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Moral Dilemmas Among Workers at a University Hospital During the Covid-19 Pandemic in Brazil
Anaclaudia Gastal Fassa
,Clarissa Fialho Hartmann
,Maitê Peres de Carvalho
,Betina Daniele Flesch
,Laura Moreira Goularte
,Felipe Mendes Delpino
,Ana Laura Sica Cruzeiro Szortyka
Background: This study aimed to identify sociodemographic and occupational factors associated with facing moral dilemmas among workers at the Federal University of Pelotas-RS Teaching Hospital who worked on-site during the pandemic. Methods: A cross-sectional study was conducted in 2020 with all workers, including health professionals, support staff, and administrative personnel. Questions about moral dilemmas were grouped into two outcomes: witnessing behaviors or attitudes, and feeling pressured to act in disagreement with what they believed was right. Associations were estimated using Poisson regression with robust variance, based on a hierarchical model. Results: A total of 1,158 workers participated, most of whom were women (76.1%). The prevalence of moral dilemmas was 44% for witnessing and 15% for feeling pressured. Younger age, higher education, being a resident, working both day and night shifts, lack of PPE, and having an active or high-strain job were positively associated with both types of dilemmas, whereas the availability of social support and adequate resting areas reduced their occurrence. Conclusions: Reducing moral dilemmas requires promoting democratic leadership, ensuring adequate staffing, strengthening professional autonomy, encouraging social support, and creating rest spaces. These arrangements are essential for promoting workers’ psychological well-being.
Background: This study aimed to identify sociodemographic and occupational factors associated with facing moral dilemmas among workers at the Federal University of Pelotas-RS Teaching Hospital who worked on-site during the pandemic. Methods: A cross-sectional study was conducted in 2020 with all workers, including health professionals, support staff, and administrative personnel. Questions about moral dilemmas were grouped into two outcomes: witnessing behaviors or attitudes, and feeling pressured to act in disagreement with what they believed was right. Associations were estimated using Poisson regression with robust variance, based on a hierarchical model. Results: A total of 1,158 workers participated, most of whom were women (76.1%). The prevalence of moral dilemmas was 44% for witnessing and 15% for feeling pressured. Younger age, higher education, being a resident, working both day and night shifts, lack of PPE, and having an active or high-strain job were positively associated with both types of dilemmas, whereas the availability of social support and adequate resting areas reduced their occurrence. Conclusions: Reducing moral dilemmas requires promoting democratic leadership, ensuring adequate staffing, strengthening professional autonomy, encouraging social support, and creating rest spaces. These arrangements are essential for promoting workers’ psychological well-being.
Posted: 15 January 2026
Prediction of Pancreatic Islet Yield After Pancreatectomy Using Optical Coherence Elastography
Ekaterina Gubarkova
,Ekaterina Vasilchikova
,Arseniy Potapov
,Denis Kuchin
,Polina Ermakova
,Julia Tselousova
,Anastasia Anina
,Liya Lugovaya
,Marina Sirotkina
,Natalia Gladkova
+2 authors
Intraoperative assessment of pancreatic quality, followed by sampling for the potential isolation of Langerhans islets for subsequent autotransplantation, is currently a key component of post-total pancreatectomy diabetes mellitus treatment. The aim of this study was to quantitatively evaluate pancreatic parenchymal stiffness using optical coherence elastography (OCE) imaging, and to investigate the utility of the OCE method as a potential indicator of islet yield after pancreatectomy. A total of 41 freshly excised human pancreatic specimens, containing pancreatic ductal adenocarcinoma (PDAC) and surrounding non-tumorous tissues post-pancreatectomy, were studied. In this research, the stiffness (Young’s modulus, kPa) and its color-coded 2D distribution were calculated for various pancreatic samples using compression OCE. Stiffness values were compared between intact pancreatic parenchyma (islet-poor and islet-rich) and pancreatic lesion groups (parenchymal fibrosis and/or PDAC invasion). The data were confirmed by histological analysis. In addition, the measured stiffness values for various morphological groups of the pancreatic samples were compared with the number of isolated islets obtained from pancreatic samples after collagenase treatment. The study demonstrated that OCE can effectively distinguish areas of pancreatic lesions and identify intact pancreatic parenchyma containing Langerhans islets. A highly significant increase in mean stiffness (p<0.0001) was observed in postoperative pancreatic samples exhibiting signs of parenchymal fibrosis or PDAC invasion compared to unaffected, intact pancreatic parenchyma. For the first time, a relationship between stiffness values and the number of isolated pancreatic islets was demonstrated, in particular, the number of isolated islets significantly decreased (≤110 pcs/g) in samples exhibiting stiffness values above 150 kPa and below 75 kPa. The optimal stiffness range for the efficient isolation of islets (≥120 pcs/g) from pancreatic tissue was identified as 75–150 kPa. The study introduces a novel approach for rapid and objective intraoperative assessment of pancreatic tissue quality using real-time OCE data. This technique facilitates the identification of regions affected by pancreatic lesions and supports the selection of intact pancreatic parenchyma, potentially enhancing the accuracy of Langerhans islet yield predictions during surgical resection.
Intraoperative assessment of pancreatic quality, followed by sampling for the potential isolation of Langerhans islets for subsequent autotransplantation, is currently a key component of post-total pancreatectomy diabetes mellitus treatment. The aim of this study was to quantitatively evaluate pancreatic parenchymal stiffness using optical coherence elastography (OCE) imaging, and to investigate the utility of the OCE method as a potential indicator of islet yield after pancreatectomy. A total of 41 freshly excised human pancreatic specimens, containing pancreatic ductal adenocarcinoma (PDAC) and surrounding non-tumorous tissues post-pancreatectomy, were studied. In this research, the stiffness (Young’s modulus, kPa) and its color-coded 2D distribution were calculated for various pancreatic samples using compression OCE. Stiffness values were compared between intact pancreatic parenchyma (islet-poor and islet-rich) and pancreatic lesion groups (parenchymal fibrosis and/or PDAC invasion). The data were confirmed by histological analysis. In addition, the measured stiffness values for various morphological groups of the pancreatic samples were compared with the number of isolated islets obtained from pancreatic samples after collagenase treatment. The study demonstrated that OCE can effectively distinguish areas of pancreatic lesions and identify intact pancreatic parenchyma containing Langerhans islets. A highly significant increase in mean stiffness (p<0.0001) was observed in postoperative pancreatic samples exhibiting signs of parenchymal fibrosis or PDAC invasion compared to unaffected, intact pancreatic parenchyma. For the first time, a relationship between stiffness values and the number of isolated pancreatic islets was demonstrated, in particular, the number of isolated islets significantly decreased (≤110 pcs/g) in samples exhibiting stiffness values above 150 kPa and below 75 kPa. The optimal stiffness range for the efficient isolation of islets (≥120 pcs/g) from pancreatic tissue was identified as 75–150 kPa. The study introduces a novel approach for rapid and objective intraoperative assessment of pancreatic tissue quality using real-time OCE data. This technique facilitates the identification of regions affected by pancreatic lesions and supports the selection of intact pancreatic parenchyma, potentially enhancing the accuracy of Langerhans islet yield predictions during surgical resection.
Posted: 15 January 2026
Opportunities and Challenges of Natural Language Processing for Low-Resource Senegalese Languages in Social Science Research
Derguene Mbaye
,Tatiana D. P. Mbengue
,Madoune R. Seye
,Moussa Diallo
,Mamadou L. Ndiaye
,Dimitri S. Adjanohoun
,Djiby Sow
,Cheikh S. Wade
,Jean-Claude B. Munyaka
,Jerome Chenal
Posted: 15 January 2026
Characteristic of Pulsed Laser Induced Layer with Cracks Prepared for Grinding Process
Hu Li
,Yanjiao Jiang
,Yujia Yang
,Jianyu Yang
,Lida Zhu
Posted: 15 January 2026
Post-Collisional Cu-Au Porphyry and Associated Epithermal Mineralisation in the Eastern Mount Isa Block: A New Exploration Paradigm for NW Queensland
Kenneth D. Collerson
,David Wilson
Post-collisional Cu-Au-Ni-Co-Pt-Pd-Sc porphyry, [Duck Creek porphyry system (DCPS)], with overlying Au-Te-Bi-W-HRE epithermal mineralisation, [Highway epithermal system (HES)] has been discovered in the core of the Mitakoodi anticline, southwest of Cloncurry. Xenotime and monazite geochronology indicates mineralisation occurred between ~1490 and 1530 Ma. Host rock lithologies show widespread potassic and/or propylitic to phyllic alteration. Paragenesis of porphyry sulphides indicate early crystallisation of pyrite, followed by chalcopyrite, with bornite forming by hydrothermal alteration chalcopyrite. Cu sulphides also show the effect of supergene oxidation alteration with rims of covellite, digenite and chalcocite. Redox conditions deduced from V/Sc systematics indicate that the DCPS contains both highly oxidized (typical of porphyries) and reduced lithologies, typical of plume generated tholeiitic and alkaline suites. Ni/Te and Cu/Te systematics plot within the fields defined by epithermal and porphyry deposits. Duck Creek chalcophile and highly siderophile element (Cu, MgO and Pd) systematics resemble data from porphyry mineral systems, at Cadia, Bingham Canyon, Grasberg, Skouries, Kalmakyr, Elaisite, Assarel and Medet. SAM geophysical inversion models suggest the presence of an extensive porphyry system below the HES. A progressive increase in molar Cu/Au ratios with depth from the HES to the DCPS, supports this conclusion. Three metal sources contributed to the DCPS-HES viz., tholeiitic ferrogabbro, potassic ultramafic to mafic system and a Fe and Ca-rich alkaline system. The latter two imparted non-crustal superchondritic Nb/Ta ratios that are characteristic of many deposits in the eastern Mount Isa Block. The associated tholeiite and alkaline magmatism reflect mantle plume upwelling through a palaeo-slab window that had accreted below the eastern flank of the North Australian craton following west verging collision by the Numil Terrane. Discovery of this linked mineral system provides a new paradigm for mineral exploration in the region.
Post-collisional Cu-Au-Ni-Co-Pt-Pd-Sc porphyry, [Duck Creek porphyry system (DCPS)], with overlying Au-Te-Bi-W-HRE epithermal mineralisation, [Highway epithermal system (HES)] has been discovered in the core of the Mitakoodi anticline, southwest of Cloncurry. Xenotime and monazite geochronology indicates mineralisation occurred between ~1490 and 1530 Ma. Host rock lithologies show widespread potassic and/or propylitic to phyllic alteration. Paragenesis of porphyry sulphides indicate early crystallisation of pyrite, followed by chalcopyrite, with bornite forming by hydrothermal alteration chalcopyrite. Cu sulphides also show the effect of supergene oxidation alteration with rims of covellite, digenite and chalcocite. Redox conditions deduced from V/Sc systematics indicate that the DCPS contains both highly oxidized (typical of porphyries) and reduced lithologies, typical of plume generated tholeiitic and alkaline suites. Ni/Te and Cu/Te systematics plot within the fields defined by epithermal and porphyry deposits. Duck Creek chalcophile and highly siderophile element (Cu, MgO and Pd) systematics resemble data from porphyry mineral systems, at Cadia, Bingham Canyon, Grasberg, Skouries, Kalmakyr, Elaisite, Assarel and Medet. SAM geophysical inversion models suggest the presence of an extensive porphyry system below the HES. A progressive increase in molar Cu/Au ratios with depth from the HES to the DCPS, supports this conclusion. Three metal sources contributed to the DCPS-HES viz., tholeiitic ferrogabbro, potassic ultramafic to mafic system and a Fe and Ca-rich alkaline system. The latter two imparted non-crustal superchondritic Nb/Ta ratios that are characteristic of many deposits in the eastern Mount Isa Block. The associated tholeiite and alkaline magmatism reflect mantle plume upwelling through a palaeo-slab window that had accreted below the eastern flank of the North Australian craton following west verging collision by the Numil Terrane. Discovery of this linked mineral system provides a new paradigm for mineral exploration in the region.
Posted: 15 January 2026
A Note About the Cosmological Constant
J. C. Botke
Posted: 15 January 2026
Topological Symmetry Breaking in Consciousness Dynamics: From Human Geniuses to AI Systems
Michel Planat
Posted: 15 January 2026
Intelligent Immersion: AI and VR Tools for Next-Generation Higher Education
Konstantinos Liakopoulos
,Anastasios Liapakis
Learning is fundamentally human, even as Artificial Intelligence (AI) challenges human exclusivity. AI, along with Virtual Reality (VR), emerges as a powerful tool that is set to transform higher education, the institutional embodiment of this pursuit at its highest level. These technologies offer the potential not to replace the human factor, but to enhance our ability to create more adaptive, immersive, and truly human-centric learning experiences, aligning powerfully with the emerging vision of Education 5.0, which emphasizes ethical, collaborative learning ecosystems. This research maps how AI and VR tools act as a disruptive force, examining additionally their capabilities and limitations. Moreover, it explores how AI and VR interact to overcome traditional pedagogy's constraints, fostering environments where technology serves human learning goals. Employing a comprehensive two-month audit of over 60 AI, VR, and AI-VR hybrid tools, the study assesses their functionalities and properties such as technical complexity, cost structures, integration capabilities, and compliance with ethical standards. Findings reveal that AI and VR systems provide significant opportunities for the future of education by providing personalized and captivating environments that encourage experiential learning and improve student motivation across disciplines. Nonetheless, numerous challenges limit widespread adoption, such as advanced infrastructure requirements and strategic planning. By articulating a structured evaluative framework and highlighting emerging trends, this paper provides practical guidance for educational stakeholders seeking to select and implement AI and VR tools in higher education.
Learning is fundamentally human, even as Artificial Intelligence (AI) challenges human exclusivity. AI, along with Virtual Reality (VR), emerges as a powerful tool that is set to transform higher education, the institutional embodiment of this pursuit at its highest level. These technologies offer the potential not to replace the human factor, but to enhance our ability to create more adaptive, immersive, and truly human-centric learning experiences, aligning powerfully with the emerging vision of Education 5.0, which emphasizes ethical, collaborative learning ecosystems. This research maps how AI and VR tools act as a disruptive force, examining additionally their capabilities and limitations. Moreover, it explores how AI and VR interact to overcome traditional pedagogy's constraints, fostering environments where technology serves human learning goals. Employing a comprehensive two-month audit of over 60 AI, VR, and AI-VR hybrid tools, the study assesses their functionalities and properties such as technical complexity, cost structures, integration capabilities, and compliance with ethical standards. Findings reveal that AI and VR systems provide significant opportunities for the future of education by providing personalized and captivating environments that encourage experiential learning and improve student motivation across disciplines. Nonetheless, numerous challenges limit widespread adoption, such as advanced infrastructure requirements and strategic planning. By articulating a structured evaluative framework and highlighting emerging trends, this paper provides practical guidance for educational stakeholders seeking to select and implement AI and VR tools in higher education.
Posted: 15 January 2026
Cross-Ventilation Flow Behavior in Indoor Environments: Experimental Tracer-Based Visualization and CFD Comparison
Mariana Bittar
,Odenir Almeida
,André Araujo
,Themis Martins
Posted: 15 January 2026
Agnihotra in the Kali Yuga: A Study of the Śatapatha Brāhmaṇa’s Kāṇva Recension and Its Ritual Adaptation
Shruthi Jarali
Posted: 15 January 2026
A Comparative Review of Life-Cycle Assessments of Treatment Strategies for Swine Slurry with a Focus on Anaerobic Co-Digestion
Pedro Esperanço
,António Ferreira
,José Ferreira
Posted: 15 January 2026
Cybersecurity Intelligence: A Foundation Model for Proactive Network Defense
Ajay Khampariya
Posted: 15 January 2026
Climate Change Impacts on Agricultural Landscapes in the Fergana Region: Assessment and Adaptation Strategies
Ozodxon Mahmudovna Qoʻziboyeva
,Jamshid Abduhalilovich Mahkamov
,Nargiza Muzaffarovna Babayeva
,Zarina Boytemirova
Posted: 15 January 2026
Effects of COPD on Severity and Intensity of Coronary Atheroclerosis
Beatrice Ragnoli
,Carlotta Bertelegni
,Leonardo Brugiatelli
,Giovanni Tarsi
,Fausto Chiazza
,Mario Malerba
Posted: 15 January 2026
Mechanisms of Accumulation–Transport–Discharge and Source Apportionment of Combined Sewer Overflow Pollution
Xiaolong Li
,Zhiwei Zhou
,Haifeng Jia
,Zhili Li
,Zhiyu Yang
,Zibing Cai
,Hongchi Zhou
,Xiaoyu Shi
Combined sewer overflow (CSO) pollution has consequently become a critical challenge, yet its formation depends on tightly coupled dry-and-wet weather processes. This study aims to integrate high-resolution field monitoring with statistical analysis to characterize the full “accumulation-transport-discharge” cycle of CSO pollution. Results indicated that during dry periods, domestic sewage exhibited strong enrichment, with concentrations of TIN, COD, and TP being 2.1-, 2.3-, and 1.9-fold higher, respectively, than the Chinese secondary discharge standards (GB 18918-2002). Surface sediment showed pronounced spatial heterogeneity, with greater loads in residential than transportation areas and substantial fine-particle accumulation on roofs (particle size <150 μm, accounting for 73% by mass). Sewer sediments, dominated by coarse inorganic particles (over 77% by mass), represented the main pollutant reservoir. Rainfall produced distinct hydrodynamic and water-quality responses. Light rain following long antecedent dry periods generated a high-concentration but low-load regime with a strong first flush, whereas moderate rain yielded lower concentrations but higher loads. Overflow occurred when rainfall exceeded ~14 mm, with pollutant peaks lagging rainfall by 20–45 min in the studied area. TIN and TP peaked sharply at rainfall event onset, and first-flush intensities followed TIN > TP > COD > SS. Source apportionment identified sewer sediments as the dominant CSO source, followed by surface runoff and domestic sewage. These findings clarify the mechanisms linking dry-weather accumulation to wet-weather transport and support targeted CSO pollution control and urban water-quality management.
Combined sewer overflow (CSO) pollution has consequently become a critical challenge, yet its formation depends on tightly coupled dry-and-wet weather processes. This study aims to integrate high-resolution field monitoring with statistical analysis to characterize the full “accumulation-transport-discharge” cycle of CSO pollution. Results indicated that during dry periods, domestic sewage exhibited strong enrichment, with concentrations of TIN, COD, and TP being 2.1-, 2.3-, and 1.9-fold higher, respectively, than the Chinese secondary discharge standards (GB 18918-2002). Surface sediment showed pronounced spatial heterogeneity, with greater loads in residential than transportation areas and substantial fine-particle accumulation on roofs (particle size <150 μm, accounting for 73% by mass). Sewer sediments, dominated by coarse inorganic particles (over 77% by mass), represented the main pollutant reservoir. Rainfall produced distinct hydrodynamic and water-quality responses. Light rain following long antecedent dry periods generated a high-concentration but low-load regime with a strong first flush, whereas moderate rain yielded lower concentrations but higher loads. Overflow occurred when rainfall exceeded ~14 mm, with pollutant peaks lagging rainfall by 20–45 min in the studied area. TIN and TP peaked sharply at rainfall event onset, and first-flush intensities followed TIN > TP > COD > SS. Source apportionment identified sewer sediments as the dominant CSO source, followed by surface runoff and domestic sewage. These findings clarify the mechanisms linking dry-weather accumulation to wet-weather transport and support targeted CSO pollution control and urban water-quality management.
Posted: 15 January 2026
Research on Acoustic Black Hole-Type Baffles for Suspended Water Tanks of High‑Speed Trains: Considering Vibration and Wave Suppression Characteristics
Sihui Dong
,Yuebiao Zhao
,Shiqun Li
,Wenhao Bai
,Xiang Shan
Posted: 15 January 2026
Immediate Postural Change in a Child with Choreic Movement Disorder Using Elasto-Compressive Bodysuit
Domenico M. Romeo
,Chiara Velli
,Francesca Sini
,Maddalena Bianchetti
,Eugenio Mercuri
Posted: 15 January 2026
Adjunctive Multicomponent Crystals of Two Anti-Tubercular Drugs with Pyridoxine
Tsebang A. Matlapeng
,Theodor E. Geswindt
,Roderick B. Walker
,Vincent J. Smith
Posted: 15 January 2026
Positive Matrices and Subsidy Allocation Models in Interconnected Industrial Systems
Mateja Gorenc
Posted: 15 January 2026
Photovoltaic Prototype for Low-Power Device Charging in School Environments
Vicente Raya-Narváez
,Juan Domingo Aguilar-Peña
,Leocadio Hontoria-García
,Catalina Rus-Casas
Posted: 15 January 2026
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