In this study, a mathematical model for the transmission dynamics of malaria among different socioeconomic groups in the human population interacting with a susceptible-infectious vector population is presented and analysed using a fractional-order derivative of the Caputo type. The total human population is stratified into two distinguished classes of lower and higher income individuals, with each class further subdivided into susceptible, infectious, and recovered populations. The socio hierachy-structured fractional-order malaria model is analyzed through the application of different dynamical system tools. The theory of positivity and boundedness based on the generalized mean value theorem is employed to investigate the basic properties of solutions of the model, while the Banach fixed point theory approach is used to prove the existence and uniqueness of the solution. Furthermore, unlike the existing related studies, comprehensive global asymptotic dynamics of the fractional-order malaria model around both disease-free and endemic equilibria are explored by generalizing the usual classical methods for establishing global asymptotic stability of the steady states. The asymptotic behavior of the trajectories of the system are graphically illustrated at different values of the fractional (noninteger) order. Full article

Background: This is a retrospective longitudinal study comparing 374 patients with Parkinson’s disease (PD) who were treated in centers offering a specialized program of enhanced rehabilitation therapy in addition to expert outpatient care to 387 patients with PD, who only received expert outpatient care at movement disorders centers in Italy. Methods: The data are from subjects recruited in the Parkinson’s Outcome Project (POP) at six Italian centers that are part of a multicenter collaboration for care quality improvement (the Fresco Network). The effects were measured with a baseline and a follow-up clinical evaluation of the Timed-Up-and-Go test (TUG), Parkinson’s Disease Questionnaire (PDQ-39), and Multidimensional Caregiver Strain Index (MCSI), the number of falls and hospitalizations for any cause. We used a generalized linear mixed model with the dependent variables being the response variable, which included the covariates demographics, evaluation, and treatment variables. Results: We found that the subjects who underwent specialized enhanced rehabilitation had a better motor outcome over time than those who were managed by expert neurologists but had participated in community programs for exercise and other allied health interventions. The greatest effects were seen in patients in the early stages of the disease with a high amount of vigorous exercise per week in the last six months. Similar effects were seen for PDQ39, MCSI, the number of falls, and hospitalization. Conclusions: Long-term benefits to motor function and the quality of life in patients with PD and burden reduction in their caregivers can be achieved through a systematic program of specialized enhanced rehabilitation interventions. Full article

The use of hydrotherapy during childbirth has gained relevance due to the demand for natural childbirth and greater respect for the woman’s choice. Studies have shown benefits such as less use of epidural analgesia, increased ability to cope with pain, shorter labor, and a better overall birth experience. Objective: The main objective of this study was to generate further evidence on maternal and birth outcomes associated with the use of hydrotherapy during labor, specifically aiming to describe the effects of water immersion during all stages of labor (first, second, and third) on women. Methodology: A retrospective cohort study was carried out on a random sample of women who gave birth at the Costa del Sol Hospital between January 2010 and December 2020. The calculated sample size was 377 women and the data were extracted from their partograms. After data extraction, two groups were formed: one group used hydrotherapy during childbirth (n = 124), while the other group included women who did not use hydrotherapy during the childbirth process (n = 253). Results: The results highlight significant differences in pain perception, analgesia use, types of labor, and delivery times between the two groups. Women who did not use hydrotherapy reported higher pain perception, with a median (IQR) of 8 (7–9) on a numerical scale, compared to a median (IQR) of 6 (5–7) for the hydrotherapy group. Furthermore, the group without hydrotherapy required epidural analgesia in 40% of cases, while in the hydrotherapy group, it was only necessary in 20%. In terms of the type of delivery, the hydrotherapy group had more spontaneous vaginal deliveries compared to the non-hydrotherapy group, which had more operative vaginal deliveries. The overall duration of labor was longer in the hydrotherapy group, especially in women who arrived at the hospital late in labor. Conclusions: Hydrotherapy is associated with a longer time to delivery. Women with a higher pain tolerance tend to opt for hydrotherapy instead of epidural analgesia. Full article

Keratin-positive giant cell-rich tumor (KPGCT) is an extremely rare and recently described mesenchymal neoplasm that occurs in both soft tissue and bone, frequently found in young women. It has locally recurrent potential if incompletely excised but low risk for metastasis. KPGCT is histologically similar to conventional giant cell tumors of soft tissue but shows the presence of keratin-positive mononuclear cells. Interestingly, KPGCT also shares some morphological features with xanthogranulomatous epithelial tumors. These two tumors have recently been shown to harbor an HMGA2–NCOR2 fusion, arguing in favor of a single entity. Surgery is the treatment of choice for localized KPGCT. Therapeutic options for advanced or metastatic disease are unknown. This review provides an overview of the current knowledge on the clinical presentation, pathogenesis, histopathology, and treatment of KPGCT. In addition, we will discuss the differential diagnosis of this emerging entity. Full article

Traditional data-driven tool wear state recognition methods rely on complete data under targeted working conditions. However, in actual cutting operations, working conditions vary, and data for many conditions lack labels, with data distribution characteristics differing between conditions. To address these issues, this article proposes a method for recognizing the wear state of milling cutters under varying working conditions based on an optimized symmetrized dot pattern (SDP). This method utilizes complete data from source working conditions for representation learning, transferring a generalized milling cutter wear state recognition model to varying working condition scenarios. By leveraging computer image processing features, the vibration signals produced by milling are converted into desymmetrization dot pattern images. Clustering analysis is used to extract template images of different wear states, and differential evolution algorithms are employed to adaptively optimize parameters using the maximization of Euclidean distance as an indicator. Transfer learning with a residual network incorporating an attention mechanism is used to recognize the wear state of milling cutters under varying working conditions. The experimental results indicate that the method proposed in this paper reduces the impact of working condition changes on the mapping relationship of milling cutter wear states. In the wear state identification experiment under varying conditions, the accuracy reached 97.39%, demonstrating good recognition precision and generalization ability. Full article

The intricate interplay between water resources, land resources, energy systems, and carbon emissions has emerged as a prominent discourse in academic research. Nonetheless, there remains a dearth of comprehensive research dedicated to fostering environmentally friendly and low-carbon development through systematic integration and coordination efforts. This study aimed to fill this gap by integrating the coupling mechanism of the Water-Land-Energy-Carbon (WLEC) system, thereby constructing an evaluation index framework that assesses coordinated developments in Northwest China’s WLEC system. It scrutinizes the security levels within the Water-Land-Energy (WLE) subsystem while conducting quantitative analyses on the degrees of coupling coordination within the WLEC systems, alongside their associated hindering factors. The preliminary findings were as follows: Firstly, the safety development within the WLE system demonstrates a positive trend across Northwest China, with notable advancements primarily observed in the Qinghai and Gansu provinces. In 2021, all five Northwestern provinces exhibited moderate levels of safe development, except for the Qinghai province, which transitioned from moderate to robust. Secondly, the coupling coordination degree of the WLEC system across the five provinces has consistently illustrated an upward trajectory over the years. However, as of 2021, the system remains in a state characterized by marginal disorder. Notably, the Qinghai and Gansu provinces have shown particularly encouraging upward trends, with the Shaanxi province also making notable progress. Conversely, Xinjiang has declined since 2017 due to negative interactions between the subsystems of water, soil, energy, and carbon emissions. Thirdly, spatial variations exist in the distribution patterns between the provinces regarding the influence of obstructing factors on indicators related to coupled coordinated development, such as per capita arable land area, per capita energy consumption, per capita carbon emissions, per capita construction land area, and the proportion of groundwater water in the total amount of water supply, which demonstrated an increasing trend. These findings carry significant practical implications for actively and steadily promoting carbon peaking and carbon neutrality in Northwest China. Full article

This mini-review summarizes the clinical outcomes and antifungal susceptibility results, where available, for three new antifungals, including fosmanogepix, ibrexafungerp, and rezafungin, against Candida isolates cultured from patients in clinical trials. When reported, most of the data were generated by the Clinical and Laboratory Standards Institute (CLSI) broth microdilution method or by both the CLSI and European Committee on Antimicrobial Susceptibility Testing (EUCAST) methodologies. For fosmanogepix, we summarize the in vitro data for C. auris isolates from 9 patients and for Candida spp. cultured from 20 patients in two clinical trials. Ibrexafungerp has also been evaluated in several clinical trials. From conference proceedings, a total of 176 Candida isolates were evaluated in the FURI and CARES studies, including 18 C. auris isolates (CARES study). However, MIC data are not available for all clinical isolates. Results from the ReSTORE rezafungin phase 3 clinical study also included in vitro results against Candida spp., but no patients with C. auris infections were included. In conclusion, this mini-review summarizes insights regarding clinical outcomes and the in vitro activity of three new antifungals against Candida spp. cultured from patients in clinical trials. Full article

The scope of complex dynamical networks (CDNs) with dynamic edges is very wide, as it is composed of a class of realistic networks including web-winding systems, communication networks, neural networks, etc. However, a classic research topic in CDNs, the synchronization control problem, has not been effectively solved for CDNs with dynamic edges. This paper will investigate the emergence mechanism of synchronization from the perspective of large-scale systems. Firstly, a CDN with dynamic edges is conceptualized as an interconnected coupled system composed of an edge subsystem (ES) and a node subsystem (NS). Then, based on the proposed improved directed matrix ES model and expanded matrix inequality, this paper overcomes the limitations of coupling term design in node models and the strong correlation of tracking targets between nodes and edges. Due to the effect of the synthesized node controller and the auxiliary effect of the ES, state synchronization can be realized in the CDN. Finally, through simulation examples, the validity and advantages of our work compared to existing methods are demonstrated. Full article

Signal space alignment (SSA) is a promising technique for interference management in wireless networks. However, despite the excellent work done on SSA, its robustness against jamming attacks has not been considered in the literature. In this paper, we propose two antijamming strategies for the SSA scheme applied in the multiple-input–multiple-output (MIMO) Y channel. The first scheme involves projecting the jamming signal into the null space of each source’s precoding vectors, effectively eliminating it entirely. The second scheme removes interference originating from the jammer by subtracting the disturbance estimate from the incoming signal. The estimate is derived on the basis of the criterion of minimizing the received signal energy. The block error rate (BLER) performance of the proposed strategies in various channel configurations is verified by link level simulations and is presented to show the efficiency in mitigating jamming signals within the SSA-based MIMO Y channel. Full article

The resurgence of cannabis (Cannabis sativa L.) has been propelled by changes in the legal framework governing its cultivation and use, increased demand for hemp-derived products, and studies recognizing the industrial and health benefits of hemp. This has led to the creation of novel high-cannabidiol, low-Δ⁹-tetrahydrocannabinol varieties, enabling hemp crop expansion worldwide. This review elucidates the recent implications for hemp cultivation in Europe, with a focus on the legislative impacts on the cultivation practices, prospective breeding efforts, and dynamic scientific landscape surrounding this crop. We also review the current cultivars’ cannabinoid composition of the European hemp market and its major differences with that of the United States. Full article

Free radicals, including reactive oxygen species resulting from oxidative stress, are one of the major causes of biological disorders and are known to be closely related to the onset of lifestyle-related diseases such as aging, atherosclerosis, and diabetes, and their complications. Hydroxyl radicals, the most reactive and cytotoxic of reactive oxygen species, are selectively reduced by hydrogen. We have developed a method to produce more stable hydrogen water by dispersing hydrogen in water using ultra-fine bubbles (UFBs) with a bubble diameter of less than 1 μm. The present study reported on the functional characteristics of antioxidant long-life UFB hydrogen water. UFB hydrogen water with excellent storage stability is expected to have a variety of potential medical applications, including radiation damage reduction. Full article

Nitrogen pollution in water environments has reached critical levels globally, primarily stemming from agricultural runoff, industrial discharges, and untreated sewage. The excessive presence of nitrogen compounds poses a significant threat to water quality, leading to adverse impacts on ecosystems and human health. Reaching a breakthrough in the technology of constructed wetlands (CWs) for mitigating nitrogen pollution is hindered by existing knowledge gaps regarding the mechanisms involved in the removal process. Reaching this understanding, we offer a comprehensive summary of current advancements and theories in this research field. Initially, bibliometric techniques were employed to identify yearly patterns in publications and areas of research focus. Subsequently, the chosen documents underwent statistical analysis using VOSviewer_1.6.20 to determine countries’ annual productivity, significant publication years, influential authors, keyword clustering analysis, and more. Finally, a comprehensive overview is provided on the elimination of nitrogen through CWs, encompassing insights into microbial communities and structure types. This analysis aims to uncover potential strategies for optimizing the rate of nitrogen removal. Furthermore, this study elucidates the current research trend concerning the nitrogen removal performance of CWs and identifies challenges and future research directions in this field. Full article

Tanning, crucial for leather production, relies heavily on chromium yet poses risks due to chromium’s oxidative conversion, leading to significant wastewater and solid waste generation. Physico-chemical methods are typically used for heavy metal removal, but they have drawbacks, prompting interest in eco-friendly biological remediation techniques like biosorption, bioaccumulation, and biotransformation. The EU Directive (2018/850) mandates alternatives to landfilling or incineration for industrial textile waste management, highlighting the importance of environmentally conscious practices for leather products’ end-of-life management, with composting being the most researched and viable option. This study aimed to isolate microorganisms from tannery wastewater and identify those responsible for different types of tanned leather biodegradation. Bacterial shifts during leather biodegradation were observed using a leather biodegradation assay (ISO 20136) with tannery and municipal wastewater as the inoculum. Over 10,000 bacterial species were identified in all analysed samples, with 7 bacterial strains isolated from tannery wastewaters. Identification of bacterial genera like Acinetobacter, Brevundimonas, and Mycolicibacterium provides insights into potential microbial candidates for enhancing leather biodegradability, wastewater treatment, and heavy metal bioremediation in industrial applications. Full article

The same sperm selection techniques in assisted reproduction clinics have remained largely unchanged despite their weaknesses. Recently, microfluidic devices have emerged as a novel methodology that facilitates the sperm selection process with promising results. A prospective case-control study was conducted in two phases: 100 samples were used to compare the microfluidic device with Density Gradient, and another 100 samples were used to compare the device with the Swim-up. In the initial phase, a significant enhancement in progressive motility, total progressive motile sperm count, vitality, morphology, and sperm DNA fragmentation were obtained for the microfluidic group compared to Density Gradient. Nevertheless, no statistically significant differences were observed in sperm concentration and chromatin structure stability. In the subsequent phase, the microfluidic group exhibited significant increases in sperm concentration, total progressive motile sperm count, and vitality compared to Swim-up. However, non-significant differences were seen for progressive motility, morphology, DNA structure stability, and DNA fragmentation. Similar trends were observed when results were stratified into quartiles. In conclusion, in a comparison of microfluidics with standard techniques, an improvement in sperm quality parameters was observed for the microfluidic group. However, this improvement was not significant for all parameters. Full article

Multi-parametric prostate MRI (mpMRI) is crucial for diagnosing, staging, and assessing treatment response in individuals with prostate cancer. Radiologists, through an accurate and standardized interpretation of mpMRI, stratify patients who may benefit from more invasive treatment or exclude patients who may be harmed by overtreatment. The integration of prostate MRI into the diagnostic pathway is anticipated to generate a substantial surge in the demand for high-quality mpMRI, estimated at approximately two million additional prostate MRI scans annually in Europe. In this review we examine the immediate impact on healthcare, particularly focusing on the workload and evolving roles of radiologists and urologists tasked with the interpretation of these reports and consequential decisions regarding prostate biopsies. We investigate important questions that influence how prostate MRI reports are handled. The discussion aims to provide insights into the collaboration needed for effective reporting. Full article

To guarantee sustainable development at a global level, humanity currently faces serious challenges related to a greater demand and better distribution of food to meet the needs of the growing population in environments affected by global climate change (GCC), and in limiting conditions with respect to natural, genetic, financial, and technological resources. Therefore, there is a dire need to implement technologies that can guarantee food security and sovereignty around the world, enabling sustainable development for all nations. Cold-Water Agriculture (ColdAg) is an available technology that offers an alternative to conventional food production in coastal areas and islands of the tropical and subtropical belts worldwide, making use of cold deep ocean water. Mexico has places with the optimal environmental conditions to adapt this technology, mainly in coastal areas and islands, which can contribute to ensuring access to food and drinking water. Initial tests have shown its viability, while production costs need to be adjusted to make this technology accessible to the poorest populations, so that it can contribute to their sustainable development and wealth. In this review article, we aimed to critically analyze some of the most salient literature on the ColdAg technology and outline the feasibility of this technology to be implemented and exploited in Mexico to contribute to alternative food production in a sustainable manner. Full article

This article focuses on artistic and aesthetic practices within the idealist and symbolist movements of the late 19th century in France. It investigates how artists and art critics embraced androgynous imaginaries derived from Greco-Roman antiquity and the Platonic myth, transforming them into tools for social and sexual emancipation and giving rise to a proto-queer vision. An analysis of the art of Alexandre Séon, Odilon Redon, Jeanne Jacquemin, and Léonard Sarluis, in conjunction with the symbolist theories of Joséphin Péladan, Gabriel-Albert Aurier, and Émile Verhaeren, reveals an idealistic pursuit grounded in the union of the masculine and the feminine through the act of creation. Through the examination of artworks, contemporary critical discourse, and the personal correspondence of these art figures, this study posits that the androgyne serves as a heuristic model for a queer art history. The ideal androgyne, as theorized in Freud’s psychoanalytic writings, can function as a methodological paradigm in art studies as a tool for visualizing and conceptualizing homosexuality in art. Full article

Epidemiological evidence suggests existing comorbidity between postmenopausal osteoporosis (OP) and cardiovascular disease (CVD), but identification of possible shared genes is lacking. The skeletal global transcriptomes were analyzed in trans-iliac bone biopsies (n = 84) from clinically well-characterized postmenopausal women (50 to 86 years) without clinical CVD using microchips and RNA sequencing. One thousand transcripts highly correlated with areal bone mineral density (aBMD) were further analyzed using bioinformatics, and common genes overlapping with CVD and associated biological mechanisms, pathways and functions were identified. Fifty genes (45 mRNAs, 5 miRNAs) were discovered with established roles in oxidative stress, inflammatory response, endothelial function, fibrosis, dyslipidemia and osteoblastogenesis/calcification. These pleiotropic genes with possible CVD comorbidity functions were also present in transcriptomes of microvascular endothelial cells and cardiomyocytes and were differentially expressed between healthy and osteoporotic women with fragility fractures. The results were supported by a genetic pleiotropy-informed conditional False Discovery Rate approach identifying any overlap in single nucleotide polymorphisms (SNPs) within several genes encoding aBMD- and CVD-associated transcripts. The study provides transcriptional and genomic evidence for genes of importance for both BMD regulation and CVD risk in a large collection of postmenopausal bone biopsies. Most of the transcripts identified in the CVD risk categories have no previously recognized roles in OP pathogenesis and provide novel avenues for exploring the mechanistic basis for the biological association between CVD and OP. Full article

Introduction: Indonesia, as a developing country, has limited data on the factors associated with 30-day mortality in COVID-19 patients in Indonesia. As a matter of fact, study analyzing factors associated with 30-day mortality of COVID-19 infection in Indonesia has never been conducted. This study aims to fill this gap in the literature by conducting a large-scale analysis of factors associated with 30-day mortality in COVID-19 patients in Indonesia. Method: This study employed a single-center retrospective cohort observational design, and was conducted at Cipto Mangunkusumo National General Hospital between the years 2022 and 2023. Sampling was conducted using the consecutive sampling method. The study included patients aged 18 years and above who had been confirmed to have COVID-19 infection. Survival analysis was conducted using Kaplan–Meier and multivariate Cox regression analysis. Result: Our study included a total of 644 patients, with 120 patients (18.6%) expiring within 30 days. In the multivariate analysis using the backward Wald method, severe COVID-19 (HR: 7.024; 95% CI: 3.971–12.744; p value: <0.0001), moderate COVID-19 infection (HR: 1.660; 95% CI: 1.048–2.629; p value: 0.031), liver cirrhosis (HR: 3.422; 95% CI: 1.208–9.691; p value: 0.021), female sex (HR: 1.738; 95% CI: 1.187–2.545; p value: 0.004), old age (HR: 2.139; 95% CI: 1.279–3.577; p value: 0.004), high leukocyte (HR: 11.502; 95% CI: 1.523–86.874; p value: 0.018), high NLR (HR: 1.720; 95% CI: 1.049–2.819; p value: 0.032), high CRP (HR: 1.906; 95% CI: 1.092–3.329; p value: 0.023), high procalcitonin (HR: 3.281; 95% CI: 1.780–6.049; p value: 0.001), and high creatinine (HR: 1.863; 95% CI: 1.240–2.800; p value: 0.003) were associated with 30-day mortality from COVID-19 infection. Subgroup analysis excluding cancer patients showed that age, D-Dimer, CRP, and PCT were associated with 30-day mortality in COVID-19 patients, while steroid therapy is protective. Conclusions: This study finds that COVID-19 severity, liver cirrhosis, sex, age, leukocyte, NLR, CRP, creatinine, and procalcitonin were associated with COVID-19 mortality within 30 days. These findings underscore the multifactorial nature of COVID-19 infection mortality. It is important, therefore, that patients which exhibit these factors should be treated more aggressively to prevent mortality. Full article

Background: Real-world evidence (RWE) can reinforce clinical trial evidence in health technology assessment (HTA). Objectives: Review HTA bodies’ (HTAbs) requirements for RWE, real uses, and acceptance across seven countries (Brazil, Canada, France, Germany, Italy, Spain, and the United Kingdom) and outline recommendations that may improve acceptance of RWE in efficacy/effectiveness assessments and appraisals processes. Methods: RWE requirements were summarized based on HTAbs’ guidelines. Acceptance by HTAbs was evaluated based on industry experience and case studies. Results: As of June 2022, RWE methodological guidelines were in place in three of the seven countries. HTAbs typically requested analyses based on local data sources, but the preferred study design and data sources differed. HTAbs had individual submission, assessment, and appraisal processes; some allowed early meetings for the protocol and/or results validation, though few involved external experts or medical societies to provide input to assessment and appraisal. The extent of submission, assessment, and appraisal requirements did not necessarily reflect the degree of acceptance. Conclusion: All the countries reviewed face common challenges regarding the use of RWE. Our proposals address the need to facilitate collaboration and communication with industry and regulatory agencies and the need for specific guidelines describing RWE design and criteria of acceptance throughout the assessment and appraisal processes. Full article

Volatile active ingredients in biopolymer nanofibers are prone to burst and uncontrolled release. In this study, we used electrospinning and crosslinking to design a new sustained-release active packaging containing zein and eugenol (EU). Vapor-phase glutaraldehyde (GTA) was used as the crosslinker. Characterization of the crosslinked zein nanofibers was conducted via scanning electron microscopy (SEM), mechanical properties, water resistance, and Fourier transform infrared (FT-IR) spectroscopy. It was observed that crosslinked zein nanofibers did not lose their fiber shape, but the diameter of the fibers increased. By increasing the crosslink time, the mechanical properties and water resistance of the crosslinked zein nanofibers were greatly improved. The FT-IR results demonstrated the formation of chemical bonds between free amino groups in zein molecules and aldehyde groups in GTA molecules. EU was added to the zein nanofibers, and the corresponding release behavior in PBS was investigated using the dialysis membrane method. With an increase in crosslink time, the release rate of EU from crosslinked zein nanofibers decreased. This study demonstrates the potential of crosslinking by GTA vapors on the controlled release of the zein encapsulation structure containing EU. Such sustainable-release nanofibers have promising potential for the design of fortified foods or as active and smart food packaging. Full article

Axial force is one of the important factors affecting the life and reliability of centrifugal pumps. Based on the SST turbulence model, the unsteady internal flow field of an aero fuel centrifugal pump under various working conditions was analyzed by using the finite volume method and the axial force of the impeller component was predicted. The position servo force measuring system was used to measure the axial force of the fuel centrifugal pump and the theoretical formula of axial force was modified according to the numerical results and experimental values. The study shows that the pressure distribution of the front and rear pump chambers presented uneven circumferential distribution under the influence of dynamic and static interference through numerical simulation. The simulated head number is basically consistent with the test result and the maximum error of the axial force value obtained by the numerical calculation and the experimental value was 9.7% under different speeds, which verified the accuracy of the numerical simulation. Furthermore, the modified formula can accurately calculate the axial force of the fuel centrifugal pump with an error of less than 9.88%. The results of the study provide a theoretical basis for the calculation and balance of axial force in an aero aero fuel centrifugal pump. Full article