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Background: The past decade has witnessed a revolution in smartphones owing to their growing importance and various applications. However, excessive usage can lead to addiction and joint pain in the wrist/thumb area. Despite these negative effects, smartphones offer medical students access to the resources they need. OBJECTIVE: To determine the association between smartphone addiction and thumb/wrist pain among undergraduate students of Jazan University. Methods: A cross-sectional self-administrated, online survey and online convenience sample technique was used. The collected data were analyzed using SPSS Software. Results: This survey included 337 participants, of which two-thirds were female (66.8%) and the rest male (33.2%); 32.6% of the respondents were studying in the College of Medicine. Of the 337 participants, 32% reported experiencing pain in their wrists or at the back of their neck while using a smartphone. The study found an average Smartphone Addition Scale-Short Version (SAS-SV) score of 32.5 ± 8.0 out of 50 and a total Patient-Rated Wrist Evaluation score of 48.8 ± 14.7, with a pain score of 13.3 ± 11.0 and a function score of 35.5 ± 11.7. The study also revealed a significant association between smartphone addiction and thumb/wrist pain (P value = 0.029), with females and students of the College of Applied Medical Science associated with higher SAS-SV scores, thereby indicating higher smartphone addiction. Conclusion: Significant correlation exists between smartphone addiction and thumb/wirst pain among medical students of Jazan University.

This article is a call for collective action across health equity researchers and advocates to build a more just world. We attempt to make sense of senseless structural and interpersonal brutality in the context of the current political climate across the United States, whereby the spectrum of gender nonconformity has been and continues to be stigmatized. From drag performance to transgender identities to gender-affirming health care, extremists have instrumentalized primary levers of democracy--the courts, legislatures, and social media--to attempt to outlaw and eradicate gender expansiveness and those who provide forms of support and care, including gender-affirming medical care, to transgender, nonbinary, and gender-expansive (TNBGE) individuals.

The orthogonal time-frequency space (OTFS) technique is a promising method of waveform modulation that encodes data in the delay-doppler (DD) domain. OTFS distinguishes itself from conventional multiplexing methods by employing two-dimensional modulation to alternate between the time-frequency (TF) domain and the delay-Doppler domain. This feature enables the management of Doppler shifts induced by high-speed objects, which is not possible with conventional modulation schemes such as orthogonal frequency division multiplexing (OFDM). The main objective of this work is to provide a concise and comprehensive introduction of this emerging subject, emphasizing its system concept. In addition, we analyze crucial elements of OTFS modulation, including techniques for data detection, channel estimation, MIMO, and multiuser systems.

Over the past two decades, hyperbranched polymers (HBPs) have been an interesting material for many researchers due to their unique physical and chemical properties. The purpose of this article is to review hyperbranched polymers, their history, their synthesis methodologies and their main applications. It was found that the first hyperbranched polymer was synthesized in the 19th century by Berzelius and since then several researchers have prepared other hyper-branched polymers. In addition, there are many methods for the synthesis of hyperbranched polymers, both simple and complex. There are also several applications of these polymers, ranging from construction and building materials to biomaterials. The structure of polymers is responsible for a wide range of material properties. These properties allow the use of polymer materials in the design of building and industrial structures.

Significant cooling is an essential requirement in the field of aeronautical and bio-medical engineering, nuclear reactor system, solar collectors, and in development of electronic chips etc. Involving rotating conical geometries. In view of this, flow and heat transfer over conical geometries subject to different constraints of motion are highly needed. Implementation of magnetic field subject to flow pattern controls the fluid motion thereby imparting better cooling. Consideration of nanofluid instead of regular fluid yields prominent cooling of the associated surface. Such relevance has motivated the authors to work on magnetohydrodynamics and heat transfer investigation of water-EG (50:50) mixture based Al2O3 and Fe3O4 past heated and rotating down-pointing upright cone subject to impact of space and temperature varying non-uniform heat source or sink. Numerical solution of dimensionless governing equations is accomplished by implementing Runge-Kutta method. The findings indicate that swirl and axial velocities peter out with rise in magnetic parameter while both exhibit opposite impact in response to slip parameter. Temperature profiles upgrade due to amplification of space and temperature dependent parameters. Skin friction and heat transportation upsurge with growth of solid volume fraction of nanoparticle.

BackgroundMost new HIV infections are attributed to male-to-male sexual contact in the United States. However, only two-thirds of sexual minority men living with HIV achieve an undetectable viral load (UVL). We tested a web-based antiretroviral therapy adherence intervention called Thrive with Me (TWM) with core features that included medication self-monitoring and feedback, HIV and antiretroviral therapy information, and a peer-to-peer exchange. ObjectiveWe assessed the efficacy of TWM on HIV UVL among adult (aged ≥18 years) sexual minority men. Moreover, we assessed the impact of overall engagement and engagement with specific intervention features on HIV UVL. MethodsIn total, 401 sexual minority men (mean age 39.1, SD 10.8 y; 230/384, 59.9% African American) in New York City were recruited between October 2016 and December 2019 and randomized to receive TWM (intervention) or a weekly email newsletter (control) for 5 months. Computerized assessments occurred at baseline and months 5, 11, and 17. The primary outcome was a dichotomous measure of HIV UVL (≤20 copies/μL). Generalized estimating equations with robust SEs were used to assess the effect of the TWM intervention on HIV UVL over the follow-up period in an unadjusted model and a model adjusted for baseline differences and then stratified by baseline recent drug use urinalysis. In secondary analyses, generalized linear models were used to estimate risk differences in the association of overall engagement with TWM (the sum of the number of days participants accessed ≥1 screen of the TWM intervention out of a possible 150 days) and engagement with specific TWM components on HIV UVL throughout the 17-month intervention period. ResultsParticipant retention was 88.5% (355/401; month 5), 81.8% (328/401; month 11), and 80.3% (322/401; month 17). No consistent differences in HIV UVL were found between those randomized to receive TWM or the control at the 5- (difference-in-differences [DD]=–7.8, 95% CI –21.1 to 5.5), 11- (DD=–13.9, 95% CI –27.7 to 0.04), or 17-month (DD=–8.2, 95% CI –22.0 to 5.7) time points, or when stratified by baseline recent drug use. However, those TWM-assigned participants with high overall levels of engagement (in the upper 25th percentile) were more likely to have an HIV UVL at the end of the 5-month active intervention period compared to those with low engagement (below the 75th percentile; risk difference=17.8, 95% CI 2.5-33.0) or no engagement (risk difference=19.4, 95% CI 3.3-35.5) in the intervention. Moreover, high engagement with the peer-to-peer exchange was associated with HIV UVL over time in unadjusted models. ConclusionsTWM did not have overall impacts on HIV UVL; however, it may assist some sexual minority men who are highly engaged with this web-based intervention in achieving HIV viral suppression. Trial RegistrationClinicalTrials.gov NCT02704208; https://clinicaltrials.gov/study/NCT02704208

This paper examines how nanoparticle aggregation and a consistent magnetic field influence the peristaltic movement of a dissipative nanofluid, which is caused by the sinusoidal deformation of the boundary. The viscosity of TiO2/H2O nanofluids is accurately determined by the Krieger-Dougherty model with nanoparticle aggregation, while thermal conductivity (TC) is estimated through the Bruggeman model. The set of governing equations are modeled in a fixed frame by utilizing the conservation laws of energy, mass and momentum. Galilean transformation is utilized to transform the system of equations into a wave frame, which is then converted into a dimensionless form. The assumption of a small Reynolds number and long wavelength serve to further simplify the set of equations, which are subsequently addressed through the implementation of the differential quadrature method (DQM), a highly effective numerical technique. Quantities of interest, namely velocity, pressure gradient, temperature, trapping phenomena, heat transfer, and volumetric entropy generation are analyzed across a range of physical parameters, including the solid volume fraction (Φ=0.01−0.04), Eckert number (Ec=0.0−0.1), Hartman number (Mh=0.2−2.2), Grashof number (Gr=1.0−3.0) and temperature ratio parameter (θd=0.5−2.5). A comparative analysis is conducted between the scenario involving aggregation and the one without aggregation. It is observed that nanoparticle aggregation significantly alters these quantities.

_This research delves into the decomposition kinetics of propylene oxide within a novel reactor design characterized by a corrugated inner wall for enhanced cooling. By applying Computational Fluid Dynamics (CFD), this study aims to optimize the reactor's heat transfer capabilities to achieve precise control over the exothermic decomposition process. This approach addresses a previously unexplored area in CFD application, proposing a model that fine-tunes the decomposition efficiency of propylene oxide by considering the interplay of key parameters such as inlet mixture temperature, activation energy, flow rate, and the resulting thermal profile. The primary goal is to advance the development of more efficient and environmentally friendly chemical processing techniques in the propylene oxide industry. The study highlights the critical relationship between activation energy (74–76 kJ/mol), process temperature (29–37 °C), and cooling efficiency in optimizing the decomposition process. Significant findings indicate that higher inlet temperatures (37 °C) and lower activation energies (74 kJ/mol) lead to superior conversion rates. The study presents a clear correlation between temperature elevation, reduced activation energy, and enhanced conversion rates, demonstrating that optimizing these parameters can lead to significantly improved conversion efficiencies, potentially approaching 100 % under ideal conditions.

The prominent novelty of current review is to exhibit the fluctuating and oscillatory convective heat transfer properties along various geometries with magnetic force, variable density, Prandtl number, buoyancy force and magnetic Prandtl number effects. The significance of present work is to illustrate a comprehensive review on transient convective heat transfer. Transient convective heat transfer plays an essential role in various technological and environmental applications, including climate control, structure safety, engines, thermal control, computer heating and cooling, and energy safety. The literature primarily focuses on steady temperature and velocity domains, with few studies exploring time-varying fluid flow in forced, natural, or mixed convective mechanisms with different methods. In current review, justification of results was performed by using oscillating stokes conditions directly in partial differential models. The similarity variables and stream functions are used in literature but in current review, the primitive variable transformation is used with implicit form of finite difference method and Gaussian elimination technique through FORTRAN and Tecplot-360 programming tools. The governing model is reduced into steady, real and imaginary form to explore steady and oscillating convective heat transmission. Transient flows have gained significance due to their ability to achieve large oscillating convective heat transfer rates. Compared with steady movement, oscillating flows exhibit higher velocity variations along the heated surface. Periodic flow produces an improved transient surface heat transmission rate than steady flow. Predicting and controlling transients in thermal exchangers requires a concept of transient forced convection heat transport. Transient convective thermal transmission solutions are important for ensuring the effectiveness and reliability of electrical components, nuclear and thermal power stations, heat-generating engines, steam turbines, condensation systems, catalytic converters, heat shielding for spacecraft, electrical devices, internal combustion engines, air conditioning and refrigerator components, cooling networks for batteries, generators, and transformers. It is found that the frequency of convective heat transport enhances through periodic and oscillating stokes variables. It was depicted that the higher amplitude in convective heat transfer was displayed for each choice of magnetic force parameter around two angles π/4 and π of circular magnetized surface. It was depicted that the maximum transient convective heat transmission was reported along vertical angle π/2 with buoyancy force, Prandtl and magnetic Prandtl values.

As witnessed worldwide, there has been rapid growth in research and the creation of energy storage devices such as supercapacitor electrodes that can store and deliver energy at a speedy rate, and provide high currents in a short duration. This article deals with a review on how supercapacitor (SC) electrode materials get developed from bio-waste like cooked chicken bone waste (CCBW), chicken egg shells, fish gills, fishbone waste, and biodegradable and non-biodegradable marine wastes such as plastics, mangroves, chitosans, and mussel shells, which provide economic benefit for the substantiality of supercapacitor technology. The synthesis and preparation involved in the study include one step activation and colloidal blending processes. The characterization of the as-prepared materials is carried out by implementing XRD, FESEM, EDS, FT-IR, TGA, TEM, and RAMAN spectroscopy. It is visualized that electrode materials possess high carbon content with porosity leading to a greater specific surface area, which is essential for high conductance SC electrodes. Researche on electrochemical analysis of prepared electrodes from such marine waste materials using CV, GCD, and EIS techniques has been analyzed.

Abstract To evaluate the efficiency and effectiveness of three minimally invasive (MI) techniques in removing deep dentin carious lesions. Forty extracted carious molars were treated by conventional rotary excavation (control), chemomechanical caries removal agent (Brix 3000), ultrasonic abrasion (WOODPECKER, GUILIN, China); and Er, Cr: YSGG laser ablation (BIOLASE San Clemente, CA, USA). The assessments include; the excavation time, DIAGNOdent pen, Raman spectroscopy, Vickers microhardness, and scanning electron microscope combined with energy dispersive X-ray spectroscopy (SEM–EDX). The rotary method recorded the shortest excavation time (p

Objectives: This study examined research-related privacy and confidentiality concerns among adolescent sexual minority males (ASMM) and provides lessons learned to inform recruitment and enrollment strategies for this population. Methods: Participants were a 2017–2018 internet-based U.S. national sample of sexual minority adolescents who responded to self-report measures of privacy and confidentiality concerns. Results: Bivariate chi-square tests were used to identify participants’ mean differences in worry and likelihood of privacy breach occurrences. Many participants reported privacy-related concerns within remote HIV prevention research. Conclusions: Study protocols were designed to ensure participants felt safe participating in online HIV prevention research. However, there are challenges to enroll participants with rigorous protocols for ensuring safety and privacy.