Building small populations mortality tables has great practical importance in actuarial applications. In recent years, several works in literature explored different methodologies to quantify and assess longevity and mortality risk, especially within the context of small populations: many models dealing with this problem usually use a two-population approach, modelling a mortality spread between a larger reference population and the population of interest, via likelihood-based techniques. To broaden the tools at actuaries’ disposal to build small population mortality tables, a general structure for a two-step two-populations model is proposed, its main element of novelty residing in a machine-learning based approach to mortality spread estimation. In order to obtain this, Contrast Trees and related Estimation Contrast Boosting techniques have been applied. A quite general machine learning-based model has then been adapted in order to generalize Italian actuarial practice in company tables estimation and implemented using data from Human Mortality Database. Finally, results from the ML-based model have been compared to those obtained from the traditional model.

Background: Menopause signifies the end of a woman's reproductive phase, characterized by the cessation of ovarian hormone production and the termination of menstrual cycles, typically occurring between the ages of 45 and 55. The transition involves a range of physical and psychological symptoms manifesting before, during, and after menopause. Method: This cross-sectional analytical study assessed the level of awareness regarding menopausal symptoms among women in Bharatpur-9, Chitwan. A non-probability sampling technique was used to select 257 respondents. Data were collected using a semi-structured interview schedule and analyzed with SPSS version 20.0. Results: Among the respondents, 53.3% were aged 40-49 years (Mean ± S.D.; 48.84 ± 6.27), and 69.3% experienced menarche between ages 13- 15. A majority (59.9%) had not yet reached menopause. Knowledge of menopausal symptoms was as follows: joint pain (90.7%), sleep problems (90.7%), irritability (90.7%), hot flushes (22.2%), anxiety (22.2%), sadness (22.2%), vaginal dryness (22.6%), loss of interest in sex (25.7%), palpitations (18.7%), and decreased visual acuity (9.3%). Statistical significance was found between awareness levels and factors such as religion (p=0.00), ethnicity (p=0.00), educational status (p=0.006), family type (p=0.043), cessation of menstruation (p=0.013), and cause of menopause (p=0.00). Overall, 53.7% of respondents had average knowledge about menopausal symptoms. Conclusion: The study concluded that over half of the respondents possessed average awareness of menopausal symptoms. Hence, there is a need for women to receive correct and comprehensive information regarding menopausal symptoms and their management.

The rapid integration of Generative AI technologies in academic and research environments marks the beginning of a new digital era, characterized by enhanced efficiency and innovative capabilities. This technological advancement, however, brings forth significant challenges and ethical dilemmas. One of the primary concerns is the potential diminishment of authentic human intellect in scholarly works, fueled by the capabilities of AI to generate ambiguous, fabricated, or even biased and inappropriate content. These issues highlight the critical need for developing comprehensive frameworks and establishing a dedicated field of study to govern the use of AI-generated content in academic and professional contexts. This autoethnography explores the impact of generative AI on educational practices, detailing the development of the SPARRO framework in healthcare and nursing classes. Through personal reflections, interviews, and observations, it addresses specific challenges, offering insights into integrating GenAI ethically and effectively to enhance teaching and learning.

This study is dedicated to the economic valuation of human capital in the regions where the Indigenous peoples of Kamchatka reside. The entire Kamchatksky Krai is considered an Indigenous people's ancestral territory. However, in this study, only municipalities whose population is more than one-third Indigenous were chosen for the assessment. This includes six municipal districts and one urban district (Aleytsky, Bystrinsky, Karaginsky, Olyutorsky, Penzhinsky, Tigilsky municipal districts and Palana urban district). The study employs statistical analysis and integrated, situational approaches: the investment approach was deemed the most appropriate tool for the economic assessment of human capital in Indigenous territories. The document analysis was based on a content analysis of open-access government documents and included legal acts, resolutions, orders, and other documents issued by federal, regional, and local authorities and pertaining to the economic activities of Kamchatka Indigenous peoples. Based on proposed calculation algorithm the assessed combined monetized value of human capital for the Kamchatka territories with large Indigenous populations at 38.8 billion rubles (approximately 520 million U.S. dollars) in 2021. It was observed that the growth of human capital in the Indigenous areas of Kamchatka between the years 2017 and 2021. The mean regional value of human capital per capita increased by more than twofold over this period. The accurate and precise assessment of human capital in the Kamchatka Indigenous homelands is provides baseline information necessary for the decision-making about economic development and sustainable development policies, and the approach proposed in this paper can be utilized by the Indigenous communities worldwide.

While cycling presents environmental benefits and promotes a healthy lifestyle, the risks associated with overtaking maneuvers by motorized vehicles pose significant hindrances for many potential cyclists. Large-scale analysis of overtaking maneuvers could inform traffic researches and city planners on how to reduce these risks by better understanding these maneuvers. Drawing from the fields of sensor-based cycling research and of LiDAR-based traffic data sets, this paper provides a step towards addressing these safety concerns by introducing the Salzburg Bicycle 3d (SaBi3d) data set, consisting of LiDAR point clouds capturing car-to-bicycle overtaking maneuvers. The data set, collected using a LiDAR-equipped bicycle, facilitates detailed analysis of a large quantity of overtaking maneuvers without the need for manual annotation through enabling automatic labeling by a neural network. Additionally, a benchmark result for 3d object detection using a competitive neural network is provided as a baseline for future research. The SaBi3d data set is structured identically to the nuScenes data set, and therefore offers compatibility with numerous existing object detection systems. This work provides valuable resources for future researchers to better understand cycling infrastructure and mitigate risks, thus promoting cycling as a viable mode of transportation.

Biases in Artificial Intelligence (AI) or Machine Learning (ML) systems due to skewed datasets problematise the application of prediction models in practice. Representation bias is a prevalent form of bias found in the majority of datasets. This bias arises when training data inadequately represents certain segments of the data space, resulting in poor generalisation of prediction models. Despite AI practitioners employing various methods to mitigate representation bias, their effectiveness is often limited due to a lack of thorough domain knowledge. To address this limitation, this paper introduces human-in-the-loop interaction approaches for representation debiasing of generated data involving domain experts. Our work advocates for a controlled data generation process involving domain experts to effectively mitigate the effects of representation bias. We argue that domain experts can leverage their expertise to assess how representation bias affects prediction models. Moreover, our interaction approaches can facilitate domain experts in steering data augmentation algorithms to produce debiased augmented data and validate or refine the generated samples to reduce representation bias. We also discuss how these approaches can be leveraged for designing and developing user-centred AI systems to mitigate the impact of representation bias through effective collaboration between domain experts and AI.

The only solution to avoid pollution due to sewage is to treat the effluent and reuse water and sludge at the wastewater production site. This makes it necessary to install treatment plants distributed along the sewer system to prevent the movement of effluents with the consequent losses to the aquifer. This new management is called decentralized wastewater treatment. To make this change possible, it is necessary to develop treatment plants that do not represent a health hazard for citizens, eliminating the nuisance caused by traditional plants. These plants need to be robust, operate autonomously, have reduced maintenance and exhaustive control of each process, where each cubic meter of effluent is perfectly controlled, avoiding losses to the aquifer or discharges that may occur due to deficiencies in their purification capacity; constantly producing water and sludge, which are directly reusable with all the health and environmental guarantees regardless of variations in inlet effluent or environmental conditions. This article presents a paradigmatic case of a decentralized solution with conditions of maximum complexity that has been solved efficiently, saving around 98% of the initial investment, completely avoiding wastewater discharges into the environment and reusing 100% of the treated water, in 14 years of operation.

This study examines the recovery efforts at Gran Tarajal Harbor following a significant oil spill, employing innovative technologies. Initial response efforts were hampered by inadequate contingency plans and bureaucratic delays, underscoring the need for improved preparedness. Cleanup operations utilized advanced methods such as enhanced absorbent sponges, absorbent granulates, bioremediation with allochthonous species, and a combination of barriers and sponges. These technologies proved effective in minimizing environmental impact, reducing hydrocarbon concentrations in sediments from nearly 60,000 mg/kg to less than 1,600 mg/kg in seven months. Heavy metal analysis revealed lead and copper concentrations associated as well as with routine port activities, while mercury levels linked to the spill decreased over time. Tissue analysis indicated minimal contamination in local organisms, suggesting limited impact from the spill, and evaluation of the biological communities in sediments suggest an ecological recovery. Study underscores the importance of rapid response, advanced technologies, and detailed contingency plans tailored to each port. Despite the successful cleanup and ecosystem recovery, political and bureaucratic challenges remain significant obstacles to implementing these improved methods. The findings advocate for a re-evaluation of current oil spill response protocols to incorporate more effective, sustainable, and cost-efficient technologies, aligning with the principles of a circular economy.

Unmanned aerial vehicles (UAVs, drones) are not just a technological achievement based on modern ideas of artificial intelligence; they also provide a sustainable solution for green technologies in logistics, transport and material handling. In particular, using battery-powered UAVs to transport products can significantly decrease energy and fuel expenses, reduce environmental pollution, and improve the efficiency of clean technologies through improved energy-saving efficiency. We consider the problem of maximizing the average environmental benefit of a fleet of drones given a periodic schedule of tasks performed by the fleet of vehicles. To solve the problem efficiently, we formulate it as an optimization problem on an infinite periodic graph and reduce it to a special type of parametric assignment problem. We exactly solve the problem under consideration in O(n³) time, where n is the number of tasks performed by vehicles.

This study explores pressure, miscibility, and pore medium effects on heavy hydrocarbon recovery up to 65 MPa from four rock types: sand, tight sandstone, cavernous limestone, and oil sand. Results reveal MMP at 50 MPa, with peak recovery at 93% (56 MPa). Interestingly, recovery trends counter traditional expectations, notably decreasing in tight sandstone (42-56 MPa) and oil sand (50-65 MPa). Varied recoveries in cavernous limestone (25-56 MPa) highlight porosity and vug influence. Higher pressures hinder recovery due to SC-CO2's density and viscosity, favoring the immiscible process for efficient heavy hydrocarbon extraction.

Tribal healers and local practitioners possess knowledge about plant uses passed down through generations. However, habitat loss, unsustainable harvesting, and declining traditional knowledge threaten this valuable resource. India, a global biodiversity hotspot, is rich in medicinal plants. Documenting the traditional knowledge prevents it from being lost and ensures the preservation of this cultural heritage. Recording traditional practices helps bridge the gap between traditional and modern medicine. This study quantifies the ethnomedicinal uses of plants within the Sohag Wildlife Sanctuary. The findings contribute to preserving traditional knowledge and promoting the sustainable use of medicinal plants. The study documented 95 medicinal plant species from 39 families, highlighting the importance of ethnomedicinal studies for preserving traditional knowledge and ensuring the sustainable use of medicinal plants. In the future, scientific studies can be organized to understand their efficacy, leading to developing new, potentially safer, and more effective medications. Identifying and documenting medicinal plants is crucial in safeguarding cultural heritage, fostering scientific discovery, and promoting sustainable healthcare practices.

The article is devoted to the research of economic cycles and crises, which are studied within the framework of the theory of long waves by N. D. Kondratiev (K-waves) using the mathematical apparatus of fractional calculus. The object of the study is the mathematical model of S.V. Dubovsky 3 and some of its modifications, which describe the dynamics of the economic system, characterizing the interaction between the efficiency of new technologies and the efficiency of capital productivity. Modifications in the model are determined by the following points: the mathematical model takes into account the dependence of the rate of accumulation on capital productivity, there is an external harmonic influence - the influx of investments and new technological solutions, the economic system has heredity, including time-dependent, which leads to a delayed effect - the system’s response to impact. The property of heredity in the mathematical model is taken into account using fractional derivatives of constant and variable orders. Mathematical model S.V. Dubovsky and its modifications are studied numerically using the Adams-Bashforth-Moulton algorithm. Oscillograms and phase trajectories are constructed, and an interpretation of the simulation results is given.

This paper introduces an innovative Particle Swarm Optimization (PSO) Algorithm in-corporating Sobol and Halton Random number samplings. It evaluates the enhanced PSO's performance against conventional PSO employing Monte Carlo Random Number Samplings. The comparison involves assessing the algorithms across nine benchmark problems and the renowned Travelling Salesman Problem (TSP). The re-sults reveal consistent enhancements achieved by the enhanced PSO utilizing Sob-ol/Halton samplings across the benchmark problems. Particularly noteworthy are the substantial improvements demonstrated by the enhanced PSO in solving the Travel-ling Salesman Problem. These findings underscore the efficacy of employing Sobol and Halton random number generation methods in enhancing algorithm efficiency.

Chest trauma is a critical medical condition that encompasses a range of injuries and can result from various causes. Prompt and accurate diagnosis is crucial in managing chest trauma patients and radiology plays a pivotal role in this aspect. Imaging modalities in chest trauma aid in precise diagnosis and treatment planning. Especially, X-rays remain the initial imaging modality of choice due to their accessibility, speed, and ability to detect acute life-threatening conditions. Computed Tomography (CT) Scan offers detailed cross-sectional images allowing for comprehensive evaluation of chest trauma and surgical planning when necessary. Ultrasound (US) is increasingly valuable tool due to its portability and real-time imaging capabilities, aiding in rapid assessment at the bedside. Magnetic Resonance Imaging (MRI) is less commonly used due to time constraints and limited availability. Radiological imaging serves various purposes in the diagnosis and management of chest trauma such as early detection and triage, characterization and severity assessment, surgical planning, follow-up and monitoring of chest trauma. Reduction of radiation exposure, advancements in imaging technology (dual-energy CT, contrast-enhanced imaging) and Artificial Intelligence (AI) algorithms are crucial challenges and deserve attention. A multidisciplinary approach integrating radiological expertise remains fundamental in ensuring optimal outcomes for patients with chest trauma.

Stueckelberg-Horwitz-Piron (SHP) electrodynamics formalizes the distinction between coordinate time (measured by laboratory clocks) and chronology (temporal ordering) by defining 4D spacetime events x^μ as functions of an external evolution parameter τ. Classical spacetime events x^μ (τ) evolve as τ grows monotonically, tracing out particle worldlines dynamically and inducing the five U(1) gauge potentials through which events interact. Since Lorentz invariance imposes time reversal symmetry on x⁰ but not τ, the formalism resolves grandfather paradoxes and related problems of irreversibility. The action involves standard first order field derivatives but includes a higher order τ derivative that while preserving gauge and Lorentz invariance removes certain singularities and makes the related QFT super-renormalizable. The resulting field equations are Maxwell-like but τ-dependent and sourced by a current that represents a statistical ensemble of instantaneous events distributed along the worldline. The width λ of this distribution defines a correlation time for the interactions and a mass spectrum for the photons that carry the interaction. As λ becomes very large, the photon mass goes to zero and the field equations become τ-independent Maxwell’s equations. Maxwell theory thus emerges as an equilibrium limit of SHP, in which λ is larger than any other relevant time scale. Particles and fields are not constrained to mass shells in SHP theory, and by exchanging mass may produce pair creation/annihilation processes at the classical level. On-shell evolution with fixed particle masses is restored through a self-interaction associated with the 5D wave equation.

C. albicans Dfg5 and Dcw1 are homologous cell wall alpha-1,6-mannosidases with important functions. Our past studies have shown that Dfg5 and Dcw1 function in cell wall biogenesis via cross-linking of glycoproteins into the cell wall, thus playing a key role in cell wall integrity. Additionally, Dfg5 and Dcw1 are required for hyphal morphogenesis. However, the exact functions of Dfg5 and Dcw1 in cell wall integrity, hyphal morphogenesis, and pathogenesis were not known. In this study, we determined the relation of Dfg5 and Dcw1 with Hog1 MAPK, that plays a key role in cell wall integrity via regulation of chitin synthesis in C. albicans. Additionally, we also determined the effect of dfg5 and dcw1 mutations on gene expression of transcriptional regulators of hyphal morphogenesis. Furthermore, we determined the effects of dfg5 and dcw1 mutations on pathogenesis in a mouse model of oral candidiasis. Our results demonstrate that dfg5 and dcw1 mutations, as well as hog1 knock-out mutation result in dysregulation of chitin synthesis resulting in a cell separation defect. The heterozygous and conditional mutations of dfg5 and dcw1 result in decreased levels of Cst20, a positive regulator of hyphal morphogenesis. However, mutations of dfg5 and dcw1 mutations resulted in increased levels of all the five negative regulators of hyphal morphogenesis – Tup1, Nrg1, Mig1, Rbf1 and Rfg1. However, Tup1 levels were significantly higher than other negative regulators indicating that Dfg5 and Dcw1 function in hyphal morphogenesis by repression of Tup1. Finally, dfg5 and dcw1 mutations affected the ability of C. albicans to cause oral candidiasis in mice. Thus, cell wall glycosidases, Dfg5 and Dcw1, are required for virulence and pathogenesis and represent novel drug targets.

Inappropriate expression of histone deacetylase (HDAC6) and deregulation of the phosphatidylinositol 3-kinase (PI3K) signaling pathway are common aberrations observed in cancers. LASSBio-2208, was previously described as a dual inhibitor in the nanomolar range of HDAC6 and PI3Kα, being three times more potent in inhibiting HDAC-6. In this paper we described the cytotoxic and antiproliferative potency of LASSBio-2208 on different tumour cell lines, its possible synergism effect in association with PI3K and HDAC-6 inhibitors, and its DMPK in vitro profile. Our studies have demonstrated that LASSBio-2208 has moderate cytotoxic potency on MCF-7 (IC50 = 23 µM), CCRF-CEM (IC50 = 8.54 µM) and MOLT-4 (IC50 = 7.15 µM), with no cytotoxic effect on hPBMC. In addition, it has a good antiproliferative effect on MCF-7 cells (IC50 = 5.44 µM), low absorption by PAMPA-GIT and low permeation through the blood-brain barrier by PAMPA-BBB, exhibiting high metabolic stability in rat plasma. Moreover, LASSBio-2208 exhibited synergism when combined with getadolisib and tubastatin A, using the concentration corresponding to their CC50 values on MOLT-4 and CCRF-CEM cells.

New strategies for enhancing drug delivery to the blood–brain barrier (BBB) represents a major challenge in treating cerebral diseases. Nano-emulsion based nanocarriers represent an ideal candidate to improve drug delivery thanks to their versatility in functionalization and cargo protection. In this work, a paclitaxel loaded nano-emulsion has been firstly functionalized and stabilized with two layers constituted of chitosan and hyaluronic acid, and, secondly, the latter has been conjugated to the CRT peptide. CRT is a bioactive peptide that selectively recognizes bEnd.3 cells, model of the BBB, thanks to its interactions with transferrin (Tf) and its receptor (TfR). Cytotoxic results showed a higher uptake of CRT functionalized nano-emulsion 41.5 % more than the negative control, demonstrating the ability of this novel tool to be accumulated on the brain endothelium tissue. Thanks to these results, our approach can be fully generalizable to the design of multifunctional nanocarriers for delivery of therapeutic agents to the central nervous systems.

Primary bone lymphoma of the spine (PBL) is a rare entity and the most shared type of non-Hodgkin lymphoma (LNH) appearing in bone lesions deprived of nodal or extra-nodal in-volvement and accounting for approximately 2% of all lymphomas. Most PBL are diffuse large B-cell lymphomas (DLBCL) and commonly involve the appendicular skeleton. Due to its atypical location and non-specific clinical imaging features mimicking certain neoplastic or infectious processes, this pathology may be misdiagnosed, thus complicating and delaying diagnosis. Our case reports a patient in her sixties who had been suffering from chronic low back pain for a year, and had gradually started to develop cruralgia and fever. She underwent a blood sample, magnetic resonance imaging (MRI), and positron emission tomography (18F-FDG-PET/CT) which revealed significant inflammatory syndrome, a pattern of spondylodiscitis at the L3-L4 level associated with morphological and metabolic invasion extending posteriorly, raising suspicion of epiduritis. No other lesions were found on the rest of the body. Neurosurgical management was performed and a biopsy was made. Histological results showed aggressive and diffuse large B-cell lymphoma, suggesting a diagnosis of PBL. This case highlights the first case of spondylodiscitis mimicking PBL in the lumbar spine, the intricacies of the diagnostic work-up, and the complexity of discriminating with an infectious process in the spine, as both have a similar, non-specific clinical presentation with different prognosis and therapeutic management.

The marketing industry is rapidly evolving, necessitating educational programs to adapt and equip graduates with relevant skills and knowledge. This systematic literature review with bibliometric analysis (SLRBA) explores the integration of Problem-Based Learning (PBL) in marketing education. PBL is an instructional strategy that empowers students to solve real-life problems by integrating theory and practice, thus fostering critical thinking and decision-making skills. Our review synthesizes data from 71 sources, highlighting the definition of PBL, strategies to promote its implementation in marketing education, and the benefits and challenges associated with this approach. The findings indicate that PBL enhances student engagement, provides hands-on experience, and prepares students for real-world marketing challenges. Strategies such as using social media, serious games, e-learning, and feedback mechanisms are discussed for their effectiveness in promoting active learning and student participation. Despite its advantages, PBL faces challenges such as resource intensiveness, student resistance, and information integrity issues. This review underscores the importance of PBL in bridging the gap between theoretical knowledge and practical application, ultimately preparing marketing students to meet the demands of the industry. The paper concludes with recommendations for future research and best practices for implementing PBL in marketing education.

Increased soluble endoglin (sENG) were observed in human brain arteriovenous malformations (bAVMs), and overexpression of sENG with vascular endothelial growth factor (VEGF)-A induced dysplastic vessel formation in mouse brain. However, the underlying mechanism of sENG-induced vascular malformations is not clear. While evidence suggests the role of sENG as a pro-inflammatory modulator, increased microglial accumulation and inflammations were observed in bAVMs. Therefore, we hypothesized that microglia mediate sENG-induced inflammation and endothelial cell (EC) dysfunction in bAVMs. In this study, we confirmed that sENG with VEGF-A overexpression induced dysplastic vessel formation. Remarkably, there were increased microglial activation around dysplastic vessels with expression of NLRP3, inflammasome marker. We found that sENG increased the gene expression of VEGF-A, pro-inflammatory cytokines/inflammasome mediators (TNF-α, IL-6, NLRP3, ASC, Caspase-1, and IL-1β), and proteolytic enzyme (MMP-9) in BV2 microglia. The conditioned media from sENG-treated BV2 (BV2-sENG-CM) significantly increased angiogenic factors (Notch-1 and TGFβ) and pERK1/2 in ECs while it decreased IL-17RD, an anti-angiogenic mediator. Finally, the BV2-sENG-CM significantly increased EC migration and tube formation. Together, our study demonstrates that sENG provokes microglia to release angiogenic/inflammatory responses which may be involved in EC dysfunction. Our study suggests the contribution of microglia in the pathology of sENG-associated vascular malformations.

Green and Roasted coffee oils are products rich in bioactive compounds, such as linoleic acid and diterpenes cafestol and kahweol, being a potential ingredient for food and cosmetic industries. An overview of oil extraction techniques most applied for coffee and their influence on the oil composition is presented. Both green and roasted coffee oil extractions are highlighted. Pressing, Soxhlet, microwave, and supercritical fluid extraction were the most used techniques used for coffee oil extraction. Conventional Soxhlet is most used on lab-scale, while pressing is by industry. Supercritical fluid extraction has also been evaluated due to the goal of increasing the coffee oil diterpenes content. One of the highlighted activities in Brazilian agribusiness is the industrialization of oils due to their increasing use in the formulation of cosmetics, pharmaceuticals, and foods. Green coffee oil (raw bean) has desirable bioactive compounds, increasing the interest of private companies and research institutions in its extraction process to preserve the properties contained in the oils.

Drp1 is considered the master regulator of mitochondrial fission and affects the proper segregation during mitosis. Here, we identified two clusters on mitochondria, including Drp1-Ser-616/Mff/Mid51 and-Drp1-Ser637/Fis1/Mid49 for midzone fission (division) and peripheral fission signatures, respectively. This study revealed that phospho-Drp1-Ser637 is involved in mitigating mitochondrial oxidative stress, resolving a long-standing localization issue. Additionally, we demonstrated that Mid49 and Mid51 exhibit distinct functions in recruiting Drp1 for mitochondrial fission. It also confirmed the essential role of the Fis1 and Mid49 adaptors contributed into mitochondrial fission within the phospho-Drp1-Ser637/Fis1/Mid49 cluster during M-phase. Moreover, it suggested that there is mutual exclusivity between two clusters of phospho-Drp1 with four adaptors on mitochondria, as well as varied responses to specific anti-cancer drugs during mitotic arrest. Remarkably, the upregulation of the spindle assembly checkpoint (SAC) was also observed, ensuring the prolongation of M-phase with the formation of multipolar spindles. Collectively, the phospho-Drp1-637/Fis1/Mid49 cluster may not only function in peripheral fission (mitophagy) but also serve as a key SAC coordinator for the regulation of spindle assembly during mitotic arrest. These findings appear to be mutually exclusive of phospho-Drp1 with four adaptors on mitochondria and vary in response to specific anti-cancer drugs.

The leading cause of gastroenteritis in children under the age of five is rotavirus infection, accounting for 37% of diarrhoeal deaths in infants and young children globally. Oral rotavirus vaccines have been widely incorporated into national immunisation programs, but whilst these vaccines have excellent efficacy in high-income countries, they protect less than 50% of vaccinated individuals in low- and middle-income countries. In order to facilitate the development of improved vaccine strategies, a greater understanding of the immune response to existing vaccines is urgently needed. However, the use of mouse models to study immune responses to human rotavirus strains is currently limited as rotaviruses are highly species-specific and replication of human rotaviruses is minimal in mice. To enable characterisation of immune responses to human rotavirus in mice, we have generated chimeric viruses that combat the issue of rotavirus host range restriction. Using reverse genetics, the rotavirus outer capsid proteins (VP4 and VP7) from either human or murine rotavirus strains were encoded in a murine rotavirus backbone. Neonatal mice were infected with chimeric viruses and monitored daily for development of diarrhoea. Stool samples were collected to quantify viral shedding, and antibody responses were comprehensively evaluated. We demonstrated that chimeric rotaviruses were able to efficiently replicate in mice. Moreover, the chimeric rotavirus containing human rotavirus outer capsid proteins elicited a robust antibody response to human rotavirus antigens, whilst the control chimeric murine rotavirus did not. This chimeric human rotavirus therefore provides a new strategy for studying human rotavirus-specific immunity, and could be used to investigate factors causing variability in rotavirus vaccine efficacy. This small animal platform therefore has the potential to test the efficacy of new vaccines and antibody-based therapeutics.

Cystatin F (CstF) is a protease inhibitor of cysteine cathepsins, including those involved in acti-vating the perforin/granzyme cytotoxic pathways. It is targeted to the endolysosomal pathway but can also be secreted to the extracellular milieu or endocytosed by bystander cells. CtsF was shown to be significantly increased in tuberculous pleurisy, and during HIV coinfection, pleural fluids display high viral loads. In human macrophages, we revealed a strong upregulation of CstF during infection with Mycobacterium tuberculosis (Mtb). CstF manipulation using RNA si-lencing led to increased proteolytic activity of lysosomal cathepsins, improving Mtb intracellular killing. Here, we investigate the impact of CstF depletion during coinfection of Mtb-infected mac-rophages with lymphocytes infected with HIV. Our results indicate that decreasing CstF released by phagocytes impacts the major pro-granzyme convertase cathepsin C of cytotoxic immune cells. Consequently, an observed increase of the granzyme B apoptotic effects leads to a significant re-duction in viral replication in HIV-infected lymphocytes. Overall, our results indicate a mecha-nism of Mtb/HIV evasion of the cytotoxic mediated pathogen killing driven by the ax-is CstF/ catC/granzymes contributing to this syndemic interaction. Ultimately, this knowledge can be crucial for developing new therapeutic approaches to control both pathogens based on manipulating CstF.

This paper presents Tiltification, a multi modal spirit level application for smartphones. The non-profit app was produced by students in the master project “Sonification Apps” in winter term 2020/21 at the University of Bremen. In the app, psychoacoustic sonification is used to give feedback on the device’s rotation angles in two plane dimensions, allowing users to level furniture or take perfectly horizontal photos. Tiltification supplements the market of spirit level apps with the unique feature of auditory information processing. This provides for additional benefit in comparison to a physical spirit level and for more accessibility for visu- ally and cognitively impaired people. We argue that the distribution of sonification apps through mainstream channels is a contribution to establish sonification in the market and make it better known to users outside the scientific domain. We hope that the auditory display community will support us by using and recommending the app and by providing valuable feedback on the app functionality and design, and on our communication, advertisement and distribution strategy.

Energy drink (ED) consumption among Israeli-Arab adolescents is widespread. This study aimed to investigate the acute glycemic and insulin effects of EDs in healthy adolescents. Seventy-one Israeli-Arab adolescents (56% girls, average age 16.04±1.03 years) participated in a non-randomized, case-controlled, open-label study. Participants consumed ED (n=36) or a volume- and carbohydrate-matched non-caffeinated soft drink (SD, n=35), followed by a 2 h glucose tolerance test. Blood glucose was measured at baseline and 15, 30, 60, and 120 minutes post-consumption (T0, T15, T30, T60 and T120, respectively). Serum insulin concentration and caffeine relative intensity were determined 45 minutes post-consumption (T45). Blood glucose levels peaked significantly at T15 and remained significantly higher at T30 in the ED group compared to the SD group (p=0.005, p=0.017, respectively). Insulin concentrations were substantially higher at T45 in the ED group (t[64]=2.794, p=0.001). This pattern was especially prominent in heavy ED consumers. A positive correlation emerged between the amount of caffeine consumed (mg/kg), blood glucose levels at T15 and T30, and insulin concentration at T45. This study is the first to demonstrate the glycemic and insulin responses to ED consumption in adolescents, suggesting that regulatory measures limiting ED sales to adolescents could improve their health.

This paper presents the concept of a novel adaptable sensing solution currently being developed under the EU Commission founded PHOTONGATE project. This concept will allow to quantify multiple analytes of the same or different nature (chemicals, metals, bacteria, etc.) in a single test with levels of sensitivity and selectivity at/or over those offered by current solutions. PHOTONGATE relies on two core technologies: a bio-chemical technology (molecular gates) which will confer the specificity and, therefore, the capability to be adaptable to the analyte of interest, and which combined with porous substrates will increase the sensitivity, and a photonic technology based on Local Surface Plasmonic Resonance (LSPR) structures serves as transducer for light interaction. Both technologies are in the micron range, facilitating the integration of multiple sensors within a small area (mm²). The concept will be developed for its application in health diagnosis and food safety sectors. It is thought as an easy-to-use modular concept, which will consist of the sensing module, mainly of a microfluidics cartridge that will house the photonic sensor, and a platform for fluidic handling, optical interrogation, and signal processing. The platform will include a new optical concept, fully Europe Union Made, avoiding optical fibers and expensive optical components.

Despite effective vaccines, yellow fever outbreaks persist, increasing the urgency to find antivirals for patient treatment. This study aimed to discover compounds with potential antiviral properties against the wild-type yellow fever virus (wt-YFV) in Hippeastrum puniceum, of the Amaryllidaceae family, through bioassay-guided fractionation of the crude bulb extract using ultra-high-performance liquid chromatography (UHPLC) coupled with high-resolution ESI-QTOF mass spectrometry and subsequent analysis of the pharmacokinetic and toxicological properties (ADMET) of the annotated compounds. In the active fractions against wt-YFV, six alkaloids were proposed such as bulbisine, cathinone, trigonelline, tetrahydroharman-3-carboxylic acid, and 2,7-dimethoxyhomolycorine (or 3-O-acetylnarcissidine). Co-occurring in these fractions were the amino acids arginine, asparagine, tryptophan, and glutamic acid. In silico ADMET analysis of the alkaloids predicted good absorption, distribution, excretion, favorable metabolization profiles, and non-mutagenic toxicity, indicating their potential for drug development. These findings justify further in vitro assessment of the compounds against YFV and in vivo testing in animal models. This strategy seems to be an efficient approach for discovering antiviral compounds against YFV. Such discoveries hold promise not only in combating YFV but also in addressing a spectrum of other flaviviruses.

This paper explores the application of machine learning in financial time series analysis, focusing on predicting trends in financial enterprise stocks and economic data. It begins by distinguishing stocks from stocks and elucidates risk management strategies in the stock market. Traditional statistical methods such as ARIMA and exponential smoothing are discussed in terms of their advantages and limitations in economic forecasting. Subsequently, the effectiveness of machine learning techniques, particularly LSTM and CNN-BiLSTM hybrid models, in financial market prediction is detailed, highlighting their capability to capture nonlinear patterns in dynamic markets. The study demonstrates the advancements in predictive accuracy and robustness achieved by deep learning methods through empirical analysis and model validation. The findings contribute significantly to academic discourse and offer practical insights for investors, financial analysts, and policymakers navigating market volatility and optimizing investment strategies. Finally, the paper outlines prospects for machine learning in financial forecasting, laying a theoretical foundation and methodological framework for achieving more precise and reliable economic predictions.

Background: Blood pressure (BP) is characterized by a circadian rhythm (Circr), with lower nighttime values, called dipping. Non-dipping is associated with higher CVD risk. The Circr of urinary sodium excretion (NaCle), peaking during the day, is linked to BP patterns. Physical ac-tivity (PA) is known to improve BP control and enhance the dipping phenomenon, but its possi-ble effect on NaCle remains unclarified. Objectives: This study aimed to investigate the correla-tion between PA and the Circr of NaCle and to determine if the relationship is independent of age, sex, BP values, dipping pattern, and salt intake. Methods: A cross-sectional analysis was conducted using data from the Ticino Epidemiological Stiffness Study, involving 953 participants in Switzerland. Data collection included standardized questionnaires, blood samples, 24-hour urine collections, and ambulatory BP monitoring. Participants were categorized into sedentary, partially active, and active. The effect of PA, NaCl intake, and dipping on the day/night NaCle ratio, was assessed with multivariable linear regressions. Results: Participants median age 49 years, with 78% having normal BP values and 47% exhibiting a dipping pattern. 51% were classi-fied as sedentary and 22% as partially active. The median NaCl intake was 7.9 g/day. The youngest subjects had a higher hourly NaCle ratio compared to older subjects. Higher NaCl in-take correlated with increased BP, phenomenon more pronounced in men and younger subjects. The hourly day/night NaCle ratio positively correlates with dipping; however, PA did not show a significant correlation with the NaCle ratio. Conclusion: This study indicates that while the day/night NaCle ratio correlates with the dipping pattern, PA is unrelated to the circadian rhythm of renal sodium handling. The beneficial effects of PA on BP and cardiovascular health thus appear to be mediated through mechanisms other than NaCle. These are explorative find-ings only, but relativize the need for further investigations on the topic.

In the early 2000s, matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) emerged as a performant and relevant tool for identifying micro-organisms. Since then, it has become practically essential for identifying bacteria in microbiological diagnostic laboratories. In the last decade, it was successfully applied for arthropod identification allowing to distinguish vectors from non-vectors of infectious diseases. However, identification failures are not rare, hampering it widely use. Failure is generally attributed either to the absence of respective counter species MS spectra in the database, or to the insufficient quality of query MS spectra (i.e. lower intensity and diversity of MS peaks detected). To avoid matching errors due to non-compliant spectra, the development of a strategy for detecting and excluding outlier MS profiles became compulsory. To this end, we created MSProfileR, an R package leading to a bioinformatics tool through a simple installation, integrating the control quality system of MS spectra and an analysis pipeline including peak detection and MS spectra comparisons. MSProfileR can also add metadata concerning the sample that the spectra are derived from. MSProfileR has been developed in the R environment and offers a user-friendly web interface using the R Shiny framework. It is available on Microsoft Windows as a web browser application by simply navigation using the link of the package on the Github. MSProfileR is therefore accessible to non-computer specialists and is freely available to the scientific community. We evaluated MSProfileR using two datasets including exclusively MS spectra from arthropods. In addition to coherent sample classification, outlier MS spectra were detected in each dataset confirming the value of MSProfileR.

The diagnosis of migraine is based on clear criteria outlined in the International Classification of Headache Disorders version 3 (ICHD-3). Notably, the criteria in ICHD-3 omit the location of migraine. There are increasing reports of migraine in the facial region.(1-3) Facial presentations of migraine are not easy to diagnose as they appear in the lower 2/3rd of the face, often in the maxillary sinus region, around the ear, the upper/lower jaws and teeth.(4) Moreover, the symptomatology of these facial representations of these headaches often resembles sinusitis and dental pathology. We will review these presentations, their diagnosis and possible pathophysiology.

Background: The loss of a co-worker always evokes complex emotions. Such a loss is particularly challenging for those who spend many hours at work and develop close interpersonal relationships with their colleagues. While many studies have examined how losing colleagues affects employees in various organizations, no research has specifically examined this topic in the school environment. Methods: This qualitative study explored the experiences of school counsellors facing the loss of colleagues from their school educational team. Twenty-one school counselors ranging in age from 28 to 61 who had lost a colleague within the past five years were examined by semi-structured in-depth interviews. The interviews were transcribed and analyzed using thematic content analysis. Results: Three main themes emerged from the data: (1) “From Shock to Action”: School Counsellors’ Reactions to Colleague Loss; (2) “From Friendship to Conflict”: School Counsellors' Diverse Experiences with Colleague Loss; and (3) “The Burden of Care”: Coping Mechanisms for School Counsellors Facing Colleague Loss. Conclusion: This study highlights the complex experiences of school counsellors in dealing with the death of colleagues. It underscores the importance of providing long-term emotional support for counsellors throughout their careers, particularly when coping with crises and emergencies.

Lanthanum (La(III)) is one of the high-demand rare earth elements with applications in various products. However, La(III) in mining waste streams and electronic waste also poses environmental and health concerns. Therefore, recovery of La(III) in the waste is needed. In the present study, adsorption of La(III) with Dowex 50W-X8, Amberchrom50WX4, Amberlyst 15, and Amberchrom 50WX2 was evaluated, using a shaker water bath. Dowex 50W-X8 was found to be the best adsorbent and used to investigate the effect of the shaker speed (RPM=50-150), adsorbent dosage (1.0-4.0 g), pH (2.0-7.0), and temperature (20-40oC) on adsorption. La(III) adsorption was found to increase with the shaker speed, as expected. On the other hand, adsorption capacity decreased with the adsorbent amount. Also, the highest La(III) adsorption was observed at pH = 6.0. La(III) percentage removal didn’t vary significantly with temperature from 20 oC -40oC. However, the first-order kinetic rate constant decreased moderately with increases in temperature. Adsorption of La(III) by Dowex 50-X8 followed the Freundlich isotherm model better than the Langmuir model. In addition, adsorption kinetics was represented well by the first-order kinetic model. Moreover, enthalpy and Gibbs free energy changes were found to be negative, indicating an exothermic and thermodynamically favourable adsorption process.

The relationship between physics and information processing is a topic of great significance in the realm of science and technology. The laws of physics, which govern the behavior of matter and energy, also have a profound influence on the way information is processed and utilized. While the mathematics governing information processing has not extensively utilized the laws of physics, it is evident that there is potential for these laws to play a more significant role, particularly in the context of quantum systems. based on the equivalence between information and energy, we can explore how other laws of physics can effectively contribute to more efficient and advanced information processing techniques. This research sheds light on the interconnectedness of physics and information processing, and its findings have the potential to significantly enhance our ability to process information, particularly in cutting-edge quantum systems. By recognizing and leveraging the influence of physics, we can pave the way for further advancements in information processing technologies.

Reflection in healthcare education is an emergent topic with many studies and reviews being published. The purpose of the present review is to map the literature in this field by performing a systematic review of reviews (umbrella review) and to explore which definitions and models are currently in use, how reflection impacts on design, evaluation and assessment and future challenges. Nineteen reviews were identified that satisfied inclusion criteria. Emerging themes were: reflection is currently portrayed as self-reflection and critical reflection with the epistemology-of-practice notion not being as much as expected in tandem with the evidence-based-medicine paradigm modern science advocates. Reflective techniques were recognised in multiple settings (e.g. summative, formative, group vs individual etc.) and have been associated with learning but assessment remains a research topic with issues of validity, reliability and replicability. Future challenges involve the epistemology of reflection in healthcare education and how to practice and assess reflection without losing its theoretical background.

Even though Greece is considered a vulnerable region in terms of climate hazards, public perception and attitude do not always identify climate change as an important environmental area of concern, especially when compared to socio-economic issues. The key issue of this paper is to investigate and analyse public perception in Greece as regards to climate change risk. Through a questionnaire survey this paper analyses trends that exist, peoples’ opinion and awareness with regards to climate risk and how willing they are to change current lifestyle, to pay or to act to minimize or to prevent the risk. Conventional wisdom of this paper is to highlight factors that influence individual perception and point out drivers of behavior change that can support efficiently future adaptation plans.

Droughts have a substantial effect on water resources, agriculture, and ecosystems on a worldwide scale. In the Mekong Delta of Vietnam, droughts exacerbated by climate change are significantly endangering the region's agricultural sustainability and output. Conventional forecasting techniques frequently do not capture the intricate dynamics of meteorological phenomena associated to drought effectively, prompting the exploration of more advanced methodologies. This work utilises artificial intelligence, par-ticularly machine learning methods like Gradient Boosting and Extreme Gradient Boosting (XGBoost), to enhance drought pre-diction in the Mekong Delta. The study utilises data from 11 meteorological stations spanning from 1990 to 2022 to create and evaluate Machine Learning models based on several climatic factors. We utilise Gradient Boosting and XGBoost algorithms to estimate the Standardised Precipitation-Evapotranspiration Index (SPEI) and evaluate their effectiveness in comparison to con-ventional forecasting techniques. The results show that Machine Learning, particularly XGBoost, surpasses traditional approaches in predicting SPEI accuracy at various time scales. XGBoost demonstrates skill in understanding the complex relationships between climatic factors, with R² values falling between 0.90 and 0.94 for 1-month forecasts. The progress highlights the potential of Machine Learning in improving drought management and adaptation tactics, proposing the incorporation of Machine Learning forecasting models into decision-making processes to enhance drought resistance in susceptible areas.

We propose that a dietary reduction of Lipopolysaccharide (LPS) could reduce risk and slow the progression of cognitive decline and Alzheimer’s disease. LPS is a component of the highly inflammatory cell membrane of Gram-negative bacteria. The highest dietary sources of LPS are processed meat and dairy products, which can sharply raise plasma LPS within one to two hours. The LPS in these foods is packaged into chylomicrons, which enter the bloodstream. Smaller amounts of LPS from colonic microbiota do not account for the sharp postprandial increase of plasma LPS. Once in the bloodstream, LPS can trigger the release of inflammatory cytokines within three hours. LPS can increase cytokines via LPS binding protein and cluster of differentiation-14, triggering toll-like receptor-4, and activating nuclear factor kappa-B. Nuclear factor kappa-B can increase cytokine levels, including interleukin-1-beta, interleukin-6, and tumor necrosis factor-alpha. LPS and inflammatory cytokines are higher in Alzheimer’s disease, both in plasma and in the central nervous system. These cytokines can enter the brain via active transport and induce microglial activation and inflammatory damage in the brain, including loss of synapses and neurons. Elevated brain inflammation from dietary LPS can contribute to cognitive impairment and increased risk of dementia.

(1) Background: Since the onset of the SARS-CoV-2 pandemic, seven epidemic waves have been described in Spain. Our objective was to study mortality and severity, and associated factors in our hospitalized patients; (2) Method: Retrospective cohort study was conducted on COVID-19 patients admitted to the Hospital de Fuenlabrada (Madrid, Spain) from the beginning of the pandemic until December 31, 2022; (3) Results: A total of 5,510 admissions for COVID-19 were recorded. First wave accounted for 1,823 (33%) and exhibited the highest proportion of severe patients (lowest mean oxygen saturation, 88.2%; elevated levels of CRP, IL-6, D-dimer and ferri-tin), but a below-average percentage of intubated patients (5% vs. 6.5%). Overall mortality rate was 10.3%, higher during the first wave (11.5%) and the two winter waves (third: 11.3%, sixth: 12%), although the first wave represented 39% of the total. Variables associated with mortality were age (OR 1.08,1.07-1.09), need for high-flow oxygen (OR 6.10,4.94-7.52), oncological disease (OR 1.88,1.53-2.60), dementia (OR 1.82,1.2-2.75), Charlson index (OR 1.38,1.31-1.47), and maxi-mum IL-6 levels (OR 1.001,1.000-1.001); (4) Conclusions: Variables associated with mortality in-cluded age, comorbidity, respiratory failure, and inflammation. Differences on baseline charac-teristics of patients admitted explained differences on mortality in each wave

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

Objectives: The study aimed to develop a deep learning-based edge AI model deployed on electrocardiograph (ECG) devices for real-time detection of atrial fibrillation (AF)-risk during sinus rhythm (SR) using standard 10-second 12-lead electrocardiograms (ECGs). Methods: A novel approach was used to convert standard 12-lead ECGs into binary images for model input, and a lightweight convolutional neural network (CNN)-based model was trained using data collected by the Japan Agency for Medical and Research Development (AMED) between 2019 and 2022. Patients over 40 years old with digital, SR ECGs were retrospectively enrolled and divided into AF and non-AF groups. Data labeling was supervised by cardiologists. The dataset was randomly allocated into training, validation, and internal testing datasets. External testing was conducted on data collected from other hospitals.　Results: The best-trained model achieved an AUC of 0.82 and 0.80, sensitivity of 79.5% and 72.3%, specificity of 77.8% and 77.7%, precision of 78.2% and 76.4%, and overall accuracy of 78.6% and 75.0% in the internal and external testing datasets, respectively. The deployed model and app package utilized 2.5MB and 40MB of the available ROM and RAM capacity on the edge ECG device, correspondingly. Processing time for AF-risk detection was approximately 2 seconds.　Conclusion: The model maintains comparable performance and improves its suitability for deployment on resource-constrained ECG devices, thereby expanding its potential impact to a wide range of healthcare settings. Its successful deployment enables real-time AF-risk detection during SR, allowing for timely intervention to prevent AF-related serious consequences like stroke and premature death.

Fermented foods and ingredients, including fermentates derived from lactic acid bacteria (LAB) in dairy products, can modulate the immune system. Here we describe the use of reconstituted skimmed milk powder to generate novel fermentates from Lactobacillus helveticus strains SC232, SC234, SC212, and SC210, and from Lacticaseibacillus casei strains SC209 and SC229, and demonstrate using in vitro assays that these fermentates can differentially modulate cytokine secretion by bone marrow derived dendritic cells (BMDCs) when activated with either the viral ligand, loxoribine, or an inflammatory stimulus, lipopolysaccharide. Specifically, we demonstrate that SC232 and SC234 increase cytokines IL-6, TNF-α, IL-12p40, IL-23, IL-27 and IL-10, and decreased IL-1β in primary bone marrow derived dendritic cell (BMDCs) stimulated with a viral ligand. In contrast exposure of these cells to SC212 and SC210 resulted in increased IL-10, IL-1β, IL-23, and decreased IL-12p40 following activation of the cells with the inflammatory stimulus LPS. Interestingly SC209 and SC229 had little or no effect on cytokine secretion by BMDCs. Overall, our data demonstrates that these novel fermentates have specific effects and can differentially enhance key immune mechanisms that are critical to viral immune responses, or can suppress responses involved in chronic inflammatory conditions, such as Ulcerative Colitis (UC), and Crohn’s disease (CD).

In the realm of smart transportation and mobility, delivery organizations are continuously refining their strategies, harnessing resources and advanced analytical techniques to streamline operations, aiming to achieve optimal solutions in terms of both efficiency and cost-effectiveness. However, a persistent challenge faced by these delivery companies revolves around the effective assignment of delivery personnel to customer orders, often grappling with suboptimal assignments that lead to inefficiencies and delays. To address this issue, we propose an architecture that uses the Munkres algorithm to optimize the task assignment problem for delivery personnel with pending orders, employing different cost functions obtained with deterministic and machine learning techniques. We compared the performance of linear and polynomial regression methods to construct different cost functions represented by matrices with orders and delivery people information. Subsequently, we applied the Munkres optimization algorithm to solve the assignment problem, which optimally assigns delivery people and orders. The results demonstrate that linear regression, used to estimate distance information, can reduce estimation errors by up to 568.52 km (1.51%) for our dataset compared to other methods. Conversely, polynomial regression proves effective in constructing a superior cost function based on time information, reducing estimation errors by up to 17,143.41 minutes (11.59%) compared to alternative methods. The proposed approach aims to enhance delivery personnel allocation within the delivery sector, optimizing the efficiency of this process.

We investigated the development of a simple and sensitive assay for the identification of minute amounts of animal and human biological material. The suggested system uses isothermal amplification of DNA in a rapid assay format, which returns the results in as little as 40 minutes from sampling. The assay used for the proof of concept employs the novel handheld SaLux19 device (Max-Planck Innovation prototype, Germany). This well-established infield detection system could also be utilized for forensic scenarios. The results presented here demonstrated that the assay is sufficiently specific and sensitive and can detect the presence of Sus scrofa nucleic acids.

Antimicrobial resistance (AMR) is a growing concern in healthcare, and the misuse of antibiotics is contributing to the problem. Antimicrobial Stewardship Programs (ASPs) have been proven to help reduce antibiotic consumption, promote appropriate use, and decrease the incidence of AMR and related side effects. In this study, we aimed to evaluate the impact of ASPs on antibiotics consumption and AMR spread in a Southern Italy. Most of the APSs consisted of applying infection control guidelines and WHO recommendations on antibiotic consumption. The results of the study showed that during the study period, the number of hospitalizations increased by 24%, while the total amount of antibiotics administered decreased from 52.1 to 38.6 defined daily doses (DDD) per 100 bed-days. There was also a significant increase in the number of rectal swabs taken to detect carbapenem-resistant Enterobacteriaceae (CRE) and methicillin-resistant Staphylococcus aureus (MRSA), while the positivity rate of these infections decreased significantly. Moreover, the hospital recorded a decrease in the incidence of several infections, including CRPsA, MRSA, PDR, and VanA infections. This study provides further evidence that ASPs can be effective in reducing antibiotic consumption and preventing the spread of AMR. By promoting the appropriate use of antibiotics and implementing infection control measures, we can help preserve the effectiveness of these life-saving drugs and promote better patient outcomes. However, more efforts are needed to improve healthcare practices and reduce related costs. In conclusion, we urge healthcare providers to implement ASPs in their institutions and help combat the growing threat of AMR. By doing so, we can ensure that antibiotics remain effective for future generations.

The background of this research is the environmental sustainability assessments in the aviation ecosystem, particularly concerning airports, are getting significant attention from the industry, regulators, and researchers. A standardized and comprehensive approach is essential for uniformly addressing the global impacts of these assessments across the industry. The main objective of this study is to develop a unique framework that encompasses the requirements of aviation regulators as well as industry and academic metrics, aiming for a standardized approach to environmental sustainability assessments at airports. The methodology used the Sum of Ranking Method to evaluate each environmental indicator precisely. It was applied to five airports globally, providing a diverse testing ground to assess the proposed metrics’ applicability and effectiveness and validate the framework. The results showed that applying the framework across these varied airport environments demonstrated its viability and effectiveness, indicating that it can be successfully applied to different airport realities. The conclusion shows that the developed framework can be successfully applied globally, suggesting that it can be a valid method for international adoption in environmental airport sustainability analysis, offering a standardized approach that could be accepted and utilized worldwide.

The accelerated development of AI technology has brought about revolutionary changes in various fields of society. Recently, it has been emphasized that Fairness, Accountability, Transparency, Ethics (Explainability) (FATE) should be considered to support the reliability and validity of AI-based decision-making. However, in the case of autonomous driving technology, which is directly related to human life and requires real-time adaptation and response to various changes and risks in the real world, environmental adaptability must be considered in a more comprehensive and converged manner. In order to derive definitive evidence for each object in a convergent autonomous driving environment, it is necessary to transparently collect and provide various types of road environment information for driving objects and driving assistance, and to construct driving technology that is adaptable to various situations by considering all uncertainties in the real-time changing driving environment.This allows unbiased and fair results based on flexible contextual understanding, even in situations that do not conform to rules and patterns, by considering the convergent interactions and dynamic situations of various objects that are possible in a real-time road environment. The transparent, environmentally adaptive, and fairness-based outcomes provide the basis for the decision-making process and support clear interpretation and explainability of decisions. All of these processes enable autonomous vehicles to draw reliable conclusions and take responsibility for their decisions in autonomous driving situations. Therefore, this paper proposes an Adaptability, Fairness, Transparency, Explainability and Accountability (AFTEA) Framework to build a stable and reliable autonomous driving environment in dynamic situations. This paper explains the definition, role, and necessity of AFTEA in artificial intelligence technology and highlights its value when applied and integrated into autonomous driving technology. The AFTEA framework with environmental adaptability will support the establishment of a sustainable autonomous driving environment in dynamic environments, and aims to provide a direction for establishing a stable and reliable AI system that adapts to various real-world scenarios.

This paper presents a new algorithm to solve the optimal reconfiguration problem in distribution networks, using the algorithm called Improved Simulated Annealing combined with Hybrid Cooling (ISA-HC) and Selective Space Search, which leverages the capabilities of the Open Distribution System Simulator (OpenDSS) software and the selective space search concept to enhance performance and reduce the search space. The ISA-HC algorithm determines an adequate starting point for the temperature and initial solution according to the size of the system. For adequate cooling, a three-stage cooling approach was employed to achieve effective cooling, combining two methods widely used in the literature. Overall, the ISA-HC algorithm is a promising method for solving the optimal reconfiguration problem in distribution networks. The algorithm was tested on the systems of 5, 33, 69, and 94 buses and compared to other existing methods in the literature. The results show that the proposed method is more robust and efficient, providing better convergence and reliably achieving good-quality global solutions

Knee osteoarthritis is a prevalent joint disease affecting millions of individuals globally. While total knee arthroplasty is an effective treatment for advanced stages of KOA, it may not be suitable for earlier stages or younger patients. Supervised exercise therapy has proven to be the first line treatment of preference in tackling pain and disability caused by KOA. However, the high intensities required to induce positive muscle adaptations are not indicated in this population as this is often accompanied by pain, discomfort, and frustration; leaving low load resistance training as the only feasible method of treatment. Recently, the use of blood flow restriction training began to emerge as a substitute for high load resistance training. With BFRT, a cuff is applied around the proximal aspect of the affected limb, causing partial arterial and full venous occlusion, thereby inducing localized hypoxia and accumulation of metabolites, mimicking the effects of high load resistance training, albeit with low loads. Consequently, BFRT might offer a suitable and more effective alternative for KOA patients who are not (yet) eligible for TKA, compared to the traditional exercise therapy. This review aims to summarize the current evidence as regards the application of Blood Flow Restriction in exercise therapy of knee osteoarthritis patients, with particular consideration of the underlying mechanisms and its safety, as well as general guidelines for practical implementation into clinical practice. In doing so, this narrative review aims to create a framework allowing the translation from theory to practice.

This article explores the application of machine learning techniques, specifically focusing on ensemble methods like Random Forests, for detecting fraudulent activities in digital financial transactions. Highlighting the evolution from traditional statistical approaches to modern machine learning models, it underscores the effectiveness of Random Forests in handling the inherent challenges of imbalanced datasets typical in fraud detection scenarios. Using a Kaggle dataset of credit card transactions, the study optimizes Random Forest parameters through rigorous parameter tuning, achieving significant improvements in model performance metrics such as Area Under the Curve (AUC). The findings underscore the critical role of machine learning in enhancing fraud detection capabilities, emphasizing the ongoing evolution and future potential of these methodologies in financial risk management.

In this paper, a low-grade copper oxide ore with highly alkaline was treated. The thermodynamic model of CuO-(NH4)2SO4-NH3-H2O was established in the leaching system of tenorite (CuO) under the condition of double conservation of mass and charge. The fitting function of MATLAB and the diff and solve functions were used to calculate the optimal ammonia concentration and total copper ion concentration of tenorite under different ammonium sulfate concentrations. The effects of different ammonia-ammonium salt (ammonium sulphate, ammonium carbonate, ammonium chloride) solution on copper leaching rate were investigated. Results show that under the conditions of ammonia concentration of 1.2 mol/L, ammonia-ammonium ratio of 2:1 and liquid-solid ratio of 3:1, the copper leaching rate from the ammonium sulphate and ammonium chloride solution reaches 70%, slightly higher than that of ammonium carbonate. Therefore, ammonia ammonium sulfate system is selected to leach low-grade copper oxide due to its lower corrosion to the equipment than the chlorination system.

In the United States, several land use and land cover (LULC) data sets are available based on Landsat. These data sets often fail to accurately represent the features on the ground despite having several advantages over other data. Detailed mapping of complex heterogeneous landscapes for informed decision-making is possible using high spatial resolution orthoimagery from the National Agricultural Imagery Program (NAIP). However, large-area mapping at this resolution remains challenging due to radiometric differences between scenes, low spectral depth of imagery, landscape heterogeneity, and computational limitations. Machine learning (ML) techniques have shown promise in improving LULC maps. The primary purposes of this study are to examine and evaluate bagging (Random Forest; RF), Boosting (Gradient Boosting Machines [GBM] and Extreme Gradient Boosting [XGB]), and stacking ensemble models on sentinel 2A fusion data on NAIP imagery. We also compared the accuracy based on random cross-validation (80% / 20% split) without accounting for spatial autocorrelation and target-oriented validation (10 clusters) accounting for spatial structures of the training data set. To make the LULC map of a portion of Tom Green and Irion counties in central Texas, we used a time series of sentinel data and NAIP orthoimagery. We created several spectral indices, structural variables, and geometry-based variables, reducing the dimensionality of features generated on Sentinel and NAIP data. The random and target-oriented validation results show that autocorrelation in the training data offers over-optimistic results. In our case, the overestimation ranged from 2 % to 3.5 %. The XGB-boosted stacking ensemble on-base learners (RF, XGB, and GBM) improved model performance over individual base-learner. The main contribution of this research is that meta-learners are just as sensitive to overfitting as base models, as these algorithms are not designed to account for spatial information. Finally, we show that the fusion of Sentinel 2A data with NAIP data improves land use land cover classification using Geographic Object-Based Image Analysis (GEOBIA).

Objectives: This study assessed the performance of a novel fluoride dentifrice containing micro- fibrillated cellulose (MFC) and 7% silica (Protegera™) versus common fluoride dentifrices. Methods: Removal of extrinsic stains was assessed using the pellicle cleaning ratio (PCR) method, and radioactive dentin abrasivity (RDA) was measured, to calculate a cleaning efficiency index (CEI). Fluoride efficacy was evaluated using widely used remineralization and fluoride uptake methods. Results: The MFC dentifrice removed stained pellicle significantly more effectively than the ADA reference material, Crest Cavity Protection™ and Sensodyne Pronamel™, and had equal performance to three known marketed stain-removing dentifrices (Arm & Hammer™ Advanced Whitening, Crest ProHealth™, and Colgate Optic White™). The MFC dentifrice vehicle had a low RDA (88), which was significantly less than Crest ProHealth (166) and Crest 3D-White™ (183). Based on PCR and RDA data, the CEI was 31% greater for the MFC product than for Crest ProHealth. In a 10-day pH cycling study, the fluoride efficacy of the MFC product was superior to a non-fluoridated control and was not significantly different from Sensodyne Pronamel and Crest Cavity Protection. The MFC dentifrice was superior for promoting fluoride uptake into incipient enamel lesions than the USP reference dentifrice. Conclusion: The low dentin abrasivity MFC dentifrice is highly effective in removing stained pellicle, and is an efficacious fluoride source when compared to other relevant commercially available fluoride dentifrices with high dentin abrasivity. Clinical Significance: Including micro-fibrillated cellulose into a fluoride dentifrice may enhance cleaning performance for the removal of external stain, while lowering abrasivity, and providing an effective fluoride source. This combination of benefits seems well suited to enamel protection and caries prevention.

Data on Stark broadening parameters, spectral line widths and shifts, for 15 multiplets of N VI, which spectral lines are broadened by collisions with electrons, protons, alpha particles (He III) and B III, B IV, B V and B VI ions, are presented. They have been calculated, using the semiclassical perturbation theory, for temperatures from 50,000 K to 2,000,000 K, and perturber densities from 1016 cm−3 up to 1024 cm−3. These data are particularly of interest for the analysis and modelling of atmospheres of hot and dense stars, as e.g. white dwarfs, and for investigation of their spectra, but also for analyis ad modelling of laser driven plasma in proton-boron fusion research.

Directive 2018/844/EU on energy efficiency claims almost 80% of final energy consumption in EU is used within the buildings. Subsequent Directive (EU) 2023/1791 introduced in 2023 expected 68% of the World population living in urban areas. Both Directives enhanced the role of energy management (EM) applied on the city buildings. The study introduces the development of energy management in Czech municipalities between the years 2009 and 2023. The main goal of this article is to present selected results of the unique national survey focused on the energy management in Czech municipalities conducted in 2023 and compare it with results of national surveys implemented in 2009 and 2018. The main method is the evaluation of deep survey conducted among the municipal representatives or energy managers in the past with the new survey conducted in 2023. The results show that EM became notably more important issue for the most Czech municipalities. The number of cities implementing EM significantly grew and the number of city energy managers increased too. On the other hand, the used potential of energy savings triggered by establishing EM is insufficient. This article should be applied to stress power of municipal EM in performing energy efficiency and RES projects and encouraging government to support municipal energy managers in their complex role.

Electric arc furnace oxidizing slag (EAF) has a high density of 3.0~3.7 t/m3 and therefore has a high bulk density when mixed with concrete. Extensive research has been conducted on the use of concrete with high unit volume weight as heavyweight concrete for radiation shielding concrete. In this study, to examine the possibility of developing a radiation shielding concrete, the physical properties of normal concrete, magnetite concrete, EAF concrete, and EAF concrete with added iron powder, were compared. Also, their radiation shielding performance was assessed through shielding tests against X-rays and γ-rays. While the unit volume weight of EAF concrete (3.21 t/m3) appeared lower than that of magnetite concrete (3.5 t/m3), the compressive strength of EAF concrete was greater than those of magnetite and normal concretes. The radiation shielding ratio of magnetite concrete was observed to be 93.9% from the X-ray shielding test, followed by 91.2% of EAF concrete, and 73.7% of normal concrete, indicating a linear relationship with unit volume weight. From the γ-ray shielding test, the performance of EAF and magnetite concretes appeared to be similar. Based on the excellent physical properties and radiation shielding performance of EAF concrete, its potential applicability as radiation shielding concrete was confirmed.

Magnetic resonance imaging (MRI) is crucial for its superior soft tissue contrast and high spatial resolution. Integrating deep learning algorithms into MRI reconstruction enhances image quality and efficiency, but a comprehensive review of optimization-based deep learning models for MRI reconstruction has been missing. This study fills that gap by examining the latest optimization-based algorithms in deep learning for MRI reconstruction, including gradient descent algorithms, proximal gradient descent algorithms, ADMM, PDHG, and diffusion models combined with gradient descent. Learnable optimization algorithms (LOA) are highlighted for their ability to map optimization processes to structured neural networks, improving model interpretability and performance. The study demonstrates significant advancements in MRI reconstruction through deep learning, with successful clinical applications. These findings provide valuable insights and resources for researchers aiming to advance medical imaging using innovative deep learning techniques.

Consumer protection in the financial market has several dimensions. From a formal point of view, consumer rights are guaranteed by law. Market asymmetries are eliminated through the obligation to provide consumers with complete and objective information about financial products and services, honest marketing communication and professional sales practices. Programs are implemented in schools and the media to promote knowledge and responsible use of financial products and services. Despite the efforts made, the number of incorrect and suboptimal financial decisions is so high that the risk of households falling into excessive debt remains significant. The limited effectiveness of the law led to the claim that only effective education can reduce the risk of suboptimal financial decisions. Unfortunately, the efforts made in this area are not fully satisfactory. The aim of the article is to review scientific research on the financial knowledge of consumers in Central Europe and compare it to the results of a study conducted in Poland in January 2024. The results of the analysis could indicate the direction of further research on the possibilities of eliminating suboptimal financial decisions of consumers without limiting - for their better protection - access to financial products.

In recent years, extensive research has focused on investigating rubberized concrete as a structural material due to its enhanced properties, including increased ductility, improved energy dissipation, and higher damping ratios. Additionally, rubberized concrete contributes to sustainable development by recycling non-biodegradable waste and reducing the use of natural aggregates in concrete mixtures. However, its performance in retrofitting existing structures remains unclear and requires thorough investigation before it can be widely implemented in construction activities. The main objective of this research is to evaluate the seismic performance of reinforced concrete buildings strengthened with rubberized concrete jackets under severe earthquake excitations. To achieve this, laboratory tests were conducted to assess the properties of high-performance, self-compacting rubberized concrete mixes with various rubber content levels. Additionally, finite element models of reinforced concrete retrofitted with these mixes were analyzed using nonlinear response history analysis to compare their performance against control models. The results of this experimental work indicate a significant reduction in the mechanical properties of rubberized concrete. However, there is a considerable improvement in the damping ratio, which enhances the energy dissipation capacity of the structures. This improvement contributes to an increase in damping energy and a reduction in hysteretic energy, suggesting that rubberized concrete jackets can enhance the seismic resilience of reinforced concrete buildings.

Color centers in diamond and nanodiamonds can be utilized as quantum sensors for measuring various physical parameters, particularly magnetic and electric fields, as well as temperature. Due to its small size and possible surface functionalization, fluorescent nanodiamonds are attractive systems for biological and medical applications since they can be used for intracellular experiments. This review focuses on fluorescent nanodiamonds for thermometry with nanoscale spatial resolution for living systems. The current state of the art, possible further development, and potential limitations will be discussed here.

Tidal stream energy is a low carbon energy source. Tidal stream turbines operate in a turbulent environment, and the effect of the structure between the turbine and seabed on this environment is not fully understood. An experimental study using 1:72 scale models based on a commercial turbine design was carried out to study the support structure influence on turbulence intensity around turbine blades. The study was conducted using the wave-current tank at LABIMA, University of Florence. A realistic flow environment (ambient turbulent intensity = 11%) was established. Turbulence intensity was measured upstream and downstream of a turbine mounted on two different support structures (one resembling a commercial design, the other the same with an additional vertical element), in order to quantify any variation in turbulence and performance between the support structures. Turbine drive power was used to calculate power generation. Acoustic Doppler Velocimetry was used to record and calculate upstream and downstream turbulence intensity. In otherwise identical conditions, performance variation of only 4% was observed between two support structures. Turbulent intensity at 1, 3 and 5 blade diameters, both upstream and downstream, showed variation up to 21% between the two cases. The additional turbulent structures generated by the additional element of the second support structure appears to cause this effect, and the upstream propagation of turbulent intensity is believed to be permitted by surface waves. This result is significant for the prediction of turbine array performance.

Topology optimization has become a very popular design tool when an optimum design with a concrete objective and subjected to several restrictions is searched. However, the resultant shape of the optimization process isn’t usually easy to manufacture with a typical manufacturing method as machining, being necessary an interpretation and validation of the result; besides, some parameters can be chosen, and the final shape is directly dependent on them. In this paper, a sensitivity analysis of the main parameters involved in 3D topology optimization, the penalization and the filter radius, is carried out for the concrete case of the density-based method, analyzing how manufacturable the results are for 3 axis machining. Also, a new filter and method is proposed for obtaining highly manufacturable and low interpretable parts. The main aim of the study is to help designers to choose the more appropriate parameters and showing what they must have into account for obtaining the desired optimized shapes. Note that the density-based topology optimization method has been chosen due to its popularity in commercial packages, so the conclusions may have direct applications in designers’ work. Finally, the results of the study are verified through different cases for checking the validity of the conclusions.

This review deals with the adaptive mechanisms that plants can implement to cope with the challenge of salt stress. Plants tolerant to NaCl implement a series of adaptations to acclimate to salinity, including morphological, physiological and biochemical changes. These changes include increases in the root/canopy ratio and in the chlorophyll content in addition to changes in the leaf anatomy that ultimately lead to preventing leaf ion toxicity, thus maintaining the water status in order to limit water loss and protect the photosynthesis process. Furthermore, we deal with the effect of salt stress on photosynthesis and chlorophyll fluorescence and some of the mechanisms thought to protect the photosynthetic machinery, including the xanthophyll cycle, photorespiration pathway and water-water cycle. Finally, we also provide an updated discussion on salt-induced oxidative stress at the subcellular level and its effect on the antioxidant machinery in both salt-tolerant and salt-sensitive plants. The aim is to extend our understanding of how salinity may affect the physiological characteristics of plants.

Opuntia ficus-indica has always interacted with many phytophagous insects at its center of origin; two of them are Dactylopius coccus and D. opuntiae. D. coccus, or true cochineal, is produced to extract carminic acid, and D. opuntiae or wild cochineal is a key invasive pest of O. ficus-indica in more than 20 countries around the world. Despite the economic and environmental relevance of this cactus and, D. opuntiae and D. coccus, there are few studies that have explored volatile organic compounds (VOCs) derived from the plant-insect interaction. The aim of this work was to determine VOCs of D. coccus and D. opuntiae feeding on cultivars suitable for their development and to identify different VOCs in cladodes infested by each Dactylopius species. Volatiles were identified through their essential oils, which were obtained by hydrodistillation. A total of 66 VOCs from both Dactylopius species were identified, and 125 from the Esmeralda and Rojo Pelón cultivars infested by D. coccus and D. opuntiae, respectively, were determined. Differential VOCs production due to infestation by each Dactylopius species was also found. Some changes in methyl salicylate, terpenes such as linalool or the alcohol p-vinylguaiacol were related to Dactylopius feeding on cladodes of their respective cultivars. Changes in these VOCs and their probable role in plant defense mechanisms should receive more attention because this knowledge could improve D. coccus rearing, or to its inclusion in breeding programs for D. opuntiae control in regions where it is a key pest of O. ficus-indica.

The pathogenicity of grapevine geminivirus A (GGVA), a recently identified DNA virus, to grapevine plants remains largely unclear. Here, we report a new GGVA isolate (named GGVAQN) obtained from grapevine ‘Queen Nina’ plants with severe disease symptoms; the infectious clone of GGVAQN (pXT-GGVAQN) was also constructed. Infection assays indicated that Nicotiana benthamiana plants inoculated with GGVAQN display upward leaf curling and chlorotic mottling symptoms. Direct injection of Agrobacterium tumefaciens cells carrying pXT-GGVAQN into roots of in vitro-grown ‘Red Globe’ grape plantlets by syringe led to systemic infection with GGVAQN, and the plants exhibited chlorotic mottling symptoms on their upper leaves, and downward curling, interveinal yellowing, and leaf-margin necrosis symptoms on their lower leaves. Our results provide insights into the pathogenicity of GGVA, and a simple and efficient inoculation method to deliver infectious viral clones to woody perennial plants.

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

Background Adjuvant therapy has improved the clinical prognosis for postoperative melanoma patients. but the long-term efficacy of acral and mucosal types has not been fully evaluated in previous trials. This study aimed to assess the 3-year recurrence-free survival (RFS) and overall survival (OS) of melanoma treated with anti-PD-1antibody (Ab) or the combination of dabrafenib and trametinib. Methods We retrospectively analyzed both the 3-year recurrence-free survival (RFS) and overall survival (OS). Results The median RFS was 18.4 months, with a range of 0.69 to 36 months. The 3-year RFS of the acral and mucosal types was 28.1% and 38.5%, respectively. Baseline tumor thickness (TT) and acral type were associated with the RFS in subgroup analysis. Moreover, we classified 104 acral and non-acral cutaneous patients into the anti-PD-1 Abs or dabrafenib plus trametinib combined therapies cohort in multiple analyses. The acral subtype and TT were detected as important prognostic factors. In the 3-year OS, only tumor ulceration was associated with the OS in both univariate and multiple analyses. Conclusion This study suggests that both acral and mucosal types in the adjuvant setting are less effective than non-acral cutaneous melanoma at the 3-year RFS.

Hydrokinetic energy constitutes a significant promise as a renewable energy source, yet many regions experience flow velocities insufficient to support conventional turbine installations. According to this, the present work proposes a vertical axis hydrokinetic turbine aimed to environments where conven-tional turbines may not be feasible due to insufficient water velocity. This turbine is based on a biologi-cally inspired design which improves the traditional Savonius turbine. This innovative configuration is inspired by the Fibonacci spiral. The turbine's performance was analyzed through Computational Fluid Dynamics. A notable improvement was found in comparison with the traditional Savonius turbine, providing a 15.1% increment in the power coefficient.

The Mexican Central Pacific (MCP) has discontinuous coral ecosystems with different protection and anthropogenic disturbance. Characterizing the bacterial assemblage associated with the sea urchin Toxopneustes roseus and its relationship with environmental variables will contribute to understanding the species’ physiology and ecology. We collected sea urchins from coral ecosystems at six sites in the MCP during the summer and winter for two consecutive years. The spatial scale represented the most important variation in the T. roseus bacteriome, particularly because of Isla Isabel National Park (PNII). Likewise, spatial differences correlated with habitat structure variables, mainly the sponge and live coral cover. The PNII exhibited a highly diverse bacterial assemblages compared to other sites, characterized by families associated with diseases and environmental stress (Saprospiraceae, Flammeovirgaceae, and Xanthobacteraceae). The remaining five sites presented a constant spatio-temporal pattern, where the predominance of Campylobacteraceae and Helicobacteraceae families were key to T. roseus’ holobiont. However, the dominance of certain bacterial families in the second analyzed year, such as Enterobacteriaceae, suggests that Punto B, and Islas e islotes de Bahía Chamela Sanctuary, were exposed to sewage contamination. Overall, our results improve the understanding of host-associated bacterial assemblage in specific time and space and its relationship with the environmental condition.

For semiconducting two-dimensional transition metal dichalcogenides, carrier transport proper-ties of the material are affected by strain engineering. In this work, we investigate the carrier mo-bility of monolayer hafnium disulphide (HfS2) under different biaxial strains by first-principles calculations combined with Kubo-Greenwood mobility approach and compact band model. The decrease/increase in effective mass of conduction band of monolayer HfS2 caused by biaxial ten-sile/compressive strain is the major reason for the enhancement/degradation of its electron mobil-ity. Lower hole effective mass of valence bands in the monolayer HfS2 under biaxial compressive strain results in the better hole transport performance of monolayer HfS2 than the one with biaxial tensile strain. In summary, biaxial compressive strain decreases both effective mass and phonon scattering rate of monolayer HfS2, resulting in an increase in carrier mobility. When the biaxial compressive strain reaches 4%, for the conduction band of monolayer HfS2, electron mobility en-hancement ratio is ~90%. For the valence band of monolayer HfS2, the maximum hole mobility enhancement ratio appears ~13% at biaxial compressive strain of 4%. Our results indicate that the carrier transport performance of monolayer HfS2 can be greatly improved by the strain engineer-ing.

Sentiment analysis is a technique used to understand the publics’ opinion towards an event, product, or organization. For example, positive or negative opinion or attitude towards electric vehicle (EV) brands. This provides companies with valuable insight about the public's opinion of their products and brands. In the field of natural language processing (NLP), transformer models have shown great performances over the traditional machine learning algorithms. However, these models have not been explored extensively in the EV domain. EV companies are becoming signif-icant competitors in the automotive industry and are projected to cover up to 30% of the United States light vehicle market by 2030 [1]. In this study, we present a comparative study of large language models (LLMs) including bidirectional encoder representations from transformers (BERT), robustly optimized BERT approach and generalized autoregressive pretraining for language un-derstanding using Lucid motors and Tesla motors YouTube datasets. Results evidenced LLMs like BERT and her variants are off-the-shelf algorithms for sentiment analysis, specifically, when fi-ne-tuned. Furthermore, our findings presents the need for domain adaptation whilst utilizing LLMs. Finally, the experimental results showed that RoBERTa achieved consistent performance across the EV datasets with a F1 score of at least 92%.

A processual texture lies at the core of phenomena that undergo change. Philosophers have observed the incessant becoming of our world from antiquity to the present day, but an explanation must still be found in terms of contemporary metaphysics. This article strives to bring the focus on the domain of possibles, an under-theorised philosophical issue that dwells in the ontological realm between the possibility and its actual realization. Sketching a more comprehensive concept of the possible unravelling the thread of its main meanings, the process of change will be not simply clarified from inside, but also understood as an activator of reality. Finally, the discussion will argue for a principle of prudence and responsibility derived from an ontological basis.

This paper provides a comprehensive evaluation of the environmental impact of implementing the beverage container DRS on marine and coastal litter along the Latvian coastline. It incorporates data and insights from the assessment of deposit fractions litter in coastal areas during the post-season autumn period in three monitoring sessions from 2021 (before the introduction of the DRS in Latvia) to 2023 (post-introduction). In 2022, a 43% overall decrease in selected public coastal areas was observed, with significant reductions at 11 out of 17 sites. This positive trend continued in 2023, showcasing a further 22% decrease compared to 2022 and a substantial 56% decrease compared to 2021. The study delves into the specific impact on different material types of beverage containers, reporting significant decreases in plastic and aluminum litter fractions. While glass beverage container litter showed a smaller decrease, overall positive trends continued in 2023. However, the situation with aluminum cans remained challenging, especially in border areas with Lithuania and Estonia. The study emphasizes that beverage containers with identifiable deposit system labels constitute a minority of the total litter pressure, underscoring the need for ongoing efforts to address containers without deposit labels, particularly in specific border areas. The findings provide valuable insights into the effectiveness of the deposit system in mitigating coastal litter, contributing to sustainable waste management practices in Latvia.

Following Dirac’s notation in Quantum Mechanics (QM), we propose the Probability Bracket Notation (PBN), by defining a probability-bra (P-bra), P-ket, P-bracket, P-identity, etc…Using the PBN, many formulas, such as normalizations and expectations in systems of one or more random variables, can now be written in abstract basis-independent expressions, easy to expand by inserting a proper P-identity. The time evolution of homogeneous Markov processes can also be formatted in such a way. Our system P-kets are identified with probability vectors and our P-bra system is comparable with Doi’s state function or Peliti’s standard bra. In the Heisenberg picture of the PBN, a random variable becomes a stochastic process, and the Chapman-Kolmogorov equations are obtained by inserting a time-dependent P-identity. Also, some QM expressions in Dirac notation are naturally transformed to probability expressions in PBN by a special Wick rotation. Potential Applications show the usefulness of the PBN beyond the constrained domain and range of Hermitian operators on Hilbert Spaces in QM all the way to IT.

Sustainable supply chain management (SSCM) represents a critical strategy for the electronics industry to balance economic objectives with environmental and social responsibility across complex global production networks. This multiple case study analysis investigates SSCM integration within leading Korean electronics manufacturers Samsung, LG, and Hyundai. In-depth qualitative data, focus groups, and sustainability report analysis reveals the policies, practices, results and implementation barriers related to incorporating sustainability criteria across procurement, manufacturing, distribution and recycling functions. Findings show sustainability considerations increasingly driven by cost, risk, reputational and regulatory factors, with vertical coordination initiatives helping transfer knowledge to assist suppliers on compliance and emissions reductions. Yet substantial obstacles persist around monitoring, coordination, transparency and technical capabilities, especially amongst lower tiers. The paper discusses how common reporting standards, ethical sourcing certification and partnerships can accelerate electronics supply chain sustainability. By mapping integration achievements and gaps, this study informs managerial best practices and policy reforms toward promoting socially and ecologically responsible models for Korea's vital export industry as it navigates rising stakeholder pressures.

Real assets in the energy market are subject to ecological uncertainty due to the penetration of renewables. We illustrate this point by analysing electrolysers, a class of assets which recently became the subject of a large interest, as they lead to the production of the desirable green hydrogen and green ammonia. The latter has the advantage of being easily stored and has huge potential in decarbonising both the fertilizer and shipping industries. We consider the optimization of green ammonia production with different types of electricity procurement in the context of stochastic power and ammonia markets, a necessary assumption to translate the features of renewable, hence intermittent, electricity. We emphasise the importance of using stochastic prices to effectively model the volatile nature of the price dynamics, illustrating the project risks that can be mitigated by hedging activities. This study shows the pivotal role of flexibility when dealing with fluctuating renewable production and volatile electricity prices to maximise profits and better manage risks.

This study evaluated the impact of rough, smooth, and very smooth Titanium (Ti) and zirconia (Zr) surfaces on the neutrophil expression of elastase (NE), matrix metalloproteinase (MMP)-8, MMP-9 and extracellular traps (NETs). Ti and Zr disks with a diameter of 10mm and a thickness of 1.5mm were processed using diamond-impregnated polishing burs and paste to generate rough (R; Ra= > 3µm), smooth (S; Ra= ≥1 to 1.5µm) and very smooth (VS; Ra= <0.1µm) surfaces. Peripheral neutrophils from Wistar rats were cultured on these surfaces and the culture supernatants subsequently analyzed for the presence of NE, MMP-8, and MMP-9 by ELISA, while NETs formation was demonstrated immunohistochemically by staining neutrophils with CD16b and DNA with DAPI. Overall, the expression of NE and MMP-8 were significantly higher from neutrophils cultured on both on Ti and Zr rough surfaces compared to the very smooth surface (R>S>VS) after 2h and 4h of culture. The expression of MMP-9 also increased with culture time however no significant surface effects on expression were observed. Similarly, rough Ti and Zr surfaces (R & S) also showed significantly larger NETs formation compared to the very smooth surface (VS) after 4h and 8h culture. Our findings suggest that increasing surface roughness on Ti and Zr triggers higher secretion of NE, MMP-8 and NETs formation.

Fertility preservation technologies have existed for decades, and the field is rapidly advancing; limited data exist regarding the use of these technologies by transgender patients. Many options are available for transgender patients who wish to preserve fertility before transitioning. These options include the cryopreservation of gametes, ovarian tissue, or embryos. Currently, ejaculated, or testicular sperm, immature oocytes, and ovarian tissue can be preserved for later use, but no such use option exists for immature testicular tissue. Many financial, sociological, and legal barriers and a lack of awareness among physicians and patients also hindered the utilization of these fertility preservation services. While options are abundant, usage rates are relatively low. The initial data regarding the successful use of preserved tissues appears promising, with birth rates not dissimilar to non-transgender patients. Further investigations into this area are needed. In addition, counseling regarding fertility preservation options should become a significant part of the provider-patient conversation before transitioning therapies.; fertility; transgender; reproductive technology.

The emergence of Artificial Intelligence (AI) driven Keyword Spotting (KWS) technologies has revolutionized human to machine interaction. Yet, the challenge of end-to-end energy efficiency, memory footprint and system complexity of current Neural Network (NN) powered AI-KWS pipelines has remained ever present. This paper evaluates KWS utilizing a learning automata powered machine learning algorithm called the Tsetlin Machine (TM). Through significant reduction in parameter requirements and choosing logic over arithmetic based processing, the TM offers new opportunities for low-power KWS while maintaining high learning efficacy. In this paper we explore a TM based keyword spotting (KWS) pipeline to demonstrate low complexity with faster rate of convergence compared to NNs. Further, we investigate the scalability with increasing keywords and explore the potential for enabling low-power on-chip KWS.

This article examines experiments with elastic material, specifically the deformation of an elastic tube under hydrostatic pressure with a constant flow of fluid inside. This flow induces a pulsatile movement within the elastic tube. Preliminary results are compared with a theoretical model that combines longitudinal and transverse waves. During the experiment, images at various stages of deformation were captured and analyzed. The objective is to better understand the behavior of elastic materials under these conditions and validate the proposed theoretical model through detailed experimental observations, providing a deeper insight into the dynamics of deformation in deformable materials.

This work presents first time successfully fabricated silica few-mode microstructured optical fiber (MOF) with hollow GeO2-doped ring core and strongly induced twisting up to 790 revolutions per meter. Some technological issues for manufacturing of GeO2-doped supporting elements for large hollow cores as well as described above complicated spun MOFs are discussed. We introduce some results of tests, performed for pilot samples of designed and manufactured described above untwisted and twisted MOFs with outer diameter 65 µm and hollow ring core inner diameter 30.5 µm under wall thickness 1.7 µm and refractive index difference n=0.030, including their geometrical parameters, basic transmission characteristics and measurements of far-field laser beam profile patterns.

We present preliminary results of JVLA wideband full polarization observations of a sample of Active Galactic Nuclei (AGN) with very high Rotation Measure (RM) values, sign of extreme environment. The polarization properties show a complex behaviour with the polarization angle (PA) and the fractional polarization (fp) that dramatically change within the wideband. The measured RM is not constant within the wide band. Its complex behaviour reflects the complexity of the medium with the presence of several Faraday components. The depolarization have been studied, modeling the Stokes parameters Q and U together with the polarization parameters (PA and fp) with wavelength by applying combinations of the simplest existing depolarisation models. With this JVLA study we could spectrally resolve multiple polarized components of unresolved AGN. These preliminary results reveal the complexity of these objects, still improvements have to be done on the depolairzation modeling to better understand the polarization structure of these sources.

The dynamic global automotive sector is characterized by an ever-evolving demand for high-quality vehicles and accessible prices. This research tackles the issue of scrap reduction in electric motor manufacturing for the automotive industry, specifically in a Chinese company, by employing the PDCA methodology. The paper delves into the company's background and current landscape, while pinpointing the problem: specific production lines segments experiencing hi-pot issues are the primary source of scrap. The overarching goal is to design and implement a strategy that, leveraging the PDCA approach, reduces scrap generated during the eight-months subassembly (armature) manufacturing process, from its current average of 2.92% to 0.7%, ultimately enabling the company to eliminate hi-pot defects.

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

Background: Co-treatment of the fetal estrogen estetrol (E4) with androgen deprivation therapy (ADT) for advanced prostate cancer (PCa) may further inhibit endocrine PCa tumor stimulators including testosterone (T), prostate-specific antigen (PSA), follicle-stimulating hormone (FSH), and insulin-like growth factor-1 (IGF-1). Methods: A Phase II, double-blind, randomized, placebo-controlled study in advanced PCa patients requiring ADT (the PCombi study) was conducted to assess the effect of E4 co-treatment with LHRH agonist ADT on total T, free T, PSA, FSH, and IGF-1. Patients starting ADT were randomized 2:1 to 40 mg E4 (n=41) or placebo (n=21) for 24 weeks. Analyses were performed on the per-protocol population (PP), using the Wilcoxon-rank sum and the Kruskal-Wallis test. Results: The PP population consisted of 57 patients (37 ADT+E4; 20 ADT+placebo). All individual data of the four endocrine tumor stimulators are presented in figures in the paper and in supplementary tables, showing that E4 co-treatment almost completely suppressed FSH levels in all patients, on average by 98% versus 37% in the placebo group (p

The purpose of this work is to investigate the protein kinase inhibitory activity of constituents from ethyl acetate soluble fraction of Acacia auriculiformis stem bark. Column chromatography, gel filtration and NMR spectroscopy were used to purified and characterized betulin from the extract. Betulin which is a known inducer of apoptosis was screened against a panel of 16 disease-related protein kinases. Betulin was shown to inhibit Abelson murine leukemia viral oncogene homolog 1 (ABL1) kinase, casein kinase 1epsilon (CK1epsilon), glycogen synthase kinase 3alpha/β (GSK-3alpha/β), Janus kinase 3 (JAK3), NIMA Related Kinase 6 (NEK6) and vascular endothelial growth factor receptor 2 kinase (VEGFR2) and with activity in µM range. The effect of betulin on the cell viability of doxorubicin-resistant K562R chronic myelogenous leukemia cells was then verified to underline its putative use as anti-cancer compound. Betulin was shown to modulate the mitogen-activated protein (MAP) kinase pathway similarly to imatinib mesylate, a well-known inhibitor of ABL1 kinase. The interaction of betulin and ABL1 was studied by molecular docking showing an interaction of the inhibitor with the ATP binding pocket. Altogether, these data demonstrate that betulin is a multi-target inhibitor of protein kinases, an activity that can contribute to the anticancer properties of the natural compound and notably for treatment of leukemia.

Genomic medicine is moving from research to the clinic. There is a lack of evidence about the impact of genomic medicine interventions on health outcomes. This is due in part to a lack of standardized outcome measures that can be used across different programs to evaluate the impact of interventions targeted to specific genetic conditions. The eMERGE Outcomes working group (OWG) developed measures to collect information on outcomes following the return of genomic results to participants for several genetic disorders. These outcomes were compared to outcome intervention pairs for genetic disorders developed independently by the ClinGen Actionability working group (AWG). In general, there was concordance between the defined outcomes between the two groups. The ClinGen outcomes tended to be higher level and the AWG scored outcomes represented a subset of outcomes referenced in the accompanying AWG evidence review. eMERGE OWG outcomes were more detailed and discrete, facilitating collection of relevant information from health records. This paper demonstrates that common outcomes for genomic medicine interventions can be identified. Further work is needed to standardize outcomes across genomic medicine implementation projects and make these publicly available to enhance dissemination and assist in making precision public health a reality.

Visceral leishmaniasis (VL)is a fatal disease caused by the protozoa Leishmania infantum for which dogs are the main reservoirs. A vaccine against canine visceral leishmaniasis (CVL) could be an important tool in the control of human and CVL by reducing the infection pressure of L. infantum. Despite the CVL vaccine available on the market, the Brazilian Ministry of Health did not implement the use of it in their control programs. In this sense, there is an urgent need to develop more efficient vaccines. In this study, the association between two polymeric nanoformulations, [poly (D, L-lactic) acid (PLA) polymer] loading Leishmania amazonensis antigens, was evaluated as a potential immunobiological agent against VL using golden hamsters as an experimental model. The results indicated that no significant adverse reactions were observed in animals vaccinated with LAPSmP. LAPSmP presented similar levels of total anti-Leishmania IgG as compared to LAPSmG. The LAPSmP and LAPSmG groups showed an intense reduction in liver and spleen parasitic load by qPCR. The LAPSmP and LAPSmG vaccines showed exceptional results, indicating that they may be promising candidates as a VL vaccine.

The microfluidic industry recognizes the lack of sensitive and standardized testing methods as one of the major hurdles to overcome before fulfilling its revolutionary promises. Highly ranked upon the list of things in need of testing methods are the internal dimensions of microfluidic structures after chip assembly. This work, performed under the MFMET project, aims to address this challenge by presenting and comparing multiple protocols for measuring the dimensions of internal microfluidic channels of fully assembled transparent chips. The protocols include optical profilometry, optical microscopy and tiled digital imagery. Several standardized chip designs out of two different materials commonly used in microfluidics (D263©bio and TOPAS© COC) were measured by the different protocols. A consistency analysis through normalized error statistics revealed optical profilometry as the preferred method due to its low uncertainty compared to the other protocols and its higher consistency with nominal geometry values. All protocols showed difficulty with vertical depth measurements of internal structures. Associated possible directions of future research are considered including further study of the influence of multiple refractive surfaces on optical profilometry measurements and further investigation of confocal microscopy as a potential measurement method showing promising preliminary results. The influence of the different materials appears to be minimal on optical profilometry, but other materials and method would merit looking into before such an observation might be generalized. In conclusion, the results of this work directly address the current lack of measurement methods for internal microfluidic structures by providing a comprehensive comparison of different protocols, ultimately suggesting a preferred option for immediate application within the microfluidic industry. Additionally, this work offers valuable directions for future research, serving as an initial step in overcoming a significant challenge that impedes the microfluidic industry from realizing its revolutionary potential.

Abstract Purpose: This study aims to evaluate the potential of multimodal ultrasound techniques in improving the visibility of liver lesions that are indistinct under conventional ultrasound. Specifically, we will explore the application of fusion imaging, contrast-enhanced ultrasound (CEUS), and high-frequency ultrasound in enhancing the visibility of liver masses. These techniques will be utilized to assist in visualizing liver lesions and to accurately localize them for the purpose of performing percutaneous tissue biopsy. Lastly, we will compare the biopsy results with the final diagnosis to assess whether multimodal techniques can enhance the success rate of percutaneous biopsy for liver masses that are not clearly visible under conventional ultrasound. Furthermore, the potential impact of these techniques on the development of personalized treatment strategies for patients was also discussed. Materials and Results: A retrospective analysis was conducted on 144 patients with liver masses who underwent conventional ultrasound examinations at our hospital from October 2018 to January 2024. These patients had poor visibility on conventional ultrasound, but the tumor location was visible on abdominal computerized tomography (CT) or magnetic resonance imaging (MRI) scans. We excluded 71 patients who did not undergo percutaneous liver tumor biopsy and 8 patients who remained non-visualized under multimodal ultrasound. Finally, 95 patients met the inclusion criteria and their clinical and radiological data were selected for analysis. Computerized tomography or magnetic resonance imaging-ultrasound (CT/MR-US) fusion imaging was performed in 55 patients, CEUS was conducted in 95 patients, and high-frequency ultrasound examination was performed in 21 patients. The visibility of the lesions using these three techniques was evaluated, and the consistency between the biopsy pathology and the final diagnosis was analyzed. Results: In the study, a total of 39 cases were identified as solitary liver lesions, 34 cases as multiple lesions, and an additional 23 cases as diffuse hepatocellular carcinoma. Among them, there were 13 cases (13.7%) of lesions located in the left lobe, 73 cases (76.8%) in the right lobe, and 9 cases (9.4%) at the junction of the left and right lobes. The average maximum diameter of the lesions was 2.7 cm (ranging from 0.7 cm to 10.0 cm). The detection rates of lesions using CT/MR-US fusion imaging, contrast-enhanced ultrasound (CEUS), and high-frequency ultrasound examination were 49.1%, 96.8%, and 76.2%, respectively. All patients in the entire cohort underwent percutaneous ultrasound-guided biopsy after confirming the target location of the lesions, including 9 patients underwent percutaneous microwave ablation. No severe complications were observed. The accuracy rate of the biopsies was 91.6%, and the positive concordance rate was 91.1%. The biopsy pathology included 39 cases of hepatocellular carcinoma (HCC), 16 cases of intrahepatic cholangiocarcinoma (ICC), 22 cases of metastatic adenocarcinoma, 3 cases of hepatic adenoma (HA), 1 case of vascular sarcoma, and 1 case of mixed HCC-ICC. Among the 13 patients with negative pathology findings after biopsy, 8 cases were considered false negatives (based on follow-up laboratory tests and imaging results consistent with malignant tumor characteristics), resulting in a false negative rate of 8.9%. Conclusions: The application of multimodal ultrasound technology can significantly improve the success rate of liver lesion biopsies that are difficult to visualize using conventional ultrasound. Furthermore, it will facilitate the guidance of microwave ablation therapy for lesions using multimodal ultrasound imaging, enabling collaborative precision treatment planning for patients with clinical physicians.

The knowledge of the precise anatomy and dimensions of the pulp chamber in the different teeth allows the odontologist to perform correct diagnosis, as well as treatment planning and moni-toring. The clinical practice has introduced cone-beam computed tomography (CB-CT) as a method to evaluate the morphology and dimensions of the pulp chamber. Nevertheless, micro-computed tomography (micro-CT) is regarded as the gold standard in approaching those topics. Here we have designed an algorithm that takes as input DICOM images from in vivo CB-CT of permanent molars to determine the accuracy CB-CT for evaluation of pulp chamber volume. The values were compared with those from in vivo CB-CT (rough and expert manipulated) and ex vivo micro-CT. The relative errors obtained with the volume calculated by the algorithm vs. the volume measured by micro-CT do not exceed 5.7%; also, no significant differences were found between algorithm volumes vs. manipulated CB-CT volumes while all volumes were different from those obtained with automatic CB-CT software. These data demonstrate that volume algorithm CB-CT based may be a reliable technique for evaluation of the pulp chamber volume in permanent molars and can be useful in the diagnosis of pulp diseases, as well as in the planning and monitoring of their treatments.

Under different pathophysiological conditions endothelial cells lose endothelial phenotype and gain mesenchymal cell-like phenotype via a process known as endothelial-to-mesenchymal transition (EndMT). At the molecular level, endothelial cells lose the expression of endothelial cell-specific markers such as CD31/platelet-endothelial cell adhesion molecule, von Willebrand factor, and vascular-endothelial cadherin and gain the expression of mesenchymal cell markers such as α-smooth muscle actin, N-cadherin, vimentin, fibroblast specific protein-1 and collagens. EndMT is induced by numerous different pathways triggered and modulated by multiple different and often redundant mechanisms in a context-dependent manner depending on the pathophysiological status of the cell. EndMT plays an essential role in embryonic development, particularly in atrioventricular valve development, however, EndMT is also implicated in pathogenesis of several genetically determined and acquired diseases including malignant, cardiovascular, inflammatory, and fibrotic disorders. Among cardiovascular diseases aberrant EndMT is reported in atherosclerosis, pulmonary hypertension, valvular disease, fibroelastosis and cardiac fibrosis. Accordingly, understanding the mechanisms behind cause and/or effect of EndMT to eventually target EndMT appears to be a promising strategy to treat aberrant EndMT-associated diseases. However, this approach is limited by a lack of precise functional and molecular pathways, causes and/or effects, and lack of robust animal model and human data about EndMT in different diseases. Here, we review different mechanisms in EndMT and the role of EndMT in various cardiovascular diseases.

The firmware developed for the readout and trigger processing of the information emerging from BIS78-RPC Muon Spectrometer chambers in the ATLAS experiment at CERN, is presented here, together with data processing techniques, data acquisition software and tests of the readout chain system, on the road to make these chambers operational in the ATLAS experiment. This work is performed in the context of the BIS78-RPC project, which deals with the pilot deployment of a new generation of sMDT+RPC chambers in the experiment. Such chambers are planned to be fully deployed in the whole barrel inner layer of the Muon Spectrometer during the Phase-II upgrade of the ATLAS experiment. On-chamber front-ends include an amplifier, a discriminator ASIC and an LVDS transmitter. The signal is digitized by CERN HPTDC chips and then processed by an FPGA which is the heart of the readout and trigger processing, using various techniques. The work presented here is a continuation of the work presented in [1].

Despite the extensive literature on missing data theory and cautionary articles emphasizing the importance of realistic analysis for healthcare data, a critical gap persists in incorporating domain knowledge into missing data problem formulation, assumption specification, and method development. In this paper, we highlight the gap particularly for observational data from healthcare facilities. We address this gap by identifying ten fundamental missingness scenarios arising during data measurement, recording, and pre-processing in observational health data, influenced by physicians, patients, healthcare facilities, and data scientists. We analyze the effect of scenarios on estimand formulation, missing data identification, estimation, and sensitivity analysis. To emphasize how domain-informed analysis can improve method reliability, we conduct simulation studies under the influence of various missingness scenarios. We compare the results of three common methods in medical data analysis (complete-case analysis, Missforest imputation, and inverse probability weighting estimation) for two estimands (variable mean estimation and classification accuracy). We advocate for our analysis approach as a reference for the analysis of observational health data. Furthermore, we posit that the proposed analysis framework is applicable to other medical domains, including medical wearable data analysis.

Fatal motorcycle accidents on- and off-road continue to be overlooked in the literature. Research is scant on morbidity and mortality due to neck injury, which leaves patients and their families debilitated chronically. Great Lakes EMS Inc. conducted a 10-year retrospective case study, which highlighted that motocross riders who do not wear a neck brace are at an 89% higher risk of a critical cervical spine injury; highly unstable cervical spinal fractures have a sustainably higher risk of morbidity and mortality. Proposed mechanisms of motocross neck braces displace the forces on the neck onto the helmet of the rider to provide a smooth distribution of forces, whereas lack of neck brace use places riders at risk for upper cervical spine fractures such as Jefferson fractures, Hangman's fractures, and Odontoid fractures. Further, evidence suggests the use of back protectors may increase the risk of thoracic and upper spine injuries during a motorcycle crash. The limited data on this topic continues to be a challenge, as there is a lack of understanding of the nature of these injuries, which are likely preventable with proper neck protection.

Background: Mycobacterium avium complex includes the commonest nontuberculous mycobacteria associated with human infections. These infections have been associated with the production of biofilms in many cases, but there are only a few studies about biofilms produced by the species included in this group. Methods: Three collection strains (M. avium ATCC25291, M. intracellulare ATCC13950, and M. chimaera DSM756), three clinically significant strains (647, 657, and 655), and three clinically nonsignificant ones (717, 505, and 575) of each species were included. The clinical significance of the clinical isolates was established according to the internationally accepted criteria. Biofilm ultrastructure was studied by Confocal-Laser Scanning Microscopy using Backlight Live dead and Red Nile stains. Viability, covered surface, height and relative autofluorescence were measured in several images/strain. The effect of clarithromycin was studied the technique described by Muñoz-Egea et al with modifications regarding incubation time. The study included clarithromycin in the culture medium at a concentration achievable in the lungs (11.3 mg/L), using one row of wells as the control without antibiotic. Bacterial viability inside the biofilm is expressed as a percentage of viable cells. The differences between the different parameters of biofilm ultrastructure were analysed using Kruskal-Wallis test. The correlation between bacterial viability in the biofilm and treatment time was evaluated using Spearman's rank correlation coefficient (ρ). Results: The strains showed differences between them with all the studied parameters, but neither a species-specific pattern nor a clinical significance-specific patter were detected. For the effect of clarithromycin, the viability of the bacteria contained in the biofilm was inversely proportional to the exposure time of the biofilm (ρ > -0.3; p-value < 0.05), excluding two M. chimaera strains (M. chimaera DSM756 and 575), which showed a weak positive correlation with treatment time (0.2 < ρ < 0.39; p-value < 0.05). Curiously, despite a clarithromycin treatment of 216 hours, the percentage of biofilm viability of the strains evaluated here was not less than 40% at best (M. avium 717). Conclusions: All the M. avium complex studied strains are able to form biofilm in vitro, but ultrastructural characteristics between them suggest that these are strain-specific characteristics unrelated with neither with the species nor with the clinical significance. The clarithromycin effect on MAC species is biofilm age/time of treatment-dependent and appears to be strain-specific while being independent of the clinical significance of the strain.

The process of modelling energy systems is accompanied by challenges inherently connected with mathematical modelling. However, due to modern realities in the 21st century, existing challenges are gaining in magnitude and are supplemented with new ones. Modellers are confronted with a rising complexity of energy systems and high uncertainties on different levels. In addition, interdisciplinary modelling is necessary for getting insight in mechanisms of an integrated world. At the same time models need to meet scientific standards as public acceptance becomes increasingly important. In this intricate environment model application as well as result communication and interpretation is also getting more difficult. In this paper we present the open energy modelling framework (oemof) as a novel approach for energy system modelling and derive its contribution to existing challenges. Therefore, based on literature review, we outline challenges for energy system modelling as well as existing and emerging approaches. Based on a description of the philosophy and elementary structural elements of oemof, a qualitative analysis of the framework with regard to the challenges is undertaken. Inherent features of oemof such as the open source, open data, non-proprietary and collaborative modelling approach are preconditions to meet modern realities of energy modelling. Additionally, a generic basis with an object-oriented implementation allows to tackle challenges related to complexity of highly integrated future energy systems and sets the foundation to address uncertainty in the future. Experiences from the collaborative modelling approach can enrich interdisciplinary modelling activities. Our analysis concludes that there are remaining challenges that can neither be tackled by a model nor a modelling framework. Among these are problems connected to result communication and interpretation.

This study examines the change in customer satisfaction and the value relevance of customer satisfaction during COVID-19. The COVID-19 pandemic is an unprecedented experience and has caused difficulties for all areas of businesses. Customer relations are one of the biggest paradigm shifts of this period. Companies have placed great importance on customer relations, and customer relations are a critical factor in corporate sustainability. It is very important for firms to retain their customers in the market, create a potential demand, and, thus, increase the firm value. However, prior studies have provided mixed results on whether companies financially benefit from customer relations. Employing the value relevance model, we find that the customer satisfaction score has increased during the pandemic but that the value relevance of customer satisfaction has declined during the pandemic. Together, we interpret the results as indicating new customer satisfaction trends, especially reduction trends. The results are robust even after controlling endogeneity and outliers. This study has several implications for practitioners and academia regarding the new trends in the value relevance of customer satisfaction.