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Service-learning models serve as noteworthy curriculum paradigms that can help students engage with their communities while continuously learning. This article recounts the implementation of a service-learning model within a student initiative aimed to help combat vaccine hesitancy and promote the uptake of vaccinations within the Rhode Island community. Through a collaborative effort between students, faculty, and the university, the student initiative was able to construct a credit-bearing course to help assess and alleviate vaccine hesitancy within Rhode Island. This article highlights the journey the organization took to develop a service-learning model within the course, the project details, and the impact of their project on the community. A detailed analysis of the service-learning model's impact on students as well as key takeaways of the project are also highlighted below.

The Colorado River supplies >40 million people in the United States Southwest with their daily water supply and is unable to meet the current demands. New approaches are needed to enhance sustainability and resilience. A net zero urban water (NZUW) approach meets the needs of a given community with a locally available and sustainable water supply, without detriment to interconnected systems and the long-term water supply. Transitioning to a NZUW future will require considerable modifications to governance and policy across the Southwest and its cities specifically. We identify five areas of governance and policy challenges: diversified water sources and sinks; planning, design, and operation; monitoring and enforcement; coordination; and addressing equity and justice. Four case study cities are investigated: Albuquerque, Denver, Los Angeles, and Tucson. Across these cities, the policy priorities include supporting potable water reuse, coordinating policies across jurisdictions for alternative water sources, addressing equity and justice, developing and incentivizing water conservation plans, and making aquifer storage and recovery projects easier and more economical to pursue. We conclude that a NZUW transition in the Southwest faces considerable governance and policy challenges, but moving cities toward this goal is crucial.

Ultrafiltration (UF) has been widely utilized as water pretreatment for different applications especially in water reuse. The UF system operation is characterized by a filtration phase, where particles accumulate on the membrane surface resulting in an increase in the transmembrane pressure (TMP) and a cleaning phase, where foulants are removed through cleaning cycles including physical backwash and chemical-enhanced backwash (CEB). In this study, data from an engineering-scale UF system treating reclaimed wastewater were used to assess the impact of backwashing on the filtration process. TMP backwash trigger, backwash duration, and CEB frequency were purposely varied for a cycle-by-cycle investigation on the net water production, water recovery, initial operating TMP, and filtration cycle duration. As the TMP backwash trigger was varied between 62 and 145 kPa, the maximum net water production (63 m3/d) was achieved at 103 kPa and water recovery remained relatively constant at approximately 92 %. Backwash durations of 45, 65, and 85 s were performed where both net water production and water recovery yielded similar results (~63 m3/d and ~ 91 %) compared with 103 kPa TMP backwash trigger. The CEB frequency was also lowered from one every three backwashes (1/3) to 1/6 and 1/12 and resulted in decreased net water production and water recovery while the initial TMP increased. Interestingly, the total number of CEBs remained approximately constant regardless of their frequency. Results suggest that CEB is an important fouling control process to maximize water production.

Abstract Background Rendena is a dual-purpose cattle breed, which is primarily found in the Italian Alps and the eastern areas of the Po valley, and recognized for its longevity, fertility, disease resistance and adaptability to steep Alpine pastures. It is categorized as 'vulnerable to extinction' with only 6057 registered animals in 2022, yet no comprehensive analyses of its molecular diversity have been performed to date. The aim of this study was to analyse the origin, genetic diversity, and genomic signatures of selection in Rendena cattle using data from samples collected in 2000 and 2018, and shed light on the breed's evolution and conservation needs. Results Genetic analysis revealed that the Rendena breed shares genetic components with various Alpine and Po valley breeds, with a marked genetic proximity to the Original Braunvieh breed, reflecting historical restocking efforts across the region. The breed shows signatures of selection related to both milk and meat production, environmental adaptation and immune response, the latter being possibly the result of multiple rinderpest epidemics that swept across the Alps in the eighteenth century. An analysis of the Rendena cattle population spanning 18 years showed an increase in the mean level of inbreeding over time, which is confirmed by the mean number of runs of homozygosity per individual, which was larger in the 2018 sample. Conclusions The Rendena breed, while sharing a common origin with Brown Swiss, has developed distinct traits that enable it to thrive in the Alpine environment and make it highly valued by local farmers. Preserving these adaptive features is essential, not only for maintaining genetic diversity and enhancing the ability of this traditional animal husbandry to adapt to changing environments, but also for guaranteeing the resilience and sustainability of both this livestock system and the livelihoods within the Rendena valley.

This paper investigates the experiences of children associated with Boko Haram in Northeast Nigeria. The central argument posits that, within highly coercive environments, exploitation and agency are mutually constitutive. While acknowledging the prevalent exploitation of these children, it is crucial to recognise how such exploitation is intimately connected to their agency. As economic, social, and political pressures mount, children may perceive participation in Boko Haram (and self-exploitation) as the only viable means to achieve various goals—from protecting their families and communities to seeking self-significance. Consequently, exploitation—whether orchestrated by group leaders or members—may be consciously embraced by children as a means to create new horizons of possibilities. Simultaneously, by engaging in Boko Haram’s activities, children reproduce a system aimed to their own exploitation and vilification. Neglecting the complexities inherent in children’s associations with Boko Haram has potential implications for their reintegration and community healing processes.

Introduction Medication adherence was defined by the WHO as “the extent to which a person’s behavior coincides with the medical advice given” (WHO, 2003). Existing literature indicates that approximately 49% of patients with major psychiatric disorders do not fully adhere to their prescribed psychopharmacological therapy (Colom et al, 2002). Non-adherence can lead to partial therapeutic responses or treatment resistance, increased risk of relapse, re-hospitalization, elevated suicide risk, and overall poorer functioning, thereby compromising the patient-doctor therapeutic relationship (Garcìa et al, 2016). Objectives The aim of the present study was to assess potential differences in terms of clinical features related to adherence to treatment in a large cohort of psychiatric patients of an Italian psychiatric department. Methods The study included 307 psychiatric patients, of any gender or age, diagnosed with unipolar depression (UD), bipolar depression (BD), anxiety disorders (AD), schizophrenic spectrum disorders (SS) or a primary diagnosis of personality disorders (PD), based on DSM-5 criteria. Patients were consecutively recruited from the Department of Psychiatry at Luigi Sacco University Hospital, in Milan. The patient’s adherence to treatment was evaluated using the Clinician Rating Scale (CRS), with a cut-off of ≥ 5 defining adherence subgroups (A+: score ≥ 5; A-: score < 5). Comparative and predictive analysis were performed for the whole sample and the two adherence subgroups. Results Overall, nearly one-third of the whole sample reported suboptimal medication adherence. Specifically, rates were approximately 35.3% and 32.7% for BD and SS, respectively, followed by 30.8% for PD, 28% for AD and, 20.3% for UD (see Figure 1). Patients with A- showed significantly higher current substance abuse (17.8% vs 4.5%, p

Abstract Indicine cattle, also referred to as zebu (Bos taurus indicus), play a central role in pastoral communities across a wide range of agro-ecosystems, from extremely hot semiarid regions to hot humid tropical regions. However, their adaptive genetic changes following their dispersal into East Asia from the Indian subcontinent have remained poorly documented. Here, we characterize their global genetic diversity using high-quality whole-genome sequencing data from 354 indicine cattle of 57 breeds/populations, including major indicine phylogeographic groups worldwide. We reveal their probable migration into East Asia was along a coastal route rather than inland routes and we detected introgression from other bovine species. Genomic regions carrying morphology-, immune-, and heat-tolerance-related genes underwent divergent selection according to Asian agro-ecologies. We identify distinct sets of loci that contain promising candidate variants for adaptation to hot semi-arid and hot humid tropical ecosystems. Our results indicate that the rapid and successful adaptation of East Asian indicine cattle to hot humid environments was promoted by localized introgression from banteng and/or gaur. Our findings provide insights into the history and environmental adaptation of indicine cattle.

The organic molecules adsorbed on antiferromagnetic surfaces can produce interesting interface states, characterized by charge transfer mechanisms, hybridization of molecular-substrate orbitals, as well as magnetic couplings. Here, we apply an ab initio approach to study the adsorption of Fe phthalocyanine on stoichiometric Cr2O3(0001). The molecule binds via a bidentate configuration forming bonds between two opposite imide N atoms and two protruding Cr ones, making this preferred over the various possible adsorption structures. In addition to the local modifications at these sites, the electronic structure of the molecule is weakly influenced. The magnetic structure of the surface Cr atoms shows a moderate influence of molecule adsorption, not limited to the atoms in the close proximity of the molecule. Upon optical excitation at the onset, electron density moves toward the molecule, enhancing the ground state charge transfer. We investigate this movement of charge as a mechanism at the base of light-induced modifications of the magnetic structure at the interface.

This contribution reflects on the state of comparative studies devoted to East Slavic literatures in Italy. Between the end of the 20th and beginning of the 21st century, Italian scholars of Slavic studies and the editors of Italian journals have made a number of interesting proposals on the subject. However, hyper-specialization has often hampered efforts to put theory into practice. I foreground some of these important methodological contributions by Italian scholars on comparative Slavic studies and discuss them both in the international context and with reference to other methodologies and research fields, most notably postcolonial studies. After the full-scale invasion of Ukraine by the Russian Federation in February 2022, comparative studies at the crossroads of Belarusian, Russian, and Ukrainian cultures have become a thorny issue. Scholars should seek to strike a balance between a philological approach and the ethical need to respect the different cultural orientations of East Slavic nations.

Background: Artificial intelligence (AI) has proved to be of great value in diagnosing and managing Sars-Cov-2 infection. ALFABETO (ALL-FAster-BEtter-TOgether) is a tool created to support healthcare professionals in the triage, mainly in optimizing hospital admissions. Methods: The AI was trained during the pandemic's “first wave” (February-April 2020). Our aim was to assess the performance during the “third wave” of the pandemics (February-April 2021) and evaluate its evolution. The neural network proposed behavior (hospitalization vs home care) was compared with what was actually done. If there were discrepancies between ALFABETO's predictions and clinicians' decisions, the disease's progression was monitored. Clinical course was defined as “favorable/mild” if patients could be managed at home or in spoke centers and “unfavorable/severe” if patients need to be managed in a hub center. Results: ALFABETO showed accuracy of 76%, AUROC of 83%; specificity was 78% and recall 74%. ALFABETO also showed high precision (88%). 81 hospitalized patients were incorrectly predicted to be in “home care” class. Among those “home-cared” by the AI and “hospitalized” by the clinicians, 3 out of 4 misclassified patients (76.5%) showed a favorable/mild clinical course. ALFABETO’s performance matched the reports in literature. Conclusions: The discrepancies mostly occurred when the AI predicted patients could stay at home but clinicians hospitalized them; these cases could be handled in spoke centers rather than hubs, and the discrepancies may aid clinicians in patient selection. The interaction between AI and human experience has the potential to improve both AI performance and our comprehension of pandemic management.

Innovation in urban water systems is required to address drivers of change across natural, built, and social systems, including climate change, economic development, and aged infrastructure. Water systems are complex socio-technical systems that interact with biophysical systems to supply and reclaim water. We present a vision for enhancing urban water system resilience through a net zero urban water (NZUW) approach, which meets the needs of a given community with a locally available and sustainable water supply, without detriment to interconnected systems or long-term water supply. NZUW is an integrative approach with progressive targets assessed using a quantitative framework to expand adaptive and responsive solutions for urban water self-sufficiency. Decision makers can use NZUW to understand trade-offs between future interventions to urban water systems across spatial and temporal scales. We present the overall NZUW approach, drivers of change, applications, and research gaps.

Background: Despite its potential oncologic benefit, complete mesocolic excision (CME) has rarely been offered to elderly patients. The present study evaluated the effect of age on postoperative outcomes among patients undergoing laparoscopic right colectomies with CME for right-sided colon cancer (RCC). Methods: Data of patients undergoing laparoscopic right colectomies with CME for RCC between 2015 and 2018 were retrospectively analyzed. Selected patients were divided into two groups: the under-80 group and the over-80 group. Surgical, pathological, and oncological outcomes among the groups were compared. Results: A total of 130 patients were selected (95 in the under-80 group and 35 in the over-80 group). No difference was found between the groups in terms of postoperative outcomes, except for median length of stay and adjuvant chemotherapy received, which were in favor of the under-80 group (5 vs. 8 days, p < 0.001 and 26.3% vs. 2.9%, p = 0.003, respectively). No difference between the groups was found regarding overall survival and disease free survival. Using multivariate analysis, only the ASA score > 2 (p = 0.01) was an independent predictor of overall complications. Conclusions: laparoscopic right colectomy with CME for RCC was safely performed in elderly patients ensuring similar oncological outcomes compared to younger patients.

Article Highlights An eco-friendly underactuated soft gripper is presented and described for application in the waste industry, to help or partially replace humans in harmful works. Its design oriented to sustainability is described and the mechanical characteristics are analyzed by Finite Element Modelling (FEM). Results and different application strategies for the waste industry are presented and discussed.

The lack in process intensification (PI) training may be limiting processes to achieve sustainability goals. This project developed a hands-on course on intensified membrane processes to address knowledge gaps in PI. Bench-scale activities introduced concepts of membrane separation, operating engineering-scale modules provided a near-industrial experience, and simulation software allowed modeling and optimization of a process. Student evaluations showed that the combination of modeling, experimental, and peer-instruction work helped them understand the application of theoretical concepts.

Artificial Intelligence (AI) and Machine Learning (ML) approaches that could learn from large data sources have been identified as useful tools to support clinicians in their decisional process; AI and ML implementations have had a rapid acceleration during the recent COVID-19 pandemic. However, many ML classifiers are “black box” to the final user, since their underlying reasoning process is often obscure. Additionally, the performance of such models suffers from poor generalization ability in the presence of dataset shifts. Here, we present a comparison between an explainable-by-design (“white box”) model (Bayesian Network (BN)) versus a black box model (Random Forest), both studied with the aim of supporting clinicians of Policlinico San Matteo University Hospital in Pavia (Italy) during the triage of COVID-19 patients. Our aim is to evaluate whether the BN predictive performances are comparable with those of a widely used but less explainable ML model such as Random Forest and to test the generalization ability of the ML models across different waves of the pandemic.

The dramatic developments devastating Ukraine since February 2022 represent a true watershed not only for social and political dynamics in both countries, but also for Russian and Ukrainian studies. In this article, the authors aim to contribute to a preliminary review of the most relevant issues touched upon by the academic debate emerging in the months following the start of the war of aggression waged by the Russian Federation in Ukraine.