New or in-service truss bridges, with or without upper bracing systems, may display instability phenomena such as general lateral torsional buckling of the upper chord. The buckling of structural elements, particularly in the case of steel bridges, can be associated with the risk of collapse or temporary/permanent withdrawal from service. Buckling poses a significant danger as it often occurs at lower load values compared to those considered during the design phase. Additionally, this phenomenon can manifest suddenly, without prior warning, rendering intervention for its prevention impossible or futile. In contemporary times, most research and design calculation software offer the capability to establish preliminary values for buckling loads, even for highly intricate structures. This is typically achieved through linear eigenvalue buckling analyses, often followed by significantly more complex large displacement nonlinear analyses. However, interpreting the results for complex bridge structures can be challenging, and their accuracy is difficult to ascertain. Consequently, the objective of this paper is to introduce an original method for a more straightforward estimation of the buckling load of the upper chord in steel truss bridges. The method utilizes the theory of beams on an elastic foundation. The buckling load of the upper chord was determined using both the finite element method and the proposed methodology, yielding highly consistent results.

Dirac's Large Number Hypothesis (LNH), proposed in 1937, has captivated the scientific community with its exploration of profound correlations between cosmic and atomic scales. This hypothesis delves into the intricate interplay between the infinitesimally small and the vastly large, offering potential insights into the fundamental nature of the universe. As we continue to uncover the mysteries of the cosmos, the LNH oscillates on the precipice of scientific acceptance—neither fully validated nor entirely dismissed. In this review paper, we embark on a comprehensive journey through Dirac's LNH, shedding light on its theoretical underpinnings, its implications for universe models, and its resonance with the Anthropic Principle. We delve into the possibilities of variable gravitational constants and continuous mass creation, inviting further exploration into the intricacies of our cosmic symphony. By embracing the ongoing quest for understanding, we endeavor to unravel the profound harmonies that connect the infinitesimal with the infinite, contributing to the symphony of knowledge in theoretical physics and cosmology.

Large-scale farms are pivotal sites for the development of the agricultural industry, and the quality of the ecological environment is a significant factor affecting the growth of cereal crops. Consequently, assessing the ecological quality of large-scale farms is of great importance. This paper leverages the advantages of remote sensing imagery for long-term, quantitative, and dynamic monitoring of ecological quality over extensive areas. It develops an ecological assessment procedure suitable for agricultural regions based on an Improved Remote Sensing Ecological Index (IRSEI), which considers the coupling of ecosystem component elements. This procedure introduces a Pan-Salinity Index (PSI) tailored to the characteristics of soil salinization in farming areas and incorporates an ecological greenness index based on the Normalized Difference Vegetation Index (NDVI), an ecological humidity index derived from the K-T transform (WET), an ecological dryness index synthesized from the bare soil index and the built-up index (NDBSI), and an ecological heat index represented by the Land Surface Temperature (LST) calculated from atmospheric parameter models. These five indices are integrated into the ecological assessment system. The experimental results visually demonstrate the development and changes of ecological impact factors in the farm research area over the past decade, as well as the spatiotemporal variations in the quality of the farm's ecological environment. The findings indicate that between 2010 and 2019, the overall trend of IRSEI first declined, then rose, and subsequently experienced a slight decrease. Through differential analysis, regions and areas with declining ecological quality were identified, providing a data reference for the formulation and implementation of future ecological protection and management measures for the farm. The proposed IRSEI method offers a rapid and effective new monitoring approach for agricultural planting areas with a tendency towards soil salinization.

One of the current challenges in Higher Education is the development of students’ emotional competencies, and consequently, how these competencies can be trained. Moreover, this must be addressed within the UN framework of inclusive, equitable, quality education (United Nations Agenda 2030) (SDG 4). To address this challenge, the present study set the following objectives: (1) to analyze pre-service teachers’ level of interest in EI and their perceived level of general EI knowledge, (2) to examine their self-perception of certain variables of emotional knowledge, according to their degree program and year of studies, (3) to analyze the relationship between these emotional knowledge variables and perceived emotional intelligence (EI); and (4) to study the predictive capacity of the study variables on future teachers' emotional knowledge variables. The study sample contained a total of 434 university students from three degree programs at two universities in Spain, of which 82.70% were women, and the mean age was 20.91 years. Two instruments were used: an ad hoc questionnaire, which assessed perceived emotional knowledge according to three variables (General knowledge of EI, where level of training in EI is considered; Intrapersonal knowledge of EI; and Theoretical-practical knowledge related to teaching), and the Trait Meta-Mood Scale (TMMS-24), which assesses metaknowledge of emotional states across three variables (Attention, Clarity, and Repair). Results of the study suggest that there are differences in perceived EI knowledge according to students' year of studies and according to their degree, and indicate that students present high interest, while their perceived level of knowledge is low. In addition, emotional clarity is the EI variable that was identified as being important in the emotional knowledge of future teachers. This study shows evidence of the importance of social-emotional competencies in initial teacher training.

An approach based on the OpenFOAM library has been developed to solve a high-speed, multicomponent mixture of a reacting, compressible flow. This work presents comprehensive validation of the newly developed solver called compressibleCentralReactingFoam with different supersonic flows, including shocks, expansion waves, and turbulence-combustion interaction. The comparisons of the simulation results with experimental and computational data confirm the fidelity of this solver for problems involving multicomponent high-speed reactive flows. The gas dynamics of turbulence-chemistry interaction are modeled using a partially-stirred reactor formulation and provide promising results to better understand the complex physics involved in supersonic combustors. A time-scale analysis based on local Damköhler numbers reveals different regimes of turbulent combustion. In the core of the jet flow, the Damköhler number is relatively high indicating that the reaction time scale is smaller than the turbulent mixing time scale. This means that the combustion is controlled by turbulent mixing. In the shear layer, where the heat release rate and the scalar dissipation rate have the highest value, the flame is stabilized due to finite rate chemistry with small Damköhler numbers and a high fraction of fine structure. This solver allows three-dimensional gas dynamic simulation of high-speed multicomponent reactive flows relevant to practical combustion applications.

The EU’s energy targets are to achieve at least 32% renewables in the energy mix by 2030. Part of the solution is strengthening consumer rights by empowering individuals to generate their own electricity. The study aimed to identify the most suitable energy system for electricity generation of up to 50 kW in the EU residential sector. The Multi-Criteria Decision Analysis was used to compare four systems: proton exchange membrane fuel cell with photovoltaic panels, photovoltaic panels, biomass powered Stirling engine, and solar powered Stirling engine. Based on the results, the most beneficial system for household electricity generation is the Biomass-fueled Stirling engine system due to its affordability, reliability, and low environmental impact. Governments and businesses can use these findings to improve information for the residential sector and enable the transition to renewable energy.

The production of particles outside the region of nucleon-nucleon kinematics due to interactions involving dense cold clusters of quark-gluon matter in nuclei is calculated. The possibility of observing this process in the region of central rapidities and large transverse momenta in heavy ion collisions at low energies with MPD detector at the NICA collider has been demonstrated.

This study presents a method for the rapid and accurate generation of two-dimensional (2D) orthomosaic maps using selected image data collected by drone-captured video. The focus is on developing a real-time method capable of creating maps more quickly than image selection. The scale-invariant feature transform (SIFT) algorithm is applied to drone images to extract features in various scale regions. For feature point matching, a matching method based on the fast library for approximate nearest neighbors (FLANN) was adopted. A comparison of the computational speed of the FLANN with that of the k-nearest neighbors (KNN) and brute force matcher during the matching process revealed FLANN's superior capability for real-time data processing. The random sample consensus (RANSAC) algorithm was employed to enhance the accuracy of the matching by removing outliers, effectively identifying and eliminating mismatches, and reinforcing the reliability of feature point matching. The combination of SIFT, FLANN, and RANSAC algorithms demonstrates the capacity to process drone-captured image data in real time, facilitating the generation of precise 2D orthomosaic maps. The proposed method was assessed and validated using imagery obtained as the drone executed curvilinear and straight flight paths, confirming its accuracy and operational efficiency concurrently with the image capture process.

Posttraumatic stress disorder (PTSD) and/or specific PTSD symptoms may evoke disordered eating and unhealthy lifestyles, resulting in adverse cardiometabolic events (e.g., hypertension and obesity) in certain groups, which may implicate the treatment of this complex condition. The diagnostic criteria of PTSD have lately expanded beyond the three common symptoms (intrusion, avoidance, and hyperarousal). Simultaneously, four-, five-, and six-dimensional structures of the Impact of Event Scale-Revised (IES-R), a popular PTSD measure, seem to be more robust than the original three-dimension structure. Within the context of COVID-19, this instrumental study used a convenience sample of 58 dental healthcare workers (HCWs) from Russia (mean age = 44.1±12.2 years, 82.8% females) to examine the criterion and predictive validity of two IES-R structures: the IES-R3 and the IES-R6 (with the added symptoms of numbing, sleep disturbance, and irritability). The subscales of the two IES-R structures expressed good internal consistency, strong correlations with the PTSD Symptom Scale (PSS), hypertension diagnosis, and high body mass index (BMI). In receiver-operating characteristic (ROC) curve analysis, all IES-R models perfectly predicted the PSS (all area under the curve (AUC) >0.9, p values <0.001). The IES-R, both hyperarousal subscales, and the IES-R3 intrusion subscale significantly predicted high BMI. Both avoidance subscales and the IES-R3 intrusion subscale, not the IES-R, significantly predicted hypertension. In conclusion, both IES-R structures can reliably measure PTSD symptoms. The IES-R, hyperarousal, and intrusion may be credible criterion variables for predicting high BMI within PTSD while the intrusion and avoidance subscales may reflect the cardiovascular consequences associated with PTSD more reliably than the IES-R itself. The IES-R subscales may predict cardiometabolic adversities in PTSD, signifying a need for proper assessment of lifestyle and the application of dietary and exercise interventions in order to lower physical morbidity in PTSD. Replicating the study in larger samples, which comprise different physical and mental conditions from heterogenous cultural contexts is pivotal to validate the results (e.g., in specific groups such as those with confirmed traumatic exposure and comorbid mood dysfunction).

The effects of the coolant pulsation and the film cooling with the plasma aerodynamic actuation (PAA) could be herein explored via large eddy simulations. The electrohydrodynamic force derived from the PAA was solved through the phenomenological plasma model. The Strouhal number of the sinusoidal coolant pulsation and the averaged pulsation blowing ratio were 0.25 and 1.0, respectively. Comprehensive analyses were carried out on the time-averaged flow fields, and the results revealed that the pulsed cooling jet might cause a deeper penetration into the crossflow, and this phenomenon could be remarkably mitigated by the downward force of the PAA. Furthermore, because of the coolant pulsation, the counter rotating vortex pair (CRVP) expanded to lifted off the wall less well, and the PAA lessened the negative lift-off impact and entrapment from the CRVP. Then, the spatial-temporal development of the coherent structures was figured out by the alterations of the centerline temperature, reflecting formation of the intermittent coherent structures rather than hairpin vortices due to the coolant pulsation, and their size and upcast behaviors were reduced by the PAA. Consequently, there was a basic suppression of the turbulent mixing of the cooling fluid with the crossflow. Finally, the three-dimensional streamlines confirmed that the coherent structure dynamic behaviors were significantly regulated by the PAA for alleviating the adverse influences of the coolant pulsation. In summary, through controlling how the dominating coherent structures evolve throughout time and space, the PAA can effectively increase the pulsed film cooling efficiency.

Semiconductors play a very important role in modern society. The improvement in performance of semiconductors is what has enabled the world to grow at such a fast pace. For decades scaling has been done through Moore’s law i.e performance improvements have been obtained due to transistor scaling where the number of transistors per unit area increase is what has contributed to the increase in performance. However, with transistor scaling reaching its limitations we need to find alternate methods to enhance silicon design to suit the computational need of modern society. To address this problem we will be looking into a few methods that enable performance scaling with a focus on analysing the most popular implementation of each in the industry.

A significant amount of data is available for bench-scale fire assessments. However, there is little surrounding large-scale tests and even less so for bench-to-large scale comparisons. Large-scale tests require more material, time and preparation, making them more expensive than bench-scale assessments. However, large-scale testing is an essential component to bench-scale fire testing. The bench-scale tests must be representative of both large-scale and real fire behaviour to provide an insight into how a material or product will behave in the event of a fire during its end use application. The few existing studies reviewed in this study show more guidance and data is needed, especially on a large-scale. Unfortunately, the data that is presented is done so in an inconsistent manner using various means of presentation, statistical analysis, and modelling that doesn’t show clear comparisons between bench and large scale. Currently, no bench-scale method shows good agreement with large-scale fire behaviour. Overall, there is a need for more large-scale testing and data for direct comparisons to be made.

Small-scale fisheries are significant sources of nutrition and livelihood globally. However, increasing anthropogenic activities in coastal areas of developing countries have threatened the sustainability of artisanal fisheries and species. Fisheries of Sardinella maderensis (Lowe, 1838), to which Nigeria contributes 9% of the global stock and is a significant livelihood source in the coastal communities of Ibeju-Lekki, Lagos, face sustainability threats. This research investigated the effects of anthropogenic activities on S. maderensis fishery in the coastal areas of Ibeju-Lekki, Lagos, Nigeria. The study adopted a mixed-method approach involving qualitative and quantitative research methods. These include species identification, water quality analysis, land use change analysis, field surveys, focus group discussions and interviews. Results show genetic analysis of the fish samples from six stations revealed that the species had a mean of 98% similarity to Sardinella maderensis in NCBI. Multiple linear regression indicates that anthropogenic variables explained approximately 4.62% of the variance in the fish catch (p &lt; .001, R2 = .05). Water samples showed heavy metal levels were above international limits, high total petroleum hydrocarbon (TPH) pollution in all stations (27.56 mg/L- 3985.40 mg/L). Physiochemical analysis of water samples indicated TDS higher than acceptable limits (Mean = 24971.1 mg/L) and inadequate chlorophyll-a level (Mean = 0.01 µg/L). Hence, urgent strategies are required to mitigate anthropogenic threats through inclusive coastal management policies supporting resilient artisanal fisheries and marine spatial planning.

The authors of the article analyze the existing methods and models of technological preparation of machine-building industries. The structure of a three-level simulation model with network-centric control, the structures of individual elements of the simulation model and the process of simulation modeling are described. The criteria for choosing a rational option for the processing technological route have been determined. During the research, a simulation program was implemented in C++. It allows you to select the optimal scenario for the operation of a production site based on two criteria: time and cost. The volume of implementation is about 2x103 lines of code. A diagram of the modeling algorithm for the implemented program, a description of the classes and their interactions are given in the article. The developed simulation model was tested at a machine-building enterprise using the example of the “Pusher” part, manufactured under single-unit production condi-tions. The technological equipment used for the manufacture of this part was formed in the form of input data of the simulation model. The results of simulation modeling for the selected part are described. For each variant of the technological processing route, the values of variable costs and the duration of the production cycle were determined.

As smoke toxicity is unregulated outside of the mass transport industry, there is no set methodology for assessing smoke toxicity of construction products, like OSB, on a large-scale. This research aims to assess the novel design of a modified ISO 9705 room corner test designed for smoke toxicity quantification. Three tests conditions will be assessed to determine if restriction of ventilation is enough to force a fire to transition to under-ventilated flaming, or if the fuel loading is much more important in affecting the fire severity and fire condition. The research found that fuel loading and test geometry has more significant impact on the fire condition than restricting the ventilation. While imposing restrictions on the test rooms ventilation did increase the equivalence ratio, it was not sufficient enough to force the transition into under-ventilated flaming. The addition of a door to the test room did not force the fire to transition to under-ventilated flaming. When doubling the fuel loading, there was sufficient fuel for the fire to transition to under-ventilated flaming. This research has provided the experimental methodologies to assess smoke toxicity at a range of ventilation conditions on a large-scale.

The effects of rare earth Y content on the microstructure and high-temperature oxidation properties of 47Fe-36Ni-15Cr-1.5Mn alloy at 1000°C were investigated. The results show that 47Fe-36Ni-15Cr-1.5Mn alloy oxidizes at 1000°C under laboratory atmospheric pressure to form an oxide film layer dominated by Cr2O3 and (Fe, Ni, Mn) Cr2O4 spinel, and the oxidation curve of the alloy follows the parabolic law. After the addition of rare earth Y, rare earth phases precipitated along the grain boundaries in the alloy, and the more Y content, the more precipitated phases in the grain boundaries. The alloy with added rare earths was oxidized at a high temperature of 1000 °C for 2160 min, the oxidation law still followed the parabolic law, while the rare earth phase at the grain boundary reacted with the oxygen atoms infiltrated from the outside to generate a rare earth Y-rich oxide residing at the boundary between the grain boundary and the precipitated phase of the alloy. Add 0.5 wt.% rare earth Y 47Fe-36Ni-15Cr-1.5Mn-0.5Y alloy 1000 ° C high temperature oxidation of the formation of spinel oxide crystalline particles, dense and complete oxide film layer, the surface of the addition of a small amount of (0.5 wt.%) rare earth Y after the refinement of the oxide particles, and in the alloy grain boundaries in the form of oxides reside in the alloy to inhibit the cations in the matrix and the oxygen negative ions. and oxygen-negative ions in the alloy matrix, improving the antioxidant performance of the alloy. With the further increase of rare earth Y, during the oxidation of the alloy at high temperature, the precipitation phase at the grain boundary promotes the inward diffusion of oxygen, resulting in the deterioration of the antioxidant property of the alloy.

Airworthiness certification requires proof of structure strength, which is performed generally through building block approach. To achieve this, representative intermediate scale experiments generated by test benches are in general needed, additionally to material characterization at coupons scale and structure testing at large scale. The VERTEX test bench can generate combined loading of tension/compression-shear-pressure on structural elements and was modelled with Finite Elements to perform virtual testing representative of its intermediate-scale specificity. The numerous bolted joints of the bench were modelled and their behavior identified in previous tests, so the model could quantitatively estimate the transfer function of the bench, which is the relation between the displacements imposed by the jacks and the resulting loads on a given sample. The VERTEX model was identified to represent load shapes and amplitudes on a training set, and was later confronted to a validation set of tests of tension and shear. A model with ideal boundary conditions was also developed for comparison but it failed to predict some load shape specificities and did not give any indication of loading amplitude. Application cases of the developed model are shown to assess a range of virtual testing possibilities.

This paper discusses some of the most common misconceptions about large language models (LLMs), including the belief that they are sentient or conscious, that they are always accurate, and that they can replace human creativity. The paper also proposes a strategy for overcoming these misbeliefs, which involves educating the public about the capabilities and limitations of LLMs, developing guidelines for the responsible use of LLMs, and conducting more research to understand the potential impact of LLMs on society.

Permeability is an important transport property of porous materials, and its accurate evaluation is relevant in studying applied tasks such as CO2 injection into reservoirs and investigating groundwater quality issues. This study examines the dependence of permeability on total and connected porosity, hydraulic tortuosity, specific surface area, and mean pore radius based on the data of 408 cubic sub-volumes extracted from heterogeneous and naturally fractured cylindrical carbonate samples before and after injection of HCl solutions into them. These parameters were computed using pore-scale modeling of fluid flow. It has been shown that permeability correlates well with porosity and mean pore radius with correlation coefficients of R2≈0.65-0.79 for heterogeneous samples. It was found that the presence of natural fractures significantly influenced the relationship between permeability and other parameters. The relationship between permeability k, tortuosity τ, and specific surface area S is described by power laws k~τ-α and k~S-β, with coefficients α and β substantially exceeding those in the Kozeny-Carman equation. It was also found that there is a parabolic relationship between connected and total porosities both before and after rock dissolution with R2≈0.96-0.99. This allowed for estimation of percolation threshold porosity that are in good agreement with the literature data.

The contemporary landscape of education is witnessing a paradigm shift towards innovative instructional methods, with the flipped learning approach gaining considerable attention. The purpose of this research was to investigate the impact of the flipped learning approach on students' perception and acceptance throughout an entire semester in the 'Introduction to Programming with Java' course, using a research design with a quantitative approach, ultimately aiming to inform educational practice and advance our knowledge of innovative teaching methods in higher education. This study was conducted at a university with 174 students involved, divided into two groups, 87 students in the experimental group and 87 students in the control group. The data collected through the scales were analyzed by using descriptive and inferential statistical analysis techniques in statistical software. At the end of the measurements, the technology acceptance level and self-directed learning perceptions of engineering students who received education with flipped learning were high. The results suggest that educators should consider students' readiness for self-directed learning when implementing the flipped learning approach and focus on creating an environment that supports their autonomy and engagement. This research offers valuable guidance for instructors, curriculum designers, and educational policymakers seeking to enhance the effectiveness of flipped learning in higher education courses.

Estimating Visual Quality of Street Space (VQoSS) is pivotal for urban design, environmental sustainability, civic engagement, etc. Recent advancements, notably in deep learning, have enabled large-scale analysis. However, traditional deep learning approaches are hampered by extensive data annotation requirements and limited adaptability across diverse VQoSS tasks. Multimodal Large Language Models (MLLMs) have recently demonstrated proficiency in various computer vision tasks, positioning them as promising tools for automated VQoSS assessment. In this paper, we pioneer the application of MLLMs to VQoSS change estimation, with our empirical findings affirming their effectiveness. In addition, we introduce Street Quality GPT (SQ-GPT), a model that distills knowledge from the current most powerful but inaccessible (not free) GPT-4, requiring no human efforts. SQ-GPT approaches GPT-4’s performance and is viable for large-scale VQoSS change estimation. In a case study of Nanjin, we showcase the practicality of SQ-GPT and knowledge distillation pipeline. Our work promises to be a valuable asset for future urban studies research.

Several studies in computer vision have examined specular removal, which is crucial for object detection and recognition. This research has traditionally been divided into two tasks: specular highlight removal, which focuses on removing specular highlights on object surfaces, and reflection removal, which deals with specular reflections occurring on glass surfaces. In reality, however, both types of specular effects often coexist, making it a fundamental challenge that has not been adequately addressed. Recognizing the necessity of integrating specular components handled in both tasks, we constructed a Specular-Light (S-Light) DB for training single-image-based deep learning models. Moreover, considering the absence of benchmark datasets for quantitative evaluation, the Multi-Scale Normalized Cross Correlation (MS-NCC) metric, which considers the correlation between specular and diffuse components, was introduced to assess the learning outcomes.

In the evolving landscape of pharmaceutical manufacturing, a comprehensive continuous production process is being crafted for small-scale active pharmaceutical ingredient production. This study focuses on continuous crystallization with separate nucleation and crystal growth units, as well as continuous downstream processing, encompassing filtration, washing, and drying until the formation of free-flowing particles. We introduce a novel continuous nucleator designed based on solubility data and produced via 3D printing, enabling a fast and precise small-scale manufacturing of a nucleator meeting the requirements for nucleation and for the further growth processes. The nucleator was evaluated with regard to its suitability for continuous long-term operation across various coupled crystallizers. As a practical application example it is connected to a slug flow crystallizer to enable high-quality continuous crystallization. Additionally, the full integration of downstream processes using the continuous vacuum screw filter to achieve free-flowing product particles is realized. Even under non-optimized process conditions, with the help of in-situ generation of nuclei free-flowing product particles were successfully obtained. This is particularly useful during drug development when no material is available for seed addition and quickly obtain product for further characterization.

Anastomosing rivers are wetland systems with multiple channels, and there are many constraints limiting in-situ observations of their hydrodynamics. Therefore, there are few reports on the hydrodynamic data of such rivers. In order to obtain the hydrodynamic parameters of the river channels without hydrological observations in the anastomosing rivers, this study proposes an expression method namely expression of channel morphological parameters (ECMP) for hydrodynamic calculations. The calculation formula of the ECMP method based on the shape factor, scale factor, and gradient factor of the flow cross-section as independent variables. This method can be used to calculate the average velocity, discharge, specific stream power, gross stream power and other hydrodynamic parameters of the flow cross-section at different water levels, only requiring the measurement of morphological parameters such as the average depth, width-depth ratio, and gradient of the flow (channel) cross-section. The applicability of the ECMP method was verified using measured hydrological data. The results show that the ECMP method is a practical calculation method with high computational accuracy and convenient application for calculating river hydrodynamic parameters. It has great application value in study on fluvial geomorphology and hydrodynamics, as well as in the reconstruction of ancient river hydrology and hydrodynamics.

Small cell lung cancer (SCLC) and large cell neuroendocrine carcinoma (LCNEC) have recently been grouped as lung neuroendocrine carcinomas (NECs). Because these lung NECs are clinically malignant and their treatment strategies differ from those of non-SCLC, the quality of diagnosis has a significant prognostic impact. The diagnosis of LCNEC requires positive immunohistochemical staining with chromogranin A, synaptophysin, and CD56, along with morphological diagnosis, and insulinoma-associated protein 1 (INSM1) has been proposed as an additional marker but sometimes experience difficulty in making the diagnosis. We investigated Musashi-1 as a novel immunohistochemical marker in 42 patients with SCLCs and 44 with LCNECs who underwent lung resection between 1998 and 2020 at our institution. We found Musashi-1 expression in 41 (98%) of 42 SCLCs and 40 (90%) of 44 LCNECs. These findings were similar to CD56 expression and superior to synaptophysin, chromogranin A, and INSM1. Musashi-1 also tended to show more diffuse and intense staining, especially in LCNEC, with more cases staining &gt;10% than any other existing markers (Musashi-1, 77%; INSM1, 45%; chromogranin A, 34%; synaptophysin, 41%; and CD56, 66%). In conclusion, we identified Musashi-1 as a novel immunohistochemical staining marker to aid in the diagnosis of lung NEC.

Endovascular therapy (EVT) has revolutionized the management of acute ischaemic strokes with large vessel occlusion, with emerging evidence suggesting its benefit also in large infarct core volume strokes. In the last 2 years, 4 randomised controlled trials have been published on this topic - RES-CUE-Japan-LIMIT, ANGEL-ASPECT, SELECT2 and TENSION, with overall results showing that EVT improves functional and neurological outcomes compared to medical management alone. This review seeks to summarise the recent evidence presented by these 4 trials and highlight some of the limitations of our current understanding on this topic.

In this observational study, we compared continuous physiological signals during an active stand test in adults aged 50 years and over, characterized as frail by three different criteria, using data from The Irish Longitudinal Study on Ageing (TILDA). Four independent groups were identified: those characterized as frail only by one of the frailty tools used (the physical Frailty Phenotype (FP), the 32-item Frailty Index (FI), or the Clinical Frailty Scale (CFS) classification tree), and a fourth group where participants were not characterized as frail by any of these tools. Continuous non-invasive physiological signals were collected during an active stand test: systolic (sBP) and diastolic (dBP) blood pressure, as well as heart rate (HR), using digital artery photoplethysmography. Additionally, frontal lobe cerebral oxygenation (Oxy), deoxygenation (Deoxy), and tissue saturation index (TSI) were also non-invasively measured using near-infrared spectroscopy (NIRS). The signals were visualized across frailty groups and statistically compared using one-dimensional statistical parametric mapping (SPM). A total of 1,124 participants (mean age 63.5 years, 50.2% women) were included: 23 were characterized as frail only by FP, 97 by FI, 38 by CFS, and 966 by none of these criteria. SPM analyses revealed that only the group characterized as frail by FI had significantly different signals (p<0.05) compared to the non-frail group. Specifically, they exhibited a lesser increase in HR between 5-15 seconds post-stand and larger deficits in sBP and dBP between 15-40 seconds post-stand, and possibly a lower Delta TSI at 20 seconds post-stand. In this comparison, the FI proved more adept at capturing distinct physiological responses to standing, likely due to its direct inclusion of cardiovascular morbidities in its definition.

One of the most common subgroups of cutaneous T-cell lymphomas is the that of primary cutaneous CD30 positive lymphoproliferative disorders. The group includes lymphomatoid papulosis (LyP) and primary cutaneous anaplastic large cell lymphoma (pcALCL), as well as some borderline cases. Recently, significant progress has been made in understanding the genetics and treatment of these disorders. This review article summarizes the clinical evidence supporting the current treatment options in these diseases. Recent years have seen the introduction of novel agents into clinical practice; most of these target CD30, such as anti-CD30 monoclonal antibodies and conjugated antibodies (brentuximab vedotin), bispecific antibodies and cellular therapies, particularly anti-CD30 CAR-T cells. This paper briefly reviews the biology of CD30 that makes it a good therapeutic target, and describes the anti-CD30 therapies that have emerged to date.

Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of non-Hodgkin lymphoma and a heterogeneous disease characterized by mature B-cell neoplasms. The standard immunochemotherapy for DLBCL is R-CHOP, which includes rituximab, cyclophosphamide, doxoru-bicin, vincristine, and prednisone. Up to 30-40% of patients with DLBCL either exhibit primary refractory disease to standard treatment or experience relapse after the initial response. A 72-year-old man diagnosed with DLBCL involving chromosomal translocations t(1;22)(q21;q11.2) and t(6;18)(p25;q21) showed primary refractory disease after the fourth cycle of R-CHOP. The patient ultimately experienced cardiac involvement by the lymphoma and received salvage chemotherapy. He passed away about 15 months away after the diagnosis of DLBCL. We conducted fluorescence in situ hybridization (FISH) for further analysis of the chromosomal translocations. The breakpoint of chromosome 1q21 was located at a distance of around 151 Mb from the telomeric end of chromosome 1p. The breakpoint in chromosome 22q11 contains the immunoglobulin lambda locus. Furthermore, the breakpoint of chromosome 6p was in the telomeric region of chromosome 6p21. The breakpoint of chromosome 18q21 contains BCL2. This case report presents the first documented co-occurrence of chromosomal translocations t(1;22)(q21;q11.2) and t(6;18)(p25;q21) in a patient with DLBCL. These chromosomal translocations may indicate a worse clinical outcome.

In this study, the generality and prediction accuracy of a generalised series model for large eddy simulation of premixed and non-premixed turbulent combustion is explored. The model is based on Taylor series expansion of the chemical source term in scalar space and implemented into OpenFOAM. The mathematical model does not depend on the combustion regimes, and has the correct limiting behaviour. The numerical error sources are outlined and analysed. The model is first applied to a piloted methane/air non-premixed jet flame (Sandia Flame D). The statistical (time-averaged and RMS) results agree well with experimental measurements, particularly with regard to the mixture fraction, velocity, temperature, and concentrations of major species CH4, CO2, H2O, and O2. The concentrations of intermediates CO and H2 are over-predicted, due to the limitations of the reduced reaction mechanism employed. Then, a Bunsen piloted flame is simulated. Most of the statistical properties of both reactive species and progress variable are well reproduced. The only major discrepancy evident is in the temperature, which is attributed to the experimental uncertainties of temperature fields in the pilot stream. These findings have demonstrated the model`s generality for both premixed and non-premixed combustion simulation, as well as the accuracy of prediction of reactive species distribution.

Sensation seeking (SS) is a psychobiological personality trait characterized by an individual’s propensity to engage in various forms of risk-taking behavior. The Brief Sensation Seeking Scale (BSSS-8) is a widely used instrument for assessing SS that has been translated into several languages. However, only outdated and non-validated questionnaires have been used to measure SS in the Slovenian population. The aim of this study was to translate and psychometrically validate the Slovenian version of the BSSS-8. A total of 363 participants aged between 14 and 65 years completed the translated BSSS-8 and the questionnaire on drug abuse. The scale demonstrated good reliability (Cronbach’s α=0.81) and a unidimensional factorial structure, as revealed by confirmatory factor analysis (CFA). The multigroup CFA showed gender-specific measurement invariance. In the nomological network, SS was positively associated with drug-related variables. The Slovenian version of the BSSS-8 scale is a short and simple instrument to assess SS for research and epidemiological purposes.

Constraint-based metabolic modeling approaches have enhanced our knowledge and understanding of the metabolism of prokaryotes and eukaryotes. This approach highly depends on the reconstruction process of genome-scale metabolic models (Mmodels). M-models can guide effective experimental design and yield new insights into the function and control of biological systems. Despite the recent advances in the automated generation of draft metabolic network reconstructions, the manual curation of these networks remains a labor-intensive and challenging task. Thus, these ten quick tips for the manual curation process are essential for optimizing high-quality metabolic model generation in less time. This collection of tips describes in great detail the resources and methods to ensure successful reconstruction. Furthermore, it increases the scope of other protocols of metabolic modeling by including resources to reconstruct eukaryotic organisms. Thus, all tips are applicable to a wide range of eukaryotic organisms. We believe this manuscript will interest a broad audience and researchers from different disciplines, spanning from microbiology and systems biology to biotechnology.

When describing the tribological behaviour of technical surfaces, the need for full length scale microtopographic characterization often arises. The self-affine of surfaces and the characterization of self-affine by a fractal dimension and its implantation into tribological models are commonly used. The goal of our present work was to determine the frequency range of fractal behaviour of surfaces by analysing the microtopographic measurements of a brake plunger. We also wanted to know if the bifractal and multifractal behaviour can be detected in real machine parts. As a result, we developed a new methodology for determining the fractal range boundaries to separate the nano- and micro-roughness. In order to reach our goals, we used atomic force microscope (AFM) and stylus instrument to provide measurements in wide frequency range (19 nm - 3 mm). As a result of the power spectral density (PSD) based fractal evaluation, it was found that the examined surface could not be characterized by a single fractal dimension and that we developed a methodology for stopping the margin of validity of each fractal dimension, and we also developed a methodology for determining the limits of validity of certain fractal dimensions.

Background. Chronic Obstructive Pulmonary Disease (COPD) is a heterogeneous systemic syn-drome that often coexists with multiple comorbidities. In high-complex COPD patients the role of the Cumulative Illness Rating Scale (CIRS) as a risk predictor of COPD exacerbation is not known. Objective. To determine the effectiveness of the CIRS score in detecting the association of comorbidities and disease severity with the risk of acute exacerbations in COPD patients. Methods. 105 adults with COPD were included in this prospective study. All participants at baseline had at least 2 moderate exacerbations or 1 leading to hospitalization. The primary outcome was a composite of moderate or severe COPD exacerbation during 12-months follow-up. Results. CIRS indices (CIRS total score, Severity Index and Comorbidity Index) showed a positive correlation with mMRC, CAT and a negative correlation with FEV1, FVC, FEV1/FVC. The three CIRS indices were able to predict the 12-month rate of moderate or severe exacerbation (CIRS-Total Score: Hazard Ratio (HR) = 1.12 (95% CI: 1.08-1.21); CIRS-Severity Index: HR = 1.21 (95% CI: 1.12-1-31); CIRS-Comorbidity Index = 1.58 (95% CI: 1.33-1.89)). Conclusions. Among patients with COPD, comorbidity number and severity, assessed by the CIRS score, influence the risk in moderate to severe exacerbations. The CIRS score also correlates with the severity of respiratory symptoms and lung function

(1) Background: Thrombophilia is a tendency towards hypercoagulability, and it is increased by pregnancy, and peaking around delivery.; (2) Methods: 80 Eighty thrombophilia patients admitted for delivery between 1/10/2017 and 1/12/2021 were prospectively studied, together with 80 eighty age- and para-matched control patients. Patients were admitted for delivery at term by means of cesarean section. The inflammation indexes from the complete blood count values analysis, in during both the 24 hours before and the 24 hours after labor—, extracted from the hospital’s medical records—, were calculated, and then correlated with uterine involution.; (3) Results: In pregnant patients treated for thrombophilia patients, the patients who did not manage to have close their uterine cavity closed with in the first 24-48 hours had significantly higher SII and AISI inflammation indexes SII and AISI , than the onesthose who did manage to have their uterine cavity closed their uterine cavity. In pregnant patients treated for thrombophilia patients, MLR is higher in patients without the Rh factor than in those with the Rh factor. In non-thrombophilia patients, PLR was significantly higher as compared to treated thrombophilia patients. In non-thrombophilia patients, MCVL increased with age and, before labor, while SII and AISI increased with age, postpartum. ; (4) Conclusions: There may be an underlying inflammation state that persisted despite treatment in some pregnant thrombophilia pregnant patients.

Cable-supported façades represent a novel approach in the design and technology of double skin façades (DSF). This type of systems not only offer flexibility in terms of exterior finishes, but also regulates the access of solar radiation, thereby transforming the appearance of the building in response to varying daylight conditions. However, the structural performance of these façades under wind, impact and seismic loads remains an active area of research. The study is a groundbreaking work that experimentally evaluates the wind and seismic behaviour of these type of façades. The methodology used for the evaluation of flexible masonry facades includes laboratory tests analysing the individual capacity of the connections and materials of the system under standardized and non-standardized procedures. A full-scale experimental sub-assembly specimen of a representative module of the façade is also subjected to uniformly distributed pressures of wind load tests as well as hard body and soft body impact tests. The setup considered the border conditions, tension loads, and actual materials. Furthermore, the earthquake assessment includes tests of full-scale specimens subjected to these demands. Research findings allowed the refinement and redesign of the system's components granting the validation of the DSF used as a case study.

Febrile neutropenia (FN) is a major concern in patients undergoing chemotherapy for diffuse large B-cell lymphoma (DLBCL); however, the overall risk of FN is difficult to assess. This study aimed to develop a model for predicting the occurrence of FN in patients with DLBCL. In this multicenter, retrospective, observational analysis, a multivariate logistic regression model was used to analyze the association between FN incidence and pretreatment clinical factors. We included adult inpatients and outpatients (aged ≥ 18 years) diagnosed with DLBCL who were treated with chemotherapy. The study examined 246 patients. Considering FN occurring during the first cycle of chemotherapy as the primary outcome, a predictive model with a total score of 5 points was constructed as follows: 1 point each for viral hepatitis, extranodal involvement, and a high level of soluble interleukin-2 receptor and 2 points for lymphopenia. The area under the receiver operating characteristic curve of this model was 0.844 (95% confidence interval: 0.777–0.911). Our predictive model can assess the risk of FN before patients with DLBCL start chemotherapy, leading to better outcomes.

A novel approach was developed that combined LP-based row generation with optimization-based sorting to tackle computational challenges posed by budget allocation problems with combinatorial constraints. The proposed approach dynamically generated constraints using row generation and prioritized them using optimization-based sorting to ensure a high-quality solution. Computational experiments and case studies revealed that as the problem size increased, the proposed approach outperformed simplex solutions in terms of solution search time. Specifically, for a problem with 50 projects (N = 50) and 2,251,799,813,685,250 constraints, the proposed approach found a solution in just 1.4 seconds, while LP failed due to the problem size. The proposed approach demonstrated enhanced computational efficiency and solution quality compared to traditional LP methods.

We present multi-sensor measurements from satellites, unmanned aerial vehicle, marine radar, thermal profilers and repeated conductivity-temperature-depth casts made in the Kara Gates strait connecting the Barents and the Kara Seas during spring tide in August 2021. Analysis of the field data during an 18-hour period from four stations evidence that a complex sill in the Kara Gates is the site of regular production of intense large-amplitude nonlinear internal waves. Satellite data show a presence of a relatively warm northeastward surface current from the Barents Sea toward the Kara Sea attaining 0.8-0.9 m/s. Triangle-shaped measurements of three thermal profilers revealed pronounced vertical thermocline oscillations up to 40 m associated with propagation of short-period nonlinear internal waves of depression generated by stratified flow passing a system of shallow sills in the strait. The most intense waves were recorded during the ebb tide slackening and reversal when the background flow was predominantly supercritical. Observed internal waves had wavelength of ~100 m and travelled northeastward with phase speeds of 0.8-0.9 m/s. The total internal wave energy per unit crest length for the largest waves was estimated to be equal to 1.0-1.8 MJ/m.

The semantic segmentation of high-resolution remote sensing images (HR-RSI) is crucial for a wide range of applications, such as precision agriculture, urban planning, natural resource assessment, and ecological monitoring. However, accurately classifying pixels in HR-RSI faces challenges due to densely distributed small objects and scale variations. Existing techniques, including Convolutional Neural Networks (CNNs) and other methods for hierarchical feature extraction and fusion of remote sensing image, often do not achieve the desired accuracy. In this paper, we propose a novel approach called the Hierarchical Rich-scale Fusion Network (HRFNet) to address these challenges. HRFNet utilizes advanced information rating and image partition techniques to extract rich-scale features within image layers. This allows for the adaptive exploration of both local and global contextual information. Moreover, we introduce a structured intra-layer to inter-layer feature aggregation module, which enables the adaptive extraction of fine-grained details and high-level semantic information from multi-layer feature maps in a highly flexible manner. Extensive experimentation has been conducted to validate the effectiveness of our proposed method. Our results demonstrate that HRFNet outperforms existing techniques, achieving state-of-the-art (SOTA) results on benchmark datasets, specifically the ISPRS Potsdam and Vaihingen datasets.

To conduct a precise impact assessment of marine diesel engines, a 200t floating impact platform was utilized to simulate realistic testing conditions. The testing generated the acceleration time curve and the impact response spectrum for the diesel engine. According to the applicable standards, the spectral velocity was chosen as the evaluation index, and an evaluation of the longitudinal, transverse, and vertical impact environment of the diesel engine was conducted. The shock factor interpolation method was corrected using the confidence interval based on normal distribution, and the interpolated confidence interval of the shock factor was determined. The findings reveal that: The 200t-class floating shock platform is capable of providing a reliable shock environment for diesel engine tests. The shock wave serves as the primary external force during the experiment, and the impact of bubble pulsation can be disregarded when assessing using the floating shock platform. To more accurately describe the experimental shock intensity when presented with dispersed data, the confidence interval can be utilized, and the resulting prediction formula provides a higher level of impact safety. The obtained conclusions can serve as a reference for predicting the shock environment of large shipboard equipment using the shock platform.

The Quantum-Cosmos Nexus Theory delves into the intricate web of relationships that tie together fundamental constants, cosmological properties, and the boundaries of our comprehension in the realm of physics. It unveils a profound interconnection between the gravitational constant (G), the speed of light (c), and the parameters of the observable universe. It introduces a unification equation that hints at a connection between the fundamental constants. It also introduces a new constant, , which is similar to the Planck constant but, on a large scale, signifies the ultimate unit of action or energy on a cosmic scale. With this new constant, new units similar to Planck units have been introduced. They are the equivalence of Planck units in the sense that they represent the limits of our current understanding of physics on the largest scale. The theory also shows that most of the fundamental constants of nature, including the gravitational constant (G), the speed of light (c), vacuum permittivity (ε₀) vacuum permeability (u₀), the Boltzmann constant (K_B), and the fine-structure constant (α), can be derived from these new units and Planck units. The first derived equation suggests a potential weakening of the gravitational constant over time, assuming the density remains relatively constant. Although this is a matter of speculation, it has the potential to explain observations related to dark matter. The theory also makes use of the Planck force, defining it as the maximum force on the quantum and cosmic scales. It also emphasizes that the Planck scale is not the ultimate limit and reveals our observational constraints, offering a unique perspective on the universe's fundamental workings. The Quantum-Cosmos Nexus Theory reveals how fundamental constants, cosmic dynamics, and the limits of our understanding converge, opening the door to fresh perspectives on the underlying principles of the universe.

TThe following three objectives were tested in this study: (1) investigate the utility of low-altitude remote sensing using UAS technology to compare the effects of different N application systems in rice production; (2) use spatial extrapolation to scale up plot-level generated to farmer field rice yield data based on crop spectral signatures, and (3) predict and map out rice productivity as a function of N placement systems. Images were captured on a UAV platform at midseason of the rice crop. Orthomosaics were developed for selected fields in rice-producing zones. Grain yields were assessed from low, medium, and high crop health plots delineated based on NDVI values. On the plot scale, UDP outyielded non-UDP by 0.84%. Individual plot yield data were scaled up to the farmer field level through Jenks natural breaks classification and es-tablishing an empirical relationship between OSAVI and plot yields. Assessment of the scaled-up field levelfield-level data also confirmed the superiority of UDP N man-agement over the non-UDP systems in promoting rice yields. Scaling up plot scale da-ta to whole field levels also facilitated generating and mapping expected yield maps for individual farmer fields in the three zones studied. This study has established a tangible simple but tangible protocol protocol for predicting and mapping rice yields in small-scale farmer fields using UAS data.

A digital twin is a virtual representation that serves as the real-time digital counterpart of a physical object or system. Recent advancements have extended the concept of digital twins to humans, incorporating complex biological data such as DNA (Predictiv Care, Inc.) and immune system profiles. These sophisticated models go beyond mere pictorial representations, offering a more holistic digital reflection. However, a significant gap remains. The current human digital twin models are not capable of learning one’s preferences. In this pilot study, we introduce Diginality, a chatbot powered by HyperCLOVA X, a Large Language Model (LLM) developed by NAVER, Inc. Diginality, learns one’s preferences with custom training from data collected by interview-style questions on the user’s topic of interest. Our findings demonstrate that Diginality successfully answers one’s preferences, thereby adding a new dimension to the concept of human digital twins. This work represents a pioneering step towards creating a more comprehensive and psychologically nuanced human digital twin.

Image segmentation is the process of partitioning an image into multiple segments where the goal is to simplify the representation of the image and make the image more meaningful and easier to analyze. In particular, semantic segmentation is an approach of detecting the classes of objects, based on each pixel. In the past, most semantic segmentation models were for only one single style, such as urban street views, medical images, or even Manga. In this paper, we proposed a semantic segmentation model called Dual-Pyramid Wide Residual Network (DPWRN) to solve the segmentation for cross-style datasets, which is suitable for diverse segmentation applications. The DPWRN integrated the Pyramid of Kernel paralleled with Dilation (PKD) and Multi-Feature Fusion (MFF) to improve the accuracy of segmentation. To evaluate the generalization of the DPWRN and its superiority over most state-of-the-art models, three datasets with completely different styles are tested in the experiments. Finally, the DPWRN verified its generalization and also showed its superiority over most state-of-the-art models.

With the rapid growth of large language models (LLMs), there is increasing demand for memory and computation for LLMs. Recent efforts on post-training pruning of LLMs aim to reduce the model size and computation, yet the performance is still sub-optimal. In this paper, we present a plug-and-play solution for post-training pruning of LLMs. The proposed solution has two innovative components: 1) **Relative Importance and Activations** (RIA), a new pruning metric that jointly considers the weight and activations efficiently on LLMs; and 2) **Channel Permutation**, a new approach to maximally preserve important weights under N:M sparsity. The proposed two components can be readily combined to further enhance the N:M structuredly pruned LLMs. Our empirical experiments show that RIA alone can already surpass all existing post-training pruning methods on prevalent LLMs, e.g., LLaMA ranging from 7B to 65B. Furthermore, N:M structured pruning with channel permutation can even outperform the original LLaMA2 70B on zero-shot tasks, together with practical speed-up on specific hardware.

Understanding the dynamic interaction between piles and surrounding soil under vehicular impacts is essential for effectively designing and optimizing soil-embedded vehicle barrier systems. The complex behavior of pile-soil systems under impact loading, attributed to the soil’s nonlinear behavior and large deformation experienced by both components, presents significant simulation challenges. Popular computation techniques, such as the Updated Lagrangian Finite Element Method (UL-FEM), encounter difficulties in scenarios marked by large soil deformation, e.g., impacts involving rigid piles. While mesh-free particle and discrete element methods offer another option, their computational demands for field-scale pile-soil impact simulations are considerable. We introduce the erosion method to bridge this gap by integrating UL-FEM with an erosion algorithm designed for simulating large soil deformations during vehicular impacts. Validation against established physical impact tests confirmed the method’s effectiveness for flexible and rigid pile failure mechanisms. Additionally, this method was used to investigate the effects of soil mesh density, soil domain sizes, and boundary conditions on the dynamic impact response of pile-soil systems. Our findings provide guidelines for optimal soil domain size, mesh density, and boundary conditions. This investigation sets the stage for improved, computationally efficient techniques for the pile-soil impact problem, leading to better pile designs for vehicular impacts.

By the end of 2023, biowaste must be completely separated or recycled at source based on the EU legislation. Separate biowaste collection and valorisation towards biofuels could play an essential role in the biobased circular economy. In this context, the principal goal of this paper was to demonstrate in pilot scale the technological solution of bioethanol production via the utilisation of urban source-separated biowaste within the city context of Athens, Greece. More specifically, the main aim was the demonstration of a pilot system in continuous operation (over 10 operating cycles) with real feedstock – wet separately collected biowaste. From the 11 pilot trials performed with wet feedstock, the mean starch and cellulose degradation of the pilot trials amounted up to 80.69±16.27% and 79.41±10.37% respectively, while the bioethanol yield was 74.05±6.82%. The latter was comparable to that of more intensive pretreatment methods. Homogenization and shredding that was applied in this study, stand as promising and cost-effective pretreatment methods for bioethanol production from wet feedstock. Further research is needed to optimize conditions and evaluate scalability. Nevertheless, pilot scale testing is a crucial step in the development and deployment of this technology since it serves as a bridge between laboratory research and full-scale implementation, offering a practical and controlled environment to validate and optimize the technology while minimizing risks and uncertainties.

Background. Ovarian cysts are common in premenopausal women but can present with vague, non-specific symptoms, making discovery more challenging. Most are benign and resolve spontaneously; however, they can present, as in this case, as ovarian torsions, which is a gynecological emergency. Case presentation. A twenty-year-old female had presented over 3–4 times per year for the last 6 years to her primary doctor citing intermittent abdominal pain, irregular menstruation, dyspnea, and an enlarging abdomen circumference. The doctor stated, she was “just fat” and could, benefit from a “special camp to lose weight”, so she stopped mentioning her concerns. Upon presenting to the emergency department with acute onset abdominal pain, a computed tomography scan showed a large cyst lesion filling the abdominal and pelvic cavity. Its origin appeared to be from the left adnexa. Surgery was performed, and an acute ovarian torsion caused by a 36 cm craniocaudal left ovarian cyst was found and removed along with the left fallopian tube and 16 L of fluid. Conclusions. The value of respecting the “third presentation” rule indicates to health care providers that any patient who presents with any /or other symptoms or complaint needs to be thoroughly investigated. In this case the patient presented recurring pelvic/abdominal concerns, irregular menstruation, which warranted further investigation to safeguard fertility and prevent errors of omission. It is important to consider the differentials and be aware of vague symptoms that may lead to early recognition and effective management to prevent adverse consequences, complications, or even death.

This paper deals with the analysis of the cognitive functions of the cerebral cortex or cortex in the evolutionary context. The triune brain model is presented given its notorious popularity in fields that are not strictly neuroscientific, and its limitations and inaccuracies are also shown. Although it is an outdated theory, this one represented the passage to a new era, because it really was the model of the movement towards understanding the brain in evolutionary terms. Next, the paper illustrates the different areas of the cortex and their functions, as well as the evolution of the brain and the cortex in vertebrates. To date, the expansion of the cortex with the amniotes was placed 300 million years ago, although recent studies place it in the lampreys more than 500 million years ago. Evolutionary changes in mammalian brain and cortex size are discussed, showing the evolution from three to six cell layers and trends in different groups of mammals. Finally, the most recent contributions in the field of research are illustrated, such as the role of neurogenesis and the evolution of the connectivity of the cortex.

In recent decades, porous scaffolds for bone tissue engineering (BTE) have gained significant attention. Considerable research efforts have been dedicated to investigating the impact of scaffold pore size on a diverse array of biological processes, including cell-scaffold interactions, substance transportation, and vascularization. However, the multi-scale hierarchical porosity, a key structural characteristic of natural bone, has rarely been replicated in BTE scaffolds due to the challenges of controlling the scaffold structure across multiple length scales. With the advancement of manufacturing technology, there has been increasing research on biomimetic multi-scale hierarchical materials, which are also gaining favor in the field of BTE. Therefore, there is an urgent need to review multi-scale hierarchical porous BTE scaffolds. This paper aims to review the role and fabrication methods of multi-scale porous BTE scaffolds at different length scales, the design and manufacturing of new BTE scaffolds for bone regeneration.

Evaluating of long-term satellite-derived ocean color products using in-situ measurements is essential to ensure data quality and integrity. In this study, the Visible Infrared Imaging Radiometer Suite (VIIRS) remote sensing reflectance (Rrs) products were evaluated and analyzed by using long-term OC-CCI in-situ data from 2012 to 2021. The results demonstrate that the root mean square difference of VIIRS Rrs product accuracy in most bands is better than 0.002 (sr-1) when considering its average life span of 12 years. However, the VIIRS Rrs products in shorter wavelength bands (e.g., at 412 nm) had significantly lower accuracy in general and a long-term bias over the recent years. The annual precision of VIIRS Rrs products showed a declining trend especially in coastal or eutrophic waters. This accuracy deterioration of the VIIRS Rrs products suggests a strong need for continuous monitoring of its performance and further efforts on improving the atmospheric correction algorithm to specifically deal with satellite records at high SZAs and OZAs.

: Medial temporal lobe atrophy (MTA) remains an important imaging biomarker in brain magnetic resonance imaging (MRI) for diagnosing and evaluating Alzheimer's disease (AD). We compared the detection performance for determining significant MTA and the correlation with Scheltens' scale between two automatic volumetry software, NeuroQuant® and Aqua®, in non-AD and AD groups. Overall, 127 (non-AD, 54; AD, 73) individuals who underwent three-dimensional T1-weighted volumetric MRI in our hospital between January and August 2011 were enrolled and retrospectively analyzed using NeuroQuant® and Aqua®. The accuracy, sensitivity, and specificity for detecting significant MTA and the correlation for Scheltens' scale with the mean hippocampal volume of each software were evaluated. The study sample’s mean age was 78 (range, 59–97) years. Regarding accuracy and specificity, Aqua® was non-inferior to NeuroQuant®. Aqua® had significantly higher overall specificity than NeuroQuant® for detecting significant MTA. Additionally, the calculated mean hippocampal volume of Aqua® was more correlated with Scheltens' scale (Kendall's τ, - 0.48) than that of NeuroQuant® (Kendall's τ, - 0.20). The accuracy and specificity of Aqua® in detecting MTA are not inferior to those of NeuroQuant®. Additionally, Aqua® has a stronger correlation of mean hippocampal volume with Scheltens' scale than NeuroQuant®.

Objective: Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) are often overlapping conditions. We aimed to determine whether 18F-fluorodeoxyglucose (FDG) positron emission tomography-computed tomography (PET-CT) is useful in identifying PMR in the setting of large vessel vasculitis (LVV)-GCA. Methods: Patients diagnosed with LVV-GCA by PET-CT at a tertiary referral hospital for a population of 450,000 people over a two-year period were reviewed. Scoring was performed based on potential significant FDG uptake at up to 16 sites in nine different extravascular areas (SCORE 16). Differences in extravascular sites of significant FDG uptake were evaluated between LVV-GCA with a clinical diagnosis of PMR or not. Results: Fifty-four patients were diagnosed with LVV-GCA by 18F-FDG-PET-CT. Of them, 21 (38.8%) were clinically diagnosed with PMR. Significant extravascular FDG uptake was more frequently observed in those with a clinical diagnosis of PMR. In this sense, the SCORE 16 was higher in those with clinical PMR (5.10 ± 4.05 versus 1.73 ± 2.31 in those without a clinical diagnosis of PMR; p< 0.001). A SCORE 16 involving more than 4 sites of significant FDG uptake yielded a sensitivity of 52% and a specificity of 91% for establishing a clinical diagnosis of PMR associated with LVV-GCA. The best areas of significant FDG uptake to clinically identify PMR in patients with LVV were the shoulder, the greater trochanter and the lumbar interspinous regions with an area under the ROC curve of 0.810 (0.691-0.930). Conclusion: Significant extravascular 18F-FDG-PET-CT uptake may help establish a clinical diagnosis of PMR in patients with LVV-GCA. These patients are more commonly diagnosed with PMR if they have significant FDG uptake in the shoulder, greater trochanter, and lumbar interspinous areas.

The duality is one of the most interesting properties of the Laplace and Fourier transforms associated to the integer order derivative. Here, we will generalize it for fractional derivatives and extend the results to the Mellin, Z and discrete-time Fourier transforms. The scale and nabla derivatives are used.

COVID-19 has rapidly spread worldwide since December 2019. During the pandemic, SARS-CoV-2 repeatedly mutated from Alpha to Omicron. The severity and mortality are related to age, sex, and underlying diseases (respiratory, cerebrovascular, cardiovascular, metabolic, cancer, and immune diseases). We retrospectively studied 44 hospitalized stroke patients infected with the SARS-CoV-2 Omicron variant. The mortality rate of hospitalized stroke patients with COVID-19 was 6 (13.6%). The cause of death was coagulopathy in 3 cases of ischemic stroke. High modified Rankin Scale score（mRS）of stroke patient was correlated with severity of COVID-19. The timing of vaccination is inversely correlated with COVID-19 severity. In conclusion, stroke patients with COVID-19 have high mortality rates attributed to coagulopathy. Stroke patients with high mRS scores are more likely to develop severe COVID-19. In high mRS scores, therapy for severe COVID-19 should be administered.

This paper presents the results of a comparison of the seasonal dynamics of carbon dioxide content in the atmosphere and the phenological phases of various water bodies located in the boreal and subarctic zones for 2012–2020. Six large freshwater areas were selected as research objects: Lake Baikal, Lake Ladoga, Gulf of Ob, Lake Huron, Great Bear Lake and Great Slave Lake. In addition, four areas of wetlands in Western Siberia were studied. The CO2 concentration in the air column over water bodies was obtained from CAMS global greenhouse gas reanalysis data. These data represent three-dimensional fields of aerosols and chemical components in the atmosphere, with complete coverage of the globe. The phenological phases of the water bodies were determined using data from the MIRAS microwave radiometer of the SMOS satellite. The comparison and analysis performed showed that the concentration of CO2 in the atmosphere over the studied water bodies has a seasonal cyclical nature. The minimum concentration corresponds to the summer period due to strong photosynthesis of phytoplankton and swamp vegetation, which results in the absorption of carbon dioxide. The maximum CO2 concentration over the water bodies corresponds to the end of the winter – the beginning of the spring period, when photosynthesis processes are minimal. During this period, CO2 is being accumulated in water bodies and subsequently emitted. In freezing lakes located in the boreal zone, in addition to a stable spring maximum of CO2, a strong short-term release of carbon dioxide is sometimes observed, also corresponding to the stage of destruction of the ice cover. It is associated with the release of CO2 accumulated over the winter period, which was “sealed” in the ice and in the water column under the ice. The absence of such a release in the waters of the subarctic zone is explained by the lower biological productivity of these reservoirs compared to the waters of the boreal zone.

Underwater robotics equipped with visual detection systems have the function of detecting un-derwater artifacts, which is of great significance to deep-sea archaeology. Underwater artifacts are located in complex environments with poor imaging conditions, and the targets have chal-lenging problems such as breakage, stacking, and sediment burial, which causes the marine cul-tural target detection failures. To solve these problems, this paper proposes an underwater cul-tural target detection algorithm based on the deformable deep aggregation network model for underwater robotics exploration. To fully extract the target feature information of underwater targets in complex environments, this paper designs a multi-scale deep aggregation network with deformable convolutional layers. Besides, the BAM attention module is designed for fea-ture optimization, which enhances the potential feature information of the target while weak-ening the background interference information. Finally, the target prediction is achieved through feature fusion at different scales. The proposed algorithm has been extensively validat-ed and analyzed on the collected underwater artifact datasets, and the precision, recall, and mAP of the algorithm have reached 93.1%, 91.4%, and 92.8%, respectively. In addition, the present al-gorithm has been practically deployed on the underwater robotics. In the deep-sea tests, the ar-tifact detection frame rate reaches up to 19 fps, which satisfies the real-time target detection。

Small-scale facilities play a significant role in the landscape of nuclear physics research in Europe. They address a wide range of fundamental questions and are essential for teaching and training personnel in accelerator technology and science, providing them with diverse skill sets, complementary to large projects. The current status and perspectives of nuclear physics research at small-scale facilities in Europe will be given.

Women's empowerment represents a process in which they are recognized as subjects of rights. Despite advances in women's rights, inequalities persist in various areas. This study aims to validate a psychometric scale of 31 items in seven factors: Participatory Empowerment, Temerity, External Influences, Independence, Social Satisfaction and Equality. The objective is to measure the empowerment of women in the university context. The research was carried out in a transversal and non-experimental manner, with the participants' voluntary collaboration, including the participation of 1,478 university students from four Higher Education Institutions in Zone 4 of Ecuador. The data was analyzed through inferential statistics, including exploratory and confirmatory factor analysis. The results indicated that the instrument for measuring empowerment can be made up of 24 items grouped into six factors, and this model showed a good fit.

The grinding process by friction at the micro-scale in a mill with stones is considered a variable combination of contacts: with two-body (the asperities of lower millstone in direct contact with the asperities of upper millstone) and the three-body (micro-particles of ground seeds trapped between the asperities of lower and the upper stones of the mill). Three elements are described: (1) the mechanic contact of the asperities of the lower and upper millstone, to predict pressures on asperities, by modeling; (2) tests on a millstone sample covered with grinding particles, and (3) tests on a wafer sample formed by the millstones with the grinding particles between them. The paper highlights the combined effects of the micro-scale friction by individual measurements and to sum these effects an analytical model was used, and to validate the model, several experiments were performed. A suitable grind by friction assumes the grain’s movement and the interaction between the seeds and solid surfaces and is highlighted through theoretical and experimental studies. Topography analysis of the surface of the millstones revealed the model of microscopic frictional force. Endpoint measurements (the traces of the surface topography evolution), enable model verification in the grinding process.

A multitude of factors influence our well-being and health in everyday life. Some of which we are totally aware like a delayed train, car exhausts, or continuous work stress. Other factors influence us on a subconscious level, making them, however, not less important to address. One of these factors is the built environment surrounding us almost every second of our lives. The idea of biophilic design states the importance of natural elements implemented in architectural structures to improve the occupants’ health and well-being. Adding to this field of research, this article targets the impact of biophilic design on positive emotions and productivity by using novel approaches like Facial Emotion Recognition (FER) with Residual Masking Networks, and sentiment detection using Large Language Models. Two separate but related studies were conducted and their results reported here. The first study measured emotions of people when confronted with images of different kinds of architecture, via FER (Facial Emotion Recognition) and also via a user survey. We distinguish between self-stated emotions entered through a survey by study participants, and emotions detected from studying the participants’ faces through AI from our FER (Facial Emotion Recognition) system. We found clear trends for most detected emotions, and significant evidence for self-stated emotions, that architecture implementing biophilic design evokes more positive emotions than one that does not. The second study measures the influence of natural elements on productivity and team-engagement. We found that natural elements do influence productivity and sentiment positively; however, only the change in sentiment was shown to be significant. As our sample size, especially for the second study, was relatively small, future research will apply these ideas in a larger setup to acquire further evidence for the importance of biophilic design for human well-being and health.

Background: Patients with allergic rhinitis (AR) have bothersome symptoms that may assess using the visual analog scale (VAS). Asthma frequently is associated with AR. The present study investigated the role of VAS in children with newly-diagnosed AR. Methods: Parameters were VAS for nasal and asthma symptoms, and doctor’s perception of these diseases, medication use, and asthma comorbidity. Results: 67% of AR children had asthma. Severity of perceived nasal symptoms was associated with more intense asthma symptoms and doctor’s perception of disease severity (p<0.001 and p=0.02, re-spectively. Conclusions: Allergic rhinitis frequently is associated with asthma in child-hood. Symptom perception assessment using VAS is a simple tool for assessing their intensity. Moreover, the severity of nasal symptoms is associated with asthma symptom severity. Therefore, asthma should be carefully considered in AR children and require appropriate symptom perception assessment.

Simple weir irrigation was recently introduced in rural areas of Zambia. This irrigation technique is based on gravity diversion of the river flow using simple weirs. This study was conducted between November 2022 to January 2023 in 3 northern region provinces (Luapula, Copperbelt, and North-western) of Zambia to perform a diagnostic assessment on simple weirs during the dry and the wet seasons. In this study, 15 single-line simple weirs were selected. The objective of the study is to assess the physical status, identify problems and extent, and estimate water diversion potential by each single-line weir. The findings of this study showed that 67% of weirs were in excellent status (recently maintained and repaired), and 26% of the weirs were partially damaged (leakages, decayed thatch grass). The study revealed that single-line weirs were able to raise a flood height of 0.1m at low flow and 0.5m at medium flow. It was found that single-line weirs in excellent condition diverted more than 90% of the river flow while poorly maintained weirs diverted below 45% of the river discharge. Based on the findings, Single-line weirs have the potential to assist small-scale farmers in accessing river water for irrigation purposes through diversion.

This paper investigates the hydroelastic responses of offshore floating solar photovoltaic farms (OFPVs) to minimize structural motion. The OFPV usually occupies a large sea space in the order of hectares and due to its huge structural length-to-thickness ratio, the structural deformation under wave action has to be taken into consideration. The flexible deformation of the structure under hydrodynamic loading is termed the hydroelastic response. Due to the relatively long structural length with respect to the encountering wavelength, the diffraction and radiation of waves have to be taken into account to accurately represent the hydrodynamic loadings on the floating platform. The numerical model is first validated by comparing the eigenvalues and eigenvectors of the OFPV obtained from the proposed numerical scheme with their counterparts obtained from an established finite element software. This is followed by the investigation of the hydroelastic response of various OFPVs designed in varying layout configurations. The various layout configurations are obtained by altering the floating modular units’ dimensions as well as the spacing of the OFPVs when deployed adjacent to each other. The optimal configuration that gives the best performance in terms of the overall smallest response, known as compliance, is then suggested. The results suggest that a longish OFPV layout has a lower hydroelastic response and the motion could be further reduced by increasing the global flexural stiffness via layout arrangement.

Swirling coal flames are encountered in swirl burners of boiler furnaces and cyclone coal combustors, and were studied using large-eddy simulation (LES) in reported references. However, the structures of swirling coal flames remain to be further studied. In the present paper LES of swirling coal flames is conducted for two combustors using two gas combustion models. The statistical simulation results are accessed by experiments and the instantaneous simulation results are used to analyze the specific features of flame structures of four cases. It is seen that different inlet flow conditions and different secondary-air flow rate lead to different flame structures

Keywords: bariatric surgery, sleeve gastrectomy, Roux-en-y gastric bypass, obesity, microbiota, gut-brain axis, beck scale, depression, diet, probiotics

Large language models (LLMs) excel in providing natural language responses that sound authoritative, reflect knowledge of the context area, and can present from a range of varied perspectives. Agent Based Models and Simulation consist of simulated agents that interact within a simulated environment to explore societal, social, and ethical, among other, problems. Agents generate large volumes of data over time and discerning useful and relevant content is an onerous task. LLMs can help in communicating agents’ perspectives on key events by providing natural language narratives. However, these narratives need to be factual, transparent, and reproducible. To this end, we present a structured narrative prompt for sending queries to LLMs. Chi-square tests and Fisher’s Exact tests are applied to assess statistically significant difference in sentiment scores of the narrative messages between simulation generated narratives, ChatGPT-generated narratives, and real tweets. The narrative prompt structure effectively yields narratives with the desired components from ChatGPT. This structure is expected to be extensible across LLMs. In 14 out of 44 categories, ChatGPT generated narratives which has sentiment scores that were not discernibly different, in terms of statistical significance (alpha level of 0.05), from the sentiment expressed in real tweets. Three outcomes are provided: (1) a list of benefits and challenges for LLMs in narrative generation; (2) a structured prompt for requesting narratives of a LLM based on simulated agents’ information; and (3) an assessment of statistical significance in the sentiment prevalence of the generated narratives compared to real tweets. This indicates significant promise in the utilization of LLMs for helping to connect simulated agent’s experiences with real people.

Ship detection in large-scene offshore synthetic aperture radar (SAR) images is crucial in civil and military fields, such as maritime management and wartime reconnaissance. However, the problems of low detection rates, high false alarm rates, and high missed detection rates of offshore ship targets in large-scene SAR images are due to the occlusion of objects or mutual occlusion among targets, especially for small ship targets. To solve this problem, this study proposes a target detection model (TAC_CSAC_Net) that incorporates a multi-attention mechanism for detecting marine vessels in large-scene SAR images. Experiments were conducted on two public datasets, the SAR-Ship-Dataset and high-resolution SAR image dataset (HRSID), with multi-scene and multi-size, and the results showed that the proposed TAC_CSAC_Net model achieves good performance for both small and occluded target detection. Experiments were conducted on a real large-scene dataset, LS-SSDD, to obtain the detection results of subgraphs of the same scene. Quantitative comparisons were made with classical and recently developed deep learning models, and the experiments demonstrated that the proposed model outperformed other models for large-scene SAR image target detection.

In recent years, the high-frequency abnormal price fluctuations of small-scale agricultural products have been detrimental to market stability. The traditional method based on statistical data of production factors can no longer accurately predict abnormal price fluctuations. Taking scallions as a case, the paper identifies price influencing factors from massive network information, and analyzes the causes and changing characteristics of price fluctuations from four perspectives: market supply, economic environment and market sentiment, and attention. Initially, the study employs an LDA topic model to extract factors from online sentiment data over the past four years, including market supply and demand, economic conditions, related agricultural prices, and market attention. Subsequently, using the SO-PMI algorithm to expand domain-specific lexicons and employing semantic and sentiment analysis with syntactic parsing, the study aims to improve the accuracy of sentiment quantification in text analysis. Furthermore, cointegration and Granger causality tests validate the significant impact of these factors on scallion price fluctuations, mitigating spurious regression issues. Finally, by employing a TVP-VAR model, the study compares the impulse responses and shock magnitudes of various factors in different time and spatial dimensions. It also delves into the mechanisms of heterogeneous impacts and trends in scallion prices, considering the corresponding socio-economic context and public sentiment events within specific time windows, thereby providing valuable decision-making insights for the healthy development of agricultural markets.

Deep networks-based hashing has gained significant popularity in recent years, particularly in the field of image retrieval. However, most existing methods only focus on extracting semantic information from the final layer, disregarding valuable structural information that contains important semantic details crucial for effective hash learning. To address this limitation and improve image retrieval accuracy, we propose a novel deep hashing method called Deep Supervised Hashing by Fusing Multiscale Deep Features (DSHFMDF). Our approach involves extracting multiscale features from multiple convolutional layers and fusing them to generate more robust representations for efficient image retrieval. Experimental results on CIFAR10 and NUS-WIDE datasets demonstrate that our method surpasses the performance of state-of-the-art hashing techniques.

Digital Image Correlation (DIC) is an optical technique used to measure surface displacements and strains in materials and structures. This technique has demonstrated significant utility in structural examination and monitoring. This manuscript offers a comprehensive review of contemporary research and applications that have leveraged the DIC technique in laboratory-based structural tests. The reviewed works encompass a broad spectrum of structural components, such as concrete beams, columns, pillars, masonry walls, infills, composite materials, structural joints, steel beams, slabs, and other structural elements. These investigations have underscored the efficacy of DIC as a metrological instrument for precise quantification of surface deformation and strain in these structural components. Moreover, the constraints of the DIC technique have been highlighted, especially in scenarios involving extensive or complex test configurations. Notwithstanding these constraints, the DIC methodology has validated its effectiveness as a strain measurement instrument, offering numerous benefits such as non-invasive operation, full-field measurement capability, high precision, real-time surveillance, and compatibility with integration into other measurement instruments and methodologies.

Background: The potential impact of the pandemic on mental health should not be overlooked, especially among vulnerable populations such as women who gave birth during the COVID-19 pandemic. The aim of the study was to assess the mental health status of women who gave birth during a pandemic and to examine the possible links between the onset of depressive disorder symptoms in close proximity to the time of delivery and the socio-demographic conditions, health status and obstetric circumstances of the patients. Materials and Methods: The study is a cross-sectional survey conducted from 01.03.2020 to 01.03.2023, during the period of SARS-CoV-2 (COVID-19) pandemic, based on a retrospective evaluation of 860 postpartum women. The screening tool used to assess symptoms of postpartum depression was the Edinburgh Postnatal Depression Rating Scale (EPDS) questionnaire. The questionnaire was completed both in the Obstetrics and Gynaecology Clinical Sections I and II of the "Pius Brînzeu" County Emergency Hospital from Timisoara, Romania and online using Google Forms. Results: The highest severity of postpartum depression symptoms was observed during the COVID-19 pandemic. The results of the study conducted during the period of SARS-CoV-2 pandemic (COVID-19) showed that the prevalence of major postpartum depressive disorder (EPDS ≥ 13) was 54.2% (466 patients), while 15.6% (134) had minor depressive disorder (10 &lt; EPDS ≤ 12) in the first year after delivery. Comparing these results with those obtained in research conducted before the onset of the pandemic period shows an alarming increase in the prevalence of postpartum depression. Risk factors associated with postpartum depression included type of delivery, level of education, socio-economic conditions, health status, age, background, personal obstetric history (number of abortions on demand, parity). Conclusions: The effects of the pandemic on mental health are of particular concern for women in the first year after childbirth. Observing these challenges and developing effective measures to prepare our health system early can help and facilitate effective mental health screening for postpartum women, promoting maternal and child health.

This paper examines the potential of large language models, specifically ChatGPT, BingChat, and Bard, in enhancing the work of teachers in various educational settings. These models, powered by cutting-edge artificial intelligence, offer a wide range of applications that can aid educators in curriculum development, personalized instruction, student engagement, and administrative tasks. By harnessing the capabilities of these language models, teachers can not only streamline their workload but also improve the overall quality of education. This paper explores the ways in which these models can empower educators and revolutionize teaching practices.

Background: Diffuse large B-cell lymphoma is the most common type of non-Hodgkin's lymphoma. Due to the variety of clinical manifestations, accurate diagnosis can be challenging. Here, we present a case of DLBCL that was initially misdiagnosed as a hematoma, highlighting the importance of considering malignancy in the setting of non-responsive soft tissue swelling. Methods: A 76-year-old man presented to the emergency department with right periorbital swelling and ecchymosis. The symptoms first appeared after an injury and did not resolve spontaneously. The patient was taking warfarin for atrial fibrillation. A facial bone CT revealed a large irregular homogeneous mass. An extraconal hematoma was suspected based on clinical history and radiologic findings. Incision and drainage were performed, resulting in evacuation of old blood. Despite continued drainage, the patient's symptoms worsened. A comparison with the previous CT revealed an increase in the size of the lesion. As a result, a surgical excisional biopsy was performed. Results: Biopsy of the mass showed a diffuse infiltrate of lymphocytes around the tissue. The diagnosis of diffuse large B-cell lymphoma was confirmed pathologically. The patient was referred to hematology for further management. Conclusions: DLBCL is a rare disease associated with a poor prognosis. Due to the previous injury and the use of anticoagulants, the patient was initially misdiagnosed as having a hematoma. This delayed the prompt diagnosis and affected the timing of treatment initiation. We must be aware that a malignant mass is a potential cause of unresponsive soft tissue swelling.

Recent advances in understanding the Planck scale have led to a new, straightforward method for quantizing the general theory of relativity. This results in a theory of gravity that predicts the same outcomes as general relativity with greater fundamental comprehension connected directly to the Planck scale.

Background: Ultrasonography (US) represents the gold standard imaging method for the assessment of testicular lesions (TL). The gray-scale (GSUS) and color-Doppler (CDUS) ultrasound examination allow sonographers to investigate size, margins, echotexture and vascular features of TL, with the effort to differentiate benign from malignant lesions. Recently, the use of contrast-enhanced US (CEUS) and sonoelastography (SE) led to further improvements in the differential diagnosis of TL. Although GSUS and CDUS are often sufficient to suggest the benign or malignant nature of TL, CEUS can be decisive in the differential diagnosis of unclear findings, while SE can help to strengthen the diagnosis. The contemporary combination of GSUS, CDUS, CEUS and SE led to a new diagnostic paradigm named multiparametric US (mp-US), able to provide a more detailed characterization of TL than the single techniques alone. This narrative and pictorial review is aimed to describe the mp-US appearance of several TL. Methods: An extensive Medline search was performed identifying studies in the English language focusing on mp-US evaluation of TL. Results: a practical mp-US “identity card” and iconographic characterization of several benign and malignant TL is provided herein. Conclusions: the mp-US characterization of TL reported herein can be useful in daily clinical practice.

The work presents a mathematical model of a thermogravimetric curve for the growth and simultaneous sublimation of scale on a metal or alloy surface. Reduction of the reaction area as a result of the formation of oxides of alloying elements (for obtaining the basic oxide) is considered for the alloy. For metals, the case where this area is increased as a result of powder metal crushing is also considered. The equations that were obtained are employed to explain the kinetic curves of the mass change of the samples.

This paper presents a two-stage hierarchical neural network using image classification and object detection algorithms as key building blocks for a system that automatically detects a potential design right infringement. This neural network is trained to return the Top-N original design right records that highly resemble the input image of a counterfeit. Design rights specify the unique aesthetic characteristics of a product. Due to the rapid change of trends, new design rights are continuously generated. This work proposes an Ensemble Neural Network (ENN), an artificial neural network model that aims to deal with a large amount of counterfeit data and design right records that are frequently added and deleted. At first, we performed image classification and objection detection learning per design right using the existing models with a proven track record of high accuracy. The distributed models form the backbone of the ENN and yield intermediate results aggregated at a master neural network. This master neural network is a deep residual network paired with a fully connected network. This ensemble layer is trained to determine the sub-models that return the best result for a given input image of a product. In the final stage, the ENN model multiples the inferred similarity coefficients to the weighted input vectors produced by the individual sub-models to assess the similarity between the test input image and the existing product design rights to see any sign of violation. Given 84 design rights and the sample product images taken meticulously under various conditions, our ENN model achieved average Top-1 and Top-3 accuracies of 98.409% and 99.460%, respectively. Upon introducing new design rights data, a partial update of the inference model was done an order of magnitude faster than the single model. ENN maintained a high level of accuracy as it scaled out to handle more design rights. Therefore, the ENN model is expected to offer practical help to the inspectors in the field, such as the customs at the border that deal with a swarm of products.

The growing dependence on large language models (LLM)s highlights the urgent need to deepen trust in these technologies. Regular, rigorous validation of their expertise, especially in nuanced and intricate scenarios, is essential to ensure their readiness for clinical applications. Our study pioneers the exploration of LLM utility in the field of cardiology. We stand at the cusp of a transformative era where mature AI and LLMs, notably ChatGPT, GPT-4, and Google Bard, are poised to influence healthcare significantly. Recently, we put three available LLMs, OpenAI's ChatGPT-3.5, GPT-4.0, and Google's Bard, to the test against a significant Polish medical special-ization licensing exam (PES). The exams cover the scope of completed specialist training, focusing on diagnostic and therapeutic procedures, excluding invasive medical procedures and interven-tions. In our analysis, GPT-4 consistently outperformed the others, ranking first, with and Google Bard and ChatGPT- 3.5 following, respectively. The performance metrics underscore GPT-4's no-table potential in medical applications. Given a score improvement of over 23.5 % between two AI models released just four months apart, clinicians must stay informed and up-to-date about these rapidly evolving tools and their potential applications to clinical practice. Our results provide a snapshot of the current capabilities of these models, highlighting the nuanced performance dif-ferences when confronted with identical questions

Taiwan is highly susceptible to global warming, experiencing a 1.4°C increase in air temperatures from 1911-2005, which is twice the average for the Northern Hemisphere. This has led to higher rates of respiratory and cardiovascular mortality. Accurately predicting maximum temperatures during the summer season is crucial, but numerical weather models become less accurate and more uncertain beyond five days. To improve forecast reliability, statistical post-processing is needed to address systematic errors. In September 2020, NOAA NCEP implemented the Global Ensemble Forecast System version 12 (GEFSv12) to help manage climate risks. This study developed a Hybrid statistical post-processing method that combines Artificial Neural Networks (ANN) and Quantile mapping (QQ) approaches to predict daily maximum temperatures and extremes in Taiwan during the summer season. The Hybrid technique, utilizing deep learning techniques, was applied to the GEFSv12 reforecast data and evaluated against ERA5 reanalysis. The Hybrid technique was the most effective among the three techniques tested. It had the lowest bias, RMSE, and highest correlation coefficient. It successfully reduced the warm bias and overestimation of Tmax extreme days. This led to improved prediction skills for all forecast lead times. Compared to ANN and QQ, the Hybrid method was more effective in predicting summer daily Tmax and its extremes on an extended-range time scale deterministic and ensemble probabilistic forecasts over Taiwan.

Pigs are susceptible to cold stress due to the absence of brown fat caused by the partial deletion of uncoupling protein 1 during their evolution. Some local pig breeds in China, exhibit potential cold adaptability, but research has primarily focused on fat and intestinal tissues. Skeletal muscle plays a key role in adaptive thermogenesis in mammals, yet the molecular mechanism of cold adaptation in porcine skeletal muscle remains poorly understood. This study investigated the cold adaptability of two pig breeds, Mashen pigs (MS) and Large White pigs (LW), in a 4-day cold (4°C) or room temperature (25°C) environment. We recorded phenotypic changes and collected blood, and longissimus dorsi muscle for transcriptome sequencing. Finally, a candidate gene was randomly selected for functional exploration in porcine skeletal muscle satellite cells. A decrease in body temperature and body weight in both LW and MS pigs under cold stress, accompanied by increased shivering frequency and respiratory frequency. However, MS pigs demonstrated stable physiological homeostasis, indicating a certain level of cold adaptability. LW pigs primarily responded to cold stress by regulating heat production and Glycolipid energy metabolism. MS pigs exhibited a distinct response to cold stress, involving regulation of heat production, energy metabolism pathways, robust fatty acid oxidation ability, and stronger immune response. Furthermore, the functional exploration of PRSS8 in porcine skeletal muscle satellite cells revealed it affected cellular energy metabolism and thermogenesis by regulating ERK phosphorylation. These findings shed light on the diverse transcriptional responses of skeletal muscle in LW and MS pigs under cold stress, offering valuable insights into the molecular mechanisms underlying cold adaptation in pigs.

Concatemeric viral DNA is packaged into Bacteriophage P22 procapsids via a headful packaging mechanism mediated by a molecular machine consisting of small (gp3) and large (gp2) terminase subunits. Although a negative stain reconstruction exists for the terminase holoenzyme, it is not clear how this complex binds dodecameric portal protein located at a 5-fold mismatch vertex. Herein, we describe new assemblies for the holoenzyme. Both native mass spectrometry and transmission electron microscopy reveal that the P22 terminase complex adopts three main assemblies, which include a nonameric S-terminase bound to two L-terminase 1(gp3)9:2(gp2), two nonameric S-terminase bound to five L-terminase 2(gp3)9:5(gp2), and three nonameric S-terminase bound to seven L-terminase 3(gp3)9:7(gp2). Native agarose gel electrophoresis shows that the terminase complex interacts with procapsid with mild crosslinking. These results herein illustrate the P22 terminase complex can adopt a variety of confirmations and assembly states.

The performance of bearings plays a pivotal role in determining the dependability and security of rotating machinery. In intricate systems demanding exceptional reliability and safety, the ability to accurately forecast fault occurrences during operation holds profound significance. Such predictions serve as invaluable guides for crafting well-considered reliability strategies and executing maintenance practices aimed at enhancing reliability. In order to ensure the reliability of bearing operation, this article investigates the application of three advanced techniques—Maximum Correlation Kurtosis Deconvolution (MCKD), Multi-Scale Permutation Entropy (MPE), and Long Short-Term Memory (LSTM) recurrent neural networks—for the prediction of the remaining useful life (RUL) of rolling bearings. Each technique's principles, methodologies, and applications are comprehensively reviewed, offering insights into their respective strengths and limitations. Case studies and experimental evaluations are presented to assess their performance in RUL prediction. Findings reveal that MCKD enhances fault signatures, MPE captures complexity, and LSTM excels in modeling temporal patterns. The root mean square error of the prediction results is 0.007. The fusion of these techniques offers a comprehensive approach to RUL prediction, leveraging their unique attributes for more accurate and reliable predictions.

Objective: To assess the spectrum of PET-CT-related large vessel vasculitis (LVV) in a Spanish tertiary center and to determine whether FDG uptake by PET-CT differs between giant cell arteritis (GCA) with predominant cranial or extracranial phenotypes. Methods: The spectrum of patients diagnosed with LVV by PET-CT in a tertiary referral hospital that cares for 450,000 people over a period of two years was reviewed. Moreover, differences in FDG uptake between LVV-GCA with predominantly cranial and extracranial phenotype were analyzed. Results: Eighty patients were diagnosed with LVV by PET-CT. Most were due to systemic vasculitis (n=64; 80%), especially GCA (n=54; 67.5%). Other conditions included the presence of rheumatic diseases (n=4; 3.2%), tumors (n=9; 7.2%), and infections (n=3; 2.4%). LVV-GCA patients with predominant extracranial GCA phenotype were younger (mean ± SD: 68.07 ± 9.91 versus 75.46 ± 7.64 years; p= 0.017) and had a longer delay to the diagnosis (median [interquartile range] 12 [4-18] versus 4 [3-8]; p=0.006), but had PMR symptoms more frequently than those with predominantly cranial GCA phenotype (46.3% versus 15.4%, p= 0.057). When FDG uptake was compared according to the two different disease patterns, no statistically significant differences were observed. However, patients with extracranial LVV-GCA showed a non-significantly higher frequency of vasculitic involvement of lower extremity arteries. Conclusion: Regardless of the predominant phenotype, LVV identified by PET-CT is more commonly due to GCA in the Spanish population. In these GCA patients, younger age, PMR and a higher frequency of lower extremity artery vasculitis suggest the presence of LVV.

The sustainability of agroecological systems, biodiversity protection, animal welfare and consumer demand for higher-quality products from alternative and extensive farming methods, have reinforced interest in local breeds that are well adapted to low-input environments. However, food safety needs to be safeguarded to reinforce consumer confidence. The aim of this study was to conduct a preliminary investigation on the occurrence of Salmonella spp. in eggshells, hen’s cloaca and litter materials from autochthonous Portuguese laying hens raised in a semi-extensive system for small-scale production. A total of 279 samples were obtained, with 63 samples from the “Preta Lusitânica” breed, and 72 samples each from the remaining autochthonous breeds, namely “Branca”, “Amarela” and “Pedrês Portuguesa”. None (0%) of the samples analyzed were positive for Salmonella spp.. To the best of our knowledge, these are the first results of Salmonella evaluation from hen’s cloaca, eggshells, and litter materials in autochthonous Portuguese chickens, suggesting that a semi-extensive production system can contribute to better food security and a lower risk to public health and the environment.

The 3D/3D+ multidimensional geriatric assessment tool provides an optimal model of emergency care for patients aged 75 and over who attend the Emergency Department (ED). The baseline, or static, component (3D) stratifies the degree of frailty prior to the acute illness, while the current, or dynamic, component (3D+) assesses the multidimensional impact caused by the acute illness and helps to guide the choice of care facility for patients upon their discharge from the ED. The objective of this study was to evaluate the prognostic value of the 3D/3D+ to predict short- and long-term adverse outcomes in ED patients aged 75 years and older. Multivariable logistic regression models were used to identify the predictors of mortality 30 days after 3D/3D+ assessment. Two hundred and seventy-eight patients (59.7% women) with a median age of 86 years (interquartile range: 83-90) were analysed. According to the baseline component (3D), 83.1% (95%CI: 78.2-87.3) presented some degree of frailty. The current component (3D+) presented alterations in 60.1% (95%CI: 54.1-65.9). The choice of care facility at ED discharge indicated by the 3D/3D+ was considered appropriate in 96.4% (95%CI: 93.0-98.0). Thirty-day all-cause mortality was 19.4%. Delirium and functional decline were the dimensions on the 3D/3D+ that were independently associated with 30-day mortality. These two dimensions had an area under receiver operating characteristic of 0.80 (95%CI: 0.73-0.86) for predicting 30-day mortality. 3D/3D+ enhances the provision of comprehensive care by ED professionals, guides them in the choice of patients’ discharge destination, and has a prognostic validity that serves to establish future therapeutic objectives.

In order to create a smart mine, it is necessary to digitize the existing emulsion pumping station. Existing research does not achieve this task, this paper designs and manufactures a high-pressure, high-flow, high-water-based mining digital controlled unloading valve (abbreviated as HLHMDCUV), which achieves good results in both theoretical analysis and experimental testing. In order to obtain the accurate dynamic characteristics, this valve was analyzed by simulation using AMESim. Based on the dynamic performance analysis and the flow field analysis inside the valve body, the structure has been optimized to improve the performance of HLHMDCUV. The results show that the HLHMDCUV has a better dynamic characteristics, which were also demonstrated in the experiment. At the same time, the HLHMDCUV is easy to disassemble and maintain. This paper provides a theoretical basis for the design of such valves, which is conducive to the subsequent promotion of intelligent mine transformation.

Cycas (family Cycadaceae), spread throughout tropical and subtropical regions, is crucial in con-servation biology. Due to the subtle morphological variations between species, a solid spe-cies-level phylogeny for Cycas is lacking. Because of the rapid progress in high-throughput se-quencing technology, it has become feasible to acquire complete chloroplast (cp) genome se-quences, which provide a molecular foundation for phylogenetic research. In the present study, we employed next-generation sequencing technology to assemble and analyze the chloroplast genomes of six Cycas plants, including their genome structure, GC content, and nucleotide di-versity. The Cycas chloroplast genome spans 162,038 to 162,159 bp and contains 131 genes, in-cluding 86 protein-coding genes, 37 transfer RNA (tRNA) genes, and 8 ribosomal RNA (rRNA) genes. Through a comparative analysis, we found that the chloroplast genome of Cycas was highly conserved, as indicated by the contraction and expansion of the inverted repeat (IR) re-gions and sequence polymorphisms. In addition, several non-coding sites (psbK-psbI, petN-psbM, trnE-UUC-psbD, ndhC-trnM-CAU, and rpl32-trnP-GGG) showed significant varia-tion. The utilization of phylogenetic analysis relying on protein-coding genes has substantiated the division of Cycas primarily into four groups. The application of these findings will prove valuable in evaluating genetic diversity and the phylogenetic connections among closely related species. Moreover, it will provide essential support for the advancement of wild germplasm re-sources.

Revealing the multidimensional value of cultivated land resources, improving calculation methods, and exploring their spatial distribution characteristics and influencing factors are crucial for the enhancement of natural resource accounting system and the protection of cultivated land resources. This study take Guangxi, China as an example and construct a comprehensive multidimensional value evaluation system for cultivated land resources at the county scale. The income capitalization method, substitution market method, and value equivalent correction method were applied to calculate the economic, social, and ecological values of cultivated land resources in 111 counties. Furthermore, spatial autocorrelation analysis was employed to study their distribution characteristics and influencing factors. The results show that: (1) The total value of cultivated land resources in Guangxi reach 19,729.2 billion yuan, and the average cultivated land value is 5.3511 million yuan/hm2, of which the ratio of economic, social and ecological values is about 6:1:2; (2) The value of cultivated land has a certain distribution pattern in the global space, and the average economic and social value show the spatial distribution patterns of "low in the west and high in the east" and "low in the northwest and high in the southeast" respectively."(3) There is a significant spatial clustering effect of all values of cultivated land resources in local space, with "high-high" and "low-low" clustering. (4) Economic development level is significantly negatively correlated with the ecological value of cultivated land, while has a significant positive correlation with social value; (5) Natural conditions, economic development and agricultural development approaches are the key factors affecting the value of cultivated land resources.

We carry out in a thin heterogeneous porous layer, the multiscale analysis of Smoluchowski's discrete diffusion-coagulation equations describing the evolution density of diffusing particles that are subject to coagulate in pairs. Assuming that the thin heterogeneous layer is made of microstructures that are uniformly distributed inside, we obtain in the limit an upscaled model in lower space dimension. We also prove a corrector-type result very useful in numerical computations. In view of the thin structure of the domain, we appeal to a concept of two-scale convergence adapted to thin heterogeneous media to achieve our goal.

Mindfulness interventions have been implemented in many countries. This study aimed to examine the psychometric properties of English and Thai-version of the 15-item mindfulness attention awareness scale (MAAS) across five samples. A descriptive correlation research was conducted in the Philippines and Thailand, and five data sets were generated using self-reported and online questionnaires. Exploratory factor analyses were used to explore the factorial structure of the MAAS. Confirmatory factor analyses were performed to test measurement invariance across samples. Concurrent validity was tested by examining relationships between the MAAS and psychological well-being (PWB). A unidimensional structure of the MAAS was documented across the five samples. The MAAS demonstrated measurement invariance across samples for both English and Thai versions. Concurrent validity was displayed through significant correlations with PWB. This study produced evidence to support the construct validity, concurrent validity, and reliability of the English and Thai versions of MAAS. This study was not registered.

In the context of digital empowerment, the digital literacy level of tea farmers has a significant impact on the intelligent development and transformation of the tea industry. This study extends the original model of UTAUT theory by introducing Personal innovativeness theory and Self-efficacy theory, and constructs a new model to explore the influencing factors of moderate scale tea farmers' digital literacy improvement behavior. There are a total of 22 research hypotheses. Using structural equation modeling and collecting questionnaire data for analysis, the following research results were obtained: (1) Performance expectancy, social influence, effort expectancy, personal innovativeness and self-efficacy all significantly positively affect the willingness of tea farmers to improve their digital literacy, and then according to the path coefficient, in descending order, social influence (0.226)>self-efficacy (0.224)>effort expectancy (0.178)>performance expectancy (0.157)> personal innovativeness (0.155); (2) Facilitating condition and willingness to improve digital literacy have a significant positive impact on tea farmers' digital literacy improvement behavior，and then from the size of the path coefficient, the willingness to improve (0.271)>facilitating condition (0.106); (3) The willingness of tea farmers to improve their digital literacy plays a complete mediating role between personal innovativeness and self-efficacy on their digital literacy improvement behavior, and partially mediates between performance expectancy, social influence, and effort expectancy on their digital literacy improvement behavior, and according to the proportion of indirect effects, the order is effort expectancy (27%), performance expectancy (47%), and social influence (49%); (4) The gender and age of tea farmers have a significant positive moderating effect on the impact of performance expectancy on the willingness to improve digital literacy; age and experience have a significant positive moderating effect on the impact of effort expectancy on the willingness to improve digital literacy; the age of tea farmers has a significant positive moderating effect on the improvement of digital literacy behavior through facilitating condition. This study extends the applicability of the UTAUT theoretical model and proposes strategies to improve the digital literacy of tea farmers, providing practical guidance for tea farmers to improve their digital literacy and providing reference for research related to farmers' digital literacy.

Grazing exclusion (GE) and rest grazing (RG) are important management to restore grassland ecosystems. In order to evaluate the effects and mechanisms of different grazing management on species diversity, vegetation community indices and soil variables were determined in the plots of Qilian Mountains in Gansu Province. The results showed that diversity effects and their regulating mechanisms had space-scale dependence under different grazing management. Species richness and species diversity indices of RG in grassland were significantly higher than that of GE at the regional scale. Additionally, three grazing management in mountain meadows had only a significant effect on species richness, but different management in mountain meadows and temperate steppes had a significantly different effect on species diversity indices. Meanwhile, soil variables only influenced species diversity at the regional scale. Most of community and soil variables at each scale had positive effects on species diversity, except that the direction of biodiversity effects was negative for species coverage, mean plant height, soil porosity (SK) and bulk density (BD) under two contrasting grazing management. In conclusion, choosing RG at the regional scale and select grazing management according to different grassland types at the local scale to restore degraded grassland vegetation.

The vacuum preloading method effectively strengthens the soft soil foundations with vertical drainage, which will produce a smear effect when laying sand drains. Meanwhile, the seepage of pore water and soil deformation during consolidation exhibits nonlinear characteristics. Therefore, based on Gibson's 1D large strain consolidation theory, this paper developed a more generalized large strain radical consolidation model of sand-drained soft foundations under free strain assumption. In this system, the double logarithmic compression permeability relationships for soft soils with large strain properties, the variation of the radical permeability coefficient in the smear zone, and the effect of the non-Darcy flow were all included. Then, the partial differential control equations were numerically solved by the finite difference method and validated with existing radical consolidation test results and derived analytical solutions. Finally, the influences of relevant model parameters on consolidation are discussed. The analysis shows that the greater the maximum dimensionless vacuum negative pressure P0, the faster the consolidation rate of sand-drained foundations. Meanwhile, the decrease in the negative pressure transfer coefficient k1 will result in a decreasing final settlement amount. Moreover, the consolidation rate of sand-drained foundations is slower considering the non-Darcy flow, but the final settlement is unaffected.

Thanks to its valuable assessment possibilities (subjective complaints and changes in nasal patency in the course of the examination), nasal provocation test may serve as an alternative tool for oral food challenges in the future. However, this test requires successive attempts to regulate its methodology in order to develop a standardized lyophilisate form and determine the threshold dose for a positive result. The study objective was to present the methodological foundation for nasal food allergen provocation tests induced by freeze-dried powdered chicken egg white. A control group of 25 individuals with no history of allergy to chicken eggs or any other allergy was included in the study. Optical rhinometry and visual analog scale were used to assess the response of nasal mucosa to local allergen challenge. Minor variations in nasal flows as measured by optical rhinometry were observed in the provocation tests. The mean optical density measurements (as measured regardless of the allergen dose used) varied from positive to negative values and vice versa; e.g., amounting to 0.018 OD (standard deviation 0,095) at 15 minutes and −0.011 OD (standard deviation 0,090) at 30 minutes. No significant differences were observed with regard to the perceived nasal discomfort using the visual analog scale. Due to the absence of nasal mucosal reactivity, nasal challenge is an excellent methodological tool for implementing food allergen tests.

Pain is a complex multidimensional feeling combined with sensorial and emotional features. The majority of patients undergoing orthodontic treatment reported various degrees of pain, which is perceived as widely variable between individuals, even when the stimulus is the same. Orthodontic pain is considered the main cause of poor-quality outcomes, patients' dissatisfaction, and lack of collaboration up to the interruption of the therapy. A deep understanding of pain and how it influences the patient’s daily life is fundamental to establishing proper therapeutic procedures and obtaining the correct collaboration. Because of its multifaced and subjective nature, pain is a difficult dimension to measure. The use of questionnaires and their relative rating scales is actually considered the gold standard for pain assessment. Depending on the patient’s age and cognitive abilities is possible to choose the most appropriate instrument for self-reported pain records. Although several scales have been proposed and a lot of them are applied, it remains uncertain which of these tools represents the standard and performs the most precise, universal, and predictable task. This review aims to give an overview of the aspects which describe pain, specifically the pain experienced during orthodontic treatment, the main tool to assess self-perceived pain in a better and more efficient way, the different indications for each of them, and their correlated advantages or disadvantages.

We conducted a retrospective analysis of the immunohistochemical (IHC) staining GRP94, an ER stress protein on large B-cell lymphoma (LBCL) cells, intracellular p53, and 15 factors involved in the metabolism of CHOP regimen :AKR1C3 (HO-metabolism), CYP3A4 (CHOP-metabolism) and HO efflux pumps (MDR1, MRP1). The study subjects were 42 patients with LBCL at our hospital. IHC staining using antibodies against the 17 factors. The odds ratios by logistic regression analysis using a dichotomous variable of CR, non-CR/relapse were statistically significant: for MDR1, MRP1, and AKR1C3. The overall survival (OS) after R-CHOP was compared by the log-rank test. The four groups showed that Very good (5-year OS, 100%) consisted of 4 patients showed negative IHC staining for both GRP94 and CYP3A4. Very poor (1-year OS, 0%), consisted of 3 patients who showed positive results of IHC for both GRP94 and CYP3A4. The remaining 35 patients comprised two subgroups: Good (5-year OS 60-80%.): 15 patients who showed negative staining for both MDR1 and AKR1C3, Poor: 5-year OS, 10-20%) :20 patients who showed positive staining for either MDR, AKR1C3,,MRP1 or p53. The Histological Prognostic Index (HPI) (The four groups: Very poor, Poor, Good, and Very pood) is a breakthrough method for stratifying patients based on factors involved in the development of treatment resistance.

A growing number of clinical data suggests that the use of antiplatelets and/or statins pre-stroke are associated with reduced severity and better functional outcomes for ischemic stroke. Studies have shown that the long-term use of ACEI/ARB pre-stroke is beneficial in reducing severity at onset and improving functional outcomes. We aimed to compare stroke severity and early functional outcome between patients taking ACEI/ARB and those who were not, and to identify any additional effects to taking ACEI/ARB with antiplatelets, statins, or both. In this retrospective case-control study, we assessed 218 patients who presented with ischemic stroke to the stroke unit in Padeh-Poriyah Hospital between 2019-2020. Of these patients, 119 took ACEI/ARB pre-stroke. A significantly higher percentage of ACEI/ARB-treated patients had a history of hypertension (HTN) and hyperlipidemia and were taking antiplatelets and/or statins, compared to the non-ACEI/ARB group. We observed that pre-stroke treatment with ACEI/ARB is associated with worsened stroke severity and reduced early functional outcomes. No significant benefit to taking ACEI/ARB with antiplatelets and/or statins pre-stroke was observed. Due to the nature of our study, the data should be interpreted as suggestive. Thus, prospective studies of these medications on ischemic stroke severity and early outcomes are warranted.

This paper presents results from numerical simulations validated by experimental results related to the effects of DSSI on the dynamic response of bridges. An in-service overpass was shaken using the T-Rex, a large-amplitude mobile shaker from the National Hazards Engineering Research Infrastructure (NHERI) facilities. Studies implementing Finite Element Modeling to develop time histories, response spectra, and eigenmodes were conducted in a forward-modeling problem setup. Two models were created to assess the DSSI effects on the dynamic response of the bridge. One model included elements that incorporate DSSI effects, while the other had fixed-base boundary conditions. The response from the DSSI FEM model matched the field results better than the fixed-base model, in terms of the peak response amplitudes and identified natural frequencies and modes. The influence of a series of factors, such as the soil shear wave velocity, bridge height, bridge foundation embedment depth and the corresponding rigidity, slenderness, and embedment ratios, on the bridge response is presented.