This study aims to assess the potential of the LDAS-Monde a land data assimilation system developed by Météo-France to monitor the impact of the 2018 summer heatwave over western Europe vegetation state. The LDAS-Monde is forced by the ECMWF’s (i) ERA5 reanalysis, and (ii) the Integrated Forecasting System High Resolution operational analysis (IFS-HRES), used in conjunction with the assimilation of Copernicus Global Land Service (CGLS) satellite derived products, namely the Surface Soil Moisture (SSM) and the Leaf Area Index (LAI). Analysis of long time series of satellite derived CGLS LAI (2000-2018) and SSM (2008-2018) highlights marked negative anomalies for July 2018 affecting large areas of North Western Europe and reflects the impact of the heatwave. Such large anomalies spreading over a large part of the considered domain have never been observed in the LAI product over this 18-yr period. The LDAS-Monde land surface reanalyses were produced at spatial resolutions of 0.25°x0.25° (January 2008 to October 2018) and 0.10°x0.10° (April 2016 to December 2018). Both configuration of the LDAS-Monde forced by either ERA5 or HRES capture well the vegetation state in general and for this specific event, with HRES configuration exhibiting better monitoring skills than ERA5 configuration. The consistency of ERA5 and IFS HRES driven simulations over the common period (April 2016 to October 2018) allowed to disentangle and appreciate the origin of improvements observed between the ERA5 and HRES. Another experiment, down-scaling ERA5 to HRES spatial resolutions, was performed. Results suggest that land surface spatial resolution is key (e.g. associated to a better representation of the land cover, topography) and using HRES forcing still enhance the skill. While there are advantages in using HRES, there is added value in down-scaling ERA5, which can provide consistent, long term, high resolution land reanalysis. If the improvement from LDAS-Monde analysis on control variables (soil moisture from layers 2 to 8 of the model representing the first meter of soil and LAI) from the assimilation of SSM and LAI was expected, other model variables benefit from the assimilation through biophysical processes and feedbacks in the model. Finally, we also found added value of initializing 8-day land surface HRES driven forecasts from LDAS-Monde analysis when compared with model only initial conditions.

Image stitching is a crucial aspect of image processing. However, factors like perspective and environment often lead to irregular shapes in stitched images. Cropping or completion methods typically result in substantial loss of information. This paper proposes a method for rectifying irregularly images into rectangles using deformable meshes and residual networks. The method utilizes a convolutional neural network to quantify rigid structures of images. Choosing the most suitable mesh structure based on the extraction results, offering options such as triangular, rectangular, and hexagonal. Subsequently, the irregularly image, predefined mesh structure, and predicted mesh structure are input into a wide residual neural network for regression. The loss function comprises local and global, aimed at minimizing the loss of image information within the mesh and global target. This method not only significantly reduces information loss during rectification but also adapting to different images with various rigid structures. Validation on the DIR-D dataset shows this method outperforms state-of-the-art methods in image rectification.

Mountain fire can become more complex than fires at lower elevation due to the complex interaction of fire, topography, and weather. The Gell River Fire in Tasmania, Australia occurred in rugged terrain where there are abundant fire sensitive vegetation communities, as well as the presence of infrastructure including high-voltage transmission lines. The fire began at the end of December 2018 and lasted a few months, with a final burnt area of approximately 350km² despite significant fire suppression effort. The fire was investigated by employing wind vector maps, numerical weather model vertical sounding charts (NWMVS) and Prototype 2, which is an integrated fire simulator and can detect lateral fire channeling (LFC). Our analysis of the fire found its spread was likely to be introduced into a valley by forced channeling (FC), which is modified synoptic wind, and showed rapid spread in the valley. The simulated fire also showed wider spread than the observed data in the valley, with the simulated fire impacting highly sensitive vegetation communities on the fringes of the valley. This alludes to some potential conclusions: (1) The loss of fire sensitive vegetation would have increased if fire suppression activity had not been conducted. (2) Spotting fires could be produced by LFC because these spotting fire would allow spreading fire in a shorter period. (3) Heterogeneity of vegetation, such as combination of buttongrass and forest, could help carry fire rapidly in the valley with LFC. Fire can propagate faster in buttongrass than in forests while the forests allow the spotting fire.

In the modern world where research is taking a huge leap, the collaboration network between authors is also expanding, increasing the probability of different authors coming together to work on the same project, same research paper making them co-authors. In coauthorship, link prediction is used to anticipate new interactions between its members that are likely to occur in the future. Researchers have concentrated their efforts on studying and suggesting methods for providing effective reviews for authors who can collaborate on a scientific endeavor. In order to provide a precise link prediction, a graph database approach is proposed in this paper using nodes to determine most possible co-authors in future. In order to forecast the connections, we preprocessed the data set for the maximum relative contents. A supervised learning approach is used to execute the solution, which includes random forest classifier and logistic regression. The first findings of our technique reveal that the total of two author node’s research collaboration indices has the greatest influence on the performance of supervised link prediction than that of the traditional approach, which stimulates us to conduct further study on employing such a forecast.

This paper inquires on the options pricing modeling using Artificial Neural Networks to price Apple(AAPL) European Call Options. Our model is based on the premise that Artificial Neural Networks can be used as functional approximators and can be used as an alternative to the numerical methods to some extent, for a faster and an efficient solution. This paper provides a neural network solution for two financial models, the BlackScholes-Merton model, and the calibrated-Heston Stochastic Volatility Model, we evaluate our predictions using the existing numerical solutions for the same, the analytic solution for the Black-Scholes equation, COS-Model for Heston’s Stochastic Volatility Model and Standard Heston-Quasi analytic formula. The aim of this study is to find a viable time-efficient alternative to existing quantitative models for option pricing.

This study aimed to investigate the diagnostic potential of circulating microRNAs (miRNAs) for detecting early myocardial fibrosis development in HFpEF patients. This observational study used a case-control research design. Peripheral blood samples were isolated from 25 HFpEF patients and 25 normal patients. They were measured for NTproBNP levels using ELISA, as well as MicroRNA-1, 21, and 29 levels using RT-PCR. All patients also underwent echocardiography for global longitudinal strain (GLS) to measure the myocardial fibrosis progression. Data were analyzed using SPSS 25.0. HFpEF patients had significantly higher GLS compared to the normal patients (-13±2.4% vs -19±3.2%; p < 0.05), suggesting HFpEF patients tended to have myocardial fibrosis. HFpEF patients also had significantly higher microRNA-1 and microRNA-21 compared to the normal patients (p < 0.05), but they had lower microRNA-1 (p < 0.05). There was a positive correlation between microRNA-1 (r = 0.753; p < 0.05) and microRNA-21 (r = 0.675; p < 0.05) and an inverse correlation with microRNA-29 (r = -0.653; p < 0.05) based on the GLS findings. By using a GLS cutoff of -15% for myocardial fibrosis, microRNA-1, microRNA-21, and microRNA-29 were found to be able to predict myocardial fibrosis based on GLS with a specificity of 78% and sensitivity of 75%. Increasing microRNA-1 and microRNA-21 followed by decreasing microRNA-29 in HFpEF patients suggest early myocardial fibrosis.

Facing the tasks and challenges going forward, a pilot of the Indonesian Naval Aviation Center was required to be brave in taking risks, especially in carrying out its main tasks, so it was expected that a pilot of the Indonesian Naval Aviation Center had intelligence, especially in finding appropriate solutions and alternatives to address every task challenges dynamics in situations that often changed quickly. The purpose of this study was to identify the personal character and performance that should be owned by the pilot of the Indonesian Naval Aviation Center. This research used a qualitative approach with a contextual and constructional meta-analysis study method. The results of this meta-analysis study concluded that in line with the essence of personal character that is defined as the personal aspects of a work that allows workers to achieve superior performance. These personal aspects include nature, emotive-motives, value systems, attitudes, knowledge, and skills, where the personal character would produce an optimal performance on a pilot of the Indonesian Naval Aviation Center.

Despite great interest in how dynamic fluctuations in psychological states such as mood, social safety, energy, present-focused attention, and burnout impact stress, well-being, and health, most studies examining these constructs use retrospective assessments. Here, we discuss how ecological momentary assessments (EMAs) address methodological issues associated with retrospective reports, able to reveal dynamic associations between psychological states at small timescales that are often missed in stress and health research. In addition to helping researchers characterize daily and within-day fluctuations and temporal dynamics between different health-relevant processes, EMAs can elucidate mechanisms through which interventions reduce stress and enhance well-being. EMAs can also be used to identify changes that precede critical health events, which can in turn be used to inform the delivery of ecological momentary interventions (EMIs of just-in-time interventions) that prevent such events from occurring. To enable this work, this narrative review provides examples of scales and single-item questions used in EMA studies, makes concrete recommendations for researchers seeking to employ EMAs in their research, and discusses limitations of EMA methods. In doing so, we aim to encourage the use of these methods in research given that, when used carefully, EMA methods are well-poised to greatly advance our understanding of how intrapersonal dynamics affect stress levels, well-being, and human health.

The Upper Hunter Valley is a major coal mining area in New South Wales (NSW), Australia. Due to the ongoing increase of mining activities, PM10 (air-borne particle with an aerodynamic diameter less than 10 micrometres) pollution has become a major air quality concern in local communities. The early part of this study identified two air quality subregions in the valley. This paper aims to provide a holistic summarisation of the relationships between elevated PM10 pollution in two subregions and the local- and synoptic-scale meteorological conditions for spring and summer, when PM10 pollution is relatively high. A catalogue of twelve synoptic types and a set of six local meteorological patterns have been quantitatively derived and linked to each other using the self-organising map (SOM) technique. The complex meteorology-air pollution relationships have been visualised/interpretated on the SOM planes for two representative locations. It was found that the influence of local meteorological patterns differed significantly for mean PM10 levels vs the occurrence of elevated pollution events and between air quality subregions. In contrast, synoptic types showed generally similar relationships with mean vs elevated PM10 pollution in the valley. Two local meteorological patterns, the hot-dry-northwesterly wind conditions and the hot-dry-calm conditions, were found most PM10 pollution conducive in the valley when combined with a set of synoptic counterparts. These synoptic types are featured with the influence of eastward migrating continental high pressure system and westerly troughs, or a ridge extending northwest towards coastal northern NSW or southern Queensland from the Tasman Sea. The method and results can be used in air quality research for other locations of NSW, or similar regions elsewhere.

The Indonesian Navy's military condition in facing the globalization era of the industrial revolution 4.0 underwent many significant changes, both in policies and coaching practices that were implemented in regulating developments over the past decade. The competency model was an important basis of human resource functions such as recruitment, training and development, and performance management. The purpose of this study was to identifying and analyzing the pilot competency development model in the Naval Aviation Center. This research was a descriptive study with a qualitative approach. The results of this study concluded that the pilot of the Indonesian Naval Aviation Center requires the development of competency models that were quite significant in various areas of competence such as 1.) Interpersonal Pilot Communication Competencies; 2.) Competence of Aviation Security Personnel; 3.) Competency Constraint Satisfaction Optimization Problem; 4.) Competency of Flight Control Systems that have been tested, licensed, and well implemented.

Human activities (e.g., exploitation, utilization, and conservation) exert substantial impact on forest ecological functions (FEF). The human influence on FEF significantly varies across developmental stages, which are attributed to the temporal and spatial in nature. This study evaluates some notable FEF indices (FEFI) in the 448 counties within the Yellow River basin (YRB) using panel data from the Seventh to Ninth National Forest Inventory. Data analysis involves employing the residual trends, geographical and temporal weighted regression. Results indicate that, firstly, the overall forest ecological function in the YRB is moderate to inferior, with superior FEF in counties endowed with more natural forest resources. Afforestation demonstrates a short-term improvement, but its effectiveness diminishes over time. Secondly, the positive spatial correlation is stronger among counties, characterized by both high-high and low-low agglomeration effects. Scattered planting, simple stand structure, and concentrated harvesting of forests at the identical stand ages hinder the formation of complex and large-scale FEF agglomerations. Thirdly, significant spatial-temporal differences exist in the impact of human activities on FEF. In the upper reaches of the basin, increased vegetation coverage through agricultural and forestry production benefited FEF, however, some over-exploitation of forests and grasslands is observed there. In the middle reaches, the economic development, expanding population and the greening activities help to improve FEF effectively, but excessive water using in agricultural production brought more difficulties to FEF improvement. In the lower reaches of the basin, improved wastelands and forest protection positively influence FEF. This study recommends that county governments should prioritize forest management with multi-species and multi-layered complex forests. Each county should define its position in regional development and ecological protection, considering the potential impacts on neighboring regions. This holistic approach promotes more effective integrated regional management.

There is increasing evidence that rising temperatures and heatwaves in the United Kingdom are associated with an increase in heat-related mortality. This study aims to retrospectively quantify the impact of heatwaves on mortality during the 2019 summer period using daily death occurrences. Second, it compares excess mortality during the 2019 heatwaves to excess mortality during the 2018 and 2017 heatwave periods. Lastly, it compares the excess mortality in the 2017-2019 heatwaves to the estimated excess deaths for the same period in the Public Health England (PHE) Heatwave mortality monitoring Reports. The cumulative number of excess deaths during the summer 2019 heatwaves were minimal and were substantially lower than during the summer 2018 heatwaves (1,700 deaths) and summer 2017 heatwaves (1,489 deaths). All findings were at variance with the PHE Heatwave mortality monitoring reports which estimated cumulative excess deaths to be 892, 863 and 778 during the summer period of 2019, 2018 and 2017 respectively using provisional death registrations. Issues have been identified in the use of provisional death registrations for mortality monitoring and the reduced reliability of the ONS daily death occurrence database before 2019. These findings may identify more reliable ways to monitor heat mortality during heatwaves in the future.

The use of spirocycles in drug discovery and medicinal chemistry has been booming in the last two decades. This has clearly translated in the landscape of approved drugs. Among two dozen clinically used medicines containing a spirocycle, 50% have been approved in the 21st century. The present review focuses on the notable synthetic routes to such drugs invented in industry and academia and is intended to serve as a useful reference source of synthetic as well as general drug information for researchers engaging in the design of new spirocyclic scaffolds for medicinal use or embarking upon analog syntheses inspired by the existing approved drugs.

Polar Mesospheric Summer Echoes (PMSEs) are radar echoes that are observed in the mesosphere during the Arctic summer months in the polar regions. By studying PMSE, researchers can gain insights into physical and chemical processes that occur in the upper atmosphere specifically in the 80 to 90 km altitude range. In this paper, we employ fully convolutional networks such as UNET and UNET++ for the purposes of segmenting PMSE from the EISCAT VHF dataset. First, experiments are performed to find suitable weights and hyperparameters for UNET and UNET++. Second, different loss functions are tested to find one suitable for our task. Third, as the number of PMSE samples used is relatively small that can lead to poor generalization. To address this, image-level and object-level augmentation methods are employed. Four, we briefly explain our findings by employing layerwise relevance propagation.

Recently, there has been a trend towards healthy food. Consumers are looking for products that have health-promoting properties in addition to their taste. Actinidia fruit, apart from being tasty, contains valuable nutrients. They are high in vitamin C, polyphenols, and pectins and low in calories. These pro-health properties allow kiwiberry fruit to qualify in the group of so-called superfoods. All tested cultivars belong to two species of Actinidia, well tolerating conditions of moderate climate with negative temperatures in winter. The cultivars differed significantly in mineral content, color, firmness, weight and content of antioxidant substances. Summer pruning (lightening) increased the content of N, P, K, extract, and NO3 and resulted in darker fruit color. However, it slightly decreased the content of polyphenols. 'Sientiabrskaja' can be recommended for consumption as the cultivar richest in polyphenols and with the highest health-promoting values.

Atmospheric Motion Vectors (AMVs) calculated by six different institutions (Brazil Center for Weather Prediction and Climate Studies/CPTEC/INPE, European Organization for the Exploitation of Meteorological Satellites/EUMETSAT, Japan Meteorological Agency/JMA, Korea Meteorological Administration/KMA, Unites States National Oceanic and Atmospheric Administration/NOAA and the Satellite Application Facility on Support to Nowcasting/NWCSAF) with JMA’s Himawari-8 satellite data and other common input data are here compared. The comparison is based on two different AMV input datasets, calculated with two different image triplets for 21 July 2016, and the use of a prescribed and a specific configuration. The main results of the study are summarized as follows: (1) the differences in the AMV datasets depend very much on the “AMV height assignment” used and much less on the use of a prescribed or specific configuration; (2) the use of the “Common Quality Indicator (CQI)” has a quantified skill in filtering collocated AMVs for an improved statistical agreement between centers; (3) JMA AMV algorithm has the best overall performance considering all validation metrics, most likely due to its height assignment: “optimal estimation using observed radiance and NWP wind vertical profile”.

As one of the most prominent seasonally recurring atmospheric circulation patterns, the Asian Summer Monsoon (ASM) plays a vital role for the life and livelihood of about a third of the global population. Changes in the strength and seasonality of the ASM significantly affect the region, yet the drivers of change and the varied regional responses of the ASM are not well understood. In the last two decades, there have been a number of studies reconstructing the ASM using stalagmite-based proxies such as oxygen isotopes (18O). Such reconstructions allow examination of the drivers and responses, increasing monsoon predictability. In this review paper, we focus on stalagmite 18O records from India at the proximal end of the ASM region. Indian stalagmite 18O records show well dated, high amplitude changes in response to the dominant drivers of the ASM on orbital to multi-centennial timescales and indicate the magnitude of monsoon variability in response to these drivers. We examine Indian stalagmite records collated in SISAL_v1 (version 1) database (http://researchdata.reading.ac.uk/139/) and support the database with a summary of record quality and regional climatic interpretations of the 18O record during different climate states. We highlight current debates and suggest the most useful time periods (climatic events) and locations for further work using tools such as data-model comparisons, spectral analysis methods, multi-proxy investigations and monitoring work

It has been an outstanding challenge for global climate models to simulate and predict East Asia (EA) summer monsoon (EASM) rainfall. This study evaluates the dynamical hindcast skills with the newly developed Nanjing University of Information Science and Technology Earth System Model version 3.0 (NESM3.0). To improve the poor prediction of an earlier version of NESM3.0, we have modified convective parameterization schemes to suppress excessive deep convection and enhance insufficient shallow and stratiform clouds. The new version of NESM3.0 with modified parameterizations (MOD hereafter) yields significantly improved rainfall prediction in the northern and southern China but not over the Yangtze River Valley. The improved prediction is primarily attributed to the improvements in the predicted climatological summer mean rainfall and circulations, seasonal march of the subtropical rain belt, Nino 3.4 SST anomaly, and the rainfall anomalies associated with the development and decay of El Nino events. However, the MOD still has notable biases in the predicted leading mode of interannual variability of precipitation. The leading mode captures the dry (wet) anomalies over the South China Sea (northern EA) but misplaced precipitation anomalies over the Yangtze River Valley. The model can capture the interannual variation of the circulation indices very well, but the bias in the circulation-rainfall connection caused predicted rainfall errors. The results here suggest that over EA land regions, the skillful rainfall prediction relies on not only model’s capability in predicting better summer mean and seasonal march of rainfall and ENSO teleconnection with EASM, but also accurate prediction of the leading modes of interannual variability.

Urinary infections are very prevalent in pregnant women and are a cause for great concern con-sidering the negative impacts they can have on both, the mother and the baby. The objectives were characterize urinary infections associated with pregnant women, study the most prevalent strains in urinary infections in pregnant women and analyze the antibiogram of the most prevalent strains in infections in pregnant women. A retrospective observational study was carried out on all posi-tive urine cultures from pregnant women between January 2018 and December 2022 at a Hospital Center in the Center of Portugal, totaling 201 samples. Data were collected with computer support, including age, origin, previous antibiotic therapy, catheterization, isolated bacteria and tested an-tibiotic therapy. The majority of pregnant women were in the third trimester of pregnancy and came from the External Consultation. The most identified bacteria was Escherichia coli, followed by Streptococcus agalactiae. Regarding the interaction with antibiotics, Escherichia coli showed total sensitivity to one antibiotic, while Streptococcus agalactiae showed sensitivity to four anti-biotics in 2022. This work contributes to the knowledge of urinary infections in pregnant women in the center of the country, being a contribution to the continued improvement of the care provided

This study examines the projected impact of climate change on the Density Altitude (DA) at Chinese airports during the summer by the end of the 21st century. Findings indicate that climate change is expected to significantly increase the DA at all Chinese airports, with an estimated rise between 300 and 800 feet. The analysis suggests temperature increases will universally contribute to a rise in DA. Pressure changes, however, are more variable. Most airports are predicted to see an increase in pressure, which could offset some temperature effects on the DA. Airports in eastern China are expected to see a decrease in pressure, amplifying the effects on DA and creating operational challenges.

On the 30^thanniversary of the Karolinska Institutet Summer Research School for High School students an evaluation was carried out of the school’s activities. The evaluation was performed by questionnaire sent to 533 former students and also by searching the KI course registration database for all former students who went on to register in under- or postgraduate education at KI. Approximately half of all former Summer School students performed their undergraduate studies at KI, predominantly in the medical program. Those were far more likely to choose a research-oriented education than their peers. KI Medical students who previously attended the Summer School were also more likely to later register for PhD education than their peers who did not attend the summer school.

Background: Lung cancer is one of the common causes of death worldwide. Although the incidence rate of lung cancer in Western countries is decreasing, it presents a growing trend in developed countries. Since there is no accurate enough information about the epidemiological and Histopathologic features of lung cancer in central Iran, Isfahan, we were motivated to conduct this research. Materials and Methods: This was a descriptive, cross-sectional study carried out in central Iran, Isfahan. All demographic, histopathological and clinical data of the lung cancer patients registered in MACSA, a referral charity-based cancer center in central Iran, was analyzed within 2012-2018 using SPSS v.22 software. Results: Altogether 260 patients with lung cancer were included in this study from 6127 cancer patients registered within 2012-2018 (4.2%). Out of them, 66.2% were men, and 18.8 % of the patients were alive at the time of the study. The mean age of the patients at diagnosis was 61.56 (SD=14.11, range: 9-93). Altogether, 63.1% of patients had metastasis of whom 57.6% were in stage IV at diagnosis. The Frequency of different types of lung cancer was 36.9% adenocarcinomas, 14.2% squamous cell carcinoma, 9.6% bronchogenic carcinoma and 8.1% small cell lung cancer, respectively. Altogether, 128 cases were smokers with an average 35.45 ± 14 pack- years. Only in 36.2% of the patients, the diagnostic and therapeutic biomarkers had been checked, and CK7 was positive in 88.9% of the cases in which the biomarker had been checked. Conclusion: Despite to similar Iranian studies, the most common histopathologic type of lung cancer among the patients was adenocarcinoma that it may be attributed to the lower consumption of smoking in our population and their different genetic context. Molecular biomarkers had been checked in a small portion of the patients. More education of the clinicians along with the development of cancer molecular testing may lead to promote the personalized-based approach.

The Umbulan Water Supply Project is categorized by the Shipping Infrastructure Acceleration Committee in the list of Accelerated National Strategic Projects through Presidential Regulation Number 3 of 2016 concerning the Acceleration of the Implementation of National Strategic Projects, targeted to operate in mid-2019. This is what will be the focus of the stakeholders of the Umbulan Water Supply Project. This study was to identifying and analyzing networks among stakeholders. Method: This study used a qualitative approach with exploratory methods combined with meta-analysis identification design Identification of stakeholder mapping in the context of early detection of stakeholder involvement in the implementation of the Umbulan Water Supply Project at various levels starting from the National, Provincial (East Java), District/City (Pasuruan, Sidoarjo, Surabaya, to Gresik), Sub-District (Winongan, Gondang Wetan, and Pohtjentrek). The conclusion of this study was based on in-depth interviews and focus group discussions in describing the determination of stakeholders which were divided into two, namely primary stakeholder and secondary stakeholder, and outline the result of the indicators analysis on the stakeholder network of Umbulan Water Supply Project.

Among extensive studies on click chemistry the inverse electron-demand Diels-Alder reaction between 1,2,4,5-tetrazine (Tz) and trans-cyclooct-2-en (TCO) has gained increasing attraction due to its exceptionally fast reaction kinetics and high selectivity for in vivo pretargeting applications including PET imaging. The facile two-step approach utilizing TCO-modified antibodies as targeting structures has not made it into clinic though as the increase in blood volume from mice to human seems to be the major limitation. This study aimed to show if the design of multimeric Tz-ligands by chelator scaffolding can improve the binding capacity and may lead to enhanced PET imaging with gallium-68. For this purpose we utilized the macrocyclic siderophore Fusarinine C (FSC) which allows to conjugate up to three Tz-residues due to three primary amines available for site specific modification. The resulting mono- di- and trimeric conjugates were radiolabelled with gallium-68 and characterized in vitro (logD, protein binding, stability, binding towards TCO modified rituximab (RTX)) and in vivo (biodistribution- and imaging studies in normal BALB/c mice using a simplified RTX-TCO tumour surrogate). The 68Ga-labelled FSC-based Tz-ligands showed suitable hydrophilicity, high stability, high targeting specificity and the binding capacity to RTX-TCO was increased by the grade of multimerization. Corresponding in vivo studies showed a multimerization typical profile but generally suitable pharmacokinetics with low accumulation in non-targeted tissue. Imaging studies in RTX-TCO tumour surrogate bearing BALB/c mice confirmed this trend and revealed improved targeting by multimerization as increased accumulation in RTX-TCO positive tissue was observed.

The era of globalization of the industrial revolution 4.0 was also marked by rapid economic, social, scientific, and technological developments. Currently, the company was demanded to maximize all its potential to compete with other companies. For this reason, it was hoped that companies could understand the importance of knowledge management-based intellectual capital through outreach, externalization, internalization, and combinations that had implications for improving employee performance and competency. This study was to identify and describe the enhancement of performance and competency-based on the optimization of the intellectual capital model in terms of critical thinking analysis. This study used a qualitative approach with critical thinking analysis through literature study methods. The findings results of this study were to improve performance and competency were the basic measurement models of intellectual capital, new intellectual capital measurement models in empirical studies, intellectual capital measurement models with bottlenecks, and environmental-based intellectual capital models. This study concluded that intellectual capital measurement should be determined as accumulation and interpretation in the proposed model for a company that was an applied subject with a qualitative intellectual capital index system, to provide a good tool for companies to managed intellectual capital.

Background: Poisoning is a challenging medical condition facing health care providers, as it usually results in serious outcomes in terms of morbidities or mortalities. Poisoning is a challenging medical condition facing health care providers, as it usually results in serious outcomes in terms of morbidities or mortalities. The lack of or inadequate information about the circumstances, substances and populations at risk are considered barriers to the actual prevention of poisoning and effective intervention strategies in Saudi Arabia. The aim of the current study was to describe the pattern and determinants of chemical and drug overdose poisoning in Makkah.Subjects and methods: All reports of chemical and drug overdose poisoning delivered to the Environmental Health and Occupational Safety Department in Makkah over two years (2018-2019) were reviewed.Results: The total number of cases reported in 2018 was 209 cases, while it reached 42 cases in 2019. The overwhelming majority of the cases were Saudi (91.6%), with a slight predominance of males (57.4%) over females (42.6%). Generally, almost two-thirds of the cases occurred in children below 13 years (61.4%), most of the poisoning cases resulted from drug overdose (63.3%), while 34.7% were chemical poisoning. The most common drug poisoning was attributed to analgesics followed by antiepileptics, antihypertensive drugs, antipsychotics and antimicrobials, while cleaning and detergent agents were the most commonly poisoned chemicals. The majority of these agents were taken by the oral route. Children's chemical poisoning was significantly higher than that in older age groups (p<0.05). All intentional poisoning occurred in adults; the great majority of them (88.9%) used drug overdosing rather than chemical substances.Conclusion and recommendations: The current study results are consistent with most of the previous studies carried out in different regions of Saudi Arabia. Further in-depth studies are needed to elaborate other social and demographic factors associated with chemical and drug overdose poisoning. Public health plans, policies and legislations should be implemented to reduce these factors. Intensive supervision of children is needed. Suicidal poisoning patients should seek psychiatric help to limit the possibility of attempting suicide again in the future. Furthermore, efforts are needed to plan and implement health education programs about the factors proven in the current study to be significantly related to chemical and drug overdose poisoning.

Despite increased awareness of and attention to the need for sustainable agriculture, fertilizers and compost application in excess of crop requirements remain common agricultural practices in South Korea, causing eutrophication of freshwater and coastal ecosystems. In this study, a phosphorus (P) budget was developed to quantify P inputs, outputs, and retention in a forested- agricultural watershed. The P budget showed that chemical fertilizers and organic compost were the largest source of P (97.6% of the total) followed by atmospheric deposition (2.1% of the total P), whereas forest export (0.2% of the total) and sewage treatment plants (STPs) (0.1% of the total) were negligible. The dominant P outputs were crop harvesting and hydrologic export to surface water. The P balance showed a significant accumulation of P in the watershed; approximately 87% of the total P input was retained in the soils within the watershed. However, P concentrations in drainage water were still high enough to cause eutrophication of downstream reservoirs. The results provide useful information on the proportion of P export and retention in soils and will help support efforts to improve water quality and design better management of agricultural non-point source pollution.

The grid nudging technique is often used in regional climate dynamical downscaling to make the simulated large-scale fields consistent with the driving fields. In this study, we focused on two specific questions about grid nudging: (1) which nudged variable had a larger impact on the downscaling results and (2) what was the “optimal” grid nudging strategy for each nudged variable to achieve better downscaling result during summer over the Chinese mainland. To solve this queries, 41 3-month long simulations for the summer of 2009 and 2010 were performed using the Weather Research and Forecasting model (WRF) to downscale National Centers for Environmental Prediction (NCEP) Final Operational Global Analysis (FNL) data to a 30-km horizontal resolution. The results showed that nudging horizontal wind or temperature had significant influence on the simulation of almost all conventional meteorological elements; nudging water vapor mainly affected the precipitation, humidity, and 500 hPa temperature. Moreover, the optimum nudging scheme varied with simulated regions and layers. As a whole, the optimal nudging time was one hour or three hours for nudging wind, three hours for nudging temperature, and one hour for nudging water vapor. The optimal nudged level was above the planetary boundary layer for almost every nudged variable.

Background: Mucormycosis is a worldwide angio-invasive fungal infection that is associated with high morbidity and mortality. A few European studies have focused on the epidemiology. Methodology: A retrospective longitudinal descriptive study was performed with inpatients diagnosed with mucormycosis (ICD-9-CM, code 117.7, cases 1997-2015; and ICD-10, code B46, cases 2016-2018; along with length of hospital stay) in Spanish public hospitals between 1 January 1997 and 31 December 2018. Data were obtained from the Minimum Basic Data Set (CMBD in Spanish). Principal findings: A total of 962 patients were recorded; 665 were men. The mean age (±SD) was 55±18.8 years. The annual incidence rate increased from 0.74 to 1.24 cases per million person-years. The lethality rate was 31.3%. Renal failure (41.6%) and hematological malignancy (36.3%) were the main factors involved. Conclusions: Mucormycosis is a rare infectious disease in Spain, but it has had a significantly increased incidence in the last two decades. Being an adult male and having diabetes, neoplasm or renal failure are the main factors associated. High mortality is usually associated mainly with hematological malignancy and renal failure. CMBD studies could be an efficient tool for assessing changes in the epidemiology of mucormycosis.

The relationship between city size, coastal land use and air temperature rise with distance from coast during summer day is analyzed using the meso-scale Weather Research & Forecasting (WRF) model in five coastal cities in Japan with different sizes and coastal land use (Tokyo, Osaka, Nagoya, Hiroshima and Sendai) and inland cities in Germany (Berlin, Essen and Karlsruhe). Air temperature increased as distance from the coast increased, reached its maximum, and then decreased slightly. In Nagoya and Sendai, the number of urban land use in coastal areas is less than the other three cities, where air temperature is a little lower. As a result, air temperature difference between coastal and inland urban area is small and the curve of air temperature rise is smaller than those in Tokyo and Osaka. In Sendai, air temperature in the inland urban area is the same as in the other cities, but air temperature in the coastal urban area is a little lower than the other cities, due to about one degree lower sea surface temperature influenced by the latitude. In three German cities, the urban boundary layer may not develop sufficiently because the fetch distance is not enough.

By using various skill scores and spatial characteristics of spatial verification methods and tradi-tional techniques of the model evaluation tool (MET, V10.0.0), the gridded precipitation obser-vation CMPAV (V2.0) and three datasets that derived from local (LOC), Shanghai (SHA), and Grapes (GRA) model respectively are conducted to assess the 3 lead day rainfall forecast with 0.5-day intervals during summer of 2020 over central east China. Results have shown that LOC generally outperforms the other two for most skill scores but usually with relatively larger un-certainties than SHA, and it has the least displacement errors for moderate rainfall among the three datasets. However, the rainfall of GRA has been heavily underestimated and accompanied with large displacement error. Both LOC and SHA have shown almost equitable abilities in forecasting convection and rainstorms of the large area but with a slightly over-forecast of local convection, while LOC likely over-forecasts the local rainstorms. In addition, SHA slightly favors over-forecast on a broad scale range and a broad threshold range, and LOC slightly misses the rainfall exceeding 100 mm. Generally, for a broadly comparative evaluation on rainfall, the popular dichotomous methods should be recommended under considering reasonable classifi-cation of thresholds if the accuracy is highly demanded. And most spatial methods should be suggested to conduct with proper pre-handling of non-rainfall event cases. Especially, the veri-fications including spatial characteristic difference information could be recommended in a computationally sufficient environment.

Preparing high school students for engineering disciplines is crucial for sustainable scientific and technological developments in the USA. This paper discusses a pre-college program, which not only exposes students to various engineering disciplines but also enables them to consider engineering as the profession. The four-week long “Engineering Innovation (EI)” course is offered every year to high school students by the center of outreach, Johns Hopkins University. EI program is designed to develop problem-solving skills through extensive hands-on engineering experiments. A team consisting of an instructor, generally a PhD in Engineering, and a teaching fellow, generally a high school science teacher, closely work with students to pedagogically inculcate basics of core engineering disciplines such as civil, mechanical, electrical, materials, and chemical engineering. EI values independent problem-solving skills and simultaneously promote the team spirit among students. A number of crucial engineering aspects such as professional ethics, communications, technical writing, and understanding of common engineering principles are inculcated among high school students via well-designed individual and group activities. This paper discusses the model of EI program and its impact on students learning and their preparation for the engineering career.

Vesicular stomatitis virus (VSV) is an arbovirus causing vesicular stomatitis (VS) in livestock. There are two serotypes recognized: New Jersey (NJ) and Indiana (IND). The virus can be transmitted directly by contact or by vectors. In Ecuador, in the year 2018, an outbreak of Vesicular Stomatitis (VS) in cattle, caused by VSV-NJ and VSV-IND, was recorded with 399 cases reported distributed over 18 provinces. We determined the phylogenetic relationships among 67 strains. For the construction of phylogenetic trees, the viral phosphoprotein gene was sequenced, and trees were constructed based on the Maximum Likelihood method using 2004 outbreak strains from Ecuador (Genbank) and the 2018 sequences (this article). We built a haplotype network for VSV-NJ to trace the origin of the 2004 and 2018 epizootics through topology and mutations connections. These analyses suggested two different origins, one related with the 2004 outbreak and the other from an enzootic transmission source in 2018. Our analysis also suggests different transmission patterns with several small and independent outbreaks, most probably transmitted by vectors in the Amazon, and in the Andes and Coast region by the movement of livestock. We recommend further research for vectors and vertebrate reservoirs in Ecuador to clarify the mechanisms of the reemergence of the virus.

Debris-flows are recurrent events on mountain- and hill- slopes, and they have been the object of numerous field investigations and sampling, however most of this work reposes on imagery and outcrop analysis, in such a way that there are still only a handful of studies investigating the internal architecture of these events’ deposits. In the present contribution, we aims at underneath the internal structure of a portion of a debris-flow deposit that was accessible in the aftermath of the 2018 heavy-rainfall debris-flows in Hiroshima Japan. Using a Ramac Pro-Ex GPR with 500 MHz and 800 MHz antenna, a set of longitudinal and transversal transects was used to characterize the deposit. The results demonstrated that a set of subhorizontal layers have filled the valley, and interacting with local terrace edges, these layers have piled up and overcome the obstacle. Across the valleys, a set of trough suggest the presence of channels that were also filled during the event. Finally, in the channel post-event, a set of radargram “cross-bedded units” shows that the final deposition in the channel was of a more dilute flow, typical of a Newtonian flow. This set of units was not to be found at the surface of the post-event pseudo-surface, suggesting that the flow ended as a debris-flow on this surface, and that it is only when the flow dug the final channel that the nature of the flow returned from debris-flow to Newtonian flow.

Myocardial involvement among critical patients with coronavirus disease 2019 (COVID-19) has a worse outcome. The occurrence of an imbalance in oxygen supply results in the release of pro-inflammatory cytokines which leads to increased ventilation support requirement and increase risk of mortality. Our aim was to evaluate the association between hs-Troponin I level and global longitudinal strain as evidence of myocardial involvement among critical COVID-19 patients. Methods. We performed prospective cohort study from February 1st – July 31st, 2021 at Dr. Soetomo General Hospital, Surabaya as referral center for COVID-19 care. Of the 65 critical COVID-19 included, 41 (63.1%) were men, with a median (interquartile range) age of 51.0 years (20.0-75.0).Subjects were recruited according to WHO criteria for severe COVID-19 and CDC criteria for myocarditis. All subjects recruited were examined using echocardiography to measure global longitudinal strain (GLS) and blood samples were taken to measure hs-Troponin. Subjects were then followed to assess their needs for mechanical ventilation and in-hospital mortality. Severe COVID-19 subjects with cardiac injury were associated with an increased need for intubation (78.5%) and an increased incidence of myocarditis (50.8%). There was an association between the use of intubation and the risk of mortality in patients (66.7% vs. 33.3%, p-value &lt;0.001). Both reduced GLS and increased hs-troponin are associated with increased myocarditis (p-value &lt;0.001 and 0.004 respectively). Reduced GLS is associated with higher mechanical ventilation needs (12.17 + 4.79 vs.15.65 + 4.90, p-value 0.02) and a higher mortality rate (11.36 + 4.64 vs. 14.74 + 4.82; p-value 0.005). Increased hs-troponin is associated with higher mechanical ventilation needs (25.33% vs. 3.56%, p-value 0.002) and a higher mortality rate (34.57% vs. 5.76%, p-value 0.002). Compared with contemporary controls, critical COVID-19 patients with myocardial involvement and elevated cardiac troponin level are associated with higher mechanical ventilation needs and a higher mortality rate.

Previous studies have shown, in the United States (U.S.), that non-White communities are exposed to significantly higher temperatures in urban environments than complementary White populations. Studies highlighting this disparity have usually been cross-sectional and are therefore “snapshots” in time. Using surface urban heat island (SUHI) intensity data, U.S. Census 2020 population counts, and a measure of residential segregation, this study performs a comparative analysis between census tracts identified as prevalent for White, Black, Hispanic and Asian populations and their thermal exposure from 2003 – 2018. The analysis concentrates on the top 200 most populous U.S. cities. SUHI intensity is shown to be increasing through time for all examined tracts. However, the increase is only statistically significant for White and Black prevalent zones. There is a 1.25K to ~2.00K higher degree of thermal exposure on average for non-White relative to White prevalent areas. When examined on an inter-city basis, White and Black prevalent tracts had the largest disparity, as measured by SUHI intensity, in New Orleans, LA, USA by &lt; 6.00K. Hispanic (&gt;7.00K) and Asian (&lt;6.75K) prevalent tracts were greatest in intensity in San Jose, CA, USA. To further explore temporal patterns, two models were developed using a Bayesian hierarchical spatial temporal framework. One models the effect of varying the percentages of each population group relative to SUHI intensity within all examined tracts. Increases in percentages of Black, Hispanic, and Asian populations contributed to statistically significant increases in SUHI intensity. White increases in population percentage lowered SUHI temperature intensity. Throughout all modeled tracts, there is a statistically significant 0.01K per year average increase in SUHI intensity. A second model tests the effect of residential segregation on thermal inequity across all examined cities. Residential segregation, indeed, has a statistically significant positive association with SUHI intensity from this portion of the analysis. Similarly, there is a statistically significant 0.01K increase in average SUHI intensity per year for all cities. Results from this study can be used to guide and prioritize intervention strategies and furthers urgency related to social, climatic, and environmental justice concerns.

This study aimed to assess the foodborne diseases (FBD) outbreaks reported in Brazil between 2000 and 2018, based on data from the Brazilian Ministry of Health (official data) and from the scientific literature. According to official data, 13,163 FBD outbreaks were reported in the country during this period, involving 247,570 cases and 195 deaths. The largest prevalence of FBD outbreaks was observed in the Southeast region of Brazil (45.6%). In most outbreaks it was not possible to determine the food implicated (45.9%) but among those identified, water was the most frequently associated (12.0%). The etiological agent was not identified in most outbreaks (38.0%), while Salmonella (14.4%) was the most frequently reported, among those identified. Homes were the main site of FBD occurrence (12.5%). Regarding data obtained from the scientific literature, 57 articles dealing with FBD in the country throughout the same period were selected and analyzed. Based on these articles, mixed foods were the most prevalent in the outbreaks (31.6%), Salmonella spp. was the pathogen most frequently reported (22.8%) and homes were also the main site of FBD occurrence (45.6%). Despite under-notification, the records of FBD outbreaks that have occurred in Brazil in the past recent years show alarming data, requiring attention from health authorities. The notification of outbreaks is essential to facilitate public health actions.

Almost 50 papers on surface plasmon resonance biosensors, published between 2016 and mid-2018, are reviewed. Papers concerning the determination of large particles such as vesicles, exosomes, cancer cells, living cells, stem cells and microRNA are excluded, as these are covered by a very recent review. The reviewed papers are categorized into five groups, depending on the degree of maturity of the reported solution: ranging from simple marker detection to clinical application of a previously developed biosensor. Instrumental solutions and details of biosensor construction are analyzed, including the chips, receptors and linkers used, as well as calibration strategies. Biosensors with a sandwich structure containing different nanoparticles are considered separately, as are SPR applications for investigating the interactions of biomolecules. An analysis is also made of the markers determined using the biosensors. Concluding, there is shown to be a growing number of SPR applications in the solution of real clinical problems.

Honey has been employed for the treatment of wounds and diseases for ancient time, thanks to its antimicrobial and curative properties. This study aims to present the biochemical characteristics, including the amount of sugar, total phenols, phenolic chemicals, antioxidant properties, and antibacterial activities of a specific type of French honey (Sologne summer forest) in comparison with a manuka honey. According to our findings, the Manuka honey tested has 23% fewer polyphenols total than Sologne summer forest honey. The results showed that the Sologne summer honey had a different polyphenols profile than Manuka honey with specific polyphenol like p- Hydroxybenzoic acid. Additionally, the antioxidant activity of the two honeys is comparable (9 μmole Trolox.g-1 honey). Furthermore, the antibacterial activity of the two honeys is comparable against Pseudomonas aeruginosa and Staphylococcus aureus. Our research indicates for the first time that there are significant nutritional and biological potentials for a French honey from the Sologne summer forest.

In August 2022, in the Moscow region, Russia, on a backyard farm, the mortality was observed at chickens and all 45 birds of this farm died or were slaughtered after onset of symptoms within a few days. Paramyxovirus was isolated from diseased birds. Based on the nucleotide sequences of the F and NP gene fragments, the belonging of virus to subgenotype VII.1 AAvV-1 class II was established. The cleavage site of the F gene 109SGGRRQKRFIG119 and T in 546 and 555 position of NP gene, were typical for the velogenic type. The genetically closest NDV isolates were found in Iran. The mean time of death of 10-day-old chicken embryos upon infection with the minimal infectious dose was 52 hours, which is typical for the velogenic pathotype. The virus caused 100% death of six-week-old chickens during oral infection, as well as 100% mortality of all contact chickens, including those located in remote cages, which proves the ability of virus to spread not only by fecal-oral but also by aerosol route. That demonstrates a high level of pathogenicity and contagiousness of the isolated strain for chicken. However, the mice intranasally infected with high doses of the virus had not die.

This study aims to evaluate the land surface temperature (LST) and the thermal characteristics of the Urban Canopy Layer (UCL) of the urban canyon in Avenida Rio Branco in the Central Business District (CBD) of Rio de Janeiro during summer. In order to conduct this evaluation, two methods were employed: 1) TIRS Landsat-8 sensor for data selection and processing (latest generation, 2011-2020); ; 2) field survey using nine sampling points — seven along two mobile transects, one fixed point, and one vertical measurement point, which required the use of a RPA (Remotely Piloted Aircraft). Three categories of analysis were established for the field survey based on the prevailing synoptic situations: stability, instability, and post-instability. The CBD is characterized by extensive areas with surface heat islands, in which temperatures were higher than 38.9°C; the areas with milder LSTs were Campo do Santana, Avenida Rio Branco, and one of the Mixed-Use Zones (Praça Mauá). With respect to Rio Branco Avenue, the LST niches of lowest elevation were derived through building shadowing; however, the orbital data diverged from the observation data of the ten field-study days. In situ data revealed that the characteristics urban morphology of Avenida Rio Branco is susceptible to the formation of heat islands, presenting heat islands of very strong magnitude (over 6.1°C) in atmospheric stability, strong magnitude (4.1-6.0°C) in atmospheric instability, and moderate magnitude (2.1°C-4.0°C) in post-atmospheric instability. Despite the synoptic situation, thermal cores were concentrated at 1 pm. The intersection between Avenida Rio Branco, Rua do Ouvidor, and Praça Mauá stored most of the solar energy received during the day due to the greater sky obstruction caused by the verticalization. Finally, vertical analysis demonstrated the formation of a thermal inversion on the night of the highest mean air temperature (29.5°C), probably, due to the roughness and number of buildings in the urban canyon.

What is the ideal soil-grass combination for maximum photosynthesis? In this study, we investigated how soil and grassland types affect photosynthesis in the grasslands of Gannan, China. We divided the grasslands of Gannan into 166 study sites, each with a unique soil-grass combination by intersecting the soil and ecoregion maps using ArcGIS. We obtained 19 years of data on the Net Photosynthesis (PsnNet) of grasslands in the area from 2000 to 2018 and then divided them into “growing season” (June to September) and “non-growing season” (October top May). Between 2000 and 2018, PsnNet of grasslands showed a gradually increasing trend. The effect of soil type on PsnNet was not significant during the growing season. However, it was highly significant during the non-growing season. Among the soil types, grasses that grew in Mollic, Gelic, and Haplic soils had the highest rate of photosynthesis. The difference in PsnNet among the various grass types was highly significant during both seasons. However, Tropical and Subtropical succulent evergreen broad-leaf shrubs and Temperate meadows had the highest rate of photosynthesis. Additionally, there was a highly significant difference in PsnNet among the various soil-grass interactions. In the growing season, TStEgBLS growing Eutric soils had the highest PsnNet. However, SaDBLS growing in Gelic soils had the the highest.

The European heatwave of 2018 led to record-breaking temperatures and extremely dry conditions in many parts of the continent resulting in widespread decrease in agricultural yield, early tree-leaf senescence, and increase in forest fires in Northern Europe. Our study aims to capture the impact of the 2018 European heatwave on terrestrial ecosystem through the lens of a high-resolution solar-induced fluorescence (SIF) data acquired from the Orbiting Carbon Observatory (OCO-2) satellite. SIF is proposed to be a direct proxy for gross primary productivity (GPP) and thus can be used to draw inferences about changes in photosynthetic activity in vegetation due to extreme events. We explore spatial and temporal SIF variation and anomaly during spring and summer months across different vegetation types (agriculture, broadleaved forest, coniferous forest, and mixed forest) during the European heatwave of 2018 and compare it to non-drought conditions (most of Southern Europe). About one-third of Europe’s land area experienced a consecutive spring and summer drought in 2018. Comparing 2018 to mean (2015-2017) conditions, we found a change in intra-spring season SIF dynamics for all vegetation types, with lower SIF during the start of spring followed by an increase in fluorescence from mid-April. Summer, however, showed a significant decrease in SIF. Our results show that particularly agricultural areas were severely affected by the hotter drought of 2018. Furthermore, the intense heat wave in Central Europe showed about 31% decrease in SIF values during July and August as compared to the mean over three previous years. Furthermore, our MODIS and OCO-2 comparative results indicate that especially for forests, OCO-2 SIF has a quicker response and possible higher sensitivity to drought in comparison to MODIS’s fPAR and NDVI when considering shorter reference periods, which highlights the added value of remotely sensed solar-induced fluorescence for studying the impact of drought on vegetation.

Utilizing NCEP/NCAR monthly reanalysis data alongside precipitation observations from 1936 monitoring stations across China spanning from 1966 to 2022, this study establishes a location index for the thermal low-pressure center situated over the Qinghai–Tibet Plateau. Temporal variations in the location index and summer (July) precipitation patterns in China were studied. Over the past six decades, thermal low-pressure centers have been predominantly positioned near 90°E and 32.5°N on the plateau, with their distribution extending from east to west rather than from south to north. The longitudinal and latitudinal position indices exhibit contrasting linear trends, with a positive trend observed during the 1970s and early 21st century and a negative trend in subsequent decades. Mutation analysis highlights pronounced weakening mutations occurring in 1981 and 1973, with the longitudinal index transitioning from an inter-annual cycle of approximately 6-8 years, while the latitudinal index displays quasi-cyclic oscillations of 5 and 8 and 12-14 years. Strong negative correlations are evident between the location indices and precipitation along the southeastern edge of the Qinghai–Tibet Plateau and in Southern China, contrasting with the positive correlations observed in the central-eastern plateau, northwest China, North China, and the Huang-Huai region. The influence of southerly airflow predominates over much of China east of the plateau, while northwest China experiences convergence between northerly and southerly airflow. Higher location indices correspond to weaker surface cold air masses and strengthened Western Pacific Subtropical and South Asian Highs south of the Yangtze River Basin, resulting in significantly reduced rainfall in the southern Yangtze River region and increased rainfall in northwest China.

The emission of black carbon (BC) particles, which cause atmospheric warming by affecting radiation budget in the atmosphere, is the result of an incomplete combustion process of organic materials. The recent wildfire event during the summer 2019-2020 in South-Eastern Australia was unprecedented in scale. The wildfires lasted for nearly 3 months over large areas of the two most populated states of New South Wales and Victoria. This study on the emission and dispersion of BC emitted from the biomass burnings of the wildfires using the Weather Research Forecast – Chemistry (WRF-Chem) model is aimed to determine the extent of the BC spatial dispersion and ground concentration distribution and the effect of BC on air quality and radiative transfer at the top of the atmosphere, the atmosphere and on the ground. The predicted aerosol concentration and AOD are compared with the observed data from the New South Wales Department of Planning and Environment (DPE) aethalometer and air quality network and from remote sensing data. The BC concentration as predicted from WRF-Chem model is in general less than the observed data as measured from the aethalometer monitoring network, but the spatial pattern corresponds well, and the correlation is relatively high. The total BC emission into the atmosphere during the event and the effect on radiation budget were also estimated. This study shows that the summer 2019-2020 wildfires affect not only the air quality and health impact on the east coast of Australia but also short-term weather in the region via aerosol interactions with radiation and cloud.

Rabies, caused by the rabies virus (RABV), remains a significant public health issue in the Philippines despite efforts to control it. To eliminate rabies by 2030, effective surveillance strategies are crucial. In this study, we examined RABV evolution and phylodynamics in the Davao Region using genome sequences from Davao City and nearby provinces. We adapted the RABV ARTIC Protocol for Oxford Nanopore High-Throughput Sequencing to optimize workflow efficiency under limited resources. Comparing new virus samples collected from June 2019 to June 2021 (n=38) with baseline samples from June 2018 to May 2019 (n=49), new sub-clades were observed in the phylogenetic tree, suggesting divergence from older variants that were previously undetected. Most of the new viruses belonged to the Asian SEA4_A1.1.1 lineage, but new (SEA4_B1 and SEA4_B1.1) and emerging (SEA4_B1.1_E1) lineages that have never been reported in the Philippines were also identified. The baseline study reported phylogeographic clustering of RABV isolates from the same areas. However, this pattern was disrupted in the current biosurveillance, with variants detected in areas outside the original cluster. Furthermore, our findings revealed significant transmission routes between Davao City and neighboring provinces, contrasting with the predominantly intra-city transmission observed in the baseline study. These results underscore the need for ongoing and timely genomic surveillance to monitor genetic diversity changes and the emergence of novel strains, as well as to track alterations in transmission pathways. Implementing cost-effective next generation sequencing workflows will facilitate the integration of genomic surveillance into rabies control programs, particularly in resource-limited settings. Collaborations between different sectors can empower local laboratories and experts in genomic technologies and analysis.

The planetary wave activity in the stratosphere–mesosphere during the Arctic major Sudden Stratospheric Warming (SSW) in February 2018 is discussed on the basis of the microwave radiometer (MWR) measurements of carbon monoxide (CO) above Kharkiv, Ukraine (50.0° N, 36.3° E) and the Aura Microwave Limb Sounder (MLS) measurements of CO, temperature and geopotential heights. From the MLS data, eastward and westward migrations of wave 1/wave 2 spectral components were differentiated, to which less attention was paid in previous studies. Abrupt changes in zonal wave spectra occur with the zonal wind reversal near 10 February 2018. Eastward wave 1 and wave 2, observed before the SSW onset, disappear during the SSW event, when westward wave 1 becomes dominant. Wavelet power spectra of mesospheric CO variations show statistically significant periods in a band of 20–30 days using both MWR and MLS data. Approximately 10-day periods appear only after the SSW onset. Since the propagation of upward planetary waves is limited in the easterly zonal flow in the stratosphere after the zonal wind reversal during SSW, forced planetary waves in the mid-latitude mesosphere may exist due to the instability of the zonal flow.

Based upon Maxwell's equations, it has long been established that oscillating electromagnetic (EM) fields incident upon a metal surface decay exponentially inside the conductor, leading to a virtual EM vacuum at sufficient depths. Magnetic resonance imaging (MRI) utilizes radiofrequency (r.f.) EM fields to produce images. Here we present the first visualization of a virtual EM vacuum inside a bulk metal strip by MRI, amongst several novel findings. We uncover unexpected MRI intensity patterns arising from two orthogonal pairs of faces of a metal strip, and derive formulae for their intensity ratios, revealing differing effective elemental volumes (voxels) underneath these faces. Further, we furnish chemical shift imaging (CSI) results that discriminate different faces (surfaces) of a metal block according to their distinct nuclear magnetic resonance (NMR) chemical shifts, which holds much promise for monitoring surface chemical reactions noninvasively. Bulk metals are ubiquitous, and MRI is a premier noninvasive diagnostic tool. Combining the two, the emerging field of bulk metal MRI can be expected to grow in importance. The fundamental nature of results presented here may impact bulk metal MRI and CSI across many fields.

In air quality management, at urban and regional levels, road transport remains the cornerstone of residential, commercial, and industrial activities, and the vehicle exhaust emissions maintain the position of one of the key contributing sources. In Indian cities, big and small, vehicle exhaust emissions and dust from vehicle movement on the roads, contribute to as much as 50% of particulate matter pollution in a year. So, having access to a vehicle exhaust emissions inventory that is reliable and replicable is critical for air quality management and this exercise starts with access to vehicle stock numbers. These numbers are typically obtained from vehicle registration databases, traffic surveys, and other governmental records, and often require time consuming data cleaning protocols before they can used for emissions and pollution baseline analysis. This paper provides a cleaned and open-access vehicle stock database, as registered and in-use fleet, for the period covering 1993 and 2018, for all India and states, along with an estimate of age-mix of the vehicles using survival functions.

Chestnut is an interesting productive alternative for farmers in Southern Chile. However, cli-matic variability with the occurrence of late spring and early summer frost have cause damages on young trees. Glycine‒betaine (GB) spraying on shoots of sensitive chestnut induce an increase in tolerance during subsequent chilling stress. Experiment was performed on three years-old trees (cultivar Cittá di Castello) conducted in a leader training system and sprayed with com-mercial GB (120 g hL‒1). In summer trees treated with GB showed a better recovery after the frost (‒2.34°C) occurrence for 3.5 h compared to the control. Whereas trees obtained a 28% greater growth of central axis than untreated control (January). The trunk diameter measured in January showed the highest value under GB (27.2mm) compared with the control (25.7 mm). The GB ap-plication increased by 50 and 47% highest fresh and dry weight respectively in leaves. Under GB trees reached a 28% higher net photosynthesis (AN) compared to the AN in control (11.93 µmol CO2 m‒2 s‒1). Moreover, achieved higher stomatal conductance and transpiration rate was 44 and 31% with GB compared to control trees respectively. Antioxidant performance was differentially affected by GB activating non-enzymatic mechanisms and caused a reduced lipid peroxidation. Glycine‒Betaine has become as an interesting agronomic tool that aimed to increase tolerance to environmental stresses such as low temperatures that cause damage to herbaceous shoots and leaves in young chestnut trees.

In 2020, the early Covid-19 lockdown and social distancing induced the abrupt migration of traditionally presential learning activities to online domains. This “new normal” environment affected management not only of training courses, but also educational events whose main added value consisted in providing students with an interactive experience onsite, as it is the case of inter-institutional summer schools. The following research corresponds to a case study in which our organization, a French university, had to reformulate, in less than three months, one of its traditional summer schools while trying to keep the original goals. We aimed at identifying the impact of four managerial decisions by analyzing, through qualitative and quantitative surveys, students’ perception of gained or lost value regarding four topics: a) online teaching, b) pre-recorded busines cases providers, c) online social events, and d) technical solutions. With an emphasis in both didactics (i.e., knowledge) and pedagogics (i.e., learning experience), the analysis of perceived value allowed as to learn about students’ assessment position, which revealed two main issues at stake: belonging, in relation to students’ identity and academic background, and performing, related to students’ expectations.

The 2019-2020 Australian bushfires followed by the COVID-19 pandemic brought the significant mental health implications of working in healthcare to the fore. The importance of appropriate support services to ensure the resilience and recovery of healthcare workers has been highlighted. In response to healthcare staff experiences during the bushfires, the SEED Wellness Program was created in 2020 in the Illawarra Shoalhaven Local Health District, in NSW Australia. SEED used a participatory action methodology to engage and collaborate with healthcare staff teams in workplace-based restorative activities. Guided by Practice Theory, this study aimed to identify and describe SEED wellness practices that supported healthcare staff. Thirty-three healthcare workers participated in focus groups or individual interviews between June 2021 and March 2022. The analysis involved inductive thematic individual and collective exploration of SEED practices, including co-analysis with participants. Eight core practices that supported participants’ wellbeing were identified including responsive and compassionate leading, engaging staff at every stage of the recovery process, creating a sense of connection with others, and collective caring. The study found that workplace wellness initiatives are optimised when place-based and grounded in local knowledge, needs, and resources incorporating a collective and supportive team approach. Moreover, to ensure engagement in, and sustainability of these initiatives, both bottom-up and top-down commitment is required.

The 2019-2020 summer wildfire event on the east coast of Australia was a series of major wildfires occurring from November 2019 to end of January 2020 across the states of Queensland, New South Wales (NSW), Victoria and South Australia. The wildfires were unprecedent in scope and the extensive extend of the wildfires has caused smoke pollutants transported not only to New Zealand but across the Pacific Ocean to South America. At the height of the wildfires, smoke plumes were injected into the stratosphere at height up to 25km and hence transported across the globe. Based on meteorological and air quality simulation using WRF-Chem model, air quality monitoring data collected during the bushfire period and remote sensing data from MODIS and CALIPSO satellites, the extend of the wildfires and the pollutant transport, and their impacts on air quality and health on exposed population in NSW can be analysed. The results showed that WRF-Chem model using Fire Emission Inventory from NCAR (FINN) predicts the dispersion and transport of pollutants and the predicted concentration of PM2.5 and other pollutants from wildfires reasonably well when compared with ground-based and satellite data. The impact on health endpoints such as mortality, respiratory and cardiovascular diseases hospitalisation across the modelling domain is then estimated. The estimated health impact is comparable with previous study based only on observation data, but the results in this study provide much more detailed spatially and temporally with regards to the health impact from the 2019-2020 wildfire.

Globally 390 millions of people are at risk of dengue infection; over the past 50 years the virus incidence increased thirty-fold. In Senegal, an unprecedented occurrence of outbreaks and sporadic cases was noticed since 2017. In October 2018 an outbreak of DENV-2 was reported in Rosso area in the north of Senegal at the border with Mauritania. Out of the 187 blood specimen samples collected, 27 were positives by qRT-PCR and 8 were serologically positive for DENV IgM. Serotyping using qRT-PCR reveals that isolates were positive for DENV-2. A subset of DENV-2 positives samples was selected and subjected to full genome sequencing followed by phylogenetic analysis. Analysis of 06 nearly completed genome sequences (n= 6) revealed that isolates belong to the cosmopolitan genotype and are closely related to the Mauritanian strains detected between 2017 and 2018 and those detected in many West African countries such as Burkina Faso or Cote d’Ivoire. Our results suggest a transboundary circulation of the DENV-2 cosmopolitan genotype between Senegal and Mauritania and call for a need of coordinated surveillance of arboviruses between these two countries. Interestingly, high level of homology between West African isolates highlights endemicity and call for a set-up of sub-regional viral genomic surveillance which will lead to a better understanding of viral dynamic, transmission and spread across Africa.

Stable isotope concentrations in the soil, rain and ground water have been used to trace the water extraction zones of plants in different environments. The need to identify the plant water use by plants in afforestation programs to control desertification increases the importance of sap water partitioning of plants in sand dune areas. However, the introduction of new plant covers exerts pressure on the water resources and can affect the local soil water conditions. In this study, we analyzed the isotope concentrations in rain, soil, sap, and ground water after the summer of 2010. Two experimental plots established in the Hailiutu catchment (Shaanxi province, northwest China) were selected to gather the water samples between September and October 2010. One plot is dominated by Salix bushes (Salix psammophila C. Wang \& Chang Y. Yang) and the other by the tree species Willow (Salix matsudana Koidz.). The total precipitation at the experimental site was 401 mm/yr during 2010, while 88.7 mm was collected in total for the period September to October. Willow trees transpired 12.82 kg/d being almost three times larger than Salix shrubs (4.57 kg/d). Despite the transpiration rates of both plant species and the few rain events in the region, the soil water beneath the plant covers is not depleted. Stable isotope signature of soil water beneath both covers shows the fractionation front in Salix at 20 cm depth and at Willow at 40 cm depth. However, soil water signature is closer to the groundwater than the collected rain water.

Vitamin C is an essential enzyme cofactor and antioxidant with pleiotropic roles in human physiology. Circulating vitamin C concentrations are lower in people with diabetes mellitus suggesting a higher dietary requirement for the vitamin. We interrogated the NHANES 2017/2018 and EPIC-Norfolk datasets to compare vitamin C requirements between those with and without diabetes mellitus using dose-concentration relationships fitted with sigmoidal (four parameter logistic) curves. The NHANES cohort (n=2828 non-supplementing adults) comprised 488 (17%) participants with diabetes (self-reported or HbA1c ≥6.5%). The participants with diabetes had a lower vitamin C status (median [IQR]) than those without (38 [17, 52] µmol/L vs 44 [25, 61] µmol/L, p&lt;0.0001), despite comparable dietary intakes between the two groups (51 [26, 93] mg/d vs 53 [24, 104] mg/d, p=0.5). Dose-concentration relationships indicated that the group without diabetes reached adequate vitamin C concentrations (50 µmol/L) with an intake of 81 (72, 93) mg/d, whilst the those with diabetes required an intake of 166 (126, NA) mg/d. In the EPIC-Norfolk cohort, comprising 20692 non-supplementing adults, 475 (2.3%) had self-reported diabetes at baseline. The EPIC cohort had lower a BMI than the NHANES cohort (26 [24, 28] kg/m2 vs 29 [25, 34] kg/m2, respectively). Correspondingly, the EPIC participants without diabetes required a lower vitamin C intake of 64 (63, 65) mg/d while those with diabetes required 129 (104, NA) mg/d to reach adequate circulating vitamin C status. C-reactive protein concentrations were strongly correlated with body weight and BMI and provided a surrogate biomarker for vitamin C requirements. In conclusion, people with diabetes have 1.4- to 1.6-fold higher requirements for vitamin C than those without diabetes. This corresponds to additional daily vitamin C intake requirements of ~30-40 mg for people with diabetes.

Among the main elements that contribute to climate change are degradation processes and the ecological level of the landscape. These two topics have been discussed and researched for many years and many studies have been conducted. The idea of the article is to determine the correlation between the ecological stability of the territory and the intensity of degradation processes and find out how the ecological stability affects the intensity of soil erosion and vice versa. The ecological stability was calculated based on various methods during the years analyzed, i.e., 1990, 2006, 2012, and 2018. The soil water erosion was performed for the same period in order to identify the relationship between the ecological stability and intensity of soil erosion. The investigated area is located in the Slovak Republic while each year reflects different management of the territory reflecting the current situation in the catchment according to the year evaluated. The intensity of the erosion process was conducted using a phycially-based EROSION-3D model and based on the precipitation derived using Community Land Model (the CLM model). In addition to identifying the relationship between the level of ecological stability and the intensity of erosion, this study also describes the development the ecological stability during the evaluated period together with changes in soil erosion processes.

The incidence of carbapenem-resistant Enterobacteriaceae (CRE) has been increasing considerably annually since being first reported in 2008. Gyeonggi Province has the largest number of healthcare facilities in South Korea, which contribute to its regional vulnerability to CRE infections. Thus, there is a need to obtain up to date information on the occurrence of CRE infections in the Gyeonggi Province to take corrective measures. Therefore, in this study, we aimed to investigate the overall trends of CRE occurrence in Gyeonggi Province over the past 4 years and the epidemiological characteristics of CRE-related mortality. Patients admitted to a healthcare facility in Gyeonggi Province from January 2018 to December 2021 with positive blood cultures to CRE were included in the study and investigated. Additionally, the risk factors for CRE-related death were determined using data from CRE-positive patients who died within 30 days of last blood sampling. Older adults aged 70 and over accounted for the highest percentage of both survivors and non-survivors with CRE bacteremia. The number of non-survivors was higher in tertiary hospitals and among patients in intensive care unit. There were no significant differences in the mortality risk according to the use of antibiotics. Moreover, non-survivors were predominant among patients with hypertension, malignant tumor, and those having two or more underlying diseases. Klebsiella pneumoniae was the most common CRE strain in both survivors and non-survivors. Among the survivors, carbapenemase-producing Enterobacteriaceae was detected in 151 cases (71.2%) and 49 cases (23.1%) in the KPC and NDM groups, respectively. Among the non-survivors, it was detected in 25 cases (86.2%) and 5 cases (17.2%) in the KPC and NDM groups, respectively. The endemicity of CRE in South Korea has been proposed for several years; our results have suggested endemicity of CRE in the Gyeonggi Province. Despite the strengthened infection control policies in healthcare facilities during the pandemic, there has been an increasing trend in the isolation of CRE strains in South Korean long-term care hospitals and hospitals within Gyeonggi Province. Factors such as history of hospitalization and underlying diseases have been identified as risk factors for CRE-related deaths. However, to address this issue strictly, it is important to establish infection control infrastructure tailored based on each type of healthcare facility, and elaborate specific government support measures, accordingly.

Exosomes have shown promising potential as a therapeutic approach for wound healing. Nevertheless, the translation from experimental studies to commercially available treatments is still lacking. To assess the current state of research in this field, a systematic review was performed to examine the methodological heterogeneity among studies conducted over the past five years. Additionally, the review analyzed the suitability of animal models used and their relevance to human medicine. A PubMed search was performed for english-language, full-text available papers published from 2018 to June 2023, focusing on exosomes derived from mammalian sources and their application in wound healing, particularly those involving in vivo assays. Out of 531 results, 148 papers were selected for analysis. The findings revealed significant variability in terms of cell sources and types, biomaterials, and administration routes under investigation, indicating the need for further research in this field. Additionally, a comparative examination encompassing diverse cellular origins, types, administration pathways, or biomaterials is imperative. Furthermore, the predominance of rodent-based animal models raises concerns, as there have been limited advancements towards more complex in vivo models and scale-up assays. These constraints underscore the substantial efforts that remain necessary before attaining commercially viable and extensively applicable therapeutic approaches using exosomes.

Cheating during examination is now day serious problem spatially in Ethiopia where many students sit in one class to exam. When cheating occurs in medical schools, it has serious consequences for human life, social values, and the economy. Even though, cheating on exams has existed in any department, with unknown reason, prevalence of cheater among 2^nd year laboratory students were high. So that assessing factors and improving cheating behavior of the students are mandatory to create competitive graduated students. To identify factors and to improve cheating behavior action research study design was conducted among 2^nd year medical laboratory student. Criterion sampling technique was used to selects sixteen cheater students among 2^nd year laboratory students. To gather necessary data, we used focus group discussions, individual interview, open-ended questionnaire and observation and collected information by using hand writing notes. During exam different cheating methods used by students like using a system of signals, writing on hands, desks and copy the other students answer. While the compelling reasons for cheating were like hard courses, hard exams, time pressure and fear of failure. To improve cheating behavior of the student’s different action strategies were taken like prepared exam by using code, arrangement sitting style during exam and sit with brainy students during class, reading and discussion. Most students were trying to done exam by themselves but their results are not good as previously. So that, we need more future action plan to avoid cheating behavior of the students. During, the next action plan we will be taken the remaining main action strategies and action evaluation we will be expected 50% of participants will be avoided their cheater behavior and done exam independently without forced by the environment.

Tuna species are an important resource to the people of the Pacific, particularly small island countries like Tonga, that have few alternative natural resources. These countries are dependent on this fishery for their nutrition, recreation, government revenue, employment, welfare and culture. Threatening these benefits, however, are global warming and climate uncertainties that affect the presence and distribution of tuna in the Pacific islands countries and territories. There-fore, one of the most important development goals for Tonga involves managing its tuna fish-eries in order to optimize these benefits within the context of climatic impacts. This paper has two main goals. Firstly, we discuss Tonga’s commitment to implement the existing tuna man-agement policies. This commitment permeates through a range of activities to monitoring catch regulations and regulate locally based foreign vessels to fish in the Economic Exclusive Zone of Tonga. This reflects the implementation of an information-based management framework namely, the Tonga National Tuna Fishery Management and Development Plan that is revised every five years. Secondly, the paper identifies key scientific research programs, which form the basis to design more informed future policies towards tuna management. These researches include : i) examining of the bathymetric features of the island nation’s fishing ground, ii) model-ling the spatio-temporal distribution of tuna and, iii) characterizing tuna habitats within an oceanic environment using biophysical oceanographic data within Geographic Information Sys-tem, and iv) impacts of climate change on tuna

In this study, we analyze the perspectives of Early Childhood Educators, working in various teaching sectors, on Inclusion in Preschool Education, following the publication of Decree-Law No. 54/2018, of July 6th, at a time when Learning and Inclusion Support Measures are being extended to all children, and when the SARS-CoV-19 (COVID-19) pandemic prevails in Portugal and worldwide. Based on a mixed-methodological approach and the application of a questionnaire survey to 250 Early Childhood Educators, we reflect on the implementation of the legal framework, the involvement of the Multidisciplinary Learning and Inclusion Support Team (EMAEI), teacher training, pedagogical/collaborative work, and support mobilized for Preschool Education children. The results obtained indicate quality and effectiveness in the pedagogical plan and collaborative work between teachers and specialist technicians, although higher education in the field of Inclusive Education does not seem to provide professionals with the necessary and in-depth knowledge on the subject. They also indicate that, alongside dissatisfaction with the insufficient support provided to Preschool Education children, the relevant Diploma is not fully applied, with doubts still remaining about its application.

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

During glioblastoma treatment, the pharmaceutical monoclonal antibody to VEGF, bevacizumab, has improved quality of life and delayed progression for several months but has not, or only marginally prolonged overall survival. In 2017 several dramatic research papers appeared that are crucial to our understanding of glioblastoma vis a vis the mode of action of bevacizumab. As a consequence of these papers, a new, potentially more effective, treatment protocol can be built around bevacizumab. This is the ADZT Regimen where four old drugs are added to bevacizumab. These four are apremilast, marketed to treat psoriasis, dapsone, marketed to treat Hansen’s disease, zonisamide, marketed to treat seizures, and telmisartan, marketed to treat hypertension. The ancillary attributes of each of these drugs has been shown to augment bevacizumab. This paper will detail the research data supporting that contention.

Objectives Listeria monocytogenes (LM), the etiological agent of Listeriosis, can cause foodborne zoonosis. In this study, we characterized 23 strains that caused human listeriosis in Palermo (Sicily, Italy) during the period 2018-2020. In addition, we assessed the phenotypic susceptibility of clinical isolates to antibiotics in accordance with EUCAST guidelines. Methods The serogroup was determined by PCR. While MLST and MVLST were identified through the sequencing of housekeeping genes. Finally, susceptibility to antibiotics was assessed by means of the Phoenix automatic system. Results Patients hospitalized with listeriosis were predominantly males (56% vs. 44% of females). The cases were not associated with pregnancy included patients >65 years of age (60%), two of whom were affected by cancer, while cases associated with pregnancy included two pregnant women and three preterm infants. Data collected found that the main pathologies shown by patients were meningitis (60,9%) and bacteremia (39,1%). The LM strains were isolated from blood (52%), cerebrospinal fluid (26%), cerebrospinal fluid + blood (13%), blood + nasal swab (4%), and ascitic fluid (4%). The predominant serogroup was IVb (96%), whereas only one strain belonged to serogroup IIa (4%). Among the strains with serotype 4b, 4d, 4e, ST 2/VT 21 (92%) and ST6/VT19 (4%) were determined, while only isolates with serotype 1/2a, 3a show ST155/VT45 (CC155). Conclusion This study revealed the widespread circulation of a single clinical strain (ST2/VT21) associated with suspected food contamination, demonstrating the importance of carrying out molecular epidemiological surveillance. Our clinical isolates were susceptible to the assayed beta-lactams, in agreement with the literature data.

A recent study found that a 3ppb increase in O₃ ambient concentration was associated with an increased progression of 0.18 percentage points in percent emphysema and that such increase was equal to smoking 20 cigarettes per day for 29 years. A simple estimation of population attributable fraction shows that COPD diagnoses due to smoking are actually 30 times more than those attributed to a 3 ppb increment in O₃ concentration. Labelling ozone pollution as the new smoking may distort perception of the risks and hinder proper response to real life threatening risk such as smoking.

Taiwan is highly susceptible to global warming, experiencing a 1.4°C increase in air temperatures from 1911-2005, which is twice the average for the Northern Hemisphere. This has led to higher rates of respiratory and cardiovascular mortality. Accurately predicting maximum temperatures during the summer season is crucial, but numerical weather models become less accurate and more uncertain beyond five days. To improve forecast reliability, statistical post-processing is needed to address systematic errors. In September 2020, NOAA NCEP implemented the Global Ensemble Forecast System version 12 (GEFSv12) to help manage climate risks. This study developed a Hybrid statistical post-processing method that combines Artificial Neural Networks (ANN) and Quantile mapping (QQ) approaches to predict daily maximum temperatures and extremes in Taiwan during the summer season. The Hybrid technique, utilizing deep learning techniques, was applied to the GEFSv12 reforecast data and evaluated against ERA5 reanalysis. The Hybrid technique was the most effective among the three techniques tested. It had the lowest bias, RMSE, and highest correlation coefficient. It successfully reduced the warm bias and overestimation of Tmax extreme days. This led to improved prediction skills for all forecast lead times. Compared to ANN and QQ, the Hybrid method was more effective in predicting summer daily Tmax and its extremes on an extended-range time scale deterministic and ensemble probabilistic forecasts over Taiwan.

The efficacy of weed management depends on the correct control timing according to the seedling emergence dynamics. Since soil temperature and soil moisture are two main factors that determine weed germination, the hydrothermal time model can be used to predict their emergence. The aim of this study was to estimate the base temperature (Tb) and base water potential (Ψb) for germination of Chenopodium album, Amaranthus retroflexus, Setaria pumila and Panicum capillare collected from fields in continental Croatia and then to compare these values with those of Italian populations embedded in the AlertInf model. Germination tests were performed at seven constant temperatures (ranging from 4 to 27°C) and eight water potentials (0.00 to - 1.00 MPa). Estimated Tb and Ψb were 3.4°C, -1.38 MPa for C. album, 13.9°C, -0.36 MPa for A. retroflexus, 6.6°C, -0.71 MPa for S. pumila and 11.0°C, -0.87 MPa for P. capillare, respectively. According to the criterion of overlap of the 95% confidence intervals, only Tb of C. album, and Ψb of A. retroflexus were similar between Croatian and Italian populations. Further field experiments should be conducted in the Croatian field to monitor weed emergence patterns of C. album and to calibrate the AlerInf equation parameters.

The contribution of extra-tropical synoptic cyclones to the formation of summer-mean atmospheric circulation patterns in the Arctic is investigated by clustering the dominant Arctic circulation patterns by the self-organizing maps (SOMs) using the daily mean sea level pressure (MSLP) in the Arctic domain (≥ 60°N). Three SOM patterns are identified: one with prevalent low pressure anomalies in the Arctic Circle (SOM1) and two opposite dipoles with primary high pressure anomalies covering the Arctic Ocean (SOM2 and SOM3). The time series of summertime occurrence frequencies demonstrate the largest inter-annual variation in the SOM1, the slight decreasing trend in the SOM2, and the abrupt upswing after 2007 in the SOM3. The relevant analyses with produced cyclone track data confirm that the vital contribution. The Arctic cyclone activity is enhanced in the SOM1 because the meridional temperature gradient increases over the land–Arctic Ocean boundaries co-located with major extra-tropical cyclone pathways. The composite daily synoptic evolutions for each SOM reveal that the persistence of all the three SOMs is less than 5 days on average. These evolutionary short-term weather patterns have substantial variability at inter-annual and longer timescales. Therefore, the synoptic-scale activity is central to forming the seasonal-mean climate of the Arctic.

Despite the ecological importance of forest tree species, our study was motivated by scarce data on dendrochronology studies limited to the northwestern part of Tajikistan due to lack of access to such a part of the country which is difficult to access. Current studies on Junipers in the northwestern part of Tajikistan identified that tree ring-based climate reconstruction is possible. Cores of Juniperus Turkestanica from Taboshar area, Sogd province were developed into 176-year tree-ring width chronology. In the current study a summer (June-September) minimum temperature reconstruction spanning AD 1840–2016 was developed, which can explain 30.0% of the instrumental variableness for the period of 1940–2015. Five warmest (1856–1866, 1869–1871, 1907–1916, 1923–1935, 1988–2016) and four coldest time periods (1840–1855, 1872–1906, 1917–1922, 1940–1984) were identified. The developed reconstruction coincides with cold and warm periods with prior investigations from tree-rings in China, Mongolia, Kyrgyzstan, Kazakhstan and Tajikistan. Spatial correlation analysis with the gridded minimum temperature data shows that the temperature reconstruction covers geographical representation over High Asia. Significant correlation was found between temperature reconstruction with summer SST, which suggests strong linkages of regional temperature variability with Indian-Ocean climate system. The obtained spectral peaks from the spectral analysis of the summer temperature reconstruction were significantly at 84.7-year (90%), 2.9-year (99%), 2.6-year (99%), 2.5-year (99%), 2.4-year (99%) and 2.2-year (99%).

The study conducted in this paper is focused on a predominantly residential area of the City of Ljubljana – Koseze, which is characterized by generally favorable (bio)climatic conditions. Nonetheless, thermal satellite imaging showed that residential neighborhoods within the Koseze district display unexpected variations in summer temperatures. This observation called into question the benefits of existing bioclimatic features and indicated the need to investigate and compare two neighborhoods with similar urban parameters, with the aim to identify morphological differential characteristics impacting urban heat island (UHI) intensity. By applying the study methodology based on a literature review, surveys of key precedents, detailed mapping in two Koseze locations, in situ measurements, observations and recordings, thermal imaging and the analyses of statistical data, as well as by defining the four main categories of morphological urban parameters – structure, cover, fabric and metabolism, it was concluded that both neighborhoods have common morphological elements mitigating the UHI effect. Additionally, it was found that the neighborhood with higher UHI intensity has several less favorable features, such as busier roads, larger surface of parking corridors, and the existence of underground parking space. The traffic as an element of urban morphology hence represents the main cause of differences among UHI levels in the two Koseze neighborhoods.

Emerging pollutants (EPs) encompass natural or synthetic substances in the environment that pose potential risks but have only recently been recognized or monitored. EPs consist of various categories including pesticides, pharmaceuticals, hormones, mycotoxins, and endocrine disrupting chemicals (EDCs). Through several pathways, EPs can access food, potentially leading to health impacts when their safe concentrations are exceeded. Milk, being a highly nutritious and a heavily consumed food product by many consumers of different ages, is a crucial food matrix where EPs should be regularly monitored. In literature, large number of studies was dedicated for the determination of different EPs in dairy milk, employing different analytical techniques. Chromatographic based techniques were the most prevalent means for analysis of EPs in milk, which demonstrated significant efficiency, sensitivity and accuracy for this specific purpose. Prior to chromatographic analysis, extraction of EPs from a complex matrix like milk, is essential. This review comprehensively covers relevant research papers on extraction and subsequent detection and determination of EPs in milk by chromatographic methods from 2018 and until 2023.

The 2018 summer drought in Europe was particularly extreme in terms of intensity and impact due to the combination of low rainfall and high temperatures. However, it remains unclear how this drought developed in time and space in such an extreme way. In this study we aimed to get a better understanding of the role of land-atmosphere interactions. More specifically, we investigated whether there was a change in water vapor originating from land, if that caused a reduction in rainfall, and by this mechanism possibly the propagation and intensification of the drought in Europe. Our first step was to use remote sensing products for soil moisture content (SMC) and the normalized difference vegetation index (NDVI) to see where the 2018 drought started and how it developed in time and space. Our SMC and NDVI analysis showed that the 2018 drought started to impact the soil and vegetation state in June in Scandinavia and the British Isles. After that it moved towards the West of Europe where it intensified in July and August. In September, it started to decay. In October, drought was observed in southeast Europe as well. Based on the observed patterns we divided Europe into six regions of similar spatiotemporal characteristics of SMC and NDVI. Then, we used a global gridded dataset of the fate of land evaporation (i.e., where it ends up as precipitation) to investigate whether the drought intensification and propagation was impacted by the reduction in water vapor transported from the regions that first experienced the drought. This impact was investigated by identifying the anomalies in the water vapor originating from land recycling, imports and exports within Europe during the spring, summer, and autumn seasons. From these regions we identified four drought regions and investigated the changes in water vapor originating from source regions on the development of drought in those regions. It was found that during the onset phase of the 2018 drought in Europe that the water vapor originating from land played an important role in mitigating the precipitation anomalies as, for example, the share of land evaporation contributing to precipitation increased from 27% (normal years) to 38% (2018) during July in West of Europe. Land evaporation played a minor role in amplifying it during the intensification phase of the drought as the share of land evaporation contribution to precipitation decreased from 23% (normal years) to 21% (2018) during August in West of Europe. These findings are somewhat in contrast to similar studies in other continents that found the land surface to play a strong amplifying role for drought development. Subsequently, we found that the relative increase in the amount of land water vapor originating from eastern half of Europe played a role in delaying the onset and accelerating the decay of the 2018 drought in West of Europe.

On the 6th September at 03:08AM local time, the Iburi-Hokkaido Earthquake, only 33 km deep triggers >5,000 co-seismic mass-movements in the hills in a 25 km radius from the epicenter. Although the majority of the mass-movements occurred in complex-geometry valley with the coalescence of deposits, a small sub-set of 59 events deposited on the semi-horizontal val-ley-floor generating separated deposits that were studied in the present contribution. The aim of the present contribution was to contribute to the existing databases of empirical relationships based on planform and vertical dataset, and to define the scalars of those relations that charac-terize the mass-movements of the Iburi-Hokkaido earthquake, with the overarching goal of generating predictors for hazard-mapping. To reach these objectives, the methodology relies on LiDAR data flown in the aftermath of the earthquake as well as aerial photographs. Using Geo-graphical Information Science (GIS) tools planform and vertical parameters were extracted to calculate the power-law relations between areas and volume, between the Fahrböschung and the volume of the deposits, as well as other geometric relationships. Results have shown that the relation S=k〖V_d〗^(2/3) where S is the surface area of a deposit and Vd the volume, and k a scalar that is function of S: k=2.1842 ln⁡(S)-10.167 with a R2 of 0.52, and this relation is improved for the open-slope mass-movements but not the valley-confined ones, that present more varia-bility. The Fahrböschung for events that started as valley-confined mass-movements was Fc = -0.043ln(D) + 0.7082 with a R2 of 0.5m while for open-slope mass-movements, the Fo = -0.046ln(D) + 0.7088 with a R2 of 0.52. These results contribute to the growing co-seismic land-slide database and they can also be the base to understand the role of the counter-slopes and complex topography on the spread and distance travelled by the mass-movement deposits.

Our understanding of pull-apart basins and their fault systems has been enhanced by analog experiments and simulations. However, there has been no opportunity to compare the faults that constitute pull-apart basins with surface ruptures during earthquakes. In this study, we investigated the effects of a 2018 earthquake (Mw 7.5) on a pull-apart basin in the Palu-Koro fault system, Sulawesi Island, Indonesia, using geomorphic observations in digital elevation models, optical correlation with pre- and post-earthquake satellite images. A comparison of active fault traces determined by geomorphology with the locations of surface ruptures from the 2018 earthquake shows that some of the boundary faults of the basin are inactive and that active faulting has shifted to basin-shortcut faults and relay ramps. We also report evidence of lateral spreading, in which alluvial fan materials moved around the end of the alluvial fan. These phenomena may provide insights for anticipating the location of future surface ruptures in pull-apart basins.

With the increasing pace of global warming, it is important to understand the role of meteorological factors in influenza virus (IV) epidemics. In this study, we investigated the impact of temperature, UV index, humidity, wind speed, atmospheric pressure, and precipitation on IV activity in Norway, Sweden, Finland, Estonia, Latvia and Lithuania during 2010-2018. Both correlation and machine learning analyses revealed that low temperature and low UV indexes were the most predictive meteorological factors for IV epidemics in the Northern European countries. Our in vitro experiments confirmed that low temperature and UV radiation preserved IV infectivity. Associations between these meteorological factors and IV activity could improve surveillance and promote development of accurate predictive models for future influenza outbreaks in Northern Europe.

Background Globally the average age of the worlds’ population of older persons continues to upsurge and social support becomes increasingly relevant. Overall, in Malaysia, social support and networking prevalence was found to be lower among older persons at 30.76%. In view of the scarce data on social support and its association with smoking status and its associated factors among the older Malaysian population this study was conducted. Methods Data from the National Health and Morbidity (NHMS) 2018 survey on health of older Malaysian adults was analyzed. This was a cross sectional population-based study using a two-stage stratified random sampling design. Elderly population aged 60 years and above was selected. Data were collected were sociodemographic characteristics, smoking status, and social support. A validated Malay language, interviewer-administered questionnaire of 11-item Duke Social Support Index was applied for assessing social support among the elderly. A complex sampling design analysis was used for the descriptive statistics. The associated risk factors for social support were identified using Multiple Logistic Regression analysis. Results A total of 3923 elderly respondents participated in the study. The prevalence of good social support was significantly higher among the 60-69 years old respondents compared to the > 80 years old (73.1%, 95% CI :69.3% -76.5% vs 50.1 %, 95% CI:41.7 %- 58.6%).Multivariate logistic regression analysis showed that the odds of poor social support were 1.7 times (aOR: 1.72 % ,95%CI: 1.19 -2.48) higher for the respondents aged > 80 years old, than those aged 60-69 years. Respondents with no formal education were 1.93 higher odds of poor social support than the respondents with tertiary education (aOR: 1.93%, 95%CI: 1.13,3.30). Respondents with income < RM 1000 were 1.94 times more likely to have poor social support compared to respondents with income > RM 3000 (aOR: 1.94, 95% CI : 1.21 -3.13). Former smokers have good social support compared to current smokers (73.6% ,95% CI: 67.7-78.7 vs 65.1 %, 95%CI:58.4 -71.2). For current smokers, the odds of poor social support were 42.0% higher than for non-smokers (aOR: 1.42, 95% CI: 1.05 -1.91. Conclusion There is poor social support among the older persons who are current smokers, advancing age, no formal education and low income However, further longitudinal studies are needed to determine the exact effects of the studied variables. These findings could assist the policymakers to develop strategies at the national level to enhance social support among the older smokers to ensure cessation of smoking.

The boreal Hemisphere has been experiencing increasing extreme hot and dry conditions over the past few decades, consistent with anthropogenic climate change expectations. The continental extension of the phenomenon calls for tools and techniques capable of monitoring the global to regional scales. In this context, the satellite is the only system that can satisfy the need for global coverage. The main objective we have addressed in the present paper is the capability of infrared satellite observations helping to monitor the vegetation stress due to increasing drought and heatwaves in summer. We have designed and implemented a new water deficit index (wdi) that exploits satellite observations in the infrared to retrieve humidity, air temperature, and surface temperature simultaneously. These three parameters are combined to provide the water deficit index. The index has been developed based on the Infrared Atmospheric Sounder Interferometer or IASI, which covers the infrared spectral range 645 to 2760 cm-1 with a sampling of 0.25 cm-1. The index has been used to study the 2017 heatwave, which hit Continental Europe from May to October. In particular, we have examined Southern Italy, where Mediterranean forests suffer from climate change. We have computed the index's time series and show that it can be used to indicate the atmospheric background conditions associated with meteorological drought. We have also found a good agreement with soil moisture, which suggests that the persistence of anomalously high water deficit index was an essential driver of the rapid development and evolution of the exceptionally severe 2017 droughts.

Global warming is increasing the frequency and intensity of compound drought-heat events (CDHEs), potentially leading to larger and more extreme fire seasons in mesic forests. Wildfire activity in subtropical China, under the influence of monsoonal rainfall, was historically limited to dry winters and rare in rainy summers. Here we seek to test that this area is on the brink of a major change in its fire regime characterized by larger fire seasons, extending into the summer, leading to increases in burned area. We analyze fire activity in Chongqing Municipality (46,890 km2), an important area in subtropical China hosting the Three Gorges Reservoir Area. We observed significant increases in summer forest fires under anomalous dry-hot summer conditions, where total burned area was 3-6 higher than the historical annual mean (largely confined to the winter season). Vapor pressure deficit, an indicator of hot and dry conditions, was a strong predictor of fire activity, with major wildfires occurring on days where VPD was higher than 3.5kPa. Results indicate that major wildfire activity may occur in the area as a result of climate change, unless strong fire prevention policies are implemented.

Abstract: Background: The birthrate of Black preterm (BPT) infant is 65% higher than White preterm (WPT) infants with BPT mortality 2.3 times higher. The incidence of culture positive sepsis is as high as 41% in preterms. This study aimed to examine infections and mortality in BPTs and WPTs. Methods: We enrolled 362 preterms born < 32 weeks gestational age (GA) between 2019-2023 in 5 neonatal intensive care unit (NICU)s to study onset of infections, and dispositions; RedCap data were analyzed for descriptive statistics. Results: 226 BPTs (63.5%) and 107 WPTs (30.8%) enrolled, with 29 other than White or Black, 50.5% female, mean GA of 27.67 weeks and 986.74 grams birthweight. Of 426 suspected infections evaluated in enrolled infants, there were 7 infants with early onset sepsis (EOS) and 39 infants with late onset sepsis (LOS). The incidence of EOS was 1.9% overall, 2.2% in BPTs vs 0.9% in WPTs. LOS incidence was 10.8% overall, 11.9% in BPTs and 9.3% in WPTs. Both BPT and WPT infants had ~ 8% gram-positive LOS events and 3% gram-negative LOS events; however, 82% of all gram-negative LOS episodes occurred in BPTs. There were 27 urinary tract infections and 78% were in BPTs. Two cerebral spinal fluid cultures were positive in BPTs. Necrotizing enterocolitis was diagnosed in 5.8% of the sample, with an incidence of 6.1% in BPTs versus 4.7% in WPTs. Death occurred in 6.0% of the enrolled infants with the rate of death being slightly higher in BPTs (7.0%) versus WPTs (5.6%). Conclusions: BPTs had a higher rate of positive cultures, double the gram-negative infections, a much higher rate of urinary tract infec-tions and a higher rate of mortality than their WPT counterparts. This study emphasizes higher risk of morbidity and mortality for BPTs.

Background: Poisoning is a growing public problem that has shown increased prevalence in many countries worldwide, contributing to increased costs and mortalities. A lack of or insufficient information regarding the circumstances, chemicals, drugs and people at risk due to imperfect reporting system is regarded as a barrier to successful poisoning prevention and intervention efforts. In Saudi Arabia, poisoning cases are monitored at the central level in the Ministry of Health, with meticulous follow-up of cases across country areas through public health departments. The current study's objective was to describe the poisoning notification and reporting system in Makkah.Subjects and methods: All reports of chemical and drug overdose poisoning delivered to the environmental health and occupational safety department in Makkah Almukarramah over two years (2018-2019) were reviewed, together with verification of all systems, rules and guidelines organizing the performance of the department.Results: The total number of cases reported in 2018 was 209 cases, while it reached 42 cases in 2019. The overwhelming majority of the cases were Saudi (91.6%), with a slight predominance of males (57.4%) over females (42.6%). Generally, almost two-thirds of the cases occurred in children below 13 years (61.4%), most of the poisoning cases resulted from drug overdose (63.3%), while 34.7% were chemical poisoning. The most common drug poisoning was attributed to analgesics followed by antiepileptics, antihypertensive drugs, antipsychotics and antimicrobials, while cleaning and detergent agents were the most commonly poisoned chemicals. The majority of these agents were taken by the oral route. Children's chemical poisoning was significantly higher than that in older age groups (p<0.05). All intentional poisoning occurred in adults; the great majority of them (88.9%) used drug overdosing rather than chemical substances.Conclusion and recommendations: The current study results are consistent with most of the previous studies carried out in different regions in Saudi Arabia. Reviewing the performance and adherence of the “Environmental Health and Occupational Safety Department” to the guidelines and instruction regulating monitoring, notification and reporting of poison cases are satisfactory and the poisoning surveillance system is effective. Further in-depth studies are needed to elaborate other socioeconomic and demographic factors associated with chemical and drug overdose poisoning. Public health plans, policies and legislations should be implemented to reduce these factors, including prohibition over-the-counter pharmaceutical sales, selling the possibly harmful substances in kid-proof bottles and additional stringent rules governing chemical sale and storage. Intensive supervision of children is needed. Suicidal poisoning patients should seek psychiatric help to limit the possibility of attempting suicide again in the future. Furthermore, efforts are needed to plan and implement health education programs and campaigns about the factors proven in the current study to be significantly related to chemical and drug overdose poisoning to raise public knowledge about exposure to chemicals and its consequences. Popular communication media, commercial malls, road ads, learning institutions and workplaces can be used to deliver health education campaigns and programs. Advice on how to store chemicals safely and how to keep kids safe should be focused on during such programs.

(1) Influenza causes a significant health and socio-economic burden every year, and health personnel (HP) are at higher risk of exposure to respiratory pathogens than general population. (2) The study purpose was to describe and compare influenza vaccine uptake and its prognostic factors among Medical Doctors (MDs) and Non-Medical Health Personnel (NMHP) vs Non-HP (NHP). We analysed 2014-2018 data (N=105,608) from the Italian Behavioural Risk Factor Surveillance System PASSI that, since 2008, has been collecting health-related information continuously in sampled adults. (3) MDs and NMHP represented, respectively, 1.1% and 4.6% of the sample. Among HP, 22.8% (CI 19.8% - 26.1%) of MDs and 8.5% (CI 7.5% - 9.5%) of NMHP reported to have been vaccinated vs 6.3% (CI 6.1% - 6.5%) in NHP. This difference is confirmed in the three categories (MDs, NMHP, NHP), even more across age groups: in 18-34yy, respectively, 9.9%, 4.4%, 3.4% vs 28.4%, 13.9%, 10.6% in 50-64yy. PASSI surveillance shows an increasing influenza vaccination uptake over time, especially among MDs (22.2% in 2014 vs 30.5% in 2018). (4) Despite such increase, especially among younger HP, influenza vaccination uptake is low. Even more under pandemic scenarios, these figures represent key information to address effective strategies for disease prevention and health promotion.

The rapid increase in population along with the economic activities led to rapid depletion of natural resources. Land use studies help us analyze the impacts of urban development on environment. Given the political upheavals in Afghanistan, this study aims to analyze how urban development evolved from 1978 to 2018 in six major cities- Kabul, Kandahar, Kunduz, Herat, Mazar-e Sharif and Jalalabad- in Afghanistan using Landsat Satellite Images. This study is based on quantitative approach. ArcGIS 9.4 software was used to synchronize the Landsat Satellite Images within the area of study. The results of the study show that the Annual rate of urban land expansion in Afghanistan was the lowest (average 1.07 square kilometers per year) during the military presence of Soviet Union in Afghanistan while it was the highest (3.35 square kilometers per year) from 2001 to 2018 due to the military presence of US-led NATO forces, relative security and rapid economic activities in Afghanistan. The authors believe that this study could be further explored if other inter-connected factors, e.g., the role of culture, literacy, immigration etc., are incorporated into the study of urban development processes in Afghanistan.

Emergency abdominal surgery carries high morbidity and mortality rates in human medicine; however, there is less evidence characterizing the outcome of these surgeries as a single group in dogs. The aim of the study was to characterize the clinical course, associated complications and outcome of dogs undergoing emergency abdominal surgery. A retrospective study was conducted. Dogs undergoing emergency laparotomy were included in the study. Logistic regression analysis was performed to identify variables correlated with death and complications. Eighty-two dogs were included in the study. The most common reason for surgery was gastrointestinal foreign body. Overall 15-day mortality rate was 20.7% (17/82). Median (range) length of hospitalization was 3 (0.5 - 15) days. Of the 82 patients, 24 (29.3%) developed major complications and 66 (80.5%) minor complications. Perioperative factors significantly associated with death included tachycardia (P &lt; 0.001), hypothermia (P &lt; 0.001), lactate acidosis (P &lt; 0.001), shock index &gt; 1 (P &lt; 0.001), leukopenia (P &lt; 0.001), thrombocytopenia (P &lt; 0.001) at admission; intraoperative hypotension (P &lt; 0.001) and perioperative use of blood products (P &lt; 0.001). The results of this study suggest that mortality and morbidity rates after emergency abdominal surgery in dogs are high.

The article presents the author's method of land use change assessment in the context of sustainable development and the results of its application based on the transformations that occurred in individual areas of Europe in the years 2012–2018. This method is based on data from the CORINE Land Cover program and local government units presenting the degree of urbanization (DEGURBA). The authors evaluate the transformations taking place in space, reducing them to economic, social and environmental dimensions. They then analyse the results in terms of space (covering the entire Europe) and in terms of division into: large cities, small towns as well as suburbs and rural areas. It has been shown that: development of the economic dimension most often takes place at the expense of natural resources; the higher the population density and more important function in the functional system of a given country, the greater the sustainable development differentiation level in the analysed dimensions, of which the social dimension is characterized by the lowest differentiation and the economic dimension is the highest; development of rural areas is less sustainable than in case of large urban centres. The result interpretation also leads to the conclusion that the areas of Europe are very diverse in terms of sustainable development. However, the method itself, despite the imperfections observed by the authors, may be used in further or similar studies.

Epidemiology of fatalities in Spain due to hornet, wasp and bee stings (Cause Code of Death: X23) is described. Over a 20-year period (1999-2018), a total of 78 fatalities were recorded, mostly occurring in males (85.9%), of 65 years and older (52.6%), at “unspecified places” (67.9%) and in the months of July and August (50%). The X23 mortality rates (X23MR) expressed in terms of annual rates and per million inhabitants, varied from 0.02 to 0.19 (mean value ± standard deviation = 0.09 ± 0.05), placing Spain at low levels in comparison with other countries. A more detailed and specific breakdown of the distribution of the yearly deaths at Sub-state level and across communities reveals some striking features. They were more concentrated in the Communities of Galicia (35.8%), Andalucía (21.7%) and Castilla y León (12.8%). X23MR were estimated in Galicia at 1.82, 1.10 and 2.22 in 2014, 2016 and 2018 respectively; and in Asturias at 1.88 and 0.97, in 2014 and 2017 respectively. The role of the invasive species Vespa velutina (VV), is examined. Due to its habits, abundance and broader distribution, the risk that VV represents to human health is unmatched by other Hymenoptera native species.

The coronavirus (COVID-19) pandemic was particularly invasive in Italy during the period between March and late April 2020 then decreased in both in the number of infections and in the seriousness of the illness throughout the summer of 2020. In this discussion, we measure the severity of the disease by the ratio of Intensive Care Units (ICU) spaces occupied by COVID-19 patients and the number of Active Cases (AC) each month from April to October 2020. We also use the ratio of the number of Deaths (D) to the number of Active Cases. What clearly emerges, from rigorous statistical analysis, is a progressive decrease in both ratios until August, indicating progressive mitigation of the disease. This is particularly evident when comparing March-April with July-August; during the summer period the two ratios became roughly 18 times lower. We test such sharp decreases against possible bias in counting active cases and we confirm their statistical significance. We then interpret such evidence in terms of the well-known seasonality of the human immune system and the virus-inactivating effect of stronger UV rays in the summer. Both ratios, however, increased again in October as ICU/AC began to increase in September 2020. These ratios and the exponential growth of infections in October indicate that the virus - if not contained by strict measures - will lead to unsustainable challenges for the Italian health system in the winter of 2020-2021 .

The study aimed to estimate the prevalence and associated factors of cervical and breast cancer screening among women in the general population in Jordan. Nationally representative cross-sectional data were analysed from 14,689 women (34 years median age, range 15-49) that took part in the “2017-18 Jordan Population and Family Health Survey”. Information about cancer screening uptake included Pap smear, clinical breast examination, and mammography. Results indicate that the prevalence of ever Pap smear cancer screening was 15.3%, clinical breast examination in the past 12 months 13.9% and ever mammography 8.7%. In adjusted logistic regression analysis, older age, higher wealth, greater media exposure and tobacco use were positively and being Syrian, and living in the southern region were negatively associated with ever Pap smear, clinical breast examination in the past 12 months, and ever mammography. In addition, high decision-making power was associated with the uptake of Pap smear and higher education was associated with ever mammography. The study showed a low cancer screening uptake, and several factors were identified that can assist in promoting cancer screening in Jordan.

North and West Africa are the most vulnerable regions to drought, due to the high variation in monthly precipitation. An accurate and efficient monitoring of drought is essential. In this study, we use TRMM data with remote sensing tools for effective monitoring of drought. The Drought Severity Index (DSI), Temperature Vegetation Drought Index (TVDI), Normalized Difference Vegetation Index (NDVI), and Normalized Vegetation Supply Water Index (NVSWI) are more useful for monitoring the drought over North and West Africa. To classify the areas affected by drought, we used the TRMM spatial maps to verify the TVDI, DSI and NVSWI indexes derived from MODIS. The DSI, TVDI, NVSWI and Monthly Precipitation Anomaly (NPA) indexes with the employ of MODIS-derived ET/PET and NDVI were chosen for monitoring the drought in the study area. The seasonal spatial correlation between the DSI, NPA, NVWSI, NDVI, TVDI and TCI indicates that NVSWI, NDVI and DSI present an excellent monitor of drought indexes. The change trend of drought from 2002 to 2018 was also characterized. The frequency of drought showed a decrease during this period.

Recent studies on seafloor mapping have presented different modelling methods for the automatic classification of seafloor sediments. However, most of these studies have applied these models to seafloor data with appropriate number of ground-truth samples, which raises the question whether these methods are applicable to studies with smaller numbers of ground-truth data. In this study, we aim to address this issue by conducting sediment class-specific predictions using ensemble modelling to map areas with limited or without ground-truth data and combined with hydro-acoustic datasets. The resulting class-specific maps were then assembled into one map, where the most probable class was assigned to the appropriate location. Our approach was able to predict sediment classes without bias to the class with more ground-truth data and produced reliable seafloor sediment distributions maps that can be used for seafloor monitoring. Sediment shifts of a heterogenous seafloor in the Sylt Outer Reef, German North Sea were also assessed to understand the sediment dynamics in the area. The analyses of sediment shifts showed that the western area of the Sylt Outer Reef is highly active, and the results of the analyses assisted in providing recommendations on future seafloor monitoring activities.

The study aimed to assess the prevalence and correlates of heavy episodic drinking (HED) among adults in Ecuador. In the national cross-sectional 2018 Ecuador STEPS survey, 4,638 persons (median age=39 years, range 18-69 years) responded to a questionnaire, physical measures, and biomedical tests. Results indicate that 24.1% had past month HED, 36.7% among men, and 12.0% of women; 40.6% past month HED among past 12-month drinkers. In adjusted logistic regression analysis, male sex (Adjusted Odds Ratio=AOR: 3.12, 95% Confidence Interval=CI: 2.50-3.89), past smoking (AOR: 1.38, 95% CI: 1.09-1.76), and current smoking (AOR: 2.83, 95% CI: 2.15-3.83) were positively and persons aged 50-69 years (AOR: 0.50, 95% CI: 0.38-0.66) and having underweight (AOR: 0.28, 95% CI: 0.09-0.89) were negatively associated with HED. In addition, in sex-stratified analyses, among men, being African Ecuadorean or Mulato (AOR: 1.79, 95% CI: 1.10-2.91), and high physical activity (AOR: 1.41, 95% CI: 1.01-1.99) were positively associated with HED, and among women, being Montubia (AOR: 0.40, 95% CI: 0.17-0.93) was negatively and obesity (AOR: 1.61, 95% CI: 1.06, 2.44) was positively associated with HED. Almost one in four participants engaged in HED, and several sociodemographic and health indicators were identified that may facilitate public health interventions for reducing HED.

Wheat (Triticum aestivum L.) being a staple food crop is an important nutritional source providing protein and minerals. It is important to fortify staple cereals like wheat with essential minerals to overcome the problems associated with malnutrition. The experiment was designed to evaluate the status of 11 micronutrients including grain iron (GFe) and zinc (GZn) in 62 wheat cultivars released between 1911 and 2016 in Pakistan. Field trials were conducted over two years and GFe and GZn were quantified by both inductively coupled plasma optical emission spectroscopy (ICP-OES) and energy dispersive X-ray fluorescence spectrophotometer (EDXRF). The GZn ranged from 18.4 to 40.8 mg/kg by ED-XRF and 23.7 to 38.8 mg/kg by ICP-OES. Similarly, GFe ranged from 24.8 to 44.1 mg/kg by ICP-OES and 26.8 to 36.6 mg/kg by EDEXR. The coefficient of correlation was higher for GZn (r=0.90), compared to GFe (r=0.68). Modern cultivars like Zincol-16 and AAS-2011 showed higher GFe and GZn along with improved yield components. Old wheat cultivars WL-711, C-518 and Pothowar-70 released before 1970 also exhibited higher value of GFe and GZn, however their agronomic performance was poor. Multivariate analysis using ten micronutrients (Al, Ca, Cu, K, Mg, Mn, Na and P) along with agronomic traits, and genome-wide SNP markers identified the potential cultivar with improved yield, biofortification trait and wider genetic diversity. Genetic gain analysis identified significant increase in grain yield (0.4% year-1), while there was negative gain for GFe (-0.11% year-1) and GZn (-0.15% year-1) over the span of 100 years. The Green Revolution Rht-B1 and Rht-D1 genes had strong association with plant height, and grain yield (GY), while semi-dwarfing alleles had negative effect on GFe and GZn contents. This study provided a valuable insight into biofortification status of wheat cultivars deployed historically in Pakistan and is a valuable source to initiate a breeding strategy for simultaneous improvement in wheat phenology and biofortification.

Background: Carbapenem-resistant Klebsiella pneumoniae (CRKP) is a serious public health issue. Aim of the study was to identify the antimicrobial resistance and accessory genes, the clonal relatedness and the evolution dynamics of selected CRKP isolates recovered in an adult and a pediatric intensive care unit of a tertiary hospital in Greece. Methods: Twenty-four CRKP isolates recovered during 2018-2022 were included in the study. Next-generation sequencing was performed using the Ion Torrent PGM Platform. The identification of the plasmid content, MLST and antimicrobial resistance genes, as well as the comparison of multiple genome alignments and the identification of core genome single-nucleotide polymorphism sites, were performed applying various bioinformatics software. Results: The isolates belonged to eight sequence types 11, 15, 30, 35, 39, 307, 323, and 512. A variety of carbapenemases (KPC, VIM, NDM and OXA-48) and resistance genes were detected. CRKP strains shared visually common genomic regions with the reference strain (NTUH-K2044). ST15, ST323, ST39, and ST11 CRKP isolates presented on average 17, 6, 16 and 866 recombined SNPs, respectively. All isolates belonging to ST15, ST323 and ST39 were classified in distinct phylogenetic branches, while ST11 isolates were assigned to a two-subclade branch. For large CRKP sets, the phylogeny seems to change approximately every seven SNPs. Conclusion: The current study provides insight into the genetic characterization of CRKP isolates in the ICUs of a tertiary hospital. Our results indicate clonal dispersion of ST15, ST323, and ST39 and highly diverged ST11 isolates.

Obesity has become a rising global health problem affecting adults’ quality of life. The objective of this study was to describe the prevalence of obesity in Indonesian adults based on the cluster of islands. The study was also aimed to identify the risk factors of obesity in each island cluster. This study analysed secondary data of Indonesian Basic Health Research 2018. Our data for analysis comprised 688,638 adults (>=15 years) randomly selected using proportionate to population size throughout Indonesia. We included 20 variables for sociodemographic and obesity-related risk factors for analysis. Obese status was defined using Body Mass Index (BMI) >= 27.5 kg/m2. Our current study defined seven major islands cluster as the unit analysis consisting of 34 provinces in Indonesia. Descriptive analysis was conducted to determine the characteristics of the population and to calculate the prevalence of obesity within provinces in each of the island’s clusters. Multivariate logistic regression analyses to calculate odds ratios (ORs) was performed using R version 3.6.3. The study results showed that all island clusters had at least one province with an obesity prevalence of more than 20%. Six out of twenty variables, comprising four diet factors (consumption of sweet food, high-salt food, meat food, and carbonated drinks) and two other factors (mental health disorders and smoking behaviour), varied across the island clusters. In conclusion, there was a variation of obesity prevalence of the provinces within and between island clusters. Variation of risk factors raised in each cluster island suggested the government rethink and reframe the intervention to address obesity.

One of the most destructive natural disasters is the earthquake which brings enormous risks to humankind. The objective of the current study was to determine the Earthquake’s remote sensing multiparameter (i.e. land surface temperature (LST), air temperature, specific humidity, precipitation and wind speed) spatiotemporal anomaly of many earthquake samples occurred during 2018 around the world. In this research 11 earthquake (M > 6:0) studied (4 samples selected in a land with transparent sky situations, 3 samples in land within cloudy situations and 4 samples in marine earthquakes). The interquartile range (IQR) and mean ± 2σ methods utilized to improve the efficiency of anomalous differences. As a result, based on the IQR method, negative anomaly before the event detected during the daytime in Mexico and during the nighttime in Afghanistan. In addition, a negative outlier of brightness temperature (BT) detected in Alaska before, after and during the event. In contrast, based on IQR and mean ± 2σ positive anomaly detected in precipitation before and after the event in all investigated examples. According to mean ± 2σ, negative anomaly LST, specific humidity, sea surface temperature (SST_100) and wind detected in most examined earthquake samples. In contrast, positive SST_0 anomaly observed in Fiji and Honduras after the earthquake. Our results suggested in marine earthquakes, for earthquake forecasting we can merge a prior negative anomaly in the wind speed and SST_100. Regarding the in land cloudy sky earthquakes, merging anomaly parameters could be the negative prior anomaly in BT, skin temperature, in contrast, a positive anomaly in precipitation. In land transparent sky earthquake, usually negative prior anomalies in air temperature, specific humidity and LST.

Wildfires are a rising environmental threat which health impact remains poorly documented, in particular beyond the fire period. This ecological study investigates changes in health conditions before, during, and after two consecutive wildfires that occurred in France´s Gironde district in the summer 2022. Electronic records from the district´s emergency medical communication centre were used to identify calls with respiratory and cardiovascular diseases, and two specific subgroups of those, asthma (all ages and 0-5 years) and cardiac arrest, respectively. Compared to before the fires, respiratory disease cases were fewer during each fire (OR = 0.85, 95% CI: 0.79, 0.90 and OR = 0.62, 95% CI: 0.58, 0.67, respectively), cardiovascular disease cases, more common during the second fire, and asthma cases, higher following the fires (ORall ages= 1.85, 95% CI: 1.56, 2.21 and ORchildren= 3.52, 95% CI: 2.62, 4.80). Asthma cases also rose during the same calendar time in 2021, but to a lesser extent. In sum, except for asthma, emergency calls data in Gironde reveal few significant potentially smoke-related symptoms around fire periods, apart from post-fire asthma. Whether the effects are smoke- or season-related remains to be determined, preferably using additional data sources.

In this paper, intrusion detection systems are thoroughly investigated utilizing the CSE-CIC-IDS-2018 dataset. The research is divided into three key phases: first, applying Data Cleaning, Exploratory Data Analysis, and Data Normalization techniques (min-max and z-score) for preparing data across distinct classifiers. Second, feature importance is reduced using a combination of Principal Component Analysis (PCA) and Random Forest (RF), with the goal of improving processing speed and decreasing model complexity. This stage comprises a comparison with the entire dataset. Finally, machine learning algorithms (XGBoost, CART, DT, KNN, MLP, RF, LR, and Bayes) are applied to specific features and preprocessing approaches. Surprisingly, the XGBoost, DT, and RF models outperform in both ROC values and CPU runtime. Following evaluation, which includes PCA and RF feature selection, an optimal set is produced.

Very poor oral health, common among older adults, is associated with cognitive decline.This study aimed to investigate the association between denture use, chewing ability, and cognitive function in Korean middle-aged adults using samples representing middle-aged people at the national level. This longitudinal study included 9,998 middle-aged adults via Korea Longitudinal Study of Aging 7th special survey data. Denture use, chewing ability, health-related factors, and general characteristics were assessed by the Computer Assisted Personal Interview. After controlling general characteristics using a generalized estimating equation model, the association of denture use and MMSE scores with chewing ability of those with or without dentures and MMSE scores were analysed. Twenty-four percent of participants wore dentures among them, 35.1% complained of difficulty chewing when wearing dentures. Among participants who did not wear dentures, 16.4% complained of difficulty chewing. MMSE scores were lower among denture-wearers than non-denture wearers (β = -0.026, p < 0.001). In both groups, MMSE scores decreased with chewing difficulty and were significantly reduced among non-denture wearers (p < 0.05). Chewing ability was closely associated with cognitive function. Given the negative effect of difficulty chewing on cognitive function, maintaining chewing ability should be of great concern.

Flash floods repeatedly threaten Barcelona, damaging the city infrastructure and endangering the safety of the population. The city’s urban planning and socioeconomic distribution, associated with the topography and other geographic factors, means that these flood events do not affect the entire city in the same way. This is a key point for surveillance and emergency tasks, which need some patterns and models to improve response capacity. This work aims to gain a better understanding of such events, to add valuable information on how to predict and manage these situations. For this purpose, both radar and ground observational data have been combined to identify the most important precipitation episodes in Barcelona between 2013 and 2018. To make the analysis easier, a new algorithm has been developed to determine the thunderstorm hotspots. Episodes with a higher impact have been analysed in depth. The final objective is to improve the actions taken by the organisation responsible for managing urban floods, which have seen Barcelona recognised as a model city for flood resilience by the United Nations.

Globally, rotavirus group A (RVA) remains a major cause of severe childhood diarrhea, despite the use of vaccines in &gt; 100 countries. RVA sequencing for local outbreaks facilitates investigation into strain composition, origins, spread, and vaccine failure. In 2018, we collected 248 stool samples from children aged &lt;13 years admitted with diarrheal illness to Kilifi County Hospital, coastal Kenya. Antigen screening detected RVA in 55 samples (22.2%). Of these, VP7 (G) and VP4 (P) segments were successfully sequenced in 48 (87.3%) and phylogenetic analysis based on the VP7 sequences identified seven genetic clusters with six different GP combinations; G3P[8], G1P[8], G2P[4], G2P[8], G9P[8] and G12P[8]. The G3P[8] strains predominated the season (n=37, 67.2%) and comprised three G3 genetic clusters that fell within Lineage I and IX (the latter also known as equine-like G3 lineage). Both two G3 lineages have been recently detected in several countries. Our study is the first to document African children infection with G3 lineage IX. These data highlight the global nature of RVA transmission and the importance of increasing global rotavirus vaccine coverage.