Search

Abstract The Coma Recovery Scale-revised (CRS-r) is the gold standard for the behavioral assessment of patients with Disorders of Consciousness (DoCs). However, the misdiagnosis rate is around 40%. For this reason, recent guidelines suggested enhancing the assessment with neurophysiological measures: among these, surface electromyography (sEMG) represents a convenient bedside solution. This work presents the use of the STRIVEfc system, a wearable device that allows CRS-r administration while recording four sEMG signals. STRIVEfc was employed in 40 sessions on 33 DoCs patients and the sEMG was analyzed to look for voluntary and consistent over threshold (OT) muscular activities. Their duration, amplitude, and number were retained and compared between patients in Unresponsive Wakefulness Syndrome (UWS) and Minimally Conscious State (MCS), revealing more numerous and significantly longer OTs in the latter group. Lastly, the EMG information was exploited to enrich the behavioral assessment by building the instrumented CRS-r score (ICRS-r). In 9/16 UWS sessions, the ICRS-r score suggested a higher-level functioning, not translated into a behavioral response, compatible with MCS diagnosis. Overall, the use of STRIVEfc allows to reveal hidden muscular patterns not detectable by the clinician, thus improving the characterization of DoCs patient’s functional capabilities and supporting the diagnostic process.

In recent times, drilling groundwater wells for irrigation, domestic, and industrial uses is increasing at a high rate in Saudi Arabia, meaning that groundwater is becoming a primary water resource. In the study region, over-exploitation and unsustainable performance severely deteriorate groundwater. Therefore, it is important to monitor the groundwater levels and quality as well as to detect the hydraulic parameters in order to plan and maintain groundwater sustainability. Knowledge of aquifer hydraulic parameters and groundwater quality is essential for the productivity planning of an aquifer. Therefore, this study carried out a thorough analysis on measured depth to groundwater data (2017 and 2022), borehole pumping test records, and chemical analysis of the collected water samples, especially in the presence of overexploitation and scarcity of recharge scale. To accomplish this aim, measurements of 113 groundwater wells (including 103 water samples) and analysis of 29 pumping tests between step and long-duration tests were made of all aquifer characteristics. These parameters consist of well loss, formation loss, well efficiency, specific capacity, transmissivity, hydraulic conductivity, resulted drawdown, and physiochemical parameters. Thematic maps were generated for all parameters using the geographic information system (GIS) and diagrams to strategize the groundwater productivity in Al-Madinah Al-Munawarah Province. The estimated hydraulic parameters are highly variable. Four distinct portions were identified for aquifer potentiality based on these varying ranges. Both the north and east of the region are good for groundwater productivity due to good aquifer materials, whereas the southwestern and western portions have relatively poor values. The analyzed groundwater was categorized as fresh to slightly salty water, with two primary chemical types identified showing a prevalence of mixed NaCl and Ca-Mg-SO4/Cl water. Finally, groundwater productivity assessment predicts that the aquifers can support the Al-Madinah Al-Munawarah Province demand for several years if certain well distributions are adopted and for a few hours/day of pumping rate. The maps that have been created can be examined to aid in making decisions related to hydrology.

AimSleep duration has been suggested to be associated with hypertension (HTN). However, evidence of the nature of the relationship and its direction has been inconsistent. Therefore, we performed a meta-analysis to assess the relationship between sleep duration and risk of HTN incidence, and to distinguish more susceptible populations.MethodsPubMed, Embase, Scopus, Web of Science, and ProQuest were searched from January 2000 to May 2023 for cohort studies comparing short and long sleep durations with 7-8 hours of sleep for the risk of HTN incidence. Random-effect model (the DerSimonian-Laird method) was applied to pool risk ratios (RR) and 95% confidence interval (CI).ResultsWe included sixteen studies ranging from 2.4 to 18 years of follow-up duration evaluating HTN incidence in 1,044,035 people. Short sleep duration was significantly associated with a higher risk of developing HTN (HR: 1.07, 95% CI: 1.06-1.09). The association was stronger when the sleep duration was less than 5 hours (HR: 1.11, 95% CI: 1.08-1.14). In contrast to males, females (HR: 1.07, 95% CI: 1.04-1.09) were more vulnerable to developing HTN due to short sleep duration. No significant difference between different follow-up durations and age subgroups was observed. Long sleep duration was not associated with an increased incidence of HTN.ConclusionShort sleep duration was associated with higher risk of HTN incidence, however, there was no association between long sleep duration and incidence of HTN. These findings highlight the importance of implementing target-specific preventive and interventional strategies for vulnerable populations with short sleep duration to reduce the risk of HTN.

Abstract Development of efficient virus aerosol monitoring and removal devices requires aerosolization of the test virus using atomizers. The number concentration and size measurements of aerosolized virus particles are required to evaluate the performance of the devices. Although diffusion dryers can remove water droplets generated using atomizers, they often fail to remove them entirely from the air stream. Consequently, particle measurement devices, such as scanning mobility particle sizer (SMPS), can falsely identify the remaining nanosized water droplets as virus aerosol particles. This in turn affects the accuracy of the evaluation of devices for sampling or removing virus aerosol particles. In this study, a plaque-forming assay combined with SMPS measurement was used to evaluate sufficient drying conditions. We proposed an empirical equation to determine the total number concentration of aerosolized particles measured using the SMPS as a function of the carrier air flow rate and residence time of the particles in the diffusion dryers. The difference in the total number concentration of particles under sufficient and insufficient diffusion drying conditions was presented as a percentage of error.

Non-stoquastic Hamiltonians are known to be hard to simulate due to the infamous sign problem. Here, the authors study the computational complexity of transforming such Hamiltonians into stoquastic ones and prove that the task is NP-complete even for the simplest class of transformations.