The novel coronavirus pneumonia epidemic is still raging around the world. Therefore, during the period of a global pandemic, maintaining the normal circulation of medicine and health fields is the key to fight against the epidemic. This paper based on relevant data such as the export volume of cross-border e-commerce in Hangzhou, China from 2015 to 2019, the article uses system dynamics modeling to explore the impact of overseas warehouse services on cross-border e-commerce export transactions. Studies have shown that the introduction of overseas warehouses has significantly improved customer satisfaction and improved the quality of cross-border logistics services, which has a positive impact on cross-border e-commerce export transactions. Through sensitivity analysis, it can be seen that under the same conditions, the efficiency of customs clearance has the greatest impact on overseas warehouse services. Therefore, when allocating various investments in overseas warehouses, you can favor the customs clearance process to enhance the competitiveness of the cross-border e-commerce market and provide a feasible experience for healthcare supplies export from cross-border e-commerce.

With the development of information technology and the popularization of mobile devices, collecting various types of customer data such as purchase history or behavior patterns became possible. As the customer data being accumulated, there is a growing demand for personalized recommendation services that provide customized services to customers. Currently, global e-commerce companies offer personalized recommendation services to gain a sustainable competitive advantage. However, previous research on recommendation systems has consistently raised the issue that the accuracy of recommendation algorithms does not necessarily lead to the satisfaction of recommended service users. It also claims that customers are highly satisfied when the recommendation system recommends diverse items to them. In this study, we want to identify the factors that determine customer satisfaction when using the recommendation system which provides personalized services. To this end, we developed a recommendation system based on Deep Neural Networks (DNN) and measured the accuracy of recommendation service, the diversity of recommended items and customer satisfaction with the recommendation service. The experimental results of is the study showed that both recommendation system accuracy and diversity would have a positive effect on customer satisfaction. These results can further improve customer satisfaction with the recommendation system and promote the sustainable development of e-commerce.

Abstract Introduction:The Robert Koch Institute (RKI) managed the exchange of cross-border contact tracing data between public health authorities (PHA) in Germany and abroad during the COVID-19 pandemic. Aim: We aimed to describe the extent of RKI cross-border contact tracing and the challenges experienced. Methods:We analysed cross-border COVID-19 contact tracing events from 03 February to 05 April 2020 using information exchanged through the European “Early Warning Response System” (EWRS) as well as communication with International Health Regulation (IHR) national focal points. We described events by PHA involved, number of contact persons and exposure context. Results:The RKI processed 467 events, initiating contact to PHA 1,099 times (median 1, IQR [1;2]) and sharing data on 5,099 contact persons. Of 327 (70%) events with known exposure context, most common reported were exposures on aircraft 64 (14%), on cruise ships 24 (5%) and exposures related to non-transport contexts 210 (45%). Cruise ship and aircraft exposures yielded higher median numbers of authorities contacted (10[2;16], 4[2;11]) and contact persons (60 [9;269], 2[1;3]) than non-transport related exposures (1[1;6] and 1[1;2]), respectively. The median time spend on contact tracing activities was the highest for cruise ships: 5 days [IQR 3;9]. Conclusion:In the current COVID-19 pandemic cross-border contact tracing is considered a critical component of the outbreak response. While the majority of international contact tracing activities did not relate to exposure events in transport, they contributed substantially to the workload. The numerous communications highlight the need for fast and efficient global outbreak communication channels between PHA.

Innovation development in healthcare has paved the path towards the improvement in system efficiency, patient care and cost-effective healthcare services, increasing the overall efficiency of the healthcare system in a significant manner. Electronic medical record system has fostered interoperability and collaboration in healthcare departments by enabling different systems to exchange and use patient data. This trend has been accelerated dominantly by the pandemic, leading to increased use of telemedicine, referring specifically to the use of electronic communication to provide healthcare services remotely. Moreover, an increased prevalence towards the use of artificial intelligence and machine learning in healthcare has contributed effectively towards the rigorous and informed analysis of large amounts of data as well as to identify patterns or trends that may be useful for improving care delivery or identifying potential issues. A unified electronic medical record System that will generate competitive opportunities and success prospects with reference to enhanced interoperability in US healthcare departments, can contribute towards the improvement in the quality and efficiency of care by making it easier for healthcare providers to access and share patient information as well as reducing the risk of errors in effective patient care.

This investigation delves into the profound interplay between the e-commerce environment and the agricultural system, while scrutinizing the intricate human-land coupling dynamics engen-dered by transformations within the agricultural domain. Focusing on the expansion of orchards in Pinghe County, a pivotal epicenter for Chinese sweet pomelo production, this study eluci-dates the reverberations of Rural E-commerce Environment Development on Orchard Expansion through the lens of Tele-coupling. In doing so, it unveils the nuanced tapestry of the human-land coupling associations latent within the evolutionary trajectory of the agricultural system amidst the blossoming information society. The findings underscore a symbiotic relationship between the augmentation of orchard acreage and the burgeoning rural e-commerce landscape, effec-tively propelling the economic prosperity of the agricultural system. Moreover, a tele-coupling phenomenon has emerged, underscoring the intricate web of interconnections binding the mat-uration of the rural e-commerce ecosystem with the proliferation of orchards. The research illu-minates that the transformation of land utilization, imbricated within the agricultural system, manifests as a distinctive form of tele-coupling intricately woven into the fabric of urbanization and information technology advancements. Consequently, adopting a comprehensive theoreti-cal perspective, amalgamating disparate domains across distinct geographic realms, becomes imperative for discerning the intricate nuances of the human-land coupling nexus within these multifaceted, open systems.

Food systems will need to undergo considerable transformation. To be better prepared for and resilient to uncertainty and disturbances in the future, resource users and managers need to further develop knowledge about the food and farming system, with its dominating feedback structures and complexities, and to test robust and integrated system-based solutions. This paper investigates how participatory system dynamics modeling can be adapted to groups at the community level with low or no formal educational background. The paper also analyzes the refinement of workshop participants’ mental models as a consequence of a participatory system dynamics intervention. For this purpose, we ran two workshops with small-scale farmers in Zambia. Analysis of workshop data and post-workshop interviews shows that participatory system dynamics is well adaptable to support an audience-specific learning-by-doing approach. The use of pictures, objects and water glasses in combination with the basic aspects of causal loop diagramming makes for a well-balanced toolbox. Participants acquire understanding that is also relevant beyond systems thinking in that is offers a range of practical insights such as a critical evaluation of common food security strategies.

Rapid technological advancements in information communication technologies have enabled water resource data collection at greater spatial and temporal scale. However, this water data is often limited to the purposes of its primary collection, and limits decisions made by stakeholders towards sustainable urban water management. This empirically focused research paper examines how water practitioners involved in strategic planning can capture additional values from integrating different water data. Furthermore, the perception of 22 urban water practitioners across Australia are presented, regarding the importance of and difficulty in using water data for strategic planning, and the necessary steps for achieving integrated water management practices. Interviewees perception revealed gaps in available water resource data (i.e. water quality, ground water, stormwater, and urban water use), and limitations of industry guidelines for operating within existing governance frameworks. Overall, the research highlights the Australian urban water sector’s perception of water data’s crucial role in representing stakeholders interest; however, changes made in water data’s collection are required for an integrated water management approach. Implications for future open water data standard are discussed.

AbstractBackground: In digitalization era, health care system was conditioned with the health worker’s ability to adapt media of digital technology. Digital technology media was used to strengthening and fasted the health care for patient and community. Aims: This study aimed to explore the accurate information of health professional utilization digital technology during doing the job at the health facilities in Timor-Leste. Methods: This study was used correctional study with 56 respondents was participated in the study. Was collected the data from 1 to 30 February 2023. Was used questioner of google form based for data collection. Data collection was distributed via online with google form to social media as WhatsApp’s, email and face book and twitter to completed by respondents. The inclusive Criteria are: health professional living in Timor-Leste, to able response the questioner. Was used descriptive analysis in this study. Finding: This study was indicated that majority of health professional was participated in the study as 54,2% man then women have 45,8%. About 100% health professional used hand phone to facilitate their daily activities including related with their work activities. Other side indicated in digital technology tools use are able to use Microsoft word is 78,3%, able to use Microsoft Excel is 76,7% and able to use Power Point is 81,7%. E-mail use about 89,2%, WhatsApp’s use 81,7%, About 74,2% was used zoom/webinars/Google meet application, about 72,5% sad that they were used computer in the work place until now. Around 96.4% need to improve or deepen their knowledge and skills in using ICT in the future to facilitate they are activity. Conclusion: Majority of health professional in Timor-Leste was used the computer, internet, hand phone in daily activities. Majority need to gate the training to improve their knowledge, attitude and psychomotor in the future.

A model of a single-server queuing-inventory system (QIS) with catastrophes and a finite waiting room for consumer customers (c-customers) has been developed. When a catastrophe occurs, all inventory in the system's warehouse is destroyed, but c-customers in the system are still waiting for restocking. In addition to c-customers, negative customers (n-customers) are also taken into account, which displaces one c-customers (if any). The policy (?, ?) is used to replenish stocks. If upon arrival of the c-customer the inventory level is zero, then according to Bernoulli’s scheme this c-customer is either lost or joining the queue. The mathematical model of the studied QIS is constructed in the form of a two-dimensional continuous-time Markov chain (2D CTMC). Exact and approximate methods for calculating the steady-state probabilities of constructed 2D CTMCs are developed and closed-form expressions are derived for calculating the performance measures. The results of numerical experiments are presented, demonstrating the high accuracy of the developed approximate formulas, as well as the behavior of performance indicators depending on the reorder point. In addition, an optimization problem is solved to obtain the optimal reorder point to minimize the expected total cost.

The information on the land use and soil conservation practice based on year 2006, 2010 and 2014, hence offering an opportunity to model the impacts of land use change on erosion, deposition and surface water runoff. Limitation in the use of hydrological models had been their inability to handle the large amount of input data that describe the heterogeneity of the natural system. In this study, a procedure that takes into account soil conservation practice based on the land use change, the response of soil erosion and sediment export from the George Town Conurbation catchment area, and average annual sediment yields were estimated for each grid cell of the watershed to identify the critical erosion areas of rural and urban planning proposes. Average annual sediment yield and data on a grid basis estimated using Universal Soil Loss Equation (USLE) and an emerging technology represented by Geographic Information System (GIS) used as a tool to produce a map for erosion rate. The changing of the land use from forest to agriculture and then to an urban area is a challenging task to research on land use demand for population, and environmental impact assessment is important for the planning of natural resources management, allowing research the modification of land use properly and implement more sustainable for long term management strategies. The challenge is to formulate strategies that would promote an integrated approach to the land use planning at an appropriate level as to address the issues that arose. Modelling for creating urban growth boundary for the George Town Conurbation must have to be controlled surface runoff and soil loss and sediment export from land use of the George Town Conurbation catchment.

The healthcare system is intricate and dynamic. For the purpose of organising and planning a system, where allocating funds appropriately is essential and therefore managerial skills play a critical role. A certain portion of each nation's GDP is allotted to the health sectors. Managers and decision-makers in the healthcare systems are using resources effectively, yet the quantity of funding they receive from the government or other stakeholders is insufficient sometimes. A sound understanding of both basic and advanced economics is necessary for the care management, to make cost-effective judgements in public health. Healthcare officials at all levels (regional, state, federal, or international), need to be knowledgeable about public health issues and the related modern economic climates. Business executives and healthcare managers need effective practical knowledge to handle partner-financial allocation (demand-supply chain) and handle economic volatility.

We consider a stochastic production planning problem with regime switching. There are k≥1 regimes corresponding to different economic cycles. The problem is to minimize the production costs and analyze the problem by the value function approach. Our main contribution is to show that the optimal production is characterized by an exact solution of an elliptic system of partial differential equations. A verification result is given for the determined solution.

Medical Trust-Network is one of the most promising fields of study in network science. Establishment of trust within medical entities ensures better treatment and increases better medical facilities. The word ‘Trust’ signifies a very important behavioral aspect between any human entities, especially among doctors and patients. To represent such relationships Trust Network Models are built to express the interactions between human entities within such networks. Though the idea of a Trust-Network has traditionally been one of the major areas of research, yet the concept of a medical trust network model is relatively a new domain. In this paper, we introduce an overall multilayered Trust Network to represent the entire healthcare architecture. More specifically our model is based on an evolutionary graph system with a discrete relationship between the three most important entities of any healthcare system, namely – Doctors, Departments, and Hospitals. Observations indicate that based on our model, the medical healthcare system is a multilayered model unlike a feed-forward model as indicated by previous studies.

To remain competitive in the current market, an enterprise must differentiate itself based on higher value propositions. For this purpose, since improving the product or service performance can reach some limits, one potential solution is to move towards new combinations of products and services. This evolution, called servitization, leads to the generation of Product-Service Systems (PSS). Servitization requires not only a clear understanding of enterprise core business but also a clear vision on the prevailing trends and challenges of PSS development from both business and technological points of view. In addition, the evolution path should be aligned with the enterprise strategy. This paper first highlights the notion of symbiotic PSS where Product Systems and Service Systems, and their stakeholders, interoperate seamlessly based on a win-win approach. Then it proposes a PSS Conceptual Framework (PSS-CF) which can be applied in the early stages of servitization to increase the understating of PSS dimensions and to facilitate the prioritization of the servitization investments. The framework dimensions were discussed in several iterations, from both academic and industrial points of view, in the frame of a European research project. Moreover, the applicability of the framework was studied in four different industrial Use-Cases.

Servitization or productization, indicating evolution from product to service economy or vice-versa, can be considered as a successful strategy to gain competitiveness based on novel combination of products and services. To decrease the risks of servitization and to support the sustainable development of its main outcome, being Product Service System (PSS), it is required not only to have a clear and common understanding of the core business and processes but also to share the same definitions on (PSS) concepts as the main outcome of servitization. For this purpose, managers could be supported by abstract models with a limited number and high ratio of known concepts in the early stages of PSS development. Through an extensive literature review on this subject, followed by a structured conceptualization approach and discussions with domain experts, this paper proposes a Conceptual Model (PSS-CM). To validate the results, PSS-CM and its elements were discussed in several iterations, from both academic and industrial points of view, in the frame of a European research project. In the frame of this project, a case study was also performed to illustrate the instantiation of PSS-CM.

Requirements for cloud services include security and privacy. Although many security patterns, privacy patterns, and non-pattern-based knowledge have been reported, knowing which pattern or combination of patterns to use in a specific scenario is challenging due to the sheer volume of options and the layered cloud stack. To deal with security and privacy in cloud services, this study proposes the Cloud Security and Privacy Metamodel (CSPM). CSPM uses a consistent approach to classify and support existing security and privacy patterns. In addition, CSPM is used to develop a security and privacy awareness process to develop cloud systems. The effectiveness and practicality of CSPM is demonstrated via several case studies.

Spodoptera frugiperda (Lepidoptera: Noctuidae) commonly known as fall armyworm was first detected in Uganda in 2016 and has spread to all the maize-growing districts. Different methods have been deployed to control this pest. However, there is a limited understanding of the role of the environment and farmers' practices on the incidence and damage by S. frugiperda in Uganda. This study, therefore, assessed the abundance of S. frugiperda and leaf damage levels in three different districts and explored the association between agronomic practices, crop phenology and weather parameters on S. frugiperda damage and abundance in smallholder farmers’ maize fields using a longitudinal monitoring survey in 69 farmers’ fields of Kole, Kiryandongo and Nakaseke for three seasons. Leaf damage and incidence of damaged plants differed significantly between locations and seasons. Leaf damage and abundance of larvae varied significantly in the different growth stages. Conservation tillage resulted in reduced leaf damage. No significant relationship was observed between pesticide or fertilizer use with S. frugiperda leaf damage. There were non-significant negative relationships between leaf damage and rainfall. Timely and vigilant scouting, proper timing of control measures, minimum tillage practices, and crop diversity should be included in an IPM strategy for S. frugiperda.

The arrival of new developments in the field of power electronics circuit’s applications in power systems builds new control strategy to improve voltage quality for power grid by overcome interruptions. Wind energy resources are unconventional resources and get advanced problems to power grid when it is connected. Uncertainty of load sharing, peak energy management, climatic conditions, wind velocity and wind energy injected into power grid leads many of power quality problems on power grid based on the existing guidelines specified in IEC-61400 standard. This system plans efficient operation of DFIG to eliminate the voltage collapse and mismatch frequency to power grid. The DFIG connected diode rectifier and rotor side converter wind generator works as an Efficient Static Synchronous Compensator (E-SATCOM) for supplying the demand of reactive power for power grid to mitigate PQ problems. The benefit of using a combined controller was verified by simulink/Matlab and its simulated results used Doubly Fed Induction Generator (DFIG), wind Turbine. This simulation results gives good quality transient and stable state response to manage and support reactive power for both symmetrical and unsymmetrical faults in connection of grid codes to provide continuous quality of power supply, multiple wind generators are required for 140 bus power grid.

Utility perceived by individuals is believed to be different from the utility experienced by that individual. System dynamicists implicitly categorize this phenomenon as a form of bounded rationality and traditionally employ a simple smoothing function to capture it. We challenge this generalization by testing it against an alternative formulation of utility perception that is suggested by modern theories of behavioral economics. In particular, the traditional smoothing formulation is compared with the peak-end rule in a simple theoretical model as well as in a medium-size model of electronic health record implementation. Experimentation with the models reveals that the way utility perception is formulated is important and might affect behavior and policy implications of system dynamics models.

Unmanned Aerial Vehicles (UAVs), commonly known as drones, have experienced a significant surge in both civilian and military applications, owing to their versatility and cost-effectiveness. However, a negligent use or the operation with harmful intent of these aircraft poses a potential risk to public safety and the privacy of individuals. In response to this threat, counter-drone systems have been developed in recent years, including technologies to detect, position, and neutralize these aircraft. This paper presents a review of different existing commercial counter-drone systems, the technologies behind detection, tracking, and classification, as well as soft and hard kill mitigation.

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

Programmable Object Interfaces are increasingly intriguing researchers because of their broader applications, especially in the medical field. In Wireless Body Area Network (WBAN), for example, the patients’ health can be monitored using clinical nano sensors. Exchanging such sensitive data requires a high level of security and protection against attacks. To that end, the literature is rich with security schemes that include the advanced encryption standard, secure hashing algorithm, and digital signatures that aim to secure the data exchange. However, such schemes elevate the time complexity rendering the data transmission slower. Cognitive Radio technology with a medical body area network system involves communication links between WBAN gateways, server and nano sensors rendering the entire system vulnerable to security attacks. In this paper, a novel DNA-based encryption technique is proposed to secure medical data sharing between sensing devices and central repositories. It has less computational time throughout authentication, encryption, and decryption. Our analysis of experimental attack scenarios shows that our technique is better than its counterparts.

Proper management of water is a challenge for every individual but especially for companies. Nowadays also legislation obliges companies to clean the wastewater before being discharged into municipal public sewer especially if they use some chemicals or oily elements in their production process. Construction of the wastewater cleaner depends directly on the way of pollution, the amount of contaminated water and the energy demand of the cleaning process. The paper deals with the construction of the wastewater cleaner, which is based on the technology of electro-flotation for the treatment of water contaminated with disperse colorants. The experimental work as well as the modelling using the statistical methods proved the suitability of the chosen technology. Also, each colour combination requires a specific time period for the water treatment. The authors determined the time interval for cleaning the wastewater that was polluted with yellow colour to 33 minutes. Finally, the wastewater cleaner that is based on the electro-flotation technology was included in the company’s reverse logistics system.

The innate immune system is the first line of defense against pathogens. It’s composition includes barriers, mucus and other substances as well as phagocytic and other cells. The purpose of the paper is to analyze in general grounds the immune system and the body immunity to cancer. Simple ideas and the qualitative theory of differential equations are used along with general principles such as the minimization of the pathogen load and economy of resources. In the simplest linear model, the annihilation rate of pathogens in any tissue should be greater than the pathogen’s average rate of growth. When nonlinearities are added, a reference value for the number of pathogens is set, and a stability condition emerges, which relates strength of regular threats, barrier height and annihilation rate. On the other hand, in cancer immunity, the linear model leads to an expression for the lifetime risk, which accounts for both the effects of carcinogens (endogenous or external) and the immune response. The stability condition allows a comparison of immunity in different tissues. The way the tissue responds to an infection shows a correlation with the way it responds to cancer. These statements are formulated at the qualitative level, but may and deserve to be quantitatively checked.

In Safety Management System (SMS), the risk management plays a key role for the prevention of accidents. The aim of this paper is to propose a Safety Management model using a system dynamic approach to update conventional industrial safety into the new industrial safety 4.0 that is time to developed. This study analyzes some safety 4.0 aspects lacked in the Bhopal incidental event by considering different data detected in the industrial Plant. The model proposed in this paper discusses the relationships among the main causes that have contributed to the occurrence of the incidental event studied, such as broken safety devices, inadequate personnel experience, operator decisions, manager production strategy, policy decision, as deduced from the relevant literature about Bhopal incidental dynamic.

Botswana, Eswatini and Lesotho are three Southern African countries which make use of re-turn-of-service (RoS) schemes to increase human resources for health in their countries. These initiatives bind beneficiaries to a pre-defined period of service upon completion of their studies based on the length of funding support received. We aim to review the history of these policies to understand the conceptualisation, intent and implementation of these schemes. We used a mul-ti-methods research design which consisted of a literature review, policy review and semi-structured interviews with policymakers and implementors. All three governments have a combination of grant-loan schemes and full bursaries or scholarships. The policies have all been operating for over 20-years, with Eswatini’s pre-service being the oldest since it was introduced in 1977 followed by Lesotho’s 1978 policy and Botswana’s 1995 pre-service policy. These policies have never been reviewed or updated. RoS schemes in these countries were introduced to ad-dress critical skills shortages, improve employability prospects for citizens, to have competent public sector employees by global standards, and to aid career progress of government employ-ees. Ministries of Health are passive role players. However, these schemes can only be efficient if there is clear cooperation and coordination between all stakeholders.

This work proposes a physics-based identification technique based on genetic algorithms. The main objective is to obtain a parametric matrix A that describes the time-invariant linear model of the longitudinal dynamics of an aircraft. This is achieved by proposing a fitness function based on the properties of the transition matrix and taking advantage of some of the capabilities of the genetic algorithm, mainly those of restricting the search ranges of the unknowns. In this case, such unknowns are related to the type of aircraft and flight conditions that are considered during the identification process. The proposed identification method is validated with a reliable nonlinear model that can be found in the literature, as well as with the calculation of the trim condition and linearization generally used in aircraft dynamics. In summary, this study suggests the genetic algorithm provided with the adequate fitness function, could be an appealing alternative for aircraft model identification, even when only a limited amount of data is available. Furthermore, in some cases, linearization using genetic algorithm can be more efficient than classical methods.

We propose Reduced Collatz Conjecture that is equivalent to Collatz Conjecture, which states that every positive integer can return to an integer less than it, instead of 1. Reduced Collatz Conjecture should be easier because some properties are presented in reduced dynamics, rather than in original dynamics (e.g., ratio and period). Reduced dynamics is a computation sequence from starting integer to the first integer less than it, and original dynamics is a computation sequence from starting integer to 1. Reduced dynamics is a component of original dynamics. We denote dynamics of x as a sequence of either computations in terms of ``I'' that represents (3*x+1)/2 and ``O'' that represents x/2. Here 3*x+1 and x/2 are combined together, because 3*x+1 is always even and followed by x/2. We formally prove that all positive integers are partitioned into two halves and either presents ``I'' or ``O'' in next ongoing computation. More specifically, (1) if any positive integer x that is i module $2^t$ (i is an odd integer) is given, then the first t computations (each one is either ``I'' or ``O'' corresponding to whether current integer is odd or even) will be identical with that of i. (2) If current integer after t computations (in terms of ``I'' or ``O'') is less than x, then reduced dynamics of x is available. Otherwise, the residue class of x (namely, i module $2^t$) can be partitioned into two halves (namely, i module $2^{t+1}$ and $i+2^t$ module $2^{t+1}$), and either half presents ``I'' or ``O'' in intermediately forthcoming (t+1)-th computation.

Radio communication system in an underground mine is one of the very essential systems for the underground mine. It is required that the radio communication system must be reliable from the starting to construct the underground mine to the closure of the mine. However, underground mine radio communication systems reliability is required to be tested on an active radio communication system in a real environment. In the study was suggested a new research methodology that is studied reliability using dynamic system modeling on Vensim software instead of traditional method to study the reliability of radio communication systems calculating large-scale differential equations. In other words, we suggest a new research methodology. The Motorola Dimetra (TETRA) radio communication system's availability readiness information was used to simulate the reliability of the underground mine radio communication system probability of reliability using Vensim software for system dynamic modeling.Also, the factors that affect the reliability of underground mining radio communication systems was studied. The study was determined factors that affect the underground mine radio communication system from the following risks. The study was in the examples of the Oyu Tolgoi underground mine. The factors that affect the reliable operation of the underground mine radio communication system were determined using the failure statistics of TETRA radio communication system in the Oyu Tolgoi mine in 2015-2018.

Objective: This study aimed to examine the relationship between health structure disparities and hospitalizations and deaths among the pediatric population in different regions. Method: The study employed an ecological time series design, utilizing population-based secondary data ob-tained from DATASUS, from the Brazilian Ministry of Health. The data included in this study encompassed the population aged zero to 19 years, health establishments, physicians working in health establishments, hospitalizations, and deaths related to Morbidities listed in the Interna-tional Classification of Diseases. The focus was explicitly on individuals diagnosed with Cere-bral Palsy and other paralytic syndromes. The data for this study were gathered from January 2018 to December 2021. TABNET was used for data collection, and Excel for tabulation and anal-ysis. Results: Analysis of health structure data across regions revealed notable disparities, par-ticularly in the North and Northeast regions, compared to other regions. These discrepancies prompted a decision to conduct a comparative assessment between these regions and the rest of the country. Conclusion: In the North region, a significant 50% difference in hospitalizations based on residence versus a place of care was observed for individuals with Cerebral Palsy and other paralytic syndromes, indicating the necessity for relocation to access appropriate medical treatment.

Introduction. The outbreak of the COVID pandemic was a period of uncer-tainty and tension for healthcare managers, resulting from the lack of knowledge, i.e. about the transmission of the virus, but also from the lack of uniform organisational and treatment procedures. It was the period where the ability to prepare to a crisis situation, to adapt to the existing conditions and to draw conclusion from the situa-tion were critical to keep ICUs operating. The aim of this study was to show the prep-aration of an ICU in Poland to ensure resilience, and also the methods of reacting dur-ing the COVID-19 pandemic on both central and local level. Methods. Based on the EC and WHO guidelines on resilience a matrix of 6 elements and 13 standards as-signed to them was created, with a series of questions from a survey questionnaire. Results. Good management in resilient systems is free access to any resource. A free and transparent flow of information and also well motivated human resources in an appropriate number. Conclusion. Appropriate preparation, adaptation to the existing situation and effective management of crisis situations is an important element of ICU resilience.

Agriculture is the backbone of Kenya’s economy, supporting up to 80% of the rural livelihoods. Kenya’s export horticulture is currently the leading Agriculture subsector in Kenya has evolved from small-holder farming to agro-industrial large-scale export farming dominated by multinational companies. It is regarded as an agro-industrial food system based on the economies of scale producing for mass markets outside of the production area. Much of the food consumed from this food system has undergone multiple transformations and been subject to a host of formal and informal insitutions (rules, regulations, standards, norms and values). An Anthropological study of export horticulture in Northwest Mount Kenya was carried out utilizing qualitative data collection methods in Northwest Mount Kenya region. Data was coded and analysed thematically based on grounded theory approach. The study described the institutional settings of export horticulture from an emic perspective as changing and defining the operations of the food system access and management of common pool resources, namely water and land. With the agro-industrial food system competing for these scarce resources in a semi-arid zone, there is potential for conflict and also reduced production and overall benefits to the different actors in the study area.

This work deals with the synthesis of bare and curcumin (CUR)-loaded chitosan (CS)-based macroparticles by ionic gelation using sodium hydroxide (NaOH) or sodium tripolyphosphate (TPP) as cross-linking agents. The resulting spherical-shaped macroparticles were studied using various characterization techniques, Scanning Electron Microscopy (SEM), Fourier Transformed Infrared Spectroscopy (FTIR), Thermogravimetric Analysis (TGA), and Differential Scanning Calorimetry (DSC). The release of CUR from the CS-based particles with respect to time was analyzed, and the encapsulation efficiency and degree of swelling were studied. All formulations showed excellent CUR trapping efficiency, exceeding 90%. In particular, the TPP-crosslinked macrobeads released 34 wt% of the charged CUR within minutes, while the remaining 66 wt% was released slowly due to the biodegradation of CS. The results indicate that the correct choice of gelling agent and its concentration leads to spherical particles capable of encapsulating CUR and releasing it in a wide range of kinetics depending on the specific application.

Copper demand for a country's copper industry has a greater pull effect. China's copper consumption in 2015 has accounted for 50% of the world. The scientific forecast of China's copper demands trend is also an important basis for analyzing its future environmental impact. This paper assumes that China's economy will be developing high, medium and low scenarios, and forecasts economic and social indicators such as total GDP, population and per capita GDP in China from 2016 to 2030. Then, predicted the demand of copper resources in China from 2016 to 2030 by the combination of system dynamics model, vector autoregressive moving average model and inverted U-type empirical model. The results show that: (1) in 2020, 2025 and 2030, China's refined copper demand will be 13 Mt, 15 Mt and 15.5 Mt. (2) China's copper demand growth slowed down significantly from 2016-2030. (3) 2025-2030, China's copper resource demand is stable, into the platform of demand growth, the highest peak value in 2027 will be 15.5 Mt. (4) 2030 years later, China's copper resource demand will enter a slow decline.

IT auditing quality has been defined by results obtained in the process. Meanwhile, multiple studies have been done to enhance it therefore, it continues to be a topic interest and research so it is worth mentioning that its quality relies on trained competent auditors and experts able to develop a process correctly, adapting to clients and to manage auditing inherent risks According to results from the IT audit, low quality and security levels have been identified in terms of the human, technical and contextual factors, affecting audit quality. The objective of this investigation is to identify metrics and to determine their own corresponding factor applying an exploratory type of research. In order to achieve such aim, a targeted survey was designed and implemented at the Institute of Internal Auditors of Ecuador since they have the knowledge and expertise in the field. A factor analysis statistics technique was applied to data gathered to verify that it relates to the identified factors as dimensions are reduced, thus the most impacting metrics may assess the quality of IT audits. Analysis results yielded a mean score for each one of the assessed metrics, concluding that the technical factor is the most significative since it relates roles and task performance during the auditing process as well as control proce-dures. Finally, most auditing quality-related issues are mainly the outcome of an inferior management auditing process, therefore it is crucial that collegiate groups and professionals in the field validate the auditing process.

Background: The practices of various health-care professionals have been improvised to accommodate the on-going covid-19 pandemic situation. Different guidelines have been set in place to ease the process of re-opening of non-elective healthcare services like out-patient physiotherapy clinics. Although the measures taken should be guided by evidence based information, major consensus amongst practicing therapists needs to guide the India physiotherapy clinics. Objective: To identify and present the opinions of different physiotherapists about the various strategies for re-opening the out-patient physiotherapy clinics. Methods: An online cross-sectional survey was conducted. Over 169 participants were selected to participate in the survey according to the pre-decided inclusion and exclusion criteria. The data was collected and saved via google forms. Result and conclusion: A majority of respondents had a consensus over different strategies for re-opening the physiotherapy OPDs. These were regarding different measures to be adapted including modifications in the clinic infrastructure and the practice pattern. This would help in smoothly re-instating the physiotherapy services post the covid-19 lockdown.

In order to increase the number of tourism in ecotourism, enhance the ecotourism attractions. It is essential to construct the ecotourism service system for the Penghu National Scenic Area because the ecology system is sensitive and frangible. This study adopts the Fuzzy Delphi method and Analytic Hierarchy Process (AHP) to establish an index framework of ecotourism service system of Penghu National Scenic Area. The results indicated that there are 4 dimensions which include 21 factors service attributes are identified as the service system for traveling. The findings are concluded as follows:(1)the security management capability is the main principle for ecotourism service system;(2)the ecological diversity is fundamental for the marine environment and the core resource for ecotourism;(3)the transportation capacity and environmental quality need to improve; (4)the marine environmental resources is the most important item for sound ecotourism development; (5)the enhancement of the operation willingness of local communities can promote ecotourism development;(6)the natural resources should be protected to provide an ideal recreational environment for ecotourism;(7)the development of ecotourism needs to support local conservation to achieve sustainability. The perspectives of sustainability and service system are involved to support the value of this study, which can continuously sustain Penghu archipelago.

Cloud robotics is becoming an alternative to support advanced services of robots with low computing power as network technology advances. Recently, fog robotics has gained attention since the approach has merit relieving latency and security issues over the conventional cloud robotics. In this paper, a Function-as-a-Service based Fog Robotic (FaaS-FR) for cognitive robots is proposed. The model distributes the cognitive functions according to the computational power, latency and security with a public robot cloud and fog robot server. During the experiment with a Raspberry Pi as an edge, the proposed FaaS-FR model shows efficient and practical performance in the proper distribution of the computational work of the cognitive system.

The discovery of a growing number of exoplanets and even extrasolar systems supports the scientific consensus that it is possible to find other signs of life in the universe. The present work proposes for the first time, an explicit mechanism inspired by the dynamics of biological dispersion, widely used in ecology and epidemiology, to study the dispersion of biogenic units, interpreted as complex organic molecules, between rocky or water exoplanets (habitats) located inside star clusters. The results of the dynamic simulation suggest that for clusters with populations lower than 4 M+/ly³ it is not possible to obtain biogenic worlds after 5 Gyr. Above this population size, biogenic dispersion seems to follow a power law, the larger the density of worlds lesser will be the impact rate (β ) value to obtain at least one viable biogenic Carrier habitat after 5 Gyr. Finally, when we investigate scenarios by varying β, a well-defined set of density intervals can be defined in accordance to its characteristic β value, suggesting that biogenic dispersion has a behavior of “minimal infective dose” of “minimal biogenic effective” events by interval i.e. once this dose has been achieved, doesn’t matter if additional biogenic impact events occur on the habitat.

In the history of civil aircraft transportation, ice formation has been identifies as a key factor in the safety of flight. Anti-icing and deicing system have emerged through the years with the aim to prevent or to eliminate ice formation on wing airfoil, control surface and probes. Modern flying machine demand more efficiency in order to reduce the carbon footprint and increase the sustainability of flight transport. In order to achieve this goal the need to have efficient aircraft with efficient and low power consuming system is fundamental. This paper proposes a new model for ice accretion using computational fluid dynamics (CFD). This model permits to simulate the shape of the ice formed over a profile varying boundary conditions (i.e.- speed, liquid water content and so on). The proposed model takes into account also the amount of heat transferred between water and the surrounding environment and includes the effects of air turbulence on the ice formation process. The CFD simulations have been validated with NASA experimental outcome and show good agreement. The proposed model can be also used to investigate the effects of various parameters such as air speed, Liquid Water Content and air temperature on the ice formation process. The results evidences that the proposed model can accurately predict ice formation process and is suitable to optimize the design of anti-icing or deicing system for aircraft and helicopters. This approach is not limited to aerospace but can also be exported to other applications such as transportation, wind turbine, energy management and infrastructure.

The need for cross-modal retrieval (CMR) among users is growing because of the swift advancements in computer vision and natural language processing. Promoting home operating systems is greatly aided by the openKylin home operating system. It is focused on enhancing the functionality of the operating system with safe and dependable operating technologies. Practical implications abound for integrating computer vision research into home operating systems. A multimodal retrieval approach based on openKylin is presented to improve the usability of text search graphs, audio, and video. The overview of pertinent domestic and international research is the main topic of this article. This technological advancement. It then offers details on the design, implementation procedure, and final implementation outcomes for demonstration. The works of natural operations show that this strategy has excellent accuracy and performance.

Based on the fractional order of nonlinear system for love model with a periodic function as an external force, analyzed the characteristics of the chaotic dynamic in this study. The relationship between the chaotic dynamic of the fractional-love model with the external force and the fractional-order system was analyzed when the parameters are fixed. Further, we also studied the relationship between the chaotic systemic dynamic and the parameters when the fractional-order system is fixed. The results show that when the parameters are fixed, the fractional-order system exhibited segmented chaotic states for the different fractional orders of the system. When fixed the fractional-order system, the system exhibited the periodic and chaotic states as parameter changes.

Based on the topology of wide area protection system (WAPS), after studying the reliability of hardware system and information flow in the WAPS and establishing the reliability assessment model, the multi-service reliability analysis method with multi monitoring and protection tasks in WAPS was proposed. In the model, the impact of network quality of service (QoS) such as information flow loss and delay, is studied. On the base of the model, the multi-service reliability evaluation method is employed to analyze the reliability of a WAPS of IEEE14 node power system, and the key nodes of the WAPS is given, which provides a basis for improving the reliability of the WAPS.

This study assesses the impact of globalization on female participation in the labor force (FPLF). The increased globalization in the last several decades has created various economic opportunities for enterprises and individuals worldwide at an unprecedented rate. As a result, it has helped improve the quality of life for many men and women. In this process, the issue of women’s economic participation has been a critical topic for discussion worldwide. In that context, the objective of the paper is to determine if FPLF is influenced by a country’s participation in foreign markets through foreign direct investment (FDI) – a proxy for globalization. The paper uses a panel dataset obtained from the World Bank’s World Development Indicators database for 99 countries from 2001 to 2018. We then use system Generalized Method of Moments (system GMM) to estimate a dynamic panel model with appropriate specification tests. The results show that the positive effects of FDI on FPLF are more robust for low- and middle-income countries than high-income countries. We also find that results may be sensitive to outlier observations. Our results explain the seemingly inconclusive results within existing literatures and suggest that low- and middle-income countries should particularly focus on sectors that generate FDI as they stand to yield the greatest benefits with regards to female economic empowerment.

Public participation is significant for the success of any urban planning project. However, most members of the general public are not planning professionals and may not understand the technical details of a 2D paper-based plan, which might hamper their participation. One way to expand the participation of citizens is to present plans in well-designed, user-friendly and interactive platforms that allow participation regardless of the technical skills of the participants. This paper investigates the impacts of the combined use of 3D visualization and E-participation on public participation in Kisumu, Kenya. A 3D City model, created with CityEngine2016, was exported into a web-based geo-portal and used as a Planning Support System in two stakeholder workshops in order to evaluate its usability. For e-participation, 300 questionnaires given out to planning practitioners. Five indicators were developed for evaluating the usability of the 3D model while the usability of e-participation was evaluated using communication, collaboration and learning as indicators. Results showed that effectiveness and efficiency varies within different professional groups while the questionnaires showed strong preference for e-participation methods, especially SMSs/USSDs and emails. The study concludes that the use of 3D visualization and E-participation has the potential for improving the quality and quantity of public participation and recommends further research on the subject.

The travel-goods industry is an essential part of the larger travel and tourism sector, but it creates significant environmental impacts due to resource and energy consumption. This study investigates the feasibility and sustainability potential of servitisation concepts within the travel-goods industry, and the Product-Service System (PSS) models, in particular, to identify steps towards a more sus-tainable travel industry in the future. It explores the sustainability-related drivers within the luggage industry and identifies barriers to the adoption of servitisation models, and opportunities for value creation for both consumers and commercial organisations. Business models are mapped into a ty-pology to highlight different pathways to PSS adoption, underpinned with empirical data collected via a consumer sentiment survey and semi-structured interviews with industry experts. Even though the analysis revealed shifting consumer attitudes towards servitisation concepts within the travel-goods market, with a significant level of interest emerging for specific PSS models, at present, the widespread adoption of PSS is hindered. This is due to the fragmented nature of global supply chains and entrenched ownership values. Addressing supply chain issues regarding end-of-life systems to sustainably manage products beyond functional obsolescence is critical. In parallel, product-oriented PSS models are more likely to increase, driven by a burgeoning resale market and supported by digi-tal technologies, which in turn can lead to greater prospects for use-oriented PSS adoption and even-tually, reduced environmental impacts.

Technology advancements are evident in the healthcare field; numerous new opportunities and applications have emerged during the last years based on embedded intelligence and related to real-time diagnosis of medical issues, tele-care and telemedicine, remote monitoring of patients, computer-assisted “smart” transportation in case of emergencies, as well as new types of remotely controlled surgical operations. This paper aims to provide an overview of the application of embedded intelligence in the field of healthcare; it gathers the main critical requirements, related technologies and research advancements up to date, and it presents the most important challenges that are yet to be faced. The main focus is given in the development and optimization of Body Area Networks (BANs) based on advanced embedded sensing devices, the optimization of smart gateways in such networks, and the provision of holistic scalable and secure solutions in the healthcare domain. In addition, the paper presents two principal use cases that stem from the combination of novel information and communication technologies with classic healthcare practices, explaining the functional and non-functional requirements, as well as the mixed criticality characteristics of the associated systems.

Alzheimer’s disease and related dementias (ADRD) remain a public health challenge in developing counties. We developed a needs-based essential care service package (ECSP) for care planning of persons living with dementia (PLWD) using a cross-sectional survey among PLWD in institutions in six cities in China (n= 1,299). Face-to-face interviews were conducted with caregivers of PLWD by trained staff between 2018 and 2019. Care service needs and utilization by the level of cognitive impairment were summarized. The average age of PLWD was 80.7 years. 76% of participants had severe cognitive impairment. The needs-based ECSP with 30 service items would be sufficient in supporting care services of PLWD in China, of which seven items are core care. The selection plan for ECSP at different levels is designed as “General Care Services + Selective Care Services”, in which service items for low-, mid-and high-level care for PLWD are 7+3, 7+6, and 7+10, respectively. The findings provide the first large-scale data on service needs and utilization of PLWD in mainland China. The ECSP for PLWD advanced in the paper was a practicable and effective quantitative management means. It is deserved to application in a large scale.

This paper directly addresses a long-standing issue that affects the development of many complex distributed software systems: how to establish quickly, cheaply, and reliably whether they can deliver their intended performance before expending significant time, effort and money on detailed design and implementation. We describe ∆QSD, a novel metrics-based and quality-centric paradigm that uses formalised outcome diagrams to explore the performance consequences of design decisions, as a performance blueprint of the system. The distinctive feature of outcome diagrams is that they capture the essential observational properties of the system, independent of the details of system structure and behaviour. The ∆QSD paradigm derives bounds on performance expressed as probability distributions encompassing all possible executions of the system. The ∆QSD paradigm is both effective and generic: it allows values from various sources to be combined in a rigorous way, so that approximate results can be obtained quickly and subsequently refined. ∆QSD has been successfully used by Predictable Network Solutions for consultancy on large-scale applications in a number of industries, including telecommunications, avionics, and space and defence, resulting in cumulative savings worth billions of US dollars. The paper outlines the ∆QSD paradigm, describes its formal underpinnings, and illustrates its use via a topical real-world example taken from the blockchain/cryptocurrency domain. ∆QSD has enabled challenging throughput targets to be met for a globally distributed blockchain operating on the public internet.

Switzerland, a wealthy country, has a cutting-edge healthcare system, yet per capita, it emits over one ton of CO2, ranking among the world's most polluting healthcare systems. To estimate the carbon footprint of the healthcare system of Geneva’s canton, we collected raw data on the activities of its stakeholders. Our analysis shows that when excluding medicines and medical devices hospitals are the main greenhouse gas emitter by far, accounting for 48% of the healthcare system’s emission, followed by nursing homes (20%), private practice (18%), analysis laboratories (7%), dispensing pharmacies (4%), the homecare institution (3%) and the ambulance services (

Patients with low back pain often have deficits in trunk stability. For this reason, many patients receive physiotherapy treatment, which represents an enormous socio-economic burden. Training at home could reduce these costs. The prob-lem here is the lack of correction of the exercise execution. This feasibility study therefore investigates the applicability of a vibrotactile-controlled feedback system for trunk stabilization exercises. A sample of 13 healthy adults performed three trunk stabilization exercises. Exercise performance was corrected by physiotherapists using vibrotactile feedback. The NASA TLX questionnaire was used to assess the practicability of the vibrotactile feedback. The Nasa TLX questionnaire show a very low global workload M = 37.96 (SD =11.63). The quality of feedback perception was perceived as good by the subjects, varying between 76.9 % and 92.3 % depending on the body part. 80.8 % rated the feedback as helpful for their training. On the expert side, the results show a high rating of movement quality. The positive evaluations of the physiotherapists and the participants on the use of the vibrotactile feedback system indi-cate that such a system can reduce the trainees fear of independent training and support the users in their training. This could increase training adherence and long-term success.

Bangladesh's railway system mostly uses typical manual railway crossing technique or boom gates through its 2,955.53 km rail route all over the country. The accidents are frequently happening in the railway crossings due to not having obstacle detectable and quickly operating gate systems, and also for fewer safety measures in the railway crossing. Currently, there are very few automatic railway crossing systems (without obstacle detectors) available, however, all of them are dependent on the national power grid without a backup plan for any emergency cases. Bangladesh is still running a bit behind in the power generation of its consumption, hence it is not possible to have a continuous power supply at all times all over the countryside. We aim to design and develop a smart railway crossing system with an obstacle detector to prevent common types of accidents in the railway crossing points. We design to use two infrared (IR) sensors to operate the railway crossing systems which will be controlled by the Arduino Uno. This newly designed level crossing system will be run with the help of sustainable renewable energy which is cost-effective, eco-friendly, and apply under the national green energy policy towards achieving sustainable development in Bangladesh as a part of the global sustainable goal to face climate change challenges. We have summarized the simulated results of several renewable energy sources including a hybrid system and optimized the Levelized Cost of Energy (LCOE), and the payback periods.

In the second decade of the 21st century, social media changed the nature of communication and cooperation between participants of the culture services market. They became, among other things, an important marketing instrument in the area of contact with the customers of the cultural offer. However, despite their growing importance in various areas of activity of organisations in the cultural sector, the issue of building the cultural institution's brand equity by social media users is relatively seldom raised. Research on the impact of online consumer activity on brand equity is at an early stage of development. Therefore, this article is an attempt to fill the research gap in this area. The article presents the results of a survey conducted in 2018 on a group of 1021 consumers of cultural services, who at the same time regularly used social media. The statistical analysis carried out and the research results obtained prove that the 3C sustainable system developed by the authors, concerning the activity of consumers of cultural services in social media, stimulates the consumer-based brand equity (CBBE). Statistically significant relations have been observed in particular for CBBE components related to the awareness of a cultural institution's brand and for the relationship related to the perception of its quality. The study opens a review of literature on social media and consumer-based brand equity (CBBE). Next, based on the COBRA model (consumer's online brand-related activities), a proposal of the 3C sustainable system, concerning the activity of consumers of cultural services in social media, has been presented. The further part of the article presents research hypotheses, a conceptual model, research methodology as well as results and conclusions. The last part of the article discusses the results obtained and indicates the existing management implications.

The current epoch, known as the Anthropocene, is characterized by significant human impact on the global ecological system, including altered species survival and distribution patterns due to global warming resulting from industrialization. Accurately quantifying and assessing the extent of human impact on the environment is of utmost importance. To this end, four primary methods have been developed to measure human impact: (1) ecological footprint, (2) Human appropriation of net primary production (HANPP), (3) Planetary boundary, and (4) Living Planet Index. In this paper, we aim to provide a comprehensive understanding of these methods, including their strengths and weaknesses, to evaluate their efficacy in accurately assessing the impact of human activities on the global ecosystem. Furthermore, we explore the potential of utilizing novel machine learning modelling for future predictions in this area. By analyzing and comparing these methods, we can gain insight into the ways in which human activities impact the environment and use this knowledge to inform future policies and practices to mitigate negative effects.

In this study, we present case studies to explore the dynamics of implementation and maintenance of health interventions. We analyze how specific interventions are built and eroded, how the building and erosion mechanisms are interconnected, and why we can see significantly different erosion rates across otherwise similar organizations. We use multiple comparative obesity prevention case studies to provide empirical information on the mechanisms of interest, and use qualitative systems modeling to integrate our evolving understanding into an internally consistent and transparent theory of the phenomenon. Our preliminary results identify reinforcing feedback mechanisms, including design of organizational processes, motivation of stakeholders, and communication among stakeholders, which influence implementation and maintenance of intervention components. Over time, these feedback mechanisms may drive a wedge between otherwise similar organizations, leading to distinct configurations of implementation and maintenance processes.

The quality assurance of malaria microscopy unit was established by National Malaria Control Program, Ministry of Health (MoH) in 2009 to respond to the internal malaria microscopy validation process, in microscopy training for malaria diagnosis in the country, monitoring and supervision, and other relevant activities regarding laboratory diagnosis of malaria in Timor-Leste is described. Trained laboratory technicians who are working in the relevant unit. There are two ways of malaria microscopy validation process such as onsite validation and monthly validation after received malaria blood smear from senior analyst at the municipality level. The aim of this work is to describe the quality assurance of malaria microscopy system in Timor-Leste. The management of quality assurance service support, the importance of quality assurance of malaria microscopy, the role of quality assurance of malaria microscopy, challenge and opportunities encountered by quality assurance microscopy unit, National Health Laboratory are highlighted. Key words: Quality assurance of malaria microscopy, system, Timor-Leste.

Computer systems are involved in many critical human applications today, so that a small error can lead to serious and dangerous problems. These errors can be from an error in the incorrect design of the user interface to an error in the program code. The success of a software product depends on several factors. Given that different organizations and institutions use software products, the need to have a quality and desirable Software according to the goals and needs of the organization makes measuring the quality of software products. an important issue for most organizations and institutions, To be sure of having the right software. It is necessary to use a standard quality model to examine the features and sub-features for a detailed and principled study in the quality discussion. In this study, the quality of Word software was measured by Adaptive Neural Fuzzy Inference System. In recent years, powerful systems called fuzzy inference systems on The basis of adaptive neural network (ANFIS) has been used in various sciences. Using the power of neural network training and the linguistic advantage of fuzzy systems, these types of systems have been able to realize the advantages of the two in terms of analyzing very powerful complex processes. Considering the importance of software quality and to have a good and usable software in terms of quality and measuring the quality of software during the study. It was applied at different levels to make the result of measuring the quality of Word software more accurate and closer to reality. In this research, the quality of the software product is measured based on the adaptive neural-fuzzy inference system in ISO standard. According to the results obtained in this study, it is understood that quality is a continuous and hierarchical concept and the quality of each part of the software at any stage of production can lead to high quality products.

This study aims to apply a Recommendation System with Content Based Filtering method with Jaccard Similarity and Cosine Similarity algorithms on the E-Learning Platform. Recommendation systems deal with how to provide personalized recommendations to users efficiently. The Content Based Filtering method with Jaccard Similarity and Cosine Similarity algorithms can be used to calculate the similarity value between E-Courses on the E-Learning Platform. Implementation for Recommendation System using Google Colaboratory with Python programming language. In the application of the Recommendation System dataset, Coursera Free Dataset consists of 975 instances. The recommendation results use the Jaccard Similarity algorithm with an average similarity value of 0.3 while the value of Cosine Similarity with the average similarity value is 0.6 where the similarity value of Cosine Similarity is higher. Based on the results of the Mean Absolute Error in the low recommendation system, the average MAE value for all iterations of Jaccard Similarity algorithm is 0.013 and for the Cosine Similarity algorithm the average MAE value for all iterations is 0.014. This shows that the Recommendation System with Jaccard Similarity and Cosine Similarity algorithms can be used on the E-Learning Platform to provide efficiency solutions for personalized recommendations.

In this paper, the power quality of interconnected microgrids is managed using a Model Predictive Control (MPC) methodology which manipulates the power converters of the microgrids in order to achieve the requirements. The control algorithm is developed for the microgrids working modes: grid-connected, islanded and interconnected. The results and simulations are also applied to the transition between the different working modes. In order to show the potential of the control algorithm, a comparison study is carried out with classical Proportional-Integral Pulse Width Modulation (PI-PWM) based controllers. The proposed control algorithm not only improves the transient response in comparison with classical methods but also shows an optimal behavior in all the working modes, minimizing the harmonics content in current and voltage even with the presence of non-balanced and non-harmonic-free three-phase voltage and current systems

The coordination planning between land use and transportation system is an important premise of solving urban transportation problems and realizing land use integration. This study investigates the interactive and feedback relationship between land use and transportation system from the perspective of access management. By integrating the land use and traffic data from Las Vegas Metropolitan area with the system dynamics model, the causal relationship and causal loop diagrams (CLDs) are introduced to analyze the cause-and-effect relationship and quantitative relationship between the factors of the combined system of land use and transportation, and then sub-models partition and system simulation are performed. The systems dynamics model is established by analyzing the relationship between a series of access management techniques, traffic characteristics, and land use features. The results show that system dynamics model can be used as an effective alternative to model the symbiosis relationship of land use and transportation system for urban planning and construction.

This study selected the Yangtze River Delta urban agglomeration as the research area, combining it with the current situation of the transportation development of the Yangtze River Delta urban agglomeration to construct the urban agglomeration transportation integration index system and evaluate the development status of the Yangtze River Delta urban agglomeration transportation integration. The study examined the influence mechanism of transportation infrastructure on service industry agglomeration. The results are as follows: (1) From 2011–2020, the Yangtze River Delta urban agglomeration’s transportation integration index showed a clear upward trend. (2)The development of transport integration in urban agglomerations has heterogeneous effects on local service agglomeration. The development of the integration level of local transportation has a certain inhibitory effect on the agglomeration of local service industry. The transportation integration of the Yangtze River Delta urban agglomeration plays an important role in promoting the agglomeration of local wholesale and retail industry, transportation, storage and postal services. (3) The transportation integration of urban agglomeration can affect the agglomeration of service industry through the knowledge spillover brought by the free flow of various factors. The knowledge spillover effect caused by local transportation integration can promote the agglomeration of local service industry to a certain extent. The Yangtze River Delta urban agglomeration needs to accelerate the construction of trans-provincial and trans-municipal transportation infrastructure, and further improve the connectivity level of the urban agglomeration, so as to promote the integrated development of high-quality transportation in the Yangtze River Delta urban agglomeration.

This study developed a system dynamics model to understand the spread of coronavirus disease (COVID-19) in Japan. The model is built on the generic SEIR (Susceptible, Exposed, Infected, and Recovered) framework adopted by Ghaffarzadegan and Rahmandad (2020) to build a system dynamics model for the spread of COVID-19 in Iran. Japan seems to be successful in containing the spread compared with other countries, and its first peak has passed. However, because this also leaves a large population still susceptible to the virus, it could cause a second and potentially higher peak of infection after the state of emergency aimed at reducing contact rate is lifted. As the government has proposed the “New Lifestyle,” it is critical to behave cautiously so as not to be infected. While the model focuses on the SEIR structure, the reflection of other sub-structures such as economy and hospital capacity that have tradeoffs with reducing contact rate should be beneficial. However, before extending the model, it is also critical to conduct estimates using confidence intervals rather than point estimates to better reflect uncertainties.

The Chen circuit system, a three-dimensional autonomous system with intriguing dynamics, has gained considerable attention due to its potential applications in diverse scientific fields. In this article, a Chen circuit-like system is defined and a comprehensive dynamics has been studied. The system exhibits chaotic dynamics, limit cycles, and bifurcations, making it a captivating subject of study. By employing numerical simulations and analytical techniques, we explore the system's stability and identify critical parameter values leading to qualitative changes. Notably, we delve Hopf bifurcations, which give rise to stability changes and the emergence of limit cycles. Furthermore, we analyze the fractal dimension of the system's attractor, providing insights into its complexity and self-similarity. Through a systematic examination of the Chen circuit-like system, we deepen our understanding of its intricate dynamics and offer valuable insights into the underlying mechanisms. The findings contribute to the field of dynamical systems and hold potential implications in areas such as chaos-based secure communications, signal processing, and nonlinear control. This work serves as a valuable reference for researchers and practitioners interested in the dynamics and bifurcation analysis of nonlinear systems.

Increasing of renewable energy share in total energy production is a direction that leads towards European Union’s aims of carbon neutrality by 2050, as well as increases energy self-sufficiency and independence. Some of the main challenges to increase renewable energy share while providing efficient and secure energy supply are related to optimization and profitability of de-centralized energy production systems. Integration of energy storage systems in addition to decentralized renewable energy production, for example, by solar panels, leads to more effective electricity supply and smart energy solutions. The modelling of such complex dynamic system can be performed using system dynamics method. The aim of the article is to forecast the practice of electricity storage in Latvia in the coming decades. A system dynamics model predicting the implementation of battery storage in private households was created for the case study of Latvia. Modelling results reveal that under the right conditions for electricity price, investment costs and with the right policy interventions battery storage technologies combined with PV panels have high potential for utilization in household sector. Model results show that in baseline scenario with no additional policies up 21 422 households or 10.8 % of Latvian households could have combined PV and battery system installed in 2050. Moderate subsidy policy can help to increase this number up to 25 118.

The Internet of Things (IoT) has a growing presence in society's daily lives. These lightweight devices can be easily deployed and maintained, enabling extensive adoption in different environments. Furthermore, one of the most promising areas for using IoT devices is healthcare, comprising devices referred to as the Internet of Medical Things (IoMT). Several examples of healthcare services are supported by IoMT devices, e.g., continuous health monitoring. Conversely, there is an increasing concern with the cybersecurity aspects of these devices, and several attacks against IoT infrastructures have been launched in the past few years. These cybersecurity concerns also apply to healthcare applications, where the tradeoff between the benefits and security of IoMT devices must be observed. Given the complexity and amount of data IoMT network traffic generates, advanced methods become especially useful in these environments. Although Machine Learning (ML) brings various techniques and solutions to improve cyberattack detection, prevention, and mitigation, essential features are not addressed in the current state-of-the-art benchmark dataset contributions. Thereupon, the main goal of this research is to propose a realistic benchmark dataset to enable the development and evaluation of IoMT security solutions. In order to accomplish this, 18 attacks were executed against an IoMT testbed composed of 40 IoMT devices (25 real devices and 15 simulated devices), considering the plurality of protocols used in healthcare (e.g., Wi-Fi, MQTT, and Bluetooth). These attacks are categorized into five classes: DDoS, DoS, Recon, MQTT, and spoofing. This effort aims to establish a baseline complementary to the state-of-the-art contributions. The outcome supports researchers in investigating and developing new solutions to make healthcare systems more secure using different mechanisms (e.g., machine learning - ML). This research goes beyond merely conducting attacks on IoMT devices. We also attempt to capture the lifecycle of these devices in different vital phases, from the moment they join the network until they leave, which is called profiling. Profiling allows the different classifiers to identify anomalies of each device individually in the healthcare network. The CICIoMT2024 dataset has been published on CIC's dataset page, making it available for other researchers to use.

The present paper deals with research of maintenance strategy and maintenance process improvement procedure to increase the efficiency and quality of the production system. It includes the design of maintenance performance indicators relevant to today's manufacturing systems to track improvements in the sustainable development of the manufacturing system. Describes the basic principles of maintenance strategy with linkages to the manufacturing system and selecting the right strategy for the organization. The paper emphasizes maintenance management auditing and quality implementation in maintenance. Further, there is the process of changing the maintenance strategy described. This process includes reassessing the criticality of machines and equipment and their design units, then resource and capacity planning and input for maintenance management. It is described the impact of changing the maintenance management organization and maintenance capacity in the light of the change of strategy and the evaluation of maintenance choice alternatives, together with an analysis of the optimization procedure. The paper concludes by presenting the achieved impact of maintenance strategy change on the production efficiency and production quality of the selected enterprise.

Despite much published literature on the impacts of agriculture on water quality, knowledge gaps persist regarding which farming systems are of most concern for these relationships, which could help water resource planners better target water management efforts. This study addresses these subjects, seeking to understand how this relationship varies across different farming systems. We used data on water quality status in watersheds of an agricultural region in southern Portugal and crossed it with a map of farming systems for the same region provided by a previous study. By overlaying both data layers, we characterized the areal shares of the farming systems in the watersheds and inspected how these shares relate with water quality status through logistic regression. Results support that the impact of agriculture on water quality is mostly related with specific farming systems. We believe this type of information can be of high interest for agricultural planners and policymakers interested in meeting water quality standards, and we conclude by suggesting innovative policy options based on payments to farmers operating selected farming systems, as a cost-effective way to reconcile agricultural and environmental policy objectives.

Asthma is a chronic respiratory disease that impairs breathing. Management of asthma presents a significant challenge due to its inherent variability; that is, its symptoms can substantially differ among individuals, thereby complicating the prediction and management of exacerbations. Furthermore, individuals with asthma often have unique triggers that precipitate symptoms or attacks. The identification of these triggers can often prove to be a challenging, and at times, an impractical attempt. To address this, our research proposes a practical, personalized alert system, predicated on individual lung function tests conducted under varying environmental conditions classified by air-quality sensors. To validate this concept, we conducted an observational pilot study involving healthy individuals. We recruited twelve healthy participants and monitored their responses across a broad spectrum of environments, characterized by varying air quality, temperature, and humidity conditions. The lung function for each participant, assessed using peak expiratory flow (PEF) values, was recorded in each of these environments. Our results highlighted substantial variability in pulmonary responses to different environments. Utilizing these insights, we proposed a personalized alarm system that provides real-time air-quality monitoring and issues alerts when environmental conditions may potentially become unfavorable. We also explored the feasibility of employing basic machine learning techniques to predict PEF values in the aforementioned environmental conditions. This proposed system has the potential to empower individuals in actively safeguarding their respiratory health and mitigating discomfort caused by environmental conditions, especially in cases of asthma patients. By enabling timely and personalized interventions, the system aims to provide individuals with the necessary tools to minimize exposure to asthma’s possible triggers.

The study sought to determine the rate of discordant results between genotypic and phe-notypic tests for the diagnosis of drug resistant tuberculosis (DR-TB). Sputum samples and cultured isolates from suspected DR-TB patients were respectively analysed for My-cobacterium tuberculosis by Xpert® MTB/RIF (Cepheid, USA) and Line Probe Assays (LPA) (Hain, Germany). Discrepant Rifampicin (RMP) resistant results were confirmed using BACTEC MGIT960 (BD, USA). Of 224 RMP-resistant by Xpert MTB/RIF, 5.4% were suscep-tible to RMP by LPA. MGIT960 showed 75% agreement with LPA. Discrepancy was at-tributed to either heteroresistance or DNA contamination during LPA testing in 58.3% of cases. In 25% of samples showing agreement in RMP resistance between Xpert MTB/RIF and MGIT960, discrepancy was attributed to laboratory errors causing false RMP suscep-tible results with LPA. Of 16.7% of cases, discrepancy was attributed to false RMP suscep-tible results with Xpert MTB/RIF. Of 224 isolates, susceptibility to isoniazid (INH) by LPA was performed in 73.7% RMP resistant isolates, of which, 80.6% were resistant. All RMP resistant isolates by Xpert MTB/RIF were confirmed in 98.5% by LPA if TB isolates were resistant to INH, but only confirmed in 81.3% if TB isolates were INH susceptible (ρ < 0.001). In conclusion, Laboratory errors should be considered when investigating dis-cordant results.

Discrete-time architectures offer a distinct advantage over their continuous counterparts, as they can be seamlessly implemented on embedded hardware without the necessity for discretization processes. Yet, because of the difficulty of ensuring Lyapunov difference expressions, their designs, which are based on quadratic Lyapunov-based frameworks, are highly complex. As a result, various existing continuous-time results using adaptive control methods to deal with system uncertainties and coupled dynamics in agents of a multiagent system cannot be directly applied to the discrete-time context. Furthermore, compared to their continuous-time equivalent, discrete-time information exchange based on periodic time intervals is more practical in the control of multiagent systems. In this paper, we first introduce a discrete-time adaptive control architecture designed for uncertain scalar multiagent systems without coupled dynamics as a preliminary result. We then introduce another discrete-time adaptive control approach for uncertain multiagent systems in the presence of coupled dynamics. Our approach incorporates observer dynamics to manage unmeasurable coupled dynamics, along with a user-assigned Laplacian matrix to induce cooperative behaviors among multiple agents. Our solution includes Lyapunov analysis with logarithmic and quadratic Lyapunov functions for guaranteeing asymptotic stability with both controllers. To demonstrate the effectiveness of the proposed control architectures, we provide an illustrative example.

The deployment of a manufacturing execution system (MES) holds promising potential in facilitating the accumulation of a substantial amount of inspection data. Low quality levels in discrete manufacturing environments are the result of multi-factor coupling and failure to find quality issues in a timely manner within manufacturing settings may trigger the propagation of defects downstream. Currently, most of the inspection quality methods are direct measurement followed by manual judgment. The integration of deep learning methods provides a feasible way to identify defects in a timely manner, thus improving the acceptance rate of factories. This paper focuses on the design of a data-driven quality prediction and control model around discrete manufacturing characteristics, and use fuzzy theory to evaluate the quality level of production stages. Building Multivariate Long and short-term memory learning hidden quality representations to extract predictions from multi-level inspection data in manufacturing systems. Finally, by validating the data of actual produced water dispensers according to three evaluation indexes, RMSE, MAE, MAPE, the results show that Multivariate Long and short-term memory has better prediction performance.

Recently, the Internet of Things (IoT) has attracted wide attention from many fields, especially healthcare, because of its large capacities of information perception and collection. In this paper, we present an IoT-based home telehealth system for providing smart healthcare management for individuals, especially older people. Each client node of the system is mainly composed of an electronic water meter that records the user's daily water usage and an unobtrusive sleep sensor that monitors the user's physiological parameters during sleep such as heart rate (HR), respiratory rate (RR), body movement (BM), and states on the bed or outside the bed. The sleep sensor senses the biosignals and states by a sensor matrix composed of 12 piezoelectric sensors. The collected data can be transmitted to a remote centralized cloud service by a wireless home gateway for analyzing the living pattern and rhythm of users. Furthermore, the periodic feedback of results can be provided to users themselves as well as their family and health advisers. In the present study, data collections from a total of 18 older subjects were made for one year to evaluate the effectiveness of the proposed system. By analyzing living pattern and rhythm, preliminary results indicate the effectiveness of the telehealth system and suggest the potential of the system regarding improvement of quality of life (QoL) of older people and promotion of their health.

The electronic nose (e-nose) is an innovative device that mimics the human olfactory system, allowing for the detection and identification of numerous scents. This abstract gives an in-depth examination of the current status of electronic nose technologies, with an emphasis on sensing mechanisms, applications, and recent breakthroughs. The research delves into the many uses of e-nose, such as food quality control, environmental monitoring, medical diagnostics, and industrial operations. It also covers the problems and potential future applications of electronic nose technology. The literature review highlights the importance of this technology in improving our capacity to evaluate complex scents in several domains.

This paper develops a novel energy universal service bus system (EUSBS) based on emerging energy Internet (E-net) technologies. This EUSBS is a unified identification and plug-and-play interface platform to which high penetration distributed energy and equipment (DEE), including photovoltaic (PV), fans, electric vehicle charging stations (EVCSs), energy storage equipment (ESE), and commercial and residential users (CRUs), can access in a coordinated control and optimized utilization mode. First, the functions design, overall framework and topology architecture design of the EUSBS are expounded, among which the EUSBS is mainly composed of a hardware system and a software platform. Moreover, several future application scenarios are presented. Then, the hardware part of EUSBS is designed and developed, including the framework design of this hardware subsystem, and development of the hardware equipment for PV access, fans access, EVCS access, ESE access, and CRU access. The hardware subsystem consists of smart socket, and household/floor/building concentrators. Based on this, the prototypes development of EUSBS hardware equipment is completely demonstrated. Third, the software part of the EUSBS is developed as a cloud service platform for electricity use data analysis of DEE. This software subsystem contains the power quality & energy efficiency analysis module, optimization control module, information and service module, and data monitoring and electricity behavior analysis module. Based on this design, the software interfaces are developed. Finally, an application study on energy management and optimization of a smart commercial building is conducted to evaluate the functions and practicality of this EUSBS. The EUSBS developed in this paper is able to overcome difficulties in big data collection and utilization on sides of distribution network and electricity utilization, and eventually implement a deep information-energy fusion and a friendly supply-demand interaction between the grid and users. This contribution presents a detailed and systematic development scheme of the EUSBS, and moreover, the laboratory prototypes of the hardware and software subsystems have been developed based on E-net technologies. This paper can provide some thoughts and suggestions for the research of active distribution network and comprehensive energy management and optimization in power systems, as well as references and guidance for researchers to carry out research regarding energy management, optimization and coordinated control of the smart buildings.

Education is the bedrock of any nation. It is essential for individual and societal growth and development. This triggers the demand for quality education which simultaneously increases with a growing demand for quality assurance. This study investigated the role of quality assurance in achieving the expected outcome of education in Bosnia and Herzegovina’s higher education system. Comparative development is looked at by examining other National Qualification Frameworks. The study was based on textual reviews and descriptive analysis on student enrollment and programs of studies. Unlike the global trend, it can be seen that student enrollment is on the decline in Bosnia and Herzegovina. It was found that quality assurance is an indispensable tool for strengthening the higher education system and for achieving the desired change and outcomes, that education offers. It was also found that study programs and curricula are pivotal for teaching and learning processes, and that a unified qualification framework is essential for achieving set objectives of education at all levels. The study recommended, among other things, that sound quality assurance systems as well as appropriate structure for monitoring and accreditation be put in place and be judiciously followed in order to achieve the desired outcomes in conjunction with the set objectives of higher education. Moreover, vital thoroughly analyzed pressures (i.e., democratic, economic, and systemic) barriers show signs of epistemological, political, and institutional barriers in the country.

The research work hereby presented, emerges from the urge to answer the well-known question of how the uncertainty of intermittent renewable sources affects the performance of a microgrid and how could we deal with it. More specifically, we want to evaluate what could be the impact in performance of a microgrid intended to serve a smart-building (powered by photovoltaic panels and with battery energy storage), when the uncertainty of the photovoltaic-production forecasts is considered in the energy management process. For this, several objectives (or services) are targeted based in a two-step (double-objective) energy management framework, that combines optimization-based and rule-based algorithms. The performance is evaluated based on some particular services proposed as performance indicators. Simulations are performed using data of a study-case microgrid (Drahi-Xnovation center, Ecole Polytechnique, France). The use of quantile forecasts (obtained with an analog-ensemble method) is tested as a mean to deal with (i.e. decrease) the uncertainty of the solar PV production. The proposed energy management framework is compared with basic reference strategies and the results show the superior performance of the former in almost all the services and forecasting scenarios proposed. The contrasting nature among some of the target services is one of the main conclusions of this work, as well as the different requirements in terms of forecasts when optimizing for different services and seasons of the year. This fact highlights the usefulness of the quantile forecasting approach, as a tool to deal with the intrinsic uncertainty of PV power production

Background: Heart rate variability is a non-invasive, measurable, and established autonomic nervous system test. Long-term COVID-19 sequelae are unclear; however, acute symptoms have been studied. Objectives: To determine autonomic cardiac differences between long COVID-19 patients and heathy controls and evaluate associations among symptoms, comorbidities, and laboratory findings. Methods: This single-center study included long COVID-19 patients and healthy controls. The heart rate variability (HRV), a quantitative marker of autonomic activity, was monitored for 24 h using an ambulatory electrocardiogram system. HRV indices were compared between case and control groups. Symptom frequency and inflammatory markers were evaluated. The significance level of 5% (p-value 0.05) was adopted. Results: A total of 47 long COVID-19 patients were compared to 42 healthy controls. Patients averaged 43.8 (SD14.8) years old, and 60.3% were female. In total, 52.5% of patients had moderate illness. Post-exercise dyspnea was most common (71.6%), and 53.2% lacked comorbidities. COVID-19 patients had 4 times more dyslipidemia. CNP, D-dimer, and CRP levels were elevated (p-values of 0.0098, 0.0023, and 0.0015, respectively). The control group had greater SDNN24 and SDANNI (OR = 0.98 (0.97 to 0.99; p = 0.01)). Increased low-frequency (LF) indices in COVID-19 patients (OR = 1.002 (1.0001 to 1.004; p = 0.030)) and high-frequency (HF) indices in the control group (OR = 0.987 (0.98 to 0.995; p = 0.001)) were also associated. Conclusions: Patients with long COVID-19 had lower HF values than healthy individuals. These variations are associated with increased parasympathetic activity, which may be related to long COVID-19 symptoms and inflammatory laboratory findings.

Science is addressing global societal challenges and, due to limitations in research financing, scientists are turning to public at large to jointly tackle specific environmental issues. Citizens are therefore increasingly involved in monitoring programs, appointed as citizen scientists with potential to delivering key data at near no cost to address environmental challenges, so fostering scientific knowledge and advise policy- and decision-makers. One of the first and most successful example of marine citizen science in the Mediterranean is represented by the integrative and collaborative implementation of several jellyfish spotting campaigns in Italy, Spain, Malta, Tunisia started in 2009. Altogether, in terms of time coverage, geographic extent, and number of citizen records, these represent the most effective marine citizen science campaign so far implemented in the Mediterranean Sea. Here we analyzed a collective database merging records over the above four Countries, featuring more than 100,000 records containing almost 25,000 observations of jellyfish specimens, collected over a period of 3 to 7 years (from 2009 to 2015) by citizen scientists participating in any of the national citizen science programs included in this analysis. Such a wide citizen science exercise demonstrates to be one of the so far available most valuable and cost-effective tools to understanding ecological drivers of jellyfish proliferations over the Western and Central Mediterranean basins, and a powerful contribute to develop tailored adaptation and management strategies, mitigate jellyfish impacts on human activities in coastal zones, and support implementation of marine spatial planning, Blue Growth and conservation strategies.

Knowledge is not merely the characteristic of certain pieces of information being deemed true and justifiable, but rather a process. Within an axiomatic system, the set of information that reaches the status of knowledge forms a universe that provides an interpretation of the reality one aims to describe. Language exchanges information through communication and the process of justification (exchange of information), if it consistently justifies a particular piece of information, it elevates it to knowledge. In this paper, we provide a framework for knowledge within an axiomatic model where we define the fundamental elements of communication and grammar. As a result, the structure dictates that knowledge, to be considered as such, must be investigateable by anyone who utilizes it in its entirety, both in form and content. Ultimately, the development of knowledge processing, referred to as \emph{knowmatics}, represents a clear evolution of the computer science that processes information (subset of knowledge).

This study quantified effluents generated during processing in three industry types, estimated the energy potential from the quantified effluents in form of biogas generation, and determined the economic viability of the biogas recovered. Data were procured from relevant scientific publications to quantify the effluents generated from the production processes in the industry types examined using industrial process calculations. The effluent data generated was used on the 2-module biogas energy recovery model to estimate the bioenergy recovery potential within it. Economic and financial analysis was based on cash flow comparison of all costs and benefits resulting from its activities. The effluents generated average daily biogas of 2559 Nm³/gVS, having a daily potential combined heat and power of 0.52 GWh and 0.11 GWh respectively. The Life Cycle Analysis and cost-benefit analysis show the quantity of avoided emissions from using the effluents to generate heat and power for processes, and also the profitability of the approach. Conclusively, the study shows the use of biomass effluents to generate biogas for CHP is a viable one based on the technologies of a reciprocating engine, gas turbine, microturbine, and fuel cell. However, it is recommended that the theoretical estimation be validated using a field-scale project.

BACKGROUND G6PD deficiency is an inherited an X-linked recessive condition leading to insufficient levels of glucose-6-phosphate dehydrogenase, thus causing hemolytic anaemia under certain conditions. METHODS Our study is explorative for cases admitted to Jordan University Hospital. The studied parameters include demographics, clinical manifestations, biochemical markers including Hb level, WBC count, liver enzymes, and blood grouping. RESULTS Most of the patients were admitted to the emergency unit (53.13%). Individuals who were Rh-positive represented 57.81%, while patients of AB blood group accounted for 75%. The mean values were 4.81 years (age), 29.06 hours (time-to-hospital admission), 38.10 degree Celsius (temperature), 6.11 gm/dl (Hb), 13242.19 (WBC count), 343.20 U/L (S. ALP), and 50.98 IU/L (S. ALT). There was no significant difference between males and females or between favism-induced versus drug-induced hemolytic episodes. AB and Rh positive blood groups are of protective effect in relation to liver enzymes. Patients who were admitted to the hospital within 24 hours from having clinical manifestations had a better prognosis. CONCLUSION This study is the first inferential research on G6PD deficiency from the Middle East to explore cases from one of the largest healthcare centres in Jordan. The role of blood grouping should be investigated prospectively.

As technologies such as eco-friendly ships, electric propulsion vessels, and multi-fuel propulsion systems advance, the scope of IoT applications in maritime field is expanding, resulting in increased complexity in control factors. The gradual progression towards Maritime Autonomous Surface Ships (MASS) is further driving the evolution of ship-based IoT applications. These advancements underscore the necessity for a platform capable of ensuring reliable connectivity between ships and onshore, while also being adaptable for deployment and operation to meet the demands of service availability. The limitations of the existing single cloud architecture become evident in this context. In response to these emerging challenges, this paper presents a cloud-based horizontal data platform structure anchored in the architecture of a Multi-Region Fog Cloud. This approach is tailored to fulfill the crucial requirement of maintaining robust and seamless connectivity for vessels navigating globally. Leveraging the capabilities of the Fog Cloud, the platform enhances service responsiveness by facilitating localized data collection and distribution, complemented by efficient data caching from the Cloud Center, serving users within the same geographical region. We outline a strategic framework for enhancing and executing key ship services within the proposed architecture. These services encompass data sharing between ships to elevate collision avoidance, disseminating weather data for optimized route planning, and constructing an operator training simulator (OTS) environment through the integration of digital twin technology. After, we implement an architecture using the AWS Cloud and gauges latency and Packet Loss Rate (PLR) through connections to Seoul, California, and Frankfurt regions. The test results reveal that latency in different regions is about 2-5 times higher than that in the same region for the payload. Furthermore, packet loss occurred at roughly 2-3 Hz packet generation rate (PGR) in different regions, whereas in the same region, it commenced at approximately 10-20 Hz PGR.

The contemporary landscape of eHealth is characterized by major concerns related to electronic medical records (EMRs). In an EMR, critical patient health information gets its own repository, which is the core of the eHealth system. Notably, the EMR not only retrieves health information generated in ambulatory clinical settings but also includes court-generated records. These overlapping records assume the role of a foundational data source for a comprehensive electronic health record (EHR). This scholarly review sheds light on recent trends in medical records and associated challenges, while at the same time providing insights into Saudi Arabia’s targeted approaches to healthcare delivery. Additionally, the talk expands to include a description of blockchain technology and its underlying conceptual framework. This demonstration positions blockchain technology as a promising approach that requires consideration for future use in the healthcare system.

This paper reports on the optimization of thin-film coating assisted self-sustainable off-grid hybrid power generation systems for cattle farming in rural areas of Bangladesh. Bangladesh is a lower middle-income country with declining rates of poverty among its 160 million people due to persistent economic growth in conjunction with balanced agricultural improvements. Most of the rural households adopt a mixed farming system by cultivating crops and simultaneously rearing livestock. Among the animals raised, cattle are considered as the most valuable asset for the small/medium-scale farmers in terms of their meat and milk production. Currently, along with the major health issue, the COVID-19 pandemic is hindering the world’s economic growth and has thrust millions into unemployment; Bangladesh is also in this loop. However, natural disasters such as COVID-19 pandemic and floods, largely constrain rural smallholder cattle farmers from climbing out of their poverty. In particular, small and medium-scale cattle farmers face many issues that obstruct them from taking advantage of market opportunities and imposing a greater burden on their families and incomes. An appropriate measure can give a way to make those cattle farmers’ businesses both profitable and sustainable. Optimization of thin-film coating assisted self-sustainable off-grid hybrid power generation system for cattle farming is a new and forward-looking approach for sustainable development of the livestock sector. In this study, we design and optimize a thin-film coating assisted hybrid (photovoltaic-battery-generator) power system by using the Hybrid Optimization of Multiple Energy Resources (HOMER, Version 3.14.0) simulation tool. An analysis of the results has suggested that the off-grid hybrid system is more feasible for small and medium-scale cattle farming systems with long-term sustainability to overcome the significant challenges faced by smallholder cattle farmers in Bangladesh.

Metastases cause high mortality in several cancers and immunotherapies are expected to be effective in the prevention and treatment of metastatic disease. However, only a minority of patients benefit from immunotherapies. This creates a need for novel therapies that are efficacious regardless of the cancer types and metastatic environments they are growing in. Preclinical immuno-oncology models for studying metastases have long been limited to syngeneic or carcinogenesis-inducible models that have murine cancer and immune cells. However, the translational power of these models has been questioned. Interactions between tumor and immune cells are often species-specific and regulated by different cytokines in mice and humans. For increased translational power, mice engrafted with functional parts of human immune system have been developed. These humanized mice are utilized to advance understanding the role of immune cells in the metastatic process, but increasingly also to study the efficacy and safety of novel immunotherapies. From these aspects, this review will discuss the role of immune cells in the metastatic process and the utility of humanized mouse models in immuno-oncology research for metastatic cancers, covering several models from the perspective of efficacy and safety of immunotherapies.

The article describes how atherosclerosis and coronavirus disease 19 (COVID-19) may affect each other. The features of this comorbid pathogenesis at various levels (vascular, cellular and molecular) are considered. A bidirectional influence of these conditions is described: the presence of cardiovascular diseases affects different individual susceptibility to viral infection. In turn, SARS-CoV-2 can have a negative effect on the endothelium and cardiomyocytes, causing blood clotting, secretion of pro-inflammatory cytokines, and thus exacerbating the development of atherosclerosis. In addition to the established entry into cells via ACE2 принимая во внимание его влияние на, other mechanisms of SARS-CoV-2 entry are currently under investigation, for example, through CD147. Pathogenesis of comorbidity can be determined by the influence of the virus on various links which are meaningful for atherogenesis: generation of oxidized forms of LDL, launch of a cytokine storm, damage to the endothelial glycocalyx, and mitochondrial injury. The transformation of a stable plaque into an unstable one plays an important role in the pathogenesis of atherosclerosis complications and can be triggered by COVID-19. The impact of SARS-CoV-2 on large vessels such as aorta is more complex than previously thought considering its impact on vasa vasorum. Current information on the mutual influence of the medicines used in the treatment of atherosclerosis and acute COVID-19 is briefly summarized

In this study, we examine the relationship of bank level lending and borrowing decisions and the risk preferences on the dynamics of the interbank lending We develop an agent-based model that incorporates individual bank decisions using the temporal difference reinforcement learning algorithm with empirical data of 6600 S. banks. The model can successfully replicate the key characteristics of interbank lending and borrowing relationships documented in the recent literatur A key finding of this study is that risk preferences at individual bank level can lead to unique interbank market structures which are suggestive of the capacity that the market responds to surprising

The TeNDER project aims to improve the Quality of Life (QoL) of chronic patients through an integrated care ecosystem. This study evaluates the Health Recommender System (HRS) developed for the project, which offers personalized recommendations based on data collected from a set of monitoring devices. The list of notifications covered different areas of daily-life such as physical activity, nutrition, and sleep. We conducted this case of study to evaluate the effectiveness and usability of the HRS in providing accurate and relevant recommendations to users. Evaluation process consisted on survey administration for QoL assessment, and the satisfaction and usability of the HRS. The four-week pilot study involved several patients and caregivers, and demonstrated that the HRS was perceived as user-friendly, consistent, and helpful, with a positive impact on patients’ QoL. However, the study highlights the need for improvement in terms of personalization of recommendations.

The most important factor that determines beef tenderness is its proteolytic activity and the balance between calpain1 protease activity and calpastatin inhibition is especially important, while contributions could arise from calpain2 and possibly calpain3. These processes are however affected by the meat aging process itself. To determine whether genotypes in the calpaincalpastatin system can enhance tenderness throughout a 20 day aging period, South African purebred beef bulls (n=166) were genotyped using the Illumina BovineHD SNP BeadChip, through genebased association analysis targeting the cast, capn3, capn2 and capn1 genes. The WarnerBratzler shear force (WBSF) and myofibril fragment length (MFL) of Longissimus thoracis et lumborum (LTL) steaks were evaluated between d 3 d 20 of aging, with protease enzyme activity in the first 20 h postmortem. Although several of the 134 SNP associated with tenderness, only seven SNP in the cast, capn2 and capn1 genes sustained genetic associations, additive to agingassociated increases in tenderness for at least three of the four aging periods. While most genomic associations were relatively stable over time, some genotypes within SNP responded differently to aging, resulting in altered genomic effects over time. The level of aging at which genomic associations are performed is an important factor that determines whether SNP affect tenderness phenotypes.

Malaysian healthcare institutions still use ineffective paper-based vaccination systems to manage childhood immunization schedules. This may lead to missed appointments, incomplete vaccinations, and outbreaks of preventable diseases among infants. To address this issue, we proposed a text messaging vaccination reminder and recall system named Virtual Health Connect (VHC) to simplify and accelerate the immunization administration for nurses that may result in improving the completion and timeliness of immunizations among infants. Considering the narrow research about the acceptance of these systems in the healthcare sector, we examined factors influencing nurses’ attitude and intention to use VHC using the extended technology acceptance model (TAM). The novelty of the conceptual model is proposing new predictors of attitude, namely, perceived compatibility and perceived privacy and security issues. We conducted a survey among 121 nurses in Malaysian government hospitals and clinics to test the model. We analyzed the collected data using partial least squares-structural equation modeling (PLS-SEM) to examine the significant factors influencing nurses’ attitude and intention to use VHC. Moreover, we applied artificial neural network (ANN) to determine the most significant factors of acceptance with higher accuracy. Therefore, we could offer more accurate insights to decision-makers in the healthcare sector for the advancement of health services. Our results highlighted that the compatibility of VHC with the current work setting of nurses developed their positive perspectives toward the system. Moreover, the nurses felt optimistic about the system when considering it to be useful and easy to use in the workplace. Finally, their attitude toward using VHC played a pivotal role in raising their intention. Based on the ANN models, we also found that perceived compatibility was the most significant factor influencing nurses' attitude towards using VHC, followed by perceived ease of use and perceived usefulness.

The potential of quantum computing for scientific and industrial breakthroughs is immense, however, we are still in the Noisy Intermediate-Scale Quantum (NISQ) era, where the currently available quantum devices contain small numbers of qubits, are very sensitive to environmental conditions and prone to quantum decoherence. Even so, existing NISQ computers have already been shown to outperform conventional computers on specific problems and the key question is how to make use of today’s NISQ devices to achieve quantum advantage in the field of computational science and engineering (CSE). In this direction, this work proposes a hybrid computing formulation by combining quantum computing with machine learning for accelerating the solution of parameterized linear systems in NISQ devices. In particular, it focuses on the Variational Quantum Linear Solver (VQLS), which is a hybrid quantum- classical algorithm for solving linear systems of equations. VQLS employs a short-depth quantum circuit to efficiently evaluate a cost function related to the system solution. The algorithm’s circuit consists of a quantum gate sequence (unitary operators) that involves a set of tunable parameters. Then, well-established classical optimizers are utilized to tune the parameters of the sequence in order to minimize the cost function, which is equivalent to finding the system solution at an acceptable level of accuracy. In this work, it is demonstrated that machine learning tools such as feed-forward neural networks and nearest-neighbor interpolation techniques can be successfully employed to accelerate the convergence of the VQLS algorithm towards the optimal values for the circuit parameters when applied to parameterized linear systems that need to be solved for multiple parameter instances.

The study aimed to identify clinical pharmacology patterns of prescribed and taken medications in older cardiovascular patients using electronic health records (EHRs) (n = 704) (2019–2022). Medscape Drug Interaction Checker was used to identify pairwise drug-drug interactions (DDIs). Prevalence rates of DDIs were 73.5% and 68.5% among taken and prescribed drugs, respectively. However, total number of DDIs was significantly higher among prescribed medications compared with the list of taken drugs (p < 0.05). Serious DDIs comprised 16% and 7% of all DDIs among prescribed and taken medications, correspondingly (p < 0.05). Median DDI numbers between prescribed versus taken medications were Me = 2, IQR 0-7 and Me = 3, IQR 0-7 per record, respectively. Prevalence of polypharmacy was significantly higher among prescribed medications compared with taken medications (p < 0.05). Women were taking significantly more drugs and had higher rates of polypharmacy and DDIs (p < 0.05). No sex-related differences were observed in the list of prescribed medications. ICD code U07.1 (COVID-19, virus identified) was associated with the highest median DDI number per record. Further research is warranted to improve EHR structure, patient engagement in reporting adverse drug reactions, and genetic profiling of patients to avoid potentially serious DDIs.

In the present study, we compare energy transition scenarios from a new set of Integrated Assessment Models, the suite of MEDEAS models, based on a systems dynamic modelling approach, with scenarios from two already well know structurally and conceptually different Integrated Assessment Models, the Integrated MARKAL-EFOM System (TIMES) and the Long-range Energy Alternatives Planning system (LEAP). The investigation was carried out to cross-compare and benchmark the response of MEDEAS models with TIMES and LEAP in depicting the energy transition in two different countries, Austria and Bulgaria. The preliminary results show a good agreement across all the models in representing scenarios projecting historical trends, while a major discrepancy is detectable when the rate of implementation of renewable energy is forced to increase to achieve energy system decarbonization. The discrepancy is mainly traceable to the differences in the models’ conception and structures rather than in a real mismatch in representing the same scenarios. The present study is put forward as a guideline for validating new modelling approaches that link energy policy decision tools to the global biophysical and socioeconomic constraints.

Conclusions: Our findings suggest that the NMS-E represents a valuable preoperative diagnostic tool for endometriosis, effectively correlating with the disease's severity and surgical outcomes. Incorporating the NMS-E into clinical practice could significantly enhance the management of endometriosis by addressing current diagnostic limitations and guiding surgical planning.

In this study, we identified the factors that affect the frequency of receiving nonmarket fruit and vegetables (FV). For Survey 1, we conducted a cross-sectional survey using a self-administered questionnaire for men aged 50–74 living in city (A) in Gunma, Japan. Participants were asked questions on FV receiving frequency, FV gardening, social cohesion (4–20 points), and basic characteristics. For Survey 2, a similar survey was conducted for residents aged 20–74 in three areas in city (B) in Gunma, but we included more variables. Ordinal logistic regression models were used for the analysis. In Survey 1, the responses of 243 participants were analyzed. The results showed that the FV receiving frequency was positively associated with non-gardeners and social cohesion. In Survey 2, the responses of 791 participants were analyzed. Vegetable receiving frequency was positively associated with rural and suburban areas, family structure, employment status, and non-farmers. The relationship between receiving frequency and social cohesion was similar to that found in Survey 1. In conclusion, in areas with flourishing FV cultivation, it seems to be easy to obtain FV through the social networks of reception, even for individuals who are not cultivating FV themselves.

The management of the electrical energy still raises a huge interest for end-users at the household level. Home electricity management systems (HEMS) have recently emerged both to warrant uninterruptible power and high power quality, and to decrease the cost of electricity consumption, by either shifting it in off peak time or smoothing it. Such a HEMS requires a bidirectional DC-AC converter, specifically when an energy transfer is required between a storage system and the AC-grid, and vice versa. This article points out the relevance of an innovative topology based on sinusoidal waveforms from the generation of sine half-waves. Such a topology is based on a DC-DC stage equivalent to an adjustable output voltage source and a DC-AC stage (H-bridge) which are in series. The results of a complete experimental procedure prove the feasibility to improve the power quality of the output signals in terms of total harmonic distortion (THD-values about 5%). The complexity of the proposed converter is minimized in comparison with multilevel topologies. Finally, wide band-gap semiconductor devices (SiC MOSFETs) are helpful both to warrant the compactness and the high efficiency (about 96%) of the bidirectional converter, whatever its operation mode (inverter or rectifier mode).

Intravitreal injections (IVTs) of corticosteroids as triamcinolone acetonide (TA) are frequently used for the treatment of many vitreous and retinal disorders. However, IVTs are related to severe ocular complications. Lately, a topical ophthalmic TA loaded liposomes formulation (TALF) was designed to transport TA into the posterior segment of the eye when instilled in the ocular surface. To evaluate the safety, tolerability, and biologic activity of TALF, an animal study and a phase I clinical assay was performed. Moreover, four patients with diabetic macular edema (DME) were treated with TALF in order to explore the biologic activity of the formulation. No inflammation, lens opacity, swelling or intraocular pressure rising were recorded after the instillation of TALF in any of the animal or clinical study. Mainly, mild and transient adverse events such as dry eye (30%) and burning (30%) were reported. TALF improves significantly visual acuity and diminishes central foveal thickness in patients with DME. The current data demonstrate the safety, tolerability, and biologic activity of TALF. It seems that TALF can be used topically to treat vitreous and retinal diseases that respond to TA such as DME, avoiding the use of corticosteroids IVTs and its associated hazards.

Research conducted on individuals with depression reveals that major depressive disorders (MDDs) coincide with diminished levels of the inhibitory neurotransmitter γ-aminobutyric acid (GABA) in the brain, as well as modifications in the subunit composition of the primary receptors (GABAA receptors) responsible for mediating GABAergic inhibition. Furthermore, there is substantial evidence supporting the significant role of GABA in regulating stress within the brain, which is a pivotal vulnerability factor in mood disorders. Although there is substantial evidence indicating that GABA may be affecting GABA receptors in peripheral tissues, there is comparatively less evidence supporting its direct action within the brain. Emerging evidence highlights that GABA may exert beneficial effects on the brain and psyche through the gut-brain axis. GABA is readily available and approved as a food supplement in many countries. While GABA enjoys wide consumer acceptance in Eastern Asian markets, with many consumers reporting favorable effects on stress regulation, mood, and sleep, rigorous independent research is still largely lacking. Basic research, coupled with initial clinical findings, makes GABA an intriguing neuro-nutritional compound deserving of clinical studies in individuals with depression and other psychological problems.

In air-breathing proton exchange membrane fuel cells (Air PEM FCs), high rate of water evaporation from the cathode might influence the resistance of the membrane electrode assembly (MEA), which is highly dependent on the water content of the Nafion membrane. We propose a dead-end hydrogen anode as a means of intermediate storage of water/humidity for self-humidification of the membrane. Such inflatable bag integrated with the PEM FC has a potential in blimp applications for anode self-humidification. A dynamic numerical water balance model, validated by experimental measurements, is derived to predict the effect of MEA configuration, membrane’s hydration state, and water transfer rate at the anode on MEA resistance and performance. The experimental setup included humidity measurements, polarization and electrochemical impedance spectroscopy tests to quantify the effect of membrane hydration on its resistance in a lightweight MEA integrated with an inflatable dead-end hydrogen storage bag. Varying current density (20 mA, 40 mA and 60 mA) and cathode humidity (20, 50 and 80%) were examined and compared with the numerical results. The validated model predicts that the hydration state of the membrane and water transfer rate at the anode can be increased by using a thin membrane and thicker gas diffusion layer.

Spatio-temporal variability and dynamics in Sahelian agro-pastoral zones make each local situation a special case. These specificities must be considered to guide the dissemination of agricultural options with a view to sustainable development. The territorial scale of municipalities is not sufficient for this necessary contextualization; the scale of the “village terroir” seems to be a better option. This is the hypothesis put forward by the Global Collaboration for Resilient Food Systems program. By analyzing the links between farm managers and their cultivated land, as well as the spatio-temporal dynamics of “village terroirs” in three regions of Niger (Maradi, Dosso and Tillabéri), this study provides evidence of the existence and functional usefulness of the village terroir for farmers, their land management and their activities. It demonstrates the usefulness of contextualizing agricultural options at this scale. It is based on data collected through participatory mapping and surveys. Their analysis elucidates the links between “terroirs village” and the specific functioning of the agro-socio-ecosystems acting on each of them, thus laying the systemic and geographical foundations for a model of the spatio-temporal dynamics of “village terroirs”. This initial work has opened up new perspectives in modeling and sustainable development.