This paper constitutes a comprehensive literature review within the field of cultural tourism, with a particular focus on the concept of the cultural route as a tourist-cultural product. Within this framework, the paper offers an overview of contemporary technological challenges, concerns, and limitations. It thoroughly explores cutting-edge technologies pertaining to the promotion of cultural heritage, both in general and in the specific context of realizing the concept of the cultural route, a tourist-cultural service enriched by the utilization of new media. Additionally, it extensively references the latest techniques and models for enhancing the user experience of digital cultural tourism products. Moreover, the paper showcases existing digital platforms and tools that encapsulate and emphasize the notion of cultural tourism. It assesses the respective methodologies, technologies, and techniques employed in each case, accompanied by illustrative instances of their applications.

The rapid adoption of hydrogen as an eco-friendly energy source has necessitated the development of intelligent power management systems capable of efficiently utilizing hydrogen resources. However, guaranteeing the security and integrity of hydrogen-related data has become a significant challenge. This paper proposes a pioneering approach to ensure secure hydrogen data analysis through the integration of blockchain technology, enhancing trust, transparency, and privacy in handling hydrogen-related information. By combining blockchain with intelligent power management systems, the efficient utilization of hydrogen resources becomes feasible. The utilization of smart contracts and distributed ledger technology facilitates secure data analysis, real-time monitoring, prediction, and optimization of hydrogen-based power systems. The effectiveness and performance of the proposed approach are demonstrated through comprehensive case studies and simulations. Notably, our prediction models, including ABiLSTM, ALSTM, and ARNN, consistently delivered high accuracy with MAE values of approximately 0.154, 0.151, and 0.151, respectively, enhancing the security and efficiency of hydrogen consumption forecasts. The blockchain-based solution offers enhanced security, integrity, and privacy for hydrogen data analysis, thus contributing to the advancement of clean and sustainable energy systems. Additionally, the research identifies existing challenges and outlines potential future directions for further enhancing the proposed system. This study adds to the growing body of research on blockchain applications in the energy sector, with a specific focus on secure hydrogen data analysis and intelligent power management systems.

Puberty identifies the transition from childhood to adulthood. It normally lasts from 3 to 5 years and begins from 9 years in males and 8 years in females, although with differences related to familiarity and geographical origin. Precocious puberty is the onset of signs of pubertal development before age 8 in girls and before age 9 in boys, it has an incidence of 1/5000–1/10.000 with an F:M ratio ranging from 3:1 to 20:1. Based on the mechanism that triggers puberty, precocious puberty can be classified as central, also known as gonadotropin-dependent precocious puberty or true precocious puberty, and peripheral, also known as gonadotropin-independent precocious puberty or precocious pseudopuberty. Thus, the main aim of this narrative report is to describe the standard clinical management and therapy of precocious puberty according to the experience and expertise of pediatricians and pediatric endocrinologists at Policlinico Umberto I, Sapienza University of Rome, Italy. In the suspicion of early sexual maturation, it is important to collect information regarding the age of onset, the speed of maturation of secondary sexual characteristics, exposure to exogenous sex steroids and the presence of neurological symptoms. The objective examination, in addition to the evaluation of secondary sexual characteristics, must also include the evaluation of auxological parameters. Initial laboratory investigations should include serum gonadotropin levels (LH and FSH) and serum levels of the sex steroids. Brain MRI should be performed as indicated by the 2009 Consensus Statement in all boys regardless of chronological age and in all girls with onset of pubertal signs before 6 years of age. The gold standard in the treatment of central precocious puberty is represented by GnRH analogs, whereas as far as peripheral forms are concerned, the triggering cause must be identified and treated. At the moment there are no reliable data establishing the criteria for discontinuation of GnRH analogs therapy. However, numerous pieces of evidence suggest that the therapy should be suspended at the physiological age at which puberty occurs.

The paper discusses the experience of implementing an efficient economic management system at the University of Vigo in Spain. This system, which focuses on managing secondments, aims to minimize bureaucracy and standardize economic procedures for various staff groups. By adopting a qualitative methodology and utilizing content analysis, the study compares the University of Vigo's fully digital administrative procedure with other universities in the CRUE network. The results show significant time and cost savings due to this implementation. The improved traceability and information for users support the administrative change, and the positive environmental impacts highlight the commitment to a more sustainable approach. The paper's originality lies in demonstrating how this approach enhances efficiency, reduces costs, and improves sustainability within a Spanish public administration setting.

This paper focuses on hyperglycemic hyperosmolar syndrome (HHS), a unique hyperglycemic state requiring divergent diagnosis and treatment approaches from diabetic ketoacidosis (DKA), despite some shared characteristics. We introduce the mnemonic DI-FF-ER-EN-CE-S to encapsulate unique HHS management and complications. 'DI' emphasizes the need to delay and reduce initial insulin therapy until serum glucose decline is managed by fluid resuscitation alone. 'FF' and 'ER' stress the importance of fluid and electrolyte replacement due to severe dehydration and imbalances. 'EN' denotes the potential for encephalopathy and the requirement for a controlled serum osmolality reduction. 'CE' indicates that cerebral edema is rare but necessitates aggressive fluid therapy. 'S' signifies systemic multiorgan failure. We categorize the associated risks into three mnemonic groups: the 3Rs (renal failure, respiratory distress, rhabdomyolysis), the 3Hs (heart failure, hypercoagulation, hyperthermia), and AP (arrhythmias, pancreatitis) to facilitate awareness and screening of HHS.

Non-alcoholic fatty liver disease (NAFLD) has gained attention in the last few years due to its increasing prevalence worldwide becoming a global epidemic. This review aims to discuss the latest recommendations regarding diagnosis and treatment of NAFLD-associated HCC and the remaining challenges. Thus, there is a high amount of data derived from basic and clinical studies that revealed the molecular pathways which drive NAFLD-associated hepatocellular carcinoma (HCC). Based on these findings, new prevention, surveillance and treatment strategies are emerging. However, current data on treatment modalities in NAFLD-associated HCC are still scarce, but based on subgroup analysis results from non-NAFLD HCC studies are promising and could provide a basis for future research agenda to address NAFLD/NASH patients. Conclusion: Due to the pandemic proportions that NAFLD gained in the last few years, there is a high amount of data derived from basic and clinical studies that revealed the molecular path-ways which drive NAFLD-associated HCC. Based on these findings, new prevention, surveillance and treatment strategies could be developed at an individual level.

Forest ecosystems provide diverse services and values that contribute to human well-being. Although high proportion of species is still undiscovered, tropical forests alone are thought to host more than 50% of the world’s biodiversity. Beyond supporting via direct use of products like timber, fiber and biomass energy, they play an important role in providing a wide range of ecosystem services such as regulating water flow and quality, water purification, improving infiltration, fresh water, erosion control, carbon sequestration and sedimentation control. They are one of the important parts of terrestrial and the largest carbon pool, occupying an integral position in the global carbon cycle. However, these days, deterioration of nature and forest biodiversity is a severe danger to the global environment. This will be accompanied by increased strains on food supply, causing increased pressure on already delicate ecological systems. Thus, better forest management strategies are necessary for managing forests sustainably. Nevertheless, little is known regarding the existing forest management approaches and their associated benefits and challenges. Multidisciplinary approaches are needed to achieve sustainable management of forests. These can be accomplished if suitable forest management innovations are put in place. Various technologies can also be adopted through applying different forest assessment tools like remote sensing using light detection and ranging technology (LiDAR) in forest management. Harnessing such technologies will definitely result in providing increased socio-economy as well as improved environmental sustainability. However, the speed of transformation depends much on level of commitment of stakeholders including policy makers. As a result, this review is intended to explore existing forest management innovations which are suitable both ecologically as well as socio-economically. This shows that while there is a lot to be improved, there are already developed forest management innovations that are already in use including PFM and MFM, which helps to achieve SFM.

This manuscript explores the significance of continuous improvement in software development and digital product management, highlighting its role in addressing challenges and achieving superior results in today's dynamic business landscape. Drawing on Lean Thinking and Agile principles, the paper emphasizes the importance of customer focus, multidisciplinary collaboration, respect for people, inspection and adaptation, experimentation, incremental delivery, and continuous feedback in driving continuous improvement. It identifies key problems associated with the lack of continuous improvement, including quality issues, stagnation, inefficiency, lack of learning, lack of participation and collaboration, and lack of adaptability. To overcome these challenges, the paper proposes a solution that leverages agile events and interactions, such as sprint retrospectives and daily scrum meetings, and introduces a "kaizen board" as a visual tool to manage and monitor the continuous improvement process. The manuscript highlights the benefits of continuous improvement in terms of quality enhancement, efficiency gains, improved customer satisfaction, and adaptability to change. It stresses the need for fostering a culture of learning and constant adaptation, and provides insights on applying continuous improvement across different dimensions: product, process, team, and culture. The paper concludes by emphasizing the significance of commitment and active participation from all team members for achieving sustainable progress and success in digital transformation efforts.

The ongoing COVID-19 pandemic has profoundly affected millions of lives globally, with some individuals experiencing persistent symptoms even after recovering. Understanding and managing the long-term sequelae of COVID-19 is crucial for research, prevention, and control. As a result, to monitor the health of individuals affected by these conditions, they must maintain up-to-date health records using digital health informatics apps for surveillance. In this review, we provide an overview of the existing literature on identifying long COVID manifestations through hierarchical classification and the characterization of long COVID by different hierarchical groups based on the Human Phenotype Ontology (HPO). We outline the aspects of the National COVID Cohort Collaborative (N3C) and Researching COVID to Enhance Recovery (RECOVER) in artificial intelligence (AI) to identify long COVID. Knowledge exploration, using the concept map for the clinical pathways of long COVID presented in this paper, provides an overview of the data needed to explore tackling the long-term effect of COVID-19 by integrating innovative cohesive frameworks and designing health informatics-based applications. To the best of our knowledge, this is the first paper to explore the potential incorporation of long COVID as a variable risk factor within a digital health informatics application.

‘‘Sustainable Supply Chain Management’’ (SSCM) has become a hot topic on which eminent researchers are working on every day. However, it is clear that we still observe in this field of research, an artistic vagueness on the fundamental differences between Sustainable Supply Chain Management and Green Supply Chain Management (GSCM) Moreover, it is regrettable to note that previous researchers haven't yet thought about having a specific theory which can be applied to SSCM, the use of macro theories still being observed. In addition, we observe a lack of research in the oil and gas industry especially in Developing Countries when we know that this industry is the most lucrative and polluting. Therefore, this paper’s purpose consists to make a Systematic Literature Review (SLR) of 38 papers published from 2005 to 2023 especially in oil and gas industry and in Developing Countries, in order to make a clear distinction between SSCM and GSCM while highlighting the practices related to them and at the same time, generating a united theory which will bring together the triple bottom line of the SSCM. As findings, the authors built a Conceptual Framework that applies the triple bottom line of the SSCM in oil and gas industry by demonstrating that GSCM which is more related to environmental issues and is a part of the SSCM. Therefore, in order to be more efficient and to have a great impact on their performances, Oil and gas companies should apply SSCM practices rather than GSCM practices which are very different from what is applied in Developed Countries because of certain barriers and pressures.

Backyard production systems (BPS) are highly distributed in central Chile. Poultry BPS have been previously characterized; however, swine BPS have not yet been deeply characterized in central Chile. In addition, there is evidence that zoonotic pathogens, such as influenza A virus and Salmonella spp., are circulating in both poultry and pigs kept these production systems. A total of 358 BPS located in central Chile were evaluated between 2013 and 2015 by interviewing farm owners. Severe deficiencies in biosecurity measures were observed. The value chain of swine backyard production identified feeding, products and veterinary visits, and replacement or breeding animals as the main inputs to the backyard. The most common origin of swine replacements was from outside the BPS (63%). Meat and live animals (piglets and breeding animals) were identified as the main outputs of the system. In 16% of BPS, breeding animals were lent to other BPS, indicating the existence of animal and animal products movement in and out of backyard farms. Results from this study suggest that swine BPS in central Chile represent an animal-human interphase that need special attention to direct preventive measures aimed at avoiding the introduction and dissemination of animal pathogens and the emergence of zoonotic pathogens.

Grasslands are at risk of degradation due to unsustainable management practices and climate change. Sustainable grassland soil management can promote ecosystem service delivery and improve the resilience of the entire grassland ecosystem to anthropogenic change. Here, we re-view the principal soil quality indicators (SQIs) and how they have been used to evaluate the sustainability of different grassland management practices globally. We then discuss sustainable grazing management practices, before reviewing some novel grassland species which may im-prove grassland resilience with relevance for grassland management in Europe and the UK. We also give an overview of current sustainable grassland management methods and their assessment at field scale. From this, we suggest that sustainable Grazing Management Plans (GMPs), together with the testing of drought-resistant grass species and appropriate SQIs monitoring, is key to increasing resilience of grassland ecosystems to anthropogenic change.

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

The Circular Economy is matter of recent discussions and quite popular, however the meaning has not been understood by most Business stakeholders. This Case study proposes to illustrate the Circular Economy importance and its status now. The contribution that UAE education sector can make to the Circular Economy is immense and is the focus of this study. Circular Economy awareness and its inner meaning can be only spread by the education sector and the author emphasizes the role of the education can play in implementing the Circular Economy. The study shows the way for the future Managers and Business stakeholders to participate in this crucial endeavor of Businesses to follow the Circular Economy. The ADKAR change management can be adopted to inspire the CE initiatives of the UAE Education sector.

Growing evidence suggests that healthcare provider advice may increase tobacco cessation, reduce alcohol use, and improve the adoption of desirable lifestyle behaviors among patients. However, how brief interventions and other provider-patient interactions can shape cumulative adoption of multiple modifiable behaviors is less well studied for diabetes prevention and control. Using weighted internet panel survey data from a large socio-demographically diverse urban population in the United States (n=1,003), the present study describes differences in group characteristics among those who had been “ever diagnosed” with prediabetes/diabetes versus those who had not. It also examines the associations between the cumulative adoption of lifestyle behaviors and each of the following: a) lifetime prediabetes/diabetes diagnosis; b) brief lifestyle intervention exposure (i.e., received provider advice/encouragement); and c) recent provider-patient communication about diabetes. There were several group differences in “ever diagnosed” prediabetes/diabetes status by age, employment status, health status, nutrition knowledge, blood pressure/hypertension diagnosis, and diabetes-related health behaviors (p<0.05). Each of the three provider-patient interactions of interest were positively associated with a higher cumulative sum of adopted modifiable lifestyle behaviors for diabetes prevention and management. Results suggest that provider advice/provider-patient interactions of any type can have a salutary impact on whether individuals with prediabetes or type 2 diabetes will engage in recommended lifestyle behavior modifications.

Human activities mostly impact the trend and direction of surface water, groundwater, and other river basin resources in the watershed in Africa. Human activities influence river flows and the water quality at both highlands and lowlands. A watershed is indeed a conserved area of land that collects rain and snow and empties or penetrates into ground water sources. The act of managing the activities around the watershed is the Integrated Watershed Management while considering the social, economic, and environmental issues, as well as community interests to manage water resources sustainably. These watersheds, river basins, and groundwater resources provide important services for communities and biodiversity. This paper reveals that the best way to protect groundwater resources is on a watershed basis using IWM. This technique enables us to handle a variety of concerns and objectives while also allowing us to plan in a complicated and uncertain environment. IWM involves cooperation and participation from a wide range of community interests and water users, including municipalities, companies, people, agencies, and landowners, for stakeholders' input to be successful. All of the strategies and plans are produced concerning one another, as well as the overall conditions of the watershed, local land uses, and specific issues.

The aim of this study was to analyze surgical and refractive outcomes of XEN glaucoma implant (Allergan, an Abbvie company, Irvine, CA, USA), a minimally invasive surgical device for the treatment of refractory glaucoma. A retrospective chart review of eyes that received XEN Gel Stent placement from December 2014 to October 2019 was conducted. Intraocular pressure (IOP) change, best corrected visual acuity (BCVA), change in glaucoma medications, frequency of slit lamp revision procedures, and frequency of secondary glaucoma surgeries were the primary outcomes. Seventy-two subjects were included in the study: 32 (44%) males and 40 (56%) females. The mean follow-up time was 26.87 ± 15.33 months. The mean IOP before surgery was 24.82 ± 8.03 mmHg and decreased to 17.45 ± 5.84 mmHg at the end of the study, MD = -7.48, CI95 [-10.04; -4.93], p < 0.001. The mean decrease from baseline was 23%. Before surgery BCVA was 0.38±0.30 and at the end of the follow-up period it had improved to 0.47±0.37, MD = 0.09, CI95 [0.04; 0.13], p < 0.001. Additional procedures (fluorouracil injection, Bleb needling) were performed in 11/72 patients (15%). Further glaucoma surgery was necessary for 23.9%% of the patients. Implantation of XEN Gel Stent is both safe and effective for lowering IOP in refractory glaucoma patients.

Sea-level rise is a problem increasingly affecting coastal areas worldwide. The existence of Free and Open-Source Models to estimate the sea-level impact can contribute to better coastal man-agement. This study aims to develop and to validate two different models to predict the sea-level rise impact supported by Google Earth Engine (GEE) – a cloud-based platform for planetary-scale environmental data analysis. The first model is a Bathtub Model based on the uncertainty of projections of the Sea-level Rise Impact Module of TerrSet - Geospatial Monitoring and Modeling System software. The validation process performed in the Rio Grande do Sul coastal plain (S Brazil) resulted in correlations from 0.75 to 1.00. The second model uses Bruun Rule formula implemented in GEE and is capable to determine the coastline retreat of a profile through the creation of a simple vector line from topo-bathymetric data. The model shows a very high cor-relation (0.97) with a classical Bruun Rule study performed in Aveiro coast (NW Portugal). The GEE platform seems to be an important tool for coastal management. The models developed have been openly shared, enabling the continuous improvement of the code by the scientific commu-nity.

Background: We aimed to study the frequency, management, and outcomes of patients with blunt pancreatic trauma. Methods: We reviewed the medical records for all patients admitted with pancreatic injuries between 2011 and 2017 at the only level 1 trauma center in the country. Results: There were 71 patients admitted with pancreatic trauma (0.6% of trauma admissions and 3.4% of abdominal injury admissions) with a mean age of 31 years. Sixty-two patients had pancreatic injury grade I-II and 9 had grade III-IV. Thirty-eight percent had GCS <9 and 73% had ISS >16. The level of pancreatic enzymes was significantly proportional to the grade of injury. Over half of patients required a laparotomy, of them 12 patients had an intervention on the pancreas. Eight patients developed complications related to pancreatic injuries ranging from pancreatitis to pancreatico-cutaneous fistula while 35% developed hemorrhagic shock. Mortality was 31% and regardless of the grade of injury, the mortality was associated with high ISS, low GCS and presence of hemorrhagic shock. Conclusion: Pancreatic injuries following blunt trauma are rare and the injured subjects are usually young male. However, most injuries are of low-grade severity. This study shows that shock, higher ISS and lower GCS are associated with worse in-hospital out-comes. Non-operative management may suffice in patients with lower grade injuries, which may not be the case in patients with higher grade injuries unless carefully selected

Sea-level rise is a problem increasingly affecting coastal areas worldwide. The existence 15 of Free and Open-Source Models to estimate the sea-level impact can contribute to better coastal 16 management. This study aims to develop and to validate two different models to predict the 17 sea-level rise impact supported by Google Earth Engine (GEE) – a cloud-based platform for plan-18 etary-scale environmental data analysis. The first model is a Bathtub Model based on the uncer-19 tainty of projections of the Sea-level Rise Impact Module of TerrSet - Geospatial Monitoring and 20 Modeling System software. The validation process performed in the Rio Grande do Sul coastal 21 plain (S Brazil) resulted in correlations from 0.75 to 1.00. The second model uses Bruun Rule for-22 mula implemented in GEE and is capable to determine the coastline retreat of a profile through the 23 creation of a simple vector line from topo-bathymetric data. The model shows a very high correla-24 tion (0.97) with a classical Bruun Rule study performed in Aveiro coast (NW Portugal). The GEE 25 platform seems to be an important tool for coastal management. The models developed have been 26 openly shared, enabling the continuous improvement of the code by the scientific community.

The Philippines is both a biodiversity hotspot and a megadiverse country. The country also has experienced one of the highest rates of deforestation in Southeast Asia and is among the first countries to introduce a massive reforestation program to address the country’s rapid biodiversity and forest loss. Drawing upon an empirical study from the Leyte island and other relevant case studies from the Philippines, in this chapter, we demonstrate that recovering secondary forests following shifting cultivation, locally known as kaingin have the high potentials for biodiversity and carbon co-benefits. Based on our empirical study, we also found that secondary forest regrowing after kaingin use can potentially be used as a cost-effective reforestation measure with multiple benefits to people and the environment in upland areas of the Philippines. We also discuss measures that are essential for such programs to be successful.

The disaster response operational strategies requires tool that a may provide time bound clear picture of potential spots. Natural disaster sometimes comes slowly like increment of water level resulting flood or early warning of tsunami whereas in manmade disasters like 1CBRNE attack or chemical accident or industrial structure collapse or leakage through a pipeline of some toxic hazardous gas requires very accurate and quick response strategies. 2Unmanned Aerial System is commercially used tools present in the market and also used by military organization for various operations throughout the world. The accuracy and time bound pictorial representation of the spots by these tow tools makes them very useful for providing clear picture of potential disaster sites and enabling decision makers to take decision on these representation. Apart of these the potential to deliver important material faster than any other mode also makes these equipment and technology a very important asset for making disaster risk reduction strategies. This paper elaborates the efficacy and utility of Unmanned Aerial System or Drones in developing robust and time bound strategies for disaster risk reduction. This paper also evaluates some experiences and describes some initiatives using Unmanned Aerial System to support disaster risk reduction strategies and post disaster decision making efforts.

Excessive vibration of temporary grandstand owing to crowd has lateral rhythmic motions can cause human in panic, which attracted increasing attention in recent years. This paper focuses on experiments that a temporary grandstand occupied 20 participants is oscillated by a shaking table with a series of random waves and induced by crowd with rhythmic swaying motions at lateral direction, respectively. And then a series of vibration perception questionnaires about crowd reaction are obtained. Evaluation of annoying level derives in concept of degree of membership and annoying rate method is proposed, then the human health risk of vibration serviceability of temporary grandstand is assessed with acceleration vibration dose value(VDV). From these results it is clear that standing crowd is more tolerant to vibration than seated crowd. The measured vibrations generated by crowd activities on temporary grandstand can cause panic in crowd. New relationship between the annoyance rate and structural acceleration VDV at logarithmic coordinate is proposed. The findings of this study can be utilized to manage the vibration of temporary grandstand and assess the human health risk.

The paradigm that assumes the autonomous management of universities involves them in the redefinition of their policies and processes and the training of their staff, designing new formulas that allow them to adapt to a changing environment. In this context, research and sustainable universities can link with society to solve its problems and influence a responsible and sustainable development. Through a Delphi panel, importance to acquire and improve project management (PM) competences by teaching and research staff (TRS) into innovating education and research projects is measured, from the standard of individual competences (ICB4) of the International Project Management Association (IPMA). Also, internal data sources from the flexible structures of two Spanish universities (the University of Cadiz (UCA) and the Technical University of Madrid (UPM)), are investigated, in order to analyze how they are organized. Thanks to the study of cases, an increasing tendency to work by projects is observed, empowering teams, managing properly stakeholders and facilitating their functions towards society. Likewise, after two rounds of experts’ consultation, consensus is reached with an acceptable and stable level of responses, resulting in confirmation that there is alignment between IPMA competences and TRS’ needs for sustained success in education and research, contributing to universities’ development, improvement and sustainability.

The use of unmanned aerial vehicle (UAV) during emergency response of a disaster has been widespread in recent years and the terrain images captured by the cameras on board these vehicles are significant sources of information for such disaster monitoring operations. Thus, analyzing such images are important for assessing the terrain of interest during such emergency response operations. Further, these UAVs are mainly used in disaster monitoring systems for the automated deployment of sensor nodes in real time. Therefore, deploying and localizing the wireless sensor nodes optimally, only in the regions of interest that are identified by segmenting the images captured by UAVs, hold paramount significance thereby effecting their performance. In this paper, the highly effective nature-inspired Plant Growth Simulation Algorithm (PGSA) has been applied for the segmentation of such terrestrial images and also for the localization of the deployed sensor nodes. The problem is formulated as a multi-dimensional optimization problem and PGSA has been used to solve it. Furthermore, the proposed method has been compared to other existing evolutionary methods and simulation results show that PGSA gives better performance with respect to both speed and accuracy unlike other techniques in literature.

Additive Manufacturing (AM) has been proving suitable to support or even replace traditional manufacturing in several industries, offering many advantages such as delivery time and reduction in terms of material waste, energy consumption and greenhouse gas (GHG) emissions. This study aimed to carry out a comparative assessment of the life cycle, from gate to gate, in the production of a low alloy carbon steel flange part using ER-90 wire. The methods utilized were Wire and Arc Additive Manufacturing (WAAM) and conventional manufacturing (CM) by forging, and comparative factors were energy demands, GHG emissions and generated solid waste. The total energy consumption in WAAM was 10,239.40 MJ, total carbon footprint in CO2 equivalent (CO2e) was 714.1 kgCO2e kg-1, and generated solid waste was 68.6 kg, respectively, 90%, 95% and 76% lower than consumption calculated in conventional manufacturing.

This paper analyses the COVID-19 crisis and its management, under the Austrian Economics. The attention is focused in the States’ coercive intervention, to evaluate the positive or negative effects of pandemic, according to the Principles of Political Economy and the theory of capital and economic cycles. The paper examines the specific case of massive intervention by governments and, especially, central banks in monetary and financial markets to deal with the pandemic by seeking to lessen its effects. Also, it is offered a critical analysis on simultaneous government policies involving taxes and an increase in public spending which are presented as the panacea and universal remedy for the evils that afflict the society, instead of promoting the transit to Wellbeing Economics. To conclude the review, there is a proposal of paradigm review, in the way to offer a sustainable model.

The overarching vision of Society 5.0 seeks to integrate technology to enhance the quality of life and address social issues, with the primary goal of creating human-centered communities, which nowadays represent the inhabitants of Smart Cities. In this context, this work addresses the design of a modular strategic platform for the smart supervision of public expenditure, to be used by the Directorate of Information, Analysis, and Immediate Reaction (DIARI) of the General Comptroller of the Republic (CGR) of Colombia as a significant contribution towards the country’s transition into the Society 5.0. The design was performed by conducting a detailed literature review on fiscal control; a comprehensive analysis of the legal, organizational, and technological aspects of the country and the CGR; and developing six functional modules focused on topics such as continuous learning, strategic decision-making, distinctive value, strategic achievements, capacity building, and organization, within a three-year implementation plan, through a participatory approach. This plan aims to integrate the platform to enable real-time monitoring, early detection of irregularities, and increased transparency in the management of data and public resources. The strategic platform for the DIARI of the CGR is useful for Smart Cities and the transition into Society 5.0 since it ensures efficient public expenditure management, enhancing transparency and citizen empowerment through modern technologies, data analytics, and active participation in governance processes.

Regenerated silk (RS) is a protein-based “biopolymer” that enables the design of new materials; here, we called “bionic” the process of regenerated silk production by a fermentation-assisted method. Based on yeast’s fermentation, here we produced a living hybrid composite made of regenerated silk nanofibrils and a single-cell fungi, the Saccharomyces cerevisiae yeast extract, by fermentation of such microorganisms at room temperature in a dissolution bath of silkworm silk fibers. The fermentation-based processing enhances the beta-sheet content of the RS, corresponding to a reduction in water permeability and CO₂ diffusion through RS/yeast thin films enabling the fabrication of a mechanically robust film that enhances food storage durability. Finally, a transfer print method, which consists of transferring RS and RS/yeast film layers onto a self-adherent paraffin substrate, was used for the realization of heat-responsive wrinkles by exploiting the high thermal expansion of the paraffin substrate that regulates the applied strain, resulting in a switchable coating morphology from the wrinkle-free state to a wrinkled state if the food temperature overcomes a designed threshold. We envision that such efficient and smart coatings can be applied for the realization of smart packaging that, through such a temperature-sensing mechanism, can be used to control food storage conditions.

One of the most common complications of neurogenic bladder secondary to spinal cord injury (SCI) is urinary incontinence, possibly related to bladder-emptying methods and changes in quality of life. This study aimed to identify the occurrence of this complication in adults with SCI and analyze its relationship with bladder-emptying methods, satisfaction, and lifestyle. This is a quantitative, exploratory, cross-sectional study. The variables were collected using the Bowel and Bladder Treatment Index during a telephone interview with 290 participants from February to November 2021. According to the results, 70% of the participants were male and 74.1% performed clean intermediate catheterization (CIC) as the main bladder-emptying method. Moreover, 55.6% were considered incontinent in the last year. Emptying by normal urination and bladder reflex triggering had a statistically significant relationship with urinary incontinence. A statistical association was observed between all the variables of satisfaction and lifestyle with urinary incontinence. Although CIC reduced urine leakage, a considerable number of participants still presented with frequent urine leakage. Urinary incontinence negatively altered satisfaction with the bladder-emptying method, effectiveness of bladder management, quality of life, and personal and social relationships.

Exploring the determinants of biological community structure is important not only for understanding the formation of the community, but also for promoting its biodiversity conservation. We monitored butterfly communities in a grassland and woodland area of Mount Fuji, Japan, and explored the environmental factors that influenced them. Multivariate regression tree (MRT) analysis generated a 3-leaved MRT (G1, G2, and G3) and showed the total explained variation of 64.4% in the species composition. The explanatory variables discriminating between the two branches in the first node and in the second node of the MRT were neighbouring plant community and management status, respectively. The neighbouring plant community was related to the distribution of butterfly dietary resources and contributed much in determining the species composition of the community. While the management status was largely related to the amount of their dietary resources, affecting the species richness and diversity. The PCA results revealed that the three key groups (G1, G2, and G3) were formed along the gradients of these two factors. Consequently, to maintain mowing management and the diversity of neighbouring vegetation is very important for the continuance of butterfly community diversity and composition and the conservation of Red Listed species in the area.

The COVID-19 pandemic, which has affected the entire world, has not only created a number of emerging issues for each country, especially in the field of public health, but has also provided a number of opportunities for risk management, alternative strategies and completely new ways of looking at challenges. This paper examines the COVID-19 pandemic response in Türkiye and the possible implications of the experience for future responses to other health emergencies and disaster risk management, based on the lessons learned. This study uses publicly available literature from government, private sector, and academic sources to analyse the conflicts, changes and lessons learned during the COVID-19 pandemic, which are components of the World Health Organization (WHO) Health Emergency and Disaster Risk Management (Health EDRM) framework. The COVID-19 experience in Türkiye has several aspects, including the significant role of healthcare workers, the existence of an effective health system accustomed to emergencies, applications based on information technologies, partial transparency of public authorities in providing information, and socio-cultural environment related to cooperation on prevention strategies, including wearing masks and vaccination. Challenges in Türkiye include distance learning in schools, lockdowns that particularly affect the elderly, ensuring environmental sustainability, hesitation about the effectiveness of social/financial support programmes, socio-cultural trivialisation of pandemics after a while, and relaxation of prevention strategies. Lessons learned from the COVID-19 pandemic include the value of transparency in public health/healthcare information, the strengthening of all aspects of the health system in terms of health workers, and the importance of a balanced economy prepared for foreseeable risks.

Farmers’ conventional tillage (CT) and residue removal practices in rice-maize systems in South Asia’s Eastern Gangetic Plain (EGP) are input-intensive, costly and soil degradative. We conducted a rice-maize-mungbean (R-M-MB) system experiment with six tillage and three residue management treatments in Bangladesh representing the EGP. Maize yields were significantly (p≤0.05) higher under permanent (PB) or fresh (FB) beds and strip tillage (ST) than CT but no differences in mungbean yields. Rice yields under PB, FB and CT were similar, but significantly higher than under zero or minimum tillage and ST. Yields of all crops increased significantly (p≤0.05) with residue retention compared to no retention. Total system productivity was highest under PB followed by FB and ST. Compared with CT, gross margins in PB, FB and ST increased by 18, 13 and 11%, and soil organic matter (SOM) and total N contents across tillage treatments increased by 11-16% and 12-24%, respectively. After three years, SOM and total N and available P and S contents increased significantly (p≤0.05) by residue retention. Results demonstrate the potential of PB, FB and ST with residue retention, for improving the productivity, profitability and soil health under R-M-MB systems in Bangladesh and similar soils in the EGP.

The objective of this study is to investigate the viability of employing waste derived from Syzygium cumini seeds as an environmentally sustainable antioxidant adjunct within the framework of PLA-PCL-Nanochitosan active packaging for food preservation. The method involves the manufacturing of a food packaging film by combining a PLA/PCL polymer blend with chloroform, followed by an evaporation process. This polymer blend is subsequently mixed with an extract derived from Syzygium cumini seed waste and nano chitosan. The mechanical mixing process takes 45 minutes and is carried out at a temperature of 160°C. The results of this study show that the active film has excellent mechanical properties, and an even surface texture, and was able to significantly reduce S. aureus colony counts by up to 98%. Active packaging film is also able to maintain pH and total volatile basic nitrogen (TVBN) in chicken breast.

The Roman economy of the Iberian Peninsula has habitually been characterised in terms of prestige goods and economic activities such as trade, mining and metallurgy. The analysis of plant-based foods –less prestigious but more essential in everyday life– has commonly been marginalised in state-of-the-art reviews. The O Areal saltworks is exceptional in terms of the large number of organic materials it preserves, and the excellent state of that preservation. After its abandonment (end of the 3rd/4th century AD), the saltworks was briefly used as a dumping ground for the surrounding area. The site's archaeobotanical remains, preserved under anoxic, waterlogged conditions, consist of the building materials used at the saltworks, tools and other artefacts, organic objects employed in activities such as fishing, and refuse. The assemblage suggests a wide diversity of species to have been introduced into northwestern Iberia during the Roman Period, including the mulberry, peach, fig, plum, grapevine, and melon. The notable presence of other edible fruit species that normally grew wild during this period, such as chestnut, walnut, stone pine, and cherry trees, might be related to the start of their cultivation.

Astola Island is the first marine protected area of Pakistan acknowledged 2017, June 15. It is a rich biodiversity hotspot, Ramsar site inhabiting endangered species like Green turtle, Hawksbill turtle, and Arabian Humpback whale. A saw-scaled Russell’s viper is endemic to Island. Marine ecology of Astola Island is affected by plastic pollution resulting in coral destruction, ocean acidification, global warming, fishing nets blockage, water pollution, and coastal erosion. Zeolite catalyst synthesized from environmentally friendly way by coal fly ash to degrade collected plastic waste from Island into useful products in pyrolysis reactor. The synthesized catalyst functionalized further with three type of organosilane(1) Octyltriethoxysilane(OS),(2)Phenyltriethoxysilane(PS)(3)Vinyltriethoxysilane(VS).Zeolite functionalize with octyltriethoxy silane (ZO) shows the highest performance in plastic pyrolysis, resulting in lower degradation temperature, low residue and more product formation may be due to having long chain hydrocarbon and acidic sites. Plastic recycling is the promising solution to tackle plastic blooming issue. Which is negatively impacting all the compartments of ecosystem especially marine environment.

Based on recent computational and experimental studies, hesperidin, a bioactive flavonoid abundant in citrus peel, stands out for its high binding affinity to the main cellular receptors of SARS-CoV-2, outperforming drugs already recommended for clinical trials. Thus, it is very promising for prophylaxis and treatment of COVID-19, along with other coexistent flavonoids such as naringin, which could help restraining the pro-inflammatory overreaction of the immune system. Controlled hydrodynamic cavitation processes showed the highest speed, effectiveness and efficiency in the integral and green aqueous extraction of flavonoids, essential oils and pectin from citrus peel waste. After freeze-drying, the extracted pectin showed high quality and excellent antioxidant and antibacterial activities, attributed to flavonoids and essential oils adsorbed and concentrated on its surface. This study reviews the recent evidence about hesperidin as a promising molecule, and proposes a feasible and affordable process based on hydrodynamic cavitation for the integral aqueous extraction of citrus peel waste resulting in hesperidin-rich products, either aqueous extracts or pectin tablets. The uptake of this process on a relevant scale is urged, in order to achieve large-scale production and distribution of hesperidin-rich products. Meanwhile, experimental and clinical studies could determine the effective doses either for therapeutic and preventive purposes.

{This study investigates the coordinated behaviors and the underlying collective intelligence in biological groups, particularly those led by informed leaders. By establishing new convergence criteria based on real biological group experiments, this research introduces the concept of a volitional term and heterogeneous networks, constructing a coupled force Cucker-Smale model with informed leaders. The inclusion of the informed leader aspect distinctively characterizes the dynamics of leaders and followers, enabling a more accurate representation of biological group behavior. The paper then proposes the Flock Leadership Hierarchy Network (FLH), a model reflecting real biological interactions. By employing time slicing and rolling time windows, the study methodically analyses group behavior stages, using volatility and convergence time as metrics to examine the relationship between group consistency and interactions. Comparative experiments show the FLH network's superior performance. The Kolmogorov-Smirnov test indicates that the FLH network follows a power-law distribution, highlighting the evolutionary intelligence of biological groups. This research offers new perspectives on the evolution of biological groups, contributing to our understanding of both natural and artificial systems, such as animal migration and autonomous drone operations.

Urban environments face escalating challenges, e.g. due to uncontrolled urbanization, rapid population growth or climate changes, prompting the exploration of sustainable solutions for enhancing urban green spaces (UGS). For this reason, poplars (Populus L.), due to their rapid growth, wide range adaptability to environmental conditions and versatility of use, would have emerged as very promising. This comprehensive review synthesizes current knowledge regarding poplar's application in urban landscapes, emphasizing its multifaceted contributions and benefits. However, challenges arise from the variable lifespans of different poplar cultivars, necessitating strategic management approaches. Selecting cultivars based on growth rates, root system characteristics, and adaptability to urban conditions is pivotal. Adaptive replanting strategies, incorporating species with varying lifespans, offer solutions to maintain continual greenery in urban landscapes. Collaborative efforts between researchers, urban planners, and policymakers are essential for devising comprehensive strategies that maximize benefits while addressing challenges associated with their variable lifespans. In conclusion, harnessing poplar's potential in urban greenery initiatives requires a balanced approach that capitalizes on their benefits while mitigating challenges. Further research and adaptive strategies are crucial for sustained and effective utilization in creating resilient and vibrant urban landscapes.

In this study, the objective is to analyze the economic viability of municipal household solid waste (organic matter + paper) for the production of gas, coke and biofuel through the pyrolysis and distillation process. The waste was collected in the city of Belém do Pará-Brazil and pre-treated at UFPA. The analyzed fraction (organic matter + paper) was subjected to pre-treatment of drying, crushing, sieving and was subsequently subjected to proximate characterization and finally pyrolysis of the organic fraction (organic matter + paper) in a fixed bed reactor. Initially, it was necessary to review the literature and with the yields obtained by pyrolysis of the frac-tion, economic feasibility analyzes were carried out. The economic indicators for evaluating the most viable pyrolysis process were: simple payback, discounted payback, net present value (NPV), internal rate of return (IRR), and profitability index (IL). The analysis of the indicators showed the economic viability considering an analysis horizon of 10 years, of materials based on organic material and paper. The break-even point obtained was 0.96 US$/L and the minimum biofuel sales price (MFSP – “Minimum Fuel Sale Price”) obtained in this work was 1.30 US$/L. The sensitivity analysis demonstrated that material costs (organic matter + paper), bio-oil yield, total project investment and electricity, respectively, are the variables that most affect the mini-mum biofuel sales price (MFSP).

The study presents a comparative approach between response surface methodology (RSM) and hybridized, genetic algorithm artificial neural network (GA-ANN) in predicting the water absorption, compressive strength, flexural strength split tensile strength and slump for steel fiber reinforced concrete. The effect of process variables such as aspect ratio, water cement ratio and cement content were investigated using the central composite design of response surface methodology. This same experimental design was used in training the hybrid-training approach of artificial neural network. The predicting ability of both methodologies were compared using the root mean sqaured error (RMSE), mean absolute error (MAE), model predictive error (MPE) and absolute average deviation (AAD). The RSM model was found more accurate in prediction compared to hybrid GA-ANN.

This paper evaluates the determinants of decision making in relation to the production of four crops (banana, cassava, potato and sweet potato). Understanding the division of labour and decision-making in crop management may lead to designing better interventions targeted at improving efficiency in smallholder agriculture. A household quantitative survey with heads of households involving 261 women and 144 men in Burundi and 184 women and 222 men in Rwanda was conducted in 2014. Most of the decisions and labour provision during production of both cash crops (potato and banana) and food crops (sweet potato and cassava) were done jointly by men and women in male-headed households. Higher values for ‘credit access’, ‘land size’ and ‘farming as the main occupation of the household head’ increased the frequency of joint decision-making in male-headed households. A decline in the amount of farm income reduced the participation of men as decision makers. A reduction in total household income and proximity to the market was correlated with joint decision making. Gender norms also contributed to the lower participation of women in both decision-making and labour provision in banana and potato cultivation. Although a large proportion of decisions were made jointly, women perceived that men participate more in decision-making processes within the household during the production of cash crops. Increased participation by women in decision-making will require an active and practical strategy which can encourage adjustments to existing traditional gender norms that recognise men as the main decision-makers at both the household and community levels.

This paper proposes Pierre Bourdieu's sociological concepts of social field, capital, and habitus to analyze water management in Colombia. By mapping the social dynamics of water management, this study examines the interactions and power relationships among agents, including government agencies, private companies, academic institutions, non-profits, and local communities. The analysis reveals how various forms of capital, such as economic, cultural, social, and symbolic, influence water management practices, policies, and the distribution of power. Integrating agent-based modeling with hydrological simulations provides a more nuanced understanding of how social dynamics influence water management. This interdisciplinary approach helps develop more adaptive and equitable strategies by capturing the complex interactions between human behavior and environmental factors. The research demonstrates that agent-based modeling, informed by Bourdieu's sociological framework, offers valuable insights for policy development in regions facing socio-economic and environmental challenges. The study highlights the need to localize the analysis of the social field to capture regional customs and specific social dynamics. This localized approach ensures that water management strategies are more relevant, context-sensitive, and sustainable. This paper advocates for the wider adoption of agent-based modeling in water management, proposing a methodology that combines the engineering principles of practical problem-solving and adaptive design with an understanding of the social complexities in water management.

This study explores the transformative impact of e-commerce technologies on supply chain management within the retail sector. Through a thematic analysis of current literature and qualitative research findings, the study examines how technologies such as real-time monitoring, predictive analytics, AI, blockchain, and IoT are reshaping inventory management, procurement, logistics, and customer service. The research highlights significant improvements in operational efficiency, decision-making, and customer experience driven by these technologies. However, challenges such as system integration complexities, cybersecurity risks, and regulatory compliance issues are also identified. The study emphasizes the strategic adoption and integration of e-commerce technologies to enhance supply chain resilience, sustainability, and competitiveness. Insights from the analysis underscore the evolving role of technology in driving innovation and efficiency across supply chain functions, while also necessitating careful management of risks and complexities. Looking forward, the study discusses future trends including AI advancements, IoT connectivity, and blockchain applications, which are poised to further revolutionize supply chain dynamics. By addressing these trends and challenges strategically, retailers can leverage e-commerce technologies to optimize operations, mitigate risks, and meet evolving consumer demands in a digital-first marketplace.

The management of an organization's human resources is the first stage in the governance process for any operation. This present study examine the strategies employed in Saudi Arabia for establishing effective governance through the implementation of human resource management practices and the key sustainable strategies criteria for effective human resource management practices. This step is considered crucial in governance as it involves the selection of highly qualified individuals who are expected to contribute to the achievement of optimal governance outcomes and the overall well-being of the population within a nation as well as the key criteria involves. Qualitative research methodology as well as Decision making trial and evaluation laboratory (DEMATEL) were utilized with a sample of 31 participants from 8 government ministries and 14 companies in Saudi Arabia. The study's findings from qualitative interview exert four key criteria influencing sustainable effective human resources management practices. Cultural reflection" is the most important long-term goals of Saudi Arabia's HRM initiatives found from DEMATEL evaluation impacting three criteria with7.9181, 8.2294, 8.1961 above the threshold value of 7.783599781. This means that HR professionals should take the time to study and evaluate the cultural dynamics at work, in order to promote cultural introspection and understanding of cultural differences.

Ecosystemic services are those that provide material or immaterial benefits to the inhabitants of a landscape from its water, food, medicines and raw materials. They are classified into four types: provisioning, regulating, supporting and cultural. The latter can be defined as those non-material benefits that humans obtain through ecosystems. They include educational value, cultural diversity, sources of inspiration, spirituality and religious values, aesthetic value, social relations, rootedness or belonging, cultural heritage, recreational and ecotourism services, and scientific knowledge, among others. Characterising such diverse factors requires a systematisation in study facets for their management. We propose three: memory, image and socio-system, as differentiated spheres of approach to the urban landscape. The memory facet would include the ecosystemic services of belonging, cultural heritage and, in certain themes, cultural diversity, sources of inspiration and religious values. The image facet includes the aesthetic value and perceptual aspects of ecotourism. In the socio-system we would study the educational value, scientific knowledge and recreational or spirituality services, reflected in the endowments; but also social relations, rootedness and another vision of ecotourism.

Directive 2018/844/EU on energy efficiency claims almost 80% of final energy consumption in EU is used within the buildings. Subsequent Directive (EU) 2023/1791 introduced in 2023 expected 68% of the World population living in urban areas. Both Directives enhanced the role of energy management (EM) applied on the city buildings. The study introduces the development of energy management in Czech municipalities between the years 2009 and 2023. The main goal of this article is to present selected results of the unique national survey focused on the energy management in Czech municipalities conducted in 2023 and compare it with results of national surveys implemented in 2009 and 2018. The main method is the evaluation of deep survey conducted among the municipal representatives or energy managers in the past with the new survey conducted in 2023. The results show that EM became notably more important issue for the most Czech municipalities. The number of cities implementing EM significantly grew and the number of city energy managers increased too. On the other hand, the used potential of energy savings triggered by establishing EM is insufficient. This article should be applied to stress power of municipal EM in performing energy efficiency and RES projects and encouraging government to support municipal energy managers in their complex role.

In this study, the temporal variation in soil salinity dynamics was monitored and analyzed using Electromagnetic Induction (EMI) in an agricultural area in Port Said, Egypt, which is at risk of soil salinization. To assess soil salinity, repeated CMD2 soil apparent electrical conductivity (ECa) measurements were taken and inverted to generate electromagnetic conductivity imaging (EMCI), representing soil electrical conductivity (σ) distribution through time-lapse inversion. This process involved converting EMCI data into salinity cross sections using a site-specific calibration equation that correlates σ with the electrical conductivity of saturated soil paste extract (ECe) for the collected soil samples. The study was performed from August 2021 to April 2023, involving six surveys during two agriculture seasons. The results demonstrated the accurate prediction ability of soil salinity with R2 value of 0.81. The soil salinity cross sections generated on different dates observed changes in the soil salinity distribution. These changes can be attributed to shifts in irrigation water salinity resulting from canal lining, winter rainfall events, and variations in groundwater salinity. This approach is effective for evaluating agricultural management strategies in irrigated areas where it is necessary to continuously track soil salinity to avoid soil fertility degradation and a decrease in agricultural production and farmer’s income.

This exploration delves into the intricacies of decision-making in business management. It covers decision-making models, influencing factors, real-world case studies, and strategies for effectiveness. Emphasizing the role of data-driven approaches, the exploration highlights the transformative impact of effective decisions on organizational success. Challenges and pitfalls are addressed, providing insights for overcoming obstacles. The importance of mastering decision-making is underlined as a strategic advantage in the competitive landscape of business management. In summary, this exploration offers a nuanced understanding, empowering leaders to make informed choices that shape organizational destinies.

Background and objectives: Effective management for chronic diseases, hereditary and rare diseases and Thalassaemia in particular constitutes an important indicator for the quality of healthcare systems. We aimed at assessing healthcare services in different countries by using publicly available health indicators and by surveying Thalassaemia patients and their caregivers. Materials and Methods: We reviewed official worldwide databases from the WHO, World Bank, and scientific resources and also used a structured patient tailored self-completed questionnaire to survey Thalassaemia patients and their caregivers in 2023. Results: A total of 2,082 participants were surveyed (mean age 27 years, males 42%). About 1 in 4 respondents had less than high school education, while 24% had a bachelor degree. About a third of respondents were married and had either full- or part-time employment. The vast majority (~80%) had initiated transfusion therapy between 1 – 4 years of age. Only 42% reported no delays in receiving blood transfusion, while 47% reported occasional delays and 8% serious delays. About half of patients reported being very satisfied (11%) or satisfied (38%) with the quality of provided services, while 1 in 3 patients reported being unsatisfied or very unsatisfied, and their access to treatment was difficult or very difficult due to traveling expenses and high cost of treatment. Conclusion: Important improvements in the care of Thalassaemia patients have been documented during the past decades. Nevertheless, our recent survey reveals many unmet needs where additional focus is required through national healthcare systems in order to address them effectively and achieve satisfactory patient outcomes.

The Thailand automotive industry grapples with complex challenges in service parts management, demanding a strategic approach for post-sales operations. This research unveils a tailored methodology, leveraging historical sales data, refined part classifications, and strategic decision rules. A high-level overview of the automotive supply chain emphasizes interconnected stakeholders. The systematic methodology delves into part categorization, decision rules, and data analysis. Decision rule outcomes, exceptions, and contingency solutions showcase efficacy. A cost impact assessment highlights substantial savings. Visualization tools offer nuanced perspectives. Optimized service parts classification, robust stocking decision rules, and cost-effective strategies emerge. Support Vector Regression excels in forecasting, with recommendations for dynamic stocking. Implications extend to the broader industry, offering efficiency and service quality blueprints. Acknowledging limitations and suggesting future research, this study contributes a valuable framework for Thai automotive service parts management.

Cacao (Theobroma cacao L.) is an important woody species for production in Ecuador. Woody species have the potential to incorporate soil organic carbon (SOC) into the soil. The province of Manabí is known for its cocoa plantations and several cocoa species, which generates interest in their analysis. This study aimed to determine the concentration and accumulation of SOC in three cocoa species (EET95, EET103 and EET116) 15 years old, both under the tree and in the rows, at different depths 0-5, 5-10, 10-20 and 20-30 (cm). The results showed that soil SOC concentration was higher in the row for EET116 (2.51%) and significantly different under the tree for EET103 (1.57%) at 0-5 cm. No significant differences were found in the other sections. In the whole profile analyzed (0-30 cm), the EET116 species accumulated 41 t ha-1 and 54 t ha-1 under the tree and in the row, respectively. The species EET103 in the row presented 47 t ha-1 with no significant differences. Species EET95 and EET103 had the lowest values, but without significant differences between sampling locations, with 36 t ha-1, 37 t ha-1, and 47 t ha-1 under the tree and in the windrow, respectively. In conclusion, the species EET116 accumulated more organic carbon due to several factors, possibly a higher decomposing biomass, not only from the tree but also from other trees in the area, which contributes to the incorporation of organic matter throughout the soil profile.

Traditional shipping ships abbreviated as Pelra have a different character from conventional ships. Hypothetically, the application of Safety Management System (SMS) on Pelra is influenced by technical and non-technical factors. These factors are control variables and determinants of action priorities if SMS is applied to the safety of traditional shipping, so that it has implications as a basis for formulating and developing safety policies for traditional shipping transportation in an effort to reduce the risk of accidents. This research uses Structural Equation Modeling by analyzing expert opinions. The results of the analysis show that technical and non-technical factors have a direct and interconnected effect on Pelra safety management. The dominant influences are non-technical factors of authority and responsibility of the company and crew as well as the feasibility of ship construction as technical and environmental factors..

Atrial fibrillation (AF) is the most common cardiac arrhythmia encountered in clinical practice, affecting millions of individuals worldwide. The management of AF presents significant challenges due to its complex nature and diverse patient profiles. In recent years, the integration of artificial intelligence (AI) and machine learning technologies has emerged as a promising approach to enhance various aspects of AF management. This comprehensive review aims to explore the evolving role of AI in AF management, with a focus on its potential applications in diagnosis, risk prediction, treatment selection, and patient monitoring. Real academic references were employed to provide evidence-based insights into the impact of AI on AF management.

Background and Objectives: A 62-year-old patient presented with significant visual reduction in the last three months. Best corrected visual acuity (BCVA) of the right eye (RE) dropped from 20/20 on both eyes to 20/200 on the RE and counting fingers (CF) on the left eye (LE); respectfully. She was diagnosed with stage 4 ovarian cancer 1 month ago. Materials and Methods: Examination revealed significant progression of cataracts and subretinal fluid on the posterior pole with choroidal thickening. Multifocal, orange-pigmented elevated choroidal lesions were observed in the RE, while the view of the left eye fundus was obstructed by cataracts. OCT revealed bilateral choroidal thickening with overlying folds and subretinal fluid and ultrasound of the choroidal lesions showed moderate homogenous internal reflectivity. Results: The patient was diagnosed with BDUMP (bilateral diffuse uveal melanocytic proliferation), a paraneoplastic syndrome characterised by simultaneous, bilateral, painless vision loss and rapidly acquired bilateral cataracts with serous retinal detachments. Cataract extraction had not obtained the expected visual recovery (RE: CF; LE 2/200, respectfully). Plasmapheresis demonstrated some success by stabilizing vision loss obtained by serous retinal detachments. Conclusion: The focus of treating BDUMP is aimed at the underlying malignancy. Vision typically deteriorates to near blindness within a year from presentation. Overall prognosis is generally poor and mean survival is reported at 12-15.7 months from the time of ocular diagnosis.

This research describes a detailed analysis in the enactment of a Lean Tool, the Last Planner System during pandemic period which helps in optimizing the resources for better coordination among all stakeholders in pandemic period. LPS as it is known, focusses on minimizing the factors such as uncertainties, barriers and variability to make construction projects more flexible for better project management. These include variations and deviations, supervision, delays in approvals, change resistance, subcontractor dedication which are all related to various stakeholders in the project. Following that, a Design Science Research technique is used to evaluate the effect of applying LPS in buildings. An action strategy is being used to attain this goal, and four case studies were being documented which were concerned in the implementation of LPS in the building of the Boy's Hostel, Research Scholar Quarters, Faculty Housing, and Girls' Hostel at Chennai, Tamilnadu, India. Data was gathered by observation of site activities, interviews, documentation analysis, and a questionnaire survey and grouped into various factors. While adopting the LPS tool in the research the factors affecting the implementation were found in the covid-19 pandemic period. Further these factors were anlayzed, measured, ranked and validated for adopting in projects.

Τhe building automation control is a crucial factor for improving buildings energy efficiency and management, as well as improving the electricity grid's reliability indices. This paper presents the methodology, describes the necessary technology requirements and presents the decentralized building automation novel algorithm for Efficient demand side management in a building. All these are applied in an experimental university microgrid and the results are presented in terms of energy saving in kWh, money in € and working hours.

Crohn's disease (CD) is a chronic, immune-mediated inflammatory bowel disease characterized by transmural damage of various parts of the gastrointestinal tract. The aim of the study is to present our experience in pre-surgical diagnosis, selection of surgical tactics and volume of intervention in different variants of gastrointestinal tract lesions and disease activity. We undertook cross-sectional, retrospective-prospective study of 64 children who underwent surgery due to complicated CD. We analyzed CD activity via PCDAI, medications used, inflam-mation localization, and changes in mass-growth parameters at pre-surgery stage. Three patients from the group of 44 children with two-stage surgical treatment later showed inefficacy of GEBD in post-operative period. The disease progression was revealed and, therefore, subtotal colectomy was required. Three children had secondary adhesion of surgical wounds by means of active immunosuppressive therapy at preoperative period, and five patients developed suture sinuses at post-operative period. Early adhesive intestinal obstruction was revealed in 3 (4.7%) cases, and they required re-surgery. Personalized approach to the surgical treatment of children with complicated CD has shown its efficacy due to the small percentage of postoperative complications with re-surgery. There was significant improvement in mass-growth parameters, recovery of albumin levels, and anemia decrease in 96.9% of cases in the long-term postoperative period (6 months or more). Two children (3.1%) had the narrowing of anastomotic zone lumen, thus, without any obstruction. These cases were associated with violations in drug treatment

Context: Endobronchial tumors are relatively rare. Pathological types are varied, both benign and malignant. Establishing the diagnosis and sleeve resection criteria for such tumors remains a challenge for pulmonologists, bronchoscopists, radiologists, thoracic surgeons, and pathologists. The management of the preoperative assessment of these patients and the establishment of the indication for sleeve resection, represent a big problem. Lung parenchymal sparing surgery remains a challenge, especially in neoplastic patients. Material and methods: We carried out a monocentric retrospective study, during the period 2009-2017, on a number of 57 patients. In our center they benefited from clinical examination, radiography, tomography, respiratory function evaluations, autofluorescence bronchoscopy, cardiological evaluation and detection of blood tumor markers. All the patients benefited from the analysis of the tumorboard of our institute and the establishment of the surgical indication for scleev resection. Results: Sparing of the lung parenchyma was achieved in case of the 57 patients included in the study. The complex evaluations of laboratory parameters, functional tests, CT examination, bronchoscopy, cardiology, were analyzed by the tumor board, so that the indication for surgical intervention was sleeve resection with preservation of the lung parenchyma. Conclusions: We selected patients for sleeve resection, those who presented endobronchial tumors of 2 cm in diameter, with cartilages and bronchial mucosa intact at least 1 cm or 2 cartilages from the formation, on CT and bronchoscopic examination. Cardiological examination and functional tests showed values that do not contradict surgical intervention.

Lipidomics provides comprehensive study of all lipid components in cells, serum, plasma or tissues of organisms, aiming to the discovery of diagnostic, prognostic and predictive biomarkers of diseases such as malignancies. This systematic review evaluates studies, where lipidomics applies to the diagnosis, prognosis, prediction of ovarian cancer (OC) and the discrimination between malignant and benign ovarian masses. Literature search was conducted in PubMed, Science Direct and SciFinder. Only publications written in English language after 2012 were included. From the reference lists of primary included studies, relevant citations were identified and were also added in our list. All studies included referred to the application of lipidomics in serum/plasma samples of human cases with OC, whereby few of them included also tumor tissue samples. In some of the included studies metabolomic analysis was also involved where other metabolites besides lipids were identified. Qualitative data were assessed and risk of bias was determined using the ROBINS-I tool. In total, 29 studies were included, 15 of which applied non-targeted, 7 targeted lipidomics and 7 were reviews relevant to our aim. Most studies concerned the possible application of lipidomics in OC diagnosis, exhibiting phospholipids and sphingolipids as the most significantly altered during development of the disease. In conclusion, this systematic review highlights the potential contribution of lipids as biomarkers in OC management.

The Internet of Things (IoT) continues to grow at a rapid pace, becoming integrated into the daily operations of individuals and organisations. IoT systems automate crucial services within daily life that users may rely on, which makes the assurance of security towards entities such as devices and information even more significant. In this paper, we present a comprehensive survey of papers that model cyber risk management processes within the context of IoT, and provide recommendations for further work. Using 39 collected papers, we studied IoT cyber risk management frameworks against four research questions that delve into cyber risk management concepts and human-orientated vulnerabilities. The importance of this work being human-driven is to better understand how individuals can affect risk and the ways that humans can be impacted by attacks within different IoT domains. Through the analysis, we identified open areas for future research and ideas that researchers should consider.

Battery Management System helps to improve the transient performance and life of electro-chemical rechargeable batteries like a Li-ion, lead–acid, etc. The investigation here was focused on the crucial part of the Battery Management System that is, Cell balancing, State of charge of the battery, etc. By analyzing the different control strategies a new optimal control strategy is developed to improve the battery performance according to application. The Control strategy is developed using an active and passive cell balancing model with the help of AVL Cruise and MATLAB/SIMULINK software. For the active cell balancing technique, a switched capacitor technique is chosen. To have longer battery life, the time required for the cell balancing must be as low as possible for which many control logics have been defined. The effect of these cell balancing techniques on the performance of battery packs is investigated and it is observed to produce a promising result.

Banking sectors commit modern working frameworks and models smooth development based on decentralization with keeping money confront in unused ranges and differing activities. Consortium Blockchain Privacy becomes a major concern and the challenge of Most of banking sectors.Development without being hampered being a major concern it can store confirmed, Data privacy includes assuring protection for both insider ad outsider threats therefore access control of Ring signature could help to secure Privacy of inside and outside threats by secure process by RSBAC using CIA triad privacy Confidentiality, Availability, Integrity.This paper proposes a ring signature-based on access control mechanism for determining who a user is and then regulating that person's access to and use of a system's resources. In a nutshell, access control restricts who has access to a system. It also restricts access to system resources to users who have been identified as having the necessary privileges and permissions. The proposed paradigm satisfies the needs of both workflow and non-workflow systems in an enterprise setting. The traits of the conditional purposes, roles, responsibilities, and policies provide the foundation for it. It ensures that internal risks such as database administrators are protected.Finally, it provides the necessary protection in the event that the data is published.

Madagascar is a biodiversity hotspot with a long history of trading in its wildlife, especially its hyper diverse Amphibian taxa. Due to globally raised concerns over the conservation for harvested amphibian species on Madagascar, CITES was introduced as a global mechanism to monitor and regulate the trade. Utilising data collated from the CITES Trade database, this study sought to investigate the trade and CITES effectiveness in managing the trade. Over the 28 year period investigated, 20 known amphibian species were exported from Madagascar with a total of nearly 271,000 individuals. Formal descriptions of Malagasy amphibian species has and continues to increase greatly over time, there has not been a concomitant, longitudinal relationship in the numbers of individuals traded. Overall, the numbers of individuals traded has declined over time but, where assessments were provided by the IUCN Redlist, population declines were reported in all but one species of Malagasy amphibian. Mantella (97.5%) continue to dominate the trade with certain, high conservation concern species continuing in the trade. Despite early concerns over the effectiveness of CITES actions, after concerted efforts it appears that CITES actions were having an impact in regulating the trade. However, going forward, concerns remain over the appropriateness of the quotas set and the robustness of their underpinning NDFs. Furthermore, with the increase in recognised species raises the potential for incorrect species labelling on CITES permits that needs attention.

We are living in a business context characterized by change, which today behaves with an unprecedented intensity, driven by the technological revolution and increased competition. As a result, increasingly large and complex companies are facing profound transformation processes in which the role of the human factor and of managers in particular, due to their high capacity to impact the organization, is essential. In response to this reality, the literature has developed a large number of approaches from different areas of knowledge: from business economics to psychology, including technical disciplines. This article offers a classification of these approaches that provides an overview of research on the role of managers in change management.

Type 1 diabetes (T1D) has shown an increase in the incidence rate of about 3% per year over the last two decades. Continuous Insulin Subcutaneous Therapy (CSII) is widely used in the paediatric population with diabetes; however, it requires more preparation by the treating team and careful selection of potential users. Prescriptive provisions vary from Region to Region and the perspective of health workers still remains an unexplored area. The aim of the research project is to explore the representations of a group of diabetologists and psychologists working in pediatric diabetology on the national territory, regarding roles, functions and activities as part of a multidisciplinary team; their views on the potential benefits of CSII and the types of individuals applying for the use of technology. A socio-anagraphic data sheet was administered and two homogeneous focus groups were conducted by profession; they were audio recorded. The transcripts produced were analysed using the Emotional Text Mining (ETM) methodology. Each of the two corpus generated three clusters and two factors: for diabetologists, a focus on the patient in different levels of care emerged, collaborating both with other health professionals and with the territory, through the proposal of an intervention where the medical aspect is often represented by technology; also for psychologists there was a representation of interdisciplinary networking, with a greater focus on the processes inherent the management of pathology, from acceptance to the elaboration and integration of diabetes in the family narrative. The understanding of the representations of health professionals working in pediatric diabetes about new technologies can contribute to the consolidation of a network of professionals through a targeted work on possible critical issues emerged.

Self-organized criticality (SOC) is a celebrated paradigm from the 90’s for understanding dynamical systems naturally driven to its critical point, where the power-law dynamics taking place make predictions practically impossible, such as in stock prices, earthquakes, pandemics and many other problems in science related to phase transitions. Shortly thereafter, it was realized that traffic flow might be in the SOC category, implying that conventional traffic management strategies seeking to maximize the local flows can become detrimental. This paper shows that the Kinematic Wave model with triangular fundamental diagram, and many other related traffic models, indeed exhibit SOC, thanks in part to the fractal nature of traffic exposed here on the one hand, and our need to get to our destinations as soon as possible, on the other hand. Important implications for congestion management of traffic near the critical region are discussed, such as: (i) Jam sizes obey a power-law distribution with exponent 1/2, implying that both its mean and variance become ill-defined and therefore impossible to estimate. (ii) Traffic in the critical region is chaotic in the sense that predictions becomes extremely sensitive to initial conditions. (iii) However, aggregate measures of performance such as delays and average speeds are not heavy tailed, and can be characterized exactly by different scalings of the Airy distribution, (iv) Traffic state time-space “heat maps” are self-affine fractals where the basic unit is a triangle, in the shape of the fundamental diagram, containing 3 traffic states: voids, capacity and jams. This fractal nature of traffic flow calls for analysis methods currently not used in our field.

Worldwide, diarrhoea in children under-five years of age is the second leading cause of death. Despite having high morbidity and mortality, diarrhoeal diseases can be averted by simple and cost-effective interventions. The Integrated Management of Childhood Illness (IMCI) has proposed the use of Oral Rehydration Salt (ORS) and zinc together with adequate food and fluid intake for the management of acute non-dysenteric watery diarrhoea in children. In the past, few studies examined the determinants of adherence to diarrhoea case management. Therefore, this study measured the determinants of therapeutic and dietary adherence to diarrhoea case management using the third and fourth wave of Pakistan Demographics & Health Surveys (PDHS) datasets. Data from 4,068 children between 0 to 59.9 months with positive history of diarrhoea were included, while data on children with dysentery, severe dehydration, and co-morbid condition was excluded. This study reported therapeutic adherence in less than 10% of children in Pakistan, while dietary adherence was reported in 39.2% of children (37.7% in 2012-2013 ~ 40.7% in 2017-2018). A significant improvement in therapeutic (0.8% in 2012-2013 ~ 8.1% in 2017-2018) and dietary adherence (37.7% in 2012-2013 ~ 40.7% in 2017-2018) was reported in the 2017-2018 survey, compared to the 2012-2013 survey. In general, children over the age of one year (compared to children <1 year) and of the richer/richest socioeconomic class (compared to poorest/poorer socioeconomic class) have showed higher therapeutic and dietary adherence. Therapeutic and dietary adherence among diarrhoeal children can be improved by increasing the awareness and accessibility of ORS, zinc, and essential foods.

A comparative study of organic and conventional farming systems was conducted in almond orchards to determine the effect of management practices on their fungal and bacterial communities. Soils from two orchards under organic (OM) and conventional (CM), and nearby nonmanaged soil (NM) were analyzed and compared. Several biochemical and biological parameters were measured (soil pH, electrical conductivity, total nitrogen, organic material, total phosphorous, total DNA, and fungal and bacterial DNA copies). Massive parallel sequencing of regions from fungal ITS rRNA and bacterial 16S genes was done to characterize their diversity in the soil. We report a larger abundance of bacteria and fungi in soils under OM, with a more balanced fungi:bacteria ratio, compared to bacteria-skewed proportions under CM and NM. The fungal phylum Ascomycota corresponded to around the 75% relative abundance in the soil, whereas for bacteria, the phyla Proteobacteria, Acidobacteriota and Bacteroidota integrated around 50% of their diversity. Alpha diversity was similar across practices, but beta diversity was highly clustered by soil management. Linear discriminant analysis effect size (LEfSE) identified bacterial and fungal taxa associated to each type of soil management. Analyses of fungal functional guilds revealed 3-4 times larger abundance of pathogenic fungi under CM compared to OM and NM treatments. Among them, the genus Cylindrocarpon was more abundant under CM and Fusarium under OM.

Reptile behaviour and welfare are understudied in comparison with mammals. In this study, behavioural data on three species of tortoises were recorded before and after an environmental change which was anticipated to be positive in nature. The environmental changes differed for each population, but included a substantial increase in enclosure size, the addition of substrate material, and a change in handling procedure. A tortoise-specific ethogram was created to standardise data collection. Focal behaviour sampling was used to collect behavioural data. Changes in the duration of performance of co-occupant interaction and object interaction in the leopard (Stigmochelys pardalis) and Aldabra (Aldabrachelys gigantea) tortoises were observed following the environmental changes. The Shannon-Weiner’s diversity index did not yield a significant increase after the changes but had a numerical increase which was relatively greater for the leopard tortoise group, which had experienced the greatest environmental change. The leopard tortoises also demonstrated changes in a greater number of behaviours compared to the other species, and this was sustained over the study period. However, this included a behaviour indicative of negative affect; aggression. Whilst we are unable to conclude that welfare was improved by the management changes, there are suggestions that behavioural diversity increased, and some promotion of positive social behaviours occurred.

This interdisciplinary work communicates identification and quantification of elements responsible for the bioactive potency of leaves from pointed gourd, trichosanthes dioica,using laser induced breakdown spectroscopy (LIBS). Calibration-free LIBS determines the presence of various trace and major elements, their concentrations, and ratios in which they are present in the leaves. The presence of specific elemental ratios of magnesium/sodium and magnesium/potassium could be promising for managing diabetes mellitus. Variable doses of 500, 750, 1000, and 1250 mg per kg body weight of aqueous extract from trichosanthes dioica leaves are administered. A dose of 1000 mg per kg body weight is found to be the most effective. Based on encouraging results, the extract could be harvested to serve as anti-diabetic medication for diabetes and associated symptoms.

The paper is based on the scientific outcome of a PhD Thesis. It introduces the generic, model-based, reusable, and extensible conceptual framework to incorporate Facility Management data based within the three-dimensional model-based design and construction of an asset to enable smart applications, which are introduced. The conceptual framework is composed of empirical data from expert interviews, questionnaires, and factual analysis from 13 projects of varied sizes of public and private clients. It shows which phases need which data, who needs them, and which added value can be generated if intelligent data structuring is used at the beginning of the construction project and bridges the gap between requirement and practice. The term “smart application” is introduced.

Periapical diseases are a frequent evolution of pulp necrosis. They appear without any painful episode. The incidence splits between 6% and 55%. Initially we can treat inflammatory periapical injury by conservative approach and studies reported 85% of success rate after endodontic disin-fection. Several techniques can be described in the nonsurgical management of peri-radicular le-sions: the root canal treatment, decompression procedure, decompression technique, calcium hydroxide, Apexum procedure. Unfortunately, periapical lesion recuperating is an unpredictable procedure. In some cases surgical approach is preffered to manage large periradicular wound including periapical cysts and abscess. periodic examination is primordial to evaluate efficacy of the therapy. In this report we describe an inflammatory radicular cyst of the anterior maxilla with which was successfully treated by conventional root canal retreatment and endodontic surgery

Risk management of electric power transmission lines requires knowledge from different areas such as environment, land, investors, regulations, and engineering. Despite the widespread availability of databases for most of those areas, integrating them into a single database or model is a challenging problem. Instead, in this paper, we use a single source, the Brazilian National Electric Energy Agency’s (ANEEL) weekly reports, which contains decisions about the electrical grid, comprising most of the areas. Since the data is unstructured (text), we employed NLP techniques such as stemming and tokenization to identify keywords related to common causes of risks provided by an expert group on energy transmission. Then, we used models to estimate the probability of each risk. Our results show that we were able to estimate the probability of 97 risks out of 233.

Objective: To explore the efficacy and safety of breathing exercises for pain management in cancer survivors. Design: A systematic review. Data sources: Thirteen databases, including PubMed, EMBase, CENTRAL, Medline, CINAHL, JBI, Science Direct, Scopus, SocINDEX, Web of Science, PsycINFO, CNKI, and Wan Fang, were searched from inception to May 24, 2021. Review/analysis methods: Studies that focused on the efficacy of breathing exercises for pain management in cancer survivors were included. Cochrane tools were used for the quality appraisal of the included studies. Due to the heterogeneity of the studies, descriptive data analysis was used to summarize the results. Results: A total of 10 studies were included in this systematic review. Slow pursed lip breathing showed benefits for post-surgical pain. Contradictory findings were identified in the Enhanced Recovery After Surgery breathing exercise for post-surgical pain. Slow deep breathing and Hey-Hu regular breathing techniques were effective for pain management in pediatric cancer patients. The Active Cycle of Breathing Technique and five-minute mindful breathing did not have any statistically significant effects on pain relief. Quality of life was measured in three studies, with some improvement. Only one study addressed adverse events and reported that no adverse events associated with the breathing exercises occurred during the study. Conclusion: This review found some evidence of positive effects of breathing exercises for pain relief in cancer survivors. However, the unsatisfactory methodological quality of the studies prevents its generalizability. More large-scale studies are needed to assess the efficacy and safety of breathing exercises for pain relief in cancer survivors.

Personalized treatment based on driver molecular alterations, such as ALK rearrangement, has revolutionized the therapeutic management of advanced oncogene addicted NSCLC patients. Multiple effective ALK tyrosine kinase inhibitors (TKIs), with the amelioration of the activity at central nervous system level, are now available, leading to substantial prognosis improvement. The exposure to TKIs triggers resistance mechanisms and the sequential administration of other TKIs and chemotherapy is, for the most part, not targeted. In this context, extending the benefit deriving from precision medicine is paramount, above all when disease progression occurs in a limited number of sites. Retrospective data indicate that, in oligoprogressive disease, targeted therapy beyond progression combined with definitive local treatment of the progressing site(s) is an effective alternative. In these cases, multidisciplinary approach becomes essential for an integrated treatment strategy, depending on the site of disease progression, in order to improve not only survival, but also quality of life. In this review we provide an updated and comprehensive overview of the main treatment strategies in case of ALK rearranged oligoprogression, including systemic treatment as well as local therapy, and report real-world clinical stories, with the final aim of identifying the most promising management for this subset of patients.

Congenital heart defects (CHD) are the most common birth anomaly affecting approximately 1% of births and have a prevalence of about 5.8 per 1000 people. CHD is the most common congenital anomaly in newborn babies. Management of the newborn with CHD represents a frontier of clinical pediatric cardiology. Progress in diagnosis and surgical treatment of the individuals with a heart defect has progressed to the point that almost all heart defects can be significantly improved and treated. Cardiovascular malformations account for about 10% of infant deaths and nearly half of all deaths from malformations

Computer systems that operate in remote locations such as satellites, remote weather stations and autonomous robots are highly limited in the availability of energy for their operation. This work aims to employ artificial intelligence algorithms in energy management in order to obtain the maximum energy yield and the prediction of energy availability to the system. The work presents the main types of algorithms used in artificial intelligence and presents the creation of a prototype that will operate as a low power system powered by batteries and a small solar plate, the prototype will perform inferences on the LSTM neural network algorithm in order to predict the future availability of energy, consequently the management system will carry out the energy distribution in order to obtain the maximum operation of the prototype without total discharge of the batteries. So that the artificial intelligence system could be embedded in the prototype, the TensorFlow Lite framework was used, which allows the inference to be carried out in devices with low consumption and limited processing power.

Statistical data extracted from national databases demonstrate a continuous growth in the incidence and prevalence of chronic kidney disease (CKD) and the ineffectiveness of current policies and strategies based on individual risk factors to reduce them, as well as their mortality and costs. Some innovative programs, telemedicine and government interest in the prevention of CKD, did not facilitate timely access to care, continuing the increased demand for dialysis and transplants, high morbidity and long-term disability. In contrast, new forms of kidney disease of unknown etiology affected populations in developing countries and underrepresented minorities, who face socioeconomic and cultural disadvantages. With this background, we analyze in the existing literature the effects of social determinants in CKD, concluding that it is necessary to strengthen current kidney health strategies, designing in a transdisciplinary way, a model that considers demographic characteristics integrated into individual risk factors and risk factors population, incorporating the population health perspective in public health policies to improve results in kidney health care, since CKD continues to be an important and growing contributor to chronic diseases.

Ubiquitous computing comprises scenarios where networks, devices within the network, and software components change frequently. Market demand and cost-effectiveness are forcing device manufacturers to introduce new-age devices. Also, the Internet of Things (IoT) is transitioning rapidly from the IoT to the Internet of Everything (IoE). Due to this enormous scale, effective management of these devices becomes vital to support trustworthy and high-quality applications. One of the key challenges of IoT device management is automatic device classification with the logically semantic type and using that as a parameter for device context management. This would enable smart security solutions. In this paper, a device classification approach is proposed for the context management of ubiquitous devices based on unsupervised machine learning. To classify unknown devices and to label them logically, a proactive device classification model is framed using a k-Means clustering algorithm. To group devices, it uses the information of network parameters such as Received Signal Strength Indicator (rssi), packet_size, number_of_nodes in the network, throughput, etc. Experimental analysis suggests that the well-formedness of clusters can be used to derive cluster labels as a logically semantic device type which would be a context for resource management and authorization of resources. This paper fulfills an identified need of proactive device classification for device management.

The resource curse indicates that economic growth performs poorly in countries with significant natural resources. Nevertheless, certain countries rich in energy managed to protect their resource riches in the long run. It is necessary to enforce effective policies in resource-rich countries to fully leverage the advantages which can come from the abundance of natural resources. This study aimed to evaluate how oil-rich countries would avoid resource flows by successful fiscal and management policies. By taking the guidance of Norway and implementing fiscal policy focused on tax rules on its oil management, it is proposed that oil-exporting countries benefit significantly. The framework attempts to mitigate this resource curse and utilise oil revenues in the interest of the country.

Working capital management requires a careful attention by the corporate managers because it plays an important role in corporate stability. Social belongingness of managers induced them to learn from their society, colleagues and from overall industrial movement. They also learn from their peers which have more strategical efficiency. In line with these arguments, the objective of current study is to explores the peer influence on corporate working capital management practices. To making analysis, ten-years data (2009-2018) of non-financial publicly listed firms at PSX were collected and the cash conversion cycle (CCC) uses as a proxy variable of working capital management (WCM). To estimate the regression, an econometric technique named the Generalized Method of Moments (GMM) was used. The empirical findings suggest the significant impact of peer WCM on corporate WCM. It also suggests the significant impact of other variables that determine the WCM. This study recommends social learning policy to corporate managers. They can learn from their peers to manage the working capital. Most previous studies discuss the peer influence on investment decisions, corporate cash holding and financing policy, etc., but no study explores such a relationship specifically in the Pakistani non-financial sector data set.

Despite the productivity, achieving long-term sustainability and maintaining plant biodiversity become the pivotal goals in orchard floor management, especially along tree rows. Thus, the paradigm of eradicating weeds in the tree row using chemical herbicide or repeated soil tillage needs to be substituted with more sustainable alternatives. This study was conducted in two commercial apple and peach orchards in Marche region (Italy). Two integrated mechanical approaches, integrated mowing (mower + brush or disc) and integrated tillage (blade weeder + integrated mowing), were compared with standard herbicide system in a 2-years trial. Weed species abundance, soil coverage rate, and weed biomass productions, including gas exchange parameters, tree growth, fruit yield and quality were measured. Both integrated practices had significant effects on the number of weed species, total vegetation coverage, and dry weed biomass production. No significant differences were found in terms of tree gas exchange parameters, growth and fruit yield. However, a few fruit quality parameters such as fruit firmness, solid soluble content and dry matter content responded positively to the integrated practices. These results suggest that the integrated mechanical approaches of weed management increased orchard biodiversity, and they had no adverse effects on tree growth, fruit yield, and quality.

Plants and plant-derived food products have been used for medicinal purposes since the ancient. Medicinal Plant-based functional foods or plant-based dietary compounds are a re-emerged interest for their therapeutic benefits and nutritive supports which has implicated in healthcare systems across the world. Neurological disorders are one of the greatest threats to public health and according to the World Health Organization, about 100 million people are affected globally by several neurological and mental ailments. In a traditional medication system, medicinal plants have been applied as both neuro-therapeutic purposes and micro-macro nutrients provider for the wellbeing of psychological states e.g. anti-depressant, anti-anxiety, anti-convulsions, anti-dementia, anti-psychotic, etc. Herein, it is a topic of great interest to present a conceptual aspect by reviewing relevant scientific literature about the plant-based functional foods or bioactive phytochemicals for the prevention and treatment of mental and neurological disorders. From the literature assessment, we have found that nutritional neuroscience is becoming an advanced research discipline and there has been a growing pile of evidence concerning the therapeutic use of plant-based functional foods and/or plant-derived food compounds for the management of neurologic health, evolving with promising impact over the time.

Although energy management of a microgrid is generally performed using a day-ahead scheduling method, its effectiveness has been questioned by the research community due to the existence of high uncertainty in renewable power generation, power demand and electricity market. As a result, real-time energy management schemes are recently developed to minimise the operating cost of a microgrid while high uncertainty presents in the network. This paper develops modified particle swarm optimisation (MPSO) algorithms to solve optimisation problems of energy management schemes for a community microgrid and proposes a scheduling approach after taking into consideration high uncertainty to effectively minimise the operational cost of the microgrid. The optimisation problems are formulated for real-time and scheduling approaches, and solution methods are developed to solve the problems. It is observed that the scheduling program demonstrates superior performance in all the cases, including uncertainty in prediction, as compared to the other energy management approaches, although solutions have significant deviations due to prediction errors.

The success of a software system is highly dependent upon its quality which is a very critical aspect and is the ultimate goal to be achieved. Defect Management is the most important process in ensuring software quality, it involves defect detection, defect categorization, defect prioritization, defect removal and defect verification. The main purpose of this process is to develop and produce defect free or least defected software systems of high quality. It plays a vital role in gaining customer confidence and satisfaction which is essential for the reputation of the organization developing the system. The central objective of this study is to explain the importance of defect management and its impact on the quality of the software along with various defect management techniques to support the objective.

Controlling and managing risk is always a critical point for the managers, investors and even consultants. Having clear and better percepts about future can reduce the risk of fail. In addition it is important for a risk analyzer to consider the stakeholders views and senses about the risk. This research aimed at framing a comprehensive risk management model which builds up on stakeholder requirements and forecasting techniques. This conceptual model attempts to use the stakeholder’s points of view to write prefer and probable scenarios to neglect critical risks and increase the chance of success in long-term plannings. Using futures studies methods prepare decision makers for the possible upcoming events and donate them a powerful tool to handle the uncertainties cover the future.

Over the last two decades, residential buildings have accounted for nearly 50 percent of total energy use in New Zealand. In order to reduce household energy use, the factors that influence energy use should be continuously monitored and managed. Building researchers and professionals have made efforts to investigate the factors that affect energy use. However, few have concentrated on the association between household energy use and the cost of residential buildings. This study examined the correlation between household energy use and residential building cost. Analysis of the correlation between energy use data and residential building cost indicated that residential building cost in the construction phase and energy use in the operation stage were significantly correlated. These findings suggest that correct monitoring of building costs can help to identify trends in energy use. Therefore, this study proposes a time series model for forecasting residential building costs of five categories of residential building (one-story house, two-story house, townhouse, apartment, retirement village) in New Zealand. The primary contribution of this paper is the identification of the close correlation between household energy use and residential building costs and provide a new area for optimize energy management.

Infiltration based stormwater best management practices bring considerable economic, social and ecological benefits. Controlling stormwater quantity and quality are primarily important to prevent urban flooding and minimizing loads of pollutants to the receiving waters. However, there have been growing concerns about how the traditional design approach contributes to the failure of infiltration based BMP’s that have caused flooding, ponding, prolonged movement of surface water, and frequent clogging, etc. Many of these problems were due to the fact that the current design approaches of stormwater BMP’s only focus on surface hydrology and give little or no attention to the underline subsoil permeability rate and other constraints during the design and sizing process. As a result, we are exhibiting many newly constructed infiltration based BMP’s are failing to function well. This paper presents and demonstrates a new paradigm shift in designing infiltration-based stormwater BMP’s by combining subsurface hydrology and undelaying native soil constraints to establish acceptable criteria for sizing infiltration based BMPs.

Recently there has been growing interest in the application of game theory (GT) to solve many diverse problems in the field of construction, including i.a.: tender preparation, selection of a contractor for construction works, negotiating terms and conditions of cooperation of the parties to the contract, analysis and modeling of investment risk. In the authors opinion, the use of GT by general contractor (GC) of construction works to indicate the best strategy leading to winning court proceedings in a situation of conflict with investor (IN), so far has not been the subject of research. Taking into account the above, the aim of the presented paper is to indicate the optimal strategy from the GC point of view in the conflict situation with IN. The article presents a list of the most common causes of conflicts between parties of the construction works' contract, defines the background of the problem and the cause of the dispute, and on its basis, the authors generate the theoretical model of the game. Based on the analyzed game model, expected payoffs for players were calculated and the probability border value at which GC should apply the indicated strategy determined. The results of the study show that in the case when the probability of issuing a judgment favorable for GC is at least equal to 69.23%, it is justified to use an aggressive strategy. The analysis also confirms that from the financial perspective, litigation in most cases of conflicts in the area of construction should be the last choice.

This paper proposes an Integrated Fire Management (IFM) framework that can be used to support communities and resource managers in finding effective and efficient approaches to prevent damaging fires, as well as maintain desirable fire regimes in Kenya. Designing and implementing an IFM approach in Kenya calls for a systematic understanding of the various uses of fire and the underlying perceptions and traditional ecological knowledge of the local people. The here proposed IFM framework allows an evaluation of the risks posed by fires, while balancing them with their beneficial ecological and economic effects, and thus developing effective fire management approaches. A case study of the proposed IFM framework was conducted in Gathiuru Forest that is part of the larger Mt. Kenya Forest Ecosystem. Focus group discussions were held with key resource persons, primary and secondary data on socio-economic activities were studied, fire and weather records were analyzed and the current fire management plans were consulted. Questionnaires were used to assess how the IFM is implemented in the Gathiuru Forest Station. The results show that the proposed IFM framework is scalable and can be applied in places with fire-dependent ecosystems as well as in places with fire-sensitive ecosystems in Kenya. The effectiveness is dependent on the active participation, formulation and implementation of the IFM activities by the main stakeholder groups (Kenya Forest Service (KFS), Kenya Wildlife Service (KWS), and the Community Forest Associations (CFA)). The proposed IFM framework helps in implementing cost-effective approaches to prevent damaging fires and maintain desirable fire regimes in Kenya.

Today, the style of light construction materials used in building is one of the most important factors in reducing building's dead load and better performance of the structures in the earthquake. One of the ways to reduce the structure weight is to use lightweight blocks instead of using traditional materials. The main purpose of this research is to compare density, compressive strength and water absorption volume of non-load-bearing lightweight blocks made of natural and artificial lightweight aggregates. Scoria lightweight aggregates of Sanandaj, Ghorveh mine, pumice in Tabriz, Bostanabad mine, and Leca in Leca enterprise have been used to make the samples. Given the importance of the materials used, grading of coarse-grained materials has been conducted based on the standard of 7657 and grading of fine materials have been conducted based on the standard of 302.The experiments' results show that Scoria blocks due to hard texture, and high mechanical resistance of their lightweight aggregates, have had higher compressive strength, and density and lower water absorption volume compared to pumice and Lika lightweight aggregate blocks. Pumice blocks despite having desirable compressive strength and lower density compared to the two other blocks have higher water absorption volume, and do not meet the standard conditions. This same factor causes it faces with less interest. Among these Lika blocks with density of 1151.94 (kg per cubic meter) below 2000 kilograms per cubic meter of Iran density standard of 7782 (28-day compressive strength of 2.57 MPa), higher than 2.5 MPa of Iran compressive strength standard of 7782 (and water absorption volume of 282.92 kg per cubic meter) below 288 kilograms per cubic meter of Iran water absorption volume standard of 7782 (as a non-load-bearing lightweight block) have been diagnosed desirable.

The study assessed the risk perception, attitude, and management tools of 260 randomly selected farmers and processors in the rice value chain using data elicited via a structured questionnaire. Descriptive statistics, Equally Likely Certainty Equivalent (ELCE) technique, Binary logistic regression, and a 5-point Likert scale were employed in the data analyses. Descriptive statistics show that the respondents are young, active, and in their productive age with an intermediate education level. Majority of the farmers and processors were risk averse. Risk aversion was common among farmers and processors. Farmers' risk attitudes and perceptions of risk are significantly influenced by a number of factors, including age, access to extension services, farm size, marital status, household size, education, income, training, and experience. Majority of rice farmers consider price risk as the most important risk while majority of processors perceive production risk as the most important risk. Pests and diseases, price fluctuation, drought, and lack of input were the most important source of risk to farmers, while processors perceived price fluctuation, technology adoption, and poor storage facilities as the most important source of risk. Off-farm investment, spraying for pests and diseases, cash contribution, market information, and cooperative were the important risk mitigating management strategies employed by the farmers/processors. The study suggests improvements in the identified risk sources, which could influence the attitude and perception of the farmers and processors.

This study aims to understand the changes in management trends among global companies before and after the onset of COVID-19. To achieve this, we employed keyword and topic modeling to analyze 420 CEO messages extracted from the reports of the Fortune Global 100 largest companies. The analysis revealed a noteworthy prevalence of keywords associated with shared culture, such as face-to-face interactions and cooperation, during the initial period. In the subsequent period, we observed a higher frequency of keywords related to community-centeredness and digital trans-formation, including employee health and well-being, inequality reduction, and sustainable cities. Furthermore, we identified common topics before and after COVID-19, such as risk management and competitive advantage. However, the topics that exhibited variation were the significance of corporate leadership and the evolution of digital technologies. This study is significant in that it enables us to analyze CEO messages and deduce the trajectory of corporate management post-COVID-19.

The expansion of copper mining on the hyper-arid pacific slope of southern Peru has precipitated growing concern for scarce water resources in the region. Located in the headwaters of the Torata river, in the department of Moquegua, the Cuajone mine, owned by Southern Copper, provides a unique opportunity, in a little-studied region, to examine the relative impact of the landscape-scale mining on water resources in the region. Principal component analysis and cluster analysis of the water chemistry data from 16 sites, collected over three seasons during 2017 and 2018, show distinct statistical groupings indicating that, above the settlement of Torata, water geochemistry is a function of chemical weathering processes acting upon underlying geological units, and confirming that the Cuajone mine does not significantly affect water quality in the Torata river. Impact mitigation strategies that firstly divert channel flow around the mine and secondly divert mine waste to the Toquepala river and tailings dam at Quebrada Honda, below the Toquepala mine, in the department of Tacna, secure water quality in the Torata river for the foreseeable future. In the greater Moquegua river catchment, our results further suggest that water quality has been more significantly impacted by urban effluents and agricultural runoff than the Cuajone mine. The increase in total dissolved solids in the waters of the lower catchment reflects the cumulative addition of dissolved ions through chemical weathering of the underlying geological units, supplemented by rapid recharge of surface waters contaminated by residues associated with agricultural and urban runoff through the porous alluvial aquifer. Concentrations in some of the major ions exceeded internationally recommended maxima for agricultural use, especially in the coastal region. Occasionally, arsenic and manganese contamination also reached unsafe levels for domestic consumption. In the lower catchment, below the Cuajone mine, data and multivariate analyses point to urban effluents and agricultural run-off rather than weathering of exposed rock units, natural or otherwise, as the main cause of contamination.

The efficient and sustainable management of hospitals is an increasingly relevant challenge in the healthcare sector. With limited financial resources, regulatory pressures and increasing demands for quality services, hospitals are faced with the want to approve sound policies to certify financial and operational sustainability. Management accounting is critical in this instance. In Portugal the DL nº 284, of July 26, 1999, allow us to confirm the need to reinforcement of profitability and efficiency in the provision of healthcare. Management accounting is an essential tool for monitoring and controlling costs, making strategic decisions, efficiently allocating resources and evaluating performance in the hospital environment. It allows a comprehensive view of financial and operational aspects, providing valuable information for management and strategic planning. However, the sustainability of hospital management accounting is a critical and complex topic that deserves special attention. Hospitals face several challenges, such as the complexity of hospital costs, the integration of information systems and the measurement of healthcare value. These challenges can compromise the effectiveness of management accounting and its ability to provide relevant and reliable information for decision making. As a result, it is required to address the sustainability of hospital management accounting by identifying the specific challenges faced in this area and exploring opportunities to overcome them. By addressing these challenges and seizing opportunities, hospitals can strengthen their position in the healthcare sector, improve their operational efficiency, optimize resource allocation and ensure the provision of quality services to patients. In this article, the challenges faced by hospital management accounting will be analysed, such as the complexity of costs, the integration of information systems and the measurement of value in healthcare. Additionally, opportunities to improve financial and operational management will be highlighted through the adoption of advanced technologies, an emphasis on value-based management and collaborative partnerships. By exploring these themes, this essay aims to make a contribution. to the advancement of hospital management accounting and the sustainability of hospitals in the current healthcare scenario.

The guthi, an ancient institution deeply embedded in Nepal's social, cultural, and economic fabric, has long overseen the maintenance of temples, shrines, festivals, and heritage sites since the Lichchhavi era (400-750). Since 1960, however, this system has been challenged by government land reforms, which has impacted its influence on sustainable heritage conservation. Nevertheless, there's compelling evidence that land nationalization and the guthi's declining authority have harmed local heritage conservation. Nevertheless, the guthi system has endured, serving as an important informal means of heritage conservation and highlighting the adaptability of traditional institutions. These community-based trusts, originally established for social and religious purposes, have played a pivotal role in preserving cultural practices, monuments, and temples for future generations. This article aims to demonstrate the central role of the guthi as the cornerstone of Nepal's efforts to conserve and manage both tangible and intangible cultural treasures. Using observational techniques, case studies, and a qualitative approach, it explores the historical evolution of heritage conservation through the lens of the guthi, taking into account subjective, valued, and constructed realities. The paper concludes by urging policymakers to recognize the significant contribution of indigenous systems such as the guthi in achieving sustainable heritage conservation. Embracing such traditional strategies can mitigate multifaceted problems and effectively preserve Nepal's cultural heritage through the guthi.

This study presents virtual reality (VR) videos as an effective technique for delivering extension educational materials on manure and mortality management. Virtual reality is a technology that can enable immersive distance learning. Using VR tours can enable the public to learn manure and mortality management technologies without in-person farm visits, thus saving traveling time and money and avoiding exposure to pathogens and noxious odors in farms. As the first part of this project, 360° VR tours were created on multiple aspects of manure management, including composting, anaerobic digestion, and preliminary wastewater treatment. These videos were presented to a diverse audience of agricultural producers, extension specialists, and researchers through in-person and online extension events and the Texas Manure YouTube channel. The effectiveness of videos was evaluated using surveys, which measured the audience's awareness of the topics before and after watching VR videos. Statistical analysis revealed that the increase in awareness after watching the videos was statistically significant, with a p-value of less than 0.0001. Statistical analysis also revealed that job classification and professional experience significantly impacted the change in awareness. Researchers, extension specialists/agents, and participants with less experience in manure and mortality management experienced a greater change in awareness than agricultural producers and participants with more experience. Interest and impression of the audience on the VR videos was also evaluated. According to survey data, the majority of the audience rated these videos as an effective technique for educating the public about manure and mortality management, found the VR videos interesting, were willing to learn more content through VR videos, and were likely to recommend them to their colleagues. A statistically significant correlation could be observed between the awareness change and the effectiveness rating given to the videos by the participant.

The effective implementation of a sustainable supply chain leadership (SSCL) strategy at each organization’s level, positively impacts on corporation’s competitive advantage and sustainable development. While fears have been acknowledged in previous literature, the benefit of designing Sustainable supply chain models for operational excellence and sustainable development is a noteworthy exploration. The study collected statistical data using an online Survey- monkey questionnaire from 46 of the top 100 JSE-listed companies with the intention to elucidate the large firms’ transition from longstanding linear approaches to sustainable production and consumption to a more circular approach. A bivariate data analysis was used to generate the results in SPSS. The results indicate a positive contribution of SSCL strategy to operational excellence and sustainable development of large corporations if only the entire supply chain system is well-coordinated and implemented. This study makes a vital contribution by proposing a new SSCL model for fast-tracking corporate sustainability and enhancing corporate contributions to sustainable growth.

Systemic sclerosis (also known as scleroderma) is a chronic fibrosing autoimmune disease with both skin and multisystem organ involvement. Scleroderma has the highest mortality among all rheumatic diseases. The pathophysiology mechanism of systemic sclerosis is a progressive self-amplifying process, which implicates the widespread microvascular damage, followed by a dysregulation of innate and adaptive immunity and inflammation, and diffuse fibrosis of the skin and visceral organs. Fibrosis of internal organs is a hint for systemic sclerosis, moreover associated with interstitial lung disease (SSc-ILD) is a complex process. We report a case of a 56 years old female, diagnosed with Systemic Sclerosis 16 years ago. The systemic and clinical manifestations, respiratory functional tests, radiological aspects and specific therapy were discussed.