There is an observed general low performance of Ethiopian Sport Governing Bodies (SGBs) in service delivery. Evidence shows that the trend can be corrected with proper understanding and insight into the process of organisational and management factors of these SGBs. This study aimed to investigate the contribution of organisational and management factors on effective sport service delivery in SGBs. For this study, a cross-sectional research design was employed. Purposive sampling was used to choose 350 samples. Pearson Product Moment Correlation Coefficient and multiple regression were used to analyse the data at the 0.05 significant level. The findings confirmed that organisational and management factor variables had a significant positive relationship with sport service delivery (organisational structure (r=0.515), organisational capabilities (r=0.701), communication (r=0.549), management practice (r=0.571), materials & resources (r=0.527) and stakeholders satisfaction (r=0.742). In addition, Management factors were found to be significant contributors for predicting effective sport service delivery (F(3, 329)= 165.868, R2= 0.612). Furthermore, organisational factors had a joint significant contribution to effective sport service delivery (F(3, 329) = 148.743, R2= 0.576). In addition, organisational and management factor variables jointly best predicted effective sport service delivery in Ethiopian SGBs (F(6, 326) =130.81, R2= 0.707). Therefore, this study suggests organisational and management factor variables can be used to predict effective sport service delivery.

Facing global warming consequences is a major issue of present times. For what concerns climate, projections say that heavy rainfalls are going to increase with high probability together with temperature rise, thus also the hazard related to rainfall induced shallow landslides will likely increase in density over susceptible territories. Different modeling approaches exist and any of them is forced to make simplifications in order to reproduce landslide occurrences over space and time. Process based models can help in quantifying the consequences of heavy rainfall on the different involved processes. In this paper, a narrative review about physically-based deterministic distributed models (PBDDMs) is presented. Models were selected based on: the adoption of the infinite slope scheme (ISS), the use of a deterministic approach (i.e., input and output are treated as absolute values), the inclusion of new approaches in modeling slope stability through the ISS. Models are presented in chronological order with the aim of drawing a timeline of the evolution of PBDDMs and to give researchers and practitioners a basic knowledge on how much has been already done. Results indicate that including vegetation effects on slope stability has raised in importance over time but that there is still the need of finding an efficient way to include them, and that in the last years the literature production seems to be more focused on probabilistic approaches.

Background/Objectives: Survival prospects following SARS-CoV-2 infection may extend beyond the acute phase, influenced by various factors including age, health conditions, and infection se-verity. However, this topic has not been studied in detail. We therefore investigated mortality risk post-acute COVID-19 in the CRIT-COV-U cohort. Methods: We could retrieve survival data from 651 patients and also assess the association between urinary peptides and future death. Data spanning until December 2023 were collected from six countries, comparing mortality trends with age- and sex-matched non-infected controls. A death prediction classifier was developed and validated using pre-existing urinary peptidomics datasets. Results: Notably, 13.98% of post-COVID-19 patients succumbed during the follow-up, with mortality rates significantly higher than non-infected controls, particularly evident in younger individuals (<65 years). These data for the first time demonstrate that SARS-CoV-2 infection highly significantly increases the risk of mortality not only during the acute phase of the disease, but also beyond, for a period of about one year. In our study we were further able to identify 201 Urinary peptides linked to mortality, and integrated these into a predictive classifier (DP201). Higher DP201 scores, alongside age and BMI, significantly predicted death. Conclusions: Our findings underscore the utility of urinary peptides in prognosticating post-acute COVID-19 mortality, offering insights for targeted interventions. Our data also suggest that mortality should be considered as one possible symptom or conse-quence of post-acute sequelae of SARS-CoV-2 infection, a fact that is currently overlooked.

This study aimed to characterize the physicochemical properties of broiler poultry litter (BPL) produced from intensively reared commercial broiler farming areas in tropical zone of Tamil Nadu, India. The BPL samples were collected from 110 commercial poultry farms at the end of the production cycle (6th week), further 20 samples were collected from the point of utility. The dry matter (DM), moisture, ash, organic matter (OM), and organic carbon (OC) from the manure samples were 83.04 ± 0.77, 16.96 ± 0.77, 27.08 ± 1.18, 72.92 ± 1.18 and 42.39 ± 0.69 per cent respectively. The pH, Electrical conductivity (EC) (ds m-1), and Kjeldahl Nitrogen (N) were 8.43 ± 0.06, 5.74 ± 0.13, and 24.2 ± 0.84 g kg-1 respectively. The BPL from the cement floor had higher levels of P and K (12.74 and 13.28 ) than the mud floor (10.88 and 10.96). According to the findings of this study, BPL as such at the end of the production cycle is rich in OM, nitrogen, macro and micro minerals at the same time at the point of utility there was a loss of OM, N, and concentration of minerals was noticed, which advocate proper storage and composting process.

Many definitions of cancer have been proposed over the years to explain cancer’s origins and pathophysiology, but the disease is too variable to allow any single description to completely encompass all of the myriad traits. A true, unifying theory of cancer must not only reveal how all known carcinogens contribute toward malignancy, but must also elucidate why cancers occur predominately in older patients, why they express so many similar behaviors, as well as account for each cancer’s individual variations. A conceptual reorganization of decades of cancer data may reveal the fundamental process that underlies the malignant transformation of cells, which not only provides a new understanding of the etiology of cancers, but also helps to interpret the subsequent events that occur after transformation, which is of significant clinical interest. The revised concepts of initiation, promotion, and progression suggest that cancer is a failed or incomplete attempt at regeneration that occurs when ordinary cellular events unintentionally coincide over time to force the use of a DNA repair pathway that is normally restricted for use in germ cells.

This paper proposes causal economic machine learning (CEML) as a research agenda that utilizes causal machine learning (CML) built on causal economics (CE) decision theory. Causal economics is better suited for use in machine learning optimization than expected utility theory (EUT) and behavioral economics (BE) based on its central feature of causal coupling (CC), which models decisions as requiring upfront costs, some certain and some uncertain, in anticipation of future, uncertain causally-linked benefits. This multi-period, causal-linked process incorporating certainty and uncertainty replaces the single period lottery outcomes augmented with intertemporal discounting used in EUT and BE, providing a more realistic framework for AI machine learning modelling and real world application. It is mathematically demonstrated that EUT and BE are constrained versions of CE. Causal coupling can also be applied at the macroeconomic level to gauge the effectiveness of policies that deliver various levels of cost and benefit coupling for individuals. With the growing interest in natural experiments in statistics and CML across many fields, such as healthcare, economics and business, there is a large potential opportunity to run AI models on CE foundations and compare results to models based on traditional decision making models that focus only on rationality, bounded to various degrees.

In this proposed work, five systems were developed to classify four motor functions—forward hand movement (FW), grasp (GP), release (RL), and reverse hand movement (RV)—from EEG signals. The dataset used is WAY-EEG-GAL, involving participants performing a sequence of hand movements. During preprocessing, bandpass filtering was applied to remove artifacts and focus on the mu and beta frequency bands. The first system, a preliminary study model, explored the overall framework of EEG signal processing and classification. It utilized time-domain features like variance and frequency-domain features like alpha and beta power, with classification performed using a KNN model. Insights from this system informed the development of a baseline system, which uses the same dataset but different feature extraction and classification paradigms. This baseline system combined the common spatial patterns (CSP) method with continuous wavelet transform (CWT) for feature extraction and employed a GoogLeNet classifier with transfer learning. Classification was performed on six unique pairs of events derived from the four motor functions, using both intrasubject and intersubject methods. The baseline system achieved the highest accuracy of 99.73% for the GP-RV pair and the lowest accuracy of 80.87% for the FW-GP pair in intersubject classification. Building on this, three additional systems were developed to perform 4-way classification. Among these, the final model, ML-CSP-OVR, achieved the highest intersubject classification accuracy of 78.08% using all combined data and 76.39% for leave-one-out intersubject classification. This proposed model, which features a novel combination of CSP-OVR, CWT, and GoogLeNet, demonstrates strong potential as a general system for motor imagery (MI) tasks without being subject-dependent.

Despite the lack of evidence that suggests hemodiafiltration (HDF) offers a better survival outcome than standard hemodialysis (HD), the number of patients initiating HDF in Japan continues to rise. This study examined the temporal change in the number of HDF incidents, evaluated factors associated with all-cause mortality, and compared the mortality risk and survival time of patient on HDF with patients receiving standard HD in three sets of 2-year cohorts. The primary analyses included the insurance claims data of 460 HDF patients and propensity score-matched 903 standard HD patients who initiated dialysis therapy between April 1, 2012 and March 31, 2018. Patient follow-up was censored at the time of death or the end of the 2-year study period. The influence of comorbidities on all-cause mortality was investigated, and the survival outcomes between HDF and standard HD patient groups throughout cohorts were compared. The number of HDF patients was increasing throughout cohorts, but the proportions of mortality cases across cohorts slowly decreased. Dementia status increases the mortality risk of patients regardless of dialysis modality. The mortality risk among HDF patients with dementia was more significant than HD patients. Adjusting for all covariates, we observed that HDF patients had a reduced mortality risk and longer survival time than patients on standard HD. This study supports the notion that HDF reduces all-cause mortality compared with standard HD in an incident dialysis population in Fukuoka Prefecture, Japan.

The aim of this study was to investigate the differentially expressed genes associated with intramuscular fat deposition in the longissimus dorsi muscle of Xinjiang Brown Bulls. The longissimus dorsi muscles of 42 Xinjiang Brown Bulls were selected under the same feeding conditions. The intramuscular fat content of muscle samples were determined by Soxhlet extraction method, from which 5 samples with high intramuscular fat content (HIMF group) and 5 samples with low intramuscular fat content (LIMF group) were selected. It was found that the intramuscular fat content of HIMF group was 46.054% higher than that of LIMF group. Muscle samples produced by paraffin section for morphological observation. It was found that the fat richness of the HIMF group was better than that of the LIMF group. Transcriptome sequencing technology was used to analyze the gene expression differences of longissimus dorsi muscle. Through in-depth analysis of the longissimus dorsi muscle by transcriptome sequencing technology, we screened a total of 165 differentially expressed genes. The results of Gene Ontology (GO) enrichment analysis showed that the differentially expressed genes in the two groups were mainly clustered in biological pathways related to carbohydrate metabolic processes, redox processes and oxidoreductase activities. Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis showed that the differentially expressed genes were significantly clustered in 15 metabolic pathways, which mainly covered fatty acid metabolism (related to lipid metabolism and glucose metabolism), pentose phosphate pathway, Peroxisome Proliferator-Activated Receptors (PPAR) signalling pathway and other important metabolic processes. The three genes that were predominantly enriched in the glycolipid metabolic pathway by analysis were SCD5, CPT1C, and FBP2, all of which directly or indirectly affect intramuscular fat deposition. In summary, the present study investigated the differences in gene expression between high and low intramuscular fat content in the longissimus dorsi muscle of Xinjiang Brown Bulls by transcriptome sequencing technology, and revealed the related signalling pathways. Therefore, we hypothesized that SCD5, CPT1C, and FBP2 were the key genes responsible for the significant differences in intramuscular fat content of the longissimus dorsi muscles in a population of Xinjiang Brown Bulls. We expect that these findings will provide fundamental support for subsequent studies exploring key genes affecting fat deposition characteristics in Xinjiang Brown Bulls.

Nanocomposites prepared with a terpolymer of poly(L-lactide) (PLLA)–poly(-caprolactone) (PCL)–poly(ethylene glycol) (PEG) and partially oxidized carbon nanotubes (CNTspo) were synthesized and characterized to evaluate their ability to act as an effective nanocarrier of the anticancer drug methotrexate. The homopolymers of PLLA and PCL were synthesized through ring-opening polymerization (ROP) and characterized through gel permeation chromatography (GPC). The PLLA–PCL–PEG terpolymers were synthesized through a four-step chemical route using oxalyl chloride as a linker agent and analyzed through 1H-NMR, 13C-NMR, and FT-IR spectroscopies. Also, the nanocomposites were characterized through FT-IR, 1H-NMR, and X-ray photoelectron spectroscopy (XPS) spectroscopies and, using the differential scanning calorimetry (DSC) technique. XPS analysis revealed that CNTspo is grafted to PLLA–PCL–PEG terpolymer. Besides, evaluation through FT-IR and DSC strongly suggests that the CNTspo are preferentially oriented to the PCL-rich domains. The release tests exhibited a “burst effect” profile, which was more evident in the terpolymers than in the nanocomposites. Five models were used to assess the methotrexate in vitro release. For the nanocomposites, the best fit to the experimental data was obtained using the first-order model, whereas the results obtained from the Korsmeyer–Peppas model indicated that a Fickian diffusion drives the methotrexate release.

Recently, oriented external electric fields (OEEFs) have earned much attention due to the possibility of tuning the properties of electronic systems. From a theoretical perspective, one can resort to electronic structure calculations to understand how the direction and strength of OEEFs affect the properties of electronic systems. However, for multi-reference (MR) systems, calculations employing the popular Kohn-Sham density functional theory with the traditional semilocal and hybrid exchange-correlation energy functionals can yield erroneous results. Owing to its decent compromise between accuracy and efficiency for MR systems at the nanoscale (i.e., MR nanosystems), in this study, thermally-assisted-occupation density functional theory (TAO-DFT) is adopted to explore the electronic properties of n-acenes (n = 2--10), containing n linearly fused benzene rings, in OEEFs, where the OEEFs of various electric field strengths are applied along the long axes of n-acenes. According to our TAO-DFT calculations, the ground states of n-acenes in OEEFs are singlets for all the cases examined. The effect of OEEFs is shown to be significant on the vertical ionization potentials and vertical electron affinities of ground-state n-acenes with odd-number fused benzene rings. Moreover, the MR character of ground-state n-acenes in OEEFs increases with the increase of the acene length and/or the electric field strength.

Cadmium (Cd) contaminated soil is a serious environmental problem due to its effect on crop production, soil microbial community, and risk to human health. The commercial amendments are widely used in the immobilization of heavy metal-contaminated soil because of their cost-effectiveness, eco-friendliness, and community acceptance. This study is conducted to assess the effect of sole commercial amendments including bentonite (B), talc (T), activated carbon (AC), cornstarch (CS), and their combination on exchangeable Cd content in soil, Cd uptake by the plant, and soil microbial community. The results indicated that CS and its composites (T+CS and B+CS) showed the highest effect on reducing Cd mobility in soil (up to 10% in CS), decreasing the Cd uptake by lettuce (up to 78% in T+CS), and increasing the microbial community in soil compared to the control. Furthermore, results from Biolog Ecoplate and realtime-Polymerase chain reaction indicated that the mixture amendments (B+CS and T+CS) showed the highest effect on the microbial community by increasing soil microbial population maximum of 3.81-fold difference (in B+CS) compared to the control. The results indicated that applying composite amendments provided an efficient option for immobilizing Cd in soil, reducing the Cd uptake by plants, and increasing microbial community.

This paper presents an interpretable support vector machine (SVM) and its application to rehabilitation assessment. We introduce the concept of nearest boundary point to standardize the one-class SVM decision function and determine the shortest path for data from abnormal cases to become those from normal cases. This analytical approach is computationally simple and provides a unique solution. The nearest boundary point of abnormal data can also be used to analyze the cause of abnormal classification and indicate countermeasures for normalization. These properties render the proposed interpretable SVM valuable for medical assessment applications and other problems that require careful consideration of classification results for treatment. Simulation and application results demonstrate the feasibility and effectiveness of the proposed method.

Deep convolutional neural networks (CNNs) have revolutionised computer vision technology by automatically learning hierarchical representations of image data, leading to state-of-the-art performance in visual recognition tasks. This article presents a comprehensive review of deep CNNs, from their evolution and architectures to the current state-of-the-art research. The review also provides the core concepts and building blocks of CNNs and their concise mathematical representations. Furthermore, it explores applications of deep CNNs in three popular domains, including medical diagnosis, remote sensing, and facial recognition. This review will benefit researchers and practitioners in computer vision and artificial intelligence, as well as industry professionals seeking to leverage the latest advancements in deep learning technologies.

Lung cancer remains the most common cancer worldwide with a limited prognosis despite personalized treatment regimens. Low-dose computed tomography (CT) scanning as a means to early diagnosis has been disappointing due to the high false positive rate. Other non-invasive means of testing need to be developed that offer both timely diagnosis and predict prognosis. Methods: In the course of stool testing in a large-scale testing of 2,922 patients at increased risk of CRC we were able to ascertain 112 patients documented to have prospectively been diagnosed with lung cancer. Stool and colonic effluents were tested for p87 with anti-adenoma antibody (Adnab-9) reactivity by ELISA and western blot. Survival data were obtained where available. Results: Of 112 cancers, approximately 27.6% were squamous (SSC), 17.9% were adenocarcinoma, 8% small, 6.25% large cell and 3.57% were designated non-small cell cancer (NSCLC), 0.89% indeterminate, 0.89% lepidic spread (1), 3.57% had metastasis and in 31.25% data was unavailable. 49.1% of the lung cancer patients had fecal Adnab-9 testing. Overall, 60% had positive testing compared to 38%, which was significant (OR2.19[1/06-4.53];p=0.045). Cancers with higher lethality were less likely to test positive (approximately, 8.5% each for both small and large cell lung cancers), and higher, 56% with SCC and 25% for adenocarcinoma. 0% NSCLC). In the larger groups overall survival was worse in those testing positive: 474 testing positive versus 844 days in SCC and 54 testing positive versus 749 days in adenocarcinoma patients. Most importantly, the time from a positive test to the clinical diagnosis ranged from 2.72 years for small cell, 3.13 for adenocarcinoma, 5.07 for NSCLC, 6.07 for SSC, and 6.24 for large cell cancer. In excluded cases where cancer in the lung was believed to be metastatic,83.3% of cancers were positive. Conclusions: At a projected real-world sensitivity of 0.60 and specificity of 0.60 and the ability to predate diagnosis by up to 4.7 years overall, this test could help direct lung cancer screening. In addition, the Adnab-9 testing selectively detects worse tumor types (87.5%) and those with worse prognosis amongst the more common, favorable phenotypes thus making early diagnosis possible in those patients who stand to benefit most from this strategy. Metastatic lung cancer also detected by the test should be identified by the follow-up imaging studies and therefore would not be considered to be a major pitfall.

The study of supermassive black holes has significantly advanced our understanding of galaxy structures, yet fundamental questions remain, particularly concerning the structure and dynamics of massive black holes. This article addresses the core structure of massive black holes, defined as those originating from supernova events. Integrating the concept of "Dachus density," a state of maximum matter density, I propose that the core of all massive black holes exists at this density. The research investigates the size of these cores and their event horizons, using Cygnus X-1 and Sagittarius A* as examples. Calculations reveal that the core size is exceedingly small compared to the overall black hole, with the core's volume being up to ~155 orders of magnitude smaller than the event horizon volume in the case of Sagittarius A*. The article briefly explores the implications of a rotating Dachus core on the black hole's structure, including the "mantle" region between the core and the event horizon. The discussion extends to absolute zero temperature, asserting that for a non-spinning, static Massive black hole, the temperature of its core reaches 0[K] as in this state, particles do not move in relation to each other and do not have any kinetic and in particular rotational Energy.

Emergency Medical Response Systems (EMRS) play a vital role in delivering medical aid during disasters. In Serbia, these systems encounter several obstacles due to economic limitations, scarce resources, and ongoing healthcare reforms, all of which affect their performance. This study focuses on examining the risk factors and effectiveness of Serbia's EMRS, identifying systemic issues, and proposing enhancements to improve emergency preparedness for disasters. A survey was conducted across healthcare institutions in Serbia to gather comprehensive insights. The survey explored various aspects, including organizational structures, resource distribution, communication systems, and the speed of emergency responses. Statistical methods such as Pearson's correlation, multivariate regression analysis and chi-square tests were utilized to interpret data collected from 172 healthcare institutions. The multivariate regression analysis of EMS organization identified that factors such as the structuring of working hours and shift patterns are significant predictors, contributing to small but meaningful variations in various EMS outcomes. In contrast, other factors, such as financial resources and the availability of ambulance vehicles, showed more targeted significance depending on the specific EMS aspect being analyzed. Institutions with written mass casualty plans and procedures demonstrate superior effectiveness in EMS activities, excelling in resource allocation, operational continuity, and emergency preparedness, particularly through enhanced coordination and specialized systems for managing large-scale emergencies. The findings highlighted notable disparities in how EMRS are organized, with only 46% of institutions having specific emergency departments. Resource limitations were evident, as many facilities operated with minimal staff and outdated equipment. The communication systems revealed weaknesses, with just 54% having established protocols for handling emergency calls. Response times frequently surpassed international standards, which negatively affected patient outcomes. Additionally, the study found training deficiencies, with 68% of participants expressing a need for further education. Serbia’s EMRS are significantly impacted by systemic issues such as insufficient funding, disjointed service delivery, and inadequate training. Overcoming these challenges necessitates a comprehensive approach that includes boosting financial support, implementing standardized protocols, and fostering enhanced collaboration across different sectors.

Extreme weather events, such as heat waves and heavy precipitation, are becoming increasingly frequent due to climate change, necessitating the development of effective early warning systems (EWS) to mitigate their impacts. This study introduces an advanced EWS designed specifically for Italy, which integrates the FourCastNet global forecasting model with Elevation-integrated TEmperature and Precipitation SRGAN downscaling (E-TEPS) to enhance the spatial resolution and accuracy of climate predictions. Building on previous work that demonstrated E-TEPS's effectiveness in downscaling temperature and total precipitation variables, this research applies the integrated system to two severe weather events in Central Italy: the Emilia-Romagna floods of 2023 and the Marche floods of 2022. The system's performance was evaluated using key metrics, including Mean Absolute Error (MAE), Root Mean Square Error (RMSE), and Pearson Correlation, by comparing downscaled outputs from FourCastNet and ERA5 datasets against high-resolution ground truth data from the Euro-Mediterranean Center on Climate Change (CMCC) dataset. The results indicate that the integrated system offers improved predictive accuracy, particularly in capturing critical climate variables, with the entire EWS delivering high-resolution forecasts and final outputs in under one minute. Although potential limitations were identified due to biases in the underlying datasets, which could affect forecast reliability in regions with complex topography or extreme weather conditions, this research highlights the potential of combining machine learning models with downscaling techniques to enhance EWS precision, providing valuable insights for future climate forecasting and disaster preparedness strategies.

Scholars in the field of environmental economics have extensively examined the relationship between foreign direct investment (FDI) and economic growth. However, they have often failed to consider the crucial roles played by technological innovation and financial development in determining environmental costs. The rapid economic growth and urbanization witnessed in BRICS countries have led to a substantial increase in energy demands, resulting in significant environmental degradation. This study aims to investigate the impact of financial development (including measures such as broad money, domestic credit to the private sector, FDI, and green technological innovation) on carbon emissions in BRICS countries using data from 2001 to 2023. The results of the study demonstrate a strong cross-sectional dependence among the countries in the panel. The Augmented Mean Group (AMG) estimator reveals a negative and statistically significant long-term relationship between broad money, FDI, green technological innovation, and CO2 emissions. On the other hand, domestic credit to the private sector shows a positive and significant association with carbon emissions. To determine the direction of causality, the study utilizes the Dumitrescu and Hurlin panel causality test. The findings indicate a non-directional long-term causality between financial development and CO2 emissions. However, a unidirectional causality is observed between green technological innovation and carbon emissions. Based on these findings, the study suggests that the development of industries, financial institutions, and technological innovation is crucial for attracting high-quality FDI in BRICS countries. However, it also highlights the significant contribution of these developments to environmental degradation, necessitating urgent policy responses.

The Colorado and Mississippi River Basins are crucial for water supply, agriculture, and ecological stability in the U.S., yet climate change, water management practices, and energy sector demands pose significant challenges to their sustainability. This paper highlights the potential of leveraging the Voluntary Carbon Market (VCM) to address these challenges by creating new revenue streams and incentivizing sustainable water management practices. The paper provides high-level estimates by extrapolating from existing literature. The results suggests that water projects in these basins could generate over 45 million carbon credits annually, potentially attracting around $4.5 billion in investments over the next decade. However, challenges such as high costs, complex regulations, and stakeholder coordination must be addressed. The paper also identifies opportunities for advancing water resiliency projects, including increasing public awareness, engaging corporations, and utilizing innovative financing mechanisms. Recommendations include promoting the VCM-water relationship, encouraging methodology innovation, developing pilot programs, investing in digital monitoring technologies, and conducting localized analysis to optimize carbon credit potential in water management. By integrating carbon markets with water management strategies, the paper suggests significant contributions to global climate goals and enhanced water resilience in these critical regions.

This ambitious research project seeks to revolutionize sustainable glucose production by harnessing solar energy for the conversion of atmospheric gases. The process involves water collection, electrolysis for hydrogen and oxygen production, PDMS membrane-based CO2 collection, CO2 splitting, formaldehyde generation, and the synthesis of glucose/sucrose. Key innovations include the strategic application of PDMS membranes with varying pore sizes and non-reactive chemical layers to facilitate selective permeability for specific gases. Our goal is to create a cost-effective, eco-friendly glucose production method, paving the way for renewable and sustainable energy solutions.

New data obtained from core samples of two boreholes in Alba Guyot in the Magellan Seamount Trail (MST), Western Pacific, including 40Ar/39Ar age of basanite, mineralogy of basanite, tuff, tuffite, mantle-derived inclusions in basanite and tuff (lherzolite xenolith and Ol, Cpx, Opx xenocrysts), and calcareous nannofossils biostratigraphy, have implications for the guyot history. Volcanics in the upper part of the Alba Guyot main edifice and its Oma Vlinder satellite, at sea depths between 3600 and 2200 m, were deposited during the Cretaceous 112 to 86 Ma interval. In the following ~60 myr, the Alba Guyot became partly submerged, and denuded with the formation of a flat summit platform while the respective fragment of the Pacific Plate was moving to the Northern Hemisphere. Volcanic activity in the northeastern part of the guyot summit platform rejuvenated in the Miocene (24–15 Ma) and produced onshore basanitic volcanoes and layers of tuff in subaerial and tuffite in shallow-water near-shore conditions. In Middle-Late Miocene (10–6 Мa), after the guyot had submerged, carbonates containing calcareous nannofossils were deposited on the porous surfaces of tuff and tuffite. Precipitation of the Fe-Mn crust (Unit III) recommenced during the Pliocene-Pleistocene (< 1.8 Mа) when the guyot summit reached favorable sea depths. The location of the MST guyots in the northwestern segment of the Pacific Plate near the Mariana Trench, along with the Miocene age and alkali-basaltic signatures of basanite, provide evidence for petit-spot volcanism on the Alba Guyot. This inference agrees with the geochemistry of Cenozoic petit-spot basaltic rocks from the Pacific and Miocene basanite on the Alba Guyot. The numerous volcanic cones reaching up to 750 m high and 5.1 km in base diameter, which were discovered on the Alba summit platform, provide the first evidence of voluminous Miocene petit-spot basanitic volcanism upon the Cretaceous guyots and seamounts of the Pacific.

Chronic stress is a pervasive issue that significantly impacts both physical and mental health. Unlike acute stress, which is short-lived and can be beneficial, chronic stress persists over extended periods, leading to a range of adverse health outcomes. This paper explores the myriad physical, mental, and behavioral consequences of chronic stress, emphasizing the underlying physiological mechanisms and potential long-term health implications. Through a comprehensive literature review and data analysis utilizing Python, we aim to provide an in-depth understanding of chronic stress and its effects. Key findings include the critical roles of cortisol and other stress-related chemicals in exacerbating health issues, and the potential for the normalization of high stress levels as an adaptive yet harmful response.

Sensory processing challenges are crucial yet often neglected aspects in the care of children with neurodevelopmental disorders and genetic conditions. They represent a key area of interest in neuroscience, as they significantly impact children's daily functioning and quality of life. This observational study examines the characteristics of these challenges in a group of 614 children, aged 3 to 14 years and 11 months, divided into three groups: 183 with neurodevelopmental disorders (Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, developmental delays, learning disorders), 89 with genetic conditions (22q11.2 Deletion Syndrome, Williams Syndrome, Pseudohypoparathyroidism), and 342 controls. Sensory processing was assessed using the Sensory Profile 2 (SP2). Results indicated that children with neurodevelopmental disorders and genetic conditions exhibited significant sensory processing difficulties compared to controls. The SP2 identified sensory challenges across different sensory systems, with varying configurations depending on the diagnosis. Children with neurodevelopmental disorders and genetic conditions show marked sensory processing challenges impacting daily lives and well-being. These findings highlight the importance of early identification and tailored evidence-based interventions to address these specific sensory processing issues. Further research should explore the long-term impact of these interventions in these different populations and their integration into broader therapeutic programs.

Minimum Inhibitory Concentration (MIC) measures the lowest concentration of antibiotic that inhibits in-vitro growth of microorganisms. Canine pyometra is a frequently occurring reproductive disorder where reliable antibiotics along with surgical excision of uterus predicts better prognosis. Scarce literature is available to facilitate proper antibiotic selection to avoid septicemia in clinical cases. The present study was conducted to determine sensitivity and potency of selected antibacterials based on MIC values against bacterial isolates obtained from Canine Pyometra in Kathmandu district, Nepal by Agar Dilution method. Isolates obtained from 63 intra-uterine samples after ovariohysterectomy were Enterococcus spp (n=41), Klebsiella spp. (n=7), Staphylococcus spp. (n=11) and Streptococcus spp. (n=4). Enrofloxacin and Amikacin were found highly sensitive (0% resistance) with a null hypothesis of resistance to all bacterial isolates and were significantly more potent than other antibacterials tested (p

Sustainable water resource management in Bangladesh's Gumti River Basin faces challenges from climate change, urbanization, and population growth. This study aimed to calibrate and validate the HEC-HMS model for the Gumti River to enhance flood prediction and water resource planning. The model was set up using precipitation, temperature, and discharge data from 2019-2021, with SRTM elevation data for catchment delineation. Manual calibration was performed for 2019-2020, followed by validation for 2021, using parameters such as Muskingum routing and SCS Curve Number. Model performance was evaluated using R², Nash-Sutcliffe efficiency (NSE), RSR, and PBIAS metrics. Results showed satisfactory to good performance, with R² values of 0.64 and 0.68 for calibration and validation, respectively. NSE values were within the satisfactory range, while PBIAS indicated very good performance with slight underestimation. The study concludes that the calibrated HEC-HMS model provides a reliable tool for simulating the Gumti River's hydrology, though there's room for improvement. Integration with flood frequency analysis, water quality monitoring, and climate change projections is recommended for comprehensive water resource management, alongside the implementation of Sustainable Water Resource Management principles and community engagement strategies.

AI-driven tools can identify nursing students' strengths and weaknesses, thus enabling the development of customized learning plans that target specific areas for improvement. This targeted approach can enhance knowledge retention and skill development, resulting in better prepared healthcare professionals. Nursing students are required to overcome their own psychological stress during their internship in order to understand sick children’s emotional reactions, as well as to be able to interact and communicate with such children. The application of AI picture-based teaching e-books helps nursing students to understand how to use therapeutic games to improve communication with sick children. A comparison of the differences between nursing teachers’ self-efficacy scores and nursing students’ application of AI picture-based teaching e-books (experimental group) and narrative handouts (control group) was achieved via therapeutic games to deal with sick children’s fear of medical examinations and treatments. In addition, a comparison was also conducted on the differences between the impact of the self-efficacy of the experimental group and that of the control group in dealing with sick children’s behavioral responses with respect to fears of medical examinations and treatments. This study is a quasi-experimental study, in which the self-efficacy scores of 30 nursing students were collected and analyzed in both the experimental group and the control group before and after intervention in dealing with sick children’s behavioral responses to fears of medical examinations and treatments. It was found that the self-efficacy score of the experimental group was higher than that of the control group (β coefficient is 0.356) when assessing the self-efficacy scores and behavior of the experimental and control groups in dealing with sick children’s fears of medical examinations and treatments through one-way analysis of covariance (one-way ANCOVA); moreover, a statistically significant difference (p < 0.05) was observed. The experimental group’s score of behavioral responses to the fears of sick children to examinations and treatments was lower than that of the control group (β coefficient was -1.540), wherein a statistically significant difference (p < 0.05) was shown. The self-efficacy of the experimental group in dealing with sick children’s fears of medical examinations and treatments had a statistically significant impact on the sick children’s behavioral responses to the fear of medical examinations and treatments (p < 0.05). In addition, the higher the self-efficacy scores of the experimental group in dealing with sick children’s fear of medical examinations and treatments, the lower the sick children’s behavioral responses to fears of medical examinations and treatments (the β coefficient was -0.914); the control group’s self-efficacy scores in dealing with sick children’s fears of medical examinations and treatments did not have a statistically significant impact on the sick children’s behavioral responses to fears of medical examinations and treatments (p > 0.05). This study proves that the application of AI picture-based teaching e-books by nursing teachers is more effective than narrative handouts in improving nursing students’ self-efficacy when using therapeutic games to deal with, as well as reduce, sick children’s fears of medical examinations and treatments.

The immune system is central in controlling acute hepatitis B infection and in patients resolving chronic hepatitis B (CHB). Given that 221 million (75%) of CHB patients reside in low- and middle-income countries, developing a vaccine with therapeutic properties represents a rational and cost-effective approach more than a romantic endeavor. This review systematically analyses the critical variables related to the safety, efficacy, and effectiveness of CHB treatments. HeberNasvac's experience is revisited to address the challenges and potentialities of therapeutic vaccines, as well as the current roadblocks in research and development, registration, and large-scale implementation.

To explore the coupling mechanism between urban-rural transformation (URT) and the ecological environment in counties forms the basis for achieving high-quality and sustainable county development. Despite the richness of research on the relationship between urban and rural development and the ecological environment, the county level remains the basic unit of rural revitalization in China, and further research on the coupling mechanism between URT and the ecological environment at this level is needed. Therefore, the study developed an evaluation system for URT, incorporated NDVI data indicators, and employed the coupling coordination degree (CCD) model along with GIS tools to investigate the spatio-temporal pattern of URT and NDVI evolution, and the CCD in each administrative village within Lingbao City. Additionally, a geoDetector model was employed to analyze the influencing factors affecting the CCD of URT and NDVI. Finally, the study explores the coupling mechanism and optimization path. The result shows that: (1) During the study period, the URT level in administrative villages within the study area markedly improved, while NDVI exhibited an increasing-then-decreasing trend; (2) The CCD between URT and NDVI in the northern and central regions of the study area is higher than that in the southern region, with an overall low level; (3) The spatial heterogeneity of CCD is significant, largely influenced by socio-economy, natural environment, policy funds, and geographical location, where the elements comprising CCD mutually influence each other; (4) Drawing upon the coupling and coordination dynamics between URT and the ecological environment within Lingbao City, this research categorizes it into seven types with distinct optimization paths. This study provides a valuable reference for guiding the high-quality and sustainable development strategies for mountainous and hilly counties within the Yellow River basin.

Background The operator's ability in performing carotid stenting (CAS) has improved clinical outcomes. However, more than 3% of patients need to be treated again after CAS. Most of the cases requiring further intervention are affected by hyperplasia. The recommended procedure is the DEBalloon. On the other hand, the literature reports a small number of carotid neoatherosclerosis cases and is recommended to be treated using elective Micronet-covered stent. Discriminating between the two types of in-stent-restenosis ISR (hyperplasia or neoatherosclerosis) is critical for a positive outcome.Case summary We describe a case in which a patient treated with carotid stenting 8 years before, was diagnosed with ISR. Due to the development of neurological symptoms and progressive increases in Peak Systolic Velocity (PSV) eight years following carotid stenting, a DEBalloon was used in a carotid in-stent-restenosis (ISR) standard procedure. About ten minutes after the procedure, the patient developed hemiplegia consistent with the treated carotid territory. The implantation of a MicroNet-covered stent excluded the thrombus and reverted symptoms with a normal MR control at 24 h. Conclusion This case illustrates that when in-stent stenosis evolves years after the stent implantation, neoatherosclerosis should be assessed, and a MicroNet-covered stent should be considered.

Over the coming decades, global freshwater withdrawals are expected to grow, especially in low and middle-income countries. Unless there are significant improvements in the efficiency of water use by economies, freshwater stress, crises and scarcity will worsen. This paper explores further the economic relationship between water use efficiency and scarcity. Because growing scarcity of freshwater in many regions and countries is not adequately reflected in markets, there is often insufficient incentives for investment and innovation to improve the efficiency of water use. To explore further changes in water use efficiency across countries, we conduct a panel analysis of water productivity changes for 130 countries over 1995 to 2020. Countries with lower initial levels of water use efficiency tended to have higher water productivity growth, whereas more agriculturally dependent economies displayed lower improvements in water use efficiency. Better institutional quality and capacity for innovation may also increase water use efficiency. We discuss the implications of these results for improving water use productivity in economies, and in particular, the opportunities and challenges for improving water markets and trades to alleviate water scarcity. We conclude by identifying further areas of research.

Around $1637$, Pierre de Fermat famously scribbled, and claimed to have a proof for, his statement that equation $a^{n} + b^{n} = c^{n}$ has no positive integer solutions for exponents $n>2$. The theorem stood unproven for centuries until Andrew Wiles' groundbreaking work in $1994$, with a notable caveat: Wiles' proof, while successful, relied on modern tools far beyond Fermat's claimed approach in terms of complexity. The present work potentially offers a solution which is closer in spirit to Fermat's original idea.

Cementitious materials exhibit excellent binding properties and micropore structures that support the stabilization of TiO2 nanoparticles within the matrix. Therefore, these materials are ideal for the development of functional construction products with TiO2 nanoparticles. This study investigated the degree of hydration, microstructure, and mechanical properties of cement-containing TiO2 nanoparticles. The experimental results demonstrated that TiO2 nanoparticles accelerated the hydration rate of cement, reducing the setting times. Moreover, TiO2 nanoparticles changed matrix microstructure, decreasing the porosity and improving early-age strength. Although TiO2 nanoparticles function as nucleation sites in the cement hydration reaction, the tendency of the particles to clump implies that proper dispersion should be ensured when mixing in large quantities. When developing new building materials incorporating TiO2 nanoparticles, considering the effect of TiO2 nanoparticles on the hydration reaction of cementitious materials is crucial.

This article presents a novel resolution of the Collatz Conjecture, centered on the concept of Generative Completeness of the inverse Collatz function. We introduce and rigorously prove that for all N ∈ ℕ⁺, there exists a minimal generator m_N = 1 such that all positive integers up to N can be generated through successive applications of the inverse Collatz function G. This key property, which we term "Generative Completeness", forms the cornerstone of our proof. Building upon this foundation, we establish several crucial results: The boundedness of all Collatz sequences The existence and uniqueness of cycles in Collatz sequences The nature of the unique cycle as {1, 4, 2} We then present three distinct approaches to resolving the Collatz Conjecture, all fundamentally rooted in the Generative Completeness property. These diverse methods not only prove the conjecture but also provide deep insights into the structure of Collatz sequences.

This study aims to investigate the psychological cognitive mechanisms of rural residents amidst the renewal of suburban historical and cultural villages by examining the interplay between nostalgia, collective memory, subjective well-being and place identity in rural tourism destinations. Using Naobao Village as a case study—a suburban historical and cultural village in Hohhot, Inner Mongolia, this research employs a comprehensive approach integrating experimental methods and questionnaire surveys. The findings demonstrate that analyzing the interaction among the four emotions can elucidate the psychological cognitive mechanism of residents. Moreover, it uncovers that tourism effects significantly influence residents' perception of their living environment with positive effects on collective memory, subjective well-being and place identity. In the theoretical model for generating psychological cognition among residents in suburban historical and cultural villages, subjective well-being and collective memory play crucial mediating roles. This study provides a theoretical foundation and practical guidance for spatial reconstruction and cultural evolution of tourist landscapes in suburban rural tourist destinations.

Visual thinking leverages spatial mechanisms in animals for navigation and reasoning. Therefore, given the challenge of abstract mathematics and logic, spatial reasoning-based teaching strategies can be highly effective. Our previous research verified that innovative box and ball coloring activities help teach elementary school students complex notions like quantifiers, logical connectors, and dynamic systems. However, given the richness of the activities, correction is slow, error-prone, and demands high attention and cognitive load from the teacher. Moreover, feedback to the teacher should be immediate. Thus, we propose to provide the teacher with real-time help with LLMs. We explored various prompting techniques with and without context Zero shot, Few shot, Chain of Thought, Visualization of Thought, Self Consistency, logicLM and Emotional to test GPT-4o’s visual, logical, and correction capabilities. We obtained that Visualization of Thought and Self Consistency techniques enabled GPT-4o to correctly evaluate 90% of logical-spatial problems that we tested. Additionally, we propose a novel prompt combining some of these techniques that achieved 100% accuracy on a testing sample, excelling in spatial problems and enhancing logical reasoning.

Background/Objectives: Kinanthropometry is the science that deals with the measurement of variations of the physical dimensions and composition of the human body, according to the age and different degrees of nutrition of a person. This discipline postulates that all the measurements obtained in statics will have an impact on the dynamics. This study’s objective was to evaluate the kinanthropometric differences; Methods: The study was done in a population of 403 persons, aged between 18 and 42 years, who were categorized based on their biological sex and in what sport they usually practiced in a purely recreational way. Measurements and indices were obtained following the protocol of the International Society for the Advancement of Kinanthropometry (ISAK); Results: We observed significant differences in most of the values, for example, men use the presented higher values in relation to weight, height and size of some circumferences, in addition to Body Weight Index (BMI), Relative Index of the Lower Limbs (RILL), percentage of muscle weight (%M) and percentage of residual weight (%R). On the other hand, women presented higher values in most body folds, in addition to the Cormic Index (CI), Body Density Index (BDI), percentage of fat weight (%F) and percentage of bones weight (%B); Conclusions: This work could be useful for people to choose what kind of sport will be better for them according to their morphotype.

In the dynamic arena of healthcare research, where the complexities of data often rival the intricacies of biological systems, the ability to model and analyze such multifaceted datasets is crucial. This comprehensive review delves into the evolution and application of Soft Sets and their extensions, including HyperSoft Sets, SuperHyperSoft Sets, IndetermSoft Sets, IndetermHyperSoft Sets, and TreeSoft Sets, in healthcare claims data analysis. These extensions address intricate challenges in data analysis, offering versatile frameworks for managing uncertainty and indeterminacy inherent in healthcare claims data. By exploring their definitions and applications, this review elucidates how these mathematical tools have evolved and their significance in advancing healthcare research and enhancing data analysis methodologies. Real-world examples underscore the implications of these tools, emphasizing their pivotal role in facilitating informed decision-making and knowledge discovery in healthcare. The review systematically examines various case studies and research findings to illustrate the practical utility of Soft Set extensions. Detailed analyses of real-world scenarios highlight advancements in processing complex healthcare data. The conclusions drawn from this analysis indicate that the adoption of Soft Sets and their extensions can significantly improve the accuracy and efficiency of healthcare data analysis, ultimately contributing to better healthcare outcomes and more informed policy-making. Future research directions are also discussed, suggesting further potential applications and developments in this field.

Toxicity mechanisms of per- and polyfluoroalkyl substances (PFAS), a chemical class present in diverse ecosystems, are not well characterized in aquatic species. Perfluorooctanesulfonamide (PFOSA, C8H2F17NO2S) is a common precursor of perfluorooctane sulfonic acid (PFOS), a long-chain PFAS. Here, we assessed sub-lethal endpoints related to development, oxidative stress, locomotor activity, and gene expression in zebrafish embryos and larvae following continuous exposure to PFOSA beginning at 6 hours post fertilization (hpf). PFOSA decreased survival in fish treated with 1 µg/L PFOSA, however the effect was modest relative to the controls (difference of 10%). Exposure up to 10 µg/L PFOSA did not affect hatch rate, nor did it induce reactive oxygen species in 7-day-old larvae fish. However, locomotor activity of larval fish treated with 100 µg/L PFOSA was reduced relative to the solvent control. Transcripts related to oxidative stress response and apoptosis were measured and BCL2 associated X, apoptosis regulator (bax), cytochrome c, somatic (cycs), catalase (cat), superoxide dismutase 2 (sod2) were induced with high concentrations of PFOSA. Genes related to neurotoxicity were also measured and transcript levels of acetylcholinesterase (ache), elav-like RNA binding protein 3 (elavl3), growth associated protein 43 (gap43), synapsin II (syn2a), and tubulin 3 (tubb3) levels were all increased in larval fish with higher PFOSA exposure. This study contributes to our knowledge regarding the relative toxicity of PFOSA to fish and contributes data to future risk assessment strategies of these concerning, persistent environmental pollutants.

Reduction of the density operator for quantum subsystems is derived without the use of the Born Rule.

In this paper, a distributed algorithm for reaching average consensus is proposed for multi-agent systems with tree communication graph, when the edge weight distribution is unbalanced. First, the problem is introduced as a key topic of core algorithms for several modern scenarios. Then, the relative solution is proposed as a finite-time algorithm, which can be included in any application as a preliminary setup routine, and it is well-suited to be integrated with other adaptive setup routines, thus making the proposed solution useful in several practical applications. A special focus is devoted to the integration of the proposed method with a recent Laplacian eigenvalue allocation algorithm, and the implementation of the overall approach in a wireless sensor network framework. Finally, a worked example is provided, showing the significance of this approach for reaching a more precise average consensus in uncertain scenarios.

This paper presents a dynamic homotopy technique that can be used to calculate a preliminary result for a power flow problem (PFP). This result can then be used as an initial estimate to efficiently solve the PFP using either the classical Newton-Raphson (NR) method or its fast decoupled version (FDXB) while still maintaining high accuracy. The preliminary stage for the dynamic homotopy problem is formulated and solved by employing integration techniques, where implicit and explicit schemes are studied. The dynamic problem assumes an initial condition that coincides with the initial estimate for a traditional iterative method such as NR. In this sense, the initial guess for the FPF is adequately set as a flat start, which is a starting for the case when this initialization is of difficult assignment for convergence. The static homotopy method requires a complete solution of a PFP per homotopy pathway point, while the dynamic homotopy is based on numerical integration methods. This approach can require only one LU factorization at each point of the pathway. Allocating these points properly helps avoid several PFP resolutions to build the pathway. The hybrid technique was evaluated for large-scale systems with poor conditioning, such as a 109272-bus model and other test systems under stressed conditions. A scheme based on the implicit backward Euler scheme demonstrated the best performance among other numerical solvers studied. It provided reliable partial results for the dynamic homotopy problem, which proved to be suitable for achieving fast and highly accurate solutions using both the NR and FDXB solvers.

This study examines the association of sociodemographic risk factors and the comorbidities of COVID-19. Most COVID-19-related studies were conducted in inpatient settings among patients with severe infection during the first and second waves of the pandemic. The third wave with less severe Omicron variant presented a unique opportunity to observe the adult patients treated in outpatient settings. We conducted a cross-sectional study (117 patients aged &gt; 40 years presented with symptomatic COVID-19). We employed the Charlson Comorbidity Index (CCI) to compute comorbidity burden, Medical Outcomes Survey Short form (SF-12) to measure general health, and Self-care Self- Efficacy Scale (SCSES) to assess self-care ability. Fisher’s exact test and analysis of variance (ANOVA) were used to compute the relationship between comorbidities and demographics. This study report focuses on the distribution of the comorbidities and its relationship to demographic variables. The top five comorbidities were hypertension (42%), diabetes (31%), pulmonary disease/asthma (19%), depression (14%), and cancer (11%). Depression was significantly higher among younger age groups (p&lt;0.01) and women (p&lt;0.05). Age (p&lt;0.0001) and income (p&lt;0.01) were the most significantly associated demographics with the comorbidity burden. Incidence of pulmonary disease showed a positive association to educational status (p=0.05). This was the first study to report a significant prevalence of depression among adults with symptomatic COVID-19.

A smart precipitation estimation method based on FY-4B meteorological satellite data (FY-4B_AI) is proposed in this paper. This method spatiotemporally matches 125 features derived from multi-temporal and multi-channels of FY-4B satellite data with the precipitation at stations. Then a precipitation model using the Light Gradient Boosting Machine algorithm is constructed. Comparative results between FY-4B_AI and GPM/IMERG-L products for over 450 million station cases throughout 2023 shows that: 1) FY-4B_AI is superior to GPM IMERG-L in the average absolute error, root mean square error, relative error, correlation coefficient, probability of detection and critical success index. While in the mean error and false alarm rate, FY-4B_AI is slightly inferior to GPM/IMERG-L. 2) Evaluation of strong weather event applications reveals that both FY-4B_AI and GPM/IMERG-L can accurately represent the spatial distribution characteristics of precipitation, no matter in the southeast humid region or the northwest dry region. Notably, FY-4B_AI, due to its higher spatiotemporal resolution, provides a more detailed distribution of precipitation.

The paper examines the possibility of increasing the wear and corrosion resistance of a CP-Ti surface by duplex plasma electrolytic treatment (borocarburizing and polishing). The structure and composition of diffusion layers, their microhardness, surface morphology and roughness, wear resistance during dry friction and corrosion resistance in Ringer's solution were studied. The formation of a surface hardened layer up to 200 m thick with a microhardness of up to 950 HV, including carbides and a solid solution of boron and carbon, is shown. Subsequent polishing makes it possible to reduce surface roughness and remove weak areas of the porous oxide layer, which is formed during high-temperature oxidation in aqueous electrolyte vapor during borocarburizing. Changing the morphology and structural-phase composition of the CP-Ti surface helps reduce weight wear by 3 times (the mode of frictional interaction changes from microcutting to oxidative wear) and corrosion current density by 4 times after borocarburizing in a solution of boric acid, glycerin and ammonium chloride at 950 °C for 5 minutes and subsequent polishing in an ammonium fluoride solution at a voltage of 250 V for 3 minutes.

Streptococcus agalactiae is a highly contagious Gram- positive bacterium that causes mastitis, has a high infectivity for mammary epithelial cells, and is challenging to treat. However, the molecular interactions between it and mammary epithelial cells remains poorly understood. This study analyzed differential gene expression in mammary epithelial cells with varying levels of S. agalactiae infection using UID- Dual Seq and bioinformatics tools. This study identified 211 differentially expressed mRNAs (DEmRNAs) and 452 differentially expressed lncRNAs (DElncRNAs) in host cells, primarily enriched in anti-inflammatory responses, immune responses, and cancer-related processes. Additionally, 854 pathogen differentially expressed mRNAs (pDEmRNAs) were identified, mainly enriched in protein metabolism, gene expression, and biosynthesis processes. Mammary epithelial cells activate pathways, such as the ERK1/2 pathway to produce, to produce reactive oxygen species (ROS) to eliminate bacteria. However, the bacteria disrupt the host's innate immune mechanisms by interfering with the alternative splicing processes of mammary epithelial cells. Specifically, the bacterial genes of tsf, prfB, and infC can interfere with lncRNAs targeting RUNX1 and BCL2L11 in mammary epithelial cells, affecting the alternative splicing of target genes and altering normal molecular regulation.

An explicit mass formula for charged leptons is proposed which employes the $(2 \ell +1)$ degeneracy of the $SU(2)$ Laplacian of quantum mechanics. Possible cosmological implications are briefly discussed.

Background: Despite procedural advancements in the management of univentricular heart patients palliated with a Fontan-type circulation, their exercise capacity and quality of life remain limited. Postoperative exercise training programs offer potential benefits, yet practical implementation and adherence to guidelines are often inadequate. This systematic review and meta-analysis aimed to evaluate the safety, efficacy, and optimal exercise modalities for Fontan patients. Method: A systematic search was conducted on August 24, 2023, using PubMed, Scopus, Web of Science, and Cochrane Library. Studies were screened via Rayyan QCRI based on pre-set exclusion criteria, and their quality was assessed using the Cochrane RoB Tool 2 and the STROBE checklist. A meta-analysis employed a continuous random-effects model to assess the efficacy of cardiac rehabilitation interventions. Results: The study included twenty-six studies (7 RCTs, 19 cohorts) representing 22 individual cohorts. The key findings were that aerobic exercise, lower-extremity resistance training, and inspiratory muscle training significantly improved VO2, enhancing exercise capacity in Fontan patients. Conclusion: While the results are promising, it's crucial to remember that training programs varied widely. Exercise training shows promise for postoperative management, potentially improving exercise capacity, cardiac biomarkers, lung function, and lower limb strength. However, further research is not just a suggestion, but a necessity. It's necessary to refine protocols, assess long-term impacts, and investigate underlying mechanisms, especially for Fontan patients with severe clinical conditions. This emphasizes the importance and urgency of further research in this area.

Artificial intelligence (AI) is transforming many healthcare fields including pediatric urology. This in-depth review explores recent advances in AI tools for pediatric urology, emphasizing how state-of-the-art technologies can be used to enhance patient treatment. An initial overview of pediatric urology is given to provide context for this interdisciplinary field and the wide spectrum of problems this entails, before discussing potential uses of AI to improve diagnostic accuracy, treatment planning, and surgical results. AI-powered predictive models are already changing pediatric clinical practice by guiding interpretation of medical images and supporting decision making. In addition to outlining the aims, methods, and conclusions of previous studies on AI applications in pediatric urology, this review also highlights knowledge gaps and priority areas for future study. Particular focus is given to specialized surgeries such pyeloplasty, where AI-guided treatment may help overcome specific technical challenges of this complex procedure. Also highlighted are practical, ethical, and legal aspects of integrating AI into pediatric urology, which will be crucial for responsible innovation in patient-centered treatment. Overall, this article aims to enlighten and inspire clinicians, researchers, and other healthcare stakeholders by offering insight into the future of AI in pediatric urology.

This paper proposes a novel facial expression recognition network called the Lightweight Facial Network with Spatial Bias (LFNSB). The LFNSB model balances model complexity and recognition accuracy. It has two key components: a lightweight feature extraction network (LFN) and a Spatial Bias (SB) module for aggregating global information. The LFN introduces combined channel operations and depthwise convolution techniques, effectively reducing the number of parameters while enhancing feature representation capability. The Spatial Bias module enables the model to focus on local facial features while also capturing the dependencies between different facial regions. Additionally, a novel loss function called Cosine-Harmony Loss is designed. This function optimizes the relative positions of feature vectors in high-dimensional space, resulting in better feature separation and clustering. Experimental results on the AffectNet and RAF-DB datasets show that the proposed LFNSB model performs excellently in facial expression recognition tasks. It achieves high recognition accuracy while significantly reducing the number of parameters, thus substantially lowering model complexity.

Let $R$ be a commutative ring with identity. A proper ideal $I$ of a ring $R$ is called a square-difference factor absorbing primary ideal of $R$ if for $a,b\in R$, whenever $a^{2}-b^{2}\in I$, then $a+b\in\sqrt{I}$ or $a-b\in I$. Several characterizations and properties of this class of ideals are presented.Various examples are provided to illustrate the obtained results and demonstrate the applicability of our findings. Furthermore, the properties of this class of ideals are investigated in extensions of rings.

Diabetic peripheral neuropathy (DPN) is a prevalent complication of type 2 diabetes that affects a significant proportion of diabetic patients worldwide. Although the pathogenesis of DPN involves axonal atrophy and demyelination, the exact mechanisms remain elusive. Current research has predominantly focused on neuronal damage, overlooking the potential contributions of Schwann cells, which are the predominant glial cells in the peripheral nervous system. Schwann cells play a critical role in neurodevelopment, neurophysiology, and nerve regeneration. This review highlights the emerging understanding of the involvement of Schwann cells in DPN pathogenesis. This review explores the potential role of Schwann cell plasticity as an underlying cellular and molecular mechanism in the development of DPN. Understanding the interplay between Schwann cell plasticity and diabetes could reveal novel strategies for the treatment and management of DPN.

The elderly population is particularly susceptible to myocardial damage caused by heat stress (HS). With the continuous increase in global temperatures, this poses an undeniable challenge to human health. This study aimed to investigate the therapeutic effect of Shikimic Acid (SA) in treating HS-induced myocardial damage through network pharmacology, molecular docking, molecular dynamics (MD) simulations, and in vitro experiments. Network pharmacology analysis revealed that SA alleviates the inflammatory response in the heart muscle associated with HS by targeting 60 disease-related targets, such as TP53, TNF, and IL-6. The tumor proteoglycan, the PI3K-Akt signaling pathway, and hepatitis B were identified as the primary therapeutic pathways. Molecular docking and MD simulation results confirmed that SA can stably bind to both TNF (-6.642 kcal/mol) and IL-6 (-7.261 kcal/mol), and the complexes of Shikimic Acid-IL-6 and Shikimic Acid-TNF did not undergo significant changes within 100 ns. In addition, the in vitro experiment showed that 250 μM SA significantly increased the survival rate of HL-1 cells exposed to 43°C for 2 h by 71.1% and promoted the proliferation of HL-1 cells by 30.7%. Overall, these findings provide substantial evidence for the therapeutic potential of SA in HS-induced myocardial damage.

Accurate stock market predictions following earnings reports are crucial for investors. Traditional methods, particularly classical machine learning models, struggle with these predictions because they cannot effectively process and interpret extensive textual data contained in earnings reports and often overlook nuances that influence market movements. This paper introduces an advanced approach by employing Large Language Models (LLMs) instruction fine-tuned with a novel combination of instruction-based techniques and quantized low-rank adaptation (QLoRA) compression. Our methodology integrates ‘base factors’, such as financial metric growth and earnings transcripts, with ‘external factors’, including recent market indices performances and analyst grades, to create a rich, supervised dataset. This comprehensive dataset enables our models to achieve superior predictive performance in terms of accuracy, weighted F1, and Matthews correlation coefficient (MCC), especially evident in the comparison with benchmarks such as GPT-4. We specifically highlight the efficacy of the llama-3-8b-Instruct-4bit model, which showcases significant improvements over baseline models. The paper also discusses the potential of expanding the output capabilities to include a ‘Hold’ option and extending the prediction horizon, aiming to accommodate various investment styles and time frames. This study not only demonstrates the power of integrating cutting-edge AI with fine-tuned financial data but also paves the way for future research in enhancing AI-driven financial analysis tools.

Introduction – Elections are a cornerstone of democratic societies, enabling citizens to express their preferences and shape the direction of their governments. Economic conditions, political dynamics, and social factors often play pivotal roles in influencing voter behavior and determining electoral outcomes, making elections a key area of study in understanding governance and policy change. Objectives – This study examines how key economic factors like inflation, unemployment, and poverty influence election results in Ghana. It also looks at how these economic elements shape voter choices and predicts the possible outcomes of the 2024 general elections using past data. Methodology – The study used historical economic and political data from 1992 to 2023, applying statistical models like ARIMA (Auto-Regressive Integrated Moving Average) to forecast future election outcomes. Economic indicators such as inflation and unemployment were included to study their relationship with voter behavior. Findings - The results show that economic factors significantly impact voter turnout and party vote share. High inflation and unemployment rates tend to reduce voter support for incumbent parties. The model also predicts possible outcomes for the 2024 election based on these economic trends. Conclusion and Recommendation – The study concludes that improving economic conditions, such as reducing unemployment, could positively influence electoral outcomes for incumbents. It is recommended that policymakers focus on stabilizing the economy to enhance electoral success.

Withania somnifera (WS), also known as ashwagandha, is a popular botanical supplement used to treat various conditions including memory loss, anxiety and depression. Previous studies from our group showed an aqueous extract of WS root (WSAq) enhances cognition and alleviates markers for depression in Drosophila. Here, we sought to confirm these effects in the 5xFAD mouse model of β-amyloid (Aβ) accumulation. Six- to seven-month-old male and female 5xFAD mice were treated with WSAq in their drinking water at 0 mg/mL, 0.5 mg/mL or 2.5 mg/mL for four weeks. In the fourth week of treatment, spatial memory, anxiety and depressive-like symptoms were evaluated. At the conclusion of behavioral testing, brain tissue was harvested, immunohistochemistry was performed, and the cortical expression of antioxidant response genes was evaluated. Both concentrations of WSAq improved spatial memory and reduced depressive and anxiety-related behavior. These improvements were accompanied by a reduction in Aβ plaque burden in the hippocampus and cortex and an attenuation of neuroinflammatory markers. Antioxidant response genes were upregulated in the cortex of WSAq treated mice. Oral WSAq treatment could be beneficial as a therapeutic option in AD for improving disease pathology and behavioral symptoms. Future studies focused on dose optimization of WSAq administration and further assessment of the mechanisms by which WSAq elicits its beneficial effects will help inform the clinical potential of this promising botanical therapy.

This study employs a comprehensive computational approach to identify and evaluate potential inhibitors of gamma D crystallin (CRYGD), a key protein implicated in cataract formation. A library of compounds, including natural products and FDA-approved drugs, was screened using molecular docking simulations and binding energy calculations. The top-scoring compounds were further assessed for drug-likeness properties and potential toxicity. Molecular dynamics simulations were conducted on the most promising candidates to investigate their interactions with CRYGD at the atomic level. The study identified CNP0185903, CID 3741, and CNP0151361 as the most promising compounds, with CNP0151361 demonstrating the most favorable combination of binding affinity, structural stabilization, and conformational modulation of CRYGD. These findings provide a foundation for the development of novel pharmacological interventions for cataract treatment, potentially offering alternatives or complements to current surgical approaches.

The cultural transmissions of a society like famous paintings, popular music, good poetry, and enduring religious rituals/doctrines/texts serve as mediums for the embodiment of algorithms that interact with the mind and body in looping, mostly unconscious interactions that are mutually beneficial to the participants of the society and the algorithms themselves. Useful algorithms are also found in the mind and bodies of other people, and individuals in a group can be used to outsource specialized tasks to benefit the society as a whole. Since useful algorithms must be embodied in a medium to work, there are physical limitations to the computations that can be performed in our universe.

The issue of climate change represents a significant global risk that demands immediate attention. However, higher education frequently fails to incorporate global perspectives and intricate transdisciplinary matters. In order to integrate global and transdisciplinary aspects into the curriculum of a technical university with a focus on computer science, a Master's programme has been developed. The programme's objective is to situate global risk at the core of the curriculum, thereby encouraging scientists to work beyond the boundaries of their respective disciplines. The paper considers the challenges that science and higher education must address to facilitate pathways towards a peaceful and sustainable future. It argues for a shift in focus from short-term and localised issues to a more holistic approach, emphasising the importance of considering universal problems. The curriculum, as developed, may be regarded as a guide for future university efforts in the fields of global risk and climate change.

Abstract: Background: We previously found that forest bathing significantly reduced the scores for negative emotions and in-creased the score for vigor in the profile of mood states (POMS) test in both males and females and increased the sero-tonin level in males, indicating the potential for beneficial effect on depressive status. In the present study, we investi-gated the effects of forest bathing on the levels of serotonin, oxytocin and insulin-like growth factor I (IGF-1) in blood, Self-Rating Depression Scale (SDS) scores, POMS, subjective fatigue symptoms and subjective sleep quality in female subjects with depression/depressive tendencies. Methods: Thirty-one female subjects aged 40.1±2.4 years with depression/depressive tendencies were recruited after obtaining informed consent. These subjects took day trips to a forest park, the birthplace of forest bathing in Japan named Akasawa Shizen Kyuyourin in Nagano Prefecture, and to a city area of Nagano Prefecture as a control in June 2023. On both trips, they walked 2.2-2.5 km for two hours each in the morning and afternoon on Saturday and Sunday, respectively. Blood was sampled in the afternoon before and after each trip. Concentrations of serotonin, oxytocin, IGF-1 and lactic acid in blood were measured. The SDS scores, POMS test, and questionnaires for subjective fatigue symptoms and subjective sleep quality were conducted before and after the trips. Ambient temperature and humidity were monitoring during the trips. The Nippon Medical School Central Ethics Committee approved this study. Results: Forest bathing significantly decreased SDS scores and the effect lasted for one week after forest bathing. Forest bath-ing also significantly increased the level of serotonin in serum in subjects who were not taking antidepressants, significantly increased the levels of oxytocin and IGF-1 in blood, significantly increased the scores for vigor-activity and friendliness and de-creased the scores for anger-hostility, confusion-bewilderment, fatigue-inertia, tension-anxiety, depression-dejection and total mood disturbance compared with city walking (all p

This study aimed to evaluate the effect of three yeast strains, Pichia guilliermondii (Levica 27), Candida norvegensis (Levazoot 15), and a commercial product (Levucell® SC 10) containing Saccharomyces cerevisiae, on in vitro rumen fermentation of two substrates: corn stover and a total mixed ration (TMR). Samples were taken 24 hours post-fermentation to measure pH, ammonia nitrogen (NH3-N), gas production, and volatile fatty acid (VFA) concentrations. The addition of yeasts did not affect gas production at 24 hours for either diet. For pH, differences between yeast strains were noted when TMR was used. The lowest NH3-N concentration (6.1 mM) was recorded with corn stover, showing similar results across strains. Conversely, NH3-N levels with TMR ranged from 47 mM to 66 mM. The inclusion of all three yeast strains increased the molar concentrations of total VFA, as well as acetic (C2), propionic (C3), and butyric (C4) acids in the rumen fluid. The C2:C3 ratio remained unchanged with corn stover but decreased with the inclusion of Levica 27 and Levazoot 15 in the TMR. With the commercial product Levucell® SC 10, this ratio was comparable to the control treatment. In conclusion, Levica 27 and Levazoot 15 demonstrated a stimulatory effect on in vitro rumen fermentation for the evaluated diets, evidenced by increased VFA concentrations.

Through the geometric relationships and force analysis of the main components of the panto-graph on high-speed trains, coefficients of aerodynamic forces and lift transmission between the pantograph and main components under crosswind conditions were derived. Based on the aer-odynamic forces acting on the pantograph at different crosswind speeds, wind angles, and oper-ating speeds, the aerodynamic lift of the pantograph and main components was ultimately de-termined. The results indicate that the aerodynamic lift of the pantograph is mainly distributed on the bow structure, with the aerodynamic lift of the upper frame all being negative values, while the absolute value of the aerodynamic lift of the lower arm rod is the smallest. The oper-ating speed of the pantograph and the wind angle of the crosswind have a significant impact on the aerodynamic lift of the main components, while the impact of the crosswind speed is rela-tively small. At the same operating speed of the pantograph, the lower the corresponding crosswind speed, the smaller the aerodynamic lift of the pantograph. The aerodynamic lift of the pantograph tends to decrease gradually with the increase of crosswind speed, and the impact of crosswind speed decreases gradually with the increase of pantograph operating speed. A com-prehensive relationship formula between the aerodynamic lift of the pantograph and the oper-ating speed, crosswind speed, and wind angle is obtained, and the empirical formula for the contact force of the bow net and train operating speed is modified. The research results are of great significance and value for the study and application of lift forces on pantographs under crosswind conditions.

As businesses increasingly adopt advanced technologies to enhance productivity and safety, the integration of human-robot collaboration (HRC) emerges as a transformative approach. This paper explores the role of GPU-accelerated computer vision and generative AI in optimizing HRC within business environments. By leveraging the computational power of GPUs, real-time data processing, and advanced machine learning algorithms, robots can better interpret complex visual cues and adapt to dynamic workspaces. Generative AI further enables the design of intelligent robotic systems capable of anticipating human actions, optimizing task allocation, and ensuring safety through predictive modeling. This research highlights the potential of these technologies to improve operational efficiency, reduce human error, and create safer, more adaptable workplaces. The implications of such advancements are discussed, providing insights into the future of HRC in various industries.

Photocatalytic ammonia decomposition to produce N2 and H2 was achieved using single-walled carbon nanotube (SWCNT) nanohybrids. Physical modification of ferrocene-dye-encapsulated CNTs by amphiphilic C60-dendron yielded nanohybrids with a dye/CNT/C60 coaxial heterojunction. Upon visible light irradiation, an aqueous solution of NH3 and dye@CNT/C60-dendron nanohybrids produced both N2 and H2 in a stoichiometric ratio of 1:3. Action spectra of this reaction clearly demonstrated that the encapsulated dye acted as the photosensitizer, with an apparent quantum yield (AQY) of 0.22% at 510 nm (the λmax of the dye). This study presents the first example of dye-sensitized ammonia decomposition and offers a new avenue for developing efficient and sustainable photocatalytic hydrogen production systems.

In the context of global climate change, the frequency of sudden natural disasters is increasing. Assessing traffic road damage post-disaster is crucial for emergency decision-making and disaster management. Traditional ground observation methods for evaluating traffic road damage are limited by the timeliness and coverage of data updates. Relying solely on these methods does not adequately support rapid assessment and emergency management during extreme natural disasters. Social media, a major source of big data, can effectively address these limitations by providing more timely and comprehensive disaster information. Motivated by this, we utilized multi-source heterogeneous data to assess the damage to traffic roads under extreme conditions and established a new framework for evaluating traffic roads in cities prone to flood disasters caused by rainstorms. The approach involves several steps: First, extracting the surface area affected by precipitation using a threshold method constrained by confidence intervals derived from microwave remote sensing images; Second, collecting disaster information from the Sina Weibo platform, where social media information is screened and cleaned. A quantification table for road traffic loss assessment was defined, and a social media disaster information classification model combining text convolutional neural networks and attention mechanisms was proposed (TextCNN-Attention Disaster Classification); Finally, matching traffic road information on social media with basic geographic data, visualizing the classification of traffic road disaster risk levels, and completing the assessment of traffic road disaster levels based on multi-source heterogeneous data. Using the "7.20" rainstorm event in Henan Province as an example, this study categorizes the disaster impact on traffic roads into five levels: particularly severe, severe, moderate, mild, and affected, as interpreted from remote sensing images. The evaluation framework for flood disaster traffic roads based on multi-source heterogeneous data provides important data support and methodological support for enhancing disaster management capabilities and systems.

The coronavirus SARS-CoV-2 is the causative agent for the COVID-19 first registered in Wuhan, China and responsible for more than 6 million deaths worldwide. Currently, RT-PCR is the gold standard method for diagnosing COVID-19. However, serological tests are needed for screening acute disease diagnosis and screening large populations during the COVID-19 outbreak. Herein we described the development of an in-house enzyme-linked immunosorbent assay (ELISA) for detecting levels of anti-Spike-1-RBD IgM antibody in well-defined serum/plasma panel for screening and identifying subjects infected with SARS-CoV-2 in a Latin population. We found that, compared to the RT-PCR as standard method, the in-house CovIgM-ELISA displayed sensitivities of 96.15% and 93.22% for samples collected up to 30 or 60 days after infection, respectively, as well as 95.59% specificity with 97.3% accuracy. The agreement kappa value (κ) of our CovIgM-ELISA was substantial when compared to RT-PCR (κ =0.873) and to SCoV-2 DetectTM IgM ELISA (κ = 0.684). The IgM levels detected in the population positively correlate with the neutralizing activity against the Wild-type, Alpha and Delta variants but failed to neutralize Omicron. These data indicate that our in-house CovIgM-ELISA is a compatible performing assay for the detection of SARS-CoV-2 infection.

Continuous efforts are required to find ways to protect crop production against the toxicity of petroleum hydrocarbons, such as diesel, contamination of soils. There is a need for identification of candidate plants that are tolerant to diesel toxicity that might also have the potential for remediation of diesel-contaminated soils. In this study, petunia, a popular ornamental plant and a model experimental plant in research on phytoremediation of environmental pollutants, was used to evaluate a novel method for rapidly assessing diesel toxicity based on the tolerance of shoots generated through in vitro plamt cell culture selection. Petunia shoot lines (L1 to L4) regenerated from diesel-treated callus were compared with those from non-diesel-treated callus (control). Significant morphological differences were observed among the tested lines and control, notably with L1 and L4 showing superior growth. In particular, L4 exhibited remarkable adaptability, with increased root development and microbial counts in a diesel-contaminated potting mix, suggesting that the shoots exhibited enhanced tolerance to diesel exposure. Here, this rapid bioassay has been shown to effectively identify plants with varying levels of tolerance to diesel toxicity and could therefore assist accelerated selection of superior plants for phytoremediation. Further research is needed to understand the genetic and physiological mechanisms underlying tolerance traits, with potential applications beyond petunias to other environmentally significant plants.

Objectives: The global quotient of psychological development, along with the motor skills, coordination, speech, and social behavior scores, was analyzed in children born prematurely with varying degrees of intracranial hemorrhage (grades I–IV), considering the unilaterality or bilaterality and dimensions of the left and right lateral ventricles. Materials and Methods: The study included 120 children divided into four groups based on gestational age: Group 1 (25–29 6/7 weeks), Group 2 (30–32 6/7 weeks), Group 3 (33–34 6/7 weeks), and Group 4 (35–37 weeks). The maximum dimensions of the right and left lateral ventricles were recorded via ultrasound. At 3 years of age, psychomotor development was assessed using the Brunet–Lezine scale. Statistical analysis was performed using appropriate modules in the SPSS 23.0 for Windows software package, along with Pearson’s ꭓ2 test and analysis of variance (ANOVA). Results: Differences in the global development quotient (QR) between the groups were statistically significant (p &lt; 0.01). In Group 1, a larger dimension of the left lateral ventricle was associated with a decrease in motor skills, while in Group 2, a larger dimension of the right ventricle resulted in a significant decrease in coordination. In Group 3, all observed variables—that is, motor skills, coordination, speech, and social behavior—showed minimal values with a wider right ventricle, but without statistical significance. In Group 4, a significantly lower speech score was recorded with the dilation of the left lateral ventricle. Conclusions: The sizes of the left and right lateral ventricles after the resorption of intracranial hemorrhage affect the values (scores) obtained using the Brunet–Lezine scale in children at the age of 3 years.

In modern times, technology has become more than just a tool; it is a vital component of our lives, driving society and humanity towards new horizons, better living standards, and solu-tions for complex, global challenges. This article explores the world of dependable systems, specifically focusing on system design, software solutions, and architectural decisions that fa-cilitate collaborative work. It aims to dive into the intricacies of designing robust and effective document collaboration software. Throughout this paper, readers will gain insights into the proposed design process, enabling them to understand, learn from, and critically evaluate the examined methodologies and outcomes. Like everything else in the software technology field, there are multiple solutions to any given problem, and this work is no exception to this rule. The objective of this study is to provide a detailed architectural overview of the microservices pattern in an orchestrated cloud environment based on independent containers. To examine the pros and cons of such a system, the paper will detail how a real-time document collaboration system can benefit from such an architecture regarding availability, elasticity, scaling, and disaster recovery. Moreover, the paper will analyze how cloud-native technologies can be used to create a scalable platform solution, capable of handling traffic, dynamic resource storage, asynchronous com-munication, and application scaling. The intricate nature of this system renders this paper a valuable resource for prospective investigations within the domain of dependable systems, cloud computing, and distributed systems. This paper not only showcases the design and implementation process but also sets a founda-tion for future research and innovation in dependable systems, collaborative technologies, sustainable solutions, and distributed system architecture.

Psoriasis is a multifactorial, chronic, and inflammatory disease that severely impacts patients’ quality of life. The disease is caused by genetic irregularities affected by the epigenetic and environmental factors. Some of these factors may include the seasonal changes, such as solar radiation, air pollution and humidity, and changes in circadian rhythm, especially in the temporal and polar zones. Thus, some psoriasis patients report seasonal variability of symptoms. Through a comprehensive review, we aim to delve deeper into the intricate interplay between seasonality, environmental factors, and the genetic and epigenetic landscape of psoriasis. By elucidating these complex relationships, we strive to provide insights that may inform targeted interventions and personalized management strategies for individuals living with psoriasis.

Anxiety in older adults is a prevalent yet under-recognized condition associated with significant societal and individual burdens. This study used a machine learning approach to compare the relative importance of 57 risk and protective factors for anxiety symptoms in a population-representative sample of middle-aged and older European adults (N = 65,684; ages 45–103 years; 55.7% women; 15 countries represented). Results revealed loneliness and self-rated poor health as primary risk factors (Nagelkerke R2 = .272), with additional predictive contributions from country of residence, functional limitations, financial distress, and family care burden. Notably, follow-up analysis showed that none of 16 social network variables were associated with loneliness; rather, cohabitating with a partner/spouse was most strongly associated with reduced loneliness. Further research is needed to elucidate directional associations between loneliness and anxiety (both general and sub-types). These findings underscore the imperative of addressing loneliness for mitigating anxiety and related mental health conditions among aging populations.

Background/Objectives: The latest WHO classification underscores the importance of the complete blood count (CBC) and cell morphology assessment in diagnosing lymphoid neoplasms. This study evaluated the diagnostic role of Research Use Only (RUO) parameters from the BC-6800 Plus Mindray analyzer in differentiating cell chronic lymphocytic leukemia (CLL), acute lymphoblastic leukemia (ALL), and other lymphoproliferative disorders. Methods: CBCs were performed on 90 patients (66% male, median age 67 years) with pathological blood counts (ALL, n=14; CLL, n=47; other lymphoproliferative disorders, n=29) at Novara’s University Hospital. Univariable and multivariable logistic regression assessed the association of basic (WBC, Hb, RDW, NE#, LY#, MO#, PLT) and research cell parameters (NLR, NMR, LMR, NeuX, NeuY, NeuZ, LymX, LymY, LymZ, MonX, MonY, MonZ). Results: In multivariable analysis, Hb (p=0.02), NeuY (p=0.04), and MonY (p=0.01) independently predicted CLL versus ALL, correctly classifying 93.4% of cases (AUC 0.91, 95% CI 0.81-1.0). MO# (p=0.003), LymY (p&lt;0.0001), and MonY (p=0.004) were independent predictors of CLL versus other lymphoproliferative disorders, classifying 77.6% of cases (AUC 0.86, 95% CI 0.78-0.95). NeuZ (p=0.01) and NeuY (p=0.04) independently predicted ALL versus other lymphoproliferative disorders, classifying 93% of cases (AUC 0.98, 95% CI 0.95-1.0). Conclusions: The use of RUO parameters offers valuable, cost-effective support in the early diagnosis of ALL, CLL, and other lymphoproliferative disorders.

This work aims to investigate the effect of process temperature and catalyst content by thermochemical degradation of municipal solid waste (MSW) fraction (organic matter + paper + plastic) on the yield of reaction products (bio-oil, biochar, H2O and gas), physi-cochemical properties and chemical composition of bio-oils, as well as on the morphol-ogy and crystalline phases of biochar in laboratory scale. The organic matter, paper and plastic segregated from the gravimetric composition of total waste sample were subject-ed to the pre-treatments of drying, crushing and sieving. Thermal pyrolysis was per-formed at 400, 450 and 475 °C and 1.0 atmosphere, and catalytic pyrolysis at 450°C and 1.0 atmosphere, using 5.0, 10.0 and 15.0% (wt.) of FCC zeolite, bath mode, using a laboratory-scale borosilicate glass reactor. The bio-oil was characterized for acidic val-ue. The chemical functions present in the bio-oil identified by FT-IR and the composi-tion by GC-MS. Biochar was characterized by SEM/EDS and XRD. Thermal pyrolysis of the MSW fraction shows bio-oil yields between 9.44 and 9.24% (wt), aqueous phase yields between 21.93 and 18.78% (wt), solid phase yields between 67.97 and 40.34% (wt) and gas yields between 28.27 and 5.92% (wt). The bio-oil yield decreased with in-creasing process temperature. For the experiments using FCC, the biochar and gas yields slightly increased with increasing FCC content, while that of bio-oil decreased and the H2O phase remained constant. GC-MS of bio-oils identified the presence of hy-drocarbons and oxygenates, as well as nitrogen-containing compounds including am-ides and amines. The acidity of the bio-oil increased with increasing temperature and with the aid of FCC as a catalyst. The presence of hydrocarbons in bio-oil was identified by the addition of FCC catalyst due to the deoxygenation of carboxylic acids, followed by decarboxylation and decarbonylation reactions, producing aliphatic and aromatic hydrocarbons.

Background: In high-risk breast cancer patients with skin infiltration the administration of a uniform dose to superficial tissues is fundamental in order to reduce local skin relapse. A personalized bolus may prevent the potential standard bolus’ inadequate dose distribution due to air gaps between the bolus and the skin. In this pilot study, we introduced in clinical practice the use of a personalized 3D printed bolus filled with ultrasound transmission gel. Methods: Seven patients undergoing radiotherapy after mastectomy were selected. 3D printed bolus dosimetric assessment was performed with MOSFET dosimeters on an anthropomorphic phantom and subsequently on three selected cases with increasing bolus shape irregularity. Acute/late toxicity and local control was assessed. Results: Overall, for the clinical cases the percentage median difference between measured and calculated doses was -2.7% (-7.0%÷4.9%). Median follow-up was 21 months. After two years, one patient showed G2 pain, one patient manifested G1 telangiectasia, one patient showed G1 hyperpigmentation, and two patients had no relevant toxicity. Conclusions: Personalized 3D-printed bolus filled with ultrasound gel may easily reproduce the standard bolus’ consistency providing an accurate coverage of the target area with tolerable acute/late toxicity grades. This is a pilot study and further investigations are needed.

Clustering is a very common analysis of data present in large datasets, with the aims of understanding and summarizing data, and discovering similarities, among others. However, despite the present success of subsymbolic methods for data clustering, the description of the obtained clusters cannot rely on the intricacies of the subsymbolic processing. For clusters of data expressed in the Resource Description Framework (RDF) we extend and implement an optimized previously proposed logic-based methodology which computed an RDF structure — called a Common Subsumer — describing the commonalities among all resources. We tested our implementation with two open, and very different RDF datasets: one devoted to Public Procurement, and the other devoted to drugs in Pharmacology. For both datasets, we were able to provide reasonably concise and readable descriptions of clusters up to 1800 resources. Our analysis shows the viability of our methodology and computation, and paves the way for general cluster explanations to lay users.

This study addresses a gap in the literature by conducting a comparative analysis of statistical and artificial intelligence techniques for predicting bankruptcy in small and medium-sized enterprises (SMEs). Using a comprehensive database of 7,104 Belgian SMEs, our findings demonstrate that intelligent techniques offer superior predictive accuracy for bankruptcy. Notably, our results indicate that a firm's position in the global value chain significantly affects prediction accuracy, with lower performance for firms operating upstream in the production process. This suggests that bankruptcy risk may spread upward along the value chain. This insight is particularly valuable for practitioners, as it highlights the importance of focusing on specific performance factors based on the type of firms they manage, advise, or collaborate with.

By tonnage, corn (Zea Mays L.) is the #1 crop produced globally, and recent research has suggested that no-till (NT) systems can lead to reduced yields of this important crop. Additionally, there is a lack of long-term data about the effects of tillage and N management on cropping systems. Corn is the most nitrogen (N)-fertilized crop in the USA, and N losses to the environment contribute to significant impacts on air and water quality. We conducted long-term studies on conventionally tilled (CT), and conservation tillage systems such as strip tillage (ST) and NT, under different N rates. We found that immediately after conversion to NT, yields from NT were significantly lower than yields from CT (P&lt;0.1), but after five years of NT, the NT yields were 1.5% higher than the CT yields (P&lt;0.1). Initially, the NT yields were lower than the ST (P&lt;0.01), but after seven years of NT, the NT yields were comparable to ST grain yields. Although the total aboveground N uptake with NT immediately after conversion to NT was lower than with CT and ST, these differences were not significant in the long run. The nitrogen use efficiency (NUE) with NT increased over time. The present work highlights the importance of long-term research for determining the cumulative impacts of best management practices such as NT. We found that NT becomes a more viable practice after five or seven years of implementation, demonstrating the high importance of long-term research.

The structure and diversity of tropical vegetation are shaped by biotic and abiotic factors, which function as environmental filters affecting plant performance in different spatial and temporal scales. We compared soil traits, vegetation structure and leaf traits (i.e., specific leaf area, polyphenols and chlorophyll content a/b and total) in early, intermediate and late successional stages of a tropical dry forests in southeastern Brazil. For this purpose, we measured leaf traits of the most abundant species in the same 18 plots (50 x 20m/ six per successional stage) in 2009 and 2018. We tested whether tree species growing in early forests have a greater investment in conservative traits related to chemical defenses and tolerance to desiccation compared to late-stage tree species. We observed contrasting results when comparing the chronosequence differences in leaf traits both in 2009 and 2018 and the temporal changes along this period. Specific leaf area was lower than expected for all successional stages while polyphenol content increased along time, contrary to other studies in tropical dry forests. These results suggest that contrasting environmental conditions such as soil water holding capacity and light availability are responsible of the observed pattern. Total chlorophyll content increase lightly, while the a/b chlorophyll ratio doubled in all successional stages, contrary to our hypothesis. Therefore, we suggest that the conservative-acquisitive spectrum in successional gradients of TDFs should be further investigated for a better understanding of plant community assemblages.

Background/Objectives: Advancements in surgical stapling devices play a crucial role in improving outcomes for bariatric procedures. This study evaluates the performance and safety of a new endoscopic stapler (EnDrive®BelugaTM) regarding perioperative results across multiple bariatric surgery types. Methods: A retrospective analysis was conducted on 112 patients who underwent bariatric procedures using the Beluga stapler at two centres in the UAE and Kenya over 6-month period (June-December 2023). Procedures included laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (LRYGB), mini gastric bypass (OAGB-MGB), and revisions. Perioperative outcomes, complications, and haemoglobin changes were assessed. Results: The cohort included 29 males and 83 females, with a mean age of 32.8 years and preoperative BMI of 41.1 kg/m². Procedures performed were 88 primary LSG, three primary LRYGB, 12 primary OAGB-MGB, and nine revision surgeries. No conversions, deaths, bleeding, or leaks occurred. Minor complications were observed in 4 patients. One patient required reoperation for intestinal obstruction. The mean hospital stay was 1.5 days. Haemoglobin levels showed minimal change from preoperative (12.8 g/dL) to postoperative day 1 (12.3 g/dL). Conclusions: The new Beluga endoscopic stapler demonstrated safe and effective performance across various bariatric procedures, with low complication rates and minimal blood loss. Its enhanced articulation capabilities may offer advantages in specific cases. Further studies are warranted to compare long-term outcomes with established stapling devices.

The border between Niger and Libya, often described as an "ungoverned space," epitomizes the complex interplay of economic, political, and security challenges within the Sahel region. Authorities and international actors have made various efforts to establish control, but tribal structures predominantly manage governance in these areas. These structures lack formal institutions and rely heavily on external security interventions to combat terrorism and irregular migration. The increasing militarization of the region raises significant concerns about the long-term efficacy of these approaches in achieving sustainable security. This study argues that enduring stability in such contexts requires a nuanced balance of economic, political, and social factors. The research methodology includes a comprehensive literature review of security issues, governance, state fragility, and counter-terrorism, utilizing scientific journals, books, reports, and newspapers. The study investigated the dual nature of ungoverned spaces, examining their role in facilitating terrorism and organized crime while highlighting the critical need for governance to enhance citizen welfare and support state functions. Recent developments in Libya and the Sahel under-score the urgency of addressing security and developmental challenges. The study concludes by advocating for sustainable political and development initiatives over militarization, emphasizing the necessity of a new social contract to address the security challenges in the Sahel region effectively.

This article explores the relationship between Wang Yangming's philosophy and the new quality productivity, revealing how the new quality productivity, while inheriting the core ideas of Yangming's philosophy, achieves a higher level through innovation and development. The new quality productivity emphasizes the integration and innovation of knowledge, technology, and information, characterized by knowledge-driven innovation, information technology support, sustainable green development, and global collaborative development. The fusion of Yangming's philosophy and the new quality productivity holds significant theoretical and practical implications.

Cholera is a diarrheal disease prevalent in populations without access to clean water. Cholera is caused by Vibrio cholerae, which colonizes the upper small intestine in humans once ingested. A growing number of studies suggests the gut microbiome composition modulates animal behavior. Zebrafish are an established cholera model that can maintain a complex, mature gut microbiome during infection. Larval zebrafish, which have immature gut microbiomes, provide the advantage of high-throughput analyses for established behavioral models. We identified the effects of V. cholerae O1 El Tor C6706 colonization at 5 days post-fertilization (dpf) on larval zebrafish behavior by tracking startle responses at 10 dpf. We also characterized the larval gut microbiome using 16S rRNA sequencing. V. cholerae-infected or uninfected control groups were exposed to either an alternating light/dark stimuli or a single-tap stimulus, and average distance and velocity were tracked. While there was no significant difference in the light/dark trial, we report a significant decrease in distance moved for C6706-colonized larvae during the single-tap trial. This suggests that early V. cholerae colonization of the larval gut microbiome has a dampening effect on sensorimotor function, supporting the idea of a link between the gut microbiome and behavior.

Objectives: Imaging exams are requested in intensive care units as a diagnostic, evaluation, and clinical monitoring method. While Chest Computed Tomography is the gold standard, Chest X-ray is the exam usually performed in routine care. Lung ultrasound has been gaining ground as it is a reliable exam performed at the bedside without exposure to radiation and at a low cost. This study aimed to evaluate the accuracy of bedside lung ultrasounds performed by pediatric intensivists as a diagnostic method. Methods: A prospective, diagnostic test-type study comparing bedside lung ultrasound performed by a pediatric intensivist with the evaluation of chest X-ray and lung ultrasound performed by a radiologist. Result: 48 patients on mechanical ventilation, aged from 1 month to 14 years, were analyzed, corresponding to 95 chest X-ray exams and 95 lung ultrasound exams. The Kappa agreement coefficients between the pediatric intensivist and the radiologist, both analyzing the lung ultrasound, were: normal report (1.0), atelectasis (1.0), pneumothorax (1.0), consolidation (0.97), pleural effusion (0.95), and pulmonary edema (0.90). Sensitivity, specificity, and accuracy of lung ultrasound were, respectively, normal report (50%; 91.8%; 82.1%), consolidation (88.3%; 57.1%; 76.8%), atelectasis (11.1%; 90.7%; 83.2%), edema (0; 70.2%; 70.5%), pneumothorax (83.3%; 94.4%; 93.7%), and pleural effusion (71.4%; 73%; 72.6%). Conclusion: The pediatric intensivist was skilled in examining and diagnosing lung injuries. Lung ultrasound showed good sensitivity, specificity, and accuracy when the pediatric intensivist performed when diagnosing consolidation, pleural effusion, and pneumothorax. Furthermore, lung ultrasound demonstrated better accuracy in evaluating pulmonary edema when compared with chest X-ray.

With the offshore oil-gas fields entering decline phase, high-efficiency separation of oil-gas-water mixtures becomes a significant challenge. As essential equipment for separation, the three-phase separators play a key role in Offshore Oil-Gas production. However, level control is critical in the operation of three-phase gravity separators on offshore facilities, as it directly affects the efficacy and safety of the separation process. This paper introduces an advanced deep deterministic policy gradient with adaptive learning rate weights (ALRW-DDPG) control algorithm, which improves the convergence and stability of the conventional DDPG algorithm. An adaptive learning rate weight function is meticulously designed, and an ALRW-DDPG algorithm network is constructed for simulating three-phase separator liquid level control. The effectiveness of the ALRW-DDPG algorithm is subsequently validated through simulation experiments. The results show that the ALRW-DDPG algorithm achieves a 15.38% improvement in convergence rate compared to the traditional DDPG algorithm, and the control error is significantly smaller than that of PID and DDPG algorithms.

This study considers the features of the chemical composition, internal structure, and oscillatory zoning of sulfides, sulfosalts and sulfates in the epithermal high-intermediate sulfidation type Au-Ag-Te Emmy deposit (Khabarovsk Territory), Russia. In this deposit the most widespread sulfide is pyrite occurring in two generations: pre-ore pure pyrite (I) with cubic crystal habit and dimensions from 20 μm to 0.5 mm from the early barren pre-ore hydrothermal stage, and pyrite (II) of the ore stage, which is represented by (a) colloform aggregates (IIa) formed as a result of rapid precipitation from the solution, and (b) crystalline pyrite (IIb), which is precipitated due to continuous decrease in temperature. Both pyrite (II) morphological varieties contain copper (0.06-6.03 wt.%). The crystalline variety of pyrite is associated with goldfieldite, hemusite and kawazulite which were deposited during the early mineralizing event in the deposit.

This study presents a comprehensive examination of the transformative potential of Islamic finance in advancing sustainable development goals (SDGs). It underscores the unique position of Islamic finance, with its ethical and moral foundations, to contribute significantly to environmental sustainability, social equity, and economic development. The paper highlights innovative financial instruments like Zakat, Waqf, and green Sukuk, which not only align with but also actively promote SDGs. Through a multidisciplinary approach, it advocates for a paradigm shift towards integrating sustainability into the core of financial systems. The analysis includes challenges in harmonizing Human Development Indexes (HDIs) with Ecological Footprints (EFs), proposing strategies for sustainable development, ecological conservation, and educational reforms. This study is pivotal for policymakers, financial institutions, and educators, providing a roadmap for leveraging Islamic finance towards achieving a balanced, sustainable, and inclusive global economy.

Commuting to work by private vehicle is one of the main sources of air pollution in cities, mainly from NO2 and particulate matter (PM2.5 and PM10). With the spread of telework, traffic congestion during peak hours is reduced on certain days of the week, improving air quality. This study an-alyzes the relationship between the improvement of air quality improvement and urban traffic resulting from teleworking activities after the COVID-19 pandemic in Madrid, Spain. The article considers road traffic and teleworking before the COVID-19 pandemic (2018 and 2019), during the pandemic (2020 and 2021) and in the period after (2022 and 2023) in the city center and the in-fluence on certain environmental factors. Daily NO2, PM2.5, PM10, and O3 concentration data were collected at air quality stations in Madrid municipality, traffic data and some meteorological variables such as wind speed, precipitation and temperature were considered. When conducting correlation and regression analysis among the variables it shows a clear association between NO2 and traffic before the pandemic, which is lower for both PM and O3. This correlation was main-tained during the pandemic, except for O3, whose association increased during this period and then decreased in the later period due to various motives. These results seem to indicate the ex-istence of a relevant relationship between urban mobility and air quality and an especially rele-vant relationship with telework, suggesting the need for policies aimed at promoting sustainable mobility in the future.

The modern era has numerous issues associated with power generation, especially with old fashioned combustion power plants. Since fossil fuels are primarily responsible for the emission of greenhouse gasses, there is a desperate need for adaptation and sustainability. Looking at those challenges, geothermal energy which civilization had a long time ago becomes the desirable solution. This paper aims at establishing the feasibility of geothermal power plants in meeting the challenges of energy intensity and environmental conservation. This study also illustrates that the categories of geothermal energy systems which include the dry steam, flash steam and the binary cycle power plants are capable of achieving high capacity factors, initiating feasibility studies, and have relatively low impacts on the environment. While it is likely to cost more in the initial stages of construction, geothermal power plants provide more long-term cost benefits and significantly fewer toxic emissions relative to the fossil fuel plants. Switching to geothermal energy not only means that the world will have new sources of energy in the near future but also that it will be clean and environmentally friendly. Through incremental steps, geothermal power plants may well open the door to a full energy source infrastructure for subsequent generations.

This study investigates the collapse of the medial longitudinal arch (MLA) as a risk factor for medial tibial stress syndrome (MTSS), hypothesizing that overuse of extrinsic foot muscles to prevent MLA collapse can lead to disability. Twenty healthy adults (39 feet) with a foot posture index score below 6 and no recent lower extremity orthopedic history participated. Ultrasonog-raphy measured foot muscle cross-sectional areas, while three-dimensional motion analysis us-ing VICON assessed foot kinematics during gait, focusing on navicular height at initial contact (ICNH) and dynamic navicular drop (DND) during the stance phase. Hierarchical cluster analy-sis based on ICNH and DND compared muscle cross-sectional areas between clusters using ANOVA or Kruskal–Wallis test. The analysis indicated that ICNH was lower in clusters 1 and 3 than in cluster 2, and DND was smaller in clusters 1 and 2 than in cluster 3. Although there was no significant difference in muscle cross-sectional area between the clusters, the flexor hallucis longus tended to be thicker in cluster 1 than in cluster 3 (p = 0.051). The findings suggest that the flexor hallucis longus may help prevent MLA compression during loading, indicating that over-use of extrinsic foot muscles may contribute to MTSS development.

Astragalus plants belong to the legume family and have obvious rhizosphere effect. The northwestern area of Yunnan China is the main distribution region of Astragalus plants with high application value, but low recognition and resource reserves. The aim of this research is to explore the species diversity of cultivable rhizosphere fungi derived from A. acaulis, A. forrestii, and A. ernestii growing in special high-cold environment of northwest Yunnan, and discover anti-infective components from these fungi. A total of 93 fungal strains belonging to 38 species in 18 genera were isolated and identified. Antibacterial and antimalarial screening yielded 10 target strains. Among them, the ethyl acetate crude extract of the fungus Aspergillus calidoustus AA12 from A. acaulis fermentation substance showed a broad antibacterial spectrum and the best antimalarial activity. Further chemical investigation led to the first discovery of seven compounds from the species of A. calidoustus, including a sesterterpine 6-epi-ophiobolin G (1), two sesquiterpenes penicisochroman A (2), pergillin (3) and 7-methyl-2-(1-methylethylethlidene)-furo[3,2-H]isoquinoline-3-one (4), and three polyketides trypacidin (5), 1,2-seco-trypacidin (6) and questin (7). Compound 1 exhibited moderate to strong antibacterial activity against six Gram-positive pathogens with the minimum inhibitory concentration (MIC) ranging from 25 to 6.25 μg/mL, and prominent inhibitory effect on the biofilm of Streptococcus agalactiae at MIC value of 3.125 μg/mL. This compound also displayed potent antimalarial activity against Plasmodium falciparum strains 3D7 and chloroquine-resistant Dd2 at the half maximal inhibitory concentration (IC50) values of 3.319 and 4.340 µmol/L at 72 h, respectively. This study contributed to our understanding of the cultivable rhizosphere fungi Astragalus-derived in special high-cold environment and further increased the library of fungi available for natural anti-infectious products screening.

Background/Objectives: Rehabilitation helps reduce disability in dementia. The Australian National Dementia Action Plan identifies a gap in clear treatment pathways post-diagnosis, affecting the quality of life for those with dementia. This study assessed the impact of a one-day dementia training course and follow-up on GPs' and practice nurses' knowledge, attitudes, and confidence regarding dementia rehabilitation. Methods: The training, led by two experienced GPs and an academic physiotherapist, covered dementia diagnosis, allied health roles, care planning, and referrals. The follow-up involved applying the learnt material and completing a reflective task. Three longitudinal surveys (Dementia Knowledge Assessment Scale - DKAS, General Practitioners’ Attitudes and Confidence towards Dementia Survey - GPACS-D, and Dementia Rehabilitation Scale) and Likert-scale statements were conducted pre-course, post-course, and at 4-month follow-up, alongside a focus group. Descriptive and regression analyses were applied to survey data, and content analysis was used for focus group data. Results: Seventeen participants (14 GPs, 3 nurses) completed the pre-post course survey, with eight (6 GPs, 2 nurses) participating in follow-up and focus group discussions. Post-course, DKAS scores increased by 12.1%, GPACS-D by 10.1%, and the dementia rehabilitation scale by 9.4%. Likert-scale statements improved by 8-79%. At the four-month follow-up, there was a slight, non-significant decline in most measures. Focus groups highlighted the training’s impacts, useful components, barriers, and suggestions for improvement. Conclusion: Training GPs and practice nurses in dementia rehabilitation enhances knowledge, awareness, and confidence. Ongoing efforts are needed to sustain benefits and address referral barriers for better access to dementia rehabilitation services.

It is vital to analyze ship collision risk for preventing collisions and improving safety at sea. This paper takes Ningbo-Zhoushan Port, a typical complex navigable water, as the research object, propose a probabilistic conflict detection method to estimate the potential collision risk by using a dynamic domain model driven by AIS data. Combined with the algorithm of fast modularity optimization and spectral clustering, a ship group extraction method from the perspective of water navigation management was proposed. Aiming at ship traffic characteristics in complex navigable waters, conduct dynamic calculation of ship collision risk from individual, regional and local multi-scale perspectives. The results show that the proposed method can detect the collision risk in a timely, reliable and effective manner under complex dynamic conditions. As such, they provide valuable insights for ship collision risk prediction and the development of risk mitigation measures.

Background: Obesity remains a widely debated issue, often criticized for the limitations in its identification and classification. This study aims to compare two distinct systems for classifying obesity: Body Mass Index (BMI) and body fat percentage (BFP) as assessed by bioelectrical impedance analysis (BIA). By examining these measures, the study seeks to clarify how different metrics of body composition influence the identification of obesity-related risk factors. Methods: The study enrolled 1255 adults, comprising 471 males and 784 females, with a mean age of 36 ± 11.90 years. Participants exhibited varying degrees of weight status, including optimal weight, overweight, and obesity. Body composition analysis was conducted using the TANITA Body Composition Analyzer BC-418 MA III device (T5896, Tokyo, Japan), evaluating the following parameters: current weight, basal metabolic rate (BMR), adipose tissue (%), muscle mass (%), and hydration status (%). Results: Age and psychological factors like cravings, fatigue, stress, and compulsive eating were significant predictors of obesity in the BMI model but not in the BFP model. Additionally, having a family history of diabetes was protective in the BMI model (OR: 0.33) but increased risk in the BFP model (OR: 1.66). The BMI model demonstrates exceptional predictive ability (AUC=0.998). In contrast, the BFP model, while still performing well, exhibits a lower AUC (0.975), indicating slightly reduced discriminative power compared to the BMI model. Conclusions:BMI classification demonstrates superior predictive accuracy, specificity, and sensitivity. This suggests that BMI remains a more reliable measure for identifying obesity-related risk factors compared to the BFP model.

As the aging of the world accelerates, clarifying the relationship between cultural differences and ageism is an urgent issue. Therefore, in this study, we conducted a correlation analysis between the six cultural scales of Hofstede et al. [1] and the objective and subjective ageism scales calculated from data on 35,232 people from 31 countries included in the World Values Survey Wave 6 by Inglehart et al. [2]. The results of a partial correlation analysis controlling for economic and demographic factors showed that power distance (PDI) and indulgence versus restraint (IVR) are positively and negatively correlated with ageism, respectively. This is the first study to show that these two cultural scales that previous studies have not paid much attention to are related to ageism.

Potentially, traditional medicine is used to manage multidrug resistance (MDR) bacterial infections. This study determined the antioxidant and antibacterial activities of Thymus schimperi (Ts), Rhamnus prinoides (Rp) and Justicia schimperiana (Js) from Addis Ababa against MDR-Uropathogenic Bacteria. Hydromethanolic extracts were prepared. Quantitative determination of phytochemicals and DPPH, ABTS and FRAP assays for antioxidant activities were carried out. In vitro, antibacterial activity and minimum inhibitory concentration (MIC) were performed. Ts had the highest total phenolic (TPC), flavonoid (TFC) and proanthocyanidin content. GC-MS analyses identified 14 bioactive-compounds: in Ts extract, with hexanedioic acid, bis(2-ethylhexyl) ester, thymol, and o-cymen-5-ol being the most predominant, respectively; in Rp extract (6 compounds; hexanedioic acid, bis(2-ethylhexyl) ester, β-D-glucopyranoside, methyl and desulphosinigrin respectively); and in Js extract (5 bioactive-compounds: hexanedioic acid, mono (2-ethylhexyl) ester, debrisoquine, and 8,11,14-heptadecatrienoate, methyl ester) being predominant, respectively. The extracts' TPC showed a strong negative correlation with the DPPH assay (r= -0.999; p=0.023), while its TFC correlated significantly with the ABTS assay (r=0.999; p= 0.032). Ts showed the highest antibacterial activity against clinical isolates of Escherichia coli and Klebsiella pneumoniae ESBL at 1000 mg/mL, and TS had the lowest MIC (4 mg/mL) among evaluated extracts against E. coli (ATCC25922). In conclusion, Ts and Rp showed activity against patient-isolated MDR-uropathogenic E. coli and K. pneumoniae ESBL.

The clinical application of collagen-based biomaterials is expanding rapidly, especially in tissue engineering and cosmetics. While oral supplements and injectable skin boosters are popular for enhancing skin health, clinical evidence supporting their effectiveness remains limited. Injectable products show potential in revitalizing skin, but safety concerns persist due to challenges in sterilization and the risk of biological contamination. Traditional methods of sterilization (heat and irradiation) can denature collagen. This study addresses these issues by introducing a novel technique: double filtration and low-temperature steam sterilization of a collagen gel. In vitro tests document sterility and confirm that the collagen structure remained intact without modification. An in vivo study found no adverse effects in rats or significant lesions at the implantation site over 13 weeks. These results suggest that this novel method to process collagen gels is a safe and effective skin booster. Advanced processing methods are likely to mitigate safety risks associated with injectable collagen products, though further research is needed to validate their biological effectiveness and clinical benefits.

Regular exercise has been shown to have a positive effect on the health outcomes of individuals with Type-2 diabetes mellitus (T2DM), however, it is still underutilised in developing countries. This study investigated diabetes-related knowledge, attitudes, and practice toward exercise and its benefits among individuals with T2DM. A total of one hundred and ninety-nine participants (male= 21.6% and female= 78.4%) with T2DM, aged between 18- 75, 43.77 (SD ±14.78) years participated in the study. A validated diabetes-related knowledge, attitude, and practice questionnaire, evaluated by true/false or unsure was utilised in the study. Descriptive and inferential statistics analysis was used to analyze data with the significance set at p<0. The study results demonstrated significantly poor diabetes-related knowledge of exercise (p<0.001). The majority of the study participants 163 (81.90%) with T2DM did not know that physical activity and exercise are different. Regarding the attitude of the individuals with T2DM, 158 (70.40%) of the study participants felt that their regular work was an adequate substitution for exercise. More than 50% of the study participants demonstrated a positive practice towards exercise and its benefits towards T2DM (p<0.001). The study revealed that participants’ knowledge and attitudes were poor towards exercise and its benefits, but their practice was good.

Traditional terrain analysis has relied on Digital Topographic Maps produced by national agencies and Digital Elevation Model (DEM) created using Airborne LiDAR. However, these methods have significant drawbacks, including the difficulty in acquiring data at the desired time and precision, as well as high costs. Recently, advancements and miniaturization in LiDAR technology have enabled its integration with Unmanned Aerial Vehicle (UAV), allowing for the collection of highly precise terrain data. This approach combines the advantages of conventional UAV photogrammetry with the flexibility of obtaining data at specific times and locations, facilitating a wider range of studies. Despite these advancements, the application of UAV LiDAR in terrain analysis remains underexplored. This study aims to assess the utility of UAV LiDAR for terrain analysis by focusing on the doline features within karst landscapes. In this study, we analyzed doline terrain using three types of data: 1:5000 scale digital topographic maps provided by the National Geographic Information Institute (NGII) of Korea, Digital Surface Models (DSM) obtained through UAV photogrammetry, and DEM) acquired via UAV LiDAR surveys. The analysis results indicated that UAV LiDAR provided the most precise three-dimensional spatial information for the entire study site, yielding the most detailed analysis outcomes. These findings suggest that UAV LiDAR can be utilized to represent terrain features with greater precision in the future which is expected to be highly useful not only for generating contours but also for conducting more detailed topographic analyses, such as calculating area and slope of the study sites.

Prevalence estimates of Parkinson’s disease (PD) – the fastest growing neurodegenerative disease – are underestimated due to issues surrounding diagnostic accuracy, symptomatic undiagnosed cases, suboptimal prodromal monitoring, and limited screening access. Remotely monitored wearable devices and sensors provide precise, objective, and frequent measures of motor and non-motor symptoms. Here, we used consumer-grade wearable device and sensor data from the WATCH-PD study to develop a PD screening tool aimed at eliminating gaps between patient symptoms and diagnosis. Early-stage PD (n=82) and age-matched comparison (n=50) participants completed a multidomain assessment battery during a one-year longitudinal multicenter study. Using disease- and behavior-relevant feature engineering and multivariate machine learning modeling of early-stage PD status, we developed a highly accurate (92.3%), sensitive (90.0%), and specific (100%) Random Forest classification model (AUC=0.92) that performed well across environmental contexts. These findings provide robust support for further exploring consumer-grade wearable devices and sensors for global population-wide PD screening and surveillance.

Background: The Advanced Lung Cancer Inflammation Index (ALI) is a novel, comprehensive index that integrates inflammation and nutritional status, incorporating parameters such as albumin, body mass index (BMI), and the neutrophil-to-lymphocyte ratio (NLR). Unlike traditional inflammation biomarkers, this study aims to evaluate the prognosis of IPF patients by considering both inflammation and nutritional status. Method: A total of 102 patients with IPF were included in the study. Clinical data were obtained from the patients' medical records. NLR and ALI score were calculated based on data collected at the initiation of antifibrotic treatment using the following formula: Neut/Lym and albumin × BMI / NLR. Results: IPF subject subgroups in terms of ALI based on gender–age–physiology (GAP) stages (1,2,3), FVC (median split,