Background/Objectives: Community-acquired pneumonia (CAP) is a common emergency presentation in Australia, with the choice of admitting specialty unit often influenced by pneumonia severity and comorbidities. However, it remains unclear whether there are between-specialty differences in patient characteristics and outcomes. We sought to address this issue by investigating the characteristics and outcomes of CAP patients admitted to General Medicine (GM) versus Respiratory units.Methods: This retrospective observational study utilised data from the two largest metropolitan hospitals in South Australia, encompassing all non-COVID-19-related CAP admissions throughout 2021 to 2023. Hospital length of stay (LOS), in-patient and 30-day mortality, and 30-day readmission rates were assessed by propensity-score-matching (PSM) with using 14 variables.Results: Of the 3,004 cases of non-COVID-19 CAP admitted across the two hospitals during the study period, 2,673 (71.8%) were admitted under GM units and 331 (9.1%) under Respiratory units. GM patients were, on average, a decade older, presented with a significantly higher burden of comorbidities, exhibited a greater prevalence of frailty and had higher pneumonia severity compared to those admitted under a Respiratory unit, (P

Abstract: Comorbidities of patients may be related to the duration of mechanical ventilation, survival, and Candida isolation during intensive care unit (ICU) stay. To examine the frequency of Candida isolation and significant comorbidities in the surgical intensive care unit (ICU) in Osijek University Hospital, Croatia, the data from the electronic database from May 2016 to June 30, 2023, were analyzed. In a cross-sectional study examining 15,790 microbiological samples, different strains of Candida were observed in 581 samples from 236 patients. The control group was 160 consecutive patients from March-May 2019, and 161 in the same months of 2020 (pre- and post-COVID-19). Comorbidities, duration of mechanical ventilation and survival were compared. Patients with isolated Candida were more often non-elective, had significantly more heart, kidney, liver diseases and sepsis (P<0.001). The duration of mechanical ventilation was 9.2 [2.2-9.24], 96 [24-146], 160 [19.5-343] and 224 [73.5-510] hours in controls, and patients with Candida albicans, non-albicans, and in patients with ³2 Candidas isolated. The mortality was significantly higher and reached 42% in patients with Candida isolated, while in the control group, it was 19% (P<0.001). In a multivariate analysis adjusted for patient’s age, SAPS II score, days of ICU, and type of admission, only sepsis was independent predictor of mortality (OR = 2.27).

The branch prediction units (BPUs) generally have security vulnerabilities, which can be used by attackers to obtain the execution status, jump directions, and jump address of conditional branches, and the existing protection methods cannot defend against these attacks. Therefore, this article proposes a hardware security protection method for conditional branches of embedded systems. This method calculates the number of updates to the branch target buffer (BTB). When it exceeds the threshold, BTB is locked to prevent attackers from analyzing the execution status of branches based on the time difference of whether BTB is updated. Moreover, the hybrid physical unclonable function (PUF) circuit is designed to provide confidentiality protection for the jump directions, jump addresses, and their indexes, preventing attackers from stealing these critical data. If these mechanism fails and attackers successfully tamper with conditional branches, this paper proposes a control flow integrity (CFI) protection mechanism based on branch labels to timely detect tampering with instruction codes, jump addresses, and jump directions. The proposed method is implemented and tested on FPGA. The experimental results show that this method can achieve fine-grained security protection for conditional branches, with about 5.4% resource overhead and less than 5.5% performance overhead.

Congenital heart disease (CHD) is a prevalent congenital disorder diagnosed with high frequency, affecting approximately 0.8% to 1.2% of all live births. Research has demonstrated that the use of pulse oximetry and clinical examination as a screening tool for CHD diagnosis has proven extremely valuable. We conducted a retrospective longitudinal study over a 3-year period that involved screening 1188 newborns admitted to the NICU during the first 72 hours of life within this timeframe. 201 newborns were diagnosed with CHD. Almost all (n=198) had a positive screening test during the 72-hour period, while 3 had a negative screening test, but were later diagnosed using echocardiography. The prevalence rate was 16.67%. A confusion matrix was constructed with 198 true positives (TP), 3 false negatives (FN), no false positives (FP), and 987 true negatives (TN). The sensitivity of the screening test was 98.51%, while the specificity 100%, with no false positives. In our study, a total of 9 deaths occurred. Using the Kaplan-Meier method, the survival probability appeared to be slightly above 0.9 (95.5%), indicating that almost all patients survived past 72 hours after being diagnosed with CHD. Pulse oximetry is an effective, low cost and easy-to-use method and a useful tool to assess and lead to the diagnosis of CHD.

The fetal splenic artery pulsatility index (PI) is a parameter that reflects fetal well-being and has been used as a predictor of adverse pregnancy outcomes. The aim of this study was to investigate the predictive value of splenic artery PI in GDM class A1 cases for NICU admission. In this prospective case controlled study, only sixty single pregnancy cases diagnosed with gestational diabetes mellitus class A1 were evaluated. Fetal splenic artery Doppler parameters Peak systolic velocity (PSV), Pulsatility index (PI), Resistivity index (RI) and End diastolic velocity (EDV) were measured in all cases. The rate of re-quirement of need of neanoatal intensive care unit was noted. In cases with need fetal intensive care, fetal splenic PI index was found to be statistically significantly lower than in healthy cases without it (0.94 ± 0.29 vs. 1.70 ± 0.53, respectively, p

One of the most crucial elements in deeply understanding humans on a psychological level is manifested through facial expressions. The analysis of a human behavior can be informed by their facial expressions, making it essential to employ indicators such as expression (Expr), valence-arousal (VA), and action units (AU). In this paper, we introduce the method proposed in the Challenge of the 6th Workshop and Competition on Affective Behavior Analysis in-the-wild (ABAW) at CVPR 2024. Our proposed method utilizes the multi-modal Aff-wild2 dataset, which is splitted into spatial and audio modalities. For the spatial data, we extract features using a SimMiM model that was pre-trained on a diverse set of facial expression data. For the audio data, we extract features using a WAV2VEC model. To fusion the extracted spatial and audio features, we employed the cascaded cross-attention mechanism of a transformer.

This study introduces a low-cost solution provided by a specialized source measure unit (SMU), offering an alternative to conventional source meter units. Through precise IV curve measurements for graphene-channel FETs, the SMU demonstrates its capability in accurately characterizing these devices with minimal noise and high accuracy. This cost-effective solution presents a promising avenue for researchers and developers seeking reliable tools for sensor development and characterization, providing valuable insights into the behavior of graphene-channel FETs and the effect of surface illumination without the need for expensive equipment. Additionally, the SMU was validated with known passive and active components, along with probe station integration for microscale connection, ensuring its effectiveness in capturing accurate measurements. The SMU’s focus on collecting IV curves, coupled with its ability to identify device defects, such as Schottky junctions, contributes to its utility in quality testing for semiconductor devices. Its low-cost nature makes it accessible for various research endeavors, enabling efficient data collection and analysis for graphene-based sensor applications.

Background: During the stay in the neonatal intensive care unit, parents play a crucial role in the care of their infants. Recent studies reported a decrease in parental participation due to Coronavirus Disease (COVID-19) pandemic that determined restricted access policies in hospitals. The aim of this study is to describe the barriers to a good parents’ participation during the stay in the neonatal intensive care unit in the COVID-19 era. Methods: A quantitative observational study was carried out. Results: 270 parents participated in this study. Mothers’ participation in care seems to be higher as compared to fathers (p = 0.017). Parents who lived the birth of their first child reported a better level of participation in care when compared to those who lived the birth of their second born (p = 0.005). Parents of extremely preterm neonates reported a lower interaction with their infant if compared to parents of term newborns (p &lt; 0.001). Conclusions: Some more disadvantaged categories have reported lower scores: cultural and linguistic minorities, parents of multiple children and fathers. COVID-19 pandemic made several Family Centred Care activities not possible with a higher impact on those who benefited the most of these facilities. This study was prospectively registered by the IRB-CRRM of the University “G. d’Annunzio” Chieti-Pescara on the 23/01/2024 with registration number CRRM;2023_12_07_01.

In this paper, comprehensive analysis of combined effect of major influencing parameters on heat transfer in the single U-tube BHE (sBHE) and double U-tube BHE (dBHE) with two independent circuits was performed by using validated numerical heat transfer model. Geometrical parameters, such as shank spacing (with maximum, average and minimum values) and borehole diameter (large, medium and small borehole sizes) and borehole depth (shallow, average and deep borehole depths) as well as thermal conductivity of soil and grout which ranges from minimum to high value were considered. The combined impact of these parameters was included under four major cases: 1) combined effect of borehole depth, borehole size and shank spacing; 2) combined effect of borehole depth, and soil and grout thermal conductivity; 3) combined effect of soil and grout thermal conductivity and borehole size; and 4) combined effect of soil thermal conductivity, borehole size and shank spacing. Each of these major cases has nine different design options of both sBHE and dBHE. Series of results of heat transfer per unit borehole depth were generated for all the considered various cases. With the given parameters, the BHE case that provides highest heat transfer among the various cases of sBHE and dBHE were obtained.

This paper proposes a lightweight joint with bamboo culm cross connection, which is constructed by screwing one side of the screw into the other side of the wooden plug, its simple construction makes it easy to manufacture and cost-effective. This form connects adjacent bamboo culms to form corner joints, and bolt connects adjacent bamboo culm frames to form edge joints, to explore the mechanical properties of the combination joints formed by corner joints and edge joints, by combining experiments and numerical simulations, the method discovered and explained the relationship and mechanism between the number and position of bolts and the stiffness of edge joints. A calculation model for frame-unit bamboo culm members considering semi-stiffness of joints is proposed, and the conversion equations between linear stiffness of corner and edge joint and their rotational stiffnesses are derived. By establishing the series and parallel relationship between the corner and edge joints in the assembled members, a generalized relational equation between the total stiffness of the assembled joint and the stiffness of the corner and edge joints is derived. A numerical simulation method for frame-unit bamboo culm members with semi-rigid joints is proposed, which can obtain the stiffness calculation formula of edge joints and the average rotational stiffness value of semi-rigid corner joints. A finite element analysis method based on semi-rigid joints is proposed for frame-unit bamboo culm members, and the internal force sketches and calculation methods for bamboo culms and joints are presented, which can be used for the internal force analysis and design of frame-unit bamboo culm lattice structures.

The aim of the present work is to explore a different non-traditional approach to higher dimensional spacetime which differs from the usual approaches such as large extra space dimensions, warped extra space dimensions and multiple extra time dimensions. This approach will be referred to as "Dynamic" higher dimensional spacetime. By this term will be introduced a new kind of higher dimensional spacetime (more than the usual 3+1 dimensions), which behaves dynamically in the sense that time is not a fixed dimension but is the extra plus one dimension to the spatial dimensions of the phenomenon we are studying. For a higher dimensional phenomenon, the lower dimensional time will behave as space and the new time will be a plus one dimension, meaning if we study a 3-dimensional phenomenon then time is the usual 4th dimension but if we are studying a 4-dimensional phenomenon then its time will be an extra 5th dimension and for this phenomenon the 4th dimension will behave as space. All spatial dimensions are indistinguishable from each other and behave in the exact same way, which means that the important parameter is not the dimension we are studying (for example the 4th or the 5th) but the number of dimensions in which a phenomenon can interact and how higher dimensional phenomena interact with lower ones. This non-traditional approach to higher dimensional spacetime may appear confusing at first but will become clearer in the rest of the paper. For this reason, we will first associate the time dimension with propagation relative to space dimensions and change orthogonal to them in order to give the reader a better intuition. Following that, we will describe how higher - dimensional phenomena would appear to us, the 3 - dimensional observer and try to set some guidelines on how we should mathematically model higher - dimensional phenomena in order for us to make accurate predictions of their behaviour. Then we will express the general framework of a "Dynamic" higher - dimensional spacetime and turn our gaze to 4+1 – dimensional phenomena. We will explore how a mass term arises for 4 – dimensional waves by generalizing the frequency – speed – wavelength relation of 3D waves and give a basic description on a possible way to describe a 4+1 – dimensional disturbance in a scalar Energy Field in order to make accurate predictions on our 3+1 dimensional plane. In this framework we will derive the Klein – Gordon equation by generalizing the wave equation and ignoring all lower than 4+1 - dimensional disturbances and compere our mass term findings with the Klein – Gordon equation mass term and with results from gravity – induced quantum interference experiments. Lastly, we will describe how a "Dynamic" 5 - dimensional spacetime would appear in a 3D observer and examine whether our findings are compatible with quantum mechanics and the special theory of relativity.

Deep Learning (DL) oriented document processing is widely used in different fields for extraction, recognition, and classification processes from raw corpora of data. The article examines the application of deep learning approaches, based on different neural network methods, including Gated Recurrent Unit (GRU), Long Short-Term Memory (LSTM), and Convolutional Neural Networks (CNN). The compared models were combined with two different word embedding techniques, namely: Bidirectional Encoder Representations from Transformers BERT and Gensim Word2Vec. The models are designed to evaluate the performance of architectures based on neural network techniques for the classification of CVs of Moroccan engineering students at ENSAK(National School of Applied Sciences of Kenitra, Ibn Tofail University). The used dataset included resumes collected from engineering students at ENSAK in 2023 for a project on the employability of Moroccan engineers in which new approaches were applied, especially machine learning, deep learning, and big data. Accordingly, 867 resumes were collected from five specialties of study (Electrical Engineering, Networks and Systems Telecommunications, Computer Engineering, Automotive Mechatronics Engineering, Industrial Engineering). The results revealed good performance of the proposed models based on the BERT embedding approach compared to models based on the Gensim Word2Vec embedding approach. Accordingly, the CNN-GRU/Bert model achieved slightly better accuracy with 0.9251 compared to other hybrid models.

Quantifying different stocking rates effects in three study areas placed at Mediterranean forest (Cuenca, Spain) was conducted by applying a multiparametric soil quality index, SQI, developed in undisturbed forest soils (> 40 years). The main objective is to advance in the development and application of multiparametric indexes which allow for soil condition assessment. For it, is analyse the effectiveness of a multiparametric soil quality index (SQI) as an indicator livestock impacts on the soil in mediterranean forests. Control areas without stocking rates were compared in forest stands with different age (Thicket forest stand, < 30 years; High polewood forest stand, 30-60 years; Old growth forest stand, > 60 years); with various intensity grazing areas (permanent livestock passage: inactive sheepfold for 2-3 years, and active sheepfold; intermittent livestock passage: bare soil, pine stand, scrubland). The multiparametric soil quality index (SQI) applied sensitive to changes in forest ecosystems depending of different stocking rates. However, for even more preci-sion to assess cattle alteration, multiparameter index recalibrated, creating a new one; Soil Status Index by Livestock (SSIL). Correlation between quality ranges obtained with both indexes in dif-ferent study areas suggest that SSIL can be considered a livestock impact reference indicator in Mediterranean forest soils.

The annual demand for fibres continues to rise worldwide. Consequently, more and more fibres must be produced to meet this demand, most of which are melt-spun polymeric man-made fibres. [1] Smooth filaments made of polymers are mainly used for technical applications in industry. For use in clothing or home textiles, for example, a texturing process is used to give the filaments a crimp and thus a feel like that of natural fibres. In this state, they can be processed together with natural fibres and used in textiles. Partially oriented yarns (POY) are of great importance in tex-turing. The yarns are mainly crimped with the help of the so-called false-twist texturing process (FTTP). [2] Since POY accounts for about 60 % of the melt-spun filament yarn produced world-wide, the FTTP is the most important texturing process in the textile industry [3]. In this paper, the main components of false-twist texturing (FTT) machines are explained along with the state of the art and research for each component and its influence on the process. Relevant patents are dis-cussed as well as process optimisation techniques, innovative polymers and yarn types recently used in FTT, followed by a conclusion and an outlook for the process.

Background: The use of wearable devices has burgeoned over the past decade, including wearables for infants and young children. Typically, such devices assess a single modality, and few have undergone scientific validation. To address this gap, we developed an infant wearable platform, LittleBeats™, that integrates electrocardiogram (ECG), motion, and audio sensors on a single printed circuit board to permit daylong remote assessments of infants and caregivers in home environments. Objective: Complementing our prior reports focused on LittleBeats™ data collected among infants and children in the home context, our main objective here is to present a technical validation of each sensor modality against established laboratory protocols and gold-standard equipment. Materials and Methods: We conducted five studies, including assessments of (a) interbeat interval (IBI) data obtained from the LittleBeats™ ECG sensor versus the gold-standard BIOPAC among adults (Study 1, N=16) and infants (Study 2, N=5), (b) performance of automated activity recognition (upright vs. walk vs. glide vs. squat ) among adults using accelerometer data obtained from LittleBeats™ versus Google Pixel 1 smartphone (Study 3, N=12), and (c) performance of speech emotion recognition (SER; Study 4, N=8) and automatic speech recognition (ASR; Study 5, N =12) algorithms among adult samples using audio data from LittleBeats™ versus smartphone. Results: Results for IBI data obtained from the LittleBeats™ ECG sensor indicate acceptable mean absolute percent error (MAPE) rates for both the adults (MAPE = 5.29% to 5.97%; Study 1) and infants (MAPE =0.96% to 1.66%; Study 2) across low- and high-challenge sessions, as well as expected patterns of change in respiratory sinus arrythmia (RSA) across sessions. For activity recognition (Study 3), LittleBeats™ data showed good to excellent performance (Accuracy = 89%, F1-score=88%; Cohen’s kappa =.79), although the smartphone outperformed LittleBeats™ by less than 4%. Finally, performance on the SER applied to LittleBeats™ versus smartphone audio data (Study 4) indicated comparable performance, with a matched-pairs test indicating no significant difference in error rates (p=.26). On the ASR task (Study 5), the best performing algorithm yielded relatively low word error rates, although LittleBeats™ (4.16%) versus smartphone (2.73%) error rates are somewhat higher. Discussion: Taken together, results from these controlled laboratory studies conducted predominantly with adults indicate that the LittleBeats™ sensors yield data quality that is largely comparable to those obtained from gold-standard devices and protocols that have been used extensively in prior research. The advantages of the LittleBeats™ platform is the (a) integration of multiple sensors into one platform that was (b) designed specifically for use with infants and young children. Leveraging data from the multiple modalities and fine-tuning postprocessing steps to further increase data quality, combined with assessing data quality among infants and young children in their natural environments, will be key next steps in this research program.

The global energy landscape is undergoing a transformative shift, and the potential of LNG as a major energy source is a topic of intense debate. In order to meet the growing demand for sustainable energy supply, it is crucial to maximize the efficiency and environmental friendliness of the LNG supply chain. This research aims to leverage computational modeling and optimization techniques to enhance the production units involved in LNG production. By harnessing the power of advanced algorithms and simulations, we can identify and implement innovative strategies that minimize energy consumption, reduce greenhouse gas emissions, and enhance the overall sustainability of LNG. Through this study, we seek to uncover novel approaches to address the challenges faced by the LNG industry, including improving operational efficiency, optimizing liquefaction processes, and enhancing the utilization of natural resources. By integrating cutting-edge computational tools and considering environmental factors, we aspire to pave the way for a more sustainable and environmentally friendly future powered by LNG. By exploring the immense potential of computational modeling and optimization, we strive to contribute to the ongoing efforts in advancing energy sustainability and shaping the future of LNG as a crucial global energy source."In this paper, our focus is on simulating and optimizing the process of converting natural gas to LNG. Our goal is to achieve the minimum energy consumption per ton of LNG produced. Through our research, we have identified that utilizing a three-stage exchanger is the most effective approach for minimizing energy consumption in an LNG industrial production unit. Moreover, we have discovered that the outlet pressure from the compressor and the type of refrigerant in the cooling system play significant roles in determining the rate of energy conservation. By carefully considering these factors and optimizing their settings, we can further enhance the overall energy efficiency of the LNG production process. Our research aims to provide valuable insights and guidance to industry professionals and decision-makers in the LNG sector. By implementing the findings of this study, we can contribute to the sustainable development and utilization of LNG as a cleaner and more environmentally energy source. Friendly It's great to see the optimized parameters for the refrigerants and pressure settings in the liquefaction and subcooling cycles. With the mass fraction of 0.89 for methane and 0.14 for ethane in the liquefaction cycle, and 0.59 for methane and 0.3 for nitrogen in the composition for achieving energy efficiency in the LNG production subcooling cycle, The optimized outlet pressure of 650 kPa for the compressors in the liquefaction cycle and 1800 kPa for the subcooling cycle furtherr ccontribute to minimizing energy consumption. Based on your findings, the amount of consumed energy at 14.81 kW per ton of produced LNG highlights the success of the optimization efforts. Reducing the energy consumption per ton of LNG produced is a significant accomplishment towards achieving energy sustainability and environmental friendliness in the LNG industry. These results demonstrate the importance of computational modeling and optimization in identifying the best parameters for eenhancing energy efficiency in LNG production. By implementing these optimized settings, we can work towards a more sustainable future with reduced energy consumption and lower environmental impact

Dementia, characterized by cognitive decline beyond age-related expectations, poses a formidable global health challenge. With an estimated 55 million individuals affected worldwide and 10 million new cases annually, dementia profoundly impacts memory, comprehension, language, and behavior. Then, the global diabetes population increased from 108 million in 1980 to 422 million in 2014, with a more rapid rise in prevalence observed in low- and middle-income countries compared to high-income countries. Individuals with diabetes have an increased risk of cognitive problems, including a higher likelihood of developing dementia, Alzheimer's disease, and vascular dementia, especially in older age. Managing diabetes through diet, physical activity, medication, and consistent screening and treatment for complications can prevent or delay its consequences.Globally ranking as the seventh leading cause of death, dementia's societal implications are substantial. The chapter delves into Mild Cognitive Impairment (MCI), a precursor to dementia, emphasizing its global epidemiological trends. Neuroimaging, particularly Functional Near-Infrared Spectroscopy (fNIRS), emerges as a non-invasive diagnostic tool, surpassing traditional imaging methods' portability. The chapter investigates the effects of non-invasive electrical stimulation on neurovascular tissues, shedding light on its impact including potential to address metaboreflex related reduced exercise tolerance. Furthermore, the chapter presents a clinical trial (ClinicalTrials.gov NCT04626453 and NCT04812288) examining the effects of a 2-month exercise program on cognitive function and muscular oxidative capacity in older adults with type 2 diabetes. The study's design, individualized exercise regimens to address muscle mechanoreflex and metaboreflex responses, and their physiological changes during exercise are discussed, offering insights into the interplay between exercise tolerance, cognition, and vascular health. The findings contribute to tailored and effective interventions for cognitive well-being. Here, our exploration extends to the application of transcranial electrical stimulation (tES) in optimizing exercise performance, with a focus on its various forms, including transcranial direct current stimulation (tDCS) and transcranial alternating current stimulation (tACS). A physiological modeling approach based on the neurovascular unit (NVU) is employed, revealing potential avenues for also treating vascular dementia (often noted to have a strong association with type 2 diabetes) through tACS, guided by human-in-the-loop approaches. Here, modal analysis for control is applied to assess the NVU model's characteristic dynamics under tACS, providing a comprehensive understanding of neurovascular coupling modes.In summary, this chapter synthesizes diverse facets in type 2 diabetes comorbidity and cognitive decline, ranging from global impact and diagnostic criteria to innovative interventions like exercise and transcranial electrical stimulation. The multidisciplinary approach integrates epidemiology, clinical trials, and physiological modeling, contributing valuable insights into the holistic management of cognitive health and neurovascular function.

The development of U.S. Army and NATO data link systems is introduced first, and then the development trend of future intelligent data link is summarized into integration, generalization, multifunctionality and high security. A unit-level combat system architecture based on the global combat cloud, which is capable of realizing the flexible scheduling of global combat resources and maximizing the overall combat effectiveness, is proposed. Intelligent data link is an important part of this solution, providing strong information support for future urban unit-level warfare.

Abstract: The recently described perivascular unit (PVU) resides immediately adjacent to the true capillary neurovascular unit (NVU) in the postcapillary venule and contains the normal-benign perivascular spaces (PVS) and pathological enlarged perivascular spaces (EPVS). The PVS are important, in that, they also have recently been identified to be the construct and the conduit responsible for the delivery of metabolic waste from the interstitial fluid to the ventricular cerebrospinal fluid for disposal into the systemic circulation and has been termed the glymphatic system. Importantly, the outermost boundary of the PVS is lined by protoplasmic perivascular astrocyte endfeet (pvACef) that communicate with regional neurons. As compared to the well-recognized and described neurovascular unit (NVU) and NVU coupling, the PVU is less well understood and remains an emerging concept. The primary focus of this narrative review is to compare the similarities and differences between these two units and discuss each of their structural and functional relationships and how they relate not only to brain homeostasis but also how they may relate to the development of multiple clinical neurological disease states and specifically how they may relate to obesity, metabolic syndrome, and type 2 diabetes mellitus. Additionally, the concept and importance of a perisynaptic astrocyte coupling to the neuronal synapses with pre- and postsynaptic neurons will also be considered as a perisynaptic unit to provide for the creation of the information transfer in the brain via synaptic transmission and brain homeostasis. Multiple electron microscopic images and illustrations will be utilized in order to help explain these complex units.

This study introduces session-aware recommendation models, leveraging GRU (Gated Recurrent Unit) and attention mechanisms for advanced latent interaction data integration. A primary ad-vancement is enhancing latent context, a critical factor for boosting recommendation accuracy. We address existing models' rigidity by dynamically blending short-term (most recent) and long-term (historical) preferences, moving beyond static period definitions. Our approaches, pre-combination (LCII-Pre) and post-combination (LCII-Post) with fixed (Fix) and flexible learning (LP) weight configurations, are thoroughly evaluated. We conducted extensive experiments to as-sess our models' performance on public datasets such as Amazon and MovieLens 1M. Notably, on the MovieLens 1M dataset, LCII-PreFix achieved a 1.85% and 2.54% higher Recall@20 than II-RNN and BERT4Rec+st+TSA, respectively. On the Steam dataset, LCII-PostLP outperformed these models by 18.66% and 5.5%. Furthermore, on the Amazon dataset, LCII showed a 2.59% and 1.89% improvement in Recall@20 over II-RNN and CAII. These results affirm the significant enhancement our models bring to session-aware recommendation systems, showcasing their po-tential for both academic and practical applications in the field.

Modern electrical power systems integrate renewable generation, with solar generation being one of the pioneers worldwide. In Latin America, the greatest potential and development of solar generation is found in Chile through the National Electric System. However, its energy matrix faces a crisis of drought and reduction of emissions that limits hydroelectric generation and involves the definitive withdrawal of coal generation. The dispatch of these plants is carried out by the system operator, who uses a simplified mechanism, called “economic merit list” and which does not reflect the real costs of the plants to the damage of the operating and marginal cost of the system. This inefficient dispatch scheme fails to optimize the availability of stored gas and its use over time. Therefore, a real-time redispatch model is proposed that minimizes the operation cost function of the power plants, integrating the variable generation cost as a polynomial function of the net specific fuel consumption, adding gas volume stock restrictions and water reservoirs. In addition, the redispatch model uses an innovative "maximum dispatch power" restriction, which depends on the demand associated with the automatic load disconnection scheme due to low frequency. Finally, by testing real simulation cases, the redispatch model manages to optimize the operation and dispatch costs of power plants, allowing the technical barriers of the market to be broken down with the aim of integrating ancillary services in the short term, using the power reserves in primary (PFC), secondary (SCF), and tertiary (TCF) frequency control.

Augmented reality (AR) provides an opportunity for mobile fitness applications to show users real-time feedback on their current fitness activity. For such applications, it is essential to accurately track the user’s current fitness activity using available mobile sensors, such as inertial measurement units (IMUs). Convolutional neural networks (CNNs) have been shown to produce strong results in different time series classification tasks, including the recognition of activities of daily living. However, fitness activities can present unique challenges to the human activity recognition task (HAR), including greater similarity between individual activities and fewer available data for model training. In this paper, we evaluate the applicability of CNNs to the fitness activity recognition task (FAR) using IMU data and determine the impact of input data size and sensor count on performance. For this purpose, we adapted three existing CNN architectures to the FAR task and designed a fourth CNN variant, which we call the scaling fully convolutional network (Scaling-FCN). We designed a preprocessing pipeline and recorded a running exercise data set with 20 participants, in which we evaluated the respective recognition performances of the four networks, comparing them with three traditional machine learning methods commonly used in HAR. On our data set, all CNN architectures significantly outperformed traditional machine learning methods, reaching up to 97.14±1.36% classification accuracy on the test set for ResNet. Whereas a reduced input data size invariably led to a performance loss, removing specific sensors improved the performance of all CNN architectures, with our Scaling-FCN reaching the highest accuracy of 99.86±0.11%. Our results suggest that CNNs are generally well suited for fitness activity recognition, and noticeable performance improvements can be achieved if sensors are dropped selectively.

Background Acute kidney injury (AKI) is a common comorbidity in the intensive care unit (ICU), with higher mortality rate among those who receive continuous renal replacement therapy (CRRT). This study aimed to investigate the association of white blood cell (WBC) levels with all-cause mortality in AKI patients undergoing CRRT. Method We conducted a post hoc analysis of ICU patient data from multiple centers in Korea. First, the levels of WBCs were classified into four groups based on quartiles. Second, the relationship between different WBC levels and mortality was investigated with the Kaplan-Meier (K-M) survival curves, Cox proportional hazards model, and generalized additivity model (GAM). Finally, we used multiple imputation to avoid bias caused by non-randomized missing data. The endpoints were short-term (28 days) and long-term (90 days) mortality. Result In our analysis, a total of 1,100 ICU patients were included. Among them, 670 (60.90%) and 781 (71.00%) died within 28 and 90 days, respectively. K-M survival curves showed that patients with the lowest WBC levels had the highest risk of mortality for both outcomes. Adjusted multivariate Cox regression analysis confirmed that compared with the reference level (quartile 2), low WBC levels increased the risk of both 28-day mortality (quartile 1, HR = 1.43, 95% CI: 1.13–1.83, P = 0.004) and 90-day mortality (quartile 1: HR = 1.32; 95% CI: 1.05-1.66, P = 0.016). GAM analysis showed a non-linear, U-shaped relationship between pre-CRRT WBC levels and all-cause mortality (non-linear P < 0.05). Conclusion The baseline WBC level is an independent predictor of prognosis for ICU patients receiving CRRT. Patients in the lowest WBC quartile had the highest risk of all-cause mortality. These results provide further evidence that early observation and intervention may have a prognostic value for these high-risk patients.

The purpose of this study was to determine the income, costs and revenue of the Gontor Putri 3 bakery. Want to know the efficiency of the bakery business in Karangbanyu Regency. The method used in this research is analytical descriptive by conducting a survey. The data used in this research is primary data. Data collection techniques use observation, interviews and documentation, while the process of analysis is quantitative descriptive. Using the R/C ratio, a value of 1.72 per month is obtained. This value indicates that the bakery factory in Karangbanyu is efficient because the value is more than one.

In this paper we provide some important and significant observations on invo-regular rings appeared in Ann. Univ. Mariae Curie-Sklodowska Sect. A Mathematica (2018). In addition we exhibit that strongly invo-regular rings, invo-regular rings and quasi invo-regular rings all coincide with the well known and well characterized tripotent rings and all these rings further coincide with the well known unit regular rings.

In this study, a new empirical equation was established to predict the sedimentation volume resulting from the construction of a multipurpose weir or low-head dam. The study employed a one-dimensional numerical model (STAFF) to investigate the key parameters affecting sedimentation volume. Short-term predictions were conducted through laboratory experiments with movable bed, and the results indicated that dimensionless unit stream power and the Shields parameter exhibited the most significant correlation with dimensionless deposition volume. Using a multiple regression approach, an empirical equation was formulated and validated for predicting sedimentation in the upstream reservoir of the weir.

The increasing demand for water resources in urban areas, such as Bangladesh, due to population growth is a significant concern. One potential solution under consideration is the use of air conditioning (AC) condensate water. A study conducted at the European University of Bangladesh (EUB) focused on assessing the quality and quantity of AC condensate water from various systems. The results indicate that the collected water generally adhered to the quality standards established for drinking and household use in Bangladesh. Parameters such as pH (averaging 6.8), turbidity (1.08 NTU), total dissolved solids (TDS) (averaging 219 mg/L), iron content (0 mg/L), alkalinity (averaging 41.67 mg/L), arsenic (0 mg/L), chemical oxygen demand (COD) (averaging 3.67 mg/L), biochemical oxygen demand (BOD) (averaging 1.33 mg/L), chloride content (averaging 30.77 mg/L), and other factors were evaluated. Moreover, the AC units at EUB, varying in cooling capacity (1 ton, 2 tons, and 4 tons), produced substantial monthly volumes of 96, 177, and 354 liters of condensate water, respectively. This underscores the potential of AC condensate water as a valuable resource for addressing urban water scarcity. As a result, there is a pressing need for local decision-makers and policymakers to establish well-defined guidelines for the effective utilization of AC condensate water to mitigate water scarcity issues in urban areas.

A new power receiving unit (PRU) is proposed in this paper for the resonant wireless power transfer (WPT), which is characterized by the capability of attracting high power from the power transmitting unit (PTU). The resonant WPT is designed for delivering the electrical power to the PRU attached on an electrical vehicle (EV) chassis 50cm away from a PTU installed on the ground. The proposed PRU uses only the passive elements such as inductors, diodes and the capacitors, which needs no initial power from the EV. It is then applicable for charging a battery to several hundred volts for even a first-time charging battery. At a switching frequency of the resonant WPT in the experiment being 4MHz, the proposed PRU behaves itself as a negative impedance converter (NIC) in the subharmonics of 4MHz. The NIC effect plus the subharmonic oscillation causes an instability current charging the battery connected to the PRU. In this paper, we simulated the PRU and performed the experiment. The experiment demonstrates a battery charging of 150W from 50cm away using three D-mode GaN HEMT transistors via the instability current ramp. The power transfer efficiency (PTE) improved as the power delivered to load (PDL) goes higher. The best power transfer efficiency (PTE) is 65% in the present findings. The simulation analysis shows that the circuit allows itself be used to much higher power transfer when it is implemented with more GaN HEMT transistors connected in parallel. The theoretical derivation of the PRU circuit is also used to support both the experimental and simulation results.

Nowadays, healthcare-associated infections (HAIs) represent a major global public health problem and the burden of these infections is high. In order to reduce the incidence of HAIs and to prevent the spread antibi-otics resistant organisms is mandatory to develop surveillance systems. We undertook a retrospective case-control study of all patients presenting HAIs admitted in Intensive Care Unit (ICU) in order to assess risk factors associated with death among patients with HAIs. Patients admitted to Intensive Care Unit who died were more likely to present an infection with a multidrug resistant bacteria, an infection with Acineto-bacter baumannii, and to suffer from acute myocardial infarction. Among the patients enrolled in the study, a higher probability of death was also observed in association with certain gram-negative pathogens: Klebsiella pneumoniae, Acinetobacter baumannii and Pseudomonas aeruginosa. The longer the patient remains admitted in ICU, the higher the risk of getting an infection that can often become fatal. Acquiring a noso-comial infection also increases the length of hospitalization which will lead to increased financial damage.

Despite the serious threat of global warming caused by carbon emissions, commercial refrigeration systems that generate cooling are unable to adjust their usage time. Therefore, it is essential to enhance the energy efficiency of refrigeration systems themselves. Recently developed refrigeration systems offer improved energy consumption efficiency, as they utilize inverter-type outdoor units that can communicate with indoor units. However, traditional legacy refrigeration systems still suffer from poor energy efficiency because the existing indoor units cannot communicate with inverter-type outdoor units. Hence, this paper introduces a heuristic energy efficiency improvement algorithm for commercial refrigeration systems using legacy indoor units when an inverter-type outdoor unit is installed. In particular, to reduce the computational complexity of the process of selecting the optimal temperature difference and target low-pressure variables that can enhance energy efficiency, the algorithm employs the Monte Carlo method. Finally, the performance of the proposed heuristic energy efficiency improvement algorithm was evaluated in a laboratory environment to confirm its applicability.

Smart grids are seeing an increase in renewable energy and an enormous introduction of advanced power electronics, increasing the number of disturbance sources. This requires improving the accuracy of measurement systems capable of acquiring data for use in power system monitoring applications. Rogowski Coils (RCs) and Merging Units (MUs) are being widely deployed in controlling, metering, and monitoring of digital power systems. Because the performance of digital measurement devices has a direct influence on power measurement accuracy, it is critical to perform a laboratory calibration of these measurement instruments before they are installed in any project. To determine the magnitude and phase displacement errors of the RC+MU under normal and abnormal operating conditions, this article presents a comprehensive laboratory digital calibration system constructed from precise, readily available commercial products such as a fluxgate current transducer and a National Instrument. In addition, the analysis of measurement chain is affected by sources of uncertainty is discussed. The tests yield findings that are consistent with the relevant standards.

Abstract: Astrocytes (ACs) are the most abundant human cell in the brain and importantly, are the master connecting and communicating cells that provide structural and functional support of brain cells at all levels of organization. Further, they are recognized to be the guardians and housekeepers of the brain. Protoplasmic perivascular astrocyte endfeet and their basal lamina form the delimiting outermost barrier (glia limitans) of the perivascular spaces in postcapillary venules and are important for the clearance of metabolic waste and comprise the glymphatic system, which is critically dependent on the proper waste removal by the pvACef polarized aquaporin 4 water channels. Also, the protoplasmic perisynaptic astrocyte endfeet (psACef) are important in cradling the neuronal synapses that serve to maintain homeostasis and serve a functional and supportive role for synaptic transmission. Enlarged perivascular spaces (EPVS) are emerging as important aberrant findings on magnetic resonance imaging (MRI) and associate with white matter hyperintensities, lacunes, aging, accepted to be biomarkers for cerebral small vessel disease, increased in obesity, metabolic syndrome, and type 2 diabetes. Knowledge is exponentially expanding regarding EPVS along with the glymphatic system, since EPVS are closely associated with impaired glymphatic function and waste removal from the brain to the cerebrospinal fluid and systemic circulation. This review intends to focus on how the pvACef play a crucial role in the development of EPVS.

An accurate, economical, and reliable device for detecting falls in persons ambulating with the assistance of an orthopedic walker is crucially important for the elderly and patients with limited mobility. Existing wearable devices such as wristbands are not designed for walker users, and patients may not wear them at all times. This research proposes a novel idea of attaching an internet-of-things (IoT) device with an inertial measurement unit (IMU) sensor directly to an orthopedic walker to perform real-time fall detection as well as activity logging. A dataset is collected and labeled for walker users in four activities, including idle, motion, step, and fall. Classic machine learning algorithms are evaluated using the dataset by comparing their classification performance. Deep learning with convolutional neural network (CNN) is also explored. Furthermore, the hardware prototype is designed by integrating a low-power microcontroller for onboard machine learning, an IMU sensor, a rechargeable battery, and Bluetooth wireless connectivity. The research results show the promise of improved safety and well-being of walker users.

Alzheimer’s disease (AD) and vascular dementia (VaD) together contribute to almost 90% of all dementia cases leading to major health challenges of our time with a substantial global socioeconomic burden. While in Alzheimer’s disease, the improved understanding of Amyloid beta (Aß) mismetabolism and tau hyperphosphorylation as pathophysiological hallmarks has led to significant clinical breakthroughs, similar advances in VaD are lacking. We thus highlight here the importance of shared pathomechanisms found in AD and VaD: Endothelial damage, blood brain barrier (BBB) breakdown and hypoperfusion inducing oxidative stress, inflammation and demyelination and thus trophic uncoupling in the neurovascular unit. A dysfunctional endothelium and BBB lead to the accumulation of neurotoxic molecules and Aß through impaired clearance, which in turn leads to neurodegeneration. In this context we discuss possible neuropathological parameters, which might serve as biomarkers and thus improve diagnostic accuracy or reveal targets for novel therapeutic strategies for both forms of dementia.

Immersive Unit Visualization is an emergent form of visualization that arose from Immersive Analytics where, unlike traditional visualizations, each data point is represented by an individual visual mark in an immersive virtual environment. This practice has focused almost exclusively on virtual reality, excluding augmented reality (AR). This article develops and tests a prototype of an immersive Unit Visualization (Floating Companies II) with two AR devices: head-mounted display (HMD) and hand-held display (HHD). Results from the testing sessions with 20 users were analyzed through qualitative research analysis and thematic coding indicating that, while the HHD enabled a first contact with AR visualization on a familiar device, HMD improved the perception of hybrid space by supporting greater stability of virtual content; wider field of view; improved spatial perception; increased sense of immersion; and more realistic simulation, which impacted on information reading and sense-making. The materialization of abstract quantitative values into concrete reality through its simulation in the real environment and the ludic dimension stand out as important opportunities of this type of visualization. This paper investigates the aspects distinguishing two experiences regarding data visualization in hybrid space; and characterizes ways of seeing information with AR, identifying opportunities to advance information design research.

New detailed geological/structural mapping as well as field-based structural analysis were carried out to investigate the deformation pattern of well-preserved high-pressure rocks of the Blueschist Unit exposed on SE Syros (Cyclades, Greece). Our new geological mapping revealed the occurrence of a metasedimentary sequence underlain by a meta-igneous sequence. The contact between these two sequences displays typically interfingering patterns in map-scale due to folding. The earlier ductile deformation phase recognized in the mapped area, is associated with the development of a penetrative foliation, which was formed under eclogite/blueschist facies conditions at peak conditions. The subsequent main deformation phase occurred at blueschist facies conditions synchronous with the early stages of exhumation of the high-pressure rocks. This phase is mainly associated with the formation of map-scale WNW-trending folds and a pervasive axial planar foliation linked with ESE-directed shearing. The main deformation ceased within blueschist facies conditions and exhumation of the rocks to greenschist facies conditions took place under very weak deformation. Greenschist retrogression observed in the southwestern part of the mapped area seems to be controlled by fluids rather than by intense deformation. Our results indicate that the high-pressure rocks of the Blueschist Unit exposed on Syros Island represent a large-scale pod of low deformation under blueschist to greenschist facies conditions, likely occupying the core of an extrusion wedge.

The natural units of measure lauded by Max Planck more than 100 years ago are rarely used today. But many physical constants, including Planck's constant, the gravitational constant, the speed of light, vacuum permittivity, and vacuum permeability, consist of natural units in their unit dimensions. The natural units are present in all formulas containing these constants. The defining characteristic of the natural units is an alignment of unit values at the Planck scale. This alignment gives a computational basis of proportionality from which the correlated properties and dynamics of elementary particles, including wavelength, period, mass, momentum, and energy, manifest in equal or inversely proportional ratios of the Planck scale. These correlations explain many of the defining equations of quantum mechanics, classical gravity, and electromagnetism.

The intensive care unit is characterized by the critical care of the infants and children who access it, as well as the high complexity of care. This implies and requires optimal integration among the various professionals working there and their ability to work as a team. The purpose of the study was to describe how nurses perceive clinical risk and how they relate to it and to identify adverse events and related risk factors. Nine nurses, two moderators and one external observer partici-pated in the focus group. In the qualitative analysis, 9 themes describing the perception of clinical risk in PICU were identified, including teamwork, specific training, time management, team communication, management, individual errors, structural criticality, patient fac-tors/characteristics, and standardization. Safety culture can be fostered by hospital management to involve PICU nurses in promoting patient safety, which could improve breaking down barriers that prevent nurses from fulfilling their roles.

Successful implementation of antibiotic stewardship programs (ASP) requires a well-structured approach involving all stakeholders. Despite embracing key responsibilities, nurses’ role remains poorly defined, preventing consistent engagement. We conducted a scoping survey to assess knowledge, attitude and perception of nurses towards nurse-led initial sepsis risk evaluation using the sepsis risk calculator (SRC) of newborns admitted to the mother-baby unit. Single-center, cross-sectional study. Study link was sent to all full-time nurses in mother-baby unit. Survey centered around knowledge of unit’s ASP and attitude and perception towards nurse-led initial sepsis risk evaluation. 89% response rate. 100% agreed that SRC reduced antibiotic use and 66% felt nurse-led sepsis risk evaluation will enhance nurse involvement, but this was offset by extra burden of work (66%) and low confidence in differentiating stable from clinically unstable infants (46%). Other facilitating factors included greater nurse/patient ratio (100%), targeted education (89%) and incorporation of the SRC into EMR (78%). Only 11% were willing to serve as champions for it. There was no significant correlation to age or experience however, greater number of fresh grads were interested in championing this effort. Our study identifies a need for strong foundation of knowledge and greater nurse/patient ratio as two main factors for improving nurse-led use of the SRC. Multi-site studies scoping barriers to nursing involvement for successful implementation of ASPs are necessary.

Purpose of the study: to reveal how the transfusion and the refraining from it affects the neuro-vascular unit in the congenital heart defects correction with cardiopulmonary bypass. Materials and methods: in vitro research, we formed a model of a neurovascular unit, which contains neu-rons, astrocytes and endothelial cells. This cellular model was cultivated in hypoxia conditions with the oxygen saturation levels of 1, 2, 3, 4%. In addition, this unit was cultivated with the pa-tient's serum adding in two different groups - with minimal and maximal levels of system in-flammatory response that we estimated by IL-6 level. Results: We found that during incubation in hypoxic conditions, the level of transendothelial resistance changed in groups with oxygen levels of 1% and 2% only after 4 hours. When we cultivated neurovascular unit cells with patients' sera, we found a minimal level of transendothelial resistance at 4 hours that increased after 24 hours. Permeability analysis showed that its level significantly decreased in the 1% and 2% oxygen group at 60- and 90-minutes relative to the control group. Conclusion: the system inflammatory response has more expressed but less long effect on the neurovascular unit model than hypoxia.

The Colony-Forming Unit (CFU) counting problem remains a complex issue without a universal solution in biomedical and food safety domains. A multitude of sophisticated heuristics and segmentation-driven approaches have been proposed by numerous researchers. Among those, U-Net is the most frequently cited and popular Deep Learning method. The latter approach provides a segmentation output map and requires an additional counting procedure which accounts for unique segmented regions and detected microbial colonies. However, because of pixel-based targets it tends to generate irrelevant artifacts or errant pixels, leading to inaccurate and mixed post-processing results. In response to these challenges, we propose a novel hybrid counting approach, incorporating a multi-loss U-Net reformulation and a post-processing Petri dish localization algorithm. First of all, our unique innovation lies in the multi-loss U-Net reformulation. We introduce an additional loss term at the bottleneck U-Net layer, focusing on delivering an auxiliary signal indicating where to look for distinct CFUs. Second, our novel localization algorithm accurately incorporates an agar plate and its bezel into the CFU counting routines. Finally, our proposition is further enhanced by the integration of a fully automated solution. This comprises a specially designed uniform Petri dish illumination system and a counting web application. The latter application is capable of directly receiving images from the camera, which are subsequently processed, and the segmentation results are sent back to the user. This feature provides an opportunity to correct the CFU counts, offering a feedback loop that contributes to the continued development of the Deep Learning model. Through extensive experimentation, we have found that all probed multi-loss U-Net architectures incorporated in our hybrid approach consistently outperform their single-loss counterparts which utilize exclusively the combination of Tversky and Cross-Entropy training losses at the output U-Net layer. We report further significant improvements by the means of our novel localization algorithm. This reaffirms the effectiveness of our proposed hybrid solution in addressing contemporary challenges of the precise in-vitro CFU counting.

In recent years, unmanned aerial vehicles (UAVs) have become a valuable platform for many applications, including communication networks. UAV-enabled wireless communication faces challenges in complex urban and dynamic environments. UAVs can suffer from power limitations and path losses caused by non-line-of-sight connections, which may hamper better communication performance. To address these issues, reconfigurable intelligent surfaces (RIS) have been proposed as a helpful tool to enhance UAV communication networks. However, due to the high mobility of UAV, complex channel environments, and dynamic RIS configurations, it is challenging to estimate the link quality of ground users. In this paper, we propose a link quality estimation model using a gated recurrent unit (GRU) to assess the link quality of ground users for a multi-user RIS-assisted UAV-enabled wireless communication system. Our proposed framework uses a time series of user channel data and RIS phase shift information to estimate the quality of the link for each ground user. Simulation results showed that the proposed GRU model effectively and accurately estimates the link quality of the ground users in the RIS-assisted UAV-enabled wireless communication network.

: There remains no acquiescence that confirms the extent to which unemployment and entrepreneurship influence each other in developing countries. Thus, an incessant invite for further debate attracted the need to assess the relationship between unemployment and entrepreneurship in terms of business formation in Namibia Given that, this study examines the relationship between unemployment and entrepreneurial activities in Namibia. Time series data were collected from the World Bank database to investigate the relationship between unemployment and entrepreneurship in Namibia. Unit root test was conducted using both the Augmented Dickey-Fuller test and the Phillips-Perron test to measure stationarity of the data and found all the variables to have no unit root after the first difference. Thus, we employed the Johansen-Juselius test of cointegration, and the results revealed the absence of a long-run relationship between the variables. Hence, we performed a vector autoregressive (VAR) model to estimate the short-run relationships and found that Namibia exhibit both the refugee and Schumpeter effects. Finally, the direction of causality between the variables was measured using the Pairwise Granger causality test and the results revealed that none of the variables was proven to granger cause the other, concluding that they are all independent of each other. Therefore, in pursuit of unemployment mitigation, we recommend policymakers to focus on other aspects beyond entrepreneurship when devising policies without jeopardizing the ease of business start-up procedures. This will incentivize entrepreneurial activities, which can eventually address other macroeconomic issues beyond unemployment.

Evaporating liquid sessile drop deposited on horizontal surface is an important object of applications (printing technologies, electronics, sensorics, medical diagnostics, hydrophobic coatings, etc.) and theoretical investigations (microfluidics, self-assembly of nanoparticle, crystallization of the solute, etc.). The arsenal of formulas for calculating the slow evaporation of an axisymmetric drop of capillary dimensions deposited on a flat solid surface is reviewed. Such characteristics as vapor density, evaporation flux density, total evaporation rate are considered. Exact solutions obtained in the framework of the Maxwellian model, in which the evaporation process of the drop is limited by vapor diffusion from the drop surface to the surrounding air, are presented. The summary covers both well-known results obtained during the last decades and new results published by us in the last few years, but practically unknown to the wide scientific community. The newest formulas, not yet published in refereed publications, concerning exact solutions for a number of specific contact angles are also presented. In addition, new approximate solutions are presented for the first time (total evaporation rate and mass loss per unit surface area per unit time in the whole range of contact angles ), which can be used in modeling without requiring significant computational resources.

Distributions with bounded support show considerable sparsity over those with unbounded support, despite the fact that there are a number of real-world contexts where observations take values from a bounded range (proportions, percentages, and fractions are typical examples). For proportion modelling, a flexible family of two-parameter distribution functions associated with the exponential distribution is proposed here. Mathematical and statistical properties of the novel distribution are examined, including quantiles, mode, moments, hazard rate function, and its characterization. The parameter estimation procedure using the maximum likelihood method was carried out, and applications to environmental and engineering data were also considered. To this end, various statistical tests are used, along with some other information criterion indicators to determine how well the model fits the data. The proposed model is found to be the most efficient plan in most cases for the datasets considered.

Due to the complex underground environment, pumping machines are prone to produce numerous failures. The indicator diagrams of faults are similar in a certain degree, which produces indistinguishable samples. As the samples increases, manual diagnosis becomes difficult, which decreases the accuracy of fault diagnosis. For accurately and quickly judging the fault type, we propose an improved adaptive activation function and apply it to five types of neural networks. The adaptive activation function improves the negative semi-axis slope of the ReLU activation function by combining the gated channel conversion unit to improve the performance of the deep learning model. The proposed adaptive activation function is compared with the traditional activation function through the fault diagnosis data set and the public data set. The results show that the activation function has better nonlinearity, can improve the generalization performance of deep learning model, the accuracy of fault diagnosis. In addition, the proposed adaptive activation function can also be well embedded in other neural networks.

The study on graphs emerging from different algebraic structures like groups, rings, fields, vector spaces, etc. is a prominent area of research in mathematics, as algebra and graph theory are two mathematical fields that focuses on creating and analysing structures. There are numerous studies linking algebraic structures and graphs, which began with the introduction of Cayley graphs of groups. Several algebraic graphs have been defined on rings, which have huge-growing literature. In this article, we systematically review the literature on some variants of Cayley graphs that are defined on rings, to understand the research in this area.

Quantum-dot cellular automata (QCA) are a promising nanoscale computing technology that exploits the quantum mechanical tunneling of electrons between quantum dots in a cell and electrostatic interaction between dots, in neighboring cells. QCA can achieve higher speed, lower power, and smaller areas than conventional complementary metal–oxide–semiconductor (CMOS) technology. Developing QCA circuits in a logically and physically reversible manner can provide exceptional reductions in energy dissipation. The main challenge of reversible QCA design is to maintain reversibility down to the physical level. The arithmetic logic unit (ALU) is an essential component of the central processing unit (CPU) of a computer. It performs various arithmetic and logical operations on the data that the CPU processes. Current QCA ALU designs are either irreversible or logically reversible; however, they lack physical reversibility, a crucial requirement to increase energy efficiency. In this paper, we present a novel multilayer design for a logically and physically reversible QCA ALU based on majority gates as the key components, which can perform 16 different operations. We use QCADesigner-E software to simulate and evaluate energy dissipation. The proposed logically and physically reversible QCA ALU offers an improvement of 88.8% in energy efficiency. Compared to the next most efficient 16-operation QCA ALU, this ALU uses 51% fewer QCA cells and 47% less area.

This paper discusses the use of networks of Inertial Measurement Units (IMU) for the reconstruction of trajectories from sensor data. Logistics is a natural application domain, to verify the quality of the handling of goods. This is a mass application and the economics of logistics impose that IMUs to be used must be low cost and use basic computational devices. The approach in the paper converts a strategy from the literature, used in the multi-target following problem, to reaching a consensus in a network of IMUs. The paper presents results on how to achieve the consensus in trajectory reconstruction, along with covariance intersection data fusion of the information obtained by all nodes in the network.

Electricity demand forecasting plays a significant role in energy markets. Accurate prediction of electricity demand is the key factor to optimize power generation, consumption, saving energy resources, and determining the energy prices. However, integrating energy mix scenarios, including solar and wind power which are highly non-linear and seasonal, into an existing grid increases uncertainty in generation, adds the challenges for precise forecast. To tackle these challenges, state-of-the-art methods and algorithms have been implemented in literature. We have developed Artificial Intelligence (AI) based deep learning models that can effectively handle the information of long time-series data. Based on the pattern of dataset, four different scenarios were developed and two best scenarios were selected for prediction. Dozens of models were developed and tested in deep AI networks. In the first scenario (Scenario1), data for weekdays excluding holidays was taken and in the second scenario (Scenario2) all the data in the basket was taken. Remaining two scenarios, weekends and holidays were tested and neglected because of their high prediction error. To find the optimal configuration, models were trained and tested within a large space of alternatives called hyper-parameters. In this study, an Aritificial Neural Network (ANN) based Feed-forward Neural Network (FNN) showed the minimum prediction error for Scenario1 while a Recurrent Neural Network (RNN) based Gated Recurrent Network (GRU) showed the minimum prediction error for Scenario2. While comparing the accuracy, the lowest MAPE of 2.47% was obtained from FNN for Scenario1. When evaluating the same testing dataset (non-holidays) of Scenario2, the RNN-GRU model achieved the lowest MAPE of 2.71%. Therefore, we can conclude that grouping of weekdays as Senario1 prepared by excluding the holidays provides better forecasting accuracy compared to the single group approach used in Scenario2, where all the dataset is considered together. However, Scenario2 is equally important to predict the demand for weekends and holidays.

The prediction of stock prices holds significant implications for researchers and investors in evaluating stock value and risk. In recent years, researchers have increasingly replaced traditional machine learning methods with deep learning approaches in this domain. However, the application of deep learning in forecasting stock prices is confronted with the challenge of overfitting. To address the issue of overfitting and enhance predictive accuracy, this study proposes a stock prediction model based on GRU (Gated Recurrent Unit) with reconstructed datasets. This model integrates data from other stocks within the same industry, thereby enriching the extracted features and mitigating the risk of overfitting. Additionally, an auxiliary module is employed to augment the volume of data through dataset reconstruction, thereby enhancing the model’s training comprehensiveness and generalization capabilities. Experimental results demonstrate a substantial improvement in prediction accuracy across various industries.

The visual appearance of humans derives significantly from our skin and hair color. While melanin from epidermal melanocytes protects our skin from the damaging effects of ultraviolet radiation, the biological value of pigmentation in the hair follicle, particularly in the scalp, is less clear. In this study, we explore the heterogeneity of pigment cells in the human scalp anagen hair follicle bulb, a site conventionally viewed to be focused solely on pigment production for transfer to the hair shaft. Using c-KIT/CD117 microbeads, we isolated bulbar c-KIT-positive and c-KIT-negative melanocytes. While both subpopulations expressed MITF, only the c-KIT-positive fraction expressed SOX10. We further localized bulbar melanocyte subpopulations (expressing c-KIT, SOX10, MITF, and DCT) that exhibited distinct/variable expression of downstream differentiation-associated melanosome markers (e.g., gp100 and Melan-A). Localization of a second ‘immature’ SOX10 negative melanocyte population, which was c-KIT/MITF double positive, was identified outside of the melanogenic zone in the most peripheral/proximal matrix. These studies describe an approach to purifying human scalp anagen hair bulb melanocytes, allowing us to identify unexpected levels of melanocyte heterogeneity. The function of the more immature melanocytes in this part of the hair follicle remains to be elucidated. Could they be in-transit migratory cells destined to synthesize mela-nin ultimately or could they contribute to the hair follicle in non-melanogenic ways.

This paper proposes the optimization method for the minimum mass of permanent magnet (PM) excited homopolar inductor alternator (HIA) with air-gap winding used for high-speed driving system. The calculation results show that there is an optimal value for shell diameter and unit number of HIA to make the mass to be smallest. A 1 MW at 22000 rpm PM excited HIA is designed. The analytical results are verified by the FEM simulations. The losses, temperature rise, rotor stress and modal of the PM excited HIA are also analyzed. The calculation results show that the solid rotor eddy-current losses and the temperature rise of PM excited HIA are acceptable. Also the rotor strength is adequate, and the rotor system is a stiffness rotor, and it can safely operate. Finally, the comparison between PM excited HIA and permanent magnet rotor machine is discussed.

Background: This study investigated the incidence, characteristics and functional outcomes associated with unplanned Acute Care Unit Readmissions (ACUR) during inpatient traumatic brain injury (TBI) rehabilitation in an Asian cohort. Methods: Retrospective review of electronic medical records from single rehabilitation unit was conducted from 1 Jan 2012 to 31 Dec 2014. Inclusion criteria were first TBI, aged &gt;18 years, admitted &lt; 6 months of TBI. ACUR were characterized into either of neurological, medical or neurosurgical subtypes. The main outcome measure was discharge Functional Independence Measure (FIM). Secondary outcomes included rehabilitation length of stay (RLOS). Results: Of 121 eligible TBI records, the incidence of ACUR was 14% (n=17), comprising neurologic (76.5%) and medical (23.5%) subtypes, occurring at median of 13 days (IQR 6, 28.5) after rehabilitation admission. Patients without ACUR had significantly higher admission mean (SD) FIM score compared to those with ACUR (FIM ACUR-negative 63.4 (21.1) vs FIM ACUR-positive 50.53(25.4), P =0.026). Significantly lower discharge FIM was noted in those with ACUR compared to those without. (FIM ACUR-positive 65.8(31.4) vs FIM ACUR-negative 85.4 (21.1), P = 0.023) Furthermore, a significant near-doubling of RLOS was noted in ACUR patients compared to non-ACUR counterparts [ACUR-positive median 55 days (IQR 34.50, 87.50) vs ACUR-negative median 28 days (IQR 16.25, 40.00), P = 0.002]. Conclusion: This study highlights the significant negative functional impact and lengthening of rehabilitation duration of ACUR on inpatient rehabilitation outcome for TBI.

Characterized in biomedical terms, stretching exercises have been defined as movements applied by external and/or internal forces – to increase muscle and joint flexibility, decrease muscle stiffness, to elevate joint range of motion (ROM), to increase the length of the morpho-functional unit “muscle-tendon”, to improve joint, muscle and tendon movements, contraction and relaxa-tion. The present review examines and summarizes the initial and recent literature data related to the biomechanical, physiological and therapeutic effects of static stretching (SS) on flexibility and other physiological characteristics of the main structural and functional unit “joint-ligaments-tendon-muscle”. The healing and therapeutic effects of SS, soon combined with other rehabilitation techniques (massage, foam rolling – with and without vibrations; hot/cold therapy, etc.) are discussed in relationship to creation of individual (patient-specific) or group programs for treatment and prevention of joint injuries as well as for improving performance in sports. From a theoretical point of view, the role of SS as positively affecting the composition of the connective tissue matrix is pointed out: type I-III collagen synthesis, hyaluronic acid and glucosaminoglycans (GAGs) turnover – under influence of the transforming growth factor beta-1 (TGF-β-1). Different variables as collagen type, biochemistry, elongation and elasticity are used as molecular biomarkers. Recent studies evaluated that the static progressive stretching therapy could prevent/reduce the development of arthrogenic contractures, joint capsule fibrosis, muscle stiffness and need new clinical applications. Combined stretch techniques are proposed and ap-plied in medicine and sports, depending on their long- and short-term effects on variables such as ROM, EMG activity, muscle stiffness, etc. The results obtained are of theoretical and practical interest for development of new experimental, mathematical and computational models and creation of efficient therapeutic programs. The healing SS effects on the main structural and functional unit – “joint-ligament-tendon-muscle” need further investigations, which could clarify and evaluate benefits of SS in prophylaxis and treatment of joint injuries - in healthy and ill in-dividuals, in older adults, as compared to young, active and well-trained persons, as well as to professional athletes.

The Coronavirus Disease 2019 (COVID-19) pandemic has had a major impact on the mental and physical health of hospitalized patients. In our study we focused on the onset of symptoms correlated with Post-traumatic stress disorder (PTSD), depression and physical disabilities in patients admitted to the Intensive Care Unit (ICU) because of a severe respiratory distress related to COVID-19 (COVID Group) compared with patients admitted to the same ICU for trauma and other medical conditions than COVID-19 (No-COVID Group). The physical symptoms and the level of disability were evaluated with the Glasgow Outcome Scale-Extended (GOS-E), the Quality of Life after Brain Injury (QOLIBRI) and the 3 levels version of EQ-5D (EQ-5D-3L) questionnaire; psychiatric symptoms were investigated using the Impact of Event Scale-Revised 22-item (IES-R), the Patient Health Questionnaire, 9-Item Version (PHQ-9) and the Generalized Anxiety Disorder Assessment, 7-items version (GAD-7). These questionnaires were administered 6 months after discharge. Patients in the No-COVID Group showed statistically significant more severe scores in all the physical assessments while similar relevant PTSD and depressive symptoms were reported in both groups. The results of the present study underline the psychopathological impact of being hospitalized in ICU because of COVID-19 even after 6 months from discharge ,suggesting the importance of assessing the psychiatric effects of COVID-19 in the long term in order to create supportive measures.

Public Health Officers' (PHO) experiences in reaction to the COVID-19 pandemic can be based on whether the PHO is passive or active. Therefore, the study’s objectives are to identify the types of experiences and analyse the predictors of proactive practical experiences in solving COVID-19 among PHOs in the upper southern region of Thailand. Methods: An explanatory mixed-methods approach was used to collect data, through questionnaires and online in-depth interviews. The study was conducted from August 4, 2020, to August 3, 2021. Results: The results included 60 PHOs from 60 PCUs in 6 provinces, with 41 (68.3%) females and an average age of 35.57 years (SD = 11.61). The PHOs’ knowledge, understanding, and participation experience aspects were mostly proactive rather than passive. Factors that significantly predicted proactive practical experiences included sex (ORadj = 1.52, 95% CI = 1.04–2.21), age (ORadj = 1.69, 95% CI = 1.16-2.48), married status (ORadj = 1.69, 95% CI = 1.16-2.48), education level (ORadj = 1.50, 95% CI = 1.02–2.20), and position for work (ORadj = 1.69, 95% CI = 1.16-2.48). Conclusions: PHOs’ knowledge, understanding, opinion, and participation experiences were significant predictors of practical experience. Primary health care systems should promote proactive experiences in all four aspects to increase proactive practical experiences.

The newly developed friction-interlocking armor unit, called ‘Double cube’ (DC), has been designed to improve the performance of the concrete armor unit used in river/marine structures against currents/waves actions. DC unit, is an octagonal-shaped block, made up of two parts: an upper cube set on a lower base that is either square or octagonal in shape. The innovative design aims to provide a good performance in terms of stability, high tolerance placement with various contact points and ease of placement. DC’s shape and placement enhance the stability by bringing the center of gravity closer to the underlayer and providing a large contact surfaces with surrounding blocks that reduce the chance of extraction and limit movements (rocking, lifting) via "keystone" effect. The characteristics of this new unit provides a relatively high hydraulic stability number for the armor layer (NS=2.9), a favorable hydraulic performance due to energy dissipation from turbulence and aeration, as well as a high roughness coefficient (γf≈0.46) helping to reduce the overtopping.

A wideband antenna with excellent efficiency is the most important requirement of wireless communication. There are many ways to improve the antenna bandwidth, such as using a low permittivity substrate, increasing the substrate thickness, and using different shapes of radiating patches. However, this cannot achieve wideband. This problem can be solved by using a metamaterial-based microstrip antenna that can achieve wideband. The proposed patch antenna has a metamaterial unit cell loaded on the top patch and on the bottom ground plane. The top unit cell, which consists of a square loop with Complementary Split Ring Resonator (CSRR) and the bottom unit cell, which is a Square Shaped Cross-Slot (SSCS), is loaded on the patch and ground. The objective is to achieve a compact metamaterial-loaded antenna with enhanced radiation characteristics and to design a metamaterial antenna for wideband applications. The wideband and high gain features of the proposed antenna make it suitable for 5G NR FR1 and Wi-Fi 6E applications.

Radiotherapy commonly utilizes CBCT for patient positioning and treatment monitoring. CBCT is deemed to be secure for patients, making it suitable for the delivery of fractional doses. However, limitations such as a narrow field of view, beam hardening, scattered radiation artifacts, and variability in pixel intensity hinder the direct use of raw CBCT for dose recalculation during treatment. To address this issue, reliable correction techniques are necessary to remove artifacts and remap pixel intensity into HU values. This study proposes a deep-learning framework for calibrating CBCT images acquired with narrow FOV systems and demonstrates its potential use in proton treatment planning updates. Cycle-consistent GAN processes raw CBCT to reduce scatter and remap HU. Monte Carlo simulation is used to generate CBCT scans, enabling the possibility to focus solely on the algorithm’s ability to reduce artifacts and cupping effects without considering intra-patient longitudinal variability and producing a fair comparison between planning CT and calibrated CBCT dosimetry. To showcase the viability of the approach using real-world data, experiments were also conducted using real CBCT. Tests were performed on a publicly available dataset of 40 patients who received ablative radiation therapy for pancreatic cancer. The simulated CBCT calibration led to a difference in proton dosimetry of less than 2%, compared to the planning CT. The potential toxicity effect on the organs at risk decreased from about 50% (uncalibrated) up the 2% (calibrated). The gamma pass rate at 3%/2mm produced an improvement of about 37% in replicating the prescribed dose before and after calibration (53.78% vs 90.26%). Real data also confirmed this with slightly inferior performances for the same criteria (65.36% vs 87.20%). These results may confirm that generative artificial intelligence brings the use of narrow FOV CBCT scans incrementally closer to clinical translation in proton therapy planning updates.

Plant roots have significant effects on the soil erosion rates, since they can strongly change the soil detachment capacity (Dc). This study quantifies Dc at different flow rates in soils with Alnus subcordata species, compared to three other species (Brachythecium plumose, Gleditsia caspica and Sambucus ebulus species) in the Saravan forest park and develops regression equations for predicting Dc. Undisturbed samples collected from soils with the four tree species and subjected to five slopes (from 4.3 to 38.3%) and five water discharges (from 0.28 to 0.71 l m−1 s−1) using a hydraulic flume. The results showed that Dc was significantly lower in soils with Alnus subcordata species compared to Brachythecium plumose, Gleditsia caspica and Sambucus ebulus species, as the consequence of the changes in the root characteristics, so that Dc was negatively correlated with root weight density, root length and root biomass. The unit stream power had high accuracy for predicting Dc for all of the studied species. The lowest value of rill erodibility (Kr) was obtained in soils with Alnus subcordata species using regression relationship between the Dc and the shear stress of the soil. This experiment helped to show the importance of plant roots in reducing the soil detachment rates and provided a contribution in understanding the choice of appropriate species for soil conservation.

The aim of this study was to investigate the work engagement and burnout in healthcare professionals in a private health unit in Greece. A cross-sectional study was conducted with a sample of 151 professionals (doctors, nurses, administrative staff and professionals of other specialties). The questionnaire included demographic and work-related information and the Utrecht Work Engagement Scale and Maslach Burnout Inventory. Analysis was performed by SPSS v.26. With regard to the work engagement, the participants presented a medium score in absorption and a medium to high score in vigor and dedication. In addition, they presented low score in depersonalization, a medium score in emotional exhaustion and a high score in personal accomplishment. Those who had a working contract for an indefinite period had higher score in all the dimensions of burnout. Vigor, dedication and absorption were negatively correlated with emotional exhaustion and depersonalization and positively with personal accomplishment. Healthcare professionals in private health sector in Greece present moderate work engagement and experience moderate levels of burnout. Work engagement is associated with burnout and plays an important role in its prevention. There are some significant differences in work engagement and burnout based on several demographic and work-related characteristics.

Improving the quality of natural water purification is one of the priority areas in the research of scientific communities in the field of ecology. At the same time, the task is to achieve optimal efficiency at a low cost of the technological process. The solution in this case is the use of materials necessary for cleaning, in particular, sorbents from natural raw materials, including agricultural waste. At present, a sufficient number of research results have been published confirming the effectiveness of the sorbent from biochar of various agricultural wastes, as well as from rice straw biochar. This article proposes an innovative method for modifying biochar from rice straw, which allows the use of the material as a sorbent with a disinfecting effect. The method consists in processing biochar in a process activation apparatus (PAP) in a solution of silver nitrate with the release in the form of a carbon nanomaterial with attached metallic silver ions on the surface of biochar particles. Rice straw biochar was mixed in distilled water with silver nitrate AgNO3 and placed in the AAP in a replaceable insert with ferromagnetic particles that have a magnetostrictive effect under the influence of an electromagnetic field. Next, the contact of biochar impregnated with a solution of silver nitrate and ferromagnetic particles was carried out for 2 minutes under electromagnetic influence, after which the treated sample was dried in an oven for 4 hours at t=105ºС, followed by calcination in a muffle furnace at 450ºС for 3 hours. The resulting silver-containing sorbent was subjected to a physicochemical analysis of its properties, photographs of electron microscopy were also obtained, and a bacteriological analysis of the effectiveness of the sorbent on natural water was carried out. According to the results of the analyzes, the silver-containing sorbent is a mesoporous nanomaterial with an average mesopore diameter for desorption of 196 Å, a relative volume of pores with a diameter of up to 900 Å 0.034 cm³/g,, specific surface 7.45 m²/g and a content of metallic silver ions on the surface of the sorbent particles of (Ag) 16.7%, oxygen (O) 54.9%, unexpectedly (С) 13.7%, silicon (Si) 8.1%. Laboratory studies for the bacteriological analysis of natural water consisted in the sorption processing of the selected samples in the carbonization mode, followed by sedimentation after the introduction of the reagent (a mixture of coagulant and flocculant). The analysis was carried out on three indicators - total microbial count (TMC), total coliform bacteria (TCB) and thermotolerant coliform bacteria (TCB). According to the research results, the sorbent showed its disinfecting properties and confirmed its high efficiency (90,48%-100%).

Dental healthcare providers, staff and patients are constantly exposed to the risk of infection or cross-infection in the dental office, particularly due to the formation of biofilms within Dental Unit Waterlines (DUWLs). Good water quality, achieved with environmentally friendly means, is essential in ensuring the safe operation of the clinic. The aim of this study was to evaluate the practices and protocols used in dental offices of Metropolitan Athens in Greece with regards to water quality in DUWLs. The questionnaire about water quality was distributed to dental practitioners in 2022 and was completed by 206 dentists. Water supplied to dental units was mainly from the public network (65.0%), with 55.8% using in-office filtration. Most dentists (71.8%) do not know the active substance of the antiseptic used for the DUWLs, while 96.1% reported having an antiseptic reservoir embedded in the dental unit. Daily flushing with a small and a large amount of fluid was practiced in approximately 83% and 61% of dental offices, respectively. Dental associations should raise awareness regarding water quality and maintenance of DUWLs in dental offices, investing in lifelong learning, while implementing protocols and green strategies.

This study compares the effects of lecture-based instruction and process-oriented guided inquiry learning (POGIL)-based instruction on the self-efficacy performance of Grade 12 students. A quasi-experimental, pretest-posttest design was adopted to investigate and assess the impact of POGIL-based instruction versus lecture-based instruction on students’ performance as measured by three types of cognitive outcomes; Knowing, Applying and Reasoning (KAR). Two government high schools in Alain were selected as research sites, one for the boys and one for the girls. The total number of participants was approximately 110 students (N=110); 54 were assigned to treatment groups (25 girls and 29 boys), and 56 were assigned to control groups (27 girls and 29 boys). The treatment group was taught a circular motion unit in physics using POGIL-based instruction, while the control group was taught the unit using lecture-based instruction. The study's findings showed statistically significant differences between students of the control group and the treatment group in favour of the latter regarding their science performance, self-efficacy and science-related attitudes. Moreover, positive correlations were found between participants’ performance at the KAR test, self-efficacy and scientific attitudes towards scientific inquiry after the intervention. In conclusion, it is recommended to shift teaching towards POGIL-based instruction due to its positive impact on students’ performance and self-efficacy. It is also suggested to replicate the study to include government and private schools, elementary and high schools, teachers and advisors.

The aim of this study was to investigate the impact of Process Oriented Guided Inquiry Learning (POGIL)-based instruction versus lecture-based instruction on Grade 12 students’ performance in circular motion unit. A quasi-experimental, pretest-posttest design, the impact of POGIL-based instruction versus lecture-based instruction on students’ performance as measured by three types of cognitive outcomes: Knowing, Applying and Reasoning (KAR). The total number of participants was approximately 110 students (N=110); 54 were assigned to treatment groups (25 girls and 29 boys) and 56 were assigned to control groups (27 girls and 29 boys). The treatment group was taught a unit of circular motion in physics using POGIL-based instruction while the control group was taught the unit using lecture-based instruction. The findings of the study showed statistically significant differences between students of the control group and the treatment group in favor of the later regarding their circular motion performance, suggesting the superiority of the POGIL in enhancing student understanding of the circular motion.

Distracted driving is the leading cause of accidents, the cause of these distractions may include drowsiness, using cell phone, smoking a cigarette, etc. The proposed paper aims at monitoring the attentiveness of the driver and alerting the driver when his/her alertness goes below a certain threshold. It uses image processing using OpenCV (Computer Vision) and You Look Only Once (YOLO) algorithm to detect the eyes and object respectively and sounds an alarm when the driver is either drowsy or using his cell phone or smoking a cigarette.

Given that population COVID-19 vaccination does not appreciably reduce SARS-CoV-2 transmission, instead, the potential to reduce hospitalization has been used to justify coercive vaccine passports. We aim to use a recently published research study as an example in order to demonstrate how data can be misinterpreted and result in deriving misleading ethical and policy implications. Bagshaw et al wrote that unvaccinated patients with COVID-19 in Alberta, Canada “had substantially greater rates of ICU admissions, ICU bed days, and ICU related costs than vaccinated patients did. This increased resource use would have been potentially avoidable had these unvaccinated patients been vaccinated.” The authors in Bagshaw et al then concluded that their findings “have important implications for discourse on the relative balance of increasingly stringent public health protection (restrictions), including mandatory vaccination policies, and the sustainability and function of health system infrastructure and capacity during the ongoing COVID-19 pandemic.” Here we show the following. First, the effect of vaccination on intensive care admissions were grossly over-estimated due to several limitations of this and almost all other vaccine studies. Second, an effect of vaccination on access to acute care and on all-cause excess deaths was grossly over-stated due to several more likely causes being omitted from discussion and from the common narrative. Third, policy implications were overstated and at best unclear due to missing consideration of more relevant aspects required to inform policy. Overall, the data cannot support what Bagshaw et al called “increasingly stringent public health protection (restrictions), including mandatory vaccination policies”.

Economic valuations of ecosystem services often transfer previously estimated global unit values to the geographical setting of interest. While this approach produces quick results, its reliability depends on how representative the large-scale average unit values are for the given local context. Here, we estimate the values of three ecosystem services (ES) – water filtration, nutrient cycling and carbon sequestration – in the Grand River watershed (GRW) of southern Ontario, Canada. The watershed covers nearly 7000 km2, has a humid continental climate and a population of close to one million people. Land cover is dominated by agriculture. We compare ES valuations using locally derived (i.e., GRW-specific) unit values to valuations based on unit values from a regional database and those compiled in the global Ecosystem Services Valuation Database (ESVD). The regional database includes mean unit values from three case studies within southern Ontario and one boreal watershed in British Columbia. As expected, the regional database yields average monetary values for the three ES that are close to those obtained with the local unit values but with larger associated uncertainties. Using the ESVD, however, results in significantly higher monetary values for the ES. For water filtration, the ESVD value is more than five times higher than the regional and local estimates. We further illustrate the effect of the extent of aggregation of forested and agricultural land categories on the ES values. For example, by subdividing the forest category into three sub-categories (deciduous, coniferous, and mixed forest), the estimated value of the carbon sequestration ES of forested areas within the GRW increases by 15%. Overall, our results emphasize the importance of critically assessing the origin of unit values and the land cover resolution in ES valuation, especially when the latter is used as a policy-guiding tool.

Fractals offer the ability to generate fascinating geometric shapes with all sorts of unique characteristics (for instance, fractal geometry provides a basis for modelling infinite detail found in nature). While fractals are non-euclidean mathematical objects which possess an assortment of properties (e.g., attractivity and symmetry), they are also able to be scaled down, rotated, skewed and replicated in embedded contexts. Hence, many different types of fractals have come into limelight since their origin discovery. One particularly popular method for generating fractal geometry is using Julia sets. Julia sets provide a straightforward and innovative method for generating fractal geometry using an iterative computational modelling algorithm. In this paper, we present a method that combines Julia sets with dual-quaternion algebra. Dual-quaternions are an alluring principal with a whole range interesting mathematical possibilities. Extending fractal Julia sets to encompass dual-quaternions algebra provides us with a novel visualize solution. We explain the method of fractals using the dual-quaternions in combination with Julia sets. Our prototype implementation demonstrate an efficient methods for rendering fractal geometry using dual-quaternion Julia sets based upon an uncomplicated ray tracing algorithm. We show a number of different experimental isosurface examples to demonstrate the viability of our approach.

In this paper, an analytical form of the Unit Step Function (or Heaviside Step function) is presented. This important function constitutes a fundamental concept of Operational Calculus and is also involved in many other fields of applied and engineering mathematics. In particular, Heaviside Step Function is performed in a very simple manner by the use of a finite number of standard operations, as the summation of six inverse tangent functions. The novelty of this work when compared with other analytical expressions, is that the proposed exact formula contains two arbitrary single - valued continuous functions which satisfy only one restriction. In addition, the proposed representation is not exhibited in terms of miscellaneous special functions, e.g. Bessel functions, Beta function, Logistic function. Besides, it is neither the limit of a function, nor the limit of a sequence of functions with point – wise or uniform convergence. Hence, this formula may be much more practical, flexible and useful in the computational procedures which are inserted into Operational Calculus techniques and other engineering practices.

In recent years, neural networks based on attention mechanisms have been increasingly widely used in speech recognition, separation, enhancement, and other fields. In particular, the convolution-augmented transformer has achieved good performance as it can combine the advantages of convolution and self-attention. Recently, the gated attention unit (GAU) has been proposed. Compared with the traditional multi-head self-attention, approaches with GAU are effective and computationally efficient. In this article, we propose a network for speech enhancement called CGA-MGAN, a kind of Metric GAN based on convolution-augmented gated attention. CGA-MGAN captures local and global correlations in speech signals at the same time through the fusion of convolution and gated attention units. Experiments on Voice Bank + DEMAND show that the CGA-MGAN we propose achieves an excellent performance (3.47 PESQ, 0.96 STOI, and 11.09dB SSNR) at a relatively small model size (1.14M).

Human motion analysis using inertial measurement units (IMUs) has recently been shown to provide accuracy similar to the gold standard, marker-based optical motion capture, but at much lower costs and while being less restrictive and time-consuming. However, IMU-based motion analysis requires precise knowledge of the orientation in which the sensor is attached to the body segments. This knowledge is commonly obtained via an anatomical calibration procedure based on precisely defined poses or motions, which is time-consuming and error-prone. In the present work, we propose a self-calibrating approach for magnetometer-free joint angle tracking that is suitable for joints with two degrees of freedom (DoF), such as the elbow, ankle, and metacarpophalangeal finger joints. The proposed methods exploit kinematic constraints to simultaneously identify the joint axes and the heading offset. The experimental evaluation shows that the proposed methods are able to estimate plausible and consistent joint axes from just ten seconds of arbitrary elbow joint motion. Comparison with optical motion capture shows that the proposed methods yield joint angles with similar accuracy as a conventional IMU-based method while being much less restrictive. Therefore, the proposed methods improve the practical usability of IMU-based motion tracking in many clinical and biomedical applications.

Objective: to assess level of trust in health services during COVID-19 pandemic in Brazil. Methods: Cross-sectional study, carried out between 2020 and 2021, among Brazilians over 18. A non-probabilistic sampling was used. Descriptive and inferential statistics were applied, using the Local Bivariate Moran’s technique was used to verify the existence of spatial dependence between the incidence and mortality of COVID-19 and trust in health services. Furthermore, multinomial regression was also used to analyze the factors associated with the confidence level, with the calculation of the Odds Ratio and with a confidence interval of 95%. Results: 50.6% reported trust in hospital services while 41.4% did not trust Primary Health Care services. With the application of the Local Bivariate Moran, both for the incidence and mortality of COVID-19, the trust in tertiary care and primary care services showed a statistically significant spatial association predominant in the Midwest (High-Low) and North (Low-High) regions of Brazil. The level of trust was associated with education, religion, region of the country and income. Conclusions: The level of trust in hospital services, more than Primary Health Care services, may be related to the population's culture of prioritizing the search for hospital care at the detriment of health promotion and disease prevention

The sustainability of the planet and its inhabitants is in dire danger and is among the highest priorities on global agendas such as the Sustainable Development Goals (SDGs) of the United Nations (UN). Solar energy -- among other clean, renewable, and sustainable energies -- is seen as essential for environmental, social, and economic sustainability. Predicting solar energy accurately is critical to increasing reliability and stability, and reducing the risks and costs of the energy systems and markets. Researchers have come a long way in developing cutting-edge solar energy forecasting methods. However, these methods are far from optimal in terms of their accuracies, generalizability, benchmarking, and other requirements. Particularly, no single method performs well across all climates and weathers due to the large variations in meteorological data. This paper proposes SENERGY (an acronym for Sustainable Energy), a novel deep learning-based auto-selective approach and tool that, instead of generalising a specific model for all climates, predicts the best performing deep learning model for GHI forecasting in terms of forecasting error. The approach is based on carefully devised deep learning methods and feature sets through an extensive analysis of deep learning forecasting and classification methods using ten meteorological datasets from three continents. We analyse the tool in great detail through a range of metrics and methods for performance analysis, visualization, and comparison of solar forecasting methods. SENERGY outperforms existing methods in all performance metrics including Root Mean Square Error (RMSE), Mean Absolute Error (MAE), Mean Absolute Percentage Error (MAPE), Forecast Skills (FS), Relative Forecasting Error, and the normalised versions of these metrics. The proposed auto-selective approach can be extended to other research problems such as wind energy forecasting and predict forecasting models based on different criteria (in addition to the minimum forecasting error used in this paper) such as the energy required or speed of model execution, different input features, different optimisations of the same models, or other user preferences.

We have developed deep learning models for automatic identification of the maternal heart rate (MHR) and, more generally, false signals (FSs) on fetal heart rate (FHR) recordings. The models can be used to preprocess FHR data prior to automated analysis or as a clinical alert system to assist the practitioner. Three models were developed and used to detect (i) FSs on the MHR channel (the FSMHR model), (ii) the MHR and FSs on the Doppler FHR sensor (the FSDop model), and (iii) FSs on the scalp ECG channel (the FSScalp model). The FSDop model was the most useful because FSs are far more frequent on the Doppler FHR channel. All three models were based on a multilayer, symmetric, GRU and were trained on data recorded during the first and second stages of delivery. The FSMHR and FSDop models were also trained on antepartum recordings. The training dataset contained 1030 expert-annotated periods (mean duration: 36 min) from 635 recordings. In an initial evaluation of routine clinical practice, 30 fully annotated recordings for each sensor type (mean duration: 5 h for MHR and Doppler sensors, and 3 h for the scalp ECG sensor) were analyzed. The sensitivity, positive predictive value (PPV) and accuracy were respectively 62.20%, 87.1% and 99.90% for the FSMHR model, 93.1%, 95.6% and 99.68% for the FSDop model, and 44.6%, 87.2% and 99.93% for the FSScalp model. We built a second test dataset with a more solid ground truth by selecting 45 periods (lasting 20 min, on average) on which the Doppler FHR and scalp ECG signals were recorded simultaneously. Using scalp ECG data, the experts estimated the true FHR value more reliably and thus annotated the Doppler FHR channel more precisely. The models achieved a sensitivity of 53.3%, a PPV of 62.4%, and an accuracy of 97.29%. In comparison, two experts (blinded to the scalp ECG data) respectively achieved a sensitivity of 15.7%, a PPV of 74.3%, and an accuracy of 96.91% and a sensitivity of 60.7%, a PPV of 83.5% and an accuracy of 98.24%. Hence, the models performed at expert level (better than one expert and worse than the other), although a well-trained expert with good knowledge of FSs could probably do better in some cases. The models and datasets have been included in the Fetal Heart Rate Morphological Analysis open-source MATLAB toolbox and can be used freely for research purposes.

The different waves of the COVID-19 pandemic caused dramatic issues regarding the organiza-tion of care. In this context innovative solutions have to be developed in a timely manner to adapted the organization of the care. The establishment of middle care (MC) units is a bright example of such an adaptation. A multidisciplinary MC team, including expert and non-expert respiratory nurses, physicians, physiotherapists, psychologists, nutritionists and social workers, was built and trained to work in the COVID-19 MC unit. Important educational resources were set up to ensure rapid and effective training of the MC team, limiting the admission or delaying transfers to ICU and ensuring optimal management of palliative care. We conducted a retrospec-tive analysis of patient data in the MC unit during the second COVID-19 wave. Fifty-two COVID-19 ‘step-up’ patients admitted to the MC unit were included in the study. Thirty-four (65%) patients worsened, of which 12 (23%) were not eligible for ICU access. In total, 42% of the ICU-eligible patients were managed in the MC unit to avoid the ICU. Among the 22 patients transferred to the ICU, 15 were intubated. The establishment of an MC unit during a pandemic, mixing expert and non-expert respiratory team members, is feasible and needed. MC units possi-bly relieve the pressure exerted on ICUs. A highly trained multidisciplinary team is key to ensur-ing the success of an MC unit during a pandemic.

For many decades, X-ray diffraction (XRD) has been used for material characterization. With the recent development in material science understanding and technology, various new materials are being developed, which requires upgrading the existing analytical techniques such that intricate problems can be solved. Although, XRD is a well-established non-destructive technique, it still requires further improvements in its characterization capabilities, especially when dealing with complex mineral structures. The present review conducts comprehensive discussions on atomic crystal structure, XRD principle, its applications, uncertainty during XRD analysis, and required safety precautions, all in one place. It further discusses the future research directions, especially the use of artificial intelligence and machine learning tools for improving the effectiveness and accuracy of XRD technique for mineral characterization. It has been focused that how XRD patterns can be utilized for a thorough understanding of the crystalline structure, size, and orientation, dislocation density, phase identification, quantification, and transformation, information about lattice parameters, residual stress, and strain, and thermal expansion coefficient of materials. All these important discussions on XRD for mineral characterization are compiled in this short yet comprehensive review that would benefit specialists and engineers in the chemical, mining, iron, metallurgy, and steel industries.

The article deals with the current state of energy consumption and CO2 emissions in the urban area of building clusters. There are many requirements, such as those set by the EU (FIT 55, decarbonisation in 2050, full electromobility in 2035, or mandatory annual reductions in energy consumption and CO2 production) or societal requirements, such as stable energy supply and its optimisation while significantly reducing CO2 emissions. This inspired us to design an energy model of a building (EMB) with smart grid implementation in a decentralized sustainable energy system. Simulation model studies were carried out to show the possibility of their application in the process of fully satisfying energy needs in terms of reducing their environmental impact. A decentralized photovoltaic system (microgrid) connected to a distribution grid. The main objective is to propose an original methodology for the design of smart "Nearly Zero Energy Buildings" (NZEB) and a subsequent solution for energy sustainability. This has led us to use HOMER, PV*SOL, Monte Carlo and DesignBuilder software which were chosen from the range of options that were and are available. Subsequently, a synthesis of the selected software solutions was carried out and a new model - the "Energy Model of a Building" (EMB) - was proposed in the process of integration with the energy performance of buildings, as an original optimization basis for designing smart buildings and smart areas, and even cities. The proposed EMB has been verified and evaluated within the experiment.

Detailed mapping and structural observations on the Cycladic Blueschist Unit (CBU) of Iraklia island integrated by detrital zircon (DZ) U-Pb ages elucidate the Mesozoic pre-subduction evolution and the Cenozoic orogenic events. Field data reveal that the Iraklia tectonostratigraphy includes a heterogeneous Lower Schist Unit juxtaposed against a Variegated Marble Unit and an overlying Upper Schist Unit. The contact is an extensional ductile-to-brittle-ductile, top-to-N shear zone, associated with the Oligo-Miocene exhumation. The DZ spectrum of the Lower Schist Unit characterized by Gondwanan/peri-Gondwanan provenance signatures points to Late Triassic maximum depositional ages (MDAs). A quartz-rich schist layer yielded Precambrian DZ ages exclusively, considered part of the pre-Variscan metasedimentary Cycladic Basement, equivalent to those observed on Ios island. A significant change occurred during the deposition of the Upper Schist Unit, revealing Late Cretaceous MDAs and a high amount of Late Paleozoic DZ ages, attesting to more internal Pelagonian source areas. The imprint of Paleotethyan vs. Neotethyan geodynamic events is revealed in the DZ U-Pb ages record. The Triassic DZ input demonstrates eroded volcanic material related to the final Paleotethys closure and the Pindos/CBU rift basin opening. Late Cretaceous metamorphic/magmatic zircons and ~48-56 Ma zircon rims constrain the onset of subduction and high-pressure metamorphism.

: In the last years, materializations of neuromorphic circuits based on nanophotonic arrangements have been proposed, which contain complete optical circuits, laser, photodetectors, photonic crystals, optical fibers, flat waveguides, and other passive optical elements of nanostructured materials, which eliminate the time of simultaneous processing of big groups of data, taking advantage of the quantum perspective and thus highly increasing the potentials of contemporary intelligent computational systems. This article is an effort to record and study the research that has been conducted concerning the methods of development and materialization of neuromorphic circuits of Neural Networks of nanophotonic arrangements. In particular, an investigative study of the methods of developing nanophotonic neuromorphic processors, their originality in neuronic architectural structure, their training methods and their optimization has been realized along with the study of special issues such as optical activation functions and cost functions.

Biogeography research is flawed by the poor understanding of microbial distributions due to the lack of a systematic research framework, especially regarding appropriate study units. By combining pure culture and molecular methods, we studied the biogeographic patterns of nematode-trapping fungi by collecting and analysing 2,250 specimens from 228 sites in Yunnan Province, China. We found typical watershed patterns at the species and genetic levels of nematode-trapping fungi. The results showed that microbial biogeography could be better understood by 1) using watersheds as research units, 2) removing the coverup of widespread species, and 3) applying good sampling efforts and strategies. We suggest that watersheds could help unify the understanding of the biogeographic patterns of animals, plants, and microbes and may also help account for the historical and contemporary factors driving species distributions.

Intensive care unit discharge is an important transition which impacts on patient wellbeing. Nurses can play an essential role in this scenario, potentiating patient empowerment. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement. Embase, PubMed/MEDLINE, CINAHL, and Cochrane Central Register of Controlled Trials (CENTRAL) databases were evaluated in May 2021. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of evidence. Quality of the studies included was assessed using the Cochrane risk-of-bias tool. Of the 273 articles initially identified, eight randomized controlled trials reported nursing interventions mainly focused on patients’ ICU discharge preparation through information and education. The creation of ICU Nurse-Led and nurses’ involvement in critical care multidisciplinary teams also aimed to support patients during ICU discharge. This systematic review provides an update on clinical practice aimed at improving the patient experience during ICU discharge. The main nursing interventions were based on information and education, as well as the development of new nursing roles. Understanding transitional needs and patient empowerment are key to making the transition easier.

Stumbling during gait is commonly encountered in patients who suffer from mild to serious walking problems, e.g. after stroke, in osteoarthritis, or amputees using a lower leg prosthesis. Instead of self-reporting, an objective assessment of the amount of stumbles in daily life would inform clinicians more accurately and enable the evaluation of treatments that aim to achive a safer walking pattern. An easy to use wearable might fullfill this need. The goal of the present study was to investigate whether a single inertial measurement unit (IMU) placed at the shank and machine learning algorithms could be used to detect and classify stumbling events in a dataset comprising of a wide variety of daily movements. Ten healthy test subjects were deliberately tripped by an unexpected and unseen obstacle while walking on a treadmill. The subjects stumbled a total of 276 times, both using an elevating recovery strategy and a lowering recovery strategy. Subjects also performed multiple Activities of Daily Living. During data processing, an event-defined window segmentation technique was used to trace high peaks in acceleration which could potentially be stumbles. In the reduced dataset, time windows were labelled with the aid of video annotation. Subsequently, discriminative features were extracted and fed to train seven different types of machine learning algorithms. Trained machine learning algorithms were validated using leave-one-subject-out cross-validation. Support Vector Machine (SVM) algorithms were most succesful, and could detect and classify stumbles with 100% sensitivity, 100% specificity and, 96.7% accuracy, in the independent testing dataset. The SVM algorithms were implemented in a user-friendly, freely available, stumble detection app named Stumblemeter. This work shows that stumble detection and classification based on SVMs is accurate and ready to apply in clinical practise.

Survivors of severe brain injury may require care in a neurointensive care unit (neuro-ICU), where the brain is vulnerable to secondary brain injury. Thus, there is a need for noninvasive, bedside, continuous cerebral blood flow monitoring approaches in the neuro-ICU. Our goal is to address this need through combined measurements of EEG and functional optical spectroscopy (EEG-Optical) instrumentation and analysis to provide a complementary fusion of data about brain activity and function. The present case demonstrates in a patient with traumatic brain injury, noninvasive cerebral blood flow transients can be recorded that correlate with gold-standard invasive measurements and with the frequency content changes in the EEG data during clinical care.

Deep neural networks (DNNs) have made a huge impact in the field of machine learning by providing unbeatable humanlike performance to solve real-world problems such as image processing and natural language processing (NLP). Convolutional neural network (CNN) and recurrent neural network (RNN) are two typical architectures that are widely used to solve such problems. Time sequence-dependent problems are generally very challenging, and RNN architectures have made an enormous improvement in a wide range of machine learning problems with sequential input involved. In this paper, different types of RNN architectures are compared. Special focus is put on two well-known gated-RNN’s Long Term Short Memory (LSTM) and Gated Recurrent Unit (GRU). We evaluated these models on the task of force estimation system in pouring. In this study, four different models including multi-layers LSTM, multi-layers GRU, single-layer LSTM and single-layer GRU) were created and trained. The result suggests that multi-layer GRU outperformed other three models.

Lead-acid batteries utilised in electrical substations release hydrogen and oxygen when these are charged. These gases could be dangerous and cause a risk of fire if they are not properly ventilated. Therefore, this research seeks to design and implement a network control panel for heating, ventilation, and air-conditioning systems (HVACS). This is done using a specific range of controllers, which have more than thirty loops of proportional, integral and derivative (PID) control to achieve a cost-effective design. It performs the required function of extracting hydrogen, oxygen, and maintaining the desired temperature of the battery storage room within the recommended limits (i.e. 25°C ±1°C tolerance) without compromising quality as set out in the user requirement specification in Appendix-A. The system control panel allows the user to access control parameters such as changing temperature set-points, fan-speed, sensor database amongst others. The hardware is configured to detect extreme hydrogen and oxygen gas content in the battery room and ensure that the HVACS extract the gas content to the outside environment. The results of the system show that the network control panel effectively operates as per the recommended system requirements. Therefore, the effective operation of the HVACS ensures sufficient gas ventilation, thus mitigating the risk of fire in a typical battery storage room. Furthermore, the effective operation of HVACS enhances battery lifespan because of regulated operating temperature, which is conducive to minimise the effect of sulfation in lead acid Batteries (LABs).

(1) Background: Benefits and timing of percutaneous dilatational tracheostomy (PDT) in Intensive Care Unit (ICU) COVID-19 patients are still controversial. PDT is considered a high risk procedure for transmission of SARS CoV-2 to health care workers (HCWs). The present study analyzed optimal timing of PDT, clinical outcomes of patients undergoing PDT and safety of HCWs performing PDT. (2) Methods: 133 COVID-19 patients underwent PDT in our ICU from April 1, 2020 to March 31, 2021, 23 patients were excluded and 110 patients were enrolled. A trained medical team was dedicated to the PDT procedure. Demographic, clinical history and outcome data were collected. Patients who underwent PDT were stratified into two groups: early group, PDT ≤ 12 days from orotracheal-intubation (OTI) and late group, &gt;12 days from OTI; HCW surveillance program was performed. (3) Results: Early group included 57 patients and late group included 53 patients. Early group patients showed shorter ICU length of stay and fewer days of mechanical ventilation than the late group (p&lt;0.001). At day 7 after tracheostomy, early group patients required fewer intravenous anesthetic drugs and experienced an improvement of ventilation parameters, PaO2/FiO2-Ratio, PEEP and FiO2 (p&lt;0.001). No difference in case fatality ratio between the two groups was reported. No SARS-CoV-2 infection was reported in HCWs performing PDT. (4) Conclusions: PDT was safe and effective for COVID-19 patients, since it improved respiratory support parameters, reduced ICU length of stay and duration of mechanical ventilation, and optimized the weaning process. The procedure was safe for all HCWs involved in the dedicated medical team. The development of standardized early PDT protocols should be implemented and PDT procedure could be considered as first line approach in ICU COVID-19 requiring prolonged mechanical ventilation.

In this Case Report we analyze the possible causes of the poor health status of a professional Apis mellifera iberiensis apiary located in Gajanejos (Guadalajara, Spain). Several factors that potentially favor colony collapse were identified, including Nosema ceranae infection, alone or in combination with other factors (eg, BQCV and DWV infection), and the accumulation of acaricides commonly used to control Varroa destructor in the beebread (coumaphos and tau-fluvalinate). Based on the levels of residues, the average toxic unit estimated for the apiary, suggests a possible increase in vulnerability to infection by N. ceranae due to the presence of high levels of acaricides. These data highlight the importance of evaluating these factors in future monitoring programs, as well as the need to adopt adequate preventive measures as part of national and international welfare programs aimed at guaranteeing the health and fitness of bees.

Background: With a rapid rise in our older adult population globally and due to their multimorbidities, our older adults are more likely to engage in the services provided in the emergency department at a higher rate than younger adults. The current emergency service delivery model may be ineffective against such an ageing phenomenon. Research reports most older adults having one or more co-morbidities including functional decline, dementia, and frailty. Studies have shown that older adults have been undertriaged with physicians not being able to comprehend their complex needs related to their presenting complaints in the emergency department. Geriatric emergency departments have incepted worldwide to better manage this care deficiency in the rapidly ageing society around the world. Data Sources: A search of published literature from 2010-2020 using (keywords) as described below was undertaken of which, relevant literature were selected for an informed review. Implications for Nursing: Understanding geriatric emergencies can enable healthcare workers to reduce undertriaging and provide appropriate care that improves patient's health outcomes currently and in the future in the emergency department. Further education in gerontology can also be a platform for our nurses to enhance their care and thought process, likewise upskilling themselves for the future geriatric population seeking treatment. Older healthcare workers will also be able to enhance their current job scope before retirement. In-house teachings from trained gerontologists or certified programs can shed light on the special care needs of our senior citizens globally. Conclusion: With our rapidly increasing population, we can expect an influx of our older patients both from home and long-term care facilities to present to the emergency department with a wide range of geriatric emergencies. By being able to create a geriatric screening process and tailored care models, healthcare workers will be able to understand their care process and in turn, improve patients' health outcomes and provide a quicker transition of care.

Seasonal influenza is a common cause of hospital admission, especially in older people and those with comorbidities. The objective of this study was to determine influenza vaccine effectiveness (VE) in preventing intensive care admissions and shortening the length of stay (LOS) in hospitalized laboratory-confirmed influenza cases (HLCI) in Catalonia (Spain).A retrospective cohort study was carried out during the 2017-2018 season in HLCI aged ≥ 18 years from 14 public hospitals. Differences in means and proportions were assessed using a t-test or a chi-square test as necessary and the differences were quantified using standardized effect measures; Cohen’s d for quantitative and Cohen’s w for categorical variables. Adjusted influenza vaccine effectiveness in preventing severity was estimated by multivariate logistic regression where the adjusted VE = (1-adjusted odds ratio) ·100%; adjustment was also made using the propensity score.We analyzed 1414 HLCI aged ≥ 18 years; 465 (33%) were vaccinated, of whom 437 (94%) were aged ≥ 60 years, 269 (57.8%) were male and 295 (63.4%) were positive for influenza type B. ICU admission was required in 214 (15.1%) cases. There were 141/1118 (12.6%) ICU admissions in patients aged ≥ 60 years and 73/296 (24.7%) in those aged < 60 years (p<0.001). The mean LOS and ICU LOS did not differ significantly between vaccinated and unvaccinated patients. There were 52/465 (11.2%) in vaccinated cases) ICU admissions in vaccinated cases vs. 162/949 (17.1%) in unvaccinated cases. Patients admitted to the ICU had a longer hospital LOS (mean: 22.4 [SD 20.3] days) than those who were not (mean: 11.1 [SD14.4] days); p<0.001. Overall, vaccination was associated with a lower risk of ICU admission. Taking virus types A and B together, the estimated adjusted VE in preventing ICU admission was 31% (95% CI 1-52; p=0.04). When stratified by viral type, the aVE was 40% for type A (95% CI -11-68; p = 0.09) and 25% for type B (95% CI -18-52; p = 0.21). Annual influenza vaccination may prevent ICU admission in cases of HLCI. A non-significantly shorter mean hospital stay was observed in vaccinated cases. Our results support the need to increase vaccination uptake and public perception of the benefits of influenza vaccination in groups at a higher risk of hospitalization and severe outcomes.

Much evidence has accumulated over the past decade in favor of a significant association between dysbiosis, neuroinflammation and neurodegeneration. Presently, the pathogenetic mechanisms triggered by molecules produced by the altered microbiota, also responsible for the onset and evolution of Alzheimer Disease will be described. Our attention will be focused on the role of astrocytes and microglia. Numerous studies have progressively demonstrated how these glial cells are important to ensure an adequate environment for neuronal activity in healthy conditions. Furthermore, it is becoming evident how both cell types can mediate the onset of neuroinflammation and lead to neurodegeneration when subjected to pathological stimuli. Based on this information, the role of major microbiota products in shifting the activation profiles of astrocytes and microglia from a healthy to a diseased state will be discussed focussing on Alzheimer Disease pathogenesis.

The ability to express and recognize emotion via facial expressions is well known to change with age. The present study investigated the differences in the facial recognition and facial expression of the elderly (n = 57) and the young (n = 115) and measure how each group uses different facial muscles for each emotion with Facial Action Coding System (FACS). In facial recognition task, the elderly did not recognize facial expressions better than young people and reported stronger feelings of fear and sad from photographs. In making facial expression task, the elderly rated all their facial expressions as stronger than the younger, but in fact, they expressed strong expressions in fear and anger. Furthermore, the elderly used more muscles in the lower face when making facial expressions than younger people. These results help to understand better how the facial recognition and expression of the elderly change, and show that the elderly do not effectively execute the top-down processing concerning facial expression.

Background Although aminoglycosides are often used as treatment for Gram-Negative infections, optimal dosing regimens remains unclear, especially in ICU patients. This is due to a large between- and within-subject variability in the aminoglycosides’ pharmacokinetics in this population. Objective The review provides comprehensive data on the pharmacokinetics of aminoglycosides in patients hospitalized in ICU by summarizing all published PopPK models in ICU patients for amikacin, gentamicin, and tobramycin. The objective was to determine the presence of a consensus on the structural model used, significant covariates included, and therapeutic targets considered during dosing regimen simulations. Methods A literature search was conducted from the Medline/PubMed database, using the terms: ‘amikacin’, ’gentamicin’, ’tobramycin’, ‘pharmacokinetic(s)’, nonlinear mixed effect’, population’, ‘intensive care’ and ‘critically ill’. Results Nineteen articles were retained where amikacin, gentamicin and tobramycin pharmacokinetics were described in six, eleven and five models, respectively. Two-compartment model best described amikacin and tobramycin pharmacokinetics, whereas one-compartment model majorly described gentamicin pharmacokinetics. The most recurrent significant covariates were renal clearance and bodyweight. Across all aminoglycosides, mean interindividual variability in clearance and volume of distribution were 41.6% and 22.0%, respectively. A common consensus for an optimal dosing regimen for each aminoglycoside was not reached. Conclusion This review showed models developed for amikacin, from 2015 until now and for gentamicin and tobramycin from the past decades. Despite growing challenges of external evaluation, the latter should be more considered during model development. Further research including new covariates, additional simulated dosing regimens and external validation should be considered to better understand aminoglycosides pharmacokinetics in ICU patients.

Protected areas have been used worldwide to conserve natural resources. Nevertheless, economic activities to provide income for communities living inside and surrounding conservation areas remain an issue. This study aimed to assess the sustainability of a Deuterodon iguape hatchery, placed inside an Atlantic Rainforest Park, to leverage this small native fish's grow-out farming, affording income and food security for local families. We have used a set of indicators of economic, social, and environmental sustainability. The initial investment is about US$ 40,000, which returned in ~2 years. The internal rate of return is close to 50%, including the externality costs, which is attractive for public and private investments. The hatchery generated few direct jobs, but the workforce can be recruited in the community, and hatchery can enable the establishment of several small grow-out farms, leveraging the development of indirect jobs and self-employments. The system had a low environmental impact, showing minor release of pollutants, low risk for biodiversity, and absorption of 18 g of CO2 equivalent per thousand post-larvae produced, contributing to the struggle against climate change. Therefore, D. iguape hatchery demonstrates the potential of combining biodiversity conservation and income generation, meeting the Sustainable Development Goals of Agenda 2030.

Road networks are monitored to evaluate their decay level and the performances regarding ride comfort, vehicle rolling noise, fuel consumption, etc. In this study, an Inertial Measurement Unit is proposed by using a low-cost three-axis Micro-Electro-Mechanical Systems accelerometer and a GPS instrument, which are connected to a Raspberry Pi Zero W board and embedded inside a vehicle to monitor indirectly the road condition. To assess the level of pavement decay, the comfort index awz defined by the ISO 2631 standard was considered. Considering 21 km of roads, with different levels of pavement decay, validation measures made using the proposed IMU, another pre-assembled IMU, and a Road Surface Profiler were performed. Therefore, comparisons between awz determined with accelerations measured on the two different IMU are made; in addition, also correlations between awz, International Roughness Index (IRI), and Ride Number (RN) were performed. The results were shown very good correlations between the awz calculated with the proposed IMU and ones in the other IMU. In addition, the correlations between awz and IRI and RN were showed promising results, considering the use and the costs of the proposed IMU as a reliable method to assess the pavements decay in road networks where the use of traditional systems is difficult and/or not cheap.

While appropriate nutrient intake is important for older adults, various oral problems cause de-creased masticatory function. This cross-sectional study aimed to identify the factors associated with decreased masticatory performance in older adults. Oral examinations were performed on 80 participants (mean age: 75.10 ± 5.64 years) to determine the number of functional tooth units (FTUs). Symptoms of periodontal and temporomandibular diseases were evaluated via a ques-tionnaire. The tone, elasticity, and dynamic stiffness of the masseter muscle were measured using the Myoton® PRO device. The mixing ability test was used to assess the masticatory performance and the mixing ability index (MAI) was calculated. The analysis of covariance test was performed to adjust for confounding factors and multiple logistic regression analysis was performed to identify the risk factors affecting MAI. A lower MAI was significantly associated with higher tone (p = 0.006) and lower elasticity (p = 0.013). The number of FTUs (adjusted odds ratio [OR] = 0.724, p = 0.029), tone (adjusted OR = 1.215, p = 0.016), and elasticity (adjusted OR = 4.789, p = 0.038) were independently associated with the MAI. Muscle function training and prosthetic treatments may help increase masticatory performance in older adults, which will improve overall health.

Freezing of gait (FOG), a debilitating symptom of Parkinson’s disease (PD), can be safely studied using the stepping in place (SIP) task. However, clinical, visual identification of FOG during SIP is subjective and time consuming, and automatic FOG detection during SIP currently requires measuring center of pressure on dual force plates. This study examines whether FOG elicited during SIP in 10 individuals with PD could be reliably detected using kinematic data measured from wearable inertial measurement unit sensors (IMUs). A general, logistic regression model (AUC = 0.81) determined that three gait parameters together were overall the most robust predictors of FOG during SIP: arrhythmicity, swing time coefficient of variation, and swing angular range. Participant-specific models revealed varying sets of gait parameters that best predicted FOG for each participant, highlighting variable FOG behaviors, and demonstrated equal or better performance for 6 out of the 10 participants, suggesting the opportunity for model personalization. The results of this study demonstrated that gait parameters measured from wearable IMUs reliably detected FOG during SIP, and the general and participant-specific gait parameters allude to variable FOG behaviors that could inform more personalized approaches for treatment of FOG and gait impairment in PD.

The present study is aimed at designing anti-reflective (AR) engraving on the Input-Output surfaces of a rectangular light-guide. We estimate AR efficiency, by the transmittance level in the angular range, determined by the light-guide. Using nano-engraving, we achieve a uniform high transmission over a wide range of wavelengths. In the past, we used smoothed conical pins or indentations on the faces of light-guide crystal as the engraved structure. Here, we widen the class of pins under consideration, following the physical model developed in the previous paper. We analyze the smoothed pyramidal pins with different base shapes. The possible effect of randomization of the pins parameters is also examined. The results obtained demonstrate optimized engraved structure with parameters depending on the required spectral range and facet format. The predicted level of transmittance is close to 99\%, and its flatness (estimated by the standard deviation) in the required wavelength range is 0.2\%. The theoretical analysis and numerical calculations indicate that the obtained results demonstrate the best transmission (reflection) we can expect for a facet with the given shape and size for the required spectral band. The approach is equally useful for any other form and of the facet. We also discuss a simple way of comparing experimental and theoretical results for a light-guide with the designed input and output features. In this study, as well as in our previous work, we restrict ourselves to rectangular facets. We also consider the limitations on maximal transmission produced by the size and shape of the light-guide facets. The theoretical analysis is performed for an infinite structure and serves as an upper bound on the transmittance for smaller-size apertures.

Background: To compare the loss of preload in absence of loading and after a fixed number of ideal masticatory cycles in two different connection systems using all-on-four prosthetic model. Methods: Two equal models of an edentulous mandible rehabilitated with all-on-four technique with two types of abutment system (MUA and OT-Bridge) supporting a hybrid prosthesis, were used. Initial torque values of the prosthetic fixing screw, after ten minutes from initial screw tightening and after 400000 masticatory cycles were registered using a mechanical torque gauge. Differences between initial and final torque values were reported for each anchoring system and the two systems were finally compared. Results: No statistically significant differences regarding the loss of preload between MUA and OT-Bridge system were found after 400000 masticatory cycles; however, in MUA system it was found between anterior and posterior implant screws. A significant difference in preload loss was found only for MUA system comparing the initial screw torque to that measured after 10 minutes from the tightening in absence of cyclic loadings. Conclusions: MUA and OT-Bridge are reliable prosthetic anchoring systems able to tolerate repeated masticatory cycles also on distal cantilever in all-on-four rehabilitation model without any significant loss of preload in screw tightening