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Moiré superlattices based on van der Waals bilayers1-4 created at small twist angles lead to a long wavelength pattern with approximate translational symmetry. At large twist angles (θt), moiré patterns are, in general, incommensurate except for a few discrete angles. Here we show that large-angle twisted bilayers offer distinctly different platforms. More specifically, by using twisted tungsten diselenide bilayers, we create the incommensurate dodecagon quasicrystals at θt = 30° and the commensurate moiré crystals at θt = 21.8° and 38.2°. Valley-resolved scanning tunnelling spectroscopy shows disparate behaviours between moiré crystals (with translational symmetry) and quasicrystals (with broken translational symmetry). In particular, the K valley shows rich electronic structures exemplified by the formation of mini-gaps near the valence band maximum. These discoveries demonstrate that bilayers with large twist angles offer a design platform to explore moiré physics beyond those formed with small twist angles.

Objectives Study objective was to map the current literature on the economic effects of priority setting at the system level in healthcare.Design The study was conducted as a scoping review.Data sources Scopus electronic database was searched in June 2023.Eligibility criteria We included peer-reviewed articles published 1 January 2020–1 January 2023. All study designs that contained empirical evidence on the financial effects or opportunity costs of healthcare priority setting were included excluding disease, condition, treatment, or patient group-specific studies.Data extraction and synthesis Two independent researchers screened the articles, and two additional researchers reviewed the full texts and extracted data. We used Joanna Briggs Institute checklists to assess the quality of qualitative, quasi-experimental and economic evaluations and the mixed methods appraisal tool for the mixed method studies. Synthesis was done qualitatively and through descriptive statistics.Results 8869 articles were screened and 15 fulfilled the inclusion criteria. The most common study focus was health technology assessment (7/15). Other contexts were opportunity costs, effects of programme budgeting and marginal analysis, and disinvestment initiatives. Priority setting activities analysed in the studies did not achieve cost savings or cost containment (4/15) or have mixed findings at best (8/15). Only five studies found some indication of cost savings, cost containment or increased efficiency. Also, many of the studies consider costs only indirectly or qualitatively.Conclusions All in all, there is very little research addressing the pressing question of whether explicit priority setting and priority-setting methods can support cost containment on a health service system level (regional or national). There is limited evidence of the economic effects of priority setting.

This case report presents a 10-year-old Syrian boy with concurrent mutations in the Mediterranean fever ( MEFV ) and mevalonate kinase ( MVK ) genes, resulting in overlapping symptoms of Familial Mediterranean Fever (FMF) and Hyperimmunoglobulinemia D syndrome (HIDS), both classified as Periodic Fever Syndromes (PFSs). The co-occurrence of these mutations within a single individual is highly unusual. He presented with pallor, intermittent fever, and recurrent respiratory infections from an early age, along with anemia, splenomegaly, hepatomegaly, cervical lymphadenopathy, and growth failure noted in initial investigations. Still’s disease was initially considered as the most likely differential diagnosis, leading to the initiation of treatment with methylprednisolone; however, the parents did not follow-up with the treatment. The child returned at 5 years old with appendicitis, which was surgically removed, and parents reported recurrent episodes of arthralgia and joint swelling accompanied by nearly daily fever. Although the child experienced delayed motor development, his cognitive abilities were normal. Genetic analysis identified a homozygous likely pathogenic variant in the MVK gene and a heterozygous likely pathogenic variant in the MEFV gene. The child remains reliant on corticosteroids, with limited response to colchicine and improvement noted after transitioning from tocilizumab to infliximab. The latest follow-up demonstrated significant improvement with no fever, joint swelling, or lymphadenopathy; however, signs of growth failure persist. The atypical manifestations observed in this case may indicate a synergistic effect between the 2 mutations, contributing to the overall clinical picture. Therefore, although HIDS may dominate the clinical presentation, we cannot entirely dismiss the possibility that the FMF mutation plays a role in modulating these symptoms.

Abstract Allergies have a significant impact on health and quality of life worldwide, yet there is limited research on the awareness and knowledge of allergies. This study aimed to explore the level of awareness and knowledge of allergies among visitors in Syrian hospitals. A cross-sectional study was conducted between May and September 2022, and a standardized international questionnaire was administered to 504 visitors in three hospitals in Syria. Data analysis was performed using the Statistical Package for Social Sciences (SPSS Inc., Chicago, IL, USA) version 23. The final sample comprised 504 questionnaires with 61.7% of participants achieving an average score. Statistical analysis revealed a significant difference in knowledge of allergy scores between the group with only elementary education (M = 3.76, SD = 1.67, p = 0.011), the group with no education (M = 3.65, SD = 1.65, p = 0.006), and the group with a university education (M = 4.44, SD = 1.25). Notably, no significant differences were found between the other educational groups. A one-way ANOVA was employed to assess the effect of place of living on knowledge of allergy, but no significant differences were observed between the groups (p = 0.462). Lastly, a significant negative correlation was detected between participant age and knowledge of allergy scores (r(502) = − 0.102, p = 0.022). Allergies represent a substantial global health concern that demands attention from healthcare providers, policymakers, and the public. This study emphasizes the importance of investing in health education and awareness campaigns to enhance knowledge and comprehension of allergies, particularly individuals with lower levels of education levels. By equipping individuals with the requisite information to effectively manage their allergies, their overall health and wellbeing can be improved.

Abstract We have developed a state-of-the-art apparatus for laser-based spin- and angle-resolved photoemission spectroscopy with micrometer spatial resolution (µ-SARPES). This equipment is realized by the combination of a high-resolution photoelectron spectrometer, a 6 eV laser with high photon flux that is focused down to a few micrometers, a high-precision sample stage control system, and a double very-low-energy-electron-diffraction spin detector. The setup achieves an energy resolution of 1.5 (5.5) meV without (with) the spin detection mode, compatible with a spatial resolution better than 10 µm. This enables us to probe both spatially-resolved electronic structures and vector information of spin polarization in three dimensions. The performance of µ-SARPES apparatus is demonstrated by presenting ARPES and SARPES results from topological insulators and Au photolithography patterns on a Si (001) substrate.

This article has investigated the contribution of residential wood combustion (RWC) to the fine particulate matter (PM2.5) concentrations in the Helsinki metropolitan area (HMA) for 6 years, from 2009 to 2014. We have used the PM2.5 concentrations measured at eight air quality measurement stations. The dispersion of emissions on an urban scale was evaluated with multiple-source Gaussian dispersion models, UDM-FMI (urban dispersion model of the Finnish Meteorological Institute) and CAR-FMI (Contaminants in the Air from a Road model of the Finnish Meteorological Institute), and on a regional scale using the chemical transport model SILAM (System for Integrated modeLling of Atmospheric coMposition). The overall agreement of the predicted concentrations with measurements of PM2.5 was good or fairly good for all stations and years; e.g. at the permanent residential station the daily average values of the index of agreement ranged from 0.69 to 0.81, and the fractional bias values ranged from −0.08 to 0.11, for the considered 6 years. Both the measured and predicted daily averaged concentrations showed increasing trends towards the lower-temperature values. The highest predicted annual averaged concentrations in the region occurred in the vicinity of major roads and streets and in the suburban residential areas to the northwest, north, and northeast of the city centre. The average concentrations of PM2.5 attributed to RWC in winter were up to 10- or 15-fold, compared to the corresponding concentrations in summer. During the considered 6-yearly period, the spatially highest predicted fractions of RWC of the annual PM2.5 concentrations ranged from 12 % to 14 %. In winter, the corresponding contributions ranged from 16 % to 21 %. The RWC contribution was higher than the corresponding urban vehicular traffic contribution at all the residential stations during all years. The study has highlighted new research needs for the future, in particular (i) the modelling of the RWC emissions that would be explicitly based on the actual ambient temperatures and (ii) the modelling of the impacts of the most important holiday periods on the emissions from RWC.

The aim of this study is to identify the ethical challenges, solutions and needs of educational technology (EdTech) companies. Qualitative data was collected in interviews with seven experts from four companies, and the data was analysed using inductive content analysis. The four main areas of challenges were ambiguous regulations, inequalities in human learning, ethical dilemmas in machine learning (ML) and lack of ability to assess consequences in society. According to the studied companies, AI regulations are difficult to understand and implement. There is also much to be done in terms of reliability, transparency, and safety. Consequently, companies suggested that AI-based products should be more preventive, safe, explicable, and equally accessible. Sufficient information, multi-professional support also within company, global collaboration, sharing best practices, and general discussion were emphasised. The results show that EdTech companies are aware of their ethical challenges, and their responsibility as disseminators of information. However, translating information into practice is challenging because it is often very fragmented and difficult to understand. Companies hoped that everyone: themselves, consumers, educational institutions, researchers, funders, and decision-makers would do more together to overcome the ethical challenges of AI.

This study describes one local upper secondary school in Finland during the COVID-19 pandemic. All teaching was changed to distant for around two months. The study describes students' and teachers' perceptions during that time. Participants responded to the survey four times and freely described their experiences five times. The number of participants varied from 56 to 72 students and 9 to 15 teachers at different times. The data were analyzed by descriptive statistics, cluster analysis, and qualitative content analysis. The main findings indicate that distance teaching was implemented very successfully. However, open comments and cluster analysis revealed many challenges. Students complained of heavy workloads and fatigue. Some students lost motivation. These difficulties did not disappear over time. The main challenges for teachers included non-authentic interaction and a lack of the spontaneity that in-person teaching provides. Teachers quickly learned to use technological platforms, but interaction through it was not of as high quality. Teachers were also worried about students' progress. Teachers did not recognize students' heavy workload and motivation problems in the way that students described them. The study provides several recommendations for future remote teaching.

The aim of this case-study was to understand how chemistry teachers experience their work in diverse classes where the needs of differentiated teaching practices are constantly growing. The deeper intention was to perceive new information in order to develop supportive methods that could better correspond to teachers' reality. Eight voluntary Finnish secondary school chemistry teachers participated in semi-structured interviews. Four categorial distinctions for successful chemistry teaching were found according to their beliefs: 1) to have more support and resources, 2) to be able to recognize students' problems, 3) to use supportive materials and methods, and 4) to connect theory and practice with inspiring and meaningful activities. This study presents new insights about teachers' beliefs of diversity and what is needed for successful chemistry teaching. Directions for further research and practices are also suggested.

School-industry collaboration can be an effective way to implement STSE issues to teaching. However, teachers' negative beliefs, lack of knowledge, resources, support and opportunities to collaborate with companies can impede the efficient implementation. In this case-study, 42 Finnish and Slovenian pre-service teachers' STSE beliefs were first examined before and after the school-industry collaboration course by survey. After the course, beliefs of 8 Finnish pre-service teachers were analyzed in more detail by open-ended questionnaires and reflective writing. The pre-service teachers were more confident to teach STSE issues after the course in both countries. However, they needed more support and knowledge from the community members they collaborated with (i.e. representatives of industries, university teacher, student colleagues and school teachers). The industry-based teaching material was considered beneficiary especially for mixed-ability classrooms and the whole course was regarded useful for future practices. The results of this research highlight the importance of pre-service teacher education and practices with STSE issues. The positive and negative beliefs should be examined frequently already during the pre-service education in order to develop tools for teacher support and encouragement. This research promotes a practical example and ideas of a local school-company collaboration.

Reconstruction and recovery of historic cities after destruction due to conflict or natural disasters have gained increasing relevance in the last decades. The investigation of international examples of recovery after war or natural catastrophic events can provide knowledge for improving guidance and strategies for sustainable reconstruction/ intervention in similar cases in the future. This paper aims to identify and analyze the legal, administrative, social, and economic factors that can favor the reconstruction and recovery processes of the historic city and its residential neighborhoods. An extensive review of international examples and literature on guidance has been conducted to provide insight into best practices and potential solutions. As a result, a set of lessons learned that can be used to address post-conflict and post-disaster recovery and reconstruction in similar situations is given.

Urban air consists of a complex mixture of gaseous and particulate species from anthropogenic and biogenic sources that are further processed in the atmosphere. This study investigated the characteristics and sources of volatile organic compounds (VOCs) and submicron organic aerosol (OA) in a traffic environment in Helsinki, Finland, in late summer. The anthropogenic VOCs (aVOCs; aromatic hydrocarbons) and biogenic VOCs (bVOCs; terpenoids) relevant for secondary-organic-aerosol formation were analyzed with an online gas chromatograph mass spectrometer, whereas the composition and size distribution of submicron particles was measured with a soot particle aerosol mass spectrometer. This study showed that aVOC concentrations were significantly higher than bVOC concentrations in the traffic environment. The largest aVOC concentrations were measured for toluene (campaign average of 1630 ng m−3) and p/m xylene (campaign average of 1070 ng m−3), while the dominating bVOC was α-pinene (campaign average of 200 ng m−3). For particle-phase organics, the campaign-average OA concentration was 2.4 µg m−3. The source apportionment analysis extracted six factors for OA. Three OA factors were related to primary OA sources – traffic (24 % of OA, two OA types) and a coffee roastery (7 % of OA) – whereas the largest fraction of OA (69 %) consisted of oxygenated OA (OOA). OOA was divided into less oxidized semi-volatile OA (SV-OOA; 40 % of OA) and two types of low-volatility OA (LV-OOA; 30 %). The focus of this research was also on the oxidation potential of the measured VOCs and the association between VOCs and OA in ambient air. Production rates of the oxidized compounds (OxPR) from the VOC reactions revealed that the main local sources of the oxidation products were O3 oxidation of bVOCs (66 % of total OxPR) and OH radical oxidation of aVOCs and bVOCs (25 % of total OxPR). Overall, aVOCs produced a much smaller portion of the oxidation products (18 %) than bVOCs (82 %). In terms of OA factors, SV-OOA was likely to originate from biogenic sources since it correlated with an oxidation product of monoterpene, nopinone. LV-OOA consisted of highly oxygenated long-range or regionally transported OA that had no correlation with local oxidant concentrations as it had already spent several days in the atmosphere before reaching the measurement site. In general, the main sources were different for VOCs and OA in the traffic environment. Vehicle emissions impacted both VOC and OA concentrations. Due to the specific VOCs attributed to biogenic emissions, the influence of biogenic emissions was more clearly detected in the VOC concentrations than in OA. In contrast, the emissions from the local coffee roastery had a distinctive mass spectrum for OA, but they could not be seen in the VOC measurements due to the measurement limitations for the large VOC compounds. Long-range transport increased the OA concentration and oxidation state considerably, while its effect was observed less clearly in the VOC measurements due to the oxidation of most VOC in the atmosphere during the transport. Overall, this study revealed that in order to properly characterize the impact of different emission sources on air quality, health, and climate, it is of importance to describe both gaseous and particulate emissions and understand how they interact as well as their phase transfers in the atmosphere during the aging process.

During development, cortical (c) and medullary (m) thymic epithelial cells (TEC) arise from the third pharyngeal pouch endoderm. Current models suggest that within the thymic primordium most TEC exist in a bipotent/common thymic epithelial progenitor cell (TEPC) state able to generate both cTEC and mTEC, at least until embryonic day 12.5 (E12.5) in the mouse. This view, however, is challenged by recent transcriptomics and genetic evidence. We therefore set out to investigate the fate and potency of TEC in the early thymus. Here using single cell (sc) RNAseq we identify a candidate mTEC progenitor population at E12.5, consistent with recent reports. Via lineage-tracing we demonstrate this population as mTEC fate-restricted, validating our bioinformatics prediction. Using potency analyses we also establish that most E11.5 and E12.5 progenitor TEC are cTEC-fated. Finally we show that overnight culture causes most if not all E12.5 cTEC-fated TEPC to acquire functional bipotency, and provide a likely molecular mechanism for this changed differentiation potential. Collectively, our data overturn the widely held view that a common TEPC predominates in the E12.5 thymus, showing instead that sublineage-primed progenitors are present from the earliest stages of thymus organogenesis but that these early fetal TEPC exhibit cell-fate plasticity in response to extrinsic factors. Our data provide a significant advance in the understanding of fetal thymic epithelial development and thus have implications for thymus-related clinical research, in particular research focussed on generating TEC from pluripotent stem cells

Purpose: Given the potential role of light and its wavelength on ocular growth, this study investigated the effect of short‐term exposure to red, cyan and blue light on ocular biometry in humans. Methods: Forty‐four young adults and 20 children, comprising emmetropes and myopes, underwent 2‐h sessions of cyan (507 nm), red (638 nm) and broadband white light on three separate days via light‐emitting glasses. Additionally, young adults were exposed to blue light (454 nm) on an additional day. Axial length (AL) and choroidal thickness (CT) were measured in the right eye before the light exposure (0 min), after 60 and 120 min of exposure and 30 min after light offset using an optical biometer and optical coherence tomographer, respectively. Results: Compared to broadband light, exposure to red light resulted in a significant increase in AL (mean difference between white and red light at 120 min, +0.007 mm [0.002]), but no significant change in CT, while cyan light caused a significant AL reduction (−0.010 mm [0.003]) and choroidal thickening (+0.008 mm [0.002]) in young adults (p < 0.05). Blue light caused a significant decrease of −0.007 mm (0.002) in young adult eyes at 60 min (p < 0.05). In children, cyan light led to a significant reduction in AL (−0.016 mm [0.004]) and strong sustained choroidal thickening (+0.014 mm [0.004]) compared to broadband light at 120 min (p < 0.05). The effects of cyan light on AL and CT were found to be stronger in myopic young adults and emmetropic children. The opposing effects of red and cyan light on ocular biometry were similar between the two age groups (p > 0.05). Conclusions: Exposure to cyan light resulted in AL reduction and choroidal thickening in both young adults and children. Further research is needed to determine the application of these results in developing interventions for myopia control. [ABSTRACT FROM AUTHOR]

Abstract Background Computational phenotypes are most often combinations of patient billing codes that are highly predictive of disease using electronic health records (EHR). In the case of rare diseases that can only be diagnosed by genetic testing, computational phenotypes identify patient cohorts for genetic testing and possible diagnosis. This article details the validation of a computational phenotype for PTEN hamartoma tumor syndrome (PHTS) against the EHR of patients at three collaborating clinical research centers: Boston Children's Hospital, Children's National Hospital, and the University of Washington. Methods A combination of billing codes from the International Classification of Diseases versions 9 and 10 (ICD-9 and ICD-10) for diagnostic criteria postulated by a research team at Cleveland Clinic was used to identify patient cohorts for genetic testing from the clinical data warehouses at the three research centers. Subsequently, the EHR—including billing codes, clinical notes, and genetic reports—of these patients were reviewed by clinical experts to identify patients with PHTS. Results The PTEN genetic testing yield of the computational phenotype, the number of patients who needed to be genetically tested for incidence of pathogenic PTEN gene variants, ranged from 82 to 94% at the three centers. Conclusions Computational phenotypes have the potential to enable the timely and accurate diagnosis of rare genetic diseases such as PHTS by identifying patient cohorts for genetic sequencing and testing.

Lung-deposited surface area (LDSA) has been considered to be a better metric to explain nanoparticle toxicity instead of the commonly used particulate mass concentration. LDSA concentrations can be obtained either by direct measurements or by calculation based on the empirical lung deposition model and measurements of particle size distribution. However, the LDSA or size distribution measurements are neither compulsory nor regulated by the government. As a result, LDSA data are often scarce spatially and temporally. In light of this, we developed a novel statistical model, named the input-adaptive mixed-effects (IAME) model, to estimate LDSA based on other already existing measurements of air pollutant variables and meteorological conditions. During the measurement period in 2017–2018, we retrieved LDSA data measured by Pegasor AQ Urban and other variables at a street canyon (SC, average LDSA = 19.7 ± 11.3 µm2 cm−3) site and an urban background (UB, average LDSA = 11.2 ± 7.1 µm2 cm−3) site in Helsinki, Finland. For the continuous estimation of LDSA, the IAME model was automatised to select the best combination of input variables, including a maximum of three fixed effect variables and three time indictors as random effect variables. Altogether, 696 submodels were generated and ranked by the coefficient of determination (R2), mean absolute error (MAE) and centred root-mean-square difference (cRMSD) in order. At the SC site, the LDSA concentrations were best estimated by mass concentration of particle of diameters smaller than 2.5 µm (PM2.5), total particle number concentration (PNC) and black carbon (BC), all of which are closely connected with the vehicular emissions. At the UB site, the LDSA concentrations were found to be correlated with PM2.5, BC and carbon monoxide (CO). The accuracy of the overall model was better at the SC site (R2=0.80, MAE = 3.7 µm2 cm−3) than at the UB site (R2=0.77, MAE = 2.3 µm2 cm−3), plausibly because the LDSA source was more tightly controlled by the close-by vehicular emission source. The results also demonstrated that the additional adjustment by taking random effects into account improved the sensitivity and the accuracy of the fixed effect model. Due to its adaptive input selection and inclusion of random effects, IAME could fill up missing data or even serve as a network of virtual sensors to complement the measurements at reference stations.

يهدف هذا البحث إلى إثارة مسألة توظيف المفاهيم الأنثروبولوجيّة في دراسة المجتمعات العربيّة، وهي مسألة تنطوي على عناصر إشكاليّة ترتبط بمحور "المفاهيم"، وهذا من خلال قراءة في نماذج من تلك المفاهيم الواردة ضمن الدّراسات الأنثروبولوجيّة التي أجراها بعض الباحثين الغربيين حول المجتمعات العربيّة، والجدير بالإشارة أنّ هيمنة المركزيّة الغربيّة المرتبطة بسياقات إنجاز الدّراسات والبحوث الأنثروبولوجيّة، قد أثّرت في توجيه الرّؤى والتصوّرات والأفكار ذات الصّلة بالثقافات المحلّية، وكذا عمليّة توظيفها ونقلها إلى لغة الباحث، وهو ما أفضى إلى تطويع تلك الدّراسات الأنثروبولوجيّة بما يتماهى والنّسق الثّقافي الذي ينتمي إليه الباحث الغربي، ممّا أدّى إلى إسقاط وفرض مفاهيم تعسّفيّة مُستقاة من ثقافة الأنثروبولوجي، وليس من ثقافة المجتمع المدروس، وهو ما يبرز بجلاء وفي مواضِعْ وشواهد كثيرة من الدّراسات التي أنجزها الباحثون الغربيون حول المجتمعات العربيّة، وعلى وجه الخصوص ضمن المحاور ذات الصّلة بالخصوصيّات الاجتماعيّة والثّقافيّة.

This study investigated the sources of black carbon (BC) at two contrasting urban environments in Helsinki, Finland: residential area and street canyon. The measurement campaign in the residential area was conducted in winter–spring 2019, whereas in the street canyon the measurements were carried out in autumn 2015. The sources of BC were explored by using positive matrix factorization (PMF) for the organic and refractory black carbon (rBC) mass spectra collected with a soot particle aerosol mass spectrometer (SP-AMS). Based on the PMF analysis, two sites had different local BC sources; the largest fraction of BC originated from biomass burning at the residential site (38 %) and from the vehicular emissions in the street canyon (57 %). Also, the mass size distribution of BC diverged at the sites as BC from traffic was found at the particle size of ∼100–150 nm whereas BC from biomass combustion was detected at ∼300 nm. At both sites, a large fraction of BC was associated with urban background or long-range-transported BC indicated by the high oxidation state of organics related to those PMF factors. The results from the PMF analysis were compared with the source apportionment from the Aethalometer model calculated with two pairs of absorption Ångström values. It was found that several PMF factors can be attributed to wood combustion and fossil fuel fraction of BC provided by the Aethalometer model. In general, the Aethalometer model showed less variation between the sources within a day than PMF, indicating that it was less responsive to the fast changes in the BC sources at the site, or it could not distinguish between as many sources as PMF due to the similar optical properties of the BC sources. The results of this study increase understanding of the limitations and validity of the BC source apportionment methods in different environments. Moreover, this study advances the current knowledge of BC sources and especially the contribution of residential combustion in urban areas.