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Abstract Higher education plays a critical role in driving an innovative economy by equipping students with knowledge and skills demanded by the workforce. While researchers and practitioners have developed data systems to track detailed occupational skills, such as those established by the U.S. Department of Labor (DOL), much less effort has been made to document which of these skills are being developed in higher education at a similar granularity. Here, we fill this gap by presenting Course-Skill Atlas – a longitudinal dataset of skills inferred from over three million course syllabi taught at nearly three thousand U.S. higher education institutions. To construct Course-Skill Atlas, we apply natural language processing to quantify the alignment between course syllabi and detailed workplace activities (DWAs) used by the DOL to describe occupations. We then aggregate these alignment scores to create skill profiles for institutions and academic majors. Our dataset offers a large-scale representation of college education’s role in preparing students for the labor market. Overall, Course-Skill Atlas can enable new research on the source of skills in the context of workforce development and provide actionable insights for shaping the future of higher education to meet evolving labor demands, especially in the face of new technologies.

This study focuses on evaluating potential raw material providers (RMPs) as one of the critical tasks of the logistics managers. In this regard, the literature showed that the simultaneous consideration of resilience, digitalization, and circular economy in the RMP selection problem (RMPSP) has been ignored by previous studies. Therefore, to cover the mentioned gap, this research attempts to study the RMPSP by considering other crucial concepts namely resilience and Circular Economy (CE). For this purpose, by considering a real-world case study in the steel industry, the current work first specifies the indicators of the research problem. Then, the indicators’ weights are measured using the stochastic Best-Worst Method (BWM). In the next step, the RMPs are prioritized by developing a novel approach called the stochastic Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). In general, the main objective of this study is to evaluate the performance of the RMPs in the steel industry based on the CE, resilience, and digitalization aspects. According to the achieved results, “Reliability”, “Price”, “Quality”, “Reverse logistics and Waste management”, “Information systems usage”, and “Restorative Capacity”, are identified as the most desirable indicators. Moreover, the results confirm the effectiveness and validation of the developed method.

This identical twin case demonstrates the aesthetic differences of two different body contouring procedures in alike patients. Body contouring improves physical, psychosocial, and sexual function therefore providing the best possible aesthetic outcome for massive weight loss patients is important. The Fleur-de-Lis pattern should be strongly considered when dealing with moderate to significant horizontal skin excess of the abdomen to obtain the best possible contouring and create an attractive female contour of hip and waist.

Abstract This paper processes a novel hierarchical high-dimensional clustering algorithm based on the Active Learning Method (ALM), which is a fuzzy-learning algorithm. The hierarchical part of the algorithm is composed of two phases: divisible and agglomerative. The divisible phase, a zooming-in-process, searches for sub-clusters in already-found clusters hierarchically. At each level of the hierarchy, the clusters are found by an ensemble clustering method based on the density of data. This part of the algorithm blurs each data point as multiple one-dimensional fuzzy membership functions called ink-drop patterns; then, it accumulates the ink-drop patterns of all data points on every dimension separately. Next, it performs one-dimensional density partitioning to produce an ensemble of clustering solutions; after that, combining the results is done based on a novel consensus method with the aid of prime numbers. An agglomerative phase is a bottom-up approach that merges clusters based on a novel distance metric, named $${K}^{2}$$ K 2 -nearest neighbor. The algorithm is named as the Hierarchical High-Dimensional Unsupervised Active Learning Method (HiDUALM) and is explained in more detail throughout this paper. Although the classical clustering methods are not suitable for high-dimensional data clustering, the proposed method solves the problems related to speed and memory using ensemble learning, while due to its hierarchy and the use of different distance criteria, different levels of the cluster provide the clause. Experiments on synthetic and real-world datasets are presented to show the effectiveness of the proposed-clustering algorithm.

Background and Objective: Three-Stage Theory explains development of suicidal ideation and suicidal attempt. According to Three-Stage Theory, high levels of pain and high levels of hopelessness lead to suicidal ideation. Belongingness plays a protective role against suicidal ideation and individual's suicide capacity predicts suicidal attempt. The purpose of this research was to investigate the relationship between pain, hopelessness, belongingness with suicidal ideation and attempt. Materials and Methods: In this cross-sectional study, 224 patients hospitalized in psychiatric department of Shahid Yahya Nejad Hospital with suicidal ideation were selected through convenience sampling between March to August 2021. All participants completed suicidal attempt question of Self-Injurious Thoughts and Behaviors Interview, Beck Scale for Suicide Ideation, Scale of Psychache, Beck Hopelessness Scale, Interpersonal Need Questionnaire and Suicidal Capacity Scale-3. Pearson's correlation, t-tests, hierarchical regression, analysis of variance and logistic regression were used to analyze the data and data were analyzed using SPSS software version 27. Results: There was a significant interactive effect between pain and hopelessness in predicting suicidal ideation (P< 0.01, t = 5.01). Additionally, belongingness and burdensomeness had significant interactive effects in predicting suicidal ideation (P< 0.01, t = 2.16). Pain and hopelessness accounted for 63.6% of the variance of suicidal ideation, while belongingness and burdensomeness explained 49.8% of variance in suicidal ideation. According to logistic regression, psychological pain (P

Abstract Understanding tree transpiration variability is vital for assessing ecosystem water‐use efficiency and forest health amid climate change, yet most landscape‐level measurements do not differentiate individual trees. Using canopy temperature data from thermal cameras, we estimated the transpiration rates of individual trees at Harvard Forest and Niwot Ridge. PT‐JPL model was used to derive latent heat flux from thermal images at the canopy‐level, showing strong agreement with tower measurements (R2 = 0.70–0.96 at Niwot, 0.59–0.78 at Harvard at half‐hourly to monthly scales) and daily RMSE of 33.5 W/m2 (Niwot) and 52.8 W/m2 (Harvard). Tree‐level analysis revealed species‐specific responses to drought, with lodgepole pine exhibiting greater tolerance than Engelmann spruce at Niwot and red oak showing heightened resistance than red maple at Harvard. These findings show how ecophysiological differences between species result in varying responses to drought and demonstrate that these responses can be characterized by deriving transpiration from crown temperature measurements.

The current study aimed to investigate the efficacy of Mindfulness-Based Stress Reduction (MBSR) in mitigating experiential avoidance and impulsivity among female students who encounter difficulties in regulating their emotions. The study utilized a quasi-experimental design comprising a control group, pretest, and posttest, in addition to a three-month follow-up period. The statistical sample comprised female high school pupils residing in Tehran who encountered challenges with emotional regulation throughout the academic year of 2020-2021. A purposively selected sample of thirty-one students was allocated at random to the experimental and control groups. The experimental group engaged in monthly online MBSR sessions for a total of 10 sessions, each lasting 75 minutes. The research employed the Acceptance and Action Questionnaire (AAQ), the Barratt Impulsiveness Questionnaire (BIQ), and the Difficulties in Emotion Regulation Scale (DERS). Data analysis involved Mixed ANOVA and using SPSS software version 23. Female students who struggled with emotional regulation exhibited experiential avoidance and impulsivity less frequently as a result of MBSR (p < 0.001). In conclusion, students who struggle with emotional regulation may benefit from Mindfulness-Based Stress Reduction as an intervention strategy, according to the findings. This is supported by the evidence that experiential avoidance and impulsivity can be effectively reduced. This methodology integrates strategies including fostering consciousness regarding the five primary senses, emotions, muscular activity, and the present moment.

Abstract Background and Aims One of the causes of preterm labor and recurrent abortion is progesterone deficiency in the luteal phase. The aim of the study was a comparison of the effect of oral dydrogesterone and vaginal progesterone for luteal‐phase support (LPS) in assisted reproductive technology cycles (ART). Methods This randomized clinical control trial study was conducted on 207 infertile women. Samples were randomly divided into two groups. The first group received a natural micronized vaginal progesterone (MVP) of 400 mg once daily and the second group received dydrogesterone (Duphestone) 20 mg twice daily. Then chemical pregnancy, abortion, and live births were compared in two groups. Results The results of the study showed that the vaginal form of the drug could increase the chance of pregnancy (positive β‐human chorionic gonadotropin) versus the oral form. According to the results of multiple logistic regression analysis after adjusting for other variables, the live birth rate in the vaginal group was more than five times that of the oral group (odds ratio = 5.07; 95% confidence interval = 1.24–20.65; p = 0.023). Conclusion The vaginal form of the progesterone could increase the chance of pregnancy and the outcome of fertility (live birth). Thus, vaginal progesterone is effective for LPS in women undergoing fresh embryo transfer.

To maintain pavement in good condition while considering financial costs and sustainability, it is necessary to develop a comprehensive pavement management plan. Pavement Maintenance and Rehabilitation (M&R) consists of two essential components: firstly, predicting the pavement condition within a specified timeframe, and secondly, employing an appropriate optimization algorithm. This study utilized three ensemble learning techniques including extreme gradient boosting, categorical boosting, and light gradient boosting machine to develop accurate predictions about the pavement condition. Subsequently, the most accurate prediction technique, which was extreme gradient boosting, was combined with non-dominated sorting genetic algorithm III which is a multi-objective metaheuristic optimization algorithm, resulting in a hybrid technique that offers highly accurate multi-objective maintenance and rehabilitation planning. Although previous studies neglected important criteria such as road closure in the optimization process, this study takes into account four objective functions including greenhouse gas emission, M&R cost, pavement condition, and road closure to be minimized over a 5-year program. This process generated 52 non-dominated optimal solutions known as the Pareto front. To compare and rank various optimal maintenance and rehabilitation plans, grey relational analysis was employed. The results suggested that there is a direct correlation between M&R costs and GHG emissions. Minimizing only pavement conditions in the planning can significantly increase GHG emissions, M&R costs, and road closure. Implementing preventive M&R actions can reduce M&R costs and overall road closure while light and medium rehabilitation actions are recommended to optimize the condition of pavements.

Twenty cases of isolated optic neuritis (15 female, 5 male) were studied and followed for several months to years after the initial attack. The mean age of patients was 23 years (range: 15-29 years). The most frequent clinical manifestations were decreased visual acuity and blurred vision. A complete neurological examination was performed. In 15 cases (75%) the initial brain MRI was abnormal. In fourteen cases, other signs of multiple sclerosis presented in one month to eight years following the initial attack of optic neuritis; eleven of the latter cases had an abnormal initial MRI. Acute optic neuritis can be considered a presenting feature of multiple sclerosis, particulary in the presence of an abnormal brain MRI.

Background and Purpose: Discharge planning, as a process for the safe transfer of patients, has always been challenged by the interventions of medical social workers. Identifying these challenges prevents disruptions in effective planning. This research aims to explore the challenges faced by medical social workers in discharge planning. Materials and Methods: This is a qualitative study conducted in Iran in 2023. Data were collected through semi-structured face-to-face and telephone interviews with 16 social workers working in hospitals and were manually analyzed using thematic analysis. Results: The findings of this study revealed that hospital social workers encounter structural and professional challenges during discharge planning. As a result, themes such as professional isolation, erosive environment, back-breaking costs, inefficient structures, and professional pressures were identified, with the main theme being unattended discharge. Conclusion: The results indicate that social workers in hospitals are faced with poor cooperation and participation, a lack of facilities and equipment, and socio-economic barriers at the community level. They encounter professional challenges in adhering to professional principles and values and in maintaining the quality of social work services in discharge planning. Given the importance of post-discharge interventions, organizational, structural, and professional reforms at both the micro and macro levels are recommended.

Introduction: Attention Deficit Hyperactivity Disorder (ADHD) in adulthood is associated with significant impairment in occupational, academic, and social functioning. The aim of this study is to survey the frequency of ADHD in adults referred to psychiatric clinics. Methods: The present cross-sectional descriptive study includes 300 patients referred to psychiatric clinics affiliated to Babol University of Medical Sciences with an age range of 18-45 years who were selected and included in the study. It is used the Adults Attention Deficit Hyperactivity Disorder self-report scale (ASRS V1.1) to diagnose Adult ADHD in these individuals. Logistic regression and P-Paired test were used to analyze the data. Results: The mean age of the subjects was 30.21 ± 7 7.94. Of these, 181 (60.3%) were men and 119 (39.7%) were women. The overall prevalence of Adult ADHD in the study samples was 39.3%. In the logistic regression analysis of crude and adjusted data of study variables, no significant relationship was seen between Adult ADHD and age, education, employment status and marital status (P ≥ 0.05), but a significant relationship between Adult ADHD and consumption of Cigarettes, alcohol and drugs were observed (P ≤ 0.05). Conclusion: The findings of the present study show a relatively high prevalence of Adult ADHD among people with a history of psychiatric disorder, who are more likely to be exposed to smoking, alcohol and drug abuse.

In 100 healthy, adult and female mice weighing about 20 to 25 g each, paris of full thickness and nearly symmetrical cutaneous wounds, 100±15 mm² each were created in dorsolumbar region. Mice were divided into 3 groups randomly, group 1 (Right wound exposure), group 2 (Left wound exposure) and group 3 (Control). Wounds were exposed to laser He-Ne (632.8 were length and 16 mw constant power) for 10 days, 250 seconds each day. The control group mice were in equal situation except for the exposure wound were measured in size once every 2 days. Also biopsies were made from a clear number of cases once every 3 days from microscopic evaluation of wound healing stages. The difference in wound healing between the test groups and controls was significant as confirmed by statistical methods (E.g. one way ANOVA and SCHEFFE) with (?=0.05) and proved by microscopic findings. This experiment were made in "Blind" form. There was no significant difference in wound healing between 2 sides in test groups, this strengthens the idea that laser therapy causes the release of systemic wound healing factors

In view of the rapid expansion of contact lens amongst the users, new dimensions have been added to the domain of ophthalmology: Giant papillay conjunctivitis, a disease caused by different kinds of contact lens, appears weeks or months after they are used, although some patients are struck years later. The predominant symptoms are increased awareness of lenses, ocular itching, blurred vision and excessive lens movement. The predominant signs are the formation of papillae, the presence of excessive mucus, and contact lens coatings. The syndrome occurs mostly with the soft lens and is more intense. Other independent studies show that the rate of prevalence of the disease with soft lenses and hard lenses is 10% and 5% respectively. The study comprised 550 soft lenses and 150 hard lenses. The diagnosis of the disease was based on the symptoms and signs of the disease. Eleven percent of the patients using soft lens and 4% of the patients using hard lens had the disease at some stage. Almost all of the patients were using dirty and low grade lenses. The therapy protocol of the disease consisted of changing the polymer type of the lens and administering cromolyn 4% drop. In cases that the therapy was unsuccessful, a temporary suspension of the lens and administration of cromolyn 4% was recommended before using the new lens.

IntroductionHigh-risk human papillomaviruses (HR-HPVs) are known to contribute to cervical cancer (CC), but the role of Epstein-Barr virus (EBV) in this process remains unclear, despite EBV’s widespread detection in premalignant and malignant cervical tissues.MethodsIn this cross-sectional study of 258 cervical samples, including both formalin-fixed paraffin-embedded (FFPE) and fresh cervical tissues, the presence and viral load of HR-HPVs (HPV-16 and HPV-18) and EBV were evaluated in Iranian women with cervical intraepithelial neoplasia (CIN), squamous cell carcinoma (SCC), and a cervicitis control group using real-time PCR.ResultsThe study revealed a significant correlation between disease severity and both increased HPV-16 positivity and HPV-16 and HPV-18 co-infection (p

Abstract This study was conducted to evaluate the properties of lightweight sandwich panels made from low diameter bamboo particles, Phyllostachys Bambusides collected from Gilan province, Iran, as core layer, combined with thin wall bamboo strips as faces. The effects of three individual variables such as density of core layer (350–550 kg/m3), resin consumption in core layer (7.5–9.5%) and resin consumption in faces (175–275 g/m2) on some important physical, mechanical and thermos-acoustic properties of the panels were investigated. Response surface methodology was used to statistically analyse the results and optimization process. The average values for the mechanical properties of the sandwich panels were obtained as 17.16 MPa, 5669 MPa, 0.02 MPa, 17.60 MPa, 1.83 MPa, 0.03 MPa, and 913.3 MPA for modulus of rupture, modulus of elasticity, internal bonding, compression strength parallel to face grain, compression strength perpendicular to face grain, shear strength, and screw holding, respectively. Finally, thermal conductivity and noise reduction coefficient of the panels were respectively gained as 0.01 W/mk and 0.31. The results of technical and thermo- acoustic properties of the panels showed that the light weight sandwich panels from bamboo residues would be a suitable and sustainable alternative as an insulation material for sustainable and green construction.

Abstract CsPbI3 perovskite quantum dots (CPQDs) have received great attention due to their potential in large-scale applications. Increasing the efficiency of CPQDs solar cells is an important issue that is addressed in this paper. Here, we have simulated a 14.61% colloidal CPQD solar cell with the least fitting parameter that shows the accuracy of the following results. The absorber layer properties are varied and different power conversion efficiency (PCE) is achieved for the new device. The results show that colloidal CsPbI3 material properties have a significant effect on the PCE of the device. Finally, the optimized parameters for the absorber layer are listed and the optimum efficiency of 29.88% was achieved for this case. Our results are interesting that help the researchers to work on CsPbI3 materials for the achievement of highly efficient, stable, large-scale, and flexible CPQDs solar cells.

Background: The most common psychiatric disorder in childhood is Attention-deficit/hyperactivity disorder (ADHD). Researchers have studied the effects of micronutrients on ADHD in recent years, but vit D deficiency has received less attention. In this study, serum vit D levels were compared between healthy and ADHD children. Methods: This case-control study was carried out, in 2020, on 6-to-12-years-old children. There were 45 children with ADHD in the case group and 45 healthy children in the control group. Intravenous blood samples were taken from each child to measure serum vitamin D levels. A p-value < 0.05 was considered as significant. Results: Mean serum vit D levels in children with ADHD (17.34±8.37 ng / ml) were significantly lower than those in the control group (23.02±10.97 ng / ml) (P= 0.007). There were no significant differences in mean serum levels of vit D due to ADHD subtypes. Mean serum vit D levels were not significantly associated with the gender of children with ADHD. There was an inverse correlation between vit D levels and the severity of ADHD, but it was not statistically significant. Conclusion: The present study showed that children with ADHD had significantly lower serum vit D levels than healthy controls.