In recent times, the adoption of cloud computing by small and medium-sized 9 enterprises (SMEs) has become a crucial issue. These businesses face substantial difficulties in 10 accessing reliable and affordable IT infrastructure due to economic constraints and technological 11 restrictions. Hybrid cloud computing solutions which incorporate Infrastructure as a Service 12 (IaaS), Platform as a Service (PaaS), and Software as a Service (SaaS) offer a feasible approach to 13overcoming these challenges. This study proposes a systematic literature review of cloud 14 computing's impact on SME performance emphasizing cost-efficiency, reliability, and 15 competitive advantages, using the 2020 Preferred Reporting Items for Systematic Reviews and 16 Meta-Analyses (PRISMA) framework. The inclusion criteria are bounded by (1) publication date 17 between 2014 and 2024, (2) English-language publications, (3) research focused on cloud 18 computing for SMEs, and (4) studies with a clear analytical framework for evaluating SME 19 performance. Following this process, 90 eligible research studies were included. The average 20 total cost for cloud services varies significantly, with operational costs reflecting the scalability 21 of the services and the specific needs of SMEs. This analysis offers valuable guidance for SMEs 22 and stakeholders in optimizing cloud-based strategies for enhanced performance.

In today’s world of software development technologies, serverless cloud computing with microservices is a big deal. Microservices gives modularity, agility and scalability, while serverless allows to code without having to maintain any internal hardware infrastructure, so processes are streamlined and costs are reduced by 60% compared to traditional server based systems. In this paper we looked at the challenges of microservices and serverless architecture and how to address them. We analyzed existing architectures and proposed a conceptual framework that will give you a complete solution for building scalable and efficient cloud native applications that reduces costs by 30-50%, improves resource utilization by 15-20%. Cold start latency, a common issue in serverless computing is reduced by 25% using standardized optimization techniques. This paper also compares server based and serverless technologies on scalability, resource efficiency and cost. These findings will give you a serverless approach to cloud software development and supports the trend of architectural adoption so you can have more dynamic and efficient systems.

Mobility as a Service (MaaS) is an innovative transport concept, anticipated to provide travelers with different kinds of travel services, more sustainable than a private car, in a simpler, packaged way. It combines different transport modes to offer a tailored mobility package, like a monthly mobile phone contract. The rapid development of intelligent transportation system and the shared economy has speeded up the development of MaaS in these years. In this paper, we aim at classifying the existing research on MaaS and the characteristics of MaaS into different categories, in order to answer the following questions after reviewing the existing literature: What is MaaS? Who are the main actors in MaaS? How can MaaS be implemented? Why should it be implemented? Where will MaaS end up in this wave of disruption? When we talk about MaaS, what are we focusing on? What is the future leading frequency of MaaS? Finally, based on the existing literature, we envision the leading future of MaaS.

Cloud robotics is becoming an alternative to support advanced services of robots with low computing power as network technology advances. Recently, fog robotics has gained attention since the approach has merit relieving latency and security issues over the conventional cloud robotics. In this paper, a Function-as-a-Service based Fog Robotic (FaaS-FR) for cognitive robots is proposed. The model distributes the cognitive functions according to the computational power, latency and security with a public robot cloud and fog robot server. During the experiment with a Raspberry Pi as an edge, the proposed FaaS-FR model shows efficient and practical performance in the proper distribution of the computational work of the cognitive system.

Cloud-based CNC is an emerging paradigm of Industry 4.0 where computer numerical control (CNC) functionalities are moved to the cloud and provided to manufacturing machines as a service. Among many benefits, C-CNC allows manufacturing machines to leverage advanced control algorithms running on cloud computers to boost their performance at low cost, without need for major hardware upgrades. However, a fundamental challenge of C-CNC is how to guarantee safety and reliability of machine control given variable Internet quality of service, especially on public Internet networks. We propose a three-tier redundant architecture to address this challenge. We then prototype tier one of the architecture on a 3D printer successfully controlled via C-CNC over public Internet connections, and discuss follow-on research opportunities.

In developing countries today, population growth and the penetration of higher standard of living appliances in homes has resulted in a rapidly increasing residential load. In South Africa, the recent rolling blackouts and electricity price increase only highlighted this reality calling for sustainable measures to reduce the overall consumption and peak load. The dawn of the smart grid concept, embedded systems and ICTs have paved the way to novel HEMS design. In this regard, the Internet of Things (IoT), an enabler for smart and efficient energy management systems is seeing increasing attention for optimizing HEMS design and mitigate its deployment cost constraints. In this work, we propose an IoT platform for residential energy management applications focusing on interoperability, low-cost, technology availability and scalability. We focus on the backend complexities of IoT Home Area Networks (HAN) using the OCF IoTivity-Lite middleware. To augment the quality, servicing and reduce cost and complexities, this work leverages open-source Cloud technologies from Back4App as BaaS to provide consumer and Utilities with a data communication platform within an experimental study illustrating time and space agnostic “mind-changing” energy feedback, Demand Response Management (DRM) and appliance operation control via a HEM App via an Android smartphone.

Despite the growing adoption of Mobility as a Service (MaaS) in urban transportation systems, standard monitoring methods for evaluating its impact and effectiveness still need to be developed. This study proposes a quantitative state of MaaS analysis based on mobility market indicators and macroeconomic metrics to generate a MaaS Status Index (MSI). The intention is to introduce a standardised quantitative methodology for systematically assessing and comparing the state of MaaS in urban mobility systems. The MSI aims to quantitatively capture the economic, social, technological, and infrastructural conditions relevant to MaaS implementation. The methodology includes four steps: identifying relevant mobility markets, defining mobility market metrics, integrating macroeconomic metrics, and deriving the MSI formula. We apply the MSI methodology to the Austrian mobility market as a case study, demonstrating its practicality in assessing MaaS readiness and highlighting specific challenges and opportunities within the Austrian mobility system. The analysis covers the present (2017-2022) and the projected future (2023-2028). The findings indicate that the proposed MSI is an effective tool for evaluating MaaS implementation readiness.

Control as a Service (CaaS) is an emerging paradigm where low-level control of a device is moved from a local controller to the Cloud, and provided to the device as an on-demand service. Among its many benefits, CaaS gives the device access to advanced control algorithms which may not be executable on a local controller due to computational limitations. As a step toward 3D printer CaaS, this paper demonstrates the control of a 3D printer by streaming low-level stepper motor commands (as opposed to high-level G-codes) directly from the Cloud to the printer. The printer is located at the University of Michigan, Ann Arbor, while its stepper motor commands are calculated using an advanced motion control algorithm running on Google Cloud computers in South Carolina and Australia. The stepper motor commands are sent over the Internet using the user datagram protocol (UDP) and buffered to mitigate transmission delays; checks are included to ensure accuracy and completeness of the transmitted data. All but one part printed using the cloud-based controller in both locations were hitch free (i.e., no pauses due to excessive transmission delays). Moreover, using the cloud-based controller, the parts printed up to 54% faster than using a standard local controller, without loss of accuracy.

Smart, reliable, and connected multi-modal mobility has been a long-standing goal of transit services. This paper focuses on the smart, seamless, and multi-modal mobility service in the context of “Mobility as a Service” (MaaS). Intelligent mobility is the smarter, greener, and more efficient movement of passengers around the world. Increasingly, mobility is approached as a service. This study first conducts an extensive literature review on mobility behavior and demand pattern of MaaS end-users. It then extends the mechanism of supply chain, MaaS, synergy (i.e., vertical cooperation synergy, horizontal competition synergy), and coopetition to develop the multi-tier closed-loop intelligent mobility service supply chain network. This paper explains the intelligent mobility service supply chain network from following perspectives: (i) mobility service taxonomy of MaaS; (ii) aims of intelligent mobility service supply chain network; (iii) urban rail transit (URT)-centered alternatives for integrated multimodal journey planning, i.e. access + URT + egress, and both access and egress can be served by Mobility-On-Demand (MOD) transport; (iv) node member imperatives. From a synthesis of insights from the ‘during’ journey, this study puts forward the synergetic design of intelligent mobility service supply chain network, including: (i) multi-tier closed-loop structure; (ii) key nodes identification for the physical multimodal transport network in the supply chain; (iii) hybrid synergy mechanisms among the partners, i.e., synergy principle, temporal splitting approach for coopetition synergy; (iv) index systems and evaluation methods for synergy measurement. This study also contributes to the integrated multimodal journey planning. In concluding, the paper highlights the important implications of the proposed intelligent mobility service supply chain network for MaaS bundle design and adverse effects reduction, resulting from 1 + 1 > 2 synergy effects.

In view of intensified disasters and fatalities caused by natural phenomena and geographical expansion, there is a pressing need for a more effective environment logging for a better management and urban planning. This paper proposes a novel utility computing model (UCM) for structural health monitoring (SHM) that would enable dynamic planning of monitoring systems in an efficient and cost-effective manner. The proposed UCM consists of network-attached data drive that stores data from SHM logger, population count system and Geographic Information System (GIS) enhanced with a Cloud IoT data backup, display, and analysis server. The UCM using this data and data from building information systems applies a simple machine learning algorithm to generate real-time structure health and suggests re-planning of SHM units. The health of structure varies dynamically with disturbances created by higher occupancy and structure density per zone. The proposed SHM-UCM is unique in terms of its capability to manage heterogeneous SHM resources. This was tested in a case study on Qatar University (QU) in Doha Qatar, where it looked at where SHM nodes are distributed along with occupancy density in each building. This information was taken from QU simulated occupation and zone calculation models and then compared to ideal SHM system data. Results show the effectiveness of the proposed model in logging and dynamically planning SHM.

As a service business models have been ranked by management consultants the management innovation of 2020, and yet are scarcely theorized. Therein, value stipulations in customer contracts lead to the shift from product to service. However, there is no available research about the nature, formula and decisional process about these value stipulations. The motive for this research is to fill in this gap. The goal is to provide first insight about value stipulations in as a service business models: their formula and decisional methodology. The article is a multiple theory building case study on leading platform as a service providers, which aims to contruct the paradigm of the value decision methodology to invest in this technology by purchasing it from dedicated vendors. The methodology works to identify the management instruments involved in the decisional activities to invest in digital technology, where each management instrument is assumed to match an activity at seller and buyer; the sequence of the activities using the Critical Path Method gives the decisional process. Dependent variables are the elements of the as a service business contracts: the customer offering (product-service solution) and the value created, captured and delivered by the solution. Independent variables are given by empirical data analysis. Findings show a relationship between dependent variable value in the as a service business model contracts and independent variables governance objective, strategy, as a service business model type, activity management techniques (roadmap, program, project, operations, lean start-up), capital allocation techniques (equity, debt, options, venture capital typology). If innovation is exploitative, then the customer offering is known and value is determinable via roadmap – project management techniques (program, project, an operations) and capital allocation techniques for precictable environment, If innovation is radical, then the customer offering is not known and value is a target used to architect the solution via lean start-up innovation techniques funded by venture capital. The contribution is a new theoretical construct and deep insight into the practice of digital transformation considering all inherent issues.

The enterprise software sector is experiencing a significant transformation driven by rapid technological progress and evolving business needs. An effective release management process is crucial for the solution providers and customers, as they incorporate the principles of Industry 4.0 and 5.0. With the growing dependence on software solutions and services, ensuring their quality, reliability, and security is highly necessary. The release management process incorporates strategic planning, regression testing, accurate deployment, and continuous monitoring of software updates. However, the rapid advancements in artificial intelligence (AI) and machine learning (ML) create a unique challenge to the release management process. The existing research needs to address the necessary adaptations for Industry 5.0, mainly in product-based software organizations, to the release management process without a change management system. After working with several software solution stakeholders, based on the responses from SaaS project stakeholders, we have presented a revised software release readiness workflow by incorporating a change management module. The preliminary result based on data over a limited period of time indicates that the revised workflow has the potential to improve the management of slippage, particularly by more effectively addressing NFR-related issues, thereby resulting in more predictable and reliable release cycles.

Within the fields of English for Academic Purposes (EAP) and English for Research Publication Purposes (ERPP), there is an unquestioned orthodoxy that scholars with English as an Additional Language (EAL) are particularly disadvantaged by the pressure to publish in English (though see Kuteeva 2015 and debate between Hyland 2016a, 2016b and Politzer-Ahlesa et al. 2016). In this paper, I challenge this orthodoxy, raising questions about the evidence upon which it is based. Within a framework of ‘verbal hygiene’ (Cameron 1995, 2012), I will argue that the attention accorded to ‘non-nativeness’ may be disproportionate to its significance for publication success. I conclude by proposing some reorientations for researchers and practitioners in the field that centre on broadening the scope to encompass non-linguistic structures of inequity.

Positive recurrence for a single-server queueing system is established under generalised intensity conditions of service which does not assume existence of the density distribution function of service but a certain integral type lower bound as a sufficient condition. Positive recurrence implies existence of the invariant distribution and a guaranteed slow convergence to it in the total variation metric.

The Internet's core network, crucial for key services, lacks a clear definition, hindering Internet development and security research. This study analyzes important Autonomous Systems (ASes) and proposes a rule-filtering, top-down method to infer the Internet's core network. It identifies two core memberships: Tier-1 ASes and Regional Tier-1 ASes. Despite a gap, Regional Tier-1 ASes show potential to join the core. Our proposed core structure, unlike traditional methods that randomly select TOP-K nodes, offers improved rationality and interpretability. Historical data analysis reveals the Internet's core structure as a tightly interconnected network of large provider ASes. Despite some changes, this structure shows remarkable stability and growing influence, potentially encouraging other ASes to establish direct connections with the core ASes, accelerating the trend towards a flattened Internet structure. Furthermore, the core structure may be evolving from a majority to a more minority-centric structure.

In this contribution, we make an attempt to write a theoretical proposal for designing an eco friendly thermal power plant which runs with cold nuclear fusion technology at a temperature of (1500 to 2000) deg.C. In our recently published papers, we have proposed a clear cut mechanism for understanding and implementing cold nuclear fusion technique pertaining to fusion of hydrogen with metals of mass numbers starting from 50. In this context, we would like to stress the point that, fusion of hydrogen under controllable temperature and pressure can be understood as a phenomenon of fusing neutron to the nucleus of the base atom. Part of isotopic nuclear binding energy difference of final and base atomic nuclides can be seen in the form of safe thermal energy of the order of (1 to 3) MeV per atom against 200 MeV released in nuclear fission of one Uranium atom. Due to increased heaviness and weak interaction, sometimes fused neutron splits into proton and electron. Proton seems to be retained by the base atom’s nuclear core and electron seems to join with the electronic orbits of the base atom. In this way, increased mass of base atomic nuclide helps in eco friendly production of thermal energy in large quantity. For this purpose we consider Iron-56 as a fuel. In a simplified view, under strong nuclear attractive forces, Iron-56 absorbs hydrogen atom as a neutron and by emitting 1MeV equivalent thermal energy transforms to Iron-57. Thus, one gram of Iron-56 can generate 1000MJ of heat with 50% efficiency. In a shortcut approach, by bombarding powder and semi-liquid forms of Iron-56 with direct neutrons coming from neutron source, our proposal can be tried, understood and verified experimentally.

Cyclic STAT3 decoy (CS3D) is a second-generation, double-stranded oligodeoxynucleotide (ODN) that mimics a genomic response element for signal transducer and activator of transcription 3 (STAT3), an oncogenic transcription factor. CS3D competitively inhibits STAT3 binding to target gene promoters, resulting in decreased expression of proteins that promote cellular proliferation and survival. Previous studies have demonstrated antitumor activity of CS3D in preclinical models of solid tumors. However, prior to entering human clinical trials, the efficiency of generating the CS3D molecule and its stability in biological fluids should be determined. CS3D is synthesized as a single-stranded ODN and must have its free ends ligated to generate the final cyclic form. In this study, we report a ligation efficiency of nearly 95 percent. The ligated CS3D demonstrated a half-life of 7.9 hours in human serum, indicating adequate stability for intravenous delivery. These results provide requisite biochemical characterization of CS3D that will inform upcoming clinical trials.

The estimation of ecological service system value of water resources in Tarim river basin is of great significance for resource allocation management and ecological protection. However, there is still no unified and complete evaluation method for ecological service system value of inland river in China. Based on the perspective of the whole value chain, the study classifies its ecological service functions, and divides 11 sub-categories into 4 categories (supply, regulation, culture and support) as evaluation indicators to carry out quantitative evaluation. The results showed that the total value of ecological service system in Tarim river basin in 2018 was 4156.5247×108 Yuan, and the value of regulating function, cultural function, supporting function and supply function were successively from high to low, which were as follows: 2565.6825×108 Yuan, 1009.5471×108 Yuan, 884.0770×108 Yuan, 20.3350×108 Yuan, among which the value of regulation function is dominant.

The motivation for investigating the issues presented in this article stemmed from a need to understand better the relationship in long-established physics formulas and extract the information they provided using conventional methods. Based on the definition of magnetic flux quantization, which is based on a combination of fundamental physical constants, the Planck constant, and the particle’s elementary charge, this work explores the results that arise when this equation is combined with the equation of the Bohr-level electrostatic force acting on the electron, which leads to a new mathematical relationship between the combined expressions. The new relationship yields novel theoretical findings related to the known universal constants. Following this insight, the formalism developed in this paper indicates that the mass of the electron and other subatomic particles is associated with the magnitude of the square of the magnetic flux quantum, which makes up the particle. This conclusion is not as strange as it may seem, as the square of the magnetic flux quantum appears in the context of magnetic energy in a current loop and, according to Einstein’s special theory of relativity, energy is equivalent to mass. Another aspect described at the end of this paper demonstrates the connection between the square of the magnetic flux quantum through the Bohr radius and the significance of the wave function in the atom. The theoretical results are in full accordance with experimental results published by NIST CODATA 2018 that I’ve used, which validates the existence of the relationship.

Motivated by the theoretical model of health insurance choice with Flexible Spending Accounts (FSAs) presented in Cardon 2012, this study investigates the determinants of optional coverage (SSP) and flexible spending accounts (FSA) enrollment, among the privately insured in post-affordable-care-act (ACA) USA. To this end, we rely on semi-parametric bi-variate probit methods, along with a pooled cross-section of the 2015-2016 National Health Interview Surveys. As predicted by the theoretical model, we find that SSP and FSA are complement health solutions with a positive correlation. Our results emphasize that the most important trigger factors influencing the joint probability of SSP and FSA adoption include not only insurance premium cost, but also age, education, marital status, number of work hours, region of residency, citizenship status, and annual health expenditure level. We find that controlling for these latter factors, health status is not significant especially for FSA adoption. In addition, despite the fact that the relative frequency of individuals with FSA rises with increasing levels of medical expenditure, ACA restrictions on FSA tax exclusion to an annual adjusted maximum of $2600 (in 2017 $s) seems to adversely burden individuals with greater medical expenditure, thereby reducing their likelihood of FSA enrollment in post-ACA USA. Understanding these factors is very crucial to US health care market's stakeholders, including insurance companies, firms looking to design their health insurance offerings, but also policy-makers interested in providing new tailored health solutions for reducing health risks.

The acute phase protein serum amyloid A (SAA) is associated with endothelial dysfunction and early-stage atherogenesis. Stimulation of vascular cells with SAA increases gene expression of pro-inflammation cytokines and tissue factor (TF). Activation of the transcription factor, nuclear factor kappa-B (NFkB), may be central to SAA-mediated endothelial cell inflammation, dysfunction and pro-thrombotic responses, while targeting NFkB with a pharmacologic inhibitor, BAY11-7082, may mitigate SAA activity. Human carotid artery endothelial cells (HCtAEC) were pre-incubated (1.5 h) with 10 µM BAY11-7082 or vehicle (control) followed by SAA (10 μg/mL; 4.5 h). Under these conditions gene expression for TF and TNF increased in SAA-treated HCtAEC and pre-treatment with BAY11-7082 significantly (TNF) and marginally (TF) reduced mRNA expression. Intracellular TNF and IL-6 protein also increased in HCtAEC supplemented with SAA and this expression was inhibited by BAY11-7082. Supplemented BAY11-7082 also significantly decreased SAA-mediated leukocyte adhesion to apolipoprotein E-deficient mouse aorta in ex vivo vascular flow studies. In vascular function studies, isolated aortic rings pre-treated with BAY11-7082 prior to incubation with SAA showed improved endothelium-dependent vasorelaxation and increased vascular cGMP content. Together these data suggest that inhibition of NFkB activation may protect endothelial function by inhibiting the pro-inflammatory and pro-thrombotic activities of SAA.

In this paper, we present a theory of gravity in Minkowski space. The basic idea is that the presence of mass affects the worldline of particles in the flat Minkowski background. Although General Relativity is in complete agreement with observations so far, the theory discussed in this paper is capable of solving some of the conceptual difficulties of GR, such as the energy problem, and is at the core of constructing this theory. We also discuss the cosmic expansion of the present universe and comment on the early universe. We also argue how the flatness problem and horizon problem are solved within this framework. As it will become clear, this is a theory of principle and not a theory of construction.

We present a new interpretation of the Higgs field as a composite particle made up of a positive, with, a negative mass Planck particle. According to the Winterberg hypothesis, space, i.e., the vacuum, consists of both positive and negative physical massive particles, which he called planckions, interacting through strong superfluid forces. In our composite model for the Higgs boson, there is an intrinsic length scale associated with the vacuum, different from the one introduced by Winterberg, where, when the vacuum is in a perfectly balanced state, the number density of positive Planck particles equals the number density of negative Planck particles. Due to the mass compensating effect, the vacuum thus appears massless, charge-less, without pressure, energy density, or entropy. However, a situation can arise where there is an effective mass density imbalance due to the two species of Planck particle not matching in terms of populations, within their respective excited energy states. This does not require the physical addition or removal of either positive or negative Planck particles, within a given region of space, as originally thought. Ordinary matter, dark matter, and dark energy can thus be given a new interpretation as residual vacuum energies within the context of a greater vacuum, where the populations of the positive and negative energy states exactly balance. In the present epoch, it is estimated that the dark energy number density imbalance amounts to, , per cubic meter, when cosmic distance scales in excess of, , are considered. Compared to a strictly balanced vacuum, where we estimate that the positive, and the negative Planck number density, is of the order, particles per cubic meter, the above is a very small perturbation. This slight imbalance, we argue, would dramatically alleviate, if not altogether eliminate, the long standing cosmological constant problem.

In this paper, we study nonlocal problems for a fractional diffusion equation and a degenerate hyperbolic equation with singular coefficients in the lower terms. The uniqueness of the solution to the problem is proved by the method of energy integrals. The existence of a solution is equivalently reduced to the question of the solvability of Volterra integral equations of the second kind and a fractional differential equation. For a particular solution of the proposed problem, its visualization is carried out for various values of the order of the fractional derivative. It is shown that the order of the derivative affects the intensity of the diffusion process (subdiffusion), as well as the shape of the wave front.

In this study, we actually want to explore the time-fractional Phi-four equation via two methods, the exp _a function method and the hyperbolic function method. We transform a fractional order dierential equation into an ordinary differential equation using a wave transformation and the fractional derivative in conformable form. Then, the resulting equation has successfully been explored for new explicit exact solutions. The procured solutions are simply showed the effectiveness and plainness of the projected methods.

In the contemporary era, the movement for women empowerment is not merely a social cause but a transformative force reshaping societies across the globe. The article "Breaking Barriers: Women Empowerment Transforming Societies in Modern Times Building a Better Future" delves into the multifaceted impact of empowering women, highlighting how it transcends individual upliftment and fosters widespread societal progress. It also delves into the transformative impact of women’s empowerment on societies, highlighting successful initiatives, case studies, and personal narratives that illustrate the journey towards gender parity. It examines the challenges and opportunities in this ongoing struggle, emphasizing the need for continued advocacy, education, and policy reform. By fostering an environment where women can thrive, societies can unlock unprecedented potential and build a better, more prosperous future for all. By examining key areas such as education, economic participation, political representation, and social inclusion, the article elucidates how empowering women leads to more equitable, prosperous, and resilient communities. It underscores the importance of dismantling historical and cultural barriers that have long hindered women's potential, while celebrating the strides made towards gender equality. Furthermore, the narrative showcases inspiring stories of women leaders, entrepreneurs, and change-makers who are spearheading efforts to build a better future for all. This exploration not only emphasizes the moral imperative of gender equality but also its critical role in driving sustainable development and global advancement.

In this review, we outline our current understanding of the mechanisms involved in the absorption, storage, and transport of dietary vitamin A to the eye, the trafficking of rod opsin protein to the photoreceptor outer segments, which encompasses the logistical backbone required for visual function. Two key mechanisms of this process are emphasized in this manuscript: Ocular and systemic vitamin A membrane transporters, and rhodopsin transporters. Understanding the complementary mechanisms responsible for the generation and proper transport of the retinylidene opsin to the photoreceptor outer segment will eventually shed light on the importance of genes encoded by these proteins, and their relationship on normal visual function and in the pathophysiology of retinal degenerative diseases.

The hitologiy image of mouse xenograft of olfactory ensheating cells ( OECs) in to Albino Swiss Strain rats corticospinal tract lesion shows immunorejection after 10 days in grafted tissue . Moreover, the images of postoperative xenotransplanted OECs under daily subcutaneous injection of 100 ml of a dosage of 6 mg/kg/day avoid immunorejection in the misplace of GFP labeled transplanted OECs with the survival time of 4 weeks and there is no sign of inflammation. the result shows that the daily injection of 100ml diluted cyclosporine avoids immune attack and reduces inflammatory cells infiltrate in delayed CST ipsilateral rat model and also our study proved that stop of cyclosporine injection would not prevent DFR function and the regenerated fibers can still be visualised.

The present study explained factors influencing citizen satisfaction service in the Investment and One-Stop Service Agency of Tanah Bumbu Regency. In particular, this research analyses the level of citizen satisfaction and the extent to which Awareness, Rules, Organizational, Income, Skill-Ability, and Service Facility Factor influence Citizen Satisfaction. This study uses a mixed methodology with a sequential explanatory strategy. Using the incidental sampling with Slovin's Formula to calculate the number of samples is 93 respondents. The quantitative data were analyzed by the SmartPLS 3.0 program. The findings showed that the level of citizen satisfaction is included in the category "Satisfied". Furthermore, the variable of Citizen Satisfaction is influenced by variables of Awareness, Rules, Organizational, Income, Skill-Ability dan Service Facility Factor for 70,5%. Whereas Awareness, Rules, Organizational, and Skill-Ability Factor has a significant influence on Citizen Satisfaction. Besides, Income and Service Facility Factor do not have a significant influence on Citizen Satisfaction.

This paper proposes a re-conceptualization of the port supply chain as a smart service system, according to the theory of the Service science. Starting from a short literature review about the port supply chain approach and the Service science, a new comprehensive framework is provided to better understand the seaport dynamics and the creation of competitive port supply chains. The methodology used is the case study approach. The authors examined the port of Salerno (Italy), and re-conceptualized it as a smart port service systems. Both theoretical and practical implications are provided to enrich the literature about the port supply chain and to support the port operators.

As an emerging model, self-service fitness centers are reshaping the consumer fitness experience globally. Given the crucial role of customer loyalty in the sustainable operation and management of fitness service enterprises, this study constructs a structural model incorporating service quality, service convenience, customer satisfaction, word-of-mouth intentions, and repatronage intentions. The model is designed to elucidate the factors and mechanisms impacting customer loyalty at self-service fitness centers and further investigates how these relationships are affected by service methods, either with staff or without staff. The study employs PLS-SEM to empirically analyze 552 customer questionnaires from four self-service fitness centers in first-tier cities in China. The results reveal positive correlations among the constructs in the structural model, emphasizing the important position of raising service quality standards and reducing the time and effort expended by customers in the management of customer loyalty. Concurrently, service convenience was found to play a significant driving role in customers' perceived service quality. Through the chain-mediating effect of service quality and customer satisfaction, service convenience exerts a considerable positive impact on word-of-mouth intentions and repatronage intentions. Moreover, the study reveals significant differences in these relationships when considering service methods, either with staff or without staff.

The usage of classic segmentation methods has drastically decreased recently. Implementation of convolutional neural networks and their modifications leads to significantly improved results. With the help of U-net, you can perform automatic segmentation. However, this requires significantly more hardware and software resources. The use of cloud computing now provides a wide range of possibilities, which allows processing and sharing the obtained experience and results to improve the quality of diagnosis. This article presents an approach to implementing MLOPS for automatic image segmentation using U-net technology. The approach's key feature is the developed software block that allows the creation of a dataset based on given rules. The infrastructure also supports automatically deploying the necessary environment on the cloud, particularly on DigitalOcean.

The United States is plagued with the highest rates of preventable metabolic diseases it has ever seen, and while poor nutrition is increasingly recognized as a critical contributing factor, good nutrition has been shown to be a potent factor in prevention and management of these illnesses. Notably, nutrition is inextricably intertwined with farming practices and the stewardship of our environment – particularly its soil. In this proposal, we propose a method to expose medical students to basic agricultural and environmental knowledge regarding the production of food, as well as educate them in practical nutrition education within the interactive, case-based, and longitudinal preclinical curriculum at Case Western Reserve University School of Medicine (CWRU SOM). We propose a two-part approach; first: integrating relevant topics in nutrition, culinary medicine, and farming practices into the preclinical blocks through Official Learning Objectives, and second: an optional 8-week, zero credit elective for students interested in pursuing a deeper understanding of these topics. Through these interventions, we believe courses like this will support a generation of physicians able to understand health from soil to plate with a consideration for the environment in addition to exemplifying healthful lifestyles themselves. We believe these kinds of future physicians will be the most effective in treating (and ideally reversing) the chronic disease epidemic.

Multilingual classrooms are becoming more common worldwide due to increasing mobility. Teaching foreign languages using the mother tongue in multilingual classrooms has become problematic; some of the significant concerns in Japanese language acquisition – such as the high contextuality of the language, vocabulary and kanji learning – make the direct teaching method confusing for many students, especially at the beginner and elementary levels. This article provides the preliminary results of a study carried out as a component of a more extensive empirical research project on instructional languages in classrooms teaching Japanese as a foreign language. It aims to gather, analyse and synthesise data from a survey conducted at a supranational level. The results of the first two sections of a questionnaire containing closed and open-ended questions were used for a quantitative analysis of the profile of Japanese language instructors with a focus on finding possible connections. The wide geographic distribution of the respondents (274 teachers from fifty-seven countries and regions) made it possible to collect data from a more representative sample and draw meaningful conclusions about the spread of multilingual classrooms that would be impossible in smaller-scale research. The study’s primary results show the proportion of multilingual classrooms among countries in different regions and across different educational stages, the distribution of Japanese language instructors in various educational stages depending on the highest level of formal education attained, and the proportion of part-time instructors working in different academic institutions.

Small and Medium Enterprises (SMEs) play a crucial role in the European economy, yet their ability to sustain coopetition networks—collaborative arrangements between competitors—remains underexplored. This study addresses the gap by developing a reference model and an instantiation methodology for coopetition networks explicitly tailored to the needs of SMEs, grounded in the Service-Dominant (S-D) Logic framework. The reference model provides a structured approach for SMEs to coopetition throughout their entire lifecycle, from initiation to dissolution, focusing on value co-creation and resource exchange. To validate the model, a Proof-of-Concept (PoC) was conducted in the Portuguese ornamental stone sector, demonstrating significant improvements in manufacturing effectiveness and confirming the model’s practical applicability. The findings highlight the potential of coopetition networks to enhance the competitiveness and performance of SMEs. While the reference model successfully addresses key challenges SMEs face, the study acknowledges certain limitations. It suggests areas for further research, particularly regarding the long-term sustainability of these networks and the role of interpersonal dynamics.

Small and Medium Enterprises (SMEs) play a crucial role in the European economy, representing the vast majority of businesses and a significant portion of employment. As the global business environment increasingly embraces digital supply chains, coopetition—collaborative competition—has emerged as a vital strategy for sustaining business growth and competitiveness. Despite its recognized importance, the potential of coopetition to enhance firm performance, particularly within SMEs, remains underexplored. This study aims to address this gap by developing and validating a reference model for coopetition networks specifically tailored for SMEs, utilizing the Service-Dominant framework. The research introduces a comprehensive model that guides the formation, management, and dissolution of coopetition networks throughout their lifecycle. The model is empirically validated within the Portuguese ornamental stone sector, providing insights into its practical applicability. Key findings demonstrate that the implementation of coopetition networks can significantly enhance production efficiency and operational effectiveness within SMEs. The study also highlights the critical role of technology as an enabler of service exchange and institutionalization within coopetition networks, facilitating collaborative interactions and value co-creation. While the study makes substantial contributions to the literature, it also identifies areas for further research, including the exploration of human dynamics within coopetition networks and the long-term sustainability of such networks. The findings offer valuable guidance for SMEs seeking to enhance their competitiveness and operational efficiency in an increasingly digital and interconnected business landscape.

With increasing availability of alternative mobility options for city transportation system, it is necessary to better understand how emerging mobility are impacting the travel demand and consumer-social surplus. However, few study has been conducted to evaluate the social welfare effects of the range of vacant trip in mobility oriented development(MOD) mode. This paper identified the vacant trip and loading rate evaluation model under mobility oriented development mode. recommended solutions to enhance the effective operation of the different mobility services under numerical illustrations, which can offer some beneficial guidance and theoretic basis to the efficiency of MOD in planning and management aspects.

With increasing availability of alternative mobility options for city transportation system, it is necessary to better understand how emerging mobility are impacting the travel demand and consumer-social surplus. However, few study has been conducted to evaluate the social welfare effects of the range of vacant trip in mobility oriented development(MOD) mode. This paper identified the vacant trip and loading rate evaluation model under mobility oriented development mode. recommended solutions to enhance the effective operation of the different mobility services under numerical illustrations, which can offer some beneficial guidance and theoretic basis to the efficiency of MOD in planning and management aspects.

We work within a Winterberg framework where space, i.e., the vacuum, consists of a two component superfluid/super-solid made up of a vast assembly (sea) of positive and negative mass Planck particles, called planckions. These material particles interact indirectly, and have very strong restoring forces keeping them a finite distance apart from each other within their respective species. Because of their mass compensating effect, the vacuum appears massless, charge-less, without pressure, net energy density or entropy. In addition, we consider two variable models, where, , is Newton’s constant, and, , increases with an increase in cosmological time. We argue that there are at least two competing models for the quantum vacuum within such a framework. The first follows a strict extension of Winterberg’s model. This leads to nonsensible results, if increases, going back in cosmological time, as the length scale inherent in such a model will not scale properly. The second model introduces a different length scale, which does scale properly, but keeps the mass of the Planck particle as, the Planck mass. Moreover we establish a connection between ordinary matter, dark matter, and dark energy, where all three mass densities within the Friedman equation must be interpreted as residual vacuum energies, which only surface, once aggregate matter has formed, at relatively low temperatures. The symmetry of the vacuum will be shown to be broken, because of the different scaling laws, beginning with the formation of elementary particles. Much like waves on an ocean where positive and negative planckion mass densities effectively cancel each other out and form a zero vacuum energy density/ zero vacuum pressure surface, these positive mass densities are very small perturbations (anomalies) about the mean. This greatly alleviates, i.e., minimizes the cosmological constant problem, a long standing problem associated with the vacuum.

This paper presents a review of cloud application architectures and its evolution. It reports observations being made during the course of a research project that tackled the problem to transfer cloud applications between different cloud infrastructures. As a side effect we learned a lot about commonalities and differences from plenty of different cloud applications which might be of value for cloud software engineers and architects. Throughout the course of the research project we analyzed industrial cloud standards, performed systematic mapping studies of cloud-native application related research papers, performed action research activities in cloud engineering projects, modeled a cloud application reference model, and performed software and domain specific language engineering activities. Two major (and sometimes overlooked) trends can be identified. First, cloud computing and its related application architecture evolution can be seen as a steady process to optimize resource utilization in cloud computing. Second, this resource utilization improvements resulted over time in an architectural evolution how cloud applications are being build and deployed. A shift from monolithic servce-oriented architectures (SOA), via independently deployable microservices towards so called serverless architectures is observable. Especially serverless architectures are more decentralized and distributed, and make more intentional use of independently provided services. In other words, a decentralizing trend in cloud application architectures is observable that emphasizes decentralized architectures known from former peer-to-peer based approaches. That is astonishing because with the rise of cloud computing (and its centralized service provisioning concept) the research interest in peer-to-peer based approaches (and its decentralizing philosophy) decreased. But this seems to change. Cloud computing could head into future of more decentralized and more meshed services.

In the preparation of polymer-clay nanocomposites the chemical incompatibility between the clay surface and polyolefins can be overcome by using clays organically modified with short chain organic cations. The compatibility can be further enhanced by using functionalized polymer that wets the clay surface while being miscible with the non-polar polymer matrix. In this work we tried to modify the host polymer polypropylene (PP) by irradiating it with gamma-rays in air knowing that it undergoes oxidation and chain scission simultaneously. Thus lower molecular weight PP with highly polar surface due to oxidation can be expected to play double role of clay modifier and functional compatibilizer. This has been observed to be the case. Finely ground PP granules were irradiated in air in a ⁶⁰Co γ-irradiator at the dose rate of 0.08 kGy/h (low dose rate to enhance oxidation) to 5, 10, and 20 kGy total doses. The extent of oxidation and change in molecular weight were determined by ATR-FTIR and Melt Flow Rate measurements respectively. PP/MMT nanocomposites were prepared by using 20% γ-PP, 1-5 % MMT and pristine PP to make up the total 100 in a torque rheometer. Maleated PP was also used in similar quantities to compare the effectiveness of γ-PP as a compatibilizing agent. Nanocomposites prepared with 10 kGy irradiated PP was found to show optimum mechanical properties among all formulations, with 26% increase in E-modulus and 10% increase in tensile strength as compared to pristine PP. Ternary PP nanocomposites were characterized by XRD, SAXS and PALS studies.

Self-sustained learning (SSL) is considered a crucial factor in promoting students’ long-term learning and development in a sustainable society. To deepen the understanding of SSL, especially in the context of learning English as a second language, the current study examined the influence of intercultural communicative skills, language mindset, and positive L2 self on SSL in English learning among 1,238 college students in China. The results showed that students not only had a strong language mindset, positive L2 self, and intercultural communicative skills but also scored higher in long-term self-sustained English learning. Findings from the Structural Equation Modeling indicated that both language mindset and intercultural communicative skills positively predicted positive L2 self and self-sustained English learning. Furthermore, language mindset and intercultural communicative skills had an indirect impact on self-sustained English learning through positive L2 self. These findings suggest that to promote English learners’ SSL, instructors should help facilitate students’ intercultural communicative skills and foster a growth language mindset, as well as positive language learning beliefs.

Traditional path planning algorithms have drawbacks in unmanned vehicle path planning, such as low efficiency, unsuitability for dynamic environments, and high computational complexity. To address these issues, this paper proposes a dynamic path planning method for unmanned vehicles that combines the A* algorithm with an improved Dynamic Window Approach (DWA). Firstly, a collision risk function is incorporated into the DWA algorithm to evaluate scores based on the braking distance corresponding to the current vehicle speed and the distance to obstacles, determining whether timely braking or obstacle avoidance is feasible. The earlier the braking or obstacle avoidance, the higher the score, thereby enhancing the evaluation algorithm of the DWA. Secondly, the key points extracted by the A* algorithm are used as temporary target points for the DWA algorithm, reducing the eight search directions to five. Finally, the key points of the A* algorithm’s path are set as the temporary end points for the DWA algorithm, integrating the two algorithms to plan a smoother curved path that can avoid unknown and dynamic obstacles. Simulation data demonstrates that compared to traditional artificial potential field methods, RRT, and Dijkstra’s algorithm, the new fusion algorithm reduces time by 11.71 seconds, a decrease of 6.9%, and shortens path length by 3.093 meters, a reduction of 4.16%, while increasing average linear velocity by 2.9%. The proposed algorithm ensures smoother paths while also making paths more rational and efficient

In this paper we analyze and propose new method and algorithm of selecting the optimal labor time as a function of skills following our main references Mirrlees (1971), Saez (2001) and Stancheva (2014). The optimal labor time is a situation when the utility function of individual reaches a maximum. One of the main differences with Saez (2001) is our algorithm for creation the skill distribution

Abstract:Shown is the derivation of Lorentz-Einstein k-factor in SRT as an amplitude-term of oscillation-differential equations of second order.This case is shown for classical Lorentz-factor as solution of an equation for undamped oscillation as well as the developed theorem as a second solution for advanced SRT of fourth order with an equation for damped oscillation-states.This advanced term allows a calculation for any velocities by real rest mass

Nowadays, the selection of web services with uncertain quality of service (QoS) is gaining a lot of attention in the service-oriented computing paradigm (soc). In fact, searching for a service composition that fulfills a complex user’s request is known to be NP-Complete. The search time is mainly dependent on the number of the requested tasks, the size the available services, and the size of the QoS realizations (i.e., sample size). To handle this problem, we propose a two-stage approach that reduces the search space using heuristics for ranking the tasks’ services and a bat algorithm metaheuristic for selecting the final near optimal compositions. The fitness used by the metaheuristic aims to fulfill all the global constraints of the user. The experimental study shows that the ranking heuristics, termed “fuzzy pareto dominance” and "Zero-order stochastic dominance", are highly effective than the other heuristics and most of the existing state-of-the-art methods.

Pump-as-turbines (PAT) have been widely used during the last decade as one of the most interesting technologies in the field of energy recovery. A large number of studies and papers have been published in which the performance of the pumps in the turbine operating regime are analysed. Since horizontal single stage centrifugal norm pumps are most commonly used as PATs, their performances are analysed in this paper. Most of the research was related to individual pump aggregates or smaller groups and to obtaining their performance curves in turbine random mode. In this work, extensive experimental, numerical and theoretical investigations are conducted to obtain complete dimensionless performance characteristics of the single stage centrifugal norm pumps operating as turbines. The main goal of this research was to form a simple analytical expression that will, for this type of aggregate, map the pump operating characteristic to the appropriate turbine operating regime. By using the expressions obtained and presented in the work, engineers are enabled to make the appropriate choice of pump aggregate for operation in the turbine random mode for potential locations. This can allow us to quickly make selection of potential locations and to carry out appropriate techno-economic analyses and analyses of possible energy savings.

The two-parameter Wright special function is an interesting mathematical object that arises in the theory of the space and time-fractional diffusion equations. Moreover, many other special functions are particular instantiations of the Wright function. The article demonstrates finite representations of the Wright function in terms of sums of generalized hypergeometric functions, which in turn provide connections with the theory of the Gaussian, Airy, Bessel, and Error functions, etc. The main application of the presented results is envisioned in computer algebra for testing numerical algorithms for the evaluation of the Wright function.

The ageing transformation of digital health services faces issues of how to distinguish influencing factors, redesign services, and effectively promote measures and policies. In this study, in-depth interviews are conducted and grounded theory applied to open coding, main axis coding, and selective coding to form concepts and categories. Trajectory equifinality modeling clarified the evolution logic of digital transformation. Based on the theory of service ecology, a digital health service ageing model is constructed from the "macro-medium-micro" stages and includes governance, service, and technology transformation paths. The macro stage relies on organizational elements to promote the institutionalization of management and guide the transformation of governance for value realization, including the construction of three categories: mechanism, indemnification, and decision-making. The meso stage relies on service elements to promote service design and realize service transformation suitable for aging design, including the construction of three categories: organization, resources, and processes. The micro stage relies on technical elements to practice experiencing humanization, including the construction of three categories: target, methods, and evaluation. These results deepen the understanding of the main behaviors and roles of macro-organizational, meso-service, and micro-technical elements in digital transformation practice and have positive significance for health administrative agencies to implement action strategies.

In this paper, two double Jordan-type inequalities are introduced based on the papers [1]-[5]. These inequalities generalize the inequalities obtained in [1]-[5]. As a result, some new upper and lower bounds of the sinc function are obtained. This extension of Jordan’s inequality is enabled by considering the corresponding inequalities through the concept of stratified families of functions elaborated in [6]. Based on this approach, some optimal approximations of the sinc function are derived by determining corresponding minimax approximants, also described in the paper [6].

Direct-acting antivirals (DAAs) revolutionized therapeutics of chronic hepatitis C. The emergence and transmission of HCV variants with resistance-associated substitutions (RASs) can undermine HCV treatment. This study aimed to assess the prevalence and temporal trends of RASs in HCV with a particular focus on the clinically-relevant RASs (cr-RASs). Near-complete HCV GenBank sequences archived in the Los Alamos HCV Database were analyzed. The study period was divided into two phases; before 2011 and 2011 onwards. Identification of RASs across three DAA classes; NS3, NS5A, and NS5B inhibitors was based on the 2020 EASL guidelines. The AASLD-IDSA recommendations were used to identify cr-RASs for three HCV genotypes/subtypes (1a, 1b, and 3) for four DAA regimens; ledipasvir/sofosbuvir; elbasvir/grazoprevir; sofosbuvir/velpatasvir; and glecaprevir/pibrentasvir. The final HCV dataset comprised 3443 sequences and the prevalences of RASs were 50.4%, 60.2%, and 25.3% in NS3, NS5A, and NS5B, respectively. In subtype 1a, resistance to ledipasvir/sofosbuvir was 32.8%, while resistance to elbasvir/grazoprevir was 33.0%. For genotype 3, resistance to sofosbuvir/velpatasvir and glecaprevir/pibrentasvir was 4.2% and 24.9%, respectively. Significant increase in cr-RASs was observed across the two study phases as follows: for ledipasvir/sofosbuvir in subtype 1a, cr-RASs increased from 30.2% to 35.8% (p=0.019); for elbasvir/grazoprevir in subtype 1a, cr-RASs increased from 30.4% to 36.1% (p=0.018); In subtype 1b, neither ledipasvir/sofosbuvir nor elbasvir/grazoprevir showed any cr-RASs in the first phase, but both were present at a prevalence of 6.5% in the second phase (p<0.001); for sofosbuvir/velpatasvir in genotype 3, cr-RASs increased from 0.9% to 5.2% (p=0.006); and for glecaprevir/pibrentasvir, cr-RASs increased from 12.0% to 29.1% (p<0.001). Rising prevalence of HCV RASs and cr-RASs was discernible. This highlights the necessity for ongoing surveillance and adaptation of novel therapeutics to manage resistance effectively. Updating of the clinical guidelines and treatment regimens are recommended to counteract the evolving resistance to DAAs.

Background: Drinking and smoking have economic consequences and are the main risk factors of mortality and morbidity. Disease-specific deaths attributable to using substances present the primary health indicator in this study. This analysis focuses on mortality in productive age, 15 to 64 years since those deaths are considered the highest economic burden. Method: In the analytical part, data from the Registry of deaths of the Czech Republic for 1994 to 2017 were used. The number of deaths attributable to smoking and drinking was calculated using attributable fractions, based on literature review. This research aimed to reveal the gender differences in deaths attributable to drinking and smoking, according to age, and the differences in deaths regarding smoking or drinking. Results: The mortality attributable to smoking and drinking differs across age groups and genders. The highest median share of tobacco-related deaths is in the age group, 60—64 years. The highest median share of alcoholic deaths is in the age group of 50—54 years. Conclusions: There are significant differences between genders in both, smoking and drinking. A prevention program should be targeted to different age groups.

This study aims to understand the role of BPJS Kesehatan as a variable that mediates or mediates the relationship between emergency services and patient satisfaction. This can include how administrative processes, access to services, or costs incurred by BPJS affect the relationship between service and satisfaction. Quantitative studies of a correlational nature are a part of this investigation. In order to forecast endogenous variables (Y) Purchase decisions, researchers conduct correlational studies, which examine the link between one or more variables and other factors. Here, X represents emergency services, Y stands for patient satisfaction, and M for BPJS are the exogenous variables. The purpose of this research is to examine the role of BPJS as a moderator between the impact of emergency services on patients' levels of satisfaction. There were 120 people that filled out the survey, and the margin of error was 10% (based on a 90% truth rate and a 10% error rate). Purposive sampling was used to select participants for the aforementioned studies. Warppls 8.0 and the Warp Partial Least Square program were utilized for data analysis in this investigation. The study found that PKD significantly and positively affected 71% of participants' happiness with the impact they received. With a 63% influence, PKD has a favorable and statistically significant effect on BPJS. Patient satisfaction is significantly impacted by BPJS, which has a favorable association. When looking at the connection between community satisfaction and emergency services, BPJS is a key mediator. Community satisfaction can be enhanced through the provision of fast and excellent emergency services, and BPJS plays a vital role in mediating this relationship. The beneficial effect of emergency services on community satisfaction can be amplified if BPJS is able to offer sufficient coverage while simultaneously reducing costs and expediting administrative processes

This study aims to understand the role of BPJS Kesehatan as a variable that mediates or mediates the relationship between emergency services and patient satisfaction. This can include how administrative processes, access to services, or costs incurred by BPJS affect the relationship between service and satisfaction. Quantitative studies of a correlational nature are a part of this investigation. In order to forecast endogenous variables (Y) Purchase decisions, researchers conduct correlational studies, which examine the link between one or more variables and other factors. Here, X represents emergency services, Y stands for patient satisfaction, and M for BPJS are the exogenous variables. The purpose of this research is to examine the role of BPJS as a moderator between the impact of emergency services on patients' levels of satisfaction. There were 120 people that filled out the survey, and the margin of error was 10% (based on a 90% truth rate and a 10% error rate). Purposive sampling was used to select participants for the aforementioned studies. Warppls 8.0 and the Warp Partial Least Square program were utilized for data analysis in this investigation. The study found that PKD significantly and positively affected 71% of participants' happiness with the impact they received. With a 63% influence, PKD has a favorable and statistically significant effect on BPJS. Patient satisfaction is significantly impacted by BPJS, which has a favorable association. When looking at the connection between community satisfaction and emergency services, BPJS is a key mediator. Community satisfaction can be enhanced through the provision of fast and excellent emergency services, and BPJS plays a vital role in mediating this relationship. The beneficial effect of emergency services on community satisfaction can be amplified if BPJS is able to offer sufficient coverage while simultaneously reducing costs and expediting administrative processes.

This research was focused on Public Service of departmental auction state officers of Makassar . It aimed to determine the state officers’ performance who passed departmental auction that had been assessed based on competence, and integrity in particular, the ability to provide and develop good service to the community at the 9 Local Government Work Unit (SKPD) Makassar, namely the Regional Revenue Board of Makassar City, the Land Board of Makassar City, the Office of Investment and Integrated One Stop Service of Makassar City and the Department of Population and Civil Registration of Makassar City, Ujung Pandang District Office, Makassar District , Rappocini District , Bontoala District , and Panakkukang District . The 9 SKPD were chosen purposively from 53 SKPD within the Makassar City Administration by considering the representation of SKPD of the Agency and the Department as well as the representation of the district Institution located in the northern, middle and southern part of Makassar City. Interviews and observation data were collected by 3 interviewers and narrated as facts and elaborated by the research team with qualitative and normative studies. The result of the research shown that the state officers’ performance in Makassar city administration area had been able to develop good service to the society at 9 Local Government Work Unit (SKPD) of Makassar City. However, it was necessary to improve the quality of human relations especially for the leading position of all SKPD so that the communication can be better served to the citizens. System reward dan punishment need to be upgraded and enforced as a trigger of employees’ motivation in work.

In an era driven by technology and connectivity, where the sphere of learning goes beyond conventional classrooms, e-Service-Learning (e-SL) merges the possibilities of technology with the principles of experiential education in a powerful blend [1]. Service-learning (SL) is an educational proposal that has been cited by UNESCO [2] as an innovative educational tool through which to address the complex challenges of our society. The Sustainable Development Goals [3] provide a framework around which to structure the SL projects and thus develop the skills needed to act on the full range of goals. Embedding digital means open a debate on the intricate relationship between technology, education, and societal impact [4]. By analyzing two focus groups involving faculty, students and community partners, this contribution aims to explore the potential of combining SL and digital empowerment (DE). The focus group participants discussed the opportunities for innovation, the expected impact on them and the society at large, their needs and the pre-conditions needed to make SL and DE successful, and limitations. The results are presented according to the six principles of sustainability education in the university environment, highlighting the transformative potential of combining these principles within SL and DE.

Information geometry (IG) is a fascinating combination of differential geometry and statistics where a Riemannian manifold's structure is applied to a statistical model. It may find numerous fascinating uses in the domains of theoretical neurology, machine learning, complexity, and (quantum) information theory, among others. (IG) aims to provide a differential-geometric perspective on statistical geodesic models' structure. In this case, IG, KD, and J-divergence (JD) are used to define the manifold of the Generalised Brownian Motion (GBM). Consequently, the geodesic equations (GEs) are devised, and GB information matrix exponential (IME) is presented. Moreover, for first time ever, the necessary and sufficient mathematical requirement that characterizes the developability of Generalized Brownian Motion(GBM) manifold is devised. Also, a novel sufficient and necessary conditions which characterizes the regions where the surface describing GBM is minimal is determined. Also, it is shown that GBM has a non-zero 0-Gaussian and Ricci curvatures. Consequently, this advances the establishment of a unified GBM- Relativistic Info-Geometric based analysis.

In this paper, the authors employ Mountain Pass Lemma, the method of weak solution regularization and Lyapunov function method to derive the unique existence of globally exponential stable positive stationary solution of a single-species model with diffusion and delayed feedback. The obtained stability criterion illuminates that under some suitable conditions, a certain internal competition is conducive to the overall stability of the population, and a certain amount of family planning is conducive to the overall stability of the population. A numerical example and three tables show the effectiveness of the proposed methods.

More than a decade ago, a new mitochondrial Open Reading Frame (mtORF) was discovered in corals of the family Pocilloporidae, which turn out to be an effective barcode gene for these corals. However, its function remains unknown. Recently, this gene revealed the existence of a hybrid Stylophora lineage (RS_LinA) inhabiting in sympatry along the environmental gradient of the Red Sea (18.5°C to 33.9°C) with its parental species (RS_LinB). Furthermore, in RS_LinB, the mtORF uncovered phylogeographic patterns that were strongly correlated with environmental variations. This was similar to the patterns unraveled by hsp70, suggesting that mtORF too might be involved in thermal adaptation. Here we used computational approaches to characterize the mtORF and to identify its potential role. Results showed that this gene encodes a transmembrane protein (0.97<P< 1.00) involved in transport (0.80<P< 0.87), regulation of metabolic processes (0.70<P<0.85), and likely in the cell-surface receptor signaling pathway (0.56<P<0.80). Predicted protein functions differed among Stylophora lineages and interestingly, in RS_LinB only, the protein was intrinsically disordered and displayed domains involved in cellular complexes and stress response (0.0001< P <0.001). These characteristics, exclusive of an endemic lineage adapted to extreme environmental fluctuations, support a role of the mtORF in stress response, speciation and adaptation.

The food system, the most important driver of planetary transformation, is in a deep crisis. Therefore, seeking a sustainable and socially-fair transition pathway becomes an issue of utmost priority for our own survival. The consideration of food as a commodity, a social construct that played a central role in driving this crisis, remains the uncontested narrative to lead the different transition pathways what seems rather contradictory. By exploring the normative values in the transition landscape, this paper seeks to understand how relevant is the hegemonic narrative of “food as commodity” and its alternative of “food as commons” to determine transition trajectories and food policy beliefs. Applying the Multi-level Perspective framework and developing the ill-studied “agency in transition”, this research enquired food-related professionals that belong to an online community of practice (N=95) on valuation of food dimensions and agency in food transitions to check whether the valuation of food is relevant to explain personal stances in transition. Results suggest the socially-constructed view of food as commodity is positively correlated to the gradual reforming attitude, whereas food as commons is positively correlated to the counter-hegemonic transformers regardless the self-defined position in the transition landscape (regime or niches). At personal level, there are multiple loci of resistance with counter-hegemonic attitudes in varied institutions of the regime and the innovative niches, many of them holding this discourse of food as commons. Conversely, alter-hegemonic attitudes are not positively correlated to this alternative discourse and they may inadvertently or purportedly reinforce the ‘‘neoliberal narrative’’. Food as commons, a different narrative whose rationale is explained in the paper, seems to be a relevant framework that could enrich the multiple transformative constituencies that challenge the industrial food system and therefore facilitate the convergence of movements that reject the commodification of food.

This study investigates how customers’ technological readiness affects service quality and the adoption of self-service banking by developing an empirical model. The model was proposed to explore the relationships between technology readiness, self-service quality, and customer satisfaction. The hypotheses and stability of the model were tested using structural equation modeling. The findings revealed that technology readiness, including the optimism, innovation, and insecurity dimensions, had a significant positive impact on self-service quality. In addition, service quality fully mediated the relationship between technological readiness and customer satisfaction. These results suggest that when customers are ready to embrace and use new technology, their evaluation of service quality is high. Thus, bank managers should drive customer perceptions of the quality of self-service banking by improving their technological readiness through various measures. Furthermore, based on the mediating effect of self-service quality, banks must be aware that improving service quality can enhance customer satisfaction and maintain a competitive advantage.

The Mobius function is commonly used to define Euler's totient function and the Mangoldt function. Similarly, the summatory Mobius function (the Mertens function) can be used to define the summatory totient function and the summatory Mangoldt function (the second Chebyshev function).

Açai is a fruit common in the northern region of Brazil, and its consumption is primarily focused on culinary uses, resulting in the disposal of its seeds and contributing to environmental pollution. In this context, the objective of this study was to obtain, characterize, and perform a stability study of a toothpaste made from acai seeds as an organic abrasive for oral hygiene use. The depulped acai seeds were subjected to drying, grinding, and sieving to achieve the desired granulometry before being added to the other formulation components. Stability tests were conducted through cen-trifugation, density determination, acidity index, foam formation, FTIR, TG/DTG, rheological properties, and accelerated stability study. The formulation proved stable after the centrifugation test. The obtained density value was 1.36. The acidity value was 0.1720 mg/KOH, and the initial and final foam indices were 66.66%. TG/DTG analysis showed stability around 90°C. The acai tooth-paste exhibited pseudoplastic fluid behavior. The pH ranged from 6.5 to 8.08, and it showed good stability under the study conditions. Thus, the acai seed powder was found to be an acceptable organic abrasive for incorporation into toothpastes, and it demonstrated favorable characteristics for daily use in oral hygiene.

Vitamins are essential compounds obtained through diet that are necessary for normal devel-opment and function in an organism. One of the most important vitamins for human physiology is Vitamin A, a group of retinoid compounds and carotenoids which generally function as a mediator for cell growth, differentiation, immunity, and embryonic development, as well as serving as a key component in the phototransduction cycle in vertebrate retina. For humans, vitamin A is obtained through the diet, where provitamin A carotenoids like β-carotene, or preformed vitamin A such as retinyl esters are absorbed into the body via the small intestine and converted into all-trans retinol within the intestinal enterocytes. Specifically, once absorbed, carotenoids are cleaved by carote-noid cleavage oxygenases (CCOs), such as BCO1, to produce all-trans retinal that subsequently gets converted into all-trans retinol. CRBP2 bound retinol is then converted into retinyl esters (REs) by the enzyme lecithin retinol acyltransferase (LRAT) in the endoplasmic reticulum, which is then packaged into chylomicrons and sent into the bloodstream for storage in hepatic stellate cells in the liver or for functional use in peripheral tissues such as the retina. All-trans retinol also travels through the bloodstream bound to retinol binding protein 4 (RBP4), where it enters cells with the assistance of the transmembrane transporters, stimulated by retinoic acid 6 (STRA6) in peripheral tissues or retinol binding protein receptor 2 (RBPR2) in systemic tissues (e.g. in the retina and the liver respectively). Much is known about the intake, metabolism, storage, and function of vitamin A compounds, especially with regard to its impact on eye development and visual function in the retinoid cycle. However, there is much to learn about the role of vitamin A as a transcription factor in development and cell growth, as well as how peripheral cells signal hepatocytes to secrete all-trans retinol into the blood for peripheral cell use. This article aims to review literature re-garding the major known pathways of vitamin A intake from dietary sources into hepatocytes, vitamin A excretion by hepatocytes, as well as vitamin A usage within the retinoid cycle in the RPE and retina to provide insight on future directions of novel membrane transporters for vitamin A in retinal cell physiology and visual function.

In today's intricate media landscape, the resilience and relevance of public service media (PSM) depend on their capacity to align with the diverse and evolving expectations of the public. However, the audience perspective is often overlooked, resulting in a limited understanding of public expectations. This study employs a bottom-up approach that allows for a re-evaluation of the expectations from the audience's viewpoint. It investigates the public's expectations for PSM, drawing on data from 10 focus group discussions (with 60 participants) conducted in the Czech Republic. The findings indicate that expectations can be categorized into four primary dimensions: (1) the expected roles and functions of PSM; (2) the general characteristics of the PSM content (defining the desired nature of PSM content); (3) the principles governing the functioning of PSM (outlining how PSM should operate); and (4) specific requirements concerning PSM news and non-news content. In the latter dimension, objectivity emerged as one of the most critical expectations and a major source of dissatisfaction. While participants collectively value objectivity, they disagree on its definition. A deeper examination revealed that certain public expectations may be unattainable due to the simplistic view of objectivity held by some.

The Mexican Soil Mesh (MSMx) web service emerges as a pivotal tool for researchers, farmers, and policymakers in the efficient management of extensive soil databases. Built on a responsive and intelligent web design, MSMx synchronizes seamlessly with the SQL language, allowing users to selectively download variables tailored to their studies at the desired spatial scale. The programmatic structure enhances query speed, optimizes development times, and incorporates satellite programming modules for effective handling of the vast soil dataset. This paper high-lights the key features, benefits, and applications of MSMx, emphasizing its role in facilitating data-driven decision-making processes and promoting sustainable soil management practices on the continental shelf of Mexico.

Introduction : In today’s competitive business landscape, organizations strive to maintain a highly committed workforce to enhance productivity, reduce turnover, and achieve long-term success. Organizational commitment, defined as the psychological attachment of employees to their organization, is crucial in fostering employee loyalty and engagement (Meyer & Allen, 1991). However, identifying the factors that influence organizational commitment requires a deep understanding of employee attitudes and behaviors.

Following the transfer of hospital services to provincial government oversight, it is essential to understand how such changes impact service quality and efficiency. This study aims to identify the factors affecting hospital service quality post-transfer and evaluate the role of professional nurses in maintaining service standards under new governance.We conducted the study at sub-district health-promoting hospitals using a mixed-methods design based on the Global Fund-HSS framework (2012), which categorizes factors into accessibility, processes, productivity, and outcomes. We collected data from 340 nurses and 400 patients using structured questionnaires. We divided the questionnaires into seven sections, which captured a range of metrics such as the personal data of nurses, hospital service activities, and leadership qualities. We employed a Likert scale to gauge perceptions and expectations of service quality. We used paired t-tests to compare performance metrics before and after the administrative transfer, one-way ANOVA to assess variability among different service units, and binary logistic regression to identify key determinants of service quality in our statistical analysis. The analysis revealed a significant correlation between the attitudes and competencies of healthcare teams and the levels of service quality. Notably, service units transferred less than 50% exhibited minimal changes, indicating that the degree of transfer significantly impacts service outcomes. Despite these variations, the fundamental mission of promoting health remained consistent. The study emphasizes the critical role of nurses and recommends further research to identify additional factors that could improve service quality in transferred healthcare facilities. This could contribute to improved healthcare delivery across restructured health systems.

Following the transfer of hospital services to provincial government oversight, it is essential to understand how such changes impact service quality and efficiency. This study, conducted from 1 March 2023 to 31 March 2024 at sub-district health-promoting hospitals in Thailand, aims to identify the factors affecting hospital service quality post-transfer and evaluate the role of profes-sional nurses in maintaining service standards under new governance. Utilizing a mixed-methods design based on the Global Fund-HSS framework (2012), which categorizes factors into accessibility, processes, productivity, and outcomes, we collected data from 340 nurses and 400 patients through structured questionnaires. These questionnaires were divided into seven sec-tions, capturing metrics such as the personal data of nurses, hospital service activities, and lead-ership qualities. We employed a Likert scale to gauge perceptions and expectations of service quality and conducted paired t-tests to compare performance metrics before and after the admin-istrative transfer. One-way ANOVA was used to assess variability among different service units, and binary logistic regression helped identify key determinants of service quality. The analysis revealed a significant correlation between the attitudes and competencies of healthcare teams and the levels of service quality. Notably, service units transferred less than 50% exhibited mini-mal changes, indicating that the degree of transfer significantly impacts service outcomes. Despite these variations, the fundamental mission of promoting health remained consistent. The study emphasizes the critical role of nurses and recommends further research to identify additional factors that could improve service quality in transferred healthcare facilities, potentially contributing to enhanced healthcare delivery across restructured health systems.

To sustain water-dependent economic and socio-ecological systems, natural capital and its interactions with other capitals is gaining attention, but a clear understanding of how to manage natural capital sustainably and how to make decisions relevant to water-related ecosystem services is yet to be achieved. In this study, we extended the framing of water-related ecosystem service flows as a cycle, integrating water quantity and quality and capturing the flows of ecosystem services (i.e., green phase) and ecosystem disservices (i.e., red phase), and connecting natural capital, built capital, and beneficiaries. We applied this framework to the Jiulong River watershed in China, using hydrological models to model water quantity and quality based on historical observations and experimental data. Our results showed that, during the green phase, the interactions of natural capital and built capital significantly improved water quality in downstream areas with higher flows. During the red phase, built capital reduced ecosystem disservices by ~10% while natural capital further reduced it by over one half. Our framework can provide information for natural capital management, eco-compensation, and pollutant management relevant to water-related ecosystem services.

A revitalized practice of natural philosophy can help people to live a better life and promote a flourishing ecosystem. Such a philosophy is natural in two senses. First, it is natural by seeking to understand the whole of nature, including mental phenomena, In particular, a comprehensive natural philosophy should address the phenomena of sentience by embracing first- and second-person methods of investigation. Moreover, to expand our understanding of the world, natural philosophy should embrace a full panoply of explanations, similar to Aristotle’s four causes. Second, such a philosophy is natural by being grounded in human nature, taking full account of human capacities and limitations. Future natural philosophers should also make use of all human capacities, including emotion and intuition as well as reason and perception, to investigate nature. Finally, since the majority of our brain's activities are unconscious, natural philosophy should explore the unconscious mind with the aim of deepening our relation to the rest of nature and enhancing well-being.

Using geometric considerations, we provide a clear derivation of the integral representation for the error function, known as the Craig formula. We calculate the corresponding power series expansion and prove the convergence. The same geometric means finally help to systematically derive handy formulas that approximate the inverse error function. Our approach can be used for applications in e.g. high-speed Monte Carlo simulations where this function is used extensively.

In this work we develop a new algorithm for efficient computation of the Voigt/complex error function. In particular, in this approach we propose a two-domain scheme where number of the grid-points is dependent on the input parameter $y$. The error analysis we performed shows that the MATLAB implementation meets the requirements for radiative transfer applications involving the HITRAN spectroscopic database. The run-time test shows that this MATLAB implementation provides rapid computation especially at smaller range of the parameter x.

The manuscript surveys the special functions of the Fox-Wright type. These functions are generalizations of the hypergeometric functions. Notable representatives of the type are the Mittag-Leffler functions and the Wright function. The integral representations of such functions are given and the conditions under which these function can be represented by simpler functions are demonstrated. The connection with generalized fractional differential and integral operators is demonstrated and discussed.

The main objective of this paper is to introduce k-fractional derivative operator by using the definition of k-beta function. We establish some results related to the newly defined fractional operator such as Mellin transform and relations to k-hypergeometric and k-Appell's functions. Also, we investigate the k-fractional derivative of k-Mittag-Leffler and Wright hypergeometric functions.

Along with the familiar Rossby–Haurwitz waves, two-dimensional flows on the surface of a rotating sphere in the regime of zonostrophic turbulence harbour another class of waves known as zonons. Zonons are wave packets produced by energetic large-scale Rossby–Haurwitz wave modes `enslaving’ other wave modes. They propagate westward with the phase speed of the enslaving modes. Zonons can be visualized as enslaving modes’ `ringing’ in the enslaved ones with the frequencies of the former, the property that renders zonons non-dispersive. Zonons reside in high-shear regions confined between the opposing zonal jets yet they are mainly attached to westward jets and sustained by the ensuing barotropic instability. They exchange energy with the mean flow while preserving their identity in a fully turbulent environment, a feature characteristic of solitary waves. The goal of this study is to deepen our understanding of zonons’ physics using direct numerical simulations, a weakly non-linear theory, and asymptotic analysis, and ascertain that zonons are indeed isomorphic to solitary waves in the Korteweg - de Vries framework. Having this isomorphism established, the analysis is extended to eddies detected in the atmospheres of Jupiter and Saturn based upon the observed mean zonal velocity profiles and earlier findings that circulations on both planets obey the regime of zonostrophic macroturbulence. Not only the analysis confirms that many eddies and eddy trains on both giant planets indeed possess properties of zonons, but the theory also correctly predicts latitudinal bands that confine zonal trajectories of the eddies.

Wobbling motion as an exotic collective mode in nuclei without axial symmetry, was intensively discussed during the last few years. The observation of the newly proposed transverse wobbling, first reported in $^{135}$Pr and soon after in nuclei from other mass regions, was considered as a significant discovery in low-spin nuclear structure. However, both the reported experimental results and the proposed theoretical models were lively questioned in a series of works devoted to the investigation of the low-spin wobbling mode in the same nucleus. The electromagnetic properties of the $\Delta I=1$ transitions connecting the one- to zero-phonon and the two- to one-phonon wobbling bands in $^{135}$Pr were recently remeasured, demonstrating their predominant $M1$ magnetic character which is in contradiction with the wobbling motion interpretation. These new experimental observables being well reproduced by both quasiparticle-plus-triaxial-rotor model and interacting boson-fermion model calculations, are against the previously proposed wobbling characteristics of the low-spin bands in $^{135}$Pr. On the other hand, we obtained conclusive experimental evidence for the theoretically suggested transverse wobbling bands at medium spin in $^{136}$Nd. The comparison of the experimental data with calculations utilizing the triaxial projected shell model and a new developed particle-rotor model with frozen orthogonal geometry of the active nucleons, supports the description in terms of transverse wobbling of medium-spin bands in triaxial even-even nuclei.

Background: This is a propensity matched, single centre study of limited versus extended resections for Type A acute aortic dissections (AAAD). Methods: Retrospective data for 440 patients with acute Type A aortic dissection repairs (Limited Resection, LR-215, Extended Resection, ER-225). 109 pairs were propensity matched to LR versus ER. Multivariate analysis was performed for inpatient death, long term survival and composite of inpatient death/TIA/stroke. Kaplan Meier survival curves were compared at 1, 3, 5, 10 and 15 years using the log-rank test. Results: Mean age was 66.9±13 years and mean follow up was 5.3±4.7 years. 48.9% had LR. In-hospital mortality was 10% (LR;6% vs ER;13.8%, p<0.01). ER, NYHA class, salvage surgery and additional procedures were predictors of increased mortality in unmatched data. Propensity matched data showed no difference in TIA/stroke rates, LOS, in-patient mortality or composite outcomes. LR had better survival (LR; 77.1% vs ER; 51.4%, p<0.001). ER (OR; 1.97, 95%CI; 1.27, 3.08, p=0.003) was a significant predictor of worse long term survival. At 15 years, aortic re-operation was 17% and freedom from re-operation and death was 42%. Conclusions: Type A aortic dissection repair has high mortality and morbidity although results have improved over two decades. ER was predictor of worse perioperative results and long term survival.

In this study we analyzed the concentration of lipoprotein(a) [Lp(a)], PCSK9-Lp(a) complexes and the circulating monocyte subsets in coronary atherosclerosis. 257 patients with coronary atherosclerosis (CA) and 68 patients without stenotic atherosclerosis in the coronary, carotid and lower extremity arteries (control group) were enrolled. Monocyte subpopulations (classical CD14++CD16-, intermediate CD14++CD16+, non-classical CD14+CD16+) were analyzed by direct immunofluorescence and flow cytometry. Lp(a) and PCSK9-Lp(a) complexes in serum were detected by ELISA. The concentration of Lp(a) was higher in CA group compared to controls (23.0 (9.1;73.3) mg/dL versus 10.7 (4.7;25.0) mg/dL, p&lt;0.05). No correlations between the level of Lp(a) and the concentration of PCSK9-Lp(a) complexes, nor between the level of Lp(a) or PCSK9 and the total number of monocytes were observed in both groups. A slight positive correlation between the concentration of PCSK9-Lp(a) complexes and the absolute level of monocytes was obtained (r=0.20, p=0.002) in patients with atherosclerosis predominantly due to intermediate monocyte subsets (r=0.33, p=0.04). According to regression analysis both PCSK9-Lp(a) complex concentration and BMI were related to the absolute number of blood monocytes in patients with atherosclerosis. Further studies are required to determine the pathogenetic contribution of PCSK9-Lp(a) complexes to the development of atherosclerosis.

Is immediate action at a distance, like gravitational attraction, imaginable using the contrary concept of close up, tactile, events? Tactile events, defined with the term ‘tap-tapping’ as a blind man does, described in a two-way spiritual interaction theory, are implemented in physics to understand gravitation from this respect. The quantum mechanical wave function reduction during measurements receives a new approach. Formulated is a new proof for Einstein’s Equivalence Principle, extending it beyond locality, and a sketch of how tactile interaction could explain dark energy and an accelerated expansion of the universe. Dark energy and dark matter are examples starting from which to discuss properties of matter and space and gravitation as immediate tactile action rather than mediated action such as electromagnetism.

It is well known that dietary choices impact both individual and global health. However, there are numerous challenges at the personal and systemic level to fostering sustainable healthy eating patterns. These barriers have emphasized the need for innovative approaches within minority communities, particularly those facing food insecurity, to help translate dietary recommenda-tions into practice. Food as Medicine is an approach that recognizes the potential to alleviate the burden of chronic diseases through a healthy diet that is customized to meet the needs of the indi-vidual. Key to implementing this approach are teaching kitchens, which offer an interactive envi-ronment for learning nutrition and cooking skills. Their curriculums are often rooted in Food as Medicine as well as Culinary Medicine, a similar approach. We have found that motivational in-terviewing (MI) techniques, which are primarily used to facilitate behavior change, are well-suited for implementing and maintaining dietary modification. In this commentary, we show how this has been done in a community-based teaching kitchen to empower individuals to make informed and sustainable dietary choices. In demonstrating the application of MI principles in this setting, we hope to offer an inclusive and sustainable way to help address the urgent need for healthier eating and its role in building healthier communities.

Obstetric Violence refers to dehumanized or derogative treatment of women in their pregnancy, childbirth or postpartum periods and may be manifested through the attitudes of health professionals or the performance of unjustified or outdated practices without maternal consent. Currently, there is no tool validated in Spain to measure women’s perception of obstetric violence. The objective of this study was to carry out the cultural adaption and validation of an existing 14-item Obstetric Violence Scale to the Spanish context, and to evaluate its psychometric properties. The research was conducted in two phases: first, a methodological study designed to evaluate content validity, through assessments by 8 experts (calculating the Aiken V coefficient) and face validity in a sample of 20 women; second, a cross-sectional study to evaluate construct validity (through confirmatory factor analysis and Rasch analysis), divergent validity against a scale of birth satisfaction, known groups validity and reliability. In Phase 1, Aiken V values higher than 0.71 were obtained for all items. Phase 2 was conducted on a sample of 256 women and the fit values for the unidimensional model were RMSEA: 0.070 [95%CI: 0.059-0.105] and GFI: 0.982 [95%CI: 0.823-0.990]. The Rasch analysis indicated poor performance of item 2, which was removed. The Omega and Cronbach's Alpha coefficients were 0.863 and 0.860, respectively. A final 13-item version of the Obstetric Violence scale was produced, with total score ranging from 0 (no obstetric violence perception) to 52 (maximum obstetric violence perception). The Obstetric Violence Scale is a reliable and useful tool to measure women's perception of obstetric violence.

Small hydro-power systems seem to be the best solution for energy generation through the use of pump as turbine (PAT) due to its low cost and lesser environmental hazards associated with it. Recently, PAT applications are gaining global attention in energy generation but its operation is not fully understood. The performance and flow behavior is affected by several operational conditions. This study seeks to investigate the effects of rotational speed on flow behavior and performance of a PAT. Rotational speed is an important physical parameter that affects the operation of a PAT. A selected centrifugal pump model of four blades and splitters was used for the study. Numerical simulations were carried out using k-ε turbulence model to solve the three-dimensional (3D) equations in both pump and PAT modes. The outcomes were then validated using experimental results in the pump mode to obtain overview flow physiognomies. The results predicted that the efficiency increases as the rotational speed increases in the pump mode whereas in turbine mode, higher rotational speed cannot convert hydraulic energy into mechanical energy. Thus, a rotational speed of 1500 rpm performed the highest efficiency of 69.8% at QBEP among the other rotational speeds selected. Moreover, the head performance in the turbine mode increases as the flow rate increases. This research provides useful information which will help improve PAT performance as well as selecting PAT for small hydro-power site.

The adoption of Pump as Turbines (PATs) both in small scale hydroelectric plants and water supply systems has brought different advantages, the most recognized being cost-effectiveness as compared to other hydroturbines. However, due to their lack of flow control ability, their intolerance to off-design operations constitutes one tough shortfall. Moreover, this technology’s newness leads to PAT flow dynamics still being ununderstood even to date. Therefore, this study intends to numerically investigate the mixed flow PAT’s pump mode flow dynamics for five operating conditions expanding from optimum (1QBEP) to deep part-load (0.41 QBEP) conditions. Moreover the effect of runner blade angle on the same has been investigated where three angles namely -2°, 0°, and 2° have been considered. PAT flow stability was found to deteriorate as the flow decreased, where associated pressure pulsation level worsened at different flow zones. In addition, the blade angle increase led correspondingly increasing flow unsteadiness and pressure pulsation levels, where the pulsation frequencies from rotor-stator interactions were dominant for most of flow zones. This study’s findings are of a crucial importance to both scientific and engineering communities as they contribute to thorough understanding of PAT flow dynamics.

In this paper, we classify the function space of all real-valued functions on R denoted as F(R,R) into 28 distinct blocks. Each block contains elements that share common features in terms of the cardinality of their sets of continuity and differentiability. Alongside this classification, we introduce the concept of the Connection, which reveals a special relationship structure between four well-known real-valued functions in real analysis: the Cantor function, Dirichlet function, the Thomae function, and the Weierstrass function. Despite the significance of this field, several perspectives remain unexplored.

In this article, our main purpose is to establish a new extension of Mittag-Leffler function by using the known extended beta function $\mathbf{B}_{\omega}(a,b;p)$ introduced in [1]. It led to a novel extension of the applicability of Mittag-Leffler function that introduced them as distributions defined for a specific set of functions. We also, investigate some of its important properties, namely recursion relation, Mellin transform and differential formulas.

Divulsuperbac (DSB) is a Service Learning project targeted at the educational community. It started in 2019 and has engaged Biology degree students in a Microbiology-focused initiative in the Valencian Community (Spain), for four academic years. The DSB project comprises various outreach activities intending to raise awareness of the superbugs' threat to pre-university students. We created an exhibition that contained 14 infographics on the topic of antimicrobial resistance which was presented every week in high schools. The infographics were presented by university students, who explained the problem to the pre-university students and subsequently assessed their comprehension of the topic. The surveys conducted yielded satisfactory results, which motivated us to extend this project to other regions of the world.

In the evolving landscape of cybersecurity threats, the Permanent Denial of Service (PDoS) attacks have emerged as a particularly damaging form of cyber aggression. Unlike the more well-known Denial of Service (DoS) attacks, which disrupt services temporarily, PDoS attacks aim to inflict irreversible damage to systems, often resulting in significant system overhauls and requiring hardware replacement. To enable the development of effective security measures, but also to address the knowledge gaps, this paper offers an in-depth exploration of PDoS attacks, emphasizing their distinguishing characteristics, underlying mechanisms, and potential further development. Through a comprehensive case study, the research highlights diverse tactics and strategies employed by attackers, from targeting IoT devices to manipulating boot processes and exploiting firmware vulnerabilities. A novel classification of PDoS attack vectors is proposed, that also explains the ways in which the systems can be compromised. The findings confirm the pressing need for adaptive and robust defense mechanisms to mitigate the threats posed by PDoS attacks in our interconnected digital world.

BACKGROUND: Current research recorded hearing loss in 8.5million Nigerians. Hearing loss can be prevented and treated. Most individuals in the communities are unaware. Available hearing screening instruments are not readily accessible in communities. Regular screening is the key. Hence, the introduction of the HearWHO App in the communities, a mobile hearing screener. AIM: - To detect hearing loss and otological disorders - To validate the HearWHO App in the communities - To launch the HearWHO App in the communities MATERIALS AND METHODS: Commenced after obtaining due ethical clearance, informed consent and permissions. A 3 year duration study (March 2020 to March 2022). Study centres were 4 motor parks in Benin City Edo State (Muyi line, Faith motors, Iyare motors and Magorawa terminal) and 2 hospitals in Ondo City, Ondo state (General Hospital and Trauma Centre of the UNIMEDTH complexes). Ambient noise was recorded. Total population sampling technique was used. Health education was given. Using the HearWHO App in mobile smartphone connected to ear piece, each participant’s ears were tested. Each ear was regarded as a separate entity. Otoscopy was done. Findings of hearWHO App were compared with Otoscopic findings. Data realized were documented and analyzed with SPSS -23. P value < 0.05 was regarded statistically significant. RESULTS: 175 individuals participated, giving 350 ears examined. There were abnormal HearWHO findings in 77.4% ears compared to abnormal Otological findings in 65.0% ears. Predominant otological disorder was Eustachian Tube Dysfunction. Association of HearWHO finding with location was statistically significant (P=0.014). CONCLUSION AND RECOMMENDATION: Hearing loss and otological disorders were detected. There was agreement between HearWHO normal findings and normal otological findings. Based on challenges encountered, there is need to develop additional Apps or modify the HearWHO App to ensure Sustainable Developmental Goal -3 (SDG -3). Thus, creating a better future today making impact with mobile technology.

Background: We conducted research on the newly developed personalized recommendation service (PRS) of the global network of Korean scientists and engineers (KOSEN) in order to explore the information usage behavior and importance of the PRS used by Korean scientists and engineers. Methods: In order to understand information usage behavior, we gathered data from 513 survey results and analyzed them in terms of information usage behavior and the corresponding importance in each of the service quality areas. Results: We analyzed the 321 outcomes that indicated non-use of the PRS in order to understand the underlying reason(s); we employed 192 results that demonstrated the use of functionality to examine information usage behavior and importance. They found that the predominant motive for non-use of the service resulted from the respondents not knowing how to use it. According to demographic characteristics, the usage behavior of the PRS showed a difference regarding the purpose of using the service in the categories of gender and major field of study. Furthermore, users were concerned with various components of the PRS such as ease of use, design, relevance of content, user support, and interactivity. Conclusions: We suggest reinforcing user education degree and promotion to enhance the PRS. Since users were concerned with ease of use, design, relevance, user support, and interactivity, we recommend these as major points for improvement.

1) Background: In service business areas, design enhances the customer experience through the elements which anticipate specific emotional responses of customers. Many service companies are keen to develop and examine design elements from the customer perspective. Furthermore, recently, having considered the significance of customers’ emotional responses by design elements, categorising design elements into manageable dimensions can facilitate the evaluation of design elements. However, design elements and dimensions of design value are not defined in the current service marketing literature, and companies need a measurement tool and managerial guideline to their innovative value creation and compelling service delivery. For these reasons, this research aims to categorise the design value dimensions and propose the managerial implication for the innovative use of design; 2) Methods: This study used the mixed methodology; two stages of interviews and SEM (Structural Equation Modelling); 3) Results: Interview analyses facilitate the identification of design elements in the service delivery process. SEM results underpin the relevance of the categorised design elements and their impact on customer loyalty by comparing different groups (country and time elapsed from experience); and 4) Conclusions: Findings are the fundamentals of developing measuring tool for design and trigger future studies for conceptualising intangible assets.

Leptospirosis is a zoonotic disease of global importance. The current killed vaccine provides serovar-specific protection without sterilizing immunity. Several surface antigens, including Leptospira immunoglobulin-like proteins (LigA and LigB), have been identified as subunit vaccine candidates; however, they require potent adjuvants. Bacterial Lipopolysaccharide (LPS), including lipid A, is a well-known immunostimulatory agent, and the formulation of Monophosphoryl Lipid A (MPLA) in Alum is a clinical adjuvant. Being less endotoxic, we tested the adjuvant activity of lipid A purified from L. interrogans serovar Pomona (PLA) for its ability to activate innate and enhance antigen-specific adaptive immune response. PLA-induced activation of macrophages similar to levels induced by MPLA, albeit at a much higher dose, indicating that it is less stimulatory than MPLA. Mice immunized with a Variable portion of LigA (LAV) formulated in Alum and PLA (LAV-Alum-PLA) induced significantly higher levels of LAV-specific humoral and cellular immune response than Alum but similar to levels induced by Alum-MPLA. The adjuvant activity of PLA seems to be quite similar to MPLA and primarily mediated through enhanced recruitment, activation, and uptake of antigens by innate immune cells. Moreover, like MPLA, the PLA formulation was able to generate a long-term memory response. Most importantly, PLA demonstrated better potency than MPLA formulation and generated sterilizing immunity against challenge in a hamster model of leptospirosis. Altogether, our study has provided important insight into the adjuvant activity of Leptospira lipid A and has opened avenues for the development of LPS-based vaccines against this dreadful zoonosis.

This article lays the foundation for Extended Relativity (ER) – a unified geometric approach to the electromagnetic and gravitational field and relativistic dynamics in them. We explain here the basic tenets of ER, including the influenced spacetime of an object and the Extended Principle of Inertia. These two new ideas enable a unified theory of these fields. We introduce local scaling functions for describing the geometry of a spacetime influenced by a field and construct a simple, universal local scaling function which unifies electromagnetism and gravity. We recover the full electromagnetic theory, including Maxwell’s equations. For gravitation, ER passes all of the tests of General Relativity. Despite the non-linearity of relativistic gravitation, we obtain a method of combining fields from multiple sources. Finally, we identify the differences in the relativistic treatment of the electromagnetic field by Special Relativity and of the gravitational field by General Relativity and indicate how these differences are resolved in ER.

In this part of the series of two papers, we extend the theorems discussed in part I for infinite series. We then use these theorems to develop distinct novel results involving the Hurwitz zeta function, Riemann zeta function, Polylogarithm and Fibonacci numbers. In continuation, we obtain some zeros of the newly developed zeta functions and explain their behaviour using plots in complex plane. Furthermore, we provide particular cases for the theorems and corollaries which show that our results generalise the currently available functions and series such as the Riemann zeta function and the geometric series. Finally, we provide four miscellaneous examples to showcase the vast scope of the developed theorems.

In the fast-evolving landscape of web services, success relies on optimizing efficiency, reliability, and user satisfaction. Decision-making in real-world applications demands a blend of quantitative (numerical values of quality of Service factors) and qualitative data of experts’ ratings of the quality of service factors. This paper proposes an optimization technique that integrates Hesitant and Intuitionistic Fuzzy Linguistic Terms with TOPSIS, leveraging Entropy Objective weights. There is limited research on Hesitant Intuitionistic Fuzzy Linguistic terms and the need to model fuzziness, haste and intuition in data precisely from experts rating. Thus, this article introduces an Entropy-based model tailored for web service optimization. Using the WS-DREAM dataset, quantitative data was extracted and objective weights were determined through the Entropy algorithm and qualitative evaluations from five experts, employing Hesitant Intuitionistic Fuzzy Linguistic Terms, were integrated. The process involved computing criteria weights and experts' assessment of Quality of Service factors for four services (S1, S2, S3, and S4) to form the Fuzzy Decision Matrix using modified Online output software. Applying the proposed technique to a web service optimization problem validated its effectiveness. The results indicated optimal selection of S1 as the best web service, supported by Coefficient Index values (0.785). This study introduces a novel approach, Entrop – Hesitationistic - Fuzz-TOPSIS, for web service optimization, integrating quantitative and qualitative data through an Entropy-based model. The effectiveness of the proposed technique, validated through application on the WS-DREAM dataset, underscores its potential in addressing real-world decision-making challenges. The optimal selection of S1 as the best web service suggests practical utility. The study encourages further exploration of this technique's applicability to diverse Multiple Criteria Decision Making (MCDM) problems, opening avenues for future research and application.

This study aimed to evaluate the level of skill in observing teaching competency in pre-service physical education (PE) teachers and provide basic data to cultivate teaching competency. A total of 21 third-year pre-service PE teachers were selected as participants. The study derived descriptive statistics to analyze the participants’ observation skills regarding teaching competency in different class stages using evaluation results of class demonstrations by pre-service teachers. Mann–Whitney U test was conducted to verify the statistical significance of the evaluation between in-service and pre-service teachers. Compared with in-service teachers, pre-service teachers reported high agreement with intuitive teaching behaviors. However, pre-service teachers indicated low agreement with skills that required complex teaching behaviors depending on various situations. Based on theories by Schon (1983), pre-service teachers showed high “knowledge for practice” and low “knowledge in practice.” Thus, pre-service education must balance practical knowledge and theory rather than focus on theory-based education. This study provided directions for pre-service teacher education to enhance the competency of pre-service teachers for leading and analyzing classes.

Relatives play an important role in mental health service users’ care. Interventions directed either at service users or their relatives may influence the other person as well. The project Activa’t per la salut mental (Get active for mental health) consisted of a series of four interventions addressed at people diagnosed with mental disorders and their relatives to help them in their recovery process, increasing their agency and quality of life. The objective of the present study is to evaluate the interaction of the participation of service users on their relatives’ outcomes and vice versa. The impact of the project was evaluated within an RCT. The treatment group had access to all the circuit interventions while the control group received treatment as usual and could only access one of the interventions. All participants were evaluated at baseline, six months, and twelve months after the end of the first intervention. Service users were evaluated with the Stages of recovery questionnaire, and relatives with the Family Burden Interview Schedule II and the Duke-UNC-11 questionnaires. The interaction between service users and their relatives was analysed by means of correlational analyses within the intervention group. Service users baseline characteristics influenced in the level of participation of relatives and vice versa. The results also indicated an interaction between service users’ recovery score changes on the change of care burden of relatives. Service users’ participation levels interacted with the decrease of relatives’ burden. These results can be extremely helpful in fostering interactive benefits in future projects addressing the wellbeing of mental health service users and their relatives. Future studies could use specific designs to explore the directionality of the causality of these effects.

In Differentiated Services (DiffServ) architecture, Priority Service System (PSS) plays a vital responsibility to provide Quality-of-Service (QoS) for the applications based on networks. Priority queuing systems has always been a subject of interest for analytical modelling and evaluating the performance. However, previous works have mainly focused on performing priority queuing under range dependent traffics, namely Short Range Dependent (SRD) or Long Range Dependent (LRD). Recent studies revealed that realistic traffic demonstrates a heterogeneous nature for the modern networks that provide multiple services. In this paper, the results of analytical and simulation models of dynamic priority service systems is reviewed to study the heterogeneous traffic impact on designing and performance of the systems based on networks. In this paper, the results of analytical and simulation models of dynamic priority service systems is reviewed to investigate the impact of heterogeneous traffic on the design and performance of network-based systems. Here, the time of presence of requests in limited and unlimited buffer system is restricted. If the restriction is violated, the requests will be lost. The results of experiments conducted on both models are compared and it is identified that they differ in the allowable limit (2-9) %.

Inequality of health service for different specialty categories not only occurs in different areas inequality of health service for different specialty categories in the world, but also happens in the online service platform. In the online health community (OHC), health service was often of inequality for different specialty categories, including both online views and medical consultation for offline registered service. Moreover, how the factor city-level impacts the inequality of health service in OHC is still unknown. We designed a causal inference study with data on distributions of serviced patients and online views in over 100 distinct specialty categories on one largest OHC in China. To derive the causal effect of the city-levels (two levels inducing 1 and 0) on the Gini coefficient, we matched the focus cases in cities of rich healthcare resources with the potential control cities. For the Gini coefficient of serviced patients in over 100 specialty categories, the average treatment effect of level-1 cities is 0.470, which is 0.029 higher than that of the matched group. Similarly, for the Gini coefficient of online views, the average treatment effect of Level-1 cities is 0.573, which is 0.016 higher than that of the matched group. For each of the specialty categories, we also estimated the average treatment effect the specialty category’s Gini coefficient ( ) with the balanced covariates. The results support the argument that the total Gini coefficient of all the doctors in OHC shows that the inequality of health service is still very serious. This study contributes to the development of the theoretically grounded understanding of the causal effect of city-level on the inequality of health service in an online to offline healthcare service setting.

A simple line of reasoning, based on the most fundamental concepts of thermodynamics, yields some intriguing results for a better understanding of the processes occurring in the observable Universe. Gravitational mass must be continuously generated within an expanding thermodynamic system for this system to remain closed. The Second Law is a direct consequence of this production of mass. Simple expressions for the entropy and temperature of the Universe were obtained and the results agree well with observable values. Furthermore, it is demonstrated that the conservation laws within the Universe are independent of its energy density. Based on the solution for the quantum state of the Universe, it is conjectured that the Second Law is incomplete and must be complemented to a conservation law, which takes into account the growth of the amount of information within the Universe. Once the Second Law is complemented to a conservation law, the importance of mass generation within the Universe becomes well pronounced – not only gravitational effects play the role of an organising force, but also the amount of mass within the Universe defines both the amount of information within the Universe and the level of the Universe’s complexity.