Increasing the quality factor (Q) of an optical resonator device has been a research focus to be utilized in various applications. Higher Q-factor means light is confined in a longer time which will produce a shaper peak and higher transmission. In this paper, we introduce a novel technique to increase further the Q-factor of a one-dimensional photonic crystal (1D PhC) cavity device by using an end loop-mirror (ELM). The technique utilizes and recycles the light transmission from the conventional 1D PhC cavity design. The design has been proved to work by using the 2.5D FDTD simulation with Lumerical FDTD and MODE softwares. By using the ELM technique, the Q- factor of a 1D PhC design has been shown to have increased up to 79.53 % from the initial Q value without the ELM. This novel design technique can be combined with any high Q-factor and very high Q-factor designs to increase more the Q-factor value of a photonic crystal cavity devices or any other suitable optical resonator devices. The experimental result shows that the device is measurable by adding a Y-branch component to the one-port structure and able to get the high-Q result.

Quantum noise limits the sensitivity of laser interferometric gravitational-wave detectors. Given the state-of-the-art optics, the optical losses define the lower bound of best possible quantum-limited detector sensitivity. In this work, we come up with the configuration which allows to saturate this lower bound by converting the signal recycling cavity to be a broadband signal amplifier using an active optomechanical filter. We will show the difference and advantage of such a broadband signal recycling scheme compared with the previous white-light-cavity scheme using the optomechanical filter in [Phys.Rev.Lett.115.211104 (2015)]. The drawback is that the new scheme is more susceptible to the thermal noise of the mechanical oscillator. To suppress the radiation pressure noise which rises along with the signal amplification, squeezing with input/output filter cavities and heavier test mass are used in this work.

Indoor Positioning Systems (IPSs) are designed to provide solutions for location-based services. Wireless local area network (WLAN)-based positioning systems are the most widespread around the globe and are commonly found to have a ready-to-use infrastructure composed mostly of access points (APs). They provide useful information on signal strength to be processed by adequate location algorithms, which are not always capable of achieving the desired localization error only by themselves. In this sense, this paper proposes a new method to improve the accuracy of IPSs by optimizing some of their most relevant infrastructure components. Included are the arrangement of APs over the environment, the number of reference points (RPs), and the number of samples per location estimation test. A simulation environment is also proposed, in which the impact of key influencing factors on system accuracy is analyzed. Finally, a case study is simulated to validate an optimal combination of design parameters and its compliance with the requirements of localization error and the limited number of access points. Our simulation results clearly show that the desired localization accuracy, which is set as a goal, can be achieved while maintaining the factors already mentioned at minimal levels, which decreases both system deployment costs and computational effort.

Foveal vision loss has been shown to reduce efficient visual search guidance due to contextual cueing by incidentally learned contexts. However, previous studies used artificial (T among L-shape) search paradigms that prevent the memorization of a target in a semantically meaningful scene. Here, we investigated contextual cueing in real-life scenes that allow explicit memory of target locations in semantically rich scenes. In contrast to the contextual cueing deficits in artificial scenes, contextual cueing in patients with age-related macular degeneration (AMD) did not differ from age-matched normal-sighted controls. We discuss this in the context of visuospatial working memory demands for which both eye-movement control in the presence of central vision loss and for memory-guided search may compete. Memory-guided search in semantically rich scenes may depend less on visuospatial working memory than search in abstract displays, potentially explaining intact contextual cueing in the former but not the latter. In a practical sense, our findings may indicate that Patients with AMD are less deficient than expected after previous lab experiments. This shows the usefulness of realistic stimuli in experimental clinical research.

Amyloids are fibrillar protein aggregates that are associated with diseases such as Alzheimer’s disease, Parkinson’s disease, type II diabetes and Creutzfeldt–Jakob disease. The process of amyloid aggregation involves three pathological protein transformations; from natively-folded conformation to the cross-β conformation, from biophysically soluble to insoluble, and from biologically functional to non-functional. While amyloids share a similar cross-β conformation, the biophysical transformation can either take place spontaneously via a homogeneous nucleation mechanism (HON) or catalytically on an exogenous surface via a heterogeneous nucleation mechanism (HEN). Here, we postulate that the different nucleation pathways can serve as a mechanistic basis for an etiological classification of amyloidopathies, where hereditary forms generally follow the HON pathway, while sporadic forms follow surface-induced (including microbially-induced) HEN pathways. Furthermore, the conformational and biophysical amyloid transformation results in loss-of-function (LOF) of the original natively-folded and soluble protein. This LOF can, at least initially, be the mechanism of amyloid toxicity even before amyloid accumulation reaches toxic levels. By highlighting the important role of non-protein species in amyloid formation and LOF mechanisms of toxicity, we propose a generalized mechanistic framework that could help better understand the diverse etiology of amyloid diseases and offer new opportunities for therapeutic interventions including replacement therapies.

Hearing impairment (HI) is a common sensory disorder that is defined as the partial or complete inability to detect sound in one or both ears. This diverse pathology is associated with a myriad of phenotypic expressions and/or syndromes. HI can be caused by various intrinsic, environmental and/or unknown factors. Some ontologies capture some relevant HI forms, phenotypes and syndromes, but there is no comprehensive knowledge portal which includes aspects specific to the HI disease state. This hampers inter-study comparability, integration and interoperability within and across disciplines. This work describes the HI Ontology (HIO) that was developed based on the Sickle Cell Disease Ontology (SCDO) model. This is a collaboratively developed resource built around the 'Hearing Impairment' concept by a group of experts in different aspects of HI and ontologies. HIO is the first comprehensive, standardized, hierarchical and logical representation of existing HI knowledge. HIO allows researchers and clinicians alike to readily access standardized HI-related knowledge in a single location and promote collaborations and HI information sharing, including epidemiological, socio-environmental, biomedical, genetic and phenotypic information. Furthermore, this ontology illustrates the adaptability of the SCDO framework for use in developing a disease-specific ontology.

An appearance model plays a crucial rule in multi-target tracking. In traditional approaches, the two steps of appearance modeling i.e visual representation and statistically similarity measure are modeled separately. Visual representation is achieved either through hand-crafted features or deep features and statically similarity is measure through a cross entropy loss function. A loss function based on cross-entropy (KL-divergence, mutual information) find closely related probability distribution for the targets. However, if the targets have similar visual representation, it ends up mixing the targets. To tackle this problem, we come up with a synergetic appearance model named Single Shot Appearance Model based on Siamese neural network. The network is trained with a contrastive loss function for finding the similarity between different targets in a single shot. The input to the network is two target patches and based on their similarity, a contrastive score is output by the network. The proposed model is evaluated on accumulative dissimilarity metric on three datasets. Quantitatively, promising results are achieved against three baseline methods.

Recently, generative adversarial networks (GANs) can be used to generate the photo-realistic image from a low-dimension random noise. It is very dangerous that the synthesized or generated image is used on inappropriate contents in social media network. In order to successfully detect such fake image, an effective and efficient image forgery detector is desired. However, conventional image forgery detectors are failed to recognize the synthesized or generated images by using GAN-based generator since they are all generated but manipulation from the source. Therefore, we propose a deep learning-based approach to detect the fake image by combining the contrastive loss. First, several state-of-the-art GANs will be collected to generate the fake-real image pairs. Then, the contrastive will be used on the proposed common fake feature network (CFFN)to learn the discriminative feature between the fake image and real image (i.e., paired information). Finally, a smaller network will be concatenated to the CFFN to determine whether the feature of the input image is fake or real. Experimental results demonstrated that the proposed method significantly outperforms other state-of-the-art fake image detectors.

Wind tunnels are devices that enable researchers to study the flow over objects of interest, the forces acting on them and their interaction with the flow, which is nowadays playing an increasingly important role due to noise pollution. Since the first closed circuit wind tunnel with variable cross-section was built in G¨ottingen, its Prandtl configuration has little change. The wind tunnel with Prandtl configuration has four corners and vanes, more than 50% of the total pressure loss are caused by the corners and vanes. How to reduce the total pressure loss is a world class problem in the wind tunnel design. This study attempts to propose a novel configuration of wind tunnel, where the corners have been replaced by semi-circular tunnel. Sun wind tunnel 2 has only two corners and vanes, while Sun wind tunnel 1 has no corners and vanes at all. It is expected the new wind tunnel can reduce the total pressure loss from 50% to 10%.

Understanding the distribution in drought and floods plays an important role in disaster risk management. The present study aims to explore the trends in the standardized precipitation index and extreme precipitation days in China, as well as to estimate the economic losses they cause. We found that in the Northeast China, northern of North China and northeast of Northwest China were severely affected by drought disasters (average damaged areas were 6.44 million hectares) and the most severe drought trend was located in West China. However, in the north of East China and Central China, the northeastern of the Southwest China was severely affected by flood disasters (average damaged areas were 3.97 million hectares) and the extreme precipitation trend is increasing in the northeastern of the Southwest China. In the Yangtze River basin, there were increasing trends in terms of drought and extreme precipitation, especially in the northeastern of the Southwest China, where accompanied by severe disaster losses. By combining the trends in drought and extreme precipitation days with the distribution of damaged areas, we found that the increasing trend in droughts shifted gradually from north to south, especially in the Southwest China, and the increasing trend in extreme precipitation gradually shifted from south to north.

Traumatic brain injury (TBI) is a major source of worldwide morbidity and mortality. Patients suffering from TBI exhibit a higher susceptibility to bone loss and an increased rate of bone fractures; however, the underlying mechanisms remain poorly defined. Herein, we observed significantly lower bone quality and elevated levels of inflammation in bone and bone marrow niche after controlled cortical impact-induced TBI in in-vivo CD-1 mice. Further, we identified dysregulated NFB signaling, an established mediator of osteoclast differentiation and bone loss, within the bone marrow niche of TBI mice. Ex vivo studies revealed increased osteoclast differentiation in bone marrow-derived cells from TBI mice, as compared to sham injured mice. Finally, we found bone marrow derived extracellular vesicles (EVs) from TBI mice enhanced the colony forming ability and osteoclast differentiation efficacy of bone marrow cells and activated NFB signaling genes in bone marrow-derived cells. Taken together, we provide evidence that TBI-induced inflammatory stress on bone and the bone marrow niche may activate NFB leading to accelerated bone loss. Targeted inhibition of these signaling pathways may reverse TBI-induced bone loss and reduce fracture rates.

The inhibition impacts of 1,10-Phenanthroline-5,6-diamine (PTDA) on mild steel in 1 M HCl solution were investigated through weight loss method. The inhibition efficiencies of PTDA increase with increase in PTDA concentration at the temperature 303. Weight loss method indicate that PTDA is an excellent inhibitor the inhibition efficiency of 81.5% at the maximum PTDA concentration of 0.5 g/L at the temperature 303K.

Establishment of protected areas (PAs) is one of the key global conservation strategies that currently cover approximately 15% of the earth’s land surface. Globally, PA networks are designed to curb the growing anthropogenic pressures in areas with high biological diversity. Despite the importance of PAs in conserving the vanishing biodiversity and unique habitats, many of them are in critical condition due to poor governance thus functioning below the expected level. Moreover, in many developing countries, the PA coverage is below the global standard. Recognizing their contemporary role in conservation, governments have recently agreed to expand the global PA coverage to 17% by the year 2020 (Aichi target 11). This book with eight chapters from different regions of the world provides an overview of the PAs governance, institutional mechanisms, conservation benefits, limitations and challenges associated with their respective policy discourse, integrated management, and functional attributes. Protected areas expect to to play an important role in the long rn in conservation and protection of biodiversity and ecosystems particularly in countries where population pressure and habitat loss are high. Regular intervention, political commitment, and effective governance are essential for the sustainability of PAs across the world. Here, we also attempted to shed some light on future development clues for the sustainable management and monitoring of PAs worldwide.

Despite the increasing prevalence of pet ownership in Chinese societies, standardized tools to assess grief from pet loss remain lacking. Research predominantly focuses on Western populations, creating a gap in understanding pet bereavement in Chinese cultural settings. This study aimed to adapt and validate the Pet Bereavement Questionnaire (PBQ-C) for a Chinese context to create a culturally appropriate assessment tool. A total of 245 participants with companion animal loss experiences were recruited through the university of the research team. They were invited to complete an online survey including the Chinese PBQ, the Depression subscale of the Depression Anxiety Stress Scales (DASS-21), and the Inventory of Complicated Grief (ICG). Both Exploratory Factor Analysis and Confirmatory Factor Analysis were conducted to examine the psychometric properties of the PBQ-C and the findings supported a three-factor structure—grief, anger, and guilt—aligned with the original PBQ, with three items were reassigned to different factors. Despite these adjustments, the PBQ-C showed strong internal consistency, split-half reliability, and concurrent validity. The validated PBQ-C provides a culturally sensitive tool for assessing pet bereavement in Chinese society that can promote research and counselling support for this under-researched and under-recognized type of loss of human-animal relationships.

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

This study presents head losses (hL) and loss coefficients (K) obtained experimentally for schedule 40 PVC pipe elbows, with 90o and 45o in small commercial diameters of ½ to 1½ inches that are commonly used in small networks. The investigation was conducted on a system constructed with short pipes and fittings necessary to measure, direct, and control flow, as well as to evaluate pressure head losses at elbows. Simple water flow was used with rates of 0.342 to 0.980 lps (Q), which generated moderate Reynolds numbers (Re) of 13337 to 80221. It was found that hL showed dependence on the velocity head in all elbows, as well as that hL are greater as the diameter increases for same velocity head. The K values in the elbows tended to be constant when Q > 0.75 lps, but for Q < 0.75 lps the K coefficient increased inversely proportional to Q, becoming larger as the diameter increased. Likewise, the K coefficient tended to increase as Re decreased, while K tended to be constant as Re increased. The results of the experimental coefficient were compared against K values reported in the literature, where significant similarities and discrepancies were found.

The conversion of native habitats into anthropogenic ones compromises the original composition and configuration of the landscapes, influencing ecological dynamics and affecting biodiversity. Increasingly, landscape ecology has shown that these effects can only be understood if accessed at adequate spatial scales, as the scale which landscape structure is evaluated influences species responses. Here, we investigated how three variables of landscape composition (proportion of forest, coffee crop and pasture) and two of configuration (number of fragments and mean nearest neighbor distance) interfere in the richness and composition of medium and large-sized mammals considering a multiscale approach. We recorded medium and large-sized mammal species in 13 landscapes with predominantly matrices of coffee and pasture in Minas Gerais, Brazil. Then, we built distance-based linear models to identify the scale of effect of each landscape variable for both response variables considering eight scales (from 250 m to 2000 m). Finally, we verified the influence of the landscape on the richness and composition of mammals, considering the landscape variables in their respective scales of effect. We found 67% of the probable species occurring in the region. The scales of effect varied among landscape variables probably due to the different variables affect different aspects of organisms' ecological requirements. The proportion of pasture in the landscape explained the variation in species richness, while the proportion of forest explained the variation in species composition. In addition, the proportion of pasture in the landscape had a positive influence on species richness, indicating that this matrix may favor the presence of generalist species of habitat and/or this result is due to the higher concentration of species in the fragments immersed in this matrix. These results suggest that considering different responses to biodiversity is important to understand different aspects of the landscape's influence on biodiversity. In addition, the composition of the landscape is fundamental for the perpetuation of species and, therefore, both forest cover and types of matrices in the landscape must be considered to improve species conservation strategies. Finally, generalizing a spatial scale can lead to misinterpretations about the influence of the landscape on biodiversity.

The impact of antecedent soil moisture content on soil erosion is a complicated phenomenon, which is still under argument with contradictions in research results. Hence, the objective of this study is to investigate the impact of antecedent soil moisture content to soil loss on clay soil by conducting two-year field experiments under natural rainfall on runoff plots with length of 10 meters, width of 3 meters, and uniform slope of 9%. Volumetric soil moisture sensors were used to log soil moisture changes, and soil moisture readings were used along with rainfall records to quantify the antecedent soil moisture conditions for each rainfall event. Results of this study show duration of the effective erosion event outranks the antecedent volumetric soil moisture content. Field study also suggests that accumulative rain falling within 48 hours (Pp48) prior to an effective erosion event strongly correlated with soil loss per Rainfall-Runoff Erosivity Index (Soil Loss / EI30), particularly when the duration of an effective erosion event is either between 3 ~ 7 hours or 10~ 30 hours. Hence, Pp48 can be considered as an alternative to replace antecedent soil moisture content in RUSLE 2’s cover and management factor.

Image stitching is a crucial aspect of image processing. However, factors like perspective and environment often lead to irregular shapes in stitched images. Cropping or completion methods typically result in substantial loss of information. This paper proposes a method for rectifying irregularly images into rectangles using deformable meshes and residual networks. The method utilizes a convolutional neural network to quantify rigid structures of images. Choosing the most suitable mesh structure based on the extraction results, offering options such as triangular, rectangular, and hexagonal. Subsequently, the irregularly image, predefined mesh structure, and predicted mesh structure are input into a wide residual neural network for regression. The loss function comprises local and global, aimed at minimizing the loss of image information within the mesh and global target. This method not only significantly reduces information loss during rectification but also adapting to different images with various rigid structures. Validation on the DIR-D dataset shows this method outperforms state-of-the-art methods in image rectification.

Image stitching is a crucial aspect of image processing. However, factors like perspective and environment often lead to irregular shapes in stitched images. Cropping or completion methods typically result in substantial loss of information. This paper proposes a method for rectifying irregularly images into rectangles using deformable meshes and residual networks. The method utilizes a convolutional neural network to quantify rigid structures of images. Choosing the most suitable mesh structure based on the extraction results, offering options such as triangular, rectangular, and hexagonal. Subsequently, the irregularly image, predefined mesh structure, and predicted mesh structure are input into a wide residual neural network for regression. The loss function comprises local and global, aimed at minimizing the loss of image information within the mesh and global target. This method not only significantly reduces information loss during rectification but also adapting to different images with various rigid structures. Validation on the DIR-D dataset shows this method outperforms state-of-the-art methods in image rectification.

Street view images can help us better understand the city environment and potential characteristics. With the development of computer vision and deep learning, the technology of semantic segmentation algorithms has become more mature. However, DeeplabV3+, which is commonly used in semantic segmentation, has shortcomings such as a large number of parameters, high requirements for computing resources, and easy loss of detailed information. Therefore, this paper proposes LM-DeeplabV3+, which aims to greatly reduce parameters and computations of the model while ensuring the segmentation accuracy. Firstly, the lightweight network MobileNetV2 is selected as the backbone network, and the ECA attention mechanism is introduced after MobileNetV2 extracts shallow features to improve the ability of feature representation; secondly, the ASPP module is improved, and on its basis, the EPSA attention mechanism is introduced to achieve cross-dimensional channel attention and important feature interaction; thirdly, a loss function named CL loss is designed to balance the training offset of multiple categories and better indicate the segmentation quality. This paper conducted experimental verification on the Cityspaces dataset, and the results showed that the mIoU reached 74.9%, which was an improvement of 3.56% compared to DeeplabV3+; the mPA reached 83.01%, which was an improvement of 2.53% compared to DeeplabV3+.

The consequences of climate change and anthropogenic stressors, such as habitat loss and overexploitation, are threatening the subsistence of species and communities across the planet. Therefore, it is crucial to analyze the impact of environmental perturbations on the diversity, structure and function of ecosystems. In this work, in silico simulations of biodiversity loss were carried out on the marine food web of Caleta Potter (25 de Mayo Island, Antarctica) where global warming has caused critical changes in the abundance and distribution of benthic and pelagic communities during the last 30 years. We performed species removal considering their degree and trophic level and including four different thresholds on the occurrence of secondary extinctions. We examined the impact of extinctions on connectance, modularity and stability of the food web. We found different responses of these properties depending on the extinction criteria used, e.g., large increase in modularity and rapid decrease in stability when most-connected and relatively high-trophic level species were removed. Additionally, we studied the complexity-stability relationship of the food web founding two regimes: 1) high sensitivity to small perturbations suggesting that Potter Cove would be locally unstable, and 2) high persistence to long-range perturbations suggesting global stability of this ecosystem.

This study tests the utilization of Bluetooth noise-canceling headphones in improving the quality of eye exams in patients with hearing loss. University of Texas Medical Branch patients above 55 years of age were screened for hearing loss using SoundCheck audiometry. All 29 subjects (18 red-zone and 11 yellow-zone) answered pre-recorded Amsler grid and patient education questions that solicited precise responses. As controls, subjects were randomly administered half of the questions via headphones and half via a smartphone at normal speech volume (60 decibels). Points were awarded for responses demonstrating comprehension, and a post-exam survey was collected. Collectively, the mean score was 1.79 with headphones versus 0.96 with control on the Amsler grid segment and 1.90 with headphones versus 0.97 with control on education questions (p=0.001). Between the red and yellow zone hearing loss patients, the red-zone group answered significantly better in both Amsler (1.78 versus 0.50; p=0.0003) and education questions (1.88 versus 0.44; p<0.0001) with headphones. The yellow zone group answered better with headphones overall but failed to reach significance. Post-exam survey indicated that 28 of 29 patients (97%) preferred the headphones during ophthalmic exams. Patients with severe hearing loss demonstrated better comprehension with the noise-canceling headphones; thus these devices show great promise in improving effective, compassionate communication between providers and hearing-loss patients.

Liquidity providers for asset-pair pools with constant value distri- bution, such as Balancer pools, experience some impermanent loss whenever there is price divergence in the tokens’ fiat values. In this paper, we model this impermanent loss for geometric mean invariant pools by deriving a function of two parameters. We analyze our function graphically, showing that unevenly distributed pools with large weighting disparities best mitigate the risk of impermanent loss. We conclude by providing a general protocol for liquidity providers to choose a suitable pool based on their risk tolerance and profit goals.

Acute respiratory viruses (ARVs) are leading cause of diseases in human worldwide. High risk individuals including children and elderly could potentially develop severe illness that could result in hospitalization or death in the worst case. Most common ARVs are Human respiratory syncytial virus, Human Metapneumovirus, Human Parainfluenza Virus, rhinovirus, coronaviruses (including SARS and MERS CoV), adenoviruses, Human Bocavirus, enterovirus (-D68 and 71), and influenza viruses. The olfactory deficits due to ARVs infection is a common symptom among patients. This mini review provides an overview of the role of SARS-CoV-2 and other common ARVs in the development of human olfactory pathophysiology. We highlight the critical need for understanding the signaling underlying the olfactory dysfunction and the development of therapeutics for this wide-ranging category of AVRs to restore the altered or loss of smell in affected patients.

Diabetes is one of the fatal diseases that play a vital role in the growth of other diseases in the human body. Controlling and curing diabetes in its early stages is the most significant technique to avoid its effects of diabetes. However, lack of awareness and expensive clinical tests are the primary reasons to skip clinical diagnosis and take preventive methods in lower-income countries like Bangladesh, Pakistan, and India. From this perspective, the study aims to build an automated machine learning (ML) model, which will predict diabetes at an early stage using socio-demographic characteristics rather than clinical attributes. Because clinical features are not always known to all people from lower-income countries. To find the best fit supervised ML classifier of the model, we applied six classification algorithms and found that RF outperformed with an accuracy of 99.36%. In addition, the most significant risk factors were found based on the SHAP value by all the applied classifiers. The study reveals that polyuria, polydipsia, and delayed healing are the most significant risk factors for growing diabetes. The findings indicate that the proposed model is highly capable of predicting diabetes in the early stages.

The aim of this study was to measure one-year total cost of stroke and to investigate the value of stroke care, defined as cost per QALY. The study population included 892 patients with first ever acute stroke, hemorrhagic and ischemic, (ICD-10 codes: I61, I63 and I64) admitted within 48 hours of symptoms onset to nine public hospitals located in six cities. We conducted a bottom-up cost analysis from the societal point of view. All cost components including direct medical costs, productivity losses due to morbidity and mortality and informal care costs were considered. We used an annual time horizon, including all costs for 2021 irrespective of the time of disease onset. The average cost (direct and indirect) was extrapolated in order to estimate the national annual burden associated with stroke. We estimated the total cost of stroke in Greece at €343.1 mil a year in 2021, (€10,722/patient or €23,308 per QALY). Out of €343.1 mil., 53.3% (€182.9 mil) consisted direct healthcare cost representing 1.1% of current health expenditure in 2021. Overall, productivity losses were calculated at €160.2 mil. The mean productivity losses were estimated to 116 work days with 55.1 days lost due to premature retirement and absenteeism from work, 18.5 days lost due to mortality and 42.4 days lost due to informal caregiving by family members.This study highlights the burden of stroke and underlines the need for stakeholders and policy makers to re-organize stroke care and promote interventions that have been proved as cost-effective

The results of applying drilling engineering tools in planned deviated and horizontal wells of oil and gas condensate fields have been examined. The basis for the implementation of a comprehensive approach was the information obtained from drilling horizontal wells in the West and East Siberia, Volga-Ural region, and Iraqi Kurdistan. A synthetic model is considered as an example of the data, incorporating geomechanical and geological properties. As a result of the conducted audit of the geomechanical model and drilling process, the methodologies used were further developed to obtain optimal drilling fluid densities, aiming to prevent cavity formation on well walls, hydraulic fractures, and other related issues. The implementation of the Python programming language was introduced in the stages of geomechanical model preparation, resulting in a time acceleration of up to 20%. During the pre-drilling stage, technological operations were synchronized with the geomechanical model, increasing the involvement of process participants through the synchronization of knowledge areas. The interrelation between drilling technology, drilling parameters, properties of flushing fluids, and rock stability analysis was established, ensuring a 5% increase in construction speed (through NPT reduction and modification of existing tools and technological operations) and accident-free drilling of complex deviated and horizontal wells, provided that the recommended drilling parameters are followed.

Second-level hospitals face peculiarities that hinder the implementation of the hearing rescreening protocol, which are not uncommon in other settings. This study analyzes the hearing rescreening process in this kind of hospital. A total of 1130 individuals were included. In this cohort, 61.07% were newborns in the hospital who failed their first otoemission test after birth (n=679) or were unable to have the test performed (n=11), then being referred to outpatient clinic. The remaining 38.93% were individuals who were born in another hospital with their first test conducted in the outpatient clinic (n=440). A high amount of rescreenings were made outside the recommended time frame, mainly in children referred from another hospital. There was a high rate of lost to follow-up especially with otolaryngologist referrals. Neonatal Hearing screening in second level hospitals is difficult because of the staffing and time constraints. This results in longer than recommended turnaround times and interferes with the timely detection of hearing loss. This is particularly serious in outpatients. Referral of children with impaired screening to out-of-town centers leads to unacceptable loss of follow-up. A legislative support for all these rescreening issues is necessary. We discuss these findings and propose some solutions.

Expanding previous efforts to survey the visual opsin repertoires of the Hemiptera, this study confirms that homologs of the UV- and LW-opsin subfamilies are conserved in all Hemiptera, while the B-opsin subfamily is missing from the Heteroptera and subgroups of the Sternorrhyncha and Auchenorrhyncha, i.e. aphids (Aphidoidea) and planthoppers (Fulgoroidea), respectively. Unlike in the Heteroptera, which are characterized by multiple expansions of the LW-opsin subfamily, the lack of B-opsin correlates with the presence of tandem-duplicated UV-opsins in aphids and planthoppers. Available data on organismal wavelength sensitivities and retinal gene expression patterns lead to the conclusion that, in both groups, one UV-opsin paralog shifted from ancestral UV peak sensitivity to derived blue sensitivity, thereby compensating for the lost B-opsin. Two parallel bona fide tuning site substitutions compare to 18 non-corresponding amino acid replacements in the blue-shifted UV-opsin paralogs of aphids and planthoppers. Most notably, while the aphid blue-shifted UV-opsin clade is characterized by a replacement substitution at one of the best-documented UV/blue tuning sites (Rhodopsin site 90), the planthopper blue-shifted UV-opsin paralogs retained the ancestral lysine at this position. The combined findings identify aphid and planthopper UV-opsins as a new valuable data sample for studying adaptive opsin evolution.

According to circular economy principles, the recycling and reuse of waste tyre rubber is one of the most advanced and ecological waste disposal technologies. Each year about 19 million tons of tyres are produced, and this amount is increasing each year. One of the most innovative ways to recycle rubber waste is devulcanization. There are many methods of rubber devulcanization, but the most popular are grinding and chemical. In this article devulcanized rubber granules were used for the preparation of rubber samples. Two of them were obtained by the grinding method and one by chemical devulcanization. 15 different rubber samples were produced for the experimental measurements. Multilayer constructions with two solid layers of plasterboard on both sides (GKB and GKFI) and porous acoustic material of rubber sample inside were produced. Measurements were made in an impedance tube and compared with the results of TMM analysis. The same trends of resonant frequencies were determined. According to the results, the resonant frequencies depended on the thickness of the material, since transmission loss values depended on the mass of construction. According to the test results of transmission loss, constructions with 50mm thick rubber samples had on average 3dB better results than the structures with 25mm samples and 5dB better results than structures with 12 mm thick rubber samples. In addition, it was found that higher density plasterboards (GKFI) increased the overall transmission loss value of the structure by 5 dB. The same trends were determined by the TMM method. The test results showed that multi-layered constructions with devulcanized waste rubber had high transmission loss result and could be used for sound insulating structures.

The aim of the research presented here is to assess the magnitude of the burden of health limitations resulting from air pollution on the world's economies. This burden was determined by the estimated number of premature years of life lost (YLLs) or health lost (YLDs) due to air pollution-related diseases in the working-age population. Attention was drawn to the problem of existing inequalities in the global burden of national economies with different income levels. The hypothesis of a persistently high level of inequality was verified on the basis of an analysis of the convergence process in a group of 204 countries over the period 1990-2019. The results obtained indicate a strong variation in the level of health constraints caused by air pollution. The analysis of the catch-up process of the least advantaged countries (highest level of health constraints due to air pollution) did not show a positive convergence effect in the study group.

Many studies have focused on the impacts of rainfall duration and intensity while overlooking the role of rainfall patterns on intensive tillage erosion in hilly agricultural landscapes. The objective of this study was to determine the combined effects of rainfall patterns and intensive tillage erosion on surface runoff and soil loss on sloping farmland in the purple-soil area of China. Five simulated rainfall patterns (constant, rising, falling, rising-falling, and falling-rising) with the same total precipitation were designed, and the intensive tillage erosion treatment (IT) and no-tillage treatment (NT) were subjected to simulated rainfall using rectangular steel tanks (2 m × 5 m) with a slope of 15°. To analyse the differences in the hydrodynamic characteristics induced by tillage erosion, we calculated the flow velocity (V), Reynolds number (Re), Froude number (Fr), and Darcy-Weisbach resistance coefficient (f). The results indicate that significant differences in surface runoff and soil loss were found among different rainfall patterns and stages (P < 0.05). The falling pattern and falling-rising pattern had faster runoff-initiating times and larger sediment yields than those of the other rainfall patterns. f varied from 0.30 to 9.05 for the IT and 0.48 to 11.57 for the NT and exhibited an approximately inverse trend to V and Fr over the course of the rainfall events. Compared with the NT, the mean sediment yield rates from the IT increased the dynamic range of 8.34%–16.21% among different rainfall patterns. The net contributions of the IT ranged from 2.77% to 46.39% on surface runoff and 10.14%–78.95% on soil loss on sloping farmland. Surface runoff and soil loss were positively correlated with rainfall intensity, V, and Fr but negatively correlated with f irrespective of tillage intensive (P < 0.05). For varying-intensity rainfall patterns, soil and water loss fluctuated during rainfall events, suggesting that the changes in rainfall intensity and tillage intensity would result in drastic variations in soil hydrological characteristics and sediment transport mechanisms. The time sequences of rainfall intensity in each rainfall pattern significantly affected surface runoff, soil erosion, and their contribution rates to total soil and water loss. Moreover, tillage erosion effects on soil and water loss were closely related to rainfall patterns in hilly agricultural landscapes. Our study not only sheds light on the mechanism of tillage erosion and rainfall erosion but also provides useful insights for developing tillage-water erosion prediction models to evaluate soil and water loss on cultivated hillslopes.

Nowadays, many Muslim-majority countries have implemented a dual banking system, namely the sharia and conventional systems. The development of Islamic banks is to fulfill the Muslims' need for the existence of halal transactions in financial institutions. However, in some countries, it turns out that conventional banks still dominate the country's economy. Because of that, it is necessary to see whether there are differences in financial risk and Earnings management between Islamic and conventional banks. The samples are conventional and Islamic banks in Southeast Asia, analyzed by the purposive sampling method from 2010-2019. The analytical tool used is the statistical difference test and economometrics analysis using generalized least square (GLS) regression with panel data (time series and cross-sectional data). These models are intended to forecasting the macroeconomics effects in applying dual banking system in one country or region. The results using non parametrics means difference test showed that the first hypothesis is accepted It means that Earnings management in conventional banks is greater than in Islamic banks. The Random Model Effect (REM) for second and third hypotheses testing on Conventional banks shows the Bankruptcy Risk and NPL do not affect the dependent variable Earnings Management (LLP). While fixed effect model testing on Islamic banks, the second and third hypothesis testing is rejected. Therefor Islamic Banks the value of Bankruptcy Risk (z-score) and the value of Non-Performing Loans (NPL) do not affect Earnings management. It also means that hypothesis 2 and 3 are rejected both in conventional as well as Islamic Banking. Sensitivity analysis for conventional as well as Islamic banking altogether using fixed effect model shows that the second and third hypotheses show that the independent variables (Bankruptcy Risk and NPL) do not affect the dependent variable Earnings Management (LLP). These results can be concluded that Islamic bank are enganged in less earnings management. Therefor in the the long run there are still more research that should conduct in comparing dual banking system in one region.

We explore the importance of curvature in carbonaceaous species transformation and stability, using laser-induced vaporisation to evaporate and ionise a source of curved polyaromatic hydrocarbons: carbon nanobelts. Collision impacts between species cause mass loss and the resultant ions are catalogued via mass-spectrometry. To interpret the mass spectra, we perform a series of “in-silico” simulated systematic hydrogen-loss studies using density functional theory (DFT) modelling, sequentially removing hydrogen atoms using thermodynamic stability as a selection for subsequent dehydrogenation. In an initial sequence of H2 removal, the rings are maintained through stable carbyne chain and pentagon-chain formation, giving rise to circular strained dehydrobenzoannulene species. The chains subsequently break, releasing CH and C2. While theoretical closed-cage routes are identified, they are not observed experimentally. The results can serve as a useful guide to high-energy impact conditions observed in some astrochemical environments.

The purpose of this article is to simulate data transmission and calculate traffic parameters in SAGIN air segment for which Ad Hoc network of flying drones is considered as a model. Traffic modeling is based on the manet-routing-compare example from the ns3 simulator library, which has been supplemented with the code for calculation packet losses, throughput/goodput, and message transmission delays. The program allowed considering drones movement at both low and high speeds from 3.6 km/h to 72 km/h. The dependences of traffic losses on data transmission power, transaction sizes and data transmission rate are obtained and analyzed. The distribution of the average effective arrival rate λ and the throughput/goodput for drones has been studied. Comparing traffic characteristics in models with different numbers of drones allows judging how the required quality of service can be achieved by choosing the right transmission parameters.

This paper explores the coordination of the agricultural cooperative to supermarket or E-commerce sup-ply chain, under the condition of quantity loss with a mixed decay function of exponential and logistical distribution. The nature of this process is analyzed, and the corresponding demand and supply functions with single- and multi-stage discount strategies are constructed respectively to create a working model. The optimal discount ratios for supermarkets and agricultural cooperatives in decentralized and central-ized decision-making modes coupled with single- and multi-stage discounts are calculated respectively. Finally, a universal optimal strategy is designed, which can be applied to various quantity decay scenarios and makes the discount strategy more generalized. The results show that discounts can coordinate supply chains more effectively; not only is fresh agricultural produce sold before it starts to rot, but the benefit conflicts arising from both supermarkets vs. cooperatives and traditional vs. E-commerce channels are equilibrated. Further, multi-stage discounts are more effective than single-stage ones, but optimal discount ratios rely on the initial quantity of fresh agricultural produce in the supply chain; its market share in the traditional distribution channel; the potential market size; retail price; the price sensitivity coefficient of the channel; the cross-elasticity coefficient of prices between different channels; and the properties of the quantity loss.

Abstract: Windtech device is a novel tool for measuring the sensation of the ‘cold’. Cold poses numerous challenges for industrial operations, human survival, and living convenience. The impact of the cold is not possible to be quantified just based on temperatures; however other factors such as wind speed, humidity, irradiance have to be taken into consideration. Efforts have been made to develop combined indices such as wind chill temperature (WCT), AccuWeather RealFeel®, and others. The presented article discusses these along with the industrial standards that emphasize on the quantification of the ‘cold’. The following article introduces the Windtech device and its operating principle involving ‘heated temperature’, where the ‘heated temperature’ is affected by environmental parameters including ambient temperature, humidity, wind velocity, and irradiance. The discussed Windtech device is calibrated for operation according to the ISO 11079:2007 standard.

In this paper, we examine two strategies for boosting the performance of ensembles of Siamese networks (SNNs) for image classification using two loss functions (Triplet and Binary Cross Entropy) and two methods for building the dissimilarity spaces (FULLY and DEEPER). With FULLY, the distance between a pattern and a prototype is calculated by comparing two images using the fully connected layer of the Siamese network. With DEEPER, each pattern is described using a deeper layer combined with dimensionality reduction. The basic design of the SNNs takes advantage of supervised k-means clustering for building the dissimilarity spaces that train a set of support vector machines, which are then combined by sum rule for a final decision. The robustness and versatility of this approach are demonstrated on several cross-domain image data sets, including a portrait data set, two bioimage and two animal vocalization data sets. Results show that the strategies employed in this work to increase the performance of dissimilarity image classification using SNN is closing the gap with standalone CNNs. Moreover, when our best system is combined with an ensemble of CNNs, the resulting performance is superior to an ensemble of CNNs, demonstrating that our new strategy is extracting additional information.

TThe passion of bodybuilding athletes for a symmetric, lean, heavily muscled body leads them to carry out exhausting exercise programs and restrictive eating regimens, sometimes resulting in disordered eating behaviors. This study investigates potential exacerbators on the development of disordered eating in bodybuilding and strength athletes. The study involved 103 Cypriot bodybuilding athletes of both sexes, performing at three levels: professional, recreational and strength athletes. The Eating Attitude Test 26 (EAT-26) and The Three Factor Eating Question-naire (TFEQ-R21) were used to evaluate disordered eating and eating behaviors respectively. The current study was performed under the auspices of the Hellenic Center of Education & Treatment of Eating Disorders (KEADD). The degree of deviation between the perceived ideal body weight and the actual body weight was associated with increased risk of eating disorder. Athletes who desired a lower body weight recorded higher scores on EAT-26 overall, (p=0.001), and the subscales of dieting (p=0.01) and bulimia. (p=0.001). Cognitive restraint and emotional eating scales of TFEQ-R21 were more pronounced in the non-professional athletes. (p=0.01). The emotional eating score was higher in women. There is a need for appropriate sport-specific, gender-specific preventive intervention to deescalate the risk of eating disorder, in both profes-sional and non-professional bodybuilding athletes.

The passion of bodybuilding athletes for a symmetric, lean, heavily muscled body leads them to carry out exhausting exercise programs and restrictive eating regimens, sometimes resulting in disordered eating behaviors. This study investigates potential exacerbators on the development of disordered eating in bodybuilding and strength athletes. The study involved 103 Cypriot bodybuilding athletes of both sexes, performing at three levels: professional, recreational and strength athletes. The Eating Attitude Test 26 (EAT-26) and The Three Factor Eating Questionnaire (TFEQ-R21) were used to evaluate disordered eating and eating behaviors respectively. The current study was performed under the auspices of the Hellenic Center of Education & Treatment of Eating Disorders (KEADD). The degree of deviation between the perceived ideal body weight and the actual body weight was associated with increased risk of eating disorder. Athletes who desired a lower body weight recorded higher scores on EAT-26 overall, and the subscales of dieting and bulimia. Cognitive restraint and emotional eating scales of TFEQ-R21 were more pronounced in the non-professional athletes. The emotional eating score was higher in women. There is a need for appropriate sport-specific, gender-specific preventive intervention to deescalate the risk of eating disorder, in both professional and non-professional bodybuilding athletes.

Oriental melons have a relatively short shelf life as they are harvested during the summer season and susceptible to cold-induced injuries. Typical chilling injury when stored at 4℃ is expressed as browning of the fruit suture. To prolong the shelf life and reduce browning of the fruit, the effects of modified atmosphere packaging (MAP), X-tend modified atmosphere (MA)/modified humidity (MH) bulk packaging (XF), and polyethylene (PE) packaging, on oriental melons were investigated during storage at 4℃ and 10℃ for 14 days and under retail display conditions at 20℃. The O2 concentrations in PE packages stored at 4℃ and 10℃ ranged from 17.4–18.5%, whereas those in XF packages were reduced to 16.3–16.6%. The CO2 content of XF package (4.2–4.6%) was higher than that of PE package (1.4–1.9%) stored at 4℃ or 10℃. Relative humidity (RH) saturated in the PE packages but not in the XF packages after seven days of storage. Furthermore, PE packages performed better at maintaining melon weight and firmness than XF packages during storage at 10℃ for 14 days and under retail display conditions at 20℃. PE and XF packages effectively reduced the browning index of the peel and white linear sutures of oriental melons compared with the unpackaged control during cold storage at 4℃, and this observation was maintained at the retail display condition at 20℃. The enhanced CO2 levels, reduced O2 levels, and optimal RH values that were provided by the MAP, prevented the browning symptoms and improved the marketability and shelf life of oriental melons.

Turbine generator operates with complex cooling system due to the challenge in controlling the peak temperature of the stator bar caused by ohm loss, which is unavoidable. Therefore, it is important to characterise and quantifies the thermal performance of the cooling system. The focus of the present research is to investigate the heat transfer and pressure loss characteristics of typical cooling system, so-called stator ventilation duct. A real scale model was built at its operating conditions for the present study. The direction of cooling air is varied to consider its operation condition, so that there are (1) outward flow and (2) inward flow cases. In addition, the effect of (3) cross flow (inward with cross flow case) is also studied. The transient heat transfer method using thermochromic liquid crystals is implemented to measure full surface heat transfer distribution. A series of Computational Fluid Dynamics analysis is also conducted to support the observation from the experiment. For the inward flow case, the results suggest that the average Nusselt number of the 2nd duct is about 30% higher than the 3rd duct. The trend is similar with the effect of cross flow. The CFD results are in good agreement with the experimental data.

Dietary approach is essential to obesity control, but the effectiveness of changes in meal frequency (MF) as strategies for loss and maintenance of body mass remain unclear. This study aimed to evaluate the influence of MF on a hypocaloric diet on weight loss, active ghrelin levels and metabolic indicators of women with obesity. This is a randomized, parallel clinical trial, including forty women, randomized in two groups, both following a hypocaloric diet, according to MF (G1 – six meals/day; G2 – three meals/day). Dietary, laboratory, anthropometric and body composition indicators were assessed, as well as energy expenditure (EE), before and after the 90 days of intervention. After intervention, both groups decreased body weight, body mass index (BMI), waist circumference, fat mass (FM), insulin and HOMA-IR. G1 increased insulin sensitivity and G2 reduced triglyceride and FM and increased fat-free mass (FFM). MF increased ghrelin levels. There were no differences in EE variables. Hypocaloric diet with different MF promoted a reduction in total weight, BMI, WC and FM and an improvement in glycidic metabolism. However, the accomplishment of the three meals/day increased the FFM and active ghrelin and reduced triglyceride, while six meals/day was more beneficial in increasing insulin sensitivity.

The corrosion of prestressing steel in prestressed concrete bridges is a critical issue for bridge maintenance. To assess structures with corroded strands, it is necessary to define the mechanical properties of the strands and their influence on the structural behavior. In this study, corroded strands are taken from external tendons in existing bridges and tested to define the effects of corrosion on the tensile properties of the strand. Empirical equations for the tensile strength and ductility of the corroded strand are proposed using test results. The most corroded wire governs the mechanical properties of the strand. Experiments on prestressed concrete beams with a single corroded strand are conducted to investigate the structural behavior. A reduction in the flexural strength and maximum deformation is observed from the experiment. According to the section loss of a wire in a strand and its location in a beam, the flexural capacity can be evaluated using the proposed equation. The reduced ultimate strain of the corroded strand can be the governing factor of the flexural strength.

Bangladesh has a history of species introduction from different geographic regions. The country was a major trade route during the early-modern era and was under British colonial rule until 1947s. Many species of plants and animals are either domesticated or cultivated at different times that were brought into the country by the settlers, seamen, and traders. The deliberate preferences of fast-growing, high-yielding exotics in recent decades also threaten the existence of native species and their genetic resources in the country. Here we provide an overview of the invasive alien species in Bangladesh, likely pathways of their introduction, their impacts on ecosystem and people, and strategies for their effective management and regulation. Many exotic plants and animals both terrestrial and aquatic have found to be invasive in the country with negative impacts on local ecosystems, biodiversity, and livelihoods. Collectively, those species possess serious threats to country’s agriculture, forestry, and fisheries sector. Although initially introduced to favor primary productivity or other environmental benefits, many of these are now regarded as obnoxious pest or weed in Bangladesh. A comprehensive list of invasive species both for native and exotics and a framework to characterize them is also absent in the country. We recommend a separate statutory body and appropriate rules and policies for the introduction, monitoring, and management of alien species in the country. Community awareness, advocacy, surveillance, capacity building of relevant government staff and agreement with neighboring countries for transboundary management of invasive alien species is also necessary.

This paper develops a multi-task learning framework that attempts to incorporate the image structure knowledge to assist image inpainting, which is not well explored in previous works. The primary idea is to train a shared generator to simultaneously complete the corrupted image and corresponding structures --- edge and gradient, thus implicitly encouraging the generator to exploit relevant structure knowledge while inpainting. In the meantime, we also introduce a structure embedding scheme to explicitly embed the learned structure features into the inpainting process, thus to provide possible preconditions for image completion. Specifically, a novel pyramid structure loss is proposed to supervise structure learning and embedding. Moreover, an attention mechanism is developed to further exploit the recurrent structures and patterns in the image to refine the generated structures and contents. Through multi-task learning, structure embedding besides with attention, our framework takes advantage of the structure knowledge and outperforms several state-of-the-art methods on benchmark datasets quantitatively and qualitatively.

As the energy efficiency demands for future buildings become increasingly stringent, preliminary assessments of energy consumption are mandatory. These are possible only through numerical simulations, whose reliability crucially depends on boundary conditions. We therefore investigate their role in numerical estimates for the usage of geothermal energy, performing annual simulations of transient heat transfer for a building employing a geothermal heat pump plant and energy piles. Starting from actual measurements, we solve the heat equations in 2D and 3D using COMSOL Multiphysics and IDA-ICE, and discover a negligible impact of the multiregional ground surface boundary conditions. Moreover, we verify that the thermal mass of the soil medium induces a small vertical temperature gradient on the piles surface. We also find a roughly constant temperature on each horizontal cross-section, with nearly identical values if the average temperature is integrated over the full plane or evaluated at one single point. Calculating the yearly heating need for an entire building we then show that the chosen upper boundary condition affects the energy balance dramatically. Using directly the pipes’ outlet temperature induces a 54% overestimation of the heat flux, while the exact ground surface temperature above the piles reduces the error to 0.03%.

The aim of this study was to explore perspectives of occupation health personnels (OHPs) regarding education and training of mineworkers on occupational noise induced hearing loss (ONIHL) and its impact on mineworkers’ hearing. Qualitative, in-depth telephonic and face-to-face interviews were conducted with 16 OHPs comprising representatives from the state, employer and labour as well as audiologists and occupational health hygienists. Purposive and snowball sampling were utilized to recruit participants. Data were analysed using inductive thematic analysis. Findings revealed that mineworkers have a superficial awareness and knowledge of the impact of noise on their hearing and health. Moreover, OHPs are not knowledgeable on how mineworkers are educated on ONIHL and its latent consequences. Furthermore, language, low levels of education and literacy as well as the financial constraints were factors that had a negative impact on raising awareness and training mineworkers. There is a need to prioritize health literacy among mineworkers. Additionally, audiologists need to play an active role in educating mineworkers about the effects of excessive exposure to noise. There is a need to take into account literacy levels and language barriers in planning training material for mineworkers.

Abstract: Radiation-induced skin injury can be a serious cutaneous damage and have specific characteristics. Asymptomatic periods are classified as the latent stage. The skin barrier plays a critical role in the modulation of skin permeability and hydration and protects the body against a harsh external environment. However, an analysis on the skin barrier dysfunction against radiation exposure in the latent stage has not been conducted. Thus, we investigated whether skin barrier is impaired by irradiation in the latent stage and aimed to identify the molecules involved in skin barrier dysfunction. We analyzed skin barrier function and its components in SKH-1 mice that received 20 and 40 Gy local irradiation. Increased transepidermal water loss and skin pH were observed in the latent stage of the irradiated skin. Skin barrier components, such as structural proteins and lipid synthesis enzymes in keratinocyte, increased in the irradiated group. Interestingly, we noted sebaceous gland atrophy and increased serine protease and inflammatory cytokines in the irradiated skin during the latent period. This finding indicates that the main factor of skin barrier dysfunction in the latent stage of radiation-induced skin injury is sebaceous gland deficiency, which could be an intervention target for skin barrier impairment.

Energy storage systems (ESS) are penetrating into various sections of power system through different applications. ESS can be used either as a buffer for intermittent renewable energy sources or as a stand-alone distributed storage for load shifting. ESS use different types of storage devices such as lead-acid batteries, lithium ion batteries, flow batteries, and super-capacitors. Hybrid ESS consisting of few types of storage devices are also common in practice. Determining the load demand of such ESSs at various instances (charging profile) accurately is indispensable in most of the cases. Capacity loss is common phenomenon that occurs in all types of storage devices because of ageing. Capacity loss has to be accounted while determining the charging profile of storage devices for better accuracy. Data-driven modeling is an attractive approach for determining the load demand of ESS due to the availability of valuable data from smart grid technologies. In this paper, the application of different types of data-driven models to predict the current charging profile of the ESS based on previous charging profiles is examined. The proposed method can leverage on the existing data from smart grid and is a black box modeling approach.

We propose a SUSY-inspired loss framework to address the generalizationrobustness trade-off in AI. Combining bosonic and fermionic components, the loss ensures smooth learning and robustness against adversarial attacks. Parallel transport stabilizes weight updates across non-Euclidean loss landscapes. Validation on CIFAR-10 demonstrates stable convergence and enhanced performance under FGSM and PGD attacks, confirming the effectiveness of the proposed approach. Keywords: Supersymmetry, Generalization, Robustness, Adversarial Attacks, Parallel Transport, Loss Optimization, CIFAR-10.

Generative Adversarial Networks (GANs) are powerful models for generative tasks but face significant challenges such as instability, mode collapse, and inefficient convergence. This paper introduces a theoretical framework leveraging Fermi-Dirac statistics, Ruppeiner geometry, phase transition dynamics, and graph theory to address these issues. The proposed theorems provide a robust mathematical foundation for enhancing GAN stability, diversity, and convergence. Experimental validation on the MNIST dataset demonstrates that the application of these theorems results in improved Inception Scores, reduced Fréchet Inception Distances, and stable training dynamics, as indicated by Ruppeiner curvature analysis. The findings suggest that these theoretical insights offer a comprehensive solution to the persistent challenges in GAN training, paving the way for more reliable and effective generative models.

Background/objective: Background: Eating behaviors (EB) correlate with weight loss after bariatric surgery (BS). Therefore, investigation of EB could guide interventions before the achievement of insufficient weight outcomes. Method: A prospective cohort of 85 patients undergoing Roux-en-Y Gastric Bypass (RYGB, 84.7% female, mean age 44.7±9.3 years) was included. After six months from RYGB, EB patterns, including cognitive restraint (CR), uncontrolled (UE) and emotional eating (EE), were assessed using the Three-Factor Eating Questionnaire R21 (TFEQ-R21). History, physical examination, and anthropometric assessment were collected pre- and 12 months postoperative. Patients were divided based on the percentage of excess weight loss (%EWL&lt;80% or ≥80%) and EB patterns were correlated with weight outcomes at 12 months. Results: The %EWL≥80% group demonstrated significantly higher scores in CR and EE compared to %EWL&lt;80% (p&lt;0.001 and p=0.01, respectively). UE scores were similar between groups (p=0.41). At 12 months postoperative, the %EWL≥80% group had negative correlations between CR and BMI and positive correlations between CR and EWL (rho=-0.33 and rho=0.29; p=0.04). Multiple logistic regression considering %EWL≥80% as the aim outcome revealed that CR had a significant influence (OR=1.037; p=0.058), while age (OR=0.962; p=0.145), sex (OR=2.984; p=0.135), UE (OR=0.995; p=0.736), and EE (OR=1.017; p=0.296) did not. Conclusion: EBs influence outcomes after BS, and a model using TFEQ-R21 predicted them. CR six months post-surgery was the strongest predictor of higher EWL at 12 months. Further research is needed to understand the relationship between restrictive EB and BS outcomes, possibly identifying strategies to prevent disordered EB in patients with higher scores.

Reproductive disorders are a common event in modern reproductive medicine, occurring both in spontaneous and assisted pregnancies. Studies of the molecular mechanisms of implantation disorders in thin endometrium, including the study of gene transcriptional activity, have shed light on the identification of potential biological markers of endometrial receptivity. Background/Objectives: to reveal significantly dysregulated selected genes expression between RIF and RPL patients with thin endometrium. Methods: Endometrial samples were collected in the implantation window days (LH+7 – LH+10) of the natural menstrual cycle from RIF patients (n=20) and RPL patients (n=19). Ten genes were chosen as target genes regarding their possible relations with the implantation process. Total RNA was purified, reverse-transcribed; gene expression was quantified by RT-PCR. Results: The expression of the IL-15, INFG and HPRT1 genes were significantly decreased in RIF with thin endometrium patients compared to the RPL patients (log2 fold change=0.92, p=0.023 for IL-15, log2 fold change=1.24, p=0.046 for INFG, and log2 fold change=0.579, p=0.046 for HPRT1). There were not significant differences in expression of CXCL8, CXCL1, MMP10, C4BPA, TNC, VEGFB and HAND2 genes between groups. Conclusions: decreased expression of IL-15, INFG and HPRT1 genes was found in patients with RIF with thin endometrium compared to the endometrium of women with RPL. This has practical significance for clinicians for differentiated prescription of immunomodulatory therapy in patients undergoing ART programs.

Stage IV grade C localized periodontitis (pre-puberal localized aggressive periodontitis/LPP), an extremely rare form of periodontal disease, occurs in otherwise healthy individuals (no signs of dental plaque/calculus) due a hyper-aggressive auto-immune response to high periodontopathic bacteria levels. Methods: A 4-year-old Caucasian girl with unusual high mobility of temporary lower left canine and localized gingival inflammation was misrecognized by multiple clinicians (initially diagnosed with hypophosphatasia, genetic and metabolic disorders, all turning negative), over a period of 4-6 month, despite initial radiographs showing clear pathognomonic signs. LPP diagnostic was made by the last clinician, but by now the tooth was lost. Similar inflammation signs appeared around the lower temporary right canine. X-ray examination showed similar bone and periodontal loss as previously seen, while periodontopathic bacteria tested highly positive. The patient received both mechanical cleaning and ten days systemic antibiotic treatment (Augmentin and Metronidazole). Results: Two months after, inflammation signs disappeared, with periodontal regeneration radiologically present, and only small periodontopathic bacteria precursors concentrations. Conclusions: Despite initial periodontal loss, an adequate treatment can keep under control an LPP disease. Moreover, bone and periodontal regeneration appears if periodontopathic bacteria scores are kept lower, showing the importance of fast adequate diagnostic and treatment.

Nanocellulose (CNC) seems to be a promising surfactant, which, together with expandable graphite (EG), forms the essence of an effective natural-based fire retardant wood coating. In our research, the most suitable composition of the mixture was tested concerning good solubility, dispersion, and consistency. Favorable results were achieved with the formulation composed of a 4% CNC alkaline solution with 80 wt.% of selected EG. Subsequently, six different EG were used to prepare these wood fire retardant coatings. The effectiveness of treatments was verified using a test with a radiant heat source, where the test samples' relative weight loss, relative burning rate, and surface temperature during 600 sec were evaluated. All prepared formulations can be characterized as more or less equally effective. However, the best results were obtained with EG of GG 200 – 100 N, where the mass loss of the sample was 8.10 ± 1.24%. Very good results were also achieved by graphite 25 E + 180 HPH (8.70 ± 0.89%), which is similar to the previous one, even according to the microscopic assessment of the coating as well as the expanded layer. Graphite type 25 K + 180 (8.86 ± 0.65 %) shows the expanded layer's best cohesion, coating uniformity, and ease of application. The results of this work confirmed that the CNC coating itself has significant retardation effects.

Mulberry leaves, when infected by pathogens, can suffer significant yield loss or even death if early disease detection and timely spraying are not performed. To enhance the detection performance of mulberry leaf diseases in natural environments and to precisely locate early small lesions, we propose a high-precision, high-efficiency disease detection algorithm named YOLOv8-RFMD. Based on improvements to You Only Look Once version 8 (YOLOv8), we first proposed the Multi Dimension Feature Attention (MDFA) module, which integrates important features at the pixel-level, spatial and channel dimensions. Building on this, we designed the RFMD Module, which consists of the Conv-BatchNomalization-SiLU (CBS) module, Receptive-Field Coordinated Attention (RFCA) Conv, and MDFA, replacing the Bottleneck in the model’s Residual block. We then employed Adown down sampling structure to reduce the model size and computational complexity. Finally, to improve the detection precision of small lesion features, we replaced the complete intersection over union (CIOU) loss function with the Normalized Wasserstein Distance (NWD) loss function. Results show that the YOLOv8-RFMD model achieves an mAP50 of 94.3% and an mAP50:95 of 67.8% on experimental data, representing increases of 2.9% and 4.3% respectively compared to the original model. The model size is reduced by 0.53 MB to just 5.45 MB, and the number of floating-point operations is reduced by 0.3 G to only 7.8 G. The improved model meets the deployment requirements of mobile embedded devices and can provide a theoretical reference for the automated spraying operations of mulberry leaves.

Abstract The aim of the present review is to discuss the roles of vitamin K and vitamin K-dependent proteins, and the combined action of the vitamins K and D, for maintenance of bone health. The most relevant vitamin K-dependent proteins in this respect are osteocalcin and matrix Gla-protein (MGP). When carboxylated these proteins appear to have the ability to chelate and import calcium from the blood to the bone, thereby reducing the risk of osteoporosis. Carboxylated osteocalcin appears to contribute directly to bone quality and strength. Adequate vitamin K status is required for carboxylation of MGP and osteocalcin. In addition, vitamin K acts on bone metabolism by other mechanism, such as a ligand for the nuclear steroid and xenobiotic receptor (SXR). In this narrative review, we examine the evidence for increased bone mineralization through dietary adequacy of vitamin K (phylloquinone or menaquinone). Summarizing the evidence for a synergistic effect of vitamin K and vitamin D3 we find that an adequate supply of vitamin K on top of an optimal vitamin D status seems to add to the benefit for maintaining bone health. More research related to synergism and possible mechanisms of vitamins D3 and K interaction in bone health is needed.

This research proposes a methodology for minimizing losses in transmission lines (LT), considering the reconfiguration of the architecture of the electrical power system (SEP). The implementation of this methodology redirects the power flow with optimal switching through its LTs to guarantee the stability of the voltage, angle, frequency, and power balance to minimize losses that affect the reliability and quality of the system. Optimal transmission switching (OTS) allows various types of analysis to be carried out, where the loadability of the lines, response times, and operating costs, among others, can be improved. This article proposes to minimize the losses in the transmission lines with the OTS by using AC power flows as a mixed integer nonlinear problem (MINLP). Several test scenarios evaluate the method’s effectiveness, determining the optimal topology for corrective control that optimizes power flows in different situations. It has been proven that this approach reduces losses compared to a base case by 99%, even in the face of N-1 or random contingencies, without losing load, maintaining the same active power dispatch, and finally verifying a strategic increase in dispatch of reactive power to maintain operating parameters within stable limits.

Proper Post-Activation Performance Enhancement helps to improve athletic performance. This study aimed to investigate the effects of two different velocity loss (VL), 10%VL and 20%VL, on post-activation performance enhancement (PAPE) in 20m sprint performance among sprint athletes. Twenty-four male sprint athletes (100m sprint time: 10.96±0.15 s) were recruited. A randomized crossover experimental design was used for traditional group (TG), 10%VL, and 20%VL interventions. Sprint tests were conducted at the 4th, 8th, 12th, and 16th minutes after the intervention. Two-way repeated measures ANOVA revealed an interaction effect between group and time on 20m sprint performance (F=2.817, p=0.037, partial η²=0.585). Simple effect analyses showed significant differences compared to baseline at the 4th minute for the 20%VL group (P&lt;0.05). Cohen's d values indicated improvement in 10m sprint times at the 8th minute of the rest interval for all three intervention groups (TG: ES=-0.270, 10%VL: ES=-0.038, 20%VL: ES=-0.279). Improvement in 20m sprint times was observed at the 4th minute for the 20%VL group (ES=-0.296) and at the 16th minute for the 10%VL group (ES=-0.276). Compared to traditional PAPE schemes based on 1RM, PAPE schemes based on velocity loss (20%VL) can better induce PAPE effects in sprint athletes.

Abstract—Hydraulic switching actuators are high efficiency, fast response, and low cost solutions for hydraulic control systems. One of the challenging problems is throttling losses during valve transitions. Previously the authors proposed a zero-flowrate switching method to reduce throttling energy loss of the switching valve, where a hydraulic resonator is applied to make the flowrates through the lines approaching zero before the valves are switched off. The major challenge of this approach is fast switching valves whose transition times are less than 2 ms. In this paper, an improved zero-flowrate switching method is presented. It utilizes the capacity with independent inlet/outlet ports to regulate flowrates through the lines. Models of capacity applied in a simple line with different pressure signals are developed to explore characteristics of the capacity, based on which a complete actuation system is developed. In the complete model, resistance and inductance are optimized to achieve desired flowrate response. The improved zero-flowrate switching method reduces throttling energy losses by 99.945% compared to a hard switching system. The simulation results demonstrated that the improved zero-flowrate switching method performs as expected in the design condition. A capacity with proper volume is able to regulate flowrates through all the lines to zero, with the help of appropriate resistance and inductance. Compared to previous zero-flowrate switching method, the novel strategy allows slower switching valves applied in hydraulic actuation systems and achieves better efficiency performance. This research paves a new avenue for reducing throttling energy losses and improves system efficiency in hydraulic switching actuators, as well as most of the hydraulic switch-mode circuits.

Mandibular third molar is the most frequently impacted tooth. Mandibular third molar impaction bears consequences on the adjacent mandibular second molar (MSM) like bone loss. It can be identified initially using orthopantomography (OPG). The objective is to compare the changes in the bone level distal to MSM between patients with extracted and non-extracted impacted man-dibular third molars (IMTM) using OPG. In this retrospective case-control study, 160 archived (OPGs) of 80 patients visiting the Dental Hospital of the University of Barcelona (HOUB) were randomly selected. The participants were stratified into two groups. The study group involved measuring the bone level distal to the mandibular second molar before and after the extraction of the IMTM. The control group, on the other hand, had bone levels measured twice within 3–6-month period without the extraction of the IMTM. The mean ages of patients in study and control groups were 35.5 ± 15.45 and 33 ± 16.49, respectively. Study group demonstrated signifi-cant (p < 0.05) bone gain after extraction, whereas control group demonstrated significant bone loss (p < 0.0001) after follow-up. Bone improvements were observed distal to the mandibular second molar after the extraction of the IMTM compared to those in control group.

The Southwest Alpine Canyon Area of China was one of the regions in the world that suffered from severe soil erosion. The focus of this research was to understand the response of land use change on soil loss by water erosion in alpine canyon on Southeast Tibet, we analyzed the characteristics of temporal and spatial dynamics of land use in the Niyang River Basin from 1990 to 2020 using GIS and statistical methods, assessed the spatial and temporal change characteristics of soil erosion in the Niyang River Basin using RUSLE model. For this purpose, the meteorological, soil, topographic, remote sensing data were collected. The results showed the area of cropland and construction land in the Niyang River Basin increased to 2.4 and 6.1 times the original from 1990 to 2020, respectively, the area of forest and water continued to decrease. Grassland, unused land and forest have always been the dominant land types in the Niyang River Basin. Tolerable soil erosion was distributed in the flat areas of the valley terraces in the main stream and its tributaries, slight soil erosion was mainly distributed in the flat areas at high altitudes, and moderate, severe, very severe and destructive soil erosion was sporadically distributed in the Niyang River Basin. The areas of tolerable and slight soil erosion exceeded 82% of the total area, The area of severe, very severe and destructive soil erosion was less than 6%, but the total soil loss amount of severe, very severe and destructive erosion was more than 27%. From 1990 to 2020, the soil erosion area decreased from 9219.34 km2 to 8,090.84 km2 in Niyang River Basin, more than 85% of the soil erosion class has not changed, and the change of total soil loss amount also shows a significant reduction trend as a whole. 99% of the total soil loss amount in the Niyang River basin is generated by grassland, forest and unused land. The conversion of various land use types to cropland will cause the enhancement in soil erosion grade. We recommend that the focus of soil erosion control in the Niyang River Basin is to protect grassland, forest and carry out scientific farming.

In high-traffic harbor waters, marine radar frequently encounters signal interference stemming from various obstructive elements, thereby presenting formidable obstacles in the precise identification of ships. To achieve precise pixel-level ship identification in the complex environments, a customized neural network-based ship segmentation algorithm named MrisNet is proposed. MrisNet employs a lightweight and efficient FasterYOLO network to extract features from radar images at different levels, capturing fine-grained edge information and deep semantic features of ship pixels. To address the limitation of deep features in the backbone network lacking detailed shape and structured information, an adaptive attention mechanism is introduced after the FasterYOLO network to enhance crucial ship features. To fully utilize the multi-dimensional feature outputs, MrisNet incorporates a Transformer structure to reconstruct the PANet feature fusion network, allowing for the fusion of contextual information and capturing more essential ship information and semantic correlations. In the prediction stage, MrisNet optimizes the target position loss using the EIoU function, enabling the algorithm to adapt to ship position deviations and size variations, thereby improving segmentation accuracy and convergence speed. Experimental results demonstrate that MrisNet achieves high recall and precision rates of 94.8% and 95.2%, respectively, in ship instance segmentation, outperforming various YOLO and other single-stage algorithms. Moreover, MrisNet has a model parameter size of 13.8M and real-time computational cost of 23.5G, demonstrating notable advantages in terms of convolutional efficiency. In conclusion, MrisNet accurately segments ships with different spot features and under diverse environmental conditions in marine radar images. It exhibits outstanding performance, particularly in extreme scenarios and challenging interference conditions, showcasing robustness and applicability.

The research paper provides a mathematical framework for understanding phase shift in wave phenomena, bridging theoretical foundations with real-world applications. It emphasizes the importance of phase shift in physics and engineering, particularly in fields like telecommunications and acoustics. Key equations are introduced to explain phase angle, time delay, frequency, and wavelength relationships. The study also introduces the concept of time distortion due to a 1° phase shift, crucial for precise time measurements in precision instruments. The research also addresses infinitesimal wave energy loss related to phase shift, enriching our understanding of wave behavior, and impacting scientific and engineering disciplines.

Long Covid is a term used for patients who have recovered from COVID-19 but exhibit persistent cognitive dysfunction, including mental confusion, difficulties in attention, impairment in executive functions and slow movements, among other common symptoms. A study was conducted with 65 patients who had a positive RT-PCR diagnosis and reported symptoms of cognitive impairment, such as memory loss and attention difficulties after recovery. The patients underwent neuropsychological evaluation and completed questionnaires on cognition, mood, and quality of life. During the cognitive screening, 71% of the patients showed alterations, with deficits in visual memory (69%), language (54%), visuospatial construction (49%), verbal episodic memory (37%), executive functions (36%), attentional abilities (34%), and premorbid intelligence (12%). It is important to highlight the need for treatments and further studies to understand the long-term side effects of this disease.

Polymethyl methacrylate (PMMA) polymer is widely used in various fields today. In order to thoroughly reveal the structural impact performance of PMMA materials, this paper is based on the comprehensive Johnson-Cook constitutive model and damage failure model, and accurately confirm the J-C constitutive and damage failure model parameters of PMMA through material test data, The dynamic process of steel bullet impacting PMMA plate structure is analyzed by finite element software ABAQUS. The calculation results show that the numerical simulation results in this paper are in good agreement with the experimental test data. Therefore, the feasibility and accuracy of the impact analysis of PMMA structures based on J-C constitutive and damage failure models in this paper are studied. Finally, based on the J-C constitutive model and damage failure model, the variation of the residual velocity of the bullet with the PMMA plate thickness is analyzed in depth, that is, the results show that the residual velocity of the bullet has a certain linear relationship with the plate thickness.

In healthy humans, taste sensitivity varies widely, influencing food selection and nutritional status. Chemosensory reductions have been associated with numerous pathological disorders or pharmacological interventions. Reliable psychophysical methods are crucial resources to analyze the taste function during routine clinical assessment. However, in the daily clinical routine, they are often considered to be too time-consuming. We used the Supervised Learning (SL) regression method to analyze with high precision the overall taste status of healthy controls (HC) and patients with chemosensory loss and to characterize the combination of responses that best can predict the overall taste status of two groups. Random Forest regressor allowed us to achieve our objective. The analysis of the order of importance and impact of each parameter on the prediction of overall taste status in the two groups showed that salty (low concentration) and sour (high concentration) stimuli specifically characterized healthy subjects, while bitter (high concentration) and astringent (high concentration) stimuli identified patients with chemosensory loss. The identification of these distinctions appears to be of interest to the health system since they may allow the use of specific stimuli during routine clinical assessments of taste function reducing the commitment in terms of time and costs.

The images captured by UAVs during inspection often contain numerous small targets related to transmission lines, which are critical and vulnerable elements for ensuring the safe operation of these lines. However, due to various factors such as the small size of the targets, low resolution, complex background, and potential line aggregation, achieving accurate and real-time detection becomes challenging. To address these issues, this paper proposes a detection algorithm called P2-ECA-EIOU-YOLOv5 (P2E-YOLOv5). Firstly, in order to address the challenges posed by the complex background and environmental interference that impact small targets, an ECA attention module is integrated into the network. This module effectively enhances the network's focus on small targets while concurrently mitigating the influence of environmental interference. Secondly, considering the characteristics of small target size and low resolution, a new high-resolution detection head is introduced, which is more sensitive to small targets. Lastly, the network utilizes the EIOU-Loss as the regression Loss function to improve the positioning accuracy of small targets, as they tend to aggregate. Experimental results demonstrate that the proposed P2E-YOLOv5 detection algorithm achieves an accuracy P of 96.0% and an average accuracy (mAP) of 97.0% for small target detection in transmission lines.

Habitat loss and fragmentation are of concern to conservation biologists worldwide. However, not all organisms are affected equally by these processes, thus it is important to study the effects of living in fragmented habitats on species that differ in lifestyle and habitat requirements. In this study we examined dispersal and connectivity patterns of rodents, one endemic (Eliurus myoxinus) and one invasive (Rattus rattus), in two landscapes containing forest fragments and adjacent continuous forest patches in northwestern Madagascar. We generated genomic (RADseq) data for 66 E. myoxinus and 81 R. rattus individuals to evaluate differences in genetic diversity as well as inbreeding and connectivity in two landscapes. We found higher levels of inbreeding and lower levels of genetic diversity in E. myoxinus compared with R. rattus. We observed related dyads both within and between habitat patches and positive spatial autocorrelation at lower distance classes for both species, with a stronger pattern of spatial autocorrelation in R. rattus. Across each site we identified contrasting migration rates for each species, but these did not correspond to habitat-matrix dichotomies. The relatively low genetic diversity in the endemic E. myoxinus suggests ecological constraints that require further investigation.

In order to formulate a reasonable water input model for cotton fields in southern Xinjiang, scientific and rational fertilization, reduce soil carbon leaching, and improve soil carbon sequestration capacity, the undisturbed soil column leaching test was used to simulate the current field management method in the study area. Two methods of drip irrigation and flood irrigation were set up, and three irrigation and three nitrogen fertilizer levels were used to carry out the undisturbed soil column leaching test. The results showed that the amount and mode of water and nitrogen input affected the distribution and leaching loss of organic carbon and inorganic carbon in soil. When the nitrogen application rate increased from 270 kg·hm-2 to 450 kg·hm-2, the leaching loss of soluble organic carbon and soluble inorganic carbon increased significantly. When the water input increased from 6000 m3·hm-2 to 9000 m3·hm-2, the leaching loss of DOC and DIC increased significantly. The carbon leaching loss under drip irrigation was higher than that under flood irrigation. The leaching rates of DOC and DIC were the fastest under the conditions of high water ( 9000 m3·hm-2 ) and high fertilizer ( 450 kg·hm-2 ). It shows that water and nitrogen input and irrigation methods are important factors affecting soil carbon leaching. In the case of excessive water input, long-term high-frequency irrigation is the main factor affecting carbon leaching.

Silicon has a theoretical specific capacity of 4200 mAh g−1, which is considered to have significant potential for anode materials in lithium-ion batteries (LIBs). However, the volume change that occurs in silicon during charging and discharging affects the development of commercial applications. In this work, a yolk-shell structured Si@void@C anode material has been developed to address this problem. The silicon nanoparticle yolk material is obtained by recycling kerf-loss (KL) Si waste from the photovoltaic industry, the carbon shell is prepared via a hydrothermal process with glucose, and the sacrificial interlayer is Al2O3. The synthesized material is used to fabricate anodes that show a high reversible capacity of 836 mAh g−1 at the current density of 0.1 A g−1 after 100 cycles, with a Coulomb efficiency of 71.4%. This work demonstrates a relatively low-cost approach to turn KL Si waste into value-added materials for LIBs.

A single paragraph of about 200 words maximum. For research articles, abstracts should give a pertinent overview of the work. We strongly encourage authors to use the following style of structured abstracts, but without headings: (1) Background: Place the question addressed in a broad context and highlight the purpose of the study; (2) Methods: briefly describe the main methods or treatments applied; (3) Results: summarize the article's main findings; (4) Conclusions: indicate the main conclusions or interpretations. The abstract should be an objective representation of the article and it must not contain results that are not presented and substantiated in the main text and should not exaggerate the main conclusions.

In order to alleviate the problems regarding conventional damping modeling techniques in nonlinear structural simulations, using concentrated plasticity formulation including rotational end springs with no damping plus middle elastic parts with modified assigned damping has recently been proposed. However, a proper selection for springs’ stiffness is a source of contention. In this paper, the effect of choosing different ratios for springs’ rotational stiffness to the elastic part of the elements on the seismic performance of RC moment frames was investigated. Incremental Dynamic Analysis (IDA) was performed and the derived responses were used for seismic performance assessment methodology. The results demonstrate that using flexible springs may lead to a greatly conservative estimation of collapse capacity, annual losses, and repair costs compared to a rigid one. Due to lack of experimental data, it is not possible to certainly assert the most appropriate ratio. However, such variation in the seismic performance of a building model with different stiffness modification necessitates more investigation on this modeling strategy.

Background: We aimed to assess the association between DII and PD and the mediation effect of DII in the association of PD with systemic inflammation. Using the National Health and Nutrition Examination Survey (NHANES) 2009-2010, 2011-2012 and 2013-2014, participants that received periodontal exam and provided dietary recall data were included. The inflammatory potential of diet was calculated via DII. Periodontitis was defined according to the 2012 case definition. The clinical outcomes of interest were mean periodontal probing (PPD), mean clinical attachment loss (CAL) and thresholds of PPD and CAL. White blood cells (WBC), segmented neutrophils and C-reactive protein (CRP) were used as proxies for systemic inflammation. The periodontal measures were regressed across DII values using adjusted multivariate linear regression. Adjusted mediation analysis appraised the influence of DII in the association of periodontitis and systemic inflammation. 10,178 participants were included. DII was significantly correlated with mean PPD, mean CAL, thresholds of PPD and CAL, WBC, segmented neutrophils and DII (p&lt;0.01). A linear regression logistic adjusted for multiple confounding variables confirmed the association between DII and mean PPD (B = 0.02, Standard Error [SE]: 0.02, p&lt;0.001) and CAL (B = -0.02, SE: 0.01, p&lt;0.001). The association of mean PPD and mean CAL with both white blood cells and segmented neutrophils were mediated by DII (from 2.1 to 3.5%, p&lt;0.001). In the 2009-2010 subset, the association of mean CAL with serum CRP was mediated by DII (52.0%, p&lt;0.01). In conclusion, inflammatory diet and PD may be associated. Also, the inflammatory diet significantly mediated the association of leukocyte counts and systemic inflammation with periodontitis.

Seagrass ecosystems are lost due to habitat disturbance, coastal development and human pressure. We assessed the impact of boat anchors from traditional fishing and recreational activities on the seagrass Halophila ovalis from the Andaman and Nicobar Isalnds of India. The plant density, biomass, morphometrics, canopy height and percentage cover were estimated from two sites of Govind Nagar beach of Andaman and Nicobar Islands. The shoot density of H. ovalis was reduced by physical damage caused by boat anchors. The morphometrics of H. ovalis, such as number of leaves per ramet, leaf length, width and horizontal rhizome length were significantly reduced when impacted by boat anchors. Seagrass canopy height and percentage cover were reduced by 41% and 47% respectively. Though the impact of boat anchors reported here is on small-scale, it may impact feeding grounds of locally endangered dugongs. Therefore, proper management and preventive measures should be implemented to prevent the loss of dugong grass habitats from tourism, recreational and fishing activities.

The black hole information paradox is one of the most puzzling paradoxes in physics. Black holes trap everything that falls into them, while their mass may leak away through purely thermal Hawking radiation. When a black hole vanishes, all the information locked inside, if any, is just lost, thus challenging the principles of quantum mechanics. However, some information does have a way to escape from inside the black hole, that is, through gravitational waves. Here, a concise extension of this notion is introduced. When a black hole swallows something, whether it is a smaller black hole or an atom, the system emits gravitational waves carrying the information about the “food”. Although most of the signals are too weak to be detected, the information encoded within them will persist in the universe. This speculation provides an explanation for a large part, if not all, of the supposed “information loss” in black holes, and thus reconciles the predictions of general relativity and quantum mechanics.

The information on the land use and soil conservation practice based on year 2006, 2010 and 2014, hence offering an opportunity to model the impacts of land use change on erosion, deposition and surface water runoff. Limitation in the use of hydrological models had been their inability to handle the large amount of input data that describe the heterogeneity of the natural system. In this study, a procedure that takes into account soil conservation practice based on the land use change, the response of soil erosion and sediment export from the George Town Conurbation catchment area, and average annual sediment yields were estimated for each grid cell of the watershed to identify the critical erosion areas of rural and urban planning proposes. Average annual sediment yield and data on a grid basis estimated using Universal Soil Loss Equation (USLE) and an emerging technology represented by Geographic Information System (GIS) used as a tool to produce a map for erosion rate. The changing of the land use from forest to agriculture and then to an urban area is a challenging task to research on land use demand for population, and environmental impact assessment is important for the planning of natural resources management, allowing research the modification of land use properly and implement more sustainable for long term management strategies. The challenge is to formulate strategies that would promote an integrated approach to the land use planning at an appropriate level as to address the issues that arose. Modelling for creating urban growth boundary for the George Town Conurbation must have to be controlled surface runoff and soil loss and sediment export from land use of the George Town Conurbation catchment.

Purpose: to assess any differences on marginal bone loss between bone-level or tissue-level dental implants through a review of literature until September 2019. Materials and methods: MEDLINE, Embase and other database were searched by two independent authors. The search was limited to articles in English. Results: The search provided 1028 records and, after removing the duplicates through titles and abstracts screening, 45 full-text articles were assessed for eligibility. For qualitative analysis 20 articles were included, 17 articles of them for quantitative analysis. A total of 1161 patients (mean age 54,4 years) and 2933 implants were observed, 1427 (Tissue-level) and 1506 (Bone-level). The survival rate and the success rate were more than 90%, except for 2 studies with a success rate of 88% and 86.2%. No studies reported any differences between groups in term of success and survival rates. Three studies showed that BL-implants had statistically less marginal bone loss (P< 0.05). Only one study reported statistically less marginal bone loss in TL-implants (P< 0.05). In the most part of the studies, differences between implant types in marginal bone loss were not statistically significant. Conclusion: Despite to the peri-implant tissue around transmucosal implants has been reported to be inflammation-free because of the absence of bacterial infiltration in the micro-gap between the fixture and abutment, no clinical and radiological differences were highlighted between groups from the included studies after a variable period of follow-up ranged between 1 to 5 years.

This paper constructs a model of climate-related damage for small island developing states (SIDS). We focus on the loss of private productive capital stocks through extreme climate events. In contrast to most economic analyses of climate impacts, which assume temperature-dependent damage functions, we draw on the engineering literature to allow for a greater or lesser degree of anticipation of climate change when designing capital stocks and balancing current adaptation expenditure against future loss & damage. We apply the model to tropical storm damage in the small island developing state of Barbados and show how anticipatory behavior changes the damage to infrastructure for the same degree of climate change. Thus, in the model, damage depends on behavior as well as climate variables.

This paper considers estimating the ratio of two distributions with different parameters and common supports. We consider a Bayesian approach based on the Log--Huber loss function which is resistant to outliers and useful to find robust M-estimators. We propose two different types of Bayesian density ratio estimators and compare their performance in terms of Bayesian risk function with themselves as well as the usual plug-in density ratio estimators. Some applications such as classification and divergence function estimation are addressed.

We study impact of geometry on leakage loss in negative curvature fibers made with As₂Se₃ chalcogenide and As₂Se₃ chalcogenide glasses for carbon dioxide (CO₂) laser transmission. The minimum leakage loss decreases when the core diameter increases both for fibers with six and for fibers with eight cladding tubes. The optimum gap corresponding to the minimum loss increases when the core diameter increases for negative curvature fibers with six cladding tubes. For negative curvature fibers with eight cladding tubes, the optimum gap is always less than 20 μm when the core diameter ranges from 300 μm to 500 μm. The influence of material loss on fiber loss is also studied. When material loss exceeds 10² dB/m, it dominates the fiber leakage loss for negative curvature fiber at a wavelength of 10.6 μm.

Analysis of 1382 measures of battery State of Health (SoH) from 283 Nissan Leafs (“Leaf/s”), manufactured between 2011 and 2017, has detected a faster rate of decline in this measure of energy-holding capacity for 30 kWh variants. At two years of age, the mean rate of decline of SoH of 30 kWh Leafs was 9.9% per annum (95% uncertainty interval of 8.7% to 11.1%; n = 82). This was around three times the rate of decline of 24 kWh Leafs which at two years averaged 3.1% per annum (95% uncertainty interval of 2.9% to 3.3%; n = 201). For both variants there was evidence for an increasing rate of decline as they aged, although this was much more pronounced in the 30 kWh Leafs. Higher use of rapid DC charging was associated with a small decrease in SoH. Additionally, while 24 kWh cars with greater distances travelled showed a higher SoH, in 30 kWh cars there was a reduction in SoH observed in cars that had travelled further. The 30 kWh Leafs sourced from United Kingdom showed slower initial decline than those from Japan, but the rate of decline was similar at two years of age. Improvements in the battery health diagnostics, continuous monitoring of battery temperatures and state of charge, and verification of a fundamental model of battery health are needed before causes and remedies for the observed decline can be pinpointed. If the high rate of decline in battery capacity that we observed in the first 2.3 years of a 30 kWh Leaf’s lifetime were to continue, the financial and environmental benefits of this model may be significantly eroded. Despite 30 kWh Leafs accounting for only 14% of all light battery electric vehicles registered for use on New Zealand roads at the end of February 2018, there is also the potential for the relatively poor performance of this specific model to undermine electric vehicle uptake more generally unless remedies can be found.

Corona loss generated from conductors is one of the important design factors on ac transmission lines. Based on helical charge simulation method, the 3-D corona loss calculation model considering the conductors’ outer strands in the corona cage is established. With regard to 2-D corona-loss calculation method, the calculation model proposed in this paper can take the electric field strength’s nonuniformity along the axial direction of stranded conductor into consideration, furthermore, it can also calculate the corona loss when the conductor has sag. The calculation results of the LGJ-300/40 and LGJ-400/35 in the small corona cage well coincide with the measurement results, which indicates that the corona-loss calculation model is appropriate. In addition, the corona loss of the bundle conductors 4 × LGJ720 with sag in UHV corona cage is also analyzed.

Agavins consumption has lead to accelerate body weight loss in mice. We investigated the changes on cecal microbiota and short chain fatty acids (SCFA) associated to body weight loss in overweight mice. Firstly, mice were fed with standard (ST5) or high fat (HF5) diet for 5 weeks. Secondly, overweight mice were shifted to standard diet alone (HF-ST10) or supplemented with agavins (HF-ST+A10) or oligofructose (HF-ST+O10), five more weeks. Cecal contents were collected before and after supplementation to determine microbiota and SCFA concentrations. At the end of first phase, HF5 mice showed a significant increase of body weight, which was associated with reduction of cecal microbiota diversity (PD whole tree; non-parametric t-test, P < 0.05), increased Firmicutes/Bacteroidetes ratio and reduced SCFA concentrations (t-test, P < 0.05). After diet shifted, HF-ST10 normalized its microbiota, increase its diversity and SCFA levels, whereas agavins (HF-ST+A10) or oligofructose (HF-ST+O10) led to partial microbiota restoration, with normalization of the Firmicutes/Bacteroides ratio as well as higher SCFA levels (P < 0.1). Moreover, agavins noticeably enriched Klebsiella and Citrobacter (LDA > 3.0); this enrichment has not been reported previously under a prebiotic treatment. In conclusion, agavins or oligofructose modulated cecal microbiota composition, reduced extent of diversity and increased SCFA. Furthermore, identification of bacteria enriched by agavins, opens opportunities to explore new probiotics.

Obesity is a major public health concern globally, significantly increasing the risk of numerous metabolic and cardiovascular diseases. While lifestyle interventions remain the primary strategy for weight management, pharmacotherapy is increasingly recognized as an essential component for patients with obesity, especially when lifestyle modifications alone are insufficient. Glucagon-like peptide-1 (GLP-1) receptor agonists, originally developed for the management of type 2 diabetes, have emerged as effective agents in promoting weight loss in both diabetic and non-diabetic populations. This literature review examines the efficacy, safety, and mechanisms of action of GLP-1 receptor agonists, focusing on liraglutide and semaglutide, in obesity treatment. Furthermore, it discusses the impact of GLP-1 receptor agonists on obesity-related comorbidities, their comparison with other pharmacological treatments, and future perspectives.

The corrugation of the interfaces of the cross-section of hollow core fibers based on the inhibited coupling waveguiding mechanism is modeled and the impact on propagation loss is analyzed. The proposed model is based on a combined use of coupled mode theory and azimuthal decomposition. It shows that such transverse roughness causes coupling between the core modes and the dielectric modes of the cladding and consequently an increase of the fiber loss. The model is validated by comparing theoretical and numerical results obtained by applying both deterministic and stochastic corrugations to tube lattice and nested fibers. Scaling laws and impact of fiber parameters are discussed. The model shows that the loss increase is not directly correlated to the root mean square of the stochastic roughness, but only to the value of the power spectral density in specific spatial frequency ranges.

Background: There has been a lack of tools to identify listening difficulties in school settings for both hearing and hearing-impaired Italian students. Thus, the present study aimed to realize cross-cultural adaptation and validation of the Listening Inventory for Education-Revised for Italian students (LIFE-R-ITA). Methods: Following the validation of two forward-backward translations by a multidisciplinary committee, the content validation for the LIFE-R-ITA was performed by pre-testing six implanted children (8-18 years old). After minor cross-cultural adaptations, normative data were collected from a sample of 223 hearing students enrolled in different school settings and educational degrees. Results: For the LIFE-R-ITA, hearing students showed an average score of 72.26% (SD=11.93), reflecting some listening difficulties. The subscales (LIFE total, LIFE class, and LIFE social) indicated good internal consistency. All items were shown to be relevant. Most challenging situations happened when listening in large rooms, especially when other students made noise. LIFE social scores were significantly worse than those of LIFE class (p &lt; 0.001). Conclusions: The LIFE-R-ITA may support teachers and clinicians in assessing students’ self-perception of listening at school. Such understanding may help students overcome their listening difficulties, by planning and selecting the most effective strategies among classroom interventions.

Heart failure (HF) is a global health concern with rising incidence and poor prognosis. While the essential role of nutritional and dietary strategies in HF patients is acknowledged in the existing scientific guidelines and clinical practice, there are no comprehensive nutritional recommendations for optimal dietary management of HF. In this review, we discuss results from recent studies on the obesity paradox and the effects of calorie restriction and weight loss, intermittent fasting, the Western diet, the Mediterranean diet, the ketogenic diet, and the DASH diet on HF progression. Many of these strategies remain under clinical and basic investigation for their safety and efficacy, and there is considerable heterogeneity in the observed response, presumably because of heterogeneity in the pathogenesis of different types of HF. In addition, while specific aspects of cardiac metabolism, such as changes in ketone body utilization, might underlie the effects of certain dietary strategies on the heart, there is a critical divide between supplement strategies (i.e. with ketones) and dietary strategies that impact ketogenesis. This review aims to highlight this gap by exploring emerging evidence supporting the importance of personalized dietary strategies to prevent progression and improve outcomes in the context of HF.

Recurrent Pregnancy Loss (RPL) affects 1-2% of women, and its triggering factors are unclear. Several studies have shown the vaginal, endometrial, and gut microbiota may play a role in RPL. A decrease in the quantity of Lactobacillus crispatus in local microbiota has been associated with an increase in local (vaginal and endometrial) inflammatory response and immune cell activation that leads to pregnancy loss. The inflammatory response may be triggered by gram-negative bacteria, lipopolysaccharides (LPS), viral infections, mycosis, or atypia (tumor growth). Bacterial structures and metabolites produced by microbiota could be involved in immune cell modulation and may be responsible for immune cell activation and molecular mimicry. Gut microbiota metabolic products may increase the amount of circulating pro-inflammatory lymphocytes, which, in turn, will migrate into vaginal or endometrial tissues. Local proinflammatory Th1 and Th17 subpopulations along with a decrease in Treg and tolerogenic NK cells are accountable for the increase in pregnancy loss. Local microbiota may modulate the local inflammatory response increasing pregnancy success. Analyzing local and gut microbiota may be necessary to characterize some RPL patients. Although oral supplementation of probiotics has not been shown to modify vaginal or endometrial microbiota, the metabolites produced by it may benefit patients. Lactobacillus crispatus transplantation into the vagina may enhance the required immune tolerogenic response to achieve a normal pregnancy. The effect of hormone stimulation and progesterone to maintain early pregnancy on microbiota has not been adequately studied, and more research is needed in this area. Well-designed clinical trials are needed to ascertain the benefit of microbiota modulation in RPL.

Rhodiola rosea, a perennial herb from the Crassulaceae family, contains the bioactive compound salidroside, recognized as an adaptogen with significant therapeutic potential for bone metabolism. Salidroside promotes osteoblast proliferation and differentiation by activating critical signaling pathways, including bone morphogenetic protein-2 and adenosine monophosphate-activated protein kinase, essential for bone formation and growth. It enhances osteogenic activity by increasing alkaline phosphatase activity and mineralization markers, while upregulating key transcription factors such as runt-related transcription factor 2 and osterix. Additionally, salidroside facilitates angiogenesis via the hypoxia-inducible factor 1-alpha and vascular endothelial growth factor pathway, crucial for coupling bone formation with vascular support. Its antioxidant properties offer protection against bone loss by reducing oxidative stress and promoting osteogenic differentiation through the nuclear factor erythroid 2–related factor 2 pathway. Salidroside's ability to counteract the negative effects of glucocorticoids on bone cells and prevent steroid-induced osteonecrosis, along with its anti-inflammatory properties, enhances its potential in treating conditions like osteoarthritis. These attributes underscore its multifaceted role in bone metabolism. This article reviews the literature, including in vitro and in vivo studies primarily on rodent models, demonstrating salidroside's efficacy in mitigating bone loss, preserving bone microarchitecture, and accelerating fracture healing. Future research directions to explore salidroside’s applications in bone-related diseases are also highlighted.

Some glucagon-like peptide-1 receptor agonists (GLP-1 RAs), first used in the treat-ment of type 2 diabetes mellitus (T2DM), have been approved for the treatment of obe-sity in patients with or without T2DM (liraglutide – LIR, semaglutide - SEM, and tir-zepatide - TIR). Social media had an important influence on the off-label use of GLP-1 RAs for obesity, especially for SEM. We analysed the Google queries related to SEM to assess people's interest in this drug. We also investigated the occurrence of adverse drug reactions (ADRs) by searching the EudraVigilance database (EV) for Individual Case Safety Reports (ICSRs) that reported SEM as the suspected drug and performed a descriptive and a disproportionality analysis. Data obtained for SEM were compared to other GLP-1 RAs. SEM had the highest proportions of searches on Google associated with the term “weight loss” and presented the lowest number of severe ADRs, but it also had the highest number of ICSRs reported in EV. Even though no unexpected safety issues have been reported for it until now, SEM has a high tendency for overdose reports. The most frequent off-label use was reported for SEM and TIR. In order to lower the ADRs’ risks, the off-label use should be reduced and carefully monitored.

This literature review paper delves into the synergies between Climate-Smart Agriculture (CSA) and the effective management of food losses. With the escalating challenges posed by climate change and the pressing need to address food security concerns, the intersection of these two critical domains becomes paramount for sustainable agricultural practices. The review explores existing research on the implementation of climate-smart agricultural techniques and their impact on mitigating food losses throughout the agricultural value chain. The paper synthesizes findings related to climate-resilient crop varieties, precision farming, water-use efficiency, and sustainable soil management, highlighting their contributions to reducing post-harvest losses and enhancing overall food security. In addition to summarizing current knowledge, this paper identifies gaps in the literature and proposes avenues for future research. This review serves as a foundation for researchers, policymakers, and practitioners seeking to contribute to the advancement of climate-smart agriculture and the reduction of food losses, paving the way for a more sustainable and resilient global food system.

A large core size and bending resistance are very important properties of mid-infrared energy transfer fibers, but large core sizes usually lead to a deterioration of bending properties. A negative-curvature nested node-free anti-resonant hollow-core fiber (AR-HCF) based on quartz is proposed. It was made by adding a nested layer to a previous AR-HCF design to provide an additional anti-resonance region while keeping the gap between adjacent tubes strictly correlated to the core diameter to produce a node-free structure. These features improve the fiber’s bending resistance while achieving a larger core diameter. The simulation results show that the radial air-glass anti-resonant layer is increased by the introduction of the nested anti-resonant tube, and the weak interference overlap between the fiber core and the cladding mode is reduced, so the fiber core’s limiting loss and the sensitivity to bending are effectively reduced. When the capillary wall thickness t of the fiber is 0.71 μm, the core diameter D is 70 μm, the ratio of the inner diameter of the cladding capillary to the core diameter d/D is 0.62, and the diameter of the nested tube is d0=29 μm, the fiber has a lower limiting loss at the wavelength of 2.79 μm, and the limiting loss is 3.28×10-4 dB/m. At the same time, the optimized structure also has good bending resistance. When the bending radius is 30 mm, the bending loss is only 4.72×10-2 dB/m. To our knowledge, this is the first research to achieve an anti-bending low-loss micro-structure hollow fiber with a bending radius of less than 30 mm in the 2.79 μm band. An anti-bending low-loss anti-resonant hollow-core fiber with this structure constitutes a reliable choice for the light guiding system of a 2.79 μm band erbium laser therapy instrument.

Pavement crack detection is one of the key links in highway pavement maintenance management. In the current road crack detection, the network model easily ignores the shallow geometric features of cracks and cannot extract the key feature information of cracks. Aiming at the above problems, an EC-YOLOX network model is proposed. The CFPN is constructed to cross-fuse different scale features to solve the feature scale invariance. In the strengthen feature extraction layer, ECANet is fused to enhance the ability to pay attention to key information. The WEIoU loss function is proposed, which assigns different penalty terms to the target box in the vertical and horizontal directions. In terms of data, geometric distortion constraint correction is performed on the single-point perspective pavement image. The experimental data show that the accuracy of EC-YOLOX on the self-built data set reaches 76.34% mAP@0.5, which is 4.45% higher than that of YOLOX. The loss curve of EC-YOLOX is smoother than that of YOLOX, and the minimum training loss value is 2.136, which is 0.648 lower than the minimum loss value 2.784 of YOLOX. Many experiments have verified the effectiveness of EC-YOLOX in improving the detection effect in pavement crack detection.

Vision impairment may delay responses to hazards when driving. In a proof-of-concept driving simulator study, we evaluated a hazard warning device designed for vision impaired drivers. Three groups participated: 11 persons with central vision loss (CVL; median age 60 years), 12 with homonymous field loss (HFL; 52 years) and 11 with normal vision (NV; 60 years). CVL is characterised by impaired visual acuity and contrast sensitivity while HFL is a loss of vision in the same half of the visual field (blind side) in both eyes. Participants completed drives with and without the device which gave a directional vibro-tactile warning for an approaching pedestrian hazard when collision risk exceeded a pre-defined threshold. Warnings significantly (p< 0.001) reduced brake response times for CVL (∆= 0.54s) and HFL (∆= 0.30s), but not NV participants. For HFL participants, the reduction was greater (p = 0.02) for hazards on the blind (∆= 0.57s) than seeing side (∆= 0.10s). The warnings significantly reduced collision rates for CVL participants from 11 to 0% (all hazards) and for HFL participants from 30 to 1.7% (blind side hazards). Thus, hazard warnings may be beneficial in improving safety of vision impaired drivers; further research is warranted.

In dermatological practice, disturbances of the skin microbiome are found in various infectious and inflammatory dermatoses featuring one or more skin lesions with loss of tissue, directly exposing skin layers to microbial invasions. Literature data on the incidence of cutaneous-onset sepsis are, however, scarce. This retrospective observational study assessed hospital admissions for primary skin lesions with vs. without bacterial infections and sepsis during 2020-2022 in the largest emergency hospital in NE Romania. Of 509 patients 441 had infected lesions, 78 had sepsis caused by venous ulcers microbial eczema cellulitis, superinfected bullous dermatoses, erysipelas, erythroderma. Cultured samples revealed S. aureus, P. aeruginosa, E. coli, with K. pneumoniae, S. β-hemolytic associated with sepsis even if rarer. Clinical manifestations included ulcerations, erosions, fissures, excoriations, bullae, vesicles, pruritus, tumefaction, edema, fever, chills, pain, adenopathy, mildly altered mental status. Underlying chronic heart failure, atrial fibrillation, anemia, type-1 diabetes mellitus were comorbidities associated with infection and sepsis. Significant associations and risk factors, including their combined effects, are discussed to draw attention to the need for further research and adequate management to prevent sepsis in adult patients of any age presenting with infected skin lesions (especially cellulitis) and comorbidities (especially type 1 diabetes mellitus and anemia).

The Spiking Neural Network (SNN) has attracted more and more attention recently. It adopts binary spike signals to transmit information. Benefitting from the information passing paradigm of SNNs, the multiplications of activations and weights can be replaced by additions, which are more energy-efficient. However, its ``Hard Reset" mechanism for the firing activity would ignore the difference among membrane potentials when the membrane potential is above the firing threshold, causing information loss. Meanwhile, quantifying the membrane potential to 0/1 spikes at the firing instants will inevitably introduce the quantization error thus bringing about information loss too. To address these problems, we propose to use the ``Soft Reset" mechanism for the supervised training-based SNNs, which will drive the membrane potential to a dynamic reset potential according to its magnitude, and Membrane Potential Rectifier (MPR) to reduce the quantization error via redistributing the membrane potential to a range close to the spikes. Results show that the SNNs with the ``Soft Reset" mechanism and MPR outperform their vanilla counterparts on both static and dynamic datasets.

Background: Retinal diseases such as neovascular age related macular degeneration (nAMD), diabetic macular edema (DME) or branch-/central retinal vein occlusion (B/CRVO) have significant implications for patients' social and psychological well-being. To gain a comprehensive understanding of patients' backgrounds and attitudes, we developed an exploratory questionnaire, the Basic Care and Patient Satisfaction Questionnaire (BPZ-9). Methods: The ALBATROS study aimed to assess the care situation of treatment-naïve patients diagnosed with either nAMD, DME or B/CRVO. The data collection took place at the beginning of treatment and after twelve months of anti-VEGF (vascular endothelial growth factor) therapy. The BPZ-9 instrument comprises nine questions to evaluate patients’ psychological and social situation and their satisfaction with treatment. Results: Data were collected from 1.478 nAMD (mean 78 years), 445 DME (67 years), 233 BRVO (70 years) and 144 CRVO (71 years) patients at 102 study centers throughout Germany. Approximately one third of the patients was living alone and six percent were in organized care. One in four patients had difficulties to walk and one in five needed accompany for treatment. Anxiety to lose vision was present in three out of four patients at the beginning and slightly decreased to two out of three over the 12-month treatment preriod. The distress of having a retinal disease was generally higher than the distress related to treatment. Most patients reported high treatment satisfaction (73%) and felt well informed (81%). Conclusion: Patients receiving anti-VEGF therapy commonly experience impaired mobility, dependency on others, distress and the fear of vision loss.