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Abstract Background Vascular malformations are common but complicated types of disease in infants, with unclear causes and lack of effective prevention. The symptoms usually do not disappear and tend to progress without medical intervention. It is extremely necessary to choose correct treatment options for different types of vascular malformations. A large number of studies have confirmed that sclerotherapy has a tendency to become the first-line treatment in near future, but it is also associated with mild or severe complications. Furthermore, to our knowledge, the serious adverse event of progressive limb necrosis has not been systematically analyzed and reported in the literature. Case presentation Three cases (two females and one male) were presented who were all diagnosed as vascular malformations and were treated by several sessions of interventional sclerotherapy. Their previous medical records showed the use of several sclerosants in different sessions including Polidocanol and Bleomycin. The sign of limb necrosis did not occur during the first sclerotherapy, but after the second and third sessions. Furthermore, the short-term symptomatic treatment could improve the necrosis syndrome, but could not change the outcome of amputation. Conclusion Sclerotherapy undoubtedly tends to be the first-line treatment in near future, but the adverse reactions still remain major challenges. Awareness of progressive limb necrosis after sclerotherapy and timely management by experts in centers of experience of this complication can avoid amputation.

This study was conducted to screen for Pseudomonas aeruginosa and Brevibacillus species from soil and investigate their ability to biodegrade low density polyethylene materials. The organisms were isolated using phenotypic characterization and molecular identification by polymerase chain reaction (PCR). The PCR confirmed the presence of two different strains of Pseudomonas aeruginosa and absence of Brevibacillus specie from the soil sample. The bacteria were inoculated in a nutrient broth to which 2% polyethylene was amended for a period of three weeks in a shaker incubator at 180rpm. Effect of temperature, pH and concentration of polyethylene on the biodegradation process was also studied. The initial and final dry weights of the polyethylene were recorded and the % degraded was calculated. It was found that both strains of Pseudomonas aeruginosa were capable of degrading the polyethylene. Strain C3 produced a maximum degradation of 20% at 37°C and pH 6. Strain B3 achieved a maximum degradation of 15% at 37°C at pH 6 and 7. In addition, it was found that both strains of Pseudomonas aeruginosa were able to survive up to 6% of polyethylene producing a maximum degradation of 55%. Therefore strains B3 and C3 of Pseudomonas aeruginosa can be effective in biodegradation of polyethylene in dump sites if their potentials are well exploited. [ABSTRACT FROM AUTHOR]

Sleep apnea is a common problem with health implications ranging from excessive daytime sleepiness to serious cardiovascular disorders. The method for detecting and measuring sleep apnea is through breathing monitoring (polysomnography), which is time consuming and relatively expensive. Cardiovascular which is closely related to heart performance activities allows the use of electrocardiogram (heart rate variability) features to detect sleep apnea. This study aims to compare the results of sleep apnea detection using several machine learning algorithms. A total of 2,445 data were divided into 1,834 data as learning sets and 611 data as test sets. Evaluation of 10-fold cross-validation using all HRV features shows that neural network algorithm has the best performance compared to decision tree algorithm, k-nearest neighbor, and support vector machine with an accuracy rate (82.44% in the learning set, 79.21% in the test set consecutively), precision (85.54% and 82.70%), f-measure (87.70% and 85.67%), and AUC (0.867 and 0.832). Based on the results of performance testing using only selected HRV features (CVRR, HF, SD1/SD2 Ratio, and S-Region), the K-Nearest Neighbors, Support Vector Machine, and Neural Network algorithms experienced a decrease in performance. The use of all HRV features is recommended compared to only using selected HRV features, so it can help detect the presence/absence of sleep apnea much better.

Flooding is Pakistan's most common natural hazard, and it is exacerbated by increased rainfall and urbanization. Khyber Pakhtunkhwa (KPK), Pakistan flood-prone zones were determined by superimposing six flood parameters in an ArcGIS environment: elevation, slope, rainfall accumulation, land cover, soil geometry, and gap/buffer from water channel. Cellular automata based on artificial neural network (CA-ANN) along QGIS plugin module of Land Use Change Simulations (MOLUSCE) was used for predicting year 2050 land use, with a kappa value of 0.83. The results indicated that of the 75775 km2 land area covered by this research region, 3.37% (2553.62 km2) falls in extremely high risk, 18.44% (13972.91 km2) falls in high risk, 11.26% (8532.27 km2) falls in moderate risk, 0.51% (386.45 km2) falls in low risk, and just 66.42% (50329.76 km2) falls in very low risk areas. In KPK, like in any other place, a multi-criteria flood risk-vulnerability assessment is consequently necessary for preparation and post-hazard planning. Without a doubt, the outcomes reported here are crucial for flood risk assessments and hazard management decision-making. Key words: natural disasters; floods; remote sensing; geographic information system, multi-criteria evaluation; weighted overlay.

Expansive soils are problematic for direct engineering applications in their natural state because of the shrink-swell phenomenon. Numerous stabilizers and methods have been used to stabilize expansive soils as an effort to make them more practical for construction purposes. Searching for suitable soil stabilizers to overcome difficulties caused by the expansive soils is the key issue, not only in terms of achieving the required soil geotechnical characteristics but also in terms of environmental and economic concerns. The purpose of this article was to assess the current trends, challenges, and opportunities of various admixtures utilized for expansive soil improvement, as well as their economic and environmental consequences. A critical review of various admixtures commonly used as soil stabilizers, including marble waste powder, fly ash, eggshell powders, stone waste, and lime powder is conducted. Furthermore, a the review was also focused to analyze the offered stabilizers in terms of soil geotechnical properties and sustainability in the field application.

With the global advancement of maritime autonomous surface ships (MASS), the critical task of verifying their key technologies, particularly in challenging conditions, becomes paramount. This study introduces a synthetic maritime traffic generation system (S-MTGS) designed for the efficient and safe verification of these technologies. The S-MTGS encompasses a maritime traffic generator integrating a generator based on absolute position (GAP) and a generator based on relative position (GRP). This innovative system leverages historical maritime data to create various scenarios or generate virtual ships based on their interactions with and proximity to other ships. The virtual ships adeptly navigate and perform collision avoidance maneuvers with nearby vessels enabled by the integrated collision avoidance algorithm. The S-MTGS’s ability to generate a wide range of maritime traffic information mirroring actual maritime conditions is pivotal for thoroughly verifying the performance of MASS technology under both standard and extreme situations. The development of the S-MTGS represents a significant advancement in maritime safety and technology. It can evaluate collision avoidance and navigation systems in MASS, featuring a virtual environment for realistic scenario testing and an intelligent navigation system focused on route tracking and collision avoidance.

Abstract Background Internal thoracic arteries (ITAs) are considered to be the standard conduits used for coronary revascularization. Recently minimally invasive procedures are performed to harvest ITAs. The aim of this retrospective cohort study is to observe the effect and safety of less invasive LIMA harvesting approaches in the learning curve compared to conventional harvesting. Methods We retrospectively analyzed the data of 138 patients divided into three different groups based on the LIMA harvesting techniques: conventional sternotomy LIMA harvesting, CSLH (n: 64), minimally invasive direct LIMA harvesting, MIDLH (n: 42), and robotic-assisted LIMA harvesting, RALH (n: 32). The same 138 patients were also divided into sternotomy (n: 64), and non-sternotomy (n: 74) groups keeping both MIDLH and RALH in the non-sternotomy category. Parameters associated with LIMA’s quality and some other perioperative parameters such as harvesting time, LIMA damage, perioperative myocardial infarction, ventilation time, 24 h drainage, ICU stay, hospital mortality, computed tomographic angiography (CTA) LIMA patency on discharge, and after one year were recorded. Results The mean LIMA harvesting time was 36.9 ± 14.3, 74.4 ± 24.2, and 164.7 ± 51.9 min for CSLH, MIDLH, and RALH groups respectively (p

Stress in children can affect the way they think, act, and feel. The habit of using gadgets has several advantages and disadvantages, but there has been no in-depth study of the effect of using gadgets on stress levels in children. This study aims to determine the representation of the physiological condition of using gadgets on stress levels in children. A total of 18 electrocardiogram data were extracted with poincaré plot features. This research has found that there is no difference in the level of stress in children between before and after using gadgets in terms of autonomic nervous activity (Sig. > 0.05). However, there is an increase in sympathetic activity that occurs in children even though they have finished using gadgets. Such conditions certainly need to get more attention, especially related to the duration of gadget use and accessible content.

Abstract Duckweed (Lemna minor L.) is an aquatic macrophyte and grows profoundly on the surface of polluted water reservoirs of Pakistan. The plant can be used as a potential alternative for the fish and poultry industry to meet the promptly growing demand for feed. Our study investigates the effect of varying concentrations (ppm) of nutrients like N, P, and their combination, NP on biomass production, carbohydrate, lipid, protein, and mineral (Ca, Mg, Fe, Mn & Zn) contents of L. minor. The varying concentrations of N and P substantially affected the above-stated parameters. The highest biomass yield was recorded in the 30 ppm NP tank as 172 g/m2 day in comparison with the control tank. Higher protein, lipid, and carbohydrate contents were recorded for 30 ppm NP, 20 ppm NP, and 10 ppm NP respectively. Minerals like Ca, Mg, Fe, Mn & Zn increased in 20 ppm P and all N concentrations. The combined application of NP was more effective in boosting the protein, carbohydrate, and lipid content whereas less effective in increasing the mineral contents. A rise in the concentration of N and P showed a positive correlation with the nutritional composition of L. minor.

BackgroundSchwannomas are benign tumors originating from Schwann cells, frequently occurring in the spinal cord and peripheral nerves. Intraosseous schwannomas, a rare subset, account for approximately 0.2% of schwannomas. Intraosseous schwannomas commonly impinge the mandible, followed by the sacrum and the spine. By far, only three cases of radius intraosseous schwannomas have been reported in PubMed. The tumor was treated differently in all three cases, resulting in different outcomes.Case presentationA 29-year-old male construction engineer who complained of a painless mass on the radial aspect of the right forearm was diagnosed with an intraosseous schwannoma of the radius based on radiography, three-dimensional computed tomography reconstruction, magnetic resonance imaging, pathological examination, and immunohistochemistry. A different surgical approach was employed to reconstruct the radial graft defect using bone microrepair techniques, resulting in more reliable bone healing and early functional recovery. Meanwhile, no clinical and radiographic findings suggestive of recurrence were observed at the 12-month follow-up.ConclusionVascularized bone flap transplantation combined with three-dimensional imaging reconstruction planning might yield better results for repairing small segmental bone defects of the radius caused by intraosseous schwannomas.

Plasmodium ovale consists of two subspecies – P. ovale wallikeri and P. ovale curtisi. Increased reports of imported malaria ovale in non-endemic regions and mixed infection of P. ovale with other Plasmodium species suggest that P. ovale might be under-detected during routine surveillance. Areas endemic with P. ovale have mostly been reported in African and Western Pacific countries. A recent case report in Indonesia indicated that regions with P. ovale endemicity are not only distributed in Lesser Sunda and Papua, but also in North Sumatra.

Influence of co-dopings of divalent ions such as Mg2+, Zn2+, Cd2+ and Sr2+ ions in Mn4+-doped CaAl12O19 red phosphor on its photoluminescence characteristics has been investigated. Samples of Mn4+-doped CaAl12O19 and co-doped with Mg2+, Zn2+, Cd2+ and Sr2+ ions were synthesized by a solid-state reaction method. Significant enhancement of photoluminescence intensity was observed, when Mg2+ and Zn2+ were co-doped in Mn4+-doped CaAl12O19, while only slight enhancement was seen with Cd2+ and Sr2+ co-dopings. To investigate these differences in photoluminescence enhancement, change in local environment of Mn4+ ions due to co-dopings of divalent ions was examined by electron spin resonance (ESR) measurements and first principles calculations within a density functional theory. From these experimental and theoretical analysis, it has been confirmed that the local environment of Mn4+ changes significantly with Mg2+ and Zn2+ co-dopings, while Cd2+ and Sr2+ alter minimally the local environment of Mn4+ due to different substitution site.

Long-time ischemia worsening transplant outcomes in vascularized composite allotransplantation (VCA) is often neglected. Ischemia-reperfusion injury (IRI) is an inevitable event that follows reperfusion after a period of cold static storage. The pathophysiological mechanism activates local inflammation, which is a barrier to allograft long-term immune tolerance. The previous publications have not clearly described the relationship between the tissue damage and ischemia time, nor the rejection grade. In this review, we found that the rejection episodes and rejection grade are usually related to the ischemia time, both in clinical and experimental aspects. Moreover, we summarized the potential therapeutic measures to mitigate the ischemia-reperfusion injury. Compare to static preservation, machine perfusion is a promising method that can keep VCA tissue viability and extend preservation time, which is especially beneficial for the expansion of the donor pool and better MHC-matching.

Summary: This study was planned to determine the relationship between semen quality parameters and the levels of biochemical constituents of seminal plasma of Teddy (Capra hircus) buck semen. For this purpose, semen ejaculates were collected from five mature healthy Teddy bucks. All the experimental bucks were kept under natural environmental conditions. Semen was collected twice in a week for the duration of 6 weeks by Artificial Vagina (AV) in the breeding season (February‐April). Two successive ejaculates of single buck were pooled at time of collection, and a total of 60 semen samples were processed for semen analysis. Sperm per cent motility, sperm concentration, dead sperm percentage, morphological abnormal spermatozoa, plasma membrane integrity were correlated with biochemical constituents of seminal plasma. The mean per cent motility (89.18% ± 0.37%), sperm concentration (1.86 ± 0.04 × 109/ml), dead sperm percentage (8.08% ± 0.29%), morphological abnormal spermatozoa (6.05% ± 0.29%) and plasma membrane integrity (88.22% ± 0.34%) were recorded. The seminal plasma contained Na+ (144.12 ± 1.59 mEq/L), K+ (27.38 ± 0.49 mEq/L), Cl− (65.73 ± 0.45 mEq/L), Ca++ (9.34 ± 0.22 mg/dl), P (19.32 ± 0.97 mg/dl), aspartate aminotransferase (AST; 26.48 ± 1.30 IU/L), alanine aminotransferase (ALT; 168.47 ± 5.18 IU/L), lactate dehydrogenase (LDH; 215.98 ± 6.06 IU/L), albumin (1.90 ± 0.10 g/dl), globulins (2.08 ± 0.11 g/dl) and total protein (3.98 ± 0.20 g/dl). The collected data were analysed by applying Pearson's correlation coefficients. Dead sperm percentage had negative correlation with sodium (r = −.278, p < .05), albumin (r = −.294, p < .05), globulin (r = −.266, p < .05) and total protein (r = −.295, p < .05). Phosphorus was negatively associated with sperm concentration (r = −.262, p < .05). AST was negatively correlated with plasma membrane integrity (r = −.292, p < .05). It was concluded that most of the semen quality parameters of Teddy bucks were positively correlated with biochemical constituents, but opposite trends were found in case of dead sperm percentage. The seminal biochemical constituents dynamically interact with each other. [ABSTRACT FROM AUTHOR]

The vanadium dioxide (VO2) thin films were deposited on silicon (100) substrate using the pulsed laser deposition technique. The thin films were deposited at different substrate temperatures (500°C, 600°C, 700°C, and 800°C) while keeping all the other parameters constant. X‐ray diffraction confirmed the crystalline VO2 (B) and VO2 (M) phase formation at different substrate temperatures. X‐ray photoelectron spectroscopy analysis showed the presence of V4+ and V5+ charge states in all the deposited thin films which confirms that the deposited films mainly consist of VO2 and V2O5. An increase in the VO2/V2O5 ratio has been observed in the films deposited at higher substrate temperatures (700°C and 800°C). Scanning electron microscope micrographs revealed different surface morphologies of the thin films deposited at different substrate temperatures. The electrical properties showed the sharp semiconductor to metal transition behavior with approximately 2 orders of magnitude for the VO2 thin film deposited at 800°C. The transition temperature for heating and cooling cycles as low as 46.2°C and 42°C, respectively, has been observed which is related to the smaller difference in the interplanar spacing between the as‐deposited thin film and the standard rutile VO2 as well as to the lattice strain of approximately −1.2%. [ABSTRACT FROM AUTHOR]

The use of robotics in executing agricultural tasks has significantly improved productivity over the years as a result of automation in performing such activities as spray, harvesting, planting etc. In order to optimize both crop yield and quality while minimizing costs, there will be need for the application of navigation strategies. These will provide optimal as well as autonomous navigation capability which is built entirely upon field coverage plan thereby making robot navigation approach a paramount scheme. In this paper, the autonomy of an agricultural mobile robot is enhanced in a structured environment (greenhouse farm) to locate an optimum route such that the robot performs a selective and variable spray of pesticides to the plants. To realize this, a robust vehicle routing problem (VRP) scheme is designed to navigate the robot autonomously while making intelligent decisions to fulfil the pesticide demands at each node (infected plants). The improved non-dominated sorting genetic algorithm (INSGA-III) is adopted to solve this fully integer problem based on three (3) test cases carried out with 8, 32 and 56 infected plants respectively for validation. The results obtained show a trade-off solution as the Optimal INSGA-III is significantly lower than NSGA-III in terms of solution quality. On the other hand, a significant reduction in run times of between 66% and 76% and 76–93% was obtained for all test case scenarios for population sizes of 100 and 1500 respectively.

Printed flexible electronics have been extensively studied for their potential use in various applications. In this paper, a simple, low-cost, high-conductivity (0.2Ω/sq) flexible electronic circuit fabrication method is demonstrated. The commercial PET film is used as a flexible substrate, and then nanoparticle silver ink was inkjet printed on its surface, and then the flexible Ag circuit was obtained after sintering with 150 °C hot air. Although the conductance is somewhat reduced, the electronic circuits made in this way remain functional even under different folding angles or after repeated folding. The proposed development technique allows cheap, efficient, and large-scale production of flexible electronic circuits with excellent mechanical and electrical properties.

TENG (triboelectric nanogenerator) has shown unique application prospect as a powerful way of harvesting renewable energy in micro-scale self-powered systems. The contact-separation (CS) arched TENG is so convenient that made a great progress in the past years. Laser ablated micro-nano structure on the surface of TENG triboelectric layers possesses a critical impact on its performance. However, arbitrary laser parameters do not provide a direct enhancement of the TENG output, but rather a different degree of degradation. The UV-nanosecond laser (Ultraviolet nanosecond laser) engraving parameters were optimised during the enhancement of the arched TENG using UV-nanosecond laser etching. Evaluation and analysis of the engraved friction layer coupling, electrode substrate arrangement and optimization curves was carried out, which provides an important reference for UV nanosecond laser etching TENG contribute to large-scale application of renewable energy.