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Osama MA Ibrahim,1 Masahiko Ayaki,1,2 Erisa Yotsukura,1 Hidemasa Torii,1 Kazuno Negishi1 1Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan; 2Otake Eye Clinic, Kanagawa, JapanCorrespondence: Osama MA Ibrahim; Masahiko Ayaki, Department of Ophthalmology, Keio University School of Medicine, Shinanomachi 35, Shinjuku-ku, Tokyo, 160-8582, Japan, Tel +81-3-5363-2012, Fax +81-3-5363 3645 ; +81-3-5363-3087, Email osamaibrahim82@gmail.com; mayaki@olive.ocn.ne.jpPurpose: To investigate the relationship between dry eye disease (DED) and myopia in Japanese teenagers.Methods: This clinic-based, retrospective, cross-sectional study assessed DED condition in 10- to 19-year-old teenagers presenting at Japanese eye clinics. They included 106 high myopic patients (HM; mean age, 16.4 ± 2.2 years), 494 mild myopic patients (15.0 ± 2.6 years) and 82 non-myopic teenagers (NM; 13.8 ± 2.6 years). Subjective refraction and anisometropia were measured. Myopia grade was classified as HM (≤ − 6.00 D), MM (> − 6.00 D, < − 0.50 D), or NM (≥ − 0.5 D). The presence of DED-related symptoms including dryness, irritation, pain, fatigue, blurring and photophobia were assessed through a questionnaire. Tear film break-up time (BUT) and fluorescein corneal staining were investigated. Comparison among three groups and regression analysis of myopic error and other variables were conducted.Results: Anisometropia and astigmatic error were greatest in the HM group compared with the other groups (p < 0.001). The HM group reported less photophobia (p < 0.001) and less pain (p = 0.039) compared with the NM group. Regression analysis revealed that myopic error was correlated with astigmatic error (β = − 0.231, p < 0.001), anisometropia (β = − 0.191, p < 0.001), short BUT (β = − 0.086, p = 0.028) and the presence of diagnosed DED (β = − 0.112, p = 0.003). Dryness (β = − 0.127 p = 0.004), photophobia (β = 0.117, p = 0.002) and pain (β = 0.084, p = 0.034) correlated with myopic error.Conclusion: This study associated clinical findings of DED in HM teenagers. The present results suggest DED might be associated with myopia, possibly in a reciprocal relationship.Keywords: myopia, astigmatism, anisometropia, dry eye, tear break-up time

The present study analyzed the effect of temperature, pH, pre-treatment and mixing ratio on the anaerobic digestion process. The parameters during the anaerobic co-digestion of cow manure and food waste were then optimized using the Taguchi experimental design method. ANOVA was carried out to find the significant parameters which influence biogas production. Experimental tests were carried out at laboratory-scale reactors kept at different temperatures (28 °C, 35 °C, and 50 °C). The specific methanogenic performance (SMP) during anaerobic digestion at higher temperatures was characterized with the analysis of acetate, propionate, butyrate, hydrogen, glucose, and formate, and was validated with the literature. The improvement of biogas production with different pre-treatments, i.e., ultrasonic, autoclave, and microwave techniques, was also analyzed. The results showed that the reactor that was maintained at 35 °C showed the highest biogas production, while the reactor that was maintained at a lower temperature (28 °C) produced the lower volume of biogas. As the retention time increases, the amount of biogas production increases. Methanogenic activities of microorganisms were reduced at higher temperature conditions (65 °C). Biogas production increased by 28.1%, 20.23%, and 13.27% when the substrates were treated with ultrasonic, autoclave, and microwave, respectively, compared to the untreated substrate. The optimized condition for the highest biogas production during anaerobic co-digestion of food waste and cow manure is a temperature of 35 °C, a pH of 7 and a mixing ratio (CM:FW = 1.5:0.5). ANOVA showed that temperature is the most important input parameter affecting biogas production, followed by mixing ratio.

The mass mμ− of the negative muon is one of the parameters of the elementary particle Standard Model and it allows us to verify the CPT (charge–parity–time) symmetry theorem by comparing mμ− value with the mass mμ+ of the positive muon. However, the experimental determination precision of mμ− is 3.1ppm, which is an order of magnitude lower than the determination precision of mμ+ at 120ppb. The authors aim to determine mμ− and the magnetic moment μμ− with a precision of O(10ppb) through spectroscopy of the hyperfine structure (HFS) of muonic helium-4 atom (4Heμ−e−) under high magnetic fields. He4μ−e− is an exotic atom where one of the two electrons of the He4 atom is replaced by a negative muon. To achieve the goal, it is necessary to determine the HFS of He4μ−e− with a precision of O(1ppb). This paper describes the determination procedure of the HFS of He4μ−e− in weak magnetic fields reported recently, and the work towards achieving the goal of higher precision measurement.

Introduction: Epithelioid endothelial tumor (ETT) is an extremely rare tumor that typically occurs in women of reproductive age. The diagnosis tends to be delayed because it often necessitates a total hysterectomy. Therefore, it is important to understand ETT macroscopic and imaging findings. Here, we report a case of ETT with detailed macroscopic and imaging findings. Case Presentation: A 39-year-old woman with positive pregnancy test results was admitted to a nearby hospital. No gestational sac was found in the uterus, and magnetic resonance imaging (MRI) revealed a cystic mass of approximately 7 cm that extended continuously from the anterior wall of the lower uterine segment into the pelvic cavity. She underwent laparoscopic and hysteroscopic surgeries for a ruptured cervical pregnancy. Pathology of the specimens obtained from this surgery did not allow for the diagnosis of ETT. Two months after the surgery, as the serum human chorionic gonadotropin β subunit (β-HCG) level did not decrease, she was diagnosed with low-grade gestational trophoblastic neoplasia, leading to the administration of chemotherapy. After three regimens of chemotherapy over 9 months, her β-HCG level decreased but did not reach normal levels. Ultimately, a total hysterectomy was performed. The pathological diagnosis was mixed ETT and choriocarcinoma. A literature review revealed several cases similar to ours. Conclusion: ETT in the lower uterus often perforates the myometrium and forms cystic lesions in the retroperitoneal space or subserosa. The MRI and laparoscopic/hysteroscopic findings in this case may have contributed to the early diagnosis of ETT.

Abstract The SHiP-charm project was proposed to measure the associated charm production induced by 400 GeV/c protons in a thick target, including the contribution from cascade production. An optimisation run was performed in July 2018 at CERN SPS using a hybrid setup. The high resolution of nuclear emulsions acting as vertex detector was complemented by electronic detectors for kinematic measurements and muon identification. Here we present first results on the analysis of nuclear emulsions exposed in the 2018 run, which prove the capability of reconstructing proton interaction vertices in a harsh environment, where the signal is largely dominated by secondary particles produced in hadronic and electromagnetic showers within the lead target.

Multinucleation occurs in various types of advanced cancers and contributes to their malignant characteristics, including anticancer drug resistance. Therefore, inhibiting multinucleation can improve cancer prognosis; however, the molecular mechanisms underlying multinucleation remain elusive. Here, we introduced a genetic mutation in cervical cancer cells to induce cell fusion-mediated multinucleation. The olfactory receptor OR1N2 was heterozygously mutated in these fused cells; the same OR1N2 mutation was detected in multinucleated cells from clinical cervical cancer specimens. The mutation-induced structural change in the OR1N2 protein activated protein kinase A (PKA), which, in turn, mediated the non-canonical olfactory pathway. PKA phosphorylated and activated furin protease, resulting in the cleavage of the fusogenic protein syncytin-1. Because this cleaved form of syncytin-1, processed by furin, participates in cell fusion, furin inhibitors could suppress multinucleation and reduce surviving cell numbers after anticancer drug treatment. The improved anticancer drug efficacy indicates a promising therapeutic approach for advanced cervical cancers.

# Background Foot strike patterns during running are typically categorized into two types: non-rearfoot strike (NRFS) and rearfoot strike (RFS), or as three distinct types: forefoot strike (FFS), midfoot strike (MFS), and RFS, based on which part of the foot lands first. Various methods, including two-dimensional (2D) visual-based methods and three-dimensional (3D) motion capture-based methods utilizing parameters such as the strike index (SI) or strike angle (SA), have been employed to assess these patterns. However, the consistency between the results obtained from each method remains debatable. # Hypothesis/Purpose The purpose of this study was to examine the agreement for assessing foot strike patterns into two (NRFS and RFS) or three types (FFS, MFS, and RFS) between 2D visual- and 3D motion capture-based methods. The authors hypothesized that using two description types (NRFS and RFS) would have high inter-method reliability; however, using three description types (FFS, MFS and RFS) would have lower inter-method reliability because of the difficulty in distinguishing between FFS and MFS. # Study design Controlled Laboratory Study # Methods Overall, 162 foot strikes from four healthy runners with various foot strike patterns were analyzed. Running kinematics and kinetics were recorded using a 3D motion capture system with a force platform. Each foot strike was filmed at 240 fps from the sagittal perspective. The visual, SI, and SA methods were used, and the kappa values for each method were calculated. # Results An assessment of the two types of foot strike: NRFS and RFS, revealed almost perfect kappa values (κ = 0.89--0.95) among the visual, SI, and SA methods. In contrast, an assessment of the three types: FFS, MFS, and RFS, revealed relatively low kappa values (κ = 0.58--0.71). Kappa values within the NRFS category, which includes MFS and FFS, ranged from fair to slight (κ = 0.08--0.33). # Conclusion Previous laboratory findings that categorized foot strike patterns into two distinct types may be applied in observational studies, clinical practice, and training situations. # Level of evidence Level 2

Summary: MOTS-c is a mitochondrial microprotein that improves metabolism. Here, we demonstrate CK2 is a direct and functional target of MOTS-c. MOTS-c directly binds to CK2 and activates it in cell-free systems. MOTS-c administration to mice prevented skeletal muscle atrophy and enhanced muscle glucose uptake, which were blunted by suppressing CK2 activity. Interestingly, the effects of MOTS-c are tissue-specific. Systemically administered MOTS-c binds to CK2 in fat and muscle, yet stimulates CK2 activity in muscle while suppressing it in fat by differentially modifying CK2-interacting proteins. Notably, a naturally occurring MOTS-c variant, K14Q MOTS-c, has reduced binding to CK2 and does not activate it or elicit its effects. Male K14Q MOTS-c carriers exhibited a higher risk of sarcopenia and type 2 diabetes (T2D) in an age- and physical-activity-dependent manner, whereas females had an age-specific reduced risk of T2D. Altogether, these findings provide evidence that CK2 is required for MOTS-c effects.

Abstract A polymorph of Cu2OSeO3 with the distorted kagome lattice is successfully obtained using the high‐pressure synthesis technique (Cu2OSeO3‐HP). The structural analysis using X‐ray and neutron powder diffraction suggests that the tetrahedral Cu2+ clusters [similar to those in Cu2OSeO3 ambient‐pressure phase (Cu2OSeO3‐AP)] exist in Cu2OSeO3‐HP but with three symmetry inequivalent sites. No structural change is observed between 1.5 K and the room temperature. The complex magnetic H‐T phase diagram is established based on the temperature‐ and field‐dependent magnetization data, indicating two distinct antiferromagnetic phases at low and intermediate temperatures, in addition to the higher‐temperature spin‐glass‐like phase. The low temperature phase is identified by neutron powder diffraction refinements as a canted noncollinear antiferromagnetic order with a weak ferromagnetic component along the b‐axis. Size of the refined ordered moment is ≈1.00(4) µB in Cu2OSeO3‐HP, indicating a large enhancement compared to that of Cu2OSeO3‐AP (≈0.61 µB). By applying a uniaxial stress, finite enhancement of weak ferromagnetic component in the noncollinear antiferromagnetic phase in Cu2OSeO3‐HP is observed, which is the clear evidence of the piezomagnetic effect. Interestingly, the sign of the induced magnetization changes on heating from the low‐temperature to the intermediate‐temperature phases, indicating a novel piezomagnetic switching effect in this compound.

Rapid analysis of multiple food allergens is required to confirm the appropriateness of food allergen labelling in processed foods. This study aimed to develop a rapid and reliable method to simultaneously detect trace amounts of seven food allergenic proteins (wheat, buckwheat, milk, egg, crustacean, peanut, and walnut) in processed foods using LC-MS/MS. Suspension-trapping (S-Trap) columns and on-line automated solid-phase extraction were used to improve the complex and time-consuming pretreatment process previously required for allergen analysis using LC-MS/MS. The developed method enabled the simultaneous detection of selected marker peptides for specific proteins derived from seven food ingredients in five types of incurred samples amended with trace amounts of allergenic proteins. The limit of detection values of the method for each protein were estimated to be

IntroductionStatistical shape analysis (SSA) with clustering is often used to objectively define and categorise anatomical shape variations. However, studies until now have often focused on simplified anatomical reconstructions, despite the complexity of studied anatomies. This work aims to provide insights on the anatomical detail preservation required for SSA of highly diverse and complex anatomies, with particular focus on the left atrial appendage (LAA). This anatomical region is clinically relevant as the location of almost all left atrial thrombi forming during atrial fibrillation (AF). Moreover, its highly patient-specific complex architecture makes its clinical classification especially subjective.MethodsPreliminary LAA meshes were automatically detected after robust image selection and wider left atrial segmentation. Following registration, four additional LAA mesh datasets were created as reductions of the preliminary dataset, with surface reconstruction based on reduced sample point densities. Utilising SSA model parameters determined to optimally represent the preliminary dataset, SSA model performance for the four simplified datasets was calculated. A representative simplified dataset was selected, and clustering analysis and performance were evaluated (compared to clinical labels) between the original trabeculated LAA anatomy and the representative simplification.ResultsAs expected, simplified anatomies have better SSA evaluation scores (compactness, specificity and generalisation), corresponding to simpler LAA shape representation. However, oversimplification of shapes may noticeably affect 3D model output due to differences in geometric correspondence. Furthermore, even minor simplification may affect LAA shape clustering, where the adjusted mutual information (AMI) score of the clustered trabeculated dataset was 0.67, in comparison to 0.12 for the simplified dataset.DiscussionThis study suggests that greater anatomical preservation for complex and diverse LAA morphologies, currently neglected, may be more useful for shape categorisation via clustering analyses.

Purpose: To investigate the changes in axial length (AL) elongation and other ocular parameters before and during the coronavirus disease 2019 pandemic. Design: A longitudinal school-based study. Participants: Public elementary schoolchildren in Tokyo (grades 1–6; age, 6–12 years) participated in this study from 2018 to 2021. Methods: All participants underwent eye examinations and provided written consent to measurements of the noncycloplegic refraction and ocular biometry including AL, among others. The students’ parents also completed a questionnaire about the students’ lifestyles. We included the right eye in our analysis and compared the changes in the ocular parameters among the periods using a linear mixed-effects model for repeated measures and examined the univariate and step-wise multiple regression analyses to evaluate the associations between myopia and other covariates. Main Outcome Measures: Changes in AL elongation and other ocular parameters from 2018 to 2019 (prepandemic), that of 2019 to 2020 (immediately after the pandemic onset), and that of 2020 to 2021 (during the pandemic). Results: A total of 578 students before the pandemic period, 432 immediately after the pandemic onset, and 457 during the pandemic period were evaluated. The changes in the ALs and spherical equivalents (SEs) a year before, immediately after onset, and during the pandemic were 0.31 mm/−0.20 diopter, 0.38 mm/−0.27 diopter, and 0.28 mm/−0.47 diopter, respectively (ALs, P < 0.001; SEs, P = 0.014). The results of the questionnaire showed that time spent outdoors daily had changed during the 3 years to 79, 63, and 77 minutes/day, respectively (P < 0.001). Time spent using smartphones or tablets increased year by year to 41, 52, and 62 minutes/day (P < 0.001). The greatest AL elongation occurred during the period when the shortest amount of time was spent outdoors during the 3 years. Conclusions: These results suggested that the school closures and decreasing time spent outdoors might have caused greater AL elongation among schoolchildren in Tokyo; however, it is possible that, although the time spent in near work still increased, the return to the time spent outdoors to the prepandemic levels may have affected the slowing of AL elongation after lockdown. Financial Disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Over the past decade, significant advancements in stem cell research led by mesenchymal stem cells (MSCs) have facilitated their practical application in clinical settings, including inflammatory skin diseases. Urine-derived stem cells (USCs) are obtained from healthy human urine in a noninvasive approach with properties similar to mesenchymal stem cells (MSCs). However, the therapeutic potential of USCs for inflammatory skin diseases has not yet been fully explored. Herein, we report the therapeutic effects of USCs-derived culture supernatants on mice with psoriasis-like dermatitis using our originally established human USCs model. We examined the isolation of USCs from human urine using a simple centrifugation process. Cell markers related to MSCs-like cell were positive for CD29, CD44, CD73, CD90, and negative for HLA-DR, CD34, and CD45 by FACS analysis. Differentiation assays revealed that the cells possessed the capability to differentiate into adipocytes, chondrocytes, and osteocytes. USCs-conditioned medium (CM) treatment significantly suppressed the severity of dermatitis in imiquimod (IMQ)-treated psoriasis mice model. Histopathological examination revealed that USCs-CM treatment attenuated epidermal thickness and the numbers of infiltrating inflammatory cells, including neutrophils, T-cells, and macrophages in dermatitis-affected areas in IMQ-treated psoriasis mice. Furthermore, USCs-CM treatment decreased mRNA levels of IL-17A, IL-17F, and IL-23p19 was reduced in dermatitis area. In summary, our findings revealed new potential strategies for utilizing USCs and USCs-CM as therapeutic agents for inflammatory skin diseases, including psoriasis.

Analogy is considered a core cognitive capacity that enables relational reasoning. It has been commonly believed that relational reasoning can be tested by the four-term analogy task of type “what is to c as b is to a?” or “a:b::c:?” in short. In this study, we challenge this common belief by investigating an alternative hypothesis that this classic task is solvable only by attributional reasoning on attributional similarities, rather than relational reasoning on the relation of the two relations. A word vector model was employed to demonstrate how these two types of reasoning were performed in the classic three-stem analogy task “a:b::c:?” and the two-stem analogy task “a:b::?:?”. The results showed that the two-stem analogy task was solvable only using relational reasoning, while the three-stem analogy task was solvable using both types of reasoning. It suggests that the two-stem analogy task is a better test for relational reasoning.

Kento Yokobori,1,&ast; Masahiko Ayaki,1,2,&ast; Motoko Kawashima,1 Hidemasa Torii,1 Erisa Yotsukura,1 Sachiko Masui,1 Kazuno Negishi1 1Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan; 2Otake Eye Clinic, Yamato City, Kanagawa, Japan&ast;These authors contributed equally to this workCorrespondence: Masahiko Ayaki, Email mayaki@olive.ocn.ne.jpPurpose: To evaluate the effect of eyelid hygiene after cataract surgery on eyelid and ocular surface findings, subjective symptoms and visual function, including functional visual acuity (FVA) and higher order aberration, in a randomized controlled study.Methods: Fifty patients who underwent cataract surgery at a single institution were involved. Twenty-five patients were instructed to wipe their eyelids twice a day from one to four weeks postoperatively, whereas the other 25 patients did not perform any eyelid hygiene. Optical measurement, FVA, meibomian glands, the grade of meibum, lid margin findings, fluorescein corneal staining findings, dry eye-related subjective symptoms and surgical satisfaction were assessed both preoperatively and one month postoperatively.Results: In the eyelid hygiene group, the visual maintenance ratio of FVA improved significantly (p = 0.048) and the higher order aberration of the 4th + 6th order deteriorated less (p = 0.027) compared with the control group. Multiple regression analyses showed that the change in visual maintenance ratio was associated with surgical satisfaction (p = 0.003), change in corneal staining score (p = 0.007), history of eye diseases (p = 0.029) and eyelid hygiene (p = 0.048).Conclusions: Eyelid hygiene after cataract surgery may be effective for visual function measured with an FVA test.Keywords: cataract surgery, dry eye, eyelid hygiene, functional visual acuity, higher order aberration, meibomian gland dysfunction, visual maintenance ratio

This study investigates the potential of hydrogen and ammonia, as alternatives for transportation fuels to tackle urgent issues concerning greenhouse gas emissions and air quality in the worldwide transportation sector. By examining studies and technological progresses, we evaluate the feasibility of transitioning to these energy options. Through an investigation of production methods, energy efficiency, environmental consequences, and infrastructure requirements, we present both the advantages and disadvantages of using hydrogen and ammonia as fuel substitutes. We spotlight production techniques such as electrolysis and renewable energy sources that could significantly decrease carbon emissions and air pollutants. Nonetheless, key challenges such as expanding infrastructure, cost-effectiveness, and safety considerations need to be resolved for adoption. Drawing on findings from research and industry developments, this article contributes to publications on transportation solutions while proposing avenues for research efforts and policy initiatives. Existing challenges and limitations are also discussed in details. In conclusion, this research underscores the significance of research endeavors and policy backing to unlock the potential of hydrogen and ammonia as sustainable transportation fuels underscoring their role in mitigating environmental impacts and promoting global sustainability objectives.

This study investigates the impact of insulation on energy consumption and CO2 emissions in high-rise commercial buildings across various climate zones. Through a simulation-based approach using the Hourly Analysis Program (HAP), the effectiveness of insulation in reducing energy demand and carbon emissions are evaluated. The research includes multiple climatic regions of Afghanistan, including arid, semi-arid, and mountainous zones. Methodologically, detailed building characteristics, climatic data, and insulation materials are considered, with energy modeling techniques applied to assess the performance of insulation measures. Results indicate varying degrees of energy savings and CO2 emissions reduction associated with insulation across different climate zones, in cities such as Kabul, Herat, Mazar, and Kandahar. Furthermore, the study calculates CO2 emissions reduction resulting from insulation addition, emphasizing the importance of sustainable building practices in mitigating environmental impacts. By underscoring the scientific value of this research in addressing a pressing global challenge and providing actionable insights for building design and energy policy, this study contributes to the advancement of knowledge in the field of sustainable construction and environmental engineering.

Magnetic resonance-guided focused ultrasound (MRgFUS) thalamotomy is an effective treatment for essential tremor (ET). However, its long-term outcomes and prognostic factors remain unclear. This study aimed to retrospectively investigate 38 patients with ET who underwent MRgFUS thalamotomy and were followed up for >2 years. The improvement in tremor was evaluated using the Clinical Rating Scale for Tremor (CRST). Adverse events were documented, and correlations with factors, such as skull density ratio (SDR), maximum mean temperature (T-max), and lesion size, were examined. Furthermore, the outcomes were compared between two groups, one that met the cutoff values, which was previously reported (preoperative CRST-B 25, T-max 52.5°C, anterior-posterior size of lesion 3.9 mm, superior-inferior [SI] size of lesion > 5.5 mm), and the other that did not. The improvement rate was 59.4% on average at the 2-year follow-up. Adverse events, such as numbness (15.8%), dysarthria (10.5%), and lower extremity weakness (2.6%), were observed even after 2 years, although these were mild. The factors correlated with tremor improvement were the T-max and SI size of the lesion (p < 0.05), whereas the SDR showed no significance. Patients who met the aforementioned cutoff values demonstrated a 69.8% improvement at the 2-year follow-up, whereas others showed a 43.6% improvement (p < 0.05). In conclusion, MRgFUS is effective even after 2 years. The higher the T-max and the larger the lesion size, the better the tremor control. Previously reported cutoff values clearly predict the 2-year prognosis, indicating the usefulness of MRgFUS.

The global shift from conventional energy sources to sustainable alternatives has garnered significant attention, driven by the promise of economic benefits and environmental sustainability. The current study rigorously investigated the economic advantages and sustainability achieved from the transition of households in Mauritania from liquefied petroleum gas (LPG) to biogas utilization. The study constitutes a robust case study that centers on assessing the multifaceted impacts of this transition on household finances and overall quality of life in Mauritania. This case focuses on biogas technology adoption and its role as a competitor of LPG in Mauritania. The energy poverty portfolio of the nation has been explored and livestock waste generation and biogas production potential have been estimated at 2451 million cubic meters annually. Biogas production can fulfill 50% of the energy requirement for cooking purposes within the country. The community scale fixed-dome-type biogas digesters have been recommended for Mauritania by considering a community of 100 families. The calculated payback period for the community project is 74 months, and after the payback period, continuous monthly benefits of USD 1750 will be started. Livestock manure is directly utilized for farming practices in Mauritania, which produces 10.7 Gg of methane emissions per year. Biogas production is a clean and economically viable option for Mauritania, which can also be beneficial for reducing the methane emissions footprints of the livestock sector. This case study will prove as a vital project for other African nations if successfully implemented. Multiple recommendations for the policy-makers of Mauritania have also been formulated, like tariffs on biogas production facilities and swift financing schemes, which can further strengthen the biogas production on a national scale. International funders should also take part in coping with the energy demand of Mauritania and its mission to mitigate climate change rather than utilizing LPG on a national scale. Biogas production and utilization are much cheaper compared with the fluctuating prices of LPG and ensure health when cooking.