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Women have unique experiences with mental health challenges that require relevant strategies and interventions that effectively support their mental health. Empowerment interventions that vary in nature and format have the potential to play a key role in supporting women’s mental health. The purpose of this scoping review is to outline empowerment interventions targeting improvement in the mental health of women living in Canada.A search was undertaken using major databases including Medline, Cumulative Index for Nursing and Allied Health Literature (CINAHL), PsycINFO, and the Cochrane Library for studies published between 2013 and 2023. A total of 243 articles were identified, from which 12 were ultimately included in this review. All included studies were conducted in Canada but were diverse in design, setting, and sample size. A total of four types of interventions were identified including mental health and emotional awareness, reading, peer support, and skill building and engagement. The findings of the review inform key insights for mental health care and service providers to focus on sustainable outcomes for women’s mental health. The findings also guide the need for a systematic review to appraise the existing empowerment interventions for women’s mental health outcomes.

Despite threatened status, the Ganges River dolphin (Platanista gangetica) received insufficient attention in many habitats including the lower Ganges. In this study, through standardised monitoring programmes, we recorded the population and distribution of the species from a 100-km long stretch of the lower Ganges between January and December 2023. Important ecological parameters (e.g. fish abundance and water quality parameters) were also monitored to understand their effects on dolphin population in the river. Number of Ganges River dolphin varied over time (ANOVA: F11,88 = 10.9, p < 0.001) and space (F8,88 = 24.1, p < 0.001). Maximum number of dolphin was sighted in the month of August; whereas, the minimum was in February. Population of Ganges River dolphin was affected positively by fish abundance (LMM: F = 19.7, p < 0.001) and water transparency (F = 4.4, p = 0.042) and negatively by total dissolved solids (TDS; LMM: F = 13.5, p = 0.001). A range of challenges related to fishermen’s knowledge and attitude towards the Ganges River dolphin were identified. These include lack of awareness, high market demand and price for the species and negative attitude towards the species. Illegally harvested Vulnerable dolphins were sold only to produce dolphin oil to catch another Endangered fish species Clupisoma garua. The results of this study have conservation management applications and implications.

Women have unique experiences with mental health challenges that require relevant strategies and interventions that effectively support their mental health. Empowerment interventions that vary in nature and format have the potential to play a key role in supporting women's mental health. The purpose of this scoping review is to outline empowerment interventions targeting improvement in the mental health of women living in Canada.A search was undertaken using major databases including Medline, Cumulative Index for Nursing and Allied Health Literature (CINAHL), PsycINFO, and the Cochrane Library for studies published between 2013 and 2023. A total of 243 articles were identified, from which 12 were ultimately included in this review. All included studies were conducted in Canada but were diverse in design, setting, and sample size. A total of four types of interventions were identified including mental health and emotional awareness, reading, peer support, and skill building and engagement. The findings of the review inform key insights for mental health care and service providers to focus on sustainable outcomes for women's mental health. The findings also guide the need for a systematic review to appraise the existing empowerment interventions for women's mental health outcomes. [ABSTRACT FROM AUTHOR]

In the present study, for the first time the machine learning (ML) based refractive index (n) approach is established depends on the density (ρ) parameter of glasses for a dataset of 2000 oxide glasses to predict refractive index of B2O3-CaO-Li2O-Sb2O3 glasses. Density of the investigated glasses varied from 2.56 to 2.97 gm/cm3. The corresponding refractive index was changed from 2.540 to 2.405. The refractive index prediction based on density parameter derived from the density of glasses and constant 'K'. For all M-L techniques including gradient descent (GD), artificial neural network (ANN), and random forest regression (RFR), the density factor is used as an independent variable and the experimental refractive index as a dependent variable. The data set of 10,000 oxide glass samples was employed to forecast density using a variety of machine learning approaches. In comparison to other models, the Random forest regression (RFR) model fitted the glass data with the highest R2 value of 0.949 for refractive index prediction and 0.925 for density prediction. For both the prediction of density and refractive index, the R2 is controlled to 0.932 and 0.9223, respectively. The highest R2 values for refractive index and density prediction were gained when the tanh activation function was used in an artificial neural network (ANN) with varied activation functions. [ABSTRACT FROM AUTHOR]

In this study, the role of TiO2 on the physica, and optical properties as well as the γ-ray protection features of a set of six glass samples with the chemical formula (65-X)B2O3–15BaO–5Bi2O3–15ZnO–XTiO2, where X = 0–10 mol% in the step of 2% have been investigated. The density (ρ) increased gradually from 3.70 to 3.93 g/cm3 and the molar volume (Vm) reduced from 27.71 to 26.72 cm3/mol as the TiO2 content increased from 0 to 10 mol%. By the inclusion of TiO2 in the glass networks, some absorption bands in the ultraviolet and visible regions are formed. Values of the indirect optical band gaps (Eg) were 2.550, 2.510, 2.470, 2.370, 2.270, and 2.180 eV for Ti-0.0, Ti-2.0, Ti-4.0, Ti-6.0, Ti-8.0, and Ti-10.0 glasses, respectively. The linear refractive index (n0) calculated values varied from 2.515 to 2.631. The linear-attenuation coefficient ( μ) followed the order: Ti-0.0 < Ti-2.0 < Ti-4.0 < Ti-6.0 < Ti-8.0 < Ti-10.0. The sample coded as Ti-10.0 glass sample (highest content of TiO2) has the lowest half (HVL) and tenth (TVL) value layer. Within the investigated energy range of within the range: 51.590–19.480, 50.676–19.722, 50.696–19.833, 50.271–20.012, 49.860–20.193, and 49.460–20.376 for the prepared samples Ti-0.0, Ti-2.0, Ti-4.0, Ti-6.0, Ti-8.0, and Ti-10.0 glasses, respectively. Results confirmed that the suggested titanium bismo-borate glasses can be used in the optical field and as alternative materials for radiation shielding applications. [ABSTRACT FROM AUTHOR]

Adding CeO2 to bismo-borate heavy metal oxide glasses to use in the field of nuclear safety and radiation protection is investigated. To this end, glass samples with the composition: 60B2O3 + 20Na2O + 15ZnO + 5Bi2O3 + XCeO2 with X = 0.0 (Ce-0.0), 0.25 (Ce-0.25), 0.5 (Ce-0.5), 0.75 (Ce-0.75), and 0.9 (Ce-0.9) mol% glasses were prepared using the melt quenching route. The structure, physical parameters, and γ-ray protection features in the photon energy range (0.015 ≤ γE ≤ 15 MeV) of the prepared Ce-X glasses have been evaluated. The non-crystalline state of the Ce-X glasses was confirmed by XRD measurements. The density (ρ) of the Ce-X glasses varied from 3.158 to 3.289 g cm−3 as CeO2 content varied from 0.0 to 0.9 mol%. Both molar volume (Vm) and oxygen molar volume (VO) decreased slightly from 28.40 to 27.49 cm3 mol−1 and from 12.35 to 11.97 cm3 mol−1. The oxygen packing density (OPD) gradually increased from 81.00 to 83.57 g atm l−1. The linear absorption coefficient (μ ) possessed the order: Ce-0.0 < Ce-0.25 < Ce-0.5 < Ce-0.75 < Ce-0.9. The sample coded as Ce-0.9 (highest content of CeO2) possessed the minimum values of half-(HVL), tenth-(TVL) value layer, and mean free path (MFP). The observed results validated the superiority of the suggested Ce-X glasses as γ-ray shields. [ABSTRACT FROM AUTHOR]

The melt-quenching method was used to manufacture newly synthesized glasses with a nominal composition of 60B2O3 – 20CaO – 15ZnO – 5Li2O – xEu2O3: 0 (Eu-0.0) ≤ x ≤ 0.5 (Eu-0.5) mol%. The structural, physical, FTIR, UV–visible spectra, and mechanical properties of the synthesized Eu-x glasses are examined. XRD results verified the amorphous condition of proposed glasses. The density (ρ) of the prepared glasses increased from 3.231 to 3.338 g cm−3, but in contrast, the molar volume (VM) decreased from 20.643 to 20.506 cm3 mol−1 with increasing Eu3+ ions. FTIR spectroscopy illustrated absorbance peaks appear around 393 and 464 nm, which indicates the presence of electronic states in the wide band gap of glass matrix. These peaks are attributed to the 5L6 and 5D2 electronic states of Eu3+ ions. UV–visible measurements showed an improvement in optical absorbance and a decrease in optical energy gap. The Eu3+ ions mol% doping into the proposed glasses results in generating photoluminescence glasses, which is attributed to the 5D0 → 7F1, 5D0 → 7F2, 5D0 → 7F3, and 5D0 → 7F4 electronic transitions of Eu3+ ions. Thus, the emission spectra due to the 393 nm excitation results in the appearance of emission peaks at 593 (orange), 617 (strong red), 653 (red), and 698 (red) nm. The Poisson's ratio (σ) of Eu-x glasses is decreased from 0.3927 to 0.3903 as the molar fraction of Eu3+ ions is increased from 0.0 to 0.5 mol%. The thermodynamic properties of the glassy network are hidden in the Gibbs free energy (G) which started at 33.56 and ended at 33.72 kJ.cm−3 at low and high Eu3+ ions content mol%. Furthermore, all elastic moduli increased linearly with molar increment of Eu3+ ions in the molecular structure of the proposed glassy network. [ABSTRACT FROM AUTHOR]

This work examines a number of synthetic glasses with the molecular compositions 60B2O3, 5CaO, 5Bi2O3, and xEr2O3 (BBCEr-x, where x = 0.0–2.0 mol%) to determine their structural, optical, mechanical, physical, and γ-rays protective properties. Glass was shown to be in an amorphous state by XRD measurements. The density (ρ) of BBCEr-x grew from 3.14 to 3.32 g/cm3 when the molar addition of Er3+ ions increased from 0.0 to 2.0 mol%. The absorbance spectra of the BBCEr-x samples showed seven absorption bands related to the Er3 + electronic transitions (4f–4f). It has been evaluated the dependency of elastic moduli, including Poisson's ratio (σ), and the efficacy of shielding against incoming gamma rays on [Er2O3] mol%. The Makishima-Mackenzie theory was used to calculate the mechanical parameters. As a function of [Er2O3] mol%, the micro-hardness (H) of the Vickers increases while the ratio of the Passion decreases. The mass attenuation coefficient (MAC) has been calculated in the energy range of 0.015–15 MeV using the XCOM and Phys-X/PSD programs and has been compared with Monte Carlo simulations performed using the Geant4 code. The linear attenuation coefficient (LAC), transmission factor (TF), and fast neutron removal cross-sections (ΣR) all showed monotonic dependence on [Er2O3] mol%. With photon energies of 0.015–15 MeV, the sample BBCEr-0.0 had the lowest values of MAC, measuring 34.418–0.029 cm2/g. This result reflects the interaction between density and [Er2O3] impacts on the mechanical and radiation shielding capabilities of the synthesized glasses. The greatest MAC values were found in the BBCEr-2.0 sample, which ranged from 39.6 to 0.037 cm2/g. It was found that ΣR approximates the molar volume (Vm) and exhibits the same trending behavior. This study demonstrated that radiation shielding and mechanical properties could both be customized for indoor or outdoor scientific or industrial usage. [ABSTRACT FROM AUTHOR]

Role of V2O5 as a strong network glass modifier on the optical, elastic, physical, and radiation protection performance of V2O5-based glasses in form 10CaF2-(20-x)Bi2O3-60P2O5-10B2O3:xV2O5, x = 0.0, 0.5, 1.0, 1.2, 0.2, and 2.5 mol% was investigated in this article. The studied glasses have been synthesized using the melt-quenching technique. The investigated samples coded as V0, V1, V2, V3, V4, and V5 according to x values. Difference theoretical approaches have been utilized to achieve these goals including: radiation shielding calculations, optical, and elasto-mechanical properties. The optical basicity (Λ(Eg)) was found to decrease from 0.5630 to 0.5593 with increasing the mol% of [V4+] in the glass samples. The density was decreased from 4.134 to 3.817 g cm−3 associated with a simultaneous decrease in the oxygen molar volume (OMV) from 12.5 to 12.25 cm3/mol as the mol% of [V4+] increased in the samples. The Vicker's hardness was found to be diminished with increasing V2O5 content in the investigated glasses. All elastic moduli were reduced as V2O5 increased. Refractive index increased from 2.20 to 2.63, while metallization criterion decreased from 0.341 to 0252. The observed trend of mass attenuation coefficient (MAC) values in the tested energy spectrum followed the sequence: (MAC)v0 > (MAC)v1 > (MAC)v2 > (MAC)v3 > (MAC)v4 > (MAC)v5. Also, we found that linear attenuation coefficient (LAC) increased, while the half value layer (HVL), and transmission coefficient (TF%) were also decreased. The HVL values of the current samples were compared with standard glasses, and it found that V2O5-based samples possess a comparable photon protection capacity as commercial RS-360 and RS-520 glasses. [ABSTRACT FROM AUTHOR]

Abstract In recent years, predictive machine learning models have gained prominence across various scientific domains. However, their black-box nature necessitates establishing trust in them before accepting their predictions as accurate. One promising strategy involves employing explanation techniques that elucidate the rationale behind a model’s predictions in a way that humans can understand. However, assessing the degree of human interpretability of these explanations is a nontrivial challenge. In this work, we introduce interpretation entropy as a universal solution for evaluating the human interpretability of any linear model. Using this concept and drawing inspiration from classical thermodynamics, we present Thermodynamics-inspired Explainable Representations of AI and other black-box Paradigms, a method for generating optimally human-interpretable explanations in a model-agnostic manner. We demonstrate the wide-ranging applicability of this method by explaining predictions from various black-box model architectures across diverse domains, including molecular simulations, text, and image classification.

This study investigates the characteristics of formaldehyde (HCHO) concentration and its reduction in newly constructed apartment buildings in Dubai. It addresses the significant health risks of high HCHO levels due to poor ventilation and extensive use of VOC-emitting materials. The research explores the effectiveness of various mitigation strategies, including air purifiers, photocatalyst applications, and window ventilation, in the living room, master bedroom (MBR), Room 1, and Room 2. HCHO concentrations were measured under different conditions: sealed windows, operation of an air purifier with a VOCs filter, and the application of a photocatalyst. The study followed a quantitative approach, recording real-time HCHO levels over 24 h. Results indicated that sealing windows led to HCHO concentrations surpassing the domestic standard of 0.1 ppm, with the MBR recording the highest concentration at 0.73 ppm. The air purifier showed minimal impact within the first 8 h but achieved an 18% reduction after 24 h of operation. Applying a photocatalyst to room surfaces resulted in a 50% reduction in HCHO levels. Ventilation through window openings significantly improved air exchange rates, with the air exchange per hour (ACH) increasing proportionally with window opening size. Smaller rooms with larger window-to-volume ratios, such as Room 1 and Room 2, maintained HCHO concentrations below the WHO standard of 0.1 ppm with partial window openings. The study concludes that window ventilation is the most effective strategy for reducing HCHO concentrations, highlighting the importance of integrating comprehensive ventilation designs in modern residential buildings to ensure healthier indoor environments in Dubai.

Blockchain technology era is triggered due to current advancement in the decentralized paradigms via facilitating secure collaboration among untrusted entities consequently superseding the necessity for the trusted third parties’ existence. Notwithstanding its potential, blockchain scalability faces severe limitations such as low throughput, high fees, and confirmation time latency. Several scaling solutions have been proposed, including layer one solutions that substantially require fundamentally amending blockchain underlying infrastructure resulted in further scalability complications. Layer two solutions, specifically Lightning Network, is a successful cryptographic layer built atop of the Bitcoin blockchain that aims to alleviate these implications by deporting transaction processing outside blockchain while ensuring security and consensus inherited from blockchain without compromising its infrastructure. Payment channels form the core of the lightning network, facilitating fast and secure transactions between participants. However, the network encounters substantial obstacles associated with transaction amounts that exceed the current channel capacity, leading to payment failures and limiting its effectiveness. Payment Channel Networks (PCN) have been risen as an evolved replacement that solves payment channel’s issues, seeking to enhance transaction throughput and reduce confirmation delays by solving limited capacities shortages. This paper thoroughly examines PCN efficiency impacting factors that hinder its current adoption growth and avoiding its widespread employment. Additionally, existing solutions are reviewed and categorized based on the PCN building architecture. The research concludes by outlining potential research avenues and future directions to improve the efficiency and practicality of the Lightning Network PCN. This research contribution aids the advent of blockchain layer two technology and participates in its integration into real-world applications.

Background: The two classic manifestations of primary aldosteronism are hypertension and hypokalemia. However, acute respiratory failure due to hypokalemia in primary hyperaldosteronism is rare., Case Presentation: The patient was a 27-year-old female who presented with drowsiness and weakness in all extremities. She had been diagnosed with hypertension three years prior, with irregular follow-up, and had a history of preeclampsia one year later. She exhibited high blood pressure and severe hypokalemia (2 mEq/L), leading to respiratory depression and impending respiratory arrest. Consequently, the patient was intubated and transferred to the intensive care unit (ICU). She also developed rhabdomyolysis. Blood pressure tests, including hormonal tests (aldosterone: 13.2 ng/dL, plasma renin activity: 0.32 ng/mL/h), were conducted. Due to the high aldosterone-renin ratio, an abdominopelvic computed tomography (CT) scan was performed. The CT scan revealed a 14 × 12 mm round mass with a washout value above 60%, consistent with an adrenal adenoma, leading to a diagnosis of primary aldosteronism. The patient was discharged after stabilization, and one and a half months after ICU admission, a laparoscopic left adrenalectomy was successfully performed without post-operative complications. Histopathology showed encapsulated hypertrophy of the adrenal cortex with a predominance of large clear cells, confirming the diagnosis of adrenal adenoma. At the most recent follow-up, the patient had normal potassium levels, was normotensive without any medications, and exhibited no alarming signs or symptoms., Conclusion: Respiratory depression to the extent of impending respiratory failure and rhabdomyolysis as a result of hypokalemia in primary aldosteronism are extremely rare. In this patient, who developed respiratory depression due to resistant hypokalemia, timely investigation of secondary causes and diagnosis of adrenal adenoma were crucial. The surgery provided definitive treatment for the patient's blood pressure and prevented the recurrence of life-threatening complications., (© 2024. The Author(s).)

Background: Despite elevated rates of trauma exposure, substance misuse, mental health problems, and suicide, systems-impacted teens and their caregivers have limited access to empirically supported behavioral health services. Family-based interventions are the most effective for improving mental health, education, substance use, and delinquency outcomes, yet the familial and placement disruption that occurs during child welfare involvement can interfere with the delivery of family-based interventions., Objective: To address this gap in access to services, we adapted an in-person, empirically supported, family-based affect management intervention using a trauma-informed lens to be delivered via telehealth to families impacted by the child welfare system (Family Telehealth Project). We describe the intervention adaptation process and an open trial to evaluate its feasibility, acceptability, and impact., Methods: Adaptations to the in-person, family-based affect management intervention were conducted iteratively with input from youth, caregivers, and systems partners. Through focus groups and collaborative meetings with systems partners, a caregiver-only version of the intervention was also developed. An open trial of the intervention was conducted to assess family perspectives of its acceptability and feasibility and inform further refinements prior to a larger-scale evaluation. Participants included English-speaking families involved in the child welfare system in the past 12 months with teens (aged 12-18 years). Caregivers were eligible to participate either individually (caregivers of origin, kinship caregivers, or foster parents; n=7) or with their teen (caregiver of origin only; n=6 dyads). Participants completed session feedback forms and surveys at pretreatment, posttreatment, and 3-month posttreatment time points. Qualitative exit interviews were conducted with a subset of participants (12/19, 63%) to further understand their experiences with the intervention., Results: Session attendance was high, and both caregivers and teens reported high acceptability of clinicians and sessions on feedback forms. Families were comfortable with video technology, with very few (<5%) sessions having reported technology problems. Thematic analysis of exit interview transcripts indicated that families used effective communication and affect management skills taught during the intervention. Regarding challenges and barriers, some caregiver-only participants expressed a desire to have their teen also participate in the intervention. All interview participants reported that they would recommend the intervention to others and perceptions of the intervention were overwhelmingly positive. Quantitative surveys revealed differential responses to the intervention regarding affect management and communication., Conclusions: An open trial of the Family Telehealth Project, a skills-based telehealth intervention for families impacted by the child welfare system, suggests high levels of intervention feasibility and acceptability. Participants noted improvements in areas often hindered by the impacts of trauma and family separation: communication and affect management. Perceptions of the intervention were positive overall for both teens and caregivers. The Family Telehealth Project shows promise in addressing the gaps in behavioral health access for systems-impacted families., Trial Registration: ClinicalTrials.gov NCT04488523; https://clinicaltrials.gov/study/NCT04488523., (©Johanna B Folk, Cynthia Valencia-Ayala, Evan D Holloway, Sarah Anvar, Alison Czopp, Marina Tolou-Shams. Originally published in JMIR Formative Research (https://formative.jmir.org), 15.10.2024.)

The perception of an object's location is profoundly influenced by the surrounding dynamics. This is dramatically demonstrated by the frame effect, where a moving frame induces substantial shifts in the perceived location of objects that flash within it. In this study, we examined the elements contributing to the large magnitude of this effect. Across three experiments, we manipulated the number of probes, the dynamics of the frame, and the spatiotemporal relationships between probes and the frame. We found that the presence of multiple probes amplified the position shift, whereas the accumulation of the frame effect over repeated motion cycles was minimal. Notably, an oscillating frame generated more pronounced effects compared to a unidirectional moving frame. Furthermore, the spatiotemporal distance between the frame and the probe played pivotal roles, with larger shifts observed near the leading edge of the frame. Interestingly, although larger frames produced stronger position shifts, the maximum shift occurred almost at the same distance relative to the frame's center across all tested sizes. Our findings suggest that the number of probes, frame size, relative probe-frame distance, and frame dynamics collectively contribute to the magnitude of the position shift.

Introduction: Gynecologic cancer has a negative impact on the sexuality of women who are or have been affected by this disease. In fact, gynecologic cancers cause negative changes in female sexuality, affecting body image and psychophysical well-being, with serious consequences for women's sex lives., Objectives: The aim of this study is to analyze the differences in sexuality among women who have or have had gynecologic cancer in Europe and in the Middle East and North Africa (MENA). We also explored possible factors that may influence women's sexuality in the 2 populations compared., Methods: The literature search was carried out using PubMed and Google Scholar, considering the 10-year period of 2013 to 2023. Studies were initially selected according to the criterion that the title and abstract were in English. We then reviewed all the articles selected in the first phase and analyzed the following information: author, year of publication, type of gynecologic cancer, country in which the study was conducted, design, and materials used. Finally, we defined the inclusion criteria for the present paper: women 18 years of age or older, diagnosed with gynecologic cancer, and who had undergone treatment (surgery, chemotherapy, radiotherapy). The studies reviewed were conducted between 2013 and 2023 in Europe and MENA, and all analyzed sexual function after the disease, understood as a general dimension that includes physiological and psychological aspects., Results: The results of this research show that patients in both geographical areas (Europe and MENA) report changes in sexuality as a result of the cancer. Studies show that cancer reduces, interrupts, and impairs women's sexual activity, resulting in experiences of discomfort, anxiety, guilt, inadequacy, pain, and poorer quality of life., Conclusions: The data analyzed in this review show that cancer causes changes and deterioration in sexuality in both populations studied. No cultural or social factors were found to cause differences between the variables studied in the 2 populations. In the future, it may be interesting to carry out further studies to improve the treatment of women with gynecologic cancer, as sexuality is a very important part of a person's life., (© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society of Sexual Medicine.)

Background: Diabetes is a major global health concern and plays a significant role in male infertility and hormonal abnormalities by altering the tissue structure of spermatogenic tubes and decreasing the number of spermatogonia. This study investigated the effect of artichoke ( Cynara scolymus L) hydroalcoholic extract and Bifidobacterium longum probiotic on sexual hormones, oxidative stress, apoptosis pathway, and histopathological changes in testicular tissues of diabetic rats to find an adjuvant therapy to manage the infertility complications of diabetes., Methods: In this experiment, 96 male-rats were randomly selected from eight groups. Control, Sham (normal saline), DM group (IP injected with 60 mg/kg STZ), Cynara (400 mg/kg hydroalcoholic extract of Cynara scolymus L), BBL (received 1 × 10 9  CFU/ml/day Bifidobacterium longum), DM + Cynara, DM + BBL, and DM + Cynara + BBL groups. After 48 days of orally gavage, serum level of FBS (fasting blood sugar), Malondi-aldehyde (MDA), Total-Anti-Oxidant Capacity (TAC), FSH (Follicle-stimulating hormone), LH (Luteinizing hormone), Testosterone, Testis mRNA-expressions of Protamin (prm1), BCL2 , and Caspase-9 genes, as well as stereological changes were measured., Results: In comparison to the diabetic group, the hydroalcoholic extract of Cynara scolymus L combined with the probiotic Bifidobacterium longum resulted in a substantial decrease in FBS (p < 0.001) and MDA(p < 0.05) concentrations, and the expression of the Caspase-9 gene (1.33-fold change). In addition, serum levels of TAC, LH, FSH, Testosterone were significantly increased (p < 0.05). mRNA expression of protamine (p = 0.016) and BCL2 (0.72-fold change) were detected. Furthermore, in comparison with diabetic rats, the Cynara scolymus L -and Bifidobacterium longum -treated groups showed a significant increase in the number of sexual lineage cells, total weight, sperm count, motility, normal morphology, volume of the testis, and volume and length of seminiferous tubules (p < 0.05)., Conclusion: The findings demonstrated that Cynara scolymus L extract and Bifidobacterium longum supplement had great therapeutic potential, including antioxidant, anti-apoptotic, anti-diabetic, fertility index improvement, and sex hormone modulators., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

Background: Misfolded proteins accumulate in the liver due to endoplasmic reticulum stress (ERS) caused by high blood glucose levels in diabetes. This triggers the unfolded protein response (UPR), which if persistently activated, results in cellular dysfunction. Chronic ER stress increases inflammation, insulin resistance, and apoptosis. There is growing interest in using native plants and traditional medicine for diabetes treatment. The stevia plant has recently gained attention for its potential therapeutic effects. This study investigates the protective effects of aquatic stevia extract on liver damage, ER stress, and the UPR pathway in streptozotocin (STZ)-induced diabetic rats., Methods: Rats were randomly divided into four groups: a control group that received 1 ml of water; a diabetic group induced by intraperitoneal injection of STZ (60 mg/kg); a diabetic group treated with metformin (500 mg/kg); and a diabetic group treated with aquatic extracts of stevia (400 mg/kg). After 28 days, various parameters were assessed, including inflammatory markers, oxidative stress indices, antioxidant levels, gene expression, stereology, and liver tissue pathology., Result: Compared to the diabetic control group, treatment with stevia significantly decreased serum glucose, liver enzymes, inflammatory markers, and oxidative stress while increasing body weight and antioxidant levels. Additionally, stevia extract manipulated UPR gene expression and reduced apoptosis pathway activation. Histological examination revealed improved liver tissue morphology in stevia-treated diabetic rats., Conclusion: These findings suggest that aquatic stevia extract mitigates ER stress in diabetic rats by modulating the IRE-1 arm of the UPR and apoptosis pathways, highlighting its potential therapeutic benefits for diabetes-related liver complications., (© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)

Introduction: Colorectal cancer (CRC) constitutes around 10% of global cancer diagnoses and death due to cancer. Treatment involves the surgical resection of the tumor and regional lymph nodes. Assessment of multiple lymph node demands meticulous examination by skilled pathologists, which can be arduous, prompting consideration for an artificial intelligence (AI)-supported workflow due to the growing number of slides to be examined, demanding heightened precision and the global shortage of pathologists., Method: This was a retrospective cross-sectional study including digital images of glass slides containing sections of positive and negative lymph nodes obtained from radical resection of primary CRC. Lymph nodes from 165 previously diagnosed cases were selected from Agha Khan University Hospital, from Jan 2021 to Jan 2022. The images were prepared at 10X and uploaded into an open source software, Q path and deep learning model Ensemble was applied for the identification of tumor deposits in lymph node., Results: Out of the 87 positive lymph nodes detected by AI, 73(84%) were true positive and 14(16%) were false positive. The total number of negative lymph nodes detected by AI was 78. Out of these, 69(88.5%) were true negative and 9 (11.5%) were false negative. The sensitivity was 89% and specificity 83.1%. The odds ratio was 40 with a confidence interval of 16.26-98.3. P-value was < 0.05 (< 0.0001)., Conclusion: Though it was a small study but its results were really appreciating and we encourage more such studies with big sample data in future., (© 2024. The Author(s).)

Aim: There is limited research on Out-of-hospital cardiac arrest (OHCA) in the Gulf Cooperation Council (GCC) and especially in Bahrain. This is the first study to describe the incidence, characteristics, and outcomes of OHCA in Bahrain., Methods: This was a retrospective national observational study on OHCA patients in Bahrain using the Utstein framework for resuscitation. Data was collected between 1st July 2022 to 30th June 2023 from the electronic medical records of the only three governmental hospitals emergency departments (EDs) and National Ambulance (NA)., Results: The annual incidence of OHCA attended by (Emergency Medical Services) EMS was nearly 21 per 100,000 population. The majority were males (n = 228, 68.8 %) with median age of 65 years (IQR=49-78). Most OHCA cases were witnessed (n = 265, 81 %), with (n = 247, 76 %) happened at home/residence. Rates for bystander CPR was low (n = 122, 36.8 %) and bystander automated external defibrillator (AED) was not performed in any of the cases. The OHCA cases transported by the NA was (n = 314, 94.8 %), with median response time of 9 min (IQR=7-12). However, only (n = 20, 6.0 %) were witnessed by EMS, and (n = 7, 2.1 %) received EMS defibrillation for shockable rhythms. First monitored rhythms included shockable rhythm in (n = 28, 8.5 %) versus non-shockable rhythm in (n = 303, 91.5 %). In the EDs, return of spontaneous circulation was achieved in (n = 60, 18.1 %) cases. But survival rate to hospital discharge at 30-day was (n = 4, 1.2 %) and survival rate to hospital discharge with good neurological outcomes was (n = 0, 0 %). Conclusion: In Bahrain the estimated annual incidence of OHCA is 21 individuals per 100,000 population, with a very low survival rate. Solutions should focus on community-level CPR and AED training, evaluating OHCA care provided by EMS, and establishing OHCA registry., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Author(s).)

Cancer-associated thrombosis (CAT) is a common complication and a major cause of morbidity and mortality in patients with active cancers. CAT is common in various malignancies, particularly pancreatic, ovarian, gastric, colorectal, and hematologic cancers. In fact, CAT is a complicated multifactorial complication that may be influenced by the type of cancer as well as by the genetic background and inheritance of thrombophilic variants and elevated concentrations of coagulation factors. Several studies have shown the prominent role of inherited thrombophilias, such as prothrombin 20210, factor V Leiden, factor XIII Val34Leu, MTHFR C677T, in the occurrence of CAT, while others have found no correlation between them and CAT. In the present review, we have attempted to investigate the possible role of inherited thrombophilia in the occurrence of CAT., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Chitosan (CTS) is one of the natural healers' alternatives to chemical products within the scope of good agricultural practices. It can be used in the improvement of agriculture (prevention of toxic metal uptake by plants) due to its chelating feature of metal ions. This study aims to investigate the effectiveness of chitosan in eliminating the negative effects of cadmium (Cd) stress on pepper ( Capsicum annum L.). The results showed that Cd stress significantly decreased plant growth, chlorophyll content, and leaf water relative content, followed by an increase in proline, antioxidant enzyme activities, and abscisic acid (ABA) content. According to the results, Cd treatment (200 mg kg-1) significantly increased the aspartate, glutamate, asparagine, histidine, and phenylalanine content, while it significantly decreased the content of endogenous hormones such as gibberellic acid (GA), indole-3-acetic acid (IAA), and salicylic acid (SA). However, CTS application decreased the uptake of Cd and caused a decrease in hydrogen peroxide (H 2 O 2 ), abscisic acid (ABA), and melondialdehyde (MDA) content, as well as an increase in plant performance, and GA, IAA, and SA content in the plants grown under Cd pollution compared to the ones treated with Cd and without CTS. This study suggests that CTS application helps pepper seedlings tolerate Cd stress through a decrease in Cd uptake, and an increase in amino acids and hormone content., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 Published by Elsevier Ltd.)

Background: The increase in deaths due to COVID-19 has increased anxiety among the treatment staff. Therefore, the purpose of this research was to model the structural equations of the anxiety level of corona based on psychological hardness and physical activities in the treatment staff of Ilam province with the mediator role of professional identity., Materials and Methods: Based on the purpose, the method of this research is applied and based on how to obtain the data it is descriptive-correlational. The statistical population of the research includes all the treatment staff of Ilam province, with the number of 1900 people who were selected using Morgan's table, 320 people with the stratified sampling method as the sample. To collect the data, four standard questionnaires were used: Alipour et al . (2020) coronavirus anxiety questionnaire, Kiamarsi et al . (1998) psychological hardness, Baecke et al . (1982) physical activity, Hao et al . (2014) professional identity, and their validity and reliability were also confirmed. To analyze the data, from the indicators of descriptive statistics, Pearson's correlation coefficient test and structural equation model method (SEM) were used using SPSS and Amos software., Results: The results of the research showed that psychological hardness, physical activities, and professional identity have a significant and inverse effect on the anxiety caused by corona, and the mediator role of professional identity in the relationship between physical activities and corona anxiety was confirmed, but this role was not confirmed in the relationship between psychological hardness and corona anxiety., Conclusion: To reduce the anxiety of the coronavirus in the treatment staff, the managers of the health and treatment centers of Ilam province should pay special attention to the employees' perceptions of psychological hardness, physical activities, and professional identity and provide them with the opportunity to create sports activities., Competing Interests: There are no conflicts of interest., (Copyright: © 2024 Journal of Education and Health Promotion.)

Background: Alzheimer's disease is a neurological disease characterized by the build-up of amyloid beta peptide (Aβ) and lipopolysaccharide (LPS), which causes synapse dysfunction, cell death, and neuro-inflammation. A maladaptive unfolded protein response (UPR), excessive autophagy, and pyroptosis aggravate the disease. Melatonin (MEL) and hydroxybutyrate (BHB) have both shown promise in terms of decreasing Aβ pathology. The goal of this study was to see how BHB and MEL affected the UPR, autophagy, and pyroptosis pathways in Aβ1-42 and LPS-induced SH-SY5Y cells., Materials and Methods: Human neuroblastoma SH-SY5Y cells were treated with BHB, MEL, or a combination of the two after being exposed to A β1-42 and LPS. Cell viability was determined using the MTT test, and gene expression levels of UPR (ATF6, PERK, and CHOP), autophagy (Beclin-1, LC3II, P62, and Atg5), and pyroptosis-related markers (NLRP3, TXNIP, IL-1β, and NFκB1) were determined using quantitative Real-Time PCR (qRT-PCR). For statistical analysis, one-way ANOVA was employed, followed by Tukey's post hoc test., Results: BHB and MEL significantly increased SH-SY5Y cell viability in the presence of A β1-42 and LPS. Both compounds inhibited the expression of maladaptive UPR and autophagy-related genes, as well as inflammatory and pyroptotic markers caused by Aβ1-42 and LPS-induced SH-SY5Y cells., Conclusion: BHB and MEL rescue neurons in A β1-42 and LPS-induced SH-SY5Y cells by reducing maladaptive UPR, excessive autophagy, and pyroptosis. More research is needed to fully comprehend the processes behind their beneficial effects and to discover their practical applications in the treatment of neurodegenerative disorders., (© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)

Child and adolescent psychiatrists (CAPs) play a crucial role beyond the provision of clinical care. CAPs are uniquely placed to understand and help patients navigate the fine line among psychiatric care, health and well-being, and the laws and policies supporting or impairing these processes. Focusing on vulnerable populations, such as legal system impacted youth and families, CAPs can contribute to the ongoing development of a more just and equitable world for the children of today and of tomorrow., Competing Interests: Disclosure The authors have no disclosures. Dr. Marina Toulu-Shams has received funding from NIDA K24DA046569., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Introduction: Complementary and alternative medicine (CAM) has gained popularity as a therapeutic approach outside conventional medicine for various medical conditions. This study aimed to assess the prevalence, patterns, and disclosure of CAM use among patients with thyroid diseases in Iran., Methods: This descriptive-analytic cross-sectional study involved patients with thyroid diseases who were visiting Internal Medicine Clinics in Shiraz. The use of CAM was assessed by employing the Persian edition of the I-CAM-Q (I-CAM-IR) questionnaire., Results: A total of 343 individuals took part in the study, and 85.4 % of them reported using CAM within the previous 12 months. Medicinal herbs were the most commonly used CAM modality (63 %). CAM use was primarily for enhancing overall well-being. Among self-care CAM practices, praying was the most frequently employed (70 %). Women exhibited a significantly higher CAM utilization rate (four times greater) compared to men (p < 0.001), with herbs being more commonly used by women (p < 0.001). A significant proportion of participants did not inform their physicians about their CAM use, and 46 % experienced significant benefits from using CAM., Conclusion: This study highlights a high prevalence of CAM use, particularly herbal remedies, among Iranian patients with thyroid diseases., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

Hypercoagulability is a prominent feature of coronavirus disease 2019 (COVID-19) and can lead to fatal consequences. Although the impact of COVID-19 on several disorders is well-established, its effect on congenital bleeding disorders (CBDs) is not well-documented. To address this ambiguity, a systematic review was conducted on the available studies to determine the impact of COVID-19 and vaccination aimed to prevent COVID-19 on patients with CBDs. We performed a systematic literature review using relevant keywords and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol. We conducted our search on the PubMed, Scopus, and Web of Science databases until July 2023. Out of 31 included studies, 12 case series covering 770 patients with CBD and COVID-19 were further analyzed. The majority of the patients had hemophilia A ( n  = 352, ∼46%) or hemophilia B ( n  = 74, ∼10%), while the remaining patients had von Willebrand disease ( n  = 43, 5.6%) or rare bleeding disorders (n = 27, 3.5%). A total of 25 deaths (3.2%) and 22 intensive care unit admissions (2.8%) were recorded. Bleeding complications were reported in the majority of the 12 case series ( n  = 7, 58.3%) and in most of the case reports ( n  = 8, ∼57%), while thrombotic complications were only reported in two studies (16.6%). The mortality rate ranged from 0% in five studies (41.6%) to 5.7% and the rate of hospitalization ranged from 0 to 40%. Bleeding complications were reported in a range of 0 to 81%, while the thrombotic complication rate in one study was 6.9%. The mortality rate varied from 0 to 5.7%, and the hospitalization rate ranged from 0 to 40%. Bleeding complications were reported in a range of 0 to 81%, while the rate of thrombotic complications in one study was 6.9%. Vaccination was reported in five case series, which included 821 patients with CBDs with the majority having hemophilia A ( n  = 479; 67.2%) and hemophilia B ( n  = 85; ∼12%). The most frequently reported side effects were myalgia (6.5%), flu-like symptoms (4.8%), fever (4.7%), and headache (4%). COVID-19 in patients with CBDs appears to provoke thrombotic complications and bleeding events more frequently, as well as a higher rate of hospitalization, which may be partially due to the increased risk of bleeding events. Although it seems that patients with CBD have lower mortality rates, further studies are necessary to fully understand this, especially considering comorbidities and low number of available studies., Competing Interests: None declared., (Thieme. All rights reserved.)

In computational fluid dynamic studies related to blood flow, investigating the behavior of blood particles is crucial, especially red blood cells as they constitute a significant proportion of blood particles. Additionally, studying red blood cell movements is necessary, especially in stenotic artery geometries. A new multiphase scheme was utilized to demonstrate the effect of red blood cells on hemodynamics in complex coronary arteries and investigate the consequence of their motion. To investigate the effect of red blood cell movement on flow, the dense discrete phase model (DDPM) was used. This simulation was performed in 3D coronary arteries with different degrees of stenosis, utilizing blood pressure as inlet and outlet boundary conditions while assuming the arterial wall to be rigid. The model prediction shows good agreement with experimental data. Velocity values were comparable in both single-phase and two-phase flow simulations, but the shear stress in two-phase modeling had higher values. In the two-phase DDPM modeling, the recirculation areas indicated a higher probability of atherosclerosis plaque re-formation in the pre-stenosis area compared to the stenosis and post-stenosis areas. The DDPM model was found to be more effective in obtaining shear stress values in the artery. Additionally, this model provides good results compared to the single-phase model in investigating the movement of particles along the artery as well as recirculation areas that lead to the deposition of particles., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships and funding that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Ltd.)

A total of 360 fecal samples were randomly collected from 150 cattle, 150 sheep, and 60 humans (30 people with close animal contact and 30 individuals without close animal contact) at 10 farms in Ilam, western Iran from June 2022 to August 2023. All samples were directly examined for Blastocystis by zinc sulfate flotation, followed by microscopic observation. Positive samples were further subtyped using conventional PCR and sequencing methods. A mean prevalence of 5.3% (16/300) was estimated for Blastocystis infection among examined animals, with 6% and 4.7% for cattle and sheep, respectively. Among the people who had close and non-close animal contact, 16.7% (5/30) and 3.3% (1/30) were infected with Blastocystis, respectively (p < 0.05). All 22 positive samples were successfully sequenced at the SSU rRNA locus. Accordingly, Blastocystis isolates infecting domestic animals in Ilam belonged to the four STs (ST1-ST3, and ST10). Of the 16 animal isolates, nine sequences (four ST10, three ST3, and two ST1) were related to cattle, and seven sequences (three ST10, two ST3, and two ST2) were isolated from sheep. Among the six human isolates, ST3 was the most predominant ST, followed by STs 1, 2, 6, and 7 (one case each). Of note, ST1-ST3 were isolated in various farms both from animals and their breeders, which indicates the possible circulation of these STs between animal and human populations., (© 2024 International Society of Protistologists.)

This study presents a methodology for optimizing key parameters of a fused deposition modeling (FDM) printer to minimize energy consumption (EC) while exceeding a specified tensile strength (TS) threshold. Employing Design of Experiments (DoE) with Taguchi and Response Surface analysis, we identify influential parameters affecting TS and EC. A Mixed-Integer Nonlinear Multi-Objective Optimization model is then utilized to balance TS and EC, resulting in optimal parameter values. Validation using fabricated specimens demonstrates less than 5 % error in Tensile Strength and less than 2 % error in Energy Consumption, confirming the efficacy of the proposed methodology., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

Youth in the legal system (YILS) report high rates of substance use (SU), complex family/social relationships, and chronic trauma. The current study tested the feasibility of a prevention intervention, Trust-based Relational Intervention® (TBRI®), that leverages family systems by strengthening connection and providing emotional and instrumental guidance and support. TBRI includes the primary TBRI Intervention , comprised of Caregiver Training, Youth Training, and joint youth-caregiver Nurture Groups, and TBRI Family Coaching . With a sample of eight youth-caregiver dyads, the study adopted a mixed-methods design with a multi-informant approach to fulfill two goals: (1) testing TBRI as a prevention intervention for opioid use (OU), other SU, and related issues, and (2) testing the feasibility and acceptability of the TBRI Intervention by virtual delivery. Session attendance and completion rates demonstrated feasibility of recruiting and retaining participants and intervention fidelity. Preliminary results were reported on intervention outcomes, including OU and other SU, illegal activities, and educational attainment. Pre- and post-intervention comparisons showed decreases in youth negative urgency, conduct problems, and hyperactivity. Caregiver and staff participants responded favorably to TBRI and its virtual delivery; youth were more capable of expressing their needs and acknowledged the importance of families in preventing problems after discharge from secure facilities. While acknowledging sufficiency of intervention content, caregivers expressed the desire for more sessions. Results demonstrate the feasibility and acceptability of a trauma-informed, attachment-based prevention intervention for youth and families in contact with the legal system. TBRI is a promising approach for preventing the initiation or escalation of OU among YILS., Competing Interests: Conflict of interestThe authors have no financial interests to disclose., (© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)

Background: β-thalassemia is a group of inherited blood disorders that affect the production of β-globin chains, leading to the reduction or absence of these chains. One of the complications observed in patients with β-thalassemia major (β-TM) is thrombosis, especially in those who receive frequent blood transfusions. This may be due to a decrease in the levels of the natural anticoagulants: protein C (PC), total protein S (PS), and antithrombin (AT)., Methods: In this case-control study, patients with β-TM, who had received at least 20 packed cell transfusions during their lifetime, were included. Patients with other underlying diseases like bleeding or thrombotic disorders were excluded. Totally, 118 patients with β-TM and 120 healthy individuals were included., Results: The mean level of PC and AT was significantly lower in patients with β-TM (48.2 ± 65.4 and 57.42 ± 13.6, respectively) compared to the control group (97.1 ± 21.46 and 81.79 ± 14.3, respectively), with P value of 0.001 and 0.01, respectively. Although the difference was not statistically significant (P = 0.1), a similar trend was observed for total PS (61.12 ± 21.12 for patients versus 72.2 ± 35.2 for the control group). Of note, the decrease in PC, AT, and total PS levels compared to the control group was 50.36%, 27.5%, and 15.34%, respectively., Conclusions: It seems that β-TM patients who receive prolonged blood transfusions frequently are at an increased risk of decreased in natural anticoagulants levels and therefore potentially are at risk of thrombosis., Competing Interests: The authors declare no conflict of interest., (Copyright 2024, Ahmadi et al.)

The prothrombin time (PT) test is commonly used to monitor deficiencies in coagulation factors. A prolonged PT may indicate a deficiency of factors II, V, VII, X, and fibrinogen, or the presence of an inhibitor. However, further tests are required to differentiate between a true factor deficiency and the presence of an inhibitor. It is important to note that falsely prolonged PT can lead to misdiagnosis and inappropriate clinical intervention that can have life-threatening consequences. A 19-year-old woman with elevated hematocrit levels and prolonged PT was diagnosed with secondary erythrocytosis due to cyanotic congenital heart disease with ventricular septal defect (VSD). However, further investigation revealed that the prolonged PT result was false. Excess citrate in the blood sample, caused by polycythemia, led to this misleading outcome, resulting in unnecessary and potentially harmful treatment. This incident emphasizes the importance of laboratory personnel and clinicians being aware of the test's limitations. Not only should specialists in thrombosis and hemostasis possess this knowledge, but it is also pertinent for general laboratory staff, as well as laboratory directors and specialists. The significance of accurate laboratory testing for the proper diagnosis and treatment of patients is highlighted in this case., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)