Background. The Stanford Health Assessment Questionnaire-Disability Index (HAQ) is widely used to measure functional ability in persons with Rheumatoid Arthritis (RA). The instrument was developed with limited involvement from persons with RA, and their perception of the instrument has not been studied in depth. The aim of this study was to explore how persons with RA experience the use of the HAQ in care. Methods. Forty persons with RA were purposefully recruited to participate in semi-structured interviews. The interviews were then analyzed qualitatively using thematic analysis. Results. The participants questioned the relevance of the HAQ but nevertheless experienced that the instrument had a profound effect on their understanding of health and how care is delivered. The analysis resulted in three themes: Problems with individual items, meaning of the summative score, and effects on care and health perceptions. Conclusions. To make the HAQ relevant to persons with RA, it needs to be revised or to include an option to select items most meaningful to the respondent. To ensure relevance, the HAQ update should preferably be co-created by researchers, clinicians and persons with RA.

The present grievous situation of the tuberculosis disease can be improved by efficient case management and timely follow-up evaluations. With the advent of digital technology this can be achieved by quick summarization of the patient-centric data. The aim of our study was to assess the effectiveness of the ODK Scan paper-to-digital system during testing period of three months. A sequential, explanatory mixed-method research approach was employed to elucidate technology use. Training, smartphones, application and 3G enabled SIMs were provided to the four field workers. At the beginning, baseline measures of the data management aspects were recorded and compared with endline measures to see the impact of ODK Scan. Additionally, at the end, users’ feedback was collected regarding app usability, user interface design and workflow changes. 122 patients’ records were retrieved from the server and analysed for quality. It was found that ODK Scan recognized 99.2% of multiple choice bubble responses and 79.4% of numerical digit responses correctly. However, the overall quality of the digital data was decreased in comparison to manually entered data. Using ODK Scan, a significant time reduction is observed in data aggregation and data transfer activities, however, data verification and form filling activities took more time. Interviews revealed that field workers saw value in using ODK Scan, however, they were more concerned about the time consuming aspects of the use of ODK Scan. Therefore, it is concluded that minimal disturbance in the existing workflow, continuous feedback and value additions are the important considerations for the implementing organization to ensure technology adoption and workflow improvements.

Despite the existing effective treatment methods, tuberculosis (TB) is the second most deadly infectious disease globally, its carriers in the latent and active phases accounting for more than 20% of the world population. An effective method to control TB and reduce the mortality is regular population screening and diagnosis of the latent form of TB in order to take preventive and curative measures. Numerous methods allow diagnosing TB and directly detecting Mycobacterium tuberculosis (M.tb) biomarkers, including M.tb DNA, proteins, and specific metabolites, as well as antibodies produced by the host immune system in response to M.tb. PCR, ELISA, immunofluorescence and immunochemical analyses, flow cytometry, and other methods allow the detection of M.tb biomarkers or the host immune response to M.tb by recording the optical signal of fluorescent or colorimetric dyes included in the diagnostic tools. Current research in biosensors is aimed at increasing the sensitivity of detection, which can be achieved by using brighter and more photostable optical tags containing fluorescent quantum dots. Here, we review current methods for detection of M.tb biomarkers using optical sensor systems, primarily quantum dot–based nanosensors, and summarize M.tb biomarkers whose detection can be made significantly more sensitive by using quantum dot–based nanosensors.

The COVID-19 pandemic has shown varying effects on adolescents’ mental health, psychosocial functioning, risk behaviours, and victimisation. This study aims to examine the changes reported by a sample of Swedish adolescents (N=1607) at the end of the first year of the pandemic in relation to these factors. Data was collected with an electronic survey between September 2020 and February 2021, targeting upper-secondary high school students (aged 15-19 years). The results indicate a relatively low overall impact of the pandemic on Swedish upper-secondary school students, with notable gender differences. Compared to females, a higher percentage of male adolescents reported experiencing elevated levels of anxiety, depression, sleep disturbances, anger, and increased illicit drug use as consequences of the pandemic. In contrast, females demonstrated an increase in several salutogenic behaviours. Victimisation rates generally decreased during this period. These findings underscore the importance of heightened awareness among professionals within schools, social services, and healthcare settings regarding the distinct challenges encountered by a larger portion of male adolescents during the COVID-19 pandemic in Sweden.

With the exponential growth of internet usage and mobile devices, the volume of user behavior data has surged, offering significant opportunities and challenges for businesses. This paper explores user behavior analysis in the context of big data, highlighting its pivotal role in driving innovation and strategic decision-making. We begin by discussing the importance of user behavior data and reviewing technological advancements such as machine learning, natural language processing, and data mining that enable deep insights into user behavior. Through a case study on linguistic analysis in livestreaming e-commerce, we demonstrate how text-mining techniques can correlate linguistic characteristics with sales performance, providing actionable marketing insights. We further explore the broader business applications, including personalized recommendations, user portraits, product design, and strategic decision-making. Technical and ethical challenges, such as data integration, privacy concerns, and algorithmic bias, are also addressed. The paper concludes with a discussion on future trends, such as AI and ML advancements, edge computing, IoT proliferation, and ethical AI frameworks, poised to shape user behavior analysis. Our findings underscore the transformative potential of user behavior data in enhancing business operations and user experiences, providing recommendations for future research focused on real-time analytics, privacy-preserving techniques, and ethical implications of data-driven decisions.

Introduction: Migraine is a highly disabling neurological condition with substantial variability in its clinical presentation. This study aimed to explore the influence of familial transmission of comorbid medical conditions on the phenotype of chronic and episodic migraine. Methods: A total of 500 patients who presented to a private tertiary headache clinic were categorized into episodic and chronic migraine groups based on the International Classification of Headache Disorders-3 criteria. Data on demographics, clinical symptoms, and familial medical history were collected. Statistical analysis included chi-square and independent sample t-tests to evaluate the impact of familial comorbidities on migraine phenotypes. Results: Of the participants, 63% were diagnosed with episodic migraine and 37% with chronic migraine. Significant findings included higher rates of medication overuse (63.31%) and allodynia (58.82%) in patients with chronic migraine. Notably, patients with a maternal history of hypercholesterolemia showed a higher prevalence of chronic migraine (78.6%), whereas those with both parents affected tended to have episodic migraine. Educational levels are inversely correlated with the prevalence of chronic migraine, suggesting a socioeconomic influence on migraine chronification. Discussion: This study highlights significant associations between familial health conditions and migraine phenotypes. The findings suggest that the maternal transmission of comorbidities, particularly hypercholesterolemia, may influence the development of chronic migraine. These results underscore the importance of considering familial medical history in the management and understanding of migraine.

This study examines the contribution of early executive functions (EFs) in the association between fluency in reading and arithmetic. Kindergarten children (N = 1,185) were assessed on Executive Functions skills and on reading and arithmetic fluency in Grade 1 and Grade 3. The analysis revealed that beyond the connection within each domain there is a unidirectional effect between fluency measures, with Grade 1 reading fluency significantly influencing the development of arithmetic fluency in Grade 3. Furthermore, the findings indicate that kindergarten EFs significantly contribute to arithmetic fluency at both time points and to reading fluency in the first grade. Early EF skills also emerged as a mediator of associations between fluency performance in reading and arithmetic, suggesting that the influence of EFs extends beyond individual academic domains. These findings have implications for understanding the cognitive mechanisms that underlie the relations between these academic skills.

This research investigates the application of Fused Filament Fabrication (FFF) in producing WC-10Co hardmetals, focusing binder formulations and understanding its influence on extrusion force and the influence of printing variables on green density of the samples. By examining the interplay between different binder compositions and backbone contents, the study aims to enhance the mechanical properties of the sintered parts while reducing defects inherent in the printing process. Evidence suggested that formulated feedstocks influenced the hardness of the sintered hardmetal, not due to microstructural changes but to macrostructural responses like macro defects introduced during printing, debinding and sintering of the samples. The results demonstrate the critical role of PP-MA content in improving part density and sintered hardness, suggesting the need for specific thermal debinding protocols tailored to each feedstock. The study provides insights into the formulation of feedstocks for hardmetal FFF, proposing a path toward refining manufacturing processes for better quality and performance of 3D printed hardmetal components.

This research delves into librarians' perceptions of artificial intelligence (AI) support in learning experiences, lifelong learning, and digital literacy within the library context, undertaking a comparative analysis between Malaysia and Indonesia. Employing a survey methodology, a self-developed questionnaire was administered to 59 librarians in Malaysia and 85 in Indonesia. The questionnaire, utilizing a Likert scale, systematically explored subjective judgments on AI's impact across various dimensions. A noteworthy finding is the consistent and harmonized perception among librarians in both countries, underscoring a universal recognition of AI's perceived support for learning experiences, lifelong learning, and digital literacy. Of particular interest is the emphasis on sustainability in librarians' perspectives, as they recognize the enduring value of AI in fostering educational growth. Despite the limitations inherent in perceptual measures and a relatively modest sample size, the empirical and practical contributions of this study are significant. It offers a nuanced exploration of librarians' viewpoints, providing valuable insights for future research endeavors. Moreover, the study's findings have immediate practical implications for the integration of AI tools in library services, policy-making, and professional development, with a focus on ensuring sustainable implementation for long-term benefits.

The ability to decode words accurately at an early age strongly predicts reading competence later on. Decoding-challenged children may find it difficult to understand texts, which might impede their overall academic development. Strong word decoding skills accelerate the process of learning vocabulary and grammar rules in a variety of languages. The paper aimed to collect relevant literature regarding word decoding ability in the world of the language acquisition process. Policymakers and educators will be greatly impacted by realizing how crucial word decoding is to language learning. Providing targeted interventions for struggling readers, encouraging a positive reading culture, and explicitly teaching phonological and orthographic abilities are all essential components of effective reading education. Promoting decoding proficiency also requires making sure that people have access to excellent reading materials and tools. In order to enable learners to become great readers and communicators across linguistic and cultural boundaries, educators and policymakers should prioritize phonemic awareness from an early age and use effective teaching methodologies.

Employing phonemic awareness in language development can lead to transformative educational outcomes. Having mastered this skill, students have a good foundation in language comprehension, writing, and reading, which increases their chances of academic achievement. This change can affect entire classrooms and schools, fostering a culture of literacy and academic performance, rather than just a select few students. The aim of the study is to gather literature that offers substantial information about this topic based on the facts presented. The overwhelming body of research points to the benefits of teaching phonemic awareness in early childhood education. The foundation of transformative education is phonemic awareness, which fosters fundamental language and reading skills. This profound effect emphasizes how crucial phonemic awareness is to the teaching process. Educators can use phonemic awareness to boost students' language development and create a transformative learning environment by putting these guidelines into practice.

Electronic waste generation has been following a continuously rising trend. With electronics containing a myriad of materials some of which are hazardous, toxic, extremely rare or precious combined with more stringent legislative laws which encourage the reuse and optimised recycling of the materials included in e-waste, the need for a holistic approach is inevitable. Such an approach should not only identify the materials found in the various types of e-waste and their respective quantities but also needs to highlight the possible handling techniques and their respective impacts and associated hazards whether to the environment or human health. Performing such a task manually would be exasperating and costly while requiring extensive resources which might not be met with a justifiable economic gain; thus, the use of the advancement in computational sustainability to draw a complete picture and aid in an informed decision-making process is crucial. The e-waste ontology developed in this paper is one way of addressing the problem since it covers the treatment domain, the hazard and the materials contained within the different types of e-waste. The ontology developed can be used directly from the protégé software or by embedding it into a developed Decision Support System.

AI tools provide individualized learning experiences tailored to specific language learners' requirements. Artificial intelligence-driven programs can customize lessons, exercises, and feedback by evaluating a learner's progress and determining strengths and shortcomings. This individualized method aids students in concentrating on their areas of weakness, thus improving their total language competency. This narrative literature review aims to gather relevant literature discussing AI tools as supplementary support in aiding a learner's language acquisition. Relevant studies stated that there are a lot of chances to improve learning outcomes when AI tools are used in language acquisition. Teachers who want to give their students more resources and help should consider including these tools in their lessons. To preserve the interpersonal and cultural components of language learning, it is imperative to strike a balance between the application of AI and conventional teaching techniques. AI tools are always accessible, providing assistance to learners whenever needed. This is especially helpful for individuals with unpredictable schedules or restricted access to conventional language learning materials.

This work aims to integrate the circular economy (CE) into learning experiences to enhance learning outcome development in Higher Education (HE). Building on existing active learning research, this work aligns CE initiatives—particularly waste reduction and elimination— with the Sustainable Development Goals (SDGs). The study proposes an experiential learning framework to cultivate citizenship commitment, sustainability impact, and engineering learning outcomes through realistic problem-solving in the supply chains of small and medium enterprises (SMEs). Using the ADDIE instructional design model and Kolb’s experiential learning cycle, the approach is illustrated in a case study within an undergraduate industrial engineering module. Based on student opinion surveys and achievement metrics, results indicate that the experience significantly enhanced student engagement and motivation. This research contributes to the broader dissem-ination of CE concepts in HE and supports the advancement of SDG #4 Quality Education and #12 Sustainable Consumption and Production. Future research will explore the application of this learning experience across diverse industries and assess its impact on student learning outcomes in various educational contexts.

The global issues of overweight and sedentary lifestyles demand comprehensive responses from health systems, yet health education still needs to be more cohesive and less sporadic. This study focuses on primary school children as a specific target for instilling healthy habits, employing ac-tive learning strategies to address healthy diet and physical activity. Through Problem-Based Learning projects, the study engaged fourth-grade primary students in acquiring healthy habits. The study was carried out over four consecutive years at a school with two lines, allowing the employment of an opportunity sample and evaluating intervention and control groups by com-paring their corresponding scores. Control groups integrated a total of 54 students, while the in-tervention group included a total of 159 students. A pre-test and post-test questionnaire were used for data collection. Evaluation differential scores revealed statistically significant higher scores in the intervention groups: 3.62 points in control groups and 6,94 in intervention groups, particu-larly in attitudinal competences. These strategies not only facilitated the development of crucial skills such as information search, synthesis, representation, analysis, decision-making, teamwork, and intrapersonal awareness but also significantly broadened the knowledge acquired in aspects related to healthy habits. This approach proved effective in helping children comprehend the im-portance of healthy choices and encouraged integrating such habits into their daily lives.

Background: Experiential learning (EL) experiences are an important component of a university education, positively impacting career-related attitudes, knowledge, and skills. Students also require EL opportunities to gain experiences required for admission to competitive graduate and professional programs. Students with disabilities face barriers accessing and benefiting from such opportunities. Purpose: This study examined the degree to which demographic factors, type and severity of disability, dispositional factors, and overall adjustment and wellbeing are predictive of the quality of EL experiences among university students with disabilities. Methodology/approach: A survey was distributed to undergraduate students with disabilities who have participated in EL courses. Results were analyzed using multiple linear regression. Findings/conclusions: Dispositional and adjustment and wellbeing variables, including the environmental mastery dimension of their psychological wellbeing rather than demographic factors, such as gender or type and severity of disability, are significant predictors of the quality of EL experiences among students with disabilities. Implications: For students with disabilities to have academically and professionally successful EL experiences, post-secondary institutions must continue to provide appropriate accommodations and educate instructors about the diverse and complex needs of this student group. This must include an understanding of the uniqueness of each individual student’s needs.

This study presents the development and evaluation of a Multi-Task Long Short-Term Memory (LSTM) model with an Attention Mechanism designed to predict students' academic performance. The model concurrently addresses two tasks: predicting overall performance (total score) as a regression task and categorizing performance levels (remarks) as a classification task. By processing both tasks simultaneously, the model optimizes computational efficiency and resource use. The dataset includes detailed student performance records across various metrics such as Continuous Assessment, Practical Skills, Demeanor, Presentation Quality, Attendance, and Participation. The model's performance was evaluated using comprehensive metrics. For the regression task, it achieved a Mean Absolute Error (MAE) of 0.0249, Mean Squared Error (MSE) of 0.0012, and Root Mean Squared Error (RMSE) of 0.0346. For the classification task, it attained perfect scores with an accuracy, precision, recall, and F1 score of 1.0. These results highlight the model's high accuracy and robustness in predicting both continuous and categorical outcomes. The Attention Mechanism enhances the model's capabilities by identifying and focusing on the most relevant features. This study demonstrates the effectiveness of the Multi-Task LSTM with Attention Mechanism in educational data analysis, offering a reliable tool for predicting student performance and potential broader applications in similar multi-task learning contexts. Future work will explore further enhancements and wider applications to improve predictive accuracy and efficiency.

The sense of uncertainty and fragility due to the effects and magnitude of global challenges we are facing (from pandemic circumstances to climate change impacts) requires – much more than in the past – the capacity to generate a visionary and forefront design approach in the young gen-erations aiming at stimulating their reaction attitude rather than providing consolidated tools from past conditions that no longer exist or will rapidly evolve. Within this general framework, we have investigated the effectiveness and impacts of experienced-based methods of learning and innovative educational tools in architecture aimed at shaping expertise in which the environ-mental dimension and the climate-change challenge dialogues with the context's complexity in terms of socio-cultural dynamics, real potentialities and constrains, addressing their transdisci-plinary trajectories. The paper analyses 5 international pioneering teaching experiences that provide the opportunity to understand the outcomes of collaborative and experiential learning processes in which the educational activities leverage a dialogue between diverse communities (academia-citizens-policymakers-practitioners). The study outcomes show that shifting the pedagogical paradigm towards in-field-experience-based models can improve the awareness of future practitioners for climate implications of architectural design, implement their analysis and project skills while triggering processes of knowledge transfer and co-production at community level, and allow them to better address the societal and cultural issues involved within decision making.

Using metaheuristics, such as the Evolutionary Algorithm (EA), within control structures is a realistic approach for certain optimal control problems. Their role is often predicting the optimal control values over a prediction horizon using a process model (PM). The big computational effort sometimes causes problems. Our work addresses a new issue: whether a machine learning (ML) algorithm could “learn” the optimal behaviour of the couple (EA, PM). A positive answer is given by proposing datasets apprehending this couple's optimal behaviour and appropriate ML models. Following a design procedure, a number of closed-loop simulations will provide the sequences of optimal control and state values, which are collected and aggregated in a data structure. For each sampling period, datasets are extracted from the aggregated data. The ML algorithm experiencing these datasets will produce a set of regression functions. Replacing the EA predictor with the ML model, new simulations are carried out, proving that the state evolution is almost identical. The execution time decreases drastically because the PM’s numerical integrations are totally avoided. The performance index equals the best-known value. In different case studies, the ML models succeeded in capturing the optimal behaviour of the couple (EA, PM) and yielded efficient controllers.

Adverse childhood experiences (ACEs) refer to traumatic life events in childhood that comprise abuse (e.g., psychological, physical, sexual), neglect (psychological and physical), indirect violence or household dysfunctions. Studies have found ACEs to be related to severe short-, medium- and long-term consequences in victims’ health. The current work consists of a real-world, multicentric, prevalence study of health outcomes in children <16 years suspected of ACEs by physicians. It relies on electronic health records and healthcare registries from a Portuguese local healthcare unit between January 2001 and December 2021 (N=40 536). Three health outcome groups were analyzed: (1) traumatic injuries and intoxications (2) mental health disorders, and (3) physical disorders. Keywords and ICD-9, ICD-10, and ICPC-2 codes from were employed. Children suspected of ACEs represent 2% (n=918). Social problems, injuries and intoxications, mental health disorders, and physical disorders arise in higher percentages in suspected victims than in non-suspected individuals. Findings uncover that child victims of ACEs may be underdiagnosed. Given the severe consequences for their current and future health, this should be taken as a critical warning for healthcare professionals. Detection and reports in health units are fundamental for early treatment, aiming to avoid an escalation of damage and prevent re-victimization.

Authentic learning opportunities that simulate full scale design and construction experiences using real materials offer ideal experiential learning environments for construction and civil engineering students by challenging students to apply building concepts in practical settings. However, the excessive cost of real building materials required for this mode of education limits access to the vast majority of students. As a result, educational researchers have explored potential alternatives to provide cost-effective experiential learning through activities using mock-up materials (e.g., plastic straws, popsicle sticks) and simulation of experiences using immersive technologies (e.g., virtual reality or augmented reality). While some of these alternatives approximate the environment and others provide physical interaction with mock-up materials, the lack of authenticity in the building materials used introduces some apparent differences between the “authentic” learning environments and their cost-effective approximations. Therefore, this research aims to identify the learning processes reported by students and faculty who participated in authentic learning experiences to understand the ways in which this mode of education offers unique value to construction education. Their interview responses illustrated characteristics of authentic learning experiences that were believed to be critical to the learning process, some of which included: working in groups; interdisciplinary participants; and use of real construction materials. Although some of these characteristics are intrinsically linked to the use of real materials, others do not explicitly refer to interaction with real materials. This may indicate to aspects of the authentic learning processes that educational researchers can strategically target through more cost-effective learning environments like virtual and augmented reality. The contribution of this paper is in identifying the characteristics of authentic learning experiences that may guide educational investment and research innovations that aim to replicate some of these learning experiences through more accessible learning environments.

Manual material handling (MMH) significantly impacts worker health and productivity, often leading to musculoskeletal disorders (MSDs) primarily in the lower back. As a novel assistive technology, exoskeletons may serve as ergonomic tools to mitigate these work-related MSDs. It is essential to examine exoskeletons from the users’ perspectives before their widespread implementation in occupational settings. This study investigates the effectiveness of a passive back-support exoskeleton (BExo) in reducing perceived physical exertion and improving ergonomic safety in manufacturing context. Twenty-two college students were recruited to perform MMH tasks in a controlled lab environment, both with and without the BExo, followed by completing a survey questionnaire on various aspects of the BExo. Using ANOVA, the study analyzed biomechanical exertion across various body parts and tasks. The findings indicate that the BExo substantially alleviates discomfort in the low back, shoulders and knees, thereby, enhancing ergonomic posture and reducing fatigue. These results underscore the potential of passive exoskeletons to boost workers’ safety and efficiency, providing valuable insights for future ergonomic strategies in industrial setting.

While referral-level medicine is important in the veterinary curriculum, students also need a solid base knowledge of clinically relevant routine surgery and diagnostic skills. Veterinary hospitals must maintain a steady caseload that provides wellness cases and commonly encountered conditions. Shelter Medicine programs can create the opportunities to meet these challenges. Students can gain quantifiable surgical experience in spay/neuter with measured growth in surgical efficiency and competency while providing needed community service for animal shelters. Students can directly interact with shelter animals by performing examinations, diagnostic testing, and development of treatment protocols and recommendations for commonly encountered problems. Furthermore, students can obtain a working knowledge of biosecurity on a population level to minimize risk of infectious diseases spreading to healthy populations.

(1) Background: As part of the Scottish Governments five-year recovery plan to address the backlog in NHS care following the COVID-19 pandemic, community pharmacies in Scotland are planned to provide a Hospital Discharge Medicines Supply and Medicines Reconciliation Service. We aimed to qualitatively explore patients’ experience of this new service; (2) Method: Adult patients (≥18yrs age) who consented to participate in the Community Pharmacy Hospital Dis-charge and Medicines Reconciliation Service were invited for interview within 21 days of dis-charge from hospital. Qualitative, one-to-one, semi-structured, patient interviews were conducted by telephone and audio-recorded using Microsoft Teams®. The interview audio recordings were transcribed verbatim and underwent thematic analysis; (3) Results: 12 patients were inter-viewed, evenly split by sex and with a median age of 62 years (range; 36 to 88 years). Analysis generated main five themes; Patient Engagement, Stakeholder Communication, Practical Factors, Human Factors, and Comparative Experiences. Many of these were interdependent; (4) Con-clusions: Patients appreciated that the service ensured a quicker discharge from hospital. Good stakeholder communication, practical factors (including choice, location, and the realities of ob-taining their medication from the community pharmacy), and a pre-existing and trusted rela-tionship in their usual community pharmacy were the key factors that regulated the patient ex-perience. In the main, patients were positive about the introduction of this new service. However, a lack of previous relationship or trust with a community pharmacy, and previous experiences with medication supply problems were factors which had the potential to negatively impact on patient experiences.

In the recent years, conducted businesses have been increasingly expected to obtain more sustainable forms, with many added determinants. Indeed, sustainability-related entrepreneurship still faces complex choices among conventional entrepreneurial factors while being urged to consider three main pillars of sustainability. Thus, this work is focused on the development of a sustainability-related entrepreneurship by reflecting the sustainable needs of an entrepreneurship. Due to the fact that it is not clear for the sustainability-related entrepreneurship what the valuable and most influential factors stimming its development are, the detection of the underpinning building blocks that properly adapting within each factor and how these factors correlate with each other become a major motivation of this work. Therefore, this paper aims to conduct an attempt to identify comprehensive set of SE (Sustainable Entrepreneurship) factors providing a structural overview in making insights into the factors/determinants of SE. It assists researchers and entrepreneurs in obtaining clear informative pictures about SE factors. The applied research methodology is based on a systematic literature review which is conducted using the PRISMA methodology, simultaneously ensuring repetitiveness and lack of bias in this process. To retrieve and condense the immense amount of bibliographic information, a bibliometric analysis is adopted to perform in co-occurrence analysis of keywords determining SE factors and detailed different forms of distribution analysis. The expected outcome is to provide the classification schema of applied keywords in sustainable entrepreneurship literature as part of a comprehensive literature review, which is presented in order to uncover, classify and systematize the current research. As a result, a co-word matrix of high frequency keywords of SE factors is also established. It offers a feasible path of investigation for researchers aiming to build a consistent body of knowledge about sustainable entrepreneurship, by providing a conceptualization and systematization that can be applied across the many contexts in which sustainable entrepreneurship is expressed, for example sustainable actions and sustainable development contexts. The present research aims to yield a successful attempt of identifying comprehensive set of SE factors, as well as to establish a co-word matrix of high frequency keywords of SE factors. Providing a macroscopic overview of the main factors of SE in the form of conceptualization of the proposed construct will capture the unique organizational characteristics of sustainable enterprises and facilitate the research into capability building, innovation and competitive advantage in sustainable enterprises. It supports both researchers and entrepreneurs in shaping up and refining future research activities and investments in line with the policy of SE.

In the design of real-world networks, researchers evaluate various structural parameters to assess vulnerability, including connectivity, toughness, and tenacity. Recently, the tightness metric has emerged as a potentially superior vulnerability measure, although many related theorems remain unknown due to its novelty. Harary graphs, known for their maximum connectivity, are an important class of graph models for network design. Prior work has evaluated the vulnerability of three types of Harary graphs using different parameters, but the tightness metric has not been thoroughly explored. This article aims to calculate the tightness values for all three types of Harary graphs. First, it will attempt to calculate the lower bound for the value of the tightness parameter in Harary graphs using existing lemmas and theorems. Then, by presenting new lemmas and theorems, we will try to find the exact value or upper bound for this parameter in Harary graphs. For the first type of Harary graph, the tightness is precisely determined, while for the second and third types, upper bounds are provided due to structural complexity. The lemmas, theorems, and proof methods presented in this research may be used to calculate other graph and network parameters. However, the newness of the tightness parameter means that further research is needed to fully characterize its properties.

Parametric form findings of free-form space structures and qualitative assessment of their aesthetics are among the concerns of architects. This study aims to evaluate the aesthetic aspect of these structures using ML algorithms based on the expert's experiences. First, various datasets of forms were produced using a parametric algorithm of free-form space structures written in Grasshopper. Then, three multilayer perceptron ANN models were adjusted in their most optimal modes using the results of the preference test based on the aesthetic criteria including simplicity, complexity, and practicality. The results indicate that the ANN models can quantitatively evaluate the aesthetic value of free-form space structures.

This paper presents an innovative methodology for enhancing museum visitor experiences through personalized content delivery using a combination of explicit and implicit visitor profiling. The approach integrates Bluetooth Low Energy (BLE) smart badges to collect telemetry data, enabling precise visitor localization and dynamic group formation based on real-time proximity and shared interests. Initial profiling begins with OAuth registration and brief surveys, which is then refined through continuous tracking of exhibit interactions and time spent at each exhibit. An AI-driven system delivers content to individual and group profiles, fostering both personalized learning and social interaction. This methodology addresses the limitations of traditional profiling by adapting to visitor behaviors in real-time while maintaining a strong focus on data privacy and ethical considerations. The proposed system not only enhances engagement and satisfaction but also sets the stage for future advancements in personalized cultural experiences.

This narrative review critically evaluates the multidimensional impacts of team sports on student wellness through the Wellness Wheel framework, encompassing physical, emotional, intellectual, social, spiritual, occupational, and environmental well-being. Methodologically, the review synthesizes empirical studies, systematic reviews, and meta-analyses from the last 20 years, extracted from databases such as PubMed, PsycINFO, Scopus, Web of Science, and Google Scholar, to construct a comprehensive understanding of how team sports contribute to holistic student development. Our findings highlight team sports as a vital component of educational and wellness programs, significantly enhancing not just physical health but also emotional stability, cognitive performance, social skills, spiritual enrichment, and environmental awareness. The review underscores the necessity of integrating team sports into educational curricula to promote a balanced and comprehensive approach to student well-being. It also identifies existing gaps in literature, particularly the need for further research on enhancing inclusivity and accessibility in team sports, ensuring that all students can benefit from their wide-ranging impacts. This study advocates for strategic initiatives to incorporate team sports in educational settings, emphasizing their essential role in cultivating a well-rounded, healthy, and inclusive student body.

There is an anecdotal impression that teenage patients report exaggerated postoperative pain scores that do not correlate with their actual level of pain. Nurse and parental perception of teenagers' pain can be complemented by knowledge of patient pain behavior, pain catastrophizing thoughts, anxiety, and mood level. Two hundred two patients completed the study: 56.4% female, 89.6% White, 5.4% Black, and 5% other race. Patient ages ranged from 11 to 17 years (mean = 13.8, SD = 1.9). The patient, the parent, and the nurse completed multiple questionnaires on day one after laparoscopic surgery to assess patient pain. Teenagers and parents (r=0.56) have a high level of agreement, and teenagers and nurses (r=0.47) have a moderate level of agreement on pain scores (p &lt;0.05). The correlation between patient APBQ (Adolescent Pain Behavior Questionnaire) and teenager VAS (Visual Analog Scale ) and between nurse APBQ and teenager VAS, while statistically significant (p &lt; 0.05), is weaker (r range = 0.14-0.17). There is a moderate correlation between teenagers' pain scores and their psychological assessments of anxiety, catastrophic thoughts, and mood (r range= 0.26 – 0.39; p &lt;0.05). A multi-modal evaluation of postoperative pain can be more informative than only assessing self-reported pain scores.

Affective computing has emerged as a prominent technology in recent years, driven by the increasing demand for machines capable of understanding and interpreting emotions. The COVID-19 pandemic has intensified this need by reducing physical interactions and increasing reliance on digital communication, which often involves complex emotional exchanges. To enhance social interactions by identifying and addressing negative emotions, an interactive emotion-perception system based on multi-sensing interfaces and affective computing has been proposed. Integration of gesture, voice, and brainwave sensors is employed to provide users with a rich sensory experience and immersive environment. Design principles and system development processes are derived from the affinity diagram method and prototype development approach. The proposed system was constructed, and experiments were conducted with 60 participants. Interpersonal interaction scenarios were explored to understand emotional transmission mechanisms, aiming to enhance user satisfaction and positive interpersonal experiences. Data were collected through indirect observation and questionnaires, followed by evaluation and statistical analysis. Findings include: (1) The emotion-perception system enhances positive interpersonal interactions by identifying 36 distinct emotions, with overall user emotions being positive but exhibiting notable individual variations; (2) The system effectively stimulates positive emotions and strengthens interpersonal interactions, with affective computing technology fostering enjoyable emotional resonance and high-quality relationships; (3) A positive correlation was observed between semantic analysis and brainwave metrics of relaxation and concentration, showing increased concentration and enhanced positive emotional interactions during message transitions; and (4) The multi-sensing and affective computing technology provides a pleasant and relaxing emotional journey, with interactions shifting from enthusiasm to comfort, demonstrating the system’s capacity for a satisfying and enjoyable experience.

In an industrial environment, the quality assurance of weld seams requires extensive efforts. The most commonly used methods for that are expensive and time-consuming destructive tests, since quality assurance procedures are difficult to integrate into production processes. Beyond that, available test methods allow only the assessment of a very limited set of characteristics. They are either suitable for determining selected geometric features or for locating and evaluating internal seam defects. The presented work describes an evaluation methodology based on microfocus X-ray computed tomography scans (µCT scans) which enable the 3D characterization of weld seams, including internal defects such as cracks and pores. A 3D representation of the weld contour, i.e., the complete geometry of the joint area in the component with all quality-relevant geometric criteria, is an unprecedented novelty. Both the dimensions of the weld seam and internal defects can be revealed, quantified with a resolution down to a few micrometers and precisely assigned to the welded component. On the basis of the methodology developed within the framework of this study, the results of the scans performed on the alloy AA 2219 can be transferred to other aluminum alloys. In this way, the data evaluation framework can be used to obtain extensive reference data for the calibration and validation of inline process monitoring systems employing Deep Learning-based data processing.

One of the greatest COVID-19 related challenges for children and their families was managing distance learning due to school closures. We also know from previous research that families with a child with a neurodevelopmental disorder such as ADHD or ASD were struggling more than others, but also experiences some positive effects. However, few qualitative studies have been conducted. The present study therefore aimed to investigate parental experiences of negative and positive effects of distance learning during the COVID-19 pandemic in a large sample of families with an adolescent with ADHD and/or ASD and a matched comparison group (n = 682). Data was collected through open-ended questions as part of a larger survey study. Five main themes, with different sub-themes were identified for both negative and positive effects: 1) Teaching, 2) Social, 3) Support, 4) Child factors, and 5) Home environment. In addiction, the main themes “Technical problems” were identified for negative effects. Families with a child with ADHD/ASD reported negative effects related to “Child factors” and “Support” more frequently than the controls, as well as negative effects related to some aspects of “Teaching” and “Technical problems”. Regarding positive effects, significant group differences were primarily found for the theme “Child factors”. These findings are discussed botn in terms of how to best prepare for possible future pandemics, but also how to best provide educational support for children with ADHD and/or ASD when schools are open.

Accumulating psychedelic research has demonstrated potential for improving mental health and wellbeing, yet studies in the context of eating disorders (EDs) are limited. This study explores the subjective effects of psychedelic experiences to gain insight into the benefits and risks for people with EDs. Semi-structured interviews were conducted with 11 eligible adults. A purposive sample of eight adults aged 25-54 (M =  36.9) with chronic EDs, diagnosed (N = 7) and undiagnosed (N = 1) were thematically analysed. Reports of cessation or reduction of ED symptoms were unanimous, with two participants reporting recovery, attributed to psychedelic use. Thematic analysis resulted in two superordinate themes, each comprising three subordinate themes. The first superordinate theme, ‘Exploring’ via the ‘gateway to healing’, illustrates mental, emotional, and transcendental elements of psychedelic experiences. The second superordinate theme, ‘Transformation’ and being ‘able to do the work’, illustrates cognitive and behavioural outcomes, with retrospective safety perceptions. This research presents an account representative of the ED population for the therapeutic potential for psychedelic experiences to reduce symptoms and improve wellbeing. Findings provide evidence of therapeutic feasibility to support larger scale research, emphasising the therapeutic use of psychedelics as a potentially promising avenue for chronic and treatment resistant EDs.

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by re-stricted and repetitive behaviors as well as difficulties with social interaction. Nu-merous studies have revealed aberrant lipid mediators and autoimmunity as a recog-nized etiological cause of ASD that is amenable to therapeutic intervention. Methods: In this study, the relationship between the relative cyclooxygenase-2, / pros-taglandin E2 ratio (COX-2/PGE2) as lipid mediator marker and anti-nucleosome au-toantibodies as autoimmunity marker of ASD was investigated using multiple regres-sion and combined receiver operating characteristic (ROC) curve analyses. The study also sought to identify the linear combination of these variables that optimizes the partial area under the ROC curves. There were forty ASD children and forty age- and sex-matched controls included in the current study. Results: Using combined ROC curve analysis, a notable increase in the area under the curve was seen. Additionally, it was reported that the combined markers had improved specificity and sensitivity. Conclusions: This study shows that using a ROC curve analysis to measure the predictive value of specific biomarkers linked to lipid metabolism and autoimmunity in children with ASD should improve our understanding of the etiological mechanism of ASD and how it is related to metabolism. Early diagnosis and intervention may be facilitated by this knowledge.

This study examines the effectiveness of a comprehensive psychomotor development program combined with adapted football training for adolescents diagnosed with intellectual disabilities in Romania. Twelve participants, with a mean age of 17.42 years underwent a carefully designed intervention program spanning 36 weeks. The program aimed to enhance fundamental movement skills, integrate these skills into specialized football training, and culminate in a Unified 7-a-side Football Match. Results indicate significant improvements in psychomotor skills, including static and dynamic balance, pulse processing speed, and identified stimuli. Moreover, the intervention positively impacted social interaction among participants. Statistical analysis, employing Pearson Correlation Analysis and Paired Samples t-Test (One-Sample), compared assessments. Results revealed significant differences between pre- and post-intervention measurements, providing robust evidence of the program's efficacy. The positive correlations between physical parameters and social interaction highlight the interconnectedness between physical fitness and social engagement. Our findings suggest that improvements in physical abilities may contribute to increased social interaction among children with intellectual disabilities, underscoring the holistic nature of our intervention, which addresses multiple dimensions of development simultaneously. The findings underscore the holistic benefits of integrating psychomotor development and adapted football programs for adolescents with intellectual disabilities, emphasizing the importance of promoting inclusive physical activities for their overall well-being.

Digital skills are essential in today’s digital age, which means that students must gain technology-enhanced skills from higher education for their future careers. Studies in Art & Design (A&D) programs in this university surveyed three faculties’ perspectives and nineteen students’ experiences. During the COVID-19 pandemic, this university changed its teaching and learning strategies by offering courses online during autumn 2020 and spring 2021 during mandatory quarantine. However, the A&D program was not entirely based online. As a result, it is important to take a closer look at the A&D programs offered in order to assess the faculties’ perspectives and students’ experiences during the two online semesters. The study included online surveys from instructors’ perspectives and with regard to students’ experiences about the quality of studio learning, traditional studio learning opportunities, and online studio learning opportunities via either live (on-campus) or online studios. Using relationship-based research design, posttest data surveys were collected to ascertain the differences in the mean scores, standard deviations, and percentages of some forms of agreement between the faculties’ perspectives and students’ experiences of the quality of studio learning, traditional studio learning opportunities, and online studio learning opportunities in these Art & Design (A&D) programs. This quantitative research aimed to develop formative assessments and suggestions while establishing whether it would be possible to hold all A&D courses online in a higher education setting.

Obtaining a genetic diagnosis of a primary mitochondrial disease (PMD) is often framed as a diagnostic odyssey. Yet, even after receiving a diagnosis, parents of affected children experience ongoing therapeutic and prognostic uncertainty, and considerable psychosocial challenges. Semi-structured interviews (N= 24) were conducted with parents of 13 children (aged 2-19 years) with a genetically confirmed PMD. Paternal (N=11) and maternal (N=13) perspectives were obtained, and thematic analysis performed on all interviews. A genetic diagnosis was valuable and empowering for parents, despite eliciting varied emotional responses. While the diagnosis helped focus management decisions, families often felt overwhelmed and unsupported in navigating the healthcare system. Most parents reported a serious impact on their romantic relationship. The sources of social support varied with a preference for established friendship and family support networks over disease-specific community support groups. Most parents favored prenatal genetic testing in the event of a future pregnancy. This study provides insight into the lived experiences of parents after a genetic diagnosis of PMD in their children. The findings draw awareness to supportive care needs and highlight important gaps that should be addressed to ensure that parents feel supported within a holistic framework of management for PMDs.

(1) Background: Adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) have potential to impact long-term health outcomes. Understanding these interrelationships can inform the development of interventions to promote societal health (2) Methods: D/PMH was defined as a diagnosis of depression and/or more than 14 days of poor mental health in the previous month. Those reporting poor physical health for more than 14 days in the previous month or categorising their physical health as ‘fair’ or ‘poor’ were deemed to have PG/PPH. Seven categorical questions based on subscales in the Child and Youth Resilience Measure-28 were used to define PCEs.(3) Results: Increased ACEs exposure use significantly associated with increased odds of D/PHM (p&lt;0.001), increased odds of PG/PHH (p=0.010) and decreased odds of AR-SES (p&lt;0.001). Increased exposure to PCEs was significantly associated with decreased odds of D/PHM (p&lt;0.001), increased odds of PG/PHH (p&lt;0.001) and decreased odds of AR-SES (p&lt; 0.001). For all outcomes, exposure to PCEs reduced the strength of the association between ACEs and outcomes. (4) Conclusions: A positive dose response between the number of ACEs and adult D/PMH, PG/PPH and lower AR-SES exists within the Australian population. PCEs weaken this association, demonstrating their mitigating potential. PCEs promoted adult outcomes, irrespective of ACEs.

Pipes have been utilized since ancient times and have seen significant renewal, modification, and replacement to improve their effectiveness and efficiency in the modern era. As early as 4000 BC, Egyptians used clay pipes for drainage systems. The U.S. has the largest network of energy pipelines in the world. The ASCE 2017 Infrastructure Report Card assigned grades of D and D+ to water and wastewater pipelines, highlighting a substantial need for improvement. The paper investigates the infrastructure required for the sustainability of pipeline systems, as well as the construction of underground systems using both open-trench and trenchless technologies, along with the associated risks in the US. It concludes that trenchless methods are increasingly preferred for pipeline construction due to technological advancements, reduced surface disruptions, shorter construction times, and lower social costs. Tackling this challenge will necessitate strategic investment, decisive leadership, thorough planning, and meticulous preparation for future demands. Enhancing pipeline infrastructure can stimulate the U.S. economy, whereas postponing action will lead to higher costs.

In both capitalist and socialist economies, agricultural planning has been un-derstood as the allocation of planting areas to certain products, and the exist-ence of farmers, who are the main productive actors, as humans, their pro-duction potential and their ability to act rationally have been neglected. In ad-dition, in both economic structures, the desired results have only been achieved partially by determining prices. These experiences also reveal two important results: Agriculture is not fully planned, but it cannot be continued without planning either. Secondly, in a structure where production is social, it is nec-essary for agricultural products to have an exchange value, but price is a mul-tifunctional phenomenon and how it is determined is important. The current equivalent of the claim that prices are determined through the market mecha-nism is to advocate that prices are determined by capitalist companies that have monopoly power in the markets. The increasingly severe problems and in-creasing fragility of agricultural-food markets, which are already largely under the control of these institutions, already prove that this structure is not a solu-tion. On the other hand, it is no longer possible to provide food security by planning primary agricultural products alone, agri-food production and dis-tribution have acquired different structural characteristics, and it has become necessary to address food security within the framework of agri-food systems. Therefore, effective agricultural planning actually requires the planning of the agricultural food system as a whole. The e-nam system, which is being popu-larized in India and has achieved a certain success, points out that it is possible to organize and manage agricultural food markets after primary production. Moreover, it also shows that technological opportunities offer more effective planning opportunities. In this study, first of all, based on historical and current experiences, the inadequacies of the market mechanism, the fact that agricul-tural production is carried out by using living things to produce living things and depending on uncontrollable factors have been taken into consideration. Then, it has been concluded that a democratic, mix of centralized and decen-tralized planning, aiming to determine both production quantities and prices by utilizing the capacity and conditions of farmers and technological opportunities will meet today's needs. And in accordance with this result, a basic planning proposal has been presented.

Risk management for technological hazards mainly focuses on the consequences on human lives. Although technological risk analysis evaluates environmental vulnerability, it does not reflect the consequences on environmentally exposed elements, such as rivers, water springs, flora, and fauna. This paper's objective was to propose a conceptual framework and create a multidisciplinary evaluation model for environmental risk analysis in the oil and gas industry. Initially, the problem was approached from a global perspective to justify the necessity of a holistic environmental risk analysis methodology in the oil industry, using environmental risk factors as well as underlying factors, such as environmental fragility and lack of resilience. The holistic assessment was carried out based on probabilistic risk analysis methodologies to obtain a holistic environmental risk index, HERI. This methodology was applied to an oil and gas industry company in Colombia. This allowed greater disaggregation of the results to establish priorities for risk reduction actions and identify the company's weaknesses.

Droughts have negative impacts on agricultural productivity and economic growth. Effective monitoring and accurate forecasting of drought occurrences and trends are crucial for minimizing drought losses and mitigating their spatial and temporal effects. In this study, trend dynamics in monthly total rainfall time series measured at Cape Town International Airport were analyzed using Mann-Kendall (MK) test, Modified Mann-Kendall (MMK) and innovative trend analysis (ITA) were examined. Additionally, we utilized hybrid prediction method that combined the model with the complementary ensemble empirical mode decomposition with adaptive noise (CEEMDAN) technique, the autoregressive integrated moving average (ARIMA) model, the long short-term memory (LSTM) network (i.e. CEEMDAN-ARIMA-LSTM) to forecast SPI values of 6-, 9-, and 12-months using rainfall data between 1995 and 2020 from Cape Town International Airport meteorological rainfall stations. The results demonstrate the following essential points: (1) The trend analysis results of the total monthly rainfall values indicate a significant decreasing trend with the negative z-score (MK= -3.7541 and MMK= - 4.0773). ITA also indicated a significant downwards trend of rainfall in the study area. (2) As the forecasting horizon increases, the prediction accuracy of the models and CEEMDAN-combined models gradually improves, reaching their optimum performance at the 12-month horizon. (3) CEEMDAN efficiently stabilizes time-series data, resulting in greater prediction accuracy in the hybrid model compared to individual models at all timescales. (4) The RMSE and R2 values for the hybrid CEEMDAN-ARIMA-LSTM model at a 12-month forecasting horizon are 0.042 and 0.995, demonstrating the applicability of this hybrid approach for drought forecasting.

Background: The hub-and-spoke model (HSM), offers a framework for efficient healthcare service delivery. This scoping review seeks to establish the implementation and effectiveness of the HSM in Antimicrobial Stewardship (AMS) programs. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) reporting guideline was followed. A systematic search was conducted in four electronic databases (PubMed, Medline, Cochrane library and Google scholar) from inception until January 2024. Studies where the HSM was used for delivering any AMS activity, intervention or action, were included. No study specific filters were applied and all populations, study designs and health settings were included. Data screening and selection was achieved using Rayyan. Three authors independently screened studies, with conflicts resolved by a fourth author. Data were narratively synthesized. Standard appraisal tools were impractical; however, critically evaluation of data collection and outcome reporting was ensured. Results: Out of 1,438 articles, three were included in the scoping review. The primary interventions utilising the HSM in AMS involved reducing antibiotic misuse, training healthcare professionals, case-based learning, establishing AMS programs, developing antibiograms, and formulating policies or guidelines pertinent to AMS. The studies demonstrated significant clinical improvements in AMS. Clinical outcomes from the studies include a significant reduction in antimicrobial usage and improved antibiotic management, with a notable decrease in days on antimicrobial therapy and increased antibiotic de-escalation. Key facilitators for AMS program success: tailored education, collaborative learning, strong leadership, strategic practices, and data-driven decisions. Key barriers: leadership challenges, change resistance, knowledge gaps, inadequate data systems, resource limitations, and technological constraints. Conclusion: The review identified a literature gap in HSM use for AMS programs. Further studies are needed to assess HSM's effectiveness, feasibility, and cost-effectiveness in AMS contexts.

AbstractEliadean analysis reveals the passive or the receiving aspect of the symbol of the presence of God, the Aron ha-Berit or the Ark of the Covenant of the ancient Hebrews. Consequently, we are able to establish the inner mode or the symbolic structure of Yahweh. The Sefirotic Tree of medieval Kabbalists replicates the symbolic structure of Yahweh as revealed by the Ark of the Covenant. The feminine aspect of the presence of God remains in the consciousness of the Jewish people and blossoms in the medieval Kabbalah. It is precisely the feminine aspect that is capable of transcendence or able to acquire an infinite character.The dynamic aspect of the Shekhinah is reflective of the changes it undergoes as a result of receiving the flow from the Sefiroth above. Looking at the Sefirotic Tree as a reflection of the mind of the Kabbalist, Shekhinah represents the human ability for acceptance. A narrow acceptance corresponds to a narrow mind, whereas the infinite ability to accept corresponds to the infinite mind. A particular description of the formative function of Shekhinah represents a different mode of cognition. Similar descriptions are found in the Tibetan Buddhist tradition related to the concept of Rigpa. In order to find out the equivalence of these descriptions we analyzed the latter and found that Shekhinah and Rigpa converge at both the foundational and transcendental levels.

Despite the extensive research conducted on ruminal methanogens and anti-methanogenic intervention strategies over the last 50 years, most of the currently researched enteric CH4 abatement approaches have shown limited efficacy. This is largely because of the complex nature of animal production and the ruminal environment, host genetic variability of CH4 production, and an incomplete understanding of the role of the ruminal microbiome in enteric CH4 emissions. Recent sequencing-based studies suggest the presence of methanogenic archaea in extra-gastrointestinal tract tissues, including respiratory and reproductive tracts of cattle. While these sequencing data require further verification by culture-dependent methods, the consistent identification of methanogens with relatively greater frequency in the airway and urogenital tract of cattle plus increasing appreciation of the microbiome-gut-organ axis highlight the potential interactions between ruminal and extra-gastrointestinal methanogenic communities. Thus, a traditional singular focus on ruminal methanogens may not be sufficient, and a holistic approach which takes into consideration of the transfer of methanogens between ruminal, extra-gastrointestinal, and environmental microbial communities is of necessity to develop more efficient and long-term ruminal CH4 mitigation strategies. In the present review, we provide a holistic survey of the methanogenic archaea present in different anatomical sites of cattle and discuss potential seeding sources of the ruminal methanogens.

Background: Despite recent advancements, medical technology has not yet reached its peak. Precision medicine is growing rapidly, thanks to machine learning breakthroughs powered by increased computational capabilities. This article explores a deep-learning application for computer-aided diagnosis in dermatology. Methods: Using a custom model based on EfficientNetB3 and deep learning, we propose an approach for skin lesion classification that offers superior results with smaller, cheaper, and faster inference times compared to other models. The skin images dataset used for this research includes 8,222 files selected from the authors' collection and the ISIC2019 archive, covering six dermatological conditions. Results: The model achieved 95.4% validation accuracy on four categories—melanoma, basal cell carcinoma, benign keratosis-like lesions, and melanocytic nevi—using an average of 1,600 images per category. Adding two categories with fewer images (about 700 each)—squamous cell carcinoma and actinic keratoses—reduced the validation accuracy to 88.8%. The model maintained accuracy on new clinical test images taken under the same conditions as the training dataset. Conclusions: The custom model demonstrated excellent performance on the diverse skin lesions dataset, with significant potential for further enhancements.

A contemporary technique for calculating seismic risk is earthquake nowcasting (EN), which analyzes the progression of the earthquake (EQ) cycle in fault systems. 'Natural time' is a novel idea of time that serves as the foundation for EN assessment. The earthquake potential score (EPS), which has been discovered to have useful uses regionally and worldwide, is a unique tool EN uses to predict seismic risk. For the estimation of the EPS for the occurrences with the highest magnitude among these applications, we have since 2021 concentrated on Greece territory, applying sophisticated Artificial Intelligence (AI) algorithms, both wise (semi)supervised and unsupervised models, along with a customized dynamic sliding window technique that performs as a stochastic filter able to fine-tune the geo seismic occurrences. Long short-term memory (LSTM) neural networks, random forests, and clustering (geospatial) models are three machine learning techniques that are particularly good at finding patterns in vast databases and may be used to enhance earthquake prediction performance. In this study, we attempt to forecast whether practical Machine-learning and AI/Game-theoretic-based approaches can help predict big earthquakes and the normal future seismic cycle for 6-12 months. Specifically, we focus on answering two questions for a given region: (1) Is there a chance that a significant earthquake—say, one with a magnitude of M ≥ 6.0 will happen in the upcoming year? (2) What is the largest earthquake magnitude predicted in the upcoming year, and with which exact geographic coordinates (GCS)? Our results are quite promising and project a high precision accuracy score (≥ 98%) for seismic nowcasting in terms of four predictive parameters: the approximate (a) latitude, (b) longitude, (c) focal depth, and (d) magnitude of the phenomena.

This scientific article outlines the Artificial Intelligence Integrated Energy Education Framework (AI-IEEF), a transformative model designed to revolutionize energy education and management practices. The framework is organized into five distinct layers: Organizational (AI-enhanced administration systems), Financial (dynamic AI financial models), Technology (advanced simulation and modeling), Methodology (AI in curriculum development and personalized learning), and Social (AI for community engagement and impact). An expert panel used the fuzzy Delphi method to achieve consensus on twenty key factors within these layers, establishing a solid foundation for analysis. Following this, the Fuzzy Analytic Hierarchy Process (AHP) was employed to calculate precise weights for each layer and their respective factors, providing a quantitative assessment of their relative importance. These weight calculations are crucial, as they guide resource allocation and strategic decision-making to ensure the framework is optimized for the evolving needs of energy management. Furthermore, the article introduces five tailored variants of the AI-IEEF, each addressing specific aspects of energy education and offering a comprehensive approach to navigating the challenges in the field. The five variants include the Smart Campus Energy Education, Global Energy Policy Analysis, Renewable Energy Research and Development, Energy Workforce Development, and Community Engagement and Outreach variants. Each provides a distinct approach to energy education, from transforming campuses into living labs for hands-on learning to fostering international collaborations that explore the global implications of energy policy. These variants emphasize practical skills, policy analysis, and community-focused solutions, ensuring that students are well-prepared to contribute effectively to the energy sector.

We introduce two symmetric concepts to physics: “distance” (space and time in one) and “wavematter” (electromagnetic wave packet and matter in one). We claim that physics has chosen the wrong concept of time: It is not aware that the time of a moving object flows in a direction other than my time. We provide 15 proofs for our claim by solving 15 mysteries of physics graphically! For example, we prove that length contraction and time dilation are actually geometrical effects in a 4D manifold that we call “Euclidean spacetime” (ES). We prove that the discrepancy in calculating the Hubble constant stems from a systematic error in the redshift measurement. We prove that what I deem wave, deems itself matter, which solves wave–particle duality. We even untangle quantum entanglement without the issue of non-locality. We finally understand why alternative theories of Euclidean relativity have failed: They are all based on four dimensions of space rather than distance. A huge amount of energy was injected into ES at a point that we take as origin. Ever since has this energy been moving radially away at the speed of light. We live in the 3D hypersurface of an expanding 4D hypersphere. Hyperspherical coordinates have the great advantage that they reduce all that is ever happening to just one formula. So, it is the Theory of Everything in these coordinates: “Energy is covering radial distance which, divided by Euclidean time, is equal to the speed of light.” Acceleration and force like gravitation emerge from a rotation of objects in ES and a subsequent projection to 3D space. Matching the symmetry simplifies physics.

Abstract: This Study attempts to tackle the most plausible timeframe of the biblical figure Abraham from a holistic point of view. We have employed the archeological, astronomical, environmental, and documentary evidence in arriving at our results. In doing so, we able to synchronize the most influential global forces with the real and original older historic sources like the chronologies of Manetho and Berrosus. Furthermore, key material culture changes were observed as tracers of major markers for civilization shift. We also consulted various signs from the holy scriptures as appropriate. The patriarchal chronology closely followed major shifts in Egyptian dynastic rotation. It was found that Abraham time was within the second Egyptian dynasty. The findings were confirmed by matching events from the Babylonian chronology, where he is found to have lived during Kish 2 dynasty. As a follow up on this result, we established the identity of Joseph as Imhotep, the vizier of king Djoser from the 3rd dynasty.

Considering the multifaceted nature of neurodegenerative diseases like dementia and the neces-sity for interprofessional knowledge, this research extends its scope to encompass professionals with diverse levels of training and experience in dementia care. A need analysis for the project “My INdividual Digital EDucation.RUHR” (MINDED.RUHR) is conducted to develop an au-tomatized recommender system for individual learning content using AI. In this sub-study, the aim was to reveal didactic specialties, knowledge gaps and structural challenges of further edu-cation in dementia care of different health professions and to derive learning preference personae. Eight focus group interviews among nine health professions and up to six participants (n = 34) each took place to survey distinct didactic experiences and learning needs. The results reflect various learning preferences, with a propensity to multimedia, practical and interactive tasks. Health professions are used to digital education but show aversions against certain e-learning formats. The derived learning preference personae constitute profound blueprints for a us-er-centred digital education design process, aiming to establish personalized and representative further education in dementia care applicable to various individual preferences and structural workplace challenges of healthcare professions.

Background: Corticosteroids (CS) are crucial for managing various medical conditions, but long-term use is associated with significant risks. Balancing the therapeutic benefits and potential hazards requires careful prescription and monitoring. This study explores Jordanian physicians' knowledge, experiences, and concerns regarding CS prescriptions. Methods: This was a cross-sectional study conducted between March and August 2023, using an online link distributed using social media platforms. Results: A total of 171 physicians enrolled in the study were predominantly male, with a median age of 31 years. Two-thirds worked in central Jordan, and one-third were general practitioners. The majority (86.5%) had experience both in topical (83.1%) and injectable (81.1%) dosage forms. Physicians demonstrated high knowledge (median score 11/11) and major concerns (median fear score 3.5/5) about CS. Major worries included the risk of osteoporosis (73.7%) and hyperglycemia (66.7%). Sociodemographic factors did not significantly impact their knowledge or fears. Conclusion: Our study showed that physicians have a high knowledge level about CSs but have major concerns about CS side effects, particularly osteoporosis and hyperglycemia. These findings highlight the need for targeted interventions to address these fears, enhancing physician confidence and improving patient management outcomes.

The Eurasian grapevine (Vitis vinifera L.) is the most widely grown horticultural crop in the world and is important for the economy of many countries. In the wine production chain, grape varieties play an important role as they directly influence the authenticity and classification of the product. Identifying the different grape varieties is therefore fundamental for quality control and inspection activities, as well as for regulating production. Currently, ampelography and molecular analysis are the main approaches to identifying grape varieties. However, both methods have limitations. Ampelography is subjective and prone to errors and is experiencing enormous difficulties as ampelographers are increasingly scarce. On the other hand, molecular analyses are very demanding in terms of cost and time. In this scenario, Deep Learning (DL) and Machine Learning (ML) methods have emerged as a classification alternative to deal with the scarcity of ampelographs and avoid molecular analyses. In this study, the most recent and current methods for identifying grapevine varieties using DL classification-based approaches are presented through a systematic literature review. The classification pipeline of the 31 studies found in the literature was described, highlighting its pros and cons. Most of the studies used DL-based models trained with leaf images acquired in a controlled environment at a maximum distance of 1.2 metres to classify grape varieties. In addition, there is a large gap between practical applications and the datasets used: a great lack of varieties, limited data acquired in the field and a lack of tests on plants under adverse conditions. Potential directions for improving this area of research were also presented.

The study presents the evaluation of integrating Extended Reality applications in situ to foster visitors' experience at the Tomato Industrial Museum "D. Nomikos". This paper firstly provides an outline of the methodological, technological, and museological approaches undertaken to integrate XR in a quest to enhance visitors’ meaningful engagement with the industrial heritage-related exhibition. Storytelling and narration are key elements of the museums’ museological design [1] through audio tours and interactive AR-based visualization of the machinery’s role as well as internal function. This paper presents and discusses the evaluation findings. We adopted the User Experience Questionnaire method as the main vehicle for gathering quantitative data and analyzing the results with the use of corresponding metrics and benchmarks embedded in this evaluation tool. Moreover, we conducted semi-structured interviews and combined the qualitative data accrued in the form of accounts, suggestions, and remarks to reach more rich and dependable conclusions. This paper aims to offer both an instance of practice to the research community and a broader discussion of the challenges and prospects connected to the quest of employing emerging technologies and assessing their impact on visitors’ museum experience.

Self-sustained learning (SSL) is considered a crucial factor in promoting students’ long-term learning and development in a sustainable society. To deepen the understanding of SSL, especially in the context of learning English as a second language, the current study examined the influence of intercultural communicative skills, language mindset, and positive L2 self on SSL in English learning among 1,238 college students in China. The results showed that students not only had a strong language mindset, positive L2 self, and intercultural communicative skills but also scored higher in long-term self-sustained English learning. Findings from the Structural Equation Modeling indicated that both language mindset and intercultural communicative skills positively predicted positive L2 self and self-sustained English learning. Furthermore, language mindset and intercultural communicative skills had an indirect impact on self-sustained English learning through positive L2 self. These findings suggest that to promote English learners’ SSL, instructors should help facilitate students’ intercultural communicative skills and foster a growth language mindset, as well as positive language learning beliefs.

This paper presents a requirements specification analysis for driving the design of new systems that will allow 3D media creators to further promote and monetize from their work. The provided requirements analysis is based on the IEEE 830 standard for requirements specification. It allows us to elucidate system requirements through existing (AS-IS) and envisioned (TO-BE) scenarios affected by the latest trends on design methodologies and content promotion in social media. A total of 30 tools for content creation, promotion and monetization are reviewed. The target groups, i.e. creator groups, are divided in 10 types according to their role in 3D media production. Based on this division 10 candidate TO-BE scenarios have been identified and out of these 10 scenarios, we have selected 6 scenarios for validation by media creators. The validation was performed through a survey of 24 statements on a 5 Likert scale by 47 individuals from the domains of Media, Fine arts, Architecture, and Informatics. Useful evaluation results and comments have been collected that can be useful for future systems design.

As organizations are vulnerable to cyber attacks, their protection becomes a significant issue. Capability Maturity Models can enable organizations to benchmark current maturity levels against best practices. Although many maturity models have been already proposed in the literature, a need for models that integrate several regulations exists. This article presents a light web-based model that can be used as a cybersecurity assessment tool for Higher Education Institutes (HEIs) of the UK. The novel Holistic Cybersecurity Maturity Assessment Framework incorporates all security and privacy regulations and best practices that HEIs must be compliant to and can be used as a self-assessment or a cybersecurity audit tool.

In response to ever-increasing concerns regarding ecological degradation and societal impact, numerous stakeholders such as non-governmental organisations, government officials, end-users, the mass media, and community activists have compelled business organizations, particularly multi-national companies to lessen harmful greenhouse gases emissions associated with their production activities. Energy sector is one of the biggest harmful greenhouse gases emission producer, hence, decision-makers within the energy sector are forced to promote and build environmental friendly and sustainable power generation plants. To this end, the concept of sustainability in the electricity sector has attracted so much attention from academics and industrial practitioners over the last three decades. Albeit, an important number of sustainability assessment frameworks for electricity generating technologies are found in the current literatures, three major drawbacks have emerged from those frameworks. Firstly, there is a lack of a holistic and comprehensive sustainability assessment framework for different power generation plants. Secondly, from economic aspect, the most used model (Levelised Cost of Electricity) to measure the cost performance of various electricity generating technologies is biased and is not inclusive enough, because, it only considers the capital, Operations and Maintenance, and fuel costs. Hence, snubbing crucial elements to business decision. Lastly, in the current literature, there is no a single sustainability assessment model that considers all the phases of electrical energy’s lifecycle. Considering these flaws, the novelty of this study is the development of a new, holistic theoretical sustainability assessment framework for power generation plants. The developed theoretical model includes 19 impact categories, 52 potential indictors, and 10 end points environmental, economic, and social aspects.

The rapid expansion of Bangladesh's financial infrastructure, coupled with the increasing digitization of banking services, underscores the critical importance of cybersecurity. Machine learning and deep learning methodologies have emerged as potent tools in combating cyber threats such as intrusion, malware, and fraud. By harnessing artificial intelligence and data-driven analysis, these techniques enable real-time scrutiny of vast banking data, facilitating proactive defense against cyberattacks. Bangladesh's evolving financial landscape, characterized by governmental digitalization initiatives and a national financial inclusion strategy, heightens the imperative for robust cybersecurity measures. This paper explores the application of machine learning and deep learning techniques in bolstering banking cybersecurity within the context of Bangladesh's burgeoning digital economy.

The proliferation of fake news on social media platforms poses significant challenges to information authenticity and public trust. In this study, the impact of various word embedding techniques on the performance of both machine learning and deep learning models for fake news detection is systematically evaluated. The comprehensive TruthSeeker dataset, which spans over a decade of labeled news articles and social media posts, is utilized. Three popular word embedding techniques are analyzed: TF-IDF, Word2Vec, and FastText. These embeddings were tested with multiple machine learning classifiers, including logistic regression, naive Bayes, K-nearest neighbors, support vector machines, multilayer perceptrons, decision trees, and random forests, as well as deep learning models, specifically convolutional neural networks (CNNs). Among machine learning models, the Support Vector Machine (SVM) with TF-IDF achieved the highest accuracy of 99.03%, precision of 98.92%, recall of 99.15%, and F1 score of 99.03%. The Multilayer Perceptron (MLP) also demonstrated strong performance with Word2Vec, reaching an accuracy of 95.24%, precision of 94.95%, recall of 95.50%, and F1 score of 95.07%. For deep learning models, CNNs combined with TF-IDF embeddings showed outstanding results, achieving an accuracy of 98.99%, precision of 98.56%, recall of 99.48%, and F1 score of 99.02%. These results highlight the critical role of word embeddings in enhancing model accuracy and reliability in misinformation detection.

With advancements in digital technologies such as 5G communications, big data, and cloud computing, the components of network operation systems have become increasingly complex, significantly complicating system monitoring and maintenance. Correspondingly, automated log anomaly detection has become a crucial means to ensure stable network operation and protect them from malicious attacks or failures. Conventional machine learning and deep learning methods assume consistent distributions between the training and testing data, adhering to a closed-set recognition paradigm. Nevertheless, in realistic scenarios, systems may encounter new anomalies that were not present in the training data, especially in log anomaly detection. Inspired by evidential learning, we propose a novel anomaly detector called LogEDL, which supervises training of the model through an evidential loss function. Unlike traditional loss functions, the evidential loss function not only focuses on correct classification, but also quantifies the uncertainty of predictions. This enhances the robustness and accuracy of the model in handling anomaly detection tasks, while achieving functionality similar to open-set recognition. To evaluate the proposed LogEDL method, we conduct extensive experiments on three datasets, i.e., HDFS, BGL, and Thunderbird, to detect anomalous log sequences. Experimental results demonstrate that our proposed LogEDL achieves state-of-the-art performance in anomaly detection.

Recent years have witnessed significant advances in reinforcement learning (RL), which has registered remarkable success in solving various sequential decision-making problems in machine learning. Most of the successful RL applications, e.g., the games of Go and Poker, robotics, and autonomous driving, involve the participation of more than one single agent, which naturally fall into the realm of multi-agent RL (MARL), a domain with a relatively long history, and has recently re-emerged due to advances in single-agent RL techniques. Although, typically, the communication protocol between agents is manually specified and not altered during training, recently, some papers have shown signs of trying to emerge a communication between agents on the one hand and, on the other hand, to understand what is exchanged between agents. So, there is a growing body of literature on this topic which includes qualitative and quantitative studies and the ones that apply mixed methods. This study presents the scoping review of the methodological strategies undertaken in a total of 16 research articles. The results present the critical appraisal of quantitative methods in terms of validity and reliability and for qualitative methods considering four trustworthiness factors. In the end, relevant insights are further explored with implications and reflections on how they can benefit one's research in the field.

Gender Identity Dysphoria (GID) is a condition characterized by a strong and persistent identification with the opposite sex. These people consider themselves victims of a sort of biological accident: "a soul in a wrong body". There are numerous theories on the origin of transsexualism: genetic, hormonal and psychological causes have been hypothesized, but those currently most accredited are the neuroanatomical ones. The cornerstones of hormone conversion therapy (Gender Affirming Hormone Therapy, GAHT) are feminizing hormones for transgender women (MtFs) and virilizing for transgender males (FtMs). GID can be present among adolescents and older people. For adolescents is now accepted reversible treatment of puberty withdrawal with hormones that stops the progression of pubertal development in the biological direction not accepted; for elderly people is suggested GAHT in reduced doses. Physicians should consider and discuss with people with GID about fertility preservation, general and cancer risks. We present also data of 127 transsexual patients enrolled at the Garibaldi-Nesima Andrology Clinic in Catania (Italy) from 2003 to 2020. To optimize the conversion treatment with sex hormones, transsexuals require long-term follow-up. GAHT must be performed by a doctor who is familiar with these problems. Therefore, the “do-it-yourself” trend and the lack of medical and laboratory checks over time should be absolutely discouraged. Before proceeding with the surgical sex reassignment, it is recommended to refer to an endocrinologist and psychologist or psychiatrist for a period of 2-3 years. The transition surgical conclusion process must be practiced by a quality surgical team.

Traditional Medicine (TM) is a culturally-rooted healthcare practice, and its use, including for treating illnesses among children, has been reported in many countries. Despite the cultural significance of TM in managing children’s illnesses, evidence suggests that child mortality remains high in many settings. This indicates that the sole use of TM within families and communities might act as a barrier to using biomedical services, contributing to avoidable deaths. Globally, Indonesia is in the top 10 countries with the highest child mortality rates. In addition, Belu is a district in East Nusa Tenggara province, Indonesia that exhibits a high number of child deaths within the last three years. However, the use of TM for the treatment of illnesses among children in Indonesia has received minimal academic attention. This study aimed to understand parental beliefs, knowledge, views, and perceptions of TM and the impact on the use of TM and biomedical services in the treatment of illnesses among their children in Belu district, Indonesia. The participants (n=25) were parents with the real-life experiences of using TM for treating their children’s illnesses. They were recruited using the snowballing sampling technique. Data were collected using in-depth qualitative interviews. A thematic data analysis was performed and guided by a qualitative data analysis framework. The findings were grouped into four main themes: (i) parental beliefs, knowledge, views, and perceptions of TM, (ii) the influence of these factors on parental use of TM and biomedical services for the treatment of children’s illnesses, (iii) social and cultural influences on the use of TM and biomedical services among their children, and (iv) the impact of the sole use of TM or late medical diagnosis on the health condition and the death of children. The findings show that the use of TM is a common practice within families and communities in Belu, however evidence suggests that child mortality remains high in the setting, indicating less effectiveness of the sole use of TM. Thus, there is a need for the development of collaborative models of healthcare programs and service delivery fostering mutual respect and understanding between traditional healers and healthcare professionals, which could significantly contribute to improving parental use of biomedical services for the treatment of their children’s illnesses.

Implementing ethical procurement standards is increasingly recognized as pivotal for organizations aiming to align their practices with principles of social responsibility and sustainability. This qualitative research explores the experiences, challenges, strategies, and impacts associated with ethical procurement across diverse sectors. Motivations for adopting ethical procurement include enhancing corporate reputation, meeting stakeholder expectations, and complying with regulatory frameworks. However, organizations face significant challenges such as balancing ethical considerations with cost-efficiency pressures, navigating complex regulatory landscapes, and ensuring transparency across global supply chains. Strategies for overcoming these challenges emphasize effective supplier relationship management, leveraging technological innovations for transparency, and investing in supplier capacity-building. The study reveals that ethical procurement practices contribute to organizational resilience by improving risk management, enhancing stakeholder engagement, and fostering innovation in procurement processes. Moreover, ethical procurement supports sustainable development goals by promoting environmental sustainability, supporting social equity through fair labor practices, and contributing to economic development. Future research directions include exploring the impact of emerging technologies on ethical procurement, promoting global collaboration for unified standards, and evaluating the long-term sustainability of ethical procurement initiatives.

This qualitative study explores the challenges and successes in supplier development from the perspectives of procurement managers across diverse industries. Through in-depth interviews, key themes emerged, highlighting the critical role of communication, trust, performance measurement, capacity building, risk management, innovation, regulatory compliance, and technology integration in supplier relationship management. Procurement managers emphasized the importance of clear, continuous communication and trust-building activities to align objectives and foster collaborative partnerships. Performance measurement was crucial for evaluating and improving supplier performance, supported by capacity-building initiatives to enhance supplier capabilities. Risk management strategies focused on identifying and mitigating risks, while compliance efforts aimed to ensure adherence to industry standards. Innovation and technological integration were pivotal for driving efficiency and competitiveness, enabling faster time-to-market and improved product quality. Cultural sensitivity and relationship strengthening emerged as essential for navigating diverse cultural contexts and enhancing partnership effectiveness. Overall, the findings underscored positive outcomes including enhanced quality, cost efficiencies, and increased resilience within supply chains. This research contributes valuable insights into effective supplier management practices, emphasizing the strategic importance of supplier development initiatives for sustainable growth and competitive advantage in today's dynamic business environment.

Despite the increase of seminary training, Black clergywomen continuously undergo subjugation, degradation, and humiliation in ministry leadership due to gender and race bias (Leslie, 2013) by clergymen. This article reports the findings of a qualitative study that examined the experiences of Black clergywomen regarding obstacles in ministry leadership and how these clergywomen ascribed meaning to their experiences. The two primary research questions were, “What are the experiences of Black clergywomen regarding obstacles in ministry leadership?” and “How do Black clergywomen attribute meaning to their experiences regarding obstacles in ministry leadership?” The results of the study indicated that bias of gender and inequality exists among clergymen; however, the Black clergywomen learned to embrace the experiences and learned from them. The conclusion of this article includes a discussion regarding practical implications of the education of clergy; and the re-evaluation of the perception of Black clergywomen and their experiences. The purpose of this qualitative study was to explore the experiences of Black clergywomen pertaining to challenges in clergy leadership and to explore how Black clergywomen attributed meaning to their experiences regarding challenges in ministry leadership.

Analytical modeling has symmetries and aesthetic-mathematical characteristics that distinguish it from numerical computation. Nanoscience plays an extremely important role in unification efforts that also include holistic aspects of reality. In this paper I present new discovered results about the complete analytical quantum relativistic form of the mean square deviation of position false related to a lately appeared Drude-Lorentz-like model (DS model), already performed at classical, quantum and relativistic level. The function false gives precise information about the distance crossed by carriers (electrons, ions, etc.) inside a nanostructure, considering both quantum effects and relativistic velocities. The model has a wide scale range of applicability; the nanoscale is considered in this paper, but it holds from sub-pico-level to macro-level because of the existence of a gauge factor, making it applicable to every oscillating processes in Nature. Examples of application and suggestions supplement the paper, as well as interesting developments to be studied related to the model and to one of the basic elements of a current unified holistic approach based on the vacuum energy.

Transitioning towards net zero emissions is critical in the chemical and process industries to combat climate change and ensure environmental sustainability. Key focus areas of this review include the reduction of carbon emissions, the efficient utilization of energy resources, and the adoption of sustainable practices. Cutting-edge technologies such as biomass utilization, biotechnology applications, and waste management strategies are crucial in achieving this transition. Industries, including cement production, encounter unique challenges in their quest for sustainability and must actively seek innovative solutions to mitigate their carbon footprint effectively. The role of hydrogen as a clean fuel and its potential to revolutionize the chemical and process sectors is also discussed. The European Green Deal and Sustainable Development Goals (SDGs) are significant for the chemical industry. They provide a clear roadmap and framework for promoting sustainability, driving innovation, and reducing the industry's environmental impact. By aligning with these initiatives, the chemical industry can enhance its competitiveness, contribute to societal well-being, and foster collaboration across sectors to achieve shared sustainability objectives.

The advancement of autonomous driving technology is becoming increasingly vital in the modern technological landscape, promising notable enhancements in safety, efficiency, traffic management, and energy use. Despite these benefits, conventional deep reinforcement learning algorithms often struggle to navigate complex driving environments effectively. To tackle this challenge, we propose a novel network called DynamicNoise, designed to significantly boost algorithmic performance by introducing noise into the Deep Q-Network (DQN) and Double Deep Q-Network (DDQN). Drawing inspiration from the NoiseNet architecture, DynamicNoise uses stochastic perturbations to improve the exploration capabilities of these models, leading to more robust learning outcomes. Our experiments demonstrate a 57.25% improvement in navigation effectiveness within a 2D experimental setting. Moreover, by integrating noise into the action selection and fully connected layers of the Soft Actor-Critic (SAC) model in the more complex 3D CARLA simulation environment, our approach achieved an 18.9% performance gain, substantially surpassing traditional methods. These results confirm that the DynamicNoise network significantly enhances the performance of autonomous driving systems across various simulated environments, regardless of their dimensionality and complexity, by improving their exploration capabilities rather than just their efficiency.

The success of near-infrared spectroscopy (NIRS) analysis hinges on the precision and robustness of the calibration model. Shallow learning (SL) algorithms like partial least squares discriminant analysis (PLS-DA) often fall short in capturing interrelationships between adjacent spectral variables, and the analysis results are easily affected by spectral noise, which dramatically limits the breadth and depth application of NIRS. Deep learning (DL) methods, with their capacity to discern intricate features from limited samples, are progressively integrated into NIRS. In this paper, two discriminant analysis problems including wheat kernels and Yali pears were used as examples, and several representative calibration models to research the robustness and effectiveness of the model. Additionally, this article proposed a near-infrared calibration model, which is based on gramian angular difference field and coordinate attention convolutional neural networks (G-CACNN). The research results show that, compared with SL, spectral preprocessing has a smaller impact on the analysis accuracy of consensus learning (CL) and DL, and the latter has the highest analysis accuracy in the modeling results of using the original spectrum. The accuracy of G-CACNN in two discrimination tasks is 98.48% and 99.39%, respectively. Finally, This research compared the performance of various models under noise to evaluate the robustness and noise resistance of the proposed method.

Background. During the COVID-19 pandemic, there was an increased number of the hospitalized COVID-19 positive patients suffering from type 2 diabetes mellitus (T2DM). The objective of this research was to explore factors associated with the length of hospitalization of patients with T2DM and mild form of COVID-19. Material and Methods. This retrospective cohort study involved all patients who tested positive for COVID-19 and were treated in the dedicated COVID department of the University Clinical Center (UCC) in Nis between September 10, 2021, and December 31, 2021. Upon admission, patients underwent blood tests for biochemical analysis, including blood count, kidney and liver function parameters (C-reactive protein-CRP, creatinine kinase, D-dimer), as well as glycemia and HbA1c assessments. Additionally, all patients underwent lung radiography. Univariate and multivariate regression analyses were employed to assess the impact of specific factors on the length of hospitalization among patients with T2DM. Results. Out of the total 549 COVID-19 positive patients treated, 124 (21.0%) had T2DM, while 470 (79.0%) did not have diabetes. Among patients with T2DM, men were significantly younger than women (60.6±16.8 vs. 64.2±15.3, p

Cyber-threat is now a global concern to all internet users, as the rate of crimes has tremendously changed from physical to virtual. Implementing awareness programs at various organization levels is required, Also there is a need to know the methodologies used in measuring cybersecurity awareness program effectiveness. The paper aims to review and explore the previous methodologies applied, target organizations, and application of Machine Learning techniques in the assessment of awareness programs. Systematic literature review techniques were used to conduct the search using pre-defined keywords and published papers from 2006 to 2019, the information was used in providing an answer to the research questions. The finding shows questionnaire was widely used as a method of evaluating cybersecurity awareness and also organizations implement more awareness programs, the gap found is the lack of using ML in assessing the effectiveness of design, and implemented cybersecurity awareness programs

Since the Sustainable Development Goals (SDGs) came into effect, both UNESCO and other international organisations recommend empowering youth to implement the SDGs in universities. Getting started with the SDGs at university level is of special relevance in pre-service teacher training since future teachers are powerful agents of change in the lives of young people. Future teachers need to acquire competencies in sustainability to be able to promote meaningful changes in sustainable behaviour. To that end, holistic approaches to facilitate their acquirement need to be developed. The aim of this study is to explore which teaching methodologies are suitable for the development of competencies in sustainability in Higher Education (HE) and how to empower students to take a leading role in implementing the SDGs in universities. The participants in the study are a group of 23 students in pre-service teacher training. The experimental educational model used for the development of sustainable competencies consists of a methodological sequence of Project-Oriented Learning (POL) and a Cross-disciplinary Workshop on Sustainable Food. This study provides evidence that a holistic approach is appropriate for developing sustainable competencies and contributes to empowering students to implement SDG 12 at their university.

Highly flexible manufacturing systems require continuous run-time (self-) optimization of processes with respect to various parameters, e.g. efficiency, availability, energy consumption etc. A promising approach for achieving (self-) optimization in manufacturing systems is the usage of the context sensitivity approach. Thereby the Cyber-Physical Systems play an important role as sources of information to achieve context sensitivity. In this paper it is demonstrated how context sensitivity can be used to realize a holistic solution for (self-) optimization of discrete flexible manufacturing systems, by making use of Cyber-Physical System integrated in manufacturing systems/processes. A generic approach for context sensitivity, based on self-learning algorithms, is proposed aiming at a various manufacturing systems. The new solution is propos encompassing run-time context extractor and optimizer. Based on the self-learning module both context extraction and optimizer are continuously learning and improving their performance. The solution is following Service Oriented Architecture principles. The generic solution is developed and then applied to two very different manufacturing processes. This paper proposes a holistic solution to achieve context sensitivity for Flexible Manufacturing Systems, whereby the knowledge created by applying the context sensitivity approach can be used for (self-) optimization of manufacturing processes.

Multimodal remote sensing data classification can enhance the model’s ability to distinguish land features through multimodal data fusion. In this context, how to help models understand the relationship between multimodal data and target tasks is the focus of researchers. Inspired by human feedback learning mechanisms, causal reasoning mechanisms, and knowledge induction mechanisms, this paper integrates causal learning, reinforcement learning, and meta learning into a unified remote sensing data classification framework and proposed the causal meta-reinforcement learning (CMRL). First, based on feedback learning mechanisms, we have overcome the limitations of traditional implicit optimization of fusion features and customized a reinforcement learning environment for multimodal remote sensing data classification tasks. Through feedback interactive learning between agents and the environment, we help them understand the complex relationships between multimodal data and labels, thereby achieving full mining of multimodal complementary information. Second, based on the causal inference mechanism we designed causal distribution prediction action, classification reward, and causal intervention reward, capturing pure causal factors in multimodal data and cutting off false statistical associations between non-causal factors and class labels. Finally, based on the knowledge induction mechanism, we designed a bi-layer optimization mechanism based on meta-learning. By constructing a meta training task and meta validation task simulation model in the generalization scenario of unseen data, we helped the model induce cross-task shared knowledge, thereby improving its generalization ability for unseen multimodal data. The experimental results on multiple sets of multimodal datasets show that the proposed method achieved state-of-the-art performance in multimodal remote sensing data classification tasks.

The increasing adoption of student-centred learning environs by the institutions of higher education in business, has led to new mechanisms and methodologies such as the Simulation-Based Learning (SBL), Problem-Based Learning (PBL) and Challenge-Based Learning (CBL). Literature has shown evidence of raising interest in these methodologies towards a more experiential paradigm with regard to upcoming events from the surrounding real-world context. This paper presents a Systematic Bibliographic Literature Review (SBLR) with respect to the integration and application of these innovative and collaborative methodologies in higher education. It aimed to identify its relevant advantages, challenges, and consequences for the future of business education. Bibliographic databases were searched for documents published up to May 2024 to categorize key topics discussed in the literature on SBL, PBL and CBL. The review process identified 89 empirical and non-empirical papers on SBL, PBL and CBL, business related paperwork, which resulted from the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. PRISMA is a framework with evidence-based data designed to help authors perform a systematic literature review. Data analysis revealed diverse subthemes for those methodologies uses in business higher education institutions. The research questions “What are the advantages, challenges and implications of SBL, PBL and CBL altogether, in the training of business students?” guided the study. The central output of the research is the discovery of the varying uses of SBL, PBL and CBL overall, to cope with diverse demands arising within environmental context. Future research directions are suggested.

Lake Rawapening, Semarang Regency, Indonesia, has incorporated a holistic plan in its management practices. However, despite successful target achievements, some limitations remain that a review of its management plan is needed. This paper identifies and analyzes existing lake management strategies as a standard specifically in Lake Rawapening by exploring various literature, both legal frameworks and scholarly articles indexed in Google Scholar and published in Water by MDPI about lake management in many countries. There are two major types of lake management, namely pillar-based and object-based. While the former is the foundation of a conceptual paradigm that does not comprehensively consider the roles of finance and technology in the lake management, the latter indicates the objects to manage so as to create standards or benchmarks for the implementation of various programs. Overall, Lake Rawapening management should include more programs on erosion-sedimentation control and monitoring of operational performance using information systems.

Self-employed individuals comprise around 15% of Canada’s workforce. For those with cancer, frequent functional loss and diminished work ability due to side effects of the disease and its treatment significantly impact their well-being and business vitality. Compared to salaried can-cer survivors, the self-employed experience greater reductions in work hours and up to 48% greater income loss, yet most research addresses the former population. To describe self-employed Canadian cancer survivors’ experiences continuing and returning to work, our quali-tative study examines their strategic efforts to continue working throughout the disease trajecto-ry or return to work post-recovery. Employing an interpretive description approach and an in-terview guide based on a vocational rehabilitation model for cancer survivors, we analyze data from 23 participants—both French- and English-speaking—from six Canadian provinces, with eight different job types and nine different cancer diagnoses. Our constant comparative analysis of the transcribed interviews reveals four major themes and twelve sub-themes: Impact of can-cer on the self-employed function (physical, cognitive, and psychological), on their ability to maintain their business, and financial well-being, and facilitating factors for working with can-cer. Cancer disclosure and non-disclosure were both deemed viable strategies, but ceasing work was not. We thus recommend professional support for self-employed cancer survivors in plan-ning any necessary business modifications to accommodate their condition and cancer treatment to lessen the negative impact of cancer on self and on their business well-being.

This paper analyses the application of deep learning techniques for predicting wave overtopping events in port environments using sea state and weather forecasts as inputs. The study was conducted in the outer port of Punta Langosteira, A Coruña, Spain. A video recording infrastructure was installed to monitor overtopping events from 2015 to 2022, identifying 3709 overtopping events. The data collected was merged with actual and predicted data for the sea state and weather conditions during the overtopping events, creating three datasets. We used these datasets to create several machine learning models to predict whether an overtopping event would occur based on sea state and weather conditions. The final models achieved a high accuracy level during the training and testing stages: 0.81, 0.73, and 0.84 average accuracy during training and 0.67, 0.48, and 0.86 average accuracy during testing, respectively. The results of this study have significant implications for port safety and efficiency, as wave overtopping events can cause disruptions and potential damage. Using deep learning techniques for overtopping prediction can help port managers take preventative measures and optimize operations, ultimately improving safety and helping to minimize the economic impact that overtopping events have on the port's activities.

Nowadays, transactions carried out with digital currencies are increasing. Modern societies are asked to respond to growing challenges related to the management of digital currencies in their daily lives. However, due to the lack of digital skills of users, the management of digital currencies hides risks. To the best of our knowledge, the originality of the current research lies in the act of combining the concept of digital skills with the use of digital currencies. After all, the use of digital currencies is constantly increasing, which means that citizens should familiarize themselves with their use, an element that makes this study valuable for digital societies. Digital skills effectively contribute to the development of digital societies because they increase the employment of citizens, facilitate access to information, and contribute to the social inclusion of individuals through digital communication, while also increasing efficiency and productivity in the workplace. Also, the government and banking institutions can more effectively sensitize citizens to digital skills for more effective use of digital currencies. In this way, tax payments will be facilitated, the use of e-wallets will be safer, and e-governance will be greatly promoted, while the quality of banking services will be improved. The methodology of this study was based on the Digital Competence Framework for Modern Societies (DigComp) and was applied through a questionnaire completed by 443 respondents. The main objective was to evaluate their digital skills from the perspective of digital currency use. The analysis of the responses was carried out by using Structural Equation Modeling (SEM). The most important result from this research reveals that users of digital currencies are significantly capable of developing communication to solve everyday problems. At the same time, users of digital currencies mostly detect digital threats and effectively manage fake news without being affected by them. However, users of digital currencies consider that security issues are important, but only for transactions and not for their supporting functions. The study concludes with suggestions for improving the experience of digital currency users through individual actions, thus having a positive impact on the state and banking institutions.

Carbapenem antibiotics are the drug of choice for treating multidrug-resistant bacterial infections. Metallo-beta-lactamases (MBLs) are carbapenemase capable of hydrolyzing nearly all therapeutically available beta-lactam antibiotics. Consequently, a need to assess the frequency and phenotypic resistance phenomena of two MBL genes in diarrheal and urinary tract infections (UTIs). Samples were collected through a cross-sectional study, with MBLs genes detected via PCR. Two hundred twenty eight diarrheal bacteria were isolated from 240 samples. The most predominant pathogens were Escherichia coli (32%) and Klebsiella spp. (7%). Phenotypic resistance to amoxicillin-clavulanic acid, aztreonam, cefuroxime, cefixime, cefepime, imipenem, meropenem, gentamicin, netilmicin, and amikacin was 50.4%, 65.6%, 66.8%, 80.5%, 54.4%, 41.6%, 25.7%, 41.2%, 37.2%, and 42.9%, respectively.  Total 142 UTI pathogens were obtained from 150 urine samples, with Klebsiella spp. (39%) and Escherichia coli (24%) are the major pathogens. Phenotypic resistance to amoxycillin-clavulanic acid, aztreonam, cefuroxime, cefixime, cefepime, imipenem, meropenem, gentamicin, netilmicin, and amikacin was 93.7%, 75.0%, 91.5%, 93.7%, 88.0%, 72.5%, 13.6%, 44.4%, 71.1%, and 43%, respectively.  Twenty four diarrheal isolates carried either blaNDM-1 or blaVIM genes; the overall MBL gene prevalence was 10.5%. Thirty six UTI pathogens carried either blaNDM-1 or blaVIM genes (25.4%). Seven isolates carried both blaNDM-1 and blaVIM genes.  MBL genes exhibited a strong association with phenotypic carbapenem and other beta-lactam antibiotic resistance. Resistance to carbapenems requires active surveillance and stewardship.

Dynamic simulation of district heating and cooling networks has an increased importance in the transition towards renewable energy sources and lower temperature district heating grids, as both temporal and spatial behavior need to be considered. Even though a lot and research and development has been performed in the field, there are several pitfalls and challenges towards dynamic district heating and cooling simulation for everyday use. This article presents the experiences from working with district heating and cooling projects, along with relevant research, corresponding research gaps and proposed research directions.

One of the rapidly developing research areas in the power system is the integration of distributed generation (DG) with the distribution system. The size and location of DG sources had a considerable impact on power system networks. Artificial intelligence (AI) techniques can be used to address multidimensional problems relating to DG size and location in distribution systems. Heuristic optimization offers a reliable and effective method for solving complicated real-world problems. This work focuses on a hybrid approach that combines the two heuristic optimization methods i.e., Particle Swarm Optimization (PSO) and Genetic Algorithm (GA) for the optimal siting and sizing of DG in distribution systems. This hybrid approach combines ideas from GA and PSO and generates individuals in a new generation using both PSO mechanisms and the procedures found in GA. An extensive performance analysis of the IEEE 14 busbar standard test system is conducted to demonstrate the viability of the suggested methodologies. In the designated locations, DG is placed, and the outcomes have been verified. The results indicated that the right placement of DG injection enhances the voltage profile and lowers the distributed system’s power losses. These techniques offer unique methods for determining the location of the DG unit, demonstrating the potential of such a computational techniques to reduce computing time and complexity while simultaneously reducing human errors associated with hit-and-trail methods.

Pulmonary Embolism (PE) is the obstruction of blood arteries in the lungs by a blood clot. The mortality risk for PE is approximately 30%. Detecting pulmonary embolism in the segmental arteries of the lung is more challenging than in the main arteries and is very prone to being missed. A computer-based approach was created in this work to automatically identify pulmonary embolism in the segmental arteries using computed tomography images. The system's infrastructure includes an enhanced Mask R-CNN deep neural network that has been trained with images containing PE. The network accurately identifies the location of the pulmonary embolism on the computed tomography picture and successfully extracts its borders. The investigation was conducted by generating a local dataset. The study's performance was evaluated using pulmonary embolisms identified manually by the expert radiologist. The sensitivity, specificity, accuracy, dice coefficient, and Jaccard index values for 2130 pictures were 96.4%, 93.5%, 96.1%, 0.96, and 0.90, respectively. The improved Mask R-CNN model has demonstrated superior performance when compared to the traditional Mask R-CNN and U-Net models. This high-performance technology is designed to identify pulmonary embolism and will aid professionals in assessing the size of the embolism.

Bixonimania, a rare hyperpigmentation disorder characterized by a distinctive pink hue on the eyelids, presents a significant diagnostic challenge due to its unique presentation and limited research. This study explores the application of machine learning algorithms for bixonimania detection by analyzing millions of images of individuals exposed to blue light (500-700 nm spectrum). Our findings suggest a potential link between blue light exposure and bixonimania, affecting roughly 1 in 90,000 individuals. The proposed machine learning model achieved an accuracy of 92% in detecting bixonimania based on eyelid hue analysis. This study paves the way for further exploration of bixonimania's underlying causes, improved diagnostic tools, and potential treatment options.

Type 2 diabetes mellitus (T2DM) is a global health concern driven by factors such as obesity, sedentary behavior, and poor diet. This study uses data from the 2017-18 Bangladesh Demographic and Health Survey (BDHS) to analyze regional and individual predictors of diabetes and predi-abetes. Employing a Bayesian multinomial mixed-effects model, we account for regional varia-bility and individual factors like age, gender, BMI, residence, wealth, education, employment, and hypertension. Our results indicate significant regional differences and associations between de-mographic and health-related factors with diabetes risk. Younger individuals and those with higher BMI are more likely to be diabetic, while hypertension significantly increases diabetes risk. We applied machine learning (ML) models, including logistic regression, decision trees, k-nearest neighbor, linear discriminant analysis, and random forest, to classify diabetic status using these predictors, assessing their accuracy through 10-fold cross-validation. Logistic regression and linear discriminant analysis demonstrated robust performance across various response distributions. Simulation studies further examined the impact of different response distributions on model performance, revealing significant differences in classification accuracies. This approach of esti-mating parameters with a Bayesian model, applying ML for prediction, and conducting simulation studies to explore various scenarios highlights the importance of integrating these methodologies for effective diabetes prediction, providing insights for public health strategies to mitigate T2DM's impact.

Advanced composite materials have drawn significant interest in the last years as an alternative to traditional materials due to their higher performance. However, industry struggle to provide low-cost, higher occupational safety, lower footprint with composites, making them suitable for holistic analyses. Therefore, the material design becomes an essential element that can impact the competitiveness, particularly in terms of productivity, circularity, safety, sustainability, and quality of the value chain. The Material Design-for-eXcellence is a state-of-art methodology for material performance multi-dimensional assessment along its life cycle phases, either useful to support ma-terial selection for new products or also to new material design support optimizing resource effi-ciency. In this methodology, the material behaviour and its multiple characteristics assessment, and the manufacturing processes efficiency are evaluated. The framework considers the analogy of product design holistic approaches, as Lean Design-for-X, to organize and assess the mul-ti-dimensional performance for each “X” Material Property. In this work, it was possible to observe that the bio-based composites solutions could be a good sustainable alternative for several sectors. Every day researchers are creating more new materials, having a diversity of properties at different scales, Material Design-for-eXcellence must also in the near future consider other factors. Hence, additional studies are thus foreseen to explore and develop this new tool.

Due to the significant price difference, expensive oils like olive oil are often blended with cheaper edible oils. This practice of adulteration in edible oils, aimed at increasing profits for producers, poses a major concern for consumers. Furthermore, adulteration in edible oils can lead to various health issues impacting consumer well-being. In order to meet the requirements of fast, non-destructive, universal, accurate and reliable quality testing for edible oil, the oblique-incidence reflectivity difference (OIRD) method combined with machine learning algorithms was introduced to detect a variety of edible oils. The prediction accuracy of Gradient Boosting, K-Nearest Neighbor, and Random Forest models exceeded 95%. Experimental results indicate that the OIRD method can serve as a powerful tool for detecting edible oils.

In the field of 2-D image processing and computer vision, accurately detecting and segmenting objects in scenarios where they overlap or are obscured remains a challenge. This difficulty is worse in the analysis of shoeprints used in forensic investigations because they are embedded in noisy environments such as the ground and can be indistinct. Traditional Convolutional Neural Networks (CNNs), despite their success in various image analysis tasks, struggle with accurately delineating overlapping objects due to the complexity of segmenting intertwined textures and boundaries against a background of noise. This study introduces employs the YOLO (You Only Look Once) model enhanced by edge detection and image segmentation techniques to improve the detection of overlapping shoeprints. By focusing on the critical boundary information between shoeprint textures and the ground, our method demonstrates improvements in sensitivity and precision, achieving confidence levels above 85% for minimally overlapped images and maintaining above 70% for extensively overlapped instances. Heatmaps of convolution layers were generated to show how the network converges towards successful detection using these enhancements. This research may provide a potential methodology for addressing the broader challenge of detecting multiple overlapping objects against noisy backgrounds.

1) Background: Several studies have shown the benefit of drawing when learning anatomy. Virtual Reality (VR) also appears to be useful to increase the understanding of the location of anatomical structures. This study aims to describe how students in an Operating Room Nursing (OR nursing) master study program perceive the benefit of active learning methods, including drawing and the use of VR. 2) Methods: We combined these two methods in a class of 29 students. 38 half-finished drawings of anatomical structures were made. The students were to complete these during lectures with guidance from the teacher. The students also attended a two-hour VR session where they were to find various anatomical structures. A paper questionnaire was applied to evaluate the teaching program. Data were analyzed statistically. 3) Results: The students highly appreciated these learning methods. They reported that drawing made them work more actively during lectures and increased their learning outcome. They also perceived that the use of VR technology increased their understanding of the location of anatomical structures. 4) Conclusion: The combination of drawing and VR technology may be of benefit to OR Nursing students when learning anatomy by both increasing student activity and learning outcomes.

Nonmedical prescription stimulant use (NPSU) is an ongoing public health crisis in the United States. There exists, however, a dearth of research investigating specific childhood risk factors that may contribute to this illicit use. Adverse childhood experi-ences (ACEs) may be a significant risk factor to address in the prevention and treatment of NPSU, as research has provided evi-dence for increased substance use, potentially including prescription stimulant misuse, among individuals who have experienced trauma. A systematic review of the literature was conducted to gather and synthesize research articles specifically examining the relationship between nonmedical prescription stimulant use in adults and the experience of adverse childhood experiences (ACEs). Four studies met all inclusion criteria and were included in the review. The results demonstrated that nonmedical use of prescription stimulants in adults is significantly associated with ACEs, with a higher numerical count of ACEs associated with a greater likelihood of nonmedical prescription stimulant use. Gaps in the literature were identified, specifically noting a lack of information available regarding the relationship between ACEs and NPSU within gender- and racially-diverse populations. The findings have implications for informing interventions related to ACEs and the misuse of prescription stimulant medication in adults.

This qualitative research study explores the experiences of three Emirati women who have achieved significant success in their higher education institutes in the (UAE). The study aims to understand how childhood and adolescent experiences shape the leadership development of these women, both positively and negatively. The study also includes interviews with family members and close colleagues of the participants to gain additional perspectives. The findings the importance of family support, role models, and mentors in shaping the leadership development of women in the UAE. The study also sheds light on the challenges and barriers that women face in leadership positions, including gender bias and discrimination. Overall, the study contributes to a deeper understanding of the experiences of Emirati women in leadership positions and provides insights into how to support their leadership development.

Sparse training (ST) aims to ameliorate deep learning by replacing fully connected artificial neural networks (ANNs) with sparse or ultra-sparse ones, such as brain networks are, therefore it might benefit to borrow brain-inspired learning paradigms from complex network intelligence theory. Here, we launch the ultra-sparse advantage challenge, whose goal is to offer evidence on the extent to which ultra-sparse (around 1% connection retained) topologies can achieve any leaning advantage against fully connected. Epitopological learning is a field of network science and complex network intelligence that studies how to implement learning on complex networks by changing the shape of their connectivity structure (epitopological plasticity). One way to implement Epitopological (epi- means new) Learning is via link prediction: predicting the likelihood of non-observed links to appear in the network. Cannistraci-Hebb learning theory inspired the CH3-L3 network automata rule for link prediction which is effective for general-purpose link prediction. Here, starting from CH3-L3 we propose Epitopological Sparse Meta-deep Learning (ESML) to apply Epitopological Learning to sparse training. In empirical experiments, we find that ESML learns ANNs with ultra-sparse hyperbolic (epi-)topology in which emerges a community layer organization that is meta-deep (meaning that each layer also has an internal depth due to power-law node hierarchy). Furthermore, we discover that ESML can in many cases automatically sparse the neurons during training (arriving even to 30% neurons left in hidden layers), this process of node dynamic removal is called percolation. Starting from this network science evidence, we design Cannistraci-Hebb training (CHT), a 4-step training methodology that puts ESML at its heart. We conduct experiments on 7 datasets and 5 network structures comparing CHT to dynamic sparse training SOTA algorithms and the fully connected counterparts. The results indicate that, with a mere 1% of links retained during training, CHT surpasses fully connected networks on VGG16, GoogLeNet, ResNet50, and ResNet152. This key finding is an evidence for ultra-sparse advantage and signs a milestone in deep learning. CHT acts akin to a gradient-free oracle that adopts CH3-L3-based epitopological learning to guide the placement of new links in the ultra-sparse network topology to facilitate sparse-weight gradient learning, and this in turn reduces the convergence time of ultra-sparse training. Finally, CHT offers the first examples of parsimony dynamic sparse training because, in many datasets, it can retain network performance by percolating and significantly reducing the node network size. Our code is available at: https://github.com/biomedical-cybernetics/Cannistraci-Hebb-training.

As modern systems are becoming more complex their control strategy cannot longer relay only on measurement information that usually comes from probes but also from mathematical models. Those systems models can lead to unbearable computation times due to their own complexity, turning the control process non-viable, which leads to the implementation of surrogate models that enable to achieve estimates within acceptable time to take decisions. A control trained with Deep Reinforcement Learning algorithm, using a Physics-Informed Neural Network to obtain the temperature map on the following time step, replaces the need of running Direct Numerical Simulations. On this work we considered an 1D heat conduction problem, which temperature distribution feeds a control system to activate a heat source aiming to obtain a constant, previously defined, temperature value. With this approach, control training becomes much faster without the need of performing numerical simulations or laboratory measurements, as well the control is taken based on Neural Network enabling its implementation on simple processors to edge computing.

Interaction between multiple phases especially liquid-gas is one of the most common phenomena in industrial systems. Computer Vision enables modern systems to derive an automated and robust image-processing technique to address this issue. However, diverse experimental conditions still make it a challenging task to overcome. In Deep Learning, instance segmentation has created a niche in various computer vision applications as it aims to provide different instance IDs to objects belonging to the same class. In this paper, we propose a novel approach employing the YOLO (You Look Only Once) an end-to-end deep learning architecture for the detection and segmentation of bubbles in fluid flows. YOLOv5 offers significant improvements in both speed and accuracy compared to its predecessors like YOLOv3. Therefore, we train the YOLOv5 network on a dataset consisting of annotated images representing instances of bubbles across varied fluid flow environments. This paper provides both qualitative and quantitative evaluation of three YOLOv5 networks (small, medium, and extra-large) in detecting and segmenting bubbles with high accuracy and efficiency. Based on the metrics all three YOLOv5 models achieved high precision above 0.98 for bounding box detection and 0.97 for segmentation mask, and high recall value greater than 0.97 for box and 0.96 for mask quality was achieved. The achieved results indicate that the models accurately localize bubbles within the image frame, and distinguish bubble pixels from the background. Also, mean average precision (mAP50-95) consistently exceeds 0.84 across all models for the bounding box and 0.73 for the segmentation mask. The ascertained results emphasize the potential of YOLOv5 architecture as a powerful tool for automated bubble analysis in real-world applications. Our research contributes to advancing the field of deep neural networks in fluid systems and provides a fresh approach for future developments in automated bubble analysis.

Cloud-induced atmospheric extinction and occlusion have a major effect on the effectiveness and quality of telescope observations. Real-time cloud cover distribution and long-term statistical data are essential for astronomical siting and telescope operations. At ground-based astronomical telescope sites, cloud cover distribution is currently analyzed using manual observation methods. However, the main disadvantages of manual observation methods are human subjective, heavy workloads and poor real-time performance. Therefore, a real-time automatic cloud images classification method is desperately needed. This paper presents a new cloud identification method, which is named PSO+XGBoost model by combining eXtreme Gradient Boosting (XGBoost) and Particle Swarm Optimization (PSO). The entire cloud image is divided into 37 sub-regions in order to more precisely identify the distribution of the clouds. 19 features are then extracted, including the sky background, star density, lighting conditions, and subregion grayscale values. The experimental results have shown that the overall classification accuracy of 96.91% and our model is able to outperform several state-of-the-art baseline methods. Our approach achieves high accuracy in comparison with the manual observation methods. Moreover, this method meets telescope real-time scheduling requirements.

Background: Breastfeeding is essential for optimal infant health, offering numerous benefits such as infection prevention and enhanced bonding. Despite its importance, challenges exist, particularly for mothers of preterm and very low birth weight (VLBW) infants, necessitating effective lactation support strategies. Initiatives like the Baby Friendly Hospital Initiative (BFHI) and Kangaroo Mother Care (KMC) aim to promote breastfeeding success, while donor human milk (DHM) serves as an alternative bridge while the mother is supported to build up her supply. Adequate lactation support, counseling, and education are vital antenatally, during NICU stays and after discharge to improve breastfeeding rates and infant health outcomes, ultimately contributing to global efforts to reduce neonatal mortality and achieve sustainable development goals. This study explores existing research on factors influencing mothers’ ability to produce breast milk and sustain breastfeeding, with the aim of enhancing lactation support and improving infant health outcomes.Methods/Design: A systematic review will be conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist. Searches will be performed in the following databases: PubMed, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE Ovid via EBSCOhost, Google Scholar, and WILEY online Library) to identify and incorporate primary research articles related to the topic published between 2014 and 2024. Authors will search peer-reviewed articles, gray literature sources, and reference lists to identify eligible studies. Independent abstract and full-text screening by two reviewers will follow the title screening. The analysis of data will be carried out using Review Manager software (version 5.3.5). The I² test will be used to quantify the amount of unexplained heterogeneity. Potential biases related to study size (such as publication bias) will be examined through the application of several techniques, including funnel plots, Egger’s test, Begg’s test, and Trim and Fill analysis.Discussion: Our review represents a singular exploration into exclusive breastfeeding among very low birth weight (VLBW) infants in low- and middle-income countries (LMICs), focusing on breastfeeding assistance methods. With VLBW defined as less than 1500 g, and most low birth weight (LBW) babies born in LMICs, there is a critical need to address feeding challenges and promote optimal nutrition. Despite updated WHO guidelines in 2022, there is still a lack of comprehensive advice for this vulnerable population. Peer support interventions and health worker counseling have shown promise in increasing breastfeeding continuation rates in LMICs, but challenges persist due to workforce shortages and inadequate documentation. Promoting early postpartum milk expression is crucial for milk production and infant health. Our review aims to fill the gap in understanding VLBW mothers’ breastfeeding experiences in LMICs, shedding light on the effectiveness of breastfeeding support methods and identifying areas for further research. Systematic review registration: CRD42024547864

The purpose of this paper is to describe a feature selection algorithm and its application to enhance the accuracy of the reconstruction of phylogenetic trees by improving the efficiency of tree construction. Applying machine learning models for Arabic and Aramaic scripts such as Deep Neural Networks (DNN), Support Vector Machines (SVM) and Random Forests (RF) each model was used to compare the phylogenies. The methodology was utilized with a dataset containing Arabic and Aramaic scripts, demonstrating its relevance in a range of phylogenetic analyses. Results emphasize the essential role of feature selection by DNNs is outperforming other models in terms of Area Under the Curve (AUC) and Equal Error Rate (EER) across various datasets and fold sizes. Additionally, SVM and RF models show important understandings, advantages and limits of each approach within the context of phylogenetic analysis. This method not only simplifies the tree structures but also enhances their Consistency Index. Therefore offering a robust framework for evolutionary studies. The findings highlight the applications of machine learning in phylogenetics suggesting a path toward accurate and efficient evolutionary analyses and adding a deeper understanding of evolutionary relationships.