Open-top chambers (OTCs) consist of semi-open enclosures used to investigate the impact of elevated carbon dioxide [CO₂] on crops and larger plant communities. OTCs have lower operational costs than alternatives such as controlled environment cabinets and Free Air Carbon Dioxide Enrichment (FACE). A low-cost design is presented for an OTC with a surface area of 1.2 m² and a target elevated CO₂ concentration [CO₂] of 650 µmol mol⁻¹ adequate for trials involving cereals or grain legumes. The elevated CO₂ chambers maintained an average concentration ± standard deviation of 652 ± 37 µmol mol⁻¹ despite wind and air turbulences, in comparison to 407 ± 10 µmol mol⁻¹ for non-enriched chambers. Relative to ambient (non-chamber) conditions, plants in the chambers were exposed to slightly warmer conditions (2.3 °C in daylight hours; 0.6 °C during night environment). The materials’ cost for constructing the chambers was USD 560 per chamber, while the CO₂ control system for four chambers dedicated to CO₂-enriched conditions cost USD 5388. To maintain the concentration of 650 µmol mol⁻¹ during daylight hours, each chamber consumed 1.38 L min⁻¹ of CO₂. This means that a size G CO₂ cylinder was consumed in 8–9 days in the operation of two chambers (at USD 40). Full article

The purpose of this study was to investigate nutrition perspectives, basic nutrition knowledge, and preferred sources of nutrition information among students at a southwestern university in the US. An original online survey was used to evaluate common sources of nutrition information, factors viewed as comprising a healthy dietary pattern, and attitudes toward nutrition information and recommendations. A total of 316 participants completed the survey. Prioritizing fruits and vegetables was the most common response (97%) for characterizing healthy eating. When asked which factors characterize a non-healthy pattern of eating, eating sweets was the top response (83%). The most common sources of nutrition information reported were word of mouth/friends and family (56%), followed by social media (45%). The majority felt that nutrition recommendations are constantly changing (78%) and that nutrition information is confusing (55%). Our data indicate that most students rely primarily on informal sources of nutrition information. However, our preliminary data also suggest that many students have a fair understanding of basic principles of healthy eating. More research in a broader and more diverse sample is needed to validate these findings. Full article

Coronavirus disease-19 (COVID-19) has disproportionately affected certain demographics in England, exacerbating existing health disparities. Effective therapeutics are a critical line of defence against COVID-19, particularly for patients at elevated risk for severe disease. Surveillance systems were established to monitor the usage of COVID-19 therapeutics in hospital and community settings and to inform stewardship. Three antiviral therapies—nirmatrelvir plus ritonavir (Paxlovid^®), remdesivir (Veklury^®), and molnupiravir (Lagevrio^®)—and two neutralising monoclonal antibody therapies (nMAbs)—sotrovimab (Xevudy^®) and casirivimab with imdevimab (Ronapreve^®)—were in use in England between July 2020 and April 2023. This paper aims to illuminate trends in the utilisation of COVID-19 therapeutics treatment in both hospital and community settings, stratified by the Index of Multiple Deprivation (IMD) in England. Chapter 3 of the English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) Report 2022 to 2023 also discusses the epidemiological surveillance of these five directly acting antiviral COVID-19 therapeutics’ use in England between 2022 and 2023. Full article

This paper presents the process of digital data flow in RE/CAD/RP/CAI systems to develop models for planning surgical procedures in the craniofacial area. At the first RE modeling stage, digital data processing, segmentation, and the reconstruction of the geometry of the anatomical structures were performed. During the CAD modeling stage, three different concepts were utilized. The first concept was used to create a tool that could mold the geometry of the cranial vault. The second concept was created to prepare a prototype implant that would complement the anterior part of the mandibular geometry. And finally, the third concept was used to design a customized prototype surgical plate that would match the mandibular geometry accurately. Physical models were made using a rapid prototyping technique. A Bambu Lab X1 3D printer was used for this purpose. The process of geometric accuracy evaluation was carried out on manufactured prototypes of surgical plates made of ABS+, CPE, PLA+, and PETG material. In the geometric accuracy evaluation process, the smallest deviation values were obtained for the ABS plus material, within a tolerance of ±0.1 mm, and the largest were obtained for CPE (±0.2 mm) and PLA plus (±0.18 mm). In terms of the surface roughness evaluation, the highest value of the Sa parameter was obtained for the PLA plus material, which was 4.15 µm, and the lowest was obtained for the CPE material, equal to 3.62 µm. The knowledge of the flow of digital data and the identification of factors determining the accuracy of mapping the geometry of anatomical structures allowed for the development of a procedure that improves the modeling and manufacturing of anatomical structures within the craniofacial region. Full article

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is a human pathogenic virus that encodes for a helicase (SC2Hel) that is essential for viral replication. SC2Hel has the ability to unravel dsRNA or dsDNA in an NTP-dependent manner from the 5′ to 3′ directionality. The standard helicase assay from studies involving SARS-CoV and SARS-CoV-2 have relied on the concept of fluorescence resonance energy transfer. Adding to the collection of helicase assays, herein, we have developed a novel tetrazolium-based colorimetric assay system for the detection of ADP that is produced via SC2Hel activity. This SC2Hel assay combines three enzyme-coupled steps involving the ADP-dependent Thermococcus litoralis glucokinase (TlGlcK), Leuconostoc mesenteroides glucose-6-phosphate dehydrogenase (LmG6PDH), and Clostridium kluyveri diaphorase (CkDIA). Iodonitrotetrazolium chloride (INT), a colorimetric tetrazolium reagent, was used in the final step of the assay that converted into INT-formazan during reduction. INT-formazan in the assay’s buffered solution at pH 7.6 exhibited an intense colorimetric response at a wavelength maximum of 505 nm. The assay exhibited excellent performance characteristics as it revealed a Z’ factor of 0.87 and it has the potential to be further adopted into high-throughput screening studies for therapeutic drug discovery research. Full article

Swallowing disorders, or dysphagia, can lead to bolus aspiration in the airway, causing serious adverse health effects. Current clinical interventions for dysphagia are mainly empirical and often based on symptoms rather than etiology, of which a thorough understanding is still lacking. However, it is challenging to study the swallowing process that involves sequential structural motions and is inaccessible to standard visualization instruments. This study proposed an in vitro method to visualize swallowing hydrodynamics and identify the fundamental mechanisms underlying overflow aspirations. An anatomically accurate pharynx–epiglottis model was developed from patient-specific CT images of 623 µm isotropic resolution. A compliant half-pharynx cast was prepared to incorporate dynamic structures and visualize the flow dynamics in the mid-sagittal plane. Three locations of frequent overflow aspiration were identified: the epiglottis base, cuneiform tubular recesses, and the interarytenoid notch. Water had a consistently higher aspiration risk than a 1% w/v methylcellulose (MC) solution. The contracting–relaxing pharynx and flapping epiglottis spread the liquid film, causing a delayed esophageal entry and increased vallecular residual, which was more pronounced with the MC solution. Dispensing the liquid too slowly resulted in water aspiration, whereas this was not observed with the MC solution. An incomplete epiglottis inversion, such as horizontal or down-tilt 45°, aggravated the aspiration risks of water. This study suggests that it is practical to use anatomically accurate respiratory–digestive models to study the swallowing process by incorporating varying physiological details. Full article

The German health authorities’ guidelines for medical devices in 2012 highlighted the importance of cleaning ultrasound probes, emphasizing their validation and reliability. In addition to automated and validated options, alternative manual methods such as wipe disinfection have gained traction due to their independence from additional hardware. The study examines the effectiveness of a manual cleaning process using wipes, addressing concerns raised by the Robert Koch Institute regarding the lack of validation for wipe disinfection of semi-critical devices. The EQUINOS colored wipe disinfection kit identified wetting gaps in all cleanings across four probes tested. The results indicate significant challenges in ensuring complete surface wetting, particularly in complex device parts such as clip-on areas and fixtures for additional biopsy attachments, suggesting that manual methods alone may not adequately mitigate the risk of infection transmission (p value < 0.0001). The study concludes that while manual disinfection methods are a commonly used alternative to automated reprocessing, there is a critical need for enhanced training and potentially the development of more effective manual disinfection techniques or colored wipes to ensure patient safety and compliance with healthcare hygiene standards. Full article

The delivery of therapeutical molecules through the skin, particularly to its deeper layers, is impaired due to the stratum corneum layer, which acts as a barrier to foreign substances. Thus, for the past years, scientists have focused on the development of more efficient methods to deliver molecules to skin distinct layers. Microneedles, as a new class of biomedical devices, consist of an array of microscale needles. This particular biomedical device has been drawing attention due to its ability to breach the stratum corneum, forming micro-conduits to facilitate the passage of therapeutical molecules. The microneedle device has several advantages over conventional methods, such as better medication adherence, easiness, and painless self-administration. Moreover, it is possible to deliver the molecules swiftly or over time. Microneedles can vary in shape, size, and composition. The design process of a microneedle device must take into account several factors, like the location delivery, the material, and the manufacturing process. Microneedles have been used in a large number of fields from drug and vaccine application to cosmetics, therapy, diagnoses, tissue engineering, sample extraction, cancer research, and wound healing, among others. Full article

Heron colonies are dynamic components of wetlands. Therefore, their systematic monitoring is important for the management of both birds and wetlands. During the period 1988–2018, we counted breeding pairs of seven colonial breeding heron species at 65 colonies across 37 wetlands in Greece. We considered as annual variables of a population: (a) years since 1988, (b) Natura 2000 network inclusion, (c) protected area management authority overseeing, (d) wetland type (new or restored), and (e) new colonies (established after 2003). The Cattle Egret Bubulcus ibis and the Squacco Heron Ardeola ralloides had a positive breeding population trend. The Black-crowned Night Heron Nycticorax nycticorax, Little Egret Egretta garzetta, and Grey Heron Ardea cinerea had a negative trend, while the Purple Heron Ardea purpurea population was stable. The Great White Egret Ardea alba bred sporadically at only a few sites which precluded the evaluation of its population trend. The informative population variables differed among species, even of those at the same colony, which suggests trends are also affected by conditions at wintering grounds. The study highlights the need for the systematic monitoring of heron colonies and the protection of foraging/breeding areas in order to reverse the observed negative population trends. Full article

Starting on 2 November 2023, some territories in the Region of Tuscany in Italy were hit by exceptionally intense meteorological and calamitous events. The Region of Tuscany’s government was immediately at the forefront of relief, assisting the population, and aiding restoration. On 3 November, a national state of emergency was declared due to flooding. Journalistic communication is an essential aspect of disaster mitigation, preparedness, response and recovery. In terms of protecting people and reducing damage, journalists and the media have an important role to play. This article reports an Italian case study analysing the behaviour of local media in cases of natural disaster. Nine focus groups were conducted with local journalists covering the flood emergency. The results highlight the role of social and institutional mediation, rather than mere dissemination, played by the local press in emergency situations, a central element in the construction of a community bond, precisely in moments of insecurity and disorientation. The narration of a disaster from the inside seems to have allowed the emergence and representation of hitherto unknown social realities in Tuscany. The goal of the news coverage was widened, making it possible to respond better to the diverse interests of the reading public and to satisfy in a short time and exhaustively the information needs of individual communities in difficulty. Full article

Autoimmune hepatitis (AIH) is a varied inflammatory chronic liver disease. AIH’s prevalence varies and has increased recently. Diagnosis involves the discovery of histologic features following liver biopsy and serologic testing. Clinical features vary, and up to 40% of patients may be asymptomatic. Evaluating thiopurine methyltransferase (TMPM) activity before treatment is crucial for an optimal response. The primary treatment goal is biochemical remission, normalized serum IgG, and liver enzymes. Induction therapy typically involves azathioprine and corticosteroids. Close monitoring of liver function tests and serum immunoglobulin levels is essential. Medications can be tapered after achieving biochemical remission. Liver transplantation may be required for refractory disease or cirrhosis. Further therapeutic approaches are needed, particularly for non-responders to first-line treatments. Full article

The gasification of residues into syngas offers a versatile gaseous fuel that can be used to produce heat and power in various applications. However, the application of syngas in engines presents several challenges due to the changes in its composition. Such variations can significantly alter the optimal operational conditions of the engines that are fueled with syngas, resulting in combustion instability, high engine variability, and misfires. In this context, this work presents an experimental investigation conducted on a port-fuel injection spark-ignition optical research engine using three different syngas mixtures, with a particular focus on the effects of CO/H₂ and diluent ratios. A comparative analysis is made against methane, considered as the baseline fuel. The in-cylinder pressure and related parameters are examined as indicators of combustion behavior. Additionally, 2D cycle-resolved digital visualization is employed to trace flame front propagation. Custom image processing techniques are applied to estimate flame speed, displacement, and morphological parameters. The engine runs at a constant speed (900 rpm) and with full throttle like stationary engine applications. The excess air–fuel ratios vary from 1.0 to 1.4 by adjusting the injection time and the spark timing according to the maximum brake torque of the baseline fuel. A thermodynamic analysis revealed notable trends in in-cylinder pressure traces, indicative of differences in combustion evolution and peak pressures among the syngas mixtures and methane. Moreover, the study quantified parameters such as the mass fraction burned, combustion stability (COVIMEP), and fuel conversion efficiency. The analysis provided insights into flame morphology, propagation speed, and distortion under varying conditions, shedding light on the influence of fuel composition and air dilution. Overall, the results contribute to advancing the understanding of syngas combustion behavior in SI engines and hold implications for optimizing engine performance and developing numerical models. Full article

Sub-Saharan Africa faces increasing levels of plastic production and importation, unregulated usage, and inadequate waste management systems. This region’s harsh conditions often lead to plastic breaking down into microplastics and nanoplastics. This review explores the abundance of micro/nanoplastics across different environmental mediums, such as surface waters, sediments, and aquatic organisms, in sub-Saharan African countries. It also highlights knowledge gaps concerning the region’s abundance of micro/nanoplastics. The effects of plastics and micro/nanoplastics on food production, water quality, health, and the environment are discussed. Strategies to address the challenges of plastic pollution are proposed. Finally, the review concludes with future perspectives for addressing the ongoing challenges of plastic waste management in sub-Saharan Africa. The materials for this study were sourced from published articles on Scopus, Google Scholar, ResearchGate, and additional platforms, including reports and various press releases, using keywords such as plastic waste, micro/nano-plastic, sub-Saharan Africa, toxicity, and circular economy. Articles were initially screened by reviewing abstracts, followed by a thorough reading of full papers to identify relevant studies. Key information was extracted from these selected articles and incorporated into this review. Full article

Open burning poses a significant threat to human health and the environment by releasing hazardous chemicals and exacerbating plastic pollution. Urgent action is required to address its pervasive impact and the substantial release of gaseous pollutants. Limited research has explored the demographic aspect of open burning behavior, with none specifically conducted in Kentucky. An analysis of open burning complaints reported to the Kentucky Division for Air Quality in 2015, 2019, and 2021 revealed no significant differences in reported incidents by month and county. Binary logistic regression analyses identified the urban vs rural divide as significant predictors of open burning incidents, while violations were influenced by both urban and rural factors and average household income. Unemployment rates and the percentage of individuals with less than a high school diploma did not significantly predict open burning violations. Targeted interventions at the state and local level, focusing on rural areas and economically disadvantaged communities, can effectively address and mitigate open burning issues. Full article

Family-based treatment (FBT) is recommended for anorexia nervosa (AN) in young people (YP). However, a substantial proportion of YP undergoing FBT do not recover. Several modifications to standard FBT have been tested to improve recovery rates. This review provides an updated overview of empirically tested modifications to FBT for AN in YP and estimates whether such modifications increase the percentage recovering. Computerized searches performed in five databases resulted in the inclusion of 43 papers (representing 40 original studies), highlighting that a variety of modifications to standard FBT have been tested and appear promising. However, only 11 studies compared the results of a modification to standard FBT. In conclusion, some modifications, such as parent-focused treatment, the addition of home treatment, or interventions for families at risk of non-response, appear to have the potential to improve the recovery rate, either at the group or subgroup level. Other modifications, such as FBT-based guided self-help, virtually delivered FBT, or FBT delivered during in- or day-patient stays, enable the dissemination of FBT principles to other contexts and to patient groups with limited access. Small additions to FBT, such as a workshop or parent-to-parent consultation, do not seem to improve the recovery rate. Full article

Histocompatibility testing is pivotal in any renal transplantation workup, aimed at enhancing prospective donor recipient compatibility and improving transplant outcomes. The evolution and advancement of histocompatibility testing, particularly HLA typing, have significantly improved its precision. This study outlines the historical progression from serologic to DNA-based HLA typing, emphasizing the role of HLA proteins in immune response. Anti-HLA antibodies, targeting HLA proteins, pose challenges in renal transplantation. Monitoring and managing these antibodies are critical for renal transplant success. Complement-dependent cytotoxicity crossmatch and flow cytometry crossmatch are essential techniques for assessing donor–recipient compatibility. Panel-reactive antibody assesses antibodies against a panel of donor antigens, often HLA. Higher PRA levels (percentage) complicate donor matching, requiring specialized protocols. Virtual crossmatch evaluates recipient anti-HLA antibodies against potential donors through synthetic beads. This approach predicts crossmatch outcomes by comparing antibody profiles, offering a valuable tool for the risk assessment of renal transplantation. Despite advancements, a comprehensive understanding of alloreactive immune responses requires a combination of assays, emphasizing the importance of a multifaceted approach in histocompatibility testing. This is an attempt to compile the relevant information, providing a basis for comparison in a clear and foundational format for histocompatibility testing laboratories. Full article

Background and Objectives: Secondary hyperparathyroidism (SHPT) poses a common condition among patients with chronic kidney disease (CKD) due to the chronic stimulation of the parathyroid glands as a result of persistently low calcium levels. As a first option for medical treatment, vitamin D receptor analogs (VDRAs) and calcimimetic agents are generally used. Apart from cinacalcet, which is orally taken, in recent years, another calcimimetic agent, etelcalcetide, is being administered intravenously during dialysis. Materials and Methods: In a 5-year retrospective study between 2018 and 2023, 52 patients undergoing dialysis were studied. The aim of this study is to highlight the possible effects and/or benefits that intravenously administered calcimimetic agents have on CKD patients. A total of 34 patients (65.4%) received cinacalcet and etelcalcetide while parathormone (PTH) and calcium serum levels were monitored on a monthly basis. Results: A total of 29 out of 33 patients (87.9%) that received treatment with etelcalcetide showed a significant decrease in PTH levels, which rose up to 57% compared to the initial values. None of the included patients needed to undergo parathyroidectomy (PTx) due to either extremely high and persistent PTH levels or severe side effects of the medications. It is generally strongly advised that parathyroidectomies should be performed by an expert surgical team. In recent years, a significant decrease in parathyroidectomies has been recorded globally, a fact that is mainly linked to the constantly wider use of new calcimimetic agents. This decrease in parathyroidectomies has resulted in an important decrease in complications occurring in cervical surgeries (e.g., perioperative hemorrhage and nerve damage). Conslusions: Despite the fact that these surgical complications cannot be easily compared to the pharmaceutical side effects, the recorded decrease in parathyroidectomies is considered to be notable, especially in cases of relapse where a difficult reoperation would be considered based on previously published guidelines. Full article

In this work, environmentally sound technologies for converting organic wastes into fertilizers to improve soil sustainability and crop yield have been identified and assessed. Wet wastes were combined with 50% wood sawdust and 50% wet wastes (Compost 1) or (10% Straw + 90% wet wastes) (Compost 2) to produce soil improvers with a balanced level of nutrients, and their effectiveness on soil ecosystem functioning have been tested and compared to horse manure (HM) and nitrogen–phosphorous–potassium (NPK) fertilizers. Unfertilized soil was used as a control. Soil chemical and biological properties have been detected after the harvesting of broccoli and red cabbage (90 days from the initial treatments). Three independent experiments have been conducted in an open field in a randomized complete block design with three replications (n = 9). The results showed that Compost 1 had the highest C/N ratio and cation exchange capacity (CEC), indicating a better humification of the wet material. Compost 1, even if it contained a minor amount of organic carbon, as well as less activity of fluorescein diacetate (FDA) and dehydrogenase (DHA) than Compost 2, was the most effective in improving soil quality, significantly increasing the labile fraction of organic matter, the oxidative enzyme (DHA), microbial biomass, and crop yield. Both composts increased crop productivity. Full article

In testing for main effects, the use of orthogonal contrasts for balanced designs with the factor levels not ordered is well known. Here, we consider two-factor fixed-effects ANOVA with the levels of one factor ordered and one not ordered. The objective is to extend the idea of decomposing the main effect to decomposing the interaction. This is achieved by defining level–degree coefficients and testing if they are zero using permutation testing. These tests give clear insights into what may be causing a significant interaction, even for the unbalanced model. Full article

Conventional path-planning strategies for GMA-WAAM may encounter challenges related to geometrical features when printing complex-shaped builds. One alternative to mitigate geometry-related flaws is to use algorithms that optimise trajectory choices—for instance, using heuristics to find the most efficient trajectory. The algorithm can assess several trajectory strategies, such as contour, zigzag, raster, and even space-filling, to search for the best strategy according to the case. However, handling complex geometries by this means poses computational efficiency concerns. This research aimed to explore the potential of machine learning techniques as a solution to increase the computational efficiency of such algorithms. First, reinforcement learning (RL) concepts are introduced and compared with supervised machining learning concepts. The Multi-Armed Bandit (MAB) problem is explained and justified as a choice within the RL techniques. As a case study, a space-filling strategy was chosen to have this machining learning optimisation artifice in its algorithm for GMA-AM printing. Computational and experimental validations were conducted, demonstrating that adding MAB in the algorithm helped to achieve shorter trajectories, using fewer iterations than the original algorithm, potentially reducing printing time. These findings position the RL techniques, particularly MAB, as a promising machining learning solution to address setbacks in the space-filling strategy applied. Full article

The transition from batch to continuous production in the catalytic hydrogenation of nitrile butadiene rubber (NBR) into hydrogenated NBR (HNBR) marks a significant advance for applications under demanding conditions. This study introduces a continuous process utilizing a static mixer (SM) reactor, which notably achieves a hydrogenation conversion rate exceeding 97%. We thoroughly review a mechanistic model of the SM reactor to elucidate the internal dynamics governing the hydrogenation process and address the inherent uncertainties in key parameters such as the Peclet number (Pe), dimensionless time (θτ), reaction coefficient (R), and flow rate coefficient (q). A comprehensive dataset generated from varied parameter values serves as the basis for training an artificial neural network (ANN), which is then compared against traditional models including linear regression, decision tree, and random forest in terms of efficacy. Our results clearly demonstrate the ANN’s superiority in predicting the degree of hydrogenation, achieving the lowest root mean squared error (RMSE) of 3.69 compared to 21.90 for linear regression, 4.94 for decision tree, and 7.51 for random forest. The ANN’s robust capability for modeling complex nonlinear relationships and dynamics significantly enhances decision-making, planning, and optimization of the reactor, reducing computational demands and operational costs. In other words, this approach allows users to rely on a single ML-based model instead of multiple mechanistic models for reflecting the effects of possible uncertainties. Additionally, a feature importance study validates the critical impact of time and element number on the hydrogenation process, further supporting the ANN’s predictive accuracy. These findings underscore the potential of ML-based models in streamlining and enhancing the efficiency of chemical production processes. Full article

Taiwan is an island where the city and nature combine to become the most beautiful open-air museum in the world, known as Formosa. With climate change and industrial development as the main changes in consumption behavior, the integration of ecology, the environment, and agriculture into food culture is gradually becoming valued in Taiwan. This study explores the quality of the rural outdoor dining experience in Taiwan; therefore, questionnaires were distributed to outdoor dining attendees from the north, central, south, and east, and we obtained 396 valid questionnaires. The rural outdoor dining satisfaction experience can be improved using the innovative New Importance–Performance Analysis (NIPA) model, which is based on the original IPA methodology but modified by the performance of the risk management judge. Additionally, we applied the zone of tolerance (ZOT) to evaluate the quality of priority and the importance–performance analysis (IPA) to make innovation decisions. The model also encourages decision-makers to consider environmental factors and customer feedback. It has not only been used to measure customer satisfaction, assess customer behavior, identify customer needs, and determine areas where quality needs to be improved, but it can also be used to measure the success of business decisions and identify potential areas for improvement. The results show that rural outdoor dining experiences in Taiwan have led to the development of a low carbon economy and a new business model for operators in order to follow the result of NIPA and develop service marketing strategies. Full article