This paper discussed the concept of quality assurance (QA) in higher education and its implications to higher education institutions (HEIs) and the possible challenges. The study evaluated literature concerning QA in Zambia and elsewhere. The findings of the study show that QA is implemented through external and internal mechanisms such as accreditation, registration, institutional auditing, and the use of external examiners, self-evaluation, and peer reviews. The QA implications to HEIs in Zambia are that there is a need for accreditation of academic programmes with the Higher Education Authority (HEA) by HEIs. Further, HEIs should establish QA units to spearhead quality issues, reactive, and introduce the use of external examiners to ensure quality. The challenges identified in the implementation of QA in HEIs include inadequate funding, infrastructure, shortage of qualified academic staff, and lack of standalone QA units in some HEIs. In this regard, it has been recommended among other things, government improve funding in public HEIs, construct infrastructure, HEIs establish QA units, and recruit and retain qualified academic staff to ensure the quality of education.

This paper aimed to use social media impact on student studies in higher education. Apart from enjoyment and academic purposes, many educational practices and processes have been influenced by social networks. This paper highlighted the use of media tools in higher education as well as indicates out some of the factors. Moreover, through a literature review of related articles, we aim to provide insights into the impacts of a social network on educational quality, actual use of social media, and performance impact in higher education. A questionnaire survey on constructivism was circulated among a total of 206 university students as the key method for collecting data. This research hypothesizes educational quality and actual social media use indicates a positive effect in education, all of which also hypothesizes constructivism for educational quality and actual social media that in turn improve students’ satisfaction, and performance impact. Moreover, all research findings were attained through a quantitative method using the Structural Equation Modeling (SEM-AMOS). Findings of this research to indicate a positive effects students on their academic through behavioral intention to utilize social media to actual social media use for teaching and learning on higher education. Moreover, the results mention the use of social media for learning purpose, as well as social media to enables the sharing of knowledge, discussions, and information to enhance students' learning activities, Further studies are recommended which universities educators should take this into consideration when planning their curricula; it comes to the inclusion of technology in the teaching process.

As the time passes the modification in technology world lead to the evaluation in mobile application as well. With evaluation in mobile industry it is an open challenge for software quality researcher that how to enhance software quality to meet the needs of changes? Quality assurance play a key role in differentiating good application from bed application. With the continuous evaluation of mobile application developing process should be quick and efficient to comply with user requirements and satisfaction. While the listed requirement leads to bad design choices known as antipatterns, which in turn affect the reliability of the code. A tool based method PAPRIKA is used in the proposed re-search to identify and monitor these antipatterns together with a two-step assessment model for software quality assurance and object oriented software quality matrix.

Immense challenges arise in the Quality Assurance area due to contemporary development in Internet of Things (IoT) technology. Current issues are mainly related to test coverage, test diversity, IoT Stability, Use of Cellular Networks in IoTs, IoT Devices updates, Security, Data Integration, and interoperability. In this paper, we present all those issues with suggestions for tackling those issues.

IoT is a fast growing technology that has Promising potential for shaping our future. In this fast growing world of IoT, IoT systems are released without proper testing which effect its quality and does not guarantee user satisfaction. Different testing methodologies are carried out to ensure Quality assurance of IoT before releasing it to the market. In this paper we have reviewed different testing techniques using AI and different tools to ensure Quality of IoT. In this paper we have also reviewed different IoT challenges related to its quality.

This paper presents an overview of EREMI, a two-year project funded under ERASMUS+ KA203, and its results. The project team's main objective was to develop and validate an advanced interdisciplinary higher education curriculum, which includes lifelong learning components. The curriculum focuses on enhancing resource efficiency in manufacturing industries and optimizing poorly or non-digitized industrial physical infrastructure systems. The paper also discusses the results of the project, highlighting the successful achievement of its goals. EREMI effectively supports the transition to Industry 5.0 by preparing a common European pool of future experts. Through comprehensive research and collaboration, the project team has designed curriculum that equips students with the necessary skills and knowledge to thrive in the evolving manufacturing landscape. Furthermore, the paper explores the significance of EREMI's contributions to the field, emphasizing the importance of resource efficiency and system optimization in industrial settings. By addressing the challenges posed by under-digitized infrastructure, the project aims to drive sustainable and innovative practices in manufacturing. All five project partner organisations have been actively engaged in offering relevant educational content and framework for decentralised sustainable economic development in regional and national contexts through capacity building at local level. A crucial element of the added value is the new channel for feedback from students. The survey results, which are outlined in the paper, offer valuable insights gathered from students, contributing to the continuous improvement of the project.

The main moto of this study is to examine and study on behavior of Software Quality Assurance (SQA) issues of project stakeholders in a Scrum environment and their consequences. This inductive case study identifies SQA principles relevant to Meeting User Expectations. The Stakeholders in the Scrum project having lack of Concrete Guidance on Scrum’s SQA approaches, methods, and techniques. The insufficiency of concrete guidelines in Scrum needs a management squad to develop concepts that can include implementing practices from other methodologies and wisely modifying the system structure to incorporate the practices adopted, ensuring improvement in the processes, and creating a shared ownership environment. Through explaining the incompleteness of Agile approaches with special attention to the lack of concrete instructions in Scrum, the study uses techniques to customize literature and advocate for Scrum’s versatility. The study uses strategies to adapt literature and argue for Scrum’s simplicity by illustrating the incompleteness of Agile approaches with special attention to the lack of concrete instructions in Scrum methodology.

A method based on ultra performance liquid chromatography with diode array detector (UPLC-DAD) was developed for quantitative analysis of five active compounds and chemical fingerprint analysis of Rosa rugosa. Ten batches of Rosa rugosa collected from different plantations in the Xinjiang region of China were used to establish the fingerprint. The feasibility and advantages of the used UPLC fingerprint were verified for its similarity evaluation by systematically comparing chromatograms with professional analytical software recommended by State Food and Drug Administration (SFDA) of China. In quantitative analysis, the five compounds showed good regression (R²=0.999 5) within the test ranges and the recovery of the method was in the range of 94.2–103.8%. The similarities of the fingerprints of 10 batches of the samples were more than 0.981. The developed UPLC fingerprint method is simple, reliable and validated for the quality control and identification of Rosa rugosa. Additionally, simultaneous quantification of five major bioactive ingredients in the Rosa rugosa samples was conducted to interpret the consistency of the quality test. The results indicated that the UPLC fingerprint as a characteristic distinguishing method combining similarity evaluation and quantification analysis, can be successfully used to assess the quality and to identify the authenticity of Rosa rugosa.

Citizen science has the potential to support the delivery of the United Nations Sustainable Development Goals (SDGs) through its integration into national monitoring schemes. In this study, we explore the opportunities and biases of citizen science (CS) data when used either as a primary or secondary source for SDG 6.3.2 reporting. We use data from waterbodies that have both CS and regulatory monitoring in England and Zambia to explore their biases and complementarity. A comparative analysis of regulatory and CS data provided key information on appropriate sampling frequency, site selection and measurement parameters, necessary for more robust SDG reporting. The results show elevated agreement for pass/fail ratios and indicator scores for English waterbodies (80%) and demonstrate CS data can improve granularity and spatial coverage for SDG indicator scoring, even when extensive statutory monitoring programmes are present. In Zambia, management authorities are actively using citizen science projects to increase spatial and temporal coverage for SDG reporting. Our results indicate that design considerations for SDG focused citizen science can address local needs as well as provide a more representative indicator of the state of a nation’s freshwater ecosystems for international reporting requirements.

This qualitative research examines the quality assurance practices in private school institutions in Iligan City during the first semester of 2020-2021. The study involves interviews with 30 school administrators and document analysis to uncover key themes and sub-themes. The findings reveal the significance of clear policies, professional development for teachers, stakeholder engagement, assessment strategies, and technology utilization in quality assurance. The study also identifies challenges such as the need for standardized assessment procedures, limited resources for professional development, and the integration of technology. Moreover, it emphasizes the importance of adaptability and flexibility in the face of changing educational landscapes, particularly during the COVID-19 pandemic. Recommendations for further research include conducting a comparative analysis between private and public school institutions, investigating the long-term impacts of the pandemic on quality assurance, and exploring innovative strategies for online and blended learning environments. The paper concludes by highlighting the importance of addressing challenges and embracing new perspectives in quality assurance to improve the overall quality of education. The implications of the study emphasize the need for comprehensive quality assurance frameworks that encompass all aspects of education and the importance of ongoing evaluation and improvement. Ultimately, this qualitative research article contributes valuable insights for private school institutions and educational policymakers to enhance their quality assurance practices and provide better educational experiences for students.

Machine learning is an established and frequently used technique in industry and academia but a standard process model to improve success and efficiency of machine learning applications is still missing. Project organizations and machine learning practitioners have a need for guidance throughout the life cycle of a machine learning application to meet business expectations. We therefore propose a process model for the development of machine learning applications, that covers six phases from defining the scope to maintaining the deployed machine learning application. The first phase combines business and data understanding as data availability oftentimes affects the feasibility of the project. The sixth phase covers state-of-the-art approaches for monitoring and maintenance of a machine learning applications, as the risk of model degradation in a changing environment is eminent. With each task of the process, we propose quality assurance methodology that is suitable to address challenges in machine learning development that we identify in form of risks. The methodology is drawn from practical experience and scientific literature and has proven to be general and stable. The process model expands on CRISP-DM, a data mining process model that enjoys strong industry support but lacks to address machine learning specific tasks. Our work proposes an industry and application neutral process model tailored for machine learning applications with focus on technical tasks for quality assurance.

Environmental policy involving citizen science (CS) is of growing interest. In support of this open data stream, validation or quality assessment of the CS data and their appropriate usage for evidence-based policy making, needs a flexible and easily adaptable data curation process ensuring transparency. Addressing these needs, this paper describes an approach for automatic quality assurance as proposed by the Citizen OBservatory WEB (COBWEB) FP7 project. This approach is based upon a workflow composition that combines different quality controls, each belonging to seven categories or ‘pillars’. Each pillar focuses on a specific dimension in the types of reasoning algorithms for CS data qualification. These pillars attribute values to a range of quality elements belonging to three complementary quality models. Additional data from various sources, such as Earth Observation (EO) data, are often included as part of the inputs of quality controls within the pillars. However, qualified CS data can also contribute to the validation of EO data. Therefore, the question of validation can be considered as ‘two sides of the same coin’. Based on an invasive species CS study, concerning Fallopia japonica (Japanese knotweed), the paper discusses the flexibility and usefulness of qualifying CS data, either when using an EO data for the validation within the quality assurance process, or validating an EO data product that describes the risk of occurrence of the plant. Both validation paths are found to be improved by quality assurance of the CS data. Addressing the reliability of CS open data, issues and limitations of the role of quality assurance for validation, due to the quality of secondary data used within the automatic workflow, are described, e.g. error propagation, paving the route to improvements in the approach.

Estimating ground surface PM2.5 with fine spatiotemporal resolution is a critical technique for exposure assessments in epidemiological studies of its health risks. Previous studies have utilized monitoring, satellite remote sensing or air quality modeling data to evaluate the spatiotemporal variations of PM2.5 concentrations, but such studies rarely combined these data simultaneously. We develop a three-stage model to fuse PM2.5 monitoring data, satellite-derived aerosol optical depth (AOD) and community multi-scale air quality (CMAQ) simulations together and apply it to estimate daily PM2.5 at a spatial resolution of 0.1˚ over China. Performance of the three-stage model is evaluated using a cross-validation (CV) method step by step. CV results show that the finally fused estimator of PM2.5 is in good agreement with the observational data (RMSE = 23.00 μg/m^3 and R2 = 0.72) and outperforms either AOD-retrieved PM2.5 (R2 = 0.62) or CMAQ simulations (R2 = 0.51). According to step-specific CVs, in data fusion, AOD-retrieved PM2.5 plays a key role to reduce mean bias, whereas CMAQ provides all-spacetime-covered predictions, which avoids sampling bias caused by non-random incompleteness in satellite-derived AOD. Our fused products are more capable than either CMAQ simulations or AOD-based estimates in characterizing the polluting procedure during haze episodes and thus can support both chronic and acute exposure assessments of ambient PM2.5. Based on the products, averaged concentration of annual exposure to PM2.5 was 55.75 μg/m3, while averaged count of polluted days (PM2.5 > 75 μg/m3) was 81, across China during 2014. Fused estimates will be publicly available for future health-related studies.

An out-of-hospital cardiac arrest (OHCA) is one of the leading causes of death in the world. The survival rate can be influenced by the Chain of Survival. The school is the institution that has the opportunity to promote the education of citizens in Basic Life Support (BLS), increasing the number of trained bystanders. This study aimed to identify the theoretical and practical knowledge and self-reported skills in BLS, in order to characterise the motivation to intervene in an emergency situation. A quantitative, descriptive, cross-sectional, and analytical study of the survey type was developed with a sample of 1215 students enrolled in 10th grade of secondary education in 2019-2020 in Portugal. The results point to a fragile appropriation of theoretical and practical knowledge in the field of BLS. Self-declared competences tend to rank below the theoretical knowledge manifested. Motivation to intervene is high: students are sensitive to the topic, willing to learn and highlight the importance and social relevance of the topic. We conclude that students do not feel nor are able to intervene in an OHCA episode. It seems necessary to develop didactic proposals that align the teaching of BLS with the Essential Learning at the end of compulsory education in Portugal.

The enhancement of physical and sports literacy in school setting are prerogatives and development aim for the physical education (PE) teachers. Therefore, as part of the teaching of motor activities, the proposal of motor tasks through different organizational modes (individual tasks, in pairs, in small groups, circuits, relay, paths, team games, etc.) is functional to the achievement of the educational objectives set in the didactic learning units. The present study aims to assess PE teachers’ perception about the use of teaching styles during curricular lessons. The sample involved a total of 83 PE teachers (M= 41, F= 42, main age= 43,74±10,76) divided according to years of service (0-4 = 36%, 5-10 = 34%, and over 10 = 30%) and academic training (ISEF= 44% and master’s degree= 56%). Teachers complete a digitalized version of a self-produced questionnaire to assess how many times they use each teaching styles during the last month. Results can be summarized as follows: (a) academic training is significantly associated with the command, inclusion, and guided-discovery styles in PE; (b) command and practice Styles are often used by PE teachers, regardless of years of service and academic training, and (c) guided discovery and convergent/divergent Discovery Styles are most frequently used by graduate teachers, regardless of years of service. The preliminary results of the analysis of PE teachers’ perception of teaching styles reveals the prevalence of the use of some styles over others, and this presuppose not only a different (but similar) teacher’s behavior, but also limits children’s way of learning a certain motor task. Future research and analysis will investigate the perception of different teaching styles according to seniority, school grade and academic training to design training courses for teachers adapted to children’s needs.

Abstract The article discusses about the current situation of Novel Corona Virus also called as the COVID-19 that hinder for all human’s life including the education. Rapidly escalating COVID-19, has caused havoc in quality education and every educational institution are closed. As the UNESCO report it showed that 1.6 billion children being affected due to the close of institution across 191 countries. With the alternative method every education institution started blended learning virtual classes in order to continue learning environment in students. The articles investigate COVID-19 impact on student’s quality education in Nepal and social work implication. The findings of the study shows that the COVID-19 has seriously effects on the students learning environment. It showed the huge gap between getting the good education in Nepal. However, Nepal has also made some policies to provide equal quality education to all the children through the ICT and also encourage social work to actively participate on providing education to all the majority of group children in Nepal. Whereas social work applied the micro, messo, and macro level of implication in practice to provide the education for children in remote area of Nepal.

Data from Earth Observation (EO) satellites are increasingly used to monitor the environment, understand variability and change, inform evaluations of climate model forecasts and manage natural resources. Policy makers are progressively relying on the information derived from these datasets to make decisions on mitigating and adapting to climate change. These decisions should be evidence based, which requires confidence in derived products as well as the reference measurements used to calibrate, validate or inform product development. In support of the European Union’s Earth Observation Programmes Copernicus Climate Change Service, the Quality Assurance for Essential Climate Variables (QA4ECV) project fulfilled a gap in the delivery of climate quality satellite derived datasets by prototyping a robust, generic system for the implementation and evaluation of Quality Assurance (QA) measures for satellite-derived ECV climate data record products. The project demonstrated the QA system on six new long-term, climate quality ECV data records for surface Albedo, Leaf Area Index, FAPAR, NO₂, HCHO and CO. Provision of standardized QA information provides data users with evidence-based confidence in the products and enables judgement on the fitness-for-purpose of various ECV data products their specific applications.

Abstract: Self-regulated Learning has become one of educational psychology's most critical research areas. Contemporary research indicates that student creativity is crucial to the success of arts education. However, there is limited research on creativity in arts education in Self-regulated Learning. Therefore, this study aims to define the creativity characteristics that determine the quality of students’ work. This study implemented a creative competition in painting and composition for first-year undergraduates. It evaluated the characteristics of creativity during the three main phases of the task: planning, execution, and completion. We discovered through semi-open questionnaires (n=178)，and using the content analysis method. According to the competition results, the students with the highest scores in Flow, Inspiration, and Idea Generation in the Performance phase had the best quality work. In the Forethought phase, Analogical Thinking and Idea Generation worked best for most students, while in the Performance phase, Flow Sense, Idea Generation, and Idea Manipulation worked best.Data on creativity characteristics at different work phases and final quality might adequately guide and organize educational procedures. These findings can serve as a theoretical foundation for quantifying the creativity phase in Self-regulated Learning and offer arts educators a reference for creativity instruction.

With the spread of compulsory education emerged school management problems continued, and the quality of school management in compulsory education has attracted a great deal of attention in China. However, the application of information technology in the field is not yet detailed and wide, resulting in problems of heavy workload and high difficulty in the whole evaluation process. Accordingly, we use big data technologies such as Apache Spark, Apache Hive, and SPSS to carry out data cleaning, correlation analysis, dynamic factor analysis, principal component analysis, and visual display on 1760 sample data from 40 primary and secondary schools in Q Province in China, and constructs a model school management of quality evaluation in the compulsory education stage, which reduces the 22 management tasks required for previous evaluation to 5, greatly reducing the workload and difficulty of evaluation. It has improved the efficiency and accuracy of evaluation, and further promoted the simultaneous development of education of five domains and education equity in the compulsory education stage.

Important policy developments in dementia and palliative care in nursing homes between 2010 and 2015 in Flanders, Belgium might have influenced which people die in nursing homes and how they die. We aimed to examine differences between 2010 and 2015 in the prevalence and characteristics of residents with dementia in nursing homes in Flanders, and their palliative care service use and comfort in the last week of life. We used two retrospective epidemiological studies, including 198 residents in 2010 and 183 in 2015, who died with dementia in representative samples of nursing homes in Flanders. We found a 23%-point increase in dementia prevalence (P-value<0.001), with a total of 11%-point decrease in severe to very severe cognitive impairment (P=0.04). Controlling for this difference in resident characteristics, in the last week of life, there were increases in the use of pain assessment (+20%-point; P<0.001) and assistance with eating and drinking (+10%-point; P=0.02) but no change in total comfort. The higher prevalence of dementia in nursing homes with no improvement in residents’ total comfort while dying emphasize an urgent need to better support nursing homes in improving their capacities to provide timely and high-quality palliative care services to more residents dying with dementia.

In order to meet the Millennium Development Goals set forth by the United Nations’ Millennium Summit that took place in 2000, in New York, particularly in the area of education, the Mozambican Government decided that, from 2003 onwards, during their primary school formation, students should be passed automatically even if they do not have enough intellectual capacities that justify their progress. In fact, this decision was made during a period when there were many pupils being failed, due to various reasons. After more than 15 years of its implementation, this paper aims to analyzing the results acquired from this decision, from the point of view of the quality of education. This will be done taking into account the prevailing situation of education in Mozambique. Having considered these aspects, the paper will move on to presenting some of the challenges and opportunities that the country should consider in the area of education, as a way to bring about better outcomes and promote development, in the country.

Research into professionalization in health and safety has recently gained in interest. Graduate training is one of the factors that determines or conditions the role of the safety professional, thus intervene in the professionalization process. This article is the result of a workshop and the discussions of nine academic directors of safety education programs about quality evaluation. This article introduces the issue with a historic overview of safety education, presents a synthesis of nine selected education programs, discusses quality evaluation of health and safety education programs, propose a quality evaluation frame and finally, proposes a process for designing a quality safety education program with an associated model of the learning objectives. The outcomes are interesting for everyone who is interested in health and safety education and quality evaluation and will give insights into how safety professionals are educated.

Water quality assessment in pastoral of Tibetan Plateau, which is water sources for about 40% of world's population and the runoff-yield area of Yellow rivers, is very important. In this paper, Xiahe county which belongs to Tibetan Plateau pastoral was investigated. Six parameters(via, chloride, COD, ammonia nitrogen, nitrate, fluoride, sulfate) were selected to assess the water quality and health degree by using fuzzy comprehensive evaluation methods. The hydrochemical type in surface water was of HCO3--Mg2+-Ca2+ type. The cations and anions in surface water were mainly from weathering and dissolution of carbonate rock. Results showed that the water quality in all 69 sampling sites was all of class Ⅰ. The integrated health degree reached more than 0.85 and the health rate were 100%. Although ammonia nitrogen was regarded as the main contamination factor, but it had a little effect on the entire body of water. Overall, the surface water qualities of most samples in Xiahe County was good condition.

The key goal of the current study was to determine suitable areas of water pumping for drinking and agricultural harvest in Tabriz aquifer, located in East Azerbaijan province, northwest Iran. In the study area, groundwater is the key foundation of water for drinking and farming requirements. Groundwater compatibility study was conducted by analyzing Electrical conductivity (EC), Total dissolved solids (TDS), Chloride (Cl), Calcium (Ca), Magnesium (Mg), Sodium (Na), Potassium (K), Sulfate (SO4), Total hardness (TH), Bicarbonate (HCO3), pH, carbonate (CO3) and Sodium Adsorption Ratio (SAR) obtained from 39 wells in the period of 2003 to 2014. For this purpose, the Water Quality Index (WQI) and irrigation water quality (IWQ) index were utilized. The WQI index zoning exposed that the groundwater of the study area for drinking purposes is categorized as excellent, good and poor water. Most drinking water harvested for urban and rural areas are in the class of 'excellent water'. The results revealed that about 37 percent (296 km2) of groundwater has high compatibility, and 63 percent of the study area (495 km2) has average compatibility for agricultural purposes. The trend of IWQ and WQI indexes demonstrates that the groundwater is getting worse over the time.

Resistance spot welding is an established joining process in the production of safety-relevant components in the automotive industry. Therefore, a consecutive process monitoring is essential to meet the high-quality requirements. Artificial neural networks can be used to evaluate the process parameters and signals to ensure the individual spot weld quality. The predictive accuracy of such algorithms depends on the provided training data set and the prediction of untrained data is challenging. The aim of this paper is to investigate the extrapolation capability of the multi-layer perceptron model. That means, that the predictive performance of the model will be tested with data that clearly differs from the training data in terms of material and coating composition. Therefore, three multi-layer perceptron regression models were implemented to predict the nugget diameter from process data. The three models were able to predict the trained datasets very well. The models, which were provided with features from the dynamic resistance curve predicted the new dataset better than the model with only process parameters. This study shows the beneficial influence of the process signals on the predictive accuracy and robustness of artificial neural network algorithms. Especially, when predicting a data set from outside of the training space.

Background: Accreditation is a qualitative assessment aimed at technical-professional quality, but above all, at organizational and measurable aspects through process and outcome checks. Method: There are few references in the literature relating to the accreditation and improvement of the quality and safety of care and treatment in the field of primary care. Clinical Governance must also be applied and certified in the field of primary care. Results: An accreditation system for general medicine is proposed based on a new dynamic model and implement that meets different requirements and assessed on the basis of indicators. Discussion: In the current Italian health system, accreditation of health structures is addressed only to public hospitals and private structures and to providers of services and services, however primary care. GPs / PLS do not have quality and safety guarantee systems or models or systems or public or private accreditation certifications with the SSR and SSN. Conclusion: Given the fundamental importance in the NHS of primary care of MG / PLS as the main and fundamental provider of services to the patient in all his socio-welfare and clinical needs, it is considered essential to think and implement an accreditation system extended to the territorial general practice as already present and in place for all affiliated and provider structures on behalf of the NHS.

The success of a software product depends on several factors. Given that different organizations and institutions use software products, the need to have a quality and desirable software according to the goals and needs of the organization makes measuring the quality of software products an important issue for most organizations and institutions. To be sure of having the right software. It is necessary to use a standard quality model to examine the features and sub-features for a detailed and principled study in the quality discussion. In this study, the quality of Word software was measured. Considering the importance of software quality and to have a good and usable software in terms of quality and measuring the quality of software during the study, experts and skilled in this field were used and the impact of each factor and quality characteristics. It was applied at different levels according to their opinion to make the result of measuring the quality of Word software more accurate and closer to reality. In this research, the quality of the software product is measured based on the fuzzy inference system in ISO standard. According to the results obtained in this study, it is understood that quality is a continuous and hierarchical concept and the quality of each part of the software at any stage of production can lead to high quality products.

Groundwater is a vital resource for human welfare. However, due to various factors, groundwater pollution is one of the main environmental concerns facing. Yet, it is challenging to simulate groundwater quality dynamics due to the insufficient representation of nutrient percolation processes in the soil and Water Assessment Tool model. The objectives of this study were extending the SWAT module to predict groundwater quality. The results proved a linear relationship between observed and calculated groundwater quality considering No3 and TDS with R2, NSE and PBIAS values in the satisfied ranges, albeit underestimation and overestimation were observed due to limited data availability. These results highlight that nitrate and TDS concentrations and variability in groundwater may used as a tool in surface water quality that have to be assumed for designing adaptive management scenarios. Hence, extended SWAT model could be a powerful tool for future regional to global scale modelling of nutrient loads supporting effective surface and groundwater management.

In this article, the quality of water in the reservoirs of Lake Arpi, Lake Yerevan, Akhuryan, Azat, Aparan and Kechut was estimated with usage of the Armenian Water Quality Index. It was established that in the waters of reservoirs the the maximum permissible concentration of copper, vanadium, aluminum, chromium, manganese, iron, NH4+ and NO2- regularly increases. The following computational algorithm was used for determination of the Armenian Water Quality Index values: to determine the number of cases of MPC excess of i-substance or indicator of water –n; to estimate the total amount of cases of the maximum permissible concentration (N) – N = ∑n; to computes log2N, nlog2n and ∑nlog2n; to determine geoecological syntropy (I) and entropy (H): I = ∑ nlog2n/N and H = log2N – I. Then, Geo-Ecological Evolving Organized index index was determined: G = H/I. Further, the total amount multiplicity of MAC exceedances was estimated: (M) - M=∑m and log2M was computed. Finally, Armenian Water Quality Index was obtained: AWQI = G + 0.1log2M. It was established that the Armenian Water Qquality Index showed a linear dependence on the Water Contamination Index, the Specific Combinatory Water Quality Index, the Geo-Ecological Evolving Organized index and an inverse dependence on the Canadian Water Quality Index.

The Delaware River has made a marked recovery in the half-century since the adoption of the Delaware River Basin Commission (DRBC) Compact in 1961 and passage of the Federal Clean Water Act amendments during the 1970s. During the 1960s, the DRBC set a 3.5 mg/l dissolved oxygen criteria for the river based on an economic analysis that concluded a waste load abatement program designed to meet fishable water quality goals would generate significant recreation and environmental benefits. Scientists with the Delaware Estuary Program have recently called for raising the 1960s DO criteria along the Delaware River from 3.5 mg/l to 5.0 mg/l to protect anadromous American shad and Atlantic sturgeon and address the prospect of rising temperatures, sea levels, and salinity in the estuary. This research concludes through a marginal abatement cost (MAC) analysis that it would be cost effective to raise DO levels to meet a more stringent standard by prioritizing agricultural conservation and wastewater treatment investments in the Delaware River watershed to reduce 90% of the pollutant load 13.6 million kg/year of nitrogen (30 million lb/year) for $160 million at 35% of the $449 million annual cost. The annual least cost to reduce nitrogen loads and raise dissolved oxygen levels to meet more stringent water quality standards in the Delaware River totals $45 million for atmospheric NOX reduction, $130 million for wastewater treatment, $132 million for agriculture conservation, and $141 million for urban stormwater retrofitting. This 21st century least cost analysis estimates that $50 million/year is needed to reduce pollutant loads in the Delaware River to raise dissolved oxygen levels to 4.0 mg/l, $150 million/year is needed to reach 4.5 mg/l, and $449 million/year is needed to reach 5.0 mg/l.

Sachet water (SW) is a major source of drinking water in most Nigerian homes, thus making it a possible conveyance medium for health risks due to contamination rather than for replenishment of the body. This study collected SW from three busy neighborhoods and investigated for the presence of indicator bacteria – Escherichia coli (E. coli), Total Coliform (TC), Total Heterophilic Bacteria (THB), and Staphylococcus – and some physio-chemical parameters – total dissolved solids (TDS), pH, electrical conductivity (EC), and salinity. Multi-variable and exploratory statistical methods were applied to the results to determine correlations between bacterial contamination levels and perceived brand reputation. Bacteriological test with raw SW samples appeared too numerous to count (TNC) and thus required serial dilutions. After seven dilutions, results obtained revealed that SW brands with good reputation had no TC and E. coli and was statistically significant with groupings of other SW brands (χ2 = 12.28; p < 0.05 and χ2 = 37.96; p < 0.05) respectively. Additionally, SW brands with poor reputation had mean values of TC (19.7X10^8 cfu/ml;14X10^8 cfu/ml1.15X10^8 cfu/ml) and E.coli (18.2X10^8 cfu/ml;38.7X10^8 cfu/ml,32.4X10^8 cfu/ml) exceeding threshold value of zero set by the World Health Organization (WHO). Only one sample from poor reputation brand tested positive for Staphylococcus and was not statistically significant (χ2 =5.2191; p = 0.074). Principal Component Analysis (PCA)/ Factor Analysis (FA) revealed that most of the SW had fecal contamination in an alarming magnitude. Therefore, this study suggests that periodic cleaning of distribution lines, location specific treatment, QC and QA measures should be taken to reduce water security risk for SW consumption in the region.

: Following the phenomenal growth of and competition among coffee chain retailers, the coffee chain market has expanded substantially thanks to rising income levels, the increasing young population, and rapidly changing lifestyles. Attracting consumers’ attention and enhancing their loyalty behaviors have become very difficult for coffee chain retailers. This study seeks to understand the mechanisms through which emotions and the dedication-constraint model lead to brand loyalty and willingness to pay more to certain coffee chain retailers. Emotions and the dedication-constraint model are major factors in the research, but few studies have combined them to examine the formation of loyalty behaviors. This study synthesizes emotional responses and the dedication-constraint model to develop a theoretical model. Based on the ambivalent view of emotions, it also examines how positive and negative emotions affect the combination of brand loyalty and willingness to pay more to certain coffee chain retailers. Moreover, it identifies the antecedents of affective and calculative commitments in the context of coffee chain retailers. Our findings indicate that loyalty behaviors (dedication- and constraint-based mechanisms from brand loyalty and willingness to pay more to certain coffee chain retailers), emotional responses, and affective and calculative commitments significantly affect brand loyalty directly and indirectly through both positive and negative emotions. Furthermore, service quality, physical environment quality, and price fairness significantly affect affective commitments, while price fairness significantly affects both affective and calculative commitments. Finally, affective and calculative commitments significantly affect willingness to pay more, both directly and indirectly, through positive emotions and affect it directly through negative emotions. The results’ theoretical and managerial implications and possible future research directions are discussed.

In addition to the traditional QoS metrics of delay, delay jitter, and packet loss probability (PLP), Quality of Experience (QoE) is now widely accepted as a numerical proxy for actual user experience. The literature has reported many mathematical mappings between QoE and QoS. These QoS parameters are measured by the network providers using sampling. There are some papers studying sampling errors in QoS measurements; however there is no account of propagation of these sampling errors to QoE evaluation. In this paper, we used industrially acquired measurements of PLP and jitter to evaluate the sampling errors and correlation in measurements. Focussing on Video-on-demand (VoD) applications, we use subjective testing and regression to map QoE metrics onto PLP and jitter. The resulting mathematical functions of QoE and theory of error propagation was used to evaluate the propagated error in QoE, and this error was represented as confidence interval. Using the guidelines of UK government for sampling, our results indicate that confidence intervals around estimated QoE in a busy hour can be between MOS=1 to MOS=5 at targeted operating point of QoS parameters. These results are a new perspective on QoE evaluation, and are of great significance to all organisations that need to estimate the QoE VoD applications precisely.

Abnormalities in male fertility constitute about 50% of all infertility causes. According to some data, the quality of human semen has deteriorated by 50-60 % over the last 40 years. A high-fat diet and obesity, the development of which is encouraged by the western lifestyle, affects the structure of spermatozoa, but also the development of the offspring and their health in later stages of life. In obese individuals, disorders on the hypothalamic-pituitary-gonadal axis are observed, as well as elevated oestrogen levels with simultaneous decrease of testosterone, LH and FSH hormone levels. Healthy dietary models clearly correlate with better sperm quality and a smaller risk of abnormalities in parameters, such as sperm count, sperm concentration and motility, as well as lower sperm DNA fragmentation. Apart from mineral components such as zinc and selenium, the role of omega-3 fatty acids and antioxidant vitamins should be emphasized, since their action will be based primarily on the minimization of oxidative stress and inflammation process. Additionally, the incorporation of carnitine supplements and coenzyme Q10 in therapeutic intervention seems also promising. Therefore, it is advisable to have a varied and balanced diet based on vegetables and fruit, fish and seafood, nuts, seeds, whole-grain products, poultry and low-fat dairy products.

Resveratrol is one of the most investigated natural polyphenolic compounds and is contained in more than 70 types of plants and in red wine. The widespread interest in this polyphenol derives from its antioxidant, anti-inflammatory and anti-aging properties. Several studies have established that resveratrol regulates animal reproduction. However, the mechanisms of action and the potential therapeutic effects are still unclear. This review aims to clarify the role of resveratrol in the male and female reproductive functions, with a focus on animals of veterinary interest. In the female, resveratrol has been considered a phytoestrogen due to its capacity to modulate ovarian function and steroidogenesis via sirtuins, SIRT1, in particular. Resveratrol has also been used to enhance aged oocyte quality, and as a gametes cryo-protectant with mainly antioxidant, and anti-apoptotic effects. In the male, resveratrol enhanced testes function and spermatogenesis through activation of AMPK pathway. Furthermore, resveratrol has been supplemented to semen extenders improving the preservation of sperm quality. In conclusion, resveratrol has potentially beneficial effects for ameliorating ovarian and testes function. However, due to unclear data, further studies are necessary to consolidate these findings.

One of the main technological and economic challenges for an engineer is designing high-quality products in manufacturing processes. Most of these processes involve a large number of variables included the setting of controllable (design) and uncontrollable (noise) variables. Robust Design (RD) method uses a collection of mathematical and statistical tools to study a large number of variables in the process with a minimum value of computational cost. Robust design method tries to make high-quality products according to customers’ viewpoints with an acceptable profit margin. This paper aims to provide a brief up-to-date review of the latest development of RD method particularly applied in manufacturing systems. The basic concepts of the quality loss function, orthogonal array, and crossed array design are explained. According to robust design approach, two classifications are presented, first for different types of factors, and second for different types of data. This classification plays an important role in determining the number of necessity replications for experiments and choose the best method for analyzing data. In addition, the combination of RD method with some other optimization methods applied in designing and optimizing of processes are discussed.

Every day around 93% of children under the age of 15 (1.8 billion children) breathe outdoor air that is so polluted it puts their health and development at serious risk. Due to the pandemic, however, ventilation of buildings using outdoor air has become an important safety technique to prevent the spread of COVID-19. With the mounting ev-idence suggesting that air pollution is impactful to human health and educational out-comes, this contradictory guidance may be problematic in schools with higher air pol-lution levels, but keeping kids COVID-19 free and in school to receive their education is now more pressing than ever. To understand if all schools in an urban area are ex-posed to similar outdoor air quality and if school infrastructure protects children equally indoors, we installed research grade sensors to observe PM2.5 concentrations in indoor and outdoor settings to understand how unequal exposure to indoor and out-door air pollution impacts indoor air quality among high- and low-income schools in Salt Lake City, Utah. Based on this approach, we found that during atmospheric inver-sions and dust events, there was a lag ranging between 35 to 73 minutes for the out-door PM2.5 concentrations to follow a similar temporal pattern as the indoor PM2.5. This lag has policy and health implications and may help to explain the rising concerns re-garding reduced educational outcomes related to air pollution in urban areas. These data and resulting analysis show that poor air quality may impact school settings, and the potential implications with respect to environmental inequality.

Asthma, like other chronic diseases, affects children prone to transitions of various aspects of their lives. The purpose of this thesis is to investigate the level quality of life of children with bronchial asthma and to what extent the disease affects them their everyday life. The literature search was conducted a review of the articles was done in Greek and English, through electronic databases PubMed, Google Scholar and Scopus. The terms and conditions their combinations used for the search were: “kids”, “children”, "pediatric asthma", "quality of life (QOL)", "health", "adolescents". The search was limited to the last five years (2015 – 2020) and finally 12 were selected articles. The most important areas negatively affected by quality of life of children with asthma are physical activity, their emotional state, school performance and sleep quality when it is connected to other factors. Important role in quality of life of these children has asthma management, disease severity and other environmental factors. Medical and nursing staff need to guide them asthmatic children and their families to have a good everyday life. Having the necessary knowledge needed for the quality-of-life health professionals should include in their medical nursing caring methods of achieving and maintaining a lifestyle that is no different than that of healthy children.

This study aimed to identify sociodemographic and health indicators of diet quality in pre-frail community-dwelling older adults. Pre-frail older adults are those at risk of progression to clinical manifestations of frailty and are targets for preventative intervention. We previously reported that pre-frail older adults have reasonably good overall diet quality. However, further analyses found low intake of energy, protein and several micronutrients. Methods: We collected detailed dietary intake from pre-frail (FRAIL scale 1-2) older adults using NZ Intake24, an online version of 24-hour multiple pass dietary recall. Diet quality was ascertained with the Diet Quality Index-International (DQI-I). We used regression Generalised Linear Models to determine predictors of diet quality and Classification and Regression Tree (CART) analysis to examine the complex relationships of predictors and identified profiles of sub-groups of older adults that predict diet quality. Results. The median age in this sample (n=468) was 80.0 years (77.0-84.0). Living with others, high deprivation index and a higher BMI were independent predictors of poorer diet quality. With CART analysis, we found that those with a BMI &gt;29 kg/m2, living with others and younger than 80 years were likely to have a lower diet quality. Conclusions: We found BMI, living arrangement and socioeconomic status were independent predictors of diet quality in pre-frail older adults, with BMI being the most important variable in this sample when the interacting relationships of these variables were considered. Future research is needed to determine the similarities and/or differences in the profile of subgroups of older adults with poorer diet quality.

The rapid market changes and strong product individualization create the need for great flexibility of manufacturing management on new foundations, such as the Industry 4.0 model. Digital manufacturing is the basis for Industry 4.0, that have the following dimensions: (i) digital manufacturing based on advanced digital-oriented technologies, (ii) smart products (advanced manufacturing mode and new characteristics), and (iii) smart supply - chain (procurement of raw materials and delivery of finished products). Bidirectional exchange of information in collaborative manufacturing, using it exchange also for digital platforms of design of the innovative products. In this paper we are showing developed model of one Serbian digital factory model for Quality 4.0 (Q 4.0) , especially in workshop as a part of ERP/MES model.

The quality of life (QOL) is an important indicator of human satisfaction and wellbeing. QOL is significantly and persistently affected for patients after a cancer diagnosis. Despite some evidence suggesting that psycho-oncologic interventions can provide lasting benefits, the inclusion of such interventions in cancer therapy is not universal. This article overviews known approaches to the evaluation of QOL in cancer patients and various interventions for improving patients’ outcomes with a focus on the Eastern European regional and specific Romanian context. With a mortality rate above and cancer care performance below the EU average and unequally distributed, Roma-nia urgently needs a national coordination program which is discussed in our review highlighting the main psychological tools needed for the assessment and its challenges towards implementing the program. In the end, we suggest some directions for future development of the psycho-oncologic approach in the context of social, policy and unexpected financial challenges the nation provides

This study aims to assess food security status of rural, peri-urban and urban households and role of socio-economic factors in ensuring food security. A survey was conducted to collect primary (quantitative) data from 630 respondents using proportionate sampling technique from Punjab, Pakistan. Cronbach’s Alpha reveals stability (>0.75) of data scale items. Using Dietary Intake Assessment (DIA), findings reveal urban households as highly food-secure whereas rural household as most vulnerable to food security at 2450kcal/day per person. Study indicates food price increase as the leading factor in preventing food security among households. Contrary, study identifies risk factors associated to food quality under the abundant availability and access as the new dimension to household food insecurity. Further, results of binary logit model show that socio-economic factors such as monthly income, total number of earners, education of household head and access to market are positively related with food security status whereas, social isolation, volatility in food prices and risk factors in food quality are negatively related with household food security. Therefore, study proposes educational orientation and entrepreneurial development as sustainable solution to ensure food security among masses. Besides, further country level researches are advised to deep delve the mounting menace of food security.

The present article proposes a complete framework for Supply Chain Strategy (SCS) analysis that is adapted to the specific characteristics of the agrifood chain, thereby facilitating management of the former. As a specific case of analysis, the horticultural supply chain, originating in Spain and ending with the European consumer, is analyzed, taking as a reference the marketing companies at origin (mainly social economy companies, i.e.; cooperatives). In addition, a survey of marketing companies is conducted to possibly determine which explicit cooperative growth strategies may include horizontal and vertical collaboration relationships with other members of the chain. The aim is to analyze with whom the cooperative collaborates within the supply chain and the key points of such collaboration. A model analyzing the influence of collaboration on company performance is also considered. The results reveal that, in recent years, aspects related to quality and health have been surpassed and replaced by the concept of sustainability within a framework of collaboration with customers. In any case, it becomes evident that there is a need to expand collaboration within the chain by incorporating the supplier of the supplier, with the aim of making the chain more profitable.

The tiered laboratory framework for HIV viral load monitoring accommodates a range of HIV viral load testing platforms, with quality assessment critical to ensure quality patient testing. HIV plasma viral load testing is challenged by the instability of viral RNA. An approach using an RNA stabilizing buffer is described for the Xpert® HIV-1 Viral Load (Cepheid) assay and was tested in remote laboratories in South Africa. EDTA-plasma panels with known HIV viral titres were prepared in PrimeStore molecular transport medium for per-module verification and per-instrument external quality assessment. The panels were transported at ambient temperatures to 13 testing laboratories during 2017 and 2018, tested according to standard procedures and uploaded to a web portal for analysis. A total of 275 quality assessment specimens (57 verification panels and two EQA cycles) were tested. All participating laboratories met study verification criteria (n=171 specimens) with an overall concordance correlation coefficient (ρ_c) of 0.997 (95% confidence interval [CI]: 0.996 to 0.998) and a mean bias of -0.019 log cp/mL (95% CI: -0.044 to 0.063). The overall EQA ρ_c (n=104 specimens) was 0.999 (95% CI: 0.998 to 0.999), with a mean bias of 0.03 log cp/mL (95% CI: 0.02 to 0.05). These panels are suitable for use in quality monitoring of Xpert® HIV-1 VL and are applicable to laboratories in remote settings.

The increasing need for effective analytical tools to evaluate beef quality has prompted the development of new procedures to improve the animal sector’s performance. In this study, three beef breeds—Thai native (TN), crossbred Brahman x Thai native (BT), and crossbred Charolais x Brahman (CB)—were compared in terms of their physicochemical and metabolic profiles. The findings demonstrated that TN beef was lighter and tougher than other beef. Beef odor was stronger in BT. In addition, CB beef was the most tender and the highest intramuscular fat content. Twenty-one different metabolites were found overall through NMR and chemometric approaches. High levels of lactate and creatine were found in all species. The primary factors contributing to the difference in OPLS-DA loading plots were acetylcholine, valine, adenine, leucine, and phosphocreatine, β-hydroxypyruvate, ethanol, adenosine diphosphate, creatine, acetylcholine, and lactate. The multivariate analysis indicated that these metabolites in beef cattle breeds could be distinguished using NMR spectroscopy. The results of this study provide valuable information on the quality and meat metabolites in different breeds. This could help in the development of a more accurate assessment of the quality of beef in future research.

Exploiting the relationship between the nutritional properties of seeds and the genetic background, constitutes an essential analysis which contributes to broadening our knowledge regarding the control of the nutritional quality of seeds or any other edible plant structure. This constitutes an important aspect when aiming at improving the nutritional characteristics properties of crops, including those of Chenopodium quinoa Willd (quinoa) which is intended to be one of the main nutrient sources ensuring food security worldwide. Changes in the nutritional properties of quinoa seeds due to the influence exerted by the environment, the genotype, or their interaction, have been already described in previous works, but there is an important limitation in the analyses carried out, including the outcomes that can be translated into agronomical practices by which quality can be improved selecting the most adequate genotype. In the present study, several seed nutritional-related parameters from fifteen quinoa cultivars grown in a particular environmental context were analyzed aiming at targeting compounds that can be determinants of seed quality. Important agronomical and nutritional differences were found among cultivars such as distinct mineral or protein contents and seed viability. More importantly, our analyses revealed key correlations between seed quality-related traits in some cultivars, including those that relate yield and antioxidants or the germination rate. These results highlight the importance of considering the genotypic variation in quinoa when selecting improved quinoa varieties with the best nutritional characteristics for new cultivation environments.

Best Management Practices (BMPs) are commonly used to control pollution in the river basins. Prioritization of BMPs helps improve the efficiency and effectiveness of pollution reduction, especially in Critical Source Areas (CSAs) that produce the highest pollution loads. Recently, the Dez River in Khuzestan, Iran, has become highly eutrophic from the overuse of fertilizers and pesticides. In this basin, dry and irrigated farming produce 77.34% and 6.3% of the Total Nitrogen (TN) load, and 83.56% and 4.3% of the Total Phosphorus (TP) load, respectively. In addition, residential, pasture, and forest land uses together account for 16.36% of the TN and 12.14% of the TP load in this area. The Soil and Water Assessment Tool (SWAT) was implemented to model the Dez River basin and evaluate the applicability of several BMPs, including point source elimination, filter strips, livestock grazing, and river channel management, in reducing the entry of pollution loads to the river. Sensitivity analysis and calibration/validation of the model was performed using the SUFI-2 algorithm in the SWAT Calibration Uncertainties Program (SWAT-CUP). The CSAs were identified using individual (sediment, TN, TP) and combined indices, based on the amount of pollution produced. Among the BMPs implemented, the 10 m filter strip was most effective in reducing TN load (42.61%), and TP load (39.57%).

Senegal central regions face rainfall deficit combined with scarcity of surface water and poor quality. Populations use groundwater for drinking and irrigation. A Groundwater assessment studiebased on 42 samples aims to determine their quality. Several parameters (TDS, TH, WQI, SAR, RSC, %N, PI, KR and MR) and ion chemistry determined . Samples exhibit an alcaline pH (7.6) and hydrochemical facies mainly Ca-Na-Mg-HCO3. The ionic dominance is Na+ ˃ Ca2+ ˃ Mg2+ ˃ K+ and HCO3- ˃ Cl- ˃ SO42- ˃ NO3- ˃ F-. From TDS and WQI index most of the groundwaters are suitable for drinking. Irrigation quality (based on SAR, %N, RSC, KR, MR) varie from excellent to good water type. Plotting chemical data (USSL salinity & Wilcox diagrams) reveals that the majority of the groundwater samples belong to the fields excellent to good and from good to permissible . Natural processes (rock weathering, mineral dissolution, evaporation and ion exchange) control groundwater quality. As the region faced a persistent rainfall deficit combine with fragile groundwater quality should alert the stakeholders. A sustainable development of the region can be faced if strong measures are planned to follow water quality evolution and quantity available for human purposes

Objectives: This study aimed to investigate and compare sleep quality between patients with chronic temporomandibular disorder and healthy controls, and to analyze the association of sleep quality with disease characteristics, obstructive sleep apnea risk factors, and excessive daytime sleepiness. Methods: Chronic temporomandibular disorder patients (n=503) and 180 age- and sex-matched healthy controls were included, who completed well-organized clinical report and answered questions on sleep quality (Pittsburgh Sleep Quality Index), sleep apnea risk factors (STOP-Bang questionnaire), and excessive daytime sleepiness (Epworth sleepiness scale). Results: Mean global Pittsburgh Sleep Quality Index scores were significantly higher in the patients (6.25±2.77) than in healthy controls (6.25±2.77) (p&lt;0.001). Poor sleep was significantly more prevalent in the patient group (56.9%) than in healthy controls (22.2%) (p&lt;0.001). Compared with healthy controls, chronic temporomandibular disorder patients had a higher likelihood of obstructive sleep apnea. (STOP-Bang total score ≥3; 7.2% vs. 16.1%; p&lt;0.01) and higher excessive daytime sleepiness (Epworth sleepiness scale score ≥10; 12.8% vs. 19.7%; p&lt;0.05). Age (odds ratio=2.551; p&lt;0.001), female sex (odds ratio=1.885; p=0.007), total Epworth sleepiness scale score (odds ratio=1.839; p=0.014), and headache attributed to temporomandibular disorder (odds ratio=1.519; p=0.049) were the most powerful predictors of poor sleep (global Pittsburgh Sleep Quality Index score ≥5) in chronic temporomandibular disorder patients. Conclusion: Chronic temporomandibular disorder patients had sleep quality impairment. Various factors, including peripheral and central factors, affect the patient's sleep quality. Therefore, in addition to sleep quality and sleep-related problems, the underlying central mechanism for poor sleep quality should be assessed when treating chronic temporomandibular disorder patients.

Current trends in industrial development strive for maximum digitalization. The digital industrial revolution has been going on for more than a dozen years, Industry 4.0 and the idea of digital twins (DT) is becoming the focus of virtually all industrial sectors. Some sectors are more predisposed to digitalization, for others the process is much more difficult. This depends mainly on the specific characteristics and susceptibility of a given industry, including the current degree of digitalization of enterprises, as well as the knowledge and mental readiness of employees. The individual characteristics of an industry are important. Shipyards belong to the industry with a traditional approach, where the degree of digitalization remains low. As a result, the efficiency of shipbuilding processes and the quality of ships built are not sufficiently controlled. The article addresses this problem, reviews work in the field of digitalization of shipbuilding processes and points out the needs and challenges in this area. The article proposes the concept of a DT system for the entire ship design and production process. Key areas of digitalization of actual processes were defined, and a division was made into planning, monitoring and process analysis activities. Special attention was paid to the area of dimensional quality control and the Dimensional Quality Management Metasystem (DQMM) was featured in the comprehensive DT system. The requirements were defined and the limitations of the proposed solution were identified, taking into account a number of external factors including the degree of readiness of the manufacturer – the shipyard. The developed DT system concept was tested on the example of the construction process of a simplified ship. Practical aspects of the implementation of the proposed solution, in particular DQMM, were indicated.

Study Objectives: To (1) investigate the prevalence of sleep disorder symptoms in caregivers of children with autism spectrum disorder (ASD) and (2) the relationships between caregiver sleep problems and their health-related quality of life and family quality of life. Methods: Descriptive cross-sectional study of caregivers (N=62) of children ages 6 to 11 years old diagnosed with ASD receiving care at a regional autism research and resource center. Measurements and Results: Participants completed the Sleep Habits Questionnaire (SHQ), the Medical Outcomes Study (MOS) SF-12, and the Beach Center Family Quality of Life Scale (FQOL). Caregivers with longer sleep duration reported better mental health and better family quality of life. Caregivers who reported insomnia symptoms, non-restorative sleep, and insufficient sleep were more likely to report poorer mental health than caregivers who did not report these sleep disorder symptoms. Caregivers with obstructive sleep apnea and restless legs syndrome experienced worse physical quality of life. Conclusions: The physical and mental health of the primary caregiver is essential to the support of the child with ASD and to the functioning of the family. The study findings point to the importance of future research and interventions to enhance sleep health in order to improve quality of life for caregivers of children with ASD.

Background Increasingly, healthcare organizations are using technology for the efficient management of data. The aim of this study was to compare the data quality of digital records with the quality of the corresponding paper-based records by using data quality assessment framework. Methodology We conducted a desk review of paper-based and digital records over the study duration from April 2016 to July 2016 at six enrolled TB clinics. We input all data fields of the patient treatment (TB01) card into a spreadsheet-based template to undertake a field-to-field comparison of the shared fields between TB01 and digital data. Findings A total of 117 TB01 cards were prepared at six enrolled sites, whereas just 50% of the records (n=59; 59 out of 117 TB01 cards) were digitized. There were 1,239 comparable data fields, out of which 65% (n=803) were correctly matched between paper based and digital records. However, 35% of the data fields (n=436) had anomalies, either in paper-based records or in digital records. 1.9 data quality issues were calculated per digital patient record, whereas it was 2.1 issues per record for paper-based record. Based on the analysis of valid data quality issues, it was found that there were more data quality issues in paper-based records (n=123) than in digital records (n=110). Conclusion There were fewer data quality issues in digital records as compared to the corresponding paper-based records. Greater use of mobile data capture and continued use of the data quality assessment framework can deliver more meaningful information for decision making.

In this study, we evaluated the physicochemical and microbial qualities of source and stored household waters in some communities in Southwestern Nigeria using standard methods. Compared parameters include physicochemical constituents; Temperature (T), pH, Total Dissolved Solids (TDS), Total Hardness (TH), Biological Oxygen Demand (BOD), Magnesium ion (Mg²⁺) and Calcium ion (Ca²⁺) and microbiological parameters included Total Coliform Counts (TC), Faecal Coliform Counts (FC), Fungal Counts (Fung C), Heterotrophic Plate Counts (HPC). Comparing Stored and Source samples, the mean values of some physicochemical parameters of most of the stored water samples significantly (P<0.05) exceeded that of Sources and ranged in the following order: T (15.3±0.3^oC - 28.3±0.5^oC), pH (6.4±0.1 - 7.6±0.1), TDS (192.1±11.1 ppm - 473.7±27.9 ppm), TH (10.6±1.7 mg/L - 248.6±18.6 mg/L), BOD (0.5±0.0 mg/L - 3.2±0.3 mg/L), Mg²⁺ (6.5±2.4 mg/L - 29.1±3.2 mg/L) and Ca²⁺ (6.5±2.4 mg/L - 51.6±4.4 mg/L). The mean microbial counts obtained from microbial comparison of different points (Stored and Source) of collection showed that most of the stored water had counts significantly exceeding (P<0.05) those of the source water samples (cfu/100 mL) which ranged as follows: TC (3.1±1.5 - 156.8±42.9), FC (0.0±0.0 - 64.3±14.2) and HPC (47.8±12.1 - 266.1±12.2) across all sampled communities. Also, the predominant isolates recovered from the samples were identified as Escherichia coli, Klebsiella pneumonia, Pseudomonas aeruginosa, Enterobacter aerogenes, Aspergillus spp, Mucor spp, Rhizopus spp and Candida spp. The presence of these pathogenic and potentially pathogenic organisms in the waters and the high counts of the indicator organisms suggest the waters to be a threat to public health.

A better understanding of background tropospheric ozone delivers multiple benefits. Robust estimates of regional background ozone assist policy makers to understand the limits to reducing ozone by controlling anthropogenic emissions alone and assist in characterising changes in the atmospheric environment and its composition. Long time series of background ozone measurements can also help quantify the influence of human activity on the global and regional atmosphere. Background tropospheric ozone measurements representative of continental air masses are however scarce in Australia, limiting our knowledge of background atmospheric composition. Here we use k-means clustering to identify a cluster of measurements from the long-term monitoring station at Oakdale, NSW which are likely to be representative of background air. The cluster is associated with NOx-limited air masses of continental origin. From this analysis we estimate background ozone representative of Eastern Australia. We find recent (2017-2022) mean ozone mixing ratios of 28.5 ppb and identify a statistically significant (α=0.05) trend in the mean of +1.8 (1.0 – 2.8) ppb/decade. Our methods demonstrate that some long-term monitoring stations within or near urban areas can provide suitable conditions and datasets for regional Global Atmosphere Watch monitoring.

Recent global trends related to the increasing use of e-commerce are becoming a challenge for courier transport especially in the last-mile process of delivering products to the final retail recipient. One of the delivery methods is the personal collection of the parcel in an automated post box, available 24/7 for the customer. This research aims to define the most important attributes of the courier services quality, including the delivery of parcels through automated sending and receiving parcel lockers, leveraging advanced technologies, data, and connectivity to enhance the quality of life, sustainability, and efficiency for city residents. The research was based on a preliminary selection of the most important features of parcel lockers’ service quality, which were extracted from the analysis of scientific literature and previous research. The analysis was carried out by conducting a survey among city parcel locker users that provided data coded according to the dimensions of the Kano model. This allowed to conclude that the location of parcel stations, ensuring improvements for the disabled, adjusting the size of the parcel to the size of the box, proper placement of the parcel in the box and a properly functioning dedicated application are the most important features in the process of automatic delivery of parcels to recipients in urban areas. This paper enriches the literature on customer service quality of self-service technologies for last-mile delivery with the use of automated parcel lockers.

The assessment of water quality consists of counting bacteria indicating fecal contamination or detecting the presence of pathogenic bacteria using standardized or validated methods of classical microbiology. Our present study aims to determine the bacteriological quality of drilling water in the Tandjilé region of Chad. Our method used was based on qualitative and quantitative research on suspected total coliforms, Echerichia Coli and fecal enterococci were analyzed according to the standard routine methods of the French Association for Normalization (AFNOR). Microbiological analysis shows the presence of indicators of fecal contamination such as total coliforms, Escherichia coli and fecal enterococci. The number of strains detected in 100 ml were E. coli (7 /29 samples), fecal Streptococcus (6 /29 samples) and total coliforms (29/29 samples), respectively from borehole water. The contamination rate of E. coli is 24.13%, total coliforms 100% and 20.68% of fecal enterococci in boreholes. The high number of these microorganisms is more than the values recommended by the WHO for the quality of drinking water. Corrective and urgent measures are needed to improve the quality of these water resources, rich in pathogens, which are health risks, and the causes of infectious diseases such as gastroenteritis, diarrhea, typhoid and skin diseases.

Pediatric interventional cardiology procedures are essential in diagnosing and treating congenital heart disease in children; however, they raise concerns about potential radiation exposure. Managing radiation doses and assessing image quality in angiographs becomes imperative for safe and effective interventions. This systematic review aims to comprehensively analyze the current understanding of physical image quality metrics relevant for characterizing X-ray systems used in fluoroscopy-guided pediatric cardiac interventional procedures, considering the main factors reported in the literature that influence this outcome. A search in Scopus and Web of Science, using relevant keywords and inclusion/exclusion criteria, yielded fourteen relevant articles published between 2000 and 2022. The physical image quality metrics reported were noise, signal-to-noise ratio, contrast, contrast-to-noise ratio, and high contrast spatial resolution. Various factors influencing image quality were investigated, such as polymethyl methacrylate thickness (often used to simulate water equivalent tissue thickness), operation mode, anti-scatter grid presence and tube voltage. Objective evaluations using these metrics ensure impartial assessments for main factors affecting image quality, improving in the characterization fluoroscopic X-ray systems, and aiding informed decisions to safeguard pediatric patients during procedures.

Background: Falls in hospitalized older patients lead to increased length of stay and poorer discharge outcomes. The Comprehensive Unit-based Safety Program (CUSP) represents a quality improvement intervention for patient safety. Objective: To evaluate CUSP implementation for the prevention of falls at a teaching hospital. Method: An interdisciplinary CUSP team, received a four-hour online module and one-day face-to-face training. The intervention was developed using the WHO implementation science plan-do-study-act framework. Process evaluation was conducted using the UK Medical Research Council framework. The primary outcome measure of patient safety culture was determined using the Safety Attitude Questionnaire (SAQ), while annual fall rates were considered the secondary outcome measure. Results: Safety rounds were conducted during the two-year intervention period, each attended by five to eight HCPs, with nine to 29 patients reviewed each month. Risk factors, plans and actions were administered to individual patients, while local issues were identified and resolved through engagement of senior executives. SAQ domains increased from before (n=39) to after (n=30) the intervention of CUSP. Fall rates reduced from 11.18 per 1,000 bed days pre-implementation to zero falls post-implementation. Conclusion: Improvements in patient safety culture were observed after the implementation of CUSP alongside a reduction in fall rates.

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex, multisystem, and profoundly debilitating condition, probably of multifactorial etiology. No effective approved drugs are currently available for its treatment. Several studies have proposed symptomatic treatment with melatonin and zinc supplementation in chronic illnesses; however, little is known about the synergistic effect of this treatment on fatigue-related symptoms in ME/CFS. The primary endpoint of the study was to assess the effect of oral melatonin plus zinc supplementation on fatigue in ME/CFS. Secondary measures included participants’ sleep disturbances, anxiety/depression, and health-related quality of life. A proof-of-concept, 16-week, randomized, placebo-controlled, double-blind trial was conducted in 50 ME/CFS patients assigned to receive either oral melatonin (1 mg) plus zinc (10 mg) supplementation (n = 24) or matching placebo (n = 26) once daily. Endpoint outcomes were evaluated at baseline and then reassessed at 8 and 16 weeks of treatment and 4 weeks after treatment cessation, using self-reported outcome measures. Treatment was safe and well-tolerated. The most relevant results were the significant reduction in the perception of physical fatigue in the active group at the final follow-up versus placebo (p < 0.05), and the significant improvement in the physical component summary at all follow-up visits in the experimental group. Our findings suggest that oral melatonin plus zinc supplementation for 16 weeks is safe and potentially effective in reducing fatigue and improving the quality of life in ME/CFS. This clinical study was registered on ClinicalTrials.gov (NCT03000777).

After the arrival of a new airborne virus to the world, science is aiming to develop solutions to withstand the spread and contagion of the SARS-CoV-2 coronavirus. The most severe among the adopted measures is to remain in home isolation for a significant number of hours per day, in order to avoid the spreading of the infection in an uncontrolled way through public spaces. Recent literature showed that the major route of transmission is via aerosols produced especially in poorly ventilated inner spaces. With regard to contagion rates, accumulated incidence or number of hospitalizations due to COVID-19, Spain has reached very high levels, therefore this article develops a quantitative and qualitative analysis of the requirements established in Spain with respect to the European framework in reference to ventilation parameters indoors. For this, a case study has been analyzed, representing a common residence in current Spanish residential developments. Results show that the criteria established in the applicable regulations are not sufficient to ensure health as well as to avoid contagion by aerosols indoors.

Water resources are threatened nowadays by pollution that comes from domestic, industrial and agricultural discharges without prior treatment. This pollution causes the degradation of water quality. Surface pollutants can seep through the soil into water tables. The objective of our work is to assess and control the physicochemical quality of the Chari Baguirmi groundwater, to protect human health. The quality of 83 boreholes was assessed, while performing analysis for 12 physicochemical parameters at the National Water Laboratory and at the Center for Quality Control of Foodstuffs in Chad. These parameters are: pH, EC, Ca2+, Mg2+, Na+, K+, Cl-, SO42-, NH4+ and NO3- , Fe2+ and HCO3-. Also, the results obtained were compared with WHO standards. The geochemical statistical approach has made it possible to characterize the hydro geochemical properties and to understand the major processes of the mineralization of groundwater resources in Chari Baguirmi region in Chad. Some of its waters are acidic and weakly mineralized, rich in Fe2+ and NH4+. The origin of the mineralization is due to the alteration of the host rocks and to the hydrolysis of silicate and ferromagnesian minerals as well as anthropogenic pollution. The ammonium concentrations in N’Djamena boreholes are higher than WHO standards, indicating the presence of pollution which may come from organic waste. These results constitute a preliminary step in understanding hydro geochemical functioning and a basis for monitoring the physicochemical quality of the water in the study area.

Forest harvesting generates variable amounts of residue that represent a fire hazard and a hindrance to regeneration and must be managed accordingly. In South Africa, burning is the most common residue management method, but there is an interest in introducing safer and more effective techniques, such as mulching. For that reason, a productivity study was conducted in the Eastern Cape province to gather information on the productivity, cost, and work quality of the three main alternatives: manual broadcasting, manual broadcasting followed by mulching with an adapted farm tractor and mulching with a purpose-built mulcher. Manual broadcasting required 16 h/ha, mulching with a farm tractor 3.6 h/ha, and mulching with a purpose-built mulcher 0.9 h/ha (one pass). Manual broadcasting was the cheapest option, at a cost of 400 ZAR/ha. Mulching with a farm tractor and a purpose-built mulcher incurred a cost of 3 267 ZAR/ha and 4 083 ZAR/ha, respectively. Manual broadcasting achieved a minimal reduction of residue size, with 50% of the slash (branches and stem wood) having a mean length above 40 cm. When mulching with a farm tractor was applied, 49% of the slash (branches and stem wood) length reduced to about 30 cm. When a purpose-built mulcher was used, only 10% of the slash elements exceeded 40 cm length.

The emission of mercury (II) from coal combustion and other industrial processes continues to be a concern and have local impact on water resources. The detection of these ions in water with sensitive but rapid testing methods is desirable for environmental screening and fieldwork. Nanoparticles of various chemistries have shown promise for this purpose, as they can be used in simple colorimetric analyses. Silver nanoprisms were chemically synthesized resulting in a blue reagent solution, that transitioned towards yellow and colorless solutions when exposed to Hg²⁺ ions at various concentrations. A rapid galvanic reduction of Hg²⁺ onto the nanoprism surfaces is apparently responsible for a change in shape towards spherical nanoparticles, leading to the change in color. There were no interferences by other metal ions in solution, and pH had minimal effect in the range of 6.5 to 9.8. The silver nanoprism reagent provided a detection limit of approximately 0.5 µM (100 µg/L) for mercury (II), which compares favorably with other nanoparticle-based techniques. Further optimization may reduce this detection limit.

The air quality monitoring network in Alaska is currently limited to ground-based observations in urban areas and national parks leaving a large proportion of the state unmonitored. The use of MODIS aerosol optical depth (AOD) to estimate ground-level particulate pollution concentrations has been successfully demonstrated around the world, and could potentially be used in Alaska. In this work, MODIS AOD measurements at 550 nm were validated against AOD derived from AERONET ground-based sunphotometers in Barrow and Bonanza Creek to determine if MODIS AOD from the Terra and Aqua satellites could be used to estimate ground-level particulate pollution concentrations. The MODIS AOD was obtained from MODIS collection 6 using the dark target Land and Ocean algorithms from 2000 to 2014. MODIS data could only be obtained between the months of April and October; therefore, it could only be validated for those months. Individual and combined Terra and Aqua MODIS data were considered. The results showed that MODIS collection 6 products at 10 km resolution for Terra and Aqua combined are not valid over land but are valid over the ocean. On the other hand, the individual Terra and Aqua MODIS collection 6 AOD products at 10 km resolution are valid over land individually but not when combined. Results also suggest the MODIS collection 6 AOD products at 3 km resolution are valid over land and ocean and perform better over land than the 10-km product. These findings indicate that MODIS collection 6 AOD products can be used quantitatively in air quality applications in Alaska during the summer months.

We compared performance of a novel encoding Lempel-Ziv complexity (ELZC) with approximate entropy (ApEn), sample entropy (SmpEn) and permutation entropy (PerEn) as nonlinear metric to assess ECG quality. Firstly to compare performance of discerning randomness and inherent nonlinear properties within time series, this study calculated the aforementioned four nonlinear complexity values on several typical artificial time series i.e., Gauss noise, two kinds of noisy time series, two kinds of Logistic series and periodic series, respectively. Then for analyzing sensitivity of the aforementioned four complexity methods to content level of different types noise within ECG recordings, we investigated variation trend of ELZC, ApEn, SmpEn and PerEn in several synthetic ECG recordings containing different types noise (i.e., baseline wander, muscle artefacts, electrode motion, power line and mixed noise) and different signal noise ratios (i.e., 15, 10, 5, 0, −5 and −10 dB). Finally, the four complexity methods were employed to classify the quality of real ECG recordings from the PhysioNet/Computing in Cardiology Challenge 2011 (CINC 2011) of the MIT databases, then receiver operating characteristic curves (ROC) and their corresponding area under curve (AUC) were yielded. The results showed ELZC could not only distinguish randomness and chaotic within time series but also reflect content level of noise within time series, and the highest AUC of PerEn, ELZC, SmpEn and ApEn were 0.850, 0.695, 0.474 and 0.461, respectively. The results demonstrated PerEn and ELZC were more effectively than ApEn and SmpEn for assessing ECG quality.

The hypothesis posed was whether participation in LaLiga Genuine Santander (competitive football) influenced the quality of life (QL) of the people who participated in it, since their perception of themselves is enhanced by all the aformentioned factors (self-determination, social inclusion, emotional well-being, physical well-being, material well-being, rights, personal development, interpersonal relationships). The objective was to evaluate the QL of people with Down's Syndrome (DS) using their self-perception (n=39) and the perception of the informants (family members, teachers) (n=39). The KidsLife-Down Scale, with a few modifications was used. In general, differences of opinion between the subgroups of participants with DS and informants showed that results were higher in terms of perception for participants in the DS subgroup. Scores for all variables were higher for those participants with DS who said they did engage in practicing competitive football. Despite the perception of informants provides a great deal of information regarding the QL of participants with DS, the latter should be involved in the evaluation process and their self perceptions taken into account. Our research shows that participation in the league modifies the perceptions of the participants with Down's Syndrome regarding their quality of life. However, these perceptions are not shared by the informants.

Health information technology has been widely used in healthcare, which has contributed a huge amount of data. Health data has four characteristics: high volume; high velocity; high variety and high value. Thus, they can be leveraged to i) discover associations between genes, diseases and drugs to implement precision medicine; ii) predict diseases and identify their corresponding causal factors to prevent or control the diseases at an earlier time; iii) learn risk factors related to clinical outcomes (e.g., patients’ unplanned readmission), to improve care quality and reduce healthcare expenditure; and iv) discover care coordination patterns representing good practice in the implementation of collaborative patient-centered care. At the same time, there are major challenges existing in data-driven healthcare research, which include: i) inefficient health data exchanges across different sources; ii) learned knowledge is biased to specific institution; iii) inefficient strategies to evaluate plausibility of the learned patterns and v) incorrect interpretation and translation of the learned patterns. In this paper, we review various types of health data, discuss opportunities and challenges existing in the data-driven healthcare research, provide solutions to solve the challenges, and state the important role of the data-driven healthcare research in the establishment of smart healthcare system.

PM2.5 levels affect human health. However, its relationship with other health vulnerability determinants has not been sufficiently explored. Furthermore, public access to PM2.5 datasets, linkable to health statistics, is not available. We built a georeferenced database and map of annual mean PM2.5 emissions and air concentrations values in Argentina in 2010 and explored their correlations with other health vulnerability determinants. We obtained data for montlhy PM2.5 values emissions and air concentrations in Argentina from public sources. We evaluated health vulnerability by the “Sanitary Vulnerability Index (SVI)”. Non-parametric correlations between variables below 0.22, corresponding to a R2=5%, were deemed meaningless. PM2.5 emissions concentrated in urban and intensive agricultural areas of Argentina. PM2.5 air concentrations were acceptable (≤10 microg/m3) in only 15% of the Argentinean territory, respectively. The correlation between air concentration of PM2.5 and human emission was meaningless. Emissions, but not air concentrations correlated &gt;0.22 with indicators of human activity. SVI correlated meaninglessly with PM2.5 air concentration. In conclusion, PM2.5 levels were above acceptable levels in 85% of the Argentinian territory in 2010. The lack of meaningful correlations between PM2.5 and SVI suggest that these coefficients might be used in combination to assess health vulnerability. Further research is warranted.

The microgrid is a small-scale, autonomous decentralized power plant with its own distributed generation, storage capacity and multiple loads, with the capacity to function in grid interconnected and an island mode. The decentralized control of microgrids with parallel operated voltage source converters (VSCs) is proposed in this paper to improve power quality using a machine learning approach. The DNN based MPPT controller is proposed and its best performance is presented. The SRF-PLL is utilized for AC side synchronization in VSC control. The proposed microgrid involves two PV arrays fed to two voltage source converters along with their independent controls, connected in parallel through LC filters and line coupling transformers and serves the loads at PCC. The proposed model is simulated using MATLAB/Simulink. The dq-framed inner loop control is employed to individually regulate the real and reactive power at the point of common coupling. Furthermore, the proposed model is analyzed and compared by employing a mathematical model of AC system dynamics, inner loop control, output voltage quality, AC harmonic spectrum analysis, and total harmonic distortion (THD) in both grid interconnected and island mode. In island mode, AC harmonic spectrum and THD are accomplished within the permissible range.

Faba bean (Vicia faba L.) was considered a minor crop in the Canadian prairies until recently, but its potential for cultivation is increasing due to its positive environmental impact and economic value. This review provides a historical summary of faba bean improvement in western Canada. Although traditional breeding methods have proved useful, in the last decade faba bean improvement has benefited from advances in genetics, biochemistry and molecular breeding tools. The overall breeding goal is to develop high yielding germplasm with improved agronomic characteristics that will be of economic value to the emerging faba bean sectors, including the plant protein industry. To maximize value and acceptance by producers, processors and the food industry as a source of protein and dietary fibre, future faba bean varieties need to be high-yielding, have diverse seed size classes, disease resistance, genetically low vicine-convicine concentration, and have wider adaptation to different agro-ecological zones of Canada. The experiences over the last 40 years of faba bean improvement in western Canada may be useful to other breeding programs globally located in regions with similar agroecology. In the past 10–15 years, faba bean genetic development in Canada has benefited greatly from research and development interactions with most of the faba bean research programs in northern Europe.

The operating room in a cardiothoracic surgical case is a complex environment, with multiple handoffs often required by staffing changes, and can be variable from program to program. This study was done to characterize what types of practitioners provide anesthesia during cardiac operations to determine the variability in this aspect of care. A survey was sent out via a list serve of members of the cardiac surgical team. Responses from 40 programs from a variety of countries showed variability across every dimension requested of the cardiac anesthesia team. Given that anesthesia is proven to have influence on the outcome of cardiac procedures, this study indicates the opportunity to further study how this variability influences outcomes, and to identify best practices.

The purpose of this study is to characterize atmospheric pollution and its sources in two West African urban sites during the dry season (January 2009 in Bamako, Mali, and December 2009 in Dakar, Senegal). Particulate Matter (PM) source apportionment was performed using Principal Component Analysis (PCA) and Positive Matrix Factorization (PMF). Carbonaceous components, water-soluble inorganic compounds, and trace elements were analyzed from PM (TSP, PM10, and PM2.5) samples. The measured PM2.5 and PM10 concentrations were 5 to 10 times and 3 to 8 times higher than the 2005 WHO 24-hour standards, respectively. PCA and PMF analyses identify five sources in both cities. The sources contributing to aerosol concentrations (PM2.5 - PM10) in Bamako are motor vehicles (20-13%), solid fuel combustion (16-13%), crustal dust (24-30%), resuspended road dust (26-30%) and secondary aerosols (10-16%). During the sampling period in Bamako, dust was the most prevalent source, accounting for 63% of the total PM10 mass. In Dakar, the main identified sources were motor vehicles (28-19%), mineral dust (16-25%), industries and oil burn-ing (11-10%), sea salts (15-20%), and resuspended road particles (21-29%). The findings also indicate that anthropogenic emissions contribute significantly to the PM2.5 fraction, implying that populations are highly exposed to fine particles.

Quality of Service (QoS) has a significant role in the provision of resources within service oriented distributed systems. In Quality of Service, cloud computing creates new challenges for improvements using the concept of virtualization. Currently, Cloud Computing is very emerging technology in every field of data storage and resource distribution over the network. Considering this new emerging technology, for the ease of data accessibility, price, resource use, restoration, response time and number of constraints the quality performance measures need to be upgraded. The paper highlights the research gap in providing a solution to achieve a Quality of Services in Cloud Computing. We also review the issues and challenges arising in cloud computing to guarantee quality.

Lake Manzala, the largest of the northern Delta lakes of Egypt, has a great economic importance as a major natural resource of fish and salt. Unfortunately, the lake is suffering from the high inputs of pollutants from industrial, domestic, and agricultural sources. The present study aims to develop the proposed water quality management scenarios to assess and control lake pollution, the pollution sources as well as the pollution spread from the lake to the connected Mediterranean Sea. To apply study methodology, the work tasks divided into two main parts, the first part involved in modelling the lake environments by using Delft3D-WAQ hydrodynamic and water quality model to study the current status and predict the dynamic state of the Lake. This model was calibrated and validated by using various water quality datasets to simulate different scenarios. In the second part, the required lake water quality improvement scenarios were developed to solve the lake water quality problems. The study results showed that the first three developed scenarios that focusing on treatment drain effluent using primary, secondary treatment and surface wetland techniques respectively have a limited efficiency on lake water quality improvement. While the fourth scenario that involved on using biological biofilm techniques can improve lake water quality parameters. Moreover, the fifth scenario that proposed adding a new artificial inlet has a limitation due to the noted increases in lake salinity levels. The sixth scenario that proposed a diversion of some drains can improve lake water quality parameters but it can lead to a decrease in Lake water level. From water quality view point, the last scenario that applying a combination biological biofilm activated technique and also adding a new artificial inlet at northern lake region can represent the optimum scenario. Hopefully, this research will preserve the lake environment and contribute to the benefit of the man health as well. This approach could be extended to the hydrodynamic studies in similar large, shallow lakes anywhere in the world.

Urban air quality is increasingly becoming a cause for concern for the health of the human population. The poor air quality is already wreaking havoc in major cities of the world, where serious health issues and reduction of average human life by a factor of years are reported. The air quality in developing countries can become worse as they undergo development. The urban air quality varies non-linearly depending upon the various factors such as land use, industrialization, waste disposal, traffic volume, etc. To address this problem, it is necessary to look at the plethora of available literature from multiple perspectives such as types and sources of pollutants, meteorology, urban mobility, urban planning and development, health care, economics, etc. In this paper, we provide a comprehensive survey of the state-of-the-art in urban air quality. We first review the fundamental background on air quality and present the emerging landscape of urban air quality. We then explore the available literature from multiple urban air quality measurement projects and provides the insights uncovered in them. We then take a look at the sources that are significantly contributing to polluting the air quality. Finally, we highlight open issues and research challenges in dealing with urban air pollution.

Quality monitoring (QM) with CUSUM system can result in potential economy in RMC through optimal control of target strength (by avoiding overdesign) on the one hand and through reduction of producers’ risk against rejection by the client on the other. To overcome the problems associated with the conventional 28-day compressive strength test, correlations are established between accelerated and the standard 28-day cube strength to predict the 28-day strength from the early age strength itself. This paper tried to demonstrate the lack of reliability of single correlation itself along the production time of RMC. The correlations vary with W/C as well as with type of cement. Hence it is demonstrated that correlation is concrete specific. Further, it is also demonstrated that correlation established with specimens having wide variation in the batching may result in poor correlation. Through CUSUM plots of mean and range for cube strength obtained by Monte-Carlo simulation demonstrate the utility of prediction through such correlation in QM and a methodology for monitoring the correlation itself.

Most people living in Europe's cities are still exposed to levels of air pollution deemed harmful by the World Health Organization. In the modern world, air pollution is the foremost concern because of its impact in human health and economy. This strong connection appears gaining a lot of concern, driven by new installed low-cost electrochemical sensors monitoring systems. Highly accuracy, real-time monitoring, daily and yearly statistics, data access from experts or simple users, low-cost equipment and forecasting needs, enforce the market to develop new air quality monitoring systems using advanced technologies and protocols. In this study, a comparison via low-cost electrochemical sensors and of static, fixed site measurement monitoring station, is taking place in Athens, Greece, along with the data quality and Air Quality Index (AQI) including data accuracy and quality of data concerning adverse health effects due to air pollution. The findings presented in this work, relate to different flexible and affordable alternatives adopted during the evaluation and calibration of low-cost gas sensors for the monitoring. The significance of the positive results is particularly useful, especially considering the founding for interference, environmental conditions affections and air quality information including indexes and health recommendations for a specific location.

Molecular diagnostics in healthcare relies increasingly on genomic and transcriptomic method-ologies and requires appropriate tissue specimens from which nucleic acids (NA) of sufficiently high quality can be obtained. Besides suration of ischemia and fixation type, NA quality depends on a variety of other pre-analytical parameters, like storage conditions and duration. It has been discussed that improper dehydration of tissue during processing influences quality of NAs and shelf-life of fixed tissue. Here we report on establishing a method to determine the amount of residual water in fixed, paraffin-embedded tissue (fixed by neutral buffered formalin, or a non-crosslinking fixative) and its correlation to the performance of NAs in qRT-PCR analyses. The amount of residual water depended primarily on the fixative type and the dehydration pro-tocol and, to a lesser extent on storage conditions and time. Moreover, we found that these pa-rameters were associated with the qRT-PCR performance of extracted NAs. Besides cross-linking of NAs and modification of nucleobases by formalin, hydrolysis of NAs by residual water was found to contribute to reduced qRT-PCR performance. The negative effects of residual water on NA stability are not only important for the design and interpretation of research, but must also be taken into account in clinical diagnostics where reanalysis of archived tissue from a primary tumour may be required, e.g., after disease recurrence. We conclude that improving shelf-life of fixed tissue requires meticulous dehydration and dry storage to minimize the degradative in-fluence of residual water on NAs.

Hospital bed shortage is a worldwide concern. Beds unavailability has caused elective surgery cancellations, at our hospital peaking in spring 2016 at over 50%. This is often due to difficult patient step-down from intensive care (ICU) and high-dependency units (HDU). In our general/digestive surgery service admitting approximately 1000 patients yearly, ward rounds were run on a consultant firm basis. We report a quality improvement (ISRCTN13976096) introducing in our service a structured daily multi-disciplinary board round framework (SAFER Surgery R2G) adapted from the “SAFER patient flow bundle” and the "Red to Green days” approaches to enhance flow, comparing the previous year to 2017, when our framework was applied for 12 months.We used a Plan-Do-Study-Act (PDSA) methodology. Our intervention consisted in 1) systematic communication of the key care plan after the afternoon ward rounds to the nurse in charge; 2) 30’ 10AM Monday-to-Friday multidisciplinary board rounds, attended daily by the senior-team and weekly by hospital and site managers, revising the key care plan aiming at safe, early discharges, assessing the appropriateness of each inpatient day and tackling any cause of delay. We measured patient flow by average length of stay (LOS), ICU/HDU step-downs and operation cancellations count, monitoring safety through early 30-day readmissions. Compliance was assessed by board round attendance and staff satisfaction rate surveys.After 12 months (PDSA 2, N=1032), LOS significantly decreased from 7.2(±8.9) to 6.3(±7.4) days (p=0.003); ICU/HDU bed step-down flow increased by 9.3% from 345 to 375 (p=0.197), surgery cancellations dropped from 38 to 15 (p=0.100). 30-day re-admissions increased from 0.9% (N=9) to 1.3% (N=14)(p=0.390). Average cross-specialty attendance was 80%. Satisfaction rates were >75%, regarding enhanced teamwork and faster decisions.The SAFER Surgery R2G framework has shown an increase in patient flow in the context of an enhanced multidisciplinary approach, requiring senior staff commitment to remain sustainable.

The aim of our study was to assess university students’ sleep quality and fatigue before and during the academic exam period and identify potential associated factors. A Web-based survey was completed by 940 students of 20 different Tertiary Institutions including demographics, sleep habits, exercise, caffeine, tobacco, alcohol use, subjective sleep quality (Pittsburgh Sleep Quality Index - PSQI) and fatigue (Fatigue severity scale – FSS) at the beginning of semester and at examination period. During exam period, PSQI (8.9 vs 6.1, p&lt;0.001) and FSS scores (36.9 vs 32.7, p&lt;0.001) were significantly elevated compared to pre-exam period. Increase of PSQI score was associated with age (β=0.111, p=0.011), presence of chronic disease (β=0.914, p=0.006), and depressive symptoms (β=0.459, p=0.001). Increase of FSS score was associated with female gender (β=1.658, p&lt;0.001), age, (β=0.198, p=0.010), increase in smoking (β=1.7, p=0.029), coffee/energy drinks consumption (β=1.988, p&lt;0.001), decreased levels of physical exercise (β=1.660, p&lt;0.001), and depressive symptoms (β=2.526, p&lt;0.001). In conclusion, our results show that sleep quality and fatigue are affected in university students during exam periods. Potential factors were identified which may lead to development of strategies for better quality of sleep, and wellbeing.

This study evaluates spatial analyses of groundwater quality and environmental changes to obtain information on the groundwater contamination in the Permian Basin, Texas. Coupled with the U.S. government’s open data, these analyses can identify regions where environmental change could have potentially effected groundwater quality. A total of thirty-six wells were selected within the six counties: Andrews, Martin, Ector, Midland, Crane, and Upton. Spatial distribution maps were created for six different parameters: pH, total dissolved solids (TDS), chloride, fluoride, nitrate, and arsenic. Total groundwater quality maps incorporate all the contaminants and denote regions of poor, medium, and optimum conditions. To identify spatial changes in groundwater quality, maps were separated into two different time intervals, 1992-2005 and 2006-2019. We found that groundwater contamination resulted primarily from the mobilization of the contaminant from natural sources or anthropogenic activities such as chemical fertilizers. Overall, groundwater quality decreased during the study period from 1992 to 2019 as population and urban growth began to develop in the Permian Basin. This study contributes on understanding of the response of groundwater quality associated with environmental change in the Permian Basin. Therefore, this research provides important information for groundwater managements in developing plans for the use of water resource in the future for Texas.

The coastal zone of Bangladesh covers an area of 47,201 square km, 32% of the country, around 35 million people are living coastal zone, where about 15 million are women (Ahmad, 2019). Though the women of this area have a significant contribution in aquaculture, food production and economic growth of Bangladesh, still the health issues of women remain ignored, especially sexual and reproductive health issue. Women and girls experience heightened vulnerabilities to reproductive health problems in coastal areas. In aiming to investigate the prevalence of vaginal problems in coastal area the study has been designed. The study followed retrospective cohort study as a study design and use percentile and regression analysis to draw the result of the study. The study found that 94% of women are experiencing vaginal problems in coastal villages in Bangladesh. This number is about 05 times higher than the non-coastal villages and it also found water use for hygiene practice as a significant role for high rate of vaginal diseases in coastal areas of Bangladesh

Aquifer water is the key staple to develop successful sustainable agricultural activity in newly reclaimed areas in Egypt. Monitoring irrigation water quality is necessary for a proper planning of this exhaustible resources. This work aims to evaluate the groundwater quality in the western newly reclaimed areas of Beni-Suef governorate. Fifty aquifer water sample were collected from wells scattered in the arid western Beni-Suef fringes during May of 2022. Water chemical analyses were conducted to estimate the parameters of Irrigation Water Quality Index (IWQI) namely the Electrical Conductivity (EC), Sodium (Na+), Chloride (Cl-), Bicarbonate (HCO3-) and the Adjusted percentage of Absorbed Sodium (SARo). The Inverse Distance Weighted (IDW) technique used to map the spatial distribution of aquifer water chemical characteristics and IWQI. The results showed that EC values were high in the south of the study area and decreased at its north and east borders. The results showed that the average of dissolved cations and anions were 236.4, 102, 77.5, 106.2, 309.6, 148.1 and 113 meq/l for Ca2+, Mg2+, Na+, K+, SO42-, HCO3-, and Cl-, respectively. Regarding to IWQI, its' values ranged from 28 to 81. Two-thirds of the study area classified as having moderate limitations for sustainable irrigation purposes. Furthermore, one-thirds of the area classified as having high restrictions.

Achieving water security and availability for all is among the principle agenda of the UN-Sustainable Development Goals. To achieve the goal of water security, particularly in rapidly expanding cities, identification of safe and sustainable water resources is an absolute necessity. The paper conducts an exploratory investigation in the hydro geochemical characteristics of groundwater and thereby, assess the suitability of groundwater as an alternative and reliable resource for public water supply in the Indian city of Surat. A total of 33-groundwater samples, selected on the basis of aquifer depth, land use signatures, were collected from open, bore, dug wells and hand pumps. After the hydrogeochemical analysis, the study evaluated the present state of the groundwater quality and determined the spatial distribution of groundwater quality parameters such as hardness, electrical conductivity, Cl −, pH, SO42-, and NO3 − concentrations. An interpolation technique, known as ordinary kriging, was used to acquire the spatial distribution of parameters of groundwater quality parameters. Based on the permeability index, result showed that 80% of the sampled groundwater quality falls under excellent class i.e. category I with PI value ranging from 1-24%, whereas the rest 20% of the samples has fallen under good class i.e. category II with PI value ranging from 25 to 75% on the suitability of water for irrigation. The results of this study outlines the unsustainability of groundwater for direct consumption, especially without any improved onsite water treatment, but it is appropriate for the irrigation purposes.

The ambient air quality data for particulate matter as well as criteria of gaseous pollutants were assembled during December 2013 to December 2015 from the Continuous Air Quality Monitoring Station (CAMS) located at Agrabad, Chittagong. The observation showed that during April- October, 24 hour average concentration of PM10 and PM2.5 were within the National Ambient Air Quality Standard (NAAQS) level but it increased occasionally by more than two and a half times during the whole non-monsoon period (November-March). The highest values found of PM2.5 were 321.1 µg/m³ in January, 2013 and 220.34 µg/m³ in December 2015. Whether, the highest alarming concentration of PM10 was reported as 474 µg/m3 in January 2007. The other gaseous pollutants such as SO₂, NO₂, O₃, CO and Hydrocarbons remain well within the permissible limit except dry non-monsoon period. The yearly average increase of Air Quality Index (AQI) value indicates the growth rate of air pollution in Chittagong city. The main responsible pollutant for air pollution is found PM_2.5.

In the production of grafted vines, losses are caused by fungal pathogens during callus forming or after planting in the soil. To control or reduce natural fungal infections in nurseries, certain applications were conducted in sapling cultivation stage to analyse the efficacy of cyprodinil + fludioxonil, floupyram + tebuconazole active substances and Trichoderma harzianum biological preparation. 1103 Paulsen rootstock and Vitis viniferea L. Sultana cultivars were stored in fungicide suspensions for 60 minutes before and after grafting in the study. After grafting, the seedlings were divided into i) cutting + sawdust ii) cutting + sawdust + soil application groups and transferred to the callus room. Fungicides were applied 1 to 7 days after the callus development to wet the seedling roots 1 to 7 days after they were planted. After nine months in the nursery, the plants were uprooted, classified as diseased or healthy, and analysed for morphological and molecular diagnosis of fungal species, isolation incidence, and seedling quality and yield. After callus development, Fusarium solani was most frequently isolated pathogen in the roots (21.5%), cyprodinil + fludioxonil reduced the Ilyonectria sp. isolation rate in both shoots and roots. Botryosphaeria obtusa and I. liriodendri pathogens were not detected in sick and healthy cyprodinil + fludioxonil-treated saplings. The highest seedling yield was observed with fludioxonil + cyprodinil, cutting + sawdust + soil (78.75%) and cutting + sawdust (70.68%) applications. According to the results of this study, it was found that fungicide applications before and after grafting prevented soil-borne pathogen infections and improved sapling quality.

Dissolved Oxygen (DO) concentration is a vital parameter that indicates water quality. DO short term forecasting using time series analysis on data collected from an aquaculture pond is presented here. This can provide data support for an early warning system for an improved management of the aquaculture farm. The conventional forecasting approaches are commonly characterized by low accuracy and poor generalization problems. In this article, we present a novel hybrid DO concentration forecasting method with ensemble empirical mode decomposition (EEMD) based LSTM (Long short-term memory) neural network (NN). With this method, first, the sensor data integrity is improved through linear interpolation and moving average filtering methods of data preprocessing. Next, the EEMD algorithm is applied to decompose the original sensor data into multiple intrinsic mode functions (IMFs). Finally, the feature selection is used to carefully select IMFs that are strongly correlated with the original sensor data and integrate both into inputs for the NN. The hybrid EEMD-based LSTM forecasting model is then constructed. Performance of this proposed model in training and validation sets was compared with the observed real sensor data. To obtain the exact evaluation accuracy of the forecasted results of the hybrid EEMD-based LSTM forecasting model, three statistical performance indices were adopted: MAE, MSE, and RMSE. Results presented for short term (12-hour period) and long term (1-month period) give a strong indication of suitability of this method for forecasting DO values.

Communities in semi-arid lands use sand dams to enhance access water during the dry seasons. However, there is limited information on the quality of water derived from these sand dams, especially in degraded lands where storm surface runoff poses contamination risk. Thus, this study aimed at assessing the spatial-temporal variations in water quality of sand dams in Chepareria, West Pokot County in Kenya. Water samples were collected from scooping holes across18 purposefully selected sand dams. Results obtained showed significant differences in water quality based on sand-dams age and location of scooping holes, but the magnitude of these differences differed with specific properties. For instance, in recently constructed sand dams (< 1 year), scooping holes near the sand dam wall had lower pH values (8.5) than holes scooped a distance from the sand dam wall (9.2). For total dissolved solutes and microbial properties, sand dam age had the greatest impact than the location of scooping holes. For example, water obtained from < 1 year old sand dams had significantly higher TDS with an average value of 100.3 mg L-1. The thermotolerant coliforms (TTC) exceeded the maximum allowable levels recommended by World Health Organization. Thus, water obtained from these sand dams should be treated before consumption. Finally, sand dams meant for domestic water harvesting should be protected. Shallow wells with appropriate aprons for effective protection against contamination should be installed to enhance abstraction of safe water from sand dams.

This paper describes the indoor air pollution in urban (Lahore, Faisalabad, Gujranwala, Rawalpindi and Karachi) Pakistani regions while considering the outdoor air and the health and wellbeing of the occupants present indoors. It also aims to assess previous methodological approaches Such as Air Conditioning Systems, used by developed countries to improve air quality to demonstrate the improvements that can be made in air quality in Pakistani urban areas. This research also investigates the causes, concentration and effects of poor air quality in Pakistani urban areas such as particulate matter (PM2.5), carbon oxides (COx), nitrogen oxides (NOx), sulphur oxides (SOx) and volatile organic compounds (VOC’s). The average concentration of these pollutants in Pakistan’s indoor air is, particulate matter (PM): [100 – 250 µg/m3 for PM2.5, 200 – 600 µg/m3 for PM10] 1 – 20 ppm for carbon monoxide (CO), nitrogen oxides (NOx): [50 – 100 µg/m3 for NO2, 20 – 40 µg/m3 for NO], 20 – 50 µg/m3 for sulfur dioxide (SO2), volatile organic compounds (VOCs): 0.1 – 0.5 ppm for formaldehyde, 5 – 10 µg/m3 for benzene and 20 – 30 µg/m3 for toluene. It should be noted that these concentrations can differ depending on the origin of pollution, location, and time of day. The literature review is made up of a combination of descriptive research methods that are used to inform the research background of ambient and indoor air quality, thus the literature review provides a theoretical and methodological background about the air pollution and its improvement in different parts of the world. According to the World Air Quality Index, Pakistan is the third most polluted country in terms of average PM2.5 concentration which is 14.2 times the WHO annual air quality guideline value. As a result, it is suggested that a PM2.5 concentration reduction program be implemented in urban Pakistani regions' indoor air.

The UN’s 2030 Agenda brings new governance challenges to municipal environmental planning, both in large urban centres and in metropolitan peripheries. The opportunities of the new framework of action proposed by the United Nations (UN) and its integrative, global and transversal nature constitute advances from the previous models of municipal management based on the Local Agenda 21. This text provides evidence to apply quality criteria and validated instruments of participatory evaluation. These instruments have been built on the foundation of Evaluative Research, a scientific discipline that provides rigour and validity to those decisions adopted at a municipal level. A case study focused on a metropolitan area serves as a field of experimentation for this model of the modernization of environmental management structures at a local level. Details of the instruments, agents, priority decision areas, methodologies, participation processes and quality criteria are provided, as well as an empirically validated model for participatory municipal management based on action research processes and strategic planning that favours a shared responsibility across all social groups in the decision-making process and in the development of continuous improvement activities that are committed to sustainability. Finally, a critical comparison of weaknesses and strengths is included in light of the evidence collected.

The patient's satisfaction level concerning hospitalization has certain particularities, related to the geographical area, medical/non-medical assistance, the age, incomes, morbidity and mortality of the population. The objective of this study is to emphasize the degree of patients' satisfaction, depending on the specialty of the hospitalization department: surgical, medical, oncological, psychiatry, and to evidence the factors influencing the reliability and accuracy of patients' answers, such as: the patient's health condition upon admission, the duration of the admission, the level of physical pain and the emotional state. Patients and methods: The research was conducted between April and December 2021 on patients hospitalized in two public hospitals from the north-west of Romania, both of them being independent Legal Entities: the Municipal Clinical Hospital of Oradea (MCHO) and the County Clinical Emergency Hospital of Oradea (CCEHO). Results: The lowest score of PSS recorded in these two analyzed public hospitals from the north-western of Romania was appointed for the Pharmaceutical availability of patients medical treatment (2.24), attitude of the staff (2.56) and the quality of nursing care offered (2.58). Conclusions: The hospital management’s focus has been set to improve the communication skills among medical staff, to evidence their compassion, politeness, and to ensure the availability of essential drugs.

Keywords: Arachis quality; pod separation; plant extraction, peanut

Energy use is of crucial importance for the global challenge of climate change but also an essential part of daily life. Hence, research on energy needs to be robust and valid. Other scientific disciplines have experienced a reproducibility crisis, that is, existing findings could not be reproduced in new studies, and energy research might be impacted as well. In this paper, we suggest the ‘TReQ’ approach to improve the research practices in the energy field and arrive at greater Transparency, Reproducibility, and Quality. We acknowledge the specific challenges of energy research and suggest a highly adaptable suite of tools that can be applied to research approaches across this multi-disciplinary and fast-changing field. In particular, we introduce preregistration of studies, making data and code publicly available, using preprints, and employing reporting guidelines to heighten the standard of research practices within the energy field. We argue that through wider adoption of these tools, we will be able to have greater trust in the findings of research used to inform evidence-based policy and practice in the energy field.

Cooperative learning (CL) is a teaching and learning pedagogy that has been used widely in school but there is limited information on instructors’ perceptions of CL nor observations of how CL is implemented in higher education settings. In this study, we investigated the ad-vantages and challenges of embedding CL into instructors’ teaching in Iran and Australia. Data were collected through interview and observation. Results showed that despite challenges such as the lack of familiarity of CL and how it can be implemented in university curricula, issues associated with assessment, and time constraints, CL created an interactive, pleasant and safe environment for deep learning in both countries. The findings showed that there were challenges in Iran such as a tendency to use traditional approaches to teaching, insufficient understanding of how to establish teamwork, and a lack of up-to-date teaching resources. In Australia, changing courses, working with external students, catering for individual differences, and building positive relationships were some of the challenges of implementing CL. We believe that these challenges can be overcome if university instructors are prepared to address them.

Malaysia became the centre of international attention when it democratically removed a semi-authoritarian government of 62 years during its 14th general election this year. This electoral success has provided geriatric medicine in Malaysia with the unexpected ageing icon in the oldest prime minister in the world. Political change has led to a wave of optimism for the expansion of geriatric services in Malaysia, which has met with numerous challenges in the last two decades. The number of geriatrics specialists and services had already begun expanding under the previous government. However, existing geriatricians will need to reassess the landscape of delivery and access of care in our rapidly growing ageing population and develop new strategies to truly expand their services. In addition to unrelenting efforts in the recruitment and training of future geriatricians, the steady expansion of the geriatric workforce should take into account the inclusion of geriatric medicine in the undergraduate training curricula of all healthcare professionals. Expansion of geriatric services will also be a cost-effective strategy to reduce the growing national healthcare budget incurred by the growing needs of an ageing population.

A quasi-two-dimensional (quasi-2D) modelling approach is introduced to mimic transverse mixing of an inflow into a river from one of its banks, either an industrial outfall or a tributary. The concentrations of determinands in the inflow vary greatly from those in the river, leading to very long mixing lengths in the river downstream of the inflow location. Ideally, a two-dimensional (2D) model would be used on a small scale to capture the mixing of the two flow streams. However, for large-scale applications of several hundreds of kilometres of river length, such an approach demands too many computational resources and too much computational time, especially if the application will at some point require ensemble input from climate-change scenario data. However, a one-dimensional (1D) model with variables varying in the longitudinal flow direction but averaged across the cross-sections is too simple of an approach to capture the lateral mixing between different flow streams within the river. Hence, a quasi-2D method is proposed in which a simplified 1D solver is still applied but the discretisation of the model setup can be carried out in such a way as to enable a 2D representation of the model domain. The quasi-2D model setup also allows secondary channels and side lakes in floodplains to be incorporated into the discretisation. To show proof-of-concept, the approach has been tested on a stretch of the lower Athabasca River in Canada flowing through the oil sands region between Fort McMurray and Fort MacKay. A dye tracer and suspended sediments are the constituents modelled in this test case.

People with Down syndrome have more visual problems than general population. They experience a premature aging, and it would be expected they will also have an acceleration in worsening visual function. A prospective observational study which includes visual acuity, refractive error, accommodation, binocular and colour vision was performed to young adults with (n=69) and without (n=65) Down syndrome and to a senior group (n=55) without Down syndrome. Results showed significant differences in visual acuity between groups (p&lt;0.001) and it can be improved with a new prescription in 40% of the participants with Down syndrome. Regarding to accommodative state, no significant differences were found between groups of young people. Concerning binocular vision, 64.7% of strabismus was observed in the group with Down syndrome (p&lt;0.001). Visual abnormalities are significant in young adults with Down syndrome and are different from those of older people without Down syndrome, some of which can be improved by providing the optimal prescription as well as regular eye examinations.

Sleep-disordered breathing is a significant problem affecting the pediatric population. These conditions can affect sleep quality and significantly affect children's overall health and well-being. Difficulties in social interaction, communication, and repetitive behavioral patterns characterize autism spectrum disorder. Sleep disturbances are common in children with ASD. This literature review aims to gather and analyze available studies on the relationship between SDB and children with autism spectrum disorder. We comprehensively searched the literature using major search engines (PubMed, Scopus, and Web of Science). After removing duplicates, we extracted a total of 96 records. We selected 19 studies for inclusion after a thorough title and abstract screening process. A total of 7 articles were ultimately included. This review has analyzed the relationship between autism spectrum disorder and sleep-disordered breathing, particularly Obstructive Sleep Apnea, highlighting an intriguing web of complex associations. Some studies involving children have demonstrated a significant association between autism spectrum disorder and the presence of Obstructive Sleep Apnea. Furthermore, a heightened risk of developing sleep disturbances, including sleep-disordered breathing, has emerged in children with autism. The risk and prevalence of obesity are increasing in pediatric subjects with autism spectrum disorder. Obesity has been identified as a predictive factor for Sleep-disordered breathing, and Body Mass Index can directly correlate with Obstructive Sleep Apnea in these children. Adenotonsillectomy has proven to be pivotal in improving behavioral issues in autism spectrum disorder children with obstructive Sleep Apnea. In conclusion, this review underscores the complexity of the interplay between autism spectrum disorder and sleep-disordered breathing, emphasizing the importance of further research to understand underlying mechanisms and develop optimal therapeutic and preventative approaches to enhance sleep quality and overall health in children with autism spectrum disorder.

In the Yucatán Peninsula, anthropogenic activities such as urbanization and final dispose of solid and wastewaters critically impact aquatic systems. Here, we evaluated the anthropogenic-related environmental alteration of Lake La Sabana, located in the northern limit of one of the main cities of the Mexican Caribbean. We evaluate lake water quality using physical, chemical, and microbiological indicators, and heavy metals in surficial sediments and fish tissue to evaluate the potential environmental risk. Multivariate analyses reveal that environmental conditions in La Sabana are spatial and temporal heterogeneous. Medium to bad water quality was determined within basins by the NSFWQI, related with the degree of anthropogenic influence. The center-south zones display critical microbiological values largely exceeding national standards. Heavy metals in sediments (Zn&gt;Hg) and fish tissue (Hg) were relatively low, but Hg concentration threat the ecological environment. Incipient wastewater treatment and final dispose in La Sabana is the main responsible of changes in the trophic status and nutrients availability, which in turn may have promoted changes in the biological structure and aquatic plant invasions. Lake La Sabana can be considered a model of the potential sequential effects of the anthropogenic alterations in oligotrophic karts tropical aquatic systems in Yucatán Peninsula.

Many factors drive land desertification, especially in arid and semi-arid regions. However, the numerous driving factors of desertification make analyses computer expensive. Cloud computing comes along to address this problem, especially in developing countries. The objective of this work was to assess the sensitivity of the East Atlantic Basin, Brazil, to desertification using the Mediterranean Desertification and Land Use (MEDALUS) model and Google Earth Engine (GEE). The model is composed of four environmental Quality Indices (QIs) associated with soil (SQI), vegetation (VQI), climate (CQI) and management (MQI), and contains factors influencing the desertification process. Digital databases of the factors were pre-processed and uploaded to GEE for analysis. We report Environmentally Sensitive Areas (ESAs) and Environmentally Critical Factors (ECF) maps of the East Atlantic Basin, which showed that most of the basin is in either critical (49.4%) or fragile (35.7%) state of sensitivity. In contrast, only a smaller portion of the area is unaffected (5%) or potentially affected (10.1%). Sensitivity to desertification was inversely correlated with the presence of vigorous vegetation. A joint analysis of ESAs and ECF shed light on the importance of each factor in the sensitivity to desertification. The East Atlantic Basin shows a high degree of sensitivity to desertification, thereby demanding more attention and establishment of measures to mitigate the negative impacts of the desertification process.