The manual muscle test (MMT) is a flexible diagnostic tool, which is used in many disciplines, applied in several ways. The main problem is the subjectivity of the test. The MMT in the version of a “break test” depends on the tester’s force rise and the patient’s ability to resist the applied force. As a first step, the investigation of the reproducibility of the testers’ force profiles is required for valid application. The study examined the force profiles of n=29 testers (n=9 experiences (Exp), n=8 little experienced (LitExp), n =12 beginners (Beg)). The testers performed 10 MMTs according to the test of hip flexors, but against a fixed leg to exclude the patient’s reaction. A handheld device recorded the temporal course of the applied force. The results show significant differences between Exp and Beg concerning the starting force (padj=0.029), the ratio of starting to maximum force (padj=0.005) and the normalized mean Euclidean distances between the 10 trials (padj=0.015). The slope is significantly higher in Exp vs. LitExp (p=0.006) and Beg (p=0.005). The results also indicate that experienced testers show inter-tester differences and partly even a low intra-tester reproducibility. That highlights the necessity of an objective MMT-assessment. Furthermore, an agreement on a standardized force profile is required – a suggestion is given.

Alnus glutinosa is important woody plant in Lithuanian forest ecosystems. Knowledge of fluorescence properties of black alder pollen is necessary for scientific and practical purposes. By the results of the study we aimed to evaluate possibilities of identifying Alnus glutinosa pollen fluorescence properties by modeling ozone effect and applying two different fluorescence-based devices. To implement experiments, black alder pollen was collected in a typical habitat during the annual flowering period in 2018-2019. There were three groups of experimental variants, which differed in the duration of exposure to ozone, conditions of pollen storage before the start of the experiment, and the experiment start time. Data for pollen fluorescence analysis were collected using two methods. The microscopy method was used in order to evaluate the possibility of employing image analysis systems for investigation of pollen fluorescence. The second data collection method is related to the automatic device identifying pollen in real-time, which uses the fluorescence method in the pollen recognition process. Data were assessed employing image analysis and principal component analysis (PCA) methods. Digital images of ozone-exposed pollen observed under the fluorescence microscope showed the change of the dominant green colour towards the blue spectrum. Meanwhile, the automatic detector detects more pollen whose fluorescence is at the blue light spectrum. It must be noted that assessing pollen fluorescence several months after exposure to ozone, no effect of ozone on fluorescence remains.

The development of organic devices has been focused in their miniaturization in order to obtain denser and faster electronic circuits. The challenge is to build the devices adding atom by atom or molecule by molecule until the desired structure is achieved. To do this job, techniques able to see and manipulate matter at this scale are needed. Scanning tunneling microscopy has been the selected technique by scientists to develop smart and functional unimolecular devices. This review article compiles the latest developments in this field giving examples of supramolecular systems monitored and fabricated at molecular scale by bottom-up approaches using STM at solid/liquid interface.

MEMS (Micro-electromechanical Systems) becomes important increasingly due to the smarter and smaller fuze used in OICW (Objective Individual Combat Weapon). MEMS Safety and Arming (S&A) device is employed in different platforms and regions for small caliber projectile. Therefore, it is necessary to make a parametric study of the MEMS S&A device in different apply environments and explore the main sensitive factors of the MEMS S&A device to provide reference for designs. In this paper, based on the MEMS S&A device designed by our term, theory and finite element models are established, and the centrifugal insurance mechanism of the MEMS S&A device is parametric studied under the different speeds, temperature and thickness of the model by nonlinear dynamic method. By comparing the experimental and predicted results, the established FEM model is verified, and the conclusion is that the temperature and the centrifugal force are the main sensitive factors in the centrifugal insurance mechanism. In summary, we can suggest that the application environment, which the MEMS S&A device is suitable for, is the temperature equal to or slightly greater than normal temperature and the rotating speed higher than35000r/min of small caliber projectile.

The sound power LW of wind turbines (WTs) over the past decades has developed in relation to their electric power P as LW ∝ logP. The spectral distribution of the sound did not change significantly over time. This applies to the average performance of wind turbines, with differences between individual WT types. Because of the expected growth of onshore wind energy, a greater number of people will be living close to wind farms. This sustains the need for sound reduction. Sound reduction measures, such as serrations, reduced tip speed and low noise modes, may counteract the development of higher sound power from ever bigger WTs. To investigate this, the sound production of WT types over the last decades is analysed in relation to their size and electric power and the application of sound reduction measures. The analysis includes the broad band A-weighted and low frequency sound power levels as well as more detailed spectral distributions. Results show that the sound power level of wind turbines above 3 MW on average increases less with size than smaller turbines did. This is due to a lower blade tip speed and the use of sound reducing serrations. The spectral content of wind turbine sound, including the lower frequencies, has not changed significantly.

Background/Objectives: This cross-sectional study aimed to investigate the relationship between swallowing function and serum albumin levels in Japanese older people (age ≥ 75 years). Methods: A total of 3258 participants (1325 males, 1933 females; mean age, 80.8 years) who had a dental checkup in Gifu City, Japan, between April 2020 and March 2021 were recruited. Swallowing function was assessed using the repetitive saliva swallow test, with poor swallowing function defined as swallowing fewer than three times in 30 seconds. A serum albumin level < 3.6 G/dL was considered low. Results: In total, 78 participants (2%) had a low serum albumin level. These participants were significantly more likely to be older (p < 0.001), male (p = 0.030), to have circulatory disease (p < 0.001), support/care-need certification (p < 0.001), poor tongue and lip function (p < 0.001), poor swallowing function (p < 0.001), and number of present teeth ≥ 20 teeth (p = 0.001). Furthermore, after adjusting for age, gender, circulatory disease, support/care-need certification, number of present teeth, tongue and lip function, and swallowing function, a low serum albumin level was positively associated with older (odds ratio [OR]: 1.115; 95% confidence interval [CI]: 1.064–1.169), male (OR: 2.208; 95% CI: 1.360–3.584), circulatory disease (OR: 1.829; 95% CI: 1.079–3.099), support/care-need certification (OR: 2.087; 95% CI: 1.208–3.606), and poor swallowing function (OR: 2.379; CI: 1.377–4.112). Conclusions: These results suggest a positive relationship between poor swallowing function and low serum albumin levels in Japanese older people.

The aim was to evaluate the agreement between plaque detection with intraoral scanner system (IOS) and a conventional clinical method and to evaluate the inter-rater reliability for scoring 3D models with and without a disclosing agent. 14 participants were recruited from the Department of Operative Dentistry, School of Dentistry, University name blinded to reviewers, it is completed after the reviewing process. Participants eligible for inclusion were adults with good general health and a minimum of 20 teeth. Participants were clinically examined with plaque assessment according to the modified Quigley-Hein plaque index before and after using a disclosing agent (GC-Tri Plaque ID-Gel, GC). Before and after the application of the disclosing agent, all study participants were scanned using the IOS (TRIOS5, 3Shape TRIOS A/S). The clinical examiner and additional three examiners blinded to the clinical examination assessed plaque status on the acquired 3D models with and without disclosing agent using the same index to evaluate the inter-rater agreement. Intraclass coefficient correlation, one sample t-test and Cronbach’s α for inter-rater reliability were calculated. All methods showed moderate to strong correlations (Spearman’s rho ranging from 0.527 to 0.618) and Cronbach’s α ranged from 0.551 to 0.766. Level of agreement between con-ventional clinical registration and registration from 3D models was acceptable overall.

Thermal plasma is a versatile technology that can be used to treat various types of wastes, including vegetal and mineral oils, solvents, plastics, papers and cardboard, glasses, bricks and rocks, metals, clothes, and mixtures of these materials. In this study, we utilized a commercial plasma cutter as a thermal plasma source to decrease the volume of a simulated low-level radioactive mixed solid waste. The simulated waste included papers, plastics, clothes, gloves, metals and stable Co, Cs, Sr, and Ce additives as surrogates of 60Co, 137Cs, 90Sr, and 144Ce, the latter typical contaminants in nuclear LLW. As a result of the process two products were obtained, a solid phase in which we focused this work and a gaseous phase. To retain as much as possible surrogates in the solid final phase, crushed glass from broken bottles was included as a vitrification additive to the original waste. After undergoing heat treatment, a dense vitreous slag was produced and ashes. The process resulted in a volume reduction of 70%, indicating the successful gasification of organic excess materials. The surrogate elements were retained in the process and were found in the ashes composition: Co (3.4% w/w), Cs (37.7% w/w), Ce (0.6% w/w) and in the glass matrix composition of Co, Cs, Sr and Ce: 72.4 ± 14.7, 32 ± 18.2, 125.3 ± 31.6, 80 ± 13.1 % w/w respectively. For the actual experimental conditions, retention efficiencies were estimated for Cobalt (Co) at 72.4 ± 14.7%, Cerium (Ce) at 80 ± 13.1%, Strontium (Sr) at 125.3 ± 31.6%, and notably Cesium (Cs) at 32 ± 18.2%.

Aiming at the problems of inaccurate segmentation of long object and information loss of small object in real-time semantic segmentation algorithm, this paper proposes a lightweight multi-branch real-time semantic segmentation network based on BiseNetV2. The new auxiliary branch makes full use of spatial details and context information to cover the long object in the field of view. Meanwhile, in order to ensure the inference speed of the model, the asymmetric convolution is used in each stage of the auxiliary branch to design a structure with low computational complexity. In the multi-branch fusion stage, the alignment and fusion module is designed to provide guidance information for deep and shallow feature mapping, so as to make up for the problem of feature misalignment in the fusion of information at different scales, and thus reduce the loss of small target information. In order to further improve the model’s awareness of key information, a global context module is designed to capture the most important features in the input data. The proposed network uses NVIDIA GeForce RTX 3080 Laptop GPU experiment, on the road street view data set Cityscapes and CamVid average occurring simultaneously ratio reached 77.1% and 78.4% respectively, with running speed of 127 frames/s respectively and 112 frames/s. The experimental results show that the proposed algorithm can achieve real-time segmentation and improve the accuracy significantly, showing good semantic segmentation performance

In order to explore the effects of glutamate on the growth performance, antioxidant capacity and protein metabolism of juvenile Chinese mitten crab. 0%, 1% and 2% glutamate were supplemented to low protein (30%) and normal protein (35%) diets respectively. There were 5 parallel tanks in each treatment, and the feeding duration was 8 weeks. The results showed that dietary glutamate did not significantly affect the weight gain of Chinese mitten crab. Diets supplemented with 2% glutamate significantly decreased the crude protein of crabs. The T-AOC of crabs fed the 30% protein diets was significantly lower than crabs fed the 35% protein diets. At 30% protein level, the superoxide dismutase (SOD) activity significantly increased with the increase of glutamate content. Dietary glutamate significantly down-regulated the relative expressions of mTOR, PI3K, S6K1 and 4EBP at 35% protein level. In conclusion, dietary glutamate cannot significantly increase the growth of Chinese mitten crab, but it can improve the antioxidant capacity in Chinese mitten crab under low protein condition.

Automated charging technologies are becoming increasingly important in the electrification of heavy road freight transport, especially in combination with autonomous driving. This study provides a comprehensive analysis of automated charging technologies for electric heavy-duty vehicles (HDVs). It encompasses the entire spectrum of feasible technologies, including static and dynamic approaches, with each charging technology evaluated for its advantages, potentials, challenges, and technology readiness level (TRL). Static conductive charging methods such as charging robots, underbody-couplers or pantographs show good potential, with pantographs being the most mature option. These technologies are progressing towards higher TRLs, with a focus on standardization and adaptability. While static wireless charging is operational for some prototype solutions, it encounters challenges related to implementation and efficiency. Dynamic conductive charging through an overhead contact line or contact rails holds promise for high-traffic HDV routes with the overhead contact line being the most developed option. Dynamic wireless charging, although facing efficiency challenges, offers potential for seamless integration into roads and minimal wear and tear. Battery swapping is emerging as a practical solution to reduce downtime for charging, with varying levels of readiness across different implementations. To facilitate large-scale deployment further standardization efforts are required. The study emphasizes the necessity for continued research and development to enhance efficiency, decrease costs, and ensure seamless integration into existing infrastructures. Technologies that achieve this best will have the highest potential to significantly contribute to the creation of an efficiently automated and environmentally friendly transport sector.

Persistent land subsidence or uplift can cause serious latent hazards to urban infrastructure. To thoroughly investigate the causes and impacts of land surface deformation, this study examines the case of Wuxi City, focusing on the land fluctuation patterns in the region following the enforcement of the groundwater abstraction prohibition policy in 2005. This research utilizes the PS-InSAR technique to quantify land surface deformations in the Wuxi region from November 2015 to June 2023 and analyzes 100 SAR images to obtain comprehensive spatiotemporal evolution data of the land surface. Furthermore, this study conducts an in-depth analysis of the effects of various factors, including groundwater, precipitation, and soil geology, on the characteristics of land surface deformation. It pioneers the application of the GARCH (Generalized Autoregressive Conditional Heteroskedasticity) model to analyze the time-series displacement in the study area and innovatively introduces the "amplitude factor" index to assess land surface fluctuations. This study investigates the recent land surface deformation patterns and mechanisms in Wuxi City. By integrating the "amplitude factor", it provides a scientific foundation for future urban development and disaster mitigation strategies in Wuxi City, offering valuable insights for related research.

Improving the level of farmers' participation in collective action is an important way to promote rural revitalization and improve the sustainable livelihood level of farmers in underdeveloped areas. Based on 312 questionnaires of farmers in Shanxi Province, this paper investigates the status of farmers' participation in collective action, their sustainable livelihood level and the sustainable livelihood effect of collective action participation. The results show that: farmers' willingness to participate in collective action is strong, and the participation effect is obvious, but the participation frequency is low, and the participation time is less; The farmers' sustainable livelihood level is relatively low, Empirical research shows that the level of collective action participation will have a significant positive impact on Farmers' livelihood risk prevention, livelihood capital accumulation, livelihood mode selection and livelihood income improvement, and the frequency, time and value perception of participation in collective action will have varying degrees of impact on Farmers' sustainable livelihoods. In order to promote farmers' active participation in collective action, it is proposed to strengthen the construction of collective organizations Provide incentives and improve the quality and skills of farmers to enhance the collective concept and other policy recommendations.

Pressure ulcers carry a significant risk in clinical practice and require effective preventive measures. This paper proposes a practical and interpretable approach to estimate the risk levels of pressure ulcers using decision tree models. In order to address the common problem of imbalanced learning in nursing classification datasets, various oversampling configurations are analyzed to improve data quality prior to modeling. The decision trees built are based on three easily identifiable and clinically relevant pressure ulcer risk indicators: mobility, activity and skin moisture. Their analysis allows nursing professionals to predict the risk levels of pressure ulcer and make informed decisions about patient care. Additionally, this research introduces a novel tabular visualization method to enhance the usability of the decision trees in clinical practice. The approach proposed aims to support nursing professionals in making timely decisions regarding the appropriate preventive interventions according to the risk levels of pressure ulcers, thus improving patient outcomes and healthcare costs. The usefulness and effectiveness of the models presented make them a valuable resource for nursing care in the prevention of pressure ulcers.

The global SARS-Cov-2 which caused the coronavirus disease 2019 (COVID-19) pandemic has had a significant impact over the last 3.5 years, especially among healthcare workers (HCWs) who were constantly in the forefront of the pandemic. Due to the nature of their work, HCWs faced a potential risk of exposure. Therefore, this study investigated the individual-level factors associated with perceived COVID-19 risk among South African HCWs. We used an analytical cross-sectional study design to analyse data from the South African Health Care workers’ response to the Coronavirus (COVID-19) pandemic online survey conducted by the Human Sciences Research Council across the nine provinces in South Africa, from 11th April to 7th May 2020. In this study, only data (n= 5 579) with non-missing values for COVID-19 risk and individual-level factors (age, gender, educational level, occupational category, and race) was analysed. Univariate and Multivariate binomial logistic regression analyses were conducted. The crude and adjusted odds ratio and p-value ≤ 0.05, were used to describe the association between the individual-level factors and perceived COVID-19 risk, from low-medium to high. The binomial logistic regression was used to assess the factors associated with high perceived risk. Perceived COVID-19 risk among HCWs in South Africa was significantly associated with age, race, educational level and occupational category. Being 60 years and older, being “White”, having a Master’s and Doctorate degrees and being a healthcare worker other than a nurse practitioner and medical practitioner, all had higher odds of having high perceived COVID-19 risk. The findings may be used to guide policies and programs aimed at mitigating the impacts of COVID-19 and other similar pandemics.

Accurate forecast of tail water level (TWL) is of great importance for the safe and economic operation and management of hydropower stations. The predictive performance is significantly influenced by the backwater effect of downstream hydropower stations and tributaries, but the explicit quantification method of the backwater effect is lacked. In this study, a deep learning model based forecasting framework for TWL predictions is established and applied to forecast TWL of Xiangjiaba (XJB) hydropower stations, which is influenced by the backwater effect of downstream tributaries including Hengjiang River (HJR) and Minjiang River (MJR). Firstly, the lag time of the backwater effect of HJR and MJR is analyzed based on the permutation importance. The results demonstrate that the lag time of backwater effect on the TWL of XJB is 5-7 hours for the HJR and 1-2 hours for the MJR. Then, the runoff thresholds of the HJR and MJR for impacting the TWL of the XJB station are obtained by scenario comparison, and the results show that the thresholds of HJR and MJR are 700 m3/s and 7000 m3/s respectively. Finally, the deep learning methods based TWL forecasting model is established based on the lag time and threshold analysis. The model is used to forecast the TWL in future 48 hours. The results show that the forecasting model has a good predictive performance with 98.22% of absolute errors less than 20 cm. The mean absolute error over the validation dataset is 5.27 cm and the maximum absolute error is 63.35 cm.

The dairy industry relies heavily on milk pasteurization to ensure the safety and quality of milk products. Pasteurization is a process that involves heating milk to a specific temperature for a set period of time to kill harmful bacteria and other pathogens while preserving its nutritional value. recent years, newer techniques such as High Temperature Short Time (HTST) pasteurization have gained popularity due to their efficiency and effectiveness. HTST pasteurization involves rapidly heating milk to a high temperature for a short duration of time, followed by rapid cooling. This process helps to minimize the loss of flavor and nutrients in milk while ensuring its safety. However, there is still a need in the market for a compact and remotely controlled process plant for milk pasteurization. The proposed work aims to address this need by designing a process plant that is not only compact but also remotely controlled, allowing for efficient and convenient operation. can control the process plant remotely, allowing for flexibility and convenience in monitoring and managing the pasteurization process from anywhere with an internet connection

The Lambousa fishtank, an archaeological structure entirely carved in bedrock, can be easily recognized and measured in plan on Google Earth (GE). We surveyed in situ this excellent archaeological marker in 2016 through direct measurements using traditional field measurements, such as metric tapes and invar rods, and terrestrial photogrammetry, using Structure from Motion (SfM) methods. The bedrock on which the fishtank is founded is an Upper Pleistocene calcarenite also containing Persistrombus Latus. The age of the studied fishtank has not been previously published, but on the basis of the construction technique and the interpretation provided by [1] and references therein . We assume that it was built in the period between 2.1 and 1.8 ka BP, like similar fishtanks in the Mediterarranen area. Architectural structures consist of an evident crepido ora a stone base, and a tunnel which allows for sea water exchange during high tides. The aforementioned hole is well correlated with the crepido which lies around the fishtank. These architectural components allow to evaluate the palaeosea level with significant precision during the time when the fishtank was active. MIS 5.5 coastal deposits that outcrop in the study area are located at a maximum altitude of a few meters, while the inner margin of the MIS 5.5 terrace allows us to hypothesize a “quasi-tectonic stability” also in the long-term. We have also tested several GIA predictions of relative sea level at Lambousa for the past 3.5 kyr according to GIA models ICE-6G (VM5a), ICE-7G (VM7) and to the GIA model by Lambeck and Purcell (2015), obtained with the SELEN4 sea level equation solver.

The hinterland of the Taranto Gulf in Basilicata (southern Italy) provides a great opportunity for the study of coarse-grained coastal systems belonging to a staircase of Quaternary terraced ma-rine-deposits. Among gravelly successions, beach deposits abound in the stratigraphic record, offering exceptional outcrops useful to allow detailed information on their facies features. In this paper, we describe sedimentary facies, textural variations and depositional architecture of these deposits in order to: - demonstrate that the area is an excellent training ground for the study of gravelly beaches in microtidal settings; - discuss about the use of beach deposits as proxy of even small relative sea level variation.

This paper deals with the use of low earth orbit (LEO) satellite links in long-term monitoring of water, ice and snow levels across wide geographic areas, where no other communication links can be applied. Unlike geostationary satellites, LEO satellites do not maintain the same position relative to the ground station, and transmissions need to be scheduled for satellite overfly periods. For our application, the energy consumption optimization is critical, and we develop a learning approach for scheduling the transmission times from the sensors. Our approach is based on online learning, and is applicable to any LEO satellite transmissions.

We investigate the extent to which a two-level quantum system subjected to an external time-dependent drive can be characterized by supervised learning. We apply this approach to the case of bang-bang control and the estimation of the offset and the final distance to a given target state. The estimate is global in the sense that no a priori knowledge is required on the parameters to be determined. Different neural network algorithms are tested on a series of data sets. We point out the limits of the estimation procedure with respect to the properties of the mapping to be interpolated. We discuss the physical relevance of the different results.

An equation for the Fermi level of impurity isotropic semiconductors is considered when the bottom of the conduction band and the top of the valence band are at the center of the first Brillouin zone. The energy of charge carriers in the valence and conduction bands of semiconductors is considered taking into account the real positions of the top of the valence band and the bottom of the conduction band in the first Brillouin zone. A universal equation for determining the Fermi levels of impurity isotropic semiconductors is presented.

The devastating COVID-19 pandemic forced academia to go virtual. Educational institutions around the world have stressed online learning programs in the aftermath of the pandemic. However, because of insufficient access to ICT, a substantial number of students failed to harness the opportunity of online learning. This study explores the latent digital divide exhibited during the COVID-19 pandemic while online learning activities are emphasized among Bangladeshi students. It also investigates the digital divide exposure and the significant underlying drivers of the divide. A cross-sectional survey was employed to collect quantitative data mixed with open-ended questions to collect qualitative information from the student community. The findings revealed that despite the majority of students have physical access to ICT but only 32.5% of students could attend online classes seamlessly, 34.1% of the students reported the data prices as the critical barrier, and 39.8% of students identified the poor network infrastructure is the significant barrier for them to participate in online learning activities. Although most students possess physical access to the device and the Internet, they face the first-level digital divide due to the quality of access and maintaining subscriptions. Consequently, they fail to take advantage of physical access, resulting in the third-level digital divide (Utility Gap) and submerging them into a digital divide cycle. This paper aimed to explore the underlying issues of the digital divide among Bangladeshi students to assist relevant stakeholders (e.g., the Bangladesh government, Educational Institutions, Researchers) in providing the necessary insights and theoretical understanding to arrange adequate support for students to undertake conducive online learning activities.

Dynamical system tools offer a complementary approach to detailed biophysical seizure modeling, with a high potential for clinical applications. This review describes the theoretical framework that provides a basis for theorizing certain properties of seizures and for their classification according to their dynamical properties at onset and offset. We describe various modeling approaches spanning different scales, from single neurons to large-scale networks. This narrative review provides an accessible overview of this field, including non-exhaustive examples of key recent works.

This study aimed to analyze the responsiveness of the 5STS test among stroke patients and to estimate the MCIDs for different severity levels of community ambulation and stages of recovery. The 5STS and comparator instruments [gait speed and Functional Ambulatory Category (FAC)] were evaluated at baseline. These measures were repeated at 4 (Stage 1) and 8 weeks (Stage 2), together with the Global Rating of Change (GROC). The MCIDs were calculated with two anchor-based methods using the GROC as the external criterion. Responsiveness to change for the 5STS was estimated analyzing the correlation with changes in the two comparator instruments and their capacity to discriminate improvement. For the 5STS test, while the MCIDs of the limited community ambulators were similar in the two stages (around 3 s), those of the household ambulators decreased from 1.9 s to 0.72 s. Spearman's rho coefficients showed an acceptable correlation between changes in 5STS and changes for both the FAC and gait speed changes in both stages of recovery. Our study revealed that the 5STS is responsive to functional changes in patients with stroke and that their degree of severity and stage of recovery influence the MCID values of the 5STS.

The investigation of submerged speleothems for sea level studies has made significant contributions to the understanding of the global and regional sea level variations during the Middle and Late Quateranry. This has been especially the case for the Mediterranean Sea, where more than 300 submerged speleothems sampled in 32 caves have been analysed so far. Here, we present a comprehensive review of the results obtained from the study of submerged speleothems since 1978. The studied speleothems cover the last 1.4 Ma and are focused mainly on Marine Isotope Stages (MIS) 1, 2, 3, 5.1, 5.3, 5.5, 7.1, 7.2, 7.3 and 7.5. Results reveal that submerged speleothems represent extraordinary archives providing accurate information on former sea level changes, also considering that the Mediterranean Sea is devoid of any tropical corals since the Miocene. New results from a stalagmite collected at Palinuro (Campania, Italy) characterized by marine overgrowth are also reported. The measured elevations of speleothems are contaminated by the local response to glacial- and hydro-isostatic adjustment (GIA), and thus might significantly deviate from the global eustatic signal. Age and altitude comparation between Mediterranean speleothems, flowstone from Bahamas with local GIA provide a new scenario for MIS 5 and 7 sea level reconstrutions.

COVID-19 is a pandemic with no cure. There is an urgent need for low-cost interventions. Macroclimate work through affecting microclimate. In many situations, man-made microclimate, such as air conditioning, may override the effect of natural macroclimate in determining SARS-CoV-2 pathogenicity. Ambient temperature (AT) has been roughly associated to SARS-CoV-2 transmission. To translate into a feasible practice in controlling COVID-19 pandemic, in-depth and implementable knowledge of AT role in SARS-CoV-2 transmission should be unveiled. This study aimed to determine if there is a ‘safe’ temperature that is comfortable to human beings while significantly inhibitory for SARS-CoV-2 pathogenicity. Data on monthly new deaths or new cases per million population (MDPM or MCPM) and monthly cumulated days with more cases than the previous day (DI) from March 2 to June 30, 2020 were collected from all 118 countries with population over five million. Monthly average AT negatively correlated with the transmission parameters. A significant decrease in transmission was observed when AT reached above 20 ºC. Monthly average (not average high) AT of countries with MDPM <2, MCPM<10, or DI<=7 was found to be between 24.54 and 26.89 ºC (25.18 ºC on average) with average standard error of 4.81. Thus, average AT <20, 20-25, >25 ºC were considered as high, medium, and low risk AT. Furthermore, MDPM in countries with AT <20 ºC were 80.93, 50.23, 13.52, and 5.05 times of those in countries with AT >25 ºC in March, April, May, and June, respectively. MDPM low-risk rates (<2) in countries with AT >25 ºC were 100, 83.33, 52.73, and 52.46%, respectively. In countries with AT <20 ºC, the trends were opposite. Setting indoor temperature to 25 ºC could decrease the need of social distancing for containing SARS-CoV-2 transmission. Ventilation and sanitizing the air with ultraviolet light in nonbusiness hours may be additionally effective. Cooling indoor temperature too low may be a reason of COVID-19 outbreak in some high AT countries. Authorities and the general population can evaluate COVID-19 risk level and manipulate microclimate to reduce the risk anywhere anytime based on local day average AT.

Nowadays, the uses of laser and optics in the medical areas are extremely vivid, especially low-level laser therapy. The light with the wavelength of 633 nm to 1200 nm could penetrate and propagate deep in biological tissue. To develop the low-level laser therapy device, optimizing light delivery is critical to accurately stimulate the biological effects inside the biological tissue. Nevertheless, each form of the tissues at each zone on the body had various refractive optic, absorption, scattering, and anisotropy coefficients. This paper describes the simulation results of low-level laser propagation from skin surface at the lower spine, the knee, the femur and the prostate gland with four wavelengths (633 nm, 780 nm, 850 nm, and 940 nm) by the Monte Carlo method. These simulation results are the base for developing the low-level laser therapy device, that could be used in clinical for treating the fracture, knee osteoarthritis, spinal degeneration, and benign prostatic hypertrophy.

This article presents a new method of segmenting grayscale images by minimizing Shannon's neutrosophic entropy. For the proposed segmentation method, the neutrosophic information components, i.e., the degree of truth, the degree of neutrality and the degree of falsity are defined taking into account the belonging to the segmented regions and at the same time to the separation threshold area. The principle of the method is simple and easy to understand and can lead to multiple thresholds. The efficacy of the method is illustrated using some test gray level images. The experimental results show that the proposed method has good performance for segmentation with optimal gray level thresholds.

Nizatidine is a gastroprotective drug with a short biological half-life and narrow absorption window. This study aimed at developing floating tablets of nizatidine using various HPMC viscosity grades, namely K4M, E4M, K15 and K200M. Directly compressed tablets revealed an excellent uniformity in hardness, thickness and weight and nizatidine was evenly distributed within the matrix floating tablets. Buoyancy study revealed floating lag time as low as 18–38 s, and tablets remain buoyant for upto 24 h. However, the later depended upon viscosity grade of HPMC and that the higher the viscosity, the less was the total floating time. In vitro dissolution indicated viscosity dependent nizatidine release from the floating tablets. HPMC K4M and E4M based floating tablets released almost 100% drug in 12 h, whilst higher viscosity polymers such as K15 and K200M only released 81.88% and 75.81% drug, respectively. The drug release followed non-Fickian diffusion from tablets formulated with K4M, K15 and K200M, whilst super case II transport was observed with E4M based tablets. More interestingly, K4M and E4M polymers have similar viscosity yet exhibited different drug release mechanism. This was attributed to the difference in degree of substitution of methoxyl- and hydroxypropoxyl- groups on polymer backbone.

Lung nodule segmentation in CT images and its subsequent volume analysis can help determinethe malignancy status of a lung nodule. While several efficient segmentation schemes have beenproposed, only a few studies evaluated the segmentation’s performance for large nodules. In thisresearch, we contribute a semi-automatic system which is capable of performing robust 3-D segmen-tations on both small and large nodules with good accuracy. The target CT volume is de-noisedwith an anisotropic diffusion filter and a region of interest is selected around the target nodule ona reference slice. The proposed model performs nodule segmentation by incorporating a mean in-tensity based threshold in Geodesic Active Contour model in level sets. We also devise an adaptivetechnique using image intensity histogram to estimate the desired mean intensity of the nodule.The proposed system is validated on both lung nodules and phantoms collected from publicly avail-able diverse databases. Quantitative and visual comparative analysis of the proposed work withthe Chan-Vese algorithm and statistic active contour model of 3D Slicer platform is also presented.The resulting mean spatial overlap between segmented nodules and reference nodules is 0.855, themean volume bias is 0.10±0.2 ml and the algorithm repeatability is 0.060 ml. The achieved resultssuggest that the proposed method can be used for volume estimations of small as well as large-sizednodules.

Due to an increase in the number of image achieves, Content-Based Image Retrieval (CBIR) has gained attention for research community of computer vision. The image visual contents are represented in a feature space in the form of numerical values that is considered as a feature vector of image. Images belonging to different classes may contain the common visuals and shapes that can result in the closeness of computed feature space of two different images belonging to separate classes. Due to this reason, feature extraction and image representation is selected with appropriate features as it directly affects the performance of image retrieval system. The commonly used visual features are image spatial layout, color, texture and shape. Image feature space is combined to achieve the discriminating ability that is not possible to achieve when the features are used separately. Due to this reason, in this paper, we aim to explore the low-level feature combination that are based on color and shape features. We selected color moments and color histogram to represent color while shape is represented by using invariant moments. We selected this combination, as these features are reported intuitive, compact and robust for image representation. We evaluated the performance of our proposed research by using the Corel, Coil and Ground Truth (GT) image datasets. We evaluated the proposed low-level feature fusion by calculating the precision, recall and time required for feature extraction. The precision, recall and feature extraction values obtained from the proposed low-level feature fusion outperforms the existing research of CBIR.

Unmanned Aerial Vehicles (UAVs) are now filling in the gaps between spaceborne and ground-based observations and enhancing the spatial resolution and temporal coverage of data acquisition. In the realm of hydrological observations, UAVs have a key role to quantitatively characterize the surface flow allowing for remotely accessing the water body of interest. In this paper we propose a technology which uses a sensing platform encompassing a drone and a camera to determine the water level. The images acquired my means of the sensing platform are then analyzed using the Canny method to detect the edges of water level and of Ground Control Points (GCPs) used as reference points. The water level is then retrieved from images and compared to a benchmark value obtained by a traditional device. The method is tested at four locations in an artificial lake in central Italy. Results are encouraging as the overall mean error between estimated and true water level values is around 0.02 m. This technology is well suited to improve hydraulic modeling and thus provide a reliable support to flood mitigation strategies also in uneasy-to-access environments.

The grid nudging technique is often used in regional climate dynamical downscaling to make the simulated large-scale fields consistent with the driving fields. In this study, we focused on two specific questions about grid nudging: (1) which nudged variable had a larger impact on the downscaling results and (2) what was the “optimal” grid nudging strategy for each nudged variable to achieve better downscaling result during summer over the Chinese mainland. To solve this queries, 41 3-month long simulations for the summer of 2009 and 2010 were performed using the Weather Research and Forecasting model (WRF) to downscale National Centers for Environmental Prediction (NCEP) Final Operational Global Analysis (FNL) data to a 30-km horizontal resolution. The results showed that nudging horizontal wind or temperature had significant influence on the simulation of almost all conventional meteorological elements; nudging water vapor mainly affected the precipitation, humidity, and 500 hPa temperature. Moreover, the optimum nudging scheme varied with simulated regions and layers. As a whole, the optimal nudging time was one hour or three hours for nudging wind, three hours for nudging temperature, and one hour for nudging water vapor. The optimal nudged level was above the planetary boundary layer for almost every nudged variable.

Lower cutoff levels in screening programs have led to an increase in the proportion of detected cases with transient hypothyroidism, leading to increase of the overall incidence of primary congenital hypothyroidism (CH) in several countries. We have performed retrospective evaluation on the data from 251,008 (96.72%) neonates screened for thyroid-stimulating hormone (TSH) level in dried blood spot specimens taken 48 hours after birth, between 2002 and 2015, using DELFIA method. A TSH value of 15 mIU/L was used as the cutoff point until 2010 and 10 mIU/L thereafter. Primary CH was detected in 127 newborns (1/1976) of which 81.1% had permanent and 18.9% had transient CH. The incidence of primary CH was increased from 1/2489 until to 2010 to 1/1585 thereafter (p=0.131). However, the incidence of permanent CH was slightly increased (p=0.922), while the transient CH incidence had 8-fold increasing after lowering the TSH cutoff level (p<0.001). In cases with permanent CH, we observed lower frequency for thyroid dysgenesis (82.7 vs. 66.7%) and higher frequency for normal in-situ thyroid gland (17.3 vs. 33.3%), for the period with reduced TSH cutoff value. Our findings support the impact of lower TSH cutoff on the increasing incidence of congenital hypothyroidism.

It is well known that the effect of laser irradiation on the blood causes a change in the shape of red blood cells and an increase in their activity, especially in low-level laser therapy (LLLT). The aim of this study was to identify the ability of erythrocytes to deform when exposed to a blue laser.24 laboratory rats were exposed to blue laser in the gingival region of the lower jaw daily for 5 minutes over 3 days. The blue laser possessed a power of 0.5 W and was operated using a con-tactless approach, the dynamic technique in continuous wave mode, and an uninitiated fiber. A blood sample was taken from the lateral vein of the tail before the LLLT, on the first, second, third, and fifth days. The samples were stained, and cytometry was conducted. The exposure to blue laser caused a significant increase in the number of dome-shaped deformable erythrocytes in the blood of laboratory rats (p

Cardiovascular disease is a major global health concern, with early detection being critical. This study assesses the effectiveness of the portable ECG device, based on Internet of Medical Things (IoMT) technology, for remote cardiovascular monitoring during daily activities. We conducted a clinical trial involving 2,000 participants who wore the HiCardi device while engaging in hiking activities. The device monitored their ECG, heart rate, respiration, and body temperature in real-time. If an abnormal signal was detected while a physician was remotely monitoring the ECG at the IoMT monitoring center, he notified the clinical research coordinator (CRC) at the empirical research site, and the CRC advised the participant to visit a hospital. Follow-up calls were made to determine compliance and outcomes. Of the 2,000 participants, 318 showed abnormal signals, and 182 were advised to visit a hospital. Follow-up revealed that 139 (76.37%) responded, and 30 (21.58% of those who responded) sought further medical examination. Most visits (80.00%) occurred within one month. Diagnostic approaches included ECG (56.67%), ECG and ultrasound (20.00%), ultrasound alone (16.67%), ECG and X-ray (3.33%), and general treatment (3.33%). Seven participants (23.33% of those who visited) were diagnosed with cardiovascular disease, including conditions such as arrhythmia, atrial fibrillation, and stent requirements. The portable ECG device using the patch-type electrocardiograph detected abnormal cardiovascular signals, leading to timely diagnoses and interventions, demonstrating its potential for broad application in preventative health care.

Recent advancements in communication technology have catalyzed the widespread adoption of realistic content, with augmented reality (AR) emerging as a pivotal tool for seamlessly inte-grating virtual elements into real-world environments. In construction, architecture, and urban design, the integration of mixed reality (MR) technology enables rapid interior spatial mapping, providing clients with immersive experiences to envision their desires. The rapid advancement of MR devices, or devices that integrate MR capabilities, offers users numerous opportunities for enhanced entertainment experiences. However, to support designers at a high level of expertise, it is crucial to ensure the accuracy and reliability of the data provided by these devices. This study explores the potential of utilizing spatial mapping within various methodologies for surveying architectural interiors. The objective is to identify optimized spatial mapping procedures and determine the most effective applications for their use. Experiments were conducted to evaluate the interior survey performance, using HoloLens 2, iPhone 13 Pro for spatial mapping, and photogrammetry. The findings indicate that HoloLens 2 is most well-suited for the tasks exam-ined in the scope of experiments. Nonetheless, based on the acquired parameters, the author also proposes approaches to apply the other technologies in specific real-world scenarios.

In this paper, the single event burnout(SEB) and reinforcement structure of 1200V SiC MOSFET (SG-SBD-MOSFET) with split gate and schottky barrier diode(SBD) embedded were studied. The device structure was established using Sentaurus TCAD, and the transient current changes of single event effect(SEE), SEB threshold voltage, as well as the regularity of electricfield peak distribution transfer were studied when heavy ions were incident from different regions of the device. Based on SEE analysis of new structural device, two reinforcement structure designs for SEB resistance were studied, namely the expansion of P+body contact area and the design of multi-layer N-type interval buffer layer. Firstly, two reinforcement schemes for SEB were analyzed separately, and then comprehensive design and analysis were carried out. The results showed that the SEB threshold voltage of heavy ions incident from the N+source region was increased by 16% when using the P+body contact area extension alone; When the device is reinforced with multi-layer N-type interval buffer layer alone, the SEB threshold voltage increases by 29%; The comprehensive use of P+body contact area expansion and multi-layer N-type interval buffer layer reinforcement increased the SEB threshold voltage by 33%. Overall, the breakdown voltage of the reinforced device decreased from 1632.935V to 1403.135V, which can be seen as reducing the remaining redundant voltage to 19%. The device performance was not significantly affected.

In this paper, a 100CMM regenerative thermal oxidizer (RTO) system based on a high heating device for low-emission combustion is implemented at a volatile organic compound (VOCs) gas generation workplace. Existing RTO has a structure that repeats the inflow and discharge of VOCs gas into a cylindrical drum-type rotating disk and has excellent energy efficiency with a heat recovery rate of 95% or more. However, when used for a long time, there is a problem that rotation stops or explodes due to the discharge of pollutants due to dust and thermal expansion due to high temperature of 800℃. To overcome this, a RTO based on a high heating device was developed to reduce low-emission combustion emissions and energy use. Through 177 hours of demonstration time, the oxidation efficiency of VOCs was 98.87%; the waste heat recovery rate was reduced by 95.78%, the fuel consumption was reduced by 21.95%, and the nitrogen oxide concentration was 3.9 ppm

Dermal injections of hyaluronic acid gel for aesthetic skin rejuvenation are increasingly popular nowadays. Although these products are classified as medical devices, the regulations on their administration by licensed practitioners are still weak, whereas their manufacturers increasingly highlight and advertise the cellular effects that underpin the efficacy of these injections. In this re-view, we discuss all current knowledge on the mode of action of dermally injected hyaluronic acid and the potential toxicological implications especially from crosslinked gels in conjunction with the current global regulations. We conclude that dermal injections of hyaluronic acid have several therapeutic implications that warrant further research, and that strict regulations must be applied on their manufacture/quality control and the required qualifications of licensed aesthetic injectors.

In this paper, a 100CMM regenerative thermal oxidizer (RTO) system based on a high heating device for low-emission combustion is implemented at a volatile organic compound (VOCs) gas generation workplace. Existing RTO has a structure that repeats the inflow and discharge of VOCs gas into a cylindrical drum-type rotating disk and has excellent energy efficiency with a heat recovery rate of 95% or more. However, when used for a long time, there is a problem that rotation stops or explodes due to the discharge of pollutants due to dust and thermal expansion due to high temperature of 800℃. To overcome this, a RTO based on a high heating device was developed to reduce low-emission combustion emissions and energy use. Through 177 hours of demonstration time, the oxidation efficiency of VOCs was 97.87%; the waste heat recovery rate was reduced by 95.78%, the fuel consumption was reduced by 21.95%, and the nitrogen oxide concentration was 3.9 ppm

In this work, Al-Mo-B(CN) thin coatings were deposited by magnetron sputtering using composite metal-ceramic Al-Mo-B4C target. A metal-ceramic composite target for magnetron sputtering was fabricated by a robotic complex for detonation spraying of coatings equipped with a multi-chamber detonation accelerator. The powder composition (30Mo-30Al-40B4C) was sprayed onto the copper plate base of the composite target-cathode. The obtained cathode target with Al-Mo-B4C coating (thickness 280-300 μm) was used to deposit the Al-Mo-B(CN) coating (DC mode) on flat specimens of AISI 316 steels and silicon using equipment for magnetron sputtering UNICOAT 200. The Al-Mo-B4C coating has a lamella-type structure with inclusions of boron car-bide particles the elemental composition is evenly distributed in the material. The structure and morphology of coatings were studied using methods of optical, scanning electron microscopy (SEM), atomic force microscopy (AFM), X-ray analysis (XRD), and X-ray photoelectron spectros-copy (XPS). Mechanical and tribological properties of the Al-Mo-B(CN) thin coatings were determined using methods of nanoindentation, scratch testing, and tribological testing under fluid-free friction regime at room temperature. The Al-Mo-B(CN) coating (thickness ~ 1 μm) exhibited a dense uniform fine-grained structure with no columnar elements and were well-adherent to the substrates after deposition. Al-Mo-B(CN) coating has a amorphous structure. XPS analysis confirmed the formation of the MoB2 and AlN phase with an admixture of oxygen in the form of aluminum oxide, molybdenum oxide and boron oxide. Al-Mo-B(CN) coating possess hardness of 13 GPa, elasticity modulus of 114 GPa, elastic recovery of 45%, and friction coefficient of 0.8 against steel 100 Cr6 ball. The failure mode occurring in the tested coatings was fatigue and abrasive. The adhesion strength of Al-Mo-B(CN) coating amounted to about 11 N, and the failure mode was cohesive associated with plastic deformation and formation of fatigue cracks in the coating material.

Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality worldwide. This study aimed to test the efficacy of a newly-developed symptom self-management program on health outcomes among inpatients post-AMI. A pilot randomised, controlled trial was utilised. A convenience sample of 90 was recruited from a tertiary hospital in Singapore. Adult inpatients with post-AMI were randomly assigned to the three groups: IManage-HSet, IManage-FF or control group. Sample size was computed using power analysis. Data were collected through self-reported questionnaires and physiological instruments. Data analyses included univariate statistics, analysis of variance and repeated measure analysis of variance. Ninety participants were recruited with 30 in each group. Participants in the IManage-HSet and IManage-FF group had significantly greater relaxation (ηp2 = 0.11), lower objective stress (ηp2 =0.14), and greater knowledge (ηp2 = 0.62) than those of the control group. The two intervention groups had lower subjective stress (ηp2 = 0.04), depression (ηp2 = 0.01), and anxiety (ηp2 = 0.03) than the control but such differences did not achieve statistical significance. Furthermore, most participants reported that they were satisfied with the programs and they provided positive comments on the contents, educational materials and relaxation practice. This pilot study supports the potential benefits and feasibility of the IManage-VR and IManage-FF interventions on stress, perceived relaxation, knowledge and patient satisfaction. Contents of the symptom management interventions could be added into current cardiac rehabilitation programs. Future RCTs with multi-centered sites and larger sample size are required to further test the intervention. This study was prospectively registered with the International Standard Randomised Controlled Trial on the 5th August 2014 with registration number ISRCTN61027816.

Silicon-based microchannel technology offers unmatched performances for cooling high energy physics silicon-pixels detectors. Although Si-Si direct bonding, used for the fabrication of cooling plates, meets the stringent requirements of this application, in particular high-pressure resistance (~200 bar), it is reported to be a challenging and expensive process. In this work, we have evaluated two alternative bonding methods towards a more cost-effective fabrication process: Si-Glass-Si anodic bonding (AB) with a thin-film glass and Au-Au thermocompression (TC). The bonding strength of the two methods were evaluated with destructive pressure burst tests (0 - 690 bar) on test structures, each made of a 1×2 cm² silicon die etched with a tank and an inlet channel and sealed with a plain silicon die using AB or TC bonding. The pressure resistance of the structures was measured to be higher for the TC sealed samples (max. 690 bar) than for the AB ones (max. 530 bar) but less reproducible. The failure analysis indicates that the AB structure resistance is limited by the adhesion force of the deposited layers. Nevertheless, both the TC and AB methods provided sufficient bond quality to hold the high pressure required for the high energy physics pixel detectors cooling application.

Generation of unique identifiers extracted from the physical characteristics of the underlying hardware ensures the protection of electronic devices against counterfeiting and provides security to the data they store and process. This work describes the design of an efficient Physical Unclonable Function (PUF) based on the differences in the frequency of Ring Oscillators (ROs) with identical layout due to variations in technological processes involved in the manufacture of the integrated circuit. The logic resources available in the Xilinx Series-7 programmable devices are exploited in the design to make it more compact and achieve an optimal bit-per-area rate. On the other hand, the design parameters can also be adjusted to provide a high bit-per-time rate for a particular target device. The PUF has been encapsulated as a configurable Intellectual Property (IP) module, providing it with an AXI4-Lite interface to ease its incorporation into embedded systems in combination with soft- or hard-core implementations of general-purpose processors. The capability of the proposed RO-PUF to generate implementation-dependent identifiers has been extensively tested, using a series of metrics to evaluate its reliability and robustness for different configuration options. Finally, in order to demonstrate its utility to improve system security, the identifiers provided by RO-PUFs implemented on different devices have been used in a Helper Data Algorithm (HDA) to obfuscate and retrieve a secret key.

Patients often need the use of their arms to assist with functional activities, but after bone disruption, pushing is frequently limited to less than 4.5 kg. No method exists to measure arm weight bearing objectively in clinical settings. This project aimed to design, construct, and test a walker for patients who need to limit arm force to prevent excessive bone stress during post-fracture (iatrogenic or traumatic) ossification. First, a qualitative study was conducted to obtain critiques of a Clinical Force Measuring (CFM) walker prototype from rehabilitation professionals. Key statements and phrases were coded that allowed “themes” to emerge from transcribed interviews, which guided device revisions. Next, a second CFM Walker prototype was designed based on the qualitative data and device criteria/constraints and finally tested. The result was fabrication of a new lightweight, streamlined, and cost-effective prototype walker with a simple visual display and auditory cue with upper limit alarms. Key features included attachments for medical equipment and thin film force-sensing resistors integrated into the walker handles that progressively activated 3 LEDs and a buzzer when arm force exceeded programmed thresholds. The innovative CFM Walker will help patients with restricted arm weight bearing, especially elderly adults, recover safer and faster in the future.

Corresponding to the principles of biological synapses, an essential prerequisite for hardware neural networks using electronics devices is continuous regulation of conductance. We implemented artificial synaptic characteristics in a (GeTe/Sb2Te3)16 iPCM with a superlattice structure under optimized identical pulse trains. Based on atomically controlling the Ge switch in the phase transition that appears in the GeTe/Sb2Te3 superlattice structure, multiple conductance states were implemented by applying the appropriate electrical pulses. Furthermore, we found that the bidirectional switching behavior of a (GeTe/Sb2Te3)16 iPCM can achieve a desired resistance level using the pulse width. Therefore, we also fabricated a Ge2Sb2Te5 PCM and designed a pulse scheme based on the phase transition mechanism to compare to the (GeTe/Sb2Te3)16 iPCM. We designed an identical pulse scheme that implements linear and symmetrical LTP and LTD based on the iPCM mechanism. As a result, the (GeTe/Sb2Te3)16 iPCM showed relatively excellent synaptic characteristics by implementing gradual conductance modulation, a nonlinearity value of 0.32, and LTP/LTD 40 conductance states using identical pulses trains. Our results demonstrate the general applicability of the artificial synaptic device for potential use in neuro-inspired computing and next generation non-volatile memory.

BACKGROUND: The number of waitlisted patients requiring mechanical circulatory support (MCS) as a bridge to heart transplantation is increasing. The data concerning the results of double-bridge strategy are limited. We sought to investigate the post-transplant outcomes across the different bridge strategies. METHODS: We retrospectively reviewed a heart transplantation database from Jan 2009 to Jan 2019. Intra-aortic balloon pump (IABP), extracorporeal membrane oxygenation (ECMO), and ventricular assist devices (VAD) were the MCS that we investigated. The pre- and post-transplant characteristics and variables of patients bridged with the different types of MCS were collected. The post-transplant survival was compared using Kaplan-Meier survival analysis. RESULTS: A total of 251 heart transplants were reviewed; 115 without MCS and 136 with MCS. The patients were divided to five groups: Group 1 (no MCS): n=115; Group 2 (IABP): n=15; Group 3 (ECMO): n=33; Group 4 (ECMO-VAD): double-bridge (n=59); Group 5 (VAD): n=29. Survival analysis demonstrated that the 3-year post-transplant survival rates were significantly different among the groups (Log-rank p < 0.001). There was no difference in survival between group 4(ECMO-VAD) and group 1(no MCS)1 (p = 0.136), or between group 4(ECMO-VAD) and group 5(VAD) (p = 0.994). Group 3(ECMO) had significantly inferior 3-year survival than group 4(ECMO-VAD) and group 5(VAD). CONCLUSION: Double bridge may not lead to worse mid-term results in patients who could receive a transplantation. Initial stabilization with ECMO for critical patients before implantation of VAD might be considered as a strategy for obtaining an optimal post-transplant outcome.

Heavy metal contaminants have serious consequences for the environment and human health. Consequently, effective methods for detecting their presence, particularly in water and food, are urgently required. Accordingly, the present study proposes a sensor for the detection of mercury Hg(II) and lead Pb(II) ions using graphene oxide (GO) as a quenching agent and aptamer solu-tion as a reagent. In the proposed device, the aptamer sequences are labeled by FAM and HEX fluorescent dyes, respectively, and are mixed with 500 ppm GO solution in a microfluidic device. The presence of Hg(II) and Pb(II) ions is then detected by measuring the change in the fluores-cence intensity of the GO/aptamer suspension as the aptamer molecules undergo fluorescence resonance energy transfer (FRET). The experimental results show that the aptamer sensors have a linear range of 10~250 nM (i.e., 2.0~50 ppb) for Hg(II) ions and 10~100 nM (i.e., 2.1~20.7 ppb) for Pb(II) ions. Furthermore, the limit of detection is around 2 ppb for both metals, which is signifi-cantly lower than the maximum limits of 6 ppb and 10 ppb prescribed by the World Health Or-ganization (WHO) for Hg(II) and Pb(II) in drinking water, respectively.

The deterioration of gait can be used as a biomarker for ageing and neurological diseases. Continuous gait monitoring and analysis are essential for early deficit detection and personalized rehabilitation. The use of mobile and wearable inertial sensor systems for gait monitoring and analysis have been well explored with promising results in the literature. However, most of these studies focus on the technologies for gait characteristic assessment, few of them have considered the data acquisition bandwidth of the sensing system. Inadequate sampling frequency will sacrifice signal fidelity, thus leading to an inaccurate estimation especially for spatial gait parameters. In this work, we developed an inertial sensor based in-shoe gait analysis system for real-time gait monitoring and investigated the optimal sampling frequency to capture all the information on walking patterns. An exploratory validation study was performed using an optical motion capture system on four healthy adult subjects, where each person underwent five walking sessions, giving a total of 20 sessions. Percentage mean absolute errors (MAE%) obtained in stride time, stride length, stride velocity, and cadence while walking were 1.19%, 1.68%, 2.08%, and 1.23%, respectively. In addition, an eigen-analysis based graphical descriptor from raw gait cycle signals was proposed as a new gait metric that can be quantified by principal component analysis to differentiate gait patterns, which has great potential to be used as a powerful analytical tool for gait disorder diagnostics.

Focusing on service control factors, rapid changes in manufacturing environments, the difficulty of resource allocation evaluation, resource optimization for 3D printing services (3DPSs) in cloud manufacturing environments and so on, an indicator evaluation framework is proposed for the cloud 3D printing (C3DP) order task execution process based on a Pareto optimal set algorithm that is optimized and evaluated for remotely distributed 3D printing equipment resources. Combined with the multi-objective method of data normalization, an optimization model for C3DP order execution based on the Pareto optimal set algorithm is constructed with these agents' dynamic autonomy and distributed processing. This model can perform functions such as automatic matching and optimization of candidate services, and it is dynamic and reliable in the C3DP order task execution process based on the Pareto optimal set algorithm. Finally, a case study is designed to test the applicability and effectiveness of the C3DP order task execution process based on the analytic hierarchy process and technique for order of preference by similarity to ideal solution (AHP-TOPSIS) optimal set algorithm and the Baldwin effect.

Liquorpheresis (CSF filtration) comprises a therapeutical approach that has been proposed to treat several neurological conditions where antibodies, inflammatory mediators or abnormal peptides are the cause or play an important role in the pathogenesis of the disease. CSF replacement may be an alternative approach not explored so far. Here, we review previous experiences in the use of liquorpheresis in autoimmune and degenerative neurological diseases. Then we describe previous developments and provide some new technical innovations in order to design bidirectional CSF shunting systems. These systems can be complemented either with a deposit of artificial CSF or with a CSF filter, allowing CSF replacement or liquorpheresis respectively. Both options would lead to mechanical dilution of the patient’s CSF.

In submerged landscapes, distinguishing anthropogenic features versus natural ones, is often challenging. We have developed a set of criteria to validate the identification of submerged anthropogenic remains that include, examining the geological context, sea-level considerations, associated archaeological finds (including coastal survey), and documenting the broader archaeological context. Furthermore, our experience demonstrates that, while progress has been made in applying remote-sensing technologies to detect anthropogenic features on the seabed, there is no substitute for direct, visual assessment by an underwater archaeologist for verification of their anthropogenic status. We have applied these criteria to examine two published case studies detailing suspected anthropogenic stone features on the seabed in the Sicilian Channel. Our examination has led us to conclude that both localities are not anthropogenic features. The Pantelleria Vecchia Bank features represent natural outcrops on a submerged paleo-landscape that were shaped by depositional and erosional processes, during transgression and regression periods. The suspected Lampedusa cultic site, comprises natural features that are located on a submerged neo-landscape formed due to erosion and retreat of the coastal cliff since the Mid -Holocene, when sea level reached its present level.

In Korea, substantial disparities exist in physical environments across regions, exacerbating the polarization between metropolitan and provincial areas, and urban and rural regions. This study examines the differences in physical activity and self-rated health of local communities in relation to satisfaction with the physical environment. By identifying and addressing these underlying causes of health disparities, the study provides foundational data to inform policy efforts. The study utilized data from the 2023 Community Health Survey conducted by the Korea Disease Control and Prevention Agency. It included 231,752 individuals aged 19 and older (105,754 men and 125,998 women) selected through a two-stage probability proportional systematic sampling method. One-on-one online interviews were conducted from May 16 to July 31, 2023. Physical environment was assessed based on public satisfaction with safety, natural and living environments, public transportation, and medical services. Study variables included subjective health status and physical activity, with sub-variables for physical activity encompassing the duration of vigorous and moderate physical activity, walking, and flexibility exercises. For data analysis, MANOVA and ANOVA were conducted, with Bonferroni correction for multiple comparisons. Considerable variations in physical activity were observed based on satisfaction with the local community environment. Regarding self-rated health, significant differences were found in safety levels, living environment, and medical services. Satisfaction with the physical environment positively influenced physical activity and self-rated health. Therefore, it is imperative to reduce disparities in the physical environment between regions and enhance residents' satisfaction.

Under the new pattern of "Double-Cycle" economy, how to restructure the domestic economic structure to cope with the continuous softening of the global economic structure is an urgent issue. This paper empirically examines the impact of digitalization level on the division of labor in National Value Chain (NVC) within cities using panel data from 263 cities between 2001 and 2016, employing a spatial Durbin model.The study demonstrates that the digitization level can enhance division of labor in NVC in neighboring regions through spatial spillovers. An increase in digitization not only positively deepens the construction of NVC but also contributes to the development of NVC in adjacent areas.The digitization level can deepen the division of labor in NVC through the impact of cost reduction, consumption upgrading, and market integration. This effect exhibits regional variations, with consumption upgrading playing a crucial role in expanding the division of labor in NVC in the eastern region through improving digitization levels, while cost reduction is a key factor in the central region. The research results of this paper provide some empirical evidence for further progress and transition of China's NVC developing mode from the perspective of digital level.

This paper evaluates the open and closed loop DC-DC converter operation within a DC coupling multilevel inverter architecture to obtain an infinite level stepped sinusoidal voltage. Adding a cascade controller to the DC-DC converter should reduce the settling time and increase the number of levels in the output voltage waveform, it could decrease the speed error and phase shift concerning the sinusoidal reference signal. The proposed methodology consists of implementing an experimental multilevel inverter with DC coupling, through a single-phase bridge inverter energized from a BUCK converter, trigger signals for the two converters are obtained from a control circuit based in an ATMEGA644P microcontroller, and a digital controller is also implemented to evaluate the operation of the BUCK converter in open and closed loop and observe its influence in the stepped sinusoidal output voltage. The evaluation is performed to energize a resistive load with common output voltage in multilevel inverters, that is 3, 5, 7, 11, and infinity levels. Results show that during the design stage, fast dynamic elements, like the storage capacitor, can be used to obtain a minimum THD because the settling time is sufficiently fast and the speed error remains small and there isn’t a need for a controller. A digital controller requires processing time and although in theory, it can reduce the settling time to a minimum, the processor introduces latency in the control signals generation, producing the opposite effect. Controller complexity of the digital controller must be considered because it increases processing time and influences the efficiency of the closed-loop operation.

We propose and experimentally realize a scheme of the optical nonreciprocity (ONR) using degenerate two-level atoms embedded in an optical ring cavity. For the degenerate transition Fg=4→Fe=3, we first study the cavity-transmission property in different coupling field, and verify that within the strong-coupling regime, the single-dark-state peak formed by electromagnetically induced transparency (EIT) shows ONR. Qualitative theoretical analysis shows that the stable ground-state Zeeman coherence is necessary for intracavity EIT. However, due to the frequency degeneracy, the large Rabi frequency of counter-propagating coupling field can reduce the number of effective atoms and weaken the strong-coupling of the atom-cavity, which determines that ONR based on intracavity EIT occurs only at weaker probe intensity. Furthermore, the ONR transmission with high contrast, linewidth-narrowed and broadband is experimentally demonstrated.

A canine population’s immune resistance to canine distemper virus (CDV), canine parvovirus (CPV), and infectious hepatitis virus (CAV-1) was evaluated. In this study, a total of 112 sera were analyzed. Animals were considered as vaccinated if, in the last two years, they had re-ceived at least one dose of a vaccine that provides joint protection against CDV, CPV, and CAV-1. Animals that had never received any dose of these vaccines were designated as non-vaccinated. CDV, CPV, and CAV-1 antibodies were detected via a modified solid-phase enzyme-linked im-munosorbent assay (ELISA), which detects IgG antibody levels in sera and provides semi-quantitative results in less than 30 min. In total, 41.1% of the dogs had been vaccinated, and 58.9% of dogs were designated as non-vaccinated. Overall, 90.2%, 92.0%, and 78.6% of the tested dogs had positive results for the presence of IgG antibodies against CPV, CDV, and CAV-1, re-spectively. CPV antibodies were present in 93.5% (43/46) of the vaccinated and 87.9% (58/66) of the non-vaccinated dogs, while CDV antibodies were present in 95.5% (63/66) of the vaccinated and 87.0% (40/46) of the non-vaccinated dogs. Finally, CAV-1 antibodies were present in 84.8% (56/66) of the vaccinated and of 69.6% (32/46) the non-vaccinated dogs.

In this work, a novel approach is presented for the multivariate prediction of hydrological variables, employing a specialized type of recurrent neural network (RNN) known as the long-term memory network (LSTM).The central objective is to develop a flood prediction model using data collected from two hydrological stations situated along the Atrato River in the Choc´o Department, Colombia. The interconnected variables of water level, water flow, and water precipitation are analyzed in this model to enhance flood prediction accuracy. The LSTM model, integrated into an RNN structure, is designed to capture the complex dynamics and cross-correlations inherent in these hydrological variables. Validation involves a comparison with linear and nonlinear Nonlinear AutoRegressive with eXogenous input (NARX) models, considering factors such as estimation error and computational time. Additionally, the study conducts further analysis for water level prediction under two scenarios: utilizing only outflow and inflow measurements or predicting outflow alongside measuring inflow, with the objective of utilizing the proposed approach as a flood early warning system. † This article is a revised and expanded version of a paper entitled Multivariable NARX based Neural Networks Models for Short-term Water Level Forecasting, which was presented at International Conference on Time Series and Forecasting (ITISE-2023), Gran Canaria, Spain, 12th-14th July, 2023.

In today's context of rising sea levels and subsiding land topography, coastal flooding is a major concern for coastal areas, both nationally, regionally, and internationally. A detailed understanding of these two phenomena is a prerequisite for effective coastal flood management. The main objective of the present study is to contribute to the understanding of the impact of subsidence and sea-level rise on coastal flooding in Saint-Louis, and in particular the Langue de Barbarie, by producing a vulnerability map of submerged surfaces. To this end, the Synthetic Aperture Radar (SAR) interferometry technique is used to process a time series of Sentinel-1 images and estimate land subsidence in the Saint-Louis and Langue de Barbarie area. Interferometric SAR (InSAR) measurements are merged with RCP 2.6 sea-level rise scenarios to identify predicted flooded areas and provide a flood vulnerability map. At the Langue de Barbarie, topographic subsidence is estimated at between -6.4 and -0.4mm/year. In this study, we show that local land subsidence may increase vulnerability to flooding caused by sea-level rise based on 2100 projections. This may represent an increase in the flood zone in the study area. Based on the RCP 2.6 scenario and the subsidence rates obtained, a significant part of the St. Louis coastline and city would be subject to coastal and fluvial flooding for the years 2040 and 2100. For these dates, 29 to and 36 Km2 of the studied area would be occupied by water. Given this situation, research in Saint-Louis needs to focus on adaptation scenarios to coastal risks, to protect coastal communities and safeguard the city's historical heritage.

Measuring and predicting Carbon Emission (CE) is important to enabling the main culprit of various urgent environmental issues including global warming. However, prior studies did not fully incorporate the impact of micro-level urban streetscapes, which might lead to biased prediction of urban CE. To fill the gap, we developed an effective framework to predict residential CE in urban areas from widely existing and publicly available street-view images (SVI) using machine learning. First, we used a semantic segmentation algorithm to classify more than 30 streetscape elements from SVI images to describe the built environment whose features might affect residential and transportation CE. Second, based on the streetscapes quantified, we trained a 10-fold cross-validation method with various machine learning models to predict the CE at the 1KM grid level using CE data from the PlanetData. We found first, built environment features such as sidewalks, roads, fences, buildings, and walls are significantly correlated with the residential CE. Second, the presence of buildings and subtle streetscape features (e.g., walls, fences) indicates higher-density residential areas which are related to more residential CE. Third, vegetation (e.g., trees and grass) are reversely related to residential CE. Our findings shed light on the feasibility of using a single and open data source (i.e., the SVI) to effectively model neighborhood-level CE for regions across diverse urban forms. Our framework is useful for urban planners to inform new town development and urban regeneration towards the low CE goals.

Large-scale crowd phenomena are complex to model because the behaviour of pedestrians needs to be described at both strategic, tactical, and operational levels and is impacted by the density of the crowd. Microscopic models manage to mimic the dynamics at low densities, whereas mesoscopic models achieve better performances in dense situations. This paper proposes and evaluates a novel agent-based architecture to enable agents to dynamically change their operational model based on local density. The ability to combine microscopic and mesoscopic models for multi-scale simulation is studied through a use case of pedestrians at the Festival of Lights, Lyon, France. Pedestrian outflow data is extracted from video recordings of exiting crowds at the festival. The hybrid model is calibrated and validated using a genetic algorithm that optimizes the match between simulated and observed outflow data. Additionally, a local sensitivity analysis is then conducted to identify the most sensitive parameters in the model. Finally, the performance of the hybrid model is compared to different models in terms of density map and computation time. The results demonstrate that the hybrid model has the capacity to effectively simulate pedestrians across varied density scenarios while optimizing computational performance compared to other models.

Infrastructure and urban network operators, city users and industrialists are faced with complex issues to ensure the sustainability of the service, maintain, operate and develop their urban sys-tems, while integrating environmental, economic and societal impacts and being resilient to un-expected geopolitical and climatic upheavals. Urban Digital Twins (UDTs), i.e., digital twins for smart cities and territories are considered as promising tools that can enable all stakeholders to collaborate across disciplinary silos and foster digital transformation in urban and territorial pro-jects to ensure sustainability, resilience and increased inventiveness. However, a widely acknowledged challenge to address in the application of UDTs is the lack of interoperability. One significant barrier is the difficulty that stakeholders have in understanding the level of complexity hidden behind this challenge, and thus the adoption of an adequate interoperability technique. This paper proposes a conceptual framework, which is unique for understanding the various lev-els of interoperability required in deploying and using the full potentials of UDTs. We show how such a high-level modeling approach supports the symbolic manipulation of UDTs interoperabil-ity notions and requirements, and thus eases the design of appropriate solutions for large-scale in-teroperable UDTs.

The Internet of Things (also known as IoT), a revolution, has enhanced the relevance of mobile employees' job efficiency in mobile crowd sensing (MCS). Incentives based on reputation for mobile workers (MW) play an important role in increasing service utilization, motivating mobile employees, and developing confidence in the service. The cell phone is the most exploited entity in mobile crowd-sensing MCS and cloud computing. In the underlying investigation, we observed that they had not evaluated the complexity level of a task, resulting in a strong reputation for executing multiple basic tasks. A person who completes a tough task may have a lower reputation score. Complexity levels of tasks (CLT) were developed for reputation evaluation on a crowd-sensing network, which would be utilized to evaluate the MW reputation. We offered simple and complex levels of challenges to assess reputation scores. Tasks receive incentives based on their reputation. By measuring reputation on (CLT) complexity level of task, this research will help the system to Maintain the reputation of the mobile worker so that entities of the system get the maximum benefit out of it, by hiring well-reputed mobile workers and MW receive an incentive on it. Furthermore, we conduct a comparative analysis between our scheme and various machine learning algorithms to identify the algorithm that best performs in evaluating task complexity. Considering both the simple and complex reputation scores, the comparison suggests that after analyzing the data, it is clear that the CLT (proposed) scheme and the Linear regression scheme not only outperformed the Neural Network scheme in terms of Complex Reputation Scores but also in terms of Simple Reputation Scores. We also apply statistical tests, such as p-tests and t-tests, to determine the significance of the results obtained from different algorithms. Considering MW 308, MW 345, and MW 1045's efforts and abilities, the MCS system may offer incentives and awards to further motivate and consider their continuing contributions. This reputation-based incentivization technique not only encourages strong competition among mobile workers, but also makes sure the delivery of high-quality services inside the MCS system.

A millimeter-wave microstrip leaky-wave antenna array based on the substrate-integrated waveguide (SIW) and the complementary split-ring resonator (CSRR) is proposed in this paper. The slow wave characteristics of the SIW are enhanced by etching two rows of symmetrical CSRR-type slots on the surface of the SIW layer. The magnetic coupling between the CSRR-SIW layer and equally spaced circular patches array on the upper layer realizes the radiation of electromagnetic energy. In the 23~30 GHz (relative bandwidth 26.4%) operating frequency band, the horizontal polarization radiation beam scanning from -62° to -2° is realized, with a peak gain of 9.6~11.7 dBi, and the cross-polarization ratio is more than 43.8 dB.

Sea level rise (SLR) is a critical consequence of climate change, posing significant threats to coastal regions worldwide. Accurate and efficient assessment of potential inundation areas is crucial for effective coastal planning and adaptation strategies. This study aims to explore the utility of free and open source software for geospatial (FOSS4G) tools for mapping SLR inundation, providing cost-effective solutions that are accessible to researchers and policymakers. We employed a combination of geospatial data, including high-resolution elevation models, tidal data, and projected SLR scenarios. Utilizing widely available FOSS4G tools like QGIS, GDAL/OGR and GRASS GIS we developed an integrated workflow to map inundation extents using a passive bathtub approach for various SLR scenarios. Our findings demonstrate that FOSS4G tools offer reliable and accessible means to map SLR inundation, empowering stakeholders to assess coastal vulnerabilities and devise sustainable adaptation measures. The open-source approach facilitates collaboration and reproducibility, fostering a comprehensive understanding of the potential impacts of SLR on coastal ecosystems and communities.

China is a traditional agricultural country, and the integration of rural industries has become an essential policy direction for the current strategy of agricultural modernization in China. In recent years, the agricultural industrial chains across various regions of China have consistently expanded and extended. The multifunctionality of agriculture is continuously unearthed, and the principal entities managing agriculture have become increasingly diversified and have grown significantly. New industries and forms in agriculture emerge incessantly. Accurately and profoundly understanding the inherent features of the integration of industries in rural China, establishing a scientific and rational measurement index system in line with the current status and development goals of rural China, and employing appropriate measurement methods to assess its development level and process, is instrumental in comprehending the level of integrated development in various regions. This aids in identifying challenges in the developmental process and proposing targeted developmental strategies. Hence, this paper, rooted in the integration of rural industries, cross-industry, industry extension, industry agglomeration, and industry penetration, sets up an measurement index system. Using provincial panel data from 2011 to 2020, the paper measures the level of integrated development in rural industries across China and its 31 provinces. Based on the measurement results, further techniques such as kernel density estimation and Gini coefficient decomposition have been used to analyze the spatial distribution characteristics and dynamic trends of the integrated development of rural industries in China. Research indicates that during the sample period, the overall level of integrated development in rural industries in various provinces in China has shown an upward trend. Development among the eastern, central, and western regions is highly uneven, but this disparity has been gradually narrowing in recent years. Furthermore, the levels of integrated development in different provinces exhibit significant spatial agglomeration effects. The development level of neighboring regions significantly impacts the province's development status. In the process of integrated development of rural industries in China, there's a trend where "it's easier to downgrade than to upgrade," with very few regions achieving leapfrog development.

Changes in sea level exhibit nonlinearity, nonstationarity, and multivariable characteristics, making traditional time series forecasting methods less effective in producing satisfactory results. To enhance the accuracy of the predictions of changes in sea level, this study introduced an improved VMD–EEMD–LSTM hybrid model. This model decomposes satellite altimetry data from near the Dutch coast using VMD, resulting in components of the Intrinsic Mode Function (IMF) with various frequencies and a residual sequence. EEMD further dissects the residual sequence obtained from VMD into second-order components. These IMFs decomposed by VMD and EEMD are utilized as features in the LSTM model for making predictions, culminating in the final forecasted results. The experimental results demonstrated significant improvements in the predictive performance compared with the VMD–LSTM model. The RMSE (root mean square error) decreased by an average of 58.68%, the MAE (mean absolute error) reduced by an average of 59.96%, and the R2 (coefficient of determination) increased by an average of 49.85% compared with the VMD–LSTM model. In comparison with the EEMD–LSTM model, the RMSE decreased by an average of 26.95%, the MAE decreased by an average of 28.00%, and the R2 increased by an average of 6.53%. The VMD–EEMD–LSTM model exhibited significantly improved predictive performance.

The construction of 22 dams on the Euphrates has reduced the flow of this river, changed the hydrology and destroyed the ecosystem. In order to understand the effect of extreme management on water, 4 coastal points from the Euphrates catchment area were selected to investigate the dynamics of the water level. Using the Cadmium method, the radius of each point was calculated to be 140 meters to study the NDWI index and satellite monitoring. 546 Landsat 8 OLI/TIRS satellite images from 2013 to 2022 were used. The analysis showed that the water level of the Euphrates in the fourth coordinate is directly related to the data of the first and third coordinates and the dynamics of the water level in the fourth coordinate is 3.6 to 4.2 percent of the first coordinate and another 5.2 to 5.9 percent is affected by the third coordinate. Is. Also, the data from August 2013 to 2022 were analyzed. The results showed that the correlation coefficients of the data related to the first coordinates are related to the third and fourth coordinates. It was proved that fluctuations in the first coordinate led to 27% change in the third coordinate in the months of August. Also, the changes in the first point caused 18-19.8% change in the dynamic level of water in the fourth point, and 22.5% of the changes in the water level in the fourth coordinate were affected by the third point.

The goal of this paper is the performance evaluation of a deep learning approach when deployed in fifth-generation (5G) millimeter wave (mmWave) multicellular networks. To this end, the optimum beamforming configuration is defined by two neural networks (NNs) that are properly trained, according to mean square error (MSE) minimization. The first network has as input the requested spectral efficiency (SE) per active sector, while the second network the corresponding energy efficiency (EE). Hence, channel and power variations can now be taken into consideration during adaptive beamforming. The performance of the proposed approach is evaluated with the help of a developed system level simulator via extensive Monte Carlo simulations. According to the presented results, machine learning (ML)-adaptive beamforming can significantly improve EE compared to the standard non-ML framework. Although this improvement comes at the cost of increased blocking probability (BP) and radiating elements (REs) for high data rate services, the corresponding increase ratios are significantly reduced compared to the EE improvement ratio. In particular, considering 21.6 Mbps per active user and ML adaptive beamforming, then EE can reach up to 5.3 Mbps/W, which is significantly improved compared to the non-ML case (0.9 Mbps/W). In this context, BP does not exceed 2.6%, which is slightly worse compared to 1.7% in the standard non-ML case. Moreover, approximately 20% additional REs are required, with respect to the non-ML framework.

In this paper an overview of waste materials in underground coal mines is presented, whereas waste materials can be of anthropogenic or geogenic origin. Complex interactions with mine water and waste materials take place, especially during mine water level rebound. Bearing in mind that under the increasing societal pressure most, if not all underground coal mines are going to be closed rather sooner than later, it is important to understand these interactions and to predict the composition and dynamics of mine water lever rebound in underground coal mines to prevent adverse effects to the environment, especially receiving waters and drinking water resources. The second part of this article focusses on the experiences gained in the Ruhr area, a closed underground coal mining region in Western Germany, where mine water rebound has been ongoing for decades. In this regard, the modelling program DMT-Boxmodel has been developed and applied to predict the hydrodynamics and hydrogeochemical development of the water rebound. As an example, simulation results of water rebound as well as solute and PCB transport in central province of Ruhr mining area are compared to the monitoring data, and predictions over 3 decades are given. The experiences gained in the mine water management in Ruhr area can be applied in mining areas worldwide.

Coastal areas situated at lower elevations are becoming more vulnerable to flooding as a result of the accelerating global sea level rise. As the sea level rises, so does the groundwater. Barriers designed to shield against marine flooding do not provide protection against flooding caused by rising groundwater. Despite the increasing threat of groundwater flooding, there is limited knowledge about the relationship between sea level rise and groundwater fluctuations. This hinders the ability to adequately consider sea level rise induced groundwater flooding in adaptation initiatives. This study aims to investigate how local groundwater in Juelsminde, Denmark, responds to changes in sea level and to evaluate the predictability of these changes using a machine learning model. The influence of the sea on the shallow groundwater level has been investigated using six groundwater loggers located between 45 and 210 m from the coast. An initial manual analysis of the data revealed a systematic delay in the rise of water levels from the coast to inland areas, with a delay of approximately 15–17 hours per 50 m of distance. Subsequently, a support vector regression model was used to predict groundwater levels 24 hours into the future. This study shows how the groundwater level in Juelsminde is affected by sea level fluctuations. Results suggest a need for increased emphasis on this topic.

Purpose To analyse diagnostic and therapeutic impact of molecular imaging TNM (miTNM) stage obtained with 18F-DCFPyL versus 18F-Fluorocholine in head to head comparison in biochemical recurrence (BCR) prostate cancer (PCa). Material and methods Patients with BCR PCa after radical treatment with previous 18F-Fluorocholine-PET/CT (negative or oligometastatic disease) were derived to 18F-DCFPyL-PET/CT. Patients were classified attending to: grade group, EAU classification, PSA, PSA doubling time (PSAdt) and PSA velocity (PSAvel). The overall detection rate (DR) and miTNM stage according to PROMISE criteria were assessed for both radiotracers and also correlation (Kappa). The influence of PSA and kinetics on both PET/CT (DR and miTNM) and predictive value of unfavourable kinetics on miTNM were determined. Cut-off PSA, PSAdt and PSAvel values able to predict PET/CT results were determined. Change in miTNM and treatment derived of 18F-DCFPyL information with respect to 18F-Fluorocholine was also evaluated. Results We studied 138 patients. 18F-DCFPyL showed a higher DR than 18F-Fluorocholine (64.5% vs 33.3%). 18F-DCFPyL and 18F-Fluorocholine detected T in 33.3% versus 19.6%, N in 27.5% versus 13.8%, M in 30.4% versus 8.7%. Both tracers DR showed significant associations with PSA and PSAvel. Significant association was only found between miTNM and PSA on 18F-Fluorocholine-PET/CT (p=0.033). For 18F-Fluorocholine and 18F-DCFPyL PET/CT a PSAdt cut-off of 4.09 and 5.59 months, respectively, were able to predict M stage. 18F-DCFPyL changed therapeutic management in 40/138 patients. Conclusion 18F-DCFPyL provides a higher DR and superior miTNM staging than 18F-Fluorocholine in restaging BCR, especially with high PSA and unfavourable PSA kinetics, showing a fair agreement to 18F-Fluorocholine.

Background: Low-level (LLLT) and high-intensity laser therapy (HILT) can be beneficial additions to knee osteoarthritis (KOA) rehabilitation exercises; however, it is still being determined which modality is more effective. Aim: To compare the effects of LLLT and HILT as adjuncts to rehabilitation exercise (LL+EX and HL+EX) on clinical outcomes in KOA. Methods: Thirty-four adults with mild to moderate KOA were randomly allocated to either LL+EX (n = 17) or HL+EX (n = 17) groups. All participants underwent their designated laser treatment combined with rehabilitation exercises weekly for twelve consecutive weeks. The Knee Injury and Osteoarthritis Outcome Score (KOOS), Numerical Pain Rating Scale (NPRS), active knee flexion, and Timed Up-and-Go test (TUG) were assessed at baseline and immediately post-intervention. Results: Post-intervention, both groups significantly improved their KOOS, NPRS, active knee flexion, and TUG scores compared to baseline (p &lt; 0.01). The mean difference of change in KOOS, NPRS, and active knee flexion scores for the HL+EX group surpassed the minimal clinically important difference threshold. In contrast, the LL+EX group only demonstrated clinical significance in NPRS scores. Conclusions: Incorporating HILT as an adjunct to usual KOA rehabilitation led to significantly higher improvements in pain, physical function, and knee-related disability compared to LLLT.

Continuous water resources monitoring is needed for sustainable urban water supply. Remote sensing techniques have proven useful for monitoring some water qualitative parameters with optical characteristics. The study area was the Marateca reservoir in central inland Portugal. The aims were the following: (1) to explore the water quality parameters at the monitoring points of the Marateca reservoir that may explain the event; (2) to validate optical water quality parameters with the monitoring points data; and (3) to model the reservoir water characteristics regarding its deepness, trophic state, and turbidity. The parameters total phosphorus, total nitrogen, and chlorophyll-a were used to compute a trophic level index. The Sentinel-2 imagery was used to compute spectral indices and bands image ratio; to obtain spectral signatures for the monitoring points, and to model water characteristics. The water parameters were above the recommended values at the reservoir entry point from the Ocreza River. The reservoir trophic level was Hypereutrophic and Eutrophic. The spectral signatures confirmed a Hypereutrophic pattern in the entry point. The Marateca reservoir’s water characteristics modeling forecasted problematic zones by contamination. The methodological approach developed can be easily applied to other reservoirs and is a key support tool for decision-makers.

Since the 1990s, mobile telecommunication networks have gradually become denser around the world. Nowadays, large parts of their backhaul network consist of commercial microwave links (CMLs). Since CML signals are attenuated by rainfall the exploitation of records of this attenua-tion for precipitation monitoring purposes is an innovative and inexpensive solution. Performance data from mobile operators' networks is crucial for the implementation of this technology. And, moreover for near real-time quantification. To meet this requirement, a real-time system for col-lecting and storing CML power levels from the cellular phone operator "Telecel Faso" in Burkina Faso was implemented. This new acquisition system, which uses the Simple Network Manage-ment Protocol (SNMP) can simultaneously record the transmitted and received power levels from all the CML to which it has access, with a time resolution of one minute. Installed at “Laboratoire des Matériaux et Environnement de l’Université Joseph KI-ZERBO (Burkina Faso)”, this acquisi-tion system is dynamic and has gradually grown from eight to more than 1000 radio links Tele-cel Faso CML links between 2019 and 2021. The system covers the capital Ouagadougou and the main cities of Burkina Faso (Bobo Dioulasso, Ouahigouya, Koudougou and Kaya) as well as the axes connecting Ouagadougou to these cities.

State transition in the multiple-levels system has the great potential applications in the quantum technology. In this article we employ a deterministic approach in complex space to analyze the dynamics of the 1s-2p electron transition in the hydrogen atom. The electron’s spin motion is embodied in the framework of quantum Hamilton mechanics that allows us to examine the transition dynamics more precisely. The transition is driven by an oscillating electric field in the z-direction. The electron’s transition process can be visualized by monitoring its motion in the complex space. The quantum potential and the total energy proposed in this paper provide new indices to observe the dynamic changes of electrons in the transition process.

A simple underwater noise model suitable for use with explosive severance of well conductors and piles during the decommissioning of oil and gas subsea structures is introduced and evaluated against data from five projects in the US. This study focuses on a novel model for the determination of sound exposure levels. The model has been developed to enable determination of impact areas for marine mammals and fish. Simulated received underwater sound exposure levels were significantly correlated with measurements for all scenarios. The maximum total error achieved between simulations and measurements was 2.6%, suggesting that predictions are accurate to within 3% of the average measurement. A low relative bias was observed in the simulations when compared to measured values, suggesting only a small systematic underestimate (≤ 0.5% of average measurement) for most severance operations and a small overestimate (0.14%) for open water blasts.

The incorporation of renewable energy into power systems poses serious challenges to the transmission and distribution power system operators (TSOs and DSOs). To fully leverage these resources there is a need for a new market design with improved coordination between TSOs and DSOs. In this paper we propose two coordination schemes between TSOs and DSOs: one centralised and another decentralised that facilitate the integration of distributed based generation; minimise operational cost; relieve congestion; and promote a sustainable system. To this end, we approximate the power equations with linearised equations so that the resulting optimal power flows (OPFs) in both the TSO and DSO become convex optimisation problems. In the resulting decentralised scheme, the TSO and DSO collaborate to optimally allocate all resources in the system. In particular, we propose an iterative bi-level optimisation technique where the upper level is the TSO that solves its own OPF and determines the locational marginal prices at substations. We demonstrate numerically that the algorithm converges to a near optimal solution. We study the interaction of TSOs and DSOs and the existence of any conflicting objectives with the centralised scheme. More specifically, we approximate the Pareto front of the multi-objective optimal power flow problem where the entire system, i.e., transmission and distribution systems, is modelled. The proposed ideas are illustrated through a five bus transmission system connected with distribution systems, represented by the IEEE 33 and 69 bus feeders.

Timely diagnosis of Alzheimer's diseases(AD) is crucial to obtain more practical treatments. In this paper, a novel approach Based on Multi-Level Fuzzy Neural Networks (MLFNN) for early detection of AD is proposed. The focus of study was on the problem of diagnosing AD and MCI patients from healthy people using MLFNN and selecting the best feature(s) and most compatible classification algorithm. In this way, we achieve an excellent performance using only a single feature i.e. MMSE score, by fitting the optimum algorithm to the best area using optimum possible feature(s) namely one feature for a real life problem. It can be said, the proposed method is a discovery that help patients and healthy people get rid of painful and time consuming experiments. Experiments shows the effectiveness of proposed method in current research for diagnosis of AD with one of the highest performance (accuracy rates of 96.6%), ever reported in the literature.

Green Infrastructures (GI) are considered key to reconcile ecological and social benefits by providing multiple functions. The concept is increasingly promoted and guidelines for its implementation have been developed in many countries and regions of the Western Hemisphere. However, for other parts of the world, especially for countries with less developed infrastructures, promotion, guidance for decision-making and manuals for GI are often lacking. But the state of infrastructure development and often unplanned character of settlements in the Global South differ and result in specific constraints as well as demands to GI that need to be addressed explicitly. This study presents a methodological approach to explicitly address the specific conditions and physical limitations to GI development in urban areas of the Global South. A four step methodology was developed to assess the implementation potential for retrofitted and multifunctional urban green infrastructure in public areas. An initial site analysis (1) and the definition of design criteria as well as general strategies (2) to achieve the different dimensions of multi-functionality are the basis to derive spatial typologies (3) for GI elements and finally the spatial suitability assessment for potential placements (4). An application of the methodology to a study area in the metropolitan region of San José, Costa Rica, shows exemplarily that the potential to improve the hydrological conditions (up to 34% of surface runoff reduction), ecological conditions (increase of green space by 2,2 %, creation of 1500 m length of roadside greenery and two new habitat types), and social conditions (2.200 m of road type upgrading) of multi-functionality of the site through Green Infrastructures. These assessment results of different multi-functionality dimension can serve as a guidance for GI promotion and implementation in urban areas of the Global South.

Many clustering approaches succeed in pattern segmentation in many applications. This unsupervised segmentation should be effective to reduce an expert labelling time: i.e, they must be able to detect the number of patterns and identify them in a sequence or map with the right cuts. Several direct and hierarchical clustering approaches are compared for this task. A divisive spectral clustering architecture with a no-cut criteria is also proposed. This new algorithm achieves promise segmentation of spatial UCI databases and marine time series compared to other approaches.

This article presents a method of segmenting images with gray levels that uses Onicescu's information energy calculated in the context of the neutrosophic theory. Starting from the information energy calculation for complete neutrosophic information, it is shown how to extend its calculation for incomplete and inconsistent neutrosophic information. The segmentation method is based on calculation of thresholds for separating the gray levels using the local maximum points of the Onicescu information energy.

High-Rise buildings with their particular features can affects on surrounding environment and makes new microclimates. In the windy conditions, the spaces that are between building blocks changes to passages and affects on the wind velocity, intensity and it’s other parameters.The importance of this effect is different in each level of building height. The Pedestrian-Level is the lowest and one of important areas. Markets, playgrounds and pedestrian access had located in this area and any unwanted microclimate changes like high velocity and turbulence in this level can makes discomfort and dangerous condition for residents. So this research tries to consider the pedestrian- level wind comfort in some High-Rise building complexes arrangement that had located in Tehran district 22 with Computational Fluid Dynamics (CFD) modeling and reaching to a suitable arrangement pattern. It had collected the required data through field study and librarian databases and then compared them with standard guidelines and analyzed them by comparative comparison method. As a result a linear arrangement that placed crossover to wind direction for providing wind comfort and preventing wind danger is been suggested in this region.

Sea level rise is one of the main factor of risk for the preservation of cultural heritage sites located along the coasts of the Mediterranean basin. Coastal retreat, erosion and storm surges are yet posing serious threats to archaeological and historical structures built along the coastal zones of this region. In order to assess the coastal changes by the end of 2100 under an expected sea level rise of about 1 m, a detailed determination of the current coastline position and the availability of high resolution DSM, is needed. This paper focuses on the use of very high-resolution UAV imagery for the generation of ultra-high resolution mapping of the coastal archaeological area of Pyrgi, near Rome (Italy). The processing of the UAV imagery resulted in the generation of a DSM and an orthophoto, with an accuracy of 1.94 cm/pixel. The integration of topographic data with two sea level rise projections in the IPCC AR5 2.6 and 8.5 climatic scenarios for this area of the Mediterranean, were used to map sea level rise scenarios for 2050 and 2100. The effects of the Vertical Land Motion (VLM) as estimated from two nearby continuous GPS stations located as much as close to the coastline, were included in the analysis. Relative sea level rise projections provide values at 0.30±0.15 cm by 2050 and 0.56±0.22 by 2100, for the IPCC AR5 8.5 scenarios and at 0.13±0.05 cm by 2050 and 0.17±0.22 by 2100, for the IPCC AR5 2.6 scenario. These values of rise will correspond to a potential beach loss between 12.6% and 23.5% in 2100 for RCP 2.6 and 8.5 scenarios, respectively, while during the highest tides the beach will be reduced up to 46.4%. With these sea level rise scenarios, Pyrgi with its nearby Etruscan temples and the medieval castle of Santa Severa will be soon exposed to high risk of marine flooding, especially during storm surges, thus requiring suitable adaptation strategies.

Along with density and mass variations of the oceans driven by global warming, Glacial Isostatic Adjustment (GIA) in response to the last deglaciation still contributes significantly to present-day sea-level change. Indeed, in order to reveal the impacts of climate change, long term observations at tide gauges and recent absolute altimetry data need to be decontaminated from the effects of GIA. This is now realized by means of global models constrained by the observed evolution of the paleo-shorelines since the Last Glacial Maximum, which account for the complex interactions between the solid Earth, the cryosphere and the oceans. In the recent literature, past and present-day effects of GIA are often expressed in terms of fingerprints describing the spatial variations of several geodetic quantities like crustal deformation, the harmonic components of the Earth's gravity field, relative and absolute sea level. However, since it is driven by the sluggish readjustment occurring within the viscous mantle, GIA shall taint the pattern of sea-level variability also during the forthcoming centuries. The shapes of the GIA fingerprints reflect inextricable deformational, gravitational, and rotational interactions occurring within the Earth system. Using up-to-date numerical modeling tools, our purpose is to revisit and to explore some of the physical and geometrical features of the fingerprints, their symmetries and intercorrelations, also illustrating how they stem from the fundamental equation that governs GIA, i.e., the Sea Level Equation.

Noise pollution is an environmental problem due to its effect on hearing and other related health issues. The elevated noise levels above standard limits cause hearing loss and other attendant problems. In Nigeria, viewing centers where football matches are watched via satellite are known as ‘Mini Stadium’. In this study, the noise pollution of a viewing center was assessed. To do this, five top teams each from the English Premier League (EPL), La Liga, Bundesliga, League 1, and Serie A were selected for the assessment. A sound level meter (GB: 2266204, made in China) was used for the monitoring. The range of noise levels in dBA showed as follow: EPL (56-108); La Liga (46-106); Bundesliga (54-102); Serie A (49-101); and Ligue 1 (54-101). The results when compared with the standard limits, it was observed that part of the results exceeded the limits, this means that the viewers and others within the viewing center may be prone to the hearing problem. It is recommended that acoustic insulators and hearing aids should be used to reduce the attendant problems associated with noise.

Fibrin rich of platelets (PRF^®) of Choukroun represents a new step in the therapeutic concept of platelet gel with a simplified processing and biochemical changes little artificial. A valid method of preparation of the PRF must effectively separate the plates by erythrocytes and concentrate without damaging or lysing the plates themselves. In this study the experimental design is to standardize the production of L-PRF in horse directing it to human production. Our hypothesis is that the L-PRF is easy to produce in the horse, without modifications of the human protocol, thus allowing a better standardization of the human protocol. A new device for the preparation and the standardization of L-PRF clots and membranes is the L-PRF Wound Box^®. The optical microscopy, most cell bodies were highlighted concentrated in the proximal portion of each membrane, the last 1/4 was observed at the center; the distal part had only residual traces of cell bodies. The L-PRF will form constantly when the phases described above are strictly adhered to. The success of the art L-PRF depends entirely on the speed of blood collection and transfer in centrifuge within a minute and by a temperature of centrifugation and compression is higher than 21°C (between 21 and 30°C). Our experiments on the horse will no doubt be able to improve our understanding on wound healing, in particularly in chronic skin lesions therapy.

Wearable devices have a significant impact on society and recent advancements in modern sensor technologies are opening up new possibilities for healthcare applications. Continuous vital sign monitoring using IoT can be a crucial tool for emergency management, reducing risk in rescue operations and ensuring the safety of workers.The massive amounts of data, high network traffic, and computational demands of a typical IoT monitoring application can be challenging to manage with traditional infrastructure. Cloud computing provides a solution with its built-in resilience and elasticity capabilities.This article presents a cloud-based monitoring architecture for remote vital sign tracking of paramedics and medical workers through the use of a mobile wearable IoT device. It enables the management of ECG, breathing patterns, and other vital signs during work sessions, and sends real-time alarm events to a personnel management center. The platform was extensively used and tested in a large-scale monitoring application for tracking the activities of emergency room and ambulance workers, and the results of this testing are presented.

Cuffless sphygmomanometers may be useful alternative blood pressure monitors for screening and home healthcare. The main requirements for these devices are accuracy in the resting state, accuracy during dynamic blood pressure changes, and long-term stability. Intermittent measurements can ensure that the accuracy of active measurements mirrors that of measurements in the resting and dynamic states. This brief report proposes a new protocol to evaluate long-term stability based on a comparison with a medically approved cuff-based automated sphygmomanometer rather than an auscultatory sphygmomanometer. Dynamic changes in blood pressure are not usually assessed based on intermittent measurement with an over-the-counter (OTC) sphygmomanometer. Thus, validation testing focused on the accuracy of the OTC cuffless sphygmomanometer in the resting state and the long-term stability of the device, and the results were similar to those of the cuff-based sphygmomanometer. Further research and discussions are necessary to develop standards derived from high-quality evidence for manufacturers of OTC sphygmomanometers.

Addressing the significant challenge in high-speed cotton dibbling operations in Xinjiang—specifically, the duck bill’s ("Duck bill" is a type of duck-billed bunch planting mechanism or component). shortened opening duration leading to seed throwing and floating—a new crawler-type delayed hole-forming mechanism has been designed. This mechanism extends the duck bill horizontally, thereby prolonging its opening time, enabling cotton sowing speeds of up to 6 km/h. Following agronomic principles for cotton planting, the overall layout of the crawler-type hole-forming mechanism, the structural parameters of the key components and the trajectory of the hole-forming are determined. We use the Discrete Element Method (DEM) and multi-body dynamics coupling method to simulate and analyze the motion process of the device. The fixed the tilt angle of the duck bill α(A), the depth of the duck bill hole-forming into the soil h(B), and the angle of rotation of the moving duck bill β(C) were taken as the experimental factors, with the longitudinal length of cotton seed hole (Y1) and the hole-forming depth of cotton seed hole (Y2) as the response values. The parameter range of each factor and the preliminary influence on the response value were determined through pre-experiments and single-factor simulation test. Based on RecurDyn-EDEM coupling, a quadratic regression orthogonal rotation combination simulation test was carried out. The results show that the order of the primary and secondary factors affecting the Y1 of the time-lapse hole-forming device was: A > C > B. The order of primary and secondary factors affecting the Y2 of the delayed hole forming device was: B > C > A. When the A was 2.4 °, the B was 42.4 mm, and the C was 30.5 °, the performance of the hole-forming was the best, and the Y1 was 26.4 mm, and the Y2 was 25.0 mm. The bench verification test results show that under the optimized combination of operating parameters, the average Y1 was 29.1 mm, and the average Y2 was 23.2 mm. Compared with the results of the previous coupled simulation model, the average relative errors of the two are 7.23 % and 4.36 %, respectively, indicating the accuracy and effectiveness of the established DEM simulation model and virtual test analysis. The hole-forming area and the opening time of the duck bill after the stable operation of the machine were recorded and measured. The calculated hole dislocation rate Hc was 4.33 %, which did not exceed the national standard requirement of 6 %. The qualified rate of hole distance Hx was 94.33 %, which was much higher than the national standard requirement of 80 %. The average opening time of the duck bill at a speed of 6 km/h is 0.45 s, which is much longer than the time required for cotton seeds to fall from the duck bill 0.11 s. It meets the requirements of high-speed cotton planting in China and facilitating advancements in future high-speed planter technology.

Especially in the last two decades, due to the developments in durable mechanical circulatory support (MCS) technology and applications, left ventricular assist (LVAD) implantation has become used in more fragile end-stage heart failure patients with higher risk. Despite advances in technology and patient care processes, right heart failure remains the leading cause of morbidity and mortality after durable LVAD implantation. It is difficult to make decisions about the type and duration of MCS during preoperative evaluation, and many clinical, hemodynamic, biochemical and echocardiographic criteria must be taken into account when evaluating the right ventricle. Complex quantitative scoring systems, including measurements of different risk factors for postimplant right ventricular failure, and composite variables, including the anatomical and functional status of the right ventricle, have been used to decide between left or biventricular assist device implantation. The successful use of artificial intelligence (AI) and machine learning (ML) in various applications in the medical field has paved the way for the idea of using it to better predict possible conditions such as right heart failure after LVAD implantation. This review aims to evaluate the current situation of risk prediction models using AI and ML technology, which have become popular in recent years, and possible future developments in predicting right heart failure after the application of durable MCS systems.

Background: Patients with infectious complications related to the presence of cardiac implantable electronic devices (CIED) constitute a heterogeneous group, including local pocket infection (PI) and lead related infectious endocarditis (LRIE). The diagnosis of CIED-related infection is often difficult and requires complex imaging and microbiological tests. The aim of the current study was to evaluate the usefulness of new simple hematological parameters in detecting infectious complications in patients with CIED and assessing their extent. Methods: The retrospective analysis of clinical data of 2909 patients (36.37% with CIED-related infections), undergoing transvenous lead extraction (TLE) procedures in three high-volume centres in the years 2006-2020, was conducted. The sensitivity and specificity of new hematological markers were evaluated: the neutrophil to lymphocyte ratio (NLR), neutrophil to platelet ratio (NPR), and lymphocyte to platelet ratio (LPR) in the diagnosis of infectious complications, assessment of the spread of the infectious process and differentiation of additional structures related to the presence of leads. Results: In patients with CIED infections, compared to the non-infectious group, high inflammatory parameters were confirmed, and the highest specificity of the new markers in detecting the infectious process was demonstrated. (79.47% for NPR and 72.82% for NLR). Analysis of laboratory parameters in infectious and non-infectious patients with the presence of additional lead-related masses showed the highest specificity of NPR (82,78%) in predicting the diagnosis of vegetation. Comparison of laboratory parameters in patients with LRIE and PI showed higher NLR % (4.24 vs 2.56; p<0.001, area under curve (AUC) in a receiver operating characteristic (ROC) curve: 0.67 and 0.78 respectively) and higher NPR (0.03 vs 0.02; p<0.001; AUC: 0,51 and 0,55) in patients with LRIE. The highest sensitivity in the detection of coexistence LRIE with PI has been demonstrated for NLR (87.33%). Conclusions: Novel hematological markers may be helpful in the recognition of the inflammatory process in patients with CIED, differentiation of vegetation and vegetation-like masses, and the extent of infection in patients with PI.

The effects of the solvent used for the active layer materials of an OLED based on TADF emitters plays a fundamental role in solution-deposited devices. This work focuses the effects on the performance of different solvents employed to fabricate a very simple two organic layer OLED based on a green TADF emitter, under the concept of host:guest matrix. From the different results of the main figures of merit, it was possible to conclude that the OLED that used toluene as solvent for the active layer reached a maximum EQE of 14%, almost the maximum already obtained for this emitter in more complex device structures. With the analysis of the charge transport processes, it was possible to establish an explanatory model for the obtained results. Through impedance spectroscopy, additional characterization about the nature of charge transport processes was carried out. With these results, it was possible to corelate the relaxation times, with the electrical properties of the active layer, and infer about the interaction between the electrical charges and the defect levels opening new possibilities to further development in the printed OLEDs.

A recently proposed single image parasite quantification (SIMPAQ) platform based on a Lab-On-a-Disc (LOD) device has been earlier successfully tested in field conditions demonstrating the efficiency in soil-transmitted helminths (STH) egg detection and analysis. A related study (Micromachines 2021, 12, 1032) revealed the effects that can limit the performance of a SIMPAQ method due to the action of the Euler and Coriolis forces, and the interaction of the moving eggs with the walls of the LOD chamber. Here we propose a new improved design that allows to overcome those limitations and enhance the yield of the SIMPAQ LOD device which is demonstrated in the experiments with synthetic particle model system and real parasite eggs.

The chiral recognition of enantiomers is a topic of great importance. In this study, a straightforward and effective chiral detection strategy was developed for distinguishing between tryptophan (TRP) enantiomers. The approach involved the preparation of a magnetic molecularly imprinted chitosan (MMIC) for the sample preparation, which was combined with a nitrocellulose membrane (paper-based analytical device, PAD) integrated with D-TRP covalently-grafted polymethacrylic acid (PAD_PMA_D-TRP). The discrimination between TRP enantiomers was achieved using AuNPs as a colorimetric probe. Indeed, the presence of D-TRP rapidly induced the aggregation of AuNPs due to its strong affinity to PAD-PMA_D-TRP, resulting in a noticeable color change of the AuNPs from red to purple. On the other hand, L-TRP did not induce any color change. The chiral analysis could be easily performed with the naked eye and/or a smartphone. The developed method exhibited a detection limit of 3.3 µM and it was successfully applied to detect D-TRP in serum samples, demonstrating good recovery rates. The proposed procedure is characterized by its simplicity, cost-effectiveness, rapidity, and ease of operation.

Background: Sensor usage in the classical scientific process has allowed new experimentation in medicine. We report on the design process of a MEMS sensor being used for muscle trauma evaluation in diagnosing acute compartment syndrome (ACS), a medical ailment costing society billions of dollars per year. Objectives: Modeling the disease with scientific process allows a more complete under-standing of the disease. The goal was to formulate a hypothesis that could be tested to aid in making the diagnosis of ACS accurately. Methods: Scientific process was observed throughout the disease modelling process. Background information was improved and clarified, new pre-clinical models were de-signed and verified, a hypothesis built on pressure measurement with MEMS sensors was carried out, and the testing of the model as verified against previous clinical data was accomplished. Results: Scientific process resulted in hypothesis generation around the relationship of intracompartmental pressure measurement and the disease process and therapy. This resulted in new understanding of ACS, accurate modelling, and sensor design resulting in a MEMS device that has an extremely high sensitivity and specificity (over 99%) in treating and diagnosing the disease. Conclusion: MEMS sensor technology defines the new gold standard of implanting a sensor in a muscle compartment that allows accurate diagnosis of ACS with continuous trends in pressure.

The increasing regulatory pressure to monitor and reduce GHG emissions and air pollutants requires cost-effective methods for their surveillance. The most common technique used for scientific investigations on gas concentration monitoring in barns are accurate but expensive and with a complex maintenance. This research study analysed the potential use of a low-cost portable measurement devices for the measurement of ammonia (NH3) and carbon dioxide (CO2) concentrations in an open dairy barn. A comparison between gas concentrations acquired at different heights from the floor by using portable devices and those acquired by a photoacoustic infrared multigas spectroscope (i.e., reference measurement) in the same sampling locations was carried out to determine the precision of the low-cost portable devices. The performance of low-cost portable devices was statistically analysed by the application of the one-way analysis of variance, correlation analysis and regression analysis. The results showed a significant difference between gas concentration values at various heights from the floor for both NH3 and CO2. The correlations between concentrations acquired by the low-cost portable device and the INNOVA were statistically significant (r=0.83; P&lt;0.001) for gas concentrations monitored at 0.4 m from the floor. Compared with the reference measurement device, the low-cost devices were effective in the monitoring of NH3 concentrations at 0.40 m from the floor though it underestimated them in the barn at increasing of the height from the floor, whereas the device was not adequate for CO2 concentrations. In detail, the relative measurement error of the low-cost devices compared to INNOVA was reduced close to the floor during NH3 concentration measurements. Within these limitations, this device could be useful for monitoring NH3 concentration in the barn and to assess variation in NH3 concentrations mainly related to the animal occupied zone. Further efforts are needed in this field of research to identify low-cost device that could simplify emission estimation from open dairy barns.

Although the relations between sleep and academic performance have been extensively examined, how sleep predicts future academic performance (e.g., 2 -3 years) remains to be further investigated. Using wearable smartwatches and a self-report questionnaire, we tracked sleep activities of 45 college students over a period of approximate half a month to see whether their sleep activities predicted their academic performance, which was estimated by grade point average (GPA). Results showed that both nighttime sleep awakening frequency and its consistency in the tracking period were not significantly correlated with the GPA for the courses taken in the semester during sleep tracking (current GPA). However, both nighttime sleep awakening frequency and its consistency inversely predicted the GPA for the rest of the courses taken after that semester (future GPA). Moreover, students with more difficulty staying awake throughout the day obtained lower current and future GPAs, and students with lower inconsistency of sleep quality obtained lower future GPA. Together, these findings highlight the importance of nighttime sleep awakening frequency and consistency in predicting future academic performance and emphasize the necessity of assessing the consistency of sleep measures in future studies.