The seismic events of 2015 in Nepal exposed the challenges associated with constructing earthquake-resistant 2-story self-built stone masonry structures in high-elevation rural regions, especially post-disaster. The Department of Urban Development and Building Construction (DUDBC) provided designs that failed to preserve the local architectural landscape and craftsmanship while adding unfamiliar knowledge and technology. To address the challenges related to architecture, structure, and socio-economic concerns in designing and implementing post-earthquake houses, a need-based building development framework is required for standardized practice. This study presents a novel framework to assess, design, and implement a self-built house after a disaster, consisting of five stages: 1) post-disaster problem assessment, 2) need identification, 3) material selection, 4) design development, and 5) validation and implementation. Based on this framework, we proposed a novel gabions building construction technology for two-story stone masonry structures that effectively mitigate post-disaster challenges such as logistic, resilience, and socioeconomic aspects while improving disaster resiliency specifically in the high-elevation rural areas of Nepal. The proposed two-story gabion building preserves architectural values, enhances structural integrity, and provides cost-effectiveness when compared with its DUDBC peer models while providing much-needed relief to the vulnerable community. The proposed resilient house, G- 2.1, utilizes locally sourced materials and craftsmanship, and innovative gabion technology that ensures affordability and facilitates knowledge transfer. The contribution of this study includes a development framework and a two-story gabions house that is most suitable for self-built post-disaster reconstruction and resilient to local architecture and socio-economic conditions while providing structural integrity and safety.

Cement production contributes to about 7% of CO2 emissions into the atmosphere. Despite our best efforts, we cannot find a competitive substitute that is both reliable and environmentally friendly. The simplest way to solve the problem is to rationalize the resources and try to minimize its use by substitute them with other materials. A concrete that contains a substantial amount of fly ash is already available, but its use is limited by the current shortage in the market and reduced initial resistance. In this context, ternary mixtures have been used to conduct an experiment. A significant volume of cement has been replaced with fly ash and metakaolin, which serves as a correction factor for the performance. In this work the main advantages and disadvantages of the simultaneous use of these two additions, which may reveal to be very interesting with high volumes of substitution will be presented. The performance of this ternary mixture is very promising. Provide a wide range of possibilities for replacing cement, maintaining or even improving its mechanical and durability properties. A solution for an ecological concrete with enhanced performance for general use in construction as an alternative to conventional concrete.

Abstract: Purpose: High-grade isthmic spondylolisthesis (HGISL) is a severe condition, associated with low-back pain (LBP) and radiculopathies. The present study is a monocentric prospective observational study investigating the clinical-radiological outcomes of a bilateral minimally invasive TLIF (bm-TLIF) for HGISL. Material and Methods: Patients who underwent bm- TLIF for HGISL at our institution, were considered for inclusion. Clinical-radiological outcomes and complications were collected. Results: Twenty-one patients (14M:7F) were included and the mean clinical follow-up (FU) time was 27(±6) months. There was a significative improvement of the mean VAS-back, VAS-legs, ODI, and SF-36 PCS scores, comparing pre- and last FU measurements. The mean pelvic tilt (p0,05). The univariate analysis showed that residual slip angle (> or  10°) may independently influence VAS-b (p

Black soldier fly larvae (BSFL) can use food by-products or residues as a growth substrate, and their use is considered a strategic solution to improve the sustainability and efficiency of animal production. BSFL need to be reared under controlled environmental conditions, as temperature can affect the welfare of the larvae and the efficiency of their bioconversion. The goal of this experiment was to test different diets: control, vegetable, carnivorous, omnivorous and to assess their effect on larval growth performance, chemical composition, and substrate temperature. BSFL (6-days-old) were randomly selected and allocated to one of the four diets for the entire experiment (8 days). The temperature in each container was measured twice daily using a thermal imaging camera. The vegetable diet led to significantly lower growth performance (p

The production of biomass fly ash has been increasing every year in Europe, reaching 5.5 million tons in 2020. Biomass fly ash is not yet accepted in the standards as a substitute material for cement in mortar and concrete. In a first approach, the substitution limit of biomass fly ash is determined by comparing the mechanical strengths, fresh state properties and hardened properties of mortars produced with biomass fly ash to those of mortars produced with classical coal fly ash. Then, masonry and rendering mortars have been designed with different substitution rates of biomass fly ashes from wood combustion in thermal power plant. Although there is an overall decrease in performance, mortars made with biomass ash retain properties that make them suitable for use in masonry or rendering.

Silica fly ash, Certyd aggregate, and an alkaline solution were used to produce lightweight geo-polymer concretes. The compressive strength, water absorption, bulk density and SEM photos showing the structure of the obtained composite were carried out. Tests conducted on the specifi-cation of lightweight geopolymer concretes have revealed significant chemical interactions between the ash aggregate and the geopolymer mortar, particularly when the coarse aggregate surface has been pre-treated with an alkaline solution. Statistical analysis of the experimental data, which in-vestigated the influence of three key variables on compressive strength, water absorption, and bulk density of Lightweight Geopolymer Concrete (LBG), identified the following factors as having the most substantial impact: the quantity of alkali used, the curing temperature, and the concentration of alkali in the mixture. The optimal test series exhibited a commendable compressive strength of 20.14 megapascals (MPa), accompanied by a water absorption rate of 14.72% and a bulk density of 1486.6 kilograms per cubic meter (kg/m³). These findings underscore the importance of alkali con-tent, curing temperature, and alkali concentration in tailoring the properties of lightweight geo-polymer concrete to meet specific performance requirements.

In recent years the number of available chemical pesticides has been significantly reduced and there have been an urgent need for discovery of alternative to chemical pesticides products, as among others the natural zeolites (zeolitic rocks). We determined the mineralogical and chemical composition of a specific and continuous layers of zeolitic rock sample (ZeotP) from Petrota, Ev-ros, Greece and evaluated its oviposition deterrent effect for the olive fruit fly Bactrocera oleae (Diptera: Terphritidae). The tested natural zeolite contained 70 wt. % Clinoptilolite, 18 wt. % Amorphous material, 7 wt. % Feldspars, 4 wt. % Cristobalite and 1 wt. % Quartz. We tested the oviposition deterrent effect of ZeotP mixed or not with an emulsifier adjuvant NU-FILM-P® in water and applied on the surface of olive fruits. The ZeotP oviposition deterrent effect for the ol-ive fly was very high under a series of tested temperatures (17°C, 20°C, 25°C and 30°C) and RHs (23%, 33%, 55%, 75%, 94%). In addition, the ZeotP residual deterrent effect after equable water spraying was high and similar to the respective effect of a pyrethroid insecticide (Decis®). Our results may contribute to an effective control of the olive fruit fly using an alternative to chemical pesticides natural zeolite (zeolitic rocks) product.

The objective of this study was to analyze the mental workload using EEG and eye tracking data and classify it using machine learning algorithms. The machine learning model was developed based on the simultaneous recording of eye tracking and EEG measurements during the experimental process. The experiments involved 15 university students, consisting of 7 women and 8 men. Throughout the experiments, the researchers utilized the n-back memory task and the NASA-Task Load Index (TLX) subjective rating scale to assess various levels of mental workload. The findings revealed that as the task difficulty increased, there was an increase in the diameter of both the right and left pupils, the number of fixations, the number and duration of saccades, and the number and duration of blinks. Conversely, variables related to fixation duration decreased. The EEG results indicated that theta power in the prefrontal, frontal, and front central regions increased with task difficulty. Additionally, alpha power increased in the frontal regions but decreased in the temporal, parietal, and occipital regions as the task became more challenging. Furthermore, low beta power significantly decreased in almost all brain regions as the task difficulty increased. In terms of the four-class classification problem, the mental workload level can be predicted with an accuracy rate of 76.59% using 34 selected features. This study has made a significant contribution to the literature by presenting a four-class mental workload estimation model that utilizes different machine learning algorithms.

Geopolymer, as a new type of solid waste-based inorganic cementitious material, exhibits outstanding Behavior in terms of physical and chemical performance, macro-mechanical properties and long-lasting stability, and features potential application development tendency in the field of repair and reinforcement of existing concrete structures. This paper investigates the interfacial Behavior of geopolymer mortar with OPC concrete substrate under different slag, fly ash and red mud mixing proportions, while cement mortar was used as a control group for the research. The interfacial bonding properties of the geopolymer mortar to the OPC concrete substrate were elaborated by carrying out split tensile test, two-sided shear test and three-point bending test. The scanning electron microscopy (SEM) and X-ray diffraction (XRD) were employed to further analyse the microstructural characteristics and physical phase components of the interfacial transition zone between the geopolymer mortar and the OPC concrete substrate. The results indicated that the compressive strength of slag-fly ash-red mud-based geopolymer mortar under different mixing ratio conditions was consistently superior to that of cement mortar. Overall, the interfacial bonding properties of the geopolymer mortar to the OPC concrete substrate gradually increased with the increment of the slag content, however, an evolutionary trend of minor enhancement followed by a gradual reduction was observed with the growth of the fly ash and red mud content.

Red mud (RM), a bauxite residue, contains hazardous radioactive wastes and alkaline material and poses severe surface water and groundwater contamination risks, necessitating recycling. Pretreated RM can be used to make adsorbents for water treatment. However, its performance is affected by many factors, resulting in a nonlinear correlation and coupling relationship. This study aimed to identify the best formula for an RM adsorbent using a mathematical model that examines the relationship between 11 formulation types (e.g., pore-assisting agent, component modifier, and external binder) and nine properties (e.g., specific surface area, wetting angle, and Zeta potential, among others). This model was built using a back-propagation neural networks(BP) based on single-factor experimental data and orthogonal test data. The model trained and predicted the established network structure to obtain the optimal adsorbent formula. The RM particle adsorbents had a pH of 10.16, specific surface area(BET) of 48.92 m2·g−1, pore volume of 2.10 cm3·g−1, compressive strength(ST)) of 1.12 KPa, and 24-h immersion pulverization rate(η_m) of 3.72%. In the removal of total phosphorus in flotation tailings backwater, it exhibited a good adsorption capacity (Q)and total phosphorous removal rate(η) of 48.63 mg·g−1 and 95.13%, respectively.

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

Background and objectives: Musculoskeletal (MSK) pain significantly impacts physical activity and quality of life in the elderly, potentially influencing mortality. This study explored the relationship between MSK pain, physical activity, muscle mass, and mortality among older adults. Material and Methods: We studied 1000 participants of the Korean Longitudinal Study on Health and Aging (KLoSHA), a prospective, population-based cohort study of people aged 65 years or older. Survival status was tracked over a 5-year period. Correlations between Low back pain (LBP), knee pain, regular exercise, appendicular skeletal muscle mass (ASM), and other variables were analyzed. Logistic regression analyzes were used to identify independent risk factors for mortality. Results: Of the total participants, 829 (82.9%) survived after a 5-year period. Survivors tended to be younger, had a higher BMI, and were more active in regular exercise. In contrast, non-survivors exhibited a higher prevalence of both LBP and knee pain, along with increased instances of multiple MSK pain. Lower ASM correlated moderately with LBP and knee pain, whereas higher ASM was associated with regular exercise Lower ASM was moderately associated with LBP and knee pain, while higher ASM correlated with engagement in regular exercise. There was a moderate correlation between LBP and knee pain, both of which were associated with a lack of regular exercise. Age, sex, ASM, and regular exercise were significant predictors, even though MSK pain itself did not directly predict all-cause mortality. Conclusions: This study demonstrated the independent association between ASM, regular exercise, and mortality. Although MSK pain did not directly correlate with all-cause mortality, the non-survivor group had higher levels of both single and multiple MSK pain. Recognizing the interplay of MSK pain, physical activity, and muscle mass for older adults, the research underscores the need for holistic strategies to enhance health outcomes in older individuals with MSK pain.

Alkali-Silica Reaction (ASR), which develops over time into a harmful internal reaction in concrete, produces a harmful gel due to the reaction between the reactive silica in the aggregate and the alkalis of the pore solution. Due to the multi-scale nature of this long-term phenomenon, understanding its mechanism in concrete structures remains difficult to assess. Accelerated Mortar Bar Testing (AMBT) ASTM C1260 is among the commonly used methods to understand ASR formation in a short time. In this study, the chemical characterisation of concretes produced from volcanic rock type basalt aggregate was compared with the chemical characterisation of ASR concretes after AMBT was applied. In addition, 20% FA was substituted into the concrete to investigate the effect of fly ash (FA) on ASR. Specimens with limestone aggregate (PL), basalt aggregate (BBC) and 20% basalt aggregate with fly ash substitution instead of cement (BBC20FA) were prepared for the investigation. Scanning electron microscopy (SEM), energy dispersive X-ray spectrometry (EDX), X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), thermogravimetric analysis (TGA) and differential thermal analysis (DTA) techniques were used to characterise the morphology and analytical composition of the concretes. It was determined that basalt aggregate does not cause ASR and its use with fly ash increases the strength and durability of concrete.

Continual learning, a crucial facet of machine learning, involves the perpetual acquisition of valuable insights from incoming data, sans the necessity for full dataset access. Esteemed as a fundamental goal in artificial intelligence, continual learning grapples with an enduring challenge—catastrophic forgetting. A proficient model must exhibit adaptability for new data assimilation and robustness to retain existing knowledge. Class-incremental learning (CIL) aids the gradual integration of knowledge from newly introduced classes, forming a universal classifier. However, directly training the model with fresh class instances triggers a problem—forgetting distinguishing features of prior classes, causing a performance decline. Addressing such issues in machine learning, this survey aims to delineate significant challenges, outcomes, and recent advancements, including our contributions to CIL techniques, especially in image classification.

Butadiene-Styrene copolymer (SBS) to improve the mechanical and deformation properties of the binder used in its manufacture. However, the high cost and variability of processing limit its performance. A secondary modifier to solve these problems is nano and micro materials that allow the generation of unique properties in polymeric systems. Based on this, this study experimented with fly ash micro filler ((FA) in low proportions as a binder modifier with SBS for use in PA mixes. The FA residue is considered in 3% and 5% dosages on a base binder with 5% SBS. Rheological results show that FA improves classical, linear viscoelastic (LVE), and progressive damage properties compared to the modified binder. The PA blends with FA reduced binder runout, resulting in a thicker film, showing better abrasion resistance in dry and wet conditions. Samples with FA increase the post-cracking energy in indirect tension due to higher ductility. However, they decrease the fracture energy due to higher cracking before failure. In addition, the FA manages to decrease the difference between dry and wet ITS.

Abstract: The present work evaluates the feasibility of using volcanic fly ash (VFA), generated by the eruption of the Tajogaite volcano on the island of La Palma (Spain) in 2021, as a precursor in the preparation of cementitious materials with different Portland cement (PC) replacement levels (0%, 30%, 70% and 100%), in the absence (Blended Cement, BC) and presence of an alkaline ac-tivator (Hybrid Alkaline Cement, HAC, and Alkaline Cements, AC). Hydration kinetics (isother-mal conduction calorimetry), paste mechanical strengths and reaction products were character-ised by XRD, FTIR, TG/DTG and BSEM/EDX. The results obtained indicate that the strengths de-veloped by the hybrid alkaline cements (HAC) are higher than those of the blended cements (BC), especially at the age of 2 days, where 25 MPa was obtained with the replacement of 70% PC by VFA. Alkaline cements (AC, 100% VFA) prepared with 8M NaOH solution as activator reached 40 MPa after 2 days. It was observed that in all the binders, depending on the initial composition of the binder mixture and the percentage of replacement and/or activator, VFA reacts to form cementitious gels, C-A-S-H and N-A-S-H type, which supports its use as a mineral addition to blended cement or as a precursor in the preparation of alkaline and hybrid alkaline cements.

Monometallic (Ni, Co, Cu) and bimetallic (Ni-Co, Ni-Cu) 10-20 wt. % metal containing catalysts supported on fly ash zeolite were prepared by post-synthesis impregnation method. The catalysts were characterized by X-ray powder diffraction, N2 physisorption, XPS and H2-TPR methods. Finely dispersed metal oxides and mixed oxides were detected after the decomposition of impregnating salt on the relevant zeolite support. By reduction intermetallic, NiCo and NiCu phases were identified in the bimetallic catalysts. Hydrogeoxygenation of lignocellulosic biomass-derived levulinic acid to γ-valerolactone (GVL) was studied. Bimetallic, 10 wt. % Ni, 10 wt. % Cu or Co containing fly ash zeolite catalyst showed higher catalytic activity than monometallic ones. Their selectivity to GVL reached 70-85 % at 100 % conversion. The reaction proceeds through formation of 4-hydroxy pentanoic acid, as the only intermediate compound.

Background. The purpose of the study was to evaluate the intensity and frequency of low back pain (LBP) in people with multiple sclerosis (PwMS) and the patient's knowledge of physiotherapeutic methods of combating. Methods. In this study, patients with confirmed multiple sclerosis were selected. The study was carried out using an original survey questionnaire and a numerical pain intensity scale (Visual Analogue Scale). PwMS were divided into 3 age groups: 18-30 years, 31-50 years, and over 50 years. Results. Ninety PwMS (68 women and 22 men) aged 18 to 60 years were included in the study. The mean duration of the disease was 9.5±4.9 years, and the mean EDSS was 3.5±1.6. Most of the patients had a relapse-remitting form. 68.9% of PwMS felt lower back pain (n = 62). The relationship tested was statistically significant (p=0.0000012), and the strength of the relationship was high (rc=0.695). The average level of low back pain among PwMS was 4.7 out of 10 on the VAS scale. The prevalence of LBP was higher in female patients (p<0.001), with a secondary progressive form (p<0.001) and with a longer duration of the disease (p=0.023). The most widely used methods of LBP therapy were kinesitherapy and manual therapy. Conclusions. LBP is common in multiple sclerosis. A female sex, a secondary progressive form of MS, and a longer duration of the disease increased the risk of LBP. It is important to implement properly planned physiotherapy activities and educate patients on how to combat LBP.

Chronic Low Back Pain (CLBP), defined as pain persisting for at least 12 weeks, is a significant public health issue, with prevalence intensifying due to an ageing global population, amassing approximately 619 million cases in 2020 and projected to escalate to 843 million by 2050. Given the multitude of therapeutic modalities available for CLBP, this research sought to ascertain their respective efficacies in ameliorating pain and disability. We specifically scrutinized Multidisciplinary Biopsychosocial Rehabilitation (MBR) among adults enduring non-specific low back pain for over 12 weeks, excluding acute pain conditions and pre-study surgical interventions. MBR is an approach encompassing various modalities, including exercise, behavioral therapies, educational programs, and work conditioning aspects, necessitating a comprehensive Network Meta-Analysis (NMA) to fully grasp the extensive scope of its impact. The constructed network comprised diverse MBR modalities (behavioral, educational, and work conditioning) alongside exercise therapy (ET), minimal intervention, and usual care, serving as controls with pain and disability as outcomes. Through the analysis of 4,619 initially identified studies, 93 were included, encompassing a total of 8,059 participants. The NMA conducted substantiated that both ET and MBR modalities were notably effective in alleviating CLBP, with education-oriented MBR emerging as the most efficacious for pain mitigation and behavior-focused MBR for disability reduction. Nevertheless, the discerned differences amongst the treatments were minimal and uncertain, highlighting that no modality was definitively superior to the others. The analysis revealed low global and local inconsistency within the network, underscoring the reliability of the observed outcomes. Given the intricate nature of CLBP, embodying various facets, our findings advocate for a combined therapeutic approach to optimize treatment efficacy. Nonetheless, the presence of high study heterogeneity and potential biases necessitates cautious interpretation of the results, prompting future research.

To systematically assess the effect size of different methods for patients with low back pain. PubMed, Cochrane Library, Web of Science, and Google Scholar. databases were searched in January 2023. This study has been developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. The key search terms were: “Low back pain”, “Back pain”, “SF-36”, “VAS”, “VASP”, “Roland-Morris”, “Oswestry Disability Index”, and “conservative treatment”. The risk of bias was determined for each randomized trial using the Cochrane Risk of Bias Tool, and the methodological index for non-randomized studies (MINORS). The outcomes included SF-36 Mental, SF-36 Physical, VAS, Roland-Morris, and Oswestry Disability Index. R 4.0.5 software was used, and standardized mean difference (SMD) and 95% confidence intervals (CI) were calculated for continuous outcomes, random model. Twenty-five studies were included. Depending on the outcome being measured, the effect size of different methods in treating low back pain varies from small to large as follows: SF-36 Mental (SMD = 0.39, p &lt; 0.0001), SF-36 Physical (SMD = 0.55, p &lt; 0.0001), VAS (SMD = -0.84, p &lt; 0.0001), Roland-Morris (SMD = -0.45, p &lt; 0.0001), and Oswestry Disability Index (SMD = -0.61, p &lt; 0.0001). Our meta-analysis indicates the positive effects of applying different methods in the treatment of low back pain. PROSPERO registration number: CRD42022371282

The black soldier larvae meal (BSFLM) has been the most extensively studied insect protein source in shrimp nutrition. However, both the availability and prices of BSFLM are still a constraint for its widespread use as an ingredient in animal feeds. The present study investigated the growth and economic performance of post-larval (PL) P. vannamei fed nursery diets with a progressive replacement of fish meal (FML) for BSFLM at 0, 25, 50, 75 and 100%. These replacements corresponded to a dietary inclusion (% of the diet, as-is) of FML and BSFLM of 16.50 and 6.33%, 11.00 and 13.04%, 5.50 and 19.74%, and 0 and 26.46%, respectively. A total of 102,647 shrimp at the age of PL15 with 2.7 ± 0.2 mg body weight (BW) were stocked in fifty 1.5-m3 tanks under 1,369 PLs/m3 (2,053 ± 33 PLs/tank) and reared for 42 days. Final shrimp survival (90.5 ± 7.6%), daily weight gain (14.7 ± 1.1 mg/day), and apparent feed intake (0.67 ± 0.03 g of feed per stocked shrimp) were unaffected by dietary treatment. The highest gained yield (791 ± 52 and 776 ± 38 g/m3) and final BW (621 ± 7.2 and 632 ± 7.2 mg) were attained when FML was replaced for BSFLM at 50 and 75% with the lowest at 0% (726 ± 34 g/m3 and 598 ± 8.1 mg, respectively). Shrimp fed diets with 0 and 100% replacement of FML exhibited the highest feed conversion ratio (1.25 ± 0.04 and 1.24 ± 0.08) compared to those fed a diet with 50% (1.16 ± 0.06). At a price of USD 2.00/kg, BSFLM demonstrated a favorable ROI (Return of Investment) when compared to FML, irrespective of the replacement level. With 25 and 50% replacement, BSFLM remained cost-competitive up to 3.50 USD/kg. At 75% FML replacement, there were no significant differences in ROI with a price range of 2.00 up to 3.04 USD/kg. At full replacement, ROI dropped significantly at a BSFLM price of 2.50 USD/kg and beyond. It can be concluded that FML can be fully replaced for BSFLM in well-balanced nursery diets for P. vannamei. While the full replacement of FML for BSFLM was successfully accomplished, the competitive ROI was sustained only when the price of BSFLM did not exceed 3.04 USD/kg at its dietary highest inclusion of 19.74%. Further research may be necessary to fine-tune cost-effective inclusion levels of BSFLM to optimize the economic outcomes while considering the fluctuating prices of FML.

A multicenter, prospective cohort study conducted in 5 physiotherapy clinics in the UAE from January 2021 to March 2023 to assess coronal lumbar spine radiographic parameters as a predictor of conservative therapy outcomes in patients suffering from low back and leg pain due to lumbar disc herniation (HNP). Ninety patients (mean age 44 yrs., 54% male) with lumbar HNP underwent conservative therapy. All participants received lumbar spine MRI and radiography to assess spine alignment. Interventions included specific exercises, diathermy, traction, education, a home-based exercise pro-gram, and medications. Detailed demographic data was collected. Follow-up was 6-months after discharge. A successful outcome was based on a minimum of the following four outcomes: (1) reduction of pain by 17.5 points (0–100 NRS); (2) fatigue reduction by 7.5 points; (3) distress reduction by 5 points; and (4) interference reduction by 9.5 points. At 6-month follow-up it was found that patient age, education, and radio-graphic determined lumbosacral angle measures significantly affected the odds of a successful outcome. Increasing age 1-year significantly decreased the odds of success of improving pain, fatigue (OR = 0.85, p = 0.016) and interference scores (OR = 0.89, p = 0.042) by 15%, 15%, and 11% respectively. Lower education significantly increased the odds of success for improving pain, fatigue, and interference by 26.18, 26.18, and 7.5 (p = 0.006, = 0.006, and = 0.029 respectively). Increasing (worsening) the radiographic lumbosacral angle by each 1° significantly reduced the odds of success for improving pain, fatigue, distress, and interference by 3.52, 3.52, 27.99, and 2.55, respectively (p < 0.001, < 0.001, = 0.003, = 0.001). Our findings indicate that younger age, less education, and better coronal radiological lumbar spine alignment all had a substantial impact on the likelihood of success of 6-month outcomes in patients suffering from chronic lower back pain and radiculopathy due to HNP.

In this work, the author employs the quantum hydrodynamic formalism to achieve the geometrization of spacetime for describing the gravitational interaction within the framework of quantum theory. This approach allows for the development of an equation of gravity that is mathematically connected to the fermion and boson fields. This achievement is accomplished by incorporating two fundamental principles: covariance of the quantum field equations and the principle of least action. By considering these principles, a theory is established that enables the calculation of gravitational corrections to Quantum Electrodynamics, and potentially, to the standard model of particle physics as well. The theory also provides an explanation for two phenomena: the existence of a cosmological pressure density similar to quintessence, that is compatible with the small value of the observed cosmological constant, and the breaking of matter-antimatter symmetry at high energies offering insights into why there is an imbalance between the two in the early universe. In the cosmological modeling of the theory, there exists a proposal to account for the formation of supermassive black holes that are accompanied by their own surrounding galaxies, without relying on the process of mass accretion. The model, in accordance with recent observations conducted by the James Webb Space Telescope, supports the notion that galactic configurations were established relatively early in the history of the universe, shortly after the occurrence of the Big Bang.

It is necessary to address the scarcity of crushed stones for pavement structural layers. So fly ash can be proved to be promising solution as more than 270 tonnes of fly ash is generated in India. Though, numerous research has been conducted for the use of fly ash intreated and untreated form, high volume of fine particles and brittleness of the stabilized fly ash pose a great problem for its use in subbase and base. Moreover, stiffness or modulus of stabilized fly ash is vital elastic parameter which is used for mechanistic pavement design. Hence, in this study an extensive experimental investigation is carried out to study its strength and stiffness properties such as compressive strength, indirect tensile strength and flexural strength, cyclic indirect tensile modulus and flexural modulus of fiber reinforced cement stabilized fly ash, stone dust, aggregate mixtures. The stone dust and aggregates have been added to enhance the gradation of the composite’s mixture. The study presents the effect of fiber on strength and stiffness properties. The experimental result reveals that addition of polypropylene (PP) fibers up to 0.25 wt.% enhances the compressive strength and any further addition of fiber results in decrease of the strength. However, indirect tensile strength and flexural strength increases with increase in fiber percentage up to 0.5 wt.%. Cement content is observed to be the dominant parameter for stabilized materials. Suitable relationships have been developed between strength and modulus parameters for stabilized mixtures. Based on the strength and stiffness study, 70% fly ash and 30% stone dust-aggregate and 60% fly ash and 40% stone dust-aggregate with 6% cement can be considered for the base layer. Based on the indirect tensile strength and flexural strength behavior, 0.35% is considered as the optimum fiber percentage.

Fly ash cement has rarely been used in Japan, mainly because its strength development is slower than ordinary Portland cement. In this research, the effect of the new fly ash cement with both high alite (C3S) cement and fly ash modified by electrostatic belt separation method on cracking resistance of precast concrete prepared by steam curing was studied. The mechanical and shrinkage properties of the proposed fly ash concrete were compared with those of concrete made using OPC cement without fly ash. In order to study the cracking tendency of precast concrete with the proposed fly ash cement, thermal stress analysis was conducted taking into consideration of the experimental data of concrete properties with the different concrete mix proportions. A standard precast concrete box culvert model was used in this 3D FEM analysis and the distribution of temperature and relative humidity in cross section and induced restraint stress during and after steam curing were discussed. Steam-cured concrete with fly ash and high alite cement developed higher compressive strength on the first day of age than concrete with OPC. The proposed fly ash concrete developed high cracking resistance in the early days. On the other hand, the results showed that the drying shrinkage at later ages was the main cause of cracking.

The research employs both literature and experimental data to develop reasonable strategies for melon fly control. The objects of research were sierozem soils of the Zhanakorgan region (Kyzylorda region), bentonite clays of the Sauran region (Turkestan region), vermicompost obtained at the production site of the Research Institute "Ecology" at the International Kazakh-Turkish University named after Khoja Ahmed Yasawi. The competitive agent 'Vermiserbent' was developed by combining sulphur-perlite-containing waste (SPCW), vermicompost (VC), and natural bentonite clay. When incorporated into the soil, it serves as both an insecticide and a fertiliser recovery agent. Disinfection and enrichment of barren Sierozem soils in southern Kazakhstan could provide an eco-friendly approach to protect cucurbits (melon, watermelon, and pumpkin) against the melon fly. The average yield of watermelon treated with vermiserbent increased by 2.3 t/ha compared to the control, melon by 4.6 t/ha, pumpkin by 5.6 t/ha. The marketability of gourds as watermelons and melon after treatment with fertilizer increased by 1.2 times, and pumpkin by 1.1 times. The findings of studies conducted in agricultural fields in the Turkestan and Kyzylorda regions have shown that it is possible to produce environmentally sound gourds using a mixture of vermicompost, bentonite, and SPCW.

Background: Spinal pain is highly prevalent and in Spain it produces a very high economic cost and the scientific evidence supporting treatments shows low to moderate evidence for exercise. Therefore, the aim of this study was to assess the effectiveness of a therapeutic group exercise protocol in reducing pain intensity and disability in patients with spinal pain in primary health care setting. Methods: A total sample of 149 patients who suffered from chronic non-specific spinal pain. Patients received a therapeutic exercise protocol, including exercises of auto-mobilization of the neck and lumbar regions, as well as core stabilization exercises. Pain intensity and disability were evaluated before and after the therapeutic exercise protocol. Results: Statistically significant differences (P&lt;0.05) were shown for pain intensity and disability of patients with neck and low back pain with an effect size from moderate to large. Conclusions: A therapeutic exercise protocol may provide beneficial effects on disability and pain intensity in patients with chronic non-specific spinal pain, including neck and low back pain conditions. Clinicians should consider the use of self-administered exercise protocols, demonstrate great effectiveness, and be less costly.

Modern agriculture requires technology to give precise measures about relevant parameters such as pest control. Here, we developed an algorithm model as base for bait spray intervention, by monitoring the olive fruit fly, Bactrocera oleae (Rossi), with conventional traps, in 24.3 Hectares of non-irrigated Baladi olive cultivars, in Hassbaya region. We installed 49 yellow sticky traps with ammonium bicarbonate. The adults, males and females were monitored, on weekly basis. The traps and the trees were georeferenced, and the parameters such as temperature, relative humidity, tree phenology (BBCH), and fruit load rate were compiled. The results showed that the infested fruits were correlated as much with the fruit load rate as with the number of adults captures which were correlated more to the temperature than the relative humidity. The number of the males captured was higher than the females all over the cultivation period. The first symptoms of the fruits were observed from 22 September when the BBCH was equal to 85%, with an average of adult captures lesser than 5 adults by trap by 7 days.

Blasting pattern optimization is an attempt to optimize blast design parameters aiming to achieve optimum fragmentation, reduce mining operating costs as well as environmental side consequences. The present study aims to propose a multi-objective optimization model, employing artificial intelligence and metaheuristics, to simultaneously minimize the mine-to-crusher operating costs and the impact of blasting consequences including fly-rock and back-break. To achieve the purpose of the study, a multi-variable regression model was developed to model total costs from drilling to crushing. In addition to the costs, multilayer perception neural networks were implemented to predict the blast-induced back-break and fly-rock as a function of collected variables such as number of holes, hole length, burden, spacing, hole slope, stemming, blasted rock per hole, powder factor, and charge per delay. High-precise estimations for both back-break and fly-rock were achieved with the average of 99% coefficient of determination for train, test and validation data sets. Then, the developed regression model and the neural networks were used in an optimization framework, employing Grasshopper algorithm, to find the optimum blast design satisfying practical constraints. The proposed model was tested on a lead-zinc open-pit mine, where 1032 blasting patterns were recorded and analyzed. The results of the optimization model provide a Pareto set of solutions, such that any of these solutions can be implemented according to the strategy of the mining operation management team. The blast pattern with the lowest cost, result in a relatively high fly-rock and back-break, while the pattern with low fly-rock and back-break raises the cost by 20.13 % compared the minimum cost blast design.

Municipal solid waste incineration fly ash (MSWI FA) predominantly consists of compounds comprising elements such as calcium, aluminum, silicon, sodium, and others. Additionally, it encompasses a complex mixture of heavy metals, chlorides, sulfates, organic pollutants, and other constituents. The effective and economically viable treatment of MSWI FA poses a formidable challenge for the current stage of resource cycling. In this research report, we will adopt a novel low-temperature sintering method called "Cold Sintering Process" (CSP) as a means to immobilize heavy metals within the fly ash. By utilizing a Taguchi orthogonal array, we will adjust five control factors in the CSP, including sintering temperature, uniaxial pressure, sintering time, initial water addition, and sodium carbonate dosage. The leaching of cadmium element from the fly ash, as measured by TCLP, will serve as the quality indicator. Through the application of CSP, the MSWI FA will be transformed into structurally stable ceramic blocks, effectively immobilizing the heavy metals within the blocks. The results of the experiments showed that MSWI FA under the conditions of a temperature of 300℃, uniaxial pressure of 312 MPa, sintering time in 60 minutes, 25 wt% water addition, and 9 wt% Na2CO3 addition could effectively reduce the leaching of cadmium by 77.71%, lead by 21.14%, zinc by 42.37%, and chromium by 99.99%, as compared to the original MSWI FA TCLP results.

This study investigates the cyclic load application impact on fly ash-based geopolymer composites that are reinforced with a low amount of fibre reinforcement. For reinforcement purposes, PVA and steel fibres are used. For testing purposes, four geopolymer composite mixes were made, 3 of which had fibre reinforcement. Simultaneously specimens were tested for shrinkage, static load-induced creep, and cyclic load-induced creep. For static and cyclic creep testing, specimens were loaded with 20% of their strength. For cyclic creep testing, load application and release cycles were seven days long. When each cycle was introduced, the load was added in steps. In 5 minutes, by 25% steps of the necessary load, the specimens were loaded or unloaded. Only plain specimens show that static creep strains are within cyclic creep strains. For all the other specimens, the static load is higher than the cyclic load-induced creep amplitude. Also, 1% PVA fibre-reinforced specimens show the most elastic characteristics under cyclic load, and 1% steel fibre-reinforced specimens appear to be the most resistant to the cyclic load introduction.

Low back pain (LBP) is a common musculoskeletal complaint that can impede physical function and mobility. Current management often involves pain medication, but there is a need for non-pharmacological and non-invasive interventions. Soft tissue manipulation (STM) such as massage has been shown to be effective in human subjects, but the molecular mechanisms underlying these findings are not well understood. In this paper, we evaluated potential changes in soft tissue levels of more than thirty pro- or anti-inflammatory cytokines following instrument-assisted STM (IASTM) in rats with chronic, induced LBP using Complete Freund’s Adjuvant. Our results indicate that IASTM is associated with reduced soft tissue levels of RANTES/CCL5 and increased soft tissue levels of IL-4, which are pro-inflammatory and anti-inflammatory factors, respectively, by 120 minutes post-treatment. IASTM was not associated with tissue-level changes in CXCL5/LIX (the murine homologue of IL-8), CXCL7, GM-CSF ICAM-1, IL1-ra, IL-6, IP-10/CXCL10, L-selectin, TNF-α, or VEGF at either 30- or 120 minutes post-treatment. Combined, our findings suggest that IASTM exerts tissue-level effects that are associated with improved clinical outcomes and potentially beneficial changes in pro/anti-inflammatory cytokines in circulation and at the tissue level.

The texture properties of cooked rice are a dominant property which can indicate the eating quality. Evaluation of back extrusion (BE) test precision and sensitivity for cooked germinated brown rice (GBR) texture in production process was investigated in this study. BE test on texture properties of cooked GBR rice show high precision of measurement of hardness, toughness and stickiness tests which indicated by the repeatability and reproductivity test but the sensitivity indicated by coefficient of variation of the texture properties. The findings of the study of the effect of different soaking and aging duration in the production of Khao Dawk Mali 105 (KDML 105) GBR on cooked GBR texture measured by BE test confirmed the developed protocol for evaluation of high precision and sensitivity of the texture measurement method. Repeatability and reproducibility of reliable measurements have a low standard deviation of the farthest different between replicates, which is considered high precision. High coefficient of variation where the relative wide variation of the absolute value of the property can be detected indicate high sensitivity which even small resolution can be detected or vice versa. But the correlation coefficient among the texture properties by BE were not related to the precision or sensitivity of the test. By these results, the original protocol for determination of precision and sensitivity of food texture measurement was successfully verified as the usable evaluation protocol for GBR texture measurement.

The use of cemented aeolian sand-fly ash backfill (CAFB) material to fill the mining area to improve the surface subsidence damage caused by underground coal mining is in the development stage. Their performance with large overflow water and strength loss is not well understood. Few research has been conducted to understand the effects of aeolian sand and coal gangue on the rheological properties of CAFB with plasticizers. Therefore, the aim of this study is to investigate the effects of a plasticizer on the rheological properties, specifically yield stress and viscosity, of CAFB prepared with aeolian sand and coal gangue. CAFB mixes containing 0%, 0.05%, and 0.1% plasticizer were prepared, and yield stress and viscosity were determined at different time intervals over the period. Additional tests, such as thermal analysis and zeta potential analysis were also conducted. It was found that the rheological properties of CAFB is the comprehensive manifestation of the composite characteristics of various models. Reasonable particle size distribution and less amount of plasticizer can ensure the stability of slurry structure, reduce the slurry settlement and the risk of pipe blocking. The findings of this study will be beneficial in the design and production of CAFB material.

Road intersections are made of asphalt pavement, a popular road surface material used worldwide. The pavement may suffer deformities and deterioration, resulting in higher maintenance expenses and an elevated likelihood of road accidents, due to factors such as heavy vehicles and environmental variables like temperature and rainfall. To tackle these obstacles, researchers have devised several machine-learning algorithms and optimization techniques. These tools aim to forecast and scrutinize pavement deformation, with the goal of refining pavement design and maintenance approaches, as well as obtaining a more comprehensive comprehension of the factors that impact pavement effectiveness. This paper shows that heavy vehicles contribute significantly more to road erosion, and the retention and braking of vehicles greatly impact roadways. We also emphasize the statistical errors computed on the actual data range and demonstrate the results of the multilayer perceptron (MLP) model. The MLP model used the lath erosion standard to simulate future impact. Even though the model given is based on a small sample of data from one intersection, its estimates for road erosion in a year were found to be accurate when contrasted to real data. Controlling traffic flow can significantly improve road conditions, reducing erosion decay by reducing the time spent at intersections and other parameters. We conclude that machine learning can help control traffic flow, which can significantly improve road conditions, reducing vehicle time stretches at intersections.

Background: Chronic non-specific low back pain (CNSLBP) is defined as back pain that lasts longer than 12 weeks. Objectives: To investigate the efficacy of manual therapy (MT) program combined with Capacitive and Resistive Electric Transfer (TECAR) therapy in individuals with CNSLBP. Method: Sixty adults with CNSLBP were randomly equally divided into three groups. The first group followed an MT protocol in the lumbar region (MT group), the second group followed the same MT protocol combined with TECAR therapy (MT + TECAR group) using a conventional capacitive electrode as well as a special resistive electrode bracelet and the third group (Control group) received no treatment. Both intervention programs included six treatments over two weeks. Pain in the last 24 hours with the Numeric Pain Rating Scale (NPRS), functional ability with the Roland-Morris Disability Questionnaire (RMDQ), Pressure Pain Threshold (PPT) in the lumbar region with pressure algometry, and mobility of the lumbo-pelvic region through fingertip-to-floor distance (FFD) test were evaluated before and after the intervention period with a one-month follow-up. Analysis of variance with repeated measures was applied. Results: In the NPRS score, both intervention groups showed statistically significant differences compared to the control group both in the second week as well as in the one-month follow-up (p < .001). Between-groups differences were also noticed between the two intervention groups in the second week (p < .05). Differences in the RMDQ score in the second week and on the one-month follow-up were detected between the intervention groups and the control group (p < .001), while differences between the two intervention groups were only detected in the one-month follow-up (p < .001). Regarding the PPT values, differences were found mainly between the MT + TECAR and the control group and between the MT + TECAR and the MT group (p < .05), with the MT + TECAR group in most cases showing the greatest improvement compared to the other two groups, which remained statistically significant in the one-month follow-up (p < .05). Finally, both intervention groups improved the mobility of the lumbo-pelvic region in both time points compared to the control group without, however, statistically significant differences between them (p> .05). Conclusion: The application of an MT protocol with TECAR therapy appeared more effective than conventional MT as well as compared to the control group in reducing pain and disability and improving PPT in individuals with CNSLBP. No further improvement was noted in mobility of the lumbo-pelvic region by adding TECAR to the MT intervention.

Background and Objectives: The relevance of red flags in serious spinal pathology (SSP) evolved throughout the last years. Recently, new considerations have been proposed to expand the consideration of red flags. The purpose of this study was to determine, approve and test a model for the triage and manage-ment process of SSP based on the latest data available in the literature. Materials and Methods: The SSP model was initially built on the basis of a literature re-view. The model was further determined and approved by an expert panel us-ing a Delphi process. Finally, clinical scenario were used to test the applicabil-ity of the model. Results: After three rounds of Delphi process, panellists reached a consensus on a final version of the model. The use of clinical scenari-os by experts bring about reflexive elements both on the determined model and on the evocative SSP of the clinical cases. Conclusions: The validation of the model and its implementation in the clinical field could help assess the skills of first-line practitioners managing spinal painful patients. To this end, the devel-opment of additional clinical scenarios fitting with the determined model should be further considered.

Benign design of alkali-activated slag/FA geopolymer paste has intriguing increasing attention for optimizing its service performance. Therefore, the replacement of fly ash (FA) with 10 wt% silica fume (SF) is investigated by mechanical strength after freeze-thawing cycles and microstructure characterization. The results show that an appropriate dosage (30 wt%) of slag is necessary to attain alkali-activated slag/FA geopolymer paste with excellent mechanical performance, and the SF/slag/FA (SF: slag: FA= 10:30:60, wt%) geopolymer paste exerts the compressive and flexural strength of 95.2 and 3.2 MPa, respectively. Meanwhile, the doped 10 wt% SF facilitates the propagation of (N, C)-A–S–H chains, rather than the formation of C-S-H gels, evidenced by the absent exothermic peak at about 861oC from the differential scanning calorimetry (DSC) curves, leading to the increases in the pores volume with a pore diameter<20 nm and tortuosity by mercury intrusion porosimeter (MIP) results, corresponding to an improved freezing-thawing resistance with the residual compressive strength of 52.8 MPa and the weight loss of 10.5% after 300 freeze-thawing cycles. It explores a cost-effective and benign facile approach to designing heating curing-free alkali-activated slag/FA geopolymer paste with good freezing-thawing resistance.

An attempt to investigate the effect of binary composite activators on the microstructure of fly ash-based geopolymers is conducted through the comparison of 24 experiments, which consisted of Na2SiO3•9H2O, Na2CO3, K2CO3, NaOH, and KOH through a facile preparation technique. The results show that the activator of Na2SiO3•9H2O+KOH presents the highest mechanical strength, due to the synergy activation between the inherent ≡Si-O-Si≡ chains derived from Na2SiO3 and K+’s catalysis. It reveals that the K+ plays a crucial role in Na2SiO3-activated fly ash geopolymer, which is the rate-determining step of the enhanced crosslinking and propagation of N-(C)-A-S-H chains, leading to an increase in weight loss temperatures of specimens from TG/DTG results. Furthermore, the adding silica fume facilitates as-formed amorphous silicates, which also could fill into the pores of N-(C)-A-S-H amorphous gels and present a uniform and compact morphology, leading to an increase in the pore volume of the pore diameter less than 100 nm. It explores an efficient and cost-effective preparation of fly ash-based geopolymer for developing solid-waste recycling techniques.

The fireproof design of geopolymer has intriguing increasing attention by adjusting multi-component metallurgical solid wastes, due to its low-carbon emission, cost-effectiveness, and environmental conservation. Herein, the effects of silica fume (SF) on the microstructure and mechanical properties of alkali-activated slag/FA (fly ash) pastes subjected to elevated temperatures (150, 500, 850, and 1200℃) are investigated, to clarify the fact that whether or not the SF generates positive roles in mechanical strength of slag/FA (slag: FA=30:70, wt.%) geopolymers during building fires. The results show that the replacement of FA with 10 wt% SF (silica fume) promotes the increasing pore volume with a diameter of 0.2~3 μm, leading to an increase in the compressive or flexural strength below 850℃, “right shifts” of the endothermic peak, appearing uniform and compact fracture surfaces. Meanwhile, the gehlenite and labradorite generate after exposure above 850℃. While the bloating effect of the SF-containing sample occurs at 1200℃, leading to a greater deformation, due to the further restructuring of the amorphous geopolymer chain N-A-S-H or N-(Ca)-A-S-H composed from the [SiO4]4− and [AlO4]5−. It explores an effective approach for improving geopolymer’s fireproof performance by adjusting the solid-waste formulation.

Low back pain (LBP) is a health problem that affects 70-80% of the population in Western countries. Because of the biomechanical relationship between the lumbar region and the hip, it is thought that strengthening the muscles of this joint could improve the symptoms of people with LBP. The objective of the study is to evaluate the current evidence on the efficacy of hip strengthening exercises to reduce pain and disability in people with LBP. Clinical trials were collected from PubMed, PEDro, and Scopus databases published up to September 2022. Based on Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines and using CASpe and PEDro tools for methodological quality assessment, we selected studies that included hip strengthening exercises as part of LBP treatment and measured pain and/or disability parameters. Among the 966 records identified in the search, a total of 7 studies met the established selection criteria. Overall, participants who performed hip strengthening exercises had significantly improved in pain and disability. The methodological quality of the included studies was assessed as “good”. In conclusion, the addition of hip muscle strengthening exercises iterating LBP effectively improving pain and disability.

Objective: This systematic review and meta-analysis compared the patient-reported outcomes of intra-articular facet joint injections of normal saline and selected active substances to identify a more effective agent for treating subacute and chronic low back pain (LBP). Methods: The PubMed, Embase, Scopus, Web of Science, and CENTRAL databases were searched for randomized controlled trials and observational studies published in English. A research quality assessment was performed using ROB2 and ROBINS-I. A meta-analysis was conducted using a random-effects model, and the mean differences (MD) with 95% confidence intervals (CI) in efficacy outcomes, including pain, numbness, disability, and quality of life, were assessed. Results: Of the 2,467 potential studies, three were included (247 patients). The active substances and normal saline had similar therapeutic effects on pain within 1 h, after 1-1.5 months, and after 3-6 months, with MD and 95% CI of 2.43 and -11.61 to 16.50, -0.63 and -7.97 to 6.72, and 1.90 and -16.03 to 19.83, respectively, as well as the quality of life after 1 and 6 months. Conclusion: The short- and long-term clinical effects of intra-articular facet joint injections of normal saline are comparable to those of other active substances in patients with LBP.

Samples of mortar mixtures were prepared substituting the cement Portland (CPC-30R) by 0 (standard), 10 and 15% of fly ash and the structural evolution and compressive strength at 3, 7, 14 and 28 days were determined. The results for standard mortar samples showed the mineralogi-cal species portlandite, calcite, ettringite, iron oxide, silicon oxide and sillimanite. Magnetite was identified in the mixtures of mortars with portland cement substitution by 10% and 15% fly ash. The peaks corresponding to the portlandite, and ettringite showed an increase in their intensities with increasing curing time attributed to the consolidation of mineral species. The SEM tech-nique results showed that the mortar samples without fly ash addition contained mainly port-landite and ettringite while the samples with cement substitution by 10 and 15% of fly ash at 28 days further contained particles of fly ash coated with portlandite and ettringite, particles with a smooth surface and particles of fly ash with signs of attack on its surface. An increase inc was observed when the age of the mortar and the substitution of Portland cement by fly ash were increased from 3 to 28 days and from 0 to 15% respectively. The maximum value of c was reg-istered for the mortar sample with Portland cement substitution by 15% fly ash at 28 days of curing with 17.38 Mpa.

As traditional supply chains face increasingly severe environmental issues and countries promote green development and sustainable development policy concepts, cultivating green supply chain operation models is gradually being highly valued by current governments and enterprises. Generally speaking, the production of green products incurs higher additional costs and thus their total production costs also increase. In this work, the product green level is related to the random demand. Under the green supply chain buy-back contract with the green product R&amp;D cost sharing between the manufacturer and the retailer, both the product green level and the order quantity need to be decided to maximize the channel profit. In order to coordinate the green supply chain, the manufacturer needs to share both the risk of good salvage and the green product R&amp;D cost with the retailer. We find that both the wholesale price and buy-back price increase in the manufacturer’s proposition of the green product R&amp;D cost, but decrease in emission reduction efficiency coefficient or carbon trading price. In addition, the product green level, the optimal order quantity and the channel profit increase in emission reduction efficiency coefficient, but decrease in the R&amp;D cost coefficient of the product green level. Interestingly, we find that if the carbon trading price is low, the manufacturer will set a low product green level and the product carbon emission trading is a cost for the supply chain. The increment of the carbon trading price leads to a higher cost such that the channel profit is decreased. However, if the carbon trading price is high, the manufacturer will set a high product green level and the product carbon emission trading is a revenue for the supply chain. The increment of the carbon trading price leads to a higher revenue such that the channel profit is increased.

The core of eLoran ground-based timing navigation system is the accurate measurement of groundwave propagation delay. However, meteorological changes will disturb the conductive characteristic factors along the groundwave propagation path, especially for complex terrestrial propagation environment, and may even lead to microsecond-level propagation delay fluctuation, seriously affecting the timing accuracy of the system. Aiming at this problem, this paper proposes a propagation delay prediction model based on Back-Propagation neural network (BPNN) for complex meteorological environment, which realizes the function of directly mapping propaga-tion delay fluctuation through meteorological factors. Firstly, the theoretical influence of meteoro-logical factors on each component of propagation delay is analyzed based on calculation parame-ters. Then, through the correlation analysis of the measured data, the complex relationship be-tween the seven main meteorological factors and the propagation delay, as well as their regional differences are demonstrated. Finally, a BPNN prediction model considering regional changes of multiple meteorological factors is proposed, and the validity of the model is verified by long-term collected data. Experimental results show that the proposed model can effectively predict the propagation delay fluctuation in the next few days, and its overall performance is significantly improved compared with the existing linear model and simple neural network model. eLoran; meteorological factor; propagation delay prediction model; Back-Propagation neural network;

Circular RNAs (circRNAs) served as covalently closed single-stranded RNAs have been proposed to influence plant development and stress resistance. Grapevine is the most economically valuable fruit crops cultivated worldwide and threaten by various abiotic stresses. Herein, we reported that a circRNA (Vv-circPTCD1) processed from the second exon of a pentatricopeptide repeat family gene PTCD1 was preferentially expressed in leaves and responded to salt and drought but not heat stress in grapevine. Additionally, the second exon sequence of PTCD1 was highly conserved but the biogenesis of Vv-circPTCD1 is species-dependent in plants. It was further found that the overexpressed Vv-circPTCD1 can slightly decreased abundance of the cognate host gene and the neighboring genes were barely affected in grapevine callus. Furthermore, we also successfully overexpressed the Vv-circPTCD1, and found that the Vv-circPTCD1 deteriorated the growth during heat, salt, and drought stresses in Arabidopsis. However, the biological effects on grapevine callus were not always consistent with that of Arabidopsis. Interestingly, we found that the transgenic plants of linear counterpart sequence also conferred the same phenotypes as that of circRNA during the three stress conditions, no matter what species. Those results imply that although the sequences are conserved, the biogenesis and functions of Vv-circPTCD1 are species-dependent. Our results indicate that the plant circRNA function investigation should be conducted in homologous species, which support valuable reference for further plant circRNA studies.

Recycling of metallurgical solid waste has intriguing increasing attention for fabricating cementitious materials, due to its low-carbon emission, cost-effectiveness, and environmental conservation. Herein, the effects of silica fume (SF) on the microstructure and mechanical properties of alkali-activated slag/FA (fly ash) pastes subjected to elevated temperatures (150, 500, 850, and 1200℃) are investigated, to clarify the fact that whether or not the SF generates positive roles in mechanical properties of slag/FA geopolymers. The results show that the replacement with 10 wt% SF (silica fume) promotes the increasing pore volume with a diameter of 0.2~3 μm at room temperature, leading to an increase in the compressive or flexural strength, “right shifts” of endothermic peak and the initial-final temperature of mass loss, presenting a denser and compact fracture surface. Meanwhile, the mineral phase of gehlenite and labradorite emerges after exposure above 850℃ from the XRD results. Furthermore, the bloating effect of the incorporated SF occurs due to the formation of a liquid phase altogether with the amorphous silicates after exposure to 1200℃, leading to a greater deformation and enhancement of restructuring involved in the [SiO4]4− and [AlO4]5−. It explores an effective recycling approach for fabricating paste binders using metallurgical solid wastes.

Background: Sleeping Sickness, Human African Trypanosomiasis (HAT) is a vector- borne disease caused by Trypanosoma brucei (T.b). Sleeping sickness in Ethiopia was reported in 1967 for the first time. Recently in Southern parts of Ethiopia, in August 2022, five (5) cases of sleeping sickness (T. b. rhodesiense) were confirmed. Following this outbreak, the current investigation was aimed to identify the entomological and epidemiological drivers for the reemergence of HAT outbreak and recommend appropriate interventions. Methods: A cross sectional study design with descriptive data analysis was used. Tsetse fly collection and blood samples from cattle animals were taken. NGU and bio-conical traps were used to determine the distribution (density and abundance) of the vector. About 10μl of blood was collected from the marginal ear vein of 301 cattle animals using the heparinized microhematocrit capillary. The parasite detection was carried out through vector dissection under binocular stereo-microscope (magnification of 60X) and microscopic examination from serum of Animals using the Buffy coat method. Results: A total of 329 tsetse flies were captured and identified to Glosina (G.) pallidipes 259 (60.4%) and Glossina fuscipes 70 (16.3%). 188 (51.1%) of tsetse flies were collected from Dembagofa with 94 apparent density. Among all captured Tsetse flies, 39 (11.8%) of Tsetse were fed with high female apparent density in each ecological variation: wood land (51), Bush land (20) and grassland (11). Overall, the apparent density of tsetse fly was high in Wood land (93): G. pallidipes (76.5) and Bush land (36.5). Among all examined cattles for the presence of parasite, 9 cattles were detected positive with an overall prevalence of 3%. T. congolense 6 (2%) and T. vivax 1 (0.3%) with 2 (0.7%) suspected brucei. The parasite prevalence Trypanosoma was 4 (4.6%) in poor body condition (Bcs) cattle. The animals in the age range 5 - 9 years were infected high with 7 (5.3%) prevalence. Conclusion: The current study revealed that there are high-risk factors that predispose the community to Human African Trypanosomiasis (HAT) due to the presence of two different species of Tsetse flies and many animal reservoirs. The transmissions of Human African trypanosomiasis (HAT) are related to environmental, Vector, and human factors. Further geographically expanded investigation should be conducted throughout the country.

With widespread resistance to a limited number of insecticides available for medical and veterinary pests, new insecticides and insecticide synergists are desperately needed in this market space. We assessed the topical toxicity of carvone, menthone, and fenchone compared to permethrin and methomyl against the yellow fever mosquito, Aedes aegypti, and the house fly, Musca domestica. We also evaluated the synergistic potential of the monoterpenoids with permethrin and methomyl. Additionally, we assessed the acetylcholinesterase inhibitory potential of each monoterpenoid compared to methomyl. While all three monoterpenoids performed relatively poorly as topical insecticides (LD50 > 4000 ng/mg on M. domestica; > 6000 ng/mg on Ae. aegypti), they synergized both permethrin and methomyl as well as or better than piperonyl butoxide (PBO). Carvone and menthone yielded synergistic co-toxicity factors (23 and 29, respectively), which were each higher than PBO at 24 h. Acetylcholinesterase inhibition did not appear to explain the toxic or synergistic effects of the three monoterpenoids with IC50 values greater than 1 mM for all, compared to the 2.5 and 1.7 µM for methomyl on Aedes aegypti and Musca domestica, respectively. This study provides valuable monoterpenoid toxicity and synergism data on two pestiferous insects and highlights potential for these chemistries in future pest control formulations.

We present a simplified computational rule for the back-propagation formulas for artificial neural networks. In this work, we provide a generic two-step rule for the back-propagation algorithm in matrix notation. Moreover, this rule incorporates both the forward and backward phases of the computations involved in the learning process. Specifically, this recursively computing rule permits the propagation of the changes to all synaptic weights in the network, layer by layer, efficiently. In particular, we use this rule to compute both the up and down partial derivatives of the cost function of all the connections feeding into the output layer.

Abstract: Sand-cement bound screed floor layers are at risk for work-related low back pain, lumbosacral radicular syndrome and knee osteoarthritis given their working technique of level-ling screed with their trunk bended and mainly supported by their hands and knees. To reduce the exposure of the physical demands of bending of the trunk and kneeling, a manually moved screed levelling machine was developed for floor layers in the Netherlands. The aim of this pa-per is to estimate the potential health gain of the manually moved screed levelling machine on the risk of low back pain (LBP), lumbosacral radicular syndrome (LRS) and knee osteoarthritis (KOA) compared to the traditional working technique. The potential health gain was assessed using the epidemiological population estimates of the Population Attributable Fraction (PAF) and the Potential Impact Fraction (PIF) combined with work-related risk estimates for these three disorders from systematic reviews. The percentage of workers exceeding these risk esti-mates was based on worksite observations among in total 28 floor layers. For LBP, 16/18 work-ers were at risk using the traditional working technique with PAF=38%, and for the manually moved screed levelling machine this was 6/10 with PIF=13%. For LRS, these data were 16/18 with PAF=55% and 14/18 with PIF=18% and for KOA, 8/10 with PAF=35% and 2/10 with PIF=26%. A manually moved screed levelling machine might have a significant impact on the prevention of LBP, LRS and KOA among floor layers in the Netherlands and a health impact assessment is a feasible approach to assess health gains in an efficient way.

Supplementary cementitious materials (SCMs) are increasingly used in precast concrete industry to enhance concrete strength and durability. SCMs of large market share in precast concrete in-dustry include silica fume, also known as micro-silica and class C fly ash. The main objective of this research is to develop non-proprietary high strength concrete mixes for precast/prestressed concrete industry. Two SCMs are used simultaneously in partial replacement of portland cement to develop ternary mixes. Class c fly ash and silica fume incorporation in the mix design, in ad-dition to low water-to-powder ratio resulted in the successful development of high strength mixes with minimum 24-hour strength in excess of 70 MPa and a final compressive strength ex-ceeding 100 MPa at 28 days. Mechanical properties testing of developed concrete mixes showed that SCMs incorporation resulted in increased values for hardened concrete modulus of elasticity (MoE) and modulus of rupture (MoR). The enhanced concrete properties, mainly high early strength, are highly required in precast concrete industry as it allows for increased productivity of precast facilities and the possibility of pouring high strength slender sections for prestressed concrete applications

Currently, there is increasing industrial demand for rare earth elements (REE) as these elements are now integral to the manufacture of many carbon-neutral technologies. The depleting REE ores and increasing mining costs are prompting to look for alternative sources for these valuable metals, particularly from waste streams. Although REE concentrations in most of the alternate resources are lower than current REE ores, some sources such as marine sediments, coal ash, and industrial wastes like red mud are looking promising with significant concentrations of REE in them. This review focuses on the alternative resources for REE such as ocean bottom sediments, continental shelf sediments, river sediments, stream sediments, lake sediments, phosphorites deposits, industrial waste products like red mud, and phosphogypsum, coal, coal fly ash, and related materials, waste rock sources from old and closed mines, acid mine drainage, and recycling of e-waste. Possible future Moon exploration and mining for REE and other valuable minerals are also discussed. It is evident that REE extractions from both primary and secondary ores alone are not adequate to meet the current demand, and sustainable REE recovery from the alternative resources described here is also necessary to meet the growing REE demand. An attempt is made to identify the potential of these alternative resources and sustainability challenges, benefits, and possible environmental hazards to meet the growing challenges in meeting the future REE requirements.

This paper discusses the use of fly ash in concrete construction industry. Fly ash is incorporated as a supplementary cementitious material (SCM) in ordinary Portland cement (OPC) concrete in partial replacement of cement, and is recently used as a geopolymer cement in the development of geopolymer concrete (GPC) mixes. Class C and Class F fly ash high aluminosilicate content, and fine granular size contributes to concrete improved workability, lower permeability, and reduced heat of cement hydration. Due to its chemical properties, the use of fly ash in producing OPC and GPC results in increased compressive strength, higher tensile strength evaluated by measuring hardened concrete modulus of rupture (MOR), and higher modulus of elasticity (MOE). The fine size of fly ash particles increases the concrete mix packing order, and reduce the ingress of moisture, and mitigates the impact of aggressive environmental attacks through the reduction of sulfates and chlorides rate of concrete penetration. Thus, fly ash improves concrete resistivity to alkali-aggregate reactions (AAR), and reduces the corrosion of reinforcing steel, and prestressing strands. Fly ash as an economic byproduct of coal industry results in reduced material cost, increased durability, and a higher sustainability of concrete construction projects.

The effect of defatted Hermetia illucens meal (HIM) dietary inclusion on growth performance, stress indicators and gut histological traits of Sparus aurata was studied. For 131 days, 312 fish were fed with one basal diet, containing fish meal as animal protein source, and three diets containing 25%, 35% and 50% HIM as a partial replacement for fishmeal. On all fish (26 fish per tank, 3 replicate tanks per diet, 78 fish per diet) the growth performance were calculated. At the end of the trial, on a subsample of 72 specimens (6 fish per tank, 3 replicate tanks per diet, 18 fish per diet), stress parameters were determined on blood samples and gut histological tract investigated. Insect meal inclusion did not affect (p > 0.05) growth performance, blood parameters, length and width of villi and goblet cell count of the posterior gut tract while, those of the anterior gut tract while increased (p < 0.05). The histological examination of the intestinal sections showed in fish fed the HIM25 and HIM50 diets, more frequent and evident morphological changes; instead, there were no substantial differences between HIM0 and HIM35 groups. In conclusion, the HIM35 was the most tolerated formulation by fish.

The solid particle erosion at room and elevated temperatures of pure and filled hot-curing epoxy resin on anhydride hardener was experimentally tested using accelerated method on special bench. Micro-sized dispersed industrial wastes were used as fillers: fly-ash from a power plant and spent filling material from a copper mining and processing plant. The results showed that the unfilled resin wear significantly decreases with increasing temperature, while the dependence on the temperature of the wear intensity at an impingement angle of 45o is linear inversely proportional, and at an angle of 90o non-linear. The decrease in wear intensity is probably due to an increase in elasticity (an increase in the fracture strain limit) because of heating. Solid particle erosion of the examined filled epoxy compounds is considerably higher than that of unfilled compounds at impingement angles of 90o and 45o. Filled compounds showed ambiguous dependences of intensity of wear from temperature (especially at an angle of attack 45o), probably, character of dependence is defined by a filler share and the structural features of the samples caused by distribution of particles of the filler. Intensity of wear of the considered compounds at impingement angles 90o and 45o has high direct correlation with density and the modulus of elasticity (i.e., increases with their increase), and low correlation with bending strength of the considered materials. The data set for determining the correlation between mechanical properties and wear included characteristics due to both compound filling and test temperature.

Background: The thoracolumbar fascia (TLF) is thought to play a role in the development of LBP, but it is not yet clear which factor of TLF changes is a cause and which is an effect. Therefore, some studies used the cross-correlation function (CCR) to reveal time-dependent relationships between biomechanical and neuromotor factors. Methods: Ten patients with acute low back pain (aLBP) were matched to healthy controls. Simultaneous recording of surface electromyography (sEMG) of the erector spinae muscle (ES) and dynamic ultrasound (US) images of TLF deformation were performed during trunk extension. CCR functions and Granger causality were used to describe the relationship between the two measures. Results: CCR time lags were significant higher in the aLBP group (p = 0.04). Granger causality (GC) showed a direct effect of TLF deformation on ES activation only in the aLBP group (p &lt; 0.03). Conclusions: The results suggest that in aLBP, ES activity is significantly affected by TLF, whereas this relation-ship is completely random in healthy subjects studied with CCR and GC comparisons of dynamic US imaging and sEMG data signals. Fascia-related disturbances in neuromotor control, particularly due to altered muscle spindle functions, are suspected as a possible mechanism behind this.

Acute low back pain (LBP) stands as a leading cause of activity limitation and work absenteeism, and its associated healthcare expenditures are expected to become substantial when acute LBP develops into a chronic and even refractory condition. Therefore, early intervention is crucial to prevent progression to chronic pain whose management is particularly challenging and for which the most effective pharmacological therapy is still controversial. Current guideline treatment recommendations vary and are mostly driven by expertise with opinion differing across different interventions. Thus, it is difficult to formulate evidence-based guidance when relatively few randomized clinical trials did explore the diagnosis and management of LBP while employing different selection criteria, statistical analyses, and outcome measurements. This narrative review aims to provide a critical appraisal of current acute LBP management by discussing the unmet needs and areas of improvement from bench-to-bedside and proposes multimodal analgesia as the way forward to attain an effective and prolonged pain relief and functional recovery in patients with acute LBP.

The new climate law introduces a policy of sustainable construction, the assumption of which is the reduction of CO2 by the construction industry and the use of environmentally friendly materials, such as agricultural, mineral, and recycled waste, while limiting the consumption of natural resources. The article is a literature review that analyzes selected waste materials from various sectors of the economy that can be used as additives or partial substitutes for natural resources in the production of cement and in and cement building materials, the production of which reduces CO2 emissions, producing materials with high mechanical strength and environmentally friendly.

This paper deals with investigation of changes in geopolymer wettability with increasing mass fraction of high-carbon fly ash and surface treatment by cold atmospheric plasma (CAP). In this study, multiple samples of geopolymers were prepared, including those with 5% and 10% of high-carbon fly ash from coal-fired power station. Wettability of samples was then measured before and after plasma treatment, both on surface and cut surface. While addition of fly ash only had low effect on the wettability, as in most cases, it only lowered the initial contact angle without speeding up the speed of soaking for compact geopolymer and actually slowed the soaking for foamed geopolymer, plasma treatment had significant impact and made the geopolymer hydrophobic.

The present decade has witnessed numerous investigations focussed on the determination of the mechanical properties of Fly ash composites. These composites have attracted attention, especially in the form of reinforcements owing to their excellent tensile and compressive properties coupled with impact and hardness response. A number of techniques viz. in-situ deposition, hand-up lay and compo-casting techniques have been reported to fabricate these composites. However, in the context of these composites, a systematic structure-property correlation has not been established till date. The present review is aimed at highlighting the current state of research in the avenue of Fly ash composites from two different viewpoints, viz. (i) fabrication technique and (ii) mechanical properties of the fabricated composites. Moreover, the necessity of establishing systematic structure-property correlation in these materials has also been briefly discussed from the author’s viewpoint.

This article deals with the possibility of partial replacement of blast furnace slag with fly ash after denitrification by the Selective Non-Catalytic Reduction (SNCR) method in alkali-activated materials. In the experiment, the basic physical-mechanical properties and durability properties were tested, the hydration reaction was monitored in a calorimeter and infrared spectroscopy was performed. Results were compared between mixtures prepared with fly ash without denitrification and also with reference mixture based only on alkali-activated blast furnace slag. The basic result is the finding, that hybrid alkali-systems with fly ash after denitrification show similar trends as hybrid alkali-systems with fly ash without denitrification. The significant effect of fly ash is manifested especially in terms of resistance to freeze-thaw. The reactions in the calorimeter show a slower development of reactions with increasing replacement of slag by fly ash. In the case of testing resistance to leaching in demineralised water, a decrease of flexural strength was found, which corresponds to the conclusions of strength testing, that long-term deposition of bodies in water causes deterioration of mechanical properties.

Low back pain is a common problem in the active population, and the second reason for visiting a physician. In patients with lumbar disc protrusion, the nucleus pulposus bulges against the disc and the latter protrudes into the spinal column, but the annulus fibrosus remains intact. The purpose of this study was to prove that starting an early complex rehabilitation treatment results into pain and disability reduction, and increased muscle strength and mobility in patients with lumbar disc protrusions. We performed a prospective cohort study, enrolling 60 patients (25 men and 35 women) aged between 26 to 76 years, diagnosed with lumbar disc protrusion. Patients in the experimental group registered significant improvements in all studied variables (pain, mobility, muscle strength, disability) after 6 months of treatment. The results of our study suggest that, in the lumbar disc disease, a combined rehabilitation program may be more effective in terms of pain and disability reduction, if it starts early after diagnosis. The current study proves the importance of combining electrotherapy with hydrotherapy and physical therapy. Patients who received this treatment combination showed an extremely significant improvement in pain relief, and reduction of functional disability after 6 months of treatment.

Historically, the evaluation and assessment of the clinical response to treatment for canine back pain is subjective and relies on owner and clinician assessment of pain. This study evaluated the use of sequential infrared thermal images as a measure of the response of canine patients with back pain to a prescribed series of photobiomodulation therapy (PBMT) treatments. Qualifying participants had histories of pain and dysfunction associated with spinal osteoarthritis or intervertebral disk disease, or of non-specific uni- or bilateral back pain along the paravertebral epaxial muscles. Each patient was initially thermally imaged prior to PBMT treatment and then received multiple PBMT treatments delivered to the appropriate spinal area on days 1, 2, 3, and 4. Participants were reimaged on day 7. Thermal images provided an objective measure of superficial temperature changes over the area of PBMT treatment of each patient after the PBMT regimen. The temperature correlated with statistically significant changes in Colorado State University Canine Chronic Pain Scale scoring (CPS) and owner assessment using the Canine Brief Pain Inventory (CBPI), which includes a Pain Severity Score (PSS) and Pain Interference Score (PIS). The correlation of objective thermal imaging data with more subjective outcome measures suggests thermal imaging may be a valuable additional tool in monitoring therapy outcome.

Kinetic parameters of SO2 adsorption on unburned carbons from lignite fly ash and activated carbons based on hard coal dust were determined. The model studies were performed using the linear and non-linear regression method for the following models: pseudo first and second-order, intraparticle diffusion, and chemisorption on a heterogeneous surface. The quality of the fitting of a given model to empirical data was assessed based on: R2, R, Δq, SSE, ARE, χ2, HYBRID, MPSD, EABS, and SNE. It was clearly shown that it is the linear regression that more accurately reflects the behaviour of the adsorption system, which is consistent with the first-order kinetic reaction – for activated carbons (SO2+Ar) or chemisorption on a heterogeneous surface – for unburned carbons (SO2+Ar and SO2+Ar+H2O(g)+O2) and activated carbons (SO2+Ar+H2O(g)+O2). Importantly, usually, each of the approaches (linear/non-linear) indicated a different mechanism of the studied phenomenon. A certain universality of the χ2 and HYBRID functions has been proved, the minimization of which repeatedly led to the lowest SNE values for the indicated models. Fitting data by any of the non-linear equations based on the R or R2 functions only, cannot be treated as evidence/prerequisite of the existence of a given adsorption mechanism.

Mast cells (MCs) play a crucial role during infections with Leishmania, that is transmitted through the bite of an infected sand fly that injects saliva together with the parasite. Sand fly saliva is a complex fluid that modulates the host immune response. In addition, hormonal factors modulate the host immune response, impacting the susceptibility to infections. Thus, to assess the impact of androgens and salivary proteins of sand fly vectors on the mast cell (MC) response to Leishmania infections, we infected orchiectomized male mice with the parasite in the presence or absence of sand fly salivary proteins and analyzed the inflammatory response of MCs. Our results showed a differential MC response to the parasite and to vector salivary proteins in mice deprived of gonadal hormones, as compared to sham-operated mice. Orchidectomy induced a different pattern of activation in MC of animals infected with Leishmania and vector-salivary proteins. Our results show that during Leishmania infection, androgens modulate the innate immunity response against the parasite and salivary proteins of the sand fly vector.

Background: The study describes the comparison of different microbial load results of natural falling and dipping of the house fly (Musca domestica) in water and milk to investigate the possibilities of preventing the effect of the transferred pathogens from the house fly to our sources by pointing out the existence of antimicrobial factors within the house fly. Methods: Samples of house fly were collected from Jeddah and Makkah (Makkah region) and were directly transferred to the laboratory. Each house fly was packed in sterile test tubes. Each tube was opened oppositely to a larger test tube containing 10 ml of sterile tap water, and sterile water at pH 4.0 in other similar series of treatments to represent the reactions of stomach fluids. Later, the house flies were left for 20 seconds after reaching the water surface, and then cultured on different microbial media to evaluate the microbial load of the natural falling of the house fly. To evaluate the complete dipping of house flies in the water, two methods were tested by one complete dip for the flies for 20 seconds, and three times complete dipping for 20 seconds in water before evaluating the microbial load. The same methods were achieved on milk in a series of experiments and the microbial load was evaluated after the incubation at room temperature for three hours. Results: It was found that dipping treatments of house flies gave lower microbial contamination in water at pH 4.0 than neutral pH. The lower microbial load was also observed when dipping the house flies three times in water as compared to once dipping and natural falling treatments. It was also found that the complete dipping of house flies’ treatments in milk will reduce the microbial contamination as compared to natural falling treatments. Conclusion: The observed results support the presence of antimicrobial factors on the house fly.

Background and objective. Globally, disposing of unused medicines has become a source of concern, as pharmaceutical waste enters the ecosystem, posing a threat to human health and the environment. This study aimed to assess the disposal practice of unused medication among pharmacists in Libya. This study also seeks to determine if pharmacists plan to have their pharmacies serve as assembly points for potential take-back initiatives. Methods. A random sample of 150 pharmacists from various government and private pharmacies in Tripoli participated in a self-administered questionnaire about their disposal practices, and knowledge on pharmacies serving as collection points for ideal disposal of unused medicines. Descriptive statistics were used to interpret the data. Results. A total of 128 pharmacists completed the survey. The majority of respondents said that throwing discarded drugs in the trash bin was their preferred method of disposal (53.1%), followed by discarding via burn and drug wholesalers (17.2%, 14.8%, respectively). Only 2.1% of the respondents disposed unused medicines according to the WHO guidelines of drug disposal. Moreover, about 65.6% had poor knowledge about Take-Back program. Conclusion. Failure to follow the WHO guidelines for drug disposal raises the risk of contamination of our environment and the likelihood of humans and animals ingesting harmful pharmaceutical wastes.

While Spinal Cord Stimulation (SCS) provides satisfaction to almost 2/3 of Persistent Spinal Pain Syndrome-Type 2 (PSPS-T2) patients implanted for refractory chronic back and/or leg pain when not adequately addressed the back pain component, leaves patients in a therapeutic cul-de-sac. Peripheral Nerve field Stimulation (PNfS) has shown interesting results addressing back pain in the same population. Far from placing these two techniques in opposition, we suggest that these approaches could be combined to better treat PSPS-T2 patients. We designed a RCT (CUMPNS), with a 12-month follow-up, to assess the potential added value of PNfS, as a salvage therapy, in PSPS-T2 patients experiencing a “Failed SCS Syndrome” in the back pain component. Fourteen patients were included in this study and randomized into 2 groups (“SCS + PNfS” group/n=6 vs “SCS only” group/n=8). The primary objective of the study was to compare the percentage of back pain surface decrease after 3 months, using a computerized interface to obtain quantitative pain mappings, combined with multi-dimensional SCS outcomes. Back pain surface decreased significantly greater for the ”SCS+PNfS” group (80.2% ± 21.3%) compared to the “SCS only” group (13.2% ± 94.8%) (p=0.012), highlighting the clinical interest of SCS+PNfS, in cases where SCS fails to address back pain.

This study presents three forms of interdisciplinary expertise in the healthcare design context to approach a particular multifaceted problem around the current healthcare for older adult patients with chronic low-back pain (LBP). Using an interdisciplinary co-design framework, first, our design approach performs the role of an initiator to define the problem by exploring the current context of healthcare. Second, it facilitates the experiences of experts and patients to reach the roots of the problem by functioning as a mediator. Third, our approach fulfills the primary role of healthcare design in producing new meanings considering the principles of patient-centeredness. These roles significantly contributed to the design of healthcare innovations. Our framework transformed the distributed disciplinary knowledge developed while tackling the multifaceted problem into new forms of expertise for collaboration in healthcare innovation.

The multidimensionality of chronic pain forces us to look beyond isolated pain assessment such as pain intensity, which does not consider multiple key parameters, particularly in patients suffering from post-operative Persistent Spinal Pain Syndrome (PSPS-T2). Our ambition was to provide a novel Multi-dimensional Clinical Response Index (MCRI), including not only pain intensity but also functional capacity, anxiety-depression, quality of life and objective quantitative pain mapping assessments, the objective being to capture patient condition instantaneously, using machine learning techniques. Two hundred PSPS-T2 patients were enrolled in a real-life observational prospective PREDIBACK study with 12-month follow-up and received various treatments. From a multitude of questionnaires/scores, specific items were combined using exploratory factor analyses to create an optimally accurate MCRI; as a single composite index, using pairwise correlations between measurements, it appeared to better represent all pain dimensions than any other classical score. It appeared to be the best compromise among all existing indexes, showing the highest sensitivity/specificity related to Patient Global Impression of Change (PGIC). Novel composite indexes could help to refine pain assessment by changing the physician’s perception of patient condition on the basis of objective and holistic metrics, and by providing new insights to therapy efficacy/patient outcome assessments, before ultimately being adapted to other pathologies.

Nociceptive innervation of the thoracolumbar fascia (TLF) has been investigated over decades, however these studies have not been compiled or collectively appraised. The purpose of this scoping review was to assess current knowledge regarding nociceptive innervation of the TLF to better inform future mechanistic and clinical TLF research targeting low back pain (LBP) treatment. PubMed, ScienceDirect, Cochrane and Embase databases were searched in January 2021 using relevant descriptors encompassing fascia and pain. Eligible studies were: (a) published in English; (b) preclinical and clinical (in vivo and ex vivo) studies; (c) original data; (d) included quantification of at least one TLF nociceptive component. Two-phase screening procedures were conducted by a pair of independent reviewers, data were extracted and summarized from eligible studies. The search resulted in 257 articles of which 10 met inclusion criteria. Studies showed histological evidence of nociceptive nerve fibers terminating in low back fascia, suggesting a TLF contribution to LBP. Noxious chemical injection or electrical stimulation into fascia resulted in longer pain duration and higher pain intensities than injections into subcutaneous tissue or muscle. Pre-clinical and clinical research provides histological and functional evidence of nociceptive innervation of TLF. Greater knowledge of fascial neurological components could impact LBP treatment.

Low back pain (LBP) is a leading cause of disability. It significantly impacts the patient’s quality of life, limits their daily living activities, and reduces work productivity. To reduce the burden of LBP, several pharmacological and non-pharmacological treatment options are available. This review summarizes the role of heat therapy in the management of LBP. First, we outline the common causes of LBP, then discuss the general mechanisms of heat therapy on (LB)P, and finally review the published evidence regarding the impact of heat therapy in patients with acute or chronic non-specific LBP. This review demonstrates that continuous, low-level heat therapy provides pain relief, improves muscular strength, and increases flexibility. Therefore, this effective, safe, easy-to-use, and cost-effective non-pharmacological pain relief option is still relevant in modern clinical practice.

Alkali-activated materials are alternative building binders, where secondary raw materials are processed. Possibility to use landfilled waste materials in their preparation, increases their potential application in construction practice, and therefore they are subject to extensive research, especially in recent years. This paper briefly summarizes interesting results of an experiment aimed at verifying the possibility of applying cement by-pass dust (CBPD) in the preparation of alkali-activated materials. The research work was focused on the possibilities of using these wastes for the preparation of small elements of garden architecture. The paper briefly evaluates in particular the results of X-ray diffraction, which were subjected to three types of binder pastes differing in the amount of used activator. In the experiment, a mixture of blast furnace granulated slag, fly ash and cement by-pass dust was alkali activated with sodium metasilicate.

A multi-methodic analysis was performed on 5 samples of fly ashes coming from different biomasses. The aim of the study was to evaluate their possible re-use and their dangerousness for men and environment. Optical granulometric analyses indicate that the average diameter of the studied fly ashes is around 20 µm, whereas only ~1 vol% has diameter lower that 2.5 µm. The chemical composition, investigated with electron probe microanalysis, indicates that all the samples have a prevalent Ca composition, followed by Si and Al. A large content in K and P was observed in some samples, whereas the content in potentially toxic elements is always below the Italian law thresholds. Polycyclic aromatic hydrocarbons are completely absent in all the samples coming from combustion plants, whereas they are present in the fly ashes from the gasification center. Quantitative mineralogical content, determined by Rietveld analysis of X-ray powder diffraction data, indicates that all the samples have a large amorphous content, likely enriched in Ca, and several K and P minerals, such as sylvite and apatite. The results obtained from the performed chemo-mineralogical study allowed to point out that the biomass fly ashes could be interesting materials (1) as amending in clayey soils, in substitution to lime, to stimulating pozzolanic reaction and improve their geotechnical properties, on the one hand, avoiding to mine raw materials and, on the other hand, re-cycling wastes; (2) as agricultural fertilizes made by a new and ecological source of K and P.

Back pain is a common symptom that affects all age groups across the globe, when left untreated may eventually lead to disability. A convenient sample selection method was used in this study due to the global Covid-19 pandemic lockdown which was effective in Turkey during the investigation period. Thus, virtual data collection and health education including some health risks were employed. A total population of two hundred adult women was involved in the study but one hundred and twenty-one responses were collected. Findings show that, for socio-demographic characteristics, the pain was found highest in women between the ages of 41-50 and obese/overweight individuals. Although, there was no significant difference recorded in the marital status category. Moreover, statistical mean differences were detected between the scales for ODI (4.18) and BPFS (6.09). Also, p<0.05, paired sample t-test was 0.001 ODI and 0.001 BPFS after the training exercise. This suggests that exercise training is inversely correlated with pain severity which implies that training has a significant influence on pain intensity. Thus, it could be concluded that there is a relationship between the training exercise and ODI/BPFS.

(1) Background: Although manual therapy for pain relief has been used as an adjunct in treatments for chronic low back pain (CLBP), there is still the belief that a single session of myofascial release would be effective. This study aimed to investigate whether a single session of a specific technique reduces pain and disability. (2) Methods: This was a crossover clinical trial in which 41 participants over 18 years old with CLBP were randomly enrolled into 3 situations - experimental, placebo, control, in a balanced and cross-over manner. The subjects underwent a single session of myofascial release on thoracolumbar fascia and compare it with the control and placebo. Outcome were pain and functionality, evaluated using the numerical pain rating scale (NPRS), pressure pain threshold (PPT) and Oswestry (ODI). (3) Results: There was no effects between-, within-tests, and interaction for all the outcomes, i.e., NPRS (η 2 = 0.32, F = 0.48, p = 0.61), PPT (η2 = 0.73, F = 2.80, p = 0.06), ODI (η 2 = 0.02, F = 0.02, p = 0.97). (4) Conclusion: A single trial of thoracolumbar myofascial release technique was not enough to reduce pain and disability in subjects with CLBP.

Several types of hematite nanoparticles (α-Fe2O3) have been investigated for their effects on the structure and properties of fly ash (FA) blended cement. All synthesized nanoparticles were found to be spherical shape, but of different particle sizes from 10 to 195 nm depending on the surfactant used in their preparation. The cement hydration with time showed 1.0% α-Fe2O3 nanoparticles was an effective accelerator for FA blended cement. Moreover, adding α-Fe2O3 nanoparticles in FA blended cement enhanced the compressive strength and workability of cement. Nanoparticle size and size distribution were important for optimal filling of various size of pores within the cement structure.

New materials are obtained by transforming fly ash wastes into a valuable composite, with tandem adsorption and photodegradation properties. Mild hydrothermal synthesis, from titanium dioxide, Platinum nanoparticles and zeolite materials obtained from a waste, fly ash, as support, was involved in the composite preparation. The Platinum nanoparticles extended the photocatalytic activity of the composite in Visible range (Eg = 2.1 eV). The efficiency of tandem adsorption and photocatalytic activity of the new composite were evaluated to 80.70% for Bemacid Blau and 93.89% for Bemacid Rot, after 360 min, the irradiation time, with H2O2 addition.

Utilization of Bidirectional Reflectance Distribution Function (BRDF) model parameters obtained from the multi-angular remote sensing is one of the approaches for the retrieval of vegetation structural information. In this research, the potential of multi-angular vegetation indices, formulated by the combination of multi-spectral reflectance from different view angles, for the retrieval of forest above ground biomass was assessed. This research was implemented in the New England region with the availability of a high quality forest inventory database. The multi-angular vegetation indices were generated by the simulation of the Moderate Resolution Imaging Spectroradiometer (MODIS) BRDF/Albedo Model Parameters Product (MCD43A1 Version 6) based BRDF parameters. The effects of seasonal (spring, summer, autumn, and winter) composites of the multi-angular vegetation indices on above ground biomass, angular relationship of the spectral reflectance with above ground biomass, and the interrelationships between the multi-angular vegetation indices were analyzed. Among the existing multi-angular vegetation indices, only the Nadir BRDF-adjusted NDVI ( and Hot-spot incorporated NDVI ( showed significant relationship (more than 50%) with the above ground biomass. This research proposed two more sensitive vegetation structural indices, Fore-scattering Back-scattering NDVI and Vegetation Structure Index (VSI). The Fore-scattering Back-scattering NDVI showed higher sensitivity (R² = 0.62, RMSE = 52.46) towards the above ground biomass than existing multi-angular vegetation indices. Furthermore, the VSI performed in the most efficient way explaining 64% variation of the above ground biomass, suggesting that the right choice of the spectral channel and observation geometry should be considered for improving the estimates of the above ground biomass. In addition, the right choice of seasonal data (summer) was found to be important for estimating the forest biomass while other seasonal data were either insensitive or pointless. The promising results shown by the VSI suggest that it could be an appropriate candidate for monitoring vegetation structure from the multi-angular satellite remote sensing.

Bounce Back Loan is amongst a number of UK business financial support schemes launched by UK Government in 2020 amidst pandemic lockdown. Through these schemes, struggling businesses are provided financial support to weather economic slowdown from pandemic lockdown. £43.5bn loan value has been provided as of 17^th Dec2020. However, with no major checks for granting these loans and looming prospect of loan losses from write-offs from failed businesses and fraud, this paper theorizes prospect of applying spatiotemporal modelling technique to explore if geospatial patterns and temporal analysis could aid design of loan grant criteria for schemes. Application of Clustering and Visual Analytics framework to business demographics, survival rate and Sector concentration shows Inner and Outer London spatial patterns which historic business failures and reversal of the patterns under COVID-19 implying sector influence on spatial clusters. Combination of unsupervised clustering technique with multinomial logistic regression modelling on research datasets complimented by additional datasets on other support schemes, business structure and financial crime, is recommended for modelling business vulnerability to certain types of financial market or economic condition. The limitations of clustering technique for high dimensional is discussed along with relevance of an applicable model for continuing the research through next steps

It is well known that low back pain (LBP) prevalence is high during the course of school age children’s lives. However, literature concerning the initial onset of back pain between ages of 3 and 11 years remains scarce. The present study aimed to analyze the prevalence of LBP in kindergarten and primary school students. 278 (9.9±2.1 years old; 52.2% girls) students from two public kindergarten and primary schools in Valencia, Spain participated in this cross-sectional study. The Nordic questionnaire on LBP was used to ask questions related to the duration of LBP symptoms over time. The lifetime prevalence of LBP was 47.5% (n = 132), a last year prevalence of 44.2% (n = 123), and a last week prevalence of 18.8% (n = 50) was reported. Boys and girls reached lifetime prevalence of 52.3% (n = 64) and 47.7% (n = 82) (χ2 = 1.978, p = .099), respectively. By age group, lifetime episodes of LBP also showed a higher prevalence with increasing age (χ2 = 32.637; p &lt; .001). In summary, our findings suggest that LBP increases with age. In addition, our results further strengthen the evidence that LBP onset could start as young as 10-years-old.

Concrete is the most commonly used construction material due to its various advantages, such as versatility, familiarity, strength and durability and it will continue to be in demand far into the future. However, with today’s sensitivity to the environmental protection, this material is facing unprecedented challenges due to its high greenhouse gas emission mainly during cement production. This paper investigates one of the promising cement replacement materials, alkali activated cement (AAC) concrete. Being produced mainly from byproduct materials and having a comparable structural performance to conventional concrete, AAC concrete has a potential to transform the construction industry. Mechanical properties such as compressive and flexural strength and the relationship between them are studied. Different source materials such as fly ash (FA), ground granulated blast furnace slag (GGBS), silica fume (SF) and Metakaolin (MK) are used. The effect of the source materials and the activator solutions on the concrete performance is studied. Furthermore, the freeze-thaw resistance of the concrete is studied. The results of the study showed that the behavior of AAC depends highly on the source material combinations as well as type used. The effect of the alkaline solution is also dependent on the source material used. Mixes with higher GGBS content in general showed the highest strength while mixes with MK showed the highest flexural strength. The results from the freeze-thaw test showed that proper design of AAC concrete with a lower water content is critical to achieve a good resistance.

The prevalence of back pain (BP) among children and adolescents has increased over recent years. Some authors advocate promoting back-health education in the school setting. It is therefore important to adopt a uniform suite of assessment instruments to measure the various constructs. The present study aimed to perform a cultural adaptation of a validated measurement instrument (BackPEI), beginning with a translation and cultural adaptation phase, followed by a second phase to test reliability using a test-retest design. The translation and cross-cultural adaptation were performed based on the guidelines. Reliability was tested by applying the questionnaire to 224 secondary school students, at two different times with a 7-day interval between the tests. In general, the Spanish version presented adequate agreement for questions 1–20, with only question 9 achieving a low Kappa range of .312 [-.152- .189]. The question about pain intensity did not show differences between the averages for the test (4.72 ± 2.33) and re-test (4.58 ± 2.37) (p = .333), and the responses for these two tests were highly correlated (ICC= .951 [.928- .966]; p= .0001). Psychometric testing indicated that the Spanish version of the BackPEI is well-adapted and reliable, based on the test-retest design, providing similar results to the original Brazilian version.

Background: Low-level physical activity (PA) among Chronic Low Back Pain (cLBP) is associated with various biopsychosocial factors. This research aimed to study the predictors of PA behavior among cLBP patients. Methods: In the present study 300 eligible patients with cLBP who referred to comprehensive health service centers in the Shahid Beheshti University of Medical Sciences (SBUMS) in Tehran, Iran were random selected.To diagnose the predictors of PA behavior, all the Theory of Reasoned Action (TRA) constructs were examined as risk factors to see if they influence on the probability of PA behavior occurrence and were interpreted through odds ratio (OR). SPSS version 19 was used to analyze the data. Results: Totally 280 cLBP patients with mean age of 57.07 ±13.09 years old participated in the study. This study showed that motivation to comply significant predictor the cLBP patients for subjective norm OR (%95CI): 2.095(0.116-2.792), p-value<0.001), intention was significant predictor for perform the PA behavior OR (%95CI): 1.431(0.138-1.538), p-value <0.001), behavior beliefs could predictor for attitude OR (%95CI): 1.276(0.106-1.355), p-value= 0.002). attitude, normative beliefs, subjective norm ,and evaluation outcome behavior could predictors the cLBP patients for intention to perform the PA behavior OR (%95CI): 1.188(0.032-1.312), p-value<0.001)., OR (%95CI): 1.158(0.076-2.208), p-value=0.003) ., OR (%95CI): 1.104(0.076-1.128), p-value<0.001) ., OR (%95CI): 0.814(0.301-1.440), p-value=0.007). Conclusions: This study showed that the cLBP patients who were normative beliefs and evaluation regarding PA behavior could effect on the intention to engage in greater PA than those via other constructs (attitude and subjective norm). This study showed that the cLBP patients who were normative beliefs and evaluation regarding PA behavior could effect on the intention to engage in greater PA than those via other constructs (attitude and subjective norm). This study showed that the cLBP patients who were normative beliefs and evaluation regarding PA behavior could effect on the intention to engage in greater PA than those via other constructs (attitude and subjective norm).

The use of Supplementary Cementitious Material (SCM) is widely used in production of sustainable concrete. Blended cements, incorporating SCM such as Pulverized Fly Ash (PFA) and Ground Granulated Blast Furnace Slag (GGBFS) have been widely used to reduce the cement contents and avoid adverse environmental impacts of CO2 produced during cement manufacturing. The analysis of various structural properties of concrete such as compressive strength, flexural strength and modulus of elasticity is important for its structural application. In this research, flexural strength of 100mmx100mmx500mm beams made from blended cement were tested under three curing conditions i.e. winter, summer and under water and the flexural strength was calculated using EN-12390-5 at the ages of 28 days and 56 days. For modulus of elasticity, concrete cylinders 150mmx300mm were tested as per procedure described in BS 1881-121(1983) at the age of 28 days. The compressive strength, flexural strength and modulus of elasticity for blended cement incorporating PFA and GGBFS has been increased under summer curing environment. The experimental values of Modulus of Elasticity are compared with the provision of BS 1881.

Increasing utilization of secondary raw materials and alternative fuels results in increasing contents of metals in cements. One of elements, the content of which keeps rising in cement is zinc. It comes to cement with secondary raw materials such as slag or fly ash or by the utilization of used tires as an alternative fuel. Zinc ions significantly prolong the hydration process in cement. This work deals with the influence of zinc ions in the form of very poorly soluble ZnO salt and easily soluble ZnCl2 and Zn(NO)3 on the hydration of cement blended with fly ash. Zinc was dosed in the range of 0.05, 0.1, 0.5 a 1% of cement weight. Final products were next analyzed using X-Ray Diffraction.

In recent years, the dominant cementitious materials have been industrial by products such as fly ash. This present paper describes some of the cementitious products that are attracting attention in the global research community and the properties and characteristics of these materials that affect their performance such durability, mechanically properties and reduction of carbon dioxid (CO2). The present investigation deals with the chemical synthesis of cementitious material using fly ash of eggs shell rich in calcium(Ca) and sand dune(southern of Algeria) rich in silica(SiO2).The composition is the most compressive resistant with a maximum stress of 49.71 MPa, the most flexible (E = 2.63 GPa) and the most ductile (εr = 65.42 %).The characteristic properties of the chemically synthesized cementitious materials were analyzed by the chemical composition analysis XRF, XRD and SEM analyses.

The aim of this study was to analyze the level of specific back-health-related physical activity and exercise knowledge. This is a cross-sectional study. A representative sample of 1500 students were recruited with a confidence level of 95% and an accepted standard error of ±2.53%. Individuals were aged between 13 and 18 years old (mean age= 15.18; SD = ±1.446). Self-reported questionnaires were used to record back-health-related physical activity and exercise knowledge concerning back care in adolescents. The level of specific knowledge of back health education related to physical activity and exercise in adolescents was low (X = 2.05, SD = ±2.264). Only 10.9% of the students passed the specific knowledge test, achieving a grade equal or superior to 5. The boys average score was higher (X = 2.17, SD = ±2.312) than the girls (X = 1.94, SD = ±2.212) with statistically significant differences (p = .048). The level of specific knowledge increased with age (F = 11.531; p &lt; .001). High school students have a low level of specific knowledge. Physical Education teachers should apply the conceptual content properly. Knowledge is the first step towards changing behavioral habits. Back care education in the school curriculum is recommended.

This service improvement project was carried out at LEKMA Hospital, Ghana. Ghana has high levels of antimicrobial resistance (AMR). There is an urgent need to introduce models of care that optimize antibiotic prescribing. Methods Delayed / back-up prescribing is a strategy that could reduce antibiotic use in suspected upper respiratory tract infections. Four different models of delayed / back-up prescribing [no prescription; post-dated prescription (given to patient); post-dated prescription (forwarded to pharmacy); and follow-up appointment for reassessment after 3 days] were implemented in discussion between clinician and patient. Patients were contacted 10 days after their appointment to record compliance, check on their wellbeing, and rate their experience. Results Over a 3-month period (12/2019-02/2020), 142 patients were eligible for delayed / back-up prescribing. The most common clinical diagnoses were sore throat (102/140, 73%), common cold (22/140, 16%) and sinusitis (10/140, 7%). In total, 12 (9%) patients remained symptomatic at day 10, and only one individual in the entire cohort took antibiotics. Most patients (95%) rated their experience as good or very good. Conclusions Delayed / back-up prescribing models can lead to substantial reduction in antibiotic consumption amongst outpatient department patients with suspected upper respiratory tract infections. Delayed / back-up prescribing can be implemented safely in low and middle-income countries.

Artificial Intelligence is dominated by Artificial Neural Networks (ANNs). Currently, the Batch Gradient Descent (BGD) is the only solution to train ANN weights when dealing with large datasets. In this article, a modification to the BGD is proposed which significantly reduces the training time and improves the convergence. The modification, called Instance Eliminating Back Propagation (IEBP), eliminates correctly-predicted-instances from the Back Propagation. The speedup is due to the elimination of unnecessary matrix multiplication operations from the Back Propagation. The proposed modification does not add any training hyperparameter to the existing ones and reduces the memory consumption during the training.

Western Anatolia comprises a vast amount of various volcanic successions spanning from Eocene to Upper Miocene periods. These units mainly display southward younging in broad sense and display large amounts of chemical variation that spanned from basalt to rhyolite. The southward younging of magmatism and chemical variations have been largely attributed to the retreat and roll-back of the Hellenic slab and the western escape of the Anatolian microplate. However, there is still a lack of high precision data to pinpoint the exact nature of the magmatism and lithospheric tectonics. In this contribution we investigated a poorly known region along the Western Anatolia along Manisa district called Karakılıçlı volcanic field. We investigated two different volcanic sections (Kalpakkaya and Çamlık hill) that display the best volcano-sedimentary features in terms of geochronology and geochemistry. Samples acquired from the bottom, middle and upper portions of these sections display Early-Middle Miocene ages of 17.64±0.20, 17.22±0.15, 16.16±0.17 and 16.36±0.13, 15.79±0.71 and 13.61±0.20 Ma respectively. The results indicate that the volcanism in the region generated by the melting of the mantle and/or lithospheric mantle by slab retreat and roll-back of the Hellenic slab and evolved in the shallow magma chambers/mushes by fractional crystallization, magma mixing and crustal assimilation.

South America has become the new epicenter of the coronavirus, especially in Brazil where the disease continues to spread exponentially across the country. This text aims to analyze the psychosocial factors of Covid-19 on back to school strategies in Brazil from a bioecological perspective. At the microsystem level, the population is experiencing different levels of stress and fear; at the mesosystem level, changes in routines, separation from family and friends, and closure of schools; and at the macrosystem level, national guidelines to control the pandemic, institutional standards on a national and international scale. Therefore, the main focus for the success of school return must be in the prevention of contagion and with physical and psychological health, and should not only consider the demands of curricula, financial or administrative management. For this reason, it is paramount that greater female representativeness is increased in decision-making levels of the meso and macrosystem, regarding the resumption of school and academic activities in the pandemic period, since the number of female leaders in decision-making, is still insufficient.

Development of rovers and development of infrastructure which enables them to probe other planets (such as Mars) have sparked a lot of interest recently specially with increasing public attention in Moon and Mars program by National Aeronautics and Space Administration. This is designed to be achieved by various means such as advanced spectroscopy and artificial intelligent techniques such as deep learning and transfer learning to enable the rover to not only map the surface of planet but to get a detailed information about its chemical makeup in layers beneath (deep learning) and in areas around point of observation (transfer learning). In this work, which is part of a proposal, later approach is explored. A systematic strategy is presented which make use of aforementioned techniques developed for metallic glass matrix composites as benchmark and helps develop algorithms for chemistry mapping of actual Martian surface on Perseverance Rover launching shortly.

Central nervous system (CNS) uses vision, vestibular, and somatosensory information to maintain body stability. Research has shown that there is more lumbar proprioception error among low back pain (LBP) individuals as compared to healthy people. In this study, two groups of 20 healthy people and 20 non-specific low back pain participants (LBP) took part in this investigation. This investigation focused on somatosensory sensors and in order to alter proprioception, a vibrator (frequency of 70Hz, amplitude of 0.5 mm) was placed on the soleus muscle area of each leg and two vibrators were placed bilaterally across the lower back muscles. Individuals, whose vision was occluded, were placed on two surfaces (foam and rigid) on force plate, and trunk angles were recorded simultaneously. Tests were performed in 8 separate trials; the independent variables were vibration (4 levels) and surface (2 levels) for within subjects and 2 groups (healthy and LBP) for between subjects (4×2×2). MANOVA and multi-factor ANOVA tests were done. Linear parameters for center of pressure (COP) (deviation of amplitude, deviation of velocity, phase plane portrait (PPP), and overall mean velocity) and nonlinear parameters for COP and trunk angle ((recurrence quantification analysis) RQA and Lyapunov exponents) were chosen as dependent variables. Results indicated that NSLBP individuals relied more on ankle proprioception for postural stability. Similarly, RQA parameters for the COP on both sides and for the trunk sagittal angle indicated more repeated patterns of movement among the LBP cohort. Analysis of short and long Lyapunov exponents showed that people with LBP caused no use of all joints in their bodies (non-flexible), are less stable than healthy subjects.

Lower Back Pain (LBP) is a disease that needs immediate attention. Person with back pain shall go immediately to doctor for treatment. Injury, excessive works and some medical conditions are result of back pain. Back pain is common to any age of human for different reasons. Due to factors such as previous occupation and degenerative disk disease the chance of developing lower back pain increases for older people. It hampers the working condition of people common reason for seeking medical treatment. The result is absence from work and is unable to normal due to pain. It creates uncomfortable and debilitating situations. Hence, detecting this disease at an early stage will assist the medical field experts to suggest counter measures to the patients. Detection of lower back pain is implemented in this paper by applying ensemble machine learning technique. This paper proposes Stacking ensemble classifier as an automated tool that will predict lower back pain tendency of a patient. Experimental result implies that the proposed method reaches an accuracy of 76.34%, f1-score of 0.76 and MSE of 0.34.

In this study, a motion control problem for the vessels towed by tugboats or towing ships on the sea is considered. The towed vessels including barge ships are need to have assistance of tugboats. Combining two vessels, some work purposes in the sea or harbor area can be completed. In this study, the authors give newly developed mathematical model and control system strategy. Especially, the system model fully presenting the physical characteristics of two vessels are derived. For controlling the system effectively, it is considered that the towed vessel has no power propulsion system but the rudder is activated to improve the maneuverability. Considering the strong nonlinearities included in the vessel dynamics, the modelled system is presented by nonlinear system without linearization of nonlinear parameters. Thus, the control system for the towed vessel is designed based on the nonlinear control scheme. Exactly, the back-stepping control method is applied to its motion control. Also, the PID control method is applied for comparing with the proposed control strategy.

Among other species, Black Soldier Fly (Hermetia illucens, HI, Diptera, Stratiomydae) has the great potential as food and feed ingredient in the EU, particularly thanks to its preference for organic waste as growth substrate. The production of insects as livestock feed or as food ingredient requires a strict monitoring of heavy metal content in the growth substrate in order to secure its safe. This study aims to investigate the presence of toxic metals cadmium, lead, mercury, arsenic, and nickel in HI prepupae and their growth substrates based on coffee roasting by-product and microlagae Schizochytrium sp. and Isochrysis sp. Analyses were carried out via graphite furnace atomic absorption spectrophotometry for Cd, Pb, Ni, and As, and via Direct Mercury Analyzer for Hg. All metal concentrations found in growth substrates were below the legal limit of undesirable substances in animal feed (2002/32/EC). Metals concentrations in HI prepupae were in the range (mg kg-1 wet weight): Cd 0.072–0.084, Pb 0.018–0.026, Hg 0.010–0.032, As 0.036–0.047, Ni 0.18–0.76. HI prepupae accumulate Cd, Pb and Hg, but our results indicate that the risk of exposure to metals from consumption of HI prepupae is relatively low and in compliance with European Union regulations.

During the casting in a warmer tropical temperature, a setting time delay is required to maintain the workability of the concrete, commonly achieved by the addition of admixtures i.e. silica fume (SF), fly ash (FA), and Plastrocrete®. However, high sugar content Coca-Cola in niche conditions is proposed as an ingredient for delaying concrete setting time in combination with conventional admixtures. This research aims to compare the setting time of admixtures from Coca-Cola and Plastocrete® RT6 plus in concrete mixing with control data of concrete mixed with SF or FA. The second aim is to measure the compression strengths between combinations of Coca-Cola and Plastocrete® RT6 plus. Concretes were produced with admixtures of SF, FA, Plastocrete® RT6plus, or Coca-Cola. The concrete used to control was f'c20 and f'c 25, while other concrete mixes were produced with the addition of Coca-Cola at 0.15% from the weight of cement at variation of moisture treatments. The first method to produce concrete (f'c20+Plas0.23%+Cola0.15% and f'c25+Plas0.23%+Cola0.15%) did not employ water reduction. The second concrete productions (f'c25+Plas0.46%+Cola0.15% and f'c25+Plas0.46%+Cola0.15%) reduced the addition of water at 8.8% (v/w). The first concrete production method had a setting time 44% longer than control. The reduced water concrete in the second productions had a setting time 34% longer than control. Meanwhile, the Plastocrete® RT6 Plus admixture with the reduced water delayed the concrete setting time by 26% longer than control. The delayed setting time of Plastocrete® RT6 Plus admixture with reduction of water was shorter than in the treatment with Coca-Cola. The combination of the addition of Coca-Cola with Plastocrete® RT6 plus by reducing the amount of adding Coca-Cola to 0.10% with Plastocrete® RT6 plus can delay concrete setting time by 51% longer than normal concrete and increase concrete compressive strength by 13% higher than normal concrete. Mixing Coca-Cola with Plastocrete® RT6 plus not only provided an optimal delay effect on setting time but also significantly increase the compressive strength that was desired during the casting in warm tropical weather applied in building construction of Mulawarman University, Samarinda, Indonesia.

Low back pain (LBP) is a pandemic and costly musculoskeletal condition in the United States. Patients with LBP may endure surgery, injections, and expensive visits to emergency departments. Some suggest that using physical therapy or chiropractic in the earlier stage of LBP reduces the utilization of expensive health services and lowers the treatment costs. Nevertheless, there is no consistent evidence to declare which one of these methods is a cost-effective treatment within a short (less than a year) period of time. The purpose of this study was to investigate the cost-effectiveness of chiropractic versus physical therapy in the United States. A decision tree analytic model was used for estimating the economic outcomes. The findings showed that in the chiropractic group, the total average cost was $48.56 lower than the physical therapy group, and daily adjusted life years (DALY) was 0.0043 higher than the physical therapy group. Chiropractic care was shown to be a cost-effective alternative compared with physical therapy for adults with at least three weeks of low back pain over six months.