To maximize resource usage, minimize disputes, and improve academic experience, professors must schedule teaching activities efficiently. This study provides an optimized automated schedule creation technique. The system generates conflict-free, efficient schedules using evolutionary algorithms and multi-objective optimization. Resource usage, scheduling prob-lems, and faculty/student satisfaction are the goals of the research. The system optimizes scheduling based on room limitations, instructor availability, and student preferences. The project uses system design, model creation, algorithm implementation, and performance analysis to solve the difficult timetable-generating problem. This research should save administrators time, improve academic operations, and improve staff and student academic experiences. Scalability and flexibility allow the system to be used in multiple faculties and incorporate new limits and requirements. This paper presents a complete approach to faculty scheduling, including insights and recommendations for future study and application in educational institutions.

Litter decomposition is a crucial biochemical process regulated by microbial activities in forest ecosystem. However, the dynamic response of fungal community during litter decomposition to vegetation changes is not well understood. Here, we investigated the litter decomposition rate, extracellular enzyme activities, fungal community, and nutrient cycling-related genes in leaf and twig litters over a three-year decomposition period in a pure Liquidamabar formosana forest and a mixed L. formosana / Pinus thunbergii forest. The result showed that during the three-year decomposition, twig litter decomposed faster in the mixed forest than that in the pure forest. In both leaf litter and twig litter, β-cellobiosidase, N-acetyl-glucosamidase exhibited higher activities in the mixed forest, whereas phosphatase, β-glucosidase and β-xylosidase were higher in the pure forest. The fungal α-diversity were higher in both litters in the pure forest compared to mixed forest, with leaf litter showing higher α-diversity than twig litter. Fungal species richness and α-diversity within leaf litter increased as decomposition progressed. Within leaf litter, Basidiomycota dominated in the mixed forest while Ascomycota dominated in the pure forest. Funguild analysis revealed that symbiotroph and ectomycorrhizal fungi were more abundant in the mixed forest compared to the pure forest. In the third-year decomposition, genes related to phosphorus cycling was most abundant in both forests, with the pure forest having a higher abundance of cex and gcd genes. Fungal community structure, predicted functional structure, and gene composition differed between the two forest types and between the two litter types. Notably, the fungal functional community structure during the first-year decomposition was distinct from that in the subsequent two-year. These findings suggest that both dominant tree species, litter quality and decomposition time significantly influence the litter decomposition by recruiting different fungal community, thereby affecting the entire decomposition process.

Background: Systemic-to pulmonary collaterals (SPC) are common in congenital heart disease (CHD). Particularly in single ventricle anatomy and Fontan circulation, SPC can both complicate the postoperative course and lead to clinical deterioration in the long term. Treatment of SPC is controversial. The aim of our study was (1) to analyze retrospectively patients who underwent SPC embolization using Concerto™ Helix nylon-fibred microcoils (CHM) and (2) to describe the interventional technique. Methods: In this a single-center retrospective observational cohort study, we analyzed clinical and imaging data of all patients who underwent transcatheter embolization of SPC using CHM from January 2016 to December 2023. Results: In 38 consecutive patients (65.8 % male, median age 41 months, range 2 – 490), a total number of 141 CHM had been implanted into 64 SPC in 49 procedures. The majority were arterial SPC (n = 59/64) originating from the thoracic aorta or its branches; 5/64 were veno-venous SPC. Primary closure succeeded in all procedures. The CHM diameters ranged from 3 to 8 mm, with 5 mm being the most commonly used diameter. The mean coil / SPC ratio was 2.6 (range 1.3 – 5.3). CHM implantation was performed via 4 French sheaths. Both detachment and stable positioning was simple and safe. Neither non-target embolization nor coil migration occurred. One complication occurred with a minor vascular injury without clinical relevance. Conclusion: CHM are easy to use and appropriate for SPC embolization in all age groups, including infants, with a low complication rate. The coils are particularly suitable for closure of collaterals with small diameter or tortuous course.

Lakes across the globe, including the Volta Lake in Ghana, face insidious threats from pollutants driven by high dependency on aquatic ecosystems. Cage aquaculture is expanding in Africa due to its potential to address food insecurity, provide livelihoods, and contribute to local economies. However, the uncontrolled expansion of cage aquaculture can have significant negative impacts on water resources, including environmental footprints that threaten biodiversity. Considering the intensification of cage aquaculture on the Volta Lake, we argue for a shift to sustainable alternative aquaculture systems. Deepening stakeholder collaborations are needed to enhance competence in mapping inland aquaculture areas, identifying eco-friendly alternatives, and strengthening aquaculture regulations and their enforcement in general and cage culture in particular on Lake Volta. This approach would promote best management practices. While competence building must be a continuous process to address knowledge gaps, the establishment of workable preparedness plans is needed in the event of emergencies. As the Lake is a hotspot for certain fish pathogens, implementing these strategies can reduce disease risks and subsequently decrease the development of resistance associated with excessive antimicrobial use in farmed fish.

The aim of the study was to explore attitudes towards climate change among wilderness seekers. The subjects were 273 (M=23.15; SD=7.72) adults. The respondents completed four questionnaires: Wilderness Novelty Seeking Scale, Wilderness Self-Efficacy Sale, Wilderness Courage Scale and Attitude Towards Climate Changes Scale. There were three distinct profiles of the respondents: Curious, who are interested in the wilderness but lack the skills and courage to explore dangerous wilderness places; Adventurous, who actively seek experiences in dangerous wilderness places and have survival skills; and Indifferent, who have little interest in the wilderness. The participants in these profiles differed in terms of attitude toward climate change. The Curious and Adventurous groups were significantly more concerned about climate change. In addition, they were more likely to believe that climate change is already having a negative impact on the lives of people in the places where they live. Furthermore, the Curious group experienced positive feelings towards climate change less often than the Adventurous group. On the other hand, the Curious group experienced significantly more negative feelings in relation to climate change. Finally, wilderness seekers (Curious and Adventurous) were statistically more likely to engage in pro-environmental behaviors in the context of climate change compared to the Indifferent group.

This article compares the predictive capabilities of six models namely the Linear Discriminant Analysis (LDA), Logistic Regression (LR), Support Vector Machine (SVM), XGBoost, Random Forest (RF) and Deep Neural Network (DNN) to predict the default behaviour of credit card holders in Taiwan using data from the UCI machine learning database. Python programming language was used for data analysis. Statistical methods were compared with machine learning algorithms using the confusion matrix measured in metric terms of prediction accuracy, sensitivity, specificity, precision, G-mean, F1 score, ROC and AUC. The dataset contains 30,000 credit card user’s information with 6636 default observations and 23,364 non-default cases. The study results found that modern machine learning methods outperformed traditional statistical methods in terms of predictive performance measured by F1 score, G-mean and AUC. Traditional methods like logistic regression were marginally better than linear discriminant analysis and support vector machines in terms of predictive performance measured by area under the receiver operating characteristic curve. In the modern machine learning methods, deep neural networks were better in most of the predictive performance metrics than XGBoost and Random Forest methods.

Purpose: this paper evaluates the effect of thermo-formed aligners with complementary biomechanical attachments (CBA) on periodontal ligaments (PDL) during the expansion process of the maxillary arch using simulations based on the finite element method (FEM). Methods: four types of teeth (canine 3, premolar 4, premolar 5 and molar 6) were modeled using 3D CAD. In addition, aligners, CBAs and PDL were also 3D modeled. With this information, a FEM model was generated, and a clinical rehabilitation scenario was simulated. For the validation of the results, a comparison with medical records was performed. Results: for canine 3, the displacement was 0.134 mm with a maximum stress of 4.822 x10-3MPa in the amelocemental junction. For premolar 4, the displacement was 0.132 mm at a maximum stress of 3.273x10-3MPa in the amelocemental junction. Premolar 5 had a displacement of 0.129 mm and a stress of 1.358 x10-3MPa at 1 mm from the amelocemental junction. Molar 6 had a displacement of 0.124 mm and a maximum stress of 2.440 x10-3MPa. Conclusions: The simulations showed that the use of CBA reduces tooth tipping. The model with Vestibular CBA presented the best results in terms of the dental movement of expansion of the maxillary arch with the use of thermoformed aligners. Significance: Considering the difficulty of performing in vivo tests that evaluate the configuration effectiveness of the different CBA alternatives in thermoformed aligners, FEM techniques were used to reduce time and costs, and get accurate results with minimal errors.

Glioblastoma (GBM) is an incurable primary brain cancer characterized by increased reactive oxygen species (ROS) production. The redox-sensitive tumor suppressor gene TP53, wildtype (wt) for 70% of patients, regulates redox homeostasis. Glioblastoma stem cells (GSCs) increase thioredoxin (Trx) and glutathione (GSH) antioxidant systems as survival redox-adaptive mechanisms to maintain ROS below the cytotoxic threshold. Auranofin, an FDA-approved anti-rheumatoid drug, inhibits thioredoxin reductase 1 (TrxR1). L-buthionine sulfoximine (L-BSO) and the natural product piperlongumine (PPL) inhibit the GSH system. We evaluated the cytotoxic effects of Auranofin alone and in combination with L-BSO or PPL in GBM cell lines and GSCs with known TP53 status. The Cancer Genome Atlas/GBM analysis revealed a significant positive correlation between wtp53 and TrxR1 expression in GBM. Auranofin induced ROS-dependent cytotoxicity within a micromolar range in GSCs. Auranofin decreased TrxR1 expression, AKT(Ser-473) phosphorylation, increased p53, p21 and PARP-1 apoptotic cleavage in wtp53-GSCs, while mutant-p53 was decreased in a mutant-p53 GSC line. p53-knockdown in a wtp53-GSC line decreased TrxR1 expression and significantly increased sensitivity to auranofin, suggesting the role of wtp53 as a negative redox-sensitive mechanism in response to auranofin in GSCs. Auranofin and L-BSO combination synergistically increased ROS, decreased IC50s and induced long-term cytotoxicity irrespective of p53 in GBM cell lines and GSCs. Intriguingly, Auranofin increased expression of glutathione S-transferase pi-1 (GSTP-1), a target of PPL. Combination of auranofin with PPL synergistically decreased IC50s to a nanomolar range in GSCs, supporting the potential to repurpose auranofin and PPL in GBM.

In this research, we investigate the integration of an Intrusion Detection System (IDS) with a Digital Twin (DT) to enhance the cybersecurity of physical devices in cyber-physical systems. Using Eclipse Ditto as the DT platform and Snort as the IDS, we developed a near-realistic test environment that included a Raspberry Pi as the physical device and a Kali Linux virtual machine to perform common cyberattacks such as Hping3 flood attacks and NMAP reconnaissance scans. The results demonstrated that the IDS effectively detected Hping3-based flood attacks but showed limitations in identifying NMAP scans, suggesting areas for IDS configuration improvements. Furthermore, the study uncovered significant system resource impacts, including high CPU usage during SYN and ACK flood attacks and persistent memory usage after NMAP scans, highlighting the need for enhanced recovery mechanisms. This research presents a novel approach by coupling a Digital Twin with an IDS, enabling real-time monitoring and providing a dual perspective on both system performance and security. The integration offers a holistic method for identifying vulnerabilities and understanding resource impacts during cyberattacks. The work contributes new insights into the use of Digital Twins for cybersecurity and paves the way for further research into automated defense mechanisms, real-world validation of the proposed model, and the incorporation of additional attack scenarios. The results suggest that this combined approach holds significant promise for enhancing the security and resilience of IoT devices and other cyber-physical systems.

In this paper, we present the application of a special soil resistivity model, the Exponentially Graded Multilayered Soil model, to the interpretation of Borehole Resistivity Logging surveys. The model, which was recently introduced by the authors, offers an alternative to the interpretation provided by constant resistivity layer models. The model is applied to synthetic soil surveys as well as to a real survey that is not satisfactorily interpreted using conventional models.

Integrating ecosystem services (ESs) to delineate ecological functional zones (EFZs) is a fundamental work in terrestrial spatial planning and ecosystem management. However, existing studies have largely overlooked the refinement of EFZs at local scales, which hinders targeted and multi-scale ecosystem management. This study introduced a "two-step refinement zoning method" to address this gap, first using the self-organizing feature mapping method to delineate EFZs based on ESs at a township scale, and then applying hotspot overlay analysis to identify hotspots of dominant ESs within EFZs at a village scale. By overlaying the outcomes of these two steps, EFZs can be further graded by designating villages with hotspots of dominant ESs as level I and those without as level II. The proposed method was applied in Wuhan City, dividing it into five types of EFZs with different ESs combinations and land use compositions. Furthermore, 5.23% of villages were identified as Level I of EFZs, serving as advantageous areas of dominant ESs in the study area. On this basis, diversified management strategies and conservation priorities were proposed. This study provides a theoretical and methodological reference for terrestrial spatial planning and sustainable ecosystem management.

Plant growth-promoting rhizobacteria (PGPR) are beneficial bacteria that play a crucial role in sustainable agriculture by enhancing plant growth through various mechanisms. This review examines the contributions of PGPR in improving nutrient availability, producing phytohormones, providing biocontrol against pathogens, and enhancing abiotic stress tolerance. By reducing the necessity for chemical fertilizers and pesticides, PGPR mitigate environmental impacts, enhance soil health, and support long-term agricultural productivity. However, challenges such as inconsistent performance across various soils, regulatory barriers, and limited farmer awareness hinder their widespread adoption. Recent advancements in nano-encapsulation technology, genetic engineering, and bioinformatics present promising solutions for overcoming these obstacles and enhancing PGPR efficacy. The incorporation of PGPR into biofertilizers, biopesticides, and integrated pest management (IPM) strategies offers a sustainable resolution to global agricultural challenges. This review addresses the current state of PGPR research, applications, and future directions for optimizing their use in promoting sustainable agriculture.

The role of coalesced bainite in hydrogen embrittlement of tempered martensitic steels was investigated. Results showed that the coalesced bainite significantly enhanced the hydrogen embrittlement resistance by restricting hydrogen accumulation at the prior austenite grain boundaries, thus shifting the hydrogen-assisted failure mode from intergranular to transgranular fracture.

Deep Reinforcement Learning has achieved state-of-the-art results in the field of autonomous driving, especially in video game simulations. Trained agents were able to beat the best players achieving supremacy in the field. However, these agents often take in their neural network input the geometry of the track during the learning process. Our approach is to create a learning procedure for autonomous driving agents that is not environment-dependent by design to extend Deep Reinforcement Learning to racing games without racetrack information. Our work builds upon the notorious game Trackmania Nations United Forever, an open access 3D realistic Formula 1 simulation game that offers a high degree of customization. We use the Proximal Policy Optimization algorithm, using hybrid raw pixel data and physics sensors vectors as agent observations. The training track is a custom-made circuit carefully crafted from all available blocks in the game. The training track is considered like a standard dataset in machine learning and thus split in several segments in which the agent is randomly put into. We also created two regularization reward functions for the car’s speed and position to increase robustness of the agent in new scenarios.

Molten salt electrolysis stands as an indispensable technique for the production of rare earth metals, where the judicious distribution of the electric field within the electrolytic cell is paramount for ensuring the seamless operation of the electrolysis process. This study introduces a pioneering approach by integrating the Nernst-Planck equation with the Butler-Volmer equation, thereby devising a holographic electric field model tailored for the electrolysis of the NdF3-LiF molten salt system. The paper presents pioneering experimental measurements concerning the potential distribution and voltage drop characteristics within a 6kA rare earth electrolytic cell, elucidating the interplay between decomposition voltage and current density, which substantiates the model's precision. Our findings unveil that, under operational conditions of 4010 amperes, the 6kA electrolytic cell incurs a total voltage drop of 6.3 volts, delineating a melt voltage drop of 4.43 volts, an ohmic voltage drop of 0.248 volts, and an interfacial voltage drop of 1.622 volts at the electrode-electrolyte junction. The discrepancy in error is confined to within 0.3% of the actual measured voltage of 6.28 volts.The simulation outcomes from the holographic electric field model have been confirmed to precisely and comprehensively reflect the characteristics of the electric field distribution during the rare earth molten salt electrolysis process, offering valuable theoretical insights for practical manufacturing applications.

Outlined is a proposal designed to culminate in the foundry fabrication of arrays of singly addressable quantum dot sources deterministically emitting single pairs of energy-time entangled photons at C-band wavelengths; each pair having negligible spin-orbit fine structure splitting; each pair being channeled into single mode pig-tail optical fibers. Entangled photons carry quantum state information among distributed quantum servers via I/O ports having two functions; the unconditionally secure distribution of decryption keys to decrypt publicly distributed, encrypted classical bit streams as input to generate corresponding qubit excitations, and to convert a stream of quantum nondemolition measurements of qubit states into a classical bit stream. Outlined are key steps necessary to fabricate arrays of on-demand quantum dot sources of entangled photon pairs, principal among are 1) foundry fabrication of arrays of isolated quantum dots, 2) generation of localized sub-surface shear strain in a semiconductor stack, 3) a cryogenic anvil cell, 4) channeling entangled photons into single mode optical fibers, 5) unconditionally secure decryption key distribution over the fiber network, 6) resonant excitation of a Josephson tunnel junction qubits from classical bits, and 7) conversion of a quantum nondemolition measurements of a qubit states into a classical bit.

Glass cleaning is one of the major cleaning tasks in malls, offices, and modern households where the human workforce is still used for cleaning. Manual cleaning on façade glasses is a less safe, tedious, ineffective, and complex process. With the advancement of robot technology, it is possible to use robots for glass cleaning to facilitate mankind and improve cleaning efficiency. This work presents the development of a vacuum-type glass cleaning robot for façade cleaning and its performance analysis. The developed square-shaped robot is controlled by an Arduino Mega microcontroller, equipped with vacuuming and cleaning technology. An adhesion mechanism on the wheels makes the robot move forward and backward on the glass. The robot runs on a 24-volt DC with a power rating of 75 watts. There are ultrasonic sensors to detect obstacles and help the robot navigate. The robot uses a random-walk mechanism and works continuously for 90 minutes effectively. The performance of the robot has been analyzed in terms of coverage area, repeatability, and dust collection efficiency.

Hydrogen is increasingly recognized as a crucial element in the shift toward sustainable energy systems due to its high energy density and minimal environmental impact. Biomass, a renewable material derived from plants and animals, presents a promising feedstock for hydrogen production, offering both environmental and economic benefits. This paper examines diverse biomass resources for hydrogen production, including agricultural and forest residues, dedicated energy crops, and organic waste. It reviews key technologies for converting biomass to hydrogen, categorized into thermochemical, biochemical, and hybrid processes. Thermochemical methods like gasification and pyrolysis are discussed for their ability to handle varied feedstocks and produce high-purity hydrogen. Biochemical processes, such as anaerobic digestion and dark fermentation, are analyzed for their efficiency and lower operational costs. Hybrid approaches, which integrate multiple technologies, are explored for their potential to enhance system performance. Industrial applications of biomass-derived hydrogen are highlighted, including its use in transportation, power generation, the chemical industry, and heating. Future perspectives emphasize the need for advanced catalysts, process integration, sustainable feedstock sourcing, and supportive policies to drive commercial viability. The paper concludes by highlighting biomass’s significant promise in advancing sustainable energy systems and achieving global energy security and environmental goals.

The advent of modern satellite technology has transformed observational astronomy and astrophysics, offering unprecedented insights into the large-scale behavior of gravitation and challenging established cosmological models. This technological progress has reinvigorated the study of relativistic cosmology, leading to a critical reassessment of foundational assumptions, particularly the cosmological principle, which posits that the universe is homogeneous and isotropic on large scales. While this principle underpins the Standard Cosmological Model and the Friedmann-Lemaitre-Robertson-Walker metric, emerging data has increasingly been challenging its validity. Central to this investigation are the redshift-distance and light intensity-distance relations, essential for testing cosmological models. The integration of both parametric and nonparametric redshift models provides a more comprehensive analysis, addressing discrepancies in our understanding of the universe's structure and evolution. However, unresolved mysteries, particularly concerning dark matter and dark energy, complicate these models. This research critically examines the cosmological principle using the latest observational data and scrutinizes the Friedmann model's assumptions. The study shows that galaxy formation was most rapid in the early universe, especially within the redshift range of , with notable peaks around at and These two characteristic redshift values, predicted by our standard Friedmann redshift model used in this work, are confirmed by the observational data utilized in this research. The research also highlights that dark matter plays a significantly more critical role than dark energy in the process of galaxy formation. While dark energy primarily affects the large-scale expansion of the universe, dark matter seems to go beyond the domination of local galaxy formation and evolution of cosmic structures. These findings underscore the limitations of current models and contribute to the ongoing refinement of cosmological theories, offering a clearer understanding of the universe’s evolution.

High-grade advanced ovarian, fallopian tube and primary peritoneal (HGAOC) cancer are malignancies in which, apart from surgical treatment, systemic treatment plays an important role. The improvement in treatment results is associated with the introduction of polyADP-ribose polymerase inhibitors (PARPis). The aim of this study is to present a cross-section of patients treated for HGAOC, in one center, including the distribution of treatment principles following the most up-to-date guidelines. We observed patients who reported to the Department of Gyneacological Oncology between January 2018 and December 2023. We analyzed 437 women with a first diagnosis of HGAOC, who had not been treated before. The introduction of combined treatment with bevacizumab and PARPi into the first line of treatment, regardless of any remnants left during cytoreductive surgery, was introduced in November 2022. Since then, 30% (18/60) of patients (14 with olaparib and 4 with niraparib) have used the above regimen. Previously, in May 2021 - October 2022, it was 27% of patients (13/81 with olaparib and 9/81 with niraparib). Among patients starting treatment in January 2018 - April 2021, only 4.7% (5/106) received the platinum + paclitaxel + olaparib regimen. In both groups – with and without BRCA1/2 pathogenic or likely- pathogenic variant, significantly more patients used PC + PARPi or PC + BEV + PARPi in periods II and III than in period I (p<0.01). The introduction of modern treatment in our center very quickly changed the structure of patient treatment. Carriers of BRCA1/2 pathogenic or likely-pathogenic variant had previously received only chemotherapy, disappeared after the introduction of PARPi, in favor of new therapies. Most patients with no BRCA1/2 pathogenic or likely-pathogenic variant, who used PARPi in therapy in our center – received niraparib and therefore they are beneficiaries of molecular diagnostics in the field of HRD.

The past few decades have brought tremendous insight into the molecular and pathophysiological mechanisms responsible for thrombus generation. For the clinician it is usually sufficient to explain the incident deep vein thrombosis (DVT) with provoking factors such as trauma with vascular injury, immobilization, hormonal factors, or inherited or acquired coagulation defects. About half of the DVTs are, however, lacking such triggers and are called unprovoked. Venous stasis and hypoxia at the valve sinus level may start a chain of reactions. In order to better understand the mechanisms behind DVT and reach beyond the above-mentioned simplifications animal models and clinical epidemiological studies have informed of the complex interplay between leukocytes, platelets, endothelium, cytokines, complements and coagulation factors and inhibitors. These pathways and the interplay will be reviewed here.

Brain tumor being one of the major health hazards always needs a prompt diagnosis for the early treatment options to improve the chances of the survival of the patients. Traditional manual assessment of MRI (magnetic resonance imaging) to identify these conditions is a common practice. Hence, automation of the diagnosis practices can considerably improve the quality of the treatment procedures. In recent years almost every method for the automated diagnosis of brain tumor detection uses a deep learning technique. Despite decent works current techniques need a significant improvement to produce better results. Along with failure to produce decent results, the current deep learning models present very complex architectures which sometimes require huge computational resources. Therefore, in this paper we present a novel method that uses a lightweight dual-stream model with dual-input to detect brain tumors on MRI images. Both the inputs use different pre-processing mechanisms based on Contrast Limited Adaptive Histogram Equalization (CLAHE) and White Patch Retinex algorithm in order to enhance the feature learning capabilities of the proposed model. In addition, the proposed method uses a two-fold margin loss to boost training process for better feature learning. The proposed method produces state-of-the-art results for the detection of Glioma, Meningioma and Pituitary tumors. The model presents accuracy of 99%, 98% and 99% respectively for Glioma, Meningioma and Pituitary tumor detection.

Colorectal cancer (CRC) is characterized by a pro-inflammatory microenvironment and features high energy supply molecules that assure tumor growth. A still underestimated macromolecule is the Inorganic Polyphosphate (iPolyP), a high-energy linear polymer that is ubiquitous in all forms of life. Made up of hundreds of repeated orthophosphate units, iPolyP is essential for a wide variety of functions in mammalian cells, including the regulation of proliferative signaling pathways. Some evidence has suggested its involvement in carcinogenesis, although more studies need to be pursued. In this study, we tested the role of iPolyP on CRC proliferation, using in-vitro and ex-vivo approaches, in order to evaluate its effect on tumor growth. We found that iPolyP is significantly increased in tumor tissues compared to the corresponding peritumoral counterparts. In addition, iPolyP signaling occurs through the TRPM8 receptor, promoting CRC cell proliferation. Pharmacological inhibition of TRPM8 or RNA interference experiments showed that the involvement of TRPM8 is essential, greater than that of the other two known iPolyP receptors, P2Y1 and RAGE. The presence of iPolyP drives cancer cells towards the mitotic phase of the cell cycle by enhancing the expression of ccnb1, which encodes for the Cyclin B protein. In-vitro 2D and 3D data reflected the ex-vivo results, obtained by the generation of CRC-derived organoids, which increased in size. These results indicate that iPolyP may be considered a novel and unexpected early biomarker supporting colorectal cancer cell proliferation.

Characterization of fungal spider pathogens lags far behind their insect counterparts. In addition, little to nothing is known concerning ecological reservoir and/or fungal entomopathogen community surrounding infection sites. Five infected spider cadavers were identified in the neo-tropical climate of north central Florida, US, from three of which viable cultures could be obtained. Multilocus molecular phylogenetic and morphological characteristics identified one isolate as a new species of Gibellula, named, G. floridensis, and the other two as isolates of Parengyodontium album. To examine the insect fungal community sampling of different habitats/trophic levels including soil, leaf litter, leaf, and twig from the surrounding area of the infection sites were collected and analyzed by ITS amplicon sequencing. These data revealed broad but differential distribution of entomopathogenic fungi between habitats and some variation between sites, with members of genera Metarhizium and Metacordyceps from Clavicipitaceae, Purpureocillium and Polycephalomyces from Ophiocordyceps, and Akanthomyces and Simplicillium from Cordycipitaceae, predominating. However, no sequences corresponding to Gibellula or Parengyodontium, even at the genera levels could be detected. Potential explanations for these findings are discussed. These data highlight novel discovery of fungal spider pathogens and open the broader question regarding the environmental distribution and ecological niches of such host specific pathogens.

In this digital era, online learning and teaching is an important platform for college and university learners which required many technical facilities and in depth knowledge to have learning process effectively. Students and teachers in Higher Education Institutions (HEIs) were forced to grapple with the inevitability of shifting to online classes due to the advantages of effective distance learning or for large learning group. In the case of Oman, there have been some efforts to integrate alternative learning mechanisms such as online and mobile education in the past but not followed the scale in the post pandemic world. This study seeks to utilize the principles of Total Quality Management (TQM) through the implementation of Quality Function Deployment (QFD) as a way to better understand the experiences of Omani teachers and students from HEIs. A voice of customer from teachers and students have been collected and recorded. In this regard, 165 staff and 355 students from HEIs of Engineering participated in the survey. After the survey, a house of quality analysis was done to analyze the requirements based on how strongly they are related to the standard learning outcomes expected from HEIs in Oman. The results show that more attention is required in online education in the Sultanate of Oman before it is implemented as a major part in learning and teaching.

There are considerable benefits in applying Artificial Intelligence to automation in modern industries including Oil and Gas Industries. Oil and Gas Industries have many complex systems in their production and flow line. The failure of gas equipment will have serious consequences including financial and environmental issues. Condition monitoring of oil and gas equipment provides the condition of components, machines, systems, equipment, data hardware, and even software. The predictive maintenance and industry 4.0 applications have more advantages in petrochemical industries to make a safer economic environment and this paper addresses the Artificial Intelligence (AI) application of condition monitoring for Oil and Gas Industries. To understand the effectiveness of AI in condition monitoring for oil and gas industries, a case study related to the condition monitoring of drilling machine is conducted and applied Artificial Neural Network (ANN) algorithm to analyze and predict the potential failures. The novelty of this work is the proposal of an approach for tool wear monitoring in drilling using acoustic emission sensors for feature extraction and considering wavelet packet decomposition for further analysis. The extracted features from WPD are given as input for ANN to identify the healthiness of the drill bit and machine. This work aims to find the effectiveness of AI-based condition monitoring in enhancing effectiveness of monitoring and the safety of equipment in Oil and Gas Industries.

Late-stage epithelial ovarian cancer (EOC) involves widespread dissemination of malignant disease throughout the peritoneal cavity, often accompanied by ascites. EOC metastasis relies on the formation of multicellular aggregates, called spheroids. Given that Liver Kinase B1 (LKB1) is required for EOC spheroid viability and LKB1 loss in EOC cells decreases tumor burden in mice, we investigated whether the LKB1 complex controls invasive properties of human EOC spheroids. LKB1 signalling was antagonized through CRISPR/Cas9 genetic knockout of LKB1 and/or RNAi-dependent targeting of STE20-related kinase adaptor protein (STRAD; an LKB1 activator). EOC spheroids expressing nuclear GFP (green) or mKate2 (red) constructs were embedded in Matrigel for real-time live-cell invasion monitoring. Migration and invasion were also assessed in spheroid culture using Transwell chambers, spheroid reattachment, and mesothelial clearance assays. The loss of LKB1 and STRAD signalling decreased cell invasion through Matrigel and Transwell membranes, as well as mesothelial cell clearance. In the absence of LKB1, zymographic assays identified a loss of matrix metalloproteinase (MMP) activity, whereas spheroid reattachment assays found that coating plates with fibronectin restored the invasive potential. A three-dimensional EOC organoid model demonstrated that organoid area was greatly reduced by LKB1 loss. Overall, our data indicated that LKB1 and STRAD facilitated EOC metastasis by promoting MMP activity and fibronectin expression. Given that LKB1 and STRAD are crucial for EOC metastasis, targeting LKB1 and/or STRAD could disrupt the dissemination of EOC, making inhibitors of the LKB1 pathway an alternative therapeutic strategy for EOC patients.

Despite recent efforts by the government to combat Food Insecurity (FI), this issue remains a significant problem in Brazil, particularly among populations experiencing social vulnerability, such as Indigenous peoples. This study aimed to assess the prevalence and factors associated with FI in Indigenous families in the state of Alagoas. It was a population-based cross-sectional survey using a probabilistic sample (n=1270 families) representing the 11 ethnic groups present in the state. FI was defined according to the Brazilian Food Insecurity Scale. Factors associated with moderate and severe FI were determined through multivariable analysis using Poisson regression with robust variance adjustment (prevalence ratio – PR and 95% CI). The prevalence of FI was 69.1%, with 29.5% in moderate (23.2%) and severe (6.3%) forms. Factors associated (p<0.05) with moderate and severe FI included: female-headed households; houses made of mud or wood; with ≤4 rooms; head of the household with ≤8 years of schooling; retired or unemployed household head; and total family income <2 National Minimum Wages. The prevalence of FI among Alagoas Indigenous peoples is considerably high and associated with poorer demographic, socioeconomic, and environmental conditions, highlighting the social inequities they face and emphasizing the need for intersectoral public policies to address this scenario.

Information dissemination and preservation are crucial for societal progress, especially in the technological age. While technology fosters knowledge sharing, it also risks spreading misinformation. Audio deep fakes, convincingly fabricated audio using Artificial intelligence (AI), exacerbate this issue. We present Sonic Sleuth, an AI model for detecting audio deepfakes. Our approach leverages Deep Learning (DL) for a robust detection model. Meticulous data preprocessing and rigorous experimentation with various models led to the implementation of the most effective solution with a custom CNN model. Our comprehensive testing resulted in a highly accurate model (98.27% accuracy, 0.016 EER) trained on a substantial dataset of real and synthetic audio. In addition to an 84.92% accuracy and 0.085 EER on an external dataset, these results demonstrate Sonic Sleuth’s potential as a powerful tool against audio misinformation.

The investigation of the correlation between Foreign Direct Investments (FDIs) and wage dynamics, particularly in the context of gender-related aspects, is of paramount importance in understanding the broader implications of economic globalization. This study aims to provide a comprehensive analysis of the intricate relationship between FDIs and wage trends, with a specific focus on the Dutch context. Using data from the United Nations Conference on Trade and Development (UNCTAD) and the World Bank, the research applies statistical techniques, including regression analysis, to explore the relationship between FDIs and wage trends over time, with a focus on gender differences. The analysis reveals that while FDIs contribute to overall wage growth, their impact varies significantly between male and female employees in the Netherlands. This highlights the need for policies addressing these gender-based disparities, providing a unique gender-focused perspective on the influence of FDIs on wage trends and expanding the existing literature on economic globalization and wage dynamics.

Cell-free DNA (cfDNA) analysis is a pivotal tool in non-invasive diagnostics, including cancer monitoring and prenatal testing. However, the preanalytical phase, particularly the choice of anticoagulant, significantly impacts cfDNA integrity and yield. This study aims to compare cfDNA yield, stability, and DNase activity across plasma-citrate, plasma-heparin, plasma-EDTA, and serum, to identify the most suitable specimen for cfDNA analysis among the tested anticoagulants. Blood samples from 15 healthy volunteers were collected in four types of tubes (citrate, heparin, EDTA, and serum). cfDNA was extracted and quantified using qPCR, and endogenous DNase activity was assessed through hydrolysis probe assays. Samples were incubated at 37°C for 24 hours to evaluate cfDNA degradation rates. Statistical analyses were performed using repeated measures ANOVA and Sidak's multiple comparison tests. Baseline cfDNA levels were highest in serum, followed by heparin-plasma, while EDTA and citrate-plasma exhibited the lowest levels. DNase activity was fully inhibited in EDTA-plasma, partially inhibited in citrate-plasma, and active in both heparin-plasma and serum. cfDNA degradation was most pronounced in heparin-plasma (85.3%) and serum (55.6%), compared to minimal degradation in EDTA (8%) and citrate-plasma (13.3%). Among the tested anticoagulants, EDTA-plasma proved to be the most suitable specimen for cfDNA analysis due to its low DNase activity and minimal gDNA contamination. Citrate-plasma, with intermediate DNase inhibition, could be an alternative if the citrate concentration were increased. Heparin-plasma and serum showed significant cfDNA degradation, rendering them unsuitable for cfDNA analysis. These findings highlight the importance of anticoagulant selection in preserving cfDNA integrity for diagnostic applications.

Genomic sequencing of Alternaria oxytropis OW 7.8 isolated from Oxytropis glabra was performed, the swnK gene was cloned and knocked out firstly. The colony morphology of ΔswnK-ACP differed from that of A. oxytropis OW 7.8, appearing milky white or pale yellow, with irregular shapes and a slower growth rate. SW was not detected in ΔswnK-ACP, indicating that the swnK gene promotes SW synthesis in A. oxytropis OW 7.8. 8 differentially expressed genes (DEGs) and 7 differentially expressed metabolites (DEMs) closely associated with SW biosynthesis were identified in the transcriptome and metabolome analysis of A. oxytropis OW 7.8 and ΔswnK-ACP. The SW biosynthesis pathway in A. oxytropis OW 7.8 was predicted and refined. These results may lay foundation of in-depth analysis of the molecular mechanisms and metabolic pathway of SW synthesis in fungi, and provide reference for future control of SW in locoweed, which would benefit the development of grassland animal husbandry and the sustainable use of grassland ecosystem.

Privacy protection is a fundamental guarantee for secure data flows and serve as a basic requirement for data security. A reasonable privacy protection system acts as a catalyst for unlocking the financial value of data. The current legislative framework for privacy protection in data flows in China, adhering to the principle of proportionality, establishes the “informed-consent” rule for data collection and processing, data classification and grading management measures, and remedies for data leakage and other risks. In addition, in judicial practice, typical disputes regarding personal information protection and privacy rights have promoted to clarify the scope of collecting user personal information and biometric data. Despite ongoing improvements needed in legislative, judicial and technical approaches to data privacy protection, China’s commitment and practice in privacy protection of data flows are noteworthy. The existing legislation, law enforcement and technical practices are playing an increasingly vital role in realizing the financial value of data and are essential for international cooperation on data privacy protection. Furthermore, it is crucial to actively explore cooperation mechanism for cross-border data flows under the principle of data sovereignty, participate in developing international rules for cross-border data flows, and formulate different management norms for cross-border circulation of data in different industries.

As the adoption of deep learning models continues to surge across various applications, the need for efficient deployment architectures becomes increasingly critical. This paper presents a novel approach to enhance the deployment of deep learning models by leveraging serverless architecture. Serverless computing has been popular for its auto-scaling, cost-effectiveness, and simplified management characteristics. However, the intense resource demands of deep learning models pose challenges in maintaining low response times and effective load balancing within serverless environments. The proposed architecture addresses these challenges by integrating principles from both deep learning model optimization and serverless computing. Through systematic experimentation and analysis, we demonstrate that by appropriately designing and tuning the deployment architecture, significant improvements in response time, performance, resource utilization, and load distribution can be achieved.

This study investigates the impact of single prolonged stress (SPS), a model of post-traumatic stress disorder (PTSD), on cardiovascular responses, hypothalamic paraventricular nucleus (PVN) activity, and vascular function to elucidate the mechanisms linking traumatic stress to hypertension. Although SPS did not directly cause chronic hypertension in male Sprague Dawley (SD) rats, it induced acute but transient increases in blood pressure and heart rate and significantly altered the expression of hypertension-associated genes, such as vasopressin, angiotensin II type 1 receptor (AT1R), and FOSL1 in the PVN. Notably, mitochondrial reactive oxygen species (mtROS) were predominantly elevated in the pre-autonomic regions of the PVN, colocalizing with AT1R- and FOSL1-expressing cells, suggesting that oxidative stress amplifies sympathetic activation and stress responses. SPS also triggered vascular inflammation, evidenced by increased mRNA levels of pro-inflammatory cytokines (TNFα and IL1β) and inducible nitric oxide synthase (iNOS) in the aorta, and impaired vascular reactivity to vasoconstrictor and vasodilator stimuli, reflecting compromised vascular function. These findings suggest that SPS sensitizes neuroendocrine, autonomic, and vascular pathways, creating a state of cardiovascular vulnerability that could pre-dispose individuals to hypertension when exposed to additional stressors. Understanding these mechanisms provides critical insights into the pathophysiology of stress-related cardiovascular disorders and underscores the need for targeted therapeutic interventions that address oxidative stress and modulate altered PVN pathways to mitigate the cardiovascular impact of PTSD and related conditions.

Background/Objectives: Direct oral anticoagulants (DOACs) are first-line medications for stroke prevention in non-valvular atrial fibrillation (AF). However, variability in drug response poses risks of hemorrhagic or thromboembolic events. The role of genetics in determining DOAC safety is gaining attention, but evidence linking specific genetic polymorphisms to bleeding risk is lacking. Therefore, the aim of our study was to conduct an Exome-Wide Association Study with 198 non-valvular AF patients treated with rivaroxaban or apixaban, including 97 with bleeding complications and 99 without. Methods: DOAC plasma concentrations, 6-β-hydroxycortisol and cortisol levels in urine were measured for CYP3A4 phenotyping. Sequencing was performed on the DNBSEQ G-400 platform. Single nucleotide variants (SNV) associations with bleeding risk were assessed using logistic regression with additive, dominant, and recessive genetic models. Results: No SNVs reached Bonferroni-corrected significance in any genetic model. Polygenic risk scores (PRS) showed weak predictive ability for bleeding with apixaban. For rivaroxaban, regression indicated that ln Css min/D + 1 index increased with PRS, age, and 6-β-hydroxycortisol/cortisol ratio, but decreased with higher 6-β-hydroxycortisol and coronary heart disease presence. Conclusions: The findings revealed that the residual equilibrium concentration of anticoagulants, including dose-adjusted, cannot alone predict bleeding risk in non-valvular AF patients. No new genetic variants associated with bleeding risk were identified.

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.

Drought negatively affects the growth and development of barley. To explore the genetic variation in barley under drought stress, ten breeding genotypes were tested using polyethylene glycol-6000 to simulate drought conditions. We observed that drought stress adversely affected germination-related traits across all barley genotypes and this impact varied between genotypes, suggesting genotype-specific drought tolerance. The drought tolerance index was an ideal criterion for selecting drought-tolerant genotypes as it well characterized the gradient responses of barely genotypes to drought stress. Based on this indicator, genotype OB1878-ON-50 is recommended as a significant germplasm resource for breeding programs under lower precipitation conditions due to its superior tolerance to drought stress.

Currently, the use of recycled waste plastic in road construction is not just considered ecofriendly but also considered advantageous for improving road performance over time. This research explores using recycled plastic bags, made of low-density polyethylene (LDPE), in asphalt mixtures to improve road performance and manage waste. The study aims to assess the effects of incorporating different amounts of shredded waste plastic into asphalt mixes and determine the optimal percentage. The aggregate used was obtained from Sargodha quarry Pakistan and asphalt used was 60/70 grade obtained from national refinery limited Pakistan. Using the Marshall mix design, the optimum bitumen content (OBC) was found to be 4.5% of the asphalt mix weight. Thirty samples were tested with waste plastic proportions of 6%, 8%, 10%, 12%, and 14% of OBC weight, along with a standard mix. Tests on stability, bulk density, flow, and air voids showed that a 10% plastic content significantly enhances asphalt performance, increasing stability by around 25%. The study recommends using 10% plastic by OBC weight in asphalt mixes for better performance and suggests further research on optimal incorporation techniques of waste materials in asphalt mixtures.

Background: Neurocognitive disorders (NCDs) have a variable decline in cognitive function, while loneliness was associated with cognitive impairment and increased dementia risk. In the present study, we examined the associations of loneliness with functional and cognitive status in patients with minor (mild cognitive impairment) and major NCDs (dementia). Methods: We diagnosed mild NCD (n=42) and major NCD (n=164) through DSM-5 criteria on 206 participants aged>65 years using the UCLA 3-Item Loneliness Scale (UCLA-3) to evaluate loneliness, the activities of daily living (ADL) and the instrumental activities of daily living (IADL) scales to measure functional status, and Mini-Mental State Examination (MMSE) to assess cognitive functions. Results: In a multivariate regression model, the effect of loneliness on cognitive functions was negative in major (=-1.05-p<.0001) and minor NCD (=-0.06-p<.01). In the fully-adjusted multivariate regression model (sex-age-education-multimorbidity-depressive symptoms-antidementia drug treatment), the effect of loneliness remained negative for major NCD and became positive for minor NCD (=0.09-p<.001). The effect of loneliness on IADL (=-0.26-p<.0001) and ADL (=-0.24-p<.001) showed a negative effect for major NCD across the different models, while for minor NCD, the effect was positive (IADL:=0.26-p<.0001-ADL:=0.05-p=0.01). Minor NCD displayed different levels of MMSE (=6.68-p<.001), but not ADL or IADL, compared to major NCD for the same levels of loneliness. MANOVA pill’s test suggested a statistically significant and different interactive effect of loneliness on functional and cognitive variables between minor and major NCDs. Conclusions: We confirmed the relationships between loneliness and cognitive and functional status in major NCD, observing a novel trend in minor NCD.

Transport systems are essential in the path towards sustainable urbanisation and the transition to more sustainable living. Recently, European cities have undergone substantial changes, owing to which suburbanisation is posing new challenges. Suburban areas are often more affordable in terms of housing, but their neighbourhoods tend to be car-oriented. This leads to higher commuter costs, immobility, transport and time poverty, pollution, and accident rates and a lack of social interaction. To offer sustainable mobility options to citizens, we must comprehensively understand their specific mobility practices, together with their personal characteristics, and the built environment. This study centred on the Barcelona Metropolitan Region, which has a public transport network that covers the entire area. The aim of this study was to examine the relationship between travel behaviour, transport mode use, individual characteristics, and place of residence, using detailed information sources. Herein, we used data from the annual travel survey conducted in the Barcelona region from 2018 to 2021, together with land-use and other information sources. Our findings suggest that transport policies have encouraged sustainable mobility practices, particularly in the centre of Barcelona. Despite the positive results, considerable disparities exist between the inner and outer city, with notably decreased sustainable mobility practices in the latter. Our results indicate that promoting sustainable mobility policies requires further changes in transport, city, and land-use planning that consider equity, the socioeconomic profile of citizens, and mixed urban planning.

Beliefs that maintain patriarchal principles may affect individuals’ willingness to avoid conflicts in their intimate partner relationships and eventually are likely to affect chances of intimate partner economic violence. Nonetheless, research has yet to fully explore these associations. This study used a sample of 321 adults in the ultra-Orthodox Jewish community—a patriarchal and traditional culture—to examine associations in beliefs supporting patriarchal principles at the micro (gendered domestic roles), meso, and macro ( institutional power of men and inherent inferiority of women) levels; conflict avoidance and economic violence; and sex differences in these factors. Descriptive statistics were used to explore gender differences in research variables, and path analysis examined the correlations between research variables for men and women. Beliefs in patriarchal ideologies were moderate at all levels, although slightly higher among men. Men tended to avoid conflict with their intimate partner significantly more than women did. Beliefs in support of patriarchal ideologies predicted conflict avoidance, especially among women. Finally, in opposition to prior research findings, this study revealed nonsignificant sex differences in the prevalence of economic violence victimization. These findings, however, do not suggest that economic violence victimization is not rooted in sex issues. We discuss the findings and the meanings assigned to conflict avoidance by men and women while considering gender disparities of power and control. We suggest that the contribution of men’s tendency to avoid conflict likely moderated their chances to perpetrate economic violence.

The last wave of Artificial Intelligence is dedicating particular emphasis to the line of explainability research. The potential of Explainable Artificial Intelligence (XAI) in producing trustworthy computer-aided-diagnosis systems and its usage for knowledge discovery are collecting interest in the Medical Imaging (MI) community to support the diagnostic process and the discovery of image biomarkers. Most of the existing XAI applications in MI were focused on interpreting the predictions returned by deep neural networks, typically including attribution techniques with saliency map approaches and other feature visualization methods. However, these are often criticized for providing incorrect and incomplete representations of the black-box models’ behaviour. This raises the attention in proposing models intentionally designed to be self-explanatory. In particular, part-prototype (PP) models are interpretable-by-design computer vision (CV) models that base their decision process in learning and identifying representative prototypical parts from the input images, and they are collecting increasing interest and results in MI applications. This narrative review provides a summary of existing PP networks, their application in MI analysis and current challenges.

Modeling dense nonaqueous phase liquids (DNAPLs) contamination in groundwater is challenging because of its multiphase distribution. To understand the research trends of DNAPL modeling in groundwater, a bibliometric analysis was conducted using CiteSpace based on 614 publications from the WoS Core Collection database (1993-2023). The publications were statistically analyzed, and the research hotspots and trends were summarized. The statistical analysis of the publications indicates that: the United States is leading the international research on DNAPL models, followed by China and Canada; collaboration between countries and disciplines in this field needs to be strengthened. The summary of keyword clustering and burst detection reveals that: the current research hotspots focus on multiphase flow models, mass transfer models, back diffusion, and practical applications of the models; the research trends are centered on back diffusion mechanisms, characterization of contamination source zones and prediction of contaminant distribution in real-world sites, as well as the optimization of remediation strategies.

Ingestion of corrosive agents is a well-known cause of extensive and severe gastrointestinal tract injury. Acids can result in significant acute complications throughout the gastrointestinal system. Herein, we present a case of total gastrointestinal necrosis after a patient ingested a large amount of concentrated hydrochloric acid. Of note, the patient developed an intestinal fistula six days following ingestion, requiring surgical intervention. This case underscores the potential for delayed gastrointestinal necrosis with high-volume and concentrated hydrochloric acid ingestion. Early CT evaluationto and multi-organ protectionis are crucial for such patients. For patients with no signs of perforation, multidisciplinary physicians should comprehensively evaluate the necessity of surgical exploration. In such cases, comprehensive treatment strategies can significantly improve outcomes. The purpose of this case report is to highlight the complexities and challenges in managing severe hydrochloric acid ingestion, to discuss the multidisciplinary approach required for such cases, and to contribute to the existing literature by providing detailed insights into the clinical presentation, treatment, and outcomes of a rare and severe instance of concentrated HCl ingestion.

The effect of initial immunosuppressive therapy on the kinetics of the SARS-CoV-2 vaccine-induced humoral response is unknown. Here, we compared the kinetics of SARS-CoV-2 vaccine-induced humoral response in chronic kidney disease patients undergoing kidney transplantation (KTRs) and compared to patients remaining on dialysis during the Omicron circulation. This prospective, non-randomized, real-world study included 113 KTRs and 108 patients on dialysis. Those with previous COVID-19 or negative IgG at screening were excluded. Blood samples were collected to assess SARS-CoV-2 IgG titers and neutralizing antibodies at months (M) 1, 3, 6, and 12. Seroreversion occurred in 1 KTR and in 3 patients on dialysis. KTRs had lower IgG titers over time (M1: 10,809.3±12,621.7 vs. 15,267.8±16,096.2 IU/mL; M3: 12,215.5±12,885.8 vs. 15,016.2±15,346.1 IU/mL; M6: 12,540.4±13,010.7 vs. 18,503.5±14,581.0 IU/mL; p=0.005), but Neutralizing antibodies were similar (M1: 94.0 vs. 90.3%; M3: 92.9 vs. 90.5%; M6: 99.0 vs. 95.5%; M12: 98.9 vs. 97.5%; p=0.812). During follow-up, KTRs received more vaccine (141 vs. 73; p<0,001) and had more COVID-19 (32.7% vs. 14.8%; p=0.002). Compared to patients on dialysis, KTRs had lower SARS-CoV-2 IgG titers and similar rates of seroreversion and neutralizing antibodies over time. Although KTRs received more boosters, they had a higher incidence of COVID-19.

Extracting the economic value by integrated utilization of space in old communities is crucial for encouraging independent participation from enterprises and residents, reducing reliance on government leadership and fiscal investment. This study starts from the active perspective of spatial assets, constructs a value activation framework for old community spatial assets by balancing "endogenous demand" and "exogenous opportunities." By enhancing "economic value" through "use value," five methods for value extraction and overall project utilization paths are proposed, guided by a dynamic "cost-revenue" balance. Using multi-source data, we identify the spatial assets of 1,096 old communities in central Guangzhou and apply a market comparison method for economic value assessment. Additionally, the study offers recommendations on timing and project portfolios for regeneration efforts, along with strategies for establishing a coordinating implementation entity and fund account. This research provides strategic insights for advancing the regeneration of old communities by tapping into their macro-level economic potential.

This paper provides a narrative review of previous research on effort-reward imbalance and passion exploitation, and provides a perspective for future research. Previous research has shown that ERI can cause work stress, negative economic behavior such as job turnover, and illnesses such as metabolic syndrome. Previous research also claims that loyal and generous people, as well as young people and women, are more likely to be targets of passion exploitation. However, there are unresolved issues in previous research, such as (i) the mechanism by which effort-reward imbalance leads to stress and illness, (ii) there is a lack of research on what types of jobs are more likely to experience imbalance, and (iii) there is a lack of research on what level of imbalance is acceptable, and therefore further research is required. To this end, this study recommends addressing these challenges through the integration of ERI and passion exploitation theory.

(1) Background: Hepatoblastoma is the most common primary liver malignancy in children. During its development, metabolic reprogramming becomes particularly relevant due to the liver's intrinsic metabolic functions. Enhanced glycolysis, glutaminolysis, and fatty acid synthesis have been implicated in the proliferation and survival of hepatoblastoma cells. In this study we screened altered over expression of metabolic enzymes in hepatoblastoma tumors at tissue and single cell level. A hepatoblastoma tumor expression metabolic score was established and validated by machine learning; (2) Methods: Starting from Mammalian Metabolic Enzyme Database, bulk RNA-sequencing from GSE104766 dataset was investigated by supervised analyses (tumors versus adjacent liver tissue). Overexpressed enzymes in hepatoblastoma tumors were functionally enriched on KEGG metabolic database to draw a metabolic network with Cytoscape. Activated metabolic markers were used to compute a single-cell metabolic score in human and PDX hepatoblastoma samples from GSE180665 dataset (sc-RNAseq). ROC and area under curve (AUC) were computed on metabolic score. Elasticnet model tuning for metabolic marker expression was performed with r-caret on single cell transcriptome and revealed importance of individual marker to predict tumor cell status; (3) Results: Differential expression analysis on bulk transcriptome identified 287 significantly regulated enzymes between tumor and adjacent liver tissues: 59 of them were found overexpressed in tumors. 45 of the 59 over expressed enzymes were recognized in KEGG database which highlighted a main metabolic network enriched in amino acid metabolism but also carbohydrate, steroid, one carbon, purine, and glucoaminoglycan metabolisms. Based on expression of the 59 over expressed enzymes, the single cell metabolism score computed on GSE180665 dataset allowed to predict tumor cell status with and AUC of 0.98 (sensibility 0.93, specificity: 0.94). Elasticnet model tuned at 0.97 of AUC on individual marker single cell expression ranked top tumor predictive markers by decreasing importance: FKBP10, ATP1A2, NT5DC2, UGT3A2, PYCR1, CKB, GPX7, DNMT3B, GSTP1, and OXCT1; (4) Conclusion: An activated metabolic transcriptional program potentially affecting epigenetic functions was observed by bulk RNAseq in tumors of hepatoblastoma and confirmed at single cell levels in tumor cells.

Clathrate hydrate-based technologies have been considered as promising and sustainable alternatives for the effective management of the climate change risks related to emissions of carbon dioxide, produced by human activities. This work presents a combined experimental and computational investigation of the effects of the operational procedures and characteristics of the experimental configuration, on the phase diagrams of CO2-H2O systems and CO2 hydrates formation, growth and dissociation conditions. The operational modes involved (i) the incremental (step-wise) temperature cycling and (ii) the continuous temperature cycling processes, in the framework of an isochoric pressure search method. Also, two different high pressure PVT configurations were used, of which one encompassed a stirred tank reactor and the other incorporated an autoclave of constant volume with magnetic agitation. The experimental results implied a dependence of the subcooling, (P, T) conditions for hydrate formation and dissociation and thermal stability of the hydrate phase on the applied temperature cycling mode, and the technical features of the utilized PVT configuration. The experimental findings were complemented by a thermodynamic simulation model and other calculation approaches, with the aim to resolve the phase diagrams including the CO2 dissolution over the entire range of the applied (P, T) conditions.

Often, in biology, we are faced with the problem of exploring relevant unknown biological hypotheses in the form of myriads of combinations of factors/genes/proteins that might be affecting the pathway under certain conditions. In colorectal cancer (CRC) cells treated with ETC-1922159, many genes were found up and down regulated, individually. A recently developed search engine ranked combinations of Nuclear factor kappa-light-chain-enhancer of activated B cells (NFκB)-X (X, a particular gene/protein) at 2^nd order level after drug administration. These rankings reveal which NFκB-X combinations might be working synergistically in CRC. If found true, oncologists can further test the combination of interest in wet lab and determine the mechanism of functioning between the NFκB and X. In this research work, we cover combinations of caspase (CASP) with receptor interacting serine/threonine kinase (RIPK) family, mucin (MUC) family with RIPK, tumor necrosis factor (TNF) with NF-κB family and NF-κB-Inhibitor (NF-κB-I), NFκB-2/I with STAT family, IκB kinase ε (IKBKE) with STAT family, IKBKE with conjugal transfer protein (TRAF), ATP-binding cassette (ABC) domain transporters with NFκB, IKBKE with ubiquitination modifier enzyme and ubiquitination conjugating enzymes (UBA/UBE) and REL-A/B with NFκB .

Background: Self-esteem is a psychological term that, since its emergence in 1890 with William James, has been widely studied. Furthermore, this construct has been examined in different areas of psychology, including the clinical field, where its relationship with mental health and low levels of depression has been demonstrated. In the realm of positive psychology, its connection to resilience and life satisfaction has also been established. Objective: To evaluate validity based on internal structure from the perspective of Classical Test Theory (CTT) and Item Response Theory (IRT), to obtain evidence of validity based on the relationship with other variables and to estimate the reliability of the Rosenberg Self-Esteem Scale (RSES). Method: To this end, 584 military personnel from the three ranks of the Spanish Army (officers, non-commissioned officers, and professional soldiers and sailors) were evaluated, of which 511 were men (87.70%) and 72 were women (12.30%), with an age range of 18 to 66 years (M = 33.17, SD = 7.38). Results: The results indicate that the unidimensional structure of the RSES shows adequate fit indices (CFI = .94, TLI = .91, SRMR = .05), while the difficulty and discrimination parameters exhibited favorable values. Additionally, an acceptable reliability value was found (ɷ = .81; α = .80). Conclusions: Therefore, it is concluded that the RSE-JGA presents adequate psychometric properties of validity and reliability, making it a useful and relevant instrument for measuring self-esteem in military personnel of the Spanish Army.

Alzheimer’s disease (AD), the leading cause of dementia (50-70%), is a multifactorial neurodegenerative disorder characterized by progressive cognitive decline and significant neuropathological changes, including β-amyloid plaques and neurofibrillary tangles. This review synthesizes current understanding of the complex interplays that contribute to the pathogenesis of AD, while exploring the mechanisms underlying the formation of β-amyloid plaques and neurofibrillary tangles, with a focus on the amyloidogenic and non-amyloidogenic pathways, Tau protein hyperphosphorylation, and the resultant neurotoxicity. Furthermore, the study delves into mitochondrial dysfunction and oxidative stress as critical contributors to neuronal degeneration, highlighting the mitochondrial cascade hypothesis and its implications in both early (EOAD) and late-onset AD (LOAD). The study emphasizes the irreversible nature of the disease’s progression, detailing the pathological transformations from the preclinical to the severe stage, where lesions disseminate throughout the entire cortex.

The organic material present at the same depth in the reservoir has the potential for conversion, as indicated by analyses conducted before and after combustion in the development of heavy oil. This paper examines the oxidation and pyrolysis reaction pathways of hydrocarbons, specifically benzaldehyde (C₇H₆O) and naphthalene (C₁₀H₈), before and after combustion using molecular dynamics simulations. The primary products formed under various temperature conditions include H₂O, HO₂, CO, and CO₂. The discussion includes the number of molecules, such as HO and H, as well as their temperature variations. The activating group functions as an electron donor, while the inactivating group serves as an electron acceptor. The oxidation and pyrolysis reactions of naphthalene and the synthesis pathway of benzaldehyde are also explored. The C-C dissociation pathway in the early stages of combustion and the process of C-C bond synthesis in the later stages of the reactions are investigated through dynamic simulations at different temperatures: 3000 K, 3500 K, and 4000 K, with a particular focus on the reaction network at 4000 K. The application of the molecular reaction dynamics method to heavy oil combustion research is the primary objective of this work. This study aims to provide a novel approach to investigating hydrocarbon conversion at high temperatures and offers recommendations for enhanced oil recovery.

Porcine circovirus-associated diseases, caused by porcine circovirus type 2 (PCV2), are widespread and result in significant economic losses to the global swine industry. It is generally believed that PCV2 can be divided into nine genotypes (PCV2a to PCV2i), with the dominant being the PCV2d genotype. In this study, 2675 samples from pig farms in 13 cities in Jiangsu Province, China, were collected between 2014 and 2021 and subjected to polymerase chain reaction analysis to investigate the prevalence and genetic diversity of PCV2. The results showed that 41.42% (1108/2675) of samples tested positive for PCV2. The researchers further analyzed the genetic characteristics of 251 PCV2 strains and found that they belonged to the following four genotypes: PCV2a, PCV2b, PCV2d, and PCV2i. The dominant genotype was PCV2d, with a prevalence of 49.80% (125/251). The detection rate of PCV2b was significantly higher than those of PCV2a and PCV2i, at 35.46% (89/251), 7.57% (19/251), and 7.17% (18/251), respectively. We have further revealed the fingerprint of PCV2i genomic nucleotides for the first time. In conclusion, this study illustrates the high prevalence and evolutionary features of PCV2 in Jiangsu Province over the past few years.

It has been more than a century since Erlang published his paper in 1909. The classical queueing system for the M/D/c queue has been investigated by many authors. The key is to find the roots of an equation using explicit or numerical methods. We present an alternate form of explicit solution(s) of this/these root(s) using the Lambert-W function in this paper. In addition, the unsaturated probabilities of the number of customers in the system is derived explicitly in terms of this/these root(s). Finally, the mean number of customers in the system and the mean queueing delay are obtained from these probabilities. The exact queueing delay formula for the M/D/c queue is expressed in closed-form in terms of the root(s). Numerical results show that they are in excellent agreement with the numerical results published by Seelen, Tijms and Van Hoorn.

In this paper we consider constructions of first derivative approximations using the generating function. The weights of the approximations contain the powers of a parameter whose modulus is less than one. The values of the initial weights are determined, and the convergence and order of the approximations are proved. The paper discusses applications of approximations of first derivative for numerical solution of ordinary and partial differential equations and proposes an algorithm for fast computation of the numerical solution. Proofs of the convergence and accuracy of the numerical solutions are presented and the performance of the numerical methods considered is compared with the Euler method. The main goal of constructing approximations for integer-order derivatives of this type is their application in deriving high-order approximations for fractional derivatives, whose weights have specific properties. The paper proposes the construction of an approximation for the fractional derivative and its application for numerically solving fractional differential equations. The theoretical results for the accuracy and order of the numerical methods are confirmed by the experimental results presented in the paper.

Acoustic emissions (AE) are produced by elastic waves generated by damage in solid materials. AE sensors have been widely used in several fields as a promising tool to analyze damage mechanisms such as cracking, dislocation movement, etc. However, accurately determining the location of damage in solids in a non-destructive manner is still challenging. In this paper, we propose a crack wave arrival time determination algorithm that can identify crack waves with low SNR(signal-to-noise ratios) generated in rocks. The basic idea comes from that the variances of the crack wave and noise have different characteristics depending on the size of the moving window. The results can be used to accurately determine the crack source location. The source location is determined by observing where the variance in the crack wave velocities of the true and imaginary crack location reach a minimum. By performing a pencil lead break test using rock samples, it was confirmed that the proposed method could successfully find wave arrival time and crack localization. The results using the proposed algorithm to detect crack wave source localization suggest use for evaluating and real-time monitoring of damage in tunnels or other underground facilities.

Over 3.0 billion people of the 7.75 billion globally suffer from malnutrition due to deficiencies in micronutrients, particularly iron, zinc, and vitamins (such as vitamin A, B complex, E, and folate, etc.). In response, there is growing consumer interest in foods that provide traditional nutrients and contain additional compounds beneficial to health and well-being. Wheat is the most important cereal crop in terms of both production and consumption, contributing about 30% of total cereal consumption worldwide. It provides a significant source of carbohydrates and gluten protein (around 12-14% protein), which supply substantial energy. Wheat grain is also rich in various nutrients, such as macro-elements like phosphorus (P), potassium (K), calcium (Ca), and magnesium (Mg); microelements like iron (Fe), zinc (Zn), manganese (Mn), and vitamins B complex: thiamin (B1), riboflavin (B2), niacin (B3), pantothenic acid (B5), pyridoxine (B6), biotin (B7), folate (B9), additionally soluble fiber and other trace minerals which are higher than in other major cereals. The inner bran coats, phosphates, and other mineral salts in wheat contribute to its beneficial effects on bowel movements. Despite its nutritional benefits, the quality of wheat's nutrients is a topic of ongoing discussion. Exploring ways to enhance the nutritional quality of wheat could provide valuable insights for scientists working to improve global nutrition status.

This paper investigates the applicability of deep learning models for predicting the severity of forest wildfires, utilizing an innovative benchmark dataset called EO4WildFires. EO4WildFires integrates multispectral imagery from Sentinel-2, SAR data from Sentinel-1 and meteorological data from NASA Power annotated with EFFIS data for forest fire detection and size estimation. Resulting in a coverage of 45 countries (Figure \ref{Figure1-events}) with a total of 31730 wildfire events from 2018 to 2022. All these various sources of data are archived into data cubes, with the intention of assessing wildfire severity by considering both current and historical forest conditions, utilizing a broad range of data including temperature, precipitation, and soil moisture. The experimental setup has been arranged to test different deep learning architectures’ effectiveness in predicting the size and shape of wildfire burned areas. The study incorporates both Image Segmentation networks and Visual Transformers, employing a consistent experimental design across various models to ensure comparability of results. Adjustments were made to the training data, such as the exclusion of empty labels and very small events, to refine the focus on more significant wildfire events and potentially improve prediction accuracy. The models’ performance was evaluated using metrics like F1 Score, IoU Score, and Average Percentage Difference (aPD). These metrics offer a multi-faceted view of model performance, assessing aspects such as precision, sensitivity, and the accuracy of the burned area estimation. Through extensive testing with Image Segmentation networks and Visual Transformers, the research not only aims at enhancing the accuracy of estimating the burned area but also underscores the significance of quality training data and the comparative effectiveness of traditional segmentation methods over transformer-based models for this specific application. The dataset is published with an Open Access license and is hosted at: \url{10.5281/zenodo.7762564}.

Optical coherence tomography (OCT) is a non-invasive imaging technique widely used in ophthalmology for visualizing retinal layers, aiding in early detection and monitoring of retinal diseases. OCT is useful for detecting diseases such as age-related macular degeneration (AMD) and diabetic macular edema (DME), which affect millions of people globally. Over the past decade, the area of application of Artificial Intelligence (AI), particularly Deep Learning (DL), has significantly increased. The number of medical applications is also rising, with solutions from other domains being increasingly applied to OCT. The segmentation of biomarkers is an essential problem that can enhance the quality of retinal disease diagnostics. For 3D OCT scans, AI is beneficial since manual segmentation is very labor-intensive. In this paper, we employ the new SAM 2 and MedSAM 2 for the segmentation of OCT volumes for two open-source datasets, comparing their performance with the traditional U-Net. The model achieved an overall Dice score of 0.913 and 0.902 for macular holes (MH) and intraretinal cysts (IRC) on OIMHS and 0.888 and 0.909 for intraretinal fluid (IRF) and pigment epithelial detachment (PED) on the AROI dataset, respectively.

In an era of rapid technological advancements, complex global challenges, and intense market competition, the ability to generate and scale innovative solutions has become a critical imperative for organizations, policymakers, and societies worldwide. However, the existing academic landscape has lacked a cohesive, multidisciplinary framework for comprehensively understanding the multifaceted nature of innovation. Innovationology, a newly established scientific discipline, aims to address this gap by providing a unifying, transdisciplinary approach to the study and practice of transformative innovation. This comprehensive article introduces Innovationology as a cutting-edge science that integrates insights from diverse fields, including management, psychology, sociology, economics, and technology studies. Innovationology posits that innovation is a multilayered, context-dependent phenomenon, shaped by the intricate interplay of individual, team, organizational, and ecosystem-level factors. By synthesizing the latest theoretical advancements and empirical evidence, this article presents a holistic model of Innovationology that illuminates the key determinants of radical, game-changing innovations capable of disrupting existing industries and creating new market spaces. The article delves deep into the individual cognitive, behavioral, and motivational drivers of innovativeness, the team dynamics and organizational structures that foster collaborative innovation, and the ecosystem-level characteristics that catalyze the emergence and scaling of transformative innovations. Importantly, the article explores the crucial role of contextual factors, such as socio-cultural norms, institutional support, and resource availability, in shaping innovation outcomes. This article also establishes the epistemological foundations of Innovationology, grounding it in a transdisciplinary, holistic, and pragmatic approach to knowledge generation. Innovationology embraces a pluralistic epistemology that acknowledges the complexity and context-dependence of innovation, drawing on diverse methodological approaches to capture the multifaceted nature of this phenomenon. Furthermore, the article outlines the object of Innovationology, which is to provide a comprehensive, evidence-based understanding of the drivers, processes, and outcomes of transformative innovation. Innovationology seeks to elucidate the multilevel determinants of innovation, the dynamic interplay between various factors, and the contextual influences that shape innovation trajectories. By establishing a unifying, transdisciplinary framework, Innovationology aims to bridge the gap between innovation theory and practice, empowering a wide range of stakeholders to unlock the transformative potential of innovation. Importantly, this article outlines the practical applications of Innovationology, providing comprehensive strategies and evidence-based interventions for cultivating innovative mindsets, designing innovation-conducive organizational systems, and navigating the challenges of innovative ecosystems. The implications of Innovationology for entrepreneurs, corporate leaders, policymakers, and innovation scholars are discussed in detail. By establishing Innovationology as a distinct, authoritative scientific discipline, this article sets the foundation for a more holistic, context-sensitive understanding of innovation and its multifaceted drivers. The insights generated by this new science can empower global organizations, institutions, and policymakers to address the complex, interconnected challenges of the 21st century through the strategic deployment of transformative innovations.

We have developed an efficient simulator for polarized light microscopy experiments. It supports calculations for multiple analyzer angles across different channels of a polarized camera, enhancing imaging capabilities. Our model is publicly available here.

Cowpea (Vigna unguiculata (L.) Walp.) is an important legume cultivated mainly in regions with limited water availability across the African and American continents. Its productivity is significantly affected by environmental stresses. Thaumatin-like proteins (TLPs), which belong to the PR-5 (Pathogenesis-Related 5) protein family, are known to be responsive to both biotic and abiotic stresses. However, their role remains controversial, with some TLPs associated with plant defense (particularly against fungal infections) and others associated with drought response. In this study, we evaluated the structural diversity and gene expression of TLPs in cowpea (VuTLPs) under different stress conditions, including biotic [mechanical injury followed by inoculation with Cowpea Aphid-borne Mosaic Virus (CABMV) or Cowpea Severe Mosaic Virus (CPSMV)] and abiotic (root dehydration). Genomic anchoring of VuTLPs revealed 34 loci encoding these proteins. Neighbor-joining analysis clustered the VuTLPs into three distinct groups. We identified 15 segmental duplication and six tandem duplication gene pairs, with the majority of VuTLP genes found to be under purifying selection. Promoter analysis associated VuTLPs with bHLH, Dof-type, and MYB-related transcription factors, supporting their diverse roles. Diversity in VuTLP function was also observed in their expression profiles under various stress conditions. Gene expression data showed that most VuTLPs are recruited within the first minutes after stress imposition, except in the root dehydration assay, where most transcripts were induced 150 minutes post-stress, a finding also validated by qPCR. Moreover, the data suggest that VuTLPs exhibit functional specialization depending on the stress condition, highlighting their diverse roles and biotechnological potential.

A thorough understanding of nuclear reaction rates at low energies is essential for improving our understanding of energy generation in stars and primordial and stellar nucleosynthesis. At low energies, fusion reactions between charged particles are strongly suppressed by the presence of the Coulomb barrier which classically inhibits the penetration of one nucleus into another. The barrier penetration causes the cross section to have a steep energy dependence at low energies, making cross section measurements very challenging. Furthermore, little is known about the impact of surrounding electrons in stellar plasmas that are currently beyond the reach of experiments. As a result, measuring the bare cross sections as accurately as possible is essential. Reaction rate measurements at very low energies have been made possible in recent years by the development of high-current low-energy accelerators as well as enhanced target and detection methods. Nevertheless, the presence of atomic electrons, which alter the Coulomb barrier by screening the nuclear charge and increase the cross section at low energies compared to the case of bare nuclei, complicates these observations. A review of the experimental and corresponding theoretical work on laboratory electron screening performed so far will be presented.

Maternal obesity and gestational diabetes mellitus (GDM) are the most common metabolic conditions with have unfavourable impact on maternal and fetal health. Key biosubtrats such as apelin, vascular endothelial growth factor (VEGF), leptin, and DNA methylation play crucial roles in these pathologic conditions. Apelin is a peptide involved in regulating glucose metabolism and cardiovascular functions. This molecule also interacts with the apelin receptor to enhance glucose uptake, suggesting potential therapeutic implications for managing GDM and obesity. Leptin, a hormone predominantly produced by adipose tissue, regulates appetite and energy balance. In obesity, leptin levels are often high, but a resistance to its effects develops, disrupting normal metabolic processes. Similarly, in GDM, elevated leptin may impair glucose metabolism and contribute to insulin resistance. VEGF is critical for angiogenesis, the formation of new blood vessels, and is often found in increased concentrations in obese individuals and those with GDM. This elevation may contribute to abnormal placental function and vascular complications, exacerbating both conditions. DNA methylation, an epigenetic modification, plays a crucial role in gene expression regulation. In both GDM and obesity, altered DNA methylation patterns have been observed, affecting genes involved in metabolism, inflammation, and insulin sensitivity. These epigenetic changes may predispose individuals to metabolic disorders. In our study we investigated placental apelin, leptin, VEGF, and DNA methylation interconnection in the pathophysiology of GDM and obesity during gestation. They have similar or different influencing on metabolic regulation, vascular function, and gene expression in GDM and obesity? Sonogpahic examinatios supported the metabolic analyses for that understanding their roles may lead to better management and therapeutic strategies for these conditions.

Given the high number of caregivers in Canada and the association between caregiving and financial and economic burden, this study investigates federal caregiver supports. Using annual tax data from Statistics Canada’s Longitudinal Administrative Databank (LAD), the paper employs descriptive statistics to calculate the uptake of these credits between 1998 and 2015 by socio-demographic subgroups of the sample tax filer population. It assesses if the rates of uptake match the profile of caregivers in Canada. On average, married, working-age, immigrant, 99th percentile earning males in large urban areas have the highest rates. We propose that caregiver-related tax policy would benefit from a campaign of better awareness among persons who are providing care to a family member or friend. In particular, those of lower socio-economic status would benefit from such a campaign given that credits are being claimed mostly by higher income tax filers.

This research paper examines the role of the Muslim World League (MWL) as a soft power tool in serving Muslims globally. The study delves into the activities, strategies, and influences of the MWL, particularly in the past decade, from 2014 to 2024. Given the evolving dynamics of global geopolitics, the MWL's initiatives in fostering religious diplomacy, cultural exchange, and humanitarian efforts are critically analyzed. The Secretary General, Dr. Mohammad bin Abdulkarim Al-Issa, plays a pivotal role in shaping and advancing the organization's objectives internationally. Using a blend of descriptive and analytical methodologies, this paper investigates how the MWL leverages soft power to address issues faced by the Muslim community worldwide. The research also uncovers the interconnected factors influencing the effectiveness of the MWL's programs and policies. Through a comprehensive review of literature, examination of previous studies, and an analysis of the theoretical frameworks, this study identifies gaps and offers insights for future research. The findings contribute to a deeper understanding of the MWL's impact on global Muslim populations and the broader implications for international relations and soft power theory.

Cardiovascular (CV) morbidity and mortality are markedly increased in non-dialysis patients with chronic kidney disease (CKD). Thus, the precise management of CV risk factors involved in CKD is crucial to improving outcomes. Serum phosphate (Pi) and FGF-23 levels have been linked with a higher risk of CV events in CKD. However, the exact thresholds of Pi and FGF-23, at which the risk of adverse events increases, remain unknown. We evaluated the expression of intact FGF-23 (iFGF-23) and Pi in a non-dialysis CKD patient population (n=82; 42M:40F; median age 61 years) and investigated their association with CV and renal outcomes, in a 5-year follow-up period. At baseline, the median estimated glomerular filtration rate (eGFR), iFGF-23, and Pi were 45 ml/min/1.73m² (IQ 26.6-73.1), 69.9 µg/ml (IQ 33-117) and 3.4 mg/dL (IQ 3.3-3.9), respectively. Univariate analysis showed a strong association of both iFGF-23 and Pi with age, Charlson Comorbidity Index, hypertension, and diabetes. In addition, iFGF-23 and Pi were both associated with the composite outcome (major CV and cerebrovascular events – MACCEs, hospitalizations, and all-cause mortality) during follow-up. Moreover, Pi was independently associated with all-cause mortality during follow-up. The segmentation of the population in terciles, according to Pi (<3mg/dL; 3-3.6 mg/dL; ≥3.7 mg/dL) within reference serum levels, showed a distribution of the fatality of 0%, 20% and 80% (p =0.034), respectively. Our results reinforce the association of both iFGF-23 and Pi with composite CV outcomes in non-dialysis CKD patients and further suggest that Pi, within current reference levels, may behave as an independent risk factor for mortality in this population. It is suggested that a reassessment of Pi reference levels for early therapeutic intervention in this population may be justified.

The construction industry is shifting towards more sustainable practices to address environmental concerns. This review examines the impact of LEED certification on design-build projects, highlighting how the two work together to promote sustainability. By analyzing the article under review, we explore how LEED standards—such as energy efficiency, water conservation, and the use of sustainable materials—are incorporated into design-build projects to create environmentally responsible buildings. The article also discusses the benefits of the design- build approach, which encourages collaboration and early integration of sustainability principles. The review critically assesses the strengths and weaknesses of the article, emphasizing the importance of cost considerations and scalability. Ultimately, it underscores the value of combining LEED certification with design-build to promote green building practices.

Leisure education has the potential to improve quality of life and prepares students for social par-ticipation after graduation. This study aimed to elucidate the perspectives of special education teachers regarding leisure instruction. This study surveyed 538 teachers from 10 special needs schools for students with intellectual disabilities in Prefecture A, a rural area of Japan. An online survey was conducted from October 21 to November 17, 2023. The survey items were based on 13 aspects of leisure instruction identified from a literature review related to leisure instruction in Japan and a qualitative analysis of interviews with high school teachers in special needs schools for stu-dents with intellectual disabilities. The results showed that “The ability to pass time during brief periods of free time,” “Various activity experiences that lead to leisure,” and “Knowing one’s strengths and weaknesses in activities” were significantly more important during school. Con-versely, “understanding the psychological importance of leisure,” “connecting with organizations that support leisure activities,” and “finding places to engage in leisure activities” were significantly more important after graduation. The results of this study will be used to identify gaps in percep-tions between special education teachers and vocational rehabilitation practitioners responsible for post-social participation support.

Available research findings suggest that non-suicidal self-injury (NSSI) constitutes an important public health issue, with identified risk factors for NSSI having been found to include exposure to adverse childhood experiences (ACEs) and comorbidity with various mental disorders. However, available findings have, to the large part, been based on the experiences of individuals living in high-income countries, and it is not clear whether these findings can be confidently generalized to individuals living in low-resourced countries. As such, this cross-sectional study assessed risk factors for NSSI in a non-clinical sample of 636 South African adolescents (12-18-years-old), with data being analysed using a multi mediation analysis. ACEs were assessed using a revised version of the ACEs Questionnaire, NSSI was assessed using items adapted from the Self-Harm subscale of the Risk-Taking and Self-Harm Inventory for Adolescents, with emotion dysregulation, depression and PTSD being considered as possible mediators. High prevalence rates for NSSI and exposure to five or more ACEs were reported by participants, with the mediation analysis indicating that significant direct effects of adverse childhood experiences on NSSI were partially mediated by emotion dysregulation. These findings are discussed with respect to their implications for primary, secondary, and tertiary prevention.

This study examines the feasibility and efficacy of utilizing generative AI technology to create inclusive online dating educational materials, focusing on integrating easy-to-read principles to enhance accessibility while improving efficiency and reducing the cost of material production. As online dating becomes increasingly prevalent, providing easily comprehensible safety education for special populations, such as individuals with disabilities and adolescents, is of paramount importance. This research developed an innovative AI-generated educational framework that combines easy-to-read principles with generative AI technology, aiming to enhance both the accessibility and production efficiency of educational materials. The study compared three AI generation strategies: independent generation by ChatGPT, independent generation by Claude, and Claude utilizing materials generated by ChatGPT. We evaluated 36 educational units through a mixed-methods approach for readability and accessibility. Results indicate that ChatGPT performed optimally in generating easily readable content (average compliance rate of 93.00%), followed by the strategy Claude using ChatGPT-generated materials (91.67%). Statistical analysis revealed significant differences among these strategies (p < 0.05). The research also found that employing AI generation technology significantly reduced material production time and costs, providing educators with a more efficient tool. The findings of this study underscore the significant potential of generative AI technology in creating inclusive educational resources. This not only opens up new avenues for enhancing online safety awareness and educational accessibility for special populations but also provides material developers with more efficient, cost-effective production methods. The empirical evidence presented here for the application of AI in inclusive education is a significant step forward. The study also proposes recommendations for future research and practice, aiming to further improve the accessibility, effectiveness, and production efficiency of online dating education.

Integrated Fixed Film Activated Sludge (IFAS) technology greatly enhances nitrogen removal effectiveness and treatment capacity in municipal wastewater treatment plants, addressing the issue of limited land availability. Hence, this method is appropriate for treating household wastewater from office buildings. The research was conducted at the wastewater treatment plant in an office building in Ho Chi Minh City, Vietnam. Experiments were conducted to ascertain the most favorable working conditions, including Hydraulic Retention Time (HRT), alkalinity dosage, and Dissolved Oxygen (DO). According to the study, the IFAS system had the highest nitrogen removal effectiveness when operated at a hydraulic retention time (HRT) of 7 hours, an alkalinity dose of 7.14 mgCaCO3/mgN-NH4+, and a dissolved oxygen (DO) value of 6 mg/L. The nitrification efficiency ranges from 89.2% to 98.8%. The nitrate concentration post-treatment is within the range of 27 – 45 mg/L, which is lower than the allowable discharge limit of 60 mg/L as per Vietnam's wastewater discharge requirements. The research findings have enhanced the efficiency of the office building management process, thereby promoting the sustainable growth of society.

Remote sensing (RS) is a compulsory component in studying and monitoring ecosystems suffering from the disruption of natural balance, productivity, and degradation. Current study attempted to assess the feasibility of multisource RS for assessing and monitoring mountainous natural grasslands in Armenia. Series of the different spatial resolution RS data (Landsat 8, Sentinel 2, Planet Scope, and multispectral UAV data) were used to obtain various vegetation spectral indices: NDVI, NDWI, GNDVI, GLI, EVI, DVI, SAVI, MSAVI, and GSAVI, and the relationship among the indices were assessed via Spearman correlation method, which shows a significant positive correlation for all cases (p &lt; 0.01). A comparison of all indices shows a significant high correlation between UAV and the PlanetScope imagery. The comparison of UAV, Sentinel and Landsat data show moderate and low significant correlation (p &lt; 0.01) correspondingly. Also, trend analysis was performed to explore their spatial-temporal changes using Mann-Kendall statistical tests (MK, MKKH, MKKY, PW, TFPW), which indicated no significant trend. However, Sen’s slope as second estimator shows decreasing trend. Though the best result received for PlanetScope and Sentinel 2, Sentinel-2 data seem to have better alignment making it a reliable tool for an accurate monitoring of small mountainous grasslands in Armenia.

Background/Objectives: To test the hypothesis that clinical tumor response after a single cycle of induction chemotherapy (ICT) can reliably differentiate between chemo-/radiosensitive and resistant tumors in the larynx preservation setting. Methods: Treatment consisted of docetaxel/cisplatin/5-fluorouracil (TPF) ICT followed by concurrent chemoradiotherapy (cCRT) with weekly cisplatin. The response of the primary tumor was assessed by transnasal endoscopy after the first ICT cycle. Results: 37/39 (95%) patients with laryngeal (46%) or hypopharyngeal (54%) carcinoma responded to one cycle of ICT, and two patients were referred for salvage surgery. Laryngectomy-free survival at 2 and 5 years was 87% and 75%, respectively. The corresponding rates for locoregional control (and also for disease-free survival) were 79% and 70% and for overall survival 92% and 82%. Conclusions: Clinical assessment of tumor response to one cycle of TPF ICT serves as a valid and easy-to-use predictor of tumor sensitivity to platinum-based cCRT.

Dental implantology has evolved greatly as a result of the application of biomechanical engineering concepts, notably the utilization of additive manufacturing technologies that recreate the intricate architecture of real bone. This technique intends to improve functional compatibility with bone tissue while also addressing continuing problems of stress distribution inside dental implants. The research examines two types of dental implants: fully gyroid latticed and hybrid gyroid latticed with a solid neck, comprising three different cell sizes—FI-111, FI-222, FI-333, and their hybrid equivalents HI-111, HI-222, and HI-333. Traditional solid implants often cause stress shielding, which reduces long-term osseointegration and implant durability. Developed using nTopology for lattice configuration and meshing, this design undergoes a comprehensive stress analysis using finite element analysis (FEA). The study seeks to determine the most efficient implant design by maximizing stress distribution and mechanical stiffness. Analyses suggest that hybrid latticed implants, notably the HI-222 type, possess superior mechanical characteristics. These implants successfully balance stiffness and flexibility, reducing stress concentrations and improving stress distribution throughout the implant structure. This balance is critical for decreasing micromotions at the bone-implant interface, boosting osseointegration, and, ultimately, increasing implant longevity and success rates in clinical settings. The paper describes a substantial redesign of dental implants by combining biomechanical engineering and modern additive manufacturing. The novel proposed hybrid structure not only addresses typical challenges such as stress shielding, but it also establishes new standards in implantology, potentially leading to better clinical results and patient quality of life. This complete approach emphasizes the ability of personalized implant designs to fulfill individual clinical demands, indicating a significant improvement in dental treatment technology.

This study presents the development of a diglycidyl monomer containing two imine groups that can act as dynamic and reversible bonds. During the curing of the monomer with two different amine hardeners, we confirmed the formation of new imine groups due to the transamination reaction, not reported before, between the imine groups of the diepoxy monomer with the amine groups of the hardener. The effect of this structural change is observed for the first time in the stress relaxation behavior, resulting in the overlapping of two different relaxation modes. The analytical modelling could extract two distinct characteristic relaxation times using a double-element Maxwell model. A second characterization of the stress relaxation process by frequency sweep experiments was performed to corroborate the results obtained, confirming speedy stress relaxation. Acid-catalyzed hydrolysis was performed on the studied materials, demonstrating the complete degradation of the network. We finally confirmed that the synthesized diepoxy compound is suitable for preparing carbon fiber-reinforced composite materials, demonstrating easy fiber impregnation, fast reshaping and especially a total degradation of the polymer matrix that allows the recovery of the carbon fibers in mild conditions. This epoxy-amine system is an excellent candidate for overcoming the traditional limits of thermosets in preparing fiber-reinforced composites.

Reliable and precise damage localization in mechanical structures is of high importance in the context of structural health monitoring (SHM). The acoustic emission (AE) method has already shown its excellent suitability for damage localization. However, low signal-to-noise ratios (SNRs) are often prevalent in SHM, thus an increase in localization accuracy and robustness is still in demand. The present study faces this task through the integration of various model knowledge for AE source localization. The basis of the presented algorithm is the consideration of the dispersive behavior of elastic waves in thin-walled structures. The continuous wavelet transform (CWT) is used to obtain time-frequency representations of the signals, where frequency-dependent values for time-of-arrival (TOA) are extracted. Furthermore, the algorithm incorporates the knowledge that all sensors receive signals with the same time and location of origin, as well as the slightly different sensitivity of the theoretically equal sensors. The final localization results are achieved by a two-parameter grid search optimization. The algorithm is experimentally tested on a large aluminum plate with four piezoelectric wafer active sensors (PWASs) arranged in an array of 100 mm × 100 mm. The mean localization error of pencil lead breaks at ten different positions within the sensor array is used as an accuracy measure. It is shown that as more of the described model knowledge is incorporated into the localization, the accuracy increases. With the final algorithm, the mean localization error is more than halved compared to AE localization based on classical TOA estimation. Although the experiment described is conducted under laboratory conditions, the remarkable increase in accuracy suggests that AE source localization may be successful even at low SNR as typical for operational conditions.

The research aims to study the economic struggles faced by Muslims residing in non-Islamic countries, where they encounter challenging circumstances in abiding by national tax laws and Islamic Sharia principles. The economic conditions not only make it arduous to adhere to their religious obligations but also put the Muslim community in disadvantageous position. The study primarily focuses on exploring the treatment of the third pillar of Islam, known as "Zakah,” and how it loses its relevance due to various reasons that exist in the non-Islamic societies. The research delves deeply probes into the reasons and examines why an investment in precious metals is comparatively less fruitful for a Muslim than for a non-Muslim due to Zakah obligations. It also investigates how Zakah fund, in the absence of a monitoring authority is unable to make a difference in the poverty conditions of Muslims in a non-Islamic societies non-Islamic societies.

Unhealthy concentrations of ozone in the Uinta Basin, Utah, can occur after sufficient snowfall and a strong atmospheric anticyclone creates a persistent cold pool that traps atmospheric ozone and its precursors emitted from oil and gas operations. The winter-ozone system has two clear outcomes—occurrence or not—that is well understood by domain experts and supported by archives of atmospheric observations. Rules of the system can be formulated in natural language (“sufficient snowfall and high pressure leads to high ozone"), lending itself to analysis with a fuzzy-logic inference system. This method encodes human expertise as machine intelligence in a more constrained manner than alternative, more complex inference methods such as neural networks, increasing user trustworthiness of our model prototype before further optimization. Herein, we develop an ozone-forecasting system, Clyfar, based on knowledge of system dynamics and informed by an archive of meteorological conditions and ozone concentration. The inference system demonstrates proof-of-concept despite rudimentary tuning. We describe our framework for predicting future ozone concentrations if input values are drawn from numerical weather prediction forecasts as a proxy for observations as the system’s initial conditions. Our model is computationally cheap, allowing us to sample uncertainty with substantially more ensemble members than in traditional NWP. We evaluate hindcasts for one winter, finding our prototype demonstrates promise to deliver useful guidance for users concurrent with optimization of system parameters using machine learning.

On average, one in ten patients die because of a diagnostic error and medical errors are the third largest cause of death in the word. While LLMs have been proposed to help doctors with diagnoses, no research results have been published on comparing the diagnostic ability of many popular LLMs on an openly accessible real-patient cohort. In thus study, we compare LLMs from Google, OpenAI, Meta, Mistral, Cohere and Anthropic using our previously published evaluation methodology and explore improving their accuracy with RAG.

Bipolar disorder is a debilitating psychiatric condition characterized by recurrent episodes of mania and depression, affecting millions worldwide. While pharmacotherapy remains the cornerstone of treatment, a significant proportion of patients exhibit inadequate response or intolerable side effects to conventional medications. In recent years, neuromodulation techniques have emerged as promising adjunctive or alternative treatments for bipolar disorder. We performed a narrative review to provide a comprehensive overview of the current literature on neuromodulation interventions in bipolar disorder across the course of lifespan. Specifically, it examines the efficacy, safety, and mechanisms of action of various neuromodulation strategies, including, among others, transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), deep brain stimulation (DBS), and it describes the therapeutic experiences across the different ages of illness. Additionally, this review discusses the clinical implications, challenges, and future directions of the integration, in the clinical practice, of neuromodulation into the management of bipolar disorder. By synthesizing evidence from different studies, this review aims to inform clinicians, researchers, and stakeholders about the evolving landscape of neuromodulation treatments and their potential role in improving outcomes for individuals with bipolar disorder.

The global incidence of cutaneous squamous cell carcinoma (cSCC), a prevalent and aggressive skin cancer, has risen significantly, posing a substantial public health challenge. This study investigates the tumor microenvironment (TME) of cSCC by focusing on the spatial distribution patterns of immune and vascular markers (CD31, CD20, CD4, and CD8) using fractal dimension (FD) analysis. Our analysis encompassed 141 cases, including 100 invasive cSCC and 41 specimens with pre-invasive lesions exclusively, and the rest being peripheral pre-invasive lesions from the invasive cSCC class. The FD values for each marker were computed and compared between pre-invasive and invasive lesion classes. The results revealed significant differences in FD values between the two classes for CD20 and CD31 markers, suggesting distinct alterations in B cell distribution and angiogenic activity during cSCC progression. However, CD4 and CD8 markers did not exhibit significant changes individually. Still, the CD4/CD8 ratio showed a significant difference, indicating a potential shift in the immune landscape as lesions progress from pre-invasive to invasive stages. These findings underscore the complexity and heterogeneity of the TME in cSCC and highlight the potential of FD analysis as a quantitative tool for characterizing tumor progression. Further research is needed to elucidate the implications of these differences in the clinical management of cSCC.

Mutation of a single amino acid residue may significantly affect the structure and function of an entire protein. The effect of single amino acid substitutions can be assessed by examining the physicochemical environment surrounding the amino acid of interest, an emerging form of quantification of which is multidimensional tensors. However, the effect with respect to a protein variant’s inherent dynamics in tensor space is rarely assessed despite the potential importance of this form of analysis in revealing local physicochemical properties of the protein and response to mutation. Using the wild-type and 936 mutant structures of the protein domain 1pga, the present research evaluated the effects of local protein context and single amino acid substitutions on molecular dynamics simulation-derived structural distributions via the use of tensors capturing a range of biochemical properties. It was observed that the extent of simulated physicochemical variation local to a substituted amino acid is positively associated with local mechanical stiffness, loss of protein thermostability and decreased local hydrophobicity. In addition, it was observed that the largest tensor variation occurs in densely-packed, hydrophobic core-associated regions of protein structures. In summary, the pattern of tensor change aligns with prior knowledge about protein stability and physicochemical properties.

With the advent of Web 3.0, the swift advancement of technology confronts an imminent threat from quantum computing. Security protocols safeguarding the integrity of Web 2.0 and Web 3.0 are growing more susceptible to both quantum attacks and sophisticated classical threats. The article introduces our novel long-distance free-space quantum secure direct communication (LF QSDC) as a method to safeguard against security breaches in both quantum and classical contexts. Differing from techniques like quantum key distribution (QKD), LF QSDC surpasses constraints by facilitating encrypted data transmission sans key exchanges, thus diminishing the inherent weaknesses of key-based systems. The distinctiveness of this attribute, coupled with its quantum mechanics base, protects against quantum computer assaults and advanced non-quantum dangers, harmonizing seamlessly with the untrustworthy tenets of the Web 3.0 age. The focus of our study is the technical design and incorporation of LF QSDC into web 3.0 network infrastructures, highlighting its efficacy for extended-range communication. LF QSDC is based on the memory DL04 protocol and enhanced with our novel Quantum-Aware Low-Density Parity Check (LDPC), Pointing, Acquisition, and Tracking (PAT) technologies, and Atmospheric Quantum Correction Algorithm (AQCA). Utilizing this method not only bolsters the security of worldwide Web 3.0 networks but also guarantees their endurance in a time when quantum and sophisticated classical threats exist simultaneously. Consequently, LF QSDC stands out as a robust security solution, well-suited for Web 3.0 systems amidst the constantly evolving digital environment.

Background: Cardiovascular risk in prediabetic patients is substantial yet it is often underestimated in everyday clinical practice. Objectives: This study examines the future cardiovascular risk in prediabetic patients presenting with ST-segment elevation myocardial infarction (STEMI). Methods: We conducted a retrospective analysis of 725 STEMI patients at a tertiary center in Austria between 2018 and 2020, categorized into groups of non-diabetic, prediabetic, and diabetic patients. Baseline characteristics, cardiovascular risk factors, and long-term survival outcomes were compared using Kaplan-Meier survival analysis along with other statistical tests. Results: Of the 725 patients, 407 (56.1%) were non-diabetic, 184 (25.4%) prediabetic, and 134 (18.5%) diabetic. Prediabetic patients exhibited significant additional cardiovascular risk factors, such as arterial hypertension (67.4%) and dyslipidemia (78.3%), with prevalence rates between those of non-diabetic and diabetic patients. Kaplan-Meier analysis revealed that at three-year follow-up, prediabetic patients faced a survival disadvantage with a significant decrease in survival rates compared to non-diabetic patients (log-rank p = 0.016); their survival outcomes approached those of diabetic patients (p = 0.125). Conclusions: Our findings underscore the critical need for early identification and aggressive management of prediabetes in cardiovascular care of patients after acute STEMI. In current clinical practice, prediabetic patients are often underdiagnosed and undertreated, putting them at disproportionate risk. Integrating rigorous cardiovascular risk management strategies for prediabetic individuals, including lifestyle interventions and potentially pharmacological treatments, could prevent the progression to diabetes and mitigate associated cardiovascular risks. This paradigm shift in treating prediabetes as seriously as diabetes may significantly improve long-term survival outcomes for this vulnerable population.

Inherited retinal diseases (IRDs) are clinically complex and genetically heterogeneous visual impairment disorders with varying penetrance and severity. Disease-causing variants in at least 289 nuclear and mitochondrial genes have been implicated in their pathogenesis. In the current study, we performed exome sequencing on a 51 years-old Ashkenazi Jewish patient with non-syndromic retinitis pigmentosa (RP) and identified compound heterozygous variants in the CLRN1 gene: a known pathogenic missense [p.(N48K)] and a novel deep intronic variant c.254-643G&gt;T. A minigene splicing assay that was performed aiming to study the effect of the c.254-643G&gt;T variant on CLRN1 pre mRNA splicing revealed the inclusion of a pseudo-exon that was also reported to be included in the transcript due to an adjacent variant, c.254-649T&gt;G. However, unlike the reported c.254-649T&gt;G variant, c.254-643G&gt;T showed aberrant splicing in a leaky manner, implying that the identified variant is not totally penetrant. The non-syndromic phenotype observed in this index case may be attributed to the leaky nature of this variant, which is causing some normal transcripts to be produced. To conclude, we report on a novel deep intronic variant in CLRN1 causing non-syndromic RP.

Hydrogen has the potential to decarbonize the energy and industrial sector in the future, mainly if it is generated by water electrolysis. Proton Exchange Membrane water electrolysis (PEMWE) system is regarded as a propitious technology to produce green hydrogen from water using power supplied by renewable energy sources. It offers many benefits such as high performance, high proton conductibility, quick response, compact size, and low working temperature. Many conceptual and functional parameters influence the effectiveness of PEM, including temperature, pressure of anode and cathode regions, water content and wideness of layer, and cathode and anode exchange current density. In addition, the anodic half reaction (known as oxygen evolution reaction (OER)), and cathodic half reaction (known as the hydrogen evolution reaction (HER)) perform an important function in the development of PEMWE. The current paper aims at presenting these parameters and discussing their impacts on the performance of PEM. Also, the PEM efficiency is presented. The different methods used to enhance the scattering of OER electrocatalyst and minimizing catalyst loading to minimize the price of PEMWE are also highlighted. Moreover, the alternative of noble metals that could be used as electrocatalyst in HER and OER to minimize the cost of PEM are reviewed and presented.

Background/Objectives: The 28-day mortality rate for septic shock is high, necessitating rapid and effective empiric antimicrobial therapy. This study investigates whether the rate of catecholamine dose reduction in septic shock can indicate bacterial susceptibility to initial antimicrobial therapy. Methods: This retrospective observational study involved 108 adult patients with bacteraemia and septic shock admitted at the intensive care unit of Nihon University Itabashi Hospital between January 2017 and December 2023. They were classified into the Susceptible or Resistant group based on the bacteria’s susceptibility to the initial empiric antimicrobial therapy. Catecholamine dosages were converted to norepinephrine equivalent (NEE) scores, with the time course from peak to end of administration measured at NEE reductions. Results: Of the 108 patients, 94 were in the Susceptible group and 14 in the Resistant group. The Susceptible group showed faster reductions in catecholamine doses: time to reduce the dose from the maximum NEE to 25% was 19 vs. 49.5 hours (p = 0.0057); and 0%, 29 vs. 54 hours (p = 0.0475). Conclusions: In septic shock with bacteraemia, faster catecholamine dose reduction indicates bacterial susceptibility to initial empiric antibiotics. This reduction rate can serve as an early clinical indicator of appropriate initial empiric therapy.

This study aims the classification of the cirrus clouds over the Observatory of Haute-Provence (OHP) in France. Rayleigh-Mie-Raman lidar measurement altogether with ERA5 dataset, are an-alyzed in order to provide geometrical morphology and optical cirrus properties over the site. The method of the cirrus cloud climatology presented here, is based on a threefold classification scheme based on the cirrus geometrical and optical properties, and their formation history. Principal component analysis (PCA) and subsequent clustering, result on four morphological cirrus classes, three optical groups, and two origin – related categories. Cirrus clouds occur approximately 37% of the time, with most being single-layered (66.7%). The mean cloud optical depth (COD) is 0.39 ± 0.46, and the mean heights range around 10.8 ± 1.35 km. Thicker tropospheric cirrus are observed under higher temperature and humidity conditions than cirrus observed at the vicinity of the tropopause level. Monthly cirrus occurrences vary irregu-larly, while seasonal patterns peaking in spring. With respect to the mechanism of the formation, there is found that the majority of cirrus clouds, was of in situ origin. The liquid origin cirrus category consists nearly entirely of thick cirrus. Overall result, suggests that in situ origin thin cirrus, located in the upper-tropospheric and tropopause regions, have the most significant oc-currence over the site.

Buildings are responsible for approximately 40% of global energy consumption, putting pressure on the construction industry to mitigate its environmental impact. Therefore, there is an urgent need for innovative solutions to reduce power consumption, particularly in lighting systems. The study’s primary objective was to investigate novel integrated lighting solutions that significantly reduce energy use and they explore their enhancement through Building Information Modeling (BIM) and the Internet of Things (IoT) to further improve energy efficiency and reduce the carbon footprint in buildings. Hence, this literature review aimed to examine energy-saving actions, retrofitting practices and interventions across a range of multi-use buildings worldwide over the past six years. The objective was to diagnose the goals being undertaken and ultimately validate new actions and contributions to minimise energy consumption. First, daylight harvesting and retrofitting solutions were examined in conjunction with the latest technologies, also referred to the external shadings. In consequence of this matter, comes the lack or unappropriated coordination, and so waste of energy, between daylight and electrical lighting. Secondly, how the integration of BIM facilitates the design process, providing a complete overview of all the variables of the building, thus improving indoor daylight performance and proper lighting with energy analysis. Lastly, the review addresses the role of IoT in providing real-time data from sensor networks, allowing for continuous monitoring of building conditions. This systematic literature review explores the integration of the fields to address the urgent need for innovative strategies and sustainability in the built environment. Furthermore, it thoroughly analyses the current state of the art, identifying best practices, emerging trends and concrete insight for architects, engineers, and researchers. The goal is to promote the widespread adoption of low-carbon systems and encourage collaboration among industry professionals and researchers to advance sustainable building design.

Patient safety is fundamental to healthcare. Adverse events particulary medication errors, cause harm to patients specially paediatric population in the emergency departament. Aim: To explore paediatric emergency nurses' perceptions of medication administration errors. Method: A qualitative, ethnomethodological, descriptive study. Data were collected through in-depth individual interviews with paediatric emergency nurses and analysed using Taylor and Bogdan's proposal. Results: Main categories extracted: 1) Safety culture transmitted by supervisors and safety groups. 2) Teamwork with good communication and a positive relationship. 3) Error management, the lack of formal support and negative feelings despite an understanding of the multifactorial nature of errors. The study identifies several challenges in the healthcare system. Emphasis on the per-ception of errors in terms of patient harm, while near misses or dose delays or omissions are not treated as errors. Conclusions: Although institutions have implemented safety culture strategies, nurses have not fully embraced them. Negative emotions and coping strategies are reported. There is a need to promote a positive safety culture and a safe working environment that encourages communica-tion within the team. Protocols could be adapted according to feasibility and perceived risk. The hospital should provide training in safe management and patient safety. This study was not reg-istered.

Objective: The article presents a methodology for the design and validation of two assessment instruments: one focused on competency development and the other on knowledge acquisition on sustainability, aimed at nutrition students from a Mexican university. Method: These instruments were adapted using the triangulation methodology and administered to a group of 45 students after receiving an intervention based on the systemic approach to nutrition. Following the intervention, an analysis of the results was carried out to validate the reliability and validity of the instruments, and to evaluate the impact of the intervention compared to a control group. Results: The findings indicated that the dimensions used in the instrument are suitable for evaluating competency development, additionally, it was found that both instruments are reliable tools for assessing competency development and knowledge in sustainability among nutrition students, concluding that they have the potential to be used for evaluating education in sustainability. Furthermore, the results reveal that the application of an intervention based on the systemic approach to nutrition has a positive impact on the development and acquisition of sustainable nutrition education. The students who received the intervention achieved significantly higher scores in all sustainability sub-competencies (W=100, p=0.019), as well as in the total percentage of sustainable knowledge (w=53, n=0.01). Conclusions: The results of this study pave the way for the operationalization of competency and knowledge dimensions in food sustainability, which can contribute to the evaluation of sustainability education and its impact on the training of nutrition students committed to sustainability.

Purpose: This study aimed to investigate useful preoperative clinical and hematologic variables in predicting malignancy in patients with the atypia of undetermined significance (AUS) nodules, and to suggest a machine learning-based prediction model. Methods: We enrolled 280 patients who underwent surgery for the AUS nodules at Wonju Severance Christian Hospital between 2018 and 2022. We evaluated preoperative hematologic indices, including Delta Neutrophil Index (DNI), Neutrophil-to-Lymphocyte Ratio (NLR), and Platelet-to-Lymphocyte Ratio (PLR), as well as preoperatively identifiable clinical variables such as age and sex at diagnosis, history of radiation exposure, familial history of thyroid cancer, primary tumor size, and the 2016 Korean Thyroid Imaging Reporting and Data System (K-TIRADS) classification. Results: A total of 116 patients (41.4%) were finally diagnosed with various types of thyroid malignancy, excluding 32 patients (11.4%) with thyroid cancer incidentally identified. Age at diagnosis (p = 0.012), primary tumor size (p = 0.048), and the K-TIRADS classification (p = 0.003) were independent risk factors to predict the diagnosis of malignancy in patients with AUS nodules younger than 55 years, not in those aged of 55 years or older. Adding the NLR to these risk factors significantly improved the predictability for malignancy in the same patient group (p < 0.001). Conclusions: The inclusion of NLR in the ma-lignancy prediction model enhances the predictive accuracy for malignancy in younger patients with AUS nodules. This finding suggests that incorporating NLR into preoperative assessment could refine management strategies and improve decision-making for surgical interventions.

Although significant progress has been made in understanding the cortical correlates underlying balance control, these studies focused on a single task limiting the ability to generalize the find-ings. Different balance tasks may elicit cortical activations in the same regions but show different levels of activation because of distinct underlying mechanisms. In this study, we instructed twenty young, neurotypical adults to maintain standing balance while the standing support surface was either translated or rotated and investigated the differences in cortical activations between these two widely used tasks using whole head electroencephalography (EEG). Addi-tionally, we investigated whether transcranial magnetic stimulation could modulate these cortical activations. We found higher delta and lower alpha relative power over the fronto-central region during the platform translation task when compared to the platform rotation task suggesting greater engagement of attentional and sensory integration resources for the former. Continuous theta burst stimulation (cTBS) over the supplementary motor area (SMA) significantly reduced delta activity in the fronto-central region but did not alter alpha activity during the platform translation task. Our results provide a direct comparison of neural activations between two commonly used balance tasks and are expected to lay a strong foundation for designing neuro-interventions for balance improvements with effects generalizable across multiple balance scenarios.

There have been exciting advances in our knowledge of primary glomerular diseases and nephrotic syndromes in recent years. Beyond the histological pattern from renal biopsy, more precise phenotyping of the diseases and the use of modern nephrogenetic helps to improve treatment decisions and sometimes also to avoid unnecessary exposure to potentially toxic immunosuppression. New Biomarkers led to easier and more accurate diagnoses and more targeted therapeutic decisions. The treatment landscape is getting wider with a pipeline of promising new therapeutic agents with more sophisticated approaches. This review focuses on all aspects of entities that are associated with nephrotic syndromes with updated information on recent advances in each field. This includes podocytopathies (Focal Segmental Glomerulosclerosis and Minimal-Change Disease), Membranous Nephropathy, Membranoproliferative Glomerulonephritis, IgA-Nephropathy, Fibrillary Glomerulonephritis, Amyloidosis and monoclonal gammopathy of renal significance in the context of the nephrotic syndrome, but also renal involvement in systemic diseases, diabetic nephropathy, and drugs that are associated with nephrotic syndromes.

One of the still debated topics regarding the olfactory function concerns the presence or absence of sex-related differences of individuals. In this study, we checked for a relationship between the olfactory function of females and males and their ability to perceive single molecules, and how this can influence the intensity with which the complex odor formed by a set of single molecules is perceived. First, females and males were classified as normosmic or hyposmic based on the TDI olfactory score obtained using the Sniffin' Sticks test. Subsequently, the headspace of roasted coffee beans as a complex olfactory stimulus was broken down into single molecules by means of a chromatographic column; these were simultaneously conveyed to a mass spectrometer (for their subsequent classification) and to the human nose which acts as a chemical sensor by means of an olfactometer port. The results obtained with this gas chromatography-olfactometry approach show both qualitative and quantitative differences between females and males, with females performing better than males. In addition, the odor intensity reported by females when sniffing pen #10 containing coffee aroma is significantly higher than that reported by males. In conclusion, these data highlight that the human ability to perceive both single compounds and complex odors is strongly conditioned, not only by olfactory function of individuals, but also by their sex.

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.

In small data set learning, obtaining a large number of training samples from the source class for transfer learning is a challenge for fine-grained visual classification. Based on the fact that fine-grained concepts can be learned with very few samples, we use very few labeled samples (for example, three) in each category. However, due to the difficulty in distinguishing the subtle differences between fine-grained images, we propose a local structure information extraction method of SDFGVC based on spatial frequency features. The proposed learning module enhances the ability of the network to find significant regions and shows excellent performance in experiments on six datasets.