit for fulfilling the license, especially for low-risk bio-business licenses. Therefore, a system design is needed to monitor the fulfillment of business license commitments and to provide confidence to the public regarding the business provided. The system design started with discussing the importance of smart governance tools, defining the requirements for monitoring the commitment of bio-business licenses, selecting documents, determining important words and document types, and proposing a design. This research produces a prototype of a business license monitoring system. This smart governance tool checks the validity of business license documents. The proposed smart governance tool will overcome the complexity of the integration process for fulfilling business licenses from the Indonesian government units or agency systems with the OSS system. Apart from that, it is also very effective by looking at the thousands of government applications that currently exist and the desire to become one application solution that contains many functions that can fulfill the many needs of business actors for simple and transparent business licenses.

Interest grows in designing silicon-on-insulator slot waveguides to trap optical fields in subwavelength-scale slots and developing their optofluidic devices. However, it is worth noting that the inherent limitations of the waveguide structures may result in high optical losses and short optical paths, which challenge the device performance in optofluidics. Incorporating the planar silicon-based slot waveguide concept into a silica-based hollow-core fiber can provide a perfect solution to realize an efficient optofluidic waveguide. Here we propose a subwavelength-scale liquid-core hybrid fiber (LCHF), where the core is filled with carbon disulfide and surrounded by a silicon ring in a silica background. The waveguide properties and the Stimulated Raman Scattering (SRS) effect in the LCHF are investigated. The fraction of power inside the core of 56.3% allows an improved sensitivity in optical sensing; while the modal Raman gain of 23.60 m-1·W-1 is 2 times larger than that generated around a nano fiber with the interaction between the evanescent optical field and the surrounding Raman media benzene-methanol, which enables a significant low-threshold SRS effect. Besides, this in-fiber structure features compactness, robustness, flexibility, ease of implementation in both trace sample consumption and reasonable liquid filling duration, as well as compatibility with optical fiber systems. The detailed analyses of the properties and utilizations of the LCHF suggest a promising in-fiber optofluidic platform, which provides a novel insight into optofluidic devices, optical sensing, nonlinear optics, etc.

The rapid proliferation of Internet of Things (IoT) technology has ushered in a new era of connectivity, allowing billions of devices to produce extensive data. Significant challenges in software engineering need to be addressed for full utilization of Internet of Things (IoT) applications. This article examines the challenges in Internet of Things, software engineering and discusses current developments aimed at addressing these issues and seizing new opportunities. We examine the challenges associated with Internet of Things software development, including resource constraints, device diversity, security vulnerabilities, and data management concerns. New studies have indicated the use of advanced techniques like as containerization, model-driven development, AI and ML integration, and robust security frameworks. Moreover, the significance of system architecture is explained, including the device, network, and cloud layers, with an emphasis on the principles of reusability, scalability, and modularity. Results and conversations explore the complexities of security measures, emerging opportunities, and scaling solutions made possible by simulation tools, penetration testing, and cross-domain development platforms. The study expects IoT system evolution and emphasises the need for continual software and firmware changes, testing, and deployment.

Frailty is a common condition in older adults that negatively impacts health and quality of life. This study evaluated a comprehensive, personalized, and coordinated intervention under the Value-Based Care approach to address frailty's multidimensional nature in older people. It em-ployed a pre-post randomized controlled design, involving frail individuals over 65 years in Valencia, Spain. Assessments were conducted at baseline, 12 months (immediately post-intervention), and 18 months. The intervention included a personalized care plan supported by technology, with monthly motivational follow-ups and plan updates by health professionals and participants. Outcomes were measured using an assessment questionnaire that included the International Consortium for Health Outcomes Measurement dataset for the older population: physical health, physical functioning, general mental health, satisfaction with social activities and relationships, ability to carry out usual social roles and activities, pain, general quality of life, loneliness, physical frailty, psychological frailty and social frailty. The study found signifi-cant improvements in physical frailty, quality of life, reduced health resource use and hospitali-zations, and lower levels of pain and depression/anxiety compared to baseline. The findings suggest further research into value-based care approaches, emphasizing the development and activation of personalized, comprehensive programs for older individuals with frailty.

The self-assembly is an intriguing process of great importance in general soft matter and thus re-ceives an ever-growing scientific interest. Its most trivial example is the entropy-driven crystalli-zation of hard spheres. Past works have established the similarities and differences in the phase behavior of monomers and chains made of hard spheres. In the present work, inspired by the dif-ference in the melting points of the pure components, we study, through Monte Carlo simulations, the phase behavior of athermal mixtures composed of fully flexible polymers and individual monomers of uniform size. We analyze how the relative number fraction and the packing density affect crystallization and the established ordered morphologies. A synergetic effect is observed in the crystallization leading to synchronous crystallization of the two species. Structural analysis of the resulting ordered morphologies shows perfect mixing and thus no phase separation, which could split the system into polymer-rich and monomer-rich domains. Due to the constraints imposed by chain connectivity, the local environment of the individual spheres is systematically more spherical and more symmetric compared to the one of spheres belonging to chains. In general, increasing polymer content leads to reduction of the degree of crystallinity. According to the present findings, relative concentration is another determining factor to control the phase behavior of hard colloidal systems based on polymers.

For monitoring of chimeric antigen receptor (CAR) T-cell therapies antigen-based CAR detection methods are usually applied. However, for each target-antigen a separate detection system is required. Furthermore, when monitoring CAR T-cells in the blood of patients treated with bispecific antibodies or T-cell engagers (bsAbs/BiTEs) recognize the same antigen, these methods producing false-positive results in clinical diagnostics. Anti-CAR-linker monoclonal antibodies (mAbs) targeting the linker sequence between the variable domains of the antigen binding CAR fragment, promise an universal and unbiased CAR detection. To test this, we analyzed clinical specimens of all BCMA- and CD19 targeting CAR T-cell products currently approved for clinical use. We found a highly specific and sensitive CAR detection by using anti-CAR-linker mAb in blood cells from patients treated with Ide-cel, Tisa-cel, Axi-cel, Brexu-cel, and Liso-cel. For Ide-cel and Tisa-cel the sensitivity was significant lower compared to antigen-based CAR detection assays. Strikingly, the specificity of anti-CAR linker mAb was not affected by the simultaneous presence of bispecific blinatumomab or teclistamab for Axi-cel, Brexu-cel, Liso-cel or Ide-cel, respectively. Cilta-cel (containing an monomeric G4S-CAR linker) could not be detected by anti-CAR linker mAb. In conclusion, anti-CAR-linker mAbs are highly specific and useful for CAR T-cell monitoring but not universal applicable.

Present experimental study assesses the mechanical properties of glass/carbon/glass hybrid composite laminates after exposure to moisture and elevated temperatures for extended periods. The top and bottom layers of the hybrid laminates are glass fiber reinforced and the middle layer is carbon fiber reinforced with the matrix specified as a polymer material. The hybrid laminates were manufactured using the resin transfer molding method and their compressive and tensile properties were determined using a tensile testing machine. The material parameters such as the storage modulus, the loss modulus, and the damping factors of the laminates were identified using dynamic mechanical analysis as a function of the temperature and the vibration frequency. The experimental results on compressive and tensile properties revealed slight variations when the hybrid laminates were kept at low temperatures for extended periods. This might occur due to the increasing molecular cross-linking of the polymer network. As the temperature increased, compressive, tensile, storage modules, loss modulus, and damping factors decreased. This might occur due to the increasing mobility of the binder material. Particularly, the highest stiffness parameters were obtained on -80°C/GCG (Glass/Carbon/Glass) laminates due to the presence of beta transition on the glassy region. The relationships between the glass transitions and the targeted frequencies were characterized. The values of the glass transition shift towards higher temperatures as the frequency increases. This might occur due to a reduction in the gaps between the crosslinking of the epoxy network when the frequency increases. The accuracy of the storage modulus results was compared with the empirical models. The model based on the Arrhenius law provided the closest correlation. Meanwhile, another model was observed that was not accurate enough to predict when gamma and beta relaxations occur under a glassy state.

In the post-pandemic era, evaluating long-term immunity against COVID-19 has become increasingly critical, particularly in light of continuous SARS-CoV-2 mutations. This study aimed to assess long-term immunogenicity by analyzing booster shots’ impact and sera infection history collected in Makassar, Indonesia. We measured anti-RBD IgG levels and neutralization capacity (NC) against both the wild-type (WT) Wuhan-Hu and Omicron XBB 1.5 variants across groups of COVID-19 vaccinated individuals with no booster (NB), single booster (SB), and double booster (DB). The mean durations since the last vaccination were 25.11 months, 19.24 months, and 16.9 months for the NB, SB, and DB group, respectively. Additionally, we evaluated the effect of breakthrough infection (BTI) history, with a mean duration since the last confirmed infection of 21.72 months. Our findings indicate fair long-term WT antibody (Ab) titers, with the DB group showing significantly higher level than other groups. Similarly, the DB group demonstrated higher anti-Omicron XBB 1.Ab titer, which was insignificantly different from the other groups. Although the level of anti-WT Ab was moderate, we observed near-complete (96-97%) long-term neutralization against the WT pseudo-virus for all groups. There was a slight decrease in NC against Omicron XBB 1.5 compared to the WT among all groups; DB group, SB group, and NB group showed 80.71±3.9%, 74.29±6.7%, and 67.2±6.3% neutralization activity, respectively. Breakdown analysis based on infection and vaccine status showed that booster shots increase the NC against XBB 1.5. Individuals with BTI demonstrate a better NC compared to their counterpart uninfected individuals with the same number of booster shots. Our findings suggest that long-term immunity against SARS-CoV-2 persists and is effective against the mutant variant. Booster shots enhance the NC especially among uninfected individuals .

This paper discusses the Quantum Temporal Resonator (QTR), a theoretical device leveraging quantum entanglement and metamaterials with negative refraction indices to achieve controlled temporal displacement. By establishing a network of entangled particles within a Bose-Einstein Condensate (BEC) and utilizing a resonant cavity made of advanced metamaterials, the QTR creates localized distortions in space-time. The frequency and amplitude of temporal harmonics within this cavity are finely tuned to allow for precise temporal displacement of matter and information. Numerical simulations demonstrate the coupling between the quantum wave function and electromagnetic fields, validating the theoretical model. The results show distinctive patterns in the wave function and perturbations in the electric field, supporting the feasibility of achieving controlled temporal displacement. This study explores the theoretical framework, mathematical modeling, experimental setup, and potential applications of the QTR, providing a comprehensive analysis of its feasibility and implications.

To enhance the uplift capacity and facilitate the installation of multi-row perfobond connectors at shallow burial depths, this study puts forward a novel notched T-perfobond connector. The design incorporates an integrated flange at the bottom of the connector and a notch at the edge of the hole. Through pull-out model tests on four notched T-perfobond connectors, this research investigates their failure mechanisms and pull-out capacities. Utilizing the explicit dynamics method in Abaqus, a finite element model of the pull-out resistance test for the notched T-perfobond connector is established and verified against experimental data. Furthermore, a detailed parametric analysis involving 54 models is conducted, examining crucial parameters such as rib dimensions, hole geometry, flange size, notch width, bar diameter, and material properties. Based on the combined experimental and numerical results, the paper assesses the suitability of current formulas for calculating the pull-out capacity of perfobond connectors and proposes a refined calculation method specifically for notched T-perfobond connectors. All the findings in this paper can serve as a reference in the design and construction of composite structures.

Discovered as an apparent pattern, a universal relation between geometry and information called the holographic principle has yet to be explained. This relation is unfolded in the present paper. As it is demonstrated there, the origin of the holographic principle lies in the fact that a geometry of physical space has only a finite number of points. Furthermore, it is shown that the puzzlement of the holographic principle can be explained by a magnification of grid cells used to discretize geometrical magnitudes such as areas and volumes into sets of points. To wit, when grid cells of the Planck scale are projected from the surface of the observable universe into its interior, they become enlarged. For that reason, the space inside the observable universe is described by the set of points whose cardinality is equal to the number of points that constitute the universe’s surface.

Aedes aegypti and Aedes albopictus are responsible for transmitting major human arboviruses such as dengue, Zika, and Chikungunya, posing a global threat to public health. The lack of etio-logical treatments and efficient vaccines makes vector control strategies essential for reducing vector population density and interrupting pathogen transmission cycle. This study evaluated the impact of long-term pyriproxyfen exposure on the genetic structure and diversity of Ae. aegypti and Ae. albopictus mosquito populations. The study was conducted in Manaus, Amazonas, Bra-zil, where pyriproxyfen dissemination stations have been monitored since 2014 up to the present day. Double digest restriction-site associated DNA sequencing was performed, revealing that despite significant local population reductions, focal pyriproxyfen interventions have no signifi-cant impact on the population stratification of Ae. aegypti and Ae. albopictus in urban scenarios. The genetic structuring level of Ae. aegypti suggests it is more stratified and directly affected by PPF intervention, while for Ae. albopictus exhibits a more homogeneous and less structured popu-lation. The results suggest that although slight differences are observed among mosquitoes sub-populations, intervention focused on neighborhoods in a capital city is not efficient in terms of genetic structuring, indicating that larger-scale pyriproxyfen interventions should be considered for more effective urban mosquito control.

There is a lot of pressures from organizations to continually redesign the business processes and the technology infrastructure to support the organization, but to also help organizations manage competing stakeholder needs, changing objectives and behaviour, and so on. A key part of this is making sure that all their activities in the different components of the business are interconnected and that they are moving in the same direction. Enterprise Architecture (EA) is an effective way of dealing with the challenge of designing business activities and supporting IT. This paper will summarize the organization of EA and look more closely at some major components of EA: governance architecture, business architecture, information architecture and technical architecture and consider the overlap and constructive interaction involved. Enterprise Architecture can be best understood through business process redesign. So, it is useful to briefly review the leading frameworks for business process redesign, including COBIT from ISACA, LEAN from the Toyota Group, TOGAF from the Object-Management Group, and the Capgemini Integrated Architecture Framework (IAF). All these frameworks allow us to more successful transformation, to return to the central idea of this paper.

There are few results about the internal damping ratio of normal and high strength concretes. Hence, this paper presents the expansion of the investigation about internal damping ratio under undamaged and damaged conditions, for usual concretes (NSC) and high strength concretes (HSC). In this way, the study cover a strength range of 42 to 83 MPa. Cyclic load was employed by a servo-controlled hydraulic testing machine and for each cyclic step the dynamic elastic modulus (Ed) and internal damping ratio (ξ) were determinate by acoustic tests. Normal strength concretes (fc = 42MPa) presented undamaged internal damping ratio ξ = 0.5% and achieved the maximum value of ξ = 2.5 for a damage index equal to 0.8. High strength concretes mixtures (fc = 83MPa) presented an undamaged internal damping of ξ=0.29% and maximum internal damping equal to ξ=0.93% (under damage index of 0.32). Porosity and the transition zones were the responsible to the initial internal damping values and how the material behavior under each cyclic load. The progressive damage generates the increase of coulomb damping. There are few studies allowing the quantification and comprehension of internal damping ratio under damage cyclic loading and this approach will lead to improve the understanding of NSC and HSC under dynamical excitation subject to damage evolution, mainly in impact situations.

This research article provides an unconditional proof of an inequality proposed by \textit{Srinivasa Ramanujan} involving the Prime Counting Function $\pi(x)$, \begin{align*} (\pi(x))^{2}<\frac{ex}{\log x}\pi\left(\frac{x}{e}\right) \end{align*} for every real $x\geq \exp(1486)$, using specific order estimates of the \textit{Mertens Function}, $M(x)$. The proof primarily hinges upon investigating the underlying relation between $M(x)$ and the \textit{Second Chebyshev Function}, $\psi(x)$, in addition to applying the meromorphic properties of the \textit{Riemann Zeta Function}, $\zeta(s)$ with an intention of deriving an improved approximation for $\pi(x)$.

This study evaluates the efficiency of biodegradable polyurethane foams as thermal insulation materials compared to conventional materials like expanded polystyrene (EPS). Key parameters analyzed include thermal conductivity, energy savings, CO2 emission reductions, and investment payback periods. Biodegradable polyurethane foams demonstrated a thermal conductivity of 0.022 W/(m·K), significantly lower than EPS's 0.035 W/(m·K), leading to higher energy savings. Calculations reveal an annual energy saving of 443,820 kWh for polyurethane foams, compared to 441,330 kWh for EPS. Financially, polyurethane foams save approximately €53,258.4 annually, while EPS saves €52,959.6. In terms of environmental impact, polyurethane foams reduce CO2 emissions by 88,764 kg annually, versus 88,266 kg for EPS. Despite the higher initial cost of polyurethane foams (€50/m² compared to €30/m² for EPS), the payback period is remarkably short at 0.094 years (1.13 months) compared to EPS's 0.057 years (0.68 months). These findings highlight biodegradable polyurethane foams as a superior option for thermal insulation, offering significant energy, financial, and environmental benefits.

Background: This study stands as a pioneer in the histological evaluation of the biological behavior of a novel implant design featuring decompressive cervical blades. Hence, the aim of the present study was to evaluate the healing outcome in cortical regions at where decompressive protocols were adopted using implants equipped with blades. Materials and methods: Blades with varying diameters were integrated into the coronal portion of the implant to prepare the cortical region of rabbit tibiae. The blade diameters differed from the implant collar by the following amounts: control group (0 µm), +50 µm, and +200 µm. Results: No marginal bone loss was detected. Instead, all implants exhibited new bone formation in the coronal region. Complete closure was observed in the CG-0 group, as well as in the TG-50 and TG-200 groups, despite the presence of marginal gaps without primary bone contact at installation. In the apical region, most implants breached the cortical layer. Nevertheless, new bone formation in this region completely closed the osteotomy, effectively isolating the internal environment of the tibia from the external. Conclusions: The use of a blade attached to the implant body enabled precise preparation of the cortical layer, allowing for controlled decompression in the targeted area. This technique resulted in optimal osseointegration with no loss of marginal bone, and complete restoration of marginal gaps ranging from 0 µm to 200 µm.

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.

The achievement of size uniformity and monodispersity in perovskite quantum dots (QDs) requires the implementation of precise temperature control and the establishment of optimal reaction conditions. Nevertheless, the accurate control of a range of reaction variables represents a considerable challenge. This study addresses the aforementioned challenge by employing manganese (Mn) doping to achieve size uniformity in CsPbBr₃ perovskite QDs without the necessity for precise control of the reaction conditions. By optimizing the Mn:Pb ratio, it is possible to successfully dope CsPbBr₃ QDs with appropriate concentrations of Mn²⁺ and achieve a uniform size distribution. The spectroscopic measurements on single QDs indicate that the appropriate Mn²⁺ concentrations can result in a narrower spectral linewidth, a longer photoluminescence (PL) lifetime, and a reduced biexciton Auger recombination rate, thus positively affecting the PL properties. This study not only simplifies the size control of perovskite QDs, but also demonstrates the potential of Mn-doped CsPbBr₃ QDs for narrow linewidth light-emitting diode applications.

This study aimed to develop a high-quality dry emulsion incorporating omega-3, 6, and 9 fatty acid-rich ostrich oil for use as a dietary supplement. Extracted from abdominal adipose tissues using a low-temperature wet rendering method, the ostrich oil exhibited antioxidant properties, favorable physicochemical properties, microbial counts, heavy metal levels, and fatty acid compositions, positioning it as a suitable candidate for an oil-in-water emulsion and subsequent formulation as a dry emulsion. Lecithin was employed as the emulsifier due to its safety and health benefits. The resulting emulsion, comprising 10% w/w lecithin and 10% w/w ostrich oil, was stable, with a droplet size of 3.93 ± 0.11 μm. This liquid emulsion underwent transformation into a dry emulsion to preserve the physicochemical stability of ostrich oil, utilizing Avicel® PH-101 or Aerosil® 200 through a granulation process. Although Aerosil® 200 exhibited superior adsorption, Avicel® PH-101 granules surpassed it in releasing the ostrich oil emulsion. Consequently, Avicel® PH-101 was selected as the preferred adsorbent for formulating the ostrich oil dry emulsion. The dry emulsion, encapsulated with a disintegration time of 3.11 ± 0.14 min for ease of swallowing, maintained microbial loads and heavy metal contents within acceptable limits. Presented as granules containing butylated hydroxytoluene, the dry emulsion showcased robust temperature stability, suggesting the potential incorporation of animal fat into dry emulsions as a promising dietary supplement.

Dams significantly impact the environment, industry, residential areas, and agriculture. Efficient dam management can mitigate negative impacts and enhance benefits such as flood and drought reduction, energy efficiency, water access, and improved irrigation. This study tackles the critical issue of predicting dam occupancy levels precisely within the framework of Integrated Water Resource Management (IWRM). Our research proposes that combining the physical model of evapotranspiration using the Penman–Monteith equation with data-driven models based on historical reservoir data, weather data, and consumption data is essential for accurately predicting occupancy levels. We implemented various prediction models, including Random Forest, Extra Trees, Long Short-Term Memory, Orthogonal Matching Pursuit CV, and Lasso Lars CV. To strengthen our proposed model with robust evidence, we conducted a statistical test on the MAPE values. We achieved a remarkable accuracy in predicting the occupancy level one month ahead, with an error margin of just 1% using Extra Trees. This study represents a pioneering effort in providing guidance and proposing a hybrid model in this field.

Background : Newly generated cardiomyocytes (NGC) concur to recovery of human myocarditis. However, Methods: We retrospectively assessed NGC in 213 consecutive patients with endomyocardial biopsy denoting acute myocarditis, with normal coronaries and valves. Tissue samples were processed for histology (H&E), immunohistochemistry for the evaluation of inflammatory infiltrates, immunostaining for alpha-sarcomeric-actin, junctional connexin-43, Ki-67, phosphorylated STAT3 (p-STAT3) and Western Blot (WB) for HMGB1. Frozen samples were analyzed with polymerase chain reaction (PCR) for cardiotropic viruses. Controls included 20 normal surgical biopsies. Results: NGCs were defined as small myocytes (diameter < 10 µm) with nuclear positivity to Ki-67 and p-STAT3, positive immunostaining for cytoplasmic α-sarcomeric actin and connexin 43. Their number/mm2 in relation with age and pathway of integration were evaluated. NGCs crossed the membrane and grew integrated within the empty necrotic myocytes. NGC mean diameter was 6.6 ± 3.34 vs 22.5 ± 3.11 µm adult cells; their number, in comparable LVEF, was 86.3 ± 10.3/mm2 in patients between 10 and 40 years; 50.4 ±13.8/mm2 in those between 41 and 60; 15.1 ± 5.7/ mm2 in those between 61 and 80; control NGC mean diameter was 0.2± 0.2/mm2. PCR was positive for viral genomes in 16% of cases; NGCs were not statistically different in viral and non-viral myocarditis. WB analysis revealed a higher expression of HMGB1 in myocarditis compared to myocardial controls. Conclusions: NGCs are constantly recognizable in acute human myocarditis. Their number declines with age. Their integration within necrotic myocytes consents preservation of cardiac structure and function.

Amidst increasing awareness of diet-health relationships, plant-derived bioactive peptides are recognized for their dual nutritional and health benefits. This study investigates bioactive peptides released after Alcalase hydrolysis of protein from chachafruto (Erythrina edulis), a nutrient-rich South American leguminous plant, focusing on their behavior during simulated gastrointestinal digestion. Evaluating their ability to scavenge radicals, mitigate oxidative stress, and influence immune response biomarkers, the study underscores the importance of understanding peptide interactions in digestion. Methods included previous enzymatic hydrolysis with Alcalase to obtain peptides, and results show significant radical scavenging and oxidative stress protection by chachafruto peptides. These findings highlight the potential of chachafruto bioactive peptides in functional foods and nutraceuticals, supporting human health through dietary interventions.

The Thrace region in Turkey is an important region where production suitable for irrigated agriculture such as sugar beet, paddy, sunflower and corn is widely carried out. Producers in the region have to decide on the product they will produce every year. A large number of factors that can affect decision-making in agricultural production can affect the outcome of the farmers. Therefore, it is necessary to have a decision-making process that can facilitate access to information and decision-making. Analytical Hierarchy Process (AHP) is a valuable decision-making methodology that can be applied not only in agricultural production but also in many other areas. This study evaluates four products with the AHP method according to the criteria by surveying 271 producers in the area. The aim is to determine the most suitable products for planting in these areas. We found that rice is the product that provides the highest profit. The AHP model used in this study primarily serves to determine the importance levels of various criteria and demonstrates its effectiveness as a decision-making tool in product selection when the correct criteria are applied

Keywords: Response surface methodology; Ultrasonication; marigold flower; polyphenols, microcapsules; antimicrobial activity.

Cholangiocarcinoma is an aggressive cancer with limited treatment options. Current therapies, such as cisplatin and 5-fluorouracil (5-FU), often cause side effects and drug resistance. This study investigated a potential new approach by combining a peanut skin extract (KK4-PSE) with these drugs. The extract effectively inhibited the growth of cholangiocarcinoma cells in laboratory studies and showed even greater selectivity for cancer cells compared to healthy cells. When combined with cisplatin or 5-FU, KK4-PSE enhanced the drugs' effects, leading to cell cycle arrest and increased cell death. These combined treatments also reduced levels of proteins that promote cancer cell survival. In animal models, KK4-PSE combined with 5-FU showed superior tumor suppression compared to the combination with cisplatin. Overall, these findings suggest that KK4-PSE may be a promising synergistic agent to improve the effectiveness of chemotherapy for cholangiocarcinoma, warranting further clinical investigation.

This study presents extended Immunity Agent-Based Model (IABM) simulations to evaluate vaccination strategies in controlling the spread of infectious diseases. The application of IABM in the analysis of vaccination configurations is innovative, as a vaccinated individual can be infected depending on how their immune system acts against the invading pathogen, without a pre-established infection rate. Analysis at the microscopic level demonstrates the impact of vaccination on individual immune responses and infection outcomes, providing a more realistic representation of how the humoral response caused by vaccination affects the individual’s immune defense. At the macroscopic level, the effects of different population-wide vaccination strategies are explored, including random vaccination, targeted vaccination of specific demographic groups, and spatially focused vaccination. The results indicate that increased vaccination rates are correlated with decreased infection and mortality rates, highlighting the importance of achieving herd immunity. Furthermore, strategies focused on vulnerable populations or densely populated regions prove to be more effective in reducing disease transmission compared to randomly distributed vaccination. The results presented in this work show that vaccination strategies focused on highly crowded regions are more efficient in controlling epidemics and outbreaks. Results suggest that applying vaccination only in the densest region resulted in the suppression of infection in that region, with less intense viral spread in areas with lower population densities. Strategies focused on specific regions, in addition to being more efficient in reducing the number of infected and dead people, reduce costs related to transportation, storage, and distribution of doses compared to the random vaccination strategy. Considering that, despite scientific efforts to consolidate the use of mass vaccination, the accessibility, affordability, and acceptability of vaccines are problems that persist, investing in the study of strategies that mitigate such issues is crucial in the development and application of government policies that make immunization systems more efficient and robust.

The incidence of infections due to carbapenemase-producing Enterobacteriaceae (CPE) is rising worldwide. We present the case of a 48-year-old female patient, diabetic, with previous episodes of urinary tract infections that was admitted due to pyelonephritis, later identified to be caused by KPC and ESBL-producing Klebsiella pneumoniae. Both the patient and her family had no strong epidemiological link with the healthcare system, and for this reason, this case stands out in regional literature since similar reports are scarce and therefore constitutes a reason for alert in health institutions. Further studies are needed in order to ascertain the real incidence of these infections in community settings in Latin America and the Caribbean.

Abstract: RNase Y is an endoribonuclease that governs global mRNA turnover/processing in Ba-cillus subtilis and likely many other bacteria. The enzyme is anchored at the cell membrane, a pseudo-compartmentalization that appears coherent with its task to initiate decay of mRNAs translated predominantly at the cell periphery. However, the reason and consequence for RNase Y attachment to the membrane are largely unknown. We have studied a strain expressing wild-type levels of a cytoplasmic form of RNase Y from the chromosomal locus. This strain exhibits a slow growth phenotype similar to an RNase Y null mutant. Genome-wide data show a significant effect on the expression of hundreds of genes. Certain RNA substrates clearly require RNase Y membrane attachment but others do not. We found no correlation between mRNA stabilization and the cellular location or function of encoded proteins. The Y-complex, an RNase Y specificity factor, appears to also recognize the cytoplasmic form of the enzyme which is able to restore wild-type levels of the corresponding transcripts. We propose that membrane attachment of RNase Y is required for the functional interaction with many coding and non-coding RNAs, for limiting the cleavage of certain substrates and potentially to avoid unfavorable competition between RNase Y and other ribonucleases like RNase J that have a similar evolutionarily conserved cleavage speci-ficity.

Cardiovascular diseases (CVDs) and associated risk factors are a growing concern in Cameroon. Physiotherapists (PTs) can play a crucial role in prevention and management. However, the extent of Cameroonian PT involvement in health promotion (HP) activities remains unclear. This study assessed Cameroonian physiotherapists’ current HP practices for people at risk of developing or living with CVDs (pwCVDs). A cross-sectional survey was administered online to PTs practising in Cameroon. Out of 181 PT responses, 95% reported providing a variety of HP activities, including weight management (74%), dietary advice (73%), physical activity (69%), smoking cessation (69%), stress management (61%), and sleep promotion (48%). While PTs were confident in lifestyle assessments, they felt less confident about sleep interventions. Strong beliefs, confidence, team support, and time allocation enhanced HP practice. However, preference for passive modalities, patient adherence issues, organisational challenges within healthcare services, role ambiguity among healthcare providers, inadequate training opportunities, and the absence of established guidelines for CVD prevention negatively affect HP practice. These findings highlight the challenges and opportunities for enhancing HP delivery within the physiotherapy profession in Cameroon. Strategic investments and concerted efforts are necessary to address barriers and leverage facilitators effectively for scaling up HP initiatives, given the significant burden of CVDs in the country.

This work considers the existence of heteroclinic solutions for second order differential equations with ϕ-Laplacians and generalized impulsive conditions on the real line. For the construction of the results, it was only imposed that ϕ is a homeomorphism and the Schauder’s fixed point theorem allied with the concepts of L1-Carathéodory functions and sequences together with the equiconvergence on infinity and on each impulsive moments. Finally, a practical part illustrates the main theorem.

The Brazilian Pantanal region suffers intensely from biomass burning during the dry season. Large quantities of gases and particles are emitted into the atmosphere during this period, with serious implications for fauna and flora. Understanding the dynamics of these emissions is es-sential for mitigating the ecosystem, its functioning, and possible anthropogenic disturbances. In this sense, this study analyzed emissions over the north of the Brazilian Pantanal during the 2022 drought. Measurements of concentration of fine particulate matter (PM2.5), Black carbon (BC), and elemental concentration (25 chemical elements) were determined by gravimetry, reflectance analysis, and X-ray fluorescence, respectively, for samples collected between August and Octo-ber 2022. The average concentrations of PM2.5 and BC had their values increased by approxi-mately 4 and 2.5 times, respectively, when compared to the averages from a decade ago. The maximum concentrations found are close to values typical of the southern Amazon region, a re-gion with high rates of deforestation and changes in land use. The elemental analysis showed large changes in concentrations, mainly associated with biomass burning emission (BB) and soil resuspension. Furthermore, analyses of lead (Pb) concentrations showed strong anthropization at the study site.

Objectives: To compare the effects of high-velocity resistance training to slow-velocity re-sistance training on neuromuscular and functional parameters and to analyze the relationship between changes in walking speed and improvements in neuromuscular parameters following intervetions. Methods: 40 participants were randomly assigned to either a high-speed resistance training group (GHS, n = 18; age = 80.41 ± 10.12 years; BMI = 23.81 ± 3.45 kg/m²) or a low-speed resistance training group (GLS, n = 22; age = 82.89 ± 5.32 years; BMI = 23.81 ± 3.45 kg/m²). Before and after the interventions, gait speed (m/s) was assessed using a 10-minute walking test, and relative maximal force (Relative F max, N/kg) was evaluated during maximal voluntary isometric con-traction of the plantar flexors. From the force-time curve, early (0 – 50 ms) and late (100 – 200 ms) rates of force development (RFD) were extracted from the linear slopes (Δ force / Δ time). Results: Gait speed significantly improved in both groups (p < 0.05). However, the improvement was more pronounced in the GHS compared to the GLS (p < 0.05). Relative Fmax showed a more significant increase in the GLS than in the GHS (p < 0.05). Moreover, a significant 10% increase in early RFD in the GLS and a 20.1% increase in the GHS were observed (p < 0.05). The improvement in early RFD was greater in the GHS (p < 0.05). Additionally, late RFD improved significantly only in the GHS (+20.4%, p < 0.05). Conclusion: High-velocity resistance training appears particularly effective in improving the ability to rapidly generate force, which is essential for many daily activities re-quiring explosive movements and quick responses.

Objective: The effect of long-term performance of one-bottle or two-bottle bonding agents on the shear bond strength to lithium disilicate ceramics (LDS) were to investigate, and the long-term performance of the bond strength of two-bottle bonding agent (Tokuyama Universal Bond II) was investigated under conditions without hydrofluoric acid solution (abbreviated as HF)-pretreatment of LDS. Methods: Nine resin cements (both self-adhesive and adhesive types) were used. It was investigated 1) the adhesion strength of various resin cements to LDS from the presence or absence of HF-treatment, 2) to determine the effect of the deterioration in three times [after one-day storage (abbreviated as Base), and after 5,000 &amp; 20,000 thermocycles (abbreviated as TC 5k and TC 20k)] of one- and two-component bonding agents. And the difference in degradation between one- and two-component bonding gents consist of the silane coupling agent was performed by chemical analysis (High Performance Liquid Chromatography). Results: The trends of resin cements were statistically not very different for each cement 3 times with HF-conditions. Also ESTECEM II and Super-Bond Universal showed the significant greatest values in two conditions (TC 5k and TC 20k) without HF-condition. In TC 20k, ESTECEM II &amp; Super-Bond Universal showed significantly better results than others when treated with the recommended bonding agents without HF-condition. In TC 20k, there was not much statistically significant difference if pretreated with Tokuyama Universal Bond II without HF-condition. Significance: When using LDS, it was found that long-term durability could be maintained by pretreating with Tokuyama Universal Bond II without pretreating with various hazardous HFs.

There are various modeling techniques adopted for predicting the labor productivity that incorporate the influence of various factors, but neural networks are found to have strong pattern recognition and higher accuracy to get reliable estimates. To develop a construction labor productivity (CLP) model for concreting activities, data were collected through a questionnaire. The most critical influencing parameters were ranked according to their relative importance index (RII). Then the strength of the relationship between CLP and influencing parameters was analyzed using correlation coefficient results generated in Python program. Finally, the CLP model which represents the output of the crew within a certain factor was successfully developed using artificial neural networks (ANNs). Five objectives and six subjective critical influencing parameters were selected using RII. Crew experience, age of workers, and placement technique are the top three influencing parameters that have a strong relation with CLP with correlation coefficient values of 0.5681, 0.5349, and 0.5227 respectively. The developed model within these influencing parameters has a higher capability to predict the output of labor with a 92% coefficient of determination (R2) and a mean squared error of 0.316%. Therefore, the application of such a model for the accurate estimation of labor productivity is recommended.

Agroforestry practices evolve with the development of basic and advanced facilities, changes in natural and artificial factors of land use change. The study aims to examine the socioeconomic characteristics and compare satisfaction levels across forest products and vegetable farming of the agroforestry community in Khost Province. Data were collected from 662 farmers and was analyzed using univariate Analysis of Variances (ANOVA) and Multivariate Analysis of Variances (MANOVA). The results found that forest and vegetable products, including fruits, berries, herbs, mushrooms, wild animals, oils, wood, honey, okra, eggplant, carrot, cucumber, pine nuts, pepper, and timber has different impact in terms of satisfaction with basic and advanced facilities, knowledge about land use and impacts, natural and artificial factors of land use change, and positive and negative impact of land use change. The limitation of the study included an absence of exogenous factors in the model such as climate change, financial conditions, market fluctuations, regulatory system, an area in which the study is selected, research design, and current condition of endogenous factors. Overall, agroforestry practices can improve the socioeconomic development of agroforestry-dependent communities in Khost Province, Afghanistan. This study provided useful insights for policymakers and development practitioners to promote agroforestry practice adoption and improve the socioeconomic development of agroforestry-dependent communities. Future works could explore the implications of agroforestry practices on the socioeconomic development of other dependent communities in Afghanistan.

K+ channels do play a role in cell shape changes observed during cell proliferation and apoptosis. Research suggested that the dynamics of aggregation of Aquaporin-4 (AQP4) into AQP4-OAPs isoforms can trigger cell shape changes in malignant glioma cells. Here, we investigated the relationship between AQP4 and some K+ channels in the malignant glioma U87 line. The U87 cells transfected with the human M1-AQP4 and M23-AQP4 isoforms were investigated for morphology, gene expression of KCNJ8, KCNJ11, ABCC8, ABCC9, KCNMA1, and Cyclin genes by RT-PCR, recording the whole-cell K+ ions currents by patch-clamp experiments. AQP4 aggregation into OAPs increases the plasma membrane functional expression of the Kir6.2 and SUR2 subunits of the KATP channels, and of the KCNMA1 of the BK channels in U87 cells leading to a large increase in inward and outward K+ ion currents. These changes were associated with changes in morphology with a decrease in cell volume in the U87 cells and an increase in the ER density. These U87 cells accumulate in the mitotic and G2 cell cycle. The KATP channel blocker zoledronic acid reduced cell proliferation in either M23 AQP4-OAPs and M1 AQP4-tetramers transfected cells leading to early and late apoptosis, respectively. BK channel sustains the efflux of K+ ions associated with the M23 AQP4-OAPs expression in the U87 cells, but it is downregulated in the M1 AQP4-tetramers cells; KATP channels are effective in the M1 AQP4-tetramers and M23 AQP4-OAPs cells. Zoledronic acid can be effective in targeting pathogenic M1 AQP4-tetramers cell phenotype inhibiting KATP channels and inducing early apoptosis.

Regulation (EU) 2017/745, addresses medical devices and clarifies the scope regarding products containing viable biological materials or organisms. This regulation excludes products containing viable cells or tissues of human or animal origin, as well as those containing viable biological materials or organisms of other origins intended to achieve or support the intended purpose of the products. The term "inviable" is defined as incapable of metabolism or multiplication. The regulation mandates that products manufactured using non-viable biological substances must ensure the highest safety standards, including validated methods of elimination or inactivation of transmissible agents during manufacturing. Several Directives and Regulations provide context for the term "viable" in medical devices, emphasizing the device's ability to perform effectively and safely. Notified Bodies in the EU have interpreted that thermally inactivated microorganisms in a product do not classify it as a medical device under Regulation 2017/745. To address this, it is crucial to differentiate between the inactivation of microorganisms and the viability of their metabolites. Demonstrating the inviability of microorganisms through rigorous testing and evidence is essential for regulatory compliance and safe use in medical products. Clarifying these points and providing necessary evidence can establish that inactivated microorganisms are inviable and meet the requirements for use in medical products.

Some preterm and sick neonates have altered biochemical profiles and follow-up newborn screening (NBS) collections are recommended. The Victorian NBS program historically recommended recollections for babies with birth weight &lt;1500g (managed by the maternity service provider) and 3 weeks post-transfusion (managed by the laboratory). We aimed to determine adherence to current guidelines and review the guidelines to improve NBS performance. To do this we audited data from 348,584 babies between January 2018 and June 2022. Babies with a recorded birth weight of &lt;1500g were filtered for inclusion. For the overall review and visualization of the protocol, we sourced information from the literature, our professional society and tertiary hospital services. A total of 2647 babies had a birth weight recorded between 200 and 1499g. Of these 2036 (77%) had a second sample collected, indicating that &gt;1 in 5 babies were not receiving a follow-up collection. Our timing of recollections for transfused babies, requiring a 3-week follow-up collection, was longer than in other Australasian jurisdictions. A new combined “sick-prem-protocol” was launched to support recollections and after a one-year review achieve 95% compliance. We recommend NBS laboratories audit preterm and sick neonate recollections to ensure appropriate follow-up. This should be supported with a visual process map to aid education and compliance.

Crop coefficient (Kc), the ratio of crop evapotranspiration (ETc) to reference evapotranspiration (ETo), is used to schedule an efficient irrigation regime. This research was conducted to investigate variations of ETc and growth-stage-specific Kc in a flood-irrigated winter wheat as a forage crop from 2021 to 2023 in the Lower Rio Grande Valley of southern New Mexico, USA, and evaluate the performances of the two temperature-based ETo estimation methods of Hargreaves-Samani and Blaney-Criddle with the widely used Penman-Monteith method. Results indicated that the total ETc over the whole growth stage for flood-irrigated winter wheat was 556.4 mm on a two-year average, while the average deep percolation (DP) was 2.93 cm and 2.77 cm, accounting for 28.8% and 27.2% of applied irrigation water, respectively in the 2021-22 and 2022-23 growing seasons. The ETo over the growing season computed by Penman-Monteith, Hargreaves-Samani, and Blaney-Criddle equations were 867.0 mm, 1015.0 mm, and 856.2 mm in 2021-22, and 785.6 mm, 947.0 mm, and 800.1 mm in 2022-23, respectively. The Hargreaves-Samani method performed better than the Blaney-Criddle method with higher statistical indicators of model efficiency coefficient (CE), and smaller mean bias error (MBE), mean absolute error (MAE), and the root mean square error (RMSE) in both growing seasons. The result of a global sensitivity analysis showed that the mean temper-ature is main driving factor for estimated ETo based on Blaney-Criddle and Hargreaves-Samani, but the sensitivity percentage for Blaney-Criddle was 76.9%, which was much higher than that of 48.9% for Hargreaves-Samani, given that Blaney-Criddle method is less accurate in ETo estimation for this area especially during the hottest season from May to August. In contrast, wind speed and maximum temperature were the main driving factors for the Penman-Monteith method, with sensitivity percentages of 70.9% and 21.9%, respectively. The two-year average crop coefficient (Kc) values at the initial, mid, and late growth stage were 0.54, 1.1, and 0.54 based on Penman-Monteith, 0.51, 1.0 and 0.46 based on Blaney-Criddle, and 0.52, 1.2 and 0.56 based on Hargreaves-Samani. Results showed that the Hargreaves-Samani equation serves as an alternative tool to predict ETo when fewer meteorological variables are available. The calculated local growth-stage-specific Kc can help improve irrigation water management in this region.

This study investigates the utilization of Eco-Innovation practices within Nigerian industries to mitigate urban soil contamination. Soil samples were collected from various urban land uses in Ijebu Ode town, specifically mechanic workshops (MW), roadsides (RD), industrial areas (IL), and market zones (MT). Ten composite soil samples were randomly gathered from each land use at a depth of 0-30cm and subjected to analysis for heavy metal concentrations (copper Cu, iron Fe, lead Pb, zinc Zn, cadmium Cd, manganese Mn) using an Atomic Absorption Spectrophotometer. This facilitated the calculation of contamination levels and pollution load index. The findings indicate that the concentration of Cu, Zn, Fe, and Mn is highest in soils from mechanic workshops, with the degree of soil contamination ranking as follows: Mechanic Workshop > Industrial land use > Roadside > Market land use. The study concludes that elevated levels of heavy metals in the sampled urban soil are closely linked to improper land use practices and other human activities. It advocates for the promotion of sustainable environmental practices through comprehensive stakeholder engagement aimed at educating the populace on the management and preservation of urban soils against harmful practices.

We investigated the sleep-wake rhythm of nursery school children with the aim of supporting their health and balanced mental/physical development. We analyzed 4881 children from infant to 6 years of age, using 2-week sleep tables recorded by their guardians. The table contains sleep onset times, wake times, nighttime/daytime sleep duration, and the differences in these between weekdays and weekends. The total sleep decrement of children with age is due to a decrease in daytime sleep only, and nighttime sleep duration remains almost unchanged at about 10 hours, and is therefore called the nighttime basic sleep duration (NBSD). While sleep onset time stabilizes at around 9:30 pm by the age of 2, wake-up times to be before 7 am, resulted in weekdays sleep insufficiency. This lack of sleep is compensated by long naps on weekdays and by catching up sleep on weekends morning, which may be the background to future social-jet-lag. Guardians are encouraged to know their children's exact NBSD and set an ap-propriate bedtime to maintain it on weekdays, which prevent sleep dept and form a daily rhythm of waking up at the same time both on weekdays/weekends. These conditions are believed to maintain balance in mental/physical development and school-social-adaptation.

The rapid advancements in satellite technology have led to a significant increase in high-resolution remote sensing (RS) images, necessitating advanced processing methods. Additionally, a patent analysis revealed a significant increase in deep learning and machine learning applications in remote sensing, highlighting the growing importance of these technologies. Therefore, this paper introduces the Kolmogorov-Arnold Network (KAN) model to remote sensing, aiming to enhance efficiency and performance in RS applications. We conducted several experiments to validate KAN's applicability, starting with the EuroSAT dataset, where we combined the KAN layer with multiple pretrained CNN models. The optimal performance was achieved with ConvNeXt, leading to the development of the KonvNeXt model. KonvNeXt was evaluated on the Optimal-31, AID, and Merced datasets for validation, and it achieved accuracies of 90.59%, 94.1%, and 98.1%, respectively. The model also showed fast processing speed, with the Optimal-31 and Merced datasets completed in 107.63 seconds each, while the bigger and more complicated AID dataset took 545.91 seconds. This result is meaningful since it achieved faster speeds and comparable accuracy compared to the existing study which utilized VIT and proved KonvNeXt's applicability for remote sensing classification tasks. Furthermore, we investigated the model's interpretability by utilizing Occlusion Sensitivity and by displaying the influential regions, it validated its potential use in a variety of domains including medical imaging and weather forecasting. This paper is meaningful in that it is the first use of KAN in remote sensing classification, proving its adaptability and efficiency.

Earthquake-triggered landslides represent a significant seismic-related disaster, posing threats to both the lives and properties of individuals in affected areas. Furthermore, they can result in road and river blockages, as well as other secondary disasters, significantly impacting post-earthquake rescue efforts. Efficient and accurate rapid assessment of high-risk landslide zones carries important implications for decision-making in disaster response and for mitigating potential secondary disasters. This study uses the high-intensity Zone VII to IX of the 5 September 2022 Luding Ms6.8 earthquake as a case study. The "difference method" and the "cumulative displacement method," based on the simple Newmark model, are employed to assess earthquake-triggered landslides. The evaluation results from both methods demonstrate that the areas posing an ex-tremely high risk of earthquake-triggered landslides are predominantly situated on the western side of the Xianshuihe Fault. Actual landslide data verification shows that both models have high predictive accuracy, with the difference method model slightly outper-forming the cumulative displacement method model. Moreover, the study recommends determining threshold values for each landslide hazard interval with significant physical meaning using past strong earthquake data as soon as possible when utilizing the difference method to assess the risk of earthquake-triggered landslides.

This qualitative study explores the dynamics of supplier relationships among Italian restaurant managers, aiming to uncover the strategic practices and challenges in supplier relationship management (SRM) within the culinary industry. Through semi-structured interviews with a diverse sample of restaurant managers across Italy, the study examines how trust, communication, adaptive sourcing strategies, and innovation influence supplier interactions and operational outcomes. Findings reveal that trust-building is foundational to establishing reliable supplier partnerships, crucial for ensuring consistent delivery of high-quality ingredients essential for culinary excellence. Effective communication channels and negotiation techniques are pivotal in clarifying expectations, resolving conflicts, and fostering collaborative relationships with suppliers. Adaptive sourcing strategies, including diversification of supplier bases and local sourcing initiatives, enable managers to navigate market dynamics and meet consumer demands effectively. Innovation emerges as a catalyst for differentiation and sustainability in supplier relationships, with managers engaging in collaborative product development and embracing sustainability initiatives to align with consumer preferences and corporate values. Despite facing challenges such as pricing pressures, supply chain logistics complexities, and regulatory compliance, proactive management strategies and operational agility enable managers to mitigate risks and capitalize on opportunities in supplier management. Theoretical implications enrich understanding of SRM dynamics in the culinary sector, while practical implications suggest strategies for optimizing supplier relationships, enhancing operational efficiency, and sustaining competitive advantage. Future research could explore technological advancements, consumer trends, and longitudinal impacts of SRM practices on business performance within the restaurant industry.

Open Educational Resources (OER), educational materials permit unrestricted use and adaption, have proven beneficial for cost savings and curriculum flexibility. However, OER are not frequently used in college courses. An OER initiative was designed to understand the factors contribute to increasing access to STEM course materials. This study employed a survey to investigate faculty awareness and usage of OER and explore support needed to increase the use of OER in STEM. Results indicated that one-sixth of the respondents were unaware of OER, and 53% had never used OER. The motivating factors for OER usage included cost-free licenses, day-one availability to students, and increased access. The support strategies for new OER creation included OER workshops, grants, and recognition for OER authoring. In conclusion, the current study fills a gap in the existing literature by documenting motivating factors for faculty to integrate OER into STEM for the first time.

This qualitative research explores the transformative role of Artificial Intelligence (AI) in Supplier Relationship Management (SRM) within the e-commerce sector. SRM is critical for e-commerce platforms to maintain efficient supply chains, optimize supplier interactions, and ensure competitive advantage in a dynamic marketplace. AI technologies offer advanced capabilities such as predictive analytics, machine learning algorithms, and natural language processing, which revolutionize traditional SRM practices by enhancing decision-making accuracy, mitigating supply chain risks, and fostering personalized supplier relationships. Through semi-structured interviews with 20 e-commerce professionals and industry experts, this study investigates AI's impact on supplier selection, operational efficiencies, and strategic supplier relationships. Findings highlight AI's ability to streamline supplier evaluation processes, improve demand forecasting accuracy, and optimize inventory management strategies. AI also facilitates personalized supplier engagement through sentiment analysis and real-time insights, promoting collaboration and trust. Ethical considerations, including algorithmic bias and data privacy, emerge as significant concerns in AI adoption for SRM. Addressing these challenges is crucial to maintaining stakeholder trust and ensuring responsible AI deployment. Furthermore, technological integration barriers and organizational readiness are identified as critical factors influencing successful AI implementation. Looking forward, the study underscores the potential of AI to drive innovation and competitiveness in e-commerce SRM, emphasizing the importance of ethical AI practices, technological infrastructure investments, and organizational preparedness for sustainable growth.

Biopolymer gels have gained tremendous potential for therapeutic applications due to their biocompatibility, biodegradability, and ability to adsorb and bind biological fluids, making them attractive for drug delivery and therapy. The versatility of biopolymer gels in theranostic backgrounds, with a focus on integrating imaging features and facilitating real-time monitoring of drug delivery. Different methods of delivery are explored imaging agents into biopolymer gels, including encapsulation, surface functionalization, nanoparticle encapsulation and layer-by-layer assembly techniques. Integration of Agents and Real-Time Monitoring Drug Delivery We summarize the synthesis methods, general properties, and mechanisms of biopolymer gels functionality, demonstrating their broad applications as multimodal systems for imaging-based therapeutics. These techniques not only enable multiple imaging but also provide signal enhancement and imaging a targeted facilitates, increasing the diagnostic accuracy and therapeutic efficacy. In addition, current techniques for incorporating imaging agents into biopolymer gels are discussed, and their role in precise drug delivery and monitoring.

PFAS are a variety of ecologically persistent compounds of anthropogenic origin loosely included in many industrial products, in which the carbon chain can be fully (perfluoroalkyl substances) or partially (polyfluoroalkyl substances) fluorinated. Their ubiquitous presence in many environmental compartments over the years, and highly long-lasting nature, arose concern because of the possible adverse effects of PFAS on ecosystem and human health. Between the remediation technologies, adsorption has been demonstrated to be a maneageble and cost-effective method for the removal of PFAS in aqueous media. This study tested two novel and eco-friendly adsorbents (pinewood and date seeds biochar) on 6 different PFAS (PFOS, GenX, PFHxA, PFOA, PFDA, PFTeDA). Batch sorption tests (24 hours) were carried out to evaluate the removal efficiency of each PFAS substance in relation to the two biochars. All samples of liquid phase were analysed by a developed and then well-established method: i) pre-treatment (centrifugation and filtration); ii) determination by high-performance liquid chromatography coupled with mass spectrometry (HPLC-MS/MS). Results evidenced a comparable adsorption capacity of both materials, but greater for the long-chain PFAS. Such findings may lead to a promising path for the use of waste origin materials in the PFAS remediation field.

This case report describes the successful repair of a radial bone fracture and skin defect in a dog using an ulnar bone graft and an advancement flap. A one-year-old spayed female Poodle dog weighing 1.7 kg was brought in with non-weight-bearing lameness, an open wound, and a frac-ture in the right forelimb. The dog had fallen off the bicycle being ridden by its owner, causing its right forelimb to be caught in the wheel. The treatment included surgical debridement of the necrotic tissue, skin reconstruction with an advancement flap, and radial bone reconstruction with an ulnar bone graft, bone morphogenetic protein (BMP), humeral cancellous bone and a ti-tanium T-shaped plate. Postoperative management included antibiotics, pain medication, and activity restriction. The dog made a good recovery and was able to bear weight on the affected limb four months after surgery.

This qualitative research explores the integration of digital technologies to enhance supplier engagement in e-commerce, examining the transformative impact of AI, blockchain, and IoT on supplier relationship management (SRM). Through semi-structured interviews and documentary analysis with 15 industry experts, the study reveals that digital technologies enable organizations to optimize supply chain operations, improve transparency, and foster collaborative partnerships with suppliers. Strategic initiatives such as co-development projects and joint innovation efforts are pivotal in accelerating product development cycles and enhancing market competitiveness. Emotional intelligence (EI) emerges as critical in cultivating trust, empathy, and effective communication, underscoring the human dimension of supplier relationships amidst technological advancements. Challenges identified include technological complexity, data privacy concerns, and resistance to change, necessitating robust cybersecurity measures and proactive compliance strategies. Economically, organizations benefit from significant cost savings, improved efficiency, and enhanced profitability through digital transformation initiatives in SRM. By leveraging digital platforms and data-driven insights, organizations can optimize procurement processes, streamline operations, and mitigate risks to achieve sustainable growth and resilience.

1) Background: Impeded resolution of inflammation contributes substantially to the pathogenesis of Alzheimer's disease (AD); consequently, resolving inflammation is pivotal to the amelioration of AD pathology. This can potentially be achieved by the treatment with specialized pro-resolving lipid mediators (SPMs), which should resolve neuroinflammation in brains. 2) Methods: Here, we report the effects of long-term treatment with a SPM, maresin like 1 (MarL1), on AD pathogenesis in a transgenic 5xFAD mouse model. 3) Results: MarL1 treatment reduced Aβ overload, curbed the loss of neurons in brains especially cholinergic neurons associated with cleaved-caspase-3-associated apoptotic degeneration, reduced astrogliosis and microgliosis and the pro-inflammatory M1 polarization of microglia, curbed the AD-associated decline in an-ti-inflammatory Iba1+Arg-1+-M2 microglia, reduced astrogliosis-associated level of neuroin-flammatory TNF-α, inhibited phenotype switching of pro-inflammatory neurotoxic A1 astrocytes and N1 neutrophils, promoted polarization of inflammation-resolving neuroprotective A2 as-trocytes, promoted the blood–brain-barrier-associated tight-junction protein claudin-5 and de-creased neutrophil leakage in 5xFAD brains, and induced the switch of neutrophils toward the inflammation-resolving N2 phenotype. 4) Conclusion: Long-term administration of MarL1 mit-igates AD-related neuropathogenesis in brains by curbing neuroinflammation and neurodegen-eration. These findings provided the preclinical leads and mechanistic insights for the develop-ment of MarL1 into an effective modality to ameliorate AD pathogenesis.

Keywords: emerging pollutants; pharmaceuticals; plant uptake; soil behavior; soil remediation.

Introduction:Lumbar radiculopathy, frequently triggered by disc herniation, affects around one in 50 young adults (30-55 ages), leading to significant impacts on quality of life. When conservative treatments fail to alleviate symptoms, surgical intervention such as discectomy is often pursued. Technological advancements have led to various minimally invasive techniques, promising improved outcomes. Our aim was to compare clinical outcomes of different techniques.Methods:We conducted a systematic search in PubMed using "lumbar disc hernia" and the meta-analysis filter. Inclusion criteria comprised meta-analyses focusing on lumbar disc herniation treatments, published in English. A rigorous selection process adhering to PRISMA guidelines ensured high-quality evidence extraction.Results:From 28,171 initial records, 31 meta-analyses involving 87,852 patients were included. Heterogeneity across the literature presented challenges, notably in study populations, surgical techniques, and research designs. Among the techniques evaluated, full-endoscopic lumbar discectomy (FELD) emerged as superior in various perioperative parameters, including Visual Analog Scale (VAS) scores, Oswestry Disability Index (ODI), operation time, and complications. Conversely, automated percutaneous discectomy (AUTD) consistently exhibited poorer outcomes, suggesting limited effectiveness compared to other techniques. Conclusion:Despite advancements, the heterogeneity observed in the literature underscores the need for standardized approaches in minimally invasive spinal surgery research. FELD stands out as a preferred technique, offering favorable outcomes across multiple parameters. Conversely, techniques like AUTD raise concerns regarding efficacy. Future research should aim for uniformity in methodologies to facilitate accurate comparisons and guide clinical decision-making.

The importance of XAI is undeniable in the current scenario and thus it's importance in considerable. Unfortunately, there are a couple of scenarios where the current XAI models fail. Additionally, attackers seek vulnerabilities in these models. This review paper is intended to cover some of the important scenarios where the existing XAI models may fail and some progresses made which shows their vulnerabilities and how to secure them.

Supplier collaboration and partnership in procurement are essential elements for enhancing organizational efficiency, innovation, and resilience in today's globalized markets. This qualitative study investigates the dynamics of effective supplier relationships, focusing on trust, communication, innovation, quality, cost savings, and resilience as critical factors. Data were gathered through semi-structured interviews, case studies, and document analysis across diverse industries, highlighting insights from procurement professionals and supplier representatives. Key findings underscore the foundational role of trust and communication in fostering successful collaborations. Establishing transparent, ongoing communication channels facilitates mutual understanding, reduces conflicts, and enhances overall satisfaction. Collaborative innovation emerged as pivotal, enabling organizations to pool resources and expertise for product development and process improvement. Quality and reliability were identified as significant outcomes of close partnerships, particularly in industries with stringent standards such as aerospace and healthcare. Furthermore, the study reveals substantial cost savings and efficiency gains through collaborative efforts in process optimization and waste reduction. Effective risk management practices within these partnerships enhance supply chain resilience, enabling organizations to anticipate and mitigate disruptions proactively. Despite these benefits, challenges such as cultural differences, technological integration, and regulatory compliance require strategic mitigation strategies. In conclusion, organizations can optimize supplier collaborations by prioritizing trust-building, fostering a culture of innovation, and investing in robust relationship management practices. This approach not only enhances operational performance but also positions organizations to navigate market uncertainties and achieve sustainable growth in a competitive landscape.

This qualitative study explores supplier selection criteria from the perspectives of procurement professionals across diverse industries. Supplier selection is crucial for organizational efficiency and performance, influenced by factors beyond traditional cost considerations. The research aims to uncover nuanced criteria such as quality assurance, supplier reliability, innovation capability, sustainability practices, strategic alignment, relational dynamics, and risk management strategies. These criteria reflect a shift towards holistic evaluation frameworks that integrate economic, social, and environmental dimensions in procurement decision-making. Methodologically, the study employed semi-structured interviews with 30 procurement professionals, ensuring depth and diversity in perspectives. Thematic analysis was used to identify recurring themes and patterns, illuminating the complexities and strategic importance of supplier selection processes. Findings highlight the strategic role of suppliers in driving innovation, enhancing supply chain resilience, and supporting organizational goals. Moreover, the study underscores the significance of sustainable sourcing practices, ethical considerations, and effective supplier relationships in fostering long-term partnerships and mitigating operational risks. Practical implications suggest that organizations should adopt integrated approaches to supplier selection, leveraging data-driven insights and technological advancements to optimize decision-making. By prioritizing strategic alignment, fostering collaborative partnerships, and implementing robust risk management strategies, organizations can navigate uncertainties, capitalize on market opportunities, and sustain competitive advantage.

The application of deep learning in autonomous vehicles has surged over the years with the advances in technologies. This research explores the integration of deep learning algorithms into autonomous vehicles (AVs), focusing on their role in perception, decision-making, localization, mapping, and navigation. It shows that deep learning, which as a part of machine learning, mimics the human brain's neural networks, enabling advancements in perception, decision-making, localization, mapping, and overall navigation. Techniques like convolutional neural networks are used for image detection and steering control, while deep learning is crucial for path planning, automated parking, and traffic maneuvering. Localization and mapping are essential for AVs' navigation, with deep learning-based object detection mechanisms like Faster R-CNN and YOLO proving effective in real-time obstacle detection. Apart from the roles, the study also revealed that integration of deep learning in AVs faces challenges such as dataset uncertainty, sensor challenges, and model training intricacies. However, these issues can be addressed through increased standardization of sensors, real-life testing for model training, and advancements in model compression technologies can optimize the performance of deep learning in AVs. The study concludes that deep learning plays a crucial role in enhancing the safety and reliability of AV navigation. This study contributes to the ongoing discourse on the optimal integration of deep learning in AVs, aiming to foster their safety, reliability, and societal acceptance.

Laser Photoacoustic Spectrometers (LPAS), which provide photoacoustic spectra for detecting food frauds or adulteration, and fluorescence-based systems for recognition of contamination by heavy metal ions in water are two important families of sensors for health and environmental purposes. Both sensor families require one or more low-frequency Lock-In Amplifiers (LIAs) to extract the signal of interest from background noise. In the cited applications, the required LIA frequency is quite low (up to 1kHz), and this leads to a simplification of the hardware with consequent good results in portability, economy, reduced size, weight and low-cost characteristics. The present system, called ENEA DSP Box Due, is based on a very inexpensive microcontroller proto-board and can replace four commercial LIAs, resulting in significant savings in both cost and space. Furthermore, it incorporates a dual-channel oscilloscope and a sinusoidal function generator. This article outlines the architecture of the ENEA DSP Box Due, its electrical characterization and its applications within a project concerning laser techniques for food and water safety.

Salmon aquaculture generates a substantial volume of waste material, offering potential for biomaterial production. This industry produces significant waste, which can be repurposed for various biological applications, particularly in biomaterial production for tissue engineering with pertinent applications in osteo-conduction, osteo-induction, and clinical/surgical bone regeneration and repair. The process involves a standardized pre-treatment stage aimed at minimizing biological waste content. Subsequently, the treatment stage, contingent on the chosen methodology, facilitates the removal of proteins, lipids, molecules, and other compounds, leaving the mineral phase as a valuable substrate. The selection of the optimal method, whether alkaline hydrolysis, calcination, or NaOH hydrolysis, for obtaining this substrate necessitates thorough examination through chemical, physical, and biological assessments, including Raman Spectroscopy and X-Ray Diffraction. This study aims to identify the most efficient laboratory process for biofunctional nano-sized hydroxyapatite mineral production derived from Chilean salmon fish backbone waste.

The metabolites secreted by probiotics or released after their lysis are called postbiotics. They provide physiological benefits to the host, preventing the colonisation of pathogens by improving the intestinal environment for beneficial commensal bacteria, which reduces the incidence of digestive disorders and improve the immune system. The aim of this work was to evaluate the addition of postbiotics to dairy cow rations during the transition period on nutrient digestibility, composition, and milk yield. The effects of two postbiotics were evaluated in twelve Friesian cows from 30 days before calving to two months of lactation. The animals were randomly allocated to the treatments control (CT) and supplemented with postbiotics (PC and PR). Feeding was ad libitum with 60/40 of forage/concentrate ratio. Daily feed intake and milk production were recorded individually throughout the study. Two digestibility balances were performed, one before parturition and one after parturition. Colostrum was sampled at first milking and milk was sampled weekly. Data were analysed using a mixed mode in R software. The results suggest that postbiotic supplementation in late gestation and early lactation increase the voluntary intake of dry matter, especially in the PR treatment, with higher apparent total tract digestibility of dry matter, organic matter and neutral detergent fiber. Both treatments including postbiotics induced an increase in colostral immunoglobulin concentration. Milk production of cows receiving the PC treatment was the highest, with high fat and protein yields and a higher persistence of the production curve throughout the lactation.

: Background. Delivering bad news is a sensitive and challenging aspect of nursing healthcare, requiring a holistic approach that respects patients' preferences, cultural values, and religious beliefs to promote adaptation to the state's health. Aim: map the evidence of the dimensions present in the communication and management of bad news by nurses, with the person in a palliative situation, their caregivers, and family members. Methods: Based on Joanna Briggs Institute methodology, the search was conducted through MEDLINE Complete (EBSCOhost), CINAHL Complete (EBSCOhost), SciELO, and Open Access Scientific Repository in Portugal. From a total of 756 articles, 14 were included, published between 2018 and 2023. Results: Structure components in bad news are influenced by the characteristics of the palliative patients, their caregivers, family members; nurses; and the organizational environment. Promoting the quality of the communication process is desirable through continuous and advanced training in end-of-life; training in bad news; religiously and culturally sensitive nursing interventions centered on hope and maintaining faith; emotional management; and utilization of a checklist protocol. Conclusions: Honest communication allows people to actively participate in the decision-making process and in the trajectory of the care plan that is focused on themselves and their preferences, which has outcomes in functional capacity and readaptation.

Granulites and associated dykes from the less well studied southern Ivrea-Verbano Zone (IVZ; around Ivrea town) are characterized by combining field, macro, micro and chemical (major and trace-element mineral composition) data in order to identify chemical and rheological variations in the lower crust that could be relevant for geodynamic implications. The Ivrea granulites are similar to those belonging to the Lower Mafic Complex of the central IVZ. The mafic lithologies experienced a stealth metasomatism (pargasitic amphibole and An-rich plagioclase) that occurred at suprasol-idus conditions by a pervasive reactive porous flow of mantle-derived orogenic (hydrous) basaltic melts infiltrated along relatively few, likely deformation-assisted, channels. Similar metasomatic melts are already reported in the central and northern IVZ, suggesting a massive regional hydration of the lowermost Southalpine mafic crust during the Early Mesozoic. The plastic behavior of the lowermost part of the crust, induced by its metasomatic hydration, could have promoted the Tri-assic extension of the Variscan crust and the beginning of the Alpine cycle.

This paper examines the impact of random sample sizes on the extreme value theory of competing risks, a significant area in finance and environmental science. We capture limit distributions of two extreme types under random sampling sizes, known as accelerated mixed l-max and p-max stable type distributions. The study presents results for both maxima and minima in competing risks scenarios, addressing cases of independent and non-independent random sample sizes. Numerical examples validate our theoretical findings, demonstrating the applicability of our approach to various random sample size distributions, including time-shifted Poisson or binomial, geometric, and negative binomial distributions.

The heat transfer and fluid mechanics analysis in agitated vessels is usually performed using the Dittus-Boelter correlation. In this study, we propose the analysis of an agitated vessel with a draft tube through the analysis of dimensionless numbers correlations. The heat transfer and fluid mechanics simulation was conducted using ANSYS Fluent software. The simulation used the Sliding Mesh approach and the SST k-ω turbulent model to capture the vessel's fluid flow and heat transfer phenomena. A grid independence study was conducted by varying the number of time steps to obtain an appropriate time step size for the simulation. The convective heat transfer coefficient, as indicated by the mean values of the Nusselt number, was calculated. The local values along the radial coordinate of the heat transfer surface were also determined. These results provide insights into the distribution of heat transfer rates within the vessel, which can help optimize process efficiency and equipment design. The simulation results were analyzed by varying the c and m coefficients in the Nusselt correlation presented as Nu= c Rem Pr1/3. Furthermore, correlations describing the mean Nusselt number at the bottom and wall of the vessel are presented and compared with existing literature, contributing to advancing knowledge in this field.

This study investigates cloud cavitation suppression around a model scale NACA66 hydrofoil using active water injection and explores the effect of multiple injection parameters. Numerical simulations and a mixed-level orthogonal test method are employed to systematically analyze the impact of jet angle αjet, jet location Ljet, and jet velocity Ujet on cavitation suppression efficiency and hydrofoil energy performance. The study reveals that jet location has the greatest influence on cavitation suppression, while jet angle has the greatest influence on hydrofoil energy performance. The optimal parameter combination (Ljet = 0.30C, αjet = +60 degrees, Ujet = 3.25 m/s) effectively balances energy performance and cavitation suppression, reducing cavitation volume by 49.34% and improving lift-drag ratio by 8.55%. The study found that the jet's introduction not only enhances vapor condensation and reduces the intensity of the vapor-liquid exchange process but also disrupts the internal structure of cavitation clouds and elevates pressure on the hydrofoil suction surface, thereby effectively suppressing cavitation. Further analysis shows that positive-going horizontal jet components enhance the lift-drag ratio, while negative-going components have a detrimental effect. Jet arrangements near the trailing edge negatively impact both cavitation suppression and energy performance. These findings provide valuable reference for selecting optimal injection parameters to achieve a balance between cavitation suppression and energy performance in hydrodynamic systems.

Placing a nasogastric tube (NGT) is a frequent nursing technique in intensive care units. The gold standard for its correct positioning is the chest X-ray due to its high sensitivity but represents a radiation source for critically ill patients. Our study aims to analyze whether the ultrasound performed by an intensive care nurse is a valid method to verify the NGT’s correct positioning and to evaluate the degree of interobserver agreement between this nurse and an intensive care physician in the NGT visualization using ultrasound. Its correct positioning was verified by direct visualization of the tube in the stomach and indirect visualization by injecting fluid and air through the tube ("dynamic fogging" technique). 23 critically ill patients participated in the study. A sensitivity of 35% was achieved using direct visualization, increasing up to 85% using indirect visualization. The degree of interobserver agreement was 0.88. Therefore, the NGT indirect visualization by an intensive care nurse using ultrasound could be a valid method to check its positioning. However, the low sensitivity obtained by direct visualization suggests the need for further training of intensive care nurses in ultrasonography. According to the high degree of agreement obtained, ultrasound could be performed by both professionals.

Stress has various impacts on the health of human beings. Recent success in wearable sensor development, combined with advancements in deep learning to automatically detect features from raw data, opens several interesting applications related to detecting emotional states. Being able to accurately detect stress-related emotional arousal in an acute setting can positively impact the imminent health status of humans, i.e., through avoiding dangerous locations in an urban traffic setting. This work proposes an explainable deep learning methodology for the automatic detection of stress in physiological sensor data, recorded through a non-invasive wearable sensor device, the Empatica E4 wristband. We propose an Long-Short Term-Memory (LSTM) network, extended through a Deep Generative Ensemble of conditional GANs (LSTM DGE) , to deal with the low data regime of sparsely labeled sensor measurements. As explainability is often a main concern of deep learning models, we leverage Integrated Gradients (IG) to highlight the most essential features used by the model for prediction and to compare the results to state-of-the-art expert-based stress detection methodologies in terms of precision, recall and interpretability. Results show that our LSTM DGE outperforms the state-of-the-art algorithm by 3 percentage points in terms of recall, and 7.18 percentage points in terms of precision. More importantly, through the use of Integrated Gradients as a layer of explainability, we show that there is a strong overlap between model-derived stress features for electrodermal activity, and existing literature, which current state-of-the-art stress detection systems in medical research and psychology are based on.