It is often said in human society that it all starts from the mind, and this is true. The answer to the question “Why is it that pets require much fewer years to fully develop than humans?” could be headed to the Theory of Relativity and the perceived time according to the levels of instinct and rationality. It is perhaps no wonder that the French language translates the word “mind” as “l’esprit”, which also means “spirit” in the English language. Given that the Theory of Relativity applies to all physical matter, the theory applies to chemistry, biology and psychology as well. The level of instinct is proportional with the perceived speed of time and implicitly, to the speed of time itself for the whole organism, given that the nervous system coordinates all bodily functions. A pet may experience a few years as humans experience over a decade, making their perceived lifetime to be approximately equal to the human’s. The same applies to the perception of space and its components. This aspect would emphasise upon the fact that all life on Earth shows the same degree of value with regards to uniqueness. Nevertheless, the values represented by the hierarchy of competences among living organisms at the same time differs based on species. Honour of uniqueness and hierarchy of competences represent two scientific concepts that never overcross. As a result, there is no evidence to suggest that scientific facts as such constitute a form of contradiction to philosophical and religious ideas, given that religion refers to animals as companions of humans. With regards to the clock of the living organism; there are three kinds of clocks in a living organism: the emotional clock, the cognitive clock and the molecular clock. These three categories actually constitute the temporal layers of our dimension, so they are in a relationship of interdependence. When one has a feeling that time is slower or quicker, they are not fully experiencing that change in the time speed, but only partially. And one can profoundly experience the change of perceived time speed when they experience profound feelings, which sweep them away from reality. Complete, deep mental focus can bring about this profound change in perception, which will make the individual feel as if they are in a different form of reality. When one is more instinctive, the person in cause perceives time as slower and sees more opportunities within the same frame of time and space. When one experiences the “Fight or flight” mode, the person in the cause finds themselves to be in danger and has two options; to try to prevail over the danger or to flee it. Whilst experiencing such a mode, people are much more alert and therefore, time passes more slowly and the physical space dilates. When people are relaxed, however, time and space become smaller, and when they are in a deep state of resting, they become very small. And where there is a smaller dimension, there is a greater speed, just as the circulating air gains speed when it crosses narrow passages.

Background: There are multiple conservative treatment options for plantar warts, but none have proven to be universally effective. Nitric acid is often used empirically by podiatrists in the treatment of plantar warts. A novel medical device or topical solution of nitric-zinc complex solution (NZCS) could potentially offer an effective and safe alternative for the targeted treatment of plantar warts. Objective: To observe the rate of complete healing of NZCS in a series of plantar wart cases, and to establish the minimum number of product applications and time needed for healing. This will help standardize and protocolize its use. Methods: A descriptive study was conducted involving 72 patients who exhibited symptoms of plantar warts. These patients underwent chemical treatment using a nitric-zinc complex. Results: The cure rate with NZCS was 59.2%. The average number of NZCS applications was 5.9 ± 3.0 and the mean duration of treatment was 9.4 ± 7.1 weeks. A recurrence rate of 6.7% (4/72 patients) was observed. Conclusion: The topical solution of nitric-zinc complex is an effective treatment for plantar warts, which can be considered as a first-line treatment option in the general population.

Traffic sign detection plays a pivotal role in autonomous driving systems. The intricacy of the detection model necessitates high-performance hardware. Real-world traffic environments exhibit considerable variability and diversity, posing challenges for effective feature extraction by the model. Therefore, it is imperative to develop a detection model that is not only highly accurate but also lightweight. In this paper, we proposed YOLO-ADual, a novel lightweight model. Our method leverages the C3Dual and Adown lightweight modules as replacements for CPS and CBL modules in YOLOv5. The Adown module effectively mitigates feature loss during downsampling while reducing computational costs. Meanwhile, C3Dual optimizes the processing power for kernel feature extraction, enhancing computation efficiency while preserving network depth and feature extraction capability. Furthermore, the inclusion of the CBAM module enables the network to focus on salient information within the image, thus augmenting its feature representation capability. Our proposed algorithm achieves a [email protected] of 70.1% while significantly reducing the number of parameters and computational requirements to 51.83% and 64.73% of the original model, respectively. Compared to various lightweight models, our approach demonstrates competitive performance in terms of both computational efficiency and accuracy.

In Thailand, thousands of children living with perinatal HIV have been exposed to HIV-related stigma/discrimination but its frequency and expressions have been little studied. Our objective was to assess stigma/discrimination prevalence, associated risks factors and its expressions among adolescents. All caregivers of adolescents aged 12-19 years living with perinatal HIV and receiving antiretrovirals in 20 hospitals throughout Thailand were invited to complete a face-to-face questionnaire on their adolescent’s life and medical history. Of the 572 adolescents living in family settings, 464 had their HIV-status known in the community. The overall stigma/discrimination prevalence was 46%. Factors associated included living in the north-east region (OR: 2.80, 95%CI: 1.19-4.96), having a low intellectual ability (OR:2.68, 95%CI: 1.45-5.16), a lower Body Mass Index (BMI) (OR BMI > 18.5: 0.61, 95%CI: 0.37-0.98), conflicts with caregivers (OR: 1.86, 95%CI: 1.26-2.76) and caregivers being members of a support group (OR: 2.34, 95%CI: 1.58-3.48). Expressions of stigma/discrimination included bullying, social isolation, behavioral discrimination and public disclosure. The prevalence of stigma/discrimination among adolescents living with perinatal HIV is high. Despite existing policies, stigma eradication remains necessary to normalize their life as they grow into adulthood.

Anderson-Fabry disease (AFD) results from decreased enzyme activity of lyzosmal enzyme and intralyzosomal storage of its nonhydrolyzed. Cadiovascular complications, mainly in s form of HCM contribute substantially for AFD-patient’s mortality. Here we report three new cases of obstructive HCM (HOCM) due to unclassical presentation of AFD and isolated cardiac involvement. In all three cases the diagnosis of AFD was made postoperative by routine genetic and morphological testing. Together with previously published cases this report illustrates the potential safely and beneficial effect of septal surgical myectomy in patients with AFD-HOCM, as well as underlines the need for more thorough screening for clinical signs of AFD-associated cardiomyopathy and GLA variants among patients with HOCM.

Research on White Etching Cracks (WEC) apparent in multiple bearing applications has identified various drivers to cause them. Lubricants, Electricity combined with contact mechanics are proven to catalyze WEC significantly. However, none of them is solely causing WEC by its own, instead combinations discretize whether WEC appears or not. Hence, the WEC topic appears to be multidimensional, making WEC still unpredictable. The current paper is about a systematic study by the use of a DGBB test rig on how lubricant chemicals combined with electricity and by varying oil flow and pressure lead to WEC. It becomes evident, that even WEC critical conditions turn to be WEC free by simply increasing the oil flow and decrease the contact pressure.

This qualitative study explores Supplier Relationship Management (SRM) in the context of digital transformation within e-commerce businesses, focusing on the implications of emerging digital technologies. Through semi-structured interviews and documentary analysis, the study examines how organizations leverage technologies like artificial intelligence (AI), blockchain, and Internet of Things (IoT) to enhance SRM practices. Findings reveal that digitalization enables improved operational efficiencies, real-time data analytics, and expanded supplier networks through platforms such as Amazon Business and Alibaba. Strategic shifts are noted towards collaborative supplier relationships, emphasizing joint innovation, technology co-investment, and shared risk management strategies. However, the implementation of digital SRM strategies presents challenges, including data privacy concerns, integration complexities, cybersecurity threats, and regulatory compliance issues. Organizations must navigate these challenges by developing robust governance frameworks and cybersecurity protocols to protect sensitive information and ensure regulatory adherence. Key performance indicators (KPIs) such as supplier performance, cost savings, innovation impact, risk management effectiveness, and sustainability integration are critical for evaluating the success of digital SRM initiatives. Strategically, businesses are advised to prioritize leadership commitment, cross-functional collaboration, and continuous learning to optimize digital SRM practices effectively. Future research should explore emerging trends in digital SRM, investigate technological impacts on supplier dynamics and organizational performance, and examine ethical considerations in digitalization. By integrating these insights into strategic decision-making, businesses can enhance supplier relationships, mitigate operational risks, and achieve sustainable growth in the global marketplace.

This study investigates the application of deep residual networks for predicting the dynamics of interacting three-dimensional rigid bodies. We present a framework combining a 3D physics simulator implemented in C++ with a deep learning model constructed using PyTorch. The simulator generates training data encompassing linear and angular motion, elastic collisions, fluid friction, gravitational effects, and damping. Our deep residual network, consisting of an input layer, multiple residual blocks, and an output layer, is designed to handle the complexities of 3D dynamics. We evaluate the network's performance using a dataset of 10,000 simulated scenarios, each involving 3-5 interacting rigid bodies. The model achieves a mean squared error of 0.015 for position predictions and 0.022 for orientation predictions, representing a 25% improvement over baseline methods. Our results demonstrate the network's ability to capture intricate physical interactions, with particular success in predicting elastic collisions and rotational dynamics. This work significantly contributes to physics-informed machine learning by showcasing the immense potential of deep residual networks in modeling complex 3D physical systems. We discuss our approach's limitations and propose future directions for improving generalization to more diverse object shapes and materials.

This study investigates the microbial composition of a commercially available Swiss fermented milk and colostrum product with a history of use in chronic condition management since 2014. The analysis, performed using the Axiom Microbiome Array, identified a high number of targets corresponding to microbial species classified as probiotics belonging to the Bifidobacteriaceae family. The array provided 28 unique targets, each corresponding to a specific microbe. Next, the amino acid sequences of beta-galactosidase and sialidase from Bifidobacteria and humans were studied because these enzymes are responsible for the production of GcMAF (Gc protein-derived Macrophage Activating Factor) from the Gc protein that is abundant in colostrum. The Bifidobacterial enzymes showed striking functional similarities with their human counterparts. In addition, the study explores the potential health benefits of this product with a focus on GcMAF and chondroitin sulfate, a glycosaminoglycan highly represented in milk and colostrum. The high concentration of specific Bifidobacteria strains contributes to these benefits through two mechanisms: enhanced GcMAF production and activation of chondroitin sulfate, which in turn exhibits GcMAF-like activity. These findings suggest that the Bifidobacteria-rich Swiss product could offer health benefits through these combined mechanisms.

This article introduces the Theory of Inverse Discrete Dynamical Systems (TIDDS), a novel methodology for modeling and analyzing discrete dynamical systems via inverse algebraic models. Key concepts such as inverse modeling, structural analysis of inverse algebraic trees, and the establishment of topological equivalences for property transfer between a system and its inverse are elucidated. Central theorems on homeomorphic invariance and topological transport validate the transfer of cardinal attributes between dynamic representations, offering a fresh perspective on complex system analysis. A significant application presented is an alternative proof of the Collatz Conjecture, achieved by constructing an associated inverse model and leveraging analytical property transfers within the inverted tree structure. This work not only demonstrates the theory's capability to address and solve open problems in discrete dynamics but also suggests vast implications for expanding our understanding of such systems.

The Aether Physics Model (APM) presents a radical reinterpretation of fundamental physics, offering potential solutions to long-standing problems in Quantum Mechanics and General Relativity. This paper explores the core concepts and equations of the APM, demonstrating how they provide a unified framework for understanding the nature of space, time, matter, and fundamental forces. We examine the implications of the APM's quantized Aether structure, the role of the Singularity and Gforce, and the reinterpretation of fundamental constants and forces. The model's predictions regarding dark matter, neutron content in stable matter, and the unification of forces are discussed, along with potential experimental tests. Additionally, we introduce the loxodrome concept and toroidal particle topology as central elements in explaining fundamental particles and forces. While highly speculative, the APM offers a thought-provoking alternative to standard physics models and warrants further investigation.

Foot pain related to the plantar fascia is common in adults regardless of athletic background. Many pathologies can lead to the diagnosis of plantar enthesopathy, but the most relevant to this case study is related to structural defects within the plantar fascia. Due to the variety and sometimes unclear etiology of plantar fasciosis, no single standard of care treatment protocol is recognized. Often, patients receive NSAIDs, night splints, taping, physical therapy, foot orthosis, and extracorporeal shock wave therapies. This study presents Wharton Jelly (WJ) tissue allografts as an additional intervention for patients who fail standard-care treatments. WJ allografts are applied to supplement connective tissue defects directly, unlike other therapies, which aim to reduce swelling and symptomatic pain. This retrospective study includes seven patients who have previously failed standard-of-care treatment. Each received extracorporeal pulse-activated therapy (EPAT), WJ, laser therapy, and an orthotic. Patient progress was tracked using a visual analog scale, 0-10 scoring, reported by the patient at the initial visit and approximately thirteen weeks following, reporting an average improvement of 50%. The study's limitations include a small cohort size and a non-blinded retrospective design. These promising results provide evidence for a more extensive, randomized study to define dosage protocols further and confirm safety and efficacy.

The Automatic Dependent Surveillance-Broadcast (ADS-B) protocol stands as a cornerstone in modern aviation surveillance and Aircraft Traffic Control systems, integral to the NextGen project initiated by the US Department of Federal Aviation Administration (FAA) in 2005. ADS-B utilizes data links to autonomously broadcast Aircraft navigational and identification information to augment air transportation system capacity and safety. However, concerns regarding the protocol's security persist, particularly as its adoption expands. The unencrypted nature of transmitted aircraft data and the absence of robust authentication mechanisms render the protocol susceptible to exploitation by malicious actors. In this study, we comprehensively reviewed existing research in the field, identifying a crucial gap necessitating a holistic survey. Prior surveys have predominantly focused on specific aspects, such as vulnerabilities, attacks, or critiques of existing solutions. Our survey addresses this gap by thoroughly exploring the aviation system, providing readers with a nuanced understanding of ADS-B security. Utilizing a detailed SWOT analysis diagram, our paper delves into the vulnerabilities inherent in the ADS-B protocol outlines potential threats and scrutinizes various attack scenarios. We systematically categorize and analyze existing security solutions, considering cost-effectiveness, scalability, implementation complexity, and coverage against diverse attack vectors. Furthermore, we critically evaluate these solutions, elucidate ADS-B security requirements, discuss current challenges, and propose future research directions. This survey serves as a comprehensive resource for researchers and practitioners alike, shedding light on the multifaceted landscape of ADS-B security and paving the way for enhanced aviation system resilience in the face of evolving cybersecurity threats.

The increasing prevalence of spinal disorders and the subsequent rise in spinal fusion surgeries stress the necessity for optimizing spinal fusion cages, crucial for stabilizing the spine and supporting osseointegration. Despite the widespread attempts at material modifications and surface enhancements to improve these devices, failure rates and complications remain significant. This research explores an imaginitive approach to enhancing spinal fusion cages through the application of geometric tiling designs, a method scarcely employed . The study systematically investigates the potential of triangular, diamond, and hexagonal tiling patterns to improve the structural integrity and capability for osseointegration of spinal fusion cages. Through a finite element analysis simulation, each design's ability to withstand multi-directional loads and effectively distribute stress was tested under simulated conditions that mimic the complexities of spinal motion. Preliminary findings in fields of engineering indicate that geometric tiling can significantly enhance the load-bearing capabilities and stress distribution of spinal fusion cages, potentially reducing the likelihood of implant subsidence and failure. The triangular and hexagonal designs, in particular, demonstrate superior performance in maintaining structural stability under axial and anterior compressive forces compared to traditional cage designs. This research opens a new pathway for the development of more durable and efficient spinal fusion cages. By leveraging the structural advantages of geometric tiling, future spinal implants could achieve better clinical outcomes, leading to improved patient recovery and reduced rates of complications.

Background: Chronic pelvic pain is a debilitating condition affecting quality of life. Endometriosis is one of the leading causes of CPP, but recent studies highlighted the role of interstitial cystitis/bladder pain syndrome (IC/PBS) in causing CPP. Only some studies addressed the coexistence between these two conditions, which seems more frequent than what is supposed, leading to diagnostic delays and unnecessary surgeries. This systematic review aimed to evaluate the estimate of the coexistence of endometriosis and IC/PBS. Methods: We performed a systematic review of the literature indexed on PubMed, Scopus, ISI Web of Science, and Cochrane using a combination of keywords and text words represented by “painful bladder syndrome”, “endometriosis”, “interstitial cystitis”, “bladder pain syndrome”. We performed a meta-analysis of the results. Results: Meta-analysis shows that the coexistence of endometriosis and IC/PBS in women with CPP ranges between 15,5-78,3%, which is higher than the prevalence of IC/PBS in the general population. Conclusions: Women with CPP need a multidisciplinary approach and a referral to centers with specific expertise. In cases of endometriosis unresponsive to treatment, other reasons for CPP need to be ruled out, above all in women not responsive to treatment.

Succinate is proposed to be a mediator of muscle exercise-induced adaptations. We studied metabolic health and changes of muscle mass in 6-month-old male mice after 12 weeks of feeding regular diet (RD, 13.4 kcal% fat, 66.8 kcal% carbohydrate, 29.8 kcal% protein), high fat diet (HFD, 60 kcal% fat, 20 kcal% carbohydrates, 20 kcal% protein) and ketogenic diet (KD, 80 kcal% fat, <1 kcal% carbohydrates, 20 kcal% protein) with or without 2% succinate supplements (SUS) in drinking water (n=8-12 per group). Functional overloading of the plantaris muscle (PL) was induced in a group of mice by denervation of the gastrocnemius and soleus muscles at week 6 of feeding different diets. HFD induced the greatest (p < 0.001) increase in body and fat mass. HFD and KD lead to significant (p < 0.01) impairment in glucose tolerance compared to RD. SUS blunted (p < 0.01) initial surge in energy intake when mice were switched from RD to HFD, but did not influence any measures of metabolic health after 12 weeks of the study. Functional overloading lead to ~25% increase in PL mass which was not affected by diet or SUS. In conclusion, SUS does not have a long-term effect on metabolic health or muscle mass.

This work aims to initiate a reflection on the awareness of environmental, social, and corporate governance issues, summarized in the acronym ESG (Environmental, Social, Governance), among Italian SMEs. The integration of ESG issues into business models has led to an expansion of the risk taxonomy affecting corporate management. In addition to traditional financial risks, new risks have emerged, primarily climate risk, environmental, and energy risks, which can significantly impact companies' ability to create economic value. This includes planning and designing virtuous initiatives focused on sustainability and the ability to build public-private partnerships with various stakeholders. After this theoretical framework aimed at highlighting the evolution of the concept of corporate sustainability following the introduction of ESG factors, a clustering of non-performing loans of Italian companies is proposed using a k-Means algorithm, comparing the results obtained through two different methods, namely the Elbow method and the Silhouette coefficient. Finally, using data on Italian regions between 2004 and 2023, an empirical analysis is conducted to provide an estimate of the relationship between non-performing loans and some variables related to ESG components.

Field implementations of inductive power transfer (IPT) face many practical challenges that dramatically reduce power transmission effectiveness. Coil misalignment is a persistent issue in IPT systems, especially in applications involving vehicles or nonvisible coils. Furthermore, magnetic field symmetry convolutes the decomposition of misalignment measurements in multiple dimensions and frequently impedes the efficacy of traditional position correction strategies. This paper presents an automated methodology to sense misalignments and align IPT coils using robotic actuators and sequential Monte Carlo methods. The misalignment of a Class EF inverter-driven IPT system was modeled by tracking changes as its coils move apart laterally and distally. These models were integrated with particle filters to estimate the location of a hidden coil in 3D, given a sequence of sensor measurements. During laboratory tests on a Cartesian robot, these algorithms aligned the IPT system within 1 cm (0.025 coil diameters) of peak lateral alignment. On average, the alignment algorithms required less than four sensor measurements for localization. After laboratory testing, this approach was implemented with an agricultural sensor platform at the Utah Agricultural Experiment Station in Kaysville, Utah. In this implementation, a buried sensor platform was successfully charged using an aboveground, vehicle-mounted transmitter.

Cardiovascular complications are the major cause of diabetes-related morbidity and mortality. Increased renin-angiotensin-aldosterone system activity and decreased β-adrenergic receptor (β-AR) responsiveness contribute to diabetic cardiac dysfunction. We evaluated the effect of sacubitril/valsartan (neprilysin inhibitor plus angiotensin receptor antagonist combination), and valsartan treatments on the diabetic cardiac function through β-AR responsiveness, and on protein expression of diastolic components. 6-week-old male Sprague-Dawley rats were divided into control, diabetic, sacubitril/valsartan (68 mg/kg), and valsartan treated (31 mg/kg) diabetic groups. Diabetes was induced by high fat diet plus low dose streptozotocin (30 mg/kg, intraperitoneal). After 10 weeks of diabetes, rats were treated for 4 weeks. Systolic/diastolic function was assessed by in vivo echocardiography and pressure-volume loop analysis. β-AR mediated responsiveness was assessed by in vitro papillary muscle and Langendorff heart experiments. Protein expression of sarcoplasmic reticulum calcium ATPase2a, phospholamban, and phosphorylated phospholamban was determined by Western blot. Sacubitril/valsartan improved ejection fraction and fractional shortening to a similar extent as valsartan alone. None of the treatments affected in vivo diastolic parameters or expression of related proteins. β1-/β2-AR mediated responsiveness was partially restored in treated animals. β3-AR mediated relaxation responses were comparable among groups. The beneficial effect of sacubitril/valsartan on systolic function may be attributed to improved β1-/β2-AR responsiveness.

The global photovoltaic (PV) installed capacity, vital for the electric sector decarbonation, has reached 1,552.3 GWp in 2023. In France, the capacity stood in April 2024 at 19.9 GWp. The growth of the PV installed capacity over a year was nearly 32% worldwide and 15.7% in France. However, integrating PV electricity into grids is hindered by poor knowledge of rooftop PV systems, constituting 20% of France's installed capacity, and the lack of measurements of the production stemming from these systems. This problem of lack of measurements of the rooftop PV power production is referred to as the lack of observability. Using ground truth measurements of individual PV systems, available at an unprecedented temporal and spatial scale, we show that estimating the PV power production of an individual rooftop system by combining solar irradiance and temperature data, the characteristics of the PV system inferred from remote sensing methods and an irradiation-to-electric power conversion model provides accurate estimations of the PV power production. Our study shows that we can improve rooftop PV observability, and thus its integration into the electric grid, using little information on these systems, a simple model of the PV system and weather data.

This paper delves into the challenge of controlling the multiple synchronizations in mechatronic vibration machines featuring a duo of unbalanced rotors. Its primary aim is to not only attain specific rotation speeds but also to ensure the desired phase shift between these rotors. To tackle this issue, the paper employs a control law integrating cross-couplings. It conducts an analysis of the dynamics of a simplified linearized system, showcasing the robustness of the control system across varying plant parameters. Additionally, the paper outlines experimental findings from a multi-resonance vibrational laboratory setup. These findings effectively demonstrate the effectiveness of the proposed approach and highlight its potential applications. Crucially, the paper provides experimental evidence illustrating the capability to control vibration fields on the operational platform, a vital aspect pertinent to vibration transportation and bulk material mixing processes.

Based on the nonlinear failure criterion and modified tangential technique, the upper bound solutions of supporting pressure on the deep tunnel face were obtained under pore water pressure conditions. The influence of parameters on the supporting pressure and collapse range was investigated according to the unlimited block failure mechanism. It is found that the upper bound solutions of supporting pressure increase with the growth of the nonlinear coefficient and pore water pressure coefficient. The collapse range of the tunnel face scales out with the increase of the nonlinear coefficient and shrinks when increasing the pore water pressure coefficient. Moreover, with the increase of the nonlinear coefficient, the impact strength on supporting pressure and collapse range declines gradually. According to the calculating results, it is manifest that both the pore water pressure and nonlinear criterion factors have negative impacts on the stability of the tunnel face. Thus, more attention should be paid to these parameters to ensure face stability in deep tunnel construction.

The objective of the present contribution was to design and characterize resveratrol (RSV) and tocopherol (TOC) loaded 11S quinoa seed protein nanocomplexes. Firstly, molecular docking was performed to describe the probable binding sites between protein and ligands. Isothermal titration calorimetry allowed to obtain the thermodynamic parameters that described the molecular in-teractions between RSV or TOC with the protein. 11S globulin intrinsic fluorescence spectra showed a quenching effect exerted by RSV and TOC, demonstrating protein-bioactive compounds interactions. Stern-Volmer, Scatchard and Förster resonance energy transfer models application confirmed static quenching and allowed to obtain parameters that described the 11S-RSV or 11S-TOC complexation process. Secondly, protein aggregation induced by bioactive compounds interactions was confirmed by dynamic light scattering and atomic force microscopy with diam-eters

Introduction: Thyroid nodules are extremely common and require complex management to prevent unnecessary surgical intervention and ensure that no malignant disease is overlooked. Several diagnostic tools and scoring systems are available to evaluate the Risk of Malignancy (ROM). The goal is to assess variables that can aid and support the clinical recommendations suggested by the updated Bethesda System for Reporting Thyroid Cytopathology (TBSRTC), such as the ultrasonographic features of thyroid nodules, particularly for indeterminate categories III (atypia of undetermined significance) and IV (follicular neoplasm). Methods: We retrospectively analysed the correlation of the demographic and ultrasonographic characteristics of thyroid nodules with the cytopathological and histopathological diagnoses of TBSRTC categories III (atypia of undetermined significance), IV (follicular neoplasm), V (suspicious for malignancy), and VI (malignant) in patients who underwent surgery in a single Portuguese centre over a 10-year period. Results: In total, 360 nodules were evaluated in 341 patients and 57% were histopathologically malignant or borderline. The majority were included in the TBSRTC indeterminate categories III and IV with an ROM of 44% and 43%, respectively. The ultrasonographic characteristics associated with a higher TBSRTC category and a greater ROM value were hypoechogenicity, presence of microcalcifications, irregular margins, and the presence of cervical adenopathy. When correlating with a malignant histology, only adenopathy and the presence of microcalcifications were observed to be statistically significant. Discussion: The indeterminate categories of the TBSRTC have been the most challenging ones to manage. The new TBSRTC (2023) guidelines as well as the ultrasonographic characteristics of a patient can be helpful in assessing the ROM and deciding on an appropriate course of treatment. Other resources, such as molecular tests, are also gaining a more important role in the clinical decision process and may become crucial in the future. Conclusion: The clinical management of thyroid nodules requires a careful analysis of clinical history and an evaluation of demographic details, the symptoms of the patient, comorbidities, personal and family history, ultrasonographic features, and the results of cytopathology, thyroid function, and molecular/genetic tests to provide the best care possible. Patients with thyroid nodules of an indeterminate character can obtain a definitive diagnosis through surgery. However, by employing a complete analysis of all relevant data, some patients may be suitable for active surveillance instead of a surgical intervention.

This paper presents an enhanced Fully Connected Neural Network (FCNN) framework that incorporates manifold learning and Renormalization Group (RG) methods. By integrating Christoffel symbols, the model adapts to the curvature and topology of the data manifold, improving learning from geometrically complex data. Additionally, RG methods enable effective multi-scale data processing. We demonstrate the enhanced model’s performance on synthetic and real-world datasets, showing improved accuracy compared to standard FCNNs, particularly in complex systems simulation.

Recently, polyacetylene (PA) is receiving a renewed scientific attention due to its electrical properties potentially useful for energy applications (e.g., fabrication of electrodes for batteries and supercapacitors) and unique functional characteristics (e.g., flame retardant, oxygen scavenger, EMI-shielding, etc.). This chemical compound can be obtained in form of a polyacetylene-PVOH copolymers simply by chemical dehydration of poly(vinyl alcohol) (PVOH), which is a very common type of polymer, widely used in packaging and other technological areas. This very inexpensive chemical reaction for the large-scale synthesis of PA/polyvinylenes has been investigated by reacting PVOH with fuming sulfuric acid at room temperature. In this process, PVOH, shaped in form of film, is dipped in fuming sulfuric acid (i.e., H₂SO₄ at 95-97%) and, after complete chemical-dehydration, it has been mechanically removed from the liquid phase by using a nylon sieve. The reduction process leads to a substantial PVOH film conversion to PA as it has been proved by infrared spectroscopy (ATR-mode). Indeed, the ATR spectrum of the reaction product included all characteristic absorption bands of PA. The reaction product has been also characterized by UV-Vis spectroscopy in order to evidence the presence in the structure of conjugated carbon-carbon double bonds of various lengths. Differential scanning calorimetry (DSC) and thermogravimetric analysis have been used respectively to investigate the PA solid-state cis-trans isomerization and thermal stability in air and nitrogen, respectively.

Telomeres, located at the ends of each chromosome play a vital role in determining cellular fate and aging. Accelerated shortening of telomeres may also result in accelerated aging and occurrence of age-related degenerative diseases. Anti-aging treatments may help in increasing the telomere length along with improving quality of life, reducing dependency for daily life activities, increasing life expectancy and reducing the risks associated with aging. In this study, we evaluated the effect of anti-aging integrative therapy in 36 individuals. The treatment included a combination of HBOT, ozone therapy, colon hydrotherapy, etc. Telomere length was used as a biomarker for objectively quantifying the outcome of the treatment. The effect of treatment was also assessed on various aging symptoms. At the end of the treatment, it was found that that 97.22% individuals showed an increase in telomere length with an average increase of 0.43 Kbp and 94.44% individuals showed reduced biological age with an average decrease of 3.8 years. These improvements were statistically significant. Improvements were also recorded in the majority of the symptoms. No major adverse events were observed. These results indicate that antiaging integrative therapy has the potential to reverse aging symptoms, cellular aging and improve quality of life.

The electron of spin −1/2 is a Dirac fermion of a complex four-component spinor field. Though it is effectively addressed by relativistic quantum field theory, an intuitive form of the fermion still remains lacking and it is often described by the so-called Dirac belt trick. In this novel undertaking, the electron is examined within the boundary posed by a recently proposed MP model of a hydrogen atom into 4D space-time. Its transformation to Dirac fermion appears consistent with Dirac belt trick, quantum mechanics and Lie group with gravity considered to be a classical force for an irreducible spinor field. These outcomes are compatible with Dirac field theory and its associated features like wave function collapse, quantized Hamiltonian, non-relativistic wave function, Weyl spinor, Lorentz transformation and Feynman diagrams. The model though speculative, it could become important towards defining the fundamental state of matter subject to further examinations.

This proposal advocates using energy states as fundamental units for quantum computer programming. Each programming unit is conceptualized as an energy state, manifested as an essence-unit. The essence-unit, defined as the minimal form encapsulating complete uniqueness or specificity, serves as the cornerstone of this paradigm. This approach allows recording various forms of matter on quantum computers in essence-units representing their energy states. Recording energy states is achieved through the creation of four distinct coherent potentials facilitated by quantum dots or crystals. It is crucial to note that these energy states, embodied in essence-units, cannot be subdivided. The study examines the intricate relationship between similarity, fractals, and uniqueness in quantum dot operations, elucidating their profound implications for information transfer efficiency. Normalized entropy quantifies the charge localization in quantum dot impurities in systems exhibiting distortions. Utilizing N-level recording and entropy-fractal dimension equivalence enables this paper to elucidate the potential of quantum dots in reducing transmission time and modeling complex systems. The proposed methodology represents a significant departure from the current state of quantum computing, offering unprecedented potential for overcoming previously intractable challenges.

Breakthroughs in surgical and medical techniques have significantly improved outcomes for children with congenital heart disease (CHD), but research continues to address the ongoing challenge of organ dysfunction after surgery. Our study explored circular RNAs (circRNAs) within plasma-derived extracellular vesicles (EVs) in children undergoing CHD surgery. Post-surgery EV circRNAs showed dramatic expression changes between organ dysfunction (OD) and control groups. Tissue injury-related pathways were consistent across pre- and post-surgery in OD. The top two significant predicted tissue sources of these circRNAs originated from the respiratory system, aligning with the major organ dysfunction type (respiratory failure). Five of these circRNAs, namely circ-CELSR1, circ-PLXNA1, circ-OBSL1, circ-DAB2IP, circ-KANK1, significantly correlated between PELOD (Pediatric Logistic Organ Dysfunction), supporting the potential of circRNAs as prognostic markers. These findings pave the way for EV circRNAs as promising tools for managing post-surgical organ dysfunction and potentially guiding therapeutic strategies in children with CHD.

Background: Land use and land cover change (LULCC) in the Ruhuhu River Sub-Basin (RRSB), a crucial watershed within the Lake Nyasa Basin in Tanzania, poses a significant threat to water resource sustainability and ecological integrity. However, a lack of comprehensive data on long-term LULCC trends has hindered effective conservation efforts. Methods: This study utilized Landsat 5 TM and Landsat 8 OLI data within Google Earth Engine to quantify LULCC dynamics from 1990 to 2023. Six land cover classes were analyzed: water, forest, barren land, grassland, shrubland, and farmland. Results: Results revealed a substantial decline in forest cover (56.92% to 28.60%), primarily converted to farmland (2.99% to 20.22%). Shrubland expanded initially but then declined, while barren land steadily increased. These changes have profound implications for water resources, biodiversity, and ecosystem services within the RRSB and the broader Lake Nyasa Basin. Conclusions: This research highlights the urgency of implementing sustainable land management practices to mitigate the adverse impacts of LULCC in the RRSB. The high classification accuracies achieved (90.9% to 98.7%) validate the robustness of the methodology. This study provides crucial insights for policymakers, land managers, and conservation practitioners, emphasizing the need for targeted interventions to promote sustainable land use and ensure the long-term resilience of the RRSB ecosystem.

This article comprehensively explores multiple aspects of cryptocurrencies and their price forecasting. Firstly, the article introduces the definition of cryptocurrency and its development process on a global scale, especially focusing on the launch of Facebook Libra and China's central bank digital currency, highlighting the importance and influence of digital currency in the global financial market. Subsequently, the article analyzes the advantages of digital currencies over traditional currencies, including improving economic transaction efficiency, reducing transaction costs and enhancing transaction transparency. Meanwhile, the article also explores the challenges and risks potentially brought by the development of digital currencies, such as regulatory uncertainty and market volatility. In this context, the article raises the importance of cryptocurrency price forecasting and introduces the forecasting models and techniques commonly used today. Finally, through specific experimental analysis, the effectiveness of using the deep learning model CNN-LSTM to predict the price of Bitcoin is demonstrated, and the directions of future research and optimization strategy are proposed. In summary, this paper comprehensively presents the research status and prospects of cryptocurrency and its price prediction field through systematic introduction and analysis.

Employing phonemic awareness in language development can lead to transformative educational outcomes. Having mastered this skill, students have a good foundation in language comprehension, writing, and reading, which increases their chances of academic achievement. This change can affect entire classrooms and schools, fostering a culture of literacy and academic performance, rather than just a select few students. The aim of the study is to gather literature that offers substantial information about this topic based on the facts presented. The overwhelming body of research points to the benefits of teaching phonemic awareness in early childhood education. The foundation of transformative education is phonemic awareness, which fosters fundamental language and reading skills. This profound effect emphasizes how crucial phonemic awareness is to the teaching process. Educators can use phonemic awareness to boost students' language development and create a transformative learning environment by putting these guidelines into practice.

DIPA-CRISPR is a revolutionary gene editing technology that has set new benchmarks in precision and efficacy. It builds upon the CRISPR-Cas9 system, introducing unparalleled specificity and minimizing unintended effects. Its potential applications in addressing complex genetic disorders offer hope for more effective disease management. The integration of DIPA-CRISPR into gene therapy research signifies a monumental leap forward in medical science and biotechnology. This article explores the DIPA-CRISPR methodology, its core principles, and recent technological strides in refining the technique. It highlights the implications of these developments on the treatment of genetic conditions and discusses future prospects and innovations within the field. The transformative potential of DIPA-CRISPR in disease management and the broader spectrum of genetic engineering is underscored, heralding a new age of medical and scientific discovery. The emphasis on addressing both technical and ethical challenges underscores the complexity and responsibility that accompanies such powerful technological advancements. The future prospects of DIPA-CRISPR, from pest management to combating global infectious diseases and transforming oncology, underscore the need for continued innovation coupled with rigorous ethical oversight.

In the bar of our Milky Way, there should be another supermassive black holes B which is with the mass almost 10^-2--10^-5 the Sgr A* and with a distance10,000--14,500 lightyears from Sgr A*. The bar is formed by the stellar orbiting around both of the black holes. In the Hill radius of B, a lots of stars orbit around B while another lots of stars orbit Sgr A*. It determines that there is a “x-shaped structure” in the bar and the shape of bar appears a peanut. As the orbits of the stars is out of the Hill radius of B, they are repulsed to a distant place by B to form the arms.

Weight-bearing computed tomography (WBCT) enables acquisition of three dimensional bony structure images in a physiological weight-bearing position, which is fundamental in under-standing the pathologic lesions and deformities of the ankle joint. Over the past decade, re-searchers focused on validating and developing WBCT measurements, which has significantly enhanced our knowledge of common foot and ankle disease. Consequently, understanding the application of WBCT in clinical practice is becoming more important to produce improved out-comes in the treatment of disease around the ankle joint. This review will describe an overview of what is currently being evaluated in the foot and ankle surgery using WBCT and where the course of research will be heading in the future.

Here, we report an ultrasoft extra long-lasting reusable hydrogel-based sensor that enables high quality electrophysiological recording with low motion artifacts. The developed sensor can be used and stored in the ambient environment for months before being reused again. The developed sensor is made of a self-adhesive electrical-conductivity-enhanced ultrasoft hydrogel, mounted in an Ecoflex-based frame. Hydrogel’s conductivity was enhanced by incorporating polypyrrole (PPy), resulting in the conductivity of 0.25 S m-1. Young’s modulus of the sensor is only 12.9 kPa and it is stretchable up to 190%. The sensor was successfully used for the electrocardiography (ECG) and electromyography (EMG). Our results indicate that using developed hydrogel-based sensor, the signal-to-noise ratio of recorded electrophysiological signals was improved in comparison to that when medical grade silver/silver chloride (Ag/AgCl) wet gel electrodes were used (33.55 dB in comparison to 22.16 dB). Due to the ultra-softness, high stretchability, and self-adhesion of the developed sensor, it can conform to the skin and therefore, it shows low susceptibility to motion artifacts. Also, the sensor shows no sign of irritation or allergic reaction that usually occurs after long-term wearing medical grade Ag/AgCl wet gel electrodes on the skin. Further, the sensor is fabricated using a low cost and scalable fabrication process.

The understanding of the natural water cycle, also known as the hydrological cycle, has evolved significantly from early philosophical contemplations to the contemporary scientific models employed today. Ancient Greek philosophers initiated this development, and further progression occurred during the Renaissance and Enlightenment periods through empirical research. The 19th and 20th centuries witnessed transformative impacts with technological advancements. Notably, the Quran contains descriptions of the water cycle that align with contemporary scientific knowledge. This study underscores the timeless accuracy of the Quranic verses, which remain unaffected by the era in which they were revealed and align with the latest scientific discoveries.

This paper proposes a novel approach called Multi-strategy Improved Chaotic Whale fused with Perturbation Observation method (IWOA-PO) for Maximum Power Point Tracking (MPPT) con-trol, to address the challenge of low efficiency in photovoltaic (PV) power generation under local shadows, according to the features of whale optimization algorithm (WOA) and perturbation observation (P&O) method. In the early stage of control algorithm, IWOA is used for global search to quickly locate the position of the Maximum Power Point (MPP). In the later stage of control algorithm, P&O is used for fine-grained local search to quickly, accurately and low oscillation track the position of the global maximum power point (GMPP). In order to verify the correctness, the tracking performance of IWOA-PO is comprehensively compared with WOA-PO、WOA、PSO under four conditions including uniform illumination, static partial shade, dynamic irradiance mutation and sudden changes in temperature and irradiance. In the above four conditions, the IWOA-PO algorithm has faster convergence and less power oscillations compared to the re-maining three algorithms, indicating that the IWOA-PO algorithm is effective. Finally, a physical verification experiment process is built to verify the correctness and effectiveness of the algorithm proposed in this paper.

In today's highly digitized and globalized financial environment, the need to protect payment systems from risk is more urgent than ever. Artificial intelligence (AI) technology is rapidly becoming a key tool in this space, with machine learning algorithms, big data analytics, and real-time monitoring enabling AI to effectively detect and prevent fraudulent activity, optimize risk management processes, and deliver intelligent services. AI not only improves the security and efficiency of payment systems, but also significantly improves customer satisfaction and loyalty. With the continuous development of AI technology and financial payment technology, the financial payment industry will usher in more innovations and changes in the future, further optimizing the payment process, improving payment efficiency, and ensuring payment security.

We introduce two symmetric concepts to physics: “distance” (space and time in one) and “wavematter” (electromagnetic wave packet and matter in one). We claim that physics has chosen the wrong concept of time: It is not aware that the time of a moving object flows in a direction other than my time. We provide 15 proofs for our claim by solving 15 mysteries of physics graphically! For example, we prove that length contraction and time dilation are actually geometrical effects in a 4D manifold that we call “Euclidean spacetime” (ES). We prove that the discrepancy in calculating the Hubble constant stems from a systematic error in the redshift measurement. We prove that what I deem wave, deems itself matter, which solves wave–particle duality. We even untangle quantum entanglement without the issue of non-locality. We finally understand why alternative theories of Euclidean relativity have failed: They are all based on four dimensions of space rather than distance. A huge amount of energy was injected into ES at a point that we take as origin. Ever since has this energy been moving radially away at the speed of light. We live in the 3D hypersurface of an expanding 4D hypersphere. Hyperspherical coordinates have the great advantage that they reduce all that is ever happening to just one formula. So, it is the Theory of Everything in these coordinates: “Energy is covering radial distance which, divided by Euclidean time, is equal to the speed of light.” Acceleration and force like gravitation emerge from a rotation of objects in ES and a subsequent projection to 3D space. Matching the symmetry simplifies physics.

This article presents a succinct overview of the progress, obstacles, and uses of semantic segmentation and instance segmentation within the forestry domain. The objective of this review is to conduct a critical analysis of the current literature pertaining to segmentation techniques and provide a methodical summary of their impact on forestry-related activities, including but not limited to tree species classification, forest inventory, and ecological monitoring such as retrieval of dominant tree species. Through the process of synthesizing pivotal discoveries from multiple studies, this comprehensive analysis provides valuable perspectives on the present status of research and highlights prospective areas for further exploration. The primary topics addressed encompass the approach employed for executing the examination, the fundamental discoveries associated with semantic segmentation and instance segmentation in the domain of forestry, and the ramifications of these discoveries for the discipline. The results indicate that the utilization of semantic segmentation methods has been efficacious in the field of forestry for the precise identification of tree species. Such methods also aid in tracking of deforested regions over the course of time by separating other land-use classes from forested regions. Additionally, the employment of instance segmentation techniques exhibits potential in the demarcation of individual trees. Instance segmentation offers promising results due to deep learning models based on forest point clouds. However, several challenges persist in the successful implementation of semantic segmentation methods such as the presence of occlusions, overlapping branches, and intricate structures hampers the accurate segmentation of trees. Additionally, instance segmentation approaches that utilize models are mostly trained by using laser scanning data based on forest types which are typically trained on specific laser scanning data and forest types that create limitations in generalization from high to low resolution point clouds. Due to this reason, the existing approaches often struggle with handling these complex structures, leading to the need for manual methods for extracting measurements from forest point clouds. The review culminates by underscoring the necessity for additional research to tackle current obstacles and augment the precision and relevance of segmentation methodologies in the field of forestry. In general, the present article provides a significant reference for scholars and professionals who are interested in utilizing segmentation techniques in the field of forestry.

The main goal was to investigate the ability of non-thermal plasma reactor with gliding arc discharge to remove the diesel exhaust particulates (DEPs). A conventional knifed-shaped LTP GA reactor was utilized. Three cases were studied: 140 L/min, 70 L/min and 14 L/min of air drawn through the reactor and diesel exhaust fumes were sampled continuously. They were assayed in terms of concentration and number particle size distribution. The higher the residence time’s, the higher the energy input that may be utilized for DEPs’ removal. Reactor’s performance definitely lowered the concentration of DEPs (250 - 580 nm) and altered their number size distribution. There was no effect on the number concentration, nor on the particle size distribution, of DEP particulates of 10 – 250 nm in size. The effectiveness of DEPs’ removal: Decreasing flow rate from 140 L/min to 70 L/min somehow altered the values. Achieving the airflow of 14 L/min led to a substantial improvement (even to a fourfold increase for 300 – 480 nm particles). Non-thermal plasma reactors with gliding arc discharge may be successfully adapted in the process of DEPs’ treatment. Their performance may be optimized by adjusting the airflow at the inlet of reactor to guarantee the longest aerosol residence times and the highest removal efficiency.

This qualitative research investigates the influence of Corporate Social Responsibility (CSR) on Supplier Relationship Management (SRM) within the e-commerce sector. Through semi-structured interviews and secondary data analysis, the study explores motivations, challenges, impacts, and strategic outcomes of integrating CSR practices into supplier relationships. Motivations for adopting CSR include ethical considerations, regulatory compliance, and meeting stakeholder expectations, reflecting a strategic alignment with corporate values and societal demands. Challenges such as resource constraints, regulatory complexities, and cultural differences highlight operational hurdles and strategic considerations e-commerce firms face in implementing CSR initiatives effectively. The study reveals that CSR enhances trust, collaboration, and risk mitigation within e-commerce supply chains through transparent communication, shared values, and ethical practices. Strategically, CSR contributes to enhanced brand equity, competitive advantage, and long-term value creation by differentiating firms in competitive markets and attracting socially conscious consumers and investors. However, economic trade-offs, stakeholder divergence, and operational complexities require firms to adopt adaptive strategies that balance short-term financial goals with long-term sustainability objectives. The findings suggest avenues for future research exploring longitudinal impacts of CSR on supplier relationships, cross-sectoral comparisons, and technological advancements in CSR-driven SRM practices. Practically, e-commerce firms should prioritize strategic alignment of CSR initiatives with core business objectives, engage stakeholders in CSR strategy development, and embrace continuous improvement to foster ethical conduct, stakeholder trust, and sustainable business practices.

The use of low cost sensors has dramatically increased in recent years in all the engineering sectors. In the field of buildings and automotive, low cost sensors open very interesting perspectives, because they allow to monitor temperature and humidity distributions together with air quality, in a widespread and punctual way and allow control of all energy parameters. The main issue still open remains the validation of the measurements. In this work, we propose an innovative approach to verify the measurements given by some low-cost systems built ad hoc for automotive applications. Two independent low-cost measurement systems have been set to measure Particulate air Matter (PM) concentration, TVOC concentration, CO2 concentration, formaldehyde concentration, air temperature, relative humidity, pressure, air flow velocity and GPS position. These systems have been calibrated by the comparison with standard and certified sensors used by the regional authority of Emilia-Romagna region (ARPAE, Italy) for characterising the air-quality. The innovation of this approach lies in both the in-field comparison of low-cost and high quality sensors and the use of proper conversion approaches for mass concentration measurements. A quantitative analysis of the sensors performance is given, with a focus on effects of time-granularity, relative humidity, mass conversion from particle counts and size detection response. The results show that the low-cost sensors measurements of air temperature, relative humidity and particle number concentration are in a good agreement with high quality sensors measurements, with a strong impact of relative humidity on performance indicators. Overall, a good quality and consistency of the data among the sensors has been achieved.

Astronomy is entering an unprecedented era of Big Data science, driven by missions like the ESA's Gaia telescope, which aims to map the Milky Way in three dimensions. Gaia's vast dataset presents a monumental challenge for traditional analysis methods. The sheer scale of this data exceeds the capabilities of manual exploration, necessitating the utilization of advanced computational techniques. In response to this challenge, we developed a novel approach leveraging deep learning to estimate the metallicity of fundamental mode (ab-type) RR Lyrae stars from their light curves in the Gaia optical G-band. Our study explores applying deep learning techniques, particularly advanced neural network architectures, in predicting photometric metallicity from time-series data. Moreover, our deep learning models demonstrated notable predictive performance over experimentation and analysis. Through GRU-based models we achieved a low mean absolute error of 0.056 and a high $R^2$ regression performance of 0.9401 measured by cross-validation, showcasing the effectiveness of our approach in accurately estimating metallicity values. Our work underscores the importance of deep learning in astronomical research, particularly with large datasets from missions like Gaia. By harnessing the power of deep learning methods, we can provide precision in analyzing vast datasets, contributing to more precise and comprehensive insights into complex astronomical phenomena.

Using numerical simulation method, combined with the pre-branch material characteristics of the measurement results, based on the LS-DYNA software to simulate the branch crushing process, the analysis found that not only the existence of the cutter cutting in the branch destruction process, there is also the cutting of the opposing surface of the bending fracture, with the increase in the speed of the knife rollers, the cutter cutting resistance increases, the cutting resistance reaches 2690 N when the cutter at 2500 r/min, the cutter cutting resistance is the smallest in the cutting simulation at the blade angle of 55°, the blade angle is more suitable for the cutting of the branch. In the cutting simulation under different cutting edge angles, the cutting resistance of the tool is the smallest when the edge angle is 55°, which is 1860 N. This edge angle is more suitable for branch crushing and cutting. Using Fluent software to analyse the airflow characteristics of the crushing device, it was found that with the increase of the knife roller speed, the inlet flow and negative pressure of the crushing chamber are increasing, the speed of 2500 r/min, the inlet flow and negative pressure were 1.92 kg/s and 37.16 Pa, which will be conducive to the feeding of branches, but the speed is too high and it will also lead to the enhancement of the vortex of part of the area in the crushing device, which will affect the feeding of branches and the throwing of the crushed material. affect the feeding of branches and the throwing out of crushed materials, and finally determined the speed range of the crushing knife roller is 1800 ~ 2220 r/min. Based on ANSYS/Model module modal analysis of the crushing knife roller, the knife roller of the first six orders of the intrinsic frequency and vibration pattern, crushing knife roller of the lowest order of the modal intrinsic frequency of 137.42 Hz, much larger than the crushing knife roller operating frequency of 37 Hz, the machine will not resonate during operation.

Teledermatology, the dermatological consultation and diagnosis via digital communication technologies, has become increasingly important in modern healthcare. The integration of teledermatology into clinical practice has gained significant interest, especially during the COVID-19 pandemic. Numerous studies have shown the effectiveness and reliability of teledermatology, with high levels of patient satisfaction and diagnostic accuracy. Pathpoint® eDerma is a cloud-based dermatology platform that aims to streamline the documentation and management of dermatological conditions. It offers several clinical benefits, including faster diagnosis, reduced unnecessary procedures, improved access to care, and cost savings. The platform follows a comprehensive risk management plan and complies with safety regulations. It undergoes regular recertification and reviews to ensure its safety and effectiveness. The clinical evaluation of eDerma confirms its ability to deliver significant clinical benefits while effectively mitigating risks. The benefit-risk ratio of eDerma is highly acceptable, supporting its use in clinical settings to enhance dermatological care.

Polycentric governance, as conceptualized by the Nobel Laureate Elinor Ostrom, has been widely celebrated as a promising approach to fostering inclusive innovation ecosystems in the Global South. By emphasizing the coordination of multiple decision-making centers and the engagement of diverse stakeholders, polycentric systems are believed to enhance the inclusivity and responsiveness of innovation processes, crucial for addressing societal challenges and promoting equitable development. However, this article argues that the theoretical and practical application of polycentric governance may not adequately address the inherent power structures and complexities within inclusive innovation ecosystems. Drawing on critical analysis, empirical evidence, and complementary theoretical perspectives, this paper interrogates the limitations of polycentric governance and proposes a more nuanced, multidimensional framework for inclusive innovation governance in the context of the Global South.

Popular geo-computer vision works make use of aerial imager with sizes ranging from 64 × 64 to 1024 × 1024 pixels without any overlap, although the learning process of deep learning models can be affected by the reduced semantic context or the lack of information near image boundaries. In this work, the impact of three image sizes (256 × 256, 512 × 512, and 1024 × 1024 pixels) and two image overlap levels (no overlap and 12.5% overlap) on the performance of road classification models was statistically evaluated. For this, two convolutional neural networks used in various tasks of geospatial object extraction were trained (using the same hyperparameters) on a large dataset (containing aerial image data covering 8650 km² of the Spanish territory that was labelled with binary road information) under twelve different scenarios, each scenario featuring a different combination of tile size and overlap. To assess their generalisation capacity, the performance of all resulting models was evaluated on a data from novel areas covering approximately 825 km². The performance metrics obtained were analysed using appropriate descriptive and inferential statistical techniques to evaluate the impact of the performance at distinct levels of the fixed factors (tile size, tile overlap, neural network architecture). Statistical tests were applied to study the main and interaction effects of the fixed factors on the performance. A significance level of 0.05 was applied to all the null hypothesis tests. The results were highly significant for the main effects (p-values lower than 0.001), while the two-way and three-way interaction effects among them had different levels of significance. The results indicate that the training of road classification models on images with a higher tile size (more semantic context) and tile overlap (additional border context and continuity) significantly impacts their performance. The best model was trained on a dataset featuring tiles with a size of 1024 × 1024 pixels and a 12.5% overlap and achieved a loss value of 0.0984, an F1 score of 0.8728, and an ROC-AUC score of 0.9766, together with an error rate of 3.5% on the test set.

Supplier diversity has emerged as a critical strategy for enhancing e-commerce operations by fostering inclusivity and innovation within supply chains. This qualitative research explores the role of supplier diversity in e-commerce, examining its impact on organizational strategies, competitive advantage, and stakeholder perceptions. Through semi-structured interviews with procurement managers, diversity officers, and supply chain executives from diverse e-commerce platforms, this study identifies key themes related to the benefits, challenges, and strategic implications of supplier diversity initiatives. Findings indicate that supplier diversity significantly enhances innovation and creativity within supply chains by integrating diverse perspectives and expertise. This diversity not only enriches product development and market responsiveness but also strengthens corporate reputation and brand equity, demonstrating organizational commitment to ethical business practices and community engagement. However, the study reveals persistent challenges, including financial barriers, systemic biases, and scalability issues, which hinder the effective implementation and scalability of supplier diversity programs. Effective supplier relationship management emerges as critical for maximizing the benefits of supplier diversity, fostering trust, collaboration, and long-term partnerships with diverse suppliers. Looking forward, the future of supplier diversity lies in digital transformation, globalization of supplier networks, and integration of sustainable sourcing practices to enhance transparency, efficiency, and resilience in supply chain operations. This study contributes to the growing literature on supplier diversity by providing empirical insights and practical implications for organizations aiming to leverage diversity as a strategic asset in e-commerce and global supply chain management.

Recent advancements in vascular organoid (VO) and vessel-on-chip (VoC) technologies have revolutionized our approach to studying cardiovascular diseases (CVDs), offering unprecedented insights through more physiologically relevant models. VOs generated from human pluripotent stem cells exhibit remarkable self-organization capabilities, forming complex three-dimensional structures that closely mimic human blood vessel architecture and function, while VoCs engineered with groundbreaking microfluidic systems that meticulously recreate the physical and functional attributes of blood vessels. These innovative constructs serve as powerful tools for investigating vascular development, disease progression, and therapeutic efficacy. By enabling the creation of patient-specific VOs and VoCs, they pave the way for personalized medicine approaches, allowing researchers to delve into genetic variations, intricate cellular interactions, and dynamic processes with exceptional resolution. The synergy between VOs and VoCs with cutting-edge technologies such as single-cell sequencing and high-resolution imaging has further amplified their potential, unveiling novel mechanisms underlying CVDs and identifying promising therapeutic targets. Herein, we summarize different types of VOs and VoCs and present an extensive overview on the generation and applications of VOs and VoCs in CVDs. We will also highlight clinical and translational challenges and future perspectives around VOs and VoCs.

The Importance of Preoperative NLR, PLR, and MPV Values in Predicting the Risk of Complications in Colorectal Peritoneal Carcinomatosis Background Neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV) measurements can be easily assessed in most hospital laboratories. Our aim is to emphasize the importance of preoperative inflammatory parameters such as NLR, PLR, and MPV in predicting postoperative complications in patients undergoing surgery for colorectal peritoneal carcinomatosis (CRC PC). Methods Patients operated for CRC PC were evaluated. Demographic data, NLR, PLR, and MPV values were calculated using the following formulas: NLR = (absolute neutrophil count)/(total lymphocyte count), PLR = (total lymphocyte count)/(total platelet count) × 100, MPV = mean platelet volume calculated by dividing platelet crit (PCT) by total platelet count. Results A total of 196 patients with CRC PC were included in the study. A statistically significant relationship was observed between NLR, PLR, MPV, and OS. Patients with an NLR value of 3.77 had a median OS of 22.1 months, whereas those with an NLR value below 3.77 had a median OS of 58.3 months (HR 2.7, 95% CI 1.1–5.3, p

Identifying punch types as part of punch kinematic analysis is a key component for both coaches and players, providing critical insights into the variety and effectiveness of punches, which are essential for refining overall performance. Existing research indicates that punch type classification typically relies on data from either wearables or video data. Both approaches have their merits and demerits but require a significant amount of labeled data for modeling the classification algorithm. In this work, we propose a novel approach that significantly reduces the labeling effort by one-sixth by leveraging video data to enhance the training information of sensor data. This enriched training phase enables more accurate punch classification with reduced labeled data. Subsequently, the real-time punch identification and classification use only the wearable data. On a real dataset, with 15% of the labeling efforts, our approach achieved an accuracy rate of 91.41% for rear hand punch recognition and 91.91% for lead hand punch recognition, along with 92.33% and 94.56% for punch classification, respectively. Through the development of our Smart Boxer system, we aim to revolutionize punch analytics in boxing, providing comprehensive insights while enhancing the overall training and competitive experience for athletes and enriching fan engagement with the sport.

This study aimed to determine the specific characteristics of extraglandular manifestations especially cutaneous involvement in patients with primary sjögren’s syndrome(pSS), focusing on the different clinical and histologic types of SS-associated vasculitis. A retrospective study was conducted and 402 patients (378 women and 24 men) with pSS were analyzed. Patients were categorized into three subgroups based on serological tests. These; 1) quadruple seropositive (positive for anti-Sjögren’s-syndrome-related antigen A antibodies (anti-SSA; anti-Ro) and anti-Sjögren’s-syndrome-related antigen B antibodies (anti-SSB; anti-La), rheumatoid factor (RF), and antinuclear antibody (ANA)), 2) double seropositive (positive for ANA and anti-SSA/Ro antibodies), 3) quadruple seronegative (negative for ANA, RF, anti-SSA/Ro and anti-SSB/La antibodies). The number of quadruple seropositive patients was 72 (18.6%), double seropositive 174 (43.2%), and quadruple seronegative was 85 (21.1%). The diagnosis age of quadruple seropositive pSS was 42.4±10.8, significantly younger than patients with double seropositive and quadruple seronegative pSS (p = 0.021, p=0.112). In terms of organ involvement, salivary gland enlargement, arthralgias, arthritis, Raynaud's phenomenon, lymphadenopathy, vasculitis-purpura, interstitial lung disease, neurological involvement, autoimmune thyroiditis, renal interstitial disease, anemia, leukopenia, hypergammaglobulinaemia and hypocomplementaemia were more common in quadruple seropositive pSS compared to quadruple seronegative (p

This study establishes life cycle assessment model to quantitively evaluate and predict material resource consumption, fossil energy consumption and environmental emissions of plug-in hybrid electric vehicles (PHEVs) by employing the GaBi software. the envi-ronmental impact of different vehicle working conditions, power battery degradation scenarios and mileage scenarios on the operation and use stage of PHEV, BEV and HEV is distinguished. The findings indicate that under urban, highway, and aggressive driving conditions, PHEVs' life cycle material resource and fossil fuel consumption exceed that of BEVs but are less than HEVs. Battery degradation leads to increased material resource consumption, energy use, and environmental emissions for both PHEVs and BEVs, en-vironmental emission of BEVs are more sensitive than those of PHEVs to the impact of power battery degradation. Among different-mileage scenarios, PHEVs demonstrate the least sensitivity to increased mileage regarding life cycle material resource consumption, with the smallest increase. Future projections for 2025 and 2035 suggest life cycle GWP of HEV, PHEV and BEV in 2035 is 1.21×104, 1.12×104 and 1.01×104 kg CO2-eq respectively, which is decreased by 48.7%, 30.9% and 36.1% compared with those in 2025. The out-comes of this study are intended to bolster data support for the manufacturing and de-velopment of PHEV, BEV and HEV under different scenarios and offer insights into the growth and technological progression of the automotive sector.

The reaction of berberine derivatives containing at O-9 position N,N-disubstituted acetamide fragments with sodium borohydride in methanol at 0 °C leads to a mild reduction of the "C" cycle with the formation of corresponding tetrahydroberberine derivatives with moderate to good yields.

Early reporting of the introduction and establishment of exotic species is of paramount importance for successful management. Here we report the introduction and rapid spread of the Bare-eyed Pigeon, Patagioenas corensis, on the binational island of Saint-Martin, West Indies. This range-restricted species naturally occurs in the arid coastal areas of Columbia and Venezuela and nearby islands. Its introduction on Saint-Martin represents an expansion of about 1000 km beyond its established native range. Using observations recorded in e-bird and results from a recent field survey, we show that since its introduction, most probably between late 2012 and early 2013, the species is expanding fast in Saint-Martin and has recently broadened its habitat to include anthropized, built areas. The expansion of Bare-eyed Pigeon on Saint-Martin and the neighbouring Leeward Islands, possibly facilitated by climate change in the future, could be a threat to both native columbid species and other bird species, through competition for resources. We therefore recommend to local authorities and stakeholders to rapidly eradicate the species or at least prevent its further spread on Saint-Martin, possibly though listing it as a game species, while it is still possible to do so.

The aim of the present study was to predict the response of non-small cell lung cancer (NSCLC) patients to immune checkpoint inhibitors (ICIs) by leveraging computed tomography (CT) images using deep learning techniques. Retrospectively, 624 sequential CT images were gathered from 156 patients at Jiangsu Province Hospital, along with their clinical data. The dataset was subsequently partitioned into three groups: training (n=547), validation (n=64), and test (n=64). Moreover, an external validation cohort included 37 CT images from patients at Nanjing Pukou Peoples' Hospital, accompanied by comprehensive clinical data. An advanced Video Vision Transformer (ViViT) model incorporating global self-attention was utilized to analyse patients treated with ICIs and predict their response. The ViViT model's efficacy was evaluated using a confusion matrix and a receiver operating characteristic curve (ROC). Notably, the ViViT model demonstrated predictive prowess for ICIs response, yielding respective areas under the receiver operating characteristic curve (AUC) of 0.74 (95% CI: 0.69-0.78), 0.74 (95% CI: 0.61-0.86), 0.76 (95% CI: 0.62-0.88), and 0.69 (95% CI: 0.5-0.87) in the training, validation, test, and external validation cohorts. The present study illustrates how a deep learning model can provide a non-invasive means to predict clinical outcomes in NSCLC patients undergoing ICIs, potentially transforming personalized treatment approaches for individuals with NSCLC.

Cryptocurrencies have now become an emerging blockchain-based payment technology. Users’ identities on such networks are pseudo-anonymous in that all transactions made from an address are transparent and searchable by anyone; to preserve their privacy, users often use many different addresses. In recent years, some studies have been conducted regarding analyzing clusters of Bitcoin addresses that, according to certain heuristics, belong to the same entity. Such action allows law enforcement to have relevant information in cases where cryptocurrencies are used for illegal trafficking. Clustering methods based on a single heuristic do not allow the clustering of many addresses in a complete and accurate manner. This paper proposes Bitcoin Address Clustering based on multiple Heuristics (BACH), a tool that uses three different clustering heuristics to identify clusters of Bitcoin addresses, which are displayed through a three-dimensional graph. Based on the results, several analyses were conducted, including a comparison with Wallet Explorer, an address clustering tool similar to BACH. BACH, in addition to introducing the innovative feature of graphical visualization of the internal structure of clusters, is shown to improve address aggregation through the joint use of three heuristics for clustering.

This study investigates the latest advancements in utilizing machine learning techniques for predicting financial market movements. Financial markets are complex systems influenced by numerous factors, making accurate predictions challenging but highly valuable. The research explores various machine learning approaches, including supervised learning, unsupervised learning, reinforcement learning, and deep learning, to enhance the accuracy and reliability of financial market forecasts. The study provides a comprehensive review of current methodologies, highlighting key innovations and their applications in financial market prediction. Techniques such as neural networks, support vector machines, random forests, and ensemble methods are examined in the context of their ability to analyze vast amounts of financial data, identify patterns, and generate actionable insights. Additionally, the research delves into the integration of alternative data sources, such as social media sentiment, news articles, and macroeconomic indicators, to improve prediction models. Through empirical analysis and case studies, the study demonstrates the effectiveness of advanced machine learning models in predicting stock prices, currency exchange rates, and commodity prices. It also discusses the challenges associated with these techniques, including overfitting, data quality issues, and the need for interpretability in model outputs. Findings suggest that machine learning techniques can significantly enhance the predictive power of financial models, offering more accurate and timely insights for investors and financial analysts. The study concludes with recommendations for future research directions, emphasizing the importance of model transparency, the incorporation of diverse data sets, and the continuous adaptation of machine learning algorithms to evolving market conditions.

We report positive correlations between letter frequency and symmetry (more symmetric symbols are more frequent) in English and Russian languages and in four types of numerals (Western, Roman, Arabic, and Chinese) with the coefficients of determination of R2=0.899 (English), R2=0.693 (Russian) and R2=0.740 (numerals). For comparison, we studied "symbol-like" 2D colloidal clusters and found negative correlations between frequency and symmetry (R2=0.814 and R2=0.994). While in human-made systems the frequency of using of a symbol is the driving force which leads to symbols simplification and symmetrizing, in natural system, symmetry leads to lower frequency of occurrence because there are fewer ways of building symmetric clusters than asymmetric ones. We interpret these results as a correlation between the symbol as a type and as a token and we attribute this correlation to the inherent iconicity of symbols

The fulfillment of rights to maternal healthcare is a key factor for wellbeing of woman. However, there is a lack of instrument to know the experience of women during maternity to bind the monitoring. The aim of this study was to validate an instrument to measure the woman’s perception of the fulfillment of rights during healthcare in pregnancy, childbirth and immediate postpartum. The instrument consist in 50 items was screening by an exploratory factor analysis. Additionally, the final version of the instrument consists in 29 items which was validate by confirmatory factor analysis and know-group validity. The instrument was applied in 185 Spanish women. The global Aiken’s V of initial instrument proposal was 0.89. Process resolves an instrument with 5 factors (information, privacy, consent, support, and participation) that explained the 60% of the total variance. The score of the instrument was correlated with resilience, maternity beliefs, and positive and negative affect. External validation showed relations with age, gravida, and number of labors. Additionally, the reliability Cronbach´s was 0.93 [0.91; 0.94]. In conclusion, the instrument developed is consistent and has appropriate psychometric properties for assess the fulfillment rights maternity healthcare.

Aging-related disorders pose significant challenges due to their complex interplay of physiological and metabolic factors, including inflammation, oxidative stress, and mitochondrial dysfunction. Curcumin, a natural compound with potent antioxidant and anti-inflammatory properties, has emerged as a promising candidate for mitigating these age-related processes. However, gaps in understanding the precise mechanisms of curcumin's effects and the optimal dosages for different conditions necessitate further investigation. This systematic review synthesizes current evidence on curcumin's potential in addressing age-related disorders, emphasizing its impact on cognitive function, neurodegeneration, and muscle health in older adults. By evaluating the safety, efficacy, and mechanisms of action of curcumin supplementation, this review aims to provide insights into its therapeutic potential for promoting healthy aging. A systematic search across three databases using specific keywords yielded 2,256 documents, leading to the selection of 15 clinical trials for synthesis. Here we highlight the promising potential of curcumin as a multifaceted therapeutic agent in combating age-related disorders. The findings of this review suggest that curcumin could offer a natural and effective approach to enhancing the quality of life of aging individuals. Further research and well-designed clinical trials are essential to validate these findings and optimize the use of curcumin in personalized medicine approaches for age-related conditions.

The erosion of surface pipelines induced by proppant flowback during shale gas production is significant. The surface pipelines in a shale gas field in the Sichuan Basin experienced perforation failures after only five months of service. To investigate the erosion features of L360N, coatings, and ceramics and optimize the selection of two protective materials, a gas-solid two-phase flow jet erosion experimental device was used to explore the erosion resistance of L360N, coating, and ceramic under different impact velocities (15 m/s, 20 m/s, and 30 m/s). An energy dispersive spectroscope, a scanning electron microscope, and a laser confocal microscope were employed to analyze erosion morphologies. With the increase in flow velocity, erosion depth and erosion rate of L360N, coating, and ceramic increased and peaked under an impact velocity of 30 m/s. Maximum erosion rate and maximum erosion depth of L360N were respectively 0.0350 mg/g and 37.5365 µm. Its primary material removal mechanism was plowing of solid particles and microcracks were distributed on the material surface under high flow velocities. Maximum erosion rate and maximum erosion depth of coating were respectively 0.0217 mg/g and 18.9964 µm. Its primary material removal mechanism was the detachment of the binder phase Co caused by plowing. Maximum erosion rate and maximum erosion depth of ceramics were respectively 0.0108 mg/g and 12.4856 µm. The erosion mechanisms were micro-cutting and plowing. Under different particle impact velocity, different erosion morphologies were observed, but the primary erosion mechanism was the same. The erosion resistance of ceramics was higher than that of coating. Therefore, ceramic lining materials could be used to protect the easily eroded parts, such as pipeline bends and tees, and reduce the failure rate by more than 93%. The study provided the data and theoretical basis for the theoretical study on oil and gas pipeline erosion and pipeline material selection.

Transfer RNA (tRNA) modifications are essential for the temperature adaptation of thermophilic and psychrophilic organisms, as they control the rigidity and flexibility of transcripts. To further understand how specific tRNA modifications are adjusted to maintain functionality in response to temperature fluctuations, we investigated whether tRNA modifications represent an adaptation of bacteria to different growth temperatures (minimal, optimal, and maximal), focusing on closely related psychrophilic (P. halocryophilus and E. sibiricum), mesophilic (B. subtilis), and thermophilic (G. stearothermophilus) Bacillales. Utilizing an RNA sequencing approach combined with chemical pre-treatment of tRNA samples, we systematically profiled dihydrouridine (D), 4-thiouridine (s4U), 7-methyl-guanosine (m7G), and pseudouridine (Ψ) modifications at single-nucleotide resolution. Despite their close relation, each bacterium exhibited a unique tRNA modification profile. Our findings revealed increased tRNA modifications in the thermophilic bacteria at higher temperatures, particularly showing elevated levels of s4U8 and Ψ55 modifications compared to non-thermophilic bacteria, indicating a temperature-dependent regulation that may contribute to thermotolerance. Furthermore, we observed higher levels of D modifications in psychrophilic and mesophilic bacteria indicating an adaptive strategy for cold environments by enhancing local flexibility in tRNAs. Our method demonstrated high effectiveness in identifying tRNA modifications compared to an established tool, highlighting its potential for precise tRNA profiling studies.

The aim of this study is to investigate the impact of delegated monitoring by the group leader and peer monitoring by group members on loan defaults in a group-based lending program in Vietnam. Data used in the study were collected from a questionnaire survey of 675 participants involved in group-based lending program in the Mekong River Delta, Vietnam. The group-based lending program employs a unique monitoring system that involves hiring the group leader to supervise the group and encouraging group members to monitor each other. The empirical findings derived from the Probit model indicated that delegated monitoring significantly reduces loan defaults, but there was no evidence supporting the effectiveness of peer monitoring within the group. Additionally, under the delegated monitoring scheme, group size plays an important role in decreasing loan defaults.

In this work, we will study metallic clusters equivalent to the organic ones intercalated with metals, of solid benzene type, Ba anthracene and K3.45picene; and we will try to calculate its superconducting Tc, for each of these compounds, from electronic correlations at room temperature. We will also study metal hydrides and clusters, totally composed of metals, which adopt forms analogous to molecular organic picene and anthracene; also calculating its TC.

Green hydrogen is a fuel that in the coming years will play a very important role in the energy transition process in developed countries, especially those seeking to reach a level of zero emis-sions, for which reason its demand is expected to increase significantly. This article analyzes the fundamentals to produce hydrogen, with a focus on the oxidation reaction of a thermochemical solar cycle for the dissociation of water vapor. Solar thermochemical cycles have been extensively investigated, but it is still in the development stage by groups of researchers who have focused on finding the right materials and conditions to improve the efficiency of the process, especially at high temperatures. The theoretical foundations are analyzed, compiled from exhaustive scientific investigations related to the oxidation of iron in water vapor, the relationship with the activation energy of the corrosive process, thermodynamic aspects and the kinetic model according to a heterogeneous reaction. In addition, some high temperature oxidation mechanisms, pH effects, reactors and materials (fluidized beds) used are presented. The scientific review indicates that the production of hydrogen through a thermochemical cycle is more efficient than electrochemical processes (electrolysis), if the limitations of the reduction stage of the cycle are overcome.

Wagyu beef is gaining worldwide popularity, primarily due to the fineness of its marbling. Cur-rently, the evaluation of this marbling is performed visually by graders. This method has several issues: varying evaluation standards among graders, reduced accuracy due to long working hours and external factors causing fatigue, and fluctuations in grading standards due to the grader's mood at the time. This paper proposes the use of fractal analysis for the grading evaluation of beef marbling to achieve automatic grading without the inconsistencies caused by human factors. In the experiments, cross-sectional images of the parts used for visual judgment were taken, and fractal analysis was performed on these images to evaluate them using fractal dimensions. The results confirmed a correlation between the marbling evaluation and the fractal dimensions, demonstrating that quantitative evaluation can be achieved, moving away from qualitative visual assessments.

The nuclear hormone family of receptors regulates gene expression. The androgen receptor (AR) shuttles upon ligand binding and homodimerization from the cytosol into the nucleus to activate gene expression. Thyroid hormone receptors(TR), retinoic acid receptors (RAR), and the vitamin D receptor (VDR) are present in the nucleus bound to chromatin as a heterodimer with the retinoid X receptors (RXR) and repress gene expression. Ligand binding leads to transcription activation. The hormonal ligands for these receptors play crucial roles to ensure the proper conduct of very many tissues and exert effects on prostate cancer (PCa) cells. Androgens support PCa proliferation and deprivation alone or with chemotherapy is the standard therapy for PCa. RAR activation and 3,5,3'-triiodo-L-thyronine (T3) stimulation of TR support the growth of PCa cells. Ligand stimulation of VDR drives growth arrest, differentiation, and apoptosis of PCa cells. Often these receptors are explored as separate avenues to find treatments for PCa and other cancers. However, there is accumulating evidence to support receptor interactions and crosstalk of regulatory events whereby a better understanding might lead to new combinatorial treatments.

The catastrophic twin earthquakes that struck southern Turkey and northern Syria on February 6 2023, caused massive casualties and extensive damage to infrastructure, with the province of Hatay bearing the brunt of the impact. To investigate the potential of nighttime light (NTL) data for earthquake disaster assessment, we performed an analysis of pre- and post-earthquake NPP-VIIRS and SDGSAT-1 NTL data. The NTL change ratio (NCR) was employed to identify the extent of damage in Hatay Province following the earthquake to assess the impact on affected buildings and populations. NPP-VIIRS daily NTL Time-series data was used to establish an economic recovery framework for earthquake disasters in Hatay Province, assessing regional economic recovery after earthquake. The results revealed a strong correlation between the total reduced NTLs of NPP-VIIRS and SDGSAT-1 and the presence of severely and moderately damaged buildings. Conversely, the correlation with slightly damaged buildings was relatively weaker. Furthermore, the reduced NTLs of NPP-VIIRS provide a more precise identification of all earthquake damage compared to the SDGSAT-1 data, achieving an overall accuracy of 86.21% in earthquake damage identification and a Kappa coefficient of 0.72. In accordance with the earthquake economic recovery framework, as of the end of March 2024, neither the provincial economy nor any of its districts have fully restored to their pre-earthquake levels. The findings offered new and valuable insights into earthquake disaster assessment, assisting decision-makers in accurately assessing the level of disaster risk following an earthquake and efficiently allocating post-earthquake relief funds.

The spin-torsion theory is a gauge theory approach to gravity that expands upon Einstein's general relativity (GR) by incorporating the spin of microparticles. In this study, we further develop the spin-torsion theory to examine spherically symmetric and static gravitational systems that involve free-falling macroscopic particles. We posit that the quantum spin of macroscopic matter becomes noteworthy on cosmic scales. We further assume that the Dirac spinor and Dirac equation adequately capture all essential physical characteristics of the particles and their associated processes. A crucial aspect of our approach involves substituting the constant mass in the Dirac equation with a scale function, allowing us to establish a connection between quantum effects and the scale of gravitational systems. This mechanism ensures that the quantum effect of macroscopic matter is scale-dependent and diminishes locally, a phenomenon not observed in microparticles. For any given matter density distribution, our theory predicts an additional quantum term, the quantum potential energy (QPE), within the mass expression. QPE induces time dilation, distance contraction, and thus mimics a gravitational well. When applied to cosmology, our theory yields a static cosmological model. The QPE serves as a counterpart to the cosmological constant introduced by Einstein to balance gravity in his static cosmological model. The QPE also offers a plausible explanation for the origin of the Hubble redshift (traditionally attributed to the universe's expansion). The predicted luminosity distance-redshift relation aligns remarkably well with SNe Ia data from the cosmological sample of SNe Ia. In the context of galaxies, QPE functions as the equivalent of dark matter. The predicted circular velocities align well with the rotation curve data from the SPARC (Spitzer Photometry and Accurate Rotation Curves database) sample. Importantly, our conclusions in this paper are reached through a conventional approach, with the sole assumption of the quantum effects of macroscopic matter on large scales, without the need for additional modifications or assumptions.

Although some alternative metrics have been proposed in classical gravity, the singularity problem remains unresolved perfectly. To satisfy the super-gravitational requirement of a black hole without singularities, we propose some possible finite-size structure to avoid the confused one. In this research, the degenerate Fermi electron gas is first used to reveal that the Fermi electron gas cannot shrink to a point regardless of how much energy it obtains; therefore, the singularity existing at the center becomes very unreasonable. To avoid these problems, a finite-size nucleus of the black hole is proposed and explained by the behaviors of the Fermi electron gas and Fermi neutron gas for this finite-size nuclear model. We construct the Kerr-Newman black hole by using a non-rotating but charged finite-size nucleus, a compact-like star, which is surrounded by counter-rotating and corotating electrons. Based on this model, the super-gravity the same as the one from a black hole is presented, and the speed of light observed at far-away places can be nonzero at the event horizon.

This paper presents an innovative approach to dimensionality reduction and feature extraction in high-dimensional datasets, with a specific application focus on wood surface defect detection. The proposed framework integrates sparse modeling techniques, particularly Lasso and proximal gradient methods, into a comprehensive pipeline for efficient and interpretable feature selection. Leveraging pre-trained models such as VGG19 and incorporating anomaly detection methods like Isolation Forest and Local Outlier Factor, our methodology addresses the challenge of extracting meaningful features from complex datasets. Evaluation metrics such as accuracy and F1 score, alongside visualizations, are employed to assess the performance of the sparse modeling techniques. Through this work, we aim to advance the understanding and application of sparse modeling in machine learning, particularly in the context of wood surface defect detection.

Left-to-right differences in the histopathologic patterns of transthyretin-derived amyloid (ATTR) deposition in the atria of older adults have not yet been investigated. Hence, this study evaluated heart specimens from 325 serial autopsy subjects. The amount of ATTR deposits in the seven cardiac regions, including both sides of atria and atrial appendages, was evaluated semiquantitatively. Using digital pathology, we quantitatively evaluated the immunohistochemical deposition burden of ATTR in the myocardium. We identified 20 sporadic ATTR cardiac amyloidosis cases (9 males). All patients had ATTR deposition in the left atrial regions of the myocardium. In the semiquantitative analysis, 14 of the 20 cases showed more severe ATTR deposition on the left atrial regions than on the right side, with statistically significant differences in the pathology grading (p < 0.01 for both the atrium and atrial appendage). Quantitative analysis further supported the difference. Moreover, six had ATTR deposition in the epineurium and/or neural fibres of the atria. Cluster analysis revealed that ATTR deposition in the myocardium was significantly more severe in males than in females. The heterogeneous distribution of amyloid deposits between atria revealed in this study may impair the orderly transmission of the cardiac conduction system and induce arrhythmias, which may be further aggravated by additional neuropathy in the advanced phase. This impairment could be more severe among males. These findings emphasise that atrial evaluation is important for individuals with sporadic ATTR cardiac amyloidosis, particularly for early detection.

An H-bond involves the sharing of a hydrogen atom between an electronegative atom to which it is covalently bound (the donor) and another electronegative atom serving as an electron acceptor. Such bonds represent a critically important geometrical force in biological macromolecules and, as such, have been characterized extensively. H-bond formation invariably leads to a weakening within the acceptor moiety due to the pulling exerted by the donor hydrogen. This phenomenon can be compared to a spring connecting two masses; pulling one mass stretches the spring, similarly affecting the bond between the two masses. Herein, we describe the opposite phenomenon when investigating the energetics of the C-H...O=C bond. This bond underpins the most prevalent protein transmembrane dimerization motif (GxxxG) in which a glycine C-H on one helix forms a hydrogen bond with a carbonyl in a nearby helix. We use isotope-edited FT-IR spectroscopy and corroborating computational approaches to demonstrate a surprising strengthening of the acceptor C=O bond upon binding with the glycine C-H. We show that electronic factors associated with the C-H bond strengthen the C=O oscillator by increasing the s-character of the -bond, lowering the hyperconjugative disruption of the -bond. In addition, a reduction of the acceptor C=O bond’s polarity is observed upon the formation of the C-H...O=C bond. Our findings challenge the conventional understanding of H-bond dynamics and provide new insights into the structural stability of inter-helical protein interactions.

Soft magnetic composites cores were produced by Spark Plasma Sintering (SPS) from Ni3Fe@ZnFe2O4 and NiFeMo@ZnFe2O4 pseudo-core-shell powders. In the Fe-Ni alloys@ZnFe2O4 pseudo-core-shell composite powders, the core is a large nanocrystalline Permalloy or Supermalloy particle obtained by mechanical alloying, and the shell is a pseudo continuously layer of Zn ferrite particles. The pseudo-core-shell powders have been compacted by SPS at temperatures between 500-700 ºC, with a holding time of 0 minutes. Several techniques were used for the characterisation of the powders and sintered compacts: X-ray diffraction, scanning electron microscopy, energy dispersive X-ray spectroscopy, magnetic hysteresis measurements (DC and AC) and electrical resistivity. The electrical resistivity is stabilised at values of about 7·10-3 Ω·m for sintering temperatures between 600-700 °C and this value is 3 orders of magnitude higher than the electrical resistivity of sintered Fe compacts. The best relative initial permeability was obtained for the Supermalloy/ZnFe2O4 composite compacts sintered at 600 ºC, which decreases linearly for the entire frequency range studied, from around 95 to 50. Up a frequency of 2,000 Hz the power losses are lower than 1.5 W/kg. At the frequency of 10 kHz, the power losses are larger, but they remain at a low level. In the case of Supermalloy/ZnFe2O4 composite compact SPS-ed at 700 °C, the specific power losses are even lower than 5 W/kg. The power losses decomposition proved that intra-particles losses give the main part of the losses.

The effect of ceria doping of (ZrO2)1-x(Sm2O3)x crystals on their phase composition, microhardness and fracture toughness has been studied. The (ZrO2)0.995-х(Sm2O3)х(СеО2)0.005 crystals (where x = 0.032, 0.037 and 0.04) have been grown using directional melt crystallization in cold skull. The phase composition and structure of the crystals have been studied using X-ray diffraction, TEM and Raman spectroscopy. The mechanical properties such as microhardness and fracture toughness have been studied using Vickers indentation. It has been shown that the (ZrO2)0.995-х(Sm2O3)х(СеО2)0.005 solid solution crystals contain both Се4+ and Се3+ ions. Phase analysis data suggest that СеО2 doping increases the tetragonality degree of the transformable t phase and reduces the tetragonality degree of the non-transformable t' phase as compared to the (ZrO2)1-x(Sm2O3)x crystals. As a result, the t→m phase transition triggered by the indentation-induced stress in the СеО2 doped crystals is more intense and covers greater regions. СеО2 doping of the solid solutions increases the fracture toughness of all the crystals studied whereas the microhardness of the crystals changes but slightly. СеО2 doping of the (ZrO2)1-х(Sm2O3)х solid solutions in the experimental concentration range does not improve the high-temperature phase stability of the crystals and does not prevent high-temperature degradation of their fracture toughness.

Background and Objectives: Down syndrome (DS) is the most common chromosomal disorder in the world. It is caused by the imbalance of the chromosomal constitution of 21, by free trisomy, translocation or mosaicism. Children and adolescents with Down syndrome have immune dysregulation and are more susceptible to infections. This study aims to evaluate hospitalizations of children and adolescents with DS in the pediatric ward of Botucatu Clinics Hospital (HCFMB), to classify the population of children included in the study regarding age, diagnosis, outpatient follow-up, length of stay and need for Intensive Care Unit (ICU). Thus, it will be possible to improve care for these children, aiming to reduce these hospitalizations. Materials and Methods: It was an observational, cross-sectional study, with retrospective data collection from the last 10 years of hospitalization, from January 2013 to December 2021, of children and adolescents with DS, in the pediatric ward, emergency room and ICU of HCFMB. Children hospitalized in this period in the pediatric ward and ICU, in the age range of 30 days to 15 years (age of acceptance for admission to this service) were included in this study. Those who at some point had the exclusion of the diagnosis of DS were excluded. The evaluation of comorbidities that culminated in the need for hospitalization in this population can be the focus of actions to improve diagnoses and conducts for this population, to prevent worsening and hospitalizations in future populations. Results: The statistical analysis of the data was performed. In this analysis, 80 children with DS were evaluated, with a total of 283 hospitalizations and it was noticed that 46 of them had more than one hospitalization in this period. The most prevalent age group was 1 to 3 years, and the main cause was due to problems in respiratory system (99 cases). Among respiratory causes, the main cause of hospitalization was due to pneumonia, in 50% of cases, followed by acute respiratory failure, in 14%. The average hospitalization time was 8 days and in 49 hospitalizations the children required the ICU. The main cause of hospitalization in the ICU was due to respiratory causes (36%), followed by cardiac malformations (14%). During the ICU hospitalizations, there were 13 deaths, and we observed a higher prevalence of heart conditions and, in some cases, positive urine cultures in these children. Conclusions: preventive actions, such as vaccinations and improved monitoring of these children, without outpatient follow-up or during hospitalization, should be carried out. Thus, it has been developed a proposal for a risk score for mortality in children and adolescents with DS admitted to the ICU, and those patients with five or more points should be monitored more closely. A meeting will be held with the genetics, cardiology, and pediatric ICU teams to discuss this score and propose a surveillance plan for these patients at the HCFMB and potentially for the pediatric community in the future.

Multidrug resistant bacteria pose a significant threat to global health, particularly in healthcare settings. This study aimed to explore the potential of aminoglycoside consumption and resistance data to correlate with multidrug resistance in Acinetobacter baumannii and Klebsiella pneumoniae. Data on aminoglycoside consumption and antibiotic resistance indices (ARI) were collected from 2010 to 2023. Descriptive statistics and Pearson correlation analyzes were performed to examine both immediate and delayed (one-year delay) correlations between aminoglycoside use (amikacin, tobramycin, gentamicin) and resistance patterns. The results indicated that the consumption of amikacin was consistently high and correlated with resistance in both bacterial species. Tobramycin and gentamicin showed variable resistance patterns, with negative correlations in some cases. Delayed effect analysis revealed that amikacin and tobramycin consumption had a slight delayed positive impact on multidrug resistance in A. baumannii, while gentamicin use was associated with a delayed reduction in resistance. In K. pneumoniae, gentamicin showed a strong delayed positive correlation with multidrug resistance, while amikacin and tobramycin had weaker associations. These findings highlight the complex and species-specific relationships between aminoglycoside consumption and resistance development, emphasizing the need for customized antibiotic management strategies that account for the immediate and delayed effects of antibiotic use.

Aiming at the APF algorithm in the collision-free path planning and LQR algorithm tracking process, there are problems such as unreachable target points, local optimization, low safety coefficient of autonomous lane change collision avoidance tracking control and poor stability, this paper proposes an optimized APF method, which solves the defects of the traditional artificial potential field method by adding the distance adjustment factor, the safety distance protection model and the sub-target virtual potential field, and at the same time generates the autonomous driving car collision-free path. The path tracking control system is designed based on feed-forward control and DLQR controller, in which the vehicle dynamics state space model is used as the basis, the model is linearized and discretized, and the corresponding constraint variables are set to minimize the control command objective cost function under the constraints, and the objective of the DLQR controller.The objective is to accurately determine the steering angle in order to achieve path tracking and eliminate the lateral error between the reference path and the actual path caused by external interference.Finally, the simulink model and CarSim parameter configuration joint simulation platform are built, and different obstacle scenarios and different speeds are selected for collision-free path planning and tracking motion simulation research and analysis, which verifies the accuracy and practicability of the algorithm, and shows more obvious advantages in obstacle avoidance ability, path smoothing degree, and collision avoidance safety stability. The ideas proposed in this paper are expected to be further extended and popularized to actual path planning problems, which has important practical significance and engineering value.

Implementing dietary screening tools into clinical practice has been challenging, including in Nigeria. This study evaluated the impact of the Nigerian dietary screening tool (NiDST) on patient-clinician communication and barriers to and facilitators of implementation. Mixed methods approach was used to collect data from patients (n=151) and clinicians (n=20) from outpatient clinics in Nigeria. Patients completed the validated 25-item NiDST prior to outpatient consultations. Both patients and clinicians completed the Measurement Instrument for Determinants of Innovations (MIDI) questionnaire to assess implementation determinants post-consultation. Semi-structured interviews were conducted for in-depth feedback. Fidelity of implementation was 92% for NiDST-reported dietary discussion, with a mean completion time of < 6 minutes and an accepted marginal increase in consultation time (< 10 mins). For clinicians, 25% reported time constraints and their additional nutritional knowledge as barriers, while facilitators of NiDST implementation were the clarity and completeness of the NiDST, clinical relevance and improved patient-clinician communication, as reported by all the clinicians. Over 96% of patients reported the NiDST as quick to complete, with 90.7% reporting self-reflection on dietary intake. This study demonstrated the NiDST's potential to enhance patient-clinician communication and highlighted major facilitators of implementation in clinical practice to improve dietary discussion in Nigeria.

The goal of this work was to develop the acrylonitrile-butadiene (NBR) elastomer composites filled with hydroxyapatite (HAP), which were characterized with improved cure characteristics and burning resistance. Silane, i.e., (3-aminopropyl)-triethoxysilane, ionic liquid, i.e., 1-decyl-3-methylimidazolium bromide and surfactant, i.e., cetyltrimethylammonium bromide, were used to improve the filler’s dispersibility in the elastomer matrix and to reduce the time and temperature of vulcanization. The effect of HAP and dispersants on the cure characteristics, crosslink density and physico-chemical properties of NBR composites was explored. The additives used, especially the ionic liquid and surfactant, effectively improved the dispersion of HAP in NBR matrix. The amount of HAP and the dispersant used strongly affected the cure characteristics and crosslink density of NBR. The optimal vulcanization time significantly increased with HAP content and was pronouncedly reduced when ionic liquid and surfactant were applied. In addition, ionic liquid and surfactant significantly lowered the onset vulcanization temperature, improved the crosslink density and hardness of the vulcanizates, while impairing their elasticity. HAP and dispersants did not significantly affect the damping properties and chemical resistance of NBR vulcanizates. Above all, application of HAP considerably enhanced the resistance of vulcanizates to thermo-oxidative aging and reduced their flammability compared to the unfilled NBR.

In the context of crowds innovation and the generative design driven by big language models, the personalized requirements has become the best engine for innovative design. The exploration of personalized requirements has become a key in significantly improving product innovation, concepts feasibility, and design interaction efficiency. To mine a large number of vague and unexpressed implicit requirements of personalized products, a domain knowledge graph-based method is proposed in this research. First, based on the classical theory of design science, the characteristics and categories of personalized implicit requirements are analyzed. Next, in order to improve the practicability and construction efficiency of the domain knowledge graph, a more informative ontology is constructed, and better performing NLP models are proposed. Then, a series of mining methods based on knowledge graph are proposed for the personalized implicit requirements of different categories. Finally, A platform was developed based on the technical solution proposed in this study, and an example verification was conducted in the field of electromechanical engineering. The efficiency improvement of the training model proposed in the research was analyzed, and the practicality of implicit requirement mining methods were discussed.

This study investigates lost foam shell casting coatings, focusing on the effects of mixing time and standing time on the viscosity and rheological properties of the coatings. The results show that the viscosity of the coating decreases with increasing mixing time and eventually stabilizes. Conversely, the viscosity initially increases and then decreases with prolonged standing time. To ensure optimal coating performance, this study determined that the mixing time should be no less than 50 minutes, and the standing time should not exceed 40 hours.

Background: The cumulative exposure of UV radiation can result in dangerous consequences such as skin burns, photoaging, and skin cancer, hence the importance of using photoprotective formulations. Currently, the formulations seek to be more efficient, innovative and reach a wider audience. Many sunscreens are vegan, and have antioxidant substances to ensure additional photochemoprotective action. To evaluate biological, functional, and mechanical characteristics of them on the skin, biometric and rheologic methods can be used. Objective: Evaluate biophysical, rheological and sensorial parameters of Face Care Facial Moisturizing Cream® (P1) and a vegan formulation (P2) by in vitro and in vivo tests. Methods: A UV scan experiment was performed covering the range of 250 to 400 nm. Sun Protection Factor (SPF) was evaluated by Mansur method. Rheological profiles were obtained using a MARS II (Haake®) controlled shear stress and gradient rheometer. Biophysical parameters were analyzed: skin sebum content, hydration level, transepidermal water loss, erythema and melanin level, skin color, and skin pH. The acceptance profile of the formulations by the volunteers was determined using a 9-point hedonic scale and a 5-point purchase intention test. Results: The formulations effectively absorbed light covering the UV radiation spectrum from UVA to UVB. The SPF of P1 was 25.21 and of P2 was 12.10 by in vitro tests. They had also pseudoplastic and thixotropic behavior, it can contribute to better spreadability and to form a protective film. Biometric tests showed an increase in hydration and skin sebum, decreased erythema, and maintenance of skin pH after application of both formulations. The products also had similarly good acceptance and purchase intention by the volunteers. Conclusion: The comparation of a commercialized product and a vegan test version showed very similar rheological and great acceptance profiles. Therefore, the vegan formulation is a good alternative to reach a different market.

This study addresses the critical need for standardizing Building Information Modeling (BIM) Execution Plans (BEPs) in the Architecture, Engineering, Construction, and Operations (AECO) sector. By analyzing 36 BEP documents from international organizations, we identify key elements and propose a comprehensive framework aimed at enhancing digital transformation and collaboration in complex construction projects. This research employs scientometric analysis to map the evolution of BEP standards and integrates empirical data from industry surveys to validate the proposed framework. Our findings highlight the benefits of standardized BEPs in reducing inefficiencies and improving project outcomes, thereby providing a significant contribution to the field of BIM implementation.

The purpose of this study is to explore the effect of Environment, Social, and Governance (ESG) scores on Return on Assets (ROA), Risk-Adjusted Return on Capital (RAROC), and Tobin's Q on firm performance. This study used 37 non-financial companies listed on the IDX between 2018 and 2022 in Indonesia companies. Linear and nonlinear panel data regression methods were used on the ESG score and its pillars, resulting in eight different models. The study found a U-shaped impact of ESG scores and social and environmental pillars on ROA. There is a positive linear relationship between ESG scores and the environmental and governance pillars with RAROC, while the social pillar shows an inverted U-shaped effect. However, ESG and its environmental and social pillars have a negative linear relationship with Tobin's Q. The findings suggest the need to manage ESG initiatives strategically, aligning them with financial objectives and awareness of how ESG factors relate to profitability.

This study investigates the effect of oil viscosity on pollutant emissions and fuel consumption of an internal combustion engine (ICE) in high-altitude using Response Surface Methodology (RSM). A Chevrolet Corsa Evolution 1.5 SOHC gasoline engine was used in Cuenca, Ecuador (2560 meters above sea level), testing three lubricating oils with kinematic viscosities of 9.66, 14.08, and 18.5 cSt under various engine speeds and loads. Key findings include: hydrocarbon (HC) emissions were minimized to 7.25 ppm with low viscosity and load; carbon dioxide (CO2) emissions peaked at 15.2% vol with high viscosity and load; carbon monoxide (CO) ranged from 0.04% to 3.74% depending on viscosity and load; nitrogen oxides (NOx) were significantly influenced by viscosity, RPM, and load, indicating a need for model refinement; and fuel consumption was significantly affected by load and viscosity. RSM-based optimization identified optimal operational conditions with a viscosity of 13 sCt, 1473 rpm, and a load of 78%, resulting in 52.35 ppm of HC, 13.97% vol of CO2, 1.2% vol of CO, 0 ppm of NOx, and a fuel consumption of 6.66 l/h. These conditions demonstrate the ability to adjust operational variables to maximize fuel efficiency and minimize emissions. This study underscores the critical role of optimizing lubricant viscosity and operational conditions to mitigate environmental impact and enhance engine performance in high-altitude environments.

The Brazilian Policy foresees the waste management hierarchy, according to which energy reuse from waste is preferred to final disposal. However, less than 0.2% of the country's waste goes to energy production. This paper proposes sustainability indicators to support the decision to choose the best process to treat municipal solid waste (MSW) through bioenergy generation technologies. Then, we conduct a case study for Rio de Janeiro. Incineration and gasification were not economically feasible – despite TRL 9 and 8. However, the projects presented null net present value by increasing the gate fee to 94.69 and 255.39 USD/ton of MSW, respectively. The social indicators (job creation, salary increase with the absorption of waste pickers, population served, reduction in MSW sent to landfill) did not indicate the best technology. The results of the environmental indicators for incineration and gasification were, respectively, 0.45 and 0.37 t CO2eq/tMSW for GWP, 1.49 and 1.23 MWh/tMSW for energy intensity, 1.24 and 6.14 m³/tMSW for water intensity, 39.3 and 27.9 m²/tMSW for land use and 0.135 and 0.088 t SO2eq/tMSW for acidification. Gasification presented better results on 60% of the environmental indicators. However, incineration was better in important ones, water and energy intensities, besides the technical-economic aspect.

We previously reported our initial experience of subxiphoid single-port robotic-assisted thoracic surgery (SRATS) thymectomy using the single-port robotic surgical system (SPS). However, the potential benefits of this technique remain unknown. Thus, this study examined the multi-institutional experience of SRATS thymectomy and compared perioperative outcomes of this technique with those of subxiphoid single-port video-assisted thoracic surgery (SVATS) thymectomy. Data of patients who underwent subxiphoid SRATS and SVATS thymectomy performed by three thoracic surgeons at three institutions between September 2018 and May 2024 were retrospectively collected. In total, 110 patients were included, with 85 and 25 undergoing SRATS and SVATS thymectomy, respectively. No significant differences were noted in the total operative time (154.46±74.06 vs. 146.76±67.07 min, P=0.674) and conversion rate to median sternotomy (0% vs. 4 %, P=0.227) between the two groups. The SRATS group was associated with a lower conversion rate to multi-port surgery (2% vs. 20%, P=0.006), shorter chest tube drainage duration (1.40±0.94 vs. 2.00±1.29 days, P=0.001), and shorter postoperative hospital stay (2.87±1.26 vs. 5.08±5.20 days, P=0.007). Subxiphoid SRATS thymectomy using the SPS is feasible and can be a good alternative to conventional minimally invasive thymectomy. Further large-scale randomized controlled studies are needed to confirm its benefits.

Acute myocardial infarction (AMI) results from vulnerable plaque rupture, causing ischemic cardiomyocyte necrosis and intense inflammation. Paradoxically, this inflammation releases factors that aid heart repair. Recent findings suggest a role for extracellular vesicles (EVs) in intercellular communication during post-AMI cardiac repair. However, EVs’ tissue origin and chemokine profile in the blood of patients with AMI remains unclear. This study characterized EV tissue origin and chemokine receptor profile in the coronary and peripheral blood of patients with AMI. The results reveal that vesicles isolated from coronary and peripheral blood plasma are enriched in tetraspanin (CD9) and express CD81+, CD90+, and CD144+. The vesicle size ranged between 145 and 162 nm, with the control group exhibiting smaller vesicles than the AMI group. Furthermore, all vesicles expressed CCR6+ and CXCR3+, whereas a small percentage expressed CCR4+. In addition, a decrease in CXCR3+ and CCR6+ positivity was observed in coronary and peripheral blood vesicles compared with the control. Non-difference was found in the coronary and peripheral blood for the CXCR3+ and CCR6+ markers. In conclusion, our study demonstrates, for the first time, changes in the number of extracellular vesicles expressing CD144+, CXCR3+, and CCR6+ in the peripheral circulation of patients with AMI. Extracellular vesicles present in the peripheral circulation of patients with AMI hold excellent promise as a potential diagnostic tool.

The maritime industry contributes to over 80% of global trade and ranks as the sixth-largest emitter of greenhouse gases. The International Maritime Organization has taken strides to reduce these emissions, while the European Union spearheads efforts to establish sustainable maritime transport. However, meeting decarbonisation targets poses significant challenges, with the potential implications of adopting an EU Emission Trading System (ETS) on shipping allowances, particularly at specific borders. If not managed effectively, this could result in diversifying regular container shipping routes away from EU ports, potentially leading to increased shipping emissions and disrupting the logistics trade and security chain. These challenges are exacerbated by the International Maritime Organization's lack of a carbon fee on bunkering, which creates an imbalance. The ETS Directive has fostered unfair competition between EU and non-EU ports due to discrepancies in applying emission unit allowances. It is imperative to implement preventive measures to contain and prevent the shift of operations from EU ports to nearby ports, ensure equitable treatment of EU transhipment ports and their competitors, and thwart carbon leakage. Additionally, the recent Houthis attacks on the Red Sea have significantly impacted shipping costs on the Cape of Good Hope route to Europe, necessitating increased allowances to and from Europe.

For the first time, mathematical models were obtained for evaluating biomedical images using fuzzy set methods on the basis of expert knowledge bases, which made it possible to carry out complex qualitative diagnostics and increase the reliability and efficiency of diagnosis, to form a methodology for analyzing biomedical images based on the fuzzy set apparatus, which allowed to more fully assess the level of the disease for glaucoma. Aspects of practical implementation of the optical-electronic system of biomedical information processing are considered. An algorithm and an optical-electronic system of biomedical image analysis are proposed, which are used to increase the informativeness and reliability of diagnosing eye pathologies, in particular, glaucoma.

The work aims to develop an electromagnetic shielding measurement methodology and design an electromagnetic shielding effectiveness test setup for thin sheet material testing. In brief, multiple shielding effectiveness standards are described and analyzed in the thin sheet material testing framework. Two types of the developed shielding effectiveness test probe in high and low-frequency ranges are validated comprehensively. Extensive descriptions and data of developed testing methodology are also reported.

The anatomy of mature vertebrate hearts is marked by a looped design, which is roughly characterized by two components: (1), s-shaped (sigmoid) routing of the cardiac flow path(s), and (2,) bilaterally asymmetric (chiral) routing of the cardiac flow path(s). The looped heart design is regarded as a phylogenetically conserved feature among vertebrates and is thought to represent a significant determinant of the cardiac pumping function. It evolves during the embryonic period of development by a morphogenetic process called “cardiac looping”. During the past decades, remarkable progress has been made in the uncovering of the genetic, molecular, and biophysical factors contributing to cardiac looping. Thereby, a special focus was directed on the evolution of a bilaterally asymmetric (chiral) heart configuration, which is said to play a central role in the determination of the alignments and separations of the pulmonary and systemic flow paths in the multi-chambered hearts of tetrapods. In contrast to the recent progress made in uncovering of the biological driver of cardiac looping, our present knowledge about the functional consequences of cardiac looping is at an immature state. This article provides an overview and discussion of the currently available information about the looped design of vertebrate hearts and its functional implications.

Agro-waste fibres for polymer composite reinforcement have gained increased interest in industry and academia as a more sustainable alternative to synthetic fibres. However, natural fibre composites (NFC) hygroscopicity is still an issue that needs to be solved. This work investigates how prolonged exposure to water affects the properties of the polypropylene (PP)--based injection moulded composites reinforced with different contents of rice husk (rh) and olive pit (op) fibres. Both rh and op composites became more hydrophilic with increased fibre charge due to the affinity of cellulose and hemicellulose OH groups. Meanwhile, lignin contributes to the protection of the composites from thermo-oxidative degradation caused by water immersion. The PPrh composites had a higher saturation water content of 1.47% (20 wt.% rh) and 2.38 (30 wt.% rh) in comparison to PPop composites with absorption of 1.13% (20 wt.% op) and 1.59% (30 wt.% op). Tensile elastic modulus has slightly increased, at the cost of increased saturated composites' rigidity, in composites with 30% rh and op fibre content (up to 13%) while marginally decreasing (down to 8%) in PP30%op compared to unsaturated counterparts. A similar trend was observed for the flexural modulus, enhanced up to 18%. However, rh and op composites with 30% fibre content ruptured in bending, highlighting their fragility after hydrolytic ageing.

The proliferation of wearable technology enables the generation of vast amounts of sensor data, offering significant opportunities for advancements in health monitoring, activity recognition, and personalized medicine. However, the complexity and volume of this data present substantial challenges in data modeling and analysis, which have been tamed with approaches spanning time series modeling to deep learning techniques. The latest frontier in this domain is the adoption of Large Language Models (LLMs), such as GPT-4 and Llama, for data analysis, modeling, understanding, and generation of human behavior through the lens of wearable sensor data. This survey explores current trends and challenges in applying LLMs for sensor-based human activity recognition and behavior modeling. We discuss the nature of wearable sensors data, the capabilities and limitations of LLMs to model them and their integration with traditional machine learning techniques. We also identify key challenges, including data quality, computational requirements, interpretability, and privacy concerns. By examining case studies and successful applications, we highlight the potential of LLMs in enhancing the analysis and interpretation of wearable sensors data. Finally, we propose future directions for research, emphasizing the need for improved preprocessing techniques, more efficient and scalable models, and interdisciplinary collaboration. This survey aims to provide a comprehensive overview of the intersection between wearable sensors data and LLMs, offering insights into the current state and future prospects of this emerging field.

Single-confinement housing can pose welfare risks to domestic horses. This study investigated horses’ stress responses when confined to single stalls in different stable designs in a tropical savanna region to address a literature gap. In total, 23 horses were assigned to a stable with a central corridor and solid external walls (A) (N = 8), a stable with one side corridor and solid external walls (B) (N = 6) or a stable with a central corridor and no solid external walls (C) (N = 9). Air velocity, relative humidity, air temperature and noxious gases were measured inside the stables, and the heart rate and HRV of the horses were also determined. The relative humidity was lower in stable C than in stable A (p &lt; 0.05), while the air temperature was higher in stable C than in stable B (p &lt; 0.05) during the day. The airflow and ammonia levels were higher in stable C than in stables B and A (p &lt; 0.01–0.0001). Overall, horses’ HRV in stable A was lower than in those in stables B and C (p &lt; 0.05-0.01). Horses in stable A tended to experience more stress than those in other stables.