Perioperative acute pain management in pediatric patients is essential to reduce complications. Adenoidectomy-Tonsillectomy are surgical procedures requiring pain control, and risk minimization for postoperative bleeding, nausea, and vomiting. Despite their known secondary effects, the use of opioid analgesics remains preponderant in pediatric perioperative management. We present an updated review on perioperative pain management in children and describe the development and implementation of a multimodal analgesia protocol aimed to improve patients’ pain management while consistently reducing opioids use. Information from relevant articles was summarized, then compared to our clinical needs. Learnings were used to create and implement a multimodal analgesia protocol to be used in patients 3-9 years-old undergoing adenoidectomy/tonsillectomy. Analgesic strategies have emerged to reduce or avoid the use of opioids. Among these strategies, combining different non-opioid analgesics (Ibuprofen, Paracetamol, Metamizole) has been shown to be an effective and safe pharmacological strategy when implemented as part of postoperative multimodal analgesia protocols. Significant evidence associating the use of NSAIDs with a bigger risk of postoperative bleeding does not exist. Multimodal and preventive analgesia has shown to provide significantly more effective analgesia than some opioid regimens. Ibuprofen offers highly effective analgesia for postoperative pain, particularly when combined with acetaminophen.

This qualitative research explores the impact of Artificial Intelligence (AI) on Customer Relationship Management (CRM), providing a comprehensive analysis of how AI technologies are transforming CRM practices. AI integration in CRM has revolutionized customer interactions, enabling enhanced personalization, efficiency, and customer engagement. By leveraging machine learning, natural language processing, and predictive analytics, organizations can create highly tailored customer experiences, automate routine tasks, and anticipate future customer needs with precision. The study identifies the significant benefits of AI, including improved customer insights, faster response times, and proactive engagement strategies. However, it also highlights the challenges associated with AI adoption in CRM, such as data privacy and security concerns, algorithmic bias, high implementation costs, and resistance to change. The findings emphasize the need for robust data protection measures, strategies to mitigate biases, significant investments in technology and training, and effective change management to overcome these challenges. The thematic analysis reveals key areas where AI is making an impact, including customer service, customer segmentation, and personalized marketing strategies. Additionally, the study discusses the organizational implications of AI adoption, such as enhanced decision-making, increased productivity, and the necessity for staff reskilling. Future directions for AI in CRM suggest further advancements in AI algorithms, greater integration with other business systems, enhanced customer experiences, and a focus on ethical AI practices. This research underscores the transformative potential of AI in CRM and provides insights for organizations aiming to leverage AI for improved customer relationship management.

Purpose: To evaluate prognostic factors for visual outcome in patients with diabetes who have undergone vitrectomy (PPV) for severe proliferative diabetic vitreo-retinopathy (PDVR) in at least one eye in the past 15 years. Methods: Medical records of 132 eyes of 66 patients were analyzed (median age 52ys 21-80; patients with type 1/2 diabetes 40/26, median follow-up 38 months 9-125). Correlation between final good visual outcome defined as 0.5≤ best corrected visual acuity (BCVA) and prognostic factors (age, sex, type and duration of diabetes, metabolic status, BCVA, diabetic retinopathy status, data of preoperative management, data of vitrectomy, postoperative complications) were analyzed. Results: BCVA improved significantly in the entire study cohort (from median 0.05 min-max 0.001-1 to 0.32 0.001-1, p <0.000). Visual stabilization was achieved in the majority of patients, and relatively good visual acuity (0.5≤BCVA) was maintained in more than one third of eyes. Multivariable GEE statistics showed that in addition to duration of diabetes and stable HbA1c values, only preoperative tractional macular detachment proved to be an independent significant predictor of visual outcome. Conclusions: Pars plana vitrectomy is a useful tool when performed early before tractional macular detachment. However, long-term visual stability can only be achieved with good metabolic control.

Nutritional management of depression has long been discussed due to the perceived benefit of a nutritional product having less side effects than pharmaceutical agents. Candidate nutrients for managing depression include Vitamin D, B-vitamins, tryptophan, branch chain amino acids, probiotics, omega-3 fatty acids, folate/methylfolate (aka Vitamin B9), and s-adenosylmethionine. This paper reviews three nutrients which have significant scientific support for the management of depression and have evidence of low levels in subjects with depression, and that correction of the nutritional deficiency provides clinical benefit. We present epidemiological evidence, mechanistic explanation and a review of interventional studies for these nutrients. Finally, relevant nutritional guidelines are presented with their conclusion for the role of each nutrient in the management of depression.

The work aims to improve the battery performance in hybrid electric vehicles (HEVs) by reducing the vehicle speed. We develop a specific protocol for managing battery use and optimizing the energy consumption rate to achieve this goal. The protocol automatically controls the driving operation, avoiding incompatible driving patterns with energy-saving mode and performance improvement. The protocol is submitted to a simulation process to predict the energy rate lowering and battery performance enhancement. The proposed protocol applies to any hybrid electric vehicle type and route conditions since it uses vehicle mass, drag and rolling coefficients, and road slope as variable parameters to determine the minimum energy consumption rate. We run experimental tests to validate the simulation data and the proposed protocol. Furthermore, the protocol applies to variable starting vehicle speeds, from 10 to 50 km/h, corresponding to the current driving patterns, sport, normal, and eco, set up by car manufacturers. A reduction of 10% in vehicle speed in urban and peripheral routes achieves a minimum energy rate, enhancing battery management. Current vehicle speed shows a deviation from optimum management of 18% while applying the vehicle speed reduction limits the deviation to 0.2%. Experimental results show a good agreement with simulation data with 94% accuracy. We tested the protocol for urban and peripheral routes with maximum vehicle speed limits of 60 and 90 km/h.

The need for effective bridge asset management in Indonesia has become crucial. Currently, the number of bridge assets in Indonesia is continuously increasing, parallel to the rising budget allocations for infrastructure development in the road and bridge sectors to enhance regional connectivity more efficiently. This situation places demands on asset managers to work harder and possess expertise in bridge asset management. However, the reality reveals persistent issues related to the incapacity of bridge asset managers in various regions to manage their assets effectively. This raises the question of whether asset managers have the intention to implement asset management or what factors might drive their appeal to have an intention towards effective asset management. To address these questions, a survey was conducted involving asset managers and experts to evaluate the current state of bridge asset management in Indonesia. The research findings provide insights into the relationships among factors such as budget, data, policy, resources, and system that associated with bridge asset management and the intention of an asset manager. The model's solutions show that data and system are anticipated to achieve effective and efficient implementation of bridge asset management. It is hoped that this research will assist asset managers in Indonesia in enhancing their intention towards better bridge asset management.

Effective management of water distribution systems requires an integrated approach, but none of the available frameworks for one are in broad use in the water supply industry. Frameworks developed include a management standard of the American Water Works Association and Distribution System Optimization, a methodology for physical, hydraulic, and water quality performance assessment. The intelligent systems framework also offers a pathway to integration, but it lacks a definite structure. The voluntary aspect of adopting innovations within the fragmented and unregulated nature of the water utility industry poses a barrier to adoption of such innovations. Another barrier is the uncoordinated arrangements of water research stakeholders with different incentive structures. Intelligent water systems offer a way to incentive utilities to encourage implementation. They can provide a bottom-up approach where utilities see advantages, as opposed to a top-down approach where they are expected to adopt a method without seeing clear benefits. Research to develop new and improved tools is needed, but the research roadmap should prioritize implementation.

This study analyzes the convergence between artificial intelligence (AI) and management accounting in hospital contexts. Management accounting plays a central role in the effectiveness of planning, control and decision-making in healthcare institutions such as hospitals. The application of AI in this scenario offers powerful tools to improve accounting processes, optimize operational efficiency and maximize the use of available resources, resulting in an improvement in the quality of care provided to patients. Through in-depth analysis, the article explores how AI is bringing about a revolution in hospital management accounting, presenting case studies illustrating its successful implementation, outlining the tangible benefits.

The incidence of articular injury, particularly osteochondral fractures (OCF), has seen a notable increase in recent years. Regardless of their location, fragments might be overlooked by plain radiographs which might lead to osteoarthritis in the long run. Diagnostic imaging has a pivotal role in the assessment and classification of the fracture severity, as well as the presence of any associated dislocations. These fractures require surgical intervention for the restoration of joint function and the reduction of long-term complications. The paper aims to present the surgical correction and post-operative treatment of osteochondral fractures with absorbable implants in three children. Affected areas are discussed as follows: lateral condyle of the femur, patella, and radial head. Utilising absorbable implants for the management of OCFs provides numerous advantages, including the elimination of the need for reanaesthesia and reoperation, reducing complications, and enabling early rehabilitation. This approach also minimises the period of hospitalisation and proved effective in pediatric OCF treatment.

The healthcare system is intricate and dynamic. For the purpose of organising and planning a system, where allocating funds appropriately is essential and therefore managerial skills play a critical role. A certain portion of each nation's GDP is allotted to the health sectors. Managers and decision-makers in the healthcare systems are using resources effectively, yet the quantity of funding they receive from the government or other stakeholders is insufficient sometimes. A sound understanding of both basic and advanced economics is necessary for the care management, to make cost-effective judgements in public health. Healthcare officials at all levels (regional, state, federal, or international), need to be knowledgeable about public health issues and the related modern economic climates. Business executives and healthcare managers need effective practical knowledge to handle partner-financial allocation (demand-supply chain) and handle economic volatility.

This paper reviews the appearance of joint lesions during arthroscopic surgery of inter-est to the arthroscopic surgeon and their interpretation within the continuum of joint disease. It also points out the relevance of surgical findings as well as giving directions to the surgeon as to how to approach an appropriate decision-making process during an arthroscopic procedure and what therapeutic options are optimal.

A large amount of raw data collected by satellites is processed by the production chain to obtain a large amount of product data, of which the secure exchange and storage is of interest to researchers in the field of remote sensing information science. Authentic, secure data is a critical foundation for data analysis and decision-making. And traditional centralized cloud computing systems are vulnerable to attacks, and once the central server is successfully attacked, all data will be lost. Distributed Ledger Technology (DLT) is an innovative computer technology that can ensure information security, traceability and tamper-proof, and can be applied to the field of remote sensing. Although there are many advantages to using DLT in remote sensing applications, there are some obstacles and limitations to its application. Remote sensing data has the characteristics of large data volume, spatiotemporal nature, global and so on, and it is difficult to store and interconnect remote sensing data in the blockchain. To address these issues, this paper proposes a trustworthy and decentralized system using blockchain. The novelty of this paper is to propose a multi-level blockchain architecture in which the system collects remote sensing data and stores it in the Interplanetary File System (IPFS) network, after generating the IPFS hash, the network rehashes the value again and uploads it on the Ethereum chain for public query. Distributed data storage improves data security, supports the secure exchange of information, and improves the efficiency of data management.

Purpose: This study's objective was to examine international research trends in behavior management that had been written about in journals that were indexed by Scopus and authored by scientists from all around the world.Patients and methods: We examined publications in the Scopus database using bibliometric and content analysis. We only retrieved English-language articles. The VOSviewer program was used for content analysisResults: We found 808 papers on behavior management during the previous 50 years by following the study strategy. The study concentrated more on authors, nations, institutions, journals, documents, and keywords, as well as the annual scientific production (classification by subject area and document type)Conclusion: The finding prompts a discussion regarding behavior management for next research.

This paper proposes a concise literature review aimed at identifying the current body of knowledge on the adoption of Social Networks in Crisis Management. The major input is a structured research question based on the initial reading around the topic. Before the recent pan-demic, most literature has focused on local crises, with a relatively low number of exceptions. Additionally, self-organizing system are spontaneous established between people who are af-fected by a crisis. Among the identified challenges, there is the need to integrate official commu-nication by emergency agencies with citizen-generated contents in a contest of credibility and trustworthiness. In certain cases, it has been reported a lack of specific competence, knowledge, and expertise, as well as a lack of sufficient policies and guidelines in the use of Social Networks. Those challenges need to be framed by considering the classic difficulties to provide timely and accurate information, to deal with fake news, unverified or misleading information, and infor-mation overload. Bridging major gaps though advanced analytics and AI-based technology is expected to provide a key contribution to establish and safely enable in practice an effective and efficient communication, to contrast dissonant mental models, which are often fostered by Social Networks, and to enable a shared situational awareness.

: Forty-nine children who started wearing cartilage conduction hearing aids (CC-HA) before elementary school graduation (including 17 cases of bilateral hearing loss and 32 cases of unilateral hearing loss) were followed up and examined. The wearing and utilization status of CC-HA, as well as the progress to date, were evaluated. In addition, 33 participants who purchased CC-Has were interviewed to assess the wearing effect. Eleven of the 17 children with bilateral hearing loss and 25 of the 32 children with unilateral hearing loss have continued using CC-HA. In terms of wearing effect, a good wearing effect was reported, even by those with one-sided hearing loss. In cases where it is difficult to wear CC-HAs stably with pasting or ear tips, it is possible to fix them stably using commercially available hair bands and eyeglass vines. In two cases, CC-HAs were worn from the age of 0. With ingenuity and appropriate educational and medical support, it is possible to wear CC-HA from infancy.

Cellular automata (CA) models have emerged as a valuable tool in corrosion management. This manuscript provides an overview of the application of cellular automata models in corrosion research, highlighting their benefits and contributions to understanding the complex nature of corrosion processes. Cellular automata models offer a computational approach to simulate corrosion behavior at the microscale, capturing the intricate interactions between electrochemical reactions, material properties, and environmental factors generating a new vision of predictive maintenance. It discusses the key features of cellular automata, such as the grid-based representation of the material surface, the definition of state variables, and the rules governing cell-state transitions. The ability to model local interactions and emergent global behavior makes cellular automata particularly suitable for simulating corrosion processes. Finally, cellular automata models offer a powerful and versatile approach to studying corrosion processes, expanding models that can continue to enhance our understanding of corrosion and contribute to the development of effective corrosion prevention and control strategies.

Background The main aim of reconstructive surgery (RS) is to restore the integrity of soft tissues damaged by trauma, surgery, congenital deformity, burns or infection. Microsurgical techniques consist of harvesting tissues that are separated from the vascular sources of the donor site and anastomosed to the vessels of the recipient site. In these procedures, there are some preoperative modifiable factors that have the potential to influence the outcome of the flap transfer and its anastomosis. Methods Chronic inflammatory anaemia (ACD) is a constant condition in patients who have undergone RS and correlates with the perfusion of the free flap. In RS, it is important to maintain good tissue oxyporesis, avoiding blood hyperviscosity. From January 2017 to September 2019, we studied 16 patients (16 males, mean age 38 years) who underwent microsurgical procedures for RS. Haemoglobin (Hb) levels, Corpuscular Indexes, Transferring saturation (TSAT) ferritin concentrations and creatinine clearance have been measured the first day after surgery (T0), after the first week (T1) and after five weeks (T2). At T0 all patients showed low hemoglobin levels (average 7.4 g/dl, STD 0,71range 6,2-7,4 g dL-1), with an MCV of 72, MCH 28, MCHC 33, RDW 16, Sideremy 35, Ferritin 28, Ret% 1,36, TRF 277 and Creatinine Clearance 119. . We assessed all patients for clinical status, medical history and comorbidities before starting therapy. Results. In collaboration between the two departments, we started a therapeutic protocol with erythropoietic stimulating agents (ESAs) (Binocrit 6000 UI/week) and intravenous iron every other day, on the second day after surgery. Thirteen patients received ESAs and FCM (500-1000 mg per session), three patients received ESAs and iron gluconate (1 vial every other day). No patients received blood transfusions. No side effects were observed and, most importantly, no limb or flap rejection. Conclusions Preliminary data from our protocol show an optimal therapeutic response in a surgical setting with limited data in the scientific literature. The enrolment of further patients will allow us to validate this therapeutic protocol with statistically significant data.

We explore, for the first time in the literature, how the revenues of the ship-management companies respond to macroeconomic exogenous shocks. Using data for ship-management companies in Cyprus, we find evidence that a demand shock has the largest impact on revenues, exhibiting an almost one-for-one relationship. If the demand shock is permanent, we observe a ceteris paribus permanent effect on revenues. Similarly, this occurs irrespective of the final effect that demand has on the relevant freight rate, proxied via the Baltic dry and tanker (dirty and clean) indices. The BDI and the BDTI indices have smaller effect on revenues, standing at approximately 0.05% for every 1% shock, while the clean tanker index does not have an effect, most likely due to their fleet composition. In accordance with the literature, we find that a shock in the price of Brent oil increases revenues. Our results bear importance not only for ship-management companies per se, but also for countries that are ship-management hubs.

With the rapid development of Internet of Vehicles (IoV), particularly the introduction of mobile edge computing (MEC), vehicles can efficiently share data with one another. However, edge computing nodes are vulnerable to various network attacks, posing security risks to data storage and sharing. Moreover, the presence of abnormal vehicles during the sharing process poses significant security threats to the entire network. To address these issues, this paper proposes a novel reputation management scheme, which proposes an improved multi-source multi-weight subjective logic algorithm. This algorithm fuses direct and indirect opinion feedback of nodes through the subjective logic trust model while considering factors such as event validity, familiarity, timeliness, and trajectory similarity. Vehicle reputation values are periodically updated, and abnormal vehicles are identified through reputation thresholds. Finally, blockchain technology is employed to ensure the security of data storage and sharing. By analyzing real vehicle trajectory datasets, the algorithm is proven to effectively improve the differentiation and detection rate of abnormal vehicles.

Dry eye disease (DED) is a multifactorial disorder in which tear fluid homeostasis is lost, resulting in increased tear film osmolarity and ocular surface irritation. In Asia, the short tear film breakup time type-DED is common, and stabilization of the tear film is the first goal of treatment. Treatment of DED begins with eye drops. Until now, artificial tears and steroid eye drops have been the main treatment for DED. However, artificial tears require frequent administration of eye drops and thus pose adherence problems, while steroids have problems with side effects (cataracts, increased intraocular pressure). This review evaluates the new generation of DED therapies in Asia based on what is known about them and demonstrates that they are more effective for DED than traditional therapies such as artificial tears and steroids. Based on these considerations, it is proposed that the optimal treatment for DED in Asia is the initial application of mucin secretion enhancing eye drops (long-acting diquafosol) and oral supplements, and if additional treatment is needed, cyclosporine eye drops and the adjunctive therapies presented in this review are added.

In the wake of the Covid-19 crisis, a need has arisen to prevent and treat two related conditions, Covid vaccine injury and long Covid, both of which have a significant vascular component. Therefore, the management of these conditions require the development of strategies to prevent or dissolve blood clots and restore circulatory health. This review summarizes the evidence on strategies that can be applied to treat both long and vaccine injuries based on similar mechanisms of action.

In the chemical processing industries, sensors for pumps are among the most commonly used machinery. Condition-based maintenance (CBM) and prognosis health management (PHM) determine the most cost-effective time to overhaul pumps. In order to determine the status of the pump, a signal-emitting accelerometer is employed. Stationarity-based feature extraction from amplitude signals is used to process the signal. Utilizing the time-domain function, multiple statistical results were produced. Eight fault codes were classified using support vector machine method. The enormous amount of data points necessitated the use of feature selection. In terms of accuracy, precision, recall, and F1 score, the Chi-square feature selection method exceeds other approaches.

The state of BIM adoption and implementation in facility management in Africa has been regarded as a developmental discourse gradually gaining grounds. While several studies have focused on manual review of the intellectual progression of BIM research, this confined review however understates the evolution of BIM in facility management. This approach therefore is not always representative of the picture of BIM in facility management at its formative stage. This paper aims to present a scientometric review of BIM in facility management exploring the intellectual progress made so far by authors. The state of the art of BIM in facility management research and practice and the challenges debilitating against BIM in facility management research. The review revealed a considerable amount of research endeavours limited by inadequate collaboration acorss organizations and institutions. The study also revealed the low degree of awareness amongst researchers in the AEC sector. While North America and China were leading countries due to the activity of few universities, Africa wasn’t as visible in research endeavours. The study recommended an increase in awareness drive across countries and increased government effort, joint funding for research to include gaps in practice issues.

In recent years, Cloud Computing and Big Data have been considered the most attractive areas that are revolutionizing the IT world. Cloud Computing paradigm has recently appeared that allows running proprietary or difficult portable applications outside their original software environment on one or more virtual hardware platforms. Therefore, we are to developing such techniques which make it possible to secure communication between the communicating Cloud entities. These techniques must take into account several factors due to the data transmitted in this type of environment is proprietary and of significant size. Conventional data security techniques are not suitable for today's cloud usage. Hence, the main research of this thesis is to define an adaptable architecture with the aim to propose a scalable system that supports cloud services.

With the fast development of blockchain technology in latest years, its application in scenarios that require privacy, such as health area, became encouraged and widely discussed. This paper presents an architecture to ensure the privacy of health-related data, which are stored and shared within a blockchain network in a decentralized manner, through the use of encryption with the RSA, ECC and AES algorithms. Evaluation tests were performed to verify the impact of cryptography on the proposed architecture in terms of computational effort, memory usage and execution time. The results demonstrate an impact mainly on the execution time and on the increase in the computational effort for sending data to the blockchain, however, justifiable considering the privacy and security provided with the architecture and encryption.

Forest road pavement needs an evaluation methodology based on a comprehensive assessment of road conditions. This research was conducted to evaluate the performance of a method for rating the surface condition of forest roads and eventually to adapt the method to the situation prevailing in a forest road network. The rating method selected as the basis for this experiment was the pavement condition index (PCI) developed by the U.S. Army Corps of Engineers. A 53 km of forest roads were selected contained the most influential factors and conditions variability. Eventually, 201 road segments were delineated between 150-300 m in length. Within the given segments, sample plots were set 20 m in length consecutively. It was concluded that the panel scores for distress and surface condition of sample unit and section differed from forest road pavement condition index (FRPCI) and PCI. Linear regression was used to derive equations between distress and PCI score to determine effective FRPCI parameters that provide a numerical rating for the condition of road segments within the road network, where 0 worlds are the worst possible condition, and 100 is the best possible condition best. Also, regression analysis showed the FRPCI model with a 0.87 correlation for the total of the road is a performance index used for the first time in forest roads. This study showed a range of FRPCI from 7.8 to 96.3, different from PCI and URCI ratings (0.85-45 and 1.2-53). The FRPCI index helps forest managers in road maintenance, harvesting, and planning to use road information.

In the current business environment, firms are eager to adopt new technology as they witness and perceive more and more successful business applications of new technologies, e.g., Big Data, Artificial Intelligence (A.I.), Cloud Computing, etc. As one of the disruptive technologies, Blockchain technology (BCT) is now drawing public attention owing to the cryptocurrency phenomenon (e.g., Bitcoin), for which Blockchain serves as the backbone technology. Given certain innovative features of BCT, especially its transparency, traceability, security, efficiency, confidentiality, and immutability, BCT holds out the promise of impacting supply chain operational and financial efficiencies. Recently, the burgeoning of Metaverse and Non-Fungible Token (NFT) has boosted the BCT as state-of-the-art technology to another notch. Motivated by the proliferating adoption of BCT, we conduct a holistic literature review with a focus on the status of research on BCT in the context of Supply Chain Management (SCM). In particular, this Blockchain-centered research reviews the research up to date on the Blockchain application in SCM. It provides holistic review in terms of (1) the functionality of BCT and its salient features; (2) the prevailing and potential applications of BCT; (3) and the business benefits and impact of BCT in SCM. Finally, we substantiate and highlight a variety of research directions.

Nowadays, people live amidst the smart home domain, business opportunities in the industrial smart city and health care, though, along with concerns about security. Security is central for IoT systems to protect sensitive data and infrastructure, whilst security issues become increasingly expensive, in particular in Industrial Internet of Things (IIoT) domains. Nonetheless, there are some key challenges for dealing with those security issues in IoT domains: Applications operate in distributed environments such as Blockchain, varied smart objects are used, and sensors are limited in what comes to machine resources. In this way, traditional security does not fit in IoT systems. In this vein, the issue of cyber security has become paramount to the Internet of Things (IoT) and Industrial Internet of Things (IIoT) in mitigating cyber security risk for organizations and end users. New cyber security technologies / applications present improvements for IoT security management. Nevertheless, there is a gap on the effectiveness of IoT cyber risk solutions. This review article discusses the, trends around opportunities and threats in cyber security for IIoT.

The present study aims to identify tomato (Solanum lycopersicum L.) cultivars with weed-suppressive ability against target weed species in the tomato growing season. A greenhouse study was conducted with 17 tomato cultivars and target weeds Palmer amaranth (Amaranthus palmeri S. Wats), yellow nutsedge (Cyperus esculentus L.), and large crabgrass (Digitaria sanguinalis L.). Tomato plants and weed species were grown in the same pot. The height, chlorophyll, and dry weight biomass of the weeds were measured 28 days after sowing. The largest effect of tomato interference was on Palmer amaranth. Cultivar 15 reduced Palmer amaranth height, chlorophyll, and biomass by 58, 28, and 83%, respectively. Chlorophyll percentage of yellow nutsedge seedlings was suppressed by 15% by cultivar 64, whereas 13% of its height was reduced by cultivar 20. Cultivar 15 reduced biomass of yellow nutsedge by 40%. The percentage of chlorophyll of large crabgrass was reduced by 22% with cultivar 5, whereas the height and biomass were reduced by 35 and 44% with cultivars 38 and 63, respectively. Factoring all parameters evaluated, cultivars 38, 33, and 7 were most suppressive against the problematic weed species in tomato.

Background: Indonesia is an archipelago with various cultured, will bee affects all aspects of people's lives, including beliefs related to health behavior and health care. One problem that needs serious attention is the elderly group because the elderly are a vulnerable group who have a high risk of experiencing health problems, such as anemia with hypertension, so they need good care management. The research objective was to determine self-management intervention for hypertensive elderly. Methods: This research is a literature review with five databases (Scopus, CINAHL, ScienceDirect, PubMed, Proquest), the study design used is an experimental, descriptive, cross-sectional, and review systematic, in March 2021. Guidelines for using JBI to measure quality and listing check out Prisma in this review guide. A feasibility study based on title, abstract, full text, and research methodology. The data analysis used narrative analysis based on the research findings. Results: Twelve articles met the predefined review inclusion criteria. The study found eight interventions for self-management in elderly hypertension, namely: 1) Knowledge of hypertension, 2) Regulation of physical activity, 3) Limitation of alcohol and cigarette consumption, 4) Sleep rest and stress management, 5) Diet and body weight management, 6) Blood pressure control, 7) Family and social support, 8) Adherence to therapy regimens. Conclusion: The conclusion of the study results obtained eight elderly self-management interventions, this done properly will affect compliance in optimizing the health of the elderly.

Adjuvant chemotherapy is currently used in all patients with resected pancreatic cancer who are able to begin treatment within 3 months after surgery. Since the recent publication of the PRODIGE 24 trial results, modified FOLFIRINOX has become the standard-of-care in the non-Asian population with localized pancreatic adenocarcinoma following surgery. Nevertheless, there is still a risk of toxicity, and feasibility may be limited in heavily pre-treated patients. In more frail patients, gemcitabine-based chemotherapy remains a suitable option, for example gemcitabine or 5FU in monotherapy. In Asia, although S1-based chemotherapy is the standard of care it is not readily available outside Asia and data are lacking in non-Asiatic patients. In patients in whom resection is not initially possible, intensified schemes such as FOLFIRINOX or Gemcitabine-Nabpaclitaxel have been confirmed as options to enhance the response rate and resectability, promoting research in adjuvant therapy. In particular, should oncologists prescribe adjuvant treatment after a long sequence of chemotherapy +/- chemoradiotherapy and surgery? Should oncologists consider the response rate, the R0 resection rate alone, or the initial chemotherapy regimen? And finally, should they take into consideration the duration of the entire sequence, or the presence of limited toxicities of induction treatment? The aim of this review is to summarize adjuvant management of resected pancreatic cancer and to raise current and future concerns, especially the need for biomarkers and the best holistic care for patients.

There are uncertainties associated with every phase of the stock assessment process, ranging from the collection of data, assessment model choice, model assumptions and interpretation of risk to the implementation of management advice. The dynamics of fish populations are complex, and our incomplete understanding of those dynamics (and limited observations of important mechanisms) necessitate that models are simpler than nature. The aim is for the model to capture enough of the dynamics to accurately estimate trends and abundance and to provide advice to managers about sustainable harvests. The \textit{status quo} approach to assessment modelling has been to identify the `best' model, based on diagnostics and model selection criteria, and to generate advice from that model, mostly ignoring advice from other model configurations regardless of how closely they performed relative to the chosen model. We review the suitability of the ensemble modelling paradigm to more fully capture uncertainty in stock assessment model building and the provision of advice. We recommend further research to evaluate potential gains in modelling performance and advice from the use of ensemble modelling, while also suggesting revisions to the formal process for reviewing models and providing advice to management bodies.

In the Republic of Serbia, no comprehensive scientific multimethod research has been conducted to identify weaknesses and opportunities for improving the disaster risk management system. Regarding that, in the paper, author presents project description ,,Strengthening Integrated Disaster Risk Management System in Serbia - DISARIMES” which shall enable strengthening the disaster risk management system through research, development and innovative solutions implementation in the preparation, mitigation, response, remediation and post-disaster phases. The scientific importance of the projected research is reflected in the creation of assumptions for the advancement of theoretical and empirical knowledge in the scientific field of disaster risk management, bearing in mind that it is a relatively young scientific discipline in Serbia. The results of the project research will make it easier for decision makers in Serbia to understand the shortcomings of the system, but also provide innovative opportunities to improve their functioning in conditions of increasingly frequent and serious disasters. Establishing a scientific and professional society in the field of disaster risk management will create sustainable and necessary conditions for the transfer and improvement of knowledge and experience of importance for raising the level of operability of the system of protection and rescue of the Republic of Serbia in the event of disasters. A key contribution of the research findings will be to create a sustainable knowledge base that will be supported by the relevant amount of information regarding innovative capabilities and solutions identified as necessary to raise social resilience to a much higher level. In order to achieve the set goals, DISARIMES makes it possible, through a large number of SWOT analyses and other multimethod studies, to clearly identify and systematize the objective deficiencies and barriers encountered by the disaster risk management system in Serbia in all its stages before, during and after disasters, to identify and implement the appropriate solutions based on this. The objectives of the project are: to assess and identify strengths (advantages), weaknesses (disadvantages), opportunities (innovation potential) and threats for the disaster risk management system in Serbia; to develop and update RDI (research, development, innovation) Roadmap – knowledge databases with innovative solutions and other relevant information for improvement of the disaster risk management system; to fully deploy the DISARIMES scientific-professional network involving a broad range of the disaster risk management scientists and civil protection professions and organisations; to prepare the ground for the disaster risk management policy innovations.

The issue of actualization of labor interests as a motivational driver and one of the sources of labor productivity is little-studied in applied and organizational psychology. The study given in the paper fills some “blanks” of this problem. The leading approach to research is the motivational system proposed on the basis of theoretical analysis and the developed psychological model of labor interests. Using the methods of a special survey, questioning and interview guides, the analysis and comparative assessment of the labor interests of 50 candidates for the service manager position (entertainment and restaurant industry field) was conducted; as well as of 45 employees in this industry aged 18 to 25. The main results of the paper show the connection of labor interests with the company's personnel management system, namely with the processes of selection, adaptation, and training. It was revealed that the candidates selected for the service manager position were of primary group interest and financial incentive was secondary. At the same time, financial incentive contributed to the successful passage of the adaptation period. Occupational interests of employees depended on their education and job specifics. Career interests were influenced by the time spent with the company. The recommendations necessary for employers to create the conditions corresponding to the leading labor interests of employees were substantiated.

Governance is one of the most essential instruments for environmental management. Biodiversity is in the core field of environmental governance. Yet environmental authorities are persistently challenged the loss of biodiversity as a very important global issue for several years due to high dependent exposure to risks. The study attempts to relook at the key governance tools that strengthen policies towards managing biodiversity within and around the national park’s survey in Moulvibazar district. The study showed that biodiversity related legislation amended was the highest in Bangladesh for the period of 2010 to 2016. The growth of policy instruments maximized at but in low environmental governance services within the same period. The study assessed that the existing environmental policy instrument is inadequate and sluggish for effective conservation, compared with several others governance tools and various performances are still below par. Governance knowledge is indispensable for biodiversity management but such knowledge is poorly identified. These results reflect the importance of effective governance for transparency that the State provides. The research is to represent a dynamic and adaptable framework that can be applied for collective governance relevant to policy integration, participation and enforcement in order to foster environmental conservation sustainability.

This study purposes the use of plug-in electric vehicles for demand side management (DSM) considering uncertainties in demand as well as uncertainties due to mobility of PEV to mitigate peak demand. The solution also seeks to reduce electric cost in addition to reducing the effects of greenhouse gases. In recent years DSM using distributed storage system such as battery energy management system (BESS) and plugged-in electric vehicles (PEV) have become very prevalent with most implementations resorting to deterministic load forecast. These methods do not consider the potential growth in demand making their solutions less robust. In this study we propose a real-time density demand forecast and stochastic optimization for robust operation of PEV for a building. This method accounts for demand uncertainties in addition to uncertainties in mobile energy storage as found in PEV, making the resulting solution robust as compared to the deterministic case. A case study on a real site in South Korea is used for verification and testing. The proposed study is verified and tested against existing algorithms. The result verifies the effectiveness of the proposed approach

Heated intraperitoneal chemotherapy (HIPEC) has several potential benefits. Higher doses of chemotherapy can be used with HIPEC because the plasma-peritoneal barrier results in little absorption into the blood stream. HIPEC offers higher peritoneal penetration in comparison to an intravenous (IV) regimen and does not have the traditional normothermic intraperitoneal (IP) regimen limitation of post-operative adhesions. Hyperthermia itself has cytotoxic effects and can potentiate antineoplastic effects of chemotherapy in part by increasing the depth of tumor penetration by up to 3 mm. For the treatment of ovarian cancer, HIPEC has been evaluated in the recurrent setting with secondary cytoreduction. Recent studies, including a prospective trial, have evaluated its role in primary management of ovarian cancer. This review summarizes previous and ongoing studies regarding the use of HIPEC in the management of ovarian cancer.

A Demand-side management technique are deployed along with battery energy-storage systems (BESSs) to lower the electricity cost by mitigating the peak load of a building. Most of the existing methods rely on manual operation of the BESS, or even an elaborate building energy-management system resorting to a deterministic method that is susceptible to unforeseen growth in demand. In this study we propose a real-time optimal operating strategy for BESS based on density demand forecast and stochastic optimization. This method takes into consideration uncertainties in demand when accounting for an optimal BESS schedule, making it robust compared to the deterministic case. The proposed method is verified and tested against existing algorithms. Data obtained from a real site in South Korea is used for verification and testing. The results show that the proposed method is effective, even for the cases where the forecasted demand deviates from the observed demand

Construction and demolition waste (CDW) represents 1/3 of the weight of all-waste produced. Increasing their recycling and reutilization with recycled aggregates (RA) means closing the life cycle of construction materials. Research has been carried out on artificial aggregates from the exclusive crushing of structural concrete waste in selective demolitions (CDWRConc). This study analyses the use of recycled concrete as graded aggregate (GARConc) and in cement soil (CSRConc). The material complies with the requirements as a road base, although due to the low values of resistance to fragmentation these materials are adequate for use in sensitive road systems and other places such as urban roads and car parks. The sensitive road systems are infrastructures in places of great natural wealth and low traffic intensity, with an annual average of heavy vehicle traffic (AADTh) below 50 vhp/d. As soluble salt contents have been detected, additional waterproofing or drainage measures must be adopted to prevent water infiltration into the layers made up of CDWRHorm. Finally, the high initial values of UCS allow the temporary passage of light vehicles over CSRConc after 3 days.

Urinary tract stones can obstruct the urinary tract, resulting in severe lower back pain, blood in the urine, vomiting, and painful urination. While small stones can pass naturally through the urine stream, larger ones necessitate fragmentation with shock wave lithotripsy (SWL) or laser ureteroscopy (URS) to prevent urinary tract blockage. A smart computer program was developed to predict treatment efficacy for removing a stone and potential complications for individual patients based on factors such as age, health conditions, stone details, and treatment instruments, ultimately recommending the most suitable option. Here, I present three case studies and their predicted outcomes. The program is available at: http://peteranoble.com/webapps.html

Recently, new advanced techniques have been proposed to improve the quality of smart grids that use intermittent renewable energy sources. One of the most effective techniques is active filtering, which utilizes a power electronic converter in the smart load. This technique has the potential to enhance the power quality of the supply voltage by minimizing current harmonics, which is crucial. In this article, we propose a new command intelligence system based on Fuzzy PI fractional (fuzzy FOPI) and GA to control the harmonic currents generated by an active filter powered by a wind system.

Surface modification of polypropylene (PP) films is achieved using gamma-irradiation-induced grafting to proffer with antimicrobial activity. The copolymer was obtained through a versatile two-step route; pristine PP is exposed to gamma rays and grafted using methyl methacrylate (MMA), then N-vinylimidazole (NVI) is grafted onto the copolymer PP-g-MMA by simultaneous irradiation. The characterization included Fourier-Transform Infrared Spectroscopy (FTIR), Scanning Electron Microscope (SEM), Thermogravimetric Analysis (TGA), X-ray Photoelectron Spectroscopy (XPS), and physicochemical analysis of swelling and contact angle. The copolymer (PP-g-MMA)-g-NVI was loaded with vancomycin, and the drug released was quantified by UV-vis spectrophotometry at different pH. The surface of (PP-g-MMA)-g-NVI exhibited pH-responsiveness and moderate hydrophilicity, suitable properties for controlled drug release.

Irrigation scheduling is used by growers to determine the right amount and timing of water application. In most parts of Mozambique, 90% of the total yearly precipitation occurs from November to March. The El Niño Southern Oscillation (ENSO) phenomenon influences the climate in Mozambique and affects the water demand for crop production. The objectives of this work were to quantify the effects of ENSO phenomenon on tomato crop water requirements, and to create the AgroClimate irrigation tool (http://mz.agroclimate.org/) to assist farmers in improving irrigation management. This study was based on daily grid-based climate information from 1983 to 2016 from the Climate Forecast System Reanalysis. Daily crop evapotranspiration was calculated by Hargreaves equation and crop coefficients. This tool is available online and considers different planting dates, ENSO phases, and crop growing season lengths. Irrigation needs varied from less than 250 mm per growing cycle during winter to 550 mm during spring. Both El Niño and La Niña influenced the irrigation scheduling, especially from November to March. El Niño periods were related with increased water demand due to drier and warmer conditions while the opposite was observed for La Niña. The ENSO information might be used to understand climate variability and improve tomato irrigation scheduling in Mozambique.

Groupers (Epinephelidae) are ecologically important mesopredators that support valuable fisheries across the globe. Many groupers display slow growth and maturity, high longevity, ontogenetic habitat shifts, spawning-related migrations and aggregations, and protogynous hermaphroditism, which make them susceptible to overexploitation. In this review, I synthesize available information related to the management of grouper fisheries across the southeastern and Caribbean U.S. I highlight current management challenges, such as managing multispecies reef fish fisheries with growing recreational fishing effort. I discuss management interventions with limited success, such as establishing marine protected areas to improve the populations of groupers that display protogynous hermaphroditism. I also highlight management successes, such as recovering historically depleted grouper stocks, and ecosystem-based considerations in grouper stock assessments. I discuss how climate change and anthropogenic effects are expected to affect groupers. Lastly, I provide examples of stakeholders involved in monitoring and management efforts directed at grouper stocks. The purposes of this review are to demonstrate the complexities of managing grouper fisheries and provide a road map for future research and conservation efforts into these economically and ecologically relevant fishes within and beyond the region.

Hydrotherapy, including the use of therapeutic showers and bathtubs, has been studied for its potential benefits in labor pain management. Previous research has indicated that hydrotherapy can alleviate pain, but comparative studies between therapeutic showers and bathtubs are scarce. Objective: This study aims to compare the effects of therapeutic showers and bathtubs on pain perception, labor duration, use of epi-dural analgesia, and maternal and neonatal outcomes during labor. Methods: A total of 124 pregnant women were included in this study. Participants were divided into two groups: those who used a thera-peutic shower and those who used a bathtub during labor. Pain levels were measured using a visual analog scale (VAS). Labor duration, use of epidural analgesia, types of delivery, maternal outcomes (postpartum hemorrhage, perineal status, maternal hypotension, fever, and breastfeeding), and neonatal outcomes (APGAR scores, fetal heart rate, complications, and neonatal unit admissions) were recorded and analyzed. Results: Both the therapeutic shower and the bathtub effectively reduced pain perception, with the bathtub showing a greater reduction in VAS scores. The therapeutic shower group experienced a signifi-cantly shorter labor duration compared to the bathtub group. The majority of participants in both groups did not require epidural analgesia, with no significant differences between the groups. There were no sig-nificant differences in the types of delivery. Maternal outcomes indicated a lower incidence of perineal tears and episiotomies in the therapeutic shower group. Neonatal outcomes, including APGAR scores and fetal heart rate, were similar between the groups, with no significant differences in complications or neo-natal unit admissions. Conclusions: Both therapeutic showers and bathtubs are effective for pain relief during labor, with the bathtub showing a higher reduction in pain intensity. The therapeutic shower is as-sociated with a shorter labor duration and a lower incidence of perineal tears and episiotomies. Both meth-ods are safe for neonatal well-being, making hydrotherapy a viable non-pharmacological option for pain management in labor. However, the therapeutic shower may offer additional benefits in terms of labor du-ration and maternal outcomes.

The study is dedicated to analyzing the complex interaction between Artificial Intelligence (AI) and the Internet of Things (IoT) with institutional structures in the context of sustainable development. This work examines the impact of these technologies on economic and social development, identifying their potential advantages and risks. Methodologically, the research relies on information gathering and case study analysis, assessing the impact of technology in various domains, from smart cities to the manufacturing sector. The findings emphasize the necessity of integrating technological innovations into broader social and environmental initiatives, highlighting the importance of institutional transformations for achieving environmental sustainability.

This comprehensive review elucidates the profound relationship between the human microbiome and breast cancer managrement. Recent findings highlight the significance of microbial alterations in tissues, such as the gut and the breast, and their role in influencing breast cancer risk, development, progression, and treatment outcomes. We delve into how the gut microbiome can modulate systemic inflammatory responses and estrogen levels, thereby impacting cancer initiation and therapeutic drug efficacy. Furthermore, we explore the unique microbial diversity within breast tissue, indicating potential imbalances brought about by cancer and highlighting specific microbes as promising therapeutic targets. Emphasizing a holistic One Health approach, this review underscores the importance of integrating insights from human, animal, and environmental health to gain a deeper understanding of the complex microbe-cancer interplay. As the field advances, strategic manipulation of the microbiome and its metabolites presents innovative prospects for enhancing cancer diagnostics and therapeutics. However, rigorous clinical trials remain essential to confirm the potential of microbiota-based interventions in breast cancer management.

This paper delves into the multifaceted domain of the aerospace industry, examining its evolution, current challenges, and imperative focus on quality management and process integration. The aerospace sector, driven by technological advancements and a burgeoning global demand for air travel and freight transport, necessitates a thorough analysis of its industrial fabric and operational intricacies. This research endeavors to analyze the dynamics of the aerospace industry, pinpoint its challenges, and propose an integrated approach to enhance efficiency, quality, and sustainability. The primary goals encompass understanding the evolving industry landscape, identifying critical challenges, and offering innovative solutions by amalgamating principles of Industry 4.0 into quality management and processes within the aerospace sector. Through an in-depth exploration of various facets, this research underscores the pivotal role of efficient processes and integrated quality management in achieving sustainable growth and competitiveness in the aerospace industry. By aligning with the paradigm of Industry 4.0, organizations can optimize their operations and contribute to the industry's advancement, delivering safer and more cost-effective aerospace products. The study adopts a multifaceted approach, incorporating extensive literature review, critical analysis of industry trends, examination of quality management frameworks, and a thorough evaluation of the integration potential of Industry 4.0 technologies. The research also involves case studies and expert insights to validate the proposed approach. The investigation reveals that by leveraging Industry 4.0 technologies and embracing an integrated approach to quality management, the aerospace industry can significantly enhance operational efficiency, product quality, and overall sustainability. The seamless integration of processes and the implementation of advanced quality frameworks pave the way for a more competitive and future-ready aerospace industry, meeting the evolving demands of a globalized world.

Cardiovascular and cerebrovascular disease incidence has risen mainly due to poor control of preventable risk factors and still constitutes a significant financial and health burden worldwide. ChatGPT is an artificial intelligence language-based model developed by OpenAI. Due to the model’s unique cognitive capabilities beyond data processing and the production of high-quality text, there has been a surge of research interest concerning its role in the scientific community and contemporary clinical practice. To fully exploit ChatGPT's potential benefits and reduce its possi-ble misuse, extreme caution must be taken to ensure its implications ethically and equitably. In this article, we explore the language model's possible applications and limitations while empha-sizing its potential value for diagnosing, managing, and prognosis cardiovascular and cerebro-vascular disease.

In the evolving landscape of higher education, St. Michael's College (SMC) recognizes the significant impact of the COVID-19 pandemic on student welfare. This paper emphasizes the critical importance of addressing mental health, time management, and stress in the college environment, underlining their influence on academic success and personal growth. The call to action urges students to prioritize their well-being. Diverse cultural and religious perspectives, including Islam, emphasize the importance of a balanced mind and body. The wide-ranging literature review uncovers empirically supported strategies for mental health, time management, and stress reduction. Personal autonomy emerges as crucial in addressing these challenges. This study underscores the importance of these dimensions, calls for student action, and highlights the diversity of perspectives contributing to holistic well-being.

The main purpose of this article is to identify key areas of research on climate change in the context of the SDGs, focusing on the potential development impacts on Bolivia and Paraguay. Application of the Delphi technique with the involvement of a panel of experts allowed the consolidation of different perspectives and knowledge on climate change, focusing on those that experts considered to have the greatest potential impact on the regions. The results of this study constitute a valuable guide for decision-makers and funding bodies, highlighting research areas that could have a significant impact at the national and regional levels, as well as for researchers, identifying specific research areas crucial for regional development and climate change mitigation.

This study proposes a framework to integrate Sustainability within Management Systems Standards and subsequently implement and disclose Sustainable Development goals and results. Moreover, it investigates the SD goals (SDGs) and results (SDRs) that Portuguese organizations with Integrated Management Systems (IMSs) disclose to their interest parties. The study, supported by content analysis, highlights that the four more frequently disclosed SDGs are “life on land“(50.0%), “industry, innovation, and infrastructure” (47.1%), “responsible consumption and production” (47.1%), and “partnerships for the goals” (47.1%). Conversely, the four SDRs most frequently disclosed are “employment” (82.4%), “economic performance” (79.4%), “anti-corruption” (64.7%), and “occupational health and safety” (61.8%). Hence, SDGs disclosure emphasizes the environmental dimension, while SDRs disclosure highlights the social dimension (economic dimension present in both SDGs and SDRs). Finally, the disclosure of SDGs and SDRs in institutional reports presents a positive and strong correlation that is statistically significant. Overall, the contributions of this research are twofold. First, it supports the integration of the SDGs within organizations, and second, it stimulates the demonstration of their impacts on the SDGs (the SDRs).

Disruptive behaviour disorders (DBDs) in childhood, such as conduct disorder (CD) and oppositional defiant disorder (ODD) are characterized by high levels of irritability and aggression. Though psychological management is considered the first-line approach for these disorders, many children and adolescents require adjunctive pharmacotherapy for the control of specific symptoms. Several prior systematic reviews have examined the evidence for the use of antipsychotics in the symptomatic management of DBDs, but have concluded that their efficacy is marginal and limited by significant adverse effects. This paper updates existing reviews of this field by reviewing clinical trials of antipsychotics in children and adolescents with DBDs published in the period 2-1-2017 to 2-10-2022. The PubMed, Scopus and ScienceDirect databases were searched for relevant citations. Six relevant trials were identified during this period. These trials were critically evaluated in terms of outcome measures, efficacy and safety. Overall, the data from these trials suggests that certain atypical antipsychotics, such as risperidone and clozapine, are effective in the short-term management of aggression in DBDs. They have no apparent effect on cognition, but are associated with significant metabolic adverse effects. The results of these trials, and of the earlier systematic reviews, are discussed in the light of global trends towards increasing off-label prescription of antipsychotic medication in children and adolescents, and of recent literature on the neuropharmacology of aggression in this patient population. The need for rational, short-term use of these drugs is highlighted, as well as the importance of post-marketing surveillance for long-term or severe adverse events.

The global coronavirus (COVID-19) pandemic has created a whole new set of risks in construction industries generating unprecedented delays, disruptions, and uncertainty on construction projects, and has forced the industries in adopting more sophisticated technologies while combating the reduced workforce on job sites. Further, the post-pandemic era of construction is expected to be a lot different as the industries will embrace the technology as the augmentation and collaboration strategy. Thus, it will be extremely hard to sustain for construction industries in the absence of effective risk management. The existing risk plans need to be inspected for their capability of handling new risks arising from COVID-19 and the project managers will need to make the necessary revisions as needed. This paper discusses on past (NORM), present (NEW NORM), and future (Post COVID-19 NORM) of the construction industry and highlights key strategies for managing projects and construction risks during and post COVID-19 pandemic.

There have been many discussions on the globalisation of SMEs, but it is true that there is not enough academic achievement after such the study of Born global (BG) ventures. The internationalisation of SMEs (Small and Medium Enterprises) is not easy because they lack resources or capabilities compared to multinational corporations. This study investigated the role of government in assisting the internationalisation of SMEs. In particular, SMEs lacked the ability to acquire market-oriented information, so we’ve established the scheme of efficient information support system for the internationalisation of SMEs. In other words, we proposed an information analysis system through the establishment of a relational database constructed for market-oriented information support. KISTI (Korea Institute of Science and Technology Information), which is one of the government-funded research institutes in the Republic of Korea, provided information support to the SMEs dealing with hydrazine related products. This study suggests this case for the market-oriented information support of the government in the internationalisation of SMEs. The research on information support of the government is meaningful in that it suggests a way to support SMEs in practical level.

In this study, we explored the application of deep learning techniques for credit card fraud detection, aiming to improve the performance and reliability of anomaly detection methods in financial transactions. We first utilized the Isolation Forest algorithm, achieving a detection accuracy of 26% for the top 1000 transactions. Subsequently, we experimented with the Autoencoder algorithm, an unsupervised deep neural network model, which enhanced the detection accuracy to 33.6% in the best case despite some fluctuations. The results demonstrate deep learning models' strong feature extraction capability and adaptability, highlighting their potential to surpass traditional methods. However, the high imbalance in the dataset, with only 0.17% of transactions being fraudulent, poses a significant challenge. This study underscores the necessity for further experimentation and optimization of network structures and hyperparameters to achieve more stable and efficient fraud detection. The findings provide valuable insights and reference points for future research in financial fraud detection using deep learning methodologies.

Hong Kong is the biggest consumer of eggs in the world and ranks on the top with an average consumption of 24.52kg/capita/year. The egg consumption trend in Hong Kong has been increasing specifically; a drastic increase of about 100% has been observed from 2008 to 2020. One of the reasons behind this significant increase is the increase in the gross national income of Hong Kong in addition to the population growth rate. However, there was a slight decline in egg consumption trend in the year 2020 amid the COVID-19 pandemic. It has been estimated that there was a bulk of 17,100 tons of recoverable waste eggshells in 2019 (pre-COVID-19 situation), having a daily yield of 47 tons per day. Based on the linear regression, it may be expected that if the pre-COVID-19 trend of egg consumption remains sustained, there will be a big bulk of more than 45,000 tons per year and up to 125 tons per day of waste eggshells till 2050. In addition, a public survey was conducted across the city targeting individuals, families, and restaurants majorly on egg consumption and reuse. The survey outcomes revealed that Chinese eggs have an extensive market in Hong Kong, and people have a positive attitude towards eggshell recycling. Also, a massive population disposes of the waste eggshells while only a trace population reuses them. Therefore, Hong Kong has a very high potential to improve the circular economy by reusing waste eggshells on a commercial level in cementitious products.

Currently, the design of the concrete mix is an important part of the environmental problem. In front of this question, engineers face a major challenge that is addressed in two ways. On one hand, how do they use its component materials to improve its mechanical properties, on the other hand how do they use less polluting materials? Hence, in an environmental and economical view, laboratory tests were carried out on samples of concrete reinforced with smooth steel fiber extracted from the waste tires, in order to assess its impact and to prove its mechanical feasibility for these purposes. Consequently, laboratory results have shown satisfactory improvement in the behavior of concrete under compression loads in the elastic stage and an increase in ductility and toughness of the matrix in the plastic stage. Besides, taking into account the discontinuity and the structural disturbances observed during the loading of samples in the post-elastic state, a method has been proposed to calculate "the effective toughness and toughness Index of fiber concrete; on the other hand, this method has helped to better optimize length and slenderness of fibers for better use of this recycled material

This study endeavors the preparation and evaluation of Phenol Furfural Resin (PFR) from bagasse and its nanocomposites for Electrically Conductive Adhesives (ECAs) application. PFR was prepared with the furfural extracted from bagasse using modified acid digestion method. Three different formulations of PFR nanocomposites with conductive nanoparticles i.e., PFR-silver, PFR-graphite, and PFR-silver + graphite were prepared using 20-60 w/w% of fillers via impregnation method. Resultant products were characterized by FT-IR, SEM, EDS and XRD spectroscopy. Electrical conductivity was measured using four probe technique while band gap was calculated via Tauc plot. Virgin PFR has shown poor conductivity up to 2.6 × 10^-4 Scm^-1 while the highest conductivity achieved was 8.2 × 10^-1 Scm^-1 for nanocomposite constituted silver, graphite, and PFR with 40:30:20 ratios respectively. This synergism was exhibited because graphite and Ag NPs supply excellent junctions for building networks. Both tend to coalesce due to van der Waals forces and high surface energies, therefore conductive pathways numbers can be increased, and contact area can be effectively enlarged. This ternary composite has exhibited the lowest bandgap energy value i.e., 3.1 eV. Thermogravimetric temperatures T₀ and T_deg values were increased up to 120 °C and 484 °C respectively, showing significant increase in thermal stability. Therefore, the resultant nanocomposite material has good potential to be employed as ECAs in electronic industry.

This study endeavors the preparation and evaluation of Phenol Furfural Resin (PFR) from bagasse and its nanocomposites for Electrically Conductive Adhesives (ECAs) application. PFR was prepared with the furfural extracted from bagasse using modified acid digestion method. Three different formulations of PFR nanocomposites with conductive nanoparticles i.e., PFR-silver, PFR-graphite, and PFR-silver + graphite were prepared using 20-60 w/w% of fillers via impregnation method. Resultant products were characterized by FT-IR, SEM, EDS and XRD spectroscopy. Electrical conductivity was measured using four probe technique while band gap was calculated via Tauc plot. Virgin PFR has shown poor conductivity up to 2.6 × 10-4 Scm-1 while the highest conductivity achieved was 8.2 × 10-1 Scm-1 for nanocomposite constituted silver, graphite, and PFR with 40:30:20 ratios respectively. This synergism was exhibited because graphite and Ag NPs supply excellent junctions for building networks. Both tend to coalesce due to van der Waals forces and high surface energies, therefore conductive pathways numbers can be increased, and contact area can be effectively enlarged. This ternary composite has exhibited the lowest bandgap energy value i.e., 3.1 eV. Thermogravimetric temperatures T0 and Tdeg values were increased up to 120 °C and 484 °C respectively, showing significant increase in thermal stability. Therefore, the resultant nanocomposite material has good potential to be employed as ECAs in electronic industry.

Yerba mate waste (YMW) were used to produce kombucha beverage, and the obtained microbial cellulose produced as by product (KMW) was used to reinforce mechanically recycled poly(lactic acid) (r-PLA) matrix. Microbial cellulosic particles were also produced in pristine yerba mate for comparison (KMN). To simulate the revalorization of industrial PLA products rejected during the production line, PLA was subjected to three extrusion cycles and the resultant pellets (r3-PLA) were then plasticized with 15 wt.% of acetyl tributyl citrate ester (ATBC) to obtain optically transparent and flexible films by solvent casting method. The plasticized r3-PLA-ATBC matrix was then loaded with KMW and KMN in 1 and 3 wt.%. The use of plasticizer allowed a good dispersion of microbial cellulose particles into the r3-PLA matrix, allowing to obtain flexible and transparent films which showed good structural and mechanical performance. Additionally, the obtained films showed antioxidant properties, as it was proven by release analyses conducted in direct contact with a fatty food simulant. The results suggest the potential interest of these recycled and biobased materials that are obtained from the revalorization of food waste for their industrial application in food packaging or agricultural films.

Food waste is one of the greatest challenge to sustainability in developed and developing countries. In the former, food waste is concentrated in the final part of the chain. Too Good To Go is a digital platform aimed to prevent food waste, where consumers can buy magic boxes from different outlets containing food products that are approaching their end-of-life. However, the mechanism of the platform enable the outlets to publish their offering much in advance of the pick-up time, raising the question whether the food sold on the platform is effectively a leftover or a planned production. Our empirical study gathers data from over 1200 outlets in Rome on the Too Good To Go platform.

Increasing rate of seepage velocity from several formation characteristics, such as permeability and porosity, in water aquifer environment greatly prompt pollution of water reservoirs within a short period of time. Considerably, migration rate of dissolved heavy metals from Solid Waste Dumpsites (SWD), such as municipal dumpsites and landfills, through heterogeneous aquifer environment, and finally into nearby water reservoirs are mainly influenced by variation of seepage velocity within the soil and water environment. This presents a dynamic system for water pollution that was studied using a formulated mathematical model to describe the transport process of dissolved heavy metals, mainly characterized by seepage velocities, within the water aquiferous environment. Permeability, porosity, fluid pressure and concentration of heavy metals in aquiferous environment were used as principal parameters that influence seepage velocity of the metals, in dissolved state, through the structural formation of water aquifers. The derived mathematical equations that constitute the model of this study were generated through Darcy’s law and the equation of continuity. The model was validated on structural river aquifer sediments, and it was solved using graphical method through matlab open-source software. The initial and boundary conditions were obtained by discretizing the geological setting of flow region so as to transform the gradient of the head, into the time domain.

Modern day civilization is dependent on energy generation by fossil fuels. But the major drawback of using fossil fuels is environmental pollution. Microalgae are potential candidate for production of various products of interest, such as proteins, mini food, pigments and triglycerides that can be converted into biofuels. Lignocellulosic feedstocks are the most abundantly available raw material of plants that can serve as a promising feedstock for cultivating bacteria, fungi, yeasts and microalgae to produce biofuels and other value-added products. Owing to the abundant availability of these low/no cost substrates, can be utilized as feedstocks for cultivating microalgae to generate biogas/biodiesel. Likewise, there is much room to exploit defatted algal biomass to be used as animal/fish feed and oil producing/accumulating genes knowledge in future to produce high and good quality biodiesel and biogas.

This paper investigates an alternative use of sterile aggregate materials which may arise from various construction applications in conjunction with other low-cost mineral raw materials to remediate the acid mine drainage phenomenon. This study is based on the combination of unprocessed mineral raw materials as well as on the basic concept of the cyclic economy where the conversion of a waste into a raw material for another application can be achieved. In this way, the value of mineral raw materials can be prolonged for as long as possible, waste generation and exploitation of natural resources are minimized and resources are kept as far as possible within the existing economy. In this study, an electrically continuous flow driven forced device proposed and demonstrated for the remediation of waste water in lab-scale by using certain mixes of mineral raw materials (serpentinite, andesite, magnesite, peat and biochar). Our results focus on the impact of the studied mineral raw materials and especially on their synergy on the water purification potential under continuous water flow operation. Using the proposed 7-day experimental electrically continuous flow driven forced device with the certain mixes of mineral raw materials, the increase of pH values from 3.00 to 6.82 as well as significant removal of Fe, Cu and Zn was achieved.

By tonnage, corn (Zea Mays L.) is the #1 crop produced globally, and recent research has suggested that no-till (NT) systems can lead to reduced yields of this important crop. Additionally, there is a lack of long-term data about the effects of tillage and N management on cropping systems. Corn is the most nitrogen (N)-fertilized crop in the USA, and N losses to the environment contribute to significant impacts on air and water quality. We conducted long-term studies on conventionally tilled (CT), and conservation tillage systems such as strip tillage (ST) and NT, under different N rates. We found that immediately after conversion to NT, yields from NT were significantly lower than yields from CT (P&lt;0.1), but after five years of NT, the NT yields were 1.5% higher than the CT yields (P&lt;0.1). Initially, the NT yields were lower than the ST (P&lt;0.01), but after seven years of NT, the NT yields were comparable to ST grain yields. Although the total aboveground N uptake with NT immediately after conversion to NT was lower than with CT and ST, these differences were not significant in the long run. The nitrogen use efficiency (NUE) with NT increased over time. The present work highlights the importance of long-term research for determining the cumulative impacts of best management practices such as NT. We found that NT becomes a more viable practice after five or seven years of implementation, demonstrating the high importance of long-term research.

Since the 1960s, forest planners have used linear programming models to develop management plans for large, forested areas. Hundreds of academic papers have presented such models, incorporating multiple objectives, a growing diversity of management interventions, and uncertainty, among other things. Three basic ways to formulate these models have been used: Model I, III, and III. We define these models based on the sequence of management unit states represented by the variables. In Model I, variables represent a sequence of states from the beginning of the planning horizon to the end. In Model II, variables represent a sequence of states from one intervention to the next. Finally, in Model III, variables represent a single arc in a management unit’s decision tree, including only a beginning and an ending state. We formulate each type of model for a case study with three increasingly complex scenarios incorporating additional ecosystem services. Our results indicate that, despite requiring more variables and constraints, Model III requires the least time to formulate, largely because it has the least dense parameter matrix. Model II has the shortest solution times, with Model III close behind. Model I requires both the longest formulation and solution times.

This paper presents a study of the 2D roughness profiles on a flat surface generated on a steel work piece, by ball nose end milling, with linear equidistant tool paths (pick-intervals). The milled surface exploration with a surface roughness tester (on pick and feed directions) produces usually 2D roughness profiles having periodical evolutions. These evolutions can be seen as time-dependent signals, describable as a sum of sinusoidal components (the wavelength of each component being regarded as a period). In order to detect a well approximated description of these components, two appropriate signal processing techniques are used in this work: first technique provides a direct mathematical (analytical) description and is based on computer aided curve (signal) fitting (more accurate), the second technique (providing an indirect and incomplete description) is based on the spectrum generated by fast Fourier transform (less accurate). This study can be seen as a way for a better understanding the interaction between the tool and the work piece or to achieve a mathematical description of the machined surface microgeometry in terms of roughness (e. g. its description being a collection of closely spaced 2D roughness profiles).

This policy paper explores various strategies that would facilitate transitioning the traditional Jordanian electrical grid to a secure smart grid. It includes comprehensive recommendations from academia and industry for the regulatory and governmental sector in Jordan to achieve specific roadmap objectives. As Jordan is heavily dependent on fossil fuels, This policy paper also provides recommendations for incorporating more renewables into its energy mix, thereby facilitating a sustainable future. The proposed policies will emphasise the creation of an enabling environment where innovation, research, and development initiatives flourish, thereby promoting private sector engagement.

This study identified, analysed, and prioritised significant factors for standardising the Korean smart city project evaluation system. We analysed the efficiency and productivity of companies currently providing smart city services to consider both policy and practical aspects. The prioritisation of smart city planning reflects the latest trends in South Korea, where urban planning is moving towards smart city planning. Furthermore, the capacity building of public-private/private-private partnerships indicate the importance of business scalability. This indicates that smart city services are only stabilised when the private sector is involved and leads the project, rather than focusing on public development. The feasibility of building intelligent facilities indicates that smart city projects should be implemented after securing cost-benefit feasibility. The results were used as the basis for building an evaluation system, showing that in smart city convergence alliances, small- and medium-sized enterprises achieved the highest efficiency by reducing inputs to 81% and 86%, under the assumptions of constant and variable returns to scales, respectively. As the operational aspect is more problematic than the technical aspect, policy alternatives are necessary for smooth business progress, including increased flexibility of laws and institutions and the activation of policies that temporarily relieve regulations to demonstrate smart city projects.

In recent years, integration of electric vehicles (EVs) has increased dramatically due to their lower carbon emissions and reduced fossil fuel dependency. However, charging EVs could have significant impacts on the electrical grid. One promising method for mitigating these impacts is the use of renewable energy systems. Renewable energy systems can also be useful for charging EVs where there is no local grid. This paper proposes a new strategy for designing a renewable energy charging station consisting of wind turbines, a photovoltaic system, and an energy storage system to avoid the use of diesel generators in remote communities. The objective function is considered to be the minimization of the total net present cost, including energy production, components setup, and financial viability. The proposed approach, using stochastic modeling, can also guarantee profitable operation of EVs and reasonable effects on renewable energy sizing, narrowing the gap between real-life daily operation patterns and the design stage. The proposed strategy should enhance the efficiency of conventional EV charging stations. The key point of this study is the efficient use of excess electricity. The infrastructure of the charging station is optimized and modeled.

This article concerns the adoption of small-scale irrigation farming as a climate-smart agriculture practice and its influence on household income in the Chinyanja Triangle. Chinyanja Triangle is a region that experiences mid-season dry spells and an increase in occurrences of drought due to low and erratic rainfall patterns which is attributed largely to climate variability and change. This poses high agricultural production risks, which aggravate poverty and food insecurity. For this region, adoption of small-scale irrigation farming as a climate-smart agriculture practice is very important. Through a binary logistic and ordinary least squares regression, the article determines factors that influence the adoption of small-scale irrigation farming as a climate-smart agriculture practice and its influence on income among smallholder farmers. The results show that off-farm employment, access to irrigation equipment, access to reliable water sources and awareness of water conservation practices, such as rainwater harvesting have a significant influence on the adoption of small-scale irrigation farming. On the other hand, the farmer’s age, distance travelled to the nearest market and nature of employment negatively influenced the adoption of small-scale irrigation farming decisions. Ordinary least squares regression results showed that the adoption of small-scale irrigation farming as a climate-smart agriculture practice has a significant positive influence on agricultural income. We therefore conclude that to empower smallholder farmers to quickly respond to climate variability and change, practices that will enhance adoption of small-scale irrigation farming in the Chinyanja Triangle are critical as this will significantly impact on agricultural income.

As a result of decades of austerity, the economies of the Eurozone are experiencing under-investment and crumbling infrastructures in an era of extremely severe emergencies as the cli-mate change and aggressive global competition. The private savings glut of the rich and the strict fiscal rules suggest a crowding-in approach in partnership with big finance in a new age of in-fra-structures. If governments mint public infrastructures into investable assets, they can gen-erate steady returns for investors and asset managers who look after pensions and insurances schemes and unlock trillions now devoted to welfare state. For the big finance to accept to be partner, however, governments must take the task of de-risking returns. Innovation technology and macro-financial literacy can synergically act to enhance this new de-risking role to address in a financially sustainable way the intense phenomena of Natural Hazards (NHs) that can severely compromise economic growth. This is precisely the aim of our Public-Private Partnership (PPP) among the Department of Economics, Management and Institutions of the University of Naples and a Knowledge Transfert Management, the Department of Engineering and the Aca-demic Spin-Off “STRAIN”, of the University of Campania. Our PPP has been contributing to the eval-uation and mitigation of NHs such as floods, landslides and earthquakes since 2012. The ex-tremely advanced results of this multi-stakeholder partnership ensure a better knowledge of NHs which, as evidenced in the paper, is the fundamental input for the desired Public-Private In-surance Programmes (PIPPs).

This study aimed to develop a carbon yield model for a Makino bamboo plantation and addressed a monoculture Makino bamboo plantation in central Taiwan. We established a long-term trial to monitor the stand dynamic following thinning. A total of 16 plots were installed based on four thinning treatments, each sharing four plots. After thinning, data were collected from two investigations, resulting in 32 records. We calculated the number of culms (N), mean diameter at breast height (MDBH), and basal area (BA) for each record. An allometric function developed by previous research was used to predict aboveground biomass and to obtain aboveground carbon storage (AGCS). The model used the N, MDBH, and BA with various types (reciprocal and natural logarithm types) as independent variables to predict ln(AGCS) by the stepwise method. According to the Radj2 value, the best predictive models were: ln(ABCS) = -0.004 + 0.820 ln(MDBH) + 1.008 ln(BA), and ln(ABCS) = 7.550 - 0.820 ln(N) + 1.828 ln(BA). From these two models, we found the factors, either BA and MDBH or BA and N, can effectively predict AGCS. It indicated that stand density was critical in affecting AGCS, especially the variable BA.

Nuʻupia Ponds, a traditional Hawaiian fishpond system, are located at Marine Corps Base Hawaii (MCBH) and part of the Nuʻupia Ponds Wildlife Management Area, a wetland refuge for native, endangered, and protected birds and Hawaiian green sea turtles, as well as many native fish species. Currently, there is uncertainty regarding the ecological status and condition of the fishponds following prior modification of wetland habitats in and around the ponds. This study examines circulation dynamics and characterizes water exchange, pond volume, and residence time across the full tidal spectrum at Nuʻupia fishponds. Our results indicate a general west to east gradient in current flow; with higher flushing rates and lower residence times of fishponds in the western ponds of the Nu’upia system compared to the eastern ponds. We further found low flushing rates at several sites causing limited water exchange with Kāne’ohe Bay, as well as within Nu’upia Pond system. Sufficient water circulation plays a fundamental role in maintaining a healthy balance of fishpond flora and fauna and preserve ecosystem health. The results from this study provide a baseline of current physical water circulation dynamics and implications for ecosystem health, as well as inform science-based conservation and management strategies moving forward.

This article critically examines existing wastewater management legislation, highlighting its detrimental impact on environmental and public health. It emphasizes the urgent need for a mentality shift among water managers, advocating responsible stewardship of water resources. By promoting collaboration between regulatory bodies and scientific communities, the article seeks tailored solutions for complex challenges. It underscores the necessity of integrating technological innovation, rigorous monitoring, and public engagement for sustainable management. Additionally, it calls for the implementation of easy-to-adopt technological solutions, alongside rigorous monitoring and financial support. Ultimately, the article advocates for a paradigm shift in wastewater management policies towards accountability, innovation, and environmental sustainability. Directives governing wastewater management in Europe, particularly in Spain, have faced scrutiny due to significant shortcomings. Legislation has inadvertently facilitated untreated or poorly treated wastewater discharge, resulting in widespread pollution. Despite EU efforts, punitive measures have proven ineffective, with fines often borne by the public sector, although private sector responsibility. The lack of robust monitoring mechanisms and technical support exacerbates the situation, perpetuating a regressive mindset among water managers. Urgent reforms are needed to enforce strict discharge prohibitions, promote reuse, and provide financial and technical assistance. However, systemic barriers and entrenched mentalities pose formidable challenges to meaningful change.

Knowledge of local plant community characteristics is imperative for practical nature planning and management, and for understanding plant diversity and distribution drivers. Today, retrieving such data is only possible by fieldwork and is hence costly both in time and money. Here we used 9 bands from multispectral high-to-medium resolution (10–60 m) satellite data (Sentinel-2) and machine learning to predict the local vegetation plot characteristics at broad extent (approx. 30.000 km2) in terms of plants’ preferences for soil moisture, soil fertility, and pH, mirroring the levels of the corresponding actual soil factors. These factors are believed to be among the most important for local plant community composition. Our results showed that there are clear links between the Sentinel-2 data and plants abiotic soil preferences and using solely satellite data we achieved predictive powers between 26–59% improving to about 70% when habitat information was included as a predictor. This show that plants abiotic soil preferences can be detected quite well from space, but also that retrieving soil characteristics using satellites is complicated and that perfect detection of soil conditions using remote sensing – if at all possible – needs further methodological and data development.

This study aims to assess the operational capabilities of disaster and emergency management re-sources (DEMRs), which are pivotal in mitigating risks and minimizing losses amid the increas-ing frequency of disasters. The research constructs an effective operational capability evaluation system for DEMRs, encompassing four key aspects: resource planning, organizational manage-ment capability, resource support capability, and information processing capability. It focuses on identifying the factors that influence the effective operational capability of DEMRs in China and Korea, comparing and analyzing the relative importance and priority of each evaluation domain and indicator within these countries to enhance DEMRs' operational effectiveness. The method-ology involves calculating and ranking the weight of the four domains, with findings indicating that organizational management capability is most significant in China, whereas resource sup-port capability is prioritized in Korea. A comparative analysis of the local weight of indicators within each domain revealed the largest discrepancy between China and Korea in the infor-mation processing capability domain. The study concludes by calculating global weights, identi-fying fast response capability and resource allocation capability as the most impactful factors on DEMRs' operational capability, highlighting their critical role in disaster and emergency man-agement.

Claims arising frequently in the Architecture, Engineering and Construction (AEC) industry usually result in disputes, leading to all sorts of negative implications for a project. Claims need to be managed efficiently, and in case they evolve into disputes, they need to be resolved as soon as possible so that the construction process can resume. In this paper, a bibliometric review is carried out to explore the existing literature regarding construction claims and dispute resolution methods employed in construction projects. Using VOSviewer and the Scopus database, relevant literature is retrieved and analyzed using keyword searches, including "construction claim” and "construction management". The detected research themes provide future researchers with potential research directions. A gap in the research regarding the emergence of terms such as “blockchain”, “smart contracts”, and "building information modelling (BIM)" appearing only recently after 2020 in the literature regarding the construction claims and disputes research area was determined. Therefore, a content analysis of the most recent publications employing these and other novel technologies is conveyed. Ultimately, the main research trends and potential research directions for assisting researchers and construction professionals in their efforts to address construction claims and disputes in sustainable and efficient ways are discussed.

Hypertension (HTN) is the foremost contributor to cardiovascular diseases (CVD), which remain a leading cause of death. However, adherence to the properly prescribed dosage form is critical and challenging for patients with chronic diseases such as HTN to prevent illness progression and death. The study’s objective was to develop AMB-loaded subcutaneous implants to reduce the frequency of administration, thus improving patient compliance during HTN management. AMB subcutaneous implants were prepared using continuous hot melt extrusion technology using PCL and PLGA with dimensions of 7.5 cm (length) by 2 mm (diameter). The implants were characterized for thermal characteristics, drug-excipient incompatibilities, surface morphology, fracturability, in vitro release, and stability studies. DSC showed that the drug was in the crystalline state in the fabricated implants. Scanning Electron Microscopy (SEM) revealed a smooth surface. The lead formulation presented good drug content, showed an extended drug release profile over 30 days, and followed zero-order release kinetics with a mean dissolution time of 15 days. The formulation was stable over 30 days in accelerated stability conditions (the last time point was tested, 40℃/75% RH), and the release profile was similar to the initial drug release profile. The lead formulation showed good fracturability during textural analysis. Therefore, the hot melt extruded implants could be an alternative management strategy for conventional amlodipine besylate (AMB) formulation.

Nutrition is one of the most influential environmental factor in both taxonomical shifts in gut microbiota as well as development of Type 2 Diabetes Mellitus (T2DM). Emerging evidence has shown that the effects of nutrition on both these parameters is not mutually exclusive and that changes in gut microbiota and related metabolites such as short chain fatty acids (SCFA) and branched chain amino acids (BCAA) may influence systemic inflammation and signaling pathways that contribute to pathophysiological processes associated with T2DM. With this background, our review highlights the effects of macronutrients, carbohydrates, proteins and lipids, as well as micronutrients, vitamins, and minerals, on T2DM, specifically through their alterations in gut microbiota and the metabolites they produce. Additionally, we describe the influences of common food groups, which incorporate varying combinations of these macronutrients and micronutrients, on both microbiota and metabolic parameters in the context of diabetes mellitus. Overall, nutrition is one of the first line modifiable therapies in the management of T2DM and better understanding of the mechanisms by which gut microbiota influence its pathophysiology provides opportunities for optimizing dietary interventions.

Hepatic Encephalopaty (HE) is a common complications of advanced liver disease and acute liver failure. It is a condition that features both neurological and psychiatric symptoms, that affects mortality, morbidity and quality of patients and caregivers’ life. HE diagnosis is generally an exclusion diagnosis. Once the patient is admitted to hospital, clinical examination, blood tests and eventually neuroimaging should be performed in order to rule out other causes of acute brain dysfunction. Moreover, HE recognizes various precipitants that can potentially promote its onset, alone or in combination, that must be identified. Once the diagnostic process is complete, a correct treatment should be started. The anti-HE treatment is based on a combination of correction of precipitants and non-absorbable disaccharides and non-absorbable antibiotic, such as rifaximin. Once the patient is discharged from the hospital, specific anti-HE therapy should be maintained in order to prevent other HE episodes.

The rapid expansion of social media and instant messaging applications, such as WhatsApp, has transformed how individuals and organizations communicate and engage. This think piece explores the potential of integrating WhatsApp as a customer relationship management (w-CRM) tool within the education sector to foster and sustain long-term relationships among students, teaching staff, and non-teaching staff. By leveraging real-time features and the widespread use of WhatsApp, educational institutions can create a more interactive and dynamic learning environment, benefiting all stakeholders involved. The literature highlights the importance of establishing clear frameworks for mutual engagement and interaction and the potential of w-CRM to improve communication between students' families and educational institutions. There are potential risks associated with the pervasive use of WhatsApp, and call for future research to explore strategies for mitigating these risks while maximizing the benefits of w-CRM in the education sector. Longitudinal studies are recommended to evaluate the long-term impact of w-CRM on stakeholder relationships, student outcomes, and overall institutional performance.

A recent study published in Nature Medicine (Mautner et al., Nat Med 2023 Nov 2. doi: 10.1038/s41591-023-02632-w. Epub ahead of print) reported findings regarding a four-arm parallel, multicenter, single-blind, randomized, controlled clinical trial with 480 patients, aimed at comparing the therapeutic effectiveness of orthobiologic interventions against corticosteroid injections for the treatment of knee osteoarthritis (OA). The study concluded that, one-year post-treatment, all orthobiologic therapies examined were equivalent in effectiveness to each other and to corticosteroid injections. While we commend the scope and methodological rigor of the trial, the publication could be enhanced by a more comprehensive presentation of data to support the conclusions drawn. Particularly, the omission of baseline data for primary outcomes, the missing context to evaluate absolute values, the lack of discussion regarding interindividual variability, and the unexpectedly favorable results for corticosteroids that contrast the established literature, are areas that merit additional examination and insight. Here we aim to highlight these points for consideration, and advocate for the release of supplementary data to facilitate a comprehensive understanding and utilization of this rich dataset.

First described in 1760 by the anatomist Morgagni, CoA is a congenital heart defect characterized by narrowing the aorta, typically distal to the left subclavian artery. It accounts for approximately 5-8% of all congenital heart diseases, with an incidence estimated at 4 per 10,000 live births. In 1944, the Swedish surgeon Clarence Crafoord achieved the first successful surgical CoA repair by performing an aortic end-to-end anastomosis on two patients aged 12 and 27 years old. Presently, the most prevalent techniques for surgical repair, particularly in infants and neonates with isolated coarctation, involve resection with end-to-end anastomosis (EEA) and the modified Crafoord technique (extended resection with end-to-end anastomosis (EEEA)). Subclavian flap aortoplasty (SCAP) is an alternative surgical option for CoA repair in patients under two years of age. In cases where the stenosis extends beyond resection and end-to-end anastomosis feasibility, patch aortoplasty (PP) employing a prosthetic patch can augment the stenotic region, especially for older patients. Despite advances in pediatric cardiology and cardiac surgery, recoarctation remains a significant concern after surgical or interventional repair. This comprehensive review aims to provide a thorough analysis of coarctation management, covering the pioneering techniques introduced by Crafoord using head-to-tail anastomosis and now extending to the contemporary era marked by percutaneous interventions as well as the recoarctation rate associated with each type.

Abstract: Panfacial fractures are complex injuries involving multiple regions of the facial skele-ton simultaneously, which may necessitate multiple surgeries over a relatively short period. They are often associated with polytrauma and other injuries including brain trauma, which re-quire either immediate airway management, prolonged intubation, or repeated intubations for staged surgeries. Given the frequent need for intermaxillary fixation and the potential involve-ment of the central nasal complex or skull base, conventional oro-tracheal or nasotracheal intu-bation often presents challenges. Submental intubation is the most reported method of airway management with the aim to avoid tracheostomy and its related complications. A review of the different techniques of airway management in the elective treatment of panfacial fractures was performed focusing on the advantages and disadvantages of each method. Most of the literature consisted of retrospective studies, with only one prospective study comparing submental intu-bation to tracheostomy in panfacial fractures. There is abundant literature that favours the sub-mental intubation for its rapid establishment and low complication rate. Other techniques less reported were retromolar intubation, nasotracheal to orotracheal switch, tracheostomy or crico-thyroidotomy. An algorithm for the management of the airway in panfacial fractures is pre-sented.

We present here a case of complex uterine anomaly – Obstructed HemiVagina with Ipsilateral Renal Agenesis (OHVIRA), also known as Herlyn-Werner-Wunderlich syndrome in a 13-year-old girl with the history of recurrent urinary tract infections (rUTI). In emergency room, trans-abdominal sonography revealed ovarian cyst and renal agenesis, without any suspicion of vaginal obstruction. This led to delay in the diagnosis of this uncommon anomaly. Finally, MRI findings confirmed the presence of OHVIRA syndrome. As the congenital anomalies of kidney and urinary tract (CAKUT) are in almost one third of cases associated with genital malformations, urologist should carefully search for patients with rUTI. The patient underwent simultaneous laparoscopy and vaginoscopy, what was in our opinion the most appropriate therapeutic decision. In this article we are also going to discuss the role of laparoscopy in the management of OHVIRA syndrome as well as other surgical techniques described in the literature.

Advanced heart failure (AHF) presents a complex landscape with challenges spanning diagnosis, management, and patient outcomes. In response, the integration of multimodality imaging techniques has emerged as a pivotal approach. This comprehensive review delves into the profound significance of these imaging strategies within AHF scenarios. Multimodality imaging, encompassing echocardiography, cardiac magnetic resonance imaging (CMR), and cardiac computed tomography (CCT), stands as a cornerstone in the care of patients with both short- and long-term mechanical support devices. These techniques facilitate precise device selection, placement, and vigilant monitoring, ensuring patient safety and optimal device functionality. In the context of orthotopic cardiac transplant (OTC), the role of multimodality imaging remains indispensable. Echocardiography offers invaluable insights into allograft function and potential complications. Advanced methods, like speckle tracking echocardiography (STE), empower the detection of acute cell rejection. CMR and CCT further enhance diagnostic precision, especially concerning allograft rejection and cardiac allograft vasculopathy. This comprehensive imaging approach goes beyond diagnosis, shaping treatment strategies and risk assessment. By harmonizing diverse imaging modalities, clinicians gain a panoramic understanding of each patient's unique condition, facilitating well-informed decisions. Thus, this review underscores the irreplaceable role of multimodality imaging in elevating patient outcomes, refining treatment precision, and propelling advancements in the evolving landscape of advanced heart failure management.

Chronic non-cancer pain is a highly debilitating condition affecting approximately 20% of the global population. Chronic pain may lead to significant physical disability, emotional distress, social isolation and financial burden. Whilst^. pharmacological therapies remain the cornerstone of pain management in non-cancerous chronic pain, factors including the current opioid epidemic have led to non-pharmacological techniques becoming a more attractive proposition. We explored the prevalence of medical device use and their treatment efficacy in non-cancer pain management. A systematic methodology was developed, peer reviewed and published in PROSPERO (CRD42021235384). Key words of medical device, pain management devices, chronic pain, lower back pain, back pain, leg pain and chronic pelvic pain using Science direct, PubMed, Web of Science, PROSPERO, MEDLINE, EMBASE, PorQuest and ClinicalTrials.gov. All clinical trials, epidemiology and mixed methods studies that reported the use of medical devices for non-cancer chronic pain management published between the 1^st of January 1990 and the 30^th of April 2022 were included. 13 studies were included in systematic review, of these 6 were used in the meta-analysis with 173 participants. Our meta-analysis for pain reduction in each study showed that transcutaneous electrical nerve stimulation combined with instrument-assisted soft tissue mobilization treatment and pulsed electromagnetic therapy produced significant treatment on chronic lower back pain patients. Pooled evidence revealed the use of medical device related interventions resulted in 0.7 degree of pain reduction under a 0-10 scale. Significant improvement in disability scores, with a 7.44 degree reduction in disability level compared to a placebo using a 50 score range was also seen. The application of medical devices in patients with chronic pain has gained popularity due to increasingly cost effective techniques, minimally invasiveness and greater awareness of risks associated with pharmacological management. Our analysis has shown that the optimal use of medical devices in a sustainable manner requires further extensive research, needing larger cohort studies with greater gender parity, in a more diverse range of geographical locations.

City zones have become increasingly overcrowded as a result of the extensive population widening ratio and the swift relocation of people from villages. The traffic monitoring process is a major issue in these areas due to the massive traffic flow on the roads. This research proposed a cluster-based improved authentication and communication scheme for an Intelligent Transportation System in Vehicular AdHoc Networks (VANETs). Our primary objective is to optimize resource sharing in vehicular communication. We enhanced the reliability, scalability, and stability of fast-moving VANETs by introducing cluster-based routing schemes for Vehicle-to-Vehicle (V2V) and Vehicle-to-Infrastructure (V2I) communications. We used a third-party certification authority for vehicle authentication to address security and privacy concerns. Our proposed schemes support minimizing the end-to-end (E2E) delay and route request, in addition to reducing link failure. Our schemes’ leading yield includes throughput enhancement, TCP Socket Initialization time minimization, TCP handshake response speedup, and DNS lookup improvement. The schemes are centred on short-range peer-to-peer (P2P) wireless communication in a 400-meter radius cluster. This includes innovative P2P wireless communications on VANET using minimized resources. The proposed schemes deliver a secure authentication mechanism with a securely generated vehicle authentication key provided by a certification authority. Furthermore, we have developed RESTful APIs in vehicular communication for implementation purposes, and also offered and implemented algorithms for resource sharing regarding V2V and V2I communication. Ultimately, we evaluated the performance of our experiments.

Land registry is one of the instruments most mentioned by public actors in land management in Benin to solve land problems faced by the country. Its implementation and functioning depend not only on technical actions but also on political will. Through a methodology based on participant observation, semi-structured interviews, focus group, as well as on the theory of "change in public action" by P. Muller (2005), legal and institutional changes have been observed in the implementation of the cadastral project. It is a project whose political component is readable through government action and the legal reforms carried out. At the technical level, the land data collected are processed by computer systems that can facilitate the mass production of land titles.

The 2030 global agenda of the United Nations emphasizes peace, human rights, gender equality, partnership, and women's empowerment. It balances the social, economic, and environmental dimensions of sustainable development. The SDG framework was designed to be integrated and indivisible, making the interconnections of 17 Goals and 169 Sustainable Development Goals Targets (SDTs) more complex that need extensive and intensive investigative research. Recent studies have increased on the interrelationships of SDGs, but none of these have focused on integrating Climate Change (CC), Sustainable Forest Management (SFM), and Information and Communication Technology (ICT), also known as CSI Nexus. This study aims to investigate and identify the 169 SDTs linked to CC, SFM, and ICT and assesses the significance of the relationships between these variables. The alignment of SDTs to CSI Nexus was identified through clustering and mapping techniques. The result argued that 56 SDTs are directly connected within CC+SFM+ICT, 16 within CC+SFM, one within SFM+ICT, and 51 within ICT+CC. Our result suggests that CC is significantly associated with SFM; however, ICT has no significant association with CC and SFM. It further asserts that the ICT and SFM have minimal influence on the SDG 2030 framework. The proposed CSI Nexus and SDTs Integration Framework was a science-informed guide for priority-setting, policy coherence, and decision-making supporting the 2030 Sustainable Development Goals. This study does not include interactions, network analysis and visualization, simulations, and modeling between SDG targets.

The contribution deals with the selection of progressive methods and technologies to improve the management of production processes in the industrial area. The first chapter of the contribution summarises the theoretical starting points for the management of production processes and their progressive concepts. Chapter 2 deals with the analysis of the current state of play in the use of methods and technologies in production management and summarise its problem areas. Chapter 3 presents the design of a system for selecting the appropriate method and technology to improve the management of the production process. The system presented is designed from data collection blocks, a benchmark for the performance of industrial enterprises' production processes, and data mining to gain knowledge of the impact of the methods and technologies used on the performance of production processes. The last block of the system allows the presentation of the obtained results, which sets out the recommendation for the choice of progressive method and technology. The system is partially verified in the last chapter of the contribution.

This article proposes a measurement solution designed to monitor instantaneous frequency in power systems. It uses a data acquisition module and a GPS receiver for time stamping. A program in Python takes care of receiving the data, calculating the frequency, and finally transferring the measurement results to a database. The frequency is calculated with two different methods, which are compared in the article. The stored data is visualized using the Grafana platform, thus demonstrating its potential for comparing scientific data. The system as a whole constitutes an efficient low cost solution as a data acquisition system.

At present, sustainability and emerging technology are the most expressed issues in any supply chain management (SCM) sector. At the same time, pandemic makes consumers more concerned regarding health, and safe food with a sustainable way to access the current market. Thus, supervision and monitoring of product quality with symmetric traceability information in fresh food and fisheries SCM is significant. Research on food safety and traceability systems based on blockchain, internet of service (IoT), wireless sensor networks (WSN), and radio frequency identification (RFID) provides the solution of constancy from production to consumption. This review focused on the RFID-based traceability systems in fisheries SCM, which have been employed globally in the last fifteen years to ensure fish quality and security. Additionally, a summarized comparison study has presented different sectors’ traceability systems using RFID and their advantages over real-time applications. The outcome of this study will help future researchers to solve the crisis in terms of trust between consumers and the fisheries SCM. Thus, this review would be a guideline and solution for enhancing the reliability of RFID-based traceability in food SCM systems to ensure the integrity and reducing the opacity and asymmetry in the product information.

This research project focuses on the optimization of the hybrid energy system together with the assistance of thin-film coatings aiming to achieve self-sustainable food and crop storage facilities which will run effectively with its own generated energy. An infrastructure will be designed and constructed that will comprise a hybrid power generation system accompanied by thin-film coated semitransparent and non-transparent construction materials for energy saving. Thin-film low emissivity (Low-E) type coatings will assist the transparent or semitransparent construction materials to reflect most of the infrared (IR-mostly heat) and UV spectra of sunlight without interrupting the visible spectrum and will lead to saving energy consumption by reducing the heat and lighting during day time

This paper reviews the management of the COVID-19 crisis and the difficulty of cost estimation model, comparing centralized management or bureaucratic government coaction and the agile market alternative or spontaneous social coordination. This is a study of Political Economy and Health Economics from the perspective of Austrian Economics. We describe and compare the al-ternative models, which are adapted to the current crisis. The analysis is based on the theorem of the impossibility of the economic calculation under coactive systems, and other principles of economy. In this context we pay also attention to collateral problems of the centralized and coac-tive management. Finally we propose a solution based on dynamic efficiency and the constitutions of wellbeing economics

A 12 year old boy was diagnosed with temporal lobe epilepsy (TLE) along with mesial temporal sclerosis based on MRI (magnetic resonance imaging) results. The diagnosis was further confirmed by genetic analysis. He also had minor psychiatric symptoms of obsessive-compulsive disorders and mood swings. After 4 years of treatment with Sodium Valproate no change in symptoms was observed. Genetic testing along with deep phenotyping revealed altered glutamate pathway and metabolism. Post genetic testing the patient was put on a combination of Sodium Valproate and Valproic acid along with supplementation of N-acetylcysteine (NAC), Cyanocobalamin, Pyridoxine and Cholecalciferol. Within three months of this combined therapy the patient experienced complete elimination of seizures and drastic improvement in mood and social behaviour. The case report highlights the importance of precision diagnosis in understanding the underlying perturbed pathways in structural epilepsy like TLE and demonstrates the importance of non-invasive targeted therapy in such cases.

Background: A new coronavirus (SARS-CoV-2) that emerged from Wuhan, Hubei Province, China, has spread throughout the world and is declared a pandemic by the World Health Organization (WHO). A lot remains to be understood of SARS-CoV-2 and the disease (COVID-19). SARS-CoV-2 has until recently been identified as responsible for both asymptomatic and serious life-threatening infections. The unavailability of specific therapeutic agents is a major hurdle in the treatment and management of COVID-19 patients. The present review attempts to evaluate the immunobiochemical aspects of the pathogenesis, diagnosis, and management of SARS-CoV-2 infection. Main Body: This review is a comprehensive evaluation of the data collected through various sources, including Google Scholar, PubMed, and Scopus. The articles were searched and selected using key words such as “Coronavirus disease (COVID-19)”, “Diagnosis of COVID-19”, Pathogenesis of Covid-19”, “management of COVID-19”, “Immunology of COVID-19”, and “Complications of COVID-19”. The study noted that the novel Coronavirus infection could result in an exaggerated immune response, causing a cytokine storm and damaging several organs of the body. The infected patients develop several complications, including immunological, hematological, and biochemical alterations. Consequently, COVID-19 patients may develop cardiovascular, liver, renal, and neurological complications, among others. Conclusion: An increased understanding of the immunobiochemical aspects of the disease may contribute to better management of SARS-CoV-2-infected persons, as evidenced from the available literature. A holistic approach to the management of COVID-19 patients taking into consideration the effect of COVID-19 infection on various organs of the body assumes increased significance in patient management.

This short note proposes a national Geographic Information System (GIS) - based health infrastructure to deal with epidemics and pandemics. Currently, there is no pan-India health infrastructure available that can compile, update, and report the spread of epidemic diseases. It not only curtails the opportunity of finding the real-time data on the spatial distribution of a disease but prevents one to inquire into the causes of the disease through epidemiological analysis. The proposed infrastructure in this study is a pan-India one and can broadly be divided into two parts, hotspot mapping and accessibility to services. In the first part, hospitals are proposed to act as nodes of data collection, sending data to a national GIS portal. This portal shall have the capabilities of plotting the data using map rendering services such as Google and Bing Maps. This way, hotspots can be visualized in no time, benefitting the government and common citizenry alike. The second part deals with the accessibility of citizenry to a wide range of services, i.e., healthcare services, grocery outlets, emergency services, baby food, and many other essential services of the day to day life. In order to implement this, we propose that the government need to enforce a mandatory submission of locational coordinates of all Goods and Services Tax (GST) enrolled service providers. Once the coordinates are submitted, the government can effectively control the opening and closing of services and inform the citizenry at the same time. The proposed infrastructure is going to help deal with the extraordinary situations during epidemic and pandemics similar to what the world is currently facing in the form of Corona Virus Disease 2019 (COVID-19). Furthermore, the infrastructure can be scaled up or down as per the spread of a disease. The health-GIS platform proposed in this concept paper, shall help India in controlling and managing the epidemic more efficiently.