Background: Established barriers to general exercise and physical activity among individuals with head and neck cancer include dry mouth, difficulty eating, weight loss, fear of injury, comorbidities, and treatment-related symptoms of pain and fatigue. Methods/Design: A 12-week pragmatic randomized controlled trial was conducted followed by an optional supported exercise transition phase. Eligible participants were individuals with head and neck cancers who had undergone surgery and/or radiation therapy to lymph node regions in the neck. Participants were randomized to a comparison group involving a shoulder and neck physiotherapeutic exercise protocol, or to a combined experimental group comprising the shoulder and neck physiotherapeutic exercise protocol and lower-body resistance exercise training. The primary outcome of this study was fatigue-related quality of life. Results: Sixty-one participants enrolled, 59 (97%) completed the randomized trial phase, 55 (90%) completed the 24-week follow-up, and 52 (85%) completed the one-year follow-up. Statistically significant between-group differences were found in favor of the combined experimental group for the fatigue-related quality of life, fitness outcomes, and overall physical activity. Paired comparisons confirmed significant within-group improvements for both groups from baseline to one-year follow-up across most outcomes. Discussion: A group-based combined physiotherapeutic and lower-body resistance exercise program was feasible and effective. Findings are limited to individuals who had undergone a surgical neck dissection procedure. Given the complexity of head and neck cancer, further pragmatic interdisciplinary research is warranted. Full article

The synucleinopathies are a diverse group of neurodegenerative disorders characterized by the accumulation of aggregated alpha-synuclein (aSyn) in vulnerable populations of brain cells. Oxidative stress is both a cause and a consequence of aSyn aggregation in the synucleinopathies; however, noninvasive methods for detecting oxidative stress in living animals have proven elusive. In this study, we used the reactive oxygen species (ROS)-sensitive positron emission tomography (PET) radiotracer [¹⁸F]ROStrace to detect increases in oxidative stress in the widely-used A53T mouse model of synucleinopathy. A53T-specific elevations in [¹⁸F]ROStrace signal emerged at a relatively early age (6–8 months) and became more widespread within the brain over time, a pattern which paralleled the progressive development of aSyn pathology and oxidative damage in A53T brain tissue. Systemic administration of lipopolysaccharide (LPS) also caused rapid and long-lasting elevations in [¹⁸F]ROStrace signal in A53T mice, suggesting that chronic, aSyn-associated oxidative stress may render these animals more vulnerable to further inflammatory insult. Collectively, these results provide novel evidence that oxidative stress is an early and chronic process during the development of synucleinopathy and suggest that PET imaging with [¹⁸F]ROStrace holds promise as a means of detecting aSyn-associated oxidative stress noninvasively. Full article

The cause(s) of missing inflectional morphology in obligatory contexts by adult speakers of second language (L2) English is subject to ongoing discussion. Whatever the specific theory, however, the apparent asymmetrical production of the morpheme ‘-s’ in the marking of number on plural nouns versus that on third person singular agreement has to be accounted for. This study adopts the theoretical approach put forward by the Prosodic Transfer Hypothesis, whereby the prosodic representation of inflectional morphology in the first language (L1) can, to some extent, account for differences in the suppliance of inflectional morphology in L2 English within and across L1s. It is in this context that the production of third person singular agreement, and, for contrastive purposes, number on plural nouns, by L1 Bengali speakers of L2 English, is are considered in relation to available prosodic representation in the L1, as well as against phonological processes attested in L1 acquisition. More specifically, covert contrasts. An inspection of spectrograms from instances of the omission of inflection by L1 Bengali speakers of L2 English at Beginner to Intermediate proficiency levels does not, however, indicate that learners are covertly supplying agreement on the third person singular (or plural number on nouns). This finding does not necessarily rule out the occurrence of covert contrasts in L2 production of inflectional morphology; alternative techniques may detect a systematic difference between bare verbs and non-audible (to the listener) inflection. Full article

Vaccine-induced thrombotic thrombocytopenia (VITT) is a rare but severe complication following COVID-19 vaccination, marked by thrombocytopenia and thrombosis. Analogous to heparin-induced thrombocytopenia (HIT), VITT shares similarities in anti-platelet factor 4 (PF4) IgG-mediated platelet activation via the FcγRIIa. To investigate the involvement of platelet-antibodies in VITT, we analyzed the presence of platelet-antibodies directed against glycoproteins (GP)IIb/IIIa, GPV and GPIb/IX in the serum of 232 clinically suspected VITT patients determined based on (suspicion of) occurrence of thrombocytopenia and/or thrombosis in relation to COVID-19 vaccination. We found that 19% of clinically suspected VITT patients tested positive for anti-platelet GPs: 39%, 32% and 86% patients tested positive for GPIIb/IIIa, GPV and GPIb/IX, respectively. No HIT-like VITT patients (with thrombocytopenia and thrombosis) tested positive for platelet-antibodies. Therefore, it seems unlikely that platelet-antibodies play a role in HIT-like anti-PF4-mediated VITT. Platelet-antibodies were predominantly associated with the occurrence of thrombocytopenia. We found no association between the type of vaccination (adenoviral vector vaccine versus mRNA vaccine) or different vaccines (ChAdOx1 nCoV-19, Ad26.COV2.S, mRNA-1273, BTN162b2) and the development of platelet-antibodies. It is essential to conduct more research on the pathophysiology of VITT, to improve diagnostic approaches and identify preventive and therapeutic strategies. Full article

Cultural philosophies, belief systems and experiences serve as superordinate cultural concepts that are reconceptualised and expressed using metaphorical personal names in Mabia languages. Metaphorical personal names are ‘vehicles’ that transport the worldviews of speakers of Mabia languages to the target audiences. Every metaphorical personal name shares properties of a superordinate umbrella concept such that even newly created metaphorical names fall within an already existing cultural philosophy. This study argues that there is a corresponding relationship between a metaphorical personal name, the source domain, and its superordinate umbrella philosophical concept, the target domain. The study uses data from four Mabia ‘sister’ languages of West Africa: Dagbani, Kusaal, Likpakpaln, and Sisaali. The findings show that the source domains of these names include the name-bearer and the personal name itself, and the name-giver, whilst the target domains include flora and fauna terms, belief systems, innuendos and proverbs, experiences of name-givers, ‘death prevention’ labels, among others. The article also establishes that both sociocultural and ethnolinguistic factors influence the use of metaphorical personal names in the cultures under study. The Conceptual Metaphor Theory (CMT) is employed for the analysis of data in this research. The work uses the qualitative method and data are sourced from semi-structured interviews, from school registers and other previous studies on personal names in the selected languages. Full article

This article draws on case studies or ‘microhistories’ from the author’s own research to explore the ethical responsibility of family historians to represent the experiences of those whose lives have been ‘hidden from history’, and in particular the lives of one’s female ancestors, as a way of correcting the omissions and erasures of official histories. It also discusses the ethical dilemmas posed by the discovery that one’s ancestors were involved in activities that are now regarded as morally suspect, such as profiting from the ownership of slaves. Finally, the article debates ethical arguments about respecting the rights of the dead to privacy. Full article

This study provides a comprehensive overview of trends in Scandinavian early childhood education (ECEC) research from 2006 to 2021, based on the Nordic Base of Early Childhood Education and Care’s (NB-ECEC) annual reports. The study reveals a notable increase in empirical studies in Scandinavia, particularly in Sweden and Norway. The rise in English publications is attributed to international collaborations and political guidelines. Dominant thematic areas include pedagogical practices and teaching and learning, while economics and classroom management receive less focus. Qualitative research prevails, with a shortage of quantitative methods like randomised controlled trials and longitudinal designs. The study emphasises the importance of diversifying research methodologies, acknowledges positive developments in research quality, and notes an increasing trend in international peer-reviewed journal publications. Full article

In this study, we investigated the structural properties and digestibility of wheat starch treated with octenyl succinic anhydride (OSA). For the experiment, the samples were reacted with 2, 4, 6, 8, and 10% OSA (pH 8.5–9.0) for 2 h. A light micrograph showed that there was no difference in the morphology and Maltese cross between native and OSA-treated starch. The X-ray diffraction (XRD) patterns of the native and OSA-treated starches showed typical A-type diffraction. In addition, the Fourier transform infrared (FT-IR) spectrum showed a distinct carbonyl peak at approximately 1730 cm⁻¹, indicating the stretching vibration of the C=O bond of the ester group. The degree of substitution (DS) and content of resistant starch (RS) increased with increasing concentrations of treated OSA because of the increase in ester bonds. In particular, RS was thermostable compared to the RS content in uncooked and cooked starch. Blood glucose levels and response in vivo decreased as the OSA concentration increased. Treatment of wheat starch with 8% OSA concentration produced 35.6% heat-stable resistant starch. These results suggest that starch modified with OSA can be used to produce functional foods for diabetes. Full article

Bacitracin Methylene Disalicylate (BMD), as a feed additive to poultry diets, enhances digestion, prevents Salmonella enteritidis (SE) colonization, and treats current infections. The objective of this study was to utilize a quantitative proteomic approach to determine the effect of BMD feed additive on broiler chickens challenged with SE in the spleen proteome. At 1 d of age, chicks were randomly allocated into four groups: control with and without SE challenge (CON, n = 60; CON-SE, n = 60), BMD with and without SE challenge (BMD, n = 60; BMD-SE, n = 60). Birds in the CON-SE and BMD-SE treatment were administered SE inoculum by oral gavage. On day three and day seven post-gavage, the spleen was collected aseptically from birds in each treatment group (CON, n = 4/day; CON-SE, n = 4/day; BMD, n = 4/day; BMD-SE, n = 4/day). Proteomic analysis by liquid chromatography-tandem mass spectrometry (LC-MS/MS) showed an increased abundance of 115 proteins and decreased of 77 due to the BMD. Proteins that decreased in abundance were enriched for fibrinogen complex and extracellular space, whereas proteins that increased in abundance were enriched for proteasome-mediated ubiquitin-dependent protein catabolic process and mitochondrion. Analysis of the interaction between BMD and the Salmonella challenge found 230 differentially abundant proteins including proteins associated with RNA binding, spliceosome, protein transport, and cell adhesion among the upregulated proteins, and those associated with protein folding, carbon metabolism, biosynthesis of nucleotide sugars, response to oxidative stress, positive regulation of NIK/NF-kappaB signaling, and inflammatory response among the downregulated proteins. The impact of BMD treatment on spleen proteome indicates an anti-apoptotic effect. BMD also modified the response of the spleen to the SE challenge with a marked decrease in proteins that prompt cytokine synthesis and an increase in proteins involved in the selective removal of unfolded proteins. Full article

The purpose of this study is to present the state of the art of recent research on nonverbal communication in L2 classroom interaction, in particular on teachers’ and students’ gestures, and then focus on a case of gestures in an L2 Italian classroom. A corpus of video-recorded interactions (CLODIS) were analyzed to answer the following research question: How do L2 Italian native teachers behave when addressing international students? Are there differences with what has been observed in other foreign language (L2) teaching contexts? Both previous data-based research on multimodality in L2 classes and the analysis on CLODIS show that teachers select and coordinate multiple semiotic modes as interactional resources to complete various teaching tasks. Furthermore, Italian native teachers use not only the typical pedagogical gestures (both iconic and metaphorical), but also culturally specific emblems that may cause misunderstandings or inappropriate mirroring effects. For these reasons, it is important that L2 teachers develop a good multimodal awareness, especially if they teach their mother tongue to foreign students and if they belong to a “contact culture”, as is the case observed in L2 Italian classes. Full article

The conversion of furfural to furfuryl alcohol is one of the most significant reactions from industrial-scale produced biomass platform molecules to value-added chemicals. In this work, biomass-based chitosan was used as both a carbon source and nitrogen source to synthesize nitrogen-doped carbon. With the addition of cobalt, the optimized 7.5Co-NC-900 catalyst had the largest surface area and the graphite nanotube structure with the least defects. It was employed for the hydrogenation of furfural to furfuryl alcohol and reached a nearly full conversion and an equivalent yield at 130 °C in 4 MPa initial H₂. The structure–function relationship study indicated that the N could interact with the neighbor Co in this catalyst and formed an electron-deficient Co center which was in favor of the adsorption of furfural in the nanotube and had high catalytic activity. The interactions between Co and N stabilized the catalyst so that it could remain stable in five runs of catalytic reactions. Full article

The resistance loss and energy consumption when fluid flows through a tee in an HVAC system are severe. To improve energy efficiency and reduce carbon emissions, a novel tee with a U-shaped deflector is proposed, supported by experiments and numerical simulations. The resistance reduction mechanism of the U-shaped deflector was analyzed according to the viscous dissipation principle and the field synergy principle. The resistance reduction of the novel tee with different deflector angles and a traditional tee were compared. The results show that the resistance loss of the tee was mainly due to the flow separation and deformation of the fluid in the main branch. The relationship between the local resistance coefficient and the diameter ratio of the main-branch pipe was exponential, and the relationship between the local resistance coefficient and the diameter ratio of the main straight pipe was linear. The total resistance loss reduction rate of the tee with the addition of a 26° deflector was the highest, reaching 72.4%, the volume-weighted average synergy angle increased by 1°, and the viscous dissipation decreased by 21.7%. This study provides a reference for the resistance reduction design of complex local components such as tees in HVAC systems. Full article

Broad-area lasers (BALs) have found applications in a variety of crucial fields on account of their high output power and high energy transfer efficiency. However, they suffer from poor spatial beam quality due to multi-mode behavior along the waveguide transverse direction. In this paper, we propose a novel metasurface waveguide structure acting as a transverse mode selective back-reflector for BALs. In order to effectively inverse design such a structure, a digital adjoint algorithm is introduced to adapt the considerably large design area and the high degree of freedom. As a proof of the concept, a device structure with a design area of 40 × 20 μm² is investigated. The simulation results exhibit high fundamental mode reflection (above 90%), while higher-order transverse mode reflections are suppressed below 0.2%. This is, to our knowledge, the largest device structure designed based on the inverse method. We exploited such a device and the method and further investigated the device’s robustness and feasibility of the inverse method. The results are elaborately discussed. Full article

According to the Phase Impenetrability Condition (PIC), phasal domains are opaque to further syntactic operations. Some researchers claim that the PIC applies in the phonological component of grammar (i.e., at PF). Others, however, claim that there is no PIC at PF. I use data from Turkish to provide new arguments against the PIC-at-PF view and conclude that the PIC can only possibly hold in syntax. I show that the PIC-at-PF view is too restrictive, as it makes incorrect predictions about variable prosodic domain formation and optional prosodic variation in Turkish. Full article

A major railway project is a complex, giant system with multi-party participation, one characterized by complex geological conditions, long construction periods and large scale, which leads to an increased likelihood of safety risk events during construction. In order to solve the problem of scientific selection and formulation of safety risk prevention and control strategies for major railway projects, an auxiliary selection method of safety risk prevention and control strategies for major railway projects based on weighted Euclidean distance (WED) is proposed. The relevant ontology is used to conceptualize and formalize the knowledge of safety risks of major railroad projects, and combine the characteristics of major railroad projects; it refers to the prevention and control measures of historical safety risk events associated with major railroad projects, and then constructs the knowledge structure and case base around safety risks of major railroad projects and the circumstances of the case. In determining the comprehensive weights, the G1 method is used to determine the subjective weights, the anti-entropy weight method is used to determine the objective weights and game theory combines the subjective and objective weights. In comparing the array of safety risk prevention and control cases associated with major railway projects, the weighted Euclidean distance is used to calculate the similarity between these cases and the target case, which in turn assists project managers in determining the safety risk prevention and control strategies appropriate for major railway projects. This study takes Landslide No. 1 in the Tunnel A inlet planning area as an example. It utilizes the WED method to assist in selecting safety risk prevention and control strategies for major railway projects, which verifies the method’s feasibility. The proposed method enriches the method of the assisted selection of safety risk prevention and control strategies for major railway projects, makes strategy formulation more scientific, has specific reference significance for the formulation of safety risk prevention and control strategies for major railway projects, and promotes the improvement of safety risk prevention and risk control for participating units. Full article

Nanostructured lipid carriers (NLCs) have the potential to increase the bioavailability and reduce the side effects of docetaxel (DTX). However, only a small fraction of nanoparticles given intravenously can reach a solid tumor. In situ-forming gels combined with nanoparticles facilitate local administration and promote drug retention at the tumor site. Injectable hydrogels based on poloxamer 407 are excellent candidates for this hybrid nanoparticle–hydrogel system because of their thermoresponsive behavior and biocompatibility. Therefore, this work aimed to develop injectable poloxamer hydrogels containing NLCs for intratumoral delivery of DTX. To ensure sterility, the obtained hydrogels were autoclaved (121 °C for 15 min) after preparation. Then, the incorporation of NLCs into the poloxamer hydrogels and the impact of steam sterilization on the nanocomposite hydrogels were evaluated concerning sol–gel transition, injectability, and physicochemical stability. All formulations were extruded through the tested syringe–needle systems with acceptable force (2.2–13.4 N) and work (49.5–317.7 N·mm) of injection. Following steam sterilization, injection became easier in most cases, and the physicochemical properties of all hydrogels remained practically unchanged according to the spectroscopical and thermal analysis. The rheological evaluation revealed that the nanocomposite hydrogels were liquid at 25 °C and underwent rapid gelation at 37 °C. However, their sterilized counterparts gelled at 1–2 °C above body temperature, suggesting that the autoclaving conditions employed had rendered these nanocomposite hydrogels unsuitable for local drug delivery. Full article

West Nile virus (WNV) is capable of causing severe neurologic disease in both humans and equines, making it a disease of importance in both human medicine and veterinary medicine. No targeted treatments exist for WNV infection in either humans or equines. Infection is treated symptomatically through management of symptoms like fever and seizures. As treatment for WNV is purely supportive, the response to WNV has focused primarily on methods of disease prevention. To this end, research efforts have yielded several effective vaccines for equine use as well as numerous conventional mosquito control techniques. Even with the implementation of these techniques, disease caused by WNV remains a concern since no human vaccine exists. Due to the lack of a human vaccine, novel preventative strategies are under active research and development. Of these strategies, some of the most conceptually promising are techniques using genetically modified mosquitoes, addressing the disease at the vector level with minimal ecological side effects. Taken together, the use of combined, synergistic methods, such as physical barriers, transgenic mosquitoes, and immunological targets, will be the best way to prevent WNV disease. Full article

This study aimed to evaluate the dimensional stability of maxillary diagnostic casts fabricated from a biobased model resin, which consists of 50% renewable raw materials for sustainable production, a model resin, and stone, over one month. A master maxillary stone cast was digitized with a laboratory scanner to generate a reference file. This master cast was also scanned with an intraoral scanner to additively manufacture casts with a biobased model resin (BAM) and a model resin (AM). Polyvinylsiloxane impressions of the master cast were also made and poured in type III stone (CV) (n = 8). The same laboratory scanner was used to digitize each model one day (T0), 1 week (T1), 2 weeks (T2), 3 weeks (T3), and 4 weeks (T4) after fabrication. Deviations from the reference file were calculated with an analysis software and analyzed with generalized linear model analysis (α = 0.05). The interaction between the material and the time point affected measured deviations (p < 0.001). Regardless of the time point, CV had the lowest and AM had the highest deviations (p < 0.001). BAM mostly had lower deviations at T0 and mostly had higher deviations at T4 (p ≤ 0.011). AM had the highest deviations at T4 and then at T3, whereas it had the lowest deviations at T0 (p ≤ 0.002). The measured deviations of CV increased after each time point (p < 0.001). BAM casts had deviations within the previously reported clinically acceptable thresholds over one month and had acceptable dimensional stability. Therefore, tested biobased resin may be a viable alternative for the sustainable manufacturing of maxillary diagnostic casts that are to be used clinically. Full article

Background: Recent studies have suggested a possible connection between rosacea and patients’ gut microbiota. Objective: To investigate the differences in fecal microbial profiles between patients with rosacea and healthy controls. Methods: Gut microbiota of 54 rosacea patients (RP) were analyzed using MiSeq 16S rRNA sequencing. Enterotypes, the Firmicutes/Bacteroides (F/B) ratio, the significance of alpha and beta diversity, and differential abundance analysis (DAA) were calculated and compared with age- and gender-matched controls (CP, n = 50). Results: Significant changes in the enterotypes and F/B ratio were observed between the RP and CP (p = 0.017 and p = 0.002, respectively). The RP showed a decreased microbial richness and diversity compared to the CP (Shannon p = 0.012, inverse Simpson p = 0.034). Beta diversity also differed between both groups (PERMANOVA, p = 0.006). Fourteen significantly different taxa were detected according to DAA. Faecalibacterium prausnitzii (coef. −0.0800, p = 0.008), Lachnoospiraceae ND 3007 group sp. (coef. −0.073, p < 0.001), and Ruminococcaceae (coef. −0.072, p = 0.015) were significantly decreased; Oscillobacter sp. (coef. 0.023, p = 0.031), Flavonifractor plautii (coef. 0.011, p = 0.037), and Ruminococccaceae UBA 1819 (coef. 0.010, p = 0.031) were significantly increased in the RP compared to the CP. Conclusion: Significant alterations in gut microbiota were present in the RP. Taxonomic shifts and reduced richness and diversity were observed when compared to the CP. Larger prospective studies are needed to investigate correlations with clinical features and to translate these findings into future therapeutic approaches. Full article

Population migration continues to reshape the spatial pattern of China’s population and regional economic development. During this internal migration process, production and consumption patterns often change, ultimately leading to changes in green total factor productivity. This paper, based on the Chinese population census data and 1% sampling survey data from 2005 to 2015, utilizes social network analysis methods to measure the labor mobility network indicators of 284 prefecture-level cities. Further, this paper analyzes the impact and mechanisms of regional network status on green total factor productivity using a panel fixed effects model. We find that as network density increases, the interpersonal connections between regions become closer, and the network exhibits a clear pattern of “concentrated inflows” and “dispersed outflows”, with the trend of forming strong alliances becoming increasingly apparent. Regions positioned centrally either in terms of network in-degree or out-degree exhibit higher green total factor productivity. Among these, the labor mobility network plays a crucial role in enhancing green total factor productivity through the channel of technology diffusion effects, which improve investment efficiency via knowledge exchange and material capital accumulation. The promotive effect of labor network status on green total factor productivity is more pronounced in the eastern regions, where talent quality is higher, and in areas with fewer restrictions from the household registration system. Full article