This study investigates the emerging applications of Artificial Intelligence (AI) in strategic management and its impact on organizational decision-making processes. As AI technology rapidly advances, it has become a crucial component in redefining organizational strategies. According to a global survey by the Boston Consulting Group, over 60% of executives believe that AI can significantly improve key performance indicators and enhance opportunities for strategic differentiation and sustainable competitive advantages. Using a descriptive-survey methodology and questionnaire-based data collection, this research examines the influence of AI on strategic decision-making in large organizations. The statistical population comprises senior managers across various industries, with sampling conducted through convenience sampling. Data analysis was performed using SMART-PLS software, revealing significant improvements in strategic decision-making processes through AI implementation. The study demonstrates that AI, by analyzing complex data sets and identifying hidden patterns, assists managers in making more optimal decisions. Furthermore, AI's predictive analytics capabilities contribute to enhanced strategic planning and risk mitigation in decision-making processes. The research findings indicate a statistically significant positive correlation (r = 0.72, p < 0.001) between AI adoption and the quality of strategic decisions. This paper concludes by proposing that organizations should leverage AI as a tool to strengthen their organizational strategies, while emphasizing the importance of ethical considerations and human oversight. The implications of this research extend to both academic and practical domains, offering insights into the integration of AI in strategic management processes and its potential to revolutionize organizational decision-making paradigms.

While various studies have explored the integration of sustainability in the construction sector of Tanzania, particularly in areas like energy efficiency and green building practices, there remains a significant gap in understanding the specific barriers to the selection of sustainable building materials (SBMs) in residential projects. This research intends to bridge this gap by identifying and analyzing the critical barriers that hinder the effective selection of SBMs in Tanzania's residential building projects. By employing qualitative interviews with experts from regulatory bodies, public developers, and academic researchers, the study provides a comprehensive overview of the barriers. To ensure the collection of relevant and insightful data, the study involved the selection of participants based on specific criteria tailored to each category of experts. To be able to analyze qualitatively the data collected, this study employed Atlas.ti and MS Excel software. The findings revealed six categories of critical barriers affecting the selection of SBMs for residential building projects in Tanzania were identified and analyzed: (1) Regulatory and Policy Barriers (2) Financial Barriers (3) Knowledge and Awareness Barriers (4) Technical Barriers (5) Market and Supply Chain Issues (6) Cultural and Social Barriers. Moreover, the lack of awareness and limited knowledge issue were as equally importantly voiced as regulatory and policy barriers to affect the effective selection of sustainable materials in Tanzania. This study underscores the need for targeted policy interventions that address the lack of awareness, financial difficulties, and the absence of comprehensive regulatory frameworks to promote the selection of sustainable materials.

The hetero Diels-Alder (HDA) reaction between the ambident heterodiene 3-methylene-2,4-chromandione (MCDO) and the non-symmetric methyl vinyl ether (MVE) is investigated within the Molecular Electron Density Theory (MEDT) at the B3LYP/6-311G(d,p) computational level. The aim of this study is to gain insight into the molecular mechanism and to elucidate the factors that control the selectivity found experimentally. DFT-based reactivity indices reveal that MCDO exhibits strong electrophilic character, while MVE displays a strong nucleophilic character. Meanwhile, Parr function explains the ortho regioselectivity of this HDA reaction. The highly polar nature of this HDA reaction, supported by the high global electron density transfer (GEDT) taking place at the transition state structures (TSs), accounts for the very low activation energy associated with the most favorable TS-4on. The ambident nature of MCDO allows the formation of two constitutional isomeric cycloadduct. In the case of MVE, the pseudocyclic selectivity is attained by a thermodynamic control. This polar HDA reaction displays an endo stereoselectivity and a complete ortho regioselectivity. A comparative Relative Interacting Atomic Energy (RIAE) analysis of the two diastereomeric TS-4on and TS-6on indicates a highly likeness between them, which explains the low pseudocyclic selectivity under kinetic control.

In this paper, we introduce generalized entropy, the acceleration of its entropy and its the partial entropy. We assume that generalized entropy can be expressed as a second-order polynomial by applying the idea of logistics function to its entropy. In other words, we assume that the acceleration of generalized entropy is a constant. Besides, we show that the negative inverse of the partial entropy can express Newton's classical gravity, which is an inverse square law. By applying these concepts, we attempt to explain that 1) Gravity is constant within small distances with some conditions. It is possible that gravity have 5-states within small distance. Furthermore, within small distance, we show the possibility that the gravitational potential and the Coulomb potential can be treated in the same way, that 2) The rotation speed of a galaxy does not depend on its radius if the radius is within the size level of the universe. (The galaxy rotation curve problem), and that 3) The gravitational acceleration toward the center changes at long distances compared to the classical theory of gravity. We show that it is an extension of Newton's classical theory of gravity. Furthermore, we show that the possibility of the existence of some constants which controls gravity and the speed of galaxies, and that gravity may relate on entropy.

Chagas disease, caused by Trypanosoma cruzi, leads to severe complications in 30% of infected individuals, including acute myocarditis and chronic fibrosing cardiomyopathy. Despite the significant burden of the disease, there is currently no licensed vaccine available to prevent it. This study aimed to evaluate the mucosal and systemic immunogenicity as well as the prophylactic efficacy of a mucosal vaccine and its impact on both acute and chronic cardiomyopathy. The results showed that nasal administration of Trans-sialidase (TS) plus c-di-AMP (TS+A). TS+A vaccine elicited NALT expression of IFN-γ, IL-17a, and IL-4 mRNA, and nasal-specific IgA production. Ex vivo challenge with TS also triggered enhanced proliferation of lymphocyte from the NALT, sentinel cervical lymph node and spleen. TS+A immunization increased plasma levels of Th1/Th2/Th17 cytokines and an evident cellular response to judge enhanced delayed-type hypersensitivity responses following TS footpad challenge. After oral infection, TS+A-vaccinated mice showed significantly reduced parasitemia and parasite load in heart, muscle and intestine, while markers of hepatic and muscle damage as well as clinical manifestations of acute infection are strongly diminished. TS+A also attenuated acute myocarditis and heart expression of inflammatory markers. The protection conferred by TS+A extended into the chronic phase, where it resulted in a clear reduction in chronic myocarditis, fibrosis, and functional electrocardiographic abnormalities, associated with decreased expression of the pro-fibrotic TGF-β. These results revealed that it is possible to develop a mucosal vaccine against T. cruzi based on TS and c-di-AMP, capable to reduce the development of Chagas cardiomyopathy, the hallmark of Chagas disease.

Background: Virtual Reality (VR) is transforming neuropsychological assessment by providing immersive environments that closely replicate real-world conditions. This study presents the Virtual Reality Trail Making Test (TMT-VR), a novel adaptation of the traditional Trail Making Test, aimed at evaluating cognitive functions in individuals with Attention Deficit Hyperactivity Disorder (ADHD). We examined the ecological validity, convergent validity, usability, and user experience of the TMT-VR compared to the traditional version. Methods: Fifty-three participants, including 25 with ADHD and 28 neurotypical controls, completed both the traditional and VR versions of the TMT. Participants also provided feedback on the VR experience via standardized questionnaires. Results: Statistical analyses demonstrated a significant positive correlation between TMT-VR scores and both the traditional TMT and ADHD symptomatology as measured by the Adult Self-Report Scale (ASRS), confirming the TMT-VR’s ecological and convergent validity. High usability and positive user experience ratings indicated strong acceptability of the VR platform. Notably, the ADHD group exhibited greater performance differences in the VR environment, suggesting that VR may more effectively capture real-world cognitive challenges. Conclusions: These findings suggest that TMT-VR is a valid, engaging, and ecologically valid tool for cognitive assessment in ADHD, and other clinical populations, offering enhanced insights over traditional methods.

Education 4.0 arises to provide citizens with the technical/digital competencies and cognitive/interpersonal skills demanded by Industry 4.0. New technologies drive this change, though time-independent learning remains a challenge, because students might face a lack of support, advice and surveillance when teachers are unavailable. This study proposes complementing presential lessons with online learning driven by ChatGPT, applied as an educational tool able to mentor K-12 students learning science at home. First, ChatGPT’s performance in the field of K-12 science is evaluated, scoring A (9.3/10 in 2023, and 9.7/10 in 2024) and providing detailed, analytic, meaningful, and human-like answers. Then, an empirical interventional study is performed to assess the impact of using ChatGPT as a virtual mentor on real K-12 students. After the intervention, the grades of students in the experimental group improved 30%, and 70% of students stated a positive perception of the AI, suggesting a positive impact of the proposed educational approach. After discussion, the study concludes ChatGPT might be a useful educational tool able to provide K-12 students learning science with the functional and social/emotional support they might require, democratizing a higher level of knowledge acquisition and promoting students’ autonomy, security and self-efficacy. The results probe ChatGPT’s remarkable capacity (and immense potential) to assist teachers in their mentoring tasks, laying the foundations of virtual mentoring and paving the way for future research aimed at obtaining a more realistic view of the AI impact on education.

Limoncella of Mattinata, a rare and ancient Mediterranean citrus fruit, was investigated by sequence analysis of the ribosomal internal transcribed spacer regions, which assigns it as a variety of Citrus medica L. Morphological, chemical, and biomolecular approaches were used to characterize flavedo and albedo, parts usually rich of bioactive compounds. The morphological findings showed albedo and flavedo cellular structures as “reservoirs” of nutritional components. Both albedo and flavedo hydroalcoholic extracts were rich in polyphenols, but they were different in compounds and quantity. The flavedo is rich in p-coumaric acid and rutin, whereas the albedo contains high levels of hesperidin and quercitrin. Antioxidant, anti-inflammatory, and genoprotective effects for albedo and flavedo were found. The results confirmed the health properties of flavedo and highlighted that albedo is also a rich source of antioxidants. Moreover, this study valorizes Limoncella of Mattinata's nutritional properties, cueing its crops' repopulation.

In an era where collaboration between academia and the EdTech industry is crucial for innovation, this study explores how academic profiles align with industry needs. In this study we examine the professional profiles available online of educational researchers from the Tallinn University School of Educational Sciences across the international LinkedIn, national ETIS and institutional TLU platforms, to identify how researchers market their skills that are relevant to the EdTech sector. Our findings indicate that some of the key areas such as instructional design, project management and technical proficiency that are vital for EdTech industry remain often underrepresented in academic profiles. While LinkedIn facilitates networking, it may not necessarily reach the depth needed for comprehensive representation, whereas the Estonian national research database ETIS provides rich academic details with limited industry appeal. Our suggestions call for strategic improvements in how researchers can present their expertise online, in order to improve industry-academia collaboration. By creating more precise and strategically targeted professional profiles, researchers will stand better chances to attract EdTech industry’s attention.

The social fear conditioning (SFC) paradigm, which is an animal model of social anxiety disorder, has been extensively used to investigate the cellular and molecular mechanisms underlying the psychopathology of this disorder. Studies using the SFC paradigm have suggested that the lateral septum plays a pivotal role in regulating social fear. While several lines of evidence have indicated the involvement of various neuronal mechanisms within the LS in modulating social fear, the role played by LS astrocytes in the tripartite synapses in regulating social fear expression is not yet fully understood. Over the years, astrocytes have emerged as key players in regulating synaptic transmission and a plethora of animal behaviors. Given their dynamic morphological and molecular response to various stimuli, studying astrocyte morphology remains an excellent tool for understanding their role in brain function and disease. By applying immunofluorescent-immunohistochemical methods, here we describe a protocol to characterize changes in the morphology of astrocytes in response to social fear acquisition using confocal microscopy.

The linear diblock copolymer polystyrene-b-poly(4-vinylpyridine) (PS-P4VP) is an important copolymer recently used in many applications such as optoelectronics, sensors, catalysis, membranes, energy conversion, energy storage devices, photolithography, and biomedical applications. (1) Background: The surface thermodynamic properties of PS-P4VP copolymer are of great importance in many chemical and industrial processes. (2) Methods: The inverse gas chromatography (IGC) at infinite dilution was used for the experimental determination of the retention volumes of organic solvents adsorbed on copolymer surfaces as a function of temperature. This led to the variations of the free energy of interaction necessary to the evaluation of the London dispersive and polar acid-base surface energies, the polar enthalpy and entropy, the Lewis acid-base constants, and the transition temperatures of PS-P4VP copolymer. (3) Results: The application of the thermal Hamieh model led to accurate determination of the London dispersive surface energy of the copolymer that showed non-linear variations versus the temperature highlighting the presence of two transition temperatures. It was observed that the Lewis’s acid-base parameters of the copolymer strongly depend on the temperature and the Lewis base constant of the solid surface was showed to be higher than the its acid constant. (4) Conclusions: Un important effect of the temperature on the surface thermodynamic properties of PS-P4VP was proved and new surface correlations were determined.

The EXO+ hip protector was developed to minimize the risk of hip fractures in seniors following falls. This study evaluated its usability in a Singapore nursing home from the perspective of staff, focusing on Learnability, Efficiency, and Satisfaction. A mixed-method design was employed, with nursing home residents wearing the EXO+ daily for 8 weeks. Quantitative data on wear time was collected alongside qualitative insights from four repeated focus group discussions with care staff. In total, 15 residents (including 8 residents with cognitive impairments) and 9 staff participated. The analysis revealed six themes and fourteen subthemes related to EXO+’s usability. Residents wore the device for an average of 1.54 hours per day, with those having cognitive impairments showing increased wear times, especially in the mornings and on weekdays. Findings indicated that the EXO+ was learnable and satisfactory for nursing home use, provided there are adequate supporting features. The efficiency of the EXO+ was not fully measured since no falls were reported during the study period. The study offers valuable insights for potential design modifications and workflow adaptations to enhance the implementation of hip protectors in healthcare settings, highlighting facilitators and barriers to support device uptake.

Background/Objectives: Parental internalizing issues, particularly maternal mental health, can significantly influence adolescents' mental health by altering parenting behaviors and roles. This study aims to explore how parental rejection, a dimension of both maternal and paternal behavior, moderates the relationship between parental depression, anxiety, and stress with adolescents' mental health and quality of life. We hypothesized that parental rejection would have a significant moderating effect on these relationships; Methods: This cross-sectional, non-interventional study involved 206 parents (138 mothers) of adolescents aged 12-18 years from the general population. Participants were recruited online via convenience sampling and completed the Depression Anxiety Stress Scale (DASS), the Parental Acceptance-Rejection Questionnaire, the KIDSCREEN-27 to evaluate adolescents' quality of life, and the Strengths and Difficulties Questionnaire to assess adolescents' mental health; Results: Parental rejection was found to moderate the relationship between maternal anxiety and adolescents' quality of life, as well as between maternal anxiety and adolescents' mental health problems. Paternal rejection moderated the relationship between paternal stress and adolescents' mental health. However, parental rejection did not moderate the relationship between parental depression and adolescents' quality of life or mental health; Conclusions: These findings emphasize the significant role of maternal rejection in the association between maternal mental health, particularly anxiety, and adolescents' mental health outcomes. Paternal rejection also showed some moderating effects, though to a lesser extent. These results underscore the importance of considering both maternal and paternal influences in adolescent mental health and quality of life. Further research is necessary to fully understand the gender-specific dynamics of these relationships.

As telecommunication networks continue to grow, the volume, variety, and velocity of such `big data' poses an immense challenge for security and service analysts. A primary data format in such networks are Call Detail Records (CDRs), and more recently, eXtended Detail Records (XDRs), that capture a variety of information such as caller, receiver, duration, carrier, datetime, amongst other attributes. In this short paper, we investigate the current research trends and challenges that exist within this data-rich domain. As part of this, we look at the domain-specific tasks that analysts will seek to address, we look at how machine learning has been utilised to date within this domain, and we present our current findings on open research problems that are ripe for further investigation.

Background: The present work aimed to estimate the economic impact of PTSD following COVID-19 in a population of patients affected by systemic autoimmune disease (SAD) using a cost-of-illness approach and accounting for the perspective of society. Methods: Considering data collected from SAD patients enrolled in a specialized outpatient clinic in the Tuscany region, Italy, generalized-linear-models and LASSO logistic regression were used to evaluate the impact of PTSD on costs and its relevance as possible predictors of being a high-cost patient, respectively. Results: Considering 301 SAD patients, 161 (51.2%) of whom diagnosed with PTSD, the overall costs were 3,670 [890;40,529] Euro per patient/year among patients with PTSD and 2,736.7 [283;21,078] Euro per patient/year among those without PTSD (P-value

Mapping pavement types, especially in sidewalks, is essential for urban planning and mobility studies. Identifying pavement materials is a key factor in assessing mobility, such as walkability and wheelchair usability. However, satellite imagery in this scenario is limited, and in-situ mapping can be costly. A promising solution is to extract such geospatial features from street-level imagery. This study explores using open vocabulary classification algorithms to segment and identify pavement types and surface materials in this scenario. Our approach uses Large Language Models (LLMs) to improve the accuracy of classifying different pavement types. The methodology involves two experiments: the first uses free prompting with random street-view images, employing Grounding Dino and SAM algorithms to assess performance across categories. The second experiment evaluates standardized pavement classification using the Deep-Pavements Dataset and a fine-tuned CLIP algorithm optimized for detecting OSM-compliant pavement categories. The study presents open resources, such as the Deep Pavements Dataset and a fine-tuned CLIP-based model, demonstrating a significant improvement in the True Positive Rate (TPR) from 56.04% to 93.5%. Our findings highlight both the potential and limitations of current open vocabulary algorithms and emphasize the importance of diverse training datasets. This study advances urban feature mapping by offering a more intuitive and accurate approach to geospatial data extraction, enhancing urban accessibility and mobility mapping.

Background: miRNA-122 has been reported to be a useful tool for monitoring ACR after LT. IL-28B SNP rs8099917 genotype is known to contribute to the control of HCV infection. We sought to investigate the relationship between IL-28B SNP rs8099917 genotype and miRNA-122 expression and immune mechanism of ACR after LT using hepatitis C antibody calibration. Patients and Methods: A total of 45 patients with chronic hepatitis C received LDLT. IL-28B SNP rs8099917 genotyping was used to divide TT and GT groups. The relative expression levels of miRNA-122 were calculated by quantitative PCR as 2[(Ct of miR-122) (Ct of U6)] normalized to a reference gene and compared to a control sample, and the anti-HCV titers before and after LT were tracked to observe the relationship with ACR. Results: In the genotype of rs8099917, TT was significantly more associated with higher serum miRNA-122 levels than GT (p = 0.029). The ACR was significantly higher in genotype TT than in GT (p = 0.002). TT was significantly associated with low levels of pre-LT anti-HCV compared with GT (p = 0.022). Multivariate analysis with 95% confidence intervals showed a significant association between rs8099917 genotype TT, lower pre-LT and higher post-LT anti-HCV and ACR. Conclusion: Based on our current data, IL-28B SNP rs8099917 genotype TT may express higher miRNA-122 and correlate with lower Pre-LT and higher Post-LT anti-HCV titers, and may correlate to the pathogenesis of ACR after LT.

Purpose: Arab Americans are one of the largest ethnic groups in the United States. The mental health of Arab Americans and opinions on mental health, however, remain understudied despite higher rates of mental illness and lower rates of treatment. Unique cultural conceptualizations of mental illness may generate stigma, contributing to disparities in treatment. This study aimed to assess the attitudes and perspectives of Arab Americans regarding mental illness in order to address barriers to treatment. Methods:Using an anonymous bilingual Qualtrics survey, we assessed Arab and non-Arab participants (n = 294; ages 18+) on their conceptualizations of the causes of mental illness and on their stigma towards mental illness and mental health treatments. Comparisons were performed between Arabs and non-Arabs, as well as among Arabs. Results:Compared to non-Arabs, Arabs reported higher average mental illness stigma and were more likely to rate psychiatric medications as addictive and unhelpful. Among Arabs, being Christian, male, and older (>29 years old) were each associated with higher stigma. Arabs were less likely than non-Arabs to believe in a biological explanation for mental illness. Conclusion: Our results demonstrate higher levels of stigma towards mental illness among Arab Americans, especially Christian, male, and older Arabs, potentially related to a weaker belief in a biomedical model for mental illness. These are among the first findings describing mental illness stigma and beliefs about mental health in an Arab American community and may inform future interventions providing culturally competent care to Arab Americans.

The escalating antibiotic crisis in Nigeria presents a critical challenge, violating fundamental human rights and ethical obligations. Skyrocketing antibiotic costs severely restrict access to essential medications, particularly for vulnerable populations. This crisis not only exacerbates health disparities but also fuels the emergence of antibiotic resistance, posing grave public health risks. Rooted in regulatory gaps, lack of transparency in drug pricing, and inadequate healthcare infrastructure, the crisis demands a comprehensive, collaborative response. Policy interventions targeting antibiotic affordability, regulatory reforms, and healthcare infrastructure investments are imperative. Upholding ethical standards and accountability mechanisms is essential to ensuring equitable access to antibiotics and safeguarding public health in Nigeria.

With the urgent need of precise positioning faced by internet of things (IoT) applications, the universality and cost of indoor positioning devices become key factors. Since the 5G network has been widely deployed, new opportunity is brought by tightly fusing the traditional low-cost sensors, i.e., the magnetometer. In this study, using 5G channel state information (CSI) and geomagnetic data, a multi-input convolutional neural network (CNN) localization system was proposed. First, to generate a data tensor that is easy for CNN processing, the raw data was reconstructed individually. Then, to comprehensively incorporate the features of 5G CSI and geomagnetic strength data, the ReLU function was chosen as the activation function of the convolutional layer. After that, a multi-input CNN was trained using the incorporated geomagnetic strength and CSI amplitude in the off-line side, and the trained CNN was recorded as a location fingerprint, which can be used for the user position prediction. Finally, in the online side and using a multi-input CNN, the 2-D coordinates are estimated and tested indoors in a typical conference room scenario. The results showed that longer sampling time of fingerprint data result in better uniqueness of the reference point, while the data collection time of locating points does not need to be long. Taking the positioning efficiency and accuracy into consideration, a sampling time of 3s at the reference point and 0.2s at the locating point are recommended. The positioning accuracy using the proposed method was 1.41 m, with an improvement of 22.9% compared with the 5G positioning, and an improvement of 18.0% compared with the 5G and geomagnetic fusing positioning using single CNN.

Various slow-release fertilizers (SRFs) have been developed and commercialized, particularly over the past two decades, with the primary aim of mitigating environmental issues associated with excessive fertilizer use. A range of methodologies, including chemical and physical reactions, incorporation into carriers with porous and layered structures, and coating techniques, have been explored and refined. On the other hand, dry and desertification are big challenges for agriculture in many countries in the world. Application of hydrogels or superabsorbent polymers as carrier materials to develop SRFs could add the function of moisture retention. This paper reviewed the development of application eco-friendly starch hydrogels as fertilizer carrier and water retention to develop SRFs, in particular starch-based superabsorbent polymers through grafting copolymerization with acrylamide. The reviewer includes both scientific issues like general microstructures of various starch hydrogels and releasing mechanisms, and technical development involving copolymerization technologies, multi-initialization and loading fertilizer into hydrogel etc. Starch, recognized as one of the most abundant carbohydrate polymers, is both biodegradable and renewable. It exhibits excellent chemical stability and high reactivity. The fabrication technique of starch hydrogels though grafting polymerization have been developed from batch chemical reaction in aqueous solution to high efficient and no-solvent reactive extrusion. The benefits of SRFs based on starch hydrogel encompass enhanced soil aeration, prevention of soil deterioration, minimization of water evaporation, environmental pollution control, reduction in plant mortality, and prolonged nutrient retention within the soil. Based on the literatures and our experience, we have not only discussed and summarized the achievements, but also pointed out the weakness of current technologies and proposed research directions in this review.

Introduction: One of the key strategies to achieve sustainable development goal by reduce preventable maternal deaths below 70 per 100,000 is increasing awareness about major obstetrics danger sign. Mother's awareness of obstetric danger signs in developing country is relatively low regardless of attempts trough many local and national program. It is crucial to increase women’s knowledge of obstetric danger signs through education and awareness-raising efforts. Despite its importance to reduce maternal deaths, Studies are limited only to the Northern Ethiopia. Objective: This study aimed to assess prevalence of knowledge of obstetric danger signs and associated factors among women who delivered in the last 12 months in Sidama region, Ethiopia. Methods: We conducted a community-based cross-sectional study from October to November, 2022. A multi-stage sampling procedure was utilized to select study participants. A structured and pretested questionnaire was utilized to collect data. A multilevel mixed-effects negative binomial regression model was used to control effects of clusters and confounders.Results: Out of 1,140 study participants, only 1,130 study participants took part in the study making a response rate of 99.12%. The overall prevalence of knowledge of obstetrics danger sign was estimated as 22.3% (95%CI: 18.7, 25.9). Government employed women (AIRR = 1.37; 95% CI: 1.2, 1.6), women who had access to mass media (AIRR = 1.16; 95% CI: 1.08, 1.25), women who had received model family training (AIRR = 1.15; 95% CI: 1.1, 1.25), autonomous women (AIRR = 1.15; 95% CI: 1.04, 1.25), women who had faced health problems during pregnancy (APR = 1.21; 95% CI: 1.11, 1.32) and urban women (APR = 1.22; 95% CI: 1.09, 1.62) were factors associated positively with knowledge of obstetrics danger sign. Conclusion: The prevalence of knowledge of obstetrics danger sign is found to be lower compared with the national average. Residence, mass-media exposure, model family planning, problem faced during pregnancy and women autonomy are the main predictors of knowledge of obstetrics danger sign. Public health policy makers should enhance health literacy at for focused on rural community. Awareness creation should be improved through mass media. Health providers should educate women during maternity health services to empower women for decision making process.

Background: The COVID-19 pandemic led to rapid growth in telemental health services and investment in digital mental health technologies. Digital mental health technologies could expand access to mental health care amid increasing provider deficit by providing tools for expedited psychiatric symptom assessment and treatment augmentation. This systematic review explores the recent evidence for the use of scalable digital tools, including virtual reality, neurofeedback training, wearables, mobile apps, digital phenotyping, and machine learning for PTSD symptom assessment, diagnosis, and treatment. Methods: A PubMed search identified studies on digital technologies with current or future potential for scalability (accessible through a small, digital device without the virtual or in-person presence of a mental health care provider)–and PTSD diagnosis, symptom assessment, or symptom treatment as the primary outcome. Thirty-five studies inform this review. Results: Virtual reality exposure therapy is efficacious for combat-related PTSD treatment. Conclusions of studies investigating apps and neurofeedback training are limited by low sample size and methodological heterogeneity. Machine learning models demonstrate capability in detecting PTSD symptoms via passively collected data from smartphones, wearables, and actively collected data from patient speech, writing, and videos, but standardization of data collection and modeling are needed before application to clinical settings. Conclusions: Advancements in scalable digital tools could address barriers in healthcare access and improve patient engagement by providing asynchronous assessment and treatment augmentation. Future research utilizing diverse patient populations in standardized controlled trials is needed to determine evidence-based protocols for implementation.

Abstract: Chitosan spherical scaffolds, derived from the deacetylation of chitin, are natural polymers with significant potential, though challenges remain in optimizing their properties. The use of chitosan as a carrier for the controlled release of iron chloride is not yet fully established, despite iron’s critical role in various essential biological processes, including as a component of metalloenzymes and in the maintenance of life. Methods: This study aimed to develop a novel protocol for synthesing chitosan scaffolds and to characterize their properties using analytical techniques. Additionally, the release profile of iron was modeled using two primary controlled-release mathematical models. Results: The results demonstrated successful synthesis and physicochemical characterization of the chitosan sphere scaffolds. These scaffolds exhibited appropriate topography for iron loading and cellular interaction, as confirmed by SEM analysis, and contained functional groups as identified by FTIR. The scaffolds were also semi-crystalline (XRD), showed controlled degradation, and were confirmed to be non-toxic biomaterials. Furthermore, the modeling of the controlled release of iron chloride adsorbed on the scaffold surface, as well as the modeling of iron chloride specimens using the MEDUZA software, was successfully conducted. A theoretical curve was generated from the experimental dose-response data collected over time, considering variations in pH and medium concentration. Conclusions: In conclusion, a novel protocol for chitosan-based carriers was successfully developed, enabling thorough physicochemical characterization and modeling of both absorption and controlled release.

A novel approach to optimizing turbomachinery performance is presented in this chapter, which integrates Computational Fluid Dynamics (CFD) simulations, an artificial neural network (ANN) with a modified Non-dominated Sorting Genetic Algorithm II (NSGA-II). Using this enhanced algorithm, substantial performance improvements can be achieved through geometric optimization. The effectiveness of this method is demonstrated in two case studies: an inducer for a centrifugal pump and a Savonius wind turbine. The inducer is designed to maximize head coefficient, hydraulic efficiency, and net positive suction head by optimizing factors such as inlet and outlet blade angles. The optimization process employs the Group Method of Data Handling (GMDH) for objective function modeling, followed by Pareto front plotting and TOPSIS for identifying trade-off optimal points. Results indicate significant improvements in head coefficient, hydraulic efficiency, and NPSHR by 14.3%, 0.3%, and 30.2%, respectively. Twist angle, aspect ratio, and overlap ratio are also optimized for wind turbine blades. The power coefficient is enhanced by 5.32%, the torque coefficient by 13.74%, and the rotational speed by 0.071% through multi-objective optimization. As a result of this approach, efficiency improves, and valuable insights into the optimal design principles for turbomachinery components are also gained.

This research answers the knowledge gap regarding the explanation of the quantum jump of the electron. This scientific paper aims to complete Einstein's research regarding general relativity and attempt to link general relativity to quantum laws.

Astrocytes, the most abundant glial cells in the brain, are an integral part of the synaptic compartment and contribute to synaptic pruning, a key process for refining neural circuits during early postnatal development (PND). Dysregulations in this process are implicated in various neuropsychiatric disorders, including major depressive disorder (MDD). To investigate astrocyte functions in a physiologically relevant context, organotypic brain slice cultures (OBSCs) offer a powerful model, reproducing more closely in vivo conditions than traditional cell cultures and preserving complex brain architecture and interactions. Here, we present OBSCs as an ex vivo culturing method to provide a platform to explore astrocyte-mediated synaptic pruning dynamics in the rat prefrontal cortex (PFC) during PND. Our approach is based on assessing the role of MEGF10, a key protein involved in synaptic pruning, alongside the synaptic markers synaptophysin and PSD95, using Western blotting to analyse the expression levels of these markers in the cortex of developing rat pups. Additionally, we combine immunofluorescence staining with confocal imaging and IMARIS 9.8 software-assisted analysis to investigate the co-localization of the lysosomal marker LAMP1 with synaptic and astrocytic markers to evaluate the precise rate of synaptic engulfment. The methods presented here allow a deeper examination of an astrocyte-mediated synaptic remodelling in healthy and pathophysiological conditions.

Nanoparticle carriers can selectively deliver the drug cargo to tumor cells, thus having the ability to pre-vent early drug release, reduce non-specific cell binding, and prolong in vivo drug retention. We con-structed paclitaxel (PTX)-loaded lipid-shell mesoporous silica nanoparticles (LMSNs) for targeted an-ti-cancer drug delivery. The physical properties of PTX-LMSNs were analyzed by scanning electron mi-croscopy (SEM) and transmission electron microscopy (TEM). The drug loading (DL%) and entrapment efficiency (EE%) of PTX-LMSNs were measured by high performance liquid chromatography (HPLC). In vitro drug release test, in vivo imaging, tissue distribution and pharmacokinetics of PTX-LMSNs were also evaluated. The SEM examination showed that MSNs were sphere, whereas TEM showed that they were rich in fine pores. The uniform core-shell structure of PTX-LMSNs was also verified by TEM. The DL capacity of PTX-LMSN was as high as 21.75%, and PTX was released from the nanoparticles in vitro in a pH-dependent manner. The cumulative amount of free PTX increased at lower pH, which is conducive to selective drug release from LMSNs in the acidic tumor tissues. In vivo imaging showed prolonged reten-tion of PTX-LMSNs, which is beneficial to their therapeutic efficacy. In addition, PTX-LMSNs were primarily concentrated in the liver. Pharmacokinetic experiments showed that the half-life of PTX-LMSNs was 23.21% longer and 79.24% higher than that of Taxol. Together, LMSNs are a highly promising antineoplastic drug carrier system.

Melanoma, a deadly form of skin cancer, has seen improved survival rates due to advances in diagnosis and treatment, yet the need for further improvement remains critical. Tumor-associated antigens, such as PRAME (Preferentially Expressed Antigen in Melanoma), offer promising avenues for enhanced diagnostic precision, prognostic assessment, and targeted immunotherapy. PRAME, a cancer-testis antigen, is selectively expressed in various cancers, including melanoma, and plays a key role in promoting tumorigenesis through inhibition of retinoic acid signaling, epithelial-to-mesenchymal transition, and immune evasion. This review explores the diagnostic utility of PRAME in distinguishing melanoma from benign nevi, its prognostic value in aggressive melanoma subtypes, and its potential as a therapeutic target in cancer vaccines and adoptive T-cell therapies. While PRAME-targeted therapies face challenges such as tumor heterogeneity and immune suppression, ongoing research aims to overcome these barriers, offering hope for more effective melanoma treatments.

The growing use of proton-exchange membrane fuel cells (PEMFC) in hybrid propulsion systems, aimed at replacing traditional internal combustion engines and reducing greenhouse gas emis-sions. Effective power distribution between the fuel cell and the energy storage system (ESS) is crucial, which has led to a growing emphasis on developing energy management systems (EMS) to efficiently implement this integration. To address this goal, this study examines the performance of a fuzzy logic rule-based strategy for a hybrid fuel cell propulsion system in a small hydro-gen-powered passenger vessel. The primary objective is to optimize fuel efficiency, with particular attention to reducing hydrogen consumption. The analysis is carried out under typical operating conditions encountered during a river trip. Comparisons between the proposed strategy with other approaches —control-based, optimization-based and deterministic rule-based— are con-ducted to verify the effectiveness of the proposed strategy. Simulation results indicated that EMS based on fuzzy logic mechanisms was the most successful in reducing fuel consumption. The superior performance of this method stems from its ability to adaptively manage power distri-bution between the fuel cell and energy storage systems.

This paper provides an alternative Slope-Deflection equation for performing the static analysis of the indeterminate structures. While the conventional Slope-Deflection method introduced in undergraduate structural analysis course involves the use of fixed end moments in the Slope-Deflection equations, the proposed method employs the slope of a simply supported beam to obtain the unknown moments at the joints. Three numerical examples of continuous beams with different load configurations are chosen and the efficacy of the proposed equations is demonstrated. From the perspective of undergraduate structural analysis course in Civil Engineering education, the approach proposed in this paper offers two advantages: (1) prior knowledge of fixed beams is not required and (2) the concepts gained from determinate structural analysis are directly applicable.

Primary themes in intergenerational justice are a healthy environment, the perpetuation of Earth’s biodiversity, and the sustainable management of the biosphere. However, the current rate of species declines globally, ecosystem collapses driven by accelerating and catastrophic global heating and a plethora of other threats, preclude the ability of habitat protection alone to prevent a cascade of amphibian and other species mass extinctions. Reproduction biotechnologies, biobanking, and conservation breeding programs (RBCs), enabling species restoration, offer a critical transformative change that can economically and reliably perpetuate species irrespective of environmental targets. These capacities extend indefinitely into the future and satisfy humanities needs as the biosphere expands into space. Currently applied RBCs include the hormonal stimulation of reproduction, the collection and refrigerated storage of sperm and oocytes, sperm cryopreservation, in vitro fertilisation, along biobanking. Advanced biotechnologies such as assisted evolution and cloning for species adaptation or restoration have yet to be fully realised. We broaden our discussion to include genetic management, broad political and cultural engagement, and future applications. The development and application of RBCs, and particularly assisted evolution and species restoration, raise intriguing ethical, theological, and philosophical issues. We address these themes with amphibian models to introduce the MDPI Special Issue, The Sixth Mass Extinction and Species Sustainability through Reproduction Biotechnologies, Biobanking, and Conservation Breeding Programs.

This paper provides the straight proof for the Riemann Hypothesis.The proof has been formulated with the modified version of Riemann Xi function ξ(s) , that shows the relationship with upper incomplete gamma function.

This paper explores various aspects of microbiology and immunology, focusing on the epidemiology and molecular characterisation of infectious diseases in the Caribbean and South America. Key areas of investigation include tuberculosis (TB), nosocomial infections, Salmonella infections, and bloodborne pathogens. A retrospective study in Jamaica underscores the high mortality rates in HIV-positive TB patients and the need for early HIV diagnosis and integrated care. Research in Trinidad and Tobago reveals the genetic diversity of Mycobacterium tuberculosis strains, highlighting high HIV-TB co-infection rates. The paper also examines the challenges posed by nosocomial infections, particularly those caused by antibiotic-resistant Gram-negative bacteria and methicillin-resistant Staphylococcus aureus (MRSA), and emphasises the importance of infection control. In addition, the study investigates Salmonella prevalence in poultry in Jamaica and the risks associated with foodborne infections. The paper further explores transfusion-transmitted infections and the development of IgM antibodies in egg whites for bacterial antigen detection. Lastly, it addresses immune responses in patients with immunodeficiency disorders, such as severe combined immunodeficiency (SCID) and chronic granulomatous disease (CGD), highlighting their susceptibility to a wide range of infections.

Purpose: This systematic review investigates the implications of Industry 4.0 technologies on supply chain visibility and operational efficiency. The primary aim is to discern the impact of technological integration on contemporary supply chain dynamics. Design/Methodology/Approach: A comprehensive search strategy identified 67 pertinent studies published between 2015 and 2023. The review adheres to systematic methodologies, employing the Critical Appraisal Skills Programme framework for quality assessment. Data synthesis incorporates qualitative and quantitative analyses to distill key themes and patterns. Findings: The review unveils the pivotal role of information visibility in fortifying supply chain outcomes, emphasizing the need for a dual investment strategy encompassing technological solutions and a collaborative organizational culture. Regional variations in supply chain practices, insights from humanitarian supply chains, and the influence of environmental factors on agility broaden the understanding of Industry 4.0 implications. Research Limitations/Implications: The study acknowledges limitations in the geographical focus of the included studies and the evolving nature of Industry 4.0 technologies. These considerations prompt a call for ongoing research to capture emerging trends and global nuances. Practical Implications: Organizations are urged to adopt a context-specific, adaptive approach, recognizing the significance of intangible assets and tailoring strategies to local contexts for optimal supply chain performance. Originality/Value: This systematic review contributes a nuanced understanding of Industry 4.0's transformative potential in supply chain management, emphasizing the interplay between technology, organizational culture, and regional contexts.

Abstract: Background/Objectives: Schizophrenia (SZ) is a severe psychiatric disorder characterized by a complex interplay of genetic, developmental, and environmental factors that significantly increase the risk of suicidal ideation (SI) and suicide attempts (SAs). This systematic review synthesizes current research on the developmental predictors of SI in individuals with SZ, aiming to delineate the multifactorial etiology of suicide within this population. Methods: A comprehensive search across Medline, PsycINFO, and EMBASE databases identified 23 eligible studies, emphasizing the varied methodological approaches and the global distribution of research efforts. Results: These studies demonstrate a robust association between early life adversities, particularly childhood trauma such as physical neglect, emotional abuse, and sexual abuse, and the increased prevalence of SI and SAs in SZ. This review also highlights the significant genetic factors associated with development of suicidality in SZ, suggesting that polymorphisms in inflammation-related genes and neurodevelopmental abnormalities may influence susceptibility to SI. Notably, family history of psychiatric conditions may exacerbate the risk of SI through both hereditary and environmental mechanisms. Environmental factors, including socioeconomic status and social support, are also implicated, underscoring the role of broader socio-environmental conditions influencing outcomes. Conclusions: This review supports the integration of biopsychosocial models in understanding SI in SZ, advocating for interventions addressing the complex interplay of risk factors and the need for longitudinal studies to elucidate the dynamic interactions between risk factors over time. This comprehensive understanding is crucial for developing targeted preventative strategies and enhancing the clinical management of SZ, aiming to reduce suicidality in this vulnerable population.

Detecting people and technical objects in various situations, such as natural disasters and warfare, is critical to search and rescue operations and the safety of the civilian. A fast and accurate detection for people and equipment can significantly increase the effectiveness of search and rescue missions and provide timely assistance to people. Computer vision and deep learning technologies play a key role in detecting the required objects due to their ability to analyse big volumes of visual data in real time. The performance of the neural networks such as YOLOv4-v8, Faster R-CNN, SSD, and EfficientDet has been analysed using COCO2017, SARD, SeaDronesSee, and VisDrone2019 datasets. Main criteria for comparison were mAP, Precision, Recall, F1-Score, and the ability of the neural network to work in real time. The most important metrics for evaluating the efficiency and performance of models for a given task are accuracy (mAP), F1-Score, and processing speed (FPS). These metrics allow us to evaluate both the accuracy of object recognition and the ability to use the models in real-world environments where high processing speed is important. Although different neural networks perform better on certain types of metrics, YOLO outperforms them on all metrics, showing the best results of mAP-0.88, F1 - 0.88, and FPS - 48, so the focus was on these models.

In the contribution, through literary content analysis, we present the results of the analysis of the publication The Boy From Block 66: A WW2 Jewish Holocaust Survival True Story (2023). We are convinced that this book can be included in the teaching of Literary Education at various levels of education, especially at the level of application of the historical and integrative approach of introducing students to the literary themes of the Shoah. For two excerpts from this publication, we present several questions and tasks, the aim of which is to guide pupils to an adequate internalization of the tone of the events of the Shoah. We are convinced that (not only) this publication is an adequate narrative in which the events that connote the Shoah are presented authentically and in an attractive way for young readers, and whose presentation in this publication leads to a certain de-abstracting of them.

Immunofluorescent methods in vitro have been widely used to characterize the distribution and extent of colocalization of molecules located in various intracellular compartments. These are key processes to better understand the role of those molecules in physiological and pathological conditions.In the brain, interactions of astrocytes with neurons are fundamental for the establishment and proper functioning of neuronal circuits. Among these, the phagocytosis of synapses that need to be removed is a process known as synaptic pruning. When this process is dysregulated, it might lead to the development of several brain disorders. Here, we describe the adaptation of a method to characterize the astrocyte-mediated synaptic phagocytosis and evaluate astrocytic (dys)functions in healthy cells and cells derived from an animal model of major depressive disorder (MDD).

To obtain high quality grain refiner, a new Al-5Ti-1B-1RE master alloy grain refiner was synthesised by melt-matching method. Thermodynamic calculations and kinetic analyses, which were seriously missing from the study of key issues during the preparation process, were investigated. The microstructure and properties, comparison of the refining effect of different grain refiners on industrial pure aluminium and its refining mechanism were analysed with the help of X-ray diffraction (XRD), optical microscopy (OM), scanning electron microscopy (SEM) and energy spectroscopy, transmission electron microscopy (TEM) and an electronic universal testing machine (CSS-44100). The experimental results show that the second-phase particles in the Al-5Ti-1B-1RE master alloy matrix synthesised by the melt-matching method are mainly TiB2、 A13Ti、Ti2A120RE, etc. The magnitude of the free energy ΔG of the synthesis reaction is calculated to be ΔGTiB2<ΔGAl3Ti<ΔGTi2A120RE. When the temperature is low (undercooling ΔT is large), the nucleation rate N mainly depends on the kinetic atomic diffusion activation energy Q, while the thermodynamic nucleation work becomes a secondary factor, and vice versa. The industrial pure aluminum refined by the new grain refiner has almost transformed from coarse columnar crystals to fine equiaxed crystals, with an average grain size of 70.2 μm, which was 36.18% and 20.66% smaller than that refined by domestic and imported Al-Ti-B wire master alloy grain refiner, and its mechanical properties of tensile strength σb was increased by 11.94%, 8.29%, and elongation at break δ was improved by 31.79%, 17.41%, respectively. The main mechanism for refining pure aluminum in Al-5Ti-1B-1RE master alloy is the formation of TiA13 on TiB2 particles, the release of RE atoms from Ti2A120RE phase surrounding TiAl3, and the partial transformation into TiA13 phase, which promotes the dual nucleation refinement mechanism and the pinning effect of rare earth elements on grain boundaries.

Background/aims: Prior research identified a significant association between heart disease and metabolic dysfunction-associated liver steatohepatitis (MASLD), but the mechanisms are unclear. This study aims to search predictive biomarkers for grade I left ventricular diastolic dysfunction (LVDD), an early stage of heart failure (HF), in type 2 diabetes mellitus (T2DM) patients. Methods: This single-center, prospective observational study screened 73 T2DM patients for grade 1 LVDD and MASLD using 2D echocardiography, tissue analysis, spectral color Doppler, and Fibromax. Results: The study analyzed 50 patients (mean age 58±11.3 years) with a median diabetes duration of 7 years, abdominal obesity (mean BMI 34.4±5.9 kg/m2), and a mean HbA1c of 7.9±1.5%. The prevalence of grade I LVDD, fibrosis, mild steatosis, moderate to severe liver steatosis, mild MASLD, and moderate MASLD was 54%, 44%, 14%, 80%, 43%, and 34%, respectively. Regression analysis revealed that grade 1 LVDD was positively associated with age, Fibrotest, ɑ2-macroglobulin, epicardiac adipose tissue (EAT), and negatively associated with lateral s`, E wave, E/e`, E/A, medium E`, and septal e` (p&lt; 0.05 for all). ɑ2-macroglobulin &gt; 1.92 g/L (AUROC= 0.782, sensitivity 70.4%, specificity 81.2%) and fibrotest score &gt; 0.11 (AUROC 0.766, sensitivity 92.6%, specificity 56.2%) were significant predictors of grade I LVDD. Conclusion: HF is a multifaceted disorder associated with multisystem organ damage, including nonalcoholic MASLD. Although the underlying mechanisms remain unclear, innovative non-invasive biomarkers, such as ɑ2-macroglobulin or fibrotest, could concurrently indicate liver stiffness and the likelihood of grade I LVDD, an early, asymptomatic HF stage in T2DM patients.

This article develops duality principles applicable to originally non-convex primal variational formulations. More specifically, as a first application, we establish a convex dual approximate variational formulation for a non-linear Kirchhoff-Love plate model. The results are obtained through basic tools of functional analysis, calculus of variations, duality and optimization theory in infinite dimensional spaces. We emphasize such a convex dual approximate formulation obtained may be applied to a large class of similar models in the calculus of variations. Finally, in the last section, we present a duality principle and respective convex dual formulation for a Ginzburg-Landau type equation.

Background/Objectives: Patient positioning during surgery can influence intra- and postoperative complications. Therefore, we assessed the impact of the sitting and park-bench positions on anesthetic parameters and complications in neurosurgical patients. Methods & Patients: For this retrospective study, 314 adults who underwent neurosurgical procedures for posterior fossa pathologies were divided into two groups: sitting (n=231) and park bench (n=83). The following data were collected, monitored, recorded and compared: age, sex, tumor type, surgical approach, cardiovascular and respiratory complications, and postoperative surgical complications. The association of hypotension with position was further investigated through multivariate logistic regression models by adjusting for CO2 decrease, desaturation and documented gas embolism. Results: The average age was significantly lower in the sitting group (55 years, interquartile range (IQR)=43-63; female proportion=59.74%) than in the park-bench group (62 years, IQR=45-74; female proportion=57.83%) (p<0.001). Cerebellopontine angle tumors were detected in 37.23% of the patients who underwent operation in the sitting position and in 7.26% who underwent operation on in the park-bench position (p<0.001). Patients in the sitting position had significantly greater anesthetic complication (91.77% vs. 71.08%, p<0.001), hypotension (61.9% vs. 16.87%),and >2-mmHg CO2 decrease (35.06% vs. 15.66%, p<0.001) incidences. Hypoxemia and death occurred more frequently in the park-bench group (8.43% vs. 1.73% and 6.03% vs. 1.3%, respectively). Conclusions: Compared with the park-bench position, the sitting position was associated with a greater specific anesthetic complication incidence and lower postoperative mortality rate, indicating a need for careful risk‒benefit assessment when selecting each individual patient’s surgical position.

This analysis investigates health outcomes by cause and income group across European and African countries, highlighting significant disparities tied to economic status. Low and lower-middle-income countries in Africa face a greater burden of disease, particularly in acute lower respiratory infections, diarrheal diseases, bacterial infections, HIV/AIDS, and maternal conditions. This is primarily due to limited access to clean water, sanitation, and healthcare services. In contrast, high-income African countries exhibit better health outcomes. European countries show variations: lower-middle-income nations suffer more fro4m acute respiratory infections and HIV/AIDS, while high-income countries report higher incidences of cancer and bacterial infections. These differences reflect disparities in healthcare quality and social determinants. The study emphasizes the need for targeted policy initiatives to address these disparities by focusing on socioeconomic factors and improving healthcare access and quality across all income groups.

In the frame of the I-MOVE-COVID-19 project, a cohort of 2050 patients admitted in two Spanish reference hospitals between March 2020 and December 2021 was selected, and a range of clinical factors data were collected at admission to assess their impact on the risk COVID-19 severity outcomes through a multivariate adjusted analysis and nomograms. The need for ventilation and ICU admission were found directly associated with a higher mortality risk (OR 6.9 and 3.2, respectively). The clinical predictors of mortality were need for ventilation and ICU, advanced age, neuromuscular disorders, thrombocytopenia, hypoalbuminaemia, dementia, cancer, elevated CPK and neutrophilia (OR between 1.8 and 3.5), whilst the presence of vomiting, sore throat and cough diminished risk of death (OR 0.5, 0.2 and 0.1 respectively). Admission to ICU was predicted by the need for ventilation, abdominal pain and elevated LDH (OR 371.0, 3.6 and 2.2, respectively) as risk factors; otherwise, it was prevented by advanced age (OR 0.5). In turn, the need for ventilation was predicted by low oxygen saturation, elevated LDH and CPK, diabetes, neutrophilia, obesity and elevated GGT (OR between 1.7 and 5.2), whilst prevented by hypertension (OR 0.5). These findings could enhance patient management and strategic interventions to combat COVID-19.

Microalgae and their bioproducts hold significant potential across various applications, for instance, in wastewater remediation, CO2 fixation, and the synthesis of nutraceuticals, pharmaceuticals, and biofuels. The production of these organisms heavily relies upon environmental conditions, including factors like temperature, light, and nutrient supply, which can significantly impact growth. Furthermore, the limitations in nutrients or certain extreme environments can result in productivity increases. As such, microalgae growth systems have become a critical consideration for both research and industry. Both open and closed systems, such as raceway ponds and photobioreactors, respectively, have their own advantages and drawbacks in microalgae cultivation. However, for microalgae growth, photobioreactors may address most concerns, as the system has a lower risk of contamination and can deliver specific growth factors in a controlled manner. This review will summarize the growth and incubation factors of microalgae and the uses of bioreactors in both research and industrial capacities.

Background: Over the past few years there has been immense evolution in various areas particularly in the areas of digital technologies wherein the pace of change is very high. Industrial areas such as operations and supply chain management together with advanced technologies such as machine learning, big data analytics, artificial intelligence, as well as the Internet of Things, create completely different forms of operational models for various industries. In the area of healthcare too, these emerging computational sophistication is introduced to revolutionise the approaches to prevent, diagnose and treat diverse diseases and illnesses. Objective: The objective of this study is to provide an extensive review of the contemporary approaches utilizing data to cope with significant mental disorders. From over 60 relevant scholarly articles published between 2011 and 2023, it discusses how tools such as predictive modelling, social media analysis, data from smartphones, and chatbots help with issues such as early detection, telemonitoring, provision of psychological support, and individualised prevention. Method: An initial literature review to analyse over 60 research articles, which include empirical studies that were conducted between 2011 and 2023. The research assessed implemented novel digital approaches to mental health interventions including big data analytics for predicting condition status, machine learning for examining social media content, behaviour monitoring through smartphone sensors, and using conversational agents or chatbots. The following is an overview of general conclusions from experimental and descriptive secondary research studies published in professional outlets concerning possible advantages and disadvantages of data science applied to important concerns in mental health. Results: Research reveals that integrating subtle e-health tools in tandem with typical treatment approaches holds the potential to expand mental health services to more or less integrate them into clients’ day-to-day lives, and practically individualize effective treatments accordingly. Technological solutions for instance allow remote risk assessment, symptom monitoring and determination of treatment compliance. New lines of virtualized paradigm solve social challenges that interfere with the conventional provision and consumption of care. However, questions of privacy and the long-term effects as well as clinical adoption are yet to be solved in a analytically distinct manner.

Superficial acral fibromyxoma (SAF) is a benign fibromyxoid tumor that presents as a slow-growing nodule on the subungual and periungual areas of the hands and feet. Superficial acral fibromyxoma needs to be better documented in the literature, and thus, increased research and education are required to aid clinicians in recognizing its appearance. To review the current literature on superficial acral fibromyxoma and present its epidemiology, pathogenesis, clinical presentation, diagnosis, treatment, and common differential diagnosis. A literature review was performed on Pubmed and Scopus for case reports, case series, clinical studies, and reviews that described epidemiology, clinical presentation, pathogenesis, histological examination, and treatment of superficial acral fibromyxoma. The gathered literature was analyzed to extract concise information on superficial acral fibromyxoma. Results: Superficial acral fibromyxoma is associated with Rb1 gene deletion and grows as a 0.5 to 5.0-centimeter gelatinous-to-firm nodular mass on periungual or subungual regions of middle-aged males. It is also noted to disrupt nail architecture and cause lytic or erosive lesions of bone. Histopathologically, superficial acral fibromyxoma comprises stellate and spindle cells surrounded by a myxo-collagenous matrix and is strongly positive for CD34, CD99, nestin, and vimentin. Complete surgical excision is the first-line treatment for superficial acral fibromyxoma; however, the tumor has a post-operative recurrence rate of 20-25%. Mohs surgery has been attempted to decrease the rate of recurrence. After excluding other cutaneous neoplasms, superficial acral fibromyxoma should be considered in patients with a periungual or subungual slow-growing mass and other soft tissue. Complete surgical excision can lead to recurrence; therefore, patient follow-up is necessary.

Background: Alzheimer's disease (AD) is the most common cause of dementia and cognitive decline in the elderly. Although the etiology of AD is unknow, the increase of amyloid precursor protein (APP) leads to the toxic aggregation of Aβ plaques. Several factors such as hypertension, diabetes, dyslipidemia, smoking, hormonal changes, and metal exposure could increase the risk of developing AD. In this review, we will examine the role of copper (Cu) in the pathophysiology of AD, as well as the mechanisms involved in neurotoxicity and cognitive decline. Methods: This review was conducted in accordance with PRISMA guidelines. We performed a comprehensive literature analysis of the last ten years on AD and Cu. Only late-onset Alzheimer’s disease was considered; therefore, only studies on elderly people of both sexes were included. Results: A total of seven articles were picked for this review, three studies focused on non-ceruloplasmin bound Copper (non-Cp-Cu) and four on ceruloplasmin bound Copper (Cp-Cu). The results showed higher Cu concentrations in patients compared to healthy controls. Conclusion: Elevated concentrations of Cu may contribute to the progression of AD, potentially interacting with ATP7B mutations, oxidative stress, and amyloid-β plaques. Future research is needed to provide more robust evidence and better characterize the relationships between AD and Cu.

Childhood is an obvious period for motor learning since children’s musculoskeletal and nervous systems are still in development. Adults adapt movements based on reward feedback about success and failure but it is less established whether school-age children also exhibit such reward-based motor learning. We designed a new ‘circle-drawing’ task suitable for assessing reward-based motor learning in both children and adults. Participants drew circles with their unseen hand on a tablet. They received binary reward feedback after each attempt based on the proximity of the average radius of their drawing to a target radius set as double the radius of their baseline drawings. We rewarded about 50% of the trials based on a performance-dependent reward criterion. Both children (7-17 years old) and adults increased the radius of their drawings in the direction of the target radius. We observed no difference in learning between children and adults. Moreover, both groups changed the radius less following reward than following reward absence, which is a sign of reward-based motor learning. We conclude that school-age children, like adults, exhibit reward-based motor learning.

Any material object vibrating or rotating excites in spacetime around gravitational waves. Atomic nucleus being highly dynamical object also excites continuously micro gravitational waves which might form around the nucleus specific structure resembling optical diffraction grating and which gives huge effect to nuclear elastic scattering cross sections. The close similarity between the nuclear diffractive scattering and the optical Debye-Sears Effect is shown.

This study highlighted the core and critical tenets that constitute culturally responsive science assessments (CRSciA) for K-12 education and aligned them with the capabilities of generative AI (GenAI). The tenets were identified based on their dominance in the literature, including Indigenous Language, Race and Ethnicity, Religious Beliefs, Family and Community, and Indigenous Knowledge. These tenets were instrumental in developing the GenAI-CRSciA framework and the subsequent prompts to generate CRSciAs aligned with the Next Generation Science Standards (NGSS) while comparing it with standard prompt strategies. The results showed that the GenAI-CRSciA prompting approach outperformed normal prompting strategies in terms of generating CRSciAs, proving its effectiveness in addressing the ongoing challenges in science assessments. Even though the GenAI-CRSciA framework presented assessments that cover a range of the cultural backgrounds, it presents potential challenges such as compromising curricula core competencies and overgeneralization of students’ backgrounds; overlooking subcultural variations within a country or region, for example differences between urban and rural students, or between different ethnic or linguistic groups within the same nation, which can lead to bias and less effective CRSciA outputs. To address this, we recommend that teachers provide comprehensive and specific background information about their students when using the GenAI-CRSciA prompting, ensuring that the generated content is truly reflective of the students’ unique cultural contexts. In larger class settings, teachers could implement comprehensive local data indexing, where detailed student background information is uploaded and retrievable for use in crafting more personalized CRSciAs. We strongly recommend educators to make conscious efforts to validate the generated assessments with input from human experts, including community or family, educators, and even students who are knowledgeable about the cultural nuances. We also suggest continuous professional development would be necessary to enhance teachers’ understanding of the cultural tenets.

Post severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2, Covid-19) sequalae’s, immune and RNA based treatments are associated with the development of micro-stones and chronic kidney disease (CKD). In addition, circulating cytokines cocktail and viral envelope spike protein (SP) instigates CKD. During epigenetic regulation, Covid-19 methyltransferase (MT) methylates the DNA/RNA/Proteins/Histones and generates homocysteine (Hcy). Although cysteine promotes the growth and aggregation of calcium oxalate crystals in normal undiluted human urine. However, during elevated levels of Hcy (i.e., hyperhomocysteinemia, HHcy) due in part to the impaired transsulfuration (i.e., mitochondrial sulfur metabolism) pathways, homocysteine is the only sulfur-denoting non-protein amino acid may promote crystals. HHcy is associated with severity of Covid-19 infection and pneumonia post Covid-19. It is unclear however whether the HHcy facilitates homocysteine crystals. Although an E. coli strain degrades tricarboxylic acid (TCA, citric acid), and disrupts mitochondrial TCA cycle, to dicarboxylic acid (DCA, oxalic acid), DCA also promotes calcium oxalate crystals and may contributes to kidney stones, it is unclear whether gut-dysbiosis by Covid-19 infection contributes to kidney stones. There is robust succinylation of enzymes in TCA cycle which causes dysfunctional mitochondrial bioenergetics during Covid-19 infection. In this regards interaction between SIRT5 and mitochondrial transsulfuration during Covid-19 infection attenuates TCA cycle. Interestingly, the mitochondrial bioenergetics though sulfur metabolism participate in TCA cycle and epigenetic acetylation/succinylation, therefore, Covid-19 infection transition acute kidney injury (AKI) to CKD by defective mitochondria sulfur metabolism (transsulfuration) pathways, forming uricemia micro stones.

This research presents an ensemble model developed to enhance the safety of bedridden patients in healthcare settings. The model utilizes a unique dataset capturing six typical movements performed by patients laying in bed, such as rolling over, falling off the bed, etc. The aim is to automate the classification of these movements, thereby enabling real-time monitoring of patients without the constant presence of hospital personnel in the room, a common practice in current healthcare settings. The dataset is preprocessed and balanced using the Synthetic Minority Over-sampling Technique, and then split into training and test sets for model training and evaluation. Three different models are explored: a Decision Tree Regressor, a Gradient Boosting Regressor, and a Bagging Regressor. The Bagging Regressor is an ensemble model that utilizes the Decision Tree Regressor as its base regressor. Each model’s performance is evaluated using accuracy, R2 score, and Mean Squared Error on both the training and test sets. The ensemble model demonstrates promising results, indicating the potential of machine learning to improve patient safety in healthcare settings. The study also employs K-Fold cross-validation and learning curves to validate the robustness of the ensemble model. This research contributes to the growing body of knowledge on the application of machine learning in healthcare and opens up new avenues for improving patient safety through real-time monitoring and classification of patient movements.

The aluminum alloys are prominently employed in the automotive, defense and aerospace industries owing to their excellent properties as compared to that of other metals and alloys. The present work has been centered on the synthesis and the evaluation of mechanical properties of cast and heat treated Al7475-Zirconium carbide composites. The composites were prepared by stir casting method. In order to enhance the properties, Al7475 alloy and Al7475-Zirconium carbide composite were subjected to a T6 heat treatment. The microstructural analysis and tensile, compression, impact and hardness tests were performed on the as-cast as well as T6 heat treated composite specimens. The microstructure of as-cast and heat treated Al7475-Zirconium carbide composite has revealed that the matrix of Al7475 alloy consisted of uniformly dispersed Zirconium carbide particles. The scanning electron microscopy image of heat-treated composite showed a decrease in grain size due to heat treatment effect, resulting in an increase in the strength of the composite. The mechanical properties of heat-treated Al7475-Zirconium carbide composite are superior compared to the as-cast composite. The ultimate tensile strength, yield strength, compression strength, impact strength and hardness of heat treated composite are 16.8%, 15.5%, 18.7%, 18.75% &amp; 22.3% respectively higher than that of as-cast composite.

No one can dismiss the fundamental role played by water in several important biochemical processes, including the folding of globular proteins. The so-called hydrophobic effect is the theoretical construction to rationalize how water molecules stabilize the folded state. However, over the years, analyses have been published that lead to the conclusion that water destabilizes the folded state. The aim of the present work is to state that the gain in translational entropy of water molecules (due to the decrease in water accessible surface area associated with folding) is the driving force of protein folding.

It is generally assumed that spirochetemia does not take place at the early localized stage of Lyme disease. This misassumption is due to the lack of sensitive and specific methods for detection. This paper reports that separation of the platelet-rich plasma immediately after venous blood collection to prevent the spirochetes from invading the lymphocytes in the test tube is crucial in molecular detection of a single Borrelia burgdorferi cell spun down in platelet pellets. In 2023, we tested the venous blood specimens of 145 people residing in Lyme disease-endemic areas in the United States. In 98 of them, who were suspected of having early localized Lyme disease irrespective of the absence or presence of a skin lesion, we found 33 specimens (33.7%) positive for B. burgdorferi, including 17 positive for FlaB gene only, 15 positive for both FlaB gene and 16S rRNA gene, and 1 positive for 16S rRNA gene only. Eight (17.0%) of the 47 asymptomatic resident controls were positive for FlaB PCR only. FlaB is a more sensitive chromosomal target than the 16S rRNA gene for the detection of 1-3 B. burgdorferi cells in 1 mL of platelet-rich plasma due to spirochetes gaining or retaining FlaB paralogs at the early localized stage of Lyme disease.

Brain plasticity is the ability of the brain to change and adapt in response to experience or learning. Its hallmarks are developmental flexibility, complex interactions of genetic and environmental influences, and structure-functional changes comprising neurogenesis, axonal sprouting, and synaptic remodeling. Herein, we review brain plasticity association with non-coding RNAs (ncRNAs). Studies on brain plasticity have important practical implications. Numerous cerebral ncRNAs are linked with neurological disorders, which makes them putative targets for RNA-based diagnostics and therapeutics since molecular characteristics of brain plastic change may reveal disease course and rehabilitative potential of the patient. A new insight into the concept of brain plasticity will provide perspectives on functional recovery following brain damage. The knowledge of this phenomenon will enable physicians to exploit cerebral plastic potential and regulate eloquent networks with timely interventions. Future studies will provide pathophysiologic mechanisms of brain plasticity at macro- and microscopic levels to advance rehabilitation strategies and improve the quality of life in neurological disorders.

This research paper explores the framework of Extended Classical Mechanics, with a focus on the Equivalence Principle, Mass, and Gravitational Dynamics. Volume 1 of this study re-examines the classical equivalence principle, which maintains the equivalence of inertial mass and gravitational mass (also referred to as gravitating mass) and extends this concept to incorporate new findings related to both illuminating (baryonic) matter and dark matter. The paper provides a comprehensive analysis of Matter Mass (Mᴍ) and Gravitating Mass (Mɢ) and their roles within the extended framework. It introduces the concept of Apparent Mass (Mᵃᵖᵖ), a negative mass component that influences Effective Mass (Mᵉᶠᶠ), in alignment with the research by A.D. Chernin et al. on dark energy and the structure of the Coma Cluster of Galaxies. Additionally, the paper reinterprets Newton's Law of Universal Gravitation by integrating Apparent Mass, leading to a revised understanding of gravitational potential. The study demonstrates how the interaction between Matter Mass and Negative Apparent Mass contributes to a redefined concept of Gravitating Mass. These extensions enhance classical mechanics by incorporating modern scientific insights, including the gravitational effects of dark matter and the alignment of Apparent Mass with the negative effective mass of dark energy.

The rapid development of advanced AI technologies poses serious existential threats and necessitates research on safe and responsible Human-AI alignment. We hypothesize that the evolution of AI may be viewed not as something accidental or artificial, but as a natural part of the evolution of intelligence in living species. This perspective suggests a different view of the Human-AI relationship, where AI is not seen as a threat or a mere enhancement of humans, but as a mean of revealing and establishing true human nature — achieving greater freedom and self-determination. While in previous evolutionary stages, more freedom was attained through inculturation, AI can serve as a tool in the next stage by providing a direct connection between individuals and culture, overcoming the limitations of traditional cultural acquisition processes and giving rise to post-human free beings. A specific step-by-step framework rooted in cognitive evolution theories is proposed, along with potential directions for empirical research.

AbstractIntroduction: Consistent utilization of institutional delivery service reduces maternal morbidity and mortality. However, service utilization could in turn influenced by the women’s satisfaction with the service provided by the health care providers. In addition, their satisfactions with the institutional delivery service remains understudied. Assessment of the maternal satisfaction with maternal health service is a major input to improve maternal health services. Objective: To assess the maternal satisfaction with maternal health service and its predictors among the women who gave birth in last 12 months in Darara district, Southern Ethiopia.Methods: A community-based cross-sectional study was done using a mixed method among the sample of 520 women in Darara district, South Ethiopia from June 1-30, 2023. A systematic and purposive sampling procedure was utilized to choice the study subjects. A structured, validated and pretested interview-administrated questionnaire and in-depth interview were utilized to collect the data. The data were entered into Epi data version 3.1 and analyzed using SPSS version 25. The chi-square (X²) test was utilized to determine the overall association between independent and dependent variables. Both bi-variable and multivariable binary logistic regression analyses were conducted. Important assumptions of the binary logistic regression were checked to be satisfied. The coding and analysis of the qualitative data were done using thematic content analysis technique by Atlas-Ti software and presented in narratives. Results: The total maternal satisfaction with maternal health service was 55.2% (95% CI = 50.8-59.4). The identified predictors of maternal satisfaction were distance from household to health post (AOR = 3.59; 95% CI= 1.71 - 7.55), absence of preparation of HEWs during procedure (AOR= 2.87; 95% CI = 1.74 - 4.74), acceptability of the HES by HHs (AOR= 2.18; 95% CI = 1.14 - 4.18), having a reliable communication method with HEWs (AOR = 3.47; 95% CI = 1.77 - 6.79) and received training on the model family (AOR= 2.48, 95% CI= 1.86 - 2.57). These quantitative results were supported by the individual, organizational, socio-demographic and cultural qualitative findings. Conclusions: This study indicated that 55.2% of women were satisfied with maternal service.Distance from household to health post, absence of preparation of HEWs during procedure, acceptability of the Health Extension Service (HES) by household, having a reliable communication method with HEWs and received training on the model family were significant predictors of maternal satisfaction. The interventions to increase maternal satisfaction with HES need to focus on household-based acceptability of them and their reliable communication method in planning and implementing the services. Similarly, expansion of training of model family in the community would increase maternal satisfaction levels.

Diagnosis of encephalitis is a challenging problem due to the heterogeneity of clinical presentations and the myriad of aetiology. The objective was to determine the aetiology, clinical features, laboratory parameters, radiological findings and in-hospital outcome of acute encephalitis syndrome (AES) cases in Myanmar. Methods: A prospective analytic study was conducted at Neuromedical Ward of Yangon General Hospital during March to August 2023. 81 AES cases were enrolled and cerebrospinal fluids (CSF) samples were collected. Qiastat ME Panelwas used to detect viral, bacterial and fungal pathogens. Results: 17 out of 81 (21%) cases were non-encephalitis with alternative definite diagnosis. Among the remaining 64 encephalitis cases, the exact infectious and immune aetiologies were identified in 31/64 (48.4%); 26/31 cases (83.9%) were infectious causes and 5/31 patients (16.1%) were immune encephalitis. Among the infection causes, six Herpes Simplex Virus-1, one bacteriologically confirmed and seven probable Mycobacterium tuberculosis, three Haemophilus influenzae, two Streptococcus pneumoniae, one Streptococcus pyogenes, one Varicella-Zoster Virus (Ramsay Hunt Syndrome with meningoencephalitis), two Cryptococcus neoformans infected patients and rare causes such as Listeria monocytogenes, Burkholdelria cepacia, Sphingomonas paucimobilis and Aspergillus were identified. One case was dual infection with Haemophilus influenzae and Cryptococcus neformans. Abnormal protein levels and CSF pleocytosis were significantly higher among bacterial causes (P<0.05). 6.45% (2/31) of encephalitis patients with identified causes and 12.12% (4/33) of those without organism identified had bad outcome. Conclusions: Herpes encephalitis and tuberculous meningoencepalitis were the commonest. This study highlighted that molecular testing with multidisciplinary approach is required to ensure the right treatment on time.

The modern world is gradually moving towards a global civilisation that is automated and propelled by technology. Artificial intelligence (AI) is a highly advanced technology that has been acknowledged as a major innovation. The incorporation of this technology into the banking sector has enhanced operational procedures in relation to customer satisfaction, virtual assistance, and risk reduction. This machine is employed to streamline activities and improve how decisions are made in this sector. This study investigates the potential benefits and challenges of implementing artificial intelligence in the banking sector. The methodology ensures a comprehensive understanding of the implementation of artificial intelligence in banking by showcasing its effectiveness, precision, and efficiency, as well as the opportunities it presents. The study data were collected from secondary sources, such as recent publications that demonstrate applications of artificial intelligence from five different banks, as well as the examination of industry reports. The main findings of this study demonstrate the substantial improvement of administrative operations through AI-driven technology, which effectively automates activities that include inputting data and handling information. As a result, the frequency of mistakes caused by people has reduced, leading to a 30% decrease in operational expenditures for all evaluated institutions. However, the banking industry admits the challenges it encounters, such as issues with confidentiality and a scarcity of skilled employees. In the financial services industry, the integration of artificial intelligence into the banking sector is perceived as an advantageous chance instead of a harmful danger, with a greater potential for beneficial impact.

Frailty syndrome is a complex and multifaceted condition that significantly impacts the health and well-being of older adults. This article provides a comprehensive overview of frailty syndrome, including its definitions, evolution, and the rising role of biomarkers and electroencephalography (EEG) in its diagnosis. The discussion explores the reasons behind the rise of frailty syndrome, the difficulties in managing it, and the global research efforts aimed at understanding and addressing this condition. The economic costs associated with frailty syndrome are highlighted, along with the countries that are currently and will be more affected in the near future. Strategies to postpone or avoid frailty syndrome are discussed, with an emphasis on the importance of muscle strength exercises over aerobic exercises to combat sarcopenia. The article concludes by emphasizing the need for a multidisciplinary approach to frailty management and the importance of social support and engagement in preventing and managing frailty.

Attention mechanisms have become a fundamental component of deep learning, including the field of computer vision. The key idea behind attention in computer vision is to help the model focus on the relevant spatial regions of the input image, rather than treating all regions equally. The traditional approaches to attention mechanisms in computer vision often suffer from distribution inconsistencies in the attention maps, resulting in sharp transitions that negatively affect model’s focus and lead to poor generalization on complex shapes. The problem of spatial incoherence is particularly pronounced in the task of semantic segmentation, where accurate pixel-level predictions require a detailed understanding of the spatial relationships within the image. In this paper, we propose an attention mechanism called Smooth Attention designed for convolutional neural networks to address the problem of spatial inconsistency in attention maps through multidimensional spatial smoothing. We conduct a series of experiments to evaluate the effectiveness of the proposed mechanism and demonstrate its superior performance compared to traditional methods.

The conversion of LULC classes into other types is occurring at a faster rate globally including United States. Many studies have examined the drivers and causes of LULC changes, particularly, in northeast Georgia and Atlanta in the United States, while the case of southeast Georgia remains unstudied. Thus, this study filled the gap by quantifying and predicting the impact of LULC change on forestlands and how these LULC changes have affected forest health. The study used Landsat images, including 2005 and 2023 together with the random forest algorithm to perform LULC classification on the Google Earth Engine. Also, the study predicted how LULC will impact forest cover by 2050. The results revealed that forest hectares have generally changed approximately from 65% to 62% between 2005 and 2023, and this is projected to likely further decline to about 53% by 2050. This change in forest acreage has resulted decline in the health of the forest, that is the NDVI values changed from 0.992 to 0.866 between 2005 and 2023. The study concludes that the forest cover in southeast Georgia has changed to urban features over the years. Agriculture land is projected to gain most of the forest cover by 2050.

This research explores how regional socioeconomic variables affect the perception of social trust and support networks (PYCC) in Italian regions, and examines the implications for public policy designed to strengthen social cohesion. This study examines the variable "People You Can Count On" (PYCC) from the ISTAT-BES dataset, focusing on its distribution across Italian regions between 2013 and 2022. Using clustering through a k-Means algorithm optimized with the Silhouette coefficient and the Elbow method, three distinct clusters of regions emerged, highlighting significant differences in social support networks. An econometric model was employed to estimate the PYCC variable, factoring in socioeconomic indicators such as employment rates, income inequality, and social participation. The results indicate a complex interplay between socioeconomic conditions and social trust, with regions in the South and Islands showing increased community support, while many Northern regions experienced declines. The study suggests that areas with lower economic conditions often foster stronger social networks, driven by necessity. These findings underline the importance of targeted public policies aimed at fostering social cohesion, particularly in regions facing economic challenges. Policy implications include enhancing education, supporting small enterprises, and promoting social housing and welfare initiatives. Strengthening community participation and volunteering are also highlighted as critical strategies to build resilient support networks. Overall, the research provides valuable insights into the regional disparities of social trust and the role of socioeconomic factors in shaping community support across Italy.

Health management in industrial systems is more critical in maintenance management and it plays an important role in productivity, fault diagnosis, safety, efficiency, and economy in manufacturing industries. Early detection of faults in machinery may increase the effectiveness of maintenance actions and will avoid unwanted consequences in process operations and maintenance. Existing fault diagnosis methods have limitations such as insufficient accuracy, slow detection rate, and handling large and complex data sets. In this digital age, Industry 4.0 techniques have been applied across all fields, including the condition monitoring of machines. This research addresses the gaps in traditional fault diagnosis by using deep learning, a modern AI technique effective for diagnosing faults in various machines. Deep learning algorithms Multilayer Perceptron (MLP), Coevolutionary Neural Network (CNN), and Recurrent Neural Network (RNN) with Long Short-Term Memory (LSTM) are tested for fault diagnosis using vibration datasets collected from Spectra Quest Machinery Fault Simulator (SQMFS). In this research work, NI-DAQ (National Instruments- Data Acquisition) system, accelerometer, and LabVIEW software are used to collect vibration signals. Preprocessing of the signals has been done using a sampling strategy, shuffling, standardization, and reshaping data augmentation. The result shows that MLP accuracy in the prediction of fault is 0.9, CNN reached 0.95, and RNN and LSTM with 0.57 and 0.45 respectively. The high performance of CNN is due to its ability to effectively capture spatial patterns in vibration data which is crucial for fault diagnosis in rotating machinery followed by MLP due to its faster convergence during training. However, when scaling the data, MLP outperformed CNN, demonstrating superior adaptability to increased data complexity and volume. Due to the need for larger datasets and temporal patterns in the vibration data, which RNN and LSTM are designed to handle, they resulted in a lower accuracy. This study shows that CNN has given better results than other deep learning algorithms MLP, RNN, and LSTM in fault diagnosis of rotating machinery. Future research could explore the application of these techniques to different types of machinery and fault conditions.

Large language models (LLMs) are known for their exceptional performance across a range of natural language processing tasks, but their deployment comes at a high computational and financial cost. On the other hand, smaller language models (SLMs), which can be deployed on lower-cost edge devices, struggle to match the performance of their larger counterparts. This paper presents a novel hybrid inference approach that leverages the strengths of both model types while minimizing reliance on costly cloud-based LLMs. Unlike existing methods that route entire queries to either an SLM or a cloud LLM, our approach introduces a reward-based mechanism to dynamically determine the involvement of the cloud LLM during token generation. Specifically, each token predicted by the SLM is evaluated against a reward score, and only when this score falls below a certain threshold is the cloud LLM consulted for assistance in the next token prediction. This method not only reduces the traffic to the cloud LLM, thereby lowering costs, but also allows for flexible control over response quality depending on the reward score threshold. Experimental results demonstrate that our approach significantly reduces cloud LLM usage with minimal impact on overall response quality, offering a cost-effective solution for deploying high-performance language models.

Nature-based solutions (NbS) have gained global attention for addressing societal challenges, benefiting biodiversity, and promoting human well-being. NbS have been increasingly recognized for their role in mitigating climate change impacts, such as coastal flooding. However, despite their integration into policy frameworks in Europe and parts of Africa, there remains limited empirical evidence regarding their effectiveness. This study seeks to address this gap by exploring the factors influencing perceptions and awareness of the effectiveness of NbS in coastal communities. A structured survey questionnaire was administered in three coastal communities—Kula, Oyorokoto, and Bonny—examining how perception, knowledge, and socio-economic factors affect the effectiveness of NbS. Results show that socio-economic factors such as age, education, and occupation significantly influence the perceived effectiveness of NbS. Additionally, awareness was found to have a stronger impact on effectiveness than perception. The study concludes that awareness-raising initiatives, particularly those focused on the protective benefits of mangroves, are crucial for enhancing the effectiveness of NbS. Conservation, afforestation, and restoration of coastal ecosystems are recommended as key strategies for promoting NbS and their role in climate resilience.

From ancient times to the present, mankind has struggled with infectious diseases that pose a serious threat to people's lives, COVID-19 pandemic has given a huge impact to the human society, which has triggered a lot of thinking. In the future, humans may encounter various unexpected disasters or awful events, therefore, should learn from COVID-19 pandemic incident that need to pay special attention to the emergency supply of manpower and materials, whether a major disaster or not. That is emergency medical management is very important in the event of a sudden outbreak. What’s more, the preparation and scheduling of emergency medical supplies well safeguards people’s lives, health, and safety. However, owing to the sudden onset of an epidemic and given the population trends, the scale of infections and the demand for supplies in the epidemic area are uncertain. The main influencing factors and mechanisms of emergency material demand under the development trend of emergencies can be studied, and materials can be allocated efficiently and effectively, so as to minimize damage. In this study, it improves upon the dynamics model of infectious diseases firstly, by establishing a demand forecasting model for a certain area, taking the Hubei province as an example. Furthermore, this dynamics model is used to predict demand for emergency supplies, such as masks, respirators, and food in the area where the disaster will occur. Experimental results demonstrate the effectiveness and reliability of this prediction model, which supports for the development of emergency material management systems, ulterior, this study provides a framework for the distribution of emergency supplies and a guideline for relief efforts.

Objectives: This study aimed to evaluate the risk of hepatitis B virus reactivation (HBVr) in COVID-19 patients receiving immunosuppressive treatment, which has been insufficiently studied to date. Secondarily, we aimed to evaluate the seroprevalence of HBV infection in COVID-19 patients. Methods: We performed an HBV screening in all Romanian adults hospitalized in 4 COVID-19 wards between October 2021 and September 2022. We enrolled patients with positive hepatitis B core antibody (anti-HBc) without protective hepatitis B surface antibody (anti-HBs), HBV treatment or immunosuppressive conditions, whom we followed virologically at 3 months. Results: We identified 333/835 (39.9%) anti-HBc-positive patients. Follow-up was performed in 13 patients with positive hepatitis B surface antigen (HbsAg) and 19 HBsAg-negative/anti-HBc-positive patients. Among those who received immunosuppressants, 4/23 (17.4%) patients experienced HBVr: 1 out of 8 (12.5%) HBsAg-positive patients (with 1.99 log increase in HBV DNA level) and 3 out of 15 (20%) HBsAg-negative/anti-HBc-positive patients (with de novo detectable HBV DNA level). Conclusions: Administration of COVID-19 immunosuppressants may result in a significant risk of HBVr in co-infected patients. We recommend performing an HBV triple screen panel (HBsAg, anti-HBs, anti-HBc) in all COVID-19 patients receiving immunosuppressive treatment. HBV prophylaxis may be indicated in certain patients. Larger studies are needed in order to establish an appropriate and cost-effective management in these patients.

This study aims to explore the phenomenon of hadith distortion in hadith literature and analyze its impact on contemporary hadith studies. The intended hadith distortion here refers to the alteration or falsification of hadith narratives that can threaten the integrity and authenticity of sacred texts as sources of Islamic teaching. This article identifies the factors contributing to hadith distortion and its serious consequences in contemporary hadith studies.

Background/Objectives: Phenylketonuria is a hereditary metabolic disorder characterized by a deficiency of phenylalanine hydroxylase. Main treatment for PKU is a phenylalanine-restricted diet. Exclusion of protein rich natural foods and inclusion of low-Phe substitutes may give rise to an imbalanced diet increasing the risk of overweight and obesity in PKU is a cause of concern. We aimed to evaluate the body composition and nutritional biochemical biomarkers in adult PKU patients who are on Phe-restricted and essential amino acids supplemented nutrition therapy and to investigate the relationships, between these parameters and patient gender, adherence to dietary therapy and disease type defined as mild or classic PKU. Methods: The study group comprised 37 PKU patients and 26 healthy siblings as controls. The participants were assessed based on an analysis of anthropometric parameters, body composition and biochemical test results. Results: PKU patients do not have a higher incidence of overweight and obesity than healthy controls, and the proportion of energy derived from carbohydrates in their diets was below the recommended level, and the total energy intake was below the recommended daily allowance. It was remarkable that patients with a treatment adherence ratio of &lt;50% displayed a higher prevalence of overweight and abdominal obesity in comparison to those with a more favorable treatment adherence ratio. Conclusions: In view of the growing prevalence of overweight in the general population, PKU patients should be kept under close long-term follow-up. Particularly in the group with low treatment compliance, more caution should be paid in terms of adverse outcomes.

Anticholinergic burden (ACB) from medications has been associated with adverse outcomes in older people. Aim: To conduct a non-randomised feasibility study of an intervention to Reduce anticholinerGic burdEN in oldER pATiEnts (REGENERATE) to inform a subsequent definitive trial. Methods: The development and evaluation of an ACB reduction intervention was guided by the Medical Research Council framework. Findings from preliminary studies, two systematic reviews and two qualitative studies informed the design of a mixed-method feasibility study. The study was conducted in one UK primary care site. The clinical pharmacist identified and invited potentially eligible patients, reviewed their medications and made recommendations to reduce the ACB as needed. Patients completed surveys at baseline, and 6- and 12- weeks post intervention. A purposive sample of patients and healthcare professionals was interviewed. Results: There was an 16/20 response; 14/16 attended the pharmacist led consultation and completed the baseline questionnaire and 13/14 completed both follow-up questionnaire. The sustainability of deprescribing was confirmed. The results suggest the potential of the intervention to reduce side effects from medications and improve quality of life (EQ-5D-5L). The interviews showed patients were happy with the study processes, and the medication changes, and were satisfied with the pharmacist’s consultation. Conclusions: This feasibility study demonstrated that a deprescribing/reducing ACB intervention in older people is feasible in a primary care setting and may benefit patients. Well-designed RCTs and cost-effectiveness studies should be undertaken to confirm the benefits of ACB deprescribing in primary care settings. Trial registration: ClinicalTrials.gov no. NCT04660838

For a number of reasons, a curative treatment for most chronic diseases is still unrealized [2–4] and the incidence of many chronic diseases is rapidly increasing [5–9]. A new model is offered as a solution; that being the individualized diagnosis of homeostasis, leading to the correction of epimutations. Homeostasis diagnosis and epimutation correction, HDEC. Individuals with chronic diseases are increasingly being defined by their epimutation signatures [10,11]. Modern innovations in toxicogenomic studies are also becoming more accurate in their ability to identify the unique epigenetic signature of each toxin [12–14]. Hormesis studies (over 5,000) [15] suggest a universal principle, that a small dose is always a stimulant [16–18].These three facts present an opportunity; a method to diagnose and reverse chronic disease tendencies. This new model requires a paradigm shift in our understanding of disease origins: that dysfunctions in homeostasis [19,20] are the primary and deepest level of chronic disease causation. This is the level where the diagnosis needs to be made and where the corrections need to take place [21].

Pipelines are regularly trenched and then forgotten, just allowed to run till failure and producing an overall incredibly poorly run system that is ripe for improvements. One of the most needed areas for improvement are proactive methods for condition assessment of existing pipelines. This can be divided into two main categories: proactive condition assessment technologies and nonstructural proactive condition improvement technologies. The objective of this paper is to identify the best option available on the market for both these areas of proactive condition assessment for existing pipelines. The compared proactive condition assessment technologies include Acoustic Resonance Testing, Ultrasonic Thickness Measurement Testing, Phased Array Ultrasonic Testing, Pulsed Eddy Current Testing, and the Multisensor ROV. The technologies compared for nonstructural proactive condition improvement were Jetting, Pigging and also included the main requirements for a proper catalog of pipe information that can be used to produce a ranked system for assessing which pipes are at highest risk for failure and can be used to efficiently direct resources for pipe maintenance. The final conclusion was that Acoustic Resonance Testing and the Multisensor ROV are the two best products available for the proactive condition assessment of existing pipelines available on the market from their versatility of application and amount of information gathered during pipe inspection. The best option available in the group of nonstructural proactive condition improvement technologies was pigging for its incredibly low risk and low social impact as well as potential for improvement in the near future. It was also concluded that every agency would be better off with a catalog of the pipe material, age, length, diameter, and burial depth to know the location of every pipe an agency owns as well as to rank every pipe in terms of risk of failure and impact of said failure to most efficiently direct resources.

Objective: The main purpose of this meta-analysis was to assess the efficacy and safety of Oncolytic Viruses (OVs) in glioma therapy. Methods: We searched the literature in PubMed, EMBASE, Web of Science, and the Cochrane Library. The primary outcomes assessed were overall survival (OS), progression-free survival (PFS), objective response rate (ORR), and adverse events (AEs). The risk of bias was evaluated by sensitivity analysis and publication bias. Results: We identified 21 studies with 440 patients in this meta-analysis. In the single-arm analysis, the results showed that the 1-year OS rate was 47% (95% CI: 34%-61%, I2 = 75%) and the 2-year OS rate was 14% (95% CI: 10%-20%, I2 = 0%). The median OS was 12.48 months (95% CI: 10.71-14.25, I2 = 96%). The 1-year PFS rate was 13% (95% CI: 5%-24%, I2 = 0%), with the median PFS being 4.01 months (95% CI: 2.99-45.03, I2 = 96%). The pooled estimate of ORR was 7% (95% CI: 3%-12%, I2 = 23%). Funnel plots for median PFS were asymmetric with Egger’s test P < 0.01 indicating publication exists. The incidence of OVs-related AEs was 49% (95% CI: 20%-79%, I2 = 95%), and AEs > grade 3 was 8% (95% CI: 3%-16%, I2 = 62%). Conclusion: This meta-analysis indicated that OVs therapy was relatively safe but did not significantly extend survival in patients with gliomas.

This narrative review provides an in-depth analysis of attachment during adolescence, empha-sizing how early attachment experiences shape emotional, social, and psychological development. Drawing from the foundational work of Bowlby and Ainsworth, it revisits attachment theories and explores how the attachment system evolves as adolescents seek greater autonomy while maintaining bonds with caregivers. The review discusses the prevalence and developmental con-sequences of attachment-related disorders, such as reactive attachment disorder and disinhibited social engagement disorder, particularly in relation to adverse caregiving environments. Key themes include the intergenerational transmission of attachment, where parental reflective func-tioning and early caregiving behaviors influence attachment security across generations. The evolving role of fathers, peer relationships, and romantic bonds in adolescence are explored as significant factors shaping attachment patterns during this developmental period. Methodologi-cal considerations highlight the value of qualitative approaches, including interviews and obser-vational methods, for capturing the complexity of adolescent attachment dynamics. Additionally, the review addresses the processes that contribute to both continuity and change in attachment classifications over time, emphasizing the impact of life events, parental behaviors, and develop-mental transitions. The implications of attachment for developmental psychopathology, particu-larly in relation to emotional regulation and psychosocial functioning, are discussed. Finally, the review calls for further interdisciplinary research to deepen understanding of attachment mecha-nisms, using advanced technologies and culturally sensitive approaches to improve mental health and developmental outcomes across the lifespan.

Concerns regarding the safety of ethoxyquin (EQ) have gradually increased, highlighting the necessity of identifying safer and more effective antioxidants for use in animal feed. This study investigates the effects of a compound antioxidant (CA) as an alternative to ethoxyquin on feed oxidative stability, growth performance, antioxidant capacity, and intestinal health in broilers. A total of 351 one-day-old Arbor Acres Plus male broilers were randomly assigned to three treatments with nine replicates of 13 birds each. The experimental treatments included: CON group (basal diet), EQ group (basal diet + 200 g/ton EQ at 60% purity), and CA group (basal diet + 200 g/ton compound antioxidant, which comprises 18% butylated hydroxytoluene, 3% citric acid, and 1% tertiary butylhydroquinone). The experiment lasted for 21 days. Compared to the control group, supplementation with CA significantly reduced the acid value, peroxide value, and malondialdehyde content in the feeds after storage. Moreover, CA supplementation significantly decreased feed intake and the feed conversion ratio (FCR) without affecting weight gain of boilers, while also improving liver antioxidant capacity (increased T-AOC and SOD levels), intestinal antioxidant capacity (increased CAT, HO-1, and GPX7 protein expression), and enhancing the duodenal villus height-to-crypt depth ratio and jejunal villus height. Additionally, CA treatment reduced intestinal barrier permeability (decreased diamine oxidase activity and D-lactate levels), potentially by promoting the expression of Occludin, ZO-1, and Mucin2 protein. Furthermore, the addition of CA elevated the protein levels of NF-κB p50 along with its inhibitory factors, IκB and NF-κB p105, in the intestines of broilers, thereby enhancing immune regulatory capacity. This supplementation also led to an increased abundance of beneficial gut microorganisms, including Lactobacillus, Alistipes, Candidatus Arthromitus, and Turicibacter. In comparison to the EQ group, CA supplementation enhanced feed oxidative stability, decreased the FCR, and improved the intestinal morphology, barrier functions, and inflammatory status in broilers. These findings suggest that this compound antioxidant may serve as a healthier and more effective alternative to ethoxyquin.

DNA - the repository of genetic information harbours sequences rich in Guanine that adopt non-B form four-stranded DNA secondary structures termed as G-quadruplexes (G4s). Such non-canonical structures tend to impede the progression of routine replisome and are implicated to have crucial roles in replication, transcription and epigenetic regulation while also ensuring genomic stability. It is now fully established that G4s are enzymatically unfolded by helicases, thus, preventing transient yet apparent impediments to the vital replisome progression. This unfolding of G-quadruplex ensures genetic and epigenetic stability. Given the importance of G4 biology for multiple human parasites such as, Mycobacterium tuberculosis, research efforts probing parasitic G4 biology is gaining momentum with the hope to enable therapeutic intervention. We herein shed light on G4s, conditions that lead to their formation and the mechanisms employed by cells to cause their unfolding. Towards the end, potential drug discovery avenues that arise from targeting parasitic helicases and G4 biology are summarized.

Maximal athletic performance can be limited by various factors, including restricted respiratory function. These limitations can be mitigated through targeted respiratory muscle training, as supported by numerous studies. However, the full potential of respiratory training in competitive finswimming has not been fully investigated. This case study aims to evaluate performance variability during underwater phases in an elite Bi-Fins swimmer (current world record holder and multiple world championship medallist) over a 200m race simulation after an eight-week respiratory training using Airofit PRO™. Performance variability was assessed based on pre-test, inter-test, and post-test data. Each measurement included pulmonary function, body composition, and swim performance evaluations. The swimmer followed a 28-day training program with the AiroFit PRO™ respiratory trainer between tests. Significant improvements were observed in Wilcoxon paired-sample test between the pre-test and post-test in underwater distance (p=0.012; d=1.26), underwater time (p=0.012; d=1.26), and number of underwater kicks (p=0.043; d=1.01), resulting in a 14.23% longer underwater distance, 14.08% longer underwater time, and 14.94% increase in underwater kicks. Despite increased distance and time, underwater velocity remained stable, indicating improved underwater performance efficiency. The results suggest that the AiroFit PRO™ respiratory trainer has practical applications in finswimming training programs.

Crigler-Najjar Syndrome (CNS) is a rare genetic disorder caused by mutations in the UGT1A1 gene, leading to impaired bilirubin conjugation and severe unconjugated hyperbilirubinemia. CNS presents in two forms: CNS type 1 (CNS1), the more severe form with a complete absence of UGT1A1 activity, and CNS type 2 (CNS2), with partial enzyme activity. CNS1 requires aggressive management, including phototherapy and plasmapheresis, but liver transplantation (LT) remains the only definitive cure. The timing of LT is critical, as it must be performed before the onset of irreversible brain damage (kernicterus), making early intervention essential. However, LT poses risks such as graft rejection and lifelong immunosuppression. CNS2 is milder, with patients re-sponding well to phenobarbital and having a lower risk of kernicterus. Recent advancements in gene therapy and autologous hepatocyte transplantation offer promising alternatives to LT. Gene therapy using adeno-associated virus (AAV) vectors has shown potential in preclinical studies, though challenges remain in pediatric applications due to liver growth and pre-existing immunity. Autologous hepatocyte transplantation avoids the risks of rejection but requires further research. These emerging therapies provide hope for more effective and less invasive treatment options, aiming to improve the quality of life for CNS patients and reduce reliance on lifelong interven-tions.

Introduction: Patients with chronic lymphocytic leukemia (CLL) and multiple myeloma (MM) are susceptible to viral infections, including varicella-zoster virus (VZV) reactivation due to both disease-related and treatment-induced immunosuppression. The recombinant adjuvanted herpes zoster vaccine (RZV) has shown high efficacy in immunocompetent adults, but immunogenicity data in CLL and MM patients is limited. This study evaluates the immunogenicity and safety of RZV in this population. Methods: Patients with CLL and MM vaccinated with RZV (administered in two doses at least one month apart) were included in the study. Pre- and post-vaccination anti-VZV IgM and IgG antibody levels were measured to assess immunogenicity, and adverse events (AEs) were captured for safety evaluation. Results: Seventy-eight patients received both vaccine doses, and 71 had post-vaccination samples. Most of the patients were IgM seronegative and IgG seropositive before vaccination. Pre-vaccination IgG levels were higher in CLL compared to MM patients (p=0.001), while post-vaccination IgG levels significantly increased in both CLL (p<0.0001) and MM (p<0.0001) patients. In actively treated CLL patients, the pre-vaccination IgG levels were significantly lower than in not actively treated patients (p=0.002). Post-vaccination IgG levels were lower in MM patients receiving antiviral prophylaxis concurrently with the vaccination (p=0.013). AEs were reported in 49.4% after the first dose and 48.7% after the second dose, mostly mild (local or low-grade systemic). One case of immune thrombocytopenia was noted. Conclusion: RZV demonstrated strong immunogenicity and acceptable safety in CLL and MM patients, significantly boosting IgG levels, even in actively treated or heavily pretreated patients.

The behavior of concrete beams reinforced with steel and Glass Fiber Reinforced Polymer (GFRP) rebars, without shear reinforcement is investigated in the current study. This study includes testing experimentally of twenty-four steel and GFRP Reinforced Concrete (RC) beams cast with different percentage of fibers. The beams were split into two types, steel and GFRP RC beams. Beams of different fiber ratios (0, 0.5, 1.5 and 2.5%) were developed and tested, in two groups, each consists of twelve specimens, steel and GFRP reinforced RC beams. Both steel and GFRP RC beams were cast as singly reinforced with 10 mm diameter longitudinal bars at the bottom. In order to ensure that the beam to fail under shear, the top reinforcement and stirrups are removed. The concrete cover was kept as 30 mm. Three concrete grades (M30, M60 and M80) were examined for different dosage of fibers for both steel and GFRP RC beams. The size of the beam samples was kept as 150 ×200×1500 mm. The key parameters were the form of reinforcement material (steel and GFRP), compressive strength of concrete and fiber percentage. Failure mode, ultimate load carrying capacity, mid-span deflection, strain in concrete and reinforcement (steel and GFRP) of the beams have been reported. It is found that the effect of using fibers and higher grade of concrete is more pronounced in improving stiffness of GFRP RC beams compared to steel RC beams. Hence it can be concluded that GFRP rebars can be used as an efficient type of reinforcement in RC beams.

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

The effects of toxic air in the form of air pollution are known to harm women’s health. New data has shown that air pollution has effects on maternal anemia. Yet the effects of particulate matter 2.5 (PM_2.5) on hemoglobin among reproductive maternal (15-49 years) has been understudied. In this population-based study, we study the region-specific associations between prevalence of hemoglobin among reproductive women and PM_2.5 in 43 countries of Africa from 2000-2019. Using generalized linear regression models, we found that after adjusting for key covariates, PM_2.5 had a slight negative association with hemoglobin among reproductive women. Other studies are needed in other low-income settings to expand our findings.

In this study, in order to determine the effect of matrices shape on percolation threshold values, computer simulations were performed using the Monte Carlo method for a 200x200 square-shaped matrix and rectangular matrices containing the same number of nodes as the square matrix. Based on the simulations, the average values of percolation thresholds and standard deviations for current flow along and across the matrices were determined. It was determined that for a square-shaped matrix, the average values of percolation thresholds in both directions of current flow were the same. Extending the rectangular matrix while reducing its height causes the average value of the percolation threshold in the direction of current flow along the matrix to increase from 0.592740 to 0.759847, while in the transverse direction it decreases from 0.592664 to 0.403614. The values of the classical asymmetry coefficients of the probability distributions of percolation thresholds for both directions of current flow were determined. Histograms of the probability distributions of percolation threshold values for square-shaped matrix and rectangular matrices were made and compared with normal distributions. It was found that the occurrence of two percolation thresholds in rectangular layers should be considered when analyzing electrical conductivity measurements of nanocomposite thin films.

The rapid acceleration of artificial intelligence (AI) has sparked extensive debate about its impact on the safety and security of society. While AI has shown trans- formative potential, particularly in areas such as healthcare and independent structures where it complements productivity and minimizes human error, accu- racy and protection. However, the misuse of artificial intelligence poses real risks, along with threats such as deep counterfeiting, computer cyber-attacks and the manipulation of social behavior through disinformation. These risks vary from privacy and cyber security breaches to moral dilemmas around liability. The unchecked improvement of AI is expected to threaten the social order, so the relationship between innovation and governance is essential so that AI-related threats do not overshadow its benefits. This article offers a detailed assessment and review of the literature that studies the potential dangers that AI poses to society. The cumulative effects underscore the urgent need for comprehensive regulatory frameworks to mitigate these threats.

Trichiurus japonicus is the most productive fish caught in our country. In order to understand the seasonal distribution of Trichiurus japonicus in the central and southern parts of the East China Sea and Yellow Sea, three species distribution models were adopted, namely Random Forest Model, K-nearest neighbor algorithm and gradient ascending decision Tree model, based on the data of trawling surveys in the central and southern parts of the East China Sea and Yellow Sea from 2008 to 2009. Combined with variance inflation factor and cross-check, the distribution model of Trichiurus japonicus was screened and constructed to analyze the influence of environmental factors on the distribution of Trichiurus japonicus in the central and southern parts of the East China Sea and the Yellow Sea. The results showed that the random forest model had the advantages of fitting effect and prediction ability among the three models. The analysis of this model showed that the water depth, bottom water temperature and surface salinity had a great influence on the habitat distribution of Trichiurus japonicus. The relative resources of Trichiurus japonicus increased with the increase of bottom water temperature and reached the maximum at 23.8℃, and first increased and then decreased with the increase of water depth and surface salinity, reaching the maximum at 72 m and 31.2‰, respectively. The random forest model was used to predict the spatial distribution of Trichiurus japonicus in the East China Sea and the central and southern Yellow Sea during 2008-2009, and the results showed that the predicted results were close to the actual situation. The research results can provide reference for the exploitation and protection of Trichiurus japonicus resources in the East China Sea and the central and southern Yellow Sea.

This study provides a detailed examination of Natural Language Processing (NLP) for the complexscript of Nepali. We analyze available data resources today and discuss relevant points includingcharacter encoding, advanced tokenization methods and morphological complexity. This allows us tocontrast Nepal’s unique language and technology ecosystem with Hindi and Thai in terms of NLPadvancements. Quantitative assessment of existing tools and resources is offered by this investigationwhich highlights immediate weaknesses as well as areas that need more effort. Various ethicalconcerns are addressed here while potential topics for future research as e-governance, healthcare oreducation with a focus on new domain-specific applications, and cross-lingual transfer learning aresuggested. The objective of this attempt is to enhance understanding of natural language processing(NLP) in Nepali language and beyond aimed at developing NLP technologies that are more efficient,inclusive, culturally appropriate across diverse linguistic communities.

Maintaining the optimal microclimate in broiler houses is crucial for bird productivity, yet enabling efficient temperature control remains a significant challenge. This study developed and validated a computational fluid dynamics (CFD) model to predict temporal changes in indoor air temperature in response to variable ventilation operations in a commercial broiler house. The model accurately simulated air velocity and airflow distribution for different numbers of tunnel fans in operation, with air-velocity errors ranging from -0.22 to 0.32 m s-1. The predicted airflow rates through inlets and cooling pads showed good agreement with measured values with an accuracy of up to 108.1%. Additionally, the CFD model effectively predicted temperature dynamics, accounting for chicken heat production and ventilation effect. The model successfully predicted the longitudinal temperature gradients and their variations during ventilation cycles, validating its reliability through comparison with experimental data. The study also explored different variable inlet configurations to mitigate the temperature gradient. The variable inlet adjustment showed the potential to relieve the high temperatures but may reduce overall ventilation efficiency or intensify temperature gradients, which confirms the importance of optimising ventilation strategies. This CFD model provides a valuable tool for evaluating and improving ventilation systems and contributes to enhanced indoor microclimates and productivity in poultry houses.

A previous research showed the 1755 tsunami would inundate the Marginal Avenue, the railway and the low ground area of Caxias, Oeiras municipality, Portugal. Thus, in this study several proposals for coastal protection are presented. A new Lidar data of local topography allowed the construction of a more accurate DEM, including the representation of the streets of Caxias downtown, to be used in the tsunami numerical model. The results were combined with field survey on Caxias and other coastal areas of Portugal and Japan. The new calculations show the low ground areas up to 6 m in height area inundated by the tsunami. However, with the new proposal DEM the tsunami inundation is restricted to the beaches. The proposal includes the construction of a new sea wall with 7 m in height at Caxias beach, the increase in height of the Barcarena Stream levees and the elevation of the sidewalk at São Bruno beach, with a gentle slope up to 7 m in height. It is also proposed the construction of a third bridge over the Barcarena Stream for pedestrian ranging from 5 to 7 m in height that will serve as a gate for the incoming tsunami waves.

The present study aims to find out the financial risk tolerance scores of the rural residents of Ludhiana district. Also, how drivers such as socio-demographic factors, namely, gender, age, education, annual income, existence of loan, occupation, employment status and psychological factors, namely, deliberative thinking, optimism and personality type A/ B impact financial risk tolerance of rural residents. The study is important for financial policy makers as they will become aware about scenario of rural residents and frame policies accordingly. Stepwise regression analysis was carried on. The result was found out that optimism positively and deliberative thinking negatively impacted financial risk tolerance, but personality type A/B did not have a significant impact on financial risk tolerance. Socio-demographic factors such as existence of loan, full-time salaried individuals, marital status significantly impacted financial risk tolerance. Other factors failed to have impact on financial risk tolerance of rural residents in the current study.

Endometrial cancer (EC) poses a significant global health challenge, with increasing prevalence in 26 of 43 countries and over 13,000 deaths projected in the United States by 2024. This rise correlates with aging populations, the obesity epidemic, and changing reproductive patterns, including delayed childbearing. Despite the early diagnosis in 67% of cases, approximately 30% of cases present with regional or distant spread, leading to nearly 20% mortality rates. Unlike many cancers, EC mortality rates are escalating, outpacing therapeutic advancements until recently. One of the reasons for this was the lack of effective therapeutic options for advanced disease until recently. The introduction of immunotherapy has marked a turning point in EC treatment, particularly benefiting patients with defects in mismatch repair proteins (dMMRs). However, dMMR status alone does not ensure a favorable response, underscoring the need for precise patient selection. This review explores the pivotal role of mismatch repair proteins in EC, emphasizing their heterogeneity, the challenges in their assessment, and their potential as predictive biomarkers.

Deep-learning-based convection schemes receive wide attention due to its impressive im-provement on precipitation distribution and tropical convections of earth system simulation. But they cannot represent the stochasticity of moist physics, which will degrade the simulation of large-scale circulations, climate mean, and variability. To solve this problem, a stochastic pa-rameterization scheme based on probabilistic diffusion model named DIFF-MP is developed. The cloud-resolving data from GRIST model is coarse-grained into resolved-scale variables and sub-grid contributions due to moist physics to form the training data. DIFF-MP’s performance is compared against generative adversarial network and variational autoencoder. Results show that DIFF-MP is consistently better than the other two models on prediction error, coverage ratio, and spread-skill correlation. The standard deviation, skewness, and kurtosis of subgrid contributions generated by DIFF-MP is also closer to the testing data than the others. Interpretability experiment shows that DIFF-MP’s parameterization of moist physics is physically reasonable.

The present study investigated how two types of face masks affected seven acoustic parameters, commonly used in forensic speaker recognition, in several languages. Reading samples from an excerpt of “The Little Prince” were recorded by volunteers of both genders speaking in Lithuanian, Croatian, Romanian, Turkish, Ukrainian, Portuguese, Georgian, Hungarian, Spanish, Russian, Polish, and German, without a protection mask, wearing a surgical mask, and wearing an FFP2 mask. In addition, recordings from mobile and landline communications in some of the mentioned languages were also obtained. A total of 860 volunteers were recorded. The dataset is part of the Forensic Multilingual Voices Database (FMVD), developed under the “Competency, Education, Research, Testing, Accreditation, and Innovation in Forensic Science” (CERTAIN-FORS) project, funded by the European Union (EU) and coordinated by the European Network of Forensic Science Institutes (ENFSI). The results showed that face masks have an impact on the studied acoustic parameters and that the effects vary with mask type, sex, language, and recording channel.

Virtual Reality (VR) is increasingly used in neuropsychological assessments due to its ability to simulate real-world environments. This study aimed to develop and evaluate the Trail Making Test in VR (TMT-VR) and investigate the effects of different interaction modes and gaming skills on cognitive performance. A total of 71 young female and male adults (aged 18-35) with high and low gaming skills participated in this study. Participants completed the TMT-VR using three interaction modes: eye-tracking, head movement, and controller. Performance metrics included task completion time and accuracy. User experience, usability, and acceptability of TMT-VR were also examined. Results showed that both eye-tracking and head movement modes significantly outperformed the controller in terms of task completion time and accuracy. No significant differences were found between eye-tracking and head movement modes. Gaming skills did not significantly influence task performance using any interaction mode. Participants reported high usability, acceptability, and user experience for the TMT-VR. Eye-tracking facilitated higher accuracy, while head movement higher speed. The TMT-VR offers high usability and user experience and is well accepted by the participants. The findings suggest that VR-based assessments can effectively measure cognitive performance without being influenced by prior gaming skills, indicating potential applicability for diverse populations.

The chronic high fat dysbiosis diet (HFD) instigates cardiac remodeling, dysfunction and chronic heart failure (CHF). The therapeutic approaches focusing oxidative stress, inflammation and hyperlipidemia have not yielded significant positive clinical outcomes. Recent studies report that although mitochondrial ATP citrate lyase (ACLY) supports cardiac function, however, decreases more in human HFpEF than HFrEF. Interestingly, the ACLY synthesizes lipids and creates hyperlipidemia. Epigenetically, ACLY acetylates histone. The mechanism(s) are unknown. One hypothesis is that the HFD induces epigenetic folate 1-carbon metabolism (FOCM), heperhomocysteinemia (HHcy, a cause of abrogation of sleep-time dipping in blood pressure and hypertension) and heart failure. Interestingly, the probiotics utilizes the fat/lipids post-biotically, and increases the mitochondrial bioenergetics and attenuates the HFD induced heart failure. We suggest a novel and paradigm-shift epigenetic mitochondrial sulfur transsulfuration pathways that selectively target HFD-induced CHF. The HFD via transport and metabolomic pathways instigates cardiac remodeling and dyfunction. Previous studies from our laboratory, using a single cell analysis, revealed increase in transporter (SLC25A) of s-adenosine-methionine (SAM) during elevated levels of homocysteine (Hcy, i.e., hyperhomocysteinemia, HHcy), a consequence of impaired epigenetic recycling of Hcy back to methionine by increase in FOCM methylation of H3K4, K9, H4K20 and gene writer (DNMT) and decrease in eraser (TET/FTO). The Hcy transported to mitochondria by SLC7A for clearance via sulfur metabolomic transsulfuration by 3-mercaptopyruvate sulfur transferase (3MST). Interestingly, the HHcy decreases ATP, OCR, H₂S, PGC1α, TFAM, and increase in fission/fusion ratio, causing mitochondria dysfunction. We suggest that gut dysbiosis by HFD disrupts rhythmic epigenetic memory via FOCM and increase in DNMT1 and creates HHcy, leading to decrease mitochondrial transsulfuration and bioenergetics. The treatment with a probiotic, lactobacillus will eat the fat/lipids post-biotically and bi-directionally will produce folic acid and lactone-ketone body that will mitigate the HFD-induced mitochondrial remodeling and heart failure.

In this study, Caciocavallo Ragusano, a typical cheese produced in Sicily Island (Italy), was ob-tained from milk of dairy cows fed with and without enriched olive cake (ECO and CTR, respec-tively) in order to evaluate nutritional, microbiological, volatile, and sensory differences in cheeses. ECO cheese showed greater (p < 0.05) MUFA and PUFA and polyphenols content, and lower SFA content than CTR cheese. Microbiological analyses revealed the absence of Salmonella, Listeria monocytogenes, Escherichia coli, and E. coli O157, and no significant differences in the vi-able counts of the remaining microbial groups analyzed, between samples. Thermophilic lacto-cocci were more prevalent in ECO cheese. The implementation of culture-independent method, such as PCR-DGGE analyses, revealed the presence of a more diverse microbial population in both cheeses. Regarding the volatile compounds profile, long-chain free fatty acids were more abundant in the ECO cheese resulting in a healthier free fatty acid profile. This study also showed that, especially for their appearance and taste, the consumers mostly appreciated the ECO cheese. Results showed that using enriched olive cake could enhance the sustainability and the quality of Ragusano cheese, improving not only the health of the consumers but also positively influencing tastes and acceptability.