Heavy metal accumulation in soils used for agricultural purposes is a major issue as it can affect the growth of plants and contain health risks as plants containing heavy metals are taken as food. This study provided the potential of three Bacillus pumilus strains (C-2PMW-8, C-1 SSK-8, and C-1PWK-7) for mitigation of the health factors related to heavy metals on lettuce (Lactuca sativa) grown in chromium contaminated soil from activities related to mining. Lettuce seeds inoculated with B. pumilus strains were grown in pots with garden soil amended with varying amount of chromite mine soil (2.27%, 4.65%, 7.14%). Growth indicators like days to germination, percentage of germination, leaf weight, leaf area and rate of survival decreased with incremental soil chromium levels but improved highly with inoculation of B. pumilus compared to uninoculated controls. When B. pumilus strains were provided, there was also a decreased level in the buildup of chromium in soil as well as lettuce shoots. The results explains that plant growth-promoting B. pumilus strains may be able to lower down the detrimental effects of chromium on lettuce development, hence increment in the effectiveness of phytoremediation.

The EASY-NET network program (NET-2016-02364191 - Effectiveness of Audit and Feedback (A&F) strategies to improve health practice and equity in various clinical and organizational set-tings), piloted a new and more structured A&F strategy. This study compared the effectiveness of the new strategy versus the periodic publication of indicators alone in improving the appropri-ateness and timeliness of emergency health interventions in patients with Acute Miocardial In-farction (AMI) and ischemic stroke in the Lazio Region. Efficacy was evaluated according to a prospective quasi-experimental design of pre-post (2021-2022) intervention type with control group. The exposed are hospitals in the Lazio Region where professional teams voluntarily par-ticipated in the intervention. The control group is involved only in the usual reporting activities. Effectiveness analysis was conducted at the patient level. Regional health information systems were used to calculate process and outcome indicators. The effectiveness of the intervention was assessed with Difference In Difference models, comparing pre-post intervention periods between exposures and controls. Estimates were calculated in terms of the difference in percentage points (pp) between absolute risks. Sixteen facilities for the IMA pathway and 13 for the stroke pathway joined the intervention. The intervention reduced the proportion of 30-days readmissions after a hospitalization for ischemic stroke by 0.54 pp in the exposed patients with a significant difference of -3.80 pp (IC95% -6.57; -1.03; 5453 patients, 63.7% cases) in the exposed compared to controls. There were no statistically significant differences attributable to the implemented A&F interven-tion in the other indicators considered. The results show, for the first time in Italy, the impact of A&F interventions in an emergency setting using aggregated data from hospitals involved in the Lazio Region emergency network.

A new generalized definition of Mersenne numbers is proposed of the form (a^n - (a-1)^n), called Global Generalized Mersenne numbers, or simply Generalized Mersenne numbers and noted GM_{a,n} where a is the base and n is the exponent, both being positive integers. The properties are investigated for prime exponents n and several theorems on Mersenne numbers regarding their congruence properties are generalized and demonstrated. In particular, it is found that, for any base a, Generalized Mersenne numbers are in general such that (GM_{a,n} - 1) are even and divisible by n, a and (a-1) for any odd prime exponent n and by (a(a-1)+1) for any prime exponent n > 5. The remaining factor is a function of triangular numbers of (a-1), specific to each prime exponent n. Four theorems on Mersenne numbers are generalized and four new theorems are demonstrated, allowing to show first, that (GM_{a,n} - 1) are divisible by 6, and more precisely GM_{a,n} are congruent to 1(mod 12) or 7(mod 12) depending on the congruence of the base a(mod 4); second, that (GM_{a,n} - 1) are divisible by 10 if n == 1(mod 4) and, if n == 3(mod 4), GM_{a,n} == 1(mod 10), or 7(mod 10) or 9(mod 10) depending on the congruence of the base a(mod 5); third, that all factors c_{i} of GM_{a,n} are of the form (2nf_{i}+1) with f_{i} natural integers such that c_{i} is prime itself or the product of primes of the form (2nj+1) with j natural integer; fourth, that for odd prime exponents n, all GM_{a,n} are periodically congruent to either +/-1\(mod 8) or +/-3(mod 8) depending on the congruence of the base a(mod 8); and fifth, that the factors of a composite GM_{a,n} is of the form (2nf_{i}+1) with f_{i} == u(mod 4) and u being either 0, 1, 2 or 3 depending on the congruence of the exponent n(mod 4) and on the congruence of the base a(mod 8). The potential use of Generalized Mersenne primes in cryptography is shortly addressed.

In the past decade, it has been discovered that intestinal flora can influence various organ-specific cancers by altering the body's energy balance, increasing obesity, synthesizing genetic toxins and small signaling molecules, initiating and modulating immune responses, and metabolizing indigestible dietary components, exogenous substances, and drugs. In this review, we will focus on elucidating the role of gut flora based on its molecular mechanisms and its potential therapeutic implications in head and neck tumors in the near future.

AI applications are transforming the technology and digital sector, seamlessly integrating into the daily interactions of individuals with the digital world. Key entry points to the internet, such as search engines, are now complemented by recommendation systems that curate content on social networks, streaming platforms, and online marketplaces. Additionally, virtual assistants have become ubiquitous across various platforms. While these groundbreaking changes are gradually extending to several industries, there remains significant untapped potential for the application of artificial intelligence in diverse domains. The renewable energy sector, in particular, continually reinvents itself through research and innovation to meet the escalating demand. Positioned at the forefront of technological evolution, this industry is well-placed to effectively adopt and tailor the innovations of artificial intelligence to its specific needs. Presently, both emerging and established tools leverage elements of AI to enhance processes and introduce functionalities that were previously unattainable. If the current trajectory persists, AI-enhanced tools have the potential to assume a role as crucial to the future of engineering as computer-aided design (CAD) software is in contemporary times.

Transitioning towards sustainable food systems and sustainable diets is critical in reducing environmental impact and achieving the Sustainable Development Goals established by the United Nations General Assembly. This transition requires collaborative efforts across multiple stakeholders, including the general public’s knowledge and attitudes. To assess the knowledge and attitudes towards food sustainability we carried out a cross-sectional study among Kuwait University students with a total of 278 participants aged ≥18 years (78% females and 22% males). A validated questionnaire was used for this study. Most respondents (>70%) recognized the concept of “local food” and “environmental impact.” The concept “green water-blue water” was least recognized among respondents (75%). Participants perceived that a sustainable diet was rich in vegetables, included plenty of fresh products and was affordable. Participants (>66%) perceived that a positive impact of meat and its derivatives towards sustainability, a misconception most common among males. Overall, participants with more knowledge about environmental concepts showed favorable attitudes towards a sustainable diet. Women showed more interest in changing their current dietary habits towards food sustainability. In conclusion, despite participants’ positive attitude towards food sustainability, lack of understanding persists, necessitating public health interventions aimed at educating consumers about sustainable diets and its impact on the environment.

Foxtail millet, a traditional cereal crop, has gained increasing attention for its high nutritional value and potential health benefits. This study aimed to investigate the simultaneous and rapid detection of amylose and amylopectin content of foxtail millet flour under different sheep manure application rates by hyperspectral imaging combined with chemometrics. The spectral data preprocessing used multiplicative scatter correction (MSC), and the combined algorithm of competitive adaptive reweighted sampling (CARS), random frog (RF), iterated retaining informative variables (IRIV) were employed for key band extraction. The partial least squares regression (PLSR) was then used to establish the prediction model and the regression equation, that was used to visualize the two components. Results demonstrated the key band extraction combined algorithm effectively reduced data dimension without compromising the accuracy of the prediction model. The prediction model for amylose using MSC-RF-IRIV-PLSR exhibited good performance, with the correlation coefficient (R) and root mean square error (RMSE) predicted to be 0.73 and 1.23, respectively. Similarly, the prediction model for amylopectin using MSC-CARS-IRIV-PLSR also demonstrated good performance, with the R and RMSE predicted to be 0.59 and 7.34, respectively. Then, the visualization graph generated clearly shows under the condition of applying 6 m3 of sheep manure, the amount of amylopectin accumulation was highest, and the amount of amylose was lowest. The experimental results offer valuable insights for the rapid detection of nutritional components in foxtail millet, serving as a basis for further research.

Slags and ashes generated in thermal waste treatment facilities require proper management. In line with the principles of the circular economy, new, more economical and ecological possibilities for utilizing these substances are sought. These waste materials exhibit characteristics similar to rocks in many aspects. This study focuses on analyzing the similarities and differences between nine selected rocks and three samples of slags and ashes obtained from municipal waste incineration. The main research device used was a polarizing microscope, using reflected, transmitted and fluorescent light. Additionally, low-pressure gas adsorption equipment, as well as helium and quasi-liquid pycnometers, were used for complementary analysis. The parameters analyzed mainly covered broadly defined petrographic properties of rocks and slags, with a particular emphasis on porosity, porous structure and the spatial distribution of pores and fractures. The conducted analyses confirmed a significant similarity between slags and ashes and clastic sedimentary rocks such as sandstones and mudstones. The research results underscore the importance of petrographic microscopic studies for analyzing materials other than rocks. They also allow for exploring applications for slags and ashes in areas traditionally reserved for natural rock resources. The findings also indicate the necessity of using methods other than microscopic ones to describe the pore space of rocks. The lower measurement range of the optical microscope is limited to approximately 1 μm, covering only macropores. Other methods extend this characteristic to micro- and mesopores. Therefore, a combination of different methods is often employed to obtain a more comprehensive characterization of rock porosity.

Aquatic ecosystems are often subject to degradation due to various environmental stressors. The accumulation of an organic sediment layer causes shallowing, algal blooms, and hypertrophy in water reservoirs. The processes of overgrowth and shallowing lead to a reduction in the ecosystem services provided by the reservoir as well as may potentially cause the disappearance of the water body. To address these challenges and restore the ecological balance of water reservoirs, effective and sustainable revitalisation methods are essential. In recent years, biotechnological approaches, particularly utilizing microbiological interventions, have emerged as promising strategies for water reservoir revitalization. Microorganisms, with their remarkable ability to degrade pollutants and enhance nutrient cycling, offer great potential in remediating environmental issues in a natural and eco-friendly manner. The article presents the results of a study of 34 Polish reservoirs subjected to reclamation with microbial biopreparations from 2014 to 2023. The results of changes in bottom sediment reduction, water transparency, dissolved oxygen concentration, and water turbidity are presented. Reduction of and morphological changes in the fraction of soft organic sediments, an improvement in the oxygen profile of the bottom and surface water layers, and an increase of water transparency were observed after the reclamation with the use of biopreparations.

The JCR 2022, for the first time, included the ESCI journals, increasing the number of publication titles by approximately 60%. In this paper, the subcategory Mining and Mineral Processing (as part of the Engineering and Geosciences category), where 12 of the ESCI journals were merged with the 20 SCIEx ones, is presented and analysed. Only three of the ESCI journals, that JCR 2022 included in the database, would be ranked in the Q1/Q2. The inclusion of the entire ESCI added new content for readers and authors relying on the JCR sources, and will help the journals in the database to attract more papers and citations in the future. Consequently, part of the journals (probably more than 25% marked in this analysis) will have a bigger chance to reach the Q1/Q2 ranking in the forthcoming years. This paper gives the authors, researchers, and publishers in the Mining and Mineral Processing field practical insights into the potential benefits and challenges associated with the changing landscape of indexed journals, as well as the in-depth, systematic analyses for potential future authors to have the opportunity to select the most suitable journal for submitting their papers.

Deception Island is an active volcano with a submerged caldera open to the sea, giving it a horseshoe-shaped structure. Several post-caldera-collapsed volcanic events, as well as hydrodynamics within this natural bay, have modified its inner coastline, shaping new tephra deposits and altering the landscape. A hydrodynamic model is presented to predict accretion and erosion trends on the coast, which impact the mobility of researchers and tourists, whether on foot or by boat. Historical orthophoto images and spatiotemporal differences in digital elevation and bathymetric models have been used for validation purposes. The model reveals that the south-facing coast is more susceptible to erosion, while the east-west-facing coast experiences sedimentation. However, a visual study of the coastline has indicated erosion ratios in cliff areas in sedimentary zones. This is likely due to the erosive effect caused by ice floe fragments accumulating in these areas due to wave action. Only a portion of the significant total loss of surface material is received within the bay, including its own erosion, and accumulates on the bay's floor. This is partially due to the volume being composed of snow, and there is also a transfer of material to the exterior to balance the figures.

HIV diagnosis and poor HIV management have various detrimental impacts on the lives of people living with HIV (PLHIV). As part of a large qualitative study investigating HIV risk factors and impacts, with the suicide topic not being a focus, this paper describes factors contributing to suicidal ideation and attempts that arose naturally in the stories of women living with HIV (WLHIV) in Yogyakarta and Belu districts, Indonesia. The participants were recruited using the snowball sampling technique. Guided by a qualitative data analysis framework, the data were thematically analysed. Findings indicated participants experienced immense psychological challenges due to the infection, spousal transmission, fear of mother-to-child transmission, and losing a child due to AIDS, which triggered suicidal ideation and attempts. The women’s lack of awareness of HIV management strategies resulted in them feeling trapped and overwhelmed. Associated negative thoughts and the anticipation and experience of stigma relating to their HIV status were influencing factors for thoughts of suicide among participants. Lack of social support from family and friends during the early stage of HIV diagnosis, compounded with pre-existing financial difficulties, lack of income, unemployment, and feeling overburdened, also triggered the women’s thoughts of suicide. Other influencing factors for suicidal ideation and attempts among the women were family breakdown following HIV diagnosis and this was reflected in family disputes, husband-wife separation or divorce, mother-child separation by other family members, reported concern about future relationships, and fear of being rejected or abandoned by their partner due to their HIV positive status. The findings indicate the need for a nuanced approach to counselling within HIV care interventions for couples to support the acceptance of each other’s HIV status whilst maintaining psychological wellbeing. Additionally, the findings indicate the importance of HIV education and awareness among community members for the de-stigmatisation of HIV and to increase the acceptance of PLHIV within families and communities.

This study aims to determine the seroprevalence of SARS-CoV-2 in pregnant women attending antenatal consultations (ANC) in Senegal. A non-redundant consecutive recruitment of participants was carried out between, March and July 2021 during the Delta wave of COVID-19. The plasma samples biobanked at -80°C were subjected to an enzyme-linked immunosorbent assay (ELISA) for the qualitative detection of IgG and IgM antibodies of SARS-CoV-2 using the WANTAI SARS-CoV-2 Ab ELISA (Wantai Biological Pharmacy Enterprise, Beijing). To assess factors associated with seropositivity, bivariate analysis was per-formed with JMP® Pro Version 15.0.0 software (SAS Institute Inc., Cary, NC, 1989–2021). For frequencies below 5%, chi2 or Fischer tests were performed. In all cases, significant statistical threshold was set at p-values considered to be less than 0.05. A total of 1,227 pregnant women were recruited in five health facil-ities, including two in Dakar (n=166) and one in each of the following regional capitals: Saint-Louis (n=400), Ziguinchor (n=264) and Kédougou (n=397). The median age among was 25 years [18 - 50]. The overall sero-prevalence observed was 64.9% (797/1227), with higher exposure rates in Dakar with 71.6% (119/166) and Ziguinchor with 68.1% (180/264). Kédougou and Saint-Louis reported 62.9% (250/397) and 62% (248/400), respectively. According to age group, the seroprevalence was 62.6% (331/528), 66.6% (238/357), 63.5% (148/223) and 67.2% (80/119) respectively for [18-23], [24-29], [30-35] and ≥36 years old. This variability in the seroprevalence of SARS-CoV-2 according to the localities was not statistically significant (p=0.7024). We found no association between factors such as recruitment period, age, level of education, marital and pro-fessional status.

This article presents the impact analysis of space harmonics (SH) presence on a single-sided three-phase linear induction motor, along with a comprehensive parametric investigation. The presence of SH often reduces the LIM performances. The electromagnetic phenomena are governed by Maxwell's equations associated with equivalent circuit modelling. The chosen mathematical model uses 2D formulation with magnetic vector potential A. The model implementation is performed with finite element method on Gmsh-GetDP free platform. The electromagnetic thrust is calculated in current excitation case by a numerical model (FEM) with and without term generating SH in order to highlight the effect of SH. The adaptation to voltage supply operation is obtained by equivalent electric circuits (EEC), through calculation of the operational impedance. The main objective of the study consists in a comparative exploration of SH presence using two numerical models (single and multi-harmonics), and an assessment of parameters effect on space harmonic presence and various machine characteristics such as thrust, efficiency, and power factor. The motor’s characteristics (ie: thrust, efficiency and power factor) strongly depend on parameters such as the pole pair number and conductivity. Improving the operation and maximizing the performances of such a machine for a given specification requires the use of optimization algorithms.

The main focus of this paper is to propose a comprehensive framework for the cognitive meas-urement and modelling of the built environment. This will involve exploring and measuring neural mechanisms. The aim is to create a foundation for further studies in this field that are consistent and rigorous. Additionally, this framework will facilitate collaboration with cognitive neuroscientists by establishing a shared conceptual basis. The goal of this research is to develop a human-centric approach for urban design that is scientific and measurable, producing a set of urban design guidelines that incorporate cognitive measurement and modelling. By doing so, the broader intention is to design urban spaces that prioritize human needs and well-being, mak-ing them more liveable.

Ankylosing spondylitis (AS) is a chronic inflammatory arthritis that affects the axial skeleton, causing intense pain, progressive joint destruction, and a gradual reduction in physical function. It has been recognized not only as affecting the axial skeleton but as a systemic disease. Since it also causes an increase in the rates of inflammatory bowel disease, psoriasis, acute anterior uveitis, and mental disorders affecting the quality of life. Furthermore, an association with neurological and cardiovascular events is documented. With the advent of biologics, treating AS dramatically changed due to its high efficacy and tolerable safety. AS can be treated with various biological treatments. Nevertheless, there are differences in traits, including rapidity of onset, long-term efficacy, safety profile, and influence on comorbidities. A better understanding of such traits enables clinicians to make the best decision for each patient, increasing persistence, extending medication survival, enhancing patient satisfaction, and reducing the disease effect of ankylosing spondylitis. In this article, we emphasize biologics' efficacy and safety profile in patients with ankylosing spondylitis. In addition, we discuss the impact of biologics on comorbidities and health-related quality of life.

Considering the importance of assessing the impacts resulting from a sport career, this study aimed at developing and validating a semi-structure interview guide suitable for quantifying the socio-demographic and epidemiological profile of former professional football players. Based on the theoretical frameworks and several methodological procedures, an interview guide was de-veloped, consisting of 3 areas of conceptual organization (A1. Biographical data; A2. Career data; and A3. Post-Career Transition data) and 8 data collection categories (C1. Personal data; C2. Pro-fessional data; C3. Socio-demographic pathway in the post-career; epidemiological pathway; C4. Epidemiological pathway; C5. Moment of leaving the career; C6. Socio-demographic pathway in post-career; C7. Epidemiological pathway in the post-career; and C8. Perceptions on post-career planning). The construction and validation of the interview guide following 4 steps: Ad hoc con-struction of the interview guide (step 1); Review of the interview guide by a panel of experts (step 2); Definition of procedures and protocol for the application of the interview (step 3); Application of the pilot study for face validation of the interview guide (step 4). Thus, in procedural terms, four stages were considered for the construction and validation of the interview guide, namely the Ad hoc construction of the interview guide (i), the review of the in-terview guide by a panel of experts (ii), definition of procedures and protocol for the application of the interview (iii), and the application of the pilot study for the face validation of the interview guide (iv). The results showed that the interview guide for the study of the impacts of the sports careers on the quality of life of Portuguese former football players shows reliability for the collec-tion of qualitative and quantitative information from the respective content analysis. The use of the interview guide characterizes the path of former player, providing information and knowledge on the socio-demographic and epidemiological impact factors resulting from their post-career (sports retirement).

This review resumes published data on fungal diversity in and within monuments (e.g., religious and secular monuments, museums, and statues), covering a multidisciplinary investigation into the complex interactions between fungi and cultural heritage structures. Fungi represent remarkable adversaries to monuments, potentially compromising their structural integrity and aesthetic value. Based on a bibliographic search of manuscripts published, the knowledge of fungal communities colonizing monuments was comprehensively assessed. This work first describes the diverse fungal species implicated in the degradation of monument materials (e.g., stone, metal, and glass). It elucidates the factors governing fungal colonization and proliferation in and within these structures (e.g., environmental conditions, construction materials, and human interventions). Finally, the efficacy of preservation and restoration techniques to mitigate fungal threats and safeguard our cultural heritage is also discussed. This synthesis highlights the pivotal role of mycological research in heritage conservation, and a platform for future studies to address critical knowledge gaps is provided. Understanding fungal diversity in and within monuments is critical to preserving these invaluable cultural treasures, as it informs targeted conservation strategies and ensures their longevity in the face of fungal challenges.

Recently, Li et al [1] investigated the nonlinear Langevin equations existence including two fractional orders with infinite-point boundary conditions. It has shown that the outcomes given it does count on the solution form for which it has boundary values. It means that their solution needs more to be in the final step. In current work, we will have discussion about the existence and uniqueness for the same boundary conditions by investigating the closely explicit solution form that has no boundary values. Numerical example is supported to have more vision to compare the between new and previous results. It turns out that our results are superior.

Kratom (Mitragyna speciosa Korth. Havil) has been considered a narcotic drug for years, barred by the law in many parts of the world, while extensive research over the past few decades proves its several beneficial effects some of which are still in ambiguity. In many countries, including Thailand, the indiscriminate use and abuse of Kratom have led to the loss of life. Nonetheless, researchers have isolated almost fifty pure compounds from Krat-om, most of which are alkaloids. The most prevalent compounds, mitragynine and 7-hydroxy mitragynine, are reported to display agonist morphine-like effects on human μ-opioid receptors and antagonists at κ- and δ-opioid receptors with multimodal effects at oth-er central receptors. Mitragynine is also credited to be one of the modulatory molecules for the Keap1-Nrf2 pathway and SOD, CAT, GST, and associated gene’s upregulatory cascades leading to play a pivotal role in neuroprotective actions while its long-high dose is evident to cause the neuronal disorder. Additionally, the anti-inflammatory, antioxidative, antibac-terial, and gastroprotective effects are well-cited. In this context, this review focuses on the research gap to resolve the ambiguities about the neuronal effects of kratom to demonstrate its prospects as a therapeutic target for neurodisorders connecting with other pharmacologi-cal effects.

Background: Myocardial infarction is increasing at a young age. New tools are needed to evaluate the risk population of young patients. GDF-15 has been implicated in several key mechanisms of atherogenesis and also is associated with increased mortality and cardiovascular events in patients with coronary artery disease. Arterial stiffness parameters, including pulse wave velocity, can also be measured using peripheral arterial tonometry and can indicate the presence or progression of atherosclerotic changes. The aim of this study is to evaluate the GDF-15 level and arterial stiffness parameters in patients with premature myocardial infarction Method: Thirty patients who recovered from a myocardial infarction were consecutively included. Fifteen age-sex-matched subjects were included as controls. The patients’ serum GDF-15 concentration levels were measured using relevant kits. Measurements of arterial stiffness [pulse-wave velocity (PWV) and augmentation index (AIx)] were performed using a Mobil-O-Graph arteriography system. Results: GDF-15 concentration levels were significantly higher in the patients with premature myocardial infarction when compared to controls. PWV and AIx were similar between the groups. GDF-15 level was negatively correlated with high-density cholesterol (HDL) and positively correlated with uric acid levels in all study populations. Conclusions: GDF-15 levels may be a risk factor for patients with premature myocardial infarction. This pilot study may trigger further studies to elucidate the central role of GDF-15 in the pathophysiology of early atherosclerosis in the young population.

Pregnant women with diabetes often present impaired fetal growth, which is less common if maternal diabetes is well-controlled. However, developing strategies to estimate fetal body composition beyond fetal growth that could better predict metabolic complications later in life is essential. This study aimed to evaluate subcutaneous fat tissue (femur and humerus) in fetuses with normal growth among pregnant women with well-controlled diabetes using a reproducible 3D-ultrasound tool and offline TUI (Tomographic Ultrasound Imaging) analysis. Additionally, three artificial intelligence classifier models were trained and validated to assess the clinical utility of the fetal subcutaneous fat measurement. A significantly larger subcutaneous fat area was found in three-femur and two-humerus selected segments of fetuses from women with diabetes compared to the healthy pregnant control group. The full classifier model that includes subcutaneous fat measure, gestational age, fetal weight, fetal abdominal circumference, maternal body mass index, and fetal weight percentile as variables, showed the best performance, with a detection rate of 70%, considering a false positive rate of 10%, and a positive predictive value of 82%. These findings provide valuable insights into the impact of maternal diabetes on fetal subcutaneous fat tissue as a variable independent of fetal growth.

Spondyloptosis is a condition where there is complete dislocation of L5 over sacrum. It is a form of spinal dislocation in which one spinal segment is lodged in the anterior or posterior space of another or advanced spondylolisthesis [1]. Treatment is usually spinal fusion depending on the level of lesion [2]. This clinical case is of a 15 year old male with a history of fall from auto-rickshaw followed by a blunt trauma from a heavy iron rod falling over his abdomen. There was no history of loss of consciousness, but the patient had an excruciating pain over back immediately after the incident. Patient is now paraplegic with loss of sensation below L5 along with loss bladder and bowel control since the time of injury. The T1 weighted MRI of spine revealed grade 5 anterior lysthesis of L5 over S1 level with complete spinal cord transaction. The patient was operated to restore the vertebral alignment with pedicle screws and rods. After 3 months, patient is now treated for neuro-musculoskeletal , genitourinary and genitointestinal function with biofeedback, pelvic floor exercises and timed voiding [3]. When a patient has issues with urine retention, Valsalva manoeuvres, Crede's method, suprapubic tapping, and anal stretching are employed to help them void more effortlessly [4].

In an era characterized by the ever-shifting landscapes of the digital realm, this paper intricately examines the interplay between digital culture, cultural dynamics, and beliefs in academia. Utilizing insights from cutting-edge language models, the study uncovers nuanced cultural expressions among Arts and Sciences students navigating the digital domain. Employing qualitative methods including interviews, observations, in-depth literature reviews, and thematic analysis, findings highlight digital interactions' transformative impact on cultural narratives and the potential of digital ethnography as a lens for understanding intricate cultural phenomena. This research enriches digital ethnography and cultural dynamics, offering fresh perspectives on the symbiotic relationship between digital culture and traditional beliefs, underscored by data from a maximum purposeful sampling of thirty (30) participants. Overall, this exploration emphasizes digital culture's dynamic role in shaping and reflecting cultural convictions, contributing to the understanding of cultural dynamics and evolving digital ethnography in the academic landscape.

In the absence of a holistic view of Landscape Sustainability, credible data and consistent information are needed to help decision making and support adaptive management. However, consolidated tools (system of standards and controls) of assessment exist, but show a complexity of the references on one hand, and are mostly qualitative and environmental indicators based on the other hand. This review article deals with the theme of both environmental and landscape indicators in general, the principles and the fundamental definitions. The main models used, the prerequisites and various fields of application are also taken into consideration. Last but not least, various environmental and landscape indicators are presented and compared.

With the deepening of the diversification and openness of financial system, financial vulnerability, as an endogenous attribute of financial system, becomes an important measurement of financial security. Based on network analysis, we introduce network curvature indicator improved by Copula entropy as an innovative metric of financial vulnerability. Compared with previous network curvature analysis method, CE-based curvature proposed in this paper can measure market vulnerability and systematic risk with significant advantages.

Generally, stochastic functional differential equations (SFDEs) pose a challenge as they often lack explicit exact solutions. Consequently, it becomes necessary to seek certain favorable conditions under which numerical solutions can converge towards the exact solutions. This article aims to delve into the convergence analysis of solutions for stochastic functional differential equations by employing the framework of G-Brownian motion. To establish the goal, we find a set of useful monotone type conditions and work within the space Cr((−∞,0];Rn). The investigation conducted in this article confirms the mean square boundedness of solutions. Furthermore, this study enables us to compute both LG2 and exponential estimates.

The serine proteases CAP1/Prss8 (prostasin) and CAP3/St14 (matriptase) are identified as ENaC channel-activating proteases in vitro highly suggesting that they are required for proteolytic activation of ENaC in vivo. The present study tested whether CAP3 is relevant for renal proteolytic ENaC activation and affects ENaC-mediated Na+ absorption following Na+-deprivation conditions. CAP3 knockout mice exhibit significant decrease in CAP1 protein expression with altered ENaC subunit and decreased pNCC protein abundances, but overall maintain sodium balance. RNAscope-based analyses reveal co-expression of CAP3 and CAP1 with alpha ENaC in distal tubules of the cortex from wildtype mice. Double CAP1/CAP3-deficiency maintained Na+ and K+ balance on Na+-deprived diet, restored ENaC subunit protein abundances but showed reduced NCC activity under Na+-deprivation. Overall, our data clearly show that CAP3 is not required for direct proteolytic activation of ENaC, but for its protein abundances. Our study reveal a complex regulation of ENaC by these serine proteases on the expression level rather than on its proteolytic activation.

Bamboo is the building material of the past and future. It offers numerous properties that make it versatile for various applications, including construction. Its impressive strength-to-weight ratio enables it to bear substantial loads and stresses, while its good elasticity allows efficient energy absorption. However, its mechanical properties can vary based on factors such as species, age, locations, methods, and treatment. Treating bamboo is essential to enhance its properties and durability. The literature provides various natural and chemical treatments which enhanced some of the properties but also reported a drawbacks on higher temperature, content and duration. This paper reviewed 57 articles from Scopus database, specifically focusing on article-document type publications from the years 2003 to 2023. Additional references were also incorporated to address concerns in properties, treatment and standards to provide systematic understanding. MATLAB was utilized for data text analytics. With extensive assessment on the articles, the following gaps and concerns were observed and recommends for further study and assessment such as for bamboo properties, the development of centralized guidelines and procedures for the preparation and processing; exploration of alternative materials to reinforce bamboo without compromising its ductility; development of joint connections, and testing of mechanical properties considering seismic, wind and vibration. For treatment methods, the standardization of procedures using natural, chemical or combination. Lastly, for bamboo codes and standards, assessment of existing codes and standards for testing the mechanical properties of bamboo highlighting the potential limitations and areas, uniformity, differences with all existing similar standards. By filling these gaps, it can support the reliability and robustness of bamboo as a sustainable material, fostering its promotion and adoption in construction industry.

The flat terrain in plain areas makes the land easily accessible for cultivation and farming, providing vast opportunities for agricultural development. Additionally, these areas are crucial for urban construction and economic growth. Soil mapping plays a crucial role in understanding soil characteristics and guiding land management practices. However, accurately mapping soils in plain regions can be challenging due to their low spatial variability and diverse land use types. This study focuses on the impact of land cover changes on the accuracy of soil mapping in plain areas, aiming to provide effective assistance in soil mapping through the analysis of their coupling relationship. Starting with a 20-year land cover change analysis, this study utilizes a unified approach that combines expert knowledge, mixed sampling methods, and random forest mapping techniques. The study incorporates environmental covariates that have minimal period influence and synergistically use NDVI (Normalized Difference Vegetation Index) and land cover data from the same year. The analysis is based on transition matrices, confusion matrices, and their derived indicators. The research findings indicate that Tongzhou District has experienced rapid development over the past 20 years, with the area of construction land nearly doubling. 29% of arable land has been converted into construction land, resulting in an increase in the accuracy of the soil map from 58.99% to 66.91% over the 20-year period. The soil change area during this period accounts for 16.5% of the total area, with 51.9% of the changed areas overlapping with land cover change areas. These overlapping regions are predominantly influenced by human activities. In terms of cultivated land types in the study area, the quantity of arable land has decreased by approximately 29% over the 20 years, while the proportion of sandy loam calcareous fluvo-aquic soil and light loam calcareous fluvo-aquic soil, which constitute nearly half of the soil types, has increased. These data demonstrate the coupling relationship between land cover changes and soil type variations, particularly the significant influence of human activities on soil structure. It is evident that on one hand, improving the extent of land use in plain areas enhances the credibility of soil mapping. On the other hand, human activities impact land cover, which in turn affects and reflects changes in the soil.

The purpose of this article was to check the relashionship of different types of physical activities, BMI, smoking and alcohol consumption (with control for age, sex and level of education) on health (physical and mental). The study was based on Belgium epidemiological data (10661 participants from 19 to 81 years old for whom we have health indicators over a period of 11 years) together with questionnaires about alcohol, tobacco consumption and the frequency of different types of physical activities. Descriptive statistics and regression analysis of epidemiological data was performed with use of STATA v.14. Our results indicate that the different categories of physical activities (PA) had some differences on health indicators impacts. Our findings confirm that leading a healthy life style (all types of physical activities and weight maintenance) is an important issue since it has a significant relationship with physical and mental health indicators, but outdoor physical activities and practicing leisure sport in group have shown slightly higher magnitude in association on general health. Magnitude of association of PA with physical and mental health indicators was similar to those observed with smoking and alcohol consumption.

The erythropoietin-producing hepatocellular carcinoma (Eph) receptors are the largest receptor tyrosine kinases family. EphB4 is essential for cell adhesion and motility during embryogenesis. Pathologically, EphB4 is overexpressed and contributes to poor prognosis in various tumors. Therefore, sensitive monoclonal antibodies (mAbs) should be developed to predict the prognosis for multiple tumors with high EphB4 expression, including breast and gastric cancers. This study aimed to develop highly sensitive and specific anti-EphB4 mAbs for several applications using the Cell-Based Immunization and Screening (CBIS) method. EphB4-overexpressed Chinese hamster ovary (CHO)-K1 (CHO/EphB4) cells were immunized into mice, and we established an anti-EphB4 mAb (clone B4Mab-7), which is applicable for flow cytometry, western blotting, and immunohistochemistry. B4Mab-7 reacted with endogenous EphB4-positive breast cancer cell lines, MCF-7 and MDA-MB-468, but did not react with EphB4-knockout MCF-7 (BINDS-52) in flow cytometry. Dissociation constant (KD) values were determined to be 2.9 × 10‑9 M, 1.3 × 10‑9 M, and 3.3 × 10‑9 M by flow cytometric analysis for CHO/EphB4, MCF-7, and MDA-MB-468 cells, respectively. B4Mab-7 detected the EphB4 protein bands from breast cancer cells in western blotting, and stained breast cancer tissues immunohistochemistry. Altogether, B4Mab-7 demonstrated high sensitivity and specificity against EphB4 in various applications.

This paper explores the integration of multiple intelligences and artificial intelligence (AI) in language learning, focusing on its potential to enhance personalization and engagement. Drawing from existing research and studies conducted in various contexts, including the Philippines, this study aims to contribute to the understanding of the benefits, challenges, and effectiveness of this integration. The paper begins with an introduction that highlights the background and significance of integrating multiple intelligences and AI in language learning, identifying research gaps, objectives, research questions, and the theoretical framework. A literature review provides an overview of multiple intelligences theory by Howard Gardner, the role of AI in language learning, and identifies gaps in the existing literature. The methodology section outlines the research design and approach, participant selection, data collection methods, validity and reliability measures, and ethical considerations. Findings and results are presented through the analysis of qualitative data, exploring emergent themes and patterns. The discussion section critically examines the identified research gaps, discusses the validity and reliability of the study, addresses the scope and limitations, and explores the implications of the findings for theory, practice, and future research. The conclusion summarizes the key findings and contributions of the study, reflects on the achievement of research objectives, offers recommendations for further research, and provides final remarks tying together the main points of the study. This paper contributes to the existing body of knowledge by providing insights into the integration of multiple intelligences and AI in language learning and its impact on personalization, engagement, and language learning outcomes.

The aim of this study was to provide information on the levels of toxic (Cd and Pb) and essential (Cu, Fe and Zn) elements in cow’s milk produced in the State of Pernambuco (Brazil). A total of 142 samples of raw milk were collected, and the concentrations of essential and toxic elements were determined by inductively coupled plasma-optical emission spectrometry. In almost 30 % of the samples analyzed, the Pb content exceeded the maximum level established in the Brazilian legislation (0.05 mg/l). By contrast, in all samples the Cd content was below the maximum allowable level (0.02 mg/L). The essential trace elements Cu, Fe and Zn were generally present at lower concentrations than reported in other studies and can be considered within the deficient range for cow’s milk. Statistical and chemometric procedures were used to evaluate the main factors influencing the metal concentrations (proximity to major roads, presence of effluents, and milking method). The study findings demonstrate that the proximity of the farms to major roads influences the concentrations of Cd, Pb and Cu and that this is the main factor explaining the Pb content of milk. In addition, the presence of effluents influenced the concentrations of Cu, while no relationship between the metal content and the milking method was observed. Thus, in accordance with the study findings, consumption of cow’s milk produced in the region can be considered a risk to public health due to the high concentrations of Pb and the low concentrations of other essential minerals such as Cu, Zn and Fe in some of the milk samples.

Background: The 2021 “Universal Definition of Heart Failure (HF)” Proposed the following left ventricle ejection (LVEF) phenotype classification: ≤40%; HF with intermediate LVEF: between 41-49% and HF with preserved LVEF: ≥50%. LVEF represents the percentage of left ventricular ejected volume in each cardiac cycle and Cut-points considered statistically normal are: ≥52% in men and ≥54% in women. The prevalence HFpEF is of 35-60% among the HF phenotypes, with a facing to increase rates in relation to HFrEF and is associated with mortality rates similar to those of HFrEF. The pathophysiology of HFpEF is based on vascular and metabolic dysfunction, therefore, there is less neurohumoral stimulation compared to HFrEF. Methodology: A systematic review was performed to report of information related to Sacubitril-valsartan and the treatment of HFrEF. Terms related to “treatment” and “brazil” were used in the databases PubMed (MEDLINE) and Scientific Electronic Library Online (SCIELO). Results: Clinical trials testing drugs that modulate the neurohumoral system in patients with HFpEF failed to demonstrate benefit in the combined endpoint of reduced mortality/hospitalization due to HF compared to placebo to date. Sacubitril-valsartan is a drug with a mechanism of action surrogate the pathophysiological concept of HFpEF, it is safe and decreased endpoints of natriuretic peptides and left atrial structure in a phase II clinical study. Conclusions: The PARAGON-HF trial demonstrated that sacubitril-valsartan reduced the primary endpoint of the study when assessed the pre-specified subgroup of LVEF≤57% and improved the secondary endpoints of performance status and renal function in the population.

Sex/gender (S/G) differences in ASD language profiles have been poorly investigated. The present study aims to explore whether male (M) and female (F) children with ASD and with normal non-verbal cognitive abilities differ in their linguistic profiles. A sample of 76 Italian children with ASD (range: 4.9 – 8 years), including 50 M and 26 F, was retrospectively recruited. Language profiles were analyzed using standardized tests for the evaluation of receptive and expressive vocabulary as well as grammar. Grammatical comprehension was the most impaired domain compared to the other language measures in both M and F children. Comparing language profiles between S/G, F showed significantly better scores than M in grammatical production (p=.002), and M showed better active negative sentences comprehension (p=.035). Moreover, comparing the language profiles between M and F with receptive disorder, F had significantly worse grammatical comprehension and better grammatical production than M. Even among children without receptive disorder, F had significantly higher grammatical production scores. The S/G differences in language profile, particularly better expressive language in F than M, can partially contribute to the delayed ASD diagnosis or underdiagnosis of F without intellectual disability. Finally, our results document the importance of accurately investigating both expressive and receptive abilities in children with ASD.

Background and Objectives: Since the beginning of COVID-19 pandemic, the infection primarily affected patients with following chronic conditions: cardiovascular disease, hypertension, chronic obstructive pulmonary disease, diabetes mellitus, obesity and cancer. The aim of this study was to explore clinical and epidemiological characteristics associated with COVID-19 outcomes in patients at the primary health care centre from March 2020 to September 2022. Materials and Methods: The study included 40,692 citizens of Banja Luka County, Bosnia and Herzegovina, who were confirmed and registered as RT-PCR positive on COVID-19. Differences regarding the distributions of patients between groups were analysed using Pearson chi square test and Mantel-Haenszel chi square test for trends, while differences in mean values were compared using independent samples t test. Relationship between mortality and independent variables were examined using logistic regression. Results: Out of 40,692 COVID-19 positive patients, 7.76% were hospitalized. The average age of hospitalized patients was significantly higher than the age of non-hospitalized patients (64.2±16.1 vs. 45.4±18.7; p<0.001). The average age of patients with lethal outcome was nearly twice higher compared to patients with non-lethal outcome (74.6±11.5 vs. 45.7±18.6; p<0.001). Male patients had higher hospitalization and mortality rate, compared to females (9.8% vs. 5.9%, p<0.001; 4.8% vs. 3%, p<0.001, respectively). The highest hospitalization rate was in patients with chronic renal failure, diabetes and cardiovascular diseases, while the death rate was the highest among patients with CRF and hearth comorbidities. Fever, cough, fatigue, nausea and vomiting, chest pain, shortness of breath and appetite loss favoured hospitalization. Patients with fatigue and appetite loss had higher percentage of lethal outcome. Vaccinated patients had significantly lower rate of lethal outcome. Conclusions: Clinical symptoms, signs and outcomes, are posing as predictive parameters for further management of COVID-19. Vaccination has an important role in clinical outcomes of COVID-19.

The hypothesis that health status is the highest-ranking concept, followed by respiratory symptoms and dyspnea as the lowest-ranking concepts in subjects with chronic obstructive pulmonary disease (COPD) was tested in a real clinical setting with 157 subjects with stable COPD. Spearman's rank correlation coefficients for scores of health status using the COPD assessment test (CAT), respiratory symptoms using the COPD Evaluating Respiratory Symptoms (E-RS) and dyspnea using the Dyspnoea-12 (D-12) between any two were 0.6 to 0.7. Upon categorizing the patients as "abnormal" or "normal" according to the threshold, it was found that 30 patients (19.1%) had dyspnea, respiratory symptoms, and impaired the health status. Dyspnea was considered an important part of respiratory symptoms though seven patients had dyspnea but no respiratory symptoms. There were 10 patients who had respiratory symptoms without dyspnea but without health status problems. Furthermore, there were six patients who had both dyspnea and respiratory symptoms but whose health status was classified as fine. Thus, the hypothesis was correct in approximately 85% of cases.

In order to study the performance of a new type of cement-based grouting material under the coupling effect of freezing-thawing cycle and sulfate attack, experiments were designed and carried out. The damage mechanism of the material under the coupling effect of freezing-thawing and Na2SO4 solution was analyzed by measuring the mass change, relative dynamic elastic modulus, compressive strength loss and microstructure of the new grouting material. With increasing freeze-thaw cycles, mass loss and compres-sive strength loss of the sample in 15% Na2SO4 solution gradually increase, and the relative dynamic elastic modulus gradually decreases. During a 30-cycle freeze-thaw cycle, the mass loss rate, compressive strength loss rate, and relative dynamic elastic modulus of the sample are 4.17%, 24.59%, and 84.3%, respectively, showing good corrosion resistance and frost resistance durability. Microscopic analysis showed that SO42- caused the decomposition of C-S-H gel in the sample and the formation of Gypsum, and the widening of crack width aggravated the internal deterioration, indicating that the material deterioration rate increased under the dual-factor coupling effect.

In the last two decades, our knowledge of synaptic proteomes and their relationship to normal brain function and neuropsychiatric disorders has been expanding rapidly through the use of more powerful neuroproteomic approaches. However, mass spectrometry (MS) based neuroproteomic studies of synapses still need cell-type, spatial, and temporal proteome information. With the advancement of sample preparation and MS techniques, we have just begun to identify and understand proteomes within a given cell type, subcellular compartment, and cell-type-specific synapse. Here, we review the progress and limitations of MS-based neuroproteomics of synapses in the mammalian CNS and highlight the recent applications of these approaches in studying neuropsychiatric disorders such as major depressive disorder and substance use disorders. Combining neuroproteomic findings with other omics studies can generate an in-depth, comprehensive map of synaptic proteomes and possibly identify new therapeutic targets and biomarkers of several central nervous system disorders.

Fracture and failure performance of foamed concrete materials were conducted using three methods, i.e., inverse analysis, digital image correlation (DIC) and finite element modelling (FEM) from tested normalized notched beams under three-point bending. From this study, several characteristics both experimental and FEM are discussed. However inverse analysis is only well applicable for series GF-30. The bilinear softening of the testing beam was estimated to identify fracture energy (GF), critical crack length (ac) and elastic modulus (E) with values of 0.015 N/mm, 54.5 mm, and 13 GPa, respectively. Additionally, fracture toughness was calculated by adopting double-K (initiation fracture of 6.907 MPa.mm0.5, unstable fracture of 23.186 MPa.mm0.5 and cohesive fracture of 16.278 MPa.mm0.5). Two-dimensional FEA Modelling of fracture was carried out using a Traction Separation Law (TSL), incorporating extended finite element method (XFEM) and cohesive zone (CZM) techniques. A sensitivity study was carried out, global mesh size of two and damage stabilization cohesive with the value of 1 × 10-5 showed good convergence and were used in other models. Furthermore, by comparing experimental observation using DIC, reliability FEM was validated and showed good acceptance to simulating the crack propagation.

Cancers of the head and ne¬ck and their treatment can cause disfigurement and loss of functioning, with a profound negative impact on the person’s self-image and psychosocial wellbeing. This can lead to experiences of shame and stigma, which are important targets for psychosocial interventions. Accurate measurement and identification of these problems enables clinicians to offer appropriate interventions and monitor patients’ progress. This study aimed to validate the Canadian version of the Shame and Stigma Scale (SSS) among French and English speaking head and neck cancer patients. Data from 258 patients from two major Canadian hospitals was analysed. The existing 4-factor structure of the SSS was supported, with the following subscales: Shame with Appearance, Sense of Stigma, Regret, and Social/Speech Concerns. The Canadian SSS showed adequate convergent and divergent validity and test-retest reliability. Rasch analysis suggested scale improvement by removing two misfitting item and two items with differential functioning between French and English speaking patients. The final 16-item scale version had adequate fit to the Rasch model. The SSS provides more accurate measures for people with high levels of shame and stigma, and thus has utility in identifying patients with more severe symptoms who may be in need of psychosocial interventions.

Chemoradiotherapy (CRT) is the standard treatment for locally advanced head and neck cancer; however, CRT may cause post-treatment dysphagia. Transcutaneous electrical sensory stimulation (TESS), developed in recent years for swallowing rehabilitation, has been used at many medical facilities. Although TESS has been used for dysphagia in several fields, its safety and efficacy in patients with head and neck cancer remain to be clarified. Therefore, this study evaluated the safety of TESS in ten patients with head and neck cancers undergoing CRT. Swallowing rehabilitation intervention and TESS implementation were performed for all patients during CRT. Non-blood toxicity adverse events (AEs), such as dermatitis and mucositis, occurred during CRT; however, the severity was less than Grade 3. No patient experienced pain due to TESS. As survival time analysis using the Kaplan–Meier method for interferential current device implementation rates revealed a feasibility of 100% for up to 60 Gy and a feasibility of 78% for up to 70 Gy, it concludes that TESS was feasible until 70 Gy. This study confirmed the feasibility and safety of TESS in the head and neck region, even during CRT. Although the precise mechanism of TESS on dysphagia is not yet clear, its continued use has great potential for improving sensory disturbance.

Chondrosarcoma, represents approximately 0.1% of all neoplasms of the head and neck, being considered a rare disease, but with a relatively good prognosis. The 5-year overall survival (OS) rate is estimated at 70-80%, being considered a disease with a low growth rate. About 13% of all cases of chondrosarcoma, are located in the region of the head and neck. We present the case of a young patient treated multimodally, lost from the oncological records less than two years after the diagnosis, without evidence of disease progression. The early loss from the oncological follow-up programs of patients with a lower risk of early repalpse, without evidence of a recurrence or metastasis could be the consequence of a major complication among which we could assume an aspiration pneumonia secondary to a dysphagia, associated with an aggressive multidisciplinary treatment. Large tumor size and positive resection margins (R1 resection) are risk factors that support an intensive adjuvant approach in order to reduce the risk of recurrence, but the low grade of tumor, associating a lower risk of recurrence as well as the adverse events (AE) of adjuvant radiotherapy and chemotherapy justifies a more reserved therapeutic approach. Taking into account the longer life expectancy of these patients, it is recommended to use a more conformal irradiation technique in order to reduce doses to radiosensitive structures as well as to omit elective neck irradiation, taking into account the lower risk of lymph node involvement. The lack of guidelines that include very rare tumors including low grade chondrosarcoma of head and neck make a unified approach difficult, but the data presented even in case reports could contribute to choosing the regimen that offers the best therapeutic ratio.

As a novel post-harvesting strategy, edible films and coatings for fruits and vegetables offer preservation measures to meet the growing needs of hunger and agricultural management. Albeit edible films and coatings would differ in their processing and physio-mechanical characteristics, but functionality is distinctly the same as they are designed to improve shelf-life, barrier, and nutritional properties of the food. With emerging concerns on sustainability, biomacromolecules have been widely considered for preparing edible films and coatings, which are Generally Recognized as Safe (GRAS) substances. Biopolymers, including polysaccharides, proteins, and lipids are the main sources of preparing edible films and coatings. These biomacromolecules make stable colloidal dispersions that deliver processing convenience with various formulation, blending, casting, coating, and film-forming methods. However, biopolymers based edible films and coating require improvements for their extended performance due to several structural and barrier limitations. Therefore, preparing blends and composites, incorporating target molecules to introduce different functionalities, and designing complex multilayers are among the many recent research approaches developed to overcome those limitations. Thereby ensuring enhanced food preservation and extended shelf-life, essential requirements of food waste management without or with minimal influence on the texture, flavor, and nutritional value of food and vegetables.

Despite improved knowledge regarding diagnosis and treatment of osteomyelitis of the jaw (OMJ), it remains a clinical challenge for oral and maxillofacial surgeons. This study aimed to identify risk factors associated with severe forms of OMJ, i.e. related to the occurrence of major complications or the refractory course of the disease. A retrospective study was performed based on the medical records of all patients diagnosed with OMJ from the past 20 years. Collected data included demographic information, medical and dental history, clinical, radiological, and bacterial findings as well as treatment modalities. The main outcome variables were the onset of major complications and treatment results. Fifty-four patients were included. Our results showed that alcohol and smoking habits, as well as malnutrition, were significantly associated with the occurrence of major complications. We also established that dental implant–induced OMJ should be considered as an aggressive subtype of OMJ. Finally, clinical bone exposure was significantly associated with unfavorable outcomes, whereas dental causes or radiological evidence of periosteal reaction were predictive of successful outcomes. Identifying such factors could be useful in preventing serious complication and informing patients about the refractory course of the disease based on the presence of these factors.

The European eel, Anguilla anguilla, was the most important fishery resource in European estuaries for centuries. More recently, most local stocks throughout the species' range have collapsed for a variety of reasons. This article focuses on historical records and the recent collapse in the Neretva estuary (Croatia), the most important eel fishery ground on the eastern Adriatic coast. Historical records were analyzed through an examination of various available databases, including scientific articles, technical literature, and gray literature. Additional descriptions were obtained using local ecological knowledge methodology and interviews with various stakeholders. The comparative analysis shows that the historical eel catch (the 1930s) under pristine habitat conditions should be estimated at 100 tons, officially recognized and additionally estimated. The decline in catches began in the 1960s and was associated with the massive reclamation of important eel lagoons for agriculture and port areas when officially recognized catches at state stations averaged 45 tons per year. The main reasons for this dramatic decline in eel fisheries and biological status in the Neretva estuary are a significant reduction of, an increase in recreational fishery, the establishment of invasive predatory fish species, and strong development of local demand in tourism. The results of this study indicate that the local eel population will rapidly become extinct in the future unless various measures are developed and applied to protect it, restrict fishing and market control, restore habitat, and control invasive and competing species.

The kinetic energy transfer between the atmosphere and oceans, called wind work, affects ocean dynamics including near-inertial oscillations and internal gravity waves, mesoscale eddies, and large-scale zonal jets. For the most part, recent numerical estimates of global wind work amplitude are almost 5 times larger than those reported 10 years ago. This large increase is explained by the impact of the broad range of spatial and temporal scales covered by winds and currents, the smallest of which have only recently been uncovered by increasingly high resolution modeling efforts. However, existing satellite observations do not fully sample this broad range of scales. The present study assesses the capabilities of ODYSEA, a conceptual satellite mission to estimate the amplitude of wind work in the global ocean. To this end, we use an ODYSEA measurement simulator fed by the outputs of a km-scale coupled ocean-atmosphere model to estimate wind work globally. Results indicate that compared with numerical truth estimates, the ODYSEA instrument performs well globally, except for latitudes north of 40∘N during summer due to unresolved storm evolution. This performance is explained by the wide-swath properties of ODYSEA (a 1,700 km wide swath with 5 km posting for winds and surface currents), its twice-a-day (daily) coverage at mid-latitudes (low latitudes), and the insensitivity of the wind work to uncorrelated errors in estimated wind and current.

In the intricate tapestry of our ever-evolving world, where complexities abound and change unfurls with unyielding speed, the amalgamation of values, critical thinking, and moral reasoning within the realm of language and literature education emerges as an imperious necessity. For it is through this harmonious integration that we fortify the minds of our students, bestowing upon them the indispensable tools to traverse the labyrinthine paths of multifaceted ethical quandaries, while shaping them into steadfast guardians of our shared global community. This article highlights the connection between language, literature, critical thinking, moral reasoning, and values integration in education. Through language and literature, teachers can incorporate values education in their classroom, which can benefit not only individual students but also society as a whole. Theoretical frameworks such as character education, moral education, and values education provide the basis for this approach. The researcher recommends strategies for incorporating values integration in language and literature curricula, including the use of literary texts that promote critical thinking and moral reasoning skills. The limitations of this approach, including the challenges in assessing the effectiveness of values integration and potential resistance from some stakeholders, are also discussed. Ultimately, this article aims to call on educators to take a proactive role in promoting values integration in language and literature education, guided by the principles of Jesus Christ and the belief that education is not only about acquiring knowledge but developing character as well. Moreover, this concept has a significant and lasting impact on students' overall development that highlights the importance of values and moral reasoning needed to live a better life.

Ground penetrating radar (georadar, GPR), widely used in geology, archeology and road construction, is an efficient tool for searching and studying subsurface objects and structures. When planning GPR missions, it is necessary to predict the resolution of the device and the achievable probing depth. The article discusses the methods and results of assessing these characteristics of the Loza-V and Loza-N radars obtained in the course of archaeological and geographical expedition works.

In eutrophic waters, such as Mikawa Bay, Japan, anoxic bottom water develops in summer. This causes sulfide release into seawater by sulfate reduction in the sediment, leading to environmental problems. The addition of iron to sediments is a method used to improve the sediment environment, which was devised from a natural phenomenon. However, this method has not yet been quantitatively evaluated. In this study, we aim to quantitatively evaluate the suppressive effect of iron on sulfide release. First, we develop a sediment model that focuses on S and Fe. We then attempted to reproduce the observations and experiments on sulfide dynamics using the model. Consequently, the proposed model was able to reproduce field sulfur and Fe dynamics in sediments. Additionally, the model described the characteristics of sulfide release considering the effects of additive iron materials. Finally, we conducted predictive calculations and quantitatively evaluated the effects of adding iron materials to the sediments in terms of sulfur and iron cycles.

A pandemic can have a huge impact on normal human life and the economy, taking COVID-19 as an example. While the population flow between countries and regions is the main factor affecting the change of a pandemic, exactly as the airline network. Therefore, realizing the overall control of airports is an effective way to control a pandemic. However, restricted to the differences in prevention and control policies in different areas and privacy issues, the patients’ personal data of the medical center cannot be effectively combined with the passengers’ personal data. This prevents more precise airport control decisions from being made. To the end, this paper designs a novel data sharing framework (i.e., PPChain) based on blockchain and federated learning. The experiment shows that the relationship between the epidemic and aircraft transport can be effectively explored by PPChain, without sharing raw data. This approach does not require centralized trust and improves the security of the shareing process.The scheme can help formulate more scientific and rational prevention and control policies on airports’ control. And it can use aerial data to predict pandemics more accurately.

In the increasingly complex environment of downhole working conditions such as frequent opening and closing of oil and gas wells, acidification/multi-stage fracturing, steam huff and puff, and strong injection and production, the traditional casing string design method standards based on strength design have gradually highlighted their limitations. It is necessary to formulate string design method standards that consider the full life cycle of wells such as drilling and completion, fracturing, and production operations. Starting from the analysis of the advantages and disadvantages of traditional casing string design methods, this paper presents the characteristics of the strain design methods and seal design methods that have been formulated for the life cycle of the string. The strain design method breaks through the traditional design concept and allows the design concept of controllable deformation of the pipe string. The sealing design method is currently the only standard method for the design of tubing strings. At the same time, it further proposes to consider the trend of pipe strength deterioration and establish a time dimension-based life cycle pipe string design method standard, which effectively solves the safety problem of pipe string design in production and operation.

Background: Blood flow restriction training (BFRT) uses occlusion during low-intensity resistance training (<50% of repetition maximum, 1RM) to reduce arterial blood flow and venous return, imposing greater metabolic stress but similar muscular hypertrophy and strength gains as high-intensity resistance training (HIRT). However, no study, to date, has incorporated BFRT in a collegiate strength and conditioning setting to assess ecological validity. We aimed to investigate the effects of adding 6-weeks of accessory BFRT or HIRT to NCAA Division III soccer players prescribed resistance training regimen on muscle strength and hypertrophy. Methods: Male and female (n=17) athletes were randomly assigned to complete biceps curls 2x/week under BFRT or control (HIRT), following the regularly scheduled strength training. Bicep strength (1RM) and circumference (BC) were assessed at weeks 0, 3, and 6. Results: In men, no significant interaction between time and condition was observed for BC (p=0.861), though condition (BFRT vs Control, p=0.025) and time (p=0.024) were significant. For 1RM, there was no significant interaction between time and condition (BFRT vs HIRT, p=0.067) or of condition (p=0.598), but there was a significant effect of time (p=0.004). In women, there was no significant interaction between time and condition (p=0.765) or of condition (p=0.971) on BC, but time was significant (p=0.045). For 1RM, there was no significant interaction between time and condition (p=0.227) or of condition (p=0.741), but time was (p=0.018). Conclusion: BFRT induced similar increases in muscle strength and hypertrophy as HIRT in soccer players, suggesting that BFRT could be incorporated into collegiate athlete training.

Background: Hidradenitis Suppurativa (HS) is characterized by inflamed lesions that appear in apocrine rich flexural areas. Although studies have reported clinical and epidemiological data from western countries, data from the Middle East are scarce. The aim of this study is to characterize the differences in the clinical characteristics of patients with HS of Arab and Jewish ancestry and to review the clinical characteristics, the course of the disease, the comorbidities and the response to treatment. Methods: This is a retrospective study. We collected clinical and demographic data from patient files at the Rambam Healthcare Campus dermatology clinic – a tertiary hospital located at the north of Israel. between 2015-2018. Our results were compared to those of a previously published Israeli control group registered in clalit health services. Results: Of the 164 patients with HS, 96 (58.5%) were men and 68 (41.5%) were women. The average age at diagnosis was 27.5 years and the latency between the onset and diagnosis of the disease was 4 years. we found a higher adjusted prevalence of HS in Arab patients (56%) than in their Jewish counterparts (44%). Gender, smoking and obesity, as well as axilla and buttock lesions, were risk factors for severe HS, with no differences between ethnicities. No differences were documented in comorbidities and in response to Adalimumab, with a high overall response rate of 83%. Conclusions: Our findings revealed differences between Arab and Jewish patients with HS in terms of incidence and gender predominance, while no differences were documented in comorbidities and response to Adalimumab.

Mobile software applications (apps) have transformed how individuals oversee and maintain their own health. One way that girls can monitor their menstrual cycles is through the increasingly widespread use of mobile menstrual tracking apps. This study aims to examine menstrual symptom tracking for adolescents in English and Chinese apps, exploring menstrual literacy, cross-cultural differences, and framing, or presentation, of symptoms. The mixed methods content analysis involved 15 popular free menstrual tracking apps in English (n = 8) and Chinese (n = 7). Quantitative analysis of qualitative data was conducted through manual coding of content and automatically analyzing sentiment, or emotional tone, using a computational approach. We found that: (1) Menstrual literacy on symptom management or treatment was generally insufficient, (2) There were more available emotional than physical symptoms in English than Chinese apps, (3) Symptoms were framed more negatively than positively, somewhat more in Chinese than English apps. Findings emphasize the importance of improving information in digital menstrual trackers. Our findings further reflect cultural differences in emotional expression and negative attitudes toward menstruation. Since adolescence is a critical developmental stage that requires ample support, digital menstrual trackers can uniquely shape attitudes and experiences, ultimately, empowering teenagers to better manage their menstrual health.

The application of movement-detection sensors is crucial for understanding surface movement and tectonic activities. The development of modern sensors has been instrumental in earthquake monitoring, prediction, early warning, emergency commanding and communication, search and rescue, and life detection. There are numerous sensors currently being utilized in earthquake engineering and science. It is essential to review their mechanisms and working principles thoroughly. Hence, we have attempted to review the development and application of these sensors by classifying them based on the timeline of earthquakes, physical or chemical mechanisms of sensors, and location of sensor platforms. In this study, we analyzed all available sensor platforms that have been widely used in recent years, with satellites and UAVs being among the most used. The findings of our study will be useful for future earthquake response and relief efforts, as well as research aimed at reducing earthquake disaster risks.

In this article, we analyze the thermodynamics, thermal fluctuations and quasi-normal modes of a torus-like charge AdS black hole. The parameters of a torus-like charged AdS black hole are its mass, electric charge, and cosmological constant. We used a torus-like charge AdS black hole to evaluate thermodynamics through thermal fluctuations and found that it significantly affected the corrected thermodynamic potentials. Black holes of larger radii are more stable and significant. The effect of thermal fluctuation has been investigated on the other thermodynamic potentials such as the Hemohltz free energy, Gibbs free energy, enthalpy, and specific heat, using the concept of corrected entropy. Finally, we use null geodesics to deal with quasi-normal modes. The null geodesics provide the photon sphere angular velocity and Lyapunov exponent, which are the real and imaginary components of the quasi-normal modes in the eikonal limit. With inceasing charge and photon radius, angular velocity reaches its maximum, similar to Lyapunov's exponent.

The holographic principle states that the information about the volume of space is stored on its boundary. Assuming this holds, we can explain the aspects of gravity. The spacetime needs to be extended to 5D to explain gravity in this context. This naturally explains the four classical tests of gravity namely the gravitational redshift, the perihelion precession, the bending of light, and the gravitational time delay. We also show a novel way in which the universe expands in an accelerated manner at late times without the need for any form of dark energy.

Bacterial nanocellulose (BNC) surface has a negative charge that allows the adsorption of calcium ions to initiate the nucleation of different calcium phosphate phases. The aim of this study was to investigate different methods of mineralization on three-dimensional microporous bacterial nanocellulose, to mimetize the composition, structure, and biomechanical properties of natural bone. To generate 3D microporous biomaterial, the porogen particles were incorporated during the BNC fermentation with the strain Komagataeibacter medellinensis. Calcium phosphates (CPs) were deposited on BNC scaffolds by five alternating immersing cycles with calcium and phosphate solutions. Scanning electron microscopy micrograph showed that the scaffolds have different pore sizes, between 70 and 350 µm, but the porous interconnectivity was affected by the biomineralization method and time. The crystals on the BNC surface are shown to be rod-shaped with a calcium phosphate ratio similar to that of immature bone, increasing from 1.13 to 1.6 with cycle numbers. The main mineral phases obtained by X-ray diffraction were Octacalcium Dihydrogen Hexakis (phosphate (V)) Pentahydrate (OCP). In vitro cell studies showed good cellular adhesion and higher cell viability to 95% in all the scaffolds. Osteogenic differentiation of human bone marrow mesenchymal stem cells on the scaffolds was evaluated by bone expression markers like alkaline phosphatase, osteocalcin, and osteopontin. In conclusion, it is possible to prepare 3D BNC scaffolds with controlled microporosity, which could allow osteoblast adhesion, proliferation, and differentiation.

The Pandemic in 2019 forced a digital adaptation with direct consequences on all educational stakeholders. On behalf of teachers and trainers, while many regarded these changes with some scepticism, others embraced the opportunity to integrate technology into their teaching methods and as learning resources. As translation trainers, it is essential to follow and understand the translation market. Thus, the exponential changes that digital technology has brought to this sector over the years impose constant shifts in teaching and learning methods and resources. In fact, translators require vast competencies, amongst which is the flexibility to adapt. In translation training Project-Based Learning (PBL) has been established as an essential teaching and learning method, as it has proven to foster the development of competencies as it simulates the translator's work environment. Thus, the need to adapt new strategies reinforced PBL and its benefits. PBL, however, similar to a freelance translator, places the student in the centre of the learning process, where self-regulation becomes essential, as it is necessary to analyse the market/situation and be flexible enough to adapt to the context accordingly. As of 2018-2019, technical translation courses at ISCAP have implemented PBL as their main teaching and learning method. At the same time, a study on student self-regulation began. The purpose was to understand student perception on their own self-regulation competence and its development or lack thereof after one year of PBL. Results indicate that PBL is seen as a useful simulation of the translation labour market and that it does enhance many essential competences, amongst which is student self-regulation.

Chitosan (CTS) is widely used in agriculture as a soil amendment, plant growth regulator and promoter of cold resistance. However, the effects of CTS on strawberry seedlings under the combined stress of high-temperature and high-light are unclear. In this study, Xuelixiang strawberry was used as a test material, and 100 mg·kg-1 CTS solution was sprayed onto the leaves. We measured the chlorophyll content, membrane peroxidation, reactive oxygen species content, antioxidant enzyme content, AsA-GSH cycle activity and other related indicators of strawberry seedling leaves under the combined stress of high-temperature and high-light and found that CTS can increase the contents of antioxidants, increase the contents of osmotic adjustment substances, increase the activity of antioxidant enzymes activity,; remove reactive oxygen species over time, reduce the damage of reactive oxygen species to photosynthetic organs and cell membranes, and improve the photosynthesis efficiency of leaves of strawberry plants under high-temperature and high-light stress, thereby reducing damage to strawberry seedlings caused by high-temperature and high-light.

Introduction: As the paramedic profession continues to grow and evolve, a shift from reactive to holistic patient care models is required. As the first and often the only point of medical contact for many patients from marginalized and under-served populations, the paramedic role, and its potential future implications in caring for these patients needs to be explored. Aim: The objective of this scoping review was to explore the paramedic's role in caring for people who use illicit drugs. Methods: A scoping review of English language literature published since 2002 was conducted using CINAHL, MEDLINE, EMBASE, and Google Scholar. We used a previously published paramedic search term filter for sensitivity combined with search terms related to drug-related substance use and addiction. Studies were selected based on relevance to the research question. Results: A total of 104 peer-reviewed and 14 grey literature articles were selected for inclusion. The main finding of this scoping review is the notable lack of evidence base surrounding the contemporary paramedic role in the care provision of people who use drugs (PWUD). The results highlight high rates of mortality following a paramedic-attended drug poisoning event, presenting a unique opportunity for paramedics to intervene in meaningful ways that extend past traditional drug poisoning response. Conclusions: The interface between the community of PWUD and the paramedic may be a highly influential encounter during a patient's journey through the healthcare system. The evolving role of the paramedic in this encounter requires focused study and should be viewed as a research priority in response to the ongoing drug poisoning crisis.

Trends focused on the Global Innovation Index (GII) as a measure for progress of nanochemistry. This paper provides projections of recent developments in the word in nanochemistry based on the Global Innovation Index as a predictor for certain Arab countries. The GII is an annual ranking of countries by its ability and performance in innovation and is calculated on a basic average from five and two pillars in two sub-indexes, the Innovation Input Index and the Innovation Output Index. Each pillar represents a trait of creativity and consists of up to five measures, with a weighted average formula for measuring their ranking. In 2008, the GII rose to 36.3 in 2016 from 0.5. The GII is smaller than the GII in Arabic countries worldwide. During the years 2013-2016, the worldwide GII was increasing while for the same period, for Arabic countries, this decline could be explained by economic and industrial wars in the Arab region.

Most head and neck cancers are diagnosed in advanced stages, when the curative interventions are no longer possible. The assessment and the multidisciplinary therapeutic approach of the locally advanced cases are difficult since the onset of the disease becomes a significant challenge for the whole attending team (including both the patient and his family) because they have to deal with to an extensive symptomatology (abundant secretions, refractory pain, mutilations predominantly in the cephalic area), with the cure of stomas (tracheostomy, gastrostomy) and with various post-therapeutic sequelae. The present paper reflects the impact of late diagnosis, the complexity of the multimodal specific oncological treatment (chemotherapy, radiotherapy, immunotherapy, pal-liative and terminal treatment), the adaptation of medical care to the psycho-emotional structure, having as an example the case of 54-year old patient (with his consent) diagnosed with pharyn-golaryngeal neoplasm who presented himself to “St. Luca” Chronic Disease Hospital, the Oncol-ogy-Palliative Care Department, in September 2021. In patients with locally advanced head and neck cancers, besides the specifically oncological therapeutic decisions, the empathic-emotional connection between the medical team with the patient and his family plays a key role in the ther-apeutic conduct.

Sustainable teacher development is the key to the success in the program of Master of Translation and Interpretation (MTI) but there was limited research on their current situation and needs in China. In this study 514 teachers from 32 provinces, municipalities and autonomous regions across China were investigated by means of quantitative questionnaires and online interviews concerning their current situation of career development and this research presented a comprehensive description of their age, academic qualifications and professional title. Also this study expounded the current situation and difficulties in academic research, teaching, translation practice and staff training. The findings were as follows. 1：In spite of reasonable age structure, approximately 50% of them had less than three years’ teaching experience in MTI. 2: There was a rise in the number of MTI teachers with doctoral degree but they found it hard to offer students professional guidance. 3: A large proportion of MTI teachers were in a slow stream of promotion in the title of professional post. 4: The proportion of the academic achievements related to translation in all the research projects and papers was small. 5: A majority of them worked as part-time translators. 6: About half of the teachers were not very satisfied with the effectiveness in their staff training program. Therefore it is suggested that more opportunities be provided for the MTI teachers to conduct translation practice in the professional sector and more researches be needed to thoroughly understand their requirement in terms of career development with a view to bridging the gap between content in the teacher training and their actual needs.

Poso regency, Central Sulawesi, Indonesia, has a coastal area that has marine tourism potential to be developed. It is expected that marine tourism can bring socio-economic impact to the com-munity. This research was conducted with the objective of assessing the suitability of the area to be developed as a marine and coastal tourism site to provide benefits to the coastal community. Hydrodynamic model will be used in this research as coastal area mapping. As an approach, Analysis Hierarchy Process (AHP) is utilized whose parameters consist of depth, coast type, coast width, brightness, current speed, water base materials, observation of dangerous biota and availability of fresh water. Based on the overall mapping area of 98,644 ha, the research results show that the area that can be utilized is 7,979 ha with a very suitable category, while there is an area of 1,045 ha which can still be classified in the appropriate category.

The Infierno glacier is located in Aragon (Spain), Pyrenees mountain range, southern slope, the only one in this country that still preserves white glaciers. These are the southernmost glaciers in Europe and are currently in rapid regression. The work analyzes the evolution of the glacier between 2016 and 2022 (taking as "year zero" or starting point, 2015). In addition to the observations on the glacier itself, the variables (precipitation, temperatures, snow volumes and thicknesses) that allow understanding this evolution are studied. The results offer strong regression, with thickness losses in that period of 4.6 m and retreat of its front of 14.9 m. The evolution has frequent trend changes, linked to the interannual climatic irregularity characteristic of this mountain range. The main explanatory factor is the thermal increase. The thermal anomalies with respect to the average reference values have increased, in this period, +0.55° C. The year 2022 has been particularly warm and has recorded the greatest regression of the glacier (between May and August, the thermal anomalies were between +4° C and +2° C). Regarding precipitations, they have irregular tendencies and show a decreasing trend (-9% in the same period of time).

This research was conducted with the aim of knowing how to compare the financial performance of the oil and gas trading industry with cross-sectional analysis techniques. The type of research conducted in this research is qualitative research with research objects at several companies, namely PT Radiant Utama Interinsco Tbk, PT Elnusa Tbk, PT AKR Corporindo Tbk, and PT Aneka Gas Industri Tbk. The data used in this study comes from secondary data, namely the internet in the form of company financial reports for the 2019-2021 period obtained from the Indonesia Stock Exchange. The results of this study indicate that PT Radiant Utama Interinsco Tbk has the best financial performance on inventory turnover ratio and average age, PT Elnusa Tbk has good inventory performance on current ratio, quick ratio, DAR, and DER., PT AKR. Corporindo Tbk has performed well on the ratios of TIE, FCC, Dividend Payout, Dividend Yield, and PER. PT Aneka Gas Industri Tbk has performed well on the ratio of Receivables Turnover Ratio and Average Age of Receivables.

Tin (IV) oxide nanoparticles (SnO2 NPs) have received a lot of interest because of their interesting features. SnO2 NPs have proven productive in a range of fields, including water purification, supercapacitors, batteries, antibacterial and antioxidant agents, and others. SnO2-based nanoparticles found a wide range of applications after incorporating materials with varying chemical compositions. SnO2 NPs and their nanocomposites have been used effectively as antibacterial agents against various pathogenic bacteria, photocatalysts for dye degradation, and electrode materials for supercapacitors (SCs). This article covers the characteristics of SnO2 NPs, SnO2 nanocomposite materials, applications of SnO2 NPs and their composite materials, including antibacterial, energy storage, and photocatalysis, as well as some significant recent studies.

Plant secondary metabolites are organic compounds (alkaloids, flavonoids, phenolics, tannins, anthraquinones, saponins, steroids, lignins, terpenes) produced by plant for self-defense during growth and development in order to protect them from harmful agents. As population is increasing and quality of life is reducing couple with outbreak of some diseases that are posing threat on the economy, a lot of medicinal plants have attracted interest of researchers because of the usefulness of these metabolites in pharmaceuticals, food and cosmetic industries. In this review, the pharmacological activities of some medicinal plants that are rich in secondary metabolites were studied, means of identifying and quantifying using spectrophotometry and chromatography techniques were also discussed. However, this will assist to reduce the uses and dependent on the synthetic drug and the onset of the age related diseases.

Obstetric violence has been recognized as a major impediment to facility-based delivery, increasing the risk of preventable complications and maternal mortality. In Ghana, studies on women’s birth experiences reveal enormous and brutal acts of violence during delivery; but inquiries into why midwives abuse women have largely been unexplored. This study explored the perspectives of midwives on the drivers of obstetric violence in the Western and Ashante Regions of Ghana. A qualitative study was conducted involving 30 in-depth interviews with midwives in eight health facilities. The data were analyzed thematically using NVivo 12. The results of the study reveal a normalization of violence in the delivery room and the intensity of violence is heightened during the second stage of labor. Midwives reported perpetrating or witnessing physical violence, abandonment of women, stigmatization of HIV women, verbal abuses such as shouting, and the detention of women in the health facilities. Obstetric violence occurs as a result of the pressures of the midwifery profession, poor maternal efforts of women, disrespect of midwives, women’s disobedience, and uncooperative attitudes. The culture of acceptability of obstetric violence is a major driver, contributing to its normalization. Midwives do not consider obstetric violence as abuse, but rather, as a delivery strategy which aids a successful delivery. It is therefore justified and viewed as a necessary part of the delivery process. There is a critical need for retraining midwives on alternative birthing strategies devoid of violence.

Cities consume over 75% of natural resources, produce over 50% of global waste and emit 60 - 80% of greenhouse gases. The scenario that by 2050 two thirds of the world population will live in cities, highlights how cities are still responsible of the growing consumption characterized by linear economy processes, with the production of various types of waste. In this unsustainable framework, the Circular Economy offers the opportunity to shape the urban system by means of rethinking the possibility to produce and use goods and services exploring new ways to ensure long-term prosperity. The Circular City paradigm contains in fact all the principles of the Circular Economy: recovery, recycling and sharing. In particular, Circular City also introduces actions related to the development of renewable energy communities, use of green materials, CO2 absorption approaches and Proximity Cities. The aim of this work is to develop a methodology to build a composite index (Circular City Index) capable of measuring the degree of implementation of urban policies that enable the territory to initiate an ecological transition of public assets. The city of Cagliari (Sardinia, Italy) represents the case study to apply circular urban policies in public properties, for civil and military use.

Recent deep learning frameworks draw a strong research interest in the application of ego-motion estimation as they demonstrate a superior result compared to geometric approaches. However, due to the lack of multimodal datasets, most of these studies primarily focused on a single sensor-based estimation. To overcome this challenge, we collect a unique multimodal dataset named LboroAV2, using multiple sensors including camera, Light Detecting And Ranging (LiDAR), ultrasound, e-compass and rotary encoder. We also propose an end-to-end deep learning architecture for fusion of RGB images and LiDAR laser scan data for odometry application. The proposed method contains a convolutional encoder, a compressed representation and a recurrent neural network. Besides feature extraction and outlier rejection, the convolutional encoder produces a compressed representation which is used to visualise the network's learning process and to pass useful sequential information. The recurrent neural network uses this compressed sequential data to learn the relation between consecutive time steps. We use the LboroAV2 and KITTI VO datasets to experiment and evaluate our results. In addition to visualising the network's learning process, our approach gives superior results compared to other similar methods. The code for the proposed architecture is released in GitHub and accessible publicly.

School-aged children may benefit from education interventions focused on healthy eating and physical activity to improve their quality of life. This article aims to review scientific evidence on food and nutrition education (FNE) in Spanish-speaking countries for the prevention of overweight and obesity in school-aged children (6-12 y). Articles were searched between April and August 2021. The searches were conducted using MEDLINE, Google Scholar, and SciELO. The primary search for articles focused on the experience of FNE interventions in Spanish-speaking countries. Overall, 518 articles were found and 33 studies were eligible for data extraction. Forty-two percent of the studies had a focus on FNE and 64% were focused on describing the eating habits of schoolchildren. Nutritional assessments (anthropometric) were found frequently with 91% and 30% of the studies focused on physical activity. All interventions focused on preventing or reducing overweight and obesity in school-age children. Educational, cognitive, dietary, and physical activity practices were described, whit being educational the most frequent intervention. Interventions reported positive effects of FNE interventions to improve knowledge and practices of healthy lifestyles in school-age children.

The study is based on wide international research, the International Self-report Delinquency Study 3 (ISRD-3) and it analyses the relationship between parental presence, juvenile delinquency, and the consumption of psychotropic substances in adolescents. The data have been collected by a questionnaire ISRD-3 administered to 6021 students from 7th to 9th grade from 24 countries. The results confirmed the protective effect of dual-parent families on alcohol and drug use and committing illicit behaviours. Monoparental families and families without parents are associated with higher levels of alcohol, drug use, and deviant behaviors by young people.

Antibiotics have been used in various fields such as livestock farm and fish farm as well as hospital in order to treat diseases caused by bacteria. However, the antibiotics that are not completely decomposed, but remains as residue and discharge to aquatic environment, can cause an imbalance in the gut flora of host, as well as regulate abnormal host gene regulatory system. We investigated the effects of chronic exposure with the low concentrations of erythromycin and ampicillin on gut microbiome and immune and stress-related gene expression using Korea native ricefish (Oryzias latipes). As a result of microbiome analysis, the proportion of Proteobacteria was increased in the ricefish when exposed to erythromycin and ampicillin chronically, whereas the proportion of other bacterial phyla decreased. In addition, the immune and stress-related genes were significantly influenced in the ricefish under the chronic antibiotics exposure. These results show that the internal microbial flora and the host gene expression are susceptible even in the low concentration of chronic antibiotic existing environments. This study provides the importance of the appropriate use of antibiotics dose to maintain the sustainable and healthy aquaculture industry and water ecosystem.

Globally, inequalities in educational provision are prevalent between genders, various geographical regions, and among different socio-economic backgrounds. Consequently, this study set-out to assess the level of disparity among the Federal Regional States of Ethiopia using Gini-coefficient and Lorenz curve from the statistical data of MoE. Moreover, data were collected from 656 respondents found in the sample regions. The result of the Gini-coefficient indicated that disparity in educational provision has been reduced over the past couple of decades both at primary (0.145 to 0.032) and secondary levels (0.277 to 0.126). Emerging regions are by far lagging behind the central and established regions. The sources of variation were mainly the demand-side variables, especially the economic and contextual related issues like drought and conflicts. Therefore, educational policies designed at the central level are advised to consider the strategies to bridge the existing inequalities through equitable provision of the education system to its citizen.

Abstract Geographic Information System and Remote Sensing played an important role in analyzing environmental and socio-economic drivers that created favorable condition for malaria breeding as well as in identifying hazard and risk areas. This study gives great emphasis on mapping malaria hazard and risk areas in Gedio zone of SNNPs using geospatial technology. The study identifies two major drivers like Environmental (physical) factors: which provide for the endurance of mosquitoes and Socio-economic factors. The above data were presented and analyzed quantitatively. The content analysis shows that Malaria hazard prevalence areas were mapped based on the environmental factors which are potential of providing good environmental conditions for mosquito breeding. The hazard map was produced using elevation, slope, proximity to breeding sites, and soil type as the factors for breeding mosquitoes. The malaria hazard analysis of the Gedio zone revealed that from the total area, 9.83%, 35.29% is mapped as a very high and high-risk area, whereas, the remaining 38.73%, a 16.14%, and 0.01% were mapped as moderate, low, very low level of malaria hazard respectively. The total area of the study area more than 1/3rd of the area is identified as a very high and high malaria risk area while the rest 2/3rd of an area is considered as a moderate to very low hazard risk zone. Accordingly, very high malaria risk area is found around towns because of population density. Finally, I recommend that the concerned body should have to expand health center, creating awareness of society, especially around populated areas where the risk is high and environmental and individual sanitation can reduce the risk of malaria.

Memristors were proposed in the early ’70s of the XXth century by Leon Chua as a new electrical element linking the charge and the flux. Since that first introduction, these devices have positioned themselves to be considered as possibly fundamental for the new generations of electronic devices. It has to be mentioned that actual memristors have only been recognized to exist as physical elements. In this paper, we apply a modeling framework to generate a model describing experimental measurements performed on a ReRAM. We show how to apply the Dynamic Route Map technique in the general case to obtain an approximation to the differential equation that determines the behaviour of the device.

The sudden onset of the Covid-19 pandemic disrupted the modern multi-national interconnected society and led the countries and societies to enforce unprecedented restrictions on movement. Among myriad containment measures, the policy of trace and quarantine found universal adoption among countries; the swift adoption of the policy was soon met with widespread criticism and opposition activists who questioned the utility and the risk associated with such a large scale collection of data and infringement on the movement of individuals. Consequently, one often tends to be either pro- or anti-trace and quarantine; the ensuing polarizing and politicized left little room for nuance. In this work, we undertake a methodology study to understand the nuances of the impact of different implementations of trace and quarantine. To this end, we design a user-friendly and intuitive tool that can be employed by experts to model the disease dynamics and societal structure. We focus on the study of the cost of policy with respect to quarantine degree, which captures the distance between the person required to quarantine after a person is detected to be infected. Our study results in a surprising conclusion: the cost is not necessarily monotone with respect to the degree of quarantine. Our analysis indicates that governments must curb the urge to adopt simplistic policy and the optimal policy of trace and quarantine for a country strongly depends on its societal structure and disease dynamics.

(1) Background: With continuous globalization and modernization of people's lives, lifestyle has changed dramatically, with decreased physical activity and increased unhealthy eating patterns in many nations throughout the world. With the COVID-19 pandemic and changes taking place in people’s health and lifestyles around the world, the need for rehabilitation is expected to rise in the coming years.(2)Methods: This paper analyzes the integration model of sports and health care using theoretical analysis, literature reviews, logical reasoning, and other methods.(3)Results: The integration of sports and health care in China has entered the stage of practical implementation after many years of development, forming a few representative integration patterns. Governments, communities, community hospitals, hospitals, and third-party institutions are the main participants, with the community playing an important role in the integration. Pharmacies, sports venues, and schools with sufficient staff have a relatively low participation rate.(4)Conclusion: The grading treatment has been applied in health management and sports rehabilitation, based on the development of digital medicine, a government-led grading treatment model of "health management center" can promote the participation of multiple subjects in the integration of sports and health care, solving the problems existing in the current integration process to a certain extent.

Heat and power cogeneration plants based on fuel cells are interesting systems for energy- conversion at low environmental impact. Different fuel cells have been proposed, but experimental testing rigs are expensive and the development of commercial systems is time consuming if based on fully experimental activities. Furthermore, tight control of operation of fuel cells is compulsory to avoid damage, which must be based on accurate models, able to predict the cell behaviour and prevent stresses and shut-down. Some selected examples of steady state, dynamic and fluid dynamic modelling of different types of fuel cells are proposed, mainly PEMFC and SOFC type. The general ideas behind the thermodynamic, kinetic and transport description are recalled, with some examples of models derived for single cells, stacks and integrated power co-generation units.

The objective of this work was to determine the antimicrobial properties of an allium-based antimicrobial formulation named VEG’LYS (https://phytoauxilium.com/) on the growth of plant pathogenic microorganisms such as fungi, oomycetes, and bacteria. Two anthracnose-related species of the fungal genus Colletotrichum, C. gloeosporioides, and C. fragariae, the oomycete Phytophthora cactorum and the bacterium Xanthomonas fragariae associated with strawberry plants and two fungi Alternaria dauci and Botrytis cinerea, associated with carrot plants were tested in vitro. In in planta experiments, A. dauci and B. cinerea were used.. VEG’LYS inhibited the growth of all plant pathogens tested. We found that both curative and preventive in planta treatments with VEG’LYS inhibited the growth of A. dauci and B. cinerea in carrot. Furthermore, after spraying VEG’LYS on carrot plants the expression of the Pathogenesis-related (PR) 10 gene correlated with the magnitude of infection both in treated and untreated plants. Additionally, it has been shown, that the field application of VEG’LYS on strawberry plants results in a reduction of bacterial and fungal pathogens of strawberry fruits stored in refrigerator. In summary, VEG’LYS is a potential resistance inducer that seems to be suitable for use in both curative and preventive treatments to reduce the diseases and rotting of fruits and vegetables caused by different plant pathogens.

A half-harmonic oscillator, which gets its name because the coordinate is strictly positive, has been quantized and determined that it was a physically correct quantization. This positive result was found using affine quantization (AQ). The main purpose of this paper is to compare results of this new quantization procedure with those of canonical quantization (CQ). Using Ashtekar-like classical variables and CQ, we quantize the same toy model. While these two quantizations lead to different results, they both would reduce to the same classical Hamiltonian if $\hbar\rightarrow0$. Since these two quantizations have differing results, only one of the quantizations can be physically correct. Two brief sections illustrate how AQ can correctly help quantum gravity and the quantization of most field theory problems.

This study aims to systematically review and meta-analyze the nitro-oxidative stress (O&NS)/antioxidant (ANTIOX) ratio in the peripheral blood of people with mild cognitive impairment (MCI). We searched PubMed, Scopus, Google Scholar, and Web of Science for articles published from inception until July 31, 2021. Forty-six studies on 3.798 MCI individuals and 6.063 healthy controls were included. The O&NS/ANTIOX ratio was significantly higher in MCI than in controls with a Standardized Mean Difference (SMD)=0.378 (95% CI: 0.250; 0.506). MCI individuals showed increased lipid peroxidation (SMD=0.774, 95%CI: 4.416; 1.132) and O&NS-associated toxicity (SMD=0.621, CI: 0.377; 0.865) and reduced glutathione (GSH) defenses (SMD=0.725, 95%CI: 0.269; 1.182) as compared with controls. MCI was also accompanied by significantly increased homocysteine (SMD=0.320, CI: 0.059; 0.581), but not protein oxidation, and lowered non-vitamin (SMD=0.347, CI: 0.168; 0.527) and vitamin (SMD=0.564, CI: 0.129; 0.999) antioxidant defenses. The results show that MCI is at least in part due to increased neuro-oxidative toxicity and suggest that treatments targeting lipid peroxidation and the GSH system may be used to treat or prevent MCI.

In the present work, cost-effective strain gauges were fabricated by using inkjet printing and photonic curing on flexible and recyclable PET substrates. Ohmic resistance (a.k.a. DC resistance) (R0) and complex electrical impedance (Z) as a function of test frequency were characterized, respectively, with the state-of-the-art electronic testing equipments. For the fabrication process, commercially available silver nanoparticle (AgNP) inks and printing substrates were used in order to eliminate any apriori ink processing. In order to validate the in-house cantilever beam measurement setup and devices, first, commercially available metallic foil strain gauges (with the provided gauge factor GF=2 by the manufacturer) were tested at different locations. Thereafter, the printed strain gauges were investigated with several repetitions at different measurement locations. The measurement results demonstrated an affordable, rapid and tailorable design and repeatable fabrication approach for strain gauges with GFavg~6.6, which has potential applications in remote sensing and structural monitoring applications.

With the recent coronavirus pandemic (Covid-19) online sales of clothing retail have become a necessity to survive in the market. It is for this reason that the objective of the research was to know the purchase intention of clothing by young consumers through the online channel of small and micro companies (MiPyMe) located in the countries of Mexico, Colombia and Peru. To do this, using a structural equations model, it was intended to analyze the relationships between the variables trust, satisfaction, perceived value, quality of interaction and image in the electronic context as antecedent variables of online purchase intention, in accordance with the theoretical framework. 638 surveys were applied to young consumers in Mexico, Colombia and Peru. Sociodemographic characteristics included gender, age, country, and knowledge of a MiPyMe online clothing store. The results reveal that, of the total of young people surveyed, 62.7% stated that they did not know of any online clothing store of a MiPyMe. The contrasting of the hypotheses indicates that the quality of interaction directly and positively influences perceived value, that the image directly and positively influences the satisfaction and purchase intention of the consumer of the MiPyMe of Colombia, Mexico and Peru. These results may be useful for entrepreneurs in this business sector to rethink their online business strategies, as well as for the governments of these nations to promote this sector with training and specialized technical assistance.

Research indicates that farmers’ demographic characteristics and production practices have safety and health implications. However, current systems do not identify organic farmers independently from conventional farmers, and literature on how organic and conventional farmers compare is very limited. We conducted a secondary analysis of 2012 Census of Agriculture data to compare organic and non-organic farms and principal operators (POs) in New Mexico (NM). Organic farms were smaller in size, and POs of farms with organic sales were significantly younger (55.8±9.5 vs. 60.5±5.5 years) and less experienced (19.5±6.8 vs. 25.2±6.8 years). Significant differences were also found in POs ethnicity, race, and primary occupation. More farms with organic sales had a female PO compared to farms with non-organic sales (27% vs. 19%). Other significant differences related to work arrangements, household income, living conditions, and access to Internet. National surveys and regional studies may not accurately typify and describe the local organic producer, which is essential in order to advance policy, develop health interventions, and properly address occupational safety and risk among organic farmers. This study makes a unique contribution to understanding the importance of surveillance and collecting place-based data that are specific to the organic producer.

Appling the controlling relative permittivity and permeability in the equations for the gravitational-magnetic-electric field interaction, a very large variation of the gravitational acceleration of the Earth by electric/magnetic field could be arrived at. This conclusion may be supported by some of the experiments for the gravitational effect of superconductivity.

Artisanal goldminers in Ghana are exposed to various levels and forms of health, safety and environmental threats. Without the required legislation and regulations, artisanal miners are responsible for their own health and safety at work. Consequently, understanding the probabilities of self-protection at work by artisanal goldminers is crucial. A cross-sectional survey of 500 artisanal goldminers was conducted to examine the probabilities of personal protective equipment use among artisanal goldminers in Ghana. The data was subjected to both descriptive and inferential statistics. Initial findings showed that personal protective equipment use among artisanal miners was 77.4%. Overall, higher probabilities of personal protective equipment use was observed among artisanal goldminers who work in good health and safety conditions as compared to artisanal miners who work in poor health and safety conditions. Also, personal protective equipment use was more probable among the highly educated artisanal goldminers, miners who regularly go for medical screening and the most experienced miners. Additionally, personal protective equipment use was more probable among artisanal miners who work in non-production departments and miners who work in the medium scale subsector. Inversely, personal protective equipment use was less probable among female artisanal miners and miners who earn more monthly income ($174 and above). To increase self-care and safety consciousness in artisanal mining, there is the need for a national occupational health and safety legislation in Ghana. Also, interventions and health promotion campaigns for better occupational conditions in artisanal mining should target and revise the health and safety related workplace programs and conditions

The importance of diet and the gut-brain axis for brain health and cognitive function is increasingly acknowledged. Dietary interventions are tested for their potential to prevent and/or treat brain disorders. Intermittent fasting (IF), the abstinence or strong limitation of calories for 12 to 48 hours, alternated with periods of regular food intake, has shown promising results on neurobiological health in animal models. In this review article, we discuss the potential benefits of IF on cognitive function and the possible effects on the prevention and progress of brain-related disorders in animals and humans. We do so by summarizing the effects of IF which - through metabolic, cellular and circadian mechanisms - lead to anatomical and functional changes in the brain. Our review shows that there is no clear evidence of a positive short-term effect of IF on cognition in healthy subjects. Clinical studies show benefits of IF for epilepsy, Alzheimer’s disease and multiple sclerosis on disease symptoms and progress. Findings from animal studies show mechanisms by which Parkinson’s disease, ischaemic stroke, autism spectrum disorder and mood- and anxiety disorders could benefit from IF. Future research should disentangle whether positive effects of IF hold true regardless of age or the presence of obesity. Also, variations in fasting patterns, total caloric intake and intake of specific nutrients may be relevant components of IF success. Longitudinal studies and Randomized Clinical Trials (RCTs) will provide a window into the long-term effects of IF on the development and progress of brain-related diseases.

Rural landscapes all over the world are subject to great transformations, first of all the continuous and slow depopulation of land and villages. It is a dramatic phenomenon that causes devastating consequences for environmental systems and for the tangible and intangible heritage of entire territories. The situation becomes more ambiguous when it comes to cultural landscapes, especially those internationally recognized as exceptional (i.e. inscribed on the UNESCO World Heritage List). In this case, the risk is to abandon agricultural production in favor of consumerist tourist economies, which can damage the territorial authenticity. In this paper we question the role of the landscape project in strengthening territorial resilience. In particular, a composite and interdependent action is proposed between landscape design and implementation of a multifunctional agriculture model, oriented towards teaching and tourism. To undertake this investigation, a master's thesis work on Landscape Architecture is examined, as an opportunity for a research-by-design method. The application case is the Italian UNESCO site of Vignale Monferrato, a depopulated rural village, characterized by abandoned land and buildings. The paper concludes by outlining replicability application scenarios for the proposed model.

Wearable vital signs monitoring and specially the electrocardiogram have taken important role due to the information that provide about high-risk diseases, it has been evidenced by the needed to increase the health service coverage in home care as has been encouraged by WHO. Some wearables devices have been developed to monitor the ECG in which the location of the measurement electrodes is modified respect to the Einthoven model. However, mislocation of the electrodes on the torso can lead to the modification of acquired signals, diagnostic mistakes and misinterpretation of the information in the signal. This work presents a volume conductor evaluation and an ECG signal waveform comparison when the location of electrodes is changed, to find a electrodes’ location that reduces distortion of interest signals. In addition, effect of motion artifacts and electrodes’ location on the signal acquisition are evaluated. A group of volunteers was recorded to obtain ECG signals, the result was compared with a computational model of the heart behavior through the EA ECG, DTW and SNR methods to quantitatively determine the signal distortion. It was found that while the Einthoven method is followed, it is possible to acquire the ECG signal from the patient’s torso or back without a significant difference, and the electrodes position can be moved 6cm at most from the suggested location by the Einthoven triangle in Mason-Likar’s method.

When dealing with galactic dynamics, or more specifically, with galactic rotation curves, one basic assumption is always taken: the frame of reference relative to which the rotational velocities are given is assumed to be inertial. In other words, fictitious forces are assumed to vanish relative to the observational frame of a given galaxy. It might be interesting, however, to explore the outcomes of dropping that assumption; that is, to search for signatures of non-inertial behavior in the observed data. In this work, we show that the very discrepancy in galaxy rotation curves could be attributed to non-inertial effects. We derive a model for spiral galaxies that takes into account the possible influence of fictitious forces and find that the additional terms in the new model, due to fictitious forces, closely resemble dark halo profiles. Following this result, we apply the new model to a wide sample of galaxies, spanning a large range of luminosities and radii. It turns out that the new model accurately reproduces the structures of the rotation curves and provides very good fittings to the data.

This research project focuses on the optimization of the hybrid energy system together with the assistance of thin-film coatings aiming to achieve self-sustainable food and crop storage facilities which will run effectively with its own generated energy. An infrastructure will be designed and constructed that will comprise a hybrid power generation system accompanied by thin-film coated semitransparent and non-transparent construction materials for energy saving. Thin-film low emissivity (Low-E) type coatings will assist the transparent or semitransparent construction materials to reflect most of the infrared (IR-mostly heat) and UV spectra of sunlight without interrupting the visible spectrum and will lead to saving energy consumption by reducing the heat and lighting during day time

The purpose of this article was to check the effects on health of various types of physical activities, diet, BMI, smoking and alcohol consumption and their interrelationships with control for age, sex and level of education. The study was based on epidemiological data (9617 participants from 19 to 81 years old for whom we have health indicators over a period of 11 years) together with questionnaires about diet, alcohol, tobacco and the frequency of different types of physical activities. Descriptive statistics and non-parametric correlational analysis of epidemiological data was performed with use of SPSS v.19. Our results indicate the existence of the significant relationship between leading a healthy life style (type of physical activities, limitations of fats consume and weight maintenance). However, the different categories of physical activities were analysed separately and showed slight differences on health indicators impacts. Our findings confirm that leading a healthy life style (all types of physical activities, limitations of fats consume and weight maintenance) is an important issue since it has a significant relationship with physical and mental health indicators, but outdoor physical activities and practicing sport in group have shown slightly higher impact on health.

As a system becomes more complex, at first, its description and analysis becomes more complicated. However, a further increase in the system’s complexity often makes this analysis simpler. A classical example is Central Limit Theorem: when we have a few independent sources of uncertainty, the resulting uncertainty is very difficult to describe, but as the number of such sources increases, the resulting distribution get close to an easy-to-analyze normal one – and indeed, normal distributions are ubiquitous. We show that such limit theorems make analysis of complex systems easier – i.e., lead to blessing of dimensionality phenomenon – for all the aspects of these systems: the corresponding transformation, the system’s uncertainty, and the desired result of the system’s analysis.

Abstract: Background: Intensity modulated radiotherapy (IMRT) is still a standard of care for radiotherapy in locally advanced head and neck cancer (LA-HNSCC). Simultaneous integrated boost (SIB) and moderate hypofractionation offer an opportunity for individual dose painting and a reduction in overall treatment time. We present retrospective data on toxicity and locore-gional control of a patient cohort with LA-HNSCC treated with an IMRT-SIB concept in compar-ison to normofractionated 3D-conformal radiotherapy (3D-RT) after a long-term follow-up. Methods: Between 2012 and 2014, n=67 patients with HNSCC (stages III/IV without distant me-tastases) were treated with IMRT-SIB either definitively (single/total doses: 2.2/66 Gy, 2.08/62.4 Gy, 1.8/54 Gy in 30 fractions) or in the postoperative setting (2.08/62.4 Gy, 1.92/57.6 Gy, 1.8/54 Gy). These patients' clinical courses were matched (for sex, primary, and treatment concept) as part of a matched-pair analysis with patients treated before mid-2012 with normofractionated 3D-CRT (definitive: 2/50 Gy followed by a sequential boost up to 70 Gy; postoperative: 2/60-64 Gy). Chemotherapy/ immunotherapy was given concomitantly in both groups in the definitive situation (postoperative dependent on risk factors). The primary endpoints were acute and late toxicity; the secondary endpoint was locoregional control (LRC). Results: Sixty-seven patients treated with IMRT-SIB (n = 20 definitive, n = 47 adjuvant) were matched with 67 patients treated with 3D-RT. There were minor imbalances between the groups concerning nonmatching variables such as extracapsular extension (ECE) and chemotherapy in IMRT-SIB. Significantly less toxicity was found in favor of IMRT-SIB concerning dysphagia, ra-diation dermatitis, xerostomia, fibrosis, and lymphedema. After a median follow-up of 63 months, the median LRC was not reached (IMRT-SIB) vs. 69.5 months (3D-RT) (p=0.63). Conclusions: This moderately hypofractionated IMRT-SIB concept was shown to be feasible with less toxicity than conventional 3D-RT in this long-term follow-up observation.

When the antioxidants in our immune system cannot neutralize or convert Reactive oxygen species into safe molecules at the rate at which it is produced then this imbalance is termed as “oxidative stress”. It is related with a wide array of diseases that includes cancer, diabetes, cardiovascular diseases, hypertension etc. These ROS species however are utmost essential for the proper functioning of human body which are produced as a consequence of partial oxidation of cellular metabolism performing essential functions such as protein phosphorylation, activation of several transcriptional factors, apoptosis, immunity, and differentiation. The sources by which these are produced can be broadly classified are intrinsic and extrinsic sources. There are variety of natural antioxidant enzymes of human body that combat against this oxidative stress. The extrinsic sources of ROS include the use of natural plants, extracted flavonoids and vitamins. In this review we will briefly explain how the sources of ROS, its essential function in human body, its elevation and associated damage to organs and effect on various diseases, and a hope of finding a way of how this oxidative stress can be exploited for therapeutic potential.