Potato virus Y (PVY) is one of the most important constraints to potato production worldwide. There is an increasing occurrence of recombinant PVY strains PVY^NTN and PVY^N-Wi and a decline in the incidence of the nonrecombinant PVY^O. We hypothesized that this may be due to the ability of these recombinant strains to antagonize and/or outcompete PVY^O in mixed infections. To determine this, we investigated interactions between PVY^O and three recombinant PVY strains common in North America: PVY^NTN, PVY^N-Wi, and PVY^N:O. Overall, our study showed that these interactions are tissue-dependent. Specifically, PVY^NTN, the main causal agent of potato tuber necrotic ringspot disease (PTNRD), was found to be more adaptable than PVY^O, especially in potato leaves due, at least in part, to the Ny gene that confers hypersensitive resistance (HR) to PVY^O. Furthermore, PVY^N-Wi was found to repress PVY^O in potato tubers but act synergistically in potato leaves. The PVY^O-induced foliage necrosis in cultivar ‘Ranger Russet’ was observed to be more severe in plants co-infected by PVY^N-Wi and PVY^N:O, respectively, resulting in plant death. Strikingly, this PVY^O -induced necrosis was suppressed by PVY^NTN in doubly infected plants. These interactions may, at least partially, explain the decreasing incidence of PVY^O in United States potato production regions, especially given that many cultivars contain the Ny gene, which likely limits PVY^O enabling PVY^NTN and PVY^N-Wi to outcompete. We also found that replication and cell-to-cell movement of these PVY strains in tubers at 4 °C was similar to levels at ambient temperature. Full article

With the current trends of wind energy already playing a major part in the Scottish energy supply, the capacity of wind farms is predicted to grow exponentially and reach further depths offshore. However, a key challenge that presents itself is the integration of large producing assets into the current UK grid. One potential solution to this is green hydrogen production, which is being heavily researched in industry, with many concepts being investigated for large-scale purposes. However, the operations and maintenance (O&M) costs and availability of green hydrogen systems need to be quantified to ensure economical and technical viability, which is sparse in the available literature. The study presented in this paper investigated the availability and O&M costs of coupled wind–hydrogen systems by attempting to quantify the failure rates, repair times, repair costs and number of technicians required for key green hydrogen components. This study also utilised an O&M model created by the University of Strathclyde, which uses Monte Carlo Markov chain simulations to produce the O&M outputs. A number of assumptions were made throughout the study in relation to the O&M model inputs, and the baseline availability for the coupled wind–hydrogen system was 85.24%. Whilst the wind turbine still contributed a major part to the downtime seen in the simulations, the combined hydrogen system also contributed a significant amount, a total of 37%, which could have been due to the technology readiness levels of some the components included in the hydrogen system. Full article

Important metapopulation dynamics are disrupted by factors such as habitat loss, climate change, and human-induced mortality, culminating in isolated wildlife populations and threatening species survival. Source populations, where birth rates exceed mortality and connectivity facilitates dispersal, contrast with sink populations, where mortality outstrips births, risking localised extinction. Recolonisation by individuals from source populations is pivotal for species survival. The leopard is the last free-roaming apex predator in South Africa and plays an important ecological role. In the Eastern and Western Cape provinces in South Africa, leopard populations have low densities and fragmented population structures. We identified a leopard population that, after being locally extinct for a century, appeared to recolonise an ‘island’ of mountainous habitat. We aimed to understand potential factors driving this recolonisation using recent camera trapping surveys and historical statutory destruction permits. We employed spatially explicit capture–recapture (SECR) methods to estimate the leopard density and explore potential factors which best explain density. We found that the recently recolonised Piketberg population now exhibits some of the highest densities reported in the region (~1.8 leopards/100 km²; CI 1.4–2.5). Livestock, human presence, elevation, and the camera trap grid appeared to explain leopard detection rates. When considering the historic data, the re-emergence of leopards in the Piketberg coincided with the cessation of the extensive state-sponsored and state-enabled culling of the species, and the change in land use from livestock production to crop agriculture, which likely contributed to the recolonisation. Elucidating these factors deepens our understanding of leopard metapopulation dynamics in relation to land use and species management and highlights the crucial role of private land and state agencies and associated policies in species persistence. Full article

The demand for Vaccinium fruits has skyrocketed due to their nutritional and medicinal properties, notably their high content of phenolic compounds and excellent sensory evaluation. The use of Vaccinium plants and its components as dietary supplements and health ingredients has been on the rise across the world. The attractive fruits contain a high content of anthocyanins and antioxidant compounds. In some popular and valuable cultivars, the conventional propagation methods, exploiting hard or soft wood cuttings, are inefficient. The demand for nursery plants can be fulfilled by micropropagation. This review aims to explore advances in the in vitro culture of Vaccinium plants, focusing on effective disinfection, optimized culture media, and the role of growth regulators in plant development and multiplication. By providing a controlled environment, micropropagation allows the large-scale production of these plants in a short time, ensuring availability throughout the year. Additionally, this technique offers the advantage of studying the effects of abiotic stresses on plants, as well as facilitating research on the production of relevant metabolites. This review seeks to provide an updated overview of the most promising methods and techniques for micropropagation of Vaccinium, thereby contributing to the ongoing development of the blueberry production industry and derivative products. Full article

As a geological barrier for high-level radioactive waste (HLW) disposal in China, granite is crucial for blocking nuclide migration into the biosphere. However, the high uncertainty associated with the 3D geological system, such as the stochastic discrete fracture networks in granite, significantly impedes practical safety assessments of HLW disposal. This study proposes a Monte Carlo simulation (MCS)-based simulation framework for evaluating the long-term barrier performance of nuclide migration in fractured rocks. Statistical data on fracture geometric parameters, on-site hydrogeological conditions, and relevant migration parameters are obtained from a research site in Northwestern China. The simulation models consider the migration of three key nuclides, Cs-135, Se-79, and Zr-93, in fractured granite, with mechanisms including adsorption, advection, diffusion, dispersion, and decay considered as factors. Subsequently, sixty MCS realizations are performed to conduct a sensitivity analysis using the open-source software OpenGeoSys-5 (OGS-5). The results reveal the maximum and minimum values of the nuclide breakthrough time T_t (12,000 and 3600 years, respectively) and the maximum and minimum values of the nuclide breakthrough concentration C_max (4.26 × 10⁻⁴ mSv/a and 2.64 × 10⁻⁵ mSv/a, respectively). These significant differences underscore the significant effect of the uncertainty in the discrete fracture network model on long-term barrier performance. After the failure of the waste tank (1000 years), nuclides are estimated to reach the outlet boundary 6480 years later. The individual effective dose in the biosphere initially increases and then decreases, reaching a peak value of C_max = 4.26 × 10⁻⁴ mSv/a around 350,000 years, which is below the critical dose of 0.01 mSv/a. These sensitivity analysis results concerning nuclide migration in discrete fractured granite can enhance the simulation and prediction accuracy for risk evaluation of HLW disposal. Full article

Biocolourants could be a sustainable option for dyes that require fossil-based chemicals in their synthesis. We studied the in vitro toxicity of anthraquinone aglycone extract obtained from Cortinarius sanguineus fungus and compared it to the toxicity of its two main components, emodin and previously studied dermocybin. Cell viability, cytotoxicity, and oxidative stress responses in HepG2 liver and THP-1 immune cell lines were studied along with skin sensitisation. In addition, genotoxicity was studied with comet assay in HepG2 cells. Cellular viability was determined by MTT, propidium iodide, and lactate dehydrogenase assays, which showed that the highest doses of both the aglycone extract and emodin affected the viability. However, the effect did not occur in all of the used assays. Notably, after both exposures, a dose-dependent increase in oxidative stress factors was observed in both cell lines as measured by MitoSOX and dihydroethidium assays. C. sanguineus extract was not genotoxic in the comet assay. Importantly, both emodin and the extract activated the skin sensitisation pathway in the KeratinoSens assay, suggesting that they can induce allergy in humans. As emodin has shown cytotoxic and skin-sensitising effects, it is possible that the adverse effects caused by the extract are also mediated by it since it is the main component present in the fungus. Full article

In order to reduce the lateral error of path-following control of unmanned vehicles under variable curvature paths, we propose a path-following control strategy for unmanned vehicles based on optimal preview time model predictive control (OP-MPC). The strategy includes the longitudinal speed limit, the optimal preview time surface, and the model predictive control (MPC)controller. The longitudinal speed limit controls speed to prevent vehicle rollover and sideslip. The optimal preview time surface adjusts the preview time according to the vehicle speed and path curvature. The preview point determined by the preview time is used as the reference waypoint of OP-MPC controller. Finally, the effectiveness of the strategy was verified through simulation and with the real unmanned vehicle. The maximum lateral deviation obtained by the OP-MPC controller was reduced from 0.522 m to 0.145 m under the simulation compared with an MPC controller. The maximum lateral deviation obtained by the OP-MPC controller was reduced from 0.5185 m to 0.2298 m under the real unmanned vehicle compared with the MPC controller. Full article

Pullulan is a polysaccharide that has attracted the attention of scientists in recent times as a former of edible films. On the other hand, its use for the preparation of hydrogels needs more study, as well as the formation of pullulan microcapsules as active ingredient release systems for the food industry. Due to the slow gelation kinetics of pullulan with sodium trimetaphosphate (STMP), capsules cannot be formed through the conventional method of dropping into a solution of the gelling agent, as with other polysaccharides, since the pullulan chains migrate to the medium before the capsules can form by gelation. Pullulan microcapsules have been obtained by using inverse water-in-oil emulsions as templates. The emulsion that acts as a template has been characterized by monitoring its stability and by optical microscopy, and the size of the emulsion droplets has been correlated with the size of the microcapsules obtained, demonstrating that it is a good technique for their production. Although some flocs of droplets form, these remain dispersed during the gelation process and two capsule size distributions are obtained: those of the non-flocculated droplets and the flocculated droplets. The microcapsules have been evaluated as vitamin C release systems, showing zero-order release kinetics for acidic pH and Fickian mechanism for neutral pH. On the other hand, the microcapsules offer good protection of vitamin C against oxidation during an evaluation period of 14 days. Full article

Background: This study aimed to compare the clinical outcomes of using two different devices to treat upper palatal discrepancies evaluated with a digital intraoral scanner. Methods: A total of 64 patients were enrolled and treated with either an elastodontic expansion device (32 patient test group, 16 females and 16 males, mean age 7.08 ± 0.44) or Haas expander (32 patient control group, 16 females and 16 males, mean age 7.32 ± 0.50). The two groups exhibited similar orthodontic features. The orthodontic criteria were: skeletal class I relationship; molar class I relationship; complete eruption of upper sixths; presence of unilateral or bilateral cross bite. All dental casts were examined and subsequently scanned with an intraoral scanner (I-Tero) pre-treatment (T0) and 12 months after the onset of therapy (T1) to assess the distance between the decidous upper canines (ICW, intercanine width) and the distance between the mesiopalatal cusps of the upper first molars (IMW, intermolar width). For statistical analysis, the t-test for continous variables and the chi-square test for categorical variables were used, respectively. Results: There were no statistically significant differences between the mean and SD of the expansions that resulted from the Haas expander and the elastodontic devices (Haas expander vs. Eptamed: ICW_T1 (Haas) = 42.34 (3.09), ICW_T1 (Eptamed) = 42.69 (2.77); p = 0.743; IMW_T1 (Haas) = 34.22 (2.29), IMW_T1 (Eptamed) = 34.00 (2.56); p = 0.800). The two devices were similarly effective. Conclusions: Elastodontic devices and the Haas expander can successfully help the orthodontist to conduct upper arch expansion treatment. However, elastodontic devices are more comfortable during the resolution of palatal discrepancies compared to palatal expander devices. Full article

Due to the falling water level in the Aral Sea and Muynak Lake, the content of salts dissolved in the water has gradually increased, and toxic elements have been deposited at the lake’s bottom and subsequently washed into the Aral region by the river. Bacteria, archaea and fungi are crucial for the cycling of several important inorganic nutrients in soils. From 15 genera and 31 species of recovered microscopic filamentous fungi, a big group was melanized, of which most of them were also phytopathogenic. The second group consisted of keratinophilic species. Isolated bacteria mainly included members of the genera Arthrobacter, Bacillus, Massilia, Rhodococcus and Nocardiopsis. High-throughput sequencing analysis permitted a better view of the mycobiome and prokaryotic communities (comprising archaea). The cultivation and sequencing approaches were shown to be complementary. The aim of the work was to identify soil microorganisms, including the order Halobacteriales, and to discover the differences in species diversity depending on soil salinity and the presence of PTEs in soil. Full article

Background and Objectives: The purpose of this study was to investigate whether early surfactant administration affects the status of ductus arteriosus (DA) in preterm infants ≤ 32 weeks of gestational age (GA) within 24 h of birth. Materials and Methods: It is a prospective study conducted from 1 March 2022 to 31 December 2023 in a tertiary academic center. In-born infants ≤ 32 weeks of gestation (n = 88) were enrolled. The study group was further divided into surfactant (n = 44) and non-surfactant (n = 44) subgroups. Results: A total of 76% of the preterm infants who received surfactant therapy (RRR = 0.839) recorded an increase in Kindler score at 24 h of life (1 − RR = 1 − 0.24 = 76%). Surfactant administration was significantly associated with decreased pre-ductal diastolic pressure (29.9 mmHg vs. 34.8 mmHg, p = 0.0231), post-ductal diastolic pressure (28.7 mmHg vs. 32.2 mmHg, p = 0.0178), pre-ductal MAP (41.6 mmHg vs. 46.5 mmHg, p = 0.0210), and post-ductal MAP (41.0 mmHg vs. 45.3 mmHg, p = 0.0336). There were no significant changes in ductus arteriosus parameters at 24 h of life. Conclusions: Early surfactant administration does not affect the status of ductus arteriosus in preterm infants ≤ 32 weeks of gestational age at 24 h of life. Full article

Servicification in global value chains (GVCs) in emerging and developing Asian economies has become a trend recently. However, there have been no scientific studies to elucidate the mechanism of servicification in GVCs. To fill this gap, this study aims to investigate the involvement of service sectors in GVCs in Asian economies in terms of the quantitative interactions between service inputs and manufacturing exports and inputs and between service inputs and service exports. For this purpose, a panel vector-autoregressive model and the Trade in Value Added database of the Organization for Economic Cooperation and Development (OECD) were used for the empirical analysis during 1995–2018. The estimation results find that, first, there exist reciprocal interactions between the business services and manufacturing sectors; foreign business service inputs are induced by manufacturing exports, whereas manufacturing inputs are induced by business service exports. Second, foreign manufacturing inputs facilitate foreign business service inputs. Third, business service inputs are promoted by business service exports. These trends in the involvement of business services’ involvement in GVCs have accelerated since the mid-2000s. To enhance the role of services in GVCs, Asian economies should facilitate the removal of explicit restrictions in service trade and address regulatory divergence across countries. Full article

Accurate measurement of systemic financial risk is crucial for maintaining the stability of financial markets. Taking China as the subject of investigation, the Chinese Financial Stress Index (CFSI) indicator system was constructed by integrating six dimensions and employing Gray Relation Analysis (GRA) to reduce the dimensionality of the indicators. The CFSI was derived using the Attribute Hierarchy Model (AHM) method with the Criteria Importance Through the Intercriteria Correlation (CRITIC) method, and an Improved Gravitational Search Algorithm (IGSA)-optimized Radial Basis Function Neural Network (RBFNN) was proposed for out-of-sample prediction of CFSI trends from 2024 to 2026. By analyzing the trends in financial pressure indicators, the intricate relationship between financial pressure and economic activity can be effectively discerned. The research findings indicate that (1) the CFSI is capable of accurately reflecting the current financial stress situation in China, and (2) the IGSA-RBFNN demonstrates strong robustness and generalization capabilities, predicting that the CFSI index will reach a peak value of 0.543 by the end of 2024, and there exists a regular pattern of stress rebound towards the end of each year. The novel methodology enables policymakers and regulatory authorities to proactively identify potential risks and vulnerabilities, facilitating the formulation of preventive measures. Full article

Nano-minerals are employed to enhance mineral bioavailability thus promoting the growth and well-being of animals. In recent times, nano-selenium (nano-Se) has garnered significant attention within the scientific community owing to its potential advantages in the context of poultry. This study was conducted to explore the impact of using variable levels of nano-Se on the growth performance, carcass characteristics, serum constituents, and gene expression in growing Japanese quails under both thermoneutral and heat stress conditions. A randomized experimental design was used in a 2 × 3 factorial, with 2 environmental conditions (thermoneutral and heat stress) and 3 nano-Se levels (0, 0.2, and 0.5 mg/kg of diet. The findings revealed that heat stress negatively affected the growth and feed utilization of quails; indicated by the poor BWG and FCR. Additionally, oxidative stress was aggravated under heat stress condition; indicated by increased lipids peroxidation and decreased antioxidant enzymes activities. The addition of nano-Se, especially at the level of 0.2 mg/kg of diet, significantly improved the performance of heat stressed quails and restored blood oxidative status. The expression profile of inflammatory and antioxidant markers was modulated by heat stress and/or 0.2 and 0.5 nano-Se in conjunction with environmental temperature in quail groups. In comparison to the control group, the heat stress-exposed quails’ expression profiles of IL-2, IL-4, IL-6, and IL-8 showed a notable up-regulation. Significantly lower levels of the genes for IL-2, IL-4, IL-6, and IL-8 and higher levels of the genes for SOD and GPX as compared to the heat stress group demonstrated the ameliorative impact of 0.2 nano-Se. The expression profiles of IL-2, IL-4, IL-6, and IL-8 are dramatically elevated in quails exposed to 0.5 nano-Se when compared to the control group. SOD and GPX markers, on the other hand, were markedly down-regulated. It was concluded that nano-Se by low level in heat stressed growing quails provides the greatest performance and its supplementation can be considered as a protective management practice in Japanese quail diets to reduce the negative impact of heat stress. Full article

This study presents a trial analysis that uses brain activity information obtained from mice to detect rheumatoid arthritis (RA) in its presymptomatic stages. Specifically, we confirmed that F759 mice, serving as a mouse model of RA that is dependent on the inflammatory cytokine IL-6, and healthy wild-type mice can be classified on the basis of brain activity information. We clarified which brain regions are useful for the presymptomatic detection of RA. We introduced a matrix completion-based approach to handle missing brain activity information to perform the aforementioned analysis. In addition, we implemented a canonical correlation-based method capable of analyzing the relationship between various types of brain activity information. This method allowed us to accurately classify F759 and wild-type mice, thereby identifying essential features, including crucial brain regions, for the presymptomatic detection of RA. Our experiment obtained brain activity information from 15 F759 and 10 wild-type mice and analyzed the acquired data. By employing four types of classifiers, our experimental results show that the thalamus and periaqueductal gray are effective for the classification task. Furthermore, we confirmed that classification performance was maximized when seven brain regions were used, excluding the electromyogram and nucleus accumbens. Full article

This paper develops a methodology to accommodate uncertainty in a GARCH model with the goal of improving portfolio decisions via Bayesian learning. Given the abundant evidence of uncertainty in estimating expected returns, we focus our analyses on the single parameter driving expected returns. After deriving an Uncertainty-Implied GARCH (UI-GARCH) model, we investigate how learning about uncertainty affects investments in a dynamic portfolio optimization problem. We consider an investor with constant relative risk aversion (CRRA) utility who wants to maximize her expected utility from terminal wealth under an Affine GARCH(1,1) model. The corresponding stock evolution, and therefore, the wealth process, is treated as a Bayesian information model that learns about the expected return with each period. We explore the one- and two-period cases, demonstrating a significant impact of uncertainty on optimal allocation and wealth-equivalent losses, particularly in the case of a small sample size or large standard errors in the parameter estimation. These analyses are conducted under well-documented parametric choices. The methodology can be adapted to other GARCH models and applications beyond portfolio optimization. Full article

This article explores novel in-orbit drag-free technology that can be utilized for deep space detection scientific missions. In this study, we considered a two-test-mass drag-free method and analyzed the design of the drag-free and attitude control system for the TianQin mission. The entire control system was comprehensively designed, including an actuator allocation design and controllers for two test masses and one spacecraft, with a total of 18 degrees of freedom. Furthermore, stability analysis was conducted. Based on our design, numerical analysis and simulations were performed assuming geocentric orbit conditions in the TianQin mission, confirming the feasibility of this aerospace engineering concept. The versatility of the design allows for its application to scientific observations across various disciplines by modifying the structure of the simulation environment, and consequently, the approach discussed in this study holds significant practical implications for effectively accomplishing deep space observation tasks. Full article

Background: Having an infant in the Neonatal Intensive Care Unit (NICU) can disrupt parent well-being, the transition to parenthood, and the typical trajectories of infant and child health. For lesbian, gay, bisexual, transgender, queer, or other sexual and gender minority identity (LGBTQ+) parents, this stress may be compounded by health disparities and fear of stigma and discrimination; however, research is lacking about LGBTQ+ parents of infants in the NICU. Objectives: The purpose of this integrative review was to better understand the experiences of LGBTQ+ parents of NICU infants, with a focus on experiences of stigma and discrimination, sources of strength and resilience, and provision of family-centered care. Method: We searched EBSCOHost, ProQuest, Web of Science, and Google Scholar between 30 May 2023 and 18 September 2023 for empirical studies published in English in peer-reviewed scholarly journals in which LGBTQ+ parents shared their experiences with having infants admitted to the NICU. Results: We identified six articles that met inclusion criteria, all of which were qualitative studies that included 12–14 LGBTQ+ parents of NICU infants. Conclusions: LGBTQ+ parents in all studies reported instances of perceived stigma and discrimination while their infants were in the NICU, whereas parents in two studies mentioned strength and resilience, and parents in three studies described elements of family-centered care. There is a need for rigorous research on family-centered NICU care that includes questions about sources of strength and resilience in addition to challenges. We propose that future researchers use community engaged methods to center perspectives of LGBTQ+ parents. Full article

Air pollution is one of the major global public health challenges. Using annual fine particulate matter (PM2.5) concentration data from 2016 to 2021, along with the global exposure mortality model (GEMM), we estimated the multi-year PM2.5-pollution-related deaths divided by different age groups and diseases. Then, using the VSL (value of statistical life) method, we assessed corresponding economic losses and values. The number of deaths attributed to PM2.5 in Beijing in 2021 fell by 33.74 percent from 2016, while health economic losses would increase by USD 4.4 billion as per capita disposable income increases year by year. In 2021, the average annual concentration of PM2.5 in half of Beijing’s municipal administrative districts is less than China’s secondary ambient air quality standard (35 μg/m³), but it can still cause 48,969 deaths and corresponding health and economic losses of USD 16.31 billion, equivalent to 7.9 percent of Beijing’s GDP. Therefore, it is suggested that more stringent local air quality standards should be designated to protect public health in Beijing. Full article

Stochastic optimization models always assume known probability distributions about uncertain parameters. However, it is unrealistic to know the true distributions. In the era of big data, with the knowledge of informative features related to uncertain parameters, this study aims to estimate the conditional distributions of uncertain parameters directly and solve the resulting contextual stochastic optimization problem by using a set of realizations drawn from estimated distributions, which is called the contextual distribution estimation method. We use an energy scheduling problem as the case study and conduct numerical experiments with real-world data. The results demonstrate that the proposed contextual distribution estimation method offers specific benefits in particular scenarios, resulting in improved decisions. This study contributes to the literature on contextual stochastic optimization problems by introducing the contextual distribution estimation method, which holds practical significance for addressing data-driven uncertain decision problems. Full article

The parameters of gravity dams and foundation materials objectively exhibit spatial variability due to environmental and load influences, which significantly affect the safety status of dam structures. Therefore, a safety risk analysis method for a gravity dam–foundation system based on random field theory is proposed in this paper. Spatial variabilities in materials are particularly considered by using the finite element method. Then, composite response surface equations for the performance function (PF) of strength and stability failure are established, and then, the system failure risk is obtained using the Monte Carlo method. The proposed method solves the problem wherein the effect of spatial variability on failure risk cannot be reflected accurately by the performance function of multi-element sliding paths, and the difficulties in solving the failure risk of the series–parallel system due to multiple failure paths and their complex correlations. The application of a gravity dam shows that the developed method overcomes the disadvantages of the traditional method, such as the homogenization of the spatially random characteristics of parameters and the overestimation of failure risk in the system due to large variance estimation. Full article

Background/Objectives: The anxiolytic effect of transcutaneous electrical nerve stimulation (TENS) is associated with the activation of endogenous inhibitory mechanisms in the central nervous system. Both low-frequency, high-amplitude TENS (LF-TENS) and high-frequency, low-amplitude TENS (HF-TENS) are capable of activating opioid, GABA, serotonin, muscarinic, and cannabinoid receptors. However, there has been no comparative analysis of the effectiveness of HF-TENS and LF-TENS in the treatment of GAD. The purpose of our research was to study the effectiveness of direct HF-TENS and LF-TENS of the right median nerve in the treatment of patients with GAD compared with sham TENS. Methods: The effectiveness of direct HF-TENS and LF-TENS of the right median nerve in the treatment of GAD was studied using Generalized Anxiety Disorder 7-item scale (GAD-7) and the Hamilton Anxiety Rating Scale (HAM-A). 40 patients underwent sham TENS, 40 patients passed HF-TENS (50 Hz—50 μs—sensory response) and 41 patients completed LF –TENS (1 Hz—200 μs—motor response) for 30 days daily. After completion of treatment, half of the patients received weekly maintenance therapy for 6 months. Electroencephalography was performed before and after treatment. Results: Our study showed that a significant reduction in the clinical symptoms of GAD as assessed by GAD-7 and HAM-A was observed after HF-TENS and LF-TENS by an average of 42.4%, and after sham stimulation only by 13.5% for at least 2 months after the end of treatment. However, LF-TENS turned out to be superior in effectiveness to HF-TENS by 51% and only on electroencephalography leads to an increase in PSD for the alpha rhythm in the occipital regions by 24% and a decrease in PSD for the beta I rhythm in the temporal and frontal regions by 28%. The prolonged effect of HF-TENS and LF-TENS was maintained without negative dynamics when TENS treatment was continued weekly throughout the entire six-month observation period. Conclusions: A prolonged anxiolytic effect of direct TENS of the right median nerve has been proven with greater regression of clinical and neurophysiological manifestations of GAD after LF-TENS compared to HF-TENS. Minimal side effects, low cost, safety, and simplicity of TENS procedures are appropriate as a home treatment modality. Full article