Public water supply unreliability is a problem that causes human hardships and remains common in the United States. In this paper, we attempt to examine the factors associated with public water supply unreliability. We measure public water service unreliability by the issuance of boil water notices (BWNs). By using a Negative Binomial regression model and data from West Virginia community water systems in 2020, we find that water systems that purchase their water from other water systems, have more educated and experienced operators, and serve high-income areas and a higher percentage of Native residents are expected to issue more BWNs. On the other hand, water systems that are small and serve a higher percentage of rural, educated, employed residents are expected to issue fewer BWNs. The findings emphasize the need to move beyond simplistic assumptions about water system reliability and consider the combined influence of technical, socio-economic, and demographic factors. Full article

Artificial hybrids between cultivated Avena species and wild Avena macrostachya that possess genes for resistance to biotic and abiotic stresses can be important for oat breeding. For the first time, a comprehensive study of genomes of artificial fertile hybrids Avena sativa × Avena macrostachya and their parental species was carried out based on the chromosome FISH mapping of satellite DNA sequences (satDNAs) and also analysis of intragenomic polymorphism in the 18S–ITS1–5.8S rDNA region, using NGS data. Chromosome distribution patterns of marker satDNAs allowed us to identify all chromosomes in the studied karyotypes, determine their subgenomic affiliation, and detect several chromosome rearrangements. Based on the obtained cytogenomic data, we revealed differences between two A. macrostachya subgenomes and demonstrated that only one of them was inherited in the studied octoploid hybrids. Ribotype analyses showed that the second major ribotype of A. macrostachya was species-specific and was not represented in rDNA pools of the octoploids, which could be related to the allopolyploid origin of this species. Our results indicate that the use of marker satDNAs in cytogenomic studies can provide important data on genomic relationships within Avena allopolyploid species and hybrids, and also expand the potential for interspecific crosses for breeding. Full article

Congenital hyperinsulinism (CHI) is a rare disorder of glucose metabolism and is the most common cause of severe and persistent hypoglycemia (hyperinsulinemic hypoglycemia, HH) in the neonatal period and childhood. Most cases are caused by mutations in the ABCC8 and KCNJ11 genes that encode the ATP-sensitive potassium channel (K_ATP). We present the correlation between genetic heterogeneity and the variable phenotype in patients with early-onset HH caused by ABCC8 gene mutations. In the first patient, who presented persistent severe hypoglycemia since the first day of life, molecular genetic testing revealed the presence of a homozygous mutation in the ABCC8 gene [deletion in the ABCC8 gene c.(2390+1_2391-1)_(3329+1_3330-1)del] that correlated with a diffuse form of hyperinsulinism (the parents being healthy heterozygous carriers). In the second patient, the onset was on the third day of life with severe hypoglycemia, and genetic testing identified a heterozygous mutation in the ABCC8 gene c.1792C>T (p.Arg598*) inherited on the paternal line, which led to the diagnosis of the focal form of hyperinsulinism. To locate the focal lesions, (18)F-DOPA (3,4-dihydroxy-6-[¹⁸F]fluoro-L-phenylalanine) positron emission tomography/computed tomography (PET/CT) was recommended (an investigation that cannot be carried out in the country), but the parents refused to carry out the investigation abroad. In this case, early surgical treatment could have been curative. In addition, the second child also presented secondary adrenal insufficiency requiring replacement therapy. At the same time, she developed early recurrent seizures that required antiepileptic treatment. We emphasize the importance of molecular genetic testing for diagnosis, management and genetic counseling in patients with HH. Full article

Garnet-type materials consisting of Y₃Al_5-2x(Mg,Ge)_xO₁₂ (x = 0, 1, 2), combined with Eu³⁺ or Ce³⁺ activator ions, were prepared by a solid-state method to determine the structural and optical correlations. The structure of Y₃Al_5-2x(Mg,Ge)_xO₁₂ (x = 1, 2) was determined to be a cubic unit cell (Ia-3d), which contains an 8-coordinated Y³⁺ site with octahedral (Mg,Al)O₆ and tetrahedral (Al,Ge)O₄ polyhedra, using synchrotron powder X-ray diffraction. When Eu³⁺ or Ce³⁺ ions were substituted for the Y³⁺ site in the Y₃Al_5-2x(Mg,Ge)_xO₁₂ host lattices, the emission spectra showed a decrease in the magnetic dipole f-f Eu³⁺ transition and a redshift of the d-f Ce³⁺ transition, related to centrosymmetry and crystal field splitting, respectively. These changes were monitored according to the increase in Mg²⁺ and Ge⁴⁺ contents. The dodecahedral and octahedral edge sharing was identified as a key distortion factor for the structure-correlated luminescence in the Eu³⁺/Ce³⁺-doped Y₃Al_5-2x(Mg,Ge)_xO₁₂ garnet phosphors. Full article

Evaluating the effects of wall restoration on ancient buildings has been a difficult task, and it is important that the overall appearance of the restored walls of ancient buildings is similar, harmonious, and uniform. This paper used a hue–saturation–value (HSV) color space and Circular Local Binary Pattern (CLBP) to analyze the comprehensive similarity between a restored wall and the original walls in Qi Li Ancient Town. The results show that the values of the comprehensive similarity calculation of ancient buildings based on the color and texture were consistent with the actual situation. The method is suitable for evaluating the degree of matching between wall repair materials and the appearance of the original wall materials of ancient buildings, and it can also be used to assess the comprehensive similarity between the repair materials and the original building walls before carrying out the wall repair in order to select more suitable materials for wall repair and achieve the best repair effect. And it is flexible and objective compared to human judgement. Through the accurate restoration of ancient buildings, not only can we protect cultural heritage and continue the historical lineage, we can also enhance the aesthetic value of buildings and meet people’s needs for historical and cultural tracing. Full article

Background/Objectives: Patient care in Cardiac Intensive Care Units (CICU) has evolved but data on patient characteristics and outcomes are sparse. This retrospective observational study aimed to define clinical characteristics and risk factors of CICU patients, their in-hospital and 30-day mortality, and compare it with established risk scores. Methods: Consecutive patients (n = 294, mean age 70 years, 74% males) hospitalized within 15 months were studied; APACHE II, EHMRG, GWTG-HF, and GRACE II were calculated on admission. Results: Most patients were admitted for ACS (48.3%) and acute decompensated heart failure (ADHF) (31.3%). Median duration of hospitalization was 2 days (IQR = 1, 4). In-hospital infection occurred in 20%, 18% needed mechanical ventilation, 10% renal replacement therapy and 4% percutaneous ventricular assist devices (33%, 29%, 20% and 4%, respectively, for ADHF). In-hospital and 30-day mortality was 18% and 11% for all patients (29% and 23%, respectively, for ADHF). Established scores (especially APACHE II) had a good diagnostic accuracy (area under the curve-AUC). In univariate and multivariate analyses in-hospital intubation and infection, history of coronary artery disease, hypotension, uremia and hypoxemia on admission were the most important risk factors. Based on these, a proposed new score showed a diagnostic accuracy of 0.954 (AUC) for in-hospital mortality, outperforming previous scores. Conclusions: Patients are admitted mainly with ACS or ADHF, the latter with worse prognosis. Several patients need advanced support; intubation and infections adversely affect prognosis. Established scores predict mortality satisfactorily, but larger studies are needed to develop CICU-directed scores to identify risk factors, improve prediction, guide treatment and staff training. Full article

In this study, the 10-year cardiovascular risk associated with comorbid sleep disorders (insomnia disorder, obstructive sleep apnea syndrome, and COMISA [comorbid insomnia and sleep apnea]) was investigated for patients with major depression. To enable our analysis, 607 patients with major depression were selected from the data register of the Sleep Unit. High 10-year cardiovascular risk was considered present when the Framingham Risk Score was ≥10%. The 10-year cardiovascular risk associated with comorbid sleep disorders has been assessed using logistic regression analyzes. High 10-year cardiovascular risk is significant (40.4%) in patients with major depression. After successive introduction of the different confounders, multivariate logistic regressions showed that for patients with major depression high 10-year cardiovascular risk was significantly associated with COMISA but was not significantly associated with insomnia disorder or obstructive sleep apnea syndrome alone. Thus, these results highlight the existence of a negative synergistic action between insomnia disorder and obstructive sleep apnea syndrome on the 10-year cardiovascular risk in patients with major depression, which demonstrates the importance of researching and treating COMISA to improve the prognosis of this specific population subgroup characterized by higher cardiovascular morbidity and mortality. Full article

Early-onset colorectal cancer emerges as a distinctive clinical and biological entity and is generally defined as the onset of colon or rectal neoplasia before the age of 50. Several reports describe an increasing incidence worldwide of colorectal cancers occurring in individuals younger than 50 years, along with particular histologic and molecular features. Although heredity may be an explanation in some cases with young-onset colorectal cancer, other driving factors remain partially unknown. The present study explores demographic, clinical, and pathological features within a group of patients diagnosed with colorectal cancer before the age of 50. It is a retrospective survey based on data collected between 2017 and 2023 within three surgical departments from a tertiary Romanian hospital. The clinical and pathological features we identified (later-stage disease, distal colon tumor localization, mucinous histology) are mainly superimposed with the existing data in the literature regarding this pathology. In order to lower the burden that colorectal neoplasia diagnosed in the young implies, a change of paradigm should be made in terms of establishing effective and targeted screening programs but also in the direction of enhancing complex clinical, pathological, and molecular diagnosis. Full article

Osteosarcoma is the most common primary malignant bone tumor in children and adolescents. The standard and most effective treatment is wide resection of the tumor combined with neoadjuvant chemotherapy. Adolescent idiopathic scoliosis (AIS) is a genetically determined three-dimensional spinal deformity, which occurs in teenage patients and is mostly progressive. The basic management strategy is surgical treatment when the curve exceeds 50 degrees. However, the indications are different in oncologic patients. The aim of this study was to describe a case of adolescent scoliosis with osteosarcoma of the pelvis. The authors conducted a scoping review using PubMed and Embase to analyze the state of knowledge. The presented paper is the first report of pelvis osteosarcoma coexisting with adolescent idiopathic scoliosis. Treatment for this complex case finished with very good results, with no recurrence observed during the nine-year follow-up. Full article

Since 2011, South Korea has implemented biannual vaccinations against foot-and-mouth disease (FMD) and recently, lumpy skin disease (LSD), to mitigate the spread of transboundary animal diseases. However, due to past adverse reactions, potentially linked to acute phase responses from FMD vaccinations, there is hesitancy among Korean livestock farmers regarding new strategies for simultaneous vaccinations against both FMD and LSD. This study was conducted to assess possible adverse reactions to the LSD vaccination by analyzing acute phase proteins (APPs) in three groups: cows vaccinated against FMD (G1-FMDV), LSD (G2-LSDV), and both (G3-FMDV/LSDV). In G1-FMDV, APP levels peaked on day 3 post-vaccination (p < 0.001) and returned to baseline. In G2-LSDV, APP levels increased gradually, peaking on day 10 post-vaccination. In G3-FMDV/LSDV, APP levels peaked on day 3 post-vaccination and remained high until day 10 (p < 0.001). These results indicate that LSD vaccines trigger a later immune response compared to FMD vaccines, possibly due to different adjuvants. Therefore, a longer follow-up period for monitoring adverse reactions to LSD vaccinations may be required to understand and mitigate potential risks. Full article

Simultaneous nitrification and autotrophic denitrification (SNAD) has received attention as an efficient biological nitrogen removal alternative. However, SNAD using elemental sulfur (S⁰) has scarcely been studied. Thus, the main objective of this research was to study the behavior of a simultaneous nitrification–autotrophic denitrification operation in a sequential batch reactor (SNAD-SBR) at a lab scale using S⁰ as an electron donor, including its kinetics. Two-scale reactors were operated at lab scales in cycles for 155 days with an increasing nitrogen loading rate (NLR: 0.0296 to 0.0511 kg N-NH₄⁺/m³/d) at 31 °C. As a result, simultaneous nitrification–autotrophic denitrification using S⁰ as an electron donor was performed successfully, with nitrification efficiency of 98.63% and denitrification efficiency of 44.9%, with autotrophic denitrification as the limiting phase. The kinetic model adjusted for ammonium-oxidizing bacteria (AOB) was the Monod-type kinetic model (µmax = 0.791 d⁻¹), while, for nitrite-oxidizing bacteria (NOB), the Haldane-type model was employed (µmax = 0.822 d⁻¹). For denitrifying microorganisms, the kinetic model was adjusted by a half order (k_1/2v = 0.2054 mg^1/2/L^1/2/h). Thus, we concluded that SNAD could be feasible using S⁰ as an electron donor, with kinetic behavior similar to that of other processes. Full article

A fast time synchronization method for large-scale LEO satellite networks based on a bionic algorithm is proposed. Because the inter-satellite links are continuously established and interrupted due to the relative motion of the satellites, the topology of the LEO satellite networks is time varying. Firstly, according to the ephemeris information in navigation messages, a connection table which records the connections between satellites is generated. Then, based on the connection table, the current satellite network topology is calculated and generated. Furthermore, a bionic algorithm is used to select some satellites as time source nodes and calculate the hierarchy of the clock transmission tree. By taking the minimum level of the time transmission tree as the optimization objective, the time source nodes and the clock stratums of the whole satellite networks are obtained. Finally, the onboard computational center broadcasts the time layer table to all the satellites in the LEO satellite networks and the time synchronization links can be established or recovered fast. Full article

Concerns persist about attentional engagement in online learning. The inter-subject correlation of eye movements (ISC) has shown promise as an accessible and effective method for attention assessment in online learning. This study extends previous studies investigating ISC of eye movements in online learning by addressing two research questions. Firstly, can ISC predict students’ attentional states at a finer level beyond a simple dichotomy of attention states (e.g., attending and distracted states)? Secondly, whether learners’ learning styles affect ISC’s prediction rate of attention assessment in video learning? Previous studies have shown that learners of different learning styles have different eye movement patterns when viewing static materials. However, limited research has explored the impact of learning styles on viewing patterns in video learning. An eye tracking experiment with participants watching lecture videos demonstrated a connection between ISC and self-reported attention states at a finer level. We also demonstrated that learning styles did not significantly affect ISC’s prediction rate of attention assessment in video learning, suggesting that ISC of eye movements can be effectively used without considering learners’ learning styles. These findings contribute to the ongoing discourse on optimizing attention assessment in the evolving landscape of online education. Full article

The aim of this study was to show for the first time that low-frequency 3D-transmitted ultrasound tomography (3D UT, volography) can differentiate breast tissue types using tissue properties, accurately measure glandular and ductal volumes in vivo, and measure variation over time. Data were collected for 400 QT breast scans on 24 women (ages 18–71), including four (4) postmenopausal subjects, 6–10 times over 2+ months of observation. The date of onset of menopause was noted, and the cases were further subdivided into three (3) classes: pre-, post-, and peri-menopausal. The ducts and glands were segmented using breast speed of sound, attenuation, and reflectivity images and followed over several menstrual cycles. The coefficient of variation (CoV) for glandular tissue in premenopausal women was significantly larger than for postmenopausal women, whereas this is not true for the ductal CoV. The glandular standard deviation (SD) is significantly larger in premenopausal women vs. postmenopausal women, whereas this is not true for ductal tissue. We conclude that ducts do not appreciably change over the menstrual cycle in either pre- or post-menopausal subjects, whereas glands change significantly over the cycle in pre-menopausal women, and 3D UT can differentiate ducts from glands in vivo. Full article

Continuous advancements in GNSS systems have led, apart from the broadly used GPS, to the development of other satellite systems (Galileo, BeiDou, GLONASS), which have significantly increased the number of available satellites for GNSS positioning applications. However, despite GNSS satellites’ redundancy, a potential poor GNSS satellite signal (i.e., low signal-to-noise ratio) can negatively affect the GNSS’s performance and positioning accuracy. On the other hand, selecting high-quality GNSS satellite signals by retaining a sufficient number of GNSS satellites can enhance the GNSS’s positioning performance. Various methods, including optimization algorithms, which are also commonly adopted in artificial intelligence (AI) methods, have been applied for satellite selection. In this study, five optimization algorithms were investigated and assessed in terms of their ability to determine the optimal GNSS satellite constellation, such as Artificial Bee Colony optimization (ABC), Ant Colony Optimization (ACO), Genetic Algorithm (GA), Particle Swarm Optimization (PSO), and Simulated Annealing (SA). The assessment of the optimization algorithms was based on two criteria, such as the robustness of the solution for the optimal satellite constellation and the time required to find the solution. The selection of the GNSS satellites was based on the weighted geometric dilution of precision (WGDOP) parameter, where the geometric dilution of precision (GDOP) is modified by applying weights based on the quality of the satellites’ signal. The optimization algorithms were tested on the basis of 24 h of tracking data gathered from a permanent GNSS station, for GPS-only and multi-GNSS data (GPS, GLONASS, and Galileo). According to the comparison results, the ABC, ACO, and PSO algorithms were equivalent in terms of selection accuracy and speed. However, ABC was determined to be the most suitable algorithm due it requiring the fewest number of parameters to be set. To further investigate ABC’s performance, the method was applied for the selection of an optimal GNSS satellite subset according to the number of total available tracked GNSS satellites (up to 31 satellites), leading to more than 300 million possible combinations of 15 GNSS satellites. ABC was able to select the optimal satellite subsets with 100% accuracy. Full article

Surface-enhanced Raman scattering (SERS) is a promising technique for sensitive detection. The design and optimization of plasma-enhanced structures for SERS applications is an interesting challenge. In this study, we found that the SERS activity of MXene (Ti₃C₂T_x) can be improved by adding Au nanoparticles (NPs) in a simple photoreduction process. Fluoride-salt-etched MXene was deposited by drop-casting on a glass slide, and Au NPs were formed by the photocatalytic growth of gold(III) chloride trihydrate solutions under ultraviolet (UV) irradiation. The Au–MXene substrate formed by Au NPs anchored on the Ti₃C₂T_x sheet produced significant SERS through the synergistic effect of chemical and electromagnetic mechanisms. The structure and size of the Au-decorated MXene depended on the reaction time. When the MXene films were irradiated with a large number of UV photons, the size of the Au NPs increased. Hot spots were formed in the nanoscale gaps between the Au NPs, and the abundant surface functional groups of the MXene effectively adsorbed and interacted with the probe molecules. Simultaneously, as a SERS substrate, the proposed Au–MXene composite exhibited a wider linear range of 10⁻⁴–10⁻⁹ mol/L for detecting carbendazim. In addition, the enhancement factor of the optimized SERS substrate Au–MXene was 1.39 × 10⁶, and its relative standard deviation was less than 13%. This study provides a new concept for extending experimental strategies to further improve the performance of SERS. Full article

Banana bunchy top virus (BBTV) was recently detected in Mozambique and appears to be limited to the provinces of Gaza, Maputo and Zambezia, but it has great potential to spread to other provinces. Despite its importance, nothing is known about the BBTV isolates that occur in Mozambique. In this study, the sequences of the S and R genes of forty isolates chosen as representatives of samples collected previously from eleven farms of the four administrative posts of the district of Chóckwè, province of Gaza, were sequenced and analyzed. The S-DNA nucleotide sequences of the analyzed isolates were highly conserved, with identity ranging from 97% to 100%. The same was observed for the R-DNA sequences, with most identities ranging between 98% and 100% among the isolates from Chókwè and above 90% when compared to the isolates from GenBank. The phylogenetic analysis showed that the Mozambican BBTV isolates belong to the Pacific–Indian Oceans (PIO) group, showing greater proximity to the isolate JQ820453 from Malawi than to the isolates from sub-Saharan countries, which were grouped in a distinct subclade. This is the first study conducted to determine the molecular characteristics of BBTV isolates present in Mozambique. Full article

Pollination by sexual deception specifically attracts male insects, through the floral scent and particular morphological features of the flower that serve as visual and tactile stimuli. The unique bond between the Ophrys speculum orchid and the male Dasyscolia ciliata wasp primarily stems from a few distinctive semiochemicals that mimic the female wasp’s sex pheromone, although the floral scent comprises a variety of compounds. An osmophore producing highly volatile compounds has been documented in four close relatives of O. speculum and is now being also investigated in this species. Given the existing debates regarding the structure of the labellum and stigmatic cavity in O. speculum, this study details their micromorphology. Additionally, comparisons of O. speculum flowers and female D. ciliata wasps under stereomicroscopy and scanning electron microscopy are conducted to seek new evidence of visual and tactile mimicry. The findings confirm that (i) an osmophore is present at the apical margin of the labellum in O. speculum flowers; (ii) the labellum features a distinct basal field homologous to those found in other Ophrys species; and (iii) the basal labellum region closely mimics the female wasp’s thorax and wings. The implications of these novel floral features are discussed within an evolutionary context. Full article

South Asians (SAs) have a higher risk of developing type 2 diabetes (T2D) than white Europeans, especially following gestational diabetes mellitus (GDM). Despite similar blood glucose levels post-GDM, SAs exhibit more insulin resistance (IR) than Nordics, though the underlying mechanisms are unclear. This study aimed to assess markers of adipose tissue (AT) IR and liver fat in SA and Nordic women post-GDM. A total of 179 SA and 108 Nordic women in Norway underwent oral glucose tolerance tests 1–3 years post-GDM. We measured metabolic markers and calculated the AT IR index and non-alcoholic fatty liver disease liver fat (NAFLD-LFS) scores. Results showed that normoglycaemic SAs had less non-esterified fatty acid (NEFA) suppression during the test, resembling prediabetes/T2D responses, and higher levels of plasma fetuin-A, CRP, and IL-6 but lower adiponectin, indicating AT inflammation. Furthermore, normoglycaemic SAs had higher NAFLD-LFS scores, lower insulin clearance, and higher peripheral insulin than Nordics, indicating increased AT IR, inflammation, and liver fat in SAs. Higher liver fat markers significantly contributed to the ethnic disparities in glucose metabolism, suggesting a key area for intervention to reduce T2D risk post-GDM in SAs. Full article

High-dynamic-range integrated magnetometers demonstrate extensive potential applications in fields involving complex and changing magnetic fields. Among them, Diamond Nitrogen Vacancy Color Core Magnetometer has outstanding performance in wide-range and high-precision magnetic field measurement based on its inherent high spatial resolution, high sensitivity and other characteristics. Therefore, an innovative frequency-tracking scheme is proposed in this study, which continuously monitors the resonant frequency shift of the NV color center induced by a time-varying magnetic field and feeds it back to the microwave source. This scheme successfully expands the dynamic range to 6.4 mT, approximately 34 times the intrinsic dynamic range of the diamond nitrogen-vacancy (NV) center. Additionally, it achieves efficient detection of rapidly changing magnetic field signals at a rate of 0.038 T/s. Full article

The specific damping capacity variation of heat-treated NiTi was observed during a pseudoelasticity test. The detailed B2 → R-phase transformation process in cold-drawn NiTi wires undergoing middle-temperature aging was studied via X-ray diffraction, transmission electron microscope, and internal friction technique. Results show that, as aging time increased at 450 °C, the dynamic phase transition splitting from B2 → R to B2 → R₁ and B2 → R₂ became evident. However, such a splitting process was not observed for the sample after aging at 400 °C. The reason for R-phase generation is attributed to non-uniformly distributed stress fields. The splitting of the internal friction peak, in conjunction with high-resolution transmission electron microscope and mechanic results, suggests a substantial occurrence of short-range segregation of Ni atoms in the B2-NiTi matrix. Furthermore, the specific damping capacity (SDC) exhibits a gradual increase with prolonged annealing time. Specifically, the sample with significant dynamic phase transition splitting reaches an SDC value of 0.60. Full article

Recently, nanomaterials have attracted extensive attention in cancer-targeting therapy and as drug delivery vehicles owing to their unique surface and size properties. Multifunctional combinations of nanomaterials have become a research hotspot as researchers aim to provide a full understanding of their nanomaterial characteristics. In this study, metal–organic framework-capped gold nanorod hybrids were synthesized. Our research explored their ability to kill tumor cells by locally increasing the temperature via photothermal conclusion. The specific peroxidase-like activity endows the hybrids with the ability to disrupt the oxidative balance in vitro. Simultaneously, chemotherapeutic drugs are administered and delivered by loading and transportation for effective combinatorial cancer treatment, thereby enhancing the curative effect and reducing the unpredictable toxicity and side effects of large doses of chemotherapeutic drugs. These studies can improve combinatorial cancer therapy and enhance cancer treatment. Full article