This paper reports the findings from a pilot study designed to explore the barriers, facilitators and similarities with the delivery and implementation of two distinct models of Advance Care Planning (ACP) documentation for older adults in their last year of life used by health care professionals in their clinical practice. PACe (Proactive Anticipatory Care Plan): a GP led model and PEACE (Proactive Elderly Persons’ Advisory CarE): a nurse led model with community geriatrician oversight were used by participants in their clinical practice. Telephone interviews were conducted with general practitioners (GPs) to explore their views of using the PACe tool. Hospital admission avoidance matrons took part in face to face interviews and care staff employed in private residential care homes took part in individual telephone interviews to explore their views of using the PEACE tool. GPs and admission avoidance matrons were employed by Clinical Commissioning Groups (CCGs) and all study participants were recruited from the South East of England where data collection took place in 2015. Nine telephone interviews and two face-to-face interviews (one joint and one individual) were conducted with twelve participants. The data was analysed thematically. Participants highlighted the similarity of both tools in providing focus to ACP discussions to inform individual end-of-life care preferences. The importance of relationships was a pivotal theme-established, trusting inter-professional relationships to enable multidisciplinary teamwork and a prior relationship with the older person (or their proxy in the case of cognitive impairment) to enable conversations of this nature. Using both tools enabled participants to think critically and reflect on their own practice was another theme identified. Notwithstanding participants’ views to improve the layout of both tools, using a paper-based approach to deliver streamlined ACP and end-of-life care was a theme to emerge as a barrier which focused on the problems with access to paper-based documentation, accuracy and care co-ordination in the context of multidisciplinary team working. The value of technology in overcoming this barrier and underpin ACP as a means to help simplify service provision, promote integrated professional practice and provide seamless care was put forward as the solution.

Background/Objectives: The COVID-19 pandemic has had a profound impact on mental health worldwide, especially exacerbating Eating Disorders (EDs). This study aims to evaluate changes in the presentation and severity of EDs before and after the pandemic at the Regional Residential Center "Mariconda" in Salerno. Methods: This retrospective cohort study analyzed data from 162 patients admitted to the Regional Residential Center "Mariconda" between December 2018 and December 2023. The onset of pandemic restrictions in mid-2020 was the dividing line for the pre-COVID and post-COVID groups. Demographic and clinical data were collected, including age, gender, education level, previous hospital admissions, admission diagnosis, body mass index (BMI), and comorbidity with other psychiatric illnesses. Results: Of the 162 subjects, 115 were admitted post-pandemic. The post-pandemic group was significantly younger, had lower education levels, more frequent previous hospitalizations, and a higher frequency of severe comorbidity with other mental illnesses compared to the pre-COVID group. No significant differences were found between the groups regarding gender distribution, initial diagnosis upon admission, average and length of hospital stay. Conclusion: The COVID-19 pandemic has exacerbated the presentation and severity of EDs, particularly among younger individuals with lower educational attainment. These findings underscore the urgent need for targeted, integrated treatment approaches for EDs, especially global crises. Further research is essential to understand the long-term effects of the pandemic on EDs and to refine treatment strategies to better support affected individuals.

Background: Heart failure (HF) with preserved ejection fraction (pEF) has lacked effective 23 treatments for reducing mortality. However, previous studies have found an association between 24 statin use and decreased mortality in patients with HFpEF. The aim of this study was to analyze 25 whether statin therapy is associated with a reduction in mortality in these patients and whether the 26 effect differs according to presence or absence of ischemic heart disease (IHD). Methods: We ana- 27 lyzed data from the National Registry of Heart Failure, a prospective study including patients ad- 28 mitted for HF in Internal Medicine units nationwide. Patients with HFpEF were classified according 29 to the use of statins and differences between two groups were analyzed. A multivariate analysis 30 was performed using Cox regression to assess factors independently related to mortality. Results: 31 2788 patients with HFpEF were included, 63% of them were women with a mean age of 80.1(±7.8) 32 years. The statin-treated group (40.2%) was younger, with better functional status, and had a more 33 common diagnosis of vascular disease and lower frequency of atrial fibrillation. The most frequent 34 etiology of HF in both groups was the hypertensive one. Nevertheless, ischemic HF was more com- 35 mon in those who received statins (24.8% vs. 9.6%; p<0.001). Multivariate analysis showed lower 36 mortality at 1-year follow-up in statin-treated patients (OR:0.74; 95%CI:0.61-0.89; p=0.002). This as- 37 sociation was observed in patients without IHD (p<0.001), but not in those with IHD (p=0.11). Con- 38 clusion: Statins are associated with a decrease in total mortality in patients with HFpEF. This benefit 39 occurs mainly in those without IHD.

The use of pesticides such as rotenone can lead to toxicity, dysfunction and neuronal death in humans. The Copaifera Reticulata Ducke Oil-Resin (CPOR) is widely used by the natives of the Amazon, however, studies on its potential neuroprotective effect are lacking. This study investigated the cytoprotective effect of CPOR on total cell cultures of the ventral midbrain (VMC), hippocampus (HC) and cerebral cortex (CCC) exposed to rotenone at different concentrations. The total cell cultures of VMC, HC and CCC were exposed for 72 or 24 hours to rotenone, CPOR and rotenone + CPOR. Cell viability was measured using the MTT test and compared using one-way ANOVA. Exposure to rotenone reduced the cell viability of CMV, HC and CCC. Exposure to CPOR reduced the cell viability of CMV. The cell viability of CMV exposed simultaneously to rotenone and CPOR was higher compared to rotenone alone. The cell viability of HC exposed simultaneously to rotenone and CPOR was higher than that exposed to rotenone. CMVs are more vulnerable to rotenone toxicity and more sensitive to CPOR. Considering simultaneous exposure, CPOR revealed a possible neuroprotective effect against rotenone damage only for VMC and HC.

Liposomal amphotericin B (L-AmB) has become the cornerstone for the treatment of severe invasive fungal infections. However, renal toxicity may be an associated risk. Our aim was to evaluate the incidence of acute kidney injury (AKI) in critically ill patients receiving L-AmB for more than 48 hours. Clinical, demographic and laboratory variables were obtained retrospectively from electronic health record. Follow-up of the patients was for 7 days after L-AmB infusion. Patients were analyzed globally and differentiated between patients with "low" and "high" risk of developing AKI with machine learning techniques. Sixty-seven patients were included: 61 years, 67% male, with mean SOFA score of 4 (3-6.5) and a crude intensive care unit mortality of 34.3%. No significant variations in serum creatinine were observed during the observation period, except for the decrease in the high-risk subgroup. Overall, 26.8% of patients developed AKI-I, while 25% and 13% of patients at low and high risk of AKI developed AKI-I, respectively. The random forest models performed in overall and low-risk subgroup identified several major contributor’s factors to the development of AKI other than L-AmB administration. The development of AKI is multifactorial and the administration of L-AmB appears to be safe in this group of patients.

This work mapped the research chronology and conceptual trends on conservation agriculture-soil health-sustainable development goals nexus by analyzing data from related literature. This is the first-time different bibliometric methods such as VOSviewer, Flourish, as well as Bibliometrix and Biblioshiny models in RStudio were simultaneously used to investigate the research impacts and/or interactions between conservation agriculture (CA), soil health and sustainable development at global scale. On 20th February 2024, a search was launched on the web of science core collection using related search terms to extract relevant data. After the screening and elimination, the search produced 835 papers which were used in the bibliometric analysis. The revealed that USA (31%), India (27%), Australia (7%), England (6%), China (6%), Canada (5%), and other countries had below 5% of the published documents. Many of the papers covered zero hunger (38%), climate action (30%), life on land (26%), while other SDGs had relatively low coverage. The study found the adoption of no till, cover cropping, and organic amendments by the authors as the common CA practices. The hybrid bibliometric approach provided a clear roadmap in understanding the global research trajectory on CA-soil health and SDGs nexus, as well as the roles of countries, authors, institutions, publishing journals. This knowledge could support in championing future debates on CA potential for effective discussion and policies, especially in the developing countries where there have been low publications.

GeneVac-B® was recently licensed in Burkina Faso and is widely used for population vaccination. This study aimed to evaluate the immune response in people fully vaccinated against hepatitis B with the GeneVac-B® vaccine in Burkina Faso under actual conditions of use. This cross-sectional study included individuals fully vaccinated with GeneVac-B®. For each consenting participant, sociodemographic and clinical data were collected using a structured questionnaire. Approximately 4 mL of whole blood was collected for immunological (anti-HBs, HBsAg, anti-HCV and anti-HIV) and biochemical (blood glucose, total cholesterol, and triglycerides) testing. The anti-HBs titer was used to determine the immune response. A total of 392 participants were included in the study. The mean age was 35.5±15 years. Approximately 56.1% had been previously exposed to HBV. Three hundred eighty (380) participants had an anti-HBs titer ≥ 12 mIU/mL, a seroprotection rate of 96.9%, and 12 had a titer &lt; 12 mIU/mL, a nonresponse rate of 3.1%. Among the nonresponders, 11 (11/12; 91.7%) had high total cholesterol levels (&gt; 240 mg/dL), and 8 (8/12; 66.7%) were older than 40 years of age. The results showed an excellent immune response to GeneVac-B® in our study population. However, age &gt; 40 and high total cholesterol appear to be factors associated with nonresponse.

Background Nigeria is among the top 5 countries that have the highest gap between people reported as diagnosed and estimated to have developed Tuberculosis (TB). To bridge this gap, there is a need for innovative approaches to identify geographical areas at high risk of TB transmission and targeted Active Case Finding (ACF) interventions. Leveraging community level data together with granular sociodemographic contextual information can unmask local hotspots which could be otherwise missed. This work evaluated if this approach helps to reach communities with higher numbers of undiagnosed TB. Methodology A retrospective analysis of the data generated from an ACF intervention program in 4 south-western states in Nigeria was conducted. Wards (the smallest administrative level in Nigeria) were subdivided into further smaller population clusters. ACF sites and their respective TB screening outputs were mapped to these population clusters. This data was then combined with open-source high resolution contextual data to train a Bayesian inference model. The model predicted TB positivity rates on the community level (population cluster level), and these were visualised on a customised geoportal for use by the local teams to identify communities at high risk of TB transmission and plan ACF interventions. The TB positivity yield (proportion) observed at model-predicted hotspots was compared with the yield obtained at other sites identified based on aggregated notification data. Results The yield in population clusters that were predicted to have high TB positivity rates by the model was at least 1.75 times higher (p-value <0.001) than the yield in other locations in all four states. Conclusion The community level Bayesian predictive model has the potential to guide ACF implementers to high TB positivity areas for finding undiagnosed TB in the communities, thus improving efficiency of interventions.

Asthma is a chronic inflammatory airway disease induced by many environmental factors. The inhalation of allergens and pollutants promote the reactive oxygen species (ROS) production leading to airway inflammation, hyper-responsiveness and remodeling in allergic asthma. The effects of asthma medications on ROS production are unclear. The present study investigated the anti-ROS effects of current asthma medications including inhaled corticosteroid (ICS; budesonide and fluticasone), leukotriene receptor antagonist (LTRA; montelukast), long acting β2 agonists (LABAs; salmeterol and formoterol) and a new extra-LABA (indacaterol). The human monocyte cell line THP-1 cells were pre-treated with different concentrations of the asthma medications at different time-points after hydrogen peroxide (H₂O₂) stimulation. H₂O₂ production was measured with DCFH-DA by flow cytometry. Montelukast, fluticasone and salmeterol suppressed H₂O₂-induced ROS production. Indacaterol enhanced H₂O₂-induced ROS production. Budesonide and formoterol alone had no anti-ROS effects, but the combination of these two drugs significantly suppressed H₂O₂-induced ROS production. Different asthma medications have different anti-ROS effects on monocytes. The combination therapy with LABA and ICS seemed not be the only choice for asthma control. Montelukast may be also a good supplemental treatment for the poorly-controlled asthma because of its powerful anti-ROS effects. Our findings provide a novel therapeutic view in asthma.

Technologies for rapid and high-throughput separation of rare cells from large populations of other types of cells have recently attracted much attention in the field of bioengineering. Among the various cell separation technologies proposed in the past, dielectrophoresis has shown particular promise because of its preciseness of manipulation and noninvasiveness to cells. However, one drawback of dielectrophoresis devices is that their application of high-voltage generates Joule heat that exposes the cells within the device to high temperature. To further explore this problem, this study investigated the temperature field in the previously developed cell separation device in detail. The temperature rise at the bottom of the microfluidic channel in the device was measured using a micro-LIF method. Moreover, the thermofluidic behavior of the cell separation device was numerically investigated by adopting a heat generation model that takes the electric-field-dependent heat generation term into account in the energy equation. Under the operating conditions of the previously developed cell separation device, the experimentally obtained temperature rise in the device was approximately 20 ℃, and the numerical simulation results generally agreed well. Next, parametric calculations were performed with changes in the flow rate of the cell sample solution and the solution conductivity, and a temperature increase of more than 40 ℃ was predicted. The results demonstrated that an increase in temperature within the cell separation device may have a significant impact on the physiological functions of the cells, depending on the operating conditions of the device.

Two-Dimensional Nuclear Magnetic Resonance (2D NMR) spectroscopy has become a cornerstone in pharmaceutical research, offering enhanced structural elucidation capabilities for complex molecules. This technique overcomes the limitations of one-dimensional (1D) NMR by providing detailed insights into molecular interactions through the use of advanced spectroscopic methods like COSY, HSQC, and HMBC. In pharmaceutical applications, 2D NMR plays a crucial role in drug characterization, quality control, formulation development, and the structural analysis of natural products. Recent technological advancements such as high-field spectrometers and cryogenic probes have further improved the sensitivity and resolution of 2D NMR, making it indispensable for ensuring drug quality and intellectual property protection. This article delves into the principles and applications of 2D NMR in the pharmaceutical industry, highlighting its critical contributions to drug discovery, development, and quality assurance. Additionally, it addresses the future prospects of 2D NMR in areas like metabolomics, structural biology, and the development of new analytical tools. Despite its numerous advantages, 2D NMR presents challenges such as high operational costs, complexity in data analysis, and sensitivity issues when dealing with low-concentration samples. The article concludes by discussing the ongoing advancements in 2D NMR technology and its evolving role in pharmaceutical innovation.

To examine the relation between cyber-ostracism and social anxiety among undergraduate, and to investigate the underlying mechanism of effects of cyber-ostracism, rejection sensitivity and rumination on social anxiety. A total of 864 undergraduates were investigated by Cyber-Ostracism Questionnaire, Chinese version of Interaction Anxiousness Scale, Chinese version of Rejection Sensitivity Questionnaire and Chinese version of Ruminative Responses Scale. The results showed that (1) Cyber-ostracism had a positive effect on social anxiety; (2) Cyber-ostracism directly influenced social anxiety. Meanwhile, cyber-ostracism had indirect effects on social anxiety via rejection sensitivity and rumination respectively. Additionally, cyber-ostracism also had indirect effects on social anxiety by the chain-mediating effects of rejection sensitivity and rumination. Analysis of the research results indicates that rejection sensitivity and rumination may play mediating role in the relationship between cyber-ostracism and social anxiety.

In this work, a new hybrid compound3,4-diaminopyridinium perchlorate with the formula (C5H8N3)ClO4abbreviated 3,4-DAPP was synthesized in aqueous solution at room temperature by the slow evaporation method. It crystallizes in the monoclinic system,with a non-centrosymmetric space group P21with the following parameters: a=5.1261 (9), b=9.3003 (17),c=8.6659 (16) Å and β=102.595 (7) °. However, the supramolecular crystal structure was built from perchlorate anions (ClO4)- and organic diaminopyridinum cations (C5H8N3)+connected with hydrogen bonds to form a three-dimensional network. Fourier transform infrared (FTIR) and Raman spectra indicate that the vibrational modes correspond to both inorganic and organic entities. According to Hirschfeld’s analysis, the crystal packing is mainly stabilizedby the presence of hydrogen bonds O⋯H (50%), as well as the crystal void analysis indicates the mechanical stability of the structure. Furthermore, the thermal behavior studied by thermogravimetric (TGA-DTA) and differential scanning calorimetry (DSC) appears to have good stability up to 280°C. Finally, the optical properties were investigated by UV-Vis absorption and photoluminescence spectroscopy along with density-functional theory DFT calculations, whichexhibit emission property, and a band gap energy of 3.9 eV.Additionally, biological activity tests revealed that 3,4-DAPP exhibited moderate antibacterial activity, particularly against Bacillus cereus, though it was less effective than 3,4-diaminopyridine (3,4-DAP) against several other bacteria, indicating that the perchlorate group in 3,4-DAPP may reduce its antimicrobial efficacy.

Key findings include the modelling of the material behavior when ZnAl15% wires were subjected to the tensile test at different speeds, with strain rate sensitivity coefficient m = 0.0128, demonstrating that this type of alloy is especially sensitive to the strain rate. Besides, the optimal friction coefficient (µ) for the drawing process of this material was experimentally identified as µ = 0.28, the ideal drawing die angle was determined to be 2α = 10°, and the alloy's deformability limit has been established by a reduction ratio r ≤ 22.5%, that indicates good plastic deformation capacity. The experimental results confirmed that the proposed models are feasible for the design and optimization of industrial processes to improve the efficiency and quality of ZnAl15% alloy wire production.

Urinary tract infections are one of the main complications in kidney transplant patients, with a significant impact on graft function and survival. In fact, it is estimated that up to 74% of kidney transplant patients experience at least one episode of UTIs in the first year after transplantation, with an increased risk of graft loss and an increased risk of mortality. Several risk factors have been identified, such as female gender, old age, diabetes mellitus, immunosuppression, pre-transplant UTIs, urinary tract abnormalities and prolonged dialysis. The worsening burden of antimicrobial resistance is also in itself a risk factor and a major complication in evolution and management. The management of prophylaxis, asymptomatic bacteriuria, UTIs and UTIs are still an open challenge with some points to be clarified. Faced with such scenarios, our review aimed to evaluate the current epidemiology, to examine the risk factors and to consider all the possibilities and methods of management, giving a current view and evaluation of the topic.

The colonization practices of Portugal, particularly its early and continuous encouragement of miscegenation, have profoundly shaped Brazil's social and racial landscape. This resulted in a racially mixed society with intricate social hierarchies where race, skin color, and socioeconomic status are deeply interwoven. Unlike the United States, which enforced strict racial boundaries through anti-miscegenation laws and a rigid binary classification of race, Brazil developed a more fluid and complex system of racial identification. This article delves into how Portuguese miscegenation influenced Brazil's racial identity and the formation of its elite, examines societal reactions to racial mixing, and contrasts these dynamics with those of the United States. By analyzing historical contexts, incorporating census data, and reviewing contemporary studies, the discussion highlights the systemic marginalization of Afro-Brazilians—who make up over half of the country's population—and how this exclusion impedes national development. The article argues that systemic racism is a critical barrier to Brazil's progress, potentially more detrimental than economic inequality and corruption, and emphasizes that integrating Afro-Brazilians is imperative for the nation to realize its full potential.

We examined changes in skeletal muscle protein lactylation and acetylation in response to acute resistance exercise, chronic resistance training (RT), and a single endurance cycling bout. Additionally, we performed in vitro experiments to determine if different sodium lactate treatments affect myotube protein lactylation and acetylation. The acute and chronic RT study (n=12 college-aged participants) consisted of 10 weeks of unilateral leg extensor RT with vastus lateralis (VL) biopsies taken at baseline, 24-hours following the first RT bout, and the morning of the last day of the RT bout. For the acute cycling study (n=9 college-aged participants), VL biopsies were obtained before, 2 hours, and 8 hours after 60 minutes of cycling. For in vitro experiments, C2C12 myotubes were treated with varying levels of sodium lactate including LOW (1mM for 24-hours), HIGH (10mM for 24 hours), and PULSE (10mM for 30 minutes followed by 1 mM for 23.5-hours). Neither acute nor chronic RT significantly affected nuclear or cytoplasmic protein lactylation. However, cytoplasmic protein acetylation was significantly reduced following one RT bout (-15%, p=0.002) and chronic RT (-16%, p=0.006). Cycling did not acutely alter post-exercise global protein lactylation or acetylation patterns. Lastly, varying 24-hour lactate treatments did not alter nuclear or cytoplasmic protein lactylation or acetylation, cytoplasmic protein synthesis levels, or myotube diameters. These findings continue to support that exercise induces changes in skeletal muscle protein acetylation but not lactylation.

The present paper addresses dynamic risks in the automotive industry factories, specifically the car lead-acid batteries manufacturing area. The main analyzed risk is represented by the fire risk. Battery manufacturing process is described and analyzed from the fire risk perspective and the hazard areas are identified. The investigation methodology uses case studies for different lead-acid battery formation processes, combined with 3D simulations using PyroSym platform, and it is based on the author's experience in the battery manufacturing field for about ten years. The results of the case studies are compared using the same inputs, but different specific process conditions, and conclusions are formulated. To avoid the fires and mitigate the risk, a series of actions are proposed in the last sections. As a general conclusion, the actual research demonstrates that the complex and dynamic risks from the automotive industry, associated with Industry 5.0 must be analyzed using combined methods, classical and modern, including 3D simulations, to get great results.

The detection of microplastics (MPs) in drinking water has emerged as a critical environmental concern, with significant implications for public health. However, the variability in identification methods across studies has made it difficult to compare results, underscoring the urgent need for standardized protocols. This study presents a comprehensive meta-analysis and practical ap-proach to standardizing Fourier Transform Infrared Spectroscopy (FTIR)-based methodologies for detecting MPs in drinking water. By systematically reviewing studies from 2019 to 2023, this research identifies the most effective techniques for MP quantification, with an emphasis on the use of 0.45 μm cellulose nitrate filters and Nile red staining for fluorescence detection. The me-ta-analysis demonstrates consistent results across studies, supported by statistical analysis con-firming the reproducibility and reliability of the methodologies employed. Experimental findings highlight that the cellulose nitrate filter offers superior microplastic retention with low back-ground fluorescence, making it ideal for FTIR analysis. Moreover, the Nile red spray method is recommended for its efficiency and uniformity in staining, and random counting proves to be a rapid and reliable quantification technique. This study advocates for the adoption of standard-ized protocols, particularly in filter selection and staining methods, to ensure accurate and com-parable MP detection. The findings contribute valuable insights for optimizing water treatment processes and provide a solid foundation for future research and regulatory frameworks aimed at mitigating microplastic contamination in water resources.

The vast majority of gecko species are capable of tail regeneration, but singular geckos of Correlophus, Uroplatus, and Nephrurus genera are unable to regrow lost tails. Of these non-regenerative geckos, the crested gecko (Correlophus ciliatus) is distinguished by ready availability, ease of care, high productivity, and hybridization potential. These features make C. ciliatus particularly suited as a model for studying the genetic, molecular, and cellular mechanisms underlying loss of tail regeneration capabilities. We report a contiguous genome of C. ciliatus with a total size of 1.65 Gb, a total of 152 scaffolds, L50 of 6, and N50 of 109 Mb. Repetitive content consists of 40.41% of the genome, and a total of 30,780 genes were annotated. Assembly of the crested gecko genome provides a valuable resource for future comparative genomic studies between non-regenerative and regenerative geckos and other squamate reptiles.

In this review, recent advances in the combination of CRISPR-Cas systems with graphene-based electrolyte-gated transistors are discussed in detail. In a first part, the functioning of CRISPR-Cas systems is briefly explained, as well as the most common ways to convert their molecular activity into measurable signals. Besides optical means, conventional electrochemical transducers are also developed. However, it seems that the incorporation of CRISPR/Cas systems into transistor devices could be extremely powerful, as the former provides molecular amplification, while the latter provides electrical amplification; combined, the two could help to advance in terms of sensitivity and compete with conventional PCR assays. Today, organic transistors suffer from poor stability in biological media, where graphene materials perform better by being extremely sensitive to their chemical environment while being stable. The need for fast and inexpensive sensors to detect viral RNA arose on the occasion of the COVID-19 crisis, but many other RNA viruses are of interest, such as dengue, hepatitis C, hepatitis E, West Nile fever, Ebola, polio, for which detection means are needed.

The quality of education in Bangladeshi universities has long been a topic of concern, yet comprehensive studies on its statistical impact remain limited. This research aims to assess the current state of education quality in Bangladeshi higher education institutions using secondary data from national surveys, academic reports, and global rankings. A variety of statistical methods are employed to identify key factors influencing educational outcomes, including faculty-to-student ratios, infrastructure, research output, and employability of graduates. The findings reveal significant disparities in academic standards across public and private universities, highlighting challenges such as inadequate funding, lack of modern teaching practices, and low research productivity. This study provides data-driven insights and recommendations for policymakers and educators to enhance the quality of university education in Bangladesh, with the ultimate goal of aligning it with global standards.

Background: The healthcare professional who performs sedation for digestive endoscopy procedures is usually the nurse. Therefore, knowledge and training on the part of the nurse is an important factor for the correct sedation of the patient and may affect, among other factors, the quality of health care and the recovery and well-being of the patient. Objective: To determine the training opportunities and resources available to the specialists involved indigestive endoscopy services in hospitals in Spain in which sedation is performed by the nursing staff.Methods: This was a descriptive cross-sectional study performed in the Digestive Endoscopy Service at Toledo University Hospital and nearby hospitals in central Spain. The sample consisted of 75 nurses who administer sedation in digestive endoscopic procedures. Results: Regarding the training of nurses, the vast majority were generalist nurses, and only a small percentage obtained specialized training through ongoing training. Most had been working in the service for more than two years, and very few had previous experience in sedation, although the vast majority currently applied sedation. Life support training was also critical. There were significant differences in the availability of resources between different hospitals. Conclusions: The training of nurses who perform sedation in digestive endoscopy services could be improved since there is a high proportion of personnel without specific training in sedation before starting to work in the service. It is crucial to implement targeted and ongoing training programs to improve competencies in this area, as they are essential to ensure the safety and effectiveness of the procedure. Given the variability in resources and personnel training that exists between different hospitals, it seems important to establish standards at the institutional level.

Rural areas are not only faced with the problems of rural depopulation but also with the problem of water supply and water quality which is a basic necessity of life. In light of this, this paper assesses the rural water supply situation and the bacteriological quality of different water sources in the Obokun Local Government Area of Osun State, Nigeria. The safety of the water sources for human consumption and possible occurrence of the water borne diseases in the study area were determined. The study employed descriptive and analytical methods of data analysis to achieve the objectives of the inquiry. Findings showed that the study area suffered from inadequate water supply and poor locations of the sources of water: The study also revealed that the microbiological quality of the water sources used was unsafe, poor and not acceptable for human consumption. In addition, many man- days-hours were wasted in search of water. It is therefore recommended that the government should make the rural water supply and the maintenance of water quality a priority in its policy formulation.

The aim of this study was to evaluate the psychometric properties of the Communication Skills Scale (CSS) among Peruvian nurses and its association with job insecurity during the COVID-19 pandemic. We explored five models of confirmatory factor analysis for the CSS and its four subscales and assessed the convergent validity and criterion validity of the scale by analyzing its connection with job insecurity through stepwise multiple regression. We used insights from a focus group for the cultural adaptation of the scale. In the psychometric phase, 225 nurses participated through a virtual survey. The psychometric analysis revealed that the CSS and its subscales have a robust internal structure—similar to the original questionnaire—and are optimally reliable in the Peruvian population. Furthermore, the results show that job insecurity was associated with contract type, communication skills, empathy, and job satisfaction. The CSS and its subscales are valid and reliable to be applied to Peruvian nurses. Initiatives should be undertaken to strengthen communication skills and increase job satisfaction among nursing professionals by improving their working conditions, especially in times of crisis, to reduce job insecurity and promote well-being.

Tryptophan is an essential aromatic amino acid widely used in the pharmaceutical, agricultural, and food industries. Microbial fermentation, mainly using Escherichia coli, has become the preferred method for its production due to sustainability and lower costs. Optimizing tryptophan production requires careful control of various fermentation parameters, including nutrients, pH, temperature, and dissolved oxygen (DO) levels. Glucose, as the primary carbon source, must be fed at controlled rates to avoid metabolic overflow, which leads to byproduct accumulation and reduced production efficiency. Nitrogen sources, both organic (such as yeast extract) and inorganic (like ammonium), influence biomass growth and tryptophan yield, with ammonium levels requiring careful regulation to avoid toxic accumulation. Phosphate enhances growth but can lead to byproduct formation if used excessively. pH is another critical factor, with an optimal range between 6.5 and 7.2, where enzyme activity is maximized. Temperature control promotes growth and production, particularly between 33°C and 36°C. High DO levels increase tryptophan titers by boosting the pentose phosphate pathway and reducing byproducts like acetate. Furthermore, surfactants and supplements such as betaine monohydrate and citrate help alleviate osmotic stress and enhance precursor availability, improving production efficiency. Careful manipulation of these parameters allows for high-density cell cultures and significant tryptophan accumulation, making microbial fermentation competitive for large-scale production.

Climate change is significantly reshaping global and regional climates, with profound impacts on local microclimates and agricultural productivity. This study investigates the effects of climate change on regional microclimates and examines how these shifts influence agricultural output, focusing on case studies from vulnerable regions. Utilizing secondary climate data from international agencies, this research applies statistical techniques, including time series analysis, correlation analysis, and extreme value theory, to assess changes in temperature, precipitation, and other environmental factors. The study employs spatial analysis to explore the geographic variability in these effects, and regression models to quantify the relationship between climatic changes and crop yields. Preliminary results indicate a marked shift in microclimate patterns, with significant consequences for farming practices, particularly in regions reliant on climate-sensitive crops. The findings underscore the need for adaptive strategies in agricultural sectors to mitigate the risks posed by climate change. This research provides valuable insights for policymakers and farmers, emphasizing the importance of localized climate data in developing sustainable agricultural frameworks.

Post-transplant lymphoproliferative disorders (PTLD) pose significant risks following organ transplantation, characterized by potential aggressiveness. This report aims to discuss a case of PTLD presenting as B-cell large cell lymphoma (DLBCL) post-kidney and pancreas transplantation. A 44-year-old female with type 1 diabetes underwent kidney and pancreas transplantation. She presented with fever, night sweats, and weakness, revealing multiple lesions on CT, including in transplanted and native kidneys, pancreas and lung. Biopsy of transplant kidney confirmed PTLD, DLBCL subtype, with complex immunohistochemical findings. Chemotherapy (R-CHOP) was initiated but complicated by infusion reactions and bowel perforation necessitating surgery and antibiotics. Despite the complications, the normal function of the transplanted kidney is maintained, which made it possible to implement the standard chemotherapy protocol. This case underscores the diagnostic challenges and therapeutic complexities of PTLD, specifically DLBCL, in transplant recipients. Comprehensive evaluation and vigilant management are crucial for successful outcomes in such cases.

Physical inactivity is a leading risk factor for non-communicable diseases. Climate change is now regarded as the biggest threat to global public health. Electric micromobility (e-micromobility, including e-bikes e-cargo bikes and e-scooters) has the potential to simultaneously increase people’s overall physical activity while decreasing greenhouse gas emissions where it substitutes for motorised transport. The ELEVATE study aims to understand the impacts of e-micromobility, including identifying the people, places and circumstances where they will be most beneficial in terms of improving people’s health while also reducing mobility-related energy demand and carbon emissions. A complex mixed methods design collected detailed quantitative and qualitative data from multiple UK cities. First, a nationally representative (n=2000), city-wide (n = 1200) and targeted study area surveys have collected data on travel behaviour, levels of physical activity, vehicle ownership and use as well as attitudes towards e-micromobility. Then, to provide insights on an understudied type of e-micromobility, 49 households have been recruited to take part in e-cargo bike one-month trials. Self-reported data from participants are validated with objective data using methods such as GPS trackers and smartwatches recording of routes and activities. CO₂ impacts of e-micromobility use are also calculated. Participant interviews provided detailed information on preferences, expectations, experiences, barriers and enablers of e-micromobility.

Microscopic image segmentation (MIS) plays a pivotal role in various fields such as medical imaging and biology. With the advent of deep learning (DL), numerous methods have emerged for automating and improving the accuracy of this crucial image analysis task. This systematic literature review (SLR) aims to provide an exhaustive overview of the state-of-the-art DL methods employed for the segmentation of microscopic images. In this review, we analyze a diverse array of studies published in the last five years, highlighting their contributions, methodologies, datasets, and performance evaluations. We explore the evolution of DL techniques and their adaptation to specific segmentation challenges, from cell and nucleus segmentation to tissue analysis. This paper, through the integration of existing knowledge, provides valuable perspectives for researchers involved in the field of microscopic image segmentation.

Objective: Fludeoxyglucose F18 positron emission tomography (FDG PET) can give early clues for diagnosing Alzheimer’s disease (AD). Our objective was to use the same scan to predict Apolipoprotein E4 (ApoE4), known to be a risk factor. A second objective was to determine the brain regions and imaging features associated with this gene allele that can potentially help elucidate the mechanisms of the disease and better comprehend the images. Method: We employed data from 112 participants from the Alzheimer’s Disease Neuroimaging Initiative (ADNI). PET and structural MRI data were co-registered with ANTx, and the Freesurfer tool delineated 95 whole brain, 19 hippocampal, and 9 amygdala regions. Using PyRadiomics we extracted 120 radiomic features from these segments. We employed a hybrid feature selection strategy. The HistGradientBoosting (HGB) classifier was evaluated using stratified five-fold cross-validation. Results: The proposed radiomics model predicted the homozygous ApoE4 genotype, with an AUC of 0.945 an accuracy of 0.875, a sensitivity of 0.914, and a specificity of 0.838. Reducing the feature set to seven key features resulted in a slightly decreased performance (AUC: 0.889). The mean values of the features showed statistically significant (p<0.05) incremental deterioration between different groups of homozygous ApoE4 carriers. Conclusion: Our findings underscore the critical role of specific brain regions and associated features in differentiating ApoE4 carriers. The hippocampus, entorhinal cortex, amygdala, thalamus, and pars orbitalis exhibited significant associations with the ApoE4 genotype. By employing SHAP analysis, we identified key features driving model predictions, enhancing interpretability, and providing insights into the underlying pathophysiology.

This study presents polyaniline (PANI) synthesis and characterization using a novel acid-assisted polymerization technique. Two PANI suspensions with different ammonium peroxydisulfate (APS) concentrations were synthesized at room temperature, i.e. the ratio of aniline to APS was 10:1 for PANI1 and 5:1 for PANI2. SEM measurements revealed distinct structures: a porous nanofibrillar structure for PANI1 and a densely packed structure for PANI2. The electrochemical performance of the fabricated PANI/glassy carbon (GC) electrodes was evaluated using a three-electrode cell configuration in the scan rates of 10 mV/s and 30 mV/s. The PANI1/GC heterostructure exhibited a specific capacitance of 160 F/g, while this value increased to 407 for the PANI2/GC. This research contributes not only to the understanding of PANI synthesis at room temperature but also to its potential applications in electrochemical energy storage devices.

Organisms from the genus Streptomyces feature actinobacteria with complex developmental cycle and great ability to produce a variety of natural products, which is possible due to complicated crosstalk between primary and secondary metabolism. These soil bacteria produce more than 2/3 of antibiotics used in medicine, and a large variety of bioactive compounds for industry and agricultural use. Although Streptomyces spp. have been studied for decades, the engineering of these bacteria remains challenging, and available genetic tools rather limited. Recent advancements in genetic manipulation of Streptomyces involving proposal of CRISPR/Cas9-based workflows as well as synthetic components (e.g. promoters, ribosome-binding sites, terminators, reporter genes) allowed to facilitate the turnaround time of strain engineering, but still has strain-specific limitations. However, a new perspective offered by synthetic biology to exploit the potential of existing and novel pathways in primary and secondary metabolism allows combining of different biosynthetic steps originating from diverse bacteria using a limited toolbox. Manipulation of interplay between primary and secondary metabolism proposes strategies to overcome strain-specific difficulties in engineering, leveraging insights in Streptomyces-specific physiological features. In this review, developments of these approaches for Streptomyces engineering are discussed and an overview of the synthetic biology developments is provided.

The external bonding system using CFRP composite was widely used for strengthening of different structures worldwide. However, premature debonding in this strengthening technique is the critical failure that leads to the fiber not reaching its ultimate capacity. In order to enhance the capacity of the externally bonded (EB) FRP and to slow the premature debonding failure mechanism, numerous anchoring techniques have been applied to improve the bonding capacity. The externally-bonded reinforcement on grooves (EBROG) technology is one of the strategies that have been recently developed to postponing the debonding issue. Although the extensive studies have been conducted in literature on (EBROG) method, most of these studies have been focused on the bonding characteristics of longitudinal grooves direction, and there is lack in studies about effect of different design and configurations (width, height, and spacing) of transverse grooves direction. In present study, an experimental investigation was carried out to study the bond behavior of the externally bonded reinforcement on transverse grooves (EBROTG) technique on the CFRP-to-concrete joints involving different parameters, including groove width, depth, spaces between grooves, strain values, and bond stress-slip relationships. 24 concrete prisms, divided into 8 groups of three specimens, were tested using a single-lap shear test set-up. The result of testing proved that the EBROTG method furnished a proper anchor system and highly enhanced the bonding force of the tests. The increasing range in bond strength with the specimens reinforced by the transverse grooving method was ranging from 11 to 86 % compared with the externally bonded reinforcement (EBR) reflecting the effect of different width, depth and distance between grooves

Evaluating aviation emissions and examining the dispersion properties of contaminants are crucial for understanding atmospheric pollution. To more properly assess the pollutant emissions and dispersion of aircraft during the landing and take-off (LTO) cycle, and to more effectively address air pollution surrounding the airport resulting from flight operations, this study assessed emissions throughout the LTO phase utilizing Quick Access Recorder (QAR) data in conjunction with the first-order approximation method. An improved Gaussian diffusion model for mobile point sources is employed to examine the diffusion characteristics of contaminants. Additionally, CFD calculation outcomes for various exhaust velocities and wind speeds were utilized to validate the trustworthiness of the improved Gaussian model. The discussion also encompasses the influence of diffusion time, wind direction, wind speed, temperature gradient, and particle deposition on the concentration distribution of contaminants. The findings indicated that the Gaussian diffusion model aligned with the results of the CFD calculations. The diffusion distribution of contaminants around airports varies over time and is significantly influenced by atmospheric environmental factors, including wind direction, wind speed, and atmospheric stability.

Background/Objectives: Lung carcinoma is the leading cause of cancer-related deaths globally, with lung adenocarcinoma being the most prevalent subtype. This study aims to review the clinical data and survival outcomes of patients diagnosed with lung adenocarcinoma who underwent surgical treatment. Methods: We conducted a retrospective analysis of 471 patients who had surgery for lung adenocarcinoma at our institution. Their medical histories, including previous neoplasms, comorbidities, tumor characteristics, and symptoms, were thoroughly reviewed. We calculated the overall survival rate and evaluated the impact of tumor grading and spread through air spaces (STAS) on patient outcomes. Results: The survival rate for the entire cohort was 76.23%. There was no significant difference in survival rates between patients classified as G1 and G2, suggesting that a simplified two-tier grading system may be more effective. Patients with STAS had a lower survival rate than those without STAS. Conclusions: Our findings indicate that a simplified grading system may improve prognostic evaluations for lung adenocarcinoma patients. Furthermore, STAS is a crucial factor affecting survival rates and should be considered in future treatment strategies. Expanding research in this area is essential to enhance treatment approaches for lung adenocarcinoma patients.

The study aims to explain the relationship of financial literacy with spending habits and behavior. Financial behavior is a mediator of Generation Z. Financial literacy is a very important dimension in making financial decisions, and this research highlighted the direct and indirect impacts that financial literacy exerts on spending behavior. Data is collected from 317 respondents using a structured questionnaire measuring financial literacy, financial behavior, and spending behavior. Correlation, regression, mediation analysis, and Structural Equation Modeling have been used in evaluating these relationships. Financial literacy directly reflects a strong relationship with spending behavior, and its coefficient is 1.167. Financial behavior, therefore, exercises a strong mediation effect on this relationship with a mediation coefficient of 0.797, thus indicating that financial behavior is an essential tool in successfully translating financial knowledge into responsible spending. From these findings, greater financial literacy and responsible financial behavior may increase the aggregate financial efficacy of Generation Z. Although the current study heavily focuses on the fact that financial literacy and behavior are highly associated with financial well-being, it shows that targeted financial literacy education programs on either behavior or financial literacy enhance healthier spending behavior. The scope of future studies involves considering the role of income and personality characteristics as well as an elongation of the time horizon to uncover the impact of financial literacy on shifts in the individual's financial well-being.

Conventional approaches in Structural Health Monitoring (SHM) tend to be complex, destructive, and time-intensive. Additionally, they often require a large number of sensors to thoroughly assess structural integrity. In this study, we present a novel, non-destructive SHM framework based on machine learning (ML) for the accurate detection and localization of structural cracks. This approach leverages a minimal number of strain gauge sensors linked via Bluetooth communication. The framework is validated through empirical data collected from 3D carbon fiber-reinforced composites, including three distinct specimens, ranging from crack-free samples to specimens with up to ten cracks of varying lengths and depths. Strain data from five sensors were analyzed using a combination of Shewhart charts, Grubbs Test (GT), and a hierarchical clustering algorithm, specifically designed to evaluate and classify fractures. Our ML-based framework offers a streamlined and efficient alternative to traditional laboratory procedures, delivering precise crack detection with significant potential for applications in the composites industry.

Background/Objectives: This study investigates the relationship between diet quality and body image disturbance among young women aged 18-24, a crucial period for establishing lifelong health behaviors. Given the increasing exposure to social media, which often promotes unrealistic beauty standards, this research aims to explore how eating behaviors and diet quality, correlates with body image disturbance; Methods: A mixed-methods approach was employed, combining qualitative focus group discussions with quantitative analysis. Focus groups (n=19) explored themes of body image dissatisfaction. The Body Image Disturbance Questionnaire (BIDQ) was administered to 50 participants (young women aged 18-24) to quantitatively assess body image disturbance, while diet quality was evaluated using the Australian Recommended Food Scores (ARFS). The Three-Factor Eating Questionnaire (TFEQ-R18) was also used to assess eating be-haviors, including cognitive restraint, uncontrolled eating, and emotional eating. A social in-fluence questionnaire (SIQ) was administered to measure the effect of social influence. Pearson's correlation coefficient was used to determine the relationship between ARFS, BIDQ, and TFEQ-R18 scores; Results: Qualitative findings revealed persistent dissatisfaction with body shape, largely influenced by social media. Quantitatively, 65% of participants scored above the clinical threshold for body image disturbance (mean BIDQ score = 4.2, SD = 0.8). The correlation between ARFS scores and BIDQ scores was weak and not statistically significant (r = 0.057, p = 0.711). However, a sig-nificant positive correlation was found between time spent on social media and body image disturbance (r = 0.58, p < 0.01). Additionally, TFEQ-R18 results indicated that 45% of participants displayed moderate levels of uncontrolled eating, and 36.5% demonstrated moderate levels of emotional eating; Conclusions: While social media significantly influences body image concerns, its effect on eating behaviours and diet quality shows weak correlations, suggesting that other factors may mediate these outcomes. These results highlight the complexity of the relationship between body image, eating behaviors, and diet quality, indicating that interventions should address the psychological drivers behind these concerns, rather than solely focusing on reducing social media exposure.

Communication pathways are an underestimated source of synthetic particles in the environment. This study investigated the impact of traffic volume on microplastics (MPs) and tire wear particles (TWPs) pollution in road snow. An examination was conducted in a medium-sized city situated in northeastern Poland, known for being one of the cleanest regions in the country. MPs and TWPs were found at all 53 sites, regardless of the intensity of traffic. The average concentration for all samples was 354.72 pcs/L. Statistically significant differences were found between the average values of particles concentration on low, medium, and heavy traffic roads amounted 62.32 pcs/L, 335.97 pcs/L and 792.76 pcs/L respectively. Within all three studied groups of roads, MPs and TWPs with the smallest size, ranging from 50 to 200 μm, were prevalent. In all studied groups of roads, 4 analyzed shapes of particles were found, with irregular fragments being the most abundant form (89.23%). The most frequently recorded color among the collected samples was black (99.85%), and the least frequently recorded was blue, constituting only 0.01%. This study suggests that snow cover on the roads may act like temporary storage of pollutants during winter in the temperate climate zone and after thaw can significantly increase the concentration of MPs and TWPs in surface waters. Possible measures to decrease the release of MPs and TWPs into the environment in the city may include reducing traffic volume and speed, implementing street sweeping, utilizing filtration chambers, and installing stormwater bioretention systems or settling ponds.

The paper deals with two new properties of the linear time-optimal control problems with real non-positive eigenvalues of the system. They are the foundation of a new method of synthesizing the time-optimal control without the need to describe the switching hyper-surfaces. The so called “axes initialization” and the synthesis technique are illustrated on the already classical example of the time-optimal control of a double integrator.

Aim: This study aims to analyze the collaborative structure of Intestinal Behçet’s Disease (IBD) research by examining co-authorship networks in publications indexed in the Web of Science (WoS) Core Collection from 2000 to 2023. The goal is to identify key researchers, institutions, and collaboration patterns that have shaped the field over the past two decades. Method: This study utilized network analysis techniques to evaluate 484 publications related to IBD research indexed in the WoS Core Collection between 2000 and 2023. The analysis was conducted using Python (Version 3.10.5) in the PyCharm development environment (Software Version 2022.1.3). The co-authorship networks were assessed using macro-level indicators such as network density (the ratio of actual to possible connections), clustering coefficient (degree of node clustering), number of components (distinct connected subgroups), and average path length (average distance between nodes). Micro-level indicators including degree centrality (importance based on the number of connections), closeness centrality (proximity to other nodes), and betweenness centrality (frequency of a node on the shortest paths between others) were also analyzed.Result: From 2000 to 2009, the co-authorship network was highly fragmented with a low network density of 0.0114 and 84 distinct components, indicating limited collaboration. Key contributors during this period included Kim, Won Ho, and Cheon, Jae Hee (South Korea), who played central roles in connecting disparate research clusters. In the following decade (2010-2019), network density decreased slightly to 0.0086, and the number of components increased to 113, reflecting continued fragmentation despite growing research output. However, from 2020 to 2023, network density increased to 0.0171, and the number of components decreased to 73, indicating a trend towards greater integration and collaboration. Notable researchers in this period included Emmi, Giacomo (Italy), and Hatemi, Gulen (Turkey), who emerged as central figures, highlighting a shift in research leadership from Asia to Europe..Conclusion: The co-authorship network analysis of IBD research reveals an evolving collaborative landscape with increasing network density and decreasing fragmentation over time, particularly in the most recent period. From 2000 to 2019, Japanese and Korean researchers were prominent contributors, highlighting the significance of Asia in the global research arena. However, since 2020, researchers from Italy and Turkey have gained significant international prominence, suggesting a shift in the research focus from Asia to Europe. This transition may be attributed to changes in the incidence rates of IBD, where rapid increases were observed in Asian countries like Japan, Korea, and China until 2020, followed by stabilization or decline, while incidence rates have been increasing in European countries such as Italy and Turkey. These findings underscore the importance of expanding international collaborations to enhance the understanding of IBD. Fostering global partnerships could further advance the field, promoting more integrated and innovative research efforts, and addressing the shifting dynamics of IBD prevalence across regions.

Nature-based solutions (NbS) have gained global attention for addressing societal challenges, benefiting biodiversity, and promoting human well-being. NbS have been increasingly recognized for their role in mitigating climate change impacts, such as coastal flooding. However, despite their integration into policy frameworks in Europe and parts of Africa, there remains limited empirical evidence regarding their effectiveness. This study seeks to address this gap by exploring the factors influencing perceptions and awareness of the effectiveness of NbS in coastal communities. A structured survey questionnaire was administered in three coastal communities—Kula, Oyorokoto, and Bonny—examining how perception, knowledge, and socio-economic factors affect the effectiveness of NbS. Results show that socio-economic factors such as age, education, and occupation significantly influence the perceived effectiveness of NbS. Additionally, awareness was found to have a stronger impact on effectiveness than perception. The study concludes that awareness-raising initiatives, particularly those focused on the protective benefits of mangroves, are crucial for enhancing the effectiveness of NbS. Conservation, afforestation, and restoration of coastal ecosystems are recommended as key strategies for promoting NbS and their role in climate resilience.

Chronic prostatitis has been found to be associated with the genesis of Benign Prostatic Hyper-plasia (BPH) and subsequent development of prostate cancer (PCa). It has been described that human papillomavirus (HPV) tends to infect the prostatic epithelium; however, correlation be-tween HPV infection and prostate pathology remains to be elucidated. Considering that HPV in-fection can affect cellular pathways, we investigated here the putative role of HPV in the expres-sion of selected miRNAs involved in inflammation, proliferation, and oncogenesis in BPH, BPH/prostatitis and PCa clinical samples. Our results demonstrated that 67.2 % of benign lesions and 93.4% of cancer samples were HPV-positive. Interestingly, we found downregulation of miR-34a, miR-143, and miR-145, as well as upregulation of miR-221 in tissue with BPH and BPH/prostatitis. In HPV-positive PCa samples, let-7c, miR-34a, miR-126, miR-221, miR-145, and miR-106a were found to be downregulated, suggesting their involvement in the formation of a pro-oncogenic microenvironment. Consistent with these results, we found that altered expression levels of miR-34a, miR-145, miR-106a, miR-21 and miR-221 showed a correlation with high-risk HPV-positive PCa samples. The differential expression of these miRNAs induced by HPV could be useful for the identification of potential therapeutic biomarkers, opening a new approach for di-agnosis, prognosis, and therapeutic targeting in prostate cancer.

CpG islands typically occur at or near the transcription start site of genes, particularly housekeeping genes, invertebrates. Normally a C (cytosine) base followed immediately by a G (guanine) base (a CpG) is rare in vertebrate DNA because the cytosines in such an arrangement tend to be methylated. Described DNA methylation mediated gene silencing occurs by direct inhibition of transcription factor binding to their relative sites and by recruitment of methyl binding domain proteins. The present study aims at predicting the CpG islands using Perl and R environment codes. The results indicated that the average length of the CpG islands in the X-chromosomes is comparable, however, the number of CpG islands is three times in swine (13539), as compared to that of rats (4465). The average CpG percent and the Average Guanine+Cytosine percent are also similar in the X-Chromosomes of both species. Similar results were evident for Y-Chromosome. The results obtained need validation through wet-lab experimentation.

Fusarium wilt, caused by Fusarium oxysporum f.sp. cubense (Foc), is recognized as one of the most devastating diseases affecting banana cultivation worldwide. In India, Foc extensively affects the Malbhog banana (AAB genomic group) production. In this study, we isolated 25 Foc isolates from wilt-affected Malbhog plantations of India. Pathogenicity test confirmed the identity of these isolates as Foc, the primary causative agent of wilt in banana. Morpho-cultural characterization of the Foc isolates showed large variation in colony morphological features, intensity, and pattern of pigmentation, chlamydospores, and conidial size. The molecular identification of these isolates using Race-1 and Race-4 specific primers established their identity as Race- 1 of Foc, with absence of TR- 4. For a more comprehensive understanding of genetic diversity of Foc isolates, we em-ployed ISSR molecular typing which revealed five major clusters. Ahigh96% diversity within Foc population indicated the presence of polymorphic loci in individuals of a given population evi-dent from results of Nei’s genetic diversity, Shannon information index, and polymorphism in-formation content values, apart from analysis of molecular variance (AMOVA). The current findings provide significant insights towards detection of Foc variants, and consequently the deployment of effective management practices to keep the possible epidemic development of disease under control along Malbhog banana growing belts of northeast India.

This research paper examines the role of the Muslim World League (MWL) as a soft power tool in serving Muslims globally. The study delves into the activities, strategies, and influences of the MWL, particularly in the past decade, from 2014 to 2024. Given the evolving dynamics of global geopolitics, the MWL's initiatives in fostering religious diplomacy, cultural exchange, and humanitarian efforts are critically analyzed. The Secretary General, Dr. Mohammad bin Abdulkarim Al-Issa, plays a pivotal role in shaping and advancing the organization's objectives internationally. Using a blend of descriptive and analytical methodologies, this paper investigates how the MWL leverages soft power to address issues faced by the Muslim community worldwide. The research also uncovers the interconnected factors influencing the effectiveness of the MWL's programs and policies. Through a comprehensive review of literature, examination of previous studies, and an analysis of the theoretical frameworks, this study identifies gaps and offers insights for future research. The findings contribute to a deeper understanding of the MWL's impact on global Muslim populations and the broader implications for international relations and soft power theory.

This study evaluates the effectiveness of an integrated vestibular rehabilitation program in improving balance, motor control, and proprioceptive function in patients diagnosed with Benign Paroxysmal Positional Vertigo (BPPV). The prospective observational study involved 107 participants who underwent a tailored rehabilitation regimen, including the Epley maneuver, Brandt-Daroff exercises, and balance and proprioceptive training. The program was designed to address the vestibular and proprioceptive deficits caused by BPPV, with the goal of restoring normal function and reducing the risk of symptom recurrence. Dynamic Gait Index (DGI) and Balance Beam Test were used to assess progress, showing significant improvements in balance stability and dynamic motor function. The findings support the integration of vestibular rehabilitation into standard care for BPPV patients, highlighting the program's potential to enhance patient outcomes and reduce recovery time. However, the study also notes limitations such as the lack of a control group and the need for further research to explore the long-term effects of such interventions.

The contamination of soils by mineral oils presents a significant environmental challenge, particularly due to the widespread use of petroleum products in various industrial sectors. This study investigates the efficiency of microwave heating compared to conventional resistance heating for the thermal desorption of mineral oil from contaminated soils. Experimental results demonstrated that microwave heating offers superior performance in terms of pollutant removal efficiency, energy consumption, and preservation of soil's physical and chemical properties. The study further conducted a kinetic analysis of the desorption process, revealing that microwave heating follows a first-order kinetic model and requires lower activation energy than conventional methods. The findings suggest that microwave-assisted thermal desorption is a highly effective and energy-efficient technology for soil remediation, providing a potential alternative to conventional techniques. This research offers valuable insights into optimizing thermal desorption processes for environmental remediation, with implications for broader applications in soil treatment.

Subcortical beetles interact with a wide range of semiochemicals released from different sources, including trees, fungi, and insect pheromones. While the attraction of bark beetles, their insect predators, and competitors to bark beetle pheromones is well-studied, the attraction of these beetle communities to other sources of semiochemicals remains poorly understood. We tested the attraction of bark and wood-boring beetles and their predators to host stress volatiles, fungal volatiles, and a mountain pine beetle lure in the field. Host stress volatiles were derived from lodgepole pine trees stressed by three fungal symbionts of mountain pine beetle and two common phytopathogens. Our results showed that bark beetles, particularly mountain pine beetles, show a preference for a combination of fungal volatiles, particularly 2-methyl-1-butanol and mountain pine beetle lures. Without the addition of lures, 2-methyl-1-butanol was also identified as a key fungal volatile in the attraction of mountain pine beetle competitors from the Cerambycidae and Buprestidae families. Predators in the Elateridae and Staphylinidae families showed attraction to host stress volatiles and the healthy tree volatile profile. These findings suggest that these chemicals warrant further field testing for potential use in monitoring and management of subcortical beetle populations.

Urban logistics is a critical component of smart city initiatives, aiming to enhance the efficiency and sustainability of goods delivery in densely populated areas. This paper explores the integration of artificial intelligence (AI), autonomous vehicles, and Internet of Things (IoT) technologies to optimize urban logistics. By leveraging real-time data from IoT-enabled infrastructure and AI-driven analytics, we propose a framework for dynamic route planning, traffic signal control, and predictive demand management for delivery services.

Background: Cancer-Related Fatigue (CRF) is a prevalent and debilitating symptom in breast cancer patients, significantly impacting their quality of life and potentially affecting postoperative outcomes. Despite advances in breast cancer treatment, the long-term implications of CRF on prognosis remain unclear. Methods: This retrospective cohort study included 310 postoperative breast cancer patients from two large comprehensive hospitals. We systematically collected demographic, medical history, lifestyle, psychological status, and CRF data. Univariate and multivariate Cox regression analyses were performed to identify independent prognostic factors. Random forest survival analysis, propensity score matching, Kaplan-Meier survival analysis, and restricted cubic spline analysis were utilized to comprehensively evaluate the relationship between CRF and postoperative prognosis. Results: Higher CRF scores were associated with worse postoperative outcomes (HR = 1.07, 95% CI: 1.03-1.10, P < 0.001). Other independent prognostic factors included higher HADS scores (HR = 1.09, 95% CI: 1.01-1.17, P = 0.032), not undergoing breast-conserving surgery (HR = 0.43, 95% CI: 0.20-0.89, P = 0.024), and not receiving endocrine therapy (HR = 7.13, 95% CI: 2.64-19.22, P < 0.001). Random forest survival analysis highlighted CRF as the most critical variable impacting prognosis. Propensity score matching effectively balanced baseline characteristics, and Kaplan-Meier survival curves demonstrated significantly lower survival rates in high-CRF patients both before and after matching (P < 0.05). Restricted cubic spline analysis revealed a nonlinear relationship between CRF scores and disease progression risk, with significant risk increases beyond specific thresholds. Conclusions: CRF is a crucial predictor of disease progression in postoperative breast cancer patients. Higher CRF and HADS scores, non-breast-conserving surgery, and lack of endocrine therapy are associated with poorer prognosis. These findings underscore the importance of comprehensive postoperative care, including effective management of fatigue and psychological health, to improve patient outcomes. Future research should focus on prospective studies and targeted interventions for CRF to validate these findings and enhance clinical practices.

Aim: This study aims to analyze the evolution of co-author networks in Gastroesophageal Reflux Disease (GERD) research from 2000 to 2023, using data from the Web of Science (WoS) Core Collection. The objective is to provide a structural overview of researcher collaborations in this specialized field, highlighting key contributors and the impact of international cooperation. Method: I conducted a co-author network analysis on 19,463 GERD -related articles indexed in the WoS Core Collection between 2000 and 2023. Using Python (Version 3.10.5) within the PyCharm development environment (Software Version 2022.1.3), I assessed macro-level indicators including network density, clustering coefficient, number of components, and average distance. Micro-level indicators such as degree centrality, closeness centrality, and betweenness centrality were also evaluated to understand the roles of individual researchers in the network.Result: The GERD co-authorship network exhibited a sparse structure with low network density, indicating limited realized collaborations compared to potential connections. The clustering coefficient was consistently high across the analyzed periods, suggesting that researchers frequently formed tight-knit groups. The network was fragmented into numerous components, with significant disconnection between groups. Degree centrality highlighted key researchers such as Dent, J., and Shaheen, N.J., who had extensive collaborative reach. In contrast, closeness and betweenness centrality identified strategic intermediaries like Bredenoord, A.J. and Kahrilas, P.J., who facilitated connections across otherwise isolated segments of the network.Conclusion: The co-authorship network analysis revealed a persistently fragmented landscape in GERD research, with considerable room for enhancing collaboration among researchers. Identifying key contributors and understanding their roles within the network can guide future efforts to foster more integrated and comprehensive research collaborations. This study underscores the importance of strategic networking and partnership development in advancing GERD research and optimizing the field's collaborative potential.

PET imaging with [¹⁸F]F-DOPA has demonstrated high potential for the evaluation and management of pediatric brain gliomas. Manual extraction of PET parameters is time-consuming, lacks reproducibility, and varies with operator experience. In this study, we tested whether a semi-automated image processing framework could overcome these limitations. Pediatric patients with available static and/or dynamic [¹⁸F]F-DOPA PET studies were evaluated retrospectively. We developed a Python software to automate clinical index calculations, including preprocessing to delineate tumor volumes from structural MRI, accounting for lesions with low [¹⁸F]F-DOPA uptake. 73 subjects with treatment-naïve low and high-grade gliomas, who underwent brain MRI within two weeks of [¹⁸vF]F-DOPA PET, were included and analyzed. Static analysis was conducted on all subjects, while dynamic analysis was performed on 32 patients. For 68 subjects, the Intraclass Correlation Coefficient for T/S between manual and ground truth segmentation was 0.91. Using our tool, ICC improved to 0.94. Our method demonstrated good reproducibility in extracting static tumor-to-striatum ratio (p = 0.357), though significant differences were observed in tumor slope (p < 0.05). No significant differences were found in time-to-peak (p = 0.167) and striatum slope (p = 0.36). Our framework aids in analyzing [¹⁸F]F-DOPA PET images of pediatric brain tumors by automating clinical score extraction, simplifying segmentation and Time Activity Curve extraction, reducing user variability, and enhancing reproducibility.

Social Anxiety Disorder (SAD) is a common mental health condition characterized by an intense fear of social situations, leading to significant impairments in daily functioning. Traditional exposure therapies, including Cognitive-Behavioral Therapy (CBT), have shown efficacy in treating SAD but are often limited by logistical challenges and patient reluctance. Virtual Reality Exposure Therapy (VRET) has emerged as a promising alternative, providing a controlled and immersive environment for exposure to anxiety-provoking scenarios. This paper explores the integration of Generative Adversarial Networks (GANs) into VRET to enhance the personalization, realism, and adaptability of therapeutic scenarios. GANs, which consist of a generator and a discriminator network, allow for the creation of highly realistic virtual environments tailored to the specific fears and triggers of individual patients. By offering real-time adjustments and personalized exposure scenarios, GAN-enhanced VRET addresses key limitations of traditional therapies, increasing patient engagement and treatment adherence. This review synthesizes findings from key studies on GAN-enhanced VRET, evaluating its efficacy in reducing anxiety symptoms and discussing the potential for broader application across various anxiety disorders. The results indicate that GAN-enhanced VRET offers a significant advancement in the treatment of SAD, providing a more accessible, engaging, and effective approach to exposure therapy. Future directions include expanding accessibility through cost reduction, integrating additional AI techniques, and exploring applications beyond SAD to improve mental health outcomes across diverse patient populations.

This article develops duality principles and numerical results for a large class of non-convex variational models. The main results are based on fundamental tools of convex analysis, duality theory and calculus of variations. More specifically the approach is established for a class of non-convex functionals similar as those found in some models in phase transition. Finally, in some sections we present concerning numerical examples and the respective softwares.

This paper presents an innovative data-centric paradigm for designing computational systems by introducing a new informatics domain model. The proposed model moves away from the conventional node-centric framework and focuses on data-centric categorization, using a multimodal approach that incorporates objects, events, concepts, and actions. By drawing on interdisciplinary research and establishing a foundational ontology based on these core elements, the model promotes semantic consistency and secure data handling across distributed ecosystems. We also explore the implementation of this model as an OWL 2 ontology, discuss its potential applications, and outline its scalability and future directions for research. This work aims to serve as a foundational guide for system designers and data architects in developing more secure, interoperable, and scalable data systems.

Introduction: People with severe and persistent mental illness (SPMI) present unique challenges in mental healthcare due to the enduring nature and complexity of their conditions. This study evaluated the clinical effectiveness and potential cost benefits of a multidisciplinary community psychosocial rehabilitation team catering to individuals with SPMI in Nova Scotia, Canada. Method: The Canadian billing system of Medical Service Insurance (MSI) was used to compare inpatient service use and emergency department visits during the year before and the year after receipt of one year of community rehabilitation for patients referred to the team from September 2016 to September 2017. Result: Results demonstrated a statistically significant reduction in mean admission rates and length of inpatient admissions in the year following rehabilitation compared to the pre-rehabilitation year. A substantial percentage of patients experienced no inpatient admissions (88% v. 60%) or ED visits (82% v. 67%) in the post-rehabilitation year compared to the pre-rehabilitation year. There was a significant reduction in inpatient days by 90%, translating into substantial cost savings. The findings highlight the potential economic benefits of community rehabilitation for people with SPMI. Conclusion: This uncontrolled study suggests that community rehabilitation is associated with favourable clinical outcomes for individuals with SPMI in terms of reduced inpatient service use and related costs. Further research into community psychosocial rehabilitation services in the Canadian setting is needed, including controlled and cost-effectiveness studies.

Our previous study demonstrated that the acute high-dose rate (3.3 Gy/minute) gamma irradiation of postnatal day 3 (P3) mice with 5Gy induced depression and drastic neuropathological changes in the dentate gyrus of the hippocampus of the adult mice. The present study investigated the effects of chronic low-dose-rate (1.2mGy/h) gamma irradiation from P30 to P180 with a cumulative dose of 5Gy on animal behaviour, hippocampal cellular change, miRNA and mRNA expression in the hippocampus and blood in female mice. The radiation exposure did not significantly affect the animal's body weight and neuropsychiatric changes such as anxiety and depression examined by neurobehavioural tests including open field, light-dark box, elevated plus maze, tail suspension test and forced swim test. Immunohistochemical staining did not detect any obvious loss of mature and immature neurons (NeuN and DCX) or any inflammatory glial response (IBA1, GFAP, and PDGFR1). Nevertheless, r-H2AX foci in the stratum granulosum of the dentate gyrus were significantly increased, suggesting the chronic low dose rate irradiation induced persistent DNA damage foci in mice. miRNA sequencing and qRT-PCR indicated an increased expression of miR-448-3p and miR-361-5p, but decreased expression of miR-193a-3p in the mouse hippocampus. Meanwhile, mRNA sequencing and qRT-PCR showed a reduced expression of Ccn1, Fli1, Fosb, Ets1, Hs3st5, and Eif4ebp1, but enhanced expression of Cort, Foxh1, and Opalin. Database searching by miRDB and TargetScan predicted that FLI1 and HS3ST5 are the targets of miR-448-3p, and Eif4ebp2 is the target of miR-361-5p. miRNA/mRNA sequencing and qRT-PCR results in blood showed the increased expression of miR-6967-3p and the decreased expression of its target S1pr5. The interactions of these miRNAs and mRNAs may contribute to the chronic low dose rate radiation-induced persistent DNA damage.

Ballastless track has high smoothness, but the laying requirements are strict. Therefore, the maximum span of cable-stayed bridges laying ballastless tracks is 392m. For laying ballastless track structures over larger spans, the deformation characteristics of long-span cable-stayed Bridges under complex loads are incomplete, and the interaction between long-span bridge-track structures is unclear. The influence of wavelength of cosine wave on the track- bridge mapping of different orbital structures was explored. The wavelength characteristics of vertical deformation under complex loads were investigated. The track-bridge integrated model for the cable-stayed bridge was establish to analyze the mapping relationship between rail and bridge and wavelength characteristics of deformation. Based on mapping relationships and wavelength characteristics of deformation, the Train-Track-Bridge dynamic simulation model was simplified. The results show that when the minimum wavelength of bridge deformation surpasses 6 m, 10 m, and 16 m, the rail deformation in the ballasted track, the longitudinal-connected track, and the unit slab-type ballastless track accurately mirrors the deformation of the bridge. For the span of bridge ranging from 200 m to 600 m, the wavelength of vertical deformation ranges from 21 to 1270 m under complex loads. During local loads, the vertical deformation below the 200 m wavelength constitutes a significant proportion near the pie. Considering the influence of the deformation on train vibration response, the Train-Bridge dynamic coupling model can be employed to treat the track structure as a load to reduce complexity of model and enhance the calculation efficiency.

We explore the integration of smart pixel light modulators (SPLMs) into bidirectional optical neural networks (BONNs), highlighting their advantages over traditional spatial light modulators (SLMs). SPLMs enhance BONN performance by enabling faster light modulation in both directions, significantly increasing the refresh rate of neural network weights to hundreds of megahertz, thus facilitating the practical implementation of the backpropagation algorithm and two-mirror-like BONN structures. The architecture of an SPLM-based BONN (SPBONN) features bidirectional modulation, simplifying hardware with electrical fan-in and fan-out. Scalability limitations of the projection system restrict input and output array sizes but achieve high throughput, up to 4.3 × 10¹⁷ MAC/s with 100 layers. Energy assessments showed that the SPLM array, despite its higher power consumption compared to the SLM array, is manageable via effective heat dissipation. Smart pixels with programmable memory in the SPBONN provide a cost-effective solution for expanding network node size and overcoming scalability limitations without the need for additional hardware.

This cross-sectional survey assessed the resilient coping levels and their relationship with the socio-demographic characteristics of nursing professionals in Saudi Arabia. Adult (≥18 years) registered nurses and practicing for ≥1 year were included. Resilient coping levels (as assessed via a 4-item Brief Resilience Coping Scale; BRCS) and socio-demographic and other characteristics data were collected. Descriptive analysis and ordinal logistic regressions were used to analyze the data. Further, the psychometric properties of the BRCS were reported. A total of 216 nursing professionals were included. The mean BRCS score was 14.6 (standard deviation=3.6), with most nursing professionals (62.5%) reporting medium to high resilience coping levels. The ordinal logistic regression model demonstrated that increasing age (p=0.002), best overall health (p=0.001), and nurses posted in the outpatient department (p=0.049) and intensive care unit (p=0.032) had significantly high resilient coping levels. The internal consistency of the BRCS was good (Cronbach’s alpha=0.80). In summary, nursing professionals in Saudi Arabia showed medium resilient coping levels. Moreover, this study suggests that BRCS is a psychometrically reliable and adequate tool for assessing resilience coping levels and provides valuable insights into the relationship between resilient coping levels and socio-demographic characteristics of the nursing professionals in Saudi Arabia.

In vivo proton (1H) magnetic resonance spectroscopy (MRS) is a powerful noninvasive method which can measure Alzheimer’s disease (AD) related neuropathological alterations at the molecular level. AD biomarkers include amyloid-beta (Aβ) plaques and hyperphosphorylated tau neurofibrillary tangles. These biomarkers can be detected via postmortem analysis, but also in living individuals through positron emission tomography (PET) or biofluid biomarkers of Aβ and tau. This review offers an overview of biochemical abnormalities detected by 1H MRS within the biologically defined AD spectrum. It includes a summary of earlier studies that explored the association of 1H MRS metabolites with biofluid, PET, and postmortem AD biomarkers, and examined how apolipoprotein e4 allele carrier status influences brain biochemistry. Studying these associations is crucial for understanding how AD pathology affects brain homeostasis throughout the AD continuum and may eventually facilitate to develop potential novel therapeutic approaches.

Background: Staphylococcus aureus is a major contributor to biofilm-associated infections, which complicate the treatment of chronic conditions like osteomyelitis and prosthetic infections. Bio-films, characterized by bacterial communities encased in a protective matrix, hinder the effec-tiveness of antimicrobial agents and contribute to persistent infections. Objective: This study aimed to evaluate the activity of delafloxacin, a novel fluoroquinolone, against biofilm-forming S. aureus strains, including methicillin-resistant (MRSA) and methicillin-sensitive (MSSA) isolates. Methods: Delafloxacin’s efficacy was compared with traditional antibiotics (vancomycin, line-zolid, doxycycline, sulfamethoxazole/trimethoprim, and rifampicin) using minimal inhibitory concentration (MIC) assays, including testing at different pH levels to simulate acidic biofilm conditions. Synergistic interactions between delafloxacin and other antimicrobials were assessed using the checkerboard method. Biofilm eradication was tested through minimal biofilm eradi-cation concentration (MBEC) assays, biomass quantification, and cell viability (MTT assay). Re-sults: The results showed that all isolates were susceptible to vancomycin and linezolid, with varying resistance to other antibiotics. Delafloxacin demonstrated potent activity, with MIC re-ductions observed in acidic conditions. Synergistic effects were minimal, with only a few isolates showing synergy with vancomycin and doxycycline. Biofilm eradication tests revealed limited success in eradicating biofilms at breakpoint concentrations. However, rifampicin in combination with delafloxacin significantly reduced biofilm biomass in some isolates. No significant changes in cell viability were noted across treatments. Conclusion: This study highlights delafloxacin's potential against biofilm-associated infections, particularly in acidic environments. Despite the challenges in biofilm eradication, delafloxacin combined with rifampicin shows promise for im-proved treatment strategies.

The floating freshwater fern Azolla is the only plant that retains an endocyanobiont, Nostoc azollae (aka Anabaena azollae) during its sexual and asexual reproduction. The increased interest in Azolla as a potential source of food, and its unique evolutionary history have raised questions about its cyanotoxin content and genome. Cyanotoxins are potent toxins synthesized by cyanobacteria which have an anti-herbivore effect, but also have been linked to neurodegenerative disorders including Alzheimer’s and Parkinson's diseases, liver and kidney failure, muscle paralysis and other severe health issues. In this study, we investigated 48 accessions of the Azolla-Nostoc symbiosis for the presence of genes coding microcystin, nodularin, cylindrospermopsin and saxitoxin, and BLAST analysis for anatoxin-a. We also investigated the presence of the neurotoxin β-N-methylamino-L-alanine (BMAA) in Azolla and N. azollae through LC-MS/MS. The PCR amplification of saxitoxin, cylindrospermospin, microcystin, and nodularin genes showed that Azolla and its cyanobiont N. azollae do not have the genes to synthesize these cyanotoxins. Additionally, the matching of the anatoxin-a gene to the sequenced N. azollae genome does not indicate the presence of the anatoxin-a gene. The LC-MS/MS analysis showed that BMAA and its isomers AEG and DAB are absent from Azolla and Nostoc azollae. Azolla therefore has the potential to safely feed millions of people due to its rapid growth while free-floating on shallow fresh water without the need for nitrogen fertilizers.

Advancements in biological and medical science are intricately linked to the biological central dogma. In recent years, gene editing techniques, especially CRISPR/Cas systems, have emerged as powerful tools for modifying genetic information, supplementing the central dogma and holding significant promise for disease diagnosis and treatment. Extensive research has been conducted on the continuously evolving CRISPR/Cas systems, particularly in relation to challenging diseases, such as cancer and HIV infection. Consequently, the integration of CRISPR/Cas-based techniques with contemporary medical approaches and therapies is anticipated to greatly enhance healthcare outcomes for human. This review begins with a brief overview of the discovery of the CRISPR/Cas system. Subsequently, using CRISPR/Cas9 as an example, a clear description of the classical molecular mechanism underlying the CRISPR/Cas system was given. Additionally, the development of the CRISPR/Cas system and its applications in gene therapy and high-sensitivity disease diagnosis were discussed. Furthermore, we address the prospects for clinical applications of CRISPR/Cas-based gene therapy, highlighting the ethical consideration associated with altering genetic information. This brief review aims to enhance understanding of the CRISPR/Cas macromolecular system and provide insight into the potential of genetic macromolecular drugs for therapeutic purposes.

This article discusses advances in molecular technologies for detecting foodborne pathogens, specifically Listeria monocytogenes and Salmonella. Although traditional detection methods are reliable, they are time- and labor-intensive. On the other hand, molecular methods include polymerase chain reaction (PCR), quantitative real-time PCR (qPCR), and next-generation sequencing (NGS), which enable rapid, specific, and sensitive detection of pathogens. The introduction of such procedures has significantly improved food safety testing and monitoring. Although challenges such as accessibility and cost remain, future developments in molecular diagnostics will lead to greater implementation in improving pathogen management throughout the food supply chain.

The Minamata Disease in Japan was one of the most notorious public nuisance cases in the 1960s and 70s, but is still ongoing “unfinished business” in terms of victims’ protection even after several decades of struggles. The world standard of epidemiological causation has still been applied in limited cases. However, it has been pointed out in the international report that, in recent years, mercury contamination has decreased in countries in the Global North, except the Canadian Indigenous peoples’ case, at the same time that it has increased in the Global South. In the Amazon, many Indigenous peoples, most prominently, the Munduruku people in Para state and the Yanomami people in Roraima state, suffer from the Brazilian Minamata Disease due to mercury contamination differently as a typical case of global environmental injustice issues. This paper discusses the comparative difference of the Minamata Disease between inside and outside Japan: In Japan, accumulated mercury contamination in Shiranui Bay of Kyushu due to the poisonous waste release by a big corporation named Chisso Co. was serious, while in the Amazon, contamination due to gold mining by ASGM has been much broader and more diffused. Thus, civil law damages litigation has historically worked despite some challenges in Japan, while it’s practically impossible to stop numerous small scale gold mining by judicial approach in the Amazon. Instead, the administrative regulation under the Lula administration contrasted to the Bolsonaro administration might be especially important, although it’s still limited, considering the global demand for gold and related continuous gold mining activities. Minamata Disease symptoms among the Indigenous peoples along the Amazon are generally minor compared to the Japanese case, but they should also be considered the case from the liberal standard that criticizes the traditional stringent standard such as the Hunter=Russell criteria. However, facing the worsening situation of mercury contamination, the challenges in the Global South are serious: The effective measures for their global health are limited except for dietary education to avoid poisonous carnivorous fishes as opposed to herbivorous fishes. International assistance for providing clean water is also imminent agenda.

Background: The COVID-19 pandemic, caused by SARS-CoV-2, has severely impacted children with Type 1 Diabetes (T1D), placing them at high risk for severe outcomes. Despite extensive observational data suggesting a link between T1D and severe COVID-19, there is a lack of understanding regarding the causal effects. This study aims to determine whether Type 1 diabetes (T1D) influences the risk of severe COVID-19 outcomes, particularly respiratory failure, in pediatric ICU patients. Methods: This two-sample Mendelian Randomization (MR) study utilized genetic data from large-scale genome-wide association studies (GWAS). Genetic variants associated with T1D were used as instrumental variables to assess their impact on severe COVID-19 outcomes. The primary datasets included genetic data for T1D from 457,695 individuals (6,447 T1D cases) and severe COVID-19 outcomes from 3,790 individuals (1,610 severe cases). Various MR methods, including Inverse Variance Weighted (IVW), MR-Egger Regression, and Weighted Median, were employed to ensure robust causal inference and eliminate potential biases such as pleiotropy. Results: The MR analysis revealed no causal relationship between T1D and severe COVID-19 outcomes in pediatric patients. Odds ratios (ORs) obtained using MR-Egger, Weighted Median, and IVW methods varied from 0.7648 to 0.9853, with p-values greater than 0.05, indicating no significant causal effect. Sensitivity analyses confirmed the robustness of these findings, showing no evidence of heterogeneity or directional pleiotropy. Conclusion: Our findings indicate no genetic causal link between T1D and severe respiratory failure from COVID-19 in children. These results contrast with numerous observational studies and suggest that metabolic dysfunction and other non-genetic factors should be the focus in managing this susceptible group. The insights gained are crucial for developing targeted interventions and improving clinical management strategies for pediatric ICU patients with T1D during the COVID-19 pandemic.

Manure-compost-soil is the main pathway for the use of agricultural livestock waste. Biochar, regarded as the conditioner, was beneficial to nitrogen fixation during aerobic composting, and was to the enhancement of soil organic matter (OM) and nitrogen content, when applied with compost to the soil. But, the manure-compost-soil process was also related to microbial succession, whether biochar could affect this succession was not studied. In this paper, we investigated the influence of biochar on the manure-compost-soil process and its microbial community succession. Compared with the control group, biochar increased the OM and total nitrogen content of the compost. Biochar, compost and biochar-based compost improved the total carbon (TC) and OM of the soil. The genera of the initial composting sample were Saccharomonospora, Atopostipes and Lactobacillus, and were eliminated after high-temperature fermentation. Lysobacter, Glutamicibacter and Streptomyces were the dominant genera in the soil samples, promoting plant growth. Nocardiopsis, Saccharomonospora, Bacillus and Oceanobacillus dominated the genera in the whole manure-compost-soil process. Thus, aerobic composting could eliminate the toxic or negative bacteria that were directly input into the soil by manure. Those genera from compost or biochar-based compost flux into the soil could make an important contribution to OM’s cycle.

This study introduces an advanced method for climate downscaling using a Super-Resolution Generative Adversarial Network (SRGAN), referred to as Elevation-integrated TEmperature and Precipitation SRGAN downscaling (E-TEPS), to enhance the spatial resolution of climate data, specifically 2m-temperature above the surface and total precipitation, from the high-resolution Euro-Mediterranean Center on Climate Change (CMCC) dataset over Italy. Traditional Numerical weather prediction (NWP) as well as global climate models (GCMs) generally lack the resolution required for local applications, and this research addresses that gap by refining GCM outputs to provide detailed local climate insights. E-TEPS incorporates elevation maps as auxiliary inputs, significantly improving the accuracy of downscaled temperature and precipitation data. Utilizing Google Cloud's computational resources, the model processes large climate datasets and runs complex training operations efficiently. The system is exceptionally fast, delivering all results in under 10 seconds. The model demonstrates superior performance over two interpolation methods (bicubic and linear), used as traditional downscaling methods, achieving lower Mean Absolute Error (MAE) and Root Mean Squared Error (RMSE), higher Pearson Correlation for temperature, and higher agreement values for the precipitation. Visual comparisons confirm that E-TEPS generated high-resolution outputs exhibit fewer artifacts and better detail preservation, particularly in regions with complex terrain and variable climatic conditions. These findings underscore the potential of our model in delivering precise, high-resolution climate predictions, thereby enhancing the performance of early-warning systems and supporting more effective climate-related decision-making. This paper is the first part of a two-part series; the second part will demonstrate the integration of this downscaling method with the FourCastNet global forecasting model to enhance climate predictions at a regional level, particularly focusing on high-resolution forecasts for Italy.

Parkinson's disease (PD) is a prevalent neurodegenerative disorder marked by progressive motor and non-motor symptoms. Traditional treatments primarily manage symptoms rather than address the disease's root causes, highlighting the need for novel therapeutic approaches. Natural phytochemicals, particularly phenolic compounds, have shown potential due to their neuroprotective effects. Antiaris africana is commonly used in traditional African medicines to treat several illnesses including neurodegenerative disorders. However, its neuroprotective mechanism remains elusive. This study aimed to employ network pharmacology-based prediction to identify key targets and pathways through which A. africana exerts its effects on PD. Targets associated with Parkinsonism were identified and analyzed for interaction with compounds from A. africana. Protein-protein interaction (PPI) networks were constructed, and key hub genes were identified using Cytoscape. Functional enrichment analysis highlighted significant pathways involved in PD. Molecular docking was performed to evaluate the binding affinities of the compounds to PD-related targets. Our results reveal that compounds such as caffeic acid, chlorogenic acid, catechin, ellagic acid, epigallocatechin, gallic acid, isoquercitrin, kaempferol, quercetin, quercitrin, and rutin interact with key proteins implicated in PD, including APP, EGFR, CASP3, ESR1, AKT1, and MAPK8. Notably, rutin exhibited strong binding affinity for EGFR, and chlorogenic acid showed potential in modulating the APP pathway. These findings suggest that phenolic compounds in A. africana may exert neuroprotective effects through multiple molecular mechanisms, offering potential therapeutic strategies for PD. This study underscores the importance of integrating molecular docking and network pharmacology to elucidate the therapeutic potential of natural compounds in complex diseases like Parkinson's disease

The increasing frequency of urban flooding, driven by global climate change, poses significant threats to the safety and resilience of urban rail transit systems. This study systematically examines the cascading failure processes and resilience of these networks under flood conditions, with a specific focus on the Shanghai Metro. A comprehensive resilience evaluation model was developed by integrating geographic information, static network characteristics, and dynamic passenger flow indicators. This study employs an improved Coupled Map Lattice (CML) model to simulate cascading failures, considering the coupling effects of station centrality, geographic elevation, and passenger flow dynamics. Results indicate that stations with higher degree centrality are more likely to trigger rapid cascading failures across the network. However, incorporating dynamic passenger flow and geographic elevation data helps mitigate these effects, emphasizing the need for multi-dimensional resilience strategies. The findings provide valuable insights for urban transit management, offering a scientific foundation for developing targeted disaster response strategies to enhance network resilience against floods. This study advances the understanding of the vulnerability of urban rail transit systems and offers practical guidance for improving disaster preparedness in urban transportation infrastructure.

We studied yeast hand carriage of 260 students from medicine (78), nursing (89), and medical laboratory scientist (93). We isolated yeasts in 27 students (10.4%), with no differences between careers or gender. A significant lower prevalence of carriage was shown in the clinical cycle (2.7%) compared to the basic cycle (13.5%) (p=0.022) and the preclinical cycle (13.5%) (p=0.014).Increased handwashing frequency and alcohol gel use decreased yeast carriage. Students who applied moisturizing hand cream two or more times a day had a lower frequency of yeast carriage (3.4%) compared to those who did not use it or used it only once a day (16.5%), showing a significant difference (p=0.016). The most prevalent species was C. parapsilosis sensu stricto (81.5%), followed by Meyerozyma guilliermondii (C. guillermondii) (7.4%), Trichosporon mucoides (7.4%), and R. mucilagenosa (3.7%). And one case showed mixed carriage of C. parapsilosis and C. albicans. All strains were sensitive to voriconazole, caspofungin, and anidulafungin. This study shows the yeast carriage on the hands of health students, especially of C. parapsilosis, and its reduction with the frequent use of infection control measures and moisturizing hand cream.

Imbalanced classes can cause machine learning models to classify positive class instances poorly, and the models require hyperparameter sets to optimal values. This study aims to develop random forest (RF) and support vector machine (SVM) models that use the optimal hyperparameters obtained through 5-fold cross-validation data. Both models were trained using optimal hyperparameter pairs that fit two data scenarios, the original and oversampling training sets, to produce the benchmark and best models. The model's performance was evaluated using six metrics, including training and testing data. The acquired optimal RF hyperparameter pair was (500, 10) for the minimum number of instances and tree depth level. In contrast, the acquired optimal SVM hyperparameter pair was (0.001, 500) for the gamma and constant values. The benchmark model performed approximately 98% on Accuracy, Precision, Recall, and F1 score metrics but failed to deliver any performance on Mathew's Correlation Coefficient (MC) and Area under Curve (AUC) metrics. The best RF and SVM perform less than both benchmark models in four famous metrics. Both best models have performance improvements of approximately 6% and 11% for the MCC and AUC metrics, respectively. The best RF performance was slightly better than the best SVM performance.

Cadmium (Cd) contaminated soil is a serious environmental problem due to its effect on crop production, soil microbial community, and risk to human health. The commercial amendments are widely used in the immobilization of heavy metal-contaminated soil because of their cost-effectiveness, eco-friendliness, and community acceptance. This study is conducted to assess the effect of sole commercial amendments including bentonite (B), talc (T), activated carbon (AC), cornstarch (CS), and their combination on exchangeable Cd content in soil, Cd uptake by the plant, and soil microbial community. The results indicated that CS and its composites (T+CS and B+CS) showed the highest effect on reducing Cd mobility in soil (up to 10% in CS), decreasing the Cd uptake by lettuce (up to 78% in T+CS), and increasing the microbial community in soil compared to the control. Furthermore, results from Biolog Ecoplate and realtime-Polymerase chain reaction indicated that the mixture amendments (B+CS and T+CS) showed the highest effect on the microbial community by increasing soil microbial population maximum of 3.81-fold difference (in B+CS) compared to the control. The results indicated that applying composite amendments provided an efficient option for immobilizing Cd in soil, reducing the Cd uptake by plants, and increasing microbial community.

This study presents a comprehensive examination of the transformative potential of Islamic finance in advancing sustainable development goals (SDGs). It underscores the unique position of Islamic finance, with its ethical and moral foundations, to contribute significantly to environmental sustainability, social equity, and economic development. The paper highlights innovative financial instruments like Zakat, Waqf, and green Sukuk, which not only align with but also actively promote SDGs. Through a multidisciplinary approach, it advocates for a paradigm shift towards integrating sustainability into the core of financial systems. The analysis includes challenges in harmonizing Human Development Indexes (HDIs) with Ecological Footprints (EFs), proposing strategies for sustainable development, ecological conservation, and educational reforms. This study is pivotal for policymakers, financial institutions, and educators, providing a roadmap for leveraging Islamic finance towards achieving a balanced, sustainable, and inclusive global economy.

The Galápagos archipelago is a vast reservoir of terrestrial and marine biodiversity, owing in large part to its relatively recent volcanic genesis and colonization by humans. This unique ecological system is particularly susceptible to human, animal, and environmental impacts. Climate change, globalization, and the blurring of human-domestic animal-wildlife interfaces are poised to bring new threats and challenges to the region. A One Health perspective that simultaneously considers human, animal, and environmental health is imperative in assessing and mitigating the challenges facing the Galápagos Islands.In Part I of this review, we provide the historical context for biodiversity in the archipelago; discuss the role of invasive species in habitat destruction, fragmentation, and competition with endemic species; and summarize the established and emerging infectious disease threats. We also discuss the imperative to implement research, surveillance, and preventative measures to identify and manage future threats from a One Health perspective, with a specific emphasis on implications for wildlife health. In Part II, we outline the socioeconomic context of life in the Galápagos Islands, evaluate the current and predicted effects of climate change, and discuss direct anthropogenic factors affecting Galápagos biodiversity, such as tourism, fishing, pollution, and the illegal wildlife trade. We also examine the impact of the COVID-19 pandemic in the region. Throughout this two-part review, we build a cohesive picture of One Health in the Galápagos Islands by integrating past work, current needs, and emerging threats. We also consider overarching goals for conservation, ecosystem management, and socioeconomic sustainability that have been previously defined by both governmental and non-governmental stakeholders, and we identify discrete, implementable, and interdisciplinary recommendations that will facilitate achievement of those goals.

Trehalose, a disaccharide made of two D-glucose molecules, is found in various organisms like bacteria, yeast, fungi, insects, and plants. It serves as an energy and carbon source in plants and has signaling functions in yeast and plants, affecting metabolic pathways and growth regulation. It also plays a role in protecting proteins and cell membranes from damage caused by stress. This study aims to determine the best level of trehalose supplementation in layer diets between 34 to 49 weeks of age, due to limited literature on its impact on laying hen productivity. Experimental diets were based on nutritional recommendations and included six trehalose levels. The study was conducted over five periods of 21 days each, evaluating various parameters such as feed intake, egg production, egg quality, and bone characteristics. The results showed that trehalose supplementation influenced the performance of laying hens, as well as some aspects of egg and bone quality.

Balanites aegyptiaca del. (Zygophyllaceae) is widely used in traditional medicine, both human and veterinary, throughout Africa for its many properties, including antiparasitic properties. This experimental study aims to optimise the extraction conditions of the seeds of Balanites aegyptiaca del. Aqueous maceration was carried out with mass to volume ratios of 40%, 30%, 20%, 10% and 5% and extraction times of 6, 12, 24, 36 and 48 hours. Extraction yields, phytochemical screening, saponins assay, antioxidant activities (ABTS and FRAP) and antiparasitic tests on Heligmosomoides bakeri were used to compare the different extracts. The pharmaco-chemical study generally showed that aqueous maceration gave the best results, with a mass/volume ratio of 10% after 12 hours of maceration. The yield obtained was 28.03% with a saponins content of 13.81 mg/g. The antioxidant activities were 4.25 ± 0.17µg/mL by the ABTS method and 0.739µg/mL by the FRAP method. The larvicidal activity also showed that the 10%12h extract produced 100% larval mortality from 25ug/mL. These data provide a basis for guiding the choice of extraction process parameters in producing this antiparasitic phytomedicine.

Objective: Breast cancer (BC) is the most common cause of death among females. There are many prognostic systems, the most recent of which are the molecular subtypes. Recently, it was included that thyroid disease is a favorable factor for the patients with BC and that the thyroid hormones have an effect on the disease. Thyroid stimulating hormone (TSH), however, is thought to be unrelated to the cancer aggressiveness. In the current study we aimed to examine the status of the postoperative TSH levels, as well as the impact of the thyroid disease on the cancer aggressiveness. Methods: A retrospective comparative analysis of invasive BC patients was performed between 2017 and 2019 year. 111 patients were selected. They were divided into group A (n=62) and group B (n=49), based on the presence or absence of thyroid disease, respectively. The data was processed with SPSS version 25. Results: There is a significant difference between group A and group B concerning the molecular subtypes, ki-67, and estrogen receptor. The current study supports the fact that TSH is responsible for the aggressiveness of the invasive BC and not the thyroid hormones themselves. Moreover, based on the correlation analyses calcium levels preoperatively are linked to cancer aggressiveness and could be used as future prognostic factors. Conclusion: Indeed, the thyroid disease appears to have more favorable prognosis based on the molecular subtype frequency but more emphasis in future studies should be given to the TSH and its relation to the overall survival of the patients.

Cranioplasty (CP) is the main surgical procedure aimed at reproducing a structural or morphological defect of the skull. It has been shown that cranioplasty can be useful for patients with traumatic brain injury (TBI) to achieve functional cognitive and motor improvements. Here, we describe a patient with long-term severe TBI who recovered consciousness following delayed CP. We found that a delayed CP may result in a meaningful functional recovery with emergence from a minimally conscious state and recovery of functional communication, even more than a year after decompressive craniectomy. Delayed intervention is equally successful in promoting functional recovery in long-term TBI patients, as early CP has already shown.

The drought response index (DRI) is an indicator of drought tolerance after adjustment for variation in flowering date and potential yield under well-watered conditions. Using a temperate japonica mapping population of 97 recombinant inbred lines from a cross between Otomemochi (OTM) and Yumenohatamochi (YHM), we evaluated DRI during the reproductive stage under very severe drought in one year and under severe drought in the next year. DRI under very severe drought (−6.4 to 15.9) and severe drought (−3.9 to 8.3) positively correlated with grain dry weight under drought. Three QTLs for DRI were identified: RM3703–RM6911–RM6379 and RM6733–RM3850 both on chromosome 2 in both years combined;. and RM8120–RM2615–RM7023 on chromosome 6 in the second year. The latter collocated with putative genes for signaling and defense mechanisms (e.g., PIN1B, BZIP46) revealed by database analysis. Top-DRI lines retained root dry weight and had bigger steles. QTL-by-environment interaction had a greater relative contribution than the main effects of QTLs. Comparison with three previous studies revealed that the QTLs for DRI were unique to each experiment and/or population; most of them closely colocalized with reported drought-yield QTLs.

Introduction; to the best of the authors knowledge no past research has established how illness narrative master plots are expressed initially, and then if, and how they change longitudinally following musculoskeletal trauma. The aim of the current research was able to consider how specific master plots were expressed, interact and change across time following musculoskeletal trauma. Methods; a narrative analysis was undertaken that included individuals who had experienced a musculoskeletal traumatic injury. Individuals were included if they were an inpatient within 4 weeks of the first interview had mental capacity to participate and were able to communicate in English. Three interviews were undertaken (within 4 weeks of injury, 6 and 12 months). A 5-stage categorical form type narrative analysis was performed. Results; Twelve individuals (49.9±17.5 years; 7 male, 5 female) completed interviews at three time points following the trauma event (&lt;4 weeks months, 6 months and 12 months). Three main narratives that appeared to work together to facilitate a positive accommodation of the trauma event into the individual’s life were presented. These included the resumption narrative, the activity narrative and quest narrative. Finally, less often regressive narratives were identified although these narratives were, at times, actively avoided. Discussion; The current results provide important consideration for how narratives are used within clinical practice, in particular the value of how these three narratives could be access and promoted.

In solving the Collatz conjecture, it turns out that if we let all integers k be 6n, 6n+1, 6n+2, 6n+3, 6n+4, 6n+5, then we can solve the Collatz conjecture periodically. The Collatz conjecture states that for any positive integer P (initial value), if n is even, divide n by 2; if n is odd, repeat the rule of multiplying n by 3 and adding 1, which always converges to 1. One open problem has been proved by this paper. The authors hope to contribute to the mathematical community by presenting simple proofs of conjectures in the history of mathematics such as the Collatz conjecture.

This research explores the application of ARIMA (Autoregressive Integrated Moving Average) models and parallel computing techniques to analyze and forecast anemia diagnoses in children under 36 months in the Junín region of Peru. Using health data from 2023-2024, including insurance type, patient information, diagnosis dates, hemoglobin levels, and treatment details, we develop predictive models to understand trends and patterns in childhood anemia. The study aims to demonstrate the effectiveness of time series analysis and high-performance computing in addressing this critical public health issue. Results indicate improved forecasting accuracy and computational efficiency, potentially aiding in resource allocation and policy development for anemia prevention and treatment programs.

Wild-grown edible mushrooms are important in world diet, which are also efficient metal accumulators. Yunnan, southwest China is the main producing region with typically high geochemical metals. Environmental factors, bioaccumulation, distribution and human health risk of metals were examined in paired soil and Tricholoma matsutake (n=54). T. matsutake grows on acidified soils (pH=3.95–6.56) and metals showed strong heterogeneity with Fe, Mn, Zn and Cu ranged at 16–201, 0.046–8.58 g kg–1 and 22.6–215, 3.7–155 mg kg–1. High soil Fe content led to its great accumulation in T. matsutake (0.24–18.8 g kg–1). However, though soil Mn content was great higher than Zn and Cu, their concentrations in T. matsutake were comparable (21.1–487 vs. 38.7–329 and 24.9–217 mg kg–1). This suggested that T. matsutake prefers to accumulate Zn and Cu than Mn, and supported by bioaccumulation factor (BAF=0.32–17.1 vs. 0.006–1.69). Fe was mainly stored in stipe, while Mn, Zn and Cu were in cap, with translocation factor (TF) was 0.58 vs. 1.28–1.94. Therefore, stipe Fe showed the highest health risk index (HRI) at 1.28–26.9, followed by cap Cu (1.01–2.33), while 98–100% of Mn and Zn were risk-free. The higher concentration and greater risk of Fe was attributed to the significant effect of soil Fe content (R=0.34) and soil pH (R=–0.57). This study suggested that Fe as an essential mineral may exert toxic effects via T. matsutake consumption from geochemical high background areas.

Objective: To verify knowledge about HPV, promote educational action and encourage vaccination among students from 6th to 9th grade in the public school system of Campo Grande - MS. Methods: Conducting a structured interview. Results: It was pointed out that 70.1% had heard about HPV, however, 38.1% stated that it is a virus that causes cancer and 11.3% related it to the virus that causes warts. The free availability of the vaccine was known to 57.7% of participants and 62.3% were vaccinated with at least one dose. 79 students were vaccinated during the actions. Conclusion: There is a lack of knowledge, as the majority did not know how to relate HPV to the development of cervical cancer. The interaction between primary health care and schools resulted in the dissemination of knowledge about HPV, an increase in vaccine doses administered, favoring an increase in vaccination coverage among students.

This paper investigates the long-run relationship between the U.S. dollar and Canadian dollar by defragmenting the bilateral exchange rate induced by nominal and real shocks. The methodology centers on a structural vector autoregressive (SVAR) model, including the analysis of impulse response and variance decomposition to account for the impact of nominal and real shocks on exchange rate movements. The study also decomposes the real shocks into demand and supply factors from both Canada and U.S. and compare their impact on the nominal and real exchange rate. Results are compared to shocks driven by country specific nominal factors. The study is conducted using quarterly based data over December 1972 – December 2023. Findings suggest that the real shocks have a permanent impact on both the nominal and real exchange, compared with nominal shocks which have a temporary impact. Country-specific real supply-side factors have a more discerning impact than country-specific real demand-side factors. Country-specific nominal barely impacted the nominal and real exchange between U.S. and Canada.

Lymphadenopathy is a common manifestation of both reactive and malignant diseases, and fine needle aspiration (FNA) is an effective and inexpensive screening method. It can prevent unnecessary invasive surgery and excisional biopsy, especially in benign cases. Unfortunately, the lack of universally accepted terminology for reporting results has hindered its widespread support. The Sydney system proposal for lymph node cytopathology categorization and reporting introduced five diagnostic categories to address the lack of universally accepted terminology for reporting results in lymphadenopathy. Our study analyzed 188 lymph node FNC samples from King Abdulaziz University Hospital, Saudi Arabia, examining clinical follow-up data, pathology records, patient information, and final diagnosis from January 2019 to December 2022. Most specimens were from axillary LNs, with 99.5% tissue correlation. The Sydney System Category classification identified 56.9% of cases as malignant, while 26.1% were benign. The final surgical specimen diagnosis revealed a higher percentage of malignant diagnoses, with the highest ROM in malignant/Category V. In conclusion, our study demonstrates that LN-FNAC offers high diagnostic accuracy for LN aspirates, with the Sydney approach potentially aiding risk stratification and achieving consistency in cytologic diagnosis, but further multi-centric research is needed.

The purpose of this paper is to review the involvement of mitochondria in the actions of nitroglycerin (glycerol trinitrate -GTN) and the redox disturbances underlying diseases it treats. The paper begins by explaining complex I as the initial site of formation of superoxide and the process whereby it leads to the development of glutathione dependent tolerance. Next, the paper describes new formulations for preventing tolerance. The paper ends by illustrating diseases that may benefit from treatment with novel glutathione based GTN formulations and treatment approaches.

Research interest in the occurrence, distribution, fate, and toxicity of N-(1,3-Dimethylbutyl)-N’-phenyl-p-phenylenediamine (6PPD) quinone, a derivative of the tire amino antioxidant 6PPD in urban environments, has surged. While several studies have found that 6PPD quinone exhibits acute, reproductive, and behavioral toxicity as well as mutagenicity and hepatotoxicity in aquatic and terrestrial animals, its environmental exposure data are fragmented and lack coherence across the source-to-exposure continuum, making it difficult to use for risk assessment and regulatory purposes. The present work developed an aggregate exposure pathway (AEP) framework to integrate the exposure data. An AEP network was developed for the atmospheric deposition of 6PPD quinone from tire wear in the Pearl River Delta, which led to human exposure. The 6PPD quinone research was organized, visualized, and evaluated with pertinent knowledge gaps identified using the weight of evidence assessment. Eight key exposure states were identified, with only two having high confidence levels and three having low confidence levels. Empirical support for the key transitional relationships decreased from High to Low from the source to the target site, indicating an urgent need for downstream mechanistic data. The proposed AEP framework integrated diverse 6PPD quinone research, facilitating a mechanistic understanding of the source-to-outcome continuum, as well as the development of quantitative predictive models for future research and environmental regulation.

Tea (Camellia L.) falls into the family Theaceae, is a valuable commercial crop, and tea products made from its buds and young leaves are favored by consumers all over the world. The more common Thea plant is Camellia sinensis (C. sinensis), but its most important relative, Camellia taliensis (C. taliensis), is also utilized by locals in the area of cultivation to manufacture tea. In this investigation, C. taliensis (DL) and C. sinensis (QJZ) were characterized in terms of their agronomic traits, physicochemical indices, metabolomics, and transcriptomics. The leaf area of DL is larger than that of QJZ; the color of DL’s buds and leaves is yellowish-green, while that of QJZ’s is green. DL’s buds and leaves are more densely velvety than those of QJZ. The HPLC results indicated that the physicochemical contents varied considerably between the two samples, with DL having greater concentrations of EGCG and GABA than QJZ, while QJZ had remarkably higher concentrations of C, CA, and EGC than DL. A total of 2269 metabolites and 362,190,414 genes were positively identified, with the number of DAMs and DEGs being 1001 and 34,026, respectively. The flavonoids, phenolic acids, and alkaloid metabolites were dramatically different between the two tea group plants. Bioinformatics profiling revealed that the DAMs and DEGs of the two tea group plants interacted with each other and were involved in metabolic pathways including “biosynthesis of secondary metabolites”, “biosynthesis of amino acids”, “biosynthesis of cofactors”, “phenylpropanoid biosynthesis”, and “flavonoid biosynthesis”. Overall, these results provide statistical support for germplasm conservation and production for both C. taliensis and C. sinensis.

Hepatocellular carcinoma (HCC) remains one of the leading causes of cancer-related mortality worldwide and a major global health burden. The treatment of HCC has experienced a paradigm shift in the last few years, following the discovery of immunotherapy. However, despite the profound success of immunotherapy in other cancer types, their response in HCC remains unsatisfactory. Some of the reasons that can explain this poor response include the immunosuppressive microenvironment of HCC, the absence of reliable biomarkers for response, and drug resistance. Previous preclinical and clinical studies have highlighted the role of combination therapy in overcoming some of these hurdles. In this article, we discuss the benefit of combining immune checkpoint inhibitors (ICIs) with stereotactic body radiation therapy (SBRT) in HCC and shed light on promising clinical trials.

Surfactant proteins A and D (SP-A and SP-D) belong to the collectin subfamily of C-type oligomeric lectins. They are pattern-recognition molecules (PRM), able to recognise pathogen- or dan-ger-associated molecular patterns (PAMP, DAMP) in the presence of Ca2+ cations. That property enables opsonisation or agglutination of non-self or altered/abnormal self-cells, and contributes to their clearance. Like other collectins, SP-A and SP-D are characterised by the presence of four distinct domains: a cysteine-rich domain (at N-terminus), a collagen-like region, an α-helical neck domain and a globular carbohydrate-recognition domain (CRD) (at C-terminus). Pulmonary sur-factant is a lipoprotein complex, preventing alveolar collapse by reducing surface tension at the air-liquid interface. SP-A and SP-D, produced by type II alveolar epithelial cells, and Clara cells, are not only pattern-recognition molecules but also contribute to the surfactant structure and homeo-stasis. Moreover, they are expressed in a variety of extrapulmonary sites where they are involved in local immunity. The term “cancer” includes a variety of diseases: tumours start from uncontrolled growth of abnormal cells in any tissue which may further spread to other sites of the body. Many cancers are incurable, difficult to diagnose and often fatal. This short review summarises anti- and pro-tumourigenic associations of SP-A and SP-D as well as perspectives of their usefulness in cancer diagnosis and therapy.

In contemporary society, digital technology permeates every aspect of our routines. This study assessed students' comprehension of the environmental impacts of prolonged screen time, specifically during binge-watching sessions. It investigated awareness of carbon emissions from electronic device usage, binge-watching habits, and influencing factors such as content preferences, duration, and frequency. The study also explored potential interventions to mitigate environmental impacts. Using a mixed-methods approach, data were collected from 525 higher education students (150 male, 375 female) through self-designed standardized questionnaires. The analysis involved Percentage, t-test, ANOVA, Multiple Correlation, and coding processes. Results indicated that 66.67% of students had a high level of understanding regarding the environmental impact of binge-watching, while only 4.76% were highly aware of the carbon emissions from extended screen time. Additionally, 23.81% exhibited high levels of binge-watching habits and behavior. Gender disparities were significant; females demonstrated a deeper understanding of the environmental impacts (t=4.08, p < α) and showed different binge-watching habits compared to males (t=3.16, p < α). However, no significant gender difference was found in awareness of carbon emissions (t=0.28, p > α). A notable difference (t=12.98, p < α) was observed between students' understanding of environmental impacts and their awareness of carbon emissions. The study also revealed a weak positive correlation (R=0.36) and significant differences [F(2, 1572) = 320.10, p < 0.05, 0.01] in understanding the environmental impacts, awareness of carbon emissions, and binge-watching behaviors. Factors influencing binge-watching and potential regulatory measures were also identified.

Photocatalytic processes offer promising solutions for environmental remediation and clean energy production, yet their efficiency under visible light remains a significant challenge. Here, we report a novel silver-graphene (Ag-G) modified TiO2 (Ag-G-TiO2) nanocomposite photocatalyst that demonstrates remarkably enhanced photocatalytic activity for both dye wastewater degradation and hydrogen production under visible and UV light irradiation. Through comprehensive characterization and performance analysis, we reveal that the Ag-G modification narrows the TiO2 bandgap from 3.12 eV to 1.79 eV, enabling efficient visible light absorption. The nanocomposite achieves a peak hydrogen production rate of 191 μmolesg-1h-1 in deionized water dye solution under visible light, significantly outperforming unmodified TiO2. Intriguingly, we observe an inverse relationship between dye degradation efficiency and hydrogen production rates in dye solutions with tap water versus deionized water, highlighting the critical role of water composition in photocatalytic processes. Our findings demonstrate sustained hydrogen production under visible light and rapid initial rates under UV irradiation, underscoring the versatility of Ag-G-TiO2 catalyst. This work not only advances our understanding of fundamental photocatalytic mechanisms but also presents a promising material for solar-driven environmental and energy applications, potentially contributing to the global transition towards sustainable technologies.

Pancreatic cancer is a refractory cancer with limited treatment options. Various cancer types are resistant to the tumor necrosis factor-related apoptosis-inducing ligand (TRAIL). Eugenol, the main component of clove oil, exhibits anticancer, anti-inflammatory, and antioxidant effects. However, no studies have reported that eugenol increases TRAIL sensitivity by upregulating death receptor (DR) expression. Here, we aimed to investigate eugenol as a potent TRAIL sensitizer. Increased apoptosis and inhibition of cell proliferation was observed in pancreatic cancer cells treated with eugenol and TRAIL compared with those treated with eugenol alone. Eugenol upregulated the expression of DR5, inhibited FLICE-inhibitory protein (FLIP), an anti-apoptotic protein, and increased p53, a tumor suppressor protein. In addition, eugenol induced the generation of reactive oxygen species (ROS) and caused endoplasmic reticulum (ER) stress. C/EBP-homologous protein (CHOP) knockdown using siRNA decreased the expression of DR5 and reduced the combined effects of eugenol and TRAIL. These results demonstrate that eugenol enhances TRAIL-induced apoptosis by upregulating DR5 through the ROS-mediated ER stress-CHOP pathway, enhancing ER stress by inducing p53 and downregulating FLIP expression. This suggests that eugenol has the potential to treat pancreatic cancer by increasing cell sensitivity to TRAIL.

Background: The aim of this study is to explore the independent and joint associations between physical activity (PA) and sleep duration with depressive symptoms. Methods: We included and analyzed 18,052 participants (age ≥ 20 years) from the cross-sectional National Health and Nutrition Examination Survey (NHANES) conducted between 2007 and 2014. Results: After adjustment, both males and females showed a significant correlation between PA, sleep duration, and depressive symptoms. In the joint association analysis, we found: 1. The interaction between PA and sleep duration was statistically significant in males but not significant in females (P=0.380). 2. Compared to individuals with the lowest PA level and not meeting the National Sleep Foundation's (NSF) guidelines, those with the highest PA level and recommended sleep duration had a 79% decrease in depression risk in males (odds ratio [OR] 0.21, 95% confidence interval [CI] 0.14-0.32) and a 74% decrease in females (OR 0.26, 95% CI 0.20-0.35). 3. In male participants adhering to NSF guidelines, each increase in PA quartile is associated with a 19% reduction in the risk of depression (OR 0.81, 95% CI 0.71-0.92). Conversely, among male participants not adhering to NSF guidelines, there is a 23% decrease in depression risk (OR 0.77, 95% CI 0.69-0.86). For female participants, the respective reductions in depression risk are 20% (OR 0.80, 95% CI 0.73-0.89) and 14% (OR 0.86, 95% CI 0.80-0.93). Conclusion: For males, adherence to recommended sleep duration weakens the relationship between physical activity and depression, while the opposite is observed for females.

Petrochemicals and oil refineries are industrial processes that use compounds and polymers derived directly or indirectly from natural gas or crude oil for chemical purposes. They have posed a number of short- and long-term risks to the environment and the people who live nearby. The study aims to determine how the presence of industrial areas, such as oil refineries, affects the local population's perception of their surroundings. The investigation centers on the Tehran Oil Refinery, a major refinery hub, and its perceived environmental impact. For this purpose, a Geographic Information System for Public Participation (PPGIS) covering three basic sections has been designed: socio-demographic information of the participants; self-perceived health; and landscape valuation before and after an intervention. The main observations show a complex interaction between industrial presence and the perception of landscape values. Participants' reactions to the manipulated Photographs reveal important details about the psychological impact of visual elements on emotional perception. There is also a direct relationship between the level of stress and emotional perception in the manipulated and original photos.This research adds to the larger debate about the effects of industrialization on the environment and society. It emphasizes the importance of considering public perception when planning and developing industrial projects. The goal is to strike a balance between industrial operational needs and environmental quality preservation, resulting in long-term urban growth.