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A specialized version of collaborative driving is convoy driving. It is referred to as the practice of driving more than one vehicle consecutively in the same lane with a small inter-vehicle distance, maintaining the same speed. Extensive research has been conducted on convoys of heavy-duty trucks on the highway; however, limited research has studied convoy driving in an urban environment. The complex dynamics of an urban environment require short-lived collaboration with varying numbers of vehicles rather than collaborating over hours. The motivation of this research is to investigate how convoy driving can be realized to address the challenges of an urban environment and achieve the benefits of autonomous driving such as reduced fuel consumption, travel time, improved safety, and ride comfort. In this work, the best-fitted coalitional game framework is utilized to formulate the convoy driving problem as a coalition formation game in an urban environment. A hypothesis is formulated that traveling in a coalition is more beneficial for a vehicle than traveling alone. In connection with this, a coalitional game and an all-comprehensive utility function are designed, modeled, and implemented to facilitate the formation of autonomous vehicle coalitions for convoy driving. Multiple solution concepts, such as the Shapley allocation, the Nucleolus, and the Core, are implemented to solve and analyze the proposed convoy driving game. Furthermore, several coalition formation strategies such as traveling mode selection, selecting optimal coalitions, and making decisions about coalition merging are developed to analyze the behavior of the vehicles. In addition to this, extensive numerical experiments with different settings are conducted to evaluate and validate the performance of the proposed study. The experimental results proved the hypothesis that traveling in a convoy is significantly more beneficial than traveling alone. We conclude that traveling in a convoy is beneficial for coalition sizes of two to four vehicles with an inter-vehicle spacing of less than 4 m considering the limitations of an urban environment. Traveling in a coalition allows vehicles to save on fuel, minimize travel time and enhance safety and comfort. Furthermore, the findings of this research state that achieving the enormous benefits of traveling in a coalition requires finding the right balance between inter-vehicle distance and coalition size. In the future, we plan to extend this work by studying the evolving dynamics of the coalitions and the environment.

Cutaneous squamous cell carcinoma (cSCC) arises from the abnormal proliferation of keratinocytes of the epidermis, most commonly due to UV-light-induced DNA damage. Although histopathological assessment is the gold standard for diagnosing cSCC, nascent optical imaging diagnostic modalities enable clinicians to perform “optical or virtual biopsy” in real-time. We aim to report advances in optical imaging diagnostics for cSCC, along with an updated review of the literature. A comprehensive literature review was performed using PubMed, Embase, and Cochrane databases for manuscripts published from 2008 to 2022. The search yielded a total of 9581 articles, out of which 136 relevant articles were included in the literature review after fulfilling screening and eligibility criteria. This review highlights the current optical imaging devices used for diagnosing cSCC and their diagnostic features. These devices include in vivo and ex vivo reflectance confocal microscopy, optical coherence tomography, line-field confocal optical coherence tomography, multiphoton tomography, and high-frequency ultrasonography. Although surgical excision or Mohs micrographic surgery is considered the gold standard, the latest developments in nonsurgical management of cSCC are discussed. Based on he review of the literature, we conclude that contemporary optical imaging devices such as confocal microscopy, optical coherence tomography, line-field confocal optical coherence tomography and multiphoton tomography have revolutionized real-time diagnostic imaging in dermatology, particularly within the realm of skin cancer. These devices enable rapid diagnoses and allow for a faster initiation of therapy. The application of newer imaging devices to cSCC management may benefit high-risk patients (e.g., chronic UV radiation exposure or organ transplant recipients) or patients with multifocal cSCC, for whom multiple biopsies would be impractical, thus avoiding unnecessary biopsies. Together with dermoscopy, optical imaging technologies can help to improve the efficiency of diagnosis by reducing the turnaround time and the need for extensive laboratory processing resources.

Understanding the barriers to and facilitators of cancer screening programs among Indigenous populations remains limited. In the spirit of mutual respect, this co-led, collaborative project was carried out between the Métis Nation of Alberta and Screening Programs from Alberta Health Services (AHS). This scoping review assessed the cancer screening literature for available questionnaires and then identified themes and suitable questions for a Métis-specific cancer screening questionnaire. Literature searches on cervical, breast, and colorectal cancer screening programs and related concepts were conducted in electronic databases, including the Native Health Database, MEDLINE (Ovid), PsycINFO, PubMed, PubMed Central, CINAHL, MEDLINE (Ebsco), Psychology & Behavioral Sciences Collection, and Web of Science. Grey literature was collected from AHS Insite, Open Archives Initiative repository, American Society of Clinical Oncology, European Society of Medical Oncology, Google, and Google Scholar. 135 articles were screened based on the eligibility criteria with 114 articles selected, including 14 Indigenous-specific ones. Knowledge, attitude, belief, behaviour, barrier, and facilitator themes emerged from the review, but no Métis-specific cancer screening instruments were found. Thus, one was developed using existing cancer screening instruments, with additional questions created by the project team. A survey of the Métis population in Alberta will use this questionnaire and provide data to address the burden of cancer among Métis people.

Prostate cancer ranks as the second most common malignancy in males. Prostate cancer progressing on androgen deprivation therapy (ADT) is castration-resistant prostate cancer (CRPC). Poly-ADP ribose polymerase (PARP) inhibitors (PARPis) have been at the forefront of the treatment of CRPC. We aim to better characterize the progression-free survival (PFS) and overall survival (OS) in metastatic CRPC patients treated with PARPis. A systemic review search was conducted using National Clinical Trial (NCT), PubMed, Embase, Scopus, and Central Cochrane Registry. The improvement in overall survival was statistically significant, favoring PARPis (hazard ratio (HR) 0.855; 95% confidence interval (CI) 0.752–0.974; p = 0.018). The improvement in progression-free survival was also statistically significant, with results favoring PARPis (HR 0.626; 95%CI 0.566–0.692; p = 0.000). In a subgroup analysis, similar results were observed where the efficacy of PARPis was evaluated in a subgroup of patients without homologous recombination repair (HRR) gene mutation, which showed improvement in PFS favoring PARPis (HR 0.747; 95%CI 0.0.637–0.877; p = 0.000). Our meta-analysis of seven RCTs showed that PARPis significantly increased PFS and OS when used with or without antihormonal agents like abiraterone or enzalutamide.

Previous research has established a positive link between prosocial behavior (PB) and psychological well-being. However, limited studies have explored the relationship between PB and well-being (WB), particularly among vocational students. Furthermore, the underlying mechanisms, including mediating factors, remain understudied in this context. This study aimed to investigate the association between PB and WB among vocational students while examining the mediating role of basic psychological needs. A sample of 221 vocational students (mean age = 19.68 years, SD = 1.57) completed anonymous questionnaires assessing PB, basic psychological needs, and WB. The results revealed a positive correlation between PB and WB in vocational students (r = 0.22, p < 0.01), with basic psychological needs partially mediating this relationship (β = 0.14, t = 10.85, p < 0.001, 95% CI = (0.18, 0.23)). These findings enhance our understanding of the association between PB and vocational students’ WB, shed light on the mechanisms involved, and offer insights into promoting the well-being of vocational students.

The seismic analysis of ground-supported cylindrical steel tanks subjected to lateral harmonic displacement loadings has been carried out. This paper numerically evaluates the structural response of various tank geometries due to resonant seismic sloshing. The numerical investigation is performed using a two-way fluid structural interaction approach that couples computational fluid dynamics analysis with finite element transient structural analysis. The results of the analysis have been validated using Seismic Design Code (Eurocode 8, part 4). Regarding tank aspect ratio (H/D), five geometries covering slender, medium, and broad structures are analyzed under ten harmonic base excitations. All the geometries are excited at their first convective frequency, whose shape and magnitude are evaluated using modal analysis. The seismic response curves have been developed for each tank model, which reveal the complex and peculiar structural response. It is observed from the tanks’ seismic response that they undergo three transitional stress zones named safe, yielding, and failure zones. The critical loadings and failure duration have also been evaluated for each tank model. This will help to avoid future structural damage by designing liquid-containing structures based on evaluated seismic failure loads.

The emergence of SARS-CoV-2, the virus responsible for the COVID-19 pandemic, has sparked intense research on its spike protein, which is essential for viral entrance into host cells. Viral reproduction and transmission, host immune response regulation, receptor recognition and host cell entrance mechanisms, as well as structural and functional effects have all been linked to mutations in the spike protein. Spike protein mutations can also result in immune evasion mechanisms that impair vaccine effectiveness and escape, and they are linked to illness severity and clinical consequences. Numerous studies have been conducted to determine the effects of these mutations on the spike protein structure and how it interacts with host factors. These results have important implications for the design and development of medicines and vaccines based on spike proteins as well as for the assessment of those products’ efficiency against newly discovered spike protein mutations. This paper gives a general overview of how spike protein mutations are categorized and named. It further looks at the links between spike protein mutations and clinical outcomes, illness severity, unanswered problems, and future research prospects. Additionally, explored are the effects of these mutations on vaccine effectiveness as well as the possible therapeutic targeting of spike protein mutations.

The objective of this study is to improve the effectiveness of anti-piracy educational strategies by identifying unique digital pirate segments and delivering personalized campaign messages to the target audiences. In the first study, we introduced a segmentation study of digital pirates based on different types of risks involved in pirating activities. We identify four digital pirate segments (anti-pirates, hard-core pirates, performance-sensitive pirates, and finance-sensitive pirates), each demonstrating distinctive characteristics. Further profiling of the segments revealed different risk perceptions regarding gender and piracy experience. In the second study, we conduct an experiment to test the effects of targeted campaign messages for the newly identified pirating segments. Our results show that targeted piracy campaign messages have a significantly higher message persuasiveness, while they damage the attitude towards piracy. However, we found that the targeted piracy campaign messages have a marginal effect on changing the intention to pirate. Findings from this study offer useful implications for the design and implementation of anti-piracy educational campaigns.

Blast charge initiation procedures have a significant impact on both mining safety and production rates. In this study, the inventory benefit of an electric initiation system was investigated to assess its influence on both fragmentation and blast-induced damages. The WipFrag software was used to examine the size distribution and productivity of 12 small-scale blasts initiated by both nonelectric and electric detonators. All blast rounds were initiated with plain-type electric and NONEL detonators. The average burden, spacing, stemming length, and charge weight were, respectively, 0.85 m, 1.10 m, 0.66 m, and 1.1 kg. The results showed that the mesh through which 80% of the blast fragments passed for the electric blast was smaller than the mesh through which the material products from the NONEL blast passed. The results also demonstrated that the generated blast-induced ground vibration (PPV) from all blast rounds for electric blast varied from 0.4–1.2 mm/s and 80–105 dB, while that for nonelectric blast ranged from 0.05–0.2 mm/s and 72–95 dB. As a result, the electric blast initiation technique was found to produce good fragmentation, with a higher percentage of optimum fragment sizes on spec than nonelectrically initiated blasts.

In the 21st century, plant-derived metal nanoparticles (PDMNPs) have gained considerable interest because of their tremendous and remarkable potential as therapeutic agents as well as development of less expensive, safer, and easier biomedical equipment. PDMNPs are synthesized from metal salts or oxides by using plant extracts because plants have diversified bioactive compounds that can act as reducing and stabilizing agents at the time of nanoparticle synthesis. Besides, PDMNPs take advantages over the nanoparticles synthesized by other methods because of their low cost, environmental friendliness, and sustainability. The present review explains the synthesis of PDMNPs, their characterization techniques, and oxidative stress-mediated pharmacological effects. The mode of actions for antioxidant, antimicrobial, and anticancer properties has also been critically explored. Due to the plethora of data on plant-derived nanoparticles and their pharmacological properties, we have highlighted PDMNPs’ shape, size, metals of use, and experimental findings regarding their antioxidant, anti-microbial, and anticancer properties in a tabulated form for studies conducted in the last five years, from 2018 to 2022. Because of our review study, we, herein, contemplate that the scientific community as a whole will get a greater comprehension of PDMNPs and their numerous therapeutic applications in a single window.

This prospective study sought to characterise the educational experiences, mental health, and behavioural functioning of Australian children with a pre-existing learning difficulty or specific learning disorder (SLD) during the COVID-19 pandemic. The study also evaluated the potential role of parent psychological distress as a risk factor for poorer child functioning in this high-risk population. Using a prospective longitudinal design, the study involved 58 parents of children and adolescents with a pre-existing learning difficulty or specific learning disorder (M age = 11.9 years; range 7–17 years) who were initially referred to a state-wide diagnostic centre for specific learning disorders in Melbourne, Victoria, Australia. Child outcomes were assessed using the COVID-19 Wellbeing and Mental Health Survey (a modified version of the CoRonavIruS Health Impact Survey [CRISIS] tool), the Strengths and Difficulties Questionnaire (SDQ), and the Emotional Distress Scale from the Patient-Reported Outcomes Measurement Information System (PROMIS). Parents’ mental health was assessed using the CRISIS tool and the Kessler Psychological Distress Scale (K10). In keeping with initial predictions, a large proportion of parents expressed significant disruption to child educational experience and routines, including challenges related to child engagement in remote learning platforms during COVID-19. Compared to pre-pandemic mental health symptom ratings, children experienced significantly higher symptoms of worry, negative thoughts, loneliness, agitation, and aggression during the pandemic period (all p < 0.05). As expected, higher levels of parent distress predicted greater child worry symptoms (p = 0.003) and more frequent child behavioural difficulties (p = 0.004). These results help elucidate the specific psychological and educational challenges faced by children with pre-existing learning difficulty or SLD during the COVID-19 pandemic. Family-centred intervention and/or supports may help to address the unique educational and psychological needs of young people with pre-existing learning differences and their families during future global pandemics.

Biotransformation refers to the metabolic conversion of endogenous and xenobiotic chemicals into more hydrophilic substances. Xenobiotic biotransformation is accomplished by a restricted number of enzymes with broad substrate specificities. The biotransformation of xenobiotics is catalyzed by various enzyme systems that can be divided into four categories based on the reaction they catalyze. The primary concentration is in cytochrome P450, while the CYP enzymes responsible for xenobiotic biotransformation are located within the hepatic endoplasmic reticulum (microsomes). Cytochrome P450 (CYP450) enzymes are also present in extrahepatic tissues. Enzymes catalyzing biotransformation reactions often determine the intensity and duration of the action of drugs and play a key role in chemical toxicity and chemical tumorigenesis. The structure of a given biotransforming enzyme may differ among individuals, which can cause differences in the rates of xenobiotic biotransformation. The study of the molecular mechanisms underlying chemical liver injury is fundamental for preventing or devising new modalities of treatment for liver injury using chemicals. Active metabolites arise from the biotransformation of a parent drug compound using one or more xenobiotic-processing enzymes to generate metabolites with different pharmacological or toxicological properties. Understanding how exogenous chemicals (xenobiotics) are metabolized, distributed, and eliminated is critical to determining the impact of these compounds on human health. Computational tools such as Biotransformer have been developed to predict all the possible metabolites of xenobiotic and enzymatic profiles that are linked to the production of metabolites. The construction of xenobiotic metabolism maps can predict enzymes catalyzing metabolites capable of binding to DNA.

Dye-polluted wastewater poses a serious threat to humans’, animals’ and plants’ health, and to avoid these health risks in the future, the treatment of wastewater containing dyes is necessary before its release to environment. Herein, a biological approach is used; the textile azo dye brown 703 is degraded utilizing Pseudomonas aeruginosa. The bacterial strain was isolated from textile wastewater dumping sites in Mingora, Swat. The optimization for bacterial degradation was carried out on the nutrient broth medium, which was then subjected to a variety of environmental physicochemical conditions and nutritional source supplementation before being tested. Under micro-aerophilic circumstances, the maximum decolorization and degradation of dye occurred at a 20 ppm dye concentration within 3 days of incubation at a neutral pH and 38 °C. The decrease in the intensity of the absorbance peak in the UV–Vis spectrum was used to measure the extent of decolorization. Initially, 15 bacterial strains were isolated from the textile effluent. Out of these strains, Pseudomonas aeruginosa was found to be the most potent degrading bacteria, with a degradation extent of around 71.36% at optimum conditions. The appearance and disappearance of some new peaks in the FT-IR analysis after the degradation of brown 703 showed that the dye was degraded by Pseudomonas aeruginosa. The GC–MS analysis performed helped in identifying the degraded compounds of azo dye that were utilized in illustrating the under-study process of brown 703 degradation. The biodegradation brought about by Pseudomonas aeruginosa can be employed successfully in the future as an eco-friendly approach with far reaching results.

Developing popcorn genotypes that are adapted to water-deficit conditions is crucial due to the significant impact of this abiotic stress on grain yield. This study aimed to assess the combining abilities of preselected popcorn lines for agronomic and root traits under well-watered and water-stressed conditions. A circulating diallel analysis was conducted to investigate the effects of the general and specific combining abilities of 10 lines and their respective hybrids for various traits, including productivity, popping expansion, expanded popcorn volume, 100-grain weight, ear length, ear width, support root angle, crown root angle, number of support roots, number of crown roots, density of support roots, and density of crown roots. Non-additive action genes predominantly influenced the agronomic traits under both water conditions. In contrast, the root traits displayed a greater proportion of additive action gene expression under both conditions, despite being significantly affected by the environment. Lines L61, L71, and L76 demonstrated positive and high effects for general combining ability. The hybrids L65/L76, L71/L76, and L61/L75, in addition to exhibiting satisfactory effects of their specific combining ability, also displayed the most favorable phenotypic responses for most agronomic and root traits, making them ideal candidates for inclusion in popcorn breeding programs aiming to develop drought-tolerant genotypes.

Current research with Vehicular Ad-hoc Networks (VANETs) has focused on adapting an efficient consensus mechanism and reducing the blockchain size while maintaining security. Care must be taken when implementing blockchains within VANET applications to leverage the chains’ strengths while mitigating their weaknesses. These chains can serve as distributed ledgers that provide storage for more than financial transactions. The security provided by longer blockchains constitutes a nearly immutable, decentralized data structure that can store any data relevant to the applications. However, these chains must be adapted to the ad-hoc, resource-constrained environments found in VANETs. In the absence of abundant resources and reliable network connections, chain operation and maintenance must address the challenges presented by highly mobile nodes in novel ways, including situations such as emergency messaging that require real-time responses. Researchers have included different mechanisms to realize lightweight blockchains, such as adding reputation to existing consensus mechanisms, condensing the consensus committees, using geographical information, and monitoring a nodes behavior in attempts to adapt blockchains to these domains. This paper analyzes the challenges and gives solutions for these different mechanisms to realize lightweight blockchains for VANETs.

Multidrug resistance (MDR) is one of the deadliest public health concerns of the 21st century, rendering many powerful antibiotics ineffective. The current study provides important insights into the prevalence and mechanisms of antibiotic resistance in hospital wastewater isolates. In this study, we determined the MDR profile of 68 bacterial isolates collected from five different hospitals in Dhaka, Bangladesh. Of them, 48 bacterial isolates were identified as Enterobacteriaceae. Additionally, we investigated the prevalence and distribution of five beta-lactam resistance genes, as well as quinolone resistance mechanisms among the isolates. The results of this study showed that 87% of the wastewater isolates were resistant to at least three different antibiotic classes, as revealed using the disc diffusion method. Resistance to β-lactams was the most common, with 88.24% of the isolates being resistant, closely followed by macrolides (80.88% resistant). Polymyxin was found to be the most effective against wastewater isolates, with 29.41% resistant isolates. The most common β-lactam resistance genes found in wastewater isolates were blaTEM (76.09%), blaCTX-M1 (71.74%), and blaNDM (67.39%). Two missense mutations in the quinolone resistance-determining region (QRDR) of gyrA (S83L and D87N) and one in both parC (S80I) and parE (S458A) were identified in all isolates, and one in parE (I529L), which had not previously been identified in Bangladesh. These findings suggest that hospital wastewater acts as an important reservoir of antibiotic-resistant bacteria wherein resistance mechanisms to β-lactams and fluoroquinolones are obvious. Our data also emphasize the need for establishing a nationwide surveillance system for antibiotic resistance monitoring to ensure that hospitals sanitize their wastewater before disposal, and regulation to ensure hospital wastewater is kept away from community settings.

Fructan 1-exohydrolase (1-FEH) is one of the major enzymes in water-soluble carbohydrate (WSC) remobilisation for grains in wheat. We investigated the functional role of 1-FEH w1, w2, and w3 isoforms in WSC remobilisation under post-anthesis water deficit using mutation lines derived from the Australian wheat variety Chara. F1 seeds, developed by backcrossing the 1-FEH w1, w2, and w3 mutation lines with Chara, were genotyped using the Infinium 90K SNP iSelect platform to characterise the mutated region. Putative deletions were identified in FEH mutation lines encompassing the FEH genomic regions. Mapping analysis demonstrated that mutations affected significantly longer regions than the target FEH gene regions. Functional roles of the non-target genes were carried out utilising bioinformatics and confirmed that the non-target genes were unlikely to confound the effects considered to be due to the influence of 1-FEH gene functions. Glasshouse experiments revealed that the 1-FEH w3 mutation line had a slower degradation and remobilisation of fructans than the 1-FEH w2 and w1 mutation lines and Chara, which reduced grain filling and grain yield. Thus, 1-FEH w3 plays a vital role in reducing yield loss under drought. This insight into the distinct role of the 1-FEH isoforms provides new gene targets for water-deficit-tolerant wheat breeding.

(1) Background: Tinnitus, often related to hearing loss, is an addressable public health concern affecting health-related quality of life (HRQoL). This study aimed to explore the influence of bone conduction hearing aid (BCHA) implantation on HRQoL and hearing disability in patients with hearing loss suffering from tinnitus. (2) Methods: Data were collected from an international hearing implant registry. Health Utilities Index Mark 3 (HUI-3), Spatial and Qualities of Hearing- 49 Questionnaire (SSQ) and self-reported tinnitus burden data for adult patients implanted with a BCHA (n = 42) who provided baseline as well as follow-up data 1-year post-implantation were extracted from the registry. Wilcoxon signed rank tests and paired samples t-tests were used to analyse outcomes data. (3) Results: Patients, with or without tinnitus, demonstrated clinically important mean improvements in HUI-3 multi-attribute utility scores, HUI-3 hearing attribute and SSQ scores. Hearing loss patients with tinnitus presented with a lower HRQoL than patients without tinnitus. (4) Conclusions: These findings demonstrate the importance of hearing rehabilitation in improving the quality of life and hearing disability of patients with or without tinnitus and in providing tinnitus relief in some patients with hearing loss and tinnitus.

Background: Abortion is a spontaneous loss of pregnancy before 20 weeks. Approximately 42 million pregnancies end in abortion. The maternal infections that are transmissible from mother to fetus are caused by many pathogens, of which the TORCH complex contributes majorly to neonatal and infant deaths globally. The aim of this study is to detect the prevalence and types of infectious causes of abortion. One hundred aborted women admitted to King Faisal Medical Complex Maternity Hospital in Taif City between the period of 2018 and 2020 were enrolled in this study. The serological test reports (TORCH panel), as well as reports of hematological (CBC) and chemical parameters, were obtained from laboratory management system databases, reviewed, and then analyzed. The H&E-stained microscopic slides of their product of conception (POC) were examined under a microscope and compared with histopathological reports. The prevalence of TORCH infections was 8% in aborted women. Hepatitis B virus (HBV) and mixed TORCH infections constituted the highest percentage of TORCH pathogens in aborted women, constituting 6%. The most detected histopathological finding in seropositive cases (50%) was POC, with mixed inflammatory infiltrates and chronic endometritis, while in seronegative aborted women, POC was normal (64.1%). There is a statistically significant increase in the mean count of white blood cells in seropositive women. Therefore, it is important to provide health campaigns to bring awareness to the population about the risk factors of infectious agents to be avoided, especially during pregnancy.

Interstitial expansion is associated with glomerular filtration rate (GFR) loss in many renal diseases, including diabetic nephropathy. The Renin–Angiotensin System Study (RASS) tested whether a 5-year renin–angiotensin system (RAS) blockade with enalapril or losartan versus placebo slowed progression of early diabetic nephropathy lesions in 285 normoalbuminuric, normotensive, normal/high GFR patients with type 1 diabetes. RASS found no benefit to the RAS blockade on diabetic glomerular lesions but observed an unexpected 50% increase in the fractional volume of the renal cortex which is the interstitium. The effects of the RAS blockade on individual interstitial components––striated collagen, interstitial cells, and peritubular capillaries––were not assessed. We evaluated by electron microscopy changes in fractional volume of each component in seven patients from each group between baseline and five years. At baseline, 49% of the interstitium was collagen, 12% cells, 26% peritubular capillaries, 7% space, and 2% artifact. There was no overall change in the interstitial composition during the RASS. There were no statistically significant effects of treatment group on any interstitial components. Renal volume remained stable in all groups. The RAS blockade affected neither the approximately 50% increase in interstitium fractional volume per cortex nor the parallel increase in all interstitial components that occurred over the five years of the RASS.

Brucellosis is a bacterial zoonosis worldwide and a potential health risk in Pakistan due to socio-economic reasons and lack of awareness, veterinary health and modern dairy-processing facilities. The aim of this study was to determine the burden of brucellosis in hospitalized patients of selected districts of Punjab, Pakistan. To this end, a total of 280 serum samples were collected from suspected patients in districts Lahore, Okara and Khushab between 2016 and 2018. Anti-Brucella antibodies were detected in 89 (31.8%) sera by Rose Bengal plate test (RBPT), and Brucella abortus DNA was amplified by polymerase chain reaction (PCR) in 42 (15%) samples. In univariable analysis, the seroprevalence varied significantly (p < 0.05) between districts with Lahore indicating 41/101 (40.6%) Odds ratio (OR) = 53.98 (7.22–403.67; 95% CI), Okara 47/99 (47.5%) OR = 71.4 (9.55–533.65; 95% CI) and Khushab 1/80 (1.3%) as reference. Similarly, exposure to aborted materials and a history of blood transfusion did associate significantly (p < 0.05), posing OR = 2.91 (1.58–5.36; 95% CI) and OR = 4.48 (2.56–7.84; 95% CI) risk. However, consumption of raw milk and history of blood transfusion did associate significantly (p < 0.05) in multivariable analysis indicating OR = 1.91 (1.09–3.34; 95% CI) and OR = 4.92 (2.76–8.75; 95% CI), respectively. The association of history of blood transfusion as a brucellosis risk factor underscores the need to create brucellosis awareness programs both at public and institutional levels in the medical and veterinary fields, as well as facilities and capacity building to delve deeper into the epidemiology of brucellosis in the country. Particular attention should be paid to chronically infected patients. Therefore, laboratory modernization, standardization and validation of the diagnostic tests, and staff trainings are required. Finally, pasteurization of the milk is recommended before consumption.

Water pollution by contaminants such as toxic metals and dyes is now a major concern due to their high toxicity and persistence in the environment. Advances in nanotechnology have enabled the use of micro/nanomaterials to treat and purify water in various industries. In this study, Bijoypur clay was modified with ethyldiamine and incorporated into an okra fiber (Abelmoschus esculentus) micro-cellulose crystal (MCC) to produce a composite that could absorb copper (Cu), nickel (Ni), and dyes like basic yellow (II) from industrial wastewater. Composites were prepared using different percentages of MCC and clay. Atomic absorption spectroscopy (AAS) was used to determine the concentrations of Cu and Ni whereas a UV–Visible spectrophotometer measured the absorbance of basic yellow (II). The synthesized composites were extensively characterized using a range of techniques including thermogravimetry (TG) and differential thermogravimetry (DTG), Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), and X-ray diffraction (XRD). Results show that both the MCC and clay could absorb Cu, Ni, and basic yellow (II) from the contaminated wastewater. The MCC and clay composite showed the maximum efficiency of metals removal, which was up to 95% (24 mg/g) for Cu at pH 6, 20 min contact time, 2 g/L adsorbent dose, and 100% (31 mg/g) for Ni at pH 8, 60 min contact time, and 2 g/L adsorbent dose, respectively, at the initial concentration of 50 mg/L. The maximum dye uptake capacity of 85% (19 mg/g) was observed by the MCC and clay composite under optimized conditions at the initial concentration of 50 mg/L, pH 8, 30 min contact time, and 1 g/L adsorbent dose compared to the pure clay, which had an efficiency up to 26% for Cu and 24% for dye removal. All of the results indicate that incorporating clay into MCC increases the absorption capacity of contaminants from wastewater, which could be more effective for environmental applications compared to untreated cellulose.

Rabies is a neglected viral zoonotic disease with an almost 100% fatality rate. A pilot project was initiated by the National Institute of Health (NIH), Islamabad, in collaboration with Health Security Partners (HSP) to establish a real-time dog bite surveillance in humans in public sector secondary care hospitals of Islamabad. The main objective of this study was to analyze different characteristics of dog bite cases, identify gaps in surveillance, and recommend suggestions to improve and strengthen real-time dog bite surveillance systems. An observational cross-sectional study was conducted in two major public sector hospitals in Islamabad from December 2019 to July 2020. Data on demographic information, site of the dog bite, category of the dog bite, and treatment was collected via a WVS mobile-based application. Descriptive analysis was carried out for different variables at a p-value of

With more than a million deaths each year, breast cancer is the top cause of death in women. Around 70% of breast cancers are hormonally responsive. Although several therapeutic options exist, cancer resistance and recurrence render them inefficient and insufficient. The major key reason behind this is the failure in the regulation of the cell death mechanism. In addition, ROS was also found to play a major role in this problem. The therapeutic benefits of Smac mimetic compound (SMC) BV6 on MCF7 were examined in the current study. Treatment with BV6 reduces viability and induces apoptosis in MCF7 breast cancer cells. BV6 suppresses autophagy and has demonstrated a defensive role in cancer cells against oxidative stress caused by H2O2. Overall, the present investigation shows that SMC has therapeutic and cytoprotective potential against oxidative stress in cancer cells. These Smac mimetic compounds may be used as anti-cancer drugs as well as antioxidants alone or in conjunction with other commonly used antioxidants.

X-rays can induce morphological as well as functional changes in cells. Platelets are anuclear cellular fragments originating from megakaryocytes and are the major regulators in hemostasis and thrombosis. Platelet products are irradiated to avoid medical complications associated with platelet transfusion. So far, gamma, UV, and laser radiation have been used for this purpose. However, scientists are divided about the effects of radiation on platelet quality. The present study was designed to explore the possible effects of X-rays in washed human platelets and understand the molecular mechanism behind them. In the present study, we exposed washed human platelets to 10 or 30 Gy X-rays at 0.25 Gy/min. Flow cytometry, aggregometry, and western blot were performed to investigate the effect of X-rays on platelet degranulation, integrin activation, platelet aggregation, and apoptosis. It was found that X-rays immediately induced granular secretions with no effect on GP IIb/IIIa activation. Not surprisingly, due to granule secretions in irradiated platelets, platelet aggregation was significantly reduced. In contrast to granular secretions and platelet aggregation, X-rays induced mitochondrial transmembrane potential depolarization in a time-dependent manner to induce apoptosis and activated protein kinase C (PKC) signaling. This study revealed and explained the molecular mechanism activated by X-rays in washed human platelets. Here we also introduced Gö 6983, a PKC inhibitor, as an agent that counteracts X-ray-induced changes and maintains the integrity of platelets.

Severe cannibalism can result in a significant loss of productivity during the nursery phase of Asian seabass, Lates calcarifer. The present study aimed to determine the effect of dietary tryptophan on growth, feed utilization, cannibalism, survival, and muscle proximate composition of Asian seabass juveniles (initial size, 2.77 ± 0.04 cm in length and 0.29 ± 0.01 g in weight) in a recirculating aquaculture system (RAS) at different stocking densities. The tryptophan levels were set at 0.41% (control diet, standard dosage for normal growth and survival of Asian seabass), 1.00% (Diet 1), and 1.50% (Diet 2), while the stocking densities were set at 0.5 ind./L and 1.5 ind./L. The results indicated that dietary supplementation with L-tryptophan (TRP) and fish stocking density had a significant effect on fish growth parameters, feed utilization, cannibalism, survival, and muscle lipid content (p < 0.05) over the 45-day trial. The maximum length, weight, WG, and SGR were 11.64 ± 0.35 cm, 22.93 ± 2.67 g, 22.64 ± 2.67 g, and 9.63 ± 0.27%, respectively, in the fish fed Diet 2, and 11.35 ± 0.22 cm, 24.38 ± 1.28 g, 24.09 ± 1.28 g, and 9.82 ± 0.11% at a 1.5 ind./L stocking density. The lower FCR (0.81 ± 0.04) and higher PER (2.98 ± 0.16) ensured better utilization of Diet 1 than the other diets. Moreover, significant interaction effects between diet and stocking density were observed in total yield, cannibalism, and survival of the Asian seabass. Significantly higher survival rates of 76.11 ± 3.90% in the Diet 1 group and 76.28 ± 2.88% in 0.5 ind./L stocking density were obtained, which is promising. The study concludes that dietary supplementation with 1.00% TRP was effective in reducing cannibalism and increasing the survival of the Asian seabass nursery reared in RAS at a lower stocking density (i.e., 0.5 ind./L), whereas 1.50% supplemental TRP at a higher stocking density (i.e., 1.5 ind./L) significantly increased the cannibalism and growth, which in turn reduced the survival rate.

As a country, Pakistan is mostly dependent on fossil fuels for fulfilling its energy demand, which is expensive, as well as being environmentally unfriendly. It is high time that the country decides to shift from fossil fuels to renewable energy resources like geothermal, wind, solar, etc., to cater for global warming issues. Pakistan has a lot of potential geothermal sites, as the location of Pakistan lies on several fault lines and hot springs, thus making it very easy to extract the temperature from deep inside the earth and harness it for Geothermal Energy. Also, a sound knowledge of ground temperature is essential to use geothermal energy, which is obtained by drilling boreholes and putting in sensors. However it becomes a very expensive and labor intensive procedure. Therefore, to avoid the huge cost for drilling boreholes, particularly for ground temperature analysis, a numerical approach has been considered for determining ground temperature. Furthermore, correlation charts between air and ground temperatures have been developed, as there were no proper studies on the ground temperature of Pakistan. Then, with the help of a boreholes drilled in the National University of Sciences and Technology, Islamabad, Pakistan, the actual ground and numerically calculated temperatures have been compared. The results show a temperature error margin in the range between 0.27% for higher depths of about 5.6 m and 7.3% near the surface of about 2.7 m. Thus, it is shown that the proposed method is easy to implement and better than large scale testing methods for the depths at which geothermal energy is extracted.

While still considered a high-risk procedure, cardiac catheterization during the early postoperative period is being performed more frequently in the current era. Limited data are currently available concerning the acute hemodynamic consequences of these procedures. Therefore, the purpose of this study was to evaluate the safety/efficacy of cardiac catheterization performed within thirty days of congenital heart surgery. We completed a retrospective review of all catheterizations within 30 days of congenital heart surgery. Procedures were performed due to failure to progress or hemodynamic deterioration. There were 1873 congenital heart surgeries during the study period. One hundred and three (6.2%) patients with a median age of 124 days underwent catheterization. Sixty-three cases received interventions, and forty patients underwent diagnostic catheterization. Early cardiac catheterization did not show a significant immediate change in the hemodynamics or inotrope score. Survival for patients undergoing diagnostic Cath (81%) did not differ significantly from the intervention group (89%). Although cardiac catheterization was performed on patients at the highest risk for death in the postoperative period, catheter intervention did not increase the risk of death. Those patients undergoing catheter intervention did not seem to experience major adverse events but achieved mild improvement in tissue perfusion.

Plastic and microplastic pollution is a complex, muti-faceted challenge that has engaged a broad alliance of stakeholder groups who are concerned with environmental, biotic and human health [...]

Objective: Persistent pain is a common complication after breast cancer surgery. We sought to determine the characteristics of persistent pain after breast cancer surgery and identify perioperative risk factors associated with its development. Methods: This prospective cohort study uses data from a prior randomized controlled trial of 100 patients undergoing breast cancer surgery. Patients were assessed on the presence and characteristics of pain at 3 months after surgery. Baseline and perioperative data were explored for potential associations with persistent pain in univariate and multivariate logistic regression models. Results: Fifty-three percent of patients reported persistent pain 3-months after surgery. Pain was primarily located in the axilla, chest, and shoulder, with the vast majority of patients with pain (96.2%) reporting a neuropathic pain feature. The mean intensity of pain was 2.5 (standard deviation [SD] 2.4, on a 0 to 10 pain scale) and persistent pain was associated with worse quality of life scores (p = 0.004) and increased use of analgesics (p = 0.015). Variables found to be associated with persistent pain in our univariable and multivariable-adjusted analyses were preoperative employment (OR 2.70, 95% CI 1.04–9.66, p = 0.042), acute postoperative pain during movement (OR 1.63, 95% CI 1.06–2.51, p = 0.027), and adjuvant chemotherapy (OR 3.30, 95% CI 1.19 to 9.15, p = 0.022). Conclusions: Persistent pain after breast cancer surgery is neuropathic and is associated with reduced quality of life and increased analgesic need. Future research should focus on perioperative interventions to reduce acute postoperative pain and consideration of modified adjuvant chemotherapy regimens to address modifiable risk factors and potentially reduce the incidence of persistent pain after breast cancer surgery.

Female infertility (FI) is a global health issue. Polycystic ovary syndrome (PCOS) is a common cause of FI. The renalase gene (RNLS) is associated with FI and other human diseases. Based on the documented missense variants, rs6166 and rs2296545 single-nucleotide polymorphisms (SNPs) were not identified in Saudi women with FI and PCOS. This study aimed to investigate the molecular role of the two SNPs in Saudi women with FI and PCOS. In this cross-sectional study, 96 healthy controls, 96 women with FI, and 96 women with PCOS were recruited. DNA was isolated, and polymerase chain reactions and Sanger sequencing analysis were performed using rs6166 and rs2296545 SNPs. The data obtained from the three groups were used to perform statistical analyses based on genotype, allele frequencies, regression models, and ANOVA analysis. Both rs6166 and rs2296545 had no role in FI or PCOS in Saudi women. A predicted reason for non-association in Saudi women could be the role of elderly women in the controls compared with women with FI and PCOS. Moreover, age, weight, and body mass index were higher in the control group than the FI and PCOS groups. In conclusion, rs6166 and rs2296545 SNPs were not associated with FI or PCOS in Saudi women.

Subclinical mastitis (SCM) is a predominant form of mastitis wherein major visible signs of disease are absent. The present study aimed to determine acute phase proteins (APPs) like ferritin, C-reactive protein (CRP), and microalbumin (Malb) in 135 composite milk and serum samples of healthy (n = 25) and SCM (n = 110) cows. As bovine mastitis is an inflammatory disease, the present study also aimed at finding novel anti-inflammatory compounds from natural sources by repurposing approach using computational studies. The findings of the present study revealed substantial elevation (p < 0.001) in milk SCC and an increase in ferritin, CRP, and Malb (p < 0.001) in milk and sera of the SCM group as compared to healthy animals. Receiver operating characteristics of milk SCC, milk, and serum APPs unraveled statistically substantial alteration (p < 0.001). Further, SCC was correlated with milk APPs ferritin (r = 0.26 **, p < 0.002), CRP (r = 0.19 *, p < 0.02), and Malb (r = 0.21 *, p < 0.01). Additionally, milk SCC was correlated with serum ferritin (r = 0.28 **, p < 0.001), CRP (r = 0.16, p > 0.05), and Malb (r = 0.16, p > 0.05). The findings of molecular docking revealed that Chaetoglobosin U was the most effective molecule that showed the highest binding affinity (kcal/mol) of −10.1 and −8.5 against ferritin and albumin. The present study concluded that the estimation of cow-side tests, SCC, and APPs in milk/serum is suitable to detect SCM and screening herd community. Furthermore, Chaetoglobosin U could be developed as a promising anti-inflammatory inhibitor; however, further studies are required to validate these findings.

Continuity of care is considered a key metric of quality healthcare. Yet, continuity of care in adults aging with congenital disability and the factors that contribute to care continuity are largely unknown. Using data from a national private administrative health claims database in the United States (2007–2018). we examined continuity of care in 8596 adults (mean age 48.6 years) with cerebral palsy or spina bifida. Logistic regression models analyzed how proximity to health care facilities, availability of care providers, and community socioeconomic context were associated with more continuous care. We found that adults aging with cerebral palsy or spina bifida saw a variety of different physician specialty types and generally had discontinuous care. Individuals who lived in areas with more hospitals and residential care facilities received more continuous care than those with limited access to these resources. Residence in more affluent areas was associated with receiving more fragmented care. Findings suggest that over and above individual factors, community healthcare resources and socioeconomic context serve as important factors to consider in understanding continuity of care patterns in adults aging with cerebral palsy or spina bifida.

The presence of pharmaceuticals in the aquatic environment presents a challenge to modern science. The most significant impact this can induce is the emergence of antibiotic resistance, which can lead to a global health emergency. It is important to note that the impact of pharmaceuticals in the aquatic environment is not limited to antibiotic resistance. Pharmaceuticals can also affect the behaviour and reproductive systems of aquatic organisms, with cascading effects on entire ecosystems. Numerous studies have reported the emergence of pharmaceuticals due to the uncontrolled disposal of polluted domestic, agricultural, and industrial wastewater in water bodies. This work discusses the potential of pharmaceuticals that on one hand are highly important for mankind, yet their non-judicious usage and disposal induce equally intriguing and problematic conditions to the health of aquatic systems. Pathways through which pharmaceutics can make their way into water bodies are discussed. Furthermore, the risk imposed by pharmaceuticals on aquatic life is also elaborated. The possible and pragmatic remediation methods through which pharmaceutical products can be treated are also discussed. Emphasis is placed on the potential of phytoremediation and advanced oxidative process, and the factors affecting the efficacy of these remediation methods are discussed.

Groundwater pollution is considered a major concern in today’s world. Most industries in Pakistan produce untreated wastewater, extracting from and contaminating a nearby water source and the soil. This study was conducted in the Nithar Ke area of Chiniot District to assess the impact of the flow of wastewater over the area on groundwater quality. It aimed to: (1) investigate the conditions of industrial wastewater; (2) study the spatial variability of different parameters in groundwater using a GIS map; and (3) check the appropriateness of groundwater for drinking purposes using the water quality index (WQI). Physical and chemical characteristics, including pH, electrical conductivity, total dissolved solids, TSS, CO3, HCO3, chlorides, alkalinity, total hardness, Ca, Mg, arsenic, copper, chromium, nickel, iron, manganese, and sulfate, were tested using groundwater samples, and variance in groundwater was analyzed using a GIS (geographic information system). The water quality index (WQI) was developed for the Nithar Ke area to determine the appropriateness of the groundwater for drinking purposes. WQI values were determined within the range of 41 to 89.5, which showed a poor to good water quality. It was discovered that parameters such as BOD, COD, iron, and TDS had average concentrations of 192 mg/L, 264 mg/L, 2.62 mg/L, and 6039 mg/L, respectively, in the polluted water, which exceeded the permissible limit. Iron and manganese were the most common contaminants found in that area. The biplot and correlation circle showed that iron and turbidity had a positive relationship. Further study on soil stratification and soil characteristics is recommended in this area for a detailed analysis of the causes of metal contamination.

Conductive textiles have found notable applications as electrodes and sensors capable of detecting biosignals like the electrocardiogram (ECG), electrogastrogram (EGG), electroencephalogram (EEG), and electromyogram (EMG), etc; other applications include electromagnetic shielding, supercapacitors, and soft robotics. There are several classes of materials that impart conductivity, including polymers, metals, and non-metals. The most significant materials are Polypyrrole (PPy), Polyaniline (PANI), Poly(3,4-ethylenedioxythiophene) (PEDOT), carbon, and metallic nanoparticles. The processes of making conductive textiles include various deposition methods, polymerization, coating, and printing. The parameters, such as conductivity and electromagnetic shielding, are prerequisites that set the benchmark for the performance of conductive textile materials. This review paper focuses on the raw materials that are used for conductive textiles, various approaches that impart conductivity, the fabrication of conductive materials, testing methods of electrical parameters, and key technical applications, challenges, and future potential.

Myocardial infarction (MI) is a common and life-threatening manifestation of ischemic heart diseases (IHD). The most important risk factor for MI is hypertension. Natural products from medicinal plants have gained considerable attention globally due to their preventive and therapeutic effects. Flavonoids have been found to be efficacious in ischemic heart diseases (IHD) by alleviating oxidative stress and beta-1 adrenergic activation, but the mechanistic link is not clear. We hypothesized that antioxidant flavonoid diosmetin is cardioprotective in a rat model of MI induced by beta 1-adrenergic receptor activation. To test this hypothesis, we evaluated the cardioprotective potential of diosmetin on isoproterenol-induced MI in rats by performing lead II electrocardiography (ECG), cardiac biomarkers including troponin I (cTnI) and creatinine phosphokinase (CPK), CK-myocardial band, (CK-MB), lactate dehydrogenase (LDH), alanine aminotransferase (ALT), and aspartate aminotranferase (AST) by using biolyzer 100, as well as histopathological analysis. We found that diosmetin (1 and 3 mg/kg) attenuated isoproterenol-induced elevation in the T-wave and deep Q-wave on the ECG, as well as heart-to-body weight ratio and infarction size. In addition, pretreatment with diosmetin attenuated the isoproterenol-induced increase in serum troponin I. These results demonstrate that flavonoid diosmetin may provide therapeutic benefit in myocardial infarction.

The textile industry has been exploring sustainable chemicals and natural alternatives to replace harmful and carcinogenic substances used in different stages of textile production for dyeing textiles. Natural dyes are gaining popularity, as they are environmentally friendly and less harmful. Betacyanin, a type of pigment obtained from red pitahaya, commonly known as red dragon fruit (Hylocereus polyrhizus), has peels that are available as agricultural waste and can be used to meet the demand for natural dye production. This study aimed to explore and utilize dragon fruit’s peel as a natural colorant for dyeing 100% cotton knit fabric (scoured and bleached single jersey plain knit) of 170 g/m2, which could transform a low-value material into a valuable product. However, cotton’s phenolic nature and oxidation process result in negative charges on its surface, making natural dyeing challenging. Cationization with cationic agents (ForCat NCH, a mixture of cationic polyamine and 1,3,dichlori-2-propanol) and mordanting (potassium alum or potassium aluminum sulfate) were carried to improve dye exhaustion and enhance colorfastness properties. Spectrophotometer 800 was used to measure color strength (K/S), and several fastness tests, including wash, perspiration, and rubbing were conducted to assess the final product’s performance. The process parameters, such as temperatures, times, pH levels, and dye concentrations were varied to understand better the optimum conditions.

Background: There is clear evidence showing an increase in mental health symptoms along with an increased demand for mental health services since the start of the COVID-19 pandemic. Objective: This study aimed to determine the rates of elevated anxiety symptoms in children during the COVID-19 pandemic in the state of Qatar. It also explored any correlated factors. Method: A cross-sectional, questionnaire-based study with 199 participants (children aged 6–16 years) consulting a dental care center. We used the original English version as well as a previously validated Arabic version of the Parent Spence Children’s Anxiety Scale to measure anxiety symptoms. Results: A total of 29.6% (n = 59) of our sample met the respective elevated cut-off score for overall anxiety disorder. The largest group among the children was elevated levels of physical injury fears 37.6% (n = 75), followed by Social Phobia 36.1% (n = 72). Younger children showed significantly higher scores for total anxiety, separation anxiety, physical injury fears, and generalized anxiety score. Among the gender groups, females reported significantly higher scores of General anxiety disorder. When comparing natives to expatriates, expatriates showed higher scores for total anxiety, physical injury fears score, social phobia score, and generalized anxiety. Conclusions: Overall, this study shows increased rates of clinically elevated anxiety symptoms in children during the COVID-19 pandemic in the state of Qatar. Younger children, females, and expatriates were more vulnerable to the psychological impact of the COVID-19 pandemic. This study highlights the specific psychological vulnerability of this population group during major health crises like the current pandemic.

The management of an intracranial hemorrhage in patients receiving anticoagulant therapy presents a significant challenge for medical professionals. Anticoagulant treatment is intended to prevent blood clotting, but it can worsen active brain bleeds. Despite this risk, avoiding the prothrombotic state caused by mechanical heart valves remains crucial. Guidelines on managing this issue are currently lacking, prompting a review that delves into embryonic development and anatomical functions of heart valves, valve replacement therapy for diseased valves, and the need for anticoagulants. Ultimately, recent literature and cases inform discussion regarding how best to manage intracranial hemorrhages in patients with mechanical heart valves. The expectation is that this examination will offer valuable perspectives on the handling of intracranial bleeding among individuals with mechanical heart valves and stimulate additional investigations in this intricate domain, particularly through the lens of applied mechanics.

Background: Demyelinating diseases represent a broad spectrum of disorders and are characterized by the loss of specialized glial cells (oligodendrocytes), which eventually leads to neuronal degeneration. Stem cell-based regenerative approaches provide therapeutic options to regenerate demyelination-induced neurodegeneration. Objectives: The current study aims to explore the role of oligodendrocyte-specific transcription factors (OLIG2 and MYT1L) under suitable media composition to facilitate human umbilical-cord-derived mesenchymal stem cells (hUC-MSCs) differentiation toward oligodendrocyte for their potential use to treat demyelinating disorders. Methodology: hUC-MSCs were isolated, cultured, and characterized based on their morphological and phenotypic characteristics. hUC-MSCs were transfected with OLIG2 and MYT1L transcription factors individually and in synergistic (OLIG2 + MYT1L) groups using a lipofectamine-based transfection method and incubated under two different media compositions (normal and oligo induction media). Transfected hUC-MSCs were assessed for lineage specification and differentiation using qPCR. Differentiation was also analyzed via immunocytochemistry by determining the expression of oligodendrocyte-specific proteins. Results: All the transfected groups showed significant upregulation of GFAP and OLIG2 with downregulation of NES, demonstrating the MSC commitment toward the glial lineage. Transfected groups also presented significant overexpression of oligodendrocyte-specific markers (SOX10, NKX2.2, GALC, CNP, CSPG4, MBP, and PLP1). Immunocytochemical analysis showed intense expression of OLIG2, MYT1L, and NG2 proteins in both normal and oligo induction media after 3 and 7 days. Conclusions: The study concludes that OLIG2 and MYT1L have the potential to differentiate hUC-MSCs into oligodendrocyte-like cells, which is greatly facilitated by the oligo induction medium. The study may serve as a promising cell-based therapeutic strategy against demyelination-induced neuronal degeneration.

In recent decades, acceptance of nanoparticles (NPs) in therapeutic applications has increased because of their outstanding physicochemical features. By overcoming the drawbacks of conventional therapy, the utilization of metal NPs, metal-oxide, or metal supported nanomaterials have shown to have significant therapeutic applications in medicine. This is proved by a lot of clinical and laboratory investigations that show improved treatment outcomes, site-specific drug delivery, and fewer side effects compared to traditional medicine. The metal NPs interaction with living cells (animal and plant) showed many ways to develop therapeutic models with the NPs. Despite all of the advancements that science has achieved, there is still a need to find out their performance for long-term use to solve modern challenges. In this regard, the present documentation reviews some potential metals, including silver (Ag), gold (Au), zinc (Zn), copper (Cu), iron (Fe), and nickel (Ni) NPs, as therapeutic agents in various areas such as anticancer, antimicrobial, antidiabetic, and applicable for the treatment of many other diseases. Depending on the outstanding ongoing research and practical trials, metal-based NPs can be considered the hope of prospective modern therapeutic areas.

The Software-Defined Network (SDN) is a next-generation network that uses OpenFlow to decouple the control plane from the data plane of forwarding devices. Other protocols for southbound interfaces include ForCES and POF. However, some security issues might be in action on the SDN, so that attackers can take control of the SDN control plane. Since live video calling, QoS control, high bandwidth needs, and resource management are inevitable in any SDN/Software-Defined Cellular Network (SDCN), traffic monitoring is an integral approach for safeguarding against DDoS, heavy hitters, and superspreaders. In such a scenario, SDN traffic measurement comes into action. Thus, we survey SDN traffic measurement solutions to assess how these solutions can make a secure, efficient, and robust SDN/SDCN architecture. This research classifies SDN traffic measurement solutions according to network application behavior and compares several ML approaches. Furthermore, we find out the challenges related to SDN/SDCN traffic measurement and the future scope of research, which will guide the design and development of more advanced traffic measurement solutions for a scalable, heterogeneous, hierarchical, and widely deployed SDN/SDCN architecture. In more detail, we list different kinds of practical machine learning (ML) approaches to analyze how we can improve traffic measurement performances. We conclude that using ML in SDN traffic measurement solutions will help secure SDNs/SDCNs in complementary ways.

Pancreatitis is a condition that causes inflammation in the pancreas, an organ located behind the stomach. This condition often presents as neuropathic, inflammatory, and/or visceral pain. Acute pancreatitis is typically characterized by sudden and severe abdominal pain, often in the upper right part of the abdomen. The pain from pancreatitis can be caused by different mechanisms, such as abnormal activation of pancreatic zymogens or NF-κB mediated inflammation in the pancreas. The treatment of pancreatitis depends on its type, severity, and underlying cause. Hospitalization and medications are typically necessary, while in others, surgery may be required. Proper management of pancreatitis is essential, as it can help reduce the risk of complications and improve the patient’s quality of life. The literature on pancreatitis pain management evaluates systematic approaches and the effectiveness of various treatments, such as lidocaine, opioid agonists, ketamine, magnesium, endoscopic methods, spinal cord stimulation, and other novel treatments present opportunities for exploration in pancreatitis pain management.

Accurate prediction of SARS-CoV-2 infection based on symptoms can be a cost-efficient tool for remote screening in healthcare settings with limited SARS-CoV-2 testing capacity. We used a machine learning approach to determine self-reported symptoms that best predict a positive SARS-CoV-2 test result in physician trainees from a large healthcare system in New York. We used survey data on symptoms history and SARS-CoV-2 testing results collected retrospectively from 328 physician trainees in the Mount Sinai Health System, over the period 1 February 2020 to 31 July 2020. Prospective data on symptoms reported prior to SARS-CoV-2 test results were available from the employee health service COVID-19 registry for 186 trainees and analyzed to confirm absence of recall bias. We estimated the associations between symptoms and IgG antibody and/or reverse transcriptase polymerase chain reaction test results using Bayesian generalized linear mixed effect regression models adjusted for confounders. We identified symptoms predicting a positive SARS-CoV-2 test result using extreme gradient boosting (XGBoost). Cough, chills, fever, fatigue, myalgia, headache, shortness of breath, diarrhea, nausea/vomiting, loss of smell, loss of taste, malaise and runny nose were associated with a positive SARS-CoV-2 test result. Loss of taste, myalgia, loss of smell, cough and fever were identified as key predictors for a positive SARS-CoV-2 test result in the XGBoost model. Inclusion of sociodemographic and occupational risk factors in the model improved prediction only slightly (from AUC = 0.822 to AUC = 0.838). Loss of taste, myalgia, loss of smell, cough and fever are key predictors for symptom-based screening of SARS-CoV-2 infection in healthcare settings with remote screening and/or limited testing capacity.

During the COVID-19 pandemic, people’s health behavioral changes have been transposed into a new dimension. Coping with the COVID-19 pandemic may have an impact on sustained health behavior (SHB). Therefore, this study aimed to explore the validity and reliability of the COVID-19 Coping Scale among working-age individuals and to assess whether coping with COVID-19-related stress could influence SHB in this population. A cross-sectional study was conducted based on the population of the city of Dhaka in Bangladesh. A total of 263 working-age individuals (19–65 years) participated in the study. The present study results confirmed the COVID-19 Coping Scale was a valid and reliable instrument for this population. Moreover, the present finding indicated decreased odds of SHB for individuals who rated lower scores on coping with COVID-19 compared to individuals who rated higher scores; the result remained significant after controlling for gender and education (OR 0.68, 95% CI: 0.54–0.87). The present study suggests two important findings: (i) the instrument used in this study was valid and reliable in this population, and (ii) coping with COVID-19-related stress may be an important aspect of practicing SHB. Policymakers may use the highlighted findings to facilitate sustainable health behavior for long-term health benefits and to tackle future pandemics like COVID-19 or in a similar context.

Smart mobility is crucial for future smart cities. Traffic simulation software (TSS) is an important tool for efficient planning and management of road networks to achieve this goal. Many TSS tools have been developed for both microscopic and macroscopic homogenous traffic flow. However, only two (SUMO and HetroSim) are applicable to heterogeneous traffic. In this paper, HetroTraffSim is proposed to simulate macroscopic heterogeneous traffic flows at road bottlenecks. It is developed using the Unity3D engine and is based on a second-order traffic flow model. It is evaluated for a 360 m road segment on University Road, Peshawar, Pakistan. This segment contains a 78.5 m bottleneck which causes traffic congestion. This bottleneck is due to the construction of a pedestrian overhead bridge which reduces the three-lane road to two lanes. HetroTraffSim provides normalized traffic velocity, average traffic density, traffic flow, and time, as well as the temporal and spatial evolution of traffic. The results obtained show that a change in the distance headway affects the traffic flow, velocity, and density. Further, HetroTraffSim can be extended to automated traffic flows using raycasting. It can easily be used to create realistic traffic scenarios and the computational complexity is low due to the small-degree polynomials employed. HetroTraffSim can be used by traffic planners to improve traffic flow and public safety.

The purpose of this study was to determine the effect of the superoxide dismutase mimic compound “tempol” on liver and renal damage in Long Evans male rats administered with carbon tetrachloride (CCl4). Methods: The antioxidant enzyme activity and oxidative stress parameters were investigated in the liver, kidney, and plasma tissues. Histological examination of the liver and kidney sections affirmed inflammatory cell infiltration, collagen deposition, and iron deposition. RT-PCR was also employed to evaluate the expression of oxidative stress and inflammatory genes. Results: The CCl4-administered rats exhibited increased plasma activities of ALT, AST, and ALP compared to the control rats. The tempol treatment in the CCl4-administered rats significantly lowered ALT, AST, and ALP enzyme activities compared to the CCl4 group. Oxidative stress parameters, such as the MDA, NO, and APOP levels in various tissues of the CCl4-administered rats, showed increased concentrations, whereas tempol significantly lowered the level of oxidative stress. Moreover, CCl4 administration decreased the antioxidant enzyme activities, which were further significantly restored by the tempol treatment. The control rats that underwent treatment with tempol did not present with any abnormality or toxicity. Furthermore, the tempol treatment in the CCl4-administered rats increased Nrf-2-HO-1-mediated gene expression and enhanced related antioxidant enzyme gene expressions. The tempol treatment in the CCl4-administered rats also decreased anti-inflammatory gene expressions in the liver. In histological sections of the liver, CCl4 increased inflammatory cell infiltration, collagen deposition, and iron deposition, which were reduced significantly due to the tempol treatment. Conclusion: The results of this investigation revealed that tempol could protect against liver and kidney damage in CCl4-administered rats by modulating antioxidant gene expressions and restoring antioxidant defense mechanisms.

Software-defined networks (SDNs) have the capabilities of controlling the efficient movement of data flows through a network to fulfill sufficient flow management and effective usage of network resources. Currently, most data center networks (DCNs) suffer from the exploitation of network resources by large packets (elephant flow) that enter the network at any time, which affects a particular flow (mice flow). Therefore, it is crucial to find a solution for identifying and finding an appropriate routing path in order to improve the network management system. This work proposes a SDN application to find the best path based on the type of flow using network performance metrics. These metrics are used to characterize and identify flows as elephant and mice by utilizing unsupervised machine learning (ML) and the thresholding method. A developed routing algorithm was proposed to select the path based on the type of flow. A validation test was performed by testing the proposed framework using different topologies of the DCN and comparing the performance of a SDN-Ryu controller with that of the proposed framework based on three factors: throughput, bandwidth, and data transfer rate. The results show that 70% of the time, the proposed framework has higher performance for different types of flows.

Atrial fibrillation has been described as a global epidemic with a three-fold increase in prevalence in the last 50 years. As the prevalence of atrial fibrillation continues to grow, multiple landmark trials have been designed to determine the best method to treat atrial fibrillation. Initial trials have stated that rate control was not inferior to rhythm control, however, as the efficacy of rhythm control of atrial fibrillation has improved, a benefit in rhythm control has been shown. Because of this trend towards increased rhythm control, more patients have been placed on anti-arrhythmic medications. This paper will review the epidemiology and clinical impact of the utilization of anti-arrhythmic medications. As we enter the era of rhythm control, increased awareness is needed regarding the monitoring and potential adverse events that can occur with these medications. Providers must balance the increased emphasis on rhythm control with the overall clinical impact on their patients due to drug-to-drug interactions and adverse effects that can occur with different co-morbidities. If the clinical momentum towards rhythm control continues, real-world data analysis will be needed to evaluate the clinical impact of the use, risk, and benefits of anti-arrhythmic medications.