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The widespread adoption of automatic milking systems (AMS) in the United States has afforded dairy cows the flexibility to establish personalized milking, feeding, and resting schedules. Our study focused on investigating the short-term effects of transitioning milking permissions from every 4 (MP4) to 6 (MP6) hours on the 100th day of lactation on milking frequency, milk yields, and cow behavior. Twenty-four Holstein dairy cows were divided into control (maintaining a 4 h milking interval) and test groups (transitioning to a 6 h milking interval) and observed for 6 days. The analysis revealed that parity and treatment had no significant impact on milking frequency, milk/visit, or daily milk yield. However, multiparous cows spent more time inside the commitment pen, while test group cows exhibited more tail-swishing and displacement behavior, approached the AMS more frequently, and spent longer idle times. The interaction between parity and treatment influenced heart rate variability parameters, indicating increased stress in the test group cows. Additionally, the test group cows had greater total and daytime lying frequencies, suggesting short-term behavioral modifications. Despite no immediate impact on milk production, further research is recommended to assess the potential long-term effects on milk yield in AMS farms, considering the identified stress indicators short-term.

Boron supplementation may improve the musculoskeletal health of pullets before entering the lay phase. This study aimed to evaluate the effects of different boron amounts on the performance, muscle deposition, tibia cross-sectional area (CSA) and mineral density (BMD), ash percent, breaking strength, and bone mineralization (bone-specific alkaline phosphatase [BALP] and pro-collagen type 1 n-terminal propeptide [P1NP]) of a white-feathered strain of pullets. A total of 528 Hy-Line W-36 pullets were distributed across 24 pens and fed basal diets containing varying amounts of boron (C: 0 mg/kg; L: 50 mg/kg; M: 100 mg/kg; H: 150 mg/kg) for 17 weeks. Performance parameters (body weight, average daily weight gain/bird, and average daily feed intake/bird) were measured at weeks 4, 7, 10, 13, and 16, while all other measures were taken at 11 and 17 weeks of age. Performance was not impacted by boron supplementation. Pectoralis major weights were higher in H pullets at 11 weeks of age, and we also observed higher pectoralis major, minor, and leg muscle weights in H pullets at 17 weeks of age. Pullets fed the H diet had larger cortical CSA than the other treatment groups at 11 weeks of age. At 17 weeks of age, both the H and M groups had larger cortical CSA than the L and C groups, but the M group had slightly smaller cortical CSA. Pullets fed the H diet had higher BMD values than the other treatment groups at 11 weeks of age. At 17 weeks of age, pullets fed the H diet had the highest total BMD values compared to the other treatment groups, and cortical BMD increased with increasing boron inclusion. Pullets fed the H diet had the highest tibia ash percentages and concentrations of BALP and P1NP. Pullets fed the M and H diets had greater failure load and maximum bending moment than pullets fed the L or C diet at 11 weeks of age, with H pullets having greater stiffness values than other groups. At 17 weeks of age, pullets fed the H diet had greater failure load and maximum bending moment compared to all other treatment groups. Our results suggest that providing boron within the diet at 150 mg/kg can improve the musculoskeletal characteristics of Hy-Line W-36 pullets up to 17 weeks of age, without impacting performance parameters.

The overarching goal of this paper is to explore innovative ways to adapt existing urban infrastructure to achieve a greener and more resilient city, specifically on synergies between the power grid, the wastewater treatment system, and community development in low-lying coastal areas. This study addresses the technical feasibility, benefits, and barriers of using wastewater resource recovery facilities (WRRFs) as community-scale microgrids. These microgrids will act as central resilience and community development hubs, enabling the adoption of renewable energy and the provision of ongoing services under emergency conditions. Load flow modeling and analysis were carried out using real network data for a case study in New York City (NYC). The results validate the hypothesis that distributed energy resources (DERs) at WRRFs can play a role in improving grid operation and resiliency.

Silicate gels have long been utilized as water shut-off agents in petroleum fields to address excessive water production. In recent years, nano-silica gel has emerged as a promising alternative to traditional silicate gels, offering potentially improved plugging performance. However, the long-term effectiveness of these gels remains uncertain, posing challenges to sustained profitability. Therefore, a comprehensive study spanning 6 months was conducted on fractured and induced channel samples treated with nano-silica gel of 75/25 wt% (silica/activator) at 200 °F. A comparative analysis was performed with samples treated using polyacrylamide/polyethyleneimine PAM/PEI gel (9/1 wt%) to compare the performance of both systems. Throughout the aging period in formation water at 167 °F, endurance tests were conducted at regular intervals, complemented by computed tomography (CT) scans to monitor any potential degradation. The results revealed nano-silica gel’s superior long-term performance in plugging fractures and channels compared to PAM/PEI gel. Even after 6 months, the nano-silica gel maintained a remarkable 100% plugging efficiency at 1000 psi, with a maximum leak-off rate of 0.088 cc/min in the mid-fractured sample and 0.027 in the induced channel sample. In comparison, PAM/PEI gel exhibited a reduction in efficiency to 99.15% in the fractured sample (5.5 cc/min maximum leak-off rate) and 99.99% in the induced channel sample (0.036 cc/min maximum leak-off rate). These findings highlight the potential of nano-silica gel as a more durable water shut-off agent for managing water production in fractures and channels.

Population movement dynamics are a critical part of understanding communicable disease transmission patterns and determining where, when, and with whom to deliver appropriate prevention interventions. This study aimed to identify the origin of the Afghan population and their patterns of movement within Karachi, to assess the polio vaccination status of children under the age of five, and to investigate the travel history and guest arrival patterns of individuals from Afghanistan and other regions known to be affected by wild poliovirus type 1 (WPV1) within the past six months. A cross-sectional survey was conducted in selected 12 union councils of Karachi, Pakistan. The data were collected through interviews with Afghan household members and from the frontline workers (FLWs) responsible for the polio vaccination of the children of the same households. Cohen’s kappa was used to check the agreement between information provided by the household participant and FLWs. A total of 409 Afghan household members were interviewed. Travel of any household member outside the city within the last six months was reported by 105 (25.7%) participants, 140 (34.2%) hosted guests within the last six months, and 92 (22.5%) participants reported that guest children were vaccinated in their households. A total of 230 (56.2%) participants observed polio teams at relatives’ households within Karachi, and 127 (31.1%) observed polio teams at relatives’ households outside Karachi in different districts of Pakistan and Afghanistan. Fair to moderate agreement was observed between information provided by the household members and FLWs on the variable’s duration of living at current residence (Kappa = 0.370), travel history (Kappa = 0.429), guest arrival (Kappa = 0.395), and household children vaccinated for OPV (Kappa = 0.419). Substantial population mobility was observed between Afghanistan and Pakistan as well as significant movement of the Afghan population within Karachi in the last six months. These findings warrant attention and targeted implementation of interventions to enhance and sustain both routine and supplementary immunization activities within this demographic group.

Using geochemical and pumping test data from 80 groundwater wells, the chemical, hydrologic, and hydraulic properties of the fractured Eocene carbonate aquifer located west of the Al-Minya district, the Western Desert, Egypt, have been characterized and determined to guarantee sustainable management of groundwater resources under large-scale desert reclamation projects. The hydrochemical data show that groundwater from the fractured Eocene carbonate aquifer has a high concentration of Na+ and Cl− and varies in salinity from 2176 to 2912 mg/L (brackish water). Water–rock interaction and ion exchange processes are the most dominant processes controlling groundwater composition. The carbonate aquifer exists under confined to semi-confined conditions, and the depth to groundwater increases eastward. From the potentiometric head data, deep-seated faults are the suggested pathways for gas-rich water ascending from the deep Nubian aquifer system into the overlying shallow carbonate aquifer. This mechanism enhances the dissolution and karstification of carbonate rocks, especially in the vicinity of faulted sites, and is supported by the significant loss of mud circulation during well drilling operations. The average estimated hydraulic parameters, based on the analysis of step-drawdown, long-duration pumping and recovery tests, indicate that the Eocene carbonate aquifer has a wide range of transmissivity (T) that is between 336.39 and 389,309.28 m2/d (average: 18,405.21 m2/d), hydraulic conductivity (K) between 1.31 and 1420.84 m/d (average: 70.29 m/d), and specific capacity (Sc) between 44.4 and 17,376.24 m2/d (average: 45.24 m2/d). On the other hand, the performance characteristics of drilled wells show that well efficiency ranges between 0.47 and 97.08%, and well losses range between 2.92 and 99.53%. In addition to variations in carbonate aquifer thickness and clay/shale content, the existence of strong karstification features, i.e., fissures, fractures or caverns, and solution cavities, in the Eocene carbonate aquifer are responsible for variability in the K and T values. The observed high well losses might be related to turbulent flow within and adjacent to the wells drilled in conductive fracture zones. The current approach can be further used to enhance local aquifer models and improve strategies for identifying the most productive zones in similar aquifer systems.

The Wadi El-Rayan lakes are important aquatic environments located at the border of the great North African Sahara. Quantifying the temporal changes in these lakes due to natural and/or anthropogenic stressors is critical when assessing potential impacts on aquatic ecosystem health and the sustainability of fisheries. To detect the changes in fish communities and their drivers, the landing composition of the Wadi El-Rayan lakes over the past 30 years was quantitatively analyzed. The areas of the lakes dramatically decreased from 110 km2 in 1991 to 73 km2 in 2019. The loss of the lake area was attributed to climate warming, where the evaporation rate exceeded the volume of recharge and the recharge decreased due to an increase in agriculture and aquaculture. The total landing significantly increased in the past three decades due to an increase in the fishing effort (number of licensed boats). Nile tilapia, mullet, and grass carp dominated the landings. The pelagic-to-demersal ratio indicated a shift in the fish community composition towards demersal species. This shift was attributed to an increase in the eutrophication level. The fish communities of the landing data were clustered into four distinct groups. These clusters were significantly differentiated (p < 0.001) in both a PERMANOVA test and a PCA plot. There was a gradual replacement of the dominant species among these clusters. The most recent cluster (2018–2019) was characterized by rare species dominating the community. This shift in species composition suggests that target taxa may have been overexploited. The total landing also decreased, which may have been a result of climate warming. Furthermore, the presence of alien and warm-water species significantly increased. The fish community structure and composition shift could be attributed to anthropogenic (mismanagement) and natural climatic changes (warming).

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As an environmentally friendly material, biochar is increasingly being utilized in the field of heat transfer and thermal conduction. In this study, nano-biochar was prepared from high-pressure homogenization (HPH) using sesame stalks as the raw material. It was incorporated into ethylene glycol (EG) and its dispersion stability, viscosity, and thermal conductivity were investigated. The nano-biochar was stably dispersed in EG for 28 days. When the concentration of the nano-biochar added to EG was less than 1%, the impact on viscosity was negligible. The addition of 5 wt.% nano-biochar to EG improved the thermal conductivity by 6.72%, which could be attributed to the graphitized structure and Brownian motion of the nano-biochar. Overall, nano-biochar has the potential to be applied in automotive thermal management.

Waste from non-degradable packaging materials poses a serious environmental risk and has led to interest in developing sustainable bio-based packaging materials. Sustainable packaging materials have been made from diverse naturally derived materials such as bamboo, sugarcane, and corn starch. In this study, we made a sustainable packaging film using chitosan extracted from the biomass of yellow mealworm (Tenebrio molitor) shell waste. The extracted chitosan was used to create films, cross-linked with citric acid (CA) and with the addition of glycerol to impart flexibility, using the solvent casting method. The successful cross-linking was evaluated using Fourier-Transform Infrared (FTIR) analysis. The CA cross-linked mealworm chitosan (CAMC) films exhibited improved water resistance with moisture content reduced from 19.9 to 14.5%. Improved barrier properties were also noted, with a 28.7% and 10.2% decrease in vapor permeability and vapor transmission rate, respectively. Bananas were selected for food preservation, and significant changes were observed over a duration of 10 days. Compared to the control sample, bananas packaged in CAMC pouches exhibited a lesser loss in weight because of excellent barrier properties against water vapor. Moreover, the quality and texture of bananas packaged in CAMC pouch remained intact over the duration of the experiment. This indicates that adding citric acid and glycerol to the chitosan structure holds promise for effective food wrapping and contributes to the enhancement of banana shelf life. Through this study, we concluded that chitosan film derived from mealworm biomass has potential as a valuable resource for sustainable packaging solutions, promoting the adoption of environmentally friendly practices in the food industry.

This literature review explores the pivotal role of brain–computer interface (BCI) technology, coupled with electroencephalogram (EEG) technology, in advancing rehabilitation for individuals with damaged muscles and motor systems. This study provides a comprehensive overview of recent developments in BCI and motor control for rehabilitation, emphasizing the integration of user-friendly technological support and robotic prosthetics powered by brain activity. This review critically examines the latest strides in BCI technology and its application in motor skill recovery. Special attention is given to prevalent EEG devices adaptable for BCI-driven rehabilitation. The study surveys significant contributions in the realm of machine learning-based and deep learning-based rehabilitation evaluation. The integration of BCI with EEG technology demonstrates promising outcomes for enhancing motor skills in rehabilitation. The study identifies key EEG devices suitable for BCI applications, discusses advancements in machine learning approaches for rehabilitation assessment, and highlights the emergence of novel robotic prosthetics powered by brain activity. Furthermore, it showcases successful case studies illustrating the practical implementation of BCI-driven rehabilitation techniques and their positive impact on diverse patient populations. This review serves as a cornerstone for informed decision-making in the field of BCI technology for rehabilitation. The results highlight BCI’s diverse advantages, enhancing motor control and robotic integration. The findings highlight the potential of BCI in reshaping rehabilitation practices and offer insights and recommendations for future research directions. This study contributes significantly to the ongoing transformation of BCI technology, particularly through the utilization of EEG equipment, providing a roadmap for researchers in this dynamic domain.

The incorporation of fiber reinforcements into polymer matrices has emerged as an effective strategy to enhance the mechanical properties of composites. This study investigated the tensile and fracture behavior of 3D-printed polylactic acid (PLA) composites reinforced with chopped carbon fibers (CCFs) through experimental characterization and finite element analysis (FEA). Composite samples with varying CCF orientations (0°, 0°/90°, +45°/−45°, and 0°/+45°/−45°/90°) were fabricated via fused filament fabrication (FFF) and subjected to tensile and single-edge notched bend (SENB) tests. The experimental results revealed a significant improvement in tensile strength, elastic modulus, and fracture toughness compared to unreinforced PLA. The 0°/+45°/90° orientation exhibited a 3.6% increase in tensile strength, while the +45°/−45° orientation displayed a 29.9% enhancement in elastic modulus and a 29.9% improvement in fracture toughness (259.12 MPa) relative to neat PLA (199.34 MPa√m). An inverse correlation between tensile strength and fracture toughness was observed, attributed to mechanisms such as crack deflection, fiber bridging, and fiber pull-out facilitated by multi-directional fiber orientations. FEA simulations incorporating a transversely isotropic material model and the J-integral approach were conducted using Abaqus, accurately predicting fracture toughness trends with a maximum discrepancy of 8% compared to experimental data. Fractographic analysis elucidated the strengthening mechanisms, highlighting the potential of tailoring CCF orientation to optimize mechanical performance for structural applications.

Salvia guaranitica is considered one of the most significant medicinal and aromatic herbs in terms of nutritional and medical benefits due to its wealth of important active components. Among these compounds, terpenoids are the most prominent and abundant, particularly monoterpenes (C10), sesquiterpenes (C15), and diterpenes (C20). They are biologically advantageous to plants and perform a multitude of functions. The current study aimed to clone the S. guaranitica gene that encodes for geranyllinalool synthases (SgGES, EC: 4.2.3.144), with consideration for these features. The open reading frame of the 867-amino-acid protein encoded by SgGES consists of 2.721 base pairs. In addition, the SgGES protein has five domains that belong to the terpene synthase family, which are related to the terpene and terpenoid synthase domains. We manipulated and overexpressed the SgGES gene in Nicotiana tabacum to explore its function. When compared to the GUS control, the transgenic N. tabacum plants displayed an increase in leaf production and diameter when compared with the wild-type plants. Finally, analysis of transgenic plants using gas chromatography/mass spectrometry (GC-MS) showed that SgGES is responsible for producing various terpene species, especially diterpenes.

This research article concentrates on process conditions in addition to improving color selections in polymer compounders and developing more accurate simulation models. The feed rate (FR), temperature (T) and screw speed (SS) are three processing variables that the research investigates using general trends (GTs) and Box–Behnken design (BBD) response surface methodology. The identical set of processing settings was tweaked at three separate phases independently of one another. This study uses the experimental design to investigate process parameters’ optimization while holding all other parameters constant. This design was given the name GT. To develop this design and its statistical optimization, this study used the software of the design expert method. A regression model was run in this design, which displayed collective as well as individual effects of the parameters on color images. The values of tri-stimulus color with the best optimization had the smallest proper color variance (dE*). To obtain information on pigment characteristics, an SEM image analysis was conducted, which aids in improving future designs and overcoming manufacturing issues that affect color fluctuation properties and waste reduction for various chemical grades, both of which enhance environmentally friendly processes.

The chemical industry explosion in the 20th century has led to increased environmental pollution, affecting fauna, flora, and waterways. These substances alter water’s taste, color, and smell, making it unfit for consumption or toxic. Agricultural water networks face threats from pollution before and after treatment. Some chemical contaminants, like pesticides, are embedded in natural biogeochemical cycles. In this study, we developed a simple and low-cost procedure for the fabrication of needles coated with polydimethylsiloxane (PDMS) as an efficient sorbent for the microextraction of organic pollutant traces from water. The prepared needles were used as an alternative for commercial solid-phase micro-extraction (SPME) devices in analytical chemistry. The PDMS polymeric phase was characterized by Fourier-transform infrared spectroscopy (FT-IR), thermogravimetry (TGA), and scanning electron microscopy (SEM). The PDMS-coated needles were used for extraction of thirteen pesticides by direct-immersion solid-phase microextraction (DI-SPME) from contaminated waters, followed by determination with gas chromatography-mass spectrometry (GC-MS). The developed analytical method showed limits of detection (LODs) between 0.3 and 2.5 ng mL−1 and RSDs in the range of 0.8–12.2%. The homemade needles were applied for the extraction of pesticides in surface and ground aqueous samples collected from an agricultural area. Several target pesticides were identified and quantified in the investigated water samples.

Quantifying evapotranspiration (ET) is crucial for a valid understanding of the global water cycle and for the precise management of the resource. However, accurately estimating ET, especially at large scales, has always been a challenge. Over the past five decades, remote sensing has emerged as a cost-effective solution for estimating ET at regional and global scales. Numerous models have been developed, offering valuable insights into ET dynamics, allowing for large-scale, accurate, and continuous monitoring while presenting varying degrees of complexity. They mainly belong to two categories despite the variability of their empirical or physical components: temperature and conductance-based models. This comprehensive review synthesizes the fundamental theories and development history of the most used temperature-based models. It focuses on this specific category to maintain conciseness and prevent extended work. It describes the approaches used and presents the chronology of the modifications made and suggested by researchers. Moreover, it highlights the validation studies and the models’ advantages and drawbacks. The review addresses the long-standing challenge of accurately quantifying evapotranspiration at different scales, offers a retrospective comparative analysis spanning a 15-year period, and supports practitioners in selecting the most appropriate model for a specific set of conditions. Moreover, it discusses advancements in satellite missions, such as the Copernicus Space Component and Landsat Next, and their impact on enhancing ET estimation models.

Ficus palmata is an important fig species that produces edible and nutritious fruit and possesses several therapeutic uses. This study reports an effective method for the micropropagation of F. palmata using nodal explants. In vitro shoots were cultured for 7 weeks onto MS medium fortified with different concentrations of cytokinins, light intensities, sucrose concentrations, and light/dark incubation treatments. Optimal axillary shoot proliferation (10.9 shoots per explant) was obtained on a medium containing 30 g/L sucrose and supplemented with 2 mg/L 6-benzylaminopurine (BAP) under 35 μmol/m2/s light intensity. Dark incubation limited the foliage growth but favored shoot elongation and rooting compared with light incubation. Elongated shoots, under dark conditions, were rooted (100%; 6.67 roots per explant) onto MS medium containing 1 mg/L indole-3-acetic acid (IAA) and 1.5 g/L activated charcoal. The micropropagated plantlets were acclimatized with a 95% survival rate. In this study, the genetic fidelity of micropropagated F. palmata clones along with their mother plant was tested using randomly amplified polymorphic DNA (RAPD), inter-simple sequence repeats (ISSR), and start codon targeted (SCoT) molecular markers. The genetic similarity between the micropropagated plantlets and the mother plant of F. palmata was nearly 95.9%, assuring high uniformity and true-to-type regenerated plants. Using micropropagated F. palmata plantlets as a rootstock proved appropriate for the grafting F. carica ‘Brown Turkey’. These findings contribute to the commercial propagation and production of the fig crop.

Drinking water defluoridation has attracted significant attention in the scientific community, from which membrane technology, by exploring thin film nanocomposite (TFN) membranes, has demonstrated a great potential for treating fluoride-contaminated water. This study investigates the development of a TFN membrane by integrating titanium oxide nanosheets (TiO2 NSs) into the polyamide (PA) layer using interfacial polymerization. The characterization results suggest that successfully incorporating TiO2 NSs into the PA layer of the TFN membrane led to a surface with a high negative charge, hydrophilic properties, and a smooth surface at the nanoscale. The TFN membrane, containing 80 ppm of TiO2 NSs, demonstrated a notably high fluoride rejection rate of 98%. The Donnan-steric-pore-model-dielectric-exclusion model was employed to analyze the effect of embedding TiO2 NSs into the PA layer of TFN on membrane properties, including charge density (Xd), the pore radius (rp), and pore dielectric constant (εp). The results indicated that embedding TiO2 NSs increased Xd and decreased the εp by less than the TFC membrane without significantly affecting the rp. The resulting TFN membrane demonstrates promising potential for application in water treatment systems, providing an effective and sustainable solution for fluoride remediation in drinking water.

Pakistan is one of two countries globally still endemic for poliovirus. While increasing immunization coverage is a concern, providing equitable access to care is also a priority, especially for conflict-affected populations. Recognizing these challenges, Naunehal, an integrated model of maternal, newborn, and child health (MNCH), immunization, and nutrition services delivered through community mobilization, mobile outreach, and private-sector engagement was implemented in conflict-affected union councils (UCs) with high poliovirus transmission, including Kharotabad 1(Quetta, Balochistan) and Bakhmal Ahmedzai (Lakki Marwat, Khyber Pakhtunkhwa). A quasi-experimental pre–post-design was used to assess the impact of the interventions implemented between April 2021 and April 2022, with a baseline and an endline survey. For each of the intervention UCs, a separate, matched-control UC was identified. At endline, the proportion of fully immunized children increased significantly from 27.5% to 51.0% in intervention UCs with a difference-in-difference (DiD) estimate of 13.6%. The proportion of zero-dose children and non-recipients of routine immunization (NR-RI) children decreased from 31.6% to 0.9% and from 31.9% to 3.4%, respectively, with a significant decrease in the latter group. Scaling up and assessing the adoption and feasibility of integrated interventions to improve immunization coverage can inform policymakers of the viability of such services in such contexts.

This study investigated the impact of auditory stimuli on muscular activation patterns using wearable surface electromyography (EMG) sensors. Employing four key muscles (Sternocleidomastoid Muscle (SCM), Cervical Erector Muscle (CEM), Quadricep Muscles (QMs), and Tibialis Muscle (TM)) and time domain features, we differentiated the effects of four interventions: silence, music, positive reinforcement, and negative reinforcement. The results demonstrated distinct muscle responses to the interventions, with the SCM and CEM being the most sensitive to changes and the TM being the most active and stimulus dependent. Post hoc analyses revealed significant intervention-specific activations in the CEM and TM for specific time points and intervention pairs, suggesting dynamic modulation and time-dependent integration. Multi-feature analysis identified both statistical and Hjorth features as potent discriminators, reflecting diverse adaptations in muscle recruitment, activation intensity, control, and signal dynamics. These features hold promise as potential biomarkers for monitoring muscle function in various clinical and research applications. Finally, muscle-specific Random Forest classification achieved the highest accuracy and Area Under the ROC Curve for the TM, indicating its potential for differentiating interventions with high precision. This study paves the way for personalized neuroadaptive interventions in rehabilitation, sports science, ergonomics, and healthcare by exploiting the diverse and dynamic landscape of muscle responses to auditory stimuli.

With the increased focus on patient-centered care, consensus on healthcare outcomes of importance to patients becomes crucial. Based on a systematic review of the literature, this study confirms the perspectives of patients on healthcare quality in GCC countries. Online databases were searched for relevant peer-reviewed articles published from 2012 to 2023. Twenty-two articles retrieved from the search were qualitatively analyzed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Most articles (90%) reported studies conducted in Saudi Arabia. Patients in GCC countries face common problems in the care delivery process, which contribute to negative perceptions of quality. These problems include diagnostic and medication errors, provider–patient communication problems, missed appointments with physicians, problems in emergency care access due to geographical distance and transportation barriers, long waiting times, and physical environments. Notably, healthcare quality is perceived to be an outcome of multiple factors dependent on the location and category of healthcare service providers; for instance, disparities in perceptions of quality were observed between patients attending Primary Health Care (PHC) centers in rural and urban areas. Issues such as lack of equitable healthcare delivery and deficiencies in Emergency Medical Services (EMS) effectiveness were disparately recognized as quality concerns by different patient populations. The findings provide insights into healthcare quality and area of weakness needing strategies and policies to ensure patient-centered, safe, equitable, timely, and effective healthcare. Healthcare providers and policymakers in GCC countries can use the results to plan, assess, and improve care delivery. Trial registration: PROSPERO ID: CRD42022326842.

Chia seeds offer therapeutic properties that aid in the prevention of a variety of ailments, including cardiovascular disease, diabetes, obesity, and other risk factors. Arsenite, a common environmental chemical, has been identified as a reproductive toxin owing to its negative effects on male reproductive health. It has been shown to inhibit spermatogenesis and generate androgenic effects in men. The primary goal of this research was to look into the effect of Salvia hispanica on testicular toxicity caused by sodium arsenite in male rats. A set of 36 male albino rats was allocated to a negative control cohort. The individuals in this group were given a basic meal and orally given distilled water for a duration of 28 days. The other five groups were given a regular meal and received intra-peritoneal injections of sodium arsenite (NaAsO2) at a concentration of 4 mg/kg body weight that was diluted in a 0.9% NaCl solution. The injections were administered consecutively, with two doses given within a two-day period. Subsequently, the rats were categorized into several groups using the following classification: Group 2 consisted of a positive control cohort, in which the rats were given a typical baseline diet. Groups 3, 4, 5, and 6 were given a basic diet that included varying proportions of ground chia seeds, namely 5%, 10%, 15%, and 20% per 100 g of the diet. After the trial was completed, the rats were euthanized, and further biological examination was conducted. The measurements of the reproductive organs were documented and reported. The research assessed the following characteristics: sperm count, motility, progressive motility, and normal morphology. The research included examining serum sex hormones, namely luteinizing hormone (LH), follicle-stimulating hormone (FSH), and testosterone. An evaluation of the activity of antioxidant enzymes was performed in the tissue of the testicles. There were statistically significant improvements in the sperm parameters, serum sex hormone levels, and the activity of antioxidant enzymes, such as GPX, SOD, and CAT, in the therapy groups. The levels of malondialdehyde (MDA) exhibited a noteworthy decrease (p ≤ 0.05) when compared to the positive control group. Salvia hispanica seeds have demonstrated a significant level of effectiveness in reducing sodium arsenite-induced testicular toxicity, which leads to the conclusion. The flavonoid content and antioxidant properties of Salvia hispanica seeds may be to blame for the observed behavior. These indicated characteristics may have therapeutic significance in treating testicular harm induced by arsenite exposure.

Interleukins (ILs) are signaling molecules that are crucial in regulating immune responses during infectious diseases. Pro-inflammatory ILs contribute to the activation and recruitment of immune cells, whereas anti-inflammatory ILs help to suppress excessive inflammation and promote tissue repair. Here, we provide a comprehensive overview of the role of pro-inflammatory and anti-inflammatory ILs in infectious diseases, with a focus on the mechanisms underlying their effects, their diagnostic and therapeutic potential, and emerging trends in IL-based therapies.

Background: The eradication of poliovirus and improving routine immunization (RI) coverage rates present significant challenges in Pakistan. There is a need for interventions that focus on strengthening community engagement to improve routine immunization coverage. Our primary objective is to assess the impact of an integrated strategy designed to enhance community engagement and maternal and child health immunization campaigns on immunization coverage in Pakistan’s high-risk union councils of polio-endemic districts. Method: We implemented an integrated approach for routine immunization and maternal and child health in the polio-endemic district of Pakistan. This approach involved setting up health camps and actively engaging and mobilizing the local community. An independent team conducted surveys at three key points: baseline, midline, and endline, to evaluate immunization coverage among children under the age of five. The primary outcome measures for the study were coverage of OPV, IPV, and changes in the proportion of unvaccinated and fully vaccinated children. To select clusters and eligible households in each cluster, we utilized a 30 × 15 cluster sampling technique. Multivariable associations between socio-demographic factors and changes in the proportion of fully vaccinated children at the UC level were assessed using hierarchical linear regression models. Results: A total of 256,946 children under the age of five (122,950 at baseline and 133,996 at endline) were enrolled in the study. By the endline, full immunization coverage had increased to 60% or more in all three study areas compared to the baseline. Additionally, there was a significant increase in the coverage of both OPV and IPV across all three provinces at the endline. The full immunization rates were assessed on three levels of the framework: the distal, intermediate (access and environment), and proximal level (camp attendance and effectiveness). At the distal level, on multivariate analysis, family size was found to be a significant predictor of change in immunity within the families (β = 0.68; p ≤ 0.0001). At the intermediate level, the likelihood of full immunization decreased with the decrease in knowledge about vaccination (β = −0.38; p = 0.002), knowledge about polio vaccine (β = −0.25; p = 0.011), and knowledge about IPV (β = −0.06; p = 0.546). Perceived obstacles to vaccination were fear of adverse events (β = −0.4; p ≤ 0.0001) and lack of education (β = 0.23; p = 0.031), which were found to be significant in bivariate and multivariate analyses. At the proximal level, community mobilization (β = 0.26; p = 0.008) and attendance at health camp (β = 0.21; p ≤ 0.0001) were found to enhance full immunization coverage. On the other hand, the most prominent reason for not attending health camp included no need to attend the health camp as the child was not ill (β = −0.13; p = 0.008). Conclusions: This study found that community mobilization and attendance at health camps significantly enhanced full immunization coverage. The findings highlight the importance of community engagement and targeted interventions in improving immunization coverage and addressing barriers to healthcare seeking.

Laying hens can experience a progressive increase in bone fragility due to the ongoing mobilization of calcium from bones for eggshell formation. Over time, this escalates their susceptibility to bone fracture, which can reduce their mobility and cause pain. The provision of perches as an exercise opportunity could potentially enhance bone strength, but the timing of exposure to perches during the birds’ development may modulate its impact. The objective of this study was to investigate the enduring impacts of perch provision timing on the musculoskeletal health of laying hens. A total of 812 pullets were kept in different housing conditions (seven pens/treatment, 29 birds/pen) with either continuous access to multi-tier perches from 0 to 40 weeks of age (CP), no access to perches (NP), early access to perches during the rearing phase from 0 to 17 weeks of age (EP), or solely during the laying phase from 17 to 40 weeks of age (LP). At weeks 24, 36, and 40 of age (n = 84 birds/week), three birds per pen were monitored for individual activity level, and blood samples were collected from a separate set of three birds per pen to analyze serum levels of tartrate-resistant acid phosphatase 5b (TRACP-5b) and C-terminal telopeptide of type I collagen (CTX-I) as markers of bone demineralization. At 40 weeks of age, three birds per pen (n = 84) were euthanized for computed tomography scans to obtain tibial bone mineral density (BMD) and cross-sectional area (CSA) with further analysis including muscle deposition, tibial breaking strength, and tibial ash percent. During week 24, hens from CP, EP, and LP pens had the highest overall activity compared to hens from NP pens (p < 0.05) with no differences between treatments for overall activity level during weeks 36 or 40 (p > 0.05). During weeks 24, 36, and 40, hens from CP and LP pens showed greater vertical and less horizontal activity compared to hens from EP and NP pens (p < 0.05). TRACP-5b and CTX-I concentrations did not differ between treatments at week 24 of age (p > 0.05). Hens from CP pens had the lowest TRACP-5b and CTX-I concentrations at 36 weeks of age with EP and LP hens showing intermediate responses and NP hens having the highest concentration (p < 0.05). At 40 weeks of age, CP hens had the lowest TRACP-5b and CTX-I concentrations compared to NP hens (p < 0.05). Total bone CSA did not differ between treatments (p > 0.05), but CP had greater total BMD than NP (p < 0.05) with no differences between EP and LP treatments. CP and LP hens had larger biceps brachii, pectoralis major, and leg muscle groups as well as greater tibial breaking strengths than EP and NP treatments (p < 0.05). CP hens had higher tibial ash percentages compared to EP, LP, and NP (p < 0.05). Our results indicate that providing continuous perch access improves the musculoskeletal health and activity of laying hens at 40 weeks of age compared to no access and that late access to perches has a beneficial impact on activity, muscle deposition, and bone strength.

Silk fiber, recognized as a versatile bioresource, holds wide-ranging significance in agriculture and the textile industry. During the breeding of silkworms to yield new varieties, optical sensing techniques have been employed to distinguish the colors of silk cocoons, aiming to assess their improved suitability across diverse industries. Despite visual comparison retaining its primary role in differentiating colors among a range of silk fibers, the presence of uneven surface texture leads to color distortion and inconsistent color perception at varying viewing angles. As a result, these distorted and inconsistent visual assessments contribute to unnecessary fiber wastage within the textile industry. To solve these issues, we have devised an optical system employing an integrating sphere to deliver consistent and uniform illumination from all orientations. Utilizing a ColorChecker, we calibrated the RGB values of silk cocoon images taken within the integrating sphere setup. This process accurately extracts the authentic RGB values of the silk cocoons. Our study not only helps in unraveling the intricate color of silk cocoons but also presents a unique approach applicable to various specimens with uneven surface textures.

This study examines nickel catalysts on two different supports—magnesium oxide (MgO) and modified MgO (with 10 wt.% MOx; M = Ti, Zr, Al)—for their effectiveness in the dry reforming of methane. The reactions were conducted at 700 °C in a tubular microreactor. The study compares the best-performing catalyst with a reference catalyst (5Ni/MgO) by conducting dry reforming of methane at different reaction temperatures. The catalysts are evaluated using surface area, porosity, X-ray diffraction, infrared spectroscopy, transmission electron microscope, thermogravimeter, and temperature-programmed techniques. The 5Ni/MgO + ZrO2 catalyst demonstrates inferior catalytic activity due to insufficient active sites. On the other hand, the 5Ni/MgO + TiO2 catalyst shows limited catalytic excellence due to excessive coke deposits, which are six times higher than other catalysts. The 5Ni/MgO and 5Ni/MgO + Al2O3 catalysts have the richest basic and acidic profiles, respectively. The 5Ni/MgO + Al2O3 catalyst is superior to other catalysts due to its stronger metal–support interaction on the expanded surface and the efficient diffusion of carbon on its less crystalline surface. At 700 °C, this catalyst achieves 73% CH4 conversion, and at 800 °C, it reaches 83% conversion. This study emphasizes the crucial role of the reaction temperature in reducing carbon deposition and enhancing the efficiency of the reforming process.

Infectious bronchitis virus (IBV) is an avian coronavirus that causes a disease in chickens known as infectious bronchitis (IB). The pathogenesis of IBV and the host immune responses against it depend on multiple factors such as the IBV variant, breed and age of the chicken, and the environment provided by the management. Since there is limited knowledge about the influence of the sex of chickens in the pathogenesis of IBV, in this study we aim to compare IBV pathogenesis and host immune responses in young male and female chickens. One-week-old specific pathogen-free (SPF) White Leghorn male and female chickens were infected with Canadian Delmarva (DMV)/1639 IBV variant at a dose of 1 × 106 embryo infectious dose (EID)50 by the oculo-nasal route while maintaining uninfected controls, and these chickens were euthanized and sampled 4- and 11-days post-infection (dpi). No significant difference was observed between the infected male and female chickens in IBV shedding, IBV genome load in the trachea, lung, kidney, bursa of Fabricius (BF), thymus, spleen, and cecal tonsils (CT), and IBV-induced lesion in all the examined tissues at both 4 and 11 dpi. In addition, there was no significant difference in the percentage of IBV immune-positive area observed between the infected male and female chickens in all tissues except for the kidney, which expressed an increased level of IBV antigen in infected males compared with females at both 4 and 11 dpi. The percentage of B lymphocytes was not significantly different between infected male and female chickens in all the examined tissues. The percentage of CD8+ T cells was not significantly different between infected male and female chickens in all the examined tissues except in the trachea at 11 dpi, where female chickens had higher recruitment when compared with male chickens. Overall, although most of the findings of this study suggest that the sex of chickens does not play a significant role in the pathogenesis of IBV and the host immune response in young chickens, marginal differences in viral replication and host responses could be observed to indicate that IBV-induced infection in male chickens is more severe.

Wetland ecosystems of the Nile Delta face severe threats due to natural climatic changes and anthropogenic activities. Life and death assemblage comparisons can be implemented as a historical record to detect anthropogenic-induced environmental changes in the past few decades. A geometric morphometric approach was applied to quantify the pollution-induced morphological variation between life and death populations of the gastropod Melanoides tuberculata. The results indicated that life populations differ significantly from the death ones, where the first tend to be much smaller, more globular, and with a depressed aperture and whorl section. In addition, the phenetic diversity of the life populations was also decreased, and the allometric growth was shifted. These morphological changes in the life populations are well-known adaptations for reducing the cost of shell maintenance in polluted water. No distinct morphospace was found between life populations from different habitats, suggesting that habitats have no significant role in the current pollution-induced evolution.

The prevailing hot climate imposes heavy burdens on the productivity of the camel, goat, and sheep herds raised in the Gulf desert. Due to the lack of a reliable indicator for the various subfertility statuses in camel females, this study aimed to investigate the expression of inhibin, TGFά, ILß, FSH, sex and metabolic hormones, and antioxidants for the fertility status in camel females. Eighty-two subfertile and five fertile females were admitted to the university clinic with the complaint of repeat breeding with failed conception. The animal’s genital tracts were examined for reproductive soundness. Blood samples were withdrawn for hormonal, cytokines, and antioxidants determinations. Subfertile females were categorized into six groups; endometritis (EN, 28), inactive ovaries (IO, 20), ovarian hydrobursitis (BU, 19), vaginal adhesions (VA, 7), salpingitis (SA, 4), and cervicitis (CE, 4). Results revealed a significant increase in inhibin in all groups compared to control (68.2, 66.4, 61.8. 58.8, 58.3, 55.8, and 36 pg/mL, in CE, VA, IO, BU, EN, SA, and CON, respectively). TGFά, dehydroepiandrosterone (DHEA), and progesterone were not different among groups, whereas IL-ß differed among groups. FSH, estradiol, nitrous oxide, and glutathione were higher in CON compared with other groups. In conclusion, reproductive failures in camel females are reflected in the imbalances of endocrine, cytokines, and antioxidants bio-indicators.

Analyzing medical images has always been a challenging task because these images are used to observe complex internal structures of the human body. This research work is based on the study of the retinal fundus and magnetic resonance images (MRI) for the analysis of ocular and cerebral abnormalities. Typically, clinical quality images of the eyes and brain have low-varying contrast, making it challenge to diagnose a specific disease. These issues can be overcome, and preprocessing or an image enhancement technique is required to properly enhance images to facilitate postprocessing. In this paper, we propose an iterative algorithm based on the McCann Retinex algorithm for retinal and brain MRI. The foveal avascular zone (FAZ) region of retinal images and the coronal, axial, and sagittal brain images are enhanced during the preprocessing step. The High-Resolution Fundus (HRF) and MR brain Oasis images databases are used, and image contrast and peak signal-to-noise ratio (PSNR) are used to assess the enhancement step parameters. The average PSNR enhancement on images from the Oasis brain MRI database was about 3 dB with an average contrast of 57.4. The average PSNR enhancement of the HRF database images was approximately 2.5 dB with a contrast average of 40 over the database. The proposed method was also validated in the postprocessing steps to observe its impact. A well-segmented image was obtained with an accuracy of 0.953 and 0.0949 on the DRIVE and STARE databases. Brain tumors were detected from the Oasis brain MRI database with an accuracy of 0.97. This method can play an important role in helping medical experts diagnose eye diseases and brain tumors from retinal images and Oasis brain images.

As surface-enhanced Raman scattering (SERS) has been used to diagnose several respiratory viruses (e.g., influenza A virus subtypes such as H1N1 and the new coronavirus SARS-CoV-2), SERS is gaining popularity as a method for diagnosing viruses at the point-of-care. Although the prior and quick diagnosis of respiratory viruses is critical in the outbreak of infectious disease, ELISA, PCR, and RT-PCR have been used to detect respiratory viruses for pandemic control that are limited for point-of-care testing. SERS provides quantitative data with high specificity and sensitivity in a real-time, label-free, and multiplex manner recognizing molecular fingerprints. Recently, the design of Raman spectroscopy system was simplified from a complicated design to a small and easily accessible form that enables point-of-care testing. We review the optical design (e.g., laser wavelength/power and detectors) of commercialized and customized handheld Raman instruments. As respiratory viruses have prominent risk on the pandemic, we review the applications of handheld Raman devices for detecting respiratory viruses. By instrumentation and commercialization advancements, the advent of the portable SERS device creates a fast, accurate, practical, and cost-effective analytical method for virus detection, and would continue to attract more attention in point-of-care testing.

The integration of solar photovoltaic (PV) systems and utility grids has gradually gained significant interest in improving the sustainability of clean power supply for society. However, power quality remains a challenge due to partial shading conditions and harmonics. To overcome these drawbacks, a flexible radial movement optimization based on a dynamic safety perimeter maximum power point tracking algorithm is employed to track maximum power out of a PV system and to ensure that the optimum voltage level at the common DC bus is obtained under partial shading conditions using fixed-tilt installation configuration. Furthermore, a novel inverter control loop system with a double second order generalized integrator phase-locked loop (DSOGI-PLL) is also proposed to mitigate harmonics and improve the power quality of the grid interfacing PV system using MATLAB SIMULINK software. The proposed system has several merits, such as better harmonic suppression capability, control adaptivity, rapid tracking speed, low computational burden and phase and grid synchronization.