Refractive index measurements have been an important task for a long time because that index plays an essential role in describing the optical properties of a material. Many methods have been developed to perform that task. Some of them use interferometry to achieve high precision, however these configurations are complicated. Some measure the critical angle using simple structures, but the accuracy is not satisfactory because it is difficult to judge the exact critical angle with intensity variations. Here we propose several new schemes based on measuring the polarization change in the total internal reflection. The proposed method has the merits of simple structure and easy incident angle determination that gives the maximum phase change. Additionally, it is possible to find the material dispersion by measuring the wavelength dependence of the polarization ellipticity. Some useful formulas relating the refractive index with the maximum phase change are obtained. This work can provide valuable alternatives for index measurement.

This study presents an effective control algorithm to improve the robustness of fast steering mirror (FSM)-based laser beam steering systems against dynamic disturbances such as repetitive disturbances resulting from operating conditions. A stable control system must be able to maintain the required high-precision control even when dynamic disturbances affect the FSM system. In this study, an improved control method is proposed using an internal model principle (IMP)-based nonlinear controller with a disturbance observer (DOB) for the FSM system. This IMP-based controller with DOB can attenuate the residual control error signal under dynamic disturbance conditions.

Buildings’ thermal energy needs are inherently linked to climate conditions. Consequently, it is crucial to evaluate how climate changes affect these energy demands. Despite extensive analysis, a comprehensive assessment involving a diverse range of building types has not been consistently conducted. The primary objective of this research is to perform a coherent evaluation of the influence of climate changes, construction element properties, and the Heating, Ventilation, and Air Conditioning (HVAC) system type of control on the energy requirements of six buildings (residential, services, and commercial). The buildings are considered located in a temperate Mediterranean climate. Our focus is on the year 2070, considering three distinct climatic scenarios: (i) maintaining the current climate without further changes, (ii) moderate climate changes, and (iii) extreme climate changes. The buildings are distributed across three different locations, each characterized by unique climatic conditions. Buildings’ envelope features a traditional External Thermal Insulation Composite System (ETICS) and expanded polystyrene (EPS) serves as thermal insulation material. Two critical design factors are explored: EPS thickness ranging from 0 (no insulation) to 12 cm; and horizontal external fixed shading elements varying lengths from 0 (absence) to 150 cm. Six alternative setpoint ranges are assessed for the HVAC system control: three based on the Predicted Mean Vote (PMV) and three based on indoor air temperature (Tair). Results were obtained with a validated in-home software tool. They show that, even under extreme climate conditions, the application of thermal insulation remains energetically favorable, however its relative importance diminishes as climate severity increases. Then, proper insulation design remains important for energy efficiency. The use of external shading elements for glazing (e.g., overhangs, louvers) proves beneficial in specific cases. As climate changes intensify, the significance of shading elements grows. Thus, strategic placement and design are necessary for good results. The HVAC system’s energy consumption depends on the level of thermal comfort requirements, on the climate characteristics and on the building’s type of use. As climate change severity intensifies, energy demands for cooling increase, while energy needs for heating decrease. However, it’s essential to recognize that the impact of climate changes on HVAC system energy consumption significantly depends on the type of building.

The results shown in this paper extend our research group's previous work, which presents the theoretically achievable hydrogen engine-out NOx (H2-NOx) Pareto front of a hydrogen hybrid electric vehicle (H2-HEV). While the Pareto front is calculated offline, which requires significant computing power and time, this work presents an online-capable algorithm to tackle the energy management of a H2-HEV with explicit consideration of the H2-NOx trade-off. Through the inclusion of realistic predictive data on the upcoming driving mission, a model predictive control algorithm (MPC) is utilized to effectively tackle the conflicting goal of achieving low hydrogen consumption while simultaneously minimizing the NOx. In a case study it is shown that the MPC is able to satisfy user-defined NOx limits over the course of various driving missions. Moreover, a comparison to the optimal Pareto front highlights the MPC's ability to achieve close-to-optimal fuel-performance for any desired cumulated NOx target on four realistic routes for passenger cars.

The term `motor control´ encompasses a wide range of mechanisms thought to be implicated in the organization of movements. Their study, like that of any other scientific field, must use specific notions to get to grips with them. This review is therefore organized along a series of notions that are frequently used in motor control, and we will discuss them with particular emphasis on neurological conditions, which may disrupt normal motor functioning. We will start with a short description of the roles of space and time, in which movements take place. Subsequently we will deal with kinematics and kinetics (dynamics) of movements. Then, we will list the inputs to motoneurons (MNs), which, in different forms, convey signals from the central nervous system (CNS) to skeletal muscles and muscle spindles, including central pattern generators (CPGs), sensory inputs and supraspinal descending fiber systems. Some helpers in movement organization will be introduced, such as internal models and neuronal network models. A relatively brief section on sensory-motor learning will follow because learning abilities are required to endow the sensory-motor system with flexibility and adaptability. The major emphasis is placed on neurological processes, which result from genetic modifications, autoimmune diseases, neurodegenerative diseases, infections in the nervous system as well as vascular and traumatic lesions. These neurological diseases lead to a variety of impairments and symptoms, particularly movement derangements including cerebellar ataxia, spasticity, and (other) movement disorders such as Parkinson’s syndromes. The conclusion is that there is no unique top controller that controls ´motor control`.

Hemodynamic relevance of differently located stenoses of the internal jugular veins remains undetermined. It particularly concerns nozzle-like strictures in the upper parts of these veins and stenotic jugular valves located at the end of this vein. This study was aimed at understanding flow disturbances caused by such stenoses. Computational fluid dynamics software, Flowsquare+, was used. We constructed 3-dimensional models of venous outflow, comprising two alternative routes: tube representing the internal jugular vein and irregular network representing the vertebral veins. At the beginning of the tube representing the internal jugular vein, differently-shaped and sized short strictures, representing nozzle-like strictures were built in. At the end of this tube, differently-shaped membranes, representing the jugular valve, were built in. With the use of computational fluid dynamics modeling, we studied how these two obstacles influenced the outflow. We found that the most relevant outflow disturbances were evoked by nozzle-like strictures in the upper part of the internal jugular vein that were either small, long or asymmetrically positioned. Very tight stenotic valves and septum-like malformed valve were equally hemodynamically relevant. These findings suggest that both upper and lower strictures of the internal jugular vein can be of clinical significance.

Euler-Poisson equations of a charged symmetrical body in external constant and homogeneous electric and magnetic fields are deduced starting from the variational problem, where the body is considered as a system of charged point particles subject to holonomic constraints. The final equations are written for the center-of mass-coordinate, rotation matrix and angular velocity. General solution to the equations of motion is obtained for the case of a charged ball. For the case of a symmetrical charged body (solenoid), the task of obtaining the general solution is reduced to the problem of a one-dimensional cubic pseudo-oscillator. Besides, we present a one-parametric family of solutions to the problem in elementary functions.

External audit reliance issues on the internal audit function (IAF) are increasingly important in financial auditing, yet its application in audit engagements lags behind other applications. Despite the belief that audit reliance will shape auditing in the future, limited and intervalley publications explore this transformative potential. This paper investigates the increasing importance of external audit reliance issues in financial auditing. It investigates the use of the IAF in external audit reliance decisions and its potential to enhance audit quality, process transparency, and stakeholders' credibility. Through a systematic literature review of 68 scientific articles from 1984 to 2022, factors influencing external auditors' dependence on the IAF are analyzed, including IAF work quality, assistance type, organizational factors, customer pressure, and business risk. The review highlights the IAF's crucial role in improving financial reporting integrity and external audit effectiveness. However, the challenges that allowed external auditors to decide whether to rely on the works of IAF like limited disclosures and accessible data hinder assessing IAF reliance effects, leading to information asymmetry that may impact stakeholder confidence. The paper discusses implications, limitations, and future research directions to explore technology adoption and optimize audit practices, promoting transparency in the audit process.

The purpose of this article is to investigate and analyze the practices of scientific management within the County Departments of Sports and Youth (CDYS) in Romania. Conducted through a comprehensive research endeavor spanning from January to June 2022, the study utilized a standardized questionnaire as its primary instrument for data collection, distributed among CDYS directors. A notable finding from the study indicates that a significant proportion of respondents (44.9%) perceive notable disparities in the normative-functional elements governing the National Sports System in Romania compared to international standards. Moreover, the majority (51%) consistently adhere to regulatory acts, while a substantial portion (69.4%) underscore the importance of strict adherence to internal regulations in strategy formulation. Furthermore, an overwhelming majority (88.9%) acknowledge the substantial influence of available resources on strategy development, with collaboration with authorities primarily occurring through direct communication channels. Respondents prioritize multiple objectives (44.9%), affirm the necessity of various competencies (53.1%), and identify a lack of human and financial resources (59.2%) as the most significant obstacle. Notable achievements highlighted in the study include the improvement of the county's sports performance (53.1%). Respondents also believe that setting clear and realistic objectives (38.8%) is pivotal to enhancing CDYS management, while considerations in formulating strategies emphasize trends in the sports domain (42.9%) and the specific needs of the local sports community (42.9%). Overall, this research contributes to the understanding and promotion of more efficient practices in managing sports and youth departments within Romania's counties.

We have repeated the experiment performed recently by Krasznahorkay et al., (Phys. Rev. Lett. 116, 042501 (2016)), which may indicate a new particle called X17 in the literature. In order to get a reliable, and independent result, we used a different type of electron-positron pair spectrometer which have a more simple acceptance/efficiency as a function of the correlation angle, but the other conditions of the experiment were very similar to the published ones. We could confirm the presence of the anomaly measured at the Ex=18.15 MeV resonance, and also confirm their absence at the Ex=17.6 MeV resonance, and at Ep= 800 keV off resonance energies.

This study examined the impact of differences in fruit load of olive trees on the rate of stem refilling. The experiment was conducted in a commercial olive orchard over the consecutive years of 2021 and 2022, during which the biennial bearing cycle of olive trees resulted in minimal fruit production in 2021 and maximal production in 2022. The rate of stem refilling was determined by quantifying the differences in water volume traversing the apex and base of the principal branches of experimental trees using sap flow sensors. Concurrent measurements of tree water status were also conducted using psychrometers, while soil moisture content dynamics were continuously recorded. Results indicate that alternate bearing significantly influences the stem refilling process, while soil moisture availability also plays a pivotal role. Water reserves were more intensively utilized during the year of full production (“ON” year) primarily to fulfill the water demands of developing fruits. This replenishment occurred in various periods during the day, including early morning, afternoon, and night, when stomatal conductance measurements indicated stomatal closure. The study suggests a more intense replenishment of reserves during the night in "ON" year trees, irrespective of soil moisture, water vapor pressure deficit, or phenological fruit development stage.

Keywords: Amorphous-precipitate, Nitride, Morphological stability, Diffusion, Internal stresses, Modelling, Simulation

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

The BH 25 railway bridge, located in Indonesia, consists of three spans: 9.5 m (span-1 girder type), 21.9 m (span-2 truss type), and 9.6 m (span-3 girder type). Despite the initial plan for camber, it was not achieved, leading to the installation of temporary support on span-2. To assess the level of damage and determine the necessary steps, static and dynamic tests were conducted using a CC206 locomotive. The maximum deflection was recorded at -4.60 mm for span-1, -11.30 mm for span-2, and -3.42 mm for span-3. The dominant frequency in the vertical direction of span-2 was found to be 14.65 Hz. Due to the inability to achieve the planned camber and the subsequent removal of temporary support, external prestressing will be implemented, resulting in a camber of 11.82 mm. This change in prestressing also affects the dominant frequency of span-2, which becomes 17.07 Hz.

Recently, a high internal surface of the titanium alloy pipe is required due to the increment of various applications of the pipe such as aerospace. However, the traditional machining process is unable to effectively polish the internal surface of the slender pipe. Thus, a vertical magnetorheological polishing (VMRP) apparatus is carried out in this work to implement high polishing performance on the internal surface of the titanium alloy pipe. The polishing process is realized by the combination of the rotating motion of the pipe and the reciprocating linear motion of the polishing head. Moreover, a series of comparative experiments are conducted to investigate the polishing mechanism of magnetorheological (MR) fluid and enhance the polishing performance. It is shown from the experimental results that proposed VMRP approach exhibits the better polishing performance than the conventional horizontal MR polishing method under same testing conditions. This is because the proposed VMRP method well eliminates the traces of polishing particles owing to the combination of polishing particles with different sizes. In addition, it is identified from the experimental test that the polishing time of the VMRP required to achieve the same polishing effect as the conventional method is shortened under the combination of different rotation speeds. It is identified from the above benefits of the VMRP that the final surface roughness after polishing is below 0.05 μm.

This study examines the moderating effect of trained human capital on the associations of accounting information systems, generalized auditing software, and technology adoption with the performance of external auditors among Saudi listed companies. This study used a survey-based methodology. The final sample consisted of 136 responses with an 8% response rate. Using Smart-PL4 analysis, the results showed that there is a positive correlation between accounting information systems and external auditors. Conversely, a negative relationship between generalized auditing software and external auditors has been documented. In addition, this study reported a negative association between technology adoption and external auditors. However, the results highlight the positive relationship between trained human capital and external auditors. Overall, this study provides valuable insights for accounting and auditing policymakers on how external auditors’ performance is influenced by several factors in the Saudi audit market.

This study investigates the moderating effect of corporate governance on the associations of internal audit and quality of internal audit with quality of financial reporting among commercial banks in the Republic of Yemen. The final sample includes 210 internal auditors, heads of internal auditors, chairpersons, and members of audit committees. Using a survey-based methodology, the results of the Smart-PL4 analysis showed a positive association between internal audit and quality of internal audit and quality of financial reporting. Interestingly, the results showed an insignificant association between internal audit, quality of internal audit, and quality of financial reporting when considering the moderating effect of corporate governance. The findings of this study contributes valuable insights to the existing literature on the influence of internal audit, quality of internal audit, and corporate governance on quality of financial reporting in developing countries, specifically in Yemen.

Late type II endoleak (T2EL) arising from internal iliac artery (IIA) network may occur after endovascular aortic repair (EVAR) of aortoiliac aneurysm and may require embolization if sac enlargement is demonstrated. When direct antegrade access to ipsilateral IIA is not achievable due to previous vessel coverage and/or embolization, access to the nidus can be challenging. We report a case of T2EL originating from IIA network causing iliac sac enlargement in a patient previously treated by EVAR for artoiliac aneurysm with IIA embolization and coverage, in which embolization of the nidus was performed through a percutaneous sheathless access to ip-silateral superior gluteal artery (SGA). A literature review dealing with all cases of percutaneous direct SGA access for retrograde embolization of T2EL arising from IIA after previous EVAR is also reported. The research was conducted on Pubmed database using keywords “superior glu-teal artery access,” “transgluteal embolization” and “retrograde embolization for type II endo-leak”. Related articles and references were screened for suitable articles.

In this paper, a class of coupled competitive neural networks, which subject to disturbance and discontinuous activation functions, is concerned. To realize the fixed-time quasi-bipartite synchronization, an aperiodic intermittent controller is initially designed. Subsequently, by combining the fixed-time stability theory and nonsmooth analysis, several criteria are established to ensure the bipartite synchronization in fixed time. Moreover, synchronization error bounds and settling time estimates are provided. Finally, numerical simulations are presented to verify the main results.

The purpose of this study was to compare the long-term clinical outcomes and quality of life measures for two fixation methods in the setting of displaced femoral neck fractures. The two groups included fixation with multiple cancellous screws (group 1) and telescopic femoral neck screws and small locking plate device (Targon FN) (group 2). Patients underwent reduction and internal fixation with either multiple cancellous screws or Targon FN device from March 2000 to January 2012. Failure endpoints included nonunion, osteonecrosis of the femoral head, and revision surgery. Patient reported outcome measures included chronic pain, ability to ambulate, and the use of ambulation assistive devices. Statistical analysis demonstrated a statistically significant lower rate of non-union and overall complication in the Targon FN group (p value < 0.001 and p value = 0.005 respectively). Logistic regression analysis showed that operative fixation with the Targon FN device decreased the odds ratio for overall complication by a factor of 0.34 (P = 0.02). There were no statistically significant differences between groups 1 and 2 in patient reported outcomes (chronic pain (p-0.21), ability to ambulate (p- 0.07), and the use of ambulation assistive device (p-0.07)). When compared to traditional cancellous screw fixation of femoral neck fractures, the Targon FN device has significantly lower complications rates and equivalent patient reported outcomes.

The loads generated inside agricultural silos under static and dynamic conditions depend on the mechanical properties of the materials stored inside them. The silo calculation methodologies are based on these mechanical properties. Although it is known that moisture content greatly influences the values reached by these mechanical properties, just few studies have been conducted to determine them. The present work determines the angle of internal friction, the apparent cohesion, the dilatancy angle and the apparent specific weight of wheat when subjected to different moisture contents. Direct shear and oedometer assay devices were used. In addition, a climatic chamber was used to moisten the wheat samples used in this work. The moisture content applied to the samples ranged from 7.5% to 15.5%. From the different assays carried out it could be observed that the values of the angle of internal friction and apparent cohesion obtained from direct shear assays, as well as those related to the apparent specific weight obtained from oedometer assays were like those found in the literature. The apparent specific weight increased as moisture content increased, reaching a peak value at a moisture content of 13.4%, followed by a drop at a moisture content of 15.5%. The values here provided can be used in silo load calculations involving numerical methods.

Agarwood, a highly valuable fragrant wood of Aquilaria spp. has been widely used in perfumes, traditional medicine, religious rites and cultural activities. Due to the presence of aromatic and medicinal properties, the Agarwood has gained its economic importance in recent years. It has been providing livelihood and employment facilities to many people who are cultivating those. Owing to high demand and profitability, the people of Assam has started to cultivate Agarwood in a commercial manner in recent days. This study was conducted to examine the economic viability of Agarwood cultivation in Assam and to understand the problems of the cultivators to consider Agarwood cultivation as the primary source of income. The primary data were collected during the months of May and June, 2022 from 210 households using structured questionnaire. The cost-benefit analysis revealed that INR 100 of initial investment yields a net benefit of INR 623 which indicates that the return from the Agarwood cultivation among the cultivators are very high. Thus, the present study argues that the government should encourage the cultivators by providing the necessary support in the form of a legalized market, credit requirement, creating the awareness about the demand of Agarwood and making provision of training.

Research on spatio-temporal geostatistical modelling remains a critical challenge in numerous scientific and engineering disciplines. This work introduces a novel extension of the dual kriging the spatio-temporal dual kriging (ST-DK) whose drift functions with fixed and adaptive coefficients are established. The approach appears to be effective in modelling complex spatio-temporal dynamics, particularly when relevant auxiliary variables exert substantial influence on the target variable. To illustrate its performance, we compare the ST-DK model with the classical spatio-temporal regression kriging (ST-RK) method for estimating temperature and air pressure data across Thailand in 2018. Our findings demonstrate that both ST-DK and ST-RK models, when utilizing adaptive coefficients, outperform their constant coefficient counterparts. Furthermore, the ST-DK method consistently exhibits superior performance compared to the ST-RK model.

Metal halide perovskites have shown excellent optoelectronic properties, including high photoluminescence quantum yield, tunable emission wavelength, narrow full-width at half-maximum and low-cost solution-processed fabrication, which make it exhibit great potential as the emission layer materials of light emitting diodes. With the joint efforts of researchers from different disciplines, there has been a significant progress in the improvement of external quantum efficiency (EQE) and stability of perovskite light emitting diodes (PeLEDs) in recent few years, especially in green PeLEDs with EQE over 30%. In this review, we firstly introduce the basic device structure of PeLEDs, as well as the factors influencing EQE and stability of PeLEDs. Secondly, the development of lead-based and lead-free PeLEDs are summarized systematically. Thirdly, challenges of PeLEDs are discussed in detail, including low EQE of blue PeLEDs, poor device stability and EQE roll-off. Finally, some suggestions and perspectives of the future research directions for PeLEDs are proposed.

Abstract: Considering the significance of postural balance in shooting ability, and consequently soldiers’ occupational performance and survivability, it is of importance to promote the use of balance training programs to improve shooters' efficiency. This study explored how a balance training program affects shooting performance. Twenty participants were divided into two equal groups. They all performed 60 shots in a shooting simulator while standing. The participants went through this process twice, before and after a 4-week balance training program. The shoot-ing was done under four different conditions: without load on a stable surface, with load on a stable surface, without load on an unstable surface, and with load on an unstable surface. The training program had a significant impact on the experimental group, improving their balance by 76 ± 9% (p < 0.01). Additionally, in the experimental group, shooting score increased by 47% and the % center of gravity by 20% (p < 0.01). The stability of the shots, measured by holding time in the target, doubled from 2.2 to 4.5 seconds (p < 0.01). These improvements were more pronounced when participants had a load and/or were on an unstable surface. In conclusion, a balance training program can be beneficial for improving shooting performance.

The SWOT analysis, pivotal in the competitive healthcare sector, aids dentists in identifying and analyzing internal strengths and weaknesses, as well as external opportunities and threats. This study focuses on senior dental students, aiming to scrutinize their use of SWOT analysis and evaluate its efficacy as an educational tool for career decision-making in dental entrepreneurship. The research sample comprises 116 senior dental students in the final stages of their dental education, with data collection accomplished through the administration of an e-questionnaire. The data extracted from the SWOT analysis encompass internal and external factors, gender distinctions, and outcomes derived from Stepwise Binary Logistic Regression concerning predictor markers. The results from the SWOT analysis of 114 questionnaires, revealed that participants identified communication skills (50%) and organization skills (49.10%) as their primary strengths, followed by favorable personal traits contributing to goal success (36%). Weaknesses predominantly centered around emotional and personal traits like anxiety (41.20%) and other characteristics, alongside practical challenges such as lack of initial capital (24.60%). Main opportunities included collaboration with experienced dentists (33.30%) and access to training programs (27.20%), while economic instability in Greece (77.20%) and the saturated dentist profession (26.30%) were perceived as significant threats. Gender differences were notable, with female dentists more likely to report organization skills as a strength and anxiety as a weakness. Values such as industriousness, persistence, and ethics were commonly shared, with actions focusing on training programs (57.9%) and gaining experience with experienced dentists (29.8%). Cluster analysis identified two subgroups, with one emphasizing on utilizing all available options (n=49) and the other prioritizing on gaining professional skills and experience (n=65). Logistic regression indicated that participants valuing industriousness were less likely to explore all available options, while those recognizing personal traits were more likely to do so. The study's outcomes highlight key predictor factors linked to a proactive orientation in career decision-making among senior dental students. These insights offer valuable implications for educational institutions and career counselors.

In this paper, the overall performance of Cu-(In,Ga)-Se₂ (CIGSe) solar cells was improved in the ultraviolet (UV)–visible wavelength region by two-segment process. In which, adjusting DC sputtering powers (20–40 W) for absorbers (segment I), and metal-alloy compositions (CdS, ZnO/CdS, ZnMgO/CdS and ZnMgO) for buffers (segment II) were explored and characterized. Upon choosing the optimal-30-W CIGSe-absorber (with 0.95-CGI ratio) sputtered by the segment-I process, the Cu-rich film can distinctly boost grain growth, thus reducing the trap state density. After segment-II process as the toxic-CdS alternative, the optimal Zn_0.9Mg_0.1O-alloy buffer can reach the best conversion efficiency (η = 8.70%) was attained for the environmental protection. Meanwhile, and the overall internal/external quantum efficiencies (IQE/EQE) were improved by 13.15%, respectively for the 2.48–3.62-eV bandgap (short wavelength) range. The developed photovoltaic (PV) module (with 9 optimum-CIGSe cells) exhibits acceptable stability with a variance within ±5% over the 60-day experiment. This discovery in PV-device research contributes to a new scientific understanding of renewable energy. Furthermore, this study undeniably enhances the progress of practical applications for PV-modules in alignment with sustainable development goals. It also actively supports the development of eco-friendly communities.

Intelligent ship technology is currently an international research hotspot, and model predictive control is widely used in the path-tracking control of intelligent vehicles. To construct an intelligent ship anti-disturbance path-tracking control method, firstly, an environmental disturbance model was constructed with the actual meteorological data of the target sea area. Secondly, the Fossen ship equation of motion is linearized and discretized as the ship motion model. Thirdly, the expression of the prediction equation is derived from the ship motion model. Fourthly, the cost function is constructed by using the polar diameter and polar angle values of the ship. Fifth, the power function in the cost function is replaced with an exponential function to obtain an improved cost function. Sixthly, according to the Lyapunov theory and the MPC terminal constraint theory, the stability of the improved cost function is verified. Seventh, different test paths are set up, the environmental disturbance model is taken as the external disturbance, the ship motion model, the prediction equation, and the improved cost function are used to design the anti-disturbance path-tracking control algorithm according to the model prediction control idea for simulation experiments. Finally, different MATLAB simulation results show that the improved cost function can resist disturbance of the external wave, current, and wind, and effectively track the target path. Therefore, this study provides a reference for improving the navigation safety of ship path-tracking.

Efforts to enhance carbon storage in forest ecosystems through policy and management decisions rely on accurate forest biomass assessments. However, most forest inventories consider tree mortality the only form of aboveground biomass loss, overlooking other important factors, such as wood decay in living trees. In this study, using linear mixed-effects models, we delve into the sustainability of mature and over-mature deciduous forests in Latvia by conducting a comprehensive analysis of stem rot severity, identifying species for which the impact of stem rot on their carbon stock reduction was most significant. The analysis focused on determining the proportion of discolored wood, decomposed wood, and hollow spaces within the stems of 190 living deciduous trees commonly found in hemiboreal forests. The study reveals a greater extent of stem rot and more extensive decay in Populus tremula trees than in Betula spp., Alnus glutinosa, and Alnus incana. It emphasizes the influence of tree species, age, and diameter at breast height on stem rot proportions. The stump rot area significantly predicts the amount of decomposed and discolored wood within the stem. The study provides valuable insights for sustainable forestry practices and highlights challenges in estimating stem rot severity, emphasizing the need for comprehensive diagnostic methods.

Tracheal agenesis (TA) is a rare congenital anomaly with the incidence of 1 per 50,000 newborns. It appears at birth with severe respiratory distress, cyanosis, and inaudible crying. Prompt esophageal intubation and long-term management of the esophageal airway is essential to overcome the catastrophic condition. In the long-term management, external stenting of the esophageal airway has been reported promising to support the fragile esophageal wall and “trachealize,” which technique was implanted from the surgery for tracheomalacia. We experienced a case of an infant with tracheal agenesis whose respiratory status was stabilized after trachealization of the esophagus using external stenting technique. The stenting was performed based on a lesson learned in the extensive experience in the surgical treatment for tracheomalacia and the surgical techniques for successful stenting in are herein described.

Recent advancements in experimental and computational methods for RNA secondary structure detection have revealed the crucial role of RNA structural elements in diverse molecular processes within living cells. It has been demonstrated that the secondary structure of the entire viral genome is often responsible for performing crucial functions in the viral life cycle and also influences virus evolution. To investigate the role of viral RNA secondary structure, alongside experimental techniques, the use of bioinformatics tools is important for analyzing various secondary structure patterns, including hairpin loops, internal loops, multifurcations, external loops, bulges, stems, and pseudoknots. Here, we have introduced a Python package for analyzing RNA secondary structure elements in viral genomes, which includes the recognition of common secondary structure patterns, the generation of descriptive statistics for these structural elements, and the provision of their basic properties. We applied the developed package to analyze the secondary structures of complete viral genomes collected from the literature, aiming to gain insights into viral function and evolution. Both the package and the collection of secondary structures of viral genomes are available at http://github.com/KazanovLab/RNAsselem.

It remains unclear in the literature what is the cause of the so-called alkali-carbonate reaction (ACR) damage to concrete yet, a consensus is reached when considering dedolimitization as non-expansive. However, expansion and cracks as distress features are often attributed to alkali-silica reaction (ASR) when evidence of a reactive mineral is found in the aggregate. Evidently, different types of aggregates may produce different types and degrees of damage. Therefore, this work aims to assess the damage to concrete generated and propagated by the so-called ACR susceptible reactive Kingston coarse aggregate through mechanical testing (i.e., direct shear test), microscopy (the damage rating index – DRI), and other techniques. Distinct induced expansion levels (i.e., 0%, 0.05%, 0.12%, and 0.20%) were selected to compare the distress caused by ACR to concrete affected by ASR. Result show that the behaviour of ACR, namely as captured through the DRI, is inconsistent with that of ASR thus attesting to ACR being a distinct distress mechanism.

The importance of the national security of supply has been emphasized in recent years due to the COVID-19 pandemic and changes in operating environments. Thanks to autonomy and resiliency in fuel procurement, organizations with decentralized energy plants may be able to quickly adapt to the changing needs of society. The main aim of this study was to increase the sustainability of a Finnish CHP plant's wood procurement by determining the company's profitable wood procurement region while keeping the forests renewable. The income received from the sale of energy and the costs incurred from the procurement of wood were collected from the ERP system as input data for the developed DSS. The environmental sustainability of wood procurement was assessed by considering the additional costs caused through the EEAP mechanism if the carbon sink of the forest worsened due to wood procurement in the area. The supply chains were compared so that the CHP plant managers could adopt the best energy wood value chains. The results showed that updating the procurement strategy would be necessary. The CHP plant managers should purchase energy wood from a larger procurement area than the current one and focus on roadside purchases of wood. The Techno-Economic Wood Payment Ability Model was a useful part of the DSS to guide wood buyers toward sustainable wood procurement by increasing the share of renewable forests.

The model internal year-to-year variability (hereafter, internal variability) is a significant source of uncertainty when estimating anthropogenic aerosol effective radiative forcing (ERF). In this study, we investigate the impact of internal variability using large ensemble simulations (600 years in total) with the same climate model under prescribed anthropogenic aerosol forcings. A comparison of the magnitudes (i.e., standard deviation, Std) of these influences confirms that internal variability has negligible impacts on the instantaneous radiative forcing (RF) diagnosed by double radiation calls but has considerable impacts on estimating ERF through rapid adjustments (ADJ). Approximately half of the model grids exhibit strong internal variability influence on ERF (Std &gt; 5 W m−2). These strong internal variabilities lead to a 50% probability that 30-year linear change can reach 2 W m−2, and 10-year linear change can reach 4 W m−2. A 50-year simulation can provide a relatively stable annual mean map of ERF (ERF = ADJ + RF), but it fails for ADJ. The statistically significant areas in the annual mean maps of both ERF and ADJ from a 10-year simulation exhibit instability with evident chaotic features. These analyses contribute to the setup of comparative experiments and a more comprehensive understanding of the modeled anthropogenic aerosol ERF.

Grain supply is the lifeblood of a country, and the stability of the supply chain is a crucial prerequisite for ensuring national grain security. This paper draws on the definition of resilience in physics and economics. It takes supply chain fracture resilience, impact resilience, and synergy resilience as the secondary indicators. It constructs a comprehensive evaluation indicator system of the grain supply chain resilience, measures the resilience indicator of China's grain supply chain from 1996 to 2021, and analyzes the role of supply, cost, exchange rate, and other external shocks in influencing the resilience of China's grain supply chain on this basis. The study found that the overall level of China's total grain supply chain resilience has been growing year by year and can be divided into three stages: low-level stabilization stage, continuous growth stage, and high-level stabilization stage. Grain supply chain fracture resilience has been growing steadily, grain supply chain impact resilience fluctuation is more obvious, and grain supply chain synergy resilience has been changing more gently. In the inquiry of the impact of external shocks on the resilience of China's grain supply chain, it was found that world grain exports and the RMB exchange rate have a significant positive impact on China's grain supply chain resilience level, while the international oil price has a significant negative impact. Based on this, the paper puts forward suggestions for ensuring stable production and supply in the grain market, improving the structure of foreign trade in grain, and actively coping with international commodity price shocks.

Spatial interpolation of meteorological data can have immense implications on risk management and climate change planning. Kriging with external drift (KED) is a spatial interpolation variant that uses auxiliary information in the estimation of target variable at unobserved locations. However, the traditional KED methods with linear trend functions may not be able to capture the complex and non-linear interdependence between target and auxiliary variables, which can lead to an inaccurate estimation. In this work, a novel KED method using least squares support vector regression (LSSVR) is proposed. This machine learning algorithm is employed to construct trend functions regardless of the type of variable interrelations being considered. To evaluate the efficiency of the proposed method (KED with LSSVR) relative to the traditional method (KED with a linear trend function), a systematic simulation study for estimating the monthly means temperature and pressure in Thailand in 2017 was conducted. The KED with LSSVR is shown to have superior performance over the KED with the linear trend function.

Purpose: The objective of the study was to qualitatively assess micro-gap dimensions, connecting fitting surface profile and bacterial leakage of machined and cast high gold alloy UCLA abutments, with or without electrodeposited gold coatings attached to external hexagon implants. Materials and methods: 16 plastic UCLA (PUCLA) and 5 machined cast-to UCLA (GUCLA) abutments were cast with a high gold content alloy. 10 were electrolytically gold plated (8 - PUCLA, 2 - GUCLA). All abutments were attached to implants giving 21 implant-abutment combinations (IACs). External perimeter micro-gaps measured with SEM under different illumination and magnification conditions were averaged over three regions. The IACs were examined for E.coli leakage following an initial sterility test. Disassembled combinations were examined with SEM and surface profiles qualitatively assessed. Results: External micro-gap measurements did not reflect the variable connecting surface profiles but average values < 3.5 μm were observed for all IACs. Bacterial transfer was observed in 3 of 5 PUCLA plated and 2 of 5 PUCLA non-plated IACs. No transfer occurred in the 3 GUCLA non-plated or 2 GUCLA plated IACs. Abutment connecting surfaces, both Au plated and not Au plated, showed plastic deformation (smearing) in variable mosaic patterns across the micro-gap. External micro-gap dimensions although not truly reflective of surface connecting profiles averaged < 3.5 μm measured under shadow eliminating silhouette illumination for both cast and pre-machined external hexagon abutments with and without Au plating. Conclusions: Micro-gap dimensions < 5 μm were obtained with both high noble metal cast and pre-machined external hexagon abutments with and without Au electrodeposited on the abutment connecting surface. Regions of intimate contact due to plastic deformation (smearing) of these surfaces was observed. A continuous smeared region around the circumference of the surfaces can provide an effective barrier to egress of E.coli bacteria from the internal regions of the implant under static loading.

We present multi-sensor measurements from satellites, unmanned aerial vehicle, marine radar, thermal profilers and repeated conductivity-temperature-depth casts made in the Kara Gates strait connecting the Barents and the Kara Seas during spring tide in August 2021. Analysis of the field data during an 18-hour period from four stations evidence that a complex sill in the Kara Gates is the site of regular production of intense large-amplitude nonlinear internal waves. Satellite data show a presence of a relatively warm northeastward surface current from the Barents Sea toward the Kara Sea attaining 0.8-0.9 m/s. Triangle-shaped measurements of three thermal profilers revealed pronounced vertical thermocline oscillations up to 40 m associated with propagation of short-period nonlinear internal waves of depression generated by stratified flow passing a system of shallow sills in the strait. The most intense waves were recorded during the ebb tide slackening and reversal when the background flow was predominantly supercritical. Observed internal waves had wavelength of ~100 m and travelled northeastward with phase speeds of 0.8-0.9 m/s. The total internal wave energy per unit crest length for the largest waves was estimated to be equal to 1.0-1.8 MJ/m.

Background: The purpose of this study was to compare the immediate and long-term complications that are associated with the utilized techniques for the insertion of indwelling central venous catheters, that is the open surgical technique, the ultrasound-guided technique and the transcutaneous technique based on external anatomical landmarks in the right internal jugular vein, to a pediatric population. Methods: This was a prospective randomized trial based on a pediatric patient population, under 16 years of age, of a tertiary pediatric-oncological hospital. Procedure was performed by a medical team with varying experience regarding the percutaneous and open insertion methods. We studied the outcome of our procedure, based on the immediate and delayed complication rate, as well as the needed time in order to complete the procedure and mean duration of line use. Results: The patients that were inserted in our protocol were divided into three subgroups, based on the selected technique for the insertion of the central venous catheter. A total number of 88 insertions (25.4%) (out of 346) were based on the technique that was using external anatomical landmarks, 121 insertions were based on the ultrasound-guided transcutaneous technique (34,9%), whereas in 137 cases (39.5%) the open surgical technique was preferred. All cases that were related to catheter re-insertion were excluded from our study. We performed a statistical analysis regarding the catheter dwell time between the three subgroups of patients and no significant difference was recorded. Moreover, the development of thrombosis was investigated, and we mentioned that the higher percentage of this complication was related with the transcutaneous external landmark and open surgical technique. Also, the incidence of infection was taken into consideration, which manifested an increased incidence when the transcutaneous technique based on external landmarks was used. Conclusions: Ultrasound guided percutaneous insertion was considered to be a safe and effective technique for the insertion of central venous catheters. Our study also demonstrated a decrease in operating times, when performed by operators with increasing expertise, increased preservation of the diameter of the venous lumen, and no increase in complication rates when the ultrasound-guided technique was selected.

The increasing prevalence of periprosthetic femoral fractures, specifically in the vicinity of the hip, has emerged as a significant issue in recent times. Consequently, there is a need for a thorough examination to enhance the effectiveness of management and treatment approaches. The findings emphasized a significant disparity in the occurrence and characteristics of these fractures, as multiple studies have highlighted the efficacy of various treatment strategies, such as open reduction and internal fixation, as well as the utilization of cortical strut allografts. Furthermore, the research has identified potential risk factors that have an impact on the characteristics of fractures, providing valuable insights that could be crucial in the development of preventive strategies. This research provides a thorough examination of periprosthetic femoral fractures, highlighting the importance of a cohesive treatment algorithm to improve the handling of such fractures. Moreover, it promotes the need for a collaborative endeavor in conducting research in this field, cultivating a more profound comprehension that has the potential to drive progress in therapeutic approaches, ultimately enhancing patient results over an extended period of time. It is crucial that forthcoming research endeavors persist in expanding upon these discoveries, striving towards a unified methodology in tackling this substantial clinical obstacle.

This study presents an innovative approach named Optimal Adaptive Continuous Barrier Function Terminal Sliding Mode Control (OACBF-TSMC) approach with a novel switching manifold, to control mathematical model of nonlinear systems under model uncertainties and external disturbances. The proposed OACBF-TSMC approach combines the advantages of adaptive control, continuous barrier functions, and terminal sliding mode control to achieve robust stability of the mathematical model of nonlinear systems, and by using a genetic algorithm that tries to optimize the controller parameters as much as possible so that the proposed controller is the most to have efficiency and performance. The proposed method is designed to address the challenges of systems and provide superior performance in terms of stabilization accuracy, disturbance rejection, and robustness against uncertainties. However, the critical challenge facing the proposed controller is the complete elimination of the chattering phenomenon, which is the most important problem of ordinary sliding mode controllers. The simulation results show that the system trajectories in the proposed approach have converged to the origin with minimal overshoot and under-shoot in a finite time; In addition, the chattering problem in the control inputs has been well eliminated, which makes the proposed method suitable for various systems, including chaotic systems, energy sources, and distributed production systems. Furthermore, the OACBF-TSMC approach has the potential to enhance the stability and reliability of control systems, contributing to the integration of the system states.

As the application of cyber-physical systems (CPSs) becomes more and more widespread, its security is becoming a focus of attention. Currently, there has been much research on the security defense of the physical layer of the CPS. However, most of the research only focuses on one of the aspects, for example, attack detection, security state estimation or recovery control. Obviously, the effectiveness of security defense targeting only one aspect is limited. Therefore, in this paper, a set of security defense processes is proposed for the case that a CPS containing multiple sensors is subject to three kinds of stealthy attacks (i.e., zero-dynamics attack, covert attack, and replay attack). Firstly, the existing attack detection method based on improved residuals is used to detect stealthy attacks. Secondly, based on the detection results, an optimal state estimation method based on improved Kalman filtering is proposed to estimate the actual state of the system. Then, based on the optimal state, internal model control (IMC) is introduced to complete the recovery control of the system. Finally, the proposed methods are integrated to give a complete security defense process, and the simulation is verified for three kinds of stealthy attacks. The simulation results show that the proposed methods are effective.

Intramedullary fixation with elastic stable intramedullary nailing and stabilization with an external fixator are standard methods for the treatment of diaphyseal femoral shaft fractures in children. A retrospective bi-centre cohort study was carried out, including all patients between the ages of 2 and 16 years with isolated traumatic diaphyseal femur fractures, treated either with intramedullary nailing or an external fixator. In total, 57 patients (17 female and 40 male) with a mean age of 6.5 ± 2.7 years (min. 2; max. 16 years) with a mean follow-up period of 6.1 ± 4.6 months (min. 2; max. 26 months), were included in this retrospective study. 33 patients were treated with elastic stable intramedullary nailing and 24 patients, and external fixation. In total, 18 patients (32%) experienced osteosynthesis-related complications: 8 patients (24%) in the elastic stable intramedullary nailing group and 10 (42%) in the external fixation group, leading to revision surgery in 10 patients (18%). At the latest follow-up, all fractures were radiologically healed with no evidence of malangulation or malrotation (defined as &gt;20°) and full weight-bearing. There was a lower rate of complications in the ESIN group than in the external fixation group. Overall, we were unable to show a significant difference between the two methods.

This research delves into the intricate dynamics underlying the impact of investments on global output, em-ploying the Leontief matrix as a robust analytical framework. Investments wield a profound influence on economies worldwide, with varying effects contingent upon investment types, development levels of coun-tries, and external factors such as trade conflicts and global shocks. The diverse range of investment forms, including physical capital, human capital, R&D, and technological investments, engenders distinct implica-tions for productivity, innovation, and efficiency. Developing and developed economies navigate unique tra-jectories, with investments playing a pivotal role in bridging infrastructure gaps, improving technology, and spurring growth. However, external disruptions, such as trade wars and global shocks, introduce an element of complexity, reshaping investment patterns and altering global output trajectories. This study centers on harnessing the Leontief matrix's prowess to evaluate the interplay of investments and global output, focusing on the Romanian economy. By analyzing input-output tables, encompassing 105 branches aggregated into 10 sectors, the research captures the intricate connections between economic segments. No-tably, the Romanian context reveals the volatility of the matrix coefficients', an outcome of ongoing transi-tional processes, technological advancements, and fluctuating relative prices. In unraveling the intricate threads weaving investments and global output, this study contributes to a nuanced comprehension of these multifaceted interactions. The findings underscore the significance of tailoring investment strategies to specific economic contexts and advocate for robust frameworks, such as the Leontief matrix, to inform pol-icy decisions and drive sustainable growth in an increasingly complex global economy.

Lucky bamboo (Dracaena sanderiana hort. ex Mast. = Dracaena braunii) is a domestic species widely cultivated for ornamental purposes in China. In March 2022, a severe occurrence of anthracnose disease was observed on the stems of lucky bamboo plants in a greenery retail store located in Nanjing, Jiangsu Province, China. The morphological characteristics of isolates obtained from diseased stem tissues were identical with those described for Colletotrichum species. Based on multilocus phylogenetic analysis with the internal transcribed spacer (ITS), actin (ACT) gene, and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) gene, the pathogen was identified as Colleto-trichum gloeosporioides (Penz.) Penz. & Sacc. Pathogenicity was verified by mycelial plug-inoculating stem cuttings of one-year-old lucky bamboo plants and spray-inoculating whole one-year-old lucky bamboo plants, respectively. Koch’s postulates were fulfilled by the re-isolation of C. gloeosporioides from symptomatic tissues. To the best of our knowledge, this report describes the first time that C. gloeosporioides was observed to cause anthracnose on lucky bamboo in China.

Multi-junction solar cells comprised of stacked III-V semiconductor junctions represent the highest-efficiency photovoltaic technology, with recent demonstrations exceeding 47% efficiency . Optimizing the design and thickness of each junction is critical for maximizing performance . This work utilizes Silvaco TCAD tools to systematically optimize a 5-junction cell based on AlInP, AlGaInP, AlGaInAs, GaInP, GaAs, InGaAs, and Ge similar to recent record cells . The junction thicknesses are varied using a predictive profiler to sample the parameter space . For each combination, the spectral absorption and I-V characteristics are simulated to determine the efficiency . Statistical analysis identifies the optimal thickness set that maximizes performance to 26% under 1 sun illumination .

Integrating systems acquired from third parties and legacies has become of great necessity in companies. This is mainly due to the need to exchange information between entities, such as banks, suppliers, customers, allies, etc. Therefore, it is essential to guarantee the integrity of the data and keep the integration up to date with the changes that can occur. Furthermore, reducing the transaction risk and avoiding losing information is necessary. Implementing this complex task involving technological and business challenges requires appropriate architecture implementation. This article presents an architecture named Dynamic Canonical Data Model through agnostic messages. The contribution involves treating the low link in integrating software units, also called the integration of loosely coupled software units. In particular, it focuses on internal data and external data integration. The proposal reduces their integration, maintenance time, and cost, maximizing their scalability and promoting reuse. To illustrate their components, a case study undertaken at the Mexican Logistics Company Paquetexpress is presented. The company has evaluated different enterprise application integration systems over 26 years to achieve a standardized integration. The article describes an architecture designed and implemented for this delivery company in a real-world case. The implementation’s source code was registered in the National Registry of Copyrights of Mexico.

The phenomenon of ordered self-assembly on solid substrates is a topic of interest in both fundamental surface science research and its applications in nanotechnology. The regulation and control of two-dimensional (2D) self-assembled supra-molecular structures on surfaces have been realized through applying external stimuli. By utilizing scanning tunneling microscopy (STM), researchers can investigate detailed phase transition process about self-assembled monolayers (SAMs), providing insight into the interplay between intermolecular weak interactions and substrate-molecule interactions, which govern the formation of molecular self-assembly. This review will discuss the structural transition of self-assembly probed by STM in response to external stimuli and provide state-of-art methods such as tip induced confinement for the alignment of SAM domains and selective chirality. Finally, we discuss the challenges and opportunities in the field of self-assembly and STM.

Engine oil degradation and tribological properties are strongly interrelated. Hence, understanding the chemical processes resulting in additive depletion and degradation products is necessary. In this study, in-service engine oils from petrol and diesel vehicles were analyzed with conventional and advanced methods (mass spectrometry). Additionally, the effect of the utilization profile (short- vs. long-range) was studied. Petrol engine oils generally showed accelerated antioxidant and antiwear degradation and higher oxidation, especially in case of a short-range utilization profile, which can be attributed to the higher air-to-fuel ratio (more rich combustion) compared to diesel engines. A detailed overview of oxidation and nitration products, as well as degradation products resulting from zinc dialkyl dithiophosphate and boron ester antiwear additives, diphenylamine antioxidants and salicylate detergents is given. A side-reaction between oxidation products (aromatic carboxylic acids) and the boron ester antiwear is highlighted. This reaction was only detected in the petrol engine oils, where the oxidation products were measured in a high abundance. However, no side reaction was found in the samples from the diesel vehicle, since there the aromatic carboxylic acids were largely absent due to lower oxidation.

Supermarkets in Port Harcourt (PH) city, Nigeria, predominantly rely on diesel electricity generation due to grid instability, leading to high cost of electricity prices. Although solar photovoltaic (PV) systems have been proposed as an alternative, these supermarkets have yet to adopt them, mainly due to high investment costs and a lack of awareness of the long-term financial and environmental benefits. This paper examines the technical and economic practicality of a PV system for these supermarkets using the PVsyst software and a spreadsheet model. Solar resources showed that PH has a daily average solar radiation and temperature of 4.21 kWh/m2/day and 25.73℃, respectively. Market Square, the supermarket with the highest peak power demand of 59.8 kW, and a 561 kWh/day load profile, was chosen as a case study. A proposed PV system with a power capacity of 232 kW, battery storage capacity of 34,021 Ah, a charge controller size of 100 A/560V, and an inverter with a power rating of 60V/75 kW has been designed to meet the load demand. The economic analysis showed a $266,936 life cycle cost, $0.12 per kWh levelized cost of electricity (LCOE), 4-year simple payback time, and a 20.5% internal rate of return (IRR). The PV system is feasible due to its positive net present value (NPV) of $165,322 and carbon savings of 582 tCO2/year.

There are several pathologies that can change the anatomy of the otic capsule and that can distort the bone density of the bony structures of the inner ear, but otosclerosis is one of the most frequent. Similar behavior has been shown in patients affected by osteogenesis imperfecta (OI), a genetic disease due to a mutation in the genes coding for type I (pro) collagen. In particular, we note that otosclerosis and OI can lead to bone resorption creating pericochlear cavitations in contact with the internal auditory canal (IAC). In this regard, in our experience we have collected 5 cases presenting this characteristic and their audiological data and clinical history were analyzed. This feature can be defined as a potential cause of a third-window effect, because it causes an energy loss during the transmission of sound waves from the OW away from the basilar membrane.

Hydrogels can be considered as mimics of extracellular matrix (ECM).Cytoskeleton through integrins is connected with ECM and cytoskeleton tension depends on ECM stiffness.A number of age-related diseases depend on cellular processes related with cytoskeleton function.Some examples of cancer initiation and progression and heart disease in relationship with ECM stiffness has been analysed.Incorporation of rigid particles in ECM can increase ECM stifness and to promote formation of internal residual stresses. Water migration, changes of water binding energy to biomactomolecules, changes of the state of water from tightly bound water to free and loosely bound water changes stiffness of ECM. Risks related with rigid particles incorporation into ECM have been also iscussed.

The internal wave recognition algorithm in an ocean data buoy system can be used to realize the real-time and flexible observation of internal waves, but there is no accurate automatic recognition method. To meet the need for automatic, real-time, and reliable internal wave recognition, an automatic internal wave recognition algorithm has been proposed for a tightly profiled intelligent buoy system. The sea profile temperature data collected by the Bailong buoy system in the Andaman Sea in 2018 were used to train and test the internal wave recognition neural network model, which consists of two parts: feature extraction and feature classification. The experiment compares the long short-term memory network (LSTM), convolutional neural network (CNN) with different layers, and deep neural network (DNN) without a feature extraction network and adjusts the number of convolutional nuclei and convolutional strides to improve the feature extraction efficiency. Experiments show that the best results can be obtained when a CNN layer is used as the feature extraction network, the convolutional step length is 4, the number of convolutional kernels is 5. The recall reaches 95.31% and the precision is 97.53%. The internal wave identification delay of the algorithm is 5.0862 minutes, the number of parameters is 1593, and the number of calculations is 3024. The algorithm can be directly deployed to the ocean data buoy system to realize the demand for automatic, real-time and reliable internal wave identification at the buoy end.

The decay of the low-mode internal tide due to the superharmonic energy cascade is investigated in a realistically forced global Hybrid Coordinate Ocean Model (HYCOM) simulation with 1/25 degrees (4 km) horizontal grid spacing. Time-mean and depth-integrated supertidal kinetic energy is found to be largest near low-latitude internal tide generation sites, such as the Bay of Bengal, Amazon Shelf, and Mascarene Ridge. The supertidal kinetic energy can make up to 50% of the total internal tide kinetic energy several hundred kilometers from the generation sites. As opposed to the tidal flux divergence, the supertidal flux divergence does not correlate with the barotropic to baroclinic energy conversion. Instead, the time-mean and depth-integrated supertidal flux divergence correlates with the nonlinear kinetic energy transfers from (sub)tidal to supertidal frequency bands as estimated with a novel coarse-graining approach. The regular spaced banding patterns of the surface-intensified nonlinear energy transfers are attributed to semidiurnal mode 1 and mode 2 internal waves that interfere constructively at the surface. This causes patches where both surface tidal KE and nonlinear energy transfers are elevated. The simulated internal tide off the Amazon shelf steepens significantly near these patches, generating solitary-like waves in good agreement with Synthetic Aperture Radar (SAR) imagery. Globally, we find that regions of high supertidal energy flux also show a high correlation with observed instances of solitary nonlinear internal waves.

Considering the concerns for emissions reduction in the maritime sector, the present paper evaluates, through modeling and simulation, the oxy-fuel combustion in a two-stroke ship engine (2SE) and the best production system configuration to obtain the required oxygen (O2). An initial model of a ship engine is calibrated with the engine manufacturer’s data, and then adapted to work with O2 as the oxidant to eliminate nitrogen oxides (NOx) emissions and with exhaust gas recirculation (EGR) to control the in-cylinder combustion temperature. Mixed Ionic-Electronic Conducting (MIEC) membranes produce the necessary O2 from the ambient air, which is heated up and pressurized by a heat exchanger and turbocharging coupled system to provide the air conditions required for the proper operation of the MIEC. Several layouts of this system are evaluated for the full load engine operating point to find the optimum O2 production system configuration. Results reveal that the engine operating under oxy-fuel combustion conditions avoids NOx emissions at the expense of higher brake specific fuel consumption (BSFC) to obtain the original brake torque, and also expels a stream composed exclusively of CO2 and H2O, what facilitates the separation of CO2 from exhaust gases.

Myiasis is a medical condition in humans caused by the larvae and worms of certain types of flies, specifically the Sarcophagidea species. If this parasitic infection occurs in the external part of the eye, it is known as external ophthalmomyiasis. This condition is more commonly found in the Mediterranean and the Near East and is rare in North America. Objective: This report and review aim to describe and compare the risk factors, clinical course, and parasitologic features of external ophthalmomyiasis. We also discuss the different preventive measures in a large case series reported from January 2000 to December 2022. Methods: We report the first case of external ophthalmomyiasis in Mexico caused by Lucilia sericata in an adolescent with no clinical risk factors. Additionally, we perform a literature review of reported cases of external ophthalmomyiasis to determine the clinical characteristics, therapeutic management, and information on the organisms that most commonly cause external ophthalmomyiasis. Results: A total of 312 cases of external ophthalmomyiasis were recorded, with 208 cases in males (66.7%) and 102 cases in females (32.7%). In two cases, the gender and species responsible for the ophthalmomyiasis were not reported (0.6%). The mean age of those affected was 32.1 ± 18.5 years, ranging from newborns to 91 years old. The male-to-female ratio was 2:1. The most common causative organism was Oestrus ovis, accounting for 72.1% of cases, followed by Dermatobia hominis at 5.4%, Lucilia sericata at 0.96%, and Chrysomyia bezziana at 0.96%. Before experiencing symptoms, 43.6% of cases reported having direct contact with flies or being hit in the eye, 33% reported no associated risk factors, 9.3% reported living with sheep and goats, and 7.7% reported a history of foreign objects entering the eye. The most common symptoms for those affected by Oestrus ovis were sudden onset, including a foreign body sensation and movement, redness, tearing, itching, swelling, irritation, photophobia, burning, and ocular secretion. In cases caused by Dermatobia hominis, symptoms included eyelid edema, pain, redness, itching, movement within the lesion, ocular irritation, and discharge. Regarding occupational or recreational activity, agriculture and livestock had the highest incidence, followed by trades and technical activities, being a student, and having traveled to an endemic region for work or recreation. Conclusion: Patients with red eyes may suffer from external ophthalmomyiasis, which requires a thorough examination to diagnose and treat it early. Moreover, as the temperature increases due to climate change, it is essential to consider how this will affect the spread of different pathogens. Specifically, the life cycle of Oestrus ovis is greatly influenced by temperature, which suggests that the incidence of ophthalmomyiasis will rise with warmer temperatures.

While there are several ways to identify customer behaviors, few extract this value from information already in a database, much less extract relevant characteristics. This paper presents the development of a prototype using the recency, frequency, and monetary attributes for customer segmentation of a retail database. For this purpose, the standard K-means, K-medoids, and MiniBatch K-means were evaluated. The standard K-means clustering algorithm was more appropriate for data clustering than other algorithms as it remained stable until solutions with 6 clusters. The evaluation of the clusters’ quality was obtained through the internal validation indexes: Silhouette, Calinski Harabasz, and Davies Bouldin. Once consensus was not obtained, three external validation indexes were applied: global stability, stability per cluster, and segment-level stability across solutions. Six customer segments were obtained, identified by their unique behavior: Lost customers, disinterested customers, recent customers, less recent customers, loyal customers, and best customers. Their behavior was evidenced and analyzed, indicating trends and preferences.

Live cell imaging is a powerful technique to study the dynamics and mechanics of various biological molecules like proteins, organelles, DNA, and RNA. With the rapid evolution of optical microscopy, our understanding of how these molecules is implicated in the cells’ most critical physiological roles deepens. Here in this review, we focus on how spatiotemporal nanoscale live cell imaging on a single molecule level allows for profound contributions towards new discoveries in life science. This review will start by summarizing how single molecule tracking has been used to analyze membrane dynamics, receptor ligand interactions, protein-protein interactions, inner- and extracellular transport, gene expression/transcription, and whole organelle tracking. We then move on to how current authors are trying to improve single molecule tracking and overcome current limitations by offering new ways in labeling protein of interests, multi-channel/color detection, improvements in time laps imaging, and new methods and programs to analyze colocalization and movement of targets. We later discuss how single molecule tracking can be a beneficial tool used for medical diagnosis. Finally wrapping up with limitation and future perspective of single molecule tracking and total internal refection microscopy.

(1) Background: The purpose of this study was to investigate the relationship between IMO and burnout while assessing the contribution of job demands and resources on increasing internal orientation and worker well-being and, consequently, the levels of perceived performance; (2) Methods: Data were collected between April and December 2021 by completing an online questionnaire, developed in the Google Forms platform. The following descriptive statistics were analyzed: measures of central tendency (mean), dispersion (standard deviation), minimum value and maximum value. Next, Pearson's correlation coefficient was calculated to analyze the relationship between the variables under study.; (3) Results: The results showed the mediating effect of IMO between performance feedback and perceived performance, while burnout mediates the relationship between emotional and technology demands and perceived performance. (4) Conclusions: These conclusions demonstrate that constructive feedback might help a more efficient performance through better internal communication and the positive effects of technology demands could be the result of the interaction between personal and organizational resources.

With the continuous improvement and observable benefits of electric vehicles (EVs), major logistic companies are introducing more EVs into their conventional fleets. This gives rise to a new type of vehicle routing problem with mixed vehicles, where heterogeneous internal combustion vehicles (ICVs) and electric vehicles are considered in route planning. In addition, certain deliveries that are not efficient on any type of vehicles, are outsourced to third-party common carriers. In this paper, we define this problem as a mixed vehicle routing problem with common carriers (MVRPC). The objective of such problems is to minimize the transportation costs by considering routes with ICVs and EVs, the possibility of visiting recharging stations, outsourcing options, and drivers’ layover regulations. This variant of the vehicle routing problems has many practical applications, particularly in the design of long-haul transportation and last-mile delivery services. Effective MVRPC solutions play a key role in promoting the going Green image and optimally allocating resources. The problem has received limited attention in the literature likely because addressing all the needed aspects is especially challenging. To solve the large-scale problem, we develop a branch-and-cut pricing framework that relies on strong cuts and customized labeling algorithms. Numerical experiments highlight the effectiveness of our algorithm. This success can be attributed to tailored critical resources, dynamically bounded bidirectional labeling procedures, strong dominance criteria, and implementation strategies.

The surface behavior of the ZnO-based films could be modulated via a postannealing and ultraviolet (UV) irradiation with different powers and time, respectively. These present results could provide modulate the microstructure related in grain-size distribution and photocatalytic behavior for potential guide in the field of wide bandgap semiconducting oxides. The ZnO films were prepared onto Corning-1737 glass substrates by using radio-frequency magnetron sputtering without supplying oxygen source at room temperature. For the purpose of obtaining modulable grain microstructures, the as-prepared ZnO films (Z0) were treated via a postannealing modification in vacuum furnace at 300°C for 30 minutes after deposition (Z300) accompanied with the adjustable internal stress. The contact angle (CA) value of ZnO film reduced from 95° to 68° was owning to the different grain microstructure accompanied by a change in size variation. In addition, the UV light with different irradiation powers could also be used to improve the hydrophilicity varied from hydrophobic status to superhydrophilic status due to the desirable surface characteristics of the photocatalytic action. In addition, the photocatalytic activity of ZnO film exhibited efficient photodegradation of methylene blue (MB) under UV irradiation, with a chemical reaction constant of 2.93×10-3 min−1. In this present work, we demonstrated that the CA value of the ZnO films not only caused from hydrophobic to hydrophilic status accompanied by a change in grain size combined with internal stress but also induced by the UV light irradiation combined with photocatalytic activity simultaneously. On the other hand, the enhanced surface plasmonic resonance could be observed that is due to couple electron and photon oscillations and can be generated at the interface between a flat, continuous Pt capping nanolayer. This designed structure could also be considered as a Pt electrode pattern onto ZnO (metal Pt/ ceramic ZnO) for multifunctional heterostructured sensors and devices in near future.

Hybrid renewable energy systems (HRES), complemented by pumped hydropower storage (PHS), have become increasingly popular amidst the increase of renewable energy penetration. This con-figuration is even more prosperous in remote regions that are typically not connected to the mainland power grid, where the energy independence challenge intensifies. This research focuses on the design of such systems, from the perspective of establishing an optimal mix of renewable sources that takes advantage of their complementarities and synergies, combined with the versatility of PHS. However, this design is subject to substantial complexities, due to the multiple objectives and constraints to fulfill, on the one hand, and the inherent uncertainties as well, that span over all underlying processes, i.e., external, and internal. In this vein, we utilize a proposed HRES layout for the Aegean Island of Sifnos, Greece, to develop and evaluate a comprehensive simulation-optimization scheme in deterministic and, eventually, stochastic setting, revealing the design problem under the umbrella of uncertainty. In particular, we account for three major uncertain elements, namely the wind velocity (natural process), the energy demand (anthropogenic process), and the wind-to-power conversion (internal process, expressed in terms of a probabilistic power curve). Emphasis is also given to the decision-making procedure, which requires a thorough interpretation of the uncertainty-aware optimization outcomes. Finally, since the proposed PHS uses the sea as the lower reservoir, additional technical challenges are addressed.

Soil texture is a key property influencing most soil physical, chemical, and biological processes and its catchment-scale spatial variation may yields insights for soil management. Texture data are generally available only at a few locations, since sampling and laboratory analyses are time consuming. Therefore, it is essential to predict soil size particles texture variability using appropriate methods. Moreover, soil texture distribution across a catchment is influenced by erosion and sedimentation processes controlled by hillslope morphology, which can be quantified through some topographic attributes. The study was aimed to evaluate the ability of a multivariate approach based on non-stationary geostatistics to merge remotely sensed high-resolution LiDAR-derived topographic attributes with Vis-NIR diffuse reflectance spectroscopy and laboratory analysis to produce high-resolution maps of soil sand content and estimation uncertainty in a forested catchment in southern Italy. Moreover, the proposed approach was compared with the commonly used univariate approach of ordinary kriging. Soil samples were collected at 135 locations within a 139 ha-forest catchment with granitic parent material and subordinately alluvial deposits, where soils classified as Typic Xerumbrepts and Ultic Haploxeralf crop out. A number of linear trend models coupled with different auxiliary variables were compared and the best one resulted the model using clay content as auxiliary variable. The improvement of estimation from using only LiDAR data (elevation) compared to the univariate (no trend) model was rather marginal.

The transportation sector is seeing an increased adoption rate of electric vehicles (EV), which comprise battery electric vehicles (BEV), hybrid electric vehicles (HEV) and plug-in hybrid electric vehicles (PHEV). This mode of transportation is likely to displace automobiles powered by internal combustion engines (ICE) in the nearest future, as indicated by the current trend. Each of the key EC components is home to a variety of technologies that are either currently in use or will be in the near future. Electric vehicles have the potential to have a significant impact on a variety of fields, including the economy, the energy infrastructure, and the natural environment. As a result of the production of carbon dioxide gas from the combustion of fossil fuels, transportation is the sector that is responsible for the second-highest amount of greenhouse gas emissions. Electric vehicles, often known as EVs, are getting a lot of attention as a potentially game-changing solution to this issue. It is possible for electric vehicles to produce fewer emissions of carbon dioxide (CO2) than conventional automobiles due to the fact that an electric motor serves as the vehicle's propeller rather than an internal combustion engine. EVs have the potential to become zero-emission vehicles if they are paired with renewable energy sources. This document presents an overview of the numerous types of EV drive circuits, covering their design as well as the benefits and drawbacks associated with each type. The current state of battery technology, particularly that pertaining to the batteries utilized in electronic vehicles, is discussed in this paper. This article also discusses electric motor efficiency, power density, fault tolerance, dependability, cost, and the best electric motor for EVs. Then, a thorough study of future EV implementation's obstacles and prospects is done. Charging times and battery performance are examples of technological challenges, but government regulation of EVs continues to be a substantial non-technical hurdle.

Since the emergence of convolutional neural networks (CNNs), and later vision transformers (ViTs), the standard paradigm for model development has been using a set of identical block types with varying parameters/hyper-parameters. To leverage the benefits of different architectural designs (e.g., CNNs and ViTs), we propose alternating structurally different types of blocks to generate a new architecture, mimicking how Lego blocks can be assembled. Using two CNN-based and one SwinViT-based blocks, we investigate three variations to the so-called LegoNet that apply the new block alternation concept for the segmentation task in medical imaging. We also study a new clinical problem that has not been investigated before – the right internal mammary artery (RIMA) and perivascular space segmentation from computed tomography angiography (CTA). It was proven to demonstrate a prognostic value to primary cardiovascular outcomes. We compare the model performance against popular CNN and ViT architectures using two large datasets (achieving 0.749 dice similarity coefficient (DSC) on the larger dataset). We also evaluate the model’s performance on three external testing cohorts, where an expert clinician corrected model-segmented results (DSC>0.90 for the three cohorts). To assess our proposed model for suitability in clinical use, we perform intra- and inter-observer variability analysis. Finally, we investigate a joint self-supervised learning approach to determine its impact on model performance.

In this work, we compiled our research on lanthanide-based luminescent materials, prepared down-shifter layers, and studied their effect on photovoltaic (PV) mini-modules. The compounds we have prepared (C1-C17), with formulas [Eu2(phen)2(bz)6] (C1), [Eu2(bphen)2(bz)6] (C2), [Eu(tta)3bphen] (C3), [Eu(bta)3pyz-phen] (C4), [Eu(tta)3pyz-phen] (C5), [Eu(bta)3me-phen] (C6), [Er(bta)3me-phen] (C7), [Yb(bta)3me-phen] (C8), [Gd(bta)3me-phen] (C9), [Yb(bta)3pyz-phen] (C10), [Er(tta)3pyz-phen] (C11), [Eu2(bz)4(tta)2(phen)2] (C12), [Gd2(bz)4(tta)2(phen)2] (C13), [EuTb(bz)4(tta)2(phen)2] (C14), [EuGd(bz)4(tta)2(phen)2] (C15), [Eu1.2Gd0.8(bz)4(tta)2(phen)2] (C16) and [Eu1.6Gd0.4(bz)4(tta)2(phen)2] (C17), can be grouped into three families based on their composition: Series C1–6 were synthesized using Eu3+ ions and phenanthroline derivatives as the neutral ligands, and fluorinated β-diketonates as the anionic ligands. Complexes C7–11 were prepared with ligands similar to those of compounds C1–6 but were synthesized with Er3+, Yb3+, or Gd3+ ions. Series C12–17 exhibit the general formula [M1M2(bz)4(tta)2(phen)2], where M1 and M2 can be Eu3+, Gd3+, or Tb3+ ions, and the ligands are benzoate (bz–), 2-thenoyltrifluoroacetone (tta–) and 1,10–phenanthroline (phen). All compounds were characterized using X-ray techniques, and their photoluminescent properties were studied. We then examined their impact on the EQE (External Quantum Efficiency) of PV mini-modules and their durability in a climate chamber when embedded in PMMA and EVA films. This review emphasizes the methodology employed and the key findings, including enhanced mini-module efficiency. Additionally, we present promising results on the application of compound C6 in a bifacial solar cell.

The structural stability of γ-boron is investigated using Raman spectra under high pressures up to 126 GPa at ambient temperature. The pressure dependence of all the Raman-active modes of the γ-boron is reported. We also observe amusing changes within the B3g and B1g Raman-active vibrational modes, which results in the phenomenon of merging first and then separating of the Raman peaks. In addition to the Raman measurements, the changes in crystal structure and force constants are calculated to reasonably explain the discrepancy between the two Raman modes in response to pressure. The results of the continuous shifts for all Raman modes with increasing pressure indicate that γ-boron remains stable below this pressure value, with no changes in either symmetry or structure.

Ceruminous gland tumours are rare injuries of the external auditory canal (EAC). This tumor, even if considered a slow-growing carcinoma, has high rate of perineural invasion and metastasis. For this reason, it must be promptly diagnosed, then it must be treated with aggressive surgery combined with postoperative radiation. The present case report is about a case of an adenoid cystic carcinoma arising the external auditory canal of 46 years old female patient, who complained hypoacusis and pain. The profile of medical liability is substantiated on the delayed diagnosis when the lately observed tumor progression by the invasion of both surrounding bone and vascular structures.

In this paper, we discussed the motion of neutral and charged particles in Schwarzschild black hole immersed in an electromagnetic universe (SEBH). The SEBH represents a mass M coupled to an external electromagnetic field that was derived from the metric of colliding electromagnetic waves with double polarization. Our study examine how the external electromagnetic field affects the trajectory of neutral and charged particles. First, the trajectories of both photon and test particle are studied. Then, the exact solutions for the trajectories are obtained in terms of the Jacobi-elliptic integrals for all possible energy and angular momentum of test particle and photon. We have also discussed the motion of charged particle and obtained the radius of the innermost circular orbit (ISCO). It is especially interesting when the charge sign is positive since this creates a conflict between gravitational (attraction force) and electric (repulsion force). Furthermore, we discuss the Lyapunov exponent and the effective force influencing particles in SEBH spacetime.

The COVID-19 pandemic had a wide-ranging impact, resulting in a global recession due to weakened purchasing power. This circumstance necessitates business organizations adapting to developments and being more conscious of the risk of financial statement fraud. The intention of this research is to investigate the way corporate governance affected financial statement fraud during the COVID-19 pandemic. To acquire empirical data for examining corporate governance variables on financial statement fraud, the research was examined using quantitative methods. The study takes advantage of secondary data acquired from annual reports of companies under special monitoring listed on the Indonesia Stock Exchange of 2020-2021. The logistic regression method was used to evaluate 134 data sets, and financial statement fraud was measured using the Z-Score and F-Score models. The results indicate that using the Z-score, only the board size has a negative effect on financial statement fraud during the COVID- 19 pandemic. Meanwhile, using the F-Score, the corporate governance variables studied are not proven to have an influence on financial statement fraud during the COVID 19 pandemic.

Climate change complies firms to introduce various measures to enhance both their competitiveness and sustainability, particularly energy efficiency measures (EEMs). Energy efficiency is particularly important in energy-intensive sectors such as the industrial sector. However, EEMs within the industrial firms are hindered by several internal barriers such as competing interests within firms, the lack of information regarding energy efficiency opportunities, and the low technical competence. In this regard, energy audit aims to improve energy efficiency in facilities and to tackle internal barriers to energy efficiency. We construct a model which aims to explore the importance of energy audit in implementing EEMs and reducing the intensity of internal barriers to energy efficiency. Our research model was empirically tested through survey data gathered from 193 industrial firms in Morocco. Results show that competing interests, the lack of information and the low technical competence hinder the adoption of EEMs within industrial firms. In addition, energy audits enhance EEMs, and mitigate the negative effect of the lack of information and the low technical competence on the adoption of EEMs. However, energy audits do not attenuate the negative effect of competing interests on EEMs. This study reinforces previous studies with additional confirmation regarding the importance of energy audits for tackling the lack of information, and the low technical competence within firms. Furthermore, our study extends prior research as we found that energy audits do not reduce the intensity of competing interests within firms regarding EMMs’ implementation.

Within the framework of the previously proposed formulation of the quantum theory of gravity in terms of world histories, it was suggested that the universe has its own mass. This quantity is analogous to the mass of a particle in relativistic mechanics. The mass of the universe is a distribution of non-zero values of gravitational constraints, which arises and changes in time as a consequence of the initial conditions for fundamental dynamic variables. A formulation of the Euclidean quantum theory of gravity is also proposed to determine the initial state, which can be the source of the universe’s own mass. Being unrelated to ordinary matter, the distribution of its own mass affects the geometry of space and forms a dedicated frame of reference. The existence of selected reference systems is taken into account by the corresponding modification of the system of quantum gravitational constraints. A variant of such a modification of the Wheeler-De Witt equation is the operator representation of gravitational constraints, which, together with the state of the universe, determines the parameters of the reference system in the form of a distribution of the spinor field on a spatial section.

The Macroscopic Mechanical Equilibrium Condition can be shown to be the physical origin of the Equation of State of any material system, then can describe all thermodynamic quasi-equilibrium processes caused by the change of the external temperature and/or mechanical environment. If it cannot be satisfied, the system would be broken.

Electric vehicles (EVs) will have a greater need for the amount of electricity needed to charge them as their popularity grows. It is anticipated that in order to accomplish this objective, it will be essential to implement a variety of solutions for grid transportation that are designed to complement one another and to make significant changes to the transmission infrastructure. It is possible to reduce the amount of energy that is lost on the power network through strategic planning and control, which may include economic models and methods to engage and reward users. This would eliminate the need for grid upgrades. Charging electric vehicles can also assist alleviate problems with transmission systems that are caused by the allocation of electric vehicles (EVs) using bidirectional charging method. The most significant problems that can occur with a transmission network are power loss and unstable voltage. Adding EV units to the transmission network is typically an effective method for resolving these challenges. As a result, EVs need to have the appropriate arrangement and dimensions. This research establishes where and how many electric vehicles (EVs) should be in a radial transmission network both before and after the adjustment is made. An artificially intelligent (AI) approach, known as a hybrid genetic algorithm particle swarm optimization (HGAIPSO), is used both before and after the radial network modification to find the optimal EV location and size. When electric vehicles are coordinated in an active transmission network, power losses are decreased, voltage profiles are raised, and system stability is increased. These benefits can be attributed to the greater use of electric vehicles. The simulation found that incorporating EVs into the testing system resulted in a considerable decrease in the quantity of power that was wasted. The minimal bus voltage of the system also undergoes similar kinds of enhancements. According to the findings of the comparative study, the proposed method mitigates both the voltage fluctuations and the power losses that occur in the transmission system. For type 1, type 2, and type 3 EV allocations, the IEEE-30 bus test system reduced real power loss by 40.70%, 36.24%, and 42.94%, respectively. IEEE-30 bus voltage reaches 1.01 pu.

Background: Knowledge of vascular anatomy and its possible variations is essential for performing embolization or revascularization procedures and complex surgery in the pelvis. The obturator artery (OA) is a branch of the anterior division of the internal iliac artery (IIA), and it has the highest frequency of variation between branches of the internal iliac artery. Possible anomalies of the origin of the obturator artery (OA) should be known when performing pelvic and groin surgery, where its control or ligation may be required. The purpose of this systematic review and meta-analysis, based on Sanudo’s classification, is to analyse the origin of the obturator artery (OA) and its variants. Methods: Thirteen articles, published between 1952 and 2020, were included in this systematic review and meta-analysis. Results: The obturator artery (OA) was present in almost all cases (99.8%): the pooled prevalence estimate for internal iliac artery (IIA) was 77.7% (95% CI 71.8% – 83.1%) vs 22.3% (95% CI 16.9% – 28.2%) for the external iliac artery (EIA). In most cases, the obturator artery (OA) originated from the anterior division trunk of the internal iliac artery (IIA) (61.6%). Conclusion: Performing preoperative radiological studies to know the pelvic vascular pattern and having awareness to evaluate possible changes in the obturator artery can reduce the risk of iatrogenic injury and complications

A block-diagonal fuzzy neural network for short-term load forecasting is proposed. DBD-FELF consists of fuzzy rules with consequent parts that are neural networks with internal recurrence. These networks have a hidden layer which consists of pairs of neurons with feedback connections between them. The overall fuzzy model partitions the input space in partially overlapping fuzzy regions, where the recurrent neural networks of the respective rules operate. The partition of the input space and determination of the fuzzy rule base is performed by use of Fuzzy C-Means clustering algorithm and the RENNCOM constrained optimization method is applied for consequent parameter tuning. The electric load time-series of the Greek power system is examined, and hourly-based forecasting for the whole year is performed. The performance of DBD-FELF is tested via extensive experimental analysis and the results are promising, since an average percentage error of 1.18% is attained, along with an average yearly absolute error of 76.2 MW. Moreover, DBD-FELF is compared with Deep Learning, fuzzy and neurofuzzy rivals, such that its particular attributes are highlighted.

Introduction: The application of external fixation devices consists of wires insertion through the skin and soft tissue to the bone. We examined the possible analgesic effect of stimulating an acupoint by the fixation wires which mimics the acupunctures treatment. Material and methods: retrospective work. Between 2015 to 2018 107 patients were treated with an external fixation for a tibial fracture. 33 patient files were found to be eligible for the review. Patients were retrospectively divided into two groups: the study group included patients with a wire inserted through the ST36 (Zu San li) acupoint location, the control group had the wire inserted elsewhere. Patient's record was reviewed for 5 days following surgery. Data collected included analgesic consumption and pain level recorded on a visual analog scale (VAS). Results: 33 patients were included in the review. 20 patients in the study group and 13 served as the control group. In the study group VAS average was Mean (M)=1.4853 ± 1.30 while in the control group M=2.3885± 1.77 with no statistical relevance (P>0.05). Only on day 4 the study group had less pain than the control: M=0.40 ± 0.843, versus M=2.57 ± 2.149 (Mann=Whitney Z= -2.413, P<0.05). No statistical difference was found between groups in relation to analgesic consumption. Conclusions: In patients suffering from a tibial fracture treated with an Ilizarov external fixation device, locating a wire in the anatomical location of acupoint ST 36 had no effect on analgesic consumption and a minimal effect on patients’ pain levels.

We calculate energies of shallow donors confined in a rolled-up quantum well in the presence of the electric field by solving numerically the Schrödinger equation in natural curvilinear coordinates. It is found that the curves of density of states (DOS) are very sensitive to the variation of the donor position, the geometry of the spiral and the applied electric field value. Novel results for dependencies of donor’s dipole moment and its polarizability on the electric field strength and its orientation, for different donor positions are presented. Also, we found that anisotropic Stark effect of the first order provides in this structure a dependency of the polarizability on the external electric field in a spike-like shape, giving rise to a sharp variation of the dipole moment.

Based on the 2013–2017 Chinese Family Database and China Household Finance Survey, the study examines the impact of farmland transfer on the income structure of agricultural households. We observe a significant rise in the income of transferred-out households, while that of transferred-in households is unchanged. A further empirical decomposition of income shows a significant increase in both the wage and asset generated incomes of transferred-out households. Although the income generated by transferred-in households through agricultural production and management increases significantly, the decrease in wage income is larger. The study’s empirical designs are robustly tested with propensity score matching and instrumental variables. Moreover, we conduct a comparative analysis of the external constraints faced by the two groups to explore the reasons for the divergence of the income effect. The results show that transferred-in households face highly pronounced external constraints in terms of capital, technology, and farmland size, while transferred-out households face relatively fewer impediments to non-agricultural employment. Our empirical results imply that external constraints can limit the social welfare improvements of agricultural land reform, suggesting that other complementary measures would be required for future policy improvements to work better.

Purpose: The intervertebral disc is a leading avascular organ in the body that may gather nutrition through diffusion. It maintains homeostasis by the use of autophagy and apoptosis to survive in unfavorable conditions such as stress and mechanical force. Therefore, excessive force and stress beyond normal conditions may cause intervertebral disc degeneration. The purpose of this study was to examine which is the better method, either external fixator (EF) or saline injection (SI), for inducing autophagy and apoptosis-mediated nucleus pulposus (NP) cell death in the discs of rat tail’s. Methods: Sixteen, nine-weeks-old male Sprague–Dawley rat tails were treated with 0.9% saline and EF (two-cross Kirschner wires) for a period ofsix and twelve weeks. Treated discs were dissected to identify the participation of autophagy and apoptosis in intervertebral disc degeneration. For identification purposes, H&amp;E staining, Masson’s trichrome staining, and immunohistochemistry (IHC) for LC3, beclin-1, and P62 in addition to MMP-2, MMP-3, and TIMP-1 were performed. Furthermore, we performed real-time polymerase chain reaction (RT-PCR) to observe autophagy-related gene expression (beclin-1, LC3, and P62) and apoptosis-related gene expression (MMP-2, MMP-3, and TIMP-1). Results: TheEF group showed more insidious NP cell degeneration than the control (Ctrl) group. Degeneration was elevated with increasing compression duration of EF group, whereas the SI group could not distinguish the margin of annulus fibrosus (AF) and NP cells. LC3, beclin-1, and P62 showed the highest and lateral expression whilst MMP-2, MMP-3, and TIMP-1 showed up-regulated and central expression in both groups, although the SI group could not recognize the boundary between NP and AF cells. The EF group showed the highest autophagy-related gene expression whereas the SI group showed lower expression. In addition, the EF group showed more autophagy-accumulating materials than the SI group which elevated with increasing compression duration. Furthermore, the SI group induced the highest apoptotic gene expression, but the EF group showed the lowest expression. Conclusion: The EF method was better for studying autophagy and apoptosis because it enhanced intervertebral disc degeneration after compression, which is actively linked to autophagy and apoptosis. The degeneration process was elevated by increasing the compression duration, but SI could not distinguish AF and NP cell margins.

Hydro generator sets serve as the peak and frequency regulation of the power system,and play a very important role in maintaining system stability and improving power quality.Based on the internal characteristics model of a specific type of hydro generator,this paper constructs a hydroelectric coupling model for hydropower units,studies the influence of the regulation system of hydropower units on low-frequency oscillations under different load conditions,and adopts variable speed reaching law and fuzzy sliding mode control strategy to improve the regulation quality of the system and ensure the stable operation of the units.Results of simulation and water turbine set under different load conditions show that varible speed reaching law can effectively improve the power-angle oscillation behavior of the hydropower set and suppress the occurrence of low-frequency oscillations of the system when the system is subject to power disturbance,which provide a new theoretical basis and solution for the vibration analysis and control optimization of hydraulic turbine units.

There is immense variability in the postharvest quality of Hass avocados. However, there is a lack of knowledge to guaranteeing the robustness of fruit with consistent quality. The aims of this work were to develop a multivariate methodology for evaluating the postharvest quality of avocado and to determine predictive quality markers to manage fruit quality. Fruit samples produced under different nutrient management, elevation, date-to-harvest, and growing-cycle conditions were analyzed. The results highlighted soil and weather differences among orchards. Nutrient management practices based on index balancing in some samples increased both productivity and the fruit size. High variability was observed in the dry matter related to the age of the fruit at harvest. Ripening heterogeneity was very large in low-elevation orchards where the fruit was picked relatively early. High flesh mineral contents delayed fruit ripening. At low growing temperatures, more oleic and linoleic acids were present in fruits. The sensory texture and taste descriptors were affected by the fruit age and related to the flesh composition. Logistic, PLS-DA, and biplot models effectively represented the variabilities in the ripening pattern, composition, and sensory profile of avocado fruits and allowed the samples to be grouped according to the internal fruit quality.

The literature has well established prestressing in concrete beams and its calculation procedures. However, its use in composite steel-concrete beams has increased despite main normative codes lacking a specific approach for it. Designers must, in most cases, combine the available criteria to calculate the standards of steel and reinforced concrete structures. This study aimed to formulate this optimization problem and analyze CO2 emissions for the optimal design of composite steel-concrete beams with external prestressing. The design variables for the optimization problem include cross-section of laminated or welded profiles, slab height, characteristic strength of concrete to compression, and number of tendons. We obtained a solution for the optimization problem via a genetic algorithm (GA) and a particle swarm optimization one (PSO). Comparative analysis with experimental example and with optimization problem of prestressed steel beam are performed. An parametric analysis to several spams is performed, which enabled to evaluate the factors that most impact CO2 emissions. According to results, the chosen algorithms effectively obtained solutions for the problem, and PSO usually provided better results than GA. Regarding the final solution composition, steel contributes the most to emissions, welded profiles provided better solutions than laminated ones, and laminated spans of up to 17.5m and welded ones up to 27.5m dispensed with tendons.

Controlling the selectivity of detonation initiation reaction of explosive is a Holy Grail, and it seems to be an “idiot's daydream”, by strengthening external electric field, to reduce the explosive sensitivity. The effects of external electric fields on the initiation reactions in NH2NO2∙∙∙NH3, a model system of the nitroamine explosive with alkaline additive, were investigated at the MP2/6-311++G(2d,p) and CCSD/6-311++G(2d,p) level. The concerted effect in the intermolecular hydrogen exchange is characterized by an index of the imaginary vibrations. Due to the weakened concerted effects by the electric field along the −x-direction opposite to the “reaction axis”, the dominant reaction changes from the hydrogen exchange to 1,3-intramolecular hydrogen transference with the increase of the field strengths. Furthermore, the stronger the field strengths, the higher the barrier heights become, indicating the lower sensitivities. Therefore, by strengthening the field strength and adjusting the orientation between the field and “reaction axis”, not only can the reaction selectivity be controlled, but also the sensitivity can be reduced, in particular under a super-strong field. Thus, a traditional concept, which the explosive is dangerous under the super-strong external electric field, is broken theoretically. Compared to the neutral medium, the low sensitivity of the explosive with alkaline can be achieved under the stronger field. Employing atoms in molecules, reduced density gradient and surface electrostatic potentials, the origin of the reaction selectivity and sensitivity change is revealed. This work provides a new idea to the technical improvement for adding the external electric field into the explosive system.

Purpose: Intervertebral disc is a leading avascular organ in the body. Hence, it may utilize autophagy and apoptosis to alive in unfavorable condition like stress and mechanical force. But excessive force and stress is a key cause to intervertebral disc degeneration (IVDD). Purpose of this study is to identify, external fixator (EF) and saline injection (SI) may induce autopahgy and apoptosis mediated nucleus pulposus (NP) cells death in rat tail’s disc and which method is better for studying autophagy and apoptosis. Methods: Sixteen 9-week-old male Sprague–Dawley rat tails were treated with 0.9% saline and EF (two-cross kirschner wires) for 6 weeks and 12 weeks as well. Treated discs were dissected for checking out participation of autopahgy and apoptosis to intervertebral disc degradation (IVDD). For identifying them, we performed H&E staining, Masson’s trichrome staining, and Immunohistochemistry (IHC) for LC3, Beclin-1and P62 as well as MMP-2, MMP-3 and TIMP-1.Furthermore, we performed quantitative polymerase chain reaction (qPCR)to check out autophagy related gene expression (beclin-1, LC3 and P62) and apoptosis related gene expression (MMP-2, MMP-3 and TIMP-1) respectively. Results: More insidious nucleus pulposus (NP) cell degeneration was indentified in (EF) group than in (Ctrl) control group. And rate of degradation was elevated with increasing duration of compression, but SI group cannot distinguish the margin of AF and NP cells. Highest along with lateral expression was found for LC3, Beclin-1, and P62 of both groups. Up-regulated and central expression was observed for MMP-2, MMP-3 and TIMP-1 of both groups, although SI group cannot recognize the margin between NP and AF cells. Utmost autophagy related gene expression was identified in EF group than in SI group. Besides, maximum autophagy accumulating materials was found in EF group than in SI group. And it was amplified along with increasing the duration of compression. Highest, apoptotic gene expression was observed in SI group, whereas, EF group showed lowest expression. Conclusion: External fixator (EF) method was better to study autophagy and apoptosis because it enhanced IVDD after compression which is actively linked with autophagy and apoptosis. Degeneration process was conversely proportional along with duration of compression. On contrary, saline injection (SI) could not distinguish AF and NP cell border.

The United Arab Emirates (UAE) has established itself as the medical device industry’s preferred regional center. Major multinational corporations either have a regional subsidiary or are planning to open up a principal office in the UAE to expand their business. Employees in the industry are in high demand as new opportunities open up frequently and that causes challenges to companies, namely employee turnover. This research helps bridge the gap found in the literature by investigating the factors that impact employee turnover in the medical device industry in the UAE. These factors were tested with their subsequent sub-factors. Using a quantitative approach, the study surveyed 230 participants from 47 medical device companies in the UAE. The result of one-way ANOVA demonstrated a significant relationship between employee salary and employee turnover. The linear regression analysis was statistically significant between perceived external prestige, location, flextime, organizational justice, job satisfaction, organizational commitment, extrinsic rewards, career advancement, lack of alternatives, constituent attachments, and employee turnover. These findings indicate the need for a strategy utilizing these factors for existing and new medical device companies in the UAE to prevent high employee turnover or limit it at least.

Background and purpose: Total elbow arthroplasties (TEA) aim to replicate anatomy and provide stability in the treatment of distal fractures of the humerus. In the presence of an aging population with higher functional demand, improving patients’ well-being is crucial. This study aimed to analyze patients’ reported outcomes and functional outcomes for TEA in comminuted fractures of the distal humerus and to compare these outcomes with their counterpart patients who have been treated with open reduction and internal fixation (ORIF). In addition, this study aims to compare the secondary procedures rate between the two groups.Patients and Methods: Eligible patients were those who underwent TEA or ORIF of the distal humerus and completed several patient-reported outcome (PRO) questionnaires including the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, 12-Item Short Form Health Survey Physical and Mental components (SF-12 P and SF-12 M, respectively) scores, visual analog scale (VAS) score for pain, and patient satisfaction ratings (1-5). A physical examination including range of motion, instability, and strength was performed for all patients. Results: This study found that patients following TEA have shown significantly lower pain levels (TEA: 3.72±2.8; ORIF 5.2±2.98, P=0.019) and higher satisfaction levels (TEA: 4.18±1.17; ORIF 3.57±1.46, P=0.035) compared with patients following ORIF. DASH score (TEA: 33.7±29.4; ORIF 39.75±24.6, P=0.31) and SF-12 score (TEA: 31.7±9.67; ORIF 31.25±10.2, P=0.85) were not statistically different between TEA and ORIF.Patients following TEA have demonstrated an advantage in flexion compared with patients following ORIF (P=0.045). Both patients following TEA and ORIF demonstrated no statistically significant difference in pronation and supination of the operated elbow compared to the contralateral side. Although, a decreased range in extension and flexion of the operated elbow compared with the contralateral side was demonstrated in both groups (extension P=0.005, flexion P<0.001). The grip Test showed no significant difference between the patients who were treated by TEA or ORIF (P=0.99). Moreover, ORIF in comminuted fractures of the distal humerus in elders may be associated with a higher complication rate compared with TEA.Conclusion: TEA following comminuted fractures of the distal humerus is associated with favorable satisfaction, pain levels, and range of motion in flexion compared with patients following ORIF of the distal humerus. Additionally, TEA may be associated with a lower rate of secondary procedures.

qNMR is a valuable technique for metrological studies due to the uniformity of its signal response for all chemical species of an isotope of interest, which enables compound-independent calibration. However, protein quantification remained challenging as large molecules produce wide, low-intensity signals that reduce the already low sensitivity. Combining qNMR with the hydrolysis of protein samples into amino acids circumvents many of these issues and facilitates the use of NMR spectroscopy for absolute protein and peptide quantification.In this work, different conditions have been tested for quantifying aromatic amino acids and proteins. First, we examined the pH-based signal shifts in the aromatic region. The preferable pH depends on the selection of the amino acids for quantification and which internal standard substance should be used to avoid peak overlap. Several aromatic compounds, such as terephthalic acid, sulfoisophthalic acid, and benzene tricarboxylic acid, have been applied as internal standards. The quantification of amino acids from an amino acid standard, as well as from a certified reference material (bovine serum albumin), was performed. Using the first two suggested internal standards, recovery was ~ 97 % for histidine, phenylalanine, and tyrosine at a concentration of approximately 1 mM in solution. Acidic hydrolysis of a certified reference material (CRM) of bovine serum albumin (BSA) and subsequent quantification of Phe and Tyr yielded recoveries of 98 ± 2 and 88 ± 4 %, respectively, at a protein concentration of 16 g/L or 250 µM.

This study aimed to explore what factors affect teachers’ acceptance and instructional use of ICT in Chinese higher vocational colleges. Grounded in the modified UTAUT model, the current study investigated the direct and indirect effects of teachers’ performance expectancy, effort expectancy, external conditions, and behavioral intentions on using ICT in teaching. A total of 6087 teachers from 219 vocational colleges in 28 provinces in China participated in a large-scale survey. Structural equation modeling revealed that the teachers’ psychological perceptions (including performance expectancy, effort expectancy, and intention to use ICT technology) and the external support conditions (including professional development support, infrastructures, the climate of organizational reform and innovation, and teacher performance assessment mechanisms) significantly directly affect the use of ICT in Chinese higher vocational college teachers’ teaching practice. Moreover, this study confirmed the mediating role of teachers’ intention to use ICT in teaching in the relationship between teachers’ psychological perceptions and ICT instructional usage behavior. However, there were differences in the significance of these variables in the chain effect of teachers’ intention to use ICT. These findings expand our understanding of the factors influencing ICT use in teaching among VET teachers in China and thus provide practical implications for higher vocational college managers to promote teachers’ ICT teaching behaviors.

Over recent years, the Ghanaian economy has struggled to find its feet on the ground despite rising public debt and unending inflows of foreign aid. Against this backdrop, this study employs the Vector Error Correction Model (VECM) estimation technique on data from 1970 to 2020 to test the usefulness of the debt overhang hypothesis and the dependency theory in the special case of Ghana. The results confirm evidence of the debt overhang hypothesis and the center-periphery wisdom of the dependency theory in Ghana. The findings depict that an increase in external debt stock and total debt service on external debt have both short and long-run growth-limiting effects on the Ghanaian economy. Similarly, foreign aid catalyzes growth only in the short run and later suppresses rather than stimulates economic growth in Ghana over the long run. The study recommends that harnessing domestic resources, maintaining fiscal discipline by cutting down unproductive expenditures, enhancing an effective tax system, and promoting institutional capabilities to counteract corruption and openness to trade are better ways to fast-track growth development in Ghana.

Purpose: We evaluated the outcomes of fluid-gas exchange (FGE) for long-term flap closure of idiopathic macular hole (MH) after the inverted internal limiting (ILM) flap technique. Methods: We included eyes showed flap closure without complete MH closure, connection of the apart macular tissue, 1 month postoperatively after the inverted ILM flap technique. The eyes stayed at flap closure at 2 months postoperatively further underwent in-office FGE with 16% C3F8. Results: Among 10 eyes, 5 eyes (50%) showed flap closure at 2 months postoperatively further underwent FGE for complete MH closure while the remaining 5 eyes (50%) progressed directly at 2 months postoperatively. The improvement in vision of all flap closure from baseline was significant (p=0.015), with the mean baseline vision was 1.19 [Snellen equivalent (SE), 20/307] ± 0.52 logMAR and the mean final vision being 0.63 (SE, 20/85) ± 0.38 logMAR. The group that underwent FGE showed a better final vision of 0.45 (SE, 20/75) ± 0.23 logMAR than the group that didn’t undergo FGE (0.81 [SE, 20/128] ±0.44 logMAR). All eyes achieved complete MH closure, including the eyes that underwent FGE in a mean period of 5.60 months (range 3-10 months) after the inverted ILM flap technique. The eyes that underwent FGE achieved higher rate of foveal restoration [complete external limiting membrane (ELM): 80%; complete ellipsoid zone (EZ): 60%] than those that didn’t receive FGE (complete ELM: 40%; complete EZ: 10%). Conclusions: Eyes that underwent FGE accelerated complete MH closure and showed better final vision and fovea l restoration.

The pulsatile flow rate (PFR) in the cerebral artery system and shunt ratios in bifurcated arteries are two patient-specific parameters which may affect the hemodynamic characteristics on the pathobiology of cerebral aneurysms (CAs). Accordingly, a systematic study was employed to investigate the effects of the two parameters on hemodynamic characteristics in two internal carotid artery sidewall aneurysms (i.e., ICASA-1 and ICASA-2) models. Numerical results indicate larger PFRs can cause higher WSS in some local regions of the aneurysmal dome that may increase the probability of small/secondary aneurysms generation than under smaller PFRs. The low WSS and relatively high oscillatory shear index (OSI) could appear under a smaller PFR, which has the potential to cause aneurysmal sac growth and rupture. However, the variances in PFRs and bifurcated shunt ratios have rare impacts on the time-average pressure distributions on the aneurysmal sac, although a higher PFR can contribute more to the pressure increase in ICASA-1 dome due to the relatively stronger impingement by the redirected blood stream than in ICASA-2. Simulation results also present the variances of shunt ratios have rare impacts on the hemodynamic characteristics in sacs, mainly because the bifurcated location is not close enough to the sac in present models. Furthermore, it has been found that the vortex location plays a major role in the temporal and spatial distribution of the WSS on the luminal wall, varying significantly with the cardiac period.

In the diagnosis of olfactory neuroblastoma (ONB), the presence of S-100–positive sustentacular cells surrounding the tumor is important; however, these are also present in normal nasal sinus epithelium. Although ONB often has a different final diagnosis, complete resection of the tumor has a good prognosis and minimally affects the patient's treatment plan. When the tumor extends around the internal carotid artery (ICA), complete resection is difficult due to the high risk of vascular injury; revascularization using a high-flow bypass can avoid this complication. In the present case, the tumor was located in the left sphenoid sinus and extended around the ICA. Preoperative biopsy tissue was positive for neuroendocrine markers and slightly positive for S-100 protein, leading to a diagnosis of ectopic ONB. High-flow bypass revascularization with trapping of the ICA allowed complete tumor resection. The postoperative histopathological diagnosis was neuroendocrine carcinoma, showing no S-100 protein–positive cells. There was no sign of recurrence two and a half years after surgery without additional treatment. This case demonstrates that the presence of S-100 protein–positive cells in ONB may be misleading. Although misdiagnosis of ectopic ONB should be anticipated, a complete resection of the tumor is an effective treatment strategy.

Abstract: Background: Our goal was to evaluate whether wearing personal protective equipment (PPE) such as an N95, or a surgical mask during the (COVID-19) pandemic had really reduced the cases of influenza in the state of Wisconsin. Methods: Respiratory Virus Surveillance Reports from the Wisconsin Department of Health Services (DHS) and the Centers for Disease Control and Prevention (CDC) were used to compare the rates of Influenza during the seasons of 2018-2019 and 2020-2021. Results: The number of cases, hospitalizations, and mortality rates with Influenza had significantly decreased in the 2020-2021 season compared to the Influenza season of 2018-2019. Discussion: Reducing the burden of influenza illnesses, hospitalizations, and deaths on the health care system is imperative. Wearing masks should be addressed for the most vulnerable.

Accumulated data show the utility of diagnostic multi-organ point-of-care ultrasound (PoCUS) in the assessment of patients admitted to an internal medicine ward. Assess whether multi-organ PoCUS (lung, cardiac, and abdomen) provides relevant diagnostic and/or therapeutic information in patients admitted for any reason to an internal medicine ward. Prospective, observational, and single-center study, at a secondary hospital. Multi-organ PoCUS was performed during the first 24 hours of admission. The sonographer had access to the patients’ medical history, physical examination, and basic complementary tests performed in the ED (laboratory, X-ray, electrocardiogram). We considered a relevant ultrasound finding if it implied a significant diagnostic and/or therapeutic change. In the second semester of 2019, 310 patients were enrolled (48.7% men, mean age 70.5 years). Relevant ultrasound findings were detected in 86 patients (27.7%) and in 60 (19.3%) triggered a therapeutic change. These findings were associated with older age (Mantel-Haenszel 2 = 25.6; p&lt; .001) and higher degree of dependency (Mantel Haenszel 2 = 5.7; p = .017). Multi-organ PoCUS provides relevant diagnostic information, complementing traditional physical exam, and facilitates therapy adjustment, regardless of the cause of admission. Multi-organ PoCUS to be useful need to be systematically integrated into the decision-making process in internal medicine.

To determine the adequacy of management practices in Social Health Organization (SHO) in face of compliance guidelines established by Brazilian organizations. This was qualitative research. Data were gathered through interviews and documentary analysis and were analyzed through the interpretation of significances and content analysis. The entity structures the compliance function based on three axes: a) normative - institutionalization of the integrity program, ethical conduct, internal controls and risk management; b) commercial - institutionalization of mechanisms aimed at transparency and accountability of the funds raised. However, the Covid-19 pandemic generated unforeseen contingencies such as accountability for funds from private donations; c) organizational - adherence by top management in maintaining a structure for inspection and control of the institution’s processes and behaviors in the market in which it operates. Based on the analysis of documents there is 76% adequacy of adherence of management practices to the compliance guidelines. It is concluded that organizations that depend on resources and understand that the subsidies they receive, whether government, whether public or private donations, will make the necessary efforts to ensure high levels of compliance, their choices and conduct preserve their image and the achievement of greater credibility and legitimacy.

Since its inception in 2019, COVID-19 has been associated with significant changes in lifestyle-related behavior, including physical activity, diet, and sleep, which are vital to maintaining our well-being. This study measures lifestyle-related behavior during the COVID-19 pandemic lockdown using a 21-item questionnaire. The responses were collected from March 2021 to September 2021. Four hundred sixty-seven participants were engaged in assessing the changes caused by the pandemic and their effect on BMI. The validity and reliability of the questionnaire were tested for 71 participants. Cronbach's alpha values for the questionnaire all exceeded 0.7, demonstrating good validity and internal consistency for it. The effect of each question regarding physical activity and dietary habits over the BMI difference was studied using ANOVA. The study shows that more than half of the participants reported snacking more between meals and increased their sitting and screen time, while 74% felt more stressed and anxious. These indications were the cause of the increase in the BMI rate for individuals in the lockdown. In contrast, 62% of the participants showed more awareness about their health by increasing the intake of immunity-boosting foods, and 56% of the participants showed an increase in the consumption of nutrition supplements. Females and married individuals tended to be healthier, so their BMI showed stability compared to others based on their gender and marital status.

Physical processes play important roles in controlling eutrophication and oligotrophication. In stratified lakes, internal waves can cause vertical transport of heat and nutrients without breaking the stratification, through boundary mixing events. Such is the case in tropical Valle de Bravo (VB) lake, where strong diurnal winds drive internal waves, boundary mixing and hypolimnetic warming during stratification periods. We monitored VB during 18 years (2001-2018) when important water-level fluctuations (WLF) occurred, affecting mixing and nutrient flux. Mean hypolimnetic temperature increase (0.06–1.04°C month-1) occurred in all the stratifications monitored. We analyzed temperature distributions and modeled the hypolimnion heat budget to assess vertical mixing between layers (26,618–140,526 m-3h-1), vertical diffusivity coefficient KZ (6.2x10-7–3.3x10-6 m2s-1) and vertical nutrient entrainment to epilimnion on monthly scale. Stability also varied as a function of WLF. Nutrient flux to the epilimnion ranged 0.36–5.99 mg m-2d-1 for soluble reactive phosphorus (SRP) and 5.8–97.1 mg m-2d-1 for dissolved inorganic nitrogen (DIN). During low water-level years, vertical nutrient fluxes increase and can account for up to &gt;40% of the total external nutrients load to the lake. Vertical mixing changes related to WLF affect nutrient recycling, their flux to sediments, ecosystemic metabolic balance and planktonic composition of VB.

Zero-rate output (ZRO) drift induces deteriorated micro-electromechanical system (MEMS) gy-roscope performances, severely limiting its practical applications. Hence, it is vital to explore an effective method toward ZRO drift reduction. In this work, we conduct an elaborate investigation on the impacts of the internal and packaging stresses on the ZRO drift at the thermal start-up stage, and propose a temperature-induced stress release method to reduce the duration and magnitude of ZRO drift. Self-developed high-Q dual mass tuning fork gyroscopes (TFGs) are adopted to study the correlations between temperature, frequency and ZRO drift. Furthermore, a rigorous finite element simulation model is built based on the actual device and packaging structure, revealing the temperature and stresses distribution inside TFGs. Meanwhile, the relationship between temperature and stresses are deeply explored. Moreover, we introduce a temperature-induced stress release process to generate thermal stresses and reduce the temperature-related device sensitivity. By this way, the ZRO drift duration is drastically reduced from ~2000 s to ~890 s, and the drift magnitude decreases from ~0.4 °/s to ~0.23 °/s. This stress release method achieves a small bias instability (BI) of 7.903 °/h and a low angle random walk (ARW) of 0.792 °/√h, and the long-term bias performance is significantly improved.

The emergence of an external campus student organization (ormek) is very influential for the progress of the millennial generation, especially among students as the nation's successor. In addition to being a forum for developing self-potential and training student soft skills, ormek is a hope for the surrounding community in solving societal problems. It takes understanding and the role of all millennial generations to think critically about organizations that have various impacts in the cadre process. This research analyzed how intelligent efforts can be made by the millennial generation to respond, sort, and choose and recognize the impact. The method used is a qualitative method through literature review and a quantitative method through a survey (35 respondents). The findings showed that the existence of ormek is very influential by being a forum for the student movement since the era of Indonesian independence in various aspects such as social and political. Students had various opinions about the existence of ormek and its influence on the millennial generation. Brilliant efforts must be made in addressing the existence of ormek so that they are wise in the organization and benefit the people.