The startup ecosystem in Peru has experienced remarkable growth in recent years, driven by technol- ogy and innovation across various industries. This article presents a web application developed in PHP, designed to centralize and facilitate access to information about startups, incubators, and investors in Peru. The methodology employed encompasses several stages, from establishing prerequisites to data preprocessing, model selection and training, rigorous evaluation, and the technical development of the platform. The application offers key functionalities such as exploring a comprehensive database of star- tups, detailed access to information about incubators and accelerators, identification of investors, and advanced analysis tools for market proposal prediction. Additionally, it integrates educational resources and allows users to suggest new startups through detailed surveys. The results demonstrate that the ap- plication improves access to relevant data, fosters collaboration among ecosystem actors, and supports informed decision-making. The platform also stands out for its security and privacy measures, as well as its ability to drive innovation and competitiveness in the market. In conclusion, the application has a sig- nificant impact on the Peruvian entrepreneurial ecosystem, and its continuous improvement is essential for the sustainable growth of startups in Peru and globally

The global need for rapid diagnostic methods for pathogen identification and antimicrobial susceptibility testing (AST) is underscored by the increasing bacterial resistance and limited therapeutic options, especially critical in sepsis management. The evolution from traditional phenotype-based methods to rapid molecular and mass spectrometry techniques has significantly decreased result turnaround times, improving patient outcomes. Despite advancements, the complex decision-making in antimicrobial therapy often exceeds the capacity of many clinicians, highlighting the importance of antimicrobial stewardship programs (ASP). These programs, integrating mHealth and eHealth, leverage technology to enhance healthcare services and patient outcomes, particularly in remote or resource-limited settings. However, the application of such technologies in antimicrobial management remains underexplored in hospitals. The development of platforms combining antimicrobial prescription data with pharmacotherapeutic algorithms and laboratory integration can significantly reduce costs and improve hospitalization times and mortality rates. Yet, the effectiveness of empirical antibiotic therapy, influenced by rapid diagnostic tests, becomes cost-effective when error rates exceed 20%, emphasizing the need for technological integration in ASPs to combat the rising challenge of antimicrobial resistance (AMR) and healthcare sustainability.

Nowadays there is a growing interest in membrane modification processes, to improve their characteristics, the effectiveness of their treatments and reduce the possible fouling. In this sense, in this work a modification of an ultrafiltration membrane with tree different materials has been carried out: reduced graphene oxide (rGO), chitosan and MgCl2. For both the native and the modified membranes, a study has been carried out to remove the emerging contaminant sul-fomethoxazole. SEM and SEM-EDX analyses have been performed to confirm membrane surface modifications. In the characterization of the membranes, it is noteworthy that the values of the permeability coefficient, Aw, have been lower in the modified membranes, which is unexpected. Regarding the pollutant removal tests, the influence of pressure and initial concentration on permeate flows and rejections has been studied. Native membrane shows the highest permeate flow values. Comparing the modified membranes, the highest rejection values are obtained with the rGO-modified membrane, which can be explained by its greater hydrophilic character. Finally, a fouling study has been carried out, verifying that in almost all cases such fouling occurs after the passage of the pollutant, due to the blockage of the membrane pores.

With more companies entering the realm of electric vertical take-off and landing (eVTOL), and governments enacting policies to support the development of low-altitude economies, the commercial potential of eVTOL is being recognized by the public. However, true commercialization is still a long way off. This article analyzes the technologies, product features, potential markets, and government policies related to eVTOL, and constructs a four-stage, four-layer Policy-Technology Roadmap (P-TRM) model to guide the R&D process of eVTOL. Then transform it into a system structural model, and the Decision-making Trial and Evaluation Laboratory (DEMATEL) method is used to identify several key nodes in the R&D process. Utilizing the Technology Adoption Life Cycle (TALC) theory for interpretation and analysis, the article concludes by proposing strategies in product, technology, and policy support for how eVTOL can successfully cross the chasm. This preliminary analysis of the development path, key nodes, and necessary measures for crossing the chasm provides insights for the R&D and commercialization of eVTOL.

(1) Background: Heart rate variability (HRV) has emerged as a potential prognostic tool in cardiovascular diseases, offering individualized insights into autonomic nervous system activity. However, real-time HRV data during the acute phase of STEMI, particularly during percutaneous coronary intervention (PCI), was not previously explored. (2) Methods: This single-center, observational cohort study included 104 STEMI patients undergoing primary percutaneous coronary intervention (PCI). HRV parameters were measured using a wearable device (CE marked) during PCI, capturing dynamic responses. The association between HRV parameters and adverse outcomes, including in-hospital mortality and major adverse cardiovascular events (MACE), were assessed. (3) Results: HRV parameters significantly decreased after myocardial revascularization, particularly SDNN, RMSSD, pNN50, HF, SD1, and SD2/SD1 ratio. Significant associations were found between reduced SD2/SD1 ratio, approximate entropy, and adverse outcomes, including increased in-hospital mortality and MACE. The SD2/SD1 ratio was significantly lower in patients who died during the hospital stay (p = 0.008) compared to survivors. Approximate entropy was also significantly lower in deceased patients (p = 0.019). (4) Conclusions: Real-time HRV monitoring using wearable technology offers valuable data regarding dynamic physiological changes during primary PCI. The integration of HRV into routine clinical practice, facilitated by wearable devices, could improve the risk stratification and event prediction in STEMI patients.

Triazole derivatives of fluorescein containing N,N-dimethylaminopropyl fragments and their ammonium salts were synthesized with yields of 74 - 85%. The resulting compounds exhibit fluorescent properties in the green region of the visible spectrum. The critical aggregation concentration (CAC) was estimated using a py-rene fluorescent probe corresponding to a range of 0.28 - 1.43 mM, and at concentrations above the CAC the compounds form stable aggregates ranging from 165 to 202 nm. A relative quantum yield of 5-24% has been calculated based on fluorescence and UV spectra. The best value is shown by a derivative containing a tetradecyl substituent. When studying the photocatalytic properties of synthesized compounds through the reaction between N-substituted 1,2,3,4-tetrahydroisoquinoline and malonic ester, the mono-tetradecyl deriva-tive demonstrated the best results. According to gas chromatography-mass spectrometry (GC-MS) data, the conversion of the initial heterocycle reached 95%. Therefore, these resulting compounds have the potential to act as an effective photocatalysts.

The life cycle of a microgrid covers all the stages from idea to implementation, exploitation until its end of life, but with a lifespan of around 25 years. Covering them usually requires several software tools, which can make integration of results from different stages very difficult and may imply costs hard to estimate from the beginning of a project. This paper proposes a single platform of four modules developed in Matlab to assist all the processes a microgrid passes during its lifetime. The authors detail the architecture, functions and the development of the platform, either by using existing tools available in Matlab, or by developing new ones and designing new user interfaces linked with scripts based on its complex mathematical libraries. A proof-of-concept for this platform was presented by applying the life-cycle assessment process on a real-case study, a microgrid consisting in a photovoltaic plant, an office building as consumer and energy storage units.

The purpose of this paper is to assess the differential impacts of transformational and transactional leadership styles on employee performance during change initiatives within commercial banks in Sierra Leone. The research study utilised a cross-sectional survey design, and data was collected from 903 participants employed in the banking industry. The study used the structural equation model as the investigative instrument to examine the hypotheses. The findings reveal that transformational and transactional leadership styles demonstrate a strong bearing on employee performance, with the latter having a bigger influence. Organisational citizenship behaviour has a mediating effect between leadership styles and employee performance, while employee commitment does not act as a mediator between transformational leadership and employee performance, but it acts as a mediator between transactional leadership and employee performance. Commercial banks need to devise training programmes that will advance both leadership styles to arouse, energise, or inspire followers to display favourable behaviour and commitment to attain organisational. The paper makes an insightful contribution to the existing leadership literature by ascertaining the significance of leadership styles on performance and the role of commitment and organisational citizenship behaviour as mediators of the nexus between leadership styles and performance in the Sierra Leone banking industry.

Substance use disorder (SUD) is a global health crisis that is becoming increasingly prevalent among younger generations and impacting the overall health of millions of people worldwide. Traditional treatment methods, including cognitive-behavioral therapies and medicinal-assisted treatments, often face limitations such as inconsistent efficacies and varying degrees of accessibility. Thus, there is a clear need for a new and innovative treatment strategy. Music therapy has recently gained attention through research as a promising non-pharmacological supplement to strengthen conventional SUD treatment methods. This review explores the potential benefits of music therapy in reducing substance cravings, alleviating depressive symptoms, and improving emotional expression among patients in the rehabilitation phase of SUD recovery. We review evidence from various studies and clinical trials to evaluate the efficacy of music therapy in improving standard treatment outcomes, with the results indicating that music therapy could be an effective complement to traditional treatment methods while noting that its efficacy could vary depending on the individual and type of intervention provided. The benefits of music therapy include accessibility of treatment for diverse patient groups and the potential for highly individualized care, although more research is needed to compare the efficacies of specific music treatment types for certain conditions and patient populations. Further research is also needed to validate the neurobiological mechanisms of music therapy, as well as increased communication between music therapists worldwide to enforce consistency in treatment methods and share learnings in this growing field.

We conducted a multi-scaled Ecoregional Conservation Assessment for the Southern Rockies (~14.5M ha) and its trailing edge, the Santa Fe Subregion (~2.2M ha), Wyoming to New Mexico, USA. We included a representation analysis of Existing Vegetation Types (EVT), mature-old-growth forests (MOG), and four focal species—Canada lynx (Lynx canadensis), North American wolverine (Gulo gulo luscus), Mexican spotted owl (Strix occidentalis lucida), and northern goshawk (Accipiter gentilis)—in relation to 30 x 30 and 50 x 50 conservation targets. To integrate conservation targets with wildfire risk reduction to the built environment and climate change planning, we overlaid the location of wildfires and forest treatments in relation to the Wildland-Urban Interface (WUI) and included downscaled climate projections for a lower (RCP4.5) and higher (RCP8.5) emissions scenario. Protected areas were highly skewed toward upper elevation EVTs (most were >50% protected), underrepresented forest types (<30% protected), especially MOG (<22% protected) and riparian areas (~14% protected), and poorly represented habitat (<30%) for at least 3 of the focal species, especially in the subregion where nearly all the targets underperformed compared to the ecoregion. Most (>73%) forest thinning treatments over the past decade were >1-km from delineated WUI areas, well beyond the distance at which vegetation management can effectively reduce structure ignition risk (< 50-m from structures). Extreme heat, drought, snowpack reductions, altered timing of peak stream flows, increasing wildfires, and potential shifts in the climate niche of woodlands over conifer forests may impact forest dependent species, while declining snowpack may impact wolverine that den in upper elevations. Strategically targeting the built environment for fuel treatments would improve wildfire risk reduction and may allow for expansion of protected areas held up in controversy. Stepped-up protections for roadless areas, adoption of wilderness proposals, and greater protections for MOG and riparian forests are critical for meeting representation targets.

Interactions between human immunodeficiency virus type 1 (HIV-1) and the host factors or restriction factors of its target cells determine the cell’s susceptibility to, and outcome of, infection. Factors intrinsic to the cell are involved at every step of HIV-1’s replication cycle, contributing to productive infection and replication, or severely attenuating HIV-1’s chances of success. Furthermore, factors unique to certain cell types contribute to the differences in infection between these cell types. Understanding the involvement of these factors in HIV-1 infection is a key requirement for the development of anti-HIV-1 therapies. As the list of factors grows, and the dynamic interactions between these factors and the virus are elucidated, comprehensive and up-to-date summaries that recount the knowledge gathered after decades of research are beneficial to the field, displaying what is known so that researchers can build off the groundwork of others to investigate what is unknown. Herein, we aim to provide a review focusing on protein host factors, both well-known and relatively new, that impact HIV-1 replication in a positive or negative manner at each stage of the replication cycle, highlighting factors unique to HIV-1’s various target cell types where appropriate.

Developments in artificial intelligence techniques allow for an improvement in sustainable mobility strategies with particular reference to energy consumption estimates of electric vehicles (EVs). This research proposes a vehicle energy model developed on the basis of Deep Neural Network (DNN) technology. The study also explores the potential application of the model developed for the movement data of new vehicles in the province of Enna, Sicily, Italy. which is characterized by numerous attractors and the increasing number of hybrid and electric cars circulating. The energy model for electric vehicles shows high accuracy and versatility, requiring vehicle velocity and acceleration as input data to predict energy consumption. The research article also provides recommendations for the energy modeling of electric vehicles and outlines additional steps for model development. The implemented methodological approach and its results can be used by transport decision makers to plan new transport policies in Italian cities aimed at optimizing vehicle charging infrastructure. They can also help vehicle users accurately estimate energy consumption, generate maps, and identify locations with the highest energy consumption.

This research aims to propose a novel approach to evaluate and minimize the scrap rate in the industrial production of premium food cans with distortion printing. Beyond cost considerations, a critical aspect of modern food can manufacturing is the aesthetic quality of the graphical display. In addition to traditional formability requirements, a waving requirement is defined. Detailed real production conditions are provided and discussed. The material of interest is a double cold-reduced (DR) low-carbon steel sheet and chromium-coated tin-free steel with a thickness of 0.16 mm. These sheets are laminated on both sides with PET film before distortion printing on the exterior. A material parameter identification method is proposed and illustrated to address the challenges in characterizing such a thin sheet. The thickness profile and flange length are key criteria for this identification. Digital image correlation (DIC) and a microscope are used to measure the thickness distribution and flange length. Within the manufacturing system, uncertainties arising from material properties and forming processes can lead to scraps or defects. Finite element analysis (FEA) is adopted for process analysis and validated with experiment. Uncertainty propagation via metamodeling, employing radial basis function (RBF) neural networks, is adopted for the scrap rate evaluation. The study concludes with process optimization recommendations to reduce scrap.

Shrimp is the most important aquaculture industry. Therefore, we determined the effect of nitrifying-probiotic bacteria on water quality, growth, survival, immune response and intestinal microbiota of Litopenaeus vannamei cultured without water exchange. In vitro, only B. licheniformis used TAN, nitrites and nitrates since nitrogen bubbles were produced. TAN decreased significantly in the treatments with bacilli and LAB, but no differences were observed in nitrites. Nitrates were significantly higher in the treatments with bacteria. The final weight and survival of shrimp in the bacterial treatments increased significantly and superoxide anion increased significantly only in LAB treatment. The activity of phenoloxidase decreased significantly in the treatment with LAB and with the mixture of bacilli and LAB. Shrimp treated with bacilli in the water showed lower species richness. The gut bacterial community after treatments was significantly different from that of the control. Linoleic acid metabolism was positively correlated with final weight and superoxide anion, whereas quorum sensing was correlated with survival. Thus, bacilli and LAB in the water of hyperintensive culture systems act as nitrifers, modulate the intestinal microbiota and immune response, and improve the growth and survival of shrimp. This is the first report on Pediococcus pentosaceus and Leuconostoc mesenteroides as nitrifying bacteria.

Hail causes damage to property, including roofs, automobiles, and crops, with an average annual loss of $850 million. In residential structures, tile roofing systems are common in the southern U.S. due to their resistance to hail impact and long service life. Additionally, the commercial buildings and some portions of the residential structures have low-sloped or flat roof systems. Commercial low-slope roof systems are equally prone to hail-strike damages as steep residential roof systems. The objectives of this paper are to present a literature review, inspection protocol, and case studies on a comparative assessment of hail threshold for built-up roof (BUR) and tile roof (TR) systems. The published papers determining the hail impact assessment of different roofing systems from 1969 through 2023 were studied and analyzed. This study develops a comparative hail damage assessment table between BUR and TR systems, and the hail threshold for various built-up roof composition systems. In addition, the different failure modes and their causes, the characteristics of hail impacts, and the variables influencing the impact resistance of these roofing systems were examined using field studies. To better understand the effects, it is recommended that an intelligent model be developed to predict the hail resistance threshold of various configurations of BUR and TR systems with critical variables.

Human-robot collaboration is a new trend in modern manufacture. The safety or human protection is of great significance due to the share of the same workshop between humans and robots. To achieve effective protection, in this paper, a contact force sensor based on the 8-shaped wound polymer optical fiber is proposed. The 8-shaped wound structure can convert the normal contact force to the shrinkage of the 8-shaped optical fiber ring. The macro-bending loss of the optical fiber is used to detect the contact force. Compared with conventional sensors, the proposed scheme has the advantage of high flexibility, low cost, fast response, high repeatability, which shows the great promise on actively alarming collision and passively reducing the hurt.

Asthma is a complex syndrome with multiple phenotypes and endotypes, and current diagnostic tools often fail to address this, therefore there is an increasing need for new predicting biomarkers for asthma which can enable personalized treatment strategies. Biomarkers can facilitate earlier diagnosis of asthma, potentially identifying the disease before clinical symptoms appear. This allows for early intervention, which can prevent asthma progression and complications and improve long-term outcomes. Reliable biomarkers can help in monitoring disease activity and treatment efficacy in real-time and can also lead to better disease management, reducing hospitalizations, emergency visits, and overall healthcare costs associated with poorly controlled asthma. Severe asthma patients often do not respond well to standard treatments. New biomarkers can help identify these patients and guide the development of novel therapeutic approaches specifically for severe asthma. In this review we summarize different candidate biomarkers on several levels of investigation: Genetic, subclinical inflammatory, allergen-specific immune response, and trained immunity, which could be promising for the early detection of asthma and better management of exacerbation and severity of symptoms in children.

In recent years, bacterial resistance to conventional antibiotics has become a major concern in the medical field. The global misuse of antibiotics in clinics, personal use, and agriculture has accelerated this resistance, making infections increasingly difficult to treat and rendering new antibiotics ineffective more quickly. Finding new antibiotics is challenging due to the complexity of bacterial mechanisms, high costs and low financial incentives for the development of new molecular scaffolds, and stringent regulatory requirements. Additionally, innovation has slowed, with many new antibiotics being modifications of existing drugs rather than entirely new classes. Antimicrobial peptides (AMPs) are a valid alternative to small molecule antibiotics offering several advantages, including broad-spectrum activity and a lower likelihood of inducing resistance due to their multifaceted mechanisms of action. However, AMPs face challenges such as stability issues in physiological conditions, potential toxicity to human cells, high production costs, and difficulties in large-scale manufacturing. A reliable strategy to overcome the drawbacks associate with the use of small molecule antibiotics and AMPs is the combination therapy, namely the simultaneous co-administration of two or more antibiotics or the synthesis of covalently linked conjugates. This review is intended to cover and critically analyze the design, synthetic strategies, antibacterial activity and, when possible, the cytotoxicity of antibiotic-AMPs conjugates.

Abstract: Achieving effective haemostasis is crucial for successful outcomes and optimal patient care in contemporary oral surgery. Control of bleeding is essential in procedures like extractions, implant placements, periodontal surgeries, and soft tissue interventions. Efficient management ensures a clear surgical field, reduces post-operative complications, and promotes healing. Local haemostatic agents are essential tools for oral surgeons, offering targeted and controlled methods to achieve haemostasis. These agents include diverse materials and technologies, each with unique mechanisms of action suited to specific surgical scenarios. This review explores the spectrum of local haemostatic agents in contemporary oral surgery, focusing on their efficacy, safety, and practical utility. By examining the characteristics and clinical performance of various haemostatic agents, this review provides valuable insights to guide dentists and oral surgeons in selecting the most appropriate agent for specific situations. A literature search in electronic databases such as Medscape, PubMed-Medline, Science Direct, and EBSCO Host identified 46 publications from 1990 to 2023. This comprehensive examination aims to enhance understanding of local haemostatic agents and their role in advancing the standards of care in contemporary oral surgery.

Groundwater is becoming increasingly important in the Pacific Northwest of the USA due to declining snowpack volumes and shifts in precipitation type and timing, all connected with climate change. The Upper Williamson Basin of the Klamath Watershed is a groundwater dominated watershed with massive fluctuations in year-to-year streamflow volumes over the past four decades, including the complete absence of any live flow for several years. The precise relationship between groundwater and streamflow in the basin has been difficult to assess due to a limited number of monitoring wells and significant gaps in the water level time history. To address this challenge, we use a novel imputation technique that leverages Earth observations and machine learning to impute gaps in water level records. We use these more complete datasets to compute a groundwater storage change time series for the basin. We show that groundwater storage is highly correlated to streamflow and that groundwater storage is correlated to rainfall with a three- to four-year delay that appears variable depending on groundwater storage volumes. The tools and relationships we present make it possible for water managers to estimate when streamflows will return to the basin and be more informed to support better management.

In an era where the proliferation of large language models blurs the lines between human and machine-generated content, discerning text authenticity is paramount. This study investigates transformer-based language models—BERT, RoBERTa, and DistilBERT—in distinguishing human-written from machine-generated text. By leveraging a comprehensive corpus, including human-written text from sources such as Wikipedia, WikiHow, various news articles in different languages, and texts generated by OpenAI's GPT-2, we conduct rigorous comparative experiments. Our findings highlight the superior effectiveness of ensemble learning models over single classifiers in this critical task. This research underscores the versatility and efficacy of transformer-based methodologies for a wide range of natural language processing applications, significantly advancing text authenticity detection systems. The results demonstrate competitive performance, with the transformer-based method achieving an F-score score of 0.83 with RoBERTa-large (monolingual) and 0.70 with DistilBERT-base-uncased (multilingual).

The textile processing sector is accountable for the extensive utilisation and pollution of freshwater resources. Due to heightened consumer awareness of environmental legislation regarding freshwater contamination, the textile sector is compelled to review and improve their current water consumption practices. Foan dyeing technique is a highly promising alternative that has the ability to contribute to a more sustainable future. This review paper discussed the current state of foam dyeing technology, highlighting its advantages in terms of re-duced consumption of water and energy, as well as minimal usage of dyes and chemicals compared to conventional methods. The foam configuration allows for more effective application of dyes. As a result, there is a decrease in dye consumption and a reduction in processing time. The process is environmen-tally sustainable since it significantly reduces water pollution. Furthermore, foam dyeing method consumes less energy due to its lower dying temperature need compared to conventional processing technology. Additionally, this paper highlights the continued investigation of foam dyeing on many types of textile substrates (such as fibres, yarns, and fabric) and compositions including cotton, polyester, and their mixtures. In addition, the techno-economic comparison of foam dyeing and conventional dyeing is also given. This review paper addi-tionally endorses the Sustainable Development Goals (SDG 6, clean water and sanitation) by examining the preservation of usable water and the decrease in wastewater discharge through foam dyeing technology. Lastly, the potential advantages of foam dyeing in terms of significantly reducing water consump-tion and the generation of waste in the textile industry were also addressed.

Background: Symmetry is a special kind of balance. This study aims to systematically explore and apply the role of balanced composition in aesthetic judgments by focusing on balanced composition features and employing research methods from computational aesthetics and Neuroaesthetics. Methods: First, experimental materials were classified by quantifying balanced composition using several indices, including symmetry, center of gravity, and negative space. An EEG experiment was conducted with 18 participants, who were asked to respond dichotomously to the same stimuli under different judgment tasks (balance and aesthetics), with both behavioral and EEG data being recorded and analyzed. Subsequently, participants' data were combined with balanced composition indices to construct and analyze various SVM classification models. Results: Participants largely used balanced composition as a criterion for aesthetic evaluation. ERP data indicated that from 300-500ms post-stimulus, brain activation was more significant in the aesthetic task, with unbeautiful and imbalanced stimuli eliciting larger frontal negative waves and occipital positive waves. From 600-1000ms, beautiful stimuli caused smaller negative waves in the PZ channel. The results of the SVM models indicated that the model incorporating aesthetic subject data (ACC=0.9989) outperforms the model using only balanced composition parameters of the aesthetic object (ACC=0.7074). Conclusions: Balanced composition is a crucial indicator in aesthetics, with similar early processing stages in both balance and aesthetic judgments. Multimodal data models validated the advantage of including human factors in aesthetic evaluation systems. This interdisciplinary approach not only enhances our understanding of the cognitive and emotional processes involved in aesthetic judgments but also enables the construction of more reasonable machine learning models to simulate and predict human aesthetic preferences.

This paper introduces a novel decision-making approach grounded in insights into human visual perception of change. Modern technologies such as internet of things (IoT) provide us with large amounts of sensor data that need to be processed in real time and decisions made with a high degree of accuracy and reliability. Artificial intelligence (AI) methods are welcome in this context and need to be upgraded to meet actual challenges. While modern computing capabilities facilitate rapid data processing, the real-time demands of vast sensor data necessitate swift responses across the cyber chain, often leading to compromises in solution quality to circumvent combinatorial search complexities. Determining the adequacy of a solution entails varied approaches, often relying on heuristic methodologies. We illustrate our original approach with an example of a selected detail of a differential evolution algorithm, where we have to make a decision to adopt the best solution so far. We propose an approach inspired by human perceptual features that exploits the Weber-Fechner law to emulate human judgements, and offers a promising way to improve decision making in AI applications and real-time requirements fulfillment. Our proposed methodology demonstrates applicability across diverse AI scenarios involving numerical data, effectively mirroring human perception abilities.

This communication is to summarize our single center experience on applications of anti-IL-1 biologic response modifiers on autoimmune and autoinflammatory conditions in children. We present our rationale for off-label utilization of Anakinra and discuss evolving treatment paradigms that warrants further research and validation. Based on our observations and successful treatment outcomes, we advocate future multilateral efforts to liberate access to anti-IL-1 medications to control inordinate and detrimental inflammation in children.

Background and aim: Apigenin (API), a dietary flavone subclass of flavonoid found in herbs, fruits, and vegetables, exhibits various pharmacological effects. However, its role in triggering oxidative stress- induced apoptosis in uterine cells remains unclear. This study aimed to evaluate the oxidative stress-mediated apoptosis induced by apigenin in rat uterine leiomyoma ELT3 cells. Material and methods: ELT3 cells were treated with 50 and 100 µM API for 48 hours. We assessed oxidative stress markers (reactive oxygen species, malondialdehyde), antioxidant defense (glutathione reductase activity), cell proliferation, and apoptotic gene expression (p53, Bax, Bcl-2, caspase-3, caspase-9) using relevant assays and real-time PCR. Results: API treatment decreased cell proliferation and glutathione reductase activity in ELT3 cells. This coincided with increased levels of reactive oxygen species, malondialdehyde, and lactate dehydrogenase activity, indicating oxidative stress and cell damage. Furthermore, apigenin upregulated pro-apoptotic genes (p53, Bax, caspase-3, caspase-9) and downregulated the anti-apoptotic gene Bcl-2, suggesting activation of the intrinsic apoptotic pathway. Conclusion: API induces apoptosis in rat uterine leiomyoma cells through a mechanism involving oxidative stress-mediated activation of the intrinsic apoptotic pathway.

Background/Objectives: Instability is one of the main symptoms in patients with vestibular and neurological disorders and therapeutic exercise interventions are increasing its popularity as a way of treatment for those. Additionally, the limits of stability measurement are known to be a good tool for balance evaluation and monitoring of this interventions. The aim of this work is to understand better how a specific protocol provokes changes on this variable and study the characteristics of those who respond and non-respond to it. Methods: A retrospective study was developed with the data of 40 patients treated in the Otorhinolaryngology department in Clínica Universidad de Navarra (Madrid, Spain). Those had an initial reduction in limits of stability, completed the protocol proposed with home-based and hospital-based exercises with frequent limits of stability remeasurement, and assist to the follow-up retest after 1-2 months. Results: A progressive improvement in limits of stability measure was developed through the intervention and partially retained at follow-up visit. Differences were found between responders and non-responders patients. More specifically an initial measure of the limits of stability was able to differentiate those groups with a cut-off data of 56cm2. Conclusions: The protocol proposed was able to induce motor learning in patients included in this study with good retention after 1-2 months. Besides, there is some variability in how patients respond to the treatment. Age and diagnostic should be considered, and an interesting cut-off data for clinal decision making was found.

Agroecology refers to the greening of agrosystems with the mobilization of ecosystem services in order to limit exogenous inputs, enhance biodiversity and moderate the exploitation of natural resources (Tibi A. and Therond O., 2017). Agroecological practices offer pathways for transformation and transition not only of agricultural systems but of entire food systems. Through its objectives, agroecology aims at both sustainable land management and the strengthening of the livelihoods of producers and rural people, and thus contributes to the fight against desertification. To date, there is little scientific literature on the characteristics of agroecology in the Maghreb region. However, we can cite the work of Lattre-Gasquet M. de et al. (2017), Ameur et al. (2020), Akakpo et al. (2021). These studies, although they provide important information on the problem of agroecology in the region, on its different forms and perspectives, do not allow us to draw up a global panorama. The proposed article highlights general characteristics of agroecology in North Africa from a review of 88 sustainable agriculture projects, which it analyzes, through an inventory of agroecological practices supported by these projects, from the frameworks of the High Level Panel of Experts on Food Security and Nutrition, (HLPE, 2019), on the principles of agroecology and the transition levels approach developed by Gliessman and colleagues (Gliessman, 2007; Gliessman and Rosemeyer, 2010; FAO, 2015; Gliessman, 2016). The results show significant differences and evolution in the practices observed at the plot and on the farm, depending on the agrosystems considered. The majority of the agroecological innovations identified are at the plot and farm scales, with the exception of those found in oasis and mountain agrosystems, where practices integrate the scales of the territory and value chains in a more complete way.

A multicenter retrospective analysis of 408 patients diagnosed with onychomycosis and attended at three tertiary care Spanish hospitals was conducted to assess the effectiveness and safety of a combined treatment with ciclopirox 8% hydroxypropyl chitosan (CPX 8% HPCH) nail lacquer and oral antifungal agents (terbinafine, itraconazole, and fluconazole). Data were extracted and analyzed using the EHRead® technology based on natural language processing and machine learning and using SNOMED CT terminology. The median age was 51 years with a ratio male: female close to 1. Repeated nail trauma was the most common risk factor (7.1%). More than half of patients (56.6%) underwent fungal culture. Terbinafine was used in 67.7% of patients, itraconazole in 20.8%, and fluconazole in 11.5%. Treatment synchronicity distribution revealed that 59.1% of patients started concomitant treatment with CPX 8% HPCH and oral antifungals, 27.9% had initial oral antifungals, and 13% had initial nail lacquer. The response to treatment (positive response 15.7%, presumed positive 59.8%) was unrelated to treatment synchronicity or type of antifungal agent. Erythema (5.6%), diarrhea (4.9%) and fever (4.2%) were the most frequently registered potential adverse events. The present findings provide valuable insights for physicians paving the way for better management of patients with onychomycosis.

Abstract: Qatar and other Gulf States have a diverse range of marine vegetation that is adapted to the stressful environmental conditions of seawater. The industrial wastewater produced by oil and gas activities adds further detrimental conditions for marine aquatic photosynthetic organ-isms on the Qatari coastlines. Thus, these organisms experience severe stress from both seawater and industrial wastewater. This review discusses the biodiversity in seawater around Qatar, as well as remediation methods and metabolic pathways to reduce the negative impacts of heavy metals and petroleum hydrocarbons produced during these activities. These methods include phyto-stabilization phyto-accumulation, phyto-volatilization, and phyto-degradation. Phy-to-degradation in particular is discussed in detail, including metabolic pathways such as alkane and aromatic-compound degradation pathways. The role of microorganisms that are adjacent to or associated with these aquatic marine organisms is discussed, including rhizosphere biodeg-radation. In this type of biodegradation, exudates are released by plant roots and supply nutrients to microorganisms in the rhizosphere, which enhances their ability to degrade organic pollutants. Special attention is paid to mangrove forests and their roles in remediating shores polluted by industrial wastewater. Seagrasses (Halodule uninervis, Halophila ovalis, and Thalassia hemprichii) and seaweeds (Chlorophyta, Phaeophyta, and Rhodophyta) around the peninsula of Qatar are also discussed.

Attention deficit hyperactivity disorder (ADHD) is the most common childhood-onset neurodevelopmental disorder characterized by difficulty maintaining attention, impulsivity and hyperactivity. Although the cause of this disorder is still unclear, recent studies state that heredity is important in the development of ADHD. This is linked to a few comorbidities: depression, criminal behavior and anxiety. Although genetic factors play a major role in the pathogenesis of ADHD, there are also non-genetic factors, one of which would be oxidative stress (OS) that are associated with ADHD. OS is implicated in the pathogenesis of ADHD, through lower levels of antioxidant enzymes such as glutathione peroxidase (GPx), catalase (CAT), and superoxide dismutase (SOD), as well as a lower total antioxidant status (TOS) compared to control groups. Moreover, there is a close bidirectional connection between the nervous system and the intestinal microbiota, and the communication between the two systems is carried out through the gut-brain axis (GBA). A thorough review of diet, OS implications, mechanism of action, pharmacokinetics, and drug-drug interactions are reviewed here, with a special focus on treatment in adults with comorbid conditions.

Covalent organic frameworks (COFs) have garnered significant interest within the scientific community due to their distinctive ability to act as organic semiconductors responsive to visible light. This unique attribute makes them up-and-coming candidates for facilitating photocatalytic organic reactions. Herein, two donor-acceptor COFs, TPE-BSD-COF and TPE-BD-COF, have been designed and synthesized by incorporating electron-rich tetraphenylethylene and electron-deficient benzoselenadiazole and benzothiadiazole units into the framework through a Schiff-base polycondensation reaction. Both COFs exhibits exceptional crystallinity and enduring porosity. TPE-BSD-COF and TPE-BD-COF exhibit broad light absorption capabilities, narrow optical band gap, and low electrochemical impedance spectrum (EIS) levels, indicating that the two COFs are effective heterogeneous photocatalysts for the reductive dehalogenation of benzoyl bromide derivatives under blue LED irradiation. TPE-BSD-COF and TPE-BD-COF achieved a high photocatalytic yield of 98% and 95%, respectively, within only one hour.

Several cities are experiencing an increase in flood hazard and exposure, and consequentially in flood risk, attributable to the coupled effect of climate change and urbanization. Non-structural protection strategies demonstrate significant potential in the short term for mitigating hydraulic risk in urban areas, particularly where the implementation of structural measures is impeded by a complex urban environment. This work proposes an Early Warning System (EWS) for fluvial floods developed for the city of Palermo (Italy). It is based on the preliminary definition of po-tential Flood Event Scenarios (FESs) as a function of typical potential precursors. Each FES pre-dicts first points of flooding, flood areas and water depths, also providing specific hazard maps for people, vehicles, and buildings. The EWS uses rainfall depth-duration thresholds to assess the expected hydrograph as a function of rainfall forecasts and the water stage observed in real time at an upstream section of the river crossing the city. This last also allows for estimating the ante-cedent wetness conditions. Based on this information, the EWS retrieves an expected FES from a pre-built library with a preannouncement time up to 36 h. The EWS is here successfully tested on a historical flood event.

Background The operator's ability in performing carotid stenting (CAS) has improved clinical outcomes. However, more than 3% of patients need to be treated again after CAS. Most of the cases requiring further intervention are affected by hyperplasia. The recommended procedure is the DEBalloon. On the other hand, the literature reports a small number of carotid neoatherosclerosis cases and is recommended to be treated using elective Micronet-covered stent. Discriminating between the two types of in-stent-restenosis ISR (hyperplasia or neoatherosclerosis) is critical for a positive outcome.Case summary We describe a case in which a patient treated with carotid stenting 8 years before, was diagnosed with ISR. Due to the development of neurological symptoms and progressive increases in Peak Systolic Velocity (PSV) eight years following carotid stenting, a DEBalloon was used in a carotid in-stent-restenosis (ISR) standard procedure. About ten minutes after the procedure, the patient developed hemiplegia consistent with the treated carotid territory. The implantation of a MicroNet-covered stent excluded the thrombus and reverted symptoms with a normal MR control at 24 h. Conclusion This case illustrates that when in-stent stenosis evolves years after the stent implantation, neoatherosclerosis should be assessed, and a MicroNet-covered stent should be considered.

This work proposes a conceptual design for a process for recovering Polystyrene (PS) using solvents of agro-industrial origin. The literature describes the dilution of Expanded Polyestyrene (EPS) in limonene, followed by its insolubilization with alcohols for recovery. However, there is no information on the solubility limit for the PS + limonene + alcohol system, which is critical for the process design. To determine the solubility limit, we diluted the waste EPS in D-limonene, mixed it with ethanol to form a precipitate, and used a gravimetric method to measure the mass of the compounds. These results allowed for the conceptual design of an EPS recycling process using a chemical process simulator, which includes a separator, a distillation column, and auxiliary equipment such as heaters, coolers, and pumps. An empirical correlation was obtained for the solubility limit, which enabled the design of a process for the treatment of 52 kg/s of PS using 0.75 kg /s of ethanol and 2.4 kg / s of D-limonene once the stationary state had been reached. The distillation column is six-stage, with a reflux ratio of 1.5 and duties of 30 000 kW and -25 847 kW for the condenser and reboiler, respectively.

Hypertension is a frequent risk factor for cardiovascular diseases and the prevalence rate is continuously rising. Multiple pathophysiological mechanisms are responsible for hypertension, necessitating a combination of drugs from different classes for best management. Combination therapy is five times more effective in decreasing blood pressure compared to escalating the dose of a single agent. As per the ACCOMPLISH trial analysis, coupling a renin-angiotensin system inhibitor with a calcium channel blocker is more effective than the combination of a renin-angiotensin system inhibitor with diuretics in reducing major cardiovascular events, cardiovascular-related mortality, and the progression of chronic kidney disease. The renin-angiotensin system can be suppressed by inhibiting the angiotensin-converting enzyme or angiotensin type 1 receptor (AT1R), resulting, in decreased vascular smooth muscle contraction, heart performance, and reduced aldosterone synthesis. Calcium channel blockers work by inhibiting L-type calcium channels, reducing heart performance via negative inotropic, chronotropic, and bathmotropic effects, along with reducing vascular smooth muscle contraction. Diuretics exert their antihypertensive impact by changing body fluid volume and electrolytes. Initially, hypertension treatment commences with a single medication but often, different classes of two or more antihypertensive medications are necessary for achieving the target blood pressure goal. Sometimes, for Resistant hypertension four different classes of antihypertensive medications are necessary to reach the target blood pressure goal.

Big Data and blockchain technology are coming together to revolutionize how decisions are made in a decentralized way across various industries. This review looks at how these technologies, along with distributed systems, can improve data security, transparency, and real-time processing, making decision-making more efficient and informed. The integration enhances data security with unchangeable records, increases transparency and traceability, and supports real-time data analysis. However, there are challenges to overcome, including scalability, data privacy, interoperability, regulatory compliance, and high costs. By examining case studies such as Estonia's healthcare system, IBM and Walmart's Food Trust, and the Brooklyn Microgrid project, we explore the practical applications and benefits of combining Big Data with blockchain. Despite these hurdles, the review finds that the ongoing advancements and innovative solutions in these technologies offer significant promise. They are set to drive the adoption and effectiveness of decentralized decision-making, ultimately leading to better efficiency and outcomes across multiple sectors.

The primary objective of this study is to determine the existence of a significant correlation between inflammation levels, as measured by inflammatory markers IL-6, IL-1β, and TNF-α, and the severity of depressive symptoms assessed using HAM-D assessment scale. This could provide additional evidence supporting the hypothesis that inflammation plays a notable role in the pathogenesis of depression. The data analysis supports the hypothesis that the biological mechanisms of inflammation contributes to the clinical manifestations of depression. Elevated levels of inflammatory markers, especially interleukins (IL6, IL1β), tumor necrosis factor-alpha (TNFα), and C-reactive protein (CRP) have been identified in patients with major depressive disorder compared to the findings in healthy controls. Materials and Methods: Inflammatory markers (IL-6, IL-1β, and TNF-α) were measured in a sample of 31 patients hospitalized at the Socola Institute of Psychiatry in Iasi, Romania, and compared to a control group with no psychiatric or inflammatory conditions. One of the main objectives is to determine if there is a significant correlation between inflammation levels, measured by inflammatory markers (IL-6, IL-1β, and TNF-α), and the severity of depressive symptoms assessed using HAM-D scores. Conclusions: The study results suggest a significant correlation between inflammation levels measured by inflammatory markers IL-1β and IL-6 and the severity of depressive symptoms evaluated by HAM-D scores in the study group. These findings support the hypothesis that inflammation may play an important role in the development or exacerbation of depressive symptoms. The relationship between inflammation and depression is also influenced by risk and protective factors that require further research.

Concern over microplastics (MPs) in the environment is rising. Microplastics are generally known to exist in aquatic settings, but less is known about their occurrence in soil ecosystems. When plastic waste builds up in agricultural areas, it can have a negative impact on the environment and food sources, as well as have an indirect effect on all trophic levels of the food chain. This paper addresses the relationship between microplastics and the management of plastic waste, which contributes to their accumulation, and it describes the sources and primarily the movement processes of microplastics in agricultural soils as a result of natural events. Evaluating the impact of weather on coastal microplastic contamination is critical, as extreme weather events have become more frequent in recent years. This study sheds light on how weather patterns affect the dispersion of plastic waste in terrestrial habitats, including the impacts of seasonality and extreme weather. According to our data, typhoons, monsoons, rainfall, and floods all contribute significantly more microplastics to the surface sediment through surface runoff and wind transport, particle redistribution caused by agitated waves, and fragmentation under intense abrasion forces. Severe weather conditions have the potential to disperse larger and more varied kinds of microplastics.

Introduction Delayed intra-operative neuro-monitoring (IOM) events can be defined as loss of responses, after baseline traces were present upon completion of instrumentation and deformity correction. This study reports this subgroup of events, assesses their incidence and evaluates potential causative factors. Methods We reviewed 1881 consecutive patients who underwent spinal deformity correction between 2011 and 2021. Surgeries were performed using a standardised anaesthetic regimen and multimodal IOM protocol. Results 44 patients (2.4%) had an IOM event. 9 patients (6F:3M) had a true positive delayed event after posterior segmental pedicle screw instrumentation. Mean age was 12.5 (2-17) years with mean thoracic Cobb angle of 78° (51-94°). Mean estimated blood loss was 28%. Titanium beam shaped rods were utilised in 3 patients and 5.5mm titanium rods in 5 patients. Motor evoked potentials were lost on average 18 (10-30) minutes after completion of instrumentation. 7 patients had bilateral loss and 2 patients had unilateral loss of MEP traces. Sensory evoked potential amplitude was preserved in all cases. There was a transient latency shift in one patient. MEPs returned within 20 minutes of rod release. The rod was re-contoured to incorporate more scoliosis in 1 patient. 2 patients had beam rods exchanged to 5.5mm titanium rods. 6 patients had rod removal with retention of pedicle screws and staged completion of instrumentation at mean 5 (1-7) days later. No patients had a postoperative neurological deficit. Conclusion Delayed IOM loss represented 15% of all events. Increased cord tension and hypo-perfusion were considered likely mechanisms. Rod release restored MEPs in all cases. The timing of events emphasises the importance of continued monitoring for minimum 30 minutes after completion of spinal instrumentation or until wound closure.

The origin and climate impact of Arctic aerosols, like the Arctic Haze, are not fully understood. Therefore, long-term aerosol observations in the Arctic are performed. In this study we present a homogenised data set from sun and star photometer operated in the European Arctic, in Ny-Ålesund, Svalbard, from 2004 – 2023. Due to polar day and polar night it is crucial to use observations of both instruments. Their data is evaluated in the same way and follows the cloud-screening procedure of AERONET. Additionally, an improved method for the calibration of the star photometer is presented. We found out, that winter months are generally more polluted and have larger particles than summer. While the monthly median Aerosol Optical Depth (AOD) decreases in spring, the AOD increases significantly in autumn months. The Arctic Haze is not characterised by large particles and can not be distinguished from large aerosols in winter months. With autocorrelation analysis we found out, that AOD events usually occur with duration of several hours and are therefore caused by large-scale processes and may have a periodicity of several days. Local processes can be neglected in Ny-Ålesund but long-range transport plays a major role for the Arctic aerosol budget. We also compared AOD events with large-scale processes, like large-scale oscillation patterns, sea ice, weather conditions or wildfires on the Northern Hemisphere but did not find one single cause, which clearly determines the Arctic AOD.

This study presents the Distilled MixUp Squeeze ResNet (DMSResNet), an optimized variant of the Residual Network architecture designed for high accuracy and computational efficiency. By integrating Squeeze-and-Excitation blocks, MixUp data augmentation, and knowledge distillation, it achieves competitive performance within strict parameter constraints and limited training resources. Evaluated on the CIFAR-10 dataset, the model attains a 96.56% accuracy with only 4.3 million total parameters. The results demonstrate that optimization of established architectures can yield performance comparable to newer models, especially in resource-limited scenarios. This work contributes to the development of efficient deep learning models for applications in constrained computational environments.

This article investigates and studies the current situation of implementing the credit system in ordinary high schools in Zhejiang Province, and puts forward relevant suggestions. Firstly, analyze the background and objectives of implementing the credit system in ordinary high schools in Zhejiang Province. Then, through a questionnaire survey method, a sample survey was conducted on the current status of the implementation of the credit system in ordinary high schools in Zhejiang Province. The results showed that there are some problems in the management of the credit system in schools, such as unreasonable credit course settings, inaccurate recording and statistics of credits, etc. Further analysis reveals that students and parents have biases and utilitarian motives in their understanding and evaluation of the credit system.

This paper introduces a quantitative methodology for assessing drone pilot performance, aiming to reduce drone-related incidents by understanding the human factors influencing performance. The challenge lies in balancing evaluations in operationally relevant environments with those in a standardized test environment for statistical relevance. The proposed methodology employs a novel virtual test environment that records not only basic flight metrics but also complex mission performance metrics, such as the video quality from a target. A group of Belgian Defence drone pilots were trained using this simulator system, yielding several practical results. These include a human performance model linking human factors to pilot performance, an AI co-pilot providing real-time flight performance guidance, a tool for generating optimal flight trajectories, a mission planning tool for ideal pilot assignment, and a method for iterative training improvement based on quantitative input. The training results with real pilots demonstrate the methodology’s effectiveness in evaluating pilot performance for complex military missions, suggesting its potential as a valuable addition to new pilot training programs.

Much evidence now indicates a direct crosstalk between thyroid hormones (THs) and the immune system. We previously showed that THs behave as anti-inflammatory agents in human leukemic THP-1 monocytes, but a potential neuroprotective effect of THs in microglia have been under-investigated. Microglia, the primary innate immune cells of the brain, play a pivotal role in the regulation of neuroinflammation and nongenomic integrin αvβ3-mediated action of THs appear to be involved. Integrin αvβ3 was highly expressed in activated BV-2 cells, while it was decreased by THs. In addition, THs facilitated wound healing in BV-2 murine microglia cells activated by lipopolysaccharide (LPS), through integrin αvβ3 and reactive oxygen species (ROS), with tetrac (a metabolite of TH) potentiated the inhibition of migration. Nitric oxide (NO) played a role with different mechanisms in the presence of either T3 or T4. Our data showed the capability of TH and analogues to modulate the M1-to-M2 microglial transition and suggest a new spectrum of actions in the central nervous system (CNS).

In this paper is described the obtention of fourteen derivatives from four natural labdane diterpenes isolated from Copaifera oleoresin, named ent-copalic acid (1), ¬ent-3beta-acetoxy copalic acid (2), ent-3beta-hydroxy copalic acid (3) and ent-agathic acid (4). All eighteen compounds were assayed against promastigote form of Leishmania amazonensis and trypomastigote forms of Trypanosoma cruzi, revealing two promising compounds related to leishmanicidal activity (IC50 = 5.94 micromolar and 5.31 micromolar) and three promising compounds with trypanocidal activity, two of them (IC50 = 13.31micromolar and IC50 = 15.05micromolar) displaying similar activity as the reference drug (IC50 = 13.12micromolar) and one of them even more potent with IC50 = 0.425micromolar.

Endoscopic ultrasound (EUS) and intraductal ultrasound (IDUS) play very important roles in the field of biliary tract disease. Because of their excellent spatial resolution, the detection of small lesions and T-staging of tumors have become possible. Additionally, contrast-enhanced EUS and the new imaging technique of detective flow imaging are reported to be useful for differential diagnosis. Furthermore, EUS-guided tissue acquisition is used not only for pathological diagnosis, but also to collect tissue samples for cancer genome profiling. Although percutaneous transhepatic biliary drainage (PTBD) was traditionally performed in cases where endoscopic retrograde cholangiopancreatography is not feasible, treatments using EUS have recently become increasingly common, and EUS-guided biliary drainage was recently suggested to be superior to PTBD in terms of a higher success rate, less adverse events, and lower reintervention rate. This review provides an overview of diagnosis and treatment utilizing the features and techniques of EUS and IDUS.

Curcumin is a nutraceutical known to have numerous medicinal effects including anticancer activity. However, due to its poor water solubility and bioavailability, the therapeutic impact of curcumin against cancer, especially breast cancer, has been constrained. Encapsulating curcumin into chitosan nanoparticles (CHNPs) is an effective method to increase its bioavailability as well as antitumorigenic activity. In the present study, the effect of curcumin encapsulated CHNPs (Cur-CHNPs) on cell migration, targeted homing and tumour growth was examined using in vitro and in vivo breast cancer models. Cur-CHNPs possessed monodispersed nature with long term colloidal stability, and demonstrated significant inhibition of cell viability in vitro, which was potentiated by 5-fluorouracil (5-FU). Outcomes of the in vivo imaging studies confirmed effective tumour targeting and retention ability of Cur-CHNPs, thereby suppressing breast tumour growth in mice models. Overall, the results demonstrated that Cur-CHNPs, could be an effective candidate drug formulation for management of breast cancer.

In this paper, we present a full coverage path planning (CPP) algorithm for the marine surveys conducted in the convex polygon shaped search area. The survey is supposed to carry out by torpedo-type AUVs (autonomous underwater vehicles). Due to their nonholonomic mechanical characteristics, these vehicles have nonzero minimum turning radius. For any given polygon shaped search area, it can always be partitioned into one or more convex polygons. With this in mind, this paper proposes a novel search algorithm called CbSPSA (Calculation based Shortest Path Search Algorithm) for full coverage of any given convex polygon shaped search area. By aligning the search inter-tracks alongside the edge with the minimum height, we can guarantee the minimum number of the vehicle’s turns. In addition, the proposed method can guarantee the planned path is strictly located inside the polygon area without overlapped or crossed path lines, and also has the total path length as short as possible. Considering the vehicle’s nonzero minimum turning radius, we also propose a sort of smoothing algorithm to smooth the waypoint path searched by CbSPSA so as for the vehicle to exactly follow it. The smoothed path is also guaranteed to be strictly located inside the polygon. Numerical simulation analyses are also carried out to verify the effectiveness of the proposed schemes.

The climate change constitutes nowadays an enormous global threat for human health and environmental sustainability. The expanding world population and the increased global needs for food production have an important negative impact upon environment. Diet can link human health with environmental sustainability. Food production systems are closely related to anthropogenic greenhouse gas emissions and the aggravation of climate change, and current western type, animal-based, dietary patterns may lead to adverse environmental footprints. In the present narrative review, we address the interconnection of the Mediterranean diet (MD) with climate change and sustainability. MD is a highly recommended dietary intervention for the prevention and management of various endocrine and cardiometabolic diseases. Beyond its evidence-based, health-promoting effects, it also has beneficial environmental impact, reducing greenhouse gas emissions and enhancing biodiversity, food security and sustainability. Based on the evidence reviewed herein, MD should be incorporated within the framework of a “One Health” model, which involves the improvement not only of human health but also of planetary health and food system sustainability. Our review aims to provide a stimulus for health pro-fessionals to strongly recommend the implementation of MD under the current pressure of climate change, despite all barriers, targeting both human health preservation and the planetary well-being.

Reliable models of pavement performance play a crucial role in effective decision-making for maintaining and rehabilitating this class of infrastructure assets. Probabilistic modeling approaches have gained popularity in pavement performance modeling because they account not only for the stochastic nature of pavement behavior and deterioration factor variations but also for the imperfections and inadequacy of pavement condition data in certain situations. One of these approaches, Markov chains, has been used extensively to model the probabilistic performance of pavements through an interesting variety of methodological tweaks in the Markov model structure. Unfortunately, the current literature lacks a synthesis of Markov chain models and their associated methodologies, as used in this manner. It is anticipated that a comprehensive synthesis of these models and their various forms can provide some insight into the variations of Markov model forms and methodologies, and the appropriate Markov model type to use for pavement deterioration and performance modeling under given conditions of data types and availability. To address this issue, this paper reviews Markov chain models used in the literature to model pavement deterioration and the methodologies used to estimate the transition probabilities matrix which is the key feature of Markov chain models. The paper presents a critical analysis of various aspects of Markov chain models as they were applied in the literature, reveals gaps in knowledge, and offers suggestions to address these gaps. The paper also develops a decision tree to select the appropriate Markov model type and TPM estimation methodology to model pavement deterioration under given conditions of data availability. This paper therefore provide guidance and decision support for researchers and highway agencies in selecting an appropriate probabilistic technique for modeling their pavement infrastructure performance in a robust manner.

The COVID-19 pandemic profoundly impacted older people in residential aged care facilities (RACFs), especially those with dementia. This retrospective cohort study investigates the impact of the pandemic on agitation incidents within this population in 40 Australian RACFs. We compared pre-pandemic data (January-October 2019) with during-pandemic data (same months in 2020 and 2021) from electronic health records (EHRs) using Python to extract information from nursing notes. Various statistical analyses, including descriptive statistics to summarize the data, and a chi-square test to examine any significant association between the COVID-19 pandemic and the prevalence of dementia and agitation in dementia. Dementia prevalence dropped by 1.98% in 2021 compared to 2019, and by 4.09% compared to 2020 (p < 0.05). Overall agitation symptoms decreased by 20.1% from 2019 to 2021 (p < 0.05), but six specific symptoms increased: resisting (28.98%), wandering (11.78%), restlessness (3.19%), complaining (10.1%), arguing (2.36%), and outbursts (1.74%) (p < 0.05). Conversely, pacing decreased by 15.88% and speaking loudly de-creased by 10.9% (p < 0.05). Over half of the care recipients experienced agitation symptoms 2-5 times each year, increasing from 50.56% in 2019 to 58.28% in 2021 (p < 0.05). It is important to exercise caution regarding the accuracy of these findings due to the reduced opportunity for busy care staff to record behavioral changes caused by the isolation of individuals in their rooms during the pandemic.

The effect of spanwise wing non-planarity, implemented in conjunction with a Gurney flap is presented. Testing was undertaken in a low speed wind tunnel using a rectangular wing with an aspect ratio of 3. The outer 1/3 of the wing was non-planar which took the form of dihedral or a circular arc. A 2% high Gurney flap was implemented such that it could extend over the entire span, or the planar inboard section. Loads were measured using a sting balance. The data shows that non-planarity increases the maximum lift coefficient and the wing’s lift curve slope. Gurney flap lift modulation was enhanced in the presence of non-planarity. The addition of Gurney flaps caused a greater minimum drag coefficient increment for the non-planar wings. The Gurney flaps reduced the lift dependent drag of the wings; however, the minimum drag coefficient was observed to increase. The Gurney flaps reduced the maximum lift to drag ratio (L/D) for the non-planar wings; however, the flat wing showed a small L/D increment with flap addition.

Background: For the past two decades, the Copenhagen Psychosocial Questionnaire (COPSOQ) has been established as a valid instrument to measure psychosocial stress at work. Nowadays, the COPSOQ international network is responsible for the monitoring and improvement of COPSOQ. 2019, a new questionnaire was published, and the Greek version is now being validated. Methods: Measurement qualities of the Greek COPSOQ III have been explored in adherence to the usual requirements of a validation study as defined by DIN EN ISO 10075-3. A sample of observations from 2.189 participants surveyed with the COPSOQ in Greece was used to validate the current version with appropriate statistical analyses. Exploratory factor analysis was used to assess statistical relations for many scales. Results: With its 108 items and 40 scales, the Greek COPSOQ III includes all psychosocial work factors that have been internationally validated and remain compatible with about 72% of the COPSOQ III German version content. Beyond primary results, congruence with widely used theoretical approaches like the Demand-Control(−Support) model (DCM) or the Job Demands-Resources model (JDR) is generally satisfactory. In summary, our validation study for the Greek COPSOQ III version showed adequate reliability and validity, which is in line with the COPSOQ III questionnaire from other European countries, and it is also compatible with the validation of the German COPSOQ III (Lincke, 2021). Our regression analysis showed that the 34 psychosocial work factors (34 “context” scales) could adequately predict the scores of the satisfactory and health scales (6 “outcome” scales). The analysis also indicated the top five (5) predictors (context variables) for each of the six (6) “effect” scales (outcome variables). Conclusions: With the launch of COPSOQ III in Greece, current and new workplace psychosocial aspects could be explored. COPSOQ III(GR) is a beneficial instrument for enterprise research and risk assessment.

Yoga promotes acceptance, compassion, physicality, active postures, mental and emotional awareness, and spiritual benefits. It involves breath techniques, postures, and body locks, maintaining balance and strength. It's based on ethical principles. Beyond simple performance, swimming is a catalyst for overall well-being. Complementarily, yoga serves as an invaluable adjunct for swimmers, enhancing flexibility, strength, and body awareness - a triad essential to aquatic excellence. The confluence of yoga and swimming, particularly through the practice of aqua yoga asanas, presents a new paradigm for both athletes and non-performers alike. Athletes who embrace the harmonious fusion of swimming and yoga unearth the potential for achieving not just athletic mastery but also a more balanced and fulfilling lifestyle. This blend provides a route not only to enhance performance in the water but also to elevate the overall quality of life. We examined the feasibility of incorporating yoga and swimming practice into Romanian subjects' lifestyles, designing a factor analysis in SmartPLS software, based on an online survey. The study assesses the participants' knowledge of yoga's theory and philosophy, as well as their perceptions of the swimming practice's benefits for social and health issues. According to our study, Romanian participants practice yoga and swimming as often as possible to reduce stress, improve concentration for work-related tasks, and improve joint elasticity, balance, and muscular tone. Thus, Yoga and swimming are substitutes for other approaches in prevention and therapy.

The backwater lowland habitats of large rivers, like the Mississippi River in North America, present complex often inaccessible environments for traditional capture-based fish biodiversity sampling. Our knowledge of the assemblages of fishes that occupy such habitats are often incomplete, and this can compromise management efforts. We employed environmental DNA (eDNA) metabarcoding methods to sample a Mississippi River bottom wetland system to assess ichthyofaunal diversity, and assemblage structure across habitat types, and we compared our results to capture-based survey records for the same habitats. We collected water samples in spring and fall of 2022 from slough, ditch, shallow lake and bayou habitats that varied in depth, vegetation, seasonal variability, and connectivity to the Mississippi River channel. We detected a diverse array of fish species that included 51 taxa. Nearly all species previously documented in the habitats were detected by eDNA metabarcoding, and we increased the number of documented species by more than a third. Most of the species were ubiquitous across the range of habitats, but there was also substantial assemblage structure, with some species exhibiting clear habitat specificity. Fall sampling was limited to the deeper bayou habitats where seasonal variation between spring and fall was minimal. eDNA metabarcode sampling was demonstrated to be effective at detecting invasive species as well as uncommon species, which included several species of conservation concern.

This article considers the status of psychoanalytical archetypes as attitudinal bodies. It possesses the initiative to consider the prerogative that they are situated on, and to develop that into discussing the conditions for an archetype-like body that is derived from Jungian pretenses. As this article operates within the boundaries of the conjecture, it serves instead to cover the potentiality for developments outside of the simple basis of the archetype, which therefore means that it covers a form of guidance instead of specific results. Unlike Jung’s study, which serves in a multitude of sections and draws upon evidential factors of, however generally expressed, ancient civilisations, this article seeks to apply that logic to the purpose of explicating the meaning and potential extensions of the “archetypal dogma”.

Green and Roasted coffee oils are products rich in bioactive compounds, such as linoleic acid and diterpenes cafestol and kahweol, being a potential ingredient for food and cosmetic industries. An overview of oil extraction techniques most applied for coffee and their influence on the oil composition is presented. Both green and roasted coffee oil extractions are highlighted. Pressing, Soxhlet, microwave, and supercritical fluid extraction were the most used techniques used for coffee oil extraction. Conventional Soxhlet is most used on lab-scale, while pressing is by industry. Supercritical fluid extraction has also been evaluated due to the goal of increasing the coffee oil diterpenes content. One of the highlighted activities in Brazilian agribusiness is the industrialization of oils due to their increasing use in the formulation of cosmetics, pharmaceuticals, and foods. Green coffee oil (raw bean) has desirable bioactive compounds, increasing the interest of private companies and research institutions in its extraction process to preserve the properties contained in the oils.

Carbon nanodots (CNDs) have garnered significant attention as viable drug delivery vehicles in recent years, especially in the field of phytomedicine. Although there is much promise for therapeutic applications with phytomedicine, its effectiveness is frequently restricted by its low solubility, stability, and bioavailability. This paper offers a thorough synopsis of the developing field of phytomedicine drug delivery based on CND. It explores CND synthesis processes, surface functionalization strategies, and structural and optical characteristics. Additionally, the advantages and difficulties of phytomedicine are examined, with a focus on the contribution of drug delivery methods to the increased effectiveness of phytomedicine. The applications of CNDs in drug delivery are also included in the review, along with the mechanisms that underlie their improved drug delivery capabilities. Additionally, it looks at controlled release methods, stability augmentation, and phytomedicine loading tactics onto CNDs. The potential of polymeric carbon nanodots in drug delivery is also covered, along with difficulties and prospective directions going forward, such as resolving toxicity and biocompatibility issues. In summary, the present review highlights the encouraging contribution of CNDs to the field of drug delivery, specifically in enhancing the potential of phytomedicine for therapeutic purposes.

This study developed a three-dimensional kinematic and dynamic model of a center-driven linkage system (CDLS). Force analysis was conducted to determine the required driving torque to ensure that the input link of the CDLS rotates at a constant speed with a certain angular velocity, even in the presence of frictional resistance torque. The primary objective was to optimize the maximum angular acceleration of the output links to reduce wiper noise. This optimization can enhance the stability of the linkage system while maintaining its operational functionality. In the adopted methodology, the frames of the fixed links are assumed to remain unchanged, and the input link is considered to operate at a constant angular speed and have a constant length. To meet standard vehicle windshield wiper requirements, 10 constraints were imposed on the optimization problem, which was solved using the differential evolution method. The lengths of both output links were reduced by over 10% after optimization.

This study explored the beer consumers’ and producers’ perception of using local fruit and agroindustrial by-products in brewing. An online survey was conducted in Italy with 496 beer consumers and 54 beer producers. The survey assessed sociodemographic information, consumption behavior, support for brewery neolocalism, alongside brewers’ perception of sustainability of their breweries. Findings showed high consumers’ involvement in sustainable eating and high support for breweries utilizing local resources and that operate in a sustainable way. Breweries rated their sustainability practices as moderate, and most of them considered their efforts in using local raw materials and repurposing by-products as “excellent”. Both consumers and producers considered beer made with agroindustrial by-products less tasty than those with local fruit (p < 0.05), but no significant difference in willingness to buy was observed (p > 0.05). According to cluster analysis results, the ideal consumer profile for sustainable beers was characterized by a higher proportion of females prioritizing sustainability and local sourcing over sensory quality. Therefore, using local materials or agroindustrial by-products can align brewers’ practices with consumers’ preferences, enhancing competitiveness and market positioning by fostering a sense of sustainability and locality.

The integration of advanced image analysis using artificial intelligence (AI) is pivotal for the evolution of autonomous vehicles (AVs). This article provides a thorough review of the most significant datasets and the latest state-of-the-art AI solutions employed in image analysis for AVs. Datasets such as Cityscapes, NuScenes, and CARLA form the benchmarks for training and evaluating different AI models, with unique characteristics catering to various aspects of autonomous driving. Key AI methodologies, including Convolutional Neural Networks (CNNs), Recurrent Neural Networks (RNNs), Transformer models, and Generative Adversarial Networks (GANs), are discussed. The article also presents a comparative analysis of various AI techniques in real-world scenarios, focusing on semantic image segmentation, 3D object detection, and vehicle control in virtual environments. Simultaneously, the role of multisensor datasets and simulation platforms like AirSim, TORCS, and SUMMIT in enriching the training data and testing environments for AVs is highlighted. By synthesizing information on datasets, AI solutions, and comparative performance evaluations, the article serves as a crucial resource for researchers, developers, and industry stakeholders. Offering a clear view of the current landscape and future directions in autonomous vehicle image analysis technologies.

A composite is a material formed from the combination of two or more constituent materials through a non-homogeneous mixture. This research aims to determine the effect of volume fraction and fiber orientation angle of the hybrid polyester-ulin wood powder (Eusideroxylon zwageri)-wire mesh composite on bending strength. The bending test was conducted using ASTM D-790 standard with a three-point bending test method. The composite was made using the hand lay-up method with various compositions of particles and polyester. The results showed that the composition with less ulin wood powder and finer mesh size with a 45° wire mesh angle orientation had the highest bending strength and high deformation capability. The addition of wire mesh did not significantly increase the bending strength but could reduce the effect of decreased deformation capability.

The whimsical Las Vegas/Monte Carlo cubic dice are generalized to construct the combinatorial problem of enumerating all n-dimensional hypercube dice, and dice of other shapes that exhibit cubic, icosahedral and higher symmetries. By utilizing powerful generating function techniques for various irreducible representations, we derive the combinatorial enumerations of all possible dice in n-dimensional space with hyperoctahedral symmetries. Likewise a number of shapes that exhibit icosahedral symmetries such as a truncated dodecahedron and a truncated icosahedron are considered for the combinatorial problem of dice enumerations with the corresponding shapes. We consider several dice with cubic symmetries such as truncated octahedron, dodecahedron and Rubik’s cube shapes. It is shown that all enumerated dice are chiral and we provide the counts of chiral pairs of dice in the n-dimension space. During the combinatorial enumeration, it was discovered that two different shapes of dice exist with the same chiral pair count culminating into the novel concept of isochiral polyhedra. The combinatorial problem of dice enumeration is generalized to multi-coloring partitions. Applications to chirality in n-dimension, molecular clusters, zeolites, mesoporous materials, cryptography and biology are also pointed out. Applications to nonlinear n-dimensional hypercube and other dicey encryptions are exemplified with romantic, clandestine messages; “I love U” and “V Elope at 2”.

Objective: To evaluate audiological outcomes, quality of life, and complications in patients implanted with Active middle ear implants (AMEI). The secondary objective is to investigate the required duration after implantation to reach satisfactory outcomes. Methods: This retrospective study included 31 patients implanted with Active middle ear implants (AMEI) with different methods of floating mass transducer attachment. Patients with incomplete medical records and those who did not respond to postoperative follow-up were excluded. Patients were assessed preoperatively, and at one, three, and six months postoperatively. The assessment included Pure Tone Average (PTA4), Speech Reception Threshold (SRT) and Speech Discrimination Score (SDS). The Speech Spatial and Qualities of Hearing scale (SSQ12) was also used to evaluate levels of satisfaction. Result: There are no significant differences found in PTA and SRT between the 3-, 6-, and 12-month visits. The speech reception threshold (SRT) showed a statistically significant improvement at 3, 6, and 12 months post-operative measures compared to pre-operative. Additionally, the SDS exhibited a significant increase only after 12 months, compared to the 3-month time point. However, satisfaction levels did not significantly differ between the 6-month and 12-month measurements following surgery. Conclusion: Vibrant Sound bridge improves subjective satisfaction scores and audiological test scores in patients with different types of hearing loss. AMEI has a low risk of medical or surgical complications, the ease of using a hearing implant, and the social benefits of good hearing and communication.

The generation of forensic DNA profiles consisting of single nucleotide polymorphisms (SNPs) is now being facilitated by wider adoption of next-generation sequencing (NGS) methods in casework laboratories. At the same time, and in part because of this advance, there is an intense focus on the generation of SNP profiles from evidentiary specimens for so-called forensic or investigative genetic genealogy (FGG or IGG) applications. However, FGG methods are constrained by the algorithms for genealogical database searches, which were designed for use with single-source profiles, and the fact that many forensic samples are mixtures. To enable the use of two-person mixtures for FGG, we developed a workflow, MixDeR, for the deconvolution of mixed SNP profiles. MixDeR, a flexible and easy to use R package and Shiny app, processes ForenSeq Kintelligence® (QIAGEN, Inc.) SNP genotyping results and directs deconvolution of the profiles in EuroForMix (EFM). MixDeR then filters the EFM outputs to produce inferred single-source genotypes in reports formatted for use with GEDmatch® PRO. An optional MixDeR output includes metrics that assist with testing and validation of the workflow. As the Shiny app provides a graphical user interface and the software is designed to be run offline, MixDeR should be suitable for use by any laboratory developing FGG capabilities, no matter their bioinformatic resources or expertise.

The fast-paced advancements in the technological space and its application have influenced greatly its usage in teaching especially in science and mathematics subjects. The overall objective of this study was to examine the physical proximity of learning in shaping students’ mastery of technology-enhanced mathematics and science concepts. Consequently, the study investigates how technology can promote teaching presence toward the mastery of mathematics and science concepts and how the latter can be grasped by the learners using physical proximity strategies. This research study used a mixed-method research design and was conducted in Kayonza District (Eastern Province) and Gasabo District (Kigali), Rwanda. The participants were postgraduate students at the University of Rwanda, College of Education undertaking a master degree in chemistry education, mathematics education, physics education and biology education under the Africa Centre of Excellence for Innovative Teaching and Learning Mathematics and Science. A sample size of 88 students was selected from both Remera and Rukara campuses. Participants were in a range of 21-40 years old. The study used both interviews and questionnaires to collect empirical data. Qualitative data was analyzed using thematic analysis while quantitative data was analyzed using R software. The study reveals that a virtual lab is a vital tool in promoting teaching presence regarding the mastery of mathematics and science concepts. The use of virtual labs seems to foster instructional design and organization from teachers. Moreover, virtual labs seem to facilitate meaningful discourses, interactions between learners and between the learners and the teacher. The findings show also that virtual visualizing seems also to play a role in direct instruction where the teacher offers guidance and direction to learners on various subjects or issues of contention that may need the clarity. Thus 87.6% of the respondents affirm that technology integration in learning is efficient in bridging the gap of physical proximity among learners and teachers through various virtual instruments and platforms. The study also demonstrates that various forms of technology that can be used to bring mathematics and science concepts to the learners’ physical proximity including WhatsApp, Microsoft Teams, Google Meet, Zoom and Webex. The study therefore recommends that visualization should be integrated in the curricula, training of teachers and students to maximize physical proximity components and sharing of best practices among teachers and students.

Heat pumps are recognized as a key tool in the energy transition toward a carbon-neutral society, enabling the electrification of the heating sector at least for low- and medium-temperature heat demands. In recent years, natural refrigerants have been reconsidered due to their low environmental impact: among them, CO2 is a safe option without impact on the ozone layer and low global warming potential compared to synthetic fluids. However, as a consequence of its thermophysical properties, its thermodynamic cycle is transcritical and is particularly suitable for specific end-user temperature profiles. This paper analyzes in a systematic and thorough way the most significant modifications to the reference cycle that have been proposed in the literature to improve the performance, finding how the optimum configurations change with a change in the rated operating conditions (inlet temperature and temperature glide of the heat demand, and ambient temperature). Exergy analysis explains why there is an optimal gas cooler pressure and why its trend with the average temperature is split into two distinct regions, clearly recognizable in all cycle layouts. The maximum coefficient of performance (COP) of the reference cycle varies in the 1.52–3.74 range, with a second-law efficiency of 6.436.1, for an optimal gas cooler pressure of up to 15.45MPa, depending on ambient temperature and end-user temperature profile. The most effective modification is the cycle with ejector and internal heat exchanger, which raises the COP to 1.84–4.40 (second-law efficiency 8.745.56). The presented results provide an extensive guide to understanding the behavior of a transcritical CO2 cycle and predict its performance in heat pump applications.

This study presents an innovative approach to interdisciplinary education by integrating principles of biology, engineering and art to foster holistic learning experiences for children. The focus lies on assembling mycelium bricks as engineered living materials with promising applications in sustainable construction. Through a collaborative group task, children engage in the hands-on creation of these bricks, gaining insights into mycology, biomaterials engineering and artistic expression. The curriculum introduces fundamental concepts of mycelial growth and its potential in sustainable material development. Children actively participate in fabricating 3D forms (negative and positive) using mycelium bricks, thereby gaining practical knowledge in shaping and moulding living materials. This hands-on experience enhances their understanding of biological processes and cultivates an appreciation for sustainable design principles. The group task encourages teamwork, problem-solving, and creativity as children collaboratively compose structures using mycelium bricks. Integrating art into the activity adds a creative dimension, allowing participants to explore aesthetic aspects while reinforcing the project’s interdisciplinary nature. Conversations about the material’s end of life and decomposition are framed within the broader context of Nature’s cycles, facilitating an understanding of sustainability. This interdisciplinary pedagogical approach provides a model for educators seeking to integrate diverse fields of knowledge into a cohesive and engaging learning experience. The study contributes to the emerging field of biomimetics education, illustrating the potential of integrating living materials and 3D understanding activities to nurture a holistic understanding of science, engineering and artistic expression in young learners.

The primary aim of this study was to investigate the variations in cognitive load as self-efficacy gradually increases and examine the potential within-mediating effect of state anxiety between self-efficacy and cognitive load. The experiment manipulated the self-efficacy of 49 adult participants through the false feedback paradigm, employing a within-subject experimental design and using facial expression recognition as the experimental task. The data were analyzed using Hierarchical Linear Modeling. The results revealed that self-efficacy negatively predicted state anxiety and cognitive load, while state anxiety positively predicted cognitive load. Moreover, state anxiety played a complete mediating role at multiple levels in this process.

This study delves into the transformative growth of private higher education in China, highlighting the rapid and diverse expansion following the COVID-19 pandemic. Although previous studies have reported expansion and difficulties, a thorough examination of the relationship between institutional adaptation and the development of human capital remains unexplored. This study examines how private higher education institutions modify their job-related courses to suit the demands of the job market, evaluates the effect on the employability of graduates, and investigates ways to control costs without sacrificing academic quality. This study analyzes data from the Ministry of Education, Wind Information, and Shenwan Hongyuan Research to gain insights into the impact of human capital theory and institutional theory on private higher education in China. Enrollment trends, program alignment, financial sustainability, and quality enhancement activities are all examined using detailed analysis. Private higher education institutions play a critical role in developing a skilled labor force by filling skill gaps and meeting the demands of an evolving job market. The findings also emphasize the importance of quality assurance procedures, strategic program development, and collaborations with businesses. In conclusion, the study emphasizes the imperative for more research and policy action. This is crucial to securing the lasting effectiveness and influence of private higher education institutions on China's socioeconomic progress and human capital development in the post-pandemic era.

Many people, including Horadam, have studied the numbers $W_n$, satisfying the recurrence relation $W_n=u W_{n-1}+v W_{n-2}$ ($n\ge 2$) with $W_0=0$ and $W_1=1$. In this paper, we study the $p$-numerical semigroups of the triple $(W_i,W_{i+2},W_{i+k})$ for integers $i,k(\ge 3)$. For a nonnegative integer $p$, the $p$-numerical semigroup $S_p$ is defined as the set of integers whose nonnegative integral linear combinations of given positive integers $a_1,a_2,\dots,a_\kappa$ with $\gcd(a_1,a_2,\dots,a_\kappa)=1$ are expressed in more than $p$ ways. When $p=0$, $S=S_0$ is the original numerical semigroup. The largest element and the cardinality of $\mathbb N_0\backslash S_p$ are called the $p$-Frobenius number and the $p$-genus, respectively.

The management of erectile dysfunction (ED) shows several grey zones, especially in terms of patient satisfaction and adherence to the treatment. The main and first-line treatment for ED is drug therapy, mainly phosphodiesterase-5 inhibitors (PDE-5is) but the adherence to the therapy is not optimal due to the low patient satisfaction reported in several cases. To address this issue, different administration routes and PDE-5is pharmacological formulations have been introduced in the pharmacological market. The pharmaceutical market has recently seen the introduction of a novel sildenafil oral suspension. This device offers access to all therapeutic regimens in one device, releasing 0.5 mL of suspension containing 12.5 mg of sildenafil with each pulse. This formulation enables tailored dosing based on clinical requirements and the demands of ED patients. Here, we aim to give a brief narrative review of the management of this new oral suspension in order to provide the readers with some suggestions to use in everyday clinical practice, on the basis of the recent evidence, by using an easy and rapid-to-consult questions and answers form. Also included are the conclusions of a board meeting of experienced andrologists regarding the most recent developments in this area.

The aim of the study was to identify limiting factors for reusing wood through the recycling of window frames by conducting research under fully controlled conditions. The research involved manufacturing new window frames, seasoning them, and then shredding them into wood particles to prepare a three-layer particleboard. The proportion of wood particles in recycling was 0, 5, 10, 25, 50, and 100 parts by weight of the manufactured particleboard. Mechanical property tests were conducted: modulus of elasticity (MOE) and modulus of rupture (MOR), internal bond (IB), screw withdrawal resistance (SWR), and physical properties: density profile (DP), thickness swelling (TS) after water immersion, water absorption (WA), as well as formaldehyde emission and total volatile organic compounds (TVOC) tests. The conducted research indicates a significant potential for utilising wood from this sector of the wood industry, particularly considering variants with a higher proportion of recycled wood. MOR and MOE results are most promising for variants above 50 parts by weight of recycled wood. Based on the results obtained, it is clear that the production process should be improved or the raw material modified to enhance the internal bonding of particleboard, as these results were the weakest. Thus, recycled wood from window joinery has the potential to be reincarnated as particleboard, which continues to be widely used in their production.

As the demand of heating and air conditioning is increasing day by day due to getting a comfortable life, for that reason, the market for heat pump and air conditioning systems or both, is seeing a steady increase in low global warming potential. All researchers on heat pump and air conditioning systems are searching for environmentally friendly refrigerants. However, a significant number of contemporary refrigerants (HCFCs) have the potential to cause global warming and ozone depletion, such as those found in heat pump air conditioning systems. Using more environmentally friendly refrigerants, including hydrocarbon and blend refrigerant mixtures, is one way to lower GWP and Ozone depletion potential. This study examines the performance of several alternative refrigerants, including R32, R134A, R410A, R22, and R290. In order to examine the performance of R290, theoretical and simulation results are compared on various refrigerants while taking into account a number of performance parameters, including the refrigerant energy efficiency ratio, mass flow rate, coefficient of performance, cooling capacity, and compressor work for one ton of refrigeration (1TR) air conditioners. One player with a very low GWP is R290. However, the only drawback is that it can catch fire and is hazardous to use in split-type commercial heat pump air conditioning applications. The environmental and thermo physical properties of HC-290 are significantly better than those of other materials, according to theoretical and simulation studies utilizing Cool Pack software, hence it is a viable replacement.

The research presented in the article is devoted to the study of the influence of phase compounds on the friability of the Fe-Si-Mn-Al complex alloy. The urgency of the problem lies in the development of technology for producing a non-scatterable alloy from manganese-containing ores and high-ash coals. The main goal of the work is to determine the range of alloy compositions and the resulting phases that affect the dispersibility of the alloy, which is critically important for its industrial implementation. Research methods include thermodynamic diagram analysis (TDA) using data on the standard enthalpy of formation of intermetallic compounds, as well as experimental tests in an ore-thermal electric furnace with a capacity of 200 kV*A. The results show that Fe-Si-Mn-Al complex alloys form a variety of silicide and aluminide phases, including intermetallic compounds and ternary systems, which is critical for understanding and controlling their physicochemical properties. When smelting a complex alloy, the content of leboite (Fe3Si7) in the Fe-Si-Mn-Al system plays a significant role. The development of smelting technology will be aimed at avoiding the FeSi2-Fe3Si7-F2(FeAl3Si2)-Mn11Si19 tetrahedron area. This approach to controlling the composition of a complex alloy is critical to ensuring its consistent friability properties in industrial applications. Thus, this work represents an important step in understanding the physical properties and stability of Fe-Si-Mn-Al complex alloys, which have potential for widespread use in metallurgical and other industrial applications.

The laser melting process (DED-LB-p) is used for the production of large components due to the high deposition rates. The large number of process parameters and printing strategies makes it difficult to optimize this process to achieve the optimal properties. Intensive post-processing is still the main obstacle to the widespread use of this process. In this work, the relationship between different printing strategies, printing strategies and process parameters on the microstructural, and tensile mechanical performance at room temperature is investigated. The porosity was measured in both printing directions. Grain orientation and size were analyzed by EBSD. A very low porosity of less than 0.4% was found in all printed samples. The samples printed with the optimized offset printing strategy show a significant improvement in tensile strength of 1000 MPa without heat treatment compared to other processing routes.

Background: Lutein and zeaxanthin are fat-soluble antioxidant nutrients that have evidence of beneficial effects on vision and eye health. The purpose of this study was to examine the effects of supplementation with lutein and zeaxanthin isomers (Lute-gen®) on eye health, eye strain, sleep quality, and attention in high electronic users. Study design: Two-arm, 6-month, parallel-group, randomized, double-blind, placebo-controlled trial. Methods: Seventy volunteers aged 18 to 65 who used electronic screens for more than 6 hours daily were supplemented with 10 mg of lutein and 2mg of zeaxanthin-isomers or a placebo. Outcome measures included several ophthalmic examinations comprising the Schirmer tear test, photo-stress recovery time, contrast sensitivity, tear film break-up time, and self-report measures of visual fatigue, computer vision, sleep quality and attention. Results: Compared to the placebo, lutein and zeaxanthin supplementation was associated with greater improvements in the Schirmer tear test, photo-stress recovery time, and tear film break-up time. However, there were no group differences in the change in self-report measures or contrast sensitivity. Lutein and zeaxanthin supplementation was well-tolerated, with no reports of serious adverse reactions or clinically significant changes in safety blood measures, including liver function, renal function, blood lipids, and full blood examination. Conclusions: The results from this study provide support for the beneficial effects of 6 months of lutein and zeaxanthin supplementation on visual health and dry eyes in regular users of electronic screens. However, these findings were not corroborated by group differences in the administered self-report questionnaires.

The shift towards autonomous excavators in construction and mining is a significant leap towards enhancing operational efficiency and ensuring worker safety. However, it presents challenges such as the need for sophisticated decision-making and environmental perception due to complex terrains and diverse conditions. Our study introduces the E-GTN framework, a novel approach tailored for autonomous excavation that leverages advanced multisensor fusion and a custom-designed convolutional neural network to address these challenges. Results demonstrate that GridNet effectively processes grid data, enabling the reinforcement learning algorithm to make informed decisions, thereby ensuring efficient and intelligent autonomous excavator performance. The study concludes that the E-GTN framework offers a robust solution for the challenges in unmanned excavator operations, providing a valuable platform for future advancements in the field.

A favorable physical environment in the soil is necessary and of fundamental importance for the growth and root development of the sorghum crop, in order to maximize the productivity of the planted crops. In this study we evaluated the physical aspects of the soil in no-tillage system in a sorghum grain area intercropped with Urochloa ruziziensis and Crotalaria spectabilis and the productivity of the crop, in off-season (second crop season), based in a long field experiment. The experimental design was a randomized block design in a 4 x 4 factorial arrangement (four cropping systems: sorghum, sorghum + Urochloa ruziziensis, sorghum + Crotalaria spectabilis, sorghum + Urochloa ruziziensis + Crotalaria spectabilis; four soil depths: 0 - 0.10 m, 0.10 - 0.20 m, 0.20 - 0.30 m, 0.30 - 0.40 m). It was analyzed the productivity and the physical soil attributes that were: Soil Bulk Density (DS), Gravimetric Moisture (GM), Total Porosity (TP), Microporosity (MI), Macroporosity (MA) and Resistance to Root Penetration (RP). The study asserts that intercropping sorghum with Crotalaria spectabilis is a promising strategy to increase productivity. The Sorghum + Urochloa ruziziensis + Crotalaria spectabilis combination significantly improves soil structure by reducing penetration resistance and increasing macroporosity, especially at depths greater than 0.20 m. The inclusion of Urochloa enhances moisture retention, while Crotalaria contributes to greater porosity.

High temperature Ni-superalloys are limited by reliance on critical elements and complex processing steps. High entropy alloys (HEAs) have demonstrated stable single/dual phase microstructures with strong ordering tendencies. A dual phase (FCC+BCC) Al0.5Co0.5CrFeNi1.5Ti0.25 alloy (developed using CALPHAD) was tested for room and high temperature compression behavior. The microstructure mainly comprises of coarse ordered FCC(L12) surrounding decomposed lamellae of ordered FCC(L12) and BCC(L21) phases, which coarsened upon annealing at high temperature (1100 °C) into a bi-continuous structure of disordered FCC+BCC(B2). Additionally, cold rollability of the cast alloy increased from &lt;5% to ~40% after annealing, with a corresponding softening observed in room temperature compression mainly due to disordering of FCC and BCC phases. Peak flow stresses of 793.45MPa, 535.12MPa, and 324.40MPa were achieved at 800oC, 900oC, and 1000oC respectively for the high temperature annealed alloy.

Background: Breast cancer incidence and mortality exhibit a rising trend globally among both premenopausal and postmenopausal women suggesting that there are serious errors in our preventive and therapeutic measures.Purpose: Providing a series of valuable, but misunderstood inventions highlighting the role of increasing estrogen signaling in prevention and therapy of breast cancer instead of its inhibition. Results: 1. Breast cells and breast cancer cells with germline BRCA1/2 mutations similarly show defect in liganded estrogen receptor (ER) signaling demonstrating its role in genomic instability and cancer initiation. 2. In breast cancers, the increased expression of certain receptor family is an effort for self directed improvement of genomic defects, while the weakness or loss of receptors indicates a defect requiring medical repair. 3. ER overexpression in breast cancer cells is capable of strengthening estrogen signaling and DNA repair, while in ER negative tumors, HER2 overexpression tries to upregulate unliganded ER activation and genome stabilization. 4. ER positive breast cancers responsive to endocrine therapy may show a compensatory ER overexpression resulting in a transient tumor response. Breast tumors, non responsive to endocrine therapy, show HER2 overexpression for compensation the complete blockade of liganded ER activation. 5. In breast tumors, somatic mutations serve upregulation of liganded or unliganded activation of ERs helping genome stabilization and apoptotic death. 6. The dynamic communication between breast cancer and its microenvironment is a wonderful collaboration among molecular players fighting for genomic repair and apoptosis in the tumor. 7. In breast cancers, there is no resistance to genotoxic or immune blocker therapies, but rather the non responsive tumor cells exhausted all compensatory possibilities against therapeutic damages. Conclusion: Understanding the behavior and ambition of breast cancer cells may achieve a turn in therapy via applying a supportive care instead of genotoxic measures.

This Research is to analyze the effect of Intellectual Quotient (IQ), Emotional Quotient (EQ), and Spiritual Quotient (SQ) to the employee performance of Inspectorate South Kalimantan Province. All of The employee are involved as the samples, 81. Data are the perception of the employee regarding the variables. Technique of analysis is using multiple linear regression. Tests involved are Model Test (F), t Test, and classic Assumption test. Significant Test is connected to pvalue. The results show that (1) Intellectual Quotient (IQ) is influencing insignificantly to the employee performance; (2) Emotional Quotient (EQ) is influencing insignificantly to the employee performance; (3) Spiritual Quotie nt (SQ) is influencing significantly to the employee performance. The results also indicate that such effects need further research. Variables should be considered are attitude, operating standar and Technology.

In contrast to global AIDS data, which show a higher number of diagnosed HIV cases in women, the Indonesian National AIDS report reveals that the percentage of HIV cases in the country is significantly higher in men. Using a conceptual model of how social networks impact health, this paper describes how structural conditions, such as poverty, lack of job opportunities, and lack of income determined the engagement of Indonesian male labour migrants and motorbike taxi (also known as ojek) drivers in their respective professions and shaped their social networks. It also describes how these social networks created opportunities for various psychosocial mechanisms, including social influence, peer pressure, and intimate contact, that facilitated HIV infection through different behavioural pathways, such as unprotected sex with multiple partners and injecting drug use (IDU) practices. A qualitative design using face-to-face in-depth interviews was employed to collect data from participants in Yogyakarta municipality and Belu district, Indonesia. Participants were recruited using the snowball sampling technique, starting from two HIV clinics in the study settings. Data analysis was guided by a qualitative data analysis framework. The findings highlight the significance of structural conditions, such as poverty, poor family conditions, precarious employment, and lack of income, in determining the participants' engagement in labour migration and motorbike taxi driving. Involvement in these occupations allowed them to become acquainted with fellow labour migrants and ojek drivers, leading to cohabitation in the same shelters or areas and daily interactions, which fostered the development of social networks among them. These social networks then provided opportunities for various psychosocial mechanisms, including social influence through peer pressure and person-to-person contact. The influence and pressure experienced by the participants were reflected in their behaviours related to sex, condom use, and IDU, ultimately contributing to the transmission of HIV among them. The findings underscore the importance of public health interventions, such as HIV information and education, that take into account the dynamics of social networks in order to develop effective strategies for increasing understanding of HIV transmission and prevention, reducing vulnerability, and promoting safer behaviours among male labour migrants and ojek drivers.

The amplified production of reactive oxygen species (ROS) or reduced oxidant protection is described as oxidative stress, which contributes to the increase in several disorders, notably obesity and neurodegenerative diseases. Flavonoids are polyphenol compounds found in a variety of foods of plant origin, such as berries, with a basic chemical structure consisting of an aromatic ring linked to a benzene ring and a pyran ring. Flavonoids have neuroprotective activity and promote synaptogenesis and neurogenesis and are also capable of inhibiting oxidative stress and neuroinflammation. Anthocyanins are water-soluble natural pigments that belong to the flavonoid class and have antioxidant and anti-inflammatory properties, helping to reduce chronic inflammation associated with various health conditions, including obesity. In addition, flavonoids and anthocyanins can modulate the expression of genes involved in lipid metabolism, promoting the oxidation of fatty acids and the reduction of lipid synthesis, contributing to the reduction of body fat accumulation. One of the most abundant flavonoids in the natural environment, quercetin, is found mainly in the form of O-glycoside derivatives and rarely as an aglycone. Quercetin has antioxidant properties, against diseases such as cancer; It also acts to combat allergic reactions, inflammatory processes, platelet disorders, obesity, hypertension and atherosclerotic and hypercholesterolemic disorders. Anthocyanins can activate intracellular signaling pathways, such as the AMPK (AMP-activated protein kinase) pathway, which has a crucial role in regulating energy metabolism and glycemic homeostasis. Activation of this pathway increases glucose uptake and fatty acid oxidation, favoring weight loss and improving insulin sensitivity. This review article aims to analyze the effects of using berries in controlling obesity and its role as a reducing factor for mild cognitive decline. A systematic review will be carried out following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyze. We will search the following electronic databases: PubMed (Medline), Science Direct, Scopus and Web of Science.

The Mononuclear Phagocyte System includes monocytes, macrophages, some dendritic cells and multinuclear giant cells. These cell populations display marked heterogeneity depending on their differentiation from embryonic and bone marrow haematopoietic progenitors, tissue location and activation. They contribute to tissue homeostasis by interacting with local and systemic immune and non-immune cells, through trophic, clearance and cytocidal functions. During evolution they contributed to innate host defense before effector mechanisms of specific adaptive immunity emerged. Mouse macrophages appear at midgestation and are distributed throughout the embryo to facilitate organogenesis and clear cells undergoing programmed cell death. Yolk sac-, AGM- and foetal liver-derived tissue resident macrophages persist throughout postnatal and adult life, supplemented by bone marrow-derived blood monocytes, as required after injury and infection. Nobel awards to Elie Metchnikoff and Paul Ehrlich in 1908 drew attention to cellular phagocytic and humoral immunity, respectively. In 2011, prizes were awarded to Jules Hoffmann and Bruce Beutler for contributions to innate immunity and to Ralph Steinman for discovery of Dendritic Cells and their role in antigen presentation to T lymphocytes. We trace milestones in the history of mononuclear phagocyte research from the perspective of Nobel awards bearing directly and indirectly on their role in cellular immunity.

Brewers’ spent grain (BSG) is the major by-product of beer production (70-80% moisture) and the feasibility of its application in foodstuffs depends primarily on its drying. Our objective was to evaluate the effect of physical separation with or without ultrasound application on color, total phenolic content (TPC), antioxidant activity, proximate composition, total dietary fibers, and particles size distribution of BSG powders. From wet BSG (W), two processes, without (A) or with (B) ultrasound, encompassing pressing, convective air-drying, sieving, fraction separation, and milling were evaluated. Powders A1, A2, B1 and B2 were generated. The total color difference compared with W increased throughout both processes, ranging from 1.1 (B1 x A1) to 5.7 (B1 x A2). No significant difference was observed for TPC, while lower antioxidant activity (ABTS+) was observed for process B powders, especially for B2, likely due to the release of antioxidant compounds to the liquid during pressing after ultrasound application. Nevertheless, process B powders showed higher content of total dietary fiber (p < 0.05). In conclusion, process B, with ultrasound application, may be interesting for further extraction of soluble fibers. However, the developed process A may be feasible for industrial and craft brewers, and further studies regarding the effect of their application in foods should be encouraged.

A comprehensive evaluation system of rural building energy consumption from the innovative composite perspective was established, which was suitable for southwest of China. The index system was established by Brainstorming method and Delphi method, the weights of the comprehensive evaluation model were calculated by Network Process (ANP) method, the scoring criteria of all evaluation indexes were leveld based on fuzzy evaluation theory. The system model was verified by case analysis, at the countryside around Chengdu Second Circle. With the highest weight, lowest comprehensive score, and broadest range of comprehensive scores taken into consideration, three key factors affecting the target layer, namely "Percentage of Clean Energy Use", "Thermal Performance of Exterior Walls", and "Implementation Rate of Energy saving Measures". The distribution of comprehensive indicators and evaluation factors has certain spatial distribution characteristics, and the overall spatial distribution shows a characteristic of "high in the southeast and low in the northwest". Finally, Based on key factors and regional distribution characteristics, energy-saving measures have been proposed from three aspects: increasing sunrooms, adding wall insulation layers, and standardizing air conditioning temperature settings.

Growth factor receptor-bound protein 2 (GRB2) is a negative regulator of insulin signaling and positive regulator of angiogenesis. Its expression is increased in a mouse model of retinal neovascularization and in patients with type 2 diabetes mellitus (T2DM). This case-control study aimed to investigate the association between the rs9896052 polymorphism (A>C) upstream of GRB2 and proliferative diabetic retinopathy (PDR) in patients with T2DM from Southern Brazil, taking into consideration self-reported skin color (white or non-white) and the known duration of diabetes (< 10 years or ≥ 10 years). Genotypes were determined using real-time PCR in 838 patients with T2DM (284 cases with PDR and 554 controls without DR). In the total study group and in the analysis stratified by skin color, the genotype and allele frequencies were similar between the cases and controls. However, among patients with less than 10 years of diabetes, the C allele was more frequent in cases than in controls (63.3% versus 51.8%, p = 0.032), and the CC genotype was independently associated with an increased risk of PDR (adjusted OR = 2.82, 95% CI 1.17-6.75). In conclusion, our findings support the hypothesis that the rs9896052 polymorphism near GRB2 is associated with PDR in Brazilian patients with T2DM.

In the context of the Bridge Electromagnetic Theory, a quantum-relativistic theory based on Maxwellian electromagnetism, it has recently been shown that the characteristics of a hydrogen atom can be obtained through an electron-proton orbital capture process forming a non-radial emitting dipolar electromagnetic source. The model structurally different to the Bohr-Sommerfeld and Schrödinger models has now been deepened and completed by testing it on the properties of hydrogen and deuterium atoms and of helium and lithium in hydrogenoid form. These last two atoms are of cosmological interest as they are the heaviest elements produced by electron capture in the early universe. The theoretical results obtained regarding the atomic structure and spectra are in excellent agreement with the observational data by suggesting the implicit correctness of the model. It is also highlighted that the electron-nucleus interaction is influenced on an isotopic basis as a function of the value of the inertial mass of the nuclei considered.

For Sir Ronald Fisher, it is important to consistently obtain significant p-values to support an experimental hypothesis. So, replicating experiments to obtain independent p-values is a legitimate and desirable research practice. Several simple statistics have been proposed to meta-analyze p-values, all assuming that they are genuine, i.e. observations from independent standard Uniform random variables. But, as publication bias favors the studies that report "significant" p-values, when a p&gt;0.05 is obtained for the outcome of an experiment, some researchers will "fall into temptation" and decide to replicate the experiment in the hope of getting a smaller second p-value, ideally a significant one. Consequently, if the smallest of two p-values is reported, this is a Beta(1,2) distributed "fake" p-value, not a uniformly distributed genuine p-value. This is an unacceptable scientific research practice, and moreover the detection of fake p-values is unpractical. Even when it is possible, the analytic results to accommodate their existence in combined tests are cumbersome. For an informed decision, inclusive when the presence of fake p-values in a sample of p-values to be meta-analyzed is probable, tables with simulated critical values for the usual combined testing are supplied. This will also allow comparisons to be made between several combined tests.

This paper proposes an innovative approach to address the challenge of softening deformation of thermal-curable thermosets during additive manufacturing. This approach involves the development of a composite powder composed of thermosetting materials with distinct curing temperatures, the utilization of Cold Spray Additive Manufacturing (CSAM) technology for 3D printing, and the application of a stepwise isothermal curing process. The corresponding effectiveness is validated by case studies. The results demonstrate that samples printed via CSAM maintain a solid state without deformation. During the post-curing process, each component of the composite material cures independently while the other components remain in a solid state, providing structural support for the whole material, thereby effectively reducing the softening deformation during the post-curing process. This approach offers a novel perspective for the additive manufacturing of thermal-curable thermosets.

Land surface temperature (LST) variations and anomalies associated with tectonic plate movements are common precursors to earthquakes. Spatially extended and dynamic linear zones of high temperature anomalies at the Earth's surface coinciding with faults in the Earth's crust can be used as a predictor of an approaching earthquake. LST contrast boundary concentration maps are proposed as an indicator for analyzing temperature changes before and after a series of earthquakes. The concentration of LST contrast boundaries is estimated from Landsat 8 data for the East Anatolian Fault zone in the vicinity of epicenters of the destructive earthquakes with magnitudes up to 7.8 Mw on the moment magnitude scale occurred in February 2023. A spatial relationship between earthquake epicenters and the maximum concentration of LST boundaries at azimuths of 0° and 90° was found to strengthen as the earthquake approaches and weaken after it. It was found that 92% of epicenters are located at up to 5 km distance from zones of maximum LST boundary concentration. The found regularity allows to conclude the possibility of using the proposed indicator as additional data for seismic hazard risk assessment.

To increase the calculation speed of the computational fluid dynamics (CFD) based simulation for the gas-solid flow in fluidized beds, a Markov chain model (MCM) is developed to simulate the particle movement in a two-dimensional (2D) circulating fluidized bed (CFB) riser. As a statistic model, the MCM takes the CFD-discrete element method (DEM) results as samples to calculate the transition probability matrix of particles, which can describe the macroscopic regularities of the particle movement and guide the numerical simulation of the particle motion based on the Monte Carlo method. The particle distribution snapshots, residence time distribution (RTD) and mixing obtained from both the CFD-DEM and the MCM are compared. Results show that the computational speed of the MCM is faster than that of the CFD-DEM by about 2 orders of magnitude, and the difference of the mean particle residence time calculated by the two models is less than 2%. Besides, the MCM can well describe the time-averaged particle mixing compared to the CFD-DEM.

Several factors contribute to stigma associated with migraine, such as the lack of objective diagnostic tests and biomarkers or traditional gender stereotypes. Patients with migraine can perceive the stigma from different sources: other people (public stigma), organisations (structural stigma) or themselves (internalised stigma), and even neurologists may harbour stigma towards patients with headache. At a social level, repeated migraine attacks lead to restricted participation in work and family life, inducing anxiety, depression and reduced self-esteem. Regarding the workplace, the impact of migraine on their proffesional lives is significant. Individuals who were acquainted with people with migraine at job tended to behave more negatively towards them, and over half of the managers did not consider headache as a valid reason for being absent from work. Effectiveness at work is reduced during a migraine attack, but also because of the interictal symptoms these patients go through. Regarding presenteeism, migraine was the second most expensive disease in the USA, with an annual cost of approximately $240 billion. For all these facts, destigmatisation should take place at the level of healthcare providers, patients and the general population. Implementing educational programmes, training more neurologists in a specialised headache approach, listening to the patients and taking their concerns seriously, or recognizing the disability that the disease causes are strategies that may help minimizing the stigma of migraine.

Background/Aim: Performing emergency surgery for bowel obstruction continues to place a significant strain on the healthcare system. Conventional assessment methods for outcomes in bowel obstruction cases often concentrate on isolated factors, and the evaluation of results for individuals with bowel obstruction remains poorly studied. This study aimed to examine the risk factors associated with major postoperative complications. Methods: We retrospectively analyzed 99 patients undergoing surgery from 2015 to 2022. We divided the patients into two groups: 1) benign related obstruction (n=68), 2) cancer related obstruction (n=31). We used logistic regression, KNN and XGBOOST. We calculated the receiver operating characteristic curve, and accuracy of the model. Results: Colon obstructions were more frequent in the cancer group (p=0.005). Operative time, intestinal resection and stoma were significantly more frequent in the cancer group. Major complications were 41% for the cancer group vs. 20 in the benign group (p=0.03). Uni-and multivariate analysis shows that significant risk factors for major complication were cancer related obstruction and CRP. The best model was KNN with an accuracy of 0.82. Conclusion. Colonic obstruction is associated with a tumor-related blockage. Malignant cancer and an increase in C-reactive protein (CRP) are significant risk factors for patients who have undergone emergency surgery due to major complications. KNN could improve the process of counseling and the perioperative management of patients with intestinal obstruction in emergency settings.

Beginning in December 2019, a novel coronavirus known as SARS-CoV-2 has caused an international outbreak of respiratory illness termed COVID-19. This disease may cause mild to moderate respiratory illness. However, older individuals and those with underlying medical conditions like diabetes, cancer, and cardiovascular disease are more likely to develop serious illnesses (progressive pneumonia, multi-organ failure, and even death) (1). The main target for antiviral therapy for COVID-19 is the 3CL protease (3CLpro, Main protease, Mpro, Nsp5). The 3CL protease plays an integral role in viral replication and is often known as the “Achilles heel” of the SARS-CoV-2 virus (2). Thus, NLC Pharma utilized a unique and novel technology termed Quantum Core Technology (QCT) to design a mechanism-based potent inhibitor against the SARS-Cov-2 3CL protease. 3CL Pharma has designed an oral anti-viral for COVID-19 called Tollovir. Biochemical assays have revealed that 40uM of Tollovir in PBS can achieve 90% maximum inhibition of 3CL protease. Furthermore, the oral anti-viral has completed clinical trial phase 2b/3. Tollovir has proven to be safe and significantly decreases mortality rates of hospitalized patients with COVID-19 infection.

Background: The utilization of nutrient supplementation as a tool to address issues such as iron and vitamin A deficiencies among children in Sub–Saharan Africa (SSA) has been beneficial. Nevertheless, there is a dearth of evidence on the effect of vitamin A and iron supplementation on infectious diseases in pre–school children in SSA. We aimed to assess the association of vitamin A and iron supplementation on the incidence of major clinical features of infectious diseases (diarrhea, cough, and fever) in children aged 6–59 months in Ghana. Methods: A cross–sectional study that utilized data from the Ghana Demographic and Health Survey, involving a sample size of 2,408 children. The collected data was analyzed using binomial logistic regression. Results: Dual supplementation with vitamin A and iron was associated with an increased risk of fever (OR: 1.68 95% CI: 1.22–2.32) and cough (OR: 1.43, 95% CI: 1.02–1.99) in children 6–59 months. Iron supplementation alone was associated with an increased risk of fever (OR: 1.32, 95% CI: 1.01–1.72) while Vitamin A alone significantly increased the risk of diarrhea (OR: 1.73, 95% CI: 1.03–2.92). Conclusions: Dual supplementation of vitamin A and iron is associated with an increase in childhood morbidity, endorsement of combined supplementation should be done with caution.

The term "sustainable urbanism" has been criticized over its inconsistent and imprecise definition, leading to challenges in implementing actionable reforms and achieving urban sustainability goals. A clearer approach may be to identify its opposite: specifically, forms of urbanism that cause an unacceptable buildup of toxic or climate-altering emissions, deplete resources beyond sustainable levels, progressively destroy critical ecologies, and cause other identifiable sources of potentially catastrophic harm to human and urban welfare. Here we present a model of such an “unsustainable urbanism,” and we observe further that it is in fact the dominant model of urban structure to this day. Its features include an over-reliance on low-occupancy vehicular transport; inefficient envelope, size, orientation and adaptability of buildings; ecologically destructive infrastructure systems for handling water, energy and other resources; and – under-appreciated but fundamentally important, as we will explore – decline of a well-connected, walkable, functionally and aesthetically appealing public realm. This model remains dominant in spite of the many goals, agenda and declarations on sustainable urbanism at the highest policy level. We observe that the lack of progress is in large part the result of system “lock-in” – economic and professional incentives and disincentives, standards, laws, codes, and other forms of feedback that reinforce “business as usual,” and create barriers to reform. Therefore, the agenda ahead must address the specific levers of change to overcome this systemic lock-in, drawing insights from economics, technology and the social sciences to do so. We present the outlines of this agenda, and make conclusions for needed steps ahead.

Chronic obstructive pulmonary disease (COPD) is a condition that significantly impacts both patients and healthcare systems. The management of COPD involves various pharmacological intervention strategies, and addressing the issue of low adherence to these strategies has become a subject of significant interest. In response to this concern, there has been a shift towards utilizing telemedicine and mobile applications. The primary objective of this scoping review is to delineate the usage of mobile applications to enhance pharmacological therapeutic adherence in adult patients with COPD. The study involved a search of databases such as Medline, Google Scholar, Cochrane, and ClinicalTrial.gov, focusing on literature published in English and Spanish over the last decade. The selected studies assessed interventions involving mobile applications (mobile apps) designed to improve pharmacological adherence. Four digital aids were identified, available on online platforms, mobile apps, or both: m-PAC, myCOPD, Wellinks mHealth, and Propeller Health. Pro-peller Health, in particular, is an app that directly measures pharmacological adherence through electronic medication monitors attached to participants' inhalers. Opening the app was associated with higher odds of using control medications compared to participants who did not open the app. The findings suggest that these digital interventions serve as valuable tools to enhance patient adherence to treatment. Future research should focus on evaluating the effectiveness of different digital devices, such as digital inhalers and mobile applications, that directly measure pharmacological adherence.