Background/Objectives: The introduction of robotic surgery has revolutionized surgical procedures bringing significant improvements in procedures such as radical prostatectomy. In Poland, robotic technology was first used in public healthcare in 2010 for colorectal surgery in Wrocław. Public funding for robotic urologic surgery began in 2022. The aim of this study is to evaluate the impact of integrating a stable source of funding on the development and utilization of robotic surgery. Methods: Using data from the National Health Fund, a retrospective analysis of these procedures was conducted, focusing on radical prostatectomies from the beginning of the funding period to November 2023. Results: The study showed that in the first year of public funding (2022), 2,149 radical prostatectomies were performed using robotic systems, and this number almost doubled to 4,331 by October 2023. Patients aged 60 years and older accounted for more than 80% of those undergoing robotic surgery. The rise in the popularity of robotic surgery is attributed to its advantages, including high precision, reduced invasiveness in the surgical field, minimized bleeding and pain, and reduced postoperative wound size. The use of robotic surgery also brings environmental benefits. Conclusions: The growing number of robot-assisted surgeries in Poland reflects the increasing role of robotics in medicine. These advances meet the growing demand for healthcare services and demonstrate the precision and effectiveness of robotic technology, potentially improving healthcare access and outcomes. Further implementation and refinement of robotic solutions are necessary to meet the changing needs of medical specialties.

In modern materials science and surface engineering, Reactive Plasma Spraying (RPS) occupies a key po-sition due to its ability to create high quality coatings with unique properties. However, the efficiency of this process is highly dependent on the physicochemical characteristics of the starting powder materials. Mechanical activation, as a pretreatment, can have a significant effect on the structure and reactivity of powders, thereby modifying and improving the RPS process. The present study focuses on analysing the changes that occur to powder materials after mechanical activation and their subsequent effects on the quality and performance of coatings produced by the RPS process. The study of these changes is of key importance for optimising the spraying process as well as developing new materials with improved methods. This is important not only to improve the efficiency of reactive plasma spraying technologies, but also to expand their applications in various industrial and scientific fields. Improved materials can be a decisive factor in increasing the productivity and prevalence of products, as well as creating new opportunities for innovation and development in various industries.

This paper investigates the application of Graph Neural Networks (GNNs) in solving the facility location decision problem. By adapting the learning objectives and structure of GNNs, this research bridges the gap between traditional optimization approaches and modern machine learning techniques. The proposed method demonstrates improved decision-making capabilities, providing promising results for facility location optimization. Additionally, potential future research directions are outlined, highlighting areas where GNNs can further enhance decision-making processes in complex supply chain networks. Hybrid GNN and Mixed Integer Programming solutions have been proposed.

The P versus NP problem is a cornerstone of theoretical computer science, asking whether problems that are easy to check are also easy to solve. "Easy" here means solvable in polynomial time, where the computation time grows proportionally to the input size. While this problem's origins can be traced to John Nash's 1955 letter, its formalization is credited to Stephen Cook and Leonid Levin. Despite decades of research, a definitive answer remains elusive. Central to this question is the concept of NP-completeness. If even one NP-complete problem could be solved efficiently, it would imply that all problems in NP could be solved efficiently, proving P equals NP. This research proposes that EXACT CLOSURE, a notoriously difficult NP-complete problem, can be solved efficiently, thereby potentially establishing the equivalence of P and NP. This work is an expansion and refinement of the article "Note for the P versus NP problem", published in IPI Letters.

Sustainable development and climate change are related challenges for humanity because a good quality of life in the present and the future for human, natural, and economic systems must be achieved through the capacity to face climate change. In this context, this research aimed to identify the climate change adaptation measures contribution to the sustainable development aspects: environmental, social, and economic, applied to a case study, "The Coastal Watershed Conservation Project in the Context of Change Climate (C6)" through the Sustainable Development Goals (SDG) evaluation framework. The primary data collection was carried out directly from the project reports and the reports of 29 interventions in the communities. The results indicate that the adaptation actions implemented through the C6 project did contribute to sustainable development, to a greater extent, in the social aspect, followed by environmental aspects and later by economic ones; therefore, it can be concluded that one way to achieve sustainable development can be through the implementation of adaptation actions to face climate change.

Abstract: The S1 subunit of SARS-CoV-2 Spike has been found in the blood of covid patients and vaccinated individuals. From BioGRID, we selected 146 significant human proteins experimentally interacting with S1. Then, we derived an interactome model that facilitated the study of functional activities. Through a reverse engineering approach, we identified 27 specific one-to-one interac-tions of S1 with the human proteome. S1 interacts in this manner independently from the biological context in which it operates, be it infection or vaccination. Instead, when it works together with viral proteins, carry multiple attacks on single human proteins out, showing a different functional engagement. Through Cytoscape we showed functional implications and its tropism to human organs/tissues, such as nervous system, liver, blood, and lungs. As a single protein, S1 operates in a complex metabolic landscape which includes 2557 GO biological processes, much more than the 1430 terms controlled when operating in a group. A Data-Merging approach shows that the total proteins involved by S1 in the cell are over 60,000 with an average involvement per single bio-logical process of 26.19. However, many human proteins get entangled in over 100 biological different activities each. Clustering analysis showed statistically significant activations of many molecular mechanisms, like those related to hepatitis-B infections. This suggests potential in-volvement in carcinogenesis, based on a viral strategy that uses the ubiquitin system to impair the tumor suppressor and antiviral functions of TP53, as well as the role of RPS27A in protein turnover and cellular stress responses.

Hyperhomocysteinemia (HHcy) is a medical condition characterized by an abnormally high level of homocysteine (Hcy) in the blood. Homocysteine is a toxic sulfur-containing amino acid that is produced during the metabolism of methionine. Under normal circumstances, Hcy is recycled back to methionine via the remethylation pathway, through the action of various enzymes and vitamins, particularly folic acid (vitamin B9) and B12 used when intracellular methionine levels are low, thus restoring the necessary levels to correctly maintain active protein synthesis. A second pathway, used in cases of intracellular methionine excess, (the trans-sulfuration pathway) is the one that recicles Hcy into cysteine (a precursor of glutathione), first passing through cystathionine (via the enzyme cystathionine beta-synthase), a reaction that requires vitamin B6 in its active form. HHcy has been identified as a risk factor for a variety of disorders, including cardiovascular diseases, multiple sclerosis, diabetes, Alzheimer's and Parkinson's diseases, osteoporosis and cancer. However, it remains unclear whether the slightly elevated concentration of Hcy (Hcy 7-10 μmol/L) is a causative factor or simply a marker of these pathologies. In human plasma, the concentration of Hcy ([Hcy]) is classified in mild (15 to 30 μmol/L), moderate (30 to 100 μmol/L), and severe (greater than 100 μmol/L). Interestingly, many laboratories continue to consider 25 μmol/L as normal. This review seeks to examine the controversial literature regarding the normal range of HHcy and emphasizes that even a [Hcy] level of 10 μmol/L may contribute to the development of several diseases, aiming to discuss whether it would be appropriate to lower the threshold of HHcy normal values.

This study investigates the optimal energy mix for industrial complexes by integrating renewable energy systems, decarbonization strategies, and sector coupling technologies, using actual load data from the Balan Industrial Complex in Korea. Five different energy scenarios were analyzed, ranging from a conventional base case (Scenario 1) to progressively more advanced configurations incorporating renewable sources (Scenarios 2 to 5). The findings reveal that Scenario 5, which combines sector coupling, hydrogen-based systems, and decarbonization technologies, is the most cost-effective and environmentally sustainable, achieving the lowest Net Present Cost (NPC) and significantly reducing CO2 emissions. To enhance the study’s relevance, electricity prices and CO2 emission costs from Korea, the United States, and Germany were considered, revealing that regional electricity tariffs and carbon pricing mechanisms greatly influence the economic feasibility of the proposed energy systems. Despite the higher initial investment for renewable-based setups, Scenario 5 proved to be the most economically viable over the long term when factoring in operational costs and emission penalties, underlining the potential for renewable integration to achieve both cost savings and environmental benefits. These results provide valuable insights for policymakers and industry leaders aiming to adopt sustainable, cost-effective energy solutions, highlighting the necessity of tailored strategies to optimize energy systems for industrial applications. This research thus offers a meaningful contribution to the field of sustainable energy transitions, suggesting that sector coupling and renewable integration hold significant promise for enhancing the efficiency and sustainability of energy systems in diverse industrial areas.

Abstract: Background The incidence of Heart failure is increasing across the world. Over one million people in the UK have heart failure and around 200,000 new diagnoses are made every year (Conrad et al, 2018).Estimates suggest that, further 385,000 people with heart failure who are currently undetected, undiagnosed and, consequently, are missing out on life-preserving treatments. Most of the heart failure cases are of elderly population. The prevalence of heart failure slowly increases with age until about 65 years of age, and then more rapidly. In United Kingdom, the prevalence of heart failure in elderly population is estimated to be about [NICE, 2018a] 1 in 35 people who are aged between 65 – 74 years of age and 1 in 15 people who are aged 75 – 84 years of age. The average age at first diagnosis is 76 years of age [NICE, 2018a]. As per the statistics, heart failure accounts for 2% of bed occupancy in entire NHS as well as accounts for 5% of all NHS emergency admissions. Hospitalization for decompensated heart failure (DHF) carries a poor prognosis, with frequent readmissions. As per the updated NICE guidelines, B-type natriuretic peptide (BNP) is used in the diagnostic criteria and management of heart failure. BNP is secreted by overloaded left ventricle as a response to fluid overload. This study is to evaluate the prognostic value of BNP in elderly population with decompensated heart failure. Methods We conducted a retrospective observational cohort study of 88 elderly patients who were admitted with decompensated heart failure between September 2023 to April 2024 in Lagan valley hospital – Lisburn and Ulster Hospital – Dundonald, Northern Ireland. Suspected heart failure admissions were randomly selected as snapshots of each month. Among these admissions, 88 Heart failure cases were identified based on echocardiogram findings and NT- pro BNP levels performed on initial admission. The same cohort was followed up for 12 weeks period for specific end points. The end points that were considered were readmissions with heart failure or deaths. Furthermore, Heart failure follow ups were also assessed during post discharge as well. A fraction of patients had repeat BNP checked during the follow up and their clinical features were correlated. All cases were categorized in to two main cohorts as HFrEF cohort and HFpEF cohort. Patients with left ventricular ejection fraction ≥50% were categorized as HFpEF, while those with <40% as were categorized as HFrEF. Each cohort was subdivided to further 3 sub categories depending on the BNP values. Prognostic values and all-cause mortality after discharge were assessed separately in patients with HFpEF and HFrEF by multivariable adjusted Cox regression analysis. Comorbidities were compared between heart failure groups. ROC curve was carried out to establish the cutoff level of BNP and the mortality analysis was done utilizing Kaplan Meier curves. Results In this cohort study, two major heart failure cohorts were analyzed for specific end points under six main sub-cohorts. The data analysis shows that mortality rate is 29.1% when NT Pro BNP values is more than 2000. The heart failure readmission rate is 45.6% when NT Pro BNP value is more than 2000. 66.6% re-admission rate was demonstrated with rising NT-Pro BNP values during heart failure follow up. This was much lower with patients who had declining NT- Pro -BNP values during heart failure follow u which was 33.3% Satisfactory statistical power of the study, which demonstrated that NT- Pro BNP can be used as prognostic marker for mortality in elderly patients with heart failure irrespective of their ejection fraction. Conclusions NT Pro BNP can be used as a prognostic biomarker for elderly patients with heart failure. Satisfactory statistical evidence was shown on this study to prove that higher BNP values on admission predicts higher mortality rate. Significant evidence was demonstrated in this study to show that there are higher re-admission rates with higher NT pro BNP levels specially in elderly population. Furthermore, the study demonstrated that, there is higher mortality and morbidity rate with rising NT Pro BNP levels during heart failure follow up. In conclusion, all these three parameters shows that NT Pro- BNP levels can be used as a prognostic bio marker for elderly patients with heart failure, irrespective of their ejection fraction status. Furthermore, we would like to indicate that monitoring NT Pro BNP levels in all heart failure cases could be beneficial to prevent mortality and morbidity. Furthermore, it would be an aid to optimize heart failure medications prior to have an episode of decompensation of heart failure as well.

(1) Background: This qualitative research had the objective to study the reasons for non-acceptance of the COVID-19 vaccination by some Muslims in the three southern border provinces of Thailand; (2) Methods: Data collection was done in a community of Pattani province and communities along the Thai-Malaysian border of Narathiwat province by observation and in-depth interview. The 40 key informants were community Muslims, religious leaders and public health workers selected by purposive sampling according to their knowledge of the situation. The data were tested by triangulation and analytical descriptive conclusion; (3) Results: Some Muslims did not accept the COVID-19 vaccination for six important reasons: 1) The belief that the village health volunteers (VHV) who persuaded them to have vaccination only hoped for the state reward. 2) Death is the will of God so vaccination is not necessary. 3) Every kind of vaccine is not halal. 4) Vaccination is the cause of weakened ability. 5) Vaccination had caused death, and 6) Fear of re-vaccination impact because they had the vaccination in Malaysia. (4) Conclusions Involving religious leaders and fostering Thailand-Malaysia cooperation are key to combating health misinformation. Culturally sensitive health education can improve public health responses in the southern border region.

We investigated the effect of lepidocrocite-type layered titanate, which we have been using to reduce brake-particle emissions in an environmentally friendly manner. The effect of titanate on reduction was evaluated using a small-scale inertia brake-material-friction-test dynamometer. We suggested that brake-particle emissions are related to the microphysical structure of the pad surface, such as the uniformity of friction film and secondary-plateau formation, and that friction materials containing titanate contribute significantly to the reduction in both particle mass (PM) and particle number (PN) emissions of brake particles for both non-asbestos organic (NAO) and low-steel (LS) pads. In our experiments, the PM- and PN-emission levels of brake particles from LS pads with the addition of titanate were comparable to those of NAO pads.

This study aims to evaluate the impact of the Intervention Model on improving community knowledge, attitudes, and behavior related to ecotourism accessibility for people with disabilities in Ternate City, with a focus on addressing gaps in understanding and support through educational services and distribution of educational materials in the form of brochures with a participatory approach. The research design used a quasi-experiment involving 4,964 residents, where 287 participants were randomly selected through Cluster Random Sampling. Three tourist destinations were chosen as research locations, namely Sulamadaha Beach, Tolire Besar Lake, and Batu Angus Geotourism in Ternate City, North Maluku. The results showed that the intervention significantly improved community knowledge, attitudes, and behavior related to ecotourism accessibility, with a significance value (Sig. (2-tailed) of 0.000 <α = 0.05) indicating a significant difference between the experimental group and the control group after community-based interventions were carried out. In conclusion, this model has been proven effective in improving community knowledge, attitudes, and behavior towards ecotourism accessibility and can be used as a reference for similar programs in other locations to improve ecotourism accessibility globally.

This research answers the knowledge gap regarding the explanation of the quantum jump of the electron. This scientific paper aims to complete Einstein’s research regarding general relativity and attempt to link general relativity to quantum laws.

Small and Medium Enterprises (SMEs) play a crucial role in the European economy, yet their ability to sustain coopetition networks—collaborative arrangements between competitors—remains underexplored. This study addresses the gap by developing a reference model and an instantiation methodology for coopetition networks explicitly tailored to the needs of SMEs, grounded in the Service-Dominant (S-D) Logic framework. The reference model provides a structured approach for SMEs to coopetition throughout their entire lifecycle, from initiation to dissolution, focusing on value co-creation and resource exchange. To validate the model, a Proof-of-Concept (PoC) was conducted in the Portuguese ornamental stone sector, demonstrating significant improvements in manufacturing effectiveness and confirming the model’s practical applicability. The findings highlight the potential of coopetition networks to enhance the competitiveness and performance of SMEs. While the reference model successfully addresses key challenges SMEs face, the study acknowledges certain limitations. It suggests areas for further research, particularly regarding the long-term sustainability of these networks and the role of interpersonal dynamics.

Background/Objectives: Congenital Myasthenic Syndromes (CMS) are caused by variants in >30 genes with increasing numbers of variants of unknown significance (VUS) discovered by next generation sequencing. Establishing VUS pathogenicity requires in vitro studies that slow diagno-sis and treatment initiation. Recent protein structure prediction softwares, AlphaFold2/ColabFold, have revolutionised structural biology; such predictions have also been leveraged in AlphaM-issense which predicts ClinVar variant pathogenicity with 90% accuracy. Few reports, however, have tested these tools on rigorously-characterised clinical data. We therefore assessed ColabFold and AlphaMissense as diagnostic aids for CMS, using variants of the CHRN genes that encode the nicotinic acetylcholine receptor (nAChR). Methods: Utilising a dataset of 61 clinically-validated CHRN variants, (1) we evaluated the pos-sibility of a ColabFold metric (either predicted structural disruption, prediction confidence, and prediction quality), that distinguishes variant pathogenicity. (2) We assessed AlphaMissenses’ ability to differentiate variant pathogenicity. (3) We compared AlphaMissense to existing patho-genicity prediction programmes, AlamutVP and EVE. Results: Analysing variant effects on ColabFold CHRN structure prediction, prediction confi-dence, and prediction quality, doesn’t yield any pathogenicity-indicative metric. However, Al-phaMissense predicts variant pathogenicity with 63.93% accuracy on our dataset – a much greater proportion than AlamutVP (27.87%) and EVE (28.33%). Conclusions: Emerging in silico tools can revolutionise genetic disease diagnosis – however, im-provement, refinement, and clinical validation is imperative prior to practical acquisition.

Histomorphological studies were conducted to evaluate the effects of NS-Oil (NS) on ovarian toxicity induced by cyclophosphamide in female rats. The research aimed to assess the histological changes in ovarian tissue and correlate these findings with alterations in serum gonadotropin levels. The experimental design involved three (3) experimental groups treated with cyclophosphamide, NS-Oil oil, or a combination, with control group for comparison. Histological assessments of ovarian sections were performed to analyze structural integrity, follicular development, and toxicity signs, while serum samples were analyzed for estradiol, progestin levels.Cyclophosphamide administration significantly disrupted ovarian architecture, reducing follicle count and causing follicular degeneration. Conversely, NS-Oil oil treatment exhibited protective effects, restoring normal histological features and improving gonadotropin levels. Image J software, calibrated with a table micrometer, was used to measure diameters of follicles, follicular cells, and oocytes. Primary, secondary, and tertiary follicles were classified according to Oktay et al. (2017). Body weight showed no significant difference across groups, but ovarian weight decreased in cyclophosphamide-treated groups compared to controls (p < 0.05). However, ovarian weight increased dose-dependently in NS-Oil-treated groups (p < 0.05).Cyclophosphamide reduced ovarian cortex and medulla volumes (p < 0.05), while NS-Oil treatment increased these volumes (p < 0.05). Pre-antral and antral follicle counts decreased with cyclophosphamide but increased following NS-Oil treatment (p < 0.05). Atretic follicle counts decreased in both cyclophosphamide and NS-Oil-treated groups (p < 0.05). The diameters of pre-antral and antral follicles, as well as follicular cells, decreased with cyclophosphamide but increased post NS-Oil treatment (p < 0.05).These results suggest that NS-Oil may offer a therapeutic strategy to mitigate ovarian damage associated with cyclophosphamide treatment, highlighting its potential role in preserving reproductive health in patients undergoing chemotherapy. Further investigations are warranted to elucidate the underlying mechanisms of action and the efficacy of NS-Oil in clinical settings.

This paper explores the application of Blockchain technology in food traceability, focusing specifically on olive oil. It addresses the significant challenges in the food industry, such as verifying authenticity and detecting harmful substances. The research highlights the potential of Blockchain to enhance traceability by leveraging its decentralized and secure architecture, which en-sures data integrity and facilitates rapid monitoring throughout the supply chain. The paper also examines the synergy between Blockchain and the Internet of Things (IoT), which is critical for real-time tracking in product production. The research conducted has led to a practical demonstration through a web application connected to the Ethereum test network, designed for the quality control of olive oil via smart contracts. Overall, this study provides a comprehensive analysis of Blockchain technology and its transformative potential in ensuring food traceability, particularly for high-value commodities like olive oil.

This paper focuses on CEOs, who are considered the strategic leaders of corporations because of their crucial role in making important decisions. This research paper examines how female CEOs influence green innovation (GI) in Asian industrial sector. Its main objective is to answer the following research questions: Are there differences in GI endeavors between Asian industrial firms with female CEOs and those with male CEOs? Does the size of the industrial firms have a positive moderating effect on the relationship between CEO gender and GI? Based on our research questions, the size of firms is likely a determining factor in the GI of female CEOs. This research employs rigorous econometric modeling to analyze a substantial dataset of Asian industrial listed companies spanning from 2013 to 2022. It has been proven that industrial firms led by females CEOs are more inclined to have environmentally friendly practices. Furthermore, the size of the industrial firms amplifies the beneficial influence of female CEOs on the firm's chances of engaging in GI initiatives. Our outcomes stay robust to endogeneity issues using two-step GMM estimators. This study proposes that stakeholders, particularly in Asian countries, should promote the increased representation of females in CEO roles, particularly within large corporations. This is because women-led companies demonstrate superior performance in GI endeavors. Thus, regulators need to implement policies that promote the inclusion of women in CEO positions within large-scale enterprises. These policies may potentially strengthen the private sector’s capacity to foster sustainable innovation.

Researchers are often interested in the effects of change in one variable on change in a second variable, requiring the repeated measures of two variables. There are several multivariate statistical methods appropriate for this research design, including generalized estimating equations (GEE) and latent growth curve modeling (LGCM). Both methods allow for variables that are not continuous in measurement level and not normally distributed. More recently, researchers have begun to employ area under the curve (AUC) as a viable alternative when the nature of change is less important than the overall effect of time on repeated measures of a random variable. The research showed that AUC is an acceptable alternative to LGCM with repeated measures of a continuous and a zero-inflated Poisson random variable. However, less is known about its performance relative to GEE and LGCM when the repeated measures are ordinal random variables. Further, no study to our knowledge has compared AUC to LGCM or GEE when there are two longitudinal processes. We thus compared AUC to LGCM and GEE, assessing the effects of repeated measures of psychological distress on repeated measures of smoking. Results suggest AUC performed equally well to both methods, although missing data management is an issue with both AUC and GEE.

A model based on the fitting of stress-strain data by tensile tests of biocomposites made of a bioplastic (polybutylene succinate, PBS) and spent brewer's grain filler (BSGF) is developed. The model is suitable to describe the elastic-plastic behavior of these materials in terms of two mechanical parameters (tensile stress and tensile stiffness or Young's modulus) depending on the filler concentration. The mechanical characteristics, derived from the fitting parameters, show a good agreement with the experimental data. The mathematical model used here could be an important aid for the experimentation and the manufacturing process as it allows to predict the mechanical tensile parameters of a mixture with different filler concentrations, avoiding the long and complex preparation cycle of bio-composites, as well as the specific mechanical tests. The physical properties required by the objects created with the PBS-BSGF bio-composite by the partners/stakeholders of the research project co-financing this research, can be quite different. Therefore, a mathematical model that predicts some of the mechanical properties in terms of the mixture composition may be useful to speed up the selection of the required amount of BSGF in the mixture.

Hyaluronan has been considered in recent years as a potential naturally occurring modifiable scaffold that has the capability to absorb and release drugs over an extended period of time making it suitable as a chemotherapeutic delivery agent. Considering the limited treatment options available in the treatment of glioblastoma, in this review, we discuss the novel utilization of ultra high molecular weight hyaluronan - originally identified as a mechanism for maintaining longevity in the naked mole rat, as both a protective and extracellular matrix optimising scaffold, and a means to deliver therapy in resected brain tumors. The unique properties of this unique form of hyaluronan indicate potential future use in the prevention and treatment of both proliferative based and inflammation driven disease.

Aim: Esophageal atresia (EA) is the most common congenital esophageal malformation. Thoracoscopic repair is gaining popularity, but controversy persist regarding the ideal surgical approach for this challenging anomaly. Study’s aim is to analyze outcomes in terms of quality of life (QoL) of children undergoing thoracotomy and thoracoscopy for type III EA repair. Methods: Perinatal characteristics, malformations, surgical procedures, complications, gastrointestinal and respiratory current symptoms were collected. QoL were investigated through Esophageal-Atresia-QoL(EAQoL) and Pediatric-QoL(PedsQL)4.0 standardized and validated questionnaires. Statical Mann-Whitney test with significance level p

The consumption of contaminated water contributes to the global burden of diarrhea and other water-borne diseases, especially among young children. While the decentralized solar water disinfection treatment system remains a viable option to have safe drinking water, our understanding of the effects of household water treatment before use on willingness to accept and adopt a decentralized solar water disinfection treatment system is limited. In this study, a complementary log-log regression analysis of the compositional and contextual factors that systematically vary with willingness to accept and adopt a decentralized solar water disinfection treatment system in the Sawla-Tuna-Kalba (STK) district of Ghana was carried out. Based on our findings, a greater proportion of households’ (97%) are willing to accept and adopt a decentralized solar water disinfection treatment system. Compositional and contextual factors such as age, marital status, education, religion, and geographical location significantly contribute to households’ willingness to accept and adopt a decentralized solar water disinfection treatment system in the STK district of Ghana. Households that treat their water before use (66%, P&lt;0.05) are more likely to accept and adopt a solar water disinfection treatment system compared to those that do not treat their water before use. The findings therefore suggest that scaling up solar water disinfection systems in the STK district is sacrosanct, and highlight the necessity to analyze compositional and contextual factors influencing willingness to accept and adopt solar water disinfection systems. Our findings will inform policies and programs aimed at implementing solar water disinfection systems in the study area to improve the health of communities that must rely on poor quality drinking water sources.

Fragile X Syndrome (FX) is the most common form of inherited cognitive impairment and falls under the broader category of Autism Spectrum Disorders (ASD). FX is caused by a CGG trinucleotide repeat expansion in the non-coding region of the X-linked Fragile X Messenger Ribonucleoprotein 1 (FMR1) gene, leading to its hypermethylation and epigenetic silencing. Animal models of FX rely on the deletion of the Fmr1 gene which fail to replicate the epigenetic silencing mechanism of the FMR1 gene seen in human patients. Human stem cells carrying FX repeat expansions have provided a better understanding of the basis of the epigenetic silencing of FMR1. Previous studies have found that 5-Azacytidine (5Azac) can reverse this methylation; however, 5Azac can be toxic and may limit its therapeutic potential. Here, we show that the dietary factor Ascorbic Acid (AsA) can reduce DNA methylation in the FMR1 locus and lead to an increase in FMR1 gene expression in FX iPSCs and cerebral organoids. In addition, AsA treatment rescued neuronal gene expression and the morphological defects observed in FX iPSC-derived cerebral organoids. Hence, we demonstrate that the dietary co-factor AsA can partially revert molecular and morphological defects seen in human FX models in vitro. Our findings have implications for the development of novel therapies for FX in the future.

Background and Objective: Prostate cancer is the leading cancer affecting males. The treatment is radical prostatectomy, with its main complications being urinary incontinence and erectile dysfunction. Various studies demonstrate that exercises targeting the pelvic floor muscles help improve these complications, although sometimes, these exercises are not performed correctly, rendering the effort ineffective. To avoid this circumstance, a study comparing a group with biofeedback‐guided learning led by a nurse expert in the technique against another without this learning method is designed. Methods: Randomized clinical trial with two arms; the study group underwent two biofeedback sessions prior to surgery for the identification of the muscles to work on, compared to another group where no prior learning of the muscles was done. These fifteen‐minute sessions involved the placement of electromyography sensors for muscle contraction detection. Both groups followed the same care process where the protocol for reinforcing the perineal muscles after the removal of the urinary catheter was explained. Data were collected through validated questionnaires. Key Findings and Limitations: The results obtained show a clear improvement in the prevalence of urinary incontinence and erectile dysfunction in patients who underwent two biofeedback sessions prior to surgery, as well as a high rate of adherence and satisfaction with the care received in both the control group and the study group, regardless of whether they experienced urinary incontinence and/or erectile dysfunction. Conclusions and Clinical Implications: Biofeedback is a safe method that helps reduce complications after prostatectomy.

and reduced functionality. Recent studies support the possibility of providing Extracorporeal Shock Wave Treatment in patients suffering from osteoarthritis. Shock wave biostimulation may be able to modulate joint inflammation and stimulate chondorocytes in a reparative sense. The aim of the study is to investigate the clinical effects of shock wave treatment in patients suffering from arthritis of the first finger. Methods: A prospective clinical study was designed, in which seventy-two patients suffering from rhizoarthrosis were randomized to treatment with shock waves or exercises; in both groups an immobilization brace of the first finger was used. At recruitment and at 1, 3 and 6 months, patients received assessments of pain (VAS), functionality (FIHOA), disability (DASH); furthermore, the perception of improvement was monitored during follow-ups (Roles and Maudsley Score). Results: In both groups there was a significant improvement in all scores in the comparison between recruitment and 6 months; this improvement was confirmed for VAS, FIHOA and DASH in the comparison between individual time points in both groups, except for the comparison between 3 and 6 months for all scales in the exercise group and for FIHOA in both groups. The perception of improvement was statistically better in the shock wave group than in the exercise group at 1, 3 and 6 months. The regression analysis showed that the reduction of VAS and DASH are statistically influenced by shock wave treatment (p<0.001). Conclusions: Both shock waves and exercises, together with the use of the brace, are effective in managing pain, functionality and disability in patients suffering from arthritis of the first finger. The shock wave treatment ensured further improvement at 6 months.

Urban Heat Islands (UHI) are a growing concern in rapidly urbanizing regions, leading to significant ecological and public health challenges. This study investigates the spatiotemporal dynamics of UHI intensity in Mbombela City, Mpumalanga Province, South Africa, from 2008 to 2023. Using Landsat satellite imagery and geospatial analysis techniques, the research quantifies changes in land cover and their impact on Land Surface Temperature (LST) and UHI intensity. The results show that built-up areas increased by 86.67% over the study period, while vegetation cover decreased by 22.22%. Mean LST rose from 28.3°C in 2008 to 30.1°C in 2023, indicating a significant intensification of the UHI effect. Statistical analyses reveal strong correlations between urbanization metrics and UHI intensity, highlighting the role of human activities in exacerbating this phenomenon. This research contributes valuable insights for urban planning and climate adaptation strategies, particularly in secondary cities like Mbombela, where rapid development is creating new environmental challenges. The findings underscore the need for green infrastructure and nature-based solutions to mitigate the negative impacts of urbanization.

In recent years, the "3-30-300" concept by Professor Cecil Konijnendijk has been gaining popularity, outlining what makes a city "green" and what we should strive for. This concept suggests that from every apartment, at least 3 trees should be visible, 30% of the city's surface should be covered with greenery, and the nearest park or forest should be no more than 300 meters away. However, the lack of detailed guidelines makes the implementation of this concept a significant challenge. The goal of the research presented here was to adapt this concept for Warsaw (Poland) and assess whether it can be considered a green city. I defined parameters such as the maximum distance for visible trees as 20 meters and determined what counts toward the 30% green areas. The results showed that 57.82% of apartments in Warsaw have a view of at least 3 trees, while only 5.44% do not meet this criterion, and the rest meet it only partially. Parks and forests cover 19.95% of the city, while all green areas combined cover 42.01%. Additionally, 45% of buildings are located within 300 meters from a park or forest. Ultimately, full compliance with the "3-30-300" concept applies to 22.19% of buildings, while only 12.66% meet the criteria when considering only parks and forests. This indicates that, while Warsaw is relatively green, not all of its areas fulfill these criteria.

We examined changes in skeletal muscle protein lactylation and acetylation in response to acute resistance exercise, chronic resistance training (RT), and a single endurance cycling bout. Additionally, we performed in vitro experiments to determine if different sodium lactate treatments affect myotube protein lactylation and acetylation. The acute and chronic RT study (n=12 college-aged participants) consisted of 10 weeks of unilateral leg extensor RT with vastus lateralis (VL) biopsies taken at baseline, 24-hours following the first RT bout, and the morning of the last day of the RT bout. For the acute cycling study (n=9 college-aged participants), VL biopsies were obtained before, 2 hours, and 8 hours after 60 minutes of cycling. For in vitro experiments, C2C12 myotubes were treated with varying levels of sodium lactate including LOW (1mM for 24-hours), HIGH (10mM for 24 hours), and PULSE (10mM for 30 minutes followed by 1 mM for 23.5-hours). Neither acute nor chronic RT significantly affected nuclear or cytoplasmic protein lactylation. However, cytoplasmic protein acetylation was significantly reduced following one RT bout (-15%, p=0.002) and chronic RT (-16%, p=0.006). Cycling did not acutely alter post-exercise global protein lactylation or acetylation patterns. Lastly, varying 24-hour lactate treatments did not alter nuclear or cytoplasmic protein lactylation or acetylation, cytoplasmic protein synthesis levels, or myotube diameters. These findings continue to support that exercise induces changes in skeletal muscle protein acetylation but not lactylation.

This study proposes a simplified and fully renewable energy system, composed of two intermittent energy sources (wind and solar) and a long-duration energy storage technology using pumped hydro storage. The impact of intermittency on the medium- and long-term design of the energy matrix is evaluated using the OSeMOSYS model. The findings indicate that omitting intermittency results in a significant underestimation of costs and an inability to manage the variability of renewable energies effectively. Incorporating intermittency, although increasing the installed capacity and the amount of wasted energy, enhances the system's reliability. The inclusion of energy storage demonstrates the need to redistribute installed capacity in favor of solar energy to meet higher daytime demand. The study concludes that considering intermittency and storage is crucial for improving the accuracy of energy models, reducing losses, and optimizing operational costs in renewable energy-based systems.

This article examines the pressing challenges facing Industrial Organization (IO) in the contemporary economic landscape, with a particular focus on merger analysis. The rapid pace of technological advancement and emergence of novel business models have strained conventional analytical frameworks. We explore how the rise of digital platforms, data as a competitive asset, and multi-sided markets have exposed gaps in our understanding of market power and consumer welfare. Through an examination of empirical methodologies, including structural models and difference-in-differences approaches, we highlight the limitations of current techniques in accurately predicting merger outcomes. The paper argues for a disciplinary reinvention of IO, drawing upon insights from behavioural economics, network theory, and data science. We posit that an interdisciplinary approach is essential for developing more robust analytical tools capable of navigating the complexities of modern markets and informing effective antitrust policy in an increasingly interconnected global economy.

Land use and cover change (LUCC) is a key factor influencing global environmental and socio-economic systems. Many long-term geospatial LUCC datasets have been developed at various scales during the recent decades owing to the availability of long-term satellite data, statistical data and computational techniques. However, most existing LUCC products can not accurately reflect the spatiotemporal change patterns of LUCC at regional scale in China. Based on these geospatial LUCC products, Normalized Difference Vegetation Index (NDVI), socioeconomic data, and statistical data, we developed multiple procedures to represent both spatial and temporal changes of the major LUC types by applying machine-learning, regular decision tree and hierarchical assignment methods using the northeastern China (NEC) as a case study. In this approach, each individual LUC type was developed in sequence under different schemes and methods. The accuracy evaluation using sampling plots indicated that our approach can accurately reflect the actual spatiotemporal patterns of LUC shares in the NEC, with an overall accuracy of 0.82, Kappa coefficient of 0.77 and regression coefficient of 0.82. Further comparisons with existing LUCC datasets and statistical data also indicated our approach and dataset can more accurately and comprehensively represent the spatiotemporal patterns of all LUC types at subpixel level. Our approach unfolded the mixed pixel issue and integrated the strengths of all LUCC products through the fusion process. The analysis based on our developed dataset indicated that forest, cropland and built-up land area increased by 17.11×104 km2, 15.19×104 km2 and 2.85×104 km2, respectively during 1980-2020, while grassland, wetland, shrubland and bareland decreased by 26.06×104 km2, 4.24×104 km2, 3.97×104 km2, and 0.92×104 km2, respectively. The temporal change patterns of all these LUC types were consistent with the provincial inventory data. Our developed approach can be widely applied in the entire China and worldwide, and our data products can provide accurate data supports for studying the LUCC consequences and making effective land use policies.

BackgroundThe first histogenetic concepts favored dural origin of meningioma which was based on its dural attachment and thus meningiomais thought to arise from arachnoidal cap cells (meningiothelial) The micro environment which contains cancerous stem cell, is called cellular environment which is essential for tumor survival. Cancerous stem cell (CSC) is capable of initiating tumor growth and metastasis and stem cell marker are known to used by scientists to isolate and identify certain stem cell.This study aims to describe the stem cell markers CD44, CD73 and CD 105 in meningioma among Sudanese patients and to isolate cancerous stem cells (CSCs) from meningioma tissues samples and test its in-vivo growth in Albino-Wister rats Material and methodsThis is a prospective cross-sectional experimental study done at the National Center of Neurological Sciences (NCNS) Khartoum, from 2019 to 2021. All established cranial meningioma patients were included. Tumor specimens were processed for RNA extraction and PCR. Tumor specimens were processed for RNA extraction and PCR. Twelve tissue samples were further processed for stem cells isolation and identificationTumor genesis of the isolated CSCs was tested through in-vivo application of the cells on brains of Albino Wister rats. The animals were sacrificed 3 months later and slices of the fixed brains were stained with H&E and studied microscopically for histopathology verification of the growing cells and further confirmed by immune-histochemistry using epithelial membrane antigen and progesterone receptor as specific cell markers for meningioma.ResultsA total of 23 meningioma cases were enrolled in the study. All sample expressed CD44, but CD73 and CD 105 expression was variable not on the different subtype, but within the same type .Successful isolation of cultured cells with cardinal features of mesenchymal stem cells was obtained. The implanted cells showed tumor growth consistent histologically and immune-histochemicaly with meningioma.

The failure of immunotherapies in cancer patients is being widely studied due to the complexities present in the tumor microenvironment (TME), where regulatory T cells (Treg) appear to actively participate in providing an immune escape mechanism for tumors. Therefore, therapies to specifically inhibit tumor-infiltrating Treg represent a challenge because Treg are distributed throughout the body and provide physiological immune homeostasis to prevent autoimmune diseases. Characterization of immunological and functional profiles could help to identify the mechanisms that need to be inhibited or activated to ensure Treg modulation in the tumor. To address this, quantitative in-silico approaches based on mechanistic mathematical models integrating multi-scale information from immune and tumor cells and the effect of different therapies have allowed the building of computational frameworks to simulate different hypotheses, some of which have subsequently been experimentally validated. Therefore, this review presents a list of diverse computational mathematical models that examine the role of Treg as a crucial immune resistance mechanism contributing to the failure of immunotherapy. In addition, this review highlights the relevance of certain molecules expressed in Treg that are associated with the TME immunosuppression, which could be incorporated into the mathematical model for a better understanding of the contribution of Treg modulation. Finally, different pre-clinical and clinical combinations of molecules are also included to show the trend of new therapies targeting Treg.

Jararhagin-C (JarC) is a protein from the venom of Bothrops jararaca consisting of disintegrin-like and cysteine-rich domains. JarC shows a modulating effect on angiogenesis and remodeling of extracellular matrix constituents improving wound healing in mice experimental model. JarC is purified from crude venom and the yield is less than 1 %. The aim of this work was to obtain the recombinant form of JarC and to test its biological activity. For this purpose, the bicistronic vector pSUMOUlp1 was used. This vector allowed the expression of the recombinant toxin JarC (rJarC) in fusion with the small ubiquitin-related modifier (SUMO) as well as the SUMO protease Ulp1. After expression, this protease was able to efficiently remove SUMO from rJarC inside the bacteria. rJarC free from SUMO was purified at the expected molecular mass, and recognized by polyclonal anti-Jararhagin antibodies. In terms of biological activity, both the native and recombinant forms showed no toxicity to the HUVEC cell line CRL1730 and were effective in modulating cell migration activity in experimental in vitro model. These results demonstrate the successful production of rJarC and the preservation of its biological activity, which may facilitate further investigations into the therapeutic potential of this snake venom-derived protein.

In a systematic explorative study of genetic patterns on chromosome 19, we discovered a pattern comprised of 23 SNP alleles that is significantly associated with late-onset Alzheimer’s disease (AD). This association is validated using two independent data sets. The pattern includes THOP1, which has a long and disputatious relationship with AD. It also spans SLC39A3 and SGTA and is upstream from DIRAS1. We utilized population data to observe the frequencies of this genetic pattern for 11 different ancestries and note that it is highly common for Europeans and relatively infrequent for Africans. This research provides a distinct genetic signature for AD risk as well as insights into the complicated relationship between this disease and THOP1.

Anaplastic thyroid cancer (ATC) is considered to be one of the most virulent, treatment refractory, malignancies. Recent molecular insights into the biology of thyroid cancer have transformed ATC management and BRAF/MEK targeted therapy is now incorporated into guideline based multidisciplinary care. We report visceral perforation in the setting of an extreme response to such therapy in a patient with a mixed papillary thyroid carcinoma and ATC. Molecularly targeted therapy afforded a dramatic, but life-threatening, response to treatment. This report highlights the complexities of care for the patient and treating clinicians.

As wireless networks have become an integral part of modern communication infrastructure, ensuring their security against a rapidly evolving threat landscape is a critical concern. This research article provides a comprehensive overview of the emerging threats targeting wireless networks, including advanced persistent threats, man-in-the-middle (MitM) attacks, and AI-driven adaptive malware. With the advent of new technologies such as 5G, the Internet of Things (IoT), and artificial intelligence (AI), the attack surface for wireless networks has significantly expanded, demanding more robust and adaptive security protocols.The paper analyzes the efficacy of current wireless security protocols, such as WPA3 and the 802.11i standard, in addressing these emerging vulnerabilities. While these protocols have introduced significant improvements, they are not without limitations. The article further explores innovative solutions such as blockchain-based security frameworks, AI-powered threat detection systems, and the future potential of quantum cryptography in safeguarding wireless communications.Through a critical review of recent case studies and empirical data, the article highlights the key challenges that organizations face in securing wireless networks, particularly in IoT environments where security standards lag behind technological advancements. The research concludes that while existing protocols provide foundational security, they must be continuously updated and augmented with cutting-edge technologies to counter the growing sophistication of cyberattacks.This article aims to provide insights into the state of wireless network security and offer practical recommendations for enhancing security protocols. Future research directions are also discussed, focusing on the integration of AI-driven threat intelligence and the standardization of security protocols across various wireless technologies. The findings underscore the importance of proactive security measures to safeguard wireless networks in an increasingly interconnected world.

Background/Objectives: Successfully weaning patients with prolonged mechanical ventilation (PMV: ≥21 days) from ventilators is a challenging process, and proper nutritional support is a crucial factor in this process. Previous studies have highlighted the significance of higher albumin levels and increased daily protein intake in predicting successful weaning among PMV patients. However, the importance of calorie intake in patients with PMV has remained unclear. Methods: This retrospective study included 1,038 adult patients (age >18 years) who underwent endotracheal intubation or tracheostomy and required mechanical ventilation for >21 days. Baseline characteristics, nutritional variables, disease severity, management factors and patient outcomes (hospital stay and duration of ventilator use) were analyzed between the weaning-failure and weaning-success sub-cohorts and factors associated with successful weaning were identified. Results: The participants had mean APACHE II score of 18 and a Day 1 SOFA score of 4.9 and the successful weaning rate was 70%. Multivariate logistic regression analysis revealed that higher albumin and hemoglobin levels, the absence of shock, less positive fluid status, and higher calorie intake were associated with a higher successful weaning rate; an average calorie intake higher than 25 kcal/kg/day during respiratory care center (RCC) stay predicted better successful ventilator weaning. Conclusions: Higher daily calorie intake in the RCC is associated with more successful ventilator weaning, and an average intake exceeding 25 kcal/kg/day is recommended for optimizing the weaning process.

This study presents an optimized design for a Segmented Sinusoidal Parameter Winding with Magnetic Wedge Variable Reluctance Resolver (SSPWMW-VRR), addressing challenges like winding asymmetry and harmonic distortion in conventional designs. By integrating Particle Swarm Optimization (PSO) for winding design, Magnetic Equivalent Circuit (MEC) analysis for leakage flux, and machine learning techniques (XGBoost and Multi-Layer Perceptron), the stator slot shape was fine-tuned for improved accuracy. XGBoost outperformed MLP in prediction accuracy with a Mean Absolute Error (MAE) of 0.1172. Finite Element Analysis (FEA) simulations and experimental validation demonstrated a reduction in position errors from ±30’ in conventional VRRs to ±5’ in the optimized design, along with significant harmonic reduction.

We assembled and annotated the complete mitochondrial genomes of Lycalopex vetulus (hoary fox), Cerdocyon thous (bush dog), Tayassu pecari (white-lipped peccary), and Tadarida brasiliensis (Brazilian free-tailed bat). The mitogenomes exhibited typical vertebrate structures, containing 13 protein-coding genes, 22 tRNA genes, two ribosomal RNA genes, and a D-loop region. Phylogenetic reconstruction using the 13 protein-coding genes revealed robust relationships among species within Carnivora, Chiroptera, and Artiodactyla, corroborating previous studies. Secondary structure analysis of tRNAs and ribosomal genes showed slight variations among species of the same order. This research highlights the importance of mitochondrial genomics in understanding the evolutionary relationships and genetic diversity of Cerrado mammals, contributing to conservation efforts for this unique ecosystem.

The mining industry is a fundamental pillar of economic development in Peru, but mine tailings can generate contamination by toxic heavy metals such as Hg, As, Pb, Cd, and Zn, affecting health, flora, and fauna. This research aimed to characterize the physical, chemical, mineralogical, and toxicological properties of active and passive tailings in the Arequipa region of Peru to identify and quantify the presence of these heavy metals. Analytical techniques, such as granulometry, ICP, TCLP, SEM, and EDS were used to obtain detailed information about the characteristics of the tailings. The results showed significant variability in particle size distribution, as well as differences in mineralogical composition, including the presence of valuable and potentially toxic minerals. This study will allow corrective actions to be taken to prevent, minimize, or remediate potential negative impacts in the region.

Background: Short after the detection of the COVID virus in January 2020 the US Government introduced and enforced a series of restrictions to protect the elderly from a “deadly virus” and the “pandemic of the century”. Persons who disagreed were silenced and punished. Objective: In the 15^th month of COVID epidemic (April 2021), we have access to sufficient statistical data and methods to better understand the nature, origin of the COVID pandemic. It is now possible to reliably evaluate the effectiveness of the restrictions and the human factors / driving forces behind this drastic limitations of our natural freedom in this country. Methods: Publicly available epidemiological and population parameters were collected and analyzed using the ‘political score’ and ‘restriction ranking’ of 50 states and evaluated by simple and usual statistical methods, mainly correlation analyses. Results: This study revealed, that 1) restrictions reduced the number of viral infections, but 2) they totally failed to reduce the number of supposedly COVID related deaths, 3) they increased (SIC!) the mortality of coronavirus. The grade of restrictions were/are strongly associated to the 4) left/right political ratio of the States, there States with more democrat citizens practiced more restrictions. It was found that race, religion and Medicare spending have significant influence on politic as well as on the grade of restriction orders. Factors moving States toward the political left and harder COVID restrictions have 5) larger ‘non-white’ population, 6) larger number of ‘non-protestant’ believers, 7) larger Jewish population, and 8) more generous Medicare spending. It was not possible to see any influence of the size of the 9) senior (65+) population [i.e. those who are allegedly the most vulnerable and are mostly in need of protective restrictions] neither on the States politic nor on the restrictions Conclusions: The conclusion is that COVID restrictions are primarily politically motivated, they are ineffective to reduce COVID related mortality and they provide no extra health benefit for the so called “vulnerable” minority (elderly).

Biomolecular detections of Helicobacter pylori(HP) were compared using specially modified sensors and fluorine immobilized on a carbon nanotube (HFCNT) electrode, which yielded sensitive results. Handheld voltammetric circuits were used for optimization. An anodic voltammogram of HP molecular oxidation was obtained at 0.0 V (versus the Ag/AgCl/KCl) in a 0.1M NH4H2PO4 electrolyte solution. Under optimized conditions, the analytical working range was 2.98x103-22.127x103 CFU/ml HP using square wave (SW) stripping voltammetry, precision of R2 =0.9857 (SWSV), the detection limit approached to 2.5x102 CFU/ml HP (S/N=3).The developed techniques have been applied to diagnosis of early-stage HP infections using stomach tissue from healthy humans and gastric patients.

Solar ultraviolet (UV) is among the most important ecological factors shaping the composition of biota on the planet surface, including upper layers of waterbodies. Inhabitants of dark environments recently descending from surface organisms provide natural opportunities to study the evolutionary losses of UV adaptation mechanisms and better understand how those mechanisms function at the biochemical level. Ancient Lake Baikal is the only freshwater reservoir, where deep-water fauna emerged, and its diverse endemic amphipods (Amphipoda, Crustacea) now inhabit the whole range from highly transparent littoral to dark depths of over 1600 m, which makes them a convenient model to study UV adaptation. Here we show that adults of deep-water Baikal amphipods Ommatogammarus flavus and O. albinus indeed have high sensitivity to environmentally relevant UV levels in contrast to littoral species Eulimnogammarus cyaneus and E. verrucosus. The UV intolerance was more pronounced in deeper-dwelling O. albinus and was explainable by lower levels of carotenoids and carotenoid-binding proteins. Signs of oxidative stress were not found but specifically UV-B seemingly led to accumulation of toxic compounds. Overall, the obtained results demonstrate that UV is an important factor limiting distribution of deep-water amphipods into the littoral zone of Lake Baikal.

Objectives: This study aimed to evaluate the potential of poplar-type propolis for wound healing by analyzing its phytochemical profile and biological effects. Methods: The phytochemical characterization included specific colorimetric assays to estimate the total phenolic and flavonoid contents and the triterpenoids content. Some of the main components of poplar propolis (pinocembrin, pinobanksin, CAPE, chrysin, galangin) were analyzed using HPLC-DAD. Scavenging activity and total antioxidant capacity were assessed through DPPH and ORAC assays, respectively. Biological in vitro assays used keratinocyte, fibroblast, and monocytic cell lines. The direct wound healing properties were tested through scratching assays and ELISA kits for the assessment of the production of growth factors (FGF-7, Latency Associated Peptide - LAP), while the indirect effects were evaluated through the estimation of the levels of MMP9, IL-1β, IL-8 and TNF-α using ELISA kits together with a cell-free test on the inhibition capacity on collagenases. During the study, the Network Pharmacology analysis was employed to further explore possible mechanisms of action of propolis on the healing process. Results: The analyses confirmed the high phenolic content of poplar propolis, dominated by flavonoids, and terpenes. Propolis exhibited significant antioxidant activity and interestingly, propolis showed indirect wound-healing properties by mitigating inflammation and remodeling (reduced IL-1β and MMP9) and potentially modulating the immune response (upregulated IL-8). In vitro studies confirmed these effects, demonstrating decreased MMP9 production and collagenase inhibition when cells were co-treated with propolis and a stressor. Propolis also suppressed IL-1β release in fibroblasts, although its impact on TNF-α was inconclusive. Notably, co-treatment upregulated IL-8 in monocytes, suggesting a potential immunomodulatory role. Conclusion: poplar propolis may not directly stimulate cell proliferation during wound healing, while its anti-inflammatory and immunomodulatory properties could suggest an indirect contribution to the process.

Aluminum-based hybrid nanocomposites, particularly Al6061 alloy, have gained prominence in the scientific community due to their unique properties, such as high strength, low density, and good corrosion resistance. The production of these nanocomposites involves incorporating reinforcing nanoparticles into the matrix to improve its mechanical and thermal properties. Al6061 hybrid nanocomposites were manufactured using powder metallurgy. Silicon carbide (SiC) ceramic nanoparticles and carbon nanotubes (CNTs) were used as reinforcements. Characterization of the Al6061 hybrid nanocomposites involved analysis of their mechanical properties, such as hardness and tensile strength, as well as their micro and nanometric structures. Techniques such as optical microscopy (OM) and scanning electron microscopy (SEM) with electron backscatter diffraction (EBSD) were used to study the distribution of nanoparticles, the grain size of the microstructure, and the presence of defects in the matrix. The results showed that adding reinforcing nanoparticles can significantly improve the properties of Al6061, depending on the amount and type of nanoparticles. However, the agglomeration of the nanoparticles and the difficulty of uniform dispersion remain challenges in manufacturing these nanocomposites. The microstructural evaluation revealed significant grain refinement and improved homogeneity in the hybrid composites, resulting in enhanced mechanical performance. Tensile tests demonstrated that the hybrid Al6061/CNTs/SiC composite exhibited the highest tensile strength of 104 MPa, compared to 63 MPa for the unreinforced Al6061 matrix.

Introduction. Mexico confirmed its first COVID-19 case in February 2020. Since then, it has been important to describe the presentation and data of critically ill patients with ARDS caused by SARS-CoV-2. Objectives. To determine the survival of critically ill patients with ARDS due to SARS-CoV-2. Secondary objectives are to identify factors associated with mortality in these patients and to evaluate 90-day survival based on these risk factors. Materials and Methods. This observational, retrospective study was conducted in an ICU at a tertiary hospital in Mexico City (March 2020 - March 2023). It included patients over 18 years old with COVID-19 confirmed by PCR, excluding those with negative PCR, those who died within the first 24 hours, or those without invasive mechanical ventilation. Demographic, clinical, and treatment data were collected. Descriptive statistical analyses, logistic regression, and Kaplan-Meier analyses were performed. The study was approved by ethical committees and did not require informed consent. Results. A total of 157 patients with COVID-19 were studied, with a mean age of 62.8 years and a male predominance (74.5%). ARDS was severe in 68.2%, and acute kidney injury (AKI) developed in 70.1%. The mortality rate was 58.6%, with a 90-day survival of 33.1%. Factors such as AKI (OR = 3.4), hemodynamic failure (OR = 6.5), and elevated lactate (OR = 0.201) were independently associated with mortality, with their impact on survival confirmed by the log-rank test. Conclusion. In critically ill patients with ARDS due to COVID-19, the 90-day survival rate was 33.1%. AKI, hemodynamic failure, and elevated lactate were associated with reduced survival, especially when AKI was combined with hemodynamic failure (26.7%).

The discovery that vitamin D2 is being generated by anaerobic microbial metabolism in the alimentary tract, raises the question whether such a source of vitamin D could contribute to vitamin D supply for the animal hosting this microbial production system. In ruminants, this microbial generation in the forestomach allows vitamin D2 to be readily absorbed when it reaches the small intestine, contributing to vitamin D2 and 25-hydroxyvitamin D2 [25(OH)D2] found in their tissues. In monogastric animals like humans, the microbial generation of vitamin D2 is occurring in the large intestine. There is evidence that vitamin D hydroxy metabolites, delivered to the lumen of the colon can be absorbed. However, the parent vitamin D is more lipophilic than its metabolites, and like lipophilic vitamin K2 being produced by bacteria in the hindgut, may be poorly absorbed by the colon mucosa. It is now apparent that colon mucosal cells have the proteins megalin and cubilin in their basal membrane. These glycoproteins perform endocytosis of circulating proteins including vitamin D binding protein [DBP]. Inside the cell, DBP binds to cytoplasmic actin and thus provides an array of high affinity binding sites for vitamin D and its functional metabolites. Any traces of vitamin D2 that may diffuse into the colon mucosal cells from the lumen would thus be retained and accumulate on the DBP-actin. It would then be a substrate for functional hydroxylase metabolism for local endocrine action in these cells, and subsequent delivery of 25(OH)D2 by diffusion to apo-DBP in the circulation.

Modern organizations have migrated from localized physical offices to work-from-home environments. This surge in remote work culture has exponentially increased the demand and usage of Virtual Private Network (VPN), which permits remote employees to access corporate offices effectively. However, the technology raise concerns including security threats, latency, throughput, and scalability, among others. These Newer generation threats are more complex and frequent, which makes the legacy approach to security ineffective. The research paper gives an overview of contemporary technologies used across enterprises including VPN and Zero Trust Network Access (ZTNA), Proxy Servers, Secure Shell (SSH) Tunnels, Software-defined wide area network (SD-WAN), and Secure Access Service Edge (SASE). This paper also presents a comprehensive cybersecurity framework named Zero Trust VPN (ZTVPN), which is a VPN solution based on Zero Trust principles. The proposed framework is aimed to enhance IT security and privacy for modern enterprises in remote work environments and addresses concerns of latency, throughput, scalability, and security. Finally, the paper demonstrates the effectiveness of the proposed framework in various enterprise scenarios, highlighting its ability to prevent data leaks, manage access permissions, and provide seamless security transitions. The findings underscore the importance of adopting ZTVPN to fortify cybersecurity frameworks, offering an effective protection tool against contemporary cyber threats. This research serves as a valuable reference for organizations aiming to enhance their security posture in an increasingly hostile threat landscape.

In an attempt to replace corroding mild steel components in aggressive mine water environ-ments, nickel-chromium-iron (Hastelloy® G30), copper-nickel-tin (ToughMet® 3), and co-balt-chromium-tungsten (Stellite® 6B) hard alloys were selected due to their excellent corrosion resistance, but they remain challenged in many acidic environments. The corrosion behaviours of these alloys were compared and investigated in synthetic mine water with varying pH levels (6, 3, 1) using potentiodynamic polarisation. Microstructural, hardness, and XRD analyses were conducted. Stellite® 6B exhibited superior corrosion resistance across all pH values, outperform-ing both Hastelloy® G30 and ToughMet® 3. With the lowest corrosion rates and comparable high hardness, Stellite® 6B emerges as a promising choice for replacing mild steel pump components in aggressive mine water environments.

All-dielectric metasurfaces offer a low-loss alternative to plasmonic metasurfaces. We proposed the configuration for high-reflectivity all-dielectric metasurfaces based on single-crystal diamond (SCD) resonators on fused silica substrate and conducted simulations to optimize and analyse such configuration via FDTD solver. We utilized GMR as design principles to select the configuration and the substrate material, and analyzed the scattering properties of a single SCD resonator by multipole decomposition. Then we have demonstrated that both the cylindrical resonators in square lattice and frustum-shaped resonators in hexagonal lattice can achieve near-unity reflectivity (> 99.99%) and ultra-low absorption (< 0.001%) at 795 nm, the typical alkali-metal laser wavelength. Additionally, we have demonstrated that such design is quite tolerant to fabrication errors and further supports its potential for realistic applications. To expand the functionality of such devices across multiple wavelengths, a dual-band high-reflectivity meta-surfaces at 744 nm and 828 nm has also been designed. Our work is quite useful for designing diamond-based highly reflective mirrors, paving the way for low-loss all-dielectric reflective metasurfaces in high-power laser applications.

Carcinoid syndrome (CS) is a rare condition associated with neuroendocrine tumors (NETs), particularly those originating in the gastrointestinal tract, which secrete bioactive substances like serotonin. The management of CS requires a multidisciplinary approach due to its complex clinical manifestations, including flushing, diarrhea, bronchospasm, and carcinoid heart disease. Optimal care involves collaboration between several professional figures like oncologists, endocrinolo-gists, gastroenterologists, surgeons, and dietitians. Currently, a wide range of treatments are available focused on both symptom control and tumor burden reduction. Somatostatin analogs (SSAs) are the first-line therapy for symptom relief. Still, in patients with progressive disease or refractory CS, other options include targeted therapies, peptide receptor radionuclide therapy (PRRT), liver-directed therapies, and surgical resection when feasible. Furthermore, management of complications related to prolonged serotonin release and malnutrition as a result of exocrine pancreatic insufficiency, post-surgical conditions, vitamin deficit, and chronic diarrhea often re-quires early detection to mitigate symptoms and improve the quality of life in these patients. The complexity of CS necessitates individualized care and continuous coordination among specialists to optimize outcomes and enhance patient well-being.

Child labor remains a predominant issue in Pakistan, despite the country’s existing policies and frameworks aimed at abolishing it. Through this study, we investigated the child labor distribution across Sindh and examined the factors that shape the regional patterns. We analyzed the data available through the 2018-19 Sindh Multiple Indicator Cluster Surveys, MICS 6, from 20,030 households with 40,633 children in the 5-17 age bracket. By applying prevalence statistics, chi-square tests, and regression modeling to these data, we investigated the trends in child labor prevalence, identified the correlation between child labor and various socioeconomic and geodemographic variables, and finally mapped the geospatial patterns of child labor across districts in Sindh, enabling us to identify and prioritize the districts in need of immediate intervention. The findings revealed that about 20 percent of the children in Sindh are engaged in child labor, with a high prevalence among males and in the 15-17 age bracket. Moreover, poverty and rural dwellings raise this issue. Other socioeconomic and geographic factors reinforcing this issue are lack of education among children, mothers or caretakers, and mothers’ or caretakers’ functional difficulties. However, children’s functional difficulties lower their prevalence in labor. Among the 29 districts across Sindh, Kambar Shahdadkot has the highest prevalence of child labor.

Lymphadenomegaly is well described in dogs with neoplastic diseases, but it can also reflect in-flammation. However, its role in assessments of inflammation is little reported in the veterinary literature. Lymph nodes are most easily assessed superficially through palpation, but computed tomography (CT) enables evaluation of deep lymph nodes. Accordingly, we investigated associ-ations between maximal lymph node diameter and plasma concentrations of C-reactive protein (CRP), a sensitive inflammatory marker, targeting three deep lymph nodes (sternal, cranial me-diastinal, and internal iliac). We evaluated data from small dogs with non-neoplastic diseases that underwent synchronous CT and blood biochemistry at our institution. We found that cranial mediastinal lymph node diameter was significantly greater in dogs with clinically elevated CRP than those with clinically unremarkable CRP (CRP 0.7-7.0< mg/dL vs.

BACKGROUND. Invasive aspergillosis (IA) is a deadly fungal lung infection. Antifungal resistance and treatment side effects are major concerns. Iron chelators are vital for IA management, but systemic use can cause side effects. We developed nanoparticles (NPs) to selectively deliver the iron chelator deferasirox (DFX) for IA treatment. METHODS DFX was encapsulated in poly(lacticco‐ glycolic acid) (PLGA) NPs using a single emulsion solvent evaporation method. NPs were characterized by light scattering and electron microscopy. DFX loading efficiency and release were assessed spectrophotometrically. Toxicity was evaluated using SRB, luciferase, and XTT assays. Therapeutic efficacy was tested in an IA mouse model, assessing fungal burden by qPCR and biodistribution via imaging.RESULTS DFX‐NPs had a size of ~50nm and a charge of ~‐30mV, with a loading efficiency of ~90%. Release kinetics showed DFX release via diffusion and bioerosion. The EC50 of DFX‐NPs was significantly lower (p<0.001) than the free drug, and they were significantly less toxic (p<0.0001) in mammalian cell cultures. In vivo, NPs treatment significantly reduced Af burden (p<0.05). CONCLUSION The designed DFX‐NPs effectively target and kill Af with minimal toxicity to mammalian cells. The significant in vivo therapeutic efficacy suggests these NPs could be a safe and effective treatment for IA.

Drug–targeted integrated nanofiber development is a current research trend. Potential materials for the development of such systems include Poly (vinyl alcohol) (PVA) and chitosan (CS) nanofibers, which are traditionally fabricated by electrospinning aqueous solutions of these polymers with acetic acid. To improve drug integration, the binary-solvent system was converted into a multi–solvent system by the adding of ethanol. This caused noticeable shifts in the solvent system's solubility parameter, the interaction of the various component forces, and optical and rheological properties of PVA-CS solution. The results show that solution containing 4% PVA, 3% CS, 15% ethanol and 45% acetic acid is optimal for the increasing of manufacturing productivity, improving the morphology and diameter of PVA–CS nanofibers, without changing in chemical bonding composition. The XRD spectrum revealed that the alterations in the crystal lattice and diameter of the PVA–CS nanofibers leaded to the variation in their thermal and tensile properties.

Introduction: Persistent hypophosphatasia (pHPE) can be an expression of hypophosphatasia (HPP), a rare disorder of bone metabolism resulting from ALPL gene pathogenic variants. The aim of this study was to identify the role of auxiliary general biomarkers to verify low ALP serum activity as an alert parameter for an ALPL gene pathogenic variants. Material: A retrospective analysis of adult patients with at least one reduced ALP value of less than 21 U/L was performed. 88 patients had a temporary HPE (tHPE group). 12 out of 20 patients with persistent HPE agreed to a genetic analysis. 11 patients had a pathogenic ALPL gene variant (ALPL group). Hemoglobin [HB], alanine aminotransferase [ALT], aspartate aminotransferase [AST], gamma-glutamyl transferase [GGT], calcium, phosphate, thyrotropin [TSH], albumin, total protein, and C-reactive protein [CRP] levels) represented basic biomarkers. A statistical comparison of general biomarkers was performed between both groups. Results: The mean HB, ALP, AST, calcium, albumin, and total protein levels were lower in the tHPE group (p

Because of safety concerns associated with the use of liquid electrolytes and electrolyte solutions options of non-liquid materials like gels and polymers used as ion conducting electrolytes have been explored intensely. The low ionic conductivity of hard and soft solid materials was too low for practical applications in supercapacitors which require low internal reistance of a device and consequently highly conducting materials. Even if an additional separator may not be needed when the solid electrolyte already ensures reliable separation of the electrodes the electrolytes prepared as films or membranes as thin as practically acceptable resistance may still be too high. Recent developments with gel electrolytes sometimes approach or even surpass liquid electrolyte solutions in terms of effective conductance. Reported studies are reviewed, material combinations are sorted out, trends are identified.

In Europe, non-residential building stock built before building energy codes consumes more energy and resources than new buildings. Existing educational buildings comprise 17% of this outdated stock. These buildings can be retrofitted to create a conducive learning environment that can improve students’ comfort. Facade renovation has become the first choice for elevating the building performance of the education stock because it is less expensive than other alternatives. This study develops a methodology to optimize facade renovation solutions including: 1) preparation, 2) simulations of the simplified model using local shading, and 3) modelling realistic optimized facade design. This study evaluates visual comfort by considering multiple-dimensional metrics such as useful daylight illuminance (UDI), annual sunlight exposure (ASE), illuminance uniformity and the daylighting factor. The methodology was first applied to improve the facade proposal “Roof to Façade” in the project Waste-based Intelligent Solar Control Devices for Envelope Refurbishment (WiSeR) and simulations with the software DesignBuilder to design tile system facades. The results illustrate that implementing these solutions could efficiently improve indoor visual comfort by considering multiple daylight metrics. Moreover, for a constant gaps surface, the facade distribution with staggered gaps performs better in terms of the daylighting factor, solar gains and uniformity than more continuously connected gaps.

The widespread diffusion of electric vehicles poses new challenges in the field of fault diagnostics. Past studies have been focused mainly on machines designed for industrial applications, where the operating conditions and requirements are significantly different. This work presents a review of the most recent studies about fault diagnosis techniques in electrical machines feasible for traction applications, with a focus on the most adopted approaches of the last years and on the latest trends. Considerations about their applicability for electric vehicle purposes, along with some areas that require further research, are also provided.

This study aimed to analyze the productive behavior of the maize crop, cultivated at different population densities, in management zones (MZ) delimited based on mapping the spatial variability of the soil apparent electrical conductivity (ECa). The soil ECa was measured and two MZs were subsequently delimited, one with low and the other with high ECa. In each MZ, four maize sowing densities were tested: 60,000 (D1); 80,000 (D2); 100,000 (D3) and 140,000 (D4) seeds ha-1. Ear length, number of grains per ear, number of grains per row, number of rows per ear, thousand-grain weight, and yield were evaluated. The increase in sowing density in the high ECa MZ linearly reduced the values of ear diameter, number of rows per ear, number of grains per ear and thousand-grain weight. Sowing density D3, when implemented in the low ECa MZ, showed higher values for the ear length, ear diameter, number of grains per row, number of grains per ear, and thousand-grain weight. Sowing density D2 was the one with the highest yield, regardless of the MZ where it was implemented (5,628.48 kg ha-1 in the high ECa management zone and 4,463.63 kg ha-1 in the low ECa).

Context: Business Process Automation (BPA) is adopted by organizations to improve efficiency, reduce costs, and increase overall business performance. Traditional Business Process Automation (TBPA) is one of the three approaches employed to develop a BPA. TBPA entails developing BPA in a programming language for integrating the relevant applications in the digital ecosystem to execute a given process. Process variability and practitioner unavailability encumber the requirements specification for TBPA software. Objective: This work proposes a log-based approach for TBPA software to make software more adaptable to process changes and reduce reliance on practitioners, by providing a higher alignment among business process requirements and software architecture, and employing process mining to semi-automatically discover the business process during requirements elicitation. Method: The research conducted a case study in a technology institute to assess the approach and report its results in practice. Results: The results revealed significant improvements in adaptability to business process changes and decreased the time spent with practitioners, and, efficiency in development. The approach also presented limitations, including human intervention to accurately obtain the business process, complexity to trace the process into the architecture, data privacy concerns, and risk of network traffic overload. Conclusion: This research demonstrated the effectiveness of traceability between process requirements and software architecture, as well as the use of logs and process mining. These methods made TBPA software enhanced the software adaptability to changes and minimized the reliance on practitioners during requirements elicitation respectively.

Single crystal nickel-based superalloys are extensively used in turbine blade applications 1 due to their superior creep resistance compared to their polycrystalline counterparts. With the high 2 creep resistance, High Cycle Fatigue (HCF) and Low Cycle Fatigue (Single crystal nickel-based 3 superalloys are extensively used in turbine blade applications due to their superior creep resistance 4 compared to polycrystalline counterparts. As a result, fatigue becomes the primary failure mechanism 5 in such applications. Specifically, High Cycle Fatigue (HCF) and Low Cycle Fatigue (LCF) are of 6 significant concern under these conditions. This study investigates the fatigue life prediction of 7 CMSX-4 using a combined crystal plasticity and lifetime assessment model. The constitutive crystal 8 plasticity model simulates the anisotropic, rate-dependent deformation behavior of CMSX-4, while 9 a modified Chaboche damage model is used for lifetime assessment, incorporating anisotropy by 10 focusing on cleavage stresses on active slip planes. Both qualitative and quantitative data obtained 11 from HCF experiments on single crystal superalloys with notched geometry were used to validate 12 the model. Furthermore, artificial neural networks (ANNs) were employed to enhance the accuracy 13 of lifetime predictions across varying temperatures by analyzing the stress-strain data obtained from 14 simulations. The integration of crystal plasticity, damage mechanics, and ANNs resulted in accurate 15 predictions of fatigue life and crack initiation points under complex loading conditions of single 16 crystal superalloys.

Medical ozone is a redox regulator with beneficial effects in oxidative etiology diseases such as rheumatoid arthritis (RA). The aim of this study was to conduct a holistic review from different pharmacological trials involving ozone in model diseases as well as the clinical response of RA patients. The ROS involved in RA and its relationship to the main pathological pathways of this autoimmune disease were here considered. The integrator analysis of experimental results from animals with clinical findings have revealed that both methotrexate (MTX) and medical ozone share common mechanisms via adenosinergic regulation. This finding has enabled us to propose a new pharmacological mechanism in the treatment of RA. We concluded that MTX + medical ozone combined therapy reduces ROS overproduction and the generation of proinflammatory cytokines, and decreases anti-cyclic citrullinate peptide levels by a mutual mechanism involving adenosine A1 receptors.

Abnormal platelet functions are associated with human morbidity and mortality. Maintaining physiological platelet function is critical to hemostasis and preventing platelet-associated diseases such as cardiovascular disease, cancer metastasis, immune disorders, hypertension, diabetes, sickle cell disease, inflammatory bowel disease, sepsis, rheumatoid arthritis, myeloproliferative disease, and Alzheimer’s disease. Platelets become hyperactive in obesity, diabetes, a sedentary lifestyle, hypertension, pollution, and smokers. Platelets, upon activation, can trawl leukocytes and progenitor cells to the vascular injury sites. Platelets also release various pro-inflammatory, anti‐inflammatory, and angiogenic factors and shed microparticles in the circulation. The challenge for therapeutic intervention in these diseases will be identifying factors that preferentially block specific targets involved in platelets' complex contribution to inflammation or tumor progression while leaving their hemostatic function at least partially intact. Since antiplatelet drugs such as aspirin are not recommended as primary preventives, it is essential to use alternative safe platelet inhibitors. Potent natural antiplatelet factors were investigated, including n-3 fats, polyphenols, and other bioactive compounds. This review describes the anti-platelet bioactive compounds in food that can prevent platelet hyperactivity and thus may prevent several platelet-mediated diseases, including cardiovascular disease.

Microorganisms such as bacteria, viruses and fungi are frequently the cause of infections. Antimicrobial agents, such as antibiotics, antivirals, and antifungals, are used to target and eliminate these infectious agents. Treating infections is crucial to prevent them from spreading, causing complications, or becoming chronic. On the other hand, inflammation is a natural response of the immune system to injury, infection, or irritation. While acute inflammation is a natural and protective process, chronic inflammation can contribute to various health issues, including autoimmune diseases, allergies, and chronic conditions like arthritis. Although herbal remedies have been used for centuries and can be effective in certain situations, it is crucial to use them with caution. Not all herbal remedies are supported by scientific evidence, and their safety and efficacy can vary. Thus, we conducted this review to determine the potential health benefits of agarwood as an antimicrobial and anti-inflammatory agent. Original articles were searched in three databases (PubMed, Scopus and Google Scholar) from the year 2013 to 2023 using the Medical subject heading (MeSH) terms “antimicrobial” and/or “anti-inflammatory”, crossed with the term “agarwood”. Synonyms and relevant search terms were also searched.  The most studied agarwood for antimicrobial and anti-inflammatory agents is Aquilaria sinensis. Some studies have shown its potential application as a biopesticide for mosquito control and as a potent inhibitor for fungi, including Lasiodiplodia theobromae, Fusarium oxysporum, and Candida albicans. Moreover, it is capable of inhibiting Bacillus subtilis and Staphylococcus aureus activities. In conclusion, agarwood and its isolates are worthy of further biomedical investigation and could be developed as potential candidates for the treatment or prevention of various microbial and inflammatory diseases. This review reveals that despite the absence of clinical trials, agarwood exhibits antimicrobial and anti-inflammatory properties.

The present paper addresses dynamic risks in the automotive industry factories, specifically the car lead-acid batteries manufacturing area. The main analyzed risk is represented by the fire risk. Battery manufacturing process is described and analyzed from the fire risk perspective and the hazard areas are identified. The investigation methodology uses case studies for different lead-acid battery formation processes, combined with 3D simulations using PyroSym platform, and it is based on the author's experience in the battery manufacturing field for about ten years. The results of the case studies are compared using the same inputs, but different specific process conditions, and conclusions are formulated. To avoid the fires and mitigate the risk, a series of actions are proposed in the last sections. As a general conclusion, the actual research demonstrates that the complex and dynamic risks from the automotive industry, associated with Industry 5.0 must be analyzed using combined methods, classical and modern, including 3D simulations, to get great results.

This article documents the rammed earth construction practices undertaken by Wang Shu’s team during the “Tiles Hill — New Reception Center for the Xiangshan Campus” project. This building not only embodies the principle of “learning from nature” inherent in traditional vernacular construction but also profoundly interprets the concept of “the craftsmanship way”. Traditional rammed earth techniques represent a sustainable construction method, with a core focus on material composition and building techniques. Through more than a decade of continuous research, the team, combining modern technology, explored how to revive this nearly forgotten vernacular construction method in contemporary architecture. The article further highlights that the recyclability of rammed earth techniques is not only reflected in the reuse of materials but also in the material‘s inherent friendliness and non-destructive nature to the natural environment. This process showcases the fusion of traditional craftsmanship with modern construction technology, as well as the inheritance and innovation of the artisan spirit.

The number of environmental surveillance reports of the ocean ecosystem through systematic studies on marine mammal health and disease is increasing. Understanding host-microbe interactions in cetaceans may contribute to the identification of compromised populations, microbial markers of disease, and ultimately to scientifically base population management decisions. This study is the first assessment of the oral microbiome of three pygmy sperm whales (Kogia breviceps), found stranded in Atlantic Iberian waters, by 16S rDNA-amplicon sequencing. A constrained canonical analysis approach showed that the oral microbiomes were shaped by the host species when compared to the oral microbiomes of three Odontoceti species obtained in a previous study (Delphinus delphis, Stenella coeruleoalba, and Phocoena phocoena). A total of 9 ASVs, belonging to the genera Campylobacter (2 ASVs), Phocoenobacter (4 ASVs), Psychrobacter (1 ASV), Tenacibaculum (1 ASV), and Terasakiispira (1ASV), contributed exclusively for the pigmy sperm whales clustering. Evaluating these potential microbial signatures from the K. breviceps specimens, we were able to highlight features evidencing high homology with known marine pathogens, such as Actinobacillus delphinicola, Pasteurella skyensis, Tenacibaculum gallaicum, and Te-nacibaculum soleae, thus suggesting a disease association. These should be further explored as mi-crobiota fingerprints towards cetacean population control and biomonitoring.

Background/Objectives: Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) greatly complicates treatment of skin and soft tissue infections (SSTI). It was previ-ously found that subcutaneous (SQ) treatment with the mononuclear phagocyte (MP)-selective activator, complement peptide-derived immunostimulant-02 (CPDI-02; formerly EP67), increases prophylaxis of outbred CD-1 mice against SQ infection with CA-MRSA. Here, we determined if treatment with CPDI-02 also increases curative protection. Methods: Female CD-1 mice were challenged SQ with CA-MRSA USA300 LAC then CPDI-02 or inactive scCPDI-02 was administered by a topical, SQ, IM, or IV route at 6- or 24-hrs post-challenge. Dermal abscess sizes were compared over 10 days and CA-MRSA burden, neutrophils, MP, and pro-inflammatory cytokines were compared in dermal abscesses. CPDI-02 PK and distribution in female CD-1 mice were compared after IM or IV dosing and CPDI-02 toxicity was determined by IM dose escalation and repeat IM dosing in male and female CD-1 mice. Results: Repeat IM treatment with CPDI-02 starting at 6-hrs post-challenge decreased maximum abscess surface area, CA-MRSA burden, and time to resolu-tion, whereas repeat treatment by the topical, SQ, or IV route had no effect. Starting CPDI-02 treatment at 24-hrs post-challenge was ineffective regardless of route. Single IM treatment with CPDI-02 starting at 6-hrs post-challenge was as effective as repeat IM treatment, increased systemic exposure, and decreased initial levels of IL-1β and increased MP in dermal abscesses. CPDI-02 was tolerated to between 130-170 mg/kg for single IM dosing and 65-130 mg/kg for repeat IM dosing with males being more tolerant. Conclusions: Single early-stage IM treatment with CPDI-02 may increase curative protection against SSTI caused by CA-MRSA or other pathogens controlled by activated MP.

The ever-growing student population and limited administrative resources strain traditional communication channels within educational institutions. Chatbot technology offers a promising solution, but current limitations can impede effective student-administration interaction. This paper proposes a hybrid chatbot model to enhance reliability in educational administration by addressing the limitations of generative models like ChatGPT. We investigate three individual chatbot approaches (rule-based, retrieval-based, and generative-based) to handle educational inquiries. An evaluation assessed their strengths, weaknesses, and user experience. Based on these findings, a hybrid model with an intelligent classifier for query routing was developed. This model leverages each approach's strengths and addresses uncertainty in the generative model to achieve increased accuracy and reliability. Our results demonstrate an accuracy improvement compared to individual models. This work contributes to developing adaptable chatbot systems capable of addressing a wider range of user inquiries, which is particularly beneficial in resource-constrained educational settings. Additionally, the proposed model demonstrates competitive performance when benchmarked against existing state-of-the-art administrative educational chatbots. Furthermore, by automating routine inquiries and offering 24/7 access to information and support, this model has the potential to reduce administrative workload and improve the overall student experience significantly. Moreover, the modular design of our hybrid model offers a foundation for future research on personalizing chatbot interactions and integrating domain-specific knowledge for enhanced communication within educational environments.

Calmodulins (CaMs) and calmodulin-like-proteins (CMLs) belong to families of calcium-sensors that act as calcium-ion (Ca2+) signal-decoding proteins and regulate downstream target proteins. As a tropical halophyte, Canavalia rosea shows great resistance to multiple abiotic stresses, including high salinity-alkaline, extreme drought, heat, and intense sunlight. However, investigations of calcium ion signal transduction involved in the stress responses of C. rosea are limited. The CaM and CML gene families have been identified and characterized in many species. Nevertheless, there is limited available information about these genes in C. rosea. In this study, a bioinformatic analyses, including the gene structures, conserved domains, phylogenetic relationships, chromosome distribution, and gene synteny, was comprehensively performed to identify and characterize the CrCaM and CrCML gene members. A spatio-temporal expression analysis in different organs and environmental conditions were then assayed using the RNA sequencing technique. Additionally, several CrCaM and CrCML members were then cloned and functionally characterized using the yeast heterogeneous expression system, and some of them were found to change the tolerance of yeast to heat, salt, alkaline, and high osmotic stresses. Furthermore, this indicated that the CrCaMs and CrCMLs play important roles in stress resistance. The results of this study provide a foundation for understanding the possible roles of plant CaM and CML genes, especially for halophyte C. rosea natural ecological adaptability. This study also provides a theoretical basis for further study of the physiological functions of plant CrCaMs and CrCMLs that are involved in multiple abiotic stresses.

his article presents a method for detecting P, QRS, T, and U waves in electrocardiogram (ECG) signals through advanced signal processing techniques, including a Butterworth bandpass filter and peak finding algo- rithms. The results are evaluated against the voltage ranges recommended in the literature, underscoring the importance of accurate wave detection for the diagnosis of various cardiac conditions.

The aim of the study was to analyze the functional properties of newly obtained films based on sodium alginate and lecithin with the addition of antioxidant-rich coffee extracts, and to verify their potential as safe edible food packaging materials. In our study we developed alginate-lecithin films enriched with green or roasted coffee bean extracts. The roasting process of coffee beans had a significant impact on the total phenolic content (TPC) in the studied extracts. The highest value of TPC (134.86 mg GAE/L) as well as antioxidant activity (AA) (0.88 mM T/L) was observed for the extract of light roasted coffee beans. Films with addition of medium roasted coffee extracts and baseline films had the highest tensile strength (21.21±0.73 N). The addition of coffee extract improved the barrier properties of films against UV light by a decrease in transmittance values (200-400 nm), regardless of the type of extract added. Studies on Caco-2, HepG2 and BJ cells shown that digestated films were non-cytotoxic materials (100-0,1 ug/mL) and had no negative effect on cell viability, an increase was noted for all cell lines, the highest after 48-hours in dose 1 ug/mL for film with medium-roasted coffee (194.43±38.30) for Caco-2. The tested films at 20% digestate concentrations demonstrated the ability to reduce nitric oxide (NO) production in the RAW264.7 cell line by 25 to 60% compared to the control. Each of the tested films with coffee extracts had growth inhibitory properties towards selected species of bacteria.

Corticosteroids are extensively used in medicine for their powerful anti-inflammatory and immunosuppressive effects. However, their psychiatric side effects—such as mood disturbances, anxiety, and psychosis—are significant yet often underappreciated. This review provides a comprehensive exploration of corticosteroid-induced psychiatric disorders, with a focus on their underlying mechanisms and clinical implications. We examine how corticosteroids influence the Hypothalamic-Pituitary-Adrenal (HPA) axis, leading to dysregulation of stress responses and alterations in neurotransmitter levels, particularly dopamine, serotonin, and glutamate. These changes are linked to structural abnormalities in key brain areas such as the hippocampus and amygdala, which are implicated in mood and anxiety disorders, psychosis, and conditions like post-traumatic stress disorder (PTSD) and eating disorders. This review highlights the need for healthcare providers to be vigilant in recognizing and managing corticosteroid-induced psychiatric symptoms, especially in vulnerable populations with pre-existing mental health conditions. The complex relationship between corticosteroid type, dose, duration, and mental health outcomes is explored, emphasizing the importance of personalized treatment approaches to mitigate psychiatric risks. Given the widespread use of corticosteroids, there is an urgent need for more focused research on their psychiatric side effects. This review underscores the importance of patient education and careful monitoring to ensure optimal therapeutic outcomes while minimizing mental health risks associated with corticosteroid therapy.

This exploratory study investigates the role of wearable technologies in fostering emotional connections between human brands and customers. Given the rapid growth of the wearable technology market and the increasing importance of emotional connections in marketing, this research aims to uncover the potential of these technologies in strengthening the affective bond between brands and consumers. The mixed-method approach included semi-structured in-depth interviews with 25 marketing experts and an online survey of 300 consumers. Data analysis was conducted using thematic coding and statistical tests including Pearson correlation and multiple regression. Results indicated that wearable technologies can enhance emotional connections through personalized interactions (r=0.72, p<0.001), creating a sense of proximity (β=0.65, p<0.01), and facilitating two-way communications (β=0.58, p<0.01). These findings offer new perspectives for marketing strategies and customer relationship management in the digital age, highlighting the potential of wearable technologies as a powerful tool for building and maintaining emotional bonds between human brands and their audiences. The study contributes to the growing body of literature on technology-mediated brand relationships and provides practical implications for marketers seeking to leverage wearable technologies in their brand communication strategies.

The discovery of antibiotics was one of the greatest achievements in human history, however, antibiotic resistance evolved no later than the introduction of antibiotics. The rapid evolution of antibiotic-resistant pathogens soon became a nightmare and remained a global healthcare threat. There is an urgent need to have new alternatives or new strategies to combat the multi-drug resistant superbugs such as methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), carbapenem-resistant Pseudomonas aeruginosa (CR-PA), extended-spectrum β-lactamases (ESBL) bearing multidrug-resistant Acinetobacter baumannii (MDR-AB), Escherichia coli, and Klebsiella pneumonia. Antimicrobial peptides (AMPs) have been considered promising agents equipped with unique mechanisms of action along with several other benefits to fight the battle against drug-resistant superbugs. Overall, the current review summarizes the mechanisms of drug-resistant development, the mechanism of action adopted by AMPs to combat drug-resistant pathogens, and the immunomodulatory properties of AMPs. Additionally, we have also reviewed the synergistic potential of AMPs with conventional antibiotics and the associated challenges and limitations of AMPs in the way of pharmacological development for therapeutic applications in clinical settings.

Background: Family and Community Nurse specialists are advocates of a holistic model of care in multidisciplinary primary care teams. The study aimed to describe and understand the experiences and perceptions of family and community nurse specialists with regard to their employment situation in primary care teams in Spain; Methods: A Qualitative descriptive study was conducted. Eighteen family and community specialist nurses from different autonomous communities in Spain participated. Individual interviews and a focus group were conducted; Results: The results showed two themes and four sub-themes: 1) Current work situation of the Family and Community Nursing specialist: a) The lack of social and work recognition, and b) The advantages of working with Family and Community Nursing specialists; and 2) Support network and system of rejection: a) Systematic ambivalence towards Family and Community Nursing and b) Need for institutional support. Conclusions: Their inclusion in primary care teams fosters the nurse-patient bond, increases and/or maintains patient quality of life and promotes patient health empowerment. However, there is a great lack of knowledge on the part of society and health administrations regarding the functions of these nurses.

This paper reviews recent works related to applications of reinforcement learning in power system optimal control problems. Based on an extensive analysis of works in the recent literature, we attempt to better understand what is the gap between reinforcement learning methods that rely on complete or incomplete information about the model dynamics, and data-driven reinforcement learning approaches. More specifically we ask how such models change based on the application or the algorithm, what are the currently open theoretical and numerical challenges in each of the leading applications, and which reinforcement-based control strategies will rise in the following years. The reviewed research works are divided to ``model-based'' methods and ``model-free'' methods, in order to highlight the current developments and trends within each of these two groups. The optimal control problems reviewed are energy markets, grid stability and control, energy management in buildings, electrical vehicles and energy storage.

This paper explores the application of machine learning techniques and statistical analysis to identify patterns of victimization and the risk of gender-based violence in San Andrés de Tumaco, Nariño, Colombia. Models were developed to classify women according to their vulnerability and risk of suffering various forms of violence, which were integrated into a decision-making tool for local authorities. The algorithms employed include K-means for clustering, artificial neural networks, random forest, decision trees, and multiclass classification algorithms combined with fuzzy classification techniques to handle incomplete data. Implemented in Python and R, the models were statistically validated to ensure their reliability. Analyses based on health data revealed key patterns of victimization and risks associated with gender-based violence in the region. This study presents a data science model that uses a social determinants approach to assess the characteristics and patterns of violence against women in the Pacific region of Nariño. The research was conducted within the framework of the Orquídeas Program of the Colombian Ministry of Science, Technology, and Innovation.

This study aimed to determine the prevalence and demographic distribution of schistosomiasis in the Eastern Cape Province of South Africa through a cross-sectional retrospective analysis using secondary data from patients with microscopically confirmed schistosomiasis collected between 2019 and 2020. The study focused on both rural and semi-urban areas, including Bizana, Butterworth, Centane, Elliotdale, Flagstaff, Idutywa, Lusikisiki, Libode, Mqanduli, Port St. Johns, Willowvale, and Mthatha. Data were obtained from three districts: Alfred Nzo, Amatole, and OR Tambo, covering both rural and semi-urban regions. The study included patients of all ages who submitted urine samples for schistosomiasis testing in the specified districts. A simple random sampling method was used to select 337 clinical records from the National Health Laboratory Service (NHLS) of Mthatha. Hospital records from the NHLS Microbiology Department of Mthatha were analyzed using SPSS version 20. Statistical tests, including Fisher’s exact test, Pearson’s Chi-squared test, and Wilcoxon rank sum test, were employed to compare demographic variables. The Shapiro-Wilk test was used to assess the normality of quantitative data. St Barnabas Laboratory had the highest frequency of cases (34.1%), followed by Greenville Depot (17.8%) and Willowvale Laboratory (11.3%). Most cases were in the 10-19 age group (63.4%), followed by those under 10 years (24.9%). Males constituted 76.4% of the cases, while females accounted for 23.6%. Viable ova were observed in 98.2% of the samples. The study highlights a significant prevalence of schistosomiasis in the Eastern Cape Province, with a higher incidence in rural areas and among males aged 10-19. These findings underscore the need for targeted public health interventions and continuous monitoring to control and prevent schistosomiasis in the region.

Age related macular degeneration (AMD) as the name suggest is the timely degradation of the macular area of the eye which can lead to vision impairment, in particular the central vision. Macular is one of the important areas of the eye, present in the retina which controls our central vision. AMD is one of the most common types of irreversible blindness caused in older population of the society in developed countries. AMD is broadly classified as Dry AMD (Non Neovascular AMD) and Wet AMD (Neovascular AMD). Non Neovascular AMD more commonly known as Dry AMD is less aggressive and is very frequent type of AMD caused, it has three stages 1) Early dry AMD, 2) Intermediate Dry AMD, and 3) Late AMD. One the several therapies used to treat AMD is stem cells where Induced pluripotent stem cells (IPSC’s) derived retinal pigment epithelium (RPE) cells was used to treat dry AMD. The use of siRNA that targets Vascular endothelial growth factor (VEGF-A) using different nanotechnology-based delivery system like the organic nanoparticles synthesized liposomes. An upcoming therapy used most widely in recent times is the photodynamic therapy where a photodynamic drug like verteporfin which a benzoporphyrin derivative is used, where the outcome shows great promise in reducing vision loss in wet AMD. This review discusses in details about age related macular degeneration and also its different novel therapies that is been currently used extensively.

Peripheral facial paralysis represents a disabling condition with serious psychological and social impact. Patients with peripheral facial paralysis have a disfigurement of the face with loss of harmony and symmetry, and difficulties in everyday facial functions such as speaking, drinking, laughing, and closing their eyes, with impairment of their quality of life. This paralysis leads to impairment of facial expression that represents one of the first means of communication, an important aspect of human interaction. This review aims to explore the reanimation techniques for managing peripheral facial paralysis. An analysis of static and dynamic techniques for facial reanimation is provided, including muscle flaps, nerve grafting techniques, and bioengineering solutions. Dynamic techniques, when feasible, enable better outcomes in terms of facial motility, although the long-term rehabilitation and the long learning curve. Static techniques, while less invasive, provide limited functional recovery and should be combined with dynamic strategies for good results. Each technique showed its benefits and drawbacks; despite several options for facial reanimation, no technique has been detected as the gold standard. Therefore, each patient must be evaluated on an individual basis, considering his medical history, age, expectations, and treatment goals to find the best and most fitting treatment for him.

Non-convex optimization is a critical tool in advancing machine learning, especially for complex models like deep neural networks and support vector machines. Despite challenges such as multiple local minima and saddle points, non-convex techniques offer various pathways to reduce computational costs. These include promoting sparsity through regularization, efficiently escaping saddle points, and employing subsampling and approximation strategies like stochastic gradient descent. Additionally, non-convex methods enable model pruning and compression, which reduce the size of models while maintaining performance. By focusing on good local minima instead of exact global minima, non-convex optimization ensures competitive accuracy with faster convergence and lower computational overhead. This paper examines the key methods and applications of non-convex optimization in machine learning, exploring how it can lower computation costs while enhancing model performance. Furthermore, it outlines future research directions and challenges, including scalability and generalization, that will shape the next phase of non-convex optimization in machine learning.

In this paper, we present an approach which examines whether there are persistent abnormal returns around the periods of index rebalancing, using a factor-based framework. By employing this methodology, we observe the yield of normal returns around these events, although the detected abnormal returns may not usually be statistically significant. Therefore, we conclude the study by addressing how one such supposed strategy for rebalance trading is systematic constructive by supervision of some predictive model for the candidates based on all available in the TSX universe for inclusion into the S&P Capped TSX Composite Index in about a month. Trade signals were constructed using a logistic binary classifier based on the same factors used by the index committee to determine the qualifications for inclusion in the index. The problem of a very low probability of out of context security selection for addition to the index is solved at the expense of random over-sampling. In the end, these trade signals were then used to create a hypothetical trading strategy that outperformed the back-test period.

This study aimed to assess the immediate effects of transcutaneous spinal direct current stimulation (tsDCS) on pain outcomes, measured by the visual analog scale (VAS) and pressure pain thresholds in a cohort of 55 participants experiencing chronic pain. A controlled, randomized trial with 55 participants allocated into 2 groups: 2 mA and 0.5 mA of tsDCS for 20 minutes. Anodal stimulation was applied on the 12th thoracic vertebra, and cathodal stimulation on the 7th cervical vertebra. Pain outcomes were assessed before and post-intervention using the VAS and pressure algometry. Between and within-group differences, along with chi-square tests were used to determine the differences and responsiveness. Significance was established at p &lt; 0.05. Findings showed significant temporal effect for both VAS (p &lt; 0.001) and pressure algometry (p = 0.04). However, no between-group differences were noted in the time*group factor for VAS (p = 0.466) and pressure algometry (p = 0.78). No significant between-group differences were observed for the responsiveness analysis. The results indicate that a single 20-minute session of 2 and 0.5 mA tsDCS improves pain scores for both intensities equally. However, there were no statistically significant between-group differences in pain perception or pressure pain threshold.

The persistent challenge of IPF, characterized by disease progression and high mortality, underscores the urgent need for innovative therapeutic strategies. We have developed a novel small molecule – catechin derivative ABI-171 – selectively targeting DYRK1A and PIM1 kinases, crucial in the pathogenesis of fibrotic processes. We employed the Bleomycin-induced (intratracheal) mouse model of pulmonary fibrosis (PF) to evaluate the therapeutic efficacy of ABI-171. Mice with induced PF were treated QD with ABI-171 either prophylactically or therapeutically using oral and intranasal routes. Pirfenidone (100mg/kg, TID) and Epigallocatechin gallate (EGCG, 100 mg/kg, QD), a natural catechin currently in a Phase 1 clinical trial, were used as reference compounds. ABI-171, administered prophylactically, led to a significant reduction in hydroxyproline levels and fibrotic tissue formation compared to the control group. Treatment with ABI-171 improved body weight, indicating mitigation of disease-related weight loss. Additionally, ABI-171 demonstrated anti-inflammatory activity, reducing lymphocyte and neutrophil infiltration. In the therapeutic setting, ABI-171, administered 7 days post-induction, reduced mortality rates (P = 0.04) compared with the bleomycin and EGCG control groups. ABI-171 also ameliorated the severity of lung injuries assessed by improved Masson’s trichrome scores when administered both orally and intranasally. ABI-171 significantly decreases bleomycin-induced PF and improves survival in mice, showcasing promising therapeutic potential beyond current medications like Pirfenidone and EGCG for patients with IPF. Based on these results, further studies with ABI-171 are ongoing in preclinical studies.

We analytically determine neutrino transitional probabilities and abundance ratios at various distances from the source of creation in several astrophysical contexts, including the Sun, supernovae and cosmic rays. In doing so, we determine the probability of a higher-order transition state from $\nu_\tau\rightarrow\nu_\lambda$, where $\nu_\lambda$ represents a more massive generation than Standard Model neutrinos. We first calculate an approximate cross-section for high-energy neutrinos which allows us to formulate comparisons for the oscillation distances of solar, supernova and higher-energy cosmic ray neutrinos. The flavor distributions of the resulting neutrino populations from each source detected at Earth are then compared via fractional density charts.

This paper proposes a multifunctional soft robotic gripper for a Dobot robot to handle sensitive products. The gripper is based on pneumatic network (PneuNet) bending actuators. In this work, two different models of PneuNet actuators have been studied, designed, simulated, experimentally tested, and validated using two different techniques (3D printing and molding) and three different materials: FilaFlex (3D printed), Elastosil M4601 and Dragonskin Fast 10 silicones (with molds). A new soft gripper design for the Dobot robot is presented, and a new design/production approach with molds is proposed to obtain the gripper's PneuNet multifunctional actuators. It also describes a new control approach that is used to control the PneuNet actuators and gripper function, using compressed air generated by a small compressor/air pump, a pressure sensor, a mini valve, etc., and executing on a low-cost controller board – Arduino UNO. This paper presents the main simulation and experimental results of this research work.

Chronic Hepatitis B Virus (HBV) infection remains a significant public health concern, particularly in Africa, where the burden is substantial. HBV is an enveloped virus, classified into ten phylogenetically distinct genotypes (A – J). Tests to determine HBV genotypes are based on full-genome sequencing or reverse hybridization. In practice, both approaches have limitations. Whereas diagnostic sequencing, generally using the Sanger approach, tends to focus only on the S-gene and yields little or no information on intra-patient HBV genetic diversity, reverse hybridization detects only known genotype-specific mutations. To resolve these limitations, we developed an Oxford Nanopore Technology (ONT)-based HBV diagnostic sequencing protocol suitable for clinical virology that yields both complete genome sequences and extensive intra-patient HBV diversity data. Specifically, the protocol involves tiling-based PCR amplification of HBV sequences, library preparation using the ONT Rapid Barcoding Kit, ONT GridION sequencing, genotyping using Genome Detective software, recombination analysis using jpHMM and RDP5 software, and drug resistance profiling using Geno2pheno software. We prove the utility of our protocol by efficiently generating and characterizing high-quality near full-length HBV genomes from 148 residual diagnostic samples from HBV-infected patients in the Western Cape province of South Africa, providing valuable insights into the genetic diversity and epidemiology of HBV in this region of the world.

Starting from the objectives of the Nature Restoration Law and the concept of Forest Landscape Restoration, the objective of the following study is to present a methodological approach aimed at identifying areas that are best suited for the implementation of NbS for the improvement of landscape and habitat status in the study area identified by the Urban Atlas of the city of Campobasso (1028.64 km2). Using open data (ISPRA ecosystem services and Regional land use capability), an expert based approach (questionnaire) and a multi-criteria analysis (AHP), the Total Ecosystem Services Value (TESV) index was determined as a weighted additive sum of the criteria (Data) considered. The index was then classified into 8 clusters and the land use “Cropland” was extracted, matching Cluster 1 (740.09 Ha) with agricultural areas with less ES provision to be allocated to NbS and Cluster 8 (482.88 Ha) with valuable areas to be preserved, for a total of 2.34% of the study area. It was then possible to compare the “Forest” areas currently present in the study area with those of a possible future scenario, represented by the areas occupied today by forest with the addition of cluster 1 croplands. A landscape analysis was then conducted: it showed greater dispersion and fragmentation of forest patches in the future scenario but also greater connectivity and thus greater ecological functionality of the patches.

Northern Australia is considered a ‘lifeboat’ region for globally threatened sharks and rays (elasmobranchs), although much of the region is understudied. The Roper River in the Northern Territory’s Gulf of Carpentaria has been inadequately surveyed, with most elasmobranch data gained opportunistically through freshwater fish surveys. This study aimed to determine the occurrence of elasmobranch species in the Roper River through targeted field surveys conducted between 2016 and 2023 and a review of data from other sources. Four euryhaline species were recorded comprising two sharks, a sawfish, and a stingray. Records of the globally Vulnerable Speartooth Shark (Glyphis glyphis) represented a significant range extension and the documentation of a new breeding population. Records of the Critically Endangered Largetooth Sawfish (Pristis pristis) extended almost 400 km upstream, highlighting extensive use of the river system. A predominantly marine species, the Critically Endangered Giant Guitarfish (Glaucostegus typus) was observed in brackish estuarine waters, approximately 15 km upstream from the river mouth. Further research is required to develop a more thorough understanding of abundance, life history, and population connectivity for these species in this river system. Given the documentation of threatened species, the potential impacts of fisheries, water allocations, and climate change requires assessment.

The Chinese stock market, marked by rapid growth and significant volatility, presents unique challenges for investors and analysts. A-share stocks, traded on the Shanghai and Shenzhen exchanges, are crucial to China’s financial system and offer opportunities for both domestic and international investors. Accurate stock recommendation tools are vital for informed decision-making, especially given the ongoing regulatory changes and economic reforms in China. Current stock recommendation methods often fall short, as they typically fail to capture the complex inter-company relationships and rely heavily on financial reports, neglecting the potential of unlabeled data and historical price trends. In response, we propose a novel approach that combines graph-based structures with historical price data to develop self-learned stock embeddings for A-share recommendations. Our method leverages self-supervised learning, bypassing the need for human-generated labels and autonomously uncovering latent relationships and patterns within the data. This dual-input strategy enhances the understanding of market dynamics, leading to more accurate stock predictions. Our contributions include a novel framework for label-free stock recommendations with modeling stock connections and pricing information, and empirical evidence demonstrating the robustness and adaptability of our approach in the volatile Chinese stock market.

Mild traumatic brain injury mTBI is a common occurrence around the world, associated with a variety of blunt force and torsion injuries affecting all age groups. Most never reach medical attention, and identification of acute injury and later clearance to return to usual activities is relegated to clinical evaluation particularly in sports injuries. Advanced structural imaging is rarely performed due to the usual absence of associated acute anatomic/hemorrhagic changes. This review targets physiologic imaging techniques available to identify subtle blood brain barrier dysfunction and white matter tract shear injury, and their association with chronic traumatic encephalopathy. These techniques provide needed objective measures to assure recovery from injury in those patients with persistent cognitive/emotional symptoms and in the face of repetitive mTBI.

In this paper we focus on the association of sound and sense harmony in the collection of sonnets written by Shakespeare in the XVI° beginning of XVII° century and propose a new four-dimensional representation to visualize them by means of the system called SPARSAR. To compute the degree of harmony and disharmony, we have automatically extracted the sound grids of all the sonnets and have combined them with the semantics and polarity expressed by their contents. We explain in details the algorithm and show the representation of the whole collection of 154 sonnets and comment them extensively. In a second experiment, we use data from manual annotation of the sonnets for Satire detection using the Appraisal Theory Framework, to gauge the system's accuracy in matching these data with the output of the automatic algorithm for sound-sense harmony. The results obtained with an 94.6% accuracy confirm the obvious fact that the poet has to account for both sound and meaning in the choice of words.

Background: Injecting drug use is a global public health challenge with multifaceted consequences, not only for Injecting Drug Users (IDUs) but also for society at large. Their vulnerability necessitates a deeper exploration of their health information needs, aiming to leverage evidence-based research to shape effective interventions for their well-being. Method: This study employed a qualitative method to gain insights into disease conditions and health information needs of IDUs. Through purposive sampling, 71 in-depth interviews were conducted and thematically analyzed. Results: The study included 43 males and 28 females, predominantly aged 26-35 (59.2%) who had poor socioeconomic status. The most commonly reported disease conditions varied and included malaria, infections and diabetes. Findings revealed a complex understanding of their disease conditions and management practices. Participants emphasized a critical need for access to reliable and comprehensive health information, while also highlighting the significant barriers they face in obtaining this information. Additionally, their preference for receiving health information in video formats, written articles, and through outreach programs underscored their desire for knowledge to make informed decisions. As co-creators and stakeholders in their health, participants expressed a clear demand for sustainable and free healthcare, mosquito nets, and regular outreach programs. Conclusions: While drug use presents a significant public health issue, effective interventions for IDUs require a multifaceted approach that begins with understanding their perspectives and actively involving them as co-creators of their health solutions. Abandoning this population contradicts the Sustainable Development Goals' mandate to ensure no one is left behind. Thus, all stakeholders must prioritize inclusive and participatory approaches to address the complex health information needs of IDUs.

With the increase in mercury pollution around the world, several bacteria have been identified that are capable of resisting mercury toxicity. With this in mind, the aim of this review was to determine which genes are involved in mercury resistance, which bacterial genera exhibit this resistance and which bacterial isolation sources have been most reported. To answer these questions, the PICO method (population, intervention, comparison and outcome) was used, three databases were searched and 17 relevant articles were included. As a result, resistance is due to a set of mer genes that transcribe mer proteins. The most important genes identified were merA and merR, and their proteins confer resistance by reducing Hg to Hg+2 or Hg0. Among the bacteria studied, those of the genera Pseudomonas, Escherichia and the phylum Cyanobacteria stand out, the most important being Escherichia coli and Synechocystis sp. which are highly efficient and fast at reducing Hg. Based on the results, Escherichia coli and Synechocystis sp. are promising candidates for reducing environmental Hg, especially in aquatic environments. However, there is a lack of studies on the mechanism of bioremediation carried out by cyanobacteria and the influence of abiotic factors on the presence and/or expression of mer genes.

Background: Influenza is a highly contagious viral virus that affects millions of people globally each year, causing major morbidity, mortality, and economic consequences. Despite vaccine availability, seasonal flu outbreaks continue, exacerbated by virus mutations and varied transmission patterns. The Eastern Cape region of South Africa faces specific obstacles when it comes to flu management, such as limited healthcare access and dependence on traditional treatments. Methods: Patients from various backgrounds in the rural Eastern Cape who had flu and consented to be participants of the study were surveyed to assess symptom severity, duration, and management options. To compare the efficacy of medical treatments with home cures, data was analysed using descriptive statistics and independent t-tests. Results: Symptom severity ranged from mild to severe, and the average duration of symptoms varied according to the therapy approach chosen. Medical therapies, including antiviral drugs, were found to lessen symptom severity and duration, whereas home cures provided symptomatic relief but were less successful in severe cases. Symptom severity differed significantly between therapy methods (p &lt; 0.05).Conclusions: The study emphasises the significance of prompt medical attention in managing influenza symptoms, especially in high-risk individuals. It also emphasises the importance of increasing access to healthcare in the Eastern Cape in order to improve outcomes for flu patients.

The increasing focus on environmental sustainability has prompted the healthcare sector, including dentistry, to reconsider waste management practices. Dental offices generate various waste streams from outdated technologies, including single-use plastics, hazardous materials, and digital waste. This scoping review explores how integrating circular economy principles with lean management practices can enhance sustainability and operational efficiency in dental clinics. Using the PRISMA methodology, the review identifies 30 articles that passed 1) the Cochrane Risk of Bias Tool and b) the Critical Appraisal Skills Programme (CASP) checklist from 2000. Circular economy principles focus on reducing waste and maximizing resource reuse, while lean management seeks to improve efficiency and minimize process waste. Together, these approaches can significantly reduce resource consumption and enhance recycling efforts in dental practices. However, barriers include high costs of sustainable technologies, regulatory challenges, and limited recycling infrastructure. The study also highlights case studies of healthcare and dental clinics successfully implementing these strategies, showing how they can overcome challenges and improve environmental and operational outcomes. Collaboration between dental professionals, policymakers, and industry leaders is essential for promoting the adoption of these sustainable practices.