Abstract: Like other plants, every PV power plant will one day reach the end of its service life. Calculations show that 20,400 tons of PV waste will be generated worldwide by 2030 and 60.2 million tons by 2050, not including the mass of the support structure. Such large amounts of waste pose a potential threat to the environment and people if not properly managed. The paper analysed the options for dealing with PV waste, namely reuse, recycling and landfilling. For recycling as the best option in terms of environmental protection and circular economy, an overview of recycling technologies and the percentage of achievable recycling for the materials contained in each PV system component is given. In addition, the current situation of legislation and recycling of PV modules in Europe was examined with special reference to the Balkan countries. There are a small number of factories for recycling PV modules in Europe, but none in the Balkan countries. The main reason for this is the small amount of PV waste in these countries and consequently the economic unprofitability. For this reason, PV modules (after dismantling the aluminum frame and cables) are mostly disposed of as non-hazardous waste in landfills in these countries. Finally, the main barriers to faster implementation of PV module reuse and recycling are listed, along with guidelines for their removal. The cost of recycling Si modules is about ten times higher than the cost of disposal. To change this ratio in favor of recycling, cheaper recycling methods need to be developed and taxes on landfill disposal need to be increased.

Proxy re-encryption (PRE) is a momentous and widely used cryptographic technique. It enables a proxy to forward ciphertext without the need of decryption. PRE has received significant interest in applications like cloud computing, blockchain, and the Internet of Things. Despite its wide range of uses, PRE has also been subject to new security and privacy regulations. In PKC’19, Cohen $et~al.$~first drew attention to the weakness in PRE's security against chosen-plaintext attacks (CPA) and put up a more stringent security concept known as security against honest re-encryption attacks (HRA). Notably, Cohen provides a beneficial conclusion as well. It is proveded that PRE schemes with re-encryption simulatability property can be elevated from CPA to HRA security. It is also proved that CPA-secure PRE schemes with re-encryption simulatability property can be directly elevated to those satisfying HRA security. However, those PRE schemes with re-encryption simulatability are almost always based on pairings. In this study, to the best of our knowledge, we directly construct HRA-secure PRE with re-encryption simulatability for the first time based on the learning with errors (LWE) assumption, which was widely believed to be quantum-resistant. Based on the re-encryption key generation algorithm and the re-encryption algorithm construction method of the above scheme, we can modify attribute-based conditional proxy re-encryption (AB-CPRE) as well as the corresponding attribute-based proxy re-encryption (AB-PRE) algorithm to make them have re-encryption simulatability properties. Finally, by using this property, We boost the security of AB-CPRE scheme of ESORICS'21 from CPA to HRA and simplify the HRA-security proof for the AB-PRE of ESORICS'21.

The current health crisis derived from COVID 19 has become a serious threat to humanity. The collateral effects related to economic aspects are affecting companies, workers and, of course, families in general. The problems of financial insolvency are frequently present in debtors who have contracted a debt with their creditor. Therefore, the objective of the study is focused on modeling a debt restructuring proposal, through three hypothetical scenarios in which the debt is reconvened when some documents have expired and others are yet to expire. In each of the scenarios, the mathematical model is designed and subsequently corroborated in an Excel spreadsheet. The predominant variables in the restructuring are the adjustment rates used to update the past due promissory notes and the discount rates of those promissory notes that have not yet expired, capitalizations, transaction costs and, if applicable, whether the debt is in foreign currency. In this case, it is converted to the local currency, then the spot exchange rate is used.

Despite the existence of pasteurization and its advocacy worldwide, most marketed milk in a developing country like Nigeria are sold raw by the locals. It costs hundreds of millions of Naira to set up a conventional pasteurizing plant in Nigeria. Boiled milk ends up curdling which results in to a loss of nutrients, so it is not beneficial to treat milk by this method. This paper hence presents the re-designing and fabrication of the contact area of a solar milk pasteurizer

Product counterfeiting is an on-going problem in supply chains and retail environments, Recently an anti-counterfeiting protocol to address this issue via cost-effective use of auto-identification technologies such as radio-frequency identification (RFID) was proposed by researchers.Yet the use case of re-selling the same product was not been fully addressed which might cause serious problem for the exciting and proposed schemes and transactions. This paper proposes an extended RFID-based anti-counterfeiting to address the use case of the original buyer reselling the same item to a second buyer. The extended scheme will be followed by a formal security analysis to show that the proposed protocol satisfies the requirements of security correctness and is resistant to compromise through security attacks.

Reuse of patterns is a self-evident approach for managing interoperability concerns. Although patterns for resolving interoperability barriers exist in the literature, no study exists on adoption of interoperability patterns by Geographic Information Systems (GIS) practitioners in industry. Thus there is limited understanding of pattern re-usability, yet the advantages offered by interoperability patterns provide a reasonably sound justification for their usage. This paper examines the adoption of proven interoperability best practices in the GIS industry. An empirical study that involved the use of semi-structured interviews was employed to gather data from GIS developers on domain interoperability best practices. Results indicated that industry and communities of practice have been converging on the technical level to ensure interoperability of GIS concerns. Semantic interoperability and related patterns are least understood, yet semantic barriers still exist. This is partly due to the complexity associated with the top-down approach used to develop semantic interoperability solutions. Therefore, this study proposes research into resolving barriers in the adoption of interoperability patterns that reduce complexity while solving semantic interoperability barriers.

Vehicle re-identification research under surveillance cameras has yielded impressive results. However, the challenge of Unmanned Aerial Vehicle (UAV)-based vehicle re-identification (ReID) presents a high degree of flexibility, mainly due to complicated shooting angles, occlusions, low discrimination of top-down features, and significant changes in vehicle scales. To address this, we propose a novel Dual Mixing Attention Network (DMANet) to extract discriminative features robust to variations in viewpoint. Specifically, we first present a plug-and-play Dual Mixing Attention Module (DMAM) to capture pixel-level pairwise relationships and channel dependencies, where DMAM is composed of Spatial Mixing Attention (SMA) and Channel Mixing Attention (CMA). First, the original feature is divided according to the dimensions of spatial and channel to obtain multiple subspaces. Then, a learnable weight is applied to capture the dependencies between local features in the mixture space. Finally, the features extracted from all subspaces are aggregated to promote their comprehensive feature interaction. Moreover, the DMAM can be readily inserted into backbone networks at any depth to improve vehicle discrimination. The experiments show that the proposed structure gains a better performance compared with the representative methods in the UAV-based vehicle ReID task. Our code and models will be publicly released.

The depletion of the ore reserves in the world necessitates the search for secondary sources such as waste products (tailings and slag). A smelter in Namibia has historic slag which accumulated over decades of its operating life. Analytical and mineralogical characterization of the slag was performed using the X-ray fluorescence (XRF) analysis, Atomic Absorption Spectrometer (AAS), ICP-OES, scanning electron microscopy energy dispersive spectroscopy (SEM-EDS) analysis, and optical microscopy analysis. The chemical analyses showed that the metal values contained in the slag were mainly copper, lead, and zinc whose average contents were approximately 0.3%Cu, 2.4%Pb and 3.2%Zn. About 10.5%Fe was also contained in the slag. Germanium was detected by scanning electron microscopy, but was however below detection limits of the chemical analysis equipment used. Based on the results, approximate conditions under which the different slag phases were formed were estimated and the recovery routes for the various metals were proposed. Analysis by both optical and scanning electron microscopy revealed that Zn and Fe occurred mainly in association with O as oxides, while Cu and Pb were mainly associated with S as sulphides. The slag consisted of three different phases; namely the silicate phase (slag), metallic phase and the sulphide phases. The slag phases were mainly glass, silicate phases and metallic and sulphide phases. It was observed that the metallic and sulphide phases were dominant in the finer size fractions (-75 µm) whereas the sulphide phase was also present in the coarser size fractions (+300 µm). An important finding from the microscopy examination was that the sulphide phases were interstitial and could be liberated from the slag. This finding meant that liberation and subsequent concentration of the sulphide phases was feasible using conventional processing techniques.

Management of tumor lysis syndrome (TLS) associated with cancer chemotherapy for malignant tumors is important because of its potentially fatal course. The use of rasburicase, a recombinant urate oxidase, is recommended for TLS; however, because rasburicase is an enzymatic drug, one should be cautious of anaphylaxis during administration. Using claims data in Japan, we investigated the rate of rasburicase re-administration and the occurrence of anaphylaxis during re-administration in patients with hematopoietic malignancies in a multicenter setting. Re-administration of rasburicase was defined as administration after an interval of 21 days from the first dose. Of 373 patients, 18 were re-administered with rasburicase (re-administration rate: 4.8%). No patient developed anaphylaxis. The median number of days from the first to the last dose of rasburicase was 256.5 days (interquartile range: 138.8–455.8 days). The median daily dose was 7.5 mg (4.5–11.3 mg), and the median total dose was 33.8 mg (19.1–64.1 mg). This claims database analysis revealed that the re-administration rate of rasburicase was low in Japanese patients with hematopoietic malignancies, suggesting that rasburicase was being used appropriately, and that associated anaphylaxis was not observed.

Previously, we described the initial use of Flipped Team‐Based learning (FTBL) defined as TBL approach combined with flipped classroom learning methodology, in which students previewed online lectures and applied their knowledge in different in-class activities. The purpose of the present study is to review the progress within this approach and to investigate how constant changes in team allocation can affect student’s perception regarding this modified FTBL approach. Although students showed reluctance initially to get out of their ‘comfort zone’, our findings show that learners perceived the adoption of the continued random allocation, and became accustomed to this learning approach, which finally assisted them to enhance their team-work skills and classroom performance, to develop their reflective capabilities as well as improving their rapport building skills, learning and academic performance. Learners also believed that this learning strategy that creates critical incidents can simulate their future work environment as they might be expected to work in unfamiliar situations. Therefore, the present study indicated strong support for the modified FTBL method and was seen to work exceptionally well, despite some minor problems that students can experience working in a team and/or with different teammates in every session.

Introduction: Increasing cannabis legalization raises concerns that tobacco use, frequently used with cannabis, will also increase. This study investigated the association between legal status of cannabis in place of residence and prevalence of cannabis and tobacco co-use, simultaneous use, and mixing by comparing the prevalence among adults in Canada (prior to cannabis legalization) vs. adults in US states that had legalized recreational cannabis vs. US states that had not as of September 2018. Methods: Data were drawn from the 2018 International Cannabis Policy Study, conducted with respondents aged 16-65 in Canada and the US recruited from non-probability consumer panels. Differences in the prevalence of co-use, simultaneous use, and mixing between tobacco and different cannabis products were examined using logistic regression models by legal status of place of residence among past 12-month cannabis consumers (N=6744). Results: Co-use and simultaneous use in the past 12 months were most common among respondents in US legal states. Among cannabis consumers, co-use and simultaneous use were less common in US legal states, while mixing was less frequent in US states with both legal and illegal cannabis compared to Canada. Use of edibles was associated with lower odds of all three outcomes, while smoking dried herb or hash was associated with higher odds. Conclusions: The proportion of cannabis consumers who used tobacco was lower in legal jurisdictions despite higher prevalence of cannabis use. Edible use was inversely associated with co-use suggesting that edible use does not appear to be associated with increased tobacco use.

Background: The efficacy of sunscreen is evaluated by SPF values, which are quantitatively determined in laboratories on the backs of human subjects according to a standardized procedure. However, SPF cannot be directly translated to sunburn protection under real-life situations because actual efficacy depends on various factors related to human behaviors and environmental conditions. This study clinically evaluated the efficacy of two sunscreen sprays (SPF 30 and SPF 70) under natural sunlight exposure on healthy subjects at the beach. Methods: Twenty subjects were divided into two cells for the two sunscreen sprays (SPF 70 and SPF 30) in a single-center, actual usage test. The primary endpoint of the study was sunburn protection on the dorsal arms and the secondary endpoint was protection on the face and neck. Subjects stayed at the beach for 4 h after application of the sunscreens with normal beach activities. Subjects’ behavior at the beach, the amounts of sunscreen applied and reapplied, and environmental conditions were all recorded. Results: There was no significant sunburn for a majority of the subjects in either cell. However, neither sunscreen completely blocked the sunburn, especially for the face/neck area. We found that the SPF 70 sunscreen was more effective than the SPF 30 sunscreen. Conclusion: Modern sunscreen sprays, applied liberally, are effective in providing sunburn protection for the body in a beach setting.

This study focuses on the aerodynamic optimization of the re-entry capsule (REC) Orion Crew Exploration Vehicle (CEV) module, evaluating its performance using computational fluid dynamics (CFD). Three different models, namely Baseline, 2-Duct, and 4-Duct, are investigated under a wide range of flow speeds, from supersonic (Ma=1.6) to hypersonic (Ma=6) regimes. Thermofluids aspects, drag coefficient, surface heat flux, and the effectiveness of the modified geometry are assessed using aerodynamic and temperature-based models. The results show that the introduction of ducts in the 2-Duct and 4-Duct models leads to an average decrease in the drag coefficient of approximately 2.1% and 2.9%, respectively, compared to the baseline model, across all Mach numbers. The maximum reduction in drag coefficient is 3.55%, observed at Ma=1.4 using the 4-Duct capsule. However, it is found that the addition of extra ducts to the model increases the maximum heat transfer rate. Specifically, the heat flux is increased by up to 69% for the 4-Duct model at Ma=6, compared to the baseline model. On average, the heat flux is increased by approximately 28.6% for all conditions. The findings indicate that the introduction of ducts in the REC model improves its aerothermodynamic performance by reducing drag but also increases the heat transfer rate on the surface.

Since SARS-CoV-2 has spread all over the world, one of the key questions is how long immunity works for protecting hosts from infection. However, it was difficult to distinguish reinfection from re-detected positive cases caused by other reasons. We confirmed 23 re-detected positive cases in Sapporo City in 2020, and among them, the case with 205-days interval from initial onset to the second confirmation date was found. We calculated the probability of observing more than one case with over d-days interval of re-detection, pobs, to find out whether the case with 205-days interval had the similar epidemiological characteristic with others or not. We found that 5th percentile and its 95% confidence interval of pobs was 118 (45, 216) for Sapporo City data and 92 (86, 98) for KCDC data. This result indirectly suggested the case with 205-days interval was reinfection.

The effect of retrogression re-aging treatment (RRA) on corrosion behavior of 7055 Al-Zn-Mg alloy were studied. Results provides the corrosion resistance could be greatly improved by RRA. After the RRA treatment, the isolated precipitates occurred on grain boundaries (GBs) and the low angle grain boundaries (LAGBs) presented a larger fraction compared to the single-stage peaking aging. The samples after RRA treatment also show better corrosion resistance than the single-stage peak aging. The results of electrochemical impedance spectroscopy (EIS) show that impedance spectrum is consisted of semi-infinite layer diffusion impedance and stagnant Weber impedance. The semi-infinite layer diffusion impedance corresponded a limited retention layer on the electrode surface. In corrosion process, Weber impedance corresponded to stagnant layer of corrosion products generated by the anode branches. The RRA sample has the high Rf and low Cf, Cp values, and the corrosion current density of the RRA samples is ten times less than the single-stage peak aging samples with the 10% hardness losing.

Automated vehicles (AVs), which are expected to enter the market within the near future, represent the current frontiers in mobility and urban planning. AVs are assumed to bring substantial benefits to cities in many aspects. The present study attempts to investigate this broad assumption by conducting a literature review on the possible implications of AVs in cities as well as synthesizing the current state of practice of AV pilots to detect trends in their deployment. In this paper, literature findings on AVs’ implication on vehicle ownership, mobility, land use as well thirteen uses cases were synthesized to capture the big picture of them in cities. The findings showed that, in the AV pilots, the operation of AVs is limited to routes stretching less than 3.5km and an operation speed of less than 18km/h; low speed has been one of the main concerns of the participating passengers to use them for daily trips. The results also revealed that although shared AVs are expected in urban mobility, private ownership will stay competitive since vehicle ownership has been a socio-cultural identity in the history of automobiles. The findings also underlined that the potential influence of AVs on active mobility is still unclear as the AVs have not been introduced on a larger scale. Regarding AVs’ impact on land use, their introduction results in the effective use of space, but they will cause suburbanization in the long term.

The study aimed to assess the prevalence and correlates of hazardous, harmful or dependent alcohol use (HHDA) and drug use among persons 15 years and older in South Africa. In a national cross-sectional 2017 survey, 39,210 persons 15 years and older (Median=34 years) responded to a questionnaire on substance and health variables. Logistic regression was used to assess the determinants of HHDA and any drug use. Results indicate that (10.3%) engaged HHDA, 16.5% among males and 4.6% among females, and past 3-month drug use was 8.6%, 13.3% among males and 4.1% among females. In adjusted logistic regression analysis, among men, middle age (25-34 year olds), higher education, urban residence, drug use, and psychological distress were positively and Indian or Asian and White population groups were negatively associated with HHDA. Among women, middle age (25-34 year olds), Coloureds, residing on rural farms and urban areas, drug use and psychological distress were positively and older age (55 years and older), and Indians or Asians were negatively associated with HHDA. In adjusted logistic regression analysis, among men, having Grade 8-11 education, Coloureds, being unemployed, and HHDA were positively and middle and older age (25 years and older) and being a student or learner were negatively associated with past 3-month any drug use. Among women, Coloureds, Indians or Asians, and HHDA were positively and older age (45 years and older) was negatively associated with past 3-month and drug use. About one in ten participants engaged HHDA and any drug use, and several sociodemographic and health indicators were identified associated with HHDA and any drug use.

Cannabis use disorder (CUD) is a growing public health concern, with rising prevalence and significant impact on individuals across age groups. This systematic review examined pharmacological and psychosocial interventions for CUD among adolescents, young adults, transitioning adults, and older adults. Database searches were conducted for randomized controlled trials of CUD interventions reporting outcomes such as cannabis use, abstinence, withdrawal symptoms, and treatment retention. In total, 53 studies were included. Pharmacological treatments such as cannabinoid agonists, gabapentin, and N-acetylcysteine demonstrated modest benefits predominantly in alleviating withdrawal and craving. Psychosocial approaches including motivational interviewing, cognitive behavioral therapy, and contingency management conferred greater abstinence and retention, either alone or combined with pharmacotherapy. However, age-specific efficacy remains unclear. Technology-based interventions represent promising alternatives to expand access and improve cost-effectiveness. In conclusion, cannabis disorders require expanded, affordable treatment tailored to individuals’ developmental stage. Further research should clarify the utility of harm reduction outcomes and establish age-specific best practices.

Great Malang region is developing rapidly with the population increase and inhabitant`s activity, like migration and urbanization. Other activities like agricultural expansion as well as an uncontrolled residential development need to be monitored to avoid any negative impact in the future. The availability of free and open-source software, spatial high-resolution satellite imagery datasets, and powerful algorithms open the possibilities to map, monitor, and predict the future trend of land use land cover (LULC) changes. However, the accuracy and precision of this model is still in doubt, especially in the Great Malang region. Research is needed to provide a foundational basis and documentation on how the changes occur, where did the changes occur, and the accuracy of the predicted model. This study tries to answer those questions using the high spatial resolution of Sentinel-2 imageries. Combination of the fuzzy algorithm, artificial neural network, and cellular automata was utilized to process the datasets. We analysed four different scenarios of simulation and the result then compared. The different number of hidden layers and iteration was used and evaluated to understand the effect of different parameters in the prediction result. The best scenario was then used to predict future land use changes. This study has successfully produced the future LULC model of Great Malang region with high accuracy level (87%). The study also found that the land use transformation from agriculture to urban built-up area is relatively low, where changes of the built-up area over three periods of analysis are below than 5%. This is due to the physical condition of Great Malang region where mountainous areas are dominated.

Vancomycin is one of the ‘last-line’ classes of antibiotics used in the treatment of life-threatening infections caused by Gram-positive bacteria. Even though vancomycin was discovered in 1950s it was widely used after 1980s for the treatment of infections caused by methicillin-resistant Staphylococci as prevalence of such strains were increased. However, currently it is evident that vancomycin resistant Staphylococcusaureusandvancomycin-resistant Enterococci have been developed as a result of various reasons including use of avaparcin, which is an analog of vancomycin, as feed additive in livestock. In present day context, more attention should be paid on prevention of emergence of resistance for the antibiotics in order to keep antibiotics effective. In order to prevent emergence of resistance, proper guidance for the responsible use of antimicrobials is indispensable. Therefore, almost all stakeholders who use antibiotics should have in depth understanding on the antibiotic they use. As such, it is imperative to be aware of the important aspects of vancomycin. In the present review, efforts have been made to discussthe pharmacokinetics and pharmacodynamics, indications, emergence of resistance, control of resistance, adverse effects and alternative therapy for vancomycin.

Person Re-identification is the task of recognizing comparable subjects across a network of nonoverlapping cameras. This is typically achieved by extracting from the source image a vector of characteristic features of the specific person captured by the camera. Learning a good set of robust, invariant and discriminative features is a complex task, often leveraging contrastive learning. In this article, we explore a different approach, learning the representation of an individual as the conditioning information required to generate images of the specific person starting from random noise. In this way we decouple the identity of the individual from any other information relative to a specific instance (pose, background, etc.), allowing interesting transformations from one identity to another. As generative models, we use the recent diffusion models that have already proven their sensibility to conditioning in many different contexts. The results presented in this article serve as a proof-of-concept. While our current performance on common benchmarks is lower than state-of-the-art techniques, the approach is intriguing and rich of innovative insights, suggesting a wide range of potential improvements along various lines of investigation.

Building Information Modelling (BIM) has been more popular in the construction industry as a consequence of the many advantages it offers, such as increased productivity, improved project outcomes, and reduced expenses. However, there are many obstacles that must be overcome before BIM can be widely used. This research uses a poll of construction industry experts to investigate the challenges associated with using BIM in projects. Cost of implementation, inadequate standards and procedures, and a lack of knowledge with BIM were some of the hurdles that were measured in the study. Statistical techniques were used to examine the data, and the findings indicate that the high cost of implementation and the absence of sufficient standards and procedures are the two main obstacles to the widespread adoption of BIM. Problems with supply chain management and a lack of experience with BIM are also mentioned as obstacles. The report also suggests solutions, such as a more focused teaching effort on BIM-related issues and the creation of a specialised BIM curriculum. Professionals in the construction industry may utilise the study’s results to their advantage by expanding their knowledge of the obstacles standing in the way of widespread adoption of BIM.

Three new tetraphenylethene (TPE) push-pull chromophores exhibiting strong intramolecular charge transfer (ICT) are described. They were obtained via [2+2] cycloaddition - retroelectrocyclization (CA-RE) click reactions on an electron-rich alkyne-tetrafunctionalized TPE (TPE-alkyne) using both 1,1,2,2-tetracyanoethene (TCNE), 7,7,8,8-tetracyanoquinodimethane (TCNQ) and 2,3,5,6-tetrafluoro-7,7,8,8-tetracyanoquinodimethane (F4-TCNQ) as electron-deficient alkene. Only the starting TPE-alkyne displayed a significant AIE behavior, whereas for TPE-TCNE,a faint effect was observed and for TPE-TCNQ and TPE-F4-TCNQ, no fluorescence was observed in any conditions. The main ICT bands that dominate the UV-Visible absorption spectra underwent a pronounced red-shift beyond the near-infrared (NIR) region for TPE-F4-TCNQ. Based on TD-DFT calculations, it was shown that the ICT character shown by the compounds exclusively originated from the clicked moieties independently of the nature of the central molecular platform. Photothermal (PT) studies conducted on both TPE-TCNQ and TPE-F4-TCNQ in the solid state revealed excellent properties, especially for TPE-F4-TCNQ. These results indicated that CA-RE reaction of TCNQ or F4-TCNQ with donor-substituted are promising candidates for PT applications.

This article aimed at providing some extension of the modal square of opposition in the 1 light of Ockham’s account of the modal operators. Moreover, we shall set forth some significant 2 remarks on the de re-de dicto distinction and on the modal operator of contingency by means of a 3 Boolean algebra called Bitstring Semantics. This generalisation starting from Ockham’s account of 4 modalities will allow us to take into consideration whether Ockham’s thought on this matter holds 5 water or not, and in which case it should be changed in order to make it coherent.

Multi-floor environments are usually ignored while designing an autonomous robot for indoor cleaning applications. However, for efficient operation in such environments, the ability of a robotic platform to traverse staircases is crucial. Staircase detection and localization is highly important for planning the traversal on staircases. This paper describes a deep learning approach using Convolutional Neural Networks (CNNs) based Robot Operation System (ROS) to staircase detection and localization. We use an object detection network to detect staircases in images. We also localize these staircases using a contour detection algorithm to detect the target point, a point close to the center of the first step, and the angle of approach to the target point. Experiments are performed with data obtained from images captured on different types of staircases at different view points/angles. Results show that the approach is very accurate in identifying the presence of the staircase in the working environment and is also able to locate the target point with good accuracy.

With more than half of U.S. adults reporting alcohol consumption the last 30 days and nearly 6% reporting heavy drinking, alcohol imposes a significant socioeconomic burden. While there are a host of current medications approved to treat alcoholism, they have limited effectiveness and lack support from both providers and patients. Semaglutide, a medication originally developed for obese type 2 diabetics, may offer a distinctly new approach. A survey to assess the impact of semaglutide on alcohol consumption and desire was designed and distributed in semaglutide-user Facebook and Reddit groups. Of those who had reported drinking before starting semaglutide, 21% of respondents (N= 121) ceased drinking altogether, and 88·4% of respondents (N=538) reported a reduction in their desire to consume alcohol after commencing their medication. Respondents also shared further personal accounts of decreased occurrences of compulsive or "addictive" behaviors beyond a reduction in the desire to consume alcohol. Considering the growing number of reports detailing experiences such as these, combined with our survey results indicating a reduction in both frequency and quantity of alcohol consumption, we strongly recommend conducting scientifically rigorous investigations and clinical trials to explore the potential of semaglutide for addressing conditions associated with alcohol use.

Inadequately managed agricultural waste significantly impacts the environment, health, and economy. This form of pollution arises from the underutilization, poor awareness, and insufficient treatment of agricultural waste. Fruit and vegetable wastes are valuable sources of bioactive compounds. This study aims to revalorize discarded waste from red habanero chili peppers (Capsicum chinense) by extracting bioactive compounds through different extraction processes: maceration (ME), maceration assisted by ultrasound (US), Soxhlet extraction (SE), supercritical fluid extraction (SFE), and supercritical fluid extraction with a co-solvent (SFEC). Extraction processes have significant effects on extraction efficiency and phytochemical profile (capsaicinoids and carotenoids recovery). The results indicate that the highest efficiency process is obtained with SFEC, also a high phytochemicals recovery (14.9 mg of total capsaicinoids and total carotenoids 292.09 µg per gram of sample). Concerning to phytochemical profile in the extract, the maceration process gets the highest concentration of compound followed by US and SFEC. These data reveal that the use of SFE and SFEC extraction is recommended for extraction of phytochemicals with biologically activity from red habanero chili pepper waste for diverse industries application.

The aim of this study was to study the effect of leisure identity, flow, satisfaction, and re-participate intention among outdoor leisure activity participants in South Korea. Due to the recent COVID-19 pandemic, there has been a tendency to more frequently participate in outdoor leisure activities as opposed to indoor leisure activities. Leisure activities bestow various benefits. Therefore, this study was used to analyze the relationships amongst leisure identity, flow, leisure satisfaction, and re-participate intention among various theories about leisure. The participants in this study were collected from amongst 369 people who were frequent participants in outdoor leisure activities. For the data analysis, the researchers used frequency, confirmatory analysis, reliability, correlation and structural equaling modeling. The findings were as follows: First, leisure identity had wielded an influence on leisure flow. Second, leisure identity had influence leisure satisfaction. did not have any significant influence on recreation specialization. Third, leisure identity had influence on re-participate intention. Fourth, leisure flow did not have any significant influence on leisure satisfaction. Fifth, leisure flow did not have any significant influence on leisure satisfaction. And finally, leisure satisfaction had an influence on re-participate intention. In the era of the COVID-19 pandemic, a new leisure identity has been formed, and it is believed to be a new study on leisure flow, leisure satisfaction, and re-participation intention. This study aims to provide basic data for constructing infrastructure to enable continued participation in outdoor sports in Korea.

Keywords: Fatigue crack propagation; Welding residual stress; Plastic re-distribution; Stress ratio effect

Demonstrating biosimilarity entails comprehensive analytical evaluations, clinical pharmacolo-gy profiling, and efficacy testing for at least one medical indication in patients. These require-ments are stipulated by the U.S. Biologics Price Competition and Innovation Act (BPCIA). The costliest element—efficacy testing—can be waived if other compliance benchmarks are satisfied, including comparing functional pharmacodynamic (PD) biomarkers, even when they do not di-rectly correlate with clinical outcomes. Most biological drugs, such as monoclonal antibodies (mAbs), lack identifiable PD biomarkers. The FDA has employed various 'omics' technologies to identify potential PD biomarkers, including proteomics, glycomics, transcriptomics, genomics, epigenomics, and metabolomics. Although these efforts provide a robust scientific basis for estab-lishing biosimilarity, they are neither practical nor necessarily superior to existing functional biomarkers, such as receptor binding and mode-of-action outcomes. As we report for the first time, these functional biomarkers can effectively serve as PD indicators for all FDA-licensed bio-logical drugs. We recommend that the FDA consider officially listing these functional biomarkers to expedite and reduce the cost of biosimilar development, thereby increasing the accessibility of biological drugs. PD surrogates, like the receptor binding and pharmacokinetic profiles, are more robust and offer a rational solution to finding PD markers to compare for establishing biosimi-larity.

Chronic pulmonary diseases such as asthma, COPD, and Idiopathic pulmonary fibrosis are significant causes of mortality and morbidity worldwide. Currently, there is no radical treatment for many chronic pulmonary diseases, and the treatment options focus on relieving the symptoms and improving lung function. Therefore, efficient therapeutic agents are highly needed. Bronchial epithelial cells and airway smooth muscle cells and their crosstalk play a significant role in the pathogenesis of these diseases. Thus, targeting the interactions of these two cell types could open the door to a new generation of effective therapeutic options. However, the studies on how these two cell types interact and how their crosstalk adds up to respiratory diseases are not well established. With the rise of modern research tools and technology, such as lab-on-chip, organoids, co-culture techniques, and advanced immunofluorescence imaging, a substantial degree of evidence about these cell interactions emerged. Hence, this contribution aims to summarize the growing evidence of bronchial epithelial cells and airway smooth muscle cells crosstalk under normal and pathophysiological conditions. The review first deliberates the effects of both healthy and stressed epithelial cells on airway smooth muscle cells, taking into account three themes; contraction, migration, and proliferation. Then, it discusses the impact of airway smooth muscle cells on the epithelium in inflammatory settings. Later, it examines the role of airway smooth muscle cells in the early development of bronchial epithelial cells and their recovery after injury.

Cystic fibrosis (CF) is characterized by mutations of CFTR that lead to increased viscous secretions, bacterial colonization and recurrent infections. Chronic P. aeruginosa infection in persons with CF is associated with progressive and accelerated lung function decline despite aggressive antibiotic treatment. We report the management of respiratory infections in persons with CF with antibiotic therapy that was based on the recommendations of AtbFinder, a novel, rapid, culture-based diagnostic test system that employs a novel paradigm of antibiotic selection. AtbFinder mimics bacterial interactions with antibiotics at concentrations that can be achieved in affected tissues or organs, and models conditions of interbacterial interactions within polymicrobial biofilms. This open-label, single-arm, investigator‐initiated clinical study was designed to identify the efficacy of antibiotics selected using AtbFinder in persons with CF. Microbiological and clinical parameters were assessed following the change of antibiotic therapy to antibiotics selected with AtbFinder between January 2016 and December 2018 and retrospectively compared with clinical data collected between January 2013 and December 2015.We enrolled 35 persons with CF (33 with chronic P. aeruginosa colonization). Antibiotics selected using AtbFinder resulted in clearance of P. aeruginosa in 81.8% of subsequent cultures, decreased pulmonary exacerbations from 1.21 per patient per annum to 0, and an increase in predicted FEV1% up to 28.4% from baseline. The number of systemic antibiotic courses used in patients after switching to the AtbFinder selected therapy was reduced from 355 to 178. These findings describe the superiority of antibiotic regimens selected with AtbFinder compared with routine antimicrobial susceptibility testing.

Steel fibres provides ductility to concrete structures. This in turn gives possibility to replace or reduce conventional reinforcement in structural elements. In this study the focus is on structural walls and the fibres as potential replacement for horizontal reinforcement in areas where vertical re-bars are needed. An experimental study was conducted, in which prismatic specimens with longitudinal re-bars were subjected to centric loading. Ten samples with 12 specimens in each were tested. The parameters considered were: fibre content, concrete cover for the longitudinal bars, and presence of stirrups. Self-compacting concrete with 30 and 60 kg/m3 steel fibres was used. The influence of fibres on maximum load, stiffness, and ductility of the specimens is evaluated. The results show that fibres eliminated brittle collapse and spalling of concrete at failure. Samples with fibres tend to have reduced maximum force and stiffness but increased ductility. The specimens with fibre content of 60 kg/m3 showed more ductile behaviour than the ones with minimum amount of conventional stirrups. The study suggests that combination of steel fibres and conventional re-bars can lead to less qualitative compactness of the self-compacting concrete, which in turn may reduce load bearing capacity and stiffness of the structure.

Calcium carbonate cements have been synthesized by mixing amorphous calcium carbonate and vaterite powders with water to form a cement paste and study how mechanical strength is created during the setting reaction. In-situ XRD was used to monitor the transformation of ACC and vaterite phases into calcite and a rotational rheometer was used to monitor the strength evolution. There are two characteristic time scales of the strengthening of the cement paste. The short timescale of the order 1 hour is controlled by smoothening of the vaterite grains, allowing closer and therefore adhesive contacts between the grains. The long timescale of the order 10-50 hours is controlled by the phase transformation of vaterite into calcite. This transformation is, unlike in previous studies using stirred reactors, found to be mainly controlled by diffusion in the liquid phase. The evolution of shear strength with solid volume fraction is best explained by a fractal model of the paste structure.

The growth of demand for metallic minerals has faced with the need for new techniques and improving technologies for all mine life cycle operations. Nowadays, the exploitation of old tailings and mine wastes facilities could represent a solution to this demand, with economic and environmental advantages. W-Sn Panasqueira Mine has been operating for more than 100 years. Its first processing plant “Rio” was located near Zêrere river being the mineral processing residues deposited on the top hillside on the margin of this river in Cabeço do Pião tailings dam. The lack of maintenance and monitoring of this enormous structure in the last twenty years represents high risks to the environment and population of the surrounding region. The re-mining of the tailings by hydrometallurgical methods was considered, in order to satisfy these two enounced conditions - metals demand and environmental risk, aiming for the sale of the metal to pay the environmental intervention. Field samples campaign allowed collecting data and results from laboratory tests driving to use regression optimization. The re-mining solution was studied, taking into account the technical, economic, social, and environmental aspects.

Biodiversity loss has been identified as one of the environmental impacts where humankind has been tres-passing planetary boundaries most significantly. Going beyond the pressures causing damages (calling them ‘direct drivers’) and analysing their underlying driving forces, IPBES, the Intergovernmental Sci-ence-Policy Platform for Biodiversity and Ecosystem Services, also identified a series of indirect drivers. The Montreal-Kunming Global Biodiversity Framework GBF including its suggested monitoring approach is intended to and claims to be a policy response to such analyses. However, to assess the human impact on ecosystems as a basis for planning conservation and restoration, as foreseen in the GBF, monitoring ecosystem typologies (in the GBF with reference to the UN statistical standard SEEA ES, which in turn refers to the IUCN ecosystem classification) is not enough. It needs to be complemented with data on the severity of human impacts, and on the history of places, i.e. how and when the current ecosystem status was brought about. In this conceptual paper we suggest LUI, a deliberately simple ordinal scale index for land use intensity changes, to address these two gaps. It is based on the hemeroby concept, measuring the human impact as deviation from naturalness. This makes it an information collection and presentation tool for those working in landscape planning and management. LUI’s simple and intuitively understandable structure makes it suitable for citizens’ science applications, and thus for participative monitoring when extensive statistical data gathering is not feasible, and past data are not available. Of course is can also be used as a simple too for communicating when detailed statistical data series are available. While the aggregate index is expected to communicate well, its components are more relevant to motivate and help policy makers to prioritise their decisions according to the severity of recent anthropogenic ecosystem disturabances.

Providing patient-centered care to manage chronic pain and opioid use disorder (OUD) is associated with improved health outcomes. However, adopting a holistic approach to providing care is often challenging in rural communities. This study aims to identify and contrast challenges to providing patient-centered care from the perspective of patients and providers. A participatory design approach was adopted to elicit the perceptions of providers and patients with lived experiences of chronic pain and OUD in Jefferson County, Wisconsin. Two focus groups were conducted with each stakeholder group to identify problems that participants face with respect to chronic pain management and OUD and possible solutions. Four interviews were conducted with providers experienced in chronic pain management. Analysis of focus group sessions and interviews show consensus among patients and providers that lack of behavioral health and recovery resources create barriers to effectively manage OUD and chronic pain. However, there was discordance among the two groups about other barriers such as patient and provider attitudes, tapering approach, and access to medications for OUD. This tension among patients and providers can influence patients’ retention in therapy. More efforts are needed to mitigate stigma among providers in rural communities and support psychosocial needs of patients.

The study aimed to assess the prevalence and correlates of heavy episodic drinking (HED) among adults in Ecuador. In the national cross-sectional 2018 Ecuador STEPS survey, 4,638 persons (median age=39 years, range 18-69 years) responded to a questionnaire, physical measures, and biomedical tests. Results indicate that 24.1% had past month HED, 36.7% among men, and 12.0% of women; 40.6% past month HED among past 12-month drinkers. In adjusted logistic regression analysis, male sex (Adjusted Odds Ratio=AOR: 3.12, 95% Confidence Interval=CI: 2.50-3.89), past smoking (AOR: 1.38, 95% CI: 1.09-1.76), and current smoking (AOR: 2.83, 95% CI: 2.15-3.83) were positively and persons aged 50-69 years (AOR: 0.50, 95% CI: 0.38-0.66) and having underweight (AOR: 0.28, 95% CI: 0.09-0.89) were negatively associated with HED. In addition, in sex-stratified analyses, among men, being African Ecuadorean or Mulato (AOR: 1.79, 95% CI: 1.10-2.91), and high physical activity (AOR: 1.41, 95% CI: 1.01-1.99) were positively associated with HED, and among women, being Montubia (AOR: 0.40, 95% CI: 0.17-0.93) was negatively and obesity (AOR: 1.61, 95% CI: 1.06, 2.44) was positively associated with HED. Almost one in four participants engaged in HED, and several sociodemographic and health indicators were identified that may facilitate public health interventions for reducing HED.

Objective: To evaluate the status of receiving education on rational drug use, the criteria in medical drug selection, and level of knowledge of dentists working in a dentistry faculty in Turkey. Material and Methods: This was a descriptive study based on a questionnaire. One hundred seventeen (74%) dentists volunteered to participate in the study. The questionnaire consisted of 20 questions investigating sociodemographic features and rational drug use. Results: The mean age of the dentists was 30.8 ± 7.2 years, and 62.4% were men. The mean period of professional experience was 8.9±7.1 years. The most frequently used resources of references while prescribing medicine were Vademecum (medical drug guide) (61.5%), the internet (59.0%), and colleagues (49.6%). The most frequently reported condition described as ‘good’ was drug indications (43.6%). The dentists had a moderate level of information about posology, and administration route (48.7%), pharmacologic features (48.7%), and contraindications (46.2%). The number of dentists who stated that they considered cost while prescribing was low [always (6%), and frequently (15.4%)]. Rational drug use education had been received by 23.9% of the dentists. Conclusions: The dentists were found to have a lack of adequate and effective education on rational use of drugs. Regular and continuous education before and after graduation is a necessity for dentists and for their patients.

Background: Alcohol is a psychoactive substance that leads to dependence and harmful drinking in worldwide. Alcohol use is the most prevalent among age from 13 to 29 year particularly in high school, college, and university students. It affected students mentally, physically, economically and their social issues. In low and middle-income countries particularly in Ethiopia, there is lack of data in systematic review and meta-analysis regarding the prevalence of alcohol use and associated factors among students. Methods: We will search studies using computerized search engine, main electronic databases and other applicable sources. PubMed/Medline, Global Health, Africa-wides, PsycINFO, Google Scholar, EMBASE, and direct Google search will be searched to retrieve studies written in English language from 2010 to 2017. Observational studies (case control, cross-sectional, cohort or longitudinal survey, and surveillance reports) on the prevalence of alcohol use and associated factors among students in Ethiopia will be eligible. Data will be extracted by two authors independently. Data synthesis and statistical analysis will be carried out. Pooled estimate will be done to determine the prevalence of alcohol use by using comprehensive meta-analysis software. Protocol registration PROSPERO: 2017: CRD42018083222.

The natural and man-made landscape settings in the Khyber Pakhtunkhwa (KPK) province of Northern Pakistan have significantly changed in the last decade due to increasing demands of urbanized populace, migration, two major natural disasters, and climate change. The aim of this study is to analyze land possession, income and land-use diversification of KPK administered Charsadda district. Field data is collected through a sample survey. Furthermore, freely available Landsat 7 satellite images are used to classify land-use classes (e.g. vegetation, built-up) for two different years (e.g. 2005 and 2017) for cross-verification and comparison. The highest 45% of 80% land-owners occupy land-area between 1-10 hectares. Annually, the highest 57.5% of the total farmers / employed in-habitants of surveyed regions earn more than Rs. 100,000 or ~ $ 970 from agriculture activities. About 41.9% land-area covered by agricultural-land is transformed into built-up area since 2007, which is attributed to the increasing demand for buildings and commercial markets. The highest diversification is reported in Naguman area of Charsadda district followed by Rajjar and Niami. Population growth and huge migration of displaced persons from neighboring tribal areas are likely to be few factors which contributed to such a drastic change in land-use pattern since 2007 to 2017. Urgent attention of the policy makers, agricultural experts and society is required to minimize land degradation and to thwart further agricultural-land loss.

The natural and man-made landscape settings in the Khyber Pakhtunkhwa (KPK) province of Northern Pakistan have significantly changed in the last decade due to increasing demands of urbanized populace, migration, two major natural disasters, and climate change. The aim of this study is to analyze land possession, income and land-use diversification of KPK administered Charsadda district. Field data is collected through a sample survey. Furthermore, freely available Landsat 7 satellite images are used to classify land-use classes (e.g., vegetation, built-up) for two different years (e.g., 2005 and 2017) for cross-verification and comparison. The highest 45% of 80% land-owners occupy land-area between 1–10 hectares. Annually, the highest 57.5% of the total farmers / employed in-habitants of surveyed regions earn more than Rs. 100,000 or ~$970 from agriculture activities. About 41.9% land-area covered by agricultural-land is transformed into built-up area since 2007, which is attributed to the increasing demand for buildings and commercial markets. The highest diversification is reported in Naguman area of Charsadda district followed by Rajjar and Niami. Population growth and huge migration of displaced persons from neighboring tribal areas are likely to be few factors which contributed to such a drastic change in land-use pattern since 2007 to 2017. Urgent attention of the policy makers, agricultural experts and society is required to minimize land degradation and to thwart further agricultural-land loss.

Land-use planning plays an important role in agricultural development, however it lacks tools to support planner in proposing land-use planning solutions especially, under saltwater intrusion condition in the coastal regions. This study aims to apply optimization in analyzing land-use solutions for agricultural land-use planning. In which a multi-objective optimization model is developed to optimize land-use area including land-use allocation taking into account socio-economic and environmental factors. The model has been applied in three districts of Soc Trang province, Vietnam (Long Phu, My Xuyen and Tran De) representing three ecological regions including salt water, brackish water and freshwater in the Mekong Delta of Vietnam. The results showed that two multi-objective optimization scenarios (in terms of profit, labor, environment benefits and risk reduction) have been implemented: (i) Multi-objective optimization of agricultural land-use until 2030 under normal conditions; (ii) Optimizing agricultural land-use until 2030 under climate change conditions similar to the 2016 drought and saltwater intrusion phenomenon in the Mekong Delta. The results showed that the second scenario is the option considered for implementing land-use plan thanks to the balance between good profits and minimizing economic and environmental risk. The land allocation was carried out taking into account household economic, the influence of adjacent production types, local traffic and canal systems factors to allocate optimal land-use areas. The combination of land-use optimization and spatial allocation process can help planners improve the quality of agricultural land-use planning.

Land-use planning review seems relatively lower in publication rate and in coverage of content. This review contributes its part in two dimensions. First, it assesses ability of the popularly growing bibliometric method in tracking the real contribution of publications. Then it summarizes developments in the land use planning literature in three themes - general literature path building, land use planning context, and development of methods. It is observed that bibliometric method rewards information carriage paper more than the original contributors. Key planning context gaps include detachment of the general goal-oriented objective formulations from the basic land use allocation theories and models and certain urban land use optimization objectives even contradict the original though of sustainable city. Key research frontiers include: linking basic land use allocation and utility theories in urban land use planning; shifting the current urban land use planning from spatial optimization to activities into optimizing flow resources to available spatial configurations; evaluating existing built environment for optimality; transferring knowledge from rural land-use planning to urban land use planning. In method development, the key frontier would be advancing the current loosely coupled methods into more integrated systems.

With the increasing of copper consumption, the in-use stock of copper tends to increase. This paper used the “average use life method” to quantify the amount of copper in-use stock, and calculated the average age of in-use stock. It was indicated that the total in-use stock had an overall smooth trends, and reached its peak in 2007 was about 68.9 Mt (million tons), in addition, in-use stock per capita reached its peak ,234 kg/capita in 2001. The results demonstrated that during the period 1992-2002, the average age of copper in-use stock was continually decreased, but gradually increased since the year 2003. The fixed assets depreciation method used in this paper is applied to analyze depreciated copper in-use stock, and to analyze the relationship with economic indicator (GDP). It is demonstrated that it was inconsistent with the theory of Environmental Kuznets Curve (EKC) before 2000, this might be the demand for copper in the service sector is greater than the reduced strength of alternatives. Finally, scenario analysis of future copper in-use stock and depreciated copper in-use stock per capita in the U.S. were presented. The corresponding average age of the in-use stock will have a slight rise in the next decade.

Students are often portrayed as future leaders. Their participation in climate change mitigation would improve when they access climate information and gain a high level of climate change awareness. This study was initiated to assess the Congolese students’ awareness of climate change by focusing on their sources of information on climate change, knowledge about the causes and impacts of climate change and activities that can raise awareness on climate change. Using a convenience sampling technique, we collected data through individual interviews conducted among 1,278 students from 13 universities across the Democratic Republic of Congo (DRC). The interview results showed that all students irrespective of their disciplines were concerned about climate change, a phenomenon strongly driven by human activities, such as deforestation (78%), urbanisation (30%), agriculture activities (30%) and transport services (26%). The students’ perceptions of climate change impacts included increase in temperature (82%), decrease in the number of rainy days (66%), proliferation of pests (60%) and increase in the number of malaria patients (39%). The primary sources of information that significantly affected students’ awareness of climate change included environment-related university courses and television broadcasts. The awareness-raising and mitigation actions related to climate change recommended by the students included educating people about good waste management (56%), planting trees (65%) and using the taxes paid by mining companies for the restoration of degraded ecosystems. The students believed that in DRC, all layers of the society (educational institutions, civil society organisations, community members and businesses) are important in building resilience to climate change. This study can guide teachers to focus their educational efforts on shaping pro-environmental behaviour in students.

An early hypothesis in robot-assisted stroke therapy was that sensorimotor stimulation through robotic assistance is beneficial for recovery. Despite 25 years of upper-limb rehabilitation robotics research, this hypothesis remains untested barring a few studies with small sample sizes. This review aims to provide a critical summary of the current state of this hypothesis by collating evidence from rehabilitation robotics and other related therapeutic approaches. The review starts with a causal model to expose the various direct and indirect routes through which robotic assistance can aid sensorimotor recovery. The indirect routes include the influence of robotic assistance on therapy intensity, patient motivation, and active participation. The direct route is through changes in cortical networks through Hebbian(-like) learning and changes in peripheral tissue properties. There is currently mixed evidence for the direct causal effect of robotic assistance on recovery from the upper-limb rehabilitation robotics literature. However, evidence from the neuromuscular electrical stimulation literature provides some support for this causal role. Based on the data at hand, we hypothesize that the enhanced movement-related sensory feedback from robotic assistance has a direct, possibly small, causal role in the sensorimotor recovery of the upper-limb, and this effect might be detectable with high-intensity therapy. Large, high-intensity, controlled studies are warranted to support or refute the role of robotic assistance on recovery, which is both scientifically and practically important.

Social media HPV vaccination interventions show promise for increasing HPV vaccination rates. An important consideration for the implementation of effective interventions into real-world practice in the translation potential, or external validity, of the intervention. To this end, we conducted a systematic literature review to describe the current body of evidence regarding the external validity of social media HPV vaccination-related interventions. Constructs related to external validity were based on the RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework. Seventeen articles published between 2006 and 2020 met inclusion criteria. Three researchers independently coded each article using a validated RE-AIM (reach, effectiveness/efficacy, adoption, implementation, maintenance) framework. Discrepant codes were discussed with a fourth reviewer to gain consensus. Of these 17 studies, three were pilot efficacy studies, 10 were RCTs to evaluate effectiveness, one was a population-based study, and three did not explicitly state which type of study was conducted. Reflecting this distribution of study types, across all studies the mean level of reporting RE-AIM dimensions varied with reach recording 90.8%, effectiveness (72.1%), adoption (40.3%), implementation (45.6%), and maintenance (26.5%). This review suggests that while the current HPV vaccination social media-driven interventions provide sufficient information on internal validity (reach and effectiveness), few have aimed to gather data on external validity needed to translate the interventions into real world implementation. Our data suggest that implementation research is needed to move HPV vaccination-related interventions into practice. Included in this review are recommendations for enhancing the design and reporting of these HPV vaccination social media-related interventions.

In the last two centuries, land use change (LUC) has been the most important direct changes driver for terrestrial ecosystems. To contrast the consequent ecosystems degradation, forward-looking spatial policies and target landscape and land-use planning processes, promoting a sustainable land use change, are needed. The present paper proposes a framework of action including different landscape planning and ecological approaches: from the spatial modelling to recognize the LUC and build different scenarios, to the ecosystem services (ESs) assessment to evaluate the possible environmental impacts. Three different scenarios were built: Trend, No-Tillage and Energy crops. The Sediment Delivery Ratio and Carbon Storage and Sequestration ESs were assessed and compared for each scenario. The aim of the paper is to support decision-makers and local communities into the landscape planning process. Results show that a regional development in line with past trend could lead to further land degradation. Instead, the two scenarios proposed in compliance with EU policies, could bring benefits only if related to moderate LUCs and respecting the naturally grass-vegetated land. From the local to global scale, a guided and shared LUC management allows implementing sustainable development, basing on a deep knowledge of physical-environmental but also social and economic issues.

Background: This article evaluates the perception of drug use control and strategies in Valencia City (Spain) in a general and clinical population, in two independent studies. Material and Methods: 1071 people participated. In the Study 1 (n= 924) the entire sample came from general population (GP), and in the Study 2 (n=147), 68 were drug users being treated in an Addictive Behaviors Unit (ABU), and 79 people of the GP. The drug use control perception and strategies in both subgroups were compared. The participants filled in the Drug Use Strategies Scale and a Drug Use Survey. Results: A high level of perception of drug control in GP was obtained (72,7% in the Study 1 and 67,5% in the Study 2), and 32.5% in ABU subgroup. People in the PG and drug users in treatment differ in some control strategies. A predictive profile of the perception of control was obtained for the Study 2. Conclusion: The high degree of perception of controlling drug use in the GP, and partially in drug users being treated, and the specific control strategies reported suggests that moderate use and drug control strategies are a great value alternative to bear in mind compared to abstinence.

Indigenous peoples around the world are revitalizing their ancestral beliefs, practices, and languages, including traditional understandings of health and wellbeing. In the Aotearoa (New Zealand) context, a number of ground-breaking Māori health and wellbeing related models have emerged, each with their own unique applications and offerings. We sought in these qualitative studies to explore and identify some key sources of wellbeing for Māori individuals. Nine interviews were conducted with members of Māori communities to identify key themes of Māori wellbeing. A Reflexive Thematic Analysis was performed on these data, and then a further fifteen interviews were conducted to revise, refine, and reposition the previously generated themes. The Ngaruroro describes wellbeing as the embodied and active process of being in good relation with your 1) here tāngata (social and familial ties), 2) te taiao (the environment), and 3) taonga tuku iho (cultural treasures), while doing what you can to make lifestyle choices that are conducive to the health of your 4) tinana (body) and 5) wairua (spirit), while cultivating a balanced 6) ngākau (inner-system), fulfilling 7) matea (core needs), and exercising your 8) mana (authority). These themes illustrate and reiterate that Māori wellbeing is dynamic, interconnected, and holistic.

The utilization of solar energy technology is crucial for generating hydrogen in sustainable energy systems. While traditional methods involving natural gas, coal, and oil have been employed for hydrogen production, this study aims to explore environmentally friendly techniques. Green hy-drogen, despite being a more expensive option compared to fossil fuel-derived hydrogen, has prompted engineers to develop affordable and low-carbon technologies. The microgrid model was developed to showcase a self-contained DC islanded system designed to supply power to an electrolyzer, capitalizing on both a solar array and an energy storage unit. This comprehensive model offers a versatile platform for evaluating the operational dynamics involved in the sustainable production of green hydrogen. Over a span of seven days, it permits the as-sessment of hydrogen generation characteristics through the utilization of solar energy, either di-rectly from a solar array or through an integrated system that incorporates energy storage. The model encompasses a multi-domain framework, encompassing electrical, thermal liquid, and thermal gas aspects, facilitating a holistic exploration of the intricate processes underlying the green hydrogen production system. Through this simulation, the feasibility and efficiency of harnessing renewable energy sources for hydrogen production in an off-grid setting can be comprehensively examined and optimized, contributing to the advancement of sustainable energy solutions.

The wind flow patterns and pressure distribution around a plus-shaped building are significantly influenced by the dimensions of its re-entrant corners and the overall building height. The present study aims to find the wind effects and study of the pressure distribution with different flow patterns. Plan area of the building is around 300 square meter while the height of the building is 50 meters by keeping the equal length of the re-entrant corners. The research is performed using ANSYS CFX academic version and the results are depicted in various forms such as pressure coefficient (Cpe), stream lines in both vertical as well as in specific surface and pressure contours. The analysis is carried out by varying the wind incident angles, from 0° to 90° at the interval of 15°. The building dimension are scale down to perform the test on length scale of 1:100. Since the considered building model exhibits symmetry along both the axes, present study mostly emphasis on examining re-entrant corners located in the building. This method yields valuable information about how air circulates and how pressure is distributed across a broad spectrum of wind angles. This study provides valuable insights into flow circulation and pressure distribution for a wide range of wind angles.

Gold nanoparticles (AuNPs) have been used in a broad range of applications conferring to bio-molecules diverse proprieties such as deliver, stabilization and reduction of adverse effects of drugs or plant ex-tracts. Polyphenolic compounds from Bacopa procumbens (BP) are able to modulate proliferation, adhesion, migration and cell differentiation, reducing artificial scratch area in fibroblast cultures and promoting wound healing in in vivo model. Here, chemically synthetized AuNPs conjugated with BP (AuNP-BP) were characterized by Uv-Vis, ATR-FTIR, DLS and zeta-potential. Results showed over-lapping FTIR spectra of polyphenolic compounds from B. procumbens capping the AuNPs, stable size by the DLS and zeta potential, AuNP-BP was 44.58 nm, the zeta-potential of AuNPs was -36.3±12.3 mV after conjugation with the BP; - (AuNP-BP), the zeta-potential was reduced to -18-2±7.02 mV. Enhancement of wound healing effect were evaluated by morphometric, histochemical and FTIR changes in rat wound excision model. Results showed that the nanoconjugation process reduced 100 folds BP concentrations to have the same wound healing effect of BP alone. Besides histological and FTIR spec-troscopy analyses, demonstrated that AuNP-BP treatment displayed better macroscopical performance; the reduction on inflammatory cells, and the increased synthesis and better organization of collagen fibers.

Tuberculosis (TB) continues to pose a global health challenge, exacerbated by the rise of drug-resistant strains. The development of new TB therapies is an arduous and time-consuming process. To expedite the discovery of effective treatments, computational structure-based drug re-purposing has emerged as a promising strategy. From this perspective, conditionally essential targets present a valuable opportunity, and the mycobactin biosynthesis pathway stands out as a prime example highlighting the intricate response of Mycobacterium tuberculosis (Mtb) to changes in iron availability. This study focuses on the re-purposing and revival of FDA-approved drugs (library) as potential inhibitors of MbtA, a crucial enzyme in mycobactin biosynthesis in Mtb conserved among all species of mycobacteria. Literature suggests this pathway to be associated with drug efflux pumps, which potentially contribute to drug resistance. This makes it a potential target for antitubercular drug discovery. Herein we utilized cheminformatics and structure-based drug repurposing approaches, viz., molecular docking, dynamics, and PCA analysis, to decode the intermolecular interactions and binding affinity of the FDA-reported molecules against MbtA. The virtual screening revealed ten molecules with significant binding affinities and interactions with MbtA. These drugs, originally designed for different therapeutic indications (4: antiviral, 3: anticancer, 1: CYP450 inhibitor, 1: ACE inhibitor, and 1: leukotriene antagonist), are repurposed as potential MbtA inhibitors. Furthermore, our study explores the binding modes and interactions between these drugs and MbtA, shedding light on the structural basis of their inhibitory potential. Principal component analysis highlighted significant motions in MbtA-bound ligands, emphasizing the stability of the top Protein-Ligand Complexes (PLCs). This computational approach provides a swift and cost-effective method for identifying new MbtA inhibitors, which can subsequently undergo validation through experimental assays. This streamlined process is facilitated by the fact that these compounds are already FDA-approved and have established safety and efficacy profiles. This study has the potential to lay the groundwork for addressing the urgent global health challenge at hand, specifically in the context of combating Antimicrobial Resistance (AMR) and Tuberculosis (TB).

The unsupervised domain-adaptive vehicle reidentification approach aims to transfer knowledge from a labeled source domain to an unlabeled target domain, however there are knowledge differences between the target domain and the source domain. To reduce domain differences, existing unsupervised domain-adaptive rerecognition methods generally require access to the source domain data to assist in re-training the target domain model. But for security reasons, in many cases, data between different domains cannot communicate. To this end, this paper proposes an unsupervised domain-adaptive vehicle re-identification method based on source-free knowledge transfer. First, by constructing a passive domain knowledge migration module, the target domain is consistent with the source domain model output to train a generator to generate the "source-like samples". Then, it can effectively reduce the model knowledge difference and improve the model generalization performance. According to the experiment and testing of VeRi776 and VehicleID, two mainstream public data sets in this field, the rank-k and mAP indexes obtained are both improved, and are suitable for object re-recognition tasks without source data.

The goal of this paper is to investigate the aerodynamic and aerothermodynamic behaviour of the Schiaparelli capsule after the deployment of the supersonic disk-gap-band (DGB) parachute during its re-entry phase into the Martian atmosphere. Large-Eddy Simulations of compressible flows have been performed over the capsule and the flexible DGB parachute to analyse the behaviour of the turbulent wake behind the capsule and its interaction with the parachute flow-field. The simulations are performed at an altitude of 10 km and a Mach number around 2, i.e., a regime in which large canopy-area oscillations are observed. These simulations have shown a strong interaction between the bow shock, the recompression and expansion waves, high pressure, density and temperature gradients, heat flux towards the airstream and the body implying turbulence generation, ingestion, and amplification through the shock waves. This nonlinear turbulence flowfield explains the non-axisymmetric behaviour around and behind the parachute that caused the uncontrolled capsule oscillation and the mission failure.

Regardless of country and age, the importance of history education is always being emphasized. Although the importance of history education is being emphasized in Korea, there are many difficulties in getting students to understand history properly through school classes alone, and it is also difficult to attract students to participate in classes. The effectiveness of education using games has been proven 20 years ago, and the demand for game-based education is gradually increasing in the current education world, which is becoming more open. In this paper, based on the effects proven through research on the existing game-based education, the improvement of historical thinking ability, experiential history learning, and the problems of game-based education introduced in the ESN report and the discomfort of teachers who participated in the education were improved. A plan was suggested to select and use games suitable for basic education. In this thesis, we selected a history game with a clear historical and periodic background and without distortion of history, and experimented with teaching using games focusing on historical thinking and empirical history learning. The learning achievement of textbook-based education was compared.

Regardless of country and age, the importance of history education is always being emphasized. Although the importance of history education is being emphasized in Korea, there are many difficulties in getting students to understand history properly through school classes alone, and it is also difficult to attract students to participate in classes. The effectiveness of education using games has been proven 20 years ago, and the demand for game-based education is gradually increasing in the current education world, which is becoming more open. In this paper, based on the effects proven through research on the existing game-based education, the improvement of historical thinking ability, experiential history learning, and the problems of game-based education introduced in the ESN report and the discomfort of teachers who participated in the education were improved. A plan was suggested to select and use games suitable for basic education. In this thesis, we selected a history game with a clear historical and periodic background and without distortion of history, and experimented with teaching using games focusing on historical thinking and empirical history learning. The learning achievement of textbook-based education was compared.

We replace the current industry-standard empirical forecasts of oil production from hydrofractured horizontal wells in shales with a statistically and physically robust, accurate and precise approach, using the Bakken shale as an illustration. The proposed oil production forecasting method extends our previous work on predicting fieldwide gas production in the Barnett shale and merges it with our new scaling of oil production in shales. We first divide the existing 14,678 horizontal oil wells in the Bakken into 12 static samples in which depositional settings and completion technologies are similar. For each sample, we construct a purely data-driven P50 well prototype by merging the GEV distribution fits of oil production from appropriate well cohorts. We fit the parameters of our physics-based scaling curve to the statistical well prototypes, and obtain their smooth extrapolations to 30 years on production. By calculating the number of potential wells of each Bakken region, and scheduling future drilling programs, we stack up the extended well prototypes to achieve the most plausible forecast. We predict that Bakken will ultimately produce 5 billion barrels of oil from the existing wells, with the possible increments of 2 and 6 billion barrels from core and noncore areas.

This work explores an additive-manufacturing-enabled combination-of-function approach for design of modular products. AM technologies allow the design and manufacturing of nearly free-form geometry, which can be used to create more complex, multi-function or multi-feature parts. The approach presented here replaces sub-assemblies within a modular product or system with more complex single parts that are designed and manufactured using AM technologies. This approach can increase the reliability of systems and products by reducing the number of interfaces, as well as allowing the optimization of the more complex parts during the design. The smaller part count and the ability of users to replace or upgrade the system or product parts on-demand should reduce user risk, life-cycle costs, and prevent obsolescence for the user of many systems. This study presents a detailed review on the current state-of-the-art in modular product design in order to demonstrate the place, need and usefulness of this AM-enabled method for systems and products that could benefit from it. A detailed case study is developed and presented to demonstrate the concepts.

Objective: The influence of gender on the number and pattern of co-morbid psychiatric illness was archivally compared between patients with and without an Alcohol Use Disorder (AUD) among psychiatrically treated individuals drawn from a large Danish birth cohort. Method: By age 45, fifteen percent of the Copenhagen Perinatal Birth Cohort (N=8,109) had been treated in a Danish psychiatric facility. Of those 1,247 patients, 368 were assigned an AUD diagnosis (29.5%). All psychiatric diagnoses assigned to these patients, over all admissions, were classified into one of 14 broad ICD-10 F categories for comparative purposes. Results: More of the patients with an AUD diagnosis were male. Patients with an AUD diagnosis were significantly more likely to receive two or more non-AUD psychiatric diagnoses than patients without an AUD diagnosis. The number of psychiatric diagnoses was greater for female than male AUD patients, a difference not found among male and female patients without an AUD diagnosis. For patients with no AUD diagnosis, the influence of gender on the pattern of psychiatric disorders was similar to that commonly reported. In contrast, the influence of gender on the number and pattern of psychiatric disorders for patients with an AUD diagnosis indicated fewer gender differences. Several diagnostic categories that discriminated male from female patients without an AUD-related diagnosis, no longer discriminated male from female patients with an AUD-related diagnosis. Conclusions: Our findings suggest that gender differences associated with psychiatric comorbidity that have been reported in large heterogenous study, should not be generalized to specific diagnostic groups without further study.

The relocation of Indonesia's capital to the IKN (Ibukota Negara) Nusantara in East Kalimantan is leading to significant changes in land use, shifting from natural vegetation and agriculture to urban infrastructure. This transition brings about economic diversification and urban expansion, but it also raises concerns about its impact on society, the economy, and the environment. The rapid development affects biodiversity conservation, food security, and the livelihoods of rural and indigenous communities, leading to conflicts across social and economic dimensions. This research uses qualitative and quantitative data to examine the socio-economic and environmental changes in the IKN Nusantara area from 2003 to 2023. The findings show a notable increase in built-up areas, indicating urbanization and a decrease in agricultural land. The study discusses the implications for local populations and ecosystems, emphasizing the need for inclusive governance, community participation, and conflict resolution. It also proposes a comprehensive policy framework that promotes sustainable land management, recognizes indigenous and local rights, and fosters inclusive economic growth to respect Indonesia's rich environmental and cultural heritage.

Many drastic actions are taken by cocaine users for the sake of experiencing high dopamine levels, which depends on iron for its synthesis. Dopamine depletion and iron deficiency are also involved in the symptoms of restless leg syndrome (RLS). The intersecting biochemical pathways of cocaine use, iron deficiency, and RLS have not been adequately investigated. This case report reveals the successful treatment of a patient with these conditions. A 63-year-old male with a history of cocaine use disorder, insomnia, and RLS sought emergency care for suicidality. Upon admission, he was also found to be iron-deficient. He revealed that his RLS worsened when he attempted to abstain from cocaine. He also used alcohol to sustain the effects of cocaine when the cost of cocaine was too high. During hospitalization, his mood, cravings, and RLS were resolved with adjunctive iron supplementation as well as 300 mg of Wellbutrin. If iron-deficient, replenishment of adequate dopaminergic receptor density and function via supplementation may play an essential role in the prevention of cocaine use and cessation of cocaine withdrawal. Further research is warranted to validate these findings and understand the implications of iron supplementation in addiction medicine.

Background: Condoms have proven to be an effective contraceptive barrier method of family planning and have played a vital role in preventing sexually transmitted diseases including HIV. However, existing evidence shows that utilization of condoms still remains low, especially among youth and adolescents. We aimed to determine the prevalence of condom use and associated factors among the students of Gulu university in Uganda. Methods: A cross-sectional study was conducted among undergraduate students of Gulu University between June and December 2023. The students were accessed from their respective faculties and chosen using a simple random sampling method. Data were collected using a pretested self-administered structured questionnaire. Condom use was defined as use of either male or female condom in the last sexual encounter in the previous six months. Results: A total of 404 participants, with a median age of 23 years (interquartile range (21.5-24) years) were enrolled in the study, 54.2%(n=219) of whom were male. Overall, 81.4%(n=329) of the participants were in senior classes (year 2,3,4, and 5) and 18.6%(n=75) were in their first year of study. The prevalence of condom use was 53.7%(n=217). Prevalence of condom use was 50.2%(n=109) among male and 49.8%(n=108) among female students. Year of study (senior class)(aPR = 1.4, 95% CI = 1.59, 3.54), having a sexual partner (aPR = 2.4, 95% CI = 1.89, 2.94), having a sexual partner within campus (aPR = 2.0, 95% CI = 1.69, 2.45), experience of condom bursting (aPR = 1.3, 95% CI = 1.08, 1.61), having sex in absence of condoms (aPR = 0.6, 95% CI = 0.44, 0.70), alcohol use (aPR = 1.2, 95% CI = 1.01, 1.45) were independently associated with condom use. Conclusion: Just over half of undergraduate students of Gulu university used condoms during sexual encounters. There should be heighten campaigns on condom use to prevent unintended pregnancies and sexually transmitted infections.

Scales are widely used in many agricultural applications, ranging from weighing crops at harvest to determine crop yields to regularly weighing animals to determine growth rate. In agricultural research applications, there is a long history of measuring crop water use (evapotranspiration) using a particular type of scale called weighing lysimeters. Typically, weighing lysimeters require very accurate data logging systems that tend to be expensive. Recent developments in open-source technologies, such as micro-controllers and Internet of Things (IoT) platforms, created opportunities for developing effective and affordable ways to monitor crop water use and transmit the data to the Internet in near real-time. Therefore, this study aimed to create an affordable Internet of Things (IoT) scale system to measure crop evapotranspiration. A scale system to monitor crop evapotranspiration was developed consisting of an Arduino-compatible microcontroller with cell phone communication, electronic load cells, an Inter-Integrated Circuit (I2C) multiplexer, and analog-to-digital converters (ADC). The system was powered by a LiPo battery, charged by a small (6 W) solar panel. The IoT scale system was programmed to collect data from the load cells at regular time intervals and send the data to the ThingSpeak.com IoT platform. The system performed successfully during indoor and outdoor experiments conducted in 2023 at the Clemson University Edisto Research and Education Center, Blackville, SC. The results from the experiments showed that the IoT scale system could accurately measure crop evapotranspiration using the weighing lysimeter technique.

Forests are a large reservoir of biodiversity on which riparian populations frequently rely. Non-timber forest products (NTFPs) are an important source of income for millions of people living in forest-adjacent communities. This study aims at characterizing the types and uses of NTFPs in order to determine whether their exploitation in the eastern Democratic Republic of the Congo is sustainable. Interviews and direct observation were carried out with NTFP stakeholders (harvesters, sellers, and consumers) in Kalonge, near the Kahuzi-Biega National Park. The results showed that 40 NTFPs of plant origin and 10 NTFPs of animal origin are commonly exploited and used in food and traditional medicine. The most common NTFP harvesting techniques are debarking, picking, digging up, felling, and wine extraction, which are all tailored to the plant part. A significant relationship (p-value< 0.001) has been established between the types of NTFPs used and harvesting methods as well as between the types of NTFPs used and organs retrieved. NTFP products are mainly obtained from the natural forest KBNP but also in the woodland, trees grown outside of forest or through domestication. Their abundance, however, is hampered by the extraction of wood for charcoal, energy, and timber, as well as agricultural expansion. The supply of NTFPs is determined by the market demand for the products, the nature of the product, and the ease of disposal. The NTFPs value chain in Kalonge is important to the local economy, however exploitation of NTFP products remains uncontrolled and should be well managed to ensure sustainability.

Research Highlights: (1) Reed canary grass (RCG) is analysed in Sweden compared to willow and poplar for 2001-2020 (2) Each crop presents a different land-use and climatic profile (3) Average yield records of reed canary grass are similar to willow and poplar (4) There are divergences between trial-based and commercial yields (5) Existing LUC patterns suggest meadow>RCG and RCG>cereal (6) RCG land area is very sensitive to policy incentives. Background and objectives: RCG is an alternative crop for biomass-to-energy due to high yield and frost tolerance. We assess the cultivation in Sweden by using an extensive compilation of data, with emphasis on the extension of the cultivation, areas planted, climatic profile, land use patterns and yield levels. Material and methods: All RCG plantations are analysed for 2001-2020. A geostatistical analysis is performed to characterize where is cultivated and the land uses associated. Climatic, productivity and yield profiles are compared to willow and poplar plantations, from experiments and from commercial plantations. Results: The results show that the cultivation of reed canary grass expanded after 2005, with a maximum of 800 ha in 2009 to then decrease to the current levels of about 550 ha. It is mainly grown in colder climatic areas, with lower agricultural productivity than willow and poplar. Mean yields from trials are 6 odt ha-1 yr-1; commercial yields are 3.5 odt ha-1 yr-1. RCG replace meadow land and is replaced by cereals, when abandoned. Conclusions: Reed canary grass is an interesting alternative, growing on colder areas but on similar yield levels than other energy crops. The cultivation is more sensitive to policy incentives

Otodus megalodon is known as the biggest shark ever alive and recent records show this species was only existed in America, Africa and Europe continents in the last Miocene period 20 million years ago (Ma). Recently, megalodon teeth have been discovered in South coast of West Java. Here this study aims to present and model the presence of O. megalodon. The length of the excavated tooth was ranging from 13 to 19 cm. The lithological analysis shows that the tooth was found in Miocene rock layers. Paleogeographic model shows that during Miocene southern parts of Java island were submerged including the recent locations where the megalodon tooth have been found. Half parts of the modeled West Java were an ocean with depth ranging from 0 to 200 m. High habitat use preferences by juvenile megalodon were estimated in the shelf (depth 0-40 m) with the size of 1365 km² . Whereas habitat use preference by adult megalodon was low at this depth. Both juvenile and adult habitat use frequencies were low at a depth of between 80 m and 160 m. Habitat use preferences were increasing at a depth of > 200 m. After Miocene, the paleoclimate records show a decline in temperature and lead to the decline of whale population in ocean. The declining of megalodon’s prey explains the declining of this giant shark especially in post Miocene and early Pliocene periods.

Background: Monk healers provide an accessible and popular service in Southeast Asia, but little is known on the substance use status of their clients. This investigation intended to assess and compare the rate and correlates of substance use disorders in two different treatment settings (monk healers=MH and primary health care=PHC) in Thailand. Methods: In a cross-sectional study, 1024 patients (591 of MH and 613 of PHC) responded to screening measures of the “World Health Organization Alcohol, Smoking, and Substance Involvement Screening Test Lite”, and two common mental disorders (major depression and generalized anxiety disorder) from November 2018 to February 2019. Logistic regression was used to estimate the determinants of any substance use disorder in the MH and PHC setting. Results: The prevalence of substance use disorder was higher in MH clients than PHC patients: any substance use disorder 11.7% (95% Confidence Interval-CI: 9.3%-14.5%) vs 5.4% (95% CI: 3.9%-7.5%), tobacco use disorder 7.6% (95% CI: 5.7%-9.9%) vs 2.5% (95% CI: 1.5%-4.0%), alcohol use disorder 10.0% (95% CI: 8.4%-13.6%) vs 4.3% (95% CI: 3.0%-6.3%), any drug use disorder 4.2% (95% CI: 2.8%-6.1%) vs 0.3% (95% CI: 0.08%-1.3%), and any past three months drug use 8.2% (95% CI: 6.2%-10.7%) vs 1.5%, 95% CI: 0.8%-2.8%). In adjusted logistic regression analysis, among MH clients, male sex (Adjusted Odds Ratio-AOR: 9.52, 95% Confidence Interval-CI: 5.06-17.92) was positively, and were married (AOR: 0.32, 95% CI: 0.16-0.61) and high social support (AOR: 0.40, 95% CI: 0.16-0.99) were negatively associated with any substance use disorder. Among PHC patients, male sex (AOR: 7.05, 95% CI: 2.99-16.63) was positively and age (AOR: 0.95, 95% CI: 0.92-0.98) was negatively associated with any substance use disorder. Conclusion: The proportion of substance use disorders among MH attendees was more than twice that of PHC attenders in Thailand, calling for collaboration in controlling substance use disorders between the two treatment systems.

In the future, the pursuit of high-quality economic development and a focus on ecological environmental protection in China will inevitably result in significant conflicts between land use and ecological land use. The challenge lies in achieving sustainable high-quality development while simultaneously protecting the ecological environment, optimizing the land use structure, and promoting a harmonious relationship between humans and the land. These challenges are faced by all regions. Land use conflicts primarily occur in peri-urban areas characterized by prominent economic development and urban agglomeration. Previous studies have mainly focused on analyzing the effects of land use on habitat quality during intense urbanization. However, it is important to recognize that land pressure encompasses economic, ecological, and social aspects. To gain a comprehensive understanding of the spatial conflict of land use and the impact on habitat quality in Ankang, a city that has been advocating ecological protection for the past two decades, this study aims to objectively analyze the spatial trends in land use changes in such cities. Additionally, it aims to provide insights for the harmonious development of land use in eco-region-oriented cities. Using the SSP-RCP scenarios provided by CMIP6, this paper employs a system analysis method, PLUS model, InVEST model, and land use conflict measurement model to dynamically simulate the future habitat quality and spatial conflict patterns of land use in Ankang City. The study explores the spatial coupling effect of both factors under different scenarios. The results indicate the following:(1) Under different future shared socio-economic path scenarios, land use intensity and land conflict levels follow the order of SSP585 (high forcing scenario), SSP370 (medium to high forcing scenario), SSP245 (medium forcing scenario), and SSP126 (low forcing scenario), with intensity and conflict decreasing accordingly. (2) The overall development trend in Ankang City reveals an intensification of land use conflicts and a decrease in habitat quality. The expansion rate of construction land is increasing and exhibiting aggregation, while agricultural land area is expanding and forest land area is continuously decreasing. (3) Land use intensity exhibits a significant positive correlation with land conflict levels, while land conflict levels demonstrate a significant negative correlation with habitat quality. These findings suggest that land use has had some impact on the ecological environment, with indications of habitat degradation. Even in Ankang, where ecological development is highly valued, the city will gradually face conflicts between ecological protection and economic development in future scenarios. The study highlights that Ankang's future development space will be constrained within the context of environmental protection, leading to greater land use conflicts in urban and surrounding areas. Consequently, the quality of habitats will inevitably decline. Therefore, it is crucial to allocate sufficient space for economic development while simultaneously prioritizing ecological protection. This approach will ensure a healthy economic development trajectory and foster a harmonious relationship between humans and the land.

The prolonged exposure to nicotine and the development of nicotine dependence have significant implications for cancer risk. Tobacco use, driven by nicotine addiction, is a major contributing factor to the development of various types of cancer. Smoking tobacco, in particular, has been strongly associated with an increased risk of lung cancer, as well as other malignancies. The harmful chemicals present in tobacco products, including carcinogens, can cause DNA damage and promote the initiation and progression of cancerous cells. This article presents a comprehensive literature review on the neurobiology of nicotine dependence and its implications for tobacco use treatment. Nicotine dependence is a complex phenomenon involving various neurobiological mechanisms. When nicotine enters the body, it binds to nicotinic acetylcholine receptors in the brain's reward circuitry, triggering the release of neurotransmitters like dopamine, serotonin, and norepinephrine. Over time, repeated nicotine exposure leads to neuroadaptive changes in the brain, resulting in increased motivation to seek and use the drug. Understanding the neurobiology of nicotine dependence is crucial for developing effective treatment strategies. Pharmacological interventions, such as nicotine replacement therapy and medications like bupropion and varenicline, can help individuals manage cravings and withdrawal symptoms. Additionally, behavioral therapies and counseling play a vital role in enhancing self-efficacy and providing support for smoking cessation efforts. By reviewing the existing literature, this article sheds light on the intricate neural pathways and processes involved in nicotine addiction. It emphasizes the importance of a multidimensional approach that combines pharmacological treatments and behavioral interventions to address the physiological and psychological aspects of nicotine dependence. This knowledge can inform the development of more targeted and personalized treatment approaches to help individuals overcome tobacco addiction and improve their chances of successful smoking cessation.

The ongoing expansion in volume, velocity and variety of geospatial data has stimulated the development of artificial intelligence applications and associated online cartographic visualizations. In this context, the cartographic communication through peer-reviewed media evolved to incorporate Findability, Accessibility, Interoperability and Re-usability (FAIR) principles. In this paper, we review the functionalities proposed by current international peer-reviewed media for accessing, exploring and re-using geospatial data, and situate them on a diagram conceived for peer-reviewed cartography in the artificial intelligence era. We then present an overview of the cartographic infrastructure and workflow currently available in the Terra Digitalis journal for the online publication of massive spatiotemporal data. This free and opensource based solution allows a smooth integration, from data submission to final peer reviewed publication, of dynamic, interactive 2D and 3D maps. As a proof of concept, we present two maps derived from massive spatiotemporal data, related, respectively, to a climate numerical model (raster data) and a bike sharing system’s origin-destination dataset (vector data). We argue that the combination of technologies used in the journal provides an efficient and low-cost solution, unmatched by other publication media, to boost the accessibility and FAIR principles for geospatial big data.

In this research, the concept of the instability of tension in Microgrid still becomes the focus of study and purpose. Scrutinously, First-Swing Instability occurs in the system in noted changes with properties of making the system unstable or restore to a state of stability. The latter calls itself as a phenomenon of re-synchronization. Allied to aspects of system instability, it is evident that by connecting fast electric chargers for battery-electric vehicles to the distribution system from microgrids, they increase the necessary basic electrical charges and reduce the stability of the electrical energy system. Transient electrical currents have the characteristic of severely impacting microgrids not prepared in connected states or island of the main system. The occurrences of the electromagnetic incompatibility of the inrush current, due to their unpredictability and intermittent characteristic, have complex identification studies. With the elevation of electricity demand by battery-electric vehicle chargers, concerns about the effects of the integration of the electricity grid increase proportionally. The research described in this article emphasizes the influence of fast chargers’ initialization on the power variation related to the re-synchronization phenomenon and its mitigation of the stability of electricity microgrid. An optimization algorithm based on particle swarm optimization (PSO) implements the development of virtual impedances. The PSO optimization algorithm analyzes all possible operating points and aims to maximize the stability index of microgrid, maintaining reactive energy incompatibilities at the minimum level supported. The fractional objective function facilitates the service to these goals simultaneously. The optimization algorithm is implemented in a case study and the corresponding virtual impedance is incorporated into the microgrid. Voltage levels are verified as a condition in the optimization process, comparing system effectiveness.

Tuberculosis (TB) remains a global healthcare crisis with an estimated 10 million new cases and 1.4 million deaths per year TB is caused by infection with the major human pathogen Mycobacte-rium tuberculosis, which is difficult to rapidly diagnose and treat. There is an urgent need for new methods of diagnosis, sufficient in vitro models which capably mimic all physiological condi-tions of the infection, and high-throughput drug screening platforms. Microfluidic-based tech-niques provide single-cell analysis which reduces experimental time, the cost of reagents, and have been extremely useful for gaining insight into monitoring microorganisms. This review out-lines the field of microfluidics and discusses the use of this novel technique so far in M. tuberculo-sis diagnostics, research methods, and drug discovery platforms. The practices of microfluidics have promising future applications for diagnosing and treating TB.

We introduce firm solar forecasts as a strategy to operate optimally overbuilt solar power plants in conjunction with optimally sized storage systems so as to make up for any power prediction errors, hence entirely remove load balancing uncertainty emanating from grid-connected solar fleets. A central part of this strategy is plant overbuilding that we term implicit storage. We show that strategy, while economically justifiable on its own account, is an effective entry step to least-cost ultra-high solar penetration where firm power generation will be a prerequisite. We demonstrate that in absence of an implicit storage strategy, ultra-high solar penetration would be vastly more expensive. Using the New York Independent System Operator (NYISO) as a case study, we determine current and future cost of firm forecasts for a comprehensive set of scenarios in each ISO electrical region, comparing centralized vs. decentralized production and assessing load flexibility’s impact. We simulate the growth of the strategy from firm forecast to firm power generation. We conclude that ultra-high solar penetration enabled by the present strategy, whereby solar would firmly supply the entire NYISO load, could be achieved locally at electricity production costs comparable to current NYISO wholesale market prices.

Present study on land use land cover analysis and taluka wise combination of cropped area, carried out in Beed district of Maharashtra state in India and studied 11 talukas of the district. Secondary data on land use land cover and area in various crops has been collected, compiled and analyzed from various secondary sources. Simple descriptive statistics used to examine the agricultural land use land cover and J.C. Weaver’s crop combination technique was used for taluka wise analysis of crop combinations and on the basis of highest to smallest area engaged in particular crop, crops have been ranked. The study showed that, in the district as a whole, percentage of uncultivated land other than fallow was about 46 percent as compare to net sown area is only 35 percent in total geographical area (1063855ha) of Beed district. The study further revealed that about 42 percent area engaged in food crops and about 58 percent area occupied by nonfood crops, which includes cereals (25%), cotton (19%), pulses (13%), oilseed (12%), sugarcane (5%) and fruits and vegetables (3%). Results of Weaver’s crop combination technique showed that the Wadwani taluka demarcated as most diversified taluka by means of maximum number (sixteen) of crops combinations with the lowest variance value (14) found in the present investigation. Further, the study revealed that the high crop diversity found in Dharur taluka with eighteen crop combinations and the taluka has given first rank amongst others. To derive the crop diversity ranking, taluka wise maximum to minimum number of crop combinations derived in different talukas and given ranks accordingly. The study concluded that, agricultural land use analysis is essential for solving and optimizing the land use problem, maintaining socio-ecological balance, best utilization of scarce resources. The authors enlightened that the rational use of agricultural land has important for food security and biodiversity which increase the productivity and profitability of the agriculture sector and it indicates the decision making ability of farmers in study area.

Background/ObjectivesMental health and substance use disorders (MHD, SUD) affect cardiac allograft and VAD recipients and impact their quality of life and compliance. Limited research on MHDs and SUDs in transplant and MCS candidates and recipients. This study compares the incidence of MHDs and SUDs in transplant list, VAD, and post-transplant patients with that in heart failure patients. MethodsStudy cohorts were derived from the TriNetX using ICD-10 codes. Differences in incidence were examined using the log-rank test. Adults with mental health disorders before the window of time were excluded. Propensity score matching was performed using TriNetX to balance demographic and medical comorbidities. Statistical significance was set at p<0.05. All comparisons were made between propensity-matched cohorts. ResultsTransplant waitlist patients showed a statistically significant increase in the incidence of anxiety, panic disorder, adjustment disorder, depression, mood disorder, alcohol use disorder, and eating disorder. Post-transplant patients showed a statistically significant increase in the incidence of depression and opioid use compared to the heart failure population. VAD patients showed a statistically significant increase in the incidence of depression and a statistically significant decrease in panic disorder and anxiety. ConclusionsThe results pave the pathway for further investigations on prevention and coping strategies because deterioration of mental health will significantly impact compliance with medications as well as patient survival and quality of life. The use of opioids for pain management in the early postoperative period should be further investigated to assess its impact on long-term substance use and addiction. .

Introduction: United Nations General Assembly has set the target of bringing down under-five child mortality to 25 deaths per 1000 live births by 2030. Understanding the determinants that bring down preventable deaths in children is important. Design: Anonymized, publicly available data from the India National Family Health Survey (NFHS-5) is collected. The sample consisted of 724,115 women in the age group of 15-49 years has been sub-grouped as urban and rural women. For better analysis of data, the country is divided into regions. Union territories are grouped in these regions as per their geographical locations. Descriptive statistical analysis and linear regression analysis was done.Result: Compared to NFHS-4 (2015-16) U5MR has reduced in almost all states of the country. The study shows more urban women have access to the Internet as compared to rural women. Child mortality is higher in rural areas in every state as compared to urban areas.Conclusion: Urban women have more access to health information because of internet access which may be the reason for lesser child mortality in urban areas compared to rural areas. Internet access for women (individual level) is far more effective in bringing down U5MR if compared to the community-level approach of Daycare centers.

Mangrove forests provide a wide range of goods and services that sustain communities around the world. This paper explores utilization patterns of extractable mangrove resources by communities within the proposed Kenya – Tanzania Transboundary Conservation Area (TBCA). Some 152 household surveys and 12 Nominal Group Technique discussions were carried out. At least 16 direct use products were reported to be extracted from the mangroves, with 90% of households found to use mangrove products. Changing patterns of mangrove use in the areas and accessibility point towards unsustainable utilization and promote illegal activities. Overharvesting of mangrove wood products was reported to be the major threat facing the forests. Patterns of mangrove use in the study site reveal a high level of mangrove-dependence by communities for their livelihood. There is a need to address the problems of open access through capacity building and awareness creation, development and implementation of harvest plans as well as introduction of alternative livelihood options to the communities in the area.

The aim of our study was to evaluate the impact of T. gondii status on eosinophils count (PNE), eosinophil to lymphocyte ratio (ELR) and eosinophil to neutrophil to lymphocytes ratio (ENLR) before and after can-nabis cessation in patients with psychiatric disorders. One hundred and eighty-eight patients were includ-ed in the study. T. gondii, PNE, ELR, ENLR, and urinary cannabis were measured at baseline and after 4 weeks of cannabis cessation. Highest PNE (p = .02), ELR (p = .03) and ENLR levels (p = .031) and highest increase of PNE (p = .044), and ENLR (p = .036) levels were found in patients after cannabis cessation only in the Toxo+ group. At four weeks, significant interactions between cannabis and T. gondii status for PNE (p = .038), and for ENLR (p = .043) levels were found, as well as for the evolution between baseline and 4 weeks for ENLR level (p = .049). After cannabis cessation, we found a positive correlation between negative symptoms and PNE levels at 4 weeks in the Toxo+ group. This study shows that the increase of inflammation after cannabis cessation might be modulated by T. gondii seropositivity status in patient after cannabis cessation.

Water deficit greatly affects global crop growth and productivity, particularly in water-limited environments like upland rice cultivation, leading to reduced grain yield. Plants activate various defense mechanisms during water deficit, involving numerous genes and complex metabolic pathways. Exploring orthologous genes, linked to enhanced drought tolerance, can aid functional validation in target species using genomic data from model organisms. Here, we studied the OsCPK5 gene in upland rice, an AtCPK6 ortholog from A. thaliana, by overexpressing it in the BRSMG Curinga cultivar. Transformants were assessed under two conditions: water deficit applied 79 days after seeding, lasting 14 days, followed by 7 days of irrigation at 80% field capacity. Physiological data and samples were collected at R3, R6, and R8 stages. GM plants consistently exhibited higher OsCPK5 gene expression across stages, peaking during grain filling. During this phase, GM plants displayed reduced stomatal conductance, photosynthetic rate, and increased water use efficiency compared to non-GM plants under drought. GM plants also exhibited higher filled grain percentage in both irrigation conditions. Their drought susceptibility index was 0.9 times lower than NGM plants, and they maintained a higher chlorophyll a/b index, indicating sustained photosynthesis. NGM plants under water deficit exhibited more leaf senescence, while OsCPK5-overexpressing plants retained green leaves. Overall, OsCPK5 overexpression induced diverse drought tolerance mechanisms, hinting at potential for future development of more drought-tolerant rice cultivars.

The reef manta ray (Mobula alfredi) is a highly mobile and plankton-feeding species, classified vulnerable to extinction on the IUCN Red List for Threatened Species. Knowledge on their spatial ecology and the extent of their dispersal remain incomplete, especially within island-fragmented habitats as found in New Caledonia. Satellite telemetry was used to investigate the horizontal movement ecology of reef manta rays in New Caledonia. A total of 21 manta rays were tagged with pop-up satellite archival transmitting tags (21 Fastloc and 2 MiniPAT) that remained deployed for a duration ranging from 3 to 180 days (mean ± SE = 76.7 ± 50.3). Rays presented a strong site fidelity and an important affinity for coastal waters. Long-distance migrations (> 300 km) were also observed, mainly through coastal and shallow water paths. Horizontal movements were compared to a home range area and classified into four distinct patterns: Fidelity, Excursion, Fidelity + Relocation and Relocation. The most dominant pattern was Fidelity where manta rays remained within their home range for the whole duration of the tag deployment. Our findings may assist the design of more appropriate management strategies for the species in New Caledonia and other regions worldwide.

The suppression of natural spaces due to the urban sprawl and increase of the built and agricultural environments has impacted the water resources quality, especially in areas with high population density, as the metropolitan regions. Considering the advance in Brazilian environmental legal framework, the present study aims to verify whether land use has still significantly affected water quality, through a case study in the Stones River watershed, a peri-urban river basin at a metropolitan region, Brazil. Analysis of physical-chemical indicators, collected at several sample points with different land-use (urban areas, commercial forestry, riparian forestry, mixed vegetation, pasture, and sugar cane plantation) at different seasons of the year (dry and rainy) were carried out. As a result, it was verified some statistically significant spatiotemporal effects on the of water quality caused associated to the land-use. In conclusion, in spite of the advances in the Brazilian law, land-use has still significantly affected the water quality, demanding public policies and decisions, so that effective compliance with legal guidelines is ensured.

Land includes vegetation and water bodies and provides the basis for human livelihoods through primary production, the supply of food, freshwater, and multiple other ecosystem goods and services. The last three decades have recorded frequent drought events as well as rapid population growth, which has resulted in often negative land use and land cover change (LULCC) in the Sahel of Sub-Saharan Africa. In order to propose sustainable land management strategies, it is important to investigate the rate of LULCC and its driving factors in specific locations. This study investigated the case of Wocoro municipality in Mali using a combined approach of remote sensing, Geographical Information System, and focus group discussions. Satellite images and local people's perceptions on LULCC and drivers were collected and analyzed for the years 1990, 2000, 2010, and 2020. We found that the study area faced a severe decrease in wooded savannah with an increase in farmland and settlement directly or indirectly related to the rapid population growth, high cotton price (which encouraged cropland expansion), drought, firewood extraction, and charcoal production, which was exacerbated by poverty. There is a need to promote integrated land management strategies that consider current and future livelihoods needs and preserve the health of the environment for the benefits of future generations.

Freshwater pond aquaculture is the prevailing fish culture system worldwide, especially in developing countries. Climate change outcomes and inadequate environmental practices challenge its sustainability. This study applies emergy synthesis to assess the environmental performance of freshwater pond aquaculture in Brazil, aiming to identify and propose practices towards sustainability. As a study model, nine semi-intensive lambari farms operating at three levels of management were evaluated: low (LC), moderate (MC) and high (HC) control. Results showed that the main inputs for LC were services (27-46%), feed (7-39%), and water (15-21%), while for the MC and HC farms, they were feed (35-49% and 17-48%, respectively) and services (33-39% and 26-36%, respectively). All farms required more than 60% of their emergy from purchased inputs, resulting in low emergy sustainability index (ESI = 0.1-0.5). Replacing animal protein and oil on diet composition by vegetal sources, using superficial water instead of springwater, increasing juvenile productivity, and controlling pond fertilization can lead all systems to higher efficiency and resilience, increasing sustainability.

Quantity-intensity characteristics are among conventional approaches for studying potassium dynamics and its availability; this was assessed to determine availability in four districts: namely, Sodo Zuria, Damot Gale, Damot Sore, and Boloso Sore at three different land use type viz., enset-coffee, crop land, and grazing land. There was water soluble, ammonium acetate, nitric acid extractable potassium, exchangeable potassium, and non-exchangeable potassium studied in soil samples, which were collected from 0-20 cm depth of each land type. The study revealed that water soluble and ammonium acetate extractable potassium concentrations ranged from 0.04 to 0.42 cmolKg-1 soils enset-coffee and grazing land use types, respectively. The study showed that exchangeable potassium constituted the highest proportion of available potassium, while the proportion of water soluble potassium was found to be the lowest. In this study, non-exchangeable potassium concentrations varied from 0.10 to 0.04cmolKg-1soils for enset-coffee, and crop and grazing land use type. Furthermore, available potassium and exchangeable potassium concentrations were positively correlated with OC(r=0.95***), cation exchange capacity, and sand and clay(r=0.98***). In addition, the K dynamics as impacted by land use types found that the highest change in exchangeable potassium (0.31cmolkg-1soils) and potential buffering capacity (1.79cmolkg-1soils) were noted in crop land use types, whereas the lowest change(1.26cmolkg-1 soils) was observed in the enset-coffee system, The varying properties, potassium status, dynamic and land use type of soils identified in the study areas provided adequate information to design soil potassium management options and further research about the soil in each site. Therefore, application of site specific soil fertility management practices and research can improve soil potassium status and quantity intensity parameters to sustain crop productive soils.

Ehretia laevis Roxb. (Boraginaceae) has been extensively used as a traditional remedy for the treatment of a diverse range of ailments related to the respiratory system, the gastrointestinal tract, the reproductive system, and against several infections. This review critically assesses and documents, for the first time, the fragmented information on E. laevis, including its botanical description, folklore uses, bioactive phytometabolites and pharmacological activities. The goal is to explore this plant therapeutically. Ethnomedicinal surveys reveal that E. laevis has been used by tribal communities in Asian countries for the treatment of various disorders. Quantitative and qualitative phytochemical investigations of E. laevis showed the presence of important phytoconstituents such as pentacyclic triterpenoids, phenolic acids, flavonoids, fatty acids, steroids, alkaloids, aliphatic alcohols, hydrocarbons, amino acids, carbohydrates, vitamins and minerals. Fresh plant parts, crude extracts, fractions and isolated compounds have been reported to exhibit broad spectrum of therapeutic activities viz., antioxidant, antiarthritic, antidiabetic, anti-inflammatory, antiulcer, antidiarrheal, antidysenteric, wound healing and anti-infective activities. E. laevis is shown to be an excellent potential source of drugs for the mitigation of jaundice, asthma, dysentery, ulcers, diarrhea, ringworm, eczema, diabetes, fissure, syphilis, cuts and wounds, inflammation, liver problems, venereal and infectious disorders. Although few investigations authenticated its traditional uses but employed uncharacterized crude extracts of the plant, the major concerns raised are reproducibility of therapeutic efficacy and safety of plant material. The outcomes of limited pharmacological screening and reported bioactive compounds of E. laevis suggest that there is an urgent need for in-depth pharmacological investigations of the plant.

Background: Recent years have seen chaos in the neonatology use of antibiotics with diverse opinions and recommendations in international guidelines and societies. This has created great uncertainty in which cases to use, for how long, and which tests apply to make these decisions. We conducted a retrospective cohort study about the use of antibiotics in the EpicLatino neonatal units and a Latin American network database, after noting these variations in the 2019 report. Methods: For the year 2019 using the EpicLatino database, we included cases (only first admission) ≤32 weeks gestational age at birth, excluding one unit that did not accept to participate. The number of cases and days receiving antibiotics were recorded as well as the progression for each unit. Inappropriate use of antibiotics was defined as greater than 3 days in patients with negative cultures (blood/CSF cultures) excluding: major malformations, urinary tract infections, necrotizing enterocolitis (NEC) and cases with suspected chorioamnionitis in the mother (the latter two only during the course of diagnosis of NEC or chorioamnionitis). This study was approved by the EpicLatino board of directors and by the participating units. Results: A total of 6,543 days of antibiotics were observed, 49.5% of cases had at least one positive blood/CSF culture. A total of595 days of antibiotics without justification were found in 72 courses in 61 cases; 14/72(19.4%) had no diagnosis of infection in the database, 7/72(9.7%) did not document any culture throughout their stay, and 37/72(51,4%) obtained only one blood/CSF culture during their entire stay. Most diagnosis were clinical sepsis and in 24/58(41%) curses, a diagnosis of pneumonia with a poor positive culture correlation was found. Furthermore, 74% of the units didn´t use pneumonia as a justification to use antibiotics. Other diagnosis found: Conjunctivitis, NEC 1A and rotavirus NEC. Conclusions: Although the method of reviewing the use of antibiotics in a database has a number of limitations, especially the cause that motivated the use of antibiotics and other tools used for diagnosis of infections, the notable differences between units is striking. Although it is difficult to make recommendations to all units, it is important to control infections in some units and in others to reduce the excessive use of antibiotics, especially with diagnosis of pneumonia in neonates and negative blood/CSF cultures.

Background: Smartphones have become an indispensable part of the daily lives of adolescents in the 21st century, which is characterized by a highly digitized modern world. Besides their many advantages, smartphones might pave the way to compulsive usage and addictive experiences. To remedy this problem, this study proposes an authentic approach which integrates consumer behavior theories and techniques such as unhook and gamification. An education program has been designed based on these approaches to decrease the problematic smartphone use. Method: The participants of the education program consisted of 305 students (48.2% girls and 51.8% boys) with a mean age of 14.57 (SD = 0.74). The Demographic Form and Smartphone Addiction Scale for Adolescents (SASA) were conducted before the education program and three weeks after the education. Results: The results of the paired sample t-test analysis before and after the education program revealed that the SASA total scores decreased significantly (p < 0.01). There are significant differences in terms of gender, mothers’ education and class levels. Conclusion: This research emphasizes the role of an interdisciplinary approach to the addiction problem. The content used in the education program includes strategies that originally aimed at increasing consumption. The effectiveness of the program can be enhanced further in the future along with self-regulatory additions.

Recombinant laboratory plasmids (RLPs) are common in biological research and freely shared among academic research laboratories (ARLs), a practice required by many research funding agencies. However, the generation of accurate, reproducible results in experiments utilizing RLPs can be hampered by a lack of accompanying sequence information and metadata. This culture of RLP sharing without knowledge of sequence or etiology is accepted by publishers, not regulated by governments, and outside the realm of bio-industry. In addition, no centralized infrastructure currently exists to collate such data, which at the moment is fragmented across companies, non-profits, and governments and thus is not easily accessed or enacted toward threat assessment. The ubiquity, free exchange, and dual-use risk of RLPs exemplifies a biosecurity threat and elevates the need to characterize their composition to facilitate improved biorisk management by the academic community. A number of common sense solutions are available to create a culture that addresses the biosecurity gap posed by RLP sharing. Culture shift in RLP management will require new norms, effective data management for collation of RLP sequences and metadata, and an incentive structure that encourages sequencing by stakeholders. The next generation of researchers must initiate and champion this shift with support from funding agencies and endorsement from governments and international organizations. Coordination of efforts and stakeholders will require international public/private collaboration, a structure that will be critical to ensure widespread utility as well as the ability of lower-resourced partners to participate, contribute, and benefit.

The water and wastewater sectors are energy-intensive, and so a growing number of utility companies are seeking to identify opportunities to reduce energy use. Though England’s water sector is of international interest, in particular due to the early experience with privatisation, for the time being very little published data on energy usage exists. We analyse telemetry data from Thames Water Utilities Ltd. (TWUL), which is the largest water and wastewater company in the UK and serves one of the largest mega-cities in the world, London. In our analysis, we (1) break down sectoral energy use into their components, (2) present a statistical method to analyse the long-term trends in use, as well as the seasonality and irregular effects in the data, (3) derive energy-intensity (kWh m³) figures for the system, and (4) compare the energy-intensity of the network against other regions in the world. Our results show that electricity use grew during the period 2009 to 2014 due to capacity expansions to deal with growing water demand and storm water flooding. The energy-intensity of the system is within the range of reported figures for systems in other OECD countries. Plans to improve the efficiency of the system could yield benefits in lower the energy-intensity, but the overall energy saving would be temporary as external pressures from population and climate change are driving up water and energy use.

Background: Electronic cigarette (e-cigarette) use among youth in Poland has become very popular. The aim of this study was to identify potential points of access to these products among students aged 16-17 before implementation of sales restrictions to minors in Poland in November 2016. Methods: A school-based, cross-sectional survey was administered in 2015-2016 in 21 secondary/technical schools across two regions of Poland. Analyses focused on 341 students aged 16-17 who reported past 30-day use of e-cigarettes. Pearson chi-square analyses were utilized to examine associations between access-related items, e-cigarette use, and demographics. Results: Among youth e-cigarette users, the most common access to their first e-cigarette was from a friend (38%), followed by purchasing from vape shops (26%). Similar patterns emerged when students were asked about the access to their currently used e-cigarette. Most youth reported no difficulty purchasing cartridges/e-liquid containing nicotine (90%); the majority of users (52%) reported buying such products in vape shops. Conclusions: Prior to implementing age-related sales restrictions, youth access to e-cigarettes and paraphernalia did not pose any significant barriers. Poland’s introduction of a new age limit on e-cigarette sales may help limit the number of youth who purchase e-cigarettes from vape shops.

This paper aims to build up a preference function to evaluate the public benefits of the type of agricultural farming, biodiversity, water provisions, land use type, ecotourism modes, and a monetary attribute (environmental trust fund and willingness to contribute) associated with an ecosystem service and land use program in a forest park. This study used the choice experiments to build a random utility model, analyze the average preference for the above land use attributes based on the conditional logit and used a latent class model to test the resident’s heterogeneous preferences for land use planning in the forest park. We also estimated the welfare derived from various land use programs. The empirical result had shown that: (1) increasing organic farming area, maintaining the status quo of species biodiversity, increasing the surface water provision, increasing the area of custom flora, increasing the wetland area, and setting up an integrated framework for ecotourism increase the public’s preference for the land use program; (2) we found that farmer and non-farmer haven’t the same land use preferences; (3) the ecotourism development program incorporating biodiversity, organic farming, ethnobotany, and wetland area with integrated ecotourism are more preferred than other land use program scenarios.

Nanling Mountain region is a typical southern hilly region, which plays an important ecological and environmental protection role in China's overall land protection pattern. Based on the remote sensing image data of Longnan City in Nanling Mountain in 2013, 2018 and 2023, this paper interpreted the land use type and analyzed the land use transfer situation by using Land use transfer flow, and Land use transfer matrix. At the same time, based on the remote sensing Ecological index (RSEI) model, the ecological environment quality of Longnan City from 2013 to 2023 was retrieved. The temporal and spatial response model of ecological environment quality to land use transfer in Longnan City from 2013 to 2023 was discussed based on Spatial autocorrelation and Geographic detector. The results show that from 2013 to 2023, the decrease of forest land (16.23km²) and the increase of construction land (13.25km²) were the main land use transfer in Longnan City. The ecological environment index of Longnan City in 2013, 2018 and 2023 was 0.789, 0.917 and 0.872, respectively, showing a trend of "first rising and then decreasing". The ecological environment quality in the north of Longnan City was significantly lower than that in the south, and the poor ecological quality area appeared in and around the northern main urban area, showing a trend of "inward contraction". Forest land, garden land, grassland, cultivated land and water area have a positive impact on ecological environment quality, while traffic land, construction land and other land have a negative impact on ecological environment quality. The response of ecological environment quality to different land use transfer modes is related to the change of the overall ecological environment quality. The interaction between LUCC and other factors had a great impact on the evolution of ecological environment quality in Longnan City.

Opioid use disorder has increased in the world in recent years and Iran ranks first in terms of opium smoking in the world. In fact, opium smoking by traditional methods, in addition to dependence on morphine, is a behavioral addiction in Iran. The body position during opium smoking is usually non-standard and non-ergonomic. Over time, changes in muscle tissue, tendons and ligaments, and the connective tissue go from elasticity to neuromuscular plasticity. This study aims to compare sway back posture and musculoskeletal problems between opium smokers and non-drug users. In this comparative and cross-sectional study, 80 opium smokers were compared with 74 non-drug users in terms of sway angle (sway back posture), and musculoskeletal complaints (NORDIC questionnaire) and the association of possible risk factors was investigated. Data were analyzed by Kolmogorov-Smirnov, Correlation Coefficient and paired-t tests using SPSS version 23. There were significant differences between two groups in terms of sway back posture (P=0.007), and neck (<0.001), upper back (<0.001) and lower back (0.006) musculoskeletal complaints. Homelessness, the lifetime duration of opium smoking (in months), and the duration of daily opium smoking (in minutes) had significant correlation with sway back posture and musculoskeletal complaints. Homelessness was the strongest predictor and had strongest correlation. Overall, an increase in the duration of sitting in non-ergonomic positions could lead to increase in sway angle and sway back posture and increase in musculoskeletal complaints of neck, upper back and lower back due to the non-neutral posture of opium smoking. It seems that plasticity and structural and functional adaptations of the posture occurs due to opium smoking and further studies are recommended.

This study investigates the specific factors affecting the usage intention of distributed ledger technology (DLT), such as availability, diversity and economic value from the perspective of a unified theory of technology acceptance. Users of DLT in public and private sectors were surveyed. Availability and economic value affect performance expectancy, while availability, diversity, and profitability have an influence on effort expectancy. Performance expectancy and transparency have a positive effect on the intention to use DLT which in turn exerts a positive effect on usage behavior. This study provides implications for researchers in that it attempts to investigate the factors affecting the usage intention of DLT based on the extended unified theory of acceptance and encompassing diverse industries that adopt DLT, such as the public, financial, medial, and logistics sectors.

(1) Background: Rational use of medicines (RUM) and their assessment is important to ensure optimal use of resources and patient care in hospitals. These assessments are essential to identifying practice gaps for quality improvement. (2) Methods: Assessment of adherence to WHO/ International Network for Rational Use of Drugs core prescribing indicators among out-patients in 2021 was conducted at the University Hospital of the Kwame Nkrumah University of Science and Technology in the Ashanti region of Ghana. We reviewed electronic medical records (EMR) of 110,280 patient encounters in the year which resulted in 336,087 medicines prescribed. (3) Results: The average number of medicines prescribed per encounter was 3 with generics being prescribed in 76% of prescriptions. Injections were prescribed in 7% of encounters while 90% of medicines were from Ghana’s Essential Medicines List 2017. (4) Conclusions: With the exception of patient encounters with injections, all prescribing indicators assessed in this study did not meet WHO optimum levels providing targets for quality improvement in RUM. Implementing prescribing guides and policies, regular audits and feedback as well as continuous professional development training may help to improve prescribing practices in the hospital.

The literature on substance use usually extracts conclusions from data with correlational methods. Our study shows the usefulness of complementing ordered logistic regression (OLR) and fuzzy set qualitative comparative analysis (fsQCA) to assess factors inducing cannabis consumption in a sample of 1,935 teenagers. OLR showed a significant influence of gender (odd ratio (OR) =0.383, p<0.0001), parental monitoring (OR=0.587, p=0.0201); religiousness (OR=0.476, p=0.006); parental tolerance to substance use (OR=42.01, p<0.0001) and having close peers that consume substances (OR=5.60, p<0.0001). FsQCA has allowed fitting linkages between factors from a complementary perspective. (1) Coverage (cov) and consistency (cons) attained by solutions explaining use (cons=0.808, cov=0.357) are clearly lower than by recipes of non-use (cons=0.952, cov=0.869) (2) The interaction of gender, a tolerant family to use and the attitude toward substances by peers is very consistent to explain cannabis use. (3) The most important recipe explaining resistance to cannabis is simply parental disagreement with substance consumption (cons=0.956, cov=0.861) (4) Factors as gender, religiosity, parental monitoring and age show also a relevant impact on attitude toward cannabis use. However, whereas some of them impact symmetrically on use and non-use this does not follow in factors such as parental monitoring or age.

Integrated disaster risk reduction in schools represents a key component of safety strategies within the educational sector of every country. In this study, a series of 850 face-to-face interviews (650 with students and 200 with teachers) were conducted throughout 2023 in 10 out of the total 18 municipalities in the Western Morava Basin of the Republic of Serbia. The paper proposes two central hypotheses regarding school-based disaster risk reduction. Firstly, it suggests that gender, age, parent's employment, academic achievement, living situation, paternal and maternal education levels, and engagement with social media collectively influence students' perspectives on this matter. Secondly, it posits that gender, age, marital status, parenthood, and educational background significantly impact teachers' viewpoints on school-based disaster risk reduction. Multivariate linear regression was used to explore predictors of students' and teachers' insights on school-based disaster risk reduction. Various statistical tests including Chi-square, t-tests, one-way ANOVA, and Pearson's correlation were employed to investigate the influence of demographic and socioeconomic factors on these insights. The results of multivariate regression analyses indicate that age, gender and marital emerge as the primary predictors across various facets of students' and teachers' insights on school-based disaster risk reduction (awareness of disasters, disaster education activities, attitudes on disaster risk reduction education, enhancement of disaster information accessibility, etc). The results of this study provide insight into the key factors influencing students' and teachers' perceptions of disaster risk reduction in schools. As such, they can serve as a basis for improving educational programs, developing policies and strategies, normative educational frameworks, teacher training, and further research in disaster education.