Today, reducing vehicle energy consumption is a crucial topic. For electric vehicles, reducing energy consumption is essential to address some of the most critical issues associated with this type of vehicle, such as the limited range of electric powertrains and the long battery recharging times. To lower the environmental impact during the vehicle’s use phase and reduce energy consumption, vehicle mass reduction (lightweighting) is an effective strategy. The objective of this work is to analyze the vehicle parameters that influence lightweighting outcomes on a real driving cycle, representative of the home-to-work travel in the northern Italy. In particular, a previous work carried out on standard driving cycles is repeated, in order to observe whether it is possible to draw the same conclusions regarding the variability of the lightweighting outcome. This study was conducted using two opposite vehicle models, a compact car and an N1 vehicle, simulated through a well-established vehicle simulation tool for energy consumption estimation. The study reveals that even for the real driving cycle, as for the WLTC and US06 standards, the parameters that most influence the outcome of the lightening are rolling resistance, the characteristics of the battery pack, the aerodynamic coefficients and the efficiency of the transmission. Finally, the standard cycle that best fits with the real one considered in this study is the Artemis Urban Cycle.

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

Considering the significant advancements in autonomous vehicle technology, research in this field is of interest to researchers. To drive vehicles autonomously, controlling steer angle, gas hatch, and brakes need to be learned. The behavioral cloning method is used to imitate humans’ driving behavior. We created a dataset of driving in different routes and conditions and using the designed model, the output used for controlling the vehicle is obtained. In this paper, the Learning of Self-driving Vehicles Based on Real Driving Behavior Using Deep Neural Network Techniques (LSV-DNN) is proposed. We designed a convolutional network which uses the real driving data obtained through the vehicle’s camera and computer. The response of the driver is during driving is recorded in different situations and by converting the real driver’s driving video to images and transferring the data to an excel file, obstacle detection is carried out with the best accuracy and speed using the Yolo algorithm version 3. This way, the network learns the response of the driver to obstacles in different locations and the network is trained with the Yolo algorithm version 3 and the output of obstacle detection. Then, it outputs the steer angle and amount of brake, gas, and vehicle acceleration. The LSV-DNN is evaluated here via extensive simulations carried out in Python and TensorFlow environment. We evaluated the network error using the loss function. By comparing other methods which were conducted on the simulator’s data, we obtained good performance results for the designed network on the data from KITTI benchmark, the data collected using a private vehicle, and the data we collected.

We propose a multi-sensor fusion localization framework for autonomous heavy-duty trucks suitable for mining scenarios, which enables high-precision, real-time trajectory generation and map construction. The motion estimated through pre-integration of the Inertial Measurement Unit (IMU) can eliminate distortions in the point cloud and provide an initial guess for LiDAR odometry optimization. The point cloud information obtained from LiDAR can assist in recovering depth information from image features extracted by the monocular camera. To ensure real-time performance, we introduce an iKD-Tree to organize the point cloud data. To address issues arising from bumpy road segments and long-distance driving in practical mining scenarios, we can incorporate a large number of relative and absolute measurements from different sources, such as GPS information and AprilTag-assisted localization data, including loop closure as factors in the system. The proposed method has been extensively evaluated on public datasets and self-collected datasets from mining sites.Our implementation is available at https://github.com/wangyicxy/iLM-slam

The connectivity level of last-generation vehicles is constantly on the rise. The combined use of Vehicle-To-Everything (V2X) connectivity and autonomous driving can provide remarkable benefits through the optimization of the route and speed trajectory. In this framework, this paper focuses on vehicle eco-driving optimization in a connected environment. The virtual test rig of a premium segment passenger car was used for generating the simulation scenarios. The benefits, in terms of energy and time savings, that the introduction of V2X communication, integrated with cloud computing, can have in a real-world scenario were assessed. The Reference Scenario is a pre-defined Real Driving Emissions (RDE) compliant route, while the simulation scenarios were generated by assuming two different penetration levels of V2X technologies. The associated energy minimization problem is formulated and solved by means of a global optimization algorithm, i.e., Dynamic Programming (DP). The optimization framework includes information coming from the surrounding environment, e.g., traffic lights state, speed limits, distance to travel, etc. The simulations show that introducing a smart infrastructure along with optimizing the vehicle speed in a real-world route can potentially reduce the required energy by 54% while shortening the travel time by 38%. Finally, a sensitivity analysis is performed on the bi-objective optimization cost function to find a set of Pareto optimal solutions, between energy and travel time minimization.

Introduction: Myasthenia gravis (MG), an immune disorder affecting nerve-muscle transmission, often necessitates tailored therapies to alleviative longitudinal symptom fluctuations. Here, we aimed to examine and compare the treatment cycle intervals and efficacy of efgartigimod in four patients. This case series mainly offers insights into personalized treatment cycle intervals and efficacy of efgartigimod for patients with MG in our facility in Japan. Methods: We retrospectively analyzed four patients with MG (2 patients with early-onset, 1 with late-onset, and 1 with seronegative MG, mainly managed with oral immunosuppressants as prior treatments) who completed four or more cycles of efgartigimod treatment from January 2022 to September 2023. We focused on changes in serum immunoglobulin (IgG) level, acetylcholine receptor antibody (AChR-Ab) titer, and quantitative MG (QMG) score. Results: Efgartigimod, administered at a median of 5.0 [IQR 5.0, 7.5] weeks between cycles, led to decreased serum IgG level in all patients and reduced AChR-Ab titers in seropositive patients. All patients showed sustained MG symptom improvement, with considerably reduced QMG scores before efgartigimod treatment. None of the patients required rescue medications or developed treatment-related adverse events. Conclusion: Customized efgartigimod administration intervals effectively enhanced clinical outcomes in patients with MG without notable symptom fluctuations, demonstrating the benefits of individualized treatment approaches and validating the safety of efgartigimod during the study period.

A new method for short circuit fault location is proposed based on instantaneous signal measurement and its derivatives, and is based on the retardation phenomena. The difference between the times in which a signal is registered in two detectors is used to locate the fault. Although a description of faults in terms of a lumped circuit is useful for elucidating the methods for detecting the fault. This description will not suffice to describe the fault signal propagation hence a distributed models is needed which is given in terms of the telegraph equations. Those equations are used to derive a transmission line transfer function, and an exact analytical description of the short circuit signal propagating in the transmission line is obtained. The analytical solution was verified both by numerical simulations and experimentally.

The primary motivation for this work is to develop the concept of Marshall's quotient (\cite{ribeiro2016functorial}) applicable to non-commutative multirings endowed with involution, expanding the main ideas of the classical (= commutative, without involution) case presented in Marshall's seminal paper \cite{marshall2006real}. We define two multiplicative properties to deal with the involutive case and characterize their Marshall quotient. Besides, this article presents various cases showing that the ''multi'' version of rings with involution offers many examples, applications, and relatives in (multi) algebraic structures.

Cognitive scientists have paid very little attention to magic as a distinctly human activity capable of creating situations or events that are considered impossible because they violate expectations and conclude with the apparent transgression of well-established cognitive and natural laws. And even though magic techniques appeal to all known cognitive processes from sensing, attention and perception to memory and decision making, the relation between science and magic has so far been mostly unidirectional, with the primary goal of unraveling how magic works. Building up from the deconstruction of a classic magic trick, we provide here a cognitive foundation for the use of magic as a unique and largely untapped research tool to dissect cognitive processes in tasks arguably more natural than those usually exploited in artificial laboratory settings. Magicians can submerge every spectator into the precise experimental protocol they have previously designed, accounting with ease for both circumstantial and social contexts. Magicians do not base the success of their experiments in statistical measures that smear out the individual in favor of an average spectator that we know never exists in the real world. They target each and everyone in the audience and, often, with a complete accomplishment. Magicians deliver their cognitive manipulations in real-time, in tight closed-loop with the audience, and in a single trial (they cannot afford to repeat the trick if it fails). Magic has also an inherent and strong social component, merging the private cognitive processes of each spectator with the group dynamics. Finally, when combined with the wide range of precise measuring and wearable technologies available today, magic paves the way for a road not taken towards real-world cognitive science. We dare to speculate that some of the mysteries of how the brain works may be trapped in the split realities present in each magic effect.

Nowadays, security is a top priority. In fact, biometrics uses cutting-edge technologies to identify terrorists and criminals. But the practice of distinguishing humans based on intrinsic physical or behavior traits goes back thousands of years. With the widespread use of computers in the late 20th century, new possibilities for digital biometrics emerged and new technologies were generously used. Among these, we remember high resolution security video cameras and drones. So, the aim of the present project is to study and explain the features of these technologies, especially the ones of the the Phantom 4 Pro+ aircraft and analyze its operating methods in order to identify human faces during live streaming of videos. For this purpose, it will be used Paul Viola and Michael Jones’ face detection algorithm, which includes Haar features and cascade classifiers to identify faces, eyes and ears of an individual.

We investigate wealth accumulation in forestry, assuming that revenues are re-invested. Three different optimization criteria are compared, two of which are based on cash flows, the third financially grounded. Direct optimization of wealth appreciation rate always yields best results. Procedures gained by maximizing internal rate of return are only slightly inferior. With external discounting interest rate, the maximization of net present value yields arbitrary results, with at worst devastating financial consequences.

This study assesses the dynamic relationship between macroeconomic factors and bank asset quality based on changes in the condition of stock market returns. A Generalized Method of Moments (GMM) model is employed, using panel data from 18 universal banks spanning the period 2007 to 2021. The analysis revealed that the real GDP growth rate, the average lending rate, and the real exchange rate represent a set of macroeconomic factors with a marked influence on banks' asset quality. In addition, a high inflation rate was found to exert an adverse effect on asset quality, as it affects borrowers' financial ability to meet loan repayment obligations. Furthermore, the study verified the existence of a positive relationship between market condition and asset quality, which implies that bank performance adapts to changes in market conditions as posited under the Adaptive Market Hypothesis (AMH). Bank managers should consolidate banks' asset bases during conditions of market stability to withstand periodic market fluctuations to boost trading momentum. Policy recommendations are suggested to foster a conducive business environment for bank stability.

Investors are currently obliged to take ESG (Environment, Social, Governance) issues into consideration as part of their fiduciary duty. As such, it becomes increasingly important to identify sustainable investments that hold financial value as well. A sector where this is especially underdeveloped is real estate. This has a lot to do with the obfuscated conceptualization of ESG. The article identifies key gaps in literature and practice, and provides a framework to further the understanding of how ESG factors can add societal and financial value in the real estate sector. A key premise of the article is that the user in the building is grossly overlooked. Drawing on insights from behavioral social science and environmental psychology, the paper explains the role of the user in improving buildings’ ESG, also taking into account the investment value. To conclude, the article makes the case that the transition to user-centered smart real estate is the solution to improving both the environmental (E) and social (S) sustainability of buildings, as well as their investment value. Therefore, practitioners and academics are encouraged to critically evaluate and contextualize the ESG framework they are using, as well as the extent to which users are considered and smart technology is employed.

Monkeypox (mpox) caused by the monkeypox virus (MPXV) is currently the most common orthopoxvirus (OPXV) zoonotic disease. Since 2022, a multi-country outbreak of mpox has been reported with atypically rapid human-to-human transmission. The present work aimed to investigate the frequency of MPXV and OPXV DNA detection in different clinical materials taken at acute and convalescent phases of the infection in Bulgarian patients. A total of 181 clinical samples from 42 Bulgarian patients with possible mpox infections were tested. Screening for MPXV DNA (F3L gene) and OPXV DNA (rpo18 gene) were performed by real-time PCR assays. Of all tested patients six (14%) were confirmed with mpox infection. MPXV DNA was detected in 23/181 (12,71%) and OPXV DNA in 20/181 (11,05%) clinical samples. All confirmed patients were men who have sex with men, aged 23 to 44 (at an average age of 35,17±7,91 years) and two of them were HIV positive. The commonest clinical features of patients were fever (5/6), vesicular-pustular rash: perianal (6/6), penile (4/6), and limbs (4/6). MPXV DNA was found with the greatest frequency in specimens of vesicle contents and nasal/oropharyngeal swabs in 6/6 and 5/6. OPXV DNA mainly was detected in vesicle contents (6/6), nasal/oropharyngeal swabs (4/6), and urine (4/6). In the collected follow-up samples, MPXV DNA was detected in the highest percentage in the specimen's vesicle contents (6/6) and urine (6/6) and not demonstrated in samples of feces and saliva. The laboratory surveillance of MPXV is critical to contain the outbreak and to elucidate the new fast transmission of the virus.

Abstract Despite the lightning-fast advances in the management of SARS-CoV after 2 years of pandemic, COVID-19 continues to pose a challenge for fragile patients, who could benefit from early administration of monoclonal antibodies (mAbs) to reduce the risk of severe disease progression. We conducted a prospective study to evaluate effectiveness of mAbs against SARS-CoV-2 among patients at risk for severe disease progression, namely elderly and those with comorbidities, before the omicron variant surge. Patients were treated with either casirivimab/imdevimab, sotrovimab, and bamlanivimab/etesevimab. The rates and risk factos for clinical worsening, hospitalization, ICU admission and death (unfavourable outcomes) were evaluated. A stratified analysis according to the presence of SARS-CoV-2 IgG was also performed. Among 185 included patients, we showed low rates of unfavorable outcomes (9.2%), which were more frequent in patients with chronic kidney disease (aOR: 10.44, 95CI: 1.73-63.03; p<0.05) and basal D-dimer serum concentrations >600 ng/ml (aOR 21.74, 95CI: 1.18-397.70; p<0.05). Patients with negative SARS-CoV-2 serology at baseline showed higher C-reactive protein values compared with patients with positive serology (p <0.05) and showed a trend toward a higher admission rate to SICU and ICU compared with patients with positive serology. Our results thus showed, in a real-life setting, the efficacy of mAbs against SARS-CoV-2 before Omicron surge when the available mabs become not effective.

Most traditional theories of intelligence have little to do with the question of whether people with high intelligence can successfully address real world problems. A high IQ is correlated with many important outcomes (e.g., academic prominence, reduced crime), but it does not protect against cognitive biases, partisan thinking, reactance, confirmation bias, and even falling for discredited beliefs such as alchemy, cold fusion, and astrology. There are several newer theories that directly address the question about solving real-world problems. Prominent among them is Sternberg’s adaptive intelligence with “adaptation to the environment” as the central premise, a construct that does not exist on standardized IQ tests (e.g., Sternberg, 2019). Similarly, Stanovich and West (2014) argue that standardized tests of intelligence are not measures of rational thought—the sort of skill/ability that would be needed to address complex real-world problems. Halpern and Butler (2020) advocate for critical thinking as a better model of intelligence for addressing real-world problems than those that are based on psychometric properties of general intelligence. Yes, intelligence (i.e., critical thinking) can be enhanced and used for solving a real-world problem like Covid-19, which we use as an example of contemporary problems that need a new approach. Critical thinking may be an antidote for the chaos of the modern world.

This paper examines how housing prices are determined by macroeconomic factors in Saudi Arabia, namely, Gross Domestic Product Per capita (GDPP), Consumer Prices Index (CPI), and Unemployment Rate (UNEMP). Quarterly data for a period (2014q1 – 2019q4) were collected from publications of Saudi Arabian Monetary Authority (SAMA). Vector Autoregression Analysis (VAR) is employed to capture the dynamic effect of the variables on housing prices. Granger Causality, Variance Decomposition and Impulse response function are also used. The results show that housing prices are insignificantly and positively related to GDPP, whereas it is negatively related to both (CPI & UNEMP). Only CPI has a significant relationship. The three variables, jointly, have Granger causality on HPI. Variance decompositions show that CPI is the variable with the highest explanatory power over the variation of housing prices, followed by GDPP and the UNEMP respectively indicating that CPI is the most influential determinants for housing prices.

Real-world evidence (RWE) is increasingly involved in the early benefit assessment of medicinal drugs. It is expected that RWE will help to speed up approval processes comparable to RWE developments in vaccine research during the COVID-19 pandemic. Definitions of RWE are diverse marking the highly fluid status in this field. So far, RWE comprises information produced from data routinely collected on patient’s health status and/or delivery of health care from various sources other than traditional clinical trials. These sources can include electronic health records, claims, patient-generated data including in home-use settings, data from mobile devices as well as patient, product and disease registries. The aim of the present update was to review the current RWE developments and guidelines mainly in the U.S., the UK, Europe and Germany field during the last decade. RWE has already been included in various approval procedures of regulatory authorities reflecting its actual acceptance and growing importance in evaluating and accelerating new therapies. However, since the RWE research is still in a transition process and since a number of gaps in this field have been explored, more guidance and a consented definition are necessary to increase the implementation of real-world data.

A correct system design can be systematically obtained from a specification model of a real-time system that integrates hybrid measurements in a realistic industrial environment, this has been carried out through complete Matlab / Simulink / Stateflow models. However, there is a widespread interest in carrying out that modeling by resorting to Machine Learning models, which can be understood as Automated Machine Learning for Real-time systems that present some degree of hybridization. An induction motor controller which must be able to maintain a constant air flow through a filter is one of these systems and it is discussed in the paper as a study case of closed-loop control system. The article discusses a practical application of ML methods that demonstrates how to replace such closed loop in industrial control systems with a Simulink block generated from neural networks to show how the proposed procedure can be applied to derive complete hybrid system designs with artificial neural networks (ANN). In the proposed ANN-based method to design a real-time hybrid system with continuous and discrete components, we use a typical design of a neural network, in which we define the usual phases: training, validation, and testing. The generated output of the model is made up of reference variables values of the cyber-physical system, which represent the functional and dynamic aspects of model. They are used to feed Simulink/Stateflow blocks in the real target system.

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

Computational animation of spatiotemporal models for 3-D shape and motion is considered as core of dynamic real-time vision. This is based on sets of features evaluated from multi-focal image streams. Subjects are defined as special objects capable of sensing environmental parameters and of initiating own actions in combination with stored knowledge. Object/subject recognition and scene understanding are achieved on different levels. Multiple objects are tracked individually for perceiving their actual state (‘here and now’). Fast saccadic jumps in gaze direction allow flexible concentration on objects or parts of actual interest. By analyzing motion of relevant objects/subjects over a larger time scale on the level of state variables and documenting them in the ‘scene tree representation’ (computer graphics), the situation with respect to decision making is assessed. Various behavioral capabilities of subjects are represented on an abstract level for characterizing their potential behaviors. These are generated by stereotypical feed-forward and feedback control applications on a separate level close to the actuator hardware with corresponding methods. This dual representation on one level for decision making and one on the implementation level allows for flexibility and easy adaptation or extension. Results are shown for road vehicle guidance based on three cameras on a gaze-controlled platform.

During the last years the desire and the need for green buildings have been increased. The rise of energy cost, the higher transportation expenses and the international challenges along with the climate change are related with the green buildings market but are also affecting the cost of construction. The aim of this research is to discover and confirm the increased request of green properties and to investigate whether this is related to a new need or just a desire of the buyers. Moreover, the paper examines the people’s knowledge of greenness and sustainability and their wish to live and work in sustainable buildings. Finally, do the buyers will to pay extra in order to purchase a sustainable property and how sustainability can affect the market value and the construction industry. The participants who took part in this research were people that are living and working in Cyprus. One of the significant outcomes was the fact that people who have the knowledge and awareness related to sustainability are willing to pay extra to purchase green properties.

Background: Ceftobiprole is a fifth-generation cephalosporin that has been approved in Europe solely for the treatment of community-acquired and nosocomial pneumonia. The objective was to analyze the use of ceftobiprole medocaril (Cefto-M) in Spanish clinical practice in patients with infection in hospital or outpatient parenteral antimicrobial therapy (OPAT). Methods: This retrospective, observational, multicenter study included patients treated from September 1, 2021 to December 31, 2022. Results: 249 individuals were enrolled, aged 66.6±15.4 years, 59.4% male, with Charlson index of 4 (IQR 2-6); 13.7% had COVID-19, and 4.8% were in intensive care unit (ICU). The most frequent type of infection was respiratory (55.8%), followed by skin and soft tissue infection (21.7%). Cefto-M was administered to 67.9% as empirical treatment, being in monotherapy for 7 days (5-10) in 53.8% of cases. The infection-related mortality was 11.2%.The highest mortality rates were for ventilator-associated pneumonia [40%], and infections due to methicillin-resistant S. aureus (20.8%) and Pseudomonas aeruginosa (16.1%). Mortality-related factors were age (OR: 1.1, 95%CI [1.04-1.16]), ICU admission (OR:42.02, 95%CI[4.49-393.4]), and sepsis/septic shock (OR:2.94, 95%CI [1.01-8.54]).Conclusions: In real life, Cefto-M is a safe antibiotic, with only half of prescriptions in respiratory infections, mainly administered as rescue therapy in pluripathological patients with severe infectious diseases.

In this paper we exploit concepts from Information Theory to improve the classical Chvatal’s greedy algorithm for the Set Covering Problem. In particular, we develop a new greedy procedure, called Surprisal-Based Greedy Heuristic (SBH), incorporating the computation of a “surprisal” measure when selecting the solution columns. Computational experiments, performed on instances from the OR-Library, show that SBH yields a 2.5% improvement in terms of the objective function value over the Chvatal’s algorithm while retaining similar execution times, making it suitable for real-time applications. The new heuristic was also compared with Kordalewski’s greedy algorithm, obtaining similar solutions with much lower times on large instances, and Grossmann and Wool’s algorithm for unicost instances, where SBH obtained better solutions.

Deep-learning-based speech enhancement techniques have been recently grown in interest, since their impressive performance can potentially benefit a wide variety of digital voice communication systems. However, such performance has been evaluated mostly in offline audio processing scenarios (i.e. feeding the model, in one go, a complete audio recording, which may extend several seconds). It is of great interest to evaluate and characterize the current state-of-the-art in applications that process audio online (i.e. feeding the model a sequence of segments of audio data, concatenating the results at the output end). Although evaluations and comparisons between speech enhancement techniques have been carried out before, as far as the author knows, the work presented here is the first that evaluates the performance of such techniques in relation to their online applicability. Meaning, this work measures how the output signal-to-interference ratio (as a separation metric), the response time and memory usage (as online metrics) are impacted by the input length (the size of audio segments), in addition to the amount of noise, amount and number of interferences, and amount of reverberation. Three popular models were evaluated, given their availability on public repositories and online viability: MetricGAN+, Spectral Feature Mapping with Mimic Loss, and Demucs-Denoiser. The characterization was carried out using a systematic evaluation protocol based on the Speechbrain framework. Several intuitions are presented and discussed, and some recommendations for future work are proposed.

Background: Objectives were to determine the real-life effectiveness and safety of DT with dolutegravir (50 mg/QD) plus lamivudine (300 mg/QD) in multiple-tablet regimen (MTR) in naïve PLHIV followed up for 48 weeks and to evaluate the compliance and satisfaction of patients. Material and methods: Open, single-arm, multicenter, non-randomized clinical trial from May 2019 through September 2020 with 48-week follow-up. Results: The study included 88 PLHIV (91% male) with mean age of 35.9 years; 76.1% were MSM. Mean baseline CD4 was 516.4 cells/uL, with viral load (VL) of 104,828 cop/mL, and 11.4% were in AIDS stage. DT started within 7 days of first specialist consultation in all patients and the same day in 84.1%; 3.4% had baseline resistance mutations (K103N, V106I+E138A, and V108I); 12.5% were lost to follow-up. At week 48, 86.3% had VL< 50 cop/uL by intention-to-treat analysis and 98.7% by per-protocol (PP) analysis. Virological failure (VF) was recorded in 1.1%, with no resistance mutation. One blip was detected in 5.2%, without VF. Three reported anxiety, dizziness, and cephalgia, respectively, at week 4 and one insomnia at week 24; none reported adverse events at week 48. Mean weight was 4 kg higher at 48 weeks (p=0.0001) and abdominal circumference 3 cm larger at 24 weeks (p=0.022). No forgetfulness occurred in 98.7% of patients. Patient satisfaction was 90/100 at 4, 24, and 48 weeks. Conclusion: Real-world data demonstrate that dolutegravir plus lamivudine in MTR is effective, safe, and satisfactory, moderately increasing weight and abdominal circumference and administrable on a test-and-treat strategy.

The video images captured at long range usually have low contrast floating objects of interest on a sea surface. A comparative experimental study of the statistical characteristics of reflections from floating objects and from the agitated sea surface showed the difference in the correlation and spectral characteristics of these reflections. The functioning of the recently proposed modified matched subspace detector (MMSD) is based on the separation of the observed data spectrum on two subspaces: relatively low and relatively high frequencies. In the literature the MMSD performance has been evaluated in generally and moreover using only a sea model (additive Gaussian background clutter). This paper extends the performance evaluating methodology for low contrast object detection and moreover using only the real sea dataset. This methodology assumes an object of low contrast if the mean and variance of the object and the surrounding background are the same. The paper assumes that the energy spectrum of the object and the sea are different. The paper investigates a scenario in which an artificially created model of a floating object with specified statistical parameters is placed on the surface of a real sea image. The paper compares the efficiency of the classical Matched Subspace Detector (MSD) and MMSD for detecting low-contrast objects on the sea surface. The article analyzes the dependence of the detection probability at a fixed false alarm probability on the difference between the statistical means and variances of a floating object and the surrounding sea.

Classical laws of friction suggest that friction force is proportional to the normal load and independent of the nominal contact area. As a great improvement in this subject, it is now widely accepted that friction force is proportional to the real area in contact, and much work has been conducted based on this hypothesis. In present study, this hypothesis will be carefully revisited by measuring the friction force and real contact area in-site and real-time at both normal loading and unloading stages. Our experiments reveal that the linear relation always holds between friction force and normal load. However, for the relation between friction force and real contact area, the linearity holds only at the loading stage while fails at the unloading stage. This study may improve our understanding of the origin of friction.

The accurate calculation of real contact area between rough surfaces is a key issue in tribology. In this paper, based on the geometrical information of total contact area and the number of contact spots with respect to surface separation, a new method is proposed to determine the relation between real contact area and normal load. The contact of rough surfaces is treated as an accumulation of incremental multi-plateaus indentations with varying average contact radius. Comparisons with direct finite element calculations and some other theoretical predictions demonstrate the efficiency of this approach.

Operational weather and also flood forecasting has been performed successfully for decades and is of great socioeconomic importance. Up to now, forecast products focus on atmospheric variables, such as precipitation, air temperature and, in hydrology, on river discharge. Considering the full terrestrial system from groundwater across the land surface into the atmosphere, a number of important hydrologic variables are missing especially with regard to the shallow and deeper subsurface (e.g. groundwater), which are gaining considerable attention in the context of global change. In this study, we propose a terrestrial monitoring/forecasting system using the Terrestrial Systems Modeling Platform (TSMP) that predicts all essential states and fluxes of the terrestrial hydrologic and energy cycles from groundwater into the atmosphere. Closure of the terrestrial cycles provides a physically consistent picture of the terrestrial system in TSMP. TSMP has been implemented over a regional domain over North Rhine-Westphalia and a continental domain over European in a real-time forecast/monitoring workflow. Applying a real-time forecasting/monitoring workflow over both domains, experimental forecasts are being produced with different lead times since the beginning of 2016. Real-time forecast/monitoring products encompass all compartments of the terrestrial system including additional hydrologic variables, such as plant available soil water, groundwater table depth, and groundwater recharge and storage.

Conventional cancer clinical trials can be time-consuming and expensive, often yielding results with limited applicability to real-world scenarios and presenting challenges for patient participation. Real-world data (RWD) studies offer a promising solution to address evidence gaps and provide essential information about the effects of cancer treatments in real-world settings. Defining RWD based on its original intent, which is the collection of data at the point of care for clinical purposes, can distinguish it from conventional clinical trial data. RWD can be generated using experimental designs that resemble those used in conventional clinical trials, but with several advantages, such as improved efficiency and a better balance between internal and external validity. RWD can support pharmacovigilance, insights into disease progression, and the development of external control groups. Prospective RWD collection enables evidence generation based on pragmatic clinical trials (PCTs) that support randomized study designs and expand clinical research to the point of care. To ensure the quality of real-world studies, it is crucial to implement auditable data abstraction methods and develop new incentives to capture clinically relevant data electronically at the point of care. The treatment landscape is constantly evolving, with the integration of front-line immune checkpoint inhibitors (ICIs), either alone or in combination with chemotherapy, affecting subsequent treatment lines. Real-world effectiveness and safety in underrepresented populations, such as the elderly, patients with poor performance status (PS), hepatitis, or human immunodeficiency virus-infected patients, are still largely unexplored. Similarly, the cost-effectiveness and sustainability of these innovative agents are important considerations in the real world.

Abstract Background The advent of monoclonal antibodies (mAbs) targeting calcitonin gene-related peptide (CGRP) pathway has transformed the management of migraine, offering newfound optimism for clinicians and individuals with episodic migraine (EM) and chronic migraine (CM). While randomized controlled trials (RCTs) have provided crucial insights into the effectiveness and safety profiles of these treatments, their translation into real-world clinical practice remains a e challenge. Objective This review aims to conduct a comprehensive assessment of real-world studies, offering valuable insights tailored for practical application in clinical settings. Methods We conducted a comprehensive literature search in PubMed, SCOPUS, and MEDLINE for real-life studies on erenumab, fremanezumab, and galcanezumab. Abstracts underwent rigorous screening by two reviewers for relevance. Data extraction from selected articles was performed using a standardized form, with verification by a second reviewer. Data synthesis was narrative, following PRISMA guidelines. Results Our search included 55 pertinent studies conducted between 2019 and 2023. Real-world study designs demonstrated notable variability in the selection and inclusion of migraine patients, influenced by factors such as attack frequency, data collection criteria, and primary/secondary objectives. Key findings commonly reported considerable improvements in efficacy outcomes (migraine frequency, analgesic use, pain severity, disability), high responder rates, and optimal safety and tolerability profiles. Conclusion Real-world evidence underscores the role of anti-CGRP mAbs as targeted therapies for both CM and EM patients. The overall results indicate that the effectiveness and tolerability of anti-CGRP mAbs in real-world applications may exceed those observed in RCTs, an unprecedented finding in clinical neurology.

Candidiasis is a significant fungal infection caused by various species of the genus Candida, posing health challenges to a wide range of animals, including Choloepus species (two-toed sloths). This review article aims to provide a comprehensive understanding of candidiasis in Choloepus sp., highlighting the etiology, epidemiology, pathogenesis, clinical manifestations, diagnosis, treatment, and prevention strategies.The article begins by examining the causative agents, primarily focusing on Candida albicans, which is the most commonly implicated species in candidiasis. The epidemiological aspects are discussed, emphasizing the prevalence of candidiasis in wild and captive Choloepus populations and identifying predisposing factors such as immunosuppression, stress, poor nutrition, and environmental conditions. Pathogenesis is explored, detailing the mechanisms through which Candida species invade host tissues and evade immune responses. Clinical manifestations in Choloepus sp. are described, including oral thrush, cutaneous lesions, and gastrointestinal infections, and their impact on the health and behavior of affected individuals. Diagnostic methods, including culture techniques, histopathology, and molecular assays, are reviewed to highlight their roles in accurately identifying Candida infections. The article also covers treatment options, focusing on antifungal therapies and supportive care tailored to the unique physiology of Choloepus sp. Finally, prevention and management strategies are discussed, emphasizing the importance of maintaining optimal husbandry practices, regular health monitoring, and early intervention to reduce the incidence and impact of candidiasis in Choloepus populations. This review underscores the need for further research to enhance our understanding of candidiasis and improve health outcomes for these unique and vulnerable animals.

Motivated by the intriguing discovery of $X(6900)$ by LHCb Collaboration, we undertake a comprehensive study of the $s\bar{s}s\bar{s}$ tetraquark system in positive parity, employing the Gaussian expansion within the chiral quark model method. We consider two structures, diquark-antidiquark ($ss$-$\bar{s}\bar{s}$) structure and meson-meson ($s\bar{s}$-$s\bar{s}$)strcuture, encompassing all conceivable color and spin configurations. Despite the absence of bound states in our calculations, we have identified potential resonant states with $J^P=0^{+}$, namely $R(0,2150)$ and $R(0,2915)$, as well as a resonant state with $J^P=1^{+}$ denoted as $R(1,2950)$, and a resonant state with $J^P=2^{+}$ denoted as $R(2,2850)$, utilizing the real-scaling method. Through a comparison of their energies and widths, we propose that $R(0,2915)$ and $R(1,2950)$ may share characteristics with $X(6900)$, while $R(0,2150)$ could be a promising experimental candidate for $f_0(2100)$. We strongly advocate for experimental investigations to shed light on the existence and properties of these resonant states.

We present a near real-time solution for 3D reconstruction from aerial images captured by consumer UAVs. Our core idea is to simplify the multi-view stereo problem into a series of two-view stereo matching problems. Our method applies to UAVs equipped with only one camera and does not require special stereo-capturing setups. We found that the neighboring two video frames taken by UAVs flying at a mid-to-high cruising altitude can be approximated as left and right views from a virtual stereo camera. Leveraging GPU-accelerated real-time stereo estimation, efficient PnP correspondence solving algorithms and extended Kalman filter, our system simultaneously predicts scene geometry and camera position/orientation from the virtual stereo cameras. Also, this method allows user selection of varying baseline lengths, which provides more flexibility given the trade-off between camera resolution, effective measuring distance, flight altitude, and mapping accuracy. Our method outputs dense point clouds at a constant speed of 25 frames per second and is validated on a variety of real-world datasets with satisfactory results.

Rapid growth of IoT applications and their interference in our daily lives led to many different IoT devices which generates enormous data. The IoT devices’ resources are very limited, so storing and processing IoT data in the devices is very inefficient. Several resources of cloud-computing are efficiently used to handle some IoT resources issues. While using resources in the cloud centers cause some other issues, like latency in the IoT applications, which are time-critical. Thus, the technology of edge cloud has evolved recently. This technology permits storage and data processing at the network edge. This paper studies edge computing in-depth for timeless sensitive devices in IoT. In-depth, cutting-edge IoT computing systems (ECAs-IoT) are evaluated and characterized in this paper according to numerous criteria, such as information placement, improvisation facilities, reliability, and data visualization. Moreover, according to distinctive properties, the paper aims at comparing each structure in detail. The paper also highlights the significant limitations of the new ECAs-IoT and recommends solutions to them. The studies also introduce and propose solutions to some of the most important restrictions of the current ECAs-IoT. Consequently, in the edge computing domain, this survey outlines the IoT implementations. Lastly, with the use of IoT implementations for ECAs-IoT, the paper suggests four distinct scenarios.

Scientists and astronomers have attached Scientists and astronomers have attached great importance to the task of discovering new exoplanets, even more so if they are in the habitable zone. To date, more than 4300 exoplanets have been confirmed by NASA, using various discovery techniques, including planetary transits, in addition to the use of various databases provided by space and ground-based telescopes. This article proposes the development of a deep learning system for detecting planetary transits in Kepler Telescope lightcurves. The approach is based on related work from the literature and enhanced to validation with real lightcurves. A CNN classification model is trained from a mixture of real and synthetic data, and validated only with real data and different from those used in the training stage. The best ratio of synthetic data is determined by the perform of an optimisation technique and a sensitivity analysis. The precision, accuracy and true positive rate of the best model obtained are determined and compared with other similar works. The results demonstrate that the use of synthetic data on the training stage can improve the transit detection performance on real light curves.

White Spot Syndrome Virus (WSSV) has emerged as one of the most prevalent and lethal viruses globally, and infects both shrimps and crabs in the aquatic environment. This study aimed to investigate the occurrence of WSSV in different ghers of Bangladesh and the virulence of the circulating phylotypes. We collected 360 shrimp (Penaeus monodon) and 120 crab (Scylla sp.) samples from the South-East (Cox’s Bazar) and South-West (Satkhira) coastal regions of Bangladesh. The VP28 gene-specific PCR assays and sequencing revealed statistically significant (p < 0.05, Kruskal Wallis test) differences in the prevalence of WSSV in shrimps and crabs between the study areas (Cox’s Bazar and Satkhira), and over the study periods (2017-2019). The mean Log load of WSSV varied from 8.40 (Cox’s Bazar) to 10.48 (Satkhira) per gram of tissue. The mean values for salinity, dissolved oxygen, temperature and pH were 14.71±0.76 ppt, 3.7±0.1 ppm, 34.11±0.38˚C and 8.23±0.38, respectively in the WSSV-positive ghers. The VP28 gene-based phylogenetic analysis showed an amino-acid substitution (E→G) at 167th position in the isolates from Cox’s Bazar (referred to as phylotype BD2) compared to the globally circulating one (BD1). Shrimp PL artificially challenged with BD1 and BD2 phylotypes with filtrates of tissue containing 0.423 X 109 copies of WSSV per mL resulted a median LT50 value of 73 hrs and 75 hrs, respectively. The in-vivo trial showed higher mean Log WSSV copies (6.47±2.07 per mg tissue) in BD1 challenged shrimp PL compared to BD2 (4.75±0.35 per mg tissue). Crabs infected with BD1 and BD2 showed 100% mortality within 48 hrs and 62 hrs of challenge, respectively with mean Log WSSV copies of 12.06±0.48 and 9.95±0.37 per gram tissue, respectively. Moreover, shrimp antimicrobial peptides (AMPs) penaeidin and lysozyme expression was lower in BD1 challenged group compared to BD2 challenged shrimps. These results collectively demonstrated that relative virulence properties of WSSV based on mortality rate, viral load and expression of host immune genes in artificially infected shrimp PL could be affected by single aa substitution in VP28.

Timeworn telecommunication are progressively being substituted by a new one that run over IP networks, which is recognized as voice over internet protocol (VoIP). VoIP has a number of qualities (e.g., inexpensive call rate), which make it progressively widespread in the telecommunication domain. However, VoIP faces plentiful obstacles that slow its growth. One of the major obstacles is poorly utilizing the network bandwidth. A number of techniques have been offered to handle this obstacle, including packet multiplexing techniques. This paper designs an original multiplexing techniques, called packet multiplexing and carrier header (PM-CH), to decrease the quantity of the bandwidth consumed by VoIP. PM-CH protect the bandwidth by multiplexing the packets in a header and using the Timestamp field in the RTP header. The achievement of the PM-CH technique was examined depends on connection capacity and payload shortening. Simulation outcomes show that the PM-CH technique outperforms the contrast technique in the two factors. For instance, the PM-CH technique’s connection capacity outperforms the comparable technique by 58.9% when the connection bandwidth is 1000 kbps. Consequently, the PM-CH technique attains its objective of reducing the unexploited bandwidth caused by VoIP.

Heavy metals pollution in the Straits of Malacca warrants the development of rapid, simple and sensitive assays. Enzyme-based assays are excellent preliminary screening tool with near real-time potential. The heavy-metal assay based on the protease ficin was optimized for mercury detection using Response Surface Methodology. The inhibitive assay is based on ficin action on the substrate casein and residual casein is determined using the Coomassie dye-binding assay. Heavy metals strongly inhibit the hydrolysis. A Central Composite Design (CCD) was utilized to optimize detection. The results show a marked improvement for the concentration causing 50% inhibition (IC50) for mercury, silver and copper. Compared to One-factor-at-a-time (OFAT) optimization, RSM gave an improvement of IC50 from 0.060 (95% CI, 0.0300.080) to 0.017 (95% CI, 0.0160.019), from 0.098 (95% CI, 0.0770.127) to 0.028 (95% CI, 0.0220.037) and from 0.040 (95% CI, 0.035.045) to 0.023 (95% CI, 0.0200.027), for mercury, silver and copper, respectively. A near real-time monitoring of mercury concentration in the Straits of Malacca at one location in Port Klang was carried out over a 4-h interval for a total of 24 h and validated by instrumental analysis with the result revealing an absence of mercury pollution in the sampling site.

The real estate market is exposed to many fluctuations in prices, because of existing correlations with many variables, some of which cannot be controlled or might even be unknown. Housing prices can increase rapidly (or in some cases, also drop very fast), yet the numerous listings available online where houses are sold or rented are not likely to be updated that often. In some cases, individuals interested in selling a house (or apartment) might include it in some online listing, and forget about updating the price. In other cases, some individuals might be interested in deliberately setting a price below the market price in order to sell the home faster, for various reasons. In this paper we aim at developing a machine learning application that identifies opportunities in the real estate market in real time, i.e., houses that are listed with a price substantially below the market price. This program can be useful for investors interested in the housing market. We have focused in a use case considering real estate assets located in the Salamanca district in Madrid (Spain) and listed in the most relevant Spanish online site for home sales and rentals. The application is formally implemented as a regression problem, that tries to estimate the market price of a house given features retrieved from public online listings. For building this application, we have performed a feature engineering stage in order to discover relevant features that allows attaining a high predictive performance. Several machine learning algorithms have been tested, including regression trees, $k$-nearest neighbors, support vector machines and neural networks, identifying advantages and handicaps of each of them.

Real-time strategy (RTS) game has proposed many challenges for AI research for its large state spaces, enormous branch factors, limited decision time and dynamic adversarial environment. To tackle above problems, the method called Adversarial Hierarchical Task Network planning (AHTN) has been proposed and achieves favorable performance. However, the HTN description it used cannot express complex relationships among tasks and impacts of environment on tasks. Moreover, the AHTN cannot handle task failures during plan execution. In this paper, we propose a modified AHTN planning algorithm named AHTNR. The algorithm introduces three elements essential task, phase and exit condition to extend the HTN description. To deal with possible task failures, the AHTNR first uses the extended HTN description to identify failed tasks. And then a novel task repair strategy is proposed based on historical information to maintain the validity of previous plan. Finally, empirical results are presented for the μRTS game, comparing AHTNR to the state-of-the-art search algorithms for RTS games.

Premature skin aging, also known as photoaging, refers to the changes of the structure and function of the skin caused by chronic sun exposure. The ultraviolet radiation in the sunlight is one of the key factors that causes photoaging. Thus, MMPs, TGFB1, and NF-κB signaling can be an effective therapeutic strategy for UVB exposure. In this study, we used human dermal fibroblast and mouse macrophage cells to identify the mediators of skin photoaging. Quercitrin isolated from ‘Green Ball’ apple peel was treated to UVB-irradiated fibroblast cell and lipopolysaccharide (LPS)-induced macrophages to identify photoaging prevention effect of quercitrin. Genes that are associated with photoaging was determined by using ELISA, western blot, and qPCR. Quercitrin increased collagen biosynthesis in UVB-irradiated fibroblast cell via regulating MMPs, TIMP-1, TGFB1, HAS2, and COL1A2. In addition, quercitrin regulated p-65, iNOS, COX-2, and mediators (PGE2 and NO), in the NF-κB signaling process, and inhibited the production of cytokines in LPS-induced macrophages. These results indicates that quercitrin can improve photoaging damaged skin by regulating MMPs, TGFβ, and NF-κB signaling pathway modulators.

When dealing with complex models in real situations, many optimization problems require using more than one objective function to represent the relevant characteristics of the system under consideration adequately. This is why multiobjective optimization algorithms that can deal with several objective functions are required in order to obtain reasonable results in an adequate processing time. This paper presents the multiobjective version of a recent metaheuristic algorithm that optimizes a single objective function, known as the Majority-minority Cellular Automata Algorithm (MmCAA), inspired by cellular automata operation. The algorithm presented here will be known as the Multiobjective Majority-minority Cellular Automata Algorithm (MOMmCAA). The MOMmCAA adds repository management and multiobjective search space density control to complement the performance of the MmCAA and make it capable of optimizing multiobjective problems. To evaluate the performance of the MOMmCAA, benchmark test sets are taken (DTLZ, quadratic, and CEC-2020), along with real-world engineering design problems, compared against other multiobjective algorithms recognized for their performance (MOLAPO, GS, MOPSO, NSGA-II, and MNMA). The results obtained in this work show that MOMmCA produces comparable performance with the other metaheuristic methods, which shows it as a competitive algorithm to be used for multiobjective problems. MOMmCAA was implemented in MATLAB, and its source code can be consulted in GitHub. https://github.com/juanseck/MOMmCAA

The financial crisis augmented the need to predict real estate prices. The current study examines the application of Artificial Neural Network (ANN) model and Vector Autoregressive (VAR) model in forecasting real estate prices. The study uses daily observations, which accounted for a total of 2955 observations collected. We found that ANN outperformed significantly the VAR model providing evidence that these models can be used for valuation purposes in the area of real estate and financial markets. These findings are novel and important as they provide evidence of the usefulness of more sophisticated methodologies for market participants and regulators in real estate and financial markets.

This review provides an overview of eXplainable AI (XAI) methods for oncological ultrasound image analysis and compares their performance evaluations. A systematic search of Medline Embase and Scopus between March 25 and April 14 2024 identified 17 studies describing 14 XAI methods, including visualization, semantics, example-based, and hybrid functions. These methods primarily provided specific, local, and post-hoc explanations. Performance evaluations focused on AI model performance, with limited assessment of explainability impact. Standardized evaluations incorporating clinical end-users are generally lacking. Enhanced XAI transparency may facilitate AI integration into clinical workflows. Future research should develop real-time methodologies and standardized quantitative evaluative metrics.

Background: Gram-negative bacteremia, especially from Klebsiella spp., Escherichia coli, and Pseudomonas aeruginosa, poses a significant public health threat due to multidrug resistance and high mortality rates. Cost-effective treatments are essential in low-middle income countries as Colombia. Methods: This descriptive, phase IV study was conducted in a tertiary care hospital in Colombia. Adult patients with Gram-negative bacteremia treated with generic piperacillin/tazobactam (Penibactam®) were evaluated. Clinical and microbiological responses were assessed over 12 months. Results: The study included 30 critically ill patients with an average APACHE II score of 22.12. The clinical response at day 7 was 66% (n = 20), and the microbiological response was 56.7% (n = 17). By the end of follow-up, clinical improvement was observed in 63.3% (n = 19), with a mortality rate of 23% (n = 7). The cardiovascular system was the most common infection site. Conclusions: Generic piperacillin/tazobactam demonstrated effectiveness and safety comparable to existing literature in treating Gram-negative bacteremia, offering a viable, cost-effective alternative for critically ill patients in real-world settings.

In this paper, we establish the necessary and sufficient conditions for solving a dual split quaternion matrix equation AXB=C, and present the general solution expression when solvability is achieved. As an application, we delve into the necessary and sufficient condition for the existence of Hermitian solution to this equation by using a newly defined real representation method. Furthermore, we obtain the solutions for the dual split quaternion matrix equations AX=C and XB=C. Finally, we provide a numerical example to demonstrate the findings of this paper.

This paper reviews several techniques, including analytical theories and real frequency techniques, to design ultra-wideband impedance matching networks for low-power applications. The comparison of solutions obtained using the simplified real frequency technique to the published solution using Chebyshev filter theory is demonstrated.

(1) Background: Aim was to investigate real-world effectiveness (hypothesizing non-inferiority) and safety profile of risdiplam in paediatric and adult nusinersen-risdiplam spinal muscular atrophy (SMA) switch cohort. (2) Methods: A retrospective and anonymous collection of relevant demographic and clinical data for all Croatian SMA patients switched from nusinersen to risdiplam up to September 2023 (reimbursed by Croatian Health Insurance Fund – CHIF) was performed using CHIF database and associated reimbursement documentation. Patients were included in effectiveness and safety analysis if they met the following inclusion criteria: i) risdiplam reimbursed by CHIF; ii) patient received at least 6 doses of nusinersen before switch to risdiplam; iii) no relevant pause between the latter disease modifying drugs (DMDs); iv) availability of all prespecified studied data and parameters. (3) Results: 17 patients met inclusion criteria [58.9% female; median age 12.75 (3.0-44.5) yr.]. In our ‘switch’ cohort, we have demonstrated a non-inferiority of risdiplam to nusinersen, in SMA 1 (+1.0 in CHOP INTEND; p=0.067), SMA 3p (+0.7 in HFMSE; p=0.897) and SMA 3a (+0.8 in RHS; p=0.463) subpopulations, during a one-year follow-up period. There were no reports on respiratory function worsening, feeding worsening, and no lethal events. No new safety concerns were identified, except of the weight gain that arose as a new potential adverse drug reaction ‘signal’ in two patients. (4) Conclusions: We have reported a pivotal real-world findings on switching SMA patients from nusinersen to risdiplam and demonstrated its effectiveness (non-inferiority), safety and tolerability in a heterogenous paediatric and adult ‘switch’ cohort, which will further increase the quality and standards of care as well as safety of a notable portion of SMA patients; especially for those who demand switch from nusinersen to other DMDs from clinical or personal reasons.

Enteric viruses are the major cause of gastroenteritis and enteric hepatitis worldwide, but in some areas like Saudi Arabia little data is known about their presence in water sources. The available information from clinical samples is not enough to figure their actual prevalence. The aim of this study was to gather information for the first time in Saudi Arabia on the presence of Norovirus (NoV) genogroup GI and GII, hepatitis A virus (HAV) and hepatitis E virus (HEV) in water. For this purpose, thirteen monthly samples were collected in lake Wadi Hanifa and surrounding wells from December 2014 to November 2015. Viruses were detected and quantified by Real-time RT-qPCR. Despite HEV findings were anecdotic, our results highlight interesting behaviors of the other viruses. There was a higher prevalence of noroviruses in Wadi Hanifa samples than in well water samples (46.43% vs12.5% of NoV GI; 66.67% vs8.33% of NoV GII). On the contrary, similar levels of HAV positivity were observed (40.48% in surface water vs 43.06% in well water). Also, a strong influence of flooding events on HAV and NoV GI occurrence was observed in both surface and well water samples, being NoV GII apparently not affected.

Real-time tracking is one of the most challenging problems in computer vision. Most Transformer-based trackers usually require expensive computational and storage power, which leads to the inability of these robust trackers to achieve real-time performance in resource-constrained devices. In this work, we propose a lightweight tracker, AnteaTrack. To localize the target more precisely, we develop a scaling-invariant max-filtering operator employing a sliding window combined with local max-pooling, which filters out the suspected target from the feature and performs an augmented representation while suppressing the background. For a more tight bounding box, we employ Pixel-Shuffle to increase the resolution of the feature map and get a more fine-grained representation of the target. In addition, AnteaTrack can run in real-time at 47 frames per second(FPS) on the CPU. We tested AnteaTrack on 5 datasets, and a large number of experiments have shown that AnteaTrack provides the most efficient solution compared to the same type of CPU real-time trackers. The code will be available at https://github.com/cnchange/AnteaTrack.

Prevention and management of cytomegalovirus (CMV) reactivation is important to improve outcome of allogeneic hematopoietic cell transplantation (allo-HCT) recipients. The aim of this study was to analyze real-world data for incidence and characteristics of CMV infections until 1-year after allo-HCT under 100-day letermovir prophylaxis. A single-center retrospective study was conducted between November 2020 and October 2021. During the study period, 358 patients underwent allo-HCT, 306 of whom received letermovir prophylaxis. Cumulative incidence of clinically significant CMV infection (CS-CMVi) was 11.4%, 31.7%, and 36.9% at 14-weeks, 24-weeks, and 1-year post-HCT, respectively. In multivariate analysis, risk of CS-CMVi increased with graft-versus-host disease (GVHD) ≥ grade 2 (adjusted odds ratio 3.640 [2.036–6.510]; P &lt; 0.001). One-year non-relapse mortality was significantly higher in letermovir breakthrough CS-CMVi patients than those with subclinical CMV reactivation who continued letermovir (P = 0.002). There were 18 (15.9%) refractory CMV infection in this study population. In summary, letermovir prophylaxis is effective in preventing CS-CMVi until day 100, which increased after cessation of letermovir. GVHD is still a significant risk factor in letermovir prophylaxis era. Further research is needed to establish individualized management strategies especially in patients with significant GVHD or letermovir breakthrough CS-CMVi.

Background Enfortumab vedotin shows promise as a targeted therapy for advanced urothelial carcinoma, particularly in patients who previously received platinum-based chemotherapy and immune checkpoint inhibitors. The EV-301 phase III trial demonstrated a significantly improved overall survival and response rates compared with standard chemotherapy. However, more data, especially from larger real-world studies, are needed to assess its effectiveness in Japanese patients. Methods A total of 6,007 urothelial cancer patients treated with pembrolizumab as second-line treatment were analyzed. Among them, 619 patients received enfortumab vedotin after pembrolizumab, while 394 received docetaxel or paclitaxel after pembrolizumab. Results The enfortumab vedotin group showed a longer overall survival than the paclitaxel/docetaxel group (p=0.013, hazard ratio: 0.71). In the multivariate analysis, enfortumab vedotin induction was an independent risk factor for the overall survival (p=0.013, hazard ratio: 0.70). There were no significant differences in the cancer-specific survival. Conclusions Enfortumab vedotin prolonged the overall survival in Japanese patients with advanced or metastatic urothelial carcinoma compared with paclitaxel or docetaxel after pembrolizumab treatment.

To monitor adherence to diets and to design and evaluate nutritional interventions it is essential to obtain objective knowledge about eating behavior. In most research, measures of eating behavior are based on self-reporting, such as 24-h recalls, food records (food diaries), and food frequency questionnaires. Self-reporting is prone to inaccuracies due to inaccurate and subjective recall and other biases. Recording behavior using non-obtrusive technology in daily life would overcome this. We here provide an up-to-date systematic overview encompassing all (close-to) publicly or commercially available technologies to automatically record eating behavior in real-life settings. 1328 studies were screened and after applying defined inclusion and exclusion criteria, 122 studies were included for in-depth evaluation. Technologies in these studies were categorized by what type of eating behavior they measure and which type of sensor technology they use. In general, we found that relatively simple sensors are often used. Depending on the purpose, these are mainly motion sensors, microphones, weight sensors, and photo cameras. While several of these technologies are commercially available, there is still a lack of publicly available algorithms that are needed to process and interpret the resulting data. We argue that future work should focus on developing robust algorithms and validating these technologies in real-life settings. Combining technologies (e.g., prompting individuals for self-reports at sensed, opportune moments) is a promising route toward ecologically valid studies of eating behavior.

Hemianopia poses significant challenges and requires effective rehabilitation strategies. Traditional visual restoration methods have focused on low-level vision therapies in controlled environments. This paper proposes the integration of natural and ecologically valid environments, e.g., virtual reality (VR), three-dimensional (3D) settings, and cognitive interactions for visual rehabilitation. We review various studies that employed common practices in laboratory or controlled settings. We also discuss the disadvantages of traditional techniques and advocate for a comprehensive and ecological framework in visual rehabilitation. Instead of correcting visual inputs, we emphasize training the visual system to adapt and restore functionality in real-world contexts. By combining real-world environments and higher-level vision approaches, we can enhance visual recovery, improve daily functioning, and restore the quality of life for individuals with visual field defects. Moreover, we stress the importance of incorporating natural environments, VR, 3D settings, and cognitive interactions to maximize the effectiveness of visual rehabilitation and empower patients to regain their visual abilities in real-world scenarios. Continued research and development in this field are crucial to refine and expand the application of these innovative techniques, ultimately enhancing the lives of individuals affected by visual field defects.

Background: Pneumocystis pneumonia (PCP) commonly affects immunocompromised individuals, whereas in immunocompetent persons, it occurs relatively rarely, and in most cases the Pneumocystis infection is detected as an asymptomatic colonization. The present study aimed to establish the prevalence of Pneumocystis jirovecii infection in human hosts with different immune status (immunocompromised and immunocompetent), using molecular diagnostic methods, and to compare their diagnostic value with that of classical staining methods. Methods: We used the collected to this moment data from a prospective study on the prevalence of pneumocystosis among the Bulgarian population. Clinical specimens (including throat secretion, induced sputum, tracheal aspirate, and bronchoalveolar lavage collected from 220 patients suspected of PCP (153 immunocompetent and 67 immunocompromised patients) were examined with staining microscopic methods and real-time PCR for detection of P. jirovecii. Results: DNA of the pathogen was detected in 38 (17%) specimens (32 immunocompromised patients and 6 immunocompetent subjects). From all 220 clinical samples examined by staining methods, only in five (2%) P. jirovecii cysts were detected by the Gomori's stain. All patients with PCP were treated with trimethoprim-sulfamethoxazole, but in ten of them (HIV- positive patients) the disease was with fatal outcome. Conclusions: This study is the first for the country including the main available laboratory methods for diagnosis of human pneumocystosis in Bulgaria. Regarding the etiological diagnosis of PCP, in our study the sensitivity of real-time PCR was higher compared to the staining methods. The choice of a method for sample collection and examination has an important role in the efficiency of the laboratory diagnostics.

This work presents the results of an experimental socio-economic study conducted in two shanty towns of Messina as part of a systemic urban regeneration and fight against poverty program called Capacity. The study has shown that the development of a positive attitude towards the future and the confidence in others are associated with the development of the riskiest option, which is the one that can give the highest pay-off. The paper also illustrates the expected and unexpected outcomes of projects for individuals and the community, as well as the economic benefits for the public administration and the society of a strategy that reduces the reliance on social welfare measures as well as the local control exercised by organized crime.

In a safety-critical system typically not all provided services have the same criticality, which we call mixed-criticality systems. Criticality arithmetic, also called SIL arithmetic, is an approach to lower the development effort of a service by providing redundancy with tasks that are developed for a lower criticality level. In this paper we present ATMP-CA, which is a derivation of the multi-core scheduler ATMP. ATMP-CA is able to take into account the knowledge about the use of criticality arithmetic. ATMP-CA has a modified core allocation and procedure for utility optimisation, considering the context of the replicated tasks. We conducted experiments that show that ATMP-CA is able to provide the services using criticality arithmetic, while the reference schedulers were not.

Layer-wise 3D surface morphology information is critical for the quality monitoring and control of additive manufacturing (AM) processes. However, most of the existing 3D scan technologies are either contact or time consuming, which are not capable of obtaining the 3D surface morphology data in a real-time manner during the process. Therefore, the objective of this study is to achieve real-time 3D surface data acquisition in AM, which is achieved by a supervised deep learning-based image analysis approach. The key idea of this proposed method is to capture the correlation between 2D image and 3D point cloud, and then quantify this relationship by using a deep learning algorithm, namely, convolutional neural network (CNN). To validate the effectiveness and efficiency of the proposed method, both simulation and real-world case studies were performed. The results demonstrate that this method has strong potential to be applied for real-time surface morphology measurement in AM, as well as other advanced manufacturing processes.

An outbreak of winter disease, complicated by severe respiratory syndrome, occurred in January 2020 in a high production dairy cow herd located in a hilly area of the Calabria region. Of the 52 animals belonging to the farm, 5 (9.6%) died with severe respiratory distress, death occurring 3-4 days after the appearance of the respiratory signs (caught and gasping breath). Microbiological analysis revealed absence of pathogenic bacteria whilst Real-time PCR identified the presence of RNA from Bovine Coronavirus (BCoV) in several organs: lungs, small intestine (jejunum), mediastinal lymph nodes, liver and placenta. Since being the only pathogen identified, BCoV was hypothesized to be the cause of the lethal pulmonary infection. Like the other CoVs, BCoV is able to cause different syndromes. Its role in calfhood diarrhoea and in mild respiratory disease is well known: we report instead the involvement of this virus in a severe and fatal respiratory disorder, with symptoms and disease evolution resembling that of Severe Acute Respiratory Syndromes (SARS).

The aim of the study was to determine the presence Fusarium species and mycotoxins in winter wheat grain in Poland. Grain samples from different locations in Poland in 2009 and 2010 were analysed for the content of biomass of Fusarium species and mycotoxins. In 2009 biomass of F. graminearum and F. poae was present in all samples, F. culmorum in 82% of samples, F. avenaceum in 55% of samples. F. sporotrichioides, F. tricinctum and F. equiseti were found only in individual samples. F. langsethiae was not detected. In 2010, five Fusarium species were detected with the exception of F. sporotrichioides. The highest content of biomass was found for F. graminearum followed by F. avenaceum, F. poae and F. langsethiae. The amount of F. culmorum biomass was very low. The most frequently occurring species was F. poae and F. graminearum. In 2009, deoxynivalenol was detected in all samples. In 2010, the average content of deoxynivalenol was lower than in 2009. Nivalenol was detected at very low concentration in both years. Significant correlations between content of F. graminearum biomass and deoxynivalenol concentration in grain and between content of F. poae biomass and nivalenol concentration in grain in 2009 were found. The most important finding of this study was that main Fusarium species infecting wheat kernels in Poland in both years was F. graminearum. The amount of biomass of F. graminearum was the highest in both years. It was present in the most samples. The other frequently detected species was F. poae, which in 2010 appeared in more samples than F. graminearum. However, the amount of F. poae biomass was lower. F. culmorum, species that was previously dominating as wheat pathogen in Poland, was found less frequently than F. graminearum. The amount of biomass of this species was the lowest in 2010.

In this paper, the author obtains an analytic exact form of Heaviside function, which is also known as Unit Step function and constitutes a fundamental concept of the Operational Calculus.In particulat, this function is explicitly expressed in a very simple manner by the aid of purely algebraic representations. The novelty of this work is that the proposed explicit formula is not performed in terms of non – elementary special functions, e.g. Dirac delta function or Error function and also is neither the limit of a function, nor the limit of a sequence of functions with point wise or uniform convergence. Hence, it may be much more appropriate and useful in the computational procedures which are inserted into Operational Calculus techniques and other engineering practices.

When a rotary machine is running, from which the acquired vibro-acoustic signals enable to reveal its operation status and health condition. The study proposed a DSP-based adaptive angular-velocity Vold-Kalman filtering order tracking (AV2KF_OT) algorithm with an online real-time nature for signal interpretation and machine condition monitoring. Theoretical derivation and numerical implementation of computation schemes are briefly introduced. An online real-time monitoring system based on the AV2KF_OT algorithm, which was implemented through both a digital signal processor and a user interface coded by using LabVIEW, was developed. Two experimental tasks were applied to justify the proposed technique, including (i) the detection of startup on the fluid-induced whirl performed through a journal-bearing rotor rig, and (ii) the separation of close orders from the measured signals of a multifunction transmission-element ball-bearing bench.

This research presents alternative solutions for an Energy Efficiency Management System (EEMS) serving as a framework for optimizing the energy consumption algorithm and lowering energy consumption. First, a monitoring Wireless Sensor and Actuator Network (WSAN) is used for sensing, measuring, gathering data, and modeling all the dynamic disturbance parameters of the rooms in the building. Second, integrated software for metering and controlling the processes of digital data flow is used. Third, an alternative solution is proposed to reduce energy consumption. The primary benefits of this system are real-time monitoring; rapid, alternative solutions; and the ability to make a prudent decision on how to lower energy consumption. The system shows instant and accumulated solutions for short and long-term time planning. The solutions identified can be implemented in the same buildings under the same circumstances. The universities of Majmaah and Philadelphia have buildings with similar infrastructure. The system was applied to the buildings at Philadelphia University. The results were generalized to both universities. After implementation, the energy consumption of the EEMS using WSAN (based on the monitoring was reduced up to 23% when compared to that of the initial state.

This paper deals with the problem of real-time management of Smart Grids. For this sake, the energy management is integrated with the power system through a telecommunication system. The use of Multiagent Systems leads the proposed algorithm to find the best-integrated solution, taking into consideration the operating scenario and the system characteristics. The proposed technique is tested with the help of an academic microgrid, so the results may be replicated.

This paper presents a methodology to design sensor fusion parameters using real performance indicators of navigation in UAVs based on PixHawk flight controller and peripherals. This methodology and the selected performance indicators allows to find the best parameters for the fusion system of a determined configuration of sensors and a predefined real mission. The selected real platform is described with stress on available sensors and data processing software, and the experimental methodology is proposed to characterize sensor data fusion output and determine the best choice of parameters using quality measurements of tracking output with performance metrics not requiring ground truth.

The paper presents a comprehensive study of the relationship between investor sentiment and stock market returns in Saudi Arabia from 2009 to 2022. The study uses linear autoregressive distributed lag models (ARDL) to analyze the complex dynamics between variables. ARDL models are particularly valuable for capturing both long- and short-term relationships between variables and allow for dynamic adjustments over time. The study shows that a positive change in investor sentiment leads to higher stock market returns after a lag of two months, but this positive effect reverses in the long-run, suggesting the possibility of overreaction and subsequent adjustments. Money supply has a consistent positive impact on stock returns over time, while real estate market returns have limited short-term impacts on investor sentiment and macroeconomic factors. The ARDL modeling approach is essential to capture the dynamic interaction between investor sentiment and stock returns and reveals the temporary impact of sentiment on market performance. The study extends its analysis to construct a composite investor sentiment index using principal component analysis, tests the stationarity of stock returns and sentiment index through extended Dickey-Fuller and Phillips-Perron unit root tests, and determines the optimal lag length for time series modeling. The ARDL modeling results for stock market returns and real estate returns provide insights into the short- and long-term relationships between investor sentiment, macroeconomic variables, and market returns; in addition, the study provides important insights into the interaction between investor sentiment and stock market returns in Saudi Arabia, with implications for regulatory policy and investment management. The results demonstrate the impact of investor psychology on market performance, which has practical implications for understanding and managing behavioral risk. The study adopts an integrated approach, combining rigorous ARDL models with economic intuition and practical relevance, which is expected to better understand the dynamic interaction between sentiment and returns.

The simultaneous progress of integrated op- tical frequency comb (OFC) and radio frequency (RF) photonic signal processing technique have promoted the rapid development of real-time signal processing. Integrated optical frequency comb offer multiple wave- lengths as a powerful source for RF photonic sig- nal transversal filter. Here, we review development of real-time signal processing system consisting of inte- grated OFC and RF photonic signal transversal filter in chronological order, and focus on the applications of this system such as differentiator, integrator, Hilbert transformer, and image processor. We also discuss and present our outlook on more parallel functions and fur- ther integration of real-time signal processing system.

Dhaka one of the fastest-growing megacities in the world is increasingly vulnerable to urban flooding due to rapid urbanization, inadequate drainage infrastructure, and climate change-induced extreme weather events. This study presents the development of an urban flood forecasting system for Dhaka City using the MIKE+ hydrodynamic modeling software. The system integrates detailed hydrological and hydraulic models to simulate urban flooding scenarios, accounting for complex drainage networks and catchment characteristics. Real-time data from river gauges, rainfall stations, and drainage systems are incorporated to enhance the accuracy and reliability of the forecasts. The model's predictive capability is validated against historical flood events, demonstrating its effectiveness in forecasting flood extents, depths, and durations in critical areas of the city. This system serves as a valuable tool for city planners, emergency response teams, and decision-makers, enabling proactive flood management and risk mitigation. The study underscores the importance of such advanced modeling tools in safeguarding urban populations and infrastructures from the increasing threat of urban floods in Dhaka and similar rapidly urbanizing cities.

This paper introduces a novel decision-making approach grounded in insights into human visual perception of change. Modern technologies such as internet of things (IoT) provide us with large amounts of sensor data that need to be processed in real time and decisions made with a high degree of accuracy and reliability. Artificial intelligence (AI) methods are welcome in this context and need to be upgraded to meet actual challenges. While modern computing capabilities facilitate rapid data processing, the real-time demands of vast sensor data necessitate swift responses across the cyber chain, often leading to compromises in solution quality to circumvent combinatorial search complexities. Determining the adequacy of a solution entails varied approaches, often relying on heuristic methodologies. We illustrate our original approach with an example of a selected detail of a differential evolution algorithm, where we have to make a decision to adopt the best solution so far. We propose an approach inspired by human perceptual features that exploits the Weber-Fechner law to emulate human judgements, and offers a promising way to improve decision making in AI applications and real-time requirements fulfillment. Our proposed methodology demonstrates applicability across diverse AI scenarios involving numerical data, effectively mirroring human perception abilities.

Phytophthora cinnamomi is a devastating soil-borne plant pathogen. The primary source of P. cinnamomi infection is the soil, where the pathogen can persist for long periods. Effective prevention and management of this pathogen in tree crops require an early and reliable detection method. In this study, we develop a simple, fast, reliable, and sensitive method based on real-time quantitative PCR (qPCR) for P. cinnamomi detection and quantification directly in plant or soil samples. Primers were developed targeting the nuclear single-copy ras-related protein gene Ypt1, suitable for Phytophthora-specific PCR. The specificity of the assay was confirmed by testing it against genomic DNA from 50 isolates across 8 different Phytophthora clades, including very similar P. parvispora. The efficiency and reliability of the qPCR protocol were evaluated on challenging environmental samples, such as plant tissue of different host trees (walnut, chestnut, oak) and naturally infected soils in walnut orchards. The main outcome was the development of a qPCR method for the specific identification and quantification of P. cinnamomi in natural soil samples. Additionally, this study established a systematic and repeatable soil sampling method and developed an efficient soil DNA extraction technique to apply the developed qPCR in naturally infested soils of walnut orchards.

Turbidity stands as a crucial indicator for assessing water quality, and while turbidity sensors exist their high cost prohibit their extensive use. In this paper, we introduce an innovative turbidity sensor, and it is the first low-cost turbidity sensor which is designed specifically for long-term stormwater in-field monitoring. Its low cost ($23.50 USD), enables the implementation of high spatial resolution monitoring schemes. The sensor design is available under open hardware and open-source licences, and the 3D-printed sensor housing is free to modify based on different monitoring purposes and ambient conditions. The sensor was tested both in the laboratory and in the field. The laboratory results show a strong linear relationship (R2 > 0.99) between the sensor readings and the commercial hand-held turbidimeter (Thermo Scientific AQ4500) results of the solution. In the field, the low-cost sensor measurements were statistically significantly correlated (p < 0.01) to a standard high-cost commercial turbidity sensor (GreenSpan TS-1000). Biofouling and drifting issues were also analysed after the sensors were deployed in the field for more than 6 months, showing both biofouling and drift occur during monitoring. Nonetheless, in terms of maintenance requirements, the low-cost sensor exhibited similar needs compared to the Green-Span sensor.

Lumpy skin disease (LSD) is a viral disease of cattle and water buffalo characterized by cutaneous nodules, biphasic fever and lymphadenitis. LSD is endemic in Africa and Middle East but in recent years has spread in different Asian countries. Drop of animal productions, vaccination campaign, surveillance costs and trade restrictions have significant impact on the economy of affected countries. The disease is well characterized in cattle while little is known in buffaloes and no experimental studies have been conducted in this species. Six buffaloes and two cattle were inoculated with an Albanian LSD virus (LSDV) field strain. Over a period of 42 days animals were clinically monitored and sampled for serological and virological analysis. Only two buffaloes showed clinical sign, fever, skin nodules and lymphadenitis. All samples tested in real time PCR (blood, swabs, biopsies and organ) gave negative results. Three buffaloes seroconverted at day 39 and 42 post-inoculation, detected by ELISA, but all sera were negative in serum neutralization test. Cattle showed more severe clinical signs. Moreover, viraemia and virus shedding were proven by positive PCR results and antibodies were detected by both ELISA and serum neutralization test. These findings demonstrated the limited susceptibility of buffaloes compared to cattle once experimental infected with LSDV. Further studies are needed to investigate the epidemiological role of the buffaloes.

Direct assessments of executive function (EF) are increasingly used in research and clinical settings, with a central assumption that they assess “universal” underlying skills. Their use is spreading globally, raising questions about the cultural appropriateness of assessments devised in Western, industrialized countries. We reviewed multidisciplinary evidence and theory to identify sets of cultural preferences that may be at odds with the implicit assumptions of EF assessments. These preferences relate to motivation and compliance; cultural expectations for interpersonal engagement; contextualized vs. academic thinking; cultural notions of speed and time; the willingness to be silly, be incorrect, or do the opposite; and subject-matter familiarity. In each case, we discuss how the cultural preference may be incompatible with the assumptions of assessments, and how future research and practice can address the issue. Many of the cultural preferences discussed differ between interdependent and independent cultures and between schooled and unschooled populations. Adapting testing protocols to these cultural preferences in different contexts will be important for expanding our scientific understanding of EF from the narrow slice of the human population that has participated in the research to date.

The therapeutic management of acquired thrombotic thrombocytopenic purpura (aTTP) has recently benefited from the introduction of caplacizumab, an agent directed to inhibition of platelet aggregation. This real-world analysis investigated the epidemiology, the demographic and clinical characteristics of aTTP patients in Italy before and after caplacizumab introduction in 2020. Hospitalized adults with aTTP were included using the administrative databases of healthcare entities covering 17 million residents. Epidemiological estimates of aTTP considered the 3-year period before and after caplacizumab introduction. After stratification by treatment or not with caplacizumab, aTTP patients were characterized for their demographic and clinical features. The annual incidence before and after 2020 was estimated in the range 4.3-5.8 cases/million and 3.6-4.6/million, respectively. From 2018 to 2022, 393 patients with aTTP were included, 42 of them treated with caplacizumab. Caplacizumab-treated patients were aged on average 46.8 years, 31% were males, and showed tendentially better clinical outcomes: no treated patients died at either 1 month or 3 months after caplacizumab treatment initiation, compared to 10.5% (1 month) and 11.1% (3 months) mortality among the untreated. Caplacizumab treatment was associated with a trend towards shorter hospital stays. These findings suggest that caplacizumab advent provided clinical and survival benefits for patients with aTTP.

Machine learning (ML) based on neural network (NN) facilitates data-driven techniques for handling large amounts of data, either obtained through experiments or simulations at multiple spatio-temporal scales, thereby finding the hidden patterns underlying these data and promoting efficient research methods. The main purpose of this paper is to extend the capabilities of a new solver, called realFluidReactingNNFoam, under development at University of Perugia in OpenFOAM with NN algorithm for replacing complex real-fluid thermophysical property evaluations, using the approach of coupling OpenFOAM and Python-trained NN models. Currently, NN models are trained against data generated using the Peng-Robinson equation of state (PR-EoS) assuming mixture frozen temperature. The OpenFOAM solver, where needed, calls the NN models in each grid-cell with appropriate inputs, and the returned results are used and stored in suitable OpenFOAM data structures. Such inference for the thermophysical properties is achieved via the “Neural Network Inference in C made Easy” (NNICE) library, which proved to be very efficient and robust. The overall model is validated considering a liquid-rocket benchmark comprised of liquid-oxygen (LOX) and gaseous-hydrogen (GH2) streams. The model accounts for real-fluid thermodynamics and transport properties, making use of the PR-EoS and the Chung transport models. First, the development of a real-fluid model (RFM) with artificial neural network is described in detail. Then, the numerical results of the transcritical mixing layer (LOX/GH2) benchmark are presented and analyzed in terms of accuracy and computational ef-ficiency. Results of the overall implementation indicate that the combined OpenFOAM and ML approach provides a speed-up factor higher than seven, while preserving the original solver accuracy.

Amidst China's new economic normal, the real economy faces various domestic and global challenges. Technological innovation, with its capital intensity and uncertain returns, is crucial to rejuvenate emerging industries and revamp the industrial structure. Meanwhile, financial agglomeration plays a dual role: directly fostering real economic development and indirectly affecting it through technological innovation. This study analyzes data from 30 mainland Chinese provinces and cities between 2011 and 2018, utilizing fuzzy matter-element analysis and location entropy method. Relying on a spatial econometric model, we explore the impact of technological innovation and financial clustering on real economic growth, including spatial ripple effects. The conclusions are derived from Chinese evidence and offer valuable insights into the evolving innovation and financial dynamics within the participating nations.

The purpose of this study was to quantify characteristics of bimanual movement intensity during 30-hour Hand Arm Bimanual Intensive Therapy (HABIT) and bimanual performance (activities and participation) in real-world using accelerometers in children with unilateral cerebral palsy (UCP). Twenty-five children with UCP participated in a 30-hour HABIT program. Data was collected from bilateral wrist-worn accelerometers during 30-hours HABIT to quantify the movement intensity, and three days pre- and post-HABIT to assess real-world performance gains. Movement intensity and performance gains were measured using six standard accelerometer-derived variables. Bimanual capacity (body function and activities) was assessed using standardized hand function tests. We found that accelerometer variables increased significantly during HABIT, indicating increased bimanual symmetry and intensity. Post-HABIT, children demonstrated significant improvements in all accelerometer metrics, reflecting real-world performance gains. Children also achieved significant and clinically relevant changes in the hand capacity following HABIT. Therefore, our findings suggest that accelerometers can objectively quantify bimanual movement intensity during HABIT. Moreover, HABIT enhances hand function as well as activities and participation in real-world situation in children with UCP.

This research investigates the impact of oil price fluctuations on food prices in Saudi Arabia between 1979 and 2020 using Nonlinear Autoregressive Distributed Lags (NARDL) methodology. The study employs Augmented Dickey-Fuller (ADF) and Phillip Perron (PP) tests to determine the integration order of the variables and Bounds testing to confirm the existence of long-run cointegration relationships between each variable. The results indicate that oil shocks influence food prices through several mechanisms. Firstly, the cost of energy increases due to the rise in oil prices, affecting the agricultural commodity market, including farm equipment, food processing, packaging, and distribution costs. Secondly, the demand for agricultural commodities to produce biofuels affects food availability and, thus, food prices. Thirdly, as an oil-based economy, the oil price shock affects food prices through its impact on government spending, which affects aggregate demand and liquidity. Therefore, Saudi Arabia should adopt appropriate policies to mitigate the impact of oil price shocks on food prices, including investing in renewable energy sources, diversifying its economy, and improving food production and supply chain efficiency. Additionally, implementing appropriate fiscal policies to ensure sufficient budget allocation for food support programs is crucial. However, investing in groundwater exploration can contribute significantly to the development of Saudi agriculture and to gradually achieving food self-sufficiency.

Real estate market analysis and place-based decision-making can both benefit from understanding house price development. Although considerable amounts of interest have been devoted to housing price modelling, the assessment of house price fluctuation still requires further comparing studies. Housing price prediction is challenging as contributing factors are quite dynamic and subject to a variety of regulating elements. The future understanding of the housing market trends not only provides sufficient customers’ investment trust potential but also enables the financial support to progress more realistic in advance. In this study, a comprehensive data-informed framework is developed to investigate and anticipate real estate house prices using historical data by combining explanatory features. We examined about 500 houses in the Boston area as a case study and discussed how the increase in housing prices could vary by each of the contributing components. Fourteen Machine Learning (ML) regressors imply to the dataset and lead to a comparative study of the accuracy of all the models. ML-based regressors forecast real estate home prices as a function of thirteen influencing factors. The most informative features were also selected by conducting the Permutation Feature Importance technique on all the features The study provides a comprehensive tool for evaluating the robustness and efficiency of ML models for housing price predictions. The results highlighted Random Forest as the best model has an R2 equals to 0.88 and Voting Regressor as the second highest rated model has R2 equals to 0.87. Results of multivariate exploratory data analysis also implied that the average number of rooms and percentage of the lower status of the population have the most significant impact on the price range predictions.

Today's major challenge for smart Microgrids is to ensure the security of communications in a large number of changing data sets that are vulnerable to attacks by denial of services in constant evolution. The Internet Protocol Traceback defines a set of methods that help identify the source of an attack with minimal requirements for memory and processing. However, the concept of Traceback is not yet being used in smart Microgrids. As a result, the main challenge of this article is to incorporate a new Traceback approach into the cybernetic system of a smart mesh Microgrid, which can be tested using a network simulator (NS-3) based on delay, debit, and packet loss rate parameters. In fact, the simulation results show the efficacy of this approach compared to others existing in the literature. Furthermore, using the proposed Traceback technique and the mesh nodes, we were able to create a smart meshed Microgrid. Moreover, using the Traceback approach given for merging Intel Galileo Gen.1 nodes with the Compex WLE200NX.11a/b/g/n to establish a secure test bench, which is deployed as a prototype at the Sfax Digital Research Center in Tunisia, we were able to create an intelligent Microgrid. In fact, by identifying all attack vectors and revealing their origins, we could boost the efficiency of our operation by 100%.

RT-PCR tests have become the gold standard for detecting the SARS-CoV-2 virus in the context of the COVID-19 pandemic. Because of the extreme number of cases in periodic waves of infection, there is a severe financial and logistical strain on diagnostic laboratories. For this reason, alternative implementations, and validations of academic protocols, that employ the lowest cost and most widely available equipment and reagents found in different regions, is essential. In this study, we report an alternative implementation of the EUA 2019-nCoV CDC assay which uses a previously characterized duplex PCR reaction for the N1 and RNAse P target regions and an additional uniplex reaction for the N2 target region. Taking advantage of the Abbott m2000 Sample Preparation System and NEB Luna Universal Probe One-Step RT-qPCR kit, some of the most widely available and lowest cost nucleic acid extraction and amplification platforms, this modified test shows a state-of-the-art analytical and clinical sensitivities and specificities, when compared with the Seegene Allplex-SARS-CoV-2 assay. This implementation has the potential to be verified and implemented by diagnostic laboratories around the world to guarantee low-cost RT-PCR tests that can take advantage of widely available equipment and reagents.

Proposal: Pineal region cysts (PCs) may affect the tectum and aqueduct and cause deep central vein congestion and endocrine dysfunction. In addition to headaches, PC often causes a broad range of symptoms, leading to prolonged diagnosis and therapy. The aims of this study are to reveal parameters that might explain the ambiguity of the symptoms and to identify factors association with the respiration driven neurofluid preload system. Methods: This retrospective study included 28 paediatric patients (mean age 11.6 years) who received surgical treatment for pineal region cysts and 18 patients (mean age 11.3 years) who were followed conservatively. Multiple clinical patient characteristics, such as symptoms, time to neuroimaging diagnosis, cyst size, ventricular indices, head circumference and postoperative outcome, were analysed. Four patients were investigated for CSF dynamics with real-time MRI. The mean follow-up time was 1.6 years. Results: The most common early onset symptoms were headaches (92%), blurred vision (42.8%), sleep disturbances (39.3%) and vertigo (32.1%). Tectum contact was observed in 82% of patients, and MRI examinations revealed that imaging flow void signals were absent in 32.1% of patients. The mean cyst diameters were 13.7 mm for the axial axis and 15.6 mm for the longitudinal axis. Together with a postoperative flow void signal, 4 patients recovered their respiration-driven CSF upward flow, which was not detectable before OP. After operation in 92.1% of patients, the leading symptoms improved without any mortality or morbidity. Conclusion: Despite proximity to the tectum and aqueduct with frequently absent aqueductal flow void signals, hydrocephalic ventricular enlargement was never detected. Data from real-time MRI depicted a reduced preoperative filling of the ventricular CSF compartments, indicating a diminished fluid preload, which recovered postoperatively.

Abstract: Windtech device is a novel tool for measuring the sensation of the ‘cold’. Cold poses numerous challenges for industrial operations, human survival, and living convenience. The impact of the cold is not possible to be quantified just based on temperatures; however other factors such as wind speed, humidity, irradiance have to be taken into consideration. Efforts have been made to develop combined indices such as wind chill temperature (WCT), AccuWeather RealFeel®, and others. The presented article discusses these along with the industrial standards that emphasize on the quantification of the ‘cold’. The following article introduces the Windtech device and its operating principle involving ‘heated temperature’, where the ‘heated temperature’ is affected by environmental parameters including ambient temperature, humidity, wind velocity, and irradiance. The discussed Windtech device is calibrated for operation according to the ISO 11079:2007 standard.

Peanut (Arachis hypogaea) contains allergenic proteins, which make it harmful to the sensitised population. The presence of peanut in foods must be indicated on label, to prevent accidental consumption by allergic population. In this work, we use chloroplast markers for specifically detection of peanut by real-time PCR, in order to increase the assay sensitivity. Binary mixtures of raw and processed peanut flour in wheat were performed at concentrations ranging from 100000 to 0.1 mg/kg. DNA isolation from peanut, mixtures and other legumes was carried out following three protocols for obtaining genomic and chloroplast-enrich DNA. Quantity and quality of DNA was evaluated, obtaining better results for protocol 2. Specificity and sensitivity of the method has been assayed with specific primers for three chloroplast markers (mat k, rpl16 and trnH-psbA) and Ara h 6 peanut allergen-coding region was selected as nuclear low-copy target and TaqMan probes. Efficiency and linear correlation of calibration curves were within the adequate ranges. Mat k chloroplast marker yielded the most sensitive and efficient detection for peanut. Moreover, detection of mat K in binary mixtures of processed samples was possible up to 10 mg/kg even after boiling, and autoclave 121°C 15 min, with acceptable efficiency and linear correlation. Applicability of the method has been assayed in several commercial food products.

The specific demands inherent to supply chains built upon large IoT systems, make a must the design of a coordinated framework for cyber resilience provisioning intended to guaranteeing trusted supply chains of ICT systems, built upon distributed, dynamic, potentially insecure and heterogeneous ICT infrastructures. As such, the proposed solution is envisioned to deal with the whole supply chain system components, from the IoT ecosystem to the infrastructure connecting them, addressing security and privacy functionalities related to risks and vulnerabilities management, accountability and mitigation strategies as well as security metrics and evidence-based security assurance. In this paper we present FISHY, as a preliminary designed architecture, designed to orchestrate both existing and beyond state-of-the-art security appliances in composed ICT scenarios and also leveraging capabilities of programmable network and IT infrastructure through seamless orchestration and instantiation of novel security services, both in real-time and proactively. The paper also includes a thorough business analysis to go far beyond the technical benefits of a potential FISHY adoption as well as three real-world use cases where to strongly support the envisioned benefits of a FISHY adoption.

Climate change and development have increased urban flooding, requiring modernization of stormwater infrastructure. Retrofitting standard passive systems with controllable valves/pumps is promising, but requires real-time control (RTC). One method of automating RTC is reinforcement learning (RL), a general technique for sequential optimization and control in uncertain environments. The notion is that an RL algorithm can use inputs of real-time flood data and rainfall forecasts to learn a policy for controlling the stormwater infrastructure to minimize measures of flooding. In real-world conditions, rainfall forecasts and other state information, are subject to noise and uncertainty. To account for these characteristics of the problem data, we implemented Deep Deterministic Policy Gradient (DDPG), an RL algorithm that is distinguished by its capability to handle noise in the input data. DDPG implementations were trained and tested against a passive flood control policy. Three primary cases were studied: (i) perfect data, (ii) imperfect rainfall forecasts, and (iii) imperfect water level and forecast data. Rainfall episodes (100) that caused flooding in the passive system were selected from 10 years of observations in Norfolk, Virginia, USA; 85 randomly selected episodes were used for training and the remaining 15 unseen episodes served as test cases. Compared to the passive system, all RL implementations reduced flooding volume by 70.5% on average, and performed within a range of 5%. This suggests that DDPG is robust to noisy input data, which is essential knowledge to advance the real-world applicability of RL for stormwater RTC.

In the study, a new correction method was applied to reduce error during detection on mixed pesticide residue in apples by using Raman spectra. Combined with self-built pesticide residues detection system by Raman spectroscopy and the application of surface enhancement technology, rapid real-time qualitative and quantitative analysis of deltamethrin and acetamiprid residues in apples can be applied effectively. In quantitative analysis, compared with the intensity value of characteristic peaks of single pesticide with same concentration, the intensity value of characteristic peaks of the two pesticides decreased after mixing the pesticides, which interferes the results severely. By comparing the difference in the intensity of characteristic peaks of single and mixed pesticides, a correction method is proposed to eliminate the influence of pesticides mixture. Characteristic peak intensity values of gradient concentration pesticide from 10-1 g•kg-1 to 10-6 g•kg-1 and Lagrangian interpolation are applied in the correction method. And a smooth surface is applied to describe the correction ratio of characteristic peak intensity. Through detecting the characteristic peak intensity values of the mixed pesticide, correction ratio will be obtained. Then real values of the peak intensity of pesticides and the content of each component of the mixed pesticide will be acquired by the correction method. Correlation coefficient of model validation exceeds 0.88 generally and Root Mean Square Error also decreases obviously after correction, which proved the reliability of the method.

In modern Commercial Off-The-Shelf (COTS) multicore systems, cores can produce several simultaneous memory requests. The processing of such requests over the memory controller negatively impacts the interference delay triggered by running parallel tasks on the platform. In this paper, we propose a software-based testing approach for analyzing memory interference delay, when cores are exposed to extensive read/write requests that access in parallel their Cache Coherent Interconnect. The hardware targeted in this work is the well-known LayerScape QorIQ LS2085A, which can be approached as a potential successor to the Freescale QorIQ P4080. The test analysis was conducted based on a bare-metal operating system that we developed to guarantee a deterministic execution environment at all time points. Our testing was accomplished using a set of carefully designed synthetic benchmarks as well as TACLeBench benchmarks.

Given a stream of depth images with a known cuboid reference object present in the scene, we propose a novel approach for accurate camera tracking and volumetric surface reconstruction in real-time. Our contribution in this paper is threefold: (a) utilizing a priori knowledge of the cuboid reference object, we keep drift-free camera tracking without explicit global optimization; (b) we improve the fineness of the volumetric surface representation by proposing a prediction-corrected data fusion strategy rather than simple moving average, which enables accurate reconstruction of high-frequency details such as sharp edges of objects and geometries of high curvature; (c) we introduce a benchmark dataset CU3D containing both synthetic and real-world scanning sequences with ground-truth camera trajectories and surface models for quantitative evaluation of 3D reconstruction algorithms. We test our algorithm on our dataset and demonstrate its accuracy compared with other state-of-the-art algorithms. We release both our dataset and code as opensource1 for other researchers to reproduce and verify our results.

The purpose of this work is to present an adaptive sliding mode luenberger state observer with improved disturbance rejection capability and better tracking performance under dynamic conditions. The sliding hyperplane is altered by incorporating the estimated disturbance torque with the stator currents. Also, the effects of parameter detuning on the speed convergence is observed and compared with the conventional disturbance rejection mechanism. The entire drive system is first built in simulink environment. Then, the simulink model is integrated with RT-Lab blocksets and implemented in a relatively new real-time environment using OP4500 real-time simulator. Real-time simulation and testing platforms have succeeded offline simulation and testing tools due to their reduced development time. The real-time results validate the improvement in the proposed state observer and also correspond to the performance of the actual physical model.

Recently, there has been a growing interest in the production of electricity from renewable energy sources (RES). The RES investment is characterized by uncertainty, which is long-term, costly, depend on feed-in-tariff and support schemes. In this paper, we address the real option valuation (ROV) of a solar power plant investment. The real option framework is investigated. This framework considers the renewable certificate price, furthermore the cost of delay between establishing and operating the solar power plant. The optimal time of launching the project and assess the value of deferred option are discussed. The new three stage numerical methods are constructed, the Lobatto3C-Milstein (L3CM) methods. The numerical methods are integrated with concept of Black-Scholes option pricing theory, and applied in option valuation for solar energy investment with uncertainty. The numerical results of L3CM, finite difference and Monte Carlo methods are compared to show the efficiency of our methods. Our data set refers to the Arab Republic of Egypt.

This study presents a comprehensive systematic review that addresses the critical transition from ROS 1 to ROS 2, spotlighting the significant enhancements and the pressing need for a detailed exploration of ROS 2 within the robotics community. Despite the extensive deployment and adaptations of ROS in varied robotics applications, literature lacks a cohesive synthesis that delineates the advancements, limitations, and broader impacts of ROS 2 compared to its predecessor, ROS 1. Our contribution bridges this gap by assembling the largest database of ROS-related research, encompassing 7,498 articles, with a focused analysis in this survey on 431 ROS2-specific publications. We categorize these into i.) articles that discuss and analyze core ROS 2 concepts, ii.) articles that propose frameworks or tools for ROS 2, and iii.) articles utilizing ROS 2. Furthermore, we summarize literature findings of ROS 2 challenges, advancements, and future direction in the fields of a.) security, b.) real-time, c.) middleware, d.) embedded and distributed systems, e.) communication reliability and QoS, and f.) multi-robot systems. The methodology involved meticulous data collection and categorization from multiple databases, facilitating an in-depth online accessible resource. Results underscore ROS2’s enhancements in modularity, real-time capabilities, and security, extending its applicability across various robotic platforms and industries. However, challenges in scalability and reliability persist, signaling avenues for future enhancements. This review not only deepens the understanding of ROS2’s contributions but also charts a path for ongoing improvements in robotic systems design. The original data presented in the study are openly available in https://www.ros.riotu-lab.org/.

In the present study, we investigated to what extent the soybean has been used in in-dustrial and homemade sausage produced in Kosovo, as well as its potential impact on the fatty acid profile. In total, 63 samples, 42 industrial and 21 traditional sausages, were collected either from the market or the production site. All samples were tested by means of real-time PCR for the detection and quantification of soy content, as well as the GC-FID to determine the potential re-flection in the fatty acid profile. The presence of soy DNA was detected in 54 out of 63 samples. 41 out of 42 industrial sausage samples were positive for soy DNA, with an average ct value of 22.60 and a standard deviation (SD) of 4.28, whereas 13 out of 21 traditional sausage samples were positive for soy DNA, with a mean ct value of 23.36 and a standard deviation (SD) of 4.56. There was a statistically significant difference in means between industrial sausage and traditional sausage, p≤0.001 based on CT values (ANOVA test). We investigated the correlation between ct values in real-time PCR for soy DNA with each fatty acid content. There is a moderate correlation of soy DNA ct values with C16:0 palmitin (decrease), C18:0 stearic acid (decrease), C18:1 oleic acid (in-crease), and overall saturated fatty acids (decrease). With the exception of C14:0 Myristin, C18:1 Oleic, and C20:0 Arachin acids and monosaturated fats, the ANOVA test reveals a significant dif-ference in means between groups for the majority of the fatty acids between industrial sausages and traditional sausages. The current study demonstrates that the fatty acid composition of sau-sages is influenced by the amount of soy present in them. The extent to which other components affect the fatty acid profile is unknown. However, an increase in oleic acid and a decrease in stearic and overall saturated fatty acids are expected.

With real estate cycles being a subset of business cycles, contraction stages are often perceived as short-term, after which a revival of the property market sets in. The worsening Nigerian economy has further complicated the issues of housing supply and affordability in economic nerves like Lagos. This study examined the fundamental and associated factors contributing to rental housing affordability issues between 2019-2023 in Lagos. This article is produced with the intention of providing a market data update on rental housing price movements for both the mainland and island zones of Lagos, as well as comparing their affordability convenience for income-earners or households based on the rent-income ratio. The study adopted a mixed research design and various data sources were consulted in analyzing the fundamentals, rent and affordability trends. The study discovered that affordability convenience ratios for the various income bands had deteriorated further between 2019 and 2023 in Lagos mainland (8%) and island (9%). 67% and 80% of income earners are paying above the optimal 30% of their personal or household income in meeting their rental demand in Lagos mainland and island respectively. The paper suggested the application of fundamental, institutional and environmental strategies to combating the current phenomenon.

African swine fever (ASF) continues to spread in Africa, Europe, Asia, and the island of Hispaniola increasing the need to develop more streamlined and highly efficient surveillance and diagnostic capabilities. One way to achieve this is by further optimization of already established standard operating procedures to remove bottlenecks for high-throughput screening. Real-time polymerase chain reaction (RT-PCR) is the most sensitive and specific assay available for the early detection of ASF, but it requires high quality nucleic acid extracted from the samples. Whole blood from live pigs and spleen tissue from dead pigs are the preferred samples for ASF RT-PCR. Whole blood can be used as is in nucleic acid extraction, but spleen tissues require an additional homogenization step. In this study, we compared the homogenates and swabs prepared from 52 spleen samples collected from pigs experimentally inoculated with highly and moderately virulent ASF virus strains. The results show that not only are the spleen swabs more sensitive when executed with a low-cell-count nucleic acid extraction procedure followed by RT-PCR assays, they also increase the ability to isolate ASFV from positive spleen samples. Swabbing is a convenient, simpler, and less time-consuming alternative to tissue homogenization. Hence, we recommend spleen swabs over tissue homogenates for high-throughput detection of ASFV by real-time PCR.

This study presents the design and comprehensive 3D multiphysics simulation of a novel microfluidic immunosensor for real-time, non-invasive monitoring of pro-inflammatory biomarkers in human sweat. The patch-like device, designed using COMSOL Multiphysics, integrates magnetofluidic manipulation with direct-field capacitive sensing. The sensor comprises two distinct units: an immunocomplex enhancement unit, employing a series of microcoils to optimize the binding efficiency, reaction kinetics, and homogeneity of biomarker-magnetic nanoparticle (MNP) interactions, thereby enhancing the sensor's specificity; and a layered capacitive sensing unit, designed to concentrate and detect biomarker-tagged MNPs, thus amplifying sensitivity. Simulations of the capacitive sensing unit revealed a substantial sensitivity increase of up to 42.48\% at an 85\% MNP concentration within the detection zone. These findings highlight the potential of the proposed immunosensor for efficient and precise real-time biomarker monitoring, which may facilitate early disease diagnosis and enable personalized healthcare interventions.

Protection suit is vital for fireman’ safety. Traditional protection suit just physically protects fireman from empyrosis, but can not locate the body injury position from the impact debris. Herein, we present a wearable impact debris positioning system for fireman protection suit alarming based on accelerometer array. The wearable piezoelectric accelerometers with distribute regularly on the suit to detect the vibration on different body parts, which is conducive to positioning injured body parts. In addition, the injured parts can be displayed on the dummy body model on the upper computer with a higher localization accuracy of 4 cm. The positioning alarm system has a rapid response time of 0.11ms attributing to smart signal processing method. This work provides a reliable and smart method for locating and assessing the body injury position from the impact debris, which is significant for fire disaster commander to rescue injured fireman in time.

The emergence of SARS-CoV-2 mutations pose significant challenges to diagnostic tests as these mutations can reduce the sensitivity of commonly used RT-PCR assays. Therefore, there is a need to design diagnostic assays with multiple targets to enhance sensitivity. In this study, we identified a novel diagnostic target, nsp10 gene, using nanopore sequencing. Firstly, we determined the analytical sensitivity and specificity of our COVID-19-nsp10 assay. The COVID-19-nsp10 assay had the limit of detection of 74 copies/mL (95% confidence interval: 48-299 copies/mL) and did not show cross-reactivity with other respiratory viruses. Next, we determined the diagnostic performance of the COVID-19-nsp10 assay using 261 respiratory specimens, including 147 SARS-CoV-2-positive specimens belonging to ancestral strain and Alpha, Beta, Gamma, Delta, Mu, Eta, Kappa, Theta and Omicron lineages. Using the LightMix E-gene RT-PCR assay as the reference method, the diagnostic sensitivity and specificity of the COVID-19-nsp10 assay were 100%. The median Cp values for the LightMix E-gene RT-PCR and our COVID-19-nsp10 RT-PCR were 22.48 (range: 12.95-36.60) and 25.94 (range 16.37-36.87), respectively. The Cp values of the COVID-19-nsp10 RT-PCR assay correlated well with those of the LightMix E-gene RT-PCR assay (Spearman’s ρ = 0.968; P&lt;0.0001). In conclusion, nsp10 is a suitable target for SARS-CoV-2 RT-PCR assay.