Background: ED overcrowding is described as one of the main issues in emergency departments (EDs) of any hospital. In Saudi Arabia, the ministry of health applied new telemedicine technology to serve patients by using the mobile application which include Sehha application and 937 medical call center. The main aim of this study is to determine the role of different telemedicine services in reducing non-urgent visits to EDs in Saudi Arabia. Methods: A cross-section study was conducted during August 2020 - May 2021 among 319 patients were using two telemedicine services in Saudi Arabia, including medical call center, and Sehha smart phone application. The primary endpoint of this study aims to determine the role of different telemedicine services in reducing non-urgent visits to EDs in Saudi Arabia. Results: This study analyzed the data from 319 patients who completed the survey provided by the Saudi Ministry of Health that concerning on information related to their health status, and ED visits. Among patients that had the intention to visit the ED (N=159), 53 of them did not go to EDs after using telemedicine services (p-value < 0.01). Regarding medical call center and Sehha application, 9.6% and 24.4%, respectively of the patients used these telemedicine services had changed their mind concerning visiting ED after taking the medical advice (p-values < 0.01).Conclusion: The implemented telemedicine services in Saudi Arabia, namely Sehha application and medical call center showed to be effective in reducing ED overload by providing medical advices to less- and non-urgent patients and deal with their minor medical issues.

Elite camels often suffer from massive injuries. Thus, there is a pivotal need for a cheap and readily available regenerative medicine source. We isolated novel stem-like cells from camel skin and investigated their multipotency and resistance against various stresses. Skin samples were isolated from ears of five camels. Fibroblasts, keratinocytes, and spheroid progenitors were extracted. After separation of different cell lines by trypsinization, all cell lines were exposed to heat shock. Then, fibroblasts and dermal cyst-forming cells were examined under cryopreservation. Dermal cyst-forming cells were evaluated for resistance against osmotic pressure. The results revealed that resistance periods against trypsin were 1.5, 4, and 7 minutes for fibroblasts, keratinocytes, and spheroid progenitors, respectively. Furthermore, complete recovery of different cell lines after heat shock along with the differentiation of spheroid progenitors into neurons was observed. Fibroblasts and spheroid progenitors retained cell proliferation after cryopreservation. Dermal cyst-forming cells regained their normal structure after collapsing by osmotic pressure. The spheroid progenitors incubated in the adipogenic, osteogenic, and neurogenic media differentiated into the adipocytes, osteoblasts, and neurons, respectively. To the best of our knowledge, we isolated different unique cellular differons and stem-like cells from the camel skin and examined their multipotency for the first time.

The world’s population is growing at a rapid pace, thus increasing the need for shelter, which, because of increased carbon emissions, is making our planet less inhabitable. Thus, supplementary cementitious materials (SCMs) are used to reduce the embodied carbon emissions in the building sector. Wood ash, as a replacement for cement in soil treatment, seems to be a promising material. In this study, we considered the strength, stiffness, and microstructural behavior of marine clay treated with cement and wood ash as a cement replacement. Since clay is abundant in nature, it could help stabilize waste to improve the mechanical behavior of produced composites. Portland cement (7%, 10%, and 13%) was replaced with various amount of wood ash (5% and 10%) with two different dry densities (1400 and 1600 kg/m3) and three distinct curing periods (7, 28, and 60 days). Unconfined compressive strength, direct shear, porosity, pulse velocity, x-ray diffraction, and scanning electron microscopy tests were performed on selected specimens to evaluate the structural and microstructural effect of clay–wood ash–cement interaction. The results revealed that the replacement of cement with 5% of wood ash yielded superior performance. The microstructure investigation of wood ash–cement–clay blends further showed the formation of a densified matrix with stable bonds. Furthermore, the porosity and strength properties of blends developed unique relationships, which were further confirmed by other supplementary materials and soils.

With the rapid surge in technological advancements, an equal amount of investment in technology-embedded teaching has become vital to pace up with the ongoing educational needs. Distance education has evolved from the era of postal services to the use of ICT tools in current times. With the aid of globally updated content across the board, technology usage ensures all students receive equal attention without any discrimination. Importantly, web-based teaching allows all kind of students to learn at their own pace, without the fear of being judged, including professionals who can learn remotely without disturbing their job schedules. Having web-based content allows low-cost and robust implementation of the content upgradation. An improved, yet effective, version of the education using such tools is Hybrid Learning (HL). This learning mode aims to provide luxurious reinforcement to its legitimate candidates while maintaining the quality standards of various elements. Incorporated with both traditional and distance learning methods, along with exploiting social media tools for increased comfort level and peer-to-peer collaboration, HL ultimately facilitates the end user and educational setup. The structure of such a hybrid model is realized by delivering the study material via a learning management system (LMS) designed in compliance with quality standards, which is one of the fundamental tackling techniques for controlling quality constraints. In this paper, we present the recently piloted project by COMSATS University Islamabad (previously known as COMSATS Institute of Information Technology) which is driven by technology-embedded teaching model. This model is an amalgam of the traditional class room model with the aid of state-of-the-art online learning technologies. The students are enrolled as full-time students, with all the courses in traditional classroom mode, except one course offered as hybrid course. This globally adapted model helps the students to benefit from both face-to-face learning as well as gaining hands-on experience on technology-enriched education model providing flexibility of timings, learning pace, and boundaries. Our HL model is equipped with two major synchronous and asynchronous blocks. The synchronous block delivers real-time live interaction scenarios using discussion boards, thereby providing a face-to-face environment. Interactions via social network has witnessed equally surging improvement in the output performance. The asynchronous block refers to the lecture videos, slides and handouts, prepared by imminent professors, available 24/7 for students. To ensure quality output, our HL model follows the course learning outcomes (CLOs), and program learning outcomes (PLOs) as per international standards. As a proof of concept, we have deployed a mechanism at the end of each semester to verify the effectiveness of our model. This mechanism fundamentally surveys the satisfaction levels of all the students enrolled in the HL courses. With the surveys already conducted, a significant level of satisfaction has been noted. Extensive results from these surveys are presented in the paper to further validate the efficiency and robustness of our proposed HL model.

Monkeypox is a rare disease which is rising nowadays in different countries since the first case in the UK was diagnosed on May 6, 2022, by the United Kingdom (UK) Health Security Agency. Then more than 12,500 cases were identified in over 68 countries up to July 18, 2022. In endemic areas, the monkeypox virus (MPXV) is commonly transmitted through zoonosis, while in non-endemic regions, it is spread through human-to-human transmission. Symptoms can include flu-like symptoms, rash, or sores in hands, feet, genitalia, or anus. In addition, people who did not take the smallpox vaccine were more liable to be affected than others. The exact pathogenesis and mechanisms are still unclear; however, most identified cases are reported in men who have sex with other men (MSM). According to the CDC, transmission can happen with any sexual or non-sexual contact with the infected person. However, a recent pooled meta-analysis reported that sexual contact is involved in more than 91% of the cases. Also, it is the first time that semen analysis for many patients has shown positive monkeypox virus DNA. Therefore, in this review, we will describe transmission methods for MPXV while focusing mainly on potential sexual transmission and associated sexually transmitted infections. We will also highlight the preventive measures that can limit the spread of the diseases in this regard.

Breast cancer (BC) is the most common type of cancer in both men and women alike, but it is more prevalent in women. Natural compounds that can modulate the oncogenic process can be considered a significant anti-cancer agent for treating BC. These natural compounds are more effective than synthetic drugs, which have profound side effects on the normal cell and resistance to cancer cells. Genistein is a type of dietary phytoestrogen included in the flavonoid group with a similar structure of estrogen that might provide a strong alternative and complementary medicine to existing chemotherapeutics drugs. Several research studies demonstrated that it can target the estrogen receptor (ER), Human epidermal growth factor receptor-2 (HER2), and Breast cancer gene-1 (BRCA-1) in multiple BC cell lines, as well as sensitize cancer cell lines to this compound when used at an optimal inhibitory concentration. Genistein effectively showed anti-cancer activities through apoptosis induction, arresting cell cycle, inhibiting angiogenesis with metastasis, reducing inflammation, mammosphere formation, tumor growth, up-regulating tumor suppressor gene, and downregulating oncogene in suppressing cancer progression in vitro and animal model study. In addition, research studies have also suggested that these phytochemicals synergistically reverse the resistance mechanism of chemotherapeutic drugs, increasing the efficacy of some chemoinformatics drugs. Our review article aims to unbox and validate the molecular pharmacology in breast tissue, cell-specific anti-cancer mechanism with synergistic activity, and possible pharmacokinetic parameters of Genistein as a potential alternative therapeutic option for the treatment of BC.

A lightweight image encryption algorithm based on chaos induction via a 5-dimensional hyperjerk oscillator (5DHO) is presented. First, the dynamics of our 5DHO network is investigated and shown to exhibit up to five coexisting hidden attractors in the state space that depend exclusively on the system’s initial values. Further, a simple implementation of the circuit was used to validate its ability to exhibit chaotic dynamical properties. Second, an Arduino UNO platform is used to confirm the usability of our oscillator in digital implementation of the system. Finally, an efficient image encryption application is executed using the proposed chaotic networks based on the use of permutation-substitution sequences. The superior qualities of the proposed strategy are traced to the dynamic set of keys used in the substitution process which heralds the generation of the final ciphered image. Based on the results obtained from the entropy analysis (7.9976), NPCR values (99.62), UACI tests (33.69) and encryption execution time for 512x512 images (0.1179 sec), the proposed algorithm is adjudged to be fast and robust to differential and statistical attacks relative to similar approaches.

The emergence of three-dimensional human organoids has opened the door for development of patient-derived cancer organoid (PDO) models, which closely recapitulate parental tumor tissue. Mainstays of preclinical cancer modeling include in vitro cell lines and patient-derived xenografts, but these models lack the cellular heterogeneity seen in human tumors. Moreover, xenograft establishment is resource- and time-intensive, rendering these models difficult to use to inform clinical trials and decisions. PDOs, however, can be created efficiently and retain tumor-specific properties such as cellular heterogeneity, cell-cell and cell-stromal interactions, tumor microenvironment, and therapeutic responsiveness. PDO models and drug screening protocols have been described for several solid tumors and, more recently, for gliomas. Since PDOs can be developed in clinically relevant timeframes and share many characteristics of parent tumors, they may enhance the ability to provide precision oncologic care for patients. This review explores the current literature on cancer organoids, highlighting the history of PDO development, organoid models of glioma, and potential clinical applications of PDOs.

In this study, a novel porous geopolymer mortar (GP) was produced and tested experimentally. Industrial waste materials/by-products were used as constituents of the GP, along with dune sand. One sample was produced as a control sample for benchmarking. For the rest of the samples, 15%, 30%, and 45% by volume, the solid constituents were replaced with expanded polystyrene foam (EPS) beads. These mortar samples were heat cured to depolymerize the EPS to cause porosity inside the samples. Indoor experiments were conducted to evaluate the response of produced porous GP to high heat flux. The porous samples were able to reduce heat transmission across the opposite surfaces. Induced porosity resulted in a decrement in compressive strength from 77.2 MPa for the control sample to 15.8 MPa for 45% porous sample. However, the limit lies within the standards for partitioning walls in buildings and pavements in urban areas to absorb rainwater.

Discovery of novel variants from data derived from local population provides confident targets for developing biomarkers for personalized medicine. Biomarker discovery would be an important tool in advancing and utilizing the concept of precision and personalized medicine in the clinic. We identified the need to generate high quality sequencing data from local population and understand the pattern of occurrence of variants in colorectal cancer patients. In this report, we used archived samples from Saudi Arabia and used Ampliseq Comprehensive Cancer panel to identify novel somatic variants. We report a comprehensive analysis of next generation sequencing results with a coverage of >300X. We identified 466 novel variants which were previously unreported in COSMIC and ICGC databases. We analyzed the genes associated with these variants in terms of their frequency of occurrence, probable pathogenicity and clinicopathological features. Among pathogenic somatic variants, 174 were identified for the first time in large intestine. APC, RET and EGFR genes were most frequently mutated. Higher number of variants were identified in left colon. Occurrence of variants in ERBB2 was significantly correlated with those of EGFR and ATR genes. Network analyses of the identified genes provide functional perspective of the identified genes and suggest affected pathways and probable biomarker candidates. This report lays the ground work for biomarker discovery and identification of driver gene mutations in local population.

We live in the information age and, ironically, meeting the core function of journalism – i.e., to provide people access to unbiased information – has never been more difficult. This paper explores deep journalism, our data-driven Artificial Intelligence (AI) based journalism approach to study how the LinkedIn media could be useful for journalism. Specifically, we apply our deep journalism approach to LinkedIn to automatically extract and analyse big data to provide the public with information about labour markets, people’s skills and education, and businesses and industries from multi-generational perspectives. The Great Resignation and Quiet Quitting phenomena coupled with rapidly changing generational attitudes are bringing unprecedented and uncertain changes to labour markets and our economies and societies, and hence the need for journalistic investigations into these topics is highly significant. We combine big data and machine learning to create a whole machine learning pipeline and a software tool for journalism that allows discovering parameters for age dynamics in labour markets using LinkedIn data. We collect a total of 57,000 posts from LinkedIn and use it to discover 15 parameters by Latent Dirichlet Allocation algorithm (LDA) and group them into five macro-parameters, namely Generations-Specific Issues, Skills & Qualifications, Employment Sectors, Consumer Industries, and Employment Issues. The journalism approach used in this paper can automatically discover and make objective, cross-sectional, and multi-perspective information available to all. It can bring rigour to journalism by making it easy to generate information using machine learning and can make tools and information available so that anyone can uncover information about matters of public importance. This work is novel since none of the earlier works have reported such an approach and tool and leveraged it to use LinkedIn media for journalism and to discover multigenerational perspectives (parameters) for age dynamics in labour markets. The approach could be extended with additional AI tools and other media.

An improved FSM method is used in geophysical and environmental corrections to enhance the final product of the along track Jason-2 SLA data and extend it near the Red Sea borders. In this study the ionospheric correction range, wet tropospheric correction range, sea state bias correction range and dry tropospheric correction range are enhanced and improved using FSM01, which helped to retrieve three more tracks (106, 170 and 234), earlier neglected by the distribution centers, and extend the tracks towards the coast. The FSM01 SLA is compared with Jason-2 SLA and AVISO SLA for the available 5 tracks, in which the FSM01 SLA show a good agreement and higher correlation with the Jason-2 SLA compared with that of AVISO, in addition to that it fills the gaps in the times series of all tracks. The new retrieved tracks also compared with those retrieved by AVISO, both data show similar variability, with FSM01 SLA show no gaps in the time series. The FSM01 SLA also extended towards the coast and show high correlation with the coastal tide measurements.

Hate Speech Detection in Arabic presents a multifaceted challenge due to the broad and diverse linguistic terrain. With its multiple dialects and rich cultural subtleties, Arabic requires particular measures to address hate speech online successfully. To address this issue, academics and developers have used natural language processing (NLP) methods and machine learning algorithms adapted to the complexities of Arabic text. However, many proposed methods were hampered by a lack of a comprehensive dataset/corpus of Arabic hate speech. In this research, we propose a novel multi-class public Arabic dataset comprised of 403,688 annotated tweets categorized as extremely positive, positive, neutral, or negative based on the presence of hate speech. Using our developed dataset, we additionally characterize the performance of multiple machine learning models for Hate speech identification in Arabic Jordanian dialect tweets. Specifically, the Word2Vec, TF-IDF, and AraBert text representation models have been applied to produce word vectors. With the help of these models, we can provide classification models with vectors representing text. After that, seven Machine learning classifiers have been evaluated: Support Vector Machine (SVM), Logistic Regression (LR), Naive Bays (NB), Random Forest (RF), AdaBoost (Ada), XGBoost (XGB), and CatBoost (CatB). In light of this, the experimental evaluation revealed that, in this challenging and unstructured setting, our gathered and annotated datasets were rather efficient and generated encouraging assessment outcomes. This will enable academics to delve further into this crucial field of study.

Many dedicated designs for real-time operations provide functionality on fixed-sized operators, but where speed, scalability, and flexibility are required, extensive research is demanded. Dedicated designs can provide real-time processing for many applications. This paper presents an FPGA-based design of a general image processor. The proposed design is based on a fixed-point representation of binary numbers. The proposed design provides a mechanism to manage matrices on-chip along with matrix arithmetic. The matrices are represented with simple identifiers and microinstruction that assist in the computation of many operations which are useful for solving complex problems. The design was successfully implemented and tested using VHDL language. The proposed design is an efficient architecture as a standalone processor with all embedding computational resources necessary for an embedded image processing application.

Sparse recovery of fluid flows using data-driven proper orthogonal decomposition (POD) basis is systematically explored in this work. Fluid flows are manifestations of nonlinear multiscale PDE dynamical systems with inherent scale separation that impact the system dimensionality. Given that sparse reconstruction is inherently an ill-posed problem, the most successful approaches require the knowledge of the underlying basis space spanning the manifold in which the system resides. In this study, we employ an approach that learns basis from singular value decomposition (SVD) of training data to reconstruct sparsely sensed information. This results in a set of four control parameters for sparse recovery, namely, the choice of basis, system dimension required for sufficiently accurate reconstruction, sensor budget and their placement. The choice of control parameters implicitly determines the choice of algorithm as either $l_2$ minimization reconstruction or sparsity promoting $l_1$ norm minimization reconstruction. In this work, we systematically explore the implications of these control parameters on reconstruction accuracy so that practical recommendations can be identified. We observe that greedy-smart sensor placement provides the best balance of computational complexity and robust reconstruction for marginally oversampled cases which happens to be the most challenging regime in the explored parameter design space.

Computation of Discrete Fourier Transform (DFT) is a challenging task. Especially, on computational machines/embedded systems where resources are limited. The importance of Fourier Transform (FT) cannot be denied in the field of signal processing. This paper proposes a technique that can compute Discrete Fourier Transforms for a matrice or vector with the help of matrix multiplication. Moreover, this paper discusses the trivial methods used for computation of DFT along with methods based on matrix multiplication used to compute discrete Fourier Transform in addition to the shortcomings. The proposed method can help in the calculation of a Discrete Fourier Transformation matrix by truncation of values from the proposed generic method which can help in computing DFT of varying lengths of vectors. On legacy computing machines and programming environments, having support for matrix multiplication, the proposed methodology can be implemented.

This study presents a modest attempt to interpret, formulate, and manipulate emotion of robots within the precepts of quantum mechanics. Our proposed framework encodes the emotion information as a superposition state whilst unitary operators are used to manipulate the transition of the emotion states which are recovered via appropriate quantum measurement operations. The framework described provides essential steps towards exploiting the potency of quantum mechanics in a quantum affective computing paradigm. Further, the emotions of multi-robots in a specified communication scenario are fused using quantum entanglement thereby reducing the number of qubits required to capture the emotion states of all the robots in the environment, and fewer quantum gates are needed to transform the emotion of all or part of the robots from one state to another. In addition to the mathematical rigours expected of the proposed framework, we present a few simulation-based demonstrations to illustrate its feasibility and effectiveness. This exposition is an important step in the transition of formulations of emotional intelligence to the quantum era.

Family Phyllanthaceae is one of the largest segregates of the eudicot order Malpighiales and its species are herb, shrub, and tree, which are mostly distributed in tropical regions. Certain taxonomic discrepancies exist at genus and family level. Here, we report chloroplast genomes of three Phyllanthaceae species—Phyllanthus emblica, Flueggea virosa, and Leptopus cordifolius— and compare them with six others previously reported Phyllanthaceae chloroplast genomes. The species of Phyllanthaceae displayed quadripartite structure, comprising inverted repeat regions (IRa and IRb) that separate large single copy (LSC) and small single copy (SSC) regions. The length of complete chloroplast genome ranged from 154,707 bp to 161,093 bp; LSC from 83,627 bp to 89,932 bp; IRs from 23,921 bp to 27,128 bp; and SSC from 17,424 bp to 19,441 bp. Chloroplast genomes contained 111 to 112 unique genes, including 77 to 78 protein-coding, 30 transfer RNA (tRNA), and 4 ribosomal RNA (rRNA) that showed similarities in arrangement. The number of protein-coding genes varied due to deletion/pseudogenization of rps16 genes in Baccaurea ramiflora and Leptopus cordifolius. High variability was seen in number of oligonucleotide repeats while analysis of guanine-cytosine (GC) content, codon usage, amino acid frequency, simple sequence repeats analysis, synonymous and non-synonymous substitutions, and transition and transversion substitutions showed similarities in all Phyllanthaceae species. We detected a higher number of transition substitutions in the coding sequences than non-coding sequences. Moreover, the high number of transition substitutions was determined among the distantly related species in comparison to closely related species. Phylogenetic analysis shows the polyphyletic nature of the genus Phyllanthus which requires further verification. We also determined suitable polymorphic coding genes, including rpl22, ycf1, matK, ndhF, and rps15 which may be helpful for the reconstruction of the high-resolution phylogenetic tree of the family Phyllanthaceae using a large number of species in the future. Overall, the current study provides insight into chloroplast genome evolution in Phyllanthaceae.

Environmentally friendly and low-cost sensors are needed for the next generation disposable electronics applications. Given its low-cost, availability and biodegradability, paper-based devices are a very promising. Here we demonstrate the fabrication of a tungsten disulphide (WS2) strain sensor on standard copy paper. The WS2 is deposited through direct abrasion of WS2 powder against the paper surface making the fabrication of the device low-tech and cost effective. The fabricated strain gauge devices present gauge factors up to ~70 for strains in the ± 0.5 % range. These values are ~ 9 times larger than that obtained on devices with the same geometry but using a graphite film instead a WS2 as a sensitive material. We demonstrate the potential of these WS2-on-paper strain gauges by integrating them directly on a paper cantilever to sense mass and forces. We show how this very simple device can detect sub-milligram masses. Moreover, we also demonstrate the capability of transducing motion in mechanical resonators by gluing a WS2-on-paper strain gauge on their surface.

Taking care of stroke survivors can be taxing, however, it was understudied in Malaysia. This study aims to describe the burden of informal stroke caregivers within three months after hospital discharge. A longitudinal study design was conducted. Acute stroke survivors and their informal caregivers were recruited prior to hospital discharge, and the caregivers were interviewed by phone. Self-reported caregiver burdens were measured with Zarit Caregiver Burden Interview – Malay version (MZBI) and Caregiver Assessment of Function and Upset – Malay version (Malay-CAFU). The MZBI and Malay-CAFU scores were collected four times within three months. A total of 85 stroke survivors and 155 informal caregivers were recruited, with 58.1% of the caregivers were female. The stroke survivors had two caregivers on average. The mean (SD) scores for the three scales show a reduction, from 27.42 (12.73) in the first week to 17.77 (11.20) in the third month for MZBI, from 1.14 (0.94) to 0.62 (0.64) for instrumental activities of daily livings (IADL) of Malay-CAFU upset scale and 1.36 (1.00) to 0.78 (0.65) for activities of daily living (ADL) of Malay-CAFU upset scale in the same period. Stroke survivors may have several caregivers, usually their spouses or children. Within a short period, the caregiver’s burden was reduced. Early psychosocial support to alleviate the caregiver burden may be necessary.

Abstract Objectives To assess the causes and risk factors of posttraumatic stress disorder (PTSD) in adult asylum seekers and refugees. To explore whether the causes and risk factors of PTSD, between male and female adult refugees/ asylum seekers is different. Study design Systematic review of current literature. Data Sources PubMed, Web of Science, Scopus and Google Scholar up until February 2019 Method A structured systematic search was conducted in the relevant databases. Papers were excluded, if they failed to meet the inclusion and exclusion criteria. Afterwards, a qualitative assessment was performed on the selected papers. Results 12 Studies were included for the final analysis. All papers were either case studies/report or cross sectional studies. The number of traumatic events experienced by refugees/asylum seekers, is the most frequently reported pre-migration causes for PTSD development. Whilst acculturative stress, is the most common post migration stressor. There were mixed reports, regarding the causes of PTSD between both genders of refugees/asylum seekers. Conclusion This reviews’ findings, have potential clinical application into helping clinicians, to risk stratify refugees/asylum seekers for PTSD development and thus aid in embarking on earlier intervention measures. However, more rigorous research similar to this one, is needed for it to be implemented into clinical practice.

Intestinal parasitic infections pose a grave threat to human health, particularly in tropical and subtropical regions. The traditional manual microscopy system of intestinal parasites detection remains the golden standard procedure for the diagnosis of parasites cyst or eggs, but this approach is costly time-consuming (30min/sample), highly tedious, and also required specialist. However, computer vision based on deep learning has made great stride in recent time. Despite the significant advances in deep convolutional neural network-based architectures, little research has been conducted to explore the potential of these techniques in the field of parasitology, specifically for intestinal parasites. Therefore, the goal of this research is to evaluate the performance of proposed state-of-the-art transfer learning architecture for detecting and classifying intestinal parasite eggs from images. We would ensure that patients receive prompt treatment while also relieving experts of extra work if we used such an architecture. Here, in stage first, we applied image pre-processing and augmentation to the dataset, and in stage second, we utilized the YOLOv5 algorithms for detection and classification and then compared their performance based on different parameters. Our algorithms achieved a mean average precision of 97% approximatiely and 8.5 ms detection time per sample for 5,393 intestinal parasite images. Thus, this approach may form a solid theoretical basis for real-time detection and classification in routine clinical examinations while accelerating the process to satisfy increasing demand.

Observing cultivated crops and other forms of land use is an important environmental and economic concern for agricultural land management and crop classification. Crop categorization offers significant crop management data, ensuring food security, and developing agricultural policies. Remote sensing data, especially publicly available Sentinel 1 and 2 data, has effectively been used in crop mapping and classification in cloudy places because of their high spatial and temporal resolution. This study aimed to improve crop type classification by combining Sentinel-1 (Synthetic Aperture Rader (SAR)) data and the Sentinel-2 Multispectral Instrument (MSI) data. In the study, Random Forest (RF) and Classification and Regression Trees (CART) classier were used to classify grain crops (Barley and Wheat). The classification results based on the combination of Sentinel-2 and Sentinel-1 data indicated an overall accuracy (OA) of 93 % and a kappa coefficient (K) of 0.896 for RF and (89.15%, 0.84) for the CART classifier. It is suggested to employ a mix of radar and optical data to attain the highest level of classification accuracy since doing so improves the likelihood that the details will be observed in comparison to the single-sensor classification technique and yields more accurate results.

Background: Chronic kidney disease, one of the most common diseases in the world, is characterized by irreversible impairment of the kidney’s metabolic, excretory, and endocrine functions. During end-stage renal disease, patients require renal replacement therapy, such as hemodialysis (HD). Protein-energy wasting is a common health problem among HD patients. However, this study aims to assess the nutritional status of HD patients at two HD centers in Jeddah, Saudi Arabia, and to determine its associated factors. Methods: A cross-sectional study was conducted at two different Dialysis Centers in Jeddah, Saudi Arabia; 211 female and male HD patients. Malnutrition was recognized using the Modified-SGA (M-SGA) comprising two parts: medical history and physical examination. Sociodemographic and health status for all patients were also determined. Patients were classified based on their M-SGA score into two groups: normal and malnourished. Results: Overall, 54.5% of the participants showed malnutrition. Unemployment, low muscle strength and mass, high level of medication use, and high dialysis vintage were positively (P&lt;0.05) associated with malnutrition. Conclusion: The M-SGA score indicates a high prevalence of malnutrition among HD patients. These results show the importance of regular assessment and follow-ups for HD patients ensuring better health and nutritional status.

Lumbar support exoskeletons with active and passive actuators are currently the cutting-edge technology for preventing back injuries in workers while lifting heavy objects. However, many challenges still exist in both types of exoskeletons, including rigid actuators, risks of human-robot interaction, high battery consumption, bulky design, and limited assistance. In this paper, the design of a compact, lightweight energy storage device combined with rotary series elastic (ES-RSEA) is proposed for use in a lumbar support exoskeleton to increase the level of assistance and exploit the human bioenergy during the two stages of the lifting task. ES takes the responsibility to store and release passive mechanical energy while RSEA provides excellent compliance and prevents injury from the human body's undesired movement. The experimental tests on the spiral spring showed excellent linear characteristics (above 99%) with an actual spring stiffness of 9.96 Nm/rad. The results demonstrate that ES-RSEA can provide maximum torque assistance in the ascent phase with 66.6 Nm while generating nearly 21 Nm of spring torque during descent without turning on the DC motor. Ultimately, the proposed design can maximize the energy storage of human energy, exploit the biomechanics of lifting tasks, and reduce the burden on human effort to perform lifting tasks.

Staphylococcus aureus (S. aureus), particularly Methicillin-resistant S. aureus (MRSA), is a life-threatening pathogen that causes a variety of infections in hospital and community settings. It poses a significant risk and challenge for global health that hinders our ability to control and treat bacterial infections. Recently, the emergence and spread of variant strains of bacteria, misuse of the limited available options of effective antibiotics, spread of fake drugs, and climate change that increased the contact between humans and animals’ populations carrying different bacterial has significantly increased the incidence of Multi-Drug Resistance strains (MDR). This in turn, has created a severe problem in the infection control treatment of S. aureus infected patients. Treatment options for MRSA infection are increasingly limited and complicated. Unfortunately, different strains of MRSA are showing tolerance and resistance toward vancomycin, which is the standard of care for complicated MRSA. Therefore, it is crucial now to invest developing new effective anti-biotics and synergies, develop and implement national action plans for the management of an-tibiotic resistance, as well as improving our understanding of the antimicrobial resistance mechanisms. Here, in this review we explain the main mechanisms of antibiotic resistance in MRSA and describes different approaches to manipulate it in MRSA, providing a basis for de-signing effective drugs, and shedding some light on the evolution of S. aureus.

Environmental psychology plays an important role in the overall development of human mental health. Student activism and health concerns also arose about the human health costs associated with a healthy built environment. This research focuses on recent design "trends", active design, and their relationship to environmental psychology and campus health. This study investigates how an active design approach can improve the environmental psychology of universities to achieve a healthy campus for students to be healthy. The total student participants are 428, 176 male (41.2%) and 251 female (58.8%), from ten university campuses. The methodology is a questionnaire survey including an active design approach based on physical activity categories with SPSS analyses. The results of this study revealed that only 19.7% of students were active on campus, 74.6% active off campus, and 5.7% active on and off campus. Students are more interested in social activity than in mental and physical activity. In addition, the ob-stacles to students' physical inactivity are lack of time, opportunities on campus and the psychological feeling of anxiety, depression and tension due to social activity and work performance in universities. In conclusion, a model is designed to demonstrate the relationship between environmental psychology and active design variables

Marine clay deposits are commonly found worldwide. Considering the cost of dumping and the related environmental concerns, an alternative solution involving the reuse of soils that have poor conditions is crucial. In this research, the authors examined the durability of marine deposited clays and compiled a corresponding database. The use of slag alone as a binder, at any percentage, increased the accumulated mass loss (ALM) up to 2%. However, the use of lime as the third binder seemed to accelerate the chemical reactions associated with the hydration of clay and cementitious material and to enhance the chemical stability, i.e., samples that included both lime and slag experienced the same ALM as samples treated with cement only. Scanning electron microscopy analysis confirmed the durability improvements of these clays. The proposed unconfined compressive strength and accumulated mass loss relationship yielded practical approximation for the fine- and coarse-grained soils blended with up to three binders until 60 days of curing.

Measurement of breast cancer burden and identification of its influencing factors help in the development of public health policy and strategy against the disease. This study aimed to examine the variability of the excess mortality of female breast cancer patients in the North East Region of Peninsular Malaysia. This retrospective cohort study was conducted using breast cancer data from the Kelantan Cancer Registry between 2007 and 2011, and Kelantan general population mortality data. The breast cancer cases were followed up for five years until 2016. Out of 598 cases, 549 cases met the study criteria and were included in the analysis. Modelling of excess mortality was conducted using Poisson regression. Excess mortality of breast cancer varied according to age group (50 years old and below vs above 50 years old, Adj. EHR: 1.47; 95% CI: 1.31, 4.09; P=0.004), ethnicity (Malay vs non-Malay, Adj. EHR: 2.31; 95% CI: 1.11, 1.96; P=0.008), and stage (stage III and IV vs. stage I and II, Adj. EHR: 5.75; 95% CI: 4.24, 7.81; P<0.001). In conclusion, public health policy and strategy aim to improve cancer survival should focus more on patients presented at age below 50 years old, Malay ethnicity, and at a later stage.

Life cycle assessment (LCA) is used frequently as a decision support tool for evaluating different design choices of products based on their environmental impacts. A life cycle usually comprises several phases of varying timespan. The amount of emissions generated from different life cycle phases of a product could be significantly different from one another. In conventional LCA, the emissions generated from the life cycle phases of a product are aggregated at the inventory analysis stage, which is then used as an input for life cycle impact assessment. However, when the emissions are aggregated, the temporal variability of inventory data is ignored, which may result in inaccurate environmental impact assessment. Besides, the conventional LCA does not consider the environmental impact of circular products with multiple use cycles. It poses difficulties in identifying the hotspots of emission-intensive activities with the potential to mislead conclusions and implications for both practice and policy. To address this issue and to analyse the embedded temporal variations in inventory data in a CE context, the paper proposes to calculate the emission intensity for each life cycle phase. It is argued that calculating and comparing emission intensity, based on the timespan and amount of emissions for individual life cycle phases, at the inventory analysis stage of LCA offers a complementary approach to the traditional aggregate emission-based LCA approach. In a circular scenario, it helps to identify significant issues during different life cycle phases and the relevant environmental performance improvement opportunities through product, business model and supply chain design.

River renaturation can be an effective management method for restoring the floodplain's natural capacity and minimizing the effects during high flow periods. A 1D-2D HEC-RAS model, in which the flood plain was considered as 2D and the main channel as 1D, was used to simulate flooding in the restored reach of the Spree River. When computing in this model, finite volume and finite difference approximations using the Preissmann approach are used for the 1D and 2D models, respectively. To comprehend the sensitivity of the parameters and model, several scenarios were simulated using different time steps and grid sizes. Additionally, dykes, dredging, and changes to the vegetation pattern have been used to simulate flood mitigation measures. The model predicted that flooding would occur mostly in the downstream portion of the channel in the majority of the scenarios without mitigation measures, whereas with mitigation measures, flooding in the floodplain would be greatly reduced. By preserving the natural balance on the channel's floodplain, the restored area needs to be kept in good condition. Therefore, mitigating measures that balance the area's economic and environmental aspects must be considered in light of the potential for floods.

Long unpunctuated texts containing complex linguistic sentences are a stumbling block to processing any low-resource languages. Thus, approaches that attempt to segment lengthy texts with no proper punctuation into simple candidate sentences are a vitally important preprocessing task in many hard-to-solve NLP applications. In this paper, we propose (PDTS) a punctuation detection approach for segmenting Arabic text, built on top of a multilingual BERT-based model and some generic linguistic rules. Furthermore, we showcase how PDTS can be effectively employed as a text tokenizer for unpunctuated documents (i.e., mimicking the transcribed audio-to-text documents). Experimental findings across two evaluation protocols (involving an ablation study and a human-based judgment) demonstrate that PDTS is practically effective in both performance quality and computational cost.

Background: World Health Organization (WHO) estimates that there were 558000 new cases with resistance to Rifampicin, of which 82% had multidrug-resistant tuberculosis (MDR-TB). Objectives: We aimed to identify the prevalence of MDR-TB in River Nile state, Sudan, and the risk factors contributing to its occurrence. Methods: This was a descriptive cross-sectional hospital-based study involved 200 specimens taken from patients suspected of having MDR-TB tested using an automated GeneXpert assay. Results: Results of GeneXpert assay showed that the presence of Mycobacterium tuberculosis in 81 (40.5%), and out of 81 positive test results there were 13 (16%) had MDR-TB. Additionally, 7 cases of MDR-TB were previously treated which represented about (53%) of MDR patients, the remaining 6 MDR-TB patients were new cases and represented (47%) of MDR-TB patients. Moreover, there were 4 MDR-TB patients who had a history of contact with MDR-TB patients. Conclusion: Prevalence of MDR-TB in River Nile State, Sudan was 16%, which is greater than WHO estimation for Sudan (10.1%). The results revealed that the main risk factor to develop MDR-TB was a history of contact with MDR-TB, so adherence to treatment and social awareness about the spread of MDR-TB are crucial preventive measures.

The Impact of Event Scale-Revised (IES-R) is the most popular measure of post-traumatic stress disorder (PTSD), which has been recently validated in Arabic. This instrumental study aimed to determine optimal cutoff scores of the IES-R and its subscales in Arab samples of psychiatric patients (N = 168, 70.8% females) and healthy adults (N = 992, 62.7% females) from Saudi Arabia during the COVID-19 pandemic as an ongoing collective traumatic event. Based on a cutoff score of 14 of the Depression Anxiety Stress Scale 8-items (DASS-8), receiver operator curve (ROC) analysis revealed two optimal points of 39.5 and 30.5 for the IES-R in the samples (area under the curve (AUC) = 0.86 &amp; 0.91, p values = 0.001, 95% CI: 0.80-0.92 &amp; 0.87 to 0.94, sensitivity = 0.85 &amp; 0.87, specificity = 0.73 &amp; 0.83, Youden index = 0.58 &amp; 0.70, respectively). Different cutoffs were detected for the six subscales of the IES-R, with numbing and avoidance expressing the lowest predictivity for distress. Meanwhile, hyperarousal followed by the irritability expressed stronger predictive capacity for distress than all subscales in both samples. In path analysis, pandemic-related irritability resulted from direct and indirect effects of key PTSD symptoms (intrusion, hyperarousal, and numbing). Irritability contributed to traumatic symptoms of sleep disturbance in both samples while the opposite was not true. The findings suggest usefulness of the IES-R at a score of 30.5 for detecting adults prone to trauma related distress, with higher scores needed for screening in psychiatric patients. Various PTSD symptoms may induce dysphoric mood, which represents a considerable burden that may induce circadian misalignment and more noxious psychiatric problems/ co-morbidities (sleep disturbance) in both healthy and diseased groups.

In this paper, design of optical spectral filters based on mode coupling of optical fibers is presented. The finite difference method is applied to find the dispersion characteristics of optical fiber coupler constructing from two fibers as a composite multi-dielectric waveguide with different cores but the same cladding. Also, the field distribution for both fibers as a separate and as a composite waveguide. The spectral characteristics of the filters are investigated depending on the coupling of two linear polarized modes LP01 and LP11. The dependence of the transmission coefficient on operating wavelengths is illustrated. Finally, the spectral bandwidth of filter as a function of the distance between the two cores is addressed.

Liquefaction risk assessment is critical for the safety and economics of structures. As the soil strata of Ramsar area in north Iran is mostly composed of poorly graded clean sand and the ground water table is found at shallow depths, it is highly susceptible to liquefaction. In this study, a series of isotropic and anisotropic consolidated undrained triaxial tests are performed on reconstituted specimens of Ramsar sand to identify the liquefaction potential of the area. The specimens are consolidated isotropically to simulate the level ground condition, and anisotropically to simulate the soil condition on a slope and/ or under a structure. The various states of soil behavior are studied by preparing specimens at different initial relative densities and applying different levels of effective stress. The critical state soil mechanics approach for identifying the liquefaction susceptibility is adopted and the observed phenomena are further explained in relation to the micro-mechanical behavior. As only four among the 27 conducted tests did not exhibit liquefactive behavior, Ramsar sand can be qualified as strongly susceptible to liquefaction. Furthermore, it is observed that the pore pressure ratio is a good indication of the liquefaction susceptibility

There are few published studies assessing dental students' and faculty's perception regarding environmental sustainability in dentistry (ESD), its existence within the dental curricula, along with barriers and enablers for its integration. As far as the authors know, no published study looked into this in Saudi Arabia, and this is what the current study aims to explore. A cross-sectional survey using validated online questionnaires for dental students and faculty was carried out in 26 dental schools in Saudi Arabia. The validated questionnaire utilized 25 questions using Qualtrics (XM) software. Both descriptive statistics and thematic analysis were included in the data analysis. ESD content is not formally embedded within the dental curricula in all 26 included universities in Saudi Arabia. Although the majority of students and faculty members agreed or strongly agreed on the importance of ESD as a whole and the importance of teaching it, more than 82% and 81% of students and faculty, respectively, demonstrated a lack of basic knowledge concerning ESD. There is a high demand for incorporating ESD content in dental education in Saudi Arabia. To achieve this, resources and policy changes are necessary. A top-down approach is needed, including incorporating ESD into dental education standards, using evidence-based practices in revising infection control regulations and providing institutional support through training, materials, and incentives. National dental associations and governments should provide practical solutions and actively support dental professionals in implementing ESD.

Robotics and autonomous technologies enable space travel. Robotics change space colonization. We study space-based robotics. Human-centric missions need robotics. Vision, decision-making, movement, and manipulation follow. These developments influence resource utilization, extravehicular activities, planetary surface exploration, long-duration space missions, and colonization. Robots improve research, productivity, and astronaut safety but present problems. Highlighting research and knowledge gaps. Space ethics, human-robot interaction, and failure recovery are gaps. This extensive study showed how robots and autonomous systems may transform space exploration and colonization. Researchers, engineers, and mission planners may benefit. Robotics and autonomy will improve space exploration.

The study explored the community perception of maternal deaths influenced by natural disaster, practice of maternal complications during natural disaster among the rural population in Bangladesh. It also explored the challenges faced by the community for providing health care and referring the complicated pregnant mothers during disaster. Three focus group discussions (FGDs) and eight in-depth interviews (IDIs) were conducted in the marginalized rural communities in the flood-prone Khaliajhuri sub-district, Netrakona district, Bangladesh. Flood is one of the major risk factors for influencing maternal death. Pregnant mothers seriously suffer from maternal complication, lack of antenatal checkup and even any doctor during flood. During the time of delivery, it is difficult to find even a skilled attendant and referring the patient with delivery complications to the healthcare facility. Boat is the only mode of transport. Majority maternal deaths occur on the boats during transfer from the community to the hospital. The rural people feel that the maternal deaths influenced by natural disaster are the natural phenomena. It needs some pre-preparation to support pregnant women during the disaster. There is unawareness of maternal health, related care and complications during disaster among the local health service providers and volunteers.

Cobalt (Co) is a transition metal and is classified as a beneficial metal for plants, but its benefits for plants remain obscure. Cobalt has been reported to negatively affect plant physiochemical processes both at higher (toxic) and lower (deficient) applied levels. High concentrations of cobalt in plant organs cause irreversible changes to the plant cells, mainly via enhanced production of reactive radicals. Moreover, Co and its compound play an essential role in humans as they are the central atoms of cobalamin, a co-enzyme precursor whose absence causes anemia. Hence, the optimum Co supply to plants is critical for customary plant metabolic workings. Henceforth, monitoring Co behavior in the soil-plant-human system is highly imperative. This review highlighted the latest literature on (i) Co in soil and plants; (ii) its mobility and phyto-availability in soil; (iii) phytouptake and translocation towards shoot tissues; (iv) toxic and deficient effects of Co on plants; (v) plant detoxification mechanisms under increased Co levels inside plants; and (v) its role in the human body. For this purpose, 1026 plant observations from literature data were analyzed related to Co biogeochemical behavior in the soil-plant system. The data analysis revealed an overall increase in 567 observations and a decrease in 381 observations. However, these general trends in plant responses vary significantly for different types of plant species and physiological attributes. Overall, the current review delineates an updated and critical representation of the biogeochemical behavior of Co in the soil-plant-human system, supported by up-to-date 9 main tables, 14 supporting tables, and 3 figures. The authors believe that the literature presented here can be of great interest to scientists, researchers, policymakers, and graduate-level students.

Epidermal Growth Factor Receptor (EGFR) tyrosine kinase is a cell surface receptor whose overexpression has been associated with different types of cancers including brain cancer (glioblastoma multiforme). The ability of the extract of Scutellaria baicalensis to inhibit the proliferation of malignant glioma cells have been reported. Thus, in this study we report the identification of 307 bioactive constituents responsible for the anti-glioblastoma multiforme effect from S. baicalensis using in silico studies such as molecular docking, binding free energy calculations, pharmacophore modelling, induced-fit docking, gene enrichment analysis, molecular dynamic simulations and ADMET predictions. A total of 307 chemical constituents of S. baicalensis were screened and the top 10 scoring compounds indicated different binding affinities ranging from -9.010 to -6.427 kcal/mol towards the EGFR tyrosine kinase; Ganhuangenin, 5,7,2',5'-tetrahydroxyflavone, (2R)-2-(2,6-dihydroxyphenyl)-3,4-dihydro-2H-chromene-5,7-diol, and tenaxin I possess higher binding affinities (-9.010 to -8.649 kcal/mol) compared to the standard ligand, erlotinib having -8.539 kcal/mol. The compounds interacted with amino acids of clinical importance such as MET 769, GLU 738, THR 766 via H-bond. The structural features involved in the interaction with the target were mostly two aromatic rings, H-bond donors and acceptors and some hydrophobic interactions which varies between the ligands. Better docking scores in the induced-fit docking further validates the inhibitory potential of the compounds against the flexible protein. All the top-scoring ligands from S. baicalensis had zero Lipinski violation and also obeyed other drug-likeness rules by Ghose, Veber, Egan, and Muegge with the exception of breviscapine. Interestingly, all the compounds are not likely to be hepatotoxic, mutagenic, or cytogenic, making them potentially safe as anti-cancer agents.

Rivaroxaban and aspirin are commonly used antithrombotic agents that are used in combination for the prevention of coronary artery disease (CAD) and atherothrombotic events in adult patients after an acute coronary syndrome (ACS) with elevated cardiac biomarkers, or with coronary artery disease (CAD) or symptomatic peripheral artery disease (PAD) in high-risk patients. The recommended dosage is 2.5 mg Rivaroxaban twice daily with 75–100 mg aspirin daily. This study aimed to develop a fixed-dose combination tablet of rivaroxaban (2.5 mg) and aspirin (50 mg) to decrease the patient's pill burden and enhance medication adherence. The product formula was developed based on compatibility studies among the active ingredients and the active ingredients' compatibility studies. The formula and the manufacturing procedure were chosen based on the risk assessment for each active substance, wet granulation with both actives intragranular was found to have faster dissolution than direct mix formulae. Furthermore, a validated reverse-phase HPLC stability indicator method was developed to detect APIs and their possible degradants in the formula.

Transportation, environmental conditions, quality of human life within smart cities, and system infrastructure have all needed practical and dependable smart solutions as urbanization has accelerated in recent years. In addition, the emerging Internet of Things (IoT) provides access to a plethora of cutting-edge, all-encompassing apps for smart cities, all of which contribute significantly to lowering energy consumption and other negative environmental impacts. For smart cities to meet the challenge of using less energy, the authors of this research article suggest planning and implementing an integrated power and heat architecture that puts renewable energy infrastructure and energy-storage infrastructure at the top of the list. To address these issues, we describe a smart proposed NEOSRD architecture that uses a distributed smart area domain to optimize renewable demand energy in a smart city across a wide area network. The energy requirements of desalination procedures are negligible when compared to the total local energy consumption and transportation, a feat accomplished by the proposed NEOSRD system. Here, the computational model shows how the established system is a valuable response to our problems and a cost-effective strategy for creating smarter structural elements that cut down on overall smart cities' energy costs.

Objectives: Human herpes viruses can cause life-threatening diseases in immunocompromised children, especially leukemic patients. Therefore, the aim of this study is to detect the human herpes viruses (HHV1-7) and to investigate its clinical significance in Middle Eastern Pediatric Leukemia Patients by using 2 Independent PCR assays. Methods: Detection of human herpes virus DNA has been done in blood samples of 200 pediatric leukemia patients in addition to 90 blood donors as a control group using multiplex PCR assays. When a ‘‘positive’’ result was observed, real-time PCR was performed to measure the viral load. Results: The most frequent herpes virus infection in Middle Eastern Pediatric Leukemia cases was CMV, followed by EBV, then HHV6, VZV, HHV7, HSV1, and HSV2, where they were 92/200 (46%), 76/200 (38%), 72/200 (36%), 48/200 (24%), 12/200 (6%), 8/200 (4%), and 2/200 (1%) respectively. Also, there was a statistically significance difference between leukemic patients and their controls regarding CMV, EBV, HHV6, and VZV (P <0.05). Correlation between percentage of co-infection, and clinical parameters for the 7 herpes viruses has been studied, and there is an increase in absolute neutrophilic count (ANC), total leukocyte count (TLC) and duration of fever and neutropenia in age group 6-11 years for HHV6/CMV, then in age group 12-18 years especially for EBV/CMV and CMV/HHV6. Also, our results show that multiplex PCR assay is close to single PCR assay in relation to specificity and sensitivity which in turn prove its validity for early diagnosis of herpes viral infection. Conclusions: Adopting multiplex PCR technique is helpful in screening of virus infections. It will save time, effort, cost effective and will assist in rapid diagnosis. However, the clinical relevance of the virus infection needs to be evaluated by quantitative real-time PCR which in turn will help patient's management by using appropriate antiviral treatment.

Botnets, a prominent threat to IoT security. ‘botnet’ this word is the composition of robot and network. A network of robots used to commit cybercrime. A bot means a compromised end-host or a device which is a member of a botnet. [2] Governments have become a popular target for malicious attacks. This is due to them holding mass confidential data on their network.

Background: Worldwide, microbes are becoming more dangerous by acquiring virulent skills to adapt and develop antimicrobial resistance (AMR). This is a concern as this increases morbidity, mortality, and costs. Consequently, physicians need to be trained inappropriate prescribing, starting with medical students. Objective: Evaluate medical students' confidence in antimicrobial agent prescribing and drug resistance Methods: Cross-sectional study assessing medical students' knowledge, perception, and confidence in prescribing antimicrobial agents and drug resistance in a Malaysian University. A universal sampling method was used. Results: Most respondents believe that educational input regarding overall prescribing was sufficient. Regarding the principle of appropriate and accurate prescriptions, female medical students had less knowledge [Odds Ratio (OR)=0.51; 95% Confidence Interval (CI) 0.25-0.99; p=0.050]. Year-IV and Year-V students had more excellent knowledge than Year-III students regarding confidence in antibiotic prescribing. Year-V students also showed appreciably higher confidence in the broad principles of prescribing, including infectious diseases, compared to those in other years. Conclusion: Overall, medical students, gain more excellent knowledge and confidence regarding prescribing, including antimicrobials, as their academic careers progress.

Application of chemical pesticides to protect agricultural crops from pests and diseases is discouraged due to their harmful effects on human and environment. Therefore, alternative approaches for crop pro-tection through microbial or microbe originated pesticides have been gaining momentum. Wheat blast is a destructive fungal disease caused by Magnaporthe oryzae Triticum (MoT) pathotype, which poses a seri-ous threat to global food security. Screening of secondary metabolites against MoT revealed that antimy-cin A isolated from a marine Streptomyces sp. had significant inhibitory effect on mycelial growth in vitro. This study aimed to investigate the inhibitory effects of antimycin A on some critical life stages of MoT and evaluate the efficacy of wheat blast disease control by this natural product. Bioassay indicated that antimycin A suppressed mycelial growth, conidiogenesis, germination of conidia and formation of ap-pressoria in germinated conidia of MoT in a dose-dependent manner with minimum inhibitory concen-tration 0.005 μg/disk. If germinated, antimycin A induced abnormal germ tubes (4.8%) and suppressed the formation of appressoria. Interestingly, application of antimycin A significantly suppressed wheat blast disease in both seedling and heading stages of wheat supporting the results from invitro study. This is the first report on inhibition of mycelial growth, conidiogenesis, conidia germination, detrimental morphological alterations in germinated conidia, and suppression of wheat blast disease caused by a Triticum pathotype of M. Oryzae. Further study is required to unravel the precise mode of action of this promising natural compound for considering it as a biopesticide to combat wheat blast.

Abstract: Background: COVID-19 is a respiratory disease that eventually became pandemic with 300 million people infected around the world. Alongside the improvement in COVID-19 management and vaccine development, identifying biomarkers for COVID-19 has recently reported to help in early prediction and managing severe cases which might improve outcome. The Aim of our study was to find out if there is any correlation between clinical severity and elevated hematological and biochemical markers in Covid-19 patients and its effect on the outcome Methods: We have collected data retrospectively of socio-demographic, medical history, biomarkers, and diseases outcome from five hospitals and health institutions in the Kingdom of Saudi Arabia. Results: Pneumonia was the most common presentation of COVID 19 in our cohort. All biomarkers (D-Dimer, CRP, troponin, LDH and ferritin) except for the mean lowest white blood cells were found to have significant correlation (p<0.05) with worse COVID-19 disease outcomes. There was a sig-nificant association between the inflammatory biomarkers and the disease severity of COVID 19 patients (p<0.001). Patients with evidence of severe respiratory disease particularly who required mechanical ventilation (MV) had higher biomarkers, when compared to those with stable respiratory condition (p<0.001). Conclusion: Identifying biomarkers predicts outcome for COVID-19 patients and may significantly help in the management.

Rapid climate change requires more powerful and precise modeling methods to forecast future climate variability. The GSTARIMA Model is efficient, combining space-time analysis with the Autoregressive Moving Average (ARIMA) Model. The integration of heteroscedasticity error and the Kriging method can strengthen the Model's ability to handle the problem of non-constant error variance in the GSTARIMA Model and forecast at unobserved locations of climate observations. This paper's Systematics Literature Review (SLR) is presented comprehensively with the principal aim of developing a thorough understanding of applying the GSTARIMA Model with heteroskedasticity error and the Kriging Method in climate forecasting following the Data Analytics Lifecycle methodology. The Systematic Literature Review (SLR) process consists of three main stages. We sourced the articles from databases such as Scopus, Dimensions, and EBSCO-Host The subsequent stage involved conducting a comprehensive literature review using the PRISMA method to ensure rigor and depth. Additionally, we performed bibliometric analysis to enhance rigor. Lastly, we conducted a gap analysis session to scrutinize existing research on the GSTARIMA Model and identify new opportunities. This literature review reveals that integrating GSTARIMA Model with heteroscedasticity errors and the Kriging method is suitable for climate forecasting. This research inspires researchers to contribute to the improvement and refinement of the Model, making it a more potent and valuable tool in climate forecasting.

Early experience with Covid-19 shows that vaccines can be the most effective way of preventing the spread of infection. However, vaccine hesitancy is among the most significant hurdles in preventing the spread of novel infections. Monkeypox (MPX) has already been declared a global health emergency by WHO. Thus, there is an urgent need to understand the MPX vaccine willingness in various population groups. In this cross-sectional study, an online survey was conducted among Saudi healthcare workers (HCWs) to understand the monkeypox vaccine willingness in healthcare workers in Saudi Arabia. Saudi has already confirmed multiple MPX cases, and thus it is essential to initiate timely protective measures, including vaccination. The study had 743 respondents. The study found that among Saudi HCWs, 52.7% were willing to receive the MPX vaccine. The study found that sociodemographic factors had a small impact on vaccine willingness. However, early experience with vaccination had a significant impact. Thus, more than 70% who had influenza or COVID-19 vaccine were willing to receive the MPX vaccine. Some of the most significant concerns influencing vaccine acceptability were the safety and efficacy of the vaccine. Hence, it is strongly recommended to focus on disseminating information regarding the safety and efficacy of the MPX vaccine.

Many assumptions exist about online learning and its impact on college students. Hitherto, the views of those meant to be the beneficiaries of this technology have been given little consideration despite the fact that students use cyberspace for academic work and beyond. This qualitative case-study report is based on research conducted by college students at a private university in the Eastern Province of Saudi Arabia. The aim was to examine the online learning experiences of their peers during the first wave of the coronavirus global pandemic, with a view to understand how prepared their university is for an academic genre located in cyberspace. The findings are based on the perspectives of 2,298 college students responding to a survey administered to the entire student population comprising around 9,000 individuals. They suggest that increasing opportunities for cyberlearning could have positive effects on students. Also provided is cautionary advice about the need to improve teaching pedagogies and combat academic dishonesty.

Scrub typhus is a neglected tropical disease predominantly occurring in Asia. The causative agent is a bacterium transmitted by the larval stage of mites found in rural vegetation in endemic regions. Cases of scrub typhus frequently present as acute undifferentiated febrile illness, and without early diagnosis and treatment, the disease can develop fatal complications. We retrospectively reviewed de-identified data from a 23-year-old woman who presented to an emergency department with complaints of worsening abdominal pain. On presentation, she appeared jaundiced and toxic-looking. Other positive findings on abdominal examination were a positive Murphey’s sign, abdominal guarding and hepatosplenomegaly. Magnetic resonance cholangiopancreatography demonstrated acalculous cholecystitis. Additional findings included eschar on the medial aspect of the left thigh with inguinal regional lymphadenopathy. Further, positive results were obtained for immunoglobulins M and G, confirming scrub typhus. Workups for other infectious causes of acute acalculous cholecystitis detected human herpesvirus 4 (Epstein-Barr virus). Whether that represented acute infection or re-activation of the Epstein-Barr virus could not be determined. As other reports have described acute acalculous cholecystitis in adult scrub typhus patients, we recommend doxycycline to treat acute acalculous cholecystitis in endemic regions while awaiting serological confirmation.

Statistical modeling of lifetime data plays an essential role in a wide range of practical fields, such as health and engineering. There have been a lot of studies done to develop statistical models that can better describe health data than traditional models. For the first time, we pioneer a novel family of continuous probability distributions called the generalized odd beta prime generalized (GOBP-G) family of distributions. The cumulative distribution and probability density functions of the new family are presented. A new generalization of the Weibull distribution called "generalized odd beta prime-Weibull" (GOBPW) is proposed using the pioneered GOBP-G family. The mixture representations of the new distribution are defined and derived. Some formal statistical properties of the GOBPW distribution, such as the moments, moment generating function, incomplete moments, information generating function, entropies, stress-strength function, quantile function, and order statistics, are derived. The estimation of the parameters of the proposed distribution is evaluated using the maximum likelihood estimation approach. Different cancer disease data sets, such as the bladder, head and neck, acute bone, and blood cancers, are used to illustrate the applicability and usefulness of the new model and were compared using several statistical accuracy measures with that of well-established extended Weibull distributions, which are the beta modified Weibull distribution, Kumaraswamy modified Weibull distribution, gamma generalized modified Weibull distribution, gamma log-logistic Weibull distribution, and beta log-logistic Weibull distribution. The results show that the proposed model gives better results than the competitive models. This study could guide the relevant stakeholders in choosing a suitable statistical model for the health data instead of relying on traditional models to enhance decision-making.

Thyroid hormones have a catabolic effect on bone homeostasis. Hence, this study aimed to evaluate serum vitamin D, calcium, and phosphate and bone marker levels and bone mineral density (BMD) among patients with different thyroid diseases. This cross-sectional study included patients with underlying thyroid diseases (n=64, hyperthyroid; n=53 euthyroid; and n=18, hypothyroid) and healthy controls (n=64). BMD was assessed using z-score and left hip and lumbar bone density (g/cm2). Results showed that the mean serum vitamin D Levels of all groups was low (<50 nmol/L). Thyroid patients had higher serum vitamin D levels than healthy controls. All groups had normal serum calcium and phosphate levels. The bone marker levels were significantly high in the hyperthyroid group and low in the hypothyroid group. The z-score for hip and spine did not significantly differ between thyroid patients and control groups. The hip bone density was remarkably low in the hyperthyroid group. In all groups, the serum vitamin D levels were below the cutoff value. However, thyroid patients had a higher serum vitamin D level than healthy controls. The carboxy terminal collagen crosslink and procollagen type I N-terminal propeptide levels were high in hyperthyroid patients and low in hypothyroid patients. Further, hyperthyroid patients had a low hip BMD.

In this study, we first present a time-fractional L$\hat{e}$vy diffusion equation of the exponential option pricing models of European option pricing and the risk-neutral parameter. Then, we modify a particular L$\hat{e}$vy-time fractional diffusion equation of European-style options. Introduce a more general model from the models based on the L$\hat{e}$vy-time fractional diffusion equation and review some recent findings regarding of the Europe option pricing of risk-neutral free.

This study aimed to determine the feasibility of the development of an over-the-counter (OTC) screening model using machine learning for breast cancer screening in the Asian women population. Data were retrospectively collected from women who came to the Hospital Universiti Sains Malaysia, Malaysia. Five screening models were developed based on machine learning methods; random forest, artificial neural network (ANN), support vector machine (SVM), elastic-net logistic regression and extreme gradient boosting (XGBoost). Features used for the development of the screening models were limited to information from the patients’ registration form. The model performance was assessed across the dense and non-dense groups. SVM had the best sensitivity while elastic-net logistic regression had the best specificity. In terms of precision, both random forest elastic-net logistic regression had the best performance, while, in terms of PR-AUC, XGBoost had the best performance. Additionally, SVM had a more balanced performance in terms of sensitivity and specificity across the mammographic density groups. The three most important features were age at examination, weight and number of children. In conclusion, OTC models developed from machine learning methods can improve the prognostic process of breast cancer in Asian women.

SARS-CoV-2, influenza A/B virus (IAV/IBV) and respiratory syncytial virus (RSV) are among the common viruses causing acute respiratory infections. Clinical diagnosis to differentiate these viruses is challenging due to similar clinical presentations, thus laboratory-based real-time RT PCR is the gold standard for diagnosis. The study aimed to evaluate the diagnostic performance of STANDARD M10 Flu/RSV/SARS-CoV-2 (SD Biosensor Inc, Seoul, Korea). This retrospective study was conducted with archived respiratory samples positive and negative for SARS-CoV-2, IAV, IBV or RSV. The evaluation study involved a total of 322 respiratory samples comprising 215 positive samples (49 SARS-CoV-2, 48 IAV, 53 IBV, 65 RSV) and 107 negative samples. All samples were tested with both STANDARD M10 and either Xpert Xpress SARS-CoV-2 or Xpert Xpress Flu/RSV (Cepheid, USA). The sensitivity, specificity, positive predictive value and negative predictive value rates of STANDARD M10 were very similar to Xpert Xpress SARS-CoV-2 or Xpert Xpress Flu/RSV ranges for each virus (98-100%). The overall agreement was 99.4% with 99.1% agreement for positive samples and 100% agreement for negative samples. In conclusion, the STANDARD M10 point-of-care test is suitable for rapid simultaneous detection of SARS-CoV-2, IAV, IBV and RSV.

Meningiomas are the most prevalent primary intracranial tumors. The majority are benign but can undergo dedifferentiation into advanced grades classified by World Health Organization (WHO) into Grades 1 to 3. Meningiomas tremendous variability in tumor behavior and slow growth rates complicate their diagnosis and treatment. A deeper comprehension of the molecular pathways and cellular microenvironment factors implicated in meningioma survival and pathology is needed. This review summarizes the known genetic and epigenetic aberrations involved in meningioma, with a focus on Neurofibromatosis type 2 (NF2) and non-NF2 mutations. Novel potential biomarkers for meningioma diagnosis and prognosis are also discussed, including epigenetic-, RNA-, metabolomics, and protein-based markers. Finally, the landscape of available meningioma-specific animal models is overviewed. Use of these animal models can enable planning of adjuvant treatment, potentially assisting in preoperative and postoperative decision-making. Discovery of novel biomarkers will allow, in combination with WHO grading, more precise meningioma grading, including meningioma identification, subtype determination, and prediction of metastasis, recurrence, and response to therapy. Moreover, these biomarkers may be exploited in the development of personalized targeted therapies that can distinguish between the 15 diverse meningioma subtypes.

Magnesium (Mg) is a vital element, which involves in various key cellular processes in plants. Mg transporter (MGT) genes play an important role in magnesium distribution and ionic balance maintenance. Here, MGT family members were identified and characterized in three species of the plant family Malvaceae, including Theobroma cacao, Corchorus capsularis, and Gossypium hirsutum to improve our understanding of their structure, regulatory systems, functions, and possible interactions. We identified 18, 41, and 16 putative non-redundant MGT genes from the genome of T. cacao, G. hirsutum, and C. capsularis, respectively, which were clustered into five groups within maximum likelihood tree. Several segmental/tandem duplication events were determined between MGTs genes. It seems that MGTs were slowly evolving and have been evolved under a purifying selection. Analysis of gene promoter regions showed that MGTs have a high potential to respond to biotic/abiotic stresses as well as hormones. The expression patterns of MGT genes revealed their possible T. cacaorole in response to P. megakarya fungi in T. cacao, whereas MGT genes showed differential expression in various tissues and respond to several abiotic stresses, including cold, salt, drought, and heat stress in G. hirsutum. Besides, the co-expressions network of MGTs indicated that genes involved in auxin responsive, lipid metabolism, cell wall organization, and photoprotection can interact with MGTs.

River flow prediction is a pivotal task in the field of water resource management during the era of rapid climate change. The highly dynamic and evolving nature of the climatic variables e.g., precipitation has a significant impact on the temporal distribution of the river discharge in recent days making the discharge forecasting even more complicated for diversified water-related issues e.g., flood prediction and irrigation planning. To predict the discharge, various physics-based numerical models are used using numerous hydrologic parameters. Extensive lab-based investigation and calibration are required to reduce the uncertainty involved in those parameters. However, in the age of data-driven predictions, several deep learning algorithms showed satisfactory performance in dealing with sequential data. In this research, Long Short-term Memory (LSTM) neural network regression model is trained using over 80 years of daily data to forecast the discharge time series up to 3 days ahead of time. The performance of the model is found satisfactory through the comparison of the predicted data with the observed data, visualization of the distribution of the errors and Root Mean Squared Error (RMSE) value of 0.09. Higher performance is achieved through the increase in the number of epochs and hyper parameter tuning. This model can be transferred to other locations with proper feature engineering and optimization to perform univariate predictive analysis and potentially be used to perform real-time river discharge prediction.

Groundwater (GW) flooding mechanisms differ from river flooding both spatially and temporally, and preventative methods against groundwater flooding must take this into account. Although groundwater flooding caused by river water rise occurs seldom, it can occasionally become severe and last for a long time if the river is significantly flooded. In the southwest portion of the research domain, Friedrichshafen with a few urban communities, the level of the groundwater table was discovered to be roughly 1 m below the surface. It was discovered that the urban settlement area only has one-story buildings. In the study region, it is typical for the single-story building's foundation bottom level to extend up to a depth of about 1.5 meters. Therefore, flood mitigation methods are taken into account for the southwest portion of the study region. The installation of a pumping well, drainage, and a barrier in the affected area are three different flood control strategies that are taken into consideration for the study area. From a technical and cost-benefit perspective, installing a pumping well that withdraws water and lowers the groundwater table was found to be the most effective flood control measure locally in a small region (e.g., 1km x 1km). By contrast, removing groundwater by building drainage and barriers was also shown to be ineffective to lower the groundwater table over an extended region and was significantly more expensive than the installation of wells. Additionally, when river flooding is taken into account compared to the default scenario where no intake of water from the river is included along the western border of the study area, it is discovered that the spread of pollution is significantly greater.

Hb Adana is a non-deletional α-thalassaemia variant, due to mutations in α1- or α2-globin codon 59 (αCD59) that produce unstable α-globin. Clinical appearance can range from silent carrier to blood transfusion reliance, hepatosplenomegaly, skeletal deformities, and spinal cord compression. Despite the importance of Hb Adana inheritance, this Hb variant is challenging to study since molecular tests are scarce and routine diagnosis can be missed. This study explored the distribution of Hb Adana among local high school students and evaluate the hematological parameters and haemoglobin analysis of Hb Adana in this region of Malaysia. This retrospective study included 13,721 blood samples from high school students enrolled in Malaysia's National Thalassaemia Screening Program at Hospital Raja Perempuan Zainab II (HRPZ II). Multiplex Gap PCR was used to detect deletional α-thalassaemia. Common non-deletional α-thalassaemia was detected using multiplex ARMS PCR. Evaluable data were retrieved from the HRPZ II database. Results: A total of 2327 subjects exhibited common deletional (n=1037, 44.6%) and non-deletional (n=1290, 55.4%) α-thalassaemia. Hb Constant Spring was the most frequent non-deletional α-thalassaemia. Thirty-one participants (1.33%) had αCD59α/αα and one (0.04%) had αCD59α/-α3.7. The 32 Hb Adana subjects were 87.5% Malay, and 12.5% Orang Asli. Additionally, seven cases of HbE/Hb Adana were discovered. The haemoglobin level in heterozygous Hb Adana ranged from mild anaemia to normal, 95.0 g/L to 153.0 g/L. The MCV and MCH were approximately 73 fL and 23 pg, respectively. Conclusions: We have denoted the distribution of alpha thalassaemia mutation patterns among high school students in Kelantan, Northeast Peninsular of Malaysia. Our observation showed Hb Adana was rarely uncommon in our region and the co-inheritance with an α-gene deletion generates α+-thalassaemia; with HbE, α0-thalassaemia. All heterozygous Hb Adana exhibited low MCVs and MCHs.

Voltage Stability & Control, is very crucial compared to other Power System (PS) Quality and Stability issues. Long-Vertical-Power-Flows in Conventional Grids, causes voltage drops which in turn causes huge power losses, especially in the Medium Voltage (MV) and Low Voltage (LV) Distribution Networks. Such technical losses in abysmally-planned weak distribution networks, lead to substantial loss of revenues to the utility grid. Apart from classic Voltage Regulation (VR) techniques, with the rise of Distributed Generation (DG) based on Renewable Energy Sources (RES), Horizontal-Power-Flows can be introduced in the network, through various Smart Grid techniques. Coupling such sources, near load centers shall mitigate long flows from expensive conventional sources at times of huge demands, improving feeders’ Voltage Profile. This Ancillary Service of Voltage Support from DG RESs shall thereby alleviate revenue losses caused by long-power-flows in weak distribution grids. For a developing country like Pakistan, loss of revenue from an already expensive utility gives huge blow to the economy. So, a similar technique for voltage support is proposed for an 11-kV feeder, which faces similar problem, and the results are remarkable. The technique is implemented using OpenDSS Tool by modelling 3MWp PV Penetration along with some future storage.

In this study, we introduce a new class of bi-univalent functions using q-Janowski Function. We derive the Fekete-Szegö functional problems for functions in this new subclass, as well as estimates for the Taylor-Maclaurin coefficients |α2| and |α3|. Furthermore, a collection of fresh outcomes are3 presented by customizing the parameters employed in our initial discoveries.

Various kinds of primary metabolisms in plants are modulated through sulfate assimilation that the uptake of this inorganic compound can be regulated via the sulfate transporters, such as sulfotransfer-ases (SOTs), engaged in the sulfur metabolism. In the current study a genome-wide approach has been utilized for recognition and characterization of SOT family genes in the significant nutritional crop po-tato (Solanum tuberosum L.). As a result, 29 StSOT genes were identified in the potato genome, which were mapped onto the nine S. tuberosum chromosomes. The protein motifs structure demonstrated two highly conserved 5' PSB region and 3' PB motif that are essential for sulfotransferase and catalytic ac-tivities. The protein-protein interaction networks also significantly demonstrated an interesting collabo-ration between SOTs and the other genes, such as PRTase, APS-kinase, protein phosphatase and APRs, in sulfur compounds biosynthesis and regulation of the flavonoid and brassinosteroid metabolic pro-cesses, which clearly detected the importance of sulfotransferases for potato proper growth/development and stress dealing. Notably, the homology modeling of StSOT proteins and dock-ing analysis of their ligand-binding sites revealed the presence of some stress-responsive residues, such as proline, glycine, serine and lysine, in their active sites. The expression assay of StSOT genes via the potato RNA-seq data clearly suggested the engagements of these gene family members in plants growth and extension as well as responses to various hormones and biotic/abiotic stimulus circum-stances. Our predictions can be informative for the functional characterization of the SOT genes in po-tato and may the other nutritional crops.

Internet of Things (IoT) is a massive network of tiny devices connected internally and to the in-ternet. It is uniquely identified in the network (i.e. dedicated IP) and can share the information with other devices. However, the low power and low resources that distinguish IoT devices render them unsecure and targeted by different kinds of attacks since IoT devices cannot toler-ate heavy security models. Also, due to the heavy nature of famous protocols such as HyperText Transport Protocol (HTTP), it is costly to be used with IoT devices, and alternatively, different lightweight protocols are implemented to fit IoT devices. One of the prevailing protocols used over IoT networks is the Constrained Application Protocol (CoAP). Therefore, CoAP is popular, and that makes it targeted by different types of attacks. One of the major attacks that target CoAP is distributed denial of service (DDoS) attacks. DDoS aims to overwhelm the resources of the target and make them unavailable to legitimate users. As a result, different kinds of meth-ods were used to secure CoAP against DDoS attacks such as Datagram Transport Layer Secu-rity (DTLS) and Lightweight and Secure Protocol for Wireless Sensor Networks (LSPWSN). However, the existing models suffer from two issues: DTLS is not designed for constrained devices and is considered a heavy protocol. Besides, LSPWSN is working over the network layer, not in the application layer that CoAP works on. In this paper, we build a machine learn-ing model that can detect the DDoS attacks against CoAP with an accuracy of 98%. The CIDAD dataset is extended from ~11000 to 100,000 samples using GANs because it has fewer samples of malware (less than 0.2% of the total dataset). Our model outperforms the existing models that target securing CoAP in the application layer and obtains 93% of accuracy.

Background Obesity compromises the health of a woman's pregnancy and her newborn. Aim: To describe weight-gaining changes throughout pregnancy and evaluating outcomes for the mother and the baby. Methods A retrospective review of women who delivered singletons using Large Perinatal Registry. According to their BMI, patients were categorized into four categories: underweight, normal, overweight, and obese. Mode of delivery, gestational diabetes, hypertensive diseases, obstetric cholestasis, and postpartum hemorrhage were the main maternal outcome measures. The newborn outcome indicators were birth weight, NICU hospitalization, premature birth, and stillbirth. Results The study sample included 2,352 natives (25%) and 7,058 expatriates (75%). The majority of the sample (4726) were aged 20-29 years, 43.6% were aged 30-39 years, and 2.1% and 3.9% were aged 19 years and 40 years respectively. The incidence of hypertension, obstetric cholestasis, diabetes, postpartum hemorrhage, and cesarean section varied among the entire sample. In the underweight group, the incidence of CS was 15.7%, in the normal weight group (24.9%), in the overweight group (31.3%), and in the obese group (41%). Hypertensive disorders were 3 times more prevalent in obese women than in normal-weight women (2%), and 5.3% of obese women had PPH compared to 5. 6% of women of normal weight. The underweight groups gained the most weight during pregnancy, whereas the obese gained the least. Conclusions A significant proportion of pregnant women in our sample will become obese by the time of delivery. Obesity during pregnancy is associated with negative maternal and fetal outcomes.

The concerning rise in emergence and prevalence of resistant strains to drugs of M. tuberculosis has ,the prompted researchers to look for new and effective treatments. With this motive, biscoumarins were identified as the lead molecules on a whole-cell-based screening of several less explored low molecular weight bioactive compounds against M. tuberculosis strains. Among the screened biscoumarins, the highest dock score derivatives were synthesized (a-h) using a programmable microwave synthesizer for better yields and reaction control. The synthesized derivatives were evaluated against H37Rv, H37Ra, M. smegmatis, an MDR surrogate model, and other bacterial strains for the structure-activity response. Assessment of the synthesized library against mycobacterial strains led to the identification of compounds (f and d) as lead anti-tuberculosis agents. Compounds (f and d) exhibited less toxicity against human cell lines. At the same time, it displayed enjoyable activity wherein MIC concentrations were observed to be 16- and 32 µg/mL against the susceptible H37Rv, and H37Ra strains of M. tuberculosis and MIC value of 128 µg/mL for M. smegmatis, respectively. For mechanistic insights and identification of drug binding targets, molecular docking and dynamic simulations were employed for a panel of 16 mycobacterial enzymes essential for mycobacterial growth and survival. These in silico studies revealed the DprE1 enzyme as a druggable target for the anti-tuberculosis activity of the selected biscoumarins derivatives. Further investigation is underway in our laboratory, leading to its development as an anti-tuberculosis drug (animal model studies).

Plants attained cellular homeostasis of phosphate (Pi) through an integrated response pathway regulated by different families of transcription factors including MYB, WRKY, bHLH and ZFP. The systemic response to Pi limitation showed the critical role played by inositol pyrophosphate (PP-InsPs) as signaling molecule and SPX (SYG1/PHO81/XPR1) domain proteins as sensor of cellular Pi status. Binding of SPX to PP-InsPs regulates the transcriptional activity of the MYB-CC proteins, phosphate starvation response factors (PHR/PHL) as the central regulator of Pi-deficiency response in plants. Vacuolar phosphate transporter, VPT may sense the cellular Pi status by its SPX domain, and vacuolar sequestration is activated under Pi replete condition and the stored Pi is an important resource to be mobilized under Pi deficiency. Proteomic approaches led to new discoveries of proteins associated with Pi-deficient response pathways and post-translational events that may influence plants in achieving Pi homeostasis. This review provides current understanding on the molecular mechanisms at the transcriptional and translational levels for achieving Pi homeostasis in plants highlighting the importance of DNA-protein and protein-protein interactions. The potential strategies for employing the CRISPR technology to modify the gene sequences of key regulatory and response proteins for attaining plant Pi homeostasis are discussed.

Brain disorders pose a significant global healthcare challenge due to their complexity and profound impact on individuals and society. This review explores recent advancements in brain disease research, deepening our understanding and progress towards treatments. Technological innovations, like high-resolution imaging and optogenetics, play a pivotal role in illuminating cellular structures and dissecting neural circuits. Genetic analysis identifies dis-ease-associated genes and mutations, yet translating findings to clinical applications remains challenging. Epigenomics, transcriptomics, and proteomics provide molecular insights, un-covering disrupted pathways in conditions like Alzheimer's disease. Stem cell models elucidate developmental mechanisms, and immunotherapies, including CAR T cells, emerge as prom-ising strategies for brain cancers like glioblastoma. Genome editing tools, exemplified by CRISPR, enable precise modification of disease genes in models, deepening our understanding of pathogenesis. Multifaceted approaches integrating human studies, animal models, and bi-oinformatics propel the field forward. However, complexities persist, as disease specificity for cell types or brain regions remains an enigma, and genetic factors interact with environmental influences, highlighting disease intricacies. Ultimately, interdisciplinary efforts combining bi-ophysical and psychospiritual perspectives are essential to fully understand brain health and unlock transformative treatments for these debilitating disorders. A comprehensive under-standing of brain disorders is vital to improve the quality of life for millions and alleviate the global burden of neurological afflictions. Continued collaborative research will lead to an era of improved brain health worldwide.

It is at the chemistry-biology interface that this work that we have carried out takes place. Indeed, the expected goal is to develop simple molecules, capable of activating the catalytic action of certain metalloenzymes such as tyrosinase. The official name of an enzyme includes the type of reaction catalyzed, the name of the substrates involved. In this work, we carried out the study of the catalytic activity of the complexes of organotin carboxylates synthesized vis-à-vis the oxidation of 3,5-di-tert-butylcatecchol. The results obtained show that the various complexes exhibit good catalytic activity for the oxidation of 3,5-di-tert-butylcatecchol under mild conditions. The complexes that showed good catalytic activity are the compounds C1 and C2.

Research efforts toward Philippine biodiversity have increased significantly due to concerns about its natural resources and biodiversity. However, there is an imbalance in the distribution of published studies, with specific territories and organisms receiving more attention. Mindanao, a southern Philippine Island, is known for its high levels of endemism for amphibians and reptiles. Despite this, research on these groups remains unconsolidated. To address this gap, we conducted a biodiversity synthesis focusing on amphibians and reptiles in the faunal region of Mindanao. We found an increasing effort towards herpetofauna over the two decades, yet there is a clear bias in the effort towards amphibians compared to reptiles. In addition, we found that amphibians have a significantly higher species threat index than reptiles and all other vertebrate groups, regardless of ecological status. Yet, threatened herpetofauna species and those facing a greater number of threats are poorly studied, in general. Understanding the factors driving research biases in Mindanao and the Philippines is essential to allow us to redirect research efforts to the most needed areas, particularly to understudied and neglected taxa in Mindanao. This is especially urgent in the face of changing climate, where diverse communities of herpetofauna are at increased risk of extinction. Consequently, by bridging these gaps in biodiversity information, we can effectively contribute to the conservation and understanding of biodiversity in the region.

Coronavirus disease 2019 (COVID-19), the emissary behind the worst global pandemic of the 21st century, is primarily a respiratory disease-causing virus called SARS-CoV-2 which is responsible for millions of new cases (incidence) and deaths (mortalities), worldwide. Many factors have played a role in the differential morbidity and mortality experienced by nations and ethnicities against SARS-CoV-2, such as the quality of primary medical health facilities or enabling economies. Nevertheless, the most important variable, i.e., the subsequent ability of individuals to be immunologically sensitive or resistant to the infection, was not properly discussed before. Therefore, an astounding issue arose when some developed countries experienced higher morbidity and mortality, compared with their relatively underdeveloped counterparts, despite having excellent medical health facilities. Hence this investigative review attempts to analyze the issue from an angle of previously undiscussed genetic, epigenetic, and molecular immune resistance mechanisms in correlation with the pathophysiology of SARS-CoV-2 and varied ethnicity-based immunological responses against it. The biological factors discussed here include the overall landscape of human microbiota, endogenous retroviral genes spliced into the human genome, copy number variation, and how they could modulate the innate and adaptive immune systems, which put a particular ethnic genetic architecture at a higher risk of SARS-CoV-2 infection than others. Considering an array of these factors in their entirety may help explain the geographic disparity of disease incidence, severity, and subsequent mortality associated with the disease while at the same time encouraging scientists to design new experimental approaches to investigation.

With the growing popularity of smartphones, user identification has become an essential component of maintaining security and privacy. This study investigates how smartphone accelerometer data can be used to identify users, and it makes recommendations for the ideal application parts. Accelerometer data from the HMOG public dataset was used to train deep learning, conventional classifiers, and voting classifiers, which were then utilized to identify users. To enhance performance, feature selection and pre-processing techniques were researched. The results show that RFE feature selection outperforms other approaches and that LSTM followed by XGBoost has the best identification performance as indicated by a relatively large number of machine learning performance measures. The proposed identification system nevertheless performed well and outperformed existing methods, which were principally created and tested on the same HMOG public smartphone dataset, even with a larger number of users. Further work would be necessary for such an application to reach its full potential, though.

Traumatic brain injury (TBI) is among the leading causes of mortality and long-term impairment globally. TBI has a dynamic pathology encompassing a variety of metabolic and molecular events that occur in two phases, primary and secondary. An external forceful blow to the brain initiates the primary phase, which is followed by a secondary phase that involves the release of calcium ions (Ca2+) and the initiation of a cascade of inflammatory processes, including mitochondrial dysfunction, rise in oxidative stress, activation of glial cells, and damage to the blood-brain barrier (BBB), resulting in paracellular leakage. There is currently no FDA-approved drug for TBI, but existing approaches rely on delivering small and macromolecular treatments, which are severely constrained by the BBB, poor retention, off-target toxicity, and complex pathology of TBI. Therefore, there is a demand for innovative and alternative therapeutics with effective delivery tactics for diagnosis and treatment of TBI. Tissue engineering and use of biomaterials is one such alternative approach. With this approach, neuronal stem cell therapy is combined with synthetically generated tissue materials such as hydrogels, self-assembling peptides, and electrospun nanofibers, which may induce neurite outgrowth, differentiation of human neural stem cells, and nerve gap bridging in TBI. This review examines tissue engineering and the use of biomaterials as potential treatments for TBI, including their synthesis, mechanisms of action, and limitations. The review also discusses challenges facing tissue engineering and biomaterial technology including survival rate of transplanted stem cells and the development of biodegradable, biocompatible, and mechanically flexible biomaterials. A better understanding of the mechanisms and drawbacks of these novel therapeutic approaches will help guide the design of future TBI therapies.

Assessment of stigma among cancer patients is of utmost importance as stigma may lead to various psychological sequelae and lower quality of life. This study aimed to translate the English version of the Shame and Stigma Scale (SSS) into Malay and validate the Malay version of the SSS (SSS-M) among cancer patients in Malaysia. Initially, concurrent translation and back translation of the SSS-M was performed, and face and content validity were assessed. Then, the SSS-M was administered to a total of 234 patients of mixed types of cancer to assess its reliability (internal consistency and test-retest reliability), construct validity (convergent and discriminant validity), exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The SSS-M total score registered good internal consistency (Cronbach’s α of 0.886) and test-retest reliability (intraclass correlation coefficient of 0.846, p < 0.001). EFA and CFA confirmed that the SSS-M consisted of 20 items in 5 domains. Its convergent and discriminant validity were achieved. Hence, the SSS-M demonstrated good psychometric properties and is available for use to assess stigma among cancer patients in Malaysia.

In the food sector, packaging is one of the important steps that ensures the safe, unspoiled, min-imum cost of storing, transporting and delivering the food that goes into production to the con-sumer. Food spoilage caused by foodborne pathogens and microorganisms is a serious problem in the food chain, reducing the shelf life of foods. Therefore, consumers' demands for more natural, disposable, biodegradable and recyclable antibacterial food packaging materials have considera-bly increased. This review covers a comprehensive current literature review of antibacterial food packaging, which includes with titles antibacterial agents, organic acids and other compounds, enzymes, bacteriocins, natural extracts, essential oils, application of encapsulation and antimi-crobial packaging. Research findings on antimicrobial food packaging used to extend the shelf life of foods were collected from online databases such as PubMed/MedLine, Wiley Online Li-brary, Scopus, Web of Science, and Google Scholar. In this review, the activities of different bio-materials and compounds used to extend the shelf life of foods were compared

Over the years, the need for autonomous systems such as drones, also known as unmanned aerial vehicles (UAVs), has significantly increased in popularity across several industries, including the military. The Internet of Battlefield Things (IoBT) represents a modern technological advancement that significantly enhances the operational efficacy of defense systems. It establishes an integrated military force by connecting individuals to intelligent technology in drones, radios, equipment, antennas and ground stations. This is achieved through the utilization of cloud and edge computing, sensors, mobile devices, embedded systems, and IoT-based systems. However, IoBT security is significantly compromised by enemies that exploit the vulnerabilities and malicious intrusions that specifically target the external environment or to obtain sensitive data. In addition, a comprehensive understanding of cyberattacks and countermeasures is essential for assuring the security of IoBT. On the other hand, as cyber threats get more complicated, trust becomes increasingly important for the security of digital systems. Within this context, the zero trust architecture contends that the security of a complex network is inherently vulnerable to internal and external threats. In defense, UAV security system applications, for example, the primary purpose of the zero trust architecture is to limit the vulnerability of military UAV systems to cyberattacks, hence reducing the possibility of data breaches and illegal entry. This study conducts a systematic review aimed at identifying different aspects of cybersecurity strategies for protecting UAV systems within the IoBT domain. Furthermore, zero trust architecture is presented in the study as an effective prospective solution to the security issues that develop in defense UAV systems.

Traffic shaping is a critical task in software-defined -IoT networks (SDN-IoTs) to efficiently manage network resources and ensure Quality of Service (QoS) for end-users. However, traditional traffic shaping approaches based on queuing theory or static policies may not be effective due to the dynamic and unpredictable nature of network traffic. In this paper, we propose a novel approach that leverages Graph Neural Networks (GNNs) and Multi-arm Bandit algorithms to dynamically optimize traffic shaping policies based on real-time network traffic patterns. Specifically, our approach uses a GNN model to learn and predict network traffic patterns and a Multi-arm Bandit algorithm to optimize traffic shaping policies based on these predictions. We evaluate the proposed approach on three different datasets, including a simulated corporate network (KDD Cup 1999), a collection of network traffic traces (CAIDA), and a simulated network environment with both normal and malicious traffic (NSL-KDD). The results demonstrate that our approach outperforms other state-of-the-art traffic shaping methods, achieving higher throughput, lower packet loss, and lower delay, while effectively detecting anomalous traffic patterns. The proposed approach offers a promising solution to traffic shaping in SDNs, enabling efficient resource management and QoS assurance

There is increased concern that the quality, generalizability, and reproducibility of biomedical research can be influenced by the sex of animals used. We studied the differences between male and female mice in response to invasive pulmonary mucormycosis including susceptibility to infection, host immune reaction, and responses to antifungal therapy. We used diabetic ketoacidotic (DKA) or neutropenic mice infected with either Rhizopus delemar or Mucor circinelloides. The only difference detected was that when DKA mice were infected with M. circinelloides, female mice were more resistant to infection than male mice (median survival time of 5 vs. 2 days for female and male mice, respectively). However, a 100% lethality was detected among infected animals of both sexes. Treatment with either liposomal amphotericin B (L-AMB) or posaconazole (POSA) protected mice from infection and eliminated the difference seen between infected but untreated female and male mice. Treatment with L-AMB consistently outperformed POSA in prolonging survival and reducing tissue fungal burden of DKA and neutropenic mice infected with R. delemar or M. circinelloides, in both mouse sexes. Although little difference was detected in cytokine levels among both sexes, mucormycosis infection in the DKA mouse model induced more inflammatory cytokines/chemokines involved in neutrophil (CXCL1) and macrophage (CXCL2) recruitment vs. uninfected mice. As expected, this inflammatory response was reduced in the neutropenic mouse model. Our studies show that there are few differences between female and male DKA or neutropenic mice infected with mucormycosis with no effect on the outcome of treatment or host immune response.

Amphetamine is a psychostimulant drug with a high risk of toxicity and death when misused. Abuse of amphetamines is associated with an altered organic profile, which includes omega fatty acids. Low omega fatty acid levels are linked to mental disorders. Using the Comparative Toxicogenomic Database (CTD), we investigated the chemical profile of the brain in amphetamine-related fatalities and the possibility of neurotoxicity. We classified amphetamine cases as low (0-0.5 g/ml), medium (&gt;0.5 to 1.5 g/ml), and high (&gt;1.5 g/ml) based on amphetamine levels in brain samples. All three groups shared 1-octadecene, 1-tridecene, 2,4-di-tert-butylphenol, arachidonic acid, docosahexaenoic acid (DHA), eicosane, and oleylamide. We identified chemical-disease associations using the CTD tools and predict an association between docosahexaenoic and arachidonic acids and curated conditions like autistic disorder, disorders related to cocaine, Alzheimer's disease, and cognitive dysfunction. An amphetamine challenge may cause neurotoxicity in the human brain due to a decrease in omega-3 fatty acids and an increase in oxidative products. Therefore, in cases of amphetamine toxicity, supplement therapy may necessitate preventing omega-3 fatty acid deficiency.

The battle of currents between AC and DC reignited as a result of the development in the field of power electronics. The efficiency of DC distribution systems is highly dependent on the efficiency of distribution converter, which calls for optimized schemes for efficiency enhancement of distribution converters. Modular solid-state transformers play a vital role in DC Distribution Networks and Renewable Energy systems (RES).This paper deals with efficiency-based load distribution for Solid State Transformers (SSTs) in DC distribution networks. Aim is to achieve a set of minimum inputs that are consistent with output while considering constraints and efficiency. As the main feature of modularity is associated with a three-stage structure of SSTs. This modular structure has been optimized using Ant Lion Optimizer (ALO) and validated by applying it EIA (Energy Information Agency) DC Distribution Network which contains SSTs. In the DC distribution grid, modular SSTs provide promising conversion of DC power from medium voltage to lower DC range (400V). The proposed algorithm is simulated in MATLAB and also compared with two other metaheuristic algorithms. The obtained results prove that the proposed method can significantly reduce input requirements for producing the same output while satisfying the specified constraints.

Contrast agents developed for X-ray computed tomography (CT) offer extremely valuable tools and techniques in diagnostics via contrast enhancements. Heavy metal-based nanoparticles (NPs) can provide high contrast in CT images. These result from a high density of heavy metal atoms with high X-ray attenuation coefficients that exceed that of iodine (I), which is currently used in hydrophilic organic CT contrast agents. Nontoxicity and colloidal stability are vital characteristics in designing heavy metal-based NPs as CT contrast agents. In addition, the particle size must be small for in vivo renal excretion. In vitro phantom imaging studies can provide X-ray attenuation efficiency, which is a critical parameter for CT contrast agents, and the imaging performance of CT contrast agents can be demonstrated via in vivo experiments. This review focuses on in vitro and in vivo studies of various heavy metal-based NPs (metal: Au, Pt, Pd, Ag, Ce, Gd, Dy, Ho, Yb, Ta, W, and Bi) and provides an outlook on their use as high-performance CT contrast agents.

Capsule endoscopy (CE) has been a widely used medical imaging tool for the diagnosis of gastrointestinal tract abnormalities like bleeding. But the CE captures a huge number of image frames that are time-consuming and tedious tasks for medical experts to diagnose manually. To address this issue, researchers focused on the computer-aided bleeding detection system to identify bleeding automatically in real-time. This paper presents a systematic review of the available state-of-the-art computer-aided bleeding detection algorithms for capsule endoscopy. The review was carried out by searching five different repositories: Scopus, PubMed, IEEE Xplore, ACM Digital Library, and ScienceDirect for all original publications on computer-aided bleeding detection published between 2001 and 2021. The PRISMA methodology was used to perform the review, and 112 full-texts of scientific papers were reviewed. The contributions of this paper are I) a taxonomy for computer-aided bleeding detection algorithms for capsule endoscopy is identified, II) the available state-of-the-art computer-aided bleeding detection algorithms including various color spaces (RGB, HSV, etc.), feature extraction techniques, and classifiers are discussed, and III) identify the most effective algorithm for practical use cases. Finally, the paper is concluded by providing future direction for computer-aided bleeding detection research.

—The number of ATMs in various countries is increasing steadily and rapidly with the number of users increasing very widely. On the other hand, banks have become more interested in finding the best procedures to combat ATM crimes to ensure the safety and security of their customers and other cardholders. This has become an excellent target for some criminals or fraudsters, despite the limited amounts that can be withdrawn from these devices, given a maximum daily limit. We aim at implementing this system inside bank ATMs in order to detect objects like guns, hammers, and knives. Once the suspicious objects and actions are detected, we perform facial recognition to identify whether the suspect is a repeating offender. We use object, face, and action recognition algorithms to achieve our objective. Results showed that using our proposed algorithm is efficient in detecting threatening objects

The evaluation of suitability for bioclimatic viticulture indices (BVIs) zones, as with any other crop, requires a well-founded knowledge of the spatial variability in climate data, which is also used to assess different grapevine cultivars and to delimit appropriate regions for vineyard production under the current climate and projected climate change. BVIs, on the other hand, are typically calculated using a small number of locations linked by climatic station sites or applied using a coarsely-resolution distributed dataset. Furthermore, often the methods applied to precisely delineate symmetrical regions are not appropriate to generate accurate maps. To provide an analysis using three temperature-based indices and the hydrothermal coefficient (HTC), quantifying their spatial variation, and representing the spatial patterns of each BVI throughout the Jabal Al Arab viticulture—one of the most important Syrian viticulture regions in the Eastern Mediterranean—daily temperature data from 15 meteorological stations and 57 rain gauges, considering the 1984–2014 period, and downscaled future scenarios (RCPs based on CanESM2), considering the 2016–2100 period, were utilized. The statistical method of each BVI was analyzed, and, later, they were mapped by using GIS and a hybrid interpolation (regression-kriging) approach. The regression fitting method revealed that the sum accumulation of heat and the hydro-thermal index during the growing season were highly related to elevation and distance to the seacoast variables; however, the viticulture zones varied spatially depending on which index was used and under suggested future scenarios compared to the current climate. The spatial distribution of climate in the Jabal Al Arab regions exhibits significant variability. The findings suggest that climate change projections indicate a prevalence of warmer conditions in the future. Under the RCP scenarios, the territory can be categorized into up to three bioclimatic classes for both the Heat Index (HI) and the Winter Index-Growing Degree Days (WI-GDD), in contrast to the current climate which has six classes. These results provide valuable insights into the suitability of viticulture within each climatic region and facilitate the identification of homogeneous zones. The utilization of consistent bioclimatic indices and an advanced hybrid interpolation method has enabled the delineation and comparison of bioclimatic variables of Jabal Al Arab with other regions worldwide. Such comparisons should be considered when selecting grapevine varieties and assessing the potential for grape production.

Background: Community-based medical education (CBME) is an essential component of medical education, where primary healthcare physicians (PHPs) play a crucial role. This study explores PHPs' awareness and engagement in CBME and investigates the factors influencing their participation. Methods: This mixed study was conducted in two phases. In the first phase, a qual-itative study was conducted using semi-structured interviews with PHPs, and thematic analysis related to their awareness and engagement in CBME. In the second phase, a quantitative survey was conducted among 72 PHPs pre- and post-training programs. Results: Primary healthcare physicians had a positive attitude toward community-based medical education. The participants have an acceptable level of awareness and engagement, which increased substantially (p-value = 0.03) and (p-value = 0.003), respectively. Logistic analysis indicated that non-Saudi physicians were likelier to participate in the CBME (p-value=0.001). Professions and academic experiences influence their willingness and engagement to participate in CBME (OR= 7.5, p-value=0.001) and (OR=0.21, p-value=0.001), respectively. Conclusion: The study findings highlighted the importance of increased awareness and the factors that enhance PHPs' engagement in CBME. This positive perspective of the PHPs helps build effective partnerships and facilitates the extension of the curriculum to apply CBME.

Coronavirus Disease 2019 (COVID-19) exhibits a significant variation in presentation of symptoms ranging from mild to severe life-threatening symptoms, including death. COVID-19 infection susceptibility has been linked with various covariates, but studies in Qatar are limited. Data from Qatar Biobank (QBB) (n = 10,000; 18- to 79-year-old adults) were analyzed for associations between sociodemographic and lifestyle factors and susceptibility to COVID-19. Logistic regression was used to assess the associations between COVID-19 and age, gender, body mass index (BMI), smoking status, education level, dietary patterns, supplement use, physical activity, history of bariatric surgery, diabetes, and hypertension. In total, 10.5% (n = 1045) of the participants had COVID-19. Compared to non-smokers, current and ex-smokers had lower odds of having COVID-19 (odds ratio [OR]= 0.55; 95% CI: 0.44-0.68 and OR= 0.70; 95% CI: 0.57-0.86, respectively). Vitamin D supplement use was associated with an 18% reduction of the likelihood of contracting COVID-19 (OR = 0.82; 95% CI: 0.69-0.97). Obesity (BMI ≥30 kg/m2), history of bariatric surgery and higher adherence to the modern dietary pattern– characterized by consumption of foods high in saturated fat and refined carbohydrates– were positively associated with COVID-19. Our findings indicate that adopting a healthy lifestyle may be helpful in the prevention of COVID-19 infection.

Light is an electromagnetic radiation that has visible and invisible wavelength spectrum. The visible light can only be detected by the eyes through the optic pathways. With the presence of scalp, cranium and meninges, the brain is seen as being protected from direct exposure to light. For that reason, the brain can be viewed as a black body lying inside a black box. In physics, a black body tends to be in thermal equilibrium with its environment and can tightly regulate its temperature via thermodynamics principles. Therefore, a healthy brain inside a black box should not get exposed to light. On the contrary, photobiomodulation, a form of light therapy to the brain has been shown to have beneficial effects for some neurological conditions. The proposed underlying mechanisms are multiple. Herein we present our intraoperative findings of rapid electrocorticographic brainwave changes when the brain was shone directly with different wavelengths of light during awake brain surgery. Our findings provide literature proof on light’s ability to influence human brain energy and function. Our proposed mechanism for these rapid changes is the presence of plasma-like energy inside the brain which causes fast brain activities that are akin to lightning strikes.

Ankylosing spondylitis (AS) is a chronic inflammatory arthritis that affects the axial skeleton, causing intense pain, progressive joint destruction, and a gradual reduction in physical function. It has been recognized not only as affecting the axial skeleton but as a systemic disease. Since it also causes an increase in the rates of inflammatory bowel disease, psoriasis, acute anterior uveitis, and mental disorders affecting the quality of life. Furthermore, an association with neurological and cardiovascular events is documented. With the advent of biologics, treating AS dramatically changed due to its high efficacy and tolerable safety. AS can be treated with various biological treatments. Nevertheless, there are differences in traits, including rapidity of onset, long-term efficacy, safety profile, and influence on comorbidities. A better understanding of such traits enables clinicians to make the best decision for each patient, increasing persistence, extending medication survival, enhancing patient satisfaction, and reducing the disease effect of ankylosing spondylitis. In this article, we emphasize biologics' efficacy and safety profile in patients with ankylosing spondylitis. In addition, we discuss the impact of biologics on comorbidities and health-related quality of life.

The coast of Oman is observing huge coastal developments to materialize Oman Vision 2040 covering all the strategic sectors. Historical data of coastal hydrodynamic parameters is scarce, even though its importance for a proper design of coastal structures is recognized. Acoustic Doppler Current Profilers were deployed at eleven locations along the coast of Oman. These locations were selected based on their strategic importance for the country. The duration of deployment was from 60 to 265 days. The measured data of waves and current were collected and analyzed using the equipment-specific software and Excel. The significant wave heights can reach 2m along the whole coast of Oman. The southern coast is dominated by the swells. The maximum to significant wave height ratio is approximately 1.5 which is less than a value of 2 obtained using Rayleigh distribution. The coastal currents are stronger along the southern coast than those along the northern coast. The range of current magnitude is from 0.02 m/s to 0.8 m/s. This baseline study will help the public authorities in establishing permanent hydrodynamic measurement stations along the coast of Oman. Moreover, these measurements will serve the practicing engineers in designing coastal structures along the coast of Oman.

The fractional Hilbert transform, a generalization of the Hilbert transform, has been extensively studied in the literature because of its extensive use in optics, engineering, and signal processing. In the present work, we aimed to expand the fractional Hilbert transform to a space of generalized functions known as Boehmians. We introduce a new fractional convolution operator for the fractional Hilbert transform to prove a convolution theorem similar to the classical Hilbert transform and also to extend the fractional Hilbert transform to Boehmians. We also construct a suitable Boehmian space on which the fractional Hilbert transform exists. Further, we investigate convergence of the fractional Hilbert transform for the class of Boehmians and discuss the continuity of the extended fractional Hilbert transform.

Against the backdrop of global climate change, the frequency of drought events is increasing, leading to significant impacts on human society and development. Therefore, it is crucial to study the propagation patterns and trends of drought characteristics over a long-time scale. The main objective of this study is to delineate the dynamics of drought characteristics by examining their propagation patterns in China from 1951 to 2020. In this study, precipitation data from meteorological stations across mainland China were used. A comprehensive dataset consisting of 700 stations over the past 70 years was collected and analyzed. To ensure data accuracy, the GPCC database was employed for data correction and gap filling. Long-term drought evolution was assessed using both the SPI-12 and SPEI-12 indices to detect drought characteristics. Two Moran indices were applied to identify propagation patterns, and the MK analysis method along with the Theil-Sen slope estimator were utilized to track historical trends of these indices. The findings of this study reveal the following key results: (i) Based on the SPI-12, the main areas of China that are prone to drought are mostly concentrated around the Hu Huanyong Line. Indicating a tendency towards drying based on the decadal change analysis. (ii) The distribution of drought-prone areas in China, as indicated by the SPEI-12, is extensive and broadly distributed, with a correlation to urbanization and population density. These drought-prone areas are gradually expanding. (iii) Between 2010 and 2011, China experienced the most severe drought event in nearly 70 years, affecting nearly 50% of the country's area with a high degree of severity. This event may be attributed to atmospheric circulation variability, exacerbated by the impact of urbanization on precipitation and drought. (iv) The frequency of drought occurrence in China gradually decreases from south to north, with the northeast and northern regions being less affected. However, areas with less frequent droughts experience longer and more severe drought durations. In conclusion, this study provides valuable insights into the characteristics and propagation patterns of drought in China, offering essential information for the development of effective strategies to mitigate the impacts of drought events.

The most modern technique utilized to create intricate and complexly manufactured parts for a variety of applications is called additive manufacturing (AM). Fused deposition modeling (FDM) has received the greatest attention in the development and manufacturing sectors. The main objective of this study was to investigate how printing factors affected the mechanical characteristics of printed samples. Samples were produced using an FDM 3D printer in compliance with ASTM D638 using a variety of input settings, including orientation, layer thickness, speed, and infill pattern. On the printed samples, tensile tests and morphological analysis using a scanning electron microscope (SEM) were done. The findings of this study demonstrate that factors including layer thickness, printing speed, and orientation significantly affect the tensile strength of ABS printed samples. Discovering the process settings that could lead to superior mechanical and physical characteristics would undoubtedly assist designers and manufacturers worldwide as the FDM 3D printer becomes more and more crucial in manufacturing engineering parts.

Introduction: Neuroinflammation following lipopolysaccharide (LPS) administration induces locomotor deficit and anxiety-like behavior. In this study, minocycline was compared to memantine, the NMDA receptor antagonist, for its effects on LPS-induced locomotor deficit and anxiety-like behavior in rats. Methodology: Adult male Sprague Dawley rats were administered either two different doses of minocycline (25 or 50 mg/kg/day, i.p.) or 10 mg/kg/day of memantine (i.p.) for 14 days four days prior to LPS (5 mg/kg, i.p.) injection. The locomotor activity and anxiety-like behavior were assessed using the open field test (OFT). The phosphorylated tau protein level was measured using ELISA while the expression and density of brain-derived neurotrophic factor (BDNF) and cAMP response element-binding protein (CREB) protein in the medial prefrontal cortex (mPFC) were measured using immunohistochemistry and western blot, respectively. Results: In the mPFC, minocycline treatment reduced the locomotor deficit and anxiety-like behavior, reduced phosphorylated tau protein level, and upregulated BDNF/CREB protein expression comparable to memantine, with the higher dose of minocycline having better benefits. Conclusion: Minocycline treatment attenuated LPS-induced locomotor deficit and anxiety-like behavior in rats, possibly via a decrease in phosphorylated tau protein levels and an increase in the expression of the BDNF/CREB proteins.

Anemia is a well-developed discipline where the concepts of precision medicine have, in part and being studied extensively. This review discusses the treatment of EPO-deficient anemia and resistance in Chronic Kidney Disease (CKD). Traditionally, erythropoietin-stimulating agents (ESA) and iron supplementation have been used to manage anemia in CKD. However, these treatments have potential risks, including cardiovascular and thromboembolic events. Newer treatments have emerged to address these risks, such as slow-release and low-dosage intravenous iron, oral iron, and erythropoietin-iron combination therapy. Another novel approach is using hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF-PHI). This review highlights the need for precision medicine targeting genetic components of EPO-deficient anemia in CKD and discusses individual variability of genes such as the erythropoietin gene (EPO), Interleukin-β gene (IL-β), and hypoxia-inducible factor gene (HIF). Pharmacogenomics testing aims to provide targeted therapies and interventions that are tailored to the specific characteristics of an individual, optimizing treatment outcomes and minimizing resistance and adverse effects. The article concludes by suggesting the potential of receptor modification to revolutionize treatment outcome of erythropoietin deficiency anemia through integration of the mentioned approach.

To increase the network computer and mobile telephone capacity one needs a laser to carry information instead of electrons. Since the laser is very fast compared to electrons, one expects information to be transmitted very fast through the network (internet). This requires searching for chips that act as capacitors, inductors, or evens as resistors this work shows that the laser traveling beam diminished as the frequency reciprocal thus acts as a capacitor or diminished as frequency thus acts as an inductor and sometimes diminished with the concentration of carriers thus act as a resistor for magnetic materials with strength that cancels the friction force when the laser frequency is equal nearly to the atoms natural frequency the material act as an inductor. Then frictional force is dominant with high mobility dielectric, the material acts as a capacitor. However, it acts as a conductor for negligible friction and natural frequency.

Valsartan (Val) is an important antihypertensive medication with side effects such as dizziness and angioedema. These constraints are due to the low oral bioavailability and relatively short half-life. The goal here is to incorporate Val into a mixed micelles system that can enhance transdermal delivery. Thin-film hydration and micro-phase separation were used to produce Val-loaded mixed micelle systems. A variety of factors, including surfactant type and drug-to-surfactant ratio, were optimized to produce micelles with low size and high Val entrapment efficiency (EE). The size, polydispersity index (PDI), zeta-potential, and drug entrapment efficiency of the prepared micelles were all measured. The drug release profiles in vitro were assessed using dialysis bags, and the permeation through abdominal rat skin was assessed using a Franz diffusion cell. All formulations had high EE levels exceeding 90% and low particle charges. The micellar sizes ranged from 107.6 to 191.7nm, with average PDI values of 0.3. The in vitro release demonstrated a uniform slow rate that lasted one week with varying extents. F7 demonstrated a significant (P < 0.01) transdermal efflux of 68.84 ± 3.96 µg/cm2/h through rat skin when compared to the control. As a result, the enhancement factor was 16.57. Val-loaded mixed micelles were successfully prepared using two simple methods with high reproducibility, and extensive transdermal delivery was demonstrated in the absence of any aggressive skin modifying enhancers.

Abstract: Background: Bangladesh has achieved remarkable progress in reducing maternal mortality, yet postpartum deaths remain a significant issue. Emphasis on quality postnatal care (qPNC) is crucial, as increased coverage alone has not sufficiently reduced maternal morbidity and mortality. Methods: This study included data from the Bangladesh Maternal Mortality Survey of 32,106 mothers who delivered within three years prior to the survey. Descriptive statistics were used to report coverage and components of postnatal care stratified by covariates. Log-linear regression models were used to assess the determinants of quality postnatal care among facility and home births. Results: From 2010 to 2016, postnatal care coverage within 48 hours of delivery by a qualified provider rose from 23% to 47%. 94% of facility births received timely PNC, contrasted with only 6% for home births. Despite the increased coverage, quality of care remained as low as 1% for home births and 13% for facility births. Key factors affecting qPNC utilization included socio-demographic factors, pregnancy complications, delivery method, financial readiness, and mobile ownership. Conclusion: Importantly, deliveries assisted by skilled birth attendants correlated with higher quality postnatal care. The study reveals a significant gap between the coverage and quality of postnatal care in rural Bangladesh, especially for home births. It underscores the need for targeted interventions to enhance qPNC.

Contacting bodies in extreme environments are prone to severe wear and failure due to friction and seizure, which are associated with significant thermal and mechanical loads. This phenomenon greatly impacts the economy since most essential components encounter these challenges during machining, an unavoidable step in most manufacturing processes. In machining, stress can reach 4 GPa, and temperatures can exceed 1000 °C at the cutting zone. Severe seizure and friction are the primary causes of tool and workpiece failures. Liquid lubricants are popular in machining for combatting heat and friction; however, concerns about their environmental impact are growing, as two-thirds of the 40 million tons used annually are discarded and they produce other environmental and safety issues. Despite their overall efficacy, these lubricants also have limitations, including ineffectiveness in reducing seizure at the tool/chip interface and susceptibility to degradation at high temperatures. There is therefore a push towards solid lubricants, which promise a reduced environmental footprint, better friction management, and improved machining outcomes but also face challenges under extreme machining conditions. This research aims to provide a thorough insight into solid lubricant use in machining, discussing their mechanisms, effectiveness, constraints, and potential to boost productivity and environmental sustainability.