To evaluate the used and End-of-Life tyre management chains, both direct observation and interviews with approximately 200 used-tyre dealers were conducted. The study revealed that while the used tyre business is well-organized, End-of-Life tyre treatment is nearly non-existent, often involving dumping, open burning for metal recovery, or use in meat processing, causing environmental and health risks. To address these challenges, an 8 t/hr capacity tyre recycling plant is planned, based on estimated tyre availability and development opportunities for sustainable recycling in Togo.

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

This paper explores in depth the mechanism of enterprise digital capability effects in supply chain digital development by reconstructing the supply chain cooperation capabilities (digital diffusion capability and digital collaborative capability). We use the questionnaire data covering 272 Chi-nese manufacturing enterprises and apply a structural equation model to test the hypothesis. The results show that enterprise digital capability does not directly have a significant impact on sup-ply chain digitalization, and the supply chain cooperation capabilities play mediation role be-tween enterprise digital capability and supply chain digitalization. The results are robust due to we thoroughly consider the action boundary of enterprise capabilities, and verify the systematic requirements of supply chain digitalization and the high-order of enterprise digital capability. These provide a theoretical basis for enterprises to promote the digital transformation of supply chain through digital technology.

When experiencing a variety of family negative events, families recognized as having high family resilience maintain and improve family functioning. It is important, therefore, to be able to assess families lacking in family resilience in order to prevent, reduce, or ameliorate family symptoms. The purpose of this study was to clarify the state of exerted family resilience in order to create an assessment scale for insufficiencies in family resilience (IFR). Family resilience is defined as “when a family becomes aware of family symptoms, its power to autonomously and actively improve its own family functions.” The results of a literature review of 22 cases from 16 studies on family resilience and the results of 28 semi-structured interviews with 28 parenting-age families in Japan were qualitatively categorized, and directed content analysis was conducted based on the Concentric Sphere Family Environment Theory. A total of 157 labels, with a total of 23 categories and 47 subcategories, such as “Can utilize relatives,” “Family members can communicate with members of other families,” “Family members can share information,” “All family members can communicate with one another,” “All family members can cooperate with one another,” and “Can share time with family,” was revealed. Thus, a variety of diverse aspects contributing to a family’s resilience, including family member interactions, entire family interactions, use of social resources, and religious and spiritual support, were revealed. The results of this study should be linked to the creation of the IFR.

Interstitial pneumonia is a general term for diseases in which inflammation occurs mainly in the interstitium of the lung. It is also pointed out that interstitial pneumonia reduces alveolar function and makes it difficult to take in oxygen through inspiration, causing symptoms such as dyspnea and coughing, which may eventually lead to respiratory failure. At present, there is no effective treatment and only conservative treatment exists. This time, we report that the therapeutic effect was confirmed in patients with interstitial pneumonia who took platinum-palladium. In this case, improvement tendencies were observed in patients with Idiopathic pulmonary fibrosis (IPF), but improvement tendencies were also observed in many other lung diseases. In order to explore the mechanism, AMPK was measured at the in vitro level, and blood KL-6 and hydrogen peroxide levels in the patient were measured at the in vivo level. AMPK values were significantly elevated by more than 800%, KL-6 and hydrogen peroxide levels were also significantly decreased by drinking platinum-palladium. Platinum-palladium exhibits a strong antioxidant effect and is the only substance in the world that can approach all four types of active oxygen. In addition, when it was actually administered to patients, there were cases of dramatic improvement, and it was confirmed that KL-6, a parameter of lung function, decreased in 16 out of 32 patients As the number of cases is expected to increase in the future, the substance is expected to be effective as a drug, although it is currently classified as a soft drink.

This study describes the development of an optical-based surface plasmon resonance (SPR) aptasensor for the detection of cocaine. The aptasensor was prepared by first attaching gold nanoparticles to a clean SPR chip surface, followed by the addition of an aptamer to create a modified surface. This surface was characterized using Contact Angle and Atomic Force Microscopy, revealing surface roughness values of 0.28 nm and 28.12 nm for the blank and modified surfaces, respectively. The detection of cocaine was carried out in the concentration range of 1 ng/mL to 1000 ng/mL, with a detection time of approximately 8 minutes and a cocaine limit of detection (LOD) of 0.43 ng/mL. Repeatability studies were conducted, and the stability of the signal response was examined at a concentration of 200 ng/mL. Adsorption isotherm models, including Scatchard, Langmuir, and Freundlich, were calculated to assess the surface homogeneity of the SPR aptasensor chip, with the results indicating compatibility with the Langmuir isotherm model.

Baijiu is popular with its long history and balanced flavor, and flavor type was the most widely used classification mode for Baijiu. However, the evolution relationship of Baijiu flavor types and the differential markers between flavor types are still unclear, which has greatly affected the development of Baijiu industry. In this study, a total of 319 trace components were identified by gas chromatography-olfactometry-mass spectrometry and gas chromatography-mass spectrometry. Among them, 91 trace components with high odor active values or taste active values were recognized as flavor components. Then random forests were conducted to screen differential markers between derived and basic flavor types, and principal component analysis was carried out to evaluate their effectiveness in distinguishing the flavor types of Baijiu. Finally, 19 differential markers were screened and proved to effectively reveal the evolution Baijiu flavor types, and were further verified as key differential markers by addition test and correlation analysis.

Covalent drugs can offer significant advantages over noncovalent drugs, in terms of pharmacodynamics (i.e. target-binding properties). However, the development of covalent drugs is sometimes hampered by pharmacokinetic limitations (e.g. low bioavailability, rapid metabolism, and toxicity due to off-target binding). Polymeric nanoparticles offer a potential solution to these limitations. Delivering covalent drugs via polymeric nanoparticles provides myriad benefits in terms of drug solubility; permeability; lifetime; selectivity; controlled release; and the opportunity for synergistic administration alongside other drugs. In this short review, we examine each of these benefits in turn, illustrated through multiple case-studies.

Background/Objectives: The primary life-threatening complication in Spinal-bulbar muscular atrophy (SBMA) is ventilatory failure, which results from the weakening of the bulbar and respiratory muscles. However, systematic studies assessing respiratory function over the long-term have not been performed. The present study analyzes the longitudinal patterns of respiratory function tests over a follow-up of 11 years, aiming to identify any potential, sustained decline during this time. Furthermore, we explored possible correlations between respiratory function tests and clinical and biochemical serum indices. Methods: We collected data from 9 genetically confirmed SBMA patients and conducted spirometric measurements twice a year for eleven years. The spirometric data included maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), and forced vital capacity (FVC)]. Additionally, we measured serum biochemical indices and SBMA functional rating scale (SBMAFRS) for clinical analysis. Results: All three respiratory function tests showed a descending trend. A major decrease was observed for MEP (52%) and MIP (42%), while this was minor for FVC (25%). SBMAFRS score correlated with the three pulmonary function tests. MIP and MEP correlated with creatine phosphokinase and creatinine levels, and FVC correlated with serum level of transaminases. Conclusions: This longitudinal study shows a progressive decline of spirometric data throughout life in patients with SBMA. Spirometric measures relative to maximal strength of the respiratory muscles (MIP and MEP) may have a better predictive value for pulmonary and muscular decline than FVC.

Macular pigment optical density (MPOD) is an important clinical biomarker for ocular conditions like macular degeneration, diabetic eye disease, and digital eye strain. Additionally, its measurements can be essential in health assessment for visual function, systemic diseases, and brain health. We aimed to assess the repeatability, agreement, and effects of the learning curve of the new portable handheld heterochromatic flicker photometer, Zx Pro, in measuring MPOD in a wide age range of ocular-healthy adults, compared to the MPOD measurements obtained using the clinically available QuantifEye device. Seventy-six participants performed one practice at-tempt and two study-related MPOD measurements with the Zx Pro and the QuantifEye. The Pearson correlation between the study-related MPOD measurements for Zx Pro and QuantifEye devices was 90% and 85%, respectively. Altman and Bland plots show excellent agreement between the device's MPOD data, with 95% limits of an agreement being -0.10 to +0.11 du. The mean difference between the practice attempt and the study-related measurements was not statistically significant for Zx Pro but was significant for QuantifEye (Repeated measures ANOVA p=0.325 and p=0.015, respectively). The Zx Pro provides excellent repeatable MPOD measurements, has an insignificant learning curve, and is in good agreement with the predicate device.

A prospective longitudinal study of 54 patients who underwent intestinal anastomosis and were started on early enteral nutrition at the University Hospital of the Central University of Venezuela (November 2022 to September 2023), all of them fulfilled the inclusion criteria. Taking as early enteral nutrition two study groups: GROUP 1 tolerance at 24 hours and GROUP 2. Tolerance at 48 hours. Hospital stay and complications were evaluated. Of the 54 patients 40(74.1%) were operated on in emergency surgery 46(85.2%) patients were male. There was no difference in the mean ages of the two diet groups (P=0.254), the mean age was 33.9/14.8 years. There was no statistically significant difference (P=0.086) in the mean number of days of hospitalization (4.7/2.4 days) between patients according to the type of diet. Vomiting occurred in 20.37%, with no statistically significant differences between the groups of patients with diet 1 and 2. There were 2 (3.7%) cases of leakage that required reintervention, and this complication was not associated with the initiation of a particular type of diet, type of surgery, surgical time or site of injury. Early enteral nutrition is a viable option in patients undergoing intestinal anastomosis, is not associated with the incidence of dehiscence, is well tolerated by the patients, has acceptable complications, most frequently associated with vomiting, and reduces hospital stay.

Background and Purpose: Moyamoya disease is a rare cerebrovascular disorder characterized by stenosis of the carotid arteries and the formation of collateral vessels at the base of the brain. While advances have been made in understanding its genetics, diagnostic criteria, and treatment strategies, further research is needed. The purpose of this literature review is to synthesize current knowledge on Moyamoya disease and identify areas for future study. Materials and Methods: A literature search of databases including PubMed, Embase, and Web of Science was conducted. Search terms included "Moyamoya disease" and related terms. Only English articles were reviewed, with no date restrictions. Relevant data was extracted and synthesized. Results: Key findings indicate that genetic factors such as RNF213 variants play an important role in disease susceptibility. Imaging modalities such as MRI and CT angiography are crucial for diagnosis. Surgical revascularization shows superior outcomes compared to medical management for ischemic and hemorrhagic presentations. However, optimal treatment for asymptomatic cases remains unclear. Neurocognitive and psychiatric sequelae can negatively impact quality of life. Promising research directions include investigating ethnic differences, developing biomarkers, and exploring novel therapeutics targeting molecular pathways. Conclusions: In summary, comprehension of Moyamoya disease has significantly progressed but gaps remain regarding treatment of certain populations and underlying mechanisms. Further research addressing these areas can aid in developing personalized care approaches and new interventions to improve patient outcomes

In this study, we address the need for improved landslide forecasting by exploring innovative machine learning approaches to classify shallow landslide events. Focusing on Ometepe Island, Nicaragua, known for its susceptibility to hydrometeorological incidents and seismic activities, we constructed a comprehensive shallow landslide database using coherence layers derived from SAR images. We applied coherence thresholds ranging from 0.9 to 0.99, in conjunction with 7-day aggregated spatio-temporal precipitation data. By employing machine learning models such as Logistic Regression, Random Forest, and Support Vector Classifier, we established a correlation between precipitation patterns and landslide occurrences. The Support Vector Classifier with a Sigmoidal kernel proved to be the most effective, achieving an F1 score of 0.67. Our results demonstrate a linkage between precipitation and landslide events, confirming the critical role of rainfall over 7-day periods in triggering these events. The study also indicates that, while rainfall is a crucial factor, it is not the sole trigger for landslides, as seismic activities also play a significant role. This research contributes valuable insights into landslide prediction and risk assessment, underscoring the potential of machine learning in enhancing environmental hazard analysis.

The human brain is highly dependent on oxygen, utilizing approximately 20% of the body’s oxygen at rest. Oxygen deprivation to the brain can lead to loss of consciousness within seconds and death within minutes. Recent studies have identified regions of the brain with spontaneous episodic hypoxia, referred to as "hypoxic pockets." Hypoxia can also result from impaired blood flow due to conditions such as heart disease, blood clots, stroke, or hemorrhage, as well as from reduced oxygen intake or excessive oxygen consumption caused by factors like low ambient oxygen, pulmonary diseases, infections, inflammation, and cancer. Severe hypoxia in the brain can manifest symptoms similar to Parkinson’s disease (PD), including cerebral edema, mood disturbances, and cognitive impairments. Additionally, the development of PD appears to be closely associated with hypoxia and hypoxic pathways. This review seeks to investigate the molecular interactions between hypoxia and PD, emphasizing the pathological role of hypoxic pathways in PD and exploring their potential as therapeutic targets.

To investigate the composition of caproic acid-producing bacterial communities in sub-high-temperature Daqu, we analyzed four different Daqu samples from Sichuan. After enriching the samples with a specialized medium, we performed high-throughput sequencing of 16S rRNA gene amplicons on the metagenomic DNA from both the Daqu samples and the enrichment cultures. Our analysis focused on identifying and characterizing the caproic acid-producing bacterial communities present in Daqu. The results revealed that enrichment increased both the diversity and abundance of potential caproic acid-producing bacteria in Daqu. The predominant caproic acid-producing bacteria, with a relative abundance greater than 1%, included Clostridium sensu stricto 18 (2.19% to 69.00%), Clostridium sensu stricto 15 (1.76% to 7.65%), as well as smaller amounts of Clostridium sensu stricto 12, Clostridium sensu stricto 1, Clostridium sensu stricto 10, Clostridium sensu stricto 7, and Caproiciproducens. Specifically, Q1 Daqu was characterized by the presence of Clostridium sensu stricto 18 and Clostridium sensu stricto 15. Q2 Daqu featured Clostridium sensu stricto 1, Caproiciproducens, and Clostridium sensu stricto 18. Q3 Daqu included Clostridium sensu stricto 18 and Caproiciproducens. Q4 Daqu contained Clostridium sensu stricto 18 and Clostridium sensu stricto 1. These findings indicate that there are variations in the composition of caproic acid-producing bacterial communities among different sub-high-temperature Daqu samples from Sichuan. This preliminary analysis provides a theoretical basis for further studies on caproic acid bacteria in Daqu and offers insights into the development of high-quality Daqu, which may enhance the quality of Nongxiangxing liquor.

(1) Background: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a lifesaving treatment but carries a high infection risk. Diagnosing infections remains challenging due to the limited accuracy of standard biomarkers. (2) Methods: This single-center study aimed to evaluate presepsin (PSP) and YKL-40 as infection biomarkers in febrile patients during the allo-HSCT pre-engraftment phase. Biomarker levels were prospectively measured in 61 febrile episodes from 54 allo-HSCT patients at admission, representing baseline levels and then at Day 1, 3, 5, and 7 following fever onset. The diagnostic value was compared to that of procalcitonin (PCT). (3) Results: PSP showed fair diagnostic value on Day 1 (AUC 0.656; 95% CI: 0.510 – 0.802) and Day 3 (AUC 0.698; 95% CI: 0.559 – 0.837). YKL-40 did not provide any significant diagnostic value across measured time points. PCT outperformed PSP and YKL-40, particularly on Day 3 (AUC 0.712; 95% CI: 0.572 – 0.852). When combining biomarkers, the best model for predicting infection used PSP > 3.144 ng/mL and PCT > 0.28 g/L on Day 3, resulting in R2 of about 31% (p < 0.001). (4) Conclusion: Neither test showed sufficient discriminative power for early infection to recommend their use as individual diagnostic tools in clinical practice.

The development of transport infrastructure is a key element of economic growth, social connectivity, and sustainable development. Many countries have historically underinvested in transport infrastructure, necessitating more efficient strategic planning in transport infrastructure investment projects implementation. This article addresses the selecting and scheduling of transport infrastructure projects, specifically within the context of drawing available resources from pre-allocated funds within a multi-annual budget investment program. The current decision-making process is largely based on expert judgment, lacking quantitative decision support methods. The authors propose a genetic algorithm as a decision-support tool that frames the problem as an NP-hard 0-1 multiple knapsack problem. The proposed genetic algorithm is unique for its matrix-encoded chromosomes, specially designed genetic operators, and a customized repair operator, which is implemented to address the large number of invalid chromosomes generated during the GA computation. The goal is to maximize the impact of allocated funds over a seven-year programming period, while respecting constraints specified by the funding authorities. In computational experiments, proposed GA is compared to an exact solution and is proved to be efficient in terms of quality of obtained solutions and computational time, highlighting its potential for enhancing strategic decision-making in transport infrastructure development.

Summary: Hypertension is a public health problem with serious social, economic, and health consequences. The World Health Organisation (WHO) estimates that 1 in 3 adults worldwide suffers from hypertension. In Cameroon, the prevalence of hypertension is estimated at 35%, with nearly 17,000 deaths recorded each year. This study aimed to determine the factors associated with the occurrence and complications of hypertension at the Sangmélima Referral Hospital (HRS). A total of 528 patients treated in the cardiology department of the HRS were identified between January and December 2023. The data were analyzed using SPSS 28 software. Binary logistic regression determined the odds ratios and 95% confidence intervals associated with each variable. Differences were statistically significant for a p-value &lt; 0.05. At the HRS, the annual incidence of hypertension was 16.13%. Hypertension was present in 78.8% of patients. The factors associated with the occurrence and complications of hypertension were age (OR=1.028; p=0.003 ), level of education (OR=15.49; p=0.023), marital status (OR=3.859; p=0.04), hypercholesterolemia (OR=2.856; p=0.01), monthly income (OR=0.882; p=0.026), number of dependents (OR=1.231; p=0.025), food security (OR=16.666; p&lt;0.001), tobacco consumption (OR=8.592; p=0.041), fruit and vegetable consumption (OR=0.027; p=0.031), salt/sugar consumption (OR=8.129; p&lt;0.001), place of residence (OR=4.794; p=0.005), access to essential technologies (OR=8.851; p=0.002), and use of traditional care (OR=3.137; np=0.032). HTA at the HRS is associated with several factors. In order to limit the impact of hypertension, it is crucial to emphasize improving socioeconomic and health conditions.

Optimization is critical in various fields like smart vehicles, and transportation. Federated Learning (FL) has emerged as an effective approach in the coordination of autonomous vehicles, but traditional methods such as FedAvg can create performance disparities across clients. This paper addresses this fairness issue through the $q$-Fair Federated Learning ($q$-FFL) framework, adjusting model performance across clients using a tunable fairness parameter. We propose a modified FedAvg algorithm for $q$-FFL that maintains comparable convergence rates, ensuring more balanced client outcomes. Additionally, we explore incentive mechanisms in FL using a Stackelberg game model, incorporating a fairness coefficient to encourage equitable participation. Building on prior works, we redefine client utility functions to address communication and computation costs, ensuring fair resource allocation. The proposed framework achieves both global and local fairness, maintaining a unique Nash equilibrium in the modified game setting.

Cardiac arrest (CA) is a life-critical condition. Patients who survive after CA, they go into a defined post-cardiac arrest syndrome (PCAS). In this clinical context, the role of the echocardiogram in recent years has become increasingly important to assess the causes of arrest, the prognosis, and any direct and indirect complications dependent on cardiopulmonary resuscitation (CPR) maneuvers. The aim of our review is to evaluate the increasingly important role of the transthoracic and transesophageal echocardiogram in the CA phase and especially post-arrest, analyzing the data already present in the literature.

Digital Transformation (DT) encompasses profound technological changes. Businesses face the challenge of adapting their activities to the pace of new technologies to increase the efficiency of business processes, improve the customer experience, and create innovative value propositions. This research focuses on how family businesses, which are a relevant part of global economic activity and job creation, address the challenges associated with Digital Transformation. Based on the case of the automotive retail sector in a small European country characterized by the high acceptance of technologies, we use fuzzy-set Qualitative Comparative Analysis (fsQCA) to understand how critical success factors (causal conditions) combine towards adopting technologies representing different perspectives of the DT. The results confirm the existence of multiple configurations based on the importance of Organizational Culture, Change Management, Knowledge, Human Capital, IT Systems, and DT Strategy towards the adoption of CRM, Digital Marketing, and Social Networks technologies, thus helping family businesses to understand the adoption of these technologies leading to organizational success in the context of the Digital Transformation.

This article aims to present the outcomes of a study focused on collaboratively developing an Innovation Management Model (IMG) tailored for Colombia's leather agro-industrial chain. The study integrates stakeholder participation, prioritization of variables, literature review, and model validation, emphasizing sustainability considerations throughout the process. Methodologically, it involved a literature review using Scopus, focusing on innovation management models, open innovation, and sustainability, particularly within the leather sector. The search identified 43 documents in Scopus, of which 15 were directly relevant; this analysis was complemented by 18 articles from Google Scholar. Three surveys were conducted to prioritize variables, utilizing Lik-ert-scale questions to assess relevance and congruence. Conceptual innovation models were validated graphically. Initial variables were identified, with 53 selected for the entry stage, 36 for the transformation stage, and 31 for the exit stage. These variables were classified for each stage, resulting in three innovation management models for validation. Key findings included 26 critical variables covering aspects such as agricultural and technological innovation in platforms and projects, capacity development, R&D activities, supply chain dynamics, innovation management processes, knowledge and technology integration, business model adaptation for sustainable development, and environmental impact assessment. The prioritized innovation model is in-tended to assist stakeholders in the leather sector's innovation system by promoting open inno-vation strategies, sustainable and regenerative innovation generation, and enhancing strategic and technological capacities. The prioritized innovation model aims to assist stakeholders in the leather sector's innovation system by promoting open innovation strategies, sustainable and re-generative innovation generation, and enhancing strategic and technological capacities.

Dual-fraction proteomics reveals a novel class of proteins impacted by nanoparticle exposure. Background: Nanoparticles (NPs) interact with cellular proteomes, altering biological processes. Understanding these interactions requires comprehensive analyses beyond solely characterizing the NP corona. Methods: We utilized a dual-fraction mass spectrometry (MS) approach analyzing both NP-bound and unbound proteins in Saccharomyces cerevisiae sp. protein extracts exposed to silica nanoparticles (SiNPs). We identified unique protein signatures for each fraction and quantified protein abundance changes using spectral counts. Results: Strong correlations were observed between protein profiles in each fraction and non-exposed controls, while minimal correlation existed between the fractions themselves. Linear models demonstrated equal contributions from both fractions in predicting control sample abundance. Combining both fractions revealed a larger proteomic response to SiNP exposure compared to single-fraction analysis. We identified 302/56 proteins bound/unbound to SiNPs and an additional 196 "impacted" proteins demonstrably affected by SiNPs. Conclusion: This dual-fraction MS approach provides a more comprehensive understanding of nanoparticle interactions with cellular proteomes. It reveals a novel class of "impacted" proteins, potentially undergoing conformational changes or aggregation due to NP exposure. Further research is needed to elucidate their biological functions and the mechanisms underlying their impact.

Intervertebral disc degeneration is one of the most frequent causes of lower back pain, and lum-bosciatica puts a strain on healthcare systems around the world. For years, ozone therapy has been used with excellent results in intervertebral disc pathology and in patients with low back pain (LBP). Treatment with intramuscular paravertebral ozone injection is based on the combination of the anti-inflammatory action with the action of accelerating the dehydration process of the cartilage tissue of the disc, and on the action of general oxygenation of the tissues. We know that the main functional structures involved in the onset of pain in LBP are rich in type 1 collagen: the fascial system, the annulus fibrosus and the zygo-apophyseal joints. In all these facilities, collagen repair and regeneration processes deserve an important mention as collagen turnover plays a fundamental role in the well-being of patients with LBP. In particular, in vitro studies have demonstrated the positive action of porcine type 1 collagen in the face of extracellular matrix (ECM) remodeling and homeostasis. In fact, the tissue modification, associated with LBP, could also suggest an indication for combined ozone/collagen treatment in patients with LBP. However, no studies regarding combined ozone treatment with collagen have been performed in patients with LBP. The present work compared two different arms (10 lumbar patients each) Oxygen-Ozone Therapy (OOT) vs OOT plus Porcine Collagen Type 1 Injections (COL I, MD-LUMBAR). NSR, physiological function (trunk movement) and disability questionnaire were studied for all patients before, during and after treatments. Patient follow-up was performed again 6 months after the last treatment. Statistical analysis tests revealed significant differences compared to the two arms. In which, the dual choice (OOT+COL I), demonstrated a booster effect in both short-term and long-term NSR (p

Histone Deacetylase 6 (HDAC6) is a large multidomain protein that deacetylates lysine residues on cytoplasmic proteins, influencing a wide range of cellular processes. Both the catalytic and non-catalytic functions of HDAC6 are implicated in cancer development and progression. Over a decade of clinical trials with catalytic domain inhibitors, such as Ricolinostat (ACY1215), has shown that these drugs are well tolerated and can alleviate chemotherapy-induced peripheral neuropathies. However, their effectiveness in treating solid tumors remains uncertain due to the limited number of clinical trials and the small size of patient cohorts, leading to inconclusive results. HDAC6 activity is regulated by protein-protein interactions and post-translational modifications, which may allosterically influence its catalytic domains. Therefore, targeting HDAC6 in cancer therapy with small molecule inhibitors requires a more sophisticated understanding of its role within the tumor microenvironment, including whether its expression correlates with deacetylase activity. A comprehensive evaluation of both its enzymatic and non-enzymatic functions could be crucial in developing more effective strategies for targeting HDAC6 in cancer.

The integration of Genetic Algorithms (GAs) into Serious Games (SGs) has gained traction as a method to optimize game mechanics and personalize user experiences. While GAs are well-known for their effectiveness in solving complex optimization problems, their application in SGs remains relatively under-explored. This review aims to address this gap by systematically mapping the existing literature on the intersection of these two fields. The primary objective of this scoping review is to identify and synthesize the existing research on the application of GAs in SGs, with a focus on understanding the current state of the field, identifying common applications, challenges, and potential future directions. The review includes studies published in English that focus on the use of GAs within SGs. The search encompassed articles from academic journals and conference proceedings without restrictions on publication dates. Exclusion criteria included studies that did not specifically address the integration of GAs in SGs. A systematic search was conducted in databases such as ACM Digital Library, Web of Science, Scopus and Inspec in July 2024. The search terms used included "genetic algorithm," "evolutionary algorithm," "computational algorithm," and "serious games." Unpublished data and articles were not considered. Data were charted using a PRISMA flowchart developed by the author VV. Key categories for data extraction included study objectives, methods, outcomes, type of study and GA used and the specific applications of GAs in SGs. Data charting was conducted independently by two reviewers, with disagreements resolved through discussion and consensus. The search identified 154 studies, of which 23 met the inclusion criteria. The included studies highlight the diverse applications of GAs in SGs, ranging from optimizing game scenarios to personalizing learning experiences. Challenges identified include the computational complexity of GAs and difficulties in their integration into existing game frameworks. The findings of this review suggest that while the use of GAs in SGs is a promising area of research, it remains in its nascent stages. Future research should focus on addressing the technical challenges of integrating GAs into SGs and exploring their application across a wider range of game genres and educational contexts. Limitations of the review include the potential for publication bias and the exclusion of non-English language studies.

The acoustic startle response (ASR) is an explosive motor response leaded by a sudden and intense acoustic stimulus. ASR has several clinically relevant forms of plasticity, including habituation and sensorimotor gating. Although ASR and its plasticity have been intensively studied in different animal models, including zebrafish (Danio rerio) larvae, information in adult zebrafish is still very scarce. In this manuscript we present Zebra_K, a new automated high-content kinematic analysis platform for assessing ASR, its habituation and prepulse inhibition (PPI), a quantitative measure of sensorimotor gating, in adult zebrafish. The analysis of the kinematic parameters in 1,875 ASR in adult zebrafish has shown a single response wave consistent with the short-latency C-bend described in zebrafish larvae. Moreover, protocols have been designed and validated in Zebra_K for the analysis of sensitivity, habituation and PPI of this response. Then, this platform has been used to determine the effect of pharmacological and physiological modulators of ASR plasticity. As described in other animal models, the NMDA-receptor antagonist ketamine increased the responsiveness to the acoustic stimuli, decreasing habituation and leading to complete abolition of PPI. Moreover, the effect of the gender on zebrafish ASR plasticity has been analyzed for the first time. Females exhibited higher responsiveness and a lower habituation and PPI than males, a result consistent with the gender effect described in other animal models and in humans. These results enhance the interest of using adult zebrafish to assess the potential effect of chemicals or genetic manipulations on ASR plasticity.

Over the last several decades there has been an arms race to acquire credentials as higher education has shifted from an elitist system to mass education. From an individual perspective, given the higher education system and labor market conditions, it is rational to pursue advanced qualifications. However, whether the education system delivers improvements in human capital or is principally a signaling mechanism is questionable. Estimates of the proportion of labor market rewards due to signaling range as high as 80%, suggesting that education is not only expensive but inefficient. In an increasingly transactional environment in which education providers are highly motivated by financial considerations, this situation is only likely to be exacerbated by the rapid developments in AI. The use of AI has the potential to make learning more effective but, given that many students see credential acquisition as transactional, it may reduce both human capital and the value of the signaling effect. If the credibility of the credentials offered is further damaged, the sustainability of the higher education sector in its present form and scale may well be unsustainable. We examine the evidence on credential inflation, returns to education and mismatch of graduates to jobs before analyzing how AI is likely to affect these trends. We then suggest possible responses of prospective students, education providers and employers to the growing adoption of AI in both education and the workplace. We conclude that the current offerings of generalist degrees, as opposed to vocational qualifications, are not sustainable and that to survive, even in a downsized form, the sector must respond to this disruptive technology by changing both the nature of its offerings and its methods of ensuring that the credentials they offer reflect genuine student learning.

In this paper, the distribution of prime numbers is expressed based on proving the Riemann hypothesis. The modality to the distribution of prime numbers is one of the most important results of proving the Riemann hypothesis. The relationship between three numbers, three, six, and nine, and the modality to the distribution of prime numbers, is one of the results of Riemann's zeta function. Prime numbers are classified into six groups of single-digit numbers. There are no prime numbers in groups of three, six, and nine. The groups are made based on the sum of the internal digits. And for each set, there is an angle in the complex plane. The distance between the prime numbers in each group has a regular pattern. This pattern is a multiple of the numbers three, six, and nine. According to Euler's number, for an angle of 60 degrees, the real part of the cosine is 0.5. Accordingly, all prime numbers are related to angles greater than 60 degrees to 90 degrees. As a result, based on the relationship between the golden spiral and the complex conjugate of the zeta function, the function in The 1/2 point becomes zero.

Unmanaged forest ecosystems play a critical role in addressing the ongoing climate and biodiversity crises. As there is no commercial interest in monitoring the health and development of such inaccessible habitats, low-cost assessment approaches are needed. We used a method combining RGB imagery acquired using an Unmanned Aerial Vehicle (UAV), Sentinel-2 data and field surveys to determine the carbon stock of an unmanaged forest in the UNESCO World Heritage Site wilderness area Dürrenstein-Lassingtal in Austria. The entry-level consumer drone (DJI Mavic Mini) and free of charge Sentinel-2 multispectral datasets were used for the evaluation. We merged the Sentinel-2 derived vegetation index NDVI with aerial photogrammetry data and used an orthomosaic and a Digital Surface Model (DSM) to map the extent of woodland in the study area. The Random Forest (RF) Machine Learning (ML) algorithm was used to classify land cover. Based on the acquired field data, the average carbon stock per hectare of forest was determined to be 371.423 ± 51.106 t of CO2 and applied to the ML-generated classification. An overall accuracy of 80.8% with a Cohen’s kappa value of 0.74 was achieved for the land cover classification, while the carbon stock of the living Above-Ground Biomass (AGB) was estimated with an accuracy of -1.0% (± 5.9%). In conclusion, the proposed approach demonstrated that the combination of low-cost remote sensing data and field work can predict above-ground biomass with high accuracy. The results and the estimation error distribution highlight the importance of accurate field data.

Coastal environments, of major economic, social, and strategic importance, rely heavily on bathymetry for navigation safety, harbor development, and resource monitoring. Innovations in bathymetry include optical alternatives for shallower waters, as traditional acoustic solutions are less efficient. Recent studies demonstrated airborne imagery is an efficient option to frequently map shallow waters at synoptic scales and has the capacity to retrieve the Water Column Depth (WCD). Geometric approaches allow to obtain 3D reconstruction from images by triangulating a set of pixels that are located on more than one image (feature points). They demonstrate great potential for WCD assessment, achieving a penetration depth of over 5 meters with an accuracy in the decimeter range when creating high resolution maps of clear shallow water bodies as long as there is sufficient bottom texture with identifiable features. As the navigation safety of vessels relies on WCD accuracy, it is of utmost importance to quantify the uncertainty associated with the derived product. Studies on bathymetry estimation using geometric approaches tend to focus on the estimation accuracy, rather than the assessment of uncertainty, despite the fact that there are many sources of uncertainty. As a result, here is a lack of robust uncertainty modeling methods, crucial for assessing the quality of bathymetric charts, especially in shallow waters. In response, this research introduces a novel likelihood-based approach for through-water photogrammetry with a focus on the uncertainties associated with camera pose, a key factor affecting through-water depth mapping. Our methodology incorporates probabilistic modeling and stereo-photogrammetric triangulation. In addition to providing a realistic estimate of the uncertainty, this approach allows to handle complex cases involving noisy camera poses in addition to retrieving the water interface height. The results proposed in this paper reveal the significant influence of viewing geometry and camera pose quality on the resulting uncertainties, overshadowing the impact of depth. In addition, they demonstrate the superior performance of the likelihood ratio statistic in scenarios involving high attitude noise, high flight altitude, and complex viewing geometries. Also, we highlight the transformative potential of drone-based applications in underwater surveying, leveraging high-precision and efficient data collection to contribute to more accurate bathymetric charts.

Biosensors have emerged as a promising tool for early detection of oral squamous cell carcinoma (OSCC) due to their rapid, sensitive, and specific detection of cancer biomarkers. Saliva is a non-invasive and easy-to-obtain biofluid that contains various biomarkers of OSCC, including carcinoembryonic antigen (CEA). In this study, an electrochemical biosensor for the detection of CEA in Saliva has been developed towards the diagnosis and early screening of OSCC. This biosensor utilized CEA-sensitive aptamer as sensitive elements. Fluorine-doped Tin Oxide (FTO) chip with surface modification of zinc oxide nanorod was employed as transducer. Electrochemical measurements were carried out to detect the responsive signals originated from the specific binding between aptamers and CEAs. The measurement results indicated that this biosensor was responsive to different concentrations of CEA ranging from 1 ng/mL to 80 ng/mL in a linear relationship. The limit of detection (LOD) was 0.75 ng/mL. This biosensor also showed very good specificity and regenerative capability. Stability testing over a 12-day period showed excellent performance of this biosensor. All the results demonstrated that this biosensor have great potential to be used for the detection of CEA in the saliva of OSCC patients. This biosensor provides a promising method for the rapid detection of CEA with convenience, which have great potential to be used as a new method for clinical diagnosis and early screening of OSCC.

This study investigated the effects of dietary garlic powder and fermented garlic powder supplementation at 1% and 2% levels on growth performance, digestive tract efficacy, blood biochemistry, immunity, and antioxidant status of Liza ramada (n=225 fish; 86.00±0.42 g) over a 60-day period. Fish fed diets supplemented with both forms of garlic at both levels exhibited significantly improved final body weight, weight gain, specific growth rate, and feed conversion ratio compared to the control group. Digestive enzyme activities (amylase, lipase, and protease) were significantly enhanced in all supplemented groups. Blood biochemical analysis revealed reduced glucose levels and increased total protein in garlic-supplemented groups, with no adverse effects on liver or kidney function markers. Immune parameters, including lysozyme activity, bactericidal activity against Streptococcus agalactiae, alternative complement pathway (ACP), and, respiratory burst (NBT) were significantly enhanced in garlic-supplemented groups, with fermented garlic showing more pronounced effects. Antioxidant enzyme activities (SOD, CAT, and GPx) were also significantly increased in all supplemented groups, particularly in those fed fermented garlic. No significant differences in survival rates were observed among treatments. The results suggest that both garlic powder and fermented garlic powder supplementation, especially at the 2% level, can effectively improve growth, feed utilization, immune function, and antioxidant status in L. ramada. Fermented garlic generally demonstrated superior effects, indicating its potential as a beneficial feed additive in aquaculture. Based on these findings, it is recommended to incorporate fermented garlic powder at a 2% level in L. ramada diets to optimize growth performance and health status. Further research is warranted to investigate the long-term effects and cost-effectiveness of this supplementation strategy in commercial aquaculture settings.

The aim of the article is to identify and illustrate the most used psychological techniques in the field of cystic fibrosis (CF) and to help clinicians choosing the appropriate strategy among the various possibilities. The disease and its medical treatments can be difficult to tolerate and can cause anxiety about health status or feelings of hopelessness and stress. The prevalence of depression and anxiety is 2.3 times higher in adults with CF than in community samples. A strong correlation has been identified between elevated psychological distress and unfavorable health outcomes, including, among others, impaired lung function, reduced BMI, an increased incidence of pulmonary exacerbations, and an elevated risk of transplantation. The use of psychological interventions is useful in addressing these common distress in CF patients. Aware of the necessity to identify efficacious interventions for all levels of depression and anxiety in CF patients, this study presents an overview of the research on psychological interventions for patients with CF, in order to complement the treatments suggested by the international guidelines on mental health in CF cases. In fact, the aim of this study is to conduct a review and quantitative synthesis of the psychological intervention techniques that are currently available for individuals with CF.

Introduction Allogeneic stem cell transplantation (allo-SCT) has been used less frequently as a treatment modality in patients with MM. Allo-SCT may have the potential of long-term survival or even cure due to graft versus myeloma effect, however, its use continues to remain controversial given the toxicity profile related to infectious complications and graft versus host disease (GVHD). Concern for exacerbation of GVHD has been raised following re-infusion of CAR-T cells in patients with prior Allo-SCT. Ciltacabtagene autoleucel (Cilta-cel) and Idecabtagene vicleucel (Ide-cel) are two engineered CAR-T products targeting specific B-cell receptors that are approved by the FDA for the treatment of relapsed/refractory (R/R) MM. A recent retrospective study conducted by Htut et al, using data from CARTITUDE-1 trial, showed favorable efficacy and safety in patients who received Cilta-Cel with prior allo-SCT. We report our experience for patients with prior Allo-SCT who underwent therapy with CAR-T in the real world setting. Objective To evaluate the safety and efficacy of CAR-T therapy in patients with R/R MM with a history of allo-SCT. Methods We conducted a retrospective chart review of adult patients (age 18-70 years old) with R/R MM who had received CAR-T on an institutional IRB approved protocol. We collected data for the eligible patients from our institution's database. Safety outcomes included the incidence and severity of adverse events (AEs). AEs were graded using National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE 5.0). Cytokine release syndrome (CRS) and immune effector associated neurotoxicity syndrome (ICANS) were graded as per the American Society for Transplantation and Cellular Therapy criteria. Efficacy outcomes included overall response rates (ORR), progression free survival (PFS). Survival analysis was performed using the Kaplan-Meir method including PFS. PFS was defined as time from initiation of treatment to progression of disease or death whichever occurred first. The IMW response criteria were utilized for response assessment. Results 8 out of 56 patients who received CAR-T (Cilta-cel or Ide-cel) had a prior allo-SCT. Pts with prior allo-SCT had received a median of 7 prior lines of therapy(LOT) compared with 5 prior LOT for pts who did not(non-Allo)(p=0.04). Median time of CAR-T infusion was 98.8 months following allo-SCT. 7 of 8 (85.7%) pts experienced CRS (any grade) in Allo-SCT vs. 37 of 48 pts (77.1%) in non-Allo (p=0.48); 1 pt with prior allo-SCT experienced HLH requiring intervention with anakinra. At a median follow-up of 4.8 months, 7 of 8 patients had a response (ORR= 87.5%) in allo-SCT vs. 75%(36 of 48) in non-Allo (p=0.4), mPFS was not reached in allo-SCT vs. 11.9-months in non-Allo (p=0.5), although f/u for our cohort was short. No TRM was observed in either group. None of the patients with prior allo-SCT experienced acute GVHD following CAR-T therapy. Baseline characteristics, safety and efficacy data are summarized in Table 1. Conclusion Our findings support the conclusion that prior Allo-SCT does not impact the safety and efficacy of CAR-T therapy in patients with R/R MM. More clinical studies with a higher number of subjects and longer duration of follow-up are warranted to further evaluate the impact of Allo-SCT on CAR-T therapy's safety and clinical outcome in patients with MM.

Recent mental health research has highlighted inflammation's critical role in conditions like depression and bipolar disorder, examining correlations with markers such as calcium levels, thyroid function, and inflammatory markers. The study aims to compare unipolar and bipolar d depression samples in terms of socio-demographic and clinical features. Prospective enrollment of patients hospitalized at the University of Insubria Psychiatric Unit. Patients were administered psychometric questionnaires (Beck Depression Inventory-II, Mental Pain Questionnaire, Beck Anxiety Inventory, Clinical Global Impressions Severity scale, and Reasons for Living Inventory). Thirty-six patients (17 males, 19 females) were enrolled. A statistically significant association emerged between calcium levels and bipolar depression (Pearson Chi square=0.050) and between CRP and bipolar depression (Pearson Chi-square=0.017). Additionally, a statistically significant association was observed between the unipolar and bipolar depression subgroups and current substance abuse (p=0.0275) A statistically significant difference between the BRLF scores and UDD subgroup emerged (p=0.0126). The results of the pilot study revealed significant associations between calcium/CRP levels with depressive symptoms, particularly in bipolar depression. Further research on inflammatory markers is needed to refine diagnostic subtypes and therapeutic strategies.

Dielectric Elastomer Actuators (DEAs) are emerging as promising candidates for various applica-tions in robotics and optical devices due to their lightweight, miniaturization potential, high en-ergy density, simple structure, and low power consumption. However, their effective actuation always demands sophisticated high-voltage driving circuits that are compact and responsive. DEAs need to be capable of generating intricate high-voltage waveforms or simultaneously con-trolling multiple channels with distinct high-voltage levels. This paper proposes a high-voltage power supply for DEAs, featuring a four-channel high-voltage driving circuit. The circuit is ca-pable of independently generating high-voltage signals ranging from 100 V to 6000 V and can be programmed to produce arbitrary waveforms with adjustable frequencies. The independent op-eration of channels without crosstalk showcases the system's integration and potential for cross-disciplinary applications.

Training schedule is a factor that influences sports performance optimization. In a sport like soccer, there is often significant disparity in training schedules among different teams within the same club, without considering whether this may affect players' performance. The aim of this study was to describe differences in nutrient intake and body composition in elite youth soccer players from the Spanish league with different training schedules (morning and evening). A cross-sectional study was conducted to determine differences in anthropometric variables and dietary assessment in a sample of Spanish young soccer players. A total of 41 players participated in this study. After comparing the groups according to their training schedule, no differences were observed in body composition between both groups; the evening-night training group showed higher consumption of lipids and saturated fats. In summary, more experimental studies are needed to determine the effects on various health and performance parameters of different training schedules in young population.

Background: Studying patients carrying identical by descent (IBD) pathogenic gene variants allows to control for the disease-causing genetic background and to more accurately document the impact of modifiers. Familial hypercholesterolemia (FH) is characterized by elevated LDL-c levels, premature atherosclerosis and is often caused by defects in the LDLR gene. There is a high prevalence of FH in French Canada carry IBD FH-causing due to a founder effect from France in the 17th Century. Several FH patients currently living in French Canada (founder population) and in France (colonizing population) carry IBD FH-causing variants. The expression of FH is affected by environmental and genetic modifiers and patients with IBD variants may present different characteristics. Methods: In this study, we compared FH clinical expression patients carrying IBD LDLR pathogenic variants living in France or Canada. Four IBD variants, namely c.259T>G p.(Trp87Gly); c.2000G>A p.(Cys667Tyr); c.682G>A p.(Glu228Lys); and c.1048C>T p.(Arg350*) were selected. Untreated plasma lipid profiles, APOE genotype, cardiovascular risk factors and occurrence of symptomatic ASCVD were compared in 105 adult carriers (30 from France and 75 from French Canada). Results: All parameters were similar between the two populations, except for untreated total cholesterol (10.14 ± 1.89 mmol/L vs 8.65 ± 1.84 mmol/L, p=0.0006) and LDL-c concentrations (7.94 ± 1.86 mmol/L vs 6.93 ± 1.78 mmol/L, p=0.016) that were significantly higher in FH patients living in France, a trend that was observed in all studied LDLR variants. Conclusion: This study illustrates that FH patients sharing IBD pathogenic LDLR variants that have evolved in different geographic, cultural and socio-economic environments for hundreds of years, differ in term of cholesterol levels highlighting the importance of better understanding the interplay between genetic and environmental modulators of FH expression.

The aim of this retrospective study was to compare the clinical outcomes of treating isolated surgical neck fractures of the humerus using either the intramedullary nail or the MIROS (Minimally Invasive Reduction and Osteosynthesis System®) system. The study included 42 patients who underwent surgical treatment at the Polyclinic from January 2014 to June 2020. The results indicated that both treatments were effective; however, the MIROS system exhibited a higher complication rate. Intramedullary nailing was more reliable, thus recommended as the primary treatment method. This study underscores the importance of selecting the appropriate fixation technique to minimize complications and enhance patient outcomes.

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

In 1974, Stephen Hawking made the groundbreaking discovery that black holes emit thermal radiation, characterized by a specific temperature now known as the Hawking temperature. While his original derivation is intricate, retrieving the exact expressions for black hole temperature and entropy in a simpler, more intuitive way without losing the core physical principles behind Hawking's assumptions is possible. This is obtained by employing the Heisenberg uncertainty principle which is known to be connected to the the vacuum fluctuation. This exercise allows us to easily perform more complex calculations involving the effects of quantum gravity. This work aims to answer the following question: \textit{Is it possible to reconcile Prigogine's second law of thermodynamics for open systems and the second law of black hole dynamics with Hawking radiation}? Due to the effects of quantum gravity, the Heisenberg uncertainty principle has been extended to the Generalized Uncertainty Principle (GUP) and successively to the Extended Uncertainty Principle (EUP). The expression for the EUP parameter is obtained by conjecturing that Prigogine's second law of thermodynamics and the second law of black holes are not violated by Hawking thermal radiation mechanism.

As environmental and health concerns increase, the trend of sustainable agriculture moves toward using biological agents. About 60% of all biological fungicides have Trichoderma species as the active ingredient, with T. harzianum as the most common species in these products. However, the name T. harzianum has often been incorrectly used in culture collections, databases, and the scientific literature due to the division of the Harzianum Complex Clade (HCC) into more than 95 cryptic species with only one being named T. harzianum. In this study, 49 strains previously identified as T. harzianum in three surveys of Trichoderma species from soils in South and Central America were re-identified using phylogenetic analyses based on tef1α, rpb2, and ITS loci and were combined with the corresponding species in two other studies, where the species were correctly identified. Based on the results of the five surveys of the total 148 strains in HCC, 11 species were identified and T. afroharzianum, T. lentiforme, T. endophyticum followed by T. azedevio and T. harzianum were detected as the dominant species of the HCC in South and Central America. This is the first report of identifying dominant Trichoderma species within the HCC in South and Central American soil based on multiple studies, which will be useful in selecting strains within the complex clade for formulation of biocontrol and biofertilizer products in the continent.

Background: Type 2 diabetes mellitus (T2DM) affects over 500 million people worldwide, and over 50% of this group experience the most common complication, diabetic peripheral neuropathy (DPN). The presence of advanced glycation end-products (AGEs) have been linked with the development of DPN. The present study assessed for AGE levels in participants with type 2 diabetes, and explored the hypothesis that there may be increased AGE levels in more severe DPN. Methods: 124 participants with T2DM were consecutively recruited, and underwent skin autofluorescence, clinical assessment for peripheral neuropathy, peripheral nerve ultrasound, nerve conduction studies and axonal excitability assessment. Results: Elevated levels of AGE did not correlate with higher clinical neuropathy scores, sural sensory nerve amplitude, median or tibial nerve cross-sectional area or measures of axonal excitability. While higher AGE readings correlated with diabetic kidney disease, these recordings were not associated with more severe peripheral neuropathy outcomes on multiple regression analysis. Conclusion: The present study suggests that accumulation of AGE is not associated with clinical, electrophysiological and morphological measures of neuropathy in T2DM.

Abstract Introduction: Arterial hypertension and obesity are two major risk factors for cardiovascular morbidity and mortality closely linked. The objective of this study was to describe the epidemiological and clinical characteristics of hypertensive patients according to their level of obesity as proposed by the classification of the World Health Organization (WHO). Patients and Methods: Retrospective study (January 2022-April 2023) involving 230 hypertensive and obese adult patients whose mean age was 52.5 ± 12.05 years [Extremes: 24-85 years] followed on an outpatient basis and classified into 3 Classes according to their body mass index (BMI). Epidemiological, clinical parameters and cardiovascular risk stratification were analyzed. The relevance of the risk stratification method was analyzed by area under the curve (AUC). Statistical analysis was performed using SPPS version 26 software (SPSS Inc., Chicago, IL, USA). Results: Classes 1 (n=170; 73.9%), 2 (n=43; 18.7%) and 3 (n=17; 7.4%) were identified. There were significantly more women than men in Class 3 (9.7% versus 2.7%; p=0.001). The risk of being diabetic (OR=0.135;95%CI=0.034–0.541;p=0.005), of having angina pain (OR=0.084;95%CI=0.009–0.790;p=0.030) or developing chronic renal failure (OR=2.416;95%CI=1.471–85.268;p=0.020) was significantly higher in Class 3 than in Class 1. According to cardiovascular risk stratification, 152 patients (66.1%) were at high and very high risk. The level of cardiovascular risk of our patients was not related to the degree of obesity based on body mass index (p=0.32). The risk stratification method was relevant (AUC˃0.70;p˂0.001). Conclusion: Morbid obesity exposes hypertensives more to cardiovascular, renal and metabolic complications.

N-shot learning has emerge in recent year as potential learning approach to solve the problem of data scarcity by learning underlying pattern from a few training sample. Despite recent state-of-the-art research on model-agnostic metal learning, transfer learning, and optimization strategy to rapidly learn valid information from few sample, there remains a big challenge on an actual out-of-distribution zero-day without any similarity to previously known malware family or new variant of an existing malware family. This ultimately questions the effectiveness of current state-of-the-art few-shot learning approach. In this research, we did an in-depth investigation into the performance of state-of-the-art Zero-shot, Single-shot, and few-shot learning approaches on zero-day out-of-distribution malware attack detection based on their static properties using Malimg and Malevis malware dataset. We ensure our model was aware of an out-of-distribution class during training while varying the number of samples in the out-of-distribution class accordingly zero-shot(no sample), single-shot (1 sample), few-shot(5 samples) while using confusion matrix to get the actual number of correct prediction on out-of-distribution malware validation samples. we assert that the model should be smart enough to detect and classify previously unseen data into an empty family as an out-of-distribution considering that the model was made to be aware of the existence of such distribution during training. Result shows 0, 0, and 3 correct out-of-distribution predictions on Zero-shot, single-shot, and few-shot experiments respectively, thereby showing limitation of the current state-of-the-art N-shot approaches on out-of-distribution attack.

The susceptibility of seven species of chestnuts to the orchid leafminer was studied in the arboretum of the Main Botanical Garden of the Russian Academy of Sciences (MBG RAS), taking into account their interspecific characteristics. Using pheromone delta traps, the highest number of moths was shown for A. hippocstanuam and the lowest for A. chinensis. A number of anatomical parameters of leaves were investigated, such as the thickness of the epidermal cell wall and the thickness of the palisade and spongy parenchyma layers. As a result, it was shown that the most infected chestnut species had a greater thickness of the nutritious parenchyma tissue. No de-pendence was found between the degree of susceptibility to the Ohrid leaf miner and such indi-cators as the content of chlorophyll a + b and carotenoids in the leaves of seven species of chestnuts. Nevertheless, resistance of different species of the genus Aesculus to C. ohridella under increased tannin content in leaves has been shown. Evaluation of phenolic compounds and flavonoids has not established their reliable role as repellents. The high levels of carbohydrates found during the study contributed to increased susceptibility to the Ohrid leaf miner.

Scientific knowledge evolves in small steps, with occasional backsteps to correct inaccuracies, all occurring within a competitive environment. This perspective for the first time looks at the history of latency-related RNA (LR-RNA) that was later renamed latency-associated transcript (LAT). At the 1986 International Herpesvirus Workshop (IHW) meeting in Leeds, England, Daniel L Rock and Anthony B Nesburn first reported the discovery of human herpes virus 1 (HSV-1) latency-related (LR)-RNA that is antisense to ICP0. Less than a month after the IHW meeting a paper was submitted to Science magazine and 8 months later appeared in print thanking “D. Rock for suggesting RNA complementary to the ICP0 message may be present in latently infected cells”. This perspective is not a review of LAT literature but intends to clarify the timeline of LAT discovery and subsequent breakthroughs such as reactivation, apoptosis, CD8+ T cell exhaustion, and LAT expression in different cell types detected during latency. While many review articles have been written about LAT since 1987, the most comprehensive and balanced review about LAT was written by Dr. David Bloom’s group (1). In this overview, I will discuss our original collaboration with Dr. Dan Rock and subsequent work that our group performed, which is still ongoing. Finally, I will discuss the controversies associated with LAT from its inception to current times.

Many tasks in a modern household are done by machines like e.g. a dishwasher or a vacuum cleaner and in the near future most household tasks can be done by smart service robots. This relieves the residents who in turn can enjoy their free time. This newly gained free time turns out to cause the so called spare time rebound effect due to more resource consumption [1,2]. We roughly quantify this rebound effect and propose a CO2 -budget model to reduce or even avoid it. In modern industry, automation and AI take over work from humans, leading to higher productivity of the company as a whole. This is the main reason for economic growth which leads to environmental problems due to higher consumption of natural resources. We show that, even though the effects of automation at home and in the industry are different (free time versus higher productivity) in the end they both lead to more resource consumption and environmental pollution. We discuss possible solutions to this problem such as carbon taxes, emissions trading systems and a carbon budget.

After decades of studies, the pathogenesis of Autism Spectrum Disorder (ASD) remains unclear and there still lackseffective treatment strategies for core symptoms. Our recent work, combined with others’ research in a diversity ofmodels and clinical trials, suggested a concise, but potentially rational theory that can illustrate the key of the pathogenesis and treatment of ASD from the aspect of damage control.

The unravelling of the human genome created new perceptions on the origin and evolution of diseases and for cancer in particular, it established the notion that neoplasia has been a companion of life since its ap-pearance on earth. It is not surprising that neoplasms, in various forms, develop in numerous species of animals and even in plants. Unmistakable accounts of cancer with clinical features as are understood today, begin in the 5th c. B.C. The principles and practice of the Hippocratic and Galenic tradition dominated cancer care virtually into the 20th century. Advanced sequencing technologies at the dawn of the 21st century, generate new ther-apeutic opportunities with immunotherapy, oncolytic virotherapy and gene transfer, the latter especially in cases of hereditary cancer.

The introduction provides an overview of beginning the development of a plastic design of metal thin-walled cross-sections. This large study investigates in detail together 14 steel and four extruded aluminium cross-sections. Six groups of various shaped cross-sections that consist of: four I-shaped doubly symmetric sections (two I-sections, one I-section with lips, one H-section); three monosymmetric sections with axis of symmetry z (monosymmetric I-section, T-section, diamond section); four monosymmetric sections with axis of symmetry y (two channels, channel with inside lips, channel with outside lips); two point symmetric sections (Z-section with and without lips); four asymmetric sections (L-profile, sigma section, two closed sections: oblique and irregular sections; non-warping sections along midline, but with negligible warping along the element's thicknesses: Tsection and L-profile are included in the above groups. Four extruded aluminium cross-sections are: I 200a section, diamond section and closed oblique and irregular sections. For all 18 cross-sections, the plastic section moduli of three kinds were calculated: Wpl,y,nB, Wpl,z,nB for bimoment not considered to be constraint; Wpl,y, Wpl,z, Wpl,wfor bimoment considered to be restraint; maximum values Wpl,y,max, Wpl,z,max, Wpl,w,max. The values of cross-section plastic resistances Npl, Mpl,y,Rd, Mpl,z,Rd and Bpl are also calculated in numerical examples. The values of cross-section properties are calculated in different ways to verify the correctness of the results. The following ways of calculations are used: the rules in Eurocode EN 1993-1-1: 2022; own MathCad programmes; own software. Recommendations for educational institutes and designers in practice are provided, including simple formulae for all the cross-sectional properties for the doubly and monosymmetric I-shaped sections, channels and Z-sections. Formulae are presented in six tables containing formulae in the dimensionless form, which are useful for parametrical studies and formulae for direct designs. The background of the Eurocode rules in EN 1993-1-1: 2022 is explained together with recommendations about how to avoid problems with using them.

This study investigates the impact of Artificial Intelligence (AI) on traditional firms, specifically examining how scalable network properties and the integration of Environmental, Social, and Governance (ESG) considerations affect financial margins, sustainability, and bankability. The research addresses the core question of how AI investments can drive economic value by enhancing EBITDA and financial stability while aligning firms with sustainability goals. Using advanced network theory and multilayer models, the study reveals that AI-driven scalability significantly improves a firm's financial performance, making it more attractive to investors and financial institutions. Additionally, the integration of ESG factors further enhances operational efficiency, market valuation, and long-term financial stability. The study introduces an innovative "with-or-without" analysis to quantify the comparative benefits of AI and ESG integration, underscoring the role of these technologies in driving sustainable growth and addressing bankability concerns in traditional firms. This comprehensive approach offers new insights into the evolving dynamics of AI, ESG, and corporate finance.

Accumulating psychedelic research has demonstrated potential for improving mental health and wellbeing, yet studies in the context of eating disorders (EDs) are limited. This study explores the subjective effects of psychedelic experiences to gain insight into the benefits and risks for people with EDs. Semi-structured interviews were conducted with 11 eligible adults. A purposive sample of eight adults aged 25-54 (M =  36.9) with chronic EDs, diagnosed (N = 7) and undiagnosed (N = 1) were thematically analysed. Reports of cessation or reduction of ED symptoms were unanimous, with two participants reporting recovery, attributed to psychedelic use. Thematic analysis resulted in two superordinate themes, each comprising three subordinate themes. The first superordinate theme, ‘Exploring’ via the ‘gateway to healing’, illustrates mental, emotional, and transcendental elements of psychedelic experiences. The second superordinate theme, ‘Transformation’ and being ‘able to do the work’, illustrates cognitive and behavioural outcomes, with retrospective safety perceptions. This research presents an account representative of the ED population for the therapeutic potential for psychedelic experiences to reduce symptoms and improve wellbeing. Findings provide evidence of therapeutic feasibility to support larger scale research, emphasising the therapeutic use of psychedelics as a potentially promising avenue for chronic and treatment resistant EDs.

Abstract: Background: Since 2020, when the Covid-19 outbreak began, researchers worldwide have been investigating its biological processes, transmission patterns, and the mathematical expression of this infectious disease. Multiple mathematical models have been presented thus far, with the simplest being the SIR model. The question now is whether the SIR model can provide a comprehensive representation of Covid-19 or if a more intricate model is necessary. With this in mind, the SEPAIVRD model has been developed. Objective: This study focuses on understanding the third wave of Covid-19 that began in mid-May 2021 in Bangladesh. To achieve this, we introduced three essential compartments in our model: Presymptomatic (P), Asymptomatic (A), and Vaccinated (V) classes. The Asymptomatic class will help us determine how close the population is to achieving herd immunity. The Presymptomatic class will provide insight into whether we can effectively control Covid-19 by identifying infected individuals over an extended period. Lastly, the Vaccinated class will allow us to explore how the Presymptomatic class affects those who have received the vaccine. The results of this study aim to address these questions. Findings: According to the study findings, an increase in vaccination rates could result in a decrease in the number of people getting infected every day, lessening the strain on healthcare resources and lowering the risk of transmission to others. Moreover, the research highlights the significance of using highly effective vaccines to combat COVID-19 cases and fatalities, particularly in areas with low vaccination rates. Additionally, implementing social distancing measures can be an effective approach to contain the spread of the virus by reducing the effective contact rate. Conclusion: The model presented in this study provides a comprehensive overview of Covid-19 transmission in Bangladesh. Furthermore, this model can be applied to other countries in South Asia and is therefore a valuable mathematical model for understanding Covid-19.

We are presenting a new method for the treatment of large macular holes (MH) with the use of an inverted flap consisting of both internal limiting membrane (ILM) and epiretinal proliferation (EP). A prospective interventional case series was conducted from September 2021 to January 2023. MH patients with coexistent EP visualized preoperatively in macula optical coherence tomography and MH minimum linear diameter larger than 400 microns underwent standard pars plana vitrectomy with the creation of an inverted petaloid flap (consisting of both ILM and EP) and gas tamponade. 16 eyes were included in our study. MH closure was successful in all the eyes with a single procedure. Preoperative minimum linear diameter was 707.63(±164.02μm) and preoperative best corrected visual acuity was 1.11±0.52. Postoperative BCVA was 0.51±0.20 (p=0.01) at 6weeks postoperatively and final BCVA was 0.45±0.20 (p=0.008). EP can be safely combined with ILM for the creation of an inverted, petaloid flap to cover and facilitate the closure of large MH.

Because the integrity, availability, and confidentiality of digital assets are so important, cybersecurity is key to both the education sector and the critical infrastructure sector. This article investigates the state of cybersecurity in education, emphasizing strategies for securing the classroom against cyberattacks. We go over important subtopics including risk assessment, putting security measures in place, and incident response preparation. Furthermore, we examine how industry-academia partnerships might improve cybersecurity resilience. We also explore cybersecurity for critical infrastructure, stressing the need for risk assessment, security control implementation, and incident reaction and recovery planning. We introduce subtopics such as public-private partnerships in critical infrastructure protection and continuous monitoring and threat detection systems. By use of an extensive examination, this article seeks to provide perspectives on efficacious cybersecurity tactics for preserving education and vital infrastructure, guaranteeing the sustained steadiness and adaptability of the community against constantly changing cyber threats.

Chiral oxazolidine moiety is an important core in asymmetric synthesis due to its ability to participate in various stereoselective chemical reactions and because forms a part of more complex important active compounds. Therefore, in this letter we report a convenient diastereoselective and practical strategy for the synthesis of chiral methyl 2-((4R)-3-acryloyl-4-phenyloxazolidin-2-yl)acetates starting from (R)-(–)-2-phenylglycinol and methyl propiolate which were obtained via simple two chemical and stereoselective reactions.

Education and heritage are fundamental to achieving sustainable development goals. Integrating heritage into education is crucial for cultivating children's connection to heritage and promoting sustainable development. However, the lack of a scientific framework to guide educational goals across age groups results in unclear integration. This study aims to develop a framework for cultural identity enlightenment within heritage education by conducting literature research and validating it through field observations in kindergartens. It identifies cognitive, emotional and behavioral dimensions, outlining the developmental trajectory of these goals. This framework illustrates how children's understanding progresses from direct experiences to deeper appreciation and creative involvement. It provides teachers with a tool to set goals that empower children as agents, fostering the emergence of cultural awareness and identity. This approach not only enhances cultural identity but also supports sustainable development by advancing the transmission and innovation of cultural heritage.

The purpose of this paper is to compare various indicators of microbiological contamination in coastal areas near estuaries around the world. A major factor contributing to the presence of fecal coliforms is the geomorphology of the area, and, more particularly, whether the area concerned is an open or enclosed bay, the climate of the area, its tourism development, and, lastly, the urban, agricultural, livestock, or industrial activities carried out near river mouths. The aim was also to attempt to systematize the microbiological contamination of the above – mentioned estuaries around the world for broader applicability. The method used and the experimental apparatus for the isolation of bacteria was the membrane filtration method described in ISO 7704:1985. For the growth and enumeration of total coliforms and Escherichia coli the method described in ISO 9308-1 was used, while for enterococcus the one described in ISO 7899-2:2001. No statistically significant difference was found at many points in Greece and Spain, for either of the two patho-genic bacteria. In this work, the documentation of the microbiological contamination of river del-tas was achieved in similar areas (Greece and Spain) and could be applicable throughout the Mediterranean.

For several years, commercial banks in Poland have been reporting activities related to the impact on the environment, society, and corporate governance (ESG). However, only new guidelines, mandatory for many entities, including banks, will allow for comparing these reports, which will be of great importance mainly for investors. The forms of these reports were and still are different, difficult to compare in individual years, and difficult to compare between banks. The article aims to present the banks' preparation for the new reporting rules based on the latest ESG reports. The research was conducted in 4 groups of commercial banks operating in Poland, which are the largest companies listed in the WIG Banks sub-index of the Warsaw Stock Exchange. Gaps in the preparation of these banks for non-financial reporting were identified. The non-financial reports of the banks studied have significant information potential that can be used by various stakeholder groups, including investors, customers, employees, regulators, and local communities. However, the comparability of ESG reports is one of the key challenges faced by both reporting banks and users of these reports. The research results can be used both in scientific works and by bank representatives to improve non-financial reports.

The innate and adaptive immune systems collaborate to detect SARS-CoV-2 infection, minimize the viral spread, and kill infected cells, ultimately leading to the resolution of the infection. The adaptive immune system develops a memory of previous encounters with the virus, providing enhanced responses when rechallenged by the same pathogen. Such immunological memory is the basis of vaccine function. Here, we review the current knowledge on the immune response to SARS-CoV-2 infection and vaccination, focusing on the pivotal role of T cells in establishing protective immunity against the virus. After providing an overview of the immune response to SARS-CoV-2 infection, we describe the main features of SARS-CoV-2-specific CD4+ and CD8+ T cells, including cross-reactive T cells, generated in patients with different degrees of COVID-19 severity, and of Spike-specific CD4+ and CD8+ T cells induced by vaccines. Finally, we discuss T cell responses to SARS-CoV-2 variants and hybrid immunity and conclude by highlighting possible strategies to improve the efficacy of COVID-19 vaccination.

Meta-heuristic algorithms are methods that try to solve problems by imitating events and systems existing in nature. It can be very difficult to solve nonlinear problems with the help of known classical algorithms. In this study, a new meta-heuristic method, the Pi algorithm, is proposed. Pi is a special number that is not periodic and contains many different number combinations in its digits calculated so far. The most important part of meta-heuristic methods is the equations and parameters used to ensure the diversity of the created population. In this study, a specific Pi coefficient for each attribute was calculated with the help of the Monte-Carlo method. These coefficients were used in the Pi algorithm in other parts of the study. In the application for data clustering, experiments were made on 5 different data sets. The best accuracy rate of 95.5% was achieved. In this respect, it has been seen that the Pi algorithm works successfully as a meta-heuristic method. It can be studied on a population-based data clustering, classification, prediction, etc. It can be easily applied in all areas.

Up to now in breast cancer (BC) treatment, adjuvant chemotherapy (A-CT) precedes adjuvant radiotherapy (A-RT). It’s beyond question that A-RT improves local control while A-CT improves the Disease Free Survival (DFS) due to the reduction of metastatic distant recurrences. Taken togheter these two approaches impact favourably on the reduction of breast cancer mortality. In the last twenty years, the adjuvant treatment of BC has evolved quickly due to a better knowledge of its molecular biology , genetic prohile and its α/β ratio 3 / 4 Gy for the tumor and normal tissues radiosensitivity. Thus new schedules with hypofractionated radiotherapy have been tested and third generation of A-CT have been introduced leading to a better survival rate but a further delay in A-RT starting, raising the question to rethink the sequencing between these two approaches. However the sequencing timing between these two approaches still remains unchanged with A-CT before A-RT as the standard of care. Many attempts have been provided in order to optimize this sequencing. This comprehensive review is a journey among randomised, retrospective and prospective studies which highlights the past, the current and the novelties on timing sequencing proposals between these two modalities to assess the state of art. Sequential, concomitant and sandwitch modalities of chemotherapy with conventional or hypofractionated RT schedules from the most important studies will be analysed in this review.

Livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) is widespread in European pig production, and although it is not an important food-borne pathogen, it constitutes a potential occupational hazard to farm workers and possibly to their household members. Farm workers can be exposed to LA-MRSA via direct contact with pigs and via airborne transmission. Bacteria can then be carried home in the nose or on the skin, potentially exposing household members. Therefore, it is important to consider LA-MRSA in a one-health context, studying human exposure by investigating LA-MRSA levels in pigs and in the farm environment, air, and dust. In the present investigation, we quantified LA-MRSA levels in nasal swab samples, air samples, and dust, collected at three different time points in a farm rearing pigs from appr. 30 kg until slaughter. Sampling was repeated across seven batches of pigs, resulting in the analysis of 504 nasal swab samples, together with air and dust samples. LA-MRSA was cultured and quantified on MRSA2 agar plates. Our findings revealed a significant batch-to-batch variation and a significant decrease of 94.1 % in LA-MRSA levels during the rearing period. Despite this decrease, all nasal swab samples tested positive, with the highest level reaching 353,000 cfu in a sample. In the 42 air samples collected, we found low to moderate LA-MRSA levels, with a maximum of 568 and an average of 63 cfu/m3. In the 28 dust samples collected during the second and third sampling periods, LA-MRSA counts were high, reaching up to 37,272 cfu/g, with an average of 17,185 cfu/g. The results indicate that while LA-MRSA levels in pigs gradually decrease with age and reach low levels before slaughter, the bacterium remains highly abundant in dust, which may pose an occupational hazard to farm workers.

Anticonvulsant drugs are widely used in the management of epilepsy and other neurological disorders. However, their concomitant use with other medications can lead to significant drug interactions, impacting both efficacy and safety. This article aims to provide a comprehensive overview of common anticonvulsant interactions with other frequently used drugs. It discusses the mechanisms of these interactions, their clinical implications, and strategies for managing them. The article also highlights the importance of monitoring and patient education in minimizing adverse outcomes.

This study investigates the efficacy of an integrated rehabilitation program that combines vestibular and knee-focused therapies to improve proprioceptive function, balance, and motor control in patients suffering from both Benign Paroxysmal Positional Vertigo (BPPV) and knee joint conditions. The study involved 59 participants diagnosed with both vestibular dysfunction and knee impairments, who were enrolled in a comprehensive rehabilitation program. Vestibular interventions included specific maneuvers such as the Epley maneuver and Brandt-Daroff exercises, aimed at repositioning otoliths and reducing vertigo symptoms, while balance retraining exercises were implemented to enhance stability and prevent falls. Additionally, TECAR therapy was used for its deep tissue heating and regenerative benefits, and specific proprioceptive exercises targeting the knee joint were conducted to improve joint position sense and reduce the risk of falls. The intervention resulted in significant improvements in proprioceptive accuracy, as evidenced by enhanced joint position sense measurements and increased scores on the Dynamic Gait Index (DGI). These findings suggest that the dual-targeted rehabilitation approach not only addresses the individual impairments associated with vestibular dysfunction and knee pathology but also effectively improves overall functional outcomes by tackling the complex interplay between these conditions. The study further highlights the importance of a multidisciplinary approach in rehabilitation, where addressing vestibular and musculoskeletal dysfunctions simultaneously can lead to better patient outcomes. The integrated rehabilitation strategy presented in this study offers a comprehensive approach to managing complex clinical cases, ultimately contributing to improved quality of life and functional independence in patients affected by concurrent vestibular and knee joint issues.

Aluminium dross is the industrial waste from aluminium refining industry and accordance with toxic waste materials, it’s also recognized as a by-product of aluminium production, has historically posed significant environmental challenges due to its toxic and reactive nature. However, recent advancements in technology have revealed the potential of transforming aluminium dross into a valuable source of white hydrogen. This review paper explores the methodologies, benefits, and challenges associated with this transformation. By analysing current research and industrial practices, our review highlighted the potential of this innovative approach to mitigate waste and contribute to sustainable energy solutions. In addition, the utilization of Aluminium dross can be considered as innovative and advancement in sustainable waste management strategy instead of direct disposal, and hot springs use advances in direct utilization. Our experimental work achieved white hydrogen maximum flowrate at 600 sec. with 120ºC.

Background/Objectives: interpretation of evidence on de-escalation of triple therapy with with-drawal of inhaled corticosteroids (ICS) to dual bronchodilator therapy with a long-acting musca-rinic antagonist (LAMA) and a long-acting beta-agonist (LABA) in patients with chronic obstruc-tive pulmonary disease (COPD) is conflicting. We evaluated the efficacy and safety of ICS discon-tinuation from LABA-LAMA-ICS triple therapy compared to its continuation. Methods: we searched PubMed, Embase, Scopus, Web Of Science, clinicaltrial.gov and CENTRAL for RCTs and observational studies from inception to March 22, 2024, investigating the effect of triple therapy de-escalation with withdrawal of ICS to dual therapy on the risk of COPD exacerbation, pneumonia and lung function. This study was registered with PROSPERO, CRD42024527942. Results: 3335 studies were screened; three RCTs and three real-world non-interventional studies were ultimately identified as eligible. Analysis of the time to the first moderate or severe exacerbation showed a pooled HR of 0.96 (95% CI, 0.80 to 1.15; I²=77%) for ICS withdrawal compared with triple therapy continuation. Analysis according eosinophil levels showed that COPD subjects with ≥300 eosino-phils/µL had a significant increase in the incidence of moderate or severe exacerbations when de-escalated from ICS/LABA/LAMA to LABA/LAMA (pooled HR: 1.35, 95% CI 1.00-1.82; I2: 56%). The ICS withdrawal in favour of LABA/LAMA did not significantly affect the risk of mortality and pneumonia. Conclusions: the main findings of this meta-analysis are consistent with current recommendations and suggest that the use of eosinophil counts may be of help in guiding maintenance therapy. However, methodological heterogeneity between the included studies is evident.

Predictive maintenance (PdM) represents a transformative approach to ensuring the security and reliability of critical infrastructure systems. This proactive maintenance strategy leverages advanced data analytics, machine learning, and sensor technology to anticipate and address potential failures before they occur. By continuously monitoring the health of infrastructure components and analyzing performance data, predictive maintenance enables timely interventions, minimizes unplanned downtimes, and enhances overall system resilience. This paper explores the application of predictive maintenance in safeguarding critical infrastructure, focusing on its impact on security, operational efficiency, and cost-effectiveness. Case studies demonstrate how PdM has been successfully implemented across various sectors, including transportation, energy, and utilities, highlighting its role in mitigating risks and extending the lifespan of essential assets. The findings underscore the importance of integrating predictive maintenance into security strategies to protect vital infrastructure from emerging threats and ensure uninterrupted service delivery.

The rat osteosarcoma cell line UMR-106 is widely used for the study of bone cancer biology. We have characterized UMR-106 with a combination of optical genome mapping (OGM), long-read sequencing (for identification of variants and 5mC methylation), and short-read RNA sequencing for expression. Genome sequence was compared to a Sprague-Dawley control animal, the strain from which UMR-106 was derived, and expression data were compared to a public rat osteoblast dataset. Using the COSMIC database to identify the most affected genes in human osteosarcomas (OS) we found somatic mutations in Tp53 and H3f3a in UMR-106. OGM identified a relatively small number of differences between the cell line and strain-matched control animal but did detect a ~45 Mb block of amplification that included Myc on chromosome 7 which was confirmed by long-read sequencing. The amplified region included several genes reported as biomarkers in human osteosarcoma, many of which showed increased transcription. A comparison of 5mC methylation from the nanopore reads of tumor and control highlighted several genes with distinct differences including the OS marker Cdkn2a. This dataset illustrates the value of long DNA methods for the characterization of cell lines and how inter-species analysis can inform about the genetic nature underlying mutations that underpin specific tumor types. The data should be a valuable resource for investigators studying osteosarcoma, in general, and specifically the UMR-106 model.

In the rapidly evolving landscape of cybersecurity, Intrusion Detection Systems (IDS) play a critical role in safeguarding networks and systems from unauthorized access and malicious activities. Traditional IDS approaches, relying heavily on predefined rules and signature-based detection, often struggle to keep pace with the dynamic nature of modern cyber threats. Deep learning, with its ability to automatically learn complex patterns and representations from large datasets, offers a promising solution to this challenge. This paper explores the application of deep learning techniques in enhancing the effectiveness and accuracy of IDS. By leveraging advanced neural network architectures such as convolutional neural networks (CNNs), recurrent neural networks (RNNs), and autoencoders, deep learning-based IDS can detect both known and unknown (zero-day) attacks with higher precision. We discuss the advantages of deep learning in IDS, including its capability to handle large-scale data, adaptability to evolving threats, and reduced dependency on human intervention. Furthermore, this paper reviews recent advancements in deep learning for IDS, highlights the challenges associated with their implementation, and suggests future directions for research to overcome these hurdles. The integration of deep learning into IDS frameworks represents a significant step forward in the development of intelligent and autonomous cybersecurity systems.

Epigenetics, the study of heritable changes in gene expression that do not involve alterations to the DNA sequence, is revolutionizing our understanding of psychiatric disorders. This article provides a comprehensive overview of the role of epigenetics in psychiatry, discussing its implications for genomics, evolution, inheritance patterns, and the development of biomarkers. Epigenetic mechanisms, including DNA methylation, histone modifications, and non-coding RNAs, are explored in the context of psychiatric conditions such as depression, schizophrenia, and post-traumatic stress disorder (PTSD). The discussion highlights how epigenetic modifications can influence brain dynamics, as measured by electroencephalography (EEG), and how artificial intelligence (AI) can accelerate the development of treatment options. The potential for epigenetic biomarkers to improve diagnosis, prognosis, and treatment is emphasized, along with the role of behavioral interventions in inducing beneficial epigenetic modifications. Future directions in epigenetic research, including the development of epigenetic therapies and the elucidation of molecular mechanisms underlying epigenetic inheritance, are also discussed. This article underscores the transformative potential of epigenetics in advancing our understanding of mental health and disease, paving the way for novel therapeutic interventions.

Background: Patients with mutations in the monocarboxylate transporter 8 (MCT8) suffer from Allan-Herndon-Dudley syndrome (AHDS), characterized by developmental delay and a highly disabling movement disorder. Despite the potential of thyroid hormone derivatives to overcome the transporter defect, current trials did not achieve patient-oriented therapeutic goals. Objectives: Since most neurological symptoms are related to the dopaminergic system, we investigated the role of dopamine and its metabolites in MCT8 deficiency with regard to pathophysiology and potential therapeutic strategies in an observational cohort study. Methods: We present longitudinal data from the DEEPTYPE registry of ten patients with video-documentation, standardized phenotyping, cerebrospinal fluid analysis, treatment response to levodopa/carbidopa supplementation, and neuroimaging data. To establish a cell-based model for pathophysiological studies, we differentiated healthy human induced pluripotent stem cells (hiPSCs) into dopaminergic neurons. Results: Children presented with signs of parkinsonism in childhood, including hypokinesia, hypomimia, inability to sit or stand, rigidity, dystonia, and autonomic dysfunction along the classification of Leuzzi and colleagues. Cerebrospinal fluid homovanillic acid concentrations were decreased (n=11), suggesting isolated dopamine pathway impairment. Six out of seven patients responded favorably to levodopa/carbidopa supplementation and we did not see any adverse drug reactions. Our cell-based studies showed that hiPSC-derived dopaminergic neurons expressed MCT8 and produced quantifiable levels of biogenic amines. Conclusions: Parkinsonism is part of AHDS's clinical presentation and may be amenable to treatment. The precise impact of MCT8 deficiency on the dopamine metabolism needs to be further elucidated, e.g. by using patient iPSC-derived dopaminergic neurons in future studies.

The pursuit of materials that offer both wear comfort and protection for functional and protective clothing has led to the exploration of weft-knitted spacer structures. Traditional cushioning materials such as spacer fabrics and laminated foam often suffer from deformation under compression stresses, thus compromising their protective properties. This study investigates the enhancement of the force absorption, stress-strain and thermal properties of weft-knitted spacer fabrics with inlays. Surface yarns with optimal stretchability and thermal properties are used and combined with elastic yarns in various patterns to fabricate nine different inlay samples. The mechanical and thermal properties of these samples are systematically analyzed, including their compression, stretchability, thermal comfort and surface properties. The results show that the inlay spacer fabric exhibits superior compression properties and thermal conductivity compared to traditional laminated foam and spacer fabrics, while maintaining stretchability, thus providing a better performance than traditional fabrics for protective clothing and wearable cushioning products. This study further confirms that the type of inlay yarn and inlay structure are crucial factors that significantly influence the thermal, tensile and compressive properties of fabric. This research provides valuable insights into the design and development of advanced textile structures to improve wear comfort and protection in functional garment applications.

Thermoplastic fiberglass has been compression molded in the shape of thick panels with the nominal thickness of 10 mm and the size of 300x300 mm2. A simplified procedure has been adopted to speed up the lamination procedure, and making it adapt to the aim of recycling waste glass fiber fabrics and thermoplastics films. Low density polyethylene has been used as matrix to simplify the laboratory activities, but the same procedure can be extended to any other thermoplastic film, such as polyamide. The final thermoplastic composite shows unique properties in terms of repairability and improves its performances by increasing the number of repairing steps. For this aim, a repairability test has been designed in the bending configuration, and 3 consecutive cycles of bending/repairing/bending have been carried out. Static mechanical properties were, instead, low in comparison with traditional fiberglass, because of the choice of a polyethylene matrix. Bending tests have shown that the maximum strength is lower than 10 MPa and the elastic modulus less than 1 GPa. Nevertheless, the toughness of the thermoplastic composite was very high, and the samples continued to deform under bending for any displacement.

Currently, the NRC amino acids (AA) requirements for pigs published in 2012 are used as a reference in variable swine industries. However, recent results in several articles suggest that the standardized ileal digestible (SID) AA: Lysine (Lys) ratio significantly evolved over the last two decades, while some publications report inconsistent outcomes. Therefore, the present study used a meta-regression analysis to assess the relative ratio to lysine to maximize the feed efficiency of four essential amino acids (tryptophan, valine, isoleucine, and methionine) in pig diets. According to the PRISMA guidelines, articles examining the target AA requirement using a basal diet supplemented with varying levels of crystalline AA (tryptophan, valine, isoleucine, or methionine) were identified across Scopus, PubMed, and Science Direct. As a result, 23, 22, 16, and 9 articles using tryptophan, valine, isoleucine, and methionine were selected and categorized into experiments for inclusion in our meta-analysis. The results suggested that the requirements of tryptophan, valine, isoleucine, and methionine in our meta-regression analysis were superior to NRC recommendations regardless of the regression models and the growth phases with significant RSQ values (RSQ ≈ 1). Also, the QUAD and CLP regression models emphasized higher requirements than the LP model for the great majority of amino acids and growth phases. The results of the QUAD and CLP models were selected as estimations of amino acid requirements for pigs under challenged conditions whereas the LP model was chosen to estimate the amino acid requirements of genetically improved pigs under a modern housing system. The results of this meta-regression analysis might be used to refresh the information on the NRC amino acids (AA) requirements for swine.

Since the mid-1990s probiotics have been proven to support the treatment of several gastrointestinal diseases. Additionally, probiotics have been taken as a common panacea for civilization diseases. To date, the only probiotic yeasts with evidence of health-promoting effects are Saccharomyces cerevisiae var. boulardii. The probiotic properties are strain-dependent, whereby it is crucial to develop methods to verify the probiotic-enriched food authentication including the growing number of dietary supplements with simplified commercialisation procedures. Due to the significant genetic similarity of S. cerevisiae var. boulardii to S. cerevisiae, qPCR-HRM analysis was tested, which has a very high sensitivity for polymorphism detection and enables simultaneous identification of the microorganism in the presence of the reference sample. The effectiveness of interspecies primer pairs and intragenus primer pairs designed to amplify heterogeneous regions was examined. HRM analysis using primers for 18SrRNA and ITS allowed for identification of S. cerevisiae var. boulardii at the species level. S. cerevisiae var. boulardii was efficiently identified at the variety level with amplification of HO and RPB2 in the single- and multi-component DNA extracts. The RPB2 amplicon showed the highest intraspecies differentiation power. The predominance of S. cerevisiae var. boulardii in the mixtures tested was crucial for identification using qPCR-HRM analysis and quantitatively corresponded to the strain content in the probiotic-enriched food matrices.

Gastrointestinal parasite (GIP) infections pose significant challenges in pasture-based sheep farming, leading to economic losses and welfare concerns. This study aimed to uncover the ge-netic basis of resistance to tapeworm (Monezia spp.) infections in Central Anatolian Merino (CAM) sheep and explore the immunogenetic mechanisms underlying this resistance. Ge-nome-wide association studies (GWAS) were conducted between tapeworm egg burden and ge-nomic data from 227 CAM lambs. Thirteen significant SNPs were identified, with five surpassing the genome-wide threshold and eight exceeding the chromosome-wide threshold. Functional annotation revealed associations with genes involved in immune function, notably CD79A and MAP3K7. CD79A, integral to B-cell activation and antibody production, plays a key role in the immune response against parasitic infections. Its interaction with helminth-derived proteins modulates B-cell function, highlighting its potential as a therapeutic target. MAP3K7, a central regulator of immune signaling pathways, modulates host responses to helminth infections by influencing NF-κB activity. Additionally, it regulates macrophage function in bacterial infec-tions, showcasing its versatility in mediating immune responses against diverse pathogens. From a practical perspective, the findings of the current research underscore the potential of in-tegrating genomic information into breeding programs to bolster disease resilience in livestock populations for sustainable production purposes. However, further research is needed to eluci-date the functional significance of identified SNPs and associated genes. Functional studies and multi-omic approaches may provide a comprehensive understanding of host-parasite interac-tions. This study underscores the potential of genomic approaches in combating parasitic dis-eases and promoting sustainable agriculture in sheep production systems.

Communal lands covers a surface area of 1 million hectares in the Galicia-North Portugal region (northwest Iberian Peninsula). The average size of this land ownership type is 500 ha in Portugal and 200 ha in Galicia. The region has a Gross Domestic Product (GDP) lower than other developed regions of Europe, being considered within Objective 1 of the European Union (EU). For centuries, the baldios and montes veciñais en man común (MVMC) have played a key role in the economy of rural areas of Portugal and Galicia respectively. This function was lost throughout the 20th century due to forestry policies developed especially in the dictatorial regimes established in both Spain and Portugal, bringing about an important decline in agricultural practices. The restoration of democratic regimes returned ownership of the communal lands to the local/rural communities. Taking into account the extent and large average size of these lands, our aim was to describe the potential use and limitations of the communal lands, as well as the influence on sustainable rural development regarding the numerous ecosystem services it offers. An Analytic Hierarchy Process (AHP) was employed to evaluate stakeholders opinions in relation to communal land sustainable management. Both rural areas, i.e. Galicia and North Portugal, have similar characteristics, provide the same type of benefits and require numerous social improvements to achieve sustainable development. Communal lands and small-scale business initiatives can support local produce markets while promoting biodiversity conservation and ecosystem services.

Waste cooking oil (WCO) recycled asphalt is facing issues regarding insufficient thermal oxidation stability and aging resistance. In this research, glycerol esterification was adopted to pretreat WCO, and the consequences of this treatment on the aging resistance and thermal stability of WCO were analyzed. The impacts of varying levels of esterification of WCO on the high-temperature, low-temperature performances, fatigue properties, as well as aging resistance of recycled asphalt were investigated. Furthermore, the mechanisms of regeneration and anti-aging of deeply esterified WCO recycled asphalt were revealed by Fourier transform infrared spectroscopy (FTIR) and gel permeation chromatography (GPC) tests. The results indicated that variations in the physical properties of WCO during the aging process were reduced, and its aging resistance was improved following glycerol esterification therapy. The initial thermal decomposition temperature was increased by approximately 115°C, which resulted in the enhancement of thermal stability significantly. Recycled asphalt obtained from deeply esterified WCO exhibited superior high-temperature, low-temperature performances and fatigue properties. Moreover, the thermal oxidation stability and aging resistance of recycled asphalt with deep-esterified WCO could be promoted by reducing the oxidation and volatilization of light components during the aging process.

The increasing global demand for efficient and sustainable energy storage solutions has driven the exploration of sulfur-based battery technologies. Sulfur’s abundance, low cost, and high theoretical energy density make it a promising candidate for next-generation energy storage, particularly in electric vehicles (EVs) and renewable energy systems. This paper reviews the development of sulfur-based batteries, including lithium-sulfur (Li-S), sodium-sulfur (Na-S), magnesium-sulfur (Mg-S), solid-state sulfur, sulfur-carbon nanocomposites, and hybrid sulfur flow batteries. Each technology is analyzed based on its advantages, challenges, and potential applications. Key research areas such as advanced electrolytes, nanomaterial integration, and sustainable manufacturing are highlighted, along with the current technological barriers to large-scale adoption. This review underscores the importance of continued research and innovation in sulfur-based battery technology to meet future energy storage demands.

This paper is a part of the broader research on “Adaptation of Laws in Science” and explores the limitations and challenges involved in adapting mathematical concepts to describe natural reality in physics. Specifically, the analysis focuses on two major examples: Euler's exponential laws and spacetime dilation derived from Lorentz transformations. By examining these concepts, the paper emphasizes that some complex laws are not universally applicable for deeper studies of nature, as they originate from mathematics and are correct only for specific parts of nature to which they have been adapted. These complex laws are particularly unsuitable where there is limited information available for adaptation. Therefore, without appropriate adaptations and a deep understanding of the physical context under investigation, the direct use of complex laws can lead to incorrect results. It is essential to avoid excessive generalization of these laws, once they become part of physics, unless a corresponding adaptation to the research context can be made. Furthermore, this paper supports the correctness of relativity theories by invoking that, like Euler's exponential growth theory, they were initially mathematical concepts. However, the nature of mathematics coincided with that of the phenomena in our universe, although through certain adaptations.

Isotopes at the limits of nuclear existence are of great interest for their critical role in nuclear astrophysical reactions and their exotic structure. Experimentally, exotic nuclides are challenging to address due to low production cross-sections, overwhelming amounts of contamination, and lifetimes typically less than a second. To this end, a Multiple-Reflection Time-of-Flight mass spectrometer at the TITAN-TRIUMF facility was built to determine atomic masses. This device is a preferred tool to work with exotic nuclides due to its ability to resolve the species of interest from contamination and short measurement cycle times enabling mass measurements of isotopes with millisecond half-lives. With a relative precision of order $10^{-7}$, we demonstrate why the TITAN MR-TOF MS is the tool of choice for precision mass surveys for nuclear structure and astrophysics. The capabilities of the device are showcased in this work including new mass measurements of short-lived tin isotopes ($^{104-107}$Sn) approaching the proton dripline as well as $^{89}$Zr, $^{90}$Y, and $^{91}$Y. The last three illustrate how the broadband surveys of MR-TOF MS reach beyond the species of immediate interest.

tRNA-derived fragments function as markers additionally to playing the role key of signalling molecules in a number of disorders.  It is known that the repertoire of these molecules differs greatly in different cell types and varies depending on the physiological condition. The aim of our research was to compare the pattern of tRF expression in the main blood cell types and to determine how the composition of these molecules changes during COVID-19-induced cytokine storm. Erythrocytes, monocytes, lymphocytes, neutrophils, basophils, and eosinophils from control donors and patients with severe COVID-19 were obtained by fluorescence sorting. We extracted RNA from FACS sorted cells and performed NGS of short RNAs. The composition of tRNA-derived fragments was analysed applying a semi-custom bioinformatic pipeline. In this study, we assessed the length and type distribution of TRFs and reported the 150 most prevalent TRF sequences across all cell types. Additionally we demonstrate a significant (p<0.05, fold change>16) change in the pattern of tRFs in erythrocytes (21 downregulated, 12 upregulated), monocytes (53 downregulated, 38 upregulated) and lymphocytes (49 upregulated) in patients with severe COVID-19. Thus, different blood cell types exhibit a significant variety of TRFs and react to cytokine storm by dramatically changing their differential expression patterns. We suppose that the observed phenomenon occurs due to the regulation of nucleotide modifications and alterations in activity of various Rnases.

Discoloration of endodontically treated anterior teeth poses a significant aesthetic concern for many individuals, impacting their confidence and self-image. Porcelain veneers have emerged as a popular solution for the aesthetic restoration of such teeth. This paper explores the role of porcelain veneers in addressing tooth discoloration, examining their efficacy, durability, and aesthetic outcomes, via a clinical case. Various factors influencing the selection of porcelain veneers as a treatment modality, including shade matching, preparation techniques, and adhesive bonding, are discussed. Additionally, advancements in materials and techniques have enhanced the versatility and aesthetic appeal of porcelain veneers, making them a valuable option for achieving natural-looking and durable aesthetic restorations in individuals with discolored endodontically treated anterior teeth.

The nEDM experiment at Oak Ridge’s Spallation Neutron Source will probe for an electric dipole moment of the neutron at an unprecedented level of sensitivity. Polarized 3He atoms dressed by a radio-frequency field are a crucial component. For field parameters comparable to the parameters being used in the nEDM experiment, numerical studies using a fourth-order Runge-Kutta solver reveal inadequacies in earlier analyses of 3He spin dynamics. It’s seen that neutron absorption is influenced by avoided level-crossings omitted previously. Also, the critical dressing condition, used to eliminate effects of the static magnetic field, requires modification. First-order perturbative corrections to eigenstates and third-order corrections to eigenenergies are needed to account for the impact of avoided level-crossings and the changes in the critical dressing condition, respectively.

The rapid proliferation of Internet of Things (IoT) devices has transformed various sectors, from smart homes to industrial systems. However, this growth has introduced significant security risks due to the increased attack surface and diverse nature of IoT devices. This paper presents a comprehensive assessment of IoT security risks and explores effective mitigation strategies. We first categorize the primary risks associated with IoT, including data breaches, device manipulation, and network vulnerabilities. Using a multi-layered approach, we analyze these risks in different contexts, such as consumer IoT, industrial IoT, and healthcare. The study then reviews existing security frameworks and protocols, highlighting their strengths and limitations. We propose a hybrid mitigation strategy combining encryption, access control, and anomaly detection to enhance IoT security. Furthermore, we discuss the role of regulatory standards and best practices in reinforcing IoT security. The findings underscore the need for a proactive and adaptive security posture to address evolving threats in the IoT landscape.

The selection of the best allogeneic donor for each specific patient is crucial for the success of allogeneic hematopoietic stem cell transplantation (HSCT). Besides the well-known patient’s characteristics, donor-related variables such as patient-donor histocompatibility and donor age are of utmost importance for the outcome after HSCT. However, there is still debate on the definition of the best stem cell donor when multiple suitable donors exist. By using own data from two transplant centers, we here developed a calculator able to provide the 2-year patients’ overall survival (OS) associated to each of the potential donor options during the selection process. Data on n=737 HSCTs performed from January 2010 to July 2022 have been retrospectively obtained. Donor types were HLA-identical siblings, unrelated or related haploidentical. Cox regression and parametric model indicates patients’ age, disease, comorbidity index and donor type as significant variables (p<0.05) able to predict 2-year OS with robustness (concordance index: 0.677). Estimates are provided with the three donor options for each single, specific patient. Of note, estimates express real data of the transplant centers and reflect their actual experience. In conclusion, we here present the prototype of a new tool for the calculation of patients’ outcome according to the stem cell donor type, guiding transplant physicians during the process of donor selection before HSCT. The novelty of this approach relies on the use of real data from the investigating centers, reflecting the local clinical experience. Improvements are planned by filling additional information and pooling data from more centers.

Abstract Introduction: Family medicine physicians take care of a diverse population of patients with a variety of acute and chronic diseases. These patients include family, friends, and acquaintances who may ask for direct medical care or help in accessing healthcare products and services, within or outside of officially approved procedures. This is ethically challenging due to an ambiguous medical code of ethics, but it is commonly accepted as normal behavior by society. Clinical ethics and the moral code of conduct together define how physicians should deal with such requests. However, Saudi physicians, like most individuals in Saudi society, are governed by the societal code of conduct when dealing with requests and favors from others. The aim of this study is to explore family medicine physicians’ perspectives regarding the benefits, difficulties, and ethics of responding to medical care requests and/or favors from family, relatives, friends, and acquaintances and to make recommendations. Methods: The study sample consisted of junior and senior family medicine physicians working in primary healthcare centers affiliated with the Ministry of Health in Saudi Arabia. In-depth semi-structured interviews were conducted to collect data. Using Social Exchange Theory, this qualitative study explores how family medicine physicians perceive and handle requests for medical favors from family members and others. Results: Semi-structured interviews were conducted with 19 family medicine physicians with clinical experience ranging from 3 to 20 years. Data analysis identified three themes: perceived benefits and costs of cultural and social connectedness, shortcomings in patient management and healthcare systems, and recommendations to address challenges between physicians and patients who are relatives. Discussion and conclusion: The study shows that treating others outside of normal access to healthcare services presents several ethical, moral, and professional challenges. Therefore, policy adaptation requires understanding this intricate dilemma and improving laws, system regulations, and guidelines for physicians and community members to improve access to care, reduce system abuse, empower providers, and enhance community awareness and compliance.

Often, in biology, we are faced with the problem of exploring relevant unknown biological hypotheses in the form of myriads of combinations of factors/genes/proteins that might be affecting the pathway under certain conditions. In colorectal cancer (CRC) cells treated with ETC-1922159, many genes were found up and down regu- lated, individually. A recently developed search engine ranked combinations of Tumor necrosis factor (TNF)-X (X, a particular gene/protein) at 2nd order level after drug administration. These rankings reveal which TNF-X combinations might be working synergistically in CRC. If found true, oncologists can further test the combination of interest in wet lab and determine the mechanism of functioning between the TNF and X. In this research work, we cover combinations of TNF with Wnt, mucin (MUC), six transmembrane epithelial antigen of prostate 4 (STEAP4), ubiquitin conjugating enzyme E2 (UBE2) family and BCL family.

Introductory courses regarding radar technologies are very popular in undergraduate curriculum of many electrical and electronics engineering departments. Hands-on experience is an essential part for understanding the theoretical concepts given in lectures. In most cases, it is not affordable for universities to acquire experimental radar systems, especially those in developing countries. This paper presents a detailed description of a cost-effective easy-to-deploy radar system laboratory sessions and measures the educational effectiveness of the proposed material. The provided radar models can be used in teaching undergraduate students the working principles of frequency modulated continuous wave (FMCW) radar systems, as well as assisting graduate students in their research activities. The effectiveness of the laboratory sessions is measured thoroughly via qualitative and quantitative methods based on the proposed learning process and students’ success. The results show that the lab sessions have increased the students' understanding of the topics covered within the course, and the students' general perception is positive.

The increasing activism of moderate Muslim groups in promoting religious moderation and countering radicalism has garnered significant scholarly attention. However, there remains a paucity of comprehensive studies exploring the role of education grounded in local cultural practices, such as humor, in this context. This article aims to analyze the utilization of humor-based platforms on social media by moderate Muslim organizations to advance religious moderation and reinforce the portrayal of a tolerant and peaceful Indonesian Islam in virtual public spaces. It argues that humor functions not merely as a vehicle for entertainment but as an effective educational tool capable of de-escalating tensions and conflicts without inciting violence, by employing humorous language. This study employs Virtual Ethnography to observe the online activism of the "Nahdlatul Ulama (NU) Garis Lucu" and "Muhammadiyah Garis Lucu" platforms, particularly in their engagements with similar humor platforms operated by radical Islamic groups. The findings reveal that humor platforms can effectively disseminate discourses on religious moderation while also providing a critique of the religious narratives propagated by radical groups through the use of memes that are both humorous and respectful. Moreover, these platforms have evolved into deliberative public spaces where diverse religious groups can engage in dialogue over various contemporary religious issues. The emergence of these humor platforms has successfully contributed to the representation of Indonesian Islam as witty, inclusive, and fundamentally opposed to radicalism.

The human scalp is a common site of skin cancer in humans, with non-melanoma skin cancer being exceedingly common. In this review, two dermatologists with extensive experience in cutaneous oncology will discuss unique features of the epidemiology of cancer of the scalp. Clinical observations on these common skin cancers lead to insight into the pathogenesis and potential prevention and treatment of cutaneous scalp neoplasia. Our hypothesis is that the presence of hair protects against the development of skin cancer, but not by serving as a physical shield, but rather by providing a continuous IL-17 biased immunosurveillance. Loss of hair allow release from immunosurveillance, resulting in expansion of neoplastic cells towards skin cancer. Both hair follicles and metabolic changes in stroma allow permissiveness for tumor promotion.

Introduction Sepsis-associated encephalopathy (SAE) is common in sepsis and is linked to high mortality and impaired neurologic outcome. Brain ultrasonography (US), including transcranial Doppler (TCD) and transcranial color-coded duplex sonography (TCCS), is a non-invasive tool for cerebral monitoring and might be useful in sepsis. The aims of this review are: 1) to explore whether brain perfusion is altered in sepsis, 2) to determine the role of brain US in guiding resuscitation, and 3) its ability to predict neurological outcomes in septic patients. Materials and methods This scoping review adhered to the PRISMA-ScR protocol and JBI methodology. A comprehensive literature search was conducted across MEDLINE, Scopus, and Web of Science. The review included studies on adults with sepsis or septic shock in the ICU. Randomised controlled trials, clinical trials, observational studies and systematic reviews were included. All the data related to the review's key questions were extracted and charted independently by two authors. Results 625 articles were screened, and 34 were ultimately included after application of exclusion criteria. 85% of the studies were observational 15% were systematic reviews with or without meta-analysis. The studies primarily focused on cerebral blood flow (CBF) alterations in sepsis, reporting variable results. Findings showed variable cerebral autoregulation (CAR) impairment, with higher incidence in the early stages of sepsis and associations with poor neurological outcomes. However, while alterations in CAR and CBF are common in septic patients, their impact on neurological outcomes and mortality is not clear. Regarding resuscitation, only a paucity of studies were found and no conclusions can be drawn. Conclusions The current body of evidence has a poor grade, but it is possible to say that brain US can identify cerebral perfusions alterations. Its usage during resuscitation is feasible and warrants further investigations. Use of brain US during resuscitation and for prediction of outcome is not currently supported by evidence. Further studies on brain perfusion, acquisition of 2D images of parenchyma (TCCS) and application of a multimodal brain monitoring might be useful in these contexts.

This paper aims to outline the effectiveness of modern universal gate quantum computers when utilizing different configurations to solve the B-SAT(Boolean Satisfiability) problem. The quantum computing experiments are performed using Grover’s Search algorithm to find a valid solution. The experiments are performed under different variations to demonstrate their effects on the results. Changing the number of shots, qubit mapping, and using a different quantum processor are all among the experimental variables. The study also branches into a dedicated experiment highlighting a peculiar behavior that IBM quantum processors exhibit when running circuits with a certain number of shots.

Background: Dengue virus (DENV) infection is a significant public health concern in many trop-ical and subtropical regions, where early and rapid detection is crucial for effective patient man-agement and controlling the spread of the disease. Particularly in resource-limited, rural healthcare settings where dengue is endemic, there is a need for diagnostic methods that are both easy to perform and highly sensitive. Objective: This study focuses on the development and validation of a single-tube reverse tran-scription-loop-mediated isothermal amplification (RT-LAMP) assay for the detection of DENV. Methodology: The RT-LAMP assay designed in this work combines two sets of primers targeting the 5' and 3'-UTR regions of the dengue virus, aiming to increase the sensitivity of detection. Results: The clinical validation of this COMB-RT-LAMP in samples from febrile individuals with a serological or antigenic diagnosis showed a sensitivity of over 95%. The assay's perfor-mance was statistically compared to standard diagnostic method quantitative reverse transcrip-tion-polymerase chain reaction (qRT-PCR). Conclusions: The findings support the potential of RT-LAMP as a rapid, sensitive, and specific tool for dengue diagnosis and surveillance, particularly suitable for field use in low-resource set-tings.

Urinary tract infections (UTIs) affect nearly 50% of women in their lifetime. Uropathogenic Escherichia coli (UPEC) expresses F9/Fml pili tipped with protein FmlH that specifically bind to terminal galactoside and galactosaminoside units in glycoproteins in kidney and bladder cells and colonize host tissues. Traditional UTI treatment using excessive antibiotics has led to the rise of various UPEC antibiotic-resistant strains. An alternative therapeutic approach prevents the initial bacterial attachment on the host cells using competitive FmlH-binding inhibitors. In this study, we have used computer-aided drug design techniques to identify novel glycomimetics that are predicted to bind strongly to UPEC FmlH and inhibit binding to host glycoproteins. We have performed in-silico receptor-based and ligand-based scaffold hopping, and molecular docking to predict novel FmlH-binding glycomimetics with high chemical synthesizability. We have replaced the two major scaffolds of the most potent known FmlH-binding ligand to obtain novel compounds. Additionally, we have applied global machine-learning models to predict ADMET properties of the molecules. Compounds with calculated low ADMET risks were subjected to molecular dynamics simulations and detailed investigation of the FmlH–glycomimetic interactions was performed. We have prepared and supplied a library of 58 novel glycomimetics that can be subjected to further biological activity studies.

Goat milk is a nutritious food, with high levels of vitamins and minerals. In this context, there is a growing need to improve preservation techniques. Thus, the present work was developed with the aim of drying goat milk using a spray dryer. Chemical, physical, and physicochemical analyses of powdered goat milk and reconstituted goat milk were performed, as well as the characterization of raw goat milk. The statistical model used was the full factorial design 2³ + 3, observing the Pareto Diagram and Analysis of Variance to study the effect of atomization frequency (Hz), inlet temperature (°C), and peristaltic pump rotation (rpm) on the responses for the powdered and reconstituted product. The planning was executed with eleven trials, including nine different trials and three central points. For the analysis of the planning at a 95% confidence level, the Statistica 8.0 software was used. The results showed that atomization frequency and inlet temperature had the greatest effect on the powdered product and the reconstituted food, respectively. Therefore, the importance of drying this food is evident as it offers several advantages for the food industry and consumers.

This study sought to investigate the problem of losses along the milk value chain in Nandi and Kakamega Counties in Kenya. Using semi structured questionnaire, quantitative data were collected from different stages of the value chain consisting of 400 dairy farmers proportionally and randomly selected in Chesumei and Ikolomani sub counties; 15 cooperatives, 40 transporters, 20 milk bars, 17 supermarkets. Additionally Key informant interviews and focus group discussions we held with extension staff and farmers, respectively.The results showed losses occurred at all stages of the value chain in Nandi and Kakamega Counties with the highest losses at Cooperative (50.6%), collection centres (33.7%) and milk bars (7.5%). Annual milk loss was estimated to be 260,000 litres and 20,000 litres in Nandi and Kakamega counties respectively. The economic value of losses per year was estimated at KES 13 million (USD 100 000). Significant factors (P<0.001) influencing milk losses at farm level were: type of cow housing, level of training of milker, mixing morning and evening milk and Lack of cooling facilities. In cooperatives, poor roads, poor preservation of milk and mastitis influenced post harvest losses (PHL) causing milk rejection due to spoilages; while transporters attributed PHL to storage during transportation. Inadequate storage facilities and milk handling practices influenced PHL in milk bars while supermarkets attributed PHL to poor packaging materials and short shelf life. The most important causes of milk PHL along the chain were spoilages, spillages, adulteration and physical dirt. Key interventions to minimize PHL should target improvement of rural road infrastructure connecting farmers to markets; milk storage facilities and capacity building on milk handling practices for all actors. A sustainable PHL reduction should entail policy dialogue on milk payment system based on quality rather than quantity.