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 aim of this study was to assess the effects of three warm-up durations on post-exercise oxidative stress biomarkers, as well as recovery from the Wingate test in 14 amateur handball players. These players completed the Wingate test three times: after 5-min, after 10-min, and then after 15-min of warm-up, spread over two weeks with an interval of one week between each session. At the end of each session of the Wingate test, blood samples were taken: at rest (PR), after warming up (PWU) and immediately at the end of the test (P0), then after 10-min (P10) and after 20-min (P20) of recovery. The measured parameters are the total antioxidant status (TAS), superoxide dismutase (SOD), glutathione reductase (GR), glutathione peroxidase (GPx), malondialdehyde (MDA), protein-bound-carbonyls (PC) and thiobarbituric acid reactive substances (TBARS). The main findings revealed that anaerobic exercise induces oxidative stress, as evidenced by changes in antioxidant status and significant increases in concentrations of the majority of oxidative stress indicators (p < 0.05). At P20, plasma GPx, SOD, GR, TBARS, and PC contents, are lower and significantly different after a 15-min warm-up than after a 10-min or 5-min warm-up. ANOVA showed a significant ‘‘warm-up×recovery’’ effect on plasma GPx, SOD, GR, TBARS, and PC contents [F(8.104)=3.61; p<0.001; η2p=0.22, F(8.104): from 1.88 to 19.97; η2p: from 0.19 to 0.61: 0.05<p<0.001], respectively. We concluded that a 15-min warm-up was more efficient than the other duration in reducing free radical rise, emphasizing the importance of warm-up length on plasma oxidative stress biomarkers.

(1) Background: The aim of the present study was to evaluate the effect of different types of warm-ups on the strength and skin temperature of Paralympic powerlifting athletes; (2) Methods: The participants were 15 male Paralympic powerlifting athletes. It was analyzed the effects of three different types of warm-up (without warm-up (WW), traditional warm-up (TW), or stretching warm-up (SW)) on static and dynamic strength tests as well as in the skin temperature, which was monitored by thermal imaging; (3) Results: show no differences in the dynamic and static indicators of the force in relation to the different types of warm-up. No significant differences were found in relation to the Peak Torque (p = 0.055, F=4.560, η2p= 0.246 medium effect), and 1-Repetition Maximum (p = 0.139, F=3.191, η2p = 0.186, medium effect) between the different types of warm-up. In the thermographic analysis, there was a significant difference only in the Pectoral muscle clavicular portion between the TW (33.04 ± 0.71ºC) and the WW (32.51 ± 0.74ºC) (p = 0.038). The TW method also presented slightly higher values than the SW and WW in the Pectoral Muscles Sternal portion and in the Deltoid anterior portion, but with p-value &gt; 0.05; (4) Conclusions: that the types of warm-up studied do not seem to interfere with the performance of Paralympic Powerlifting athletes. However, the thermal images showed that traditional warm-up best meets the objectives expected for this preparation phase.

(1) Background: Post-activation performance enhancement (PAPE) protocols using heavy resistance preloading may improve RSA, yet optimal preloading intensity for amateur players is still unknown. This study investigated the effects of two PAPE protocols using different preloading intensities (85% and 90% of 1RM back squat) on RSA. (2) Methods: A double-blind, randomized, two-period crossover design was used, and 18 amateur male players were included in the study. RSA was assessed using a 6 x 35m sprint protocol with 10-second rest intervals (RAST). (3) Results: While the main effect of time significantly (p=0.01, η²=0.71) influenced performance decline across all groups, there was no significant (p=0.65, η²=0.01) interaction between time and condition. Individual responses to PAPE varied, highlighting the importance of individual differences. Interestingly, the BS85% group exhibited a less pronounced decline in performance compared to the control group, while the BS90% group only showed significant differences in three sprint levels. (4) Conclusions: Our findings suggest that a lower preload of 85% of 1RM may be as adequate as a higher preload of 90% of 1RM in enhancing RSA in amateur soccer players. These results may indicate a potential fatigue-delaying effect of PAPE protocols and emphasize the importance of individualized approaches for optimizing PAPE strategies.

This paper is given to the investigation of warm inflation using Modified Chaplygin gas in the background of locally rotationally symmetric Bianchi Identity type I. We find out the field equations and perturbations parameters such as; scalar power spectrum, scalar spectral index, scalar potential and tensor to scalar ratio under slow roll approximation. We find out these parameters in directional of Hubble parameter during the Logamediate inflationary regime in weak and strong case. These comological parameters shows that the anisotropic model is also compatible WMAP$7$ with recent observational data Planck $2018$.

In this paper we investigate how the Reionization process is affected by early galaxy formation in different cosmological scenarios. We use a semi-analytic model with suppressed initial power spectra to obtain the UV Luminosity Function in thermal Warm Dark Matter and sterile neutrino cosmologies. We retrace the ionization history of intergalactic medium with hot stellar emission only, exploiting fixed and variable photons escape fraction models ( fesc). For each cosmology, we find an upper limit to fixed fesc, which guarantees the completion of the process at z <6.7. The analysis is tested with two limit hypothesis on high-z ionized hydrogen volume fraction, comparing our predictions with observational results.

Warm cloud-precipitation plays a vital role in the hydrological cycle, weather, and climate. Comprehensive observation and study of warm cloud-precipitation can advance our understanding of the internal physical processes and provide valuable information for developing the numerical models. This paper mainly focused on a study of characteristics of warm cloud-precipitation in South China during the pre-flood season using datasets observed from a Ka-band cloud radar, laser ceilometer and disdrometer. Eighteen kinds of quantities from these three instruments were used to precisely elucidate the distribution, diurnal variation, vertical structure, and physical property of warm cloud-precipitation. The results showed that the occurrence of aloft cloud-precipitation decreased with the increase of height, and most of the hydrometeors were distributed below 2 km. During the observation period, the ground rainfall mainly came from light precipitation; however, short-time and sharp showers contributed to the majority of rain amounts. Most of the cloud layers were single-layer, with base heights below 2.2 km, thickness thinner than 2.1 km, and top heights within 0.6-4.2 km. Warm cloud-precipitation owned certain diurnal variations, with a rising trend of cloud base heights in the afternoon and midnight. During 0230-1100, 1200-1800, and 2100-2300, the convections were relatively active with higher cloud tops, thicker cloud thickness, and higher rainfall occurrences. Separation and statistical results of cloud and precipitation indicated that they owned different vertical structures and physical properties, exhibiting different value ranges and changes of radar reflectivity, vertical air motion, particle size, number concentration, liquid water, and rain rate at different height levels. The particle size distributions of cloud and precipitation both were exponential. Radar-derived raindrop size distribution was very coherent with the ground measurement when the reflectivity of precipitation was within 10-20 dBZ. However, for other reflectivity regimes, instrument sensitivity, sampling height, attenuation, and non-precipitating weak targets can affect the comparison.

In mesoscale eddies, chemical properties and biological composition are different from those in surrounding water, due to their unique physical processes. It is unclear how physical-biological coupling occurs in warm-core eddies, particularly since no study has examined the relationship between bacteria and viruses. The purpose of the present study was to examine the influence of anticyclonic warm eddy on the relationship between bacterial and viral abundances as well as viral activity (viral production) in different depths. In the core of warm eddy, bacterial abundance (0.48 to 2.82 ×105 cells mL−1) fluctuated less than that of the outside eddy (1.12 to 7.03×105 cells mL−1). In particular, there was four-folds higher of viral-bacterial abundance ratio (VBR) estimated within the eddy below DCM than the outside eddy. We suggest that prevailing physical forces with downwelling at the center of the anticyclonic warm eddy, viruses can also be transmitted into the deep ocean directly through adsorption on particulate organic matter during sinking. Overall, our findings provide valuable insights into the interaction between bacterial and viral communities and their ecological mechanism within the warm eddy.

This study investigates the vertical structure of the dynamical properties of a warm-core ring in the Gulf of Mexico (Loop Current ring) using glider observations. We introduce a new method to correct the glider’s along-track coordinate which is, in general, biased by the unsteady relative movements of the glider and the eddy, yielding large errors on horizontal derivatives. Here, we take advantage of the synopticity of satellite along-track altimetry to apply corrections on the glider’s position, by matching in situ steric height with satellite-measured sea surface height. This relocation method allows to recover the eddy’s azimuthal symmetry, to precisely estimate the rotation axis position, and to compute reliable horizontal derivatives. It is shown to be particularly appropriate to compute the eddy’s cyclo-geostrophic velocity, relative vorticity, and shear strain, which are otherwise out of reach when using the glider’s raw traveled distance as an horizontal coordinate. The Ertel potential vorticity (PV) structure of the warm core ring is studied in details, and we show that the PV anomaly is entirely controlled by vortex stretching. Sign reversal of the PV gradient across the water column suggests that the ring might be baroclinically unstable. The PV gradient is also largely controlled by gradients of the vortex stretching term. We also show that the ring’s total energy partition is strongly skewed, with available potential energy being 3 times larger than kinetic energy. The possible impact of this energy distribution on the Loop Current rings longevity is also discussed.

Autoimmune hemolytic anemia is a rare condition characterized by destruction of red blood cells with and without involvement of complement. It is associated with significant morbidity and mortality. In warm autoimmune hemolytic anemia less than 50% of patients remain in a long-term remission following initial steroid therapy and subsequent therapies are required. Cold agglutinin disease is a clonal hematologic disorder which requires therapy in majority of patients and responds poorly to steroids and alkylators. Rituximab has a favorable toxicity profile and has demonstrated efficacy in autoimmune hemolytic anemia in first line as well as relapsed setting. Rituximab is the preferred therapy for steroid refractory wAIHA and as part of the first- and second-line treatment of cold agglutinin disease. This article reviews the mechanism of action of the rituximab and current literature its role in management of primary and secondary warm autoimmune hemolytic anemia and cold agglutinin disease.

In this study, a new method for synthesizing Ag-NaYF4:Yb3+/Er3+ @ SiO2 nanocomposites was introduced. Using a hydrothermal method, the synthesized Yb3+- and Er3+-codoped NaYF4 upconversion luminescent materials and Ag nanoparticles were doped into upconversion nanomaterials and coated with SiO2 up-conversion nanomaterials. This material is known as Ag-UCNPs-SiO2’ it improves both the luminous intensity because of the doped Ag nanoparticles and has low cytotoxicity because of the SiO2 coating. The morphology of UCNPs was observed using scanning electron microscopy (SEM), and the mapping confirmed the successful doping of Ag nanoparticles. Successful coating of SiO2 was confirmed using transmission electron microscopy (TEM). Fluorescence spectra were used to compare changes in luminescence intensity before and after doping Ag nanoparticles. The reason for the increase in luminescence intensity after doping with Ag nanoparticles was simulated using first-principles calculations. The cytotoxicity of Ag-UCNPs-SiO2 was tested via the cell counting kit-8 (CCK-8) method, and its imaging ability was characterized using the micro-CT method.

Efficient commencement of clinical trials is pivotal for their successful execution. The purpose of this study was to determine and examine the factors that contribute to trial start-up delays. The study assessed 20 clinical trials' start-up stages in order to identify relevant variables. Results showed that trials with an emphasis on devices, trials that did not outsource, trials that utilized less auxiliary services, and trials that employed interventional designs had quicker start-up times than observational studies. Furthermore, approval times were substantially shortened by using a centralized Institutional Review Board (IRB) rather than a local IRB. Furthermore, compared to studies that successfully enrolled subjects, those who failed to do so required more time to complete contracts and budgets and secure IRB clearance. This study underscores the diverse impact of clinical trial features on start-up timelines. Understanding these factors is crucial for optimizing the initiation process of clinical trials.

The objective of this research was to study the dynamics of moisture and nutrition at the root zone and to quantify the variables linked to efficient water management in avocado orchards of mid and high-lands of Michoacán, México, in typical Andisols of low fertility with (A)C(w2) and C(w2) climates, respectively. Using the FDR (Frequency Domain Reflectometry) technology, the dynamics of soil moisture and salinity were recorded daily at four depths: 0-15, 15-30, 30-45, and 45-60 cm. The soil moisture balance model was used to determine actual evapotranspiration (ETr), crop coefficient (Kc), and water use efficiency (WUE). Results indicated that ETr is 66-73% of the total water at 0-30 cm depth; the fertilizer absorption is limited to 0-30 cm, being negligible at deeper layers. The water use efficiency is 4.4 to 5.6 kg of fruit m-3 of applied water, and the ratio of the water use index (ETr/irrigation sheet applied, ISA) is 0.65-0.70; while the annual avocado Kc is 0.72 in Cutzato and 0.78 in Tiamba. We concluded that avocado has a low water requirement, it does not cause leaching of nutrients and/or water, the absorption of water and nutrients mostly occurs at 30 cm depth, and from a hydrological point of view, the crop is environmentally friendly.

A severe flash flood hit Luwu, Sulawesi, Indonesia, on 13 July 2020. This flood was preceded by persistent heavy rainfall from 11 to 13 July 2020. In this study, we explore both the physical and dynamical processes that caused the heavy rainfall using a convection-permitting model with 1-km resolution. The heavy rainfall was modulated by the development of a pair of Mesoscale Convective Complexes (MCCs) during the night. The pair of MCCs was triggered by an anti-cyclonic vorticity anomaly over the Makassar Strait and was maintained by the warm front passing between the sea and land over central Sulawesi. This front was characterized by moist-warm and cold-dry low-level air, which may have helped to extend the lifetime of the MCCs. The northwestward propagation of the MCCs was due to the interaction between predominantly southeasterly monsoon and sea surface temperature anomalies.

Laser shock peening as an innovative surface treatment technology can effectively improve the fatigue life, sur-face hardness, corrosion resistance, and residual compressive stress. Compared with the laser shock peening, the warm laser shock peening (WLSP) is a new surface treatment technology to improve materials’ surface performances, which takes advantage of thermal mechanical effects on stress strengthening and micro-structure strengthening, results in more stable distribution of the residual compressive stress under heating and cyclic loading process. In this paper, the microstructure of GH4169 nickel super-alloy processed by WLSP technology with differ-ent laser parameters were investigated. The proliferation and tangling of dislocations in GH4169 were observed and the dislocation density increased after WLSP treatment. The influences of different treatment by LSP and WLSP on the microhardness distribution of the surface and along cross-sectional depth were investi-gated. The microstructure evolution of the GH4169 alloy being shocked with WLSP were studied by TEM. The effect of temperature on the stability of high temperature microstructure and properties of GH4169 alloy WLP was investigated.

Wildfires present a significant risk to societies globally due to population growth, con- centrated activities, climate change, and extreme environmental conditions. To establish effective fire suppression and management policies, it is crucial to determine whether the distance between ignition points and urban areas is increasing or decreasing. This study analyses 101,597 fires in Spain and California between 2007 and 2015, using the Mann-Kendall test to determine trends. The study analyses the location and cause of fires to determine their distance from human constructions over time at two spatial scales. The findings suggest that wildfires are not moving away from buildings and, in some areas, are moving significantly closer.

Globally, karst aquifers store large amount of precious water and create beautiful karst springs in many places. However, most of the karst springs flow declined, and some of the karst springs dried up with the effects of extensive groundwater development and climate variation. In order to obtain better understanding of factors contributing to the drying-up of karst springs, this study introduced grey system models to quantify spring flow taking Jinci Springs (China) as an example, which dried up in May 1994. Based on the characteristics of Jinci Springs flow, the spring flow was divided into two stages: the first stage (1954-1960), when the spring flow was affected only by climate variation; and the second stage (1961-1994), when the flow was impacted by both climate variation and anthropogenic activities. Results showed that the Jinci Springs flow had strong relations with precipitation occurring one year and three years earlier in the first stage. Subsequently, a grey system GM (1, 3) model with one-year and three-year lags was set up for the first stage. By using the GM (1, 3) model, we simulated the spring flow in the second stage under effects of climate variation only. Subtracting the observed spring flow from the simulated flow, we obtained the contribution of anthropogenic activities to Jinci Springs cessation. The contribution of anthropogenic activities and climate variation to Jinci Springs cessation was 1.46 m³/s and 0.62 m³/s, respectively. Finally, each human activity causing spring flow decline was estimated. The methods are useful to describe the karst hydrological processes under the effects of anthropogenic activities and climate variation.

Stand Up Paddleboard (SUP) surfing entails riding breaking waves and maneuvering the board on the wave face in a similar manner to traditional surfing. Despite some scientific investigations on SUP, little is known about SUP surfing. The aim of this study was to investigate the physiological response during SUP surfing sessions and to determine how various environmental conditions can influence this response. Heart rate (HR) of an experienced male SUP surfer aged 43 was recorded for 14.9 hours during ten surfing session and synced with on board video footage to enable the examination of the effect of different surfing modes and weather conditions on exercise intensity. Results indicated the SUP surfer's HR was above 70% of HR_max during 85% of each session, with the greatest heart rates were found during falls off the board (~85%HR_max) and while paddling back to the peak (~83%HR_max). Total time surfing a wave was less than 5% with the majority of time spend paddling back into position. Wind speed positively correlated with HR (r² = 0.062, p = 0.012) and wave height negatively correlated wave caching frequency (r² = 0.54, p = 0.025). The results highlight the aerobic fitness for SUP surfing, that wave riding, paddling back to the peak and falls appear to be associated with the greatest cardiovascular demand and that environmental conditions can have an effect of physiological response during SUP surfing sessions.

The application of warm-mixing technology brings considerable economical and environment benefits by decreasing the mixing temperature during warm asphalt mixture(WMA) production. However, the possible water residue also generates concerns in moisture susceptibility. For deep investigation on the influencing factors and mechanism of the moisture susceptibility of WMA, surface free energy(SFE) test and laboratory tests are applied in this research. A novel indicator based on SFE namely effective adhesion work is proposed to assess the asphalt-aggregate adhesion with different moisture contents. Then, given the mixing procedure of dry mixing method, an advanced three-phase model as form of asphalt-aggregate-warm mixing additive is introduced improving from the conventional two-phase asphalt-aggregate model for better reflecting the separate addition of warm mixing additive during mixing. Afterwards, the influence of aggregate types, asphalt type, aggregate moisture contents, warm-mixing agent types and warm-mixing process on the moisture susceptibility of WMA is analyzed utilizing the models and indicators proposed. Finally, the validity of the SFE indicator is verified by comparing the calculation of effective adhesion work with freeze-thaw splitting test result. The results show that all of the above factors impact the moisture susceptibility of WMA by influencing the interfacial adhesion, with the effect of moisture content being the most significant. Meanwhile, effective adhesion work and the three-phase model brought out in this research are proven to be feasible to characterize the adhesion properties of WMA, offering theoretical support to the research on warm mixing technology.

In order to better understand the extent to which global climate variability is linked to the frequency and intensity of heat waves and overall changes in temperature throughout the United States (US), correlations between long-term monthly mean, minimum, and maximum temperatures measured at sites throughout the contiguous US and low-frequency variability of multiple climate indices (CIs) are analyzed over the period 1948 to 2018 using correlation analysis. The Pearson’s correlation coefficient is used to assess correlation strength, while Leave-One-Out Cross-Validation and a bootstrapping technique (p-value) are used to address potential serial and spurious correlation and assess the significance of each correlation. Three parameters defined the sliding windows over which surface temperature and CI values were averaged: window size, lag time between the temperature and CI windows, and the beginning month of the temperature window. A 60-month sliding window size and 0 lag time resulted in the strongest correlations overall; beginning months were optimized on an individual site basis. Strong (r &gt;= 0.60) and significant (p-value &lt;= 0.05) correlations were identified. The Western Hemisphere Warm Pool (WHWP) and El Niño/Southern Oscillation (ENSO) exhibited the strongest links to temperatures in the western US, tropical Atlantic sea surface temperatures to temperatures in the central US, the WHWP to temperatures throughout much of the eastern US, and atmospheric patterns over the northern Atlantic to temperatures in the Northeast and Southeast. The final results were compared to results from previous studies focused on precipitation and coastal sea levels. Regional consistency was found regarding links between the northern Atlantic and overall weather and coastal sea levels in the Northeast and Southeast as well as on weather in the upper Midwest. Though the MJO and WHWP revealed dominant links with precipitation and temperature, respectively, throughout the West, ENSO revealed consistent links to sea levels and surface temperatures along the West Coast. These results help focus future research regarding specific mechanisms of climate variability that appear the exhibit strong links to US regional weather and sea level variability and prediction.

We performed a global analysis with data from 149 countries to test whether temperature can explain the spatial variability of the spread rate and mortality of COVID-19 at the global scale. We performed partial correlation analysis and linear mixed effect modelling to evaluate the association of the spread rate and motility of COVID-19 with maximum, minimum, average temperatures and temperature extreme (difference between maximum and minimum temperature) and other environmental and socioeconomic parameters. After controlling the effect of the duration after the first positive case, partial correlation analysis revealed that temperature was not related with the spatial variability of the spread rate of COVID-19. Mortality was negatively related with temperature in the countries with high-income economies. In contrast, temperature extreme was significantly and positively correlated with mortality in the low-and middle-income countries. Taking the country heterogeneity into account, mixed effect modelling revealed that inclusion of temperature as a fixed effect in the model significantly improved model skill predicting mortality in the low-and middle-income countries. Our analysis suggest that warm climate may reduce the mortality rate in high-income economies but in low and middle-income countries temperature extreme may increase the mortality risk.

Studying the interaction between the upper ocean and the typhoons is crucial to improve our understanding of heat and momentum exchange between the ocean and the atmosphere. In recent years, the upper ocean responses to typhoons have received considerable attention. The sea surface cooling (SSC) process has been repeatedly discussed. In the present work, case studies were examined on five strong and super typhoons that occurred in 2016—LionRock, 1610; Meranti, 1614; Malakas, 1616; Megi, 1617; and Chaba 1618—to search for more evidence and new features of typhoon’s impact on the sea surface environment. The typhoon monitoring data from the Central Meteorological Observatory, the sea surface temperature (SST) data from satellite microwave and infrared remote sensing, and the sea surface height anomaly (SSHA) data from satellite altimeters were used to analyze in detail: the SSC features caused by typhoons, the relationship between the SSC and the typhoon travelling speed, and the variations in cold and warm eddies during typhoon passage. Results showed that: (1) SSC generally occurred during typhoon passage and the degree of SSC was always determined by the strength and the travelling speed of the typhoon, as well as the initial SST. (2) One day before or on the day of typhoon passage, the SSHA slightly increased due to low surface pressure. After the typhoon passed, the SSHA obviously decreased along with the SSC. The pre-existing positive SSHAs, which always represent warm eddies, decreased or disappeared during typhoon passage, whereas negative SSHAs or cold eddies were enhanced. (3) New cold eddies were generated, especially at the turning points of the typhoon path. The presence of warm eddies is suggested to have a strengthening effect on the typhoons.

Background: Tuberculosis (TB) continues to be a serious public health threat that affects the most vulnerable population. Patients who are LTFU after TB diagnosis still represent one of the biggest challenges to TB control. Method: In this prospective observational study, we aimed to identify and analyse the risk factors associated with LTFU among TB patients who started first-line TB treatment in the Sanatorium Hospital in Luanda. Result: A total of 113 patients with TB were included between August 2018 and September 2019. Seventy-six (67.3%) patients were cured, 27 (23.9%) were LTFU, 5 (4.4%) died, 4 (3.5%) were transferred and 1 (0.9%) presented a treatment failure. After excluding those dead, transferred or who failed to treatment, we observed that severe TB at the time of diagnosis (OR 9.24, 95% CI 2.18-39.04) and food insecurity were significantly associated with LTFU (OR 5.96, 95% CI 1.66-21.41). Conclusion: The findings of our study are of enormous value to understand the reasons for the LTFU of patients with TB and can guide polices and facilitate designing measures to allow better adherence, and therefore, greater treatment success

. Background/Objectives: Crohn's disease is a chronic and debilitating intestinal disorder that alternates between remission and active flare-ups, often leading to hospitalization. Social support is known to enhance adaptation to the disease and modulate stress perception in patients, while stress may exacerbate symptoms. The aim of this study was to examine the roles of perceived stress and social support in Crohn's disease and their impact on the frequency of flare-ups. Methods: A cross-sectional observational study was conducted, assessing stress and social support in a cohort of 91 patients with Crohn's disease during flare-up and remission phases. The Perceived Stress Scale (PSS-14) and a Social Support Questionnaire were utilized for evaluation. We examined the relationship between stress and social support in Crohn's disease. The interaction between the variables studied was also studied, considering the stage of the disease. Finally, we realized analysis of the influence of these two variables on the development of flares in Crohn's disease. Results: The study revealed that patients experience higher stress levels during flare-ups and that these levels are amplified by a lack of social support. A significant relationship was identified between the levels of social support and the occurrence of flare-ups, indicating that better social support is associated with fewer flare-ups.. Conclusions: Patients with Crohn's disease in the flare-up phase are subject to considerable stress. Deficit in social support is linked to an increase in stress levels. The interplay of social support and stress plays a critical role in the development of flare-ups.

Up-conversion luminescence (UCL) materials are of great importance due to their unique optical properties. In particular, the red UCL, falling into the optical transmittance window of biological tissues, can realize deep tissue penetration depth and high-resolution bioimaging. In this work, effective red UCL is achieved in the ternary sulfide by the introduction of Tm3+ or Ho3+ ions into Er3+ doped NaYS2 under 1550 nm excitation. The main emission peak is successfully tuned from green (NaYS2:Er3+) to highly efficient red luminescence (NaYS2:Er3+,Tm3+ and NaYS2:Er3+,Ho3+). The maximum red to green emission intensity ratio (IR/IG) increased by 31 and 80 times, respectively. The lifetime of 4I9/2(Er3+) level decreases significantly from 3432 s (NaYS2:Er3+) down to 636 (NaYS2:Er3+,Tm3+) and 423 s (NaYS2:Er3+,Ho3+), respectively. This is due to the altered energy transfer pathways, resulting in the population of 4F9/2(Er3+). The mechanisms of UCL and energy transfer processes are further supported by fluorescence decay dynamic measurements. The results show the realization of red-emissive UCL in the promising NaYS2 matrix, representing a new type of red UCL phosphors.

There is limited information on Tamarind production, trade and value added products in Kenya. Of late, there is growing interest in the domestic and export markets due to its multiple uses. The objective of this paper is to review existing literature to identify the missing value chain links which may help catalyse the scaling up of production and commercialization of Tamarind. Selected literature and interviews with traders and extension staff in the Coastal Counties were used to collect information for this study. Tamarind fruits are mainly collected in the wild in semi-arid areas of the country and marketed through informal channels. Mombasa is the terminal market for tamarind from Kenya and Uganda, from where domestic consumers and exporters obtain their supplies. Globally, virtually every part of tamarind tree (pulp, seed, leaves, flowers, bark and roots) has either nutritional, industrial or medicinal value. Tamarind fruit contains substantial levels of carbohydrates, proteins, vitamins, minerals and essential amino acids making it potentially useful in addressing wide spread malnutrition. Its anti-oxidant, anti-inflammatory, anti-microbial, anti-fungal and anti-diabetic properties gives tamarind wider application in conventional and traditional medicine. The findings suggest that scaling up the production and commercialization of tamarind in the country requires both public and private sector investment. The structure of this partnership should consist of the following value chain links: An efficient Seed / seedling system as a source of planting materials; production hubs by farmer associations, government institutions and private farms; aggregation centres for assurance of volumes and quality; processing, value addition and product diversification; an efficient distribution systems of wholesalers and retailers, particularly supermarkets; exporters and consumers. The agenda for further research should include breeding and availing early maturing cultivars demanded by the export market, quality management andvalue addition technologies.

To understand the possibility of interaction between scientific experimenting and artistic drawing in the form of drawings made in notebooks, assumed is a common element, a spiritual property, and transference as a mechanism for causality. Scientists, scientific experiments and artistic drawings all have different merits. Here the concept ‘speaking out’ in its meaning of expressiveness is proposed to bridge these differences. Scientific action and artistic action cannot be compared directly. However, a common spiritual element will make the investigated object, experimental set-up and notebook drawings comparable in the sense of translations authorized by the physicist. They all then speak out from the same source. In this paper considered are recent drawings made by physicists during experimentation, in notebooks and diaries. Discussed is transferal causality between the physicist, the artistic drawing and all the relevant objects belonging to the experiment. Spiritual properties are introduced for the physicist being a person, and for the investigated object, the experimental set-up and the drawings as objects.

Background: Attendance to neonatal follow-up programs (NFU) presents as a significant factor associated with long-term outcome of high-risk infants. Few studies have focused on attrition or loss to follow up particularly during COVID-19 pandemic. Methods: In this retrospective observational study, data from 1137 high-risk neonates who participated in a hospital NFU program were collected (573 before and 564 after the onset of COVID-19 pandemic). The study sample was grouped to: G1 (N=831) who maintained participation in the program, G2 (N=196) who discontinued, and G3 (N=110) who never visited the outpatient clinics. Data was obtained from the hospital's Systems Applications and Products Software, and a structured questionnaire, answered by parents of newborns either discontinuing (G2) or not attending (G3) the NFU program, through a telephone contact.Results: The most frequently reported reason for discontinuance before the onset of the pandemic was the parents' perception that it was not necessary to maintain participation in the program (44.12%). During the COVID-19 pandemic, provider-related barriers to maintaining hospital access, inability to provide high-quality services (37.14%), and feelings of fear and insecurity (18.5%), emerged as factors for non-attendance. Citizenship and morbidity (RDS, sepsis, NEC, jaundice) acted as incentives to join the NFU program during both study periods. Multiple regression analysis showed that multiple gestation infants had higher odds for maintaining participation during the COVID-19 period (OR, 4.04; CI, 1.09-14.9). Conclusion: Understanding the potential impact of COVID-19 and the transformative changes in NFU clinics is crucial to apply compliance strategies. Removing barriers to maintain family participation can lead to increased attendance rates.

Methane is a greenhouse gas and identified as a key driver of near-term climate change. Bottom-up approaches estimate annual methane loss from US natural gas production and transport at 6 Tg, but recent studies suggest this may be an underestimate. To investigate this possibility, an equipment-based emissions inventory, using EPA emission factors, was developed to calculate methane emissions from oil and gas operations in the Delaware Basin, USA. Emission factors and activity data were then updated using contemporary and region-specific measurement data. The original inventory estimated emissions at 315 Gg CH4 y-1 (gas production-normalized rate of 0.6% loss), while the updated inventory estimated emissions of 1,500 Gg CH4 y-1 (2.8% loss). The largest changes resulted from large fugitive emissions from oil production (+430 Gg CH4 y-1), updating maintenance activity emissions (+214 Gg CH4 y-1), considering flaring inefficiency (+174 Gg CH4 y-1), and the inclusion of associated gas venting (+136 Gg CH4 y-1). This study suggests that a systematic underestimate probably exists in current bottom-up inventories and identifies sources currently missing or may be incorrect. We also strongly recommend that emission factors should be validated through direct comparison against measurement campaigns that include long-tail distributions typical of oil and gas activities.

We consider two abstract systems of parabolic-hyperbolic type that model thermoelastic problems. We study the influence of the physical constants and the initial data on the nonexistence of global solutions that in our framework are produced by the blow-up in finite time of the norm of the solution in the phase space. We employ a differential inequality to find sufficient conditions that produce the blow-up. To that end, we construct a set that is positive invariant for any positive value of the initial energy. As a result we found that the coupling with the parabolic equation stabilizes the system, as well as the damping term in the hyperbolic equation. Moreover, for any pair of positive values $(\xi,\epsilon)$, there exist initial data such that the corresponding solution with initial energy $\xi$ blows-up at a finite time less than $\epsilon$. Our purpose is to improve results previously published in the literature.

Background: Data suggest that food allergies greatly impact a child’s health and growth due to inadequate nutrient intake. Our study aimed to establish the long-term outcome of children with food allergies compared to a control group. Methods: This study was a retrospective cohort study with longitudinal follow-up with a mean period of 4.85 years from the diagnosis to the last study visit. The patients’ nutritional intake was assessed using a three-day food diary and analysed by a dietitian. Patients (61 boys and 33 girls, mean age 6.9 years) had a single food allergy including 21 patients with cow’s milk, 34 with egg, and 39 with peanut allergies. The control group included 36 children (19 boys and 17 girls, mean age 8.03 years). Blood analysis was performed on all participants. Results: Data from our study showed that patients with cow’s milk, egg or peanut allergies had normal growth and achieved catch-up growth from the diagnosis until the last study visit. In the cow's milk allergy group, the allergy was shown to affect calcium intake (p&lt;0.05), while egg and peanut allergies did not impact the dietary intake of nutrients. None of the investigated food allergies affected blood results (p&lt;0.05). Conclusions: In the present study, we showed that single food allergies do not compromise growth in children if they are provided with appropriate support and that the affected children reach catch-up growth from the diagnosis.

Convolution forms one of the most essential operations for the FPGA-based hardware accelerator. However, the existing designs often neglect the inherent architecture of FPGA, which puts forward an austere challenge on hardware resource requirements. Even though some previous works have proposed approximate multipliers or convolution acceleration algorithms to deal with this issue, the inevitable accuracy loss and resource occupation easily lead to performance degradation. Toward this, we first propose two kinds of resource-efficient optimized accurate multipliers based on LUTs or carry chains. Then targeting FPGA-based platforms, a generic multiply-accumulate structure is constructed by directly accumulating the partial products produced by our proposed optimized radix-4 Booth multipliers without intermediate multiplication and addition results. Experimental results demonstrate that our proposed multiplier achieves a maximum 51% look-up-table (LUT) reduction compared to the Vivado area optimized multiplier IP. Furthermore, the convolutional process unit using the proposed structure achieves a 36% LUT reduction compared to existing methods. As case studies, the proposed method is applied to DCT transformer and LeNet to achieves hardware resource saving without loss of accuracy.

The aim of this study is to test the effectiveness and safety of AE-AE surgery combining otoendoscopy and surgical microscopy in the treatment of acquired pars flaccida cholesteatoma in stages Ib and II of the Japan Otological Society classification occupying the tympanic cavity and attic. A historical cohort study on 65 patients. Of the total, 44 patients were treated by AE-AE surgery using an otoendoscope and 21 with canal wall-up tympanomastoidectomy (CWUT). Patients in whom the AE-AE technique was performed had a lower recurrence rate (9%) compared to those treated with CWUT (38%); p=0.013. In addition, the median time to recurrence was lower in the AE-AE group (4 years [P25-75= 1.25-2-75]) than in CWUT group (2 years [P25-75= 3.25-4.75]); p=0.048. Thresholds were higher in the CWUT group compared to the AE-AE group in pre-surgery (53±16 vs 44±15; p=0.039) and post-surgery (52±18 vs 42±16 dB dB; p=0.042), but not in pre-post-surgery comparisons neither in the AE-AE technique (p= 0.89) nor in the CWUT technique (p= 0.96). We concluded that AE with otoendoscopic support is an effective and safe technique for acquired cholesteatomas occupying box and attic in stages IB and II.

Trauma is one of the most common causes of death or permanent disability in young people, so a timely diagnostic approach is crucial. In polytrauma patients, CEUS has been shown to be more sensitive than US for the detection of solid organ injuries, improving the identification and grading of traumatic abdominal lesions with levels of sensitivity and specificity similar to those seen with MDCT. CEUS is recommended for the diagnostic evaluation of hemodynamically stable patients with isolated blunt moderate-energy abdominal traumas and for the diagnostic follow-up of conservatively managed abdominal traumas. In this pictorial review we illustrate the advantages and disadvantages of CEUS and the procedure details with tips and tricks during investigation of blunt moderate-energy abdominal trauma as well as during follow-up in non-operative management.

In this study, a new method for synthesizing Au-NaYF4:Yb3+/Er3+-DSPE-PEG2K nanocomposites was introduced. Using a hydrothermal method, the synthesized Yb3+- and Er3+-codoped NaYF4 upconversion luminescent materials and Au nanoparticles were doped into upconversion nanomaterials and modified with DSPE-PEG2k up-conversion nanomaterials. This material is known as Ag-UCNPs-DSPE-PEG2k, it improves both the luminous intensity because of the doped Au nanoparticles and has low cytotoxicity because of the DSPE-PEG2k modified. Exciting UCNPs with a wavelength of 980nm near-infrared light will emit light with a wavelength of 520nm to further excite gold nanoparticles to convert light energy into heat. Successful synthesized gold nanoparticles was confirmed using transmission electron microscopy (TEM). The morphology of UCNPs was observed using scanning electron microscopy (SEM), and the mapping confirmed the successful doping of Au nanoparticles. Fluorescence spectra were used to compare changes in luminescence intensity before and after doping Au nanoparticles. The cytotoxicity of Au-UCNPs-DSPE-PEG2K was tested via the cell counting kit-8 (CCK-8) method, and its imaging ability was characterized using the Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) method.

In this research paper, a novel high step up dc-dc converter with a coupled inductor and voltage doubler circuits is proposed. The converter achieves a high step up voltage gain with an appropriate duty ratio and low voltage stress on the power switches. Also, the energy which is stored in the leakage inductor of the coupled inductor can be recycled to the output. The operating principles and the steady state analysis of the proposed converter are discussed in detail. Finally, a prototype circuit of the proposed converter is implemented in the laboratory in order to verify the performance of the proposed converter.

Perovskite based solar cells have achieved tremendous progress reaching record efficiency in the past 5 years. Numerous new processes and chemistry have been reported and contribute to the perovskite rapid progress. Continuous efficiency improvements are still necessary for perovskite solar cells, and an exploratory data analysis on devices performance over multiple studies could boost the technology development. Such analysis could identify patterns or provide insights that are not obvious in a single study. Here we present a high quality dataset containing only independently certified Pb-based perovskite solar cells summarizing their efficiency, relevant I-V metrics, manufacturing processes and materials used. Analysis over the dataset provides insights on how aperture size, perovskite deposition methods and materials used in each functional layer affect the final solar cell efficiency and I-V metrics. Future directions are also suggested for efficiency improvements.

When animals evolve sufficient intelligence and dexterity to be able to learn to fabricate utility products (UPs) like tools, the UP's they produce become part of an induced-reproduction system that intrinsically shares many life-like traits with biological organisms, including genome-like fabrication and operation information that is physically-encoded in the animal fabricator’s neural networks. When this set of life- like traits includes a sufficient capacity for system-improving cultural evolution (UP-evolvability), the UPs become ‘para-alive’, i.e., nearly alive, or a form of non-biological UP-paralife that is equivalent to the life- status of biological viruses, plasmids, and transposons. In the companion paper I focus on the evolution of UP-paralife in the context of modern, language-capable humans and its predicted evolution going forward in time (Rice 2022). Here I look backward in time and focus on the origin of UP-paralife and its subsequent coevolution with human intelligence. I begin by determining the pathways leading to the evolution of large brains in the rare lineages of biological life that have sufficient intelligence to learn to fabricate tools –a critical first step in the evolution of UP-paralife. The simplest forms of these learning- based UPs, made by species like chimpanzees and New Caledonian crows, represent only proto-UP- paralife because they lack sufficient UP-evolvability. Expanded UP-evolvability required a combination of three attributes that enabled continuous niche-expansion of the animal fabricator via a new and advanced form of UP-mediated teamwork (TW): i) self-domestication that facilitated TW among low-related individuals, ii) learned volitional words (protolanguage) that represent ephemeral UPs that coordinate TW, and iii) learned fabrication of simple flaked-stone tools with cutting and chopping capabilities (a UP to make other structural UPs) that expanded teammate phenotypes and TW capabilities. This specific triad of attributes is synergistic because each one acts as a TW-enhancer that can gradually erode different components of the three major constraints on TW operation and expansion: too much selfishness, insufficient coordination signals, and insufficient physical traits of teammates. The increase in UP- evolvability was transformative and marked the origin of UP-paralife and the initiation of coevolution between UP-paralife (cultural evolution) and the intelligence of its hominin/human symbiont (genetic evolution) that fostered 2.5 million years of: i) continuous brain size increase and niche-expansion within the genus Homo, and ii) parallel advances in the diversity, complexity and uses of UP-paralife. This coevolution also fostered evolutionary expansion of word-based communication, and eventually language, that acted in a catalyst-like manner to facilitate the evolution of increasingly complex forms of imagination, reasoning, mentalizing, and UP-generating technology. I next focus on the evolution of creativity in the human lineage –in the form of divergent thinking and creative imagination. I conclude that the evolution of this advanced cognitive feature required a preadaptation of sufficient intelligence and is the component of human cognition that was the major causal factor generating the greatly expanded diversity and complexity of UP-paralife currently associated with modern humans. Lastly, I apply my findings to the issue of the prevalence of extraterrestrial intelligent life. I conclude that any exoplanets with detected chemical life will very rarely (e.g., probability ~10-5 for a planet closely matching Earth’s characteristics) have evolved intelligence equalling or exceeding that of humans.

Pet nutrition awareness has risen enormously, with an increasing interest in homemade diets aimed at controlling food composition. Literature in this field is scarce, especially regarding the homemade diet’s long-term effects on pathological conditions. This prospective study encompassed 167 healthy and sick dogs subjected to a customized dietary plan based on homemade food. After an initial visit, dog owners provided questionnaires with follow-up data on their perceptions of physical signs changes or symptom modifications. 104 (62%) subjects maintained the homemade diet, while 63 reverted to their previous diet. The median follow-up was 14 months. Out of 31 healthy dogs that continued the nutritional plan, 70% exhibited improvements in their coat condition and 47% a decrease in evacuation frequency. Regarding weight loss goals, 67% of dogs achieved their target. The 67 pathological dogs that completed the follow-up were primarily affected by gastrointestinal and dermatological disorders. Dogs with chronic enteropathy improved their symptoms in 95% of the cases, subjects with dermatological pathologies in 83%, and patients presenting both disorders in 100%. These clinical results are promising. Personalized and well-balanced homemade diets noticeably enhanced the overall pet’s health, with almost a complete remission of symptoms in pathological dogs.

Like the most of crops, especially sugarcane needs to be kept upright until it is harvested. Because, lodging of sugarcane has a significant negative effect on cane yield and sugar content of sugarcane. To keep sugarcane upright earthing up is an utmost intercultural operation. In Bangladesh, most of the operations for sugarcane cultivation including earthing up are generally done in traditional method using human labor which increases production costs as well as reduces the income of sugarcane growers. So, a cost effective two-wheeled tractor (2WT) mounted earthing up machine was developed in Bangladesh Sugarcrop Research Institute (BSRI), Pabna to reduce drudgery and cost of sugarcane production. Field tests were conducted in experimental sugarcane field at BSRI and technical and economic performances of the developed earthing up machine were also carried out based on the field test. Average effective field capacity and field efficiency were found 0.16 ha/hr and 77.41 %, respectively for the developed earthing up machine. The earthing up machine was not found economically viable when it is used only for earthing up operation. Besides, when the 2WT was being used as the main driver for other activities including earthing up operation, then the earthing up machine becomes economically beneficial with net cash flow, net present value, internal rate of return, benefit-cost ratio and payback period of BDT 148497/ha, BDT 23184, 3%, 3.81:1 and approximately 1 year, respectively. On the contrary, considering cost of only earthing up tool without 2WT, then it was found economically beneficial with net cash flow, internal rate of return, net present value, benefit-cost ratio and payback period of BDT 16428/ha, BDT 3053, 4.7%, 2.71:1 and approximately 2 years, respectively. Since 2WT is commonly used for versatile farming purposes. Therefore, versatile use of 2WT as prime mover for other machines including earthing up machine can make earthing up machine economically viable and beneficial for sugarcane growers.

The fixed stroke fatigue test can not simulate the real load condition of the landing gear, and the variable stroke fatigue test has increasingly become the mainstream. A modular test device for fatigue test for aircraft landing gears was designed, the automatic control of the buffer stroke was realized with ectopic displacement control technology effectively, the horizontal loading cylinder could follow the wheel axis actively with the displacement active control technology, follow-up loading along the vertical direction was realized through constructing a polar coordinate system and making the load line automatic alignment, a split-type dummy wheel was designed to improve the loading accuracy, a booster cylinder was designed to realize the control loading of high pressure combined with the hydraulic control system. The test shows that the technical scheme meets the design requirements, and the fatigue test was completed successfully. The device for landing gear variable stroke fatigue testing can be applied to other landing gear static / fatigue tests.

In this note, we provide some effective treatments of a general linear model with adding-up restrictions via algebraic operations of given vectors and matrices in the model, including analytic expressions of the well-known ordinary least-squares estimator (OLSE) and the best linear unbiased estimator (BLUE) of the unknown parameters in the model.

Background This paper draws learnings and successes based on field implementation experience spanning four years (2016–2019) of implementing CLTS by Prince of Peace Orphans and Widows Vision, a community-based organization located in Kaberamaido district in eastern Uganda. Methods The study aimed to document, disseminate and inform from an evidence-based point of view how adaptation and collaborative engagements triggers learning from mistakes to inform iterative changes from improvements and success.This is a descriptive paper that used project documents review based on field implementation experience. Existing project reports were synthesised, collated and curated for evidence. Data were drawn from project reports and records to inform narratives in writing. Implementation of the project was executed in homogenous rural communities occupied by people of the same dialect, cultural and social settings. Results We note that success in CLTS implementation can hardly be achieved by merely following prescriptions in handbooks and guidelines but rather by devising innovative community engagement and other participatory and community-driven techniques that foster adaptive management, promote ownership, and buy-in.Having learned from our failures, we used data to inform decisions and transformatively deviated from traditional CLTS implementation and introduced high impact and innovative approaches such as the use of CLTS helpdesks and Situation room, the Pamoja approach, learning labs and iterative feedback loops, innovatively tackling slippage and carefully introducing the follow-up mandona approach. These enhanced experiential learning and ultimately resulted in sustained sanitation behaviour. Conclusions The CLTS approach as outlined in the handbook needs to be flexibly adapted to address contextual needs. Reflective and learning sessions reinforced with routine feedback loops from implementers and beneficiaries yields tremendous results, propagates experiential learning, and ultimately results in a transformative deviation from undesirable to desired sanitation behaviours. These innovative approaches once carefully blended have proved to be sustainable, are adaptable and can work in an even larger scale and in a variety of contexts.

Recently, we have witnessed a booming development of composites and multi-dopant metal oxides to be employed as novel photocatalysts. Yet the practical application of photocatalysis for environmental purposes is still elusive. Concerns about the unknown fate and toxicity of nanoparticles, unsatisfactory performance in real conditions, mass transfer limitations and durability issues have so far discouraged investments in full-scale applications of photocatalysis. Herein, we provide a critical overview of the main challenges that are limiting large-scale application of photocatalysis in air and water/wastewater purification. We then discuss the main approaches reported in the literature to tackle these shortcomings, such as the design of photocatalytic reactors that retain the photocatalyst, the study of degradation of micropollutants in different water matrices, and the development of gas-phase reactors with optimized contact time and irradiation. Furthermore, we provide a critical analysis of research-practice gaps such as treatment of real water and air samples, degradation of pollutants with actual environmental concentrations, photocatalyst deactivation, and cost and environmental life-cycle assessment.

In this paper, we consider the Cauchy problem of a time fractional nonlinear diffusion equation. According to the Kaplan’s first eigenvalue method, we first prove the blow-up of the solutions in finite time for some sufficient conditions. We next give sufficient conditions for the existence of global solutions by using the result of Zhang and Sun. In conclusions, we find the second critical exponent for the existence of global and non-global solutions via the decay rates of the initial data at spatial infinity.

Newborn screening (NBS) is hailed as a public health success, but little is known about long-term outcomes following a positive newborn screen. There has been difficulty gathering long-term follow-up (LTFU) data consistently, reliably, and with minimal effort. Six programs developed and tested a core set of minimal LTFU data elements. After an iterative data collection process and the development of a data collection tool, the group agreed on minimal LTFU data elements. The denominator captured all infants with an NBS diagnosis, accounting for children who moved or died prior to the follow-up year. They also agreed on three LTFU outcomes: if the child was still alive, had contact with a specialist, and received appropriate care specific to their diagnosis within the year. The six programs representing NBS public health programs, clinical providers, and research programs provided data across multiple NBS disorders. In 2022, 83.8% (563/672) of the children identified by the LTFU programs were alive and living in the jurisdiction; of those, 92.0% (518/563) saw a specialist, and 87.7% (494/563) received appropriate care. The core LTFU data elements can be applied as a foundation to address the impact of early diagnosis by NBS within and across jurisdictions.

Background. There are few studies about post myocardial infarction follow-up using telemedicine. We organized a post-discharge telemedicine service with a dedicated team. To do this, it was necessary that all stakeholders involved in the organization and use of the telemedicine service were properly educated and informed. Methods. We designed a theoretical-practical mini-course, to train healthcare personnel and increase skills, with excellent learning outcomes and satisfaction. Thereafter, we enrolled patients affected by acute myocardial infarction with ST elevation (STEMI), MINOCA (myocardial infarction with no obstructive coronary atherosclerosis), Takotsubo syndrome or spontaneous coronary dissection, and high-risk acute myocardial infarction without ST elevation (NSTEMI). At discharge, the cardiology technician performed counselling for the patient; using regional platforms, televisit at 1 and 4 months monitored major adverse cardiac events (MACE), heart failure, arrhythmias, unstable angina and non-cardiovascular events, therapy adherence, target therapy and customer satisfaction. Results. Between November 2021 and February 2023, we enrolled 110 patients: 72% affected by STEMI, 22% by NSTEMI. At the 1-month follow up, 12 patients did not reach pressure target and 23 patients did not reach LDL target. We observed three in hospital readmission, three in hospital visits for further investigation and one death. To date, a four months follow up was performed for 54 patients. No readmissions or deaths occurred. We detect a rate of 96% of customer satisfaction. Conclusion. A health coordination center with a dedicated team makes televisit safe as a follow-up for post myocardial infarction patients. Before, it is fundamental for healthcare professionals the acquisition of theoretical knowledge and updates and the acquisition of manual, technical and practical skills.

Graphene is a two-dimensional nanostructured material with intrinsic properties that show promising performance in various applications, including electronics, renewable energy, medicine, mechanical enforcement and others. This study reports a bottom-up approach for the conversion of cyclohexane into graphene nanoflakes, which were then deposited onto fiberglass using a non-thermal generator. The composite was characterized using transmission electron microscopy, which revealed the formation of stacked few-layer graphene with a partially disordered structure and a d-spacing of 0.358 nm between the layers. X-ray diffraction confirmed the observations from the TEM images. SEM images showed the agglomeration of carbonaceous material onto the fiberglass, which experienced some delamination due to the synthesis method. Raman spectroscopy indicated that the obtained graphene exhibited a predominance of defects in its structure. Additionally, Atomic Force Microscopy (AFM) analyses revealed the formation of graphene layers with varying levels of porosity.

We develop the theory of Heyting locally small spaces, including Stone-like dualities such as a new version of Esakia duality and a system of concrete isomorphisms and equivalences. In such a way, we continue building tame topology, realising Grothendieck's ideas. We use up-spectral spaces and define the standard up-spectralification of a Kolmogorov locally small space. This research gives more understanding of locally definable spaces over structures with topologies.

Many pigments and dyes are not only valuable molecules in manufacturing, but also pollutants. Science has certainly been producing sustainable alternatives to counter the issue of dyes, but this is not enough. There is also a need for change in the business attitude and leadership approach of the organizations that operate in the industry. Only through the successful combination of new technologies and forward-looking decision making, it will be possible to alter the status quo and deal with the multiple environmental and supply chain challenges that these businesses are and will be facing. With a focus on colorants, this critical review article will reflect on the importance of both a biotechnological approaches and sustainable leadership to achieve a sustainable, forward-looking fashion industry.

The way Norway is spearheading electrification in the transport sector is of global interest, and details of its policies and emission impacts represent a reference. We used the NERVE model, a bottom-up high-resolution traffic emission model, to calculate all exhaust emissions in Norway (2009-2020). This allows us to evaluate the co-benefit of policies to target climate change mitigation and air quality. We have analyzed local municipal data with regards to traffic growth, road network influences, vehicle composition, emissions and energy consumption. Light vehicle CO2 emissions per kilometre have been reduced by 22% since 2009, mainly driven by an increaseing bio-fuel mixing and BEV share. BEVs are mostly located in and around the main cities, areas with young vehicle fleets, and strong local incentives. Beneficiaries of all BEVs incentives have been a subset of the population with strong economic indicators. The incentivized growth in the share of diesel-fuelled passenger vehicle has been turned, and together with Euro6 emission standards, light vehicle NOx emissions have been halved since peaking in 2014. BEV represent an investment in emission reductions in years to come and current sales set up for an accelerated decline in emissions despite growth in traffic.

Protein translational modifications (PTMs) generate an enormous, but as yet undetermined, expansion of the expressed proteoforms. In this Viewpoint, we firstly differentiate the concepts of proteoform and peptidoform by reviewing and discussing previous literature. We show that the current PTM biological investigation and annotation largely follow a PTM site-specific rather than proteoform-specific approach. We further illustrate a potentially useful matching strategy in which a particular “modified peptidoform” is matched to the corresponding “unmodified peptidoform” as a reference for the quantitative analysis between samples and conditions. We suggest this strategy could provide directly relevant information for learning the PTM site-specific biological functions. Accordingly, we advocate for the wider use of the nomenclature “peptidoform” in the future bottom-up proteomic studies.

Education on Innovation and Entrepreneurship (I&E) has increased in the last two decades, specially, through MOOCs. Lately, these reusable online alternatives have tended to be revalorized by HEIs into blended learning activities, posing new challenges for instructors, specially, on how to bridge prior knowledge with in-class activities. Adopting a discursive approach to knowledge, our proposal aims to meet this challenge by identifying student’s ‘representations’, i.e., patterned constructions on disciplinary knowledge. Representations can be found across different cohorts and thus further complemented by instructors. To test this assumption and build our proposal, we analysed student’s representations in two observations. We mapped students’ representations over key I&E definitions (e.g., ‘start-up’) and, to know how prior knowledge may be complemented by instructors, we identified students’ alignment with expert disciplinary knowledge. Firstly, we found that the two cohorts tended to express representations by turning attention to several dimensions, e.g., referring to different types of features or finalities associated with concepts. Secondly, the disciplinary alignment description revealed that students tended to focus on the same components present in experts’ definitions, but with a greater level of generality. Our results have been packaged into a proposal that aims to help instructors scale their blended activities.

As fossil-fueled heating in the building sector is responsible for 16 % of Germanys total CO2 emissions, it is of great importance to use climate-neutral alternatives for the decarbonization of this sector. Options for the climate-neutral heating of buildings include electricity or hydrogen as energy carriers, both explicitly considered by German policy. In this paper, bottom-up studies are conducted to investigate the role of hydrogen for the climate-neutral energy supply of ten selected residential buildings in comparison to electricity-based systems. Based on a selection of as different typical buildings as possible for single- (SFH) and multi-family houses (MFH) of different construction years, demand profiles are simulated for each building and the respective cost-optimal supply system is determined. For the construction of this system, the electricity-based technologies available are electric heater and heat pump as well as the hydrogen-based technologies hydrogen boiler and fuel cell combined heat and power (CHP) system. Based on the results of the optimization, sensitivity analyses are performed. These analyses aim to identify threshold values of the hydrogen price for the use of hydrogen in building energy systems as well as to make the quantities of hydrogen consumed visible.The identified threshold values show the significant role of hydrogen-operated CHP in MFH if the hydrogen price reaches 0.17 €/kWh_H2 in 2050 at an electricity price of 0.31 €/kWh_el. So, hydrogen-based energy systems represent an economically viable alternative to electricity-based systems with heat pumps. We identify electricity to hydrogen price ratios for the economically viable use of hydrogen in the examined buildings that range from 1.67 to 2.82. According to these ratios, the economically reasonable use of hydrogen in buildings can be derived. For the individual building groups for the year 2050, a ratio of 2.5 can be determined for SFH and 1.8 for MFH, that is favored by the use of CHP which also supplies electricity to the buildings. However, the role hydrogen will finally play in German residential buildings in the future depends to a large extent on political decisions on distribution issues and price signals.

Cancer is one of the leading causes of death and morbidity with a complex pathophysiology. Traditional cancer therapies include chemotherapy, radiation therapy, targeted therapy, and immunotherapy. However, limitations such as lack of specificity, cytotoxicity, and multi-drug resistance pose a substantial challenge for favorable cancer treatment. The advent of nanotechnology has revolutionized the arena of cancer diagnosis and treatment. Nanoparticles (1-100nm) can be used in the treatment of cancer owing to their specific advantages such as biocompatibility, reduced toxicity, more excellent stability, enhanced permeability and retention effect, and precise targeting. Nanoparticles are classified into several main categories. The nanoparticle drug delivery system is particular and utilizes tumor and tumor environment characteristics. Nanoparticles not only solve the limitations of conventional cancer treatment but also overcome multidrug resistance. Additionally, as new multidrug resistance mechanisms are unraveled and studied, nanoparticles are being investigated more vigorously. Various therapeutic implications of nano-formulations have created brand new perspectives for cancer treatment. However, a majority of the research is limited to in vivo and in vitro studies, and the number of nano-drugs that are approved has not much amplified over the years. In this review, we discuss numerous types of nanoparticles, targeting mechanisms along with approved nanotherapeutics for oncological implications in cancer treatment. Further, we also summarize the current perspective, advantages, and challenges in clinical translation.

Long-term, high-accuracy mapping of built-up land dynamics is essential for understanding urbanization and its consequences for the environment. Despite advances in remote sensing and classification algorithms, built-up land mapping using early satellite imagery (e.g., from the 2000s and earlier) remains prone to uncertainty. We mapped the extent of built-up land in the North China Plain, one of China’s most important agricultural regions, from 1990 to 2019 at three-year intervals. Using dense time-stack Landsat data, we applied discrete Fourier transformation to create temporal predictors and reduce mapping uncertainties for early years. We improved overall accuracy by 8% compared to using spectral and indices predictors alone. We implemented a temporal correction algorithm to remove inconsistent pixel classifications, further improving accuracy to a consistently high level (>94%) across years. A cross-product comparison showed that our study achieved the highest levels of accuracy across years. Total built-up land in the North China Plain increased from 37,941 km² in 1990–1992 to 131,578 km² in 2017–2019. Consistent, high-accuracy built-up land mapping provides a reliable basis for policy planning in one of the most rapidly urbanizing regions of the planet.

Cortical actomyosin flows, among other mechanisms, scale up spontaneous symmetry breaking and thus play pivotal roles in cell differentiation, division, and motility. According to many model systems, myosin motor-induced local contractions of initially isotropic actomyosin cortices are nucleation points for generating cortical flows. However, the positive feedback mechanisms by which spontaneous contractions can be amplified towards large-scale directed flows remain mostly speculative. To investigate such a process on spherical surfaces, we reconstituted and confined initially isotropic minimal actomyosin cortices to the interfaces of emulsion droplets. The presence of ATP leads to myosin-induced local contractions that self-organize and amplify into directed, large-scale actomyosin flows. By combining our experiments with theory, we found that the feedback mechanism leading to a coordinated, directional motion of actomyosin clusters can be described as asymmetric cluster vibrations, caused by intrinsic non-isotropic ATP consumption, in conjunction with spatial confinement. By tracking individual actomyosin clusters, we identified fingerprints of vibrational states as the basis of directed motions. These vibrations may represent a generic key driver of directed actomyosin flows under spatial confinement in vitro and in living systems.

Purpose: To evaluate seasonal variation in intra-ocular pressure (IOP) with and without short tear break-up time (SBUT, BUT ≤ 5 s). Methods: This study enrolled 176 patients who visited one of six eye clinics in Japan for IOP measurement at every season. The mean patient age was 67.9 years, including 79 males. We compared the seasonal variation in IOP (mean ± SD) across spring (Mar-May), summer (Jun-Aug), fall (Sep-Nov), and winter (Dec-Feb). Results: The IOP (mmHg) in winter and summer, respectively, was 12.8 ± 3.7 and 12.8 ± 3.1 for non-glaucoma patients without SBUT (n = 47, P = 0.964), 14.8 ± 3.4 and 13.3 ± 3.4 for non-glaucoma patients with SBUT (n = 57, P < 0.001), 14.3 ± 3.2 and 14.1 ± 3.4 for glaucoma patients without SBUT (n = 36, P = 0.489), and 13.3 ± 3.0 and 11.6 ± 2.9 for glaucoma with SBUT (n = 36, P < 0.001). Seasonal variation was largest across the seasons in the glaucoma with SBUT group, and the magnitude of seasonal variation correlated with BUT (β = 0.228, P = 0.003). Conclusions: Seasonal variation tended to be larger in patients with SBUT than those without SBUT.

Photoelectrochemical systems have the potential to contribute to de-carbonation of the energy system because solar energy can be directly converted to hydrogen which can be burnt without the release of greenhouse gases. However, meaningful deployment of photoelectrochemical (PEC) technology in the global energy system, even when highly efficient scaled up devices become available, shall only be a reality when their safe and reliable operation can be guaranteed over serveral years of service life. The first part of the review discusses the importance of hermetic sealing of up scaled PEC device provided by the casing and sealing joints from a reliability and risk perspective. The second part of the review presents a survey of fully functional devices and early demonstrators and uses this to establish the extent to which the state of the art in PEC device design address the issue of hermetic sealing. The survey revealed that current material choices and sealing techniques are still unsuitable for scale –up and commercialization. Accordingly, we examined possible synergies with related photovoltaic and electrochemical devices that have been commericalised and derived therefrom, recommendations for future research routes that could accelerate the development of hermetic sealings of PEC devices.

Up-conversion nanoparticles (UCNP) under near-infrared (NIR) light irradiation have been well investigated in the field of bio-imaging. However, the low up-conversion luminescence (UCL) intensity limits applications. Plasmatic modulation has been proposed as an effective tool to adjust the luminescence intensity and lifetime. In this study discrete dipole approximation (DDA) was explored concerning guiding the design of UCNP@mSiO2-Au structures with enhanced UCL intensity. The extinction effects of gold shells could be changed by adjusting the distance between the UCNPs and the Au NPs by synthesized tunable mesoporous silica (mSiO2) spacers. Enhanced UCL was obtained under 808 nm irradiation. Theoretical predictions could not be demonstrated to full extend by experimental data, indicating that better models for simulation need to better take into account inhomogeneities in particle morphologies.

The conventional rolled-up model for carbon nanocones assumes that the cone is constructed from a rolled-up graphene sheet joined seamlessly, which predicts five distinct vertex angles. This model completely ignores any effects due to the changing curvature and all bond lengths and bond angles are assumed to be those for the planar graphene sheet. Clearly curvature effects will become more important closest to the cone vertex, and especially so for the cones with the smaller apex angles. Here we construct carbon nanocones which in the assembled cone are assumed to comprise bond lengths and bond angles which are, as far as possible, equal throughout the structure at the same distance from the conical apex. Predicted bond angles and bond lengths are shown to agree well with those obtained by relaxing the conventional rolled-up model using the LAMMPS software. The major objective here is not simply to model physically realisable carbon nanocones for which numerical procedures are far superior, but rather to produce an improved model that takes into account curvature effects close to the vertex, and from which we may determine an analytical formula which represents an improvement on that for the conventional rolled-up model.

Recent progress in the fabricating flexible electronics has been developed significantly due to the increased interest of the flexible electronics which can be applied to enormous fields not only to conventional electronic devices but to bio/eco electronic devices. Flexible electronics can be applied to wide range of fields such as flexible display, flexible power storage, flexible solar cells, wearable electronics and healthcare monitoring devices. Recently, flexible electronics are being attached on the skin and even implanted into human body to monitor the bio-signals and for treatment purpose. To improve the electrical characteristic and the mechanical properties of flexible electronics, nanoscale fabrications using novel nano-materials are required. Advanced in nanoscale fabrication methods allow construction of the active materials that can combine with the ultra-thin soft substrate to form flexible electronics with high performances and reliability. In this review, wide range of nanoscale fabrication methods for flexible electronics classified in either top-down or bottom-up approaches such as conventional photolithography, soft lithography, nanoimprint lithography, growth, assembly and chemical vapor deposition(CVD) will be reported with specific fabrication processes and results. Here, our aim is to introduce various fabrication methods that can be used to fabricate the flexible electronics.

In this paper, we study the fractional pseudo-parabolic equations u_t + (−△)^s u + (−△)^s u_t = u log |u|. Firstly, we recall the relationship between the fractional Laplace operator (−△)^s and the fractional Sobolev space H^s and discuss the invariant sets and the vacuum isolating behavior of solutions with the help of a family of potential wells. Then, we derive a threshold result of existence of global weak solution: for the low initial energy J(u₀) < d, the solution is global in time with I(u₀) > 0 or ∥u₀∥X_0(Ω) = 0 and blows up +∞ with I(u₀) < 0; for the critical initial energy J(u₀) = d, the solution is global in time with I(u₀) ≥ 0 and blows up at +∞ with I(u₀) < 0. The decay estimate of the energy functional for the global solution is also given.

We put forward a co-axial pump(optical)-probe(X-rays) experimental concept and show performance of the optical component. A Bessel beam generator with a central 100 micrometers-diameter hole (on the optical axis) was fabricated using femtosecond (fs) laser structuring inside a silica plate. This flat-axicon optical element produces a needle-like axial intensity distribution which can be used for the optical pump pulse. The fs-X-ray free electron laser (X-FEL) beam of sub-1 micrometer diameter can be introduced through the central hole along the optical axis onto a target as a probe. Different realisations of optical pump are discussed. Such optical elements facilitate alignment of ultra-short fs-pulses in space and time and can be used in light-matter interaction experiments at extreme energy densities on the surface and in the volume of targets. Full advantage of ultra-short 10 fs X-FEL probe pulses with fs-pump(optical) opens an unexplored temporal dimension of phase transitions and the fastest laser-induced rates of material heating and quenching. A wider field of applications of fs-laser-enabled structuring of materials and design of specific optical elements for astrophotonics is presented.

The purpose of the study was to train participants on the nutritional values (carbohydrates) of various food items and evaluate the effect over three weeks. Twenty-seven participants were assigned to three different conditions. Initially, participants pre-sorted cards labeled with food items and categories, and any incorrectly sorted items were identified and customized for each participant. Tailored stimuli were then used for many-to-one conditional discrimination training. Conditions 1 and 2 aimed to establish three-member classes, while condition 3 aimed for five-member classes. Participants in all conditions sorted food items into categories of “more than 40,” “20–40,” and “less than 20” grams of carbohydrates. Additionally, participants in conditions 2 and 3 could sort items into a “don’t know” category. Maintenance of the learned categories was tested after one week. Participants who did not meet the mastery criterion received additional training and testing. A follow-up test was conducted two weeks after the maintenance test. During both the maintenance and follow-up phases, tests for emergent relations and sorting were conducted. The results showed that most participants responded correctly in both the emergent relations and sorting tests. The majority of participants did not require additional training or testing, and the equivalence classes were maintained across all conditions over the three-week period.

The number of long-term cancer survivors increases continually. Understanding their needs is crucial to ensure an adequate follow-up. The aim of our study was to summarize the current literature concerning needs and what in-fluences these needs. A Scoping review of systematic reviews was conducted according to the recommendations of the Joanna Briggs Institute (JBI). Four electronic databases were searched. Of 414 retrieved papers, 11 met the eligi-bility criteria. Needs were aggregated into six domains (health-related information, health system, mental, practical, relationship and physical) and 15 categories. The lack of adequate information and the lack of access and/or conti-nuity of supportive care were the most prominent needs. Female gender, younger age, a low level of family and/or social support, and higher educational level were identified as risk factors. Employment and relationship status can affect the needs both in a positive or negative way. The weeks or months after the end of the treatments are partic-ularly critical and needs can be emphasized during this period. Cancer survivors could also leave positive changes. The variety of needs affects the quality of life of cancer survivors. The current Swiss healthcare system is not de-signed to support these people. Needs assessments should be systematically provided to ensure a better awareness on the part of health professionals and to allow an individual, holistic, and integrated follow-up.

The main purpose of this article is to consider the smoothness control of a weak solution after some moment if there is known solution regularity until this moment. The necessary tools can be varied. It is possible to control kinetic energy dissipation to fix moment or changing of velocity square or summability of acceleration square to fix at point time.

In our increasingly urbanized world, precise and up-to-date maps of human settlements are essential for sustainable urban development policies. The availability of open-access Sentinel-2 data from the Copernicus program presents an opportunity to create a comprehensive global map of human settlements, offering a detailed view of built areas on a large scale. This study estimates large-scale built-up fractions using encoder-decoder deep learning architectures like U-net, Res-U-net, and Attention-U-net in the large and complex urban area of Delhi, India. Openly available datasets like Open Street Map (OSM) and Microsoft building footprint datasets are used to derive built-up fractions at 10×10m resolution cells for over 34,000 km2. Our results show that Attention-U-net with the Huber loss function performs the best in different built-up densities (i.e., urban, semi-urban or rural) with an R2 score of 0.631, while Res-U-net and U-net obtained an R2 score of 0.623 and 0.612, respectively. The investigated networks significantly improve the accuracy over the latest Global Human Settlement Layer product (GHSL-S2), which uses a deep-CNN and reaches an R2 of 0.387 in our case study area. The result of this study yields a valuable spatial layer for examining the spatial distribution of human settlements across the entire spectrum from rural to urban areas.

(1) Background: The synthesis of core-shell magnetic mesoporous nanoparticles (MMSN) from phase transfer process is usually performed at 100-250 mg scale. At the gram scale, nanoparticles without core or with multicore systems are observed. (2) Methods: Iron oxide core nanoparticles (IO) were synthesized through thermal decomposition procedure of -FeO in oleic acid. Phase transfer from chloroform to water was then performed in order to wrap IO with mesoporous silica shell through the sol-gel procedure. MMSN were then functionalized with DTPA, and used for the separation of metal ions. Their toxicity was evaluated (3) Results: The phase transfer pro-cedure was crucial to obtained MMSN at large scale. Three synthesis parameters were rigorously controlled: temperature, time and glassware. Homogeneous dispersion of MMSN at the gram scale was successfully obtained. After functionalization with DTPA, the MMSN-DTPA were shown to have a strong affinity for Ni ions. Furthermore toxicity was evaluated in cells, zebrafish and through seahorse metabolic assays, and the nanoparticles were found nontoxic. (4) Conclusions: We developed a method of preparation of MMSN at the gram scale. After function-alization with DTPA, the nanoparticles were efficient in metal ion removal and separation, fur-thermore, no toxicity was noticed up to 125 µg.mL-1 in zebrafish.

. Background: Recent studies suggest that acquired brain injury with impaired consciousness in infancy is related to more severe and persistent effects and may have a cumulative effect on ongoing development. In this work, we aim to describe vocational outcome in a group of patients at 15 years from a severe brain lesion they suffered in developmental age. Methods: This study included a total of 147 patients aged 1.5 to 14 years with acquired brain lesion. Clinical, functional details (“Glasgow Outcome Scale – Extended”, “Functional Independent Measure”, Intelligence Quotient) were collected at the time of their first hospitalization and vocational outcome was determined after 15 years. Results: 94 patients (63.9%) presented with traumatic brain injury, while 53 patients (36.1%) presented with a brain lesion of other origin. Traumatic patients had a higher probability to be partly or fully productive than non-traumatic ones: 75.5% of traumatic subjects were working –taking into account limitations due to the traumatic event, versus 62.3% of non-traumatic ones. A relationship between some clinical variables and the vocational outcome was found. Conclusions: Rehabilitation should adequately emphasize “vocational rehabilitation” because a significant proportion of people experiencing a disorder of consciousness in childhood may show good social integration in adult age.

This paper presents a comprehensive review that highlights the characteristics of non-isolated step-up converters based on high boost voltage lifting techniques. The paper categorises the high boost techniques: multistage/multilevel, switched capacitor, voltage multiplier, voltage lift, switched inductor, and magnetic coupling. The paper also discusses in detail the advantages and disadvantages for each category such as cost, complexity, power density, reliability and efficiency. The number of passive and active components, voltage gain, voltage stress, switching frequency, efficiency and power rating are also compared. Although the paper considers coupling inductors in the context of the non-isolated converter, the focus of the entire article is on the non-isolated high voltage step-up techniques. The key contribution in this paper is the review of high boosting techniques rather than the DC /DC converters. This allows divergence of new ideas and new power converters that will help provide highly efficient and flexible power converters for several applications where the sending end voltage is very low as photovoltaic systems. In addition, many applications and control techniques of DC/DC converters are summarised in this paper.

We evaluated the usefulness of the novel cholesterol-triglyceride subgroup (CTS) indices that potentially reflect the metabolic status regarding risk of coronary heart disease (CHD) using a retrospective longitudinal study of the Japanese general population. We recruited 12,373 individuals from the annual users of our healthcare center. Among them, the first onset of CHD was recorded in 131 individuals between April, 2014 and March, 2020. The multivariate Cox proportional hazards regression analyses for all normalized lipid indices revealed that the CTSqnt index showed a comparable hazard ratio for the CHD outcome to non-high-density lipoprotein cholesterol (nonHDL-c) and triglycerides. The HR of the CTSqlt index was significantly lower than for CTSqnt, but still comparable to that for low-density lipoprotein cholesterol (LDL-c). In comparison with the other indices, CTSqlt is more sensitive to risk increment while the index value increases. Linear regression analyses for the CTS indices and previously known lipid indices suggest that the CTSqnt and CTSqlt indices reflect the quantity of atherogenic lipoproteins and size of smaller and denser LDLs, respectively. Furthermore, the CTSqnt/HDL-c index can be used as a comprehensive risk indicator that may represent the status of lipid metabolism determined by the CTSqlt and CTSqnt indices and thus may be useful for screening. The CTS indices can be used to evaluate the metabolic status of individuals, which may increase the risk of future CHD.

Mangrove vegetation plays a vital role in habitat and nursing ground for different organisms and prevents coastal erosion caused by wave and tide action. In recent years the mangrove vegetation in Chattogram coast, Bangladesh, has been interrupted by other infrastructural development, which has a destructing effect on the surrounding environment. Land surface temperature analysis of an area helps learn about different environmental conditions, weather, and climate. It is also essential to monitor the rising temperature and global warming, the biggest threat to humanity. NDBI and NDVI are the efficient process for monitoring vegetation and build up areas of a geographical location. This study focused on those analyses to understand the importance of mangrove vegetation in the Salimpur area and surrounding coastal areas of Chattogram by studying the relationship between NDVI and NDBI, NDVI and LST, NDBI, and LST. The outcome indicates that a higher vegetation index results in lower land surface temperature during different periods, negatively correlated. This study also found a strong positive correlation between buildup index (NDBI) and land surface temperature (LST), which means Land Surface temperature was found higher in Buildup areas. The vegetation areas are greatly affected by the buildup areas. The correlation between buildup areas and vegetation areas was strongly negative, which means an increase of NDBI decreases NDVI, and a decrease of NDBI increases NDVI.

This study mainly experimentally investigates and explores the effects of local low-frequency vibrations on the starting-up and heat transfer characteristics of the pulsating heat pipe. A micro motors with the vibration frequency of 200 Hz were imposed on the external surface of evaporation, condensation and adiabatic section of the pulsating heat pipe, respectively, and the starting-up temperature and the average temperatures along the evaporation section as well as the thermal performances of the vibrating heat pipe were experimentally scrutinized under the local vibrations of different positions. The following important conclusions can be achieved by the experimental study: 1) The effect of vibrations at the evaporation section and at the adiabatic section on the starting-up time of pulsating heat pipe is more significant than that at the condensation section. 2) The vibrations at different positions can reduce the starting-up temperature of the pulsating heat pipe. The effect of the vibrations at the evaporation section is the best as the heating power is lower, and the effect of the vibration at the adiabatic section is the best as the heating power is higher. 3) The vibrations at the evaporation section and at the adiabatic section can reduce the thermal resistance of the pulsating heat pipe. However, the vibrations at the condensation section have little effect on the thermal resistance of the pulsating heat pipe. 4) The vibrations at the evaporation section and at the adiabatic section can effectively reduce the temperature of evaporation section of the pulsating heat pipe, but the vibrations at the condensation section have no effect on the temperature of evaporation section of the pulsating heat pipe.

Background: Although National Licensing Examinations (NLEs) may be a costly process, they can predict better performance for many following years. The current licensing requirements will not entail and new requirements will be requested. Therefore, this study suggests a framework for the development of the Medical Licensing Exam by exploring the opinions of Egyptian medical practitioners and educators regarding the exam format and criteria. Objective and methods: to describe the needed steps to develop the EMLE through a two-phase exploratory mixed-method study that had been conducted among the Egyptian medical sectors: medical practitioners and educators. Results: There were 50 clinical and academic educators shared in the online discussion about EMLE development. Then, a survey was carried out on 266 participants with various working places in which 198 of the participants were staff in the Higher Education Ministry and 68 physicians in the Ministry of Health. The input from both had contributed to the development of the following framework that is divided into two main sections; the Exam Logistics and the Exam Set up. The exam Logistics included the exam committee, prerequisites for the exam, the admission criteria and fees, and the validity of the license. While the Exam Set up included exam setting, structure, standard-setting, pass marks and reset policy. Conclusion: A Multidisciplinary team resources for the exam setting. Fairness and objectivity were highlighted through several factors; development of the exam blueprint, types of assessment methods, post-exam analysis, and standard-setting. Finally, the reset policy, fees, and validity of the license were recommended with a student-centered perspective that was suggested for the exam committee.

The art work of this present paper is to show properly conditions and aspects to reach stability in the process control, as also to avoid instability, by using digital PID controllers, with the intention of help the industrial community. The discussed control strategy used to reach stability is to manipulate variables that are directly proportional to their controlled variables. To validate and to put the exposed principles into practice, it was done two simulations of a continuous fermentation tank process start-up with the yeast strain S. Cerevisiae NRRL-Y-132, in which the substrate feed stream contains different types of sugar derived from cane bagasse hydrolysate. These tests were carried out through the resolution of conservation laws, more specifically mass and energy balances, in which the fluid temperature and level inside the tank were the controlled variables. The results showed the facility in stabilize the system by following the exposed proceedings.

At room temperature, the indentation morphologies of crystalline copper with different grain size including nanocrystalline (NC), ultrafine-grained (UFG) and coarse-grained (CG) copper were studied by nanoindentation at the strain rate of 0.04/s without holding time at indentation depth of 2000 nm. As the grain size increasing, the height of the pile-up around the residual indentation increases and then has a slightly decrease in the CG Cu, While the area of the pile-up increases constantly. Our analysis has revealed that the dislocation motion and GB activities in the NC Cu, some cross- and multiple-slips dislocation insides the larger grain in the UFG Cu, and forest dislocations from the intragranular Frank-Read sources in the CG Cu, would directly induce these distinct pile-up effect.

In this paper, we study the semilinear pseudo-parabolic equations $\displaystyle u_{t} - \triangle_{\mathbb{B}}u - \triangle_{\mathbb{B}}u_{t} = \left|u\right|^{p-1}u$ on a manifold with conical singularity, where $\triangle _{\mathbb{B}}$ is Fuchsian type Laplace operator investigated with totally characteristic degeneracy on the boundary $x_{1} = 0$. Firstly, we discuss the invariant sets and the vacuum isolating behavior of solutions with the help of a family of potential wells. Then, we derive a threshold result of existence and nonexistence of global weak solution: for the low initial energy $J(u_{0})<d$, the solution is global in time with $I(u_{0}) >0$ or $\displaystyle\Vert \nabla_{\mathbb{B}}u_{0}\Vert_{L_{2}^{\frac{n}{2}}(\mathbb{B})} = 0$ and blows up in finite time with $I(u_{0}) < 0$; for the critical initial energy $J(u_{0}) = d$, the solution is global in time with $I(u_{0}) \geq0$ and blows up in finite time with $I(u_{0}) < 0$. The decay estimate of the energy functional for the global solution and the estimates of the lifespan of local solution are also given.

A new class of nano-cube core-shell heterostructures containing Ag coating on the top of WO₃ was fabricated. Physical vapor deposition was used to produce WO₃ based nano-heterostructures. All kind of wet toxic chemical process was avoided to make the process simple and contaminant free. Sputtering of WO₃ and a subsequent thermal annealing process was done to create nano-cubes of WO₃. After that, sputtering of Ag was performed to form the Ag-WO₃ core-shell nano-heterostructures (CSNH). The CSNHs were characterized using field emission scanning electron microscopy (FESEM), energy dispersive spectroscopy (EDS), X-ray diffraction analysis (XRD) and UV-vis spectroscopy. The morphologies, elemental analysis, interfaces, crystallinity, phases, and chemical compositions were analyzed. The bottom-up growth of WO₃ nanocubes was studied using different time periods at 900°C. Ag coating was also studied before and after annealing. Finally, an optical property (band gap) was also analyzed using Tauc plot derive from absorption spectra. The tailoring the band gap of WO₃ from ~2.9eV to ~ 2.45 eV was observed while Ag-WO₃ CSNH formed.

Dye-sensitized solar cells (DSSCs) belong to the group of thin-film solar cells which have been extensively researched for over two decades due to their low cost of fabrication, flexibility and ability to function under low-light conditions. Some issues have to be addressed in terms of energy losses, material integration, weak photocurrent generation and stability to improve the performance of DSSCs. One of the approaches to enhance the performance of DSSCs is through luminescent materials. These are materials which can absorb light and re-emit at different wavelengths which can be used to convert ultraviolet (UV) and near infra-red (NIR) light that are not efficiently utilized by the DSSCs, into visible light that can be absorbed. The main objective of this article is to provide a comprehensive review on the impact of luminescent materials in DSSCs. Research interest in luminescent materials particularly, down conversion, up conversion and quantum dots were analyzed from the “Web of Science”. It reflected a remarkable number of over 200, 000 publications in the past decade. Therefore, the state of the art of luminescent materials for enhancing the performance of the solar cells were reviewed, which showed significant potential in enhancing the performance of DSSCs.

As urbanization continues to increase, key conservation areas like World Heritage sites are being altered. This transformation is a cause for concern as it threatens the Outstanding Universal Value of these sites. To address this issue, a research question was formulated: How urban is World Heritage? The research focused on identifying and monitoring urbanization in heritage core zones listed on the World Heritage by tracking changes in built-up areas from 1985 to 2015. The findings revealed that urban developments, including housing, transport infrastructure construction, visitor accommodation facilities, and land conversions, have significantly impacted heritage properties. More than a third (37\%, 426) of the cultural heritage properties reported urban development, with the highest occurrences in Europe, North America, Asia, and the Pacific. Furthermore, these regions also displayed the highest rate of change per year between 1985 and 2015. This indicates the urgent need to identify and monitor the urbanization of World Heritage to preserve their OUV amidst increasing urban development.

This paper proposes a novel symmetrical active-switched coupled-inductor high-step-up DC/DC converter. A new active-switched coupled inductor is used to allow much higher voltage gain of the proposed converter. The symmetrical circuit structure of the proposed converter evenly divides large input currents and reduce input current ripple by operating in interleaved mode so power density is increased. The switches also have low voltage stress. The operating principle and design considerations for the converter topology are described. The proposed converter with an input voltage of 40 V, an output voltage of 400 V and an output of 1000 W at a switching frequency of 50 kHz is implemented. The simulations and experimental results are thus depicted to verify the theoretical analysis. The highest efficiency is 95.5% at 200 W measured by using a HIOKI 3390. Consequently, the proposed converter is suitable for renewable energy generation systems that require high power, high voltage gain and high efficiency.

With the development of the city, a large number of water networks in the built-up areas of Bangkok have been filled and hardened, resulting in poor urban flooding and aggravating flooding, causing loss of life and property of citizens. In this paper, on the basis of combing the current water networks and open space potential flood storage points in the built-up areas of Bangkok, the complex network diagram of the water system in the built-up areas of Bangkok is constructed by combining the theory of complex networks and analyzing the attribute parameters of the network and the characteristic parameters of the open space storage nodes and water system paths, and finding that the water system network in the built-up area of Bangkok has complex network characteristics such as robustness, clustering and hierarchy. By exploring the key storage points and water system connection paths, the researchers initially constructed a flood safety pattern in the built-up area of Bangkok with 145 key nodes and 127 river paths as the backbone, and conceptualized the development study of the flood safety pattern in both horizontal and vertical directions. The urban flood safety pattern based on complex network theory proposed in this paper provides a case reference and methodological ideas to scientifically solve the game conflict between the demand for construction land for urban development and the construction area of urban open space storage points and water storage network under the increasingly severe flooding situation.

Background In this study, we describe our clinical experience with the fifth-generation of a breast implant with a smooth, fine surface from a Korean manufacturer (BellaGel^Ò SmoothFine; HansBiomed Co. Ltd., Seoul, Korea) in Asian women. Methods We analyzed 223 women (mean age=35.28±9.45 years and mean follow-up period=12.03±2.48 months), comprising 118 bilateral cases and 109 unilateral ones, who received breast augmentation using the BellaGel^Ò SmoothFine at our hospital between June 4, 2018 and February 28, 2019. For safety assessment, we analyzed frequencies of postoperative complications and overall survival of the BellaGel^Ò SmoothFine. Results Postoperatively, complications (12 cases, 5.38%) include asymmetry (3 cases, 1.35%), hematoma (2 cases, 0.90%), hypertrophic scars (2 cases, 0.90%), wound disruption (2 cases, 0.90%), rippling (1 case, 0.45%), capsular contracture (1 case, 0.45%), stretch deformities with skin excess (1 case, 0.45%). In addition, time-to-events were calculated as 10.94±0.64 months (95% CI 9.69-12.19) and the survival rate reached 0.290±0.168 (95% CI 0.094-0.901) at 12 months postoperatively. Conclusions Here, we describe our clinical experience with the BellaGel^Ò SmoothFine. Our results are of significance in that this is the first report about the fifth-generation of a breast implant with a smooth, fine surface from a Korean manufacturer in Asian women.

Composite materials are widely used in the dental field in clinics as biomaterials. For example, it has been used as a biomaterial to repair caries and restore masticatory function, and as a cement to adhere the restoration to the tooth substrate. In order to demonstrate its function, dental biomaterials are measured their mechanical strength. From such basic research, we explained the potential of dental biomaterials, especially flexural strength and modulus of elasticity. Mechanical properties of dental biomaterials similar to those of the tooth, thermal stimulation, and aesthetic elements in the oral cavity. In this part, we will introduce the commercialized products of composites suitable for the characteristics and tooth quality, and provide the reader with the characteristics from the flexural characteristics of the composite materials used in clinical dentistry. In clinical performance, it might be advisable to delay polishing when composite biomaterials are used for luting materials, filling materials and core build-up materials since improved the flexural strength and the flexural modulus of elasticity were displayed after 1-day storage. And it is thought that flexural strength or characteristics is a significant important mechanical property of oral biomaterials.

To improve the voltage gain of step-up converters, cascaded technique is considered as a possible solution in this paper. By considering the concept of cascading two Z-source networks in a conventional boost converter, the converter takes the advantages of both impedance source and cascaded converters. However, by applying some modifications, the proposed converter provides high voltage gain while the voltage stress of switch and diodes are still low. Moreover, the low input current ripple of the converter makes it absolutely appropriate for photovoltaic applications in order to expand the lifetime of PV panels. After analyzing the operation principles of the proposed converter, simulation and experimental results of a 100W prototype are presented to verify the proposed converter performance.

With increasing interest in the use of additive manufacturing techniques in the construction industry, static rheological properties of fresh concrete have necessarily come into focus. In particular, the knowledge and control of static yield stress (SYS) and its development over time are crucial for mastering formwork-free construction, e.g. by means of layered extrusion. Furthermore, solid understanding of the influences of various concrete constituents on the initial SYS of the mixture and the structural build-up rate is required for purposeful material design. This contribution is concentrated on the effect of aggregates on these rheological parameters. The volume fraction of aggregates was varied in the range of 35 to 55 % by volume under condition of constant total surface area of the particles. The total surface area per unit volume of cement paste was equal to 5.00, 7.25 and 10.00 m²/l, conditioned on the constant volume fraction of aggregates. Both variations were enabled by changing the particle size distributions of the aggregates while holding the cement paste composition constant for all concrete mixtures. To characterise the SYS and the structural build-up, constant shear rate tests with a vane-geometry rotational rheometer were performed. It was found that in the ranges under investigation the variation in volume fraction had a more pronounced effect on the static rheological properties of concrete than did the variation in surface area. An accurate mathematical description of the relationship between the initial SYS of concrete and the relative volume fraction of aggregate based on the Chateau-Ovarlez-Trung model was proposed. Challenges in deriving a similar relationship for the structural build-up rate of concrete were highlighted.

Background: Although transcatheter arterial chemoembolisation (TACE) is the standard of care for intermediate-stage hepatocellular carcinoma (HCC), this is a largely heterogeneous disease that includes a subgroup of patients who do not benefit from TACE. The treatment strategy for this subgroup of patients currently remains an unmet need in clinical practice. Here, we performed a proof-of-concept study that lenvatinib may be more favourable treatment option over TACE as an initial treatment in intermediate-stage HCC patients with large or multinodular tumours exceeding the up-to-seven criteria. Methods: This proof-of-concept study included 642 consecutive patients with HCC initially treated with lenvatinib or conventional TACE (cTACE) between January 2006 and December 2018. Of these patients, 176 who received lenvatinib or cTACE as an initial treatment and met the eligibility criteria [unresectable, beyond the up-to-seven criteria, no prior TACE/systemic therapy, no vascular invasion, no extrahepatic spread and Child-Pugh A liver function] were selected for the study. Propensity score matching was used to adjust for patient demographics. Results: After propensity-score matching, outcome of 30 patients prospectively treated with lenvatinib (14 in clinical trials, 1 in early access program and 15 in real world setting) and 60 patients treated with cTACE as the initial treatment was compared. The change of ALBI score from baseline to the end of treatment were -2.61 to -2.61 for 30 patients in lenvatinib group (p = 0.254) and -2.66 to -2.09 in cTACE group (p < 0.01), respectively. The lenvatinib group showed a significantly higher objective response rate (73.3% vs. 33.3%; p < 0.001) and significantly longer median progression-free survival than the cTACE group (16.0 vs. 3.0 months; p < 0.001). Overall survival was significantly longer in the lenvatinib group than in the cTACE group (37.9 vs. 21.3 months; hazard ratio: 0.48, p < 0.01). Conclusion: In patients with large or multinodular intermediate-stage HCC exceeding the up-to-seven criteria with Child-Pugh A liver function, who usually do not benefit from TACE, lenvatinib provides more favorable outcome than TACE.

This article presents a self balanced multistage DC-DC step-up converter for photovoltaic applications. Proposed converter topology is designed for unidirectional power transfer and provides a doable solution for photovoltaic applications where voltage is required to be stepped up without magnetic components (Transformer-less and Inductor-less). The output voltage obtained from renewable sources will be low and must be stepped up by using a DC-DC converter for photovoltaic applications. K diodes and K capacitors along with two semiconductor control switch are used in the K-stage proposed converter to obtain an output voltage which is (K+1) times the input voltage. The conspicuous features of proposed topology are i) Magnetic components free (Transformer-less and Inductor-less). ii) Continuous input current iii) Low voltage rating semiconductor devices and capacitors iv) Modularity v) Easy to add a higher number of levels to increase voltage gain vi) Only two control switches with alternating operation and simple control. The proposed converter is compared with recent existing transformer-less and Inductor-less power converter in term of voltage gain, number of devices and cost. The application of proposed circuit is discussed in detail. The proposed converter has been designed with rated power of 60W, input voltage is 24V, output voltage is 100V and switching frequency is 100 kHz. The performance of the converter is verified through experimental and simulation results.

A quantitative analysis of X-ray emission from an electron cyclotron resonance (ECR) plasma was performed to probe the spatial properties of electrons having energy for effective ionisation. A series of measurements were taken by INFN-LNS and ATOMKI, capturing spatially and spectrally resolved X-ray maps as well as volumetric emissions from argon plasma. Comparing the former with model generated maps (involving space-resolved phenomenological electron energy distribution function and geometrical efficiency calculated using ray-tracing MC routine) furnished information on structural aspects of the plasma. Similarly, fitting a model composed of bremsstrahlung and fluorescence to the volumetric X-ray spectrum provided valuable insight into the density and temperature of confined and lost electrons. The latter can be fed back to existing electron kinetics models for simulating more relevant energies, consequently improving theoretical X-ray maps and establishing the method as an excellent indirect diagnostic tool for warm electrons, required for both fundamental and applied research in ECR plasmas.

Analyzing the material metabolism of infrastructure provides insights into resource flow and accumulation, offering policymakers new perspectives on resource management and planning. This study comprehensively analyzed the material stock (MS) of infrastructure on Miao Island using a bottom-up approach and Pleiades stereo images. Key findings include: (1) in 2020, the total in-use MS was 249.8 kt, with stone, gravel, and sand accounting for 80%. Transportation infrastructure held the largest share (40.8%), followed by non-residential buildings (30.1%), residential buildings (26.7%), and pipeline infrastructure (2.4%); (2) Stone and wood are abundant resources on the island, whereas steel, ceramics, aluminum, and glass are entirely dependent on external supply; (3) Over the past 40 years, the MS has grown significantly, with a net addition stock of 179.6 kt (256% growth). Development periods from 1980-1990, 2000-2005, and 2015-2020 were closely linked to China's reform and opening-up, infrastructure stimulus plans, and local government policies; (4) Compared to urban areas, Miao Island has lower construction intensity, with a per capita MS growth rate of 10.12 t/yr versus the national average of 13 t/yr. The steel stock in residential buildings is 15.62 kg/m², only 37.82% of the urban average. However, the potential conversion of infrastructure stock into waste still poses a significant challenge to the island's environmental carrying capacity.

Background/Aim: Stool gluten immunogenic peptides (GIP) determination is now considered a valuable tool for detecting dietary lapses in treated celiac disease (CeD) patients. Our study aims to explore the diagnostic performance of a qualitative lateral flow immunoassay point-of-care test (LFIA/PoCT) compared with a qualitative enzyme-linked immunosorbent assay (ELISA) for detection of stool GIP. Methods: The study is a post hoc analysis of stool samples collected in the real-life conditions from a cohort of gluten-free diet-treated CeD patients. Stool GIP was measured in µg/g of stool using an ELISA kit (iVYLISA GIP S®, Biomedal SL). For the qualitative evaluation of stool GIP, a LFIA/PoCT test (GlutenDetect®; Biomedal S.L) was employed, which reported results as positive or negative. The LFIA/PoCT performance was evaluated against ELISA, considered as the gold standard. GIP concentrations

The licensing of new reactors implies the use of verified and validated neutronics codes. Numerical validation can rely on sensitivity and uncertainty studies but they require repeated execution of time-consuming neutron flux and depletion calculations. The computational costs can be shortened by using perturbation theories. However, Depletion Perturbation Theory is restricted to single integral values such as a nuclide density. Relying on reduced basis approaches, which reconstruct the whole nuclide densities at once, is one way to get around this restriction. Furthermore, the adjoint-based reduced-order model uses the direct and adjoint equations for the projection. For diffusion or transport calculations, Exact-to-Precision Generalized Perturbation Theory has been developed. Still, no models for depletion calculations are readily available. Therefore, this paper describes a novel adjoint-based reduced order model for the Bateman equation. It uses a range-finding algorithm to create the basis and the Depletion Perturbation Theory for the reconstruction of the nuclide densities at first order. Our paper shows that for several perturbed cases, the depletion reduced-order model successfully reconstructs the nuclide densities. As a result, this serves as a proof of concept for our adjoint-based reduced order model which can perform sensitivity and uncertainty burn-up analysis in a shorter time.

Objectives of this study were to investigate effects of repeated superstimulation on the success of ovum-pick up and in vitro production of embryos (OPU-IVP) and donor health and evaluate the efficiency of a modified SOF sequential medium in producing viable embryos. Over 1 y, six cross-bred beef heifers and three beef cows were subjected to superstimulations and OPU-IVP. Oocytes recovered were used for in vitro embryo production and the resulting embryos were transferred as fresh or frozen-thawed. Number of follicles, oocytes recovered, cleavage and blastocyst rates substantially varied among individuals. However, repeated trials did not significantly affect the efficiency of OPU-IVP. The pregnancy rates (PR) 22 to 30 d after embryo transfer for in vitro-derived fresh embryos was similar to that of fresh in vivo embryos, whereas transfer of in vitro-derived frozen embryos reduced PR compared to frozen-thawed in vivo embryos. All recipient heifers diagnosed pregnant delivered a viable calf, suggesting developmental competence of the embryos. Repeated OPU-IVP had no apparent deleterious effects, as all donors had viable calves after ET. We concluded that multiple OPU-IVP cycles can be effectively performed for a prolonged interval to maximize embryo production from elite donors without compromising their reproductive health.

Data from the WHO and UNICEF Estimates of National Immunization Coverage (WUENIC) 2022 revision were analyzed to assess the status of routine immunization in the WHO African Region, disrupted by the COVID-19 pandemic. In 2022, the coverage with the first and third dose of diphtheria-tetanus-pertussis containing vaccine (DTP1 and DTP3 respectively) and with the first dose of measles-containing vaccine (MCV1), in the region, was estimated at 80%, 72% and 69%, respectively (all below the 2019 level). Only 13 of the 47 countries (28%) achieved the global target coverage of 90% or above with DTP3 in 2022. From 2019 to 2022, 28.7 million zero-dose were recorded (19.0% of target population). Ten countries of the region accounted for 80.3% of all zero-dose children including the four most populous countries (Nigeria, Ethiopia, Democratic Republic of the Congo, United Republic of Tanzania). Reported administrative coverage greater than WUENIC was found in 19 countries, highlighting routine immunization data quality issues. The WHO African region has not yet recovered from COVID-19 disruptions to routine immunization. It is critical for Governments to ensure that processes are in place to prioritize investments for restoring immunization services, catching-up on vaccination of zero-dose and un-der-vaccinated children and improving data quality.

In regions with limited precipitation information like Peru, many studies rely on precipitation data derived from satellite products (SPPs) and reanalysis products. These products provide near-real-time information and offer global spatial coverage, making them attractive for various applications. However, it is essential to consider their uncertainties when conducting hydrological simulations, especially in a key region like the Pacific drainage (Pd), where 56% of Peruvian population resides (including the capital Lima). This study evaluates the performance of three precipitation products: Reanalysis, ERA5-Land (top down approach), and two SPPs: GPM+SM2RAIN and SM2RAIN-ASCAT (bottom-up approaches). Hydrological modeling was conducted on 30 basins distributed across the Pd, which were grouped into five regions (I-V, ordered from south to north). The results showed that SM2RAIN-ASCAT performed well in regions I-III-IV, ERA5-Land in region II, and GPM+SM2RAIN in region V. The hydrological model GR4J was tested, and better efficiency criteria were obtained with SM2RAIN-ASCAT and GPM+SM2RAIN when comparing simulated versus observed streamflows. The hydrological modeling with SM2RAIN-ASCAT and GPM+SM2RAIN demonstrated satisfactory efficiency metrics (KGE > 0.75; NSE > 0.65). Additionally, ten hydrological signatures were quantified to assess the variability of simulated streamflows in each basin, with metrics such as Mean Flow (Q mean), 5th Quantile Flow (Q5), and 95th Quantile Flow (Q95) showing overall better performance. Finally, the results of this study demonstrate the reliability of using bottom-up satellite products in Pd basins.

MRI is the gold standard for treatment response assessment in glioblastoma. However, there is no consensus regarding the optimal interval for MRI follow-up during standard treatment. Moreover, reliable assessment of treatment response is hindered by the occurrence of pseudoprogression. It is unknown if a radiological follow-up strategy with 2-3 months intervals actually benefits patients and how it influences clinical decision making about continuation or discontinuation of treatment. This study assessed the consequences of scheduled follow-up scans (post-chemoradiotherapy [post-CCRT], after 3 cycles of adjuvant chemotherapy [TMZ3/6], after completion of treatment [TMZ6/6]) and unscheduled scans on treatment decisions during standard concomitant and adjuvant treatment in glioblastoma patients. Additionally, we evaluated how often follow-up scans resulted in diagnostic uncertainty (tumor progression versus pseudoprogression), and whether perfusion MRI improved clinical decision making. Scheduled follow-up scans during standard treatment in glioblastoma patients rarely resulted in early termination of treatment (2.3% post-CCRT, 3.2% TMZ3/6, and 7.8% TMZ6/6), but introduced diagnostic uncertainty in 27.7% of cases. Unscheduled scans resulted in more major treatment consequences (30%; p&lt;0.001). Perfusion MRI caused less diagnostic uncertainty (p=0.021) but did not influence treatment consequences (p=0.871). This study does not support the current pragmatic follow-up strategy and suggests a more tailored follow-up approach.

We calculate energies of shallow donors confined in a rolled-up quantum well in the presence of the electric field by solving numerically the Schrödinger equation in natural curvilinear coordinates. It is found that the curves of density of states (DOS) are very sensitive to the variation of the donor position, the geometry of the spiral and the applied electric field value. Novel results for dependencies of donor’s dipole moment and its polarizability on the electric field strength and its orientation, for different donor positions are presented. Also, we found that anisotropic Stark effect of the first order provides in this structure a dependency of the polarizability on the external electric field in a spike-like shape, giving rise to a sharp variation of the dipole moment.

Background: The currently advised follow-up scheme of PSA-testing after robot-assisted radical prostatectomy (RARP) is strict and might pose a burden to our healthcare system. We aimed to optimize the 1-year follow-up scheme for patients who undergo RARP. Methods: All patients with histologically-proven prostate cancer (PCa) who underwent RARP between 2018 and August 2022 in the Prostate Cancer Network the Netherlands were retrospectively evaluated. We excluded patients who underwent salvage RARP and patients who had &lt;1 year of PSA follow-up. Postoperative PSA-values were collected. Biochemical persistence (BCP) was defined as PSA-level &gt;0.10 ng/mL at 0-4 months after RARP, whereas biochemical recurrence (BCR) was defined as PSA-level &gt;0.2 ng/mL at any time point after RARP. We aimed to identify a group of patients who had a very low risk of BCR at different time-points after surgery. Results: Of all 1155 patients, BCP was observed in 151 (13%), of whom 79 (6.8%) had PSA ≥0.2 ng/mL. BCR further developed in 51 (4.7%), and 37 (3.4%) patients at 5-8 and 9-12 months after RARP, respectively. In 12 patients, BCR was found at 5-8 months after RARP in absence of BCP. These patients represented 1.2% (12/1004) of the entire group. In other words, 98.8% (992/1004) of patients who had an unmeasurable PSA-level at 0-4 months after RARP also had unmeasurable PSA-level 5-8 months after surgery. Limitations are the retrospective design and incomplete follow-up. Conclusions: Patients with an unmeasurable PSA-level at 3-4 months after RARP may not need to be retested until 12 months of follow-up as almost 100% of patients will not have biochemically recurrent disease at 5-8 months of follow-up. This will reduce PSA-testing substantially at the costs of hardly any missed patients with recurrent disease.

Background: With the trend of intelligent display, the interface design of in-vehicle HUD is an expanding research field; Methods: To solve the subjectivity and uncertainty in the optimization of HUD interface design schemes, this paper proposed a hybrid scheme evaluation and optimization method based on entropy weight and VIKOR. The entropy weight method was used to reduce the subjectivity the decision-maker's weighting and obtain the objective weight of each indicator; The VIKOR method was used to obtain the best ranking of alternative schemes, and then the optimal interface design scheme was selected; Results: The evaluation of in-vehicle HUD interface design schemes were taken as an example for verification and calculation. The results showed that this method considers the subjectivity and uncertainty of the decision-making process in the optimization of design scheme, which can effectively improve the objectivity and accuracy of the evaluation results, and provide a reference for designers to optimize interface design schemes.