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Electrical faults caused by power escaping electric systems can lead to power outages, equipment damage, and fires. Faults sometimes occur when birds perched on power structures are electrocuted. Distribution power lines supported by concrete and steel pylons are particularly fault-prone because small separations between conductors and grounded components allow even small birds to inadvertently create faults while being electrocuted. Most conservation solutions focus on covering energized wires and components to prevent contact by birds and, although usually effective when installed correctly, covers can sometimes be dislodged thus becoming ineffective. Glass Flake Epoxy (GFE) is a non-conductive thermoset plastic that can adhere to steel crossarms and not be dislodged. We hypothesized that GFE-coated crossarms might reduce faults (proxies for avian electrocutions), and we conducted laboratory and field trials to evaluate that hypothesis. In the laboratory, we found a 2000 micrometer (μm)-thick layer of GFE coating that created a dielectric strength of 12.30 ± 0.21 kV, which was sufficient to prevent the formation of a phase-to-ground fault on up to 20 kV distribution lines. This should allow birds to perch on metal crossarms without being electrocuted. In field trials, we substituted 24% of a 20 kV distribution pylon’s crossarms with GFE-treated crossarms and found that doing so correlated with a 28% decrease in faults. Although we did not measure avian electrocutions directly, our findings suggest GFE coatings may offer a novel method of reducing avian electrocutions on power lines.

Purpose – This study aims to identify the financial attributes of non-fungible tokens (NFTs) as safe havens, hedges or diversifiers against traditional (stock indices, foreign exchange, gold and government bonds) and digital (Bitcoin and Ethereum) assets. Design/methodology/approach – The quantile via moments was utilized, and the data spanned from 20 September 2021 to 31 January 2022. The authors incorporated feasible generalized least squares (FGLS) and difference-generalized method of moments (diff-GMM) as the robustness check. Findings – Overall, NFTs offer strongly safe havens, hedging and diversifier attributes against cryptocurrencies, while weak properties for traditional assets. The specific findings are: (1) Bored Ape Yacht Club (BAYC) serves as a strong hedge for Bitcoin during market rise; (2) Mutant Ape Yacht Club (MAYC) serves as a strong safe haven against Bitcoin during market bull; (3) Crypto punk (CP) provides strong safe havens properties for gold during market turmoil while serving as a strong hedge against gold and Bitcoin on average and (4) the three blue-chip NFTs are powered by Ethereum blockchain, thus serving as a diversifier against Ethereum. Practical implications – Bitcoin investors are suggested to include NFTs in their investment portfolio to mitigate the losses when Bitcoin falls. Meanwhile, the inclusion of crypto punk is advised for risk-averse investors who invest in gold. NFTs are powered by the Ethereum blockchain, indicating co-movement among them and thus, serve as diversifiers. Policymakers and regulators are suggested to watch closely over NFTs' great development and restructure the existing policies and thus, stabilization of asset markets can be achieved. Originality/value – The originality aspects are: (1) focusing on the three blue-chip NFTs (i.e. BAYC, MAYC and CP) that are categorized as the largest NFTs by floor market capitalization; (2) testing the NFT attributes (safe havens, hedges or diversifiers) against traditional and digital assets, a.k.a., cryptocurrencies and (3) panel setting on 14 countries with the highest NFT users.

Abstract Background Progressive supranuclear palsy (PSP) is a rare neurodegenerative disease characterized by the accumulation of aggregated tau proteins in astrocytes, neurons, and oligodendrocytes. Previous genome-wide association studies for PSP were based on genotype array, therefore, were inadequate for the analysis of rare variants as well as larger mutations, such as small insertions/deletions (indels) and structural variants (SVs). Method In this study, we performed whole genome sequencing (WGS) and conducted association analysis for single nucleotide variants (SNVs), indels, and SVs, in a cohort of 1,718 cases and 2,944 controls of European ancestry. Of the 1,718 PSP individuals, 1,441 were autopsy-confirmed and 277 were clinically diagnosed. Results Our analysis of common SNVs and indels confirmed known genetic loci at MAPT, MOBP, STX6, SLCO1A2, DUSP10, and SP1, and further uncovered novel signals in APOE, FCHO1/MAP1S, KIF13A, TRIM24, TNXB, and ELOVL1. Notably, in contrast to Alzheimer’s disease (AD), we observed the APOE ε2 allele to be the risk allele in PSP. Analysis of rare SNVs and indels identified significant association in ZNF592 and further gene network analysis identified a module of neuronal genes dysregulated in PSP. Moreover, seven common SVs associated with PSP were observed in the H1/H2 haplotype region (17q21.31) and other loci, including IGH, PCMT1, CYP2A13, and SMCP. In the H1/H2 haplotype region, there is a burden of rare deletions and duplications (P = 6.73 × 10–3) in PSP. Conclusions Through WGS, we significantly enhanced our understanding of the genetic basis of PSP, providing new targets for exploring disease mechanisms and therapeutic interventions.

Abstract Background Intravenous lidocaine has shown promise as an effective analgesic in various clinical settings, but its utility for pain management in emergency departments, especially for bone fractures, remains relatively understudied. Objective This study compared intravenous lidocaine to pethidine for femoral bone fracture pain management. Methods This double-blind, randomized, controlled clinical trial was conducted in the emergency department of AJA University of Medical Sciences affiliated hospitals. Patients aged 18–70 years-old with femoral bone fracture and experiencing severe pain, defined as a numerical rating scale (NRS) of pain ≥ 7, were included in the study. One group received intravenous pethidine (25 mg), while the other group received intravenous lidocaine (3 mg/kg, not exceeding 200 mg), infused with 250 ml saline over 20 min. Pain levels were evaluated before treatment administration (0 min) and at 10, 20, 30, 40, 50, and 60 min after treatment administration using the NRS. Results Seventy-two patients were enrolled in the study. Demographic characteristics and pain scores were similar between the two groups. The mean pain scores upon arrival for the lidocaine and pethidine groups were 8.50 ± 1 and 8.0 ± 1, respectively; after one hour, they were 4.0 ± 1 and 4.0 ± 1, respectively. While there was a statistically significant reduction in pain in both groups after one hour, there were no clinically or statistically significant differences between the two groups (p = 0.262). Pethidine had a higher incidence of adverse events, though not statistically significant. Additionally, females required more rescue analgesics. Conclusion The administration of intravenous lidocaine is beneficial for managing pain in femoral bone fractures, suggesting that lidocaine could be a potent alternative to opioids. Trial Registration IRCT20231213060355N1 ( https://irct.behdasht.gov.ir/trial/74624 ) (30/12/2023).

Abstract The main focus of this study is the transmission of SARS-CoV-2 through virus-laden aerosols in enclosed spaces that utilize ceiling fans. The impact of an air circulation of ceiling fans on virus transmission is not clear. Computational modeling is employed to investigate aerosol transmission within an enclosed space that features ceiling fans. The aerosol concentration is modeled using a transport equation, and the probability of infection distribution across individuals’ breathing zones is assessed. The particle removal efficiency for two ceiling fan speeds of 10 and 35 rad/s is calculated to evaluate the effect of the ceiling fan’s shear flows on the spread of breathing aerosols. The simulated breathing aerosol considers various environmental situations, including thermal gradients, thermally active surface interaction, and deformability. The results indicate that increasing the ceiling fan speed within an enclosed space causes the aerosol cloud to circulate within the room rather than exiting it. Therefore, ceiling fans may not effectively suppress breathing aerosols and could increase transmissibility. Understanding aerosol behavior is essential in reducing the risk of SARS-CoV-2 transmission in enclosed spaces.

Nanorobots, also known as nanobots, are promising medical structures with significant potential for revolutionizing medical treatments and preventing their onset. Nanorobotics shows promise for diagnosing, treating, and regenerating age-related diseases. These tiny machines can repair cellular damage, deliver drugs, stimulate tissue regeneration, and monitor treatments. However, their application in controlling cellular aging is in its early stages, requiring more research to fully understand their potential and address safety concerns. Despite this, the benefits of nanorobots in age-related disease management justify further investigation. This narrative review article provides an overview of recent developments in nanorobotics, specifically focusing on its medical applications. PubMed and Google Scholar were utilized to conduct a comprehensive search using relevant keywords including "nanorobots", "cellular aging", "drug delivery systems", "cellular repair", "therapeutics", and "diagnosis". Only articles published between 2005-2023 were selected to support the arguments with up-to-date evidence. The extracted information includes nanorobot design, fabrication methods, applications, and key findings. A quality assessment was performed, and the data were categorized thematically to identify patterns and trends. The article concludes with an examination of the current state and future prospects of nanorobotics in different fields. Our research showed that nanorobots have significant potential in the diagnosis, treatment, and regenerative medicine of age-related diseases. They can detect and repair cellular damage caused by aging, targeting DNA damage and cellular protein misfolding. Nanorobots can also deliver drugs directly to affected areas, reducing side effects. Furthermore, they stimulate tissue regeneration and the growth of new blood vessels by delivering growth factors. Nanorobots can also monitor treatment effectiveness by measuring drug concentration in tumor cells. However, there are concerns about their safety in long-term use that require further research. Overall, nanorobots present an innovative approach to addressing cellular changes in aging, but more research is needed to understand their full potential and address safety concerns. The use of nanorobots in treating cellular aging has opened new possibilities in diagnosing and treating age-related diseases and it is a rapidly evolving field with the potential to revolutionize age-related disease treatment and improve the quality of life globally.

Extended Abstract Background: Salinity is one of the major abiotic stresses and the most limiting factor in agricultural production worldwide, affecting the growth, development, and final yields of crops. Rapeseed is one of the most important sources of oilseeds in the world, and its seeds contain more than 40% of oil. Moreover, the meal obtained from oil extraction has more than 35% protein, hence it currently ranks third among oil crops in the world after soybean and oil palm, making it necessary to identify the genotypes that tolerate salinity stress. The development and improvement of rapeseed cultivars with salinity tolerance and acclimation offer promising prospects for improving sustainable production in this area. Therefore, the current study aimed to investigate the responses of rapeseed genotypes to salinity stress through analyses of agronomic and biochemical traits. Methods: The genetic diversity between rapeseed lines in terms of agronomic, morphological, and physiological traits in saline soils was investigated in an experiment based on a randomized complete block design with 17 autumn rapeseed genotypes with three replicates in the research farm of East-Azarbaijan Agricultural and Natural Resources Research and Education Center. The measured traits were plant height, the number of fertile pods, number of seeds per pod, pod length, pod area, plant growth rate, 1000-seed weight (TSW), seed yield, oil content, and oil yield. The relationships between yield, yield components, and morphological traits were explored using the analysis of variance (ANOVA), comparison of averages, correlation analysis, cluster analysis, and biplot to understand the relative importance of traits affecting the yield of the studied genotypes. Results: The studied genotypes were significantly different from each other in pod length, pod area, number of fertile pods, number of seeds per pod, plant growth rate, seed oil percentage, plant height, TSW, grain yield, and oil yield. However, there were no significant differences between the studied genotypes in terms of harvest index and number of actual pods to potential pods. According to the mean comparisons, genotypes 5, 11, and 15 can be introduced as salinity-tolerant lines, and genotypes 2, 4, 6, 9, and 12 can be considered salinity-sensitive lines. According to the other traits, genotype 11 produced a high pod length, number of fertile pods, oil percentage, and oil yield, genotype 5 had a high growth rate and oil percentage, and genotype 15 presented a high height and number of fertile pods. According to the cluster analysis, the second and third groups contained tolerant and susceptible genotypes, respectively. The genotypes in the second group had the highest percentage of positive deviation from the overall mean for grain yield, plant height, harvest index, seed oil percentage, pod length, pod area, and number of fertile pods. Based on the biplot analysis, Karaj 8 and 14 genotypes had a strong relationship with the number of fertile pods, number of seeds per pod, pod length, pod area, and plant growth rate. Based on the obtained results, the plant height, TSW, seed yield, and oil content traits were closely correlated with Karaj 5, 7, 11, 10, and 15 genotypes. Based on the results of correlation analysis, the correlation coefficient of seed yield was positive and significant for three traits, i.e., plant height, oil percentage, and number of fertile pods, and the highest correlation coefficient (r = 0.879) was obtained for seed yield with seed oil percentage. Positive and significant correlations were measured for the number of seeds in pods with pod length (r = 0.699), pod area (r = 0.555), number of fertile pods (r = 0.678), and number of actual pods. Therefore, genotypes characterized by longer and more abundant pods play a crucial role in improving seed quantity, a key component of grain yield in saline environments. Consequently, the size and number of pods per plant serve as indicators of high-yield potential under such conditions. Based on the results of the principal component analysis (PCA), the first and second components had the highest relative variances, accounting for 44.66% and 31.22% of the total variance, respectively. Together, these two components accounted for 75.88% of the total variance. Factor loadings showed that traits such as number of fertile pods, seed yield, oil yield, and seed oil content had the highest factor loadings in the first component. Similarly, the plant growth rate had the highest factor load in the second component among all the studied traits. Cluster analysis divided the genotypes into four groups, and its dendrogram showed that all the studied genotypes were divided into four separate groups based on all the measured traits. The first group comprised three Karaj 1, 13, and 16 genotypes, the fourth group (like the first group) contained three Karaj 5, 11, and 15 genotypes, and the third group had five genotypes, namely Karaj 3, 7, 8, 10, and 14. The remaining genotypes were assigned to the second group. Conclusion: The results of the present study demonstrate acceptable genetic diversity among rapeseed genotypes in terms of the evaluated traits in saline lands. This shows the importance and the possibility of using these genetic resources to achieve promising and superior genotypes in breeding programs.

Abstract Aloe barbadensis is a drought-tolerant perennial medicinal plant with both nutritional and cosmetic uses. Drought is one of the main abiotic stresses limiting plant growth and development. However, the use of drought-resistant plants combined with beneficial soil micro-organisms could improve the effectiveness of biological methods to mitigate drought damage. This research aims to evaluate the effects of Funneliformis mosseae (MF), plant growth-promoting rhizobacteria (PGPR) (including Pseudomonas putida and Pantoea agglomerans), and their co-inoculation on the macronutrient status, antioxidant enzyme activities, and other morphophysiological traits of A. barbadensis under four irrigation regimes [25%, 50%, 75% and 100% of water requirement (WR)]. Three harvests were conducted, revealing that inoculation enhanced the survival rate and shoot fresh weight (SFW) compared to the control plants. However, at 25% WR, the SFW was reduced by 43% more than the control. across all harvests, while the PGPR + MF treatment showed increases of more than 19%, 11%, and 17% compared to the control, MF, and PGPR treatments, respectively. The results also showed that A. barbadensis exhibited innate drought tolerance up to a 50% WR level by enhancing physiological defenses, such as antioxidant enzyme activity. Inoculation increased the macronutrient status of the plant at all levels of irrigation regimes especially under severe drought conditions. The highest levels of nitrogen (N) (16.24 mg g−1 DW) and phosphorus (P) (11.29 mg g−1 DW) were observed in the PGPR + MF treatment at 100% WR. The maximum relative water content under MF inoculation and 75% WR (98.24%) (98.24%) was reached. PGPR + MF treatment alleviated drought-induced osmotic stress, as indicated by reduced antioxidant enzyme activities and electrolyte leakage. However, P. putida and P. agglomerans strains alone or in combination with F. mosseae increased plant yield, macronutrient uptake and antioxidant enzyme activity. This study underscores the potential of these PGPR and MF strains as invaluable biological tools for the cultivation of A. barbadensis in regions with severe drought stress.

Due to the vital importance of the lungs, lung-related diseases and their control are very important. Severe inflammatory responses mediated by immune cells were among the leading causes of lung tissue pathology and damage during the COVID-19 pandemic. In addition, uncontrolled immune cell responses can lead to lung tissue damage in other infectious and non-infectious diseases. It is essential to control immune responses in a way that leads to homeostasis. Immunosuppressive drugs only suppress inflammatory responses and do not affect the homeostasis of reactions. The therapeutic application of mesenchymal stem cells (MSCs), in addition to restoring immune homeostasis, can promote the regeneration of lung tissue through the production of growth factors and differentiation into lung-related cells. However, the communication between MSCs and immune cells after treatment of pulmonary diseases is essential, and investigating this can help develop a clinical perspective. Different studies in the clinical phase showed that MSCs can reverse fibrosis, increase regeneration, promote airway remodeling, and reduce damage to lung tissue. The proliferation and differentiation potential of MSCs is one of the mechanisms of their therapeutic effects. Furthermore, they can secrete exosomes that affect the function of lung cells and immune cells and change their function. Another important mechanism is that MSCs reduce harmful inflammatory responses through communication with innate and adaptive immune cells, which leads to a shift of the immune system toward regulatory and hemostatic responses.

Abstract Aim The present study aimed to assess professional autonomy among clinical nurses and identify its predictors using a native and contemporary tool, which is in line with the recent advancement in nursing professionalism in Iran. Design The study used an analytical cross‐sectional design. Methods A total of 1601 nurses working in medical centres nationwide under the Ministry of Health participated in the study. The research instrument consisted of two parts, including individual and organizational characteristics and a questionnaire on clinical nurses' professional autonomy. Data analysis involved descriptive and inferential statistics as well as multiple logistic regression analysis using SPSS software. Results The results indicated that the total professional autonomy score among clinical nurses was 75.86 ± 12.03, with the majority (n = 1262, 78.9%) reporting high professional autonomy. Multiple logistic regression analysis revealed that nurses with 5–15 years of experience had 1.82 times higher odds (95% confidence interval: 2.47–1.35) of having high professional autonomy compared to those with less than 5 years of experience. Similarly, nurses with over 15 years of experience had 2.25 times higher odds (95% confidence interval: 1.56–3.26). Head nurses had 4.56 times higher odds (95% confidence interval: 2.60–7.99) of having high professional autonomy compared to clinical nurses. Conclusion Educational interventions to enhance the professional autonomy of less experienced nurses, with more experienced nurses serving as role models, are recommended. Additionally, measures such as supporting nurses, providing effective communication training and empowering nurses are essential to promote professional mutual respect among nurses. No Patient or Public Contribution This study explored professional autonomy in clinical nurses in Iran. No patient or public contribution was investigated.

Background: Teaching and professional development is one of the vital components in the educational process. The present study aimed to design a mentoring model to train newly recruited teachers to improve their quality of life and mental health. Methods: This explanatory and sequential study was conducted in the education organization of Gilan province in two qualitative and quantitative sections. In the qualitative section of the exploratory method, semi-structured interviews were conducted using purposeful sampling. Teachers with more than 20 years of experience, retired, clerics with more than 20 years of experience, senior managers, and newly recruited teachers were included in the study. Sampling continued until reaching a theoretical saturation (23 people). The statistical population in the quantitative stage included 265 people selected by stratified sampling. In the quantitative section, confirmatory factor analysis and LISREL software were used. Results: The thematic analysis method was used to analyze the interviews and qualitative results were designed as a thematic network, a global theme, 8 organizing themes, and 43 basic themes. The organizing themes included the human elements of mentoring, educational, Islamic, structural, social, research, and mental health. In this section, the fit indices indicate the validity of an effective communication model with a mentoring approach, which was associated with improving teachers' quality of life and mental health. Conclusion: Human elements of mentoring, educational, structural, social, and research are crucial in mentoring newly recruited teachers. Thus, executives and relevant respondents should focus exclusively on implementing the research model.

Background: Pulmonary hypertension (PH) is a pulmonary vascular disease characterized by elevated pulmonary vascular pressure. Long-term PH, irrespective of its etiology, leads to increased right ventricular (RV) pressure, RV hypertrophy, and ultimately, RV failure. Main body: Research indicates that RV failure secondary to hypertrophy remains the primary cause of mortality in pulmonary arterial hypertension (PAH). However, the impact of PH on RV structure and function under increased overload remains incompletely understood. Several mechanisms have been proposed, including extracellular remodeling, RV hypertrophy, metabolic disturbances, inflammation, apoptosis, autophagy, endothelial-to-mesenchymal transition, neurohormonal dysregulation, capillary rarefaction, and ischemia. Conclusions: Studies have demonstrated the significant role of oxidative stress in the development of RV failure. Understanding the interplay among these mechanisms is crucial for the prevention and management of RV failure in patients with PH.

Background and Aim: Gastric carcinoma (GC) is one of the most common human cancers. Many genes have been analyzed in an attempt to better understand the process of gastric carcinogenesis, however, the underlying mechanism of gastric carcinogenesis is still poorly understood. Dermatopontin (DPT) is an extracellular matrix protein, which regulates multiple physiological processes. The present study aimed to evaluate DPT gene expression in GC. Materials and Methods: Biopsies of 50 surgically-excised GC tissue specimens and corresponding adjacent normal tissues were examined by real-time PCR. Then, using a bioinformatics analysis we determined DPT gene expression in two different cohorts of GC patients. To determine the effect of DPT expression levels on survival outcome, a Kaplan–Meier analysis was performed. For a comprehensive analysis, DPT gene expression was evaluated in 16 different cancers. Results: RT-PCR demonstrated that DPT gene expression was decreased in gastric cancer tissues, compared to that in the normal stomach tissues. Mean DPT expression value was significantly lower in different stages of GC. Further, survival analysis revealed that the mRNA expression of DPT is positively correlated with overall survival of GC patients. A relationship was found between DPT expression and primary size of tumor. Pan-cancer analysis in 16 tumor types showed that DPT expression was lower in tumor tissue than in the adjacent normal tissue. Conclusion: These findings suggested that the decrease in DPT gene expression in gastric tissue may play an important role in gastric carcinogenesis.

Over recent decades, there has been a documented rise in natural organic matter (NOM) levels in surface waters globally, adversely affecting drinking water treatment processes. This study is focused on employing adsorption techniques to explore the removal of proteinaceous NOM from an aqueous solution. A chitosan/polyacrylamide (chitosan/PAM) hydrogel was synthesized through a multi-step procedure involving chitosan and acrylamide solutions preparation, polymerization initiation, mixing, gelation, purification, and drying. The Fourier-transform infrared spectroscopy (FTIR) and Scanning electron microscopy (SEM) techniques were employed to characterize the synthesized chitosan/PAM hydrogel, examining its structural and morphological features. Adsorption experiments were conducted to assess performance of chitosan/PAM hydrogel adsorbent for the removal of bovine serum albumin (BSA) from aqueous solutions. Various physical parameters including temperature, time, pH, initial BSA concentration, and adsorbent dosage were examined in batch experiments. The adsorption capacity of chitosan/PAM hydrogel for BSA and removal percent of BSA was found 617 mg/g and 77.2 % at 6 h under optimum conditions (T= 25ºC and pH=7) with kinetic studies indicating a best fit with the pseudo-1st-order model. Isotherm studies demonstrated that the Temkin isotherm model best fitted with experimental BSA adsorption data (R2 > 0.99). The findings underscore the efficacy of the developed adsorbent in efficiently removing natural proteins. Furthermore, the experimental results indicate that the adsorption capacity of the chitosan/PAM hydrogel augmented with rising temperature and initial BSA concentration.

The toponyms used to name a large area in ​​the western half of Iran, from the fall of the Sassanids to the rise of the Safavids, experienced many changes in the social and political-administrative arena, and were reflected in different ways in the writings produced at this point. In Islamic historiography, these toponyms were also used alternately, and historians used them to address the geographical area they were considering. The main question of the upcoming research is how the names Jebal, Qohestan and Iraq-e Ajam appeared in various historians' writings and how they were used. The research approach of this article is based on thick description. The research findings indicate that in the opinion of Islamic historians, Jebal (approximately) was used as a common toponym for a wide area in ​​the western half of Iran in the third century. Gradually and without having a specific definition and limitation, it became popular in all kinds of historical writings and replaced the ancient toponyms of the region such as Mah and Pahle, but in the next century, due to the political developments in the region and the importance of some cities such as Ray and Isfahan, the city became central to the attitude of many Historians prevailed and did not allow Jebal to spread as a common toponym. Also, the name Qohestan, which was the Persian translation of Jebal, became popular in Persian writings at this time and added to the confusion. In the sixth century, the toponym of Iraq-e Ajam, gradually made its way in the writings of historians; But due to the flourishing of general historiography in the 8th and 9th centuries of Hijri, which were provided based on the sources of the third to the sixth century of Hijri, the toponyms of Jebal and Qohestan, while they were almost forgotten in the social and political-administrative arena, also came to life in the writings of Persian historians. They continued, of course, the historians of Egypt and the Levant were largely left out of this mess.

Aim and Background: Research has shown that stuttering has a negative impact on a person's overall vitality and emotional, social, and psychological health, potentially leading to a reduction in the quality of life of adults who stutter; So, the present study was conducted with the aim of investigating the effect of cognitive behavioral therapy based on mindfulness on social anxiety, self-efficacy and quality of life of adults with stuttering with a psycholinguistic approach. Methods and Materials: The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population of the study included all adult men with stuttering who referred to psychological clinics in Mashhad in 1402. Among these people, 30 people were selected by available sampling and according to the entry and exit criteria. In addition, they were randomly divided into two experimental and control groups (15 people in each group). participants in the pre-test and post-test stages of social anxiety scales; World Health Organization quality of life short form; They completed the self-efficacy questionnaire. The experimental group received the cognitive behavioral therapy program based on mindfulness in 8 sessions of 90 minutes, and the control group was subjected to regular daily training. Data analysis was done using SPSS-24 software and multivariate analysis of covariance test, following statistical assumptions. Findings: The results showed that training based on cognitive behavioral therapy based on mindfulness is significantly effective on social anxiety, self-efficacy and quality of life of adults with stuttering (P

Introduction: Vesiculobullous disorders are a group of autoimmune diseases manifesting as chronic ulcers in the oral cavity. Ocular involvement may accompany oral ulcers and cause various problems for patients. This review summarizes the data regarding ocular involvement in patients with oral vesiculobullous. Methods: Web of Science, Scopus, PubMed/MEDLINE, and Embase electronic databases were searched according to related keywords. Finally, 58 articles were included, all of which were case reports or series. Characteristics such as the age and sex of patients, location and type of oral lesion, type of ophthalmic injury, the interval between oral and ocular lesion, and treatment of oral and ocular disorders were summarized in tables. Results: Eye involvement was 1.6 times more prevalent in women, and most patients were between 30 and 60 years old (67.4 %). Pemphigus vulgaris accounted for almost half of the cases (48.4 %), though lichen planus is more prevalent in the general population. The most frequently affected oral site was the buccal mucosa (17.5 %), and oral ulcers usually presented as erythema, erosion, or inflammation (22.7 %). Conjunctivitis was the most common type of eye involvement (18.4 %), and ophthalmic lesions regularly appeared 12–60 months after the development of oral lesions (30.1 %). Blindness was reported in only one case. Corticosteroids and immunosuppressives were the most frequent oral and ocular lesion therapies. Conclusion: Considering the serious burdens of any ocular injury, monitoring the ocular health of patients with oral vesiculobullous diseases is highly recommended in high-risk cases, especially middle-aged women with oral pemphigus vulgaris.

This study investigated the effect of various layer arrangements and their impact on the properties of laminated veneer lumber (LVL). Seven different layer arrangements (CCCCCCC, DDDDDDD, PPPPPPP, CDDDDDC, CPPPPPC, CDDCDDC, CPPCPPC, CDCDCDC, CPCPCPC, CCDDDCC, CCPPPCC, CCDCDCC, and CCPCPCC) were used in the manufacturing of the LVL, with each arrangement represented by a combination of the three wood species: hornbeam (C), paulownia (P), and poplar (D). The veneers were bonded with a polyurethane adhesive and pressed under 1 MPa pressure. The physical and mechanical properties of the laminated veneer lumber, including modulus of rupture, modulus of elasticity, block shear, delamination, and swelling, were measured under both dry and cyclic conditions (boil and dry). The modulus of rupture and modulus of elasticity of the LVLs increased when the proportion of hornbeam in the lamination increased. In the cyclic boil-dry condition, the laminated veneer lumbers with the configurations CPCPCPC and CDCDCDC showed the best structural performance. Furthermore, the study found that when one or two upper layers of poplar and paulownia were replaced with hornbeam layers, cracks were observed in the laminated veneer lumber samples. However, when the layers of poplar and paulownia were replaced with hornbeam alternately, no cracks were observed after saturating the laminated veneer lumber with water. The utilization of an alternating arrangement of poplar and paulownia layers with hornbeam in LVL can be used as an effective and cost-efficient approach for enhancing and reinforcing the LVL performance.

Background. Clinical environments create unpredictable conditions that affect the professional excellence of learners. This study aimed to explore and elucidate the lived experiences of clinical lecturers in creating a supportive learning environment necessary for developing the professional identity of medical students. Methods. To conduct this qualitative study, a conventional content analysis approach was adopted. The data were collected by conducting semi-structured interviews with clinical instructors and students of medical sciences, which continued until data saturation was reached. Four criteria of credibility, confirmability, dependability, and transferability were adopted to maintain the study's trustworthiness, and MAXQDA 10 software was used for data management. The interviews were analyzed employing the content analysis method. Results. Three themes were extracted and listed under the headings of "Clinical Professor as an architect of a learning environment", "creating a supportive atmosphere", and "a holistic view of the education process and students' needs" based on the results from the interview analyses. Conclusion. Clinical educators may pay special attention to the students' needs and provide them with appropriate learning opportunities to shape their professional identity, show their respect for professional values by creating a supportive atmosphere, concentrate their attention on different human dimensions, and show their respect for the principles of conduct and professional obligations. Clinical educators, as professional advisors and role models, may have also helped the students improve their metacognitive skills and enhance their professional competence.

Abstract The cGAS-STING pathway plays a crucial role in anti-tumoral responses by activating inflammation and reprogramming the tumour microenvironment. Upon activation, STING traffics from the endoplasmic reticulum (ER) to Golgi, allowing signalling complex assembly and induction of interferon and inflammatory cytokines. Here we report that cGAMP stimulation leads to a transient decline in ER cholesterol levels, mediated by Sterol O-Acyltransferase 1-dependent cholesterol esterification. This facilitates ER membrane curvature and STING trafficking to Golgi. Notably, we identify two cholesterol-binding motifs in STING and confirm their contribution to ER-retention of STING. Consequently, depletion of intracellular cholesterol levels enhances STING pathway activation upon cGAMP stimulation. In a preclinical tumour model, intratumorally administered cholesterol depletion therapy potentiated STING-dependent anti-tumoral responses, which, in combination with anti-PD-1 antibodies, promoted tumour remission. Collectively, we demonstrate that ER cholesterol sets a threshold for STING signalling through cholesterol-binding motifs in STING and we propose that this could be exploited for cancer immunotherapy.

Abstract Mesenchymal stromal/stem cells (MSCs) are used in many studies due to their therapeutic potential, including their differentiative ability and immunomodulatory properties. These cells perform their therapeutic functions by using various mechanisms, such as the production of anti-inflammatory cytokines, growth factors, direct cell-to-cell contact, extracellular vesicles (EVs) production, and mitochondrial transfer. However, mechanisms related to immune checkpoints (ICPs) and their effect on the immunomodulatory ability of MSCs are less discussed. The main function of ICPs is to prevent the initiation of unwanted responses and to regulate the immune system responses to maintain the homeostasis of these responses. ICPs are produced by various types of immune system regulatory cells, and defects in their expression and function may be associated with excessive responses that can ultimately lead to autoimmunity. Also, by expressing different types of ICPs and their ligands (ICPLs), tumor cells prevent the formation and durability of immune responses, which leads to tumors' immune escape. ICPs and ICPLs can be produced by MSCs and affect immune cell responses both through their secretion into the microenvironment or direct cell-to-cell interaction. Pre-treatment of MSCs in inflammatory conditions leads to an increase in their therapeutic potential. In addition to the effect that inflammatory environments have on the production of anti-inflammatory cytokines by MSCs, they can increase the expression of various types of ICPLs. In this review, we discuss different types of ICPLs and ICPs expressed by MSCs and their effect on their immunomodulatory and therapeutic potential.

Purpose – This study aims to identify the ability of gold and cryptocurrency (Cryptocurrency Uncertainty Index (UCRY) Price) as safe haven assets (SHA) for stocks and bonds in both conventional (i.e. stock indices and government bonds) and Islamic markets (i.e. Islamic stock indices and Islamic bonds (IB)). Design/methodology/approach – The authors employed the nonadditive panel quantile regression model by Powell (2016). It measured the safe haven characteristics of gold and UCRY Price for stock indices, government bonds, Islamic stocks, and IB under gold circumstances and level of cryptocurrency uncertainty, respectively. The period spanned from 11 March 2020 to 31 December 2021. Findings – This study discovered three findings, including: (1) gold is a strong safe haven for stocks and bonds in conventional and Islamic markets under bearish conditions; (2) UCRY Price is a strong safe haven for conventional stocks and bonds but only a weak safe haven for Islamic stocks under high crypto uncertainty; and (3) gold offers a safe haven in both emerging and developed countries, while UCRY Price provides a better safe haven in developed than in emerging countries. Practical implications – Gold always wins big for safe haven properties during unstable economy. It can also win over investors who consider shariah compliant products. Therefore, it should be included in an investor's portfolio. Meanwhile, cryptocurrencies are more common for developed countries. Thus, the governments and regulators of emerging countries need to provide more guidance around cryptocurrency so that the societies have better literacy. On top of that, the investors can consider crypto to mitigate risks but with limited safe haven functions. Originality/value – The originality aspects of this study include: (1) four chosen assets from conventional and Islamic markets altogether (i.e. stock indices, government bonds, Islamic stock indices and IB); (2) indicator countries selected based on the most used and owned cryptocurrencies for the SHA study; and (3) the utilization of UCRY Price as a crypto indicator and a further examination of the SHA study toward four financial assets.

We aimed to assess the impact of hospital characteristics on the outcomes of detected possible brain-dead donors, in our organ procurement network in Iran. Data was collected through twice-daily calls with 57 hospitals’ intensive care units and emergency departments over 1 year. The donation team got involved when there was suspicion of brain death before the hospital officially declared it. The data was categorized by hospital size, presence of neurosurgery/trauma departments, ownership, and referral site. Out of 813 possible donors, 315 were declared brain dead, and 203 were eligible for donation. After conducting family interviews (consent rate: 62.2%), 102 eligible donors became actual donors (conversion rate: 50.2%). While hospital ownership and the presence of trauma/neurosurgery care did not affect donation, early referral from the emergency department had a positive effect. Therefore, we strongly recommend prioritizing possible donor identification in emergency rooms and involving the organ donation team as early as possible. The use of twice-daily calls for donor identification likely contributed to the consistency in donation rates across hospitals, as this approach involves the donation team earlier and mitigates the impact of hospital characteristics. Early detection of possible donors from the emergency department is crucial in improving donation rates.

The main concerns for agricultural production nowadays are excessive crop cultivation, water scarcity, and poor soil quality. It is possible to amend agronomic soil with activated biochar (BC) to achieve high water-fertilizer availability and Camelina crop production under rainfed conditions by using an efficient and environmentally safe technology. A split plot experiment was arranged on a randomized complete block design with nine treatments and three replications. The main and second factors were supplementary irrigation (SI) and BC, respectively, with SI comprising of no irrigation (control), irrigation at the flowering stage and seed-filling stage, while BC included control (BC0), 5 (BC5), and 10 (BC10) t ha−1. The number of lateral branches and seeds in the silique, seed yield (2751.8 kg ha−1), 1000-seed weight (1.16 g) and oil yield (991.50 kg ha−1) were highest in response to irrigation at the flowering stage and the application of BC10. The gas chromatography analysis showed that the highest amount of unsaturated fatty acids (oleic, linoleic, linolenic, eicosadienoic and palmitic acids) was obtained in response to BC10 and irrigation at the seed-filling stage. Finally, the results showed that BC10 and the application of SI at the flowering stage increased the seed and oil yield, and unsaturated fatty acid content in Camelina. This study demonstrates that BC amendments can improve plant performance and preserve the environment, with significant implications for the alleviation of drought and sustainable Camelina production in arid regions. The study provides a practical way to produce Camelina in rainfed areas, which can benefit farmers economically.

Introduction: A sialolith is a salivary stone usually presenting with swelling and pain in the affected salivary gland, most commonly the submandibular gland. There have been speculations about the association between this condition and other systemic diseases, especially those forming stones, such as nephrolithiasis and cholelithiasis. This systematic review and meta-analysis aimed to summarize the studies assessing the relationship between cholelithiasis and sialolithiasis. Methods: PubMed/MEDLINE, Scopus, Web of Science, and Embase electronic databases were searched according to the keywords related to both disorders without any publication date or language restriction. Case-control and cohort studies evaluating the relationship between salivary and biliary stones were considered eligible. Quality assessment was performed following Newcastle-Ottawa Scale (NOS) for quality assessment of case-control studies. All meta and statistical analyses were performed with Comprehensive Meta-Analysis software. Results: Two studies fully complied with the defined eligibility criteria and were included, both of which were case-control studies using national-scale databases. In both surveys, the prevalence of previous gallstones in patients with sialolithiasis was compared to that of a control group. Though one of the studies found that there is no relationship between sialolithiasis and cholelithiasis, the meta-analysis revealed that previous cholelithiasis is significantly more prevalent among patients with sialolithiasis (P = 0.000), with an odds ratio of 2.04. Conclusion: It seems that cholelithiasis is significantly associated with an increase in salivary stone formation. Therefore, a thorough salivary examination in all patients declaring current or past cholelithiasis is recommended. However, more studies, especially prospective cohorts, are needed to make firmer conclusions.

These days, extracting information from remote sensing data has a great impact on various aspects of our lives, such as infrastructure and urban planning, transportation and traffic management, forecasting and tracking natural disasters, searching for mineral resources, monitoring environmental changes, and numerous other fields. One crucial application is extracting accurate road information from aerial images, which has many practical applications ranging from our daily lives to long-term planning for transportation systems to autonomous vehicles. Deep learning models have shown great promise in image-processing tasks, specifically in accurately detecting and extracting roads from aerial images. In this study, various techniques were employed to achieve the desired performance. The model is a UNet assisted with attention blocks in the decoder part and trained with a patched, rotated, and augmented dataset that has been extracted from the DeepGlobe dataset. The preprocessing of the dataset included image and mask patching, rotation, exclusion of background-only images, and excluding images with very little road surface. Both patching and background exclusion in preprocessing as hard attention and attention blocks in the model as soft attention were deployed in order to tackle the inherently biased nature of the dataset. This combination of different techniques empowers the proposed model for superior remote sensing image segmentation performance with an accuracy level of 98.33%. In addition to achieve better performance by the model, another objective is to find the issues that cause the model's performance degradation on some image samples. Therefore, a comprehensive analysis of metrics, with a focus on precision and recall as proper metrics for biased dataset analysis, was conducted to identify potential shortcomings in the model or the dataset, and based on the result, several proposals for future work and further investigations were formulated.