Changes in agricultural yields due to climate change will affect land use, agricultural production volume, and food prices as well as macroeconomic indicators, such as GDP which is important as it enables one to compare the climate change impacts across multiple sectors. This study considered five key uncertainty factors and estimated macroeconomic impacts due to crop yield changes using a novel integrated assessment framework. The five factors are 1) land-use change (or yield aggregation method based on spatially-explicit information), 2) the amplitude of the CO2 fertilization effect, 3) the use of different climate models, 4) socioeconomic assumptions and 5) the level of mitigation stringency. We found that their global impacts on the macroeconomic indicator value were 0.02 - 0.06% of GDP in 2100. However, the impacts on the agricultural sector varied greatly by socioeconomic assumption. The relative contributions of these factors to the total uncertainty in the projected macroeconomic indicator value were greater in a pessimistic world scenario characterized by a large population increase and low income (0.6%) than in an optimistic scenario (0.00%).

Measuring farms sustainable innovativeness is a big challenge for both practitioners and academics. The need of sustainable innovativeness assessment in the agricultural business is reasoned in the article. Unfortunately, the features of the farms sustainable innovativeness measurement have not yet been investigated, and any objective methodology for innovativeness assessment is not presented as well. The objective of this article is to find possibility of use some methodology for measuring farm sustainable innovativeness, which would allow ranking farms by this aspect. The article demonstrates the need for multi-criteria method of innovativeness measurement and substantiates the complex proportional assessment method (Copras) as the most appropriate for solution of indicated problem. The model for use of offered method is presented and the practical application of the model is submitted. The final result refuted the opinion that farm innovation depends only on the possibilities to invest funds in a certain area. Indeed, staff creativity and the position of the management regarding certain areas of business make an essential contribution to the sustainable innovativeness level in the agricultural organizations.

Purpose: National Institute for Health and Care Excellence (NICE) has recently published quality standards for assessment of fall risk and preventing further falls. According to the standards, multifactorial fall risk assessments should include: identification of falls history; analysis of gait, balance, mobility and muscle strength, among other factors. Despite being based on subjective analysis or simple timing and not being multifactorial, physiotherapists and physicians quite often use these tests as reference scales to differentiate between lower and higher risk of falling. Instrumented TUG has been recently reported to provide important additional information to the overall score. Objective: To explore a case-based approach of fall risk assessment to identify the most relevant and informative risk factors that in combination could better define a person risk profile. Materials and Methods: A multifactorial assessment of fall risk through questionnaires, standard functional tests, tests instrumented with inertial sensors, and force platforms has been studied within a group aged 55-80 years old. Different fall risk factors and fall risk assessment methods were analyzed in a case-based descriptive study. Results & Discussion: Subjects at higher risk of falling were identified based on their detailed profiles. A set of features were obtained from the instrumented standard tests differing significantly between subjects presenting higher or lower fall risk. Therefore, instrumenting conventional tests with wearables containing inertial sensors and force platforms gives more detailed and quantitative insights. This information can be used to better define and tailor fall prevention exercises and to improve the follow-up of the evolution of the subject.

A very important role in determining the quality of water is the assessment of its microbiological quality. Water quality control, which could pose a direct threat to human health and life, is performed in the case of water produced at the water treatment plants, tap water or water in swimming pools. However, these traditional methods used to assess its quality are laborious and time consuming. In emergency and incidental situations, in the era of terrorist threats, the need for quick, reliable and reproducible microbiological determinations seems to be essential. In this study, an attempt was made to compare various methods of assessing the microbiological quality of water. The assessment was carried out for waters with different microbiological characteristics: surface waters, rainwater, groundwater, and water supply. The evaluation was carried out using traditional culture methods and high-speed methods: flow cytometry and luminometry. The analysis of microbiological parameters were the basis for the statistical analysis. The conducted microbiological analysis of various types of water, along with their statistical evaluation, showed different dependencies for each of the analysed waters.

The pandemic of obesity worldwide has been recognized as a very important challenge. Within its complexity the identification of higher risk patients becomes essential since it seems unsustainable trying to offer access to treatment to all people with obesity. Several new approaches have recently been presented as important tools for risk stratification. This research applied some of these tools in a cross-sectional study involving adults with obesity classes I, II, III and super obesity. The participants had their cardiometabolic risk profile assessed. The study included adults with obesity, aged 18 to 50 years (n=404) who were evaluated for anthropometric, body composition, hemodynamic, physical fitness and biochemical assessments. These variables were used to identify the prevalence of risk factors for cardiometabolic diseases according to the classes of obesity, by gender and age group. The results showed a high prevalence of risk factors, especially among the upper classes of obesity (BMI > 35 kg/m2) using single parameters as the waist circumference with almost 90% above the cut-off point. But there were also smaller numbers as the Glycated Hemoglobin whose prevalence was around 30%. Indexes like the atherogenic index of plasma (AIP) had the highest prevalence, with 100% of the male participants identified with increased risk for cardiovascular diseases.

Background: Prismatic cover test (PCT) is a gold standard assessment of strabismus angle, however it has a significant number of disadvantages which are eliminated in Strabiscan device. Methods: Patients with strabismus (n = 30) and a group of healthy subjects (n = 30) were given a detailed history and underwent ophthalmologic examinations (best corrected visual acuity assessment, cycloplegic autorefractometry, biomicroscopic examination of anterior and posterior part of the eye). Each patient and healthy subjects were then subjected to the PCT, and then the presence of strabismus was detected, and its angle assessed using a Strabiscan demonstrator. Statistical analysis was done with Statistica software. Results: No statistically significant differences were noted in the measurements of strabismus angles made by the differing methods. Among the control group, using the Strabiscan demonstration device, low-angle latent strabismus ≤3PD was diagnosed in 83% of patients, and >3PD in 13% of patients. Those using the PCT, on the other hand, diagnosed latent strabismus ≤3PD in only 13% of patients, and latent strabismus with an angle >3PD in 13% of patients. Conclusion: The Strabiscan demonstration device provides quick and accurate assessment of the strabismus angle.

Developments in technology have enabled envisioning the derivation of materials and products from renewable biomass, as an alternative to finite fossil-based resource consumption. Therefore, bioeconomy is regarded as an opportunity for sustainable economic growth. Countries are formulating strategies in accordance with their goals to attain from bioeconomy. Proper measurement, monitoring and reporting of the outcomes of these strategies is crucial for long-term success. This study aims to critically evaluate the national methods used for the measurement, monitoring and reporting of bioeconomy contribution to the total economy. For this purpose, research and surveys have been conducted on selected countries (Argentina, Germany, Malaysia, the Netherlands, South Africa and the United States). The results reveal that the bioeconomy targets set up in the strategies often reflect country’s priorities and comparative advantages. However, comprehensive approaches to measure and monitor bioeconomy progress are frequently lacking. Most countries only measure the contribution to gross domestic product (GDP), turnover and employment of the sectors included in their bioeconomy definition, which may provide an incomplete picture. In addition, this study identifies the mismatch between the targets and measurement methods, as the environmental and social impacts of bioeconomy are often foreseen, but not measured. It is concluded that existing global efforts towards a sustainable bioeconomy monitoring can be strengthened and leveraged to measure progress towards sustainable goals.

In August 4 2011, United Nations Environmental Program (UNEP) submitted an unprecedented, scientific, groundbreaking Environmental Assessment Report (EAR) of Ogoniland, to the Nigerian government. This was the outcome of a 14–month intensive evaluation of the extent of pollution. It was intended that UNEP’s recommendations would be implemented to restore the devastated environment, on the one hand, and on the other, counteract the numerous environmental health issues that have for decades, plagued Ogoniland. However, five years post EAR, and, despite the seriousness of the situation, no significant resolution has occurred, both on the part of the government, and on the part of Shell Petroleum Development Company (SPDC) or Shell. To date, millions of Niger Delta residents, particularly those living in the oil-bearing communities, continue to suffer severe consequences. Although, the assessment was conducted in Ogoniland, other communities in the Niger Delta are also affected. This article explores prevailing issues, using Ogoniland (a microcosm of the Niger Delta) as an example. A multidisciplinary approach for sustainable mitigation of environmental health risks in the Niger Delta is paramount, and Environmental Management tools offer valuable strategies. Adopting UNEP’s recommendations for addressing environmental health problems requires implementing the Environmental Management/Environmental Management System (EM/EMS) model.

Previous research via cell experiments has shown that ultrafine particles (UFPs, particles less than 100 nm) emitted from Three-Dimensional desktop printers (3D printers) had cytotoxicity. However, a few particles from different filaments and their cytotoxicity combinations have been tested. Here we quantify emissions of UFPs and use Air-Liquid Interface (ALI) from one commercially available filament extrusion desktop 3D printer utilizing three different filaments by controlled experiments. A549 cells were exposed at the ALI to UFPs generated by a working 3D printer for an average of 45 minutes and 90 minutes. Twenty-four hours after exposure, cells were analyzed for percent cytotoxicity grown on the 24-well ALI insert (LDH assay). UFP exposure resulted in decreased cell viability (significantly increased LDH levels). The result shows that Acrylonitrile butadiene styrene (ABS) has the most significant particle emission. ALI exposures enable in vitro testing of mixtures of particles such as UFP from a 3D printer. ABS is the only filament with a significant difference compared with the HEPA control in 90 minutes of exposure (p-value <0.05). ABS and PETG we used during the experiment presented a significant difference compared with the HEPA control in 45 minutes of exposure.A screening analysis of potential exposure to these products in a typical environment suggests caution should be used when operating many printer and filament combinations in poorly ventilated spaces or without the aid of combined gas and particle filtration systems.

Groundwater plays a pivotal role as the largest potable water sources in Bangladesh. However, the quality of the groundwater faces challenges due to xenobiotic compounds in it. Excess amount of arsenic (As) has already been found in groundwater in many parts of Bangladesh. Thus, this study was conducted to assess the water quality and associated human health risk in central Bangladesh. A total of 99 groundwater samples from the central part of Bangladesh were analyzed to assess human health risk due to high level of nitrate (NO3-) and other trace elements i.e. arsenic (As), iron (Fe), and manganese (Mn). It was found that NO3- concentration (253.17 mg/L) in the groundwater samples exceeds the recommended guideline value by the WHO (50 mg/L). Moreover, this study area also characterized with elevated concentration of As (19.44 µg/L), Fe (811.35 µg/L), and Mn (455.18 µg/L) in the groundwater. Non-carcinogenic human health risk was calculated by justifying HQ (Hazard Quotient) and HI (Hazard Index) and attributed potential conjunctive human health risks due to NO3-, As, Fe and Mn in the study area. Moreover, high carcinogenic risk was found due to As contamination in the groundwater samples in the study area.

Banana plantation is an important type of agro-ecosystem in the tropics, and it is important to carry out a quantitative assessment of the carbon footprint of the banana growing process for the development of low-carbon agriculture to cope with global warming. The carbon footprint of two banana cultivation processes was assessed using the life cycle assessment method through field trials and farmer surveys in Chengmai County, Hainan Province, China. The results showed that: (1) N2O emissions caused by the application of nitrogen fertilizers and compound nitrogen fertilizers were the largest source of carbon emissions from banana plantation farmland, and the production and transportation of common compound fertilizer were the second largest source of carbon emissions. Banana fruits and plants were the main contributors to carbon fixation in banana plantation ecosystems, with about 24.72 t CO2 eq hm-2 for Musa paradisiaca AA, and 34.66 t CO2 eq hm-2 for M. AAA Cavendish var. Brazil. (2) The annual carbon emissions of Musa paradisiaca AA and M. AAA Cavendish var. Brazil farmland systems were 35.40 t CO2 eq·hm-2 and 43.83 t CO2 eq·hm-2, respectively, and the annual carbon fixation was 38.23 CO2 eq·hm-2 and 48.17 CO2 eq·hm-2, respectively. The banana plantations had a negative carbon footprint per unit area, showing a net carbon sink function. (3) Banana is a plant with high carbon emission and strong carbon fixation capacity. Scientific management in the field can achieve the decrease of agricultural inputs, high quality and abundant agricultural products, and the reduction of carbon footprint of farmland.

This study determined the temporal variation of PM2.5 in ambient air in Thohoyandou and further assessed the associated health risks. The levels of PM2.5 were quantified for a period of 1 year (April 2017-April 2018) using the gravimetric method. There was no significant difference (P-value = 0.18) in concentrations of both PM2.5 samples collected during weekdays (11.29 µg.m-3) and weekends (9.86 µg.m-3). However, higher concentrations of PM2.5 were measured in spring and the lowest was measured in summer. The cancer risk obtained for PM2.5 (2.21 × 10−5, 3 × 10-4, and 5 × 10-4 for infants, children, and adults respectively) in the outdoor air of Thohoyandou has exceeded the limit values by the USEPA and WHO, implying a significant risk for the whole population. For non-carcinogenic risks, the HQ values were 2.60, 4.81, and 2.60 for infants, children, and adults respectively. The HQ value >1 indicates a non-carcinogenic risk to the residents in Thohoyandou and a higher risk to children. Moreover, PM2.5 in Thohoyandou is responsible for 0.15% and 0.13% of deaths resulting from cardiovascular disease and lung cancer respectively for adults above 30 years. PM2.5 is causing adverse health effects in Thohoyandou as deduced from the health risk assessment. Therefore, it is recommended that further epidemiological studies be conducted in Thohoyandou to estimate the burden of disease due to exposure to particulate matter and suitable controlling policies be arranged to reduce particulate matter.

The construction safety risks (such as landslides or slumps) of the high-fill subgrade are characterized by uncertainty and variability. In order to ensure the construction safety of the high-fill subgrade of the expressway, a comprehensive risk assessment model of high-fill subgrade construction according to the combination weighting method based on game theory was established. Firstly, settlement rate, lateral differential settlement, horizontal displacement at the foot of the slope, deep horizontal displacement, and excess pore pressure were selected as evaluation indicators, and an evaluation index system of high-fill subgrade was constructed. Secondly, the subjective and objective weights were obtained via the analytic hierarchy process and entropy method. Furthermore, the optimized weights were obtained by introducing game theory, and the construction risk of the high-fill subgrade was evaluated and analyzed using the fuzzy comprehensive evaluation method. Finally, based on the high-fill section of the Zhijiang-Tongren Expressway in Hunan Province (China), the evaluation model was validated through field measurement data. The results show that the safety scores obtained using the three methods of analytic hierarchy process, entropy method, and combination weighting method based on game theory are similar. The combination weighting evaluation model can correct the evaluation result error caused by a single weight and avoid information delay caused by the manual processing and analysis of monitoring data. The high-fill subgrade safety evaluation grade based on the combination weighting method and game theory is consistent with the engineering situation, and its fault tolerance range is within 20%. The evaluation model proposed in this study can scientifically and effectively evaluate the safety risks of high-fill subgrade construction, significantly improving the safety and reliability during the construction process.

This study is an attempt to create a framework, using the best available inventory data, to perform lifecycle assessment (LCA) on asphalt pavement production. In particular, the use of reclaimed asphalt pavement (RAP) as an end-of-life product of deteriorated pavements is under consideration. Following ISO 14000 series standards, the framework constitutes the four major LCA steps in defining goal and scope, lifecycle inventory analysis, environmental impact assessment, and results interpretation. Three different scenarios in which varying portions of RAP are incorporated into hot mix asphalt production are to be compared. The system boundary of this study is limited to the construction and rehabilitation phases and ignores the vehicular use phase. It was found under this study that since high RAP mixtures require more frequent and aggressive maintenance activities, the overall footprint of asphalt pavements constructed with higher RAP contents is also higher. This would necessitate more efficient design procedures and protocols for mixtures produced with high RAP contents to compensate for their lack of long-term performance.

Defectively manufactured and deliberately damaged composite laminates fabricated with different continuous reinforcing fibres (respectively, carbon and glass) and polymer matrices (respectively, thermoset and thermoplastic) were inspected in magnetic resonance imaging equipment. Two pulse sequences were evaluated during non-destructive examination conducted in saline solution-immersed samples to simulate load-bearing orthopaedic implants permanently in contact with biofluids. The orientation, positioning, shape, and especially the size of translaminar and delamination fractures were determined according to stringent structural assessment criteria. The spatial distribution, shape, and contours of water-filled voids were sufficiently delineated to infer the amount of absorbed water if thinner image slices than this study were used. The surface texture of composite specimens featuring roughness, waviness, indentation, crushing, and scratches was outlined, with fortuitous artefacts not impairing the image quality and interpretation. Low electromagnetic shielding glass fibres delivered the highest, while electrically conductive carbon fibres produced the poorest quality images, particularly when blended with thermoplastic polymer, though reliable image interpretation was still attainable.

Since the energy sector is the main source of greenhouse gases, it has the highest potential for improvement. Improvements can be achieved by generating energy from renewable sources. Combined with thermal energy storage, concentrating solar power plants represent a promising technology for dispatchable renewable energy, ensuring a stable energy supply even in remote areas without contributing to greenhouse gas emissions during operation. However, it is important to note that greenhouse gases and other polluting emissions may occur during the manufacturing process of concentrating solar power plant components. This work analyses the design of the receiver to produce thermal energy for the existing solar dish CSP plant at the Energy Center of the Politecnico di Torino. The objective of this plant is to produce hot water for a small case study. Considering the average solar irradiance for Turin equal to 800 W/m2, the surface heat flux was obtained from the first part of the analysis, which was used to obtain the maximum internal temperature in the receiver equal to 873.7 °C. The maximum temperature obtained was a constraint for the selection of the material for the solar receiver. Of the various possibilities, copper was chosen. In the second part of the work, a Life Cycle Assessment was carried out to compare the emissions generated during the production of the main components of the CSP plant with the emissions generated by the methane-fuelled water heater that produces the same amount of water as the CSP plant. It can be concluded that the manufacture of the main components of the CSP plant results in lower greenhouse gas emissions than the operational phase of a conventional natural gas-fired water heater (1.6 kg CO2/day).

Pufferfish (Tetraodontidae) inhabiting the Mediterranean Sea can represent an emerging public health risk due to the possible accumulation of marine neurotoxins (TTXs and STXs) in their tissues. In this study, the presence of pufferfish species in the Strait of the Sicily (Lampedusa Island, Italy) was investigated using a Citizen Science (CS) approach involving local fishermen. A sub-group of specimens collected were sent to the National reference Laboratory on Marine Biotoxins for de-termining the presence of TTXs using a validated HILIC-MS/MS method on fish tissue. The STXs presence was also screened in some specimens. Overall, 56 specimens, identified as Sphoeroides pachygaster (Müller &Troschel, 1848) were collected. Data on specimen total length, body weight, fishing method, catch area (with relative depth temperature and salinity) were analyzed and compared with the S. pachygaster records reported in Guardone et al. (2018), which were appro-priately updated until 2022. All the analysed tissues were found to be negative for both TTXs and STXs. The key role of the CS in monitoring potentially toxic marine species was proved. Outcomes from this study, the first investigating the toxicity of S. pachygaster in Italian waters, may provide useful data for the proper assessment of this emerging risk

Safety assessment of structures can be obtained employing limit design to overcome uncertainties concerning actual response due to inelastic constitutive behavior and more generally to non-linear structural response and loads’ random variability. The limit analysis is used for evaluating the safety of the structures directly starting from load level without any knowledge of the load history. In the paper, the lower bound calculation is proposed where a new strain-based approach is used that allowed describing the residual stress and displacement in terms of permanent strain. The strategy used the permanent strain as the effective parameters of the procedure so that it was possible to assess the ductility requirements for the complete load program developed till collapse or shakedown. The procedure is compared to experimental results obtained on aluminum beams in shakedown.

General–purpose automatic speech recognition (ASR) systems have improved their quality and are being used for pronunciation assessment. However, the assessment of isolated short utterances, as words in minimal pairs for segmental approaches, remains an important challenge, even more for non-native speakers. In this work, we compare the performance of our own tailored ASR system (kASR) with the one of Google ASR (gASR) for the assessment of Spanish minimal pair words produced by 33 native Japanese speakers in a computer-assisted pronunciation training (CAPT) scenario. Participants of a pre/post-test training experiment spanning four weeks were split into three groups: experimental, in-classroom, and placebo. Experimental group used the CAPT tool described in the paper, which we specially designed for autonomous pronunciation training. Statistically significant improvement for experimental and in-classroom groups is revealed, and moderate correlation values between gASR and kASR results were obtained, beside strong correlations between the post-test scores of both ASR systems with the CAPT application scores found at the final stages of application use. These results suggest that both ASR alternatives are valid for assessing minimal pairs in CAPT tools, in the current configuration. Discussion on possible ways to improve our system and possibilities for future research are included.

Background: Accurate estimation of dietary intake is challenging. But whilst some progress has been made in high-income countries, low- and middle-income countries (LMICs) remain behind, contributing to critical nutritional data gaps. This study aimed to validate an objective, passive image-based dietary intake assessment method against weighed food records in London, UK for onward deployment to LMICs. Methods: Wearable camera devices were used to capture food intake of eating occasions in 18 adults and 17 children of Ghanaian and Kenyan origin living in London. Participants were provided pre-weighed meals of Ghanaian and Kenyan cuisine and camera devices to automatically capture images of the eating occasions. Food images were assessed for portion size, energy, and nutrient intake, and relative validity of the method compared to the weighed food records. Results: Pearson and Intra-class correlation coefficient of estimates of intakes of food, energy and 19 nutrients ranged from 0.60 to 0.95 and 0.67 to 0.90, respectively. Bland-Altman analysis showed good agreement between the image-based method and weighed food record. Under-estimation of dietary intake by the image-based method ranged from 4 to 23%. Conclusions: Passive food image capture and analysis provides an objective assessment of dietary intake comparable to weighed food records.

The emergence of novel pathogens is a well-known epidemiological risk, however, the unexpected emergence of a truly novel coronavirus-mediated pandemic, SARS-nCOV2 (COVID-19), underscored the significance of understanding this contagion. The COVID-19 pandemic caused unprecedented social, economic, and educational disruptions on a scale never seen before. In addition to social protocols, the development of safe, effective, affordable COVID-19 vaccines was developed within months, the cornerstone to mitigating this pandemic. We present an overview of the evolution of the SARS-nCOV2 pandemic from a historical perspective and describe its biology and behavior, especially the immunological aspects of the disease. We further provide an overview of COVID-19 therapeutics, treatment, and vaccine development. It is critical to understand the transmission mechanism of the disease to control and mitigate its progression. We describe cohort studies to identify secondary and tertiary syndromes. The transmission characteristics help its diagnosis and detection. During the pandemic, a lot of emphasis was placed on personal protection equipment. It is now concluded that the virus particles spread by aerosol dispersion. While the recommended distance may not be sufficient, the use of personal protective equipment and social distancing may be helpful in close-quarters environments. Such protocols in conjunction with safe and effective vaccines and personal hygiene are among the safe practices. While we learn from our experience, this review provides a holistic view of COVID-19, so we are better prepared for a future pandemic. In addition to a wide-spectrum automated analytics system, we also suggest that the use of artificial intelligence in conjunction with data analytics can further reduces the risk of speculatively diagnosing agents incorrectly, to eliminate future pandemic, where the novelty can be the cloud-based presumptive diagnosis.

The development of mobile technology and internet mobile offers new possibilities in both rehabilitation and for patients’ assessment in a longitudinal and MS management perspective. However, because the mobile health applications (mHealth) have only been developed recently, the level of evidence supporting the use of mHealth in patients with multiple sclerosis (pwMS) is currently unclear. Therefore, this study aims to list and describe the different mHealth available for rehabilitation and self-assessment of pwMS and to define the level of evidence supporting these interventions for functioning problems categorized within the International Classification of Functioning, Disability and Health (ICF). 36 studies, performed with 22 different mHealth, were included in this review, 30 about rehabilitation and 6 for self-assessment, representing 3,091 patients. For rehabilitation, most of the studies were focusing on cognitive function and fatigue. Concerning the efficacy we found a small but significant effect of the use of mHealth for cognitive training (SMD = 0.28 [0.12 ; 0.45]) and moderate effect for fatigue (SMD = 0.61 [0.47 ; 0.76]). mHealth is a promising tool in pwMS but more studies are needed to validate these solutions in the others ICF categories. More replications studies are also needed as most of the mHealth have only been assessed in one single study.

The prevalence of back pain (BP) among children and adolescents has increased over recent years. Some authors advocate promoting back-health education in the school setting. It is therefore important to adopt a uniform suite of assessment instruments to measure the various constructs. The present study aimed to perform a cultural adaptation of a validated measurement instrument (BackPEI), beginning with a translation and cultural adaptation phase, followed by a second phase to test reliability using a test-retest design. The translation and cross-cultural adaptation were performed based on the guidelines. Reliability was tested by applying the questionnaire to 224 secondary school students, at two different times with a 7-day interval between the tests. In general, the Spanish version presented adequate agreement for questions 1–20, with only question 9 achieving a low Kappa range of .312 [-.152- .189]. The question about pain intensity did not show differences between the averages for the test (4.72 ± 2.33) and re-test (4.58 ± 2.37) (p = .333), and the responses for these two tests were highly correlated (ICC= .951 [.928- .966]; p= .0001). Psychometric testing indicated that the Spanish version of the BackPEI is well-adapted and reliable, based on the test-retest design, providing similar results to the original Brazilian version.

Wastes from social economic activities had great impact on water quality thereby limiting water usability for domestic purposes. Sewages discharge from people activities, usually consist of undesirable concentrations of soluble chemicals that infiltrate into the surrounding surface and underground water, and then constitute health risk to the populace. In order to investigate the concentration characteristics and health risk for the local residents in Nandong Underground River Watershed (NURW), eleven common heavy metals in the water body analysis were conducted. Health risk assessment (HRA) was taken to analyze eleven heavy metals of 84 water samples from surface and underground waters in NURW: 36 samples underground water and 48 samples surface water. Our results showed that the heavy metals concentration order is that of Fe > Al > Mn > Zn > As > Cd > Pb > Cr > Ni > Cu > Hg. Correlation analysis indicates that these eleven metal elements have certain similarity on material source and migration transformation. The health risks for local residents exposed to metal elements in the water of NURW mainly from carcinogenic risk (10−6～10−4 a−1) through drinking way, and the health risk of heavy metals exposed to children through drinking way was much higher than adults. The maximum exposing health risks of Cr in both underground and surface water were higher than the recommendation standard (5.0×10-5 a-1) from ICRP, and all the values over the standard (5.0×10-6 a-1) recommended by the Swedish Environmental Protection Agency and the Dutch Ministry of Construction and Environment and the British Royal Society. The results of health risk assessment shows that Cr in the water of NURW was the mainly source of carcinogenic risk for the local residents, following by Cd and As. Consequently, it is necessary to control the three carcinogenic metals when the water was used as drinking water source.

Background: Affective states play a role in dietary behaviors. Yet, little research has studied within-subjects associations between affect and diet during pregnancy. We examined the acute bidirectional relationships between affect and food intake and moderation by pre-pregnancy body mass index (BMI) in low-income, Hispanic pregnant women using ecological momentary assessment (EMA). Methods: Women (N=57) completed four days of EMA during their first trimester. Women responded to five random prompts per day about their current affect and past two-hour food intake. Results: Higher positive affect (PA) or lower negative affect (NA) predicted greater likelihood of fruit/vegetable consumption in the next two hours in women with lower pre-pregnancy BMI and lower likelihood in women with higher pre-pregnancy BMI. Higher PA predicted less likelihood of fast food consumption in the next two hours in women with lower pre-pregnancy BMI and slightly higher likelihood in women with higher pre-pregnancy BMI. Women with lower pre-pregnancy BMI had higher PA when they reported consuming chips/fries in the past two hours, and women with higher pre-pregnancy BMI had lower PA when they reported consumption of chips/fries in the past two hours. Conclusions: Results showed differential relationships between affect and food intake as a function of pre-pregnancy BMI.

Safety management assessment systems for national level units’ in South Korea focus on responding capacity to cope with impending accident occurrence and danger occurrence. Since the four stage systems for prevention-preparation-response-recovery, which are core elements of national disaster management, assess the capacities by item such as those of individuals, disaster management departments, institutions, and management networks, there is no assessment function for the organic operation states of the entire systems. Therefore, for efficient disaster management, systematic evaluation indices that will enable active pre-checks in departments in organizations should be developed in place of the existing simply checking methods. In this study, an assessment model that will enable active disaster management centered on practice was developed using resilience engineering techniques. This model consists of disaster management items from the viewpoint of proactive responses instead of prevention. A total of 56 items that constitute four capacities; which are prediction (13 items), monitoring (14 items), proactive response (15 items), and safety learning (14 items) capacities were adopted in this model through Delphi analysis. Institutional capacities for infectious disease disaster management were evaluated based on this model and the resultant scores were prediction 4.41, monitoring 4.63, proactive response 4.69, safety learning 4.56 out of the full score of 5.0 points with an overall average of 4.51. This is an excellent capacity management score comparable to the score 4.57 of diagnosis of similar capacities by the WHO\_JEE (The Joint External Evaluation) in 2017. In fact, in 2015, when infectious disease capacity management was poor, in case of MERS (Middle East Respiratory Syndrome) infectious disease spread in South Korea, 36 patients died and 6,729 patients were isolated. However, through capacity reinforcement, in the case of MERS occurrence in South Korea in September 2018, a management capacity that prevented spread was shown as one confirmed case was completely cured in 10 days and 21 contacts were isolated and tested negative. Therefore, this capacity management assessment model is judged to be usable in enhancing disaster response and management capacities.

In this study, by using Least Square Method, the dataset for the Gross Domestic Product per capita is modeled as a function satisfying the fractional differential equation. The function itself is assumed to be the finite summation of its previous values and the derivatives with unknown coefficients. Then, the prediction for the upcoming years is done by having an approach dividing the dataset into 4 regions corresponding to four different tasks. The mathematical model of the Gross Domestic Product (GDP) per capita of the countries (and union) which are Brazil, China, European Union (EU), India, Italy, Japan, UK, the USA, Spain, and Turkey is constructed with a new methodology called as the deep assessment method which comes from the expressing an arbitrary function modeling the dataset as the finite summation of its previous values and the derivatives with unknown coefficient. The method uses the fractional calculus properties combining with Least Square Method and is compared to Long short-term memory (LSTM) algorithm which is a special type of neural network used for time sequences in general.

Breast self-Examination (BSE) is the cheapest most recommended Breast Cancer (BC) preventive tool for resource-deprived settings. There is paucity in the attitude research domain and comparative gender assessments of the BSE knowledge, attitude and performance (KAP) literature. Purpose: The purpose of this study was to assess the combined and exclusive gender BSE attitude of undergraduate health trainees and to determine significant differences between scores of both genders. Methodology: participants included 5 undergraduate health trainee classes purposively sampled from 2 faculties. Online cross-sectional method was used to assess BSE attitude of 336 purposively sampled Kwame Nkrumah University of Science and technology (KNUST) College of Health Sciences (CoHS) students. Data was analyzed using descriptive and inferential statistical analyses. Main findings: Compared to the construction groups’ average norm of 101.17 (SD = 9.55), our study participants’ (SPs) BSE attitude was lower (92.51; SD = 11.80). However, using popular mid-point and 3- part attitude scoring methods, our SPs’ attitude scores were comparable to sub-regional and national findings. Moreover,the male participants scored a generally high BSE attitude but significantly lower compared to their female counterparts (p < 0.5). Recommendations: There is the need to adjust the curriculum of all health trainees in developing nations to reflect relevant BC preventive measures. Furthermore, BSE research, education as well as advocacy should involve more males as important BC BSE stake holders.

Conventional MRI sequences are standard methods to monitor patients with brain tumors but have significant limitations especially after irradiation. Currently, the role of FET-PET in radiotherapy of glioblastoma is emerging, starting from target definition, response assessment and in distinguishing progression from post-irradiation changes. Recently a PET RANO criteria have been published providing optimal strategy for treatment evaluation with amino-acid PET. Earlier, a PET/RANO group reported contribution of PET imaging to radiotherapy planning and monitoring in glioma patients. Also, increasing evidence have showed advantages of amino-acid PET vs. RANO MRI for prediction of overall survival. In this narrative review we aimed to summarize published data on FET-PET based treatment response assessment to radiotherapy and focused on details in protocols.

Gas turbine installations (GTIs) are widely used to generate electrical and thermal energy mainly by burning gaseous fuels. The use of GTIs to burn hydrogen as part of the development of hydrogen energy technology is currently of particular interest. In order to assess the prospects of using GTIs in such a way, it is necessary, among other things, to understand the carbon footprint of the gas turbine as part of the carbon footprint of the entire life cycle of hydrogen. The article provides an overview of the results of previously published studies on life cycle assessment (LCA) of technically complex devices associated with the production and consumption of fuel and energy, which, from the point of view of the complexity of LCA, are most similar to gas turbine installation. The characteristics of the considered stages and resources used in the assessment of the stages of the life cycle of technically complex equipment are presented, including an analysis of the amount of materials used in production and construction. Taking into account its specific application in Russia, an assessment of greenhouse gas emissions at the stages of the GTI life cycle per MWh of produced capacity was carried out.

Surgical smoke is produced by energy-based surgical instruments. The airborne volatile organic compounds (VOCs) from surgical smoke may have potential health risk. This study aimed to evaluate the evidence for the harmful effects on the operating theater staff. An internationally recognized evaluation model of health risk assessment (HRA) was adapted to preliminarily assess the health risks caused by VOCs in surgical smoke. Results of HRA indicated that non-carcinogenic risk indexes of VOCs did not exceed one, indicating that these pollutants didn't cause significant non-carcinogenic harm to the health of the operating theater staff. But the cancer risk indexes exposed to formaldehyde and benzene all exceed 10-5, which was higher than the suggested value of USEPA (10-6) and might cause potential harm to the health of the operating theater staff. Long-term exposure of such surgical smoke will be harmful to the health of the operating theater staff and have a great risk of cancer.

Background: Chronic kidney disease, one of the most common diseases in the world, is characterized by irreversible impairment of the kidney’s metabolic, excretory, and endocrine functions. During end-stage renal disease, patients require renal replacement therapy, such as hemodialysis (HD). Protein-energy wasting is a common health problem among HD patients. However, this study aims to assess the nutritional status of HD patients at two HD centers in Jeddah, Saudi Arabia, and to determine its associated factors. Methods: A cross-sectional study was conducted at two different Dialysis Centers in Jeddah, Saudi Arabia; 211 female and male HD patients. Malnutrition was recognized using the Modified-SGA (M-SGA) comprising two parts: medical history and physical examination. Sociodemographic and health status for all patients were also determined. Patients were classified based on their M-SGA score into two groups: normal and malnourished. Results: Overall, 54.5% of the participants showed malnutrition. Unemployment, low muscle strength and mass, high level of medication use, and high dialysis vintage were positively (P&lt;0.05) associated with malnutrition. Conclusion: The M-SGA score indicates a high prevalence of malnutrition among HD patients. These results show the importance of regular assessment and follow-ups for HD patients ensuring better health and nutritional status.

There are not many exhaustive works emphasizing the amount of genetic diversity among the strawberry tree (Arbutus unedo L.) genotypes in Morocco. This work aims to assess the biochemical composition of strawberry tree fruits, as well as to establish the variation of this composition among them. In this study, total phenols, total flavonoids, condensed and hydrolyzable tannins, total anthocyanins and free radical scavenging activity through ABTS were investigated in strawberry tree fruits. Furthermore, qualitative and quantitative analyses of individual phenolic compounds by high-performance liquid chromatography (HPLC) were carried out. Color parameters such as lightness (L*), Chroma (c*) and hue angle (h°) were also investigated. All studied variables showed highly significant differences among all samples with the exception of hydrolyzable tannins and chromatic coordinates. Total phenolics varied from 22.63 ± 1.74 to 39.06 ± 2.44 mg GAE/g dry wt, total flavonoids varied from 3.30 ± 0.60 to 8.62 ± 1.10 mg RE/g dry wt and total anthocyanins ranged between 0.12 ± 0.06 and 0.66 ± 0.15 mg cya-3-glu/100g dry wt. In addition, condensed and hydrolyzable tannins amounts were in the range of 10.41 ± 1.07 - 16.08 ± 1.50 mg TAE/g dry wt and 4.08 ± 2.43 - 6.34 ± 3.47 respectively. Moreover, the IC50 value (ABTS) ranged between 1.75 and 19.58 mg AAE/g dry wt. 17 phenolic compounds were detected in strawberry tree fruits. Gallocatechol and catechin were the most abundant phenolic compound. Matrix of correlations revealed significant positive and negative correlations among variables particularly c*, a* and b*. Principal component analysis showed that the first three components formed than 68% of the total inertia. The following variables gallic acid, protocatechuic, gallocatechin, gallic acid derivative, chlorogenic acid, syringic acid, ellagic acid derivative II, L* and h* were the most involved in the total variance explained. Hierarchical clustering classified samples into one main cluster, with a single branch. The results highlight a high biochemical diversity within studied strawberry genotypes, which is probably more genetically related

There is limited evidence for the association between malnutrition and hospital mortality as well as Intensive Care Unit length-of-stay (ICU-LOS) in critically ill patients. We aimed to examine the aforementioned associations by conducting a prospective cohort study in an ICU of a Singapore tertiary hospital. Between August 2015 and October 2016, all adult patients with ≥24 h of ICU-LOS were included. The 7-point Subjective Global Assessment (7-point SGA) was used to determine patients’ nutritional status within 48 hours of ICU admission. Multivariate analyses were conducted in two ways: 1) presence versus absence of malnutrition, and 2) dose-dependent association for each 1-point decrease in the 7-point SGA. There were 439 patients of which 28.0% were malnourished, and 29.6% died before hospital discharge. Malnutrition was associated with an increased risk of hospital mortality [adjusted-RR 1.39 (95%CI: 1.10–1.76)], and this risk increased with a greater degree of malnutrition [adjusted-RR 1.09 (95%CI: 1.01–1.18) for each 1-point decrease in the 7-point SGA]. No significant association was found between malnutrition and ICU-LOS. Conclusion: There was a clear association between malnutrition and higher hospital mortality in critically ill patients. The association between malnutrition and ICU-LOS could not be replicated and hence requires further evaluation.

The aim of this study is (a) to develop, test, and employ a combined method of unsupervised machine learning to objectively assess the condition of sports facility in primary schools (PSSFC) and (b) examine the examine the geographical and typological association with PSSFC. Based on the Sixth National Sports Facility Census (NSFC), six PSSFC indicators (indoor and outdoor facility included) were selected as the measurements and decomposed by using the t-stochastic neighbor embedding (t-SNE). Thereafter, the Fuzzy C-mean (FCM) algorithm was used to cluster the same type of PSSFC with selecting the optimum numbers of evaluation level. Overall 845 primary schools in Shanghai, China were recruited and tested by this combined approach of unsupervised machine learning. In addition, the two-way analysis of covariance was used to examine the location and types of school associated with PSSFC variables in each level. The combined method was found to have acceptable reliability and good interpretability, differentiating PSSFC into five gradient levels. The characteristics of PSSFC differ by the location and school type of individual school. Our findings are conducive to the regionalized and personalized intervention and promotion on the children’s physical activity (PA) upon the practical situation of particular schools.

Background: In 2020, the incidence of cancer was 844,778 cases among the population aged 0 to 19 years. Ninety percent of the population under 18 years of age lives in low- and middle-income countries, where cancer survivors report adverse outcomes. disease, which negatively impacts individuals’ general health, emotional state and external factors such as academic performance. Therefore, the objective of this article was to report the performance of the WCST and the sociodemographic characteristics of oncopediatric patients from Cali, Colombia. We report the reliability of the WCST instrument and indicate the association between the type of cancer and executive functioning in patients. Methods: In a cross-sectional observational study, 24 oncopediatric patients were interviewed and evaluated via the WCST. Results: The mean age was 12.08 years (3.98), 20.8% were women, 70.8% had a diagnosis of leukemia, 8 patients had acquired brain deficits, and more than 75% had adequate functioning in terms of the indicators of executive functions. Robust statistics were used to explore the differences between the types of diagnoses and performance in executive functions, and no statistically significant differences were found (p = 0.156). We accumulated evidence that the WCST has a reliable Cronbach's α of 0.804 and that oncopediatric patients without brain deficits had high scores for executive functions (p = 0.002) with a moderate effect size (0.727). Conclusions: The WCST is reliable for discriminating executive function among pediatric cancer patients. The evidence suggests that there are no differences between the types of cancer evaluated and executive functioning in the participants.

E-commerce has gained increased popularity over the last decade. To date, there is an open debate as to whether e-commerce or brick-and-mortar shopping is environmentally less sustainable, especially due to the growing mobility resources needed for e-commerce distribution. The analysis at hand compares the CO2-equivalent emissions of e-commerce and brick-and-mortar shopping of pharmaceutical products considering spatial aspects and the typical transport modal mix of consumers when doing online and offline shopping. The object of analysis is a retailer of pharmaceutical products, more precisely medicines, which offers, both, brick-and-mortar shop and online shopping possibilities. The results show that spatial aspects concerning the residential location of consumers, the vehicles used for shopping trips, the shopping basked size, and trip-chaining effects have a crucial impact on the mobility demand and CO2-equivalent emissions of the two commerce forms. In general, for rural and sub-urban areas, e-commerce results in lower CO2-equivalent emissions, while in urban areas, brick-and-mortar shopping is the favourable solution, if the consumers walk or cycle to the next pharmacy.

Certain services can help avoid environmental impact in larger contexts. However, there is no commonly agreed bottom-up methodology for calculation of the total net reduction effect of specific digital services. Life Cycle Assessment (LCA) is a common denominator for most methodologies. The most common method is the Attributional LCA (ALCA), and recently the emerging handprint ALCA estimating so-called positive environmental impacts. Moreover, Consequential LCA (CLCA) can be used to capture market effects. The third conceptual approach is Input-Output LCA. The purpose is to propose and test a new method based on some of the existing ones. The existing concepts are compared and a synthesis is made to create a practical but still useful method. The new method is applied to two illustrative cases in the Information and Communication Technology (ICT) domain; the introduction of a 5G enabled drone for pipe inspection and the 5G enabled health consultation. Compared to simplified ALCA, the difference between the absolute score for the baseline system and the target system changes up to 15% when the proposed simplified CLCA (SCLCA) method is used. The results show that SCLCA, when combined with analytical methods for expressing digital ICT services’ own impact, is a fruitful approach which is both practical and feasible.

The rapid expansion of livestock production sector to meet the world population demand is posing a big challenge to environmental sustainability. Plant-based feed additives extracted from food by-products could potentially result in a double outcome: improving animal zootechnical performances and mitigating environmental impacts of meat production chains. This presented study was carried out to assess the environmental impacts of the supplementation of a commercial Citrus extract feed additive (CEFA) in swine and broiler farming. Life cycle assessment (LCA) was applied to assess the impact of manufacturing and distributing 1 bag of 25 kg of CEFA and its use in feed in broiler and swine productions. With regard to CEFA manufacturing and distribution, results showed that the majority of impact came from the production of CEFA ingredients, accounting for 70% impact generated. The remaining 30% effect was divided to transportation to customer (25%), CEFA packaging (3%), CEFA manufacture, and production loss (2%). When enlarging the scope, the use of CEFA in piglet and broiler diets showed improving the measured environmental indicators, compared to such standard systems. Indeed, feed supplemented CEFA have demonstrated in elevating zootechnical performances, hence saving feed consumed. Consequently, that helped reduce environmental issues from animal feed ingredients’ agriculture. To be more specific, the supplementation of 25 kg of CEFA in feed led to a reduction of 6 tons of CO2 emitted along the life cycle of broiler production and 5 tons in the case of fattening pig. 0.7 hectares of land used had been saved as well as, 201 m3 of water (broiler) and 82 m3 (swine) were economized. Environmental performance assessment showed the interest in using this CEFA in swine and broiler diets to mitigate the environmental impacts.

The contractual relationship between the processing firm and the broiler smallholder presents incessant conflicts of interest and inequality due to technical and economic discrepancies, leading to an undervaluation of the producers' remuneration. This study aims to deepen the discussions in searching for a more balanced monetary exchange between processing firms and broiler smallholders based on scientific aspects. For this, the Emergy theory and its concepts were used in considering a representative broiler production system at Concórdia, Santa Catarina, Brazil. This study suggests the inclusion of cultural information in the Emergy-based model calculation. For the broiler smallholder, cultural information showed the highest Emergy contribution (62.95%; transformity = 1.73 ×10^8). However, only considering cultural information was not sufficient to increase the sustainability of the broiler production system. The results highlight an imbalance of the monetary exchange between agroindustry and broiler smallholder payment for both the economic and Emergy-based payment. Both estimated payments were higher than the practiced payment value (0.24 USD/broiler as well as 0.32 USD/broiler and 1.62 EmUSD/broiler, respectively). Thus, evaluating the “(eco)cost” in Emergy-based accounting recognizes that production depends not only on tangible physical resources but also on knowledge, skills and information (“iceberg of value” thinking). Policy and decision makers must, therefore consider the promotion of public policies that subside initiatives, including social and environmental welfare programmes.

Since the global request for freight transportation is continuously increasing to face the requirements of the modern economy, 5G infrastructures and companion technologies are becoming essential to support the digital transformation in logistics and transportation, in particular for their capability to allow data collection through a multitude of different sources across the supply chain, improving the connectivity and making more effective the secure and reliable data sharing. The objective of this work is to assess the penetration and implementation levels of innovative technologies to optimize port operations, by interviewing a set of actors and stakeholders directly involved in the logistics chain of ports.

The Attentional Networks Test for Interactions and Vigilance–executive and arousal components (ANTI-Vea) is a computerized task of 32 min duration in the standard format. The task simultaneously assesses the main effects and interactions of the three attentional networks (i.e., phasic alertness, orienting, and executive control) and two dissociated components of vigilance with reasonable reliability (executive and arousal vigilance). We present this free and publicly accessible resource (ANTI-Vea-UGR; https://anti-vea.ugr.es/) developed to easily run, collect, and analyze data with the ANTI-Vea (or its subtasks measuring some attentional and/or vigilance components embedded in the ANTI-Vea). Available in six different languages, the platform allows for adaptation of stimuli timing and procedure to facilitate data collection from different populations (e.g., clinical patients, children). Collected data can be freely downloaded and easily analyzed with the provided scripts and tools, including a Shiny app. We discuss previous evidence supporting that attention and vigilance components can be assessed in typical lab conditions as well as online and outside the laboratory. We hope this tutorial will help researchers interested in measuring attention and vigilance with a tool useful to collect data from large sample sizes and easy to use in applied contexts.

Community co-creation is increasingly crucial to the building of sustainable societies. Communities must proactively and independently create value chains in the face of many wicked problems. However, practical frameworks and tools for facilitating community co-creation require further development. As such, for this paper, we propose a theoretical framework for analyzing community co-creation value chain mechanisms based on a narrative review of literature on Collective Impact, social impact assessment, and Community Capital from the perspective of collective impact, a framework with a fair amount of previous research. We argue for the importance of applying knowledge of social impact assessment, particularly for the collective impact conditions of common agenda and shared measurement system. We discuss its relationship with the Theory of Change and the use of systems thinking to mitigate the subjectivity and arbitrariness of design thinking. Furthermore, we emphasize the value of employing the community capital concept as a framework for analyzing interrelationships among elements. By integrating multiple concepts, we enhance the collective impact framework and outline potential avenues for future research on analyzing and effectively implementing co-creation value chain mechanism in a community-based approach.

Despite laws and directives for the regulation and restriction of pesticide in farming, the large use of Plant Protection Products (PPPs) in paddy fields is a relevant worldwide cause of contamination of the environment. The aim of this work is to evaluate the environmental impact due to the use of PPPs by using an integrated approach based on chemical analyses and ecotoxicological hazard assessment, supported by statistical tools, in order to overcome the issues related to the traditional tabular evaluation. Samples of soil and water of seven conventional and organic paddies located in Northern Italy have been examined for two years by extensive chemical and ecotoxicological analyses. The results evidenced a direct relationship between the presence of Oxadiazon in water and bioassays responses as the main cause of the toxicity measured. This phenomenon affected both biological and conventional rice fields, due to the free circulation of water through irrigation canals. Therefore, the implementation of organic districts with a water circulation isolated from conventional fields represents a simple and effective countermeasure to safeguard the agricultural practices of organic crops.

Tinnitus is a phantom sound perception in the ears or head and can arise from many different medical disorders. Currently, there is no standard treatment for tinnitus that reliably reduces tinnitus. Individual patients reported that acupressure at various points around the ear can help to reduce tinnitus, which was investigated here. With this longitudinal observational study, we report a systematic evaluation of auricular acupressure on 39 tinnitus sufferers, combined with a self-help smartphone app. The participants were asked to report about tinnitus, stress, mood, neck and jaw muscle tensions twice a day using an ecological momentary assessment study design for six weeks. On average, 123.6 questionnaires per person were provided and used for statistical analysis. The treatment responses of the participants were heterogeneous. On average, we ob-served significant negative trends for tinnitus loudness (Cohen’s d effect size: -.861), tinnitus dis-tress (d = -.478), stress (d = -.675), and tensions in the neck muscles (d = -.356). Comparison with a matched control group revealed significant improvements for tinnitus loudness (p = .027) and self-reported stress level (p = .003). The positive results of the observational study motivate fur-ther research including a randomized clinical trial and long-term assessment of the clinical im-provement.

BACKGROUND: To present a new method of urethral pressures examination, and to evaluate diagnostic capabilities of three dimensional profilometry , as an alternative to classical urethral profile (UPP) .Using four channel catheters and dedicated software global urethral pressures image is obtained. The method eliminates the main limitation of classical urethral profilometry where the catheter orientation determines the pressures picture limited to only one point in the uretral circumference while we observed even 50% differences in pressure measures depending on the point of measurement. METHODS: This is a preliminary study containing method presentation and analisys of the use in varied clinical cases of either healthy patients and patients with LUTS. The article includes technique and equipment decription, full evaluation of selected cases, including three dimensional urethral pressures distribution graphics. RESULTS AND CONCLUSIONS:Three dimensional profilometry compared to classical technique is comparable regarding the time, cost, technical difficulty and patient discomfort. At the same time we obtain much more data on the urethral pressures and its distribution.The results are easy for interpretation due to 3D movable graphics created automatically through the dedicated software.

Even though the rules for free movement of machinery within the European Union market have existed for more than 30 years, accidents related to their activities have constantly been achieving significant value. When designing the machine, a designer must stem from risk assessment, whereas all stages of its life cycle and ways of its use must be taken into consideration. In industrial operations, there is old machinery, which, although fulfilling its function reliably, the safety level is not in accordance with the developing requirements for their safe operation. The proposed methodology of assessment of the machinery safety condition comes out from the presupposition of the right application of steps of risk assessment and their reduction mainly by means of implementation of both effective and efficient preventive measures. The aim of the research applied in 3 operations, was to verify the method of machinery safety management. The created methodology based on 19 requirements for safety evaluates the level of the actual measures by means of the so-called criterion of current status and total efficiency of measures. Its output is the assessment of the efficiency level of implemented safety of each machine as well as of the whole operation.

Currently there is no multi-hazard risk assessment tool for determining the level of complexity to swiftwater and flood rescue incidents. Traditionally, the International Scale of River Difficulty is used but it is primarily for paddlers for use in a recreational context, without much consideration to the multitude of hazards faced in swiftwater and flood rescue environments. In response to this gap, the ECHO risk assessment tool has been developed and undergone initial testing. This tool provides for simple and rapid codification of multiple hazards and response considerations and is globally applicable. The tool also assigns a final risk assessment colour making the interpretation of the assessment easy to understand and communicate. Though the proposed tool shows potential, further research is needed before it should be operationalised.

Agricultural intensification is considered essential for meeting growing demand for food and biomass for energy and material purposes. Intensifying grasslands is a so-far under-represented although promising option, given their large land area and relatively low management levels. This study quantifies the bioenergy potential from intensifying temporary grasslands in Europe and the integral greenhouse gas emission effects in 2030. We first conduct a literature review of intensification options for European grasslands and then apply the environmental impact assessment model MITERRA-Europe to implement the key intensification option of using multi-species grass mixtures. The results show that 853 kha (or 8%) of temporary grassland could be made sustainably available for additional biomass production. This can be translated into a bioethanol potential of 23 PJ/yr and an emission mitigation potential of 5.8 Mt CO2-eq/yr (if conventional grass mixture from surplus temporary grassland is used for energy) or 72 PJ/yr and 4.0 Mt CO2-eq/yr (if surplus temporary grassland is used for grassy energy crops). Although the bioenergy potential is limited, the intensification measure’s key advantage is that it results in a better environmental performance of temporary grasslands. This makes it a key option for sustainably producing bioenergy in areas with high shares of temporary grasslands.

Substantial studies have focused on early detection of Alzheimer's disease (AD). Cerebral amyloid beta (Aβ), is hallmark of AD, can be observed in vivo via positron emission tomography imaging using amyloid tracer or cerebrospinal fluid assessment, but costly expensive. The current study aims to identify and compared predictability in magnetic resonance imaging (MRI) markers and neuropsychological markers to predict cerebral Aβ status in AD cohort using machine learning (ML) approaches. The predictability in candidate markers for cerebral Aβ status was examined by analyzing 724 participants from the ADNI-2 cohort. Demographic variables, structural MRI markers, and neuropsychological test scores were used as input in several ML algorithms to predict cerebral Aβ positivity. Out of five combination of candidate markers, neuropsychological markers with demographics showed the most cost-efficient result. A feature selection model could distinguish abnormal levels of Aβ with the predictability of 0.85, indicating the same performance with MRI-based models. The result has first to identified the predictability in MRI markers using ML approaches, and secondary to demonstrate the neuropsychological model with demographics could predict Aβ positivity, suggesting a more cost-efficient method for detecting cerebral Aβ status compared to MRI markers.

The importance of the contribution from tourism to climate change was pointed out by the International Tourism Organization (UNWTO). By combining process-based Life Cycle Assessment (LCA) and Input-output analysis, several researches have tried to evaluate the impacts of the tourism industry as well as its products and services. Indeed, the tourism sector has a wide range of industries including travel and tour, transportation, accommodation, food and beverage, amusement, souvenirs etc. However, the existing cases did not show a breakdown of the impact on climate change. In this paper, the carbon footprint (CFP) of the Japanese tourism industry was calculated based on tourist consumption, using the Japanese Input-output table and the Japanese tourism industry. It was shown that the total emissions were approximately 136 million t-CO2 per year. The contribution ratio of each stage is as follows: Transport 56.3%, Souvenirs 23.2%, Petrol (direct emissions) 16.9%, Accommodation 9.8%, Food and Beverage 7.5%, Activities 3.0%. Then, in the breakdown, the impact is high in the following order Air transport 24.7%, Petrol (direct emissions) 16.9%,Accommodation 9.8%, Food and Beverage 7.5%, Petrol 6.1%, Textile products 5.3%, Food items 4.9%, Confectionery 4.8%, Rail transport 3.9%, Cosmetics 1.9%, Footwear 1.8%, etc. In addition to transportation, this research also highlighted especially the contribution from souvenirs, accommodation, food and beverages.

The complex systems that require safety are the Safety Critical Systems. Maintaining these systems is a big challenge. Now a days, safety is a very critical requirement for the latest systems. Safety critical systems must be safe. Different approaches to ensure quality and safety in safety critical systems has been discussed in this paper. A comparison is also conducted between these various approaches. Safety critical systems must remain more influential in future.

The shoulder region has the highest incidence of acute injuries in the sport of surfing. Little is known about the strength profile at the shoulder in a surfing cohort. The primary aim of this study was to establish the reliability of a rotator cuff strength testing procedure for surfers with a secondary aim of providing a profile of internal (IR) and external rotation (ER) strength in a competitive surfing cohort. Shoulder IR and ER isometric strength was measured using a hand-held dynamometer in 13 competitive surfers. Intra-class coefficient values ranged from 0.97 to 0.98 for intra rater reliability and were lower for inter rater reliability ranging from 0.80 to 0.91. Normalised force (N/Kg) for IR strength was significantly greater than ER strength bilaterally (dominant, p= 0.007, non-dominant, p<0.001). No significant differences (p< 0.79) were found in IR strength (N/Kg) between the dominant and non-dominant arms. ER strength (N/Kg) was significantly weaker on the non-dominant arm compared with the dominant arm (p<0.02). The non-dominant arm ER to IR ratio (0.82 ± 0.15) was significantly (p=0.025) lower than the dominant (0.88 ± 0.14) The current procedure is reliable with the same clinician, results indicate musculature asymmetry specific to the external rotators.

SLEUTH Model (slope, landuse, exclusion, urban extent, transportation and hillshade) is an important tool for landuse planning and land policy. To evaluate the performance of SLEUTH model, implementation of Sensitivity Analysis (SA) is essential. The main limitation of SA in SLEUTH application is a lack of insight into model input self-modification parameters (SMPs) variation, namely, uncertainty involved in the model transfer metrics and model presumptions, which often misled the decision makers and model users. To address this issue, this study divided the forward process into two stages. Firstly, during the transfer process ①, the contribution scores of five SMPs were drawn, and parameters highly sensitive to model output were given. Apart from that, the recommended initial value for SMPs of 0.11, 0.2, 0.87, 1.13, 15, 1.01, 0.49 were found to be subordinated to such a heterogeneous urban area simulation. Secondly, during the transfer process ②, SMP caused imagery metrics indicated the disparity between parameters with Fixed Reference and with Successive Reference. Reversely, it derives reasonable threshold for the best fit values of five prediction coefficients’ initialization by comparing the real image with the predicted one. The framework of SLEUTH model transfer mechanism not only could distinguish highly sensitive SMPs with higher contribution scores, but also could give parametric analysis for simulation imagery based on metrics. The study was found to be a practical tool for quantization response of model input variables for modelling complex urban systems. So, this insight can help geographic information scientists decide how to find out the inner forward transfer mechanism of SLEUTH model for further make good use of it and improve the model.

A proposed animal welfare assessment protocol for semi-arid rangeland-based cow-calf systems in Namibia combined 40 measures from a protocol developed for beef cattle in New Zealand with additional Namibia-specific measures. Preliminary validation of the protocol had been undertaken with five herds in one semi-commercial village. The aim of the current study was to apply this protocol and compare animal welfare across three cow-calf production systems in Namibia. A total of 2529 beef cows were evaluated during pregnancy testing in the yards of 17 commercial, 20 semi-commercial and 18 communal (total: 55) herds followed by an assessment of farm resources and a questionnaire-guided interview. Non-parametric tests were used to evaluate the difference in the welfare scores between the production systems. The results indicated a discrepancy of animal welfare between the three farm types, with a marked separation of commercial farms from semi-commercial, and communal village farms in the least. The differences in these production systems was mainly driven by economic gains through access to better beef export market for commercial farms and semi-commercial villages, as well as by the differences in the available grazing land, facility designs/quality and traditional customs in the village systems. The results indicate an advantage of commercialisation over communalisation.

Supermarkets in Port Harcourt (PH) city, Nigeria, predominantly rely on diesel electricity generation due to grid instability, leading to high cost of electricity prices. Although solar photovoltaic (PV) systems have been proposed as an alternative, these supermarkets have yet to adopt them, mainly due to high investment costs and a lack of awareness of the long-term financial and environmental benefits. This paper examines the technical and economic practicality of a PV system for these supermarkets using the PVsyst software and a spreadsheet model. Solar resources showed that PH has a daily average solar radiation and temperature of 4.21 kWh/m2/day and 25.73℃, respectively. Market Square, the supermarket with the highest peak power demand of 59.8 kW, and a 561 kWh/day load profile, was chosen as a case study. A proposed PV system with a power capacity of 232 kW, battery storage capacity of 34,021 Ah, a charge controller size of 100 A/560V, and an inverter with a power rating of 60V/75 kW has been designed to meet the load demand. The economic analysis showed a $266,936 life cycle cost, $0.12 per kWh levelized cost of electricity (LCOE), 4-year simple payback time, and a 20.5% internal rate of return (IRR). The PV system is feasible due to its positive net present value (NPV) of $165,322 and carbon savings of 582 tCO2/year.

The province of Jaén (Andalusia, Spain), despite being declared the European territory with the largest number of defensive constructions (castles and fortifications), has few conservation plans, with many remains included on the Red List of Spanish Heritage lying abandoned. This presents a problem for the conservation of the landscape and the optimal use of the province’s tourism potential. Through the study case of Magaña hamlet two actions are proposed to alleviate this situation: The creation of an archaeological and environmental risk chart with which to answer such questions as “How have climate change, anthropic alterations and environmental charac-teristics affected the state of conservation of certain heritage sites?” and to put forward proposals for improving their protection using as a basis digital and technological tools, such as remote sensing (SAR), taking advantage of data from the Sentinel 2A and 2B satellites, HBIM, RPAS and GIS. To foster the promotion of smart tourism by digitalising and virtualising tourist routes and archaeological remains by building a Smart Tourism App for mobile devices. Finally, public administrations will be apprised of the need to implement a conservation policy for cultural as-sets and their surroundings in a simple, quick and cost-effective manner.

In 2014, the International Union for Conservation of Nature adopted the Red List of Ecosystems (IUCN RLE) criteria as the global standard for assessing risks to terrestrial, marine, and freshwater ecosystems. Identifying and quantifying the impacts of biodiversity assessments on the status of nature is key to justifying continued investment in assessments and enabling strategic planning to maximize future impact. In this policy perspective, we use an established impact evaluation framework to identify the impacts of the IUCN RLE since its inception. To date, 1,397 ecosystem units in 100 countries have been assessed following the IUCN RLE protocol. Systematic assessments are complete or underway in more than 25 countries and two continental regions (the Americas and Europe). Countries with established ecosystem red lists have already used them to inform legislation, land-use planning, protected area expansion, monitoring and reporting, and ecosystem management. IUCN RLE indices based on systematic assessments have high potential to inform global biodiversity reporting for the Aichi Targets and the United Nations Sustainable Development Goals. Expanding the coverage of IUCN RLE assessments, building capacity to undertake them, and establishing stronger policy instruments to manage red-listed ecosystems will be key to maximizing conservation impacts over the coming decades.

The paper focuses of the interaction between tungsten (W) wire and microwave field in carbon dioxide (CO2) atmosphere. Our experimental set-up uses a microwave plasma generator in order to generate the plasma from the metallic wires. The microwave plasma generator contain a cylindrical cavity - TM_011 propagation modes, commercial source (magnetron) having the 2.45 GHz frequency at 800 W microwave and power supply. In the focal point of the cylindrical cavity we have a high energy of the electromagnetic radiation. The metallic wires from this area will be vaporized and ionized having as effect CO2 dissociation. The electron temperature regarding metallic plasma produced was estimated using the ratio of atomic emission lines acquired by a high definition of the optical multichannel spectrometer. Determination of the CO2 dissociation quantity was estimated measuring of the carbon monoxide (CO) resulting of the CO2 dissociation process. We obtained a high electron temperature of the plasma and a strong dissociation of the CO2.

Contemporary architects and the construction industry are trying to cope with increasing requirements concerning energy efficiency and environmental impact. One of the available options is the active utilization of energy gains from the environment, specifically solar energy gains. These gains can be utilized by, for example, solar walls and facades. The solar façade concept has been under development for more than a century. However, it hasn’t achieved widespread use for various reasons. Rather recently the concept was enhanced by the application of transparent insulation materials that have the potential to increase the efficiency of such façades. The presented study evaluates the environmental efficiency of 10 solar façade assemblies in the mild climate of the Czech Republic, Central Europe. The evaluated façade assemblies combine the principles of a solar wall with transparent insulation based on honeycomb and polycarbonate panels. The study applies Life-Cycle Assessment methodology to the calculation of environmental impacts related to the life cycle of the evaluated assemblies. The results indicate that even though there are several limiting factors, façade assemblies with transparent insulation have lower environmental impacts compared to a reference assembly with standard thermal insulation. The highest achieved difference is approx. 84% (in favour of the assembly with transparent insulation) during a modelled 50-year façade assembly service life.

In the article a statistical approach to the assessment of the emission rates discharged by the road traffic in a spatial context is proposed. It exploits an indicator, the Yearly Average Vehicle, representing the pollutant emission rate of the average vehicle belonging to a specific category, and considers the statistical variability of most of the involved traffic parameters: vehicle speed and mileage travelled in the considered time period. Finally, indicators, assessing both the most probable value among the possible emission rates and the extent of their variability range, are proposed. They may also be used to underpin decision making-processes, when the effects of different policies addressing air pollution issues, are to be evaluated. Therefore, they are suitable for the analysis supporting urban planning activities, with a view to addressing and mitigating the effects and the consequences of pollution due to the transportation sector of the urban context.

The COVID-19 outbreak has severely affected the social and economic conditions across this globe. Little is known about the relationship of COVID-19 with countries’ economic and socio-demographic status. Publicly available data on COVID-19 test rate, attack rate, case fatality rate, and recovery rate were analyzed in relation to country’s economic status, population density, median age, and urban population ratio. We also conducted multinomial logistic regression analysis to predict the influence of countries’ social and economic factors on COVID-19. The results revealed that the median age had significant positive correlation with attack rate (r=0.2389, p=0.003), case fatality rate (r=0.3207, p=0.000) and recovery rate (r=0.4847, p=0.000). The urbanization has positive significant correlation with recovery rate (r=0.1957, p= 0.016). The multinomial logistic regression analysis revealed low-income countries are less likely to have an increased recovery rate (p=0.000) and attack rate (p=0.016) compare to high-income countries. The lower-middle-income and upper-middle-income countries are less likely to have an increased recovery rate (p=0.000 and p=0.001, respectively) compared to high-income countries. Based on the result of this study, these economic and socio-demographic factors should consider in designing appropriate preventive measures as a next step. The low and lower-middle-income countries should invest more in health care services to lower the case fatality rate and increase test and recovery rates as part of pandemic preparation like COVID-19. As the number of COVID-19 attacks, death and recovery rates are constantly changing; however, the intensive study is required to obtain a clear picture.

Since the exploitation of mineral resources results in the release of radionuclides, and consuming radionuclides affects public health in the short and long term. A case study of the environmental radiation impact from coal mining and germanium processing was carried out in southwest China. The coal mines contain germanium and uranium and have been exploited for more than 40 years. The farmlands around the site of coal mining and germanium processing have been contaminated by the solid waste and mine water in some extend since then. Samples of crops have been collected from contaminated farmlands in research area. The research area covers a radius of 5 km, in which there are 2 coal mines located. 210Pb and 210Po have been analyzed as the key radionuclides during monitoring program. The average activity concentrations of 210Pb and 210Po in the crops were 1.38 and 1.32 Bq/kg in cereals, 4.07 and 2.19 Bq/kg in leafy vegetables and 1.63 and 1.32 Bq/kg in root vegetables. The annual effective doses due to the ingestion of 210Pb and 210Po in consumed crops have been estimated for adult residents living in research area. The average annual effective dose was 0.336mSv/a, while the minimum was 0.171 mSv/a and the maximum was 0.948 mSv/a. The results show that crops grown on contaminated farmland contained an enhanced level of radioactivity concentration. Ingestion doses of local residents in research area were significantly higher than the China average level of 0.112 mSv/a, and the world average level of 0.042 mSv/a through 210Pb and 210Po in crops intake respectively.

Animal welfare assessment protocols are important for identifying welfare problems in conservation programs. This study aimed to develop a baseline welfare protocol for the assessment of welfare in huemul (Hippocamelus bisulcus) in conservation centers. This protocol is based on the Welfare Quality® (WQ) framework for cattle, considering the available literature on the behaviours, ecology, conservation plans, captive management of this species, and welfare assessment protocols for other ungulate species. As a result, the protocol was specifically developed for huemuls and included four principles, 12 criteria, and 23 animal- and resource-based indicators. The 12 criteria of the WQ protocol were reduced to nine, and three new criteria were added because they were both feasible and essential for welfare assessment in captive huemuls. This protocol is mainly intended to identify welfare problems in endangered species in the context of conservation centers (reproduction, rescue, rehabilitation, or treatment centers). Thus, aggregation of different measures to obtain a global score has not been proposed. However, a scoring system that assigns a value on a 0-2 scale (0= No welfare concern; 1= welfare concern; 2= urgent welfare concern) is proposed for each category. Although further research is still needed to fully validate the protocol, this is the first development of a completed protocol for huemul welfare assessment.

CONTEXT– Energy is widely involved in human activity and corresponding emissions of SOX, NOX and CO2 from energy generation processes affect global climate change. Clean fuels are desired by society because of their reduced greenhouse gas emissions. Hydrogen is once such candidate fuel. Much hydrogen is produced from fossil fuel, with biomass being an alternative process. OBJECTIVE– The project compared the environmental impact of hydrogen production by natural gas steam reforming vs. biomass gasification. METHOD–Environmental impact was calculated from the input and output data from life cycle inventory analysis. The impact assessment was focused on greenhouse gas emission, acidification, and eutrophication. Models of the two processes were developed and analysed in OpenLCA. The agribalyse database was used to connect inventory flow data to environmental impacts. FINDINGS– For all three metrics, biomass gasification had lower impacts than natural gas steam reforming, sometimes by large margins. For biomass gasification the silica sand production contributes most to all three impact categories, whereas for natural gas steam reforming it is the LPG extraction.

Background: Sickle cell disease is a major public health issue in the DRC while it is still poorly understood by health professionals. The objective of this study was to assess the knowledge and practices of Congolese physicians treating sickle cell disease (SCD) in order to identify areas for improvement in clinical care. Methods: This is a descriptive observational study conducted on Congolese physicians using a questionnaire. Participants were evaluated on a pre-established answer grid. Results: A total of 460 physicians participated, including 81 women (18%) with an average age of 35 years (range 25–60 years). Most physicians were general practitioners. Although self-assessment of their level of knowledge on SCD was estimated as average to good, less than half of the participants (n= 460; 46%) reported adequate management of vaso-occlusive crisis but only 1% of them had received specific training on SCD. Most physicians reported difficulties both in terms of diagnostic (65%) and management (79%) options of SCD patients. This study showed also that 85% of them did not have access to diagnostic tools for SCD. Conclusions: Insufficient knowledge on SCD, poor diagnostic and treatment options may contribute to morbidity and mortality of patients living in the DRC. Interventions aiming at improving physician’s knowledge, patient’s follow-up and treatment access are needed. Specific training alongside existing programs (HIV, malaria), early diagnosis of the disease, and creation of patients’ advocacy groups should improve SCD patient’s care.

To compare the quality of low-energy VMIs obtained with three DECT platforms according to phantom diameter. Three sections of the Mercury Phantom 4.0 were scanned on two generations of split-filter CTs (SFCT-1st and SFCT-2nd) and on one Dual-source CT (DSCT). Noise power spectrum (NPS), task-based transfer function (TTF) and detectability index (d’) were assessed on VMIs from 40 to 70keV. Highest noise magnitude values were found with SFCT-1st and noise magnitude was higher with DSCT than with SFCT-2nd for 26-cm (10.2±1.3%) and 31-cm (7.0±2.5%), and the opposite for 36-cm (-4.2±2.5%). The highest average NPS spatial frequencies and TTF values at 50% (f50) values were found with DSCT. For all energy levels, f50 values were higher with SFCT-2nd than SFCT-1st for 26-cm (3.2±0.4%) and the opposite for 31-cm (-6.9±0.5%) and 36-cm (-5.6±0.7%). The lowest d’ values were found with SFCT-1st. For all energy levels, d’ values were lower with SFCT-2nd than with DSCT for 26-cm (-6.2±0.7%), similar for 31-cm (-0.3±1.9%) and higher for 36-cm (5.4±2.7%). In conclusion, compared to SFCT-1st, SFCT-2nd exhibited lower noise magnitude and higher detectability values. Compared with DSCT, SFCT-2nd had lower noise magnitude and higher detectability for the 26-cm but the opposite was true for the 36-cm.

Genome-based testing in oncology is a rapidly expanding area of health care which is the basis of the emerging area of precision medicine. Efficient and considered adoption of novel genomic medicine testing is hampered in Canada by the fragmented nature of health care oversight as well as by lack of clear and transparent processes to support rapid evaluation, assessment and implementation of genomic tests. This article provides an overview of some key barriers and proposes approaches to addressing these challenges as a potential pathway to developing a national approach to genomic medicine in oncology.

(1) Background: The CEECCA questionnaire assesses the ability to communicate among individuals with aphasia. It was designed using the NANDA-I and NOC standardised nursing languages (SNLs), reaching high content validity index and representativeness index values. The questionnaire was pilot-tested, demonstrating its feasibility for use by nurses in any healthcare setting. This study aims to identify the psychometric properties of this instrument. (2) Methods: 47 individuals with aphasia recruited from primary and specialist care facilities. The instrument was tested for construct validity and criterion validity, reliability, internal consistency, and responsiveness. The NANDA-I and NOC SNLs and the Boston test were used for criterion validity testing. (3) Results: 5 language dimensions explain 78.6% of the total variance. Convergent criterion validity tests showed concordances of up to 94% (Cohen’s κ: 0.9; p&lt;0.001) using the Boston test, concordances of up to 81% using DCs of NANDA-I diagnoses (Cohen’s κ: 0.6; p&lt;0.001), and concordances of up to 96% (Cohen’s κ: 0.9; p&lt;0.001) using NOC indicators. Internal consistency (Cronbach’s alpha) was 0.98. Reliability tests revealed test-retest concordances of 76%-100% (p&lt;0,001). (4) Conclusions: The CEECCA is an easy-to-use, valid, reliable instrument to assess the ability to communicate among individuals with aphasia.

Background: The cumulative number of patients during the COVID-19 pandemic led to a significant shortage of hospital beds. Many patients may not require hospitalization and can be clinically observed in home settings. However, some psychosocial factors are correlated with unsuccessful home isolation (HI), which might negatively affect the transmission control in the community. Therefore, we developed a new psychosocial screening tool (CCPHIET) for assessing HI suitability and examined its validity and reliability.Methods: This cross-sectional descriptive study included COVID-19 patients who were deemed to be medically safe for 14 days of HI. The CCPHIET is comprised of 8 clinical domains pertinent to HI behavioral compliance and risk. We explored its statistical validity and reliability and discussed the potential utility of this tool. Results: A total of 65 COVID-19 patients participated in this study. Most patients (58.5%) were evaluated as good candidates for HI. The CCPHIET has an acceptable content validity (IOC index > 0.5), moderate internal consistency (Cronbach’s alpha = 0.611) and substantial to excellent inter-rater reliability (Intraclass correlation coefficient = 0.944, Cohen’s kappa= 0.627).Conclusions: To compromise between strict and costly absolute institutional quarantine and the potentially unsuccessful absolute HI, the CCPHIET may help to identify good candidates for HI in mild and asymptomatic COVID-19 patients. This psychosocial information would support the physicians in matching each patient to the most suitable setting. Therefore, safe medical care is provided, unnecessary use of medical resources is spared, and local transmission is contained.

Efforts to quantify and reduce greenhouse gas (GHG) emissions of the built environment often neglect embodied emissions, instead focusing on reducing emissions from building operations. Utilizing sustainably sourced mass timber offers low embodied carbon alternatives to traditional concrete and steel structural systems, however the variability in embodied carbon for different mass timber approaches remains understudied. In this study, we used life cycle assessment (LCA) to compare the whole building embodied carbon of nine mass timber design options and two typical concrete and steel reference cases for an eight-story mixed-use building, ensuring structural, acoustic, thermal, programmatic, and fire-rating equivalence between the designs. The study found that the mass timber designs vary significantly, ranging between a 14-52% reduction in whole building embodied carbon from the most impactful reference case, and a 31-73% reduction when considering the structural systems alone. This study demonstrates the value that whole building LCA (WBLCA) provides as a primary driver for low-carbon structural system design and architectural development of mass timber buildings, beyond that of single material comparisons using environmental product declarations (EPDs).

Grading of rice grains has gain attentions due its requirement of quality assessment during import or export. Rice grain quality depends on milling operation, where rice hull is removed with a huller system followed by whitening operation. In such process, adjustment of rollers, control, and operation is important in terms of quality of milled rice. Especially, the basmati rice needed more quality assurance as it is not parboiled rice and exported globally with a high product value. In this present work, the basic problem of quality assessment in rice industry is addressed with digital image processing based technique. Machine vision and digital image processing provide an alternative with the automated, nondestructive, cost-effective, and fast approach as compared with traditional method which is done manually by human inspectors. A model of quality grade testing and identification is built based on morphological features using digital image processing and knowledge based adaptive neuro-fuzzy inference system (ANFIS). The qualities of rice kernels are determined with the help of shape descriptors and geometric features using the sample images of milled rice. The adopted technique has been tested on a sufficient number of training images of basmati rice grain. The proposed method gives a promising result in an evaluation of rice quality with 100% classification accuracy for broken and whole grain. The milling efficiency is also assessed using the ratio between head rice and broken rice percentage and it is 77.27% for the test sample. The overall results of the adopted methodology are promising in terms of classification accuracy and efficiency.

In recent years, the anticipation of sustainable commercial supersonic jet operations has elevated again. Advances in propulsion together with the increased usage of composite materials favour the potential of sustained and cost efficient supersonic commercial operations. However, obstacles remain with regards to the certification of the new supersonic aircraft platforms, while the two main certification bodies EASA and FAA are under pressure to develop certification requirements which will reassure that the supersonic operations are going to have the least possible environmental impact. From a design perspective, past and current research suggests that a trade-off exists between the aircraft performance and the environmental impact, which should be balanced. The current study attempts to balance this trade-off and to conceptually design a SuperSonic Business Jet (SSBJ) by taking into account environmental concerns of the supersonic flight together with design methods that facilitate a sustained supersonic cruise. An environmental impact assessment is undertaken for the SSBJ design and its results are compared to a typical commercial subsonic airliner.

The civil construction industry is one of the sectors that most consume natural resources in the world and, consequently, one of that generate more waste. Thinking about constructive techniques that generate less impact on the environment is vital to ensure sustainable development. In this scenario, the Life Cycle Assessment (LCA) has been presented as an internationally recognized approach, that assesses the potential impact of products and services on human health and the environment, throughout its entire life cycle. Aimed to identify construction techniques and vertical closing systems that generate less impact and consumption of natural resources, the impacts generated by the life cycle of the three vertical closing systems most applied in construction sites in Brazil were compared: ceramic brick masonry system (CBr); concrete block masonry system (CBk); and structural blocks masonry system (SBk). The SBk proved to be the least impacting to the “Resource Scarcity”, “Damage to Human Health”, and “Damage to the diversity of Ecosystems” interesting areas. This performance is directly related to the use of cement CPIII type and also by the fact that the SBk consumes less concrete and mortar than the others. Already the "Water Consumption" area, the CBk was the least impacting due to the lower consumption of electricity during its life cycle. The reliability of the results was proven through a sensitivity analysis of the normalization and characterization factors, which consisted of comparing the results obtained by applying two different methodologies. It is believed that the LCA study carried out can assist in the decision-making process regarding the choice of the most sustainable construction method.

As the world grapples with the COVID-19 pandemic, there has been a sudden and abrupt change in global energy landscape. Traditional fossil fuels that serve as the linchpin of the modern civilization have found their consumption rapidly fell across the most categories due to strict lockdown and stringent measures that have been adopted to suppress the disease. These changes consequently steered various environmental benefits across the world in recent time. The present article is an attempt to investigate these environmental benefits and reversals that have been materialized in this unfolding situation due to reduced consumption of fossil fuels. Life cycle assessment tool has been used hereby to evaluate nine environmental impacts and one energy based impact. These impacts include: ozone formation (terrestrial ecosystems), terrestrial acidification, freshwater eutrophication, marine eutrophication, terrestrial ecotoxicity, freshwater ecotoxicity, marine ecotoxicity, land use, mineral resources scarcity and cumulative exergy demand. Outcomes from the study demonstrate that COVID-19 has delivered impressive changes in global environment and life cycle exergy demand with about 11-25% curtailment in all above-mentioned impacts in 2020 in comparison to their corresponding readings in 2019.

Cardiovascular diseases (CVDs) constitute the first cause of death among the population of developing and developed countries. Atherosclerosis, which is a disorder with multifactorial etiopathogenesis, underlies most CVDs. The available literature includes ample research studies on the influence of classic cardiovascular (CV) risk factors. However, environmental exposure to heavy metals, among other substances, is still an unappreciated risk factor of CVDs. This study aimed to assess the concentration of some heavy metals (copper (Cu), zinc (Zn), manganese (Mn), cobalt (Co), and iron (Fe)) in the blood serum of postmyocardial infarction (post-MI) patients and patients free from myocardial infarction (MI) as well as estimate the relationship between the occurrence of MI and increased concentration of heavy metals. The concentration of heavy metals (Cu, Zn, Mn, Co, and Fe) was assessed using the inductively coupled plasma mass spectrometry technique in a group of 146 respondents divided into two groups: post-MI group (study group (SG), n = 74) and group without cardiovascular event (CVE) having a low CV risk (control group (CG), n = 72). The concentration of the analyzed heavy metals was higher in SG. All the heavy metals showed a significant diagnostic value (p < 0.001). The highest value of area under the curve (AUC) was observed for manganese (Mn) (0.955; 95% confidence interval (CI) = 0.922–0.988), while the lowest value was found for zinc (Zn) (0.691; 95% CI = 0.599–0.782). In one-dimensional models, high concentrations of each of the analyzed heavy metals significantly increased the chances of having MI from 7-fold (Cu) to 128-fold (Mn). All the models containing a particular metal showed a significant and high discrimination value for MI occurrence (AUC 0.72–0.92). Higher concentrations of Cu, Zn, Mn, Co, and Fe were found to considerably increase the chances of having MI. Considering the increasingly higher environmental exposure to heavy metals in recent times, their concentrations can be distinguished as a potential risk factor of CVDs.

Animal-based measures are the measure of choice in animal welfare assessment protocols as they can often be applied completely independently to the housing or production system employed. Although there has been a small body of work on potential animal-based measures for farmed crocodilians [1-3], they have not been studied in the context of an animal welfare assessment protocol. Potential animal-based measures, that could be used to reflect the welfare state of farmed crocodilians, were identified and aligned with the Welfare Quality® principles of good housing, good health, good feeding and appropriate behaviour. A consultation process with a panel of experts was used to evaluate and score the potential measures in terms of validity and feasibility. This resulted in a toolbox of measures being identified for further development and integration into animal welfare assessment on the farm. Animal-based measures related to ‘good feeding’ and ‘good health’ received the highest scores for validity and feasibility by the experts. There was less agreement on the animal-based measures that could be used to reflect ‘appropriate behaviour’. Where no animal-based measures were deemed to reliably reflect a welfare criterion nor be useful as a measure on the farm, additional measures of resources or management were suggested as alternatives. Future work in this area should focus on the reliability of the proposed measures and involve further evaluation of their validity and feasibility as they relate to different species of crocodilian and farming system.

In 2020, the early Covid-19 lockdown and social distancing induced the abrupt migration of traditionally presential learning activities to online domains. This “new normal” environment affected management not only of training courses, but also educational events whose main added value consisted in providing students with an interactive experience onsite, as it is the case of inter-institutional summer schools. The following research corresponds to a case study in which our organization, a French university, had to reformulate, in less than three months, one of its traditional summer schools while trying to keep the original goals. We aimed at identifying the impact of four managerial decisions by analyzing, through qualitative and quantitative surveys, students’ perception of gained or lost value regarding four topics: a) online teaching, b) pre-recorded busines cases providers, c) online social events, and d) technical solutions. With an emphasis in both didactics (i.e., knowledge) and pedagogics (i.e., learning experience), the analysis of perceived value allowed as to learn about students’ assessment position, which revealed two main issues at stake: belonging, in relation to students’ identity and academic background, and performing, related to students’ expectations.

We aimed to investigate the ability of children aged 5–14 years old (preschoolers, primary schoolers, and preteens) to assess and anticipate time intervals. 287 Russian children aged 5–14 years old and 26 adults of control group participated in our study. The neuropsychological assessment, Wechsler Intelligence Scale for Children and a battery of time-related tests were applied. All groups of children overestimated the event’s duration, although the accuracy of the second estimations increased among the participants aged 6–8 years after a prompt was offered. A zone of proximal development for time anticipation task was detected for children aged 9-11 years, when the prompt could significantly improve the accuracy of time perception. The participants overestimated the duration of both upcoming and past events, with the degree of overestimation being found to be negatively correlated with age. Further, a higher degree of accuracy in terms of time estimation was found to be correlated with higher scores on the attention and memory tests, and accuracy of time anticipation was associated with scores of praxis test.

This publication aims to disseminate a step-by-step process that walks through the conceptualization and building of a low-cost (~ $150 monitoring device for airborne fine particulate matter (PM2.5), based on miniaturized sensors and components. Details on the implementation of the hardware and software are provided which facilitate the data acquisition, capture and analysis. The central components and their setup discussed in what follows include: the sensor device (called “P.ALP” – Ph.D. Air quality Low-cost Project), Arduino IDE (Integrated Development Environment) and R code (open-access software). A monitoring device for PM2.5, using low-cost sensors and technologies was successfully conceptualized, designed, and implemented. The P.ALP monitoring system was designed and developed to be a basic device, which can be further customized and implemented using the wide range of low-cost sensors available on the market.

Consideration of climate change in Environmental Impact Assessment (EIA) is a rather novel topic, which became partly mandatory through the revised EU Directive on EIA. Through a mixed-methods approach involving key-actors from EIA practice, decision making and climate adaptation planning, this study presents a transdisciplinary point of view on barriers and opportunities to tackle climate change adaptation in environmental assessment of large-scale projects. It is based on both a retrospective ex-post evaluation of existing practices in Austria and Germany as well as prescriptive examination and development of outcomes for practice through the development of a climate-fit toolkit that supports the incorporation of climate change impacts into EIAs. The scenario analysis applied with a back casting approach provided the opportunity to look beyond limitations related to legal compliance and partly lack of data identified by previous research. Three scenario narratives were elaborated based on nine key impact factors based on literature review, content analysis of EIA documents and interviews with EIA actors. The groups of actors carried out a prioritization of actions towards consideration of climate change in EIA. Finally, the actors were involved in co-production of an online tool-kit for Austrian and German EIA practice.

The number of fishers working on commercial fishing vessels worldwide is approximately 159,800 according to the Food and Agriculture Organization of the United Nations. The International Labour Organization estimates that the mean annual number of deaths during fishing is approximately 24,000. Most guidelines for the prevention of marine accidents have been developed with a focus on vessels involved in international navigation. As these guidelines may have parts that are unsuitable for application in small-scale boats operating in coastal areas, appropriate modifications are required. This study analyzed quantitative data on 1,790 marine accidents that occurred in trap fishery, a globally common type of fishery, and data obtained through a survey of 101 fishers in South Korea. A guideline to reduce the rate of fatal accidents was developed using the Bayesian network, a method used for the analysis of accidents, as suggested in the formal safety assessment protocol. The results of data analysis and the developed guidelines are expected to be beneficial to all fishers involved in trap fishery across many countries worldwide.

As universities increasingly compete to improve students’ experience through investment in their campuses, well-designed Campus Open Spaces (COSs) become a major feature as well as a marketing tool. Well-designed and managed COSs are increasingly attractive to students and increase the number of public visits to university campuses (footfall). Current literature does not provide planners with evidence of what makes a COS add value to the student experiences. As such, this paper aims to find the nexus between the value/cost of COS and the attractiveness to - and enhanced experience of - students. This aim is approached via a three-phase integrative framework and results in a validated assessment model with a ‘COS Exp score’ that quantifies the most used/vital, best used/engaging, and most valued/beneficial COS. The data was gathered from in-depth analysis of 21 universities in the UK & USA. The conclusion offers valuable insights into improving experience-based outdoor space developments.

The study aimed to develop standards for a welfare assessment protocol, by validating potential categorisation thresholds for assessment of beef farms in various beef cow-calf production systems in Namibia. Forty measures combined from a New Zealand-based protocol plus Namibia-specific measures, were applied on 55 beef farms (17 commercial farms, 20 semi-commercial and 18 communal village farms) during pregnancy testing, and a questionnaire guided interview. The categorised measures on a 3-point welfare score of 0: good 1: marginal and 2: poor/unacceptable welfare were subsequently compared with derivation of thresholds based upon the poorest 15% and best 50% of herds for each measure. Overall combined thresholds of continuous measures across the 3 farm types, showed 10/22 measures that posed welfare compromise across Namibia, where commercial farms had 4/22 measures and semi-commercial and communal village farms had 12/22 and 11/22 respectively with high thresholds. Most measures-imposed thresholds were retained because of significant importance to welfare of animals and preventiveness of the traits, while leniency was given to adjust good feeding and mortality measures to signify periods of drought. Handling measures (fearful, falling/lying) and abrasions thresholds were adjusted to reflect the temporary stress caused by infrequent cattle handling, and faulty yard designs/design and possible cattle breed influence on handling. Hence, the country needs prioritised investigation of underlying contributing factors and remediation to reduce the high thresholds.

Kenya’s construction industry is experiencing exponential growth in tandem with construction trends globally. With the growth experienced in the industry, there has been significant growth in the economy and a 50% contribution to the world’s landfill waste and pollution to the adjacent environment. Globally, the construction industry is among the largest consumers of natural resources and significant contributors to pollution. This has given rise to high pressure to adopt environmentally sensitive approaches in the construction industry to present a competitive advantage. It is, therefore, crucial to address the need for sustainability measures for Landscape Architecture projects to increase knowledge and awareness, create incentives geared towards supporting sustainable practices, and leverage legal instruments and policies. Green construction practices and strategies have positively impacted the environment and the Kenyan construction industry’s social and economic performance. However, there are several barriers to the adoption and improvement of monitoring and evaluation of sustainable practices, thus slowing down the industry in taking charge of sustainability.

The IPCC’s sixth assessment report projects 15% to 43% (44 EJ/y – 310 EJ/y) of global primary energy to be generated by biomass in 2050 across multiple GHG mitigation scenarios. That report also emphasises the importance of electrification to meet GHG reduction targets. With increased reliance on electric power, and increased appeal to biomass, bioenergy for electricity is expected to play a major role in future energy markets. What makes the bioenergy solution more attractive is its reported reasonable Energy Return on Investment (EROI). However, generation at large scale is projected to be greatly dependent on crops and plantations. This shifts the GHG emissions concern to be concerns over land use and other emissions integrated in the bioenergy lifecycle. It is therefore vital to know whether the potential of electricity generation from biomass outweighs environmental impact of bioenergy. This paper evaluates the potential of biomass electricity mainly generated from short rotation woody crops combustion in generating green energy. This is done using the “Green EROI (EROIg)” quantification methodology, which indicates the net energy generated to society after investing in ecosystem maintenance energy (ESME). ESME is a non-monetary weighting mechanism of an entity’s different lifecycle environmental impacts. This study found that the EROIg of bioelectricity is marginally larger than unity when converted to its primary equivalent form (EROIg-PE) which indicates that the technology is somewhat energetically viable if its production was to be green. Three design options were proposed to improve bioenergy’s EROIg performance, these include adding 20% waste wood in the combustion mix, staggered harvesting and plantation to achieve annual harvest and pelletizing wood. This approach appeared to improve the EROIg especially for pelletizing, due to its simultaneous reduction in storage and transport costs, making the production energetically and environmentally viable even at a 1 : 1 secondary : primary ratio with an EROIg of 1.11 and an EROIg-PE of 3.17. We conclude with the discussion of the multiple indirect advantages of growing crops that can be used for energy generation, and a discussion on how this technique can be used alongside others to help them generate cleaner energy while facing the current global climate, biodiversity and waste issues.

The novel coronavirus SARS-CoV-2 likely emerged from a wildlife source with transmission to humans followed by rapid geographic spread throughout the globe and severe impacts on both human health and the global economy. Since the onset of the pandemic, there have been many instances of human-to-animal transmission involving companion, farmed and zoo animals, and limited evidence for spread into free-living wildlife. The establishment of reservoirs of infection in wild animals would create significant challenges to infection control in humans and could pose a threat to the welfare and conservation status of wildlife. We discuss the potential for exposure, onward transmission and persistence of SARS-CoV-2 in an initial selection of wild mammals (bats, canids, felids, mustelids, great apes, rodents and cervids). Dynamic risk assessment and targeted surveillance are important tools for the early detection of infection in wildlife, and here we describe a framework for collating and synthesising emerging information to inform targeted surveillance for SARS-CoV-2 in wildlife. Surveillance efforts should be integrated with information from public and veterinary health initiatives to provide insights into the potential role of wild mammals in the epidemiology of SARS-CoV-2.

The emergence of the COVID-19 pandemic triggered a swift transition to online learning, remote work and an increased demand for proficiency in telehealth and digital health among health professions students as they prepare for their future careers. In responding to the question: “What are the essential constructs and the validity of a digital competence assessment scale for health professions students", this study sought to develop and validate a digital competence assessment scale (DigiCAS-HPS). The present study followed a mixed-methods approach: qualitative methods (phase 1) for generating and refining items in the scale through literature review on digital frameworks, pilot testing and expert review, and quantitative methods (phase 2) including exploratory and confirmatory factor analysis for its validation. The study revealed a two-factor structure, encompassing Digital Communication, Collaboration, and Online Security (Factor 1) and Digital Content Development and Software Mastery (Factor 2), demonstrating strong construct validity and reliability. Regarding differences in digital competence across groups, older and soon-to-graduate students exhibited higher proficiency in digital content development and software mastery. The two critical facets of DigiCAS-HPS scale could tailor training programs and ensure that health professions students are well-prepared for the evolving telehealthcare landscape. This promotes the growth and accessibility of telehealth, which is increasingly vital in the post-COVID-19 new normal era.

The tiered laboratory framework for HIV viral load monitoring accommodates a range of HIV viral load testing platforms, with quality assessment critical to ensure quality patient testing. HIV plasma viral load testing is challenged by the instability of viral RNA. An approach using an RNA stabilizing buffer is described for the Xpert® HIV-1 Viral Load (Cepheid) assay and was tested in remote laboratories in South Africa. EDTA-plasma panels with known HIV viral titres were prepared in PrimeStore molecular transport medium for per-module verification and per-instrument external quality assessment. The panels were transported at ambient temperatures to 13 testing laboratories during 2017 and 2018, tested according to standard procedures and uploaded to a web portal for analysis. A total of 275 quality assessment specimens (57 verification panels and two EQA cycles) were tested. All participating laboratories met study verification criteria (n=171 specimens) with an overall concordance correlation coefficient (ρ_c) of 0.997 (95% confidence interval [CI]: 0.996 to 0.998) and a mean bias of -0.019 log cp/mL (95% CI: -0.044 to 0.063). The overall EQA ρ_c (n=104 specimens) was 0.999 (95% CI: 0.998 to 0.999), with a mean bias of 0.03 log cp/mL (95% CI: 0.02 to 0.05). These panels are suitable for use in quality monitoring of Xpert® HIV-1 VL and are applicable to laboratories in remote settings.

The contribution of readymade garment (RMG) industry is immense behind the rapid development of some countries with emerging economies. This industry is empowering these countries to provide employment opportunities for millions of people. However, the health as well as safety issues of the workers in this industry are often ignored, particularly in these developing countries. In recent times, because of the several undesirable and obnoxious conditions that exist in their working environments, they are vulnerable to various health related problems which are increasing at a staggering rate. The main purpose of this paper is to assess and prioritize the major health related problems faced by these garment workers in these countries where the economy is flourishing. In addition, the main hazards responsible for these health perils are also quantified. Data were collected from three different garment factories situated in different locations of Bangladesh. Thirty workers from each factory rated the frequency and severity of 14 health related issues. The health risks were then assessed and prioritized through risk priority number (RPN). Afterwards, three experts provided their opinion on the main hazards prevalent in the workplace of almost every garment factory in this country. These hazards were grouped into four main classes which are: 1) Physical 2) Ergonomic 3) Chemical and 4) Psychological hazards. The main classes were later divided into sub classes also. Best-worst method (BWM) was then applied to analyze these hazards by assessing their relative weights depending on the experts’ judgement. The results showed that the health issues faced by the workers in three different garment factories varied to some extent. The results obtained from the experts’ opinion indicated that physical hazards in the workplace are the most detrimental ones whereas the chemical hazards were the least harmful.

Air pollution poses a significant risk to public health and ecosystems. The use of sophisticated models to simulate the transformation and dispersion of pollutants in the atmosphere is a recognized method to assess air pollution levels and its sources and inform policy decisions for effective mitigation strategies in urban and industrial environments. The reliability of models depends, in part, on the sensitivity to the variance of input parameters, which can introduce uncertainty into the model's predictions. This uncertainty is especially challenging when the input parameters exhibit inherent variability. In this study, we analyse the uncertainty of an integrated emission/dispersion model by evaluating the relationship between input parameters and model outcomes. We uncover new aspects of this relationship while clarifying some previously known dependencies. Wind speed was found to have the most significant effect on calculated concentrations, with small differences leading to substantial concentration variations. The time of day, which reflects prevailing vertical turbulence conditions, was also found to have a notable impact on concentrations, whereas ambient temperature can also significantly influence model’s results. Based on these findings, we offer specific recommendations for regulators and scientists involved in environmental impact assessment to improve the accuracy and reliability of air pollution modelling.

To ensure sustainability of the future power grid, the rate of expansion of distributed renewable energy resources (DRER) has introduced operational challenges. These includes managing transmission constraints with DRER power injection, dispatching DRER efficiently, managing system frequency and ensuring sufficient reactive power for voltage support. Coupled with the intensification of wildfires, power infrastructure across the United States faces challenges to minimize the impact to maintain system reliability and resiliency. This research embarks on a comprehensive evaluation, beginning with an in-depth historical analysis to delineate regions most susceptible to wildfires. Utilizing a multidimensional approach, the study assesses wildfire-induced risks to power grids, by integrating historical wildfire occurrences, real-time wildfire proximities, Moderate Resolution Imaging Spectroradiometer (MODIS) derived vegetation metrics, and system parameters, by employing Principal Component Analysis (PCA) based optimal weights, leading to the formulation of a novel risk factor model. This risk factor has the potential to be the key to ensuring the resilience of a renewable-rich smart grid when faced with a severe weather event. Our model’s applicability was further verified through an empirical assessment, selecting representative networks from diverse regions, providing insights into the geographical variability of risk factors. Ultimately, this study offers stakeholders and policymakers a comprehensive tool-set, empowering decisions regarding infrastructure investments, grid reinforcements, and strategic power rerouting to ensure consistent energy delivery using risk assessment against wildfire.

Machine Learning techniques can be used to identify whether deficits in cognitive functions contribute to antisocial and aggressive behavior. This paper initially presents the results of tests conducted on delinquent and non-delinquent youths to assess their cognitive functions. The dataset extracted from these assessments, consisting of 37 predictor variables and one target. was used to train three algorithms that aim to predict whether the data corresponds to that of a young offender or a non-offending youth. Prior to this, statistical tests were conducted on the data to identify characteristics that exhibited significant differences in order to select the most relevant features and optimize the prediction results. Additionally, other feature selection methods, such as Boruta, RFE, and Filter, were applied, and their effects on the accuracy of each of the three machine learning models used (SVM, RF, and KNN) were compared. 80% of the data were utilized for training, while the remaining 20% were used for validation. The best result was achieved by the K-NN model trained with 19 features selected by the Boruta method, followed by the SVM model trained with 24 features selected by the filter method.

Embryo quality evaluation during in vitro development is vital for the success of assisted reproductive technologies (ART). However, the subjective morphological assessment by embryologists may result in inconsistencies that affect the selection of the best embryo for transfer. To provide a more comprehensive evaluation of embryo quality, we performed the integration of embryo metabolomics with standardized morphokinetic classification. The culture medium of 55 embryos (from 21 couples undergoing ICSI) was collected at two timepoints (day 3 and 5). Samples were split into Good (n=29), Lagging (n=19) and Bad (n=10) according to embryo morphokinetic evaluation. Embryo metabolic performance was assessed by 1H-NMR, monitoring the variation of specific metabolites (pyruvate, lactate, alanine, glutamine, acetate, formate). Adjusted metabolite differentials were observed during the first three days of culture and found to be discriminative of embryo quality at the end of day 5. Pyruvate, alanine, glutamine, and acetate were major contributors to this discrimination. Good and Lagging embryos were found to export and accumulate pyruvate and glutamine in the 3 first days of culture, while Bad embryos consumed them. This suggests that Bad embryos have a less active metabolism than Good and Lagging embryos and these two metabolites as putative biomarkers for embryo quality. This study provides a more comprehensive evaluation of embryo quality and can lead to improvements in ART by enabling the selection of the best embryos. By combining morphological assessment and metabolomics, the selection of high-quality embryos with the potential to result in successful pregnancies may become more accurate and consistent.

Pose estimation has various applications in analyzing human movement and behavior, including providing feedback to users about their movements so they could adjust and improve their movement skills. To investigate the current research status and possible gaps, we searched Scopus and Web of Science for articles that (1) human `body' pose estimation is used and (2) user movement is assessed and communicated. We used either a bottom-up or top-down approach to analyze 20 articles for methods used to estimate human pose, assess movement, provide feedback to users, as well as methods to evaluate them. Our review found that pose estimation systems typically used CNNs while movement assessment methods varied from mathematical formulas or models, rule-based approaches, to machine learning. Feedback was primarily presented visually in verbal forms and nonverbal forms. The experiments to evaluate each part ranged from the use of public datasets to human participants. We found that while there was an improvement, the majority of pose estimation challenges remain. The effectiveness and factors for choosing movement assessment methods for a new context are still unclear. In the end, we suggest that studies about feedback prioritization and erroneous feedback are needed.

Abstract: The need to rapidly reduce GHG has accelerated the adoption of circular models of production. However, this has proved to be a challenging task for SMEs, who lack the financial, organizational and informational capabilities to implement circular business models. In this context, calculating the carbon footprint (CF) of their products could provide the basis for assessing the different circular economy (CE) practices. The aim of this study is to present a CF calculation tool that can be used to calculate the CF of SMEs. The design of the tool was based on the Life Cycle Assessment (LCA) methodology, taking into account the various barriers that SMEs face in adopting CE practices. The tool was tested in a small cheese factory in northern Greece. The pro-duction process was mapped, a GHG inventory was created and the total emissions related to the production of a specific product was estimated. The final aim is to test this tool at a large scale.

The needs for environmental reporting to include positive outcomes considering differences between creation of less harm, benefits and net benefits are explored. To become mainstream, nature-positive development needs positive messaging, measures and metrics to guide, plan and assess urban outcomes. With the accelerating climate crisis and negative messages getting the upper-hand, it’s important to avoid paralysis by bad news. Whilst striving for a nature-positive world, more effort should be on moving beyond zero to qualify and quantify benefits, gains, and regenerative outcomes instead of oscillating around damage and loss sticking points. Life Cycle Benefit Assessment (LCBA) is a method to measure gains in accelerating restoration and climate security. It enables a good news focus as its reach is to quantify and show positive gains beyond the negative and zero loss outcomes. The paper aims to clarify concepts, challenges and quantitative methods then review real-world third-party-certified case studies. Climate security, human wellness and resource viability gains inside safe operating space within planetary boundaries are quantified as positive benefits. Contrary to conventional Life Cycle Impact Assessment (LCIA) LCBA assigns damage and loss as negative debts and benefit as positive gains. It concludes that LCBA offers business and design a new environment assessment tool, with research needed on economic and other outcomes.

Diagnosis of Awake Bruxism (AB) is problematic due to the inability to use continuous recordings during daytime activities. Recently, a new semi-instrumental approach was suggested, viz., an Ecological Momentary Assessment (EMA), with the use of a smartphone application. With the application subjects are requested to report, at least 12 times per day, the status of their masticatory muscle activity (relaxed muscles, jaw bracing without tooth contact, teeth contact, teeth clenching or teeth grinding). The aim of the present study was to compare the EMA to the assessment of AB as defined by a single point self-report. The most frequent condition recorded by the EMA was relaxed muscles (ca. 60%) and the least frequent one - Teeth grinding (0.6 %). The relaxed muscle condition also showed the lowest coefficient of variance over a 7day period of report. Additionally, only the relaxed muscles and the Jaw bracing conditions presented an acceptable ability to discriminate between AB positive and AB negative subjects, as defined by single point self-report questions. The combination between self-report and EMA may have a potential to promote our ability to diagnose AB. We suggest to re-consider the conditions of Teeth contact and Teeth grinding while using EMA to evaluate AB.

The temperature of the indoor environment is important for health and wellbeing especially at the extremes of age. The study aim was to undertsand the relationship between self-reported thermal sensation and extremity skin temperature in care home residents with and without dementia. The Abbreviated Mental Test (AMT) was used to discriminate residents to two categories, those with and those without dementia. After acclimatisation, measurements included: tympanic membrane temperature, thermal sensation rating followed by infrared thermal mapping of non-dominant hand and forearm. Sixty-nine afebrile adults (60-101 years of age) were studied in groups of two to five, in mean ambient temperatures of 21.4^oC-26.6^oC (median 23.6^oC). Significant differences were observed between groups; thermal sensation rating (p=0.02), tympanic temperature (p=0.01), fingertip skin temperature (p=0.01) and temperature gradients; fingertip-wrist p=0.001 and fingertip-distal forearm, p=0.001.

The traditional standards employed for pain assessment have many limitations. One such limitation is reliability because of inter-observer variability. Therefore, there have been many approaches to automate the task of pain recognition. Recently, deep-learning methods have appeared to solve many challenges, such as feature selection and cases with a small number of data sets. This study provides a systematic review of pain-recognition systems that are based on deep-learning models for the last two years only. Furthermore, it presents the major deep-learning methods that were used in review papers. Finally, it provides a discussion of the challenges and open issues.