An outbreak caused by coronavirus disease 2019 (COVID-19) occurred in Wuhan City, Hubei Province, China, in December 2019. Up to March 2, 2020, at least 80180 cases have been reported. Most of the patients had a history of visiting Hubei Province or contacting with people who had ever stayed in or passed by Hubei Province, or exposed to symptoms. Some patients got infected only from asymptomatic contacts. This study aimed to report the epidemic features and lab identification of a patient confirmed with COVID-19 infection only from asymptomatic contact.

Lombok earthquake that occurred in July 2018 has three large magnitude earthquakes that caused huge losses; 564 victims died, 1684 injured, 445 343 refugees, and 215 628 houses were damaged. The role of anesthesiology is very important to give prompt therapy for injured victims. This research gave an overview of the important role of Anesthesiologist and the selection of anesthesia techniques during the natural disasters’ victims’ management. This study was conducted by collecting data of all earthquake victims treated at the emergency room (ER) of RSUD NTB on August 6^th and 7^th 2018 and all victims operated during August 5 – 25^th 2018. All data were recorded, analyzed, and presented in descriptive form using frequency, pie chart, and bar diagrams. The result shown that the highest number of patients treated in ER are during the first seven days after the earthquake and reduced to several weeks. The majority of patients treated are trauma patients who need orthopedic surgery. Since limited number of anesthesiologist should be considered with the right selection of anesthesia techniques, so that the disaster preparedness could be prepared well and the disaster management could run well. General anesthesia was widely used than regional anesthesia, but the different is not significant. The type of regional anesthetic drug usually used is lidodex in combination with catapres. The role of anesthesiologist during disaster is important to handle a safe and optimal surgical condition.

Peanut production contributes to food security in northern Ghana due to its ability to tolerate drought and survive on marginal lands. This notwithstanding, poor handling along the value chain favors aflatoxin contamination, a threat to human and animal life. Farmer-led improved storage practice, a potential solution to aflatoxin contamination, have been promoted in northern Ghana. However, there is limited evidence on the factors influencing the use of the improved storage system that may guide dissemination efforts. Using the Cragg’s two stage model, our results show that the probability and intensity of adopting the improved storage structure is principally and significantly influenced by economic active household members, storing of peanut in other places relative to the field, and location of farmer residence. In disseminating the improved peanut storage structure, the identified factors must be incorporated in the selection criteria to ensure maximum uptake and usage. Farmer training programs that incorporate both good agronomic practices and good storage practices must be intensified to reduce postharvest losses due to aflatoxin contamination. These strategies will help mitigate the harmful effect of aflatoxin, ensure economic sustainability, and enhance food security.

The use of small Unmanned Aircraft Systems (sUAS ) as platforms for data capture has rapidly increased in recent years. However, while there has been significant investment in improving the aircraft, sensors, operations, and legislation infrastructure for such, little attention has been paid to supporting the management of the complex data capture pipeline sUAS involve. This paper reports on the outcomes of a four-year-long community-engagement-based investigation into what tools, practices, and challenges currently exist for particularly researchers using sUAS as data capture platforms. The key results of this effort are: (1) sUAS captured data – as a set that is rapidly growing to include data in a wide range of Physical and Environmental Sciences, Engineering Disciplines, and many civil and commercial use cases – is characterised as both sharing many traits with traditional remote sensing data and also as exhibiting – as common across the spectrum of disciplines and use cases – novel characteristics that require novel data support infrastructure. And (2), given this characterization of sUAS data and its potential value in the identified wide variety of use case, we outline eight challenges that need to be addressed in order for the full value of sUAS captured data to be realized. We then conclude that there would be significant value gained and costs saved across both commercial and academic sectors if the global sUAS user and data management communities were to address these challenges in the immediate to near future, so as to extract the maximal value of sUAS captured data for the lowest long-term effort and monetary cost.

State Forest Management Organizations (SFMOs) play a crucial role in the European forest sector, managing almost half the forests in the region. SFMOs are often managed for timber production only whereas, being publicly owned, they should play an important role in providing a vast range of public goods (e.g. soil protection, biodiversity conservation). Their management goals depend on the history and current conditions of the forest sector at a national level, as well as different challenges and the potential for development. Although there is a lack of knowledge about the current performance of SFMOs, there have been recent changes to their management goals and practices in response to the new demands expressed by society (e.g. transparency, social inclusion). The main purpose of this study is to analyse the current situation of SFMOs by clustering them according to indicators that reflect three pillars of the common understanding of sustainable forest management (SFM) concept. With the help of Principal Component Analysis (PCA), we grouped countries according to common characteristics of the forest sector at the national level. Results show three main clusters of SFMOs in Europe. The first cluster has rather small but commercially-oriented forestry unit together with other business activities and a strong focus on public services. The second sees itself as the protector of public interest, rather than commercially-oriented organisations. The third is mainly profit-seeking. The existence of diverse SFMO clusters shows the possibility of different approaches for SFM with a focus on different goals (e.g. profit gaining, public service delivery).

The primary aim of this study is to investigate the relationship of the Mediterranean diet (MD) with metabolic syndrome (MetS) and its components in Caucasian subjects between 35 and 74 years. The secondary aim is to analyze sex differences. Methods: A cross‑sectional trial. This study utilized data from the EVA, MARK, and EVIDENT studies, a total of 3417 subjects with a mean age of 60.14±9.14 years (57% men). MetS was defined based on the Joint Scientific Statement National Cholesterol Education Program III. Waist circumference, blood pressure, fasting plasma glucose, and lipid profile were measured. Adherence to the MD was assessed with the 14-item Mediterranean Diet Adherence Screener (MEDAS) questionnaire used in the PREDIMED study. Good adherence was considered when the MD value was higher than the median value. Results: The mean value of the MEDAS questionnaire was 5.83±2.04; (Men 5.66±2.06 and women 6.04±1.99; p<0.001). Adherence to the MD was observed by 38.6% (34.3% men and 40.3% women; p<0.001). MetS was observed in 41.6% (39.0% men and 45.2%women p<0.001). In the multiple regression analysis after adjusting for possible confounders, the mean MD value showed a negative association with the number of MetS components per subject (β=-0.336), and with the different components of MetS: Systolic blood pressure (β=-0.011), Diastolic blood pressure (β=-0.029), glycemia (β=-0.009), Triglycerides (β=-0.004), Waist circumference (β=-0.026), except with the HDL-cholesterol value which showed a positive association (β=0.021); (p<0.001 in all cases). The adjusted logistic regression models showed that an increase in MDA decreases the probability of MetS (OR =0.56) and its components: blood pressure ≥130/85 mmHg (OR = 0.63), fasting plasma glucose ≥100 mg/dL (OR = 0.62); triglycerides ≥150 mg/dL (OR = 0.65); waist circumference ≥88 cm in women and ≥102 cm in men (OR = 0.74), and increases high-density lipoprotein cholesterol <40 mg/dL in men or <50 mg/dL in women (OR = 1.70); (p<0.001 in all cases). The results by sex were similar, both in multiple regression and logistic regression. Conclusion: The results of this study suggest that a greater adherence to the Mediterranean diet decreases the probability of presenting Mets globally and by sex.

This article introduces a novel nature-inspired metaheuristic algorithm called Frilled Lizard Optimization (FLO), which emulates the hunting behavior of frilled lizards in their natural habitat. FLO draws in-spiration from the sit-and-wait strategy observed in frilled lizards during hunting. The underlying theory of FLO is presented and mathematically formulated in two phases: (i) an exploration phase, simulating the frilled lizard's attack towards prey, and (ii) an exploitation phase, simulating the lizard's retreat to the top of the tree after feeding. To assess FLO's efficacy in solving optimization problems, the algorithm's performance is evaluated across fifty-two standard benchmark functions, encompassing unimodal, high-dimensional multimodal, fixed-dimensional multimodal, and the CEC 2017 test suite. Comparative analyses with twelve existing metaheuristic algorithms are conducted. The simulation results reveal that FLO, distinguished by its adeptness in exploration, exploitation, and balancing them during search process, outperforms competing algorithms. Additionally, FLO is implemented on twenty-two constrained optimization problems from the CEC 2011 test suite and four engineering design problems, demonstrating its effectiveness in addressing real-world optimization applications.

Savannas and adjacent vegetation types like gallery forests are highly valuable ecosystems contributing to several ecosystem services including carbon budgeting. Financial mechanisms such as REDD+ have provided an opportunity for developing countries to alleviate poverty through conservation of its forestry resources. For availing this opportunity carbon stock assessments are essential. Therefore, a research study at two protected areas i.e. Nazinga Game Ranch and Bontioli Nature Reserve, in Burkina Faso was conducted with the objective of assessing carbon Mg C ha-1 in aboveground biomass (AGB)dry of trees in different formations of the south-sudanian savanna in Burkina Faso, West Africa. Similarly analysis of various vegetation parameters was also conducted to understand the overall vegetation structure of these two protected areas. For estimating AGBdry, existing allometric equation for dry tropical woody vegetation types was used. The Importance Value Index (IVI) and Family Importance Value (FIV) were estimated through standard procedures. Various linear and non-linear regression analyses were conducted to test the relationships between carbon and other parameters such as DBH, height and basal area (BA). The results showed that both sites collectively contain mean carbon of 3.41 ± 4.98 Mg C ha-1. Amongst different vegetation types, gallery forests recorded the highest mean carbon of 9.38 ± 6.90 Mg C ha-1. The highest IVI of 115.56 at Nazinga Game Ranch was recorded for Anogeissus leiocarpa. Similarly, highest IVI of 98.59 was recorded for Mitragyna inermis at Bontioli Nature Reserve. The highest FIV was recorded for Combretaceae for both of the sites. To our knowledge, this was the first study conducted to assess the carbon stocks at the two protected areas in southern Burkina Faso. The study therefore was an attempt for addressing the knowledge gap particularly on carbon stocks of protected savannas. It could serve as a baseline for carbon stocks for future initiatives such as payment for environmental services and REDD+ at these areas.

Indonesia possesses significant biomass potential, including palm oil plantations. The palm oil industry has experienced rapid expansion, with a 7.67% growth rate over the past decade and an 11.09% annual increase in palm oil production. Co-firing (HT-FRD) is a beneficial technology for reducing exhaust gas emissions generated by coal-burning power stations. By utilizing Computational Fluid Dynamics (CFD), the study has modeled and evaluated co-firing palm frond residue (HT-FRD) with hydrothermal treatment into a 315 MWe boiler. In the simulation, six different HT-FRD co-firing ratios: 0%, 5%, 15%, 25%, 35%, and 50% were used to demonstrate the differences in combustion characteristics and emissions in the combustion chamber. The data indicates that HT-FRD co-firing can enhance temperature distribution, velocity, and unburned particles. All in all, co-firing conditions with 5% - 15% HT-FRD ratios appear to have the most favorable combustion temperature, velocity, and exhaust gas characteristics.

Onion skin waste (OSW), the primary non-edible byproduct from onion processing, offers a renewable source of bioactive compounds. This study aims to valorize OSW through subcritical water extraction (SWE), aligning with circular economy and biorefinery principles. SWE was carried out at 145 °C, 50 bar and 50 min in a discontinuous reactor, producing a phenolic-rich extract (32 ± 3 mg/g), dominated by protocatechuic acid (20 ± 3 mg/g), quercetin-4´-O-glucoside (7.5 ± 0.2 mg/g), and quercetin (3.2 ± 0.6 mg/g). Additionally, it contains sugars (207 ± 20 mg sucrose-Eq/g), proteins (22.8 ± 1.6 mg BSA-Eq/g) and free amino acids (20.4 ± 1.2 mg arginine-Eq/g). Its phenolic richness determines its scavenging activity against ●NO and O2●- radicals, and its α-glucosidase and aldose-reductase inhibition without affecting α-amylase. Notably, the extract demonstrates significant α-glucosidase inhibition (IC50 = 76 ± 4 µg/mL), surpassing acarbose (IC50 = 129.5 ± 1.0 µg/mL), in both pure enzyme and cell culture tests without showing cytotoxicity on AGS, HepG2 and Caco-2 human cell lines. The extract’s bioactivity and nutritional content make it suitable for developing antioxidant and antidiabetic nutraceutical/food components, highlighting the SWE potential for OSW valorization without using organic solvents.

COVID-19 greatly challenges human beings in the health sector and leaves behind a large amount of medical waste that poses many potential threats to the environment. In this paper, we compiled relevant data released by official agencies and the media, and conducted data supplementation based on previous studies to calculate the net value of medical waste production in Hubei Province during COVID-19 with the help of a neural network model. Then, we reviewed the data related to the environmental impact of medical waste per unit and designed four scenarios to estimate the environmental impact of new medical waste generated during the epidemic. The results showed that at a medical waste generation rate of\ 0.\ 5\ kg/(\ bed\ \cdot\ d) COVID-19 resulted in a net increase in medical waste volume of about 3366.99 tons in Hubei Province. In the four scenario assumptions, if the medical waste brought by COVID-19 is completely incinerated, it will have a large impact on the air quality. If it is disposed by distillation sterilization, it will produce a large amount of wastewater and waste residue. Based on the results of the study, three policy recommendations are proposed in this paper: strict control of medical wastewater discharge, reduction and transformation of the emitted acidic gases, and attention to the emission of metallic nickel in exhaust gas and chloride in soil. These policy recommendations provide a scientific basis for controlling medical waste pollution.

Background/Objectives: This study looks at how a kinematic chain exercise regimen that targets the lower, core, and upper body affects university shot put participants' shoulder muscle strength and throwing efficiency. This study fills an apparent research void on shot put training approaches by presenting a comprehensive kinematic chain workout program. It was anticipated that this method would improve performance the most, considering the complex biomechanical require-ments of the sport. Methodology: Athletes, seventy in age (19.87 ± 1.31 years), were assigned into two groups at random: experimental (n = 35) and control (n = 35). While the control group carried on with their usual training, the experimental group participated in an 8-week kinematic chain training program, pre- and post-training evaluations were carried out to evaluate shot put throwing ability, shoulder muscle strength, and participant satisfaction with the exercise regimen. Results: demonstrated that, when compared to the control group, the athletes in the kinematic chain program had a significantly improved throwing distance (p = 0.01) and shoulder muscle strength (p = 0.01). Furthermore, there was a significant difference (p = 0.005) in the athletes' satisfaction levels with the workout program among those in the experimental group. This implies that a kinematic chain-focused strategy improves performance and emphasizes the significance this type of training is for shot put athlete performance. Conclusion: As an improvement forward in sports science, the study's finding promotes the inclusion of kinematic chain workouts in shot put training programs and calls for more research on kinematic chain-based approaches in a variety of sports.

Sink waste traps and drains are a reservoir for multi-drug resistant Gram-negative bacteria in the hospital environment. It has been suggested that these bacteria can migrate through hospital plumbing. Hospital waste traps were installed in a laboratory model system where sinks were connected through a common wastewater pipe. Enterobacterales populations were monitored using selective culture, MALDI-TOF identification and antibiotic resistance profiling before and after a wastewater backflow event. When transfer between sinks was suspected, isolates were compared using whole-genome sequencing. Immediately after the wastewater backflow, two KPC-producing Enterobacter cloacae were recovered from a waste trap in which Carbapenemase-producing Enterobacterales (CPE) had not been detected previously. The isolates belonged to ST501 and ST31 and were genetically indistinguishable to those colonising sinks elsewhere in the system. Following inter-sink transfer, KPC-producing E. cloacae ST501 successfully integrated into the microbiome of the recipient sink and was detected in the waste trap water at least six months after the backflow event. Seven weeks and three months after the backflow, other inter-sink transfers involving Escherichia coli ST5295 and KPC-producing E. cloacae ST501 were also observed.

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

In a context of increasingly necessary energy transition, precise modelling of profiles for low-voltage (LV) network consumers is crucial to enhance hosting capacity. Typically, load curves for these consumers are estimated through measurement campaigns conducted by Distribution System Operators (DSO) for a representative subset of customers or through the aggregation of load curves from household appliances within a residence. With the instrumentation of smart meters becoming more common, a new approach to modelling profiles for residential customers is proposed to make the most of the measurements from these meters. The disaggregation model estimates the load profile of customers on a low-voltage network by disaggregating the load curve measured at the secondary substation level. By utilizing only the maximum power measured by Linky smart meters, along with the load curve of the secondary substation, this model can estimate the daily profile of customers. For 48 secondary substations in our dataset, the model obtained an average symmetric mean average percentage error (SMAPE) error of 4.91% in reconstructing the load curve of the secondary substation from the curves disaggregated by the model. This methodology can allow the estimation of the daily consumption behaviors of the low-voltage customers. In this way, we can safely envision solutions that enhance the grid hosting capacity.

The current study aimed to evaluate the influence of different sintering temperatures on the properties of copper aluminum oxide (CuAlO₂) pellets synthesized from copper oxide (CuO) and aluminum hydroxide (Al(OH)₃) for application in smart infrastructure systems. The pellets were sintered at 400 K, 1000 K, and 1300 K, in the presence of nitrogen gas flow to reduce the amount of oxygen availability. The CuAlO₂ sintered nanoparticles were chemically analyzed by X-ray diffractometry, and the nanostructure of the materials was studied by scanning electron microscopy. The transmittance of the sintered materials was examined by ultraviolet/visible (UV/Vis) spectrophotometry, and 88% transparency was observed for the pellets sintered at 1300 K. Electrical conductivity was measured at 0.905 mS/cm, indicating a semiconducting behavior.

One of the most important subjects of hydraulic engineering is the reliable estimation of the transverse distribution in rectangular channel of bed and wall shear stresses. This study makes use of the Tsallis entropy, Genetic Programming (GP) and (ANFIS) methods to assess the shear stress distribution (SSD) in rectangular channel. To evaluate the results of the Tsallis entropy, GP and ANFIS models, laboratory observations were used in which shear stress was measured using an optimized Preston tube. This is then used to measure the SSD in various aspect ratios in the rectangular channel. To investigate the shear stress percentage, 10 data series with a total of 112 different data for were used. The results of the sensitivity analysis show that the most influential parameter for the SSD in smooth rectangular channel is the dimensionless parameter B/H, Where the transverse co-ordinate is B, and the flow depth is H. With the parameters (b/B), (B/H) for the bed and (z/H), (B/H) for the wall as inputs, the modeling of the GP was better than the other one. Based on the analysis, it can be concluded that the use of GP and ANFIS algorithms is more effective in estimating shear stress in smooth rectangular channels than the Tsallis entropy-based equations.

This paper aims to present a smart high speed battery charger, powered by a photovoltaic module array, for a LiFePO4 battery as a solar energy storage device. With a battery charging strategy, the presented battery charger involves a Buck converter as the core equipped with a simple maximum power point (MPP) tracker. Considering complexity reduction and easy hardware implementation, a constant voltage MPP tracking approach is adopted such that the maximum amount of output power can be delivered to the load in response to an arbitrary change in the solar radiation. A smart two-stage charging strategy, with a constant current mode followed by a constant voltage mode, is employed in such a way that the battery charge process can be accelerated largely, while the damage caused by overcharging can be prevented. In the end, the performance of this proposal is validated experimentally.

Various short-range radars, such as impulse-radio ultra-wideband (IR-UWB) and frequency-modulated continuous-wave (FMCW) radars, are currently employed to monitor vital signs, including respiratory and cardiac rates (RR and CR). However, these methods do not consider the motion of an individual, which can distort the phase of the reflected signal, leading to inaccurate estimation of RR and CR because of a smeared spectrum. Therefore, motion compensation (MOCOM) is crucial for accurately estimating these vital rates. This paper proposes an efficient method incorporating MOCOM to estimate RR and CR with super-resolution accuracy. The proposed method effectively models the radar signal phase and compensates for motion. Additionally, applying the super-resolution technique to RR and CR separately further increases the estimation accuracy. Experimental results from the IR-UWB and FMCW radars demonstrate that the proposed method successfully estimates RR and CR even in the presence of body movement.

This research evaluates the mineral ions and their concentrations in formation water from five well samples of the Bibi Hakimeh oil field. The study reveals the presence of calcium (Ca2+), so-dium (Na+), and magnesium (Mg2+) cations, as well as sulfate (SO42-), bicarbonate (HCO3-), and chloride (Cl-) anions, which are soluble in water within the Bibi Hakimeh oil formation. Fur-thermore, mineral deposits of CaSO4, CaSO4.2H2O, CaCO3, and MgCO3 are investigated. The findings highlight the significant formation of calcium sulfate and calcium carbonate mineral deposits under the operating conditions of the Bibi Hakimeh oil well. Additionally, the study examines the interaction between rock and water of the Bibi Hakimeh formation, revealing a notable correlation between the concentration of calcium and magnesium ions and the water-rock reaction in this field

The purpose of this article is to investigate and analyze the practices of scientific management within the County Departments of Sports and Youth (CDYS) in Romania. Conducted through a comprehensive research endeavor spanning from January to June 2022, the study utilized a standardized questionnaire as its primary instrument for data collection, distributed among CDYS directors. A notable finding from the study indicates that a significant proportion of respondents (44.9%) perceive notable disparities in the normative-functional elements governing the National Sports System in Romania compared to international standards. Moreover, the majority (51%) consistently adhere to regulatory acts, while a substantial portion (69.4%) underscore the importance of strict adherence to internal regulations in strategy formulation. Furthermore, an overwhelming majority (88.9%) acknowledge the substantial influence of available resources on strategy development, with collaboration with authorities primarily occurring through direct communication channels. Respondents prioritize multiple objectives (44.9%), affirm the necessity of various competencies (53.1%), and identify a lack of human and financial resources (59.2%) as the most significant obstacle. Notable achievements highlighted in the study include the improvement of the county's sports performance (53.1%). Respondents also believe that setting clear and realistic objectives (38.8%) is pivotal to enhancing CDYS management, while considerations in formulating strategies emphasize trends in the sports domain (42.9%) and the specific needs of the local sports community (42.9%). Overall, this research contributes to the understanding and promotion of more efficient practices in managing sports and youth departments within Romania's counties.

Global concerns of decreasing water availability and food security are being exacerbated by the increasing demand for food, water quality degradation, and climate change impacts. Rice is an essential crop for food security with paddy rice cultivation largely practiced using traditional flooding conditions. Water regimes and components of the soil water balance in paddy rice catchments affect uptake of water by rice roots. Paddy management, especially puddling, significantly affects soil hydrological properties, such as hydraulic conductivity, percolation, and seepage in the paddy rhizosphere. Improved knowledge of these interactions is vital for developing sustainable water management strategies in paddy fields. Alternate Wetting and Drying (AWD) practice contributes to sustainable water management, but little is known about effects of soil wetting and drying duration on gravitational soil water flow, moisture dynamics, and hydraulic conductivity in the rice paddy rhizosphere. These factors depend on soil type, rice variety, rooting conditions, and environmental factors, such as solar radiation and temperature. Here we examine the paddy cultivation environment and soil properties under traditional continuous flooding and AWD practice. Some studies indicate that the duration and frequency of wetting and soil drying under AWD practice in paddy fields affects soil hydraulic conductivity that alters the next cycle of water application. During droughts and short rainy seasons, rainfall, soil properties, and atmospheric conditions control soil moisture dynamics in paddy fields. Limitations and challenges of applying AWD in paddy soils, including the variation of hydrological properties and the need for frequent field manual monitoring of water level (WL) head, are discussed. Implications of AWD practice on yield, water use efficiency, soil hydrology, and reduction of methane emissions, are outlined along with opportunities to improve AWD integration within government policies, irrigation schemes, and adoption by farmers. Coupled crop models can provide important insights for sustainable agricultural water management.

Earnings management and financial distress are two critical facets of financial management in corporations that have lately been the focus of thorough research from both scholars and practitioners. The purpose of the research is to evaluate the influence of financial distress on the earnings management of companies listed at the NSE during the pre- and post-COVID eras. Multiple linear regression was applied in this study to examine the causal association between earnings management and financial distress. To assess the effect of financial distress on earnings management, the study analyzed data from 37 listed companies during the pre-COVID and post-COVID periods. The methodology also takes into account control factors like firm size, GDP, and inflation. The pre-COVID research indicates a significant positive correlation between financial strain and earnings management. In contrast, the correlation between financial distress and earnings management is not statistically significant in the post-COVID analysis. However, research shows that firm size has a statistically significant negative influence on managing earnings. The results of this study show that smaller firms are more inclined to engage in earnings management during the post-COVID era than bigger ones.

Accurately diagnosing specific variants of alopecia remains challenging for pathologists, potentially delaying appropriate therapeutic decisions by dermatologists. Issues such as limited knowledge on optimal biopsy types and processing methods add complexity. Understanding the normal histology of hair follicles and their changes throughout the follicular cycle further complicates microscopic evaluation. This paper aims to summarize these characteristics and highlight essential diagnostic clues for pathologists to confidently suggest a diagnosis, therefore playing a key role in alopecia diagnosis. Ongoing education, collaboration with dermatologists, and staying updated on advancements is crucial for accurate diagnosis and effective management of different types of alopecia.

Background: Skin and soft tissue infections (SSTI) are common presentations to the emergency department. However, this is less common after contact with contaminated water, both salt or fresh. This review presents the diagnosis and the management of water-related soft tissue sepsis in this vulnerable and difficult to treat subgroup of necrotizing soft tissue sepsis. Methods: A summative literature overview regarding bacterial and fungal SSTI after contact with contaminated water, with practical diagnostic and management aspects addressed. Results: The literature indicates that these remain difficult to treat wounds and organisms. An approach using appropriate diagnostic tools with both medical and surgical management strategies is provided. Conclusion: SSTI due to water contamination of wounds involve unusual organisms with unusual resistance patterns and require a nuanced and directed diagnostic approach with adaptation of the normal antibiotic or antifungal selection to achieve cure, along with aggressive debridement and wound care.

Job satisfaction has a strong impact on the intention to stay which is an important aspect to counter skills shortage in academic medicine. In an interview study combining qualitative and quantitative methods we investigated how the mental representation of working conditions influences job satisfaction and its impact on the intention to stay. In a first study chief physicians participated in interviews about job satisfaction in academic hospitals. Answers were segmented into statements, ordered by topics and rated according to their valence. In a second study assistant physicians (residents) during and after their training period talked about strength, weaknesses and potential improvements of working conditions. Again, answers were segmented, ordered, rated and used to develop a ‘job satisfaction scale’. In a third study, assistant physicians participated in a computer-led repertory grid procedure composing ‘mental maps’ of job satisfaction factors, filled in the job satisfaction scale and rated if they would recommend work and training in their clinic as well as their intention to stay. Comparing the interview results with recommendation rates and intention to stay show that a negative attitude is linked to high workload and poor career perspectives. A positive attitude towards work environment and high intention to stay are linked to sufficient personnel and technical capacities, reliable duty scheduling and fair salaries. The third study using repertory grids showed that the perception of current teamwork and future developments concerning work environment were the main aspects to improve job satisfaction and the intention to stay. The results of the interview studies were used to develop an array of adaptive improvement measure. The results support prior findings that job dissatisfaction is mostly based on generally known “hygiene factors” and whereas job satisfaction is due to individual aspects.

Alzheimer’s disease (AD) is one of the most prevailing neurodegenerative diseases, characterized by memory dysfunction and the presence of hyperphosphorylated tau and amyloid β (Aβ) aggregate in multiple brain regions, including the hippocampus and cortex. The exact etiology of AD has not yet been confirmed. However, epidemiological reports suggest that populations who were exposed to environmental hazards are more likely to develop AD than those who were not. Arsenic (As) is a naturally occurring environmental risk factor abundant in the Earth’s crust and human exposure to As predominantly occurs through drinking water. Convincing evidence suggests that As causes neurotoxicity and impairs memory and cognition although the hypothesis and molecular mechanism of As-associated pathobiology in AD are not clear yet. However, exposure to As and its metabolites leads to various pathogenic events such as oxidative stress, inflammation, mitochondrial dysfunctions, ER stress, apoptosis, impaired protein homeostasis, and abnormal calcium signaling. Evidence has indicated that As exposure induces alterations that coincide with most of the biochemical, pathological, and clinical developments of AD. Here, we overview existing literature to gain insights into the plausible mechanisms that underlie As-induced neurotoxicity and the subsequent neurological deficits in AD. Prospective strategies for the prevention and management of arsenic exposure and neurotoxicity have also been discussed.

There has been a growing call for reform of the U.S. biomedical community in recent years. As a community, we face a growing list of issues including excessive waste, reproducibility, bias, inadequate training, and the absence of sustainable long-term planning that detract from the overall goal of advancing human health. In response to this debate, biomedical stakeholders have taken positive steps forward to remedy these issues. However, we must continually improve upon these steps to promote the long-term stability of the biomedical enterprise. Given the widespread interest of the scientific community in addressing these issues, there exists a unique opportunity to come together and create a new era of biomedical discovery. The completion of this exciting task requires reflection on our view and management of the system, and what the best route to sustainable change may be. Importantly, a coordinated approach that considers the collective make-up of the biomedical system and how processes and people influence collective output and create value for patients is needed. Here, these three areas and the concepts of systems theory, total quality management, and organizational development and their contribution to the management and effectiveness of biomedical discovery are discussed. Importantly recommendations are made concerning overall management strategy, process efficiency and quality research, administrative tasks, organizational cultural challenges, individual and team development, and funding strategy.

Reducing fertilizer-N rate, applying nitrification inhibitor (NI), and incorporating straw are widely recommended to improve N use efficiency of crops and decrease N losses. However, how these practices affect crop N uptake by regulating the fertilizer-N fate during the growing season is not well understood. We conducted a field 15N tracer study to explore the effectiveness of reduced N application, NI, and straw incorporation on fertilizer-N fates for maize cultivation in Northeast China. The following six treatments were used: 1) no N fertilization (control); 2) 200 kg urea-N ha−1 (100%N); 3) 200 kg urea-N ha−1 and 2400 kg dry-straw ha−1 (100%N+S); 4) 160 kg urea-N ha−1 (80%N, i.e., 20% reduction of N fertilization); 5) 160 kg urea-N ha−1 and nitrification inhibitor (Nitrapyrin) (80%N+NI); 6) 160 kg urea-N ha−1, nitrification inhibitor and 2400 kg dry-straw ha−1 (80%N+NI+S). Our results showed that the five N fertilization treatments yielded 16%–25% more grain and 39%–60% more crop N uptake than the control receiving no N fertilizer, but the differences among the five treatments were not statistically significant. In contrast to plant growth, changes in fertilizer-N fates in soil and plant pools were more pronounced. Compared with the 100%N treatment, 20% fertilizer-N reduction (80%N) decreased 15N concentration in topsoil and plant pools but increased the proportion of plant 15N recovery at harvesting (N use efficiency, NUE15N, 60% vs. 50%) (P < 0.05). Nitrapyrin co-application (80%N+NI) delayed soil nitrification and increased soil 15N retention at harvesting (52% vs. 36%), thereby decreasing NUE15N significantly (P < 0.05). Straw incorporation (100%N+S) decreased fertilizer-N retention compared with NI co-application because it promoted NUE15N significantly (P < 0.05). The combined application of NI and straw (80%N+NI+S) was more conducive to fertilizer-N retention in soil. Our findings demonstrate that NI and straw additions are efficient strategies for stabilizing fertilizer-N in soils and potentially minimizing N loss; however, their effects on NUE15N vary and the related mechanism must be further clarified in long-term trials.

Aluminium dross is the industrial waste from aluminium refining industry and accordance with toxic waste materials, it’s also recognized as a by-product of aluminium production, has historically posed significant environmental challenges due to its toxic and reactive nature. However, recent advancements in technology have revealed the potential of transforming aluminium dross into a valuable source of white hydrogen. This review paper explores the methodologies, benefits, and challenges associated with this transformation. By analysing current research and industrial practices, our review highlighted the potential of this innovative approach to mitigate waste and contribute to sustainable energy solutions. In addition, the utilization of Aluminium dross can be considered as innovative and advancement in sustainable waste management strategy instead of direct disposal, and hot springs use advances in direct utilization. Our experimental work achieved white hydrogen maximum flowrate at 600 sec. with 120ºC.

The quality of waste activated sludge produced in urban wastewater treatment systems varies according to the efficiency of the operation of treatment units along the content of microflora and organic carbon. However, these represent a biogas-energy alternative through anaerobic co-digestion, contributing to reducing the environmental impacts caused by their inadequate disposal. Biogas production by the Two-stage production method in batch digesters was evaluated by two qualities of waste activated sludge (SLB50 y SLB90) and with a mixture of two co-substrates: cattle manure (CEV50 y CEV90) and residual edible oil with mixing, pH and temperature control. Bacteria in good quality sludge (SLB90) showed a faster adaptation of 2 days than those in low quality (SLB50) with 25 days lag phase. The highest CH4 production was for SLB90 (303.99cm3 d-1) compared to SLB50 (4.33 cm3 d-1); while cow manure sludge mixture (CEV90) contributed to increasing production of CH4 (42 422.8 cm3 d-1) compared to CEV50 (12 881.45 cm3 CH4 d-1), while in residual edible oil mixture they were 767.32 cm3 d-1 and 211.42 cm3 d-1 for CAV90 y CAV50, respectively. The addition of sludge co-substrates improves the nutrient balance, C/N rate and micro flora diversity; consequently methane production improves too; this methodology could be integrated into concepts of Circular economy.

ABSTRACT Heavy metals have been classified as dangerous environmental pollutants. Interest in feasible ways to reduce heavy metals pollution is a noble goal. Adsorption is an effective method based on its effectiveness and low- cost. Nowadays, low-cost bio-sorbents have been utilized to replace costly expensive adsorbents. Rich cellulose materials are effective heavy metal adsorbents, and their performance can be enhanced via chemical modification. The present work reviews the steady progress in the utilization of agriculture by-product wastes as heavy metal bio-sorbent. The unique advantages of these by-products such as renewability, abundance, simple processing, and low cost, justifier this work. The results confirm that the chemically treated agro-wastes exhibit high- removal efficiency (reaches 95% in most cases). The adsorption isotherm studies indicate that the concentration of the metal ions has a significant effect on the adsorption process. The Freundlich model provides a physical adsorption model of the metal ions on the bio-sorbent surface. Langmuir isotherm offers an estimate of the effect of different factors on the efficiency of the process. The adsorption kinetics studies offer an idea of reaction pathways including the adsorption mechanism and the efficiency of the metal ion removal. Applying the pseudo-first-order and pseudo-second-order models describes the adsorption kinetics. This information can be utilized in developing effective strategies to remove heavy metal ions using chemically treated agro-waste. The data confirmed that chemical modification is a significant parameter in the efficiency of metal ion removal. The feasibility and effectiveness of using these cellulosic by-products as bio-sorbent should be given attention and encouraged.

Polyethylene terephthalate (PET) pollution poses significant environmental consequences, and thus new degradation methods must be explored to mitigate this problem. We previously demonstrated that a consortium of three Pseudomonas and two Bacillus species can synergistically degrade PET in culture. The consortium more readily consumes Bis(2-Hydroxyethyl) terephthalate (BHET), a byproduct made in PET depolymerization, compared to PET, and can fully convert BHET into metabolically usable monomers terephthalic acid (TPA) and ethylene glycol (EG). Because of its crystalline structure, the main limitation of the biodegradation of post-consumer PET is the initial transesterification from PET to BHET, depicting the need for the transesterification step in the degradation process. Additionally, there have been numerous studies done on the depolymerization reaction of PET to BHET, yet few have tested the biocompatibility of that product with a bacterial consortium. In this report, a two-step process was implemented for sustainable PET biodegradation, where PET is first depolymerized to form BHET using an Orange Peel Ash (OPA) catalyzed glycolysis reaction, followed by complete degradation of the BHET glycolysis product by the bacterial consortium. Results show that OPA-catalyzed glycolysis reactions can fully depolymerize PET, with an average BHET yield of 92% (w/w) and that the reaction product is biocompatible with the bacterial consortium. After inoculation with the consortium, 19% degradation of the glycolysis product was observed in 2 weeks, for a total degradation percentage of 17% when taking both steps into account. Furthermore, the 10-week total BHET degradation rate was 35%, demonstrating that the glycolysis products are biocompatible with the consortium for longer periods of time, for a total two-step degradation rate of 33% over 10 weeks. While we predict complete degradation is achievable using this method, further experimentation with the consortium can allow for a circular recycling process, where TPA can be recovered from culture media and reused to create new materials.

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

Red mud (RM) is composed of a waste alkaline solution (pH = 13.3) obtained from the production of alumina. It contains high concentrations of soluble hematite (Fe2O3), goetite (FeOOH), gibisite [Al(OH)3], a boemite (AlOOH), anatase (Tetragonal - TiO2), rutile (Ditetragonal dipyramidal - TiO2), hydrogarnets [Ca3Al2(SiO4)3−x(OH)4x], and perovskite (CaTiO3). It was shown to be an excellent catalytic mixture for biodiesel production. To demonstrate the value of RM, an environmentally friendly process of transesterification in aqueous medium using waste cooking oil (WCO), MeOH and waste alkaline solution (WAS) obtained from aluminum production was proposed. Triglycerides of WCO reacted with MeOH at 60 oC to yield mixtures of fatty acid methyl esters (FAMEs) in the presence of 0.019% (w/w) WAS/WCO using the WAS (0.204 mol L-1, predetermined by potentiometric titration) from aluminum production by the Bayer process. The use of the new catalyst (WAS) resulted in a high yield of the products (greater than 99% yield).

Over the past few decades, the quantity of construction waste has steadily risen in tandem with the expansion of construction activities and the rapid pace of development and urbanization. This problem is rooted in the practice of delivering materials to construction sites without totally using them for their intended purpose. The primary aim of the JIT tactic is to ensure that the precise materials required for production are available at the precise location, exact time, and appropriate quantity, thereby facilitating timely production. Presently, the use of ready-mix concrete is the most typical instance of a just-in-time construction process Developed countries have benefitted immensely from the use. However, the reverse is the case in developing countries like Nigeria, where indigenous contractors still employ traditional in-situ concreting even when faced with restrictive site space. This study focuses on investigating Ready-mix concrete, to project its immense benefits and effectiveness in minimizing lean construction waste. A survey research design and case study were adopted for this study, with the population being the management staff of construction firms in Lagos State, Nigeria. The questionnaire was used to collect data and the targeted respondents were purposively selected from the population. A total number of 112 questionnaires were administered with a response rate of 51%. Percentage, mean, standard deviation, and ANOVA were used to analyze the data. The mean value is above 3 on a Likert Scale of 5, while faster construction speed and uniform quality of concrete are the topmost benefits derived from adopting Ready-mix Concrete in Nigeria. The Case study also revealed the effectiveness of Ready-mix concrete in minimizing the two lean construction wastes that were examined, namely; waste of overproduction and waste of waiting. It is recommended Just-in-Time technique should be extended to other construction materials aside from concrete to improve waste minimization through the adoption of an overall JIT policy for the construction process.

The contamination of areas around solid urban waste dumps is a global challenge for the maintenance of environmental quality in large urban centres in developing countries. This study applied geophysical methods (electrical resistivity) to identify leachate contamina-tion plumes in the subsoil and groundwater, as well as to describe their temporal (2020 and 2021) dynamics in the lithology and groundwater around the Hulene - B waste dump, Maputo, Mozambique. Geophysical methods (electrical resistivity) were applied to identify possible groundwater contamination plumes, their dynamics, mechanisms of their enrichment and dispersion. Eight 400 m electrical resistivity profiles were performed, four profiles in January 2020 and four profiles in May 2021, overlapped, and the data were inverted with RES2D software. The electrical resistivity models indicate an E - W move-ment of large contamination plumes that dilute superficially into the natural surface wa-ter receiving basin and groundwater, creating zones of resistive anomalies. The thickness of the plumes in the subsurface environment was shown to be extensive in summer for profiles 1a and 2b and we associate it with the higher leachate production and migration mechanisms, which are intense in the hot and rainy season. Profile 4b showed the prop-agation of anomalous surface and subsurface areas, which was associated with higher leachate production and migration process in the new deposition zone (west). The spatial distribution of contamination plumes at both stations reduced significantly as we moved further away from the waste deposit, revealing the attenuating effect of groundwater and lithological substrate (Profile 3 a, b, and fig.7).

As a result of rapid population growth, an exponentially growing human population, and industrial expansion, it has become increasingly difficult to manage municipal solid wastes throughout the world. Decentralized waste management systems have created difficult situations in developing countries such as Malaysia. Wastes generated in the country, due to various cultural, social, and religious activities, organic and contributing to environmental pollution (air, water, and soil) and human health troubles. A questionnaire survey was participated by 220 construction professionals in Malaysia using structured and semi-structured methods. The framework was assessed using A partial least square structural equation modeling (PLS-SEM) to target sustainable development goals (SDG). Statistical analysis results indicate a significant effect between SCW management, since(r(270)=.687, P<0.001). Improving factors has strong relationship with SCW management, since(r(270)=.723, P<0.001). The mediation results also suggested a significant indirect positive effect of improving factors drivers on SCW management through policy-related factors sinceβ=0.688, t=8.254, P<0.001, 95% CI for β=0.536,0.866. Finally, policy-related factors construct has a strong relationship with SCWM) management, since(r(270)=.811, P<0.001) With the R Square of 0.787 and 0.785. The developed framework can improve construction waste management in the construction industry and enhance construction waste management to achieve global sustainable development goals. The findings show that one of the most critical issues of enhancing profitability is using preventive policies to reduce construction waste. This study could guide construction industry stakeholders in identifying the different waste management features during a building project's construction and design stage

A winemaking waste was used as a precursor of activated carbon used in hazardous Cr(VI) removal from solutions. The preparation process consisted of a hydrothermal process, and a chemical activation, of the resulting product, with KOH. The adsorption results showed that the adsorption of Cr(VI) on the obtained activated carbon is strongly dependent on the stirring speed applied to the carbon/solution mixture, pH of the solution, and temperature. The equilibrium isotherm was well fitted to the Langmuir type-II equation, whereas the kinetic can be described by the pseudo-second-order kinetic model. Thermodynamic studies revealed that Cr(VI) adsorption was an exothermic and spontaneous process. Finally, desorption experiments showed that Cr(VI) was effectively desorbed using hydrazine sulfate solutions, and at the same time, the element was reduced to the less hazardous Cr(III) oxidation state.

Medication adherence is a vexing challenge with nonadherence at 50% or greater among US adults. With most medications self-administered by patients in the home, home medication management practices, especially where patients store medication in the home and receptivity to guidance from healthcare providers, need to be better understood to improve adherence. We designed and deployed a survey to investigate home medication management. The 1,673 survey respondents reported that the most common home storage locations for medications were nightstand drawers (28%) and atop nightstands (27%). Kitchen cabinets and bathroom vanities were significantly associated with increased odds of having ever forgotten to take a medication. Desks, dining room tables, and nightstand drawers were associated with the greatest statistically significant decrease in odds of having ever forgotten to take a medication. Almost all (96%) respondents were receptive to guidance on medication storage from a healthcare provider. Patients are largely on their own to devise home medication management practices, yet some home storage locations are significantly associated with decreased odds of having forgotten to take a medication. Knowing which practices are associated with adherence may lead to better guidance for patients from healthcare providers and to innovation in the design of medication adherence interventions.

This study constructs a comprehensive line loss management evaluation knowledge graph, considering the impact of various factors such as power grid structure characteristics, equipment's physical parameters, power grid operation characteristics, electricity consumption features, and natural conditions. It establishes the association between line loss characteristics and line loss retrieval and configures the data source for line loss management evaluation indicators. Based on Principal Component Analysis (PCA), this study selects comprehensive evaluation indicators for line loss management, verifies the rationality of the indicators, and proposes an integrated evaluation method for municipal power grid line loss management. A full-process composite evaluation method based on DEMATEL-Entropy Weight-TOPSIS is constructed, and the accuracy of the evaluation method is verified through ablation experiments. The TOPSIS analysis method is applied to empirical research on cross-sectional data from a city in Guangxi from 2012 to 2022 to validate the evaluation system's effectiveness, scientific nature, and objectivity. The case analysis shows that the line loss evaluation index system established in this paper effectively reduces the redundancy of line loss data and can objectively and rationally reflect the actual status of line loss management work, serving as a basis for decision-making in future line loss management evaluations.

The adoption of cloud-based supply chain management (SCM) solutions represents a transformative shift in how organizations manage their supply chains, offering significant advantages in terms of cost efficiency, flexibility, real-time data access, and the integration of advanced technologies. This study explores the multifaceted impacts of cloud-based SCM systems, focusing on both their benefits and the challenges encountered during their implementation. Through an in-depth analysis of interview and case study data, the research reveals that cloud-based solutions enable organizations to reduce capital and operational expenditures substantially while providing the scalability necessary to adapt to fluctuating demands. Real-time access to data enhances visibility and decision-making, and the incorporation of advanced technologies such as artificial intelligence and machine learning improves predictive analytics and process optimization. However, the study also identifies several critical challenges associated with the adoption of cloud-based SCM solutions. Key issues include data security concerns, integration difficulties with legacy systems, and the complexities of managing organizational change. Effective implementation requires meticulous planning, comprehensive training, and strategic vendor management to address these challenges successfully. The research highlights the importance of robust security measures, thorough integration strategies, and effective change management practices in overcoming these obstacles. The strategic outcomes of adopting cloud-based SCM solutions include improved operational efficiency, enhanced inventory management, and increased customer satisfaction. Additionally, organizations gain a competitive edge through better supplier coordination and greater responsiveness to market changes. Overall, the study demonstrates that while cloud-based SCM solutions offer substantial benefits, their successful adoption hinges on effectively managing associated challenges and leveraging their transformative potential.

This study investigates the adoption of blockchain technology in supply chain management, focusing on its transformative potential, challenges, and strategic implications. Blockchain, characterized by its decentralized and immutable ledger, offers significant benefits in enhancing transparency, efficiency, and trust among supply chain stakeholders. It enables accurate tracking of products, verification of provenance, and streamlined processes through smart contracts, which reduce the need for intermediaries and minimize operational costs. The research explores various sectors, highlighting how blockchain can address issues of counterfeiting, compliance, and sustainability by providing verifiable information about products' origins and handling. However, the adoption of blockchain is not without challenges. The technological complexity involved in integrating blockchain with existing systems, the need for specialized skills, and concerns over data privacy and security pose significant barriers. Additionally, the lack of regulatory clarity and the high initial costs associated with blockchain infrastructure present further obstacles, particularly for small and medium-sized enterprises. The study emphasizes the necessity of a cultural shift towards greater openness and collaboration among stakeholders to fully leverage the potential of blockchain. Furthermore, it discusses the environmental impact of blockchain technologies, particularly their energy consumption, and the need for sustainable solutions. The findings suggest that while blockchain holds great promise for transforming supply chain management, careful consideration of the associated challenges is crucial. Future research and industry dialogue will be essential in overcoming these hurdles and achieving widespread blockchain adoption.

Camping offers invaluable experiences in nature exploration, but the expense of acquiring camping gear can deter potential enthusiasts. To mitigate this, camping gear rental services emerge as a practical solution, promoting accessibility and reducing financial barriers. However, existing rental systems often encounter issues such as limited payment options, inconvenient pickup/return processes, and opaque management. In response, this paper introduces "Rent-n-Play," a web-based camping gear rental platform built on Laravel framework. It enables cashless transactions, offers pickup/delivery services, and employs a real-time admin system for transparent management. User feedback guided platform enhancements, including review systems and responsive support. The "Rent-n-Play" platform enhances user experience, fosters trust, and promotes sustainable camping practices, thus contributing to a more accessible and enjoyable camping culture.

With the ever-growing emphasis on global decarbonization and rapid increases in the power density of electronics equipment in recent years, new methods and lightweight materials have been developed to manage heat load as well as interfacial stresses associated with Coefficient of Thermal Expansion (CTE) mismatch between components. The Al-Si system provides an attractive combination of CTE performance and high thermal conductivity whilst being a very lightweight option. Such materials are of interest to industries where thermal management is a key design criterion, such as aerospace, automotive, consumer electronics, defense, EV and space. This paper will describe the development and manufacture of a family of high-performance hypereutectic Al-Si alloys (AyontEX™) by a powder metallurgy method. These alloys are of particular interest for structural heat sink applications that require high reliability under thermal cycling (CTE of 17μm/(m·°C)) as well as reflective optics and instrument assemblies that require good thermal and mechanical stability (CTE of 13μm/(m·°C)). Critical performance relationships are presented, coupled with the microstructure, physical and mechanical properties of these Al-Si alloys.

The results shown in this paper extend our research group's previous work, which presents the theoretically achievable hydrogen engine-out NOx (H2-NOx) Pareto front of a hydrogen hybrid electric vehicle (H2-HEV). While the Pareto front is calculated offline, which requires significant computing power and time, this work presents an online-capable algorithm to tackle the energy management of a H2-HEV with explicit consideration of the H2-NOx trade-off. Through the inclusion of realistic predictive data on the upcoming driving mission, a model predictive control algorithm (MPC) is utilized to effectively tackle the conflicting goal of achieving low hydrogen consumption while simultaneously minimizing the NOx. In a case study it is shown that the MPC is able to satisfy user-defined NOx limits over the course of various driving missions. Moreover, a comparison to the optimal Pareto front highlights the MPC's ability to achieve close-to-optimal fuel-performance for any desired cumulated NOx target on four realistic routes for passenger cars.

Colorectal cancer (CRC) poses a significant global health challenge. Notably, the risk of CRC escalates with age, with the majority of cases occurring in those above the age of 65. Despite recent progress in tailoring treatments for early and advanced CRC, there is a lack of prospective data to guide the management of older patients, who are frequently underrepresented in clinical trials. This article reviews the contemporary landscape of managing older individuals with CRC, highlighting recent advancements and persisting challenges. The role of comprehensive geriatric assessment is explored. Opportunities for treatment escalation/de-escalation, with consideration of the older adult’s fitness level are reviewed in the neoadjuvant, surgical, adjuvant and metastatic settings of colon and rectal cancers. Immunotherapy is shown as an effective option treatment in older adults that have CRC with microsatellite instability. Promising new technologies such as circulating tumor DNA and recent phase III trials adding later line systemic therapy options are discussed. Clinical recommendations based on the data available are summarized. We conclude that deliberate efforts to include older individuals in future colorectal cancer trials are essential to better guide the management of these patients in this rapidly evolving field.

The paper's objectives are to identify the main benefits, limitations, and challenges facing using Blockchain technology in the Supply Chain Management (SCM). To explore the factors that affect the adoption and application of Blockchain technology in SCM. The study uses a systematic literature review methodology to analyze and compare selected related articles published between 2016 and 2022 on the usage of Blockchain technology in the SCM. Several studies showed that there are many benefits to using Blockchain technology in SCM such as enhanced security, confidentiality, traceability, transparency, data accuracy, privacy, efficiency, accountability, and trust. At the same time, there are many limitations and challenges like scalability, interoperability, legal (regulatory) issues, high implementation and maintenance costs, standardization and information, lack of trust in technology, high energy consumption, limited awareness, integration with current systems, and privacy. Blockchain technology has the potential to revolutionize various industries, but there are still several issues that need to be addressed to fully realize its potential. Understanding the benefits and difficulties of applying Blockchain technology in different industries, including the SCM, is essential in determining its effectiveness and the different strategies needed to assess its application and implementation.

The “red code” (RD) represents the highest levels of emergency in the emergency department (ED). The study retrospectively analyzed RDs in the Regina Margherita Children’s Hospital ED, a regional referral center in north Italy, between 1 July 2020 and 30 June 2023. The aim was to describe RD characteristics and to identify significant correlations between presenting complaints and clinical management. The study includes 934 RDs (0.9% of overall ED admissions); 64% were assigned based on the Pediatric Assessment Triangle alteration. Most patients, 86.5%, followed the medical pathway, while 13.5% were surgical cases. Admission complaints were respiratory (46.9%), neuropsychiatric (26.7%), traumatic (11.8%), cardiologic (9.3%), metabolic (3.8%), and surgical (1.5%). Seventy-six per cent of patients received vascular access, and intraosseous access was obtained in 2.2% of them. In one-third of RDs, an urgent critical care evaluation was necessary, and 19% of cases required admission to the intensive care unit. The overall mortality rate was 3.4% (0.4% in ED setting). The study identified six distinct diagnostic pathways, each associated with specific characteristics in clinical presentation, management, therapeutic interventions, and outcomes: this underscored the significance of a systematic approach in improving outcomes in pediatric RD management.

This paper proposes a novel formulation of the fuzzy newsvendor problem for inventory management applications. This new formulation allows the use of any profit function. A new credibility estimation is proposed to explore the neighborhood around the most impactful demand scenarios. Further, a simulation procedure was designed for the different demand scenarios, which allows the comparison of the proposed approach with probabilistic demand curves. The fuzzy newsvendor problem is solved using a modified genetic algorithm (GA), where an initialization mechanism with null values is proposed. The new formulation of the fuzzy newsvendor problem together with the modified GA have shown to improve the average profit up to 55% in problems with low-budget scenarios.

This review explores the application of the conservative management model for pain to sports-related concussions (SRCs), framing concussions as a distinct form of pain syndrome with a pathophysiological foundation in central sensitization. Drawing parallels with proven pain management models, we underscore the significance of a proactive approach to concussion management. Recognizing concussions as a pain syndrome allows for the tailoring of interventions in alignment with conservative principles. This review first covers the epidemiology and controversies surrounding prolonged concussion recovery and persistent post-concussion symptoms (PPCS). Next, the pathophysiology of concussions is presented within the central sensitization framework, emphasizing the need for early intervention to mitigate the neuroplastic changes that lead to heightened pain sensitivity. Five components of the central sensitization process specific to concussion injuries are highlighted as targets for conservative interventions in the acute period: peripheral sensitization, cerebral metabolic dysfunction, neuroinflammation, glymphatic system dysfunction, and pain catastrophizing. These proactive interventions are emphasized as pivotal in accelerating concussion recovery and reducing the risk of prolonged symptoms and PPCS, in line with the philosophy of conservative management.

Building Information Modelling (BIM) is increasingly adopted in supporting Facility Management (FM). However, in the future perspective of efficiently encouraging the management of building estates, e.g. owned by public authorities or institutions, providing an effective integration between Building Information Models and Geographic Information Systems (GIS) becomes also essential. This contribution is therefore aimed at presenting a methodological framework integrating BIM and GIS environments by mainly taking advantage of open-source tools (e.g. QGIS and Dynamo) and non-proprietary data exchange formats like the COBie (Construction-Operations Building Information Exchange) international standard. Unlike what has been mainly proposed in the literature concerning BIM-GIS integration so far, the methodology presented in this paper does not provide for an integral transfer of BIM data to the GIS platform. The work led instead to the development of an effective bidirectional integration between the two informative systems, by properly relating them and allowing for an easy switch from one system database to the other. This integrated framework is intended to enable facility managers to easily visualize in the GIS platform, through queryable 2D and 3D maps, some relevant information from BIM to efficiently manage workspaces. At the same time, this hybrid informative system allows BIM practitioners to access and manage more detailed information stored in Building Information Models. The findings of experimental applications of the proposed methodological approach to the ex-Macciotta pediatric hospital, a healthcare building owned by the University of Cagliari, are finally presented and discussed.

The number of people affected by eye conditions is growing every year, due to the popularity of electronic devices and an aging population. In the world of medicine, accomplishing eye medication administration has always been a difficult task. Despite the fact that there are many eye drops on the market, most of them have important limitations due to quick clearance mechanisms and ocular barriers. One solution with tremendous potential is the contact lens used as medication delivery vehicle to bypass this constraint. Therapeutic contact lenses for ocular medication delivery have attracted a lot of attention because they have the potential to improve ocular bioavailability, patient compliance, and reduce side effects. However, it is essential not to compromise essential features such as water content, optical transparency, and modulus in order to target successful in vitro and in vivo sustained drug delivery profile from impregnated contact lenses. Aside from difficulties like drug stability and burst release, the changing of lens physical and chemical properties caused by therapeutic or non-therapeutic components can limit the commercialization potential of pharmaceutical-loaded lenses. Research has progressed towards bioinspired techniques and smart materials to improve the efficacy of drug-eluting contact lenses. The bioinspired method uses bioinspired polymeric materials to improve biocompatibility, a specialized molecule recognition technique called molecular imprinting, or a stimuli-responsive system to improve biocompatibility and support drug delivery efficacy of drug-eluting contact lenses. This review encompasses strategies of material design, lens manufacturing and drug impregnation under the current auspices in ophthalmic therapies and projects an outlook onto future opportunities in the field of eye conditions management by means of active principles-eluting contact lens.

The purpose of this article is to highlight the new advancements in molecular and diagnostic genetic testing as well as properly classify all ovarian cancers. In this article we address statistics, histopathological classification, molecular pathways implicated in ovarian cancer, genetic screening panels and details about the genes, and also candidate genes. We hope to bring new information in the medical field as to better prevent and diagnose ovarian cancer.

This article aims at presenting the results that were found in the design and implementation of a new management model of Critical Success Factors for improving the effects of research projects. The model was based on the theory of structural equations derived from factor analyses and multiple linear regression models. For achieving the purpose, the authors developed an empirical evidence analysis founded on a literature review in the knowledge area of project management. Afterwards, the process of identification of the CSFs was carried out for a group of research projects launched in Colombia as a result of the application and measurement of an instrument. They were the basis for the development of a structural relationship modeling. Also, this contributed to determine the CSFs that explain the generation of effects of research projects, and the project management execution process from which it can be carried out based on said measurement indicators.

There are two purposes for this article. The first purpose is to perform a reiew of previous research on global supply chain management (GSCM) principles that can adapt and survive adversity, such as the COVID-19 pandemic. The second purpose is to put forth a conceptual framework for the GSCM that is sustainable in the event of future turbulence similar to that experienced during the COVID-19 pandemic. With regard to the issues raised, the article posits the following questions. Is there, perhaps, a sustainable post-COVID-19 pandemic GSCM? Can the COVID-19 pandemic-related international logistics system (GSC) turbulences be predicted with certainty using these sustainable post-COVID-19 pandemic GSCM concepts? Putting it all together, the paper concludes that, while debatable, sustainable GSCM is feasible and can be accomplished utilizing JIT, supply chain mitigation, and supply chain visibility, as demonstrated by the manufacturing firms referenced in the article.

This article examines how digitalisation is impacting the management of IT. Phase 1 of the re-search focuses on the German automotive industry, and adopts a qualitative inductive approach, based on feedback from 19 semi-structured interviews with IT managers and professionals. Five key aspects of digitalisation are identified, and a new model for the management of IT is devel-oped. Phase 2 then reviews the deployment of digital technologies in eight organisations from other industry sectors and assesses the overall impact on the management of IT. The results suggest that the transition to new IT management structures in the German automotive industry may be the forerunner of a change process that will impact more widely in other industries, in particular where digital technologies are now embedded in an organisation’s products or services. The results also provide some new perspectives on the conceptualisation of digitalisation and digital transformation, and represent a contribution to the developing theory around new tech-nology deployment and IT management in the digital era.

In Burkina Faso, the infant flours produced are intended for weaning-age and malnourished children. This study was to evaluate the management of infant flour production in Ouagadougou. A survey was conducted among the production units to determine the raw materials used in the production of infant flours, the production processes, the methods of conservation of raw materials and infant flours, the types of infant flours produced as well as their packaging. The results showed that 45.45% of the production units surveyed were of the semi-industrial type against 54.54% from the artisanal and CREN types. Among the raw materials, the most used cereals were millet, sorghum and maize. As for legumes, peanuts and soybeans were the most used at respectively 35% and 31%. For the conservation of raw materials, 85.71% of infant flour producers had storage warehouses and 66% used storage pesticides. These flours produced were intended for children of wean age (37.14%) and children in nutritional recovery (62.86%). Flours were stored in an airy (94.29%), dry area/environment (88.57%) and in the presence of light (91.43%). All the results of this survey reflect that efforts are still expected to further improve the nutritional and sanitary quality of the infant flours produced.

The problem of blood delivery has been a critical concern in past decades. However, the unsteady behavior of blood donors, along with the uncertainties associated with demands in a crisis imposes several challenges for resource management. In this research work, we analyze the blood delivery behavior in a crisis modeled by coupled queues of patients and blood sources. Using Markovian modeling and results associated with G-network, we derive two critical probabilities, namely lack of unit of blood (unit of donations) or not having any storage capacity left to accept new donors' blood. We propose a closed-form solution to calculate the optimal blood storage size, and also we suggest sufficient conditions that guarantee the feasibility of the model. Finally, we conduct a sensitivity analysis to investigate the impact of model parameters on storage size and the proportion of time that storage is full.

This paper sheds light on how crisis management affects post-disaster re-covery. Based on the study of the management of a major environmental disaster, hurricane IRMA, we consider how post-disaster recovery is impacted by crisis management strategies. The perspectives of local stakeholders from the islands of St Martin and St Barthélémy will be shared. We analyze how territories exposed to the same natural phenomena have different outcomes and consider some of the possible reasons. This study reveals underlying risk drivers, to address governance reorganization with a view to better managing socio-economic recovery.

The Aviation industry in Malaysia is categorized as highly regulated and dominated by Government Linked Companies (GLCs) via monopolistic concessions due to its nature of strategic national importance and security. Connectivity is an essential component of economic activity and a catalyst for business growth. Since the invention of aircraft, air connectivity has expanded businesses and markets, facilitating trade, encouraging Foreign Direct Investment (FDI) and enabling tourism. This case study aims to provide a holistic analysis of the Malaysia Airport Holdings Berhad (MAHB) strategic planning framework and discuss its effectiveness towards its strategy formulation to address its market dynamics, both domestically and abroad. From military superiority to economic connectivity, aviation, one of humanity's greatest inventions, has advanced human civilization over the past 150 years. With the emergence of low-cost carriers, air travel patterns have shifted dramatically, with the increase of travel and trade, due to its time efficiency. With the trend of globalization and the liberation of airspace in recent decades, aviation enables the movement of people and goods that foster a borderless marketplace at an exponential growth rate. With technological innovation, pressure over climate change and the shift in travelers' behavior and patterns, strategic planning becomes more crucial and complex for aerodrome operators to create a sustainable competitive advantage among their regional rivals. However, strategic planning is dependent on several critical success factors. The role of management leadership and an inclusive strategy to adapt to the changes in market dynamics are essential for survival in business competition.

BackgroundGood management behavior in patients with diabetes mellitus can reduce disease complications and improve quality of life. This philosophical problem is very important for nurses who are able to provide management care for diabetic patients. The purpose of this literature review is to describe the concept, model or theory that can be used in improving the management of diabetes mellitus patients.MethodsThe method used is by searching several studies published through the Scopus database, PubMed, CINAHL, SpingerLink, and web of science (WOS). The search strategy uses a combination of the terms MeSH Terms. The research questions were designed using the principles of the PICOS framework. Selected studies were published from 2017-2022.ResultsA total of 15 studies were included, with 12 using quantitative methodology and 3 were qualitative. The studies were conducted across various countries. The majority of articles used the concept of self-management intervention based on digital-based development and e-health (n=6), Dorothea Orem's self-care deficit nursing theory n=2) and the transtheoretical model (n=2). These concepts, models and theories are able to improve good self-management through lifestyle changes, psychosocial, cultural acculturation and increase in spiritual values (n=6).ConclusionTransitional change focuses on changing the modifiable factors found in the concepts, models and theories of the articles obtained. Future research can be developed to assess the existence of elaborations and modifications based on the philosophy that people with diabetes are responsible for their own health.

This paper focuses on the comparative analysis of lithium-ion batteries (LIB) thermal management with aim to maintain working temperature in the range 15 ℃ – 35 ℃. This is to prevent thermal runaway and high temperature gradients. The proposed approach is to employ the biodiesel, situated inside the diesel/LIB powered hybrid electric vehicle, to supply as fuel and coolant. A 3S2P LIB module is simulated using Ansys-Fluent CFD software tool. The system without a coolant shows that LIB has exceeded the optimum maximum temperature, which leads to shortened life-cycle and poor performance. Four fatty acid methyl ester biodiesels are used as coolants, namely palm, karanja, jatropha, and mahua oils. When compared with conventional methods of cooling, using air and 3M Novec liquid, the palm biodiesel coolant proves to be the best option to maintain LIB temperature within the optimum working range. With the use of palm biodiesel, the system is estimated to lightweight the BTMS by 43%, compared to the case when 3M Novec is used to maintain the same temperature range.

Quality of Experience (QoE) metrics can be used to assess user perception and satisfaction in data services applications delivered over the Internet. End-to-end metrics are formed because QoE is dependent on both the users’ perception and the service used. Traditionally, network optimization has focused on improving network properties such as the QoS. In this paper we examine the Adaptive streaming over a software defined network environment. We aimed to evaluate and study the media streams, aspects affecting the stream, and network. This was done to eventually reach a stage of analysing the network’s features and their direct relationship with the perceived QoE. We then use machine learning to build a prediction model based on subjective user experiments. This will help to eliminate future physical experiments and automate the process of predicting QoE.

Orbital fractures are a common finding in facial trauma and serious complications may arise when orbital reconstruction is not done properly. The virtual planning can be used to manufacture patient-specific titanium orbital implants (PSI) through the process of selective laser melting. This method is currently considered the most accurate technique for orbital reconstruction. Even with the most accurate tehniques of bone reconstruction, there are still situations where enophthalmos is present after reconstruction which may be produced by intraorbital soft tissue atrophy. The aim of this paper was to evaluate the orbital soft tissue after postraumatic reconstruction of the orbital walls fractures. 10 patients diagnosed with unilateral orbital fractures were included in this study. A CT scan of the head region with thin slices (0.6mm) and soft and bone tissue windows was done. After data processing, the STL files were exported and the intraorbital fat tissue volume and the muscular tissue volume were masured. The volumes of affected orbit tissues were compared with the volumes of the healthy orbit tissues for each patient. Our findings conclude that a higher or a lower grade of fat and muscular tissue loss is present in all cases of reconstructed orbital fractures.

Objective: The purpose of the present study was to analyze the management of dental extractions in patients affected by coagulation disorders in order to prevent bleeding intraoperative and postoperative complications. Subjects and Methods: This study included 17 patients with a diagnosis of a coagulation disorder, who had been subjected to a single or multiple dental extraction. Recombinant activated Factor VII was administered in those patients who were affected by a deficit of factor VII ranged between 10,5% and 21%. The other patients were treated locally with tranexamic acid. Results: A total of 50 teeth were extracted, 7 by surgical extraction and 43 by simple extraction. Of the 17 patients included 9 of them suffering from factor VII deficiency, 5 from factor V deficiency, 1 from Glanzmann's thrombasthenia and 2 from Haemophilia A. Pretreatment with recombinant activated factor VII was performed on a total of 8 patients with factor VII deficiency; the remaining 9 patients underwent tranexamic acid treatment. 1 hemorragic postoperative complication was observed. Conclusions: Surgical and no surgical extractions appear to be a safe procedure for patients affected by coagulation disorders when appropriate prophylaxis is adopted.

Lung cancer (LC) is one of the leading causes of cancer occurrence and mortality worldwide. Treatment of patients with advanced and metastatic LC presents a significant challenge as malignant cells use different mechanisms to resist chemotherapy. Drug resistance (DR) is a complex process that occurs due to a variety of genetic and acquired factors. Identifying the mechanisms underlying DR in LC patients and possible therapeutic alternatives for more efficient therapy is a central goal of LC research. Advances in nanotechnology resulted in the development of targeted and multifunctional nanoscale drug constructs. The possible modulation of the components of nanomedicine, their surface functionalization, and encapsulation of various active therapeutics provide promising tools to bypass crucial biological barriers. These attributes enhance the delivery of multiple therapeutic agents directly to the tumor microenvironment (TME), resulting in reversal of LC resistance to anticancer treatment. This review provides a broad framework for understanding the different molecular mechanisms of DR in lung cancer; presents novel nanomedicine therapeutics aimed to improve the efficacy of treatment of various forms of resistant LC; outlines current challenges in using nanotechnology for reversing DR; and discusses the future directions for clinical application of nanomedicine in management of LC resistance.

This paper presents quantitative research results regarding the influence of demographic factors on the earthquake risk perception of the citizens of Belgrade. This research aims to determine how much the citizens of Belgrade are aware of the risk and prepared to react in the event of an earthquake. The relationship between gender, age, level of education, and facility ownership with risk perception was examined. T-test, One-way ANOVA, and Pearson correlation coefficient were used to examine the relationship between the variables and the earthquake risk perception. The survey was conducted using a questionnaire that was given and then collected online among 235 Belgrade respondents during September 2020. The questions were divided into three categories. The first part of the questionnaire was consisted of general questions about the demographic characteristics of the respondents, then the questions that would determine the level of awareness of the respondents about earthquakes, and finally, the questions for determining the respondents' preparedness. The results of the research show that women have a higher perception of risk. It has been proven that the youngest respondents from the age category of 18-30 have the lowest risk perception. The influence of education level in no case showed a statistically significant correlation with risk perception.

Keywords: free radicals; oxidative stress; hepatocellular carcinoma; anti-oxidants; kaempferol

Cloud computing nowadays is not an emerging topic, and virtualization is an indispensable technology to expedite cloud computing to become the next sign of the coming Internet revolution. In real life, scientists never stop at exploring the possibilities from such technology by investigating millions of experiments and applications to enhance the quality of virtual services. However, isolated construction for the virtual machine doesn’t save the technology from unwanted data volumes or insensitive processing time. Containers are created to address such problems, by distributing applications without initiating the entire virtual machine. Docker, as an important player in this game, is an open-source application of the container family. The management tool from Docker containers, Swamskit, does not take heterogeneities in either virtualized containers or physical nodes. There are different nodes in the cluster, and each node is different in configurations, resource availability, or concerning resource, etc. Furthermore, the requirements initiated by different services change all the time. The demand might be CPU-intensive (e.g. Clustering services) and also memory-intensive (e.g. Web services), or completely at the opposite. In this paper, we focus on exploring the Docker container cluster and designing, DRAPS, a resource-aware placement scheme, to improve the system performance in a heterogeneous cluster.

Head injury is among the most devastating types of injury, specifically called Traumatic Brain Injury (TBI). There is need to diminish the morbidity related with TBI and to improve the outcome of patients suffering TBI. Among the improvements on the treatment of TBI, neuroprotection is one of the upcoming improvements. Citicoline has been used in the management of brain ischemia related disorders, such as TBI. Citicoline has biochemical, pharmacological, and pharmacokinetic characteristics that make it a potentially useful neuroprotective drug for the management of TBI. A short review of these characteristics is included in this paper. Also, a narrative review of almost all the published or communicated studies performed with this drug in the management of patients with head injury is included. Based on the results obtained in these clinical studies, it is possible to conclude that citicoline was able to accelerate recovery of consciousness and to improve the outcome of this kind of patients, with an excellent safety profile. Thus, citicoline could have a potential role in the management of TBI.

Adrenal crisis (AC) is an unexpected and possibly lethal situation of stressful interventions in patients with Addison’s disease (AD). Despite being rare in dentistry, it is to be noted that evidence indicates that 5-8% of patients with AD necessitate emergency glucocorticoid administration to treat AC annually. For that, dentists must be aware of this condition and be prepared when the clinical signs and symptoms occur.

Identifying and assessing risk is one of the most important processes in managing complex systems and requires careful consideration. The need for an effective, efficient approach to risk management is considerably more important for defense industries, because they are exposed to risk already in early stages of development. This paper uses Heterogeneity and Homogeneity analysis between risk factors with Cochran’s Q test and Multidimensional scaling in order to present the complexity of the risk factors relevant to defense SoS, and proposes a methodology for identifying, analyzing and monitoring the risks that they face. Findings from an in-depth analysis of 46 classified defense SoS shows a need to focus on three main risks faced by defense projects: insufficient human resources, changes in the original specifications, and lack of other (non-human) resources. The paper also presents some recommendations for minimizing risk factors in defense SoS.

Chronic diseases are characterised by cell’s autophagy and proteins disarrangement resulting in sarcopenia, hypoalbuminemia and hypo-haemoglobinaemia. Hypo-haemoglobinaemia couses worse prognosis independentely of the principal disease. Currently, the cornerstone of therapy of anaemia is iron supplementation, with or without erythropoietin for the stimulation of hematopoiesis. However, treatment strategies should incorporate the addition of heme, the principal biochemical constituent of haemoglobin. Heme synthesis follows a complex biochemical pathway. The limiting step of heme synthesis is D-ALA availability which, for its synthesis, requires Glycine and Succinil-CoA. Consequently, treatment of anaemia should not be based only on iron availability, but also on the availability of the molecules fundamental for heme synthesis. Therefore, an adequate clinical therapeutic strategy should integrate the standard iron infusion and the supply of essential amino acids and vitamins involved in the heme synthesis. We report preliminary data in selected elderly anaemic patients with congestive heart failure (CHF) and catabolic disarrangement, who, in addition to standard iron therapy, received personalized therapy with essential-AAs and vitamins involved in the maintenance of heme. Notably, such individualized therapy resulted in a significant increase in the serum concentration of haemoglobin after 30 days of treatment compared to standard iron therapy.

Light management in single nanowires (NWs) is of great importance for photovoltaic applications. However, square NWs (SNWs) can limit their light-trapping ability due to high geometrical symmetry. In this work, we present a detailed study of light management in single silicon NWs with a rectangular cross-section (RNWs). We demonstrate that the RNWs exhibit significantly enhanced light-harvesting compared with the SNWs, which can be attributed to the symmetry-broken structure that can orthogonalize the direction of light illumination and the leaky mode resonances (LMRs). That is, the rectangular cross-section can simultaneously increase the light path length by increasing the vertical side and reshape the LMR modes by decreasing the horizontal side. We found that the light absorption can be engineered via tuning the horizontal and vertical sides, the photocurrent is significantly enhanced by 276.5% or 82.9% in comparison with that of the SNWs with the same side length as the horizontal side of 100 nm or the vertical side of 1000 nm, respectively. This work advances our understanding of how to improve light-harvesting based on the symmetry breaking from the SNWs to RNWs and provides an effective way for designing high-efficiency single NW photovoltaic devices.

The explosion of data has transformed the world since much more information is available for collection and analysis than ever before. To extract valuable information from the data in different dimensions, various deep learning models have been developed in the past years. Although these models have demonstrated their strong capability on improving products and services in various applications, training them is still a time-consuming and resource-intensive process. Presently, cloud, one of the most powerful computing infrastructures, has been used for the training. However, how to manage cloud computing resources and to perform the training efficiently is still challenging current techniques. For example, general resource scheduling approaches, such as spread priority and balanced resource schedulers, actually do not work well with deep learning workloads. Besides, the resource allocation problem on a cluster can be divide into two subproblems: (1) local resource optimization: improve resource configuration for a single machine; (2) global resource optimization: improve the cluster-wide resource allocation. In this thesis, we propose two novel container schedulers, FlowCon and SpeCon, that are designed to address these two subproblems respectively and specifically to optimize performance of short-lived deep learning applications in the cloud. FlowCon focuses on resource configuration of single-node in a cluster, as show that it efficiently improves deep learning tasks completion time and resource utilization, and reduces the completion time of a specific job by up to 42.06\% without sacrificing the overall system time. SpeCon targets on cluster-wide resource configuration that speculatively migrate slow-growing models to release resources for fast-growing ones. Based on our experiments, SpeCon improves makespan for up to 24.7\%, compared to current approaches.

The dynamics involving market competition and the challenges of dealing with empowered customers, means that creating and delivering relevant customer experience (CX) of service, is as important as creating product or services. Several studies have treated customer experience as though a front-desk, sales-point affair with the customer in the retailing environment, negating the critical role of organization-wide efforts in the overall customer experience management sequence. This review, however, adopts customer-centricity, as a theoretical lens to underscore the [re]configuration of organizational-level factors that are critical to adopting a high customer-experienced centred organization. Based on the review, we highlight conditions for adopting high customer experience management organization: (1) developing an integrated CX strategy, (2) CX-based knowledge management, (3) organizational re-design that supports CX-management, (4) top management commitment, (5) integrated CX IT systems, and (6) CX-oriented HR policies. These practices are only necessary conditions, but not sufficient, for creating, delivering, relevant and sustainable customer experience. However, more robust empirical studies are needed to advance the application of organization-wide customer experience management, which vary across industry, products/services, and sector.

Identifying and assessing risk is one of the most important processes in managing complex systems and requires careful consideration. The need for an effective, efficient approach to risk management is considerably more important for defense projects based on systems of systems (SoS), because they are exposed to risk already in early stages of development. This paper uses advanced data science tools to present the complexity of the risk factors relevant to defense systems, and proposes a methodology for identifying, analyzing and monitoring the risks that they face. Findings from an in-depth analysis of 46 classified defense projects based on SoS shows a need to focus on three main risks faced by defense projects: uncertainty, the lack of clearly defined goals, and managing a system under constrained conditions. The paper also presents some recommendations for minimizing risk factors in SoS for defense projects.

The recent outbreak and spread of the COVID-19 virus infection across the world has seen a massive global system-wide shutdown of human social and economic activity. Both developed and developing nations have been forced to contain and isolate their citizens as much as possible. However, the continuous rising cases in both categories of nations, especially those with poor or nonexistent testing facilities and healthcare systems pose a hidden danger. The seemingly lack of and access to a truly global concerted research effort in both temporary but effective symptom mitigation may lead to more deaths in infected cases. We propose that a fusion of both technological and home-grown solutions can be utilized effectively to manage symptoms. This would add to the preventive methods of social distancing, isolation, quarantine and frequent handwashing to halt the impact of the disease. We also hope to spur further research in such drug/non-drug combination therapy-based methods with emphasis on effectiveness based on quality of nutrient sources.

Risk assessment management have been a hot topic for the researchers since a very long time. Software risk management is an important part of project management as it contains the identification, analysis, estimation and monitoring of different risks present in the system. This helps developers in decision making while assessing the problems that could arise in the software systems. Risk management is very complex in large scale system as these systems have very complex development. The paper describes risk management techniques for large scale system. Furthermore we have provided a detailed comparative analysis of these techniques with commonly identified risks in software systems and have provided a systematic order for risk management process to ensure risk mitigation.

This paper describes a novel methodology of data management in materials characterisation, which has as starting point the creation and usage of Data Management Plan (DMP) for scientific data in the field of materials science and engineering, followed by the development and exploitation of ontologies for the harnessing of data created through experimental techniques. The case study that is discussed here is nanoindentation, a widely used method for the determination and/or modelling of mechanical properties on a small scale.The same methodology can be applicable to a large number of techniques that produce big amount of raw data, while at the same time it can be invaluable tool for big data analysis and for the creation of an open innovation environment, where data can be accessed freely and efficiently.Aspects covered include the taxonomy and curation of data, the creation of ontology and classification about characterization techniques, the harnessing of data in open innovation environments via database construction along with the retrieval of information via algorithms. The issues of harmonization and standardization of such novel approaches are also critically discussed.Finally, the possible implications for nanomaterial design and the potential industrial impact of the new approach are described and a critical outlook is given.

The prevalence of autism in children in the world is estimated as one per 62 children, higher levels reported in some countries. These children experience significant problems with the development of social, behavioural and verbal and non-verbal communication skills. The skills impairment levels varies from an individual to another and that made teaching autistics a challenge for caregivers such as teachers and relatives. Hence, there are quite a number of frameworks of a software learning systems which focus on gaining the children’s attention using representational visual illustration as a learning method instead of the textual form. However, majority of these tools are lacking the personalisation ability to suite everyone in the spectrum. Assistive technology offers an alternative way to attract children with autism to use. Therefore, this research is proposing Autism Content Management Learning System (ACMLS) Framework to assist caregivers to produce, design and fine-tune or customise the learning materials appropriately so that the system interface and the materials are suitable for every individual in the spectrum according to each child personal profile aiming to make learning attractive and to contribute in improving their social, communication and behavioural skills and nonetheless, their attention level to the delivered educational topics. The ACMLS framework design adopts four main components which are: (1) Design component: which covers the visual design, design principles and the mental model of the children with autism. (2) Technology component: which covers the assistive technology tools and the architecture of the ACMLS system. (3) Education component: Which covers the learning objectives, styles, strategies, methods and the cognitive model. (4) Participants component: which covers the main participants who’re playing a role in the ACMLS framework such as: caregivers and children with autism.

Premature ovarian insufficiency (POI) is a highly prevalent disorder, characterized by the development of menopause before age of 40. Most cases are idiopathic; however, in some women the cause of this condition (e.g. anticancer treatment, genetic disorders, and enzymatic defects) may be identified. Although hormone replacement therapy, the principal therapeutic approach for POI, helps to alleviate the related symptoms, this does not effectively solve the issue of fertility. Assisted reproductive techniques also lack efficacy in these women. Thus, the effective approach to manage the patients with POI is highly warranted. Several mechanisms, associated with POI, have been identified, including lack of FSH receptor functioning, alterations in the apoptosis control, mutations in Sal-like 4 genes, thymulin or basonuclin-1 deficiency etc. The above-mentioned may be good targets for gene therapy in order to correct defects, leading to POI. The goal of this review is to summarize the current experience on the POI studies, that employed gene therapy, and to discuss the possible future directions in this field.

Mexico is an exceptional setting for ethnomycology since human cultures have interacted with fungi for thousands of years; the state of Michoacán is particularly important since nearly 11% of the fungi species recorded in Mexico occur there, 139 species being edible. This study aimed to analyze the taxonomic diversity and use forms of fungi, their position in worldview of people, and the management forms practiced on edible fungi in the Purépecha communities of Cherán and Pichátaro and the environmental problems in relationship with fungi management. We conducted semi-structured interviews during visits to regional markets, participant observations in harvesting areas, workshops, and presentation of results to the communities and communal authorities. We recorded ethnoecological information for 21 edible fungi species. The words jongo and terekua correspond to useful fungi in Purépecha, while jeramba refers to not edible fungi. In Cherán people identify different vegetation types where mushrooms occur; they recognize the “pinadas forest” dominated by Pinus leiophylla, “encineras” (dominated by Quercus crassipes), “tepamu forest” (dominated by Alnus acuminata), “sharhari forest” (Quercus aff. laeta), and grasslands, all of them sites where mushrooms grow. Fungi handlers identified environmental problems like land use changes, illegal extraction of forest resources, deforestation, unplanned urban growth, uncontrolled fires, livestock raising, and agricultural intensification, which affect fungi communities. In turn, these factors have secondary consequences like soil erosion, reduction of native vegetation and reduction of rainwater retention that directly disturb diversity, distribution, and abundance of fungi. Information from this study and workshops conducted with the community helped to design strategies for conservation of both forests and fungi.

Decision tables have been used for many years in data processing and business applications to simulate complex rule sets. Several computer languages have been developed based on rule systems and they are easily programmed in several current languages. Land management and river-reservoir models simulate complex land management operations and reservoir management in highly regulated river systems. Decision tables are a precise yet compact way to model the rule sets and corresponding actions found in these models. In this study, we discuss the suitability of decision tables to simulate management in the river basin scale Soil and Water Assessment Tool (SWAT+) model. Decision tables are developed to simulate automated irrigation and reservoir releases. A simple auto irrigation application of decision tables was developed using plant water stress as a condition for irrigating corn in Texas. Sensitivity of the water stress trigger and irrigation application amounts were shown on soil moisture and corn yields. In addition, the Grapevine Reservoir near Dallas, Texas was used to illustrate the use of decision tables to simulate reservoir releases. The releases were conditioned on reservoir volumes and flood season. The release rules as implemented by the decision table realistically simulated flood releases as evidenced by a daily NSE (Nash-Sutcliffe Efficiency) of 0.52 and a percent bias of -1.1%. Using decision tables to simulate management in land, river and reservoir models was shown to have several advantages over current approaches including: 1) mature technology with considerable literature and applications, 2) ability to accurately represent complex, real world decision making, 3) code that is efficient, modular and easy to maintain, and 4) tables that are easy to maintain, support, and modify.

We introduce and analyse a simple formal thought experiment designed to reflect a qualitative decision dilemma humanity might currently face in view of climate change. In it, each generation can choose between just two options, either setting humanity on a pathway to certain high wellbeing after one generation of suffering, or leaving the next generation in the same state as this one with the same options, but facing a continuous risk of permanent collapse. We analyse this abstract setup regarding the question of what the right choice would be both in a rationality-based framework including optimal control, welfare economics and game theory, and by means of other approaches based on the notions of responsibility, safe operating spaces, and sustainability paradigms. Despite the simplicity of the setup, we find a large diversity and disagreement of assessments both between and within these different approaches.

To date, several different approaches are available to study sediment dynamics at reach or watershed scale, based on very different hypothesis. One of such assumptions, the so-called “morphodynamic equilibrium hypothesis” is becoming little unpopular for its embedded simplifications. The aim of this work is to demonstrate how this approach proves yet effective in modelling landscape morphodynamics at the watershed scale, for what concerns the longitudinal profile of a river and the sedimentary aspects. The application of a 1-D model based on the equilibrium hypothesis has been implemented for several large rivers worldwide. Geomorphological parameters have been analysed, which describe the evolution of longitudinal profile (concavity) and sediments characteristics (aggrading and fining), and the results show a reasonably good correspondence with qualitative estimation of the same parameters. At the scale of analysis and for the chosen systems, which show high inertia to geomorphological changes likely owing to their longitudinal extension, the model can detect where the present conditions reflect a big disturbance to the “natural equilibrium” thus allowing water managers to identify present issues to be addressed.

Multi-stakeholder based construction projects are subject to various risk factors due to dynamic business environments. These risks affect project activities which indirectly impact construction costs, resulting in delays and poor building quality. So, managing these project risks requires suitable risk mitigation strategies to evaluate and analyse their severity. Hence, risk evaluation and assessment of construction projects is a multi-criteria decision making (MCDM) problem. In present real-life problems, evaluation of project risks is often uncertain and even incomplete, and the prevailing methodologies fail to handle such situations. To address the problem, this paper extends the analytical network process (ANP) methodology in the D number domain to handle three types of ambiguous evaluations, viz. complete, uncertain, and incomplete, and assesses the weight of risk criteria. The D number based approach overcomes the deficiencies of the exclusiveness hypothesis and completeness constraint of Dempster-Shafer (D-S) theory. Here, preference ratings of the decision matrix for each decision-maker are determined using a D number extended consistent fuzzy preference relation (D-CFPR). An extended multi-attributive border approximation area comparison (MABAC) method in D number is then developed to rank and select the best alternative risk response strategy. Finally, an illustrative example from construction sector is presented to check the feasibility of the proposed approach. For checking the reliability of alternative ranking, a comparative analysis is performed with different MCDM approaches (D-COPRAS, D-ARAS, D-MABAC, and D-TOPSIS). Based on different criteria weights, a sensitivity analysis of obtained ranking of the hybrid D-ANP-MABAC model is performed for verify the robustness of the proposed method.

The trigeminal nerve is responsible for innervating the periorbita. Ultrasound-guided trigeminal block is employed in humans for trigeminal neuralgia or periorbital surgery. There are no studies evaluating this block in dogs. This study aims to evaluate and compare two approaches (coronoid and temporal) of the trigeminal nerve block. We hypothesized superior staining with the coronoid approach. Thirteen dog heads were used. After a preliminary anatomical study, two ultrasound-guided injections per head (right and left, coronoid and temporal approach, randomly assigned), with an injectate volume of 0.15 mL cm-1 of cranial length were performed (iodate contrast and tissue dye mixture). The ultrasound probe was placed over the temporal region, visualizing the pterygopalatine fossa. For the temporal approach, the needle was advanced from the medial aspect of the temporal region in a dorsoventral direction. For the coronoid approach, it was advanced ventral to the zygomatic arch in a lateromedial direction. CT scans and dissections were conducted to assess and compare the position of the needle, spread of injectate, and nerve staining. No significant differences were found. Both approaches demonstrated effective interfascial distribution of injectate, with some minimal intracranial spread. Although the coronoid approach did not yield superior staining as hypothesized, it presents a viable alternative to the temporal approach. Studies in live animals are warranted to evaluate clinical efficacy and safety.

The management of waste cooking oil (WCO) often poses significant challenges. Improper disposal of WCO results in negative environmental impacts and economic losses. However, from a circular economy perspective, WCO can be recycled and used as a sustainable feedstock for numerous industrial products, replacing virgin vegetable oils. This approach enables the recovery of resources while simultaneously addressing the problem of WCO disposal. By employing a multi-criteria decision analysis (MCDA) approach, the study assesses three alternative recycling pathways for WCO used as a feedstock in the production of A1) biodiesel, A2) biolubricant, and A3) biosurfactant. The aim is to identify the optimal alternative, taking into account environmental, economic, and technical factors. The procedure involved a team of chemical engineers working in the WCO recycling sector who were selected as decision-makers. The 'priority scale' combined with the Paired Comparison Technique was employed as a weighting method to evaluate the selected criteria. The results revealed that the decision-makers considered environmental sustainability as the most crucial evaluation criterion, followed by the economic criterion. In contrast, the aspect of process management was deemed less significant. Among the compared alternatives, utilizing WCO as a feedstock for biosurfactant production was assessed as the optimal WCO recycling solution. This alternative not only demonstrated the lowest coefficient variation but was also deemed the most favourable option. Biolubricant production was determined to be the second-best alternative. The adopted MCDA approach proved to be a reliable and effective tool, enabling the clear identification of the preferred WCO recycling alternative among those assessed. This was achieved through the utilization of the decision-makers' expertise and knowledge.

The objective of the research was to examine the determinants that determine farmer participation and shallot farming development in search of effective farm management practices. The study used Structural Equation Modeling data analysis. The primary data was collected from direct-structural interviews with 150 randomly chosen shallot farmers in Bantaeng Regency, Indonesia. It was found that the physical attributes of the land, the economic framework of the community, and the political system of the agricultural community were fundamental factors that exerted a positive and significant influence on farmer participation. Therefore, improvements in the physical aspects of land, the economic framework, and the political structure of agricultural communities could promote farmer participation. Furthermore, the farmers’ participation and the political structure of agricultural communities have a positive and significant impact on the development of shallot farming. Thus, by increasing the influence of government officials and community leaders, shallot farming can be promoted. The farmers can then enhance their participation in the shallot farming plan's formulation and implementation, providing the continued development of shallot farming. The findings of this study contribute significantly to the body of knowledge by validating previous research and proposing different ways to improve effective farm management practices in shallot farming.

This study investigated the effects of dietary garlic powder and fermented garlic powder supplementation at 1% and 2% levels on growth performance, digestive tract efficacy, blood biochemistry, immunity, and antioxidant status of Liza ramada (n=225 fish; 86.00±0.42 g) over a 60-day period. Fish fed diets supplemented with both forms of garlic at both levels exhibited significantly improved final body weight, weight gain, specific growth rate, and feed conversion ratio compared to the control group. Digestive enzyme activities (amylase, lipase, and protease) were significantly enhanced in all supplemented groups. Blood biochemical analysis revealed reduced glucose levels and increased total protein in garlic-supplemented groups, with no adverse effects on liver or kidney function markers. Immune parameters, including lysozyme activity, bactericidal activity against Streptococcus agalactiae, alternative complement pathway (ACP), and, respiratory burst (NBT) were significantly enhanced in garlic-supplemented groups, with fermented garlic showing more pronounced effects. Antioxidant enzyme activities (SOD, CAT, and GPx) were also significantly increased in all supplemented groups, particularly in those fed fermented garlic. No significant differences in survival rates were observed among treatments. The results suggest that both garlic powder and fermented garlic powder supplementation, especially at the 2% level, can effectively improve growth, feed utilization, immune function, and antioxidant status in L. ramada. Fermented garlic generally demonstrated superior effects, indicating its potential as a beneficial feed additive in aquaculture. Based on these findings, it is recommended to incorporate fermented garlic powder at a 2% level in L. ramada diets to optimize growth performance and health status. Further research is warranted to investigate the long-term effects and cost-effectiveness of this supplementation strategy in commercial aquaculture settings.

In response to the increasing importance of knowledge as a key competitive advantage, the role of knowledge management in value creation cannot be overstated. The International Standards Organization (ISO) has recognized this and announced a Management Standard for Knowledge Management Systems (KMS). This initiative is significant because, by viewing knowledge strategically, organizations are seeking ways to enhance their processes and align them to address their challenges. A synergistic effect can be achieved when another management system highly relevant to KMS is joined and later integrated. This new system is Artificial Intelligence Management (AIMS). The paper is structured as follows: Firstly, we explore knowledge and knowledge management (KM), along with the challenges companies face in implementing and operating KM. Next, we examine the ISO 30401:2018 standard as a guide for KM implementation. Finally, we discuss how ISO 30401:2018 and ISO/IEC 42001:2023 can help solve key organizational problems and support machine learning and knowledge extraction through AI. In conclusion, we summarize the key outcomes of the paper. The main purpose of the paper is to determine how these standards contribute to solving practical problems in the creation and development of a knowledge management system supported by artificial intelligence and to demonstrate their synergistic effect when used together.

This study investigates the use of geopolymer technology as an alternative for the management of mine tailings, which is a serious environmental problem in mining environments including that of Arequipa region of Peru. In this study, the mixture of stabilized mine tailings with different percentages of binders (metakaolin and pumice) and their impact on the mechanical, microstructural, and toxicological properties of the synthesized geopolymers were analyzed. The ratios of mine tailings to binder material varied between 100/0 and 0/100. The activation was carried out with an alkaline solution of sodium hydroxide (10M) and sodium silicate (modulus 2.5). 50 mm cubic specimens were fabricated, and 7 mixtures with 3 replicates each were evaluated. The evaluations included compressive strength at 7, 14, 28, and 56 days of curing, chemical analysis by X-Ray Diffraction (XRD) and Fourier Transform Infrared Spectroscopy (FT-IR), microstructural characterization by Scanning Electron Microscopy (SEM/EDS), thermal behavior by thermogravimetry and differential thermal analysis (TGA/DTA) between 40°C and 1000°C, and toxicological tests by the Toxicity Characteristic Leaching Procedure (TCLP, EPA 1311) to determine the efficiency of immobilization of toxic metals. The results showed good mechanical strength, reaching 25 MPa at 7 days of curing, high microstructural stability with an average pore size of 7.21 μm, and good efficiency in the immobilization of heavy metals in geopolymers composed of 60% - 40% and 70% - 30% of the mine tailings - binders ratio, as the concentrations of As, Cd, Pb, Hg were below the established thresholds, acquiring the classification of non-hazardous materials. Geopolymers with 30 to 50% binder showed good mechanical behavior, microstructural stability, and high efficiency in the immobilization of heavy metals, complying with current regulations. Therefore, these geopolymers are suitable for various applications and in different environmental conditions.

Soil naturally contains fluorine, but concerns arise when its levels or bioavailability are increased by human activities or specific compounds. South Korea faces challenges in regulating soil fluorine pollution despite implementing stricter total fluorine standards than many developed countries. Moreover, these regulations can be economically unfeasible because of the naturally high background levels of fluorine in the soil in Korea. This review explores the global landscape of soil fluorine management strategies and examines potential solutions that reconcile environmental protection with economic concerns. We recommend a shift towards regulating specific and hazardous fluorine compounds rather than total content, and prioritizing remediation efforts based on assessments of bioavailable fluorine. This approach may help Korea establish a more effective and sustainable strategy for managing soil fluorine pollution.

Energy management, especially in communities, is attracting growing interest, but is often marred by confusion between the terms "Energy Information System" (EIS) and "Energy Man-agement System" (EMS). This ambiguity hinders understanding of their use and role in improv-ing energy performance. Our objective is to clarify these terms and their contribution to energy management. We used a mixed qualitative and quantitative approach to evaluate and compare the criteria of definition, objective, functionality, role, as well as correlated elements such as or-ganizational structure, responsibilities, planning and policy, according to the requirements of ISO 50001, in addition to criteria specific to the two systems. The study reveals differences in the roles of the EIS and the SME, with a complementarity of 40% between the two systems, depend-ing on the positioning of the EIS in relation to the elements of the SME process. The EIS plays a crucial role in facilitating the implementation of the EMS according to ISO 50001. This clarifica-tion contributes to a better understanding of the respective roles of these systems in energy management, thus helping communities to improve their energy performance in an effective manner.

Cow’s Milk (CM) is a healthy food consumed worldwide by individuals of all ages. Unfortunately, 'lactase deficient' individuals cannot digest milk's carbohydrate lactose depriving themselves of highly beneficial milk proteins like casein, lactoalbumin and lactoglobulin, due to lactose intolerance (LI), while other individuals develop cow milk allergy specifically against these proteins (CMPA). The management of these conditions is distinctly different and an inappropriate diagnosis or treatment may have significant implications for the patients, especially if they are infants or very young children, resulting in unnecessary dietary restriction or avoidable adverse reactions. Omics technologies play a pivotal role in elucidating the intricate interactions between nutrients and the human body, spanning from genetic factors to the microbiota profile and metabolites. This comprehensive approach enables the precise delineation and identification of distinct cohorts of individuals with specific dietary requirements, so that tailored nutrition strategies can be developed. This is what is called personalized nutrition or precision nutrition (PN), the area of nutrition that focuses on the effects of the nutrients over the genome, proteome and metabolome, promoting well-being and health, preventing diseases, reducing chronic disease incidence, and so increasing life expectancy. Here, we report the scientific community opinion proposing to replace the approach “one size fits all” with tailor-made nutrition programs, designed by integrating nutrigenomic data together with clinical parameters and microbiota profiles, taking into account the individual lactose tolerance threshold and needs in terms of specific nutrients intake. This customized approach could help LI patients to improve their quality of life, overcoming depression or anxiety, often resulting from the individual perception of this condition as different from a normal state.

Stroke is a global leading cause of death and disability. Knowledge of related guidelines is crucial for Emergency Department (ED) staff, influencing early diagnosis and timely treatment. We investigated Greek-Cypriot ED healthcare professionals' (nurses and physicians) knowledge in recognizing and managing stroke. A descriptive cross-sectional study spanned November 2019 to April 2020, encompassing four private and seven public EDs in the Republic of Cyprus. The data were collected through a self-reported questionnaire developed by the research team, consisting of 37 questions. Eight questions focused on sociodemographic and employment characteristics, 28 assessed knowledge in stroke recognition and management (each item was equally weighted without deliberate prioritization), and one question addressed self-assessment of knowledge in stroke care. 255 nurses [Response Rate (RR): 74.1%] and 26 physicians (RR: 47.3%) completed the questionnaire. The average correct response rate was 12.9 out of 28 statements (SD: 4.2), with nurses and physicians scoring 12.6 (SD: 4.1) and 15.7 (SD: 4), respectively. Work experience significantly influenced stroke knowledge, with all groups demonstrating superiority over those with less than one year of experience. Participants with previous training scored an average of 1.45 additional correct answers while educational attainment did not significantly influence stroke knowledge. Investigating stroke knowledge among Emergency Department nurses and physicians in the Republic of Cyprus revealed significant deficits. The study stresses targeted interventions, including, education, yearly examinations, workshops with hands-on training, and repeated training, to address these gaps and enhance the overall stroke care capabilities of the healthcare professionals.

Managing severe bleeding, particularly in soft tissues and visceral injuries, remains a significant challenge in trauma and surgical care. Traditional hemostatic methods often fall short in wet and dynamic environments. This study addresses the critical issue of severe bleeding in soft tissues, proposing an innovative solution using a Polyethylene Glycol (PEG)-based hydrogel combined with zinc oxide (ZnO). The developed hydrogel forms a dual-network structure through amide bonds and metal ion chelation, resulting in enhanced mechanical properties and adhesion strength. The hydrogel, exhibiting excellent biocompatibility, is designed to release zinc ions, promoting coagulation and accelerating hemostasis. Comprehensive characterization, including gelation time, rheological properties, microstructure analysis, and swelling behavior, demon-strates the superior performance of the PEG/ZnO hydrogel compared to traditional PEG hydro-gels. Mechanical tests confirm increased compression strength and adhesive properties, crucial for withstanding tissue dynamics. In vitro assessments reveal excellent biocompatibility and en-hanced procoagulant ability attributed to ZnO. Moreover, in vivo experiments using rat liver and tail bleeding models demonstrate the remarkable hemostatic performance of the PEG/ZnO hy-drogel, showcasing its potential for acute bleeding treatment in both visceral and peripheral sce-narios.

The prevalent use of synthetic chemical rodenticides (both 1st or 2nd generation anticoagulants and acute rodenticides) is the primary method for managing rodents in sub-Saharan Africa. However, this practice poses substantial health and environmental risks and often fails to yield significant, sustainable reductions in rodent pest populations. In this paper, the second one of a two-part series, we advocate for a more responsible and sustainable approach to rodent management in urban and agricultural settings in sub-Saharan Africa. We propose a shift towards environmentally friendly rodent management strategies, specifically emphasizing the adoption of Ecologically-Based Rodent Management (EBRM) as a viable alternative to synthetic chemical rodenticides. EBRM relies on a comprehensive understanding of pest rodent biology, ecology, and behavior, along with the implementation of a range of community-based interventions. These actions are designed to ensure the consistent reduction of rodent pest populations to economically and hygienically acceptable levels. By embracing EBRM, we not only anticipate a reduction in the social impacts of pest rodents in a cost-effective manner but also a significant decrease in the risks posed by rodents and synthetic chemical rodenticides to human health and the environment. This paradigm shift towards EBRM promises a more sustainable and responsible approach to rodent management in sub-Saharan Africa.