Multidrug resistant organisms (MDROs) outbreaks have been steadilyincreasing in Intensive care units (ICUs). Still, healthcare institutions and workers (HCW) reached no unanimity on how and when implementing infection prevention and control (IPC) strategies. We aimed to provide a pragmatic, physician practice-oriented, resume of strategies towards different MRDOs outbreaks in ICU. We performed a narrative review on IPC in ICUs, investigating patient-to-staff ratios, education, isolation, decolonization, screening and hygiene practices, outbreak reporting, cost-effectiveness, reproduction-number(R0), and future perspectives. The most effective IPC strategy remains unknown. Most studies focus on a specific pathogen or disease, making the clinician losing the big picture. IPC strategies proved their cost-effectiveness regardless typology, country, or pathogen. A standardized, universal, pragmatic protocol for HCW education should be elaborated. Likewise, a rapid outbreak recognition tool elaboration (i.e., an easy-to-use mathematical model) would improve early diagnosis and spreading prevention. Further studies are needed to express in favor or against MDROs decolonization. New promising strategies are emerging and need to be tested in the field. The lack of IPC strategies application has made, and still makes ICUs a major MDROs reservoir into the community. In a not-too-distant future genetic engineering and phage therapies could represent a plot-twist in MDROs IPC strategies.

A surge of b-phenylethylamine (PEA), an endogenous monoamine found in traces in the human brain and naturally present in chocolate, has been commonly associated with romantic love earning it the nickname of “love molecule”. The origin of this association must be traced to a speculation dating back to the early eighties that has over time become something of a factoid, reaching a large diffusion through the sharing phenomenon of the Internet. What is disputed in this paper is the existence of any direct biochemical or physiological evidence of the role of PEA in any of the phases of romantic love in the human species. The actual and possible roles of PEA in human physiology are reviewed.

This article aims to carry out experiments on water absorption by husked red rice, at constant temperatures of 28, 40 and 50 °C. The description of the absorption kinetics, as well as the analyses of water distribution and volumetric expansion of each grain, at a given instant, was done using a diffusion model. In order for the model to be as close as possible to the real physical situation, the mesh necessary to numerically solve the diffusion equation was generated from the photograph of a grain. Thus, the diffusion equation was written in Boundary-Fitted Coordinates (BFC). The solution of the diffusion equation written in generalized coordinates was then discretized in space and time, using the Finite Volume method, with a fully implicit formulation, considering variable volume and also variable mass diffusivity as a function of local moisture content. Optimizations based on Levenberg-Marquardt algorithm make it possible to determine the parameters of an exponential function relating mass diffusivity and the local moisture content for each temperature. Statistical indicators (chi-square, determination coefficient and Student’s t-test) allowed concluding that the model proposed was very satisfactory for all temperatures, making it possible to simulate water absorption, water distribution and volumetric expansion of the grain over time.

Objectives: To investigate the etiology of amyotrophic lateral sclerosis (ALS) in an adult female patient. Methods: We conducted trio genome sequencing on a 35-year-old woman with progressive weakness in her left upper limb, as well as on her parents. Prior to sequencing, we performed a comprehensive neurological work-up on the patient, including neurological exam, electrophysiology, biomarker assessment, and brain and spinal cord MRI. Results : The propositus experienced weakness and atrophy in her left hand 6 months before the evaluation. This was associated with brisk reflexes and Hoffman sign in the same arm. Electroneuromyography revealed lower motor neuron involvement in three body regions. Neurofilament light chains were elevated in her cerebrospinal fluid. Brain imaging showed asymmetrical T2 hyperintensity of the corticospinal tracts and T2 linear hypointensity of the precentral gyri. Genome trio sequencing identified a likely pathogenic de novo variant in the propositus’s KIF1A gene (NM_001244008.2): c.574A>G, p.(Ile192Val). Discussion: Pathogenic variants in the KIF1A gene have been associated with a wide range of neurological manifestations called KIF1A-associated neurological diseases (KAND). The present report describe a likely pathogenic de novo variant in KIF1A associated with ALS, expanding the phenotypic spectrum of KAND and our understanding of the pathophysiology of ALS.

Penile cancer (PeCa) is a rare urological malignancy characterized by significant geographic variations in both incidence and mortality rates. Due to its rarity and the consequent lack of randomized trials, current management is based on retrospective studies and small prospective trials. In addition, the diagnostic pathways and treatment strategies exhibit substantial heterogeneity, differing significantly between less developed and well-developed countries. The prognosis of PeCa is determined by the presence and extent of regional lymph node (LN) involvement. Therefore, early detection and treatment of LN metastasis is paramount to ensure better outcomes. In recent decades, the overall survival for PeCa has increased, mainly due to advancements in imaging techniques and risk stratification. We aim to provide an overview of the current role of PET CT imaging in the management of patients with PeCa.

This article presents a buck converter in which the inductor has been replaced by a transmission line. This approach would be practically conceivable if the power supply and load have a greater spatial distance. In the time domain, this new converter can be described by a system of coupled partial and ordinary differential equations. In the frequency domain, a transcendental transfer function is obtained. For comparison with an equivalently parameterized conventional converter, Padé approximants are derived. A linear controller is designed for the converter topology under consideration.

The social recognition of cultural landscapes has increased in recent years. Culture must be accessible to all citizens, helping them to interpret the cultural landscape in the most respectful and autonomous way possible. Nevertheless, the link between accessibility and heritage requires a sensitive perception of the environment and individuals in their different situations. Usually, however, only partial solutions are offered, whereas a global, truly sustainable and inclusive approach should be adopted. In this sense, information design can play an essential role in the enjoyment and knowledge of Heritage Landscapes. The aim of this article is to present some reflections on this topic, which have led a group of teachers and students from the Laboratory of Architectural, Cultural and Heritage Landscape of the University of Valladolid (LAB/PAP) to develop experimental design proposals for the archaeological site of Tiermes, in Soria, Spain. The method applied is based on field research, case studies, project proposals, workshops and user testing. The resulting proposals emerge from the previous research developed by the LAB/PAP. They will focus on information design to present this extraordinary site in an inclusive way. The final discussion will decide which of these proposals will be easier and more useful to implement.

This paper presents two novel bio-inspired particle swarm optimisation (PSO) variants: biased eavesdropping PSO (BEPSO) and altruistic heterogeneous PSO (AHPSO). These algorithms are inspired by types of group behaviour found in nature that have not previously been exploited in search algorithms. The primary search behaviour of the BEPSO algorithm is inspired by eavesdropping behaviour observed in nature coupled with a cognitive bias mechanism that enables particles to make decisions on cooperation. The second algorithm, AHPSO, conceptualises particles in the swarm as energy-driven agents with bio-inspired altruistic behaviour which allows the formation of lending-borrowing relationships. The mechanisms underlying these algorithms provide new approaches to maintaining swarm diversity which contributes to preventing premature convergence. The new algorithms were tested on the 30, 50 and 100-dimensional CEC'13, CEC'14 and CEC'17 test suites, and various constrained real-world optimisation problems, against 13 well-known PSO variants and the CEC competition winner, differential evolution algorithm L-SHADE. The experimental results show that both algorithms, BEPSO and AHPSO, provide very competitive performance on the unconstrained test suites and the constrained real-world problems. They were significantly better than most other PSO variant on most problem sets and no other comparator algorithm was significantly better than either of them on any of the 50 and 100-d problem sets.

We conducted a retrospective evaluation of the clinical outcomes and prognostic factors in patients with non-metastatic castration-resistant prostate cancer (nmCRPC) treated with first-line androgen receptor signaling inhibitors (ARSI) in real-world clinical practice in Japan. Between 2012 and 2023, a total of 127 consecutive patients with nmCRPC received ARSI treatment. Overall survival (OS), metastatic-free survival (MFS), and prostate-specific antigen progression–free survival (PSA-PFS) from ARSI initiation were assessed using Kaplan–Meier methodology. Clinical factors associated with OS in nmCRPC were analyzed using the Cox proportional hazards model. Among the patients, 72, 26, 12, and 17 received enzalutamide (ENZ), abiraterone (ABI), apalutamide (APA), and darolutamide (DARO) as first-line therapy. The median OS and MFS for all patients were 79.0 and 42.0 months, respectively. Median PSA-PFS was 27.0, 20.0, 10.0, and 14.0 months for patients treated with ENZ, ABI, APA, and DARO, respectively (p = 0.33). Multivariate analysis revealed that a baseline PSA level ≥3.67 ng/ml at ARSI initiation was significantly associated with poorer OS (p = 0.002). ARSI demonstrated favorable efficacy in nmCRPC patients. There were no significant differences in clinical outcomes among different types of ARSI therapy for nmCRP. Elevated baseline PSA at ARSI initiation was significantly associated with poorer OS.

Surfing is a growing, high participation recreational and competitive activity. It is relatively unique being performed on, in, and through water with a range of temperatures. In other sports, warm-up and heat retention have proved useful at augmenting performance and ameliorating injury risk. Little work has been done examining this in surfing. The purpose of this work was to measure thermal profiles in surfers with and without warm-up and passive heat retention, and secondarily to assess any potential influence on free surfing. A repeated measures pre- and post- design was adopted whereby participants surfed in an artificial wave pool following an active warm-up combined with passive heat retention (experimental condition), and after no warm-up (control). Core body temperature was measured both occasions. Our results showed a clear advantage to body temperature for the experimental condition versus control. Both groups showed a warm-up effect in the water itself, presumably due to further activity (e.g. paddling) and wetsuit properties. Finally, performance trended to being superior following warm-up. We conclude, body warmth in surfers may be facilitated by an active warm-up and passive heat retention. In free surfing this is associated with a trend towards better performance; it may also reduce injury risk.

The Katerini-Kolindros aquifer system (KKas) is a critical freshwater resource, essential for the local and regional economy. To understand contamination sources, groundwater flow paths, and assess the aquifer's health, an extensive dataset of 751 samples from 113 wells collected between 2010 and 2020 was analyzed using multivariate statistical analysis (MVSA) and hydrogeochemical diagrams. The prevailing water types identified were Ca-HCO₃ and Mg-HCO₃, with mixed water types resulting from various factors affecting groundwater quality. The chemistry of groundwater in the KKas is shown to be affected by ion exchange processes and to a lesser extent by reverse ion exchange processes. No indications of sea-water intrusion have been identified in the water wells monitored. On the other hand, nitrate contamination has been detected in specific water wells spatially associated with urban-type land uses and activities. It is considered that nitrate contamination originates primarily from septic tanks and urban sewage networks or secondarily from fertilization of football pitches, cemeteries or urban waste management practices.

The article evaluates the use of machine learning methods to predict valve plate failures in hydraulic pumps. To conduct this assessment, a laboratory setup was developed that allowed the creation of a training dataset containing both the normal operating state of the pump and the operating state with three different valve plate damages. Five different predictive models were evaluated, including three composite models based on decision trees: Random Forest, Gradient-Boosted Trees, and Rotation Forest, as well as the kNN algorithm and a neural network. The analysis showed that neural networks achieved the highest prediction accuracy, enabling a prediction accuracy level of 89%. The kNN algorithm ranked second, and tree-based algorithms performed 4% worse than the neural network. Additionally, the attribute importance analysis revealed that leak flow, pressure output together with output flow, are the most important parameters for accurate prediction.

The goal of the investigation is to increase coverage, which is ensure better transmission around IoT services using IRS within a two-tier 6G system comprising of one micro cell tier running beneath a macro cellular tier. As a result, the study tested and compared the reliability of traditional connectivity with IRS-enhanced connectivity in terms of upstream end-to-end latency using computer-based measuring methods. The study concluded that the implementation of IRS greatly improves coverage, which means transmission effectiveness, for 6G services.

This study aims to explore anaerobic co-digestion (AcoD) of cassava (EUM) and poultry (FP) ef-fluents using one inoculum-substrate ratio (30%) and three EUM vs FP substrate composition ra-tios (25 :75, 50 :50 and 75 :25). The AcoD process was therefore designed for 20 L batch digesters, under mesophilic conditions, with less than 5% total solids for 66 days. The results showed that EUMs were highly resistant to degradation, while FPs were the most easily degradable. Kinetic analysis indicated specific organic matter reduction rates of 0.28% per day for EUM and 0.76% per day for FP. EUM alone produced 45.47 mL/g MOV, while the 50 :50 substrate produced 1184.60 mL/g MOV. The main factors contributing to EUM inefficiency were the inability to tame acidic conditions, and the accumulation of volatile fatty acids. AcoD produced 23 to 50 times more methane than EUM alone, 2 to 5 times more than FP alone and 2 to 4 times more than ino-culum. Consequently, AcoD of both types of waste had a positive effect on gas formation in terms of quantity and quality, with CH4 content increasing from around 2 to 75% as a function of organic nitrogen input

Urbanization is a dynamic process. At different stages of urbanization, polices of managing car-bon emissions should be adjusted. In this paper, two types of nighttime light data and statistical data of 68 cities in China from 2002 to 2021 are used to establish an urban development evalua-tion system comprising population, economy, construction, and society subsystems. Then, cities were categorized into expanding, contracting, and stable types to understand the uncertainty of urbanization's impact on carbon emissions. The main conclusions are as follows: (1) Integrated nighttime light data is used to extract built-up area boundaries, achieving an overall accuracy ranging from 68.75% to 98.4%, with kappa coefficients ranging between 0.60 and 0.94. (2) Ex-panding cities were concentrated in the eastern coastal regions, while contracting cities were mainly located in inland cities with traditional industries. Urban agglomerations in the Beijing-Tianjin-Hebei region, Yangtze River Delta region, and Chengdu-Chongqing metropolitan demonstrate synchronized characteristic of urbanization development. (3)Economy and con-struction have a greater impact on carbon emissions than population and society. For expanding cities, the focus of carbon emission governance should prioritize rational land use planning. Conversely, for contracting cities, emphasis should be placed on adjusting economic structures.

It is broadly acknowledged that children with Developmental Language Disorder (DLD) show verb-related limitations. While most previous studies in Spanish have focused on tense, the mastery of lexical aspect—particularly telicity—has not been the primary focus of much research. Lexical aspect refers to whether an action has a defined endpoint (telic verbs) or not (atelic verbs). This study investigates the effect of telicity on verb recognition in Chilean children with DLD compared to their typically developing (TD) peers using the Event-Related Potential (ERP) technique. The research design is a mixed factorial design with between-group factors of 2 (DLD/TD) and within-group factors of 2 (telic/atelic verbs) and 2 (coherent/incoherent sentences). Participants included 36 school-aged children (18 DLD, 18 TD) aged 7 to 7 years and 11 months. The task required subjects to listen to sentences that either matched or did not match an action in a video, with sentences including telic or atelic verbs. The study found notable differences between groups in how they processed verbs (N400 and post-N400 components) and direct objects (N400 and P600 components). DLD children struggled to differentiate telic and atelic verbs, potentially because they employed overgeneralization strategies consistent with the Event Structural Bootstrapping model.

This study compares the Melbourne Decision-Making Questionnaire (MDMQ) and the General Decision-Making Style (GDMS), two of the most widely used decision-making questionnaires in the literature, in a large age- and sex-weighted general population sample of 714 men (45.7%) and 848 women (54.3%) between 18 and 90 years old. The objective was to evaluate the convergent and construct validity between several aspects of decision-making styles questionnaires. The results indicate that the two questionnaires replicate the factorial structure of four and five factors reported in the original studies respectively, through exploratory and confirmatory procedures in our cross-cultural context. The domains of both questionnaires that represent a strong or large correlation are Vigilance with Rational (.50), Hypervigilance, Buck-passing, and Procrastination with Avoidant (.45, .52 and .60). A Structural Equations Model (SEM) between both questionnaires indicates that both latent factors formed by the domains of the MDMQ and the GDMS obtain a correlation of .96. It is concluded that the two questionnaires measure similar aspects of the decision-making construct.

College students play an important role in higher education and future social life. Research has a significant impact on college students' self-efficacy. Taking college students in Chengdu, China as an example, this study adopts the fuzzy-set qualitative comparative analysis (fsQCA) method, comprehensively incorporating various influencing factors such as demographic characteristics, physical exercise behavior, and life satisfaction. From the perspective of physical exercise behavior and life satisfaction, an asymmetric causal model that affects college students' high self-efficacy is constructed. The research results support the main principles of complexity theory, confirming the heterogeneity and complexity of the antecedent conditions for high self-efficacy among college students. Nineteen causal condition combinations that can promote high self-efficacy among college students are obtained. This study conducts exploratory research on the introduction of complexity theory analysis into the study of college students' physical exercise, life satisfaction, and self-efficacy. It also provides a decision-making reference path for improving the life satisfaction, physical exercise behavior, and self-efficacy of college students.

This study examined the relationships of reading strategies among different programs of English for Specific Purposes (ESP). A total of ninety-seven students in four ESP programs in Ecuador were surveyed regarding their reading strategies. The results found that there were significant differences among the four programs. These findings were discussed in regard to whether differences in reading strategies could potentially influence teaching effectiveness, learning outcomes, and English language applications.

Accurate prostate volume estimation is crucial for effective prostate disease management. Ultrasound (US) imaging, particularly transrectal ultrasound, offers a cost-effective and rapid assessment. However, US images often suffer from artifacts and poor contrast, making prostate volume estimation challenging. This review explores recent advancements in deep learning (DL) techniques for automatic prostate segmentation in US images as a primary step for prostate volume estimation. We examine various DL architectures, including traditional U-Net modifications and innovative designs incorporating residual connections, multi-directional image data, and attention mechanisms. Additionally, we discuss pre-processing methods to enhance image quality, the integration of shape information, and strategies to improve the consistency and robustness of DL models. The effectiveness of these techniques is evaluated through metrics such as Dice Similarity Coefficient, Jaccard Index, and Hausdorff Distance. The review highlights the potential of DL in improving prostate volume estimation accuracy and reducing clinical workload, while also identifying areas for future research to enhance model performance and generalizability.

Rhodiola rosea, a perennial herb from the Crassulaceae family, contains the bioactive compound salidroside, recognized as an adaptogen with significant therapeutic potential for bone metabolism. Salidroside promotes osteoblast proliferation and differentiation by activating critical signaling pathways, including bone morphogenetic protein-2 and adenosine monophosphate-activated protein kinase, essential for bone formation and growth. It enhances osteogenic activity by increasing alkaline phosphatase activity and mineralization markers, while upregulating key transcription factors such as runt-related transcription factor 2 and osterix. Additionally, salidroside facilitates angiogenesis via the hypoxia-inducible factor 1-alpha and vascular endothelial growth factor pathway, crucial for coupling bone formation with vascular support. Its antioxidant properties offer protection against bone loss by reducing oxidative stress and promoting osteogenic differentiation through the nuclear factor erythroid 2–related factor 2 pathway. Salidroside's ability to counteract the negative effects of glucocorticoids on bone cells and prevent steroid-induced osteonecrosis, along with its anti-inflammatory properties, enhances its potential in treating conditions like osteoarthritis. These attributes underscore its multifaceted role in bone metabolism. This article reviews the literature, including in vitro and in vivo studies primarily on rodent models, demonstrating salidroside's efficacy in mitigating bone loss, preserving bone microarchitecture, and accelerating fracture healing. Future research directions to explore salidroside’s applications in bone-related diseases are also highlighted.

Neurotrophins, particularly brain-derived neurotrophic factor (BDNF), act as key regulators of neuronal development, survival and plasticity. In this review, we focus on the role of BDNF for corticostriatal plasticity in movement disorders, including Parkinson’s Disease (PD) and dystonia. We discuss the mechanisms how dopaminergic input modulates BDNF/TrkB signaling at corticostriatal synapses and the involvement of these mechanisms in neuronal function and synaptic plasticity. Disruption of these pathways can lead to aberrant plasticity, ultimately affecting motor function. Advancing our understanding of these mechanisms could pave the way towards innovative therapeutic strategies aiming at restoring neuroplasticity and enhancing motor function in these diseases.

Sick sinus syndrome (SSS) is a disease of sinus rhythm abnormalities. This study aimed to establish an SSS model by injecting 3% NaOH into the jugular vein(JV). Sprague-Dawley rats were randomly divided into sham, 3% NaOH, and 10% NaOH groups. Anesthetized rats underwent electrocardiogram recording before right JV exposure. Rats in the experimental groups received NaOH injections at 0.01 ml/s, while the sham group did not. Model success was evaluated after one hour. Heart rate(HR) and rhythm were documented at 1 hour, 1 week, and 2 weeks post-molding, including HE staining, membrane ion transcription and expression, and calcium ion content test. In the 3% NaOH group, the model establishment rate was 87%, and the mortality rate was 13%, whereas in the 10% NaOH group, they were 57% and 43% respectively (P < 0.01). The HR of the 3% NaOH group decreased at multiple time points post-molding (P < 0.001), presenting as arrhythmias such as sinus bradycardia. The JV sustained less damage, with necrosis of P cells, changes in membrane ion channels, and reduced calcium ion distribution. In conclusion, JV injection of 3% NaOH can establish the SSS model and benefit animals.

GABAA receptors are channel proteins crucial to mediating neuronal balance in the CNS. The structure of GABAA receptors allows for multiple binding sites and is key to drug development. Yet, the formation mechanism of the receptor’s distinctive pentameric structure is still unknown. This study aims to investigate the role of three predominant subunits of the human GABAA receptor in the formation of protein pentamers. Through purifying and refolding the protein fragments of the GABAA receptor α1, β2, and γ2 subunits, homopentamers were visualised with negative staining and Cryo-EM. To aid the analysis, AlphaFold2 was used to compare the structures. Results show that α1 and β2 subunit fragments successfully formed homo-oligomers, particularly homopentameric structures, while the predominant heteropentameric GABAA receptor was also replicated through the combination of the three subunits. However, it is still unclear whether γ2 subunits can form homopentamers or their main purpose is to bring together the α1 and β2 subunits to form GABAA receptors. Nevertheless, this study will lead to a deeper understanding of the atomic structure of GABAA receptors, especially in the formation mechanism of complex protein structures, and hopefully pave the way to the development of novel therapeutics for neuropsychiatric diseases.

In the context of global urbanization and climatic change, the frequency of various uncertainties and disturbances faced by urban system is increasing, and enhancing urban resilience has become one of the vital components of sustainable development of modern cities. At the same time, urban resilience has become a hot topic in interdisciplinary research such as economics, ecology, and geography. This paper constructs urban resilience evaluation indicator system based on four dimensions—economy, ecology, society, and infrastructure. The evaluation indicator is used to measure the resilience levels of Yichang-Jingzhou-Jingmen-Enshi (YJJE) urban agglomeration in China from 2010 to 2023. Using the entropy weight method, the Getis-Ord Gi* model, and the robustness testing, this paper analyzes the spatiotemporal evolution characteristics of urban resilience in YJJE urban agglomeration. Then, the factor contribution model is used to explore the influencing factors of urban resilience. Finally, the CA-Markov model is used to predict urban resilience in 2030. The results are as follows: From 2010 to 2023, the urban resilience values of all prefecture-level and county-level cities in YJJE urban agglomeration showed an upward trend, and it indicated that the resilience of urban system is improving. Meanwhile, the urban resilience of YJJE urban agglomeration increased with an average annual growth rate of 3.25%. Furthermore, the urban resilience exhibited a significant spatially heterogeneity distribution, with Xiling, Wujiagang, Xiaoting, Yidu, Zhijiang, Dianjun, Dangyang, Yuan’an, Yiling, Duodao being the high-value agglomerations of urban resilience, and Hefeng, Jianli, Shishou, Wufeng being the low-value agglomerations of urban resilience. Then, we identified critical driving factors of urban resilience in YJJE urban agglomeration. Finally, the urban resilience of all cities within YJJE urban agglomeration will reach the medium level or higher than medium level in 2030. Xiling, Wujiagang, Xiaoting, Zhijiang, Dianjun, Dangyang, Yuan’an will remain hot spots of urban resilience, while Jianli will remain cold spots of urban resilience in the future. This study can provide the scientific reference and policy recommendation for the government to build resilient cities and improve sustainable urban development.

With the advance of generative AI, the text-to-image (T2I) model has the ability to generate various contents. However, the generated contents cannot be fully controlled. There is a potential risk that text-to-image model can generate unsafe images with uncomfortable contents. In our work, we focus on eliminating the NSFW (not safe for work) content generation from text-to-image model while maintaining the high quality of generated images by fine-tuning the pretrained diffusion model via reinforcement learning by optimizing the well-designed content-safe reward function. The proposed method leverages a customized reward function consisting of the CLIP (Contrastive Language-Image Pre-training) and nudity rewards to prune the nudity contents that adhere to the pretrained model and keep the corresponding semantic meaning on the safe side. In this way, the text-to-image model is robust to unsafe adversarial prompts since unsafe visual representations are mitigated from latent space. Extensive experiments conducted on different datasets demonstrate the effectiveness of the proposed method in alleviating unsafe content generation while preserving the high-fidelity of benign images as well as images generated by unsafe prompts. Our method surpasses existing state-of-the-art (SOTA) baseline methods and achieves better performance on sexual content removal (14.5% higher than SafeGen) and image quality retention. In terms of robustness, our method outperforms Safe Latent Diffusion and SafeGen under the SOTA black-box attacking model SneakyPrompt by approximately 2x and 5.6x, respectively. Furthermore, our constructed method can be a benchmark for other methods aiming for anti-NSFW generation, high-level prompt-image safe alignment.

Microbial composition across substrates in mangroves, particularly in the Middle East, remains unclear. This study characterized bacterial communities in sediment, water, Terebralia palustris snail guts, and plastic associated with Avicennia marina mangrove forests in two coastal lagoons in the Sea of Oman using 16S rDNA gene MiSeq sequencing. The genus Vibrio dominated all substrates except water, which featured unique genera Sunxiuqinia and Pseudomonas. There were significant differences in bacterial communities on different substrata, in particular plastic. Snail guts harbored the highest number of unique Operational Taxonomic Units (OTUs) in both lagoons. Plastic in the polluted Sawadi lagoon with low salinity harbored distinct genera like Vibrio, Aestuariibacter, Zunongwangia, and Jeotgalibacillus absent in Qurum lagoon with higher salinity and low pollution. Sawadi lagoon exhibited higher species diversity in sediment and plastic substrates, Qurum lagoon demonstrated lower overall species diversity. The PCA indicates that environmental factors like salinity, pH, and nutrient levels significantly influence bacterial community composition across substrates. Variations in organic matter and potential anthropogenic influences, particularly from plastics, further shape bacterial communities. This study highlights the complex microbial communities in mangrove ecosystems, emphasizing the importance of considering multiple substrates in mangrove microbial ecology studies.

The proliferation of Internet of Things (IoT) devices on Linux platforms has heightened concerns regarding vulnerability to malware attacks. This paper introduces a novel approach to investigating the behavior of Linux IoT malware by examining syscalls and library syscall wrappers extracted through static analysis of binaries, as opposed to the conventional method of using dynamic analysis for syscall extraction. We rank and categorize Linux system calls based on their security significance, focusing on understanding malware intent without execution.Feature analysis of the assigned syscall categories and risk ranking is conducted with statistical tests to validate their effectiveness and reliability in differentiating between malware and benign binaries. Our findings demonstrate that potential threats can be reliably identified with an F1 score of 96.86%, solely by analyzing syscalls and library syscall wrappers. This method can augment traditional static analysis, providing an effective preemptive measure to enhance Linux malware analysis. This research highlights the importance of static analysis in strengthening IoT systems against emerging malware threats.

(1) Background: São Paulo, Brazil, exhibits high mortality rates from pediatric solid tumors. This study analyzed the survival trends of patients aged 0-19 diagnosed with the state's five most prevalent solid tumors between 2000-2022. (2) Methods: An epidemiological, descriptive study utilized data from the Oncocentro Foundation of São Paulo, classified according to the International Classification of Childhood Cancer. The time between the first consultation and diagnosis, between diagnosis and treatment initiation, and patient survival were assessed using the Pe-to-Peto test. (3) Results: Analysis involved 11,067 cases: 53.5% male, with 89.6% diagnosed via microscopic confirmation. Tumor distribution comprised 34.3% central nervous system, 21.1% bone, 18.6% soft tissue, 14.2% germ cell, and 11.9% retinoblastomas. Main treatments included surgery with chemotherapy (26.5%), surgery alone (20.5%), and chemotherapy alone (15.6%). The average time between consultation and diagnosis was 22.94 ± 69.93 days, significant for treatments and recurrences, except for germ cell tumors (p=0.0178). The time between diagnosis and treatment was 25.46 ± 39.71 days, not significant for germ cell tumor treatments (p=0.0793). (4) Conclusions: Survival curves varied among neoplasm groups, with patients experiencing delays beyond recommended times, despite advanced healthcare services in the state.

Many of the fundamental molecules of life share extraordinary pigment-like optical properties in the long-wavelength UV-C spectral region. These include strong photon absorption and rapid (sub pico-second) dissipation of the induced electronic excitation energy into heat through peaked conical intersections. These properties have been attributed to a ``natural selection'' of molecules resistant to the dangerous UV-C light incident on Earth's surface during the Archean. In contrast, the ``thermodynamic dissipation theory for the origin of life'' argues that, far from being detrimental, UV-C light was, in fact, the thermodynamic potential driving the dissipative structuring of life at its origin. The optical properties were thus the thermodynamic ``design goals'' of microscopic dissipative structuring of organic UV-C pigments, today known as the ``fundamental molecules of life'', from common precursors under this light. This ``UV-C Pigment World'' evolved towards greater solar photon dissipation through more complex dissipative structuring pathways, eventually producing visible pigments to dissipate less energetic, but higher intensity, visible photons, up to wavelengths of the ``red-edge''. The propagation and dispersal of organic pigments, catalyzed by animals, and their coupling with abiotic dissipative processes, such as the water cycle, culminated in the apex photon dissipative structure, today's biosphere.

Artificial intelligence provides a new research concept for digital image processing. However, at present, artificial intelligence is rarely introduced into the teaching of digital image processing in colleges and universities, and there are problems such as obsolete teaching content, single teaching methods, and simple course experiments, which affect the teaching effect and are not conducive to the cultivation of comprehensive and innovative talents. Digital image processing technology brings more possibilities to communication engineering and makes communication more convenient. For example, video calls and photo transmission make people's communication methods in daily life more and more diversified. Time and space limitations allow people to meet online, creating more communication possibilities. However, there are still many problems and methods worthy of in-depth exploration. Therefore, this paper has a comprehensive understanding and mastery of the traditional and deep learning methods of digital image processing to improve the relevant project practice and scientific research exploration ability and refer for similar research conclusions.

This article discusses collaborative ethnography as a meaningful source for spatial research, in particular, for participatory methodologies in urban planning and placemaking processes. It investigates the experiences with co-creation and co-research in different research projects to gain insight into the performance of collaborative ethnography as a technique to explore and enrich local knowledge. To better understand the possible causal relationships between the experience gained in the projects and the learnt lessons, we also identify recommendations for improving research methodologies to be applied in placemaking. The article concludes that collaborative ethnography is an effective tool for adding value to spatial co-research and co-creation processes. It opens opportunities for the co-production of space, ideas and knowledge, contributing at the same time to better informed decision-making. It also helps improve ideas and gather insights into the spatial needs of focus groups.

The accurate counting of passengers in public transport systems is crucial for optimizing operations, improving service quality, and planning infrastructure. It can also contribute to reducing the number of public transport lines where a high frequency of vehicles is not needed in certain periods during the year, but also by increasing the number of lines where the need is increased. This paper provides a comprehensive review of current methodologies and technologies used for passenger counting, with a focus on image processing and machine learning techniques and concepts. The paper explores various algorithms, including traditional computer vision methods and advanced deep learning approaches, highlighting their strengths and limitations. Additionally, the paper examines the integration of these technologies with other sensing modalities such as infrared sensors, Wi-Fi, and RFID. By analyzing recent advancements and case studies, this review aims to offer insights into the effectiveness, scalability, and practicality of different passenger counting solutions and offers a solution proposal. The paper also analyzed the current GDPR regulation that applies to the European Union and how it affects the use of systems like this. Future research directions and potential areas for technological innovation are also discussed to guide further developments in this field.

Alena Tensor is a recently discovered class of energy-momentum tensors that provides mathematical framework in which, as demonstrated in previous publications, the description of a physical system in curved spacetime and its description in flat spacetime with fields are equivalent. The description of a system with an electromagnetic field based on the Alena Tensor can be used to reconcile physical descriptions. In curvilinear description, EFE were obtained with Cosmological Constant related to the invariant of the electromagnetic field tensor, which can be interpreted as negative pressure of vacuum, filled with electromagnetic field. In classical description for flat spacetime, three densities of four-forces were obtained: electromagnetic, gravity, and the force responsible for the Abraham-Lorentz effect (radiation reaction force). There was obtained Lagrangian density and generalized canonical four-momentum, containing electromagnetic four-potential and a term responsible for other two forces. In the quantum picture, QED Lagrangian density simplification was obtained, and the Dirac, Schrödinger and Klein-Gordon equations may be considered as approximations of the obtained quantum solution. The distribution of charged matter was expressed as polarization-magnetization stress-energy tensor, what may explain why gravity is invisible in QED. The description used also leads to conclusion, that charged particles cannot remain at complete rest and that they should have spin. Obtained connection of Einstein tensor with gravity and radiation reaction force, after transition to curvilinear description, excludes black hole singularities. Farther use of Alena Tensor in unification applications was also discussed.

The art of dyeing textiles has a long history, as natural dyes have been used since prehis-toric times. With the development of synthetic dyes in the 19th century, the focus shifted from natural to synthetic dyes due to their superior properties. Recently, however, interest in natural dyes has increased again due to environmental and health concerns. Among industrial dyes, heterocyclic dyes, especially azo dyes, are of great importance due to their color brilliance and fastness. This review examines the synthesis, application and analysis of azo dyes, especially heterocyclic dyes. It deals with monoazo, diazo and polyazo dyes and highlights their structures, synthesis methods and fastness properties. In addition, the ecological impact of azo dyes and practical solutions for their synthesis and application are discussed.

Internships can foster educational alliances between industry (business environment) and academic institutions, which can facilitate both flexibility and accelerated innovation. The purpose of this research is to search for the factors that determine HRD through the implementation of the Internship program among the students of Democritus University of Thrace and reveal the correlation between the factors. Also, this paper investigated the impact of the COVID-19 Eras on Human Resource Development (HRD) Factors and finally, investigated the correlation between the two variables "Recruitment in the specialization" and "Covid Eras". The sample of the research consisted of 1398 students of DUTh who implemented Internships during the academic years 2015-2016 to 2021-2022. A questionnaire with 60 variables was created for data collection. A random sampling method was applied to collect the sample. From the results of the survey, ten factors were extracted for human resource training that explained 75.512% of the total variance and for each one, Cronbach's Alpha reliability was tested, which was high. In detail, the factors revealed were Learning Outcomes, Efficacy, Emotional Commitment, Satisfaction, Participation, Empowerment, Role Ambiguity, Role Conflict, Supervisor and Collaboration. From the results of the study, it was evident that HR development - training is a multi-dimensional concept and is a necessary condition for the competitiveness of the firms. Training can help to improve the flexibility of the firm, but also to motivate the staff by implementing multidisciplinary training programs. In general, internship programs are valuable ways for students to acquire broad competences, where the practical knowledge gained supports and complements the theoretical studies acquired in educational institutions.

Introduction. Anesthesia is widely used in various fields of dentistry to reduce patient discomfort when the treatment would be painful. The dentist may need to infiltrate the anesthetic into multiple locations and this is usually done with the same needle which passes through the soft tissues several times to distribute the anesthetic solution over a larger area. The present study aims to evaluate, through a morphological analysis under a scanning electron microscope (SEM), how the beveled tip of a 30G needle, used to inject anesthetic several times into different areas of the vestibular mucosa, changes. Materials and methods. 30G needles with two different brands were tested, in vivo used for a variable number of sequential injections from 1 to 6 on 192 patients. The specimens were analyzed under SEM observation to evaluate any deformations induced by contact with the vestibular soft tissues. Results. The amount of deformation, measured along the axis parallel to the needle, was proportional to the number of injections. The protrusion of deformations, measured on an axis perpendicular to the needle, were maximum on the needles used 3 times. For the needles used 4,5 and 6 injections, no further increase in deformations was noted. Conclusion. From the data it seems that the tested needles are not produced to withstand multiple injections consequently after the first injection on soft tissues, they undergo a deformation which could increase the risk of injury to the mucosa itself or to nerves and vessels with which they come into contact. It would be advisable to use the single needle for a reduced number of injections.

Pulmonary artery stenosis represents a group of disorders involving main, branch or peripheral pulmonary arteries resulting either in pain, dyspnea, hemoptysis or even no symptoms. Early diagnosis and timely intervention are crucial for reducing mortality, while timely diagnosis is challenging due to the nonspecific symptoms. Computed tomography pulmonary angiography (CTPA) is useful in the diagnosis because it can provide more details about the abnormal changes in the lumen, vessel wall and adjacent mediastinal structures. Congenital and acquired pulmonary artery anomalies have some characteristics on CTPA, which can be useful for differential diagnosis. Awareness of these conditions and is important for the radiologists. This pictorial review provides an overview of CTPA imaging features of pulmonary artery stenosis.

With the rapid development of intelligent logistics and network environment, it has become an urgent problem to efficiently and accurately handle and analyse the huge amount of uncertain decision information. Traditional decision making methods often fail to make the best use of complex and incomplete information, especially in the field of cyber defence. To address these problems, this paper introduces a new mathematical tool, discrete multidimensional Z-numbers (MZs), for expressing and dealing with uncertainty and reliability in network defence decisions. In this paper, we first introduce the synthesis method of discrete multidimensional Z-numbers, which allows us to consider the uncertainty and reliability of multi-source information in network defence strategy. Then, the hidden probability of MZs is calculated by using the hidden probability model, and the multidimensional Z+−number is proposed, which improves the expressiveness of the model in dealing with information uncertainty. Based on MZs, we define a variety of utility functions and build a multi-attribute group decision framework for network defence around these functions. The MZs provides a novel perspective for analysing and designing response strategies, especially against highly adaptive and covert attacks. The method in this paper is verified by a case of network security assessment of an intelligent logistics company. The results show that this method can significantly improve the accuracy and efficiency of decision making, demonstrating its unique advantages and wide application potential in network defence. This integrated discrete multidimensional Z-number group decision method is not only suitable for intelligent logistics decision making, but also provides an efficient decision support tool for network defence, which helps to improve the intelligence and adaptability of network security defence.

In this paper we derived an expression that allows the determination of the thermo-optic coefficient of weakly-guiding germanium-doped silica fibers, based on the thermal behavior of optical fiber devices, such as, fiber Bragg gratings (FBGs). The calculations rely on the full knowledge of the fiber parameters and on the temperature sensitivity of FBGs. In order to validate the results, we estimated the thermo-optic coefficient of bulk GeO2 glass at 293 K and 1.55 m to be 18.3x10-6 K-1. The determination of this value required to calculate a correction factor which is based on the knowledge of the thermal expansion coefficient of the fiber core, the Pockels’ coefficients (p11=0.125, p12=0.258 and p44=-0.0662) and the Poisson ratio (=0.161) of the SMF-28 fiber. To achieve that goal, we estimated the temperature dependence of the thermal expansion coefficient of GeO2 and we discussed the dispersion and temperature dependence of Pockels’ coefficients. We have presented expressions for the dependence of the longitudinal and transverse acoustic velocities on the GeO2 concentration used to calculate the Poisson ratio. We have also discussed the dispersion of the photoelastic constant. An estimate for the temperature dependence of the thermo-optic coefficient of bulk GeO2 glass is presented for the 200-300 K temperature range.

Because Canadian Nitrogen (N) fertilizer use has more than doubled since 1990 (1.2 to 2.9 MtN by 2021), a better understanding of this trend is needed. A comprehensive set of Recommended N Rates (RNR) that agreed with fertilizer sales data from 1996 and 2001 was compared with the Fertilizer Use Survey (FUS). The FUS was conducted from 2014 to 2021, with 2017 being the most representative year for these data. Using non-parametric statistics, confidence intervals were derived from the histograms used to present the FUS data. N application rates from the RNR for Canola, Spring and Duram wheat, and Oats in the west were all below their respective FUS confidence intervals, whereas N application rates for Grain corn showed almost no difference in N use between the RNR and FUS. Crop-specific N application rates interpolated from the RNR and FUS were integrated over their respective crop areas and plotted against national fertilizer sales records from 1990 to 2021. The rapid increase in N use between 2001 and 2017 (0.89 MtN), 90% of it (0.80 MtN) in Western Canada, was primarily due to increased application rates per crop, rather than crop area changes. The FUS-RNR interpolations were a good approximation of N sales records and could improve farm GHG emissions modelling. The economically important crops in Western Canada should be the main focus for N-related GHG reduction measures, but production losses need to be avoided.

Celiac disease is a gluten-sensitive immune-mediated enteropathy of the small intestine that occurs in genetically predisposed individuals. Abnormal immune response results in mucosal inflammation, villous atrophy, and crypt hyperplasia. This study was a proof-of-concept exercise that used a convolutional neural network to classify hematoxylin and eosin (H&E) histological images of celiac disease, normal small intestine control, and non-specified duodenal inflammation; 7294, 11,642, and 5966 images, respectively. The trained network classified celiac disease images with high performance (accuracy 99.7%, precision 99.6%, recall 99.3%, F1-score 99.5%, and specificity 99.8%). Interestingly, when the same network (already trained for the 3 class images), analyzed duodenal adenocarcinoma (3723 images), the new images were classified as duodenal inflammation in 63.65%, small intestine control in 34.73%, and celiac disease in 1.61% of the cases. Finally, when the network was retrained using the 4 histological subtypes of images, all performance parameters were above 99% for celiac disease. In conclusion, the convolutional neural network (CNN)-based deep neural system was able to classify medical histological images with high performance. Narrow artificial intelligence (AI) is designed to perform tasks that typically require human intelligence, but it operates within limited constraints and is task specific.

This paper represents the first investigation into the consensus problem of linear time-varying multi-agent systems utilizing an event-triggered communication scheme. First, a general event-triggered consensus control scheme is proposed for a general category of linear time-varying multi-agent systems. Under some suitable assumptions, it is demonstrated that all agents’ states will converge exponentially, with Zeno behaviour being ruled out. Second, the consensus problem in a network of linear time-varying multi-agent systems with a spanning tree is investigated using the proposed control strategy. It demonstrates that the consensus issue for the specified system can be reformulated as a stabilization problem for an error system through a time-varying linear transformation. Then, the event-triggered consensus problem is just a special instance of the general event-triggered consensus problem mentioned above. Finally, to illustrate the efficacy of the event-triggered method proposed in this study, simulation results are shown.

Intermittent religious fasting increases a risk of hypo- and hyperglycemia in individuals with diabetes, but its impact in those without diabetes is poorly investigated. The study aim was to examine the effects of religious Bahá'í fasting (BF) on glycemic control and variability and compare these effects with time-restricted eating (TRE). In a three-arm randomized controlled trial, 16 subjects without diabetes were assigned to a BF, 16:8 TRE or control group. Continuous glucose monitoring and food intake documentation was conducted before and during the 19 days of intervention, and 24-hour mean glucose, glycemic variability indices, and glucotypes were assessed. BF and TRE groups, but not the control group, markedly reduced the daily eating window while maintaining macronutrient composition. Only the BF group decreased caloric intake (-677.8 ± 357.6 kcal, p=0.013), body weight (-1.92 ± 0.95 kg, p=0.011) and BMI (-0.65 ± 0.28 kg, p=0.006). Higher maximum glucose values were observed during BF in the within-group (+1.41 ± 1.04, p=0.039) and between-group comparison (BF vs. Control: p= 0.010 and TRE vs. BF: p= 0.022). However, there were no alterations of 24-hour mean glucose, intra- and inter-day glycemic variability indices, or glucotypes in any group. Proportions of time above and below range (70-180mg/dl) and HbA1c values remained unchanged. BF and TRE do not exhibit negative effects on glycemic control and variability in subjects without diabetes.

We present a case report of a 26-years-old female suffering from Coffin Siris Syndrome, who underwent orthodontic treatment and surgery to solve her malocclusion and improve her aes-thetics and functional occlusion. Methods: The presurgical phase involved multibracket self-ligating attachments, Damon prescription. The patient underwent maxillofacial surgery to correct the severe skeletal malocclusion and relocate the bone bases in the right relationship. The post-surgical orthodontic treatment was performed to complete the alignment. Results: The pa-tient improved her aesthetics and functional abilities. Conclusions: Syndromic patients can un-dergo orthodontictreatment if comorbidities and collaboration allow it. Support and collaboration of families and psychotherapists must be considered, but clinical cases of syndromic patients can be faced and solved. Obviously, each syndromic patient is considered unique, and the risk-benefit ratio must be correctly assessed for each one.

The West Pomeranian Anti-Crisis Package was an effective tool of the Voivodeship Executive Board of West Pomeranian self-government, which was used to combat and counteract and counteract the social and economic effects of the COVID-19 pandemic. The Anti-Crisis Package was prepared with a view to undertaking systemic, but also point-based measures in order to save and protect regional health care, entrepreneurs, the labour market, but also to use the existing social capital of non-governmental organizations involved in measures reducing the effects of the COVID-19 pandemic. The West Pomeranian Anti-Crisis Package, as evidenced not only by the financial outlays incurred, but also by the outcome of implementing measures achieved in 2020 and their continuation in 2021.

In this paper, we present a multi-task model that predicts disparities and confidence levels in deep stereo matching simultaneously. We do this by combining its successful model for each separate task and obtaining a multitask model that can be trained with a proposed loss function. We show the advantages of this model compared to training and predicting disparity and confidence sequentially. This method enables an improvement of 15% to 30% in the area under the curve (AUC) metric when trained parallel rather than sequential. In addition, the effect of weighting the components in the loss function on the stereo and confidence performance is investigated. By improving the confidence estimate, the practicality of stereo estimators for creating distance images is increased.

The ever-increasing demand for seafood-containing diets, especially fish, primarily due to their superior nutritional value, has impacted the availability of wild stocks, necessitating the focus on other underutilised aquaculture species. In this study, the proximate and fatty acid (FA) composition of the indigenous black South African mussel (Choromytilus meridionalis) was investigated. The effects of the hot-smoking as preservation method on the proximate composition for mussels were assessed using the standard AOAC protocols; while gas chromatography-flame ionised detection (GC-FID) was used to determine the FA content. The moisture level in hot-smoked mussels significantly (P

In economics, especially econometrics, fixed-effects are widely recognized as powerful tools for heterogeneity analysis of longitudinal data sets. However, the existing research pays more attention to such as the variable selection, parameter estimation and dimension reduction on linear relationships with too many assumptions while nonlinear relationships are ubiquitous. In this paper, an extension fixed-effects model is proposed on the curve_fit nonlinear least squares. First, with the help of expert knowledge, the series regressions between independent variables including time and dependent variable is estimated on each series data, and the parameters are estimated by curve_fit. Similarly, the coeffection between independent variables including time and dependent variable is also initially estimated on the whole panel data. Second, the distance between regressions is defined, and then the coeffect function between the series regressions is obtained on the initial co-effect with curve_fit. Third, the time-effects and individual fixed-effects for each series data in the panel data are estimated on the differences of series regressions and co-effect function. Additionally, the effectiveness of the proposed method is varified on the synthetic data.

Introduction: The construction of a house with a stage structure is the uniqueness of Banjarmasin's swampland. Particularly, foundations for swampy terrain necessitate special handling. Building material defects and the basic inability to modify the use and design of wood pillar foundations are the main causes of house building problems. The very limited capacity of a wooden pillar foundation makes house buildings collapse frequently. Purpose of the study: The aim of the study is to determine the weaknesses of the wooden pillar foundations by examining the indications of damage to the house structure. Methods: Field observation investigations, including housing and individual object observations, will be carried out at multiple construction sites in Banjarmasin (Indonesia) as part of this study. The way the data is presented is descriptive. Result: The weak construction of a wooden pillar foundation explains some indications of house building damage, such as broken wooden pillars and floor settlement. The existence of evidence that there is a broken 'sunduk’ element is one of the causes of damage to this foundation. The small size of the wooden poles also makes the load-bearing capacity limited.

Event data loggers are frequently used to record the date and time of tip events in tipping-bucket rain gauges. The HOBO® pendant event data logger is one such commercially-available device commonly used for this purpose. It can record the contact closure of a TBGR reed switch at a maximum timing resolution of 1 second, tied to the timing of the logger clock, which is set each time the logger is launched. These event loggers are ideal for the routine recording of rainfall. This paper addresses the issue of whether they can also be relied upon when estimating short-term intensities, for which they were not designed. New experiments show that for a series of switch closures at fixed intervals other than exact multiples of 1 s, the HOBO® logger fails to record evenly-spaced tip events. Thus, for example, with pulses at fixed 2.75 s intervals, the logger records some events as occurring at 2 s intervals, and others at 3 s intervals. The duration between logged events is correct only when the mean is calculated for a long series of logged events. In natural rainfall, tip events can occur at any time, and inter-tip times, from which intensity can be estimated, will generally not be an integral number of seconds. Consequently, particularly in intense rain, the logger behaviour just described can lead to erroneous estimates of the rainfall rate estimated from the duration of individual inter-tip times. Possible solutions are discussed.

Family planning (FP) services are crucial interventions for improving maternal and child health outcomes and promoting gender equity. However, ensuring equitable access to these services remains a significant challenge, particularly in countries like Pakistan, where sociocultural norms, economic disparities, and geographic barriers hinder FP uptake. This study utilized spatial analysis techniques, including hotspot analysis, to investigate geographic disparities in FP uptake in Pakistan using data from Pakistan Demographic and Health Surveys (PDHS) conducted between 2006 and 2017. ArcMap 10.1 was used for spatial analysis and Stata 12.0 for statistical analysis. Results revealed significant spatial variations in FP uptake, with urban areas generally exhibiting higher uptake rates than rural regions. Hotspot analysis identified dynamic changes in contraceptive prevalence rates (CPR), with significant clustering in some regions and dispersion in others. It also identified areas with high unmet need and their low intention to use FP services and preference for family size (&gt;3 children), highlighting the need for targeted behavioral change interventions. This innovative spatial approach provides nuanced insights for policymakers and program planners to develop targeted interventions based on localized data to improve FP service delivery, mitigate disparities, and ultimately advance efforts to improve maternal and child health outcomes. The application of geospatial analysis is an effective tool for enhancing program planning, evaluation, and resource allocation in diverse geographical contexts.

Abstract: Currently, antibodies are major therapeutic modalities in biopharmaceutical research and development. Because of required high dose for certain clinical applications, antibodies are formulated at high protein concentration for convenience of administration, shipping and storage. We will describe the inter-molecular interactions that can occur in such a crowded environment of high protein concentration. Two types of repulsive interactions, i.e., electrostatic and excluded volume effects, and three types of attractive interactions, i.e., hydrophobic, electrostatic and cross-linking, need to be considered in such a crowded environments. We then show consequences of such inter-molecular interactions, leading to high viscosity, opalescence and phase separation of antibody solutions. Co-solvents are used to control the stability, structure and molecular interactions and thereby to alleviate these solution problems. Among various co-solvents, arginine has been extensively used to suppress protein-protein interactions at high protein concentration. Arginine weakly but extensively interacts with aromatic/hydrophobic groups as well as charged groups on proteins, leading to effective suppression of viscosity, opalescence and phase separation of antibody solution.

AbstractLarge numbers of urban lakes are facing issues related to cyanobacteria, commonly known as blue-green algae, resulting in significant threats to humans and animal health due to their production of microtoxins and Anatoxin-A. These toxins induce acute effects including gastrointestinal distress, and respiratory problems, underscoring the need to protect urban lakes to safeguard community health and ecosystem well-being. A comprehensive monitoring program is a critical step to address cyanobacteria-related issues. Monitoring results of dissolved phosphorous, nitrates(N), Total Kjeldahl Nitrogen (TKN), total phosphorous (TP), TSS, and Escherichia coli (E. coli) concentrations, are used to understand the importance of different pathways events during dry conditions (no prior rainfall) and wet events (rainfall during or proceeding monitoring events) plus a microbial source tracking procedure, to understand impacts on growth characteristics of cyanobacteria and microtoxins. The Mann-Kendall Trend Test is used to characterize trends of various parameters (using transitions of ‘wet’ and ‘dry’ to the Lake and within the Lake), to identify the impact of various management strategies and/or the impact of various sources from overland land uses for a) wet events to the Lake, b) dry events to the Lake, c) wet events in the Lake, and d) dry events within the Lake. Microbial source tracking methods are used along the shoreline of Fairy Lake to interpret elevated levels of fecal pollution and E. coli bacteria in water samples, aiding in the identification of pollution sources. Blue-green algae have been observed at least once each year from 2018 to 2023. Microtoxins and Anatoxin-A were present in nine samples with a maximum of 1.72 mg/L and 0.02 mg/L, respectively. Frequent beach closures have occurred every year, raising public concerns regarding both ecological and recreational aspects for Fairy Lake.

Percutaneous aortic valve replacement (TAVI) has become the treatment of choice for elderly patients with severe aortic valve stenosis because of its less invasiveness compared to surgery. However, it introduces new complications, such as vascular lesions, access site problems, paravalvular leaks, and aortic dissection. Aortic dissection after TAVI is rare but serious, occurring in 0.2% to 0.3% of cases, with both intraprocedural and late cases reported. This case study concerns a 68-year-old woman who developed Stanford B aortic dissection, external iliac artery dissection, and right common femoral artery occlusion after TAVI. Treatment included stenting of the iliac and common femoral arteries, followed by a staged procedure: debranching, thoracic endovascular aortic repair (TEVAR) and endovascular aneurysm repair (EVAR), with satisfactory results. This case, underscores the importance of vigilance in the management of TAVI-related complications to optimize patient care and outcomes.

Neutrophil extracellular trap formation has been identified as a new cell death mediator, termed NETosis, which is distinct from apoptosis and necrosis. NETs capture foreign substances, such as bacteria, by releasing DNA into the extracellular environment, and have been associated with inflammatory diseases and altered immune responses. Short-chain fatty acids, such as acetate, are produced by the gut microbiota and reportedly enhance innate immune responses; however, the underlying molecular mechanisms remain unclear. Here, we investigated the effects of sodium acetate, which has the highest SCFA concentration in the blood and gastrointestinal tract, on NETosis by focusing on the mechanisms associated with histone acetylation in neutrophil-like HL-60 cells. Sodium acetate enhanced NETosis as shown by fluorescence staining with SYTOX green, and the effect was directly proportional to the treatment duration (16–24 h). Moreover, the addition of sodium acetate significantly enhanced the acetylation of Ace-H3, H3K9ace, H3K14ace, and H3K27ace. Sodium acetate-induced histone acetylation rapidly decreased upon stimulation with the calcium ionophore A23187, whereas histone citrullination markedly increased. These results demonstrate that sodium acetate induces NETosis via histone acetylation in neutrophil-like HL-60 cells, providing new insights into the therapeutic effects based on the innate immunity-enhancing effect of dietary fiber.

Introduction: Known for its persistent blood-feeding behavior from dawn to dusk, Aedes albopictus is recognized as one of the most dangerous mosquito species due to its role as a vector for diseases such as dengue. Studies have demonstrated that Aedes albopictus thrives in micro-breeding sites predominantly located on private properties, including abandoned containers and manholes used for rainwater and irrigation. This study investigates an innovative methodology, the TombiniNet, to mitigate the proliferation of Aedes albopictus by engaging citizens in the active management of micro-breeding sites on their properties. Materials and Methods: The study was conducted in Alessandria, a city with approximately 100,000 inhabitants, focusing on a sample of 200 houses and a population of about 5,000 people. Researchers conducted a comprehensive survey and analysis of micro-breeding sites for Aedes albopictus on both private and communal properties. The larval control measures were conducted from April to October, aligning with the peak mosquito breeding season. The study's sample included 51% of houses that allowed researchers access, and within these, 81% had Aedes albopictus larvae, often found in diverse water Containers holes of which basically manholes on villa garden floors. For monitoring the adult populations were used ovitraps that were not placed in private homes but in public areas to monitor and control the mosquito population. Results: The study identified that up to 70% of micro-breeding sites for Aedes albopictus in northern Alessandria were located on private properties. Citizen participation was critical to the success of the intervention, with a marked decrease in the number of adult tiger mosquitoes observed in areas where residents actively managed breeding sites using the TombiniNet. The TombiniNet was particularly effective in private areas, as it could be regularly maintained by residents, preventing debris accumulation that could hinder drainage. Discussion: The findings highlight the importance of engaging citizens in mosquito control programs to effectively manage Aedes albopictus populations in urban areas. The TombiniNet intervention demonstrated that a simple, cost-effective solution could significantly reduce mosquito breeding sites on private properties. By addressing both communal and private breeding sites, a comprehensive and sustainable approach to mosquito management can be achieved, thereby reducing the risk of disease transmission. Future studies should focus on long-term monitoring and the development of additional innovative solutions to enhance citizen participation and control measures. The study's success also pointed out the limitations of applying such interventions in public areas where debris could impede the net's effectiveness.

Ionizing radiation exposure can cause damage to diverse tissues and organs, with the hematopoietic system being the most sensitive. However, limited information is available regarding the radiosensitivity of various hematopoietic cell populations in the bone marrow due to the high heterogeneity of the hematopoietic system. In this study, we observed that granulocyte-macrophage progenitors, hematopoietic stem/progenitor cells and B cells within the bone marrow showed the highest sensitivity, exhibiting a rapid decrease in cell numbers following irradiation. Nonetheless, neutrophils, natural killer (NK) cells, T cells, and dendritic cells demonstrated a certain degree of radioresistance, with neutrophils exhibiting the most pronounced resistance. By employing single-cell transcriptome sequencing, we investigated the early responsive genes in various cell types following irradiation, revealing that distinct gene expression profiles emerged between radiosensitive and radioresistant cells. In B cells, radiation exposure led to a specific upregulation of genes associated with mitochondrial respiratory chain complexes, suggesting a connection between these complexes and cell radiosensitivity. In neutrophils, radiation exposure resulted in fewer gene alterations, indicating their potential for distinct mechanisms in radiation resistance. Collectively, this study provides insights into the molecular mechanism for the heterogeneity of radiosensitivity among the various bone marrow hematopoietic cell populations.

With the galaxy J101652.52 as a model galaxy, this paper studied on the temporal duration of optically observed spiral patterns in disc galaxies is based on the finite reservoir of hydrogen available without replenishment following the initial formation of these well-isolated galaxies. The galaxy J101652.52 exhibits a grand design spiral pattern of two wide open spiral arms with perfect central symmetry, has only rear side trail effect, which clearly indicates that there is no corotation circle, therefore, the Density wave theory proposed for the spiral arm formation may not be applicable in this galaxy. The results reveal a gradual decline in observable spiral arms regardless of any spiral arm formation mechanism. This reduction occurs after half-loop rotation (as defined in the paper) as hydrogen reserves deplete, hindering new star formation. Ultimately, spiral patterns may possibly become optically invisible at normal conditions after a full-loop rotation (as defined in the paper) with hydrogen depletion, even if the formation mechanism remains active. The spiral galaxies with spiral arms decoupled from galactic bars or having soft spiral structures shall have similar results as long as that the spiral pattern rotation speed is significant different from the galactic matter rotation speed. Most of observed spiral galaxies have soft spiral structures, their spiral patterns dynamically change constantly. The results of this study support the idea of short-lived spiral patterns compared to the lifespan of the spiral galaxies. The spiral arm formation may occur once like the onetime firework show in a galaxy’s life based on the limited availability of hydrogens. A concise, universally applicable mechanism for spiral arm formation across various galaxies should exist which provides a single mathematical formula to describe the broad range of morphologies of the spiral arms with few adjustable parameters. Some exceptions may be explained within this framework. Furthermore, the observed data on spiral pattern and galactic bar rotation speeds in the Milky Way require rigorous verification, particularly concerning the winding problem.

Sickle cell disease (SCD) is a hereditary blood disorder characterized by abnormal hemoglobin, leading sickle shape of red blood cells. It has several vascular complications and the cerebrovascular ones are among the most frequent and severe both in children and in adults. This review summarizes the main neurovascular manifestations of SCD, including acute stroke, silent cerebral infarction, large vessel diseases (moyamoya arteriopathy and aneurysms) and brain bleeding. Both epidemiology, pathophysiology and treatment issues are addressed and prevention of cerebrovascular events, including silent cerebral infarctions, is particularly relevant in SCD patients, being associated to poor functional outcome and cognitive complaints. Transfusions and hydroxyurea are the main available therapy at the moment, but contraindications, availability and complications might prevent their long term use, particularly in low income countries. The role of Transcranial Doppler in monitoring the patients (mainly children) is analyzed and a practical approach has been selected in order to give the main messages from the actual knowledge for a better management of the SCD patients.

Pesticides are chemical compounds or mixtures of hazardous substances that are used by humans to increase and protect crops from pests and control disease-carrying insects. Because of its wide use, it may be poisonous to helpful and non-targeting plants and animals. Spraying or spreading pesticides over whole fields of crops can cause runoff to transfer the chemicals into aquatic ecosystems, and wind can carry the chemicals to nearby grazing regions, farms, and populated areas, where they can endanger other animals. This review summarises recent studies on pesticide combination toxicity to aquatic biota and approaches used to anticipate toxic effects. When toxicants harm economically significant organisms that humans consume, the negative effects become more severe and can cause stress conditions, vital organ damage, biochemical damage, or even the death of living things in both terrestrial and aquatic environments. Pesticides are highly toxic to aquatic organisms such as snails, fish, etc. Neurological dysfunction in freshwater organisms is also caused by pesticides. By producing excessive ROS, pesticides can cause severe biochemical and histological changes in freshwater organisms. So, it is therefore easy to understand the attention of the public on these substances. Because aquatic organisms play a major part in the food chain. However, through the biomagnification process, the quantity of pesticides increases in the higher organisms through the food chain. Which results play a terrific role in the higher organism’s body. So, It's essential to comprehend the way that insecticides work on aquatic organisms. In this review article, we are focusing on the way that pesticides work, which will help in the system of biomonitoring.

South Africa’s internationally celebrated water legislation placed the responsibility for investing in water services at the door of the government. In recent years South Africa has struggled to invest adequately to keep up with growing demand for these services. The result is a suite of social, economic and environmental risks that are destabilising to the fiscus and the financial sector. This paper explored both operating and capital costs, and applied the ‘Beyond the Gap’ analysis to show that an additional 55% investment (R91 billion annually) is necessary to ensure South Africa meets its water policy goals. The analysis explores the factors that influence the investment amount and shows that a combination of policy choices and exogenous factors such as climate change could render the investment gap anywhere between 30% and 90% of the estimated current allocation to the water sector. The most significant savings are attributed to reducing the extent of “non-revenue water”, an energy transition away from coal, sharing of some water taps between (up to) five houses, reduced water allocations to agriculture, investments in invasive alien plant (IAP) clearing in water catchments above dams, and water demand management, capacity building and more efficient integration of different bulk water schemes. The study revealed important dependencies between capital and operating costs; where operating costs are ignored, the decay of water infrastructure is accelerated. Showing the contingency of investment needs on policy choices, places responsibility for attaining water policy goals and SDG 6 in the hands of a diverse set of actors. Quantifying the investment need also raises the critical question of how to raise the required investment. Recognising the need to balance risks to financiers with the widespread risks to households, companies and government when investment in water services is inadequate, South Africa is exploring a Monetary Architecture approach of inter-balance sheet relationships in an attempt to mobilise investment from new sources.

Soil organic matter (SOM) is essential for nutrient cycling and soil carbon (C) accumu-lation, both of which are heavily influenced by the quality and quantity of plant litter. Since SOM dynamics in relation to plant diversity are poorly understood we investigated the effects of willow variety and mixture, and site on the soil C stocks, SOM chemical composition and ther-mal stability. Using pyrolysis-field ionization mass spectrometry we analysed the top 10 cm of soil from two 7-year-old experimental sites in Germany and Sweden, with monocultures and mixtures of two willow varieties (Salix spp.) belonging to different species. Overall, site had the strongest effect on SOM quality. Results showed significant variability across sites for willow identity and mixture effects on C accumulation and SOM chemistry. In the German site (Ros-tock), yearly soil C accumulation was higher (p < 0.05) for variety ‘Loden’ (1.0 Mg C ha-1 year-1) compared to ‘Tora’ (0.5 Mg C ha-1 year-1), whilst in the Swedish site (Uppsala), both varieties ex-hibited similar soil C accumulation rates of around 0.6 Mg C ha-1 year-1. Willow variety identity significantly affected SOM quality at both sites, while mixing had minor effects. Our findings emphasize the significance of site-specific context and variety or species identity in shaping soil C accumulation in willow plantations.

Recent advancements in mass spectrometry have significantly enhanced our understanding of complex lipid profiles, opening new avenues for oncological diagnostics. This review highlights the importance of lipidomics in the comprehension of certain metabolic pathways and its potential for the detection and characterization of various cancers, in particular melanoma. Through detailed case studies, we demonstrate how lipidomic analysis has led to significant breakthroughs in the identification and understanding of cancer types and its potential for detecting unique biomarkers that are instrumental in its diagnosis. Additionally, the review addresses the technical challenges and future perspectives of these methodologies, including their potential expansion and refinement for clinical applications. The discussion underscores the critical role of lipidomic profiling in advancing cancer diagnostics, proposing a new paradigm in how we approach this devastating disease, with particular emphasis on its application in comparative oncology.

This paper investigates the effect of innovative cross-sectional configurations on Low-Cost Bamboo Composite (LCBC) structural members. The study employs both experimental and numerical methods with different resin matrices and bamboo species. In this study, LCBC short columns are designed with different innovative cross-sectional configurations in an attempt to overcome the costly production processes of engineered bamboo. This approach uses bundles of bamboo, both in culm and strip forms. A compatible, environmentally responsible, and economically justifiable resin matrix is used to fabricate an LCBC member. The production of LCBC members does not necessitate highly advanced technology. This capability enables the production of LCBC members in custom-designed cross-sectional shapes and lengths. This study introduces the Russian doll (RD), Big Russian doll (BRD), Hawser (HAW), and Scrimber (SCR) cross-sectional configurations. Extra-large, large, medium, and small sizes of bamboo are employed. Synthetic Epoxy (EXP), a Bio-based Experimental soft filler (BE1), Bio-Epoxy (BE2), Furan-based (PF1) matrices are applied. Furthermore, Moso, Guadua, Madake, and Tali bamboo species are incorporated. The results of this study reveal that the most efficient cross-sectional configuration for compressive strength is the HAW configuration, closely followed by SCR configuration. LCBC members with bio-resins have shown excellent promise in competing in strength with those made with their synthetic counterparts. The theoretical and numerical modeling of the LCBC members showed excellent correlation with the experimental results which provides the capacity to design LCBC for engineering projects. The LCBC design can be further developed with more bamboo and less resin content.

Postoperative RT is recommended after breast conserving surgery and mastectomy (with risk factors). Consideration of pros and cons including potential side effects demands for optimization of adjuvant RT and a risk-adapted approach. There is clear de-escalation in fractionation - hypofractionation should be considered standard. For selected low risk situations PBI only or even the omission of RT might be appropriate. In contrast, tendencies in escalating RT are obvious. Preoperative RT seems attractive for patients in whom breast reconstruction is planned or for defining the tumor location more precisely with the potential of giving ablative doses. Dose escalation by a (simultaneous integrated) boost or the combination with new compounds/systemic treatments may increase antitumor efficacy but also toxicity. Despite low evidence, RT for oligometastatic disease is becoming increasingly popular. The omission of axillary dissection in node-positive disease led to an escalation of regional RT. Studies are ongoing to test if any axillary treatment can be omitted and which oligometastatic patients do really benefit from RT. Besides technical improvements the incorporation of molecular risk profiles but also the response to neoadjuvant systemic therapy have the potential to optimize the decision-making if and how local and/or regional RT should be administered.

As the automotive industry undergoes a phase of rapid transformation driven by technological advancements, the integration of driving simulators stands out as an important tool for research and development. The usage of such simulators offers a controlled environment for studying driver behavior; the alignment of data, however, remains a complex aspect that warrants a thorough investigation. This research investigates driver state classification using a dataset obtained from real-road and simulated conditions, recorded through JINS MEME ES_R smart glasses. The data set encompasses electrooculography signals, with a focus on standardizing and processing data for subsequent analysis. For this purpose, we used a recurrent neural network model, which yielded a high accuracy on the testing dataset (86.5%). The findings of this study indicate that the proposed methodology could be used in real scenarios and that it could be used for the development of intelligent transportation systems and driver monitoring technology.

This study examines the relationship between entrepreneurship and sustainable devel-opment in Saudi Arabia from 2006 to 2022, focusing on the economic, social, and en-vironmental dimensions. Using the Autoregressive Distributed Lag (ARDL) model, the research investigates both short-run and long-run dynamics to understand how entre-preneurial activities influence sustainable development within the framework of Saudi Arabia's Vision 2030 initiative. The findings indicate that entrepreneurship significantly contributes to economic growth through job creation and innovation, thereby aiding in the diversification of the economy away from oil dependency. Socially, entrepreneurial ini-tiatives have a positive impact on gender equality and social inclusion by empowering women and integrating youth into the labour market. Environmentally, entrepreneurship helps reduce carbon emissions and promotes sustainable business practices. Despite these positive outcomes, challenges such as regulatory barriers, limited access to finance, and the need for a supportive entrepreneurial ecosystem remain. Recommendations include enhancing entrepreneurial education, providing financial incentives, and streamlining regulatory processes to better support start-ups and SMEs. The study highlights the ne-cessity of addressing these challenges to fully realize the potential of entrepreneurship for sustainable development in Saudi Arabia. By providing empirical evidence on the sig-nificant role of entrepreneurship in driving sustainable development, this research offers actionable insights for policymakers aiming to foster a more resilient and diversified economy in line with Vision 2030. .

We study how abstract representations emerge in a Deep Belief Network (DBN) trained on benchmark datasets. Our analysis targets the principles of learning in the early stages of information processing, starting from the “primordial soup" of the under-sampling regime. As the data is processed by deeper and deeper layers, features are detected and removed, transferring more and more “context-invariant” information to deeper layers. We show that the representation approaches an universal model – the Hierarchical Feature Model (HFM) – determined by the principle of maximal relevance. Relevance quantifies the uncertainty on the model of the data, thus suggesting that “meaning" – i.e. syntactic information – is that part of the data which is not yet captured by a model. Our analysis shows that shallow layers are well described by pairwise Ising models, which provide a representation of the data in terms of generic, low order features. We also show that plasticity increases with depth, in a similar way as it does in the brain. These findings suggest that DBNs are capable of extracting a hierarchy of features from the data which is consistent with the principle of maximal relevance.

Neurofibromas, rare benign tumors of the peripheral nerve sheath, present diagnostic challenges, particularly in diabetic patients with toe ulcers. This case involves a 55-year-old female with type 2 diabetes mellitus who developed an enlarging ulcer on her right second toe. The initial evaluation suggested a diabetic ulcer; however, advanced imaging revealed a mass-like lesion. Partial excision and biopsy confirmed a neurofibroma with spindle cells within the myxoid stroma and S100 protein expression. One month later, total excision and Z-plasty reconstruction were performed under general anesthesia. The patient’s postoperative recovery was uneventful, and the patient was discharged without complications. Follow-up revealed successful healing with no recurrence or functional issues. This case highlights the importance of considering neurofibromas in the differential diagnosis of diabetic toe ulcers to avoid misdiagnosis and ensure appropriate management.

The rising interest in functional foods has increased the use of probiotics and prebiotics in fermented dairy products to enhance gut health. This study focuses on developing a symbiotic fermented milk product using Lactobacillus acidophilus and Bifidobacterium bifidum activated with hawthorn extract as a prebiotic. Three versions of the product were tested: a control, and two variants with B. bifidum activated with 10-5 g/cm³ and 10-10 g/cm³ hawthorn extract, respectively. Key characteristics such as microbiological safety, sensory properties, amino acid profile, vitamin and mineral content, antioxidant capacity, and nutritional values were evaluated. Results showed that products enriched with hawthorn extract had favorable sensory properties and sustained high levels of lactic acid bacteria while being free of pathogens. Product 1 demonstrated significant increases in L. acidophilus (24.1%) and B. bifidum (14.7%) after 7 days compared to the control. Both enriched products exhibited slower titratable acidity increases and higher viscosities over 14 days, indicating better preservation and texture stability. Product 1 was notably enriched with essential amino acids, vitamins, and minerals, alongside enhanced antioxidant properties due to increased flavonoid content. The technology developed ensures probiotic viability at 109 - 1010 CFU/cm³ after 14 days, making it viable for dairy production.

Tomato (Solanum lycopersicum L.) is a widely cultivated horticultural crop. It is a member of the Solanaceae family and is reknowned for its high concentration of essential nutrients, including vitamins, minerals, and bioactive compounds with antioxidant properties. The Mediterranean countries, including Italy, Spain, and Greece, have a diverse range of tomato landraces. Assessing the nutritional and bioactive composition of different tomato varieties and their ripening stages is crucial to determine their suitability for the market. Thus, this research was aimed to examine the effect of ripening on the nutritional composition (including carotenoids and polyphenols content) and the antioxidant activities of fruits from three specific tomato varieties grown in Spain: Josefina and Karelya, which are cherry-like tomatoes, and Muchamiel, a type of salad tomato. In addition to evaluating their characteristics and composition (including carotenoids and polyphenols content), and assessing the antioxidant activities of these varieties at three different stages of ripening were quantified. As expected, the findings revealed that as the tomatoes matured, their antioxidant capacity increased alongside higher levels of carotenoids and polyphenols. Interestingly, the cherry-like tomatoes showed greater antioxidant activity than the salad tomatoes. This investigation emphasizes the role of fruit ripening in enhancing carotenoid levels, which contribute to the antioxidant activity of three varieties of tomatoes.

The energy transition is a complicated process that involves changing production and consumption habits, boosting the use of renewable energy sources, and reducing greenhouse gas emissions. This article examines the management of risks associated with this shift, focusing on investment, commercial, technological, regulatory, and environmental challenges. The paper proposes an effective way for dealing with new difficulties by assessing risks and the management techniques that accompany them. Furthermore, as a critical component of the energy revolution, the concept of Nearly Zero Energy Buildings (NZEB) is given, with a focus on the ambitions of INGV – Irpina Headquarters and the EU regulatory framework. Finally, the actions and methods employed to achieve the NZEB objectives are discussed, including the utilization of cutting-edge technologies and renewable energy sources. Furthermore, the concept of Nearly Zero Energy Buildings (NZEB) is introduced as an important component of the energy transition, with an emphasis on the European regulatory framework and the ambitions of the INGV – Irpina Headquarters. Finally, the interventions and techniques employed to achieve the NZEB targets are highlighted, such as the employment of advanced technologies and renewable energy resources. This study contributes significantly to understanding the processes and issues associated with the energy transition and the implementation of NZEB, hence boosting sustainability in the construction sector.

This study explored the effectiveness of a virtual music therapy program, based on positive psychotherapy principles, for college students during the COVID-19 pandemic. Twenty-four undergraduate students with partial PTSD were initially assigned to either an experimental group or a control group, with 11 participants in each group by the study's end. The experimental group underwent 15 video sessions of the therapy program, completing one session per weekday over three weeks. The program involved worksheets targeting goals aligned with positive psychology, such as positive affect, life meaning, personal strengths, gratitude, hope, and happiness. Activities included writing music autobiographies, creating and analyzing song lyrics, and exploring various music pieces. The effectiveness of the intervention was measured using the 21-item Depression Anxiety Stress Scale and the Korean Version of Positive Psychological Capital (K-PPC) before, immediately after, and three weeks post-program. The experimental group showed significant improvements in stress, anxiety, depression, self-efficacy, resilience, and the K-PPC total score compared to the control group. These improvements were maintained at the three-week follow-up. The findings suggest that positive psychology-based virtual music therapy can significantly enhance the mental health of highly stressed college students, especially during challenging times like the COVID-19 pandemic.

The study examines the noise, vibration, and harshness (NVH) management of electric vehicle (EV) powertrains, considering the challenges of the automotive industry's transition to electric drivetrains. The growing popularity of EVs brings new NVH challenges, as the lack of internal combustion engine (ICE) noise makes drivetrain noise more prominent. Key to managing NVH in EV powertrains is understanding the noise from electric motors, inverters, and gear systems. Noise from electric motors, mainly resulting from electromagnetic forces, and high-frequency noise generated by inverters significantly impact overall NVH performance. The article details sources of mechanical noise and vibration, including gear defects in gear systems and shaft imbalances. Methods presented in the publication include simulation and modeling techniques that help identify and solve NVH difficulties. Tools like multi-body dynamics (MBD), finite element method (FEM), and multi-domain simulation are crucial for understanding the dynamic behavior of complex systems. With the support of simulations, engineers can predict noise and vibration challenges and develop effective solutions during the design phase. The study emphasizes the importance of a system-level approach in NVH management, where the entire drivetrain is modeled and analyzed together, not just individual components.

In the face of rising global demand and unsustainable production methods, cultivated crustacean meat (CCM) is proposed as an alternative means to produce delicious lobster, shrimp and crab products. Cultivated meat requires starting stem cells that may vary in terms of potency, and propensity to proliferate or differentiate into myogenic (muscle-related) tissues. We suggest that regenerating crustacean limbs harbor a range of stem cells suitable for cultivated meat production and present a humane tissue source because they can be accessed non-lethally. To investigate stem cell activity in this model, we have conducted RNA-Seq analysis across six stages of claw regeneration in the crayfish Cherax quadricarinatus (four pre-molt and two post-molt stages), along with histology and real time quantitative PCR (qPCR). Differential expression analysis revealed expression patterns of significantly up- or down-regulated genes in 14 functional categories. Relative expression of select stem cell target genes (including endocrine, myogenic, cell cycle and pluripotency factors) highlighted two growth peaks during pre-molt regeneration and limited stem cell activity after the molt. Histology and qPCR results support the overall finding that pre-molt limb regeneration stages harbor more stem cell activity, likely making them a more prolific cell source for CCM development.

Lithium-ion batteries have gained immense popularity in electric vehicles(EVs) due to their high energy density, offering an extended driving range. This has made them the preferred choice in the automotive industry, driving the shift towards EVs. However, alongside their popularity, safety concerns have arisen. The main issues include the potential for thermal runaway leading to fires or explosions, which can occur due to overcharging, physical damage, or manufacturing defects. While safety features and rigorous testing aim to mitigate these risks, ongoing research and development focus on enhancing safety measures to further ensure the reliability and safety of lithium-ion batteries in EVs. This paper focuses on the development and deployment of a real-time monitoring dashboard for Li-ion battery health monitoring using STM32 Microcontroller within the framework of Industry 4.0. Leveraging advanced sensor technology and data analytics, the dashboard provides continuous, comprehensive insights into battery performance, including state of charge and temperature. Integrating with Industry 4.0 principles, such as IoT, the system enables predictive maintenance, optimizing production processes and ensuring efficient utilization of resources. The implementation showcases the integration of real-time monitoring tools for Li-ion batteries, aligning with the transformative paradigms of Industry 4.0 to enhance operational efficiency and reliability within industrial settings.

Aquaporin-4 (AQP4) expression is associated with development of congenital hydrocephalus due to its structural role in the ependymal membrane. Gene expression analysis of periaqueductal tissue in AQP4-knockout (KO) mice at 11 days of age (P11) showed modification in ependymal cell adhesion and ciliary protein expression that could alter cerebrospinal fluid homeostasis. A microglial subpopulation of CD11c+ cells were overexpressed in the periaqueductal tissue of mice that did not develop hydrocephalus, suggesting a possible protective effect. Here, we verified the location of this CD11c+ expression in the corpus callosum (CC) and cerebellum of AQP4-KO mice and analysed its time course. Immunofluorescence labelling of the CD11c protein in the CC and cerebellum of WT and KO animals at P3, P5, P7 and P11 confirmed an expanded presence of these cells in both tissues of the KO animal; CD11c+ cells appeared at P3 and reached a peak at P11, whereas in the WT animal they appeared at P5, reached their peak at P7 and were undetectable by P11. The gene expression analysis in the CC samples at P11 confirmed the presence of CD11c+ microglial cells in this tissue. Among the more than 4000 overexpressed genes, Spp1 stood out with the highest differential gene expression (600), with other genes such as Gpnmb, Itgax, Cd68 and Atp6v0d2 also identified as overexpressed. Therefore, CD11c+ cells appear to be necessary for normal corpus callosum development during postnatal life, and absence of AQP4 prolonged its expression in this tissue.

Background: Burns are a common and severe medical emergency requiring immediate specialized care to minimize damage and prevent complications. Burn severity depends on depth, extent, and location, with more complex care needed for burns on critical areas or extensive burns. Nursing is essential in burn management, providing immediate care, adapting treatments, managing pain, preventing infections, and offering emotional support for recovery. Methods: Retrospective, observational study that analyzed burn cases treated at the Hospital Complex of Cáceres (Spain) 2018-2022. Inclusion criteria were based on ICD-10 codes for burns, excluding severe cases not treated in this service. Data were analyzed using descriptive statistics, Student's t-tests, Chi-square tests, and ANOVA. Results: 220 patients, with a mean age of 47 years and 60.9% male. Most burns (95.5%) affected the external body surface, with a mean hospital stay of 7.86 days. Medical treatment was provided to 75.5% of patients, and 24.5% required surgical intervention. Significant differences in treatment procedures were observed according to age, skin thickness, and burn degree. Older patients had more procedures and longer hospital stays. Excision and transfer procedures were more common in full-thickness and severe burns. Conclusions: The findings align with previous research on burn demographics and treatment approaches. Treatment differences by age and burn severity highlight the need for tailored interventions. The study underscores the importance of comprehensive burn management, including psychological support for improved long-term outcomes. Further research could explore the impact of socio-economic factors on burn incidence and treatment.

This study is a retrospective analysis aimed to understand the incidence and risk factors of proximal junctional kyphosis (PJK) following long instrumented spinal fusion from L1 to the sacrum in patients with mild to moderate sagittal imbalance. It recruited consecutive patient undergone instrumented fusion from L1 to the sacrum for degenerative lumbar disease between June 2006 and November 2019 in a single institution. The patients’ preoperative clinical data, muscle status at T12-L1 on magnetic resonance images, and sagittal spinopelvic parameters were analyzed. Univariate analysis was used to compare clinical and radiographic data between PJK and non-PJK patients. Logistic regression analysis was used to investigate the independent risk factors for PJK. A total of 56 patients were included in the study. The mean age at surgery was 67.3 years and mean follow-up period was 37.3 months. Seven were male and 34 were female. PJK developed in 23 (41.1%) out of 56; of these patients, 20 (87.0%) developed PJK within postoperative 1 year. On univariate analysis between PJK and non-PJK patients, PJK group showed more frequent osteoporosis, lower body mass index, smaller cross-sectional area (CSA) and more fat infiltration (FI) in erector spinae muscle at T12-L1, larger preoperative TLK and PT with statistical significance (p&lt;0.05). On logistic regression analysis, severe (&gt;50%) FI in erector spinae muscle (OR=43.60, CI 4.10-463.06, R2N =0.730, p=0.002) and osteoporosis (OR=20.49, CI 1.58-264.99, R2N =0.730, p=0.021) were statistically significant. Preexisting severe (&gt;50%) fat infiltration in erector spinae muscle and osteoporosis were significant independent risk factors associated with PJK following instrumented fusion from L1 to the sacrum, but age was not a risk factor.

Drones have experienced rapid technological advancements, leading to the proliferation of small, low-cost, remotely controlled, and autonomous aerial vehicles with diverse applications, from package delivery to personal transportation. However, integrating these drones into the existing air traffic management (ATM) system poses significant challenges. The current ATM infrastructure, designed primarily for traditional manned aircraft, requires enhanced capacity, workforce, and cost-effectiveness to coordinate the large numbers of drones expected to operate at low altitudes in complex urban environments. To address this critical issue, this study aims to develop an intelligent, highly automated drone management system for integration into smart city transportation networks. The key objectives include: i) Developing a conceptual framework for an intelligent total transportation management system tailored for future smart cities, focusing on incorporating drone operations; ii) Designing an advanced air traffic management and flight control system capable of managing individual drones and drone swarms in complex urban environments; iii) Improving drone management methods by leveraging drone-following models and emerging technologies such as the Internet of Things (IoT) and the Internet of Drones (IoD); and iv) Investigating the landing processes and protocols for unmanned aerial vehicles (UAVs) to enable safe and efficient operations.

Land degradation, desertification and tree mortality related to global climate change are in the spotlight of Remote Sensing research in recent decades, since extreme climat-ic events could affect the composition, structure and biogeography of forests. Howev-er, the complexity of tree mortality processes requires a holistic approach. Herein, we present the first global assessment and a historical perspective of tree mortality by re-viewing both Remote Sensing and ground-based studies. We compiled 254 papers on tree mortality that make use of remotely sensed products, ground-based monitoring and climatic drivers, focusing on their spatial and temporal patterns, in the methods applied, while highlighting research gaps. Forested ecosystems, especially in the Medi-terranean area, appear to have experienced often climatic-induced physiological stress under extreme droughts and warming, raising concern that forests may become in-creasingly vulnerable to tree mortality. Our core results indicated that international publications on tree mortality are on the increase with the main hotspots being North America (39%) and Europe (26%). Wetness indicators appear as the barometer in ex-plaining tree mortality on a local scale, while vegetation indicators derived from mul-tispectral optical sensors are promising for large scale assessment. We observed that almost all of the studies we have reviewed were based on less than 25 years of data and were of local scale. Longer timeframes and regional scale investigations that will include multiple tree species analysis could have a significant impact on future re-search.

Staphylococcus aureus and Pseudomonas aeruginosa are opportunistic pathogens commonly associated with burn wound infections. These bacteria can form biofilm and contribute a high-level drug resistance to available antibiotics. This study focused on the bacteriolytic activity of phages vB_SAnS_SADP1 and vB_PAnP_PADP4 on 24 h old single or dual-species biofilms of Staphylococcus aureus and Pseudomonas aeruginosa in alone and in combination. Scanning and confocal laser scanning microscopic studies confirmed the structural organization of biofilms in single or dual-species combinations in in-vitro conditions. Single species biofilms are more robust and densely packed at 24 h of incubation. In contrast, dual-species biofilms (0.67± 0.02) are weakly associated due to their inter-species competition and are easily affected by phage cocktails (0.16 ± 0.02). In Invitro conditions, dual-species biofilms were more easily affected by phage cocktail than single phage. Scanning electron microscopic studies revealed the complete diminishment of biofilm formation by four h treatment with single phage or phage cocktails on single species or dual-species biofilms. Confocal laser scanning microscopic images with stains Syto®9 and propidium iodide revealed that phage treatment showed significant uptake of propidium iodide, indicating massive cell death mediated by respective phage or phage cocktail.

The advanced industrial systems are characterized by complex event-driven processes. The specification and computer analysis are illustrated by the common problem of a servo drive with the PWM controller. A mathematical model from the class of Cauchy problems with non-liner control logic is presented to resolve the task discussed. The designed model is performed in two stages: the mathematical model specification (modeling) and implementation (simulation). Two approaches to make a model specification are considered, the first one is the traditional structural technique, and the advanced method is based on the finite state machine paradigm. Structural and finite state software models are built in progressive simulation tools. Computer implementation of the software models of hybrid systems is performed using platform built-in libraries with numerical methods and algorithms for correct event detection. The results of computational experiments for transient processes of phase variables are qualitatively identical, that proves the adequacy of the developed models. The algorithm for asymptotic event detection is considered in detail. This technique demonstrated the best results by the one-sidedness criterion, which is explained by using the author’s algorithm for the integration step determining and the event function dynamics monitoring in the vicinity of the event limits.

ABSTRACTCaffeine is known to impair both growth and development in the model social amoeba Dictyostelium discoideum. However, little is known about the transcriptional regulation in response to caffeine treatment in Dictyostelium. In yeast cells, caffeine mimics the effect of rapamycin in inhibiting mTORC1 activity. Here, we investigated whether changes in growth and development of Dictyostelium in the presence of caffeine or rapamycin are mediated by mTORC1 and/or mTORC2. Results: Treatment of wild type cells with caffeine or rapamycin resulted in severely impaired growth and in the formation of small aggregates in comparison to untreated cells. rip3‾ cells (lacking a mTORC2 component) and lst8‾cells (lacking a component of both mTOR complexes) showed higher and slower growth rates, respectively, in comparison to parental AX3 cells. Parental AX3 and rip3‾ cells displayed similar sensitivity to rapamycin and caffeine, while lst8‾ cells were more sensitive to these compounds. When developed in the presence of caffeine or rapamycin, AX3 cells formed aggregates after a long delay. Caffeine did not alter the morphology of small rip3‾ mounds and lst8‾ cells continued to remain solitary. However, in the presence of 1µM rapamycin rip3‾cells failed to form mounds while AX3 cells streamed and formed aggregates. Complementation of lst8‾ cells with the wild type lst8 gene rescued the aggregation phenotype. cDNA microarray analysis to uncover the spectrum of differentially regulated genes in response to caffeine treatment revealed 104 and 193 differentially expressed genes at 3-and 6-hours of development, respectively, in comparison to control cells. After 6 hours of starvation in the presence of caffeine, 25 genes encoding ribosomal proteins and 4 encoding elongation factors were up regulated. Furthermore, we identified that upon caffeine treatment at the 3- and 6-hours’ time points, 12 (10 up and 2 down) and 21 (13 up and 8 down) genes, respectively, encoding proteins involved in early development. Conclusion: We conclude that caffeine and rapamycin have similar effects in decreasing the growth rate and in reducing the aggregate size of D. discoideum. Studies with lst8‾ and rip3‾ cells suggest that these compounds affect cell growth and aggregation by acting on both mTOR complexes, mTORC1 and mTORC2. Analysis of the differentially expressed genes after caffeine treatment suggests a key role of these genes in growth and aggregation.

Esophageal cancer is an extremely deadly tumor that accounts for 5% of all cancer deaths. The two main subtypes of the disease are esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC). To date, few studies analyse EAC for transcriptional signatures associated with diagnosis and/or prognosis, while most focus on the analysis of transcriptional profiles of ESCC. In this study, we used single-cell RNA sequencing (scRNA-seq) analysis of CD45+ cells enriched from Tumors and matched Non Tumor tissues from therapy naїve patients to identify all types of immune cells present in tumor immune infiltrate and its transcriptional profile. In addi-tion, we analysed the entire transcriptome in a cohort of 23 patients whose tissue biopsies were taken from Tumors and matched with Non Tumor tissue. The transcriptional signatures we obtained were then used to stratify a large cohort of TCGA EAC patients, demonstrating a strong association with their prognosis, as well as the ability to predict a patient's clinical outcome and better define the prognosis of EAC after surgery. In addition, these features may lead patients to effective therapies including immunotherapy approaches.

The architectural configuration of the space plays a crucial role in the acoustics of Neonatal Intensive Care Units (NICUs). The design of the environment, the materials used in construction, and the organisation of noise sources within the room significantly influence the noise levels present in these critical areas. For this research, noise levels found in two hospitals, with different architectural configurations and sizes but similar construction materials, have been analyzed. Data were recorded at 1-second intervals over a period of more than 24 hours. The data collected in these hospitals confirm the magnitude of the noise problem in NICUs, highlighting the urgent need to address it effectively to ensure an appropriate and safe environment for the recovery of neonates. Good architectural planning can help mitigate noise, while poor configuration can exacerbate acoustic problems, negatively affecting both patients and healthcare staff. It is crucial to involve architects, acoustic engineers, and healthcare staff in the design and renovation of NICUs to create spaces that not only meet medical needs but also consider the auditory well-being of neonates.

This study investigated the relationship between fundamental movement skills (FMSs) and health-related fitness (HRF) among first and second graders in South Korean elementary schools. It aimed to provide foundational data for developing physical education programs tailored to the motor development stages and fitness levels of younger elementary school students. In October 2023, FMSs (jumping, running, hopping, static balance, dynamic balance, overhand throwing, and kicking) and HRF (muscular strength, cardiorespiratory endurance, and flexibility) were evaluated among 291 first and second graders. The collected data were analyzed through frequency and multiple regression analyses performed using the SPSS software. The results revealed that higher scores in jumping and hopping are associated with greater muscular strength, cardiorespiratory endurance, and flexibility. Running had no significant effect on HRF elements. Higher scores in static balance (single-leg stance) were associated with increased muscular strength, cardiorespiratory endurance, and flexibility, but dynamic balance (balance beam walking) did not have a significant effect. Higher scores in overhand throwing were associated with greater muscular strength and cardiorespiratory endurance, but kicking did not show a significant association. Overall, these findings emphasize the importance of prioritizing jumping and static balance in physical education for the well-rounded health development of first and second graders.

Aiming at the problems of inaccurate segmentation of long object and information loss of small object in real-time semantic segmentation algorithm, this paper proposes a lightweight multi-branch real-time semantic segmentation network based on BiseNetV2. The new auxiliary branch makes full use of spatial details and context information to cover the long object in the field of view. Meanwhile, in order to ensure the inference speed of the model, the asymmetric convolution is used in each stage of the auxiliary branch to design a structure with low computational complexity. In the multi-branch fusion stage, the alignment and fusion module is designed to provide guidance information for deep and shallow feature mapping, so as to make up for the problem of feature misalignment in the fusion of information at different scales, and thus reduce the loss of small target information. In order to further improve the model’s awareness of key information, a global context module is designed to capture the most important features in the input data. The proposed network uses NVIDIA GeForce RTX 3080 Laptop GPU experiment, on the road street view data set Cityscapes and CamVid average occurring simultaneously ratio reached 77.1% and 78.4% respectively, with running speed of 127 frames/s respectively and 112 frames/s. The experimental results show that the proposed algorithm can achieve real-time segmentation and improve the accuracy significantly, showing good semantic segmentation performance

This study investigates the effects of chanting Nam-Myoho-Renge-Kyo on sound frequencies, brain activity, and microbial metabolism. Spectral analysis of chanting revealed peaks at 8 Hz and 116 Hz, corresponding to the first Schumann resonance and a frequency linked to chloride ion movements, respectively. Additionally, five peaks corresponding to solfeggio frequencies were identified. These frequencies are known to exert a positive impact on the human endocrine and autonomous nervous systems; improve survival of human brain cells; decrease anxiety in rats; reverse cognitive and endocrine deficits in zebra fish; reduce total concentration of reactive oxidative species in brain tissue. Brain activity changes were measured using functional near-infrared spectroscopy. Prefrontal cortex activity increased modestly during chanting compared to a pre-chanting baseline, but significantly increased afterwards. This suggests a shift towards focused attention during chanting and enhanced activity afterward. The study also examines the effects of chanting on microbial metabolism. Cultures exposed to chanting, either directly or indirectly, showed increased metabolic activity. This suggests local and non-local effects, similar to previously reported phenomena. Importantly, the study clarifies that the spiritual practice of Nichiren Shoshu Buddhism can't be reduced to mere neurophysiological mechanisms in the brain or any other part of the body. The religious and spiritual experience of practicing Buddhism and chanting Nam-Myoho-Renge-Kyo goes well beyond brain activity, neurotransmitters or quantum phenomena of consciousness. It encompasses a mystic dimension that, although not in contradiction with science, can’t be explained solely by science.

The forage fish, a crucial source of nutrition in developing countries, are unfortunately primarily used for fishmeal and aquafeed production for aquaculture that mainly serves consumers in developed countries. Industrial fish use leaves a meager portion of the catch for direct human consumption in the fish-producing countries, leading to inflated fish prices locally. Overfishing forage fish necessary to support the fish reduction industry disrupts the ecosystem, diminishes the catch of larger fish, such as mackerel, and marginalizes local artisanal fishermen. This article appraises roughly the financial and nutritional impacts of elevated fish prices on low-income consumers in forage fish-producing countries, drawing attention to the ethical implications of this situation. A hypothetical 10% boost in the annual supply of fresh forage fish to the current global supply of 5 million MT markets could save consumers hundreds of millions of US dollars globally, tens of mil-lions of US dollars nationally, and several dollars for a family while improving the nutrition of families that depend on forage fish. The numbers suggest that even a modest boost to the supply of forage fish in fresh fish markets could significantly benefit the fish-producing nations' consumers and the fish-producing nations. In some countries, such as South Africa, the orders of magnitude of these sums approach that of the entire local fish reduction industries' value. The increased fish prices could be considered involuntary subsidies by low-income consumers to the aquafeed and aquaculture industries. In summary, the reduction industry's and aquaculture's current use of captured forage fish warrants further scrutiny, as it inadvertently burdens disadvantaged societies financially and nutritionally. The article proposes alternative protein sources and cultivating non-carnivorous fish among several optional measures to ensure equitable distribution of forage fish resources.

It is often said in human society that it all starts from the mind, and this is true. The answer to the question “Why is it that pets require much fewer years to fully develop than humans?” could be headed to the Theory of Relativity and the perceived time according to the levels of instinct and rationality. It is perhaps no wonder that the French language translates the word “mind” as “l’esprit”, which also means “spirit” in the English language. Given that the Theory of Relativity applies to all physical matter, the theory applies to chemistry, biology and psychology as well. The level of instinct is proportional with the perceived speed of time and implicitly, to the speed of time itself for the whole organism, given that the nervous system coordinates all bodily functions. A pet may experience a few years as humans experience over a decade, making their perceived lifetime to be approximately equal to the human’s. The same applies to the perception of space and its components. This aspect would emphasise upon the fact that all life on Earth shows the same degree of value with regards to uniqueness. Nevertheless, the values represented by the hierarchy of competences among living organisms at the same time differs based on species. Honour of uniqueness and hierarchy of competences represent two scientific concepts that never overcross. As a result, there is no evidence to suggest that scientific facts as such constitute a form of contradiction to philosophical and religious ideas, given that religion refers to animals as companions of humans. With regards to the clock of the living organism; there are three kinds of clocks in a living organism: the emotional clock, the cognitive clock and the molecular clock. These three categories actually constitute the temporal layers of our dimension, so they are in a relationship of interdependence. When one has a feeling that time is slower or quicker, they are not fully experiencing that change in the time speed, but only partially. And one can profoundly experience the change of perceived time speed when they experience profound feelings, which sweep them away from reality. Complete, deep mental focus can bring about this profound change in perception, which will make the individual feel as if they are in a different form of reality. When one is more instinctive, the person in cause perceives time as slower and sees more opportunities within the same frame of time and space. When one experiences the “Fight or flight” mode, the person in the cause finds themselves to be in danger and has two options; to try to prevail over the danger or to flee it. Whilst experiencing such a mode, people are much more alert and therefore, time passes more slowly and the physical space dilates. When people are relaxed, however, time and space become smaller, and when they are in a deep state of resting, they become very small. And where there is a smaller dimension, there is a greater speed, just as the circulating air gains speed when it crosses narrow passages.

Individuals have different rumination patterns after experiencing traumatic events in different cultural backgrounds and situations. This study was aimed to explore the experience of Chinese young and middle-aged patients with acute coronary syndrome (ACS) to understand the content and nature of their rumination. Fourteen participants were selected using the purposive sampling method in XXX hospital from May 2023 to December 2023. Data were collected using semi-structured interviews and analyzed using Colaizzi’ s 7-step phenomenological method. The content of rumination in young and middle-aged patients with ACS can be summarized into 2 categories: non-adaptive rumination and adaptive rumination. Non-adaptive rumination included 3 themes: worry or anxiety, scare, and depression. Adaptive rumination included 4 themes: tracing of disease processes, enhancement of disease cognition, improvement of health awareness, and adjustment of lifestyle cognition. In conclusion, although Chinese young and middle-aged patients with ACS experience negative emotions after a traumatic cardiac event, they gradually make positive changes, and optimism and information support play important roles in this transition, which provide a fundamental understanding of rumination experiences in Chinese young and middle-aged patients with ACS and provide new data for healthcare providers when designing intervention programs to enhance post-traumatic growth in these patients.

The acquisition of vegetation coverage information is crucial for crop field management, and utilizing visible light spectrum vegetation indices to extract vegetation coverage information is a commonly used method. However, most visible light spectrum vegetation indices do not fully consider the relationships between the red, green, and blue bands during their construction, making it difficult to ensure accurate extraction of coverage information throughout the crop's entire growth cycle. To rapidly and accurately obtain potato vegetation coverage information, drones were used in this study to obtain high-resolution digital orthoimages of potato growth stages. Based on the differences in the grayscale values of potato plants, soil, shadows, and drip irrigation belts, this study presents a combination index of blue and green bands (BGCI) and a combination index of red and green bands (RGCI). The vegetation index intersection method was used with 10 vegetation information indices to extract vegetation coverage, and the differences in extraction accuracy were compared with those of the maximum entropy method and bimodal histogram method. Based on the high-precision fraction vegetation coverage (FVC) extraction results, the Pearson correlation coefficient method and random forest feature selection were used to screen 10 vegetation and 24 texture features, and the top 6 vegetation indices most strongly correlated with the FVC were selected for potato growth stage FVC estimation and accuracy verification. A high-precision potato vegetation coverage estimation model was successfully established. This study revealed that during the potato tuber formation and expansion stages, the BGCI combined with the vegetation index intersection method achieved the highest vegetation coverage extraction accuracy, with overall accuracies of 99.61% and 98.84%, respectively. The RGCI combined with the vegetation index intersection method achieved the highest accuracy, 98.63%, during the maturation stage. For the potato vegetation coverage estimation models, the model based on the BGCI achieved the highest estimation accuracy (R2=0.9116, RMSE=5.7903), and the RGCI also achieved good accuracy in terms of vegetation coverage estimation (R2=0.8987, RMSE=5.8633). In the generality verification of the models, the R2 values of the FVC estimation models based on the BGCI and RGCI were both greater than 0.94. A potato vegetation coverage estimation model was constructed based on two new vegetation information indices, demonstrating good accuracy and universality.

Hydroperoxides (ROOH) are known as damaging agents capable of mediating mutation, while a role as signaling agents through oxidation of protein sulfhydryls that can alter cancer-related pathways has gained traction. Glutathione peroxidase 2 (GPX2) is an antioxidant enzyme that reduces ROOH at the expense of glutathione (GSH). GPX2 is noted for a tendency of large in-creases or decreases in expression levels during tumorigenesis that leads to investigators focusing on its role in cancer. However, GPX2 is only one component of multiple enzyme families that metabolize ROOH and GPX2 levels are often very low in the context of these other ROOH reducing activities. Colorectal cancer (CRC) was selected as a case study for examining GPX2 function as colorectal tissues and cancers are sites where GPX2 is highly expressed. A case can be made for a significant impact of changes in expression levels. There is also a link between GPX2 and NADPH oxidase 1 (NOX1) from earlier studies that is seldom addressed and is discussed, presenting data on a unique association in colon and CRC. Tumor-derived cell lines are quite commonly used for pre-clinical studies involving the role of GPX2 in CRC. Generally, selection for this type of work is limited to identifying cell lines based on high and low GPX2 expression with the standard re-search scheme of overexpression in low expressing lines and suppression in high expressing lines to identify impacted pathways. This overlooks CRC subtypes among cell lines involving a wide range of gene expression profiles and a variety of driver mutation differences along with a large difference in GPX2 expression levels. A trend for low and high GPX2 expressing cell lines to segregate into different CRC subclasses, indicated in this report, suggests that choices based solely on GPX2 levels may provide misleading and conflicting results by disregarding other properties of cell lines and failing to factor in differences in potential protein targets of ROOH. CRC and cell line classification schemes are presented here that were intended to assist workers in performing pre-clinical studies but are largely unnoted in work on GPX2 and CRC. Studies are often initiated on the premise that the transition from normal to CRC is associated with up-regulation of GPX2. This is probably correct. However, the source normal cells for CRC could be almost any colon cell type, some with very high GPX2 levels. These factors are addressed in this study.

This study looked into how financial knowledge and entrepreneurial proficiency affected the performance of small, sustainable businesses. In parallel, we looked at how business resilience mediated the relationship between entrepreneurial proficiency and financial knowledge and long-term company success. Using an offline questionnaire, we employed a quantitative approach to gather data from 275 Indian small company owners. PLS-SEM was used to analyse the data that had been gathered. The findings show that resilience and entrepreneurial ability are very positively impacted by financial knowledge. The business resilience and sustainable performance of Indian SMEs are significantly enhanced by entrepreneurial competencies. Moreover, it was shown that business resilience moderated the influence of financial knowledge and proficiency on sustainable performance among Indian SMEs, while concurrently having a significant impact on sustainable performance. In keeping with India Vision of Viksit Bharat@2047: Crystal Gazing Through MSME Sector, which places a strong emphasis on entrepreneurship and the growth of a financially independent entrepreneurial community, this study helps to open up business options for regional business owners who oversee small businesses. According to the most recent figures (2021–2022) from the Ministry of Statistics & Programme Implementation, MSMEs make up a startling 29.15% of India’s GDP. This indicates their critical significance in the development of the country as it equates to a sizeable portion of the economic pie. In addition to adding to the corpus of knowledge, this research can help policymakers develop relevant plans to motivate SMEs that have been most negatively impacted by the COVID-19 pandemic to operate sustainably. There are also several other ramifications for financial institutions and business owners.

Keywords: Artificial Intelligence in Implantology; AI in Dental Implantology; Machine Learning in Dental Implantology; Deep Learning in Implant Dentistry; Robotics in Dental Implantology; AI-Based Implant Planning.

This paper presents an extensive performance analysis of open-ended waveguide elements for direct radiating arrays with high scan angle (± 50º/60º). The evaluated designs are based on square and hexagonal apertures loaded with ridges. Both square and triangular lattices are considered in the framework of Ka-band downlink design requirements for future LEO mega-constellations. The parameter space defined by the monomodal condition has been explored to find an optimum value for each structure. The analyses are validated with both infinite and finite full-wave models in terms of active reflection coefficient, scan loss and cross-polar discrimination.

Resonance inductive coupling is widely used for wireless power transfer (WPT) in medical applications. In this paper, we analyze the LCL-compensated WPT structure and propose a novel constant voltage transmission system based on gain estimation, without any extra feedback from the receiver. The system is capable for amplitude-modulated implant neural stimulation where the load impedance and the coupling coefficient are both variable. Compared to existing methods for constant voltage transmission, our approach offers advantages in compact size and the compatibility with the industrial, scientific and medical (ISM) band. We validate the load-independent resonant characteristic and the feasibility of constant voltage transmission using an experimental prototype working at 6.78MHz. Finally, we discuss the structure of the implant stimulator and methods of applying the proposed WPT system.

Recent research underscores the potential hazards that Backdoor Attacks pose to natural language processing (NLP) models. A thorough exploration of these attack methodologies is critical for comprehending the susceptibility of such models. Under normal circumstances, a model compromised by a backdoor attack will produce standard outputs; however, the presence of a specific trigger within the input leads to erroneous results. This paper focuses on the vulnerability of BERT, a widely recognized model in numerous NLP applications, by introducing a novel backdoor attack strategy that effectively compromises it. We manipulate the attention heads in BERT to enhance the backdoor attack. The efficacy of this method is demonstrated through experiments conducted on clean-label attack and a Sentiment Analysis task.