Background: Research has consistently shown increased drug use among lesbian, gay, bisexual, transgender, intersex, queer/questioning, and asexual (LGBTQIA+) individuals. This is particularly the case among LGBTQIA+ adolescents. Substance use within this vulnerable community can propagate mental health issues leading to psychiatric disorders, self-harm and even suicide. Therefore, the objective of this scoping review was to evaluate the determinants of drug use among LGBTQIA+ adolescents. Methods: A comprehensive search of mainly primary research was conducted using several databases. Peer-reviewed articles published between 2018 and 2023 were included. The scoping review was conducted using the framework outlined by Joanna Briggs Institute (JBI) and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses- Extension for Scoping Reviews (PRISMA-ScR) statement. Results: A total of 29 articles (including 400194 participants) were included in the analysis. The articles reported that the main determinants of drug use among LGBTQIA+ adolescents include homelessness, peer-peer interactions, mental health, and protective factors. The articles reported that mental health issues, which are mainly triggered by rejection, were the main determinants of drug use among LGBTOIA+ adolescents. Conclusion: Findings from this scoping review provide relatively reliable evidence that homelessness, mental health, peer-peer interactions, and protective factors are the main determinants of illicit drug use among LGBTQ+ adolescents. Rigorous studies that include large sample sizes, and systematic reviews are needed to further confirm these findings and assist in developing interventions to combat the unusually high level of drug use among this group.

The apparel manufacturing industry's growth over recent decades has heightened concerns about its environmental impact, including resource use, energy and water consumption, waste generation, chemical disposal, and greenhouse gas emissions. Companies have responded by initiating environmental actions and enhancing legitimacy through environmental disclosures. This study examines the nature of these disclosures among Sri Lankan apparel manufacturing companies to understand corporate priorities and identify areas for reporting improvement. Publicly available data from web pages and standalone reports were analyzed using content analysis. Findings indicate that only 23% of registered companies disclose environmental performance, while 60% of key industry players provide higher levels of transparency. Disclosures cover greenhouse gas emissions, carbon footprint, renewable energy, energy and water use, waste management, biodiversity, and environmental certifications. Key players offer detailed information on specific areas like carbon footprint, energy use, and waste management. This study highlights the need for more comprehensive and transparent environmental reporting to promote sustainable practices within the Sri Lankan apparel industry.

Depression is one of the most prevalent mental disorders worldwide. This study examined the effect of a spiritual connectivity intervention on individuals with depression in a randomized waitlist control trial. Fifty-seven participants with mild or moderate depressive symptoms were randomly assigned to either the intervention group (n=28) or the waitlist control group (n=29). The intervention comprised eight weekly sessions focusing on divine connection, forgiveness and freedom, suffering and transcendence, hope, gratitude, and relapse prevention. The outcome measures included depressive symptoms, anxiety, hope, meaning in life, self-esteem, and social support. Participants completed self-administered questionnaires at baseline (week 0), post-intervention (week 8), and at a 3-month follow-up (week 20). Repeated-measures ANOVA and one-way ANCOVA were used to compare the within-group and between-group differences in the changes in outcome variables. Participants in the intervention group showed significant improvements in depression, anxiety, spiritual experience, hope, self-esteem, and perceived social support after the intervention. Effect size statistics showed small to large differences (Cohen’s d, 0.308 to -1.452). Moreover, 85.71% of participants in the intervention group also experienced clinically significant reductions in PHQ-9 scores from baseline to immediate post-intervention. This study highlights the effectiveness of a low-cost, accessible intervention suitable for community implementation by clergy and faith-based organizations.

Two new species of free-living nematode, Metachromadora parobscura sp. nov. and Molgolaimus longicaudatus sp. nov., from mangrove wetlands of Beihai, Guangxi province in China, are described. Metachromadora parobscura sp. nov. is characterized by eight longitudinal rows of somatic setae arranged from the posterior part of the body, loop-shaped amphidial foveae with an open top and double contours, pharynx with bipartite cuticularized internal cavity, spicules with well-developed capitulum, gubernaculum extended ventrally to support spicule, 6-8 precloacal tubular supplements, and short, conical tail with two protuberances. Molgolaimus longicaudatus sp. nov. is characterized by short cephalic setae, relatively small amphidial fovea, ventrally bent spicules with pronounced hamose curved proximal terminus, two undulate precloacal supplements, and relatively long conico-cylindrical tail. Nearly full-length SSU sequences of the two species were provided, and phylogenetic tree based on maximum likelihood analyses supported the taxonomic position of the two new species. Combined use of traditional morphology-based taxonomy and molecular technology would be a good choice for identification of free-living nematodes.

While digital libraries offer essential benefits for the digital age such as constant availability and accessibility, they often fail in providing a similarly enjoyable browsing experience that benefits engagement and serendipitous exploration inherent to traditional library experiences. In this paper, we propose a virtual reality (VR) library environment that emulates a traditional library promoting an engaging browsing experience that benefits browsing enjoyment and serendipity. The implemented system uses procedural content generation to dynamically generate a library-like environment, wherein each room corresponds to a specific category of the digital library. To assess the usability of the implemented system, we conducted an A/B study comparing the VR environment with the web interface of Project Gutenberg. The results of the study suggest that while the physical demand for using the VR environment is higher, the system can significantly benefit the browsing experience and entice users’ curiosity. Furthermore, the study suggests that the system can increase user engagement and users generally felt that using the system was rewarding.

The Impact of Event Scale-Revised (IES-R) is the most popular measure of post-traumatic stress disorder (PTSD), which has been recently validated in Arabic. This instrumental study aimed to determine optimal cutoff scores of the IES-R and its subscales in Arab samples of psychiatric patients (N = 168, 70.8% females) and healthy adults (N = 992, 62.7% females) from Saudi Arabia during the COVID-19 pandemic as an ongoing collective traumatic event. Based on a cutoff score of 14 of the Depression Anxiety Stress Scale 8-items (DASS-8), receiver operator curve (ROC) analysis revealed two optimal points of 39.5 and 30.5 for the IES-R in the samples (area under the curve (AUC) = 0.86 & 0.91, p values = 0.001, 95% CI: 0.80-0.92 & 0.87 to 0.94, sensitivity = 0.85 & 0.87, specificity = 0.73 & 0.83, Youden index = 0.58 & 0.70, respectively). Different cutoffs were detected for the six subscales of the IES-R, with numbing and avoidance expressing the lowest predictivity for distress. Meanwhile, hyperarousal followed by the irritability expressed stronger predictive capacity for distress than all subscales in both samples. In path analysis, pandemic-related irritability resulted from direct and indirect effects of key PTSD symptoms (intrusion, hyperarousal, and numbing). Irritability contributed to traumatic symptoms of sleep disturbance in both samples while the opposite was not true. The findings suggest usefulness of the IES-R at a score of 30.5 for detecting adults prone to trauma related distress, with higher scores needed for screening in psychiatric patients. Various PTSD symptoms may induce dysphoric mood, which represents a considerable burden that may induce circadian misalignment and more noxious psychiatric problems/ co-morbidities (sleep disturbance) in both healthy and diseased groups.

Schizoaffective disorder and its classification have always been a topic of discrepancy among researchers. The overlapping presentations of schizoaffective disorder, schizophrenia and psychotic bipolar disorder makes it difficult to classify and diagnose. This study is a narrative review of literatures and genetic and epidemiological research evidences, done to determine the similarities and differences between schizoaffective and psychotic bipolar disorder. Beginning from the introduction of schizoaffective disorder as "schizoaffective psychosis" by Kasanin in 1933, various researchers have proposed different views regarding the diagnosis and classifications for schizoaffective disorder. DSM-III considered schizoaffective disorder as a diagnosis of exclusion as it fails to fit the definite diagnostic criteria of schizophrenia, major affective disorders, or schizophreniform disorder. DSM-V updated the criteria of schizoaffective disorder and stated it as a life time illness rather than being an episodic disorder as in DSM-IV and hence is more reliable. However, some studies show that schizoaffective disorder patients are more like schizophrenia than mood disorder. It still remains unclear whether schizoaffective disorder is a heterogenous disease, a form of schizophrenia, a form of mood disorder or a midpoint in the continuation spectrum of schizophrenia and psychotic bipolar disease.

Indigenous Peoples in Canada have shown great strength and resilience in maintaining their cultures and ways of life to date in the face of settler colonialism. Centering the water crises within Indigenous sovereignty and self-determination, we explore the impacts these crises are having on community members. Particularly, the continuous failure of the Canadian government to end the water crises in remote Indigenous communities, Star Blanket Cree Nation, is investigated in this paper. What implications have these water governance gaps had on Indigenous Peoples’ sovereignty and self-determination? We adopted an Indigenist theoretical framework to guide the study. Additionally, a community-based participatory research approach was adopted. To achieve our research goals of investigating the implications of the current water crises for Indigenous sovereignty and self-determination, specific methods of sharing circles were used to gather knowledge from community members, Elders, and knowledge keepers. The research findings strongly highlight the strength and resilience shown by remote Indigenous communities in the face of the current water crises and continuous government failure. Solving the current water crises will involve remote Indigenous communities taking charge of their own water governance through Indigenous-led water governance systems. Additionally, taking steps to rebuild trust through genuine reconciliation will be key. Therefore, listening to remote Indigenous communities and taking collaborative action is fundamental.

The pollution of the bays in Abidjan is a major concern for the Ivorian policy makers. In fact, the pollution of the bays induce high costs to the society while impacting population health dramatically. As a result, pollution reduction management of production activities has been undertaken in the Cocody Bay area. To our knowledge, no study has yet proposed a model to evaluate the cost-effectiveness of these pollution management strategies. A cost-effectiveness model, based on Monte Carlo simulation, was developed to assess the economic and environmental impacts of various scenarios characterized by a set of production practices, both in the short term and in the long term. The authors discuss the steps and input parameters of the model presented. The proposed model may serve as the basis for identifying an optimal production scenario defined as the scenario with the best incremental cost-effectiveness ratio considering a willingness to pay (WTP) threshold. The WTP, to be estimated based on the gross domestic product of Côte d’Ivoire, represents the opportunity costs associated with selecting the optimal scenario. The current framework can also be applied to other settings facing similar challenge.

The combination of medical imaging and deep learning has significantly improved diagnostic and prognostic capabilities in the healthcare domain. Nevertheless, the inherent complexity of deep learning models poses challenges in understanding their decision-making processes. Interpretability and visualization techniques have emerged as crucial tools to unravel the black-box nature of these models, providing insights into their inner workings and enhancing trust in their predictions. This survey paper comprehensively examines various interpretation and visualization techniques applied to deep learning models in medical imaging. The paper reviews methodologies, discusses their applications, and evaluates their effectiveness in enhancing the interpretability, reliability, and clinical relevance of deep learning models in medical image analysis.

Global growth and sustainability highly depend upon the output of industries, corporations, governments, and non-governmental organisations requiring comprehensive energy transition in the face of a worldwide crisis demanding carbon neutralisation. The carbon neutralisation challenges required for energy transition could be overcome by detailed surveying, recording and the analysis of the carbon dioxide emissions. It is crucial to study innovative materials like metal-organic frameworks for their transdisciplinary applications towards carbon capture to have a sustainable strategy to capture harmful emissions. In addition, the CO₂ solubility, adsorption and absorption capacity, and several reinforcing characteristics and factors for carbon dioxide capture using MOFs are discussed in detail. Further, for various multidisciplinary applications towards commercialisation, MOFs solubility, adsorption and absorption parameters were considered. Moreover, the essential organic qualities of MOFs and their organo-derivatives are considerably elaborated. Overall, to align with the current sustainable development goals, it is significant that carbon dioxide emissions must be reduced along with its capture in a scientific manner. Relevant projections for carbon capture through MOFs have been reviewed industrially and universally in alignment with the United Nations Sustainable Development Goals (UNSDGs).

It is unclear whether delayed access to treatment/health assessment impacted psychological distress for these populations. This study aimed to fill this literature gap by using a cross-sectional survey, which aimed to evaluate the impact of COVID-19 pandemic on Chinese immigrants in North America during the second wave of the pandemic. The study focused on Chinese immigrants aged 16 or older in Canada. Covariates included sociodemographic variables, delayed access to treatment/health assessment, and other COVID-19 related variables. We used logistic LASSO regression for model selection and multivariate logistic regression models to evaluate the association between delayed access to treatment/health assessment and psychological distress outcome. Missing data were handled using multiple imputation. Our study included 746 respondents, with 47.18% normal CPDI group and 36.82% mild to severe CPDI group. Most respondents were originally from Mainland China and residing in Ontario. Over half have stayed in Canada for at least 15 years. The multivariate logistic regression models unveiled a significantly positive association between psychological distress and delayed access to treatment/health assessment (OR=1.362, 95% CI: 1.078–1.720, p= 0.0095), fear of COVID-19 (OR=1.604, 95% CI: 1.293–1.989, p<.0001), social loneliness (OR=1.408, 95%CI: 1.314–1.508, p<.0001). Sociodemographic variables and other COVID-19 related-variates did not significantly impact the study’s outcome. Reliable health information, mental health supports, and virtual care tailored to immigrants should be considered to mitigate this impact and optimize overall health and well-being.

In this work, we consider the properties of the two-term Machin-like formula and develop an algorithm for computing digits of π by using its rational approximation. In this approximation, both terms are constructed by using a representation of 1/π in the binary form. This approach provides the squared convergence in computing digits of π without any trigonometric functions and surd numbers. The Mathematica codes showing some examples are presented.

Graphene quantum dots (GQDs) have garnered significant attention in recent years due to their unique properties and promising applications in various fields such as electronics, optoelectronics, bioimaging, and sensing. The synthesis of GQDs is a critical step in harnessing their potential, and numerous methods have been developed to produce GQDs with specific properties. This review provides an overview of the different techniques employed for synthesizing GQDs, including top-down and bottom-up approaches. Furthermore, it discusses the advantages, limitations, and potential applications of each method, offering insights into the future direction of GQD synthesis research.

Formidable and often seemingly insurmountable conceptual, technical, and methodological challenges hamper the measurement of oxidative stress in humans. For instance, fraught and flawed methods, such as the thiobarbituric acid reactive substances assay kits for lipid peroxidation, rate-limit progress. To advance translational redox research, we present ten comprehensive “cheat codes” for measuring oxidative stress in humans. The cheat codes include analytical approaches to assess reactive oxygen species, antioxidants, biomarkers of oxidative damage and redox regulation. They provide essential conceptual, technical, and methodological information inclusive of curated “do” and “don’t” guidelines. Given the biochemical complexity of oxidative stress, we present a research question-grounded decision tree guide for selecting the most appropriate cheat code (s) to implement in a prospective human experiment. Worked examples demonstrate the benefits of the decision tree-based cheat code selection tool. The ten cheat codes define an invaluable resource for measuring oxidative stress in humans.

An important issue concerning the inspection of the technical condition of electrical power components and systems is thermal imaging investigation. This paper presents how the thermograms obtained from these measurements should be interpreted correctly according different standards and how operators should react when a specific anomaly is detected. It is also a review article in which all currently applicable international standards are referred to. The motivation of the article relates to the fact that these standards seems to be too general and not cover all practical situations even though in many countries thermal imaging diagnostics of overhead lines or overhead outdoor and indoor power stations has been used for years on the basis of industry standards or good practices. The purpose of writing this article is precisely to encourage and provoke the global community of metrologists, scientists and engineers involved in thermographic measurements to discuss, strengthen efforts and establish relevant international standards for the interpretation of thermograms containing the relevant temperature anomalies.

Network centrality analyses have proven successful in identifying important nodes in diverse host-pathogen interactomes. The current study presents a comprehensive investigation of the human interactome and SARS-CoV-2 host targets. We first constructed a comprehensive human interactome by compiling experimentally validated protein-protein interactions (PPIs) from eight distinct sources. Additionally, we compiled a comprehensive list of 1,449 SARS-CoV-2 host proteins and analyzed their interactions within the human interactome, which identified enriched biological processes and pathways. Seven diverse topological features were employed to reveal the enrichment of SARS-CoV-2 targets in the human interactome, with Load centrality emerging as the most effective metric. Furthermore, a novel approach called CentralityCosDist was employed to predict SARS-CoV-2 targets, which proved effective in expanding the pool of predicted targets. Pathway enrichment analyses further elucidated the functional roles and potential mechanisms associated with predicted targets. Overall, this study provides valuable insights into the complex interplay between SARS-CoV-2 and the host cellular machinery, contributing to a deeper understanding of viral infection and immune response modulation.

The aim of the study was to examine the long-term prognostic value of changes in cardio-ankle vascular index (CAVI) within a year after coronary artery bypass grafting (CABG). Methods. Patients with coronary artery disease (n = 251) in whom cardio-ankle vascular index (CAVI) was assessed using the VaSera VS-1000 device before and in a year after CABG. Groups with improved CAVI (CAVI decreased from pathological value to normal or the index remained within normal values) or worsened CAVI (persistent pathological index value or an increase in CAVI to pathological values or an increase of 1 unit or more) were identified. The groups were compared for the following events at 10-year follow-up: death from all causes, myocardial infarction, stroke/transient ischemic attack, and the combined endpoint. Results. A year after CABG surgery, 45% of patients showed positive dynamics or stable normal CAVI values. Death from all causes was significantly more common in the group with CAVI progression - 32 (27.6%) than in the group with CAVI improvement - 14 (14.8%; p = 0.029). Patients with CAVI progression were more likely to have MACE (death, MI, stroke/TIA) in 49 (42.2%) cases, compared with patients with CAVI improvement - in 23 (24.5%; p=0.008). Negative dynamics of CAVI (p = 0.024), number of shunts (p = 0.006), and the presence of carotid stenosis more than 30% (p = 0.051) were independent predictors of death from all causes at 10-year follow-up after CABG. The presence of carotid stenosis more than 30% (p = 0.002) and the group with negative dynamics of CAVI after a year (p = 0.008) were independent predictors of the development of the combined endpoint during long-term follow-up. Conclusions. Patients with negative dynamics of CAVI one year after CABG were more likely to experience death from all causes and combined endpoint in the long-term follow-up than patients with normal CAVI. In further studies, it is advisable to evaluate the dynamics of CAVI and, based on this, identify the most effective interventions to improve the prognosis of patients after CABG.

Among natural disasters, earthquakes have a considerable impact and are among the ten deadliest, with an extreme impact on the healthcare sector. This study aimed to analyze best practices in nursing care for earthquake victims. An in-depth analysis was carried out by using a scoping review, a method used in accordance with the PRISMA-ScR recommendations to identify best nursing practice in these circumstances based on searches of eight databases: MEDLINE via PubMed; Cochrane Library; Embase; VHL; PDQ-Evidence; Scopus; ProQuest; Google Scholar. Twenty-one studies were selected. The nursing practices identified were grouped into two distinct dimensions, each subdivided into four subcategories: (i) care practices: a) immediate care, b) intermediate care, psychosocial care and d) ethical care; (ii) care management and coordination practices, which cover (a) care coordination, (b) victim care network organization, (c) teamwork and (d) training. By analyzing these nursing practices during care and relief operations for earthquake victims, this study identified the various actions carried out, the nursing skills to be developed and the reinforcement of these advanced practices through the systematization of nurses’ skills, in order to promote victims’ rehabilitation, minimize their suffering and improving their quality of life during and after an earthquake.

Inherent in every Active Magnetic Bearing (AMB) are differences between the expected geometric axes and the actual magnetic axes due to a combination of discrepancies, including physical variation from manufacturing tolerances and misalignment from mechanical assembly, fringing and leakage effects, as well as variations in magnetic material properties within a single AMB. A method is presented here for locating the magnetic axes of an AMB that will facilitate the accurate characterization of the bearing air gaps for potential improvement in field tuning, performance analyses and certain shaft force measurement techniques. This paper presents an extension of the application of the bias current perturbation method for the determination of the magnetic center [4] to the determination of magnetic axes for the further development of accurate current-based force measurement techniques [1].

Predicting electricity prices is a very important issue in modern society, because the associated decision process under uncertainty requires accurate forecasts for the economic agents involved. In this paper, we apply the decision tree extension of Random Forests to the prediction of electricity prices in Spain, but with the novelty of modeling prices jointly with demand, with the purpose of achieving greater accuracy than with univariate response Random Forests, particularly in price prediction, as well as understanding the effect of the input variables (lagged values of price and demand, current production levels of available energy sources) on the joint of the two outputs. The results are very encouraging, providing significant increase in price prediction accuracy. Also, interesting methodological challenges appear as far as the appropriate choice of the relative weights of price and demand in the joint modeling is concerned and a new procedure to provide the importance variable ranking is proposed. The partykit (package of R software) library allowing for multivariate Random Forests has been used.

Management of sarcomas in specialist centers delivers significant benefits. In much of the world specialists are not available and development of expertise is identified as a major need. However the terms ‘specialist’ or ‘expert’ center are rarely defined. Our objective is to offer a definition for patient advocates and a tool for healthcare providers to underpin improving the care of people with sarcoma. SPAGN developed a discussion paper for a workshop at the SPAGN 2023 Conference, attended by 75 delegates. A presentation to the Connective Tissue Oncology Society (CTOS) and further discussion led to this paper. Core Principles were identified that underlie specialist sarcoma care. The primary principle is the multi-disciplinary team discussing every patient, at first diagnosis and during treatment. Principles for optimal sarcoma management include accurate diagnosis followed by safe, high-quality treatment, with curative intent. These Principles are supplemented by Features describing areas of healthcare, professional involvement, and service provision and identifying further research and development needs. These allow for variations because of national or local policies and budgets. We propose the term ‘Sarcoma Intelligent Specialist Network’ to recognize expertise wherever it is found in the world. This provides a base for further discussion and local refinement.

The silos built in the 1930s for Italy’s ammasso (obligatory grain stockpile) stood as powerful symbols of the country’s fascist era. Many of them were destroyed in World War II; only a few remain today, and recent demolitions underscore the urgency of their preservation. This study adapts a methodology developed for inventorying Spanish silos based on their general features, construction, technological facilities, and socioeconomic aspects and applies it to the 30 remaining ammasso silos. These silos are located in grain-producing areas near communication routes and are mostly owned by agricultural consortia. Over half of them are disused and in disrepair. All of them have machinery for receiving, storing, and dispatching grain, and most have equipment for cleaning, sorting, weighing, and packaging if needed. These structures are part of Italy’s agro-industrial heritage and should be protected. Some have been made over into commercial spaces, leisure areas, museums, and even homes. Vertical-cell silos are challenging to convert, unlike horizontally-oriented silos and other open-plan agro-industrial buildings. Examples of silo reuse in other countries, such as Spain and Portugal, can offer useful insights for the ammasso silos. However, socio-economic indicators suggest that such projects are most viable in large population centres.

Myalgic Encephalomyelitis, also known as Chronic Fatigue Syndrome (ME/CFS) and Long COVID are characterized by debilitating post-exertional malaise and other core symptoms related to immune dysregulation resultant from post-viral infection, including mitochondrial dysfunction, chronic neuroinflammation and gut dysbiosis. The reported associations between altered microbiota composition and cardinal symptoms of ME/CFS and Long COVID, suggesting that use of microbial preparations, such as probiotics, by restoring the homeostasis of the brain-immune-gut axis may help in the management of symptoms in both conditions. Therefore, this review aims to investigate the implications of alerted gut microbiome and assess the evidence supporting use of microbial-based preparations, including probiotics, synbiotics, postbiotics alone and/or in combination with other nutraceuticals in the management of fatigue, inflammation, as well as neuropsychiatric and gastrointestinal symptoms among patients with ME/CFS and Long COVID.

This study establishes life cycle assessment model to quantitively evaluate and predict material resource consumption, fossil energy consumption and environmental emissions of plug-in hybrid electric vehicles (PHEVs) by employing the GaBi software. the envi-ronmental impact of different vehicle working conditions, power battery degradation scenarios and mileage scenarios on the operation and use stage of PHEV, BEV and HEV is distinguished. The findings indicate that under urban, highway, and aggressive driving conditions, PHEVs' life cycle material resource and fossil fuel consumption exceed that of BEVs but are less than HEVs. Battery degradation leads to increased material resource consumption, energy use, and environmental emissions for both PHEVs and BEVs, en-vironmental emission of BEVs are more sensitive than those of PHEVs to the impact of power battery degradation. Among different-mileage scenarios, PHEVs demonstrate the least sensitivity to increased mileage regarding life cycle material resource consumption, with the smallest increase. Future projections for 2025 and 2035 suggest life cycle GWP of HEV, PHEV and BEV in 2035 is 1.21×104, 1.12×104 and 1.01×104 kg CO2-eq respectively, which is decreased by 48.7%, 30.9% and 36.1% compared with those in 2025. The out-comes of this study are intended to bolster data support for the manufacturing and de-velopment of PHEV, BEV and HEV under different scenarios and offer insights into the growth and technological progression of the automotive sector.

The viticulture sector, spanning over 7.3 million hectares worldwide, plays a crucial economic role but faces challenges such as labor shortages, rising production costs, market competition, and climate change stresses. Addressing these issues requires monitoring the spatial and temporal variability in vineyard productivity. Traditional ground-based observations, though accurate, are time-consuming and limited in scope. Precision viticulture, leveraging technologies like GPS, remote sensing, and artificial intelligence, offers efficient, non-destructive monitoring tools. This study aims to develop and test a technological workflow using the mobile app Digivit, integrated with the AgroSat platform, to estimate yield variability in vineyards. The workflow was performed during the 2023 growing season in a series of vineyards near Siena (Italy) and involved two main steps: spatial variability characterization using AgroSat and yield estimation using the mobile Digivit app. AgroSat processed Sentinel-2 NDVI data to identify homogeneous zones, while Digivit used smartphone images of grape clusters to estimate yields. The field campaign, performed three weeks before harvest, involved monitoring representative vines within identified zones and uploading georeferenced images for cluster segmentation analysis. Yield estimates were validated against measured weights, showing a strong linear correlation (R²=0.85, RMSE=43.74g). Excluding one outlier improved correlation to R²=0.95, RMSE=14.58g. Vineyard-level yield predictions were compared with harvest data, achieving an overall error of approximately 7%, in agreement with other methods in the literature. The study demonstrates that the Digivit app provides accurate, timely yield prediction, supporting farmers in harvest planning and winemaking management. The user-friendly mobile app approach facilitates a broader adoption of precision viticulture technologies among farmers, overcoming barriers related to technical expertise.

The accurate identification of bacterial infections is critical for effective treatment in intensive care units (ICUs), yet current diagnostic methods face limitations in sensitivity and specificity, along-side cost and accessibility issues. Consequently, there's a pressing need for a marker that is economically feasible, rapid, and reliable. Presepsin (PSP), also known as soluble CD14 subtype (sCD14-ST), has emerged as a promising biomarker for early sepsis diagnosis. PSP, derived from soluble CD14, reflects the activation of monocytes/macrophages in response to bacterial infec-tions. It has shown potential as a marker of cellular immune response activation against patho-gens, with plasma concentrations increasing during bacterial infections and decreasing post-antibiotic treatment. Unlike traditional markers such as procalcitonin (PCT) and C-reactive protein (CRP), PSP specifically indicates monocyte/macrophage activation in bacterial infections. While limited studies in critical illness have explored PSP's role in sepsis, its diagnostic accuracy varies with threshold values, impacting sensitivity and specificity. Recent meta-analyses suggest PSP's diagnostic potential for sepsis, yet its standalone effectiveness in ICU infection management remains uncertain. This review provides a comprehensive overview of PSP's utility in ICU set-tings, including its diagnostic accuracy, prognostic value, therapeutic implications, challenges, and future directions.

Urban sprawl is recognized as one of the most critical drivers disrupting the functional integrity of rural and natural landscapes. A systematic multiscale study has yet to be conducted to measure the Megalopolis of Mexico City's regional extent, comprising ca. 23 million inhabitants. This paper investigates land cover, land use, vegetation and soil changes at macro-regional, regional, local and site scales. Land cover/use data from the 1970s and 2018 were used as the primary input to analyze changes using remote sensing and geographical information systems. At the local scale, fieldwork data from the 1970s, 1990s, and 2020 served as the primary input and were subjected to multivariate analyses. At site scale, soils profiles and hydrological balance analyses at micro-basin level were conducted. Furthermore, social perception of changes was investigated among local residents/stakeholders using semi-structured interviews with four communities. Outcomes were validated to reach 85 percent accuracy in cartographic and 95 % statistical outputs. At the regional scale, land-use changes, especially human settlements, increased from about four to almost 40 % between 1970 and 2018 , with significant incursion into rural landscapes. At the local scale, analyses revealed significant decline in predominantly cold-humid vegetation types and conversion of agricultural fields into peri-urban landscapes. Site scale revealed the predominant importance of soils as the core landscape component for water infiltration and carbon sequestration. Nested multi-scale analyses revealed different disrupting processes which are hidden at one scale and evident at another. Poorly implemented, disconnected urban and environmental policies prevail as the main driving force, with implications for the weak local governance of rural communities. Regional integrated analyses are discussed in light of the relevance of urban resilience theory.

Despite their limited spatial extent, freshwater ecosystems host remarkable biodiversity, including one third of all vertebrate species. This biodiversity is declining dramatically: globally, wetlands are vanishing three times faster than forests and freshwater vertebrate populations have fallen more than twice as steeply as terrestrial or marine populations. Threats to freshwater biodiversity are well- documented but co-ordinated action to reverse this decline is lacking. We present an Emergency Recovery Plan to “bend the curve” of freshwater biodiversity loss. Priorities for action include: 1) accelerating implementation of environmental flows, 2) improving water quality, 3) protecting and restoring critical habitats, 4) managing exploitation of freshwater species and riverine aggregates, 5) preventing and controlling non-native species invasions, and 6) safeguarding and restoring river connectivity. We recommend revised targets and indicators for the Convention on Biological Diversity and the Sustainable Development Goals, and investment in enabling conditions at national, river basin and local scales.

In ocean engineering, accurate and efficient numerical simulations are crucial. Leveraging axisymmetry vastly enhances the efficiency of a simulation, reducing a three-dimensional scenario to a two-dimensional simulation. Exploiting axisymmetry enables a significant reduction in computational demand while maintaining simulation fidelity. In this paper, axisymmetry is leveraged to perform a large ensemble of simulations, in order to evaluate and maximise the accuracy and efficiency of a Computational Fluid Dynamics (CFD) simulation. In particular, the free decay motion and wave radiation from a heaving semi-submerged sphere are simulated, using the Reynolds Averaged Navier Stokes (RANS) solver, interFOAM, in the opensource finite volume CFD software OpenFOAM. Validated against highly accurate experimental data, extensive parametric studies are conducted, previously limited by computational constraints, which facilitate the refinement of simulation setups. More than 50 iterations of the same heaving sphere simulation are performed, informing efficient trade-offs between computational cost and accuracy across various simulation parameters and mesh configurations. Ultimately, by employing axisymmetry, this research contributes to the development of more accurate and efficient numerical modeling in ocean engineering.

Microencapsulation by atomization can be used to minimize the loss of bioactive compounds, improving the characteristics and applicability of the powdered product. This study evaluates the effect of different encapsulating agents (maltodextrin, gum arabic, and chitosan) and three spray nozzle diameters (1.0, 1.2, and 1.5 mm) on the atomization of guavira (Campomanesia adamantium) pulp with added 6% bocaiuva (Acrocomia aculeata) dehydrated pulp in the green maturation stage. The experiment followed a simplex-centroid mixed design, with carrier agent concentrations and spray nozzle diameters as independent variables and powder yield, solubility, hygroscopicity, and vitamin C content as dependent variables. The results show that gum arabica increased powder yield and vitamin C retention. The addition of maltodextrin resulted in powders with increased solubility and low hygroscopicity. Furthermore, the optimization tool indicated that the best process conditions were achieved with the addition of gum arabic (10.8%) and chitosan (7.2%), resulting in powders with 29.48% yield, 82.96% solubility, 15.90% hygroscopicity and 741.11 mg/100g vitamin C. Furthermore, the 1.0 mm diameter spray nozzle was considered the most suitable for obtaining guavira pulp microparticles with higher ascorbic acid content.

Malaria remains an important and challenging infectious disease, and novel antimalarials are required. Benzyl isothiocyanate (BITC), the main breakdown product of benzyl glucosinolate, is present in all parts of Tropaeolum majus L. (T. majus) and has antibacterial and antiparasitic activities. To our knowledge, there is no information on the effects of BITC against malaria. The present study evaluates the antimalarial activity of BITC and T. majus seeds, leaves, and stems aqueous extracts. We used flow cytometry to calculate the growth inhibition (GI) percentage of the extracts and BITC against unsynchronized cultures of chloroquine-susceptible Plasmodium falciparum (P. falciparum) 3D7-GFP strain. Extracts and/or compounds with at least 70% GI were validated by IC50 estimation against P. falciparum 3D7-GFP and Dd2 (chloroquine-resistant strain) unsynchronized cultures by flow cytometry, and the resistance index (RI) was determined. T. majus aqueous extracts showed some antimalarial activity higher in seeds than in leaves or stems. BITC’s GI was comparable to chloroquine’s. BITC’s IC50 was similar in both strains, thus a cross-resistance absence with aminoquinolines was found (RI < 1). BITC presented features that could open new avenues for malaria drug discovery.

The Internet of Things (IoT) has a growing presence in society's daily lives. These lightweight devices can be easily deployed and maintained, enabling extensive adoption in different environments. Furthermore, one of the most promising areas for using IoT devices is healthcare, comprising devices referred to as the Internet of Medical Things (IoMT). Several examples of healthcare services are supported by IoMT devices, e.g., continuous health monitoring. Conversely, there is an increasing concern with the cybersecurity aspects of these devices, and several attacks against IoT infrastructures have been launched in the past few years. These cybersecurity concerns also apply to healthcare applications, where the tradeoff between the benefits and security of IoMT devices must be observed. Given the complexity and amount of data IoMT network traffic generates, advanced methods become especially useful in these environments. Although Machine Learning (ML) brings various techniques and solutions to improve cyberattack detection, prevention, and mitigation, essential features are not addressed in the current state-of-the-art benchmark dataset contributions. Thereupon, the main goal of this research is to propose a realistic benchmark dataset to enable the development and evaluation of IoMT security solutions. In order to accomplish this, 18 attacks were executed against an IoMT testbed composed of 40 IoMT devices (25 real devices and 15 simulated devices), considering the plurality of protocols used in healthcare (e.g., Wi-Fi, MQTT, and Bluetooth). These attacks are categorized into five classes: DDoS, DoS, Recon, MQTT, and spoofing. This effort aims to establish a baseline complementary to the state-of-the-art contributions. The outcome supports researchers in investigating and developing new solutions to make healthcare systems more secure using different mechanisms (e.g., machine learning - ML). This research goes beyond merely conducting attacks on IoMT devices. We also attempt to capture the lifecycle of these devices in different vital phases, from the moment they join the network until they leave, which is called profiling. Profiling allows the different classifiers to identify anomalies of each device individually in the healthcare network. The CICIoMT2024 dataset has been published on CIC's dataset page, making it available for other researchers to use.

Sarcopenia, characterized by the progressive loss of muscle mass and strength, poses significant risks to physical health, leading to a reduced quality of life (QoL), increased disability, and higher mortality rates among older adults. Early detection and intervention are crucial to prevent the cascading effects of sarcopenia, including falls, fractures, and hospitalization. This study determined an optimal cut-off point of the SarQoL® score that can serve as an effective screening tool among community-dwelling Korean older adults. The study involved 451 South Korean older adults, assessing the correlation between SarQoL® scores and sarcopenia as defined by the Asian Working Group for Sarcopenia (AWGS) criteria. Participants completed the Korean version of the SarQoL questionnaire. Findings revealed that individuals diagnosed with sarcopenia had significantly lower SarQoL® scores compared to non-sarcopenic participants, with a cut-off score of ≤ 58.5 providing good diagnostic accuracy (AUC = 0.768, sensitivity = 69.3%, specificity = 75.2%). These results underscore the questionnaire’s reliability and validity in screening for sarcopenia-related QoL impairment and its potential utility as a clinical tool. Implementing the SarQoL® in routine assessments could improve clinical outcomes by enabling earlier and more precise identification of sarcopenia.

This paper develops an understanding of False Performance as a negative form of workplace behaviour which has received scant attention. According to the quantitative literature, which measures False Performance using the Organisational Charlatan Scale (OCS), false performers are incompetent employees who deliberately portray themselves as better able to perform in a job role than they know themselves to be capable. In this study, False Performance was explored in United Kingdom public sector organisations for the first time, using novel focus group methodology and grounded theory. Eight focus groups (n=51) were conducted to explore employees’ perceptions and experiences of False Performance, with a focus on job interviews and performance appraisals. Using NVivo for analysis, five categories emerged: Co-Worker Perceptions of False Performance in the Workplace, False Performance in Interview/Appraisal Settings, The Impact of Trust on the False Performer, The Effect of False Performance on Co-Worker Morale, and Preventing False Performance in the Workplace. The results support the literature review that False Performance is a new and negative addition to the taxonomies of job performance. Human Resources (HR) managers are, therefore, urged to prevent and reduce False Performance via well-designed selection processes and performance appraisals, thereby improving co-worker trust amongst employees.

In analogy with entanglement in physics, the concept of entanglement has been developed in mathematics as a symmetry to build upon as a tool to study 'proximity' relations between different number sequences and series in a unifying way. Examples of entanglement are shown. A general algorithm for detecting entangled sequences/series is given in the appendix. The novelty of this paper is to propose the concept of entanglement as a tool to study different sequences and se-ries-series phenomena. To enable useful treatment suggested by Poincaré.

Tongqi - women married to men who have sex with men (MSM) – from rural China encountered multi stigma with their male partners, family, community, local bureaucracies, and national laws, such as the hukou system, form a complex tapestry of life. The analysis navigates through various dimensions of stigma, reflecting systematically on their mutual implications. Social structures, including class and gender, shape societal norms and behaviors. This study explores the under-researched influence of social interaction, community relationships, and macrostructural factors contributing to the enacted stigma experienced by Tongqi Data collected from 59 rural Tongqi, 11 of whom contracted human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDs), reveals the significant role of extended kinship networks and macrostructural elements, such as hukou (household registration) and government officers, in shaping the stigma faced by Tongqi. The importance of village-level lineage structures and dynamics highlights how these lineage relationships, interwoven with gender practices, contribute to the enacted stigma, physical and psychological health, and well-being of Tongqi. These include mental health, post-traumatic stress, depression, functional impairment, and permanent disability. Others include reproductive health, unwanted pregnancies, sexually transmitted infections (STIs), and pregnancy complications.

Background and Objective: To examine the effect of ordered subset expectation maximization (OSEM) parameters on the quantitative image quality of cardiac SPECT images in two different frequently used SPECT cameras and determine the optimal settings for producing images of best diagnostic quality. Another objective was to assess if different cameras produced a significant change in optimal parameters and levels of detectability. Methods: The optimization of OSEM iterative reconstruction algorithm was carried out by comparing image quality metrics, namely, contrast-to-noise ratio (CNR) and defect contrast across 12 OSEM subset-iteration combinations to find the best choice for cardiac perfusion SPECT images. Eight frames were reconstructed using the SIMIND Monte Carlo Simulation package. An activity of 370 MBq (10mCi) and projection acquisition interval of 20 seconds per projection were used. Attenuation (AC) and scatter corrections (SC) were performed in this study for all images. Results: The 16-2 subset-iteration combination yielded the highest CNR and defect contrast values for both cameras. The difference between CNR values for two cameras was found to be around 5% only. Conclusions: Monte Carlo simulations can be useful to investigate how quantitative image quality behaves with respect to reconstruction parameters and correction algorithms in a controlled environment. The found optimum is similar to values reported in previous findings. In this study, the use of different camera brands did not affect the optimum. The quantitative detectability measures were also very similar.

A prime number is a natural number with no divisors other than itself and the number 1. There are many unsolved problems related to prime numbers. One such problem is finding a general method for identifying prime numbers. Although it is known that all prime numbers fall under the categories of 2, 3, or 6n±1 (where n≥1), a formalized method for eliminating composite numbers (non-prime numbers) from these categories has yet to be developed. This paper aims to explore a possible method for such elimination, which involves checking whether there exists an n that satisfies n = 6km+k+m or n = 6km+k-m (where k and m are non-zero integers). This method is expected to be a major step forward in the derivation of prime numbers.

For the World Health Organization, and specifically for the International Coordination Committee, the need to bring forward discussions on non-clinical trials in human models, such as vaccine trials in pregnant women, with the aim of demonstrating immunity in newborns, has been addressed. This literature review seeks to investigate the relationship between mothers and newborns in terms of the transfer of IgG antibodies against SARS-CoV-2. Most of the literary evidence shows that the substantial transfer of transplacental and lactational antibodies to infants confers protection even when the baby is exposed to the disease. However, accurate and conclusive evidence on the safety and efficacy of COVID-19 vaccines during pregnancy will be a key factor in facilitating the decision-making process for pregnant women to ensure the safety of mother and baby.

This study investigates the impact of integrating ChatGPT on the academic writing performance and engagement of English as a Foreign Language (EFL) undergraduate students in Delhi, India, during the first semester of the academic year 2024/2025. It addresses the challenges within the Indian education system by exploring the effectiveness of AI-driven writing tools in enhancing writing skills and motivation among EFL learners. Employing a mixed-methods approach, the research evaluates ChatGPT's influence on 32 EFL Indian undergraduate students through draft revisions, questionnaires, and interviews. The findings highlight ChatGPT's positive impact on writing quality, engagement levels, and immediate feedback appreciation, emphasizing its potential in improving writing instruction and student outcomes in EFL contexts. Recommendations are provided for practitioners to integrate ChatGPT in writing exercises and for researchers to conduct longitudinal studies and explore ethical considerations in AI use for educational purposes, ultimately contributing to enhanced EFL education and technology-mediated learning.

Spatiotemporal variations of sediments transported along rivers play a crucial role in a wide spectrum of uses, such as navigation, recreation, habitats or hydropower production. The advancement in technology has made it possible to use various indirect techniques to study and evaluate the transport of suspended sediment in fluvial environments. To investigate large-scale phenomena, remote sensing is becoming a largely utilized approach, as it allows to combine spatially-distributed and local information. Dam-induced sediment reduction occurs in large and small rivers worldwide, having profound implications on the fluvial systems. However, the systematic change of suspended sediment concentration (SSC) and its dynamic processes are not well known, and generally investigated only at the very local scale using field information. In this work, SSC maps were created by combining satellite images with local monitoring SSC data, using the Zhijiang -Chenglingji reach of the Changjiang River (China) as a case study, and analyzing how SSC dynamics changed over the period 2017-2022 in correspondence of extreme events. Multiple relationships between measured SSC and bands reflectance were tested, showing the potential of the best-performing one (R2=0.43) in mapping SSC spatiotemporal variations over an extent of dozens of kilometres, eventually providing new insights into the SSC dynamics at hotspots of the river systems, such as confluence zones, barriers, and reservoirs.

Premalignant lesions in the bronchial epithelium represent early stages of squamous cell lung carcinoma, challenging to detect with conventional methods. While previous studies have focused on gene expression, here we examine transcriptomic alterations associated with lesion development with the emphasis on protein-coding transcripts. We reanalyzed publicly available RNAseq dataset on airway epithelial cells from 82 smokers with and without premalignant lesions. Transcript abundances were quantified using kallisto, and differential expression and transcript usage analysis was conducted using the sleuth and RATs packages. Functional characterization included overrepresentation analysis (clusterProfiler), weighted co-expression network analysis (WGCNA), and network analysis (Enrichr-KG). We detected 5,906 differentially expressed transcripts, with significant enrichment in pathways related to oxidative phosphorylation and mitochondrial function. Transcript-level WGCNA identified single module correlated with dysplasia status, enriched in cilium-related biological processes. Analysis of hubs within this module highlighted key genes including RABL2B, DNAH1, EFHC1 and VWA3A, and revealed transcription factors such as FOXJ1 and ZNF474 as potential regulators. Our findings underscore the value of transcript-level analysis in uncovering novel insights into premalignant lesion biology. By examining transcripts rather than genes, we identified potential biomarkers associated with early lung carcinogenesis.

Immune-cell reprogramming driven by mitochondria-derived reactive electrophilic immunometabolites (mt-REMs—e.g., fumarate, itaconate) is an emerging phenomenon of major biomedical importance. Despite their localized production, mt-REMs elicit significantly-large local and global footprints within and across cells, through mechanisms involving electrophile signaling. Burgeoning efforts are being put into profiling mt-REMs’ potential protein-targets and phenotypic mapping of their multifaceted inflammatory behaviors. Yet, precision indexing of mt-REMs’ first-responders with spatiotemporal intelligence and locale-specific function assignments remains elusive. Highlighting the latest advances and overarching challenges, this perspective aims to stimulate thoughts and spur interdisciplinary innovations to address these unmet chemical-biotechnological needs at therapeutic immuno-signaling frontiers.

The rise in both the frequency of natural disasters and the ubiquity of artificial intelligence has led to novel applications of new technologies in improving disaster response processes, such as the labor-intensive assessment of disaster damages. Assessment of residential and commercial structure damages, a precursory step to government agencies being able to provide most of their financial assistance, has benefited from aerial and satellite imagery-based computer vision models; however, limitations of using such imagery include the ground structures being obscured by clouds or smoke, as well as the lack of resolution to distinguish individual structures from others. Using a different data source, we propose a damage severity classification model using ground-level imagery, focusing on residential structures damaged by wildfires. This classifier, a Vision Transformer (ViT) model trained on over 18,000 professionally labeled images of damaged homes from the 2020-2022 California wildfires, has achieved an accuracy score of over 95%. Further, we have open sourced the training dataset–the first of its kind and scale–as well as built a publicly available web application prototype, which we demoed to and received feedback from disaster response officials, both of which further contribute to the broader literature beyond the proposed model.

Caudal regression syndrome (CRS) is a congenital abnormality characterized by an incomplete development of the spinal cord (SC) and other abnormalities. We studied a 9-months old CRS child presenting: interruption of SC at L2-L3 level, sacral agenesis, lack of innervation of the inferior limbs (flaccid paraplegia) and neurogenic bladder and bowel. Given the effects of growth hormone (GH) on the proliferation, differentiation and migration of neural stem cells (NSCs), we treated him with GH and rehabilitation, trying to induce the recovery of main sequelae. GMFM-88 test score was 12.31%. After a blood analysis, GH treatment (0.3 mg/day, 5 days/week, 3 months and then 15 days without GH) and rehabilitation commenced. This protocol was followed during 5 years, being the last GH dose 1 mg/day. Blood analysis and physical exams were performed every 3 months initially and every 6 months later. Six months after commencing the treatment GMFM-88 score increased to 39.48%. Responses to sensitive stimuli appeared in most of the territories explored; 18 months later sensitive innervation was complete and the patient moved any muscle over the knees and controlled his sphincters. Three years later he walked with the help of canes, there was plantar flexion and GMFM-88 score was 78.48%. In summary, GH plus rehabilitation may be useful for innervating distal territories, below the level of the incomplete spinal cord in CRS. Most likely, GH acts on ependymal SC NSCs, as the hormone does in the neurogenic niches in the brain.

Perfluoroalkyl and polyfluoroalkyl substances (PFAS) are persistent environmental contaminants of emerging concern, recognized for their toxicity and potential carcinogenic properties. PFAS chemicals are reported to act as endocrine disruptors through their interactions with various nuclear receptors (NRs). Despite their significant impact, comprehensive screenings and detailed analyses of PFAS binding strengths at both the orthosteric and allosteric sites of NRs are currently lacking in the literature. Our study addresses this gap by focusing on the binding interaction analysis of both common and uncommon PFAS with key nuclear receptors such as the vitamin D receptor (VDR), peroxisome proliferator-activated receptor gamma (PPARγ), pregnane X receptor (PXR), and estrogen receptor alpha (ERα). We used advanced docking simulations to screen 9,507 PFAS chemicals at the orthosteric and allosteric sites of the PPARγ, PXR, VDR, and ERα. We verified the accuracy of our docking protocol through multiple docking procedures and validations. The python code used for PFAS chemical screening is deposited in the supplementary file. Among the PFAS assessed at the orthosteric site of the VDR, 21 demonstrated similar binding affinities compared to the calcitriol, while 130 PFAS, exhibited stronger binding affinities than calcitriol. At the VDR allosteric site, where lithocholic acid (LCA) natively binds, 412 PFAS matched the binding energies of LCA, and 2,229 showed even greater binding energies. Similar testing on the PXR, PPARγ, and ERα revealed that the orthosteric site of PPARγ had 1,863 PFAS binding with a higher affinity than native ligand ET1 and 693 PFAS binding at the allosteric site with greater affinity than T35 native ligand. At the PXR orthosteric site, 650 PFAS bound with a greater affinity than native ligand 4WH, while at the allosteric site, 9,148 PFAS demonstrated a greater binding affinity than the known allosetric ligand glycerol. At the orthosteric site of ERα, 40 PFAS displayed binding with a greater affinity than the native ligand estradiol and at the allosteric site, only 8 PFAS exhibited greater binding affinity than coactivator ligand SRC-1. Further, our mixture modeling analysis indicates that PFAS can bind in various combinations with themselves and with endogenous or native ligands simultaneously, to disrupt the endocrine system and cause carcinogenic responses. These findings reveal that PFAS can interfere with nuclear receptor activity by displacing endogenous or native ligands by binding to the orthosteric and allosteric sites. This study elucidates the mechanisms through which PFAS exert their endocrine-disrupting effects, potentially leading to more targeted environmental regulations and therapeutic strategies. Importantly, this study is the first to explore the binding of PFAS at allosteric sites and to model PFAS mixtures at nuclear receptors. Given the high concentration and persistence of PFAS in humans, this study called for the urgent need for further research into the carcinogenic mechanisms of PFAS and the development of intervention strategies that target nuclear receptors. Our ongoing studies extend these findings by further investigating the interactions of PFAS and co-exposed chemicals with nuclear receptors. These investigations are supported by experimental verification, which will enhance our understanding of PFAS broad effects and aid in the design of effective mitigation strategies.

Coronavirus disease-19 (COVID-19) has disproportionately affected certain demographics in England, exacerbating existing health disparities. Effective therapeutics are a critical line of defence against COVID-19, particularly for patients at elevated risk for severe disease. Surveillance systems were established to monitor usage of COVID-19 therapeutics in hospital and community settings and inform stewardship. Three antiviral therapies: nirmatrelvir plus ritonavir (Paxlovid®), remdesivir (Veklury®), and molnupiravir (Lagevrio®); and two neutralising monoclonal antibody therapies (nMAbs): sotrovimab (Xevudy®) and casirivimab with imdevimab (Ronapreve®); were in use in England between July 2020 to April 2023. This paper aims to illuminate trends in the utilisation of COVID-19 therapeutics treatment in both hospital and community settings, stratified by the Index of Multiple Deprivation (IMD) in England. Chapter 3 of the English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) report 2022 to 2023 also discusses the epidemiological surveillance of these five directly-acting antiviral COVID-19 therapeutics use in England between 2022 to 2023.

Oral bone defects occur as a result of trauma, cancer, infections, periodontal diseases, and caries. Autogenic and allogenic grafts are the gold standard used to treat and regenerate damaged or defective bone segments. However, these materials do not possess the antimicrobial properties necessary to inhibit the invasion of the numerous deleterious pathogens present in the oral microbiota. In the present study poly(ε-caprolactone) (PCL), nano-hydroxyapatite (nHAp), and a commercial extract of Humulus lupulus L. (hops) were electrospun into polymeric matrices to assess their po-tential for drug delivery and bone regeneration. The fabricated matrices were analyzed by scanning electron microscopy (SEM), tensile analysis, thermogravimetric analysis (TGA), FT-IR assay, and in vitro hydrolytic degradation. The antimi-crobial properties were evaluated against the oral pathogens Streptococcus mutans, Porphyromonas gingivalis, and Aggregatibacter actinomycetemcomitans. The cytocompatibility was proved by the MTT assay. SEM analysis proved the nanostructured matrices have suitable fiber size. The present research provides new information about the interaction of natural compounds with ceramic and polymeric biomaterials. The hop extract and other natural or synthetic medicinal agents can be effectively loaded into PCL fibers and has the potential to be used in biomedical applications.

Anxiety is a multifactorial pathology associated with oxidative stress and changes in different neurotransmitters in the central nervous system (CNS). Sarcomphalus joazeiro (Rhamnaceae) has a predicted effect on the CNS, being considered an alternative for pre-clinical investigations of anxiolytic drugs. The objective of this study is to evaluate the chemical composition, analyze the antioxidant capacity and the anxiolytic effect of the ethanolic extract of S. joazeiro leaves (EEFSJ) in zebrafish. The chemical profile was analyzed by liquid chromatography coupled to mass spectrometry (UPLC-PDA-ESI-QDA). Antioxidant action by DPPH• elimination and ABTS•⁺ capture assays. The 96 h acute toxicity and open field and light and dark tests, for sedative and anxiolytic evaluation, respectively, were applied in vivo, using zebrafish. It was possible to identify 11 compounds from the flavonoid and saponin class. EEFSJ exhibited a mean inhibitory concentration (IC50) of 185.2 ± 2.2 µg/mL and 74.17 ± 1.5 µg/mL against the DPPH• and ABTS•⁺ radicals, respectively. In vivo, EEFSJ demonstrated reduced locomotor activity and an anxiolytic effect similar to diazepam via GABAergic systems, without presenting toxicity within 96 h. These results suggest the safety of using EEFSJ for the development of clinical trials for the production of new anxiolytic drugs.

: We report the case of a 2-year-old Norwegian Forest cat diagnosed with pulmonary edema and pulmonary hypertension (PH) secondary to cor triatriatum sinister, who showed improved breathing following furosemide treatment. Sildenafil was prescribed post-discharge without diuretic. Thirty-eight days later, no abnormalities were observed in the septum or accessory chamber of the left atrium; however, continuous mosaic blood flow (maximum velocity, 3.14 m/s) was observed in two enlarged pulmonary veins. Pulmonary artery enlargement (main pulmonary artery to thoracic aorta ratio: 1.90), pulmonary vein stenosis (PVS), and diffuse bilateral ground-glass lung opacities were observed using computed tomography. PH with partial PVS and pulmonary parenchymal disease was diagnosed. The cat was further treated with furosemide with no clinical symptoms, but succumbed to acute dyspnea 51 days after the first visit. PH, despite partial PVS, may also be associated with concurrent parenchymal lung disease. Sildenafil can worsen pulmonary edema in the affected lung but did not in this case.

Underwater natural gas pipelines constitute critical infrastructure for energy transportation. Any damage or leakage in these pipelines poses serious security risks, directly threatening marine and lake ecosystems and potentially causing operational issues and economic losses in the energy supply chain. Due to the difficulty in detecting deterioration over time and regularly inspecting these submerged pipelines by divers, the use of unmanned underwater vehicles (UUVs) becomes crucial in this field. In this study, an underwater pipeline tracking experiment was carried out by providing autonomous features to a remote-controlled unmanned underwater vehicle. During the tracking of the underwater pipeline, damages were identified, and the locations of these damages were determined. The navigation information of the underwater vehicle, including orientation in the x, y, z axes (roll, pitch, yaw) from a gyroscope integrated with magnetic compass, speed and position information in the three axes from an accelerometer, and the distance to the water surface from a pressure sensor, was integrated into the vehicle. Pre-tests determined the necessary pulse width modulation values for the thrusters of the vehicle, enabling autonomous operation by providing these values as input to the thruster motors. In this study, the vehicle moves in 3D was achived by the vertical thruster of the vehicle was activated to maintain a specific depth, and applying equal force to the vehicle’s right and left thrusters forward movement, while differential force induced deviation angles. In pool experiments, the unmanned underwater vehicle autonomously tracked the pipeline as intended, identifying damages on the pipeline using images captured by the vehicle's camera. The images for damage assessment were processed using a convolution neural network (CNN) algorithm, which is a deep learning method. The position of the damage relative to the vehicle was estimated from the pixel dimensions of the identified damage. The location of the damage relative to its starting point was obtained by combining these two positional pieces of information from the vehicle's navigation system. The all study was performed within the Python environment.

Alzheimer’s disease (AD) poses a significant public health challenge due to its irreversible and progressive nature while lack of a cure. As a potential strategy to combat AD, its prevention becomes increasingly attractive. Mild Cognitive Impairment due to AD (MCI-AD) represents a critical transitional stage between normal age-related cognitive decline and more severe AD conditions, occurring just before dementia onset. Unfortunately, there is currently no established animal model that accurately recapitulates MCI-AD characteristics. While many laboratories have traditionally used normally aged wild-type animals as experimental models, this approach falls short in representing the inherently worse state of MCI-AD compared to normal aging. To address this gap, we introduce an animal model—a transgenic mouse line with genetic inactivation of G protein-coupled receptor kinase-5 (GRK5), commonly known as the GRK5 knockout (GRK5KO) mouse. These GRK5KO mice exhibit amnesia, cognitive deficits, increased β-amyloid levels, neurofibrillary tangle (NFT) immunopositive axonopathy, and hippocampal neurodegenerative changes. Importantly, these pathological alterations predominantly impact the entorhinal, transentorhinal, and hippocampal cortices, aligning with human MCI-AD criteria and Braak stage II of human AD progression. Notably, female GRK5KO mice show approximately 2.5 times more NFT-positive axonopathy than males, mirroring the higher prevalence of AD cases in women. Collectively, existing data strongly supports the GRK5KO mouse as a qualified animal model for studying MCI-AD.

Urbanization and climate change have increased the need for stormwater management and nature-based solutions. Decisions made at project level impact the emergence of systemic traits of the stormwater network and the functionality of the catchment areas in urban planning. To that end, it is vital to introduce the decision-making tools for analyzing both the utilities and amenities of nature-based solutions (NBS) to increase their adoption to reduce the peak loads in the stormwater system, and to that end, mitigate the impacts of climate change. This paper demonstrates a workflow using drone-based photogrammetry, 3D modeling, and simulation software to generate visual and functional models assisting in informed decision-making in the design of stormwater systems as functional landscape architecture. Using aerial data from drones and modeled design solutions, the proposed workflow simulates rain events, infiltration, evaporation, water flow, and accumulation of stormwater in a way that allows the visual and quantified analysis of detailed landscape architecture designs. The paper provides an example of a rooftop site simulation demonstrating the infiltration and flow of water to the drainage. The visual decision-making method provided can aid in investment decisions for functional landscape design in support of stormwater management.

This study harnesses the potential of artificial intelligence (AI) focusing on machine learning (ML) to improve decision-making in advanced engineering education. The onset of the COVID-19 pandemic compelled a swift transformation in higher education methodologies, particularly in the domain of course modality. This study aims to align institutional decisions with student and faculty preferences in the face of rapid changes in instructional approaches, particularly learning styles, theoretical, practical, and theoretical-practical, prompted by the COVID-19 pandemic. To ascertain the preferences of students and instructors regarding class modalities across various courses, we utilized the Cognitive Process-Embedded Systems and E-learning conceptual framework. This framework effectively delineates the task execution process within the scope of technology-enhanced learning environments for both students and instructors. This study was conducted in seven Iranian universities and their STEM departments, examining their preferences for different learning styles. After analyzing the variables by different feature selection methods, we used three ML methods—decision trees (DT), support vector machines (SVM), and random forest (RF)—for comparative analysis. The results demonstrated the high performance of the RF model in predicting curriculum style preferences, making it a powerful decision-making tool in the evolving post-COVID educational landscape. This study not only demonstrates the effectiveness of ML in predicting educational preferences but also contributes to understanding the role of self-regulated learning in educational policy and decision-making in higher education.

Despite inclusive design focusing on improving environmental accessibility for mobility aid (MA) users, it often fails to ensure true inclusivity due to mismatches between interventions and user perceptions. Therefore, understanding mobility aids users' perceptions of inclusivity is essential for advancing disability studies and design, as it highlights key interventions for more effective practices. This study aims to explore perceived inclusivity in MAs usage and identifies gaps in users' needs, classifying their needs and offering recommendations to meet them. First, the DARE-Inclusive Design Framework was used to develop interview guidelines and interpret results. Next, semi-structured, in-depth interviews were conducted with 12 experienced physiotherapists in Iran, and finally, an inductive thematic analysis was used to identify and present themes. Four themes were identified: 1. Perceived Financial Value: Assessing Worth, 2. Objective Enhancements: Optimizing Environments and MAs, 3. Subjective Enhancements: Trustworthiness, Support, and Hope, and 4. Contextual Factors: Interpretations and Representations. The four interconnected themes provide guidelines for inclusivity-oriented interventions, emphasizing financial assessment, high-tech integration, and aesthetic and symbolic considerations in mobility aid design. Physiotherapists can also mediate emotional responses and enhance inclusion during rehabilitation. Additionally, social context and disability etiology impact users' acceptance and use of MAs.

Standard ANNs lack flexibility when handling corrupted input due to their fixed structure. Spiking Neural Networks (SNNs) can utilize biological temporal coding features, such as noise-induced stochastic resonance and dynamical synapses to increase a model’s performance when its parameters are not optimized for a given input. Using the analog XOR task as a simplified Convolutional Neural Network analog, this paper demonstrates two key results: (1) SNNs solve the problem linearly inseparable in ANN with over 10% improvement in the optimal setting, and (2) in SNNs, the synaptic noise and dynamical synapses compensate for non-optimal parameters, achieving near-optimal results.

Quantum chemical topology addresses the study of the chemical structure by applying the tools of differential topology to scalar and vector fields obtained by quantum mechanics. Here the magnetically induced isotropically averaged Lorentz force density has been computed and topologically analysed for 11 small molecules. Critical points (attractors, repellers and saddles) have been determined and trajectories connecting the attractors have been computed. It is shown that kinds and numbers of the critical points are rather transferable in similar molecules. CC bonds of different order are endowed with critical points of different kind close to their centre. The long range behaviour of the force allows understanding the value of the sum of topological indices of the isolated critical points.

In this study the distribution of heavy metal in the agricultural soils in the vicinity of 3 large mine-landfills around Kizhnica mine in Kosovo was investigated. The mining sector is one of the most important sectors of the economic development of Kosovo. The Kizhnica mine is one of the main ore producers in Kosovo. In addition to the positive aspects of production development it has its own side effects such as: industrial waste and the possibility of contamination of sur-rounding areas including the agricultural lands in the surrounding region. Ten sampling sites close to the Kizhnica mining complex were selected. These sampling sites have been characterized and evaluated as the most critical points, due to the anthropogenic influences of the discharge of industrial water from mining flotation and open tailing dumps in the Kizhnica. Concentration of Pb, Zn, Cu, As, Cd, Ni, Mn and Sb in selected samples was carried out by inductively coupled plasma–optical emission spectrometry (ICP–OES). Obtained data were used in order to generate geochemical maps and for calculatation the contamination factor (CF), pollution load index (PLI) and geo-accumulation index (Igeo). The statistical clustering analysis (CA), Pearson correlation coefficient (r) and air spatial distribution patterns using AERMOD View-Gaussian air dispersion model are used to perform evaluation within the area. The results demonstrated higher contents of the heavy metals in the vicinity of the mining area. It may be concluded that the heavy metal contents are impacted by anthropogenic nature of the contamination that confirms a current eco-logical threat of the mining activities in the region. Finally, a paper proposes the potential reas-signment of the deposed waste material into different combinations in construction in order to enhance the waste management and reduce the continued risk to: residents, lands and all living beings in the region.

High-Level Synthesis (HLS) tools have revolutionized FPGA application development by providing a more efficient and streamlined approach, significantly impacting digital design methodologies. Despite the capability of FPGAs to customize numerical representations in data paths, most HLS projects have focused on fixed-point precision, while floating-point representations remain limited to vendor-provided single, double, and half-precision formats. This paper proposes a customized floating-point library compatible with HLS to address these limitations. This library allows programmers to define the number of exponent and mantissa bits at compile time, providing greater flexibility and enabling the use of mixed precision. Moreover, this library includes optimized implementations of common components such as vector summation (VSUM), dot-product (DP), and matrix-vector multiplication (MVM). Results demonstrate that the proposed library reduces latency and resource utilization compared to vendor IP blocks, particularly in VSUM, DP, and MVM operations. For example, the MVM operation involving a 32x32 matrix, using vendor IP requires 22 clock cycles, whereas CuFP completes the same task in just 7 clock cycles, using approximately 60% fewer DSPs, 10% fewer LUTs, and 60% fewer FFs.

This study investigated the magnitude and direction of inter-limb asymmetry in 21 professional female sepak takraw players across several task-specific tests. Five inter-limb asymmetry assessments were employed: unilateral countermovement jump (Uni-CMJ), bilateral countermovement jump (Bi-CMJ), single leg hop (SLH), triple hop test (THOP), and isokinetic concentric peak torque of the knee flexors and extensors at 60 deg/sec-1, 120 deg/sec-1 and 180 deg/sec-1 angular velocities. A “true” inter-limb asymmetry was only observed for Uni-CMJ jump height (16.62%) and THOP distance (6.09%). Kappa coefficients demonstrated fair agreement in the direction of asymmetry between the Uni-CMJ and Bi-CMJ tests for jump height (Kappa = 26.67), but only slight agreement for peak force (Kappa = 0.11), propulsive impulse (Kappa = -0.12) and eccentric impulse (Kappa = -0.14), respectively. Fair agreement was observed between the SLH and THOP (Kappa = 0.32). Slight to moderate agreement was found for concentric peak torque across angular velocities for the knee extensors (Kappa = 0.08 to 0.48) while fair to nearly perfect agreement was noted for the knee flexors (Kappa = 0.31 to 1). The Uni-CMJ and THOP are most sensitive to detect between-limb asymmetries in female sepak takraw players. However, given the inconsistency in asymmetry direction across tests, monitoring asymmetry direction is crucial for conditioning.

Many advanced technologies have been employed in the high performance active matrix displays including liquid crystal displays, organic light emitting diode displays, and micro light emitting diode displays. On the other side, there have existed the strong demand on the cost reduction and it is one of low cost schemes to integrate the driver circuit in a panel based on thin film transistor technologies. This paper reviews overall concept, operation principles, and various circuit approaches in shift registers for the scanning pulse generation. In addition, it deals with the implementation of additional functionalities in gate drivers to support pixel compensation, multi-line driving, in-cell capacitive touch screen, pixel sensing, and adaptive scanning region control.

Salmonella sp. is a globally prevalent organism responsible for causing salmonellosis, a foodborne illness. Salmonella Typhimurium represents a type of Salmonella sp. not associated with typhoid fever but capable of causing stomach and intestinal inflammation or severe infection. In the present study, 150 uncharacterized proteins of S. Typhimurium were randomly selected from UniProtKB and analyzed using TMHMM, PROSITE, STRING, DEG, and BLASTp. Results indicated that 32 uncharacterized proteins (21%) were predicted to be transmembrane proteins involved in various biological pathways. Among them, 30 transmembrane proteins were predicted to be essential and non-host homologous. This study's findings suggest their potential as drug targets against salmonellosis.

Paracetamol, also known as acetaminophen, is one of the most widely used over-the-counter analgesics and antipyretics globally. While generally considered safe when used as directed, excessive or prolonged use of paracetamol can lead to adverse effects on various organ systems within the human body. This comprehensive review explores the physiological mechanisms underlying paracetamol toxicity, its effects on different organs, risk factors for overdose, diagnostic methods, and potential management strategies.

The widespread availability of tools to collect and share spatial data enables us to produce a large amount of geographic information on a daily basis. This enormous production of spatial data requires scalable data management systems. Geospatial architectures have changed from clusters to cloud architectures and more parallel and distributed processing platforms to be able to tackle these challenges. Peer-to-peer (P2P) systems as a backbone of distributed systems have been established in several application areas such as web3, blockchains, and crypto-currencies. Unlike centralized systems, data storage in P2P networks is distributed across network nodes, providing scalability and no single point of failure. However, managing and processing queries on these networks has always been challenging. In this work, we propose a spatio-temporal indexing data structure, DSTree. DSTree does not require additional Distributed Hash Trees (DHT) to perform multi-dimensional range queries. Inserting a piece of new geographic information updates only a portion of the tree structure and does not impact the entire graph of the data. For example, for time-series data, such as storing sensor data, the DSTree performs better. Despite the advantages of our proposed framework, challenges remain. We conclude that more significant research effort from GIScience and related fields in developing decentralized applications is needed. The need for the standardization of different geographic information when sharing data on the IPFS network is one of the requirements.

The present study aims at deposition of zinc phosphate coatings with the incorporation of nano Titanium dioxide particles by chemical phosphating method. Zinc phosphate coatings were developed on low carbon steel by using nano TiO2 in the standard phosphating bath. The Coated low carbon steel samples were assessed for corrosion studies using electrochemical impedance spectroscopy and potentiodynamic polarisation techniques in 3.5% NaCl solution. Chemical composition of the coatings was analysed by energy dispersive X-ray spectroscopy (EDX). Significant variations in the coating weight, porosity and corrosion resistance were observed with the addition of nano TiO2 in the phosphating bath. Corrosion rate of nano TiO2 incorporated chemical phosphate coated samples was found to be 3.5 mpy which was 4 times less than the bare uncoated low carbon steel (~14 mpy). Electrochemical impedance spectroscopy studies revels in the reduction of porosity in nano TiO2 phosphate coated samples. It was found that nano TiO2 particles in the phosphating solution yielded phosphate coatings of higher coating weight, greater surface coverage and enhanced corrosion resistance than the normal zinc phosphate coatings (developed using normal phosphating bath).

Accurate, rapid, and stable prediction of electrical energy consumption is essential for decision-making, energy management, efficient planning, and reliable power system operation. Errors in forecasting can lead to electricity shortages, wasted resources, power supply interruptions, and even grid failures. Accurate forecasting enables timely decisions for secure energy management. However, predicting future consumption is challenging due to the variable behavior of customers, requiring flexible models that capture random and complex patterns. Existing forecasting methods, both traditional and modern, have limitations and do not fully meet accuracy expectations. To address these issues, this research introduces a hybrid models that combine FCRBM based forecaster, and GWDO based optimizer, namely FS-FCRBM-GWDO approach to enhance the model performance in STLF have been developed. While some models excel in accuracy and others in convergence rate, both aspects are crucial. The main objective is to create a forecasting model that provides reliable, consistent, and precise predictions for effective energy management. This led to the development of a novel two-stage hybrid model. The first stage predicts electrical energy usage through four modules using deep learning, support vector machines, and optimization algorithms. The second stage optimizes energy management based on predicted consumption, focusing on reducing costs, managing demand surges, and balancing electricity expenses with customer inconvenience. This approach benefits both consumers and electricity corporations by lowering bills and enhancing power system stability. Simulation results validate the proposed model's efficacy and efficiency compared to benchmark models.

Multidrug Artemisin-resistant (ART-R) Plasmodium falciparum (Pf) parasites represent a challenge for malaria elimination worldwide. Molecular monitoring in the Kelch domain region (pfk13) gene allows tracking mutations in parasite resistance to artemisinin. The increase of illegal miners in Roraima Yanomami indigenous land (IYL) could favor ART-R parasites. Thus, the study aimed to investigate ART-R in patients from illegal gold mining in the YIL of Roraima, Brazil. A questionnaire was applied and blood was collected from 48 patients diagnosed with P. falciparum or mixed malaria (Pf +P. vivax). The DNA was extracted and the pfk13 gene was amplified by PCR. The amplicons were subjected to DNA Sangers sequenced; the entire amplified fragment was analyzed. Among patients, 96% (46) were from illegal mining areas of the YIL. All parasite samples carried the wild-type genotypes / ART-sensitive phenotypes. These data reinforce the continued use of ACTs in Roraima as well as the maintenance of systematic monitoring for early detection of parasite populations resistant to ART, mainly in areas exposed to the individual’s influx from mining areas, such as the YIL. This is especially true when the achievement of falciparum malaria elimination in Brazil is planned and expected by 2030.

Long gone was the time when tumors were thought to be insular masses of cells, residing independently at specific sites in an organ. Now, researchers gradually realize that tumors interact with the extracellular matrix (ECM), blood vessels, connective tissues and immune cells in their environment, which is now known as the tumor microenvironment (TME). It is found that the interactions between tumors and their surrounding promote tumor growth, invasion and metastasis. The dynamics and diversity of TME cause the tumors to be heterogeneous and thus pose a challenge for cancer diagnosis, drug design and therapy. As TME is significant in enhancing tumor progression, it is vital to identify the different components in the TME. This review explores how different factors in the TME supply tumors with the required growth factors and signaling molecules to proliferate, invade and metastasis. We also examine the development of TME-targeted nanotheranostics over the recent years for cancer therapy, diagnosis and anticancer drug delivery system. This review further discusses the limitations and future perspective of nanoparticle based theranostics when used in combination with current imaging modalities like Optical Imaging, Magnetic Resonance Imaging (MRI) and Nuclear Imaging (PET and SPECT).

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) persists throughout the world with over 65 million registered cases of survivors with post-COVID-19 sequelae, also known as LongCOVID-19 (LongC). LongC survivors exhibit various symptoms that span multiple organ systems, including the nervous system. To search for neurological biomarkers of LongC, we investigated the soluble proteins present in the plasma and the proteins associated with plasma neuronal-enriched extracellular vesicles (nEVs) in 33 LongC patients with neurological impairment (nLongC), 12 COVID-19 survivors without any LongC symptoms (Cov), and 28 pre-COVID-19 healthy controls (HC). COVID-19 positive participants were infected from 2020-2022, not hospitalized, and were vaccinated or unvaccinated before infection. IL-1b was significantly increased in both nLongC and Cov and IL-8 elevated in only nLongC. Both brain-derived neurotropic factor and cortisol were significantly elevated in nLongC and Cov compared to HC. nEVs from people with nLongC had significantly elevated protein markers of neuronal dysfunction, including amyloid beta 42, pTau181 and TDP-43. This study shows chronic peripheral inflammation with increased stress after COVID-19 infection. Additionally, differentially expressed nEV neurodegenerative proteins were identified in people recovering from COVID-19 regardless of persistent symptoms.

Sarcopenia is an age-related condition that involves a progressive decline in muscle mass and function, leading to increased risks of falls, frailty, and mortality. Although the exact mechanisms are not fully understood, aging-related processes like inflammation, oxidative stress, reduced mitochondrial capacity, and cell apoptosis contribute to this decline. Disruption of the circadian system with age may initiate these pathways in skeletal muscle, preceding the onset of sarcopenia. At present, there is no pharmacological treatment for sarcopenia, only resistance exercise and proper nutrition may delay its onset. Melatonin, derived from tryptophan, emerges as an exceptional candidate for treating sarcopenia due to its chronobiotic, antioxidant, and anti-inflammatory properties. Its impact on mitochondria, organelle where it is synthesized and crucial in aging skeletal muscle, further highlights its potential. In this review, we discuss the influence of clock genes in muscular aging, with special reference to peripheral clock genes in the skeletal muscle, as well as their relationship with melatonin, which is proposed as a potential therapy against sarcopenia.

The present study adopted a diverse approach to obtain antioxidant peptides from red seaweed, starting with an aqueous extraction of the entire seaweed followed by enzymatic hydrolysis of the solid residues from the first step. Additionally, the impact of three different pH levels (i.e. 3, 6, and 9) during the aqueous extraction phase was examined for their influence on the outcomes. The findings revealed that the solid fraction resulting from the sequential extraction process contained significantly higher levels of proteins and amino acids compared to other fractions (p < 0.05). Furthermore, the solid fractions (IC50 ranging from 2.29 to 8.15) proved to be significantly more effective free radical scavengers than the liquid fractions (IC50 either ranging from 9.03 to 10.41 or not obtained at the highest concentration tested) at both stages of extraction (p < 0.05). Among the solid fractions, those produced under alkaline conditions did not exhibit as potent radical scavenging abilities as those produced under acidic or nearly neutral conditions. The most effective metal ion chelating activity was found in the solid fractions derived from the subsequent enzymatic stage, particularly at pH 3 (IC50 = 0.63 ± 0.04) and pH 6 (IC50 = 0.89 ± 0.07), which were significantly more potent than those from the initial extraction stage (p < 0.05). Given that no significant difference was noted in the total phenolic content of these solid fractions compared to their corresponding liquid fractions (3.79 ± 0.05 vs. 3.48 ± 0.02 at pH 3 and 2.43 ± 0.22 vs. 2.51 ± 0.00 at pH 6) (p > 0.05), the demonstrated properties might be attributed to the potential roles of bioactive amino acids such as histidine, glutamic acid, aspartic acid, tyrosine, and methionine, whether present as free amino acids or integrated within the structure of proteins and peptides.

The study aims to utilize the convergence-confinement method (CCM) by considering non-hydrostatic stress assumptions in the analysis of the surrounding rock in a circular tunnel. The rock mass properties should adhere to the criteria of the non-linear Hoek-Brown failure criterion. Through a thorough theoretical analysis approach, an analytical solution is derived to determine the stress and displacement induced by tunnel excavation, particularly in the elastic and plastic zones. This solution, applicable under anisotropic stress conditions, involves accounting for confinement loss incrementally for computational feasibility. The implementation of this analytical solution, facilitated by a straightforward spreadsheet, was validated against existing data to evaluate the impact of non-linear failure criteria on ground reaction behavior. The study scrutinizes the mechanical response at the tunnel's inner curve and assesses stress-displacement distribution across the tunnel cross-section. A comparison between the proposed solution and published results demonstrates a consistent and promising correlation.

Multiple myeloma (MM) is a common type of cancer that unfortunately leads to a significant number of deaths each year. The majority of the reported MM cases are detected in the advanced stages, posing significant challenges for treatment. Additionally, all MM patients eventually develop resistance or experience relapse, therefore advances in treatment are needed. However, developing new anti-cancer drugs, especially for MM, requires significant financial investment and a lengthy development process. The study of drug repurposing involves exploring the potential of existing drugs for new therapeutic uses. This can significantly reduce both time and costs, which is typically a major concern for MM patients. The utilization of pre-existing non-cancer drugs for various myeloma treatments presents a highly efficient and cost-effective strategy, considering their prior preclinical and clinical development. The drugs have shown promising potential in targeting key pathways associated with MM progression and resistance. Thalidomide exemplifies the success that can be achieved through this strategy. This review delves into the current trends, the challenges faced by conventional therapies for MM, and the importance of repurposing drugs for MM. This review highlights a noncomprehensive list of conventional therapies that have potentially significant anti-myeloma properties and anti-neoplastic effects. Additionally, we offer valuable insights into the resources that can help streamline and accelerate drug repurposing efforts in the field of MM.

The calculation of the global shear capacity of steel-concrete composite downstand cellular beams with precast hollow-core units is important as it affects the span to depth ratios and the amount of material used, hence affects the embodied CO2 calculation when designers are deciding on the floor grids. This paper presents a reliable tool that can be used by designers to alter and optimise grip options during the preliminary design stages, without the need to run onerous calculations. The global shear capacity prediction formula is developed using five machine learning models. First, a finite element model database is developed. The influence of the opening diameter, web opening spacing, tee-section height, concrete topping thickness, the interaction degree, and the number of shear studs above the web opening are investigated. Reliability analysis is conducted to assess the design method and propose new partial safety factors. The Catboost Regressor algorithm presented better accuracy compared to the other algorithms. An equation to predict the shear capacity of composite cellular beams with hollow-core units is proposed by Gene Expression Programming. In general, the partial safety factor for resistance, according to the reliability analysis, varied between 1.25 and 1.26.

The photoelectrochemical (PEC) conversion of organic small molecules offers a dual benefit of synthesizing value-added chemicals and concurrently producing hydrogen (H2). Ethylene glycol, with its dual hydroxyl groups, stands out as a versatile organic substrate capable of yielding various C1 and C2 chemicals. In this study, we demonstrate that pH modulation markedly enhances the photocurrent of BiVO4 photoanodes, thus facilitating the efficient oxidation of ethylene glycol while simultaneously generating H2. Our findings reveal that in a pH=1 ethylene glycol solution, the photocurrent density at 1.23 V vs. RHE can attain an impressive 7.1 mA cm−2, significantly surpassing the outputs in neutral and highly alkaline environments. The increase in photocurrent is attributed to the augmented adsorption of ethylene glycol on BiVO4 under acidic conditions, which in turn elevates the activity of the oxidation reaction, culminating in the maximal production of formic acid. This investigation sheds light on the pivotal role of electrolyte pH in the PEC oxidation process and underscores the potential of the PEC strategy for biomass valorization into value-added products alongside H2 fuel generation.

Since the 1970s, the usefulness of nailfold capillaroscopy (NFC) in the diagnosis of rheumatological disorders such as systemic sclerosis has been well known, and further studies also showed that NFC can detect non-rheumatic diseases such as diabetes, glaucoma, dermatitis, Alzheimer disease, and so on. In the past decade, the morphological changes in the nailfold capillary have been also reported in the unhealthy lifestyle habits such as smoking, inappropriate diets, sleep shortage, and even psychological stress which presents slow blood flow. Therefore, study in the relationships between the morphology of nailfold capillaries and lifestyle habits has high potential to understand the unhealthy state, or even predict the pre-disease condition. So, simple, inexpensive, and non-invasive methods such as NFC are constantly needed for routine health checkups. Thus, we undertook a systematic search in PubMed database, and summarized the studies reporting the assessment of morphological NFC in order to undertake a comprehensive review on the usefulness of NFC not only in clinical diagnosis, but also in unhealthy dietary lifestyle improvements. Here in this review paper, we finally summarized the dietary and lifestyle health promotion strategy judging from NFC- and the other relating-measurement from the viewpoint of healthy microvascular blood flow and endothelial function.

Lung cancer is one of the leading causes of cancer-related mortality globally. Pulmonary nodules are one of the risk factors and their discovery rate has been increasing. Based on the nodule size and growth rate, their malignancy propensity is determined; however, it is very challenging to distinguish between benign and cancerous nodules. Many tumour-associated antigens (TAA) have been studied as blood biomarkers for lung cancer, most commonly the Cytokeratin 19 fragment (CYFRA 21-1), squamous cell carcinoma antigen (SCC Ag), carbohydrate antigen (CA19-9) and carcinoembryonic antigen (CEA). Due to their low sensitivity, TAAs are not recommended as tools for the early detection of lung cancer. However, cancer testis antigens (CTAs) are highly specific for carcinomas but their expression is more commonly associated with advanced stages of cancer and poor prognosis. Despite the fact that TAAs may provide useful insights for the diagnosis and prognosis of early lung cancer, their potential to do so has yet to be demonstrated.

Critical aortic valve stenosis (CAVS) is a life-threatening cardiac disease of the newborn requiring urgent treatment. First-line therapy is still controversial. The aim of our study was (1) to analyze retrospectively the patients of our institution who underwent balloon aortic valvuloplasty (BAV) due to CAVS, and (2) to describe techniques for improved feasibility of the intervention using microcatheters and retrieval loops. Twelve patients underwent 23 BAVs: 1 BAV was performed in 3 patients, 2 BAVs in 7 patients, and 3 BAVs in 2 patients. Trans-valvular pressure gradient (Δp) and left ventricular shortening fraction (LVSF) improved significantly in the first two interventions; first BAV: Δp from 73.7 ±34.5 mmHg to 39.8 ±11.9 mmHg (p=0.003) and LVSF from 22.3 ± 13.5 % to 31.6 ±10.2 % (p=0.001); second BAV: Δp from 73.2 ±33.3 mmHg to 35.0 ± 20.2 mmHg (p&lt;0.001) and LVSF from 26.7 ±9.6 % to 33.3 ±7.4 % (p=0.004). Cardiac surgery during the neonatal period was avoided for all children; median time to valve surgery was 5.75 years. Few complications occurred: mild to moderate aortic regurgitation, one remediable air embolism, and one intimal injury of the ascending aorta. We conclude that BAV is a successful primary treatment for CAVS resulting in left ventricular relief, stabilization of the neonate, and a time gain until cardiac surgery.

Rare earth elements (REEs) are a type of new material resources, which have attracted significant attention in recent years. REEs have emerged as essential metals in modern-day technology due to their unique functions. Long-term large-scale mining and utilization of rare earths have caused serious environmental pollution and constitutes a global health issue, which raised concerns about human health safety. However, the toxicity profile of suspended particulate matter of REEs in the environment interacts with the human body in remain largely unknown. Studies have shown that REEs can enter the human body through a variety of pathways, leading to a variety of organ and system dysfunctions through changes in genetics, epigenetics, and signaling pathways. Through an extensive literature search and critical analysis, we provide a comprehensive overview of the available evidence, identify knowledge gaps, and make recommendations for future research directions.

Recently, design of electric scooters (ESs) has commonly adopted brushless DC motors (BLDCMs) in place of brushed DC motors. This invention develops a new anti-lock braking system (ABS), based on a slip-ratio estimator, for ES utilizing the braking force generated by the BLDCM when electrical energy releases to the load yielding an analogous effect of ABS control in gas-engine vehicles. Comparing to mechanical ABS, the design possesses the advantages of rapid torque responses due to fast actuating response. The electrical ABS is realized by associating with kinematic and Short-circuit braking. A current controller is used to adjust the braking force, while the sliding mode control strategy is adopted to regulate the slip ratio for best road adhesion while braking. Real-world experiments have been conducted for functional and performance verification.

Digital image compression is applied to reduce camera bandwidth and storage requirements, but real-time lossless compression on a high-speed high-resolution camera is a challenging task. The article presents hardware implementation of a Bayer colour filter array lossless image compression algorithm on an FPGA-based camera. The compression algorithm reduces colour and spatial redundancy and employs Golomb-Rice entropy coding. A rule limiting the maximum code length is introduced for the edge cases. The proposed algorithm is based on integer operators for efficient hardware implementation. The algorithm is first verified as a C++ model and later implemented on Xillinx Zynq UltraScale+ device using VHDL. An effective tree-like pipeline structure is proposed to concatenate codes of compressed pixel data to generate a bitstream representing data of 16 parallel pixels. The proposed parallel compression achieves up to 56% reduction in image size for high resolution images. Pipelined implementation without any state machine ensures operating frequencies up to 320 MHz. Parallelised operation on 16 pixels effectively increases data throughput to 40 Gbit/s while keeping total memory requirements low due to real-time processing.

We prove that the probability of “A OR B”, where A and B are events or hypotheses that are recursively dependent (OR is the logico-probabilistic operator) is given by a "Hyperbolic Sum Rule” (HSR) relation isomorphic to the hyperbolic-tangent double-angle formula, and that this HSR is Maximum Entropy (MaxEnt). The possibility of recursive probabilities is excluded by the “Conventional Sum Rule” (CSR) which we also prove MaxEnt (within its narrower domain of applicability). The concatenation property of the HSR is exploited to enable analytical, consistent and scalable calculations for multiple recursive hypotheses: such calculations are not conveniently available for the CSR, and are also intrinsic to current artificial intelligence and machine learning architectures presently considered intractable to analytical study and methodological validation. We also show that it is as reasonable to state that “probability is physical” (it is not merely a mathematical construct) as it is to state that “information is physical” (now recognised as a truism of communications network engineering). We relate this treatment to the physics of Quantitative Geometrical Thermodynamics which is defined in complex hyperbolic (Minkowski) spacetime, and show how the HSR is isomorphic to other physical quantities including certain components important for digital signal processing.

A key component of nanomaterials, carbon dots (CDs) are zero-dimensional solids, smaller than 10 nm in size that include carbon as their backbone structure. Herbal medicine carbon dots (HM-CDs) are nanoparticles developed from medicinal plants. Owing to their advantageous properties, they are extensively employed in biological domains such as drug administration, bio-imaging, biosensors, and DNA interactions. It's interesting to note that, carbon dots pro-duced from herbal medicines as a raw material have surfaced as the most recent addition to the CD family. This article provides an overview of the several sources of green precursor, preparation tech-niques, characterization, and applications of CDs. It reviews recent advancements in synthe-sizing CDs made from green carbon materials and their potential uses as bioimaging, catalysts and sensing. Furthermore, several difficult issues and future directions for this potent and amazing content are also covered.

Enhanced electrical activity in detrusor smooth muscle (DSM) cells is a key factor in detrusor overactivity which causes overactive bladder pathological disorders. Transient receptor potential melastatin-4 (TRPM4) channels, calcium-activated cation channels, play a role in regulating DSM electrical activities. These channels likely contribute to depolarizing the DSM cell membrane, leading to bladder overactivity. Our research focuses on understanding TRPM4 channel function in mouse DSM cells using computational modeling. We aimed to create a detailed computational model of the TRPM4 channel based on existing electrophysiological data. We employed a modified Hodgkin-Huxley model with an incorporated TRP-like current to simulate action potential firing in response to current and synaptic stimulus inputs. Validation against experimental data showed close agreement with our simulations. Our model is the first to analyze the TRPM4 channel's role in DSM electrical activity, potentially revealing insights into bladder overactivity. In conclusion, TRPM4 channels are pivotal in regulating human DSM function and TRPM4 channel inhibitors could be promising targets for treating overactive bladder.

In this exploratory work, we have examined the impact of an external static electric field on the H2 storage capacity of clathrate hydrates. To this end, we have chosen the 512 clathrate hydrate and examined the encapsulation of 1 - 4 H2 molecules within it. Results suggest that with the help of moderate electric fields (±0.10 to ±0.31V/Å), the encapsulation of 1 H2 molecule within the 512 clathrate hydrate becomes thermodynamically more favorable. In the cases of 4H2@512 and 2H2@512, however, the concerned processes become thermodynamically more favorable only when the field is applied along a specific direction. No favorable outcome could be observed in the case of 3H2@512, irrespective of the direction of the applied field. It appears from the results obtained herein that it might be possible to design a suitable external electric field to facilitate the hydrogen storage capacity of clathrate hydrates at ambient conditions, at least in certain cases.

Uncertain fractional differential equation (UFDE) is an excellent tool for describing complicated dynamic systems. This paper analyzes the valuation problems of currency option based on UFDE under optimistic value criterion. Firstly, an uncertain fractional currency model is formulated to describe the dynamics of foreign exchange rate. Then, the pricing formulae of European, American and Asian currency option are obtained under optimistic value criterion, respectively. Finally, numerical simulations are provided to illustrate the validity of our theoretical results.

This research investigates the application of deep learning in sentiment analysis of Canadian maritime case law. It offers a framework for improving maritime law and legal analytics policy-making procedures. The automation of legal document extraction takes center stage, underscoring the vital role sentiment analysis plays at the document level. Therefore, this study introduces a novel strategy for sentiment analysis in Canadian maritime case law, combining sentiment case law approaches with state-of-the-art deep learning techniques. The overarching goal is to systematically unearth hidden biases within case law and investigate their impact on legal outcomes. Employing Convolutional Neural Network (CNN) and Long Short-Term Memory (LSTM) based models, this research achieves a remarkable accuracy of 98.05% for categorizing instances. In contrast, Conventional Machine Learning techniques such as Support Vector Machines (SVM) yield an accuracy rate of 52.57%, Naive Bayes at 57.44 %, and Logistic Regression at 61.86%. The superior accuracy of the CNN and STM model combination underscores its usefulness in legal sentiment analysis, offering promising future applications in diverse fields like legal analytics and policy design. These findings mark a significant choice for AI-powered legal tools, presenting more sophisticated and sentiment-aware options for the legal profession.

The paper presents the findings of research on companies in the early stage of development based on the concept of ensuring their sustainability. The starting point is attributes shaping a sustainable model of start-ups. A solution has been proposed and examined that identifies the factors dynamising a business model, which give the company the ability to make fast changes in the configuration of the business model, and that applies stabilizing factors based on the concept of the Triple Bottom Line. The research problem is a response to the phenomena of the bankruptcy of many start-ups that cannot find a way to survive in the long term. The business models of companies in the early stage of development should be designed taking into account the possibility of their dynamic and iterative changes when the earlier assumptions do not work when implemented in practice. A cognitive gap has been observed as the relevant literature does not propose a systemic solution to the problem of instability of the startups viewed from the perspective of the business model concept. The research problem, therefore, is to identify potential new methods to ensure the sustainability of young companies trying to combine aspects dynamising changes in business models, taking into account economic, environmental and social aspects. The findings of research on companies in the early stage of development show that when the methods of increasing the flexibility of the business model are applied and attention is drawn to environmental and social activities and a strong emphasis is put on financial performance, reflecting the expectations of shareholders, the concept of ensuring the sustainability of young companies from the point of view of sustainable business model attributes emerges.

The scientific community has shown considerable interest in Industry 4.0 due to its capacity to revolutionise the manufacturing sector through digitalisation and data-driven decision-making. However, the actual implementation of Industry 4.0 within complex industrial settings presents obstacles that are typically beyond the scope of mainstream research articles. In this paper, a comprehensive case-study detailing our collaborative partnership with a leading medical device manufacturer is presented. The study traces their evolution from a state of limited digitalisation to the development of a digital intelligence platform that leverages data and machine learning models to enhance operations across a wide range of critical machines and assets. The main business objective was to enhance the energy efficiency of the manufacturing process, thereby improving its sustainability measures while also saving costs. The project encompasses energy modelling and analytics, Fault Detection and Diagnostics (FDD), renewable energy integration and advanced visualisation tools. Together, these components enable informed decision making in the context of energy efficiency.

Introduction: The association between epilepsy and myasthenia gravis has rarely been reported, and only in small case series. Objective: To report the frequency of epilepsy and myasthenia gravis and to describe a case series of patients with myasthenia gravis and epilepsy, focusing on their clinical characteristics and searching for a possible physiopathological mechanism. Methods: A retrospective, observational, adult center study was conducted in 2022. Patients were recruited from the database of the outpatient clinic of the Myasthenia Gravis unit and Epilepsy unit. Results: Five patients were included. Frequency of epilepsy in the myasthenia gravis cohort was 5/469 (1.1%), and of myasthenia gravis in the epilepsy cohort was 5/1432 (0.35%). All patients suffered focal epilepsy, mainly fronto-central, and drug-resistant in half of them. Myasthenia gravis was generalized and with exacerbations in half of them. Three patients were thymectomized. Other autoimmune diseases were found in 2 (40%). Epilepsy onset preceded myasthenia gravis onset in all patients. Both diseases were considered autoimmune-related in 3/5 (60%). Conclusion: Epilepsy and myasthenia gravis are only infrequently associated. In adult patients, epilepsy onset precedes myasthenia onset in most cases. In some cases, epilepsy has an autoimmune aetiology and coexists with other autoimmune conditions.

Background: Understanding the physicians’ knowledge, attitudes and antimicrobial prescribing behaviour is a crucial step towards designing strategies for optimal use of these agents. Methods: A cross-sectional online survey was conducted among clinicians across India between “May to July 2022” using a self-administered questionnaire in English comprising of 35 questions pertaining to demographic characteristics, knowledge, attitude and practices domains. Results. A total of 544 responses were received from 710 physicians contacted. 60 percent participants were males with mean age of 34.7 years. Mean ± SD scores for knowledge, attitude and practices domains were 8±1.6, 20.2±3.5 and 15.3±2.1, respectively. Higher scores were associated with basic [odds ratio (95% C.I.), P value: 2.95 (1.21, 7.2), 0.02], medical and allied sciences [2.71 (1.09, 6.67), 0.03] and central zone [3.75 (1.39, 10.12), 0.009]. A substantial proportion of dissatisfactory responses were found regarding hospital antibiograms, antibiotics effective against anaerobes, WHO AWaRe classification of antibiotics, and role of infection prevention and control (IPC) measures in containment of antimicrobial resistance (AMR). Conclusions. There is a need to sensitize and educate clinicians on various issues related to antimicrobial use such as antibiograms, double anaerobic cover, IPC practices and guideline-based recommendations to curb the AMR pandemic.

Aquifer Thermal Energy Storage (ATES) systems are garnering attention as high-efficiency air conditioning technologies that contribute to the realization of a carbon-neutral society. This study focuses on an ATES system constructed in Japan, characterized by its complex geological conditions and thin aquifer layers. Through performance analysis using four years of operational data, we achieved a Coefficient of Performance (COP) of 5 on the building load side. This paper confirms the equivalence of the dimensionless production temperature and heat recovery rate, observing nearly identical changes in the dimensionless production temperature over four cycles (eight seasons). Furthermore, we propose an operational method for the following fiscal year that maintains the balance between accumulated storage quantity and pumping volume, based on predictions from this plant's operational pattern.

Locoregional anaesthetic techniques are invaluable for providing multimodal analgesia for painful surgical procedures. This prospective, randomised study describes a nerve stimulator-guided bra-chial plexus blockade (BPB) in rabbits undergoing orthopaedic surgery in comparison to systemic lidocaine. Premedication was provided with intramuscular (IM) medetomidine, fentanyl and midazolam. Anaesthesia was induced (propofol IV) and maintained with isoflurane. Nine rabbits received a lidocaine BPB (2%; 0.3 ml kg-1), and eight received lidocaine constant rate infusion (CRI) (2 mg kg-1 IV, followed by 100 µg kg-1 minute-1). Rescue analgesia was provided with Fentanyl IV. Carprofen was administered at the end of surgery. Post-operative pain was determined using the Rabbit Grimace Scale (RGS) and a composite pain scale. Buprenorphine was administered accord-ing to pain score for two hours after extubation. Rabbits were filmed during the first two hours to measure distance travelled and behaviours. Food intake and faeces output were compared. Every rabbit in CRI required intraoperative rescue analgesia compared to no rabbits in BPB. How-ever, rabbits in both groups had similar pain scores and there was no difference in administration of postoperative analgesia. There were no significant differences in food intake or faeces produc-tion over 18 hours, and no significant differences in distance travelled, or behaviours examined during the first two hours. BPB seems superior for intraoperative analgesia. Postoperatively both groups were comparable.

Colorectal cancer (CRC) ranks as the third most prevalent cancer globally, with 25% of patients presenting with metastases; of these, 8% have synchronous liver and peritoneal metastases. Although the concurrent presence of liver and peritoneal metastases was previously considered an absolute contraindication, the feasibility of combined surgery is now being re-evaluated. This study assesses 41 patients who underwent liver surgery for CRC metastases at our center between October 2021 and February 2024. Among these patients, 7 underwent concomitant cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) due to the presence of synchronous liver and peritoneal metastases. We employed simple linear regression to identify parameters that influenced the development of postoperative complications, classified by the Clavien-Dindo (CD) system. The statistical analysis showed only the operative time, the CRS+HIPEC procedure and the length of hospital stay as significative variables on CD outcome, while the different types of liver surgery were not significant. This study suggests that combining liver surgery with CRS+HIPEC may be beneficial for selected patients, potentially improving overall survival without a significant increase in postoperative complications. A multidisciplinary approach is essential to achieve a survival advantage without elevating morbidity rates.

Community engagement in climate action and adaptation planning is an essential prerequisite for overcoming existing and projected environmental injustices associated with the negative impacts of climate change. Diversity and inclusion of stakeholders are crucial for addressing equity both in the development and implementation of local climate plans. Our study attempts to evaluate and compare consideration of equity in climate action and climate adaptation plans of Michigan cities and its association with a diversity of stakeholders involved in the planning process. Data analysis is based on the content of eight municipal climate action and/or climate adaptation plans, related documents, and interviews with city planners along with community activists. Data derived from climate action and adaptation plans were also compared to the strategies outlined in the Tribal Climate Adaptation Menu, which integrates climate science and indigenous knowledge. The study concludes that municipalities that engage more diverse groups of stakeholders appear to be more attentive to social equity and more likely to offer specific climate action and adaptation measures focusing on vulnerable groups. Integration of indigenous knowledge could provide valuable insights for municipalities through collaboration with tribal communities and climate adaptation experts.

The research identified norovirus genotypes that circulated among Gambian children less than five years of age with diarrhoea during 2007-2012. The study highlights the importance of continuous surveillance for detecting the emergence of new norovirus genotypes.

According to the World Health Organization, cardiovascular disease (CVD) is the leading cause of death among women worldwide, yet its magnitude is often underestimated. Biological and gender differences affect health, diagnosis, and healthcare in numerous ways. The lack of sex and gender awareness in health research and healthcare is an ongoing issue and affects not only research, but also treatment and outcomes. The importance of recognising the impact of both sex and gender on health and of knowing the differences between the two in healthcare is beginning to gain ground. There is more appreciation of the role that biological differences (sex) and sociocultural power structures (gender) have, and both sex and gender affect health behaviour, the development of diseases, their diagnosis, management, and long-term effects of an illness. An important issue is the knowledge and awareness of women about vascular diseases. The risk of cardiovascular events is drastically underestimated by women themselves, as well as by those around them. The purpose of this review is to draw attention to improving the medical care and treatment of women with vascular diseases.

End-stage heart failure (ESHF) leads to hypoperfusion and edema formation in the whole body and is accompanied by neurohormonal and immunological alterations. Orthotopic heart transplantation (HTX) has been used as a beneficial option for ESHF. Due to the shortage of donor hearts, the ideal matching and timing of donors and recipients has become more important. Our aim was to explore the relationship between the clinical outcome of HTX and the cytokine and apolipoprotein profiles of the recipient pericardial fluid obtained at transplantation after opening the pericardial sac. The clinical data and the interleukin, adipokine and lipoprotein levels in the pericardial fluid of twenty recipients were investigated. Outcome variables included primer graft dysfunction (PGD), need for posttransplantation mechanical cardiac support (MCS), International Society for Heart and Lung Transplantation grade ≥ 2R rejection and mortality. Recipient risk scores were also investigated. Leptin levels were significantly lower in patients with PGD than in those without PGD (median: 6.36 [IQR: 5.55-6.62]; versus 7.54 [IQR=6.71-10.44]; p = 0.029). Higher ApoCII levels (median: 14.91 [IQR: 11.55-21.30] versus 10.31 [IQR=10.02-13.07]; p = 0.042) and ApoCIII levels (median: 60.32 [IQR: 43.00-81.66] versus 22.84 [IQR=15.84-33.39]; p=0.005) were found in patients (n=5) who died in the first 5 years after HTX. In patients who had rejection (n=4) in the first month after transplantation, the levels of adiponectin (median: 74.48 [IQR: 35.51-131.70] versus 29.96 [IQR: 19.86-42.28]; p=0.039), ApoCII (median: 20.11 [IQR: 13.06-23.54] versus 10.32 [IQR: 10.02-12.84]; p=0.007) and ApoCIII (median: 70.97 [IQR: 34.72-82.22] versus 26.33 [IQR: 17.18-40.17; p=0.029) were higher than those in the nonrejection group. Moreover, the pericardial thyroxine (T4) levels (median: 3.96 [IQR: 3.49-4.46] versus 4.69 [IQR: 4.23-5.77]; p=0.022) were lower in patients with rejection than in patients who did not develop rejection. Our results indicate that apolipoproteins can facilitate the monitoring of rejection and could be a useful tool in the forecast of early and late complications.

This study presents a novel approach combining computer vision with topology optimization for additive manufacturing. Using specialized photogrammetry software, we capture high-resolution images of the design domain to create precise 3D models through detailed scanning. These models are converted into STL file format and remeshed using an adaptive algorithm within COMSOL 5.3 Multiphysics, managed by a custom MATLAB 2023. This integration allows optimal mesh resolution and accuracy in analyses. We applied this method to design a concrete pillar for 3D printing, aiming for a 75% volume reduction to enhance material efficiency and stability, crucial for extraterrestrial environments. The design, scanned with a 360-degree camera array, informed the MATLAB-based topology optimization process. Combining MATLAB’s optimization algorithms with COMSOL’s meshing and finite element solver solver, we explored material-efficient configurations. The results show significant volume reduction, particularly in the central design area, optimizing material use while maintaining structural stability. The optimization algorithm demonstrated rapid, stable convergence to near-optimal solutions within about 20 iterations, highlighting the method’s efficiency and robustness in complex design optimization.