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Background: Echocardiographic quantification of left ventricular (LV) volume and ejection fraction (EF) is widely used in the pediatric population. However, there is no consensus on the most accurate method of quantifying ventricular volumes and systolic function. Purpose: The purpose of this study is to compare two commonly used echocardiographic methods for the evaluation of LV volume and quantification of EF, the five-sixth area-length (5/6 AL) and the modified biplane Simpson (BS), to cardiac magnetic resonance (CMR) imaging in children. Methods: CMR studies were paired with echocardiograms and retrospectively analyzed in children 18 years of age and younger. Studies performed more than 3 months between modalities, patients with congenital heart disease, and patients who had changes in medication regimen between corresponding CMR and echocardiograms were excluded. LV volumes and EF were calculated using the 5/6 AL and BS methods and compared to volumes and EF measured on corresponding CMR studies. Subgroup analyses were conducted based on LV function, pathology, and weight. Results: We retrospectively analyzed 53 CMR and corresponding echocardiogram studies (23 studies for myocarditis and 30 studies for cardiomyopathy) in 46 patients. LVEF derived by both echocardiographic methods showed a good correlation to CMR (5/6 AL r = 0.85 and BS r = 0.82). However, both echocardiographic methods overestimated LVEF and underestimated LV volumes when compared to CMR. Conclusion: Left ventricular volumes and EF, as measured by echocardiography, correlate well with CMR measurements. Echocardiography underestimates LV systolic and diastolic volumes and overestimates LVEF. While echocardiography is a good surrogate for estimating LVEF, CMR should be considered in patients for whom accurate measurements are needed for critical clinical decision-making.

Abstract This study determined the prevalence and the associated factors with meeting the recommended amount of physical activity among type 2 diabetes mellitus (T2DM) patients receiving care in resource-limited settings of the West Bank of Palestine. Physical activity was assessed using the World Health Organization’s Global Physical Activity Questionnaire. Associations were examined using multivariate logistic regression. Of the 302 patients included, 117 (38.7%) met the recommended amount of physical activity. Being younger than 58 years [aOR = 2.1 (95% CI 1.0–4.3], were employed [aOR = 2.3 (95% CI 1.1–4.9)], had high income [aOR = 3.9 (95% CI 1.3–11.9)], had thought that physical activity was crucial for T2DM patients [aOR = 32.7 (95% CI 3.9–275.5)], did not have comorbidities [aOR = 2.2 (95% CI 1.1–4.4)], had normal weight [aOR = 2.8 (95% CI 1.3–6.0)], and those who were overweight [aOR = 2.6 (95% CI 1.1–6.0)] were more likely to meet the recommended amount of physical activity compared to the patients who were 58 years or older, had low income, did not think that physical activity was crucial for T2DM patients, had comorbidities, and were obese, respectively. There is a need to increase physical activity among T2DM patients in resource limited settings.

Abstract Background The primary purpose of this review is to synthesise the effect of strategies aiming to sustain the implementation of evidenced-based interventions (EBIs) targeting key health behaviours associated with chronic disease (i.e. physical inactivity, poor diet, harmful alcohol use, and tobacco smoking) in clinical and community settings. The field of implementation science is bereft of an evidence base of effective sustainment strategies, and as such, this review will provide important evidence to advance the field of sustainability research. Methods This systematic review protocol is reported in accordance with the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) checklist. Methods will follow Cochrane gold-standard review methodology. The search will be undertaken across multiple databases, adapting filters previously developed by the research team, data screening and extraction will be performed in duplicate, strategies will be coded using an adapted sustainability-explicit taxonomy, and evidence will be synthesised using appropriate methods (i.e. meta-analytic following Cochrane or non-meta-analytic following SWiM guidelines). We will include any randomised controlled study that targets any staff or volunteers delivering interventions in clinical or community settings. Studies which report on any objective or subjective measure of the sustainment of a health prevention policy, practice, or programme within any of the eligible settings will be included. Article screening, data extraction, risk of bias, and quality assessment will be performed independently by two review authors. Risk of bias will be assessed using Version 2 of the Cochrane risk-of-bias tool for randomised trials (RoB 2). A random-effect meta-analysis will be conducted to estimate the pooled effect of sustainment strategies separately by setting (i.e. clinical and community). Sub-group analyses will be undertaken to explore possible causes of statistical heterogeneity and may include the following: time period, single or multi-strategy, type of setting, and type of intervention. Differences between sub-groups will be statistically compared. Discussion/conclusion This will be the first systematic review to determine the effect of strategies designed to support sustainment on sustaining the implementation of EBIs in clinical and community settings. The findings of this review will directly inform the design of future sustainability-focused implementation trials. Further, these findings will inform the development of a sustainability practice guide for public health practitioners. Systematic review registration PROSPERO CRD42022352333.

The subject of this 6G communication system research is expected to form a hyper-connected network in which various electronic devices can connect continuously without interruption. Several technologies have been built to support 6G communication systems, such as intelligent reflecting surface (IRS). An IRS is a reflector equipped with several two-dimensional passive elements that perform a phase shift by each element, which can reflect electromagnetic (EM) waves coming from the base station (BS) to the user equipment (UE), which is controlled via a controller to increase the signal strength at the UE and overcome poor propagation conditions. IRS can be placed anywhere, such as on a wall or on the roof of a building. The aim of the IRS research is expected to reduce the energy consumption and increase the spectral efficiency of wireless networks using artificial intelligence (AI) with low costs, energy savings, no thermal noise, and fairly small levels of interference. The objective of this research is to evaluate and analyze the energy efficiency (EE), including the achievable rate (AR) and signal-to-noise ratio (SNR), by applying the IRS architecture in a 6G communications system, which uses an operating frequency of 95 GHz and a bandwidth of 800 MHz. Then, the method was based on computer simulation using the Matlab software. In this paper, 6G communication system modeling was proposed. This model uses an urban microcell (Umi) that consists of one base station (BS) with multiple antennas, varying the number of IRS reflecting elements and one user. In this research, AR, SNR, and EE, using the frequency of 95 GHz and simulations with MATLAB@2021a software. The results show that the number of elements as many as 400 is 39% more optimal than the number of elements as many as 40 for the AR results. The SNR results without electromagnetic interference (EMI) are higher than SNR values affected by EMI with SNR results of 100 dBm, and the number of reflecting elements is directly proportional to the SNR results. For 800 elements, the EE value is 26% higher than for 40 elements. Conclusions. The application of IRS in 6G communication systems can increase the AR, SNR, and EE.

Abstract Inertial underdamped collisions preserve the memory of physical parameters that existed before the collision, leading to phenomena usually unseen in overdamped systems. Here we probe the less studied inertial chiral matter with spinners on an air table. We show here the emergence of high levels of spin for a minority of (+) handed spinners in the presence of a majority of (−) handed spinners (vice versa). This deep violation of equipartition occurs due to the inertial (memory preserving) nature of elastic collisions between underdamped translating and rotating objects. Underdamped spinners of the same spin sign annihilate their spins when they elastically collide, transferring their spin angular momentum into orbital angular momentum, while oppositely handed spinners tend to preserve their individual spin levels, leading to the pumping of minority spinners to high spin levels. Entropy production and the flow of entropy in this underdamped system are also counter-intuitive, showing dramatic oscillations in time.

Background Melanoma, an aggressive malignant skin cancer, has the ability to spread both locoregionally and to distant sites. The risk of metastasis is correlated to invasion depth and the presence of ulceration. Although gastrointestinal (GI) metastases are uncommon, gastric involvement is particularly rare. Case presentation We report a case of a 62-year-old male who presented with abdominal pain, dyspepsia, anorexia, and weight loss. On physical examination abdominal masses and hepatomegaly were detected. Radiological imaging showed widespread masses in the abdominal and thoracic regions. Upper GI endoscopy identified an umbilicated protruded lesion with central dark pigmentation at the antro-fundic junction. Histopathological examination and immunohistochemical staining were consistent with melanoma. A subsequent rigorous skin examination uncovered a primary malignant skin melanoma. Due to worsening general condition, the patient received palliative hospice care. Conclusion This report highlights the critical need for vigilant skin examination when encountering gastric lesions with dark pigmentation, which led to the identification of initially undetected cutaneous melanoma.

The mechanisms of how dyes and catalysts for solar-driven transformations such as water oxidation to form O2 work have been intensively investigated, however little is known about how their independent photophysical and chemical processes work together. The level of coordination between the dye and the catalyst in time determines the overall water oxidation system's efficiency. In this computational stochastic kinetics study, we have examined coordination and timing for a Ru-based dye-catalyst diad, [P2Ru(4-mebpy-4'-bimpy)Ru(tpy)(OH2)]4+, where P2 is 4,4'-bisphosphonato-2,2'-bipyridine, 4-mebpy-4'-bimpy is 4-(methylbipyridin-4'-yl)-N-benzimid-N'-pyridine, a bridging ligand, and tpy is (2,2':6',2''-terpyridine), taking advantage of the extensive data available for both dye and catalyst, and direct studies of the diads bound to a semiconductor surface. The simulation results for both ensembles of diads and single diads show that progress through the generally accepted water oxidation catalytic cycle is not controlled by the relatively low flux of solar irradiation or by charge or excitation losses, rather is gated by buildup of intermediates whose chemical reactions are not accelerated by photoexcitations. The stochastics of these thermal reactions govern the level of coordination between the dye and the catalyst. This suggests that catalytic efficiency can be improved in these multiphoton catalytic cycles by providing a means for photostimulation of all intermediates so that the catalytic rate is governed by charge injection under solar illumination alone.

BackgroundThe Cancer Center Cessation Initiative (C3I) is a National Cancer Institute (NCI) Cancer Moonshot Program that supports NCI-designated cancer centers developing tobacco treatment programs for oncology patients who smoke. C3I-funded centers implement evidence-based programs that offer various smoking cessation treatment components (e.g., counseling, Quitline referrals, access to medications). While evaluation of implementation outcomes in C3I is guided by evaluation of reach and effectiveness (via RE-AIM), little is known about technical efficiency-i.e., how inputs (e.g., program costs, staff time) influence implementation outcomes (e.g., reach, effectiveness). This study demonstrates the application of data envelopment analysis (DEA) as an implementation science tool to evaluate technical efficiency of C3I programs and advance prioritization of implementation resources.MethodsDEA is a linear programming technique widely used in economics and engineering for assessing relative performance of production units. Using data from 16 C3I-funded centers reported in 2020, we applied input-oriented DEA to model technical efficiency (i.e., proportion of observed outcomes to benchmarked outcomes for given input levels). The primary models used the constant returns-to-scale specification and featured cost-per-participant, total full-time equivalent (FTE) effort, and tobacco treatment specialist effort as model inputs and reach and effectiveness (quit rates) as outcomes.ResultsIn the DEA model featuring cost-per-participant (input) and reach/effectiveness (outcomes), average constant returns-to-scale technical efficiency was 25.66 (SD = 24.56). When stratified by program characteristics, technical efficiency was higher among programs in cohort 1 (M = 29.15, SD = 28.65, n = 11) vs. cohort 2 (M = 17.99, SD = 10.16, n = 5), with point-of-care (M = 33.90, SD = 28.63, n = 9) vs. no point-of-care services (M = 15.59, SD = 14.31, n = 7), larger (M = 33.63, SD = 30.38, n = 8) vs. smaller center size (M = 17.70, SD = 15.00, n = 8), and higher (M = 29.65, SD = 30.99, n = 8) vs. lower smoking prevalence (M = 21.67, SD = 17.21, n = 8).ConclusionMost C3I programs assessed were technically inefficient relative to the most efficient center benchmark and may be improved by optimizing the use of inputs (e.g., cost-per-participant) relative to program outcomes (e.g., reach, effectiveness). This study demonstrates the appropriateness and feasibility of using DEA to evaluate the relative performance of evidence-based programs.

IntroductionMelons are highly sought after worldwide due to their exquisite and delectable taste. However, the peels of these fruits, which are rich in phytochemicals and sustainable components for innovative culinary formulations, are often discarded as waste.MethodsThis study explored the phytochemistry and valorization of three melon fruit, i.e., canary melon (Cucumis melo, var. Fonzy), watermelon (Citrullus lanatus, var. Augusta), and muskmelon (Cucumis melo, var. Cantaloupe), peels in food applications by incorporating into wheat flour biscuits. Peels of fruits were separated, dried and powders were extracted with 70% ethanol.Results and discussionComparing the muskmelon fruit peel to the peels of the other two fruits, the muskmelon fruit peel had the significantly (p

Key Clinical Message The differential diagnoses of popliteal ganglion cysts include Baker's cysts, popliteal artery aneurysms, popliteal tendinitis, popliteal lymphadenopathy, lipomas, and synovial sarcoma.

IntroductionLiver diseases represent a significant global health challenge, with primary causes including excessive alcohol consumption, infections, chemotherapy, and autoimmune disorders. Medicinal plants, due to their natural bioactive compounds, hold promise for developing effective treatments and preventive measures against liver ailments. This study aimed to document the use of herbal remedies in northeastern Morocco for liver diseases and correlate these uses with scientific evidence through a bibliometric analysis.MethodsAn ethnobotanical survey was conducted in remote communities of northeastern Morocco from October 2020 to January 2022. A total of 189 informants were interviewed using semi-structured questionnaires to gather information on local medicinal plants used for liver ailments. The data were analyzed using four ethnobotanical quantitative indices: use value (UV), familial use value (FUV), informant consensus factor (ICF), and fidelity level (FL). Additionally, a bibliometric analysis was performed to evaluate the scientific support for the ethnopharmacological uses documented.ResultsThe survey identified 45 plant species from 26 different families used in the treatment of liver diseases. The most frequently utilized species were Cuminum cyminum L. (UV = 0.1065), Allium sativum L. (UV = 0.1015), Salvia officinalis L. (UV = 0.0761), Asparagus officinalis L. (UV = 0.0558), and Ziziphus lotus (L.) Lam. (UV = 0.0457). The Apiaceae family showed the highest familial use value (FUV = 0.1066), followed by Alliaceae (FUV = 0.1015). Liver congestion had the highest informant consensus factor (ICF = 0.83), followed by hepatic colic (ICF = 0.80). Bibliometric analysis revealed that 61% of the plants identified had documented pharmacological effects related to liver health.DiscussionThe study demonstrates that traditional knowledge in northeastern Morocco encompasses a rich diversity of medicinal plants used to treat liver diseases. The high ICF values indicate a strong consensus among informants on the efficacy of these remedies. The correlation between ethnopharmacological use and scientific validation for a significant portion of these plants suggests their potential as reliable therapeutic agents for liver conditions. However, further scientific investigations are necessary to confirm their efficacy and safety in clinical settings. This research contributes valuable information for future studies on the therapeutic potential of these plants.ConclusionThis ethnobotanical survey provides a comprehensive database of medicinal plants used in northeastern Morocco for liver diseases. The findings highlight the potential of these plants in developing novel treatments for hepatic conditions, although further research is essential to substantiate their therapeutic claims.

In the electronics industry, binary devices have played a critical role since the development of solid-state transistors. While binary technology associates devices' inherent ability to be either ON or OFF with two logic levels, it offers the least amount of information content per interconnect. There's a strong push to switch to a higher radix logic/number system, which can eliminate or reduce many of the limitations of the binary system, due to the exponential growth of data processing and storage needs. The beyond-binary logic systems are strongly motivated by the need to increase processing speed and information density in future micro and nanoelectronic circuits and systems, as well as the expectation that Moore's law will eventually reach saturation. Due to its ability to increase circuit efficiency, multi-valued logic is becoming more and more significant. Novel post-CMOS devices have been designed and made easier to implement ternary logic thanks to technological advances in material science and nanotechnology. When it comes to low power and energy consumption, low complexity, low on-chip and off-chip interconnections, and high speed, the ternary system outperforms the binary system. In order to provide as a starting point for future research and development in the field of ternary logic circuits, this paper provides a brief overview of the implementation of ternary logic systems and their related benefits for the design of digital logic circuit applications using CMOS and various emerging devices as design elements.

ABSTRACT: Aflatoxin B1 (AFB1) is a significant pollutant found in food and feed, posing a threat to public health. The objective of this study was to assess the effect of Lactiplantibacillus plantarum (LACP) against AFB1 in growing rabbits by investigating growth, serum metabolites, immunity, antioxidant capacity, and inflammatory response. A total of 60 growing male rabbits (721.5 ± 2.68g) were allocated to 4 experimental groups. The control group receiving only a basal diet, the AFB1 group (0.3 mg AFB1/kg diet), the LACP group (1 × 109 cfu/g /kg diet), and the combination group (1 × 109 cfu/g + 0.3 mg AFB1/kg diet; AFB1+ LACP) for 8 wk. The administration of AFB1 alone significantly decreased the final body weight, body gain, and feed intake, while significantly increasing the feed conversion ratio (P < 0.05). A significant decline in total proteins and globulins, along with elevated levels of hepatic enzymes (AST, ALP, ALT, and GGT) and renal function markers (creatinine and uric acid), were observed in the AFB1-contaminated group (P < 0.05). Immunoglobulins (IgG and IgM) were significantly decreased, alongside a significant elevation of triglycerides, direct bilirubin, and indirect bilirubin in growing rabbits fed diets with AFB1 (P < 0.05). Supplementing the AFB1 diet with LACP restored the growth reduction, improved liver (AST, ALP, ALT, and GGT) and kidney (creatinine and uric acid) functions, and enhanced immune markers in rabbit serum (P < 0.05). Antioxidant indices (SOD, GSH, and CAT) were significantly decreased in the AFB1 group (P < 0.05). However, the addition of LACP to the AFB1-contaminated diets improved antioxidant capacity and malondialdehyde (MDA) and protein carbonylation (PC) in hepatic tissues of rabbits (P < 0.05). Serum interlukin-4 (IL-4) and interferon gamma (IFN‐γ) levels were significantly increased in the AFB1 group (P < 0.05), but the addition of LACP significantly reversed this elevation. AFB1 downregulated the expression of immune-inflammatory genes such Nrf2, IL-10, and BCL-2 genes, while up-regulating the caspase-3 (CASP3) gene (P < 0.05). Supplementing AFB1 diet with LACP significantly decreased the expression of immune-inflammatory genes (Nrf2, IL-10, and BCL-2) and reduced the expression of the apoptotic-related gene CASP3. This study highlights the potential of L. plantarum (1 × 109 cfu/g /kg diet) as a protective agent against AFB1 in growing rabbits by enhancing antioxidant and immune function and reducing apoptosis and inflammation pathways.

Reliable estimates of how human activities may affect wildlife populations are critical for making scientifically sound resource management decisions. A significant issue in estimating the consequences of management, development, or conservation measures is the need to account for a variety of biotic and abiotic factors, such as land use and climate change, that interact over time altering wildlife habitats and populations. The snow leopard Panthera uncia (Schreber, 1775), as a vulnerable species, is extremely sensitive to indirect impacts of climate change. Given that it is highly difficult undertaking conservation measures on the entire range of snow leopards, identifying hotspots for conservation is necessary. This study was conducted in Bagrot and Haramosh valleys, in the Trans-Himalayan region, to evaluate the impacts of climate and human pressure on snow leopard habitat. Hybrid classification of Landsat satellite data for 2010 and 2020 was performed to elucidate land use changes that suggested a decrease in permanent snow by 10 % and 3 % in Haramosh and Bagrot while an increase in settlements cover by 16 % and 23 %, respectively. Life zone comparison for 2010 and 2020 using the Holdridge life zone (HLZ) classification system disclosed a change from three life zones to five life zones in Haramosh, and four life zones to five life zones in Bagrot, caused by a temperature increase of 2°C to 3°C, indicating that the area is becoming more and more suitable for settlements and less favorable for snow leopards. This study underlines again that mountainous regions are more vulnerable to the impacts of climate change. Warming weather is making survival more difficult for snow leopards. Although they are resilient to the direct effects of climate change, indirect impacts like avalanches, flash floods, urbanization, and human-wildlife conflict make them more vulnerable and threaten their survival. Thus, we recommend establishing further protected areas, better controlling illegal wildlife trade, and conducting genetic studies to understand impacts on snow leopards and rangeland management, livelihood improvement, and human-wildlife conflict reductions.

Foreign body (FB) ingestion leading to appendicular perforation, although rare in adults, presents a complex clinical challenge. The clinical presentation may not always be straightforward, necessitating a comprehensive array of diagnostic examinations. In fact, accurate and timely diagnosis is crucial to prevent severe complications. In this report, we present a case where a misleading clinical presentation led to the unexpected discovery of appendicular perforation during surgery, despite initial suspicion of small bowel perforation – a 77-year-old male patient who was edentulous and under follow-up for chronic bronchitis stage IV. He sought medical attention due to a 2-week history of right iliac fossa pain, during which he did not experience vomiting or fever. Upon physical examination, there was a tenderness noted in the sub umbilical region. An abdominal computed tomography (CT) scan was performed, revealing the presence of a dense FB which seems to be a bone located in the last ileal loop. Additionally, the appendix appeared slightly distended. Given the clinical presentation, which strongly indicated acute peritonitis resulting from small bowel perforation, and following consultation with gastroenterologists, it was decided that endoscopic retrieval was not suitable for this case. Therefore, a surgical approach was chosen, involving a midline incision, as laparoscopy was absolutely contraindicated because of patient’s respiratory distress. Per-operatively, we identified a clear effusion, and within the wall of the appendix, we discovered a thin, sharp chicken bone that had become lodged, resulting in a phlegmonous and perforated appendix. The 2-cm bone was successfully removed, and an appendectomy was performed. The post-operative period was uneventful, and the patient was discharged on the fourth postoperative day. This case highlights the need for a high index of suspicion for atypical clinical presentations and the ongoing need for research to improve our understanding and management of this rare condition, ultimately enhancing patient outcomes.

Background: Wild canids form an important component of the ecosystem but are generally less studied and least prioritized for conservation. Diet is fundamental for effective management and exhibits the role of a species in an ecosystem. Golden jackal (Canis aureus, Linnaeus, 1758), a medium-sized canid species is known for opportunistic and omnivorous foraging behavior. Methods: This research investigates the feeding ecology of golden jackals within the Hirpora Wildlife Sanctuary, Western Himalayas. From August 2020 to July 2022, trails (n = 9; 1.5–5.5 km) were walked seasonally (once per month) to collect fecal samples (n = 128) for investigation of seasonal diet composition and dietary niche breadth and biomass consumption of prey items by golden jackal. The association between the coefficient of digestibility value and food items was assessed using the Pearson correlation. We also conducted PCA to understand contribution of major dietary items. Results: Scat analysis revealed that jackals feed on both animal and plant matter. Animal matter constituted most of the diet, encompassing small mammals and domestic livestock, insects, and birds. Rodents emerge as the dominant dietary item, maintaining consistent prevalence year-round. Livestock carrion, notably domestic sheep formed a significant component across all seasons, with maximal consumption observed in summer. Notably absent from the jackals' diet were traces of threatened mountain ungulates. Domestic sheep emerged as the primary contributor (33.4 %) to the overall biomass consumed, highlighting the jackals' interaction with human-associated food resources. The research unveils an overall dietary niche breadth of 0.38, indicating a low degree of dietary diversity. Seasonal analysis indicates heightened dietary overlap in the autumn-summer transition, with rodents, domestic sheep, and birds being major contributors to this overlap. Conclusion: The findings underscore the adaptability of golden jackals to diverse food resources in a seasonal environment. This study provides foundational insights into the dietary ecology of jackal crucial for its conservation and management strategies in the ecologically fragile ecosystem. The finding gives a hint at the role jackals can play in regulating rodent populations and contributing to environmental cleanliness by scavenging.

By 2030, the Kingdom of Saudi Arabia (KSA) is seeking to increase homeownership to 70%. This has led to a considerable investment in residential construction, with the Housing Ministry establishing a stimulus program to enhance the use of Modern Methods of Construction (MMC). These technologies offer several benefits, including cost and time reduction, improved quality and productivity, and job creation. This study quantitatively analyzes the economic impacts of MMC adaptation on the Saudi economy using the Global Trade Analysis Project (GTAP) model. It considers incentives to adopt MMC, its technological advancements, and the skills currently available in the Saudi labor market. Moreover, the embodied carbon emissions of MMC are calculated using the Input–Output Life Cycle Assessment Approach (IO-LCA); the detailed environmental emissions from the transportation phase, accounting for material reduction, are assessed using the COPERT model and compared to conventional construction. The results reveal an increase of 1.92% in Saudi GDP, along with improved welfare of $28.5 billion and a notable increase in the sectors related to construction. Job creation is demonstrated by an increase in the employment of unskilled and skilled labor by 2.02 and 1.5%, respectively. The paper concludes that MMC’s total embodied carbon emissions were approximately 77 million metric tonnes CO2, while its transport-related emissions are less than conventional approaches.

Rivaroxaban and aspirin are commonly used antithrombotic agents in combination to prevent coronary artery disease (CAD) and atherothrombotic events in adult patients after acute coronary syndrome (ACS) with elevated cardiac biomarkers, or with coronary artery disease (CAD) or symptomatic peripheral artery disease (PAD) in high-risk patients. The recommended dosage is 2.5 mg rivaroxaban twice daily in combination with 75–100 mg aspirin once daily. This study aimed to develop a fixed-dose combination tablet of rivaroxaban (2.5 mg) and aspirin (50 mg) to enhance medication adherence and decrease pill burden.Compatibility studies were conducted on the active ingredients to develop the product formula. The formula and the manufacturing procedure were chosen based on the risk assessment for each active substance, wet granulation with both actives intragranular was found to have faster dissolution than direct mix formulae. Furthermore, a validated reverse-phase HPLC stability indicator method was developed to detect APIs and their possible degradants.

ObjectiveWe assessed the direct and indirect relationships between sleep quality, mental health, and physical activity with quality of life (QOL) in college and university students.MethodsIn a cross-sectional design, 3,380 college students (60% females; age = 22.7 ± 5.4) from four continents (Africa: 32%; America: 5%; Asia: 46%; and Europe: 15%; others: 2%) completed the Pittsburgh Sleep Quality Index (PSQI); Insomnia Severity Index (ISI); Epworth Sleepiness Scale (ESS); the Depression, Anxiety, and Stress Scale 21 (DASS); the International Physical Activity Questionnaire short-form (IPAQ); and the World Health Organization Quality of Life-BREF (WHOQOL-Brief).ResultsWe showed that sleep quality, insomnia, and depression had direct negative effects on the physical domain of QOL (β = −0.22, −0.19, −0.31, respectively, p

IntroductionThe aim of this study was to evaluate the antioxidant, antimicrobial, and preservative efficacy of Thymus broussonetii Boiss. essential oil (EO) in a topically applied formulation using a challenge test.MethodsThe essential oil was extracted from the aerial part of T. broussonetii using hydrodistillation, and the obtained EO was further analyzed by gas chromatography/mass spectrometry (GC/MS). The antioxidant effect of the EO was evaluated using three methods: the inhibition of free radical 2,2-diphenyl-1-picrylhydrazyl (DPPH), β-carotene–linoleic acid, and the ferric reducing antioxidant power (FRAP) methods. The antimicrobial activity and the minimum inhibitory concentration (MIC) of this EO were assayed by the disk-diffusion method and the broth microdilution method, respectively. The preservative efficacy of T. broussonetii EO was assayed at 1% and 2% (v/w) in a topical cream formulation using a challenge test against standard-specific microorganisms recommended by the European Pharmacopoeia. Furthermore, the identified phytochemical compounds were docked for their effect on nicotinamide adenine dinucleotide phosphate oxidase, human casein kinase 1 alpha 1 (CSNK1A1), glycogen synthase kinase 3, Staphylococcus aureus nucleoside diphosphate kinase, Escherichia coli beta-ketoacyl-[acyl-carrier protein] synthase, Pseudomonas aeruginosa LasR ligand-binding domain, and sterol 14-alpha demethylase (CYP51) from Candida albicans. The ADME/toxicity was predicted by analyzing the absorption, distribution, metabolism, and excretion parameters.Results and discussionchemical composition of the EO revealed the presence of thymol (63.09%), p-cymene (11%), and γ-terpinene (8.99%) as the major components. The antioxidant assays revealed that the essential oil exhibited strong antioxidant activity, as indicated by the minimum inhibitory concentration IC50 (IC50 = 210 ± 0.3 μg/mL for the DPPH assay, IC50 = 145 ± 0.1 μg/mL for the β-carotene assay, and IC50 = 84 ± 0.21 μg/mL for the FRAP assay) when compared to quercetin and butylated hydroxytoluene (BHT) as controls. The investigated essential oil exhibited important antimicrobial activity against all the tested microorganisms, and the MICs of the EO against bacteria and fungi were 0.02%–1%. Moreover, the EO of T. broussonetii evaluated at 2% (v/w) in a cream formulation succeeded in satisfying the A criteria for preservation efficacy against S. aureus, E. coli, and Aspergillus brasiliensis but exhibited less efficacy against P. aeruginosa (1.78 log reduction in the number of CFU/g after 7 days of evaluation) and C. albicans (1.09 log reduction in the number of CFU/g after 14 days of evaluation) when compared to the synthetic preservative phenoxyethanol 1% (v/w). In silico results showed that the antimicrobial activity of T. broussonetii EO is mostly attributed to thymol, terpinen-4-ol, and aromadendrene, while the antioxidant activity is attributed to thymol. These results indicate that the EO of T. broussonetii possesses important antimicrobial and antioxidant properties and can, therefore, be used as a natural preservative ingredient in the cosmetic industry.

Increasing water pollution and decreasing energy reserves have emerged as growing concerns for the environment. These pollution are due to the dangerous effects of numerous pollutants on humans and aquatic organisms, such as hydrocarbons, biphenyls, pesticides, dyes, pharmaceuticals, and metal ions. On the other hand, the need for a clean environment, finding alternatives to fossil and renewable fuels is very important. Hydrogen (H2) is regarded as a viable and promising substitute for fossil fuels, and a range of methodologies have been devised to generate this particular source of energy. Metal-organic frameworks (MOFs) are a new generation of nanoporous coordination polymers whose crystal structure is composed of the juxtaposition of organic and inorganic constituent units. Due to their flexible nature, regular structure, and high surface area, these materials have attracted much attention for removing various pollutants from water and wastewater, and water splitting. MOFs Z-scheme heterojunctions have been identified as an economical and eco-friendly method for eliminating pollutants from wastewater systems, and producing H2. Their low-cost synthesis and unique properties increase their application in various energy and environment fields. The heterojunctions possess diverse properties, such as exceptional surface area, making them ideal for degradation and separation. The development and formulation of Z-scheme heterojunctions photocatalytic systems using MOFs, which possess stable and potent redox capability, have emerged as a successful approach for addressing environmental pollution and energy shortages in recent times. Through the utilization of the benefits offered by MOFs Z-scheme heterojunctions photocatalysts, such as efficient separation and migration of charge carriers, extensive spectrum of light absorption, among other advantages, notable enhancements can be attained. This review encompasses the synthesis techniques, structure, and properties of MOFs Z-scheme heterojunctions, and their extensive use in treating various wastewaters, including dyes, pharmaceuticals, and heavy metals, and water splitting. Also, it provides an overview of the mechanisms, pathways, and various theoretical and practical aspects for MOFs Z-scheme heterojunctions. Finally, it thoroughly assesses existing challenges and suggests further research on the promising applications of MOFs Z-scheme in industrial-scale wastewater treatment.