Background: This study addresses the burgeoning impact of Large Language Models (LLMs) such as ChatGPT on the integrity of online examinations and seeks to demonstrate latent and advanced LLM reasoning capabilities. The research devises an iterative self-reflective strategy for invoking critical thinking and higher-order reasoning in LLMs based on multimodal exam questions using visuals and text. Methods: The proposed strategy was demonstrated and evaluated on real exam questions by subject experts and the performance of ChatGPT (GPT-4) with vision was estimated on an additional dataset of 600 text descriptions of multimodal exam questions, focusing on its response to complex, visual, and textual prompts. Results: The results indicate that latent multi-hop reasoning capabilities can be invoked using the proposed self-reflective strategy, which can effectively steer ChatGPT towards correct answers by integrating critical thinking from each modality into the final response. Meanwhile, ChatGPT demonstrated considerable proficiency in being able to answer multimodal exam questions across 12 subjects. Conclusions: This work challenges findings from recent studies which claim that existing LLMs are unable to reason on complex multimodal tasks, and therefore this study underscores the need for enhanced online exam security measures like proctoring software, that can mitigate the potential misuse of AI technologies in educational settings.

This study delves into the realm of heuristic evaluation within usability testing, focusing on refining and applying a tailored algorithm that simplifies the implementation of the Analytic Hierarchy Process for heuristic prioritization. Addressing the prevalent challenge of disparate evaluation methodologies and the absence of a standardized process in usability testing, our research introduces a novel method that leverages the Analytic Hierarchy Process alongside a bespoke algorithm. This algorithm utilizes transitive properties for pairwise comparisons, significantly reducing the evaluative workload. This innovative approach facilitates the estimation of heuristic relevance irrespective of the number of items per heuristic or the item scale and streamlines the overall evaluation process. In addition to rigorous simulation testing of the tailored algorithm, we applied our method in a practical scenario, engaging seven usability experts in evaluating a web interface. This empirical application underscored our method’s capacity to diminish the requisite comparison count and spotlight areas of improvement for critically weighted yet underperforming heuristics. The outcomes of this study underscore the efficacy of our approach in enhancing the efficiency and organization of heuristic evaluations, paving the way for more structured and effective usability testing methodologies in future research endeavors.

In this paper, we introduce a specialized, fully automated experimental arrangement designed for assessing the effectiveness of augmented and virtual reality technologies in healthcare setting and explore its design principles focusing on depth sensor characterization. The main goal of this project is to establish a robust benchtop platform for the quantitative evaluation of extended reality technologies in a controlled environment, emphasizing the practical assessment of augmented reality head-mounted devices. We outline a design concept and considerations for an experimental configuration aimed at creating a realistic testing environment. This apparatus comprises an observation platform mounted on a three-degree-of-freedom motorized system and a test phantom stage. Focusing on real-case scenarios, we utilized a range of sensors, including readily available range-sensing cameras and commercial augmented reality headsets, such as the Intel RealSense L515 LiDAR camera, mounted on the motion control system. The setup enabled automated data collection and facilitates controlled assessments and validation of various facets of augmented reality technologies, including object, hand, and head tracking, as well as static and dynamic image registration. This paper describes the system architecture, the process of automated data collection, and presents several evaluation studies conducted with this setup, providing insights into the quality and temporal noise associated with static or moving objects or observers in augmented reality applications.

To improve efficacy and safety of sunscreen emulsions, UV‐filter skin permeation could be kept as low as possible by reducing UV‐filter content or changing emulsion composition. In this work, different lipid phase ratio (12, 14 and 16% w/w) were assessed for their ability to affect the technological and sensory properties of O/W emulsions in which bemotrizinol (BMTZ), a broad spectrum sunscreen agent, was incorporated free or loaded into nanostructured lipid nanocarriers (NLC) to reduce its release from the vehicle and, hence, its skin permeation. The following technological properties were evaluated in vitro by suitable methodologies: spreadability, viscosity, pH, occlusion factor, BMTZ release, sun protection factor (SPF). Sensory attributes were assessed by trained panelists in three different phases: before/during pick‐up, rub‐in, after application. Raising the lipid phase ratio led to an increase of viscosity and to a corresponding drop of spreadability while the incorporation of BMTZ‐loaded NLC determined a decrease of occlusion factor and an increase of SPF. No BMTZ release was observed from all emulsions. Sensory attributes were mainly affected by lipid phase ratio. These results suggest that lipid phase ratio and BMTZ incorporation into NLC could contribute to determine technological and sensory properties of O/W emulsions.

In this paper, we derive the distribution of eigenvalues for a 2×2 random confusion matrix stemming from a machine learning (ML) evaluation problem. Additionally, we present the distributions of both the matrix’s trace and the difference between the two traces of random confusion matrices. We also illustrate the application of these derived distributions in calculating the superiority probability of four baseline ML models.

Background: Dental education blends theoretical and practical training to prepare students for independent patient care. This study examines the confidence levels of dental students in Umeå regarding independent performance of general dentistry tasks, and whether this confidence changes after clinical training. Methods: Surveys were conducted before and after a summer clinical internship, with s tudents rating their comfort levels on a scale from 0 to 10 for various procedures. Results: Results from 64 initial surveys and 54 follow-up surveys showed no significant difference in confidence before and after the internship. However, confidence levels varied based on whether students had practiced specific tasks during the internship. Students felt least confident in managing acute dental trauma and treating cavities in young children, while they were most confident in tasks like obtaining radiographic surveys and debriding periodontally compromised dentition. Tooth extraction and dental fillings were the most practiced procedures during the internship. Conclusions: The study concludes that the internship between the ninth and tenth semesters does not notably boost students' confidence in specific dental procedures, possibly due to the short duration of the training. Further exploration, including input from clinical supervisors, is suggested to optimize clinical training in dental education.

Improper sitting positions are known as the primary reason for back pain and the emergence of musculoskeletal disorders (MSD) among individuals who spend prolonged time working with computer screens, keyboards, and mice. At the same time, it is well understood that automated technological tools can play an important role in the process of unhealthy habit alteration, so plenty of research efforts are focused on research and technology development (RTD) activities that aim to provide support to the prevention of back pain or the development of MSD. Here, we report on creating a new resource in support of RTD activities aiming at the automated detection of improper sitting positions. It consists of multimodal multisensory recordings of 100 persons made with a video recorder, camera, and wrist-attached sensors that capture physiological signals (PPG, EDA, Skin temperature), as well as motion sensors (three-axis accelerometer). Our multimodal multisensory dataset (MMD-MSD) opens new opportunities for modeling the body stance (sitting posture and movements), physiological state (stress level, attention, emotional arousal, valence), and performance (success rate on the Stroop test) of people working with a computer. Finally, we demonstrate two use cases: improper neck posture detection from pictures and cognitive load detection from physiological signals.

As an important support for power system with high penetration of renewable energy, energy storage system (ESS) has changed the traditional model of simultaneous implementation of electricity production and consumption, and its installed capacity under the source-grid-load scenario is rising year by year, but it faces the problems of insufficient utilization and benefits. This study analyzes the functional combination of ESS under the source-grid-load scenarios, and proposes a comprehensive benefit evaluation method of energy storage projects based on fuzzy decision-making trial and evaluation laboratory (DEMATEL) and super efficiency data envelopment analysis (DEA) model, which considers the perspective of economic and social environment. Firstly, the functional requirements of energy storage on the source-grid-load scenarios are explored respectively, and the characteristics of various functions are analyzed to form functional combination schemes. Secondly, index modeling is carried out from three aspects: the whole life cycle cost, functional combination benefit and social environmental benefit, and the comprehensive benefit evaluation index system of energy storage project is proposed, which includes both economic and social environment. Then, the intuitionistic trapezoidal fuzzy number is combined with DEMATEL to form an effective analysis method for the input-output relationship of the indexes, and the comprehensive evaluation is realized based on the super efficiency DEA model. Finally, the effectiveness of the proposed evaluation method and the rationality of the functional combination are verified under source-grid-load scenarios respectively.

The focus of this article is the evaluation of the quality and the degree of community engagement in an expert-based, public-health communicative intervention for Alcohol Use Disorder (AUD). In 2023 the Canadian Alcohol Use Disorder Society collaborated with a grass-roots community health group, a regional health authority, and an academic participatory researcher to organize a working group to mount a social-marketing campaign to increase community support for AUD medical treatment in family-practice settings in a rural community in British Columbia. The partnership working group conducted a series of activities in the school system, the town council, and the community. This article covers the formative evaluation and the summative evaluation of the working group's effectiveness. The formative evaluation ("lessons learned" and "recommendations") consists of consensus evaluations of the quality of each activity using a variety of data sources. The formative evaluation followed improvement science methods and used consensus meetings to provide and reflect on formal and informal feedback. Formative results reflect the consensus of the participants in the working group and they record the reactions in the community. The summative evaluation measures evidence of community engagement found in transcribed text from meeting minutes. The summative evaluation used theory-based frameworks and text data visualization to assess the engagement dynamics of the working group. The summative evaluation helps to put the formative evaluation into perspective as communicative action. The summative evaluation validates the formative evaluation by revealing the communicative dynamics of engagement which resulted in the community’s increased capacity to understand and support Alcohol Use Disorder Treatment options. The working group and the entire intervention was seen by the participants and the public as a success and capable of replication. In a small community, it instilled new understandings and attitudes, bringing an emerging awareness of medication as an optional health mitigation strategy for Alcohol Use Disorder. Our study furthers this overall assessment by using theoretical constructs and analysis of communicative records to trace engagement characteristics of interest to researchers, societies, and community groups contemplating similar interventions in the future. The study also validates the effectiveness of communicative analysis as a measure of social-marketing for expert-based public health interventions.

Introduction Urolithiasis, a prevalent urological condition (8-13% globally) exhibits regional variations, influenced by water quality, climate, health factors and diet. Sri Lanka with its tropical climate and dietary patterns is part of the "Stone Belt" of Asia. This study in Northern Sri Lanka examines urinary stone compositions and assesses the prevalence of metabolic disorders among urolithiasis patients. Methods This prospective cross-sectional study, conducted at tertiary urology centre from July 2022 to June 2023, focused on surgically treated urolithiasis patients. Institutional ethical clearance was obtained. Patient details and investigational findings were collected through questionnaires and data extraction forms. Stone analysis utilized Fourier transform infrared spectroscopy and detailed metabolic evaluation of 24 hour urine collection sample is carried out. Results This study followed 153 surgically treated urolithiasis patients, primarily male (64.3%), mean age 48.64. Ureteric colic (48.4%) was common, with kidney stones (45.8%) prevalent; 57.52% had recurrent stones. Diabetes mellitus (DM=23.5%) was the top comorbidity. Calcium oxalate monohydrate (COM) stones (78.4%) were most frequent, followed by uric acid (12.4%). COM predominated in 40-59 age group. No significant gender-stone type association. 86.9% had metabolic abnormalities, notably hypocitraturia (60.1%). 23% had both hypocitraturia and hypomagnesuria. Some metabolic disorders showed gender differences, with a marginal age-metabolic disorders association (p < 0.061). Urine oxalate levels were normal with higher variability in males. Conclusion Middle-aged males with urolithiasis commonly presented with ureteric colic and predominantly had calcium oxalate monohydrate stones. Recurrent stones were common, often accompanied by metabolic abnormalities such as hypocitraturia and hypomagnesuria, with diabetes mellitus as the primary comorbidity.

This paper undertakes a comprehensive review to underscore the central role of sustainability in the evaluation and innovation of jet grouting technologies. It meticulously traces the evolution of evaluation methodologies, emphasizing the imperative of sustainable practices throughout history. Traditional evaluation paradigms are examined alongside contemporary trends, with a particular focus on sustainability metrics and visualization techniques. Through an examination of innovative jet grouting technologies, this paper illustrates how sustainability principles have driven advancements aimed at improving the efficiency and environmental impact of jet grouting methods. Central to this review is an assessment of sustainability across multiple dimensions, including method applicability, installation and operational compatibility, and the performance of the resulting jet grouted piles. By emphasizing sustainability considerations, the paper highlights the intrinsic link between environmental integrity and technological innovation in the field of jet grouting. In addition, it discusses analytical evaluation methods designed to proactively address sustainability concerns prior to construction, thereby promoting a more environmentally responsible approach. Finally, this paper presents a pioneering evaluation framework that integrates real-time monitoring and visualization tools, allowing stakeholders to track sustainability milestones throughout the construction process. By emphasizing sustainability as a guiding principle, this review advocates for a paradigm shift toward more ecologically sound and resilient jet grouting practices.

The Australian Bureau of Meteorology offers a national operational 7-day ensemble streamflow forecast service covering regions of high environmental, economic and social significance. This semi-automated service generates streamflow forecasts every morning and is seamlessly integrated into the Bureau's Hydrologic Forecasting System (HyFS). Ensemble rainfall forecasts, European Centre for Medium-Range Weather Forecasts (ECMWF) and Poor Man's Ensemble (PME), available in the Numerical Weather Prediction (NWP) suite, are used to generate these streamflow forecasts. The NWP rainfall undergoes pre-processing using the Catchment Hydrologic Pre-Processer (CHyPP) before being fed into the GR4H rainfall-runoff model, which is embedded in the Short-term Water Information Forecasting Tools (SWIFT) hydrological modelling package. The simulated streamflow is then post-processed using the Error Representation and Reduction In Stages (ERRIS). We evaluated the performance of the operational rainfall and streamflow forecasts for 96 catchments using four years of operational data between January 2020 and December 2023. Performance evaluation metrics included CRPS, relative CRPS, CRPSS, and PIT-Alpha for ensemble forecasts and NSE, PCC, MAE, KGE, PBias and RMSE and three categorical metrics CSI, FAR and POD for deterministic forecasts. The skill scores CRPS, relative CRPS, CRPSS and PIT-Alpha, gradually decreased for both rainfall and streamflow as the forecast horizon increased from Day 1 to Day 7. A similar pattern emerged for NSE, KGE, PCC, MAE and RMSE as well as the categorical metrics. Forecast performance also progressively decreased with the higher streamflow regime. Most catchments showed positive performance skills, meaning the ensemble forecast outperformed climatology. Both streamflow and rainfall forecast skills varied spatially across the country – and were generally better in the high runoff generating catchments, and poorer in the drier catchments situated in the western part of the Great Dividing Range, South Australia and mid-west of Western Australia. We did not find any association between model forecast skill and the catchment area. Our findings demonstrate that the 7-day ensemble streamflow forecasting service is robust and draws great confidence from agencies that use these forecasts to support decisions around water resources management.

In the current complex and uncertain macroeconomic situation, improving the inherent resilience of the new energy vehicle industry chain is the key to effectively addressing various risks and challenges, and achieving dynamic balance between high-quality industrial development and industrial chain security. Based on the basic concept of resilience and the actual situation of new energy vehicle industry chain development, this study constructs a comprehensive evaluation index system for the resilience of the new energy vehicle industry chain, which includes four dimensional first-level indicators of coping resistance, adaptive resilience, autonomous control and leading competitiveness. In addition, it is measured by combining the data related to the new energy vehicle industry chain in Changzhou City. Our study shows that the situation on the new energy vehicle industry chain is complicated, and the comprehensive evaluation index system is more favorable for evaluating its resilience level.

This study aims to assess the operational capabilities of disaster and emergency management re-sources (DEMRs), which are pivotal in mitigating risks and minimizing losses amid the increas-ing frequency of disasters. The research constructs an effective operational capability evaluation system for DEMRs, encompassing four key aspects: resource planning, organizational manage-ment capability, resource support capability, and information processing capability. It focuses on identifying the factors that influence the effective operational capability of DEMRs in China and Korea, comparing and analyzing the relative importance and priority of each evaluation domain and indicator within these countries to enhance DEMRs' operational effectiveness. The method-ology involves calculating and ranking the weight of the four domains, with findings indicating that organizational management capability is most significant in China, whereas resource sup-port capability is prioritized in Korea. A comparative analysis of the local weight of indicators within each domain revealed the largest discrepancy between China and Korea in the infor-mation processing capability domain. The study concludes by calculating global weights, identi-fying fast response capability and resource allocation capability as the most impactful factors on DEMRs' operational capability, highlighting their critical role in disaster and emergency man-agement.

Public-private partnership (PPP) is a prominent tool for sustainable infrastructure development. However, the positive contributions of PPPs towards attainment of sustainable, climate resilience and zero carbon infrastructure projects are hampered by poor financial risk management. This problem is more prevalent in developing countries like Ghana where private investment inflow has plummeted due to COVID-19 recession and poor project performance. Thus, this study aims at assessing the key financial risk management strategies in ensuring sustainable PPP infrastructure projects in Ghana. The study utilised primary data from PPP practitioners in Ghana solicited through survey questionnaires. Factor analysis, mean scores and fuzzy synthetic analysis are the data analysis techniques for this study. The results revealed sustainable and green funding models, effective cost reduction initiatives, competent team with committed leadership, and emerging technologies and regulations constitute the key strategies to manage financial risks of sustainable PPP infrastructure projects. Although, future studies must expand the scope of data gathering, the findings of the study enrichen the theoretical understanding of financial risks in sustainable investments in PPP infrastructures. Relevant remedies that will aid the development of practical financial risk management guidelines are provided in this study for PPP practitioners.

Cell-culture meat is a novel concept to replace traditional meat produced from animals, and to satisfy rising food demands due to the world population growth. It is still a young field and requires to solve technical issues including cell sources and types, efficient culture for large scale production, taste and texture for customer satisfaction. The current review summarized traditional beef meat production and evaluation methods for customer satisfaction. In particular, serum biomarkers for beef meat evaluation are discussed, which can be applicated for cell-culture meat production.

Change Detection (CD) of aerial images refers to identifying and analyzing changes between two or more aerial images of the same location taken at different times. The CD is a highly challenging task due to the need to distinguish relevant changes, such as urban expansion, deforestation, or post-disaster damage assessment, from irrelevant ones, such as light conditions, shadows, and seasonal variations. Many CD papers have recently been published, where most of the papers that proposed a new model contained a comparison between their proposed and state-of-the-art (SOTA) models. While many recent studies propose new deep learning (DL) models for improving CD performance, their comparative analyses are often restricted, lacking comprehensive insights into the proposed models' real-world generalizability, robustness, and performance trade-offs across diverse change characteristics. This paper presents a novel generic framework to systematically benchmark and assess DL-based CD models through three parallel pipelines: 1) cross-testing models on diverse benchmark datasets to evaluate generalization, 2) robustness analysis against different image corruptions, and 3) multi-faceted contour-level analytics evaluating detection sensitivity to change size/complexity. The framework is applied to comparatively evaluate five state-of-the-art DL-based CD models - Changeformer, BIT, Tiny, SNUNet, and CSA-CDGAN. Extensive experiments unveil each model's strengths, limitations and biases, highlighting their relative proficiencies in generalizing across data distributions, resilience to noise corruption, and discriminative capabilities for changes of varying characteristics. The proposed benchmarking framework demonstrates significant potential for guiding the selection of suitable CD models tailored to specific application requirements by comprehensively evaluating their generalizability, robustness, and detection capabilities across diverse real-world scenarios. This systematic evaluation approach can drive future research into developing more robust and versatile CD solutions aligned with practical needs.

In patients with heart failure, the evaluation of left ventricular (LV) diastolic function is vital, offering crucial insights into hemodynamic impact and prognostic accuracy. Echocardiography stands as the primary imaging modality for diastolic function assessment, and using it effectively requires a profound understanding of the underlying pathology. This review covers four main topics: first, the fundamental driving forces behind each phase of normal diastolic dynamics, along with the physiological basis of two widely used echocardiographic assessment parameters, E/e' and mitral annulus early diastolic velocity (e'); second, the intricate functional relationship between the left atrium and LV in patients with varying degrees of LV diastolic dysfunction (LVDD); third, the role of stress echocardiography in diagnosing LVDD and the significance of parameter changes in this context; and fourth, the clinical utility of evaluating diastolic function from echocardiography images across diverse cardiovascular care areas.

The high genetic diversity of the tomato and its high micronutrient content make this fruit very interesting from an economic and nutritional point of view. The genetic erosion suffered by this crop, due to breeding objectives based on yield and marketing, makes it necessary to return to the origins in search of the nutritional and organoleptic quality lost in traditional varieties. In this study, the agronomic, physical, organoleptic and nutritional characteristics of eighteen F1 hybrids obtained by crossing fourteen traditional varieties, previously selected for their quality, were studied to select genotypes of superior quality that could be candidates for new. All parameters studied were strongly influenced by genotype, showing a wide range between cultivars. Principal Component Analysis revealed the characteristics of each hybrid that made it stand out from the others. Some hybrids (H3, H4, and H6) stand out because of their high concentration of active compounds, others (H16, H15, H10, H17, H9, and H11) because of agronomic performance and high content of β-carotene, and H5 was the only one to contain chlorophyll in their ripe fruits. Finally, the evaluation index allowed the selection of five hybrids with interesting characteristics, combining good yield performance and high quality

A new algorithm is developed in this study to automatically detect reinforced concrete structures' rebar locations and diameters using the ground penetrating radar technique. The method approximates the hyperbolic signatures using two-way travel time and bi-quadratic equations. The study includes formulating electromagnetic wave speed in reinforced concrete (RC) structures. The algorithm was used in a computer code to provide an automated analysis of ground-penetrating radar data collected from a pre-planned survey grid. Two RC slabs were fabricated and tested to validate the proposed method. The proposed method is efficient in signal processing and accurately and reliably determining the rebar information.

The application of smartphone-based color evaluation of passive sampling devices for gases has only been sparsely reported. The present review aims to compile available publications with respect to the configuration of the passive samplers, conditions of smartphone photographing, analytical procedure for color detection and quantification (including calibration processes), and their application to different target gases. The performance of the methods - whenever available - is presented regarding the analytical specifications selectivity, sensitivity, and limit of detection in comparison with other color evaluation methods of passive samplers. Practical aspects like requirements of instrumentation and ease of use will be outlined in view of the potential employment in education and citizen science projects. In one section of the review the inconsistent terminology of passive and diffusive sampling is discussed in order to clarify the distinction of information obtained from the uptake of the passive samplers between gas-phase concentration and the accumulated deposition flux of gaseous analytes. Colorimetric gas sensors are included in the review when applied in passive sampling configurations and evaluation is performed with smartphone-based color evaluation. Differences in the analytical procedures employed after the passive sampling step and prior to the detection of the colored compounds are also presented.

Machine Learning is increasingly and ubiquitously being used in the medical domain. Evaluation metrics like accuracy, precision, and recall may indicate the performance of the models but not necessarily the reliability of their outcomes. This paper assesses the effectiveness of a number of machine learning algorithms applied to an important dataset in the medical domain, specifically, mental health, by employing explainability methodologies. Using multiple machine learning algorithms and model explainability techniques, the project provides insights into the model workings to help determine the reliability of the machine learning algorithm predictions. The results are not intuitive. It was found that the models were focusing significantly on less relevant features and at times, unsound ranking of the features to make the predictions. The paper therefore argues that it is important for research in applied machine learning to provide insights into explainability of the models in addition to other performance metrics like accuracy. This is particularly important for applications in critical domains such as healthcare. A future direction is to investigate methods to quantify the effectiveness of the machine learning models in terms of the insights from their explainability.

With the development of organizational biology and forced from the EU Cosmetic Regulation (EU/1223/2009) with the complete ban of animal testing for cosmetic purposes, 3D skin models have been widely developed due to their similar physiological structure and metabolic function to native human tissue. 3D skin models for in vitro cosmetic evaluation are still promising alternative methods for evaluating phototoxicity, corrosivity and irritation. These models have been used for early screening and later validation of toxicity and efficacy evaluation by many well-known cosmetic companies. 3D skin models have become an important tool in cosmetic evaluation research. This article reviews the development of 3D skin models and their application in cosmetic evaluation. An outlook on the current application and future technological development directions in the cosmetic field is also presented.

Background: While the clinical factors of the post-COVID-19 condition (PCC) are becoming clearer, the economic implications remain uncertain, posing a challenge to healthcare professionals in terms of understanding and managing this emerging phenomenon. This article aims to investigate the demographic and clinical characteristics of PCC patients and quantify the economic impact of their healthcare resource utilisation. Methods: A retrospective and case-control observational study was conducted, comparing the case group of PCC population before and after diagnosis with a control group. Demographic and clinical variables were analysed with the objective of describing the population. Economic analysis was performed to evaluate the resource costs in procedures and primary, secondary (both outpatient and inpatient) and emergency care. Findings: PCC patients (N=341) exhibited older age and elevated cardiovascular risk factors compared to controls (N=49,078). There were differences in the socio-economic distribution between male and female patients in the PCC patients. Hypertension and diabetes mellitus type 2 were the most common chronic diseases observed among the case patients. Economic analysis revealed that PCC patients were approximately four times as costly as control patients, with increased utilisation of healthcare resources. However, post-diagnosis PCC patients showed a reduction in costs, primarily driven by decreased primary care visits and hospitalisations. Conclusion: Coordinated care management for PCC patients is associated with reduced costs and improved healthcare resource utilisation. Further research is warranted to investigate long-term health outcomes and establish causal relationships between COVID-19 sequelae and healthcare resource utilisation.

This publication aims to create 4K UHD video sequences with a specific focus on smart cities and transport. The created database will be accessible to all experts in the field and can be further used for research purposes. All reference video sequences will be transcoded into different quality settings. The resolution, compression standard, and bitrate will be changed. The work will aim to find out the best combination of video parameters from the measured values. Thanks to the overall evaluation, we will ensure for each single video sequence the quality with the best experience for the providers that will offer the service. The database will also be available with its objective and subjective ratings, with dynamicity information characterized by spatial and temporal information. After, It will be possible to compare the results of the subjective evaluation of a selected sample of our respondents with the work of other researchers who can evaluate with a different sample of evaluators.

Intense climate change and rapid urbanization have increased the risk of urban flooding, seriously affecting urban economic and social stability. Enhancing the urban flood resilience (UFR) has required a new solution to cope with urban flood disasters. In this study, taking Yingtan city as an example, a system of indicators for evaluating UFR was constructed, with 17 representative indicators, comprising three subsystems: socio-economic, ecological and infrastructural. A hybrid (FAHP-EWM)-TOPSIS model was applied, to develop an index-based measurement to compare and evaluate UFR, and Gray Relational Analysis (GRA) was used to discover the main factors affecting UFR. In addition, the natural discontinuous method was innovatively used to divide the UFR grade interval into levels, and the grade change was evaluated based on the TOPSIS method. The results showed that (1) from 2010 to 2022, the UFR in Yingtan City increased by 80.69%, and the factors affecting UFR are highly correlated with urban infrastructure development. However, the ecological resilience in the subsystem showed a fluctuating downward trend, because of the influence of the surface area of lakes and rivers. (2) The grades of UFR for Yingtan City increased from Level III (2010 and 2016) to Level IV (2022), with local financial expenditures and the age structure of the population being the main factors currently limiting the development of UFR. The study provides a theoretical basis for the construction of an indicator system for assessing the UFR of Yingtan and proposes practical improvement directions for UFR.

The objective of this research was to create a Spanish-adapted version of the 30-item Multidimensional Ethics Scale (MES-30), analyze its structural validity, and create a short, valid, and culturally-adapted version. A total of 594 employees from organizations operating in different industries, primarily located in Ecuador, participated in this study. The comparison of different models using Confirmatory Factor Analysis (CFA) showed that the bifactor model proved better fit in all scenarios. The high common variance explained by the general factor (&gt; 80%) and the high values of ωh (&gt; .90) led to the conclusion that the explanatory model of the adapted MES-30 is essentially one-dimensional. In order to obtain a more valid and reliable measurement of the substantive common factor, a short version (Spanish MES-15) has been proposed, which contains items from all philosophical approaches and three non-redundant scenarios. The one-dimensional model for the Spanish MES-15 showed excellent goodness of fit in all scenarios. Regarding the metric equivalence between the original instrument (adapted MES-30) and the short one, the correlation between both measurements was greater than .90, the correlation of the short version with the social desirability scale was lower, and both instruments similarly predicted the intention of executing the actions described in the scenarios, the probability of executing the actions attributed to peers and supervisors, and the general ethical evaluation of those actions.

The most commonly used real-time augmentation services in China are International GNSS Service (IGS) real-time service, PPP-B2b service, and BeiDou Satellite-Based Augmentation System (BDSBAS) dual-frequency augmentation service. However, the research on the performance evaluation, comparison and application scope of these three products is still unknown and unrevealed. This article introduces methods for obtaining real-time augmentation information and real-time orbit and clock offset recovery. Based on real-time orbit and clock offset accuracy, positioning accuracy, and positioning availability, it systematically evaluates the performance of CNES, PPP-B2b, and BDSBAS augmentation information. The results indicate that the radial accuracy of CNES and PPP-B2b real-time orbit products is consistent, and the Root Mean Square (RMS) is better than 5 cm. CNES can achieve centimeter-level accuracy in both along-track and cross-track components, surpassing the decimeter-level accuracy of PPP-B2b. Both services demonstrate consistent accuracy in real-time clock offset, with PPP-B2b showing similar standard deviations (STD) of 0.16 ns for different satellites. However, for CNES, the STD of real-time clock offset varies for GPS, BDS-3 MEO, and BDS-3 IGSO satellites, with values of 0.10 ns, 0.19 ns, and 0.60 ns, respectively. The accuracy and availability of the two PPP services exhibit the same levels, with centimeter-level accuracy achieved after convergence and positioning availability exceeding 99%. Therefore, the difference between the two services in application areas depends on the acquisition of augmentation information. However, BDSBAS, which concentrates on code observations, demonstrates lower accuracy in real-time orbit and clock offset, positioning accuracy, and positioning availability compared to the other two services. Its primary application is in the aviation and maritime domains, where there is a greater need for service integrity, continuity, and reliability.

To address the issue of traditional static evaluation models being unable to comprehensively analyse the performance of ultra-supercritical coal-fired units under varying loads, we propose a dynamic comprehensive evaluation model based on the improved Criteria Importance Through Inter-criteria Correlation (CRITIC) method and Entropy Weight Method (EWM). The comprehensive performance evaluation index system of ultra-supercritical coal fired units is constructed by examining the boiler performance, turbine performance, plant power performance, environmental performance, and flexible performance of coal powered units. The CRITIC and EWM methods are used to calculate the weights of the indicators, which are then combined with the static evaluation results. Using a dynamic comprehensive evaluation model, we analysed ultra-supercritical coal-fired units, taking into account time weight. This allowed us to obtain the comprehensive dynamic real-time evaluation value of the units under different loads. The research indicates that the dynamic comprehensive evaluation model, which uses an improved CRITIC and EWM, has significant advantages in improving evaluation accuracy, weight-balanced distribution, and generality. Provides more accurate, reasonable, and reliable evaluation results for practical decision making.

Existing studies often lack a systematic solution for Unmanned Aerial Vehicles (UAV) inspection system, which hinders their widespread application in crack detection. To enhance its practicality, this study proposes a formal and systematic framework for UAV inspection systems, specifically designed for automatic crack detection and pavement distress evaluation. The framework integrates UAV data acquisition, deep learning based crack identification, and road damage assessment in a comprehensive and orderly manner. Firstly, the flight control strategy is presented, and road crack data is collected using the DJI Mini 2 UAV imagery, establishing a high-quality UAV crack image datasets with ground truth information. Secondly, a validation and comparison study is conducted to enhance the automatic crack detection capability and provide an appropriate deployment scheme for UAV inspection systems. This study develops automatic crack detection models based on mainstream deep learning algorithms(namely, Faster-RCNN, YOLOv5s, YOLOv7-tiny, and YOLOv8s) in urban road scenarios. The results demonstrate that the Faster-RCNN algorithm achieves the highest accuracy and is suitable for online data collection of UAV and offline inspection at work stations. Meanwhile, the YOLO models, while slightly lower in accuracy, are the fastest algorithm and are suitable for lightweight deployment of UAV with online collection and real-time inspection. Quantitative measurement methods for road cracks are presented to assess road damage, which will enhance the application of UAV inspection systems and provide factual evidence for maintenance decisions made by road authorities.

Using the h-index to assess individual researchers is not only unethical and unfair but also inaccurate and misleading. This index fails to offer a reliable measure of a researcher's impact based on their citation scores. Beyond statistical and conceptual considerations, authorship practices, especially in the case of multi-authored publications, give rise to significant problems that often go unnoticed. While some modifications of the h-index have been proposed to mitigate these weaknesses, the fundamental deficiencies persist. Most of these flaws have been effectively addressed by the c-score, a composite citation index. The c-score excludes self-citations, normalizes the number of citations by considering the number of authors in each paper, and takes into account first, single, and last authorship. This approach provides a more realistic measure of the impact of each individual researcher based on raw citations.

Aim: Utilizing the subjective experience of nurse executives who have supervised nurses during a major disaster in a hospital setting, this study aims to describe the subjective experience of nurse executives (NE) who have supervised nurses’ response to major disaster. This paper will focus on strategies to support nursing response to disaster, specifically to strengthen resiliency and the ability to maintain function despite the shock of disaster, including those caused by climate changes. Methods: Semi-structured interviews were conducted with 11 hospital-based nurse executives who supervised nurses during some of the worst natural and human-made disasters in different regions of the United States. A phenomenological approach was used to analyze and describe emerging themes from qualitative data. Results: Three Nurse Executives demonstrated theme saturation for mitigation steps to augment traditional disaster readiness activities: 1.) Assessment of Human Infrastructure: Daily Skills Needed During Disaster Response, 2.) Identification and Study of Failure Points & Metrics, 3.) Strengthening Human Infrastructure: Rectifying Deficiencies), and 4.) Monitoring Metrics & Making Corrections During Conventional Periods. Conclusion: Mitigation steps may improve outcomes in hospital function during conventional times; therefore, may improve resiliency and the ability to maintain functions during major disasters, including climate change.

The article addresses the importance of nutrition in the health of the elderly population and focuses on the qualitative evaluation of menus provided by a social solidarity institution in Portugal, in order to prevent and/or treat malnutrition or the risk of malnutrition in this vulnerable population. The methodology involves the evaluation of four weekly menus, totalling 28 complete daily menus for the elderly, using the “Avaliação Qualitativa de Ementas para a População Idosa” (AQEDI) tool. The assessment grid is organized into six domains (general items, soup, protein suppliers, carbohydrate supplier side, vegetable side and dessert), each composed of various parameters. The results indicate that all menus were classified as "acceptable”, with percentages ranging from 60.73% to 68.84%, and suggests that while the menus are deemed acceptable, there is room for improvement. Recommendations include increasing the presence of eggs and including seasonal fruits daily, avoiding canned fruit. The study emphasizes the need for coordinated efforts within the institution to enhance menu planning, considering both nutritional guidelines and the sensory aspects of food. Coordination efforts within the institution are crucial for preserving positive aspects and addressing inadequacies in menu planning.

Dementia education and training for workforce development is becoming increasingly important in bridging knowledge gaps among health and social care practitioners in the UK and internationally. Dementia Education for Workforce Excellence (DEWE) was developed during the COVID-19 pandemic blending both synchronous and asynchronous instruction and delivered across three different contexts: care homes, home care, and nurse education within the UK and India. This study aimed to evaluate DEWE using mixed methods with online survey data analyzed descriptively and interview data analyzed thematically. Integration of survey and interview data aimed toward a comprehensive evaluation of this novel approach for dementia workforce development. Thirty-four social care practitioners and nurse educators completed the online survey demonstrating high-level learner satisfaction; learning gains; behavioral change, and motivation to share new knowledge. Four key themes developed from the analysis of interviews (n=9) around participants’ pursuit of new knowledge; delivery modes in DEWE; learning gains and impact of DEWE; and adaptations for future program implementation. Findings suggest DEWE is an innovative resource that promotes person- and relationship-centered dementia care across all stages of one’s dementia journey. Cultural adaptations are recommended for international delivery to ensure contextual alignment and maximum impact.

The house cricket (Acheta domesticus L.) is one of four edible insect species introduced to the EU market as a novel food and alternative protein source. Innovative products, such as cricket flour, are increasingly appearing on supermarket shelves and can offer an alternative to traditional cereals, while providing the body with many valuable nutrients of comparable quality to those found in meat and fish. The aim of this study was to investigate the possibility of using cricket powder as a substitute for wheat flour in the production of bread. The physicochemical properties of cricket powder were evaluated in comparison to wheat flour, such as water and fat binding capacity, pH, water activity, colour, water content, protein, fat, fibre content and amino acid and fatty acid profile. As a result of the echnological studies, the composition of breads with 5%, 10% and 15% replacement of wheat flour by cricket flour was designed and their quality characteristics (physicochemical, sensory and microbiological) were evaluated. Cricket powder was character-ised by higher protein (63% vs. 13.5%) and fat (16.3% vs. 1.16%) content and a lower carbohydrate (9.8% vs. 66%) and fibre (7.8% vs. 9.5%) content as compared to wheat flour. The tested preparations had similar pH (6.9 and 6.8, respectively for cricket powder and flour), and fat-binding properties ( 0.14 vs. 0.27 g oil/g powder respectively for cricket powder and flour) but different water-binding properties and completely different color components. Despite the differences obtained in phys-icochemical properties for cricket powder and flour, most of the functional parameters obtained for bread with 5% cricket flour were not significantly different from the control sample. All breads had good microbiological quality after baking and during 7 days storage. The 10 and 15 per cent cricket flour treatments affected the darker colour of the breads and caused a significant increase in the hardness of the breads. In the overall sensory evaluation, the bread with 5% cricket flour did not differ significantly from the control bread, while the breads with higher levels of cricket flour had significantly lower overall scores compared to the control sample. In all cases, cricket flour in-creased the protein and fat content and decreased the carbohydrate content compared to the control sample. Considering nutritional properties such as high protein digestibility, breeding consid-erations, relatively low environmental impact and the possibility of intensive production in places where traditional agricultural production is not possible, insects seem to be the future of human nutrition.

This paper focuses on the impact that urban traffic has on the environment. The study characterizes the global effect of GHG emissions, including the ecologic evaluation and the characterization, normalization, and evaluation factor. The work makes a detailed survey of the different modes of driving and their influence on engine performance as one of the principal causes of gas emissions during the combustion process. The article analyzes six types of vehicles equipped with different engine configurations: diesel and gasoline, GLP and GNC, hybrid electric, and plug-in hybrid electric. Simulation of the driving mode under various operational conditions for every type of engine results in energy consumption, thus, in GHG emissions, carbon dioxide and monoxide, nitrogen oxides, and Sulphur dioxide. The study concludes that a reduction in vehicle speed, thus in the engine revolutions, has positive effects on engine combustion and gasses emissions, which is reduced by 27.5%. The study also concludes that the limitation in driving mode, avoiding sharp and sudden acceleration, may reduce up to 45% of GHG emissions. The changes applied in the driving mode improve the air quality in the urban environment, reducing the content of GHG from 39% to 61%.

The Gulf of Suez is a sedimentary rift-basin with thick evaporites and complex structural settings that presents challenges to achieving quality imaging based on seismic reflection data. Such subsurface settings and the lack of 3D seismic data poses challenges in building reservoir models to guide hydrocarbon exploration and development, especially in southern parts the Gulf of Suez. This study attempts to overcome the challenges of both 2D seismic interpretation and building a static reservoir model of two Miocene reservoir formations, Ras Ghara Field, Southern Gulf of Suez. Integration of well log data analysis of nine wells and regional-tectonics cognizant 2D seismic interpretation of nineteen 2D seismic lines enabled a reliable 3D static reservoir model. The Miocene reservoir characterization reveals heterogeneity in lithofacies distribution, with thick evaporite sequences causing seismic reflection distortions. Significant hydrocarbon accumulations are associated with horst fault blocks. The Miocene reservoirs demonstrate effective porosity of 14-33%, water saturation of 16-65%, and hydrocarbon saturation of 35-84%. Two new prospects are identified based on structure, facies distribution, and petrophysical results, with estimated original oil in place (OOIP) of 2,002,404 stock tank barrels (STB) and 1,175,580 STB for the Kareem Formation, and 6,302,916 STB and 2,841,894 STB for the Rudeis Formation.

As urbanization has accelerated, China has started to build smart cities, which have formed smart city clusters. It is critical to coordinate development within smart city clusters to enhance the efficiency of city cluster construction. From the perspective of demographic economics, this study innovatively constructed an evaluation system for the coordinated development of smart city clusters and utilized the coupled coordination degree model to conduct an in-depth study of smart city clusters in Jiangsu Province. The results show that there are clear differences in the development between the three regions of Jiangsu Province: Southern Jiangsu, Central Jiangsu, and Northern Jiangsu. The development within Jiangsu Province is imbalanced, where the overall development trend is high in the southern region and low in the northern region. The main driving factors include geography, the Matthew effect, game thinking, and industrial structure. Accordingly, the results suggest the following recommendations for the coordinated development of smart city clusters: strengthening cross-regional cooperation, promoting data sharing and interoperability, deepening synergistic industrial development, and expanding innovation capacity.

This research centers on the Mulberry-Dyke and Fish-Pond System in Digang Village, Huzhou, exem-plifying the traditional cyclic agricultural models of China. The study's objective is to evaluate its integral value concerning agricultural production, ecological environment, and heritage conservation. Employing the Analytical Hierarchy Process (AHP) and Fuzzy Comprehensive Evaluation (FCE) methodologies, we developed a comprehensive evaluation framework comprising 8 dimensions and 29 factors, aimed at assessing the provisioning, regulating, and cultural services of this ecosystem. The findings indicate a robust performance of the ecosystem services in Digang Village's Mulberry-Dyke and Fish-Pond System, with cultural services significantly standing out. In contrast, the regulating services appeared relatively weaker, pinpointing shortcomings in mulberry land management, while the provisioning services demonstrated substantial strength. These insights are pivotal for comprehending the system's ecosystem service values, highlighting areas for managerial improvements, and guiding future assessment and management strategies. This study contributes theoretical insights and empirical experiences for future evaluations of the Mulberry-Dyke and Fish-Pond System's ecosystem services.

Understanding and predicting damage progression within thin plain-woven CFRP components is an essential issue for scheduling maintenance intervals and structural inspections, and typically require extensive test series. However, uncertainties always remain and result in conservative design and unnecessary downtimes due to the repeated inspections of a healthy structure. SHM can be used to reduce these uncertainties, as it allows to evaluate the condition of a mechanical structure during operation. Numerous SHM methods are developed , that achieve different levels of damage identification but are often investigated at small coupons with non-realistic structural damages and loading conditions on both, structure and sensor. The present research investigates the electrical impedance tomography (EIT) featuring an elastoresistive thin-film sensor to evaluate damage that propagates from a circular hole in a large plate under cyclic tensile-tensile multi-block loading. Applied fatigue loads were increased multiple times up to a total number of two million cycles. During the loading damage initiated at the hole and continuously propagated into the plate. Repeated EIT evaluations of the applied sensor and validating evaluations by means of digital image correlation clearly revealed the robustness of the hardware and the potential of the SHM method for damage evaluation of plain-woven CFRP components.

This paper focuses on the data-driven evaluation ski resorts, employing the attractiveness index. Unlike similar studies, this research concentrates on smaller resorts essential for local economies. Input data acquired through meta-analysis offers insights into skier preferences, combining information from various sources, including volunteered geographic information (VGI). Employing a geographic information system (GIS), the study addresses pertinent questions regarding over-tourism, regional resort ratings, and spatial patterns, providing a foundation for sustainable development in alpine regions. As the case study, the evaluation of 40 regional ski resorts in Austria is introduced.

Interactions of different factors in differently tilled faba bean agrosystem is still insufficiently studied and evaluated. For these reasons we studied the results of long-term field experiment, which was carried out in the Research Station of Vytautas Magnus University, Agriculture Academy (Lithuania). The aim of this study is comprehensively evaluating the effect of the deep and shallow ploughing, deep cultivation-chiseling, shallow cultivation-disking, and no-tillage systems for faba bean cultivation on the much-interacted factors, relations between them and strength of impact by the integrated evaluation method using complex evaluation index (CEI). Calculations showed that the influence of the no-tillage system was the greatest on the faba bean agrosystem than other system used. Shallow cultivation was more efficient than deep and shallow ploughing and deep cultivation systems. In the deep ploughing system, there were calculated more minimal, i.e. close to 1 as the CEI value, which showed DP ineffectiveness.

The evaluation of tourism sustainability has become of paramount importance for researchers and decision-makers to better protect tourist destinations, especially with the continuous increase in the number of tourists and visitors that alter the natural components of the environment and degrade ecosystems. Therefore, the use of geographical data is of great significance, particularly in environmental monitoring and land management, due to its ease of use and availability. However, calculating composite indices for sustainability involves several steps and requires a basic understanding of existing models. This article describes the development and design of a package of plugins in QGIS that serves as an easy-to-use tool for processing and automatically calculating economic, environmental, social indices, and the overall index of tourist sustainability. These plugins have been built in Python and designed as QGIS software plugins.

Formaldehyde, sulfuric acid and salicylic acid were combined to create 3,3’-methylenebis[2-hydroxybenzoic acid] (MHB) ligand, which was subsequently permitted to bind with zinc ions. The ligand and its zinc (II) complex (Zn-MHB) have been described by a combination of elemental analyses, spectral (UV-Vis, IR, MS, NMR), XRD, TEM as well as TGA measurement. The ligand has been suggested to coordinate to the zinc center in tetradentate manner forming binuclear tetrahedral complex. An X-ray analysis indicated a considerable difference between MHB (crystalline) and Zn-MHB (amorphous). UV-Vis spectra were used to determine the optical properties such as bandgap, refractive index, optical conductivity and penetration depth. Possibility of employing the samples for optoelectronic applications was indicated from the band gap values which underlie the range of semiconductors. TEM revealed spherical shapes and mutation of ligand particles into nano-scale by complexation. The antimicrobial potential of the MHB towards gram-positive and negative bacterial growths has been investigated. The results suggested that it would be possible to employ MHB to stop bacterial development, particularly salmonella typhimurium. Cytotoxicity of the MHB was assessed against two types of mammalian cells: VERO (the kidney of an African green monkey) and HFB4 (human skin melanocytes). Lower sensitivity was observed in VERO cells.

With the constant growth of Software Defined Radio (SDR) technologies in wireless communications related fields the need for efficient ways to test and evaluate the Physical Layer (PHY) protocols developed for these technologies in real life traffic scenarios become more critical. This paper proposes a software testbed that enhances the creation of network environments that allow feeding GNU Radio applications with test traffic in a simple way and through an interoperable interface. This makes possible the use of any traffic generator, existent one or custom built to evaluate the GNU Radio application. In addition, the paper proposes an efficient way to collect PHY layer specific monitoring data that improves the performance of the critical components of the message delivery path by employing the Protocol Buffers library. The paper considers the entire testing and evaluation ecosystem and demonstrates how PHY layer specific monitoring information is collected, handled, stored, and processed as time series allowing complex visualization and real time monitoring.

This article presents a hybrid approach to assessing students’ foreign language proficiency in a cyber-physical educational environment. It focuses on the advantages of integrated assessment of student knowledge by considering the impact of automatic assessment, learners’ independent work, and their achievements to date. An assessment approach is described using the mathematical theory of fuzzy functions, which are employed to ensure fair evaluation of students. The largest possible number of students, whose re-evaluation of test results will not affect the overall performance of the student group, is automatically determined. The study also models the assessment process in the cyber-physical educational environment through the formal semantics of calculus of context-aware ambients (CCA).

Moving object detection plays a crucial role in various applications, particularly in traffic surveillance and collision warning systems. However, the high cost of training and slow detection pose significant challenges to the practicality and real-time performance of existing methods. These challenges hinder the practicality and real-time performance of existing methods. The need for a reliable and efficient moving object detection system prompts the search for cost-effective strategies. Enhancing detection speed without sacrificing accuracy is crucial for real-time applications. Overcoming these challenges is essential to advance the field of moving object detection and improve its applicability in various domains. This paper presents a comprehensive review of the literature on moving object detection, proposes novel strategies to overcome the challenges of high training costs and slow detection. The study emphasizes the importance of reliable speed monitoring systems and advancements in control systems to enhance driver assistance on urban highways. Each frame in the dataset undergoes YOLOv6 processing to detect and classify objects, generating bounding box predictions and class probabilities. Optical flow, specifically the Lucas-Kanade method, is then utilized to compute motion vectors between consecutive frames. These motion vectors facilitate object tracking across frames, enabling refined bounding box positions and improving overall object tracking accuracy. The results demonstrate the effectiveness of the proposed technique in reducing training costs, improving detection speed, and maintaining a high level of accuracy when compared to existing methods. The paper concludes by summarizing the findings and highlighting the potential of the proposed strategy for precise and reliable moving object recognition in real-world traffic scenarios

Globally, the demand for plant-based alternative food is increasing rapidly as these products are getting quite popular in vegan and vegetarians. However, it is still in the early stage and faces various technological challenges, but the imitation of sensory profile is the most challenging part as the products are meant to be an alternative of meat. The development of similar product to meat requires an accurate selection of ingredients and processing. An understanding about the sensory profile can help to construct the product and technologies that are consumer centric and sustainable. In this review, we focus on the comparative differences in the sensory profile of animal meat and plant-based meat alternative specially in the color, texture and flavor, along with the method used to resemble them. The paper also explains about the sensory evaluation and how it affects the consumer preference and acceptability. Additionally, a direction to further research for developing better plant-based alternative products has also been suggested.

BACKGROUND: Patients with diabetic foot ulcers (DFU) and chronic limb-threatening ischemia (CLTI are at higher risk for major amputations and mortality. The aim of this study was to assess the safety and cost-efficacy of intramuscular injection of autologous monocyte-rich PRP platelet-rich plasma Tropocells® PRP (Estar Medical, Holon, Israel) in diabetic patients with chronic limb-threatening ischemia (CLTI) in which revascularization was not feasible. METHODS: a retrospective study was carried out on a series of patients with type 2 diabetes, grade Texas 3C or D DFU, and CLTI. All patients had undergone at least a previous revascularization and were allocated to a surgery waiting list for major amputation. According to the data provided by the manufacturer (https://www.zuccatobiotech.it/index.php/prodotti/tropocells), the monocyte-rich PRP kit obtained a platelet-rich plasma with a high concentration of peripheral blood mononuclear cells (with a proportionately lower amount of lymphocytes), a low concentration of neutrophils and an almost complete depletion of red blood cells. All patients underwent a procedure of local infiltration of autologous mononuclear cells through multiple perilesional and intramuscular injections of 10 mL PBMNC suspensions (0.2–0.3 mL in boluses) performed below the knee along the relevant vascular axis (anterior tibial artery and posterior tibial artery) at intervals of 1–2 cm and to a mean depth of 1.5–2 cm, using a 21 G needle. The procedures were performed according to the instructions of the manufacturer and were repeated at least two times (maximum 3 times) at intervals of 30 days. The principal endpoint was a composite of TcPO2 values at the first toe ≥30 mmHg and/or TcPO2 increase of at least 50% from baseline and/or ulcer healing. Secondary endpoints were individual components of the primary endpoint, quality of life, any adverse events, and direct costs. All the endpoints were evaluated at 26 weeks. RESULTS: Out of 21 enrolled patients, 13 (61.9%) reached the primary endpoint, whereas three patients underwent a major amputation, and two patients died. The median TpCO2 was significantly increased, and pain was significantly reduced. The overall mean and median cost per patient were 9,255±7,328€ and 4,001 [2,991;7,565]€, respectively. CONCLUSIONS: the use of PBMNCs implants in patients with DFU and no-option CLTI seems to be efficacious in reducing the risk of major amputation and improve ulcer healing.

In this paper, we propose a novel approach named EmbedHDP to enhance the evaluation models used to assess sentence suggestions within nursing care record applications. The key focus is determining whether these suggestions garner assessments that align with caregivers as human evaluators. It is crucial due to the direct relevance of the information provided to the health or condition of the elderly. The motivation behind this proposal stems from challenges observed in previous models, such as BERTScore, which encountered difficulties in effectively evaluating the nurse care record domain, consistently providing quality assessments of generated sentence suggestions above 60%. Additionally, while widely used, cosine similarity exhibits limitations concerning word order, leading to potential misjudgments of semantical differences within similar word sets. Similarly, relying on lexical overlap, ROUGE tends to overlook semantic accuracy. Furthermore, despite its utility, BLEU neglects semantic coherence in its evaluations. EmbedHDP excels in evaluating nurse care records by effectively handling a variety of sentence structures and medical terminology and providing differentiated and contextually relevant assessments. We used a dataset comprising 320 pairs of sentences with correspondingly equivalent lengths. The results revealed that EmbedHDP outperformed other evaluation models, achieving a coefficient score of 61%, followed by cosine similarity with a score of 59%, and BERTScore with 58%. This shows the effectiveness of our proposed approach in improving the evaluation of sentence suggestions in nursing care record applications.

In contrast to its traditional form, in which large, powerful companies were solely and exclusively responsible for supplies, manufacturing, and distribution, the supply chain has undergone substantial change over the past half-century. Today, nearly all supply chain processes are outsourced, thanks to the efforts of innovative, modern companies. The degree of risk associated with contemporary supply chains is greater than the majority of supply chain managers acknowledge, according to an accumulation of studies, analysts, and news outlets. Vulnerabilities within the supply chain remain a significant challenge for numerous organizations. Inadequate management of these risks—which include, but are not limited to, natural disasters, acts of terrorism, cyber assaults, the credit crisis, pandemic scenarios, and war—could lead to significant declines in profitability, productivity, revenue, competitive advantage, and other metrics. Concerns regarding the risk assessment of the supply chain remain unresolved. The objective of this article is to present a risk evaluation framework that can be effectively implemented in the assessment of supply chain risks. This study makes a fundamental contribution to the body of knowledge by providing supply chain managers with a practical instrument for assessing their processes, irrespective of the mathematical underpinnings or the diverse variables employed in risk assessment. A case study from an automotive EMS production is used to compare the outcomes of multiple aggregation methods; the conclusions are then validated by risk and FMEA specialists from the same factory.

Nondestructive determination of the neutron irradiation induced embrittlement of nuclear reactor pressure vessel steel is a very important and recent problem. In the frame of the so called NOMAD project, funded by the Euratom research and training program, novel nondestructive electromagnetic testing methods were applied for inspection of irradiated reactor pressure vessel steel. In this review the most important results of this project are summarized. Different methods were used and compared with each other. Measurement results were compared with the destructively determined ductile to brittle transition temperature (DBTT) values. Three magnetic methods: 3MA (micromagnetic, multiparameter, microstructure and stress analysis), MAT (magnetic adaptive testing) and Barkhausen noise technique (MBN) were found as the most promising techniques. The results of these methods were in good confidence with each other. Good correlation was found between the magnetic parameters and the DBTT values. The basic idea of the NOMAD project is to use a multi-method/multi-parameter approach and to focus on their synergies that allows to recognise the side effects therefore supressing them at the same time. Different types of Machine Learning (ML) algorithms were tested in competition and their performances were evaluated. The important outcome of the ML technique is that not only one, but several different ML techniques could reach required precision and reliability, i.e. to keep the DBTT prediction error lower than +/-25°C threshold, which was previously not possible for any of the NDE methods as single entities. A calibration/training procedure was carried out on the merged outcome of testing methods with excellent results to predict transition temperature, yield strength and mechanical hardness for all investigated materials. Our results, achieved within NOMAD project can be useful for the future potential introduction of this (and in general, any) nondestructive evolution method.

This paper offers a comprehensive examination of the process involved in developing and automating supervised end-to-end machine learning workflows for forecasting and classification purposes. It offers a complete overview of the components (i.e. feature engineering, model selection, etc), principles (i.e. bias-variance decomposition, model complexity, overfitting, model sensitivity to feature assumptions and scaling, output interpretability, etc), models (i.e. neural networks, regression models, etc), methods (i.e. Cross-Validation, data augmentation, etc), metrics (i.e. Mean Squared Error, F1-score, etc) and tools that rule most supervised learning applications with numerical and categorical data, as well as their integration, automation, and deployment. The end goal and contribution of this paper is the education and guidance of the non-AI expert academic community over complete and rigorous machine learning pipelines and data science practices, from problem scoping to design and state-of-the-art automation tools, including basic principles and reasoning in the choice of methods. The paper delves into the critical stages of supervised machine learning workflow development, many of which are often omitted by researchers due to brevity, and covers foundational concepts essential for understanding and optimizing a functional machine learning workflow, thereby offering a holistic view of task-specific application development for applied researchers who are not AI experts.

Risk management strategies protect the company as a whole as well as employees from unforeseen financial impacts. As in the case of personal finance, preparing for certain scenarios helps to face any difficulties that the company may encounter and allows it to get out of this impasse.For any project to be successful, the way the project executing agency will deal with potential risks must be determined so that it can identify, mitigate or avoid problems when it needs to do so. Successful project managers realize that risk management is important, because the achievement of project objectives depends on planning, preparation, results and evaluation that contribute to the achievement of strategic goals, especially the sustainable development of societies.Risk management strategies work to protect the company as a whole as well as employees from unexpected financial effects, and as is the case in personal finance, preparing for certain scenarios helps to face any difficulties that the company may face and allows it to get out of this impasse.To ensure the success of your project, determine how you will handle potential risks so that you can identify, mitigate or avoid problems when you need to do so. Successful project managers understand that risk management is important, because the achievement of project objectives depends on planning, preparation, results, and evaluation that contribute to the achievement of strategic objectives.

Grape pomace (GP) is a winemaking residue that can be used as a functional ingredient due to its phenolic content, among others. The influence of GP, grape pomace extract (GPE) and encapsulated grape pomace extract (BGPE) on the phenolic compounds content, physical, textural and sensory properties of the functional biscuit (FB) was studied. In the production of FB, 10-30 % of the wheat flour in the standard biscuit was replaced by GP or by adding GPE and BGPE in amounts equivalent to the phenolic content of GP. The highest content of phenolic compounds was found when 30 % of GP was used. The antioxidant activity (AA) correlated well with the phenolic compound content (R > 0.87). The antiproliferative activity of biscuit extracts against cancer cell lines is in the following order: SW620 > Caco-2 > Hep G2, but the positive correlation with phenols and AA was not found. Textural properties of biscuits with GPE and BGPE addition were worse compared to GP and standard biscuits, i.e. they were harder. Biscuits with BGPE addition received the highest overall sensory score. The results indicate that biscuits enriched with phenolics from grape pomace could be a promising functional food with good sensory properties.

Tight gas, a category of Deep Green Energy Resources, rely on advanced intelligent monitoring methods for their extraction. Conventional logging for reservoir evaluation relies on logging data and the manual setting of evaluation criteria to classify reservoirs. However, the complexity and heterogeneity of tight reservoirs pose challenges in accurately identifying target layers by using traditional well-logging techniques. Machine learning may hold the key to solving this problem, as it enables computers to learn without being explicitly programmed and manually added rules. Therefore, it is possible to make reservoir evaluation via using machine learning methods. In this paper, the reservoir quality index (RQI) and porous geometric parameters obtained from the optimized inversion of the spherical-tubular model are adopted to evaluate the reservoir. Then, three different machine learning approaches, the random forest (RF) algorithm, support vector machine (SVM) algorithm, and extreme gradient boosting (XGB) algorithm, are utilized for reservoir classification. The selected dataset covers more than 7,000 samples from five wells. The data from four wells are arranged as the training dataset, and the data of the remaining one well is designed as the testing dataset to calculate the prediction accuracies of different machine learning algorithms. Among them, accuracies of RF, SVM, and XGB are all higher than 90%, and XGB owns the highest result by reaching 97%. Machine learning based approaches can greatly assist reservoir prediction by implementing the well-logging data. The research highlights the application of reservoir classification with a higher prediction accuracy by combining machine learning algorithms with NMR logging based pore structure characterization, which can provide a guideline for sweet spot identification within the tight formation. This not only optimizes resource extraction but also aligns with the global shift towards clean and renewable energy sources, promoting sustainability and reducing the carbon footprint associated with conventional energy production. In summary, the fusion of machine learning and NMR logging based reservoir evaluation plays a crucial role in advancing both energy efficiency and the transition to cleaner energy sources.

Ethics values for public officers are important for enhancing cultural ethical levels and keeping society free from low-level barbarian ethical values. Barbarian ethics values are reflected in animal behavior, as in some countries security agencies, and a culture based on strength is dominant, especially in political and military parties. This study gave insight into the change in security agency duties from fighting criminal activities to managing criminal activities. Keeping high-level ethical values is essential for enhancing the behavior of public officers and stakeholders in any official institution at a standard level. This study provides stakeholders with a clear vision of the different defects in public institutions and how to improve and avoid negative ethical issues. By identifying all aspects of public officers and deviations from ideal ethical values for public officers,the negative ethical values in security agency officers have been noticed for a long time due to feelings of injustice or unfairness in native citizens of any country, generating mafia-based institutions instead of police departments or security agencies in any country.

This research addresses the respiratory distress syndrome (RDS) in preterm newborns, caused by insufficient surfactant synthesis, which can lead to serious complications, including pneumothorax, pulmonary hypertension, and pulmonary hemorrhage, increasing the risk of a fatal outcome. By analyzing chest radiographs and blood gases, we specifically focus on the significant contributions of these parameters to the diagnosis and analysis of the recovery of patients with RDS. The study involved 32 preterm newborns, and the analysis of gas parameters before and after the administration of surfactants and inhalation corticosteroid therapy revealed statistically significant changes in values of parameters such as FiO2, pH, pCO2, HCO3 and BE (Sig.&lt;0.05), ehile the pO2 parameter showed a potential change (Sig.=0.061). Parallel to this, the research emphasizes the development of a lung segmentation algorithm implemented in the MATLAB programming environment. The key steps of the algorithm include preprocessing, segmentation, and visualization for a more detailed understanding of the recovery dynamics after RDS. These algorithms have achieved promising results, with a global accuracy of 0.93±0.06, precision 0.81±0.16 and an F-score of 0.82±0.14. These results highlight the potential application of algorithms in the analysis and monitoring of recovery in newborns with RDS, also underscoring the need for further development of software solutions in medicine, particularly in neonatology, to enhance the diagnosis and treatment of preterm newborns with respiratory distress syndrome.

Underground storage of natural gas has the characteristics of clean and low-carbon, and has the ability to provide sustainable and stable supply. It is a very high-quality green energy that can increase the storage efficiency of gas storage through fracturing, achieving the sustainable development goal of "Carbon Peaking and Carbon Neutrality". The accurate evaluation of the fracability of a reservoir is an important prerequisite for reservoir fracturing design and post fracturing productivity evaluation. At present, research on fracability is mainly based on qualitative characterization or quantitative evaluation based on rock mechanics and fracturing construction parameters, which cannot fully reflect the rock composition and structure of each stage. Firstly, based on logging data, this paper analyzes the evolution laws of strain energy such as elastic properties, pre-peak dissipation energy, and post-peak fracture energy during the transition of rock materials from plastic deformation to brittle fracture in an energy perspective, and determines the key energy that affects the brittle characteristics of rocks. Secondly, a brittleness index evaluation approach has been established that can comprehensively reflect the mechanical properties of rocks during pre-peak deformation and post-peak damage stages. In addition, this article focuses on the impact of reservoir stratigraphic environment by combining the influence of geo-stresses with the rock brittleness index, and proposes a new method for evaluating reservoir fracability. Finally, this paper conducts a study on the fracability evaluation of three wells in a gas storage facility in eastern China. The results indicate that low modulus and fracability coefficient are beneficial for fracturing, thereby improving the gas production and peak shaving ability of gas storage.

The meaning of a good social outcome in land use transport policy/planning has been relatively underdeveloped, compared to economic and environmental sustainability goals, but this is now changing. Cities are increasingly prioritizing reducing social exclusion, with the allied intent of providing all residents with equitable access to the benefits of their city. However, in jurisdictions that use cost-benefit analysis to guide government decision-making, this poses a challenge: monetization of the benefits of reducing social exclusion is poorly developed. An evaluation gap thus confronts benefit-cost based assessment of initiatives intended to reduce social exclusion, compared to initiatives directed towards societal economic and environmental goals. This is a particular problem for public transport services that primarily enable people at risk of mobility-related social exclusion to access more opportunities in their society (social transit). The benefits of reducing social exclusion associated with these services have not been monetized, so social transit initiatives are poorly placed to argue their merits against competing initiatives where benefit monetization is more advanced (e.g., mass public transport and roads). The paper summarizes Australian research that has developed monetized measures for the value of increased trip making, bridging/bonding social capital, sense of community and several conceptions of wellbeing, and of reducing neighbourhood disadvantage, as these contribute to reducing social exclusion. New Singaporean research on the value of trip making to support reduced exclusion is also presented, affirming the Australian trip values. Trip values are then used in case study examples to show they can make a material difference to the societal worth of initiatives intended to reduce exclusion. Using these trip values, and other pathway values linked to reducing social exclusion, closes or at least substantially reduces the evaluation gap confronting social goal achievement in land use transport policy and planning, strengthening the case for reducing exclusion. These values will assist jurisdictions that are seeking to provide their residents with more equitable access to the benefits of their city.

Irrigation and fertilization are indispensable links in the jujube planting industry in southern Xinjiang, China. However, the water and fertilizer integration effects on jujube growth and fruit quality remain unclear. A two-year water and fertilizer optimization coupling test was conducted to determine the optimal water- and nutrient-supply scheme. The three-factor randomized block experiment included water (W), nitrogen (N), and phosphorus (P). According to the principal component analysis of each index, each treatment’s comprehensive score was obtained. Using yield and economic regression models, the theoretical value and yield value of the optimal economic benefit are inferred. When W, N, and P were applied together, the fruit quality and yield of each treatment significantly differed, and the vitamin C, soluble sugar, and sugar–acid ratio increased significantly with an increase in nitrogen fertilizer. However, the titratable acid decreased. An increase in irrigation and nitrogen application significantly increased fruit yield. The comprehensive score was the highest in the N3P3W2 treatment, which improved fruit quality, and the lowest in the N4P3W2 treatment. When the amounts of N, P, and W were 275.56 kg·hm-2, 413.66 kg·hm-2, and 7278.19 m3·hm-2, respectively, the theoretical economic benefit was the best. The N4P3W2 treatment is the optimal treatment.

European cities are motivated to act towards the achievement of climate-neutral mobility solutions. Often, though, they are facing many challenges when bringing (innovative) sustainable mobility solutions forward. Capacity building that fills skills gap and/or enables acquisition of new ones related to the planning and implementation of such solutions can empower local/ regional authorities to identify them, adopt them and eventually deliver them properly. The aim of this paper is to present the Key Performance Indicator (KPI) framework that has been used for the assessment of the effectiveness of the Learning and Exchange Programme applied in an EU-funded project. It presents the methodological steps for the adoption of the KPIs, as well as the tools used for the selection of the KPI data and the KPI monitoring at project level. It also presents the results from the application of the framework for assessing the knowledge performance towards the deployment of sustainable mobility solutions. It finally reflects on recommendations for applying the KPI framework to other cases and thematic contents.

Aging and obesity make humans more prone to cardiovascular and metabolic syndrome diseases, leading to several serious health conditions, including dyslipidemia, high blood pressure, and sleep disturbance. Hyperlipidemia means elevated blood lipid levels, including cholesterol and triglycerides. This study aimed to explore the hypolipidemic effect of fermented citrus lemon juice using a hyperlipidemic hamster model. Sugar-free lemon juice’s fermentation was optimized, and the characteristics of fresh and fermented lemon juice (FLJ) were evaluated and compared. In addition, tests were conducted to determine the appropriate hamster feed for the functional animal tests. Then, experiments were conducted to evaluate the hypolipidemic effect of the FLJ, which contained polyphenols and superoxide dismutase-like activity, on a hyperlipidemic hamster model. This study’s pre-fermentation efficiency evaluation found that 21–30 days of bacterial DMS32004 and DMS32005 fermentation of fresh lemon juice provided the best fermentation benefits. In addition, the fermentation evaluation showed that a sugar-free fermentation method provided FLJ with the best benefits. Results showed that the absorption and utilization efficiency of FLJ was higher compared with the unfermented lemon juice. After six weeks of feeding, the total cholesterol and triglyceride values in the blood and liver of the FLJ treatment groups were de-creased compared with the high-fat diet (HFD) group. In addition, the blood low-density lipoprotein cholesterol levels were significantly reduced in the FLJ treatment groups compared with the HFD group. In contrast, the blood high-density lipoprotein to low-density lipoprotein cholesterol ratio increased considerably in the FLJ treatment groups, and the total to high-density lipoprotein ratio was significantly lower than in the HFD group. Compared with the HFD group, the total cholesterol content in the FLJ treatment groups’ feces increased significantly. This study demonstrated that the sugar-free fermentation method and fermentation cycle management provided FLJ with the potential to regulate blood lipids. Further research and verification will be carried out to isolate specific substances from the FLJ and identify their mechanisms of action.

This study assessed the impact of mineral fertilization on tuber yield and food quality of yam genotypes, specifically Dioscorea alata and Dioscorea rotundata. Four genotypes, each from D. alata and D. rotundata, were used in field experiments conducted in Ibadan, Nigeria, in the 2017 and 2018 cropping seasons. Experiments were conducted under low soil NPK fertility conditions with and without fertiliser treatments. A recommended NPK rate for the area (90, 50, and 75 Kg N, P, K ha-1) was applied to plots with fertiliser treatment. Tuber yield, functional and pasting properties of yam flour, and sensory attributes of pounded yams were collected. The results showed differential responses of the genotypes to tuber yield and food quality with fertiliser application. Fertiliser application has generally increased fresh tuber yield, but it has affected some genotypes' flour quality and textural attributes of the pounded yams. As regards genotypes Danacha and TDa0200012, fertiliser application has increased tuber yield without causing a decrease in tuber quality hence, suggesting Danacha and TDa0200012 as suitable genotypes for maximizing fertiliser productivity. However, in another genotype Ojuiyawo, fertiliser application effectively increased tuber yield but deteriorated tuber quality. Our results suggested that it is crucial to determine the impact of fertilisation on tuber yield and quality for each genotype and select the appropriate genotype to improve productivity through mineral fertilisation. The results of this study can be widely applied to enhance yam productivity in sub-Saharan Africa and useful for sustainable agriculture in yam-growing areas.

Today, there is a time series analysis that has gained significant popularity across various industries to provide effective solutions for any specific challenges. Artificial intelligence logic is generally used to solve time-series problems with the help of various frameworks that are available for the development of AI-based applications. Currently, there is a significant framework in Python that is driven by its comprehensive libraries and their practical implementations. Time series analysis can be built with the help of some specific models that give results to differentiate the efficiency and domains of great work. This paper focuses on three diverse libraries of Python to predict the Gulf stock exchange market. These libraries are prediction models that are helpful in predicting future values. These models utilized include SARIMA (Seasonal Auto-Regressive Integrated Moving Average), Neural Prophet Model, and Fb Prophet model. Each model is trained using the provided datasets, which are followed by evaluation parameters such as MSE, RMSE, recall, MDAPE, accuracy, precision, etc. The main purpose of using these three models for stock market prediction is to find the better-suited models. In the past few decades, the stock market industry has seemed to have promising growth after 2022 onwards. This paper will help us make a significant decision about model usage for addressing such complex challenges. Especially, the research findings indicate that all three models demonstrate in different domains. SARIMA can perform well in overall prediction tasks, while the Prophet model works great with smaller datasets that contain seasonality trends.

The recent introduction of foot-and-mouth disease virus serotype O (O/EA-2 topotype) in Southern Africa region has changed virus dynamics and the FMD vaccine requirements. This study describes an assessment of the heterologous antibody responses induced by O Manisa vaccine (three PD50/dose) against a representative O/EA-2 virus collected from an FMD outbreak in Zambia. Commercial and subsistence cattle herds were monitored following vaccination, where the benefits of employing a double vaccination schedule were compared to single-dose vaccination. Testing using virus neutralisation showed cattle that received two vaccine doses had a mean reciprocal log virus neutralisation titre of 2.02 (standard error [SE] = 0.16, n = 9) for commercial herds and 1.65 (SE = 0.17, n = 5) for subsistence herds , 56 days after first vaccination (dpv). Significantly lower mean titres were observed for single-dosed commercial herds (0.90, SE = 0.08, n = 9) and subsistence herds (1.15, SE = 0.18, n = 3), 56 dpv. Comparison of these results and those generated by solid-phase competitive ELISA by cohen’s kappa coefficient observed a statistically significant (ρ = 0.598 for 1:10 dilution, and ρ = 0.562 for 1:30 dilution of SPCE % inhibition results, p &lt; 0.001 for both dilutions) positive correlation.

A scientific investigation into visual preferences of rural recreation path landscapes is crucial for enhancing visual qualities and visitors' experience. Taking Baofeng, a representative traditional village in Yunlong, as an example, this study analyzed the visual preference of three typical linear recreational paths with different landscape attributes. We used eye-tracking technology to collect eye movement data and conducted a subjective semantic differential evaluation. Our findings manifest a general inclination amongst individuals to favor closer views and paths with clear trajectories and rich elevation changes while walking, despite preference differences on different types of paths. Regarding group diversity, more inclusive design should be made to meet the sensory needs of different groups. Moreover, despite the limited level of correlation between subjective and objective evaluation methods, combining these two approaches remains indispensable. This synthesis advances prior quantitative landscape evaluation with a specific focus on rural path landscapes and upholds the integrity of results by combining objectivity with subjectivity. It also provides relevant design suggestions for further rural renewal and path planning of Baofeng village.

In this paper, intrusion detection systems are thoroughly investigated utilizing the CSE-CIC-IDS-2018 dataset. The research is divided into three key phases: first, applying Data Cleaning, Exploratory Data Analysis, and Data Normalization techniques (min-max and z-score) for preparing data across distinct classifiers. Second, feature importance is reduced using a combination of Principal Component Analysis (PCA) and Random Forest (RF), with the goal of improving processing speed and decreasing model complexity. This stage comprises a comparison with the entire dataset. Finally, machine learning algorithms (XGBoost, CART, DT, KNN, MLP, RF, LR, and Bayes) are applied to specific features and preprocessing approaches. Surprisingly, the XGBoost, DT, and RF models outperform in both ROC values and CPU runtime. Following evaluation, which includes PCA and RF feature selection, an optimal set is produced.

Nature-based solutions (NbS) rapidly develop globally to address societal challenges and provide human well-being and biodiversity. Watershed restoration plays an essential role in enhancing the ecological and socio-economic benefits of the region. The design and implementation of watershed restoration projects play a crucial role in their effectiveness, and NbS has been applied as a concept in ecosystem-related projects. This paper provides an idea to evaluate the design or implementation of watershed restoration projects based on the eight criteria proposed by the IUCN Global Standard for Nature-Based Solutions and to adjust the projects based on the evaluation results. The aim is to standardize the implementation process of watershed restoration projects to achieve more significant benefits and practically apply the concept of NbS in watershed restoration. implementation scheme of the Shan-Shui Initiative in the Jiulong River Watershed and concludes that the method is feasible in evaluating and improving the design and implementation scheme of ecological restoration projects in the actual basin. According to the assessment results, the degree of matching based on NbS for the implementation scheme of the Jiulong River Watershed Shan-Shui Initiative is 73%, which meets the criteria of NbS but needs to be improved in terms of monitoring and assessment, synergistic management, and benefit trade-offs.

This study aims to explore the utilization of deep learning models, specifically the innovative Multi-Modal Contextual Fusion Convolutional Neural Network (MSHA), for the detection and diagnosis of Adrenocortical Carcinoma (ACC) using computed tomography (CT) images. The objective is to develop an accurate and reliable model that can assist in the effective detection and classification of ACC. The study utilizes a dataset comprising contrast-enhanced CT images from 53 confirmed ACC patients. The MSHA model is employed, which incorporates a combination of mixed-scale dense convolution, self-attention mechanism, hierarchical feature fusion, and attention-based contextual information techniques. Evaluation metrics are used to assess the performance of the MSHA model, and a comparison is made with other established models, including ResNet50, VGG16, VGG19, and InceptionV3. The evaluation of the MSHA model demonstrates high performance, with an accuracy of 96.65% and precision, sensitivity, specificity, and F1 score of 96.0%. These results highlight the MSHA model's capability in accurately detecting and classifying ACC. Furthermore, compared to other models, the MSHA model outperforms ResNet50, VGG16, VGG19, and InceptionV3, indicating its superior performance in ACC detection and diagnosis. The findings of this study suggest that the MSHA model holds significant potential in assisting healthcare professionals with the detection and diagnosis of ACC. With its advanced features and contextual fusion techniques, the MSHA model achieves high accuracy and performance. The results highlight the clinical significance of this novel model and its potential to improve patient management and outcomes in the detection and diagnosis of ACC using CT images.

Transport infrastructure’s asphalt pavement deteriorates under the influence of destructive factors. Damages which have been occurred during its exploitation period are repaired, and when their further rehabilitation is economically and technically irrational, the asphalt pavement is recycled. The material from the asphalt pavement layer that has reached its limit state is milled out or broken and crushed and then is repeatedly used in the production of hot-mix asphalt (HMA) or warm-mix asphalt (WMA) mixtures. In this paper, the dynamics of the percentage recycling ratio (RR) of old asphalt pavement material was investigated. RR represents the quantity of reclaimed asphalt pavement (RAP) used in the production of HMA and WMA mixtures in Europe and the USA, divided by the total amount of RAP prepared in the country. Factors and goals affecting it are analyzed. An original system of 10 criteria that increase the RR country has been created. By applying different multiple criteria decision making (MCDM) methods and using the importance given to these criteria by 14 experts, the normalized subjective weights of the criteria were determined. Analytic Hierarchy Process (AHP), rank correlation, Average Rank Transformation into Weight - Linear (ARTIW-L) and Non-linear (ARTIW-N), Direct Percentage Weight (DPW) methods were used in the study. The results display that the RAP recycle rate is close to 100% in countries with a sustainable economic background. In the Baltic countries, it is mostly increased by the adequacy of regulatory documents, the strategy promoting asphalt recycling in the country, and the homogeneity and classifying of RAP. The number and capacity of RAP stocks, the number and productivity of asphalt milling equipment and the wear and tear of the asphalt pavement have the least influence on the increase of RR. The opinions of experts in assessing the significance of all criteria are consistent. The averages of the weights of criteria determined by four MCDM methods (AHP, ARTIW-L, ARTIW-N, DPW) made it possible to obtain more reliable results. These results can be used to make strategic decisions and to create a plan of practical actions to increase the RAP recycling rate in the developing countries.

Thermal Non-destructive Testing and Evaluation (NDT&E) is crucial in ensuring the quality and safety of industrial materials, components, and structures. It serves as a key tool for assessing their operational reliability, thus enhancing safety in a wide range of industries. There is a growing demand for dependable, swift, remote, and secure inspection and assessment techniques to detect hidden flaws, especially for sustainable solutions prompts adjustments in design and manufacturing standards. Hidden defects often emerge during the service life of these materials and structures due to various stress factors, potentially resulting in catastrophic failures. This study delves into the optimal and dependable experimental method for conducting fast, remote, and secure inspections and assessments of carbon fiber reinforced polymer materials using Infrared Imaging (IRI) as part of Thermal Non-Destructive Testing and Evaluation (TNDT&E). Additionally, it examines the post-processing approach associated with this technique. This perspective also sheds light on the current state-of-the-art infrared imaging methods employed in TNDT&E, emphasizing their strengths and weaknesses about their ability to detect subsurface defects present within the material Most of the methods discussed in previous research primarily focus on the thermal differences in specific areas of a sample using processed thermal images, even though these images come from analyzing a series of images captured over time. This study highlights the latest research in thermal/infrared non-destructive testing and evaluation, along with the related post-processing techniques. It aims to not only show hidden subsurface defects through thermal differences also provides information about how these defects change over time.

The analysis of water inflow is a key issue in the construction of subsea tunnels. However, present research on the water inflow of subsea tunnels is predominantly focused on single-bore tunnels. Given the current practices in engineering, it is common to see a parallel configuration of three bores. In such cases, the proximity of tunnels to one another might result in alterations to the water inflow due to the interplay of seepage fields. This paper begins by conducting a numerical simulation to assess the water inflow characteristics of a three-bore parallel subsea tunnel. The study then investigates the impact of many factors, including the permeability coefficient of the surrounding rock, the depth of the seawater, the depth of the tunnel, the spacing between tunnels, and the relative size of the tunnels, on the water inflow phenomenon. Furthermore, based on the principles of the analytic hierarchy process and fuzzy mathematics, a comprehensive assessment framework is developed to evaluate the water inflow of three-bore parallel subsea tunnels. Ultimately, this grade of water inflow is used in practical engineering. The results show that there is mutual influence between the three parallel tunnels, and the predicted water inflow will be too large if the single tunnel model is adopted. The interaction between tunnels should be considered in the water inflow grade evaluation system of the three-hole parallel submarine tunnel. Engineering cases show that using a single-hole tunnel model without considering the interaction between tunnels will lead to higher water inflow grades. The research results of this paper can provide guidance for the waterproofing and drainage design of three parallel subsea tunnels and the stability analysis of surrounding rocks.

The Single Site Order – a policy restricting staff from working at multiple long-term care homes – was mandated by the Public Health Agency of Canada to control the spread of COVID-19 in long-term care homes, where nearly 70% of COVID-19-related deaths in Canada occurred. This mixed methods study assesses the impact of Single Site Order on long-term care residents in British Columbia. Interviews were conducted (residents (n=6), family members (n=9), staff (n=18), and leadership (n=10) from long-term care homes (n=4)) and analyzed using thematic analysis. Administrative data was collected between April 2019 – March 2020 and April 2020 – March 2021 and analyzed using descriptive statistics and data visualization. Qualitative and quantitative data were triangulated and demonstrate staffing challenges became worse during implementation of the SSO resulting in the mental and physical health deterioration of LTC residents. Qualitative data demonstrated decreased time for personalized and proactive care, increased communication challenges, and increased loneliness and isolation. Quantitative data showed a decline in activities of daily living, increased antipsychotic medication use, pressure ulcers, behavioural symptoms, and an increase in falls. Addressing staff workload and staffing shortages during SSO-related policy implementation is essential to avoid resident health deterioration.

High Vacuum Flat Plate Collectors (HVFPCs) are the only type of Flat Plate Thermal Collectors capable of producing thermal energy for middle-temperature applications (until 180 °C). As the trend of research plans to develop new Selective Solar Absorbers to extend the range of HVFPC application until 250 °C, it is necessary to correctly evaluate the collector efficiency up to such temperature to predict the energy production accurately. We propose an efficiency model for these collectors based on the selective absorber optical properties. The proposed efficiency model explicitly includes the radiative heat exchange with the ambient, which is the main source of thermal losses for evacuated collectors at high temperatures. It also decouples the radiative losses that depend on the optical properties of the absorber adopted from the other thermal losses due to HVFPC architecture. The model has been validated by applying it to MT-Power HVFPC manufactured by TVP-Solar, and it has been used to predict the efficiency and energy production of HVFPC equipped with new, optimized selective solar absorbers developed in recent years.

Tourism is an important industry that promotes national economic and social progress. All-for-one tourism is a new concept of regionally coordinated development that uses the tourism industry as an engine to boost resource integration, industrial integration, and social sharing. Tourism service is the main embodiment of cultural ecosystem services for all-for-one tourism cities. Taking Liyang in China as an example, this paper used a combination of GIS spatial analysis and big data text mining to evaluate the tourism service from three aspects: the quality of tourism resources, the comprehensiveness of tourism service facilities, and the satisfaction of tourists. The results show that (1) the tourism service is better in the northwestern and eastern areas of the city, while it is lower in the northeastern and southwestern parts; (2) the hotspot areas should focus on improving the tour routes, the transport capacity, and excessive charges; the cold spot areas should work on ecological restoration and creating new tourism attractions by combining the local industries; (3) rural tourism integrating agriculture and visitation should be highlighted as a key growth point to improve the city’s tourism service function.

This work deals with a systematic review of literature data concerning the theme of the integrated approach to occupational health and safety management, with particular reference to the programming of assistance plans, which guide the company's organizational choices also by aiming at the principles of the Total Worker Health. In the current regulatory framework on this issue, the UNI ISO 45001: 2018 standard assumes particular relevance, which defines the dynamic approach to occupational health and safety management systems, paying particular attention to external contextual factors that may influence corporate organizational decisions. The adoption of these systems is not mandatory, but allows companies to fulfill their duties in terms of health and safety at work, through an organizational approach aimed at awareness, involvement and participation of all subjects of the company prevention system, overcoming the phase of the mere technological and prescriptive approach, towards a holistic vision of prevention, which places the person at the center of preventive actions. In this context, the role of institutional networks and socio-economic partnerships assumes particular importance, in the activation of territorial assistance interventions to support companies for the improvement of risk management levels. To this end, the importance of verifying the effectiveness of assistance interventions emerges from the scientific debate, through the use of indicators such as quantitative ones for measuring the performance of all phases of the intervention with particular attention to the effects in terms of improved solutions developed.

Portugal, in line with the European Union, is aiming for carbon neutrality by 2050 (Net 1 Zero), which implies a transition to sustainable energy sources. Climate change is all too evident, extreme weather periods are occurring in a cyclical manner, with greater brevity to such an extent that the grid operator must deal with production scenarios where it can no longer rely on hydroelectric production given the recurring drought situation. This situation increases dependence on thermal production using natural gas and imports. This has significant economic implications. Portugal has exploited its onshore wind potential, reaching an installed capacity of 5.671 MW by 2022. However, the expansion of onshore wind energy is limited to reinforcing existing infrastructure. To overcome these challenges, it is necessary to expand the exploitation of offshore wind potential that is already underway. This article proposes the location of offshore wind production platforms along the Portuguese coast. This allows for an analysis of offshore production and its optimization according to the minimum cost per MWh in the face of extreme scenarios, i.e., in periods of extreme drought where hydroelectric production capacity is practically non-existent. The model is fed by using market price indications and the amount of energy needed for the following day. Using forecast data, the model adapts offshore wind production for the following day according to the minimization of the average market price. The results of the simulations allow us to conclude that despite the high cost of offshore technology (in deep waters), in extreme climate scenarios, it enables cost reduction and a clear decrease in imports.

Tooth extraction is the most common procedure in dental practice. However, in the long term, it may cause alveolar ridge atrophy. This systematic review aimed to evaluate the role of platelet-rich fibrin (PRF) in post-exodontic alveolar ridge preservation in terms of its effectiveness in the regeneration of bone tissue as assessed by imaging and its efficacy compared to physiological bone healing. The study is presented in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. This systematic review was conducted using electronic databases such as PubMed, Scopus, Web of Science, and Science Direct. The grey literature search was conducted in the New York Academy of Medicine Grey Literature Report. All the studies in this systematic review were randomized controlled trials (RCTs). The risk of bias was performed according to the Cochrane Handbook for Systematic Reviews of Interventions 6.2 (RevMan 6.2). Considering the inclusion and exclusion criteria, we included 17 randomized clinical trials, published up to 2022 investigating the efficacy of PRF in post-exodontic bone regeneration. Based on the results of clinical studies, it can be stated that despite not being statistically significant, PRF promotes neoformation and prevents bone loss between three and four months post-extraction.

Modern war is sudden and rapid, and once the battle starts, the demand for equipment maintenance and guarantee will show an outburst situation, which puts equipment maintenance and guarantee capability to a severe test. To accurately grasp the civil-military integration of aviation maintenance and guarantee capabilities, it is necessary to evaluate their capabilities. To this end, the evaluation indicator system is established by using the three-dimensional indicator system construction model of "maintenance task → task demand → capability demand", and the evaluation method based on intuitionistic fuzzy entropy and normal grey cloud model is proposed, using intuitionistic fuzzy entropy theory to determine the expert weights and indicator weights, and the grey cloud model theory to determine the capability evaluation level. Finally, the application process of the evaluation model is demonstrated through specific examples, and the evaluation results are analyzed to verify the effectiveness of the evaluation model.

Nowadays, the demand of agricultural production increase, Moreover, the rapid increase of the population in Egypt led to an increase in the demand for food, prompting the government to reclaim more desert lands. Such a study contributes to providing information that contributes to the promising optimization of land resources. This study carried out in an area south Egypt covering 386,171.04 hectares (ha). Remote sensed data were manipulated for defining the land cover/use features. Setting up DEM configures the network of natural drainage flows via the descending slopes. It was a guide for allocating micro dams as water harvesting sites as well as minimizing the runoff hazards and managing the priority of land use suitability versus flood hazards. Land cover/use units were defined as terrestrial irrigated areas of sequentially herbacous crops and permanent trees covering 1387.83 ha in levees; 1608.82 ha in point bar; 718.89 ha in bow bar and 23938.29 ha in alluvial plain. Terrestrial natural vegetation is dominated by xerophytes herbaceous in wadis (123533.56 ha). Terrestrial non-vegetated areas includes bare areas of rock land (98102.59 ha) and 67201.57 in bajada. Artificial non linear surfaces include buildings (5403.59 ha) and linear features include roads and railways (875.78 ha). Aquatic areas include artificial irrigation and drainage canals (1062.15 ha) and natural water body of River Nile course (2785.92 ha). Current land suitability for specific Land Utilization Types (LUTs) was assessed by matching soil attributes with the growth requirement of each LUT. Current land suitability can be improved by decreasing of salinity and framing practices. Accordingly, the land units can be potentially more profitable for increasing the ability of extra crops to be more productive. Old cultivated areas are the most profitable land cover/use units highly suitable (S1) for all LUTs comparing with other land cover categories.

Modern war is sudden and rapid, and once the battle starts, the demand for equipment maintenance and guarantee will show an outburst situation, which puts equipment maintenance and guarantee capability to a severe test. To accurately grasp the civil-military integration of aviation maintenance and guarantee capabilities, it is necessary to evaluate their capabilities. To this end, the evaluation indicator system is established by using the three-dimensional indicator system construction model of "maintenance task → task demand → capability demand", and the evaluation method based on intuitionistic fuzzy entropy and normal grey cloud model is proposed, using intuitionistic fuzzy entropy theory to determine the expert weights and indicator weights, and the grey cloud model theory to determine the capability evaluation level. Finally, the application process of the evaluation model is demonstrated through specific examples, and the evaluation results are analyzed to verify the effectiveness of the evaluation model.

A series of pyrazolopyrimidines derivatives 4– 11 were synthesized using 1-(6-(3-methoxyphenyl)-4-methylpyridazin-3-yl)-1H-pyrazolo [3,4-d] pyrimidin-4-amine 3 as a starting material. The detailed synthesis, structure assignments of the novel compounds based on chemical and spectroscopic evidence, spectroscopic data, pharmacological properties and molecular docking are reported. The pharmacological evaluation illustrated that many of these compounds have good analgesic, anti-inflammatory and antimicrobial activities.

Keywords: Requirements prioritization, Next release plan, Software product planning, Decision support, MoSCoW, AHP, K-Menas, GMM, BIRCH, PAM, Hierarchical, Clustering, Clusters Evaluation

Aims: Multidisciplinary diabetic foot clinics have been shown to be an effective therapeutic model for reducing major amputations and mortality rates. The aim of this article is to assess the economic impact of the implementation of a multidisciplinary diabetic foot clinic in a hospital in Barcelona, Spain. Methods: Observational cost-benefit study of all subjects with diabetes admitted with the diagnosis of a major amputation due to diabetic foot from 2010 to 2020. Direct and indirect costs were compared before and after the introduction of the multidisciplinary diabetic foot clinic. Results: The individual cost per patient with diabetic foot was €14,768 before the implementation of the unit. After the implementation of the clinic, the expected cost was reduced to €5,985 due to a 40% reduction in the probability of hospitalization. Overall, the implementation of the clinic resulted in cost savings per patient valued at €8,783, of which, €7,165 are related to hospital benefits. Conclusion: The results of this analysis contributes to the evidence suggesting that multidisciplinary diabetic foot clinics are cost-effective, by demonstrating that they have a positive impact on patient health while also reducing the utilization of healthcare resources.

Land surface temperature (LST) is a crucial parameter in climate and ecology, exerting significant influence on meteorological conditions, ecosystems, and human life. LST data sources are diverse, with remote sensing being the prevailing means of acquisition. FY-4A/AGRI offers high-quality LST products for East Asia. In this study, we evaluated the performance of the product in Hunan Province and conducted refined analysis of surface heat resources based on the 4km/1h resolution product over a two-year period. The results demonstrate that the FY-4A LST product effectively captures surface temperature (R=0.893), albeit with a relatively high error level (Bias=-6.295℃; RMSE=8.58℃), particularly in capturing high LST values. The performance of this product is superior in the eastern flat terrain area of Hunan Province compared to its performance in the western mountainous region due to environmental conditions causing systematic errors that contribute to instability in detection deviation for this product. Surface heat resources are more abundant in eastern Hunan Province than in mountainous areas located west and southwardly, and the detailed distribution of them at finer scales is mainly influenced by the terrain and climate conditions. There is no obvious seasonal difference in the distribution of heat resources except in winter, and rapid urbanization within Chang-Zhu-Tan urban agglomeration during two years has significantly altered the spatial distribution pattern of surface heat resources across Hunan Province. These findings provide a quantitative baseline for assessing FY-4A satellite's detection capability while serving as a reference for further application of its LST products and establishing foundations for divisional classification and utilization strategies pertaining to surface heat resources within Hunan Province.

We evaluated epidemiological evolution and economic impact of COVID-19 pandemic in the European Union (EU) and worldwide, and the effects of control strategies on them. We collected incidence, mortality, and gross domestic product (GDP) data between the first quarter of 2020 and of 2023. Then, we reviewed the effectiveness of the mitigation and zero-COVID control strategies. The statistical analysis was done calculating the incidence rate ratio (IRR) of two rates and its 95% confidence interval (CI). In the EU, COVID-19 presented six epidemic waves. The sixth one at the beginning of 2022 was the biggest. Globally, the biggest wave occurred at the beginning of 2023. Highest mortality rates were observed in the EU during 2020-2021 and globally at the beginning of 2021. In mitigation countries, mortality was much higher than in zero-COVID countries (IRR= 6.82; CI:6.14-7.60; p<0.001). A GDP reduction was observed worldwide, except in Asia. None of the eight zero-COVID countries presented a GDP growth percentage lower than the EU percentage in 2020, and 3/8 in 2022 (p=0.054). COVID-19 pandemic caused epidemic waves with high mortality rates and a negative impact on GDP. The zero-COVID strategy was more effective in avoiding mortality and potentially had less impact on GDP.

Aims: The objective of this study was to assess the cost-effectiveness of the CardioMEMS HF system in a HF Clinic in Spain by evaluating the real-time remote monitoring of pulmonary artery pressures, which has shown to reduce heart failure (HF) related hospitalizations and improve the quality of life for selected HF patients. Particularly, the study aimed to determine the value of CardioMEMS in Southern Europe, where healthcare costs are significantly lower and its effectiveness remains uncertain. Methods: This single-centre study enrolled all consecutive HF patients who had been implanted with a pulmonary artery pressure sensor (CardioMEMS-HF system, Abbott Laboratories, Abbott Park, IL, USA). The number of HF hospitalizations in the year before and the year after the sensor implantation was compared and quality-adjusted life years (QALY) gained based on a literature review of previous studies was calculated. Results: The rate of HF hospitalisations was significantly lower at 1 year compared with the year before CardioMEMS implantation (0.25 versus 1.10 events/patient-years, HR 0.22, p=0.001). At the end of first year, the usual management outperformed the CardioMEMS HF system, resulting in a net monetary value difference of 2,540€ per patient and a benefit-cost ratio of 0.38. However, by the end of the second year, the CardioMEMS system is estimated to reduce costs compared to usual management. Conclusions: Based on the results, we suggest that remote monitoring of pulmonary artery pressure with the CardioMEMS HF system represents a long-term cost-effective strategy in a healthcare setting in Southern Europe.

Based on survey data from 297 beef cattle farmers in five provinces, Hunan, Ningxia, Inner Mongolia, Shandong and Gansu, the impact of the package of support policies on farmers' beef cattle production was assessed by means of propensity score matching (PSM). The results showed that the package of support policies, the education level of the household head, participation in beef cattle professional cooperatives and taking out loans for beef cattle farming had significant positive impacts on farmers’ inventories of beef cattle and breeding cows. The current package of beef cattle support policies implemented by the national and local governments has significantly promoted the production of beef cattle by farmers, and the effects of the policy implementation have been positive. The implementation of the relevant support policies led to increases in farmers’ inventories of approximately 17 head of beef cattle and approximately 9 head of breeding cows. The contribution rates of the policy implementation to the beef cattle and breeding cow inventories reached 52.96% and 67.30%, respectively.

This study aims to develop an auditory experience evaluation questionnaire to improve the presence of metaverse environments, and to derive evaluation components considering auditory presence and auditory user experience (AUX) through a survey. After conducting a survey with a total of 232 participants, five evaluation components were extracted from auditory presence and AUX evaluation factors through principal component analysis (PCA) and reliability analysis (RA): 'realistic auditory background', 'acoustic aesthetics', 'consideration of acoustic control and accessibility', 'auditory utility and minimalist design', and 'auditory consistency'. In particular, although AUX evaluation factors such as 'ease of access to sound control' have limitations in improving the sense of presence, negative factors of presence such as 'distraction due to sound' can be improved by utilizing AUX evaluation factors, so it is judged that the sense of presence in the metaverse environments can be improved by enhancing the auditory sense of presence and AUX evaluation factors according to the composition of the five evaluation components derived in this study. This study can be used as a basis for developing an auditory experience evaluation questionnaire for the metaverse platform, creating sound design guidelines, and identifying sound development priorities.

To supply stable and high-quality power according to the advancement of industrial growth, electric power companies have performed maintenance of power facilities using various meth-ods. In the case of domestic power distribution facilities, there are limitations in performing di-agnostic management on all facilities owing to the large number of facilities; therefore, old fa-cilities are managed by the health index assessment method. The health index assessment com-prises only facility operation data and external environmental data and is managed only for four types of distribution facilities, including overhead/underground transformers and switchgear. In the case of extra high–voltage overhead wires, there is no standard for old replacement, despite the large number of wires, such as transformers and switchgear, and the large ripple effect of power failure in the event of a power outage. Therefore, in this paper, a health index assessment methodology for extra-high voltage overhead cables was developed. In this paper, we devel-oped an economic health index assessment methodology that additionally considers risk cost, which is different from the existing health index assessment method that uses only operational data and external environmental data to determine facility performance evaluation and aging replacement criteria. Using the health index assessment methodology developed in this paper, it is possible to expect a reduction in facility operating costs and investment costs from the per-spective of electric power companies through the replacement of old extra-high voltage over-head cables. In addition, from the perspective of consumers, it is expected to increase power re-liability and reduce the ripple effect of failure by preferentially replacing equipment with a high probability of failure.

With the continuous development of digital transformation and upgrading of Chinese construction enterprises, it is becoming increasingly important to measure their digital level, find the problems in the enterprise transformation process, and identify the key factors of enterprise digital capacity enhancement. This paper constructs a construction enterprise digital transformation maturity evaluation model from six first-level indicators and 20 second-level indicators, including digital strategy, digital business application, digital technology capability, data capability, digital organization capability, and change management. Digital maturity is divided into five levels: business management, process operation, intelligent construction, intelligent scene application, and industrial ecological collaboration. A detailed process of digital maturity evaluation based on the method of Analytic Hierarchy Process (AHP)-Decision Testing and Evaluation Laboratory (DEMATEL) is then developed. A questionnaire survey of 25 experts is used to weight the various parameters in the model, which is then demonstrated with an example construction enterprise. The model comprehensively reflects digital levels under the background of the digital economy. Its application will help understand the advantages and disadvantages enterprises face in their digital transformation to enable targeted measures to improve their digital transformation capabilities and efficiency, enhance their core competitiveness of enterprises, and promote the development of digital transformation in the construction industry.

Pregnant women with diabetes often present impaired fetal growth, which is less common if maternal diabetes is well-controlled. However, developing strategies to estimate fetal body composition beyond fetal growth that could better predict metabolic complications later in life is essential. This study aimed to evaluate subcutaneous fat tissue (femur and humerus) in fetuses with normal growth among pregnant women with well-controlled diabetes using a reproducible 3D-ultrasound tool and offline TUI (Tomographic Ultrasound Imaging) analysis. Additionally, three artificial intelligence classifier models were trained and validated to assess the clinical utility of the fetal subcutaneous fat measurement. A significantly larger subcutaneous fat area was found in three-femur and two-humerus selected segments of fetuses from women with diabetes compared to the healthy pregnant control group. The full classifier model that includes subcutaneous fat measure, gestational age, fetal weight, fetal abdominal circumference, maternal body mass index, and fetal weight percentile as variables, showed the best performance, with a detection rate of 70%, considering a false positive rate of 10%, and a positive predictive value of 82%. These findings provide valuable insights into the impact of maternal diabetes on fetal subcutaneous fat tissue as a variable independent of fetal growth.

The construction safety risks (such as landslides or slumps) of the high-fill subgrade are characterized by uncertainty and variability. In order to ensure the construction safety of the high-fill subgrade of the expressway, a comprehensive risk assessment model of high-fill subgrade construction according to the combination weighting method based on game theory was established. Firstly, settlement rate, lateral differential settlement, horizontal displacement at the foot of the slope, deep horizontal displacement, and excess pore pressure were selected as evaluation indicators, and an evaluation index system of high-fill subgrade was constructed. Secondly, the subjective and objective weights were obtained via the analytic hierarchy process and entropy method. Furthermore, the optimized weights were obtained by introducing game theory, and the construction risk of the high-fill subgrade was evaluated and analyzed using the fuzzy comprehensive evaluation method. Finally, based on the high-fill section of the Zhijiang-Tongren Expressway in Hunan Province (China), the evaluation model was validated through field measurement data. The results show that the safety scores obtained using the three methods of analytic hierarchy process, entropy method, and combination weighting method based on game theory are similar. The combination weighting evaluation model can correct the evaluation result error caused by a single weight and avoid information delay caused by the manual processing and analysis of monitoring data. The high-fill subgrade safety evaluation grade based on the combination weighting method and game theory is consistent with the engineering situation, and its fault tolerance range is within 20%. The evaluation model proposed in this study can scientifically and effectively evaluate the safety risks of high-fill subgrade construction, significantly improving the safety and reliability during the construction process.

As an important carrier of urban residents' public life, urban public open space plays an indispensable role in improving the quality of life of urban residents. Accessibility is an important indicator to characterize the publicity and service level of a public open space. This study optimized the GIS-based, Gaussian two-part mobile search method to quantitatively calculate and evaluate the accessibility of public open space within a 5-minute walking distance for residents in Nanshan District, Shenzhen. On this basis, social survey methods, including the questionnaire survey method via a field survey and the interview method, were used to conduct field research on residents' accessibility satisfaction. Comparing the results of the survey on residents' accessibility satisfaction to the GIS quantitative evaluation results of accessibility, the results of the field research show that current residents of Nanshan are more satisfied with the accessibility of public open space. In view of the similarities and differences between the two sets of results, the influencing factors of public open space accessibility were analyzed, corresponding countermeasures were proposed for the construction of public open spaces in the future.

Elliptic curve cryptography (ECC) over prime fields relies on scalar point multiplication realized by point addition and point doubling. Point addition and point doubling operations consist of many modular multiplications of large operands (256 bits for example), especially in projective and Jacobian coordinates which eliminate the modular inversion required in affine coordinates for every point addition or point doubling operation. Accelerating modular multiplication is therefore important for high-performance ECC. This paper presents the hardware implementations of modular multiplication algorithms, including 1) Interleaved modular multiplication (IMM), 2) Montgomery modular multiplication (MMM), 3) Shift-sub modular multiplication (SSMM), 4) SSMM with advance preparation (SSMMPRE), and 5) SSMM with CSAs and sign detection (SSMMCSA) algorithms, and evaluates their execution time (the number of clock cycles and clock frequency) and required hardware resources (ALMs and registers). Experimental results show that SSMM is 1.76 times faster than IMM, and SSMMCSA is 3.21 times faster than IMM. We also present the ECC hardware implementations based on the Secp256k1 protocol in affine, projective, and Jacobian coordinates using the IMM, SSMM, SSMMPRE, and SSMMCSA algorithms, and investigate their cost and performance. Our ECC implementations can be applied to the design of hardware security module systems.

Low-cost personal exposure monitors (PEMs) to measure personal exposure to air pollution are potentially promising tools for health research. However, their adoption requires robust validation. This study evaluated the performance of twenty-one Plume Lab Flow2 (PLF) by comparing its air pollutant measurements, particulate matter with a diameter of 2.5 μm or less (PM2.5), 10 μm or less (PM10), and nitrogen dioxide (NO2), against several high-quality air pollution monitors under field conditions (at indoor, outdoor, and roadside locations). Correlation and regression analysis were used to evaluate measurements obtained by different PLFs against reference instrumentation. For all measured pollutants, the overall correlation coefficient between the PLFs and the reference instruments was often weak (r<0.4). Moderate correlation was observed for one PLF unit at indoor location and two units at roadside location, when measuring PM2.5, but not for PM10 and NO2 concentration. During periods of particularly higher pollution, 11 PLF tools showed stronger regression results (R2 values > 0.5) with one-hour and 9 PLF units with one-minute time interval. Results show that the PLF cannot be used robustly to determine high and low exposure to poor air. Therefore, the use of PLFs in research studies should be approached with caution if data quality is important to the research outputs.

This study identified, analysed, and prioritised significant factors for standardising the Korean smart city project evaluation system. We analysed the efficiency and productivity of companies currently providing smart city services to consider both policy and practical aspects. The prioritisation of smart city planning reflects the latest trends in South Korea, where urban planning is moving towards smart city planning. Furthermore, the capacity building of public-private/private-private partnerships indicate the importance of business scalability. This indicates that smart city services are only stabilised when the private sector is involved and leads the project, rather than focusing on public development. The feasibility of building intelligent facilities indicates that smart city projects should be implemented after securing cost-benefit feasibility. The results were used as the basis for building an evaluation system, showing that in smart city convergence alliances, small- and medium-sized enterprises achieved the highest efficiency by reducing inputs to 81% and 86%, under the assumptions of constant and variable returns to scales, respectively. As the operational aspect is more problematic than the technical aspect, policy alternatives are necessary for smooth business progress, including increased flexibility of laws and institutions and the activation of policies that temporarily relieve regulations to demonstrate smart city projects.

Flood inundation causes socioeconomic losses for coastal tourism under climate extremes, progressively attracting global attention. Mapping, evaluating, and predicting the flood inundation risk (FIR) is significant for coastal tourism. The study develops a spatial tourism–aimed framework integrating a weighted k-Nearest Neighbors (WkNN), Geographic Information Systems, and flood-related spatially environmental criteria such as precipitation, elevation, soil, and drainage systems. These model inputs were standardized and weighted using distance, and integrated into WkNN to infer regional probability and distribution of FIR. Zhejiang province, China, was selected as a case study. The resulting map was pictured to denote the likelihood of the criteria at various risk categories, which was validated by historical Maximum Inundation Extent (MIE) extracted from World Environment Situation Room. The result indicates 80.59% of WkNN results reasonably confirm the MIE. Precipitation and elevation make a negative contribution to high-medium risk, and drainage systems positively alleviate the regional stress of FIR. The results can help stakeholders make suitable strategies to protect coastal tourism, and also weigh WkNN is superior to kNN in FIR assessment. The framework provides a productive way to yield a reliable assessment of FIR and can also be extended to other risk-related environmental studies under climate change.

The narrow parking space will result in difficulties in path planning and spot turning caused by sudden changes and discontinuities in path curvature. To address the problem, this paper investigates the performance of three path planning algorithms and proposes a path optimization algorithm. First, the narrow parking space is defined based on single-step parking of the arc-line combination parking algorithm. Second, to compare the arc-line combination algorithm, Hybrid A* algorithm, and particle swarm optimization parking algorithm under different narrow parking spaces, a multi-objective evaluation function is proposed, including three evaluation indicators, namely, the path length, the number of positive and negative conversions of vehicle speed, and the smoothness of the path. Their performance is compared by simulation conducted in MATLAB, the results show that the Hybrid A* algorithm is the better than others for narrow parking spaces. Third, to smooth the planning path, a path optimization algorithm based on the cubic B-spline curve and gradient descent is proposed. Finally, the simulation is conducted between the proposed algorithm and Hybrid A* algorithm, the result shows that the proposal can effectively eliminate the curvature mutation point and constrain the path curvature to meet the requirements of a smooth path.