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This work describes an automated pilot plant for the extraction of rare-earth (RE) permanent magnets from computer hard-disk drives (HDDs), demonstrating a commercially viable way to exploit these abundant sources of end-of-life (EOL) magnets. A mobile approach is provided for the on-site destruction of the HDDs in server farms, in compliance with the European Data Protection Regulation (GDPR), enabling both separation of the magnets and automated shredding of the data carrier. This fully automated process identifies (both optically and magnetically) the location of the rare-earth magnets and cuts off the corner of the hard drive containing the rare-earth material in the voice coil motor. This allows for a significant reduction in magnet extraction time (6 s per HDD) compared to previously reported semi-automated (2 min) and manual (5 min) dismantling times. This work will also help to transfer the experience gained in the mobile pilot plant to other future sources of EOL materials such as drive motors and mixed electronic scrap.

Our study included 41 patients fulfilling the Milan criteria preoperatively and aimed to identify individuals at high risk of post-resection HCC relapse, which occurred in 18 out of 41 patients (43.9%), retrospectively. We analyzed whole slide images of CD8 immunohistochemistry with automated segmentation of tissue classes and detection of CD8+ lymphocytes. The image analysis outputs were subsampled using a hexagonal grid-based method to assess spatial distribution of CD8+ lymphocytes with regards to the epithelial edges. The CD8+ lymphocyte density indicators, along with clinical, radiological, post-surgical and pathological variables, were tested to predict HCC relapse. Low standard deviation of CD8+ density along the tumor edge and R1 resection emerged as independent predictors of shorter recurrence-free survival (RFS). In particular, patients presenting with both adverse predictors exhibited 100% risk of relapse within 200 days. Our results highlight the potential utility of integrating CD8+ density variability and surgical margin to identify a high relapse-risk group among Milan criteria-fulfilling HCC patients. Validation in cohorts with core biopsy could provide CD8+ distribution data preoperatively and guide preoperative decisions, potentially prioritizing liver transplantation for patients at risk of incomplete resection (R1) and thereby improving overall treatment outcomes significantly.

Identifying bird numbers in hostile environments, such as poultry facilities, presents significant challenges. The complexity of these environments demands robust and adaptive algorithmic approaches for the accurate detection and tracking of birds over time, ensuring reliable data analysis. This study aims to enhance methodologies for automated chicken identification in videos, addressing the dynamic and non-standardized nature of poultry farming environments. The YOLOv8n model was chosen for chicken detection due to its high portability. The developed algorithm promptly identifies and labels chickens as they appear in the image. The process is illustrated in two parallel flowcharts, emphasizing different aspects of image processing and behavioral analysis. False regions such as the chickens’ heads and tails are excluded to calculate the body area more accurately. The following three scenarios were tested with the newly modified deep-learning algorithm: (1) reappearing chicken with temporary invisibility; (2) multiple missing chickens with object occlusion; and (3) multiple missing chickens with coalescing chickens. This results in a precise measure of the chickens’ size and shape, with the YOLO model achieving an accuracy above 0.98 and a loss of less than 0.1. In all scenarios, the modified algorithm improved accuracy in maintaining chicken identification, enabling the simultaneous tracking of several chickens with respective error rates of 0, 0.007, and 0.017. Morphological identification, based on features extracted from each chicken, proved to be an effective strategy for enhancing tracking accuracy.

Tequila vinasse, a byproduct of the tequila industry, is frequently discharged into water bodies or agricultural fields, posing significant ecological and human health risks. Bacterial communities that inhabit these agricultural fields have developed mechanisms to utilize tequila vinasse as a potential nutrient source and to promote plant growth. In this study, strains from the phyla Actinomycetota and Pseudomonadota were isolated from agricultural fields irrigated with tequila vinasse for 2, 10, and 14 years in Jalisco, Mexico. The results showed that strains of Terrabacter, Azotobacter, Agromyces, Prescottella, and Leifsonia tolerate high concentrations of tequila vinasse and promote maize seedling growth in the presence of tequila vinasse. Additionally, some of the strains solubilize potassium and produce siderophores, cellulase, protease, lipase, and esterase. The strains Terrabacter sp. WCNS1C, Azotobacter sp. WCNS1D, and Azotobacter sp. WCNS2A have potential applications in the bioremediation of tequila vinasse in agricultural fields discharged with tequila vinasse.

This study aimed to determine the protein requirements of the fattening phase for Nile tilapia (Oreochromis niloticus) fed fish meal-free diets. A total of 75 Nile tilapia were maintained in a water recirculation system, and five isoenergetic diets were formulated with increasing protein levels encompassing three repetitions each. The findings revealed that protein levels significantly affected (p < 0.05) certain Nile tilapia performance, yield, and composition parameters. The determined parameter values clearly indicated that Nile tilapia can be fed fish meal-free soybean meal and corn-based diets. Furthermore, the metabolic plasticity of this species concerning dietary protein concentrations was also demonstrated, with adequate performance results achieved in treatments containing from 267 to 294 g/kg digestible protein (DP), or 298 to 327 g/kg crude protein (CP), where the balance between essential and non-essential amino acids and energy resulted in adequate performance correlated to satisfactory feed conversion values and filet yields and composition. A DP concentration of 267 g/kg (298 g/kg CP) is recommended when offering corn and soybean meal-based diets during the Nile tilapia fattening phase to fish weighing between 400 and 700 g.

Over the past decade, molecular cytopathology has emerged as a relevant area of modern pathology. Notably, in patients with advanced-stage cancer, cytological samples could be the only material available for diagnosis and molecular biomarker testing to identify patients suitable for targeted therapies. As a result, the contemporary cytopathologist’s role extends beyond morphological assessments to include critical skills such as evaluating the adequacy of the cytological samples and managing these specimens for molecular testing. This case collection can be a valuable source of insight, especially for young pathologists, who should learn to combine the opportunities offered by molecular biology with the basis of morphological evaluation.

Glycine, a simple amino acid, is not only essential due to its potential insufficiency in vivo, but also has significant metabolic functions. It serves as a crucial building block for proteins. At the same time, as a bioactive molecule, it regulates gene expression for cytoprotection, protein configuration and activity, and other critical biological processes, including glutathione synthesis. The intriguing, beneficial effects of glycine in medical applications have piqued the research community’s interest in recent decades. This work delves into the compelling discoveries about the pivotal role of glycine in cardiovascular health and its intricate mechanisms of action for alleviating several medical conditions. Glycine’s broad spectrum of impact spans numerous diseases, encompassing not only acute myocardial infarction, aortic dissection, and cardiac hypertrophy, but also transplant rejections of aortic allografts, insulin resistance, and endothelial dysfunction, thereby providing a comprehensive understanding of its medical applications.

HLA-matched allogeneic hematopoietic cell transplantation (HCT) is a curative therapy for many patients. Unrelated HLA-matched donors are the most frequently used donor for HCT. When more than one donor transplant option is available, transplant centers can select donors based on non-HLA factors. With improved ability to prevent and treat immune complications, such as graft-versus-host disease and infections, it may be possible to proceed more often using HLA-mismatched donors, allowing greater consideration of non-HLA factors, such as donor age, CMV serostatus, and ABO blood group matching, which have demonstrated important impacts on transplant outcomes. Additional factors to consider are donor availability rates and the usage of domestic donors to optimize outcomes. A review of non-HLA factors and considerations on the selection of optimal unrelated donors for HCT are provided within this updated current context.

Carao (Cassia grandis) contains numerous bioactive substances that contribute to gastrointestinal well-being. The present study assessed the potential impacts of carao on the viability and performance of Streptococcus thermophilus and Lactobacillus bulgaricus under various adverse conditions. These conditions included bile, acid, gastric juice, and lysozyme exposure, simulating the digestive process from the mouth to the intestines. The activity of proteases from cultures was monitored to examine their proteolytic capabilities. To achieve this, the cultures were cultivated in a solution containing plant material, and the results were compared against a control sample after an incubation period. Subsequently, the total phenolic content, total carotenoid content, antioxidant activity, sugar profile, and acid profile of the plant materials were analyzed. These analyses were conducted to explore these compounds’ influence on cultures’ survival. Seeds contained the highest total phenols (766.87 ± 11.56 µg GAE/mL), total carotenoid content (7.43 ± 0.31 mg Q/mL), and antioxidant activity (40.76 ± 1.87%). Pulp contained the highest moisture (12.55 ± 0.44%), ash (6.45 ± 0.15%), lipid (0.66 ± 0.07%), protein (16.56 ± 0.21%), sucrose (9.07 ± 0.78 g/100 g), and fructose (3.76 ± 0.06 g/ 100 g). The crust had the highest content of ash (85.14 ± 0.27%) and succinic acid (2.01 ± 0.06 g/100 g). Results indicated that seeds negatively affected cultures’ survival in the bile tolerance test and had positive effects on Lactobacillus bulgaricus in the protease activity test. Otherwise, the other carao tissues could not change the results significantly (p > 0.05) compared to the control in different tests. The carao crust positively affected cultures’ against protease activity, especially in Lactobacillus bulgaricus, and had a negative effect on the growth of S. thermophilus in the lysozyme and gastric acid resistance test.

This study aims to contribute to advancing the understanding of entrepreneurial ecosystems, Latin American development, and the evolution and future perspectives of the Middle East. It used a cross-sectional research design and quantitative data with 750 observations from the Global Entrepreneurship Monitor, specifically the National Experts Survey and the Adult Population Survey. The results were analyzed by the Partial Least Squares Technique (PLS-SEM) by grouping countries into two balanced samples of underexplored regions: the Middle East and Latin America. The two regions, Latin America and the Middle East, have diverse entrepreneurial ecosystems; each condition impacts entrepreneurial activities in different ways. In Latin America, the most significant variable is “Physical Infrastructure”, while in the Middle East, the most significant determinants are “Commercial and Professional Infrastructure” and “Entrepreneurship Culture”. This study shows that to support entrepreneurial activities, each region requires different settings for their entrepreneurial ecosystems. It contributes to the literature on regional entrepreneurial ecosystems and to less explored regions to advance our understanding, which will drive better policies and actions.

This is a consensus-based Canadian guideline whose primary purpose is to standardize and facilitate the management of chronic graft-versus-host disease (cGvHD) across the country. Creating uniform healthcare guidance in Canada is a challenge for a number of reasons including the differences in healthcare authority structure, funding and access to healthcare resources between provinces and territories, as well as the geographic size. These differences can lead to variable and unequal access to effective therapies for GvHD. This document will provide comprehensive and practical guidance that can be applied across Canada by healthcare professionals caring for patients with cGvHD. Hopefully, this guideline, based on input from GvHD treaters across the country, will aid in standardizing cGvHD care and facilitate access to much-needed novel therapies. This consensus paper aims to discuss the optimal approach to the initial assessment of cGvHD, review the severity scoring and global grading system, discuss systemic and topical treatments, as well as supportive therapies, and propose a therapeutic algorithm for frontline and subsequent lines of cGvHD treatment in adults and pediatric patients. Finally, we will make suggestions about the future direction of cGvHD treatment development such as (1) a mode-of-action-based cGvHD drug selection, according to the pathogenesis of cGvHD, (2) a combination strategy with the introduction of newer targeted drugs, (3) a steroid-free regimen, particularly for front line therapy for cGvHD treatment, and (4) a pre-emptive approach which can prevent the progression of cGvHD in high-risk patients destined to develop severe and highly morbid forms of cGvHD.

This research delves into the intricate dynamics of landslides, emphasizing their consequences on transportation infrastructure, specifically highways and roadway bridges in North Carolina. Based on a prior investigation of bridges in Puerto Rico after Hurricane Maria, we found that bridges above water and situated in valleys can be exposed to both landslide and flooding risks. These bridges faced heightened vulnerability to combined landslides and flooding events due to their low depth on the water surface and the potential for raised flood heights due to upstream landslides. Leveraging a dataset spanning more than a century and inclusive of landslide and bridge information, we employed logistic regression (LR) and random forest (RF) models to predict landslide susceptibility in North Carolina. The study considered conditioning factors such as elevation, aspect, slope, rainfall, distance to faults, and distance to rivers, yielding LR and RF models with accuracy rates of 76.3% and 82.7%, respectively. To establish that a bridge’s location is at the bottom of a valley, data including landform, slope, and elevation difference near the bridge location were combined to delineate a bridge in a valley. The difference between bridge height and the lowest river elevation is established as an assumed flooding potential (AFP), which is then used to quantify the flooding risk. Compared to traditional flood risk values, the AFP, reported in elevation differences, is more straightforward and helps bridge engineers visualize the flood risk to a bridge. Specifically, a bridge (NCDOT ID: 740002) is found susceptible to both landslide (92%) and flooding (AFT of 6.61 m) risks and has been validated by field investigation, which is currently being retrofitted by North Carolina DOT with slope reinforcements (soil nailing and grouting). This paper is the first report evaluating the multi-hazard issue of bridges in valleys. The resulting high-fidelity risk map for North Carolina can help bridge engineers in proactive maintenance planning. Future endeavors will extend the analysis to incorporate actual flooding risk susceptibility analysis, thus enhancing our understanding of multi-hazard impacts and guiding resilient mitigation strategies for transportation infrastructure.

Introduction: The prognostic value of CT-derived liver volume in terms of cancer outcomes is not clear. The aim of the present study was to examine the relationship between liver area on a single axial CT-slice and the total liver volume in patients with colonic cancer. Furthermore, we examine the relationship between liver volume, determined using this novel method, clinicopathological variables and survival. Methods: Consecutive patients who underwent potentially curative surgery for colonic cancer were identified from a prospectively maintained database. Maximal liver area on axial CT-slice (cm2) and total volume (cm3), were obtained by the manual segmentation of pre-operative CT-images in a PACS viewer. The maximal liver area was normalized for body height2 to create the liver index (LI) and values, categorized into tertiles. The primary outcome of interest was overall survival (OS). Relationships between LI and clinico-pathological variables were examined using chi-square analysis and binary logistic regression. The relationship between LI and OS was examined using cox proportional hazard regression. Results: A total of 359 patients were included. A total of 51% (n = 182) of patients were male and 73% (n = 261) were aged 65 years or older. 81% (n = 305) of patients were alive 3-years post-operatively. The median maximal liver area on the axial CT slice was 178.7 (163.7–198.4) cm2. The median total liver volume was 1509.13 (857.8–3337.1) cm3. Maximal liver area strongly correlated with total liver volume (R2 = 0.749). The median LI was 66.8 (62.0–71.6) cm2/m2. On multivariate analysis, age (p < 0.001), sex (p < 0.05), BMI (p < 0.001) and T2DM (p < 0.05) remained significantly associated with LI. On univariate analysis, neither LI (continuous) or LI (tertiles) were significantly associated with OS (p = 0.582 and p = 0.290, respectively). Conclusions: The simple, reliable method proposed in this study for quantifying liver volume using CT-imaging was found to have an excellent correlation between observers and provided results consistent with the contemporary literature. This method may facilitate the further examination of liver volume in future cancer studies.

The treatment of unresectable colorectal liver metastasis (CRLM) has previously been limited to palliative chemotherapy. Traditionally, the role of liver transplant has not been associated with sufficient survival to justify a patient undergoing a major operation with the associated requirement for postoperative immunosuppression. With improvements in chemotherapy options, a certain subset of patients can experience stable disease for years, which has prompted investigation into the role of liver transplant in these patients. Several recent studies have shown promising results in well-selected patients, with posttransplant survival approaching that of liver transplant recipients for other diseases. Here, we present a review of the data and current protocols for liver transplant for unresectable CRLM.

The aim of the study was to assess the impact of the COVID-19 pandemic on the notification of new VL cases in Brazil in 2020. It is an ecological and time-series study (2015–2020) with spatial analysis techniques, whose units of analysis were the 5570 Brazilian municipalities. The study population consisted of all new cases of VL recorded between 2015 and 2020. The P-score was calculated to estimate the percentage variation in new VL cases. Global and local univariate Moran’s Indices and retrospective space–time scan statistics were used in spatial and space–time analyses, respectively. It was expected that there would be 3627 new cases of VL in Brazil in 2020, but 1932 cases were reported (−46.73%). All Brazilian regions presented a negative percentage variation in the registration of new VL cases, with the Southeast (−54.70%), North (−49.97%), and Northeast (−44.22%) standing out. There was spatial dependence of the disease nationwide in both periods, before and during the first year of the COVID-19 pandemic. There was a significant reduction in the incidence of new VL cases in Brazil during the first year of the COVID-19 pandemic. These findings reinforce the need for better preparedness of the health system, especially in situations of new epidemics.

Hematopoietic stem-cell (HSC) transplantation (HSCT) is used to treat various hematologic disorders. Use of genetically modified mouse models of hematopoietic cell transplantation has been critical in our fundamental understanding of HSC biology and in developing approaches for human patients. Pre-clinical studies in animal models provide insight into the journey of transplanted HSCs from infusion to engraftment in bone-marrow (BM) niches. Various signaling molecules and growth factors secreted by HSCs and the niche microenvironment play critical roles in homing and engraftment of the transplanted cells. The sustained equilibrium of these chemical and biologic factors ensures that engrafted HSCs generate healthy and durable hematopoiesis. Transplanted healthy HSCs compete with residual host cells to repopulate stem-cell niches in the marrow. Stem-cell niches, in particular, can be altered by the effects of previous treatments, aging, and the paracrine effects of leukemic cells, which create inhospitable bone-marrow niches that are unfavorable for healthy hematopoiesis. More work to understand how stem-cell niches can be restored to favor normal hematopoiesis may be key to reducing leukemic relapses following transplant.

Cervical cancer is frequently diagnosed in women during their reproductive years, and fertility preservation is an essential part of their cancer treatment. In highly selected patients with early stage, low-risk cervical cancer and a tumor size ≤ 2 cm, several treatment strategies can be offered for patients wishing to preserve fertility, including radical/simple trachelectomy or conization with pelvic lymph node assessment. Trachelectomy can be performed through a vaginal, abdominal, or minimally invasive approach and has been shown to have an equivalent oncologic outcome compared to radical hysterectomy. All surgical approaches for radical trachelectomy seem to have excellent survival with comparable oncologic outcomes. Nevertheless, patients undergoing vaginal trachelectomy have better obstetric outcomes compared to the other routes. In patients with larger tumors (2–4 cm), neoadjuvant chemotherapy followed by fertility-sparing surgery is an alternative option. Several chemotherapy regimens have been used for this indication, with a pathologic complete response rate of 17–73%. For locally advanced diseases that require radical hysterectomy or primary chemoradiation, fertility preservation can be performed using oocyte, embryo, or ovarian tissue cryopreservation, as well as ovarian transposition. For these patients, future pregnancy is possible through surrogacy. In addition to fertility preservation, ovarian transposition, where the ovaries are repositioned outside of the radiation field, is performed to maintain ovarian hormonal function and prevent premature ovarian failure. In summary, fertility-preservation treatment strategies for patients with early stage cervical cancer are continuously evolving, and less radical surgeries are becoming more acceptable. Additional and ongoing evidence is helping determine the impact of conservative procedures on oncologic and obstetric outcomes in these patients.

The aim of this study was to explore the outcomes of pelvic reconstruction with a rectus abdominis myocutaneous (RAM) or rectus abdominis myoperitoneal (RAMP) flap following radical surgery for gynecologic malignancy. This is a retrospective case series of all pelvic reconstructions with RAM or RAMP flap performed in a gynecologic oncology service between 1998 and 2023. Reconstructions with other flaps were excluded. A total of 28 patients were included. Most patients had vulvar cancer (n = 15, 53.6%) and the majority had disease recurrence (n = 20, 71.4%). Exenteration was the most common procedure, being carried out in 20 (71.4%) patients. Pelvic reconstruction was carried out with a RAM flap in 24 (85.7%) cases and a RAMP flap in 4 (14.3%) cases. Flap-specific complications included cellulitis (14.3%), partial breakdown (17.9%), and necrosis (17.9%). Donor site complications included surgical site infection and necrosis occurring in seven (25.0%) and three (10.7%) patients, respectively. Neovaginal reconstruction was performed in 14 patients. Out of those, two (14.3%) had neovaginal stenosis and three (21.4%) had rectovaginal fistula. In total, 50% of patients were disease-free at the time of the last follow up. In conclusion, pelvic reconstruction with RAM/RAMP flaps, at the time of radical surgery for gynecologic cancer, is an uncommon procedure. In our case series, we had a significant complication rate with the most common being infection and necrosis. The development of a team approach, with input from services including Gynecologic Oncology and Plastic Surgery should be developed to decrease post-operative complications and improve patient outcomes.

Contaminants of concern (CoCs) pose significant threats to Uganda’s ecosystems and public health, particularly in the face of rapid urbanization, industrial expansion, and intensified agriculture. This systematic review comprehensively analyzed Uganda’s CoC landscape, addressing imminent challenges that endanger the country’s ecosystems and public health. CoCs, originating from urban, industrial, and agricultural activities, encompass a wide range of substances, including pharmaceuticals, personal care products, pesticides, industrial chemicals, heavy metals, radionuclides, biotoxins, disinfection byproducts, hydrocarbons, and microplastics. This review identified the major drivers of CoC dispersion, particularly wastewater and improper waste disposal practices. From an initial pool of 887 articles collected from reputable databases such as PubMed, African Journal Online (AJOL), Web of Science, Science Direct, and Google Scholar, 177 pertinent studies were extracted. The literature review pointed to the presence of 57 pharmaceutical residues and personal care products, along with 38 pesticide residues and 12 heavy metals, across various environmental matrices, such as wastewater, groundwater, seawater, rainwater, surface water, drinking water, and pharmaceutical effluents. CoC concentrations displayed significant levels exceeding established regulations, varying based on the specific locations, compounds, and matrices. This review underscores potential ecological and health consequences associated with CoCs, including antibiotic resistance, endocrine disruption, and carcinogenicity. Inefficiencies in traditional wastewater treatment methods, coupled with inadequate sanitation practices in certain areas, exacerbate the contamination of Uganda’s aquatic environments, intensifying environmental and health concerns. To address these challenges, advanced oxidation processes (AOPs) emerge as promising and efficient alternatives for CoC degradation and the prevention of environmental pollution. Notably, no prior studies have explored the management and mitigation of these contaminants through AOP application within various aqueous matrices in Uganda. This review emphasizes the necessity of specific regulations, improved data collection, and public awareness campaigns, offering recommendations for advanced wastewater treatment implementation, the adoption of sustainable agricultural practices, and the enforcement of source control measures. Furthermore, it highlights the significance of further research to bridge knowledge gaps and devise effective policies and interventions. Ultimately, this comprehensive analysis equips readers, policymakers, and regulators with vital knowledge for informed decision-making, policy development, and the protection of public health and the environment.

Food-borne pathogens are a serious challenge in food handling, processing, and packaging systems. The growth of microbial biofilms on food handling surfaces further complicates the management of the microbial contamination of food. Microorganisms within biofilms are difficult to eradicate with chemical disinfectants, with an increased likelihood of survival and the subsequent contamination of food. Therefore, a biofilm approach is needed in food safety and hygiene studies. Since many factors, such as strain, cell density, surface type and texture, environmental stress, and so forth, can affect biofilm formation and disinfectant efficacy, we evaluated the responses of biofilms formed by three food-borne bacterial pathogens on eight hard surfaces to seven chemical disinfectants. The three bacteria showed different capacities to colonize the surfaces. Similarly, chemical disinfectants also varied in efficacy, on surfaces and with pathogen species. One-, two-, and three-way interactions of strain, surface, and disinfectant were observed. The results generated demonstrate that the fine-tuning of sanitization strategies along the food production, processing, and packaging chain can be achieved in specific scenarios by accounting for two- and three-way interactions among bacteria, surface, and disinfectant.

Polyamides (PAs) undergo local environmental degradation, leading to a decline in their mechanical properties over time. PAs can experience various forms of degradation, such as thermal degradation, oxidation, hydrothermal oxidation, UV oxidation, and hydrolysis. In order to better comprehend the degradation process of PAs, it is crucial to understand each of these degradation mechanisms individually. While this review focuses on hydrolysis, the data from degrading similar PAs under pure thermal oxidation and/or hydrothermal oxidation are also collected to grasp more perspective. This review analyzes the available characterization data and evaluates the changes in molecular weight, crystallinity, chemical structure, and mechanical properties of PAs that have aged in oxygen-free water at high temperatures. The molecular weight and mechanical strength decrease as the crystallinity ratio rises over aging time. This development is occurring at a slower rate than degradation in pure thermal oxidation. By combining the data for the changes in mechanical properties with the ones for molecular weight and crystallinity, the point of embrittlement can be not only predicted, but also modeled. This prediction is also shown to be dependent on the fibers, additives, types of PA, pH, and more.

Cancer survivors often rely on the internet for health information, which has varying levels of readability, suitability, and quality. There is a need for high-quality online self-management resources for cancer survivors with fear of cancer recurrence (FCR). This study evaluated the readability, suitability, and quality of publicly available online FCR self-management resources. A Google search using FCR-related keywords identified freely available FCR self-management resources for cancer survivors in English. Resource readability (reading grade level), suitability, and quality were evaluated using relevant assessment tools. Descriptive statistics and cluster analysis identified resources with higher suitability and quality scores. Mean resource (n = 23) readability score was grade 11 (SD = 1.6, Range = 9–14). The mean suitability score was 56.0% (SD = 11.4%, Range = 31.0–76.3%), indicating average suitability and the mean quality score was 53% (SD = 11.7%, Range = 27–80%), indicating fair quality. A cluster of 15 (65%) resources with higher suitability and quality scores was identified. There were no significant associations between suitability or quality scores and the type of organisation that published the resources. Online FCR self-management resources varied in readability, suitability and quality. Resources with higher quality and suitability scores relative to other resources are identified for use by healthcare professionals and cancer survivors. Resources that are more culturally appropriate, with lower reading grade levels and detailed self-management strategies are needed.

The aim of this study was to evaluate a natural coagulant, Moringa oleifera seeds (MOC), to reduce the color concentration in treated tequila vinasses (TVs). TV-A was the effluent of horizontal subsurface flow wetlands (HSSFW); TV-B was the effluent of vertical up-flow wetlands (VUFW); and TV-C was the effluent of vertical down-flow constructed wetlands (VDFW). Raw TVs were also evaluated with MOC. Jar tests were performed to find the optimal dose and pH value for apparent color (AC) removal. With the optimal dose and pH for each type of TV, tests were performed in triplicate to evaluate the removal of apparent color (AC), true color (TC), turbidity, total suspended solids (TSS), chemical oxygen demand (COD), and electrical conductivity (EC). For TV-A and TV-B, the optimal values were 1 g/L of MOC and pH 8, and the removals were 52%, 43%, 50% and 72% of AC, turbidity, TC, and TSS, respectively. For TV-C, the optimal values were 2.5 g/L and pH 5, with removals of 66%, 73%, and 98% for AC, TC, and TSS, respectively. For TV-D, the MOC had no coagulant effect in any of the experimental conditions evaluated, probably due to the high concentration of turbidity and TSS in the raw vinasses, which prevented the interaction between MOC and melanoidins. Deeper studies are required to understand and evaluate those factors that influence MOC efficiency so that the coagulation–flocculation process can be optimized.

Islet transplantation is a promising approach for treating patients with unstable T1DM. However, it is confronted with numerous obstacles throughout the various stages of the transplantation procedure. Significant progress has been made over the last 25 years in understanding the mechanisms behind the loss of functional islet mass and in developing protective strategies. Nevertheless, at present, two to three pancreases are still needed to treat a single patient, which limits the maximal number of patients who can benefit from islet transplantation. Thus, this publication provides an overview of recent scientific findings on the various issues affecting islet transplantation. Specifically, we will focus on the understanding of the mechanisms involved and the strategies developed to alleviate these problems from the isolation stage to the post-transplantation phase. Finally, we hope that this review will highlight new avenues of action, enabling us to propose pancreatic islet transplantation to a maximum number of patients with T1DM.

This article describes the presence of a subliminal thesis—with conspiratorial and apocalyptic content—in the discourse of the Seventh-day Adventist tradition based on a documentary analysis of Adventist publications from the 1900s to the 1990s. The history of the development of this thesis is classified into three periods: (1) Proto-Adventist Subliminal Thesis, from 1900s to 1940s, with a discourse of anti-spiritualist emphasis; (2) Adventist Subliminal Thesis’ First Wave, from 1950s to 1960s, with a discourse of anti-media emphasis in the context of James Vicary’s experiments in the 1950s; and (3) Adventist Subliminal Thesis’ Second Wave, from 1970s to 1990s, with a discourse of conspiratorial emphasis in the context of the satanic panic of the 1980s and 1990s. The Adventist subliminal thesis is configured in a way of thinking that considers (1) the human being as a “mass-man” and culture as “mass culture”; (2) the media as having the power of manipulation and mental control; (3) adherence to moral panic phenomena as reactions to media threats to traditional values; and (4) the cosmic narrative of the Great Controversy as a worldview for understanding media messages and products as part of a satanic conspiracy.

Estimating forest growing stock volume (GSV) is crucial for forest growth and resource management, as it reflects forest productivity. National measurements are laborious and costly; however, integrating satellite data such as optical, Synthetic Aperture Radar (SAR), and airborne laser scanning (ALS) with National Forest Inventory (NFI) data and machine learning (ML) methods has transformed forest management. In this study, random forest (RF), support vector regression (SVR), and Extreme Gradient Boosting (XGBoost) were used to predict GSV using Estonian NFI data, Sentinel-2 imagery, and ALS point cloud data. Four variable combinations were tested: CO1 (vegetation indices and LiDAR), CO2 (vegetation indices and individual band reflectance), CO3 (LiDAR and individual band reflectance), and CO4 (a combination of vegetation indices, individual band reflectance, and LiDAR). Across Estonia’s geographical regions, RF consistently delivered the best performance. In the northwest (NW), the RF model achieved the best performance with the CO3 combination, having an R2 of 0.63 and an RMSE of 125.39 m3/plot. In the southwest (SW), the RF model also performed exceptionally well, achieving an R2 of 0.73 and an RMSE of 128.86 m3/plot with the CO4 variable combination. In the northeast (NE), the RF model outperformed other ML models, achieving an R2 of 0.64 and an RMSE of 133.77 m3/plot under the CO4 combination. Finally, in the southeast (SE) region, the best performance was achieved with the CO4 combination, yielding an R2 of 0.70 and an RMSE of 21,120.72 m3/plot. These results underscore RF’s precision in predicting GSV across diverse environments, though refining variable selection and improving tree species data could further enhance accuracy.

Gamba grass (Andropogon gayanus Kunth) is a tussock-forming forage species adapted to acid soils of Brazilian savannas and cultivated for grazing pastures. Four decades since its release, Planaltina prevails as the most commercialized cultivar of the species, even though the new cultivar BRS Sarandi could be a better alternative for Gamba-grass-based farms by presenting a greater leaf:stem ratio. The objective of this study was to evaluate the average daily live weight gain (ADG) of Nellore bulls (Bos indicus) for two Gamba grass cultivars—Planaltina and Sarandi. The experiment was conducted in Planaltina, Federal District, Brazil, for 3 years, namely 2018, 2018–2019, and 2020. The experimental design was a completely randomized block design with two treatments and three replicates, each one continuously stocked at three stocking rates (SR)—1.3, 2.6, and 4 young bulls/ha. Canopy height (CH), forage mass (FM), plant-part proportion (green leaf, stem, and dead material), and nutritive value were evaluated. In 2018, mean ADG for Sarandi pastures was greater (0.690 kg/bull/d) than that of Planaltina (0.490 kg/bull/d) (p < 0.10). In the subsequent year (2018–2019), there was no effect of cultivar (p > 0.10), while in 2020 the ADG was again affected by cultivar (p < 0.10), confirming the advantage of Sarandi (0.790 kg/bull/d) over Planaltina (0.650 kg/bull/d). In 2018 and 2020, the percentage of stems for Sarandi was about 3–6 pp less than for Planaltina (p < 0.10). As well as for stems, Sarandi pastures presented a shorter CH in 2028 and 2020 (6–7%) (p < 0.10). The positive high correlation of leaf:stem ratio with ADG (r = 0.70) probably predisposed the superiority of Sarandi over Planaltina. The distinguishing plant-part composition of Sarandi canopy promotes increasing weight gain of beef cattle when compared to cv. Planaltina.

Background: Antimicrobial consumption (AMC) data in Latin America are scarce and usually spread out across different sources used to make AMC calculations, making it difficult to both standardize and compare regions through similar time frames. The main objective was to analyze AMC trends in Social Security tertiary care hospitals in Costa Rica in the period spanning January 2017 to December 2021, using both the defined daily dose (DDD)/100 bed days and DDD/100 discharges. Methods: This is a retrospective observational study of antimicrobial consumption. Global consumption trends were calculated and expressed as DDD/100 bed days and DDD/100 discharges. Trends in antimicrobial consumption were analyzed using a simple linear regression model to determine potential differences in antimicrobial usage throughout the study’s duration. Results: A statistically significant increase in the consumption expressed in DDD/100 discharges was observed in the following groups: carbapenems, 7.6% (trend: 64.68, p < 0.0001), trimethoprim-sulfamethoxazole: 12.6% (trend: 16.45, p < 0.0001), quinolones 9.4% (trend: 36.80, p = 0.02), vancomycin 2.0% (trend: 16.30, p = 0.03), echinocandins: 6.0% (trend: 15.17, p = 0.01) and azole antifungals: 12.10% (trend: 102.05, p < 0.0001). Additionally, a statistically significant increase of 10.30% in the consumption of azole antifungals expressed in DDD/100 bed days was observed (p = 0.0008). In contrast, a statistically significant decrease in consumption, expressed in DDD/100 discharges, was identified for cephalosporins −6.0% (p < 0.0001) and macrolides −16.5% (p < 0.0001). Macrolides also showed a downward trend in consumption, as expressed in DDD/100 bed days (−14.3%, p < 0.0001). According to World Health Organization (WHO) access, watch and reserve (AWaRe) classification trend analysis, only the reserve group showed a statistically significant upward change of 9.2% (p = 0.016). Conclusions: This five-year analysis demonstrated trends over time in overall antimicrobial consumption measured in DDD/100 bed days and DDD/100 discharge rates that correlate. In general, for all antimicrobials, after the implementation of antimicrobial stewardship programs (ASP), a downward trend is reported; in contrast, during the COVID-19 pandemic the AMC shows a general upward trend. The comparison between DDD/100 bed days and DDD/100 discharges allows for complementary comparisons to be made regarding antimicrobial exposure in a clinical setting.

Since 2015, Scirtothrips dorsalis Hood has emerged as the main pest of strawberries in Florida. Given the limited management options, there is a recognized need to expand on the management strategies for this pest. Therefore, we explored the possibility of using banker plants to recruit naturally occurring predators of thrips into strawberry fields to suppress S. dorsalis. The study began in the 2021–2022 strawberry season where five banker plants were screened to determine which ones could consistently attract thrips predators by flowering throughout the strawberry season. Capsicum annum L. (ornamental pepper) and Lobularia maritima L. (sweet alyssum) were selected for further evaluation. In the 2022–2023 strawberry season, using a randomized complete block design we assessed the capability of these banker plants to attract thrips predators into the strawberry field. In addition, we examined how the banker plant distance from the strawberry plants influenced the S. dorsalis pest suppression. Our results showed that strawberries located within 3.7 m of ornamental pepper plants had less leaf damage from S. dorsalis compared with those farther away, which may result from the repellent effect of the ornamental peppers. Additionally, Geocoris spp. and Orius spp. were identified as the main thrips predators in the system, although in relatively low numbers. Therefore, these results highlight the potential of incorporating ornamental pepper as a banker plant in strawberry production. Additional applications of this research are explored below.

Age-related differences in twist may be mitigated with exercise training, although this remains inconclusive. Moreover, temporal left ventricular (LV) systolic twist mechanics, including early-systolic (twistearly), and beyond peak twist (twistpeak) alone, have not been considered. Therefore, further insights are required to ascertain the influence of age and training status on twist mechanics across systole. Forty males were included and allocated into 1 of 4 groups based on age and training status: young recreationally active (YRA, n = 9; 28 ± 5 years), old recreationally active (ORA, n = 10; 68 ± 6 years), young trained (YT, n = 10; 27 ± 6 years), and old trained (OT, n = 11, 64 ± 4 years) groups. Two-dimensional speckle-tracking echocardiography was performed to determine LV twist mechanics, including twistearly, twistpeak, and total twist (twisttotal), by considering the nadir on the twist time-curve during early systole. Twisttotal was calculated by subtracting twistearly from their peak values. LV twistpeak was higher in older than younger men (p = 0.036), while twistpeak was lower in the trained than recreationally-active (p = 0.004). Twistpeak is underestimated compared with twisttotal (p < 0.001), and when early-systolic mechanics were considered, to calculate twisttotal, the age effect (p = 0.186) was dampened. LV twist was higher in older than younger age, with lower twist in exercise-trained than recreationally-active males. Twistpeak is underestimated when twistearly is not considered, with novel observations demonstrating that the age effect was dampened when considering twistearly. These findings elucidated a smaller age effect when early phases of systole are considered, while lower LV systolic mechanics were observed in older aged trained than recreationally-active males.

Traditionally, Tibetan sheep only graze pastures without any supplementary feed. However, in recent years, feedlots are being used for fattening Tibetan sheep. The present study compared the growth rates, blood parameters, rumen fermentation, and bacterial communities in Tibetan sheep fattened by pasture grazing (PG) versus those fattened by stall feeding (SF). Twenty 18-month-old Tibetan sheep wethers (42.6 ± 2.11 kg) were divided randomly into PG (n = 10) and SF (n = 10) groups. The PG sheep grazed the grasslands without any supplementary feed, while the SF sheep were offered a commercial total mixed ration (TMR) at a crude protein content of 16.2% DM and an ME of 10.59 MJ/kg. The sheep were on their treatments for 70 days, which included 10 days for adaptation and 60 days for measurements. The average daily gain, white blood cell and lymphocyte counts were greater (p < 0.05), while the platelet count was lower (p < 0.05) in the SF group than in the PG group. The serum glutathione peroxidase activity, and concentrations of total proteins and albumin were greater (p < 0.05), while glucose was lower (p < 0.01) in the PG group compared to the SF group. The concentrations of ruminal ammonia–N and total volatile fatty acids (VFAs) were greater (p < 0.05), while the pH was lower (p < 0.05) in the SF group compared to the PG group. The molar proportion of acetate and the ratio of acetate to propionate were greater (p < 0.01) in the PG sheep than in the SF sheep, but the molar proportion of propionate and iso-VFAs did not differ (p > 0.05) between the groups. Based on the PCoA, the ruminal bacterial communities were distinct between groups, and the alpha diversity was greater (p < 0.001) in the PG sheep than in the SF sheep. The dominant phyla of the rumen bacteria were Firmicutes and Bacteroidetes, while the Firmicutes to Bacteroidetes ratio was greater (p < 0.001) in the SF group than in the PG group. At the genus level, the relative abundance of Ruminococcus was greater (p < 0.05) in the SF group, while the abundances of Prevotella, the Rikenellaceae_RC9_gut_group, Butyrivibrio, and unclassified_f_Lachnospiraceae were greater (p < 0.05) in the PG group. It was concluded that the Tibetan sheep adopted a short-term intensive fattening strategy when stall fed which altered the rumen bacterial community and blood parameters, enhanced rumen fermentation, and, ultimately, improved their average daily gain.

Vaccination before solid organ transplantation is recommended since post-transplantation immunosuppression is known to impair vaccine responses. However, little is known about post-transplantation seroprotection rates in organ transplant recipients vaccinated pre-transplantation. We aimed to investigate the proportion of transplant recipients vaccinated against hepatitis B virus (HBV) and invasive pneumococcal disease (IPD) pre-transplantation at the time of listing for transplantation with post-transplantation seroprotection. We included 136 solid organ transplant (SOT) recipients vaccinated at the time of listing for transplantation. We investigated post-transplantation antibody concentrations against HBV and IPD. Established antibody thresholds were used to define seroprotection. The proportions of SOT recipients with post-transplantation seroprotection were 27.9% (n = 38) and 42.6% (n = 58) against HBV and IPD, respectively. Compared to completing HBV vaccination pre-transplantation, completing post-transplantation vaccination (adjusted odds ratio (aOR): 7.8, 95% CI: 2.5–24.5, p < 0.001) and incomplete vaccination (aOR: 6.3, 95% CI: 1.2–32.6, p = 0.028) were associated with non-response against HBV, after adjustment for confounders. Importantly, patients with seroprotection at the time of listing had lower odds of non-response against HBV (aOR: 0.04, 95% CI: 0.0–0.1, p < 0.001) and IPD (aOR: 0.3, 95% CI: 0.1–0.7, p = 0.007) compared to those without seroprotection. SOT recipients vaccinated pre-transplantation had low post-transplantation seroprotection rates against HBV and IPD. However, SOT recipients with seroprotection at the time of listing had lower odds of non-response, suggesting early vaccination should be a priority.

The use of inertial measurement units (IMUs) as an alternative to optical marker-based systems has the potential to make gait analysis part of the clinical standard of care. Previously, an IMU-based system leveraging Rauch–Tung–Striebel smoothing to estimate knee angles was assessed using a six-degrees-of-freedom joint simulator. In a clinical setting, however, accurately measuring abduction/adduction and external/internal rotation of the knee joint is particularly challenging, especially in the presence of soft tissue artefacts. In this study, the in vivo IMU-based joint angles of 40 asymptomatic knees were assessed during level walking, under two distinct sensor placement configurations: (1) IMUs fixed to a rigid harness, and (2) IMUs mounted on the skin using elastic hook-and-loop bands (from here on referred to as “skin-mounted IMUs”). Estimates were compared against values obtained from a harness-mounted optical marker-based system. The comparison of these three sets of kinematic signals (IMUs on harness, IMUs on skin, and optical markers on harness) was performed before and after implementation of a REference FRame Alignment MEthod (REFRAME) to account for the effects of differences in coordinate system orientations. Prior to the implementation of REFRAME, in comparison to optical estimates, skin-mounted IMU-based angles displayed mean root-mean-square errors (RMSEs) up to 6.5°, while mean RMSEs for angles based on harness-mounted IMUs peaked at 5.1°. After REFRAME implementation, peak mean RMSEs were reduced to 4.1°, and 1.5°, respectively. The negligible differences between harness-mounted IMUs and the optical system after REFRAME revealed that the IMU-based system was capable of capturing the same underlying motion pattern as the optical reference. In contrast, obvious differences between the skin-mounted IMUs and the optical reference indicated that the use of a harness led to fundamentally different joint motion being measured, even after accounting for reference frame misalignments. Fluctuations in the kinematic signals associated with harness use suggested the rigid device oscillated upon heel strike, likely due to inertial effects from its additional mass. Our study proposes that optical systems can be successfully replaced by more cost-effective IMUs with similar accuracy, but further investigation (especially in vivo and upon heel strike) against moving videofluoroscopy is recommended.

Evaluating science learning through written assessments for Multilingual Learners (MLs) can offer a critical source of information for educators aiming to adopt culturally and linguistically sustaining practices. However, without careful planning and design, written assessments for MLs can yield unreliable data. This conceptual article addresses this challenge by first examining the complexities of the written language of science and its impact on student learning. It then explores current literature and presents the Multidimensional Assessment Performance Analysis (MAPA) framework, a multimodal model for analyzing writing answers in multilingual educational contexts. MAPA integrates Systemic Functional Linguistics (SFL) to evaluate language use and Topic Models to allocate students based on their cognitive reasoning and thinking patterns. The article concludes with recommendations for classroom teachers and researchers to enhance assessment practices in science education for MLs.

Abstract: The production of ethanol from wastes resulting from the process of growing Amazonian fruit is a little-explored approach, in which unknown chemical compounds are released with potential for industrial application. This work aimed to produce lignocellulosic ethanol from waste from Amazonian fruit farming and to chemically characterize the stages of the process. The wastes (açaí seeds, mango peel, and peach palm peel) were pretreated with 1% to 5% H2SO4 and 15% solids; the resulting solid fraction was enzymatically hydrolyzed with cellulase at 20 FPU, and the liquid fraction (liqueurs) and enzymatic and fermented hydrolysates produced were chemically characterized. Via HPLC for sugars and fermentation inhibitors, we determined the antioxidant capacities and total phenolic compounds. The liquors from the pretreatment of açaí seeds released the most significant amount of glucose, while in the hydrolyzed solid fractions, the mango peel produced the highest glucose content. Among the fermented liquors, the highest ethanol content was the açaí seed at 15 and 5% (0.183–0.276 g/L). High glucose levels were produced (0.09–25.05 g/L) and provided ethanol levels that can be improved (0.061–10.62 g/L), in addition to liquors and hydrolysates with interesting amounts of phenolic compounds (14.04–131.87 mg EAG/g DM) and high antioxidant capacities (417.78–2774.07 mmol TEAC/g), demonstrating that these wastes can have other applications in addition to ethanol production.

Traditionally, olfaction was thought to play a minor role in the behavioral ecology of the sweet potato whitefly, Bemisia tabaci (Gennadius). However, recent research is uncovering significant potential for whitefly management based on olfaction. Incorporating chemical attractants with standard whitefly management programs could significantly improve control. The integration of attractants with biological control is exceptionally promising. Therefore, the behavioral response of B. tabaci and two generalist predators to the green leaf volatiles (E)-2-hexenal, (Z)-3-hexenal, (Z)-3-hexenyl acetate, and (Z)-3-hexe-1-ol were investigated in Y-tube olfactometers. Three of the four green leaf volatiles resulted in the attraction of female B. tabaci. Blend optimization indicated a two-chemical blend to be the most attractive blend for female B. tabaci. In addition, this blend was attractive to female Macrolophus praeclarus (Distant) but did not elicit a behavioral response from either male or female Delphastus catalinae (Horn). The two-chemical blend of green leaf volatiles could be further developed as a lure to attract B. tabaci and its predator, M. praeclarus.

The microtopography of tidal freshwater forested wetlands (TFFWs) impacts biogeochemical processes affecting the carbon and nitrogen dynamics, ecological parameters, and habitat diversity. However, it is challenging to quantify low-relief microtopographic features that might only vary by a few tens of centimeters. We assess the high-resolution fine-scale microtopographic features of a TFFW with terrestrial LiDAR and aerial LiDAR to test a method appropriate to quantify microtopography in low-relief forested wetlands. Our method uses a combination of water-level and elevation thresholding (WALET) to delineate hollows in terrestrial and aerial LiDAR data. Close-range remote sensing technologies can be used for microtopography in forested regions. However, the aerial and terrestrial LiDAR technologies have not been used to analyze or compare microtopographic features in TFFW ecosystems. Therefore, the objectives of this study were (1) to characterize and assess the microtopography of low-relief tidal freshwater forested wetlands and (2) to identify optimal elevation thresholds for widely available aerial LiDAR data to characterize low-relief microtopography. Our results suggest that the WALET method can correctly characterize the microtopography in this area of low-relief topography. The microtopography characterization method described here provides a basis for advanced applications and scaling mechanistic models.

Gillnets are widely used in research and commercial fishery activities. As passive gear, gillnets can be selective and dependent on the diel migration of fish. In areas with limited littoral extent, inshore–offshore migration may cause bias in the gillnet catch. Our hypothesis was that some factors, such as gillnet saturation, fish depletion, or chemical cues, could be the cause of the bias. We used a total of 66 CEN gillnets deployed at Římov Reservoir parallel to the shore at different positions of littoral-pelagic gradient. Individual fish direction was recorded from inshore, offshore, or unknown direction (i.e., entangled fish). A total of 5791 fishes from nine different species were caught. For most fish, it was possible to determine their directivity, and most fish were captured in littoral or first pelagic gillnets. Shallower and deeper benthic gillnets differed in their bleak (Alburnus alburnus) catch. No significant differences were found between fish directions. At the species level, only asp (Leuciscus aspius) and ruffe (Gymnocephalus cernua) showed differences between the captured directions in one case. The results support the assumption that gillnet capture is a random process that to a great extent is connected to random local movements. This is good news for fish monitoring projects. Sampling catch is likely to reflect true changes in the fish community, and not the effects of the deployment of the sampling gear. The experiment also showed that fish directivity statistics can be used for investigation of fish behavior and gear performance.

Fruit crops under soil conservational management might sequester carbon (C) in soils and mitigate greenhouse gases emissions. Using grape pomace residues as soil amendment holds promise for sustainable viticulture. However, its actual capability to increase soil organic carbon (SOC) and nitrogen (N) is unknown, especially in subtropical climates. This research aims to investigate whether grape pomace compost and vermicompost can increase SOC, total N (TN), and C and N stocks in subtropical vineyards. Two vineyards located in Veranópolis, in South Brazil, one cultivated with ‘Isabella’ and the other with ‘Chardonnay’ varieties, were annually amended with these residues for three years. We quantified SOC and TN in each condition in different soil layers, as well as C and N content in two different granulometric fractions: mineral-associated organic matter (MAOM) and particulate organic matter (POM). C and N stocks were also calculated. Despite potential benefits, neither treatment enhanced SOC, its fractions, or C stocks. In fact, vermicompost was rapidly mineralized and depleted SOC and its fractions in the 0.0 to 0.05 m layers of the ‘Isabella’ vineyard. Our findings indicate that the tested grape pomace residues were unable to promote C sequestration in subtropical vineyards after a three-year period.

The results of a survey of twenty-four neonatal units in the United Kingdom and Ireland are presented. A structured ten-item questionnaire was used, and demonstrated the variation in how infants with RS are diagnosed and managed. Notably, the survey revealed that a minority of infants were diagnosed antenatally. There were significant discrepancies in diagnostic criteria used and 79% of the units referred the patients to tertiary services. A preference for minimally invasive approaches to managing upper airway obstruction, such as a trial of prone positioning before progressing to a nasopharyngeal airway, was reported by 96% of the centers. A narrative review was undertaken which discusses the current practices for diagnosis and early management of Robin sequence (RS). The challenges of antenatal diagnosis, strategies to enhance outcomes through early detection and controversies surrounding the management of neonatal upper airway obstruction associated with RS are included. The results of the survey and our comprehensive review of the literature emphasize that there remains uncertainty regarding the best approach to treating Robin sequence.

Loop-mediated isothermal amplification (LAMP) is a cost-effective, rapid, and highly specific method of replicating nucleic acids. Adding multiple targets into a single LAMP assay to create a multiplex format is highly desirable for clinical applications but has been challenging due to a need to develop specific detection techniques and strict primer design criteria. This study describes the evaluation of a rapid triplex LAMP assay, MAST ISOPLEX® VTEC, for the simultaneous detection of Shiga toxin/verotoxin 1 and 2 (stx1/vt1 and stx2/vt2) genes in verotoxigenic Escherichia coli (E. coli) (VTEC) isolates with inhibition control (IC) synthetic DNA using a single fluorophore–oligonucleotide probe, MAST ISOPLEX® Probes, integrated into the primer set of each target. MAST ISOPLEX® Probes used in the MAST ISOPLEX® VTEC kit produce fluorescent signals as they integrate with reaction products specific to each target, allowing tracking of multiple amplifications in real time using a real-time analyzer. Initial validation on DNA extracts from fecal cultures and synthetic DNA sequences (gBlocks) showed that the MAST ISOPLEX® VTEC kit provides a method for sensitive simultaneous triplex detection in a single assay with a limit of detection (LOD) of less than 100 target copies/assay and 96% and 100% sensitivity and specificity, respectively.

Cancer is characterized by uncontrolled cell proliferation and the dysregulation of numerous biological functions, including metabolism. Because of the potential implications of targeted therapies, the metabolic alterations seen in cancer cells, such as the Warburg effect and disruptions in lipid and amino acid metabolism, have gained attention in cancer research. In this review, we delve into recent research examining the influence of natural products on altered cancer metabolism. Natural products were selected based on their ability to target cancer’s altered metabolism. We identified the targets and explored the mechanisms of action of these natural products in influencing cellular energetics. Studies discussed in this review provide a solid ground for researchers to consider natural products in cancer treatment alone and in combination with conventional anticancer therapies.

For linear optimization problems with a parametric objective, so-called parametric linear programs (PLP), we show that the optimal decision values are, under few technical restrictions, unimodal functions of the parameter, at least in the two-degrees-of-freedom case. Assuming that the parameter is random and follows a known probability distribution, this allows for an efficient algorithm to determe the quantiles of linear combinations of the optimal decisions. The novel results are demonstrated with probabilistic economic dispatch. For an example setup with uncertain fuel costs, quantiles of the resulting inter-regional power flows are computed. The approach is compared against Monte Carlo and piecewise computation techniques, proving significantly reduced computation times for the novel procedure. This holds especially when the feasible set is complex and/or extreme quantiles are desired. This work is limited to problems with two effective degrees of freedom and a one-dimensional uncertainty. Future extensions to higher dimensions could yield a key tool for the analysis of probabilistic PLPs and, specifically, risk management in energy systems.

Offshore floating wind foundations supporting a large wind turbine require a large yard facility or significant facility upgrades for their fabrication. To overcome the cost increase associated with facility upgrades, an innovative lightweight modular floating foundation is developed. The foundation comprises multiple modules to enable their assembly on water, offering many benefits and expanding fabrication options for a reduction in the overall cost of the platform. In this paper, the foundation modules and their assembly are briefly described, and an analysis of the platform’s dynamic responses is presented. The modular foundation includes a modular and lightweight tension leg platform (TLP) called “MarsVAWT” which supports a Darrieus 10 MW vertical axis wind turbine (VAWT). The platform is moored with highly pretensioned wire rope tendons. The responses of the platform are analyzed in the time domain in a semi-coupled manner under the turbine operating and parked conditions for an offshore site in the US Northeast. The tower base shear forces and bending moments increase considerably with the combination of wind and waves, compared to those with wind only. The tendon tensions on the weatherside in the operating condition at high wind speeds are comparable to the values of the 50-year extreme (parked). The tendon tension increases are highly correlated to the platform pitch, as well as the horizontal and vertical velocities and vertical acceleration at the tendon porch. The modular platform performances and tendon designs are confirmed to comply with industry standards and practices.

Background: Hematopoietic cell transplantation (HCT) is an established therapy for hematologic malignancies and serious non-malignant blood disorders. Despite its curative potential, HCT is associated with substantial toxicity and health resource utilization. Effective delivery of HCT requires complex hospital-based care, which limits the number of HCT centres in Canada. In Canada, the quantity, indications, temporal trends, and outcomes of patients receiving HCT are not known. Methods: A retrospective cohort study of first transplants reported to the Cell Therapy Transplant Canada (CTTC) registry between 2000 and 2019. We determined overall survival (OS) and non-relapse mortality (NRM), categorizing the cohort into early (2000–2009) and later (2010–2019) eras to investigate temporal changes. Results: Of 18,046 transplants, 7571 were allogeneic and 10,475 were autologous. Comparing the two eras, allogeneic transplants increased in number by 22.3%, with greater use of matched unrelated donors in the later era. Autologous transplants increased by 10.9%. Temporal improvements in NRM were observed in children and adults. OS improved in pediatric patients and in adults receiving autologous HCT. In adults receiving allogeneic HCT, OS was stable despite the substantially older age of patients in the later era. Interpretation: HCT is an increasingly frequent procedure in Canada which has expanded to serve older adults. Noted improvements in NRM and OS reflect progress in patient and donor selection, preparation for transplant, and post-transplant supportive care. In allogeneic HCT, unrelated donors have become the most frequent donor source, highlighting the importance of the continued growth of volunteer donor registries. These results serve as a baseline measure for quality improvement and health services planning in Canada.

Cardiovascular diseases (CVDs) are the leading cause of death globally. Morbidity and disability related to non-fatal events are increasing exponentially. There are several symptoms that may arise after invasive therapeutic approaches such as coronary artery bypass graft (CABG), including chronic pain in anatomical areas connected to the mediastinum; these pains can be found not only initially after surgery but also years later. We present a case where non-specific neck pain (NNP), in a patient undergoing CABG five years earlier, was resolved with an osteopathic technique, working the pericardial area. To the knowledge of the authors, it is the first article illustrating an osteopathic approach with resolution of NNP, with a manual technique used on the pericardial area.

Probiotics are live microorganisms that promote host health through microbiota balance and immune modulation. We assessed an acidogenic bacterial consortium (ABC) with promising probiotic properties, focusing on its resilience during transit through the digestive tract in ruminants and determining its optimal in vitro dosage. The ABC exhibited antibiotic resistance, thrived at pH levels between 5 and 7 for 24 and 48 h, and showed a 77% survival rate in artificial gastric juice. Moreover, it not only endured bile salt exposure but also multiplied. The ABC exhibited 10.74% of coaggregation capabilities against E. coli. Optimal dosage determination revealed that 4 × 108 was the ideal concentration, as higher doses did not yield significant differences in dry matter digestion. In the in vivo trial with Limousin Heifers, the ABC led to enhanced total volatile fatty acid (VFA) production, increased daily weight gains, and improved feed conversion rates compared to the control group. These findings underscore the potential of the ABC as a probiotic to boost animal productivity and overall health.

Wind power forecasting is pivotal in promoting a stable and sustainable grid operation by estimating future power outputs from past meteorological and turbine data. The inherent unpredictability in wind patterns poses substantial challenges in synchronizing supply with demand, with inaccuracies potentially destabilizing the grid and potentially causing energy shortages or excesses. This study develops a data-driven approach to forecast wind power from 30 min to 12 h ahead using historical wind power data collected by the Supervisory Control and Data Acquisition (SCADA) system from one wind turbine, the Enercon/E92 2350 kW model, installed at Casa Nova, Bahia, Brazil. Those data were measured from January 2020 to April 2021. Time orientation was embedded using sine/cosine or cyclic encoding, deriving 16 normalized features that encapsulate crucial daily and seasonal trends. The research explores two distinct strategies: error prediction and error correction, both employing a sequential model where initial forecasts via k-Nearest Neighbors (KNN) are rectified by the Extra Trees Regressor. Their primary divergence is the second model’s target variable. Evaluations revealed both strategies outperforming the standalone KNN, with error correction excelling in short-term predictions and error prediction showing potential for extended forecasts. This exploration underscores the imperative importance of methodology selection in wind power forecasting.

The analysis of chicken movement on the farm has several applications in evaluating the well-being and health of birds. Low locomotion may be associated with locomotor problems, and undesirable bird movement patterns may be related to environmental discomfort or fear. Our objective was to test the BoT-SORT object tracking architecture embedded in Yolo v8 to monitor the movement of cage-free chickens and extract measures to classify running, exploring, and resting behaviors, the latter of which includes all other behaviors that do not involve displacement. We trained a new model with a dataset of 3623 images obtained with a camera installed on the ceiling (top images) from an experiment with layers raised cage-free in small-scale aviaries and housed in groups of 20 individuals. The model presented a mAP of 98.5%, being efficient in detecting and tracking the chickens in the video. From the tracking, it was possible to record the movements and directions of individual birds, and we later classified the movement. The results obtained for a group of 20 chickens demonstrated that approximately 84% of the time, the birds remained resting, 10% of the time exploring, and 6% of the time running. The BoT-SORT algorithm was efficient in maintaining the identification of the chickens, and our tracking algorithm was efficient in classifying the movement, allowing us to quantify the time of each movement class. Our algorithm and the measurements we extract to classify bird movements can be used to assess the welfare and health of chickens and contribute to establishing standards for comparisons between individuals and groups raised in different environmental conditions.

Pollution of water resources is one of the major impediments to the realization of Sustainable Development Goals, especially in developing countries. The aim of this study was to investigate the physicochemical quality and potentially toxic element (lead and cadmium) concentrations in surface water sampled from Pager River, a tributary of the Nile River in Northern Uganda. Water samples (n = 18) were taken from six different points upstream (A, B, and C) and downstream (D, E, and F) of the river and analyzed following standard methods for their physiochemical properties. Atomic absorption spectroscopy was used to quantify lead and cadmium concentrations. Human health risks from ingestion and dermal contact with potentially toxic metal-contaminated water were calculated. The results obtained indicated that the mean temperature (27.7 ± 0.5–29.5 ± 0.8 °C), turbidity (40.7 ± 2.1–50.1 ± 1.1 NTU), lead (0.296 ± 0.030–0.576 ± 0.163 mg/L) and cadmium (0.278 ± 0.040–0.524 ± 0.040 mg/L) occurred at levels that surpassed their permissible limits as per World Health Organization guidelines for drinking water. Human health risk assessment showed that there are potential non-cancer risks from the ingestion of water from Pager River by adults, as the total hazard quotients were greater than one. These results emphasize the urgency to restrict the dumping of wastes into the river to minimize chances of impacting the Nile River, which flows northwards to the Mediterranean Sea. Further studies should perform routine monitoring of the river during both dry and wet seasons to establish the spatiotemporal variations of physicochemical, microbial, and trace metal profiles of the river and the associated health risks.