Almost one fifth of breast cancer cases express Human Epidermal Growth Factor-2 (HER2), and such expression is associated with highly proliferative tumor and poor prognosis. The introduction of anti-HER2 therapies has dramatically changed the natural course of this aggressive subtype of breast cancer. However, anti-HER2 therapy can be associated with substantial toxicities, mostly cardiac, and high cost. Over the past few years, there has been growing interest in de-escalation of anti-HER2 therapies to minimize adverse events and healthcare costs, while maintaining the efficacy of treatment. Data from clinical observations and single-arm studies have eluted to the minimal impact of anti-HER2 therapy in low-risk patients, like those with node-negative and small tumors. Though single-arm, the APT trial, in which patients with node-negative, small tumors received single-agent paclitaxel for 12 cycles plus trastuzumab for 1 year, was a practice-changing study. Several other recently published studies, like the PERSEPHONE trial, have shown more convincing data that 6 months of trastuzumab is not inferior to 12 months, in terms of disease-free survival (DFS), suggesting that de-escalating strategies with shorter treatment may be appropriate for some low-risk patients. Other de-escalating strategies involved adaptive, response-directed approach, and personalized therapy that depends on tumor genomic profiling.

The COVID-19 pandemic has not just gently nudged but forcefully thrust environmental issues into the forefront of public consciousness. This shift in awareness has been a long-time aspiration of conservation scientists, who have played a crucial role in advocating for recognizing nature’s contributions to human life and a healthy environment. We explain the advantages of using newly available tools and sources of digital data, i.e., the Absolute Search Volume in Google per flag keywords, i.e., biodiversity, climate change, and sustainability, and The GDELT Project that monitors the world's broadcast, print, and web news, as well as the Difference-in-Difference method comparing paired samples of public interest before and after the pandemic outbreak. We focus on the case of UK citizens’ public interest. Public interest in the flag keywords in the UK shows a highly significant increase during the pandemic. Results contradict hypotheses or findings presented elsewhere that the public interest is attenuated during -and because- the public health crisis. We support growing public awareness of the existential risks springing from human materialism misappropriating nature, environment, and resources. In conclusion, we advocate for a ‘new conservation narrative’ that could be fostered by the increased public interest in environmental topics during the pandemic.

This paper presents a comprehensive study on the design and aerodynamic optimization of a hybrid surveillance drone, conducted within the academic framework of Abu Dhabi University. The research primarily focuses on the comparison between flying wing and conventional aircraft layouts, with an emphasis on reducing drag coefficients and enhancing stall behavior through integrated design strategies. Utilizing SST k-omega viscous model (CFD) simulations, the study evaluates the aerodynamic performance of the drone model, analyzing lift, drag, and pitching moment coefficients against existing models. The paper further explores winglet selection and propeller dynamics, aiming to optimize the lift-to-drag ratio and achieve desired lift-to-weight ratios through careful consideration of propeller-wing interactions. Findings from the study indicate a notable improvement in aerodynamic efficiency, with the new drone model achieving a maximum lift coefficient (Cl, max) of 0.746, a minimum drag coefficient (Cd, min) of 0.039, and a peak lift-to-drag ratio (Cl/Cd) of 8.507. The research contributes significantly to the fields of Aerospace Engineering and Mechanical Engineering, providing a foundation for future advancements in drone design and application.

The Kennedy model offers a robust framework for modeling forward rates, leveraging Gaussian random fields to accommodate emerging phenomena such as negative rates. In our study, we employ maximum likelihood estimations to determine the parameters of the Kennedy field, utilizing Radon-Nikodym derivatives for enhanced accuracy. We introduce an efficient simulation method for the Kennedy field and develop a Black-Scholes-like analytical pricing formula for diverse financial assets. Additionally, we present a novel parameter estimation algorithm grounded in numerical extreme value optimization, enabling the recalibration of parameters based on observed financial product prices. To validate the efficacy of our approach, we assess its performance using real-world par swap rates in the latter part of this article.

The stress-inducible heat shock protein 70 (Hsp70), which functions as a molecular chaperone and is frequently overexpressed in different cancer cell types, is presented on the cell surface of tumor cells and is actively released into the circulation in free and extracellular lipid vesicle-associated forms. Since the exact pathomechanism of endometriosis has not yet been elucidated but has been associated with the development of endometrial and ovarian cancer, we asked whether extracellular Hsp70 and circulating endometriotic cells (CECs) reflects the presence and development of endometriosis. Therefore, circulating levels of free and lipid microvesicle-associated Hsp70 were measured using the Hsp70-exo ELISA, and the presence of circulating CECs in the peripheral blood of patients with endometriosis was determined using membrane Hsp70 (mHsp70) and EpCAM monoclonal antibody (mAb)-based bead isolation approaches. Isolated CECs were further characterized by immunofluorescence using reagents directed against cytokeratin (epithelial), CD45 (leukocyte), CD105/CD44 (mesenchymal-stemness) and by comparative RNA analysis. Similar to the situation in patients with cancer, levels of circulating Hsp70 were elevated in the blood of patients with histologically proven endometriosis compared to a healthy control cohort, with the highest Hsp70 level in a patient with lymph node endometriosis. Moreover, CECs could be isolated using the cmHsp70.1 mAb- and to a lesser extent EpCAM mAb-based bead approaches in all patients with endometriosis. The longevity in cell culture and the expression of cytokeratin, CD105 and CD44, together with differentially expressed genes related to EMT reveals similarities of mHsp70 expressing CECs with circulating tumor cells (CTCs) and suggest a mesenchymal-stemness origin. These findings may support the involvement of mHsp70 positive, stem cell-like cells in the development of endometriotic lesions. In summary, elevated levels of Hsp70 in the blood and CECs could serve as liquid biopsy markers for endometriosis and help to elucidate the underlying pathomechanism of the disease.

Installation of offshore wind farms is rising, driven by the goal of changing the global energy matrix. However, many of its possible impacts are still unknown. Increased noise levels, disruptions to food chains, pollution due to traffic, and impacts on fishing communities and tourism are all potential effects to consider. Marine habitats are essential carbon dioxide sinks. Therefore, losing marine biodiversity due to offshore wind farms can be counterproductive in mitigating climate change. Balancing biodiversity conservation, wind potential, and political interests is challenging. Today, Uruguay has practically decarbonized its electrical matrix, incorporating wind, solar, and biomass energy alongside hydroelectricity. In line with this, the country's Hydrogen Roadmap highlights green hydrogen as relevant, potentially serving as a transportation fuel for both domestic consumption and export. Combining the country's strong base of wind experience with its sustainable policy, it plans to implement offshore wind farms to produce green hydrogen, making studies of its impacts crucial. This paper reviews the current social and environmental information on the Uruguayan coastal habitat, analyzes onshore wind farms' ecological studies, and examines offshore wind farms' global environmental and social impacts. Finally, it proposes suggested studies for environmental approval for offshore wind farms.

In this paper, we investigate a class of hierarchical variational inequalities (HVIPs, i.e., strongly monotone variational inequality problems defined on the solution set of multiple-set split common fixed point problems) with quasi-pseudocontractive mappings in real Hilbert spaces, which special cases can be found in many important engineering practical applications such as image recognizing, signal processing and machine learning. In order to solve HVIPs of potential application value, inspired by the primal-dual algorithm, we propose a novel accelerated cyclic iterative algorithm that combines the inertial method with a correction term and a self-adaptive step-size technique. Our approach eliminates the need for prior knowledge of the bounded linear operator norm. Under appropriate assumptions, we establish strong convergence of the algorithm. Finally, we apply our novel iterative approximation to solve multiple-set split feasibility problems and verify the effectiveness of the proposed iterative algorithm through numerical results.

The permeability, heat conductivity and reaction rate will be varied with the change of natural gas hydrate saturation, when thermal fluid injected into the natural gas hydrate reservoirs. In order to characterize the variation of physical field parameters with hydrate saturation, DDF-LBM was applied to simulate the hydrate dissolving process by thermal fluid injection under pore scale modelling. Based on the forced conjugate heat transfer case, the relaxation frequency of the thermal lattice in the pores is corrected. Based on the P-T phase equilibrium relationship of hydrates and considering the heat absorbed by the hydrate reaction, the solid-liquid state of the hydrate lattice is judged in real time, and the dynamic simulation of the heat flow solidification multi-physics field is realized. The simulation results show that the dissolution rate of hydrates by thermal fluid injection was higher than that by heating the hydrate surface alone, and was positively correlated with the hydrate saturation. On the basis of the above results, this paper provided exponential fitting equations between different hydrate saturations and average permeability, effective thermal conductivity, and inherent reaction rate. The fitting results show that saturation has a negative correlation with relative permeability and effective thermal conductivity, and a positive correlation with the inherent reaction rate. The above results can provide a reference basis for accurately describing the heat and mass transfer of natural gas hydrate under macro-scale.

Shiga toxin-producing Escherichia coli (STEC) is a significant public health threat due to its ability to cause severe gastrointestinal diseases in humans, ranging from diarrhea to life-threatening conditions such as hemorrhagic colitis and hemolytic uremic syndrome (HUS). As the primary reservoir of STEC, cattle play a crucial role in its transmission through contaminated food and water, posing a considerable risk to human health. This comprehensive review explores host-pathogen interactions during STEC colonization of the bovine gut, focusing on the role of gut microbiota in modulating these interactions and influencing disease outcomes. We integrated findings from published transcriptomics, proteomics, and genomics studies to provide a thorough understanding of how STEC adheres to and colonizes the bovine gastrointestinal tract. The insights from this review offer potential avenues for the development of novel preventative and therapeutic strategies aimed at controlling STEC colonization in cattle threby reducing the risk of zoonotic transmission.

Background: Reliable HPV testing and genotyping are essential for quality assurance in HPV-based primary screening, disease management and for monitoring the impact of HPV vaccination. The clinical validation of HPV molecular diagnostic assays has significantly contributed to these objectives, however little emphasis has been placed in assuring sample quality. This study aims to assess the accuracy of sample cellularity assessment using C-C Motif Chemokine Receptor 5 (CCR5) gene target as a marker of sample adequacy in molecular diagnostics. Methods: Jurkat cell line samples were counted both using Thoma cell-counting chamber and Fluorescent-Activated Cell Sorting (FACS). Jurkat cell line samples at three different concentrations were subsequently evaluated using the OncoPredict HPV Quality Control (QC) real-time PCR assay, employing CCR5 for molecular cellularity quantification. Results: Cellularity values obtained were comparable across the 3 different methods for all dilutions of the cell line tested. Conclusions: The results obtained from this study show that CCR5 represents a promising molecular marker for the accurate quantification of sample cellularity, confirming its use as a reliable sample adequacy control, thus reducing the risk of “false negative” results.

Monitoring seaweed growth rates and biomass is crucial for optimizing harvest strategies in aquaculture systems. While such a task can be performed manually on a small farm, such as the Integrated Multi-Trophic Aquaculture (IMTA) system at Harbor Branch Oceanographic Institute at Florida Atlantic University (HBOI), a commercial farm will have to rely on the automated sensor to perform such a task. This study introduces an advanced LSTM-based approach for forecasting seaweed growth and biomass. Utilizing a combination of real and synthetic data, LSTM models are trained and evaluated for their predictive performance. Synthetic sensor data was generated using mathematical equations that simulate realistic aquaculture conditions, with added noise to reflect sensor variability. Building on the foundation of the Pseudorandom Encoded Light for Evaluating Biomass (PEEB) sensor deployed at the seaweed tank in the HBOI IMTA system, we refine the process of biomass estimation by introducing non-linear regression models for predicting seaweed growth and biomass. The results showed that the LSTM model trained with a loss function under physics constraint, combining MSE and physical laws, outperformed models trained with MSE alone, achieving a significantly lower error in predicting seaweed growth. The variation trend of the predicted biomass from the network matched well with the sensor measurement after moving average preprocessing, demonstrating the robustness of the proposed technique in handling noisy sensor data. This study highlights the potential of integrating machine learning with physical models to optimize seaweed cultivation and support sustainable aquaculture practices.

PET imaging with [¹⁸F]F-DOPA has demonstrated high potential for the evaluation and management of pediatric brain gliomas. Manual extraction of PET parameters is time-consuming, lacks reproducibility, and varies with operator experience. In this study, we tested whether a semi-automated image processing framework could overcome these limitations. Pediatric patients with available static and/or dynamic [¹⁸F]F-DOPA PET studies were evaluated retrospectively. We developed a Python software to automate clinical index calculations, including preprocessing to delineate tumor volumes from structural MRI, accounting for lesions with low [¹⁸F]F-DOPA uptake. 73 subjects with treatment-naïve low and high-grade gliomas, who underwent brain MRI within two weeks of [¹⁸vF]F-DOPA PET, were included and analyzed. Static analysis was conducted on all subjects, while dynamic analysis was performed on 32 patients. For 68 subjects, the Intraclass Correlation Coefficient for T/S between manual and ground truth segmentation was 0.91. Using our tool, ICC improved to 0.94. Our method demonstrated good reproducibility in extracting static tumor-to-striatum ratio (p = 0.357), though significant differences were observed in tumor slope (p < 0.05). No significant differences were found in time-to-peak (p = 0.167) and striatum slope (p = 0.36). Our framework aids in analyzing [¹⁸F]F-DOPA PET images of pediatric brain tumors by automating clinical score extraction, simplifying segmentation and Time Activity Curve extraction, reducing user variability, and enhancing reproducibility.

Diabetic retinopathy, a common complication of diabetes, is further exacerbated by factors such as hypertension and obesity. This study introduces the Diabetic Retinopathy Convolutional Transformer (DRCT) model, which combines convolutional and transformer techniques to enhance the classification of retinal images. The DRCT model achieved an impressive average F1 score of 0.97, reflecting its high accuracy in detecting true positives while minimizing false positives. Throughout 100 training epochs, the model exhibited strong generalization capabilities, achieving superior validation accuracy with minimal overfitting. On a newly evaluated dataset, the model attained precision and recall scores of 96.93% and 98.89%, respectively, indicating a well-balanced handling of false positives and false negatives. The model's ability to classify retinal images into five distinct diabetic retinopathy categories demonstrates its potential to significantly improve automated diagnosis and aid in clinical decision-making.

Aiming at the problem of underactuated unmanned surface vehicles (USVs) performing fixed-point operations in the sea but without dynamic positioning control system. This paper introduces an original approach for positioning control, and the method is named as virtual anchor control method. This method is applicable in slow-varying current environments, and this approach does not need the prior knowledge of current information or vessel motion model parameters, thus offering convenient usability. This method is comprised by four steps. Firstly, a linear concise motion model with unknown disturbances is proposed. Then, the motion planning law is designed by imitating underlying principles of ship anchoring. Next, an adaptive disturbance observer is proposed for estimating uncertainties in the motion model. Last step, based on the observer, a sliding-mode method is used for heading control law designing, and thrust control law is also conducted by applying the Lyapunov method. Finally, numerical simulation experiments with significant disturbances and tidal current variations are conducted, which demonstrate that the proposed method has good control effect and robustness.

Recent algorithmic-based research in the stock market has predominantly focused on ultra-high-frequency trading and index estimation. We developed an improved algorithm to address the need for a low-frequency, real-world trading model to build on the existing high hit-ratio and low maximum drawdown. We utilized established price indicators, Stochastic and Williams %R, and introduced a volume factor to increase the model's safety to enhance the model's performance. This improved algorithm demonstrated superior returns while maintaining high hit-ratio and low maximum drawdown. Specifically, we leveraged the existing algorithm to trade using 2X and 3X signals, incorporating volume data, the 52-week average, standard deviation, and other factors. The data set comprised SPY ETF price and volume from 2010 to 2023, covering over 13 years. Our enhanced algorithmic trading model outperformed both the benchmark and previous results, achieving a hit rate of over 90%, a maximum drawdown of less than 1%, an average of 1.5 trades per year, a total return of +519.3%, and an annualized return (AnnR) of +15.1%. The analysis demonstrates that the model's simplicity, ease of application, and comprehensibility can assist investors in making informed investment decisions albeit the past performance does not guarantee future returns.

Since surface relief transmission gratings have very strict requirements on operators and use environment, according to the semiconductor laser external cavity spectral beam combining system, this paper proposes a design scheme of semiconductor laser array spectral beam combining system based on grating-external cavity. The finite element approach was used to create a wideband, high-efficiency fill-in multilayer dielectric transmission grating structure for a high-power spectrum beam combining system. The incidence angle, ridge height, duty cycle, and sidewall inclination angle of the transmission grating were tuned and evaluated, and a link between the transmission grating's diffraction efficiency and grating characteristics was discovered. The calculated design of the high-power fused silica transmission grating has a negative first-order peak diffraction efficiency of 99.5% in the 800nm range. In the spectral region of 765-872 nm, the transmission grating's diffraction effectiveness exceeds 92%. The filled ultra-high diffraction efficiency multilayer dielectric transmission grating design addresses the issue of resistance to high-power lasers under complicated operating settings, it’s intended to maintain a high diffraction efficiency even after several cleaning cycles, and it’s an ideal component for high-power spectrum beam combining systems.

Microplastic pollution, particularly particles smaller than 5 mm, poses significant environmental and health risks due to their potential for long-range transport and inhalation. This study provides the first long-term assessment of airborne microplastics in Porto, Portugal, over 18 months (September 2022 to March 2024). Bi-weekly samples were collected using a Microplastic Collector NILU, which were size-fractionated into five categories (>125 μm, 125-63 μm, 63-25 μm, 25-12 μm, and 12-1.2 μm), and quantified via optical microscopy. Microplastics (26 to 1,484 MPs/day/m²) and fibers (14 to 646 fibers/day/m²) showed increasing pollution trends. With a focus on the 12-1.2 μm size-range due to its classification as PM10 and PM2.5, the highest microplastic concentrations were 164 MPs/day/m² (12-1.2 μm) and 534 MPs/day/m² (25-12 μm). Recovery rates of methodology varied among polymers, with PP, PE-HD, and ABS showing high accuracy (75.9%) and PES significantly lower (26.5%). The study highlights significant temporal variability in airborne microplastic pollution, increasing trends, and the need for ongoing monitoring and targeted mitigation strategies to address associated health risks.

The microfluidic industry recognizes the lack of sensitive and standardized testing methods as one of the major hurdles to overcome before fulfilling its revolutionary promises. Highly ranked upon the list of things in need of testing methods are the internal dimensions of microfluidic structures after chip assembly. This work, performed under the MFMET project, aims to address this challenge by presenting and comparing multiple protocols for measuring the dimensions of internal microfluidic channels of fully assembled transparent chips. The protocols include optical profilometry, optical microscopy and tiled digital imagery. Several standardized chip designs out of two different materials commonly used in microfluidics (D263©bio and TOPAS© COC) were measured by the different protocols. A consistency analysis through normalized error statistics revealed optical profilometry as the preferred method due to its low uncertainty compared to the other protocols and its higher consistency with nominal geometry values. All protocols showed difficulty with vertical depth measurements of internal structures. Associated possible directions of future research are considered including further study of the influence of multiple refractive surfaces on optical profilometry measurements and further investigation of confocal microscopy as a potential measurement method showing promising preliminary results. The influence of the different materials appears to be minimal on optical profilometry, but other materials and method would merit looking into before such an observation might be generalized. In conclusion, the results of this work directly address the current lack of measurement methods for internal microfluidic structures by providing a comprehensive comparison of different protocols, ultimately suggesting a preferred option for immediate application within the microfluidic industry. Additionally, this work offers valuable directions for future research, serving as an initial step in overcoming a significant challenge that impedes the microfluidic industry from realizing its revolutionary potential.

The use of cardiac implantable electronic devices (CIEDs) has increased considerably, becoming a cornerstone of management for patients with brady- or tachyarrhythmia or for the prevention of sudden cardiac death. On the other hand, tricuspid regurgitation (TR) associated with CIEDs is progressively accepted as a serious clinical issue; prognostic impact of TR is profound, as it is independently associated with increased mortality and a higher risk of heart failure hospitalization. Additionally, management of established CIED-related TR continues to be challenging, with limited options for intervention once significant TR has developed. The balance between the lifesaving benefits of CIEDs and the risk of TR underlines the necessity for cautious patient selection and innovative approaches to device implantation and management. This review highlighting the clinical importance, underlying mechanisms, and challenges associated with lead-related tricuspid regurgitation in patients with CIEDs.

This study investigates the capabilities of high-resolution Sentinel-2 observations and deep learning (DL) segmentation models, specifically convolutional neural networks (CNNs), for accurate mapping of small and fragmented agricultural burn areas in Punjab, India. Initially, the model was trained using ICNF burn area data from Portugal to capture large fire and burn area delineation, achieving moderate accuracy. Subsequent fine-tuning using annotated data from Punjab improved the model’s ability to detect small burn patches, demonstrating higher accuracy and precision than the baseline Normalised Burn Ratio (NBR) Index method. On-ground validation using buffer zone analysis and crop field images confirms the DL approach effectiveness. Cloud interference and temporal gaps in satellite data posed some challenges. Despite these limitations, the study highlights the methodological advancements and potential of using DL models for small burn area detection in agricultural settings. The model achieved overall testing accuracy of 0.64 in Dice score assessment. This report presents a promising approach for improved mapping of the burn area, which might engender better estimation of emissions and the management practices in regions with little available ground truth data.

Plant-Derived Extracellular Vesicles (PDEVs) contain high levels of antioxidants, especially when deriving from organic. PDEVs from different vegetal sources has shown an increased antioxidant power, compared to PDEVs from single plants, suggesting a synergistic effect of the bioactives constitutively expressed in the PDEVs from single fruits. With this study we wanted to investigate the beneficial effects of a mix of PDEVs on human skin cells. We found detectable levels of Citric Acid, Ascorbic Acid, Glutathione, Catalase and SOD in a mix of PDEVs deriving from 5 different fruits (Grape, Red Orange, Papaya, Pomegranate and Tangerine). We then treated H2O2-conditioned fibroblasts with the mix of PDEVs. The results showed that the PDEVs ‘mix reverted the H2O2-induced redox imbalance, restoring the mitochondrial homeostasis, with a strong reduction of mitochondrial anion superoxide and increase of sirtuin levels. The antioxidant action was consistent with a wound repair on a lesion produced in a Fibroblasts’ monolayer. This result was consistent with an increased level of Vimentin and Matrix Metalloproteinase-9, whose expression is directly related to the efficiency of the reparative processes. These data support a beneficial role of PDEVs in both preventing and treating skin injuries, through their potent antioxidant and reparative activities.

This paper examines the determinants of CO2 emissions in Oman from 1990 to 2022, focusing on the impacts of energy consumption, economic growth, urbanization, financial development, and foreign direct investment. Utilizing stepwise regression, robust least squares, Fully Modified Least Squares (FMOLS), Canonical Cointegrating Regression (CCR), and various cointegration tests including the Johansen cointegration test, Engle-Granger cointegration test, and Vector Error Correction (VEC) model, the study reveals several key findings. Energy use per capita (ENGY) and real GDP per capita (RGDPC) are consistently significant positive predictors of CO2 emissions. Urbanization (URB) also significantly contributes to higher emissions. Conversely, Financial Development Index (FDX) and foreign direct investment (FDI) do not show significant effects on CO2 levels. The high R-squared values across models indicate that these variables explain a substantial portion of the variation in emissions. Cointegration tests confirm long-term equilibrium relationships among the variables, with the Johansen test identifying two cointegrating equations and the Engle-Granger test showing significant tau-statistics for FDX, ENGY, and URB. The VEC model further highlights the short-term dynamics and adjustment mechanisms. These findings underscore the importance of energy policy, economic development, and urban planning in Oman's efforts towards sustainable development and decarbonization.

Salivary gland cancers (SGC) are rare tumours with limited availability of systemic therapies. Some SGC subtypes overexpress HER2 and this represents a potential therapeutic target, but the evidence base is limited. This study sought to analyse real-world data on efficacy of HER2-directed therapies in SGC. This is a retrospective observational study using anonymised data from commercial compassionate-use access registrations and a privately funded pharmacy prescribing register. Treatment duration was defined as time from drug initiation to treatment discontinuation. Kaplan-Meier analysis of treatment duration was performed using R for windows (v4.3.2). A case report is also provided of an exceptional responder. Eighteen patients were identified who received HER2-directed therapies for HER2-positive recurrent/metastatic SGC, and complete data on treatment duration was available for 15/18. Histology was salivary duct carcinoma in 13/18 patients, adenocarcinoma NOS in 4/18, and carcinoma ex pleomorphic adenoma in 1/18. Median treatment duration was 8.3 months (95% CI: 6.41-not reached) and the range was 1.0-47.0 months. Choice of HER2-directed therapy varied, with ado-trastuzumab emtasine being most common (9/18). At time of analysis, HER2-directed therapy was ongoing for 9/15, discontinued due to disease progression for 4/15, discontinued due to toxicity for 1/15, and 1/15 was discontinued for an unspecified reason. An exceptional responder experienced a complete response with a treatment duration of 47.0 months. This real-world data is comparable to the median PFS observed with HER2-directed therapies in phase II trials and supports the use of HER2-directed therapies in this group.

Background: Exercise rehabilitation programs are important for long-term health and wellbeing among people with cardiac and pulmonary disease. De-spite this, many people struggle to maintain their physical activity once reha-bilitation ends. This repeated measures study tracked changes in physical ac-tivity behaviour and motivation during and after completing a communi-ty-based exercise rehabilitation program. Methods: Cardiac and pulmonary exercise rehabilitation patients (N=31), com-pleted six once-monthly measures of physical activity (MET·min), self-determined motivation, intention, and habit strength for rehabilitation ex-ercise (within rehabilitation sessions) and lifestyle physical activity (outside of rehabilitation sessions). Linear regression and random effects models with es-timated marginal means were used to test for associations between physical activity motivation and behaviour and change during and post-rehabilitation. Results: Overall physical activity decreased after rehabilitation (823 MET·min) despite patients becoming more self-determined for lifestyle physical activity during rehabilitation. More self-determined motivation, stronger intentions, and stronger habits were associated with more lifestyle physical activity be-haviour. However, none of these motivation variables were significantly asso-ciated with rehabilitation exercise behaviour. Conclusions: Among community-based cardiac and pulmonary rehabilitation patients, physical activity levels decreased following exercise rehabilitation programs. The findings revealed clear distinctions in the motivation of reha-bilitation exercise compared to lifestyle physical activity. Exercise rehabilitation programs might improve the longevity of outcomes by integrating approaches to enhance lifestyle physical activity beyond the clinic.

Cooperative and self-enforceable water allocation is a key instrument to manage geopolitical conflict induced by water scarcity, which necessitates concerning the cooperative willingness of the agents and considering their heterogeneity in geography, climate, hydrology, environment and social economy. Based on a multi-indicator system that contains asymmetric information on water volume contribution, current water consumption, water economic efficiency and efforts for eco-environmental protection, this study proposed a water allocation framework by combining the asymmetric power index approach with bankruptcy theory for solving the transboundary water allocation problem under scarcity. The proposed method was applied to the Yellow River Basin in northern China, which is mainly shared by nine provincial districts and frequently suffers from severe water shortage, and its results were compared with six alternative methods. The results highlight the necessity of quantifying agent’s willingness to cooperate under the background of asymmetric negotiation power when making decisions on transboundary water allocations. The proposed method allows to perform transboundary water allocations through simultaneous consideration of the agent’s cooperation willingness, asymmetric negotiation power as well as disagreement allocation points, which ensure the stability, fairness and self-enforceability of allocation results. Therefore, it can offer practical and valuable decision-making insights for transboundary water management under water scarcity.

Background: Antimicrobial consumption data in Latin America is scarce and usually spread out within different sources for AMC calculations, making it difficult to both standardize and compare regions through similar time frames. The main objective was to analyze antimicrobial consumption trends in Social Security tertiary care hospitals in Costa Rica in the period spanning January 2017 to December 2021, using both defined daily doses (DDD)/100 bed days and DDD/100 discharges. Methods: Retrospective observational study of antimicrobial consumption. Global consumption trends were calculated and expressed in DDD/100 bed days and DDD/100 discharges. Trends in antimicrobial consumption were analyzed using a simple linear regression model to determine potential differences in antimicrobial usage throughout the study’s duration. Results: A statistically significant increase in the consumption expressed in DDD/100 discharges was observed in the following groups: carbapenems: 35.62% (p&lt;0.0001), trimethoprim-sulfamethoxazole: 62.50% (p&lt;0.0001), echinocandins: 20.73% (p=0.01) and azole antifungals: 61.58% (p&lt;0.0001). Additionally, a statistically significant increase of 40.43% in the consumption of azole antifungals expressed in DDD/100 bed days was observed (p=0.0008). In contrast, a statistically significant decrease in consumption expressed in DDD/100 discharges was identified for cephalosporins -21.97% (p&lt;0.0001) and macrolides -51.67% (p&lt;0.0001). Conclusions: This five-year analysis demonstrated trends over time in overall antimicrobial consumption measured in DDD/100 bed days do not correlate with trends in DDD/100 discharge rates. Continually, the comparison between DDD/100 bed days and DDD/100 discharges allows for complementary comparisons to be made regarding antimicrobial exposure in a clinical setting.

The purpose of this paper is to evaluate the possible application of a therapeutic carnivore diet regimen in the treatment of chronic inflammatory bowel disease (IBD). Based on current research and anecdotal reports, we hypothesized that the diet might potentially exhibit both anti-inflammatory and microbiome-modulating properties salutary to the IBD patient population. Our hypothesis demands comprehensive clinical validation. Therefore, in this paper, we review theories on ketogenic and carnivore diets, discussing their immunomodulatory effects and propose an experimental study to test the feasibility, safety, and clinical efficacy of the carnivore diet for IBD treatment.

Applied behavior analysis (ABA) interventions first introduced by Lovas in the 1960s have been proven historically effective in reducing challenging behaviors such as self-harm aggressive behaviors and improving communicative language skills in children with autism. While the interventions have evolved, focusing on restricting punishments and enforcing more reinforcements to teach skills, some concerns are yet to be evaluated. With the boom of ABA in Asia, this review focuses on understanding the techniques used and the progression of ABA by reviewing the existing literature. It aims to critically analyze the ABA strategies used to target challenging behaviors and teach new skills to gauge their long-term impact on children undergoing these interventions.

This study explores the integration of genome sequencing and polymerase chain reaction (PCR) based methods for tracking the diversity of Covid-19 variants in wastewater. The research focuses on monitoring various Omicron subvariants during a period of significant viral evolution. Genome sequencing, particularly using Oxford Nanopore Technology (ONT), provides a detailed view of emerging variants, surpassing the limitations of PCR-based detection kits that rely on known sequences. This study highlights the effectiveness of combining these methodologies to enhance early detection and inform public health strategies, especially in regions with limited clinical sequencing capabilities.

Harms of combustible cigarette (CC) use in pregnancy for fetal development are well-studied. Less understood is potential impacts of newer non-combustible cigarette alternatives, including electronic cigarettes (EC). Our goal was to examine whether EC use during pregnancy predicts increased risk of adverse birth outcomes. This retrospective cohort study used data from the Obstetrics Initiative (OBI), a statewide collaborative of 70 maternity hospitals. OBI’s clinical registry of data on nulliparous, term, singleton, vertex fetal presentation pregnancies were from medical records. Three groups of pregnancy cigarette users (Controls (n=26,394), CC (n=2,216), EC (n=493) were compared on birth outcomes, controlling for background differences. Compared to controls, the EC group had significantly lower birth weight, while CC had reduced birthweight and greater rates of arterial cord pH < 7.1. Compared to EC, CC users had higher rates of neonates requiring antibiotics and NICU admission. Growing evidence suggests EC are not safer alternatives to CC, and use during pregnancy should be discouraged. Additional research is needed, as non-significant trends for increased risk of several adverse neonatal outcomes following EC use were found, potentially significant in larger studies with average-risk for adverse pregnancy outcomes and when frequency and timing of EC exposure are considered.

Background. Hypothyroidism is very common worldwide. It is known to be associated with frailty which in turn, is associated with increased morbidity and mortality in the elderlies. Low ALT blood activity is an established marker for sarcopenia and frailty. The incidence and outcomes of the association of low ALT values and hypothyroidism, as manifested in elevated blood TSH levels, is unknown. Methods. This was a retrospective analysis of hospitalized patients in a large, tertiary hospital. Results. Over a period of 21 years, an overall population of 16,827 patients were identified as eligible to participate in this study. Within the study population 726 (4.3%) were classified as suffering from hypothyroidism (TSH values > 6 MIU/L) and 2,184 (13%) were classified as patients with sarcopenia (ALT < 12 IU/L). Within our patients’ population, hypothyroidism was associated with sarcopenia in a statistically significant manner (p = 0.011). Patients classified as suffering from both hypothyroidism and sarcopenia had significantly shorter survival: A multivariate analysis showed that the frail and hypothyroid group of patients had a statistically significant risk of mortality in the for coming 5 years (HR = 3.6; CI 2.75-4.71; p < 0.001). Conclusions. Sarcopenia and frailty are common comorbidities, bearing negative long-term clinical outcomes. Low ALT values could serve as a useful biomarker for screening of patients already diagnosed with hypothyroidism.

This paper presents an advanced software tool for precise laser beam propagation analysis, focusing on the calculation of the M2 value, a key measure of beam quality. Developed in Python, the software integrates libraries like NumPy, Matplotlib, and SciPy for robust data handling and accurate polynomial fitting. It features a user-friendly interface for easy data input, analysis, and visualization, making it accessible to both professionals and novices. The tool has been rigorously validated against theoretical models (M2=1) and experimental data (showing M2=1.2548 and 1.3166), ensuring high accuracy and reliability. It visualizes beam width data and fitted polynomial curves, aiding in assessing beam propagation characteristics and optimizing laser systems. Future enhancements include additional beam quality metrics, machine learning integration, and cloud-based functionality. This tool significantly advances laser beam analysis, benefiting research and industrial applications by improving performance and efficiency. The software is available at DOI: 10.5281/zenodo.13325911

Despite the increasing prevalence of pet ownership in Chinese societies, standardized tools to assess grief from pet loss remain lacking. Research predominantly focuses on Western populations, creating a gap in understanding pet bereavement in Chinese cultural settings. This study aimed to adapt and validate the Pet Bereavement Questionnaire (PBQ-C) for a Chinese context to create a culturally appropriate assessment tool. A total of 245 participants with companion animal loss experiences were recruited through the university of the research team. They were invited to complete an online survey including the Chinese PBQ, the Depression subscale of the Depression Anxiety Stress Scales (DASS-21), and the Inventory of Complicated Grief (ICG). Both Exploratory Factor Analysis and Confirmatory Factor Analysis were conducted to examine the psychometric properties of the PBQ-C and the findings supported a three-factor structure—grief, anger, and guilt—aligned with the original PBQ, with three items were reassigned to different factors. Despite these adjustments, the PBQ-C showed strong internal consistency, split-half reliability, and concurrent validity. The validated PBQ-C provides a culturally sensitive tool for assessing pet bereavement in Chinese society that can promote research and counselling support for this under-researched and under-recognized type of loss of human-animal relationships.

This article delves into the historical development and ramifications of divergent theories that have emerged since the publication of Darwin's seminal work, "On the Origin of Species" in 1856. It traces the evolution of thought from Darwin's revolutionary ideas through the controversial era of eugenics, the groundbreaking discovery of DNA, the elucidation of Mendelian genetics, and the subsequent development of modern genetic theories. The article also explores the critical role of mathematical models, statistics, and data science in advancing genomics research over the last decade. This comprehensive exploration highlights how these theories and methods have fundamentally shaped our understanding of biology, evolution, human genetics, and complex biological systems.

Recently, deep neural networks (DNNs) have been widely used in various fields such as autonomous vehicles and smart homes. Since these DNNs can be directly implemented on edge devices, they offer advantages such as real-time processing in low-power and low-bandwidth environments. However, deployment of DNNs in embedded systems, including edge devices, exposes them to threats such as fault injection attacks. In this paper, we introduce two methods to induce misclassifications by using clock and voltage glitch-based fault attacks in devices where DNN models are executed. As a result of experiments on a microcontroller implemented with a DNN for image classification, we show that glitch injection attacks can lead with high probability to serious misclassifications. Furthermore, we propose a countermeasure to glitch attacks on the softmax function, and confirm that this method is effective in preventing misclassifications.

The quality of wine depends upon the quality of the grapes, which, in turn, are affected by different viticulture aspects and the climate during the grape-growing season. Obtaining wine professionals’ judgments of the intrinsic qualities of selected wine products is a time-consuming task. It is also expensive. Instead of waiting for the wine to be produced, it is better to have an idea of the quality before harvesting, so that wine growers and wine manufacturers can use high-quality grapes. The main aim of the present study was to investigate the use of machine learning aspects in predicting wine quality and to develop a pipeline which represents the major steps from vineyards to wine quality indices. This pipeline outputs the predicted yield, values for basic parameters of grape juice composition, values for basic parameters of the wine composition, and quality. We also found that the yield could be predicted because of input data related to the characteristics of the vineyards. Finally, through the creation of a web-based application, we have investigated the balance berry yield and wine quality. Using these tools further developed, vineyard owners should be able to predict the quality of the wine they intend to produce from their vineyards before the grapes are even harvested.

Fire detection is crucial for ensuring human safety and minimizing property damage. By utilizing advanced technologies, we can identify fires early, before they escalate. Autonomous fire detection systems are particularly vital in high-risk areas with minimal human presence. To address this need, we propose an automated fire-detection model based on YOLOv8. We modified the architecture of YOLOv8 and achieved impressive performances. Through comprehensive analysis of different YOLO models and their predecessors, we identified and addressed substantial gaps in this field. Also, by augmenting the framework with additional capabilities, we surpassed previous models, enabling real-time fire detection. Our proposed model achieves impressive performances, with 98% accuracy in fire detection and 97.8% in smoke detection. Moreover, recall rates for fire and smoke are 97.1% and 97.4%, respectively, with a mean average precision (mAP) accuracy of 99.1% for both cases. Finally, we applied an explainable artificial intelligence technique to interpret our proposed model and its results. This study lays the foundation for future research aimed at enhancing fire detection efficiency. The reliability of our modified model presents promising opportunities for future advancements, ensuring increased effectiveness and precision in efficient fire detection.

Latent autoimmune diabetes in adults (LADA) is characterized by the presence of glutamate de-carboxylase autoantibodies (GADA). LADA has intermediate features between type 1 diabetes and type 2 diabetes. In addition, genetic risk factors for both types of diabetes are present in LADA. Nonetheless, evidence about the genetics of LADA in non-European populations is scarce. This study aims to perform a genome-wide association study with a phenome-wide association study of LADA in a southeastern Mexican population. We included 59 patients diagnosed with LADA from a previous study and 3121 individuals without diabetes from the MxGDAR/ENCODAT database. We utilized the GENESIS package in R to perform the GWAS of LADA and PLINK for the PheWAS of LADA features. Nine polymorphisms reach the nominal association level (1x10-5) in the GWAS. The PheWAS showed that rs7305229 is genome-wide associated with serum GADA levels in our sample (p=1.84x10-8). rs7305229 is located downstream FAIM2 gene; previous reports associate FAIM2 variants with childhood obesity, body mass index, body adiposity measures, lymphocyte CD8+ activity, and anti-thyroid peroxidase antibodies. Our findings reveal that rs7305229 affects the GADA levels in patients with LADA from southeastern Mexico. More studies are needed to determine if this risk genotype exists in other populations with LADA.

Amuyo Ponds (AP) are a group of three hydrothermal lagoons located at 3,700 m above sea level, in a pre-Andean setting at the Atacama Desert. Each pond shows a conspicuous green, red, or yellow coloration, and discharge waters rich in arsenic and boron into the Caritaya River (Camarones Basin, Arica and Parinacota Region, in northern Chile). Microorganisms at these ponds are subjected to harsh environmental conditions, and microbial composition and diversity in Amuyo Ponds sediments are unknown. Then, microbial life colonizing AP sediments was explored by metagenomics analyses. This approach showed a highly diverse microbial life dominated by members of the Bacterial Domain (nearly 800 bacterial genome sequences) and includes sequences associated to Archaea, Eukarya, and viruses. We also report putative functional capabilities related to virulence and defense genes, and biosynthesis of secondary metabolites. Thirteen bacterial and fourteen virus metagenome-assembled genomes were reconstructed and are here informed. This work expands our knowledge on the richness of microorganisms in AP and open further studies on the ecology and genomics of this striking Andean geosite.

Work disparities experienced by nurses in long-term care (LTC) can impact the retention, well-being, and health of this workforce. Despite the significant impact disparities experienced by nurses have on the workforce and LTC sector, a review of the available literature on work disparities has not been conducted on work disparities experienced by nurses in LTC. Consequently, this scoping review aimed to explore the nature and extent of research on meso-level work disparities experienced by nurses in LTC and how such disparities are linked with nurse health and well-being. Five databases were searched: MEDLINE (Ovid), EMBASE (Ovid), PsycINFO (Ovid), and CINAHL (EBSCO host). Of the 5,652 articles retrieved, 16 studies published between 1997 and 2024 met the inclusion criteria. The average number of work disparities within each study was 3.06 (minimum = 1, maximum = 6, SD = 1.62). Types of work disparities across the 16 studies were work opportunities (n = 19), work treatment (n = 18), job security (n = 8), and work compensation (n = 8). Only four articles investigated the association of a work disparity with a variable of health and well-being. Future research on how macro-level disparities intersect with meso-level work disparities may inform a contextual understanding of how disparities transpire in the work of nurses in LTC. Studies are required to address the gaps in knowledge regarding how work disparities negatively influence the health of nurses to inform better retention, well-being, and health of nurses in LTC.

The traditional understanding of brain function has predominantly focused on chemical and electrical processes. However, new research in fruit fly (Drosophila) binocular vision reveals ultrafast photomechanical photoreceptor movements significantly enhance information processing, thereby impacting a fly's perception of its environment and behaviour. The coding advantages resulting from these mechanical processes suggest that similar physical motion-based coding strategies may affect neural communication ubiquitously. The theory of neural morphodynamics proposes that rapid biomechanical movements and microstructural changes at the level of neurons and synapses enhance the speed and efficiency of sensory information processing, intrinsic thoughts, and actions by regulating neural information in a phasic manner. We propose that morphodynamic information processing evolved to drive predictive coding, synchronising cognitive processes across neural networks to match the behavioural demands at hand effectively.

Introduction: Patients with hematological malignancies undergo intensive treatment and prolonged hospitalization, thus having a variety of physical and psychosocial symptoms and worse quality of life (QOL). Aim: This study aimed to assess the QOL and investigate the symptoms of hospitalized hematological cancer patients. Methods: A cross-sectional study was conducted in the hematology clinics and day units of two general hospitals of Heraklion, Crete. Adult patients with hematological malignancy and an adequate understanding of the Greek language participated. A demographic questionnaire, the European Organization for Research and Treatment for Cancer quality assessment questionnaire (EORTC QLQ-C30), and the MD Anderson Symptom Inventory (MDASI) were used for data collection. The level of statistical significance was set at p &lt;0.05. Results: The sample consisted of 120 patients, 42.5% of whom were women, with a mean age of 65.6 years. The mean time from diagnosis was 33 months. The global health status of QoL had an average value of 47.1. The highest levels of QOL were found in the subscale of cognitive function (72.8) and the lowest in the role function (46.1). Among the of EORTC QLQ-C30 symptoms scale, the lowest score was found in nausea-vomiting (11.0) and the highest in fatigue (59.1). In the MDASI, in part I (core symptoms), higher levels, but also medium intensities were reported at fatigue (78.3%, mean 3.5), drowsiness (65.0, mean 3.3), and distress (65.8%, mean 2.8). In part II, enjoyment of life (85.8%, mean 5.1) had the highest and relation with other people (67.5%, mean 3.7) the lowest scores. The increase in the severity of the core symptoms (part I) was related to females (rho = 0.193, p &lt;0.05) and comorbidities (rho = 0.220, p &lt;0.05). It also related to a significant decrease in all functional domains and an increase in fatigue (rho = 0.571, p &lt;0.05) of the EORTC QLQ-C30 questionnaire. The increased global health status was related to males (rho = -0.185, p &lt;0.05) and physical functioning with younger age (rho = -0.331, p &lt;0.05), higher education (rho = 0.239, p &lt;0.05), fewer months from diagnosis (rho = -0.199, p &lt;0.05) and low comorbidity (rho = -0.209, p &lt;0.05). Finally, the increased global health status was significantly related to lower symptoms determined by the total average symptom score (-0.491, p &lt;0.05). Conclusions: The QoL of hematological cancer patients is significantly decreased during treatments due to a significant number of symptoms that must be taken into consideration for high-quality individualized care.

The loss of native forests in Argentina has been a concern, driven by factors such as agriculture expansion and urbanization. Therefore, understanding the conservation status of sampled populations and their adaptation to different plant communities is essential. This research focused on the heterogeneity analysis of the associated woody and semi-woody vegetation to Hexachlamys edulis (O. Berg) Kausel & D. Legrand, a species commonly known as "ubajay," in Entre Ríos, Argentina. The study aimed to record the species present in the populations, explore plant communities associated with H. edulis and identify other potentially useful agroforestry species, compare locations based on the similarity of accompanying species, and explain the conservation status of each population. Results revealed a total of 71 species belonging to 39 families. Myrtaceae family was the most relevant, particularly in terms of native species representation. The analysis of biodiversity indicators, including richness, Shannon index and dominance revealed variations among the studied sites. The anthropic indicator highlighted the impact of human activity, with Concordia showing a higher ratio of native to exotic species. Cluster analysis and ordination techniques revealed groupings of censuses from the same localities, indicating differences in vegetation composition between sites. Significant differences in species composition were found among the sampled populations. Overall, the study can serve as baseline information for future research on the dynamics of vegetation in these areas and on H. edulis studied species. Finally, these findings contribute to understanding how wild species like H. edulis adapt to different plant communities, which might be valuable for developing new agroecological approaches or identifying potential companion planting species in future agricultural systems.

Nurses continue to experience intense psychological repercussions despite the official conclusion of the COVID-19 pandemic. In this cross-sectional study conducted after the end of the pandemic crisis, in nurses, we evaluated the levels and explored the associations between anger, insomnia and resilience. A total of 442 nurses participated in an online survey and were invited to state their work experience, gender and age and complete the self-report measures of the Dimensions of Anger Reactions-5 (DAR-5), the Athens Insomnia Scale (AIS) and the Brief Resilience Scale (BRS). 62.1% of participants presented with positive scores on the AIS, 41.5% displayed positive values on the DAR-5 scale, whereas 24.9% of nurses demonstrated scores indicative of low resilience on the BRS scale. Regression analysis revealed that 23.5% of the variance in the AIS scores can be attributed to the DAR-5 scores and 3% to the BRS scores. Mediation analysis confirmed the protective role of resilience contributing as a negative mediator in the DAR-5 and the AIS relationship. Screening for insomnia symptoms and anger issues among nurses after the end of the pandemic and implementing appropriate interventions is considered imperative to avoid long-term health consequences.

Vibrio vulnificus (Vv) is a bacterial pathogen native to warm and brackish water ecosystems that can cause fatal septicemia (Vv-vibriosis) in humans and various farmed fish species. From a One Health perspective, controlling Vv-vibriosis outbreaks on farms is essential not only for animal but also for human health, as it reduces the risk of Vv transmission to humans. Electrolyzed water (EW) is a sustainable control method, exhibiting transient disinfectant properties due to the formation of hypochlorous acid (HOCl). We hypothesized that EW could effectively reduce Vv populations in aquaculture facilities, preventing outbreak emergence. To test this hypothesis, survival assays in EW were conducted under varying conditions of salinity, pH, and free available chlorine (FAC). The results indicated that an intermediate concentration of FAC had a significant bactericidal effect on Vv populations regardless of the condition and tested strain. Consequently, the strategic use of EW could serve as an eco-friendly preventive and control measure against Vv-vibriosis by significantly decreasing the bacterial load in farm water.

Background and aims: In recent years, a possible connection between HLA-Cw6 and a distinctive cardiometabolic (CM) profile in patients with psoriatic disease (PsD) has been proposed, although there is still little support for this. Our aim was to further investigate this possible association by studying a large population of PsD patients. Methods: For this study, three different cohorts of patients with PsD were analyzed: two with a majority of cutaneous psoriasis, pooled n: 600, and a third with only psoriatic arthritis -PsA- cases, n: 340. Potential relationships between HLA-Cw6 and the different CM risk factors (hypertension, diabetes, obesity, dyslipidemia) were analyzed using univariate and multivariate regression models, while the final net effect was assessed using fixed- or random-effects meta-analyses, as appropriate. Results: In the PsA cohort, no association was detected between HLA-Cw6 carriership and any of the CM comorbidity factors. In psoriasis cohorts, after correcting for age, sex, disease duration and arthritis, HLA-Cw6 carriers reduced diabetes risk (OR 0.49, 95%CI: 0.26-0.91, p = 0.026). This latter effect was confirmed by a fixed-effects meta-analysis of the included cohorts (pooled OR: 0.50, 95%CI: 0.27-0.90). Conclusion: This work demonstrates a potential protective effect of the HLA-Cw6 allele on the risk of diabetes in PsD. Our findings together with those of others seem to confirm the existence of a novel HLA-Cw6-linked cardiometabolic endotype in this disease.

Soil carbon (C) cycling under anoxic conditions is mechanistically linked to dissimilatory iron (Fe) reduction, which could be regulated by exogenous dissolved organic matter (DOM). However, the impact of complex exogenous DOM on soil microbial activity and C-Fe coupling in paddy soils remains underexplored. With a 100-day microcosm experiment, we determined that the molecular composition of DOM derived from organic fertilizers and biochar on paddy soil affects soil microbial community, Fe reduction, and C emissions. Our results indicated that biochar-DOM significantly promoted Fe reduction and accelerated CH₄ and CO₂ emissions, and organic manure-DOM increased soil CO₂ emissions, which was closely related to the molecular composition of exogenous DOM. DOM molecules with high aromaticity (AI_mod) and high DBE, including lignins-vascular plant-derived polyphenols, lignins-polycyclic aromatics (PA), and condensed aromatics-PA, promoted soil Fe reduction and CH₄ emissions by enriching soil Fe-reducing bacteria (FeRB), reducing methanotrophs, and facilitating r-strategists at the early stage of incubation. Conversely, DOMs with low AI_mod, low DBE and high H/C, such as lignins-highly unsaturated and phenolic compounds and proteins-aliphatic compounds, enhanced CO₂ emissions by facilitating recalcitrant C degradation and CH₄ oxidation at the late stage of incubation. In conclusion, our study highlights the importance of the molecular composition of DOMs derived from organic amendments in regulating soil Fe reduction and C emissions. The findings offer novel insights into the effective utilization of agricultural resources and the mitigation of soil C emissions.

The increasing frequency and intensity of wildfires necessitate innovative solutions to enhance firefighting capabilities. This review provides a comprehensive evaluation of vehicles specifically designed for direct forest fire suppression, focusing on their speed of fire response, and encompasses both ground and aerial units. The study explores the functionality and speed capacity of various fire suppression vehicles, including fire trucks, firefighting aircrafts and helicopters, robotic firefighting vehicles and uncrewed aerial vehicles (UAVs). Key features such as mobility, water capacity, and advanced technologies including Artificial Intelligence (AI)-driven navigation and remote sensing capabilities are evaluated. The review also addresses the operational challenges these vehicles face in wildland environments. Additionally, it identifies emerging trends and innovations in fire suppression vehicle technology, offering insights into future developments that aim to enhance the effectiveness and safety of firefighting operations in forest fires. This overview aims to serve as a valuable resource for researchers, fire departments, and emergency response planners focused on advancing fire suppression strategies in forest.

Living processes are integral to open systems for multiple reasons. From a thermodynamic perspective, they reduce local entropy at the cost of increasing environmental entropy. Furthermore, these processes are inherently nonlinear owing to their feedback interactions with the environment. Nonlinear systems exhibit diverse behaviours: some stabilize at a constant value, whereas others display bifurcations and chaotic dynamics. This study introduces a model that describes living processes as the dynamics of nonlinear single-value diverging maps, whereas chaotic evolution is associated with the increasing entropy environment. This model enables us to describe the lifetime of different species simply by varying the model parameters. This model also simplifies explaining the transition from life to death.

Suppose n ∈ N. We wish to meaningfully average ‘sophisticated’ unbounded sets (i.e., sets with positive n-d Hausdorff measure, in any n-d box of the n-d plane, where the measures don’t equal the area of the boxes). We do this by taking the most generalized, satisfying extension of the expected value, w.r.t the Hausdorff measure in its dimension, on bounded sets which takes finite values only. As of now, I’m unable to solve this due to limited knowledge of advanced math and most people are too busy to help. Therefore, I’m wondering if anyone knows a research paper which solves my doubts.

NongXiangXing Baijiu (NBJ) is produced using a solid-state fermentation system, but the impact of stratified fermented grains on fermentation remains unclear. Therefore, in a typical distillery plant, we evaluated the physical and chemical composition, volatile compound profile, and microbial community of fermented grains in NBJ both above (FG-A) and below (FG-B) the Huangshui line. Significant differences in fermentation parameters between FG-A and FG-B were observed after 30 days of fermentation (P < 0.05). Additionally, the partial least squares projection to latent structure discriminant analysis (PLS-DA) revealed distinct differences in volatile compounds between FG-B and FG-A, identifying 26 discriminant markers. The diversity of short-chain fatty acids (SCFAs) and their esters was higher in FG-B compared to FG-A. Furthermore, microbial diversity and abundance differed significantly between the two layers of fermented grains (P < 0.05). Correlation and pathway enrichment analyses indicated that the higher SCFA content in FG-B could be attributed to the greater abundance of acid-producing microorganisms compared to FG-A. This study highlights the differences between the two layers of fermented grains in NBJ fermentation, offering new insights into solid-state fermentation and expanding the current understanding of the traditional NBJ fermentation process.

Background: Having a laboratory renal profile for medical imaging examinations requiring contrast media (CM) administration is strongly advised. Creatinine helps identify patients at risk of contrast-induced nephropathy (CIN). GEM® Premier™ ChemSTAT (Werfen) is a point-of-care (POC) analyzer with 12 emergency parameters including creatinine assay. The aim of this study consists to compare ChemSTAT with the central analytical solution of the University Hospital of Clermont-Ferrand and to evaluate the interest of the POC creatinine in the emergency department (ED) in optimizing the flow of patients, especially if CM used. Methods: More than 200 whole blood (WB) samples from the ED were evaluated on the ChemSTAT analyzer. As comparative methods, the plasma aliquots from the same samples were assayed on an Atellica® CH (Siemens Healthineers). The clinical concordance was assessed ac-cording the decision cut-offs of the French Society of Radiology for the risk of CIN. The availability times of biological results between ChemSTAT and the central laboratory were studied. Results: WB results from ChemSTAT correlated well with those from Atellica® CH, except for tCO2 (known bias between Siemens and Cobas Roche methods predicting ChemSTAT values). The results of creatinine assay allow to have identical medical decisions compared to the renal risk cut-offs. The availability of biological results is reduced by 50 min on average with ChemSTAT vs the central laboratory. Computed tomography was performed for 44.7% of patients including the injection of the CM in 68% of cases. For these patients, the availability of creatinine results relative to imaging time is faster with the ChemSTAT on average of 45.2 min. Conclusions: Great analytical and clinical correlations for creatinine assay allow safe iden-tification of patients at risk of CIN and improve patient flow in ED especially for those requiring computed tomography with use of CM.

This paper addresses the growing concerns surrounding cloud computing security and highlights key strategies for ensuring the privacy and protection of data in information-critical industries. Cloud computing has revolutionized the field of information technology, providing convenience and efficiency in data processing. However, it has also brought to light significant challenges in terms of data security and privacy. Given the rise in cyber threats and the potential risks associated with storing sensitive information on cloud servers, critical industries such as healthcare and banking have been hesitant to adopt cloud computing as a trusted solution for their data needs. This work examines the specific security concerns that these industries face and proposes measures to mitigate them. Further, the paper explores the barriers that hinder the adoption of cloud computing in critical industries and offers solutions to address these concerns.

Background: To investigate the association between enteral feeding and the risk of pneumonia in critical care adult patients. Methods: An updated literature review of studies discussing between 2016 and 2023. CINAHL, Cochrane, Embase, PubMed, Scopus, and Web of science databases were used to explore studies regarding our subject, the association between enteral feeding and the risk of pneumonia in critical care adults. Results: Enteral nutrition (EN) has been linked to a significant reduction in pneumonia, as well as shorter ICU or hospital stays, and decreased mechanical-ventilation duration in numerous studies. Conversely, pneumonia risk and other infections, as well as the fatality rate, has been found to increase with EN. Early initiation of EN within 48 hours, along with a low-calorie diet containing (< 600 Kcal/day) demonstrated a notable decrease in the occurrence of Ventilator-Associated Pneumonia (VAP) when contrasted with delayed EN and a high-calorie diet. EN was associated with a marked decrease in adverse events including aspiration pneumonia, emesis, and the escalation of respiratory support. Conclusion: EN is safe and effective in critically ill patients. It is advisable for future research to investigate the monitoring of larger sample sizes to ascertain the most effective feeding methods in the intensive care unit.

As a critical component of electric vehicles, the powertrain has a significant impact on the overall performance of the vehicle. In addressing the challenge of lengthy testing cycles, this study develops a para model of the powertrain utilizing digital twin (DT) technology, thereby establishing a framework for simulation testing of multi-controller intermodulation. The research conducts functional definition coverage testing through the design of specific functional requirement use cases, and it validates the failure mechanism via fault injection use cases. The results indicate that the DT testing platform can effectively simulate the operational interactions among various controllers within the powertrain system. In comparison to traditional field testing, the digital twin-based testing methodology offers enhanced operational efficiency and allows for the examination of testing conditions that are impractical to implement in real vehicles, particularly in the context of fault injection testing, thus facilitating the early detection of potential safety risks within the system. The advancement of this technical solution holds significant practical implications for the future mass production and development of electric vehicles.

The rapid development of specific-purpose Large Language Models (LLMs), such as Med-PaLM, MEDITRON-70B, and Med-Gemini, has significantly impacted healthcare, offering unprecedented capabilities in clinical decision support, diagnostics, and personalized health monitoring. This paper reviews the advancements in medicine-specific LLMs, the integration of Retrieval-Augmented Generation (RAG) and prompt engineering, and their applications in improving diagnostic accuracy and educational utility. Despite the potential, these technologies present challenges, including bias, hallucinations, and the need for robust safety protocols. The paper also discusses the regulatory and ethical considerations necessary for integrating these models into mainstream healthcare. By examining current studies and developments, this paper aims to provide a comprehensive overview of the state of LLMs in medicine and highlight the future directions for research and application. The study concludes that while LLMs hold immense potential, their safe and effective integration into clinical practice requires rigorous testing, ongoing evaluation, and continuous collaboration among stakeholders.

The purpose of this paper is to show how the self-exciting threshold autoregressive (SETAR) model could be an appropriate econometric framework for characterizing the dynamics of the U.S. public debt/GDP ratio after the Bretton Woods collapse. Our preferred SETAR specifications are capable in capturing the main stylized facts of the U.S. public debt/GDP ratio between 1974 and 2024. In addition, the estimated SETAR models are consistent with several theoretical frameworks that seek to explain the behavior of the U.S. public debt/GDP ratio before and after the Global Financial Crisis (GFC). Finally, the paper provides some arguments on why the previous studies that use the exponential smooth threshold autoregressive (ESTAR) models, or SETAR-type models for the first differences of the U.S. public debt/GDP ratio, are potentially mis-specified, both on econometric and economic grounds.

Reminding the courier through wearable artificial intelligence devices to prevent accidents is not only beneficial to the courier's safety but also will save a lot of insurance premiums for express companies, therefore, it is worth investigating what factors can influence the acceptance of wearable artificial intelligence devices by couriers. Push-pull-mooring (PPM) theory and affective event theory (AET) are integrated to test couriers’ adoption to wearable safety detection devices. Social influence, perceived security, personal innovativeness and affective event reaction are applied to research model. Questionnaires are distributed among several listed express companies and 263 valid questionnaires are used for empirical test. Empirical results indicated that social influence, perceived safety, personal innovativeness and affective event reaction are positively related to usage with coefficients 0.218, 0.301, 0.698 and 0.309. Personal innovativeness has positively moderating effects on relationships between affective event reaction, perceived security and usage with coefficients 0.145 and 0.106, whereas has no significant moderating effect on relationship between social influence and usage. The research aims to help support the proliferation and adoption of wearable artificial intelligence devices to optimize the current state of the express industry and improve the interaction between couriers and managers, creating an active management strategy that will allow express companies to thrive. This study can help express companies reduce insurance costs and therefore reduce the premium pricing of insurance companies for the courier industry.. This study also provides design suggestions for the application of wearable artificial intelligence devices based on chat GPT in various working conditions.

This paper provides a thorough examination of important themes critical to understanding and tackling modern cyber threats. It explores the revolutionary significance of AI and machine learning in cybersecurity, emphasizing their dynamic influence on defense systems. It also addresses how zero-trust designs have caused a paradigm change in network security, highlighting the significance of trust verification in current cybersecurity frameworks. Furthermore, the article investigates the integration of cybersecurity with corporate strategy, arguing for a collaborative approach to efficiently mitigating risks while minimizing operational impact. Furthermore, it investigates the idea of cyber resilience, highlighting an organization's ability to recover from assaults and adapt to changing threats. Furthermore, the paper discusses the issues faced by deepfakes in the synthetic media revolution and emphasizes the rising worry about data privacy in the digital era. Finally, it looks into the introduction of behavioral biometrics as a possible way to improve authentication and security methods. This paper contributes to the discussion of effective tactics for mitigating cyber threats in today's digital ecosystem by providing a thorough overview of these subjects.

Neonatal rats that receive sucrose during a critical postnatal period (CP, days 12 to 28) develop hypertension by the time they reach adulthood. Changes during this period could contribute to inflammation and be associated with variations in the vascular smooth muscle (VSMC) phenotype. We studied changes in inflammatory pathways that could underlie the expressions of the secretory phenotype in the VSMC in the thoracic aorta of rats that received sucrose during CP. We analyzed histological changes in the aorta and expressions of the COX-2, TLR4, iNOS, eNOS, MMP-2, -9, β-, α-actin, and TNF-α, IL-6 and IL-1β expressions, and fatty acids by gas chromatography. The aortic wall presented disorganization, decellularization, wavy elastic fibers and increase in the lumen area. The COX-2, TLR4 expressions, TNF-α and IL-6 were increased, but iNOS, MMP-2 and -9 tended to increase and eNOS and arachidonic acid tended to decrease, con increase in oleic acid in CP in comparison with control group. There is a transient hypertension at the end of the CP that is accompanied by an inflammation and a change in the phenotype of VSMC to the secretory phenotype. The inflammatory changes could act as epigenetic signals to determine the hypertension development during adulthood.

In a world filled with uncertainties, Ebb&Flow emerged as a story of convergence, intertwining dementia research, caregiving, and artistic exploration into a tripartite creative knowledge exchange. This study delves into the complexities of uncertainty in dementia care and research through a collaborative project involving artists, researchers, carers, and individuals with lived experience of dementia. Initiated by the Trellis:Arbor program, Ebb&Flow sought to co-created a human space addressing the multifaceted nature of uncertainty. The sea, with its unpredictable nature, served as a guiding metaphor for the project, reflecting the unpredictability of dementia and life. Over three months, through paintings, writings, and digital mediums, participants documented the changing emotions, challenges, and discoveries they encountered daily. The project fostered an environment where uncertainties were openly discussed, building supportive and resilient communities through participatory co-creation and methodological exchange. Key activities included a digital logbook, allowing participants to document and share their experiences of uncertainty, and the creation of the Ebb&Flow card deck—a compilation of personal stories and insights that serve as a legacy of shared experiences. Each card facilitated dialogue, understanding, and connection, bridging gaps between those affected by dementia and the broader community. The project culminated in a final exhibition and sharing event, where participants, researchers, and the public celebrated the journey's outcomes through stories and artworks. Throughout this journey, we observed that embracing uncertainty and fostering empathy through creative collaboration profoundly impacted participants, enhancing empathy and resilience. This project underscores the transformative potential of integrating artistic practices with scientific research to address the emotional and psychological burdens of dementia and research environments. Ebb&Flow demonstrates that even in the face of the unknown, a united community can find strength, solace, and understanding, highlighting the power and beauty of unity in exploring and expressing the multifaceted experiences of dementia and life.

This work addresses the relevant control system design issue for an acrylic acid plant through the lens of plant-wide stochastic optimization control (S-PWOC). The S-PWOC framework involves stochastic optimization methods. An evaluation comparison between the proposed S-PWOC model and two conventional models, specifically the two-level identification method and the typical plant-wide decentralized control structure, is performed. Despite the increasing computational demands associated with S-PWOC, experimental results highlight its effectiveness in handling different forms of uncertainty. Notably, S-PWOC demonstrates improvements in economic viability, control efficiency, and reduction of safety risks during plant operations.

For each measurement, at least three objects are needed: a solid, neutral object as a measuring instrument and two objects for comparison. This system of three spatial dimensions per object has a common time. All measurements are based on orbits relative to the firmament and coincidences of the spatial coordinates of the objects after rotations with π and provide the energy of the system. These results in the most suitable coordinate system with dimensions of powers of π in which the radius is curved, as are the longitude and latitude. Polynomials P(2π) correspond to neutral objects, in addition to P(π) for charge, spin, isospin. In addition, it is assumed that the cosmos consists of a single type of particle with a speed of light c. Normalizing to the rest mass of the electron, the neutrinos are ντ=π, νμ=1, and νe=1/π. The energy of an electron is: Ee=gfreq(π)+1−1/π. An algorithm is derived from a Christoffel symbol and similar to a lattice gauge calculation. It provides exact residual masses for neutrons, protons, muons, tauons, quarks u, d, and pions. The theory can be applied to the inner planetary system and the cosmos and explains the hierarchy problem.

In this work, we develop a detailed analysis of the current panorama for electric vehicle charging technology, focusing on the various levels and types of charging protocols and used connectors. We propose a charging station for electric cars powered by solar photovoltaic energy, performing the analysis of the solar resource in the selected location, sizing the photovoltaic power plant to cover the demand completely, and exploring different configurations such as grid connection or physical and virtual electric energy storage. Despite the current development applying for specific working conditions, operating voltage, charging rate, power demand, etc., the proposed configuration is modular, adaptable, and resilient. The simulated system operates within the 360 V to 800 V range of continuous current for charging the electric vehicles, with a selectable power range between 20 and 180 kW. The basic layout includes four charging poles, each servicing all working voltages. An oversized PV plant powers the charging station at any time of the year, saving money compared to the alternative of the electric storage unit. In addition, we build simulation tools and algorithms that optimize the design of future projects, providing a solid basis for sustainable energy infrastructure planning and design.

Polycystic ovary syndrome (PCOS) is a complex disorder that impacts both the endocrine and metabolic systems. The gut microbiota plays a crucial role in in metabolism regulation and immune responses through its interaction with the external environment. This article explores the intricate interplay between intestinal flora and the pathogenesis of PCOS, focusing on the pivotal role of microbial metabolites, specifically short-chain fatty acids (SCFAs). SCFA levels in fecal and blood samples from women with PCOS (n=69) and healthy controls (n=18) were analyzed using Gas Chromatography-Mass Spectrometry (GC/MS) for precise measurement. The results revealed that women with PCOS exhibited a significant reduction in beneficial bacteria alongside a notable overgrowth of opportunistic microorganisms. An overproduction of acetic acid (AA) and valeric acid (VA) in fecal samples suggests a link between elevated SCFAs and the development of obesity and PCOS. Interestingly, AA in the bloodstream might offer a protective effect against PCOS by ameliorating key symptoms such as high body mass index (BMI), insulin resistance (IR), and chronic inflammation. This finding points to the potential therapeutic value of maintaining optimal AA levels in the blood. Although serum SCFA levels showed non-significant changes following metformin treatment, the normalization of AA in the gut underscores that metformin exerts a more pronounced effect locally within the gastrointestinal tract. This treatment also led to an increase in beneficial gut bacteria and a reduction in opportunistic pathogens, suggesting a restoration of gut microbial balance. Furthermore, the study identified the most effective model for predicting the success of metformin therapy, based on serum concentrations of butyric acid (BA) and VA, achieving a 91% accuracy rate, 100% sensitivity, and 80% specificity. These promising findings highlight the potential for developing targeted interventions and personalized treatments, ultimately improving clinical outcomes for women with PCOS.

Observer-based control is the most commonly used method in the control of electro-hydraulic servo system (EHSS) with uncertainties, but it suffers from the drawback of low accuracy under the influence of large external load forces and disturbances. To address this problem, this paper proposes a novel compensation function observer-based backstepping sliding mode control (BSMC) approach to achieve high-accuracy tracking control. In particular, the model uncertainties, including nonlinearities, parameter perturbations and external disturbances are analyzed and treated together as a lumped disturbance. Then, a fourth-order compensation function observer (CFO) is constructed, which fully utilizes the system state information to accurately estimate the lumped disturbance. On this basis, the estimate of the lumped disturbance is incorporated into the design of an backstepping sliding mode controller, allowing the control system to compensate for the disturbance effect. The stability of the closed-loop control system under the CFO and BSMC is rigorously proven through the use of Lyapunov theory, which guarantees that all the tracking error signals converge exponentially to the origin. Comparative simulations are carried out to show the effectiveness and efficiency of the proposed approach, i.e., compared with PID and ESO-based BSMC methods, the tracking accuracy is improved by 99.93% and 99.76%, respectively.

This study investigates the strategic unity of fintech enterprises, assessing whether their characteristics bear greater resemblance to conventional banking institutions or technological corporations. Through the evaluation of operational functions, target demographics, business frameworks, stakeholder engagements, equity market dynamics, and empirical data, the analysis indicates that fintechs exhibit a closer alignment with technology companies. The inquiry uncovers significant lacunae in the prevailing scholarly discourse, particularly regarding the examination of fintechs’ fundamental attributes and their ramifications for strategic positioning. The results not only imply that fintechs are more akin to technology firms but also underscore the increasing convergence between fintechs and tech enterprises, propelled by the incursion of Big Tech and a heightened focus on sustainability. This implies an evolving financial landscape where traditional categorizations are progressively obscured. Our research is pivotal for comprehending and navigating this emergent terrain, which holds paramount importance for professionals operating within the financial and technological domains.

The rapid emergence of Decentralized Finance (DeFi), driven by blockchain technology and smart contracts, is transforming the landscape of the financial industry by enabling peer-to-peer financial services without traditional intermediaries. This paper examines the impact of DeFi on traditional banking systems, focusing on the opportunities, challenges, and future directions of this revolutionary financial model. We explore how DeFi disrupts traditional financial intermediation by offering faster, cheaper, and more transparent financial services, potentially reducing the dominance of conventional banks. The study addresses critical issues such as regulatory challenges, including compliance with Anti-Money Laundering (AML) and Know Your Customer (KYC) requirements, and the importance of consumer protection in a decentralized environment. We also investigate collaboration opportunities between traditional banks and DeFi platforms, which could lead to innovative financial products and services. To provide a comprehensive analysis, the paper employs a mixed-method approach, combining a review of recent literature, empirical data, case studies, and expert interviews. The findings highlight significant gaps in current regulatory frameworks and emphasize the need for a balanced approach that fosters innovation while ensuring financial stability and consumer safety. This study concludes by offering recommendations for policymakers, financial institutions, and DeFi developers to harness the potential of DeFi while addressing its inherent risks, paving the way for the sustainable growth of decentralized finance in the broader financial ecosystem.

Using different frequency group period phase synchronization, a precise frequency detecting technology is presented. On the basis of the phase comparison for different frequencies, a high-accuracy frequency measuring can be achieved by quantization of phase comparison results and analysis of quantization results. Using the phase coincidence points between comparison signals as the counter’s open and close signals, the time interval between the same phase coincidence points is a group period. Via the detection and analysis of the phase coincidence points, the ±1-word counting error can be eliminated, and measuring speed is also improved. By using FPGA technology, the measuring device can be simplified, and the development cost can be reduced. Testing results indicate that the frequency measuring accuracy with 10−13/s level can be achieved. The technology is greater than the common frequency measuring technology in more ways than one, such as power consumption, device volume, measuring rate, etc., so it plays an important role in Beidou satellite positioning, precise timing, high-precision time frequency transfer and comparison, scientific metrology and other fields.

Objectives: To develop and validate the Communities Geriatric Mild Cognitive Impairment Risk Calculator (CGMCI-Risk), aimed at aiding community healthcare workers in the early identification of individuals at high risk of Mild Cognitive Impairment (MCI); Methods: Based on nationally representative community survey data, backward stepwise regression was employed to screen the variables, and logistic regression was utilized to construct the CGMCI-Risk. Internal validation was conducted using bootstrap resampling, while external validation was performed using temporal validation. The area under the receiver operating characteristic curve (AUROC), calibration curve, and decision curve analysis (DCA) were employed to evaluate the CGMCI-Risk in terms of discrimination, calibration, and net benefit, respectively; Results: The CGMCI-Risk model included variables such as age, educational level, sex, exercise, garden work, TV watching or radio listening, Instrumental Activity of Daily Living (IADL), hearing, and masticatory function. The AUROC was 0.781 (95% CI = 0.766 to 0.796). Calibration curve showed strong agreement, and the DCA suggested substantial clinical utility. In external validation, the CGMCI-Risk model maintained similar performance with an AUROC of 0.782 (95% CI = 0.763 to 0.801); Conclusions: CGMCI-Risk is an effective tool for assessing cognitive function risk within the community. It uses readily predictor variables, allowing community healthcare workers to identify the risk of MCI in older adults over a three-year span.

Though Bangladesh is often labelled as "climate change ground zero," the Chittagong Hill Tracts (CHT) were never considered a significant climate change hotspot until heavy rainfall and consequent landslides in 2017. This shift in problem narrative seemingly overlooks myriad environmentally unsustainable 'development' initiatives along with (il)legal deforestation. This paper examines climate change trends and impacts on the lives and livelihoods of diverse local groups in CHT. By analysing changing patterns in meteorological data and qualitative information on changes and challenges in everyday life and the livelihoods of local people, we show a shortfall of captured climate data on CHT to make a strong case for climate change. Yet, this study finds that this region is exposed to a substantial threat of land degradation, flash floods, water scarcity, landslides, and other slow and quick onsets due to a combined effect of deforestation, neoliberalised development, and slight changes in temperature and precipitation patterns. This paper calls for proactive measures to address climate change impacts by endorsing sustainable development strategies prioritizing environmental stewardship, social justice, and economic prosperity.

Electrolyzed water, which mainly contains hypochlorous acid, is widely used because of its strong microbicidal effects, biosafety, and eco-friendliness. For frequent use in intraoral treatments, we focused on neutral electrolyzed water (NW) produced using two-stage electrolysis and investigated its storage stability. For standard-concentration NWs with free available chlorine concentration (ACC) of 25, 35, and 50 mg/L and high-concentration NWs (100, 200, 300, 500, and 1000 mg/L), changes in the pH, oxidation-reduction potential, and ACC during 126 days of storage and the bactericidal efficacies were examined. Storage under non-shaded conditions at room temperature (LRT) and a higher ACC substantially altered the properties of the NW. NW (≤ 300 mg/L) had a pH of 5.9–7.3 even after storage under LRT; however, NW with higher ACC (500 and 1000 mg/L) had a pH ˂ 5.5, critical for human enamel), even under shaded and refrigerated conditions (SLW). Only NW (25 mg/L) stored under LRT exhibited the lowest ACC (5 mg/L), indicating a decreased bactericidal effect. When stored for use in intraoral treatments, NWs should be prepared with an ACC of 25–300 mg/L and stored in SLW. If diluted NW is used, the ACC should be checked and appropriately diluted every time.

Short-circuit blowing is an important technical means to ensure the rapid surfacing of submersible. In order to study the impact of seven multiple manipulation factors of three levels on blowing, a proportional short-circuit blowing model test bench had been built and L18(37) orthogonal experiments were carried out; then, using Back propagation neural network and Pearson correlation analysis, the experimental data were trained and predicted, correlation between individual factor and blowing was further studied as supplement of orthogonal experiments. It had been proved that both multi-factor combination and individual including blowing duration, sea tank back pressure, the gas blowing pressure of the cylinder group, and sea valve flowing area had larger influence, whose correlation coefficients were 0.6535, 0.8105, 0.5569, 0.5373, of which the F-ratio of blowing duration is over critical value 3.24. And statistical evaluation indicators of Back propagation neural network were between 10e-2 and 10e-13, relative error was less than 3%, and prediction error accuracy was 100%. Based on the results above, a reasonable prediction method for submersible short-circuit blowing had been formed and suggestions on engineering design and operations were proposed, including advantage of short-circuit blowing method, initial condition settings and manipulation strategy.

A new-type vibration sensor based on a fiber Bragg grating combining with a special structure-packaged design is proposed for monitoring the mechanical vibration signals. Three different sensing structures including the film squeeze type, new film squeeze type and elastic tape squeeze type are proposed for measuring the vibration signals with the frequency range from tens to thousands of Hz. In the comparison of experimental results, the new film squeeze structure has a nice sensing performance in the range from 100 to 1000 Hz with the sensitivity of 35 mV/V. For the elastic tape squeeze structure, the elastic tape is designed to encapsulate the optical fiber with a good frequency response from 1100 to 3100 Hz. In addition, by using the new film squeeze structure to measure the steady-state and non-steady-state vibration signals, the spectral components of sensing signals are analyzed by using the wavelet transformation for confirming the testing signals. These vibration fiber sensors can be applied in the measurement of high-end manufacture-facility vibration or earthquake vibrations etc.

Proper blood-brain barrier (BBB) function is essential to maintain homeostasis keeping the central nervous system healthy. Disruption of the BBB has been described in nearly all neurological disease and injury contexts. Given the various physical and metabolic roles of the BBB and gliovascular unit (GVU), dysfunction should be assessed across multiple levels to pinpoint the exact nature of the impairment. Here we describe imaging techniques for evaluating various aspects of BBB and GVU integrity and function, tailored for use in mouse models with protocols for quantitative image analysis. These imaging techniques complement classical dye tracer experiments and reveal underlying molecular causes of BBB dysfunction.

The increasing prevalence of multidrug-resistant pathogens (MDR), persistent biofilms, oxidative stress, and cancerous cell proliferation pose significant challenges in healthcare and environmental settings, highlighting the urgent need for innovative and sustainable therapeutic solutions. The exploration of nanotechnology, particularly the use of green-synthesized nanoparticles, offers a promising avenue to address these complex biological challenges due to their multifunctional properties and biocompatibility. Utilizing a green synthesis approach, Mauritia flexuosa Mf-AgONPs were synthesized and characterized exhibiting potent antibacterial effects against both non-resistant and MDR bacterial strains, with minimum inhibitory concentrations (MICs) ranging from 11.25 to 45 µg/mL. Mf-AgONPs also demonstrated significant antifungal efficacy, particularly against Candida glabrata, with a MIC of 5.63 µg/mL. Moreover, the nanoparticles showed strong biofilm inhibition capabilities and substantial antioxidant properties, underscoring their potential to combat oxidative stress. Additionally, Mf-AgONPs exhibited pronounced anti-tumor properties against various cancer cell lines, displaying low IC50 values across various cancer cell lines while maintaining minimal hemolytic activity at therapeutic concentrations. These findings suggest that Mf-AgONPs synthesized via an eco-friendly approach offer a promising alternative for biomedical applications, including antimicrobial, antifungal, antioxidant, and anticancer therapies, warranting further in vivo studies to fully exploit their therapeutic potential.

Chemical plants are characterized by the management and operation of various hazardous materials; thus, accident risk is inherently high. Nevertheless, the incidence of chemical accidents in Korea has effectively stabilized, with no marked increase attributable to the implementation of systematic safety management procedures based on process safety management system principles. In June 2023, the Ministry of Employment and Labor in Korea unveiled the Serious Injury and Fatality (SIF) report, meticulously cataloging 4,432 instances of grave accidents spanning six years (2016–2021). The compilation comprises 1,834 and 2,574 cases within the manufacturing and affiliated sectors and the construction sector, respectively. This study provides an overview of each accident, and elucidates the causes, and recommends preventative strategies. The objective was to galvanize companies across various industrial landscapes and fortify their intrinsic safety management protocols by using accident data delineated per sector. Sixteen specific accident cases from the SIF report, all of which occurred in facilities regulated by process safety management (PSM), were investigated. Technical analysis was conducted, focusing on explosion accidents within the organic catalyst packaging process, notable for their unique patterns of occurrence. This analysis extended to an examination of the reproducibility of such accidents. Employing two system analysis methodologies, system theoretic accident model and process and barrier-based systemic cause analysis technique, this study provides insights into the causative factors of the accidents and formulates comprehensive strategies for the prevention of future accidents. The findings will contribute significantly to reducing the risk of accidents within the catalyst packaging domain and assist in the development of robust recurrence prevention measures.

Parkinson's disease (PD) is the second most common neurodegenerative disorder, entailing several motor-related symptoms that contribute to a reduced quality of life in affected subjects. Recent advances in wearable technologies and computing resources have shown great potential for the assessment of PD-related symptoms. However, the potential applications (e.g., early diagnosis, prognosis and monitoring) and key features of digital biomarkers for motor symptoms of PD (DB-MS-PD) have not been comprehensively studied. This study aims to provide a state-of-the-art review of current digital biomarker definitions for PD, focusing on the use of wearable devices. This review systematically examines research articles from 2012 to 2024, focusing on key features and recent technologies in PD research. A total of 22 studies were included and thoroughly analyzed. Results indicate that DB-MS-PD can accurately distinguish patients with PD (PwPD) from healthy controls (HC), assess disease severity or treatment response, and detect motor symptoms. Large sample sizes, proper validation, non-invasive devices, and ecological monitoring make DB-MS-PD promising for improving PD management. Challenges include sample and method heterogeneity and lack of public datasets. Future studies can leverage evidence of the current literature to provide more effective and ready-to-use digital tools for monitoring PD.

Water quality control employs techniques mostly targeting individual analytes; group detection is also practiced, but the choice of group methods is limited, which supports interest in developing such methods. We have examined an interaction of hypochlorite with a chlorine-containing heptamethine carbocyanine dye in the presence of 30 organic and inorganic model analytes that were found to induce diverse color changes in the system. The main supposed mechanisms are retardation of the dye oxidation with hypochlorite (presumably by scavenging chlorine radicals) and substitution of chlorine atom in the dye by the most nucleophilic analytes (amines, amino acids, proteins, DNA, phenol). The grass-green substitution product is more contrastingly visible against the dark-purple hypochlorite oxidation product of the dye than against the original emerald-green dye. The indicator reaction is monitored photographically for 10–40 min and the images are processed using principal component analysis (PCA) or linear discriminant analysis (LDA), allowing for data convolution for the complex color transitions. Nitrogen compounds are discriminated from the others, and more reactive analytes (tryptophan, cysteine, bovine serum albumin, and DNA) are detected in the presence of less reactive ones in natural water. The system is promising for the development of group assays for dissolved organic matter and discrimination of water samples.

This comprehensive analysis aims to offer valuable insights into the safety profiles of these glucocorticoids, facilitating the identification of compounds with potentially reduced adverse effects. This study investigates the toxicity profiles of various glucocorticoids, utilizing predictions from the pKCSM Server. Among the glucocorticoids examined, Dexamethasone, Triamcinolone, Hydrocortisone hemisuccinate, Paramethasone, Fluprednisolone, and Flumethasone emerge as potentially less toxic, displaying favorable scores across diverse parameters such as Max. Tolerated Dose (human, MRT), Oral Rat Acute Toxicity (LD50), and Oral Rat Chronic Toxicity (LOAEL). Notably, Hydrocortisone hemisuccinate and Triamcinolone stand out for their high tolerability capacity based on the Max. Tolerated Dose (human, MRT), suggesting enhanced safety profiles. These findings contribute insights into selecting glucocorticoids with optimal safety and tolerability for potential therapeutic applications.Further research and clinical investigations are warranted to validate and refine these findings, ensuring the responsible and effective use of glucocorticoids in medical practice.

Groupers (Epinephelidae) are ecologically important mesopredators that support valuable fisheries across the globe. Many groupers display slow growth and maturity, high longevity, ontogenetic habitat shifts, spawning-related migrations and aggregations, and protogynous hermaphroditism, which make them susceptible to overexploitation. In this review, I synthesize available information related to the management of grouper fisheries across the southeastern and Caribbean U.S. I highlight current management challenges, such as managing multispecies reef fish fisheries with growing recreational fishing effort. I discuss management interventions with limited success, such as establishing marine protected areas to improve the populations of groupers that display protogynous hermaphroditism. I also highlight management successes, such as recovering historically depleted grouper stocks, and ecosystem-based considerations in grouper stock assessments. I discuss how climate change and anthropogenic effects are expected to affect groupers. Lastly, I provide examples of stakeholders involved in monitoring and management efforts directed at grouper stocks. The purposes of this review are to demonstrate the complexities of managing grouper fisheries and provide a road map for future research and conservation efforts into these economically and ecologically relevant fishes within and beyond the region.

Soil contamination and the uptake of contaminants by food crops is a global problem that differs significantly from region to region, with the key factors affecting the contaminants present in local soils being the mineralogical composition of the underlying layers and local human activity. The area of ​​the Pannonian region is known for the fact that agriculture has, historically, played an important role since Roman times, which was particularly influenced by human activity. In this study we performed a preliminary study of the contamination of soil samples across the Pannonian region, to determine the potential presence of harmful contaminants. Both soil and crop samples were analysed for the potential presence of heavy metals, with additional focus placed on the potential presence of microplastics in the region`s soil.

In the field of music education, the incorporation of technology originally designed for professionals presents both significant opportunities and challenges. These technologies, although advanced and powerful, are often not adapted to meet the specific needs of the educational envi-ronment. Therefore, this study details the design and implementation process of a system con-sisting of a hardware device called "Play Box" an associated software, "Imaginary Play Box". The Design Sciences Research Methodology (DSRM) specifically adapted to software development was used to structure the project. The three phases shown in this study ranged from the conception of an initial prototype to the realisation of a working software. During the design phase, a questionnaire was developed to evaluate various aspects of the soft-ware, such as the visual interface, the programming of components and the sound interactivity provided by the Play Box. The technique of panels of experts in music pedagogy and program-ming in MAX-MSP was used to obtain critical feedback. This expert evaluation was crucial to it-erate and polish the software, culminating in a beta version optimised for the creation of electro-acoustic music for music education.

From the evening of 1st May 2023 to 3rd May 2023, severe hydro-meteorological events occurred in the Italian Emilia-Romagna region, particularly in the provinces of Forlì-Cesena, Ravenna, Bologna, Modena, and Reggio Emilia. Additionally, on 16th-17th May, another intense meteorological event occurred, impacting the Romagna provinces. Such events caused extensive flooding, landslides, isolation of many areas, evacuation of numerous families, and significant damages to infrastructure, agriculture, buildings, and essential services. Many hilly municipalities were cut off, and thousands of civilians had to be evacuated, losses of life occurred. The consequences beyond the recorded immediate impacts on infrastructure and life were impressive, and extended to the regional economy, specifically in the Fruit Valley, where, in addition to immediate yield losses, long-term damage to orchard production is expected due to persistent flooding. The civil and cultural building heritage has also been heavily affected, both in the countryside and in inhabited centers. Some of the damage, direct and indirect, caused by flooding on buildings will also see an evolution in the medium to long term that will have to be addressed. This paper analyzes the reasons that led to the atmospheric phenomenon to understand the increasing potential occurrence of similar events from the perspective of climate change. This paper document analyzes the causes and effects of these events, additionally considering the future impacts of similar hazards potentially occurring in the context of climate change. It is crucial indeed to remark how such events, when occurring in high density agricultural areas, have the potential to threat the entire regional production system for extended periods. For example, the alteration of direct physiological processes due to root drowning may compromise production of entire productive agricultural extensions and many years will be required to their replacement.

Major factors affecting in vitro immature embryo rescue efficiencies from Prunus persica or P. armeniaca accessions, have been identified along with improving its economic feasibility. Three culture media, based on Woody Plant Medium (WPM) have been used depending on the embryo size. Embryos less than 5-mm-long were cultured in WPM supplemented with 1 mM BAP and 1 mM GA3, while embryos bigger than 5-mm-long were cultured in hormone-free medium, with or without vermiculite. Environmental in vitro culture conditions consisted of three phases, a (I) stratification at 4 C during a 3 to 5-month-long period in the dark, followed by (II) growth of germinated embryos at 14 C for 4-week-long period, with 12h light a day, which favors plantlet development, and finally (III) growth at 24 C, with 16h light a day, until the plantlets were moved to the greenhouse for acclimatization. Germination of smaller embryos, at the end of the phase I, ranged from 82.2% to 22.1%, for apricot and flat peaches, respectively, whereas for bigger embryos the germination varied from 97.4% to 53.2% for the same type of fruits. Embryo germination for peaches and nectarines ranged from 40.1% to 30.3% for smaller embryos, and from 91.9% to 64.0% for bigger embryos. Endo- and exophytic contamination, affecting from 7.4% to 52.9% of cultured embryos depending on the fruit type and conservation conditions, and the capacity to acclimate to soil conditions, ranging from 50.4% to 93.2%, were the two most important factors influencing protocol’s efficiency and economic feasibility. Considering the overall efficiencies, expressed as hardened plants transferred to field plots over clean uncontaminated embryo, values ranged from 55.8% for nectarines, 54.0% for peaches, 45.6% for apricot, and 23.3% for flat fruits. Addition of vermiculite to the culture medium significantly improved plantlet development, avoiding subculture to fresh medium when an extension of the phase III was required before acclimatization. Compared to laboratory glassware, use of food glass containers with air-permeable sealing film, along with vermiculite-containing medium significantly reduced costs, when handling the large number of embryos required for breeding programs.

In conventional Federated Learning (FL), clients work together to train a model managed by a central server, intending to speed up the learning process. However, this approach imposes significant computational and communication burdens on clients, particularly with complex models. Additionally, while FL strives to protect client privacy, the server's access to local and global models raises security concerns. To address these challenges, Split Learning (SL) separates the model into parts handled by the client and the server, though it suffers from inefficiencies due to sequential client participation. To overcome these issues, SplitFed Learning (SFL) was proposed, which combines the parallelism of FL with the model-splitting strategy of SL, enabling simultaneous training by multiple clients. Our main contribution is the theoretical analysis of SFL, which, for the first time, includes non-i.i.d. datasets, non-convex loss functions, and both full and partial client participation. We provide convergence proofs for a state-of-the-art SFL algorithm based on conventional convergence analysis assumptions for FL. Our results prove that we can recover the linear convergence rate of conventional FL for the SFL algorithm with the distinction that increasing the number of local steps or clients may not speed up the convergence in SFL.

Urbanization degrades natural habitats and creates new urban ecosystems, like domestic gardens. The plant composition of these gardens varies with socio-economic factors and urban planning levels. However, the diversity and impact of introduced species are often poorly assessed, causing potential ecological imbalances, particularly in Lubumbashi (DR Congo). The objective was to analyze the spatial structure, plant diversity, propagation strategies, and ecological functions of domestic gardens. Three distinct neighborhoods were selected: planned, unplanned and residential neighborhood. 20 avenues (with 5 plots per avenue) were chosen to represent the diversity within each neighborhood, and stratified random sampling of plots was conducted to analyze gardening practices. Gardens were classified into types, and their vegetation was evaluated based on species origin and ecological impact. The analysis of domestic gardens in Lubumbashi reveals significant variations across different neighborhood types. Residential neighborhoods exhibit larger average garden sizes (315.1 m²), higher species richness (22 species), and larger plot sizes (1032 m²) compared to unplanned and planned neighborhoods, where garden areas and species richness are notably lower. Rectangular gardens dominate in unplanned areas, while planned neighborhoods feature more intentional landscaping elements, such as flowerbeds and hedges. The use of gardens for food production is prominent in planned areas (40.7%), whereas residential neighborhoods prioritize ornamentation (51.4%). The study identifies 232 species across 68 families, with a predominance of exotic species (80%) in all neighborhoods, particularly in unplanned areas (82.25%). The data reveals that Mangifera indica and Persea americana are abundant in all neighborhoods, illustrating their adaptability to different urban contexts. Herbaceous species are most common, followed by woody plants, with vines being sparse. Species dispersal is primarily driven by human activities (anthropochory), accounting for over 85% in all neighborhoods. These findings highlight the strong human influence on the composition and structure of domestic gardens in Lubumbashi, emphasizing the dominance of exotic species and the importance of anthropogenic factors in shaping urban green spaces. Urban policies should incorporate strategies to minimize the negative impacts of exotic species on native flora.

Certain species of Mucorales have been identified as causative agents of mucormycosis, a rare yet often lethal fungal infection. Notably, these fungi exhibit intrinsic resistance to common azole drugs, which target lipids. Given the pivotal role of lipids in drug resistance and their contribution to the innate resistance to azoles, this study provides a comprehensive overview of key lipid classes, including sphingolipids (SLs), glycerophospholipids(GPLs), and sterols, in Rhizopus delemar 99-880, a well-characterized reference strain among Mucorales. Through high-throughput analysis involving the identification and quantification of intermediates, we have elucidated the biosynthetic pathways of SLs, PGLs, and sterols. Notably, the acidic SLs were not found probably because the acidic branch of the SL biosynthesis pathway terminates at α-hydroxy phytoceramides as evident by their high abundance. Intermediates in the neutral SL pathway incorporated higher levels of 16:0 fatty acid compared to other pathogenic fungi. A strikingly high phosphatidylethanolamine (PE)/phosphatidylcholine (PC) ratio was observed among GPLs. Ergosterol remains the major sterol, similar to other fungi, and our analysis confirms the existence of alternate ergosterol biosynthesis pathways. The total lipidomic profile of R. delemar 99-880 offers insights into its lipid metabolism and potential implications for studying pathogenesis and drug resistance mechanisms.

Minimizing optical losses in resonant cavities is crucial for improving photonic device performance. This study focuses on the development of a simulation tool to analyze scattering losses in Fabry-Pérot interferometers (FPI), offering precise modeling of waveguide dynamics and contributing to accurate loss predictions across various platforms. Optical cavities often suffer from scattering losses due to surface roughness and material defects. Our approach integrates theoretical models and simulations to quantify these losses, utilizing the FPI as a model system. We identified upper and lower reflectivity thresholds, beyond which accurate measurement of losses becomes unreliable. For reflectivity below a certain threshold, measurement errors arise, while excessively high reflectivity can reduce fringe visibility and introduce detector sensitivity issues. Simulations were used to validate the model's ability to predict reflectivity and attenuation in waveguides with varying loss levels. The software’s flexibility to adjust transmission parameters for different cavity configurations enhances its utility for a broad range of photonic systems. Our study offers a novel methodology for optical loss analysis, with practical applications in optimizing photonic devices. By providing a reliable tool for precise loss measurement, this work supports advancements in optical technologies, enabling the design of more efficient, high-performance devices across various applications.

Automating pruning tasks entails overcoming several challenges, encompassing not only robotic manipulation but also environment perception and detection. To achieve efficient pruning, robotic systems must accurately identify the correct cutting points. A possible method to define these points is to choose the cutting location based on the number of nodes present on the targeted cane. For this purpose, in grapevine pruning, it is required to correctly identify the nodes present on the primary canes of the grapevines. In this paper, a novel method of node detection in grapevines is proposed with four distinct state-of-the-art versions of the YOLO detection model: YOLOv7, YOLOv8, YOLOv9 and YOLOv10. These models were trained on a public dataset with images containing artificial backgrounds and afterwards validated on different cultivars of grapevines from two distinct Portuguese viticulture regions with cluttered backgrounds. This allowed to evaluate the robustness of the algorithms on the detection of nodes in diverse environments, compare the performance of the YOLO models used, as well as create a publicly available dataset of grapevines obtained in Portuguese vineyards for node detection. Overall, all used models were capable of achieving correct node detection on images of grapevines from the three distinct datasets. Considering the trade-off between accuracy and inference speed, the YOLOv7 model demonstrated to be the most robust in detecting nodes in 2D images of grapevines, achieving F1-Score values between 70 % and 86.5 % with inference times of around 89 ms for an input size of 1280×1280 px. Considering these results, this work contributes with an efficient approach for real-time node detection for further implementation on an autonomous robotic pruning system.

Multifunctional coatings based on Sn-Ni materials with and without titanium oxide nanoparticles (TiO2NPs) incorporation were prepared using the electrochemical deposition technique at 70°C. TiO2NPs were dispersed in the electrolyte bath, and their influence on both surface texture, crystalline phase, and properties was investigated. Various techniques such as X-ray phase analysis (XRD), scanning electron microscopy (SEM), and energy dispersive X-ray microanalysis (EDX) were used to characterize the prepared coatings. The anti-corrosion effectiveness of the coatings was assessed using potentiodynamic polarization curves and electrochemical impedance spectroscopy in an artificial sweat medium, while the bactericidal activity of the composite coatings (the ability to induce cell death) was evaluated in accordance with ISO 27447:2009 test. The influence of the TiO2NPs on the composition, structure and properties of the deposited coatings was established. Particular attention was paid to the relationship between the anticorrosive and bactericidal properties of the coatings and their structure and composition. The synergistic effect of the various properties was investigated and discussed.

Recent progress in studies of Rydberg double-well electronic energy states of MeNg (Me=12-group atom, Ng=noble gas atom) van der Waals (vdW) molecules is presented and analysed. The presentation covers approaches in experimental studies as well as ab-initio-calculations of potential energy curves (PEC). The analysis is shown in a broader context of Rydberg states of hetero- and homo-diatomic molecules with PECs possessing complex ‘exotic’ structure. Laser induced fluorescence (LIF) excitation spectra and dispersed emission spectra employed in spectroscopical characterization of Rydberg states are presented on the background of diversity of spectroscopic methods of their investigations such as laser vaporization-optical resonance (LV-OR), pump-and-probe methods and polarization labelling spectroscopy. Importance and current state-of-the-art applications of Rydberg states with irregular potentials in photoassociation (PA), vibrational and rotational cooling, molecular clocks, frequency standards and molecular wave-packet interferometry is highlighted.

Artificial intelligence has garnered significant attention in recent years as a rapidly advancing field of computer technology. With the continual advancement of computer hardware, deep learning has made breakthrough developments within the realm of artificial intelligence. Over the past few years, applying deep learning architecture in medicine and Industrial anomaly inspection has significantly contributed to solving numerous challenges related to efficiency and accuracy. Despite excellent results in radiological, pathological, endoscopic, ultrasonic, and biochemical examinations, this paper utilizes deep learning combined with image processing to identify spinal canal and vertebral foramen dimensions. In existing research, technologies such as corrosion and expansion in magnetic resonance image (MRI) processing have also strengthening the accuracy of results. Indicators such as area and Intersection over Union (IoU)are also provided for assessment. Among them, the mean average precision (mAP), for identifying intervertebral foramen (IVF) and intervertebral disc (IVD) through YOLOv4 is 95.6%. Resnet50 mixing U-Net was employed to identify the spinal canal and intervertebral foramen and achieved IoU scores of 79.11% and 80.89%.

Purpose: Our aim in this case is to report a new finding regarding Nutcracker syndrome (NCS), which is a variation of the left renal vein. Methods: We present a very rare anatomical variant of the left renal vein(LRV), with a preliminary diagnosis made by ultrasound and NCS as a differential diagnosis with computed tomography (CT) and diagnostic CT angiography. Results: The patient in our case was a 30-year-old woman with chronic abdominal and flank pain and increased sensitivity in the flank area. Neither hematuria nor proteinuria was detected in the urinalysis. Contrast-enhanced computed tomography(CT) showed that there were two separate LRVs draining the lower and upper poles. It was observed that the vein draining the lower pole narrowed significantly between superior mesenteric artery and abdominal aorta and then continued to widen. This view showed that we were faced with a typical NCS. What made our case different and unique from typical NCS was that it had renal intraparenchymal varicose veins. Treatment of NCS includes open, laparoscopic and robotic surgical repair and endovascular/extravascular stent placement. Treatment of symptomatic NCS includes open, laparoscopic, and robotic surgical repair and endovascular/extravascular stent placement. Except for the presence of hematuria causing severe anemia, deterioration in kidney functions and serious pain, patients are followed conservatively, and our patient is also followed conservatively. Conclusion: This case we present is the first case accompanied by renal parenchymal varices in the literature.

The esterification of propylene glycol methanol (PM) and acetic acid (AA) is an important reaction for the production of propylene glycol methyl ether acetate (PMA). Herein, we used macroporous ion exchange resin Amberlyst-35 as a catalyst to explore the effects of reaction conditions on the reaction rate and equilibrium yield of PMA. Under the optimized conditions of reaction temperature of 353 K, initial reactant PM/AA molar ratio of 1:3, and catalyst loading of 10 wt%, PMA equilibrium yield reached 78%, which is the highest equilibrium yield so far. The reaction equilibrium constants and activity coefficients were estimated to obtain reaction thermodynamic properties, indicating the exothermicity of the reaction. Furthermore, Pseudo-homogeneous (PH), Eley-Rideal (ER), and Langmuir-Hinshelwood-Hogen-Watson (LHHW) kinetic models were fitted based on experimental reaction kinetic data. The results demonstrate that the LHHW model is the most consistent with experimental data, indicating surface reaction controlled process and exhibiting an apparent activation energy of 62.0 kJ/mol. This work represents a valuable example of calculating the reaction thermodynamic and kinetics, which are particularly essential for promising industrial reactor design.

Life Cycle Assessment (LCA) is a widely used tool to measure the environmental sustainability of products or processes. Integrating LCA into the assessment of waste diversion strategies recognizes current waste diversion strategies are insufficient to effectively stem the global impacts of waste particularly with increased pressure to recover organic and inorganic materials to reduce landfill impacts and promote the circular economy. Historically, waste diversion efforts in municipalities and industries focused on higher-profile inorganic wastes, such as plastics and other recyclables. However, organic waste is increasingly identified as a key waste fraction that must be effectively managed and regulated. This research surveys published LCA studies from 2019 to 2023 focusing on the anaerobic digestion (AD) of organic waste. Notable conclusions include the lack of studies comparing AD with the latest treatment options such as co-gasification; the insufficient attention to the LCAs on biogas upgrading methods; and the monetization of LCA results using carbon credits. In addition, more than 50% of reviewed LCA studies concluded the results with a sensitivity analysis which was not a common practice before 2019 in LCA studies in anaerobic digestion. This signifies the increasing need to understand uncertainty in the circumstances governing applying AD to wastes. Finally, neglecting the combined effect of several parameters in sensitivity analysis might have reduced the accuracy of the sensitivity analyses in the reviewed LCAs. Overall, LCAs conducted on AD-related applications vary widely in terms of scope and consistency, implying that the outcomes may not be as applicable as intended. The identified challenges, issues, and other findings related to this research are expected to help standardize LCA procedures as applied to AD to promote greater comparability.

Early weaning management followed by energy supplementation can lead to metabolic alterations in the calf that exert long-term effects on the animal’s health and performance. It is believed that the main molecular basis underlying these metabolic adaptations are epigenetic mechanisms that regulate, activate, or silence genes at different stages of development and/or in response to different environmental stimuli. However, little is known about postnatal metabolic programming in Bos indicus. Therefore, this study aimed to compare the DNA methylation profile of Nellore animals submitted to conventional and early weaning and to correlate the findings with genes differentially expressed in Longissimus thoracis skeletal muscle of Bos indicus cattle. A total of 481 differentially methylated regions were identified, with 52% (250) being hypermethylated and 48% (231) hypomethylated. Functional enrichment analysis of 53 differentially methylated and differentially expressed genes was performed. The main enriched terms and pathways were associated with 3’-5’-cyclic adenosine monophosphate (cAMP) signaling which present the upregulated adenylate cyclase 3 (ADCY3) gene and significatively hypomethylated in promoter region. Alterations in cAMP signaling are involved in numerous processes, many of them related to lipid metabolism. The relative differential expression of key genes of this pathway demonstrates the relationship between cAMP signaling and de novo lipogenesis. These findings suggest an important role of postnatal metabolic programming through DNA methylation mechanisms in determining fat deposition in beef.

Aim: This study aims to analyze the evolution of co-author networks in Single-Balloon Enteroscope (SBE) research from 2000 to 2023, using data from the Web of Science (WoS) Core Collection. The objective is to provide a structural overview of researcher collaborations in this specialized field, highlighting key contributors and the impact of international cooperation. Method: I conducted a co-author network analysis on 149 SBE-related articles indexed in the WoS Core Collection between 2000 and 2023. Using Python (Version 3.10.5) within the PyCharm development environment (Software Version 2022.1.3), I assessed macro-level indicators including network density, clustering coefficient, number of components, and average distance. Micro-level indicators such as degree centrality, closeness centrality, and betweenness centrality were also evaluated to understand the roles of individual researchers in the network.Result: The analysis revealed that the co-author networks in SBE research have evolved over the studied period, with varying degrees of connectivity and collaboration. From 2000 to 2009, the network showed moderate clustering but high fragmentation, with a few key researchers like Nista, Enrico C., and Spada, Cristiano playing central roles. In the 2010-2019 period, network density decreased, indicating expansion in the author pool but less frequent co-authorships. However, the clustering coefficient remained high, suggesting localized collaboration. Central figures such as Itoi, Takao emerged as influential in bridging network gaps. In the most recent period (2020-2023), network density moderately increased, reflecting improved collaboration. Key contributors included Tanisaka, Yuki, and Ryozawa, Shomei, who enhanced connectivity within the network. Despite these advancements, the network remained fragmented with isolated components throughout all periods. Conclusion: The co-author networks in SBE research have shown an overall increase in collaboration over the past two decades, with key contributors playing pivotal roles in connecting disparate groups. However, the persistent fragmentation suggests a need for more integrated efforts to enhance international collaboration. Understanding these network dynamics can inform future strategies for fostering global cooperation and advancing SBE research.

The main objective is to evaluate HbA1c levels in patients with cystic fibrosis-related diabetes (CFRD) after one-year of therapy with elexacaftor/tezacaftor/ivacaftor (ETI). The secondary objective is to study the changes in total daily insulin dose (TDD), pulmonary function and metabolism in this population. A retrospective sin gle-center observational study was conducted at Regional Cystic Fibrosis Centre and Diabetology Centre of IRCCS Istituto Giannina Gaslini. The observation period was divided into Time 0 (ETI treatment initiation), Time 1 (T1 – 3 months of ETI therapy), Time 2 (T2 - 6 months of therapy) and Time 3 (T3 - 12 months of therapy). Demographic and clinical data were collected. The results were then stratified by genotype (F508del in homozygosity or heterozygosity). Twenty-eight patients with CFRD undergoing insulin therapy were included. TDD (IU) significantly decreased at T1 and T2, but not at T3, as for HbA1c. The number of hospitalizations and pulmonary exacerbations decreased significantly. We demonstrated both improvement in glycemic control (by means of HbA1c) and insulin requirement in insulin dependent CFRD patients after one year of only ETI treatment.

Mobility hubs (MHs), where various transport modes converge, are increasingly being implemented as a key policy strategy to promote sustainable travel behavior. The existing literature is rich with proposals for various types of MHs and their suitable siting locations. However, studies comparing the role of land use patterns on the performance of different types of MHs are scarce. This study aims to fill this gap by analyzing transit patronage and active mode share as performance indicators of MHs. It compares the effects of land use patterns on the performance of different types of MHs classified by the nature of transport integration (e.g., train-tram-bus, train-tram, and train-bus) in different contexts (e.g., city center and suburb) in the Greater Melbourne Area, Australia. Results show that MHs, irrespective of their type, significantly enhance the use of both transit and active transport services compared to a unimodal train station, with maximum usage observed in a train-tram-bus hub, followed by train-tram and train-bus hubs. However, the underlying land use patterns significantly affect their performance. While the size of commercial land use consistently and positively influences transit patronage across MH types, certain land use patterns (e.g., intersection density, cultural centers, care facilities) exert their influence in specific types of MHs. These findings suggest that MH typologies should be designed in tandem with supportive land uses to maximize sustainable travel behavior.