The main objective of this study was to compare the removal efficiency of nutrients using Lactuca sativa, Medicago sativa and Phragmites australis in subsurface flow constructed wetlands with horizontal flow. In order to test water quality, fabricated reactors designed and the plants cultivated in the soil while their root were inside the wastewater. A long time study carried out from spring till end of autumn (9 months) in order to evaluate the difference in removal rate based on the seasonal changes. The highest removal rate was during summer which followed by spring and autumn. Thus, the effect of plants on the removal efficiency of organic matter (COD, BOD), TSS and nutrient (P and TN) appeared to be dependent on the seasonal growth. Phragmites australis the most sensitive species in order the removal of nutrient from wastewater.

The implementation of management systems has become a strategic advantage in achieving business goals, especially in industrial organizations, but the implementation of social responsibility requirements is especially ethical. Large multinational companies have long been developing and, in particular, implementing their own codes of conduct, which include their suppliers, to demonstrate their commitment to Corporate Social Responsibility (CSR). The compliance with CSR requirements from stakeholders is thus extended or intertwined with requirements in established management systems (MSs). The objectives of the study were to (1) analyze the different approaches to CSR in internationally recognized cross-industry and industry-specific standards and codes in different industries; (2) select the most appropriate framework for assessing the degree of applicability of CSR in the selected management systems and develop a methodology for its assessment; (3) apply the proposed methodology (referred to as SRIMS) in the selected areas: automotive industry, research organization, and metallurgical industry; (4) through ANOVA, validate its use for assessing the overall level of CSR applicability in an organization's established management systems. The application of the Bonferroni method confirmed the hypotheses that the developed SRIMS model is a sufficiently appropriate tool for assessing the overall level of applicability of CSR requirements to established MSs.

The Covid-19 pandemic was a challenge for the whole world and it had major secondary effects on humans and environmental health. The viral infection induced, in many situations, secondary bacterial infections, especially enteric infections by destabilizing the balance of the gastrointestinal microbiota. The large-scale use of antibiotics and biocides both for curative and preventive purposes has determined an increase in bacterial resistance and at the same time the possibility of pathogenic microorganisms’ multiplication and their dissemination to natural environments. Wastewater is the main vector of faecal microorganisms that favour their dissemination into natural aquatic ecosystems. The present paper aimed to analyze the effect of Covid-19 pandemic on the microbiological quality of wastewater from sewage treatment plants in Romania and its impact on receiving rivers. In order to highlight different and important areas of Romania, 3 cities from the east, center and west were selected for a microbiological evaluation of their WWTPs influent and effluent between ante-Covid-19 and Covid-19 pandemic peak period, when the Covid-19 pandemic had a direct impact on WWTPs microbial composition. Our study showed a higher contamination with fecal bacteria linked to a higher Covid-19 incidence. The increased usage of pharmaceutical compounds, at their turn, increased the number of resistant bacteria reaching the environment via WWTP effluents.

Fast neutron (FN) radiation mediated mutagenesis is a unique approach among the several induced mutagenesis methods being used in plant science in terms of impacted mutations. The FN mutagenesis usually creates deletions from a few bases to several million bases (Mb). A library of random deletion generated using FN mutagenesis lines can provide indispensable resources for the reverse genetic approaches. In this review, information from several efforts made using FN mutagenesis has been compiled to understand the type of induced mutations, frequency, and genetic stability. Concerns regarding the utilization of FN mutagenesis technique for a plant with different level of ploidy and genome complexity are discussed. We have highlighted the utility of next-generation sequencing techniques which can be efficiently utilized for the characterization of mutant lines as well as for the mapping of causal mutations. Pros and cons of Mut-map, MutChromSeq, exon capture, whole genome sequencing, MutRen-Seq, and different tilling approaches can be used for the detection of FN-induced mutation has also been discussed. Genomic resources developed using the FN mutagenesis have been catalogued wooing to meaningful utilization of the available resources. The information provided here will be helpful for the efficient exploration for the crop improvement programs and for better understanding of genetic regulations.

This article presents results of the polarization laser studies of the optical and microphysical characteristics of the high-level clouds (HLC). The high-altitude matrix polarization lidar (HAMPL; Tomsk, Russia) is described. HAMPL measures vertical profiles of all elements of the backscattering phase matrix (BSPM) of the HLC. Based on the joint analysis of lidar and radiosonde observations it is shown that the spatial structure of the HLC containing oriented ice crystals is inhomogeneous in the horizontal wind direction. It includes local areas with oriented particles; the sizes of such areas are estimated together with the most probable meteorological conditions of their formation. The shortcomings of the radiosonde observations performed closest to the location of the HAMPL are described. The applicability of the ERA5 reanalysis data of the European Centre for Medium-Range Weather Forecasts for use as an alternative source of information on the vertical profiles of meteorological quantities for the interpretation of HLC lidar sensing data in Western Siberia was checked.

Precision medicine (PM), also termed stratified, individualised, targeted or personalised medicine, embraces a rapidly expanding area of research, knowledge, and practice. It brings together two emerging health technologies to deliver better individualised care: the many “-omics” arising from increased capacity to understand the human genome; and “big data” and data analytics including Artificial Intelligence (AI). PM has the potential to transform an individual’s health, moving from population-based disease prevention to more personalised management. There is however a tension between the two, with a real risk that this will exacerbate health inequalities and divert funds and attention from basic healthcare requirements leading to worse health outcomes for many. All areas of medicine should consider how this will affect their practice, with PM now strongly encouraged and supported by government initiatives and research funding. In this review we discuss examples of PM in current practice and its emerging applications in primary care, such as clinical prediction tools that incorporate genomic markers and pharmacogenomic testing. We look towards potential future applications and consider some key questions for PM including evidence of real-world impact, its affordability, the risk of exacerbating health inequalities, and the computational and storage challenges of applying PM technologies at scale.

In this article, we investigate the applicability of quantum machine learning for classification tasks using two quantum classifiers from the Qiskit Python environment: the Variational Quantum Classifier (VQC) and the Quantum Kernel Estimator (QKE). We evaluate the performance of these classifiers on six widely known and publicly available benchmark datasets and analyze how their performance varies with the number of samples on two artificially generated test classification datasets. As quantum machine learning is based on unitary transformations, this paper explores data structures and application fields that could be particularly suitable for quantum advantages. Hereby, we developed a data set based on concepts from quantum mechanics using the exponential map of a Lie algebra. This dataset will be made publicly available and contributes a novel contribution to the empirical evaluation of quantum supremacy. We further compared the performance of VQC and QKE on six widely applicable datasets to contextualize our results.\\ Our results demonstrate that the VQC and QKE perform better than basic machine learning algorithms such as advanced linear regression models (Ridge and Lasso). They do not match the accuracy and runtime performance of sophisticated modern boosting classifiers like XGBoost, LightGBM, or CatBoost. Therefore, we conclude that while quantum machine learning algorithms have the potential to surpass classical machine learning methods in the future, especially when physical quantum infrastructure becomes widely available, they currently lag behind classical approaches. Our investigations also show that classical machine learning approaches have superior performance classifying datasets based on group structures, compared to quantum approaches that particularly use unitary processes.\\ Furthermore, our findings highlight the significant impact of different quantum simulators, feature maps, and quantum circuits on the performance of the employed quantum estimators. This observation emphasizes the need for researchers to provide detailed explanations of their hyperparameter choices for quantum machine learning algorithms, as this aspect is currently overlooked in many studies within the field.\\ To facilitate further research in this area and ensure the transparency of our study, we have made the complete code available in a linked GitHub repository.

Background and Objectives: Knee osteoarthritis (KOA) is a degenerative disease that is targeting continuously people of different ages, but especially the elderly population, the number of which tends to increase continuously at the global level. Apart from age, excess weight can influence the evolution of the disease, with obesity being associated with a weak inflammation stage, and an imbalance between pro-inflammatory and anti-inflammatory cytokines. The present work aimed to identify specific biomarkers alike ACRP-30, IL-10, TNF-α, and IL-6 in synovial fluid and correlate them with patients’ clinical data. Materials and Methods: 24 subjects with KOA and over 50 years of age are involved in the present study. All patients performed a supine X-ray at the target knee. Ultrasound was performed using an ESAOTE MyLab Omega (ESAOTE Spa, Italy) ultrasound device and a 6-19 MHz linear array transducer. Results: The obtained results highlighted a significant correlation between age and adiponectin level (p=0.0451, r=-0.412). Also, the IL-10 values are lower in cases where the intensity of the pain is more pronounced (p=0.0405, r=-0.421). In addition, analyzing the data by gender, it was observed that in the case of males, stiffness is more related to age (p=0.0079, r=0.7993), compared to women (p=0.0203, r=0.6223). In the case of women, the progression of the disease tends to increase more intensively total WOMAC score’s values (p=0.00031, r=0.8342), compared with men (p=0.0289, r=7013). Regarding interleukins and BMI, significant correlations were observed only in the case of men. Conclusions: A significant correlation between age and adiponectin, and adiponectin and IL-6, suggests that advanced age may contribute to adiponectin reduction. Comparing men with women, it was observed that men's age is more related to rigidity, and IL-6 and IL-10 are directly correlated to BMI and women seem to be more sensitive to pain and stiffness.

Polyacrylamide gel electrophoresis (PAGE) is widely used for studying proteins and protein-containing objects. However, it is employed most frequently as a qualitative method rather than a quantitative one. In this paper, we show the feasibility of routine digital image acquisition and mathematical processing of electrophoregrams for protein quantification. Both the well-studied model protein molecules (bovine serum albumin) and more complex real-world protein-based products (casein-containing isolate for sports nutrition), which were subjected to mechanical activation in a planetary ball mill to obtain samples characterized by different protein denaturation degrees, were used as study objects. Protein quantification in the mechanically activated samples was carried out. The degree of destruction of individual protein was shown to be higher compared to that of protein-containing mixture after mechanical treatment for an identical amount of time. The methodological approach used in this study can serve as guidance for other researchers who would like to use electrophoresis for protein quantification both in individual form and in protein mixtures. The findings prove that photographic imaging of gels followed by mathematical data processing can be applied for analyzing the electrophoretic data.

Familial dysbetalipoproteinemia (FD) is a highly atherogenic genetically-based lipid disorder with the underestimated actual prevalence. In the recent years, several biochemical algorithms have been developed to diagnose FD using available laboratory tests. However, there is not enough data on their use in real-world clinical implementation. We studied the applicability of the most accessible biochemical algorithms to diagnose FD in clinical practice. We also investi-gated the prevalence of FD in one of the European regions of Russia based on a population sample. In this study there was detected a high prevalence of FD: 1 in 151. We demonstrated that the diagnostic algorithms of FD including a diagnostic apoB levels require correction, taking into account the characteristics of the distribution of apoB levels in the population. At the same time a triglycerides cutoff ≥1.5 mmol/L may be a useful tool in identifying subjects with FD. We also analyzed the presence and pathogenicity of APOE variants associated with the autosomal dominant FD in a large research sample.

A power factor correction (PFC) rectifier is compulsory for any electronic circuitry connected to the electrical grid. The majority of PFCs that are utilized are based on a step-up converter that supplies high DC voltage at its output terminal. Electric vehicle battery voltage varies from a few hundred to almost a thousand volts. Thus, an additional conversion step is obligatory when designing an all-brand universal charger. This paper presents a new type of front-end versatile step up / down three voltage level PFC. The rectifier can operate in continuous conduction mode or discontinuous conduction mode. First, the rectifier’s principle of operation is described, and then an innovative rectifier is analyzed for continuous and discontinuous conduction modes. Finally, the proposed theory is experimentally validated in a multiplier-less dual loop mode at discontinuous conduction modes. It was shown that although there is no multiplier use in the control circuitry, the power factor is near unity. It was revealed that the rectifier could swing the output voltage from 50 V to 900 V while the input voltage was 230 Vrms. The innovative topology suits any standard PFC rectifier, three-level voltage supplement, and dual-stage low-voltage power supply.

This paper investigates the impact of price and real exchange rate volatility on Foreign Direct Investment (FDI) inflows in a panel of 10 Latin American and Caribbean countries, observed between 1990 and 2012. Both price and exchange rate volatility series are estimated through the Generalized Autoregressive Conditional Heteroscedasticity model (GARCH). Our results, obtained employing the Fixed Effects estimator, confirm the theory of hysteresis and option value, in so far it is found a statistically significant negative effect of exchange rate volatility on FDI. Price volatility, instead, turns out to be positive but insignificant. Moreover, we show that human capital and trade openness are key for attracting foreign capital. From the policy perspective, our analysis suggests the importance of stabilization policies as well as the one of government credibility in promoting trade openness and human capital formation.

The purpose of the study was to provide support in the decision-making process for architects and engineers regarding large-spans structures for the presentation of archaeological sites in situ - construction of roofs, shelters, and bridges. We examined existing practice and analyzed their engineering classifications looking for a pattern in their application regarding sustainability and relation between type of cultural heritage site and type of applied large span structure. Contemporary engineering structures at built heritage sites create a sharp contrast between old and new. A presentation of cultural heritage in situ requires an understanding of heritage theory and internationally accepted doctrine which exceeds common engineering education. Nevertheless, application of large-span structures, which often take advantages of state-of-art construction-technologies nowadays, is also an aesthetical statement that affects the appearance of the site. Therefore, we gave an overview of the theoretical background of aesthetical issues and the overall ethics of the decision-making process in such sensitive cases. Within the framework of heritage-presentation, engineering and architectural issues, and selected case studies, we concluded in favor of the application of large-span structures under certain conditions.

In the context of circular economy that recommends the most efficient use of waste, algae wastes have a huge potential for valorisation. In this study, algae wastes obtained after alkaline extraction of active compounds from two types of marine algae (green algae – Ulva sp. and red algae – Callithamnion sp.), were used as biosorbents to remove metal ions from aqueous effluents. Their efficiency in the biosorption processes was tested for Zn(II), Cu(II) and Co(II) ions, considered technologically valuable metal ions. The batch mono-component experiments performed under optimal conditions (pH = 5.0; 4.0 g biosorbent/L; 22 ± 1C), showed that more than 75 % of the metal ions are removed when their initial concentration is less than 1.25 mmol/L. The very good fit of the experimental data with the pseudo-second order kinetic model and Langmuir isotherm model, and the high values obtained for the maximum biosorption capacity (qmax: Cu(II) (0.52 mmol/g) > Zn(II) (0.41 mmol/g) > Co(II) (0.39 mmol/g) for G-AWB, and qmax: Cu(II) (1.78 mmol/g) > Zn(II) (1.72 mmol/g) > Co(II) (1.66 mmol/g) for R-AWB) highlights the potential use of these biosorbents to remove such technologically valuable metal ions from industrial wastewater. This possibility was tested using industrial wastewater samples obtained from the metal coating industry. Quantitative removal (> 91 %) of Zn(II), Cu(II) and Co(II) ions was obtained when their initial concentration was adjusted to 50 mg/L. Also, the rapid and efficient desorption of these metal ions from loaded-biosorbents, by simple treatment with small volumes of HNO3 (10-1 mol/L), further emphasizes the possibility of their recovery and reuse in the technological circuit. The results included in this study indicate that algae wastes have the potential to be used in industrial effluents decontamination processes and opens new perspectives for the implementation of circular economy principles.

Top-down models are defined by hardware architects to provide information on the utilization of the different hardware components. The target is to isolate the users from the complexity of the hardware architecture while giving them insight into how efficiently the code is using the resources. In this paper, we explore the applicability of 4 top-down models defined for different hardware architectures powering state-of-the-art HPC clusters (Intel Skylake, Fujitsu A64FX, IBM Power9, and Huawei Kunpeng 920) and propose a model for AMD Zen 2. We study a parallel CFD code used for scientific production to compare these 5 Top-Down models. We evaluate the level of insight achieved, the clarity of the information, the ease of use, and the conclusions that each one allows us to reach.

Population based studies have associated poor living conditions with the persistent disparity in the health of Aboriginal and non-Aboriginal Australians. This project assesses the applicability of the Health Community Assessment Tool and its role in improving the environment of a small community in the Midwest of WA. The action research cycles started with the initial reflection on the suitability of the HCAT version 2 for the local community context and whether it was fit-for-purpose. The researcher provided ‘critical companionship’, while the participants of the study were invited to be co-researchers (the Assessors) who critically examined the HCAT and assess the community. The relevant domains to the serviced town (an outer regional community) were pest control and animal management; healthy housing; food supply; community vibrancy, pride and safety; reducing environmental tobacco smoke; and promoting physical activity. The Assessors found the HCAT descriptors mostly aligned with their community context but found some of the items difficult to apply. Based on participant’s suggestions, some of the original scoring scales were reformatted. School attendance and illicit drug use were identified as a key outcome indicator for youth but were missing from the HCAT. The HCAT domains applied helped streamlining core business of agencies in the local community. The face validity of HCAT items were confirmed in this research with minor adjustments to reflect local context. Youth engagement to education is of high community concern and the development of an item would create similar interagency collaborative dialogues.

The present study concerns the application of electrochemical chloride extraction to concrete designed with partial replacements of Ordinary Portland Cement (OPC) from different binders, namely ground granulated blast furnace (GGBS), pulverized fly ash (PFA) and Silica Fume (SF), to attend the need of corrosion repair for modern constructions. Electrochemical Chloride Extraction (ECE) was applied to the specimens at a current density of 2A/m2 for 4 weeks. The chloride types and binding mechanisms appeared to have important implications on the different performance of treatment perceived for all binders. Considering total chlorides, removal was more significant for OPC and GGBS when compared to others. The main difference noted was that for GGBS the removal of bound chlorides was more significant due to a possible release of adsorbed chlorides from the silicate hydrates, present at higher intensities in this case. However, even though GGBS had greater rates of bound chloride removal it had still the same percentage as OPC for total efficiency due to the fact that in OPC the removal of free chlorides is more expressive.

Background: As part of the Heart Healthy Lenoir Project, we developed a practice level intervention to improve blood pressure control. The goal of this study was: i) determine if single nucleotide polymorphisms (SNPs) that associate with blood pressure variation, identified in large case-control studies, are applicable to blood pressure control in subjects from a rural population; ii) measure the association of these SNPs with subjects’ responsiveness to the hypertension intervention; and iii) identify other SNPs that may help understand patient-specific responses to an intervention. Methods and Results: We used a combination of candidate SNPs and genome-wide analyses to test associations with either baseline systolic blood pressure (SBP) or change in systolic blood pressure one year after the intervention in two genetically defined ancestral groups: African Americans (AA) or Caucasian Americans (CAU). Of the 48 candidate SNPs, 13 SNPs associated with baseline SBP in our study; however, one candidate SNP, rs592582, also associated with a change in SBP after one year. Using our study data, we identified 4 and 15 additional loci that associated with a change in SBP in the AA and CAU groups, respectively. Our analysis of gene-age interactions identified genotypes associated with SBP improvement within different age groups of our populations. Moreover, our integrative analysis identified AQP4-AS1 and PADI2 as genes whose expression levels may contribute to the pleiotropy of complex traits involved in cardiovascular health and blood pressure regulation in response to an intervention targeting hypertension. Conclusions: Identification of SNPs associated with the success of a hypertension treatment intervention suggests that genetic factors in combination with age may contribute to an individual’s success in lowering SBP. If these findings prove to be applicable to other populations, the use of this genetic variation in making patient-specific interventions may help providers with making decisions to improve patient outcomes. Further investigation is required to determine the role of this genetic variance with respect to the management of hypertension such that more precise treatment recommendations may be made in the future as part of personalized medicine.

Neonatal mortality remains a public health concern and timely identification and prompt intervention in the delivery room could improve the outcome in neonatal morbidity and mortality. We performed a retrospective study to help us finding the profile of the high-risk newborn regarding the need for NICU admission, necessary to establish a protocol regarding the mobilization of human and material resources for the urgent management of these situations. All deliveries and neonates born in Maternity of Bihor County Emergency Clinical Hospital from Romania were reviewed, including relevant maternal, foetal and perinatal data to identify risk factors that result in birth of newborns needing resuscitation at birth between 2012-2019. The number of births showed a downward trend but around 90% of the births were on term. The incidence of neonatal emergencies is increasing, the most frequently were respiratory, sepsis and other infections, cardiovascular emergencies, and extreme prematurity. It is noted that in 2021 the incidence of these neurological emergencies increased by three times compared to previous years. The neonatal and maternal risk factors associated with admission to the NICU were mother's age over 35 years, low level of education, second/more gestation, weight under 2500 g, Apgar score under 7, premature rupture of membranes, macrosomia and mother's infectious pathology. Accurate identification of risk factors and anticipation at the birth of a high-risk neonate would result in adequate preparation and prompt resuscitation of neonates who need some level of intervention and thus, reducing neonatal morbidity and mortality.

Background: One challenge in implant dentistry is to reduce marginal bone resorption to avoid long-term esthetic and biological complications. Sub-gingival implant placement has been suggested as a suitable strategy. Methods: 38 healthy patients were enrolled to receive bone level (BL – Control group) or 2 mm sub-crestal (SC - Test group) conical connection, platform-switched implants. An immediate tissue level abutment was used in the Test group by following a One Time Abutment (OTA) restorative procedure. Marginal Bone Modification (MBM) was calcu-latied on standardized radiographs at surgery (T0), loading (T1), and 6 months (T2) and 12 months after loading (T3), and cathegorised in Bone Loss (BL) if the resorption occurred below the implant neck and Bone Remodeling (BR) if above. Pocket probing depth (PPD), Bleeding on probing (BoP) and Plaque Index (PI) were also collected. Results: The mean MBM in the test group after 12 months was 0.61mm, compared to 0.52mm in the control group. However, no BL was observed in the test group, as the MBM completely occurred above the implant neck as BR, whilst in the control group MBM corresponded in total to BL. The average PPD was 2.38mm in the test group and 3.04mm in the control group after 12 months, BoP 50% and 43%, PI 33% and 19.44% respectively. Conclusions: Sub-crestal conical connection, platform-switched implants could be a suitable clinical choice to avoid BL with exposure of the treated implants surfaces.

Conditions under which compositions of component systems form a well-defined system-of-systems here are formulated at a fundamental level. Statement of what defines a well-defined composition and sufficient conditions guaranteeing such a result offers insight into exemplars that can be found in special cases such as differential equation and discrete event systems. For any given global state of a composition, two requirements can be stated informally as: 1) the system can leave this state, i.e., there is at least one trajectory defined that starts from the state, and 2) the trajectory evolves over time without getting stuck at a point in time. Considered for every global state, these conditions determine whether the resultant is a well-defined system and if so, whether it is non-deterministic or deterministic. We formulate these questions within the framework of iterative specifications for mathematical system models that are shown to be behaviorally equivalent to the Discrete Event System Specification (DEVS) formalism. This formalization supports definitions and proofs of the afore-mentioned conditions. Implications are drawn at the fundamental level of existence where the emergence of a system from an assemblage of components can be characterized. We focus on systems with feedback coupling where existence and uniqueness of solutions is problematic.

Due to the success of artificial intelligence (AI) applications in the medical field over the past decade, concerns about the explainability of these systems have increased. The reliability requirements of black-box led algorithms for making decisions affecting patients pose a challenge even beyond their accuracy. Recent advances in AI increasingly underscore the need to incorporate explainability into these systems. While most traditional AI methods and expert systems are inherently interpretable, recent literature has focused primarily on explainability techniques for more complex models such as deep learning. This scoping review analyzes the existing literature on explainability and interpretability of AI methods in the medical and clinical field, providing an overview of past and current research trends, and limitations that might impede the development of Explainable Artificial Intelligence (XAI) in medicine, challenges, and possible research directions. In addition, this review discusses possible alternatives for leveraging medical knowledge to improve interpretability in clinical settings, while taking into account the needs of users.

Cutaneous melanoma (CM) is a candidate for screening programs, since its prognosis is excellent when diagnosed in an early disease stage. Targeted screening of those at high risk for developing CM, a cost-effective alternative to population-wide screening, requires valid procedures to identify the high-risk group. Self-assessment of the number of nevi has been suggested as a component of such procedures, but its validity has not yet been established. We analyzed the level of agreement between self-assessments and expert assessments of the number of melanocytic nevi in the area between the wrist and the shoulder of both arms based on 4548 study subjects in whom mutually blinded double counting of nevi was performed. Nevus counting followed the IARC protocol. Study subjects received written instructions, photographs, a mirror, and a “nevometer” to support self-assessment of nevi larger than 2 mm. Nevus counts were categorized based on the quintiles of the distribution into five levels defining a nevus score. Cohen’s weighted kappa-coefficient was estimated to measure the level of agreement. In the total sample, agreement between self-assessments and expert-assessments was moderate (raw agreement: 50.29%, weighted κ=0.596). Self-assessed nevus counts were higher than those determined by experts (mean differ-ence: 3.33 nevi). The level of agreement was independent of sociodemographic and cutaneous factors; however, participants’ eye color had a significant impact on the level of agreement. Our findings show that even with comprehensive guidance, only a moderate level of agreement between self-assessed and expert-assessed nevus counts can be achieved. Self-assessed nevus information does not appear to be reliable enough to be used in individual risk assessment to target screening activities.

This experimental study examined the application effect of polycaprolactone (PCL), an organic resin material with excellent elasticity and ductility, on improving the mechanical performance of cellulose nanocrystal (CNC) cement composites. To analyze the effect, a test specimen containing CNC and PCL mixed, containing only CNC, and a control (plain) specimen containing nothing were compared. PCL was compared according to its shape, and in the case of Granules, which is the basic shape, interfacial adhesion with cement was not achieved, so a DCM solution was used to dissolve and use the Granules form. As a method for bonding PCL to the CNC surface, the CNC surface was modified using 3-aminopropyltriethoxysilane (APTES), and surface silylation was confirmed through Fourier transform infrared spectroscopy(FT-IR) analysis. To evaluate the dispersibility according to the application of PCL to the modified CNC, particle size analysis (PSA) and zeta potential analysis were performed according to the PCL mixing amount (0.1, 0.3, 0.5, and 1 vol.% compared with those of CNC) and size distribution. Through the zeta potential value, the highest dispersion stability was shown at 1 vol.%. The cohesive force of CNC was low and the dispersion stability was high according to the application of PCL. According to the results of the dispersion stability evaluation, the degree of hydration of the dissolved PCL 1 vol.%, CNC-only specimens, and plain specimens were analyzed. Hydration products increased by increasing the degree of hydration in the unhydrated area. However, the incorporation of PCL showed a low degree of hydration, and the analysis of strength characteristics also showed a decrease of approximately 27% compared with that of plain specimens. This was because the bonding with SiO2 was not smooth owing to the solvent, thus affecting internal hydration. To investigate the effect of the PCL shape, the compressive and flexural strength characteristics were compared using PCL powder as an additional parameter. The compressive and flexural strength values were improved by approximately 54% and 26%, respectively, compared with those of the plain specimen. Scanning electron microscopy (SEM) analysis determined that the filler effect that made the micropore structure denser, affected the mechanical performance improvement.

Residual stresses in fiber metal laminates (FML) inevitably develop during the manufacturing process. The main contributor to these stresses is the difference in the coefficients of thermal expansion (CTE) between fibers and metal in combination with high process temperatures. To quantify these stresses, the use of specimens with an asymmetric layup is an easily adaptable method. The curvature that develops after the manufacturing of flat laminates with an asymmetrical layer stack is a measure of the level of residual stresses evolving during cure. However, the accuracy of the curvature evaluation is highly dependent on specimen design and other influencing parameters. In this work a large set of FML specimens is investigated to identify relevant influencing parameters and derive conclusions about specimen design and evaluation techniques. For certain layups and process parameters, there is a good correlation between the curvature and the stress-free temperature, which is further covered by analytical solutions for bimetals. This correlation is the basis to transfer curvature into a stress-free temperature that can consequently be used for the quantification of residual stress levels in more complex FMLs. The transfer is validated by in-situ strain measurements during cure using a strain gage technique. Based on the results, the application of asymmetric specimens for residual stress characterization in more complex laminates is presented in the form of a workflow.

In Indonesia, types of meat are still identified manually due to increasing prices for beef and buf-falo ahead of Idul Fitri. Traders mix beef with pork to thwart the beef scam. Haar wavelet and GLCM, GLCM with angles of 0°, 45°, 90°, and 135°, as well as matrices using contrast, correlation, energy, homogeneity, and entropy, are used in feature extraction. The following are the results of meat image classification testing using k-NN, Haar wavelet, and GLCM: The k-NN algorithm shows superiority in identifying fresh (99%), frozen (99%), and rotten (96%) meat texture images with the most fantastic accuracy results in every situation. Meanwhile, GLCM routinely provides good results, especially regarding the texture image of fresh meat (183.21) and rotten meat (115.79). However, despite delivering less throughput than k-NN and GLCM, Haar wavelets are still helpful, especially when dealing with fresh meat texture images (89,96).

This paper proposes a novel single-stage buck-boost three-Level neutral-point-clamped (NPC) inverter with two independent dc sources coupled for the grid-tied photovoltaic (PV) application, which can effectively solve the unbalanced operational conditions generally appeared between two coupled independent PV sources induced by the unequal irradiation and temperature distribution. The proposed control scheme can simultaneously guarantee the maximum power point (MPP) operation of both PV sources and maintain the output waveform quality. Compared to the traditional two-stage PV inverter, the proposed NPC inverter could reduce the PV array voltage requirement and dc-link capacitors’ voltage rating, meanwhile show the advantage in operational efficiency. MATLAB simulations and the captured experimental results are presented to show the performance of the proposed three-level inverter.

Due to the long duration and high cost of traditional pumping tests, the response of well water level to seismic wave, earth tide, and barometric pressure provides a feasible method for determining continuous changes in aquifer hydraulic parameters. Aiming at the problem that the response phase shift of well BB water level to tidal tide M2 is greater than that of tide O1, this paper preferentially calculated the time series changes of S, Be, n and BKu based on the response mechanism of well water level to barometric pressure and earth tide and with the help of smooth moving method. Then by using the mixed flow model, the variation of transmissivity and leakage coefficient over time were simultaneously obtained, and the evolution process and characteristics of aquifer parameters near well BB caused by the Wenchuan earthquake were ultimately discussed. The calculation results are basically consistent with the previous pumping test, and have been verified and compared by using other scholars' methods. This solving process avoids the problems such as excessive dependence on initial values, multiple solutions, and unstable tide O1, which has a promoting effect on the study of the impact of seismic activity on aquifer systems.

It is shown that the Lambda component in the cosmological Lambda-CDM model can be conceived as vacuum energy, consisting of gravitational particles subject to Heisenberg’s energy-time uncertainty. These particles can be modelled as elementary polarisable Dirac-type dipoles (“darks”) in a fluidal space at thermodynamic equilibrium, with spins that are subject to the Bekenstein-Hawking entropy. Around the baryonic kernels, uniformly distributed in the universe, the spins are polarized, thereby invoking an increase of the effective gravitational strength of the kernels. It explains the dark matter effect of galaxies to the extent that a numerical value of Milgrom’s acceleration constant can be assigned by theory. Non-polarized vacuum particles beyond the baryonic kernels compose the dark energy at the cosmological level. The result is an interpretation of gravity at the quantum level in terms of quantitatively established shares in baryonic matter, dark matter and dark energy, which correspond with the values of the Lambda-CDM model.

Lower cutoff levels in screening programs have led to an increase in the proportion of detected cases with transient hypothyroidism, leading to increase of the overall incidence of primary congenital hypothyroidism (CH) in several countries. We have performed retrospective evaluation on the data from 251,008 (96.72%) neonates screened for thyroid-stimulating hormone (TSH) level in dried blood spot specimens taken 48 hours after birth, between 2002 and 2015, using DELFIA method. A TSH value of 15 mIU/L was used as the cutoff point until 2010 and 10 mIU/L thereafter. Primary CH was detected in 127 newborns (1/1976) of which 81.1% had permanent and 18.9% had transient CH. The incidence of primary CH was increased from 1/2489 until to 2010 to 1/1585 thereafter (p=0.131). However, the incidence of permanent CH was slightly increased (p=0.922), while the transient CH incidence had 8-fold increasing after lowering the TSH cutoff level (p<0.001). In cases with permanent CH, we observed lower frequency for thyroid dysgenesis (82.7 vs. 66.7%) and higher frequency for normal in-situ thyroid gland (17.3 vs. 33.3%), for the period with reduced TSH cutoff value. Our findings support the impact of lower TSH cutoff on the increasing incidence of congenital hypothyroidism.

Purpose: to assess any differences on marginal bone loss between bone-level or tissue-level dental implants through a review of literature until September 2019. Materials and methods: MEDLINE, Embase and other database were searched by two independent authors. The search was limited to articles in English. Results: The search provided 1028 records and, after removing the duplicates through titles and abstracts screening, 45 full-text articles were assessed for eligibility. For qualitative analysis 20 articles were included, 17 articles of them for quantitative analysis. A total of 1161 patients (mean age 54,4 years) and 2933 implants were observed, 1427 (Tissue-level) and 1506 (Bone-level). The survival rate and the success rate were more than 90%, except for 2 studies with a success rate of 88% and 86.2%. No studies reported any differences between groups in term of success and survival rates. Three studies showed that BL-implants had statistically less marginal bone loss (P< 0.05). Only one study reported statistically less marginal bone loss in TL-implants (P< 0.05). In the most part of the studies, differences between implant types in marginal bone loss were not statistically significant. Conclusion: Despite to the peri-implant tissue around transmucosal implants has been reported to be inflammation-free because of the absence of bacterial infiltration in the micro-gap between the fixture and abutment, no clinical and radiological differences were highlighted between groups from the included studies after a variable period of follow-up ranged between 1 to 5 years.

Nowadays, unmanned vehicles are widely used in various fields. However, the safety of unmanned vehicles is directly determined by the autopilot systems, and sensor faults are a very critical factor that affects the normal operation of the autopilot systems. To efficiently and comprehensively test unmanned systems for sensor faults, this paper proposes a chip-level testing platform for unmanned vehicle autopilot systems based on FPGA hardware-in-the-loop simulation. Unlike existing testing platforms, the introduction of FPGA technology allows us to achieve nanosecond real-time simulation frequency, thus realizing chip-level simulation of sensors and black-box automated testing. Firstly, we propose a set of general platform and modeling methods, and the paper presents a detailed application of the four most common necessary sensors in autopilot systems as examples. Secondly, we propose for the first time a chip-level fault testing method for unmanned systems, and build a test platform with a quadrotor vehicle, the PX4 software platform, and the Pixhawk4 hardware platform as examples. Finally, the experimental results verify that the testing platform proposed in this paper can adapt to various autopilot systems and has high simulation test reliability.

Porous materials can be characterized by well-trained neural networks. In this study, fibrous paper-type gas diffusion layers were trained with artificial data created by a stochastic geometry model. The features of the data were calculated by means of transport simulations using the Lattice–Boltzmann method based on stochastic micro-structures. A convolutional neural network was developed that can predict the permeability and tortuosity of the material, through-plane and in-plane. The characteristics of real data, both uncompressed and compressed, were predicted. The data was represented by reconstructed images of different sizes and image resolutions. Image artifacts are also a source of potential errors in the prediction. The Kozeny–Carman trend was used to evaluate the prediction of permeability and tortuosity of compressed real data. Using this method, it was possible to decide if the predictions on compressed data were appropriate.

Approximately 20% of the world's population resides in coastal areas at risk of rising sea levels due to climate change. This could lead to severe weather events and ecological impact on critical infrastructure. To combat the effects of water-based environmental forces on the land, hard engineering methods such as seawalls have been utilized. However, a more sustainable solution is emerging in nature-based engineering, which involves growing vegetation. This approach can help extend the lifespan of existing technology and provide climate change adaptation and resilience for coastal and riverine communities. The following paper will review seaweed farms as an advanced nature-based mitigation approach. The paper also outlines the findings of experiments at RWTH Aachen University's hydraulic laboratory. These tests involved using seaweed as a natural solution to dampen waves in a model system to test a hypothesis. One result involving a system with two lines of seaweed revealed 15 percent wave damping. Using seaweed as a nature-based solution, a gentle engineering approach to designing future vegetated protection systems can extend the design life of existing coastal infrastructure. This can also provide protection against climate-induced sea level rise, promote coastal risk mitigation, restore ecosystems, and foster blue bio-economic development.

In this paper, applicability of the modified water-based yttria stabilized zirconia (YSZ) suspensions, including different dispersants, to produce plasma sprayed coatings with “columnar microstructure” is investigated. The effects of processing parameters like suspension liquid phase ethanol content, change of substrate roughness, and spray distance on the resulting coatings morphologies are investigated. The results showed that increasing ethanol concentration, substrate surface roughness, and the spray distance promote formation of coatings with columnar structure. Moreover, application of modified water-based suspensions including α-Terpineol dispersant has led to deposition of columnar coatings with comparable morphologies of coatings deposited from ethanol-based suspensions.

This study examined the relationship among the three domains of executive function (EF; cognitive shifting, inhibitory control, and working memory) to test the applicability of the unity-diversity model in preschoolers using both behavioral and fNIRS approaches. Altogether 58 Chinese preschoolers (34 boys, 24 girls, Mage = 5.86 years, SD = 0.53, Age range = 4.83-6.67 years) were administered the Dimensional Card Change Sort (DCCS), go/no-go, and missing scan task. Their brain activations in the prefrontal cortex during the tasks were examined using fNIRS. First, the behavioral results indicated that the missing scan task scores (working memory) correlated with the DCCS (cognitive shifting) and go/no-go tasks (inhibitory control). But the latter two did not correlate with each other. Second, the fNIRS results demonstrated that the prefrontal activations during the working memory task correlated with those in the same regions during the cognitive shifting and inhibitory control tasks. Still, the latter two did not correlate. The behavioral and neuroimaging evidence jointly indicates that the unity-diversity model of EF does apply to Chinese preschoolers.

Under the dual background of underemployment and health inequality, this paper empirically analyzes the impact of education level on underemployed workers’ health based on CLDS2016 data. The results show that underemployment is significantly related to the decline of self-rated health, increased depression tendency, and morbidity in a certain period. The results indicate that underemployment can significantly reduce the health level of workers in the low education level group and the high education level group. However, it has no significant impact on workers’ health in the middle education level group; even if we change the measurement method of indicators and consider endogeneity, the research conclusion is still robust. Moreover, this kind of health inequality mainly comes from the difference in economic effect and leisure effect of underemployment to workers with different educational levels. This paper provides empirical support for increasing the labor protection mechanism of underemployed people and reducing the health inequality caused by educational level differences.

Achieving effective control over microbial contamination necessitates the precise and concurrent identification of numerous pathogens. In this research, we have devised a remarkably sensitive duplex droplet digital PCR (dddPCR) reaction system to simultaneously detect Pseudomonas aeruginosa (P. aeruginosa) and Pseudomonas fragi (P. fragi). Employing comparative genomics, we identified four genes of P. fragi. By specific analysis, RS22680 gene was selected as the detection target of P. fragi and LasR gene was chosed as P. aeruginosa, which were applied to construct a dddPCR reaction. In terms of specificity, sensitivity and anti-interference ability, the constructed dddPCR detection system was verified and analyzed. The assay showed excellent sensitivity and applicability, as evidenced by a limit of detection of 100 CFU/mL. When the concentration of natural background bacteria in milk or fresh meat was 100 times that of the target detection bacteria, the method was still capable of completing the absolute quantification. In the simulation of actual sample contamination, P. aeruginosa could be detected after 3 h of enrichment culture, and P. fragi could be detected after 6 h. The established ddPCR detection system exhibits exceptional performance, serving as a foundation for the simultaneous detection of various pathogenic bacteria in food products.

Background: Sickle cell disease (SCD) is the most common hemoglobinopathy in the Democratic Republic of Congo (DRC) and poses a public health problem. If, without clinical follow-up, more than 50% of children with SCD die before their 5th birthday. A regular medical follow-up is the first simple improvement that can be beneficial for SCD patients in a remote city of an African country. Method: A cohort of 143 children with SCD aged 10 years old (IQR [inter quartile range]: 6–15 years) (sex ratio male: female = 1.3) were clinically followed for 12 months without any specific intervention and then 12 months with a monthly medical visit, a biological follow-up and regular prophylaxis. A paired Student test and pairwise Wilcoxon test were used to compare study outcomes. Results: The median age of patients at the diagnosis of SCD was 2 years (IQR: 1–5). Anemia was noted in 100% of patients at inclusion, with severe and normocytic anemia in 80% of cases (n = 115). The implementation of standardized and regular follow-up has shown an increase in the annual mean hemoglobin level from the percentage of the low limit normal for the age from 54 to 77 % (p = 0.001), and a decrease of the lymphocytes count and spleen size (p < 0.001). The implementation of regular follow-up has also shown a significant decrease (p < 0.001) in the average annual number of hospitalizations and episodes with vaso-occlusive crises, blood transfusions, infections, and acute chest syndromes. Conclusions: This study showed that the regular follow-up of children with SCD and the application of SCD management recommendations are possible and applicable in the context of a remote city in a developing country. Simple and accessible measures included in conventional recommendations can reduce the morbimortality of these patients in remote areas if applied rigorously with regular follow-up.

Multimission satellite altimetry (e.g. ERS, Envisat, TOPEX/Poseidon, Jason) data have enabled a synoptic view of ocean variations in the past decades, including sea-level rise and mesoscale circulations. Since 2016, the Sentinel-3 mission has provided better spatial and temporal sampling compared with its predecessors. The Sentinel-3 Ku/C Radar Altimeter (SRAL) is one of the synthetic aperture radar altimeters (SAR Altimeter) which is more precise in coastal and lake observations. In this study, we validate Sentinel-3 Level-2 products in Baltic Sea coastal areas and two lakes in Estonia. Moreover, the Copernicus Marine Environment Monitoring Service (CMEMS) Level-3 sea-level anomaly data and the Nucleus for European Modelling of the Ocean (NEMO) reanalysis model outcomes are compared with measurements from a tide gauge network. A dense in situ water level network deployed along the coast for geodetic observation was utilised to provide ground truths for validating altimetry results. Three validation methods were used for Level-2 data: (i) collocated Sentinel-3 and GNSS ship measurements; (ii) a national geoid model (EST-GEOID2017) with sea-level anomaly correction; (iii) collocated Sentinel-3 and buoy measurements. The validations were carried out in seven Sentinel-3A/B overpasses in 2019. Our results show that the uncertainty of the Sentinel-3 Level-2 altimetry product is below decimetre level on the Estonian coast and the targeted lakes. Results from CMEMS Level-3 showed a correlation of 0.8 (RMSE 0.19 m) and 0.91 (RMSE 0.27 m) when compared against tide gauge measurements and NEMO model, respectively.

Analysis of immediate effects of the COVID-19 pandemic on SMEs in Rwanda aims to assess and quantify the economic and financial impacts of the pandemic during the lockdown and presents options adopted by SMEs to reopen their business opera-tions. It also seeks to recommend options for sustainable and resilient economic recovery from the scars of COVID-19. This analysis used data collected from nearly 220 SMEs located across the country and applied an Exploratory Data Analysis (EDA) and multivariate linear regression models to measure the pandemic effects. The study revealed that firms downsized employment by 36.4 per cent, but data depict significant deviation within SMEs by their size. The COVID-19 pandemic has had a greater magni-tude of negative effects on sales levels among small businesses. Tax amounts were reduced amidst the crisis however, data do not show any significant variations among SMEs. Additionally, SMEs owners applied various coping mechanisms during re-opening. The study used firm-level data, providing detailed and reliable effects of the shocks on business performance. This analysis recommends establishing the medium-term financing and technical support for SMEs to ensure steady and sustainable recovery from pandemic effects as well as strengthening their resilience to any other socio-economics shocks.

Aqueous dispersions of magnetic nanocomposites have been proposed as draw electrolytes in forward osmosis. One possible approach for the production nanocomposites based on magnetite nanoparticles and sodium polyacrylate, is the synthesis of the magnetic iron oxide by coprecipitation or oxidative precipitation in presence of an excess of the polymer. In this work we explored the effect of the polymer proportion on the nanomaterials produced by these procedures. The materials obtained were compared s with the obtained by the coating of magnetite nanocrystals produced beforehand with the same polymer. The samples were characterized by chemical analysis, photon correlation spectroscopy, thermogravimetry, X-ray diffraction, infrared spectroscopy, transmission electron microscopy and magnetometry. The general trend observed is that part of the polymer is incorporated to the magnetic material during the synthesis heavily modifying its texture, with a drastic reduction of the particle size and magnetic response. The aqueous dispersions of the nanocomposites were highly stable with hydrodynamic size roughly independent on the polymer proportion. Their osmotic pressure proportional to the concentration of the polyelectrolyte, was similar than the generated by the equivalent amount of free polymer in the case of samples generated by oxidative precipitation and smaller in the case of samples generated by coprecipitation. Finally the possibilities of using these materials as draw electrolytes in forward osmosis will be briefly discussed.

Background: dementia is a significant health issue worldwide. Mild cognitive impairment (MCI) can transform into dementia over time. General practitioners may be the first to notice the cognitive deficit, so they may need a screening test in the event of suspicion, which they must be able to use under great time pressure. We examined the usability of the Hungarian Test Your Memory (TYM-Hun) self-administered dementia test in general practice, and with the results of the received tests, we tried to draw conclusions regarding the population. Methods: In the four Hungarian cities with medical universities, general practitioners filled out 368 questionnaires with their clients over 50 years of age. Results: the total scores of the test showed a significant correlation with education and the type of occupation, while a significant negative correlation with age. We found the clock drawing test and recall indicates cognitive decline the earliest. Based on the TYM-Hun results, the prevalence levels for MCI and dementia are slightly higher in Hungary than globally. Conclusion: the test can sensitively indicate MCI and early-stage dementia as a screening test, and two of its subtests can raise the possibility of cognitive impairment at an earlier age than the others.

Introduction: In the year 2022, 4.9 million children died worldwide before five years of age. United Nations General Assembly has set the target of bringing down under-five child mortality to 25 deaths per 1000 live births by 2030. However, the United Nations Inter-Agency Group for Child Mortality Estimation highlights, that without rapid action many low and Lower Middle-Income Countries (LMICs) will not be able to achieve this target and 35 million under-five children will die before 2030. In such a scenario understanding the determinants that bring down preventable deaths in children is important. Design: Anonymized, publicly available data from the India National Family Health Survey (NFHS-5) is collected. The sample consisted of 724,115 women in the age group of 15-49 years has been sub-grouped as urban and rural women. Data on the number of Anganwadi centers per state has been collected from the Ministry of Women and Child Development. For better analysis of data, the country is divided into regions. Union territories are grouped in these regions as per their geographical locations. Descriptive statistical analysis, correlation coefficient analysis, and linear regression analysis were done. Results: Results of the Pearson correlation indicated that there is a significantly large positive relationship between operational AWCs (%) and U5MR (r = 0.542, p < .001) whereas there is a significantly large negative relationship between women with Internet access (%) and U5MR, (r = -0.738, p < .001). For our data, the multiple regression equation for y is U5MR (per 1000 live births) = 0.77266. AWCs (%) - 0.58788. women with Internet access (%) + 53.68073. Conclusion: Compared to NFHS-4 (2015-16) U5MR has reduced in almost all states of the country. The study shows more urban women have access to the Internet as compared to rural women. Child mortality is higher in rural areas in every state as compared to urban areas. Urban women have more access to health information because of internet access which may be the reason for lesser child mortality in urban areas compared to rural areas. Internet access for women (individual level) is far more effective in bringing down U5MR if compared to the community-level approach of Daycare centers.

The coastal dry zone areas of Sri Lanka mostly rely on ground water as the potable drinking water source because pipe born water is rarely provided. Most of the domestic units construct dug wells adjacent to houses where the ground water is exposed to fecal contamination due to pit – latrines. There available standards and commonly accepted factors regulating the construction of ground water extraction sources yet there is lack of evidence whether following them effectively prevent ground water fecal contamination. This research focus on applicability of commonly accepted factors on preventing the pit latrines correlated ground water contamination, taking twenty (20) sampling locations of Kalpitiya Peninsula of Sri Lanka as the case study area. The ground water was tested for Total coliform bacteria at 37 °C and E.Coil at 44 °C to identify the water quality level related to fecal contamination. The depth of water table, gap of infiltration layer, depth of latrine pit and distance between dug well and latrine pit were identified as the most commonly considered factors. Accordingly, case specific and area specific reasons apart from the ‘commonly accepted factors’ are highly influencing the pit latrines correlated ground water contamination in Kalpitiya Peninsula, Sri Lanka.

Level index was introduced in 2017 for rooted trees which is a component of Gini index. In the origin, Gini index is a tool for economical investigations but Balaji and Mahmoud defined the graph theoretical applications of this index for statistical analysis of graphs. Level index is an important component of Gini index. In this paper we define a new graph polynomial which is called level polynomial and calculate the level polynomial of some classes of trees. We obtain some interesting relations between the level polynomials and some integer sequences.

Emergency Health Services refers to the urgent care. Ambulance abuse threaten the provision of proper health services and at the same time it affects the country's economy negatively. It was aimed to determine ambulance abuse level. This was a retrospective cohort research. In order to carry out our study, we analyzed 12,207 cases who called to the 112 Emergency Ambulance Services between 01.01.2016 and 31.12.2016. The data of the study has been obtained from the Emergency Health Automation System of the Provincial Health Directorate. According to preliminary diagnoses, traumatic cases were found to be 19.4% and cardiovascular cases were 12%. According to the World Health Organization 32 Critical Code List 59.6% of the cases who called to the 112 Emergency Ambulance Services in 2016 were inappropriate. Ambulance abuse rate was 59.6%. The high rate of misuse of 112 emergency ambulances affects the service flow and motivation of the staff negatively and causes extra financial burden. Thereof, awareness trainings should be given to the public and task and duties of the paramedics and emergency medical technicians who work at emergency ambulances should be expanded so that the transfer of unnecessary cases should be prevented.

Many reported sea level records are often not a single measurement. They are then a composition of different records from several tide gauges. Sometimes, they are from the same tide gauge, but the tide gauge stability has been affected by earthquakes. This is the case of Guam as discussed in the present manuscript. The claimed sea level acceleration of Guam is only the result of two earthquakes that have compromised the stability of the tide gauge.

Unmanned Aerial Vehicles (UAVs) are now filling in the gaps between spaceborne and ground-based observations and enhancing the spatial resolution and temporal coverage of data acquisition. In the realm of hydrological observations, UAVs have a key role to quantitatively characterize the surface flow allowing for remotely accessing the water body of interest. In this paper we propose a technology which uses a sensing platform encompassing a drone and a camera to determine the water level. The images acquired my means of the sensing platform are then analyzed using the Canny method to detect the edges of water level and of Ground Control Points (GCPs) used as reference points. The water level is then retrieved from images and compared to a benchmark value obtained by a traditional device. The method is tested at four locations in an artificial lake in central Italy. Results are encouraging as the overall mean error between estimated and true water level values is around 0.02 m. This technology is well suited to improve hydraulic modeling and thus provide a reliable support to flood mitigation strategies also in uneasy-to-access environments.

In this article, we analyse the determinants of Regulatory Quality-RQ for 193 countries in the period 2011-2020. We use a database from ESG-Environment Social Governance of the World Bank. We apply OLS, Panel Data with Fixed Effects and Panel Data with Random Effects. We found that the variables that have the most positive impact on RQ, among others, are “GHG Net Emission”, “Mean Drought Index”, and “Heat Index”. We also found that the variables that have the most negative impact on RQ are among others “Renewable Energy Consumption”, “Voice and Accountability” and “Rule of Law”. Furthermore, we have applied the k-Means algorithm optimized with the Elbow Method and we find the presence of five clusters. In adjunct, we confront eight machine learning algorithms to predict the value of RQ and we found that the best predictor is Polynomial Regression. The predictive level of RQ for the analysed countries is expected to diminish of -1,29%. In the end, we present a network analysis with the Euclidean distance and we found the presence of a structure of seven networks using augmented data.

Accurate and reliable mid-long runoff prediction (MLTRP) is of great importance in water re-sources management. However the MLTRP is not suitable in each basin and how to evaluate the applicability of MLTRP is still a question. Therefore, the total mutual information (TMI) index is developed in this study based on the predictor selection method using mutual information (MI) and partial MI (PMI). The relationship between the TMI and the predictive performance of five models is analyzed by applying five models in 222 forecasting scenarios in Australia. The results over 222 forecasting scenarios demonstrate that, compared with the MI, the developed TMI index can better represent the available information in the predictors, and has more significant negative correlation with the RRMSE with the correlation coefficient between -0.62 and -0.85. This means the model's predictive performance will become better along with the increase of TMI, and there-fore the developed TMI index can be used to evaluate the applicability of MLTRP. When TMI is more than 0.1, the available information in the predictors can support the construction of MLTRP models. In addition, the TMI is used to partly explain the difference of predictive performance among five models. In general, the complex models, which can better utilize the contained infor-mation, are more sensitive to the TMI, and have more significant improvement in terms of predic-tive performance along with the increase of TMI. This research can provide support for the study of MLTRP.

Background: Military pilots show high visuo-spatial skills. Previous studies demonstrate that they are better in mental rotating a target, in taking different perspectives, in estimating distances, in travel planning and in topographic memory. Here, we compared navigational cognitive styles between military pilots and people without flight experience. Pilots were expected to be more survey users than non-pilots, showing higher navigational strategies. Method: 106 jet military pilots of Italian Air Force and 92 non-pilots were enrolled in order to investigate group differences in navigational styles. Participants were asked to perform a reduced version of the Spatial Cognitive Style Test – SCST, consisting of six tasks that allow to distinguish individuals in landmark (people orient themselves by using a figurative memory for environmental objects), route (people use an egocentric representation of the space) and survey (people have a map-like representation of the space) users. Results: In line with our hypothesis, military pilots mainly adopt a survey style, whereas non-pilots mainly adopt the route style. In addition, pilots outperformed non pilots in both the 3D-Rotation task and Map Description Task. Conclusion: Military flight expertise influences some aspects of the spatial ability, leading to enhance human navigation. Although, it must be considered that they are a population whose navigational skills were already high at the time of selection at the academy before formal training began.

Structured extraction of emergency event information can effectively enhance the ability to re-spond to emergency events. This article focuses on the extraction of Chinese document-level emergency events, which mainly faces two key issues in this field: first, related datasets; Secondly, existing DEE (document-level event extraction) studies mostly use sequence annotation to extract candidate entities in the subtask of candidate entity extraction without considering the problem of role overlapping between candidate entities. On the one hand, this article constructs a Chinese document-level emergency extraction dataset, CDEEE, which first annotates the issues of argu-ment scattering, multiple events, and role overlapping. On the other hand, this article proposes a model RODEE for the problem of role overlapping in DEE tasks. This model first uses two in-dependent modules to represent the head and tail positions of candidate entities, then uses a multiplication attention mechanism to interact with the two to obtain a scoring matrix. Finally, role-overlapping candidate entities are predicted to assist in completing DEE tasks. Experiments were conducted on our manually annotated dataset, CDEEE, and the results showed that RODEE can effectively solve the problem of role overlapping in candidate entities and improve the performance of the DEE model.

Emotional intelligence and educational level are commonly associated with success in life and well-being. While multiple studies have explored these concepts independently, few studies have examined the impact of educational level on emotional intelligence and associated variables, such as well-being. A total of N = 202 participants were recruited online. Participants completed measures of emotional intelligence, well-being (i.e., happiness, self-esteem, personal growth). Overall, participants who previously obtained a bachelor’s degree displayed higher levels of emotional intelligence, happiness, self-esteem, and personal growth compared to those without an undergraduate degree. However, no differences were observed on any variable between individuals currently enrolled in a university and non-students. The results suggest that, while completing a university degree increases emotional intelligence and well-being, the stress of being a student may negatively impact the benefits obtained from attending university. Limitations and possible directions for future research are discussed.

In this paper, the design and analysis of coupled tank water level control system is done using robust control theory. The main aim of this work is to improve level controlling mechanisms in industries and household areas. In this paper, H ∞ and μ –synthesis controllers are designed to improve the level control system. The coupled tank water level control system is designed using the proposed controller’s comparison and tested for tracking a reference level signals (step, sine wave and random) and simulation results have been analyzed successfully. Finally the comparative simulation results prove the effectiveness of the proposed coupled tank water level control system with H ∞ controller for improving the tracking mechanism performance of the system.

The fidelity of the decadal experiment in Coupled Model Intercomparison Project Phase-5 (CMIP5) has been examined, over different climate variables for different temporal and spatial scales, in many previous studies. However, most of the studies were for the temperature and temperature-based climate indices. A quite limited study was conducted on precipitation of decadal experiment and no attention was paid to a catchment level. This study evaluates the performances of eight GCMs (MIROC4h, EC-EARTH, MRI-CGCM3, MPI-ESM-MR, MPI-ESM-LR, MIROC5, CMCC-CM, and CanCM4) for the monthly hindcast precipitation of decadal experiment over the Brisbane River catchment in Queensland, Australia. First, the GCMs datasets were spatially interpolated onto a spatial resolution of 0.050×0.050 (5 km× 5 km) matching with the grids of observed data and then were cut for the catchment. Next, model outputs are evaluated for temporal skills, dry and wet periods, and total precipitation (over time and space) based on the observed values. Skill test results reveal that model performances varied over the initialization years and showed comparatively higher scores from the initialization year 1990 and onward. Models with finer spatial resolutions show comparatively better performances as opposed to the models of coarse spatial resolutions where MIROC4h outperformed followed by EC-EARTH and MRI-CGCM3. Comparing the skills, models are divided into three categories (Category-I: MIROC4h, EC-EARTH, and MRI-CGCM3; Category-II: MPI-ESM-LR and MPI-ESM-MR; and Category-III: MIROC5, CanCM4, and CMCC-CM). Three multimodel ensembles’ mean (MMEMs) are formed using the arithmetic mean of Category-I (MMEM1), Category-I and II (MMEM2), and all eight models (MMEM3). The performances of MMEMs are also assessed using the same skill tests and MMEM2 performed best which suggests evaluating the models before the formation of MMEM.

The expense of carbon sequestration in terms of capital return deficiency is investigated at estate level, in the case of a fertile boreal estate dominated by spruce forest. Thinnings from below result as a high expense of increased rotation age, thinnings from above as a small expense. The expense of increased timber stock is greater than any proportional carbon rent based on present carbon prices. Application of non-proportional carbon rent is proposed.

Recent advancements in the study of the protein complex photosystem II have clarified the sequence of events leading to the formation of oxygen during the S3->S4->S0 tran-sition, wherein the inorganic Mn4Ca(µ-O)6(OHx)4 cluster finishes photo-catalyzing the water splitting reaction (Greife et al, Nature 2023, 617, 623-628; Bhowmick et al, Nature 2023, 617, 629-636) . During this final step a tyrosine radical (TyrZ), stable for a couple of milliseconds, oxidizes a cluster bound oxygen while the hydrogen bonding patterns of nearby waters shift a proton away. A treatment of this redox reaction within the context of accepted transition state theories predicts rate constants that are significantly higher than experimentally recovered values (10^12s^-1 versus 10^3s^-1). In an effort to understand this disparity, temperature dependent experiments have revealed large entropic con-tributions to the rates with only a moderate energy of activation. We suggest that the entropic source may be related to the observed proton rearrangements, and further possible near isoenergetic variations in the nearby extended h-bonding network de-laying the realization of an ‘ideal’ transition state. In the following we explore this re-lation in the context of Eyring’s transition state theory and Marcus’ electron transfer theory, and evaluate their compatibility with the experimental evidence.

Large-scale crowd phenomena are complex to model because the behaviour of pedestrians needs to be described at both strategic, tactical, and operational levels and is impacted by the density of the crowd. Microscopic models manage to mimic the dynamics at low densities, whereas mesoscopic models achieve better performances in dense situations. This paper proposes and evaluates a novel agent-based architecture to enable agents to dynamically change their operational model based on local density. The ability to combine microscopic and mesoscopic models for multi-scale simulation is studied through a use case of pedestrians at the Festival of Lights, Lyon, France. Pedestrian outflow data is extracted from video recordings of exiting crowds at the festival. The hybrid model is calibrated and validated using a genetic algorithm that optimizes the match between simulated and observed outflow data. Additionally, a local sensitivity analysis is then conducted to identify the most sensitive parameters in the model. Finally, the performance of the hybrid model is compared to different models in terms of density map and computation time. The results demonstrate that the hybrid model has the capacity to effectively simulate pedestrians across varied density scenarios while optimizing computational performance compared to other models.

Second-level hospitals face peculiarities that hinder the implementation of the hearing rescreening protocol, which are not uncommon in other settings. This study analyzes the hearing rescreening process in this kind of hospital. A total of 1130 individuals were included. In this cohort, 61.07% were newborns in the hospital who failed their first otoemission test after birth (n=679) or were unable to have the test performed (n=11), then being referred to outpatient clinic. The remaining 38.93% were individuals who were born in another hospital with their first test conducted in the outpatient clinic (n=440). A high amount of rescreenings were made outside the recommended time frame, mainly in children referred from another hospital. There was a high rate of lost to follow-up especially with otolaryngologist referrals. Neonatal Hearing screening in second level hospitals is difficult because of the staffing and time constraints. This results in longer than recommended turnaround times and interferes with the timely detection of hearing loss. This is particularly serious in outpatients. Referral of children with impaired screening to out-of-town centers leads to unacceptable loss of follow-up. A legislative support for all these rescreening issues is necessary. We discuss these findings and propose some solutions.

The destruction of natural habitat for cropland and pastures represents a major threat to global biodiversity. Despite widespread societal concern about biodiversity loss associated with food production, consumers access to quantitative estimates of the impact of crop production on the world’s species has been very limited compared to assessments of other environmental variables such as greenhouse gas emissions or water use. Here, we present a consistent dataset of the biodiversity footprints of pastures and 175 individual crops at country level. The data were generated by combining maps of the global distribution of agricultural areas in the year 2000 with spatially explicit estimates of the biodiversity loss associated with the conversion of natural habitat to farmland. Estimates were derived for three common alternative measures of biodiversity – species richness, threatened species richness, and range rarity – of the world’s mammals, birds, and amphibians. Our dataset provides important quantitative information for food consumers and policy makers, allowing them to take evidence-based decisions to reduce the biodiversity footprint of global food production.

Evolutionary convergence provides natural opportunities to investigate how, when, and why novel traits evolve. Many convergent traits are complex, highlighting the importance of explicitly considering convergence at different levels of biological organization, or ‘multi‐level convergent evolution’. To investigate multi‐level convergent evolution, we propose a holistic and hierarchical framework that emphasizes breaking down traits into several functional modules. We begin by identifying long‐standing questions on the origins of complexity and the diverse evolutionary processes underlying phenotypic convergence to discuss how they can be addressed by examining convergent systems. We argue that bioluminescence, a complex trait that evolved dozens of times through either novel mechanisms or conserved toolkits, is particularly well suited for these studies. We present an updated estimate of at least 94 independent origins of bioluminescence across the tree of life, which we calculated by reviewing and summarizing all estimates of independent origins. Then, we use our framework to review the biology, chemistry, and evolution of bioluminescence, and for each biological level identify questions that arise from our systematic review. We focus on luminous organisms that use the shared luciferin substrates coelenterazine or vargulin to produce light because these organisms convergently evolved bioluminescent proteins that use the same luciferins to produce bioluminescence. Evolutionary convergence does not necessarily extend across biological levels, as exemplified by cases of conservation and disparity in biological functions, organs, cells, and molecules associated with bioluminescence systems. Investigating differences across bioluminescent organisms will address fundamental questions on predictability and contingency in convergent evolution. Lastly, we highlight unexplored areas of bioluminescence research and advances in sequencing and chemical techniques useful for developing bioluminescence as a model system for studying multi‐level convergent evolution.

This paper presents a device for measuring and maintaining the constant water level in a tank. The device uses a capacity sensor to measure the water level. The sensor has a DC voltage output proportional to the water level in the tank. This voltage can be used in other automation too. The water level, in percentages, is displayed on a vu meter with 8 LEDs. The circuit for maintaining the constant level consists in a comparator with hysteresis. The level of the water is adjustable, using a reference voltage from a potentiometer (marked in percentages). The level of the water is compared with the prescribed level and the difference between them commands the start/stop of the water pump which supplies the tank through a relay. The device is powered by 220 V and is isolated from the environment.

“Dark Web” usually describes a new world of e-living space perceived as a place, free from con-straints, in which its main actors generally are criminal, unstable, and mentally disturbed individ-uals. Nowadays, advancements in information and internet technologies have made the Dark Web more accessible in recent decades. The Dark Web is a virtual world component; therefore, as-sessing users’ behavior may be crucial in understanding motivation to use it. This study aims to discuss the behavior patterns of Dark Web users within the theoretical framework of the technol-ogy acceptance model via a structural equation model. The resulting structural equation model showed that considered causal relationships were statistically significant.

Infrastructure and urban network operators, city users and industrialists are faced with complex issues to ensure the sustainability of the service, maintain, operate and develop their urban systems, while integrating environmental, economic and societal impacts and being resilient to unexpected geopolitical and climatic upheavals. Digital Twins are now recognized as the cornerstone of digital transformation. In the field of smart cities, they can enable all stakeholders to collaborate across disciplinary silos and foster digital transformation in urban and territorial projects to ensure sustainability, resilience and increased inventiveness. However, the application of the Digital Twin technology to Smart Cities lacks of standards. This paper proposes a high-level architecture for Digital Twins as an enabler of various levels of interoperation between key stakeholders of a Smart City. Such a technology-agnostic architecture, when implemented for a given Smart City, produces a middleware for large scale interoperability between actors involved in multiple supply chains of this territory.

Globally, groundwater is the largest distributed storage of freshwater that plays an important role in an ecosystem’s sustainability in addition to aiding human adaptation to both climatic change and variability. However, this resource is not unlimited and its sustainability is highly dependent on its prudent use. Thus, efficient management of groundwater resources to prevent overexploitation, scarcity and drought has become a major challenge for researchers as well as water managers. To solve these challenges, many solutions such as simulation and optimisation models have been proffered through the use of historical data. Therefore, this has made efficient data gathering essential to maintain data-driven groundwater level resource management models from the observation site. The global evolution of the Internet of Things (IoTs), has increased the nature of data gathering for the management of groundwater resources. Recently, a number of research challenges such as the lack of computational efficiency and scalability due to uncertainties from input parameters to the groundwater level resource model have been revealed in the management of groundwater level resources. In addition, efficient data-driven groundwater level resource management relies hugely on information relating to changes in groundwater resource levels as well as its availability. At the moment, the groundwater managers lack an efficient and scalable groundwater management system to gather the required data. The literature revealed that the existing methods of collecting data lack efficiency to meet computational model requirements and meet management objectives. Although the IoTs enabled automated data processing systems are in existence by transmitting the generated data from IoT enabled devices into the cloud through the Internet. However, traditional IoT Internet is not scalable and efficient enough to process the generated vast IoT data. Thus, it is necessary to have an efficient and scalable IoT system to extract valuable information in real-time for groundwater level resource management. Unlike previous surveys which solely focussed on particular groundwater issues related to simulation and optimisation management models, nonetheless, this paper seeks to highlight the current groundwater level resources management models as well as the IoT contributions.

This article presents a new method of segmenting images with gray levels. The method is based on determining several thresholds for separation of gray levels. The determination of these thresholds is done using the certainty of the neutrosophic information. The concept of this method can be stated simply: to choose the local maximums for the neutrosophic certainty.

Background: According to newly published studies, patients with Coronavirus Disease 2019 (COVID-19) have significantly lower serum 25-hydroxyvitamin D 25(OH)D levels than those without the SARS-CoV-2 infection. Vitamin D insufficiency may be a predictor of poor prognosis in COVID-19 patients. Vitamin D supplementation is related to improved clinical outcomes in terms of intensive care unit (ICU) admission and death, particularly in individuals with moderate-to-severe forms of COVID-19 requiring hospitalization. Materials and methods: This placebo-controlled five-day study was performed on 100 hospitalized COVID-19 patients with vitamin D insufficiency randomized into two groups. Vitamin D in the form of a sublingual sprayable microemulsion (LYL love your life® sunD3 LYLmicro™) was given three times daily after breakfast, lunch, and dinner (daily dose 12,000 IU) to 52 patients with blood vitamin D levels below 30 ng/ml. 48 patients in the control group received a placebo spray in the same daily regiment. Results: We observed a statistically significant increase by 8.6 ng/ml in median vitamin D level after five days of high-dose vitamin D3 spray therapy. 90.2% of subjects reached normal serum levels of vitamin D. There was a strong correlation between changes in vitamin D and C-reactive protein (CRP) levels in individuals with moderately severe disease (p<0.05), while mild and severe cases showed no statistical significance comparing case and control groups. There were no statistically significant changes in ferritin and interleukin-6 (IL-6) levels. Conclusions: In this study, we demonstrated the possibility to rapidly increase circulating levels of vitamin D just in 5 days of high-dose intervention and found a statistically significant decrease of CRP levels in patients with moderately severe COVID-19. We were not able to detect statistically significant changes in ferritin and IL-6 levels during the 5-day vitamin D intervention.

Power generation systems based on renewable energy sources are finding ever-widening applications and many researchers work on this problem. Many papers address the problem of transformerless structures, but few of them are aimed at conducting research on structures with multilevel converter topologies. In this paper a grid-tied transformerless PV-generation system based on a multilevel converter is discussed. There are common-mode leakage currents which act as a parasitic factor. It is also known that common-mode voltage is the main cause of the common-mode leakage current in grid-tied PV-generation systems. This paper considers the space vector pulse-width modulation (PWM) technique which is used to suppress or reduce common-mode leakage current. The proposed engineering solutions for a generation system based on the multilevel converter controlled with a pulse-width modulation technique are verified by experiment.

Technology is in the way to reach in its climax but the basic understanding of science in many phenomena is still awaited even though the nature witnesses it. Scientific research reveals strong analogy between photon and electron. When an atom deals neutral state, it levitates electron of outer ring from the back surface while placing the bit-energy at front surface. Gravitation behavior of that electron starts at the centre of relaxation point by including the force of side pole where the pulling force of nearby unfilled state of that atom from the front surface results into depict forcing energy shape like Gaussian distribution symbol with both ends turned called unit photon. The inertia is being involved at each stage of changing direction of that electron by introducing the disappearances of forces of two poles against the appearances of forces of two opposite poles during rest to motion and motion to rest in the first half-cycle. The same is the case in the second half-cycle of that electron during rest to motion and motion to rest but it is under different introduction of the disappearances of forces against appearances of forces. However, at stage of levitating or gravitating period of electron, only one force is being involved at one time where the opposite force is disappeared. The uninterrupted confined inter-state electron-dynamics of atom under the availability of several bits of bit-energy results into generate forcing energy shape like a wave. Two bits of bit-energy where shape of bit for first half-cycle is like integral symbol and second half-cycle is like opposite integral symbol which are being placed along the configuring trajectory of inter-state electron-dynamics during forward-direction cycle and two bits of bit-energy shape in opposite order are being placed along the trajectory of inter-state electron-dynamics during back-direction cycle. Generating forcing energy of unit photon in each cycle is pushing to the rear side by remaining connected till the electron is not restoring the state of rest. Silicon atom is considered as a model system under neutral state. Uninterrupted confined inter-state electron-dynamics result into generate forcing energy that can travel immeasurable length and unavailability of necessitating bit-energy at any interrupted stage result into generate an overt photon. Inter-state electron-dynamics for at least two cycles generate an overt photon –a photon length twice to unit photon. Under certain interaction of unit photon, it divides equally into two bits of bit-energy instead of dividing into tits and bits of heat. The mechanism of generating photon characteristic current by the electron of neutral state atom validates that atoms are four-dimensional discs at centre of dealing no force. An isolated electron is being grounded under directed forcing energy to impinge a neutral state atom where the gained instantaneous velocity under merged energy resulting into distort atom at that point. Matter changes the role of energy and force under various sorts of interactions. Here, heat energy and photon energy explore matter at atomic and electron levels, thus, devise basis of science to describe.

Objectives: The aim of this study was to compare the performance of the EQ-5D-Y-3L (Y-3L) and the expanded five level version, the EQ-5D-Y-5L (Y-5L). Methods: Children/adolescents with an acute or chronic health condition and from the general population completed the Y-5L and Y-3L self-report questionnaires. Performance of the Y-5L and Y-3L was determined by comparing feasibility, redistribution of dimension responses, discriminatory power, validity, and test-retest reliability. Results. Five hundred and fifty children/adolescents completed baseline measures and 173 completed repeat measures. The ceiling effect decreased by 15% from the Y-3L to Y-5L. Informativity of dimensions improved by 0.094 on the Y-5L. There was a range of 4-9% inconsistent responses moving from the Y-3L to Y-5L. Convergent validity of the Visual Analogue Scale (VAS) and Y-3L, Y-5L dimensions was similar, weak to moderate (r_s range: 0.18 – 0.38) but similar and strong on paired Y-3L and Y-5L dimensions: Kendall Tau B (range 0.69 – 0.80) and Gamma (range 0.92 – 0.98). The Y-5L and Y-3L showed moderate to substantial agreement for test-retest reliability across dimensions and VAS scores in stable chronic health conditions and fair agreement for the general population. Conclusion: The EQ-5D-Y-5L is a valid, reliable extension of the Y-3L for children/adolescents across health conditions and healthy children/adolescents. The expanded levels reduced the ceiling effect. The relative informativity of report across dimensions increased on the Y-5L compared to the Y-3L with retention of the evenness of reporting. The convergent validity and test-retest reliability of the Y-5L was comparable to the Y-3L.

Increasing groundwater levels (GWL) may become one of the most serious issues for Odessa City, Ukraine. This study investigated the spatial distribution characteristics and multifractal scaling behaviour of groundwater level/depth fluctuation for a Quaternary aquifer in Odessa City using a geostatistical approach and a Multifractal Detrended Fluctuation Analysis (MF-DFA). These two methods were applied to monthly GWL fluctuation time series from 1970 to 2020 to monitor 72 hydrogeological wells situated in different parts of Odessa City. The spatial distribution of GWL revealed an overall trend of decline and recovery from 1970 to 2020 in the study area, except for most of the southern region, where a persistent recovery of groundwater depth was observed. The MF-DFA results suggest that the dynamics of GWL fluctuations have multifractal characteristics in the Odessa City area. In addition, both long-range correlation and fat-tail probability distribution contribute to multifractality. However, long-range correlations among fluctuations made a major contribution to the observed multifractality of the GWL fluctuations time series. The generalized Hurst exponent shows a wide range of change (0.20 &lt; h(q) &lt; 2.85), indicating the sensitivity of GWL fluctuations to changes in small scale factors and large-scale factors. Regarding the long range correlations of GWL depth, the Hurst exponents (q = 2) demonstrated the positive persistence of groundwater depth recovery in the southern region and the persistence of groundwater depth variation in the other regions of the study area. The dynamic changes in GWL depth in the Odessa City area may be affected by both natural structural and anthropogenic factors.

When there is uncertainty in the value of parameters of the input random components of a stochastic simulation model, two-level nested simulation algorithms are used to estimate the expectation of performance variables of interest. In the outer level of the algorithm (n) observations are generated for the parameters, and in the inner level (m) observations of the simulation model are generated with the value of parameters fixed at the value generated in the outer level. In this article, we consider the case in which the observations at both levels of the algorithm are independent, showing how the variance of the observations can be decomposed into the sum of a parametric variance and a stochastic variance. Next, we derive central limit theorems that allow us to compute asymptotic confidence intervals to assess the accuracy of the simulation-based estimators for the point forecast and the variance components. Under this framework, we derive analytical expressions for the point forecast and the variance components of a Bayesian model to forecast sporadic demand; and we use these expressions to illustrate the validity of our theoretical results by performing simulation experiments using this forecast model.

Malaria infection is a multifactorial disease partly modulated by host immuno-genetic factors. Recent evidence has demonstrated the importance of Interleukin-17 family proinflammatory cytokines and their genetic variants in host immunity. However, limited knowledge exists about their role in parasitic infections such as malaria. We aimed to investigate IL-17A serum levels in patients with severe and uncomplicated malaria, whether IL-17A gene polymorphisms are involved in severe malaria susceptibility and the polymorphism’s influence on the IL-17A serum levels. 125 malaria patients and 48 free malaria controls were enrolled in this research. Malaria patients were classified into severe malaria (SM) and uncomplicated malaria (UM). IL-17A serum levels were measured with ELISA. PCR and DNA sequencing were used to assess host genetic polymorphisms in IL-17A. We performed a multivariate regression to estimate the impact of human IL-17A variants on IL-17A serum level and malaria outcome. Elevated serum IL-17A levels accompanied by increased parasitemia were found in SM patients compared to UM and controls (P&lt;0.0001). Also, the IL-17A levels were lower in SM patients who were deceased than in those who survived. In addition, the minor allele frequencies (MAF) of two IL-17A polymorphisms (rs3819024 and rs3748067) were more prevalent in SM patients than UM patients indicating an essential role in SM. Interestingly, the heterozygous rs8193038 AG genotype was significantly associated with higher levels of IL-17A than the homozygous wild type (GG). According to our results, it can be concluded that IL-17A may play a role in protection against fatal malaria outcomes.

Globally, inequalities in educational provision are prevalent between genders, various geographical regions, and among different socio-economic backgrounds. Consequently, this study set-out to assess the level of disparity among the Federal Regional States of Ethiopia using Gini-coefficient and Lorenz curve from the statistical data of MoE. Moreover, data were collected from 656 respondents found in the sample regions. The result of the Gini-coefficient indicated that disparity in educational provision has been reduced over the past couple of decades both at primary (0.145 to 0.032) and secondary levels (0.277 to 0.126). Emerging regions are by far lagging behind the central and established regions. The sources of variation were mainly the demand-side variables, especially the economic and contextual related issues like drought and conflicts. Therefore, educational policies designed at the central level are advised to consider the strategies to bridge the existing inequalities through equitable provision of the education system to its citizen.

The choice of holiday destinations is highly depended on climate considerations. Nowadays, since the effects of climate crisis are being increasingly felt, the need of accurate weather and climate services for hotels is crucial. Such a service could be beneficial for both the future planning of tourists’ activities and destinations and for hotel managers as it could help in decision making about the planning and expansion of the touristic season, due to a prediction of higher temperatures for a longer time span, thus causing increased revenue for companies in the local touristic sector. The aim of this work is to calculate predictions on climatic variables using statistical techniques as well as Artificial Intelligence (AI) for a specific area of interest utilising data from in situ meteorological station, and produce valuable and reliable localised predictions with the most cost-effective method possible. This investigation will answer the question of the most suitable prediction method for time series data from a single meteorological station that is deployed in a specific location. As a result, an accurate representation of the microclimate in a specific are is achieved. To achieve this high accuracy in situ measurements and prediction techniques are used. As prediction techniques, Seasonal Auto Regressive Integrated Moving Average (SARIMA), AI techniques like the Long-Short-Term-Memory (LSTM) Neural Network and hybrid combinations of the two are used. Variables of interest are divided in the easier to predict temperature and humidity that are more periodic and less chaotic, and the wind speed as an example of a more stochastic variable with no known seasonality and patterns. Our results show that the examined Hybrid methodology performs the best at temperature and wind speed forecasts, closely followed by the SARIMA whereas LSTM perform better overall at the humidity forecast, even after the correction of the Hybrid to the SARIMA model.

Accompanied by increasing population growth and urban sprawl, most coastal cities are unprecedentedly vulnerable to climate change and its impacts, such as sea level rise, increasing extreme storm events, and coastal flooding. Coastal resilience and sustainable development are antidotes to vulnerability; they aim to enhance the adaptive capability of absorbing disturbances and resisting uncertainty. This study explores building a quantitative assessment framework to measure resilience and provide an objective and comparable method to understand the strengths and weaknesses in a given region. The proposed 25 resilience indicators incorporate the aspects of essential livelihood protection, infrastructure and natural resource maintenance, emergency facilities and institutions, floodplain management regulations, and adaptive planning process. Each indicator is assigned the resilience quality that includes robustness, resourcefulness, redundancy, and rapidity. The aggregated resilience quality scoring reflects the systematic performance of the city to cope with the coastal hazards. The innovative part of this framework is combining hazard mitigation measures, climate adaptation strategies, and sustainable development goals together to achieve a comprehensive assessment method. In the case of New Haven, the resilience assessment is taken as a practical monitoring tool and decision-making support.

Little is known about how recreational triathletes prepare for an Olympic distance event. The aim of this study was to identify the training characteristics of recreational-level triathletes within the competition period and assess how their preparation for a triathlon influences their health and their levels of fatigue. During the 6 weeks prior to an Olympic distance triathlon, and the 2 weeks after, 9 recreational athletes (5 males, 4 females) completed a daily training log. Participants answered the Daily Analysis of Life Demands Questionnaire (DALDA), the Training Distress Scale (TDS), and the Alberta Swim Fatigue and Health Questionnaire weekly. The Recovery-Stress Questionnaire (REST-Q) was completed at the beginning of the study, on the day before the competition, and at the end of week 8. Training loads were calculated using session-based rating of perceived exertion (sRPE). The data from every week of training was compared to week 1 to determine how athletes’ training and health changed throughout the study. No changes in training loads, duration, or training intensity distribution were seen in the weeks leading up to the competition. Training duration was significantly reduced in week 6 (p=0.041, d = 1.58, 95% CI = 6.9, 421.9), while the number of sessions was reduced in week 6 (Z=2.32, p=0.02, ES = 0.88) and week 7 (Z = 2.31, p=0.02, ES = 0.87). Training was characterized by large weekly variations in training loads and a high training intensity. No significant changes were seen in the DALDA, TDS, or REST-Q questionnaire scores throughout the 8 weeks. Despite large spikes in training load and a high overall training intensity, these recreational-level triathletes were able to maintain their health in the 6 weeks of training prior an Olympic distance triathlon.

Rice is the most important food crop in Cambodia and its production is the most organized food production system in the country. The main objective of this study is to measure technical efficiency (TE) of Cambodian rice production and also trying to identify core influencing factors of rice TE at both national and household level, for explaining the possibilities of increasing productivity and profitability of rice, by using translog production function through Stochastic Frontier Analysis (SFA) model. Four-years dataset (2012-2015) generated from the government documents was utilized for the national analysis, while at household-level, the primary three-years data (2013-2015) collected from 301 rice farmers in three selected districts of Battambang province by structured questionnaires was applied. The results indicate that level of rice output varied according to the different level of capital investment in agricultural machineries, total actual harvested area, and technically fertilizers application within provinces, while level of household rice output varied according to the differences in efficiency of production processes, techniques, total annual harvested land, and technically application of fertilizers and pesticides of farmers. The overall mean TE was estimated at 78.4% (national-level) and 34% (household-level), indicates that rice output has the potential of being increased further by 21.6% (national production) and 66% (household) at the same level of inputs and technology if farmers had been technically efficient. The TE also recorded -7% decreasing rate at the national-level and -14.3% at household-level due to highly affected of natural disasters and various environmental and social factors during the study periods.

This paper describes a memory model with 2 levels of information. The lower-level stores source data, is Markov-like and unweighted. Then an upper-level ontology is created from a further 3 phases of aggregating source information, by transposing from an ensemble to a hierarchy at each level. The ontology is useful for search processes and the aggregating process transposes the information from horizontal set-based sequences to more vertical typed-based clusters. The base memory is essentially neutral, where any weighted constraints or preferences should be sent by the calling module. This therefore allows different weight sets to be imposed on the same linking structure. The success of the ontology typing is open to interpretation, but the author would suggest that when clustering text, the result was types based more on use and context, for example, 'linking' with 'structure' or 'provide' with 'web,' for a document describing distributed service-based networks. This allows the system to economise over symbol use, where links to related symbols will be clustered together. The author then conjectures that a third level would be more neural in nature and would include functions or operations to be performed on the data, along with related memory information.

Edge computing has emerged as a significant computing trend alongside the rapid expansion of the Internet of Things (IoT). Computing operations at the network’s edge offer a solution to the high latency and service overload challenges often associated with cloud computing. Additionally, the Secure Hash Algorithm-3 (SHA-3) plays a crucial role in ensuring data integrity and is implemented for numerous applications in the IoT field. Therefore, integrating the SHA-3 accelerator into edge computing is essential. Moreover, recent studies about SHA-3 have primarily focused on achieving high performance and optimizing resource utilization for SHA-3. However, these studies have overlooked the crucial aspect of data transfer between the external memory and the hash function block, as transfer time plays a significant role. This paper proposes an efficient SHA-3 architecture designed for System-on-Chip (SoC) Field Programmable Gate Array (FPGA) to address the aforementioned challenges and be suitable for real edge computing. The architecture contains three key techniques. First, the harmony of padding and Direct Memory Access (DMA) for managing the data transfer process and enhancing performance efficiency based on Serial Input to Parallel Output (SIPO) and a barrel shifter. Secondly, implementing internal pipelining within the Round Function (RF) to reduce critical path delays and optimize resource utilization. Finally, designing four modes (SHA3-224, SHA3-256, SHA3-384, and SHA3-512) to cater to various applications. Our architecture is implemented and tested on the DE10-Standard Development Kit (Cyclone V SX SoC-5CSXFC6D6F31C6N), which is integrated into the FPGA and is controlled by a Dual-Core ARM Cortex-A9 processor. The result is up to 38.34 Gbps in throughput and 5.61 Mbps/ALM in efficiency for the RF computation, 28.02 Gbps in throughput, and 3.63 Mbps/ALM for the full proposed architecture.

Introduction: Weighting is widely used in applied statistics especially while dealing with survey data. In recent years, multilevel modeling under complex survey designs has increased, resulting into demand for level weights. However, survey data that are accessible to the public for use usually do not contain level weights that are useful in multilevel modeling, but final survey weights that are only appropriate for single level analyses. In this paper, we demonstrate how the final survey weights can be used to estimate level weights for multilevel data analysis, and compare a model that applied level weights with one that applied the final survey weights. Methods: A framework for approximating level weights proposed by the Demographic Health Survey (DHS) program was used to estimate the level weights. Models were fitted using a multilevel mixed effects logistic regression method. Estimates from a model that applied survey weights was compared to those from a model that applied level weights. Results: Application of final survey weights instead of level weights underestimated standard errors and led to loss of precision of model estimates. Conclusions: Use of level weights produces estimates with high precision and yields correct values of standard errors hence appropriately informing inference.

Abstract: As the massive deployment of the heterogeneous IoT devices in the coexisting environment such as smart homes，Traditional channel-based spectrum sharing algorithms such as CSMA has great limitations to further optimize spectrum utilization. Therefore, exploring more efficient spectrum sensing algorithm becomes hot topic these years. This paper proposes Subcarrier-Sniffer, which utilizes Channel State Information (CSI) to sense the subcarrier-level detailed status of the spectrum. In order to evaluate the performance of Subcarrier-Sniffer, we implemented Subcarrier-Sniffer by USRP B200min, and the experimental results show that when the distance between Subcarrier-Sniffer and the monitored devices is not great than 7 m, the accuracy of subcarrier-level spectrum sensing could achieve 100% in our settings.

This article presents a new method of segmenting grayscale images by minimizing Shannon's neutrosophic entropy. For the proposed segmentation method, the neutrosophic information components, i.e., the degree of truth, the degree of neutrality and the degree of falsity are defined taking into account the belonging to the segmented regions and at the same time to the separation threshold area. The principle of the method is simple and easy to understand and can lead to multiple thresholds. The efficacy of the method is illustrated using some test gray level images. The experimental results show that the proposed method has good performance for segmentation with optimal gray level thresholds.

Auxin and ethylene pathways cooperatively regulate a variety of developmental processes in plants. Growth responses to ethylene are largely dependent on auxin, the key regulator of plant morphogenesis. Auxin, in turn, is capable of inducing ethylene biosynthesis and signaling making the interaction of these hormones reciprocal. Recent studies discovered a bunch of molecular events underlying auxin-ethylene crosstalk. In this review, we summarize the results of fine-scale and large-scale experiments on interaction of auxin and ethylene pathways in Arabidopsis. We integrate the knowledge on the molecular crosstalk events, their tissue specificity and associated phenotypic responses to decipher the crosstalk mechanisms at a systems level. We also discuss the prospects of applying systems biology approaches to study the mechanisms of crosstalk between plant hormones.

System level diagnosis is an abstraction of high level and, thus, its practical implementation to particular cases of complex systems is the task which requires additional investigations, both theoretical and modeling. Mostly, diagnosis at system level intends to identify only permanently faulty units. In the paper, we consider the case when both permanently and intermittently faulty units can occur in the system. Identification of intermittently faulty units has some specifics which we have considered in this paper. We also suggest the method which allows distinguishing among different types of intermittent faults. Diagnosis procedure was suggested for each type of intermittent faults.

Smart home and building systems are popular solution that support maintaining comfort, safety and improving energy efficiency in buildings. However, dynamically developing distributed network technologies, in particular the Internet of Things, are increasingly entering the above-mentioned application areas of building automation, offering new functional possibilities. The result of these processes is the emergence of many different solutions that mix technologies of field-level and ICT networks in various configurations and architectures. New paradigms are also emerging, such as edge and fog computing, providing support for local monitoring and control networks in the implementation of advanced functions and algorithms, including machine learning and artificial intelligence mechanisms. This paper collects state-of-the-art information in these areas, along with a systematic review of the literature, case-studies and an analysis of selected development trends. The author systematized this information in the context of the potential development of building automation systems. Based on the conclusions of this analysis and discussion, a framework for the development of the Generic IoT paradigm in smart home and building applications has been proposed, along with a SWOT analysis of its usability. Future works are proposed as well.

The pandemic was an enormous experience all over the world. The type of living, working and study were changed irreversibly. Facing the opportunity to establish old frames of education in universities is impossible. The adoption of new ways of teaching and assessments reveal their convenience and in the same way their weak points. In response to that stage, on 14 December 2022, the EU parliament accepted the "Digital Decade Policy Programme 2030", for the establishment of a digital transformation community (EU 2022). Trakia University had an online assessment system, quizzes for self-training, and final exams, developed in 2008 on Moodle virtual learning environment. During the pandemic, online exams and lectures were conducted using platforms like BigBlueButton in Moodle or Google Meets. The article gives the results of online exams before, during, and after the pandemic. The outcome, without doubt, displays the lowering knowledge level or performance during the social isolation due to COVID-19, and after, and the reasons are discussed. During the second year of the pandemic was mentioned also a high dropout of students. Now the situation is returning to the previous levels, before the pandemic, but the quality of education is not yet reached. The article values the grades results of session exams and has the intention to clarify the influence of the pandemic period on the excellence of high institution education.

Basil (Ocimum basilicum L.) is one of the important medicinal and aromatic plants. Light intensity is an indispensable factor for plants due to its effect on photosynthesis and physiological processes. Here, we investigated the impact of light intensities and harvesting times on the photosynthesis of green and purple basil. The experiment involved subjecting the plants to three different sunlight levels for 12 days: complete – 100%, 50%, and 30% sunlight. In addition, we scrutinize the harvesting time. The highest levels of photosynthetic and protective pigments were detected under full sunlight conditions in the purple basil harvested at noon. The highest levels of soluble and storage carbohydrates were recorded in the purple basil grown under full sunlight and harvested in the early morning. In contrast, their lowest levels were obtained in plants grown under 30% sunlight and harvested at noon time. Under all light treatments, the maximum quantum yield of photosystem II (FV/FM) was detected at 4 a.m. in both basil varieties; it decreased at noon and increased again at 5 p.m. Non-Photochemical Quenching (NPQ) got most elevated in the green variety under all light intensities at noon. However the highest NPQ was detected in the purple variety at 8 a.m. The NPQ was lowest in both basil varieties during the early morning and afternoon. Full sunlight at noon caused temporary photoinhibition and reduced car-bohydrates while enhancing pigment concentration and photo-protective mechanisms in basil plants.

In recent years, using pre-sprouted seedlings for sugarcane establishment has been developed in Brazil. Despite yielding promising results, the optimal irrigation management for this method during the Brazilian winter planting season has yet to be determined. Additionally, information regarding water demand and seedling behavior when subjected to different irrigation levels remains unclear. This study aimed to assess the response of pre-sprouted sugarcane seedlings to different irrigation levels during the winter in southeastern Brazil. Pre-sprouted sugarcane seedlings were subjected to different irrigation levels during the winter season in the region of Piracicaba, using a sprinkler irrigation system. Periodic evaluations were conducted, such as seedlings mortality rate, root size, root dry mass, number of sugarcane tillers sprouted per meter, total number of tillers, plant height, leaf area index, shoot dry mass, and total leaf chlorophyll index. The findings of this investigation indicate that a 10 mm irrigation level facilitated optimal fixation depth and achieved a 97.8% survival rate. Moreover, a correlation between seedling mortality rate and irrigation management was observed, emphasizing the critical role of irrigation in establishing and developing seedlings. Based on these findings, a 10 mm irrigation may represent the optimal irrigation strategy for pre-sprouted sugarcane seedlings in this scenario.

In this study, an experiment was conducted on hoop pine (Araucaria cunninghamii), which is a common tree species in Taiwan. Holes with diameters of 4, 5, 7, 10, 12, and 14 cm were drilled in dry hoop pine timber with a diameter of 39 cm and a height of 57 cm, and an 800 MHz Ground Penetrating Radar (GPR) antenna were used to determine the minimum image resolution and the size of the holes in the wood. GPR images of the timber were subjected to a filtering process to obtain characteristic reflection curves of the damage to the timber. Curves with clear waveforms were observed in the GPR profiles of eccentric holes with a diameter of 4 cm. Profiles of the damage were obtained and profile images with the trunk radius at the centre were transformed into polar coordinate images. From these polar coordinate images, the location, size and diameter of the eccentric holes in the wood were identified, and the reflection curves were characterised by waveforms and irregular fluctuations. The risk levels of tree trunks were determined on the basis of their t/R (minimum normal wall thickness of the cross-section of the trunk/radius of the trunk) values and hole area ratios. A comparison between the GPR-based results and the actual diameters of the holes revealed that the filtered GPR profiles could be used for the efficient and accurate assessment of damage to hoop pine timber (average error rate ≤ 4%).

Cloud detection in remote sensing images is a crucial preprocessing step that efficiently identifies and extracts cloud-covered areas within the images, ensuring the precision and reliability of subsequent analyses and applications. Given the diversity of clouds and the intricacies of the surface, distinguishing the boundaries between thin clouds and the underlying surface is a major challenge in cloud detection. To address these challenges, an advanced cloud detection method, CloudformerV3, is presented in this paper. The proposed method employs a multi-scale adapter to incorporate dark and bright channel prior information into the model's backbone, enhancing the model's ability to capture prior information and multi-scale details from remote sensing images. Additionally, multi-level large window attention is utilized, enabling high-resolution feature maps and low-resolution feature maps to mutually focus and subsequently merge during the resolution recovery phase. This facilitates the establishment of connections between different levels of feature maps and offers comprehensive contextual information for the model's decoder. Experimental results on the GF1_WHU dataset demonstrate that the method introduced in this paper exhibits superior detection accuracy when compared to state-of-the-art cloud detection models. Furthermore, enhanced detection performance is achieved along cloud edges and with respect to thin clouds, showcasing the efficacy of the proposed method.

In order to meet the diversified rehabilitation needs of people, it is necessary to design a product for active rehabilitation of patients. Existing rehabilitation chairs use intelligent massage, which can cause problems such as large massage area, inability to local massage, large chair size, and inability to meet the continuous use of the damaged parts. In this paper, modular design method and multi-layer evaluation method are used to solve the problems related to rehabilitation chairs. The authors use the questionnaire survey method and the functional technology matrix method to determine the functional requirements of the rehabilitation chair, and then use the multilevel evaluation methods, including the AHP method, entropy weight method main and grey correlation analysis, to optimize the functional solutions of the rehabilitation chair, and finally obtain a chair for the rehabilitation of patients with upper and lower limb disorders. Problems such as generalisation of rehabilitation scope and non-durable use of components were solved, and the purpose of active exercise was achieved. This study verifies that the use of multilevel decision evaluation method can effectively improve the efficiency of programme decision-making, and provides theoretical and practical basis for the design of similar products.

Silicon-based photodetectors, as low-cost and environmentally friendly optical sensors, are attractive. Also, their compatibility with complementary metal-oxide-semiconductor (CMOS) technology is advantageous for the development of silicon photonics systems. However, extending optical responsivity of silicon-based photodetectors to the mid-infrared (mid-IR) wavelength range remains challenging. In developing mid-IR infrared Schottky detectors, nanoscale metals are critical. Nonetheless, one key factor is the Fermi level pinning effect at the metal/silicon interface and the presence of metal-induced gap states (MIGS). Here, we demonstrate the utilization of the passivated surface layer on semiconductor materials as an insulating material in metal-insulator-semiconductor (MIS) contacts to mitigate the Fermi level pinning effect. The removal of Fermi level pinning effectively reduces the Schottky barrier height by 12.5% to 16%. The demonstrated devices exhibit a high responsivity of up to 234 μA/W at a wavelength of 2 μm, 48.2 μA/W at 3 μm, and 1.75 μA/W at 6 μm. The corresponding detectivities at 2 and 3 μm are 1.17×10^8 cm Hz^1/2 W^-1 and 2.41×10^7 cm Hz^1/2 W^-1, respectively. The expanded sensing wavelength range contributes to the application development of future silicon photonics integration platforms.

One-fifth of the world’s population and critical infrastructures are near the coast and regions at high risk of sea level elevation. Climate change is expected to increase coastal extreme events, rising sea levels, and impact on ecosystem. This paper reviews coastal physical processes, wave and impacts, and the introduction of nature-based models for the mitigation of flooding, erosion, and recovery. Hard engineering like seawalls has been used to prevent, protect, and control water-based environmental forces with an extended impact on the land. A nature-based engineering solution, such as growing vegetation, is being adopted as a sustainable solution to help make existing technology live its design life and provide climate change adaptation and resilience for coastal and riverine communities. This paper presents applications of seaweed farms as an advanced nature-based mitigation approach. The result of the experiments conducted at RWTH Aachen University on wave damping of seaweed types and farming structures to validate the hypothesis will be presented in part B. A soft engineering approach to designing future vegetated protection systems using seaweed as a nature-based solution can help existing coastal infrastructure design life and protect against climate-induced SLR rise and adaptation, coastal risk mitigation, ecosystem restoration, and blue bio-economic development.

Abstract: The present study seeks to investigate MNOs leadership style and how it influences their compassion competence and their personal level of compassion at work. This is a cross-sectional study carried out from December 2019 to May 2020 using the method of convenience sampling. The study involved 235 MNOs serving in Greek Military Hospitals. A single questionnaire containing Compassion at Work index, Compassion competence scale, and Multifactor Leadership Questionnaire (MLQ-5X), and socio-demographic and professional data, was used for data collection. A total of 400 printed questionnaires were distributed with a response rate of 58.75%. Data analysis was performed using the statistical package SPSS 22.0. The research showed that the transformational and transactional leadership styles coexist in the Nursing Corps of the Armed Forces with an average value of 2.72(SD=0.70)-2.95(SD=0.54) points and 2.47(SD=0.69)-2.74(SD=0.63) points respectively, while the passive style represented a very small percentage with an average subscale value of 0.88(SD=0.61)-0.94(SD=0.63) points. It was also found that both actual compassion at work and compassion ability had improved with the increase of transformational or transactional leadership style characteristics and amelioration of leadership outcome criteria. On the other side, a deterioration of these was observed with the increase of the passive leadership. Specifically, a higher score in the «Intellectual Stimulation» scale was associated with a higher level of compassion at work in the dimension «Experiencing the suffering of others» (p=0.010/SD=0.14), while higher values on the «Laissez-Faire Leadership» scale were associated with less compassion at work in the same dimension (p<0.001/SD=0.13). Also, a higher score on the «Contingent Reward» scale was associated with more compassion at work in the dimension «Takes appropriate action» (p=0.023/SD=0.16). Furthermore, higher values observed in the «Inspirational Motivation», «Individual Consideration» and «Extra Effort» scales were associated with a better communication ability (p=0.035/SD=0.09, p=0.022/SD=0.12, and p=0.042/SD=0.08 accordingly). Finally, a higher score on the «Effectiveness» scale was associated with higher sensitivity (p=0.049/SD=0.08). Teaching appropriate leadership behavior, promoting a culture of compassion, and continuing to train nurses to manage their emotions should be included in the infrastructure of nursing science.

This study investigated the influence of land-use and precipitation change and variability on Lake Victoria’s water-level fluctuations. Extreme precipitation events, corresponding to extreme water-levels, over the lake and its catchment area were identified and their return periods estimated by fitting them into a generalized extreme value (GEV) distribution. Using general circulation models from the 6^th phase of the Coupled Model Intercomparison Project (CMIP6)’s Detection & Attribution Model Intercomparison Project (DAMIP), an assessment of the potential contribution of human-induced climate change on the observed precipitation patterns over the study area was done. The greatest precipitation anomalies for the period 1900-2020 were recorded in 1961’s October-December (OND) season and 2019’s June-August (JJA) and OND seasons, corresponding to the period when the highest water-levels were recorded in Lake Victoria. While land-use change in the study domain was observed, extended and unusually heavy June to December 2019 precipitation bore the greatest responsibility for the 2019/2020 high water-levels in Lake Victoria. The OND precipitation event of 2019 was a 1-in-52-year event compared to the 1961’s 1-in-693 years. Differences in return periods at various parts of the lake imply a high spatial climate variability within the lake itself. An analysis of the fraction of attributable risk (FAR) showed natural variability to have a greater influence on the JJA and OND precipitation patterns over Lake Victoria than human-induced climate change. However, variability over the land area of the study domain was mainly driven by human-induced climate change rather than natural variability, implying a unique climate system over Lake Victoria. Findings from the current study enhance the understanding of Lake Victoria’s water budget and motivate for further research to inform effective strategies on the planning and use of Lake Victoria’s water resources in a changing climate.

Background: Depending on the phase of the menstrual cycle the athlete is in, some kinetic, physiological and fatigue variables will show differences. The aim of this study is to analyze whether there are changes in these variables over the course of the menstrual cycle. Methods: Eight regular female runners and triathletes performed a maximal treadmill test, as well as a submaximal test (6’ stages at 50%, 60% and 80% of maximal aerobic speed) in each of the phases of the menstrual cycle: bleeding phase (day 2.4 ± 0.7), follicular phase (day 10.4 ± 2.2) and luteal phase (day 21.8 ± 2.1). Running dynamics were measured (using RunScribe) at the end of each test, as were lactate concentration, heart rate and fatigue (evaluated on a scale of 0 to 5). Results: Higher shock (G) values were recorded in the bleeding phase and higher vertical spring stiffness (kN/m) in the follicular phase. The phase of the menstrual cycle had a significant effect on average and peak heart rate, which was significantly higher in the follicular phase. Conclusions: Higher vertical spring stiffness was observed in the follicular phase, as well as higher peak and average heart rate.

Oral health involves physiological functions related to mouth, teeth and orofacial structures, but also includes psychological and social dimensions. In this sense, oral health is an integrated part of human general health and well-being. Our aim was to access and evaluate the general oral health status of a high- and elite-level sample of Portuguese athletes from different sports. One hundred and sixteen participants were examined regarding their dental relationships, teeth and periodontal health, the presence of parafunctional activities (bruxism), and current or past orthodontic treatment. Our sample were predominantly adolescents and young adults, including 54 high-level and 62 elite subjects (71 males and 45 males) from 11 different sports, but mainly from swimming and athletics. Most sport performers presented with normocclusion (77%), despite the presence of other sagittal, transverse and vertical malocclusions. Twenty-three participants were affected by dental caries and six had missing teeth. Gingivitis (~40%) and dental calculus (~30%) were presented in our sample. Bruxism signs (47%) and current or past orthodontic treatment (~22%) were also found. Oral health conditions are not under control among high- and elite-level athletes, supporting the importance of healthcare needs and oral health promotion strategies in sports.

High-spin states of 192Tl are populated by the heavy ion fusion-evaporation reaction 181Ta(16O, 5n)192Tl at 97 MeV beam energy. A new level scheme with eight new levels is constructed and the level spins are tentatively assigned. The negative-parity yrast band is extended up to 23^{-}\hbar. Subsequently, the systematics of signature splitting and signature inversion are discussed for the negative-parity yrast band of odd-odd Tl isotopes including 192Tl, 194Tl, 196Tl, and 198Tl. With the increase of neutron number signature inversion is found in 196,198Tl at high-spin state in these four Tl isotopes. The reason may be due to the competition between neutron-proton interaction and Coriolis force.