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The primary objective of the present research is to examine the impact of touch and gustatory stimuli on airline image and repurchase intention. Furthermore, the present research examines the moderating role of price fairness and mediation impact of airline image. The researchers gather data from the customers of PIA and Airblue travelling abroad from Islamabad International Airport, Karachi International airport and Lahore International airport by employing multi-stage sampling technique. Total of 576 questionnaires was distributed among the respondents, and the response rate was 68.9%. For the analysis of data received, the researcher employed PLS-SEM. The finding of the study confirmed the significant impact of touch and gustatory stimuli on airline image and repurchase intention. Findings of the study revealed the mediating role of airline image among touch, gustatory and repurchase intention was significant as well. At the end, perceived price fairness also moderated the relationship of airline image and repurchase intention. The present study fills the gap of limited studies conducted in the past regarding sensory stimuli in the context of the airline industry, the role of airline image as a mediator under SOR model and moderating impact of perceived price. Findings of the present study are helpful for policymakers and practitioners of the airline industry in Pakistan to develop the strategy by which they can retain their customers on international routes.

Abstract Background Pyridoxine-dependent epilepsy is primarily characterized by early-onset refractory seizures. This condition can be caused by alpha-aminoadipic semialdehyde dehydrogenase deficiency due to a mutation in the ALDH7A1 gene, leading to the accumulation of certain substances that impact the production of various brain neurotransmitters and enzymes. Case presentation Our report presents the first documented case of pyridoxine dependency in Syria. The female infant, born to consanguineous parents, exhibited seizures on the second day of life. Despite the administration of multiple antiepileptic medications, seizures persisted. A comprehensive assessment, including metabolic evaluation, electroencephalography, and phenotypic characteristics of seizures, prompted genetic testing for pyridoxine-dependent epilepsy, which identified a homozygous likely pathogenic variant in the ALDH7A1 gene, confirming the diagnosis of this condition. Subsequently, the baby was put on oral pyridoxine, resulting in complete cessation of seizures. Conclusions Due to its rarity, this condition was initially overlooked and led to an inappropriate therapeutic approach. Pyridoxine dependency should be considered after the manifestation of refractory seizures, as increased awareness can enable early diagnosis, appropriate treatment, and avoid unnecessary use of antiepileptic drugs. However, predicting the long-term outcome remains challenging.

The global shift toward next-generation energy systems is propelled by the urgent need to combat climate change and the dwindling supply of fossil fuels. This review explores the intricate challenges and opportunities for transitioning to sustainable renewable energy sources such as solar, wind, and hydrogen. This transition economically challenges traditional energy sectors while fostering new industries, promoting job growth, and sustainable economic development. The transition to renewable energy demands social equity, ensuring universal access to affordable energy, and considering community impact. The environmental benefits include a significant reduction in greenhouse gas emissions and a lesser ecological footprint. This study highlights the rapid growth of the global wind power market, which is projected to increase from $112.23 billion in 2022 to $278.43 billion by 2030, with a compound annual growth rate of 13.67%. In addition, the demand for hydrogen is expected to increase, significantly impacting the market with potential cost reductions and making it a critical renewable energy source owing to its affordability and zero emissions. By 2028, renewables are predicted to account for 42% of global electricity generation, with significant contributions from wind and solar photovoltaic (PV) technology, particularly in China, the European Union, the United States, and India. These developments signify a global commitment to diversifying energy sources, reducing emissions, and moving toward cleaner and more sustainable energy solutions. This review offers stakeholders the insights required to smoothly transition to sustainable energy, setting the stage for a resilient future.

Abstract Background The establishment of stable porcine embryonic stem cells (pESCs) can contribute to basic and biomedical research, including comparative developmental biology, as well as assessing the safety of stem cell-based therapies. Despite these advantages, most pESCs obtained from in vitro blastocysts require complex media and feeder layers, making routine use, genetic modification, and differentiation into specific cell types difficult. We aimed to establish pESCs with a single cell-passage ability, high proliferative potency, and stable in long-term culture from in vitro-derived blastocysts using a simplified serum-free medium. Methods We evaluated the establishment efficiency of pESCs from in vitro blastocysts using various basal media (DMEM/F10 (1:1), DMEM/F12, and a-MEM) and factors (FGF2, IWR-1, CHIR99021, and WH-4-023). The pluripotency and self-renewal capacity of the established pESCs were analyzed under feeder or feeder-free conditions. Ultimately, we developed a simplified culture medium (FIW) composed of FGF2, IWR-1, and WH-4-023 under serum-free conditions. Results The pESC-FIW lines were capable of single-cell passaging with short cell doubling times and expressed the pluripotency markers POU5F1, SOX2, and NANOG, as well as cell surface markers SSEA1, SSEA4, and TRA-1-60. pESC-FIW showed a stable proliferation rate and normal karyotype, even after 50 passages. Transcriptome analysis revealed that pESC-FIW were similar to reported pESC maintained in complex media and showed gastrulating epiblast cell characteristics. pESC-FIW were maintained for multiple passages under feeder-free conditions on fibronectin-coated plates using mTeSR™, a commercial medium used for feeder-free culture, exhibiting characteristics similar to those observed under feeder conditions. Conclusions These results indicated that inhibition of WNT and SRC was sufficient to establish pESCs capable of single-cell passaging and feeder-free expansion under serum-free conditions. The easy maintenance of pESCs facilitates their application in gene editing technology for agriculture and biomedicine, as well as lineage commitment studies.

Studying the history of sports and knowing their achievements is of great importance as it is considered a means of advancement for societies and a measure of their culture and stages of development in all fields. One of the important sports games at the international and local levels is volleyball, which has a long history at the global level. The importance of the research lies in knowing the teams participating in the Asian championships and their most important results and where they were held from the first Asian Championship for men's teams in (1975) until the last championship held in Japan in (2021). Through the teams' participation in the Asian Men's Volleyball Championships, many teams have emerged on the Asian scene. The question here is whether there is documentation of these participations. What are the most important positions that the teams have obtained and also knowing the reasons for their development. And knowing the reasons for the fluctuations in the results and participations of some teams in the Asian Men's Championships. The most important conclusions reached by this research are that there are many achievements and participations for the teams that have not been documented. They have been documented.

Background: Tuberculosis (TB) is a global public health challenge, contributing significantly to morbidity and mortality worldwide. This research aims to investigate the epidemiology, clinical characteristics, diagnostic methods, and early mortality rate among pediatric patients with pulmonary tuberculosis (PTB) and extrapulmonary tuberculosis (EPTB) who were admitted to a hospital in Syria. Methods: This retrospective cohort study was conducted at the University Children's Hospital in Syria, involving pediatric patients diagnosed with TB between January 2013 and January 2023. Data were collected from medical records and encompassed socio-demographic characteristics, diagnostic methods, clinical presentation, chest radiography findings, and patient outcomes. Statistical analysis was performed using SPSS version 25. Results: A total of 129 patients were included in the study, with 26.4 % diagnosed with PTB and 73.6 % with EPTB. The most common types of EPTB were lymphatic (25.6 %) and gastrointestinal (17.1 %). Patients with PTB and EPTB did not differ significantly in terms of age, weight, or gender. Significant cough was more common in PTB cases (67.6 %), while lymphadenopathy was more prevalent in EPTB cases (48.4 %). Chest X-ray abnormalities were found in 58.1 % of patients, with PTB patients more likely to have abnormal findings (97.1 %). Microbiological confirmation was higher in PTB cases (76.5 %) compared to EPTB cases (25.3 %). The overall mortality rate was 14 %, with higher mortality observed in patients with EPTB (16.8 %), particularly in cases of TB meningitis. Conclusion: Our study highlights the epidemiological challenges of TB among hospitalized children, with a focus on the complexities of diagnosing and managing EPTB. We emphasize the urgent need for enhanced diagnostic and management strategies, particularly in conflict zones like Syria, where TB control efforts face significant obstacles. Prompt solutions are imperative to improve outcomes, given the high occurrence of EPTB and its associated mortality rates. Clinical recommendations stress the need for comprehensive contact histories and awareness of varied clinical presentations in pediatric TB diagnosis.

Mucormycosis is an opportunistic fungal infection that primarily affects immunocompromised individuals and rarely presents as renal mucormycosis (RM). Diagnosis can be challenging for many physicians. We report a rare case of primary, unilateral RM which triggered diabetic ketoacidosis in a type 2 diabetic patient. The case was later complicated by a bronchopleural fistula and a meropenem-resistant Klebsiella infection. The patient was ultimately treated with surgical intervention, liposomal amphotericin B, and polymyxine E. Early diagnosis and timely treatment of this life-threatening disease and its complications are significant in reducing mortality.

This paper explores the incorporation of aramid fibers, recognized for their high mechanical flexibility and low thermal conductivity (TC), to serve as reinforcing agents within the highly porous aerogel matrix in order to overcome their fragility and weak mechanical structure that impose limitations on their practical utility especially in piping insulation. The thermal properties are determined using a micromechanical modeling approach that considers parameters such as temperature, fiber volume fraction, thermal conductivity, and porosity of the silica aerogel. For specific conditions, including an Aramid fiber radius of 6 microns, a silica aerogel thermal conductivity of 0.017 W.m-1.K-1, and a porosity of 95%, the resulting AFRA composite exhibits an Effective Thermal Conductivity (ETC) of 0.0234 W.m-1.K-1. Notably, this value is lower than the thermal conductivity of air at ambient temperature. The findings are further validated through experimental and analytical techniques. A response surface methodology (RSM) based on Box-Behnken design (BBD) is employed. This approach leads to the development of a quadratic equation intricately relating the key parameters to the ETC of the AFRA. The aim is optimization, identifying target optimal values for these parameters to further enhance the performance of AFRA composites.

This paper presents a robust framework for optimally coordinating integrated electricity and gas networks incorporating energy hubs and active loads. The energy hubs contain different sources, converters, and storage units to supply a variety of consumers. The designed system internally exchanges energy and gas using interface equipment and it simultaneously can participate in the day-ahead markets. This study also investigates the influence of various components such as renewable resources and energy storage systems on reactive power management. According to the high penetration of renewable energies and their significant impact on the network operation, a robust method consisting of information gap decision theory and fuzzy approach is applied to handle the uncertainty of wind and solar units. In addition, the role of flexible loads and prosumers is investigated by a time-based strategy, and eventually, a sensitivity analysis is implemented to evaluate the behavior of critical parameters. The presented model is a non-linear type that is linearized utilizing appropriate procedures to guarantee the problem convergence. The results show that the robust optimization with the maximum confidence level increases pollution and cost functions by 14.73% and 49.68%, respectively. In return, active loads decrease the mentioned values by 7.67% and 16.04%, respectively which validates their notable effects. The reactive power control of renewable resources and storage systems reduces the reactive power transferring through tie-lines and consequently improves technical specifications.

Abstract Background Despite its rare incidence of 1/40,000, fetal cardiac rhabdomyoma (CR) represents the prevailing type of benign cardiac fetal tumors, which commonly affects the ventricles. Fetal CRs rarely occur in the right atrium. Thus, the presentation of atrial fibrillation and premature atrial contractions (PAC) due to a solitary cardiac rhabdomyoma is an extremely rare scenario. Our literature review found that only 2% (1 out of 61) of rhabdomyoma cases were found in the right atrium. The majority of fetal cardiac rhabdomyomas are associated with tuberous sclerosis complex (TSC). Case presentation A 7-day-old male neonate presented with arrhythmias and an atrial mass for further evaluation. Echocardiography revealed a hyperechoic, round, uniform right atrial mass (25 mm). An abdominal and testicular ultrasound showed multiple thin-walled cortical cysts in both kidneys and a scrotal hydrocele, respectively. His laboratory workup was insignificant except for hypomagnesemia. Electrocardiography revealed junctional rhythm and PACs with wave distortions. A brain magnetic resonance imaging scan revealed multiple subependymal lesions on the frontal and occipital horns of the lateral ventricles. These findings (Fig. 1), along with a family history of TSC, confirmed the diagnosis of TSC with associated CR. The patient was treated symptomatically with an anti-convulsant and monitored with regular follow-ups. Surgical resection was not required. Conclusion Despite CR’s predominance in the ventricles, a diagnosis of rhabdomyoma should be kept in mind in the presence of a solitary atrial mass and PACs. Physicians should evaluate systemic findings related to TSC and provide appropriate follow-up and family screening. Surgical resection is not always required, and symptom management can be achieved through medical treatment alone.

Background. Endodontic infections caused by remaining biofilm following disinfection with chemical fluids encourage secondary bacterial infection; hence, employing laser pulses to activate the fluids is advised to improve microbial biofilm clearance. This study investigated the performance of Er,Cr:YSGG laser in photon-induced photoacoustic streaming (PIPS) agitation of 5.25% sodium hypochlorite (NaOCl) to enhance the removal of mature Enterococcus faecalis (E. faecalis) biofilms in complex root canal systems. Methods. The mesial roots of the lower first and second molars were separated and inoculated with E. faecalis bacteria for 30 days. The roots were irrigated with 5.25% NaOCl, some of them were agitated with passive ultrasonic irrigation (PUI), and the other roots were agitated by Er,Cr:YSGG laser using PIPS at 60 µs/pulse, 5 Hz, and 0.25, 0.5, 0.75, 1, and 1.25 W. An atomic force microscope (AFM) was used as a new method to obtain the results in the isthmus area; the results that have been obtained from each group were compared with each other. ANOVA was utilized to compare the means of the test groups. Results. Based on the AFM and SEM analyses, laser agitation and passive ultrasonic activation groups have shown higher antimicrobial efficacy than the conventional syringe irrigation group (P