With the great development of intelligent transportation systems (ITS), travel time prediction has attracted the attentions of many researchers and a large number of prediction methods have been developed. However, as an unavoidable topic, the predictability of travel time series is the basic premise for travel time prediction has received less attention than the methodology. Based on the analysis of the complexity of travel time series, this paper defines travel time predictability to express the probability of correct travel time prediction and proposes an entropy-based method to measure the upper bound of travel time predictability. Multiscale entropy is employed to quantify the complexity of travel time series, and the relationships between entropy and the upper bound of travel time predictability are presented. Empirical studies are made with vehicle trajectory data in an express road section. The effectiveness of time scales, tolerance, and series length to entropy and travel time predictability are analysis, and some valuable suggestions about the accuracy of travel time predictability are discussed. Finally, the comparisons between travel time predictability and actual prediction results from two prediction models, ARIMA and BPNN, are conducted. Experimental results demonstrate the validity and reliability of the proposed travel time predictability.

With real estate cycles being a subset of business cycles, contraction stages are often perceived as short-term, after which a revival of the property market sets in. The worsening Nigerian economy has further complicated the issues of housing supply and affordability in economic nerves like Lagos. This study examined the fundamental and associated factors contributing to rental housing affordability issues between 2019-2023 in Lagos. This article is produced with the intention of providing a market data update on rental housing price movements for both the mainland and island zones of Lagos, as well as comparing their affordability convenience for income-earners or households based on the rent-income ratio. The study adopted a mixed research design and various data sources were consulted in analyzing the fundamentals, rent and affordability trends. The study discovered that affordability convenience ratios for the various income bands had deteriorated further between 2019 and 2023 in Lagos mainland (8%) and island (9%). 67% and 80% of income earners are paying above the optimal 30% of their personal or household income in meeting their rental demand in Lagos mainland and island respectively. The paper suggested the application of fundamental, institutional and environmental strategies to combating the current phenomenon.

As the automotive industry undergoes a phase of rapid transformation driven by technological advancements, the integration of driving simulators stands out as an important tool for research and development. The usage of such simulators offers a controlled environment for studying driver behavior; the alignment of data, however, remains a complex aspect that warrants a thorough investigation. This research investigates driver state classification using a dataset obtained from real-road and simulated conditions, recorded through JINS MEME ES_R smart glasses. The data set encompasses electrooculography signals, with a focus on standardizing and processing data for subsequent analysis. For this purpose, we used a recurrent neural network model, which yielded a high accuracy on the testing dataset (86.5%). The findings of this study indicate that the proposed methodology could be used in real scenarios and that it could be used for the development of intelligent transportation systems and driver monitoring technology.

Prior research has extensively examined the relationship between religion and accrual-based earnings management. However, there is currently little research in the relationship between religion and real (non-accrual) earnings management, especially in Europe. This paper aims to fill this research gap and examines whether and how the effect of religion could be linked with firms’ real earnings management activities. Four hypotheses are developed and tested with our results providing indications that the degree of overall religiosity is negatively and significantly associated with real earnings management. Furthermore, when investigating the effects of different religions in Europe, Christianity and Islam have the opposite impact on firms’ real earnings management activities. Overall, our paper indicates that in European countries, the religious environment can mitigate firms’ manipulations on earnings.

Acute myeloid leukemia (AML) is a hematological malignancy that predominantly affects the elderly. Prognosis declines with age. For those who cannot tolerate intensive chemotherapy, historically established treatment options have been hypomethylating agents (HMAs), low dose cytarabine (LDAC), and best supportive care (BSC). As the standard of care evolves for those unfit for intensive chemotherapy, there is a need to understand established treatment pathways, clinical outcomes and healthcare resource utilization in Canada. The CURRENT study was a retrospective chart review of AML patients not eligible for intensive chemotherapy who initiated first-line treatment between 1 January 2015 and 31 December 2018. Data were collected from 170 Canadian patients treated at six hematology centers, of whom 118 received systemic therapy and 52 received BSC as first-line treatment. Median overall survival was 8.58 months and varied from 2.96 months for BSC to 13.31 months for HMAs. Over 80% of patients had at least one outpatient visit, and 67% of patients receiving systemic therapy and 71% of those receiving BSC had at least one admission to hospital, during their first line of therapy. A total of 96 (81.4%) patients receiving first line systemic therapy and 39 (75.0%) of those receiving first line BSC had at least one red blood cell or platelet transfusion. These findings highlight the unmet need for novel therapies for patients ineligible for intensive chemotherapy.

Background: Observational health data has the potential to be a rich resource to inform clinical practice and regulatory decision making. However, the lack of standard data quality processes makes it difficult to know if these data are research ready. The EHDEN COVID-19 Rapid Col-laboration Call presented the opportunity to assess how the newly developed open-source tool Data Quality Dashboard (DQD) informs the quality of data in a federated network. Methods: 15 Data Partners (DPs) from 10 different countries worked with the EHDEN taskforce to map their data to the OMOP CDM. Throughout the process at least two DQD results were collected and compared for each DP. Results: All DPs showed an improvement in their data quality between the first and last run of the DQD. The DQD excelled at helping DPs identify and fix conformance is-sues but showed less of an impact on completeness and plausibility checks. Conclusions: This is the first study to apply the DQD on multiple, disparate databases across a network. While study-specific checks should still be run, we recommend that all data holders converting their data to the OMOP CDM use the DQD as it ensures conformance to the model specifications and that a database meets a baseline level of completeness and plausibility for use in research.

The aim is to evaluate a program for direct oral anticoagulants (DOACs) management in nonvalvular atrial fibrillation (NVAF) patients, according to patient profiles, appropriateness of dosing, patterns of crossover, effectiveness and safety. This is an observational and longitudinal retrospective study in a cohort of patients attended in daily clinical practice in a single regional hospital in Spain with a systematic follow-up plan for up to 3 years for patients initiating dabigatran, rivaroxaban or apixaban between JAN/2012-DEC/2016. We analyzed 490 episodes of treatment (apixaban 2.5 mg: 9.4%, apixaban 5 mg: 21.4%, dabigatran 75 mg: 0.6%, dabigatran 110 mg: 12,4%, dabigatran 150 mg: 19.8%, rivaroxaban 15 mg: 17.8% and rivaroxaban 20 mg: 18.6%) in 445 patients. 13.6% of patients on dabigatran, 9.7% on rivaroxaban, and 3.9% on apixaban, switched to other DOACs or changed dosing. Apixaban was the most frequent DOAC switched to. The most frequent reasons for switching were toxicity (23.8%), bleeding (21.4%) and renal deterioration (16.7%). Inappropriateness of dose was found in 23.8% of episodes. Patients taking apixaban 2.5 mg were older, had higher CHA2DS2VASc score and lower creatinine clearance. Patients taking dabigatran 150 mg and rivaroxaban 20 mg were younger, had lower CHA2DS2VASc and higher creatinine clearance. Rates of stroke/transient ischemic attack (TIA) were 1.64/0.54 events/100 patients-years, while rates of major, clinically relevant non-major (CRNM) bleeding and intracranial bleeding where 2.4, 5, and 0.5 events/100 patients-years. Gastrointestinal and genitourinary bleeding were the most common type of bleeding events (BE). On multivariable analysis, prior stroke (RR: 4.2; CI: 1.5-11.8; p=0.006) and age (RR: 1.2; CI: 1.1-1.4; p=0.006) were independent predictors of stroke/TIA. Concurrent platelet inhibitors (RR: 7.1; CI: 2.3-21.8; p=0.001), male gender (RR: 2.1; CI: 1.2-3.7; p=0.0012) and age (RR: 1.1; CI: 1.02-1.13; p=0.005) were independent predictors of BE. This study complements the scant data available on the use of DOACs in NVAF patients in Spain, confirming a good safety and effectiveness profile

Real estate industry is related to the national economy and people's livelihood，characterized by a high degree of financial intensity. The enterprises in this industry need certain financial ability and large shareholder controlling ability to support their survival. However，due to the multiple adverse impacts of current state policies，banks and private capital，the credit crunch，the sudden decrease in withdrawn funds and the limitation of internal financing，the problem of capital restraint of real estate enterprises has become more and more serious. From the perspective of corporate governance，this paper studies the interaction among financial constraints，ownership concentration and corporate performance under different shareholding states by analyzing the quantitative characteristics of equity structure，and looks for the appropriate range of the largest shareholder holding ratio，which has considered the financial performance and risk. It is found that raising the ownership concentration can effectively ease the financing constraints and improve the performance of enterprises，both of which are significant under the state of high ownership concentration， while the financial constraints play a significant intermediary effect under the State of absolute holding， while in the decentralized state of ownership，there is a significant regulatory effect，and the interaction of the three will be different due to the size of the enterprise.

We explore the field equations in a 4-d complex space-time, in the same way, that general relativity does for our usual 4-d real space-time, forming this way, a new "general relativity" in C⁴ space-time, free of sources. Afterwards, by embedding our usual 4-d real space-time in C⁴ space-time, we describe geometrically the energy-momentum tensor T_μν as the lost geometric information of this embedding. We further give possible explanation of dark eld and dark energy.

In recent years, the widespread use of drones in daily life and large public events has raised serious safety concerns, especially due to incidents, both intentional and accidental. One of the most important aspects to prevent these risks is the ability to detect and accurately predict the distance of UAVs (Unmanned Aerial Vehicles) from people and restricted areas. One of the pressing issues is to develop systems to monitor their flights in restricted areas and predict suspicious movements in cases where suspicious drone flights are detected, which may be launched for video reconnaissance and information theft purposes. The advancement of acoustic-based recognition systems is growing with the development of deep learning. This study explores deep learning model architectures for the task of predicting UAV distances based on their flight sounds. The objective of this study is to determine whether sound-based classification can effectively predict drone movements at different distances from acoustic sensor points as they move from one area to another. Our experimental tests tried to predict the movement of UAVs based on the classification into 3 main zones. The results showed that drone sounds could be reliably detected in the movements between zones with an average recognition accuracy of 90 % using the hybrid CNN-BiLSTM model. Moreover, the implementation of such advanced acoustic sensor systems for UAV detection can improve the accuracy of real-time prediction, especially when integrated into a multimodal system with multi-sensor fusion methods.

The domain of construction engineering and management is evolving rapidly. Optimizing resource positioning is crucial for meeting the challenges of efficiency and productivity. This research presents a novel methodology that incorporates Agent-Based Modeling (ABM), Building Information Modeling (BIM), and Bluetooth Low Energy (BLE) technologies, augmented with a Client Early Warning System (CEWS) and a Decision Support System (DSS). What makes this study unique is that it provides a real-time methodology for resource allocation and project management, tailored to address the complexities of modern construction projects. The application of this integrated technological framework marks a significant leap in construction management, empowering data-driven decision-making and significantly improving project efficiency. Empirically validated through a case study at Helwan University's College of Engineering and substantiated by expert surveys, this research showcases a transformative model for resource management. The findings not only underscore the practical applicability of this approach but also open new horizons for its adoption in global construction practices, offering insights for future research endeavors focused on expanding these methodologies to a wider range of resources.

Remotely Piloted Aircraft Systems (RPAS) are increasingly becoming relevant actors flying through the airspace and will assume much more importance in the future perspective. In order to allow their safe integration with manned conventional traffic in non-segregated airspaces, in accordance with the overall Air Traffic Management (ATM) paradigm, specific enabling technologies are needed. As well known, among the enabling technologies identified as crucial for RPAS integration into the overall ATM system, the Detect and Avoid (DAA) technology is fundamental. In the meantime, to support extended surveillance, the universal introduction on-board of aircraft of cooperative Automatic Dependent Surveillance – Broadcast (ADS-B) is increasingly implemented, having the potential to allow coverage of the whole airspace also in remote areas not usually covered by conventional radar surveillance. In this paper, the experimental results are presented and discussed that have been obtained through the real-time validation, with hardware and human in the loop (RTS-HIL) simulations, of an automatic ADS-B based Separation Assurance and Collision Avoidance System aimed to support RPAS automatic operations as well as remote pilot decision making. In the paper, after an introductory outline of the Concept of Operations (ConOps) of the system and of its architectural organization, while also providing basic information about the main system functionalities, the description is reported of the tests that have been carried out and the obtained results are described and discussed, in order to emphasize the performances and limitations of the proposed system. In particular, not only the quantitative performances obtained are reported and commented but also the feedbacks received by the pilots in order to improve the system are described, for instance in terms of preferred typology of conflict resolution manoeuver elaborated by the system.

How to build an optimal model where three terms “time, causality, and entropy” will be interrelated in a most correct way? This task has a semantic and physical aspect. We give in this article the solution that is based only on elementary perception. In physics, we experience time with our senses as the duration of material change running in space. This fact is the standpoint for our model where causality is only a principle, it is not a physical actuality and entropy runs only in space and not in time. Time is merely a duration of entropy increasing and is entering existence when measured by the observer.

Taking into account the growing interest in microalgae to be used as raw material for biodiesel production, this research is aimed at analyzing the rheological behaviour of microalgae suspensions (Chlorella sp) at different culture times under eight different conditions (temperature, salinity and CO₂, NO₃ and PO₄ levels) in order to estimate the energy demands of each step, with the purpose of optimizing a continuous feed tubular bioreactor construction. For each condition, it was calculated the biomass and oil yields, so as to correlate these results with rheological parameters. The suspension results indicated that the microalgae Chlorella sp is a non-Newtonian material with dilatant characteristics; the processing time hardly exerted an influence on the rheograms of the suspension of the microalgae Chlorella sp, except for the simultaneous conditions of low salinity and low CO₂ content; NO₃ and PO₄ contents and the amount of supplements influenced the rheological parameters of the suspension of the microalgae Chlorella sp, when in low concentration of CO₂ and low salinity levels.

The paper suggests that the physical priciple of special relativity's space-time transformation effect is wrong, Uniform linear motion without acceleration does not exist objectively, nor does its same reference frames. Therefore, it is inferred that the space-time transformation effect of special relativity is caused by the acceleration of moving objects, special relativity is only a part of general relativity, not a theoretical system that exists independently from general relativity. The corresponding mathematical demonstration and calculation verification are carried out, and the result proves that the inference of the paper is correct. At the same time, it further explains that the concept of absolute airspace is correct. Special relativity has serious errors in the concept of space, the principle of relativity and the physical principle of space-time transformation effect. Therefore, it is necessary to make a series of revisions to the theory of relativity and to reinterpret some related physical problems.

Reservoir routing has been a routine procedure in hydrology, hydraulics and water management. It is typically based on the mass balance (continuity equation) and a conceptual equation relating storage and outflow. If the latter is linear, then there exists an analytical solution of the resulting differential equation, which can directly be utilized to find the outflow from known inflow, and to obtain macroscopic characteristics of the process, such as response and residence times, and their distribution functions. Here we streamline the reservoir routing framework and extend it to find approximate solutions for nonlinear cases. The proposed framework can also be useful for climatic tasks, such as describing the mass balance of atmospheric carbon dioxide and determining characteristic residence times, which have been an issue of controversy. Application of the theoretical framework results in excellent agreement with real world data. In this manner, we easily quantify the atmospheric carbon exchanges, and obtain reliable and intuitive results, without the need to resort to complex climate models. The mean residence time of atmospheric carbon dioxide turns out to be no more than four years and the response time is smaller than that, thus opposing the much longer mainstream estimates.

An exposition is undertaken to reveal the significant impact of the time-dependent root parameter, on the stability of Pointwise Stationary Fluid Flow Approximation (PSFFA) model of the non-stationary queueing system. This opens new grounds to stability analysis of non-stationary queueing systems. Potential PSFFA applications of IoT are highlighted.

As urban populations continue to grow, efficient traffic management becomes paramount in reducing congestion, enhancing air quality, and improving overall quality of life. This study addresses the critical issue of intersection efficiency through the implementation of smart green time allocation strategies at a signalized intersection equipped with two LiDAR sensors. This research aims to investigate optimal green time allocations provided by two LiDAR sensors and analyze the LiDAR results by microsimulation in AIMSUN. The research first introduces the concept of LiDAR-equipped signalized intersections and their potential to enhance traffic control precision. Two LiDAR sensors are strategically placed at the intersection of Marlboro Pike and Brooks Dr. in Coral Hills, MD, USA to capture real-time data on vehicle and pedestrian movements. The data are then processed to generate accurate and dynamic traffic profiles, ensuring the responsiveness of the green time allocation system to varying traffic conditions.The heart of this study lies in the integration of AIMSUN microsimulation with LiDAR data. Through meticulous modeling and simulation, the research explores the optimal green allocation at morning, mid-day, and afternoon peak hours’ scenarios to comprehensively assess the impact of LiDAR-enabled dynamic signal control. The findings demonstrate that smart green time allocation, informed by real-time LiDAR data and implemented through AIMSUN microsimulation, significantly enhances intersection efficiency. By adapting signal timings to real-time traffic demands, congestion, travel times, and emissions are reduced. Furthermore, this research highlighted that the optimal green time allocation in morning, mid-day, and afternoon peak hour intervals can improve the delay time by 55.3%, 59.7%, and 55.6%, respectively.In conclusion, this paper sheds light on the potential of LiDAR technology to transform intersection management. Through a case study involving two LiDAR sensors and AIMSUN microsimulation, it reveals the tangible benefits of dynamic signal control in enhancing intersection efficiency and creating more sustainable urban environments. These findings are pivotal in advancing the discourse on modern urban traffic management and promoting data-driven solutions for the challenges of today's cities.

Traffic signal control plays a key role in managing urban traffic flow, enhancing safety, and minimizing congestion and conflicts. Effective green time allocation is a critical element of this control process. This research explores the utilization of LiDAR sensor technology in the optimization of green time allocation for one phase of a traffic signal at a signalized intersection. LiDAR sensors provide precise and real-time data on vehicle presence and traffic patterns, enabling a data-driven approach to traffic signal control. The study begins with an analysis of the limitations of traditional traffic signal control strategies, which often rely on fixed-time plans or rudimentary vehicle detection systems. These approaches can lead to suboptimal green time allocation, resulting in inefficient traffic management and increased vehicle delays.The integration of LiDAR sensors provides detailed information on vehicle queues, arrival rates, and vehicle types. The research presents a practical framework for green time allocation optimization, considering factors such as intersection geometry, traffic volumes, and signal coordination. An intelligent control algorithm was developed that uses LiDAR data to determine the optimal green time for a specific phase, thereby reducing unnecessary waiting times and enhancing intersection efficiency. The effectiveness of the proposed LiDAR-based green time allocation strategy is demonstrated through extensive field tests. The results indicate significant improvements in intersection throughput, reduced delays, and enhanced traffic safety. In conclusion, this research highlights the transformative potential of LiDAR sensor technology in traffic signal control, specifically in the context of optimizing green time allocation. The findings support the notion that adaptive and data-driven strategies, when integrated with LiDAR sensors, can contribute to more efficient, sustainable, and safe urban traffic management. This research aims to provide valuable insights for transportation engineers, policymakers, and researchers seeking innovative solutions for modern urban traffic control.

Time series data are significant and are derived from temporal data, which involve real numbers representing values collected regularly over time. Time series have a great impact on many types of data. However, time series have anomalies. We introduce hybrid algorithm named novel matrix profile (NMP) to solve the all-pairs similarity search problem for time series data. The proposed NMP inherits the features from two state-of-the art algorithms: similarity time-series automatic multivariate prediction (STAMP), and short text online microblogging protocol (STOMP). The proposed algorithm caches the output in an easy-to-access fashion for single- and multidimensional data. The proposed NMP algorithm can be used on large data sets and generates approximate solutions of high quality in a reasonable time. The proposed NMP can also handle several data mining tasks. It is implemented on a Python platform. To determine its effectiveness, it is compared with the state-of-the-art matrix profile algorithms i.e., STAMP and STOMP. The results confirm that the proposed NMP provides higher accuracy than the compared algorithms.

The futures market plays a significant role in hedging and speculating by investors. Although various models and instruments are developed for real-time trading, it is difficult to realize profit by processing and trading a vast amount of real-time data. This study proposes a real-time index futures trading strategy that uses the pattern of KOSPI 200 index futures time series data. We construct a pattern matching trading system (PMTS) based on a dynamic time warping algorithm that recognizes patterns of market data movement in the morning and determines the afternoon's clearing strategy. We adopt 13 and 27 representative patterns and conduct simulations with various ranges of parameters to find optimal ones. Our experimental results show that the PMTS provides stable and effective trading strategies with relatively low trading frequencies. Investor communities that have sustained financial markets are able to make more efficient investments by using the PMTS. In this sense, the system developed in this paper is a sustainable investment technique and helps financial markets achieve efficient sustainability.

Markov chain Monte Carlo sampling propagators, including numerical integrators for stochastic dynamics, are central to the calculation of thermodynamic quantities and determination of structure for molecular systems. Efficiency is paramount, and to a great extent, this is determined by the integrated autocorrelation time (IAcT). This quantity varies depending on the observable that is being estimated. It is suggested that it is the maximum of the IAcT over all observables that is the relevant metric. Reviewed here is a method for estimating this quantity. For reversible propagators (which are those that satisfy detailed balance), the maximum IAcT is determined by the spectral gap in the forward transfer operator, but for irreversible propagators, the maximum IAcT can be far less than or greater than what might be inferred from the spectral gap. This is consistent with recent theoretical results (not to mention past practical experience) suggesting that irreversible propagators generally perform better if not much better than reversible ones. Typical irreversible propagators involve a parameter controlling the mix of ballistic and diffusive movement. To gain insight into the effect of the damping parameter for Langevin dynamics, its optimal value is obtained here for a multidimensional quadratic potential energy function.

The exact solutions in the wave form are derived for the time fractional KdV and the time fractional Burgers' equations in conformable fractional derivative sense. The fractional variable change using the fundamental properties of the conformable derivative reduces both equations to some nonlinear ODEs. The predicted solution is assumed to be a finite series form of a function satisfying a particular first-order ODE whose solution contains an exponential function in the denominator. The solutions are represented in the explicit forms and illustrated by some choices of the parameters for various fractional orders of the equations.

This article aims to carry out experiments on water absorption by husked red rice, at constant temperatures of 28, 40 and 50 °C. The description of the absorption kinetics, as well as the analyses of water distribution and volumetric expansion of each grain, at a given instant, was done using a diffusion model. In order for the model to be as close as possible to the real physical situation, the mesh necessary to numerically solve the diffusion equation was generated from the photograph of a grain. Thus, the diffusion equation was written in Boundary-Fitted Coordinates (BFC). The solution of the diffusion equation written in generalized coordinates was then discretized in space and time, using the Finite Volume method, with a fully implicit formulation, considering variable volume and also variable mass diffusivity as a function of local moisture content. Optimizations based on Levenberg-Marquardt algorithm make it possible to determine the parameters of an exponential function relating mass diffusivity and the local moisture content for each temperature. Statistical indicators (chi-square, determination coefficient and Student’s t-test) allowed concluding that the model proposed was very satisfactory for all temperatures, making it possible to simulate water absorption, water distribution and volumetric expansion of the grain over time.

The higher education sector in Africa has experienced remarkable growth over the past decades, enrolling and graduating millions of students annually. Despite this progress, high unemployment rates among graduates and pervasive underdevelopment have raised questions about the relevance of higher education in Africa. Critics have intensely scrutinized the quality of curricula, highlighting a significant mismatch between the skills offered and the demands of the job market. This disconnect is often due to curricula that are unresponsive to both job requirements and students' needs. Enhanced pedagogical approaches are essential to address this issue. Community engagement and service learning (CE&SL) offer promising solutions by bridging the gap between theoretical knowledge and practical application. Recognizing the potential benefits, higher education institutions across the continent are gradually integrating CE and SL into their teaching and research frameworks. However, the adoption of these approaches has been slow. This paper explores the opportunities and challenges hindering the effective and widespread implementation of CE and SL in African higher education institutions and proposes practical strategies to overcome these obstacles. By embracing these innovative approaches, African universities can better prepare graduates for the dynamic job market and contribute more effectively to the continent's development.

Results from the phase III Keynote-024 clinical trial have established Pembrolizumab monotherapy as the first-line standard of care for patients with metastatic NSCLC who have PD-L1 expression ≥ 50%, EGFR and ALK wild-type. However, given the differences between patients treated in routine clinical practice and within a clinical trial, real-world data are needed to confirm the treatment benefit in standard practice. Given the lack of data on large cohorts of patients with long follow-up, we designed a retrospective observational study of patients with NSCLC who were treated with Pembrolizumab, starting from its reimbursement eligibility until December 2020. The primary endpoints were to assess PFS and OS using the Kaplan-Meier method, treatment response and safety. We followed 880 patients (median follow-up: 35.1 months) until February 2022. Median PFS and OS were 8.6 months (95% CI: 7.6-10.0) and 25.5 months (95% CI: 21.8-31.6), respectively. We also found that ECOG PS, PD-L1 expression and smoking habit were prognostic factors for PFS, while age, sex, ECOG PS, smoking habit and histology had an impact on OS. Multivariable analysis confirms prognostic role of PD-L1 for PFS and ECOG for both PFS and OS. 39.9% of patients reported an adverse event, but only 6.3% of patients discontinued therapy due to toxicity. Our results suggest a long-term benefit of Pembrolizumab in the first-line setting as well as a safety profile consistent with the results of Keynote-042. Many collected variables appear to influence clinical outcome, but results from these exploratory unadjusted analyses should be interpreted with caution.

Authentic learning opportunities that simulate full scale design and construction experiences using real materials offer ideal experiential learning environments for construction and civil engineering students by challenging students to apply building concepts in practical settings. However, the excessive cost of real building materials required for this mode of education limits access to the vast majority of students. As a result, educational researchers have explored potential alternatives to provide cost-effective experiential learning through activities using mock-up materials (e.g., plastic straws, popsicle sticks) and simulation of experiences using immersive technologies (e.g., virtual reality or augmented reality). While some of these alternatives approximate the environment and others provide physical interaction with mock-up materials, the lack of authenticity in the building materials used introduces some apparent differences between the “authentic” learning environments and their cost-effective approximations. Therefore, this research aims to identify the learning processes reported by students and faculty who participated in authentic learning experiences to understand the ways in which this mode of education offers unique value to construction education. Their interview responses illustrated characteristics of authentic learning experiences that were believed to be critical to the learning process, some of which included: working in groups; interdisciplinary participants; and use of real construction materials. Although some of these characteristics are intrinsically linked to the use of real materials, others do not explicitly refer to interaction with real materials. This may indicate to aspects of the authentic learning processes that educational researchers can strategically target through more cost-effective learning environments like virtual and augmented reality. The contribution of this paper is in identifying the characteristics of authentic learning experiences that may guide educational investment and research innovations that aim to replicate some of these learning experiences through more accessible learning environments.

Despite the shift to private sector-driven affordable housing in Nigeria for decades, the housing deficit has continued to increase to the disadvantage of low-income families. This paper explores the enabling strategies for stimulating private-driven affordable housing in Nigeria. A case study of the Millard Fuller Foundation projects was undertaken and semi structured interviews were administered to 12 residents of the estates and the developer to explore their experience and highlight the considerations for designing appropriate strategies. The data generated was analysed using thematic analysis with the support of Nvivo. The study identifies four major components of construction costs- land, design, materials, and finance that policy improvement can target to stimulate private investment. It shows that developers are likely to adopt practices that will reduce these costs with repercussions for end-users. Mindful of this, and the concern to make returns on investment, strategies should aim to harmonise both developers’ interest and that of the end-users through widespread infrastructural development to make land available in all locations, and incremental owner-building approach so that end users can take decisions for their housing. Furthermore, access to the National Housing Fund (NHF) mortgages should be enhanced by recognising supplementary incomes in the loan origination procedures

In recent years, unquestionable warnings like the negative impacts of CO2 emissions, the necessity of utilizing sustainable energy sources, and the rising demand for municipal electrification have been issued. In this study, by incorporating two significant assumptions, such as electricity production in close proximity to the business location and only renewable energy resource usage, a modest off-grid hybrid energy system is designed. To construct the system, a number of elements such as wind generators (WG), photovoltaic arrays (PV), battery banks, and bi-directional converters are taken into account. Moreover, a real case in Malmö, Sweden, is considered. To optimize the system, a bi-objective problem is developed, and it is solved by proposing a particle swarm optimization (PSO) approach to provide the load requirements (with a maximum allowance of 0.1% unmet) for a nearby supermarket (approximately 1000 m2). Moreover, to verify the obtained results, the developed system is simulated using HOMER Pro software, and the results are compared and discussed. The contribution of this study is to provide off-grid or local clients around the world with a dependable and affordable option by minimizing both the baseline cost of energy and the net current expenditure in the desired system. The best-obtained results by the proposed PSO offered 160 PVs, 5 WGs, and 350 batteries, respectively, while the best solution found by the simulation method was using 384 PVs, 5 WGs, and 189 batteries for the considered off-grid system.

In this work, a high throughput nanozymatic method was developed for green nanozyme-mediated biodegradation of organic dyes in real water media. The nanozymes were synthesized and characterized for their size and morphology by TEM and DLS analysis. The nanozymatic properties of the as-prepared nanomaterials were evaluated by standard enzyme activity assay, revealing high peroxidase-like performances for the as-prepared nanozymes. Therefore, for exploring more precise, the kinetics behavior of the as-prepared nanozymes was evaluated by the standard Lineweaver-Burk method, revealing a V_max as high as 0.263 µM sec^-1 and a K_m as low as 0.03 mM, revealing high catalytic efficiency and affinity of the as-prepared nanozymes. Hence, the as-prepared nanozymes were utilized for organic dye degradation in real water media using methylene blue as a model organic dye. The effective factors on the dye degradation including pH, ionic strength, degradation time, nanozyme amount, etc. were optimized by the one-factor-at-a-time optimization method. At optimal experimental conditions, the as-prepared nanozymes can degrade about 99.0% of the organic dye within a degradation time as low as 7 min. The developed method was finally employed for the nanozyme-mediated degradation of methylene blue from real water media such as pool, mineral, river, and tap water samples. The results of this study revealed an excellent biodegradation yield of over 94.3%-99.0% for the different real samples, proving the suitability of the developed method for dye degradation in real water media.

Considering the significant advancements in autonomous vehicle technology, research in this field is of interest to researchers. To drive vehicles autonomously, controlling steer angle, gas hatch, and brakes need to be learned. The behavioral cloning method is used to imitate humans’ driving behavior. We created a dataset of driving in different routes and conditions and using the designed model, the output used for controlling the vehicle is obtained. In this paper, the Learning of Self-driving Vehicles Based on Real Driving Behavior Using Deep Neural Network Techniques (LSV-DNN) is proposed. We designed a convolutional network which uses the real driving data obtained through the vehicle’s camera and computer. The response of the driver is during driving is recorded in different situations and by converting the real driver’s driving video to images and transferring the data to an excel file, obstacle detection is carried out with the best accuracy and speed using the Yolo algorithm version 3. This way, the network learns the response of the driver to obstacles in different locations and the network is trained with the Yolo algorithm version 3 and the output of obstacle detection. Then, it outputs the steer angle and amount of brake, gas, and vehicle acceleration. The LSV-DNN is evaluated here via extensive simulations carried out in Python and TensorFlow environment. We evaluated the network error using the loss function. By comparing other methods which were conducted on the simulator’s data, we obtained good performance results for the designed network on the data from KITTI benchmark, the data collected using a private vehicle, and the data we collected.

In cognitive radio systems, identifying spectrum opportunities is fundamental to efficiently use the spectrum. Spectrum occupancy prediction is a convenient way of revealing opportunities based on previous occupancies. Studies have demonstrated that usage of the spectrum has a high correlation over multidimensions which includes time, frequency, and space. Accordingly, recent literature uses tensor-based methods to exploit the multidimensional spectrum correlation. However, these methods share two main drawbacks. First, they are computationally complex. Second, they need to re-train the overall model when no information is received from any base station for any reason. Different than the existing works, this paper proposes a method for dividing the multidimensional correlation exploitation problem into a set of smaller sub-problems. This division is achieved through composite two-dimensional (2D)-long short-term memory (LSTM) models. Extensive experimental results reveal a high detection performance with more robustness and less complexity attained by the proposed method. The real-world measurements provided by one of the leading mobile network operators in Turkey validate these results.

Smart living, a concept that has gained increasing attention in recent years, revolves around integrating advanced technologies in homes and cities to enhance the quality of life for citizens. Sensing and human action recognition are crucial aspects of this concept. Smart living applications span various domains, such as energy consumption, healthcare, transportation, and education, which greatly benefit from effective human action recognition. This field, originating from computer vision, seeks to recognize human actions and activities using not only visual data but also many other sensor modalities. This paper comprehensively reviews the literature on human action recognition in smart living environments, synthesizing the main contributions, challenges, and future research directions. This review selects five key domains: Sensing Technology, Multimodality, Real-time Processing, Interoperability, and Resource-Constrained Processing, as they encompass the critical aspects required for successfully deploying human action recognition in smart living. These domains highlight the essential role that sensing and human action recognition play in successfully developing and implementing smart living solutions. This paper serves as a valuable resource for researchers and practitioners seeking to explore further and advance the field of human action recognition in smart living.

The continuous flowing spacetime forms a spacetime group G, one of its fundamental groups is the Poincare group PO(1,3), and the matter and interaction fields are representations of its intrinsic spacetime group. As a kind of quantized space-time unit, space-time group elements generate both space-time manifolds and matter. Matter and fields are aggregates of the quantum space-time within them and determine their type: the Lorentz group SO(1,3) represents a rotating spacetime corresponding to visible matter and the translation group P^1,3 represents a translational spacetime corresponding to dark matter and dark energy. The aggregation mode of space-time degrees of freedom in matter reveals that charge conjugation symmetry is the inverse symmetry of internal time of charged particles, and the external parity breaking of neutrinos is also due to their internal spatial aggregation mode.

The Sine-Gordon expansion method is implemented to construct exact solutions some conformable time fractional equations in Regularized Long Wave(RLW)-class. Compatible wave transform reduces the governing equation to classical ordinary differential equation. The homogeneous balance procedure gives the order of the predicted polynomial-type solution that is inspired from well-known Sine-Gordon equation. The substitution of this solution follows the previous step. Equating the coefficients of the powers of predicted solution leads a system of algebraic equations. The solution of resultant system for coefficients gives the necessary relations among the parameters and the coefficients to be able construct the solutions. Some solutions are simulated for some particular choices of parameters.

This paper presents the five-parameter Exponentiated Weibull Weibull (EWW) distribution with Weibull base failure rate parameterization, developed to model the dropout times of students in an online class module. Parameters of the model were estimated using both Maximum Likelihood and Bayesian estimation procedures to determine the most effective estimation method. Simulation results indicate that, across various hazard types and censoring levels, Bayesian estimates are more accurate and precise than Maximum Likelihood estimates. Real-life data analysis of online students module presentation supports these findings, showing significantly lower standard deviations for Bayesian estimates compared to Maximum Likelihood estimates, highlighting the efficiency of Bayesian estimation for the EWW distribution. Additionally, a comparative goodness-of-fit analysis demonstrated that the EWW distribution better fits the student dropout times dataset than Weibull Weibull (WW), Weibull Exponential (WE), and Exponential Weibull (EW) distributions. The median dropout time estimated using the EWW distribution is 24 days, suggesting that instructors should closely monitor student attendance around this period.

This study investigates the fixed-time consensus-based attitude control problem for large telescope on-orbit construction subject to discrete-time communication, unknown tiny disturbance torque, model uncertainty, and actuator saturation under an undirected communication graph. Motivated by the need to save wireless communication resources, the communication scheme was designed to exploit interference, which can save communication resources in proportion to the number of modular unit mirrors. Then, a fixed-time observer with discrete-time communication was proposed, which also handles the unknown channel attenuation problem when exploiting information interference. Moreover, based on the backstepping procedure and the suitably defined adaptive compensation law, the fixed-time attitude consensus control law was proposed to handle unknown tiny disturbance torque, model uncertainty, and actuator saturation. Finally, comparative simulation results were provided to verify the effectiveness of the fixed-time observer and proposed fixed-time control law.

Heart sounds and murmurprovidecrucial diagnosis information for valvular heart diseases (VHD). Phonocardiogram (PCG) combined with modern digital processing techniques, provides a complementary tool for clinicians. This article proposes a benchmark different time-frequency representations, which are spectogram, mel-spectogram and cochleagram for obtaining images, in addition to the use of two interpolation techniques to improve the quality of the images, which are Bicubic and Lanczos. Deep features are extracted from a pre-trained model called VGG16 and for feature reduction the Boruta algorithm is applied. To evaluate the models and obtain more precise results, nested cross-validation is used. The best results achieved in this study were for coclegram with 99.2% accuracy and mel-spectogram representation with the bicubic interpolation technique which reached 99.4% accuracy, both having support vector machine (SVM) as classifier 10 algorithm. Overall, this study highlights the potential of time-frequency representations of PCG 11 signals combined with modern digital processing techniques and machine learning algorithms for 12 accurate diagnosis of VHD.

Background: Digital health significantly affects healthcare delivery. Moreover, empirical studies on the utilization of telehealth in Dubai are limited. Accordingly, this study examines the utilization of telehealth services in Dubai Health Authority (DHA) facilities and the factors associated with telehealth appointment completion and turnaround time. Methods: This cross-sectional study examines patients who used telehealth services in DHA from 2020 through 2021 using 241,822 records. A binary logistic regression model was constructed to investigate the association between appointment turnaround time as a dependent variable and patient and visit characteristics as independent variables. Results: Of the total scheduled telehealth visits, more than three-quarter (78.55%) were completed. Older patients, non-Emiratis, patients who had their visits in 2020, patients who had video visits, and those who sought family medicine as a specialty had a shorter turn-around time to receive their appointment. Conclusions: This study identifies several characteristics associated with the turn-around time. Moreover, technological improvements focusing on specialties that can readily be addressed through telehealth and further research in this domain will improve service provision and support building an evidence base.

The principal aim of a spectral observer is twofold: the reconstruction of a signal of time via state estimation and the decomposition of such a signal into the frequencies that make it up. A spectral observer can be catalogued as an online algorithm for time-frequency analysis because is a method that can compute on the fly the Fourier transform (FT) of a signal, without having the entire signal available from the start. In this regard, this paper presents a novel spectral observer with an adjustable constant gain for reconstructing a given signal by means of the recursive identification of the coefficients of a Fourier series. The reconstruction or estimation of a signal in the context of this work means to find the coefficients of a linear combination of sines a cosines that fits a signal such that it can be reproduced. The design procedure of the spectral observer is presented along with the following applications: (1) the reconstruction of a simple periodical signal, (2) the approximation of both a square and a triangular signal, (3) the edge detection in signals by using the Fourier coefficients, (4) the fitting of the historical Bitcoin market data from 2014-12-01 to 2018-01-08 and (5) the estimation of a input force acting upon a Duffing oscillator. To round out this paper, we present a detailed discussion about the results of the applications as well as a comparative analysis of the proposed spectral observer vis-à-vis the Short Time Fourier Transform (STFT), which is a well-known method for time-frequency analysis.

Thrombin (factor IIa) and factor Xa (FXa) are key enzymes at the junction of the intrinsic and extrinsic coagulation pathways and are the most attractive pharmacological targets for the development of novel anticoagulants. Twenty non-amidino N²-thiophencarbonyl- and N²-tosyl anthranilamides 1-20 and six amidino N²-thiophencarbonyl- and N²-tosylanthranilamides 21-26 were synthesized and evaluated prothrombin time (PT) and activated partial thromboplastin time (aPTT) using human plasma at concentration 30 μg/mL in vitro. From these results, compounds 5, 9, and 21-23 were selected to study the further antithrombotic activity. The anticoagulant properties of 5, 9, and 21-23 significantly exhibited a concentration-dependent prolongation of in vitro PT and aPTT, in vivo bleeding time, and ex vivo clotting time. These compounds concentration-dependently inhibited the activities of thrombin and FXa and inhibited the generation of thrombin and FXa in human endothelial cells. In addition, data showed that 5, 9, and 21-23 significantly inhibited thrombin catalyzed fibrin polymerization and mouse platelet aggregation and inhibited platelet aggregation induced U46619 in vitro and ex vivo. N-(3'-Amidinophenyl)-2-((thiophen-2''-yl)carbonyl amino)benzamide (21) was most active.

In a recent paper, Nicolas Gisin suggests that by conducting physics with intuitionistic rather than classical mathematics, rich temporality - that is, passage and tense, and specifically, the future’s openness - can be incorporated into physics. Physics based on classical mathematics is tenseless and deterministic, and that, so he holds, renders it incongruent with experience. According to Gisin, physics ought to represent the indeterminate nature of reality, and he proposes that intuitionistic mathematics is the key to succeeding in doing so. While I share his insistence on the reality of passage and tense, and on the future being real and open, I argue that the amendment he offers does not work. I show that, its attunement to time notwithstanding, intuitionistic mathematics is as tenseless as classical mathematics, and that physics is bound to remain tenseless regardless of the math it employs. There is much to learn about tensed time, but the task belongs to phenomenology and not to physics.

The exact solutions of some conformable time fractional PDEs are presented explicitly. The modified Kudryashov method is applied to construct the solutions to the conformable time fractional Regularized Long Wave-Burgers (RLW-Burgers, potential Korteweg-de Vries (KdV) and clannish random walker's parabolic (CRWP) equations. Initially, the predicted solution in the finite series of a rational form of an exponential function is substituted to the ODE generated from the conformable time fractional PDE by using wave transformation. The coefficients used in the finite series are determined by solving the algebraic system derived from the coefficients of the powers of the predicted solution.

This study describes the development of an automated bag valve mask (BVM) compression system, which, during acute shortages and supply chain disruptions can serve as a temporary emergency ventilator. The resuscitation system is based on the Arduino controller with a real-time operating system installed on a largely RepRap 3-D printable parametric component-based structure. The cost of the system is under $170, which makes it affordable for replication by makers around the world. The device provides a controlled breathing mode with tidal volumes from 100 to 800 milliliters, breathing rates from 5 to 40 breaths/minute, and inspiratory-to-expiratory ratio from 1:1 to 1:4. The system is designed for reliability and scalability of measurement circuits through the use of the serial peripheral interface and has the ability to connect additional hardware due to the object-oriented algorithmic approach. Experimental results demonstrate repeatability and accuracy exceeding human capabilities in BVM-based manual ventilation. Future work is necessary to further develop and test the system to make it acceptable for deployment outside of emergencies in clinical environments, however, the nature of the design is such that desired features are relatively easy to add with the test using protocols and parametric design files provided.

Background/Objectives: to analyze the effects of vaccination against SARS-CoV-2 on the incidence, lethality and mortality from COVID-19, in the city of São Paulo, in the period 2020-2022. Methods: this is a population-based time series study, with official public data, relating to the period from 2020 to 2022. The population data were extracted from the Municipal Health Department of São Paulo, according to the geographic division of the Regional Health Coordination (CRS). The Prais-Winsten regression model was used, calculating the percentage variation of daily change (DPC). This procedure made it possible to classify the trend of epidemiological rates as increasing, decreasing or stationary. Results: the city of São Paulo recorded that 17% of its total population was infected at least once by the SARS CoV-2 virus, with a fatal outcome in 0.4% of its total population. When comparing the differences between the CRS, it was observed that the North region had a higher lethality rate at the beginning of the pandemic, decreasing significantly over the period. The Central region, in 2021, showed an increasing trend different from the other regions. Regarding mortality, the North, Center and West coordinators showed decreasing trends in all periods analyzed, unlike the East, Southeast and South coordinators, which in 2020 showed stationary trends. Conclusions: there was a reduction in the epidemiological outcomes of COVID-19 after the mass application of vaccination against SARS-CoV-2. Strategies to increase vaccination coverage should be implemented in all regions of the city of São Paulo, especially in those with high social vulnerability.

This paper introduces the novel concept of Time-Traveling Turing Machines (TTTMs) — Turing Machines with the ability to read symbols that have been explicitly sent from their future computational state. We delve into their properties and behavior, particularly emphasizing the importance of maintaining a self-consistent computational timeline. We present theorems demonstrating the universality of these machines and the challenges in achieving faster computations than traditional Turing Machines.

The 3GPP release 16 integrates TSN functionality into 5G and standardizes various options for TSN time synchronization over 5G such as transparent mode and bridge mode. The time domains for the TSN network and the 5G network are kept separate with an option to synchronize either of the networks to the other. The TSN time synchronization over 5G is possible either by using the IEEE 1588 generalized Precision Time Protocol (gPTP) based on UDP/IP multicast or via IEEE 802.1AS based on Ethernet PDUs. The INET and Simu5G simulation frameworks, which are both based on the OMNeT++ discrete event simulator, are widely used for simulating TSN and 5G networks. The INET framework comprises the 802.1AS based time synchronization mechanism and Simu5G provides the 5G user plane carrying IP PDUs. We modified the 802.1AS based synchronization model of INET so that it works over UDP/IP. With that it is possible to synchronize TSN slaves (connected to 5G UEs), across a 5G network, with a TSN master clock, present within a TSN network, that is connected to the 5G core network. Our simulation results show that 500 microseconds synchronization accuracy can be achieved with the corrected asymmetric propagation delay of uplink and downlink between the gNodeB (gNB) and the User Equipment (UE). Futhermore, the synchronization accuracy can be improved if the delay difference between uplink and downlink is known.

Introduction: The purpose of this study was to determine the normative values of muscles’ contractile properties, lateral symmetry, and the impact of aging on muscle contractility in gymnastics. Materials and Methods: A survey of 81 athletes from different disciplines was undertaken: MAG (n = 26), WAG (n = 28), and RG (n = 27). The athletes’ average age was 15.41 ± 5.03 years. We try to establish the normative values for contraction time (muscle pairs) in gymnastics for Slovenian athletes for ten skeletal muscles. Results: Athletes’ age affects contractility in a negative way. Differences between the duration of contractility and age were found in all disciplines: m. BF (r = 0.48, p < 0.001), m. TB (r = 0.37, p < 0.013), m. ES (r = 0.17, p < 0.025), m. VL (r = 0.36, p < 0.00) and m. VM (r = 0.40, p < 0.000) at a statistical significance of p < 0.05. Conclusions: A comparison between the left and right sides shows little asymmetry in WAG and that the occurrence of injuries is in the middle range. In RG we see a bigger deviation, which could trigger the emergence of pain or injury in m. BF (13%) and m. GL (14.5%), but in MAG the deviation is greater in m. BB (12%), m. BF (11%) and m. GM (13%).

The anomaly detection task is very important in computer science. And there are a lot of anomaly detection methods. Different from some thresholding methods, some unsupervised methods could make us get more accurate and faster result, which is the object of the project. In this paper, I tried to use EWMA and some other methods in two datasets: Webank time consuming indicators dataset and AIOps Challenge dataset. The paper consists nine parts: background of the project, related work, description of algorithms, implementation details, experimental setup and data sets used, experimental results and discussion, future directions, reference and meeting notes.

There is a long standing ‘two times problem’ in that a satisfactory reconciliation between the time of physics and that of psychology has not been realized. A partial solution to the past/present/future phenomenon has been successfully given by the Hartle information gathering and processing system (IGUS) view. That model IGUS robot is enhanced here for the entire ‘two times problem’ to deal with not only the temporal experiences of the flow of time but also those of manifest time. A dualistic robot is proposed which has a veridical system of temporal experiences that are compatible with various spacetime cosmologies. It also has an illusory system of corresponding temporal experiences. This dualistic IGUS robot was made possible by discovering temporal experience within the brain that correspond to those of physics. The dualistic theory suggests that the veridical system, as a result of evolution, begets the illusory system to enhance behavioral adaptation. Thus, there is just one fundamental physical time which the brain does, indeed, possess and then enhances with illusory counterparts. Therefore, there should no longer be a need to reify illusory temporal experiences as modern spacetime cosmologies tend to do. Physical time already resides within human time.

Divergences have become a very useful tool for measuring similarity (or dissimilarity) between probability distributions. Depending on the field of application a more appropriate measure may be necessary. In this paper we introduce a family of divergences we call gamma-divergences. They are based on the convexity property of the functions that generate them. We demonstrate that these divergences verify all the usually required properties, and we extend them to weighted probability distribution. We investigate their properties in the context of kernel theory. Finally, we apply our findings to the analysis of simulated and real time series.

We propose a geographical time-space model extending time-space relief cartography introduced by Mathis and L’Hostis [,,,]. The novelty of the model resides in the use of cones to describe the terrestrial surface instead of graph faces, and in the use of curves instead of broken segments for edges. The approach lies a the intersection of two domains involving graphic representation: cartography, and three dimensional computer graphics. We implement the model on the Chinese space. The Chinese geographical time-space of the reference year 2006 is produced by the combination and the confrontation of the fast air transport system and of the 7.5 times slower road transport system. Slower, short range flights are represented as curved lines above the earth surface with longer length than the geodesic, in order to account for a slower speed. The very steep slope of cones expresses the relative difficulty of crossing terrestrial time-space, as well as the comparably extreme efficiency of long-range flights for moving between cities. Finally, the whole image proposes a coherent representation of the geographical time-space where fast city to city transport is combined with slow terrestrial systems that allow to reach any location.

In this paper, we present a relapse based demonstrating way to deal with investigate various arrangement MTC information. A commonplace use of this displaying approach incorporates three stages: first, define a model that approximates the connection between quality articulation and trial factors, with boundaries consolidated to address the exploration premium; second, utilize least-squares and assessing condition methods to gauge boundaries and their relating standard blunders; third, register test insights, P-qualities and NFD as proportions of factual criticalness. The benefits of this methodology are as per the following. To begin with, it tends to the exploration interest in a particular, precise way, and maximally uses all the information and other important data. Second, it represents both orderly and irregular varieties related with the information, and the consequences of such examination give not just quality explicit data applicable to the exploration objective, yet additionally its dependability, in this way helping agents to settle on better choices for subsequent investigations. Third, this methodology is truly adaptable, and can undoubtedly be stretched out to different sorts of MTC considers or other microarray explores by detailing various models dependent on the test plan of the investigations.

The influence of the film thickness and the substrate’s refractive index on the surface mode at the superstrate is an important study step that may help clearing some of the misunderstandings surrounding their propagation mechanism. A single sub-wavelength slit perforating a thin metallic film is among the simplest nanostructure capable of launching Surface Plasmon Polaritons on its surrounding surface when excited by an incident field. Here, the impact of the substrate and the film thickness on surface waves is investigated. When the thickness of the film is comparable to its skin depth, SPP waves from the substrate penetrate the film and emerge from the superstrate, creating a superposition of two SPP waves, that leads to a beat interference envelope with well-defined loci which are the function of both the drive frequency and the dielectric constant of the substrate/superstrate. As the film thickness is reduced to the SPP’s penetration depth, surface waves from optically denser dielectric/metal interface would dominate, leading to volume plasmons that propagate inside the film at optical frequencies. Interference of periodic volume charge density with the incident field over the film creates charge bundles that are periodic in space and time.

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

Background: Potential calcium-related adverse events of vitamin D supplement use have not been addressed in large-scale, real-world data so far. Methods: Leveraging data from the UK Biobank, encompassing 445,493 individuals aged 40-69, we examined associations of high 25-hydroxyvitamin (25[OH]D) levels ≥100 nmol/L and vitamin D supplementation with hypercalcemia (plasma calcium >2.6 mmol/L), kidney stones, and atherosclerosis assessments (pulse wave arterial stiffness index and carotid intima-medial thickness). Regression models were comprehensively adjusted for 49 covariates. Results: Approximately 1.5% of the participants had high 25(OH)D levels, 4.3% regularly used vitamin D supplements, and 20.4% reported regular multivitamin use. At baseline, the hypercalcemia prevalence was 1.6%, and 1.1% were diagnosed with kidney stones during follow-up. High 25(OH)D levels were neither associated with calcium-related adverse events nor atherosclerosis assessments. Vitamin D and multivitamin supplementation were associated with an increased prevalence of hypercalcemia (odds ratios and 95% confidence intervals: 1.46[1.32-1.62] and 1.11[1.04-1.18], respectively) but were neither associated with atherosclerosis nor future kidney stones. Conclusion: High 25(OH)D levels observable in routine care were not associated with any adverse outcome. Vitamin D users have a slightly higher prevalence of hypercalcemia, possibly due to co-supplementation with calcium, but without higher atherosclerosis prevalence or risk of kidney stones.

Carbapenem-resistant Acinetobacter baumannii (CRAB) infections represent the fourth-leading cause of death attributable to antimicrobial resistance globally, but a standardized therapy is still lacking. In this narrative review we focused the antibiotic treatment of CRAB infections in view of newly β-lactam agents (NBLs) like sulbactam/durlobactam and cefiderocol, discussing the main hot points such as the superiority of combination treatment over monotherapy and the best antibiotic partner to use in combination. Sulbactam/durlobactam seems to be the best candi-date to replace current back-bone agents. Cefiderocol, could play a crucial role in combina-tion-regimen. Due to toxicity and the PK/PD limitations, colistin (or polymyxin B) should be used as an alternative agent (when no other options are available). Tigecycline (or minocycline) and fosfomycin could represent suitable partners for both NBLs. Randomized clinical trials (RCTs) are needed to better evaluate the role of NBLs in CRAB infection treatment and to compare the ef-ficacy of tigecycline and fosfomycin as partner antibiotics. Synergism should be tested between NBLs and “old” drugs (rifampicin and trimethoprim/sulfamethoxazole). Huge efforts should be made to accelerate pre-clinical and clinical studies on safer polymyxin candidates with lung im-proved activity, as well as on the i.v. rifabutin formulation.

Background/Aim: Baricitinib (BAR) is the first oral selective Janus kinase inhibitor approved in Europe for rheumatoid arthritis (RA). Real-world data are still needed to clarify its long-term benefit/risk profile. This study aimed to evaluate the effectiveness, persistence, adherence, and safety of BAR in a real-world setting. Methods: An ambispective study was conducted between October 2017 and December 2021 in RA patients starting BAR. Effectiveness was evaluated by change from baseline in the Disease Activity Score using 28-joint counts-C reactive protein (DAS28CRP), and achievement of low disease activity/remission. Drug persistence was evaluated by Kaplan-Meier analysis. Adherence was estimated by medication possession ratio (MPR) and the 5-item Compliance Questionnaire for Rheumatology. Safety was assessed by global incidence proportion and adjusted incidence rates of adverse events. Results: 61/64 recruited patients were finally analyzed, 83.6% female, 78.7% seropositive, mean age of 58.1 (15.4) years, and disease duration of 13.9 (8.3) years. 32.8% were naïve to biologics and 16.4% received BAR on monotherapy. After a median exposure to BAR of 12.4 (6.6-31.2) months (range 3.1-51.4), a significant change in DAS28CRP was observed (difference -1.2, p=0.000). A total of 70.5% and 60.7% patients achieved low disease activity or remission, respectively and 50.8% (31/61) patients remained on BAR during follow-up with a median persistence of 31.2 (9.3-53.1) months. The average MPR was 0.96 (0.08) and all patients were “good adherents” by questionnaire. 21.3% patients discontinued baricitinib due to toxicity. Conclusion: In our real-world practice, BAR demonstrated effectiveness, large persistence, high adherence to treatment and acceptable safety profile.

Background: Dual disorders (DD) involve the coexistence of substance use disorder (SUD) with another mental illness, often from psychotic and affective categories. This study explores the ef-fectiveness of brexpiprazole, a third-generation antipsychotic, in individuals diagnosed with schizophrenia spectrum disorder (DSM-V) and comorbid AUD/SUD (DSM-V). Methods: Eighteen enrolled patients underwent psychometric assessments at baseline and one month into brexpiprazole treatment administered at a mean dosage of 2 mg/day. Results: Brexpiprazole demonstrated significant reductions in psychopathological burden (PANSS total score, p=0.004), improved CGI total score (p=0.042), and decreased MOAS total score (p=0.012). Quality of life improved in SF-36 subscales (p<0.05). Substance craving reduction, though observed, did not reach statistical significance. Conclusions: This study provides initial evidence supporting brexpiprazole's efficacy and safety with positive effects on psychopathology and quality of life, emphasizing the need for tailored, comprehensive treatment strategies in this complex patient population.

Investigating the network response to node removal and the efficacy of the node removal strategies are related and fundamental questions in network science. Research studies proposed many node centralities based on the network structure ranking node to remove. The random walk (RW) on networks describes a stochastic process in which a walker travels among nodes. RW can be a model of transport, diffusion, and search on networks, and an essential tool for studying the importance of network nodes. In this manuscript, we propose four new measures of node centrality based on RW. Then, we compare the efficacy of the new RW node removal strategies to network dismantle with effective node removal strategies from the literature, such as betweenness and closeness node removal over synthetic and real-world networks. We evaluate the network dismantle along node removal using the size of the largest connected component (LCC). We find that, hence the betweenness nodes attack is the best strategy overall, the new node removal strategies based on RW show the highest efficacy in peculiar network topology. Specifically, RW strategies based on covering times emerge as the most effective strategy on a synthetic lattice network and two real-world road networks. Our results may be useful in selecting the best node attack strategies in a specific class of networks and in building more robust network structures.

In this paper, we classify the function space of all real-valued functions on R denoted as F(R,R) into 28 distinct blocks. Each block contains elements that share common features in terms of the cardinality of their sets of continuity and differentiability. Alongside this classification, we introduce the concept of the Connection, which reveals a special relationship structure between four well-known real-valued functions in real analysis: the Cantor function, Dirichlet function, the Thomae function, and the Weierstrass function. Despite the significance of this field, several perspectives remain unexplored.

The paper presents the methods of assessing the technical condition of varistor surge arresters used in laboratory tests and in operation - performed without disconnecting the arresters from the network. The analysis of diagnostic methods was supplemented with the results of measurements of the leakage current of arresters coming directly from production and used in the power industry. Among the available methods of evaluating the technical condition of arresters, mainly indicator solutions (temperature, operation counter) and using the measurement of selected parameters of the leakage current are used. In the latter, the method of determining the resistive component of the leakage current, determined on the basis of the analysis of voltage and current waveforms, or only the arrester current, has become widespread. In this type of measurements, current clamps are used in operation, and additionally in voltage measurements from voltage transformers, where you have to take into account the fundamental, additional sources of errors discussed in the article. These errors and dispersion resulting from the production technology may fundamentally hinder the proper assessment of the technical condition, hence it is so important to properly recognize the listed basic sources of measurement uncertainty. In addition, the analysis should take into account three factors related to external conditions - temperature, voltage applied to the arrester and the content of higher harmonics in the supply voltage for which appropriate methods have been provided to determine the active component of the leakage current for reference conditions.

Background: In schizophrenia (SZ), social cognition mediates the relationship between neurocognition and social functioning. Although people with major depressive disorder (MDD) also exhibit cognitive impairments, which are often prolonged, little is known about the role of social cognition in MDD. Methods: Using data obtained through an internet survey, 210 patients with SZ or MDD were selected using propensity score matching based on their demographic information and illness duration. Social cognition, neurocognition, and social functioning were evaluated using the Self-Assessment of Social Cognition Impairments, Perceived Deficits Questionnaire, and Social Functioning Scale, respectively. The mediation effects of social cognition on the relationship between neurocognition and social functioning were examined in each disease group. Invariances of the mediation model across the two groups were then analyzed. Results: The SZ and MDD groups had mean ages of 44.49 and 45.35 years, contained 42.0% and 42.8% women, and had mean illness durations of 10.76 and 10.45 years, respectively. In both groups, social cognition had significant mediation effects. Configural, measurement, and structural invariances across the groups were established. Conclusion: The role of social cognition in patients with chronic depression was similar to that in schizophrenia. Social cognition could be a common endophenotype for various psychiatric disorders.

Objective: To perform a systematic review of real-world outcomes for anti-CGRP-mAbs. Methods: Following the PRISMA guidelines, we searched PubMed for real-world data of Erenumab, Galcanezumab, Fremanezumab, or Eptinezumab in patients with migraine. Results: We identified 104 publications (73 retrospective), comprising 8 pharmaco-epidemiologic and 63 clinic-based studies, 30 case reports and 3 other articles. None of the clinic-based studies provided follow-up data over more than one year in more than 200 patients. Findings suggest reductions in health insurance claims and days with sick-leave as well as better treatment adherence with anti-CGRP-mAbss. Effectiveness, reported in 59 clinic-based studies, was comparable to randomized controlled trials. A treatment pause was associated with an increase in migraine frequency and switching to another antibody resulted in a better response in some of the patients. Adverse events and safety issues were addressed in 70 papers including 22 single case reports. Conclusion: Real-world data on anti-CGRP-mAbs are limited by retrospective data collection, small patient numbers and short follow-up periods. The majority of papers seem to support good effectiveness and tolerability of anti-CGRP-mAbs in the real-world setting. There is an unmet need for large prospective real-world studies providing long-term follow-up of patients treated with anti-CGRP-mAbs.

Private vehicle travel is the most basic mode of transportation, and the effective control of the real-world fuel consumption rate of light-duty vehicles plays a vital role in promoting sustainable economic development as well as achieving a green low-carbon society. Therefore, the impact factors of individual carbon emission must be elucidated. This study builds five different models to estimate real-world fuel consumption rate of light-duty vehicles in China. The results reveal that the Light Gradient Boosting Machine (LightGBM) model performs better than the linear regression, Naïve Bayes regression, Neural Network regression, and Decision Tree regression models, with mean absolute error of 0.911 L/100 km, mean absolute percentage error of 10.4%, mean square error of 1.536, and R squared (R2) of 0.642. This study also assesses a large number of factors, from which three most important factors are extracted, namely, reference fuel consumption rate value, engine power and light-duty vehicle brand. Furthermore, a comparative analysis reveals that the vehicle factors with greater impact on real-world fuel consumption rate are vehicle brand, engine power, and engine displacement. Average air pressure, average temperature, and sunshine time are the three most important climate factors.

Wearable cardiac sensors pave the way to advanced cardiac monitoring applications based on heart rate variability (HRV). In real-life settings, heart rate (HR) measurements are subject to mo-tion artifacts that can be timely removed from the recordings. This leads to frequent data loss in the HR signal, especially for commercial devices based on photoplethysmography (PPG). The cur-rent study had two main goals: (i) to provide a white-box quality index that estimates the amount of missing samples in any piece of HR signal; and (ii) to quantify the impact of data loss on feature extraction in a PPG-based HR signal. This was done by comparing real-life recordings from com-mercial sensors featuring both PPG (Empatica E4) and ECG (Zephyr BioHarness 3). After an out-lier rejection process, our quality index was used to isolate portions of ECG-based HR signal that could be used as benchmark, to validate the output of Empatica E4 at the signal level and at the feature level. Our results showed high accuracy for estimating the mean HR, poor accuracy for short-term HRV features and moderate accuracy for longer-term HRV features. Levels of error could be substantially reduced by using our quality index to identify time windows with few or no missing data.

This study reports the likely real-world effects of fleet replacement with electric vehicles (EVs) and higher efficiency EURO6 vehicles on the exhaust emissions of NOx, PM, and CO2 in the seven boroughs of the West Midlands (WM) region, UK. National fleet composition data, local EURO distributions and traffic compositions were used to project vehicle fleet compositions for different roads in each borough. A large dataset of real-world emission factors including over 90,000 remote-sensing measurements, obtained from remote sensing campaigns in five UK cities, was used to parameterise the emission profiles of the studied scenarios. Results show that adoption of the fleet electrification approach would have the highest emission reduction potential on urban roads in WM boroughs. It would result in maximum reductions ranging from 35.0-37.9%, 44.3-48.3%, 46.9-50.3% for NOx, PM, and CO2, respectively. In comparison, the EURO6 replacement fleet scenario would lead to reductions ranging from 10.0-10.4%, 4.0-4.2%, and 6.0-6.4% for NOx, PM, and CO2, respectively. The studied mitigation scenarios have higher efficacies on motorways than on rural and urban roads because of the differences in traffic fleet composition. The findings presented will help policymakers choose climate and air quality mitigation strategies.

Urban accessibility represents one of the great challenges of the contemporary city, which is required to adopt sustainable development models in line with the UN Agenda 2030 objectives, recently confirmed by the health emergency. Urban accessibility and walkability are topics closely related to those aiming at a livable, healthy and inclusive city, based on a system of high-quality public spaces and on a network of services and infrastructures. However, these principles collide with the fragmentation of many urban contexts, built following vehicular accessibility needs. Within this framework, the city of Cagliari represents an interesting case study as it is affected by the disposal of public properties which appear as “enclaves” in the historic urban fabric. This research aims to evaluate if and in which terms the abandoned assets can facilitate the development of the 15-minutes city, as a city reducing the need to move over a certain time and space and therefore granting a more equal access to urban services to a wide range of citizens. This is done by proposing indexes defined as porosity, crossing and attractiveness, which constitute a combined index to improve the pedestrian accessibility in the “central places” of the contemporary city, where the walkability can also become a possible “free choice” for a new healthy lifestyle. These indexes were calculated for the most significant large disused public buildings in the historic center to guide future scenarios towards a 15 minutes city.

Background. To determine the effectiveness and safety of meropenem in routine clinical practice, in terms of clinical and microbiological response. Methods. A real-world, observational, descriptive, longitudinal study with daily monitoring of clinical history records was conducted on all patients who were medically prescribed meropenem during a period between October 2015 and March 2016 at a university hospital in Bucaramanga (Colombia). Results. The study evaluated 84 patients with an average age of 63.2 years, mostly older adults with multiple comorbidities, of whom 54.8% were men. A positive clinical or microbiological response was obtained in 98.8% of the patients. At the end of the treatments, significant improvements in dysthermia (0% vs 29% at the beginning, p = 0.000), tachycardia (13% vs 47%, p = 0.049) and leukocytosis (39% vs 15% at the beginning, p = 0.008) were evidenced. The improvement in the indicator that combines all the SIRS criteria was also significant (p = 0.000). The treatment was well tolerated, although we identified some non-serious and expected adverse reactions. Conclusions. Generic meropenem proved to be effective and well tolerated for different types of infection in routine clinical practice. The results are consistent with the findings of the clinical studies with the innovator drug.

This paper investigates the impact of price and real exchange rate volatility on Foreign Direct Investment (FDI) inflows in a panel of 10 Latin American and Caribbean countries, observed between 1990 and 2012. Both price and exchange rate volatility series are estimated through the Generalized Autoregressive Conditional Heteroscedasticity model (GARCH). Our results, obtained employing the Fixed Effects estimator, confirm the theory of hysteresis and option value, in so far it is found a statistically significant negative effect of exchange rate volatility on FDI. Price volatility, instead, turns out to be positive but insignificant. Moreover, we show that human capital and trade openness are key for attracting foreign capital. From the policy perspective, our analysis suggests the importance of stabilization policies as well as the one of government credibility in promoting trade openness and human capital formation.

Differences between the quantum mechanical and relativistic concepts of time observed in GPS satellites are accounted for by applying the equivalence principle to the transitioning electron of an atomic clock. This allows a differential equation of motion to be derived for the electron in the Minkowski space between electron shells. By applying Hamilton’s principle we transform the differential equation into a relativistically correct integral equation of motion, the time integral of a Lagrangian. This newly derived equation accounts for the abstract mathematics of the more familiar non-relativistic model by means of a physical interpretation. Abstract rotations in Hilbert space are replaced by real rotations of particle field geometries in Minkowki space that describe the electron transition and emission of a photon. Because the properties of energy are universal the same integral equations are able to be used to describe the time evolution of galaxies despite vast differences in lifetime. The comparison of gravitational and electromagnetic energy exchanges by means of radial and transverse fields leads to an alternative to the standard model that is based on a field model. It explains the observed properties of galaxies as a superposition of neutrinos localized within the horizon of a black hole with spins aligned. The particle properties of free neutrinos are accounted by means of a classical field geometry; specifically, a spin that is oriented in space with rotational inertia due to energy. A test of the standard model is proposed based on differing views for flavor oscillation.

Industrial data scarcity is one of the largest factors holding back the widespread use of machine learning in manufacturing. To overcome this problem, the concept of transfer learning was developed and it achieved high attention in recent industrial research. Our paper focuses on the problem of time series segmentation and presents the first in-depth research about transfer learning for deep-learning based time series segmentation on the example of industrial end-of-line pump testing. In particularly, we investigate if the performance of deep learning models can be increased by pretraining the network with data from other domains. Three different scenarios are analyzed: source and target data being closely related, source and target data being distantly related, and source and target data being non-related. The results demonstrate that transfer learning can enhance the performance of time series segmentation models in respect to accuracy and training speed. The benefit is most clearly seen in scenarios where source and training data are closely related and the number of target training data samples is lowest. However, in the scenario of non-related datasets, cases of negative Transfer Learning were observed as well. Thus, the research emphasizes the potential, but also the challenges of industrial Transfer Learning.

Efficient use of the operating room (OR) is crucial for any hospital. One of the major inefficiencies in the OR is surgical cases not starting or finishing on time as scheduled. When a case is delayed, it affects all subsequent cases in that OR. This study uses discrete choice analysis to determine the significant factors, including team familiarity, that influence OR case on-time start and finish. A case is considered on-time if the documented procedure start and finish times are no more than 10 minutes after the scheduled start and finish times. The analysis uses surgical case data from a large tertiary referral hospital and academic center in Greenville, South Carolina. The case data includes all surgical cases (15,091) performed during regular workdays in 2013. Two binary logit models are developed: one for case on-time start and one for case on-time finish. Results indicate that higher team familiarity between surgeon and anesthesiologist, surgeon and circulating nurse, surgeon and scrub nurse, and surgeon and CRNA improve the likelihood of an OR case on-time start and on-time finish. This finding indicates that the OR scheduling staff in the study hospital make a concerted effort to schedule the surgical teams with members who have worked well together in the past.

This paper proposes a novel three-phase voltage source inverter dead-time compensation strategy for accurate compensation in wide current regions of the inverter. In particular, an analysis of the output voltage distortion of the inverter, which appears as parasitic components of the switches, has been conducted for proper voltage compensation in the low current region, and an on-line compensation voltage controller has been proposed. Also, a new trapezoidal compensation voltage implementation method using the current phase is proposed to simplify realizing the trapezoidal shape of the three-phase compensation voltages. Finally, when the proposed dead-time compensation strategy is applied, the maximum phase voltage magnitude in the linear modulation voltage regions is defined to achieve smooth operation even at high modulation index. Simulations and experiments were conducted to verify the performance of the proposed dead-time compensation scheme.

The aim of the present work is to explore a different non-traditional approach to higher dimensional spacetime which differs from the usual approaches such as large extra space dimensions, warped extra space dimensions and multiple extra time dimensions. This approach will be referred to as "Dynamic" higher dimensional spacetime. By this term will be introduced a new kind of higher dimensional spacetime (more than the usual 3+1 dimensions), which behaves dynamically in the sense that time is not a fixed dimension but is the extra plus one dimension to the spatial dimensions of the phenomenon we are studying. For a higher dimensional phenomenon, the lower dimensional time will behave as space and the new time will be a plus one dimension, meaning if we study a 3-dimensional phenomenon then time is the usual 4th dimension but if we are studying a 4-dimensional phenomenon then its time will be an extra 5th dimension and for this phenomenon the 4th dimension will behave as space. All spatial dimensions are indistinguishable from each other and behave in the exact same way, which means that the important parameter is not the dimension we are studying (for example the 4th or the 5th) but the number of dimensions in which a phenomenon can interact and how higher dimensional phenomena interact with lower ones. This non-traditional approach to higher dimensional spacetime may appear confusing at first but will become clearer in the rest of the paper. For this reason, we will first associate the time dimension with propagation relative to space dimensions and change orthogonal to them in order to give the reader a better intuition. Following that, we will describe how higher - dimensional phenomena would appear to us, the 3 - dimensional observer and try to set some guidelines on how we should mathematically model higher - dimensional phenomena in order for us to make accurate predictions of their behaviour. Then we will express the general framework of a "Dynamic" higher - dimensional spacetime and turn our gaze to 4+1 – dimensional phenomena. We will explore how a mass term arises for 4 – dimensional waves by generalizing the frequency – speed – wavelength relation of 3D waves and give a basic description on a possible way to describe a 4+1 – dimensional disturbance in a scalar Energy Field in order to make accurate predictions on our 3+1 dimensional plane. In this framework we will derive the Klein – Gordon equation by generalizing the wave equation and ignoring all lower than 4+1 - dimensional disturbances and compere our mass term findings with the Klein – Gordon equation mass term and with results from gravity – induced quantum interference experiments. Lastly, we will describe how a "Dynamic" 5 - dimensional spacetime would appear in a 3D observer and examine whether our findings are compatible with quantum mechanics and the special theory of relativity.

This paper investigates the search for an exact analytic solution to a temporal first-order differential equation that represents the number of customers in a non-stationary or time-varying

The absolute time and relative time are defined in terms of the 4-D Euclidean space. Our universe is the 3-D x₁x₂x₃ quantized photon space which follows the absolute time simultaneity when the universe moves along the absolute time axis of ct. The length expansion of Dx = gDx₀ is derived under the condition of the absolute time (ct) simultaneity. From the similarity between this length expansion of Dx = gDx₀ and the energy increasing of E = gE₀, it is assumed that the energy is proportional to the particle size of Dx. The extension of this assumption to the 4-D Euclidean space gives the new definition that the particle energy (E) is the 4-D volume. Then, the particle mass energy is defined as E= mc² = cDtDV = gE₀. The masses of the elementary particles are originated from the 4-D warped volume of the photon space because the particle is the warped photon space with the velocity of v < c. Therefore, the Higgs boson concept in the standard model (SM) is not needed in the present 3-D quantized space model (TQSM). The scalar boson with the spin of zero, photon with the spin of 1 and graviton with the spin of 2 are the two-boson states. Therefore, the observed Higgs boson is reinterpreted as the two-boson state of the scalar boson with the spin of zero. The cosmic muon observation and twin paradox are explained by using the absolute time and relative time. The relative time is the observed time in the twin paradox and cosmic muon observation. In the twin paradox, a person who travels the long distance is more aged than a person on the earth in terms of the relative time ages because of the space and time conversion effect (STCE effect) of the moving space distance (x). But twins are in the same ages in terms of the absolute time without STCE effect. The fast-moving cosmic muon has the expanded half-life from the time expansion of the relative time. Also, the quantum entanglement and Pauli exclusion principle are explained. The quantum base of the photon space line connects two entangled particles. Two particles and quantum base system is fluctuated along the absolute time axis by the time clicking when one particle is measured. Another particle is instantly selected by the time clicking. This is called as the quantum entanglement. The photons which are the flat photon space with the constant speed of c along the space axis and absolute time axis have the 4-D photon velocity of c_eff = 2^0.5 c. Total 10-D Euclidean space including three 3-D quantized spaces and one absolute time axis is required for the electric charges (EC), lepton charges (CC) and color charges (CC) of the elementary particles. The 3-D photon space is very stiff along the absolute time (ct) axis and very soft along the space axes. The Coulomb force through the photons (2EM waves) of the space fluctuations is much stronger than the Gravitational force through the gravitons (G waves) of the time fluctuations between two electrons.

A previous related paper dealing with the density relaxation of polystyrene (PS) has shown that the equilibrium relaxation time (eq) has a purely exponential temperature dependence (ETD) below ≈ 100ºC. Such an ETD is now also confirmed based upon available dielectric-spectra data for PS. By combining the ETD behavior of eq (or aT) at low temperatures with a VFTH behavior at higher temperatures (based mainly on available recoverable-shear-compliance data), a composite correlation for eq (or aT) is developed which is continuous with continuous slope at a crossover temperature which is found to be 99.22ºC, where eq = 92.15 sec. This composite representation is shown to describe (without any adjustable parameters) available independent data for the segmental-relaxation time over a finite range both above and below Tcrossover (i.e. the glass-transition temperature).

If "quantization is an art" then it can be greatly rened by adopting cyclic time formalism. In past papers we have proven the effectiveness of a formulation of physics based on cyclic relativistic time. Now we can demonstrate in a general way, by using theorems of Geometric Quantization, that the Poisson brackets of intrinsically cyclic time dynamics directly imply the ordinary canonical commutation relations and the other Dirac's rules of canonical Quantum Mechanics. In other words, according to our result, canonical quantization is an implicit way of imposing intrinsically cyclic time dynamics without explicitly saying that time is a cyclic dimension.

The study of precipitation amount at different time scales constitutes an important issue in climate research and risk assessment. When dealing with daily totals, a frequent but sometimes underestimated problem is at what time the observation day begins. The choice of different starting times may lead to incompatibility between stations and incorrect identification of extreme events. In this work, the problem of temporal misalignment between precipitation datasets characterized by different starting time of the observation day is analyzed. The most widely used adjustment methods (1day and uniform shift) and two methods based on reanalysis (NOAA and ERA5) are evaluated in terms of temporal alignment, precipitation statistics and percentile distributions. As test series, the precipitation amount collected from 9 a.m. local time (09 LT) on the previous day to 09 LT on the target day (9-9 datasets) of the Padua and nearby stations in the period 1993-2022 have been selected. Results show that the reanalysis-based methods, in particular ERA5, outperform the others in temporal alignment, regardless the station. But, for the periods in which reanalysis data are not available, “1day” method, which shifts the daily amount back one calendar day, and “unif” method, which distributes uniformly the daily total from a 2-day moving window surrounding the target date, can be considered valid alternatives. On the other side, concerning the precipitation statistics, the reanalysis-based methods are not the best option, as they increase the precipitation frequency and reduce the mean value over wet days, NOAA much more than ERA5. Nevertheless, the uniform method provides a larger deviation from the original daily series. The use of the series of a station nearby the target one, which is mandatory in case of missing data, gives similar or better results than applying any adjustment method to the 9-9 series. General conclusions can hardly be drawn as they depend on the method and station. For the Padua dataset, the analysis was repeated at monthly and seasonal resolution. In general, the adjustment series show the most relevant changes in the precipitation statistics in summer and less temporal alignment with the original series in summer and autumn, the two seasons mainly affected by heavy rains in Padua. Finally, the percentiles distribution, analyzed for all the methods and stations, indicates that any adjustment method underestimates the percentile values, except ERA5. Only Legnaro, the station most correlated with Padua, gives results like ERA5.

While increasing empirical evidence suggests that global time series forecasting models can achieve better forecasting performance than local ones, there is a research void regarding when and why the global models fail to provide a good forecast. This paper uses anomaly detection algorithms and Explainable Artificial Intelligence (XAI) to answer when and why a forecast should not be trusted. To address this issue, a dashboard was built to inform the user regarding (i) the relevance of the features for that particular forecast, (ii) which training samples most likely influenced the forecast outcome, (iii) why the forecast is considered an outlier, and (iv) provide a range of counterfactual examples to understand value changes, in the feature vector or the predicted value, can lead to a different outcome. Moreover, a modular architecture and a methodology were developed to iteratively remove noisy data instances from the train set, to enhance the overall global time series forecasting model performance. Finally, to test the effectiveness of the proposed approach, it was validated on two publicly available real-world datasets.

Time evolution operators of a strongly ionizing medium are calculated by a time-dependent unitary transformation (TDUT) method. The TDUT method has been employed in quantum mechanical system composed of discrete states. This method is especially helpful for solving molecular rotational dynamics in quasi-adiabatic regimes because the strict unitary nature of the propagation operator allows us to set the temporal step size large; a tight limitation on the temporal step size ($\delta t <<1$) can be circumvented by the strict unitary nature. On the other hand, in a strongly ionizing system where the Hamiltonian is not Hermitian, the same approach cannot be directly applied because it is demanding to define a set of field-dressed eigenstates. In this study, the TDUT method was applied to the ionizing regime using the Kramers-Henneberger frame, in which the strong-field-dressed discrete eigenstates are given by the field-free discrete eigenstates in a moving frame. Although the present work verifies the method for a one-dimensional atom as a prototype, the method can be applied to three-dimensional atoms, and molecules exposed to strong laser fields.

We propose a novel tensor-based formalism for inferring causal structures from time series. An information theoretical analysis of transfer entropy (TE), shows that TE results from transmission of information over a set of communication channels. Tensors are the mathematical equivalents of these multi-channel causal channels. A multi-channel causal channel is a generalization of a discrete memoryless channel (DMC). We consider a DMC as a single-channel causal channel. Investigation of a system comprising three variables shows that in our formalism, bivariate analysis suffices to differentiate between direct and indirect relations. For this to be true, we have to combine the output of multi-channel causal channels with the output of single-channel causal channels. We can understand this result when we consider the role of noise. Subsequent transmission of information over noisy channels can never result in less noisy transmission overall. This implies that a Data Processing Inequality (DPI) exists for transfer entropy.

Quorum Sensing (QS) and Machine Learning (ML) hybrid systems represent a groundbreaking innovation in synthetic biology, offering unprecedented control and adaptability in microbial gene regulation and metabolic processes. QS, a microbial communication mechanism, is crucial for coordinating gene expression in response to population density, impacting behaviors such as biofilm formation, virulence, and resource optimization. However, traditional QS systems are constrained by their reliance on static, pre-programmed feedback loops, limiting their flexibility in dynamic, complex environments. This review highlights how integrating advanced ML algorithms—such as reinforcement learning and deep learning—into QS systems can overcome these limitations by enabling real-time data processing, predictive modeling, and dynamic feedback control. Through these innovations, QS-ML systems can autonomously adjust gene expression and metabolic outputs, making them more efficient and scalable in applications ranging from pathogen control to precision medicine and industrial biomanufacturing. Key case studies illustrate the successful deployment of QS-ML systems to combat antimicrobial resistance, optimize bio-production, and enhance therapeutic precision in cancer and immune modulation. Despite the clear advantages, challenges remain in data integration, system robustness, and regulatory oversight. Addressing these hurdles through interdisciplinary collaboration and developing scalable, multi-omics data platforms will be critical for advancing QS-ML systems from experimental settings to real-world applications. This review underscores the transformative potential of QS-ML systems in revolutionizing synthetic biology, with profound implications for personalized medicine, sustainable biomanufacturing, and environmental health.

This study aims to evaluate the outcomes of neoadjuvant chemotherapy with immunotherapy in patients with non-small cell lung cancer (NSCLC) within a real-world context. We analyzed medical records from January 2022 to August 2023, focusing on individuals aged 18 and older diagnosed with resectable NSCLC who received neoadjuvant chemoimmunotherapy prior to surgical intervention. The cohort comprised 56 patients, predominantly smokers (95%) and male (74%), with 80% presenting at stage III. Of the participants, 44 underwent surgery, with 95% receiving lobar resection. Clinical assessments via PET-CT imaging revealed an 86% rate of response or disease stabilization, while pathological evaluations showed complete and major pathological responses in 61% of cases. This real-world data supports the safety and efficacy of incorporating immune checkpoint inhibitors in the neoadjuvant treatment of NSCLC, followed by surgical resection.

Property valuation services using artificial intelligence (AI) have been developed, with more than 20 services available in Japan. However, since their algorithms and training data are not publicly available, the extent of differences in the AI property valuations among these services is not clear. This study focuses on the five services handling a lot of properties and uses a sample of 4,295 property valuations for 859 condominium units in six popular residential areas in Tokyo. (1) Multiple comparison tests of the AI property valuations among each service are conducted to confirm their statistical significance and to examine the degree of the difference and variation. (2) The business models of each service are compared to examine the factors contributing to these differences and variations. The results showed that there was a variation of approximately 0.15 in the coefficient of variation between the high and low valuation groups, and the service providers in the high valuation group guided the users to their sales, while those in the low valuation group focused on attracting users as their business models. The contribution of this study is to indicate the possibility that the business models may lead to the differences in the AI property valuations.

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

Serum neurofilament light chain (sNfL) levels have been proposed as a biomarker of the clinical activity, disability progression, and response to treatment of people with multiple sclerosis (PwMS); however, questions remain about its implementation in clinical practice. Ocrelizumab (OCR) has proven effective to improve clinical and radiological outcomes and to reduce sNfL levels. This real-life study followed the sNfL levels of 30 PwMS treated for 12 months with OCR and evaluated the usefulness of this biomarker for the short-term prognosis, considering expanded disability status scale (EDSS), annualized relapse rate (ARR), radiological activity, and NEDA-3 values. OCR reduced the ARR in 83% of PwMS and the radiological activity in 80%. Their EDSS was maintained, while NEDA-3 was achieved in 70% at 12 months. OCR produced an early reduction in sNfL levels (at 3 months). At baseline, greater MRI-evaluated radiological activity was associated with higher sNfL levels. sNFL levels over the first 12 months of treatment did not predict a suboptimal response or sustained control of the disease. Longer-term studies are needed to explore the predictive usefulness of sNfL levels in PwMS treated with high-efficacy drugs

Analyzing BRCA1/2 tumor pathogenic variants (TPVs) in epithelial tubal/ovarian cancers (EOC) has become an essential part of the diagnostic workflow in many centers to guide treatment options and genetic cascade testing. However, there is no standardization of testing procedures, including techniques, gene assays, or sequencers used, and data on the execution of tumor tests remains scarce. Therefore, we evaluated characteristics of BRCA1/2 tumor testing in advanced-stage EOC with real-world national data. Pathology reports of patients diagnosed with EOC in 2019 in the Netherlands were obtained from the Dutch Pathology Registry (PALGA), and data regarding histological subtype and BRCA1/2 tumor tests were extracted. A total of 999 patients with advanced-stage EOC were included. Tumor tests were performed for 502 patients (50.2%) and BRCA1/2 TPVs were detected in 14.7%. Of all tests, 48.6% used hybrid capture techniques and 26.5% used PCR-based techniques. More than half of the tests (55.0%) analyzed other genes in addition to BRCA1/2. Overall, this study highlights the heterogeneity in the execution of BRCA1/2 tumor tests. Despite a lack of evidence of quality differences, we emphasize that adequate reporting and internal and external quality monitors are essential for high-quality implementation and execution of reliable BRCA1/2 tumor testing, which is crucial for identifying all patients with BRCA1/2 TPVs.

The expansion of Open World Video Games (OWVGs) has seen the emergence of multiple new fictional worlds. This type of video game is characterized by total immersion in a world built for the players entertainment. What videogames developers want when players enter an OWVG is that they could feel like if they were open a door to an entirely new world and leave the real world behind. These virtual worlds manifest as a complement, an alternative, or the successor to the physical universe, and in some way continue the philosophical tradition of possible worlds begun by Leibniz. Accustomed to ‘surviving’ in hostile environments, millions of people continued to improve their skills in the midst of the COVID-19 pandemic while locked in their homes. Once the pandemic seems to start to be left behind, the paper analyzes the virtual worlds created by the video games and the relations between the pandemic and these fictional worlds.

The connectivity level of last-generation vehicles is constantly on the rise. The combined use of Vehicle-To-Everything (V2X) connectivity and autonomous driving can provide remarkable benefits through the optimization of the route and speed trajectory. In this framework, this paper focuses on vehicle eco-driving optimization in a connected environment. The virtual test rig of a premium segment passenger car was used for generating the simulation scenarios. The benefits, in terms of energy and time savings, that the introduction of V2X communication, integrated with cloud computing, can have in a real-world scenario were assessed. The Reference Scenario is a pre-defined Real Driving Emissions (RDE) compliant route, while the simulation scenarios were generated by assuming two different penetration levels of V2X technologies. The associated energy minimization problem is formulated and solved by means of a global optimization algorithm, i.e., Dynamic Programming (DP). The optimization framework includes information coming from the surrounding environment, e.g., traffic lights state, speed limits, distance to travel, etc. The simulations show that introducing a smart infrastructure along with optimizing the vehicle speed in a real-world route can potentially reduce the required energy by 54% while shortening the travel time by 38%. Finally, a sensitivity analysis is performed on the bi-objective optimization cost function to find a set of Pareto optimal solutions, between energy and travel time minimization.

In this article, we introduce the concept of soft intervals, soft ordering and sequences of soft real numbers, and some of their structural properties are studied. The notion of soft Lebesgue measure on the soft real numbers has been introduced. Also, a correspondence relationship has been established between the soft Lebesgue measure and the classical Lebesgue measure. Furthermore, we have studied some exciting results and relations between the soft Lebesgue measure and the Lebesgue measure of soft real sets.

Purpose: To meet the challenges of the precision medicine era, quality assessment of shared sarcoma care becomes pivotal. The MDT approach is the most important parameter for succesfull outcome. Because of all MDTs disciplines surgery is the key step to render sarcoma patients disease free, defining the spectrum of a sarcoma surgeon is critical. To the best of the authors knowledge, a comprehensive interoperable digital platform to assess the scope of sarcoma surgery and the experience of a sarcoma surgeon in its full complexity is lacking. Methods: A web-based real-world data (RWD) registry on sarcoma surgery has been created to assess the clinical exposure, tumor characteristics, and surgical settings and techniques applied for both resections and reconstructions of sarcomas and thereby the surgical exposure of an individual surgeon over time. Results: During 10 years, there were 723 sarcoma board/MDT meetings discussing 3130 patients. A total of 1094 patients underwent 1250 surgical interventions on mesenchymal tumors by one single sarcoma surgeon. These included 615 deep soft tissue tumors (197 benign, 102 intermediate, 281 malignant, 27 simulator, 7 metastasis, 1 blood), 116 superficial soft tissue tumors (45 benign, 12 intermediate, 40 malignant, 18 simulator, 1 blood) and 519 bone tumors (129 benign, 112 intermediate, 182 malignant, 18 simulator, 46 metastasis, 14 blood and 18 sequelae of 1st treatment). Detailed types of resections and reconstructions were analyzed. Conclusion: A web-based RWD sarcoma surgeon registry with transparent real-time descriptive analytics is feasible and enables large scale definition of the surgical complexity and ultimately quality of sarcoma care.

More than 179,000 individuals have fallen ill of the Coronavirus disease (COVID-19) caused by the SARS-CoV-2 virus, which first emerged in China less than four months ago in December 2019. As of today, there exist no approved treatments against COVID-19. Vaccines are being developed, but they will take time, at least one year, to reach the population. Drug repositioning represents a fast track because already approved medicines have been broadly tested through multiple trials. We developed a repositioning strategy that mostly leads to candidates that are commonly used. The advantages are that they will facilitate proof of concept in humans through a “real-world evidence” approach and should be rapidly available to the population. We focus on the established research results that the unfolded protein response (UPR) and autophagy pathways of the host cells are essential to the life cycle of previously known coronaviruses. We performed the relevant bioinformatics analysis to understand and confirm if SARS-CoV-2 may interact with these druggable pathways. Based on these considerations, we prioritized two additional druggable pathways, which are important to the viral life cycle and tightly connected to UPR/autophagy signaling: the mitochondrial permeability transition pores (MPTP) and NLRP-3 inflammasome pathways. These four important pathways are perturbed in most major common diseases and have therefore been targeted by numerous broadly prescribed drugs. We have identified 97 approved drugs that are known to modulate these four identified pathways, and which represent, therefore, interesting repositioning candidates. Although it is indisputable that these drugs should never be used for immediate self-medication against COVID-19, we notice that some of them could also be prescribed to individuals who have COVID-19 comorbidities (e.g., hypertension). It is debated if these comorbidities are linked to the pathology itself (e.g., hypertension) or the drugs used to treat the pathology (e.g., sartans). Therefore, relevant preclinical tests and massive electronic health records (i.e., real-world evidence) must be used to pre-screen them and check the COVID-19 prognosis of individuals taking these drugs.

This chapter discusses stochastic processes known as "hidden Markov models". In these models, there are states or phases. In applications to statistical process control, for example, the states could correspond to "in control" or "out of control". In applications to the market and the economy, there are states of the market conventionally called "Bull" and "Bear", for up and down markets, resp. The states of the economy are often referred to as recession, recovery, expansion, contraction. Questions arise as to how many such states to use, and whether the nature of the states detected by statistical methods correspond to conventional notions about the phases of the market or the economy. The models considered involve a bivariate time series {Yt, St}; where Y is observed and S is the state, or label. "Hidden" means that the state is unobserved and must be inferred. For example, Yt may be the rate of return (ROR) of the S&P 500 index in month t and St may be 1 or 0, for Bull or Bear for that month. One definition of Bull and Bear is that St = 1 if the ROR Yt > 0 and St = 0; otherwise. In that case, St is directly derivable from the data. In other cases, the labels are unobserved and then are estimated from the observed process by more complicated means. The act of estimating St for each t, that is, labeling each time point of a time series with the name of its estimated state, is called time series segmentation, sequences of 0s or 1s being called segments. Thus a segment (regime, epoch) is a sequence of time points with the same label. Some definitions of phases are in terms of patterns; others are obtained in terms of fitting models in which the states are explicit elements of the model, albeit unobservable. Patterns are considered first, and then hidden state models. Use of model selection criteria for choosing between alternative models is illustrated. For example, it was found that for the stock market use of two states (corresponding to Bull and Bear) is indeed better than three states or a single state.

Time is what we measure with clocks. With clocks, we measure the duration of material change tuning in space. Material change runs in space only, time, as duration enters existence when measured. Time is an emergent physical reality that enters existence when measured by the observer. No measurement means no time. The motion does not require time. Motion requires only space and the physical object that moves in space, which is time-invariant. There is no physical past; there is no physical future. Past and future exist only in the human mind. Humans, we experience time-invariant space as NOW. The entire universe exists and develops into NOW.

In superconductors gauge U(1) symmetry is spontaneously broken. According to Goldstone theorem this breaking of a continuous symmetry establishes the existence of the Bogoliubov phase mode while the gauge-invariant response also includes the amplitude fluctuations of the order parameter. The latter, which are also termed ’Higgs’ modes in analogy with the standard model, appear at the energy of the spectral gap 2Δ when the superconducting ground state is evaluated within the weak coupling BCS theory and are therefore damped. Previously we have shown that in the time-dependent Gutzwiller approximation (TDGA) Higgs modes appear inside the gap with a finite binding energy relative to the quasiparticle continuum. Here we show that the binding energy of the Higgs mode becomes exponentially small in the weak coupling limit converging to the BCS solution. On the other hand, well-defined undamped amplitude modes exist in strongly coupled superconductors when the interaction energy becomes of the order of the bandwidth.

Traversal time in tunneling effect for ultrasonic waves in tapered waveguides is derived considering its analogy with quantum and electromagnetic waves tunneling. If, as traversal time, the so called phase time is considered, the ultrasonic wavepacket shows the equivalent in acoustics of superluminality i.e. the derived velocity , crosses the limit of bulk transverse ultrasonic waves in the medium of the waveguide that is the equivalent of c in the quantum and electromagnetic cases. Graphs clearly illustrating this so called Hartman effect are obtained confirming the experimental results in the three different fields.

Fractal analysis of time series aims to extract the hidden or complex structures issued from the associated real data, such as scaling laws, non-stationary, dynamics, and so on. In the present work, the air quality index and its components are considered as time series owing fractal structures. To understand their underlying dynamics, wavelet multifractal approach is applied starting with a wavelet multifractal spectrum test to confirm the multifractality of the underlying data. Next, a new model is introduced improving the classical minmax one, provided with a statistical measure for the adequacy of the new model. The theoretical findings are applied to the north west Tabuk region of Saudi Arabia for environmental and climate data related to pollutants and factors involved in the estimation of the air quality index.

Children's screen time may affect their growth and development. However, different aspects of children and their parents that affect children's screen time has not been investigated in the Japanese context. This study aimed to explore the relationship between relevant factors affecting children's screen time based on their sleep, difficulties, and parental control, among Japanese elementary and junior high school students. A cross-sectional survey was conducted among parents in Japan. Data on screen time duration, parent-child background, strengths and difficulties, sleep variables, and parental control types were collected from 225 households. Path analysis revealed that high Strengths and Difficulties Questionnaire (SDQ) scores (β = 0.167, p = 0.007), sleep duration (β = -0.282, p &lt; 0.001), and parental control (β = -0.205, p &lt; 0.001) were significantly related to children's screen time. Additionally, late parental bedtime negatively correlated with children's sleep duration (β = -0.326, p &lt; 0.001). The findings suggest that children's difficulties, sleep duration, and parental control are associated with children's screen time. This study, together with previous research, provides comprehensive insights to design interventions to decrease screen time in children in the Japanese context.