Background: The Government of Bangladesh is currently providing COVID-19 vaccines free of cost, but for a massive population, the free vaccination program’s sustainability is challenging. In this regard, assessing willingness to pay can help to explore vaccine pricing, subsidizing strategy, and vaccine demand. The study aimed to evaluate the prevalence of willingness to pay (WTP) for the COVID-19 vaccine and its associated factors to ensure the sustainability of the vaccination program. Methods: A cross-sectional research design was adopted to collect data from 1497 respondents through online and face-to-face interviews. Data were analyzed using the chi-square test and point-biserial correlation for descriptive statistical analysis, and multiple logistic regression analysis was also used to identify the factors associated with the dependent variable in the study. Results: The prevalence of WTP towards a COVID-19 vaccine was 50.9 %, and mean and median WTP were respectively 754.55 BDT (US$ 8.93), 300 BDT (US$ 3.55). WTP of other religions was significantly higher than Muslims (aOR=1.5, P=0.037). WTP was also higher among Graduate (aOR=2.2, P=0.007), Masters & MPhil/PhD (aOR=2, P=0.030), higher family income group (aOR=1, P=0.039) and respondents with higher knowledge about the vaccine (aOR=1.1, P=0.003), behavioral practice (aOR=1.1, P< 0.001), higher subjective norms (aOR=1.2, P=0.009), higher anticipated regret (aOR=1.2, P=0.005) and higher perceived benefits from the vaccine (aOR=1.1, P=0.029). On the contrary, WTP is lower among respondents who had a higher negative attitude toward vaccines (aOR= 0.9, P

This article investigates the fundamental principles that establish universal limits in physical phenomena, such as the uniformity of physical laws and Energy conservation, leading to the concepts of maximum speed, locality, and maximum density. These principles guide me to explore Quantum Black Holes—relativistically rotating, miniature charged black holes with a singular core at the highest possible density. Uniquely, these Quantum Black Holes maintain all quantized charges, including gravitational ones. The study further demonstrates that quarks and leptons are composed of these Quantum Black Holes, redefining them as the actual elementary particles.Exploring these particles reveals that they emit Energy outward, modifying the curvature of nearby space-time. This discovery provides new insights into local space-time dynamics, characterized by a single equation that includes the influence of all charges and hidden Energy. By the conclusion of this article, I show that Quantum Black Holes offer explanations for several Standard Model deficiencies: the nature of luminous, dark, and anti-Matter; the mass, size, and quantized charges of all elementary particles (including gravitational); the nature of neutrino oscillations; and the mechanism by which electric charges remain bound even though the same type of electric charge components must repeal each other.

The dynamic response of the shed-tunnel structure under rockfall impact attracts much attention in recent years. However, the research on the dynamic response of the shed-tunnel structure under rockfall impact mostly focuses on the rockfall single impact, while in practical engineering, the shed-tunnel structure often encounters the rockfall repeated impacts during its service life. Therefore, this research focuses on exploring the dynamic response characteristics of the shed-tunnel structure under the rockfall repeated impacts. First of all, based on the model test of the shed-tunnel under rockfall impact as a reference, the FEM (Finite Element Method)-SPH (Smoothed Particle Hydrodynamics) coupling numerical calculation model is established based on ANSYS/LS-DYNA finite element code. The numerical simulation of the dynamic response of the shed-tunnel structure under rockfall impact is realized, and the rationality of the model is verified. Then, with this model and the full restart technology of LS-DYNA code, the effects of four factors, e.g. rockfall mass, rockfall impact velocity, rockfall impact angle and rockfall shape, on the impact force and impact depth of the buffer layer, the maximum plastic strain and axial force of the rebar, the shed roof vertical displacement and the shed-tunnel plastic strain are studied. These results show that the cumulative deformation and damage of the shed-tunnel structure caused by the rockfall repeated impacts play an important role in the destruction of the shed-tunnel structure, and the special attention should be paid to this issue.

Epidemiologic studies have shown an association between tuberculosis and lung cancer. The al-tered tumor microenvironment after tuberculosis infection appears to contribute to cancer pro-gression. Pleural effusions are enriched in exosomes, which act as mediators of intercellular communication. We hypothesized that tuberculous pleural effusion (TPE)-derived exosomes mediate intercellular communication. Then we examined the interaction between TPE-derived exosomes and cancer cells. Exosomal miRNA profiling of TPE was performed using a microRNA array. An in vitro lung cancer cell experiment and an in vivo mouse xenograft tumor model were used to evaluate the effects of select exosomal microRNAs. TPE-derived exosome treatment en-hanced the growth of A549 cells both in vitro and in a nude mouse xenograft model. Neighboring cancer cells were observed to take up TPE-derived exosomes, which promoted cancer cell inva-sion. Exosome-mediated transfer of select microRNAs, including miR-130b-3p and miR-423-5p, to A549 lung cancer cells activated cyclin D1 signaling and increased the expression of phos-phorylated p65, a cyclin D1 transcription factor. Inhibitors of miR-130b and miR-423-5p sup-pressed the promotion of lung cancer by TPE derived exosomes and reduced the expression of p65 and cyclin D1. These results suggest that TBE-derived exosomal miRNAs can serve as a novel therapeutic target in tuberculous fibrosis-induced lung cancer.

Introduction: The environmentally acquired aerobic spore-forming (EAS-Fs) bacteria that are ubiquitous in nature (e.g. soil) are transient colonisers of the mammalian gastro-intestinal tract. Without regular exposure, their numbers quickly diminish. These species of bacteria have been suggested to be essential to the normal functioning of metabolic and immunogenic health. The modern Western lifestyle restricts exposure to these EAS-Fs, possibly explaining part of the pathogenesis of many Western diseases. To date, the only animal studies that address specific microbiome modelling are based around germ-free animals. We have designed a new animal model that specifically restricts exposure to environmental sources of bacteria. Methodology: A new protocol, termed Super Clean, that involves housing mice in autoclaved individually ventilated cages (IVCs), with autoclaved food / water, and strict ascetic handling practice was first experimentally validated. The quantification of EAS-Fs was assessed by heat-treating faecal samples and measuring colony forming units (CFUs). This was then compared to mice in standard-conditions. Mice were housed in their respective groups from birth until 18 months. Stool samples were taken throughout the experiment to assess for abundance in transiently acquired environmental bacteria. Clinical, biochemical, histological, and gene expression markers were analysed for diabetes, hypercholesterolaemia, obesity, inflammatory bowel disease, and non-alcoholic fatty liver disease (the “diseases of the West”). Results: Our results show that stringent adherence to the Super Clean protocol produces a significantly decreased abundance of aerobic spore-forming Bacillota after 21 days. This microbiomic shift was correlated with significantly increased levels of obesity and impaired glucose metabolism. There was no evidence of colitis, liver disease or hypercholesterolaemia. Conclusion: This new murine model successfully isolates EAS-Fs, and has the potential utility for future research allowing for the investigation into the clinical impact living in relative hygienic conditions

The Galápagos archipelago is a vast reservoir of terrestrial and marine biodiversity, owing in large part to its relatively recent volcanic genesis and colonization by humans. This unique ecological system is particularly susceptible to human, animal, and environmental impacts. Climate change, globalization, and the blurring of human-domestic animal-wildlife interfaces are poised to bring new threats and challenges to the region. A One Health perspective that simultaneously considers human, animal, and environmental health is imperative in assessing and mitigating the challenges facing the Galápagos Islands.In Part I of this review, we provide the historical context for biodiversity in the archipelago; discuss the role of invasive species in habitat destruction, fragmentation, and competition with endemic species; and summarize the established and emerging infectious disease threats. We also discuss the imperative to implement research, surveillance, and preventative measures to identify and manage future threats from a One Health perspective, with a specific emphasis on implications for wildlife health. In Part II, we outline the socioeconomic context of life in the Galápagos Islands, evaluate the current and predicted effects of climate change, and discuss direct anthropogenic factors affecting Galápagos biodiversity, such as tourism, fishing, pollution, and the illegal wildlife trade. We also examine the impact of the COVID-19 pandemic in the region. Throughout this two-part review, we build a cohesive picture of One Health in the Galápagos Islands by integrating past work, current needs, and emerging threats. We also consider overarching goals for conservation, ecosystem management, and socioeconomic sustainability that have been previously defined by both governmental and non-governmental stakeholders, and we identify discrete, implementable, and interdisciplinary recommendations that will facilitate achievement of those goals.

Geographic Information Systems (GIS) played an important role in understanding the dynamics of the territorial spread of COVID-19 during the pandemic. Even today, it is important to understand such dynamics in view of the imminent risk of new epidemics and pandemics. This study aimed to identify space-time clusters of incidence and mortality due to COVID-19 during the pandemic, analyzing socioeconomic and demographic characteristics in order to highlight the priority areas for control and surveillance actions. This study was conducted in the Metropolitan Region of São Paulo (MRSP) from March 2020 to February 2022. To detect the clusters, a multidimensional punctual process was created to perform multiple tests for every geographic point using the SaTScan™ software. Socioeconomic and demographic differences were analyzed using nonparametric Mann-Whitney and Kruskal-Wallis tests. High-risk clusters of incidences were observed in May 2020 (RR=2; p-value <0.001) and March to June 2021 (RR=2.6; p-value <0.001) in the capital of São Paulo and neighboring municipalities, with statistically significant differences between the socioeconomic variables analyzed. No low-risk cluster of COVID-19 incidence was found, but low-risk clusters of mortality from COVID-19 were found in the period from July to December 2020 in the central region of the capital (RR=0.33; p-value <0.001), which concentrates the highest incomes and the lowest percentages of Black, Brown (Mixed-race), and Indigenous people in the MRSP.

The inclusion of active materials in 3D-printed objects presents many potential applications in a variety of fields, including medicine and agriculture. Through a new three-phase coating system, we fabricate 3D objects that are printed via fused deposition modeling (FDM), with embedded functional materials. The method, namely Continuous Material Deposition on Filaments (CMDF) is based on passing a filament through a solution in which the functional substance is dissolved together with the polymer from which the filament is made. As model cases, three different types of materials were tested, Rhodamine B, ZnO nanoparticles (NPs), and Ciprofloxacin (Cip) while dissolved or dispersed in a PLA-containing solution. It was found that the properties of the coating materials are not affected by the coating and printing steps and they are maintained on the surface of the printed structure. This enabled, for example, achieving an antibacterial activity by the ZnO NPs and the controlled release of the antibiotics, Cip. Since the approach does not alter the mechanical properties of the printed structures, it offers a simple and convenient method for the introduction of a wide range of materials into 3D-printed objects.

Sleep is a crucial aspect of geriatric assessment for hospitalized older adults, and implementing AI-driven technology for sleep monitoring can significantly enhance the rehabilitation process. Sleepsense, an AI-driven sleep-tracking device, provides real-time data and insights, enabling healthcare professionals to tailor interventions and improve sleep quality. This study explores the perspectives of an interdisciplinary hospital team on implementing Sleepsense in geriatric hospital care. Using the Interpretive Descriptive approach, we conducted focus groups with physicians, nurses, care aides, and an activity worker. The Consolidated Framework for Implementation Research (CFIR) informed our thematic analysis to identify barriers and facilitators to implementation. Among 27 healthcare staff, predominantly female (88.89%) and Asian (74.1%) and mostly aged 30-50 years, themes emerged that Sleepsense is perceived as a timesaving and data-driven tool that enhances patient monitoring and assessment. However, barriers such as resistance to change and concerns about trusting the device for patient comfort and safety were noted, while facilitators included training and staff engagement. The CFIR framework proved useful for analyzing implementation barriers and facilitators, suggesting future research should prioritize effective strategies for interdisciplinary team support to enhance innovation adoption and patient outcomes in rehabilitation settings.

Adhesive-invasive E. coli have been suggested to be associated with the development of Crohn's disease (CD). It is assumed that they can provoke the onset of the inflammatory process as a result of the invasion of intestinal epithelial cells, and then, due to survival inside macrophages, stimulate chronic inflammation and the development of granuloma. In previous reports, we have shown that passage of the СD isolate ZvL2 on minimal medium M9 supplemented with sodium propionate (PA) as a carbon source stimulates, and with glucose - inhibits the adherent-invasive properties and the ability to survive in macrophages. This effect was reversible and not observed for the laboratory strain K12 MG1655. We were able to compare the isogenic strain AIEС in two phenotypes - virulent (ZvL2-PA) and non-virulent (ZvL2-GLU). We showed that, unlike ZvL2-GLU, the ZvL2-PA activates the production of ROS and cytokines when interacting with neutrophils. The laboratory strain does not cause a similar effect. Differences in neutrophil NADH-oxidase activation and ζ potential for ZvL2-GLU and ZvL2-PA are associated with changes in the abundance of membrane proteins. Using differential 2D electrophoresis and LC-MS, we identified membrane proteins that may be associated with the activation of the virulence properties of the СD isolate ZvL2.

In the past thirty years, childhood obesity rates have risen significantly worldwide, affecting over 340 million children in affluent nations. This surge is intricately tied to metabolic disorders, notably insulin resistance, type 2 diabetes mellitus (T2DM), and the continually evolving spectrum of metabolic-associated (dysfunction) steatotic liver disease (MASLD). This review underscores the alarming escalation of childhood obesity and delves comprehensively into the evolving and dynamic changes of nomenclature surrounding diverse conditions of hepatic steatosis, from the initial recognition of non-alcoholic fatty liver disease (NAFLD) to the progressive evolution into MASLD. Moreover, it emphasizes the crucial role of pediatric endocrinologists in thoroughly and accurately investigating MASLD onset in children with T2DM where each condition influences and exacerbates the progression of the other. The review critically highlights the inadequacies of current screening strategies and diagnosis, stressing the need for a paradigm shift. A proposed solution involves the integration of hepatic magnetic resonance imaging assessment in the diagnostic arsenal for children showing insufficient glycaemic control and weight loss post-T2DM diagnosis, thereby complementing conventional liver enzyme testing. This holistic approach aims to significantly enhance diagnostic precision, fostering improved outcomes in this vulnerable high-risk pediatric population.

Regulations and guidelines on water quality are used according to physicochemical but scarcely biological variables to protect ecosystems and control water use. This study innovates using in-sects as bioindicators to establish the health status of an aquatic ecosystem in the Latin American's lentic bodies. Water quality in urban lentic bodies in the Metropolitan Region, Chile, was evaluated from of aquatic insect assemblages and physicochemical variables for conserving aquatic life. Evaluations were carried out in parallel in four sampling stations in three water bodies, two seasons, and 2–3-year series, with three replicates. Aquatic insects were randomly sampled and identified by families; abundance, and richness differences were compared with non-parametric tests. Family Biotic Indices (FBI) were calculated. Physicochemical variables were measured using portable multiparametric and laboratory chemical analysis to determine water quality. A new physicochemical variable (total suspended solids) was established, which had a greater incidence with the results obtained for the FBI. Based on the nitrogen and phosphorus levels in the water bodies, all of them were eutrophics. Given the ecosystem diversity and complexity, studies should delve deeper into wetlands to establish methods that contribute to determining water quality, using insects as bioindicators and physicochemical variables.

In the Euclidean form of the theory of gravity, where there is no dedicated time parameter, a generalized canonical form of the principle of least action is proposed. On its basis, the quantum principle of least action is formulated, in which the “dynamics” of the universe in the Origin is described by the eigenvector of the action operator - the wave functional on the space of 4D Riemannian geometries and configurations of matter fields in some compact region of 4D space. The corresponding eigenvalue of the action operator determines the initial state for the world history of the universe outside this region, where the metric signature is Lorentzian and thus the time parameter exists. The boundary of the Origin region is determined by the condition that the rate of change of the determinant of the 3D metric tensor is zero on it. A modification of quantum theory is proposed that eliminates the uncertainty of the sign of the Hilbert-Einstein action in the Euclidean region of the Origin. On this basis, we formulate a minimum principle for the eigenvalue of the action operator, similar to the principle of minimum energy for the ground state in quantum mechanics. It has been suggested that in the initial state the universe contains a certain distribution of its own mass, which is not directly related to the fields of matter.

Background: Chronic kidney disease (CKD) is a significant cardiovascular (CV) risk factor, with dialysis-dependent CKD (DD-CKD) patients facing high mortality rates. Hypercholesterolemia is another crucial CV risk factor, typically managed with lipid-lowering therapy, though its efficacy in DD-CKD remains uncertain. Evidence shows mixed results regarding the benefits of statins in these patients. Citrate-based dialysates are known to reduce inflammatory biomarkers compared to acetate-based ones, potentially impacting lipid profiles and immune responses. This study aimed to determine the effects of citrate versus acetate dialysate on lipid profiles and immunophenotypes in DD-CKD patients. Methods: This unicentric, cross-over, prospective study included 21 hemodialysis patients (10 males, 11 females, average age 62.25 years). Each patient underwent 24 dialysis sessions (12 with each dialysate) and acted as their own control. Lipid profiles, immunological parameters, and nutritional and inflammatory markers were measured before the last session with each dialysate. Results: Compared to acetate dialysate (AD), citrate dialysate (CD) resulted in significantly higher LDL (75.71 vs. 67.05 mg/dL, p=0.042) and HDL (51.19 vs. 47.14 mg/dL, p=0.013), and lower TG (97.86 vs. 110.38 mg/dL, p=0.046). CD also led to higher NK cells (19.24 vs. 16.95%, p=0.035), higher complement C3 levels (115.14 vs. 107.81 mg/dL, p=0.009) and lower CD3+ CD8+ and CD16+56+ lymphocytes. Finally, total lymphocytes were lower with AD than with CD. We found no difference in predialysis nutritional nor inflammatory parameters (IL-6 and hs-CRP) except for ESR, which was higher when subjects used CD than AD. Conclusion: There are significant differences in lipid and immunophenotypic profiles that should increase the CV risk of patients who use CD. However, numerous studies have shown no differences, or even a benefit in mortality in certain HD subpopulations that use CD. Further studies are needed to understand if the observed changes may be counterbalanced by other mechanisms potentially provided by citrate (e.g., reducing vascular calcification).

Recent studies have shown the potential of Transformer-based neural networks in increasing prediction capacity. However, classical transformers present several problems such as computational time complexity and high memory requirements, which make Long Sequence Time-Series Forecasting (LSTF) challenging. The contribution to the prediction of time series of flood events using deep learning techniques is examined, with a particular focus on evaluating the performance of the Informer model (a particular implementation of transformer architecture), which attempts to address the previous issues. This study explores the predictive capabilities of the Informer model compared to statistical methods, stochastic models and traditional deep neural networks. The accuracy, efficiency as well as the limits of the approaches are demonstrated via numerical benchmarks relating to real river streamflow applications. Using daily flow data from the River Test in England as the main case study, we conduct a rigorous evaluation of the Informer efficacy in capturing the complex temporal dependencies inherent in flood time series. Among other things, the present work extends its analysis to encompass diverse time series datasets from various locations (>100) in the United Kingdom, providing insights into the generalizability of the Informer. The results highlight the significant superiority of the Informer model over established forecasting methods, especially regarding the LSTF problem. Furthermore, it is observed that the structure of time series, as expressed by climacogram, affects the performance of the Informer network.

Carbamate insecticides have been used for over four decades to control brown planthopper, Nilaparvata lugens, but resistance has been reported in many countries, including Korea. The test results on resistance to fenobucarb showed that the LC₅₀ values were 3.08 for the susceptible strain, 10.61 for the 2015 population, and 73.98 for the 2019 population. Compared to the susceptible strain, the 2015 and 2019 populations exhibited resistance levels 3.4 and 24.2 times higher, respectively. To elucidate the reason for the varying levels of resistance to fenobucarb in these populations, mutations in the ace1 gene, the target site of carbamate, were investigated, but no previously reported mutations were confirmed. Through RNAseq analysis focusing on the expression of detoxification enzyme genes as an alternative resistance mechanism, it was found that the carboxylesterase gene Nl-EST1 was overexpressed 2.4 times in the 2015 population and 4.7 times in the 2019 population compared to the susceptible strain. This indicates a strong correlation between the level of resistance development in each population and the expression level of Nl-EST1. Previously, Nl-EST1 was reported in an organophosphorus insecticide-resistant strain of Sri Lanka 2000. Thus, Nl-EST1 is crucial for developing resistance to organophosphorus and carbamate insecticides. Resistance-related genes such as Nl-EST1 could serve as expression markers for resistance diagnosis, and it can apply to integrated resistance management of N. lugens.

The antimicrobial resistance to clinically approved antibiotics is rapidly increasing worldwide. Staphylococcus aureus is a critical contributor to deaths associated with antibiotic resistance. In this regard, the search for natural compounds is quite active, that alone or in combination with other agents can be effective as new antibacterial agents. The antibacterial activity of essential oils has presented an increasing interest during the last years and was effective even on multidrug-resistant strains. The present study aims to investigate the interaction effects of oregano essential oil (OEO) with some conventional antibiotics against Staphylococcus aureus tested by agar methods. For this purpose, we selected S. aureus ATCC 29213 and five clinical isolates representative of the species. The essential oil was analyzed using gas chromatography coupled with mass spectrometry (GC-MS). The analysis of the Oregano essential oil revealed the main component to be carvacrol (81,20%). Concentration 2.5% (v/v) OEO was combined with drugs proposed by EUCAST, 2024, specifically penicillin, cefoxitin, erythromycin, gentamycin and tetracycline. The research results showed that the combination of OEO with penicillin, cefoxitin, erythromycin, and tetracycline enhanced the antimicrobial activity of the antibiotics against S. aureus in almost all cases. The area of suppression remained identical (but not smaller) in the unaffected cases. When comparing the effects of the GEN-OEO combination and GEN against most S. aureus strains, a decrease in antimicrobial activity was reported by the diffusion agar method.

Background: Pharmacists need up-to-date knowledge and decision-making support in HIV care. We aim to develop MARVIN-Pharma, an adapted artificial intelligence-based chatbot initially for people with HIV, to assist pharmacists, considering evidence-based needs. Methods: From Dec 2022 to Dec 2023, an online needs-assessment survey evaluated Québec pharmacists' knowledge, attitudes, involvement, and barriers relative to HIV care, alongside perceptions relevant to the usability of MARVIN-Pharma. Recruitment involved convenience and snowball sampling, targeting National HIV and Hepatitis Mentoring Program affiliates. Results: Forty-one pharmacists (28 community, 13 hospital-based) across 15 Québec municipalities participated. Participants perceived their HIV knowledge as moderate (M=3.74/6). They held largely favorable attitudes towards providing HIV care (M=4.02/6). They reported a “little” involvement in the delivery of HIV care services (M=2.08/5), most often ART adherence counseling, refilling, and monitoring. The most common barriers reported to HIV care delivery were a lack of time, staff resources, clinical tools, and HIV information/training, with pharmacists at least somewhat agreeing that they experienced each (M≥4.00/6). On average, MARVIN-Pharma's acceptability and compatibility were in the ‘undecided’ range (M=4.34, M=4.13/7, respectively), while pharmacists agreed to their self-efficacy to use online health services (M=5.6/7). Conclusion: MARVIN-Pharma might help address pharmacists' knowledge gaps and barriers to HIV treatment and care, but pharmacist engagement in the chatbot’s development seems vital for its future uptake and usability.

As an important part of urban terminal delivery, automated guided vehicle (AGV) has been widely used in the field of takeout delivery. Due to the real-time generation of takeout orders, the delivery system is required to be extremely dynamic, so the AGV needs to be dynamically scheduled. At the same time, the uncertainty in the delivery process (such as the meal preparation time) further increases the complexity and difficulty of AGV scheduling. Considering the influence of these two factors, the method of embedding stochastic programming model into rolling mechanism is adopted to optimize the AGV delivery routing. Specifically, To handle real-time orders under dynamic demand, an optimization mechanism based on rolling scheduling framework is proposed, which allows the AGV route to be continuously updated. Different from most VRP models, open chain structure is used to describe the dynamic delivery path of AGV. In order to deal with the impact of uncertain meal preparation time on route planning, a stochastic programming model is formulated with the purpose of minimizing the expectation of order timeout rate and the total customer waiting time. In addition, an effective path merging strategy and after-effects strategy are also considered in the model. In order to solve the proposed mathematical programming model, a multi-objective optimization algorithm based on NSGA-III framework is developed. Finally, a series of experimental results demonstrate the effectiveness and superiority of the proposed model and algorithm.

Background: School nursing plays a crucial role in promoting the health and well-being of students in educational settings. Previous research has highlighted its protective effect across various health domains, including substance use, mental health, violence, and sexual health. Despite its importance, the job satisfaction of school nurses and the factors influencing it have been insufficiently addressed in scientific research, underscoring the need to better understand their challenges and barriers. Therefore, the objective of this research is to evaluate the perceived job satisfaction and professional quality of life of school nurses at a national level in Spain. Methods: A descriptive cross-sectional study was conducted using the Font-Roja Job Satisfaction Questionnaire and the CPV-35 Professional Quality of Life Questionnaire. The sample included 553 school nurses from different geographical regions in Spain, selected through school nursing groups and associations. Data were collected from November 2023 to February 2024. Results: The majority of the nurses were women (68%), with a median age of around 40 years and predominantly less than 5 years of work experience (56%). Significant differences were observed in job satisfaction and professional quality of life depending on the employing entity (healthcare and educational settings). Factors such as workload, institutional support, and work experience influenced the perception of job satisfaction. Conclusions: We affirm that this study, being one of the first of its kind at a national level in Spain, highlights the need to develop effective strategies to improve the job satisfaction and professional quality of life of school nurses. School nurses in Spain present a moderately high level of job satisfaction, although there are significant differences in factors such as status and job monotony depending on the sector of employment (Healthcare, Education, Others). Nurses in educational contexts report lower levels of job satisfaction, influenced by the nature of the work, interpersonal relationships, opportunities for professional development, and institutional support. Additionally, work experience impacts satisfaction, being more positive for nurses with greater experience. We also affirm that the professional quality of life of school nurses is homogeneous, with an average score of 6.000 on the CPV-35. Although professional competence is uniformly perceived, work pressure is a common concern. Working more than 37.5 hours per week is associated with higher professional quality of life, although also with lower job satisfaction. Only half of the schools have a school nurse, highlighting the need for policies that ensure equity in service provision. There is also a recognized need for health training for teachers, which could improve support for nurses and student health. Active interaction with the educational community reinforces the integral role of school nurses and emphasizes the importance of the socioeconomic context in interventions and resource allocation. Keywords: School nursing, job satisfaction, professional quality of life, work factors, educational settings.

Protected and conserved areas are a key area-based strategy to address the biodiversity and climate change crises. Fundamental to understand their performance over time are indicators. The Digital Observatory for Protected Areas (DOPA) was born in 2013 as a set of open access web services and applications to be used to assess, monitor, and report on protected and conserved areas. For over a decade it has delivered over 50 indicators to support policy processes, national and regional governments, and practitioners. DOPA has also developed a versatile and efficient back-end approach that is widely applicable in other area-based conservation contexts. Here, we describe the methods and workflows behind DOPA´s back end and provide examples of policy relevant questions it can answer. We discuss key advantages and limitations of this systematic and replicable approach and explore the use of this back-end architecture to inform progress in area-based conservation targets for the following decades. This approach, embedded in multiple services provided by the Knowledge Centre for Biodiversity of the European Commission (KCBD), can also support the implementation and monitoring of area-based targets of the Kunming Montreal Global Biodiversity Framework at international, regional, and national levels.

The study´s goals were to determine the health status of a group of heart transplant recipients (HTR) and their level of physical activity and to compare the health status among them and with a group of healthy sedentary individuals. Fifty-four HTR and eighteen S were assigned to four groups, according to their level of physical activity (determined with The International Physical Activity Questionnaire); patients with a low, a moderate and a high level of physical activity (HTRL, HTRM and HTRH, respectively) and sedentary individuals (S). Participants underwent a basic blood analysis and several tests to assess their cardiovascular, neuromuscular, functional mobility condition and their quality of life. The S and HTRH were very similar in terms of BP, HR and blood analysis while HTRM and HTRL differed from both S and HTRH in these parameters. Regarding the cardiovascular, neuromuscular, functional mobility, and quality of life variables assessed in this study, HTRH showed the best results across all of them, followed by S, HTRM, and HTRL. It is suggested that the weekly level of physical activity of HTR should be high, what might help them to enhance their health and quality of life.

An ambitious per capita GDP target has been envisioned by the Chinese government since 2020 to project its sustainable economic growth rate by 2035. Can China fully achieve its goal? This is a question worth investigating. By inserting relevant TABLO modules of the final goods trade, the intermediate goods trade, and factor-strengthening technology spillovers, along with technology absorption thresholds effects of the global value chain, this study builds a global dynamic recursive computational general equilibrium (CGE ) model on basis of GTAP-RD. This approach allows considering the 'dual circulation' system strongly advocated and pointed out as the sole way to realize China’s technological (total factor productivity (TFP)) progress by the Chinese government, which integrates both domestic internal and international external circulations (trade and foreign direct investment (FDI)). We simulate China's technological progress under eight scenarios, and use the latest GTAP Version 11 production and trade data (released in April 2023) for 141 countries and regions and results are aggregated into 10 countries groups with 9 activity sectors and 10 commodities. Main conclusions are as follows: (1) If China maintains its trade opening policy, the 2035 vision goal can be achieved, with external circulation being more important than internal circulation for technological spillovers. (2) The economic growth impacts of external and internal circulation operate relatively independently. However, FDI provides a relatively larger synergistic effect for all forms of external trade circulation than to the internal one. Regarding factor-strengthening effects, spillovers are more favorable to 'capital' than to labor factors. (3) We find that the Regional Comprehensive Economic Partnership Agreement is the most important strategic partner for China. (4) It appears that FDI is not an effective way to lift the productive services sector's total factor productivity (TFP), and more realistic for China is to open up the productive services market more widely, as its efficiency is a pivotal reflection of China's independent innovation capability. (5) China–US decoupling has an enormous global impact. In all the Scenarios we consider, the United States is always the country that loses the most, and Europe would be the group of countries that benefits when there is a large increase in TFP in the US.

This study provides a comprehensive analysis of the conformational dynamics of pseudo-endocannabinoid receptors (p-CBRs) CB₁ and CB₂ in response to ligand binding. The ligands studied include N-arachidonoyl dopamine (NADA), Cannabidiol (CBD), known agonists (FUB-MDMB and E3R), and inverse agonists (Taranabant and AM630). Using homology models based on crystal structures (PDB ID: 5U09 for CB₁ and 5ZTY for CB₂), molecular docking, and molecular dynamics (MD) simulations, the research validates the structural integrity and dynamic behaviours of these pseudo-receptors. Induced-fit docking revealed NADA as having the highest binding affinity for both receptors, with docking scores of −13.92 kcal/mol for CB₁ and −13.32 kcal/mol for CB₂, facilitated by key hydrogen bond interactions. MD simulations over 250 ns at ~298 K showed successful equilibration, indicating the most stable interaction for NADA, thereby further validating the models. CB₁ and CB₂ exhibited distinct conformational responses to ligands, with Cα RMSD and Cα RMSF analyses suggesting a more rigid binding pocket for CB₁ and a flexible binding pocket for CB₂. These findings highlight the significance of receptor behaviour and dynamics in the development of cannabinoid-based therapeutics, supporting the potential of CBD and NADA as modulators for CB₁ and CB₂, respectively.

This research paper introduces a novel analytical and geometrical modelling approach for calculating the stiffness matrix of knitted composites. Knitted composites have gained significant attention due to their unique mechanical properties and potential applications in various industries. This paper provides a comprehensive overview of knitted composites, encompassing different types, shapes, and categories. Furthermore, it explores various modelling techniques, including analytical, geometrical, and experimental models, to accurately predict the stiffness properties of knitted composites. A thorough literature review is conducted, and detailed explanations, case studies, and relevant citations are provided to support the claims made in this paper.

A prime gap is the difference between consecutive prime numbers. The $n^{\text{th}}$ prime gap, denoted $g_{n}$, is calculated by subtracting the $n^{\text{th}}$ prime from the $(n+1)^{\text{th}}$ prime: $g_{n}=p_{n+1}-p_{n}$. Oppermann's conjecture is a prominent unsolved problem in pure mathematics concerning prime gaps. Despite verification for numerous primes, a general proof remains elusive. If true, the conjecture implies that prime gaps grow at a rate bounded by $g_{n}<{\sqrt {p_{n}}}$. This note presents a proof of Oppermann's conjecture using the Euler-Maclaurin formula on harmonic numbers. This proof simultaneously establishes Andrica's, Legendre's, and Brocard's conjectures.

The main objective of our study was to understand the rheological behavior of various types of cheeses with mold subjected to multiple stresses during processing/handling, transport, or storage, aiming to maintain or even improve product quality, using computer-assisted penetration methods, and advanced regression algorithms. Uniaxial penetration tests with a cone at a constant speed were conducted using a universal Hounsfield HK1S testing equipment connected to a computer to analyze the texture behavior (tangential stress, flow index, apparent viscosity) of four of the most common types of cheese with mold, depending on the cone's tip angle (9, 19, and 90°) and penetration speed (12, 30, and 60 mm/min). From the results obtained for the four categories of mold cheeses (Brie, Camembert, Dorblue, or Roquefort), the amplitude of the speed and angle of penetration were considered as the main influencing factors for the shear deformation (τc), flow index (Kf), and apparent viscosity (ηa). The moisture and firmness of the mold cheeses are closely linked and depend on the type of mold, the maturation process, or storage conditions. Careful control of these factors is essential to achieve the desired texture and taste characteristics in cheeses with mold.

Listeria monocytogenes is an emerging pathogen responsible for the serious foodborne disease, listeriosis. The commensal gut microbiota is the first line of defense against pathogen internalization. The gut microbiome can be modified by prebiotic substrates, which are frequently added to food products and dietary supplements. Prebiotics should selectively support the growth of beneficial microbes and thus improve host health. Nevertheless, little is known about their effect on the growth of L. monocytogenes. The aim of this study was to evaluate the growth ability of four L. monocytogenes strains, representing the most common serotypes, on prebiotic oligosaccharides (beta-(1,3)-D-glucan, inulin, fructooligosaccharides, galactooligosaccharides, lactulose, raffinose, stachyose, and 2´-fucosyllactose and a mixture of human milk oligosaccharides) as a sole carbon source. The results showed that only beta-(1,3)-D-glucan was metabolized by L. monocytogenes. Therefore, the safety of beta-(1,3)-D-glucan with respect to listeriosis development should be further studied.

Metal-reinforced polymethyl-methacrylate (PMMA) is considered the gold standard material for immediate loading on dental implants. However, mechanical problems under loading cycles can occur, such as fractures. To overcome these drawbacks, a novel polymer-based material has been proposed. The aim of the present in vitro comparative research is to validate a novel composite polymer developed to replace metal-reinforced PMMA interim restoration due to its advantages of good mechanical proprieties, easier manufacturing, and handling. Ten interim restorations were CAD/CAM designed and fabricated (five in the composite "ONLY" group, and five in the metal-reinforced PMMA group). All the samples were screwed into the prototype models, simulating a complete edentulous mandible rehabilitated with six straight implants. Outcome measures were breakpoint (load, N) and displacement (mm) thought a static, compression test and material behavior under dynamic cyclic test method (fatigue test). A total of twenty samples were tested. Ten samples were used for each test (10 for static and 10 for dynamic), five samples were used in each group (test and control). All the specimens completed the mechanical tests, as planned. There was no statistically significant difference between groups for all, breakpoint, displacement and fatigue tests. Breakpoint in the test group was 1953.19 ± 543.73 N, while, it was 2031.10 ± 716.68 N in the control group, with no statistically significant difference (P=0.775). The displacement was 1.89 ± 0.34 mm in the test group and 1.98 ± 0.75 mm in the control group, again, with no statistically significant difference (P=0.763). Under dynamic cyclic test method, in the control group the mean load was 2504.6 ± 972.15 N, while, in the test group the mean load was 3382 ± 578.5 N. The difference between group was 877.4 ± 579.3 N (p value=0.121). With the limitation of this in vitro study, the novel composite polymer can be used to immediately load dental implants. Further clinical researches are needed to confirm this preliminary results.

Grain trade plays a pivotal role in international trade, serving not only as a primary component of the global agricultural market but also as a crucial factor in ensuring global food security and price stability. This study utilizes panel data from Russia, one of the largest players in the grain market, to investigate the determinants of cereal exports. The results of the gravity model estimation reveal a positive impact of demand factors, population differences, and the level of economic openness of importing countries, while distance and tariffs exert a negative influence on exports. The findings also indicate that Russia possesses significant untapped potential for cereal export growth, which has only increased in the context of geopolitical instability. The paper identifies regions with potential for export expansion and outlines the conditions necessary for realizing this potential. The results of this study contribute to the development of evidence-based policies aimed at enhancing the sustainability of regional export flows in global systems.

This paper aims to explore the potential application of Extreme Learning Machines (ELM) in stock price prediction and optimise the ELM model by combining the Crown Porcupine Optimisation Algorithm and the Adaptive Bandwidth Kernel Function Density Estimation Algorithm. Specifically, the model's root mean square error (RMSE) on the test set is 0.018, which shows its good prediction accuracy. Meanwhile, the correlation coefficient R reaches 0.968, proving the model's effectiveness in predicting stock prices. In addition, the coefficient of determination R² of the training set and test set are 0.987 and 0.954, respectively, which are not much different, indicating that the model has good generalisation ability and is not prone to overfitting. This is crucial for practical application, as it implies that the model fits the existing data well and makes accurate predictions for future data. In terms of other evaluation metrics such as Mean Absolute Error (MAE), Root Mean Square Error (RMSE) and Mean Absolute Percentage Error (MAPE), the performance is excellent in both the training and test sets. Together, these results indicate that after optimising the ELM by introducing the crown porcupine optimisation algorithm and the adaptive bandwidth kernel function density estimation algorithm, the model can effectively capture the changing stock price pattern, thus achieving efficient and accurate stock price prediction. In summary, this study not only demonstrates the great potential of ELM in stock price prediction but also highlights the importance of improving the model performance through advanced algorithm optimisation, which provides a new way of thinking and methodology for financial market analysis. This strongly supports investors' decision-making and lays the foundation for related research.

The Anterior Cruciate Ligament (ACL) is a crucial stabilizing ligament in the knee, essential for maintaining knee joint stability and proper biomechanical function. ACL rupture is one of the most common injuries, especially prevalent among athletes participating in high-demand sports that involve pivoting, cutting, and jumping. Such injuries not only lead to immediate functional impairment but also predispose individuals to long-term consequences, including osteoarthritis if left untreated. ACL reconstruction using a graft, whether autograft or allograft, has become the gold standard treatment method aimed at restoring knee stability and function. However, the postoperative healing process of the graft within the bone tunnel presents significant challenges due to its complexity. This healing involves a coordinated sequence of molecular and cellular events, including inflammation, proliferation, and remodeling phases. These phases are governed by a myriad of molecular signals, growth factors, and cellular interactions that ultimately determine the success of the graft integration and the restoration of ligamentous function. The review article "Molecular Biology of ACL Graft Healing: Early Mechanical Loading Perspective" delves deeply into these intricate biological processes. It provides a comprehensive analysis of the underlying molecular mechanisms that facilitate graft healing. Furthermore, it emphasizes the critical role of early mechanical loading in this context. Mechanical loading, when applied appropriately, has been shown to positively influence graft healing by enhancing cellular responses, collagen fiber alignment, and overall biomechanical properties of the graft. By exploring the impact of early mechanical loading, the review sheds light on how mechanical stimuli can be optimized to improve clinical outcomes. This understanding is vital for developing effective rehabilitation protocols that promote faster and more robust graft healing. The article offers valuable insights for clinicians and researchers, aiming to bridge the gap between molecular biology and practical rehabilitation strategies in ACL reconstruction. Overall, this review underscores the importance of an integrated approach that considers both the biological and mechanical aspects of ACL graft healing. Such an approach holds promise for advancing patient care and improving the success rates of ACL reconstruction surgeries.

The drinking water temperature is expected to increase in the Netherlands due to climate change and the installation of district heating networks as part of the energy transition. To determine effective measures to prevent undesirable temperature increase of the drinking water a model is developed. This model describes the temperature in the drinking water distribution network as a result of the transfer of heat from the climate, above and underground heat sources through the soil. The model consists of two coupled applications. The extended soil temperature model (STM+) describes the soil temperatures, in a two-dimensional finite element method that includes a drinking water pipe and two hot water pipes, coupled to a micro meteorology model. The extended water temperature model (WTM+) describes the drinking water temperature as a function of the surrounding soil temperature (the boundary temperature, resulting from the STM+), thermal sphere of influence where the drinking water temperature influences the soil temperature, and the hydraulics in the drinking water network. Both models are validated with field measurements. This paper describes the WTM+. Previous models did not consider the cooling effect of the drinking water on the surrounding soil, which led to an overestimation of the boundary temperature, and to an overestimation of how quickly the drinking water temperature reaches this boundary temperature. The field measurements show the improved accuracy of the WTM+ when considering one to two times the radius of the drinking water pipe as the thermal sphere of influence around the pipe.

Gastroesophageal cancers, are among the most prevalent cancers globally and represent the third leading cause of cancer-related mortality worldwide. Surgical resection remains the primary curative approach for localized and locally advanced stages, but its effectiveness is limited for locally advanced diseases, evidenced by a low 5-year survival rate of around 25%. High relapse rates post-surgery, particularly in western populations, necessitate the use of neoadjuvant, adjuvant, or perioperative strategies involving chemotherapy and radiation to improve surgical outcomes. Neoadjuvant chemoradiation therapy has demonstrated a significant improvement in overall survival. Recent advances have identified several target genes and pathways involved in the pathogenesis and progression of these cancers, leading to the development of targeted drugs, including immunotherapy, anti-HER-2 antibodies, and anti-VEGFR antibodies. These targeted therapies are emerging as promising interventions for better patient outcomes and personalized treatment approaches and therefore could eventually evolve into a novel therapeutic regimen for gastroesophageal cancer.

This article explores the specific impact of artificial intelligence (AI) -driven data visualisation technologies in the user experience of the Internet industry. Through the introduction of machine learning and data mining technologies, AI has significantly improved the intelligence and automation of data visualization tools, promoting innovation in visualization methods and improving the quality and efficiency of data cleaning, processing, and analysis. In addition, AI has also promoted the development of personalised data visualization, providing users with a richer and more intuitive way to present data. This paper analyses the applications of AI-driven data visualization in machine learning, natural language processing, and computer vision. It demonstrates the positive effects of AI data visualization on user understanding and optimisation of models through practical feedback from Yellowbrick tools.

Climate disruption has serious impact on the entire agricultural production system at global scale. Research and development efforts as well as innovations may be necessary to offset the negative impact of climate change. Adaptation to climate change has remained a major socio-ecological issue in the Northern Region of Cameroon for three decades. Several agricultural innovations have been promoted in this region by international organizations and NGO, within the framework of different projects and programs, with a strong potential for adaptation to climate change. However, little is still known about agricultural innovations that have evolved over time in response to climatic factors. Therefore, research aiming at identifying adaptation strategies and practices at the local level is still limited. Also, rural communities and households do not always have access to these agricultural innovations because of lack of efficient innovation support service for agriculture. Through surveys and focus group discussions carried out in several villages in the Northern Cameroon Region, this study provides empirical data on emerging agricultural innovations in contrasting socio-economic, agricultural and ecological contexts. The study demonstrated that the process of adaptation at the village level using agricultural innovations is the result of various forms of support provided by a diversity of actors. However, heads of household (83%) are more involved in innovative initiatives to the detriment of other social strata, resulting in an imbalance in access and proximity to agricultural innovations. Also, support for agricultural innovations is segmented over time and weakens the sustainable transformation of adaptation due to the lack of coordination and the very low visibility of permanent structures dedicated to supporting agricultural innovations.

The Sustainable Development Center of the University of Brasilia is one of the modernist buildings that make up the Darcy Ribeiro campus. The architectural project contains several recommendations for the execution of the flat roof waterproofing system, as well as details for rainwater runoff and drainage, which reveals a certain concern with watertightness. The research seeks to identify the relationship between the pathological manifestations recognized on the roof and the semicircular shape of the building, assessing the state of conservation through the use of damage maps as an analysis tool. The article is based on a field survey using aerophotogrammetry with a drone, the application of vector drawing software for graphic representation and discussion of the possible causes, agents and mechanisms of degradation at work. The results show the importance of mechanical protection for the good performance of the waterproofing system, as well as the need for correct sizing of expansion joints in order to absorb and relieve the stresses caused by hygrothermal variations. The methodology incorporated proved to be effective and economical in diagnosing and monitoring pathological manifestations, making it possible to plan maintenance actions that extend the useful life and preserve the intrinsic characteristics of building systems.

A single paragraph of about 200 words maximum. For research articles, abstracts should give a pertinent overview of the work. We strongly encourage authors to use the following style of structured abstracts, but without headings: (1) Background: Place the question addressed in a broad context and highlight the purpose of the study; (2) Methods: briefly describe the main methods or treatments applied; (3) Results: summarize the article’s main findings; (4) Conclusions: indicate the main conclusions or interpretations. The abstract should be an objective representation of the article, and it must not contain results that are not presented and substantiated in the main text and should not exaggerate the main conclusions. Python, a versatile programming language, holds vast potential for Sentiment Analysis (SA). Leveraging the Requests and TextBlob libraries, we have crafted a user-friendly code that enables Industrial Engineers (IE) and managers, particularly those who are new to Python, to extract and analyze sentiment efficiently. We aim to provide IE/managers in service companies requiring SA capabilities with a simple yet effective Python solution. While machine learning resources like PyTorch/TensorFlow are commonly utilized in SA, offering pre-built algorithms and tools for training, and implementing machine learning models, we sought to exploit Python's versatility by integrating additional web-scraping libraries. Thus, by using a lexicon-based approach, we intend to deliver an informative and practical article. The code in this article is twofold; firstly, it can be easily adapted by IE/managers possessing basic Python skills; secondly, we aim to inspire junior IE/managers to develop their own customized coding solutions tailored to specific organizational needs.

Flexible electrochemical sensors can adhere to any bendable surface with conformal contact, enabling continuous data monitoring without compromising the surface's dynamics. Among various materials that have been explored for flexible electronics, metal-organic frameworks (MOFs) exhibit dynamic responses to physical and chemical signals, offering new opportunities for flexible electrochemical sensing technologies. This review aims to explore the role of electrocatalysis in MOF films specifically designed for flexible electrochemical sensing applications, with a focus on their design, fabrication techniques, and applications. We systematically categorize the design and fabrication techniques used in preparing MOF films, including in-situ growth, layer-by-layer assembly, and polymer-assisted strategies. The implications of MOF-based flexible electrochemical sensors are examined in the context of wearable devices, environmental monitoring, and healthcare diagnostics. Future research is anticipated to shift from traditional microcrystalline powder synthesis to MOF thin-film deposition, which is expected to not only enhance the performance of MOFs in flexible electronics but also improve sensing efficiency and reliability, paving the way for more robust and versatile sensor technologies.

Recent advancements in molecular diagnostics have highlighted the potential of circulating cell-free DNA (ccfDNA) as a biomarker in various diseases. This study aims to explore the role of ccfDNA in the early diagnosis, prognosis, and therapeutic monitoring of diseases, with a focus on oncology. We conducted a comprehensive review and analysis of current literature, combined with experimental approaches involving advanced genomic sequencing and bioinformatics techniques. Our research systematically characterizes the molecular composition of ccfDNA, including its origins, size distribution, and methylation patterns, across different disease states. Furthermore, we investigate the dynamics of ccfDNA release and clearance in the bloodstream, elucidating mechanisms that could influence its diagnostic accuracy. In the context of cancer, we analyze the correlation between tumor-derived ccfDNA and disease progression, response to therapy, and overall survival. Our findings indicate that ccfDNA holds promise as a non-invasive biomarker for early disease detection, real-time monitoring of treatment efficacy, and potentially, predicting relapse. This study contributes to the growing field of liquid biopsies and opens new avenues for personalized medicine, emphasizing the need for standardized protocols in ccfDNA analysis to maximize its clinical utility. The implications of our findings extend beyond oncology, suggesting potential applications of ccfDNA in other pathological conditions.

Assessing the quality of corn seeds necessitates evaluating their content of water, fat, protein, and starch. This study integrates hyperspectral imaging technology with chemometric analysis techniques to achieve non-invasive and rapid detection of multiple key components in corn seeds. Hyperspectral images of the embryo surface of maize seeds were collected within the wavelength range of 1100~2498nm. Subsequently, image segmentation techniques were applied to extract the germ structure of the corn seeds as the region of interest. Seven spectral data preprocessing algorithms were employed, and the Detrending Transformation (DT) algorithm was identified as the optimal preprocessing method through comparative analysis using the Partial Least Squares Regression (PLSR) model. To reduce spectral redundancy and streamline the prediction model, three algorithms were employed for characteristic wavelength extraction: Successive Projections Algorithm (SPA), Competitive Adaptive Reweighted Sampling (CARS), and Uninformative Variable Elimination (UVE). Using both the original spectra and the extracted characteristic wavelengths, four content detection models were constructed: PLSR, Back Propagation Neural Network (BPNN), Radial Basis Function Neural Network (RBFNN), and Least Squares Support Vector Machine (LSSVM). The experimental results demonstrate that the DT-CARS-LSSVM model exhibits exceptional accuracy and stability in predicting these four key components, with determination coefficients of 0.9877, 0.9344, 0.9827, and 0.9592, respectively. This study not only provides a scientific basis for evaluating the quality of corn seeds but also opens up new avenues for the development of non-invasive detection technology in related fields.

Background: An outbreak of Mpox disease caused by a mutant clade 1b virus (MPXV) in Kamituga area, South Kivu Province, DRC has rapidly grown to involve neighboring countries in this region. This now has the authorities worried, due to the limited supply of Mpox vaccines with emergence use licensure (EUL) available. As an emergency local response to this challenge, we set out to identify epitopes of clade 1b MPXV surface proteins as targets for the rapid research and development (R & D) of Mpox medical countermeasures. Methods: The H3L (OPG108–heparin binding protein) and A17L (OPG143–myristylated protein) were selected by virtue of their surface localization, stability and known role in MPXV host cell fusion entry. Within the immune epitope database analysis resource (IEDB-AR), surface accessibility, antigenicity and 3-D localisation (DiscoTope) we examined to identify > 9-nomer epitopes Results: Three (3) and six(6) candidate >9-nomer epitopes were derived for H3L and A17L surface fusion protein. Across all parameters, the two best identified epitopes were as follows:—H3L (28-HINDQKFDDVKDNEVMQEKR-47 and 236-YVEHDPRLVAEH-247) and A17L (104-QNEVTPEYIKDLKYATDYIA-123;) 270-KKDYLLGDSDSVAKCCSKTNTKHCPKIFNNNYKTEHC-290). Conclusions: These epitopes— alone, multiplexed (say as a nano-spiked virus-like particles, VLPs) or fused as a chimeric recombinants form immunogens for the rapid production of protein sub-unit vaccines. Inversely, derivative monoclonal antibodies (mAbs) from the same are precursors for therapeutic cocktails and or antigen, rapid diagnostic tests (RDT).

Antiviral therapy such as Oseltamivir has been recommended for hospitalized children with suspected and confirmed influenza for almost 20 years. The therapy is officially authorized for newborns two weeks of age or older, however, questions about its safety and effectiveness still surround it. Our goal was to assess the epidemiological features of two consecutive seasonal in-fluenza cases in children following the COVID-19 pandemic and also to observe the clinical ef-fectiveness and tolerability of oseltamivir in hospitalized children who were not vaccinated against influenza and who had different influenza subtypes, including A (H1N1), A (H3N2), and influenza B, and to identify specific comorbidities associated with influenza in children. We performed an observational study on 1300 children, enrolled between 1st October 2022 and 30th May 2023 and 1st October 2023-4th of May 2024, to the IX Pediatric Infectious Diseases Clinical Section of the National Institute of Infectious Diseases "Prof. Dr. Matei Balș". During the 2022-2023 influenza sea-son, 791 pediatric patients tested positive for influenza and received Oseltamivir. Of these, 89% (704/791) had influenza A, with 86.4% subtypes A(H1N1) and 13.6% of cases had A(H3N2), and influ-enza B 11%(87/791) pediatric patients. Of the total group, 59% were male, and the median age was 2,4 years (1.02-9.28). For the 2023-2024 influenza season, 509 pediatric patients tested positive for influen-za, 56.9% were male gender and were treated with Oseltamivir. 81.6 % had Influenza A, and 18.4% had influenza B. Treatment with neuraminidase inhibitors like Oseltamivir, 2mg/kg/dose twice daily for 5 days, was well tolerated by the children, and we recorded no deaths. The duration of fever hospitaliza-tion after the Oseltamivir administration was significantly longer for patients with A(H1N1) infection than A(H3N2), during both seasons. We identified more complications in the 2022-2023 season and a decreasing number of Influenza B for the 2023-2024 season. Among children with comorbidities, the most common were asthma, gastrointestinal disorders, and metabolic and endocrine diseases. In terms of effectiveness, oseltamivir significantly reduced the intensity of influenza symptoms, thus reducing the number of days of hospitalization (p=0.001) as well as post-infection complications (p=0.005) in both groups. Oseltamivir was less effective in Influenza A (H1N1) than A(H3N2), (p=0.0035). In this study, we evaluated the clinical effectiveness of oseltamivir therapy for all influenza types/subtypes in children, and the length of hospitalization. We identified comorbidities associated with prolonged dura-tion of hospitalisation. Influenza vaccination should be the main tool in the prevention of influenza and its complications in children, especially with comorbidities

Since the turn of the millennium, many individuals and groups, including Diane Moore (2007), Stephen Prothero (2007), the American Academy of Religion (2010), and The National Council for the Social Studies (2014, 2017, 2021), have advocated for better religious literacy education (RLE) in K-12 curriculum and public schools. Despite these calls, RLE has yet to make significant inroads in K-12 curriculum and public schools. This paper aims to define religious literacy and RLE, provide current rationales for its inclusion in K-12 curriculum and public schools, identify barriers to RLE, and explore the potential of global competence in promoting RLE.

The Polynomial coefficient function, from the complex hyperspace Cⁿ in itself, is the function Fⁿ that provides the coefficients of the polynomial (x - a₁)(x - a₂)... (x-a_n). A proof of the fundamental theorem of algebra is given where the surjectivity of this function is obtained from a Recurrent Coefficient Equation.

The objective of image super-resolution is to reconstruct a high-resolution (HR) image with the prior knowledge from one or several low-resolution (LR) images. However, in the real world, due to the limited complementary information, the performance of both single-frame and multi-frame super-resolution reconstruction degrades rapidly as the magnification increases. In this paper, we propose a novel two-step image super resolution method concatenating multi-frame super-resolution (MFSR) with single-frame super-resolution (SFSR), to progressively upsample images to the desired resolution. The proposed method consisting of an L0-norm constrained reconstruction scheme and an enhanced residual back-projection network, integrating the flexibility of the variational model-based method and the feature learning capacity of the deep learning-based method. To verify the effectiveness of the proposed algorithm, extensive experiments with both simulated and real world sequences were implemented. The experimental results show that the proposed method yields superior performance in both objective and perceptual quality measurements, compared to the baseline super-resolution algorithms in the cascade model. In addition, the experiment indicates that this cascade model can be robustly applied to different SFSR and MFSR methods.

Clockwork fermions represent a novel theoretical construct in high-energy physics, addressing such fundamental issues as mass hierarchies and dark matter. This review provides an examination of the theoretical underpinnings of clockwork fermions, their implications for particle physics, and the current state of experimental validations. Clockwork fermions represent a paradigm in particle physics, elegantly addressing the hierarchy problem and offering insights into the generation of small neutrino masses. We provide an analysis of the clockwork mechanism, emphasizing its theoretical innovation and the unique mass hierarchies it produces. We examine recent experimental efforts, including collider searches and direct detection experiments, that place constraints on clockwork models, while also exploring their potential cosmological implications.

This research paper is divided into two aspects: first part describes the modelling techniques which are referred for handling infectious diseases in public health domain, second part describes the modelling techniques which are referred for building epidemiology cases in public health domain. To illustrate further, first part helps in understanding various modeling ordinary differential equations have been defined to develop the definition, described to know the terminologies involved in developing the equations and henceforth established to understand the end-to-end process. Second part helps in understanding various aspects of epidemiology in public health domain and how they help in addressing the public health domain policy-making.

The potassium-chloride cotransporter KCC2 is the main extruder of Cl- in neurons. It plays a fundamental role in the activity of the inhibitory neurotransmitters (GABA and glycine) since low levels of KCC2 promote intracellular Cl- accumulation leading to a depolarizing activity of GABA and glycine. Downregulation of this cotransporter occurs in neurological disorders characterized by hyperexcitability, such as epilepsy, neuropathic pain and spasticity. KCC2 is also downregulated after axotomy. If muscle reinnervation is allowed, KCC2 levels recover in motoneurons. Therefore, we argued that target-derived neurotrophic factors might be involved in the regulation of KCC2 expression. For this purpose, we performed the axotomy of extraocular motoneurons by monocular enucleation of adult rats, and a pellet containing either VEGF or BDNF was chronically implanted in the orbit. Double confocal immunofluorescence of ChAT and KCC2 was carried out in brainstem sections. Axotomy led to a KCC2 decrease in the neuropil and soma of extraocular motoneurons, peaking at 15 days post-lesion, with the exception of abducens motoneuron somata. VEGF administration prevented the axotomy-induced KCC2 downregulation. By contrast, BDNF either maintained or reduced KCC2 levels following axotomy suggesting BDNF is involved in the axotomy-induced KCC2 downregulation in extraocular motoneurons. The finding that VEGF prevents KCC2 decrease opens new possibilities for the treatment of neurological disorders coursing with neuronal hyperactivity due to KCC2 downregulation.

In this study, we evaluate the nonlinear dynamics of convection flow using the thermodynamic variational principle, focusing on scenarios where multiple external forces, such as a thermal gradient and rotational field, are applied to a shallow annular pool. We observed that with the increase in the thermal gradient, the flow changed from an axial flow to a rotational oscillatory flow with the wave amplitudes aligned. Further increasing the temperature difference led to a rotational oscillatory flow characterized by alternating wave generation and annihilation. Our analysis of the flow, considering heat fluxes orthogonal to the thermal gradient, allowed us to describe the flow state as a phase at equilibrium. The state transition of the flow was accompanied by a discontinuous jump in the heat flux, which occurred at the intersection of the entropy production curves.

I present the first complete theory of ADHD. ADHD occurs when the organism adapts to try to maintain higher glucose levels than normal. The main mechanism via which this is done is by faster opening of KATP channels, mainly Kir6.2/SUR1, which increases the cell's intrinsic \xtblty. I show that this induces all of the symptoms of ADHD. The optimal treatment for ADHD already exists, since drugs of the sulfonylurea family close KATP channels and have been used for safely treating people for dozens of years.

With the significant annual increase in the market demand for biopesticides, the industrial production demand for predatory mites, which hold the largest market share among biopesticides, has also been rising.To achieve efficient and low energy consumption control of predatory mite breeding environmental parameters, accurate estimation of breeding environmental parameters is necessary. This paper collects and pre-processing hourly time-series data of temperature and humidity from industrial breeding environments. Time series prediction models such as SVR, LSTM, GRU, and LSTNet are applied to model and predict historical data of the breeding environment. Experiments validate that the LSTNet model is more suitable for such environmental modeling. To further improve prediction accuracy, the training data for the LSTNet model is enhanced using hierarchical clustering of time-series features. After augmentation, the root mean square error (RMSE) of temperature prediction decreased by 27.3%, and the RMSE of humidity prediction decreased by 32.8%, significantly improving the accuracy of multi-step predictions and providing substantial industrial application value.

Breakthrough Sparsity Theorem, derived independently by Donoho and Elad \textit{[Proc. Natl. Acad. Sci. USA, 2003]}, Gribonval and Nielson \textit{[IEEE Trans. Inform. Theory, 2003]} and Fuchs \textit{[IEEE Trans. Inform. Theory, 2004]} says that unique sparse solution to NP-Hard $\ell_0$-minimization problem can be obtained using unique solution of P-Type $\ell_1$-minimization problem. In this paper, we derive noncommutative version of their result using frames for Hilbert C*-modules.

S6K1 (ribosomal protein S6 kinase beta-1) is a critical serine/threonine kinase involved in the regulation of various cellular processes, including protein synthesis, gene expression, and metabolic homeostasis. The structural complexity of S6K1, with its multiple isoforms and unique kinase domain, allows for diverse functionality across different cellular contexts. In this review, we report the intricate structure of S6K1, highlighting the significance of its kinase domain. Additionally, we explored the tissue-specific expression and subcellular localization of S6K1 isoforms, emphasizing their distinct roles in cellular processes. The regulation of S6K1 extends beyond transcriptional control, with post-translational modifications such as phosphorylation and acetylation playing crucial roles in its activity and stability. The physiological implications of S6K1 are vast, influencing processes from cell growth and protein synthesis to immune responses and muscle hypertrophy. However, dysregulation of S6K1 is implicated in numerous pathological conditions, including cancer Studies reveal that altered S6K1 activity, particularly in its phosphorylation state, can lead to reduced neuronal viability, contributing to the progression of diseases such as Parkinson's. This manuscript synthesizes current knowledge on S6K1, offering insights into its multifaceted roles and highlighting its potential as a therapeutic target in various disease contexts.

The digital transformation of the global economy presents new challenges and opportunities for businesses and nations. With the growing role of digital technologies and the dynamic changes in the structure of the economy, there is a need for a better understanding of the processes shaping contemporary enterprises. This article analyzes the impact of digital transformation on businesses and the global economy, identifying key areas where these changes are most evident. As part of this discussion, a modification of the “9 Pillars of Industry 4.0” concept is proposed, incorporating solutions that have emerged since its inception. The resulting model, “11 Pillars of Industry 4.0,” enabled the analysis of the “born digital” and “born global” concepts, highlighting their numerous common features in the context of the digital transformation of economies. This became the basis for proposing a new concept: “born digibal” — enterprises that from the outset operate in multiple markets, with their main sphere of activity based on digital solutions.The conclusions of the article provide an assessment of the changes occurring in businesses and the global economy in the digital age. They suggest that the dynamics of globalization in the 21st century will be shaped by complex interactions between digital transformation and the actions of businesses and nations, requiring flexibility and innovation in adapting to new economic realities.

Abstract Objectives: The aim of this study is to understand the rationale for the lack of interest to perform regular opportunistic oral cancer screening (OCS) by primary care providers (PCPs) and the challenges they have in incorporating OCS into their annual examination protocol. Method: Sequential exploratory mixed methods were used. Both qualitative and quantitative data from PCPs working at Nebraska Medicine were obtained. One-on-one in-depth interviews were performed to identify PCP's perceptions and challenges in performing OCS. The themes identified in the qualitative study were used as a guide in the development of survey questionnaires. The survey was emailed to all the PCPs (N=100), whose information was available on the Nebraska Medicine publicly accessible website. Results: The response rate was 34%. Approximately 60% of the participants mentioned that they currently perform oral cancer screening, but only 3.8% of the providers answered that they were performing comprehensive oral cancer screening every time. Forty-eight percent of the providers identified time as the biggest challenge. Over 35.3% of the providers answered that they perform screenings for patients with a history of tobacco (i.e., smoking) or alcohol use. Conclusion: Around half of the participants identified lack of time as their primary challenge in performing OCS and lack of knowledge as their second main obstacle. Very few provided comprehensive OCS and visual examination of the oral cavity is the only step performed often. Keywords: Oral cancer screening - Primary care providers - Oropharyngeal cancer-early detection of cancer-cancer screening-care providers-Health care professionals, health care providers

This paper explores the influence of GenAI chatbot (ChatGPT) and AI-based simulation (SimVenture) on the start-up intention through the mediating roles of entrepreneurship educational outcomes; entrepreneurship cognition, entrepreneurship competencies, and innovation spirit of students in higher education institutions in the Middle East. The proposed conceptual framework was empirically tested with partial least squares structural equation modeling using 166 survey responses from fourth-year undergraduate students enrolled in business administration programs in four higher education institutions in the Middle East region. The findings reveal that ChatGPT significantly promotes start-up intention, while ChatGPT has insignificant influence on entrepreneurship educational outcomes. Conversely, the SimVenture platform negatively influences start-up intention. Additionally, the SimVenture platform significantly improves entrepreneurship educational outcomes; thereby entrepreneurship educational outcomes directly influence start-up intention. Furthermore, the mediation paths show ChatGPT has an insignificant indirect influence on start-up intention through the mediating roles of entrepreneurship educational outcomes, while the SimVenture platform exhibits a notable indirect influence on startup intentions through improved entrepreneurship educational outcomes. These findings seek to provide insights for higher education institutions in the Middle East region in leveraging GenAI chatbot (ChatGPT) and AI-based simulation (SimVenture) to enhance entrepreneurial knowledge, awareness, competencies, and the spirit of innovation, which leads to promoting students’ intentions to start their businesses. Theoretically, the study contributes to filling the gap in the existing literature between AI tools and entrepreneurship education. This study is among the first to empirically explore the influences of GenAI chatbot (ChatGPT) and AI-based simulation (SimVenture) on entrepreneurship educational outcomes and the intention of students to embark on entrepreneurial ventures. It highlights the need for understanding AI technologies as distinct pedagogical tools.

Kiwifruit (Actinidia chinensis) cultivation is expanding worldwide being China, New Zealand and Italy the major producing countries. Halyomorpha halys, the brown marmorated stink bug, has been raising serious concerns to kiwifruit cultivation both in China and Italy. This study aimed at improving the chemical control efficacy against this pest by comparing two insecticide spray techniques (a conventional ray atomizer and a trumpet-modified atomizer adapted for localized spray application in kiwifruit). In fact, kiwifruit is often grown with a ‘pergola’ training system, which may reduce the effectiveness of insecticide penetration into the canopy. Experiments have been performed in naturally infested orchards of both Actinidia chinensis var. chinensis ‘Jintao’ and A. chinensis var. deliciosa ‘Hayward’ during two consecutive seasons. Furthermore, mesh cages, each containing three H. halys adults, were deployed in the orchards to assess the insects’ mortality at 1, 3, 7 and 10 days after the insecticide application with the two spray techniques. In the cultivar 'Jintao', the two systems performed similarly, while in the cultivar 'Hayward', an overall significantly higher insect mortality was recorded with the trumpet atomizer. The crop damage was also evaluated on both cultivars, simulating the grower insecticide applications with the two spray techniques. At harvest, no difference emerged between the spray techniques, which provided a significantly better protection compared to the untreated control. Further investigations in this direction are needed also considering the restriction of insecticidal active substances ongoing in European Union and the need to maximize the efficacy of the available tools.

Integrated photovoltaic-fuel cell (IPVFC) systems have the potential to contribute to sustainable energy production for grid and off-grid applications. While there are studies focusing on fundamental science and designs for IPVFC systems, there are scarcely studies that have focused on the manufacturability of IPVFC systems, which is certainly the pathway for commercialisation of the systems. This study explores manufacturing strategies that can be considered for exploiting a family of eleven IPVFC systems. A survey and systems thinking were used to investigate the potential modularisation and supply chain management to achieve optimal lean and agile manufacturing strategy. Results show that the Photovoltaic-Thermal-Separate Converter/Inverter-Battery System received 25% of the responses. The optimal manufacturing strategy depends on the overall business strategy of the firm. Although 17% preference for System 1 is significant compared to four members of the family of IPVFC systems (Systems 2, 6, 8 and 9) that received only 2% of the responses, it indicates that there is a likelihood that the demand for System 1 will be among the top 42% of the total demand. Overall, this study provides new insights on how the family of IPVFC systems can contribute to realising greater access to clean energy, by extension contributing to the net-zero efforts using solar energy and solar hydrogen.

Polar auxin transport (PAT) and auxin efflux carriers are known components controlling leaf complexity and venation patterns in some model plant species. Evidence indicates that PAT generates auxin converge points (CPs) that in turn lead to local leaf formation and internally into major vein formation. However, the role of PAT in more diverse leaf arrangements and vein patterns is largely unknown. We used pharmacological inhibition of PAT in developing pinnate tomato, trifoliate clover, palmate lupin, and bipinnate carrot leaves and observed dosage-dependent reduction to simple leaves in these eudicots. Leaf venation patterns changed from craspedodromous (clover, carrot), semi-craspedodromous (tomato) and brochidodromous (lupin) to more parallel patterning with PAT inhibition. The visualization of auxin responses in transgenic tomato plants showed that discrete and separate CPs in control plants were replaced by diffuse convergence areas near the margin. These effects indicate that PAT plays a universal role in the formation of different leaf and vein patterns in eudicot species via a mechanism that depends on the generation as well as separation of auxin CPs. Computer simulations indicate that variations in PAT can alter the number of CPs, corresponding leaf lobe formation and position of major leaf veins along the leaf margin in support of experimental results.

The basic idea is to expand the completed zeta function $\xi(s)$ in MacLaurin series (infinite polynomial), which can be further expressed as infinite product (Hadamard product) by conjugate complex roots. Finally, the functional equation $\xi(s)=\xi(1-s)$ leads to $(s-\alpha_i)^2 = (1-s-\alpha_i)^2, i \in \mathbb{N}$ with solution $\alpha_i= \frac{1}{2}, i \in \mathbb{N}$, where $\alpha_i$ are the real parts of the zeros of $\xi(s)$, i.e., $s_i =\alpha_i\pm j\beta_i, i\in \mathbb{N}$. Therefore, a proof of the Riemann Hypothesis is achieved.

Aspergillosis is a fungal disease caused by the inhalation of fungal spores of the genus Aspergillus spp. This fungus mainly affects the lungs but can spread and infect the maxillofacial region through the bloodstream. The disease has nonspecific clinical manifestations, which hinders early diagnosis. Even though the Polymerase Chain Reaction (PCR) technique holds promising potential to aid in diagnosing aspergillosis, anatomopathological analysis services have not yet routinely adopted the method. Therefore, the present study aims to evaluate the applicability and standardize the techniques of preparation of biological samples and PCR for the detection of the species Aspergillus niger, Aspergillus fumigatus and Aspergillus flavus. Six samples of formalin-fixed, paraffin-embedded tissue (FFPE), with histopathological diagnosis suggestive of aspergillosis, were investigated by PCR. Five of the six samples evaluated were positive for the fungus Aspergillus spp, 2/5 of which were co-infected by A. fumigatus and A. flavus species, and the others were positive for A. flavus species. The findings of this study suggest that PCR may be an auxiliary method in diagnosing aspergillosis. However, the expansion of the sample size and the evaluation of PCR in comparison with other diagnostic tests for aspergillosis is essential to determine the accuracy of the method.

Early diagnosis of paroxysmal atrial fibrillation (PAF) could suggest patients to receive timely interventions in clinical practice. Various PAF onset prediction algorithms might benefit from accurate heart rate variability (HRV) analysis and machine learning classification but to be challenged in real-time monitoring scenarios. The aim of this study is to present an end-to-end deep learning based PAFNet model that integrates a sliding window technique on raw R-R interval of electrocardiogram (ECG) segments to achieve a real-time prediction of PAF onsets. This integration enable the deep convolutional neural network (CNN) to be customized as a light-weight architecture that accommodates the size of sliding windows simply by altering the input layer, specifically its effectiveness in making a new prediction with each new heartbeat. Catering to potential influence of input sizes, three CNN models were trained using 50, 100, and 200 R-R intervals, respectively. For each model, the performance of automated algorithms was evaluated for PAF prediction using a ten-fold cross-validation. As a results, a total of 56,381 PAFN-type and 56,900 N-type R-R interval segments was collected from publicly accessible ECG databases, and a promising prediction performance of the automated algorithm with a 100 R-R intervals was achieved in terms of the sensitivity of 97.12%, the specificity of 97.77%, and the accuracy of 97.45%, respectively. Importantly, the automated algorithm with a sliding windows step of 1 could process one sample in only 23.1 milliseconds and identify the onset of PAF at least 45 minutes in advance. The present results suggest that the sliding window technique on raw R-R interval sequences along by deep learning based algorithms may offers the possibility of providing an accurate, real-time, and end-to-end clinical tool for mass monitoring of PAF.

In the study of algebraic structures related to logical systems, Ideals and filters have different meanings and they are algebraic notions related to logical provable formulas. Unlike the classical Boolean lattice theory, ideals and filters are not dual notions in residuated lattices. An interesting subclass of residuated lattices is the class of triangle algebras, which is an equational representation of interval-valued residuated lattices that provides an algebraic framework for using closed intervals as truth values in fuzzy logic. The main aim of this article is to introduce and study the concept of ideals in triangle algebras and investigate the connection between ideals and filters. We first point out that the construction procedure for the filter generated by a subset of a triangle algebra established by Zahiri et al. is incorrect, and we proceed to give an alternative characterization.

Keywords: Phosphatidylserine (PS), brain micrometastases, vascular endothelial cells, blood-tumor-barrier (BTB), imaging.

At 8000 m and above, a ‘death zone’ reputation afforded protection for the fragile ecosystems of the Himalaya and Korakoram ranges for thousands of years. After decades of high-altitude mountaineering, environmental impacts have been documented such as associated carbon-intensive air travel and contamination from waste. Despite the growing popularity, high-risk and fragile context of the sport, the behaviour, perspectives and experiences of high-altitude mountaineers, and the social and economic consequences have not been researched. Following an interpretive paradigm and using purposive sampling, this qualitative study conducted in-depth interviews and open-ended survey questions to collect the experiences of sixteen high-altitude mountaineers. Analysis of the qualitative data was informed by Grounded Theory with the coding process leading to the overarching category of ‘leave no trace’. The results show how the high risks to life, and growing popularity of the activity influence mountaineer’s ability to act sustainably and increase unsustainable behaviour despite a desire to ‘leave no trace’ on the mountain. Meanwhile, climate change has already and will increasingly have profound impacts on the risks associated with 8000m mountaineering. Allowing more time for acclimation would help to address the root causes of unsustainable behaviours along with better enforcement of regulations.

Amazon Web Services (AWS) instances provide a convenient way to run training on complex ’omics data analysis workflows without requiring participants to install software packages or store large data volumes locally. However, efficiently managing dozens of instances is challenging for training providers. We present a set of Bash scripts that make it quick and easy to manage Linux AWS instances pre-configured with all the software analysis tools and data needed for a course, and accessible using encrypted login keys and optional domain names. Creating over 30 instances takes 10-15 minutes. A comprehensive online tutorial describes how to set up and use an AWS account and the scripts, and how to customise AWS instance templates with other software tools and data. We anticipate that others offering similar training may benefit from using the scripts regardless of the analyses being taught.

Background: Bioaerosol can represent a danger to the health. During SARS-CoV-2 pandemic, portable devices were used in different environments and considered a valuable prevention tool. This study has evaluated the effectiveness of the air treatment device "AEROK 1.0" in reducing microbial, particulate and pollen airborne contamination indoors, during normal activity. Methods: In an administrative room, airborne microbial contamination was measured using active (DUOSAS 360 and MD8) and passive sampling; a particle counter was used to evaluate particle concentrations; a Hirst-type pollen trap was used to assess airborne pollen and Alternaria spores. Statistical analysis was performed using SPSS 26.0; p values

Keywords: parent or family involvement; children with disabilities; school, parent-teacher relationships, education, COM-B model

This study investigated the effect of partially replacing fish meal with krill and copepod meals in inert diets, co-fed with shrimp, on the growth and nutrient digestibility of long-snout seahorse (Hippocampus guttulatus). A control diet (Diet 1) using raw starch and four experimental diets with similar protein (≈44.8%) and energy (≈15.1 MJ/kg) levels were tested. Diet 2 used fish meal as the sole protein source, while in Diets 3-5, krill and copepod meals replaced 44% of the fish meal. Seahorses fed Shrimp + Diets 2-5 showed significantly higher growth rates (P &lt; 0.05) than those fed Shrimp + Diet 1, though there were no significant growth differences among Diets 2-5. Digestibility of dry matter (46.1% to 72.2%), lipids (73.3% to 85.5%), crude protein (89.8% to 95.8%), energy (82% to 92.2%), and phosphorus (28.7% to 64.4%) varied with diet, being consistently lower in seahorses fed Shrimp + Diet 1. As an agastric species, H. guttulatus did not exhibit impaired digestibility for any of the tested nutrients, minerals, or energy. This study suggests that crustacean meals can effectively substitute fish meal in inert diets for this species, contributing to the sustainability and optimization of captive seahorse husbandry practices.

Financial technologies (Fintech) have become an indispensable part of most of the business infrastructure around the world. The Fintech ecosystem provides this solution by providing a suitable environment for all financial techno services to synergize. The objective of this paper is two folds; first, it aims to investigate &amp; summarize Fintech programs products, and services in Saudi Arabia. Second, it maps the sustainable development goals (SDG) and indicators of the Fintech programs in Saudi Arabia. Secondary data was collected from published reports, institutional &amp; governmental websites, official portals, and research papers focusing on the companies operating in Saudi Arabia. In the second step, the content analysis method was employed to investigate the features and characteristics of each program to map it to the sustainable development goals (SDGs). It was found that Fintech in Saudi Arabia is addressing SDGs goals 1, 2, 5 8 &amp; 17. The paper also attempted to map further the SDG indicators with the products and services which Fintech companies are offering. This study will be beneficial for the institutions and policymakers of the Fintech industry to fill the gaps in addressing SDG goals which is a global agenda for eradicating poverty and offering sustainable development opportunities.

Deep brain stimulation of the subthalamic nucleus (STN-DBS) is a recognized treatment in Parkinson’s disease (PD), but knowledge is still limited regarding its possible impact on patients with behavioral addiction (BA) who undergo surgery. To assess this effect of STN-DBS, we prospectively studied the follow-up from 3-months pre-surgery to 12-months post-surgery of 12 PD patients with pre-existing BA (9 with pathological gambling disorder, 2 with hypersexual disorder, and 1 with compulsive shopping disorder) in a multicenter study. Patients were assessed for BA, for mental status with anxiety, depression, mania, emotional process and for PD, using the Unified Parkinson’s Disease Rating Scale motor examination (UPDRS3) and cumulative daily L-dopa equivalent daily dose (LEDD). Mean 6 and 12-month post-surgery scores were compared to baseline. After one year of STN-DBS, our results indicated that the treatment remained generally effective and stable. There was no effect on mania state or negative impact on motor signs. A significant improvement of the anxiety score was also observed. The STN is an interesting target for new therapeutic stimulation in BA and works to investigate the precise target in this neurobiological architecture should be performed in the future.

{In two previous articles, the extended $(k, t)$--Fibonacci numbers were presented and some of their properties were studied, both in general and particularizing them for the Leonardo numbers. In a second article we study the sum of the extended $(k, t)$--Fibonacci numbers as well as the sums of these odd and even numbers.\\ In this article we study the sum of the squares of these numbers with their properties as well as the generating function, the recurrence relation and the Binet formula.\\ Finally we particularize these results for the generalized $t$--Leonardo numbers

Soluble inorganic pyrophosphatase (sPPase), a pyrophosphate hydrolase, has been shown to play an important role in several physiological processes such as plant growth and development, metabolic activities, and response to abiotic stresses, but sPPase has been less studied in woody plants. In order to preliminarily verify whether the soluble inorganic pyrophosphatase in Eucommia ulmoides Oliver (E. ulmoides) has a role in resistance to drought stress, we amplified the EuSIP5 (E. ulmoides soluble inorganic pyrophosphatase 5) cDNA sequence from E. ulmoides by RT-PCR. In order to study the drought resistance of the Eucommia ulmoides soluble inorganic pyrophosphatase 5 (EuSIP5) gene, the cDNA sequence of the EuSIP5 gene was amplified from Eucommia ulmoides Oliver by RT-PCR. Bioinformatic analysis indicated that EuSIP5 might be an unstable amphipathic protein, mainly located in the cytoplasm. E. ulmoides, the highest expression of the EuSIP5 gene was found in male leaves and pericarp from April to October, and in leaves of E. ulmoides in July and September. During drought, the expression of EuSIP5 in seedling E. ulmoides leaves was significantly higher than that of the control. An overexpression vector harboring the EuSIP5 was constructed and introduced into the tobacco (Nicotiana tabacum cv. Xanthi). We found that during drought stress, the appearance of wilting was delayed by 4 days in transgenic tobacco plants (OE) compared with wild type plants (WT), and the expression of drought-related genes DET2, CYP85A1, P5CS, ERF1 and F-box was found to be increased in transgenic tobacco leaves, as well as the enzyme activities of the protective enzymes: peroxidase (POD), superoxide dismutase (SOD) and catalase (CAT) were significantly higher than those of the WT, and the malondialdehyde (MDA) content was lower than the WT. These results indicated that the introduction of EuSIP5 gene into tobacco increased the expression of drought-related genes, enhanced the anti-membrane oxidation ability of tobacco, and reduced the oxidative stress damage, thus improving the drought resistance of tobacco.

Our decisions today are part of an economic thinking which aims to fix problems and increase the efficiency of capital markets. Our economy is still largely approached as a system which is unre-lated to our environment or social returns like community well-being, social cohesion, equitable distribution of resources, etc. To fully incorporate sustainability into cost-benefit analysis, busi-nesses need to change their financial approach, showcasing how long-term thinking impacts prof-its. Money's value is not static and evolves with time and technology. We propose to introduce a variation of cost/benefit and present value calculations. Precise calculations reveal the benefits of long-term strategies over short-term profit focus. As financial systems evolve and technology advances, the accurate calculation of money's time value will continue to play a crucial role in shaping economic landscapes and guiding financial choices. In this article, we demonstrate that updated calculations could be a key enabler to visualize the benefits of long-term thinking or “patient finance” as compared to a short-term focus on profit. We introduce the concept and calculation of a Present Future Value (PFV).

This paper investigates the effects that rain drop erosion has on the integrity of wind turbine materials. This research involves analysis of impact models and theoretical equations to simulate the impact phenomena when a raindrop collides with a wind turbine blade at high speed. Impact phenomena that occur when a raindrop impacts with a wind turbine blade were evaluated. Additionally, the use of various types of software was considered to simulate this impact event. The model results of the raindrop impact with respect to a comparison of the governing equations and impact behaviour are addressed. Future work is outlined including adding variables to the erosion modelling algorithms.

Aortic stenosis (AS) is a prevalent valvular disorder that often requires surgical aortic valve replacement (SAVR) to alleviate symptoms and improve survival. However, the selection of an appropriate prosthetic valve size is crucial to avoid patient-prosthesis mismatch (PPM), which can lead to suboptimal hemodynamic outcomes. Von Willebrand factor (VWF), a key component of hemostasis, has been shown to be altered in AS patients and may contribute to the hemostatic imbalance observed following valve replacement. This prospective study aimed to investigate the impact of PPM on postprocedural VWF levels in patients undergoing SAVR for severe AS. The study included 31 consecutive patients diagnosed with severe AS who underwent SAVR. By focusing on the relationship between PPM and VWF dynamics, this study sought to provide valuable insights into the potential role of VWF as a marker for hemostatic changes associated with PPM, ultimately informing strategies for optimal valve selection and perioperative management to minimize complications.

Information and Communication Technology (ICT) such as smartphones has been attracting attention to prevent elderly people from becoming isolated. For this reason, recent research has proposed training methods for acquiring smartphone functions. However, since the types of smartphone functions required vary from person to person, a one-size-fits-all method will not attract everyone's interest and the results will be limited. On the other hand, with a view to social implementation, it is necessary to clarify a method that is sufficiently effective in terms of cost and time. Previous research suggests that self-efficacy and social capital are the keys to acquiring smartphone skills among elderly people. Therefore, in this review, while looking back at previous research, we propose a study to demonstrate that by providing careful individual instruction by an experienced instructor to elderly people with little experience in smartphones, and then having them take turns teaching other participants after the instruction, their self-efficacy and social capital can be increased, and a positive spiral effect can be achieved to maximize the improvement of smartphone skills widely.

The article addresses manufacturing structures made of biodegradable materials that can be successfully used as energy-absorbing liner of sports helmets of all kinds, replacing the previously used expanded polystyrene. The paper is focused on injection technological tests and tensile tests (in quasi-static and dynamic conditions) of several composites based on a PLA matrix with the addition of other biodegradable softening agents, such as PBAT and TPS. Next, the thin-walled elements (dimensions of 55 x 55 x 20 mm) were manufactured and evaluated using a spring-loaded drop hammer. The 60J impact energy was tested according to EN 1078 standard. The dynamic crushing testing included checking the influence of the materials temperature (-20, 0, 20, and 40 °C) and the impact velocity. The PLA15PBAT85 blend was selected as the most effective material in terms of its use as energy-absorbing liner for sport helmets.

Wheat is used for making many food products due to its diverse quality profile found among different wheat classes. Since laboratory analysis of these end-use quality traits is costly and time-consuming, genetic dissection of the traits is preferential. This study used a genome-wide association study (GWAS) of 10 end-use quality traits, including kernel protein, flour protein, flour yield, softness equivalence, solvent’s retention capacity, cookie diameter, and top-grain, in soft red winter wheat (SRWW) adapted to US southeast. The GWAS study included 266 SRWW genotypes that were evaluated in two locations over two years (2020-2022). A total of 27,466 single nucleotide markers were used and a total of 80 significant marker-trait associations were identified. There were 13 major effect quantitative trait loci (QTLs) explaining &gt; 10% phenotypic variance out of which 12 were considered as novel. Five of the major effect QTLs were found to be stably expressed across multiple datasets, and four showed associations with multiple traits. Candidate genes were identified for eight of the major-effect QTLs including genes associated with starch biosynthesis and nutritional homeostasis in plants. These findings increase genetic comprehension of these end-use quality traits and could potentially be used for improving the quality of SRWW.

Context: The compartmental description, well-known from the description of infection diseases and epidemics, is applied to describe the temporal evolution of the baryonic matter in interstellar gas and stars. The introduction of gaseous and stellar fractions of the total baryonic matter as the basic dynamical variables is advantageous because it allows to apply the description to a variety of astrophysical systems. Aims: The competition of spontaneous star formation, stellar feedback and stellar evolution is theoretically investigated to understand the baryonic matter cycle including luminous baryonic matter in main-sequence stars and weakly luminous matter in white dwarfs, neutron stars and black holes (referred to as locked-in matter). Of particular interest is the understanding of the cosmic star formation history and the present-day gas fraction with compartmental models. Methods: For stationary rates of spontaneous star formation, continuous stellar feedback and stellar evolution exact analytical solutions of the time evolution of the fractions of gaseous, luminous stellar and locked-in stellar matter are derived. The accuracy of the analytical solutions is proven by the favorite comparison with the exact numerical solutions of the dynamical equations. Results: The observed cosmological star formation rate and the integrated stellar density as a function of redshift are reasonably well explained by the compartmental model without triggered star formation by the competition of spontaneous star formation and stellar evolution whereas the influence of stellar feedback is less important. The action of stellar evolution provides a significant redshift dependent reduction factor when calculating the integrated stellar density from the star formation rate. Without stellar evolution the observations cannot be reproduced very well. Then the fits to the observation allow us conclusions on the relative importance of spontaneous star formation, stellar evolution and feedback in the early universe after the recombination era until today. The gas, luminous star and locked-in stellar matter fractions indicate that the vast majority of the baryons in the present-day universe resides in the form of locked-in stellar matter in white dwarfs, neutron stars and black holes.

The pervasive use of plastic for milk packaging has raised significant health concerns, despite its advantages in terms of cost-effectiveness, convenience, and durability. The potential correlation between cancer and plastic packaging is one of these concerns. This mini-review examines the health implications of plastic materials used in milk packaging, with a particular emphasis on their carcinogenic hazards. This work endeavors to summarize the current state of knowledge regarding the influence of plastic components on human health and underscore the importance of ongoing research in this field by utilizing insights from a comprehensive review article. Harmful chemicals have been observed to leach into milk from plastics used in milk packaging, including high-density polyethylene (HDPE), low-density polyethylene (LDPE), and polyethylene terephthalate (PET), particularly under conditions of protracted storage and heat. Bisphenol A (BPA), phthalates, and styrene are among the most prevalent leachates. These chemicals have been associated with a variety of health issues, such as an elevated risk of cancer, and are recognized for their endocrine-disrupting properties. BPA and phthalates, in particular, have the potential to disrupt hormone function, which may result in breast cancer, prostate cancer, and other hormone-related malignancies.This review emphasizes the significance of comprehending the precise components of plastics utilized in milk packaging and their potential health consequences. It advocates for more rigorous research to completely elucidate the long-term health impacts of these materials by emphasizing the current state of knowledge and regulatory initiatives. Additionally, it underscores the necessity of innovative packaging technologies to guarantee consumer protection and mitigate the risk of exposure to carcinogenic substances.

: The activated carbons (ACs) derived from okara powder waste with high surface areas were modified with ammonia aqueous solution impregnation in an autoclave to enhance their CO2 adsorption properties toward CO2. The impregnated ACs were characterized in which surface chemical composition and properties of the ACs were analyzed by SEM-EDX, FTIR. Activated carbons were functionalized with ammonia aqueous solution (25%) through a hydrothermal process within 24; 48, and 72 hours. The adsorption performance of CO2 onto carbon samples was experimentally evaluated through a TPD CO2 measurement. FTIR spectra confirm the N-containing in N-modified activated carbons and the presence of the –C = O stretch and N-H groups. CO2 uptakes of N-modified activated carbons are 0.24; 1.78; 2.24 and 1.26 mmol/g, which are relatively comparable with those of activated carbons studied in in the literature.

Inflammation and insulin resistance are recognized as central features in the pathology of psoriasis, profoundly affecting the lives of those affected by this condition. The relationship between lifestyle choices and psoriasis is well-documented, highlighting the potential benefits of dietary modifications and physical activity in managing the condition during exacerbations. Furthermore, growing evidence emphasizes the significant impact of nutritional interventions on various skin disorders, particularly those characterized by inflammation and insulin dysregulation. Notably, the role of dietary fats is of particular interest, with their influence on inflammation and insulin resistance in psoriasis garnering increasing attention. Moreover, the association between excessive adiposity and heightened psoriatic severity underscores the importance of weight management strategies in disease management. This review explores the intricate relationship between specific dietary fats and inflammation in psoriasis, offering a comprehensive analysis of their implications for disease progression and management.

The mosquito-borne zoonotic nematode parasites, Dirofilaria immitis and Dirofilaria repens, primarily affect dogs. In recent years, their distribution has expanded due to various factors influencing vector-borne pathogens. This study aimed to investigate the comparative prevalence of infection in dogs and humans within a hyperenzootic region of Europe and to estimate the proportional relationship between infection prevalence in dogs and humans, in the concept of “One Health”. To this end, 604 blood samples from dogs and 625 serum samples from humans living in the Thrace region of northeastern Greece were collected. Dog samples were examined using Kott’s test for Dirofilaria spp. microfilariae and a commercial serological test for D. immitis antigen. Human sera were analysed by western blot for both parasites. The overall prevalence of infection in dogs was 177 (29.3%), with 173 (28.6%) testing positive for D. immitis and 7 (1.3%) for D. repens, including 6 (1%) cases of mixed infection. Specific IgG antibodies were detected in 42 (6.7%) human samples, with 24 (3.8%) positive for D. immitis and 18 (2.9%) for D. repens. The infection proportion in humans was 23.4% of the corresponding canine infection, indicating a high risk of human infection in this hyperenzootic region.

Land transportation is contributing to global greenhouse gas (GHG) emissions significantly. Switching from gasoline-powered vehicles to electric vehicles (EVs) is the most practical way to decarbonize land transportation. Some regions of the world have seen significant advancements in the adoption of electric vehicles, largely due to government policies through subsidies and other rules and laws that globally made the cost of acquisition and ownership more advantageous for EV owners compared to their internal combustion engine (ICE) counterparts. The success of EV adoption in Norway, China, the United States of America (USA), the European Union (EU), and India has been linked to the favorable government policies. At present, China is the largest EV market in the world, enjoying a better advantage than any other market. It also has the highest manufacturing capacity and the largest number of EVs in operation. Norway has the highest EV penetration rate, with over 90% of newly registered cars, and one of the lowest costs of ownership globally. In this review, we present the current state of EV technology and performance, together with consumer perspectives and barriers, EV regulations in the regions with the highest penetration rates, and the decarbonization of land transportation. China is competing with the USA for leadership in manufacturing and technology, especially in the areas of artificial intelligence (AI) and batteries. In order to achieve the goal of decarbonizing road transportation, we proposed that a number of factors, including government energy policies and regulatory standard development, necessary infrastructure investments and developments, AI incorporation in EVs, innovation in EV and battery technologies, and consumer perspectives, play a crucial role.

Herein, we have reported the synthesis and characterization [single crystal X-ray diffraction technique, spectroscopic etc.] of two new Ni(II) and Zn(II) coordination compounds viz. [Ni(2,6-PDC)2]2[Ni(en)2(H2O)2]2[Ni(en)(H2O)4]·4H2O (1) and [Zn(2,6-PDC)(Hdmpz)2] (2) (where, 2,6-PDC = 2,6-pyridinedicarboxylate, en = ethylene-1,2-diamine, Hdmpz = 3,5-dimethyl pyrazole). Compound 1 is found to crystallize as a multicomponent Ni(II) compound with five discrete complex moieties; whereas, compound 2 is a mononuclear compound of Zn(II). Deep analysis of the crystal structure of compound 1 unfolds unusual dual enclathration of guest complex cationic moieties within the supramolecular host cavity stabilized by anion‒π, π-stacking, N‒H⋯O, C‒H⋯O and O‒H⋯O hydrogen bonding interactions. Interestingly, further enclathration of a complex cationic moiety is observed within another supramolecular host cavity formed involving anionic complex moieties and lattice water molecules in 1. Again, the crystal structure of compound 2 is stabilized by the presence of unconventional C‒H⋯π(chelate ring) interactions along with C‒H⋯O, C‒H⋯N hydrogen bonding, π-stacking, C‒H⋯π(pyridyl) interactions. These non-covalent interactions have been further studied theoretically using density functional theory (DFT) calculations, molecular electrostatic potential (MEP) surfaces, non-covalent interaction (NCI) plot index and quantum theory of atoms in molecules (QTAIM) computational tools. The computational study displays that π-stacking or H-bonds greatly tune the directionality of compound 1 although non-directional electrostatic forces dominate energetically. For compound 2, combined QTAIM/NCI plot analysis confirms the presence of unconventional C‒H⋯π(chelate ring) interaction along with other weak interactions obtained from the crystal structure analysis. Further, the individual energy contributions of these weak yet significant non-covalent interactions have also been determined computationally.

Abstract: A simple protocol for preparation of O-acylated enol form - (R/S)-ethyl-2-acetoxy-4-phenyl-4H-chromene-3-carboxylate 5 was presented. The compound was characterized by 1H-, 13C-and DEPT135 NMR spectra, including {1H,1H} COSY, {1H,13C} HSQC, {1H,13C} HMBC and 2D-NOESY spectra. The preferred regioselectivity for O-acylation of 3,4-dihydrocoumarin 5 in the presence of substituent in 4-th position in the chroman ring and accounting the steric hindrance of the ester group in 3-th place was confirmed.

A presentation is provided of a structural approach for the concurrent teaching of introductory propositional calculus and set theory. The existence of isomorphism is shown between each law (or tautology) of propositional calculus and the form of a corresponding set which is equal to the universal set U considered.

The primary objective of this study was to identify a rapid and noninvasive methodology for effectively differentiating various herbal species cultivated in Eastern Poland. Typically, a plant's chemical profile is obtained using chromatographic methods; however, spectroscopic methods can serve as a complementary or independent tool for determining similarities in the analyzed samples. The investigation centered on leaves of plant species from the Lamiaceae family, encompassing basil, lavender, oregano, sage, and thyme. UV-VIS and ATR-FTIR spectra of dried plant samples' powder were recorded and subsequently analyzed using chemometric tools. This paper assesses the relative performance of different discrimination methods, including both traditional methods based on machine learning and those dealing with specimens associated with a specific category. Among the methodologies tested, SIMCA showed the best performance, particularly effective for small training sets.

Localizing faults in a software is a tedious process. The manual approach is becoming impractical because of the large size and complexity of contemporary computer systems as well as their logs, which are often the primary source of information about the fault. Log-based Fault Localization (LBFL) is a popular method applied for this purpose. However, in real-world scenarios, this method is vulnerable to a large number of previously unseen log lines. In this paper, we propose a novel method that can guide programmers to the location of a fault by creating a hierarchy of log lines with the highest rank, selected by the traditional LBFL method. We use the intuition that the symptoms of faults are in the context of normal behavior, whereas suspicious log lines grouped together are from new or additional functionalities turned on during faulty execution. To obtain this context, we used unsupervised log sequence segmentation, which has been previously used to segment log sequences into meaningful segments. Experiments on real-life examples show that our method reduces the effort to find the most crucial logs by up to 64% compared to the traditional timestamp approach. We demonstrated that context is highly useful in advancing fault localization, showing the possibility of further speeding up the process.

The increasing demand for large-scale, high-frequency environmental monitoring has driven the adoption of satellite-based technologies for effective forest management, especially in the context of climate change. This study explores the potential of SAR for estimating the mass of harvesting residues, a significant component of forest ecosystems that impacts nutrient cycling, fire risk, and bioenergy production. The research hypothesizes that while the spatial distribution of residues remains stable, changes in moisture content—reflected in variations in the dielectric properties of the woody material—can be detected through SAR techniques. Two models, generalized linear model (GLM) and random forest (RF), were used to predict the mass of residues using interfer-ometric variables (phase, amplitude and coherence) as well as the backscatter signal from several acquisition pairs. The models provided encouraging results (R2 of 0.48 for GLM and 0.13 for RF), with acceptable bias and RMSE. We concluded that SAR data are feasible to predict the mass of harvesting residues and the findings could lead to improved monitoring and management of forest residues, contributing to sustainable forestry practices and enhanced bioenergy resource utilization.

The scientific community has explored new packaging materials due to environmental challenges and pollution from plastic waste. Bacterial cellulose (BC), produced by bacteria like Gluconaceto-bacter xylinus, shows high potential for food preservation due to its exceptional mechanical strength, high crystallinity, and effective barrier properties against gases and moisture, making it a promising alternative to conventional plastics. This review highlights recent advances in BC production, particularly agro-industrial residues, which reduce costs and enhance environmental sustainability. Incorporating antimicrobial agents into BC matrices has also led to active packaging solutions that extend food shelf life and improve safety. A bibliometric analysis reveals a significant increase in research on BC over the last decade, reflecting growing global interest. Key research themes include the development of BC-based composites and the exploration of their antimicrobial properties. Critical areas for future research include improving BC production's scalability and economic via-bility and its integration with other biopolymers. These developments emphasize BC's potential as a sustainable packaging material and its role in the circular economy through waste valorization.

Thyroidectomy has been post-operatively managed by hormone replacement therapy in order to satisfy the reference ranges of thyroid stimulating hormone (TSH) and thyroxine (T4) levels. While medication and standardized reference ranges have proven to be effective, many patients continue to report unintentional weight gain despite adequate amounts of treatment and levels of TSH and T4. Physicians, over the years, have become complacent to these “normal” ranges, and have ignored the metabolic consequences that are affecting thyroidectomy patients. This paper aims to redefine the approach to post-thyroidectomy clinical care by: challenging the current standardized hormonal range values, exploring the gaps in thyroid hormone conversion, investigating the metabolic pathways of T3, considering the influence of inflammatory markers, and proposing the future for patient-centered management.

Imitation learning, also known as programming by demonstration, has been shown to be a promising paradigm for intuitive robot programming by non-expert users. However, the classical kinesthetic approach with physical hand guidance suffers from generalizability across different robot types and is impractical for demonstrating tasks with long horizons. Visual imitation learning enables the recording of multi-step tasks as a single continuous video, allowing non-experts to demonstrate tasks naturally. Existing approaches typically require a large amount of data to develop end-to-end deep learning models that map raw pixels to robot actions. This paper explores the application of visual imitation learning from one-shot demonstration, significantly reducing the data requirements and simplifying the programming process. To achieve this target, a framework is proposed to map hand trajectories to the robot end-effector, consisting of four essential components: hand detection; object detection; segmentation of the trajectories into elemental skills; and learning the skills. Methods are developed for each component and evaluated on recorded videos to demonstrate the effectiveness of the proposed framework.

Technology-based approaches for upper limb (UL) motor rehabilitation after stroke are designed mostly for severely affected patients to increase their recovery chances. However, the available randomised controlled trials (RCTs) focused on efficacy of technology-based interventions often include patients with a wide range of motor impairment. This scoping review aims at overviewing the actual severity of stroke patients enrolled in RCTs which claim to specifically address UL severe motor impairment. The literature search was conducted on Scopus and PubMed databases and included articles from 2008 to May 2024, specifically RCTs investigating the impact of technology-based interventions on UL motor functional recovery after stroke. Forty-eight studies were selected. They showed that upon patients’ enrolment the values of the UL Fugl-Meyer Assessment and Action Research Arm Test covered the whole range of both scales, thus revealing the non-selective inclusion of severe impaired patients. Heterogeneity in terms of numerosity, characteristics of enrolled patients, trial design, implementation, and reporting were present across studies. No clear difference in the severity of the included patients according to the intervention type was found. Patient stratification upon enrolment is crucial to best direct resources to those patients who will benefit the most from a given technology-assisted approach (personalised rehabilitation).

This article examines the biological characteristics and potential medicinal uses of the endemic plant species Scorzonera uzbekistanica, found only in Uzbekistan. The plant contains significant amounts of bio active compounds such as inulin, flavonoid, and oxyacetylene in its roots. These compounds are known for their antioxidant, anti-inflammatory, and prediction properties. Traditionally used to alleviate digestive issues, this plant's potential in modern medicine should be further supported by scientific research. The study calls upon the scientific community to explore the potential applications of this endemic plant.

The neural system has limited resources to interact with the environment, and this is where attention comes into play. Attention is a complex process that provides numerous benefits, but there has been a longstanding debate about the mechanisms involved in attentional orientation. Two widely proposed mechanisms are top-down and bottom-up, which relate to the organism's current behavioral goal and the salience of environmental stimuli, respectively. However, distinguishing between these mechanisms can be challenging in both behavioral and neural studies. This review introduces a new conceptualization in which both top-down and bottom-up mechanisms are viewed as aspects of the same process. This unified approach aims to prepare the organism to face stimuli and events based on its prior experiences, immediate (the current task that he/she is aware of), and innate (to be alive) demands.

This study proposes a flexible and adaptable protocol for the establishment of agricultural management zones that utilises remote sensing, ground truthing (apparent electrical conductivity and soil sampling), the IRRIGOPTIMAL® system and machine learning. This protocol could contribute significantly to the rational use of inputs (water, fertilizers and pesticides) and to the further efficient development of an optimal irrigation system with variable irrigation rates. The methodology to develop this protocol was applied to olive and alfalfa plots in Heraklion (Crete, Greece) to monitor soil and crop responses for the period 2022-2024. Spatial and temporal assessment of selected soil and plant parameters (moisture, photosynthetic activity) using ground and vegetation reflectance mapping by satellites and unmanned aerial systems provides important information in both the pre- and main phases of the management zone delineation. Geophysical methods such as electromagnetic induction, applied in the main phase of management zone delineation, provide a robust technique to determine the spatial and temporal distribution of apparent electrical conductivity. The Random Forest machine learning model was found to be most suitable for predicting soil electrical conductivity based on satellite-derived salinity indices and ground electromagnetic induction. Finally, the IRRIGOPTIMAL® system provides real-time monitoring of a variety of weather and soil parameters to determine the optimal cultivation of crops based on the creation of agricultural management zones.

Background/Objectives: Boscia senegalensis (BS) Pers.) Lam. Ex Poir (Capparaceae), is an important local famine food plant in Africa and widely exploited by healers for its seeds in Sahelian region to reduce hyperglycaemia. Purpose: We studied the efficacy of commercial dosage form of BS namely Boscisucrophage (BSP) on type 2 diabetes (T2DM) patients with Oral antihyperglycemic drugs resistant. Study Design: Clinical benefits of BSP, were evaluated in multicentre cohort observational study on naïve patients (43) or diabetic patients resistant of oral antidiabetic drugs (289). All patients received capsules of the fixed dose containing 350 mg of BSP twice daily for 12 weeks and overactive control on vein blood sugar, glycosylated haemoglobin (HbA1c), urine glucose excretion (UGE), aspartate aminotransferase, alanine aminotransferase, creatinine, and clinical examination of functional symptoms. Results: In clinical study, BSP induced the reduction of glycaemia, HbA1c, and increase UGE, with removal of side effects functional symptoms of T2DM. Conclusions: In clinical studies, our findings lend support to use of BSP to reduce glycaemia, and HbA1c in T2DM patients with Oral antihyperglycemic drugs resistant without over adverse effects. BSP supressed clinical examination of functional symptoms.