This study investigates the influence of internal factors on growth dynamics in four Cyprinus carpio varieties: three Romanian strains (Frăsinet, Ineu, and Podu Iloaiei) and the ornamental Koi variety. The research aims to elucidate variety-specific growth patterns and their implications for aquaculture and ecological management. Fish were measured for total length, maximum height, and weight at four ontogenic stages: 7 days post-hatch, summer fingerlings (0⁺), one year and summer old (1⁺), and two years and summer old (2⁺). Weight Gain (WG), Specific Growth Rate (SGR), Relative Growth Rate (RGR), Fulton's condition factor, and profile index were calculated and analyzed. Results revealed significant intervariety differences in growth performance, body shape development, and physiological condition across life stages. The Romanian varieties showed superior growth performance at later stages, while Koi exhibited unique growth patterns. Fulton's condition factor and profile index varied markedly among varieties and life stages, indicating differential energy allocation and morphological adaptations. These findings highlight the complex interplay between genetic factors and developmental processes in carp varieties, providing valuable insights for selective breeding programs, aquaculture practices, and ecological management strategies. The study underscores the importance of variety-specific approaches in carp cultivation and conservation efforts.

The work analyses the way in which symptoms and life themes manifest in middle-aged adults diagnosed with major recurrent depression. Specifically, the relationships between symptoms, life themes, and life themes - symptoms have been analyzed. For this purpose, Spearman correlation, and the methods of Latent Semantic Indexing (LSI) were used. Seven symptoms and twenty-six life themes were identified in the patients analyzed as well as similarities of symptoms/life themes (at patient level), the ranking of the importance of symptoms on each life theme (at the level of the group of patients), the rankings of the similarities of life themes in relation to different symptoms or various groups of symptoms (at the level of the group of patients), and dysfunctional cycles of symptoms and life themes (at patient level). The findings only refer to the patients analyzed. Although our findings cannot be generalized, there is a possibility that some of them may also be encountered in other patients. However, the design of the work can be used to initiate other similar studies.

Background: Atopic dermatitis (AD), a common dermatological condition, is often associated with significant economic and social burdens. Despite extensive studies globally, there is a gap in understanding the comprehensive impact of this condition in Romania. Objectives:This study evaluated the economic burden and quality of life impact of AD in Romania, considering both direct and indirect costs. Materials & Methods: A mixed methods cost of illness study was conducted from April to October 2023. A patient survey, expert reviews, and national health data analysis were used to assess direct medical costs (treatments, medical services), direct non-medical costs (transportation, accommodation), and indirect costs (productivity losses). Quality of life was evaluated using the EuroQol EQ-5D-5L instrument. Results: In 2022, the total cost of atopic dermatitis in Romania was 32.983.498 EUR for adults and 31.573.968 EUR for children. Adult costs included 24.534.603 EUR in direct and 8.429.884 EUR in indirect medical costs, with an average annual cost per patient of 447 EUR. Pediatric costs involved 15.026.781 EUR in direct and 16.516.410 EUR in indirect costs, averaging 290 EUR per patient annually. Conclusion: Care expenditure with AD management in Romania is substantially lower than in other countries, posing a significant economic burden, primarily driven by indirect costs. This study provides a foundation for future policy interventions and highlights the need for targeted management strategies for AD.

Background: Alopecia areata is a skin disease that affects patients’ quality of life and social participation. Objective: To quantify the economic burden of alopecia areata and to map health services utilization among patients with alopecia areata.Materials and methods: Prospective and retrospective data sources, using both top-down and bottom-up approaches to estimate direct and indirect costs and to map health service utilization associated with alopecia areata in Romania in 2022.Results: In our study, the total cost of alopecia areata in Romania for 2022 was estimated at 46.289 million EUR for adult patients and 1.89 million EUR for pediatric patients, encompassing both mild and severe cases. The breakdown reveals that both mild and severe cases incurred the highest costs due to associated expenses, medical services, and treatment. As for children, the highest alopecia-related expenses were represented by associated expenses and treatment costs (for both severity levels).Conclusion: This is the first study to quantify the burden of alopecia areata in Romania. Additional studies are needed due to a low sample size. However, considering our estimations based on external data sources, alopecia areata should be considered when planning health service distribution.

The Siret River crosses NE Romania from the north to the south and it discharges into the Danube, near the city of Galati. During the period, 17^th June - 10^th July 2010, significant amounts of precipitations in the mountainous basin of Siret were recorded. The floods comprised two periods with four bimodal cycles and they were counted among the strongest on the Romanian territory. The exceptional floods occurred in the rivers of Siret, Suceava, Moldova, Bistrita, Trotus and so on. The most important compound flood wave was determined by the precipitations which fell within the period, 29^th June to 1^st July 2010, when significant amounts of rain were recorded, sometimes, exceeding 80 mm. The high discharges on the Bistrita River – downstream from the Bicaz Reservoir – were controlled by complex hydro technical works. The maximum discharge for the year 2010 summer floods was recorded at Dragesti hydrometric station: 2,884 m³/s (historic discharge) compared to the preceding historic discharge of the year 2008 (2,850 m³/s). The effects of floods were strongest in the counties of Suceava, Neamt, and Bacau. The floods on the main course of the Siret River were analyzed in correlation with the tributaries within the mountainous sector.

The high incidence of psychopathologies recorded in today's human society, correlated with the high percentages of biodiversity loss, point to the need for an interdisciplinary approach of the scientific fields under study – Neurosciences and Biodiversity Conservation. Thus, our approach here pre-sents, in a synergistic manner, the significant correlation between mental health and the increased values of biodiversity in the ecosystems located in the immediate vicinity, especially those located in the middle of cities. Our approach aims to emphasize the importance of biodiversity conservation in the context of preserving mental health and general well-being. There are a series of recent ex-perimental demonstrations that outline the influence of natural elements on the human psyche and implicitly the effects of nature in the prevention and reduction of stress, anxiety and depression. And beyond the cognitive barriers of humanity in relating to the surrounding biodiversity must lie the desire to know the values of biodiversity and the absolute importance of its conservation. The sustainable relationship between man and living nature, seen as a complex of biodiversity, is dealt with by a branch of science called Human Ecology. Therefore, this study emphasizes the crucial need to know and respect the connection between man and nature, based, since time immemorial, on biophilia. And with the regression of ignorance and the correlated approach of several scientific fields, some at the intersection of humanities and natural sciences, one can observe the progress of preserving the dynamic balance within the ecosystems and implicitly the preservation of mental health and human well-being.

Non-alcoholic fatty liver disease (NAFLD) has gained attention in the last few years due to its increasing prevalence worldwide becoming a global epidemic. This review aims to discuss the latest recommendations regarding diagnosis and treatment of NAFLD-associated HCC and the remaining challenges. Thus, there is a high amount of data derived from basic and clinical studies that revealed the molecular pathways which drive NAFLD-associated hepatocellular carcinoma (HCC). Based on these findings, new prevention, surveillance and treatment strategies are emerging. However, current data on treatment modalities in NAFLD-associated HCC are still scarce, but based on subgroup analysis results from non-NAFLD HCC studies are promising and could provide a basis for future research agenda to address NAFLD/NASH patients. Conclusion: Due to the pandemic proportions that NAFLD gained in the last few years, there is a high amount of data derived from basic and clinical studies that revealed the molecular path-ways which drive NAFLD-associated HCC. Based on these findings, new prevention, surveillance and treatment strategies could be developed at an individual level.

The purpose of this article is to address two questions that will aid researchers in understanding FinTech’s inception, development, and potential impact on the stability of the financial system. First, it explains why financial technology is a current phenomenon. While many of the underlying technology for FinTech breakthroughs have been around for some time, it is only recently that financial institutions and entrepreneurs have begun to apply them to financial goods and services. Supply and demand factors in "conventional" financial innovation have been studied, and they have been found to converge, leading to a high rate of innovation. And second, this article explains why FinTech is being covered in greater depth than other types of innovation. This study introduces the concept of "depth" of innovation as a means of answering this question. The more fundamental the innovation, the more it will affect the financial sector. In this paper, we demonstrate that many recent developments in the field of financial technology (FinTech) are truly revolutionary advances, with far-reaching implications for the financial services industry. In addition to the benefits of more adaptability, higher transformational potential might bring increased risk to economic security.

Data mining techniques have garnered significant attention within the realm of education. However, the procurement of ample student data poses a formidable challenge. In response to this challenge, we present a student dataset characterized by its size and distinctive attributes. This dataset encompasses various task-related topics interconnected through a learning pathway, thereby enabling researchers to delve into the data from novel perspectives. Moreover, it encompasses extensive longitudinal student behavioral data, a rarity that adds substantial value. Spanning the years from 2010 to 2021, our dataset comprises a cohort of 7,933 students, 64,344 test scores, and 183,390 behavior records, solidifying its status as a valuable resource for educational research. In our experiments, we achieved successful predictions of students' test outcomes based on behavioral learning data. The strengths of our dataset render it apt for analyzing the nexus between student conduct and academic performance, crafting personalized learning recommendations, and pursuing various other research pursuits.

Weak interaction processes continue to be hot topics in fundamental physics research. In this paper, we briefly review some recent advances in the theoretical study of beta and double-beta decays that include both the nuclear and atomic part of these processes. On the nuclear side, we present a statistical approach for the computation of the nuclear matrix elements (NME) for neutrinoless double-beta (0νββ). A range of NME values, the most probable value for NME, and the associated theoretical uncertainty are given. Correlations with other related observables are shown as well. On the atomic side, we first briefly review the methods used to get the electrons’ wave functions. Further, we use them for the computation of some relevant kinematic quantities such as Fermi functions, electron spectra and angular correlation between the emitted electrons. Then, we present applications of these calculations to the experimental data analysis related to the search of the Lorentz invariance violation in two-neutrino double-beta (2νββ) decay and description of the decay rates and decay rate ratios for allowed and unique forbidden electron capture (EC) processes.

Background: Neonatal transportation of sick newborns is a major predictor of outcome. Prompt identification of the sickest newborns allows immediate corrective intervention and outcome optimization. Multiple severity scores were developed, however an optimal score has not yet been identified. Aim: To identify a rapid, accurate, and easy to perform score predictive for neonatal mortality in outborn neonates. Material and methods: All neonates, irrespective of gestational age, admitted by transfer in our level III regional neonatal unit between 01.01.2015 and 31.12.2021 were included. Infants with congenital critical abnormalities were excluded. Sick neonatal score (SNS) was calculated and compared between survivors and non-survivors. Gestational age (GA), birth weight (BW), gender, Apgar score, place of birth, time between delivery and admission (AT), early onset sepsis were collected from medical records and compared between study groups. Subgroup analysis was performed based on gestational age (preterm versus term infants). A new score was elaborated, including GA, BW, and AT, namely MSNS-AT score, to further improve mortality prediction. The main outcomes were mortality prediction using SNS and MSNS-AT score. Univariable and multivariable analysis, including Cox regression, were performed using SPSS Statistic 22.0. P-value was considered statistically significant if <0.05, 95% confidence intervals, odds ratio and hazard ratios were calculated were appropriate. Results: A total of 418 outborn infants were admitted during study period; 15 infants were excluded due to critical congenital defects. Out of 403 outborn infants, 217 born prematurely (53.8%), 224 males (55.6%), 20 died (4.96%). Compared to the survivors, the non-survivor neonates had significantly lower GA, BW, and SNS score (p<0.05), although only SNS score remained significantly lower in all subgroups (preterm vs term infants). A SNS score ≤8 was associated with mortality both in the whole study group and in subgroups (p<0.001). Time to admission was significantly associated with increased mortality rate in the whole group (p<0.05) and in preterm infants but not in term ones (p>0.05). In univariable and multivariable Cox regression models, MSNS-AT score, with a cut-off optimal value of ≤10 was more precise in predicting mortality compared to SNS (AUC 0.735 vs. 0.775) when applied to the entire group, had a lower accuracy in the term infants (AUC 0.765 vs 0.809) and a better accuracy the preterm infants group (AUC 0.885 vs. 0.810). Conclusions: The MSNS-AT score – calculated by adding GA, BW, and AT to the SNS score - significantly improved mortality prediction at admission in the whole study group as compared to SNS score. The best accuracy prediction of MSNS-AT score was observed in preterm infants suggesting that, besides GA and BW, TA may be decisive for the outcome of outborn preterm infants. Further studies are necessary to confirm the predictive value of MSNS-AT score and to identify variables that can improve its value in term infants without affecting the simplicity, ease, and rapidity of the scoring system.

Exosomes, a subset of extracellular vesicles, have emerged as pivotal mediators of intercellular communication, revolutionizing our comprehension of cellular interactions. Their diverse cargo, comprising proteins, nucleic acids, and bioactive molecules, plays a crucial role in various physiological and pathological processes. In the intricate landscape of adult neurogenesis, exosomes wield significant influence, actively participating in the generation of new neurons within the adult mammalian brain. Originating predominantly from non-niche cells, these vesicles contribute substantially to the regulation of neuroinflammation, thereby impacting neurogenesis and offering therapeutic promise for neurological disorders. In the specific context of Parkinson's disease (PD), exosomes assume a multifaceted role, prominently implicated in the propagation of α-synuclein oligomers and the orchestration of neuroinflammation. Stem cell-derived exosomes present themselves as promising therapeutic agents, capable of reshaping the microenvironment, repairing neuronal damage, and mitigating apoptosis. The ongoing exploration of exosomes continues to unravel intricate biological processes, paving the way for innovative medical interventions and treatments, particularly within the challenging landscape of neurodegenerative diseases such as PD. The comprehensive understanding of exosomal functions holds the potential to advance our therapeutic approaches, offering new avenues for intervention and treatment strategies in the realm of neurodegenerative disorders.

Knowledge regarding the influence of the microbial community in cancer promotion or protection has expanded even more through the study of bacterial metabolic products and how they can modulate cancer risk, which represents an extremely challenging approach for the relationship between intestinal microbiota and colorectal cancer (CRC). This review discusses research pro-gresses in the effect of bacterial dysbiosis from a metabolic point of view, particularly on the bio-chemical mechanisms of butyrate, one of the main short chain fatty acids (SCFAs) with an-ti-inflammatory and anti-tumor properties in CRC. Increased daily intake of omega-3 polyun-saturated fatty acids (PUFAs) significantly increases the density of bacteria that are known to produce butyrate. Omega-3 PUFAs have been proposed as a treatment to prevent gut microbiota dysregulation and lower the risk or progression of CRC.

Major marine construction projects, resulting in the release of sediments, are subject to environmental assessment and other regulatory approval processes. An important tool used for this is the development of specialized numerical methods for these marine activities. An integrated set of numerical methods addresses four distinct topics: the near-field release and mixing of suspended sediments into the water column (i.e. the initial dilution zone); the transport of the suspended sediments under the influence of complex ocean currents in the far-field; the settling of the transported suspended sediments onto the seabed; and the potential for resuspension of the deposited sediments due to sporadic occurrences of unusually large near-bottom currents. A review of projects subjected to environmental assessment in the coastal waters of British Columbia from the year 2006 to 2017, is presented to illustrate the numerical models being used and their ongoing development. Improvements include higher resolution model grids to better represent the near-field, the depiction of particle size dependent vertical settling rates and the computation of resuspension of initially deposited sediments, especially in relation to temporary subsea piles of sediments arising from trenching for marine pipelines. The ongoing challenges for this numerical modeling application area are also identified.

Background: Alongside their long-term effects - post-concussion syndrome (PCS) - mild traumatic brain injuries (mTBI) are significant public health concerns. Currently, there is a lack of reliable biomarkers for diagnosing and monitoring mTBI and PCS. Exosomes are small extracellular vesicles secreted by cells that have recently emerged as a potential source of biomarkers for mTBI and PCS due to their ability to cross the blood-brain barrier and reflect the pathophysiology of brain injury. This study aimed to investigate the role of salivary exosomal biomarkers in mTBI and PCS. Methods: A systematic review using the PRISMA guidelines was conducted, and studies were selected based on their relevance to the topic. Results: Studies have shown that exosomal tau, phosphorylated tau (p-tau), amyloid beta (Aβ), and microRNAs (miRNAs) are potential biomarkers for mTBI and PCS. Specifically, elevated levels of exosomal tau and p-tau have been associated with mTBI and PCS, as well as with repetitive mTBI. Dysregulated exosomal miRNAs have also been observed in individuals with mTBI and PCS. Additionally, exosomal Prion cellular protein (PRPc), coagulation factor XIII (XIIIa), synaptogyrin-3, IL-6, and aquaporins have been identified as promising biomarkers for mTBI and PCS. Conclusion: Salivary exosomal biomarkers have the potential to serve as non-invasive and easily accessible diagnostic and prognostic tools for mTBI and PCS. Further studies are needed to validate these biomarkers and to develop standardized protocols for their use in clinical settings. Salivary exosomal biomarkers can improve the diagnosis, monitoring, and treatment of mTBI and PCS, leading to improved patient outcomes.

There is little information about moisture changes in different altitudinal belts in mountainous regions of the Southern Russian Far East. We present ecological-taxonomic composition of the diatom flora, the botanical composition of peat of small mountain lake/mire complexes located in the Central Sikhote-Alin within large landslides on the paleovolcano slopes are identified. Frequent changes in diatom assemblages and peat-forming plants indicate unstable hydroclimatic conditions with varying degrees of watering and dry condition up to complete overgrowth of the lakes. Frequent change of sphagnum mosses with different trophic preferences was established. The chronology is based on 11 radiocarbon dates. Accumulation rates reached up to 1.9 mm/year, the temporal resolution for the reconstructions is up to 30–40 years. The tendencies of lake evolution depended on different-scale hydroclimatic changes for the last 4400 yr. The most detailed data for the last 2600 yr were obtained from the Nizhnee Lake sequence, more sensitive to climatic changes. The main reason for the change in the hydrological regime of the lakes was variations in precipitation during short-term climatic changes. The sediment record moisture fluctuations are relatively well correlated with regional patterns reflecting summer monsoon intensity and cyclogenesis activity.

The classification of vessel types in SAR imagery is of crucial importance for maritime applications. However, the ability to use real SAR imagery for deep learning classification is limited, due to the general lack of such data and/or the labor-intensive nature of labeling them. Simulating SAR images can overcome these limitations, allowing the generation of an infinite number of datasets. In this contribution, we present a synthetic SAR imagery dataset with ship wakes, which comprises 46080 images for ten different real vessel models. The variety of simulation parameters includes 16 ship heading directions, 6 ship velocities, 8 wind directions, 2 wind velocities, and 3 incidence angles. In addition, we extensively investigate classification performance for noise-free, noisy, and denoised ship wake scenes. We utilize the standard AlexNet architecture and employ training from scratch. To achieve the best classification performance, we conduct Bayesian optimization to determine hyperparameters. Results demonstrate that the classification of vessel types based on their SAR signatures is highly efficient, with maximum accuracies of 96.16%, 92.7%, and 93.59%, when training using noise-free, noisy, and denoised datasets respectively. Thus, we conclude that the best strategy in practical applications should be to train convolutional neural networks on denoised SAR datasets. The results show that the versatility of the SAR simulator can open up new horizons in the application of machine learning to a variety of SAR platforms.

Soft-Core architecture for Analogue to Digital Converter (ADC) sampling is useful for mixed signal applications. Soft-core architecture for cutting edge odd or even ADC sampling with interface to block RAM memory has not been found. Soft-core architecture as a concept has become popular due to the advantage of customization for different applications as compared to general-core architecture suited for single application. The latest generation of piece wise sampling is odd sampling and was introduced in the second decade of the 20th century. Odd and even order sampling techniques are analogue in nature driven by a tuned (tuned for odd or even) mixer. This paper proposes a third-generation piece wise sampling with soft-core architecture that enables an option to select both odd and even while interfacing to memory mapping. The proposed odd/even has superior SNR performance of 6 dB as compared to existing architecture such as Mod-∆ which recorded worst performance of 18 dB. Advances in soft-core technology have allowed a niche odd/even switching field to be identified and studied, the study has also been extended to include memory architecture.

Background: This literature review investigates qualitative and quantitative uses of indocyanine green (ICG) in surgical treatment, as this novel technique has become increasingly popular in ORs (operating rooms) worldwide due to its many advantages. Method: An extensive literature review was performed by searching for relevant terms in 5 international databases (www.pubmed.gov, www.sciencedirect.com, www.scopus.com, www.Oxfordjournals.com, www.reaxys.com). The results of this search were summarized into the main advantages of employing ICG in colorectal surgery as follows: a) intraoperative fluorescence angiography capability; b) fluorescence-guided identification of lymph node involvement in colorectal cancer and the sentinel lymph node method; c) positive fluorescence flagging of a liver tumour as small as "only" 200 tumour cells; d) facilitation of fistula diagnosis; and e) tumour tattooing. Moreover, in addition to qualitative intraoperative ICG use, this technique can be combined with quantitative methods and parameters, such as maximum intensity, relative maximum intensity, and different inflow parameters (time-to-peak, slope, and t1/2max). The conclusion of this article is that fluorescence surgery with ICG aided by near-infrared (NIR) light is a relatively recent technology, an advantage of which is improving the specific anatomic and functional information provided, thus allowing more comprehensive and safer tumour removal as well as preservation of important structures.

Schizophrenia can lead to significant and long-lasting deficits in patients' functionality. The present study aims to identify a theoretical index that predicts the ability of an antipsychotic to improve the functionality of patients with schizophrenia. An advantage of such a theoretical index is that it represents an attempt to supplement with theoretical information the data coming from meta-analysis and systematic reviews and could directly compare antipsychotics. Aspects such as pharmacodynamics, pharmacokinetics, and pharmaceutical forms have been considered. A total of 29 typical and atypical antipsychotics were analyzed. It was constructed the Predictive Impact of Antipsychotics on Functionality Index (PIAF). This parameter considers pharmacodynamics and administration comfort, each expressed through other parameters. PIAF is higher for antipsychotics with both high Pharmacodynamic Scores, which are correlated only with the active substance, and good Comfort of Administration Scores, which are correlated with both the pharmaceutical forms of antipsychotics and the active substance. The best ranking was obtained by the only partial agonist dopaminergic D2 antipsychotic with LAI formulation (aripiprazole LAI), followed by the atypical LAI antipsychotic with the rarest administrations (paliperidone LAI 6M). Given this ranking, a better antipsychotic would result from the combination of a partial dopaminergic agonist with the lowest possible administration frequency. According to PIAF, the most favourable for the functionality are atypical LAI antipsychotics. The partial agonist mechanism of D2 dopamine represents an advantage. Based on this functionality index, the clinical psychiatrist could select the most suitable antipsychotic for patients, with the ultimate goal of achieving individual maximum potential.

Fighting corruption and enhancing tax compliance through digital public services represent key factors for increasing sustainable development in Romania. We argue that fighting corruption may increase the level of sustainable development, through digital pubic services. Using digital public services leads to the increase of the level of tax compliance, because entrepreneurs will feel more confident and responsible and they will decide to better comply. Tax regulations can affect the level of tax compliance through the additional costs they generate. The discussion is based on the consideration of the costs generated by compliant behavior and we explain how such costs influence the entrepreneurs’ decision in the fiscal environment. If the costs are higher, entrepreneurs will take evasive initiatives and will refuse to comply. Among the numerous tools developed to fight corruption, the use of communication technologies has recently been researched and there is still need for further research in the Romanian economic environment. The use of digital public services reduces costs for entrepreneurs and increases their confidence in state institutions due to higher levels of transparency. We argue for increasing sustainable development in Romania through digital public services, thus fighting corruption and enhancing tax compliance.

Background: Stroke is the third leading cause of disability, primarily due to motor, sensory, and cognitive impairments. Virtual reality (VR) has shown promising results in post-stroke rehabilita-tion, particularly for upper limb recovery. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), aligned with the International Classification of Functioning, Disa-bility, and Health (ICF) principles, is a valid tool for measuring disability regardless of its cause. This study aimed to investigate the feasibility of VR TRAVEE system in upper limb rehabilitation for stroke patients. Methods: 14 stroke patients with residual hemiparesis were enrolled in the study. They underwent a 10-day program combining conventional therapy (CnvT) with VR rehabilitation. At baseline (T0), upper limb was assessed using the Modified Ashworth Scale (MAS), Active Range of Motion (AROM), and the Numeric Rating Scale (NRS) for pain. These assessments were repeated after the 10-day rehabilitation program (T1). Additionally, disability was measured using WHODAS 2.0 at T0 and again 30 days after completing the program. Results: Significant im-provements were observed in AROM, MAS scores for the shoulder, elbow, wrist, and metacar-pophalangeal joints as well as in the reduction of shoulder pain (p˂0.001). WHODAS scores de-creased across all six domains, with a statistically significant improvement in the cognition domain (p=0.011). Conclusions: Combining CnvT with VR as a rehabilitation approach enhances motor function in the upper limb. This method has the potential to reduce disability scores and promote neuroplasticity.

Several extinctions have already been attributed, at least in part, to global warming, as climate change constitutes a serious threat for species living in isolated ecosystems and thus unable to track habitat changes. However, in all these cases extinction was due to human impacts, often directly but generally also through exotic invasive species. For two arboreal land snails in Indian Ocean islands a link has been proposed with decreasing rainfall. The decline (but probably not extinction) of Pachnodus velutinus, a specialist of moist forests on the summits of northwestern Mahé, was most likely caused instead by invasive plants altering its habitat and alien predators decimating the population in the small remaining moist forests. An alternative explanation assuming genetic swamping through hybridization with a species from lower elevations has no basis, as the presumed hybrid constitutes a distinct species able to survive in the altered, dryer habitat. On Aldabra Atoll, the endemic Rhachistia aldabrae was claimed to have been the first extinction due to climate change, but is still extant. No relationship can be detected between number of sightings and annual rainfall, although a weighted measure that takes into account rainfall in previous years suggests a limited impact of weather. Analysis of the sighting record in various ways yields a probability of survival over time that never dropped below 0.3. The decline was caused instead by intense impacts of exotic invasive species. Alternative shortcuts to evaluate extinction rates among poorly known species are shown to be unreliable. Although no contemporary extinction can still be attributed to climate change, indirect and synergistic impacts on biodiversity are expected, especially through promoting biological invasions.

A sustainable smart tourism ecosystem relies on building digital networks that link tourists to destinations. This study explores how web and immersive technologies, such as the VRRO platform, can improve tourism by offering interactive experiences to augment traditional travel. The study underscores the role of VRRO's design in enhancing user interaction and engagement, thereby encouraging the generation of user content and the development of a virtual tour network. An empirical analysis investigates user engagement, revealing that the platform is accessible to users regardless of their technological familiarity. It suggests a high likelihood of sustained use and recommendations. In conclusion, VRRO demonstrates how accessible and innovative technologies in tourism modernize travel experiences and significantly contribute to the evolution of the broader tourism ecosystem.

In recent years, significant advancements in the field of machine learning have influenced the domain of image restoration. While these technological advancements present prospects for improving the quality of images, they also present difficulties, particularly the proliferation of manipulated or counterfeit multimedia information on the internet. The objective of this paper is to provide a comprehensive review of existing inpainting algorithms and forgery detections, with a specific emphasis on techniques that are designed for the purpose of removing objects from digital images. In this study, we will examine various techniques encompassing conventional texture synthesis methods, as well as those based on neural networks. Furthermore, we will explore the artifacts associated with the identification of modified photos and present the artifacts frequently introduced by the inpainting procedure and assess the state-of-the-art technology for detecting such modifications. Lastly, we shall look at the available datasets and how the methods compare with each other. Having covered all of the above, the final outcome of this study is to provide a comprehensive perspective on the abilities and constraints to detect images for which an inpainting object removal method was applied.

This paper presents a novel statistical model i.e. the Laplace-Rician distribution, for the characterisation of synthetic aperture radar (SAR) images. Since accurate statistical models lead to better results in applications such as target tracking, classification, or despeckling, characterising SAR images of various scenes including urban, sea surface, or agricultural, is essential. The proposed Laplace-Rician model is investigated for SAR images of several frequency bands and various scenes in comparison to state-of-the-art statistical models that include K, Weibull, and Lognormal. The results demonstrate the superior performance and flexibility of the proposed model for all frequency bands and scenes.

Sodium valproate is a established antiepileptic drug of first choice, primarily used to treat epilepsy, but also bipolar disorder and prevent migraine headaches. Valproate increases concentrations of gamma-aminobutyric acid in the brain, due to inhibition of enzymes responsible for the catabolism of gamma-aminobutyric acid. Main goal of this research consisted in the optimization and development for a new sensitive spectrophotometric quantitative analysis method of sodium valproate from tablets in the Visible field. Following the quantitative color reaction of sodium valproate with diazonium salt of alpha naphthylamine in alkaline medium, a light yellow azo dye was formed and spectrophotometrically analyzed at the wavelength of 386 nanometers. The amount of pure sodium valproate found on pharmaceutical extended-release tablet was 492.578 miligrams compared to the official declared pure amount of 500 miligrams on prolonged-release tablet. Amount found was assigned to a percentage content of 98.5156 percent pure sodium valproate in a pharmaceutical tablet. Mean average percentage error (deviation) from the officially stated value was about 1.4844 percent, which was included within normal limits, below five percent maximum limit allowed by European and Romanian Pharmacopoeias rules. Spectrophotometric method was subjected to the statistical validation procedure and was successfully validated.

Neurodegenerative diseases, including Alzheimer's, Huntington's, Parkinson’s, and Amyotrophic Lateral Sclerosis, involve neuron degeneration linked to the misfolding of amyloidogenic proteins, resulting in β-sheet-enriched aggregates. This phenomenon disrupts the normal folding of proteins critical for cellular function. Genetic mutations, proteolytic cleavage, oxidative stress, and aging contribute to misfolding. Parkinson's disease (PD) is closely tied to alpha-synuclein (αS) misfolding, with A53T mutation and Lewy bodies (LB) in PD brains pivotal to understanding the disease mechanism. Other synuclein homologues (βS, γS) further contribute to synucleinopathies. Mutants (A30P, A53T, E46K, H50Q, and G51D) underscore αS&#39;s role in PD development. This concise review focuses on molecular and pathological aspects of neurodegenerative diseases, emphasizing αS in PD. The integration of genetic, structural, and mechanistic insights highlights the disorders. complexity, paving the way for future therapeutic strategies targeting protein misfolding and aggregation.

Background: Lately, the high incidence of pesticide usage has attracted everyone's interest due to the serious effects produced. Fipronil (FIP) is a phenylpyrazole compound that acts on the insect’s GABA neurotransmitter by inhibiting its activity. Moreover, literature reports highlight its impli-cation in neurodevelopmental abnormalities and oxidative stress production in different organisms. Similarly, pyriproxyfen (PYR) is known to affect insects’ activity by mimicking the natural hormones involved in the maturation of the young insects. The aim of the present study was to investigate the impact of these pesticides’ mixture on zebrafish tissues and behavior. Methods: To assess the in-fluence of this cocktail on zebrafish, three groups of animals were randomly selected and exposed to 0, 0.05 and 0.1 mg L-1 FIP and PYR mixture for 5 days. The fish were evaluated daily by the T-maze tests as locomotor activity and dark-light test and recorded for 4 minutes. The data was quantified using the EthoVision software. Results: Our results indicated significant changes in locomotor ac-tivity parameters showing increased levels following exposure to the mixture of FIP and PYR. On the other hand, the mixture also triggered anxiety in the zebrafish, which spent more time in the light area than in the dark. In addition, mixture-induced histological changes were observed in the form of numerous hemosiderin deposits found in various zebrafish tissues. Conclusions: The cur-rent findings indicate that the mixture of FIP and PYR can have considerable consequences on adult zebrafish and may promote or cause functional neurological changes in addition to histological ones.

A hybrid material, consisting of commercially available nitrocellulose (NC) membrane non-covalently modified with amino-polyethylene glycol functionalized reduced graphene oxide (NH2-PEG-rGO) nanoparticles, was successfully synthesized for oligonucleotide extraction. Fourier Transform Infrared Spectroscopy (FTIR) confirmed the modification of the NC membrane, revealing characteristic peaks of both compounds NC and NH2-PEG-rGO. Scanning Electron Microscopy (SEM) exhibited morphological changes in the NC/NH2-PEG-rGO hybrid membrane, marked by the introduction of NH2-PEG-rGO particles, resulting in a distinctly smothered surface compared to the porous surface of the NC control membrane. Wettability assays revealed hydrophobic behavior for the NC/NH2-PEG-rGO hybrid membrane, with a water contact angle exceeding 90°, contrasting with the hydrophilic behavior characterized by a 16.7° contact angle in the NC membrane. The performance of the NC/NH2-PEG-rGO hybrid membrane was evaluated for the extraction of ssDNA with fewer than 50 nucleotides from solutions containing various ionic species (MnCl2, MgCl2, and MnCl2/MgCl2). The NC/NH2-PEG-rGO hybrid membrane exhibited optimal performance when incubated in MgCl2, presenting the highest fluorescence emission at 525 relative fluorescence units (r.f.u.). This corresponds to the extraction of approximately 610 pg (≈13%) of the total oligo-DNA, underscoring the efficacy of the pristine material, which extracts 286 pg (≈6%) of oligo-DNA in complex solutions.

The scope of this paper is to use plastic waste through the gasification process for producing electricity with low carbon dioxide emissions. Worldwide, plastic production increased, reaching 367 million tons in 2020, compared with 1.5 million tons in 1950. It is known that plastic incineration generates approximately 400 million tons of CO2 annually, and consequently, new solutions for a more efficient plastics reuse in terms of emissions generated are still expected. One method is to use plastic waste in a gasifier unit and the syngas generated in a gas turbine for electricity production. The co-gasification process (plastic waste with biomass) was analysed in different ratios. Gasification was carried out with air for an equivalent ratio (ER) between 0.10-0.45. The volume concentration of CO2 in syngas ranged from 2-12%, with the highest value obtained when poplar content in the mix was 95%. In this study, the option of pre- and post-combustion integration of the chemical absorption process (CAP) was investigated. Thus, CO2 emissions have decreased by 90% compared with the case without CO2 capture. By integrating the capture process, the global efficiency has reduced with 5.5 – 6.1 percentage points in a post-combustion case, according to the plastic content in the mix.

Pancreatic ductal adenocarcinoma (PDAC) is the most common malignant tumor of the pancreas, carrying a poor prognosis, in most cases patients being diagnosed in a nonresectable stage. Image-based artificial intelligence (AI) models implemented in tumor detection, segmentation and classification could improve diagnosis with better treatment options and increased survival. This review included papers published in the last 5 years and describes the current trends in AI algorithms used in PDAC. We analyzed the applications of AI in detection of PDAC, segmentation of the lesion and classification algorithms used in differential diagnosis, prognosis, and histopathological and genomic prediction. The results show lack of multi-institutional collaboration and stresses the need for bigger datasets in order for AI models to be implemented in a clinically relevant manner.

The economic activities in the romanian rural areas have started to know new horizons with Romania's accession to the European Community. The rural society was and is focused on the level of entrepreneurial behavior strictly on agriculture, with all its derivatives. At present there is a variety of sectors of activity that are found in the rural society, which are waiting to know new dimensions. The higher the number of entrepreneurs, the more job vacancies will be created across different fields of activity. In these circumstances, the number of jobs will increase, and the society in the romanian rural area can enjoy a diversity of the population determined by the various professions of people, but also by the new dimension offered by the entrepreneurial area. This way, it will be done later the repopulation of the Romanian countryside, a national interest issue, after the great majority of the population went to work in the countries of the European Community, having to be forced by the poverty of the romanian rural area, determined by the lack of jobs to ensure a decent standard of living.

Oxidative stress (OS) is a condition in which there is an excess of reactive oxygen species (ROS) in the body, which can lead to cell and tissue damage. This occurs when there is an overproduction of ROS or when the body's antioxidant defense systems are overwhelmed. Quercetin is part of a group of compounds called flavonoids. It is found in high concentrations of vegetables, fruits, and other foods. Over the past decade, a growing number of studies have highlighted the therapeutic potential of flavonoids to modulate neuronal function and prevent age-related neurodegeneration. Therefore, quercetin has been shown to have antioxidant, anticancer, and anti-inflammatory properties, both in vitro and in vivo. Due to its antioxidant character, quercetin alleviates oxidative stress, thus improving cognitive function, reducing the risk of neurodegenerative diseases. On the other hand, quercetin can also help support the body's natural antioxidant defense systems, thus being a potentially practical supplement for managing oxidative stress. This review focuses on experimental studies supporting the neuroprotective effects of quercetin in Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington's disease (HD) and epilepsy.

Provenance trials provide a valuable opportunity to evaluate the impact of extreme events on growth and wood properties. In this study, we have evaluated 81 Norway spruce provenances, tested in three provenance trials established in the Romanian Carpathians in 1972. The response to drought of the Norway spruce provenances – resistance, recovery, resilience, and relative resilience, has been examined, as well as the relationship between climate and growth, and the correlations between wood traits, the coordinates of origin and drought resilience indices. In each provenance trial, there were significant differences between provenances and years regarding wood widths and latewood percentage (LWP). Regarding the drought extreme events, the years when it occurred in all three provenance trials were 2000 and 2003. Significant differences between provenances for at least one drought resilience index have been found in all provenance trials, for the year 2000. By using subperiods of 25 years, changes in the relationship between climate and growth have been observed. Several provenances with high radial growth and good resistance and/or recovery have been identified. Provenances that performed better in common garden experiments could be used in assisted migration even beyond the current natural range.

Mild TBI (mTBI) accounts for most TBI cases, the leading cause of morbidity and mortality worldwide. Despite their high incidence, mTBI pathophysiology remains largely unknown. Recent studies have shown that the inflammatory response is activated early after mTBI and can persist for several weeks or months. However, limited evidence on the utility of inflammatory biomarkers as predictors of clinical outcomes in mTBI was previously provided. Thus, this study aims to provide an overview of the current knowledge on the role of inflammation in the pathogenesis of mTBI and the potential of some inflammatory biomolecules as biomarkers of mTBI. Thus, it was shown that the increase of IL-6, TNF-α, and IL-1β plasma levels could be implicated in the development of the early post-concussion symptoms. On the other hand, the persistence of the increased plasmatic concentrations of IL-10 and IL-8 for as long as six months following the brain injury event could suggest chronic inflammation leading to neuroinflammation and late or persistent symptoms. In this context, our findings showed that the inflammatory biomarkers could be relevant in diagnosing or predicting recovery or long-term outcomes of mTBI.

Background: This review aims to explore the regulatory mechanism of microglial exosomes, particularly focusing on the role of miR-124-3p, in modulating neuroinflammation and promoting neuronal repair following traumatic brain injury (TBI). Methods: Multiple studies investigating the impact of microglial exosomal miRNAs, specifically miR-124-3p, on injured neurons and brain microvascular endothelial cells (BMVECs) in the context of TBI were reviewed. Results: Animal models of TBI, in vitro cell culture experiments, RNA sequencing analysis, and functional assays were employed to elucidate the mechanisms underlying the effects of miR-124-3p-loaded exosomes on neuroinflammation and neuronal repair. The increased expression of miR-124-3p in microglial exosomes after TBI inhibited neuronal inflammation and promoted neurite outgrowth. This effect was achieved by promoting the anti-inflammatory M2 polarization of microglia, suppressing mTOR signaling through downregulation of PDE4B, and inducing autophagy in BMVECs. These actions collectively contributed to neuroprotection, reduced blood-brain barrier leakage, and improved neurologic outcomes in animal models of TBI. Conclusion: Microglial exosomes, particularly those carrying miR-124-3p, have emerged as promising candidates for therapeutic interventions in TBI. These exosomes exhibit neuroprotective effects, attenuate neuroinflammation, and promote neuronal repair and plasticity. Targeting miR-124-3p and utilizing microglial exosomes as therapeutic agents hold great potential for future clinical translation in TBI management. However, further research is required to fully elucidate the underlying mechanisms and optimize their delivery strategies for effective treatment in human TBI cases.

The Sustainable Development Goals (SDGs) raise quality employability, gender equity in access to employment and increase coverage in education, however, in Colombia, high unemployment rates and informality of young people are risks of fulfilling these objectives. This is verified by a study with cohorts on access to employment, labor mobility and entry to quality occupations, through the use of probabilistic models. This study found that young people are less likely to be employed than adults, education has increased in the new generations and allowing them to enter a higher quality occupation, job segmentation and lack of experience of young people are the main cause of unemployment and Women are less likely to be employed than men and to do so in quality jobs. To comply with the SDGs, you must increase coverage in education, make a differential gender policy and expand programs as learners and insert dual education.

This research describes numerical methods to analyze the absolute transport demand of cyclists and then to quantify the road network weaknesses of a city with the aim to identify infrastructure improvements in favor of cyclists. The methods are based on a combination of bicycle counts and map-matched GPS traces and are demonstrated with the city of Bologna, Italy: the dataset is based on approximately 27,500 GPS traces from cyclists, recorded over a period of one month on a volunteer basis using a smartphone application. A first method estimates absolute, city-wide bicycle flows, by scaling map-matched bicycle flows of the entire network to manual and instrumental bicycle counts of the main bikeways of the city. As there is a good correlation between the two sources of flow data, the absolute bike-flows on the entire network have been correctly estimated. A second method describes a novel link-deviation index, which quantifies for each network edge the total deviation generated for cyclists in terms of extra distances traveled with respect to the shortest possible route. The deviations are accepted by cyclists either to avoid unpleasant road attributes along the shortest route or to experience more favorable road attributes along the chosen route. The link deviation index indicates the planner which road links are contributing most to the total deviation of all cyclists – in this way, repelling and attracting road attributes for cyclists can be identified. This is why the deviation index is of practical help to prioritize bike infrastructure construction on individual road network links.

Wi-Fi fingerprinting positioning systems have been deployed for a long time in location-based services for indoor environments. Combining mobile crowdsensing and Wi-Fi fingerprinting systems could reduce the high cost for collecting the necessary data enabling the deployment of the resulting system for outdoor positioning in areas with dense Wi-Fi coverage. In this paper, we present the results attained in the designing and evaluation of an urban fingerprinting positioning system based on crowdsensed Wi-Fi measurements. We first asses the quality of the collected measurements, highlighting the influence of received signal strength on data collection. We then, evaluate the proposed system by comparing the influence of the crowdsensed fingerprints on the overall positioning accuracy for different scenarios. The evaluation helps gain valuable insight into the design and deployment of urban Wi-Fi positioning systems while also allowing the proposed system to match GPS-like accuracy in similar conditions.

This paper presents performed Ansys numerical simulation on WindFloat structures. It contributes to the methodology of calculation based on CFD instruments to study the movements of the waves on semi-submersible stationary structures and highlights the importance of using RAO functions. RAO numerical approach developed can be applied to design semisubmersible WindFloat structures in order to fulfill essential requirements regarding operational safety and design. Numerical methodology was designed in accordance marine loads and the I.T.T.C. recommendations. The numerical RAO results for regular wave movements include many elements for the semi-submergible structure. Close results to open sea operation can be achieved by constant improvement in numerical simulation methodologies. The work opens the way for further hydrodynamic development on irregular waves for realistic hydrodynamic and structural response of the actual semi-submersibles at sea. The results demonstrate the accuracy of RAO function approach for specific WindFloat in Jonswap spectrum.

Microplastic pollution represents an emerging problem of great interest in the public domain in the last decade; in addition, it overlaps with another delicate problem - pollution with pharmaceutical products that can have negative effects on the environment and people, even in small amounts. The main purpose of this study was to assess the biochemical and behavioral effects of exposure of adult zebrafish (Danio rerio) to polyethylene (PE), polypropylene (PP) and valproic acid (VPA), respectively to their mixtures - possible situations in natural aquatic environments. In terms of behavioral responses, sociability appears to be more impaired in the PP group after 5 days of exposure. The mechanisms affected are more those of swimming performance than of sociability. Even more, VPA increases presence in the arm with conspecifics but decreases mobility and locomotion, indicating a possible anxiety mechanism. The mixtures decrease the aggressiveness, especially in the case of the PE+VPA group, where it reaches a super low level compared to the control, which could endanger the species in nature. Regarding the anxiogenic effect, PP and PE act differently, if PE has an anxiogenic effect, on the opposite side is the PP group, which shows a bolder and more agitated behavior. All four variants showed behavioral changes indicative of toxicity from the first dose.

Male breast cancers are uncommon, as men account for less than 1 percent of all breast carcinomas. Among the predisposing risk factors for male breast cancer, the following appear to be significant: a) breast/chest radiation exposure, b) estrogen use, diseases associated with hyper-estrogenism, such as cirrhosis or Klinefelter syndrome, and c) family health history. Furthermore, there are clear familial tendencies, with a higher incidence among men who have a large number of female relatives with breast cancer and d) major inheritance susceptibility. Moreover, in families with BRCA mutations, there is an increased risk of male breast cancer, although the risk appears to be greater with inherited BRCA2 mutations than with inherited BRCA1 mutations. Due to diagnostic delays, male breast cancer is more likely to present at an advanced stage. A core biopsy or a fine needle aspiration must be performed to confirm suspicious findings. Infiltrating ductal cancer is the most prevalent form of male breast cancer, while invasive lobular carcinoma is extremely uncommon. Male breast cancer is almost always positive for hormone receptors. A worse prognosis is associated with a more advanced stage at diagnosis for men with breast cancer. And randomized controlled trials which recruit both female and male patients should be developed in order to gain more consistent data on the optimal clinical approach.

Stage IV grade C localized periodontitis (pre-puberal localized aggressive periodontitis/LPP), an extremely rare form of periodontal disease, occurs in otherwise healthy individuals (no signs of dental plaque/calculus) due a hyper-aggressive auto-immune response to high periodontopathic bacteria levels. Methods: A 4-year-old Caucasian girl with unusual high mobility of temporary lower left canine and localized gingival inflammation was misrecognized by multiple clinicians (initially diagnosed with hypophosphatasia, genetic and metabolic disorders, all turning negative), over a period of 4-6 month, despite initial radiographs showing clear pathognomonic signs. LPP diagnostic was made by the last clinician, but by now the tooth was lost. Similar inflammation signs appeared around the lower temporary right canine. X-ray examination showed similar bone and periodontal loss as previously seen, while periodontopathic bacteria tested highly positive. The patient received both mechanical cleaning and ten days systemic antibiotic treatment (Augmentin and Metronidazole). Results: Two months after, inflammation signs disappeared, with periodontal regeneration radiologically present, and only small periodontopathic bacteria precursors concentrations. Conclusions: Despite initial periodontal loss, an adequate treatment can keep under control an LPP disease. Moreover, bone and periodontal regeneration appears if periodontopathic bacteria scores are kept lower, showing the importance of fast adequate diagnostic and treatment.

This analysis focuses on identifying the most efficient and cost-effective method of supplying power to a remote site, exploring photovoltaics (PV) and small wind turbines as primary power sources, and evaluating battery banks and hydrogen storage fuel cell systems as potential storage options. The hydrogen storage system converts surplus renewable power into hydrogen through an elec-trolyzer, storing it for later use in a fuel cell when renewable sources produce less power, enabling efficient energy storage during peak production periods. A sensitivity analysis of wind speed and hydrogen subsystem cost was conducted to evaluate the hydrogen storage system's performance. The optimal system graph suggests that the hydrogen subsystem must significantly decrease in cost to rival the battery bank, and in most cases, both the hydrogen system and battery bank were recommended together, offering reliable and efficient power for the remote site. While the battery bank is presently the more feasible option for powering the remote site, continuous monitoring and evaluation of both systems, considering site location, energy needs, and available resources, are essential to determine the most suitable power supply approach as technology advances and costs evolve over time.

This article analyzes 6 probability distributions from the Generalized Pareto family, with 3, 4 and 5 parameters, with main purpose to identify other distributions from this family with applicability in flood frequency analysis compared to the distribution already used in the literature from this family such as Generalized Pareto Type II and Wakeby. This analysis is part of a larger and more complex research carried out in the Faculty of Hydrotechnics regarding the elaboration of a norm for flood frequency analysis using the linear moments method. In Romania, the standard method of parameter estimation is the method of ordinary moments, thus the transition from this method to the method of linear moments is desired. All the necessary elements for the distributions use are presented like, the probability density functions, the complementary cumulative distribution functions, the quantile functions, the exact and approximate relations for estimating parameters, for both methods of parameters estimation. All these elements are necessary for a proper transition between the two methods, especially since the use of the method of ordinary moments is done by choosing the skewness of the observed data depending on the origin of the maximum flows. A flood frequency analysis case study, using annual maximum and annual exceedance series, was carried out for the Prigor river, to numerically present the analyzed distributions. The performance of this distributions is evaluated using relative mean error, relative absolute error and linear moments diagram.

This article presents six probability distributions from the Gamma family with three parameters, for the flood frequency analysis in hydrology. The choice of the Gamma family of statistical dis-tributions was driven by its frequent use in hydrology. In the Faculty of Hydrotechnics, the im-provement of the estimation of maximum flows and including the methodological bases for the realization of a regionalization study with the linear moments method with the corrected pa-rameters was researched, being an element of novelty. The linear moments method is better than MOM because it avoids the choice of skewness depending on the origin of the flows, practiced in Romania. The L-moments method conforms to the current trend for estimating the parameters of statistical distributions. Observed data from hydrometric stations are of relatively short length, so the statistical parameters that characterize them are of a sample that requires correction. The correction of the statistical parameters is proposed, using the method of least squares based on the inverse functions of the statistical distributions expressed with the frequency factor for L-moments. All the necessary elements for their use are presented like, quantile functions, the exact and ap-proximate relations for estimating parameters and frequency factors. A flood frequency analysis case study was carried out for the Ialomita river, to verify the proposed methodology. The per-formance of this distributions is evaluated using Kiling-Gupta and Nash-Sutcliff coefficients.

Estimating the parameters of statistical distributions generally involves solving a system of nonlinear equations or a nonlinear equation, being a technical difficulty in their usual application in hydrology. This article presents improved approximations and, in some cases, new approximations for the estimation with the method of ordinary moments and the method of linear moments, which are useful for the direct calculation of the parameters, because the errors in the approximate estimation are similar to the use of iterative numerical methods. Thirteen statistical distributions of two and three parameters frequently used in hydrology are presented, for which parameter estimation was laborious. Thus, the approximate estimation of the parameters by the two methods is simple but also precise and easily applicable by hydrology researchers. The approximate forms characterized by very small errors are the result of the research conducted within the Faculty of Hydrotechnics to update the romanian normative standards in the hydrotechnical field.

The aim of this study was to measure the effects on 3D active cervical Range of Motion (ACROM) and perceived pain of a n elastic taping (ET) application in the cervical area. Thirty participants (n: 22M and 8F, age 35.4±4.4 years; body height 173.1±8.4 cm; body mass 73.5±12.8 kg) for the study group (SG) and twenty subjects (n: 11M and 9F, age 32.6±3.9 years; body height 174.9±10.9 cm; body mass 71.2±12.9 kg) for the control group (CG) were recruited. All subjects were symptomatic for neck and cervical pain in baseline condition. Each group performed on ACROM test and the perceived pain on neck basing as Numerical Rating Scale (NRS 0-10, a.u.): at the baseline (T0); after 20' from ET application (T1); after three days of wearing the ET application (T2). Between T0 and T1 an ET was applied on the cervical area of the SG participants. Statistical analysis did not show any significant change in CG in any measurement session for ACROM and neck pain parameters. Conversely, the SG showed significant improvements for ACROM rotation left (T0 64.8 ± 7.7° - T2 76.0 ± 11.1° p &lt; 0.000) and right (T0 66.0 ± 11.9° - T2 74.2 ± 9.6° p &lt; 0.000); lateral inclination left (T0 37.5 ± 6.9° - T2 40.6 ± 10.8° p &lt; 0.000) and right (T0 36.5 ± 7.9° - T2 40.9 ± 5.2° p &lt; 0.000); flexion posterior (T0 47.0 ± 12.9° - T2 55.1 ± 12.3° p &lt; 0.001) and anterior (T0 55.0 ± 3.6° - T2 62.9 ± 12.0° p &lt; 0.006). A significant decrease was measure also in SG for pain NRS between T0 and T2 (T0 7.5 ± 1.0° - T1 5.5 ± 1.4 - T2 1.4 ± 1.5° p &lt; 0.000). In conclusion, the results of this study underline the usefulness of a bilateral and symmetrical ET cervical application in terms to enhance multiplanar ACROM and to reduce subjective self-perceived cervical pain when it is needed. These findings can be applied for managing musculoskeletal health of different kind of individuals.

Starting from the model of a slow-rolling missile with six degrees of freedom (6 DOF) in the body frame, a 6 DOF model in the Resal frame is obtained, which is used to linearize the coupled commanded motion. Based on the linearized model, we obtain the structural scheme of the commanded object and define the quality parameters. The obtained parameters have a complex representation (with real and imaginary parts) due to the coupling between longitudinal channels. Then, the kinematic guidance equations, the seeker equations and the actuator specific to the slow-rolling single-channel missile are defined using a switching function. The guidance kinematic equations, the seeker equations and the actuator model are linearized in the Resal frame, and the structural diagram of the homing missile is constructed. Starting from this, the characteristic polynomial having complex coefficients is determined and then analyzed with the Frank-Wall stability criterion. Based on the analysis, a stability range is determined for the navigation constant and a minimum and possibly a maximum limit for the time to hit the target is obtained. The stability range defined for the navigation constant on the linear model is finally validated on the nonlinear model in the body frame.

The purpose of this work is to analyze heat-treated ash wood at temperature of 185 ºC, in order to analyze its dimensional stability. For comparison, native ash/ not thermally treated wood, was be used. In order to analyze heat-treated ash wood, some main properties such as water absorption, swelling in thickness, roughness, Brinell hardness, modulus of rupture and elasticity, color change toward black with CIELab space, and many others properties were determined and processed. The results obtained after processing the experimental data have showed that heat-treated ash wood had good physical properties as absorption and swelling in thickness, and the slight increase in elasticity offers new fields of use. As a general conclusion of the work, it was established that the ash wood can be properly thermally treated, the dimensional stability characteristics being very good, and the decrease in bending resistance being almost imperceptible.

: Background and objectives: One of the most severe symptoms of extrapulmonary tuberculosis (TBEP) is tuberculous meningitis (TBM) which is linked to significant morbidity and high mortality. It is well recognized that HIV-positive people are more likely to develop TBEP, including TBM, especially if they have severe immunodeficiencies. Material and methods: We conducted a retrospective clinical study based on hospital medical records of the diagnosed patients with HIV/AIDS and Tuberculous Meningitis in North-eastern Romania, hospitalized at "Sf. Parascheva" Clinical Hospital of Infectious Diseases from Iasi. We aim to highlight the profile and the caracteristics of the HIV/AIDS and Tuberculous Meningitis coinfection cases. The time frame under study was from January 1st, 2010, to December 1st, 2022. Results: Our Center has a total number of patients on record of 1692. Patients co-infected with HIV- TB were 195 of which 19 cases were HIV- TBM coinfection and it was more common in women. From this total, 6 cases were late presenters and 13 patients were already in the center's records with a deficient immunological viral status, non-compliant, and non-adherent to antiretroviral therapy. The average age in the study group was 27 years old. The mean admission day number was 17.73 days. CSF findings (qualitative and quantitaitve examination, biochemestry) were in accordance with the literature. Conclusions: The key to the management of the HIV-positive patient is the multidisciplinary approach and access to antiretroviral therapy. We must find and eliminate obstacles affecting patients and the healthcare system. In order to increase ART uptake among HIV-infected TB patients and to put an end to the TB and HIV epidemics.

(1) Background: In a society with an advancing aging rate, medical systems are coming under pressure due to an increasing flow of elderly patients with multiple somatic diseases, exacerbated by their fragile psychological and sociological backgrounds. We aimed to investigate the relationship be-tween frailty and loneliness in elderly people. Our research question was “Is there a link between the loneliness and frailty in elderly people?” (2) Methods: To assess the link between loneliness and frailty, we conducted a search accessing Index Medicus and PubMed; the timeframe of our research was from 2013 till 2023. Data regarding the study population, as well as loneliness and fragility assessments and approaches, were extracted. (3) Results: A positive relationship between loneliness and the appearance and progression of frailty in elderly people is argued for. (4) Conclusions: Maintaining a balance in the body’s functionality for as long as possible requires the diagnosis and periodic assessment of health status at any age and, due to the various socio-financial and emotional implications, is particularly imperative for elderly patients. Frailty can be prevented, and it appears that it could even be reversed if early diagnosis and appropriate interventions are made. Therefore, knowledge of relevant risk factors—most likely including loneliness—is an absolute necessity to slow down, stop, and even reverse the frailty process.

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

Background: This study investigates microvascular changes in the dermis and muscle following a balneotherapy regimen prescribed by therapeutic protocols. Methods: Thirty-five inpatients participated in a two-week balneal course involving the application of mud and hypersaline water. Mud was applied outdoors in the summer as cold mud ointment and indoors year-round as mud packs or mud baths alternated with hypersaline water baths. Biopsies of the skin and muscle were obtained twenty-four hours post-discharge and prepared histologically. Results: Analysis focused on the epidermis, dermis, and muscle. Microvascular changes observed included increased caliber and number of open capillaries, as well as the presence of angiogenesis vessels. Statistical analysis showed significant differences in angiogenesis vessels between cold mud ointment and mud pack treatments compared to control and mud bath groups. A higher number of angiogenesis vessels were observed in the dermis in the mud pack group and in the muscle with mud cold ointment. Repeated thermal stimulation with mud and hypersaline water over two weeks produced histologically evident tissue modifications, persisting in the dermis and muscle at least twenty-four hours post-treatment completion.

Diseases of the lung account for more than 5 million deaths worldwide and are a burden to healthcare. Improving clinical outcomes including mortality and quality of life involves a holistic understanding the etiopathogenesis, which can be provided by multi-omics integration of lung data. An enhanced understanding of large comprehensive datasets provides opportunities to mine those datasets for features that contribute to prevention and amelioration of disease. In this review, we evaluate lung disease models including animal models, organoids and single cell lines as mechanisms to study multiomics in lung health and disease. We provide examples of lung diseases where multi-omics investigations have provided a deeper insight into pathogenesis that has resulted in improved preventive and therapeutic interventions.

(1) Background: The intermediate-depth seismicity in the Vrancea region (Romania) is characterized by localized and persistent earthquake activity that culminates about two or three times in a century with the occurrence of a large event (M 6.5). Here we have revisited some important seismicity characteristics, using earthquake catalog data spanning two different time periods: 2005 – 2013 and 1960 – 2000. (2) Methods: we have determined the b-value of the frequency-magnitude distribution of earthquakes, using a maximum likelihood procedure, and estimated the parameter to quantify anomalous seismicity rate decreases and increases. (3) Results: by using data from the first period, we have confirmed the existence of a decreased b-value in the deepest part of the seismogenic zone; by using data from the second period, we have statistically confirmed the seismic quiescence that preceded the occurrence of the 1977 M7.4 Vrancea earthquake. (4) Conclusions: the decreased b-value has been interpreted either in terms of an increased lithostatic stress with depth or as an indicator of the depth range where the next major Vrancea earthquake may occur. The time variation of the seismicity parameter may reveal anomalous seismic quiescence and increased earthquake rates that may precede the occurrence of large earthquakes.

(1) Background: Mindfulness-based interventions (MBIs) have shown interesting preliminary ef-fects over self-regulation processes in early adolescence. However, interventions usually integrate various types of practices with no clarity about the specific effect of each of them over attentional, emotional, and behavioral regulation. The objective of this research was to evaluate the effect of two MBIs, one focused on classic attentional practices and another one focused on the recognition and expression of emotions, over attentional, emotional, and behavioral self-regulation in early adolescents. (2) Method: An experimental method was carried out. A sample of 70 children be-tween 8 and 12 years old were randomized and assigned to three experimental conditions: 1) MBI with a focus on attentional practices, 2) MBI with a focus on recognition and expression of emotions, 3) control group, waiting list. The programs lasted 8 weeks, with a weekly 1-hour online synchronic session, plus home practices. Children were evaluated before starting the in-tervention and at the end of the 8-week program. The assessed variables were: 1) Mindfulness; 2) Emotional Regulation; 3) Attentional Regulation and 4) Behavioral regulation. (3) Results: Chil-dren that participated in both programs, increased their mindfulness and emotional and be-havioral regulation scores. Only children who participated in the program with a focus on at-tention showed significant changes in their ability to self-regulate attention. (4) Conclusions: online MBIs, with attention to external and internal stimuli practices, can be a good strategy to strengthen self-regulation skills of attention, emotions, and behavior in early adolescence.

With the development of the energy sector based on renewable primary sources, structural changes are emerging for the entire national energy system. Initially, it was estimated that energy generation based on fossil fuels would decrease until its disappearance. However, the evolution of CO2 capture capacity leads to a possible coexistence for a certain period with the renewable energy sector. The paper develops this concept of coexistence of the two systems, with the positioning of green hydrogen not only within the renewable energy sector but also as a transformation vector for carbon dioxide captured in the form of synthetic fuels such as CH4 and CH3OH. The paper also analyzes the economic aspects related to price differences for energy produced in the two sectors, as well as their interconnection. The technical aspect, as well as the economic one, for storage through various other solutions besides hydrogen, has been highlighted. The development of the renewable energy sector and its demarcation from the fossil fuel energy sector, even with the transcendent vector represented by green hydrogen, leads to the deepening of dispersion aspects between the electricity sector and the thermal energy sector, a less mentioned aspect in current works but of great importance.

Background: The Liver Imaging Reporting and Data System (LI-RADS) combines standardized terminology with a classification system for imaging findings in patients with HCC, therefore rendering diagnostic biopsy unnecessary in many cases. This retrospective study included 23 patients with a biopsy diagnosis of HCC, performed either before or after local interventional procedures, in order to evaluate the histopathologic changes induced by previous procedures and their potential influence on the response to immune therapy. Material and Methods: The study encompassed a cohort of patients diagnosed with Hepatocellular Carcinoma (HCC). Diagnosis was established through contrast-enhanced computer tomography or magnetic resonance imaging that identified LI-RADS-5 nodules in conjunction with historical liver disease and elevated alpha-fetoprotein (AFP) levels, or through histological examination confirming positivity for glypican3, heat shock protein70, and glutamine synthetase. The study detailed the liver disease etiology, LI-RADS scores, characteristics and dimensions of HCC nodules, serum AFP concentrations, Edmondson-Steiner grading, and the expression of programmed cell death ligand 1 (PD-L1) in the tumor cells. Results: Among the study's cohort of Hepatocellular Carcinoma (HCC) patients, a portion had not received any prior treatments, while the remainder experienced local HCC recurrence following trans-arterial chemoembolization or radiofrequency ablation. Observations indicated elevated alpha-fetoprotein (AFP) levels in those who had not undergone any previous interventions, showing statistical significance. The Edmondson-Steiner classification predominantly identified grade III differentiation across patients, irrespective of their treatment history. Furthermore, an increase in intra-tumoral programmed cell death ligand 1 (PD-L1) expression was noted in patients who had not been subjected to previous therapies. Conclusion: Liver biopsy offers valuable insights for patients with Hepatocellular Carcinoma (HCC), assisting in the tailoring of immune therapy strategies, particularly in cases of recurrence following prior local interventions.

Nanotechnology has provided an opportunity for unparalleled development of the treatment of various severe diseases. The unique properties of nanoparticles offer a promising strategy in enhancing antitumor immunity by enhancing immunogenicity and presentation of tumor autoantigens for cancer immunotherapy. Polymeric, liposomal, carbon or silica-based nanoparticles are among those with major immunomodulatory roles in various cancer treatments. Cancer vaccines, in particular digestive cancer vaccines have been researched and developed on nanotechnological platforms. Due to their safety, controlled release, targeting of dendritic cells(DCs) and improved antigen uptake, as well as enhanced immunogenicity, nanoparticles have been used as carriers, as adjuvants for increased effect at the tumor level, for their immunomodulating effect, or for targeting tumor microenvironment, increasing tumor immunogenicity and reducing tumor inflamatory response. This review looks at digestive cancer vaccines developed on nanoparticle platforms and the impact nanoparticles have on the effects of these vaccines.

The medical sector is of the utmost importance in every country for well-known reasons such as their economic development, national security, quality of life, and so on. Many researchers were dedicated to this topic, however, in Romania there are limited studies on this subject. One reason is that most of the businesses in this sector are individual enterprises or small family businesses. In our research paper we deploy several analysis methods to see the financial sustainability of companies operating in the medical industry. By analyzing a sample of 23931 companies and we have concluded that their performance has increase in the peak of the pandemic and that the financial stability is high. Our results are in line with other similar studies that were conducted in other regions.

Condition monitoring is today a crucial and unavoidable practice related to the use of widespread mechanical components as rolling element bearings. Despite the diffusion of new data-driven techniques to analyze vibrational signals and detect the state of health of the system, mathematical tools, deriving more or less directly from the Fourier transform and defined either on the time or the frequency domain or on a combination of them (i.e. signal-based techniques), remain still essential and irreplaceable in the light of the deep and detailed information they provide. In this paper the diagnostic efficacy of an ample spectrum of these methods is investigated, applying them to study faults occurrence in the first bearing dataset released by NASA IMS Center. Thanks to their analytical definition, which is formulated taking into consideration to some extent the mathematical nature of the signal, faults signatures can be clearly identified and their temporal development can be fully traced, confirming their ability as powerful means to constantly monitor the state of a system even in real-time applications.

In this paper mathematical analysis of the HIV/AIDS deterministic model exposed in [Espitia, C. et. al. Mathematical Model of HIV/AIDS Considering Sexual Preferences Under Antiretroviral Therapy, a Case Study in San Juan de Pasto, Colombia, Journal of Computational Biology 29 (2022) 483–493] is made. The objective is to gain insight into the qualitative dynamics of the model determining the conditions for the persistence or effective control of the disease in the community through the study of basic properties such as positiveness and boundedness, calculus of basic reproduction number, stationary points such as disease free equilibrium (DFE), boundary equilibrium (BE) and endemic equilibrium (EE) are calculated, local stability (LAS) of disease free equilibrium. It research allow to conclude that the best way to reduce contagion and consequently to reach a DFE is thought to be the reduction of homosexual partners rate as they are the most affected population by the virus, and are therefore the most likely to become infected and to spread the infection. Increasing the departure rate of infected individuals, leads to a decrease in untreated infected heterosexual men and untreated infected women.

The new mineral species oyonite, ideally Ag3Mn2Pb4Sb7As4S24, has been discovered in the Uchucchacua polymetallic deposit, Oyon district, Catajambo, Lima Department, Peru, as very rare black metallic subhedral to anhedral crystals, up to 100 μm in length, associated with orpiment, tennantite/tetrahedrite, menchettiite, and other unnamed minerals of the system Pb-Ag-Sb-Mn-As-S, in calcite matrix. Its Vickers hardness (VHN100) is 137 kg/mm2 (range 132–147). In reflected light, oyonite is weakly to moderately bireflectant and weakly pleochroic from dark grey to a dark green. Internal reflections are absent. Reflectance values for the four COM wavelengths (Rmin, Rmax (%) (λ in nm)) are: 33.9, 40.2 (471.1); 32.5, 38.9 (548.3), 31.6, 38.0 (586.6); and 29.8, 36.5 (652.3). Electron microprobe analysis gave (in wt %, average of 5 spot analyses): Cu 0.76 (2), Ag 8.39 (10), Mn 3.02 (7), Pb 24.70 (25), As 9.54 (12), Sb 28.87 (21), S 24.30 (18), total 99.58 (23). On the basis of 20 cations per formula unit, the chemical formula of oyonite is Cu0.38Ag2.48Mn1.75Pb3.79Sb7.55As4.05S24.12. The main diffraction lines are (d in Å, hkl and relative intensity): 3.34 (-312; 40), 3.29 (-520; 100), 2.920 (-132; 40), 2.821 (-232; 70), 2.045 (004; 50). The crystal structure study revealed oyonite to be monoclinic, space group P21/n, with unit-cell parameters a = 19.1806 (18), b = 12.7755 (14), c = 8.1789 (10) Å, β = 90.471 (11)°, V = 2004.1 (4) Å3, Z = 2. The crystal structure was refined to a final R1 = 0.032 for 6272 independent reflections. Oyonite belongs to the Sb-rich members of the andorite homeotypic sub-series within the lillianite homologous series. The name oyonite is after the Oyon district, Lima Department, Peru, the district where the type locality (Uchucchacua mine) is located.

Solar photovoltaic (PV) technology is a cornerstone of the global effort to transition towards cleaner and more sustainable energy systems. This paper explores the pivotal role of PV technology in re-ducing greenhouse gas emissions and combatting the pressing issue of climate change. At the heart of its efficacy lies the efficiency of PV materials, which dictates the extent to which sunlight is transformed into electricity. Over the last decade, substantial advancements in PV efficiency have propelled the widespread adoption of solar PV technology on a global scale. The efficiency of PV materials is a critical factor, determining how effectively sunlight is transformed into electricity. Enhanced efficiency, achieved through a decade of progress, has driven the global expansion of solar PV. Multi-junction photovoltaic materials have now exceeded 40% efficiency in lab tests. China leads the world in solar PV installations, boasting over 253 GW of installed capacity by the end of 2021. Other prominent countries in this sector are the United States, Japan, Germany, and India. Supportive policies like feed-in tariffs, net metering, tax incentives, and cost reductions in PV modules have made solar PV increasingly competitive against fossil fuel-based power generation. Solar PV technology holds immense potential for creating a cleaner, reliable, scalable, and cost-effective electricity system. To expedite its deployment and foster a more sustainable energy future, continued investment in research and development, along with supportive policies and market mechanisms, is essential. This paper underscores the pivotal role of solar PV technology in the global energy transition and advocates for a concerted effort to unlock its full potential in achieving a more sustainable and resilient energy future.

Every (multimedia) service needs to be accessible. Accessibility for multimedia content is typically provided by means of access services, of which subtitling is likely the most widespread one. Up to date, many recommendations and solutions for subtitling classical 2D audiovisual services are available. Likewise, recent efforts have been devoted to devising adequate subtitling solutions for VR360 video content. This paper, for the first time, goes a step beyond, by exploring two key requirements to fulfill remaining challenges towards efficiently subtitling 3D Virtual Reality (VR) content: presentation modes, and guiding methods. By leveraging insights from earlier work on VR360 content, the paper proposes novel presentation modes and guiding methods to not only deal with the freedom to explore the omnidirectional scenes, but also with additional specificities of 3D VR compared to VR360 content: depth, 6 Degrees of Freedom (6DoF), and viewing perspectives. The obtained results prove that always-visible and a novel proposed comic-style presentation mode are far more appropriate than state-of-the-art fixed-positioned subtitles, mainly in terms of immersion, ease and comfort of reading, and identification of speakers, when applied to professional pieces of content with limited displacement of speakers and with limited 6DoF (i.e. users are not expected to largely navigate around the virtual environment). Likewise, even in such limited movement scenarios, the results show that the use of indicators (arrows), as guiding methods, is well received. Overall, the paper provides relevant insights and paves the way toward efficiently subtitling 3D VR content.

This study focuses on the design, installation, and performance evaluation of a photovoltaic farm situated in Tulcea County, Romania, connected to a 20 kV distribution network. The farm, with a peak capacity of approximately 2800 kWp, benefits from Romania’s favorable climate conditions and supportive renewable energy policies. The analysis encompasses both the photovoltaic panel array and the electrical energy evacuation system. The substation at the park is equipped with technology that adheres to European standards and incorporates advanced features typical of modern electricity distribution networks. The assessment includes an evaluation of the park’s operational efficiency, with detailed calculations of the performance ratio and various power losses attributed to factors like temperature fluctuations, fouling, inverter efficiency, grid-related challenges, and availability issues. The farm contributes around 3620 MWh of electricity to the grid annually, demonstrating the effectiveness of photovoltaic installations in promoting sustainable energy solutions within regional energy networks.

COVID-19, the infectious disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), is frequently associated with pulmonary thrombotic events, especially in hospitalised patients. Severe SARS-CoV-2 infection is characterized by a proinflammatory state and an associated disbalance in hemostasis. Immune pathology analysis supports the inflammatory nature of pulmonary arterial thrombi composed by white blood cells, especially neutrophils, CD3+ and CD20+ lymphocytes, fibrin, red blood cells and platelets. Immune cells, cytokines, chemokines and the complement system are key drivers of immunothrombosis, as they induce the damage of endothelial cells and initiate pro-inflammatory and pro-coagulant positive feedback loops. Neutrophil extracellular traps induced by COVID-19-associated “cytokine storm”, platelets, red blood cells, and coagulation pathways close the inflammation-endotheliopathy-thrombosis axis, contributing to SARS-CoV-2 associated pulmonary thrombotic events. The hypothesis of immunothrombosis is also supported by the minor role of venous thromboembolism, chest CT imaging data showing peripheral blood clots associated with inflammatory lesions and the high incidence of thrombotic events despite routine thromboprophylaxis. Understanding the complex mechanisms behind COVID-19-induced pulmonary thrombosis will lead to future combination therapies for hospitalised patients with severe disease, that would target the crossroads of inflammatory and coagulation pathways.

A forecasting scheme of the thermal updraft velocity based on a theoretical model and data collected from flights records at gliding competitions, is presented. The forecasting scheme was based on the hypothesis that there is linear relationship between the overheat function at ground surface and the temperature difference between soil and air. The proportionality factor of this relationship was determined experimentally using observations recorded during gliding flights. The results showed that based on this simple scheme forecasting thermal convection is possible at any geographical location.

The mental workload induced by a Web page is essential for improving the user’s browsing experience. However, continuously assessing the mental workload during a browsing task is challenging. In order to face this issue, this paper leverages the correlation between stimuli and physiological responses, which are measured with high-frequency, non-invasive psychophysiological sensors during very short span windows. An experiment was conducted to identify levels of mental workload through the analysis of pupil dilation measured by an eye-tracking sensor. In addition, a method was developed to classify real-time mental workload by appropriately combining different signals (electrodermal activity (EDA), electrocardiogram, photoplethysmography (PPG), electroencephalogram (EEG), temperature and eye gaze) obtained with non-invasive psychophysiological sensors. The results show that the Web browsing task involves on average four levels of mental workload. Also, by combining EEG with the PPG and EDA, the accuracy of the classification reaches 95.73 %.

Protein malnutrition is present in developing countries but also in developed ones, due by the actual eating habits with insufficient protein intake, in addition to this it is estimated by the Food and Agricultural Organization of the United Nations an increase of world population of 9.1 billion people in less those 30 years, posing the challenge of nourish the mankind. There are different strategies to afford this challenge, one of the most promising ones is to approach novel protein sources like plants, microorganisms, and insects from dry lands.

A substantial body of phenomenological and theoretical work over the last few years strengthens the possibility that the vacuum energy density (VED) of the universe is dynamical, and in particular that it adopts the `running vacuum model' (RVM) form, in which the VED evolves mildly as $\delta \rho_{\rm vac}(H)\sim \nu_{\rm eff} m_{\rm Pl}^2{\cal O}\left(H^2\right)$, where $H$ is the Hubble rate and $\nu_{\rm eff}$ is a (small) free parameter. This dynamical scenario is grounded on recent studies of quantum field theory (QFT) in curved spacetime and also on string theory. It turns out that what we call the `cosmological constant', $\Lambda$, is no longer a rigid parameter but the nearly sustained value of $8\pi G(H)\rho_{\rm vac}(H)$ around (any) given epoch $H(t)$, where $G(H)$ is the gravitational coupling, which can also be very mildly running (logarithmically). Of particular interest is the possibility suggested in past works that such a running may help to cure the cosmological tensions afflicting the $\Lambda$CDM. In the current study, we reanalyze it in full and we find it becomes further buttressed. Using the modern cosmological data, namely a compilation of the latest SNIa+BAO+$H(z)$+LSS+CMB observations, we probe to which extent the RVM provides a quality fit better than the concordance $\Lambda$CDM model, paying particular emphasis on its impact on the $\sigma_8$ and $H_0$ tensions. We utilize the Einstein-Boltzmann system solver \texttt{CLASS} and the Monte Carlo sampler \texttt{MontePython} for the statistical analysis, as well as the statistical DIC criterion to compare the running vacuum against the rigid vacuum ($\nu_{\rm eff} = 0$). On fundamental grounds, $\nu_{\rm eff}$ receives contributions from all the quantized matter fields in FLRW spacetime. We show that with a tiny amount of vacuum dynamics ($|\nu_{\rm eff}|\ll 1$) the global fit can improve significantly with respect to the $\CC$CDM and the mentioned tensions may subside to inconspicuous levels.

Penile cancer (PeCa) is a rare urological malignancy characterized by significant geographic variations in both incidence and mortality rates. Due to its rarity and the consequent lack of randomized trials, current management is based on retrospective studies and small prospective trials. In addition, the diagnostic pathways and treatment strategies exhibit substantial heterogeneity, differing significantly between less developed and well-developed countries. The prognosis of PeCa is determined by the presence and extent of regional lymph node (LN) involvement. Therefore, early detection and treatment of LN metastasis is paramount to ensure better outcomes. In recent decades, the overall survival for PeCa has increased, mainly due to advancements in imaging techniques and risk stratification. We aim to provide an overview of the current role of PET CT imaging in the management of patients with PeCa.

The present study evaluates the response to betahistine in patients who presented vestibular drops attacks in the context of Ménière's disease (MD) and the factors that can predict an unfavorable response to it. A total of 43 patients were analyzed, out of which 33 were diagnosed with MD. It is a descriptive, cross-sectional study with retrospective data collection. Data as regards age, accompanying symptoms, etiological diagnosis and response to MD treatment were collected. A statistical analysis was carried out, and we found that the disease evolution time and specific alterations in the vestibulospinal and oculomotor physical examination present an unfavorable response to betahistine, as opposed to the use of intratympanic gentamicin, with which symptomatic control is achieved in 100% of the cases.

The current challenges in the food packaging field are, on one side, replacing plastic from non-renewable sources with biopolymers and, on the other hand, generating a packaging material with attractive properties for the consumer. Nowadays, the consumer is concerned ecologically; the food packaging industry must ahead satisfy their needs. In this sense, incorporating several compounds with properties such as antioxidant, antimicrobial, or nutraceutical properties results attractive for the consumers. However, many of these properties can be diminished, so an encapsulation system is required. A good encapsulating system is crucial for these purposes, so polyelectrolyte complexes (PECs) can be used with that finality. Nowadays, PECs are eye-catching in many fields because of their fascinating properties, which make them very attractive, mainly for being used as encapsulating systems. Hence, this paper reviews the use of PECs in food packaging where chitosan forms polyelectrolyte complexes.

This study aimed to assess the physical characteristics of elite international soccer referees, compare them with other referee populations in the literature, and establish reference tolerance ellipses for the bioelectrical impedance vector analysis (BIVA) point graph. Forty-one elite international soccer referees (age 38.8 ± 3.6 years) participated in the study. the participants underwent body composition assessments, including dual-energy X-ray absorptiometry, BIVA, and somatotype. The Somatotype Attitudinal Distance (SAD), the two-sample Hotelling’s T2 test, and the Mahalanobis test were used to determine somatotype and bioelectrical vector differences with the literature. The average somatotype of the referees was a balanced mesomorph (2.8, 6.5, 2.8). Elite international referees significantly differed from other samples in the literature (SAD = 2.1, 2.6, 2.9 with respect to Zimbabwean, Brazilian, and South African referees, respectively). The bioelectrical vector was significantly different from the general population (T2  76.6; F = 38.8; D = 1.44; P < 0.001) and athletes (T2  25.3; F = 12.6; D = 0.8; P < 0.001). Somatotype values and tolerance ellipses from this study may be useful as a reference for developing training programs and improving the selection process of referees in soccer.

The use of biodegradable materials has a growing field of application due to environmental concerns, however, scientific research on incremental forming using biomaterials is scarce. Thus, this study focuses on the single point incremental forming (SPIF) process applied to a composite sheet that combines a biodegradable thermoplastic matrix (Solanyl) reinforced with natural fibres (flax). The influence of the process parameters on the final geometry is determined, evaluating the effect of the following factors: step depth, wall angle and temperature reached during the process. Additionally, a heated aqueous medium is incorporated which facilitates the formability of the composite sheets. This method is especially useful for materials that have poor formability at room temperature. The benefits of using controlled heat include the reduction of formation forces applied to the plate, improved accuracy due to the reduction of elastic recovery, and the manipulation of the samples remarkably close to the glass transition temperatures. Through this experimental study with the variables analysed, a maximum shaping depth of 310 mm is obtained. These results confirm that the single point shaping used with bioplastic materials is possible and has positive outcomes for incremental forming.

Introduction: Situated within the broad spectrum of lymphoproliferative diseases, Hodgkin (HL) and non-Hodgkin lymphomas (NHL) are neoplasms renowned for their complexity and heterogeneity, insidious onset, and frequent detectability at advanced, even terminal, stages worldwide.Objectives: The study aimed to compile conclusive statistics, identify genetic factors, and establish correlations with environmental carcinogens, while simultaneously highlighting the importance of developing preventive informational programs for the population.Materials and Methods: The retrospective study encompassed individuals admitted to the Hematology Clinic of "Sfântul Spiridon" Hospital in Iași between January 1, 2010 and December 31, 2019. Out of 1916 patients hospitalized with hematologic neoplasms, 392 were diagnosed with lymphoma. Eighty-four cases exhibiting genetic predisposition (21.42%) were selected, among which 20 displayed a heightened genetic burden (5.1%). These cases were thoroughly analyzed based on medical records.Results and discussion: The study underscores/highlights/emphasizes the significant position of malignant lymphomas among hematologic neoplasms (20.45%). Although the majority do not present malignant heredocolateral antecedents(78.58%), with an estimated empirical recurrence risk(2-4%), predisposing diseases, along with exposure to environmental carcinogens, as well as the region of residence, play fundamental roles in the determinism. It is observed that older individuals from urban agglomerations, especially males (54-70%), have a higher probability of developing these conditions and are therefore recommended to undergo regular check-ups.Conclusion: Unequivocally characterized by a vast etiology, multifactorial diseases result from the bilateral interaction between environmental and hereditary factors.

The manuscript presents the applicability of the Gumbel distribution in the frequency analysis of extreme events in hydrology. The advantages and disadvantages of using the distribution are highlighted, as well as recommendations regarding its proper use. A literature review was also carried out regarding the methods of estimating the parameters of the Gumbel distribution. Thus, for the verification of the methods, case studies are presented regarding the determination of the maximum annual flows and precipitations using nine methods for parameter estimation. The influence of the observed data lengths on the estimation of the statistical indicators, the parameters and the quantiles corresponding to the field of low annual exceedance probabilities (p <1%) is also highlighted. The results are compared to those obtained with the Generalized Extreme Value distribution, respectively the Burr and the Wakeby distributions with parameters estimated using the L-moments. The results highlight and reaffirm the statistical, mathematical and hydrological recommendation regarding the avoidance of using the Gumbel distribution in Flood Frequency Analysis and its use with reservations in the case of maximum precipitation, especially when the statistical indicators of the analyzed data are not close to the characteristic ones and unique to the distribution.

Piggery wastewater (PWW) is characterized by its high concentrations of organic matter and ammonium, and by their odour nuisance. Traditionally, PWW has been treated in open anaerobic lagoons, anaerobic digesters and activated sludge systems, which exhibit high greenhouse gas emissions, a limited nutrients removal and a high energy consumption, respectively. Photosyn-thetic microorganisms can support a sustainable PWW treatment in engineered photobioreactors at low operating costs and with an efficient recovery of carbon, nitrogen and phosphorous. These microorganisms are capable of absorbing solar irradiation through the photosynthesis process to obtain energy, which is used for their growth and associated carbon and nutrients assimilation. Purple phototrophic bacteria (PPB) represent the photosynthetic microorganisms with the most versatile metabolism in nature, while microalgae are the most studied photosynthetic microor-ganisms in recent years. This review describes the fundamentals, symmetry and asymmetry of PWW treatment using photosynthetic microorganisms such as PPB and microalgae. The main photobioreactor configurations along with the potential of PPB and microalgae biomass valori-zation strategies are also discussed.

General–purpose automatic speech recognition (ASR) systems have improved their quality and are being used for pronunciation assessment. However, the assessment of isolated short utterances, as words in minimal pairs for segmental approaches, remains an important challenge, even more for non-native speakers. In this work, we compare the performance of our own tailored ASR system (kASR) with the one of Google ASR (gASR) for the assessment of Spanish minimal pair words produced by 33 native Japanese speakers in a computer-assisted pronunciation training (CAPT) scenario. Participants of a pre/post-test training experiment spanning four weeks were split into three groups: experimental, in-classroom, and placebo. Experimental group used the CAPT tool described in the paper, which we specially designed for autonomous pronunciation training. Statistically significant improvement for experimental and in-classroom groups is revealed, and moderate correlation values between gASR and kASR results were obtained, beside strong correlations between the post-test scores of both ASR systems with the CAPT application scores found at the final stages of application use. These results suggest that both ASR alternatives are valid for assessing minimal pairs in CAPT tools, in the current configuration. Discussion on possible ways to improve our system and possibilities for future research are included.

Temporomandibular disorders (TMDs) refer to a group of conditions that affect the temporomandibular joint, causing pain and dysfunction in the jaw joint and related muscles. The diagnosis of TMDs typically involved clinical assessment through operator-based physical examination, self-reported questionnaire and imaging studies. To objectivize the measurement of TMD, this study aims at investigating on the feasibility to use machine-learning algorithms fed with data gathered from low-cost and portable instruments to discriminate the presence of TMD in adult subjects. Through this aim, the experimental protocol involved fifty participants, equally distributed between TMD and healthy subjects, acting as control group. The diagnosis of TMD has been performed by a skilled operator through the typical clinical scale. Participants underwent to a baropodometric analysis by using a pressure matrix and the evaluation of the cervical mobility through inertial sensors. Nine machine-learning algorithms belonging to support vector machine, k-nearest neighbours and decision tree were compared. The k-nearest neighbours based on cosine distance was found as the best performing, achieving performance of 0.94, 0.94 and 0.08 for the accuracy, F1-score and G-index, respectively. These findings open the possibility to use such methodology to support the diagnosis of TMDs in clinical environments.

2S-hesperidin is a flavanone (flavonoid) found in high concentrations in citrus fruits. It has an antioxidant and anti-inflammatory effect, improving performance in animals. This study investigated the effects of chronic intake of an orange extract (2S-hesperidin) or placebo on aerobic-anaerobic and metabolic performance markers in amateur cyclists. A double-blind, randomized, placebo-controlled trial was carried out between late September and December 2018. Forty amateur cyclists were randomized into two groups: one taking 500mg/day 2S-hesperidin and other taking 500 mg/day placebo (microcellulose) for 8 weeks. All participants completed the study. Performance and metabolic aerobic-anaerobic markers were measured using incremental and rectangular tests by indirect calorimetry. The anaerobic power was determined using Wingate tests. After 8 weeks supplementation, there was a significant increase in the incremental test in estimated functional threshold power (FTP) (3.23%; p≤0.05) and maximum power (2.68%; p≤0.05) with 2S-Hesperdin compared to placebo. In the rectangular test, there was a significant decrease in VO₂ (-8.26%; p≤0.01) and VO₂R (-8.88%; p≤0.01) at VT2 in placebo; however, there were no significant differences between groups. In the Wingate test, there was a significant increase (p≤0.05) in peak and relative power in both groups, but without significant differences between groups. Supplementation with an orange extract (2S-hesperdin) 500mg/day improves estimated FTP and maximum power performance in amateur cyclists.

Abstract: The widespread and popular use of TADs for orthodontic anchoring has become a daily routine in clinical orthodontic treatment. However, as there have been many accidents over the past decade, safety action is needed to help reduce these accidents. We have advocated using the surgical guide and developed a procedure that can benefit patients and orthodontists. The first part of this paper is about the rationale for making the surgical guide for various implant placements that were observed. Due to their anatomical structure, some placements may require particular attention, which is focused on and discussed in length. The second part deals with fabricating the surgical guide in the laboratory procedure. The data from the intraoral SLT acquisition was extracted, and with the DICOM data from CBCT and in a 3-Shapes software, the guidance was designed. The detailed and step-by-step laboratory procedure, CAD/CAM, and 3D printers to make the surgical guide for TADs are explained. The procedure is performed in an easy-to-understand manner to make using the surgical guide possible for the daily practice of orthodontics (Pubmed).

Hospitals are perpetually challenged by the dual requirements of concurrently improving the quality of healthcare and maintaining financial solvency. Both issues are among the top concerns for hospital executives across the United States, yet some have questioned if the efforts to enhance quality are financially sustainable. led us to examine if improving quality in the hospital setting impacts revenue. Using multivariate regression, we assessed if numerous quality measures were associated with our targeted measure of hospital profitability: the net patient revenue per adjusted discharge. The independent variables included the HCAHPS Summary Star Rating, Hospital Compare Overall Rating, All-Cause hospital-wide Readmission Rate, Total Performance Score, Clinical Outcomes Domain Score, Safety Domain Score, Person and Community Engagement Domain Score, and the Efficiency and Cost Reduction Score. Our results indicated that improving quality was significantly associated with improved net patient revenue per adjusted discharge for seven of the eight of these quality measures at the hospital level. It is clear that failing to address quality and patient safety issues is costly for US hospitals, thus we believe our findings support the premise that increased attention to the quality of care delivered as well as patients’ perceptions of care may allow hospitals to accentuate profitability and advance a hospital’s financial position.

The metastatic disease is a complex and sequential process that involves the migration of tumor cells from the primary site to distant areas. This metastatic pathway is not always predictable. Therefore, this paper presents three rare cases of unusual metastases, due to their primary site: two metastases of a clear cell renal cell carcinoma, one gingival and one nasal, as well as a mandibular metastasis of a hepatocellular carcinoma. In all cases, an incisional biopsy was performed in order to sign out the diagnosis. After microscopical examination of morphological Hematoxylin and Eosin stained slides, for all cases, immunohistochemical reactions were performed to support the primary tumor site. Two cases had a previous histopathological diagnosis of a primary tumor, while for the third case, the metastatic lesion represented the first manifestation of the neoplastic disease, with an unfavorable prognosis.

Cash crops are agricultural crops intended to be sold for profit as opposed to subsistence crops, meant to support the producer, or to support livestock. Since cash crops are intended for future sale, they translate into large financial value when considered on a wide geographical scale, so their production directly involves financial risk. At a national level, extreme weather events including destructive rain or hail, as well as drought, can have a significant impact on the overall economic balance. It is thus important to map such crops in order to set up insurance and mitigation strategies. Using locally generated data -such as municipality-level records of crop seeding- for mapping purposes implies facing a series of issues like data availability, quality, homogeneity etc. We thus opted for a different approach relying on global datasets. Global datasets ensure homogeneity and availability of data, although sometimes at the expense of precision and accuracy. A typical global approach makes use of spaceborne remote sensing, for which different land cover classification strategies are available in literature at different levels of cost and accuracy. We selected the optimal strategy in the perspective of a global processing chain. Thanks to a specifically developed strategy for fusing unsupervised classification results with environmental constraints and other geospatial inputs including ground-based data, we managed to obtain good classification results despite the constraints placed. The overall production process was composed using ``good-enough" algorithms at each step, ensuring that the precision, accuracy, and data-hunger of each algorithm was commensurate to the precision, accuracy, and amount of data available. This paper describes the tailored strategy developed on the occasion as a cooperation among different groups with diverse backgrounds, a strategy which is believed to be profitably reusable in other, similar contexts. The paper presents the problem, the constraints and the adopted solutions; it then summarizes the main findings including that efforts and costs can be saved on the side of Earth Observation data processing when additional ground-based data are available to support the mapping task.

A therapy’s outcome is determined by a tumor’s response to treatment which, in turn, depends on multiple factors such as the severity of the disease and the strength of patient’s immune response. Gold standard cancer therapies are in most cases fragile when sought to break the ties to either tumor kill ratio or patient toxicity. Lately, research has shown that cancer therapy can be at most robust when handling adaptive drug resistance and immune escape patterns developed by evolving tumors. This is due to the stochastic and volatile nature of the interactions, at the tumor environment level, tissue vasculature, and immune landscape, induced by drugs. Herein, we explore the path towards antifragile therapy control, that generates treatment schemes that are not fragile but go beyond robustness. More precisely, we describe a first instantiation of a control-theoretic method to make therapy schemes cope with the systemic variability in the tumor–immune–drug interactions and gain more tumor kill with less patient toxicity. Considering the anti-symmetric interactions within a model of the tumor–immune–drug network, we introduce the antifragile control framework that demonstrates promising results in simulation. We evaluate our control strategy against state-of-the-art therapy schemes on various experiments and discuss the insights we gained on the potential that antifragile control could have in treatment design in clinical settings.

Peri-implant infective diseases seem to be the most common cause for the late dental implant failure. Therefore, peri-implant microbiota has been intensively studied in modern implantology. Many studies showed a presence of extremely varied microflora in cases of peri-implant infective diseases. The main scope of this observational single-blind study was to analyze the presence of some microbial species in a group of patients with clinical signs of peri-implant mucositis compared to two other groups (patients treated with dental implants but without any clinical signs of peri-implant inflammation and patients treated with no dental implants). The identification of microorganisms was followed by an antibiogram in order to find their sensitivity to various antibiotics. The results showed a microbiota not necessarily specific for each situation (peri-implant infective diseases, healthy tissues around dental implants and healthy natural teeth and gums) with species like Candida albicans, Neisseria mucosa, Prevotella, Staphylococcus aureus, Streptococcus and others. Peri-implant infective diseases presented more bacterial species than other conditions.

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by impairments in social interaction and communication, anxiety, hyperactivity, and restricted interest for specific subjects. In addition to the genetic factors, multiple environmental factors have been related to the development of ASD. Animal models can serve as crucial tools for understanding the complexity of ASD and identifying potential therapeutic strategies. In this study, a chemical model of ASD has been developed in zebrafish by exposing embryos to valproic acid (VPA) from 4 to 48 hours post-fertilization. After the exposure, embryos were transferred to fish water and the effects on behavior and neurotransmitters profile were analyzed at both larval and adult stages. Larvae from VPA-treated embryos showed hyperactivity and decreased visual and vibrational escape responses, as well as an altered neurotransmitters profile, with increased glutamate and decreased acetylcholine and norepinephrine levels. Adults from VPA-treated embryos exhibited impaired social behavior characterized by larger shoal sizes and a decreased interest for their conspecifics. Neurotransmitter analysis revealed a significant decrease in dopamine and GABA levels in the brain. These results support the interest of this model in the study of ASD.

Healthcare workers (HCW) have been the professional category most exposed to SARS-CoV-2. The pandemic’s impact on HCW was analyzed in terms of COVID-19-related temporary disability (TD) between February 15 2020 and May 1 2021. TDs in HCW for COVID-19 infection or quarantine were described. TD quarantine/infection ratios and TDs per 100,000 affiliated HCW were compared with the cumulative incidence (CI) of COVID-19 cases notified to the National Network of Epidemiological Surveillance. TDs rates by economic activity and occupation were computed. A total of 429,127 TDs were recorded, 36,6% for infection. Three-quarters (76%) were women. The median TD quarantine/infection ratio was 2.5 (Interquartile range [IQR] 1.5-3.9). TDs rates in HCW were always above the CI except for the last two months of the fourth wave. Hospital activities accounted for 84% of TDs and showed the highest TD rate for infection (8,279/100,000). The highest TDs rates were registered among Nursing assistants, Nursing professionals and Physicians: 7,426, 6,925 and 5,508/100,000, respectively. The results demonstrate the high impact of COVID-19 on HCW in Spain and it’s inequalities. They also confirm that TDs represent a complementary source of information for epidemiological and public health surveillance and could provide an early warning of new emerging infections.

Water and water habitats are essential to life and to the wellness of the communities that rely on them, as the Danube river is subject to human impact and vice versa, periodic surveys are required to determine the status of its pollution levels. In this work we used known microbiological indicators as well as physico-chemical ones to assess the ecotoxicological status of the Danube river from eleven locations partially forming the “Romanian–Bulgarian Danube Sector”. Most of the microbial communities found, and their densities, could be explained by point and diffuse sources scattered along the sector such as discharged household and farm wastewater, as well as nearby agricultural areas where fertilizers have been used and then leaked in the water stream during rainfalls. However, microbial data on non-point sources that lead to diffuse pollution of surface waters could be linked to such parameters and furthermore shown a slight correlation with the current status of fish communities.

Psoriasis is a chronic recurrent inflammatory autoimmune pathology, with a major genetic component and several interferences of immunological cells and their cytokines. The complex orchestration of psoriasis pathogenesis is related to the synergic effect of immune cells, polygenic alterations, the presence of autoantigens and several external factors. The major act of IL-23/IL-17 axis, strongly influencing the inflammatory pattern established during the disease activity, is visible as a continuous perpetuation of the pro-inflammatory response and keratinocyte activation and proliferation leading to the development of psoriatic lesions. Genome wide association studies (GWAS) along offered a better view of psoriasis pathogenic pathways, with approximately one third of psoriasis genetic impact on psoriasis development is associated to MHC region, with genetic loci located on chromosome 6. The most eloquent genetic factor of psoriasis, PSORS1, was identified in the MHC I site. Between the several factors involved in its complex etiology, dysbiosis, due to genetic or external stimulus, exhibiting less variety and the involvement of pathogenic bacteria, cand induce a burst of proinflammatory consequences, both cutaneous and gut microbiome being involved in psoriasis pathogenic process. A complex understanding of the major pathways that interplay in order to initiate and perpetuate psoriatic diseases and its associated comorbidities can help the current clinical practice by properly evaluating completely and individualized each patient and establish the proper therapeutic management.

Background: In PE, the methodology used to develop coeducation must consider the tastes and preferences of students. The purpose of this work was to analyze how teachers work with different aspects of PE classes and how their work is perceived by students. Methods: The sample was formed by 176 teachers and 1,136 secondary school students. The research design was descriptive. The Questionnaire of Coeducational Aspects in Physical Education for teachers and the Questionnaire of Perception of Equality and Discrimination in Physical Education for Students. Results: The different statistical analyses showed significant differences in how male and female teachers assigned responsibility to the students and their control of motor activity space. In regards to the students, significant differences were found between boys and girls in their opinions of how their teachers apply the same rules to all the students. Conclusions: No differences exist between male and female teachers in regards to their utilization neither of materials and sexist language or in their evaluation and feedback given to the students. In regards to the students, girls perceive to a greater extent than their male counterparts that the activities in PE classes promote equality in the improvement of their capacities.

Hepatocellular carcinoma is the most common primary malignant hepatic tumor and occurs most often in the setting of chronic liver disease. Liver transplantation is a curative treatment option and is an ideal solution because it solves the chronic underlying liver disorder while removing the malignant lesion. Because of organ shortages this treatment can only be applied to carefully selected patients according to clinical guidelines to minimize risk of recurrence. Artificial intelligence is an emerging technology with multiple applications in medicine with a predilection for domains that work with medical imaging like radiology. With the help of these technologies laborious tasks like segmentation can be automated and workflow in radiology departments can be improved. Other roles include in depth pixel-wise analysis of lesions by radiomics or deep learning in order to find new imaging criteria that allow better prediction of treatment response or risk of recurrence. Liver transplant is an ideal treatment for patients with hepatocellular carcinoma in the setting of chronic liver disease and artificial intelligence could provide solutions for improving the management of liver transplant candidates to improve survival.

Constant exposure to a variety of environmental factors has become increasingly problematic. A variety of illnesses are initiated or aided by the presence of certain perturbing factors. In the case of autism spectrum disorder, the environmental component begins to play an important part in de-termining the overall picture. Moreover, the lack of therapies to relieve existing symptoms com-plicates the fight against this condition. As a result, the use of animal models has made biomedical research easier and more suited for disease investigations. The current study used zebrafish as an animal model to mimic a real-life scenario: acute exposure to an increased dose of pesticides, fol-lowed by prospective intervention-based therapy with vitamin B12 (vit. B12). It is known that vit. B12 is involved in brain function, nerve tissue and red blood cell formation. Aside from this, the role of vit. B12 in the redox processes was recognized for its help against free radicals. To investigate the vit. B12 effect, fish were divided in four different groups and exposed to a pesticide mixture (600 μg L-1 fipronil + 600 μg L-1 pyriproxyfen) and 0.24 μg L-1 vit. B12 for 14 days. The impact of the compound was assessed daily by EthoVision software for behavioral observations, especially for sociability, quantified by the social interaction test. In addition, at the end of the study, the activities of su-peroxide dismutase (SOD), glutathione peroxidase (GPx), and malondialdehyde (MDA) were measured. Results showed significant improvements for locomotor activity parameters and a pos-itive influence of vitamin on sociability. Regarding the state of oxidative stress, a high activity was found for SOD and GPx in the case of vit. B12, while the mixture of pesticides and vitamin had a lower level of MDA. In conclusion, the study brings new data about the effect of vit. B12 in zebrafish, highlighting the potential use of vitamin supplementation to maintain and help the organism function.

The role of public-sector organizations (PSOs) for promoting the agenda of sustainability accounting and accountability is often not adequately considered [1]. In the public sector universe, Local Governments are close to their communities and thus have a particularly important role to play in the pursuit of sustainability goals [2,3]. Hence, further research is still needed to understand if Local Governments Organizations (LGOs) are still using reporting tools to promote sustainable development. The empirical data show that the Sustainability Report (SR) is not having the spread assumed in the past years; over time, the great majority of Italian Municipalities does not continue or embark on a path of sustainability reporting. The findings suggest the fashion of SR in Italy is falling and it seems that the SR tool is a “mere trend reporting based on descriptive indicators leads to decreasing interest from internal and external audiences” [4]. The carrot is unsuccessful; maybe the mandatory requirements could be a stick?

The Directive 2014/95, in force in 2017, is the first European step that requires mandatory non-financial information to undertakings (all “public interest entities” with more than 500 employees). The regulation is concerning sustainability information as environmental, social and employee, human rights and anti-corruption and bribery matters and disclosure of diversity policy for board members. The study, in the strand of the regulation of accounting, part of the broader field of research into accounting regulation, contributes to the debate on the quality of regulation, in this specific case referred to sustainability disclosure. The regulation of sustainability matters is studied in literature broadly in a post-implementation phase and at national level. This research, instead, aims to analyse, through the causal chain of regulatory policy, in the ex-ante stage, the quality of the regulation and, at least, the usefulness of the normative pressure. The Oil & Gas sector is chosen as sample of the study, because it is one of the most advanced sectors in sustainability disclosure. The examination of the law, in terms of content requirements (what) and location of information (where), is the basis to apply the disclosure-scoring system, a partial form of content analysis, to the reports of the sample. The findings reveal a good level of completeness of non-financial information, however, there are some areas that have to be improved to reach the requests of the Directive. Results show also the presence of overlap between financial reports and sustainability ones. In conclusion, the regulation is useful to prompt undertakings to reflect on their reporting and so doing improve their sustainability approach.

The present study aims to evaluate the ability of peonidin and petunidin-3-glucoside (Peo and Pet-3-glc) and their metabolites (vanillic acid; VA and methyl-gallic acid; MetGA), to prevent monocyte (THP-1) adhesion to endothelial cells (HUVECs), and to reduce the production of VCAM-1, E-selectin and VEGF in a stimulated pro-inflammatory environment, a pivotal step of atherogenesis. Tumor necrosis factor-α (TNF-α; 100 ng mL-1) was used to stimulate the adhesion of labelled monocytes (THP-1) to endothelial cells (HUVECs). Successively, different concentrations of Peo-3-glc and Pet-3-glc (0.02, 0.2, 2 and 20 µM) and VA and MetGA (0.05, 0.5, 5 and 50 µM) were tested. After 24 h, the production of VCAM-1, E-selectin and VEGF was quantified by ELISA kits, while the adhesion process was measured spectrophotometrically. Peo-3-glc and Pet-3-glc (from 0.02 to 20 µM) significantly (p<0.0001) decreased THP-1 adhesion to HUVECs at all concentrations (-37%, -24%, -30% and -47% for Peo-3-glc; -37%, -33%, -33% and -45% for Pet-3-glc). VA, but not MetGA, reduced the adhesion process at 50 µM (-21%; p<0.001). At the same concentrations, a significant (p<0.0001) reduction of E-selectin, but not VCAM-1, was documented. In addition, anthocyanins and their metabolites significantly decreased (p<0.001) VEGF production. The present findings suggest, that while Peo-3-glc and Pet-3-glc, but not their metabolites, reduced monocyte adhesion to endothelial cells through suppression of E-selectin production, VEGF production was reduced by both anthocyanins and their metabolites suggesting a role in regulation of angiogenesis.