Falls are considered a significant cause of disability, pain, and premature deaths in older adults, often due to sedentary lifestyles and various risk factors. Combining immersive virtual reality (IVR) with physical exercise, or exergames, enhances motivation and personalizes training, effectively preventing falls by improving strength and balance in older people. IVR technology may increase the ecological validity of the assessments. The main goal of our study was to assess the feasibility of using a KAVE-based VR platform combining simulations of Levadas and a Cable Car to perform a balanced assessment and profiling of the older adult population for high risk-of-falls and the related user experience. A VR-based platform using a Wii balance board and a CAVE was developed to assess balance and physical fitness. Validated by the Biodex Balance System (BBS), 25 older adults participated in this study. The usability and presence were measured through the System Usability Scale and ITC-SOPI questionnaires, respectively. The IVR system showed a high presence and a good usability score of 75. Significant effects were found in the maximum excursion of the Centre of Pressure (COP) on the anterior-posterior axis during the Cable Car Simulation (CCS), correlating with BBS metrics. Multiple discriminative analysis models and the support vector machine classified fall risk with moderate to high accuracy, precision, and recall. The system accurately identified all high-risk participants using the Leave-One-Out method. This study suggests that an IVR-based platform based on simulations with high ecological validity can be used to assess physical fitness and identify individuals at a higher risk of falls.

The emergence of drug-resistant mycobacteria has rendered many clinical drugs and regimens ineffective, imposing significant economic and healthcare burden on individuals and society. Repurposing drugs intended for treating other diseases is a time-saving, cost-effective, and efficient approach for identifying excellent anti-mycobacterial candidates or lead compounds. This study is the first to demonstrate that rupatadine (RTD), a drug used to treat allergic rhinitis, possesses excellent activity against mycobacteria without detectable resistance, particularly Mycobacterium tuberculosis and Mycobacterium marinum, with a minimal inhibitory concentration as low as 3.13 µg/mL. Furthermore, RTD exhibited moderate activity against nonreplicating M. tuberculosis with the minimal inhibitory concentrations lower than drugs targeting the cell wall, suggesting that RTD has the great potential to be modified and used for the treatment of nonreplicating M. tuberculosis. Additionally, RTD exhibits partial synergistic effects when combined with clofazimine, pretomanid, and TB47 against M. tuberculosis, providing the theoretical foundation for the development of treatment regimens. Transcriptomic profiling leads us to speculate that eight essential genes may be the targets of RTD or may be closely associated with the mycobacterial resistance to RTD. In summary, RTD may be a promising hit for further anti-mycobacterial drug or regimen optimization, especially in case of nonreplicating mycobacteria.

(1) Background: Cardiac resynchronization therapy (CRT) is essential for patients with heart failure and ventricular conduction abnormalities. Cardiomyopathy often includes left bundle branch block (LBBB) marked by delayed activation of the LV lateral wall and a widened QRS complex. Following CRT, patients with heart failure and LBBB have better outcomes and quality of life improvements. Various electrocardiographic and clinical parameters are thought to predict this improvement. The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a reliable tool for measuring the quality of life in these patients. (2) Methods: We performed an observational prospective study over 69 individuals diagnosed with cardiac failure and dilatative cardiomyopathy with low FE and major LBBB and analyzed the correlations between patient outcomes after the procedure and the demographic, clinical, and electrocardiographic parameters, which include systolic blood pressure, ECG morphology elements, QRS duration, QRS area and associated comorbidities. (3) Results: Following our analysis a correlation between QRS area, intraprocedural systolic blood pressure, QRS duration and CRT outcomes assessed by the KCCQ score was observed which reflected that CRT has a hemodynamic impact and also affects the severity of ventricular asynchrony.; (4) Conclusions: The significant correlations observed with the KCCQ score show how CRT therapy impacts patients' quality of life, symptom burden, and functional status.

The growing concerns about floods have highlighted the need for accurate and detailed precipitation data as extreme precipitation occurrences can lead to catastrophic floods, resulting in significant economic losses and casualties. Integrated Multi-satellitE Retrievals for the Global Precipitation Measurement (GPM-IMERG) is a commonly used high-resolution gridded precipitation dataset and is recognized as trustworthy alternative sources of precipitation data. The aim of this study is to comprehensively evaluate the performance of GPM IMERG Early (IMERG-E), Late (IMERG-L), and Run Final (IMERG-F) in precipitation estimation and their capability in detecting extreme rainfall indices over southwestern Iran during 2001-2020. The Asfezari gridded precipitation data which are developed using a dense of ground-based observation were utilized as the reference dataset. The findings indicate that the IMERG-F performs reasonably well in capturing many extreme precipitation events (defined by various indices). All the three products showed a better performance in capturing fixed and non-threshold precipitation indices across the study region. The findings also revealed that both IMERG-E and IMERG-L have problems in rainfall estimation over elevated areas showing values of overestimations. Examining the effect of land cover type on the accuracy of the precipitation products suggest that both IMERG-E and IMERG-L show large and highly unrealistic overestimations over inland water bodies and permanent wetlands. The results of the current study highlight the potential of IMERG-F as a valuable source of data for precipitation monitoring in the region.

Active galactic nuclei (AGNs), either radio-quiet or radio-loud, had never been observed in X-ray polarized light until the advent of the Imaging X-ray Polarimetry Explorer (IXPE [1]) in the end of 2021. This satellite opened a new observational window for studying supermassive black holes and their complex environment. In this regard, radio-quiet AGNs are probably better targets than radio-loud objects to probe accretion processes, due to the lack of synchrotron emission from jets that can dilute the polarized signal from the central engine. Their relatively clean environment not only allows to detect and measure the X-ray polarization originating from the hot corona responsible for X-ray emission, but also to assess the geometry of the media immediately surrounding the supermassive black hole. Such geometrical measurements work just as well for characterizing the corona morphology in pole-on AGNs as it does for determining the three-dimensional shape of the circumnuclear cold obscurer (the so-called torus) in edge-on AGNs. In this review paper, we will return to each of the observations made by IXPE so far in the field of radio-quiet AGNs and highlight the fundamental contribution of X-ray polarimetry to our understanding of how light is emitted and how matter is shaped around supermassive black holes.

Robotic systems are increasingly being used in healthcare to improve patient care and support healthcare professionals. These robots are especially effective at performing repetitive tasks. In complex cancer cases, robots can enhance surgical precision and efficiency, resulting in reduced pain for patients and a lower risk of complications. Robot-assisted surgery offers high-quality 3D imaging, improved clarity, and increased efficiency. This review paper examines the application of Artificial Intelligence (AI) and robotic systems in the healthcare domain, specifically focusing on the interaction among operators, patients, and robots. The goal is to promote collaboration and improve healthcare provision through human-robot interaction. We considered already published articles by relevance, to identify the primary safety issues that need addressing for the integration of AI and robots in hospitals. Concluding with insights into understanding the focal points of social errors in Human-Robot Interaction (HRI) is crucial for mitigating these errors. While current technologies have reached a certain level of maturity, there are still numerous challenges in utilizing robot-assisted clinical practice, including technological, safety, clinical, financial, insurance, psychological, social, ethical, and legal issues. In addition, there is an urgent issue that needs to be addressed: the alignment of values in artificial intelligence, ensuring that AI systems reflect ethical principles and human values is crucial to avoid negative consequences such as bias, discrimination, and prejudicial decisions. Resolving this complex issue requires collaboration among clinical staff, researchers, programmers, and political decision-makers from various fields.

In the rapidly evolving landscape of AI-supported programming education, there's a growing interest in leveraging such tools to support students helping about what good code makes out. This study investigates the impact of ChatGPT on code quality among part-time undergraduate students enrolled in introductory Java programming courses. With no prior Java experience, students from two separate groups completed identical programming exercises emphasizing coding conventions and code quality. Utilizing static code analysis tools, we assessed adherence to a common coding convention ruleset and calculated cyclomatic and cognitive complexity metrics for submitted code. Our comparative analysis highlights significant improvements in code quality for the ChatGPT-assisted group (treatment group), with marked reductions in rule violations and both cyclomatic and cognitive complexities. Specifically, the treatment group demonstrated greater adherence to coding standards, with fewer violations across several rules, and produced code with lower complexity. These results suggest that ChatGPT can be a valuable tool in programming education, aiding students in writing cleaner, less complex code and better adhering to coding conventions. However, the study's limitations, including the small sample size and the novice status of the participants, necessitate further research with larger, more diverse populations and in different educational contexts.

Microscopic and ultra-microscopic vascular sutures are indispensable in the surgical procedures such as arm transplantation and finger reattachment. The state of the blood vessels after suturing, such as vascular patency, narrow, and blocked, determines the success rate of the operation. If we can grasp the golden window period after blood vessel suture and before muscle tissue suture to achieve accurate and objective assessment of blood vessel status, it can not only reduce medical costs but also improve social benefits. Doppler optical coherence tomography enables high-speed, high-resolution imaging of biological tissues, especially microscopic and ultra-microscopic blood vessels. Using Doppler optical coherence tomography to image the sutured blood vessels, not only the three-dimensional structure of the blood vessels, but also the blood flow information can be obtained. By extracting the contour of blood vessel wall and the contour of blood flow area, the three-dimensional shape of blood vessel can be reconstructed in three dimensions, which provides parameter support for the assessment of blood vessel status. In this work, we propose a neural network-based multi-classification deep learning model that can simultaneously and automatically extract blood vessel boundaries from Doppler OCT vessel intensity images and the contours of blood flow regions from corresponding Doppler OCT vessel phase images. Compared with the traditional random walk segmentation algorithm and cascade neural network method, the proposed model has better performance. This method is easier to realize system integration and has great potential for clinical evaluation. It is expected to be applied to the evaluation of microscopic and ultra-microscopic vascular status in microvascular anastomosis.

This study presents the evaluation of an ion exchange resin-based installation designed for the recycling of engine coolants, specifically ethylene glycol (EG) and propylene glycol (PG). The recycling process aims to restore the coolant to meet the stringent ASTM standards for both new and recycled coolants. A combination of physical-chemical methods, gas chromatography-mass spectrometry (GC-MS), and inductively coupled plasma mass spectrometry (ICP-MS) was employed to analyze and validate the purity and performance of the recycled product. The experimental setup included performance tests to assess the efficacy of the recycled coolants in comparison to new coolant standards. The results demonstrate that the recycled EG coolants exhibit comparable quality to new coolants, with all critical parameters falling within the acceptable ASTM limits. This indicates that the ion exchange resin method is a viable and efficient solution for the recycling of engine coolants, offering an environmentally friendly alternative to the disposal of used coolants while ensuring compliance with industry standards.

Wear simulation aims to assess wear rates and their dependence on factors like load, kinematics, temperature, and implant orientation. Despite its significance, there's a notable gap in research concerning advancements in simulator control systems and the testing of clinically relevant waveforms. This study addresses this gap by focusing on enhancing the conventional proportional-integral-derivative (PID) controller used in joint simulators through the development of a fuzzy logic-based controller. Leveraging a single-input-multiple-output (SIMO) fuzzy logic control system, the study aimed to improve displacement control, augmenting the traditional Proportional-Integral (PI) tuning approach. Implementation and evaluation of a novel Fuzzy-PI control algorithm were conducted on the Leeds spine wear simulator. The study also included testing of daily-living (DL) profiles, particularly from the hip joint, to broaden the scope of simulation scenarios. While both the conventional PI controller and the Fuzzy-PI controller met ISO tolerance criteria for the spine flexion-extension (FE) profile at 1Hz, the Fuzzy-PI controller demonstrated superior performance at higher frequencies and with DL profiles due to its real-time adaptive tuning capability. The Fuzzy-PI controller represents a significant advancement in joint wear simulation, offering improved control functionalities and a more accurate emulation of real-world physiological dynamics.

Gliomas are common primary central nervous system (CNS) tumours which are often very difficult to diagnose, stage and manage because of their heterogeneity and molecular aberrations. The notable hallmark of gliomas is integrated genome mutations and methylome that correlates with distinctive patterns of transcription that potentiates glioma heterogeneity, angiogenesis and ultimately poor prognosis. The World Health Organization (WHO) has decided to reclassify gliomas based on molecular markers rather than the traditional anatomical basis; use of Nuclear Medicine techniques e.g. SPECT/PET and Magnetic Resonance Imaging (MRI) techniques based on molecular markers is set to become the future gold standards. This has led to the investigations on potential for the use of non-invasive imaging techniques such as [68Ga]68Ga-RGD positron emission tomography (PET) to be utilised routinely in clinical practice based on angiogenic markers and also the potential to add information that may assist in drug-design and therapeutic decision making. This review aims to provide an overview of the basis of recent advances in glioma imaging using molecular targeting with positron emission tomography and SPECT imaging, as well as the role in patient management i.e. diagnosis, staging, recurrence detection etc.

Predicting type 2 diabetes mellitus (T2DM) using phenotypic data with machine learning (ML) techniques has received significant attention in recent years. PyCaret, an ML tool that enables the simultaneous application of 16 different algorithms, was used to predict T2DM using phenotypic variables from the “Nurses’ Health Study” and “Health Professionals’ Follow-up Study” datasets. Ridge classifier, Linear Discriminant Analysis, and Logistic Regression (LR) were the best-performing models for the male-only data subset. For the female-only data subset, LR, Gra-dient Boosting Classifier, and CatBoost Classifier were the strongest models. The AUC, accuracy, and precision were 0.77, 0.70, and 0.70 for males and 0.79, 0.70, and 0.71 for females, respective-ly. The feature importance plot showed that familial history of diabetes (famdb), never having smoked, and high blood pressure (hbp) were the most influential features in females, while famdb, hbp, and current smoking were the major variables in males. In conclusion, PyCaret was used successfully for speed analysis for the prediction of T2DM by simplifying complex ML tasks. Gen-der differences are an important consideration for T2DM prediction. Despite this comprehensive ML tool, phenotypic variables alone may not be sufficient for early T2DM prediction; genotypic variables could also be used in combination for future studies.

Many anti-tumor effects of group-specific component-derived macrophage-activating factors (GcMAFs) have been reported; however, the specific mechanisms remain unclear. Controlling tumor-associated macrophages (TAMs) in the tumor microenvironment is essential for cancer treatment. This study assessed the role of GcMAF in macrophage activation, elucidated the mechanisms by which it exerts its anti-tumor effects, and determined its effects on TAMs in the tumor microenvironment. GcMAF-stimulated RAW264.7 macrophages and EMT6 breast tumor cells were co-cultured in a 0.4-µm pore cell culture insert, and gene and protein expression and cell viability were evaluated. DNA microarray analysis of GcMAF-stimulated RAW264.7 cells was conducted. The induction of M2 RAW264.7 cells by interleukin (IL)-4 and IL-13 was analyzed. GcMAF stimulation increased the tumor necrosis factor-α and inducible nitric oxide synthase mRNA and protein levels in RAW264.7 cells but decreased the viability of co-cultured EMT6 cells. These results were confirmed in the M2 RAW264M2.7 cells, suggesting that GcMAF exerts anti-tumor effects by inducing the differentiation of macrophages into the M1 type and reprogramming M2 macrophages to the M1 type. The anti-tumor activity of GcMAF via M2-to-M1 macrophage reprogramming could aid in developing novel cancer immunotherapies.

The nuclear reactor measurement system is a crucial component of the nuclear measurement system in a nuclear power plant. Its primary function is to measure the power distribution within the reactor core using detectors, calibrate, and provide data on core fuel consumption. Therefore, the study of the detectors' reliability is crucial for ensuring the safe operation of the nuclear power system. The article describes the operational mechanism of the gas ionization chamber detector utilized in the intermediate-range detector of the off-board nuclear measurement system. It also analyzes the movement of particles between the plates during the ionization process of the nuclear reaction taking place in the detector. The functional relationship between the current in the recombination region and the ionization region involved in the actual working condition, and the change with the increase of voltage between the plates, is deduced. A mathematical model is established for the number of pulses generated between the plates and the magnitude of the voltage between the plates. Subsequently, the change in the offset of the voltage corresponding to the inflection point of the ping curve and the change rule of the slope of the ping curve are investigated. Combined with the analysis of experimental data, the results show that the initial particle energy of Ar+, the primary sensitive particle on the detector surface, follows a normal distribution and is influenced by the energy loss associated with the initial velocity and the voltage between the plates. The trends of the inflection points and slopes of the ping curves can be utilized to evaluate the performance and operational status of the detector. Combined with the results of the experimental data analysis, the fit is good, and the inflection point currents in the normal state decrease by about 1.5% annually. The intelligent diagnostic system, based on the method studied in this paper, has been successfully implemented in the RPN digital retrofit and upgrade project at Qinshan No. 2 Plant.

Objective: With just ten questions, the Berlin questionnaire (BQ) stands out as one of the simplest and most widely implemented non-invasive screening tools for detecting subjects at high risk for Obstructive Sleep Apnea (OSA), a still underdiagnosed syndrome characterized by partial or complete obstruction of the upper airways during sleep. The main aim of this study was to enhance the diagnostic accuracy of the BQ through Machine Learning (ML) techniques. Methods: A ML classifier (hereafter, ML-10) was trained using the ten questions of the standard BQ. A simplified variant of the BQ, BQ-2, which comprises only two questions out of the total of ten, was also assessed in a ML context. A 10-fold cross validation scheme was used. Ground truth was provided by the Apnea-Hypopnea Index (AHI) measured by Home Sleep Apnea Testing. Model performance was determined comparing ML-10 and BQ-2 with the standard BQ by the Receiver Operating Characteristic Curve (ROC), Area Under the Curve (AUC), sensitivity, specificity, and accuracy. Results: ML-10 demonstrated superior performance in predicting the risk for OSA compared to the standard BQ and was also capable in classifying OSA with two different AHI thresholds (AHI>=15, AHI>=30), typically used in clinical practice. Remarkably, BQ-2 was also better in sensibility to assess moderate to severe OSA (AHI≥ 15) compared to the ML-10. Conclusions: The study underscores the importance of integrating ML techniques for early OSA detection, suggesting a direction for future research to improve diagnostic processes and patient outcomes in sleep medicine.

This article develops duality principles and numerical results for a large class of non-convex variational models. The main results are based on fundamental tools of convex analysis, duality theory and calculus of variations. More specifically the approach is established for a class of non-convex functionals similar as those found in some models in phase transition. Finally, in the last section we present a concerning numerical example and the respective software.

In the course of our ongoing research targeting the identification of potential biocontrol agents from entomopathogenic fungi (EPF), we explored a solid-state rice fungal extract of Blackwellomyces roseostromatus BCC56290 derived from infected lepidopteran larvae. Chemical and biological prospections afforded four unprecedently reported natural products differentiated into one dimeric naphthopyran bioxanthracene ES-242 derivative (1) and three cyclodepsipeptides (2-4) in addition to two known cyclodepsipeptides, cardinalisamides B (5) and C (6). Chemical structures of the isolated compounds were elucidated through comprehensive 1D/2D NMR and HR-ESI-MS data together with comparisons to the reported literature. The absolute configuration of the isolated cyclodepsipeptide was determined using Marfey’s method. All isolated compounds were assessed for their antimicrobial, cytotoxic and nematicidal activities with some compounds revealed significant activities.

The challenging terrain and deep ravines characteristic of mountainous regions often result in slower path planning and suboptimal flight paths for Unmanned Aerial Vehicles (UAVs) when traditional meta-heuristic optimization algorithms are employed. This study investigates the application of an Improved Enhanced Snake Optimizer (IESO) for three-dimensional path planning in a simulated rugged mountainous terrain. The initialization process in the enhanced snake optimizer is refined by integrating the Chebyshev chaotic map. Additionally, a non-monotonic factor is introduced to modulate the "temperature," and a boundary condition is incorporated into the dynamic opposition learning mechanism. These modifications collectively reduce the likelihood of population convergence to local optima during optimization. The feasibility of IESO is validated through time complexity and global convergence analyses. Comparative simulation experiments benchmarked IESO against five state-of-the-art optimization algorithms across test functions and path-planning simulated scenarios. The experimental results indicate that the enhanced algorithm achieves superior optimization precision, faster convergence speeds, and improved quality in the planned trajectories by 30%.

The growing interest in Kv7.2/7.3 agonists originates from the involvement of these channels in several brain hyperexcitability disorders. In particular, Kv7.2/7.3 mutants have been clearly associated with epileptic encephalopathies (DEE) as well as with a spectrum of focal epilepsy disorders, often associated with developmental plateauing or regression. Nevertheless, there is a lack of available therapeutic options, considering that retigabine, the only molecule used in clinic as broad-spectrum Kv7 agonist, has been withdrawn from the market in the late 2016. This is why several efforts have been made both by both academia and industry in the search for suitable chemotypes acting as Kv7.2/7.3 agonists. In this context, in silico methods have played a major role, since the precise structures of different Kv7 homotetramers have been only recently disclosed. In the present review the computational methods used for the design of Kv.7.2/7.3 small molecule agonists and the underlying medicinal chemistry are discussed in the context of their biological and structure-function properties.

This qualitative research investigates the pivotal role of Human Resource Management (HRM) in enhancing supply chain effectiveness. Through semi-structured interviews with 25 professionals across various industries, the study explores how HRM practices influence key aspects of supply chain management (SCM), including talent management, training and development, leadership, organizational culture, and technology integration. Findings highlight the strategic alignment between HRM and SCM as crucial for optimizing supply chain performance and responsiveness. Effective talent management strategies, such as recruitment, development, and succession planning, emerged as critical factors in ensuring operational stability and innovation within supply chains. Training programs were identified as instrumental in equipping employees with the necessary skills to navigate technological advancements and market complexities, fostering collaboration and enhancing decision-making capabilities. Leadership development initiatives were also found to be pivotal in promoting organizational effectiveness and fostering a culture of continuous improvement. The study further underscores the role of HRM in cultivating a collaborative and inclusive organizational culture that enhances communication, trust, and teamwork among supply chain stakeholders. Additionally, the integration of digital technologies and sustainability considerations emerged as transformative trends shaping modern supply chains, with HRM practices playing a crucial role in facilitating technological adoption and promoting environmentally responsible practices. Addressing challenges such as resource constraints, regulatory compliance, economic uncertainties, and global supply chain complexities remains crucial for organizations aiming to optimize HRM practices and achieve sustainable supply chain performance. Overall, this research contributes to a deeper understanding of how HRM can drive innovation, collaboration, and resilience within supply chains, positioning organizations for long-term success and growth.

A single-track magnetic code tape based absolute position sensor system is demonstrated. Unlike traditional dual-track systems, our method simplifies manufacturing and avoids crosstalk between tracks, offering higher tolerance to alignment errors. The sensing system employs an array of magnetic field sensing elements that recognize the bit sequence encoded on the tape. This approach allows for accurate position determination even when the number of sensing elements is fewer than the number of bits covered, and without the need for specific spacing between sensing elements and bit length. We demonstrate the system's ability to learn and adapt to various magnetic code patterns, including those that are irregular or have been altered. Our method can identify and localize the sensed magnetic field pattern directly within a self-learned magnetic field map, providing robust performance in diverse conditions. This self-adaptive capability enhances operational safety and reliability, as the system can continue functioning even when the magnetic tape is misaligned or has undergone changes.

The abstract should be an objective representation of the article and it must not contain results that are not presented and substantiated in the main text and should not exaggerate the main conclusions. The study developed a novel method for evaluating the freshness of citrus fruits by integrating near-infrared spectroscopy with the nonlinear data processing capabilities of a BP neural network. This approach utilizes specific wavelength analysis to distinguish between fresh and non-fresh fruits effectively. Advanced preprocessing techniques are employed to remove spectral anomalies, enhancing the network's ability to accurately identify crucial quality indicators like sugar content. Concurrently, an experiment utilising a MATLAB-based BP neural network optimised the number of hidden layer nodes, identifying 61 as optimal. This configuration achieved impressive metrics, including a mean squared error of 0.0025665 and a root mean squared error of 49.8214, over 1000 training iterations with an 80% learning rate. The model demonstrated a high accuracy rate of 97.6275%, confirming its precision and reliability in assessing citrus freshness. This synergy between advanced neural network processing and spectroscopic techniques marks a significant advancement in agricultural quality assessment, setting new standards for speed and efficiency in data processing.

This paper introduces a novel framework for zero-shot learning (ZSL), i.e., to recognize new categories that are unseen during training, by distilling knowledge from foundation models. Specifically, we first employ ChatGPT and DALL-E to synthesize reference images of unseen categories from text prompts. Then, the test image is aligned with text and reference images using CLIP and DINO. Finally, the predicted logits are aggregated according to their confidence to produce the final prediction.Experiments are conducted on multiple datasets, including CIFAR-10, CIFAR-100, and TinyImageNet. The results demonstrate that our model can significantly improve classification accuracy compared to previous approaches, achieving AUROC scores above 96\% across all test datasets. Our code is available at https://github.com/1134112149/MICW-ZIC.

Marine oil spills seriously threaten the coastal environment, challenge the safety of marine eco-system, and cause huge economic losses to marine fishery, aquaculture, and tourism industries. Timely and accurate oil spill monitoring and early warning can not only make the oil spill acci-dent be handled timely and effectively but also provide key information for investigating the re-sponsibility of the polluters. Polarimetric synthetic aperture radar (SAR) has shown its great po-tential in oil spill classification for its capacity to distinguish mineral oil and biogenic look-alikes. Traditional oil spill classification approaches rely on the scattering matrix elements or pre-designed scattering mechanism-based polarimetric SAR features, which limits its robustness and generalization in large-scale marine surveillance tasks. The recent development of deep learning frameworks, especially the convolutional neural network (CNN) provides a powerful tool for remote sensing image classification. However, conventional CNN only accepts re-al-valued input, which cannot efficiently analyze the polarimetric information carried by com-plex-valued SAR data. In this study, a new framework that employs the complex-valued neural network was proposed for marine oil spill detection. Sophisticated studies were designed to evaluate the contribution of the physical scattering mechanism-based features, complex-valued framework, and convolutional feature extraction structures respectively. Comparative studies were conducted on four study cases using Radarsat-2 and SIR-C fully polarimetric SAR data. The outcome of the proposed study may shed light on the development of an end-to-end marine spill classification system and enlarge its application in practical marine surveillance operations.

Mediterranean countries are a cauldron of cultural exchange, with a strong emphasis on wild plants in cuisine traditions. Many of these plants belong to the family Apiaceae. The common climate determines the common range of distribution. While many plants have wide distribution, the range of distribution of others is restricted to Western Mediterranean or North Africa. This review investigates wild plants from the family Apiaceae traditionally used as food in 13 study sites - 11 countries in the Mediterranean and adjacent territories - the mainland and 3 islands. The aim is to trace patterns of native distribution versus consumption. As a result, 81 wild umbellifers are listed, traditionally used as food. Their consumption and distribution patterns are described and discussed. Interestingly in 8 of the 13 study sites (61.5%) are recorded 50 plants (66.7% of all wild umbellifers, traditionally used as food) which are consumed in only one particular country. These are as follows: 8 taxa in Morocco, 9 taxa in Spain, 2 taxa in Sicily, 3 taxa in Bulgaria 3 taxa in Crete, 8 taxa in Armenia, 14 taxa in Turkey, and 3 taxa in Jordan. However, these 50 restrictedly consumed plants are distributed in more than one country (except 15 taxa, which are endemics). Many of the plants that are used in certain countries are not consumed by the neighboring people. The results of the two statistical tests, namely Jaccard index and heatmap clustering (double dendrogram) are discussed. The presence of an outlier, such as Bulgaria, which shares borders, history, and culture with Greece and Turkey, emphasizes the importance of local climate on plant distribution and consumption over cultural interactions. The same was observed for some pairs of countries, such as Spain and Morrocco and Turkey and Armenia, although they had the highest number of common plants, that are both distributed and consumed as food.

Acting as the most abundant and widely distributed volatile secondary metabolites in plants, terpenoids play crucial roles in diverse physiological regulations and metabolic processes. Terpene synthases occupy a decisive proportion in determining the composition and diversity of terpenoids; though their regulatory effects have been extensively investigated across various plant species, limited studies have focused on the upstream transcriptional regulation of terpene synthases. In this study, we unveil linalool as the predominant volatile compound in Freesia hybrida flowers, demonstrating a gradual release pattern during flower blooming. In the context of the transcriptome, a typical MYB transcription factor, FhMYB108, was screened based on digital expression profile correlation analysis and homologous gene comparison. FhMYB108 is capable of regulating the expression of terpene synthase FhTPS1, and both their expression levels exhibit a gradual increase concomitant with flower opening. Moreover, transcriptional regulation and transient expression assays revealed that FhMYB108 exerts a stimulatory effect on the transcription of A. thaliana AtTPS14, while no significant increase in AtTPS14 expression was observed upon stabilization of FhMYB108 in Arabidopsis. Investigate its reason, the highly expressed AtMYC2 in A. thaliana can interact with FhMYB108 to suppress the activation of AtTPS14 by FhMYB108. The present study not only elucidated the regulatory mechanism underlying linalool synthesis, but also discovered the synergistic effect of MYB and bHLH transcription factors in governing the biosynthesis of volatile terpenoids.

This paper presents an advanced approach for the Detection of MRI brain tumor images using Convolutional Neural Networks (CNNs). The study focuses on employing sophisticated techniques such as data augmentation, model optimization, and rigorous performance evaluation metrics to achieve high accuracy in multi-class classification tasks. Additionally, we integrate the concept of Self-Expanding Convolutional Neural Networks (SECNNs), which dynamically adjust model complexity during training. This approach ensures optimal performance while maintaining computational efficiency. The dataset used in this research comprises MRI images categorized into four distinct classes: glioma, meningioma, no tumor, and pituitary tumor. Our method demonstrates a notable test accuracy of 93.98%

This paper focuses on determining the State of Charge (SOC) of lithium-ion batteries when operating and the influence the State of Health (SOH) has on SOC determination. The paper studies the effects of the discharge rate on the battery performance and how it modifies the evaluation of the SOC. The article also analyzes the effects of battery aging on the determination of SOC. The online determination of SOC in lithium-ion batteries uses the linear behavior of battery discharge and how the discharge rate modifies the battery voltage slope. The paper develops a simple algorithm that relates the SOC of the battery with the online battery voltage. The proposed measurement method uses a very short controlled discharge at a specific rate that avoids unexpected interferences with the current operation of the battery during charge or discharge. We conducted a simulation process to evaluate the evolution of the SOC in Li-ion batteries for different operating stages. Experimental tests validate the proposed methodology, showing a close agreement between theoretical values and experimental results with 98% accuracy. The paper also deals with the determination of the aging factor in lithium batteries as a critical parameter to calculate the SOC. The method determines the aging factor using specific simulation for this goal. The results are compared to values obtained in an experimental test within high agreement (>93%). The proposed model applies to almost any lithium battery and is validated for a wide range of Battery State of Health, up to 50%, within accurate prediction, higher than 90%.

This paper systematically examines Chinese academic discourse that concurrently addresses Indonesia and Timor-Leste, analysing 137 articles from the China National Knowledge Infrastructure (CNKI) and indexed by the Chinese Social Sciences Citation Index (CSSCI). The analysis reveals significant publication trends, particularly during periods of heightened geopolitical and economic engagement, such as the global expansion of the Belt and Road Initiative (BRI). It identifies predominant themes such as economic cooperation, security concerns, and historical-cultural dynamics. The findings highlight China’s strategic interests and leadership aspirations in Southeast Asia， providing insights into how Chinese scholars perceive and articulate China’s strategic interests and diplomatic efforts in the region involving Indonesia and Timor-Leste.

Phytochemicals have a long and successful history in drug discovery. With recent advancements in analytical techniques and methodologies, discovering bioactive leads from natural compounds has become easier. Computational techniques like molecular docking, QSAR modelling and machine learning, and network pharmacology are among the most promising new tools that allow researchers to make predictions concerning natural products' potential targets, thereby guiding experimental validation efforts. Additionally, approaches like LC-MS or LC-NMR speed up compound identification by streamlining analytical processes. Integrating structural and computational biology aids in lead identification, thus providing invaluable information to understand how phytochemicals interact with potential targets in the body. Emerging computational approach is machine learning involving QSAR modelling and deep neural networks that interrelate phytochemical properties with diverse physiological activities such as antimicrobial or anticancer effects.

In the 21st century, climate change and its consequences are getting more serious. The changes in temperature and precipitation alter the run-off conditions, subsequently influencing the channel processes of rivers. The study aims to analyse the hydrological changes of a small, sub-alpine river (Rába River, Central Europe) and the bank erosional processes since the 1950s. The bank erosion was determined based on topographical maps, aerial photographs, and RTK–GPS surveys. Short (2–3 days) floods were common between 1950–1980, and low stages occurred in 65–81% of a year. However, in the 21st century, extreme regimes developed, as record-high, flashy floods alter with long low stages (91–96% of a year). The bank erosion shows a cyclic temporal pattern, gradually increasing until it reaches a high value (4.1–4.9 m/y), followed by a limited erosional rate (2.2–2.8 m/y). However, the magnitude of the bank erosion is decreasing. It could be explained by (1) the lower transport capacity of the more common low stages and (2) the seasonal shift of the flood waves, appearing in the vegetational period when the riparian vegetation can more effectively protect the banks from erosion.

: Intermittent fasting has drawn significant interest in the clinical research community due to its potential to address metabolic complications such as obesity and type 2 diabetes mellitus. Various intermittent fasting regimens include alternate-day fasting (24 hours of fasting followed by 24 hours of eating), time-restricted fasting (fasting for 14 hours and eating within a 10-hour window), and the 5:2 diet (fasting for two days and eating normally for the other five days). Intermittent fasting is associated with a reduced risk of type 2 diabetes mellitus-related complications and can slow their progression. The increasing global prevalence of type 2 diabetes mellitus highlights the importance of early management. Since prediabetes is a precursor to type 2 diabetes mellitus, understanding its progression is essential. However, the long-term effects of intermittent fasting on prediabetes are not yet well understood. Therefore, this review aims to comprehensively compile existing knowledge on the therapeutic effects of intermittent fasting in managing type 2 diabetes mellitus and prediabetes.

Artificial intelligence (AI) systems of autonomous systems such as drones, robots and self-driving cars may consume up to 50% of total power available onboard, thereby limiting the vehicle’s range of functions and considerably reducing the distance the vehicle can travel on a single charge. Next-generation onboard AI systems need an even higher power since they collect and process even larger amounts of data in real time. This problem cannot be solved using the traditional computing devices since they become more and more power-consuming. In this review article, we discuss the perspectives of development of onboard neuromorphic computers that mimic the operation of a biological brain using nonlinear-dynamical properties of natural physical environments surrounding autonomous vehicles. Previous research also demonstrated that quantum neuromorphic processors (QNPs) can conduct computations with the efficiency of a standard computer while consuming less than 1% of the onboard battery power. Since QNPs is a semi-classical technology, their technical simplicity and low, compared with quantum computers, cost make them ideally suitable for application in autonomous AI system. Providing a perspective view on the future progress in unconventional physical reservoir computing and surveying the outcomes of more than 200 interdisciplinary research works, this article will be of interest to a broad readership, including both students and experts in the fields of physics, engineering, quantum technologies and computing.

Non-destructive testing has many advantages, such as the ability to obtain a large number of data without destroying existing structures. However, the reliability of the estimation accuracy and the limited range of applicable targets remains an issue. This study proposes to a novel pin penetration test method to determine the early age compressive strength of concrete before demolding. The timing of demolding and initial curing are determined according to the strength development of concrete. Therefore, it is important to determine the compressive strength at the early age before demolding at the actual construction site. The applicability of this strength estimation methodology at actual construction is investigated. Small test holes (12 mm in diameter) are prepared on the mold surface in real construction sites and mock-up specimens in advance. The pin is penetrated into these test holes to obtain the relationship between the compressive strength and the penetration depth. As a result, it is confirmed that the pin penetration test method is suitable to measure the early age compressive strength at actual construction site. This allows the benchmark values for compressive strength, necessary to avoid early frost damage, to be directly verified on the concrete structural members at the construction site. For instance, the compressive strengths of greater than 5 MPa and 10 MPa can be confirmed by the penetration depths benchmark values of 8.0 mm and 6.7mm or less, respectively.

Background: Upper respiratory tract infections (URTIs) are a major public health concern due to their high incidence and potential for complications. Pharmacists often serve as the first point of contact for patients with URTIs. This study aims to develop and evaluate the RESP-8 tool to assist pharmacists in determining the need for medical evaluation. Methods: This prospective interventional cohort study was conducted over six months (October 2023 to March 2024) in community pharmacies. Participants included adults aged 18 years and older presenting with URTI symptoms. Pharmacists used the RESP-8 tool, which comprises eight criteria to assess the need for medical referral. Data on medical history, symptom duration, and progression were recorded. The primary outcome was the feasibility of implementing the RESP-8 tool. Secondary outcomes included the accuracy of the tool, the percentage of patients recommended for medical evaluation, and compliance with these recommendations. Results: A total of 64 participants were included, with an average age of 55.7 years. Pharmacists recommended medical evaluation for 75% (48/64) of patients using the RESP-8 tool. Among these, 70.83% (34/48) complied with the recommendation. The tool demonstrated high accuracy in identifying patients needing further medical evaluation, with only two noted errors. All compliant patients received appropriate treatment without complications. The tool was easy to implement, taking less than 5 minutes per patient. Discussion: The RESP-8 tool effectively guided pharmacists in recommending medical evaluations for URTI patients. The high compliance rate indicates patient trust in pharmacists' guidance. While the study's small sample size limits generalizability, the results are promising. Future studies with larger populations are necessary to validate these findings and further refine the tool. Conclusion: The RESP-8 tool shows potential in enhancing pharmacists' ability to make informed decisions about medical referrals for URTIs, ultimately improving patient outcomes and optimizing healthcare resource management.

Dynamic sparse training is an effective strategy to alleviate the training and inference demands of artificial neural networks. However, current sparse training methods face a challenge in achieving high levels of sparsity while maintaining performance comparable to that of their fully connected counterparts. The Cannistraci-Hebb training (CHT) method produces an ultra-sparse advantage compared to fully connected training in various tasks by using a gradient-free link regrowth method, which relies solely on the network topology. However, its rigid selection based on link prediction scores may lead to epitopological local minima, especially at the beginning of the training process when the network topology might be noisy and unreliable. In this article, we introduce the Cannistraci-Hebb training soft rule (CHTs), which applies a flexible approach to both the removal and regrowth of links during training, fostering a balance between exploring and exploiting network topology. Additionally, we investigate the network topology initialization using several approaches, including the bipartite scale-free and bipartite small-world network models. Empirical results show that CHTs can surpass the performance of fully connected networks with MLP architecture by using only 1% of the connections (99% sparsity) on the MNIST, EMNIST, and Fashion MNIST datasets and can provide remarkable results with only 0.1% of the links (99.9% sparsity). In some MLPs for image classification tasks, CHTs can reduce the active neuron network size to 20% of the original nodes (neurons), demonstrating a remarkable ability to generalize better than fully connected architectures, reducing the entire model size. This represents a relevant result for dynamic sparse training. Finally, we present evidence from larger network models such as Transformers, with 10% of the connections (90% sparsity), where CHTs outperform other prevalent dynamic sparse training methods in machine translation tasks.

Recently, a significant number of tools for detecting dangerous objects have been developed. Unfortunately, the performance offered by them is overestimated due to the poor quality of the datasets used (insufficiently numerous, contain items not strictly related to dangerous objects, insufficient range of presentation conditions). To fill in a gap in this area we have built an extensive dataset dedicated to detecting the objects most often used in various acts of breaching public security (baseball bat, gun, knife, machete, rifle). This collection contains images presenting the detected objects with different quality and under different environmental conditions. We believe that the results obtained from it are more reliable and give a better idea of the detection accuracy that can be achieved under real conditions. We used the Faster R-CNN with different backbone networks in the study. The best results were obtained for the ResNet152 backbone. The mAP value was 85%, while the AP level ranged from 80% to 91%, depending on the item detected. An average real-time detection speed was 11-13 FPS. Both the accuracy and speed of the Faster R-CNN model allow it to be recommended for use in public security monitoring systems aimed at detecting potentially dangerous objects.

Safety and the apprehension of crime persist as significant concerns in both urban and rural locales. Crime Prevention Through Environmental Design (CPTED) guidelines, an architectural approach to crime deterrence, mitigate the likelihood of criminal activity by implementing strategic defensive design plans, particularly through effective lighting schemes within urban settings, thereby alleviating fear of crime. This comprehensive set of principles serves to enhance overall quality of life. Additionally, within the realm of environmental crime prevention, enhanced street lighting has been identified as a crucial factor in diminishing both actual crime rates and the perceived risk of criminal activity in built environments. While current recommendations advocate for the installation of lighting in poorly lit areas for safety reasons, evaluating visibility solely based on the presence of existing streetlights proves insufficient for analyzing road surface luminance comprehensively. Thus, this study proposes establishing standardized illumination levels specifically tailored for facial recognition of potential criminal offenders. Furthermore, we advocate for defining specific thresholds for color temperature and colorimetric criteria to aid in distinguishing characteristics of individuals' attire. To analyze photometric safety and crime frequency in Seoul, Korea, new primary evaluation indicators were developed, including the Brightness index, Informatization index, and Safety index. By incorporating quantitative data into lighting design strategies, particularly within the framework of CPTED, there exists the potential to mitigate fear of crime during nighttime hours. These strategies facilitate the creation of well-lit environments conducive to the swift recognition and identification of potential perpetrators, thereby presenting a proactive approach to crime prevention. Consequently, this study introduces quantitative lighting standards to augment the efficacy of CPTED guidelines, ultimately contributing to the reduction of crime incidence.

Gradients of smooth functions with non-independent variables are relevant for exploring complex models and for the optimization of functions subjected to constraints. In this paper, we investigate new and simple approximations and computations of such gradients by making use of independent, central and symmetric variables. Such approximations are well-suited for applications in which the computations of the gradients are too expansive or impossible. The derived upper-bounds of the biases of our approximations do not suffer from the curse of dimensionality for any $2$-smooth function, and theoretically improve the known results. Also, our estimators of such gradients reach the optimal (mean squared error) rate of convergence (i.e., $\mathcal{O}(N^{-1})$) for the same class of functions. Numerical comparisons based on a test case and a high-dimensional PDE model show the efficiency of our approach.

Innovation is a crucial issue in healthcare services since it can affect job-related variables such as productivity, satisfaction and burnout. The aim of our study was to examine the impact of innovation support on quiet quitting, innovative behavior and innovation outputs among nurses. We conducted a cross-sectional study in Greece during April 2024. We employed a convenience sample of nurses. We used the following instruments: (a) the Innovation Support Inventory (ISI) to measure innovation support, (b) the Quiet Quitting Scale (QQS) to measure quiet quitting, (c) the Innovative Behavior Inventory (IBI) to measure innovative behavior, and (d) the Innovation Outputs (IO) scale to measure innovation outputs. Our multivariable analysis identified a negative relationship between innovation support and quiet quitting. Moreover, we found that managerial support and cultural support improved several aspects of innovative behavior, such as idea generation, idea search, idea communication, implementation starting activities, involving others, and overcoming obstacles. Additionally, managerial support improved innovation outputs. Our findings suggested the positive impact of innovation support on quiet quitting, innovative behavior and innovation outputs among nurses. Organizations and nurses’ managers should establish an innovative working environment to improve nurses’ passion, motives and productivity.

Nuclear energy, along with renewable and alternative energy sources, is a crucial green energy source. However, the existing literature often overlooks the role of nuclear energy in achieving sustainable development goals. This study analyzes the impact of green technological innovation, nuclear energy consumption, and trade openness on environmental quality in the US, which consumed the most nuclear energy from 1990 to 2019. The ARDL bounds testing approach was applied for its effectiveness in smaller samples, suitable for the data set used in this study, to determine cointegration relationships. Additionally, the Toda-Yamamoto causality test was employed to explore causal links without requiring series stationarity or cointegration. The ARDL cointegration results indicate a significant long-term relationship between CO2 emissions, green technological innovation, nuclear energy consumption, and trade openness. The results suggest that promoting green technological innovation and nuclear energy (although this effect is less certain) can be effective strategies for reducing CO2 emissions, while the impact of trade openness requires careful consideration due to its potential to increase emissions. Green technological innovation has a significant unidirectional causal effect on CO2 emissions. These results will help policymakers design policies to achieve sustainable environmental goals in the US economy.

Drug-target binding is a crucial parameter in drug discovery and design, ensuring drug efficacy and specificity. Semaglutide, a potent GLP-1 receptor agonist, is widely used to treat type 2 diabetes mellitus by regulating blood glucose levels and promoting weight loss. This study introduces a novel approach utilizing the concept of a general intermolecular binding affinity calculator (GIBAC) for designing semaglutide analogues with enhanced binding affinity to GLP-1R. For the first time, a Val27-Arg28 exchange was manually introduced to strengthen the semaglutide-GLP-1R binding affinity. A comprehensive structural and biophysical analysis was conducted to explore the semaglutide-GLP-1R sequence space, leading to the identification of promising analogues. Among these, one semaglutide analogue demonstrated a binding affinity to GLP-1R that is more than two orders of magnitude (113.3 times) higher than native semaglutide, achieving a Kd of 3.0 x 10^-8 M compared to the Kd of 3.4 x 10^-6 M for native semaglutide. This article proposes a promising structural biophysical approach for developing GLP-1 receptor agonists with improved efficacy. The prototype GIBAC, termed semaGIBAC, represents a paradigm shift in precise drug discovery and design, advocating for the construction of a full-scale GIBAC to be prioritized within the drug discovery and design community.

Based on the panel data of 114 Chinese resource-based cities from 2013 to 2022, this paper uses principal component analysis, Super-SBM and Malmquist index to measure the development level of digital economy and green total factor productivity of resource-based cities, and empirically studies the impact of digital economy on The impact effect and mechanism of green total factor productivity in resource-based cities. The research found that: (1)From 2013 to 2022, the overall green total factor productivity of resource-based cities in my country showed a trend of first decline and then an upward trend; (2) Digital economy can promote the improvement of green total factor productivity of resource-based cities, and digital economy has more long-term effects than short-term effects. (3)Mechanism analysis shows that energy efficiency and industrial struc-ture optimization are important paths for the digital economy to promote green total factor productivity in resource-based cities. (4)Heterogeneity research shows that digital economy has the largest effect on green total factor productivity in mature cities and the least effect on growth cities; From a regional perspective, the digital economy has the greatest effect on promoting re-source-based cities in the eastern region, followed by the central region, and the western region is weaker.

Non-woven jute (NWJ) produced from the carpet industry waste was oxidized by H2O2 or alkali treated by NaOH and compared with water-washed samples. Changes in the structure of the NWJ, tracked by XRD, showing that both chemical treatments disrupt hydrogen bond networks between cellulose Iβ chains of the NWЈ fibers. Thereafter, nano carbon nitride (nCN) was impregnated, using layer-by-layer technique, onto water washed jute sample (nCN-Jw), NaOH treated sample (nCN-Ja) and H2O2 treated sample (nCN-Jo). Analysis of the FTIR spectra of the impregnated samples, revealed that nCN anchors to the water washed NWЈ surface through hemicellulose and secondary hydroxyl groups of the cellulose. In the case of chemically treated samples nCN is preferentially bonded to the hydroxymethyl groups of cellulose. The stability and reusability of nCN-J samples were assessed by tracking the photocatalytic degradation of Acid Orange 7 (AO7) dye under simulated solar light irradiation. Results from up to ten consecutive photocatalytic cycles demonstrated varying degrees of effectiveness across different samples. nCN-Jo and nCN-Ja samples exhibited declining effectiveness over cycles, attributed to bond instability between CN and jute. In contrast, the nCN-Jw sample consistently maintained high degradation rates over ten cycles, with a dye removal percentage constantly above 90%.

DNA-methylation clocks inform not only about chronological but also biological age, which brings a high resolution and precise understanding of age-related pathology and physiology. Attempts based on transcriptomic and epigenetic approaches arise as integrative biomarkers linking the quantification of stress response with a given fitness trait and may help to identify biological age markers, also considered welfare indicators. In gilthead sea bream, targeted gene expression and DNA-methylation analyses in white skeletal muscle proved sirt1 as a reliable marker of age-mediated changes of energy metabolism. To complete the list of welfare auditing biomarkers, wide-analyses of gene expression and DNA-methylation in one- and three-year old fish were combined. After discriminant analysis, 668 differentially expressed transcripts were matched with those containing differentially methylated (DM) regions (14,366), and 172 were overlapping. Through enrichment analyses and selection, two sets of genes were retained: 33 showing an opposite trend for DNA-methylation and expression, and 57 down-regulated and hypo-methylated. The first set displayed apparently a more reproducible and reliable pattern and 10 multifunctional genes with DM CpG in regulatory regions (sirt1, smad1, ramp1, psmd2 – up-regulated; col5a1, calcrl, bmp1, thrb, spred2, atp1a2 – down-regulated) were deemed candidate biological age markers for an improved welfare auditing in gilthead sea bream.

The combination of immunoPET—where an antibody (Ab) is labeled with an isotope for PET imaging—and radioimmunotherapy (RIT), using the same antibody with a therapeutic isotope, offers significant advantages in cancer management. ImmunoPET allows non-invasive imaging of antigen expression, which aids in patient selection for a subsequent radioimmunotherapy. It also facilitates the assessment of tumor response to therapy, allowing for treatment adjustments if necessary. In addition, immunoPET provides critical pharmacokinetic data, including antibody biodistribution and clearance rates, which are essential for dosimetry calculations and treatment protocol optimization. There are still challenges to overcome. Identifying appropriate target antigens that are selectively expressed on cancer cells while minimally expressed on normal tissues remains a major hurdle to reduce off-target toxicity. In addition, it is critical to optimize the pharmacokinetics of radio-labeled antibodies to maximize tumor uptake and minimize normal tissue uptake, particularly in vital organs such as the liver and kidney. This approach offers the potential for targeted and personalized cancer therapy with reduced systemic toxicity by exploiting the specificity of monoclonal antibodies and the cytotoxic effects of radiation. However, further research is needed to address remaining challenges and to optimize these technologies for clinical use.

The enhanced multi-objective symbolic discretization for time series (eMODiTS) method employs a flexible discretization scheme using different value cuts for each non-equal time interval, which requires a computational cost for evaluating each objective function. Therefore, surrogate models were implemented to minimize this disadvantage. Nevertheless, each solution found by eMODiTS is a different-sized vector, so the surrogate model must be able to handle data sets under this characteristic. Consequently, this work's contribution lies in analyzing the surrogate models' implementation on the time series discretization, where each potential scheme is a real-number different-sized vector. For this reason, the surrogate model proposed was k-nearest Neighbors for regression with Dynamic Time Warping as a distance measure. Results suggest our proposal finds a suitable approximation to the final eMODiTS solutions with a functions evaluation reduction rate between 15% and 95%. However, according to Pareto front performance measures, the proposal Pareto front is competitive compared to the eMODiTS Pareto front, reaching an average Generational Distance (GD) between 0.0447 and 0.0536. Moreover, the average Hypervolume Ratio (HVR) ranges between 0.334 and 0.3891. Finally, our proposal compared against SAX-based methods presents a similar behavior regarding classification tasks and statistical tests.

Abstract. Myopia has become a major health problem around the world. The devel-opment of myopia is starting to appear at an earlier age than in previous generations and its consequences have prompted multiple studies, particularly regarding topical atropine treatment aiming at preventing or slowing myopia progression. Our objective is to review randomized and controlled studies on the efficacy and safety of topical atropine to prevent myopia progression in children. This was a narrative review compiled from literature of PubMed and Cochrane Library, including randomized and controlled clinical trials of atropine eye drops for myopia progression published within 2017 - 2023. Fourteen clinical trials were found in the 7 year-period analyzed. All study atropine concentrations were effective in reducing the progression of myopia compared to the placebo. The highest dose of atropine (1%) showed the best efficacy in reducing the spherical equivalent progression and axial elongation over the lower dose (0.01%). Side-effects were mild or moderate. The use of atropine eye drops to prevent myopia progression has shown benefits without involving serious adverse effects. Higher doses of atropine (0.5% and 1%) have been shown to have more efficacy in preventing myopia progression than lower doses (0.01%), so starting intervention with those doses of at-ropine could be considered for preventing myopic children from becoming severe myopia patients later in life.

Incorporating ChatGPT into the classroom has several benefits that improve the educational experience for both teachers and students. ChatGPT seems useful in preparing students for success in the digital age, from personalized learning and increased instructional content to fostering collaboration, enabling bilingual classrooms, and encouraging creativity. This review offers insights regarding the perks of using ChatGPT in education as a tool for students. Among the many benefits of implementing ChatGPT in the classroom are enhanced accessibility, enhanced personalized learning, development of critical thinking skills, administrative support for educators, promotion of collaborative learning, and preparedness for a technologically advanced future. These advantages demonstrate how AI technologies have the capacity to drastically change teaching strategies and outcomes. While problems remain, the benefits of integrating ChatGPT in teaching are enormous. By integrating AI technology, educators may develop more dynamic and individualized learning environments that respond to the demands of 21st-century learners.

The research that we are referring to examines the morphological, structural, and optical characteristics of kesterite (Cu1-xAgx)2ZnSnS4 (CAZTS) thin films, which are produced using a process known as thermal evaporation (TE). The study's main goal was to determine how different Ag contents affect the characteristics of CAZTS systems. X-ray diffraction (XRD) and Raman Spectroscopy: were used to confirm the crystal structure of the CAZTS thin films. Using a mathematical model of spectroscopic ellipsometry, the refractive index (n) represented the part of the complex refractive index, the extinction coefficient (k) portrayed the imaginary one, and also the energy band gap of the fabricated films were all calculated. The energy band gap of the thin films was also calculated. This is a crucial parameter for solar cell applications, as it determines the wavelength of light that the material can absorb. The energy band gap was found to decrease from 1.74 eV to 1.55 eV with increasing Ag content. The ITO/n-CdS/p-CAZTS/Mo heterojunction was well constructed, and the primary photovoltaic characteristics of the n-CdS/p-CAZTS junctions were examined for use in solar cells. Different Ag contents of the CAZTS layers were used to determine the dark and illumination (current-voltage) characteristics of the heterojunctions. The study's findings collectively point to CAZTS thin layers as potential absorber materials for solar cell applications.

In a dual-inertia system based on permanent magnet synchronous motor (PMSM), the elastic transmission mechanism, such as reducer and coupling, is prone to mechanical resonance, which reduces the precision of servo system transmission. Model prediction and introduction of state feedback are effective methods to suppress mechanical resonance, but the control parameters de-pend on the mechanical parameters of the system. Therefore, mechanical parameter identification is very necessary. In this paper, a forgetting factor recursive least square method is used to identify the mechanical parameters of the dual-inertia elastic system. Firstly, the mathematical model of the dual-inertia system is established and reasonably simplified. Then, the discrete function of the identification algorithm is constructed, and the motor speed and electromagnetic torque are sam-pled to achieve the on-line identification of the main mechanical parameters of the dual-inertia system, and the influencing factors of the identification accuracy are analyzed. Finally, simulations and experiments are carried out to verify the effectiveness of the algorithm.

Alzheimer's disease still holds many mysteries that are yet to be revealed. Exploring the reasons behind the increase in suicidal behavior in patients undergoing promising treatments for Alzheimer's disease is a scientific endeavor. Research practices must be built upon strong theoretical frameworks that can guide the investigation. Throughout decades of professional experience in caring for suicidal individuals and elderly people with cognitive disorders, we have noticed a connection that requires further exploration. It seems that existential distress may trigger various outcomes. At one end of the spectrum, we observe individuals who strongly resist adverse situations, making them more prone to developing suicidal behaviors. At the other end, we see individuals who exert great biological effort to adapt to the ongoing stresses of life, with Alzheimer's disease being a neurological consequence of this adaptation. To develop our understanding, we conducted an existentialist analysis to conceptualize the underpinnings of the human experience in a stress-filled world.

Objectives- The aim of the study is to describe and validate an optical-coherence-tomography (OCT) based method to easily calculate specific volumes, overcoming the inability of current OCT software to automate a volumetric analysis for specific entities in retinal pathologies. Methods- After manual drawing with caliper of the specific entity on linear OCT scans and consequent automated measurement of its area, the following formula was used for volumetric calculation: Volume [mm³] = ∑area [mm²] x OCT-scan distance [mm]. Two independent observers calculated the retinal volume (RV) in eyes with normal foveal profile (NFP) and compared it with the automated measurements performed by the OCT software; as well as the volume of the foveal cavity (FC) or foveoschisis (FS) in eyes with lamellar macular hole (LMH). The measurements were re-acquired after six weeks. Intra- and inter-observer variability and variability with automated RV calculations were analysed. Results- The study included 62 eyes: 30 NFP and 32 LMH eyes. High degree of agreement was determined for inter-observer and intra-observer variability between the two observers or singular observer with Spectralis for RV in NFP eyes; as well as between the two observers for FC/FS volume in LMH eyes. Conclusions- We describe and validate, showing excellent inter- and intra-observer agreement, an easy, reliable and widely applicable method to calculate volumes which can be applied to any entity requiring a specific study in the context of retinal pathologies.

Infrastructure development is rapidly increasing, driving up demand for concrete, a key construction material. Cement and aggregate are essential constituents, with global cement production reaching 4.1 billion metric tons in 2011 and CO2 emissions hitting 1.7 billion metric tons by 2024, a significant contributor to carbon emissions. To address this, alternative constituents like Rice Husk Ash (RHA) and Animal Bone Powder (ABP) are proposed. With rice husk comprising 20% of rice weight and a substantial cattle population in Bangladesh, RHA and ABP offer promising alternatives. This study examines the benefits and limitations of incorporating RHA and ABP into cement, focusing on concrete strength and permeability. By replacing varying percentages of cement with RHA and ABP simultaneously, experiments evaluate their impact on concrete properties after 28 days of curing. The research aims to identify the optimal combination for sustainable concrete production, reducing environmental impact by curbing waste generation and pollution. Results show that compressive strength increases and permeability decreases with up to 5% replacement of RHA and ABP, highlighting their potential for enhancing concrete performance while mitigating environmental concerns.

We analyzed the interaction of two acceptor materials, reduced graphene oxide (RGO) and [6,6]-phenyl-C6-butyric acid methyl ester (PCBM), and poly(3-hexylthiphene) (P3HT), as well as the dependence of its photophysical properties with the temperature in the range 90 to 300 K. The nanocomposite of the films was analyzed by optical absorption ultraviolet-visible (UV-Vis) and photoluminescence (PL) and emission ellipsometry (EE) in a function of sample temperature. The surface morphology was studied by atomic force microscopy (AFM). We noted that onset levels (Eonset) of the nanocomposite of P3HT and RGO is smaller than the others. The PL spectra showed the presence of anomalies in the emission intensities in the nanocomposite of P3HT and PCBM. It was also possible to determine the electron-phonon coupling by calculating the Huang-Hys parameters and its dependence with the sample’s temperature. Through EE it was possible to analyze the degree of polarization and the anisotropy. We observed a high degree of polarized emission of the P3HT films which varies subtly according to the temperature. For nanocomposites with RGO the polarization degree in the emission decreases and the roughness on the surface increases. As a result, the RGO improves the energy transfer between adjacent polymer chains at the cost of greater surface roughness. Then, the greater energy transfer may favor applications of this type nanocomposite in OPVC's with enhancement in energy conversion efficiency.

The development requirements for reusable liquid rocket engines have set higher standards for the reliability design of turbopump structures. To address the issue of bearing failure in turbopumps under harsh conditions such as low temperature, high speed, heavy load, and repeated start-stop cycles, this paper proposes replacing ball bearings with thrust foil bearings. We used liquid nitrogen instead of liquid hydrogen and liquid oxygen to simulate the ultralow temperature and low viscosity operating environment of turbopumps, evaluating the potential feasibility of using thrust foil bearings in this context. The numerical calculations primarily include the formulation of the foil deformation equations based on the link-spring model for the wavy foil and the thin plate finite element model for the top foil. These equations are solved by coupling the Reynolds lubrication equation, the fluid film thickness equation, and the foil deformation equations using the finite difference method, Newton-Raphson method, and finite element method. A detailed analysis is conducted on the effects of rotational speed, fluid film thickness, thrust disk inclination angle, and wavy foil interface friction coefficient on the static and dynamic characteristics of thrust foil bearings. The research findings provide guidance for the application of thrust foil bearings in liquid rocket turbopumps.

Berberine (BBR), as a natural isoquinoline alkaloid, has been demonstrated various pharmacological activities, and widely applied in the treatment of diseases. The quantitative analysis of BBR is important for its pharmacological researches and clinical applications. In the work, utilizing the specific interaction between BBR and triplex DNA, a sensitive and selective fluorescent detecting method was established with DNA-templated silver nanoclusters (DNA-AgNCs). After binding with the triplex structure in the template of DNA-AgNCs, BBR quenched the fluorescence of DNA-AgNCs and formed BBR-triplex complex with yellow-green fluorescence. The ratiometric fluorescence signal showed a linear relationship with BBR concentration in a range between 10 nM to 1000 nM, with a detect limit of 10 nM. Our method exhibited excellent sensitivity and selectivity, and it was further applied in BBR detection in real samples.

Lung cancer is the leading cause of cancer-related deaths globally, with non-small cell lung cancer (NSCLC) accounting for over 85% of cases and poor prognosis in advanced stages. This study explored shifts in circulating metabolite levels in NSCLC patients versus healthy controls and examined the effects of conventionally fractionated radiation therapy (CFRT) and stereotactic body radiation therapy (SBRT). We enrolled 91 NSCLC patients (38 CFRT and 53 SBRT) and 40 healthy controls. Plasma metabolite levels were assessed using semi-targeted metabolomics, revealing 32 elevated and 18 reduced metabolites in patients. Key discriminatory metabolites included ethylmalonic acid, maltose, 3-phosphoglyceric acid, taurine, glutamic acid, glycocolic acid, and d-arabinose, with a combined Receiver Operating Characteristics curve indicating perfect discrimination between patients and controls. CFRT and SBRT affected different metabolites, but both changes suggested a partial normalization of energy and amino acid metabolism pathways. In conclusion, metabolomics identified distinct metabolic signatures in NSCLC patients with potential as diagnostic biomarkers. The differing metabolic responses to CFRT and SBRT reflect their unique therapeutic impacts, underscoring the utility of this technique in enhancing NSCLC diagnosis and treatment monitoring.

The initial valves of two Cymbella species are observed under the scanning electron microscope and the perizonium ultrastructure of Cymbella is revealed for the first time. The perizonium is composed of alternate nodes and internodes and lacks transverse perizonium bands. Four new species, Cymbella apiculatophora sp. nov., C. hunanensis sp. nov., C. juglandis sp. nov. and C. menyuanensis sp. nov., are described using light and scanning electron microscope from epilithon samples collected in rivers from Hunan and Qinghai Provinces, China. Cymbella menyuanensis is a typical Cymbella species that closely resembles species in the group around C. cymbiformis Agardh, the lectotype species of the genus. Cymbella apiculatophora is similar to C. sinensis Metzeltin & Krammer while Cymbella hunanensis is closer to the C. hustedtii Krasske group. The last species, C. juglandis, has a cymbelloid valve outline, obscured intermissio, internal occlusions of areolae, dorsally deflected distal raphe fissures, and a divided APF at each apex, and does not appear to belong to any group. In addition, new observations on C. cf. excisiformis Krammer and C. hustedtii are reported. The current concept of the genus Cymbella does not represent a monophyletic group as shown by molecular phylogenetic analyses. However, these analyses are still at the preliminary stage and are not yet sufficient to support a complete revision of the genus. Thus, although extremely diverse ultrastructural features are observed in the six Cymbella species investigated in this paper, we prefer to keep them within Cymbella at this moment for the sake of nomenclatural stability.

Currently, health tourists primarily rely on independent facilitators to manage and book their medical appointments and vacation plans. There is a notable absence of dedicated booking applications for health tourism packages. This paper proposes HealthTourismHub, an application designed to provide personalized packages that include medical appointments, accommodation options and recommended tourism activities. It also serves as a platform for medical experts and accommodation providers, allowing health tourists to discover and connect with them. To incorporate personalization, HealthTourismHub uses an ontology that organizes medical and tourism data, along with a reasoner that generates new knowledge. This approach enables the application to offer customized packages and identify the most suitable providers for each user. Providers are strategically paired and located in close proximity, with the package also including personalized tourism recommendations. A survey was conducted to assess the usability of the application and general perspectives towards health tourism, including motivations, concerns, and preferences. The results revealed an above-average SUS score, indicating that users found the application user-friendly and effective. Some areas for improvement were identified, such as error handling and additional functionalities. Nonetheless, HealthTourismHub shows great potential as a pioneer in the field of health tourism applications.

Earthquake events present a high risk in urban areas. Nador City is a Mediterranean city located in a dynamic zone with seismologic movement and a frequency of earthquake events per year. This worrying rate shows that earthquake risks can hinder the urban area and damage citizens and goods if urban risk management is not taken. This study defines the areas most threatened by seismic events to protect them as a priority. Using Geographic Information System, Corine Land Cover, seismic intensity, and socioeconomic vulnerability index, we mapped the urban vulnerability index. The adopted model determines urban vulnerability levels from urban land cover, topography, geologic factors, and geomorphologic factors. These approaches reveal that $70\%$ of Nador is under the damage of a seismic disaster. In addition, the main objective is to apply a new set of guidelines to map the intensity of risks and explain the distinct risk exposure level in Nador’s urban context.

Land use land cover change(LULCC) plays a significant role in understanding the global change. Particularly in regions with high population growth and climate change, anthropogenic activities have drastically altered land use and land cover (LULC). The geographic information system (GIS) and remote sensing are prominent tools for monitoring LULC changes. The land use land cover(LULC) analysis and carbon loss assessment were carried out in Ayubia national park. The area was classified into five major LULC classes, namely grassland, built-up areas, mixed forests, conifer forests and bare land. Landsat temporal satellite data of Ayubia national park acquired on 1992,2002,2012 and 2022 were analysed to access land use change and Markov’s Chain Model was used to predict the land use land cover changes for 2040. The accuracy of the images were assessed using Kappa matrix. Our results showed that a total of 371.94 ha forest land has been converted into other land uses from 1992 to 2022 and Indicating the increasing scale of anthropogenic pressure on forest resources of the Park. The carbon pool was assessed in two forest types including temperate coniferous forest and Mixed forest. The estimated carbon value recorded in TCF is 135.19 ±9.74 MgC ha-1, whereas it is in 86.43 ±8.25 MgC ha-1 in MF. Using satellite data, a thorough examination of the forest inventory was conducted to determine the LULCC, the rate of biomass carbon loss, and the factors that influenced these trends.

The following article analyses the relationship between the mental health index and the variables of the Environment, Social and Governance-ESG model in the Italian regions between 2004 and 2023. First of all, a static analysis is proposed aimed at identifying trends relating to mental health in the Italian regions with indication of the regional gaps. Subsequently, a clustering with k-Means algorithm is proposed. Below is a comparison of 11 machine learning algorithms for predicting the performance of the mental health index. Finally, the article offers some economic policy suggestions. The results are critically discussed in light of the scientific literature.

Inflammation is the body’s response to infection, injury, or other stimuli. Acute inflammation is a crucial component of the immune system’s defense, aimed at eliminating infected or damaged cells and halting disease progression. A subtle interaction between pro- and anti-inflammatory processes determines its progression to inflammation resolution or to chronic inflammation. In this study, we propose a generic model of inflammation through a system of reaction-diffusion equations involving various inflammatory and anti-inflammatory cells and cytokines. We investigate the formation of patterns, determined by the emergence of Turing structures, through linear stability analysis and numerical simulations. These theoretical findings are further supported by observations of similar patterns in skin diseases.

Laparoscopic cholecystectomy (LC) is the gold standard of treatment for symptomatic gallstone disease. The aim of this study is to determine if postoperative opiate use is reduced with trans-versus abdominus plane (TAP) and rectus sheath (RS) regional anaesthetic blocks compared to port site local anaesthetic (LA) infiltration. A prospective, randomised cohort study was con-ducted of adult patients who underwent an emergency LC between 25 April 2022 and 25 May 2023. 40mls of 0.375% ropivacaine was infiltrated as either TAP and RS blocks or to port sites. Patient demographics, operative data and postoperative opioid use were collected from the med-ical record. 138 patients were enrolled in this study; 73 patients allocated to the LA to port sites cohort (52.9%) and 65 patients in the TAP and RS cohort (43.5%). The most common indication for surgery was acute cholecystitis. The average amount of opiate analgesia use was 115.2mg in the LA group compared to 61.2mg in the TAP and RS group (p

Takayasu arteritis is an inflammatory vasculitis that mainly impacts the large vessels including the aorta and its branches. Ocular manifestations may include retinal ischemia, optic neuropathy, cataracts, and retinal artery occlusion. We present two cases where central retinal artery occlusion was found in patients with Takayasu arteritis and wish to highlight to consider Takayasu arteritis in young patients with unexplained retinal artery occlusion.

Von Hippel-Lindau disease (VHL) is a multiple organ neoplastic syndrome with autosomal dominant transmission, complete penetrance, and variable expression caused by mutations in the VHL gene. Although VHL disease is hereditary in many cases, new mutations cause up to 20 % of the incidence. Mutations in VHL may cause the development of cysts and tumors in many organs, including brain and spinal cord hemangioblastoma, renal cell carcinoma (RCC), retinal heman-gioblastoma (RH), pheochromocytoma, epididymal and broad ligament cystadenomas, endo-lymphatic sac tumor, pancreatic neuroendocrine tumors, and renal and pancreatic cysts. VHL is a syndrome associated with functional inactivation of the Von Hippel–Lindau protein (pVHL). pVHL is a tumor suppressor mainly known for its role as a regulator of hypoxia-inducible factor (HIF) activity. The prevalence of VHL disease is between 1 in 39 000 and 1 in 91 000 individuals in different regional populations. Here, we review the etiology, epidemiology, pathophysiology, genetics, clinical manifestations, diagnosis, and current treatments, as well as the molecular aspects of this disease. We also discuss the animal models used to study this disease, VHL biomarkers, and current VHL clinical trials for VHL according to NIH.

The ethylene-regulated hypocotyl elongation of Arabidopsis thaliana's involves many transcription factors. The specific role of MYC transcription factors in ethylene signal transduction is not completely understood. The results here revealed that two MYCs, MYC2 and MYC3, act as negative regulators in ethylene-suppressed hypocotyl elongation. Etiolated seedlings of the lost-of-function mutant of MYC2 or MYC3 were longer than wild type seedlings. Single- or double-null mutants of MYC2 and MYC3 displayed an enhanced response to ACC(1-aminocyclopropane-1-carboxylate), the ethylene precursor, compared to wild type seedlings. MYC2 and MYC3 directly bind to the promoter zone of ERF1, suppressing its expression. Additionally, EIN3, a key component in ethylene signaling, interacts with MYC2 or MYC3 and suppresses their binding to ERF1’s promoter. MYC2 and MYC3 play crucial roles in the ethylene-regulated expression of functional genes. The results revealed these transcription factors’ novel role and functional mechanism in ethylene signal transduction.

Subacute rumen acidosis (SARA) is a prevalent issue in intensive livestock farming, particularly associated with high-concentrate diets. This study investigates the prevalence and impact of SARA in Greek dairy sheep farming and explores the use of computerized rumen colorimetry as a management and diagnostic tool for SARA in dairy sheep farms. Forty-two dairy sheep flocks were monitored regularly for rumen pH, milk composition, and milk yield over an approximately 9-month milking period. Computerized Rumen Mucosal Colorimetry was applied to 280 culled, aged ewes from these farms, with rumen wall samples taken for histological examination. SARA cases were identified in 19 farms (45%, n=48). Farms with SARA cases had lower milk fat levels, although milk yield was higher in these farms, while milk protein levels did not differ based on the SARA status of the farms. In culled ewes, rumen color was significantly associated with the farm's SARA status. Additionally, ewes from farms with more SARA cases exhibited increased thickness in the ruminal epithelium layers, particularly in the non-keratinized and total epithelium layers. In conclusion, SARA is a common disorder in the Greek dairy sheep industry, lowering the fat content of milk. The study suggests that computerized rumen epithelium colorimetry in aged culled ewes shows promise as a diagnostic tool for SARA in dairy sheep farms.

CRISPR/Cas9 technology is expected to offer novel genome editing-related therapies for various diseases. We previously showed that an adenovirus vector (AdV) possessing eight expression units of multiplex guide RNAs (gRNAs) was obtained with no deletion of these units. Here, we attempted to construct “all-in-one” AdVs possessing expression units of four and eight gRNAs with Cas9 nickase. We expected this to be difficult because extremely high copies of viral genomes during replication may cause severe off-target cleavages of host cells and induce homologous recombination. However, four units in the all-in-one AdV genome were maintained completely intact. For all-in-one AdV containing eight gRNA units, we shortened the U6 promoter of the gRNA expression units and enlarged the E3 deletion in the vector backbone to shorten the AdV genome within the adenovirus packaging limits. The final size of the all-in-one AdV genome containing eight gRNA units still slightly exceeded the reported upper limit. Nevertheless, approximately one-third of the eight units remained intact even upon preparation for in vivo experiments. Although the genome editing efficiency unexpectedly decreased upon enlarging the E3 deletion, our results suggested that all-in-one AdVs containing four and eight intact gRNA units could be obtained if the problems caused by the excessive size of the vector genome are solved.

Keywords: Endodontic microsurgery; Root canal treatment; Isthmus preparation; Short-term outcomes

Modeling the reaction time required for the removal of chemical oxygen demand (COD) from wastewater is important because can be an indicator of harmful pollutants that may pose risks to human health.. Here, we evaluate the use of an inverse artificial neural network (ANNi) to optimize the removal of COD from aqueous herbicide solutions using sonophotocatalysis as the treatment process.. This algorithm takes the operating conditions as input and estimates the optimal reaction time to reach the required effluent COD. This model was validated by comparison with both experimental measurements and simulated analysis, resulting in low error (0.5%), high Pearson correlation (R2 = 0.9956), and short computing time (less than one minute). The results for the proposed methodology (ANNi-GAs) were efficient and attractive in a reasonable way providing a satisfactory picture of the relationships between the optimal input parameters. Such parameters control the degradation process of herbicides online and can be used to predict the behavior of COD removal, thus taking actions to reduce the impact of aqueous treatment with alazine and gesaprim herbicides on aquatic, soil biota, and human health. Therefore, this technique constitutes a promising framework for predicting the environmental impact of herbicides within a tolerable degree of error.

Governments worldwide are actively committed to achieving their carbon emission reduction targets, and one avenue under exploration is harnessing the potential of hydrogen. Blending hydrogen with natural gas is emerging as a promising strategy to reduce carbon emissions, as it burns cleanly without emitting carbon dioxide. This blending could significantly contribute to emissions reduction in both residential and commercial settings. However, a critical challenge associated with this approach is the potential for Hydrogen Embrittlement (HE), a phenomenon wherein the mechanical properties of pipe steels degrade due to the infiltration of hydrogen atoms into the metal lattice structure. This can result in sudden and sever failures when the steel is subjected to mechanical stress. To effectively implement hydrogen-natural gas blending, it is imperative to gain a comprehensive understanding of how hydrogen affects the integrity of pipe steel. This necessitates the development of robust experimental methodologies capable of monitoring the presence and impact of hydrogen within the microstructures of steel. Key techniques employed for this assessment include microscopic observation, hydrogen permeation tests, and tensile and fatigue testing. In this study, samples from two distinct types of pipeline steels used in the natural gas distribution network underwent rigorous examination. To induce hydrogen absorption, an electrochemical charging process is employed in a solution rich in H+ ions. This charging process, accomplished by a potentiostat applying a constant current, prompts the hydrogen evolution reaction at the steel specimen, acting as the cathode of the charging cell. Immediate tensile and fatigue testing following the charging process enables the evaluation of mechanical properties in comparison to non-charged samples. Different charging current densities are employed to simulate various hydrogen blend scenarios. The findings from this research indicate that charged samples exhibit a discernible decline in fatigue and tensile properties. This deterioration is attributed to embrittlement and reduced ductility stemming from the infiltration of hydrogen into the steel matrix. The extent of degradation in fatigue properties is correlated not only to the hydrogen content but also to the hydrogen permeability and diffusion rate influenced by steel’s microstructural features, with higher charging current densities indicating a more significant presence of hydrogen in the natural gas pipeline blend.

Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disorder of the white matter. Pathophysiology is thought to be immune mediated as in most cases the condition follows an infection or triggering incident. More recent literature has demonstrated that there may be a link between autoimmune conditions and ADEM. Here we present a case of ADEM in a middle-aged woman with systemic lupus erythematosus that recovered well after treatment with corticosteroids and Rituximab.

A fully automated bacteria whole genome sequencing (WGS) assay was evaluated to characterize Mycobacterium tuberculosis (MTB) and non-tuberculosis Mycobacterium (NTM) clinical isolates. Results generated were highly reproducible with 100% concordance in species and sub-lineage classification, and 92% concordance between antimicrobial resistance (AMR) genotypic and phenotypic profiles. These findings demonstrate that a fully automated WGS assay, with a short turnaround time of 24.5 hours, provides timely and valuable insights into MTB outbreak investigation while providing reliable genotypic AMR profiling consistent with traditional antimicrobial susceptibility tests (AST). This study establishes a favorable proposition in the adoption of an end-to-end fully automated WGS solutions for decentralized TB diagnostics, thereby aiding in WHO’s vision of tuberculosis eradication.

This study examines the contribution of early executive functions (EFs) in the association between fluency in reading and arithmetic. Kindergarten children (N = 1,185) were assessed on Executive Functions skills and on reading and arithmetic fluency in Grade 1 and Grade 3. The analysis revealed that beyond the connection within each domain there is a unidirectional effect between fluency measures, with Grade 1 reading fluency significantly influencing the development of arithmetic fluency in Grade 3. Furthermore, the findings indicate that kindergarten EFs significantly contribute to arithmetic fluency at both time points and to reading fluency in the first grade. Early EF skills also emerged as a mediator of associations between fluency performance in reading and arithmetic, suggesting that the influence of EFs extends beyond individual academic domains. These findings have implications for understanding the cognitive mechanisms that underlie the relations between these academic skills.

Background: Differentiated thyroid cancer (DTC) patients have an outstanding overall long-term survival rate, certain subsets of DTC patients have a very high likelihood of disease recurrence. Radioactive iodine therapy is a cornerstone in DTC management, but sometimes it became useless when cancer cells develop refractoriness. Radioactive Iodine Refractory DTC (RAIR-DTC) is a condition defined by ATA 2015 guidelines when DTC cannot concentrate RAI ab initio or loses RAI uptake ability after the initial therapy. RAIR condition implies that RAI cannot reveal new met-astatic foci, so RAIR-DTC metabolic imaging needs new tracers. 18F-FDG PET/CT has been widely used, it has a demonstrated prognostic value, but 18F-FDG DTC avidity may remain low. FA-Pi, PSMA, SSTR tracers have been proposed as theragnostic agents in experimental settings and Arg-Gly-Asp (RGD) peptides in diagnostic trial field. Multi-targeted tyrosine kinase inhibitors are relatively new drugs approved in RAIR-DTC therapy. Despite the promising targeted setting, they relate to frequent adverse event onset. Sorafenib and trametinib have been included in re-differentiation protocols aimed to re-induce RAI accumulation in DTC cells. Results appeared promising, despite not excellent. Conclusions: RAIR-DTC yet represent a challenging nosological entity. There are still controversies on RAIR-DTC definition and post-RAI therapy evaluation with post-therapy whole body scan (PT-WBS) is the only validated criterion of response. The recent introduction of multiple diagnostic and therapeutic agents oblige physicians to pursue a multidisciplinary approach aiming to correct drug introduction and timing choice.

For the World Health Organization, and specifically for the International Coordination Committee, the need to bring forward discussions on non-clinical trials in human models, such as vaccine trials in pregnant women, with the aim of demonstrating immunity in newborns, has been addressed. This literature review seeks to investigate the relationship between mothers and newborns in terms of the transfer of IgG antibodies against SARS-CoV-2. Most of the literary evidence shows that the substantial transfer of transplacental and lactational antibodies to infants confers protection even when the baby is exposed to the disease. However, accurate and conclusive evidence on the safety and efficacy of COVID-19 vaccines during pregnancy will be a key factor in facilitating the decision-making process for pregnant women to ensure the safety of mother and baby.

Under the quaternion group, $Q_8$, spin helicity emerges as an element of reality, and complementary to spin polarization. Here we show that the correlation in EPR coincidence experiments is conserved upon separation from a singlet, being divided between polarization and coherence. Including helicity accounts for the violation of Bell's Inequalities without non-locality.

Collaboration across the agriculture supply chain is essential to address the high-yield demand and sustainable practices amid global overpopulation. Limited resources, such as soil, are compromised by excessive chemical agents and nutrient use. The Internet of Things (IoT) and smart farming offer solutions by optimizing agent application, data analysis, and farm monitoring. Evidence from numerous studies indicates that collaboration in the supply chain, including farmers, can improve efficiency and productivity, reduce costs, and enhance crop quality. This research focuses on implementing IoT technology to enhance decision-making for crop yield optimization and sustainable practices on a real farm. By collaborating with a farm in the southern region of Zagreb, Croatia, farmers were trained on sensor usage and yield monitoring. Small farms in that region face challenges in improving yields due to limited capacity and lack of entrepreneurial skills. The DMAIC methodology was applied to define the problem and measure relevant parameters. The analysis demonstrated consistent patterns between electrical conductivity (EC) measurements and potassium levels in soil. It suggests the potential for estimating potassium concentrations based on EC readings, or vice versa. Leveraging EC as a proxy for potassium levels could offer a cost-effective means of assessing soil fertility and nutrient dynamics. Additionally, the PCA biplot analysis highlighted that pH value behaved independently. Understanding these dynamics enhances knowledge of soil variability and informs sustainable soil management practices.

Users with Autism Spectrum Disorder may find human-computer interaction (HCI) challenging due to a number of symptoms experienced, one of which is difficulty coping with change. Through capturing, comparing and statistically analysing the reactions of autistic and neurotypical users to seven individual design changes, it has been possible to identify the changes that cause significant difficulty in autistic users. These difficulty points were then used to form heuristics that can followed by HCI practitioners in the industry to reduce the negative impact of software interface design change on autistic users, hence making software updates more accessible.

The COVID-19 pandemic period, from 2020 - 2022 had a significant impact on maternal infant health with mothers impacted more than their infants. We questioned whether there have been any lingering effects from the pandemic. We examined intermediate and long-term pandemic effects of maternal and neonatal outcomes before, during and after the COVID-19 pandemic period. We reviewed mother-infant pairs from three epochs: 1) the pre-COVID-19 period, 2) the COVID-19 pandemic period, and 3) the post-pandemic period. The Case Mix Index (CMI) for the neonates from all 3 epochs were detailed. Post-pandemic we noted a rising trend of LGA infants (10%), and an increase in SGA infants (13%). For women in 2023 we noted an increase in hypertension, preeclampsia, diabetes, and a higher BMI than the pre- pandemic period. There have also been more congenital anomalies (9%), and neonatal CMI increased in the post-pandemic period. Well after the pandemic period, maternal-infant health continues to be affected. For women, increase in hypertension and diabetes during pregnancy is concerning. For the infants, being LGA or SGA may have long-term consequences. The post-pandemic increase in infants with congenital anomalies compared to the pre-pandemic era is an area that needs ongoing review.

Multiple imputation by chained equations (MICE) is a popular and well-researched statistical approach to account for missing data in empirical research. However, applying the technique requires researchers to set dozens of smaller and larger parameters to build an adequate imputation model before estimating the analytical model of interest. It is somewhat unclear how severely small and potentially arbitrary decisions influence the quality of the produced findings. The current study tests this empirically using a simulation approach with datasets with low and high shares of missing data points that are missing at random (MAR). For each of the two specifications, 4,200 simulations are conducted where multiple parameters are randomly varied to create a diverse range of potential imputation models. The results demonstrate that even random imputation models can significantly reduce bias compared to listwise deletion since more than 90% of all simulations give less biased results. All minor decisions taken together explain between 11% and 21% of the variation in the statistics of interest. The most substantial influence on this variation is due to the selection of the imputation algorithm within MICE. These findings demonstrate that almost any imputation model, even those built with little care, will often result in a higher quality than applying listwise deletion, as long as critical assumptions, such as MAR and the avoidance of severe misspecifications, hold.

The following article analyses the relationship between the mental health index and the variables of the Environment, Social and Governance-ESG model in the Italian regions between 2004 and 2023. The econometric analysis is aimed at investigating in detail the relationships between the mental health index and the individual components of the ESG model. The results are critically discussed

The publication presents an innovative tower cultivation device designed to significantly increase vertical farming efficiency. The device divides the cultivation system into separate chambers. One division corresponds to the different growth phases of the plants, while another reflects the daily variation in conditions. Each chamber presents slightly different conditions and cultivation patterns from the others. For the early stages, crops are grown horizontally in trays once they mature, transplanted into mobile cultivation towers. The closed circulation of ventilation and irrigation reduces water consumption by up to 95%. A unique separate day-night division optimises light, temperature and humidity conditions, mimicking natural growth patterns. This approach not only saves water and energy but also optimises cultivation in a three-dimensional space. The presented solution focuses on the often overlooked aspects of cultivating in vertical farms and makes this method of growing much more cost-effective and feasible to implement on a large scale.

C. albicans Dfg5 and Dcw1 are homologous cell wall alpha-1,6-mannosidases with important functions. Our past studies have shown that Dfg5 and Dcw1 function in cell wall biogenesis via cross-linking of glycoproteins into the cell wall, thus playing a key role in cell wall integrity. Additionally, Dfg5 and Dcw1 are required for hyphal morphogenesis. However, the exact functions of Dfg5 and Dcw1 in cell wall integrity, hyphal morphogenesis, and pathogenesis were not known. In this study, we determined the relation of Dfg5 and Dcw1 with Hog1 MAPK, that plays a key role in cell wall integrity via regulation of chitin synthesis in C. albicans. Additionally, we also determined the effect of dfg5 and dcw1 mutations on gene expression of transcriptional regulators of hyphal morphogenesis. Furthermore, we determined the effects of dfg5 and dcw1 mutations on pathogenesis in a mouse model of oral candidiasis. Our results demonstrate that dfg5 and dcw1 mutations, as well as hog1 knock-out mutation result in dysregulation of chitin synthesis resulting in a cell separation defect. The heterozygous and conditional mutations of dfg5 and dcw1 result in decreased levels of Cst20, a positive regulator of hyphal morphogenesis. However, mutations of dfg5 and dcw1 mutations resulted in increased levels of all the five negative regulators of hyphal morphogenesis – Tup1, Nrg1, Mig1, Rbf1 and Rfg1. However, Tup1 levels were significantly higher than other negative regulators indicating that Dfg5 and Dcw1 function in hyphal morphogenesis by repression of Tup1. Finally, dfg5 and dcw1 mutations affected the ability of C. albicans to cause oral candidiasis in mice. Thus, cell wall glycosidases, Dfg5 and Dcw1, are required for virulence and pathogenesis and represent novel drug targets.

While digital libraries offer essential benefits for the digital age such as constant availability and accessibility, they often fail in providing a similarly enjoyable browsing experience that benefits engagement and serendipitous exploration inherent to traditional library experiences. In this paper, we propose a virtual reality (VR) library environment that emulates a traditional library promoting an engaging browsing experience that benefits browsing enjoyment and serendipity. The implemented system uses procedural content generation to dynamically generate a library-like environment, wherein each room corresponds to a specific category of the digital library. To assess the usability of the implemented system, we conducted an A/B study comparing the VR environment with the web interface of Project Gutenberg. The results of the study suggest that while the physical demand for using the VR environment is higher, the system can significantly benefit the browsing experience and entice users’ curiosity. Furthermore, the study suggests that the system can increase user engagement and users generally felt that using the system was rewarding.

Nonlinear optimization (NOPT) is a meaningful tool for solving complex tasks in fields like engineering, economics, and operations research, among others. However, NOPT has problems when it comes to dealing with data variability and noisy input measurements that lead to incorrect solutions. Furthermore, nonlinear constraints may result in outcomes that are either infeasible or suboptimal, such as non-convex optimization. This paper introduces a novel regularized physics-informed neural network (RPINN) framework as a new NOPT tool for both supervised and unsupervised data-driven scenarios. By using custom activation functions and regularization penalties in an artificial neural network (ANN), RPINN can handle data variability and noisy inputs. Besides, it uses physics principles to build the network architecture, computing the optimization variables based on network weights and learned features. In addition, it uses automatic differentiation training to make the system scalable and cut down on computation time through batch-based back-propagation. The test results for both supervised and unsupervised NOPT tasks show that our RPINN can provide solutions that are competitive compared to state-of-the-art solvers. In turn, RPINN’s robustness against noisy input measurements makes it particularly valuable in environments with fluctuating information. Additionally, RPINN’s ANN-based foundation offers significant flexibility and scalability.

The current design of irrigation and fertilization systems often depends on a single index, leading to irrational systems due to the lack of a comprehensive multi-index evaluation. The aim of this study is to optimize the irrigation and nitrogen fertilizer application levels of spring maize using the TOPSIS method, in order to achieve a balance between growth characteristics, yield, water use efficiency, and soil nitrogen content. In the typical semi-arid region of Northeast China, through precise control experiments from 2022 to 2023, we adopted a two factor quadratic saturation D-optimal design method to study the effects of different irrigation amounts (145.40, 271.70, 348.20, 436.20 mm) and nitrogen fertilizer application amounts (34.80, 185.90, 277.40, 382.80 kg·hm-2) on spring maize. Results indicate that increasing both irrigation and nitrogen application rates can enhance dry matter accumulation by 15.17% to 32.70%. The impact of irrigation and fertilization on the net photosynthetic rate (Pn) of spring maize was found to be greater for irrigation amount than nitrogen application, particularly at 9:00 am and 13:00 pm, and slightly less so at 11:00 am and 15:00 pm. Concurrently, there was a significant increase in total nitrogen (TN1 by 20.85% for 0-20 cm soil layer, TN2 by 33.33% for 20-40 cm soil layer) and alkali-hydrolyzed nitrogen (AHN1 by 14.65% for 0-20 cm, AHN2 by 28.86% for 20-40 cm). Yields improved by 12.02% to 44.09%, and water use efficiency (WUE) saw an increase ranging from 20.08% to 140.07%. The optimal water and fertilizer management mode for spring maize SBDI (shallow buried drip irrigation) in semi-arid areas was determined through comprehensive analysis using TOPSIS entropy weight method. When the irrigation amount is 436.20 mm and the nitrogen fertilizer application amount is 277.40 kg·hm-2, it can significantly promote the accumulation of dry matter, yield, water use efficiency, photosynthetic characteristics, and soil nitrogen content of spring maize. This study provides a theoretical basis for the practical application of SBDI water fertilizer coupling technology for spring maize.

This article explores the enduring mysteries of consciousness and the afterlife, two enigmatic topics that have fascinated humanity for ages. Despite extensive scientific efforts, the existence of an afterlife remains unproven, and understanding consciousness remains a significant challenge. The research introduces innovative hypotheses through simple thought experiments with empirical evidence and robust theoretical foundations. It delves into the complexities of consciousness, its relationship with the brain, and the need for interdisciplinary approaches encompassing physics, psychology, and philosophy. Boldly contemplating the probability of a continuous consciousness after death, the study argues that existing evidence strongly supports this idea. Beyond theoretical implications, it envisions practical outcomes, suggesting that insights into these mysteries could enhance human well-being and contribute to a more harmonious world. In summary, this article embarks on a quest to shed light on age-old questions about consciousness and the afterlife. Through fresh methodologies, it aims to provide new perspectives that could reshape our understanding of existence and inspire intellectuals to positive individual and societal advancements including psychological well-being and intelligence.

Arsenic is a prevalent environmental pollutant with recognized carcinogenic properties. Liver fibrosis is a frequent consequence of arsenic poisoning, with the activation of hepatic stellate cells (HSCs) being a central event. Solute Carrier Family 7 Member 11 (SLC7A11), a pivotal regulator of ferroptosis, may be involved in the process of arsenic-induced liver fibrosis. This study utilized lentiviral vector-mediated SLC7A11 silencing in LX-2 cells (a type of human hepatic stellate cells) to establish an SLC7A11 knockout cell model, which was then exposed to sodium arsenite (NaAsO2). Protein interactions were assessed through Protein Immunoprecipitation (IP), and protein levels were evaluated via Western blot analysis. It was found that NaAsO2 decreased cellular Fe2+ levels and nuclear receptor co-activator 4 (NCOA4) expression, with SLC7A11 silencing reversing these effects. Additionally, IP analysis revealed an interaction between Beclin1 and SLC7A11 proteins in LX-2 cells exposed to NaAsO2. Silencing SLC7A11 attenuated the reduction in Tumor Protein p53(P53), and p-mammalian target of rapamycin (p-mTOR) protein levels, along with the rise in Beclin1, Phosphorylated adenosine monophosphate activated protein kinase (p-AMPK), α-smooth muscle actin (α-SMA) and Fibroblast activation protein-α (FAP) induced by NaAsO2. Consequently, SLC7A11 silencing promoted cellular ferroptosis, reduced autophagy levels through the P53/AMPK/mTOR pathway, and inhibited HSC activation by NaAsO2, potentially mitigating liver fibrosis.

Trust plays a pivotal role in supplier-buyer relationships, influencing decision-making, collaboration dynamics, and organizational performance. This qualitative study explores the multifaceted nature of trust in supplier-buyer relationships across diverse industries. Through in-depth interviews and thematic analysis, the study examines how trust develops, evolves, and impacts business interactions. Participants from various organizational settings provided insights into the cognitive, affective, and behavioral dimensions of trust, highlighting its role as a strategic asset in fostering resilience and competitive advantage. Findings underscored the importance of transparency, communication, and shared values in building trust, with emotional bonds and cultural compatibility enhancing partnership longevity and mutual commitment. Challenges such as asymmetrical power dynamics, economic uncertainties, and regulatory pressures were identified as barriers to trust, necessitating proactive strategies and ethical standards to mitigate risks. Practical implications include promoting open communication, aligning incentives, and cultivating a culture of trust within supply chains to enhance operational efficiencies and innovation. Future research could explore the impact of digitalization, technological advancements, and cross-cultural differences on trust dynamics, further enriching our understanding of effective relationship management in global markets. By addressing these complexities and leveraging trust as a foundational element, organizations can navigate uncertainties and capitalize on opportunities for sustainable growth and collaboration in dynamic business environments.

Primary Ciliary Dyskinesia (PCD) is a rare genetic disorder characterized by alterations in motile cilia func-tion. The diagnosis of PCD is challenging due to the lack of standardized methods in clinical practice. High-speed video microscopy analysis (HSVA) directly evaluates ciliary beat frequency (CBF) in PCD. Recently, open-source ciliary analysis software applications have shown promise in measuring CBF accurately. How-ever, there is limited knowledge about the performance of different software applications, creating a gap in understanding their comparative effectiveness in measuring CBF in PCD. We compared two open-source software applications, CiliarMove and Cilialyzer, against the manual count method. We used videos rec-orded at high-speed of nasal ciliary brush samples from PCD patients and healthy controls. All three meth-ods showed lower median CBF values in PCD patients than healthy controls. CiliarMove and Cilialyzer identified lower CBF in PCD patients, similar to the manual count. Cilialyzer, CiliarMove and manual count demonstrated statistical significance (p-value < 0.0001) in the difference of median CBF values be-tween PCD and healthy controls. These findings support the utility of open-source software-based analysis tools. Further studies are needed to validate these findings with other genetic variants and identify the op-timal software for accurate CBF measurement in PCD.

This study investigates green logistics strategies adopted by businesses to enhance sustainability within their supply chains, particularly focusing on reducing carbon footprints and environmental impacts associated with transportation and distribution activities. Through qualitative analysis and interviews with supply chain managers, industry experts, and sustainability officers, this research provides insights into motivations, strategies, challenges, and benefits related to green logistics practices. Key findings highlight the critical role of aligning green logistics with corporate sustainability goals. Advanced technologies such as telematics, GPS tracking, and data analytics are instrumental in optimizing transportation routes, reducing fuel consumption, and minimizing emissions. Additionally, strategies like using eco-friendly vehicles, energy-efficient warehouse operations, and implementing reverse logistics are identified as effective means to mitigate environmental impacts. Collaboration and partnerships with suppliers, logistics providers, and stakeholders are essential for sharing best practices and fostering joint initiatives. Despite benefits such as cost savings and enhanced corporate reputation, challenges include high initial investments, the absence of standardized metrics for environmental impact, and regulatory complexities. However, regulatory compliance also acts as a driver for green logistics adoption and presents opportunities for improving sustainability performance. The integration of sustainability goals with logistics strategies underscores the interdisciplinary nature of sustainable supply chain management. This holistic approach encompasses aspects of entrepreneurship, emotional intelligence, marketing, and supplier relationship management.

The dynamic and unpredictable nature of modern supply chains necessitates the development of resilient systems capable of withstanding various disruptions. This qualitative study examines the impact of collaborative practices on supply chain resilience, providing an in-depth analysis of their contributions to the robustness and adaptability of supply chains. Through extensive interviews with industry professionals, including supply chain managers, logistics coordinators, and strategic planners, the study identifies key collaborative practices—such as information sharing, joint decision-making, and coordinated response strategies—that significantly enhance resilience. These practices facilitate proactive risk management, improve response times during disruptions, and foster innovation through shared knowledge and resources. Thematic analysis of the collected data reveals that strong relationships among supply chain partners and integrated approaches that leverage each participant's strengths are crucial for effective risk mitigation and recovery. Additionally, the study underscores the role of technology in enabling real-time information sharing and decision-making, which are essential for effective collaboration. The findings highlight the importance of investing in robust collaborative networks and adopting supportive technologies to enhance communication and coordination. This research contributes to the existing body of knowledge by offering a nuanced understanding of how strategic implementation of collaborative practices can build more resilient supply chains. It provides practical recommendations for businesses seeking to improve their resilience, emphasizing the qualitative aspects of collaboration and its impact on supply chain management. Overall, this study presents a comprehensive exploration of how collaboration can bolster supply chain resilience, offering valuable insights for practitioners and scholars focused on creating stable and sustainable supply chain operations in the face of growing uncertainties.

This qualitative investigation delves into the intricate interplay of cultural factors within supply chain integration, aiming to elucidate how diverse cultural dimensions shape communication dynamics, decision-making processes, and collaborative efforts among global supply chain practitioners. Employing a phenomenological approach, the study explores the lived experiences and subjective perceptions of supply chain managers and professionals, providing nuanced insights into the profound impact of national culture, organizational culture, digital technologies, and sustainability considerations on supply chain operations. Key findings highlight the significant influence of national culture, as conceptualized by Hofstede's cultural dimensions, on supply chain interactions. These dimensions—such as power distance, individualism versus collectivism, uncertainty avoidance, and masculinity versus femininity—play crucial roles in shaping how individuals perceive authority, manage risks, negotiate agreements, and engage in collaborative practices across diverse cultural contexts. Cultural norms and values deeply influence both intra-organizational dynamics and inter-organizational relationships within global supply chains. Organizational culture emerges as a pivotal determinant of supply chain integration success. Cultures characterized by transparency, trust, inclusivity, and a commitment to continuous improvement create environments conducive to effective cross-border collaboration. Conversely, organizations with conflicting or ambiguous cultural norms face challenges in aligning goals, fostering mutual understanding, and maintaining open communication channels with international partners. The study underscores the transformative role of digital technologies in enhancing supply chain management practices. Technologies such as blockchain, artificial intelligence, and the Internet of Things improve supply chain visibility, optimize operations, and enhance decision-making processes, strengthening resilience against disruptions. The adoption and integration of these technologies depend on organizational readiness, technological capabilities, and cultural acceptance within supply chain networks. Cultural factors influence the adoption pace, implementation strategies, and utilization patterns of digital technologies, emphasizing the need for strategic alignment between technological investments and cultural norms to maximize their potential benefits. Furthermore, sustainability considerations are critical in shaping cultural values and priorities within supply chain networks. Organizations increasingly recognize the importance of environmental sustainability, ethical sourcing practices, and corporate social responsibility in shaping their reputations, stakeholder relationships, and long-term business goals. Cultural factors significantly influence organizations' approaches to sustainability, guiding their strategic decisions and operational practices.

In today's globalized economy, supply chain disruptions present significant challenges, impacting businesses' operational continuity and efficiency. This study delves into the ways businesses navigate these disruptions, with a particular emphasis on qualitative insights into risk management practices. The complexity and interconnectivity inherent in modern supply chains make them vulnerable to a broad spectrum of disruptions, ranging from natural disasters and geopolitical conflicts to technological failures and pandemics. Effective supply chain risk management requires a structured approach to identifying potential risks, evaluating their likelihood and potential impact, and formulating robust mitigation strategies. Employing a qualitative research methodology, this study gathers in-depth insights from semi-structured interviews with supply chain managers, industry experts, and executives. The findings underscore the necessity of proactive risk identification and comprehensive assessment processes. Advanced technologies, including artificial intelligence (AI), the Internet of Things (IoT), and blockchain, are highlighted as crucial tools for enhancing visibility and responsiveness within supply chains. Strategies such as diversifying suppliers and maintaining safety stock emerge as vital components of risk mitigation, ensuring supply continuity in the face of disruptions. Strong relationships with suppliers are pivotal, facilitating better information sharing and collaborative problem-solving. Leadership commitment to risk management and fostering a culture of resilience within organizations is also critical. Training programs and simulation exercises are identified as effective means of preparing employees to handle disruptions. Furthermore, adherence to regulatory compliance and a focus on sustainability are integral to maintaining long-term stability and reducing the risk of future disruptions.

Background and Objectives To compare navigator-gated three-dimensional T1-weighted gradient-echo sequences (NG-3D T1W-GRE) with standard breath-hold T1W-GRE (BH T1W-GRE) for the detection of HCC nodules in patients with chronic viral hepatitis which undergo at magnetic resonance imaging (MRI) using gadoxetic acid. Methods and materials We evaluated 58 patients with hepatic nodules at least 1 cm in diameter detected by ultrasound who underwent liver MRI including NG-3D T1W-GRE sequences and breath hold T1-weighted gradient-echo sequences with different flip angles(FA) at 10-25-40° after contrast administration of gadoxetic acid at magnetic scanner operating at1.5 Tesla. Image quality and relative hepatic and nodular enhancement were evaluated by three blinded reviewers. Results In these patients, image quality of NG-3D T1W-GRE was assessed significantly better than quality of BHT1W- GRE (P < 0.005) and relative enhancement was significantly higher than that of BH- T1W-GRE ( P

Malignant lymphoma is an unusual form of gallbladder neoplasm. Almost all of these tumors are diffuse large B-cell lymphomas or mucosa-associated lymphoid tissue-type lymphomas. Herein, we report a rare case of a gallbladder Burkitt’s lymphoma (BL) in a child living with HIV. As far as we are concerned, this is the first report in the pediatric population and in an individual living with HIV. The patient attended the Federal Hospital of Lagoa, Rio de Janeiro, Brazil, underwent cholecystectomy and the postoperative pathological analysis of the gallbladder revealed a diagnosis of BL. Also, HIV serology was performed and returned positive. She was transferred to the Martagão Gesteira Institute of Pediatrics and Childcare for oncological treatment, dying from sepsis and disease progression about 18 months later. Patient did not undergo ART/cART. Previous cases of gallbladder BL were analyzed to characterize the clinicopathological features. BL can occur in the gallbladder both in the context of HIV infection and in the pediatric population. Biopsy is mandatory in cases with suggestive findings of lymphoma, and an early diagnosis can change the course of the disease. Furthermore, the case highlights the importance of an early initiation of ART/cART in people living with HIV (PLWH).

In this paper, we explore the hypothesis that topological defects formed in the quark-gluon plasma (QGP) of the early universe, specifically flux tubes and domain walls, could serve as stable dark matter candidates. Theoretical analysis of the QCD vacuum structure reveals that these defects can form due to nontrivial topological configurations, with the Lagrangian density incorporating topological terms. We model the formation and stability of flux tubes and domain walls, estimating their energy densities and dynamics within the QGP. Flux tubes, with energy per unit length approximately given by $\mu \approx \frac{\sigma}{g_s^2}$, and domain walls, characterized by a surface energy density $\sigma_{\text{DW}} \sim \Lambda_{\text{QCD}}^3$, exhibit unique gravitational signatures. These signatures include distinct gravitational lensing patterns due to their linear and planar mass distributions, making them detectable through astrophysical surveys. Furthermore, their minimal interaction with conventional matter aligns well with observational constraints on dark matter properties. We discuss potential experimental approaches for detecting these defects, including high-energy collider experiments and detailed analysis of gravitational lensing data. Our findings suggest that topological defects in the QGP provide a compelling and novel solution to the dark matter problem, offering a new direction for both theoretical investigation and experimental verification.