Transformation studies have been leaning towards the more practical aspects of change processes and have not yet dealt sufficiently with their personal and political dimensions. They are arguably constrained in doing so if they are either overly focussed on systems and how to control them or on individualistic values and behaviours. In this study we show how the actually-occurring societal transformations that people face can be usefully approached through the lenses of dialogical sense-making and critical phenomenology. While distinct, these approaches share a concern with aspects missed when transformation is abstracted and alienated from people’s lives; namely people’s lived experiences during times of change, and the conditions of possibility for these experiences. Dialogical sense-making explores how people create meaning around transformations, through interactions with other people, with different lines of arguments, and as part of broader public discourse. Critical phenomenology engages with subjectivity and lived experience, and with the role of foundational as well as socio-culturally dominant yet contingent structures in shaping our ways of perceiving, experiencing and knowing the world. Through a discussion of insights from these approaches, we show how they offer tools that enable new questions about transformative change as it is experienced and made sense of. Situating analyses of tranformation from within a focus on experience brings us closer to understanding the significance of change processes in people’s lives, and allows for an inquiry into the conditions of experience, including transformative experiences.

Aims and Objectives: Our primary aim was to study association between nonsurgical techniques related complications and mortality and our secondary aim was to determine factors responsible for non surgical technique related complications. Material and Methods: All gastrointestinal and hepatobiliary procedures performed in last 3 years have been evaluated retrospectively. Nonsurgical procedure related postoperative complications were defined as perioperative complications nonrelated to surgical procedures or techniques and related to patients’ physiological health or comorbidities. To avoid selection bias in attempt to evaluate effect of non-surgical procedural related complication on mortality, we did 1:1 propensity score matching analysis with nonsurgical technique related complications as dependent factor. Propensity scores were calculated using logistic regression. Pre operative confounding factors like age, sex, American society of Anesthesia score (ASA), emergency surgery, type of surgeries like HPB surgeries, Upper gastrointestinal surgeries, small bowel surgeries, colorectal surgeries, hernia surgeries, open or laparoscopic surgeries were entered in model as covariates. We used nearest neighbor matching protocol with a calipher of 0.2. Cases were not reusable after matching. Statistical analysis was done using SPSS version 23. Results: Total 348 patients underwent various abdominal surgeries (gastrointestinal and hepatobiliary) in our department from April 2017 to March 2020. Total 24 patients developed nonsurgical technique related complications. Before Propensity score matching nonsurgical technique related complications were significantly higher in Upper Gastrointestinal surgeries (gastric and esophageal), emergency surgeries, Open surgeries, in patients who developed intraoperative hypotension, patients operated for malignancies, patients with higher ASA grades, patients in whom more blood products were used and patient who had more operative time. ASA scores independently predicted nonsurgical technique related complications. [P=0.001. Odds Ratio 3.955 (95% C.I.) 1.774-8.813)]. After Matching 24 patients patients were included in nonsurgical complication related complication group and they were compared with 23 matched controls. After matching also nonsurgical procedural related complications were significantly associated with mortality. (p< 0.0001). No intraoperative factors like intraoperative hypotension, blood product requirement, operative time predicted non-surgical technique related complication. Surgery related complications were not associated with mortality after matching. Conclusion: Nonsurgical technique related complications are associated with significant increase risk of mortality.

The interaction of solution of poly (diallyldimethylammonium) chloride, PDADMAc and sodium dodecylsulfate, SDS has been studied using conductometric, densimeter and zeta potential methods. the critical micellization concentration (cmc) was determinated with conductance results and increased with the addition of PDADMAc comparing with solutions containing pure SDS. Further the degree of dissociation,  and thermodynamic parameters viz. free energy of micellization, and entropy of micellization, has been evaluated. there results demonstrated that surfactant/polymer complex is governed by both electrostatic and hydrophobic interactions. The apparent molar volume, Vϕ and adiabatic compressibility, Kϕ;s have been determined for the SDS solution from density and speed sound data. the negative charge of the SDS solutions with polymer shows that these complexes probably do not contain surfactant in the form of micelles.

The new IoT/IoE (internet of things/everythings) paradigm and architecture permits to rethink about the way the Smart City infrastructures are designed and managed, on the other hand a number of problems have to be solved. In terms of mobility the cities that embrace the sensoring era can take advantage of this disruptive technology to improve the quality of life of their citizen, also thanks the rationalization in the use of their resources. In Sii-Mobility, a national smart city project on mobility and transportation, a flexible platform has been designed and here, in this paper, is presented. It permits to setup heterogeneous and complex scenarios that integrate sensors/actuators as IoT/IoE in an overall scenario of Big Data, Machine Learning and Data Analytics. A detailed and complex case-study has been presented to validate the solution in the context of a system that dynamically reverse the traveling direction of a road segment, with all the safety conditions in place. This case study composes several building blocks of the IoT platform, which demonstrate that a flexible and dynamic set-up is possible, supporting off-grid, security, safety, cloud and mixed solutions.

In this study, Fe-based superconductors (SCs) are described with a model showing a novel attractive force. First, we describe this novel force using an analog from electromagnetism. From electromagnetism, it was found that this force is a Lorentz force in which two electrons orbit around a Fe-ion with the same velocity. Then, we consider a wave function of an electron. Consequently, due to the property of the proposed attractive force and the quantum-field Hamiltonian, we clarified that the Bardeen–Cooper–Schrieffer (BCS) ground state can be reused. Afterward, attractive force energy was calculated according to the presented model. In Fe-based SCs, a structure transition is essential. Considering that the derived attractive force energy is relatively large, we employ the expanded T_c-equation from the BCS theory that includes the structure transition effect and the derived attractive force energy. In addition, we succeed in analytically reproducing T_c-dome diagrams in various types of Fe-based SCs. Moreover, we discuss the universal property a general SC should have as well as the quantum critical point.

In recent years, extensive research has been conducted on the IoT, one of its challenges has been the field security and penetration in these networks. security solutions it Require more planning and awareness to ensure system security and privacy protection.it has also been shown that adjusting the weights of neural networks can help improve the accuracy of detection to what extent. the challenge in the attack detection field is to increase the accuracy of attack detection by machine learning methods, in this paper, a new method is presented to adjust weights of the random neural network for attack detection. Evaluations of the proposed method show that compared to random neural network methods, nearest neighbor, and support vector machine, the accuracy of attack detection improves up to 99.49 percent, and the random neural network method has been able to improve by 99.01 percent, placing the best methods together in these experiments in the form of a multi-learning model showed that the results also had an increase in accuracy up to 99.56 percent, while the training time in the proposed model is less compared to the random neural network method.

This study critically analyses the realities and experiences of gender-based harassment in cyberspace, and aims to unveil the shadows that shroud this phenomenon. It discloses the online spaces that disseminate detrimental attitudes towards women, despite their physical absence. Cyber violence has become a global issue and it causes significant economic and societal consequences. Recognizing and dealing with the adverse effects caused by demeaning cyber gender harassment is essential. The study raises questions to explore the kind of cyberbullying offences that are brought on by misogynistic inclinations in online environments and the experiences of the women who have gone through cyberbullying. This study uses semi-structured interviews and the IPA technique of the analysis of data to thoroughly examine the unique experiences of cyber harassment victims by applying a qualitative research approach. The study looks into various misogynistic cyber harassment offences and analyses women's accounts. Due to obstacles to justice, cyber violence and harassment replicate physical problems like spousal abuse and sexual harassment. A constant assault of intimidation and harassment results from the traditionally male-dominated character of cyberspace, which affects women's social, economic, and psychological well-being. Participants related horrifying tales of families' indifference and law enforcement officials' trivialization. Mental health problems increase isolation and prevent involvement in academic and professional activities. Women's well-being is exacerbated by societal blaming and secondary victimization. This brief analysis clarifies the intricacies of gender-based harassment in cyberspace and emphasizes the urgent need for efficient solutions to address this widespread issue.

In current efforts to digitize manufacturing and move it into the fourth stage of the industrial revolution, a wide range of integration solutions is being considered to enable manufacturing to adapt to change. In transforming a factory into a self-organized, autonomous factory, companies are currently struggling with rapidly changing requirements and production factors, among other things. This is a particular problem for the human being as an actor within the factory, as the amount of new technologies and protocols increases the training effort. Proprietary interfaces of the control providers, a wide range of different communication protocols, complicate the understanding of the production processes, the evaluation and testability of new use cases and increase the danger of creating silos of knowledge as well as building collaboration barriers. As a solution to these problems, we propose an open software platform and define a way to model use case driven domain specific asset representation (DSA) that focuses on the human being and his needs for representing the factory in a way that it meets his requirements for the current production needs. We therefore conducted research on google scholar on human factors in industry 4.0 and used technologies as well as already existing platforms and their architecture.

This research article reports the results of a qualitative case study that correlates academic literature with five Industry 4.0 cyber trends, seven cyber risk frameworks and two cyber risk models. While there is a strong interest in industry and academia to standardise existing cyber risk frameworks, models and methodologies, an attempt to combine these approaches has not been done until present. We apply the grounded theory approach to derive with integration criteria for the reviewed frameworks, models and methodologies. Then, we propose a new architecture for the integration of the reviewed frameworks, models and methodologies. We therefore advance the efforts of integrating standards and governance into Industry 4.0 and offer a better understanding of a holistic economic impact assessment model for IoT cyber risk.

This research aims to explore and analyze the critical success factors (CSFs) that increase the likelihood of successful implementation of tourism PPP projects in China. As an important step toward developing such a protocol, this study identifies and examines 22 critical success factors for tourism PPPs based on a systematic research approach, which includes a rigorous literature review, and semi-structured interviews. A questionnaire survey was conducted to evaluate the relative importance of these 22 CSF. The results show that the top three critical success factors for China’s tourism PPPs are: adequate project evaluation and demonstration; political support and stability; clear and stable policy documents on PPP. Factor analysis indicated that the 22 CSFs could be grouped into five principal success factor groups. These insights are expected to profoundly influence the development of policies related to tourism PPPs, providing a structured framework to enhance the efficiency and success of these ventures.

The ability of thermoresponsive polymers to respond to temperature with a reversible conformational change makes them promising ‘smart’ materials for solutions in medical and biotechnological applications. In this work, two such polymers and structural isomers were studied: poly(N-isopropyl acrylamide) (PNiPAm) and poly(2-isopropyl-2-oxazoline) (PiPOx). We compare the critical solution temperatures (CST) of these polymers in D2O and H2O in the presence of Hofmeister series salts, as results obtained under these different solvent conditions are often compared. D2O has a higher dipole moment and electronegativity than H2O, which could significantly alter the CST transition. We used two complementary methods to measure the CST, dynamic light scattering (DLS) and differential scanning calorimetry (DSC), and found that the CST decreased significantly in D2O compared to H2O. In the presence of highly concentrated kosmotropes, the CST of both polymers decreased in both solvents. The influence of the kosmotropic anions was smaller than the water isotope effect at low ionic strengths but considerably higher at physiological ionic strengths. However, the Hofmeister anion effect was quantitatively different in H2O than in D2O, with the largest relative differences observed for Cl-, where the CSTs in D2O decreased more than in H2O measured by DLS but less by DSC. PiPOx was more sensitive than PNiPAm to the presence of chaotropes. It exhibited much higher transition enthalpies and multistep transitions, especially in aqueous solutions. Our results highlight that measurements of thermoresponsive polymer properties in D2O cannot be compared directly or quantitatively to application conditions or even measurements performed in H2O.

Sepsis is associated with dysregulated cortisol secretion, leading to abnormal levels of cortisol in the blood. In the early stages of sepsis, cortisol levels are typically elevated due to increased secretion from the adrenal glands. However, as the disease progresses, cortisol levels may decline due to impaired adrenal function, leading to relative adrenal insufficiency. The latter is thought to be caused by a combination of factors, including impaired adrenal function, decreased production of corticotropin-releasing hormone (CRH) and adrenocorticotropic hormone (ACTH) by the hypothalamus and pituitary gland, and increased breakdown of cortisol by enzymes such as 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2). The dysregulation of cortisol secretion in sepsis is thought to contribute to the pathophysiology of the disease by impairing the body's ability to mount an appropriate inflammatory response. The actions of cortisol are mediated through two types of corticosteroid receptors: the mineralocorticoid receptor (MR) and the glucocorticoid receptor (GCR). In sepsis, the expression and activity of GCR is altered, contributing to the pathophysiology of the disease. GCR expression and activity are typically downregulated in sepsis, impairing the body's ability to mount an appropriate inflammatory response. Given the dysregulation of cortisol secretion and corticosteroid receptors in sepsis, there has been considerable interest in the use of steroids as a treatment for sepsis. The rationale for steroid-based treatment is to supplement the body's endogenous cortisol production, restore normal cortisol levels, and improve the body's ability to mount an appropriate inflammatory response. However, the use of steroids in sepsis remains controversial, and clinical trials have yielded mixed results. Some studies have shown that steroid-based treatment can improve shock reversal, reduce the need for vasopressors, and improve overall survival in patients with septic shock, whereas other studies have found no benefit or even harm from steroid-based treatment in sepsis.

On 11 March 2020, the COVID-19 emergency was declared and a large number of patients were admitted to the ICUs. Consequently, ICUs had to recruit nurses from other units as well as Nursing students without working experience in critical patients care. Since Critical nursing competence is crucial to avoid medical errors, the aim of this study was, to describe the level of safety and nursing competence in critical patient care of recruited nurses and students, during the COVID-19 pandemic in ICUs. A cross-sectional descriptive study of 66 participants using the validated competency assessment questionnaire for nurses in hospital care (COM-VA©) was performed. Our results showed that the level of safety perceived in critical patients care by the students on placement in ICUs and mentors scored higher than the rest of the participants. Interestingly, whereas the participant’s COM-VA© score indicated a level of competence good enough to work autonomously, the supervisor/mentor’s COM-VA© evaluation showed that only the group of students on placement obtained this level of competency. Altogether, we found that students on placement in ICU possesses a higher level of safety and COM-VA© scores than the rest of participants probably due to the close support of the mentor.

It has been suggested that the measured magnetic properties of hydrides under pressure claimed to be high temperature superconductors indicate that the materials are granular superconductors. Such materials will show reduced or no magnetic field expulsion under field cooling, and will trap magnetic fields when the external magnetic field is removed. They will also exhibit hysteretic behavior in magnetoresistance and other transport properties. Here we point out that hysteresis in transport properties has never been reported for hydrides under pressure. Its presence, with the expected features, would indicate that the materials trap magnetic flux, hence that they can sustain persistent currents without dissipation, something that all superconductors can do. Conversely, its absence would indicate that these materials are not superconductors.

Critical illness has been recognized to acutely influence bone metabolism and, consequently, bone mineral density. The main purpose of this study was to describe bone metabolism changes in adult survivors of critical illness in the attempt to correlate changes with severity scores. It is an open, prospective, observational, monocentric study on patients admitted to the ICU was conducted, evaluating bone metabolism at baseline (within 72 hours of ICU admission), 6 months, and 12 months. Fifty-nine patients admitted to the ICU (63% males), mean age 58 ± 16 years, were enrolled. Of these, 20 patients (34%) completed the one-year follow up. At baseline, bone resorption showed an increase, which was maintained at 6 months, with normalization at 12 months. Patients showed, in a majority of cases, hypovitaminosis D with hyperparathyroidism at baseline with subsequent normalization. A trend towards a correlation was described between severity scores and serum 25(OH) vitamin D and bone turnover marker levels. These results contribute to the confirmation of a positive association between critical illness requiring ICU and bone metabolism changes. This study poses the bases for further studies to evaluate bone health in ICU patients.

Objective: This study aims to identify the impact of nutritional factors on mechanical ventilation duration for critical patients. Patients and Methods: The current study was a single-center, prospective observational design which enrolled one-hundred critically ill patients who were admitted to an intensive care unit (ICU). It demonstrates purposive sampling and also performs the descriptive nutritional factors influencing the mechanical ventilation duration. Daily calories target requirement scale (DCRS), subjective global assessment form (SGA), dyspnea assessment form, and APACHE II have been used as methods in the study along with time to initial enteral nutrition (EN) after 24-hour admission and daily calories target requirement over 7 days to assess patients. Data is analyzed using the multiple regressions. Results: As a result, nutritional status monitoring, time to initial EN, calories and target requirements are statistically positive significance associated with the mechanical ventilation duration respectively (R = 0.54, R = 0.30, R= 0.40, p < 0.05). However, age, illness severity, and dyspnea scales are not associated with the mechanical ventilation duration (p> 0.05). Therefore, the nutritional status, malnutrition scores and calorie target requirements can be used to significantly predict the mechanical ventilation duration. The predictive power is 58 and 28.0% of variance. The most proper influencer to predict the mechanical ventilation duration is nutritional status or malnutrition scores. Conclusion: The research findings show that the nutritional status, time to initial EN, and calorie target requirement within 7 days of admission are associated with the mechanical ventilation duration in the critical patients. Therefore, it can be used to develop guidelines reducing the mechanical ventilation duration and to promote the ventilator halting for critical patients.

History learning is often regarded as something that is considered unimportant and boring to be taught in the modern era like now. The existence of history learning itself is still important enough to be studied in the 21st century with all its benefits and uses. One of the uses of history is as a reasoning education. The research questions are how do we take advantage of history learning as reasoning and critical thinking education in the 21st century and how the usage of new media can make historical learning looks more interesting. The method used in this article is literature review with data obtained and analyzed from several journals and research results related to history learning and reasoning education, especially forms of critical thinking in the 21st century. From the results of the research, it was found that there was a link between learning history and its relation as a form of critical thinking in the 21st century, in several ways, such as teaching history based on historical thinking, and the usage of new media in history learning.

Background: The financial austerity policy imposed to Portugal by Troika - the European Commission, European Central Bank and International Monetary Fund in 2011, led to a tremendously social crisis. Under these dominant trends in Europe, which were felt especially in certain countries, such as Portugal, we feel ourselves forced into an analysis and reflection on the impact of this conjuncture in social workers, especially analyzing the role played by social workers and its critical consciousness relative to this neoliberal model and imposed austerity policies. Methods: This article results from an analysis of empirical data collected after the entry of Troika in Portugal, during 2013. Were conducted 26 in-depth interviews to front line social workers, with the purpose of obtaining a narrative of their daily work practice and with the concern of encouraging reflection on them. Results: Analysis shows the predominance of a maintenance role at the expense of more emancipatory approaches and thus, this results point to the relationship of this maintenance role with the sociological paradigm of social regulation and shows also, how social work is still attached to a conservative agenda. Secondly, one finds a weak critical reflection among social workers, being very afraid to speak out against the system, taking on a submissive attitude and subservient to the policies of social cuts imposed. The analysis then raises the challenge for social workers to develop a critical reflexivity Conclusion: The results highlight several important observations in terms of social woker role and that a critical activity is urgently required to social workers.

Advanced persistent threat (APT) attacks are sophisticated and organized attacks commonly motivated by political, financial, and strategic objectives. In order to comprehend their tactics, techniques, and procedures (TTP) and indicators, APT reports are valuable sources. While blue teams typically rely on server logs, firewall rules and user authorizations managed in database tables, attackers have a graph-based mindset. In this work, we propose a framework for discovering and evaluating APTs using graph-based algorithms. Cyber threat intelligence (CTI) was extracted from 40,358 pages of APT reports and transformed into a graph. Centrality, community, and similarity analyses were executed on the graph. As a result, critical and influential APT groups and indicators of compromise (IoC) were discovered. Similar attacks and APT groups were revealed. Analysis results were interpreted to create new strategic CTI that can be utilized in future security operations.

The integration of robotic devices into healthcare settings for rehabilitation purposes represents a rapidly advancing field with significant benefits for both therapists and patients. However, standalone robot systems face limitations such as inefficient processing of patient data and logistical challenges for patients, such as travel time to rehabilitation centers. To address these shortcomings, this paper proposes the integration of cyber-physical systems into rehabilitation robotics. Cyber-physical systems leverage network connectivity and real-time data processing to enhance the efficiency and convenience of robot-based rehabilitation. By seamlessly integrating sensors, actuators, and computational algorithms, cyber-physical rehabilitation systems empower therapists to more effectively treat patients by providing actionable insights derived from comprehensive data analysis. This enables therapists to tailor treatment plans precisely to each patient’s unique needs, ultimately leading to improved outcomes. Additionally, cyber-physical rehabilitation systems facilitate remote monitoring and intervention, allowing therapists to oversee patient progress and make timely adjustments to treatment protocols without the need for in-person visits. This not only saves patients valuable time and resources but also ensures continuity of care, particularly for individuals residing in remote or underserved areas. Furthermore, cyber-physical rehabilitation systems enable collaborative decision-making by facilitating communication and information sharing among healthcare professionals, further enhancing the quality and efficacy of rehabilitation services. In summary, integrating cyber-physical systems into rehabilitation robotics represents a significant advancement in leveraging technology to optimize patient care and outcomes, promising to revolutionize rehabilitation therapy.

Cyber-Physical Systems (CPS) play an essential role in today’s production processes, leveraging Artificial Intelligence (AI) to enhance operations such as optimization, anomaly detection, and predictive maintenance. This article reviews a cognitive architecture for artificial intelligence, which has been developed to establish a standard framework for integrating AI solutions into existing production processes. Given that machines in these processes continuously generate large streams of data, Online Machine Learning (OML) was identified as a crucial extension to the existing architecture. To substantiate this claim, real-world experiments using a slitting machine were conducted to compare the performance of OML with traditional Batch Machine Learning. The evaluations clearly indicate that OML adds significant value to CPS and is strongly recommeded as an extension of related architectures such as the cognitive architecture for AI discussed in this article. Additionally, surrogate model-based optimization is employed to determine the optimal hyperparameter settings for the corresponding OML algorithms, aiming to achieve peak performance in their respective tasks.

In addition to identifying and prosecuting cyber attackers, attack attribution activities can provide valuable information guiding the defenders’ security procedures and giving them greater confidence in incident response and remediation. However, technical analysis involved in cyberattack attribution requires high skills, experience, access to up-to-date Cyber Threat Intelligence, and significant investigators’ effort. Attribution results are not always reliable, and skilful attackers often work hard to cover their traces and mislead or confuse investigators. In this article, we present a tool designed to support technical attack attribution and implemented as a machine learning model extending the OpenCTI platform. We also discuss the tool’s performance in the investigation of a recent cyberattack.

Sensors and actuators are fundamental units in Cyber-Physical and Internet of Things systems. Because they are included in a variety of systems, using many technologies, it is very useful to characterize their functions abstractly by describing them as Abstract Entity Patterns (AEPs), that are patterns that describe abstract conceptual entities. For concreteness, we study them here in the context of autonomous cars. An autonomous car is a complex system because, in ad-dition to its own complex design, it interacts with other vehicles and with the surrounding in-frastructure. To handle these functions, it must incorporate various technologies from different sources. An autonomous car is an example of a Cyber-Physical System, where some of its func-tions are performed by Internet of Things units. Sensors are extensively used in autonomous cars to measure physical quantities; actuators are commanded by controllers to perform appro-priate physical actions. From AEPs we can derive concrete patterns, a structure combining re-lated AEPs is an Entity Solution Frame (ESF). Both sensors and actuators are susceptible to mali-cious attacks due to the large attack surface of the system where they are used. Our work is in-tended to make autonomous cars more secure, which also increases their safety. Our final objec-tive is to build a Security Solution Frame for sensors and actuators of autonomous cars that will facilitate their secure design. A Security Solution Frame is a solution structure that groups to-gether and organizes related security patterns. This article is the first stage of a secure unit that can be used to design not only secure autonomous cars but also any system where sensors and actuators are used. This paper concentrates on AEPs and ESFs for sensors and actuators; that is, on the functional aspects of these devices.

Cyber-physical security is vital for protecting key computing infrastructure against cyber attacks. Individuals, corporations, and society can all suffer considerable digital asset losses due to cyber attacks, including Data loss, theft, financial loss, reputation harm, company interruption, infrastructure damage, ransomware attacks, and espionage. A cyber-physical attack harms both digital and physical assets. Cyber-physical system security is more challenging than software-level cyber security because it requires physical inspection and monitoring. This paper proposes an innovative and effective algorithm to strengthen Cyber-Physical Security (CPS) with minimal human intervention. It is a Human Activity Recognition (HAR)-based approach where a GoogleNet-BiLSTM network hybridization has been used to recognize suspicious activities in cyber-physical infrastructure perimeter. The proposed HAR-CPS algorithm classifies suspicious activities from real-time video surveillance with an average accuracy of 73.15%. It incorporates Machine Vision at the IoT Edge (Mez) technology to make the system latency tolerant. Dual-layer security has been ensured by operating the proposed algorithm and GoogleNet-BiLSTM hybrid network from a cloud server, which ensures the security of the proposed security system. The innovative optimization scheme makes it possible to strengthen cyber-physical security with $4.29 per month only.

Ransomware is one of the most dangerous types of malware, which is frequently intended to spread through a network to damage the designated client by encrypting the client’s vulnerable data. Conventional signature-based ransomware detection technique falls behind because it can only detect known anomalies. When it comes to new and non-familiar ransomware traditional system unveils huge shortcomings. For detecting unknown patterns and sorts of new ransomware families,behavior-based anomaly detection approaches are likely to be the most efficient approach. In the wake of this alarming condition, this paper presents an ensemble classification model consisting of three widely used machine learning techniques that include Decision Tree (DT), RandomForest (RF), and K-nearest neighbor (KNN). To achieve the best outcome ensemble soft voting and hard voting techniques are used while classifying ransomware families based on attack attributes. Performance analysis is done by comparing our proposed ensemble models with standalone models on behavioral attributes based ransomware dataset..

The ignorance of or lack of knowledge about cybersecurity aspects causes a critical problem regarding confidentiality and privacy. This security problem will continue to exist even if the user possesses less expertise in information security. The modern IT technologies are well developed, and almost everyone uses the features of IT technologies and services within the Internet. However, people are being affected due to cybersecurity threats. People can adhere to the recommended cybersecurity guidelines, rules, adopted standards, and cybercrime preventive measures. However, it is not possible to entirely avoid cybercrimes. Cybercrimes often lead to sufficient business losses and spread forbidden themes (hatred, terrorism, child porn, etc.). Therefore, to reduce the risk of cybercrimes, a web-based Blockchain-enabled cybersecurity awareness program (WBCA) process is introduced in this paper. The proposed web-based cybersecurity awareness program trains users to improve their security skills. The proposed program helps with understanding the common behaviors of cybercriminals and improves user knowledge of cybersecurity hygiene, best cybersecurity practices, modern cybersecurity vulnerabilities, and trends. Furthermore, the proposed WBCA uses the Blockchain technology to protect the model from the potential threats. The proposed model is validated and tested using real-world cybersecurity topics with real users and cybersecurity experts. We anticipate that the proposed program can be extended to other domains, such as national or corporate courses, to increase the cybersecurity awareness level of users.

Future cyber-physical systems may extend over broad geographical areas, like cities or regions, thus requiring the deployment of large real-time networks. A strategy to guarantee predictable communication over such networks is to synthesize an offline time-triggered communication schedule. However, this synthesis problem is computationally hard (NP-complete), and existing approaches do not scale satisfactorily to the required network sizes. This article presents a segmented offline synthesis method which substantially reduces this limitation, being able to generate time-triggered schedules for large hybrid (wired and wireless) networks. We also present a series of algorithms and optimizations that increase the performance and compactness of the obtained schedules while solving some of the problems inherent to segmented approaches. We evaluate our approach on a set of realistic large-size multi-hop networks, significantly larger than those considered in the existing literature. The results show that our segmentation reduces the synthesis time up to two orders of magnitude.

Background: Electrical Impedance Tomography (EIT), combined with variable ventilation strate-gies and Artificial Intelligence (AI), is poised to revolutionize critical care by transitioning from reactive to predictive approaches. This integration aims to enhance patient outcomes through personalized interventions and real-time monitoring. Methods: This narrative review explores the principles and applications of EIT, variable ventilation, and AI in critical care. EIT’s impedance sensing creates dynamic images of internal physiology, aiding in the management of conditions like Acute Respiratory Distress Syndrome (ARDS). Variable ventilation mimics natural breathing variability to improve lung function and minimize ventilator-induced lung injury. AI enhances EIT through advanced image reconstruction techniques, neural networks, and digital twin technology, offering more accurate diagnostics and tailored therapeutic interventions. Conclu-sions: The confluence of EIT, variable ventilation, and AI represents a significant advancement in critical care, enabling a predictive, personalized approach. EIT provides real-time insights into lung function, guiding precise ventilation adjustments and therapeutic interventions. AI inte-gration enhances EIT's diagnostic capabilities, facilitating the development of personalized treatment plans. This synergy fosters interdisciplinary collaborations and sets the stage for in-novative research, ultimately improving patient outcomes and advancing the future of critical care.

Adaptation to the impacts of human induced global heating is inevitable. For a socially just and ecological sustainable adjustment to these new circumstances, we need to draw from diverse knowledge systems while, simultaneously, foster a social-ecological transformation. We approach these concerns through the concept of community-based adaptation (CBA) and discuss remedies. Synergies with feminist knowledge systems and indigenous ways of living show the transdisciplinary essence of CBA. By abstracting from its origin and overlapping disciplines, revealing the social metabolism as a common problem, CBA is prone to achieve more equitable and sustainable adjustments. Transdisciplinarity itself and the current related CBA literature point beyond mere adjustments and call for a redesign of the social metabolism, thereby shifting from adaptation to global heating towards adaptation with nature by focusing on social provisioning. An engagement with transformative adaptation and heterodox economics further shows the potential of CBA to serve as an instrument in support of a social-ecological transformation by addressing root causes of vulnerability and by fostering epistemic justice. Reflecting these points back on the epistemological and ontological assumptions of CBA, the viewpoint proposes critical realism as a guiding philosophy of science to move forward.

Purpose: To identify factors linked with nutritional risk via the Malnutrition Universal Screening Tool scale assessment among critically ill patients from a hospital in Cali (Colombia). Materials and methods: A retrospective, analytical observational study was conducted with patients admitted to an intensive care unit (ICU). Sociodemographic, clinical, hematological, and biochemical parameters were analyzed, as well as their association with nutritional risk and patient mortality. Binary logistic regression was applied to outline nutritional risk. Results: Overall, 28.4% prevalence of elevated nutritional risk was observed. An association was found between nutritional risk and hemoglobin and hematocrit values, primary diseases accounting for ICU admission, gastrointestinal symptoms, and nutritional support route (p < 0.05). Mortality was 11.6% and it was correlated with nutritional risk, hemoglobin, and blood urea nitrogen. Conclusions: Gastrointestinal symptoms and the type of nutritional support received during hospitalization may increase nutritional risk, whereas polycythemia was a protective factor. We found an associative model to determine nutritional risk with high specificity and an adequate diagnostic validity index.

With the rise of serious problems of urbanization and climate change, the call for intelligent and sustainable urban development is increasing nowadays. Therefore, smart cities have become a hot topic in academia, industry, and politics, resulting in the emergency of numerous smart city programs and projects. This study selected 26 evaluation frameworks proposed in recent years or large-scale research projects that have lasted for many years and analyzed and compared them from the 7 aspects of generalizability, comprehensiveness, availability, flexibility, scientific, transparency, and interpretability. The result indicates that the current smart city evaluation framework still needs to be upgraded and updated. These standards can not only guide the development direction and hotspot of the future smart city evaluation model but also serve as a guide for model demanders to test results and an effective tool to verify the framework designed by themselves.

We evaluated the impact of COVID-19 restriction on the angioplasty service and outcome of critical limb ischaemia (CLI) patients undergoing lower limb angioplasty in a UK secondary care setting. Consecutive patients were analysed retrospectively. Pre-COVID-19 (08/2018-02/2020), 106 CLI-patients (91% Fontaine 4; 60% diabetes mellitus) and during COVID-19 (03/2020-07/2021) 94 patients were treated (86% Fontaine 4; 66% diabetes mellitus). While the average monthly number of patients treated did not change, the proportion of day cases significantly increased (53% to 80%) and hospitalised patients decreased. Patients treated in <=14/5 days after referral significantly increased to 64/63%. Kaplan-Meier survival analysis (30-day/1-year) showed that neither wound healing nor mortality were significantly changed during COVID-19. In day cases, 1-year but not 30-day major amputations significantly increased, and clinically driven target lesion revascularisation decreased during COVID-19. 1-year mortality was significantly worse in hospitalised as compared to day cases (14% vs 43%) at similar wound healing rates (83% vs 84%). The most frequent known-causes-of-death were infectious disease (64%) and cardiovascular (21%) was less frequent. Despite COVID-19 restriction a safe and effective angioplasty service was maintained while shortening waiting times. Very high mortality rates in hospitalised patients may indicate that CLI should be treated more aggressively and earlier.

The global shipping industry faces many uncertainties which impact on how organisations within this sector will perform in the future. Research in the critical success factors which impact global shipping industry in the digital era is lacking. This study plugs the gap in the literature by identifying four key critical success factors which are innovation capability, risk governance capability, leadership and strategic capability and technological capability. In addition, this study also found three organisational performance measures that are useful for senior management teams within the industry, namely, financial performance, operational performance and marketing performance. The findings establish a set of critical success factors and the corresponding relationships between the identified critical success factors and the identified organisational performance measures. The paper also provides managerial insights for industry practitioners for defining, prioritising and allocating resources in order to improve organisational performance.

(1) Background: Ventilator-associated pneumonia (VAP) causes high mortality among patients with respiratory disease and imposes major burdens on healthcare infrastructure. Models that use electronic health record data to predict the onset of VAP may spur earlier treatment and improve patient outcomes. We developed and studied the performance of interpretable machine learning (ML) models that predict the onset of VAP from electronic health records (EHRs); (2) Methods: We trained Logistic Regression (LR), full feature Explainable Boosting Machine (fEBM), and eXtreme Gradient Boosting (XGBoost) ML models on data from the MIMIC- III (v1.3) database. Model performance was measured by area under the receiver operating characteristic curves (AUCs). We trained a minimal-feature EBM model (mEBM) with features derived from white blood cell (WBC) counts, duration of ventilation, and Glasgow Coma Scale (GCS). Finally, model robustness was evaluated on randomly sparsified EHR datasets; (3) Results: The fEBM model outperformed the XGBoost and LR models at 24 hours post-intubation. The mEBM model maintained an AUC of 0.893. The fEBM model performance remained robust on sparsified datasets; (4) Conclusions: Our novel interpretable ML algorithm reliably predicts the onset of VAP in intubated patients. Integration of this EBM-based model into clinical practice may enable clinicians to better anticipate and prevent VAP.

Background: The Sequential Organ Failure Assessment (SOFA) is a scoring system used for the evaluation of disease severity and prognosis of critically ill patients. The impedance ratio (Imp-R) is a novel mortality predictor. Aims: This study aimed to evaluate the combination of SOFA + Imp-R in the prediction of mortality in critically ill patients admitted to the emergency department (ED). Methods: A retrospective cohort study was performed in adult patients with acute illness admitted to the ED of a tertiary-care referral center. Baseline SOFA score and bioelectrical impedance analysis to obtain the Imp-R were performed within the first 24 hours after admission to the ED. A Cox regression analysis was performed to evaluate mortality risk of initial SOFA score plus Imp-R. Harrell's C-statistic and decision curve analyses (DCA) were performed. Results: Out of 325 patients, 240 were included for analysis. Overall mortality was 31.3%. Only 21.3% of non-surviving patients died after hospital discharge, and 78.4% died during hospital stay. Of the latter, 40.6% died in the ED. SOFA and Imp-R values were higher in non-survivors and were significantly associated with mortality in all models. The combination of SOFA + Imp-R significantly predicted 30-day mortality, in-hospital mortality, and ED mortality with area under the curve (AUC) of 0.80 (95% CI: 74-0.86), 0.79 (95% CI: 0.74-0.86) and 0.75 (95% CI: 0.66-0.84) respectively. The DCA showed that combining SOFA + Imp-R improved the prediction of mortality through the lower risk thresholds. Conclusion: The addition of Imp-R to baseline SOFA score at admission to the ED improves mortality prediction in severely acutely ill patients admitted to the ED.

The aim was to evaluate levels of compassion fatigue in nursing professionals working in complex care units of a Brazilian university hospital. A cross-sectional, descriptive, and correlational study was carried out with nursing workers from complex care units of a University Hospital. Data were collected in the second half of 2019, in the pre-pandemic period of COVID-19, using the Brazilian version of the Professional Quality of Life Scale (ProQoL-BR). A total of 146 individuals partici-pated, including 41 (28.1%) nurses, 92 (63.0%) nursing technicians and 13 (8.9%) nursing assis-tants. It was observed that 26.1% presented high level of compassion satisfaction. For 17.5% there was level of burnout and 49.7%, medium level of burnout; and 22.0% with high and 46.1% with medium level of secondary traumatic stress. Twenty-eight (19.2%) professionals had compassion fatigue, of which 16 (57.1%) were nursing technicians. There is a high percentage of professionals with medium and high rates of burnout and secondary traumatic stress, a fact that is reinforced by the presence of compassion fatigue in almost one fifth of the studied individuals. These results highlights how much the health of these workers can be affected by living with traumatic patient experiences.

The overarching purpose of this review was to highlight the utility of different aerobic field tests in terms of the parameters they provide, with a specific focus on shuttle running and all-out testing. Various field tests are discussed in detail and are categorised according to linear continuous running tests (e.g. 12-minute Cooper Test, University of Montreal Track Test [UMTT], 1200/1600 m time trials, 3-minute all-out test for running [3MT]), intermittent shuttle running tests (e.g. yo-yo inter-mittent recovery test level 1 [YYIR1], 30-15 intermittent fitness test [IFT], and the intermittent all-out shuttle test [IAOST]), and continuous shuttle running tests (e.g. 1.2 km shuttle run test [1.2SRT], maximal multi-stage 20-m shuttle test [MSR], 25-m, 30 m and 50-m 3-minute all-out shuttle test [AOST]). Readers will be guided through the theoretical and practical underpinnings of the 3MT methodology, where the all-out testing methodology is stationed within the testing paradigm, and how to practically implement and interpret the results thereof.

Aim: Aim of our study was to evaluate incidence and causative factors for acute kidney injury in hepatopancreaticobiliary (HPB) surgeries. Material and Methods: All the HPB surgeries performed between April 2018 to March 2020, in our institution have been analysed for acute kidney injury. Acute kidney injury defined according to acute kidney injury network classification. Categorical variables were evaluated by chi square test and fisher t test wherever approptiate and continuous variables by Mann Whitney U test. Statistical analysis was done using SPSS version 23. P< 0.05 was considered significant. Results: We performed 195 HPB surgeries between April 2018 to March 2020, Which included 114 biliary surgeries, 57 liver surgeries and 23 pancreas surgeries. 10 patients developed Acute Kidney Injuries. (AKI) On Univariate analysis AKI was associated with open surgeries, intra operative hypotension and liver surgeries, higher ASA grade, increase operative time, more blood products used, higher CDC grade of surgery and more hospital stay before diagnosis of AKI. However on multivariate analysis only higher ASA score independently predicted Acute Kidney Injury. (p=0.003, odds ratio 15.659, 95% confidence interval 2.54-93.36). AKI was also significantly associated with mortality. (p <0.0001). Conclusion: Pre operative higher ASA grade independently predicted post operative acute kidney injury. Post operative AKI is significantly associated with mortality.

A debris flows generation related to a poorly sorted mixture of soil, catchment topography and rainfall characteristic. Runoff of some depth on valley resulting from intensive rainfall can incur the sediments movement of beds or adjacent banks. The fluid flow in channel affected by rainfall parameters combinations, such as duration, intensity, cumulative rainfall, etc., is the key factor for debris movement. In this paper, the rainfall characteristics and occurrence conditions of debris flow in Xiongmao gully on July, 26th, 2016, have been explored, combined with field survey and indoor simulation experiment on the collected critical discharge parameters of debris movement. Further, debris distribution and the critical discharge characteristics have been analysed, by means of investigation on the catchment topography and occurrence cause of the debris flow, analysis of the critical discharge parameters on which the channel debris began to move, and K value clustering analysis method to characterize the rainfall pattern of the studied area, the discharge calculation of debris flow occurring in different rainfall patterns. The results have shown that, for the debris flow occurrence in Xiongmao gully, the debris initiation on the middle reaches of the gully provide the majority of solid particles for the disaster on July, 26th, 2016, and the upstream confluent provided catchment. Based on the relationship obtained from laboratory test, in which the calculated critical discharge was 43.8m3/s, less than the peak discharge (Qc =66.7m3/s), calculated by morphological method. In addition, it has been indicated that the dominated rainfall patterns of the studied area are first-quartile and second-quartile, that is, the rainfall is primarily at earlier or middle to preliminary stage of this time rainfall event. The critical discharge for the occurrence of debris flow on July, 26th was achieved 20a rainfall frequency, the larger runoff volume generated on shorten heavily rainfall. Based on individuality characteristics, such as distributed hydrological analysis, critical discharge and rainfall pattern of debris flow, the forewarning could be more efficient.

In an era characterized by a move towards a “knowledge society”, universities are central in fostering “knowledgeability”, that is the reflexive understanding of knowledge in knowledge societies. The objective of “knowledgeability” can be met through creating a stronger link between education and research. Furthermore, overall student performance, for example in critical thinking and problem solving, can be improved if research-related activities are incorporated into the curriculum. The aim of this paper is to use inter-national examples to discuss the research- education nexus from four different perspectives, namely context, policy, im- plementation and quality, with case studies from higher education institutions in Singapore and Sweden. We suggest that different integrative technologies can be used to enhance the links, but it will be essential to consider the inputs of training, service and support in using new technology. Interestingly, the act of evaluating the link between edu- cation and research will increase awareness of this linkage by stakeholders involved in both education and research. In turn the link can be strengthened, contributing to increased quality in both education and research.

Amine containing polymers are extensively studied as special carriers for short-chain RNA (13–25 nucleotides) which are applied as gene silencing agent in gene therapy of various diseases including cancer. Elaboration of the oligonucleotide carriers requires knowledge about peculiarities of oligonucleotide - polymeric amine interaction. Critical length of the interacting chains is the important parameter which allows to design sophisticated constructions containing oligonucleotide binding segments, solubilizing, protective and aiming parts. We studied interaction of (TCAG)n, n=1-6 DNA oligonucleotides with polyethylenimine and poly(N-(3-((3-(dimethyl­amino)propyl)(methyl)amino)propyl)-N-methylacrylamide). Critical length for oligonucleotides in interaction with polymeric amines is 8-12 units and complexation at these length can be accompanied by "all-or-nothing" effects. New dimethylacrylamide based polymers with grafted polyamine chains were obtained and studied in complexation with DNA and RNA oligonucleotides. The most effective interaction and transfection activity into A549 cancer cells was found for a sample with average number of nitrogens in polyamine chain equal to 27, i.e. for a sample in which all grafted chains are longer the critical length for polymeric amine - oligonucleotide complexation.

Cybersecurity is a crucial concern for local governments, as they serve as the primary interface between public and government services, managing sensitive data and critical infrastructure. While technical safeguards are integral to cybersecurity, the role of well-structured policy is equally important, as it provides structured guidance to translate technical requirements into actionable protocols. This study reviews local governments’ cybersecurity policies to provide a comprehensive assessment of how these policies align with NIST CSF, which is a widely adopted and commonly used cybersecurity assessment framework. The review offers local governments a mirror to reflect on their cybersecurity stance, identifying potential vulnerabilities and areas needing urgent attention. The study further extends to developing a cybersecurity policy framework, which local governments can use as a strategic tool. It provides valuable information on crucial cybersecurity elements that local governments must incorporate into their policies to protect confidential data and critical infrastructure.

Given the landscape of intricate and constantly evolving cyber threats, organizations demand refined strategies to deploy a Security Information and Event Management to support the management of a Cyber Security Operations Center. The dynamic nature of cyber threats complicates the efficient allocation of the location of network intrusion detection sensors, a critical component of a robust cybersecurity framework. Our research introduces an approach that integrates the precision of biomimetic optimization algorithms with the adaptability of Deep Q–Learning. By employing different biomimetic algorithms enhanced with deep learning, we aim to refine the deployment of sensors in network infrastructures, balancing the network security imperative against deployment costs. The results of computational tests demonstrate that the improved iterations leveraging Deep Q–Learning have outperformed their native counterparts. These findings underscore the importance of reinforcement learning, specifically through Deep Q–Learning, as a powerful tool to enhance the effectiveness of metaheuristics in addressing optimization challenges.

The world has changed. New technologies, new trends, new protocols, new efficient algorithms, and systems have been used widely by civilized countries to have better and more convenient living. In this research, there have been introduced many new terms, technologies, and mechanisms. Moreover, threats, attacks, and vulnerabilities have been studied and a novel scenario has been proposed in order to overcome all these violations that have been presented in this paper. The scenario is based on a security model that has been proposed for critical sectors, such as hospitals, industries, etc., which need efficient solutions to go one step further and improve the secure and efficient living and treatment of people. The aim of this research has been to understand through research the IoT security issues and propose the appropriate solutions based on the most suitable security algorithms. The results, which have been based on the complexity, the throughput, the power consumption, the strength, and the memory usage of the algorithms studied, have been hopeful and helpful for future research and experimentation.

The fifth Industrial revolution (I5.0) prioritizes resilience and sustainability, integrating cognitive cyber-physical systems and advanced technologies to enhance machining processes. Numerous research studies have been conducted to optimize machining operations by identifying and reducing the sources of uncertainty and estimating the optimal cutting parameters. Virtual modeling and Tool Condition Monitoring (TCM) methodologies have been developed to assess the cutting states during machining processes. With a precise estimation of cutting states, the safety margin necessary to deal with the uncertainties can be reduced, resulting in improved process productivity. This paper reviews the recent advances in high-performance machining systems with a focus on the cyber-physical models developed for the cutting operation of difficult-to-cut materials using cemented carbide tools. An overview of the literature and background on the advances in the offline and online process optimization approaches have been presented. Process optimization objectives such as tool life utilization, dynamic stability, enhanced productivity, improved machined part quality, and reduced energy consumption and carbon emissions are independently investigated for the offline and online optimization methods. Addressing the critical objectives and constraints prevalent in industrial applications, the paper explores the challenges and opportunities inherent in developing a robust cyber-physical optimization system

Due to rising cyber threats, IoT devices’ security vulnerabilities are expanding. However, these devices cannot run complicated security algorithms locally due to hardware restrictions. Data must be transferred to cloud nodes for processing, giving attackers an entry point. This research investigates distributed computing on the edge, using AI-enabled IoT devices and container orchestration tools to process data in real time at the network edge. The purpose is to identify and mitigate DDoS assaults while minimizing CPU usage to improve security. It compares typical IoT devices with and without AI-enabled chips, container orchestration, and and assesses their performance in running machine learning models with different cluster settings. The proposed architecture aims to empower IoT devices to process data locally, minimizing the reliance on cloud transmission and bolstering security in IoT environments. The results correlate with the update in the architecture. With the addition of AI-enabled IoT device and container orchestration, there is a difference of 60% between the new architecture and traditional architecture where only Raspberry Pi were being used.

Smart grid capabilities have grown significantly in recent years. The smart grid provides advanced real-time handling of faults, advanced automatic control for efficient electricity transmission, monitoring and collection of the electrical system's capacity, and communication for information sharing. Unfortunately, its exposure to public networks makes it increasingly vulnerable to privacy breaches, vulnerabilities, and cyber-attacks. Cyber security threats and vulnerabilities in smart grid networks have become a primary concern that needs to be addressed before deploying a smart grid. Furthermore, the wide range of protocols increases the attack surface of a smart grid. This study focuses on the vulnerability of Modbus, which is regarded as one of the most prevalent protocols in smart grid communication networks. This paper presents preliminary findings of analyzing cyber-attacks against the Modbus protocol using a virtual testbed to investigate its effects on the smart grid network protocol. The concept incorporates an emulated Modbus/TCP network environment built from open-source software components that imitate fundamental industrial control features of the smart grid. Finally, we analyze the cycle of a cyber-attack leading through Reconnaissance to a DoS attack on the Modbus/TCP protocol and propose improvements to the test bed for protocol attack detection and mitigation.

Digital healthcare systems play a pivotal role in providing efficient and accessible healthcare services. However, ensuring secure authentication and key agreement mechanisms is essential to protect sensitive patient data and maintain the integrity of the system. The existing methods face limitations in terms of vulnerability to cyber attacks, scalability, and resource utilization. Furthermore, the integration of blockchain technology introduces new complexities that need to be addressed. This research proposes an optimized fuzzy logic approach combined with blockchain technology to address the authentication and key agreement challenges in digital healthcare systems. The proposed solution leverages the flexibility and adaptability of fuzzy logic algorithms to handle uncertainty and imprecision in authentication decisions. By employing fuzzy logic, the system can effectively minimize false positives and false negatives, enhancing the robustness against adversarial attacks. Moreover, the integration of blockchain technology provides a decentralized and tamper-proof infrastructure for securely storing and managing authentication and key agreement data. This ensures transparency and trust in the system, mitigating the risks of unauthorized access and data manipulation. The blockchain-based architecture also enables efficient resource utilization and scalability, allowing the system to handle authentication requests in a timely manner, even in large-scale digital healthcare environments.The proposed method is evaluated by using the NIST Special Database 302 and it shows superior performance compared to existing methods, with minimum False Rejection Rate (FRR), False Acceptance Rate (FAR), and response time. Moreover, the proposed method minimizes communication overhead during the authentication process and resists different cyber attacks including a Replay attack, Man-in-the-middle attack, Denial of Service (DoS) attack, and Impersonation attack. The proposed method achieves excellent performance in terms of security, efficiency, and resistance to various cyber-attacks, making it a promising approach for secure data sharing in P2P cloud environments.

In this paper, we introduce the application of Type-I fuzzy inference systems (FIS) as an alternative to improve the prioritization in the FMECA analysis applied in cyber-power grids. Classical FMECA assesses the risk level through the Risk Priority Number (RPN). The multiplication between three integer numbers computes this, called risk factors, representing the severity, occurrence, and detectability of each failure mode and are defined by a team of experts. The RPN does not consider any relative importance between the risk factors and may not necessarily represent the real risk perception of the FMECA team members, usually expressed by natural language; this is the main FMECA shortcoming criticized in the literature. Our approach considers fuzzy variables defined by FMECA experts to represent the uncertainty associated with the human language and a rule base consisting of 125 fuzzy rules to represent the risk perception of the experts. To test our approach, we select a cyber-power grid previously analyzed by the authors using the classical FMECA. The results reveal our proposed fuzzy approach as promissory to represent the uncertainty associated with expert knowledge and to perform an accurate prioritization of failure modes in the context of electrical power systems.

This paper incorporates the definition of Intrusion Detection Systems and the methodologies utilised by these systems. As well as this, this research paper also encompasses a taxonomy and a survey of IDS and the specific strategies and principles. Finally, this paper also includes a discussion amongst other authors for instance what the authors differ and agree on, along with the previously related studies.

The article presents a cyber-physical system for acquiring, processing and reconstructing images from measurement data. The technology was based on process tomography, intelligent measurement sensors, machine learning, Big Data, Cloud Computing, Internet of Things as a solution for Industry 4.0. Industrial tomography enables observation of physical and chemical phenomena without the need of internal penetration and allows real-time monitoring of production processes. The application includes specialized intelligent devices for tomographic measurements and dedicated algorithms for solving the inverse problem. The work focuses mainly on electrical tomography and image reconstruction using deterministic methods and machine learning, the reconstruction results were compared, different measurement models were used. The researches were carried out for synthetic data and laboratory measurements. The main advantage of the proposed system is the possibility of spatial data analysis and their high processing speed. The presented research results show that the process tomography gives the possibility to analyse the processes taking place inside the facility without disturbing the production, analysis and detection of obstacles, defects and various anomalies. Knowing the characteristics of a given solution, the application allows you to choose the appropriate method to reconstruct the image.

This paper outlines a tool developed with the purpose of creating a simple configurable emulated network environment that can be used in cyber defence exercises. Research has been conducted into the various related subject areas: cyber defence exercises, network threats, network emulation, network traffic replay, network topologies, and common network services. From this research a requirements specification was produced to encapsulate the features required to create this tool. A network, containing many of the aspects researched, was designed and implemented using Netkit-NG to act as a blueprint for the tool and to further knowledge in the construction of an emulated network. Following this the tool was developed and tested to ensure requirements were met.

One of the most burning topics in cybersecurity in 2023 will undoubtedly be the compliance with the Software Bill of Materials. Since the US president issued the Executive Order 14028 on Improving the Nation’s Cybersecurity, software developers have prepared and bills are transmitted to vendors, customers, and users, but they don’t know what to do with the reports they are getting. In addition, since software developers have identified the values of the Software Bill of Materials, they have been using the reports extensively. This article presents an estimate of 270 million requests per month, just from form one popular tool to one vulnerability index. This number is expected to double every year and a half. This simple estimate explains the urgency for automating the process. We propose solutions based on artificial intelligence and machine learning, and we base our tools on the existing FAIR principles (Findable, Accessible, Interoperable, and Reusable). This methodology is supported with a case study research and Grounded theory, for categorising data into axis, and for verifying the values of the tools with experts in the field. We showcase how to create, and share Vulnerability Exploitability eXchange data, and automate the Software Bill of Materials compliance process with AI models and a unified computational framework combining solutions for the following problems: (1) the data utilisation problem, (2) the automation and scaling problem, (3) the naming problem, (4) the alignment problem, (5) the pedigree, and provenance problem, and many other problems that are on the top of mind for many security engineers at present. The uptake of these findings will depend on collaborations with government and industry, and on the availability and the ease of use of automated tools.

Electric power systems are experiencing relevant changes involving the growing penetration of distributed generation and energy storage systems, the introduction of electric vehicles, the management of responsive loads, the proposals for new energy markets and so on. Such evolution is pushing for a paradigm shift: the management must move from traditional planning and manual intervention to full “smartization” of medium and low voltage networks. Peculiarities and criticalities of future power distribution networks originate from the complexity of the system that includes both the physical aspects of electric networks and the cyber aspects, like data elaboration, feature extraction, communication, supervision and control; only fully integrated advanced monitoring systems can foster this transition towards network automation. The design and development of such future networks require distinct kinds of expertise in the industrial and information engineering fields. In this context, this paper provides a comprehensive review of current challenges and multidisciplinary interactions in the development of smart distribution networks.

Software systems are often maintained by a group of experienced software developers, in order to ensure that faults which may bring the system down are less likely. Large turnover in organizations such as CERN makes it important to think of ways of onboarding newcomers on a technical project rapidly. This paper focuses on optimizing the way that people get up-to-speed on the business logic and technologies used on the project, using a knowledge-imbued large language model that is enhanced using domain-specific knowledge from the group or team’s internal documentation.

Quantitative determination of the critical size of inclined coal pillar in old goaf water affected area is of great significance for water damage prevention and safe mining. The critical size of inclined waterproof coal pillar is derived by using theoretical analysis, numerical calculation and field engineering practice for the stability of the waterproof coal pillar in old goaf water affected area of 1303 working face of Dananhu I mine in Xinjiang region. Firstly, a force model of inclined waterproof coal pillar was established to reveal the law that the critical size of the coal pillar increases with the increase of coal seam inclination under the action of asymmetric load. Then, numerical simulation was applied to reveal the dynamic evolution process of plastic deformation-destabilization-destruction of section coal pillar under the influence of mining and single-side water pressure, and the critical size of waterproof coal pillar in study area was determined to be 19.09m. Finally, measures such as pumping and pressure relief and slurry reinforcement were adopted to reduce the deformation rate of the roadway on side of waterproof coal pillar, which ensured the stability of the coal pillar and roadway and the safe recovery of the working face.

This study assessed the impact of counter-mapping on university students' perception and knowledge of their cities, focusing on cultural diversity, urban dynamics, and social challenges. Using a quasi-experimental design with pretests and posttests in the province of Alicante, Spain, changes in the understanding of urban geography, everyday life, and cultural diversity were analyzed among 54 Geography Didactics students. Likert scale surveys and open-ended questions were employed, complemented by statistical and qualitative analyses, to measure knowledge and perceptions before and after the counter-mapping project. The results indicate that although quantitative correlations did not show statistically significant significance, qualitative analysis revealed significant and profound learning. Participants uncovered the hidden layers of their urban environments and gained a better understanding of the complexities and challenges of their cities. The project promoted the development of critical skills such as analytical thinking, active research, and effective communication, proving to be a valuable pedagogical tool that surpasses the limitations of traditional teaching methods and encourages active and committed citizenship. This inclusive and multidimensional approach enriches the diversity of experiences and knowledge, significantly contributing to the teaching of urban subjects, community engagement, and social responsibility, laying the groundwork for proper tourist, cultural, social, or urban planning of city spaces.

A significant percentage of children suffer from neurodevelopmental aberrations, which have long-term effects on both individuals and society. Since the developmental timelines of different brain regions vary, the type, severity and timing of harmful exposures are crucial for understanding the specific pathological processes and consequences involved. During development, the cerebellum is one of the first brain structures to begin to differentiate, but one of the last to achieve maturity. This relatively long period underscores its vulnerability to detrimental environmental exposures throughout gestation. Moreover, as the postnatal functionality of the cerebellum is multifaceted, enveloping sensorimotor, cognitive, and emotional domains, prenatal disruptions in cerebellar development can result in a variety of neurological and mental health disorders. Here, we review major intrauterine insults that affect cerebellar development in both humans and rodents, ranging from abuse of toxic chemical agents such as alcohol and nicotine, to stress and sleep, malnutrition as well as infections. Understanding these pathological mechanisms in the context of the different stages of cerebellar development in humans and rodents may help us to identify critical and vulnerable periods and thereby to prevent the risk of associated prenatal and early postnatal damage that can lead to lifelong neurological and cognitive disabilities.

Background: Nowadays, the prevalence of digital device usage has shifted the demands for multifocal intraocular lenses. To accurately capture outcomes, clinical practice must evaluate digital reading performance. We aimed to assess the digital reading performance using a digital device in patients with diffractive multifocal intraocular lenses. Methods: Patients with bilateral diffractive multifocal intraocular lens implantation were included in the study. Monocular and binocular uncorrected and corrected visual acuity was measured using the LogMAR chart and the MNREAD application. Binocular uncorrected defocus curves were obtained using the LogMAR chart at 4m. The reading acuity was measured using the MNREAD application with positive and negative display polarities. The mean digital critical print size (CPS) was recorded using the MNREAD application at 40cm. Results: Our study reported uncorrected distance, intermediate, and near visual acuity were -0.084 ± 0.079, -0.014 ± 0.078, and 0.040 ± 0.081, respectively. The mean reading acuity at three months postoperatively with positive display polarity at 60cm and 40cm was -0.115 ± 0.102 and -0.008 ± 0.083, respectively. The mean digital CPS at three months postoperatively was 0.238 ± 0.100 logMAR. Conclusions: Incorporating digital reading performance measurements provides additional advantages in assessing the effectiveness of bilateral diffractive multifocal intraocular lens implantation.

The characteristics of exhaled aerosols outside the human respiratory airway are of significant importance in understanding virus transmission, yet they remain poorly understood. In order to effectively prevent and control the spread of respiratory infectious diseases, this study numerically investigates the exhaling characteristics of aerosols exhaled from the bronchus or larynx of a human upper airway model. This is achieved using the Euler-Lagrange method and considering various aerosol diameters (dp=0.1, 0.3, 0.5, and 1-20 μm) as well as five expiratory flow intensities (Q=15, 30, 60, 90, and 120 L/min). The important findings of this study are as follows: (1) Expiratory airflow exhibits complex flow phenomena, including jet-flow, flow separations, and vortex structures, with their characteristics being influenced by the expiratory flow intensities. (2) The exhaling characteristics of aerosols vary depending on the combined effects of expiratory flow intensities, virus aerosol diameters, and initial exhaled locations from either the bronchus or larynx. (3) A critical diameter (dc) is identified to represent the size at which aerosols can effectively exit the respiratory airway and potentially pose a transmission risk. This critical diameter is identical for aerosols exhaled from both the bronchus and larynx under the same expiratory flow intensity, but it decreases as the expiratory flow intensity increases. In conclusion, expiratory flow intensity is the most critical factor in determining whether aerosols can be expelled from the respiratory airway, as well as influencing the critical diameter (dc) for aerosols initially located in/after the larynx.

The circular economy is based on maintaining a circular flow of resources. Policymakers face difficulties in balancing national security and circular economy aspects in the field of mineral resources policy. With a uniquely expanded input-output table, this study estimates the final destination of several critical minerals (lithium, cobalt, yttrium, lanthanum, cerium, neodymium and dysprosium) and base metals (iron, copper and aluminum) in the Japanese economy for 2015. Our model shows quite a good similarity between the estimated composition and the actual data of products. The results reveal a detailed distribution of critical minerals and indicate prioritized implementation for creating and maintaining a circular flow of critical minerals. Developed decision flow guidance provides a comprehensive approach to national security and circular economy aspects for policymakers. For further actions, inclusive indicator development is required for policymakers to support the determination of implementation possibilities from social and technological aspects.

This study investigates the critical success factors (CSFs) of Lean Six Sigma (LSS) implementation and their impact on organizational growth in Nigerian enterprises. The objectives were to identify crucial CSFs for successful LSS deployment and assess their significance in achieving organizational growth. A mixed-method approach was used, including literature analysis, expert judgments, and a survey of 130 participants from various industries. The survey questionnaire employed a 5-point Likert scale to collect data on LSS CSFs and implementation success metrics. Structural equation modeling (SEM) with SmartPLS 4.0 analyzed the data, revealing that LSS CSFs significantly contribute (up to 39.2 percent) to the success of LSS implementations. The study identified 12 critical LSS CSFs, categorized into workers, business, and management, each influencing LSS implementation. Recommendations include creating a supportive environment, providing comprehensive training, and prioritizing continuous improvement efforts for successful LSS deployment. Future research possibilities include longitudinal studies, sector-specific analyses, and qualitative investigations to deepen understanding and enhance LSS implementation outcomes. In conclusion, successful LSS implementation empowers Nigerian organizations with improved productivity, waste reduction, and sustainable production systems, leading to overall growth and success.

Recently a measure termed F* was described, as an interpretable transformation of the F measure, also known as the Dice coefficient. Using elementary mathematical methods, it is shown that F* is in fact identical to a previously described measure, monotonically related to the F measure, and variously termed in previous publications, dating from the late 19^th to the late 20^th century, as the ratio of verification, the Jaccard similarity measure or index, the threat score, the Tanimoto index, and the critical success index. The origins of these different terms in different disciplines (weather forecasting, ecology, machine learning) may explain the repeated independent redescription of this measure.

High-flow Nasal Cannula (HFNC) oxygen therapy is gaining traction globally as a treatment for respiratory failure. There are several physiological benefits and there may be a growing patient preference for HFNC. In this narrative review, we aim to outline the basic mechanisms of HFNC, who can use it and review the literature regarding its utility both in the critical care setting, as well as in the home setting for chronic hypercapnic respiratory failure with an emphasis on Chronic Obstructive Pulmonary Disease (COPD). The role of non-pharmacological interventions like non-invasive ventilation (NIV) and HFNC in the prevention of hospital readmissions following acute exacerbations of COPD (AECOPD) is an area of increasing importance because randomised controlled trials and systematic reviews have found measures like nurse-led predischarge bundles to be clinically ineffective and to have a high cost per quality adjusted life year. This review therefore considers the evidence of NIV vs HFNC in the context of AECOPD and the application of HFNC at home in the prevention of AECOPD. We also look at applications of HFNC in specific settings, such as in the peri-operative period, emergency department, acute (mainly Critical Care) setting including in immunocompromised patients and palliative care.

In today's complex and rapidly changing world, integrating values, critical thinking, and moral reasoning in language and literature education is crucial for equipping students with the skills to navigate multifaceted ethical dilemmas and become responsible global citizens. This article highlights the connection between language, literature, critical thinking, moral reasoning, and values integration in education. Through language and literature, teachers can incorporate values education in their classroom, which can benefit not only individual students but also society as a whole. Theoretical frameworks such as character education, moral education, and values education provide the basis for this approach. The researcher recommends strategies for incorporating values integration in language and literature curricula, including the use of literary texts that promote critical thinking and moral reasoning skills. The limitations of this approach, including the challenges in assessing the effectiveness of values integration and potential resistance from some stakeholders, are also discussed. Ultimately, this article aims to call on educators to take a proactive role in promoting values integration in language and literature education, guided by the principles of Jesus Christ and the belief that education is not only about acquiring knowledge but developing character as well. Moreover, this concept has a significant and lasting impact on students' overall development that highlights the importance of values and moral reasoning needed to live a better life.

The results of experimental studies of ohmic conductivity degradation in the ensembles of nanostructured anatase bridges under long-term effect of direct current are presented. Stochastic sets of interelectrode partially conducting bridges consisting of close-packed anatase nanoparticles were formed by the seeding particles from drying aqueous suspensions on the surfaces of silica substrates with interdigital platinum electrodes. Multiple-run experiments at room temperature have shown that ohmic conductivity degradation in these systems is irreversible. It is presumably due to accumulated capture of conduction electrons by deep traps in anatase nanoparticles. The scaling analysis of voltage drops across the samples at the final stage of degradation gives a critical exponent for ohmic conductivity as 1.597. This value satisfactorily agrees with the reported model data for percolation systems. At an early stage of degradation, the spectral density of conduction current fluctuations wihin the frequency range of 0.01 Hz - 1 Hz decreases approximately as , while near the percolation threshold the decrease trend changes to . This transition is interpreted in terms of an increasing contribution of blockages and subsequent avalanche-like breakdowns of part of the local conduction channels in the bridges into electron transport near the percolation threshold.

This study introduces a new procedure for three-component spectral matching of seismic ground acceleration records. The procedure involves preserving the phase angle and varying the Fourier amplitudes to match the spectra of the recorded records with a provided target spectrum that represents the spectral values of ground motions in three orthogonal directions. Several three-component recorded records were matched against two target response spectra to test the method. An accurate convergence was achieved in the velocity and displacement records. In addition, the scales among the components’ magnitude were maintained, creating realistic three-component ground motions. Such ground motion inputs are important to qualify critical structures sensitive to three-component motions. Our proposed procedure is novel because the present practices are mostly created based on one-component ground motions.

The paper presents a review of currently available evaluations of the effects of continuously increasing anthropogenic loads on water resources. The increase in the fluxes of elements and compounds into the environment, such as the emission of greenhouse gases and dispersion of nutrients (nitrogen and phosphorus), acidifying gases, and toxic elements and compounds that adversely affect the water quality are considered. The significance of fresh waters as a life support factor of the human populations is demonstrated. Examples are presented to illustrate how key anthropogenic induced processes develop in land waters under the effect of anthropogenic loads, as exemplified by the Russian Kola regions. Climate warming and the increasing dispersion of elements are demonstrated to result in the eutrophication of surface waters even in areas remote from anthropogenic impacted regions. Although the emissions of acidifying gases diminish, the waters are still acidified in acid-vulnerable areas, and the chemical compositions of the waters have been significantly modified over the past decades, which indicates that the changes in the chemical composition of the waters are of irreversible. A new feature of the waters is distinguished: the toxicity of the habitats for aquatic organisms. Arguments are presented for establishing a theoretical approach for evaluating critical loads.

Demand for niobium and tantalum is increasing exponentially as these are essential ingredients for the manufacture of, among others, capacitors in technological devices and ferroniobium. Mine tailings rich in such elements could constitute an important source of Nb and Ta in the future and so alleviate potential supply risks. This paper evaluates the possibility of recovering niobium and tantalum from the slags generated during the tin beneficiation process of mine tailings from the old Penouta mine, located in Spain. To do so, a simulation of the processes that would be required to beneficiate and refine both elements is carried out. After tin carbothermic reduction, the slags are sent to a hydrometallurgical process where at the end niobium oxide and tantalum oxide are obtained. Reagents, water and energy consumption, in addition to emissions, effluents and product yields are assessed. Certain factors were identified as critical, and recirculation was encouraged in the model to maximize production and minimize reagents use and wastes. With this simulation, considering 3000 production hours per year, the metal output from the tailings of the old mine could cover around 1% and 7.4% of the world annual Nb and Ta demand, respectively.

Sustainability is very important in business. The residential high-rise building all firms wanted to successful and sustainability in business. There is need the construction to completed low time, low cost and high quality in construction work. Therefore, real estate developers must find various strategies to use in construction projects to achieve goals and success of the firm. The purpose of this study was to indicate the very importance of knowledge management can lead to sustainability in business. Analyze 14 critical success to sustainability in residential high-rise building projects, collected questions from literature review, and survey in deep interview senior managers of 15 projects real estate development firms listed on the stock market of Thailand. Budget building more than 1000 million baht per project. From conceptual frame work five foundations integrated to knowledge management of critical success (KMITL PROCESS) used made tool survey in deep interview the critical success to sustainability in residential high-rise building project from project managers. Used IBM SPSS evaluated the critical success to sustainability. Found was one very important of critical success to sustainability, which was quality of products x̄ = 4.83. All 14 critical success to sustainability was found can applied made the knowledge management of critical success to sustainability in residential high-rise building project in firm. Especially in the field of construction managements project can used improve of all construction projects.

Part of philosophy is to subject assertions to critical scrutiny, clarifying exactly what the assertion is saying, its implications, and thus its direct plausibility. The goal is to ensure clarity, logical consistency, and rational argumentation in order to arrive at reasoned conclusions. A common problem is that arguments have missing implied premises that, unless explicitly stated, are mistakenly assumed to be true. Here we subject conclusions made regarding the SARS-CoV-2 pandemic to critical scrutiny, revealing their implied premises so that these premises can be explicitly examined and refuted. Specifically, we refute the conclusions that “no one is protected until everyone is protected” and “population lockdowns are required to protect those at high risk of adverse outcomes.” In the end, we argue for the conclusion that “an Emergency Management principles based response to the pandemic, compared to population-wide lockdowns, offers a way to prevent more adverse outcomes from COVID-19, better prevent overwhelmed healthcare, and prevent most of the collateral damage to the wellbeing of the population that has resulted from the lockdowns.”

This review critically assesses the body of research about Measles-Mumps-and-Rubella (MMR) vaccine attitudes and uptake in the United Kingdom (UK) over the past 10 years. We searched PubMed and Scopus, with terms aimed at capturing relevant literature on attitudes, uptake, decision-making, and beliefs about the MMR vaccine. Two researchers screened for abstract eligibility and after de-duplication 934 studies were selected. After screening, 40 references were included for full-text review and thematic synthesis by three researchers. We were interested in the methodologies employed, and grouped findings by whether studies concerned: (1) Uptake and Demographics; (2) Beliefs and Attitudes; (3) Healthcare Worker Focus; (4) Experimental and Psychometric Intervention; (5) Mixed Methods. We identified group and individual level determinants for attitudes, operating directly and indirectly, that influence vaccine uptake. We found that access issues, often ignored within the public “anti-vax” debate, remain highly pertinent. Finally, a consistent theme was the effect of misinformation and lack of knowledge or trust in healthcare, often stemming from the Wakefield controversy. Future COVID-19 immunisation campaigns for children should consider both access and attitudinal aspects of vaccination, and incorporate a range of methodologies to assess progress, taking into account socio-economic variables and the needs of disadvantaged groups.

The era of globalization of the industrial revolution 4.0 was also marked by rapid economic, social, scientific, and technological developments. Currently, the company was demanded to maximize all its potential to compete with other companies. For this reason, it was hoped that companies could understand the importance of knowledge management-based intellectual capital through outreach, externalization, internalization, and combinations that had implications for improving employee performance and competency. This study was to identify and describe the enhancement of performance and competency-based on the optimization of the intellectual capital model in terms of critical thinking analysis. This study used a qualitative approach with critical thinking analysis through literature study methods. The findings results of this study were to improve performance and competency were the basic measurement models of intellectual capital, new intellectual capital measurement models in empirical studies, intellectual capital measurement models with bottlenecks, and environmental-based intellectual capital models. This study concluded that intellectual capital measurement should be determined as accumulation and interpretation in the proposed model for a company that was an applied subject with a qualitative intellectual capital index system, to provide a good tool for companies to managed intellectual capital.

We discuss methods for calculation of critical indices and amplitudes from the perturbative expansions. Several important examples of the Stokes flow through 2D and 3D channels are brought up. Power series for the permeability derived for small values of amplitude are employed to calculation of various critical exponents in the regime of large amplitudes. Special nonlinear approximations valid for arbitrary values of the wave amplitude are derived from the expansions. The technique developed for critical phenomena is applied then for relaxation phenomena. The concept of time-translation invariance is discussed, its spontaneous violation and restoration considered. Emerging probabilistic patterns correspond to a local breakdown of time-translation invariance. Their evolution leads to the timetranslation symmetry complete (or partial) restoration. We estimate typical time extent, amplitude and direction for such restorative process. The new technique is based on explicit introduction of origin in time. After some transformations we come to the exponential and generalized, exponential-type solution with explicit finite time scale, which was only implicit in initial parametrization with polynomial approximation. The concept of crash as a relaxation phenomenon, consisting of time-translation invariance breaking and restoration, is put forward. COVID-19 related mini-crash in the time series for Shanghai Composite is discussed as an illustration.

Therapeutic proteins are used to successfully treat hemophilia, Crohn’s Disease, diabetes, and cancer. Recent product recalls have occurred because of sub-visible particle formation resulting from the inherent instability of proteins. It has been suggested that particle formation is associated with late stage processing steps of filling, shipping, and delivery. Previous works demonstrated that cavitation might occur in therapeutic vials subjected to agitation or accidentally dropped, but that mitigation can be achieved with fluid property manipulation. The goal of this research was to (1) assess the risk of cavitation under common pharmaceutical manufacturing conditions (i.e., pipe contraction and pumps), (2) establish a simple threshold criterion for when particulate will form, and (3) suggest a series of mitigation techniques based on these thresholds. To accomplish these tasks, computational fluid dynamic simulations for a variety of pipe contraction and fluid properties were performed. The results of this research show that reducing the turbulence in a fluid system will reduce the likelihood of cavitation. Additionally, threshold bounds were created that establish a definitive transition at which cavitation will occur.

The paper aims in assessing risks of mandible fractures consequent to impacts or sport accidents. The role of the structural stiffness of mandible, related to disocclusion state, is evaluated through numerical simulations using the finite element method (FEM). It has been assumed that the quasi-static stress field, due to distributed forces developed during accidents, could explain the common types of mandibular fractures. Geometric model of adolescent mandible was built, upon the basis of medical imaging, in CAD software with distinction between cortical layer and inner spongy bone. The finite element model of disoccluded mandible was next created. Mandibular condyles were supposed jammed in the maxillary fossae. The total force of 700 N, simulating an impact on mandible, has been sequentially applied in three distinct areas: centrally, at canine zone and at the mandibular angle. Clinically most frequent fractures of mandible were recognized through the analysis of maximal principal stress and maximal principal strain fields. Mandibular fracture during accidents can be analyzed at satisfactory level using linear quasi-static FE models for designing protections in sport and transport. The proposed approach can be improved by introducing more realistic interactions between condylar processes and fossae.

There is limited evidence for the association between malnutrition and hospital mortality as well as Intensive Care Unit length-of-stay (ICU-LOS) in critically ill patients. We aimed to examine the aforementioned associations by conducting a prospective cohort study in an ICU of a Singapore tertiary hospital. Between August 2015 and October 2016, all adult patients with ≥24 h of ICU-LOS were included. The 7-point Subjective Global Assessment (7-point SGA) was used to determine patients’ nutritional status within 48 hours of ICU admission. Multivariate analyses were conducted in two ways: 1) presence versus absence of malnutrition, and 2) dose-dependent association for each 1-point decrease in the 7-point SGA. There were 439 patients of which 28.0% were malnourished, and 29.6% died before hospital discharge. Malnutrition was associated with an increased risk of hospital mortality [adjusted-RR 1.39 (95%CI: 1.10–1.76)], and this risk increased with a greater degree of malnutrition [adjusted-RR 1.09 (95%CI: 1.01–1.18) for each 1-point decrease in the 7-point SGA]. No significant association was found between malnutrition and ICU-LOS. Conclusion: There was a clear association between malnutrition and higher hospital mortality in critically ill patients. The association between malnutrition and ICU-LOS could not be replicated and hence requires further evaluation.

The number of connected IoT devices is increasing significantly due to their many benefits, including automation, improved efficiency and quality of life, and waste reducing. However, these devices have several vulnerabilities that have led to the rapid growth in the number of attacks. Therefore, several machine learning-based Intrusion Detection Systems (IDS) tools have been developed to detect intrusions and suspicious activity to and from a host (HIDS - Host IDS) or, in general, within the traffic of a network (NIDS - Network IDS). The proposed work performs a comparative analysis and an ablative study among recent machine learning-based NIDS to develop a benchmark of the different proposed strategies. The proposed work compares both shallow learning algorithms, such as Decision Trees, Random Forest, Naïve Bayes, Logistic Regression, XGBoost, and Support Vector Machine, and deep learning algorithms, such as DNN, CNN, and LSTM, whose approach is relatively new in the literature. The algorithms are evaluated on the KDD-99, NSL-KDD, UNSW-NB15, and IoT-23 datasets. The results show that the NIDS tools based on deep learning approaches achieve better performance in detecting network anomalies than shallow learning approaches.

In recent years, groups of cyber criminals/hackers have carried out cyber-attacks using various tactics with the goal of destabilizing web services in a specific context for which they are motivated. Predicting these attacks is a critical task that assists in determining what actions should be taken to mitigate the effects of such attacks and to prevent them in the future. Although there are programs to detect security concerns on the internet, there is currently no system that can anticipate or foretell whether the attacks will be successful. This research aims to develop sustain-able strategies to reduce threats, vulnerability, and data manipulation of chatbots, consequently improving cyber security. To achieve this goal, we develop a conversational chatbot, an application that uses artificial intelligence (AI) to communicate, and deploy it on social media sites (e.g., Twitter) for cyber security purposes. Chatbots have the capacity to consume large amounts of information and give an appropriate response in an efficient and timely manner, thus rendering them useful in predicting threats emanating from social media. The research utilizes sentiment analysis strategy by employing chatbots on Twitter (and analyzing Twitter data) for predicting future threats and cyber-attacks. The strategy is based on a daily collection of tweets from two types of users: those who use the platform to voice their opinions on important and relevant subjects, and those who use it to share information on cyber security attacks. The research pro-vides tools and strategies for developing chatbots that can be used for assessing cyber threats on social media through sentiment analysis leading to a global sustainable development of businesses. Future research may utilize and improvise on the tools and strategies suggested in our research to strengthen the knowledge domain of chatbots, cyber security, and social media.

Reconfigurable computing is becoming ubiquitous in the form of consumer-based Internet of Things (IoT) devices. Reconfigurable computing architectures have found their place in safety-critical infrastructures such as the automotive industry. As the target architecture evolves, it also needs to be updated remotely on the target platform. This process is susceptible to remote hijacking, where the attacker can maliciously update the reconfigurable hardware target with tainted hardware configuration. This paper proposes an architecture of establishing Root of Trust at the hardware level using cryptographic co-processors and Trusted Platform Modules (TPMs) and enable over the air updates. The proposed framework implements secure boot protocol on Xilinx based FPGAs. The project demonstrates the configuration of the bitstream, boot process integration with TPM and secure over-the-air updates for the hardware reconfiguration.

Cloud-based CNC is an emerging paradigm of Industry 4.0 where computer numerical control (CNC) functionalities are moved to the cloud and provided to manufacturing machines as a service. Among many benefits, C-CNC allows manufacturing machines to leverage advanced control algorithms running on cloud computers to boost their performance at low cost, without need for major hardware upgrades. However, a fundamental challenge of C-CNC is how to guarantee safety and reliability of machine control given variable Internet quality of service, especially on public Internet networks. We propose a three-tier redundant architecture to address this challenge. We then prototype tier one of the architecture on a 3D printer successfully controlled via C-CNC over public Internet connections, and discuss follow-on research opportunities.

In recent years, online social media information has been subject of study in several data science fields due to its impact on users as a communication and expression channel. Data~gathered from online platforms such as Twitter has the potential to facilitate research over social phenomena based on sentiment analysis, which usually employs Natural Language Processing and Machine Learning techniques to interpret sentimental tendencies related to users opinions and make predictions about real events. Cyber attacks are not isolated from opinion subjectivity on online social networks. Various security attacks are performed by hacker activists motivated by reactions from polemic social events. In this paper, a methodology for tracking social data that can trigger cyber attacks is developed. Our main contribution lies in the monthly prediction of tweets with content related to security attacks and the incidents detected based on ℓ1 regularization.

We describe a vision for a national-scale heavy mineral (HM) map generated through automated mineralogical identification and quantification of HMs contained in floodplain sediments from large catchments covering most of Australia. The composition of the sediments reflects the dominant rock types in each catchment, with the generally resistant HMs largely preserving the mineralogical fingerprint of their host protoliths through the weathering-transport-deposition cycle. Heavy mineral presence/absence, absolute and relative abundance, and co-occurrence are metrics useful to map, discover and interpret catchment lithotype(s), geodynamic setting, magmatism, metamorphic grade, alteration or mineralization. Underpinning this vision is a pilot project, focusing on a subset of the national sediment sample archive, which is used to demonstrate the feasibility of the larger, national-scale project. We preview a bespoke, cloud-based mineral network analysis (MNA) tool to visualize, explore and discover relationships between HMs as well as between them and geological setting or mineral deposits. We envisage that the Heavy Mineral Map of Australia and MNA tool will contribute significantly to mineral prospectivity analysis and modeling here, particularly for technology critical elements and their host minerals, which are central to the global economy transitioning to a more sustainable, decarbonized paradigm.

Demand-Side Management (DSM) is an essential tool to ensure power system reliability and stability. In future smart grids, certain portions of a customer’s load usage could be under the automatic control of a cyber-enabled DSM program, which selectively schedules loads as a function of electricity prices to improve power balance and grid stability. In this scenario, the security of DSM cyberinfrastructure will be critical as advanced metering infrastructure and communication systems are susceptible to cyber-attacks. Such attacks, in the form of false data injections, can manipulate customer load profiles and cause metering chaos and energy losses in the grid. The feedback mechanism between load management on the consumer side and dynamic price schemes employed by independent system operators can further exacerbate attacks. To study how this feedback mechanism may worsen attacks in future cyber-enabled DSM programs, we propose a novel mathematical framework for (i) modeling the nonlinear relationship between load management and real-time pricing, (ii) simulating residential load data and prices, (iii) creating cyber-attacks, and (iv) detecting said attacks. In this framework, we first develop time-series forecasts to model load demand and use them as inputs to an elasticity model for the price-demand relationship in the DSM loop. This work then investigates the behavior of such a feedback loop under intentional cyber-attacks. We simulate and examine load-price data under different DSM-participation levels with three types of random additive attacks: ramp, sudden, and point attacks. We conduct two investigations for the detection of DSM attacks. The first studies a supervised learning approach, with various classification models, and the second studies the performance of parametric and nonparametric change point detectors. Results conclude that higher amounts of DSM participation can exacerbate ramp and sudden attacks leading to better detection of such attacks, especially with supervised learning classifiers. We also find that nonparametric detection outperforms parametric for smaller user pools, and random point attacks are the hardest to detect with any method.

The study of Internet of Vehicle (IoV) based on Fog Computing (FC) and Artificial Intelligent (AI) has attracted more and more attention. However, there are still many problems require to investigate such as time-critical, scalability, load-balancing, energy consumption, and so on. Focusing on these problems, we proposed an AI-based Vehicle-to-Everything (V2X) model for tasks and resource offloading model for IoVs network, which ensures reliable low-latency communication efficient tasks offloading in IoV network by using Software Defined Vehicular based FC (SDV-F) architecture. To fit to time-critical data transmission task distribution, the proposed model reduces unnecessary task allocation at the fog computing layer by proposing an AI-based task-allocation algorithm in IoV layer to implement task allocation of each vehicle. By applying AI technologies of Reinforcement Learning (RL), Markov decision process, and Deep Learning (DL), the proposed model intelligently makes decision on maximizing resource utilization at the fog layer, and minimizing the average end-to-end delay of time-critical IoV applications. The experiment demonstrates the proposed model can efficiently distribute the fog layer tasks while minimizing the delay.

Traumatic Brain Injury (TBI) is one of the leading causes of death and disability worldwide. Patient treatment and management pose a challenge for healthcare systems. The prognosis of these patients may be influenced by factors such as sex. This study aims to describe the clinical parameters of patients hospitalized in the Intensive Care Unit (ICU) of a Spanish hospital due to Trauma Brain Injury and to establish differences based on sex. Methodology: An observational, cross-sectional, and analytical study was conducted from March 2015 to December 2019. All patients admitted to the ICU during this period who presented isolated significant Traumatic Brain Injury, defined as an abbreviated injury scale (AIS) ≥ 3, were included. Data on baseline characteristics, mechanism of injury, substance use, and acute management in the prehospital and hospital stages (including the need for hospitalization) were recorded. A descriptive and in-ferential analysis was conducted using the chi-square test. Results: A total of 950 patients were ultimately included. The majority of the patients were men (723) with a mean age of 45.16 (± 17.55). There were statistically significant differences in terms of the mechanism of injury (p

The nozzle is the key element of the water jet generator for energy conversion. In order to explore the influence of the nozzle diameter on the pressure characteristics of the supercharged pulsed water jet plenum chamber, a supercharged pulsed water jet pressure acquisition system was established, and the Equations of motion and theoretical pressurization ratio equations of the supercharged pulsed water jet generator were established. The pressurization chamber pressure acquisition experiments under different nozzle diameters were carried out. The research results indicate that there is a critical nozzle diameter. When the nozzle diameter is less than the critical diameter, the pressure in the boost chamber is equal to the product of the driving pressure and boost ratio. As the nozzle changes, there is no significant change in the peak pressure and frequency of the boost chamber; When the nozzle diameter is greater than the critical diameter, there is a non-linear relationship between the boost chamber pressure and the driving pressure. As the nozzle diameter gradually increases, the actual boost ratio gradually decreases, and the peak pressure of the boost chamber further decreases. The nozzle diameter can no longer provide a load for the establishment of fluid pressure in the boost chamber. The research results provide a research basis for further controlling the pressure characteristics of the boost pulse water jet.

During the last 100 years the planet has increased its temperature rapidly, this climate change could bring catastrophic effects for organisms and natural systems. One of the most affected groups is the ectotherms, due to their direct dependence on the environmental temperature. In recent years several studies analyse the effects of temperature and the thermal tolerance on several species of ectotherms. However, there are species whose thermal tolerances are still unknown. Such is the case of critically endangered species the Montseny Brook Newt (Calotriton arnoldi), endemic from the Montseny massif in Spain and whose thermal biology is unknown. Its critical situation makes essential to know its tolerance to cooling, warming and thermopreferendum in water environment where the newt lives. Three experimental procedures were conducted from the western and eastern subpopulations of C. arnoldi considering four classes separately (males, females, juveniles and larvae). The results obtained showed that the CTmax of the species exceeded 31°C, with a significant difference between the two populations. We found that the species tolerates well low temperatures (&lt;1°C), because of the genera Calotriton is adapted to lives in cold waters with temperatures below 15º. Although the thermopreference of the species was expected to trend to cold temperatures, some individuals chose relatively high temperatures, obtaining a range of 11.7°C to 21.6°C. The results presented in this study are an advance in the knowledge of the thermal physiology of this species and support the importance of the temperature of the torrent on its survival. Knowing their thermal limits and their preferred temperature range will help to propose management measures that promote the conservation of streams and its riparian forest cover to mitigate the temperature increase due to climate change.

In the brain, astrocytes regulate shape and functions of the synaptic and vascular compartments through a variety of released factors and membrane-bound proteins. An imbalanced astrocyte activity can therefore have drastic negative impacts on brain development, leading to the onset of severe pathologies. Clinical and pre-clinical studies show alterations in astrocyte cell number, morphology, molecular makeup and astrocyte-dependent processes in different affected brain regions in neurodevelopmental (ND) and neuropsychiatric (NP) disorders. Astrocytes proliferate, differentiate and mature during the critical period of early postnatal brain development, a time window of elevated glia-dependent regulation of a proper balance between synapse formation/elimination, which is pivotal in refining synaptic connectivity. Therefore, any intrinsic and/or extrinsic factors altering these processes during the critical period may result in an aberrant synaptic remodelling and onset of mental disorders. The peculiar bridging position of astrocytes between synaptic and vascular compartments further allows them to “compute” the brain state and consequently secrete factors in the bloodstream, which may serve as diagnostic biomarkers of distinct healthy or disease conditions.Here, we collect recent advancements regarding astrogenesis and astrocyte-mediated regulation of neuronal network remodelling during early postnatal critical periods of brain development, focusing on synapse elimination. We then propose alternative hypotheses for an involvement of aberrancies in these processes in the onset of ND and NP disorders. In light of the well-known differential prevalence of certain brain disorders between males and females, we also discuss putative sex-dependent influences on these neurodevelopmental events.From a translational perspective, understanding age- and sex-dependent astrocyte-specific molecular and functional changes may help to identify biomarkers of distinct cellular (dys)functions in health and disease, favouring the development of diagnostic tools or the selection of tailored treatment options for male/female patients.

In steel structures, oblique thin steel plates serve as panel zones in structures spanning large spaces (e.g., warehouses and gymnasiums). Considerable research has been conducted on the shear buckling of panels due to seismic loads acting on a structure. Conversely, under snow or wind loads, the panel zone may experience compressive and tensile stresses simultaneously from two directions. Considering the economic preference for thin steel plates, evaluating the elastic critical local buckling stresses in the panel zone under biaxial normal stress may provide essential information to structural engineers. In this study, an elastic buckling analysis based on the energy method is performed to clarify the impact of panel geometry and boundary conditions on the elastic local buckling stresses of oblique panel zones. As confirmed, the buckling stresses derived from the energy method could simulate the local buckling stresses with accuracy comparable to that of finite element analysis, and an engineer-friendly design formula was proposed. Finally, we determined the correlation of the buckling stresses under biaxial stresses and presented a method for evaluating this correlation. Engineers can utilize the provided design equations to more efficiently and accurately calculate buckling loads, facilitating safer and more economical design of structures with oblique plates.

Clinical and pre-clinical studies of neuropsychiatric (NP) disorders show altered astrocyte properties and synaptic networks. These are refined during early postnatal developmental (PND) stages. Thus, investigating early brain maturational trajectories is essential to understand NP disorders. However, animal experiments are highly time-/resource-consuming, thereby calling for alternative methodological approaches. The function of MEGF10 in astrocyte-mediated synapse elimination (pruning) is crucial to refine neuronal networks during development and adulthood. To investigate the impact of MEGF10 during PND in the rat prefrontal cortex (PFC) and its putative role in brain disorders, we established and validated an Organotypic Brain Slice Culture (OBSC) system.Using Western blot, we characterized the expression of MEGF10 and the synaptic markers synaptophysin and PSD95 in the cortex of developing pups. We then combined immunofluorescent-immunohistochemistry with Imaris-supported 3D-analysis to compare age- and sex-dependent astrocyte-mediated pruning within the PFC in pups and OBSCs. We thereby validated this system to investigate age-dependent astrocyte-mediated changes in pruning during PND. However, further optimizations are required to use OBSCs for revealing sex-dependent differences. In conclusion, OBSCs offer a valid alternative to study physiological astrocyte-mediated synaptic remodelling during PND and might be exploited to investigate pathomechanisms of brain disorders with aberrant synaptic development.

Spray technology is widely used in various industries, including medicine, food production, mechanical engineering, and nanopowder manufacturing. Achieving high dispersion and a narrow particle size distribution is crucial for many applications. Ultrasonic spraying is commonly used to achieve this. On other hand, hydraulic nozzles provide high atomization performance. Combining these two technologies promises to offer significant benefits, but the complex processes that occur simultaneously in such a device require careful study. This work proposes a fundamental design for an acoustic-hydraulic nozzle and investigates the physical processes when a liquid is sprayed using this nozzle, both theoretically and experimentally. The study identifies the critical modes of spraying and confirms that the simultaneous use of ultrasound and hydraulic pressure can produce a fine spray (droplet size less than 50 μm) with high productivity (5-10 ml/s). This approach has significant potential for modern industries and technologies.

We analyse recent contradictory results and conclusions about the spectrum of the screened Coulomb potential $V(r)=-r^{-1}e^{-C/r}$. The well known Hellmann-Feynman theorem shows that all the bound states of the Coulomb potential ($C=0$) remain bounded as $C$ increases. We derive a simple approximate analytical expression for the eigenvalues for sufficiently small values of the screening parameter $C$ and an approximate asymptotic expression for the asymptotic behaviour of the s-state eigenvalues when $C\rightarrow \infty $. Present results are expected to resolve the discrepancy about the spectrum of the quantum-mechanical model just mentioned.

Purpose of the study: to reveal how the transfusion and the refraining from it affects the neuro-vascular unit in the congenital heart defects correction with cardiopulmonary bypass. Materials and methods: in vitro research, we formed a model of a neurovascular unit, which contains neu-rons, astrocytes and endothelial cells. This cellular model was cultivated in hypoxia conditions with the oxygen saturation levels of 1, 2, 3, 4%. In addition, this unit was cultivated with the pa-tient's serum adding in two different groups - with minimal and maximal levels of system in-flammatory response that we estimated by IL-6 level. Results: We found that during incubation in hypoxic conditions, the level of transendothelial resistance changed in groups with oxygen levels of 1% and 2% only after 4 hours. When we cultivated neurovascular unit cells with patients' sera, we found a minimal level of transendothelial resistance at 4 hours that increased after 24 hours. Permeability analysis showed that its level significantly decreased in the 1% and 2% oxygen group at 60- and 90-minutes relative to the control group. Conclusion: the system inflammatory response has more expressed but less long effect on the neurovascular unit model than hypoxia.

Having effective and efficient financing is one of the most important steps in accelerating the development of public infrastructure, including toll roads. This study aims to identify Critical Success Factors (CSFs) for the implementation of toll infrastructure financing in Indonesia. Thirty-three CSFs have been identified from literature review. A Delphi survey involving a panel of experts working in the infrastructure industry was conducted. Based on the survey, it is known that internal rate of return, affordability, investment decision, commercial banks, financing costs, interest rate risk, control of cash flow, contract scope, and principles of risk transfer are important factors for the implementation of toll infrastructure financing in Indonesia. This study fills research gaps by developing a CSF model for successful toll road infrastructure financing in Indonesian PPPs, considering private perspectives and aiming to provide insights for investors and enhance understanding of country profiles in developing countries. The focus on toll road implementation in Indonesia contributes to a comprehensive understanding of CSFs for PPPs in the country.

This paper presents a systematic literature review that identifies critical factors impacting the implementation of advanced manufacturing technology (AMT) worldwide. The study utilizes two databases, ProQuest and Compendex, as well as Google Scholar. The study identified eight dimensions that illustrate the critical factors of AMT adoption and implementation: education, planning, top management know-how, technical know-how, business, economic impact, regulations, and social impact. The results highlight a research gap in understanding the need for effective integration among these eight dimensions in developed and developing economies. Consequently, the study recommends the adoption of a broader perspective that considers the role of integration and interaction between critical factors in each category and their impact on AMT implementation. The systematic literature review conducted in this study reviews several critical factors related to the adoption and implementation of AMT.

Intensive care nurses are highly prone to occupational stress and burnout, affecting their physical and mental health. The occurrence of the pandemic and related events increased nurses’ workload and exacerbated stress and burnout. We conducted a prospective longitudinal mixed-methods study with a cohort of nurses working in a medical ICU (COVID unit; n = 14) and cardiovascular ICU (non-COVID unit; n = 5). Each participant was followed for six 12-hour shifts. Validated questionnaires measured occupational stress and burnout prevalence. Wrist-worn wearable technologies recorded physiological indices of stress. Participants elaborated on the contributors to stress via post-study questionnaire. Data were analyzed using statistical and qualitative methods. Participants who cared for COVID patients at the COVID unit were 3.71 times more likely to experience stress (p &lt; .001) in comparison to non-COVID unit participants. No differences in stress levels were found when the same participants worked with COVID and non-COVID patients at different shifts at the COVID unit. The cohorts expressed similar contributors to stress including communication tasks, patient acuity, clinical procedures, admission processes, proning, labs, and assisting coworkers. Nurses in COVID units, irrespective of whether they care for a COVID patient, may experience high occupational stress and burnout.

Worldwide, one of the main causes of death among young adults is multiple trauma. In these pa-tients hemorrhagic shock represents the leading cause for worsening of the clinical status and for increased morbidity and mortality. This is due to a multifactorial complex involving cellular, bi-ological, and biophysical mechanisms. The most important mechanisms affecting clinical out-come are oxidative stress, the augmentation of pro-inflammatory status, immune deficiency, dis-ruptions in the coagulation cascade, imbalances in electrolyte and acid-base homeostasis. Poly-trauma patients in hemorrhagic shock need adequate fluid management to ensure hemodynamic stability that must consider not only the maintenance of adequate blood pressure, but also the ad-equate oxygenation of tissues for optimal cellular function. In the current clinical practice, fluid resuscitation in polytrauma patients uses a variety of widely studied pharmacological products, such as crystalloids, colloids, blood transfusions, and the infusion of other blood products. Alt-hough these products exist, an agreement was not reached on a standard administration protocol that could be generally applied for all patients. Moreover, numerous studies have reported a se-ries of adverse events related to fluid resuscitation and to the inadequate use of these products. This review aims at describing the impact the administration of all the solutions used in fluid re-suscitation might have on the cellular and pathophysiological mechanisms in the case of poly-trauma patients suffering from hemorrhagic shock.

Recent years have witnessed a boom of fashion bloggings sharing information about clothing and cosmetics on diverse social media platforms. Constant exposure to fashion-related digital information heavily impacts the cognition and behaviour of Chinese youth. Compared to the substantial studies on the impact of social media, scarce research has been conducted on how youth’s cognitive processing of fashion-related digital information interacts with motivational factors to determine the subsequent behaviour. This study made an initial attempt to address this issue by exploring the successive associations between clothing motivation (amotivation, controlled, and autonomous motivation), online critical thinking (for information credibility, objectivity, and relevance), and the subsequent behavioural intentions. A total of 1997 Chinese youths with diverse educational backgrounds voluntarily participated in the study. Results confirmed the direct links between clothing motivation and behavioural intentions, but these links were mediated by different online critical thinking skills. This study provides new insights for both practitioners and scholars in the fields of education, psychology, social media, and marketing.

Background: It is necessary to apply a behavior-based safety (BBS) program to prevent at-risk behavior. An effective BBS program requires the implementation of not only behavioral definitions and a customized critical behavior checklist (CBC) but also observations of behavior, coupled with customized interventions at power plants. Method: In this study, a customized CBC and behavioral definition were developed through a review of five different sites that previously used a CBC. The rules of observation, flow, and target were established to initiate the observations. Customized interventions were selected to increase safe behaviors. CBC scoring was used to evaluate observed safe behaviors for three years. Recognized safe behaviors were evaluated with a questionnaire that included four items each for conformity and participation behaviors and were then analyzed through a factor analysis and a t-test. The questionnaires were conducted three months before and after the implementation of the BBS program. Results: The customized CBC, behavioral definition, and interventions were effective, such that observed safe behaviors and the levels of workers’ recognized safe behaviors increased. Conclusion: The application of the BBS program was found to increase the observed and recognized safe behaviors. Therefore, the program applied to this site can help increase safe behaviors at other identical or similar sites, as well as prevent an accident, which also corresponds with the results of prior studies.