Objective To explore the endoscopic anatomical structures of lumbar surgery. Methods A total of 290 patients who underwent lumbar endoscopic surgery due to lumbar intervertebral disc (IVD) herniation from September 2020 to September 2022 were retrospectively reviewed in our hospital,179 patients had complete surgical video recordings, including 108 males and 71 females, aged from 19 to 65 years, with an average age of 41±16 years. The endoscopic structures through the intervertebral foramen and interlaminar space were independently identified by 3 doctors with more than 3 years of related surgery experience. When there were differences of opinions, the three doctors would discuss and come to a consensus. The probability, location, and neighboring structures of each specific structures were statistically analyzed. Results The anatomical structures observed through the lumbar foramen under endoscopy include muscles and ligaments attached to the superior articular process (SAP), main blood vessels inside the intervertebral foramen, blood vessels on the surface of IVD, and blood vessels on the surface of the dural sac and nerve root. The major anatomical structures observed through interlaminar space are multifidus, the conjugated ligament of ligament flavum and capsule ligament (capsule part of flavum ligaments), edges of the lamina, specific vessel bundle to facet with exit nerve root. Conclusion The anatomical structures under spinal endoscopy have certain characteristics, which are grossly different from those under open surgery. Familiarity with these anatomical structures has important clinical significance.

Background: Preserving health and physical fitness is critical to ensure independent living across the lifespan. Lower levels of physical fitness are associated with age-related cognitive decline and a higher prevalence of mild cognitive impairment (MCI). Thus, this study investigates the influence of a six-month dance intervention on selected measures of physical fitness in older adults with MCI. Methods: In this randomized controlled trial 55 patients with MCI were randomized into a sportive dance training (IG; n=26; Age: 70.7 +/- 5.6 years; 62% female) or an inactive control group (CG; n=24; Age: 69.1 +/- 6.8 years; 46% female).The dance group received two 90-minute dance training sessions per week over a duration of six-months, which focused on learning dance movement patterns. During the training sessions, heartrate was measured to control exercise intensity. Physical fitness was assessed using cardiopulmonary exercise testing (CPET), lower limb functional fitness via sit-to-stand test, handgrip strength and heart rate variability (HRV). Results: We observed that the dance intervention preserved the cardiorespiratory fitness as measured by maximal oxygen uptake (VO2max) during CPET, which decreased in the CG. Furthermore, participants in the IG demonstrated increases in leg and handgrip strength although not statistically significant. HRV displayed a nonsignificant decrease following the intervention. Conclusion: The results of this randomized controlled trial suggest that sportive dance training can preserve physical fitness in older adults with MCI. Although improvements in the other parameters were statistically non-significant, likely due to the small sample size, stabilizing muscular fitness and preventing age-related decline in older adults with MCI is important for maintaining functional independence.

The search for active cellulolytic consortia among soil microorganisms is of significant applied interest, while the dynamics of the formation of such communities remain insufficiently studied. To gain insight into the formation of an active cellulolytic community, the experiment was designed to study the colonization of a sterile substrate (cellulose) by microorganisms from two soil types: sod-podzolic and chernozem. To achieve this, the substrate was placed in the soil and incubated for six months. To assess microbiome dynamics, the experiment employed sequencing of 16S rRNA and ITS2 amplicon libraries at four-time points. It was demonstrated that from the second month of the experiment, the prokaryotic component of the communities reached a state of stability, with a community composition that was specific to each soil type. The results demonstrated that there was no relationship between changes in community diversity and soil respiration. There also was no significant shift in community diversity throughout the chronosequence. Furthermore, the taxonomic composition of the community shifted towards a decrease in the proportion of Proteobacteria and an increase in representatives of the Bacteroidota, Bacillota, and Verrucomicrobiota phyla. The network analysis of the community demonstrated that, in contrast to sod-podzolic soil, chernozem is distinguished by a higher modularity, with the formation of taxon-specific groups of microorganisms at each stage of the chronoseries. These differences are attributed to alterations in the eukaryotic component of the community, particularly in the prevalence of nematodes and predatory fungi, which in turn influenced the cellulolytic community.

The aim of this study is to assess of rare earth elements (REE) content in hair samples in children, living in Lovozero village, near REE mining site, and possible effects of REEs on the prevalence of nervous system diseases in the Lovozersky district (Murmansk region, Kola Peninsula). School-age children (53 persons) were recruited for analysis of REE content in their hair samples. REEs (Y, La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Ho, Er, Tm, Yb, Lu) content was estimated by inductively coupled plasma mass spectrometry (ICP-MS). Analysis of REE content in the hair of children living in the Russia, Kazakhstan and China indicates REEs intake from environment. A possible contribution of REEs to the nervous system disorders is supported by the link between REE content in the hair samples of children, living near REE mining (China) and by manifesting cognitive disorders in these children. It also turn out that highest prevalence of the nervous system diseases in children 15-17 years old manifested in the Lovozersky district then in other area in the Murmansk region. The paper discusses the possible contribution of REEs to the prevalence of episodic paroxysmal disorders (G40-G47), cerebral palsy (G80-G83), epilepsy and status epilepticus (G40-G41).

This study investigates the compliance level with Regional Regulations (PERDA) on building construction in Banjarmasin, focusing on urban areas and riverbanks. The motivation behind this research is the observed low adherence to PERDA, which aims to ensure orderly and safe development. Key issues include unauthorized building modifications, inadequate drainage systems, and poor sanitation, resulting in environmental damage and reduced quality of life. The study employs both qualitative and quantitative methods, including surveys and interviews, to gather data from 100 building samples and various stakeholders. Findings reveal significant non-compliance with land use regulations, building coefficients (KDB, KLB), and green space requirements (KDH), with 27% of buildings lacking necessary permits (IMB, PBG, SLF). Main causes include lack of awareness, high costs, and administrative hurdles. Recommendations for improvement include enhanced public education, streamlined administrative processes, stronger enforcement of regulations, and increased community involvement in planning. Effective inter-agency coordination is also crucial. These measures aim to foster a more organized, safe, and sustainable urban development in Banjarmasin. Enhanced compliance with PERDA will mitigate negative impacts such as flooding and environmental degradation, contributing to the overall welfare of the community.

Decision sciences (DSC) involve studying complex dynamic systems and processes to aid informed choices subject to constraints in uncertain conditions. It integrates multidisciplinary methods, techniques, and strategies to evaluate decision engineering processes, identifying alternatives and providing insights towards enhancing prudent decision-making. This study analyzes the evolutionary trends and innovation in DSC education and research to uncover the transformations over the years. We employ the science mapping method, text analytics, and metadata from bibliographic databases to evaluate thematic and social structures. The results highlight data science methods, including data mining and business/learning analytics as essential components. The evolutionary trends in DSC education and research mirror the development in practice, including technological transformation, computer science advances, and engineering processes. Sustainable education through virtual/online learning also constitutes a significant component of scientific production. The evolutionary trends in DSC education and research highlight innovative pedagogical approaches and strategies, including computer simulation and games ('play and learn'). The current era witnessed generative artificial intelligence (GenAI) adoption (e.g., ChatGPT) in teaching, learning, and scholarly activities amidst challenges (academic integrity, plagiarism, intellectual property violations, and other ethical and legal issues). Future research will implement and integrate AI automatic detection systems to address some GenAI adoption challenges.

Deep learning neural networks require an immense amount of computation, especially in the training phase of the network when networks with multiple layers of intermediate neurons need to be built. In this paper, we will focus on the PSO algorithm with the aim of significantly accelerating the DLNN training phase by taking advantage of the GPGPU architecture and the Apache Spark analytics engine for large-scale data processing tasks. PSO is a bio-inspired stochastic optimization method whose goal is to iteratively improve the solution to a (usually complex) problem by attempting to approximate a given objective. However, parallelizing an efficient PSO is not a straightforward process due to the complexity of the computations performed on the swarm of particles and the iterative execution of the algorithm until a solution close to the objective with minimal error is achieved. In the present work, two parallelizations of the PSO algorithm have been implemented , both designed for a distributed execution environment. The synchronous parallel PSO implementation ensures consistency at the cost of potential idle time due to global synchronization, while the asynchronous parallel PSO approach improves execution time by reducing the need for global synchronization, making it more suitable for large datasets and distributed environments such as Apache Spark. Both variants of PSO have been implemented to distribute the computational load supported by this algorithm –due to the costly fitness evaluation and updating of particle positions– across the different Spark cluster executor nodes to effectively achieve coarse-grained parallelism, resulting in a significant performance increase over current sequential variants of PSO.

: Based on fairness perspective, this paper combines the social vulnerability assessment of natural hazards with multi-objective site selection model to propose a new site selection planning model for central refuges. To begin with, the social vulnerability assessment system of regional natural disasters is founded through literature analysis, and the social vulnerability index of natural disasters is constructed; and based on the exponential differentiation of index to depict regional refuge demand, design vulnerability coverage function quantitive site selection fairness; then taking the shortest weighted evacuation distance, maximum vulnerability coverage and construction cost, the coverage population and refuge quantity as constraint conditions to construct multi-objective optimization model; finally, taking Zigong City, Sichuan Province as the object of empirical research, adapting NSGA-II algorithm to get the Pareto optimal solution set, and using TOPSIS method to get the optimal location scheme. The research results can provide a new method for the location layout of central refuge.

This study analyzed the risk of falls in the elderly and the safety of the environment in a teaching hospital in Brazil. The Morse Falls Scale was used to stratify the risk of falls in 45 hospitalized elderly individuals, and a checklist was used to analyze the hospital environment. The analysis was based on the chi-square test and multiple regression. The moderate risk of falls was predominant (51.1%). The variable age group (p-value = 0.024) showed statistical evidence of association with the risk of falls. However, the multiple regression analysis showed no difference between the age groups and the risk situation for falls. The hospital wards showed an adequate arrangement of furniture, but some aspects had inadequacies, such as objects in the corridors, non-functional bells in some beds, and inadequacy of the toilet bowls in terms of the recommended height, the absence of non-slip flooring and the support bar in some bathrooms. In conclusion, the moderate risk of falls among the elderly and the adequacy of the hospital environment to technical standards were evident, with the exception of failures in the emergency communication system and sanitary installation.

Viral infections leading to inflammation have been implicated in several common diseases such as Alzheimer’s disease (AD) and type 1 diabetes (T1D). Of note, herpes simplex virus 1 (HSV-1) has been reported to be associated with AD. We sought to identify the transcriptomic changes due to HSV-1 infection and anti-viral drug (acyclovir, ACV) treatment of HSV-1 infection in dissoci-ated cells from human cerebral organoids (dcOrgs) versus stem cell-derived pancreatic islets (sc-islets) to gain potential biological insights into the relevance of HSV-1-induced inflammation in AD and T1D. We observed that differentially expressed genes (DEGs) in HSV-1-infected sc-islets were enriched for genes associated with several autoimmune diseases, most significantly T1D but also rheumatoid arthritis, psoriasis, Crohn’s disease, and multiple sclerosis, whereas DEGs in HSV-1-infected dcOrgs were exclusively enriched for genes associated with AD. ACV treatment of sc-islets did not rescue transcript expression of autoimmune disease-associated genes. Finally, we identified gene ontology categories that were enriched for DEGs that were in common across, or unique to, viral treatment of dcOrgs and sc-islets, such as categories involved in the transferase complex, mitochondrial and autophagy function. Collectively, this studies pro-vide insight to the molecular effects of inflammation in AD and T1D.

The relationship of Amyotrophic Lateral Sclerosis, Parkinson Disease and other age-related neurodegenerative diseases associated with mitochondrial dysfunction has led to study of the mitochondrial fission gene Drp1 in Drosophila. Drp1 can interact with mitochondrial proteins including parkin and the Drosophila Bcl-2 proteins. Mutations in Drp1 can lead to mitochondrial dysfunction and neuronal loss. Ddc-Gal4 was exploited to direct the expression of Drp1 and the inhibition of Drp1 in neurons. Here, the inhibition of Drp1 seems to compromise locomotor function throughout life but does not alter longevity. The consequences of Drp1 overexpression can be suppressed through overexpression of pro-survival Bcl-2 gene Buffy or by inhibition of the pro-cell death Bcl-2 homologue Debcl. The expression of Buffy suppresses the poor climbing induced by loss of Drp1 function. Interestingly, the loss of parkin function is rescued by the directed inhibition of Drp1. Alteration of the expression of Drp1 acts to phenocopy neurodegenerative disease phenotypes in Drosophila, while overexpression of Buffy can counteract these phenotypes to improve overall health. The pro-survival effect of Buffy can rescue the phenotypic effect due to the Drp1-induced apoptosis. The diminished health due to either overexpression or inhibition of Drp1 has produced a novel model to investigate mechanisms underlying neurodegenerative disease.

Non-polio enteroviruses (NPEVs), namely coxsackieviruses (CV), echoviruses (E), enteroviruses (EV), and rhinoviruses (RV), are responsible for a wide variety of illnesses. Some infections can progress to life-threatening complications in children or immunocompromised patients. To date, no treatments have been approved. Several molecules have been evaluated through clinical trials without success. To overcome these failures, the multi-target directed ligand (MTDL) strategy can be applied to tackle enterovirus infections. This work analyzes clinical trials to highlight the best candidates and develops filters to apply to a selection for MTDL synthesis. We explicitly stated the methods used to answer the question: Which solution can fight NPEVs effectively? We note the originality and relevance of this proposal in relation to the state of the art in the enterovirus-inhibitors field. Several combinations are possible to broaden the antiviral spectrum and potency. We discuss data related to the virus and data related to each LEAD compound identified. Overall, this study proposes a perspective on different strategies to overcome issues identified in clinical trials and evaluate the “MTDL” potential to improve the efficiency of drugs synergistically, broaden the targeted, and reduce the adverse effects and drug design cost as well as limit the opportunity of drug-resistant viruses.

Black hole X-ray binary systems consist of a black hole accreting mass from its binary companion, forming an accretion disk. As a result, twin relativistic plasma ejections (jets) are launched towards opposite and perpendicular directions. Moreover, multiple broadband emission observations from X-ray binary systems range from radio to high-energy gamma-rays. The emission mechanisms exhibit thermal origins from the disk, stellar companion, and non-thermal jet-related components (i.e., synchrotron emission, inverse comptonization of less energetic photons, etc.). In many attempts at fitting the emitted spectra, a static black hole is often assumed regarding the accretion disk modeling, ignoring the Kerr metric properties that significantly impact the geometry around the usually rotating black hole. In this work, we study the possible implications of the spin inclusion in predictions of the X-ray binary spectrum. We mainly focus on the most significant aspect inserted by the Kerr geometry, the innermost stable circular orbit radius dictating the disk’s inner boundary. The outcome suggests a higher-peaked and hardened X-ray spectrum from the accretion disk and a substantial increase in the inverse compton component of disk-originated photons. Jet-photon absorption is also heavily affected at higher energy regimes dominated by hadron-induced emission mechanisms. Nevertheless, a complete investigation requires the full examination of the spin contribution and the resulting relativistic effects beyond the disk truncation.

Purpose: To analyze the clinical efficacy of superselective renal artery embolization and retroperitoneal laparoscopic partial nephrectomy for the treatment of ruptured hemorrhagic renal angiomyolipoma and to provide a reference for the selection of treatment methods for ruptured hemorrhagic renal angiomyolipoma. Methods: A retrospective analysis was conducted on the clinical data of 24 patients who were diagnosed with ruptured hemorrhagic renal angiomyolipoma at the Second Hospital of Tianjin Medical University between January 2019 and December 2021. Among them, 10 patients were treated with superselective arterial embolization (SAE), and 14 patients were treated with retroperitoneal laparoscopic part nephrectomy (RLPN). The differences between the two treatment methods in terms of hospital stay, hospital costs, anesthesia method, operation time, intraoperative blood loss, postoperative bed rest time, antibiotic dosage, postoperative complication rate, tumor diameter changes, creatinine value changes, hemoglobin value changes, tumor recurrence rate, and reoperation rate were compared. Results: All patients completed the treatment and were discharged. There were no significant differences in length of hospital stay, hospital costs, creatinine change values, or postoperative complication rates between the two groups (P > 0.05). However, there were statistically significant differences (P < 0.05) in surgical time (85.50±19.94 min vs. 141.07±76.33 min), intraoperative blood loss (21.50±14.72 ml vs. 153.57±97.00 ml), postoperative bed rest time (22.7±1.56 h vs. 41.21±3.57 h), preoperative hemoglobin levels (94.7 ±23.62 g/L vs. 113.79 ±17.83 g/L), and hemoglobin changes (-6.60 ±10.36 g/L vs. -15.21 ±8.79 g/L) between the two groups. Both groups of patients had an average follow-up period of 22 months, and patients in the SAE group had a mean reduction of 3.33 cm in tumor diameter within the follow-up period compared with the preembolization period (P < 0.05). None of the patients in the SAE group experienced rebleeding, and there was no tumor recurrence in either group. Conclusion: SAE and RLPN are effective treatments for ruptured renal angiomyolipoma with good outcomes. Furthermore, compared to RLPN, SAE offers advantages such as simplicity of operation, minimal trauma, shorter surgical time, minimal impact on hemoglobin levels, shorter bed rest time, faster postoperative recovery, and maximal preservation of renal units.

In this paper I show that, opposite to what is generally assumed, when a source accretes matter at the so-called Eddington mass accretion rate M˙ed, the generated accretion luminosity Lacc is smaller than Led, the Eddington accretion luminosity that can stop accretion. I demonstrate my thesis using pieces of informations that, one by one, are well known in the accretion theory but that, for some reason, they are not considered altogether. Namely, I use the following facts: i) Lacc, in the ideal case, is equal to the rate at which kinetic energy is deposited into the accreting source; ii) radiation pressure decreases the velocity of the infalling matter; iii) the generally accepted formula Lacc=GMM˙/R is valid only if the matter is in free fall. To give a quantitative demonstration of my thesis I use two accretion models: the first is the very simple spherical accretion of zero-temperature, fully ionized hydrogen; then I use a model developed some years ago where the energy transfer between matter and radiation is taken into account. The fact that M˙ed generates a Lacc&lt;Led can have consequences in all the cases in which one would need to model accretion with M˙&gt;M˙ed to reproduce the observations.

Excessive oxidative stress and exercise-induced fatigue reduce physical performance and can lead to dysfunction in antioxidant systems within muscular and hepatic tissues. Integrating natural substances with exercise may mitigate fatigue via anti-oxidant effects. This study aims to compare and evaluate the effects of exercise and supplementation with Sundarbans honey vs energy drinks on the strength, anxiety physiological profiles, and hepatic antioxidant capacity in mice undergoing extraneous exercise and fatigue. Forty-eight four-week-old Swiss albino mice were randomly assigned to one of eight groups: (1) Control, (2) Speed™ (Sp), (3) Royal Tiger™ (RT), (4) Sundarbans Honey (SH), (5) Exercise (Ex), (6) Exercise + Sundarbans Honey (Ex+SH), (7) Exercise + Speed™ (Ex+Sp), and (8) Exercise + Royal Tiger™ (Ex+RT). Supplements were administered via oral gavage: Sp (2.5 ml/kg BW), RT (2.5 ml/kg BW), and SH (1 g/kg BW), four times a week for 60 days. Mice in the Ex, Ex+SH, Ex+Sp, and Ex+RT groups underwent daily swimming and running. The strength, fatigue, anxiety levels, lipid profiles, and antioxidant biomarkers were evaluated post-treatment. The SH, Ex, and Ex+SH groups exhibited significantly enhanced physical performance (p

The scientific fields of complexity, artificial life (ALife), and artificial intelligence (A.I.) share commonalities: historic, conceptual, methodological, and philosophical. Although their origins trace back to the 1940s birth of cybernetics, they were only able to properly develop as modern information technology became available. In this perspective, I offer a personal (and thus biased) account of the expectations and limitations of these fields, some of which have their roots in the limits of formal systems. I will use interactions, self-organization, emergence, and balance to compare different aspects of complexity, ALife, and A.I. Even when the trajectory of the paper is influenced by my personal experience, the general questions posed (which outweigh the answers) hopefully will be useful to align efforts in these fields toward overcoming --- or accepting --- their limits.

This article serves as a extensive research into proposing a few significant inequalities involving polynomial functions in $\pi(x)$, the \textit{prime counting function}, with an intention of exploring the behaviour of $\pi(x)$ for increasing $x$. The general case for such polynomials has also been discussed in detail towards the later section of the article, where the primary focus was to study the order of polynomials of the form, \begin{align*} P(\pi(x)) - \frac{e x}{\log x} Q(\pi(x/e)) + R(x) \end{align*} $P$, $Q$ and $R$ being arbitrary polynomials, and establish for a particular case that, the polynomial yields negative values for sufficiently large values of $x$. Furthermore, the error term in such estimations is of order $O\left(\frac{x^d}{(\log x)^{d+1}}\right)$, $d$ depends heavily upon $deg(P)$ and $deg(Q)$.

The study delves into the Zaalklapspruit valley-bottom wetland in South Africa, a site designed through ecological engineering and currently impacted by acid mine drainage due to an upstream defunct coal mine. The research conducted in 2022, aimed to uncover the dynamics of contaminant dispersal within such a wetland setting, focusing on the origins, routes, and ultimate recipients of various metals and sulfur compounds. Analysis revealed that the bottom sediment is rich in organic material, with pH levels observed between 6.05 and 6.59, and exhibited notably low oxidation-reduction potentials, reaching down to −219.67 mV at sample point S3. Notably, Manganese displayed the highest adsorption rates, whereas Iron was predominantly absorbed by the roots of Typha capensis and the algae Klebsormidium acidophilum. The wetland's macrophyte rhizospheres hosted a rich array of microbiota, including families like Helicobacteraceae and Hydrogenophilaceae, which are crucial in metal and sulfur processing. This investigation sheds light on the intricate biogeochemical processes taking place involving the wetland's sediment, macrophyte root systems, periphyton, and microbial populations, underscoring the potential of ecologically engineered wetlands in the remediation of waters affected by acid mine drainage.

Fungi are rich sources of secondary metabolites of agrochemical, pharmaceutical and food importances, such as mycotoxins, antibiotics and antitumor agents. Secondary metabolites play vital roles in fungal pathogenesis, growth and development, oxidative status modulation, and adaptation/resistance to various environmental stresses. LaeA contains an S-adenosylmethionine binding site and displays methyltransferase activity. The members of velvet proteins include VeA, VelB, VelC, VelD and VosA, for each member with a velvet domain. LaeA and velvet proteins can form multimeric complexes such as VosA-VelB and VelB-VeA-LaeA. They belong to global regulators and are mainly impacted by light. One of their most important functions is to regulate gene expression that are responsible for secondary metabolite biosynthesis. The aim of this mini-review is to represent the newest cognition on the biosynthetic regulation of mycotoxins and other fungal secondary metabolites by LaeA and velvet proteins. In most cases, LaeA and velvet proteins positively regulated production of fungal secondary metabolites. The regulated fungal species mainly belong to the toxigenic fungi from the genera of Alternaria, Aspergillus, Botrytis, Fusarium, Magnaporthe, Monascus, and Penicillium for the production of mycotoxins. We can control secondary metabolite production to inhibit the production of harmful mycotoxins while promoting the production of useful metabolites by global regulation of LaeA and velvet proteins in fungi. Furthermore, the regulation by LaeA and velvet proteins should be a practical strategy in activating silent biosynthetic gene clusters (BGCs) in fungi to obtain previously undiscovered metabolites.

:. Background and Objectives: Pulmonary embolism, PE, incidence had been increasing in the last ten years. Computed thoracic pulmonary angiography, CTPA, had a major role in confirming PE di-agnosis.The main purpose of the study was to establish the prognostic value of a CTPA parameter: pulmonary artery obstruction index, PAOI, for PE risk assessment . A second objective of the re-search was to investigate the predictive accuracy of biomarkers (D-dimer, and cardiac Troponin T, c-TnT ), and PAOI, in 7-day mortality. The third objective of the study was the relationship between PAOI, and these biomarkers, in different etiologies of PE. Materials and Methods: The study com-prised 109 patients with PE, hospitalized, and treated between February 2021, and August 2022. They had different etiologies: deep vein thrombosis, DVT; persistent atrial fibrillation, AF; chronic obstructive pulmonary disease, COPD, exacerbation; Covid; and cancers. The investigations were the following: clinical examination; D-dimer testing, as a mandatory method for PE suspicion( values ≥ 500 µg/L were highly suggestive for PE); c-TnT , as a marker of myocardial injury(values ≥ 14 ng/L were abnormal); CTPA, with right ventricle dysfunction, RVD, signs, and PAOI. Treat-ments were according to PE risk: systemic thrombolysis (in high risk , and hemodynamic instability); low weight molecular heparins, LWMH, after systemic thrombolysis, or in high risk PE, with he-modynamic stability; direct oral anticoagulants, DOAC (in low, and intermediate risk). Results: The relationship PAOI- D-dimer, and PAOI- c-TnT, had very strong statistical correlation, for the entire sample, and for DVT, AF, COPD, Covid subgroups ( Rho = 0.815-0.982). PAOI had a high predic-tive accuracy for intermediate , and high risk together (area under curve, AUC=0.948), and high risk PE (AUC= 0.993). For 7-day mortality, D-dimer , and c-TnT had high predictive accura-cy(AUC=0.921, and 0.979). PAOI had statistical significance for 7-day mortality in Covid (p=0.045), and cancer (p=0.038) patients. Conclusions: PAOI was an important tool for PE risk as-sessment. D-dimer , and c-TnT were valuable predictors, for 7-day mortality in PE. PAOI, and D-dimer; PAOI, and c-TnT were strongly correlated, for the entire PE sample, and for DVT, AF, COPD, and Covid patients.

The aim of this study was to analyze the relationship between healthy vascular aging (HVA) and the Mediterranean diet alongside other lifestyles in a Spanish population aged 35 to 75 years without previous cardiovascular diseases. Methods: Cross-sectional descriptive study with 501 individuals aged 35 to 75 years recruited from five health centers by random sampling stratified by age and sex (55.90±14.24 years, 49.70% men). HVA was determined in two steps. Step 1: Subjects with vascular damage to the carotid arteries or peripheral arterial disease were classified as non-HVA. Step 2: The study population was classified by age and sex using the percentiles of the vascular aging index (VAI), with VAI ≤p25 considered HVA and >p25 considered non-HVA. The VAI was estimated using the following formula (VAI = (log (1.09) × 10 cIMT + log (1.14) cfPWV) × 39.1 + 4.76. Carotid-femoral pulse wave velocity (cfPWV) was measured with the SphygmoCor® device and carotid intima-media thickness using Sonosite Micromax® ultrasound. Mediterranean diet (MD) adherence, alcohol and tobacco use were recorded through validated questionnaires. Physical activity was assessed with the ActiGraph-GT3X® accelerometer. Results: The mean VAI value was 61.23±12.86; (Men 63.47±13.75 and women 59.04±11.54; p

This research has developed a process for producing ZnO thin film from DEZn deposited onto a PET substrate with low-pressure, high-frequency Ar + O2 plasma using a chemical vapor deposition technique. The aim is to study the film production conditions that affect electrical properties, optical properties, and thin film surfaces. This work highlights the use of plasma energy produced from a mixture of gases between Ar + O2. Plasma production is stimulated with an RF power supply to deliver high chemical energy and push ZnO atoms from the cathode inside the reactor onto the substrate through surface chemical reactions. The results showed that increasing the RF power in plasma production affected the chemical reactions on the substrate surface of film formation. The film preparation at RF power 300 W will give the thickest films. The film has a continuous columnar formation, and the surface has a granular structure. This results in the lowest electrical resistivity of 1.8 x 10-4 Ω-cm. In addition, when fabricated into a DSSC device, the device tested the PCE value and showed the highest value at 5.68%. This is due to the very rough surface nature of the ZnO film, which increases the scattering and storage of sunlight, making cells more efficient. Therefore, the benefit of this research is that it will be a highly efficient prototype of thin film production technology using a chemical process that reduces production costs and can be used in the industrial development of solar cells.

This paper explores the increasing use of big data in education to create personalized learning experiences tailored to individual student needs. The trend, driven by vast amounts of educational data, requires the development of new techniques to optimize learning outcomes while addressing the ethical implications of data collection and utilization. The paper emphasizes the necessity for robust policy frameworks to ensure transparency and trust, based on clear guidelines and parental consent. It also discusses how educational institutions are updating curricula to prepare learners for a rapidly evolving workforce, incorporating contemporary AI technologies that impact education systems. The dual influence of AI presents both opportunities and challenges, necessitating a balanced and thoughtful approach. The paper advocates for a holistic strategy in integrating AI in education, emphasizing the importance of collaboration between the AI industry and other sectors to develop comprehensive policy frameworks for the ethical and effective use of AI in education.

Wear phenomena on natural stone of the cultural heritage are induced from various sources. Consequently, the development of multifunctional protective materials which combine two or more useful properties is an effective strategy to address the synergistic effects of various wear mechanisms. A multifunctional coating, consisting of a silane-based precursor and zinc oxide (ZnO) nanoparticles (NPs), is produced and tested for the protection of limestone. The hybrid coating combines the following three properties: superhydrophobicity, including water-repellency, photocatalytic self-cleaning and biocidal activity. The relative concentration of the NPs (0.8% w/w), used for the suggested composite coating, is carefully selected according to wetting studies, colourimetric measurements and durability (tape peeling) tests. The non-wetting state is evidenced on the surface of the composite coating by the large contact angle of water drops (≈153°) and the small contact angle hysteresis (≈5°) which gives rise to the physical self-cleaning scenario (lotus effect). The photocatalytic chemical self-cleaning is shown with the removal of methylene blue, induced by the UV-A radiation. Moreover, it is shown that the suggested coating hinders the incubation of E. coli and S. aureus as the inhibition were 94.8 and 99.9 %, respectively. Finally, preliminary studies revealed the chemical stability of the suggested coating.

Time can be a difficult concept to understand. Albert Einstein, who viewed time as an illusion, explained the passage of time is relative to the observer’s frame of reference in the space-time continuum. However, the state of consciousness of the observer also influences the passage of time. This paper examines the relationship between the experience of time and different states of consciousness including near-death experiences, mystical states of consciousness, and psychedelic medicine-induced states of consciousness. Two different experiences of time are described. These are Chronos and Kairos. Chronos is described as 4th dimensional time whereas Kairos is 5th dimension time. Methods for facilitating the experience of Kairos are discussed and the potential benefits of experiencing Kairos are reviewed.

Differences between the quantum mechanical and relativistic concepts of time observed in GPS satellites are accounted for by applying the equivalence principle to the transitioning electron of an atomic clock. This allows a differential equation of motion to be derived for the electron in the Minkowski space between electron shells. By applying Hamilton’s principle we transform the differential equation into a relativistically correct integral equation of motion, the time integral of a Lagrangian. This newly derived equation accounts for the abstract mathematics of the more familiar non-relativistic model by means of a physical interpretation. Abstract rotations in Hilbert space are replaced by real rotations of particle field geometries in Minkowki space that describe the electron transition and emission of a photon. Because the properties of energy are universal the same integral equations are able to be used to describe the time evolution of galaxies despite vast differences in lifetime. The comparison of gravitational and electromagnetic energy exchanges by means of radial and transverse fields leads to an alternative to the standard model that is based on a field model. It explains the observed properties of galaxies as a superposition of neutrinos localized within the horizon of a black hole with spins aligned. The particle properties of free neutrinos are accounted by means of a classical field geometry; specifically, a spin that is oriented in space with rotational inertia due to energy. A test of the standard model is proposed based on differing views for flavor oscillation.

Deploying search and rescue (SAR) dogs in disaster situations is crucial for effective rescue missions. This study delves into the challenges and obstacles encountered during the use of SAR dogs, particularly focusing on the earthquake that hit Turkey in February 2023. By employing a case study approach, the research explores various factors that impact the efficiency and safety of SAR dog operations, such as environmental conditions, equipment needs, cultural perceptions, and logistical hurdles. Environmental conditions such as extreme weather, hazardous materials, and unstable structures present significant risks to both the dogs and their handlers. The adequacy of equipment, including protective gear and medical supplies, is critical for ensuring the safety and efficiency of rescue operations. Logistical challenges, including the transportation and care of dogs in disaster zones, further complicate their deployment. Cultural barriers also play a crucial role, as perceptions of dogs vary widely across different communities, potentially affecting the acceptance and integration of canine units in rescue efforts. The case study of the earthquake in Turkey highlights these issues, showcasing the successes and setbacks experienced by international rescue teams. The findings indicate that although SAR dogs are invaluable in locating survivors, they face significant dangers, including hazardous materials, extreme weather, and physical injuries. Additionally, cultural differences and logistical issues complicate their deployment. This paper highlights the necessity for improved training, protective measures, and international standards to ensure SAR dogs' well-being and effectiveness in disaster response efforts. The study's implications suggest that addressing these challenges can markedly enhance the preparedness and resilience of SAR teams, leading to more efficient and safer rescue operations in future disaster scenarios.

In this paper, we investigate the proftability of investing in movies for retail investors, focusing on the return on investment (ROI) metric, which is calculated as revenue divided by budget. Our analysis encompasses 5000 movies from the movie database TMDB, examining factors such as production scale, genres, key actors, directors, and more. Additionally, we employ textual analysis techniques like Latent Semantic Analysis (LSA) on movie overviews and tags to incorporate movie themes. We then evaluate various supervised classifcation models including Logistic Regression, Random Forest, and Light Gradient Boosting (LightGBM), comparing their performance. Our fndings highlight the signifcance of production scale, team structure, and movie themes in identifying potential high-return opportunities for investors.

Abstract: Cancer, notably breast cancer, is a significant health concern globally, with a substantial burden in Asia, particularly in Pakistan. Late diagnosis exacerbates mortality rates, emphasizing the importance of robust screening programs. This article examines the effectiveness of breast cancer screening initiatives and intervention four years after initial pilot study that spanned 2015-2019, using data from the Islamabad Federal Breast Screening Centre, to assess readiness for national guideline implementation in Pakistan and beyond. Methods: This retrospective cross-sectional study, conducted at the Federal Breast Screening Center (FBSC), involved 5,580 patients undergoing mammography screening over an four-year period from 2015 to 2023. The study examined patients' data, including Breast Imaging Reporting and Data System (BIRADS) categories through double reading mammography and complementary ultrasound (USG) findings. Demographic information, including age, ethnicity, education status, socio-economic factors, breastfeeding history, breast density, and family history, was recorded to analyze its correlation with breast cancer diagnosis and subsequent management. Data analysis was performed using SPSS 2021. Results: The study included a total of 4337 patients who visited the Federal Breast Screening Centre from 2020 to 2023. The mean age of patients attending screenings from 2020 to 2023 was 48.50 ± 9.55 years, with the most common age group being 41-45 years 1,364 (24.4%), followed by 46-50 years 1,008 (18.1%). The ethnicity with the highest frequency was Punjabi 4,647 (83.3%). The distribution of patients across BI-RADS categories was as follows: BI-RADS 0 (n=175, 3.10%), BI-RADS I (n=1,933, 34.60%), BI-RADS II (n=1,691, 30.30%), BI-RADS III (n=642, 11.50%), BI-RADS IV (n=612, 11.00%), BI-RADS V (n=389, 7.00%), and BI-RADS VI (n=138, 2.50%). The prevalence rate of invasive breast cancer during these four years was 10.4%. Conclusion:In conclusion, breast cancer poses an escalating challenge associated with increasing mortality rates. Pakistan, alongside its South Asian counterparts, is witnessing a surge in cases, emphasizing the urgency for comprehensive interventions. Research endeavors such as this provide valuable insights into demographic profiles, aiding in the formulation of tailored guidelines. Moreover, the establishment of additional federal centers for screening is imperative to enhance patient access and mitigate the issue of delayed diagnoses, aligning Pakistan's healthcare infrastructure with that of developed nations.

We develop an action principle for producing a single fluid, two-constituent system with dissipation in general relativity. The two constituents in the model are particles and entropy. The particle flux creation rate is taken to be zero, while the entropy creation rate is non-zero. Building on previous work, it is demonstrated that a new term (the proper time derivative of the matter space ``metric'') is required in the Lagrangian in order to produce terms typically associated with bulk and shear viscosity. Equations of motion, entropy creation rate, and energy-momentum-stress tensor are derived. Using an Onsager approach of identifying thermodynamic ``forces'' and ``fluxes'' a model is produced which delivers the same entropy creation rate as the standard, relativistic Navier-Stokes equations. This result is then contrasted with a model generated in the spirit of the action principle, which takes as its starting point a specific Lagrangian and then produces the equations of motion, entropy creation rate, and energy-momentum-stress tensor. Unlike the equations derived from Onsager reasoning, where the analogs of the bulk and shear viscosity coefficients are prescribed ``externally'', we find that the form of the coefficients in the second example are a direct result of the specified Lagrangian. Furthermore, the coefficients are shown to satisfy evolution equations along the fluid worldline; also a product of the specific Lagrangian.

Artificial intelligence (AI) driven language models have seen a rapid rise in development, deployment, and adoption over the last few years. This surge has sparked many discussions about their societal and political impact, including political bias. Bias is a crucial topic in the context of large models due to its far-reaching consequences on technology, politics, and society. It significantly influences public perception, decision-making, political discourse, and AI policy governance and ethics. This study investigates political bias through a comparative analysis of four prominent AI models: ChatGPT-4, Perplexity, Google Gemini, and Claude.Through a comprehensive analysis by systematically and categorically evaluating their responses to politically and ideologically charged tests and prompts, utilizing the Pew Research Center’s Political Typology Quiz, the Political Compass assessment, and ISideWith political party quiz, this study identifies significant ideological leanings and the nature of political bias within these models. The findings revealed that ChatGPT-4 and Claude exhibit a liberal bias, Perplexity is more conservative, while Google Gemini adopts more centrist stances. The presence of such biases underscores the critical need for transparency in AI development and the incorporation of diverse training datasets, regular audits, and user education to mitigate these biases. This analysis also advocates for more robust practices and comprehensive frameworks to assess and reduce political bias in AI, ensuring these technologies contribute positively to society and support informed, balanced, and inclusive public discourse, which will point towards neutrality.The results of this study add to the ongoing discourse about the ethical implications and development of AI models, highlighting the critical need to build trust and integrity in AI models. Additionally, future research directions have been outlined to explore and address the complex issue of bias in AI.

Recent studies have suggested significant antimicrobial properties of some metallic nanoparticles during the height of antibiotic resistance. The silver nanoparticle (AgNPs) is one of the most prominent candidates due to its noble nature and better tolerance profile in humans. The synthesis of AgNPs was carried out using silver nitrate using five different chemical reduction methods and comparing their activity with silver nitrate, also known to possess antimicrobial properties. AgNPs have been synthesized with varying combination of reducing agents, and subsequently characterized by UV-visible spectroscopy, thermogravimetric analysis (TGA), scanning electron microscopy (SEM), and dynamic light scattering (DLS). Chemical reduction with both trisodium citrate and sodium borohydride provided better particle size and controlled uniformity, whereas hydrogen peroxide was used as a stabilizer to increase the stability of AgNPs. The minimum bactericidal concentration (MBC) for all AgNP formulations was determined against gram-negative E. coli, and AgNPs synthesized with only trisodium citrate were found to be the most effective. The synthesized AgNPs were tested against the resistant strains of E. coli, Salmonella, Klebsiella, Bacillus, and Staphylococcus by the well diffusion method to evaluate and compare their inhibition zones and AgNPs synthesized with polyethylene glycol and polyvinyl pyrrolidine were found to be the most efficient.

This paper presents a novel approach to designing beam codebooks for downlink multiuser hybrid multiple input multiple output (MIMO) wireless communication systems, leveraging multi-agent reinforcement learning (MARL). The primary objective is to develop an environment-specific beam codebook composed of non-interfering beams, learned by cooperative agents within the MARL framework. Machine learning (ML) based beam codebook design for downlink communications have been based on channel state information (CSI) feedback or only reference signal received power (RSRP) consisting of an offline training and user clustering phase. In massive MIMO, the full CSI feedback data is of large size and is resource-intensive to process, making it challenging to implement efficiently. RSRP alone for a stand-alone base station is not a good marker of the position of a receiver. Hence, in this work, uplink CSI estimated at the base station along with feedback of RSRP and binary acknowledgment of the accuracy of received data is utilized to design the beamforming codebook at the base station. Simulations using sub-array antenna and ray-tracing channel demonstrate the proposed system’s ability to learn topography-aware beam codebook for arbitrary beams serving multiple user groups simultaneously. The proposed method extends beyond mono-lobe and fixed beam architectures by dynamically adapting arbitrary shaped beams to avoid inter-beam interference, enhancing overall system performance. This work leverages MARL’s potential in creating efficient beam codebooks for hybrid MIMO systems, paving the way for enhanced multiuser communication in future wireless networks.

To determine the influence of child abuse on academic performance from the perspective of teachers of a private school from Piura, 2024. Method: The present study is an applied, non-experimental design with a continuous qualitative approach. The technique used was the survey and as an instrument the questionnaire on knowledge of child abuse with 12 questions, with a population of 20 teachers. Results: For the statistical analysis was used through Microsoft Excel 2023 and IBM SPSS software, in addition the Shapiro Wilks statistical test was used, the results show that 85% of respondents, from their perspective, neglect has a high level of influence on academic performance, 65% of respondents, from their perspective, state that psychological maltreatment has a high level of influence on academic performance and 50% of respondents, from their perspective, determine that physical maltreatment has a high level on academic performance. Conclusions: The value of p=0.553 &gt; 0.05, therefore, it is concluded that according to the perspective of the teachers of a private school from Piura, there are no significant changes in the academic performance of students who suffer from child maltreatment.

Coffee is one of the most valuable agricultural products worldwide, and it is crucial to have efficient tools to obtain reliable information about production. This study aims to estimate coffee plantation production using segmentation and deep learning techniques in RGB images. Photographs of coffee plants were taken in Tabaconas, San Ignacio-Cajamarca, to create a dataset of crops during the harvest stage. The images were segmented to detect coffee fruits. A deep learning method was developed with YOLOv5 to detect the fruits and OpenCV to count them. The results showed that YOLOv5 achieved an accuracy of 97.25%, a recall of 95.77%, and an F1-Score of 96.37%, demonstrating high reliability in detecting coffee fruits. The average detection time per image was 17.9 seconds. The metrics were evaluated using a confusion matrix, highlighting the model's good performance. In conclusion, segmentation and deep learning techniques, along with counting algorithms developed with OpenCV, proved effective for estimating coffee production. This approach provides a valuable tool for farmers, improving crop management and facilitating decision-making in precision agriculture.

In this study, we explored the application of deep learning techniques for credit card fraud detection, aiming to improve the performance and reliability of anomaly detection methods in financial transactions. We first utilized the Isolation Forest algorithm, achieving a detection accuracy of 26% for the top 1000 transactions. Subsequently, we experimented with the Autoencoder algorithm, an unsupervised deep neural network model, which enhanced the detection accuracy to 33.6% in the best case despite some fluctuations. The results demonstrate deep learning models' strong feature extraction capability and adaptability, highlighting their potential to surpass traditional methods. However, the high imbalance in the dataset, with only 0.17% of transactions being fraudulent, poses a significant challenge. This study underscores the necessity for further experimentation and optimization of network structures and hyperparameters to achieve more stable and efficient fraud detection. The findings provide valuable insights and reference points for future research in financial fraud detection using deep learning methodologies.

This study explores the effects of tempering on the precipitation behavior and impact toughness of high-nickel steel. The specimens underwent double quenching at 870°C and 770°C, followed by tempering at various temperatures. Advanced characterization techniques including optical microscopy (OM), scanning electron microscopy (SEM), and transmission electron microscopy (TEM) were used to elucidate precipitation phenomena. Additionally, electron backscatter diffraction (EBSD) was employed to assess the misorientation distribution after tempering. Charpy impact tests were performed on specimens tempered at different temperatures to evaluate their toughness. The findings reveal that with increasing tempering temperature, the fraction of low-angle grain boundaries decreases, which correlates positively with enhanced impact toughness. The impact toughness peaks at 580°C and then diminishes with further temperature increases.

The emergence of drug resistance inducing mutations in Hepatitis C virus (HCV) coupled with genotypic heterogeneity has made targeting NS3/4A serine protease difficult. In this work, we investigated the mutagenic variations in the binding pocket of Genotype 3 (G3) HCV NS3/4A and evaluated ligands for efficacious inhibition. We report mutations at 14 positions within the ligand-binding residues of HCV NS3/4A including H57R and S139P within the catalytic triad. We then modeled each mutational variant for pharmacophore-based virtual screening (PBVS) followed by covalent docking towards identifying a potential covalent inhibitor, i.e. cpd-217. The binding stability of cpd-217 was then supported by molecular dynamic simulation followed by MM/GBSA binding free energy calculation. The free energy decomposition analysis indicated that the resistant mutants alter the HCV NS3/4A-ligand interaction, resulting in an unbalanced energy distribution within the binding site leading to drug resistance. cpd-217 was identified to interact with all NS3/4A G3 variants with significant covalent docking scores. In conclusion, cpd-217 emerges as a potential inhibitor of HCV NS3/4A G3 variants that warrants further in vitro and in vivo studies. The study will pave the way for drug design and development of HCV G3 NS3/4A.

The purpose of this study is to identify, and examine the potential characteristics of Siompu Tangerines to be given legal protection for Geographical Indications and examine the efforts of local governments in encouraging legal protection of Siompu Tangerines Geographical Indications, this research uses a type of empirical legal research. The conclusion of this study explains that characteristics of Siompu Tangerines have the potential to be given legal protection for Geographical Indications because they have a distinctive sweet, slightly sour taste and strong aroma with a sugar content scale of 9-10º Brix, the orange has been named the sweetest orange in the National Citrus fruit contest and several times served at official ceremonies at the State palace, the reputation of Siompu Tangerines makes it a National Flagship Orange through the Decree of the Minister of Agriculture number 742 / Kpts / TP. 240/7/1997. Geographical environmental factors from natural conditions and human factors make Siompu Tangerines can only grow well in the Siompu island area. The Regional Government of South Buton Regency has made efforts in terms of the development of Siompu Tangerines but has not been optimal in carrying out legal protection of Geographical Indications, due to a lack of community understanding, and the Regional Government regarding the potential of Siompu Tangerines which can be given protection by registering as a Geographical Indication product, the importance of obtaining legal certainty and obtaining exclusive rights is very useful in improving the community's economy and Farmer Tangerines Siompu.

This study investigates the critical factors of trust, commitment, and adaptation within supplier relationship management (SRM) in the context of e-commerce. Through qualitative research methods, including semi-structured interviews and documentary analysis, the study explores how these factors influence relationship dynamics and organizational outcomes in digital business environments. Trust is examined as foundational to effective SRM, encompassing integrity, reliability, and shared values between buyers and suppliers. Commitment is analyzed in terms of long-term orientation, resource allocation, and relationship-specific investments aimed at mutual growth and sustainability. Adaptation emerges as essential for navigating the dynamic e-commerce landscape, encompassing proactive strategies, flexibility, and innovation to respond to market changes and technological advancements. The findings highlight the interplay and mutual reinforcement among trust, commitment, and adaptation, contributing synergistically to relationship resilience and organizational performance. However, challenges such as information asymmetry, cybersecurity risks, and organizational inertia are identified as barriers to effective SRM. Practical implications include strategies for enhancing trust, fostering commitment, and cultivating adaptive capabilities through continuous learning, collaborative innovation, and technology integration. By integrating these insights, businesses can strengthen supplier relationships, drive sustainable growth, and achieve competitive advantage in the digital economy.

In solid cancer surgery, oxidative stress (OS) is of particular interest because both the malignancy itself and the surgical intervention are major contributors to the modulation of OS levels. This study aimed to investigate the effects of solid cancer surgery on OS levels. Because solid cancer is often accompanied by intense cell death, the study specifically focused on the pathway leading to uric acid formation, (i.e. adenosine deaminase (ADA) and xanthine oxidase (XO). Ische-mia-modified albumin (IMA), a recognized marker of oxidative stress, and plasma redox poten-tial (RP) were also measured. Thirty-six patients undergoing major solid cancer surgery (median age 68 years (58-76), 23 men and 13 women) and thirty controls (62 years (51-80)) were included. During the surgical procedure, serum ADA levels did not change significantly (10.4 International Units (IU) (6.9 – 13.7) vs. 8 IU (6 – 12); p = 0.47). In contrast, XO (IU), IMA (Arbitrary Units(AU)) and redox potential (mV) decreased significantly (22.5 IU (11 – 63) vs. 8.4 IU (5 – 27); p = 0.0041, 89 AU (69 – 105) vs. 74 AU (66 – 80); p = 0.01 and 98 mV (78 – 118) vs. 79 mV (65 – 101); p = 0.033). The correlation between XO and IMA or redox potential was positive (Spearman’s r = 0.32 ; p = 0.007, and r = 0.58; p < 0.001, respectively). XO was negatively correlated with ADA (r = -0.26; p = 0.03). Redox potential was positively correlated with IMA (r = 0.26; p = 0.04) and nega-tively correlated with ADA (r = -0.25 ;p = 0.04). We found that a major source of OS in solid cancer could be the result of an increase in xanthine oxidase activity and that the global effect of solid cancer surgery is a significant decrease in OS levels. We also found that ADA and XO were inversely correlate, suggesting the existence of a negative retrocontrol between the production of free radicals and the production of their sub-strate. Finally, our study highlights the potential value of XO inhibitors as adjuvant therapy in solid tumor surgery.

The lack of quality formulated feeds as supplements or replacements for live feeds has negatively impacted the growth performance and survival rates in the larvae of many fish species, notably African catfish (C. gariepinus). Successful larval rearing relies on the availability of suitable diets that are readily consumed, easily digested, and provide the essential nutrients necessary for optimal growth and health of the fish. This study evaluated the growth performance and survival rates of C. gariepinus larvae when fed locally formulated diets. The experiment was conducted using 12 basins, each with a capacity of 20 liters. Each basin was stocked with 60 larvae in four replicates, averaging 0.03 g in weight. The experimental diets were formulated to contain three different levels of crude protein: 40%, 45%, and 50%. The larvae were fed these diets at a rate of 10-20% of their body weight over 70 days. Initially, the larvae were fed artemia at the onset of feeding in hatchling basins immediately after yolk sac absorption for the first seven days. This was followed by a blend of artemia and formulated feeds for 14 days. After 28 days, the larvae were transitioned to be exclusively fed the formulated dry feeds. The results indicated that the larvae fed on diets containing 45% and 50% crude protein exhibited significantly better overall growth performance compared to those fed on a 40% crude protein diet. Specifically, the larvae that received the 45% and 50% crude protein diets showed higher final mean weight, increased daily weight gain, and improved survival rates, which ranged from 80% to 81.5%. Notably, there was no significant difference in growth performance and survival rates between the larvae fed on 45% and 50% crude protein diets, suggesting that a 45% crude protein-formulated diet is sufficient to achieve the best growth performance and survival rates for C. gariepinus larvae. This study supports the recommendation of feeding C. gariepinus larvae with a dry diet containing 45% crude protein starting from 14 days post-hatching to enhance their growth and survival rates. However, further research is recommended to explore the effects of this feeding regimen across different agroecological zones and aquaculture systems to validate and potentially refine these findings.

Through analysis of the constituent components of the observation data from 12 geoe-lectric field stations located approximately 600 km form the epicenter of the Jishishan Ms6.2 earthquake, this study reveals that during earthquake preparation and occurrence, the geoelec-tric field at each station exhibit non-uniform variations. These variations are characterized by significant decreases or increases in correlation coefficients between different azimuths (δxy) and between long and short polar distances within the same azimuth (δxx). Additionally, there are discrete or extruding changes observed in the dominant azimuth angles of the telluric field at the stations, ranging approximately from 40° to 90°. These anomalies indicate local site effects and exhibit quasi-synchronous temporal characteristics. The study found that stations located in regions with intense tectonic activities, such as Menyuan and Jingtai, experience more significant anomalous changes influenced by the tectonic activities of the Qaidam-Qilian Mountain block. When multiple stations with anomalous changes are used to determine the earthquake epicenter, earthquakes often occur within or near the intersection area of the predicted ranges of these sta-tions. The specific time of earthquake occurrence shows no clear relationship with the locations or tectonic activities of the stations.

The digital world is increasingly invading our reality, which leads to the formation of a significant reflection of the processes and activities taking place in the smart city. Such activities include well-known urban events, celebrations, and those with a very local character. Due to the mass occurrence, events have a comparable influence on the formation of the spirit and the urban atmosphere. This work presents an enhanced semantic version of the ConvTree algorithm - SemConvTree. It allows considering the semantic component of the data obtained by using semi-supervised learning of topic modeling ensemble (consisting of improved models BERTopic, TSB-ARTM, SBert-Zero-Shot). We also present an improved event search algorithm based on both statistical evaluations and semantic analysis of posts. This algorithm allows fine-tuning the mechanism of discovering the required entities with the specified particularity (such as a particular topic). Experimental studies were conducted within the area of New York City. They showed an improvement in the detection of posts devoted to events (about 40% higher f1-score) due to the accurate handling of events of different scales. These results lead in the long term to talk about the potential perspective in creating a semantic platform for the analysis and monitoring of urban events in the future.

The BL Lacertae (BL Lac) object OJ 287 underwent an intense X-ray activity phase, exhibiting its brightest recorded X-ray flare in 2016-2017, characterized by much softer X-ray spectra and, concurrently, its first-ever recorded very-high-energy (VHE) emission (100--560 GeV), reported by the VERITAS observatory. Broadband spectral energy distribution reveals a new jet emission component similar to high-synchrotron-peaked BL Lac objects, thereby implying the soft X-ray spectrum for the synchrotron emission. Using the advantage of simultaneous X-ray and VHE spectral information, as well as the source being a low-synchrotron-peaked BL Lac object, we systematically explored the extragalactic background light (EBL) spectrum by demanding that the VHE spectrum cannot be harder than the X-ray spectrum. We used three different phenomenological forms of the EBL spectral shape (power-law, parabola, and polynomial) motivated by current constraints on the EBL with the Bayesian Monte Carlo approach to infer the credible EBL range. Our study favors an almost flat power-law spectral shape and is consistent with previous studies. The other spectral forms capable of capturing curvature though result in a better statistics value; the improvement is statistically insignificant given the additional parameters.

The growing interest in environmental sustainability issues and, at the same time, the advantages offered by blockchain technology have strong connections between these two topics. This study explores the application of blockchain technology across various environmental domains, such as air quality, climate change impacts, and resource management. The research utilised a dual approach, combining a bibliometric analysis with VOSviewer and a topic analysis using BERT models to assess the discourse within both scientific literature extracted from Scopus and practical blockchain projects obtained from GitHub. The findings reveal that food security, energy, and sustainable agriculture are predominant topics in academic discussions, with a noticeable increase in focus from 2017 onwards. Practical projects are focused on transparent tracking and decentralised management. The overlap between academic and practical spheres is evident in the shared focus on energy and environmental management, demonstrating blockchain’s growing role in addressing global environmental challenges. The study underscores the importance of integrating theoretical research with practical implementations to harness blockchain’s full potential in promoting sustainable environmental practices.

Background P53 gene mutation is a very common event in human neoplasia, and genetic mutations in the P53 gene in a single allele are responsible for a hereditary cancer susceptibility syndrome (Li Fraumeni). These variants encode distinct isoforms of the p53 protein, which may disrupt its transcriptional activity. These point mutant proteins are more stable than the normal protein and the mutant product accumulates at a high level that allows obtaining important information about p53 gene expression in malignant cells, especially in Chronic Lymphocytic Leukemia, (CLL). By Enzyme Linked Immune-Absorbent Assay method, (ELISA), was analyzed the frequency of p53 protein expression to 20 eligible patients diagnosed with CLL for to investigate the relationship of this protein in the stages of the disease and the impact on treatment response and survival. In ELISA technique was used the specific antibodies for isoform p53 protein, PAb 240 antibodies. These antibodies bind specifically to denatured p-53 protein. Species reactivity is for human in conformity with the prospect from Manual, Catalog No. LS-F174, Bio-Rad. Results The average concentrations of p53 proteins in 17 of 20 cases were found 16.76 μg / dl, with CV = 0.5% and the probability index p = 0.034. Very high pathological values in the 3 cases of isoform p53 protein were calculated in 2 men, (PM) in the value of 60 µg / dL, respectively at 40 µg / dL and in the case of females, (PW), in 40 µg / dL value, with the transformation into Diffuse Large Lymphoma, (DLL). Conclusion This ELISA method has proven to be a useful prognostic tool for the application of personalized treatment of on-immune therapy, in cases diagnosed with the type B-CLL.

In this work is proposed a new unsupervised method to evaluate the behavior of urban green areas in presence of heatwave scenarios analyzing the NDVI, NDMI and LST satellite data. To evaluate how these three indices characterize urban green areas during periods of heat waves, a reclassification of the data raster of each index is carried out. Rather than using standard classifications of the three indices, an unsupervised classification approach is proposed that uses the Elbow method to determine the optimal number of classes and the Jenks thematic classification method. Each class is assigned a Gaussian fuzzy set with means and standard deviations equal to that of the associated thematic class. The green urban areas are classified using zonal statistics operators and the degree of membership in the corresponding fuzzy set is used to assess the reliability of the classification. Finally, for each type of greenery the frequencies of belonging to the NDVI, NDMI and LST classes are analyzed to evaluate the behavior of the type of urban greenery during heatwaves. The framework was tested in an urban area consisting of the city of Naples (Italy). The results show that some types of greenery, such as deciduous forests and olive groves, are not very vulnerable to heatwave scenarios, unlike uncultivated areas which, instead, show critical behaviors during heatwaves.

Elderly individuals frequently perceive companion robots devoid of warmth, resulting in a reluctance to accept these robots' services. This perception has become a significant barrier to the introduction of companion robots into households. To address this issue, this study employs KE methods to translate the elderly's need for warmth perception from companion robots into elements of modelling design. Initially, 20 pairs of affective words and 22 sample images of companion robots were chosen. The "rational-emotional" and "dim-bright" dimensions were identified as positively influencing the elderly's warmth perception of companion robots through SD method analysis. Subsequently, a hierarchical analysis table was established, with warmth perception as the root layer, modelling style and color matching as the basic layer, "rational-emotional" and "dim-bright" as the expansion layer, and the eight characteristic elements of companion robots as the morphological layer. The link between affective imagery and design elements was then established from the sample robots with higher warmth perception scores. Based on the correlation between the two, various design schemes were formed through random combinations. Finally, the design schemes were evaluated using the warmth perception scale, and the warmth perception scores of each sample model were obtained. This research provides design references for designing companion robots for the elderly with a "sense of warmth".

Purpose: To evaluate prognostic factors for visual outcome in patients with diabetes who have undergone vitrectomy (PPV) for severe proliferative diabetic vitreo-retinopathy (PDVR) in at least one eye in the past 15 years. Methods: Medical records of 132 eyes of 66 patients were analyzed (median age 52ys 21-80; patients with type 1/2 diabetes 40/26, median follow-up 38 months 9-125). Correlation between final good visual outcome defined as 0.5≤ best corrected visual acuity (BCVA) and prognostic factors (age, sex, type and duration of diabetes, metabolic status, BCVA, diabetic retinopathy status, data of preoperative management, data of vitrectomy, postoperative complications) were analyzed. Results: BCVA improved significantly in the entire study cohort (from median 0.05 min-max 0.001-1 to 0.32 0.001-1, p <0.000). Visual stabilization was achieved in the majority of patients, and relatively good visual acuity (0.5≤BCVA) was maintained in more than one third of eyes. Multivariable GEE statistics showed that in addition to duration of diabetes and stable HbA1c values, only preoperative tractional macular detachment proved to be an independent significant predictor of visual outcome. Conclusions: Pars plana vitrectomy is a useful tool when performed early before tractional macular detachment. However, long-term visual stability can only be achieved with good metabolic control.

Since the 1960s, forest planners have used linear programming models to develop management plans for large, forested areas. Hundreds of academic papers have presented such models, incorporating multiple objectives, a growing diversity of management interventions, and uncertainty, among other things. Three basic ways to formulate these models have been used: Model I, III, and III. We define these models based on the sequence of management unit states represented by the variables. In Model I, variables represent a sequence of states from the beginning of the planning horizon to the end. In Model II, variables represent a sequence of states from one intervention to the next. Finally, in Model III, variables represent a single arc in a management unit’s decision tree, including only a beginning and an ending state. We formulate each type of model for a case study with three increasingly complex scenarios incorporating additional ecosystem services. Our results indicate that, despite requiring more variables and constraints, Model III requires the least time to formulate, largely because it has the least dense parameter matrix. Model II has the shortest solution times, with Model III close behind. Model I requires both the longest formulation and solution times.

Phelipanche ramosa is a root parasitic plant fully dependent on host plants for nutrition and development. Once germinated, the parasitic seedling develops inside of the infected roots a specific organ, the haustorium, thanks to notably cell wall degrading enzymes of haustorial intrusive cells and induced modifications in host’s cell walls. The model plant Arabidopsis thaliana is susceptible to P. ramosa, thus mutants in cell wall metabolism, notably in pectin remodeling like Atpme3-1, are of interest in studying the involvement of cell wall degrading host’s enzymes in establishment of the plant-plant interaction. Host-parasite co-cultures in mini-rhizotrons systems revealed that parasite attachments are twice more numerous and tubercle growth is quicker on Atpme3-1 roots than on WT roots. When compared to the WT, increase in susceptibility in the mutant is associated to reduction in PME activity in roots and to lowering in the degree of pectin methylation at the host-parasite interface, as detected immunohistochemically in infected roots. In addition, both WT and Atpme3-1 responded to infestation by modulations in expression of PAE and PME encoding genes and in global related enzymes activities in roots, before and after parasite attachment. However, modulations differ in WT and Atpme3-1 and this may contribute to different pectin remodeling in roots and contrasted susceptibility to P. ramosa. By this integrative study, we could define a model of the cell wall response to this particular biotic stress and indicate for the first time the role of PME3 in this parasitic plant-plant interaction.

In recent years, transformer-based models have gained prominence in multivariate long-term time series forecasting (LTSF), demonstrating significant advancements despite facing challenges such as high computational demands, difficulty in capturing temporal dynamics, and managing long-term dependencies. The emergence of LTSF-Linear, with its straightforward linear architecture, has notably outperformed transformer-based counterparts, prompting a reevaluation of the transformer's utility in time series forecasting. In response, this paper presents an adaptation of a recent architecture termed extended LSTM (xLSTM) for LTSF. xLSTM incorporates exponential gating and a revised memory structure with higher capacity that has good potential for LTSF. Our adopted architecture for LTSF termed as xLSTMTime surpasses current approaches. We compare xLSTMTime's performance against various state-of-the-art models across multiple real-world datasets, demonstrating superior forecasting capabilities. Our findings suggest that refined recurrent architectures can offer competitive alternatives to transformer-based models in LTSF tasks, potentially redefining the landscape of time series forecasting.

Diabetes mellitus, a chronic and non-transmissible disease, triggers a wide range of micro- and macrovascular complications. The differentiation of pancreatic β-like cells (PβLCs) from induced pluripotent stem cells (iPSCs) offers a promising avenue for regenerative medicine aimed at treating diabetes. Current differentiation protocols strive to emulate pancreatic embryonic development by utilizing cytokines and small molecules at specific doses to activate and inhibit distinct molecular signaling pathways, directing the differentiation of iPSCs into pancreatic β cells. Despite significant progress and improved protocols, the full spectrum of molecular signaling pathways governing pancreatic development and the physiological characteristics of the differentiated cells are not yet fully understood. Here, we report a specific combination of cofactors and small molecules that successfully differentiate iPSCs into PβLCs. Our protocol has shown to be effective, with the resulting cells exhibiting key functional properties of pancreatic β cells, including the expression of crucial molecular markers (pdx1, nkx6.1, ngn3) and the capability to secrete insulin in response to glucose. Furthermore, the addition of vitamin C and retinoic acid in the final stages of differentiation led to the overexpression of specific β cell genes.

Every individual at some point encounters the progressive biological process of aging which is considered one of the major risk factors for common diseases. The main drivers of aging are oxi-dative stress, senescence, and Reactive oxygen species (ROS). The renin-angiotensin-aldosterone system (RAAS) includes several systematic processes for the regulation of blood pressure which is caused by an imbalance of electrolytes. During activation of RAAS, binding of angiotensin II (ANG II) to angiotensin II type I receptor (AGTR1) activates intracellular NADPH oxidase to generate superoxide anions and promote uncoupling of endothelial NO synthase, which in turn decreases NO availability and increases ROS production. Promoting oxidative stress and DNA damage mediated by ANG II is tightly regulated. Individuals with sodium deficiency-associated diseases such as Gitelman syndrome (GS) and Bartter syndrome (BS) show down-regulation of inflammation-related processes and have reduced oxidative stress and ROS. Additionally, the histone deacetylase-Sirtuin-1(SIRT1) has a significant impact on the aging process with reduced activity with age. However, GS/BS patients generally sustain higher levels of SIRT1 activity than aged-matched healthy individuals. In this review, we highlight the importance of the hallmarks of aging, inflammation, and the RAAS system in GS/BS patients and how this might impact healthy aging. We further propose fu-ture research directions for studying the etiology of GS/BS at the molecular level using pa-tient-derived renal stem cells and induced pluripotent stem cells.

The study evaluated the functional and sensory properties of infant complementary foods formulated from millets, orange-flesh sweet potatoes, carrots, periwinkle and oyster. Experimental/cross-sectional design was used. Millet, orange-flesh sweet potato (OFSP), carrots, periwinkle and oyster were purchased, processed into flour using standard methods. The complementary food was formulated on protein basis for infants 6–12 months. The formulated foods were millet/OFSP flours (70:30), millet/OFSP/carrot/periwinkle (49:29:7:15), and millet/OFSP/carrot/oyster (65:20:5:10). Functional properties were carried out using standard methods. Sixty nursing mothers attending Orogbum Health Centre were systematically sampled for the sensory evaluation. ANOVA was used for the study. The result showed packed density (0.77 g/mL) was significantly higher (p < 0.05) in food formulated from millets/OFSP than in millet/OFSP/carrot/oyster (0.68 g/mL). Loosed density was lowest (0.40 g/mL) in millet/OFSP/carrot/oyster. Carr index from ranged from 42.23 in millet/OFSP/carrot/oyster to 44.41 in millet/OFSP. Wettability was highest (45.03) in millet/OFSP/carrot/periwinkle compared to wettability value (26.53) for millet/OFSP. Solubility ranged from 18.36 to 46.62, with the highest (46.62) in millet/OFSP/carrot/periwinkle. The peak viscosity of the infant complementary food samples ranged from 64.53 rapid visco analyzer units (RVU) to 89.33 RVU. The infant complementary food formulated from millet/OFSP had significantly higher (p < 0.05) acceptability score (6.35).

Orthodontic appliances may cause discomfort for patients. It could influence person‘s psychological well–being. The aim was to examine psychological health of patients wearing orthodontic appliances. It is important to analyze well-being of patients during orthodontic treatment because it is started in a young age and it may affect one’s psychological health. Therefore, for doctors and patients it is important to understand and take every aspect of the treatment into consideration when deciding when to start the treatment and what appliance to choose. 339 patients answered anonymous questionnaire. They were divided into four groups according to their age and type of appliance. Main reasons to seek treatment were crooked teeth and bad bite. Statistically signifi-cant difference was between women and men as women seeked treatment because of crooked teeth, meanwhile men indicated bad bite as main reason. 48.7% of subjects noted that they were feeling good during treatment, however, 4% of all patients noted that they were feeling bad. 45% of subjects stated that they felt unhappy at least sometimes. 43% of subjects felt stress. Even though patients indicated various negative aspects on their well-being during treatment, for the majority of the subjects end results significantly increased their psychological well-being.

The landscape of tourism is undergoing rapid transformation in response to societal shifts, economic fluctuations, and advancements in the tourism sector, particularly in the post-pandemic. Tourists are increasingly inclined towards outdoor activities and natural landscapes, prioritizing experiences that emphasize health and safety. Conversely, cultural tourism emphasizes local heritage and immersive encounters to accommodate evolving preferences. Cultural tour guides play a pivotal role in shaping tourists' perceptions and intentions to revisit. Empirical research conducted among Chinese tourists visiting Nanjing Museum explores this paradigm shift. A questionnaire was distributed to 402 respondents to examine the principal factors influencing intentions to revisit. Factor and regression analyses illustrate the significance of cultural tour guides' competencies, revealing a positive correlation with intentions to revisit. It is noteworthy that tourist empathy moderates this relationship, wherein higher levels of empathy magnify the impact of tour guides' competencies on intentions to revisit. Robustness checks further validate these findings, affirming the nuanced interaction between service competencies, tourist empathy, and intentions to revisit. The study underscores the substantial influence of cultural tour guides on shaping tourist experiences and fostering repeat visits. This is contingent upon both the quality of service provided and the degree of empathy exhibited towards tourists.

Follicular helper CD4+ T cells (TFH) are a major cellular pool for the maintenance of HIV reservoir. Therefore, the delineation of the follicular (F)/germinal center (GC) immune landscape will significantly advance our understanding of HIV pathogenesis. We have applied multiplex confocal imaging, in combination with relevant computational tools, to investigate, F/GC in situ immune dynamics in viremic (vir-HIV), antiretroviral treated (cART HIV) People Living With HIV (PLWH) and compare them to reactive, non-infected controls. Lymph nodes (LNs) from viremic and cART PLWH could be further grouped based on their TFH cell densities in high-TFH and low-TFH subgroups. These subgroups were also characterized by different in situ distribution of PD1hi TFH cells. The significantly accumulated follicular, compared to extrafollicular, FOXP3hi CD4+ T cells found in the low-TFH cART-HIV group were characterized by a less scattered in situ distribution and strongly correlated with the cell density of CD8+ T cells in this group. An inverse correlation between plasma viral load and LN GrzBhiCD8+ T and CD16hiCD15lo cells was found. Our data reveal the complex GC immune landscaping in HIV infection and suggest that follicular FOXP3hi CD4+ T cells could be negative regulators of TFH cell prevalence in cART-HIV.

The present paper deals with research on maintenance strategy and maintenance process improvement procedures to increase the efficiency and quality of the production system. It includes the design of maintenance performance indicators relevant to today's manufacturing systems to track improvements in the sustainable development of the manufacturing system. There are also the basic principles of maintenance strategy with linkages to the manufacturing system and selecting the strategy for the organization. The paper emphasizes maintenance management auditing and quality implementation in maintenance. Further, there is the process of changing the maintenance strategy described. This process includes reassessing the criticality of machines and equipment and their design units, then resource and capacity planning and input for maintenance management. It describes the impact of changing the maintenance management organization and maintenance capacity considering the change of strategy and the evaluation of maintenance choice alternatives, together with an analysis of the optimization procedure, which has an impact on social implication. The paper concludes by presenting the achieved impacts of maintenance strategy are: (1) increase in production efficiency (10%), (2) quality improvement in production (20%), (3) performance improvement (30%), (4) reduction of maintenance process costs (35%).

The sustainable development of the country, particularly in hilly regions, encounters formidable challenges attributed to the gradual degradation of environmental conditions in these areas. Over time, disputes have arisen concerning forests, water sources, and other natural assets. The present analysis focuses on the environmental conflicts surrounding the Chamera Stage-I hydroelectric project in the Chamba region of Himachal Pradesh. This analysis is based on perception surveys conducted within local communities and field studies examining ecological and environmental parameters. These parameters include the loss of green cover, decline in biodiversity, depletion of natural resources, disruption of access to common property, disturbances in the ecological cycle, alterations in microclimate, changes in land use patterns, and the loss of ethnobotanical and wild edible fruit plants. Local communities overwhelmingly assert that these conflicts have arisen due to the construction of the dam. They firmly hold the view that higher authorities disregard the environmental and ecological impact as a crucial consideration in any project. Consequently, as communities grapple with survival challenges, conflicts with authorities emerge over environmental issues. The analysis also highlights measures to mitigate these adverse impacts and proposes an enhanced collaborative approach in handling such projects to address conflicts more effectively.

This study explores advanced feature engineering and semantic enrichment methods to enhance text classification, focusing on detecting figurative language in tweets. The novel features introduced, Syno\_Lower\_Mean and Syn\_Mean, measure the use of uncommon synonyms and the mean frequency of synonyms, capturing semantic richness crucial for detecting figurative expressions. Using resources like SenticNet and Framester, we enrich our feature set with sentiment and frame semantic information. Our approach includes extensive data preprocessing, sophisticated feature selection, and implementing various classification models, such as SVM, KNN, Logistic Regression, Decision Trees, Random Forest, BERT, and LSTM networks. We rigorously evaluate each model's performance to assess the effectiveness of our features and enrichment methods. Putting emphasis on model explainability, we use decision tree analysis, feature importance analysis, and the TREPAN algorithm to approximate SVM decisions. Although we focus on figurative language detection, our methods have broader implications for various NLP text classification tasks. Our findings demonstrate significant improvements in classification accuracy and interpretability through innovative feature design and dataset enrichment.

In recent years, research on adversarial attack techniques for remote sensing object detection (RSOD) has made great progress. Still, most of the research nowadays is on end-to-end attacks, which mainly design adversarial perturbations based on the prediction information of the object detectors (ODs) to achieve the attack. These methods do not discover the common vulnerabilities of the ODs and thus the transferability is weak. Based on this, this paper proposes a foreground feature approximation (FFA) method to generate adversarial examples (AEs) that discover the common vulnerabilities of the ODs by changing the feature information carried by the image itself to implement the attack. Specifically, firstly, the high-quality predictions are filtered as attacked objects using the detector, after which a hybrid image without any target is made, and the hybrid foreground is created based on the attacked targets. The images' shallow features are extracted using the backbone network, and the features of the input foreground are approximated towards the hybrid foreground to implement the attack. In contrast, the model predictions are used to assist in realizing the attack. In addition, we have found the effectiveness of FFA for targeted attacks, and replacing the hybrid foreground with the targeted foreground can realize targeted attacks. Extensive experiments with seven rotating ODs on the RSOD datasets DOTA and UCAS-AOD show that FFA achieves both targetless and targeted attacks with a high success rate and transferability.

To address the response of small RNAs (sRNAs) biogenesis to drought stress, we identified sRNAs biogenesis genes, including 11 encoding argonauts (AGO), 8 encoding dicer-like proteins (DCL), and 9 encoding RNA-dependent RNA polymerases (RDR) in the peach genome. Notably, the largest numbers of sRNAs biogenesis genes are located to chromosome 1. The PAZ, PIWI, and MID domains were identified in PpAGOs, while the ribonuclease IIIa and IIIb domains were characterized in PpDCLs. The RDRP domain was recognized in PpRDRs. Orthologous similarity and collinearity analyses between Arabidopsis and peach revealed 5, 1, and 2 collinear blocks in AGOs, DCLs, and RDRs, respectively. Moreover, 41, 40, and 42 cis-acting elements were located in the promoters of PpAGOs, PpDCLs, and PpRDRs, respectively, with the majority related to drought stress response. Analysis of RNA sequencing (RNA-seq) data revealed that sRNAs biogenesis genes were involved in drought stress response in different tissues. Furthermore, the expression of candidate genes was verified in two peach cultivars, Beijing 2-7 (BJ2-7) and Sinai (SN), which are drought tolerance and sensitive, respectively. Interestingly, the expression of PpAGO2b, PpDCL2b, PpDCL4, and PpRDR4 genes was induced in ‘BJ2-7’ but inhibited in ‘SN’ under drought stress. Overall, this study provides insight into the roles of sRNA biogenesis genes in response to drought stress in peach.

Background: Accidental caustic burns of the esophagus in children represent a significant global health challenge, often necessitating esophageal reconstruction. The aim of this study is to compare the efficacy and morbidity related to esophagus replacement with colonic and gastric tube transplants in a pediatric population followed for caustic stenosis. Method: This retrospective study was conducted at a tertiary pediatric surgery unit for children treated from January 1989 to December 2022. We compared colonic and gastric tube esophageal replacement. Short-term (within 30 days) and mid-term outcomes and complications were reviewed. Statistical evaluation was considered using a Chi-square test for categorical data analysis. Results: A total of 124 children with caustic esophageal burns were included. Among them, 23 (18.5%) had a gastric tube transplant for esophagus replacement and 101 (81.5%) a colonic transplant. During surgical intervention, we found a significantly higher risk of complications when using a colonic transplant (34%, p < 0.001). There was no significant statistical difference in postoperative short-term and mid-term complications between the two techniques. Twenty-six (26%) of the children required a reoperation, with a higher risk in the gastric tube transplant group (p < 0.001). Endoscopic dilatation after surgery was also performed on a higher number of children who had received a gastric tube transplant (p = 0.005). Overall, 97.6% recovered full normal oral feeding. Conclusions: We found that colonic and gastric tube replacement are both good options for pediatric esophageal replacement after a caustic injury and show effectiveness over time. Gastric tube transplants carried a slightly higher risk of reoperations and a higher number of dilatations post-surgery. However, our groups are not really comparable due to the much higher number of colonic transplants. Both surgical options have to be considered during surgery and the choice depends on the anatomy of the patient. Our future research will focus on assessing long-term quality of life and potential risk of neoplastic complications.

Purpose: Inflammation and neutrophils play a central role in both Covid-19 disease and cancer. We aimed to assess the impact of pre-existing tumor-related inflammation on Covid-19 outcomes in patients with cancer and to elucidate the role of circulating neutrophil subpopulations. Methods: We conducted a multicenter retrospective analysis of 524 patients with cancer and SARS-CoV-2 infection, assessing the relationship between clinical outcomes and circulating inflammatory biomarkers collected before and during Covid-19 infection. Additionally, a unicenter prospective cohort provided data for an exploratory analysis, assessing the immunophenotype of circulating neutrophils and inflammatory cytokines. The primary endpoints were 30-day mortality and severity of Covid-19 disease. Results: Prior to Covid-19, 25% of patients with cancer exhibited elevated dNLR, which increase to 55% at the time of Covid-19 diagnosis. We developed the FLARE score, incorporating both tumor and infection-induced inflammation, which categorized patients into four prognostic groups. The poor prognostic group had a 30-day mortality rate of 68%, significantly higher than the 23% in the favorable group (p

This study investigates the trends and patterns of robotic-assisted total knee arthroplasty (RA-TKA) from 2016 to 2019. Using data from the Nationwide Inpatient Sample (NIS), we analyzed demographics, prevalence of comorbidities, total cost, and length of stay (LOS) for 88,415 RA-TKA cases identified during this period. Our analysis revealed a significant increase in RA-TKA procedures, from 5,330 in 2016 to 39,495 in 2019. Patients undergoing RA-TKA were slightly younger, with an average age of 66.2 years. The average hospital stay was 1.89 days, and total charges averaged $65,891. We also examined various comorbidities and demographic factors, including race, median household income, and hospital teaching status. The results show that RA-TKA usage in the US has grown substantially, with specific demographic and clinical patterns. Further studies on the long-term outcomes of RA-TKA are needed to fully understand the benefits of this technology.

Pancreatic ductal adenocarcinoma (PDAC) represents an extremely aggressive type of cancer due in part to early invasion and metastasis, which in turn involves epithelial-mesenchymal transition (EMT) of the tumor cells. Prompted by the discovery that two PDAC-derived tumor cell lines of the quasi-mesenchymal subtype (PANC-1, MIA PaCa-2) exhibit neuroendocrine differentiation (NED), we asked whether NED is associated with EMT. Using quantitative real-time PCR and immunoblot analysis, we initially verified endogenous expression of various NED markers, i.e., chromogranin A (CHGA), synaptophysin (SYP), somatostatin receptor 2 (SSTR2) and SSTR5 in PANC-1 and MIA PaCa-2 cells. In HPDE6c7 normal pancreatic duct epithelial cells and in BxPC-3, another PDAC cell line with an epithelial phenotype, the expression of CHGA, SYP and neuron-specific enolase 2 (NSE) was either undetectable or much lower than in PANC-1 and MIA PaCa-2 cells. Parental cultures of PANC-1 cells exhibit EM plasticity (EMP) and harbor clonal subpopulations with different EMT phenotypes [Ungefroren et al 2022]. Monitoring the NED state of mesenchymal and epithelial PANC-1 subclones showed that the NE phenotype is more pronounced in M-type clones when compared to E-type ones. Inducing EMT in parental cultures of PANC-1 cells by treatment with transforming growth factor (TGF)-β1 repressed epithelial genes and co-induced mesenchymal and NED genes, except for SSTR5. Surprisingly, treatment with bone morphogenetic protein (BMP)-7 differentially affected gene expression in PANC-1 and MIA PaCa-2 cells. It synergised with TGF-β1 in the induction of vimentin, SNAIL, SSTR2 and NSE but antagonised it in the regulation of CHGA and SSTR5. From these data, we conclude that in EMT of PDAC cells mesenchymal and NED markers are co-regulated, and that mesenchymal-epithelial transition (MET) is associated with a loss of both the mesenchymal and NED phenotypes. Analysing NED in another tumor type, small cell carcinoma of the ovary hypercalcemic type (SCCOHT), revealed that two model cell lines of this disease (SCCOHT-1, BIN-67) do express CDH1, SNAI1, VIM, CHGA, SYP, ENO2 and SSTR2, but that in contrast to BMP-7 none of these genes was transcriptionally regulated by TGF-β1. We conclude that in PDAC-derived tumor cells, NED is closely linked to EMT and TGF-β signaling, which may have implications for the therapeutic use of TGF-β inhibitors in PDAC management.

The ability to decode words accurately at an early age strongly predicts reading competence later on. Decoding-challenged children may find it difficult to understand texts, which might impede their overall academic development. Strong word decoding skills accelerate the process of learning vocabulary and grammar rules in a variety of languages. The paper aimed to collect relevant literature regarding word decoding ability in the world of the language acquisition process. Policymakers and educators will be greatly impacted by realizing how crucial word decoding is to language learning. Providing targeted interventions for struggling readers, encouraging a positive reading culture, and explicitly teaching phonological and orthographic abilities are all essential components of effective reading education. Promoting decoding proficiency also requires making sure that people have access to excellent reading materials and tools. In order to enable learners to become great readers and communicators across linguistic and cultural boundaries, educators and policymakers should prioritize phonemic awareness from an early age and use effective teaching methodologies.

The problems of modeling the human bladder and its stress-strain state under external static influence were considered. A method for identification of the anisotropic biomechanical characteristics of bladder tissue was proposed. A FEM model was created, which accepts into regard that the bladder is surrounded by fiber and affected by surrounding organs, and partially protected by pelvic bones. The model considered the presence of constant hydrostatic pressure on the walls of the bladder when it is full. It has been shown that isotropic mechanical characteristics of biological tissue can be used for studying the deformed state of a filled bladder if the filled bladder 300 ml is considered as initial non-deformed stage. This was shown by modeling and verification the effect of the external static force on the bladder. Numerical experiments were conducted based on the constructed model. To validate the results obtained, a series of natural experiments on the effect of external pressure on the bladder under ultrasound control was conducted. In the future, it is planned to use the constructed model to study rupture deformations of the bladder under the influence of static and dynamic loads.

A mass mortality event of Asian seabass Lates calcarifer juveniles occurred in Zhuhai, the main Asian seabass cultured area in mainland China. The fish samples were pooled for pathogen identification and both high viral loads of ISKNV and NNV were detected by real-time microfluidic quantitative PCR. Immunohistochemistry and immunofluorescence showed that strong ISKNV signals were examined in spleen and liver, while strong NNV signals were detected in brain and eye. The multi-tissue homogenates were inoculated into MFF-1 cell and SSN-1 cell, respectively. After several viral passages, both ISKNV and NNV were purely isolated from each other, and designated as ASB-ISKNV-23 and ASB-NNV-23, respectively. The whole genome sequences of ASB-ISKNV-23 and ASB-NNV-23 were determined and annotated. The result showed that ASB-ISKNV-23 and ASB-NNV-23 are composed of 112,236 bp and 4,538 bp, respectively. Phylogeny analysis showed that ASB-ISKNV-23 belongs to ISKNV-II sub-genotype and ASB-NNV-23 belongs to RGNNV genotype. Collectedly, coinfection of ISKNV-II and RGNNV were firstly documented in mass mortality of Asian seabass in mainland China. Importantly, both ISKNV-II and RGNNV were purely isolated using two different permissive cell lines. Our study provides useful information for better understanding the complex pathogenesis regarding the coinfection with ISKNV and NNV in farmed fish.

Homeostasis and its interaction with gene expression in the development and maintenance of living systems is discussed in order to formulate a new method to diagnose and treat diseases on this causative level. This includes an inquiry into the unsolved homeostasis problems of: location (where in the cell are calculations performed?), communication (what language used?), identity (set of plans/hierarchy of set points?) and computational (mechanisms used to make necessary adjustments?). As these functions require the processing of vast amounts of information which is communicated at every level of organization including the mechanisms of epigenetics, different computer models are discussed, with examples for each; analog, digital and the possibility of quantum biological. Each one allows certain properties and cell functions to emerge. The difference between functional homeostasis and dysfunctional homeostasis is discussed with strategies to indirectly study them in terms of epigenetic signatures. Hormesis is discussed as a mechanism to reverse the epimutations, leading to a method of treatment to almost any chronic disease. These topics are discussed as being a whole interconnected system.

This research evaluates the mineral ions and their concentrations in formation water from five well samples of the Bibi Hakimeh oil field. The study reveals the presence of calcium (Ca2+), so-dium (Na+), and magnesium (Mg2+) cations, as well as sulfate (SO42-), bicarbonate (HCO3-), and chloride (Cl-) anions, which are soluble in water within the Bibi Hakimeh oil formation. Fur-thermore, mineral deposits of CaSO4, CaSO4.2H2O, CaCO3, and MgCO3 are investigated. The findings highlight the significant formation of calcium sulfate and calcium carbonate mineral deposits under the operating conditions of the Bibi Hakimeh oil well. Additionally, the study examines the interaction between rock and water of the Bibi Hakimeh formation, revealing a notable correlation between the concentration of calcium and magnesium ions and the water-rock reaction in this field

Springs play a significant role in maintaining hydrological balance in the mountain ecosystem. The communities living in the mountain tops rely entirely on spring water for their daily needs. In recent decades, spring water discharges have decreased drastically in the Himalayan regions and become seasonal. Remote sensing and geographical information system techniques have proved to be essential for understanding the sustainable development of groundwater, particularly where people rely solely on spring water in the mountainous regions of the Himalayas. This study employs the Analytical Hierarchy Process (AHP) to identify groundwater potential zones. It involves overlaying seven thematic layers concerning elements of physical features and land-use/land-cover of the region, using the weighted overlay toolbox in ArcGIS, with each layer being assigned a weight based on its importance. Based on the results, groundwater potential zones have been classified into five categories: poor, fair, good, very good, and excellent. The study found that poor groundwater potential zones cover 1.1% of the area, fair zones cover 27.8%, good zones cover 23.3%, very good zones cover 26.6%, and excellent zones cover 21.2% of the total area. The excellent to very good potential zones are associated with perennial springs that have higher discharge (4.30-30.92 l/m), lineaments, rainfall, forested land, and porous soils, favoring the potentiality of the springs. The fair and poor groundwater potential zones are associated with seasonal flowing springs, consisting of barren land, less rainfall, and low fracture density, which influence the potentiality of groundwater. The validation of the groundwater potential zones indicated an Area Under Curve (AUC) value of 0.88, which shows good agreement with observed spring water locations. The identified groundwater potential zones are valuable for prioritizing the area for the sustainable development of spring water. Particularly, it is helpful for policymakers and government bodies to be involved in developing strategies for sustainable water management at the micro-watershed level and safeguarding spring water resources using integrated watershed management in the headwater region of the Himalayas.

With a growing number of PCMs and new, suitable PCM candidates, an overview is not only important, but also increasingly complex. Classification of PCM was thus changed significantly in the past decades. A review of classification of PCMs from recent years shows that not only different classification criteria are used, but more important that they are often mixed, used inconsistently, even without a clear goal. Focusing on the main goal of current classification schemes, to give an overview of the material options for the search for new, suitable PCM candidates, including already established PCMs, a consistent classification is developed in a desktop study. For this, first, the general options for classification criteria are reviewed, and then the appropriate ones selected. Then, based on them a new, revised PCM classification is suggested. It is specifically detailed with regard to mixtures; for binary mixtures it is based on a literature review performed within the study. The result also stresses the importance of specific R&D: for pure substances the sources and the chemical modification, and for mixtures their optimization by new compositions, additives, etc.

This study was conducted to investigate heavy metal contamination and potential health risk of ground water of selected municipal solid waste (MSW) disposal sites of Khyber Pakhtunkhwa (KP) Pakistan. For this purpose a total of 30 composite samples of both surface and ground water were collected from dumpsites of Abbottabad, Bannu and Peshawar. The collected samples were analyzed for physico-chemical parameters and heavy metals by following standard methods. Results indicated that pH values were found within the acceptable limits specified by national environmental quality standards (NEQS) and world health organization (WHO). Mean concentrations of heavy metals were within NEQS and WHO limits, except for Ni which exceeded the NEQS and WHO limit of 0.02 mg/L in all samples, Similarly, Mn exceeded the limit set by NEQS and WHO (0.5 mg/L) in the ground water samples collected from Bannu dumpsite. The multivariate analysis indicated that the heavy metal contamination of the groundwater of the selected dumpsites was anthropogenic. The pollution index (PI) values (PI≥100) of Mn and Ni indicated very high pollution at individual levels while collectively based on heavy metals pollution index (HPI) values (HPI ≥ 200) the ground water of all the selected dumpsites were found highly polluted. Whereas, the hazard index (HI) values (HI ≥ 5) suggested adverse health effects. It was concluded that the ground water of all the dumpsites was highly polluted with heavy metals particularly Ni and Mn thus, posing a high health risk.

Software-Defined Networking (SDN) has revolutionized network management by providing unprecedented flexibility, control, and efficiency. However, its centralized architecture introduces critical security vulnerabilities. This paper presents an innovative approach to securing SDN environments using IOTA 2.0 smart contracts. The proposed system leverages the IOTA Tangle, a directed acyclic graph (DAG) structure, to enhance scalability and efficiency while eliminating transaction fees and reducing energy consumption. We introduce three smart contracts—Authority, Access Control, and DoS Detector—to ensure secure network operations, prevent unauthorized access, and mitigate denial-of-service attacks. Through comprehensive simulations using Mininet and the ShimmerEVM IOTA Test Network, we demonstrate the efficacy of our approach in enhancing SDN security. Our findings highlight the potential of IOTA 2.0 smart contracts to provide a robust, decentralized solution for securing SDN environments, paving the way for further integration of blockchain technologies in network management.

Although long-term survival in Rett syndrome (RTT) has been observed, limited information on older people with RTT exists. We hypothesized that increased longevity in RTT would be associated with genetic variants in MECP2 associated with milder severity, and that clinical features would not be static in older individuals. To address these hypotheses, we compared the distribution of MECP2 variants and clinical severity between younger individuals with Classic RTT (under 30 years old) and older individuals (over 30 years old). Contrary to expectation, enrichment of a severe MECP2 variant (R106W) was observed in the older cohort. Overall severity was not different between the cohorts, but specific clinical features varied between the cohorts. Overall severity from first to last visit increased in the younger cohort but not in the older cohort. While some specific clinical features in the older cohort were stable from the first to the last visit, others showed improvement or worsening. These data do not support the hypothesis that mild MECP2 variants or less overall severity leads to increased longevity in RTT but demonstrate that clinical features change with increasing age in adults with RTT. Additional work is needed to understand disease progression in adults with RTT.

This qualitative study explores the pivotal roles of trust and communication in supplier relationship management (SRM) within the e-commerce sector. Drawing on interviews and thematic analysis, the study examines how trust, comprising dimensions of competence, benevolence, integrity, and reliability, underpins collaborative partnerships and operational resilience between e-commerce platforms and suppliers. Effective communication strategies, including proactive engagement, transparent feedback mechanisms, and real-time updates via digital platforms, are identified as critical enablers for enhancing information exchange and fostering mutual understanding in SRM. Challenges such as cultural differences, technological complexities, and regulatory compliance requirements are also discussed, highlighting the need for strategic management and investment to mitigate risks and maintain trust in supplier engagements. Relational competencies such as empathy, active listening, conflict resolution, and trust-building skills are recognized as essential for navigating interpersonal dynamics and fostering collaborative relationships in e-commerce SRM. Strategically, integrating these findings into comprehensive SRM frameworks is emphasized to cultivate a positive organizational culture characterized by openness, ethical integrity, collaboration, and adaptability. This approach aims to enhance supplier relationships, drive innovation, and achieve sustainable growth in a competitive marketplace.

Species distribution models (SDMs) are usually used to predict current species’ geographic distributions and to forecast the impact of climate change, with different aims, such as conservation, and biodiversity management. SDMs use has been increasing in the last decades, however, they are vulnerable to parametrization and data quality input. Thus, inappropriate input can lead to potential unreliability in results. In this context, the most used data and methodologies in SDM, and putative deviations from the consensual best practices, were identified, by analysing recent literature (2018 to 2022). Results show that the parameters presented more consistently are the chosen algorithm (MaxEnt was used in 98% of the studies), the accuracy measures, and the time windows. Many papers fail to specify other parameters, limiting the reproducibility of the studies. Some papers also fail to provide information about the target species: only a fraction of the species' range is considered, or no justification for including specific variables in the model is provided. These options can decrease reliability in predictions under future scenarios since data provided to the model is inaccurate from the start or there is insufficient information for outputs discussion.

With the increasing incidents of fatal road injuries, there is an urgent need for developing effective road safety management systems. The study aims to develop predictive models based on machine learning to forecast the likelihood of road collisions depending on factors like weather, road condition, time, and driver behaviour in Chicago, USA. A machine learning approach has been applied to the crash dataset to evaluate the factors affecting the prevalence of road accidents. Python programming and the Jupyter Notebook platform have been used for performing descriptive statistics, correlation and three classification algorithms (Random Forest, K-Nearest Neighbor (KNN), Decision Tree and MLP Classification). Obtained accuracy of the KNN classifier is slightly higher than the other two classification models. The research explored insights into collision patterns related to roads, locations, and intersections. The study helps to increase road safety through targeted interventions with resource prioritisation, reducing the frequency and severity of traffic incidents by leveraging historical accident data with diverse spatial analysis techniques.

Malware detection is a crucial pillar of cybersecurity and aims to identify and neutralize malware threats. This study investigates how three deep learning algorithms - Convolutional Neural Net-works with One-Dimensional Architecture (CNN1D), Neural Networks (NN), and a hybrid model of one dimensional convolutional neural networks (CNN1D) and Long Short-Term Memory (LSTM) - help detect malware in Portable Executable working (.exe) files. Using a large dataset of tagged malware and benign samples, the effectiveness of these algorithms in distinguishing dangerous from harmless executables is extensively tested. In addition, the study evaluates the computational efficiency of the proposed methods for a variety of hardware configurations, including Central Processing Units (CPU), Graphics Processing Units (GPU), Raspberry Pi (IoT device), and Tensor Processing Units (TPU). Performance metrics provide insight into the scalability and effectiveness of the model across different hardware configurations. The results of this study have significant impact on the development of malware detection, particularly in the context of IoT security. By demonstrating the capabilities and limitations of CNN1D, Neural Networks, and CNN1D with LSTM models, the study provides practitioners with efficient and scalable solutions to real-world malware detection difficulties. In addition, insights from performance tests on various hardware platforms provide important assistance in developing robust security measures in IoT contexts, strengthening cybersecurity defenses in an ever-changing digital landscape.

One of the most important agrotechnical factors that influence the growth conditions of crops is plant density. Alterations in habitat conditions result in the emergence of phytophagous organisms, whose development is closely associated with host plants. The objective of this study was to assess the abundance and species composition of thrips (Thysanoptera) collected in soybean plants of different varieties cultivated under different plant arrangements (row spacing, number of seeds sown differed). The research was conducted at two locations in southwestern Poland between 2015 and 2018. The herbivores that inhabit plants were caught using an entomological net. The experiments were carried out using the complete randomised block design, with four replications. Regardless of location and treatment, thrips were the most numerous group of pests. Thrips tabaci and T. fuscipes were the dominant species within the collected material. A total of 24 species of thrips were identified and their dietary specialisation was determined. The assemblages of studied insects were also analysed due to the density of the plants and the stage of development. The increase in the sowing density of soybean (90 seeds per m2) resulted in a greater total number of thrips compared to a lower sowing density (50 seeds per m2). The number of thrips significantly increased during the flowering period and shortly after the flowering time, which made them a significant threat to the plants. Therefore, it is crucial to develop innovative pest management strategies tailored to effectively grow soybean to mitigate potential pest-related challenges.

This qualitative research explores the impact of Supplier Relationship Management (SRM) on e-commerce brand reputation, focusing on the strategic imperatives, operational challenges, and economic implications within digital supply chains. Trust emerges as a foundational element in effective SRM practices, facilitating consistent product quality, timely delivery, and consumer trust, thereby enhancing brand credibility and loyalty. Strategic alignment of SRM with organizational goals enables e-commerce brands to leverage supplier capabilities for mutual growth and innovation. Operational challenges such as technological constraints and logistical complexities underscore the importance of digital integration and proactive risk management strategies to optimize SRM effectiveness. Digital technologies, including AI and blockchain, play a transformative role in enhancing transparency, efficiency, and resilience in SRM strategies, enabling e-commerce firms to mitigate risks and capitalize on market opportunities. Emotional intelligence (EI) competencies among supply chain professionals facilitate effective communication, conflict resolution, and sustainable supplier relationships that bolster brand reputation resilience. Economically, effective SRM practices yield cost efficiencies, improved financial performance, and resilience against supply chain disruptions, supporting sustainable growth in competitive digital markets. This study contributes valuable insights for practitioners and scholars aiming to enhance SRM strategies, optimize supplier relationships, and strengthen brand reputation management in e-commerce. By prioritizing trust, strategic alignment, digital innovation, EI competencies, and proactive risk management, e-commerce brands can navigate complexities, capitalize on opportunities, and foster positive brand reputations in the evolving landscape of digital commerce.

Like many coastal lagoons in several countries, “Navío Quebrado” lagoon (La Guajira-Colombia) is a very delicate and precious environment; indeed, it is a nationally recognized Flora and Fauna Sanctuary. Several factors, amongst which climate change, are threatening its existence because of changes in the governing hydro-morphological processes. A first step to address this problem certainly is to understand its hydrological behavior and to be able to replicate via simulation its recent history and then infer likely futures. These potential futures will be marked by changes in the water input by its tributary, the Camarones River, and by a modified water exchange with the sea, according to a foreseen sea level rise pattern, as well as by a different evaporation from the free surface, according to temperature changes. In order achieve the required ability to simulate future scenarios, data on the actual behavior have to be gathered, i.e. a monitoring system has to be set up, which to date is not existent. Conceptually, designing a suitable monitoring system is not a complex issue and seems easy to implement. However, the environmental and socio-cultural and socio-economic context makes every little step a hard climb. An extremely simple –almost “primitive”- monitoring system has been set up in this case which is based on very basic measurements of current velocity and water levels and a direct participation of local stakeholders, first of all the National Park unit of the Sanctuary. All this may clash with the latest groovy advances of science, like in situ automatized sensors, remote sensing, machine learning and digital twins, and certainly several improvements are possible and desirable. But it has strong positive points: it is providing surprisingly reasonable data and…it is working at almost zero additional cost. Several technical difficulties made this exercise interesting in itself and worth being shared. Its novelty lies in showing how old, simple methods may offer a working solution to new challenges. This humble experience may be of help in several other similar situations across the world.

This qualitative research explores Supplier Relationship Management (SRM) within the context of subscription-based e-commerce models. Through in-depth interviews and thematic analysis, the study investigates key elements such as trust, collaboration, technology integration, sustainability, risk management, cultural alignment, innovation, cost management, globalization, supplier selection, and performance measurement. Findings reveal that trust is foundational in fostering reliable interactions and open communication between e-commerce businesses and suppliers. Collaboration emerges as crucial for innovation and operational efficiency, facilitating co-development and shared risk management. Technology integration, including AI and blockchain, enhances supply chain visibility and decision-making capabilities. Sustainability considerations drive businesses to engage with suppliers adhering to environmental standards, enhancing brand reputation and consumer loyalty. Effective risk management strategies mitigate disruptions and ensure supply chain resilience. Cultural alignment fosters harmonious partnerships and mutual understanding across diverse global markets. Innovation through supplier collaboration drives product development and market responsiveness. Cost management practices optimize operational efficiency and strategic supplier relationships. Globalization necessitates adaptive strategies to manage diverse cultural and regulatory landscapes. Strategic supplier selection and continuous performance measurement drive ongoing improvement and alignment with business objectives. This study contributes empirical insights and practical implications for enhancing SRM in subscription-based e-commerce, informing strategies to navigate challenges and leverage opportunities in a competitive marketplace.

Objectives: Describe the epidemiology of burns in the pediatric population. Analyze and compare the results obtained from the treatment of burn wounds by using the bio-preserved human epidermis allograft (BHEA) and other types of dressings and determine the need for further need of a skin graft. Methods: A retrospective cross-sectional study of pediatric population with burn injuries was conducted, grouped into categories based on their age group, and the mechanisms of injury into 6 categories: scald, flame, contact, electrical, chemical and friction. Describing the extension and depth of the burn injury. The results of treatment of two groups; the patients who used (BHEA) and the group with “other dressings” were analyzed by inferential statistics to establish the relationship between the use of BHEA and the need for skin grafts compared to the other group. Results: A total of 65 patients were obtained. The average age was 4.5 years (±3.8). Preschoolers (1-5 years old) were the most frequent age group 64% (n=42). Male patients represented 61% (n=40) of cases. Scald was the most reported mechanism 64% (n=42). The average total body surface area burned (TBSAB) was 10.8% (± 9.2). Mixed partial thickness burn (superficial and deep) was the most common with a 55%. The head was the most affected anatomical site; 30%. The face was the most reported “special anatomical site” with a 40% (n=30). 32.2 % of the population (n=21) was treated with BHEA. The average time of epithelialization of the BHEA group was 8 days (±7.2), and their average hospital stay time was 7 days (±5.7). In the “other dressing” group, the average epithelialization time was 18 days (±13.6), and the average hospital stay time was 11 days (±12.6). Fifty percent (n=22) of the “other dressing” group required skin grafts. In the BHEA group only 19% (n=4) required skin grafts. An OR of 0.23 and CI of 95% (0.06 – 0.81) with a p value of (0.017) for the need of skin grafts after de use of BHEA was obtained. Conclusion: The epidemiological results reported are similar to those described in the literature. The use of (BHEA) proved to be a good option for the management of partial thickness burns and burns in transition, promoting timely epithelilization and avoiding deepening of the burns while reducing morbidity, hospital stay and care costs.

Background and Aims: Obesity is a pervasive health issue in children. It affects multiple systems in the body including the gastrointestinal tract. Research on obesity-related gastrointestinal diseases has focused mostly on hepatobiliary disorders. However, non-hepatic gastrointestinal diseases such as gastroesophageal reflux, constipation, and functional abdominal pain, though common and debilitating, have not been highlighted in the context of obesity. These entities can downgrade the already compromised lifestyle of obese children. Some of these disorders are more difficult to treat in these children compared to their peers with normal body mass index. Method: We reviewed the available literature on the association between obesity and these three common gastrointestinal disorders. Results: - There appears to be a strong correlation between childhood obesity and constipation and gastroesophageal reflux, and a probable correlation with functional abdominal pain. Conclusion: We suggest that given the available literature, weight management should be an integral part of the management of gastroesophageal reflux, constipation, and functional abdominal pain in obese children. This gains relevance especially because of the recent availability of medications for the treatment of obesity in children.

Background Emerging and re-emerging infectious diseases that infect wildlife, such as African swine fever, avian influenza, and SARS-CoV-2, have highlighted the necessity for wildlife health surveillance (WHS) due to their direct and indirect impacts on wildlife species, ecosystems, domestic animals, and human health. While global policies and guidelines exist, a critical gap remains in local-to-national implementation of WHS systems. A group of local, national, and global actors in WHS have formed a working group to address this gap. Methods and Findings The working group reports on a theory of change (ToC) developed to implement WHS from local to global scales. Through brainstorming, plenary exercise, and building on peer-reviewed science and existing surveillance systems, we identified six transformative pathways to be implemented via collaborations across scales and contexts: mindset change, policy and investment, user-driven science, user-driven technologies, capacity enhancement, and mobilization of a global community of practice. Interpretation This ToC serves as a roadmap to develop effective WHS systems that support adaptive management and implementation. WHS is fundamental to understanding the impacts of health threats to biodiversity and human and domestic animal health. This ToC presents an approach to operationalize integration of wildlife health into collaborative One Health surveillance. Funding The Science for Nature and People Partnership

This qualitative study explores the dynamics of Supplier Relationship Management (SRM) and its impact on innovation within the e-commerce sector. Through in-depth interviews and documentary analysis of three case study firms known for their innovative practices, the study examines how collaborative SRM practices influence innovation outcomes, organizational resilience, and competitive advantage in dynamic market environments. Key themes include the pivotal role of trust, transparency, and joint problem-solving in fostering effective SRM relationships, enabling knowledge sharing and co-development of innovative products and services. Innovation outcomes observed encompass product innovation, process improvements, and technological advancements facilitated by close collaboration between e-commerce firms and their suppliers. Challenges such as managing supplier diversity, navigating regulatory complexities, and mitigating geopolitical risks highlight the complexities and strategic imperatives of SRM implementation in global supply chains. The study also emphasizes the transformative role of digital technologies, including real-time data exchange, predictive analytics, and agile supply chain management, in enhancing SRM effectiveness and innovation capabilities. Strategic alignment with organizational goals and market strategies further enhances the impact of SRM, enabling firms to prioritize innovation initiatives, allocate resources effectively, and sustain growth amidst economic uncertainties. The findings contribute to theoretical understanding and practical insights into SRM strategies that promote innovation excellence and competitive positioning within e-commerce. The implications for practice underscore the importance of fostering collaborative supplier relationships, investing in digital transformation, and adopting proactive strategies to manage risks and regulatory compliance.

This study aimed to compare the effects of a permanent ischemic stroke model (focal ischemia by thermocoagulation of pial vessels) on sensorimotor function (cylinder test and adhesive removal test), behavioral tasks (novelty habituation memory-open field task), and cerebral infarct size in adult male spontaneously hypertensive rats (SHR) and normotensive Wistar Kyoto (WKY) rats over 42 days after the occurrence of stroke. We observed that the stroke caused asymmetry in the front paws and delayed adhesive removal. These effects were spontaneously reduced in WKY rats, but not in SHR. Short- and long-term novelty habituation memories were abolished by stroke in WYK and SHR. On the 3rd day after stroke, the size of the focal cerebral infarct was the same in WKY and SHR. However, on the 7th day, the infarct size decreased in WKY rats, but not SHR. These results suggested that SAH impairment of sensorimotor recovery in rats subjected to cerebral ischemia could be related to augmented focal cerebral infarct size. Moreover, the behavioral tasks used in this study were unaffected by Systemic Arterial Hypertension. Our results highlight the need for animal models of comorbidities in stroke research.

Accurate specimen marking is crucial during breast cancer surgery to avoid misorientation, which can cause inadequate re-excision and tumor recurrence. We studied marking methods at various breast cancer centers to create a tool that prevents specimen misorientation. An online questionnaire surveyed marking procedures at major breast cancer centers in Hungary, and a tool was developed using a troubleshooting method. Twelve out of twenty units responded (60\%). Nine use an institutionally standardized marking system. Only half of the surgical teams had clear specimen mammography images. Pathologists were unsure of specimen orientation in 5–10\% of cases in over 75\% of departments. Ambiguous marking methods caused orientation errors in half the cases, while unclear marking directions caused the rest. Most pathologists (85\%) and surgeons (75\%) believed that coronal plane specimen mammography would help solve the problem. A plastic specimen plate was developed to anchor breast tissue to a coronal breast scheme seen in mammographic images, providing clear localization information throughout the surgery process. There is a lack of standardization in breast specimen orientation and marking in Hungary. An optimized orientation toolkit is being developed to ensure consistent interpretation of specimen mammograms by surgeons and pathologists.

Chikungunya virus (CHIKV) is a mosquito borne RNA virus that poses an emerging threat to humans. As other RNA viruses, CHIKV encodes an error-prone RNA polymerase which, in addition to full-length genomes, gives rise to truncated, non-functional genomes coined defective viral genomes (DVGs). DVGs have been intensively studied in the context of therapy, as they can inhibit viral replication and dissemination in their hosts. In this work, we interrogate the influence of viral RNA secondary structures on the production of CHIKV DVGs. We experimentally map RNA secondary structures of CHIKV genome using selective 2′-hydroxyl acylation analyzed by primer extension and mutational profiling (SHAPE-MaP), which couples chemical labelling with next-generation sequencing. We correlate the inferred secondary structure with preferred deletion sites of CHIKV DVGs. We document an increased probability of DVG generation with truncations at unpaired nucleotides within the secondary structure. We then generated a CHIKV mutant bearing synonymous changes at the nucleotide level to disrupt existing RNA secondary structure (CHIKV-D2S). We show that CHIKV-D2S presents altered DVG generation compared to wild-type virus, correlating with its change in RNA secondary structure obtained by SHAPE-MaP. Our work thus demonstrates that RNA secondary structure impacts CHIKV DVG production during replication.

Weak signal spectral detection is a serious problem in many applications, especially the target possesses certain frequency band and under low signal-to-noise ratio (SNR). A kind of novel technique based on pre-whitening scale-transformation symmetric bistable parallel stochastic resonance (SR) is proposed to solve the problem. Firstly, the pre-whitening can ensure the even distribution of the receiving signal to fit the requirement of SR processing. Secondly, the scale- transformation can help to utilize the weak signal improvement property especially under low frequency band more effectively. Thirdly, the symmetric bistable parallel SR can try to reduce the variance of the clutter and additive noise fluently. Fourthly, by subtracting the steady state re-sponse of the selected symmetric bistable SR system from the parallel SR output, the weak signal spectral detection objective can be realized successfully. Simulation results based on the real sea clutter radar data guarantee the effectiveness and applicability of the proposed symmetric bistable PSR processing approach.

In order to explore more spectrum resources to support sensors and its related applications, cognitive wireless sensor networks (CWSNs) have emerged to identify available channels being underutilized by the primary user (PU). To improve the detection accuracy of the PU signal, cooperative spectrum sensing (CSS) among sensors paradigm is proposed to make a global decision about the PU status for CWSNs. However, CSS is susceptible to Byzantine attack from malicious sensor nodes due to its open nature, resulting in wastage of spectrum resources or causing harmful interference to PUs. To suppress the negative impact of Byzantine attack, this paper proposes a beta distribution function (BDF) for CSS among multiple sensors, which includes a sequential process, beta reputation model, and weight evaluation. Based on sequential probability ratio test (SPRT), we integrate the proposed beta reputation model into SPRT, while improving and reducing the positive and negative impacts of reliable and unreliable sensor nodes on the global decision, respectively. Finally, the numerical simulation results demonstrate that compared to SPRT and weighted sequential probability ratio test (WSPRT), the proposed BDF has outstanding effects in terms of the error probability, and average number of samples under various attack ratios and probabilities.

Introduction. Autism Spectrum Disorder (ASD) includes different manifestations of an individual’s level of functioning. It is characterised by qualitative alterations in reciprocal social interaction and social communication, and the presence of repetitive behaviours and restricted interests. Based on two dimensions, three levels are differentiated: social communication, restricted interests, and repetitive behaviour. Aim. To gain knowledge of the application and usefulness of BRIEF‐P in the evaluation of Executive Functions (EFs) in people with ASD. Method. Out of a total of 161,773 potentially eligible published articles from different databases. 13 appropriate articles were revised and 4 articles were selected. Studies that were included evaluated samples involving individuals with ASD aged 2 to 8 years, and were published in English or Spanish during the period of 2012‐2022. Results. The executive profile obtained from the application of BRIEF‐P in individuals with ASD was analysed. Conclusion. Results confirm deficits in flexibility, although they are not conclusive. This may be due to aspects related to methodology, whereby the studies (i) include very large and heterogeneous age groups, (ii) do not discriminate based on the level of competence, and (iii) use instruments for evaluating Executive Functions that are not validated or adapted to people with ASD. Another reason is due to the lack of consensus in the very operational definition of the Executive Functions construct, with the studies focusing mainly on the cold dimension while ignoring the hot dimension

In this study, methyl/tbutyl salicylate bearing zirconium complexes (C1-C8) were prepared by reaction of zirconium (IV) propoxide/butoxide with salicylic acid, 3-methylsalicylic acid, 4-methylsalicylic acid, and 3,5-di-tert-butylsalicylic acid in alcohols, respectively. All these complexes (C1-C8) were characterized by 1H-NMR, 13C-NMR, FTIR, mass spectroscopy (MS), elemental, and thermogravimetric analyses (TGA). These complexes were utilized as catalysts in ring opening polymerization (ROP) of ε-caprolactone and were very effective. Polycaprolactone (PCL) was characterized by 1H-NMR, 13C-NMR, and gel permeation chromatography (GPC). In this study, perhaps for the first time, the effects of electron donating substituents (Me and tBu) on ε-caprolactone polymerization reactions on salicylate ligands linked to zirconium atoms were investigated.

Forty percent of patients with acute coronary occlusion myocardial infarction (OMI) do not present with STEMI criteria, which delays their treatment and increases morbidity and mor-tality. The need to identify these patients promptly is crucial, and this sets the stage for the pro-posed reclassification. Many of these patients can be identified by other ECG and clinical fea-tures. Background/Objectives: We sought to evaluate STEMI/NSTEMI cases that result in OMI and the consequences of delayed revascularization immediately among NSTEMI patients who have ACO (NSTEMI-OMI). Methods: The study is a retrospective analysis conducted on 334 pa-tients who underwent coronary angiography for acute coronary syndrome at UHC ‘‘Mother Te-resa,’’ Tirana, Albania, during January-May 2023. OMI was defined as an acute culprit lesion with TIMI 0-2 flow, or TIMI 3 flow with highly elevated troponin (cTnI>10.0 ng/mL, hs-cTnI>5000 ng/L). Ejection fraction (EF), total ischemia time, hospital day stay and complications were com-pared between groups. Results: There were 334 patients included of whom NSTEMI-OMI were 98 patients (29.3%) of patients with ACS. 96 patients (40%) of OMI patients did not fulfill the STEMI criteria. Only 11 patients (11%) of STEMI(-)OMI had PCI performed within the first 12 hours vs 76 patients (77%) of STEMI(+)OMI, p<0.001. There was no difference in the percent of patients requiring PCI between the STEMI(+)OMI 98 patients (93%) and STEMI(-)OMI 87 patients (89%) (p<0.001). The overall in-hospital mortality was 19 patients (5.7 %), with subgroup mortality of 14 patients (4.2%) STEMI(+)OMI, two patients (0.6%) STEMI(+) NOMI, three patients (0.9%) STEMI(-)OMI, 0% STEMI(-)NOMI, (p=0.013). Patients with mechanical complications were: 67 patients (46.8%) STEMI(+)OMI and 45 patients (46.4%) STEMI(-)OMI. 26 patients (18.5%) STEMI(+)OMI and 13 patients (13.1%) STEMI(-)OMI developed electrical complications. Conclusions STEMI(-)OMI patients had significant delays in catheterization, yet had angiographic findings, rate of PCI, and complications similar to STEMI(+)OMI. These data add further support to refocusing the paradigm of acute MI to improve recognition and rapid reperfusion of all OMIs, rather than only those with STEMI criteria.

Acute Myeloid Leukemia (AML) is a diverse malignancy originating from myeloid progenitor cells, with significant genetic and clinical variability. Modern classification systems like those from the World Health Organization (WHO) and European LeukemiaNet use immunophenotyping, molecular genetics, and clinical features to categorize AML subtypes. This classification highlights crucial genetic markers such as FLT3, NPM1 mutations, and the MLL-AF9 fusion, which are essential for prognosis and directing targeted therapies. The MLL-AF9 fusion protein is often linked with therapy-resistant AML due, highlighting the risk of relapse due standard chemotherapeutic regimes. In this sense, factors like the ZEB, SNAI, and TWIST gene families, known for their roles in epithelial-mesenchymal transition (EMT) and cancer metastasis, also regulate hematopoiesis and may serve as effective therapeutic targets in AML. These genes contribute to cell proliferation, differentiation, and extramedullary hematopoiesis, suggesting new possibilities for treatment. Advancing our understanding of the molecular mechanisms that promote AML, especially how the bone marrow microenvironment affects invasion and drug resistance, is crucial. This comprehensive insight into the molecular and environmental interactions in AML emphasizes the need for ongoing research and more effective treatments.