Transdermal drug delivery systems (TDDS) are designed to administer a consistent and effective dose of medication through the patient's skin. These pharmaceutical preparations are self-contained, discrete dosage forms designed to be placed topically on intact skin to release the active component at a controlled rate by penetrating the skin barriers. This medication provides a continuous and prolonged administration of a substance at a consistent rate. TDDS, or transdermal drug delivery system, has gained significant attention as a non-invasive method of administering drugs to vulnerable patient populations, such as pediatric and geriatric patients. This approach is considered easy to administer and helps overcome bioavailability issues associated with conventional drug delivery, which can be hindered by poor absorption and metabolism. TDDS has various advantages compared to conventional methods of drug administration. It is less intrusive, more patient-friendly, and can circumvent first-pass metabolism and the corrosive acidic environment of the stomach that happens when medications are taken orally. Multiple methodologies have been devised to augment the transdermal permeability of diverse pharmaceutical substances. Recent advancements in transdermal drug delivery systems have facilitated the precise delivery of medications to the intended site of action by improving the penetration of drugs through the outermost layer of the skin, known as the stratum corneum, resulting in enhanced drug availability throughout the body. This review seeks to provide a concise overview of the several methods employed in the production of TDDS, as well as their evaluation, therapeutic uses, clinical considerations, and current advancements. These advancements have resulted in the development of intelligent, biodegradable, and highly efficient transdermal drug delivery systems.

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.

To improve the adaptability of aerial reflective opto-mechanical structures to low-temperature environments, an optimized thermal control design is proposed. Firstly, the relationship be-tween conventional heating methods and axial/radial temperature differences of mirrors with different shapes is analyzed. Based on heat transfer analyses, it is pointed out that optimized thermal control design is necessary to ensure the temperature uniformity of the fused silica mirror and take into account the temperature level when working in low temperature environ-ments. A thermal control scheme based on temperature negative feedback variable power zone heating is proposed for the characteristics of aerial electro-optics systems. Using the thermal control scheme at low temperatures ensures that the average temperature of the mirror fluctu-ates slowly and slightly around 20℃. At the same time, the temperature differences within a mirror and between the primary mirror and the secondary mirror can be controlled within 5℃. Thereby, satisfactory image quality is obtained.

Background: The ever-growing emergence of antibiotic resistance associated with tuberculosis (TB) has become a global challenge. In 2012, USFDA has given expedited approval to bedaquiline (BDQ), as a new treatment for drug-resistant TB in adults when no other viable options are available. BDQ is a diarylquinoline derivative and exhibits targeted action on mycobacterium tuberculosis but due to poor solubility desired therapeutic action is not achieved. Objective: To develop a QbD-based self-nanoemulsifying drug delivery system of Bedaquiline using various oils, surfactants, and co-surfactants. Methods: The quality target product profile (QTPP) and critical quality attributes (CQAs) were identified with a patient-centric approach which facilitated the selection of critical material attributes (CMAs) during pre-formulation studies and initial risk assessment. Caprylic acid as a lipid, propylene glycol as a surfactant and Transcutol-P as a co-surfactant were selected as CMAs for the formulation of Bedaquiline fumarate SNEDDS. Pseudo-ternary phase diagrams were constructed to determine the optimal ratio of oil and Smix. To optimize the formulation, a Box-Benkhen design (BBD) was used. The optimized formulation (BDQ-F-SNEDSS) was further evaluated for parameters such as droplet size, polydispersity index (PDI), percentage transmittance, dilution studies, stability studies, and cell toxicity through the A549 cell. Results: Optimized BDQ-F-SNEDDS showed well-formed droplets of 98.88±2.1 nm with a zeta potential of 21.16 mV. In vitro, studies showed enhanced drug release with a high degree of stability at 25 ± 2 ºC & 60 ± 5 % and 40 ± 2 ºC & 75± 5 %. Furthermore, BDQ-F-SNEDDS showed promising cell viability in A549 cells indicating BDQ-F-SNEDDS as a safer formulation for oral delivery. Conclusion: Finally, it was concluded that the utilization of a QbD approach in the development of BDQ-F-loaded SNEDDS offers a promising strategy to improve the biopharmaceutical properties of the drug, resulting in potential cost and time savings.

The semi-enclosed estuary is very susceptible to changes in the physical and environmental characteristics of the inflow from the land and the coastal sea weather and so the continuous and comprehensive monitoring is necessary for managing the estuary. Nevertheless, the standard procedure or schematic framework has not been proposed appropriately to determine how many instruments are necessary and where they need to be deployed to detect critical changes. Therefore, the present work proposes a systematical strategy for the deployments of the monitoring array by using the combination of the graphical optimization with the objective mapping technique. In order to reflect the spatiotemporal characteristics of the bay, the representative variables and eigenvectors are determined by the Empirical Orthogonal Function (EOF), and the cosine angle among them are calculated for a design index of optimization. At the recommended locations, the sampled representative variables are interpolated to reconstruct their spatiotemporal distribution and compared with the distributions of the true values. Analysis confirms that the selected locations, even with a small number of points, can be used for on-site monitoring. Also, the present framework suggests how to determine installable regions for real-time monitoring stations, which reflect the global and local characteristics of the semi-enclosed estuary.

Producing cherry tomatoes became interesting to know watering volume and growing design on growth, yield, and quality of cherry tomatoes. The research aimed to intend the best treatment for each treatment of watering volume and Growing design on the productivity and quality of cherry tomato cultivar Ruby. The study is an experimental exploration using RCBD factorial. The treatment factors include: Growing Design (greenhouse, Rain shelter, Screen house) and Watering Volume (100% Etc, 75% ETc, 50% ETc). The result showed that root dry weight and root-shoot ratio were found higher in the screen house design, while fruit firmness was higher in the rain shelter design. Considering the effect of watering volume, higher fruit diameter, heavier fruit, fruits per plant, ultimate fruit & biological yield per plant, higher root & shoot biomass, root-shoot ratio, leaf chlorophyll content, greater fruit skin firmness and elasticity was noted in the 100% ETc treatment. In contrast, the growth rate was higher in 50% ETc treatment. Cultivating cherry tomatoes in a greenhouse using a watering volume of 100% ETc under the results is recommended. These conditions have led to better growth, higher fruit yield, and improved fruit quality, making them favorable options for successful cherry tomato production.

A review of desiccant dehumidification technologies for improving air-quality has been presented, especially focusing on alternatives for air conditioning systems for minimizing the Sick Building Syndrome. The principles and types of desiccant wheels, as well as the existing selection software for these types of equipment, were reviewed and comparatively evaluated. The study focuses on the Brazilian context, therefore, information about air condition systems and laws of this country were evaluated. Possible applications of desiccant wheels are also analyzed, such as their integration into cooling cycles and the sensible heat wheel. Finally, several commercial desiccant wheel selection software were evaluated, which are useful in many situations. Nevertheless, it was evidenced that the available softwares are not capable of performing an operation analysis for only a specific period. Therefore, it is essential to create computational tools to select desiccant wheels, considering the data from the different Brazilian regions for a year.

Unmanned Aerial Vehicles (UAVs) have gained significant attention in recent times due to their suitability to a wide variety of civil, military and societal missions. Development of an unmanned amphibious vehicle integrating the features of a multi-rotor UAV and a hovercraft is focus of the present study. Components and subsystems of the amphibious vehicle are developed with due consideration on aerodynamic, structural and environmental aspects. Finite element analysis (FEA) on static thrust conditions and skirt pressure are performed to evaluate the strength of structure. For diverse wind conditions and angles of attack (AOA), computational fluid dynamic (CFD) analysis is carried out to assess the effect of drag and suitable design modification is suggested. A prototype is built with a 7 kg payload capacity and successfully tested for stable operations in flight and water-borne modes. Internet of Things (IoT) based water quality measurement is performed in a typical lake and water quality is measured using pH, dissolved oxygen (DO), turbidity and electrical conductivity (EC) sensors. The developed vehicle is expected to meet functional requirements of disaster missions catering to the water quality monitoring of large water bodies.

The application of chitosan and alginate coatings for Ready-to-Eat (RTE) baked fish product were studied. An experimental design was used to investigate the effect of coating polysaccharide concentration and glycerol addition on the safety (microbial growth), and quality (water loss and lipid oxidation) of RTE seafood product under optimal, and abused storage conditions. The results showed that a chitosan coating with 1% (w/v) chitosan in 1% (v/v) acetic acid, and 15% (w/w chitosan) glycerol, or 1% (w/v) alginate coating with no glycerol, and no crosslinking showed the best performance in controlling the tested safety and quality parameters. Desirability method was used to identify the shelf life of chitosan, alginate and double coated RTE products. Whereby, chitosan coated samples showed the best performance with a third fold shelf life extension compared to uncoated products.

Ultraviolet (UV) light with a wavelength of 254 nm has proven to be effective at inactivating microorganisms, and thus has been increasingly employed as a method of disinfection for indoor environments. Solar UV wavelengths (300 to 400 nm) are known to initiate the formation of secondary organic aerosol (SOA) particles from photo-oxidation of volatile organic compounds in the atmosphere, but germicidal wavelengths have not been extensively studied for indoor environments. In this work, toluene was exposed to 254 nm UV light in a laboratory photoreactor, with varying conditions of the air, the duration of UV exposure, and the duration of post-UV time. The number of particles formed in the fine particulate matter (PM2.5) size range was measured, and significant levels of particle formation were observed for UV exposure periods of as short as 5 minutes. The particle formation ranged from 2.4x10⁶ particles/m³ for 5 minutes of UV exposure, to 1449.8x10⁶ particles/m³ for 15 minutes of UV exposure. Particle formation was found to increase with increasing concentrations of gas phase toluene, and at relative humidity of approximately 20% and higher. Variations in the initial number of particles present did not appear to have a significant effect on the particle formation, suggesting that nucleation was not a controlling factor. However, tests in a commercial environment showed no significant detectable PM2.5 formation, indicating that SOA formation during the intermittent use of germicidal UV may not significantly affect indoor air quality.

Integration of wind energy into the grid faces a great challenge regarding power quality. The International Electrotechnical Commission (IEC)~61400-21 standard defines the electrical characteristics that need to be assessed in a Wind Turbine (WT), as well as the procedure to measure the disturbances produced by the WT. One of the parameters to be assessed are voltage fluctuations or flicker. To estimate the flicker emission of a Wind Power Plant (WPP), the standard establishes that a quadratic exponent should be used in the summation of the flicker emission of each WT. This exponent was selected based on studies carried out in WPPs with type I and II WTs. Advances in wind turbines technology have reduced their flicker emission, mainly thaks to the implementation of power electronics for the partial or total management of the power injected into the grid. This work is based on measurements from a WPP with 16 type III WTs. The flicker emission of a single WT and of the WPP were calculated. Low flicker emission values at the Point of Common Coupling (PCC) of the WPP were obtained. The flicker estimation at the PCC, based on the measurement from a single WT, was analyzed using different exponents. The results show that a cubic summation performs better than the quadratic one in the estimation of the flicker emission of a WPP with type III WTs.

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.

The control of air quality in museums or storages is of fundamental interest for the conservation of historic artifacts. The present work reports an example of application of RFID sensors developed in the European project SensMat and dedicated to this issue. The sensors are based on the varia-tion of property of an RFID tag coupled to a sensitive silver thin film exposed to the environment. As it will be described in the paper, such low cost sensors are interrogated by a commercial reader and provide the environmental corrosivity index and thus the presence of pollutants. The selected case study concerns the monitoring of pollution by H2S in a building dedicated to conservation and restoration of archeological and historical woods. The ability of sensors to map spatially the corrosivity within buildings is highlighted.

The analysis and simulation of water quality in distribution networks is a complex issue of great concern today. The analysis of the evolution of water age, as a simple indicator of water quality in the network, is of great interest in both design and operation phases. Understanding the factors that have the strongest influence on water quality is key to developing adequate strategies aimed at preserving it. This paper firstly analyses the factors with biggest influence in the tanks water age, to support the selection of the most appropriate configuration from the point of view of water quality during design phases. Then, the main considerations when modelling tanks following the different mixing models considered in Epanet have been presented. Also, a real tank behaviour has been characterised through field measurements and Epanet simulations in order to determine the best fitted mixing model.

This paper deals with the design, simulation and implementation of shunt hybrid compensator to maintain the power quality in 3-phase distribution networks feeding different types balanced and unbalanced nonlinear loads. The configuration of the compensator consists of a selective harmonic elimination passive filter, a series connected conventional 6-pulse IGBT inverter, acting as the active filter terminated with a dc link capacitor. The theory and modelling of the compensator based on current harmonic components at the load end and their decomposition in d-q axis frame of reference are utilized in the reference current generation algorithm. Accordingly, the source current waveform is made to follow the reference current waveform using a high frequency carrier based controller. Further, this inner current control loop is supported by a slower outer voltage control loop for sustaining desirable dc link voltage. Performance of the compensator is evaluated through MATLAB simulation covering different types of loads and reduction of harmonic currents and THD at the supply side along with excellent regulation of dc link voltage are confirmed. The performance of a hybrid compensator designed and fabricated using the above principles is evaluated and corroborated with the simulation results.

Power converter technologies have become increasingly vital in various applications due to their efficient management of electrical energy. With the growing prominence of renewable energy sources like solar and wind, the high penetration of power electronic converters has been justified. However, ensuring power quality has emerged as a significant challenge for grid-connected power converters. The divergence from the ideal sinusoidal waveform in terms of magnitude and frequency impacts both grid-side currents and voltages. Several studies have proposed solutions to address power quality issues at the load side. The advancement of power converters has been fueled by the development of high-performance microprocessors and the emergence of high-speed switching devices, such as SiC-MOSFETs. This paper focuses on the design of voltage source converters, particularly those based on SiC-MOSFET semiconductor devices. The article presents the design of H-Bridge cells, discusses two-level voltage source converters based on cascade H-Bridge cells in parallel configuration with experimental fault analysis, addresses the seven-level voltage source converters topology, and explores the design and experimental results of the matrix converter. The findings underscore the importance of considering the entire converter design for improved performance at high switching frequencies. The article concludes by summarizing the main outcomes and implications of this research.

Livestock production systems generate nuisance odor and gaseous emissions affecting local communities and regional air quality. Also, there are concerns about the occupational health and safety of farm workers. Proven mitigation technologies that are consistent with the socio-economic challenges of animal farming are needed. We have been scaling up the photocatalytic treatment of emissions from lab-scale, aiming at farm-scale readiness. In this paper, we present the design, testing, and commissioning of a mobile laboratory for on-farm research and demonstration of performance in real farm conditions. The mobile lab is capable of treating up to 1.2 m3·s-1 of air with TiO2-based photocatalysis and adjustable UV-A dose based on LED lamps. We summarize the main technical requirements, constraints, approach, and performance metrics for the mobile laboratory, such as the effectiveness (measured as the percent reduction) and cost of photocatalytic treatment of air. The commissioning of all systems with standard gases resulted in ~9% and 34% reduction of NH3 and butan-1-ol, respectively. We demonstrated that as the percent reduction of standard gases increased with increased light intensity and treatment time. These results show that the mobile laboratory was ready for on-farm deployment and evaluating the effectiveness of UV treatment.

The effect of casein savinase hydrolysate (CSH) usage on frozen dough (1%, 1.5% and 2%, g/100 g flour) was investigated in terms of rheological, thermal, structural characteristics of wheat doughs and the textural and color properties of corresponding breads. Rheological measurement showed that CSH addition into dough led to a reduction of Gʹ and Gʹʹ values, but a similar trend wasn’t observed in frozen dough samples. The increase of protein band intensity was observed for control dough (CD) after frozen storage (-30 °C, 28 days) while there was no increases in band intensities of the doughs with CSH. The freezable water content of unfrozen doughs was decreased gradually with addition of CSH depended on concentration level. Frozen storage caused a notable reduction in α-helices structure of CD sample (p<0.05) while no significant variation was observed for the doughs containing CSH (p>0.05). Lowest specific volume reduction and hardness increment were observed for the breads containing 1.5% and 2% CSH. Frozen storage caused a significant reduction on b* value of bread crust (p<0.05) while no significant effect was observed for L* and a* value during frozen storage (p > 0.05). Overall, CSH incorporation into frozen dough can be an alternative that could reduce the quality deteriorations of frozen bread.

Aqueous enzymatic method is a green oil extraction technology with limited industrial application owing to the need for demulsification of the oil body intermediate product. Existing demulsification methods have problems including low demulsification rates and high costs, such that new methods are needed. Free fatty acids produced by lipid hydrolysis can affect the stability of peanut oil body (POB) at a certain concentration. After screening even-carbon fatty acids with carbon chain lengths below ten, caproic acid was selected for demulsification of POB using response surface methodology and a Box–Behnken design. Under the optimal conditions (caproic acid concentration, 0.22%; material-to-liquid ratio, 1:4.7 (w/v); time, 61 min; and temperature, 79 C), a demulsification rate of 97.87% was achieved. Caproic acid not only adjusted the reaction system pH to cause aggregation of the POB interfacial proteins, but also decreased the interfacial tension and viscoelasticity of the interfacial film with increasing caproic acid concentration to realize POB demulsification. Compared with pressed oil and soxhlet-extracted oil, the acid value and peroxide value of caproic acid demulsified oil were increased, while the unsaturated fatty acid content and oxidation induction time were decreased. However, the tocopherol and tocotrienol contents were higher than those of the soxhlet-extracted oil. This study provides a new method for the demulsification of POB.

Background: Fungi are ubiquitous microorganisms that are easily dispersed through the air. In healthcare environments, indoor air can favor the spread of healthcare-associated fungal infections, compromising mainly immunocompromised hospitalized individuals. Thus, this study aimed to evaluate the indoor air contamination in healthcare environments, investigating mainly the presence of potentially pathogenic yeasts. Methods: Indoor air samples were collected from twelve healthcare environments (hospital and medical clinics). After the growth, isolation, and purification of the yeast colonies, the isolates were identified by polymerase chain reaction using species-specific primers for yeasts of the genus Candida and sequencing of D1/D2 domains of the large ribosomal subunit (LSU rRNA). Results: Fourteen yeast species were identified, including emerging pathogens. Species of clinical importance such as Candida parapsilosis, Candida orthopsilosis, Candida glabrata, Rhodotorula mucilaginosa, and Trichosporon mucoides were present. C. Parapsilosis was the most prevalent species, followed by Rodothorula mucilaginosa. Conclusions: The present study shows that potentially fungal pathogens were present in air samples from healthcare environments, proving the role of indoor air in spreading infections. Thus, monitoring air quality in healthcare environments is a fundamental approach in developing infection control measures, especially those related to invasive fungal infections.

Rapeseed (Brassica napus L.) is one of the most oil crop, and its commercial value is contingent upon its agronomic characteristics and oil quality. In this study, 73,226 single nucleotide polymorphisms (SNPs) across 95 rapeseed mutant lines derived from gamma rays and their original cultivar (‘Tamra’) obtained from genotyping-by-sequencing (GBS) was investigated gene ontology (GO) analysis and genome-wide association study (GWAS). GWAS was conducted on agronomic (plant height, ear length, thousand seed weight and seed yield) and oil (fatty acid and crude fat) traits. GO analysis showed that many genes displaying SNPs were involved in cellular processes, intracellular anatomical structures and organic cyclic compound binding. A total of 149 significant SNPs were associated with the agronomic traits (76 SNPs) and oil traits (73 SNPs). Bna.A05p02350D (SFGH) and Bna.C02p22490D (MDN1) were selected as novel candid genes for thousand seed weight. In addition, Bna.C03p14350D (EXO70) and Bna.A09p05630D (PI4Kα1) were selected as novel candidate genes for the erucic acid and crude fat content, respectively. These findings could facilitate the identification of optimal genotypes for breeding new cultivars, and association studies represent an economically efficient tool for mutant screening and the selection of elite rapeseed-breeding lines.

Regulated deficit irrigation (RDI) strategies aim to improve water usage without reducing yield. Generally, irrigation strategy effectiveness is measured as fruit yield, with little consideration of fruit quality. As water deficit and increased plant cell sclerification often associated, this study explores the effect of RDI on pear fruit stone cells, a crucial factor affecting flesh texture. The presence, distribution and development of pear fruit stone cells under RDI and full irrigation are compared using Pyrus communis L. cv. Barlett trees, employing recently developed microscope image analysis technology. The Control treatment was maintained under non-stress conditions, while the RDI treatment received an average of 15% of Control water during the latter part of Stage I fruit development. Observations at the end of Stage I and at harvest showed no effect on stone cell presence under the tested RDI strategy. Relative area of stone cells within the flesh was greater at Stage I than at harvest, as stone cell expansion occurred early in development while the (unsclerified) parenchyma cells, dominant component of the fruit flesh, expanded until harvest. Stone cell cluster density was higher near the fruit core than in the cortex center and exterior. These initial results suggest that well-planned RDI strategies will generally not affect pear fruit stone cell content and thus, textural quality. Microscope image analysis supported results from previously used analytical techniques, principally chemical, while providing a tool for better understanding the process and timing of stone cell differentiation and thus testing the factors involved.

This study investigated the effect of protein bread fortification with 2, 4 and 6% of cumin (Cuminum cyminum) and caraway (Carum carvi) whole seeds and by-products flour, respectively. Fortified protein bread samples were compared to control protein bread and evaluated for their sensory, color, moisture, hardness properties as well as their nutritional values. Total phenolic contents and Trolox equivalent antioxidant capacity were also analyzed. Results indicated that bread fortification shows significant effects on bread properties depending on fortification level. A higher acceptability was observed specially for bread fortified with by-products flour. Increased tendencies of color darkness, moisture content, bread hardness, nutritional values as well as total phenolic content and radical scavenging activity compared to control bread were observed as the percentage of fortification increased in both cases. The overall results showed that addition of cumin and caraway seeds and by-products flour can improve the antioxidant potential and overall quality of protein bread.

Three-phase AC electric arc furnace (EAF) is a typical non-linear load, causing many power quality problems. Most of the researches on the voltage problems of EAF mainly focus on the voltage fluctuation, and less on the transient voltage problems caused by EAF short circuit and open circuit. In this paper, the relationship between voltage and current of EAF is obtained by combining hyperbolic function and exponential function, then the white noise and chaotic circuit are added to establish the EAF model which is suitable for the study of voltage fluctuation and transient voltage. This paper analyzes the causes of the transient voltage problem of the EAF, calculates the short-circuit current, reactive impact and the influence on voltage at the point of common coupling (PCC) in the three-phase short-circuit of the EAF, and compares the calculation results with the simulation results to prove the accuracy of this model. The results show that the reactive impact of three-phase short circuit is about twice as much as that of normal operation of EAF, resulting in about 30% voltage sag at the PCC, which is very unfavorable to the power grid. This paper provides reference for transient power quality evaluation and dynamic reactive power compensation of EAF.

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.

In recent times, using image-based deep learning techniques has been very useful for classifying fruits. However, mango is a particular challenge because its shelf life is directly related to the degree of maturity at the time of harvest, which is determined mainly through the visual assessment of the operators when sorting them, doing it incorrectly, coupled with the blows and compressions exposed during storage and transport, trigger the deterioration in their quality, hence the importance of this operation. In this sense, the purpose of this study focuses on designing a computational model based on Deep Learning that uses a convolutional neural network (CNN) parameterized to select mangoes according to their color tone based on their maturity stage. A dataset was established from 201 labeled images, then a CNN architecture was built, obtaining a model on which 3 criteria were evaluated: the number of convolution and grouping layers, the resolution of the input images and the number of training epochs required. As a result, an input image resolution of 32 x 32 pixels was achieved, the process included a convolution layer followed by pooling that fed another layer that processed the results and ended in an output layer with 2 neurons under the One Hot Encoding representation. The model required 20 epochs to perfect its training, achieving 96.04 % accuracy in mango image selection. This study supports the potential of CNNs in quality analysis through mango color selection, even in uncertainty scenarios.

Background: The high prevalence of learning disabilities among children confirm that learning disabilities are surprisingly common. In absence of routine screening, many children still go undetected with a huge individual and family burden, while at the same time existing interventions are conflicting. The purpose of the study is to report on the design, implementation and evaluation of an innovative pilot intervention aiming to improve the quality of life of the family of students with specific learning disabilities. Method: For the purposes of this study, we used an experimental research design, using two groups (intervention and control). The intervention included four meetings with parents of children from the intervention group. To assess the quality of life of the students' family and the parenting style, the following measuring tools were used. They conducted at times and locations convenient to each participant. The instruments used to measure outcomes were two standard weighted questionnaires, the parenting style questionnaire and the family quality of life questionnaire. Findings: The results showed that the intervention program had significantly positive effects on both parenting style and children’s quality of life. Specifically, a decrease in parental authoritarianism and an increase in parental support were observed. Also, an increase in child-parent interaction, emotional and general well-being was found. Conclusion: The intervention program did improve the quality of life of the children by increasing all the variables related to the measurement of their quality of life.

Abstract Introduction: Poor structural quality of health facilities for tuberculosis (TB) diagnosis and treatment contributes to unfavorable health outcomes among TB patients. Improving the quality of healthcare services helps to avert TB-related morbidity. Despite these facts, the level of structural quality of health facilitieSs to deliver TB services is not in line with what the national TB and leprosy program (NTLP) recommends. Hence, the present study was conducted to assess the structural quality of health facilities to deliver quality TB services to TB patients among public health facilities in the Sidama region.Objectives: To determine the quality of the structural domain of TB services at public health facilities in the Sidama region of southern Ethiopia.Methods: An institution-based cross-sectional study was conducted from June to July 2023 among randomly selected public health facilities in the Sidama region. We included 40 randomly selected public health facilities that delivered TB services in the study area. Data was collected by experienced data collectors using facility audits, clinical observation checklists, structured questionnaires, and in-depth interviews. An Open Kit Mobile (ODK) application was used to collect data and exported to SPSS version 26. All statistical analysis was done using SPSS version 26.Results: The overall mean quality score for the structural dimension was 50.25 among the 40 health facilities audited in the study area.Conclusion: The quality of TB services regarding structural dimensions was poor in the study area. Therefore, any strategies must give careful attention to increasing the comprehensive structural dimension of quality TB services.

The presence of copper in distilled sugar cane spirits, especially cachaça produced in alembics, has impeded the marketing of this product. Red mud (RM) is a residue obtained from alumina production. It contains a high concentration of metal oxides and is very alkaline. The RM was dried at 100 oC and sifted through a 150-micron sieve. The sample was characterized by B.E.T. nitrogen adsorption, scanning electron microscopy-energy-dispersive X-ray (SEM-EDX) and Atomic Absorption Spectrometry (A.A.S.). The textural parameters indicate that the total surface area (S.T.) was 21.9 m2g-1, and the total volume pore (V.T.) was 0.09 cm3g-1. The RM (1 g) was stirred for two hours with a 1.0 L cachaça sample containing 9.39 mg of copper L-1 and filtered under atmospheric pressure. The concentration of copper ions detected in the filtrate was 0.00 mg L-1. No copper ions were retained when the cachaça was filtered through the RM under high pressure without stirring prior to filtration.

When wood is thermally modified, several chemical reactions take place that change the chemical and physical properties of the wood. These changes correlate with the degree of modification, which is mostly a function of temperature and duration of modification, and consequently with a mass loss during this process. There is a lack of standardized quality control to verify the degree of heat treatment of wood and thus its quality. One of the possible methods to check the degree of thermal modification of a particular type of wood is thermogravimetry (TG). It is based on the assumption that processes that did not take place during thermal modification continue when the TG experiment is carried out. In this method, calibration curves have to be established based on TG measurements of standard samples that have been thermally modified at different temperatures and whose mass loss during modification is known. The calibration curves show the mass loss during the TG measurement as a function of the mass loss during the previous thermal modification. The course of thermal decomposition during the TG measurements is influenced by many parameters, such as the mass of the sample, the heating rate, the atmosphere in which the measurement takes place, and the shape of the crucible in which the sample is placed. In this paper, the influence of these parameters on the calibration curves was investigated. We have focused on oak wood. The best parameters result in a calibration curve with the largest correlation coefficient R2 and the highest slope of the line k. On this basis, we can determine the mass loss during thermal modification of unknown samples of the same wood species under the same measurement conditions.

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 continuing mutability of the SARS-CoV-2 virus can result in failures of diagnostic assays. To address this, we describe a generalizable bioinformatics-to-biology pipeline developed for calibration and quality assurance of inactivated SARS-COV-2 variant panels provided to Radical Acceleration of Diagnostics programs (RADx)-radical program awardees. Heuristic genetic analysis based on variant-defining mutations demonstrated the lowest genetic variance in the Nucleocapsid protein (Np)- C-terminal domain (CTD) across all SARS-COV-2 variants. We then employed the Shannon entropy method on (Np) sequences collected from the major variants, verifying the CTD with lower entropy (less prone to mutations) than other Np regions. Polyclonal and monoclonal antibodies were raised against this target CTD antigen and used to develop an Enzyme-linked immunoassay (ELISA) test for SARS-CoV-2. Blinded Viral Quality Assurance (VQA) panels comprising of UV-inactivated SARS CoV-2 variants (XBB.1.5, BF.7, BA.1, B.1.617.2, and WA1) and distractor respiratory viruses (CoV 229E, CoV OC43, RSV A2, RSV B, IAV H1N1, and IBV) were assembled by the RADx-rad Diagnostics core and tested using the ELISA described here. The assay tested positive for all variants with high sensitivity (Limit of Detection: 1.72-8.78 ng/mL) and negative for the distractor virus panel. Epitope mapping for the monoclonal antibodies identified a twenty amino acid antigenic peptide on the Np-CTD that an in-silico program also predicted for the highest antigenicity. This work provides a template for a bioinformatics pipeline to select genetic regions with a low propensity for mutation (low Shannon entropy) to develop robust ‘pan-variant’ antigen-based assays for viruses prone to high mutational rates.

Drought and high temperature often occur simultaneously will eventually affect rice (Oryza sativa L.) yield and seed quality. The objective of the study was to compare the effects of high temperature (HT) and water limitation (WL) during seed development and maturation on yield component, seed quality, and amylose content in aerobic rice cv. MRIA. Two experiments were conducted concurrently in greenhouse with ⁓35/26℃ subjected to elevated HT and/or WL; 5 days 38/28°C at 10, 15, 29 DAA and/or HT; 7 days at 40/28℃ at 8 and 21 DAA with 12h photoperiod in control environment growth chamber. Both experiments were respectively harvested at physiological maturity of 31 and 35 DAA. Grain yielded from the irrigated plant declined from over 27% to below 18% between 15 and 29 DAA. Combination stresses resulted in greater reduction of grain yield than single stress. Late seed development (29 DAA) had no effect either on yield component or seed quality as well as produce a high concentration in amylase content (16.7%) with greater germination capacity (91%). The non-stress plant harvested at 21 DAA resulted the highest percentage of germinated seeds (97%) whereas the vigour index (VI) was reduced to 70.3% and 58.9% at 8 and 21 DAA respectively. Extended plant stress to 7 consecutive days incurred the highest VI with low concentration of amylose content. There was a linear relationship incurred between seed amylase content with germination capacity and VI, however, there was an inverse relationship (R2 = 0.19) between amylase content with VI from plant treated with (HT and/or WL) for 7 days. The present results confirmed that the avoidance HT and WL during early (10 DAA) and mid (15 DAA) seed development with short duration of stress (5 days) obtained better in yield component, enhanced the seed quality and amylose concentration. The combined HT and WL damaged seeds’ quality were more than each stress alone. Therefore, avoiding HT and WL can be practically applied by farmers by irrigating throughout the rice plant during histodifferentiation to save water usage during seed maturation.

The study presented hereafter shows a new methodology to reveal traces of polyethylene (the most common microplastic particles, known as a structure of C2H4) in a sample of ocean water by the irradiation of a 50 keV, 1 µA electron beam. This is performed by analyzing the photon (produced by the electrons in water ) fluxes and spectra (i.e. fluxes as a function of photon energy) at different types of contaminated water with an adequate device and in particular looking at the peculiar interactions of electrons/photons with the potential abnormal atomic hydrogen (H), oxygen (O), carbon (C), phosphorus (P) compositions present in the water, as a function of living and not living organic organisms with a PO4 group RNA/DNA strands in a cluster configuration through a volumetric cells grid.

The study’s objective was to evaluate the influence of thinning on the quality and regularity of yield of 'Regina' cherries grown on a dwarf Gisela 5 rootstock. The experiments were conducted in the years 2009-2012 in Western Poland. Trees were thinned using a chemical agent, ammonium thiosulphate (ATS) at doses of 20g ATS × L-1, 30g ATS × L-1 and 40g ATS × L-1, and by hand, and the results of chemical and hand thinning were compared with those obtained for unthinned trees. The course of weather conditions in winter and during flowering had a significant impact on yield. Chemical thinning is known to be an effective method to regulate fruiting of pome trees, but it can also be successful if applied to cherry trees, as reflected by the alternate bearing index, which was the lowest after applying ATS at a dose of 40g. ATS treatment improved fruit quality in full crop years. Thinning resulted in, among other things, larger and darker fruit and higher content of total soluble solids and titratable acidity. Treatment with 40g ATS × L-1 significantly stimulated the vegetative growth of trees.

The human gut microbiota (GM) is a complex and dynamic ecosystem that hosts trillions of commensal and potentially pathogenic microorganisms. It is crucial in protecting humans from pathogens and in maintaining immune and metabolic homeostasis. Numerous studies have demonstrated that GM has a significant impact on health and disease, including Alzheimer’s disease (AD). AD is a progressive neurodegenerative disorder characterized by impaired short-term memory and cognitive deficits. Patients with AD have been reported to exhibit abnormalities in GM density and species composition. Oxidative stress (OS) has been implicated in the onset and progression of AD, however, the relationship between OS and gut microbiota in AD onset and progression is not clear. Twendee X®︎ (TwX), an oral supplement consisting of 8 active ingredients, has been shown to prevent dementia in mild cognitive impairment (MCI) in humans and substantially improve cognitive impairment in mouse models of AD. This positive effect is achieved through the potency of the combined antioxidants that regulate OS and therefore similar results cannot be achieved by a single antioxidant ingredient. To examine the impact of long-term OS elevation as seen in AD on the body and GM, we examined GM alterations during the initial OS elevation using a rat 2-week OS loading model, and examined the effects of TwX on OS and GM. Furthermore, using a questionnaire survey and fecal samples, we analyzed the impact of TwX on healthy individuals' gut bacteria and the associated effect on their quality of life (QOL). TwX was found to increase the number of bacteria species and their diversity in GM, as well as butyrate-producing bacteria, which tend to be reduced in AD patients. Additionally, TwX improved defecation condition and QOL. The gut bacteria function as part of the homeostatic function during OS elevation, and prophylactic administration of TwX strengthened this function. The results suggests that the preventative effect of TwX on dementia may involve the GM in addition to the other effects previously demonstrated.

In precision grinding of hard and brittle materials, coarse-grained diamond grinding wheels are increasingly favored for their efficiency and contour accuracy. However, challenges in dressing these grinding wheels have hindered their widespread adoption. In this paper, the effects of dressing parameters on the surface profile and morphological characteristics of electroplated coarse-grained diamond were studied, thereby optimizing the dressing accuracy and dressing efficiency of the coarse-grained diamond grinding wheel. Models for the surface morphology of the large-grained diamond grinding wheel and its grinding surface were established. With a focus on optimizing dressing accuracy, we explored how the grain’s protruding height post-dressing affects the surface morphology of both the diamond grinding wheel and the grinding surface. The model’s accuracy was verified by electroplated coarse-grained diamond grinding wheel grinding experiments with different grain protrusion heights, and the causes of surface morphology formation were analyzed based on morphological characteristic parameters such as surface roughness and surface height difference. The results showed that compared with the undressed grinding wheel, the surface roughness Sa and Sq of the workpiece by the dressing wheel are reduced by 97.75%−99.77% and 97.57%−99.73%, respectively. Precision dressing enables the surface roughness of the electroplated coarse-grained diamond grinding wheel to reach nanometer levels, enhancing its feasibility and application potential.

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.

Organizations can play a significant role in the advancement of Sustainable Development, and companies with Quality, Environmental and Occupational Health and Safety (QEOHS) certified management systems address the three Sustainability Dimensions (economic, environmental and social). This research aims to map the present level of engagement of those companies in contributing and reporting to the 17 Sustainable Development Goals of The United Nations 2030 Agenda. The content of companies reports (available in web sites, by 31 December 2017) of a total of 235 Portuguese organizations with QEOHS certified management systems, was analyzed. The results show a moderate reporting of SDGs by those companies, with the top five being SDG 12 - Responsible consumption and production (23.8%), SDG 13 – Climate action (22.1%), SDG 09 - Industry, innovation, and infrastructure (21.3%), SDG 08 - Decent work and economic growth (20.0%) and SDG 17 - Partnerships for the goals (19.6%). The results of the statistical tests indicate that the communication of SDGs is more prominent in organizations (QEOHS) with higher business volume, that are members of the United Nations Global Compact Network Portugal, and that disclose their sustainability reports on their web site. This study can be useful for decision-makers that aim to support organizations to contribute to the Sustainable Development Goals.

Water quality retrieval for small urban waterbodies by remote sensing get used to be difficult due to coarse spatial resolution of the remote sensing imagery. The recently launched Sentinel-2 produces imagery with a spatial resolution of 10 m. It provides an opportunity to solve the problem of retrieving water quality for small waterbodies. Additionally, many water management issues also require fine resolution of imagery, e.g. illegal discharge to an urban waterbody. Since illegal discharges are an important issue for urban water management, chemical oxygen demand (COD), total phosphorous (TP), and total nitrogen (TN) were chosen as the target parameters for water quality retrieval in this study. COD, TP and TN, however, are non-optically active parameters. There were limited studies in the past to retrieve these parameters in comparison with optically active parameters, e.g. Chlorophyll-A etc. This study compared three machine learning models, namely Random Forest (RF), Support Vector Regression (SVR), and Neural Networks (NN), to investigate the opportunity to retrieve the above non-optically active parameters. Results showed that R² of TP, TN, and COD by NN, RF and SVR were 0.94, 0.88, and 0.86, respectively. The performances of water quality retrieval for these non-optically active parameters were significantly improved by the optimized machine learning models. These models hence solved the problem to use remote sensing data to retrieve these non-optically active water quality parameters and provided a new monitoring strategy for small waterbodies. Water quality mapping obtained by Sentinel-2 imagery provided a full spatial coverage of the water quality characterization for the entire water surface. Compared with water samples collecting and testing, it greatly reduced labor cost, reagents cost, and waste treatment cost. It also may help identify illegal discharges to urban waterbodies. The method developed in this research provides a new practical and efficient water quality monitoring strategy in managing water with consideration of environmental sustainability.

The rural road landscape is crucial in forming rural areas' landscape character (LC). As a platform for portraying the rural landscape, the rural roads demonstrate the area's unique natural and cultural characteristics to the visitors. However, with the continuous development of rural areas, the rural LC has been severely impacted, thus impacting visitors' visual experience. In order to preserve and protect the rural landscape, this study aims to assess the visual quality of rural road landscapes based on public preference and heatmap analysis. The results indicated that most of the participants had a higher level of preference for rural landscapes with open horizontal views represented by agricultural areas such as paddy fields. It was also found that different paddy field characters based on their planting stages can also positively affect the visual quality of rural road landscapes. The study also revealed that rural LCs with roadside settlements, commercial structures, mixed agricultural crops, and vegetation received low preference ratings. These characters negatively impact the visual quality of the rural road landscape. These findings provide significant insight for planners and decision-makers regarding protecting and preserving the essential rural road landscapes for the rural tourism experience.

The quality of healthcare services is a very important indicator of social welfare in developed and emerging countries. Good quality levels are critical to ensuring patient safety, improving health outcomes, increasing patient satisfaction, optimizing resource utilization, and meeting regulatory requirements. The stable and sustainable operation of medical institutions urgently requires the establishment of a reliable and effective medical quality performance evaluation platform. However, the complexity of the evaluation process, involving numerous evaluators and the consideration of different subjective and objective criteria, poses significant challenges and essentially constitutes a group multi-criteria decision-making problem. This article uses the overall medical environment of the institution, medical service attitude, medical security, administrative service measures, etc. as measurement standards to deal with this challenge. It proposes a medical service quality measurement model suitable for both qualitative and quantitative analysis. In view of the heterogeneity of information, the two-tuple fuzzy language calculation method is introduced to enable evaluators to skillfully manage diverse information and effectively avoid potential information omission problems in the subjective evaluation integration process. The effectiveness and feasibility of the model were demonstrated by applying it to the operational framework of a medical institution in central Taiwan.

As the global population grows, the demand for food increases and puts a strain on food production systems and agricultural productivity, causing soil degradation. Soil Quality Indexes (SQIs) have been developed to maintain and improve soil quality. However, due to the variety of soils and SQIs, analyzing and comparing results has been historically difficult. Therefore, in this study, we carried out a systematic review with meta-analysis focused on soil quality studies of agricultural soils under intensive agriculture using the unified weighted additive SQI methodology (SQIU). We analyzed 65 quality observations obtained from 22 studies. Chemical indicators were the most prevalent in the SQIUs, followed by physical and biological indicators. Conventional soil management had negative effects on soil quality (–7.55%). From the factors analyzed, the minimum database had a significant effect on the soil quality results, but not the number of indicators that made up the SQIU. The SQIU made up of chemical-biological indicators (CB) presented negatively overestimated measurements of soil quality (–32.53%), exaggerating the damage to the analyzed soils. The indicators that correlated most strongly with the size of the effect on agricultural soil quality were the cation exchange capacity (CEC), carbon to nitrogen ratio (C/N), and microbial biomass carbon (MBC). The SQIU is a feasible tool to interpret the quality of agricultural soils around the world, as it makes it possible to obtain a simple and generalized view of soil conditions.

This work examines the effects of two problematic trends in diesel passenger car emissions – increasing NO2/NOx ratio by conversion of NO into NO2 in catalysts and a disparity between the emission limit and the actual emissions in everyday driving – on ambient air quality in Prague. NO2 concentrations were measured by 104 membrane-closed Palmes passive samplers at 65 locations in Prague in March-April and September-October of 2019. NO2 concentrations measured by city stations during those periods were comparable with the 2016-2019. The average measured NO2 concentrations at the selected locations, after correcting for the 18.5% positive bias of samplers co-located with a monitoring station, were 36 µg/m3 (range 16-69 µg/m3, median 35.3 µg/m3), with the EU annual limit of 40 µg/m3 exceeded at 32% of locations. The NO2 concentrations have correlated well (R2=0.76) with the 2019 average daily vehicle counts, corrected for additional emissions due to uphill travel and intersections. In addition to expected “hot-spots” at busy intersections in the city center, new ones were identified, i.e. along a six-lane road V Holešovičkách. Comparison of data from six monitoring stations during March 15-April 30, 2020 travel restrictions with the same period in 2016-2019 revealed an overall reduction of NO2 and even a larger reduction of NO. The spatial analysis of data from passive samplers and time analysis of data during the travel restrictions both demonstrate a consistent positive correlation between traffic intensity and NO2 concentrations along/near the travel path. The slow pace of NO2 reductions in Prague suggests that stricter vehicle NOx emission limits, introduced in the last decade or two, have so far failed to sufficiently reduce the ambient NO2 concentrations, and there is no clear sign of remedy of Dieselgate NOx excess emissions.

Chrysanthemum tea, a typical health tea with the same origin as medicine and food, is famous for its unique health benefits and flavor. To clarify the influence of metabolites of different varieties of chrysanthemum tea on the formation of taste and quality differences, nontargeted metabolomics combined with electronic tongue analysis were used to characterize the correlation between metabolites profiles and taste characteristics of different quality chrysanthemum tea. Thirteen metabolites were identified as the key metabolites of the sensory quality difference between Huangju and Jinsi Huangju tea. Kaempferol, luteolin, genistein, and some quinic acid derivatives were correlated with the ‘astringent’ and taste attributes. In contrast, l-(-)-3 phenyllactic acid and L-malic acid were found to be the ‘bitterness’ and ‘umami’ in chrysanthemum tea. KEGG pathway enrichment analysis showed that the flavonoid and flavonol biosynthesis pathway had important effects on the sensory quality of chrysanthemum tea.

Acute and chronic graft versus host disease (a/cGVHD) are major complications of allogeneic stem cell transplantation and a frequent cause of non relapse-mortality. The treatment of a/cGVHD consists of steroid administration at full dose. In the case of aGVHD, around 60 % of patients with grade III/IV fails to respond (steroid-resistant, SR), requiring a second line therapy. Extracorporeal photopheresis (ECP) represents a good option for second line treatment, leading to multiorgan response in several patients. Here, we have evaluated the performances of a cytofluorimetric quality control of the first ECP procedure in 29 patients with severe SR aGVHD who underwent ECP. The quality control represents a check control of in vitro cell apoptosis/death induction in collected and irradiated CD3+ cells by ECP. Our analysis shows that in more than 70 % quality controls a relevant apoptotosis/death of CD3+ cells was observed after cell irradiation, as compared to non-irradiated controls. Albeit observed in a small patients’ series, the occurrence of relevant in vitro effect after ECP relates to less procedures and/or to a better survival on ECP. Age, disease, gender, aGVHD grade and time from transplant to the first ECP had not impact on ECP efficacy in this patients’ series.

This publication aims to disseminate a step-by-step process that walks through the conceptualization and building of a low-cost (~ $150 monitoring device for airborne fine particulate matter (PM2.5), based on miniaturized sensors and components. Details on the implementation of the hardware and software are provided which facilitate the data acquisition, capture and analysis. The central components and their setup discussed in what follows include: the sensor device (called “P.ALP” – Ph.D. Air quality Low-cost Project), Arduino IDE (Integrated Development Environment) and R code (open-access software). A monitoring device for PM2.5, using low-cost sensors and technologies was successfully conceptualized, designed, and implemented. The P.ALP monitoring system was designed and developed to be a basic device, which can be further customized and implemented using the wide range of low-cost sensors available on the market.

With the unceasing advancement in wide-bandgap (WBG) semiconductor technology, the minimal reverse-recovery charge Qrr and other more powerful natures of WBG transistors enable totem-pole bridgeless PFC to become a dominant solution for energy storage systems (ESS). This paper focuses on design and implementation of a control structure for a totem-pole boost PFC with newfangled enhancement-mode Gallium Nitride (eGaN) FETs, not only to simplify the control implementation, but also to achieve high power quality and efficiency. The converter is designed to convert a 90-264-VAC input to a 385-VDC output for a 2.6-kW output power. Lastly, to validate the methodology, an experimental prototype is characterized and fabricated. The uttermost efficiency at 230 VAC attains 99.14%. The lowest total harmonic distortion in the current (ITHD) at high line condition (230 V) reaches 1.52% while the power factor gains 0.9985.

We examine how observations can be used to evaluate an air quality analysis by verifying against passive observations (i.e. cross-validation) that are not used to create the analysis and we compare these verifications to those made against the same set of (active) observations that were used to generate the analysis. The results show that both active and passive observations can be used to evaluate of first moment metrics (e.g. bias) but only passive observations are useful to evaluate second moment metrics such as variance of observed-minus-analysis and correlation between observations and analysis. We derive a set of diagnostics based on passive observation–minus-analysis residuals and we show that the true analysis error variance can be estimated, without relying on any statistical optimality assumption. This diagnostic is used to obtain near optimal analyses that are then used to evaluate the analysis error using several different methods. We compare the estimates according to the method of Hollingsworth Lonnberg, Desroziers, a diagnostic we introduce, and the perceived analysis error computed from the analysis scheme, to conclude that as long as the analysis is optimal, all estimates agrees within a certain error margin. The analysis error variance at passive observation sites is also obtained.

The purpose of this work was to achieve non-destructive detection of the internal defects of in-shell walnuts using X-ray radiography technology based on improved Faster R-CNN network model. First, the FPN structure was added to the feature extraction layer to extract richer image information. Then ROI Align was used to instead of ROI Pooling for eliminating the localization bias problem caused by quantization operation. Finally, the Softer-NMS module was introduced to the final regression layer with the predicted bounding box for improving the localization accuracy of the candidate boxes. The results indicated that the internal defects in intact walnuts with shells could be identified effectively using the proposed improved network model in this study. Specifically, the discrimination accuracy of the in-shell sound, shriveled and empty-shell walnuts were 96.14%, 91.72% and 94.80% respectively, and the highest overall accuracy can reach 94.22 %. Contrasted with original Faster R-CNN network model, the mAP and F1-value of the improved Faster R-CNN model increased by 5.86% and 5.65%, respectively. Consequently, the proposed method can be applied for the in-shell walnuts with shriveled and empty-shell defects.

Background: Since 2010, Burkina Faso has developed and initiated community-based management of childhood illnesses. Following the increased presence of community health workers and the adoption of free community health care, this study aims to assess community satisfaction with curative care administered by community health workers. Methodology: It was a descriptive and analytical cross-sectional study. Data were collected in the health districts of Boussé and Boussouma from 20 February to 30 March 2023 for quantitative data and from 12 to 30 January 2024 for qualitative data using a questionnaire (household survey) and an interview grid (focus groups). Analyses were conducted using SPSS IBM 25 and Nvivo 14. Results: Households benefit from oral curative care when using CHWs, but are not satisfied with the temporal accessibility of these community health workers. Temporal accessibility and awareness during care have a significant influence on household satisfaction. Conclusion: Curative care by community health workers is effective, but its use could be improved by addressing the unavailability of community health workers, inputs and better communication during care.

Heat shock proteins (HSPs) are a family of molecular chaperones that regulate essential protein refolding and triage decisions to maintaining protein homeostasis. Numerous co-chaperone proteins directly interact and modify the function of HSPs, and these interactions impact the outcome of protein triage, impacting everything from structural proteins to cell signaling mediators. The chaperone/co-chaperone machinery protects against various stressors to ensuring cellular function in the face of stress. However, coding mutations, expression changes, and post-translational modifications of the chaperone/co-chaperone machinery can alter the cellular stress response. Importantly, these dysfunctions appear to contribute to numerous human diseases. Therapeutic targeting of chaperones is an attractive but challenging approach due to the vast functions of HSPs, likely contributing to the off-target effects of these therapies. Current efforts focus on targeting co-chaperones to develop precise treatments for numerous diseases caused by defects in protein quality control. This review focuses on the recent developments regarding selected HSP70/HSP90 co-chaperones, focusing on cardioprotection, neuroprotection, and cancer. We also discuss therapeutic approaches that highlight both the utility and challenges of targeting co-chaperones.

(1) Background: Grapes and their associated by-products (as grape pomace, GP) stand out for their polyphenol content, which makes them a source of bioactive compounds with antioxidant capacity. The aim of this research was to determine if the inclusion of 50 g/kg of GP in the diet of hens could enrich egg with antioxidants and to study its effect on internal and external egg quality parameters. (2) Methods: A trial was conducted with two genetic lines of hens, which were fed either a control diet or a diet containing 50 g/kg of GP. Performance, internal and external egg quality, and egg yolk content of vitamins E and A, and gallic acid were determined; (3) Results: In eggs laid by hens fed GP diet, Haugh units and yolk colour score were enhanced, and eggshell became thinner, but without affecting the breaking strength. No dietary effect was observed on vitamin contents in yolk. Higher gallic acid content was observed in yolk of eggs laid by hens fed the GP diet, suggesting that some dietary phenolic compounds could be transferred to the eggs. Hen genetics influenced egg weight, albumen Haugh units, shell thickness and α- and γ-tocopherol concentration in yolks; (4) Conclusions: Dietary inclusion of GP improved the internal quality of eggs, enriching yolks with a phenolic compound, but reduced shell thickness.

Call set up success rate (CSSR) in a mobile network is an important quality parameter, which directly influences overall key performance indicators (KPIs) of the network service providers. Network KPIs especially the CSSR is the fraction of the attempts to make a call that result in a successful connection to the dialled number. Nevertheless, all call attempts do not end with a connection to the dialled number. In this research, six sigma methodology is applied to improve the call quality of a legacy mobile network and subsequently to boost comprehensive CSSR of a telecom service provider. This research elucidates an empirical study of improving overall CSSR by employing DMAIC methodology consisting of five stages, e.g. Define, Measure, Analysis, Improve and Control. In addition, analytic hierarchy process (AHP) technique is used for determining the vital causes out of all the identified network parameters affecting overall CSSR. Furthermore, the identified vital parameters are being upgraded in order to improve the overall CSSR and finally the system achieved a higher CSSR.

Image fusion is a useful tool for producing a high-resolution multispectral image to be used for land use and land cover mapping. In this study, we use nine pansharpening algorithms namely Color Normalized (CN), Gram-Schmidt (GS), Hyperspherical Color Space (HCS), High Pass Filter (HPF), Nearest-Neighbor Diffusion (NND), Principal Component Analysis (PCA), Resolution Merge (RM), Stationary Wavelet Transform (SWT), and Wavelet Resolution Merge (WRM) to fusion Worldview-3 multispectral Bands and panchromatic band. In spectral and spatial fidelity, several image quality metrics are used to evaluate the performance of pansharpening algorithms. The SWT and PCA algorithms showed better results compared to other pansharpening algorithms while GS and CN algorithms showed the worst results for the original image fusion. The effect of fusion on each band was separately investigated and according to the calculations, we found that the CoastalBlue band and the Blue band showed the best result and the NIR-1 band and NIR-2 band show the worst result for the original image fusion. In the end, we conclude that the choice of fusion method depends on the requirement of remote sensing application.

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.

With an increased interest in applications that require a clean background image, such as video surveillance, object tracking, street view imaging and location-based services on web-based maps, multiple algorithms have been developed to reconstruct a background image from cluttered scenes. Traditionally, statistical measures and existing image quality techniques have been applied for evaluating the quality of the reconstructed background images. Though these quality assessment methods have been widely used in the past, their performance in evaluating the perceived quality of the reconstructed background image has not been verified. In this work, we discuss the shortcomings in existing metrics and propose a full reference Reconstructed Background image Quality Index (RBQI) that combines color and structural information at multiple scales using a probability summation model to predict the perceived quality in the reconstructed background image given a reference image. To compare the performance of the proposed quality index with existing image quality assessment measures, we construct two different datasets consisting of reconstructed background images and corresponding subjective scores. The quality assessment measures are evaluated by correlating their objective scores with human subjective ratings. The correlation results show that the proposed RBQI outperforms all the existing approaches. Additionally, the constructed datasets and the corresponding subjective scores provide a benchmark to evaluate the performance of future metrics that are developed to evaluate the perceived quality of reconstructed background images.

Crop yield prediction is relevant subject of current agricultural science. There are various mathematical approaches to crop yield prediction, and regression analysis, notwithstanding the fact that it is somewhat outdated, is still one of the most used ones in this purpose. The quality of predictive model is of great importance, and it is strongly dependent on the rational choice of the target function. The goal of this study is to find out the best regression model for winter wheat, soybeans, and grain corn yield prediction depending on the crops’ water use. The data on true crops’ yields and water use were collected within 1970-2020 at the experimental fields of the Institute of Climate-Smart Agriculture, Kherson region, Ukraine. In total, 145 data pairs were processed by the best subsets regression to find out the best model in terms of fitting quality (assessed by the Pearson’s coefficient of correlation), and prediction accuracy (assessed by the values of the minimum and maximum absolute errors and mean average percentage error). As a result, it was established that the best fitting quality for all the studied crops is attributed to cubic function, while the best accuracy is recorded for hyperbolic (reverse) function in soybeans (mean absolute percentage error is 12.27%), quadratic and hyperbolic functions in winter wheat (mean absolute percentage error is 20.54%), and cubic function in grain corn (mean absolute percentage error is 14.92%). To sum up the results of the study, it is recommended to apply cubic regression function for modeling crops’ yields in agricultural studies.

Thousands of antibodies for diagnostic and other analytical purposes are on the market. However, it is often difficult to identify duplicates, reagent changes, and to assign the correct original publications to an antibody. This slows down scientific progress and might even be a cause of irreproducible research and a waste of resources. Recently, activities were started to suggest the sole use of recombinant antibodies in combination with the open communication of their sequence. In this case, such uncertainties should be eliminated. Unfortunately, this approach seems to be rather a long-term vision since the development and manufacturing of recombinant antibodies remain quite expensive in the foreseeable future. Also, nearly all commercial antibody suppliers may be reluctant to publish the sequence of their antibodies, since they fear counterfeiting. De-novo sequencing of antibodies is also not feasible today for a reagent user without access to the hybridoma clone. Nevertheless, it seems to be crucial for any scientist to have the opportunity to identify an antibody undoubtedly to guarantee the traceability of any research activity using antibodies from a third party as a tool. For this purpose, we developed a method for the identification of antibodies based on a MALDI-TOF-MS fingerprint. To circumvent lengthy denaturation, reduction, alkylation, and enzymatic digestion steps, the fragmentation was performed with a simple formic acid hydrolysis step. Eighty-nine unknown monoclonal antibodies were used for this study to examine the feasibility of this approach. Although the molecular assignment of peaks was rarely possible, antibodies could be easily recognized in a blinded test, simply from their mass-spectral fingerprint. A general protocol is given, which could be used without any optimization to generate fingerprints for a database. We want to propose that in most scientific projects relying critically on antibody reagents, such a fingerprint should be established to prove and document the identity of the used antibodies and to assign a specific reagent to a datasheet of a commercial supplier, a public database record or an antibody ID.

Sleep and stress significantly affect emotions, productivity, and overall well-being, crucial for optimal health and performance. However, limited research examines how Nepalese nurses' quality of life relates to their sleep quality and stress levels. This study aims to assess this relationship among nurses in private hospitals in Kathmandu. Three private hospitals were selected for this cross-sectional analytical study. Eligible nurses were chosen through purposive sampling, and data were analysed using IBM SPSS v25, employing Chi-square tests and logistic regression analysis. Research revealed a high rate of poor sleep quality (83.9%) among individuals with a mean age of 24.33 ± 3.08 years. Initially, significant associations were found with the factors like bachelor's degree, no tobacco use, absence of insomnia, good sleep quality, and low stress with good quality of life. After adjustment, the association with bachelor's degree [AOR:2.025, CI at 95%: 1.021-4.016, p

Nowadays, determining the socioeconomic factors' influence on environmental quality is a crucial issue for policymakers. We aim to explore the impact of socioeconomic factors i.e., ethnic conflicts inform ethnic fragmentation, institutions quality effectiveness, and energy consumption on environmental quality by testing the various hypotheses (Pollution Halo Hypothesis, IPAT, and EKC) in 40 selected Asian countries throughout 1993-2019. We also use a set of control variables which are gross domestic product per capita, foreign direct investment inflows, and population growth to determine their impact on environmental quality. We use the Panel Quintile Regression Method of 0.25, 0.5, and 0.75 to analyze the results. We find ethnic conflict negatively affects the environmental quality at all quantiles. The institution's variables regulatory quality and rule of law negatively influence the environmental quality. Our result supports Porter's hypothesis because the effect of direct foreign investment on the amount of CO2 emissions is negative and significant at 0.25, 0.5, and 0.75 quantiles which states that foreign direct investment in the host country supports environmental quality. Furthermore, our results support the IPAT hypothesis in selected Asian countries.

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.

A global approach towards quality management highlights the need for constructing a new body of knowledge that views the field of global quality from a systems perspective. Based on the results of field experiments, and in light of the need to develop new global quality management terminology, the current article presents several key concepts in this field, with emphasis on a systems-oriented rationale and perspective. As such, the article is an important stage in building this body of knowledge, and towards the conceptualization of key variables used in global quality management, from a systems approach that interacts with the fields of international management and strategic management.

Quality of life (QoL) assessments are integral to cancer care, yet their effectiveness in providing essential information for supporting survivors varies. This study aimed to elucidate key indicators of QoL among colorectal cancer survivors from the perspective of healthcare professionals, and to evaluate existing QoL questionnaires in relation to these indicators. Two studies were conducted: a Delphi study to identify key QoL indicators and a scoping review of questionnaires suitable for colorectal cancer survivors. Fifty-four healthcare professionals participated in the Delphi study's first round, with 25 in the second. The study identified two primary QoL domains (Physical and Psychological) and 17 subdomains deemed most critical. Additionally, a review of 12 questionnaires revealed two instruments assessing the most important general domains. Findings underscored a misalignment between existing assessment tools and healthcare professionals' clinical priorities in working with colorectal cancer survivors. To enhance support for survivors' QoL, efforts are needed to develop instruments that better align with the demands of routine QoL assessment in clinical practice.

Artificial intelligence (AI)-based conversational models, such as ChatGPT, Microsoft Bing, and Google Bard, emerged as valuable sources of health information for the lay individuals. However, the accuracy of information provided by these AI models remains a significant concern. This pilot study aimed to test a new tool referred to as “CLEAR”, designed to assess the quality of health information delivered by AI-based models. Tool development involved a literature review on health information quality, followed by initial establishment of the CLEAR tool comprising five items that aimed to assess the following: completeness of content in response to the prompt, lack of false information, evidence support, appropriateness, and relevance of the generated content. Each item was scored on a 5-point Likert scale from excellent to poor. Content validity was checked by expert review of the initial items. Pilot testing involved 32 healthcare professionals using the CLEAR tool to assess content on eight different health topics deliberately designed with varying qualities. The internal consistency was checked using the Cronbach α. Feedback through the pilot test resulted in language modifications to improve the clarity of the items. The final CLEAR tool was used to assess health information quality generated through four different AI-based models in five different, yet common health topics. The AI models were ChatGPT 3.5, ChatGPT 4, Bing, and Bard, and the content generated was scored by two independent raters with Cohen κ to assess the inter-rater agreement. The final five CLEAR items were: (1) Is the content sufficient? (2) Is the content accurate? (3) Is the content evidence-based? (4) Is the content clear, concise, and easy to understand? and (5) Is the content free from irrelevant information? Pilot testing using the eight different health topics revealed an acceptable internal consistency with a Cronbach α range of 0.669–0.981. The use of the final CLEAR tool yielded the following average scores: Bing (mean=24.4±0.42), ChatGPT-4 (mean=23.6±0.96), Bard (mean=21.2±1.79), and ChatGPT-3.5 (mean=20.6±5.20). The inter-rater agreement revealed the following Cohen κ values: for ChatGPT-3.5 (κ=0.875, P<.001), ChatGPT-4 (κ=0.780, P<.001), Bing (κ=0.348, P=.037), and Bard (κ=.749, P<.001). The CLEAR tool is a brief yet helpful tool that can aid to standardize testing of the quality of health information generated by the AI-based conversational models. Future studies are recommended to validate the utility of the CLEAR tool to assess the quality of the AI-generated health-related content using a larger sample across various complex health topics.

Background The purpose of this study was to clarify the relationship structure of quality of life (QOL) in survivors of breast cancer, including difficulty in daily life and negative experience as health-related indicators. Methods Participants were survivors of breast cancer for more than 2 years after primary breast cancer surgery and belonged to self-help groups. The assessment used FACT-B (QOL), HADS (anxiety and depression), SOC (sense of coherence), WHODAS 2.0 (difficulties in daily life), and CAOD (negative experiences). Bayesian structural equation modeling (BSEM) was performed to analyze the hypothesized model. If the causal model was significant, multiplication of the path coefficient from anxiety and depression to QOL, and from SOC to anxiety and depression, was considered a direct effect on QOL, and from SOC to difficulty in daily life, from difficulty in daily life to negative experiences, and from negative experiences to anxiety and depression were considered indirect effects on QOL. Results Goodness of fit of the model in the BSEM was satisfactory. The direct effect was 0.274, and indirect effect was 0.163. Conclusions These direct and indirect approaches to difficulties in daily life are very significant because they can provide a basis for development of support strategies to increase QOL.

The effective integration of aerial remote sensing data and ground multi-source data has always been one of the difficulties of quantitative remote sensing. A new monitoring mode is designed which installs the hyperspectral imager on the UAV and places a buoy spectrometer on the river. Water samples are collected simultaneously to obtain in situ assay data of total phosphorus, total nitrogen, COD, turbidity and chlorophyll during data collection. The cross correlogram spectral matching (CCSM) algorithm is used to match the data of the buoy spectrometer with the UAV spectral data to reduce the UAV data noise significantly. An absorption characteristics recognition algorithm (ACR) is designed to realize a new method for comparing UAV data with laboratory data. This method takes into account the spectral characteristics and the correlation characteristics of test data synchronously. It is concluded that the most accurate water quality parameters can be calculated by using the regression method under five scales after the regression tests of multiple linear regression method (MLR), support vector machine method (SVM) and neural network (NN) method. This new working mode of integrating spectral imager data with point spectrometer data will become a trend in water quality monitoring.

Objective: The COVID-19 pandemic inferred on neuro-oncological patients (PTS) and the caregivers regarding tumor care and emotional functioning. This study aimed to understand how COVID-19 affects their psychological state and relations between PTS and health personnel in neuro-oncology. Methods: A cross-sectional study on neuro-oncological PTS and their caregivers. Results: A total of 162 PTS and 66 caregivers completed the questionnaire. The 37.5% of PTS perceived greater risk of contracting the COVID-19 compared to the general population. On the 0-10 scale, PTS tumor-related anxiety score was 5.8 and COVID-related 4.6. The caregivers reported 7.7 and 5.5 respectively. The QoL was described at least as good in 75% of both PTS and caregivers; the caregivers’ care burden increased in 22.7% during the pandemic, with no correlation with QoL. Future perception often changed both in PTS and in the caregivers. Cancer treatment schedule was changed in 18.5%, including for PTS decision. However, the 93.5% of PTS was satisfied with the overall care. Conclusion: A considerable proportion of PTS and caregivers still perceived the tumor disease as more burdensome than the pandemic, and perceived their future as more uncertain. Such data rinforce the need to build a proficient alliance between PTS and health personnel.

We present a general theory of estimation of analysis error covariances based on cross-validation as well as a geometric interpretation of the method. In particular we use the variance of passive observation–minus-analysis residuals and show that the true analysis error variance can be estimated, without relying on the optimality assumption. This approach is used to obtain near optimal analyses that are then used to evaluate the air quality analysis error using several different methods at active and passive observation sites. We compare the estimates according to the method of Hollingsworth-Lönnberg, Desroziers et al., a new diagnostic we developed, and the perceived analysis error computed from the analysis scheme, to conclude that, as long as the analysis is near optimal, all estimates agree within a certain error margin.

Climate change, growing world population and increasing food demand require higher yields and adaptability of crops, including spring bread wheat. Modern plant breeding based on achievements of genetics has a significant impact on plant resistance to diseases, climate variability and other factors. Genome wide association studies (GWAS) is one of genetics tools for mining of genome loci associated with economically important traits. In the current study, we applied GWAS to reveal QTL for spike productivity and grain quality using a panel of spring varieties of Triticum aestivum L. bred in different decades of the last century in Russia and Germany. The study has enabled to find new genetic markers associated with grain yield and quality. Studying genetic basis of grain yield and quality by comparison of wheat varieties from different breeding periods, including landraces preserved as the source of valuable genetic diversity for breeding and genetic studies, makes it possible not only to understand selection processes in the past, but also to develop strategies for future breeding work.

Today, mobile phones are at the center of many consumers' lives and a part of people's lives. Although this tool was considered a luxury initially, it has gradually become a necessary tool with the reduction of the price and the increase of its functions. Consumers choose specific models of mobile phones according to their needs. Mobile phones have quality features that are expressed in the form of quality dimensions. These dimensions are mostly expressed by word of mouth (WOM). In this research, first; we collected the opinions of 350 students about 4 brands of mobile phones based on Garvin's quality of dimensions, finally; the students’ opinions about mobile phones were evaluated with integrated TOPSIS with interval-valued intuitionistic fuzzy numbers technique, and the priority of 4 phone brands was determined based on students' opinions.

Maize silage is produced to alleviate forage shortage on dairy animals, particularly during the dry season. Microorganisms play a significant role in silage fermentation and thus determine the silage quality. Therefore, modulation of microorganisms in silage may help prohibit undesired bacteria and improve silage quality. Hence, this study evaluated the effects of tannin extract as an additive on fermentative quality, aerobic stability and microbial composition of maize silage. Therefore, a mini-silo experiment of maize with five treatments was conducted for 75 days. The results showed that additives modulate silage microorganisms. In addition, tannin extract reduced certain silage bacteria while promoting others. However, this is without affecting the silage’s fermentative quality and aerobic stability. All silage fermented well with a pH below 4.2. Tannin extract improved dry matter recovery of silage while reducing silage weight loss. Furthermore, tannin extract suppressed the establishment of undesired bacteria, such as genera Dysgonomonas, Gluconacetobacter and Clostridium, while promoting desirable bacteria, such as genera Lactobacillus and Weissella, which attributed to silage quality. Therefore, it is concluded that tannins can be strategically used as silage additives to modulate microbial composition of silage and improve silage quality by promoting the dominance of desirable bacteria in silage.

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.

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.

Asphalt binder requires more investigation to be accurately and precisely extracted since it is a significant procedure for quality control quality assurance (QC/QA) and subsequent binder characterization. In this research, the authors provided a hands-on experience with binder extraction to deliver recommendations concerning the sensitive steps that may affect the outcomes (extracted binder content, P_be%). Based on the extraction by the centrifuge method, two mineral matter determination methods (ashing and centrifuge) were addressed. Field cores were investigated with comparing the P_be% to the actual binder content, P_ba%. Analysis of variance (ANOVA) and Tukey Post-Hoc statistical analyses, in addition to linear least square regression analysis, were used to show the significance of difference according to 38 variant cores randomly obtained from the field segments (in-service roads) via the first two weeks from the construction date. Such cores involved reclaimed asphalt pavement (RAP), reclaimed asphalt shingles (RAS), and a wide range of additives. The two extraction methods were compared with concluding that the centrifuge method was highly recommended based on a quantitative evaluation, which delivered the same average P_ba% based on the 38 cores. Furthermore, the centrifuge method provided much saving in the experimental time (almost half the time required for the ashing method). It was found that the ashing outcomes were equal to the centrifuge outcomes with disregarding the ammonium carbonate addition. Thus, it could be recommended to reassess the ammonium carbonate addition as it might excessively compensate for fake minerals that have not been lost by the ignition oven.

Soil water loss by evaporation influences the sodium adsorption ratio (SAR) of irrigation drainage water. Evaporation concentrates sodium and magnesium but calcite precipitation has a more complicated effect on soluble calcium and alkalinity. Here we propose a revised sodicity hazard assessment that quantifies the impact of evaporative water loss and calcite precipitation on drainage water SAR. This paper shows sodicity hazard is determined by the initial composition of irrigation water as originally suggested by previous researchers, and provide a simple, accurate way to identify the potential sodicity hazard of any irrigation water. In particular, the initial equivalent concentration of alkalinity and calcium determine the salinization pathway followed during evaporation. If the irrigation water alkalinity exceeds soluble calcium expressed as equivalent concentrations, drainage water SAR approaches an upper limit determined by the initial relative concentration of sodium and magnesium. If irrigation water alkalinity is less than soluble calcium, drainage water SAR approaches a lower limit determined by the initial calcium, magnesium and sodium. In both cases the SAR is scaled by the square root of the concentration factor √Fc quantifying soil water loss. To assess the impact of evaporation and calcite precipitation on the SAR and test the accuracy of the new sodicity hazard assessment, we evaluated data from previously published lysimeter studies. We plotted water composition boundaries for each source water, comparing these boundaries to the drainage water composition recorded in the lysimeter studies. As salinity increased by evaporation, each drainage water followed a distinct salinization path.

: 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.

The primary screening of hybridoma cells is a time-critical and laborious step during the development of monoclonal antibodies. Often critical errors occur in this phase, which supports the notion that the generation of monoclonal antibodies with hybridoma technology is difficult to control and hence a risky venture. We think that it is crucial to improve the screening process to eliminate most of the immanent deficits of the conventional approach. With this new microarray-based procedure, several advances could be achieved: Selectivity for excellent binders, high throughput, reproducible signals, avoidance of misleading avidity (multivalency) effects, and simultaneous performance of competition experiments. The latter can directly be used to select clones of desired cross-reactivity properties. In this paper, a model system with two excellent clones against carbamazepine, two weak clones and blank supernatant has been designed to examine the effectiveness of the new system. The excellent clones could be detected largely independent of the IgG concentration, which is unknown during the clone screening since the determination and subsequent adjustment of the antibody concentration is not possible in most cases. Furthermore, in this approach, the enrichment, isolation, and purification of IgG for characterization is not necessary. Raw cell culture supernatant can be used directly, even when fetal calf serum (FCS) or other complex media had been used. In addition, an improved method for the oriented antibody-immobilization on epoxy-silanized slides is presented. Based on the results of this model system, we conclude that this approach should be preferable to most other protocols leading to many of false positives, causing expensive and lengthy confirmation steps to weed out the poor clones.

One of the challenges of deploying Wireless Sensor Networks (WSN) at large scale is to operate for prolonged periods of time relying on the limited amounts of energy stored in its nodes. Generally, data communication is the main factor of draining energy. Consequently, reducing the amount of transmitted data by the nodes is of great interest. At the same time, reducing data to be transmitted should not decrease the quality of the deduced information. Solving this problematic is what we call in this article "Ensuring the Quality of Information Service (QoIS)". This document provides a state-of-the-art for the QoIS regarding WSNs. At first, we give a quick overview of the Internet of Things (IoT) paradigm and the WSN technologies in order to understand how data is gathered and used in these networks. Also, we introduce a novel concept: QoIS, in contrast with classic QoS. Then, it is expected a summary of criteria that asses the QoIS in WSNs plus some techniques to improve it. In this article, we will focus on data management techniques. These techniques can improve raw data, information and/or knowledge quality in energy-constrained WSNs. Finally, we give some conclusions and a glimpse about our future work.

An increasingly frail population in nursing homes accentuates the need for high quality care at the end of life and better access to palliative care in this context. Implementation of palliative care and its outcomes can be monitored by using quality indicators. Therefore, we developed a quality indicator set for palliative care in nursing homes and a tailored measurement procedure using a mixed-methods design. We developed the instrument in three phases: 1) literature search, 2) interviews with experts and 3) indicator and measurement selection by expert consensus (RAND/UCLA). Second, we pilot tested and evaluated the instrument in nine nursing homes in Flanders, Belgium. After identifying 26 indicators in the literature and expert interviews, 19 of them were selected through expert consensus. Setting-specific themes were advance care planning, autonomy and communication with family. The quantitative and qualitative analyses showed the indicators were measurable, had good preliminary face validity and discriminative power and were considered useful in terms of quality monitoring according to the caregivers. The quality indicators can be used in a large implementation study and process evaluation in order to achieve continuous monitoring of the access to palliative care for all residents in nursing homes.

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.

Groundwater represents a pivotal asset in conserving natural water reservoirs for potable consumption, irrigation, and diverse industrial uses. Nevertheless, human activities intertwined with industry and agriculture contribute significantly to groundwater contamination, highlighting the critical necessity to appraise water quality for safe drinking and effective irrigation. This research primarily focused on employing the Water Quality Index (WQI) to gauge water's appropriateness for these purposes. However, the generation of an accurate WQI can prove time-intensive owing to potential errors in sub-index calculations. In response to this challenge, an artificial intelligence (AI) forecasting model was devised, aiming to streamline the process while mitigating errors. The study collected 422 data samples from Mirpurkash, a city nestled in the province of Sindh, for a comprehensive exploration of the region's WQI attributes. Furthermore, the study probed into unraveling the interdependencies amidst variables in the physiochemical analysis of water. Diverse machine learning classifiers were employed for WQI prediction, with findings revealing that random forest and gradient boosting eclipsed other algorithms, achieving an accuracy rate of 99%. In close pursuit were SVM and XGBoost, registering accuracy scores of approximately 95% and 93%, respectively, while KNN and Decision Trees garnered accuracy rates of 88% and 87%, respectively. In addition to WQI prediction, the study conducted an uncertainty analysis of the models using the R-factor, providing insights into the reliability and consistency of predictions. This dual approach, combining accurate WQI prediction with uncertainty assessment, contributes to a more comprehensive understanding of water quality in Mirpurkash and enhances the reliability of decision-making processes related to groundwater utilization

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.

Computer systems are involved in many critical human applications today, so that a small error can lead to serious and dangerous problems. These errors can be from an error in the incorrect design of the user interface to an error in the program code. 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 by Adaptive Neural Fuzzy Inference System. In recent years, powerful systems called fuzzy inference systems on The basis of adaptive neural network (ANFIS) has been used in various sciences. Using the power of neural network training and the linguistic advantage of fuzzy systems, these types of systems have been able to realize the advantages of the two in terms of analyzing very powerful complex processes. 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. It was applied at different levels 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 adaptive neural-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.

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.

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 Selective Paste Intrusion (SPI) method is a layer-by-layer additive manufacturing technique that allows for the production of complex geometries in concrete elements by selectively bonding aggregates with cement paste in a particle bed. To create reinforced concrete, the Wire and Arc Additive Manufacturing (WAAM) process shall be integrated into SPI. This technique allows the production of almost free-formed reinforcement and thus complements the advantage of SPI to produce free-formed structures of almost any geometry. However, integration of WAAM into SPI poses a considerable challenge, as high temperatures are generated during the welding process. These temperatures can negatively affect the rheological properties of the cement paste, in turn the penetration behavior of the paste in the particle bed and, subsequently, the mechanical properties of the hardened concrete. A possible passive cooling strategy is to increase the protruding length of the reinforcement bars out of the particle-bed. This requires that the distance of the print nozzle to the particle bed is as well increased, since it must be possible to move it across the reinforcement. The objective was thus to investigate the effect of that distance on print quality and to quantify a maximum allowable distance for an adequate print quality (for the printer setting used) in terms of shape accuracy and concrete strength. Compressive and flexural strength tests as well as geometrical measurements using a 3D scanning method were performed on specimen, printed with varying print nozzle to particle bed distances. It can be stated that for the used SPI print-heads, nozzle-types and parameter settings, the distance between the nozzle and the particle bed should not exceed 50 mm to ensure sufficient print quality in both shape accuracy and mechanical strength.

Depending on the characteristics of the industrial area, toxicity evaluation of human body, risk assessment and health impact assessment may directly cause cancer due to air pollution. Environmental data collection is from August 2018 to January 31, 2019, and the average, minimum, and maximum values of air pollution data respectively. According to the global data on global trends using the Big Data, high blood pressure is confirmed at 33rd place in the world, and myocardial infarction among the environmental diseases is confirmed to be lower than Korea. Disease that occurred in Jeolla province industrial complex considering the characteristics of our country was identified as representative. Air pollutants are considered to be the causes of allergic diseases in Korea. PM10 was found to be higher than the control area (28.8804348 (㎍ / ㎥), 31.7065217 (㎍ / ㎥) and 32.8532609 (㎍ / ㎥). The mean concentrations of PM2.5 in the middle and high exposure areas were lower than those of the control areas, but the highest in the intermediate exposure areas was 16.5978261 (㎍ / ㎥), 16.1086957 (㎍ / ㎥) and 17.1847826 (㎍ / ㎥) respectively. The relationship between the major variables of environmental exposure in Yeosu was confirmed to be correlated with high blood pressure, chronic obstructive pulmonary disease (COPD), bronchitis, cerebrovascular, diabetes, thyroid disease, sinus infection, anemia and pneumonia.

Venous leg ulcers still pose a significant medical problem worldwide. The complexity of the problem determines the need for further interdisciplinary activities that will improve the quality of life of treated patients. The study compared the quality of life of patients with venous leg ulcers who received local hyperbaric oxygen therapy or local ozone therapy procedures as a part of comprehensive treatment. The study included 129 patients (62 men and 57 women) with venous leg ulcers. Group I underwent local hyperbaric oxygen therapy (HBOT), group II - local ozone therapy (OZONE). In both groups, the patients' quality of life was assessed before the start of treatment cycle, as well as 10 weeks and 6 months after the completion of the treatment, by using the EQ-5D-5L questionnaire and the Polish shortened version of the SF-36 scale. After completing the respective therapeutic cycle, both groups showed a statistically significant (p<0.001) improvement the quality of life according to the EQ-5D-5L questionnaire and the SF-36 scale. Differences were noted between 1st examination (before treatment) and 2nd examination (10 weeks after treatment), as well as 3 examination (6 months after treatment). In the EQ-5D-5L assessment of anxiety and depression, self-care and activities of daily living 6 months after the end of treatment, better results were found in the group of patients treated with local hyperbaric oxygen therapy (p<0.001). In this group, 6 months after the end of the treatment, a statistically significantly higher result on the EQ-VAS scale was also obtained (73.09±19.8 points vs. 68.03±17.37 points, p=0.043). However, in the SF-36 assessment 6 months after the end of treatment better results - a statistically significantly lower value of the quality of life index - were recorded in the group of patients treated with local ozone therapy (103.13±15.76 points vs. 109.89±15.42 points, p<0.015). Hyperbaric oxygen therapy and local ozone therapy procedures have a beneficial effect on improving the quality of life of patients with venous leg ulcers.

The objective of this work was to evaluate the blending and grinding influence over the nutritional, sensorial and sustainable aspects of coffee. To do so, a systematic review of the literature was accomplished. The database for the selection of relevant papers was the Portal de Periódicos da Capes, with remote access via CAFe. For the elaboration of the research, a chronological criterion with period restriction was used, considering the period between 2008-2022, to access all possible works related to the theme of this work. The following terms were used: blending; grinding; coffee; nutrition-al; sensorial; sustainability. To filter the searches, the association of these terms was also used by means of links and word associations. In the terminology, the Boolean operator AND was used to interconnect the terms used. Roasting degree, grinding, and amount of each coffee species impacts the nutritional and sensorial aspects of coffee. And the determination of each blending influences the sustainability of the environment, economic and social aspects of the coffee chain.

The purpose of this research is to determine if the tradeoffs that Kissick proposed among cost containment, quality, and access remain as rigidly interconnected as originally conceived in the contemporary health care context. Although many have relied on the Kissick model to advocate for health policy decisions, to our knowledge, the model has never been empirically tested. Some have called for policy makers to come to terms with the premise of the Kissick model tradeoffs, others have questioned the model given the proliferation of quality enhancing initiatives, automation, and information technology in the health care industry. One wonders whether these evolutionary changes alter or disrupt the originality of the Kissick paradigms themselves. Methods: Structural Equation Modeling (SEM) was used to evaluate the Kissick hypothetical relationships among the unobserved constructs of cost, quality, and access in hospitals for the year 2018. Hospital data were obtained from Definitive Healthcare a subscription site which contains Medicare data as well as non-Medicare data for networks, hospitals, and clinics (final n= 2,766). Results: Reporting significant net effects as defined by our chosen study variables, we find that as quality increases costs increase, as access increases quality increases, and as access increases, costs increase. Policy and Practice Implications: Our findings lend continued relevance to a balanced approach to health care policy reform efforts. Simultaneously bending the health care cost curve, increasing access to care, and advancing quality of care is as challenging now as it was when the Kissick model was originally conceived.

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.

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

Abstract: In Australia adoption of reduced tillage and stubble retention cropping systems to conserve soil moisture by growers has seen an increase in the prevalence of the disease Fusarium crown rot (FCR) caused by the stubble-borne fungal pathogen Fusarium pseudograminearum. Durum wheat is particularly susceptible to FCR expressing significant yield and quality losses in the presence of infection. Increasing rates of nitrogen (N) application at sowing exacerbates FCR. However, to achieve the desired grain protein and quality suited to pasta manufacture, N application is necessary and this creates a dilemma for growers. The purpose of this study was to investigate the effects of FCR infection in the presence of different N fertiliser application rates in durum wheat varieties on yield and technological quality. Two durum varieties were evaluated at the same location over two seasons (2020 and 2021). These seasons were characterised by being wetter than normal and showed different responses to FCR and N application. In general, the 2021 season showed better responses to applied N with no impact of FCR. The FCR inoculation while it resulted in significant infection, it had no impacts on yield or grain quality in 2021 while in 2020 yield was reduced and only gluten index was reduced. Jandaroi was found to hold its kernel vitreosity at all protein levels obtaining the premium grade while DBA Lillaroi did not and would suffer downgrade if N application was insufficient. However, higher N application rates needed to achieve 12% + protein saw a reduction in dough strength with Jandaroi holding its dough strength much better than DBA Lillaroi. This was related to the lower glutenin/gliadin (Gli/Glu) ratio in response to applied N at sowing in Jandaroi which helped retain kernels with high vitreousness. This suggests genetics plays an important role in a genotype response to N fertilisation and should be considered when selecting a variety where higher premium grades are desirable.

Soil quality is related to food security and human survival and development. In recent years, due to the acceleration of urbanization and the increase of abandoned land, land degradation occurs, poor topsoil quality. In this study, the minimum data set (MDS) was constructed through principal component analysis (PCA) to determine the indicator data set for evaluating topsoil quality in Tieling County, China. In addition, the soil quality index (SQI) was calculated to analyze the spatial distribution characteristics and influencing reasons of topsoil quality in Tieling County. The re-sults showed that MDS included total potassium (TK), Clay, zinc (Zn), soil organic matter (SOM), soil water content (SWC), cation exchange capacity (CEC), pH, and copper (Cu). The MDS indicators can well replace all indicators to evaluate the topsoil quality in the study area. The overall soil quality of Tieling County showed a trend of low in the east and high in the west, and gradually increased from the hilly area to the plain area. The evaluation results are consistent with field research, which can provide reference for other topsoil quality evaluation, and it also provide a basis for the formulation of soil quality improvement measures.

The coronavirus disease 2019 (COVID-19) pandemic has led to wastewater surveillance becoming an important tool for monitoring the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) within communities. As a result, molecular methods, in particular reverse transcription-quantitative PCR (RT-qPCR), have been employed to generate large data sets aimed at the detection and quantification of SARS-CoV-2 in wastewater. Although RT-qPCR is rapid and sensitive, there is no standard method that fits all use cases, there are no certified quantification standards and experiments are carried out using numerous different assays, reagents, instruments, and data analysis protocols. These variations can lead to the reporting of erroneous quantitative data resulting in potentially misleading interpretations and conclusions. We have reviewed the SARS-CoV-2 wastewater surveillance literature focusing on the variability of RT-qPCR data as revealed by inconsistent standard curves and associated parameters. We find that variation in these parameters and deviations from best practices as described in The Minimum Information for Publication of Quantitative Real-Time PCR Experiments (MIQE) guidelines suggest a lack of reproducibility and reliability in quantitative measurements of SARS-CoV-2 RNA in wastewater.

This study addresses the influence of working conditions on Work-Related Quality of Life (WRQOL) among Spanish healthcare professionals. The research seeks to elucidate the mediating roles of job engagement and burnout, and the moderating effects of resilience and self-efficacy, in this relationship. Methods: The study included 374 healthcare workers from Spain, encompassing physicians, nurses, and nursing assistants. It employed a methodological approach using validated instruments to assess psychosocial risks, work-life quality, job engagement, burnout, and resilience. Data were gathered through self-reported questionnaires. Results: Key findings indicate a negative association between working conditions and WRQOL. Job engagement and burnout significantly mediated this relationship, accounting for 19% to 33% of the variance in WRQOL. Notably, lack of support emerged as a strong negative factor for work-related quality of life. Additionally, resilience moderated the relationship between lack of support and burnout. Conclusions: The study concludes that improving working conditions could increase WRQOL. Interventions aimed at enhancing engagement and addressing burnout may be effective. The moderating role of resilience suggests that strategies to enhance resilience could also be beneficial. These findings hold significant implications for policy formulation and human resources planning in healthcare, emphasizing the need for enhanced workplace support and the development of resilience among health workers.

This research addresses a gap in the literature by conducting a comprehensive analysis of patients’ level of satisfaction with dental care. Methods: By combining quantitative and qualitative survey methods with the PSQ questionnaire this study aims to augment ongoing initiatives to enhance dental patients’ experiences by painting a more comprehensive depiction of patients' level of satisfaction; Results: When asked about their overall level of satisfaction 77,1% of the patients said they received excellent services from the office personnel and 72,2% said they trust their doctors; Conclusions: Assessing patient satisfaction in the realm of dental services quality is crucial for enhancing service quality and accuracy, benefiting both patients and dentists, and ultimately improving public health.

Aiming at the problem of low pollutant concentration in the sewage treatment plant due to external water intrusion into the sewage collection system, which in turn leads to low pollutant reduction efficiency. A sewage system in Zhenjiang City is taken as an example. Analyze the situation of external water intrusion in the sewage pipe network, and determine the external water intrusion proportion based on the water quality and quantity method. First, the dry season flow rate of the sewage pipe is obtained according to the monitoring data of the flowmeter. Then, the key research areas are screened out based on the changes in the concentration of water quality characteristic factors. Furthermore, chemical oxygen demand and electrical conductivity are used as the water quality characteristic indicators to characterize shallow groundwater and river water. In addition, the proportions of groundwater and river water intrusion in the sewage pipe network are quantitatively analyzed based on the chemical mass balance equation. At the same time, the dredging detection method is used to assist in the investigation, and finally the engineering rectification of the problems found in the drainage is carried out. The results show that the water quality and quantity method can effectively identify the types of external water and analyze the proportion of external water intrusion, which is of exemplary significance for the evaluation of sewage collection systems.