The purpose of this study was to evaluate the efficacy and safety of intragastric administration of small volumes of sodium enema solution containing phosphorus as phosphorus replacement therapy in critically ill patients with traumatic injuries who required continuous enteral nutrition. Adult patients (>17 years of age) who had a serum phosphorus concentration <3 mg/dL (0.97 mmol/L) were evaluated. Patients with a serum creatinine concentration >1.4 mg/dL (124 µmol/L) were excluded. Patients were given 20 mL of saline enema solution intragastrically, containing 34 mmol of phosphorus and mixed in 240 mL water. A total of 55% and 73% of patients who received one (n = 22) or two doses (n = 11) had an improvement in the serum phosphorus concentration, respectively. The serum phosphorus concentration increased from 2.5 [2.1, 2.8] mg/dL (0.81 [0.69, 0.90] mmol/L) to 2.9 [2.2, 3.0] mg/dL (0.94 [0.71, 0.97 mmol/L) for those who received two doses (p = 0.222). Excluding two patients with a marked decline in serum phosphorus by 1.3 mg/dL (0.32 mmol/L) resulted in an increase in the serum phosphorus concentration from 2.3 [2.0, 2.8] mg/dL (0.74 [0.65, 0.90] mmol/L) to 2.9 [2.5, 3.2] mg/dL (0.94 [0.81, 1.03] mmol/L; n = 9; p = 0.012). No significant adverse effects were noted. Our data indicated that intragastric phosphate administration using a small volume of saline enema solution improved the serum phosphorus concentrations in most patients. Full article

African personal names have communicative contents that reflect the experiences and expectations of the name-giver as well as the bearer. Death-prevention names, for instance, provide some assurance and security that are vital for a child’s survival, given the implicit assumption that certain spiritual forces are at work. The bestowal of despicable and ‘ugly’ names on children whose preceding siblings died shortly after birth is also a common practice among the Nzema, aiming at preventing succeeding children from death. This study examines cultural conceptions and metaphorical correlations in Nzema death-prevention names. Using 42 death-prevention names obtained through interviews, the study discusses the implications of the names and their metaphoric connections with the objects used to identify this category of people. The study reveals that features of entities such as ɛkpɔtɛ ‘vulture’, nrɛzenra ‘housefly’, kɛndɛne ‘basket’, and fovolɛ ‘refuse dump’ are attributed to these children to make them seem ‘unpleasant’ to the ancestral spirits who are believed to have been snatching them after birth. Other ‘long-lasting’ entities like nyevile ‘sea’, bolɛ ‘rock’, and kpɔma ‘walking stick’ are used metaphorically to refer to a child with the belief that they would survive right from birth and live long on the earth. Full article

The composition and intensity of land use significantly influence the aquatic ecological environment, further affecting the physicochemical attributes of the water body, and indirectly modulating the phytoplankton community structure. This study centers around the Danjiangkou Reservoir, investigating the correlation between land use, water environment, and phytoplankton alongside varying intensities of anthropogenic activities, based on the review of land use, phytoplankton, and water quality data of 2021. Firstly, an analysis was conducted over five circular buffer zones generated around sampling points with radii set at 500 m, 1000 m, 1500 m, 2000 m, and 2500 m, wherein the intensity of human activity was categorized into low, medium, and high, in accordance with the human activity intensity level score (HAILS). This study proceeded to explore the correlation between land use and the water environment across different scales, compared phytoplankton density and community structure differences across varied levels of human activity, and analyzed the association between phytoplankton communities in the Danjiangkou Reservoir and environmental variables under various intensities. The findings showed: The land use within the 500 m circular buffer zone has the greatest impact on the water quality of the Danjiangkou Reservoir, especially with the increase in human activities leading to elevated nutrient levels in the water, thereby promoting the growth and reproduction of algae, and increasing the risk of algal blooms. This research scrutinizes the relationship between land use, water environment, and plankton under varying human activity intensities, serving as a foundation for environmental management sectors to make informed decisions and promote the sustainable development of the catchment water environment. Full article

Healthcare-associated infections (HAIs) are considered to be one of the biggest health problems as they continue to be an important cause of morbidity and mortality worldwide. They cannot be completely prevented, but their incidence can be significantly limited. Preventive action is the most important measure in this case. Due to the frequent interaction between healthcare professionals and patients, the crucial importance of hand hygiene is therefore emphasised. Adherence to good disinfection and hand washing practices remains around 40%, which can be improved by using a variety of nudge tools to promote desired hygienic behaviour. We conducted an open observation of employees and visitors with participation. The aim of this study was to determine the actual status of hand disinfection in a selected healthcare facility amongst doctors, registered nurses, medical technicians, cleaners, and visitors or parents of children; then, we selected and introduced three nudge tools of desired hygiene behaviour and analysed their effectiveness; finally, we provided suggestions for the use of nudge tools of desired hygiene behaviour with the aim of influencing doctors, registered nurses, medical technicians, cleaners, and visitors or parents of children so that they disinfect their hands properly. The actual state of hand disinfection was determined on the basis of observation without introducing any changes; then, we separately introduced three nudge tools, posters with an inscription and picture, the scent of citrus, and flashing lights. The obtained results were analysed with the help of the SpeedyAudit Lite application, and the effectiveness of each nudge tool and the adequacy of hand disinfection by categories of people were compared. In general, posters with a picture and an inscription contributed the most to more consistent disinfection of employees’ hands, while the scent of citrus and flashing lights contributed slightly less. Full article

Gamma-aminobutyric acid (GABA), the primary inhibitory neurotransmitter in the central nervous system (CNS), plays a pivotal role in maintaining the delicate balance between inhibitory and excitatory neurotransmission. Dysregulation of the excitatory/inhibitory balance is implicated in various neurological and psychiatric disorders, emphasizing the critical role of GABA in disease-free brain function. The review examines the intricate interplay between the gut–brain axis and CNS function. The potential impact of dietary GABA on the brain, either by traversing the blood–brain barrier (BBB) or indirectly through the gut–brain axis, is explored. While traditional beliefs questioned GABA’s ability to cross the BBB, recent research challenges this notion, proposing specific transporter systems facilitating GABA passage. Animal studies provide some evidence that small amounts of GABA can cross the BBB but there is a lack of human data to support the role of transporter-mediated GABA entry into the brain. This review also explores GABA-containing food supplements, investigating their impact on brain activity and functions. The potential benefits of GABA supplementation on pain management and sleep quality are highlighted, supported by alterations in electroencephalography (EEG) brain responses following oral GABA intake. The comprehensive overview encompasses GABA’s sources in the diet, including brown rice, soy, adzuki beans, and fermented foods. GABA’s presence in various foods and supplements, its association with gut microbiota, and its potential as a therapeutic strategy for neurological disorders are thoroughly examined. The articles were retrieved through a systematic review of the databases: OVID, SCOPUS, and PubMed (keywords “GABA”, “oral GABA“, “sleep”, “cognition”, “neurodegenerative”, “blood-brain barrier”, “gut microbiota”, “supplements” and “therapeutic”, and by searching reference sections from identified studies and review articles). This review presents the relevant literature available on the topic and discusses the mechanisms, effects, and hypotheses that suggest oral GABA benefits range from neuroprotection to blood pressure control. The literature suggests that oral intake of GABA affects the brain illustrated by changes in EEG scans and cognitive performance, with evidence showing that GABA can have beneficial effects for multiple age groups and conditions. The potential clinical and research implications of utilizing GABA supplementation are vast, spanning a spectrum of diseases ranging from neurodegeneration to blood pressure regulation. Importantly, recommendations for the use of oral GABA should consider the dosage, formulation, and duration of treatment as well as potential side effects. Effects of GABA need to be more thoroughly investigated in robust clinical trials to validate efficacy to progress the development of alternative treatments for a variety of disorders. Full article

Musical performance anxiety (MPA) is considered a subtype of social phobia and affects musicians who must face musical exposure in public, potentially severely affecting their emotional stability and significantly impairing the quality of their performance. This research has utilized previous scientific knowledge on the issue and a qualitative approach to musicians’ needs through focus groups in order to design a collective preventive program for MPA that could be implemented within the training curriculum of professional musicians. To evaluate the adequacy of the preventive program ‘ConfiDance’, a pilot test was conducted with a sample of 17 professional musicians in training, all post-graduate students in classical music performance. For the pilot test, a quasi-experimental model with a repeated measures methodology (pre-post and one-year follow-up after application) was carried out. The results indicate a significant decrease in MPA after the program implementation, with a notable improvement in effect one year post-application, demonstrating an even greater positive impact over time. These data should be interpreted cautiously due to sample limitations but represent an opportunity for the future implementation of a program that can prevent and treat MPA in music education centers. Full article

There remains no reliable biomarker of therapeutic efficacy in hepatocellular carcinoma (HCC) for the PD-L1 inhibitor atezolizumab and bevacizumab (Atezo/Bev). Circulating tumor cells (CTCs) enable the serial collection of living tumor cells. Pre-treatment and serial CTC gene expression changes and tumor histology were evaluated to identify predictors of response to Atezo/Bev. Peripheral blood from 22 patients with HCC treated with Atezo/Bev and 24 patients treated with lenvatinib was serially collected. The RNA expression in CTCs was analyzed using qRT-PCR. Higher PD-L1 expression in pre-treatment CTCs was associated with response and improved prognosis with Atezo/Bev treatment, but not with lenvatinib. There was no correlation between PD-L1 expression in CTCs and that in liver tumor biopsy specimens scored using imaging software. Furthermore, PD-L1 RNA expression in CTCs was dynamically altered by Atezo/Bev, decreasing during effective response and increasing upon progression. CTC-derived RNA collected during Atezo/Bev indicates that patients with higher PD-L1 expression in CTCs at baseline were 3.9 times more responsive to treatment. Therefore, PD-L1 RNA levels in CTCs are an accurate response predictor and may be a monitorable biomarker that changes dynamically to reflect the response during Atezo/Bev treatment. Full article

Heat treatment plays a decisive role in the microstructure of metallic materials. The effect of cooling rate changes caused by the quenching medium on the microstructure of steel materials should be clarified. In this study, the effect of the quenching cooling rate on the microstructure of two precipitation-hardened martensitic stainless steels was investigated. The mechanical properties and hydrogen embrittlement susceptibility effected by the changes in the microstructure were also analyzed. A slow tensile test and hydrogen pre-charging were carried out to obtain the hydrogen embrittlement susceptibility parameters of the specimens. The results show that the quenching cooling rate only affects specific microstructures, including the twin structure and misorientation angle. Before hydrogen charging, the mechanical properties of the precipitation-hardened martensitic stainless steels were not affected by changing the quenching cooling rate. After hydrogen charging, the hydrogen embrittlement susceptibility decreased as the quenching cooling rate increased. Full article

With increasing health awareness and the accelerating pace of life, whole-grain prepared foods have gained popularity due to their health benefits and convenience. However, the potential risk of type B trichothecene toxins has also increased, and these mycotoxins in such foods are rarely regulated. In this study, a quantitative method combining a single-valve dual-column automatic online solid-phase extraction system with ultra-high-performance liquid chromatography–tandem mass spectrometry (UHPLC–MS/MS) was developed for the first time using restricted-access media columns. This method can simultaneously determine trace residues of seven type B trichothecenes within 15 min. The method is convenient, sensitive (limit of detection and quantification of 0.05–0.6 μg/kg and 0.15–2 μg/kg, respectively), accurate (recovery rates of 90.3%–106.6%, relative standard deviation < 4.3%), and robust (>1000 times). The established method was applied to 160 prepared food samples of eight categories sold in China. At least one toxin was detected in 70% of the samples. Whole-wheat dumpling wrappers had the highest contamination rate (95%) and the highest total content of type B trichothecenes in a single sample (2077.3 μg/kg). Exposure risk assessment indicated that the contamination of whole-grain prepared foods has been underestimated. The total health risk index of whole-wheat dumpling wrappers, which are susceptible to deoxynivalenol, reached 136.41%, posing a significant threat to human health. Effective measures urgently need to be taken to control this risk. Full article

Chronic pulmonary aspergillosis (CPA) is a rare but significant complication of lung cancer surgery. Its effect on survival remains unclear. Our aim was to describe the outcomes of the patients who developed CPA following the surgery for non-small cell lung cancer (NSCLC), identify the risk factors associated with its development following lung resection, and evaluate its impact on survival. All the patients with a diagnosis of CPA and operated NSCLC were identified in the National Aspergillosis Centre (NAC) database (2009–2020). Additional patients were identified in the Northwest Clinical Outcomes Research Registry (2012–2019) database. A regression analysis was performed to examine potential links between CPA and long-term outcomes and also to identify the factors associated with the development of CPA. The primary outcomes were the development of CPA, 1-year and 5-year mortality, and overall survival. Thirty-two patients diagnosed with CPA after lung resection were identified in the NAC database, of which 11 were also contained within the NCORR database, with a prevalence of 0.2% (n = 11/4425). Post-operative CPA was associated with significantly lower survival on log-rank analysis (p = 0.020). Mortality at one year was 25.0% (n = 8) and 59.4% (n = 19) at five years after the CPA diagnosis. On univariable analysis, a lower mean percentage-predicted forced expiratory volume in 1 s, ischaemic heart disease, and chronic obstructive pulmonary disease were all significantly associated with CPA development. CPA is a rare complication following lung cancer surgery which has a significant impact on long-term survival. Its development may be associated with pre-existing cardiopulmonary comorbidities. Further research in larger cohorts is required to substantiate these findings. Full article

Numerical calculations of the innovative flue gas recirculation (FGR) system through an inactive coal pulverizer for a 40% load of the OP 650 boiler at the Jaworzno III Power Plant were carried out. The research was conducted to determine the effect of FGR on the formation of NO_x, CO emissions, and low-NO_x waterwall corrosion. Using numerical modelling, the influence of the place of injection of recirculated flue gas on the formation of NO_x was also investigated. The tests were carried out based on data from the boiler monitoring system and calculation results using a 0-dimensional model. Modelling of the FGR was performed for five variants. FGR equalized the temperature in the furnace, eliminating temperature peaks in the burner belt. Moreover, FGR did not increase the CO content in the flue gas and reduced the O₂ concentration in the area zone of pulverized coal combustion. For FGR systems, the emission of NO_x below 200 mg/m³_n for 6% O₂ in dry flue gas was kept. This proves that the recirculation helps to meet the BAT (best available techniques) requirements for NO_x emissions. It has also been shown that FGR does not pose a risk of low-NO_x corrosion in the next 20 years. Full article

Since the beginning of the 20th century, many studies have focused on the possibility of considering the sky as a body characterized by an apparent temperature, and several correlations to quantify the apparent sky temperature have been proposed. However, the different models were obtained for specific meteorological conditions and through measurements at specific sites. The available models do not cover all locations in the world, although the evaluation of the sky temperature is fundamental for estimating the net radiative heat transfer between surfaces and the sky. Here, experimental data logged from a regional micrometeorological network (in Italy, within the Lazio region) were processed and used to identify an empirical model for the estimation of the sky temperature in the Mediterranean area. Data relating to atmospheric infrared radiation were used to compute the sky temperature, aiming at identifying a direct correlation with the ambient temperature. Climatic data acquired during 2022 were processed. The proposed correlations were compared with other models available in the literature, including the standard ISO 13790. This study proposes an annual-based direct correlation in its initial phase, demonstrating a superior fit to the measured data compared to well-known direct empirical models from the literature. Subsequently, quarterly-based correlations are introduced further in a secondary phase of the work to improve the model’s adaptation to experimental observations. The results reveal that quarterly-based correlations improve goodness-of-fit indexes compared to annual-based and well-known direct empirical correlations. Finally, a detached building was modeled via a dynamic code to highlight the influence of different correlations on annual energy needs. Full article

With accelerated advancements in various industries, water pollution has emerged as a significant issue characterized by two features: (1) the rapid increase in population and corresponding demands, leading to a sharp rise in wastewater discharge, and (2) the development of new technologies, contributing to a significant increase in the variety of emerging contaminants, resulting in a more complex wastewater composition [...] Full article

Efficient and stable heat dissipation structure is crucial for improving the convective heat transfer performance of thermal protection systems (TPSs) for hypersonic aircraft. However, the heat dissipation wall of the current TPS is limited by a single material and structure, inefficiently dissipating the large amount of accumulated heat generated during the high-speed maneuvering flight of hypersonic aircraft. Here, a convection cooling channel structure of TPS is proposed, which is an innovative multi-level structure inspired by the natural honeycomb. An active cooling channel (PCM-HC) is designed by using a variable-density topology optimization method and filled with phase change material (PCM). Numerical simulations are used to investigate the thermal performance of the PCM-HC wall, focusing on the influence of PCM properties, structural geometric parameters, and PCM types on heat transfer characteristics. The results demonstrate that the honeycomb-like convection cooling channel wall, combined with PCM latent heat of phase change, exhibits superior heat dissipation capability. With a heat flux input of 50 kW/m², the maximum temperature on the inner wall of PCM-HC is reduced by 12 K to 20 K. Different PCMs have opposing effects on heat transfer performance due to their distinct thermophysical properties. This work can provide a theoretical basis for the design of high-efficiency cooling channel, improving the heat dissipation performance in the TPS of hypersonic aircraft. Full article

In recent years, multi-view graph clustering algorithms based on representations learning have received extensive attention. However, existing algorithms are still limited in two main aspects, first, most algorithms employ graph convolution networks to learn the local representations, but the presence of high-frequency noise in these representations limits the clustering performance. Second, in the process of constructing a global representation based on the local representations, most algorithms focus on the consistency of each view while ignoring complementarity, resulting in lower representation quality. To address the aforementioned issues, a local-global representation enhancement for multi-view graph clustering algorithm is proposed in this paper. First, the low-frequency signals in the local representations are enhanced by a low-pass graph encoder, which yields smoother and more suitable local representations for clustering. Second, by introducing an attention mechanism, the local embedded representations of each view can be weighted and fused to obtain a global representation. Finally, to enhance the quality of the global representation, it is jointly optimized using the neighborhood contrastive loss and reconstruction loss. The final clustering results are obtained by applying the k-means algorithm to the global representation. A wealth of experiments have validated the effectiveness and robustness of the proposed algorithm. Full article

A new, sustainable polypropylene terephthalate (PPT) coating was synthesized from recycled polyethylene terephthalate (PET) and applied onto a hydraulic concrete substrate to improve its durability. For the first step, PET bottle wastes were ground and depolymerized by glycolysis using propylene glycol (PG) in a vessel-type reactor (20–180 °C) to synthesize bis(2-hydroxypropyl)-terephthalate (BHPT), which was applied as a coating to one to three layers of hydraulic concrete substrate using the brushing technique and polymerized (150 °C for 15 h) to obtain PPT. PET, BHPT, and PPT were characterized by FT-IR, PET, and PPT using TGA, and the PPT coatings by SEM (thickness), ASTM-D3359-17 (adhesion), and water contact angle (wettability). The durability of hydraulic concrete coated with PPT was studied using resist chloride ion penetration (ASTM-C1202-17), carbonation depth at 28 days (RILEM-CPC-18), and the absorption water ratio (ASTM-C1585-20). The results demonstrated that the BHPT and PPT were synthetized (FT-IR), and PPT had a similar thermal behavior to PET (TGA); the PPT coatings had good adhesion to the substrate, with thicknesses of micrometric units. PPT coatings presented hydrophilic hydrophilic behavior like PET coatings, and the durability of hydraulic concrete coated with PPT (2–3 layers) improved (migration of chloride ions decreased, carbonation depth was negligible, and the absorption water ratio decreased). Full article

Autographics illustrating refugee and migrant experiences are frequently published, proof of the power of comics to engage with representations of trauma and vulnerability. Thi Bui’s graphic memoir The Best We Could Do tells the story of the author and her family as “boat people”, before and after migrating from Việt Nam to the US in the so-called second “wave” of refugees (1978–1980). If, as Judith Butler argues, vulnerable lives are more grievable when exposed and acknowledged, then self-representation of vulnerable lives might offer a site of resistance against precarity. Thi Bui’s graphic memoir is no exception, since she deals with common themes in Vietnamese American literature such as PTSD, inherited family trauma or everyday bordering, inscribing herself and her family in the counterhistory of the US regarding the Vietnam War, while also addressing themes and motifs recurrent in Asian American comics. The author follows a thematic concern present in Vietnamese American narratives, which tends to present the refugee experience from a heroic perspective, but this is limited and antagonised by Bui’s personal story, who feels estranged from her parents, their past in Việt Nam and the war. As this article shows, the recording and commemoration of her parents’ memories help her to identify with the family legacy of heroic vulnerability in her role as a mother. Full article

A novel 3D auto-drum machine system for the generation and recording of percussion sounds is developed and presented. The capabilities of the machine, along with a calibration, sound production, and collection protocol are demonstrated. The sounds are generated by a drumstick at pre-defined positions and by known impact forces from the programmable 3D auto-drum machine. The generated percussion sounds are accompanied by the spatial excitation coordinates and the correspondent impact forces, allowing for large databases to be built, which are required by machine learning models. The recordings of the radiated sound by a microphone are analyzed using a pre-trained deep learning model, evaluating the consistency of the physical sample generation method. The results demonstrate the ability to perform regression and classification tasks when fine tuning the deep learning model with the gathered data. The produced databases can properly train machine learning models, aiding in the investigation of alternative and cost-effective materials and geometries with relevant sound characteristics and in the development of accurate vibroacoustic numerical models for studying percussion instruments sound synthesis. Full article

Pickle wastewater is a highly saline organic effluent that poses a significant ecological risk. In this study, a sequencing batch biofilm reactor (SBBR) was used to treat such wastewater, and a denitrification system capable of simultaneously removing high levels of nitrogen and organic matter was successfully established. Through salinity incremental increase, the system operated stably, and the removal rates of COD, TN, and NH₄⁺-N could be maintained at about 96%, 93%, and 99% under the salinity of 3.0%. The effect of salinity on the structure and function of microbial communities in the reactor was investigated by high-throughput sequencing. The results showed that increasing salinity could reduce the diversity, change the structure, and reduce the functionality of the microbial community. Under high-salt conditions (salt content of 3.0%), salt-tolerant microorganisms such as Actinobacteriota became dominant populations. As salinity increased, NOB (nitrite oxidizing bacteria) was strongly inhibited, and its abundance decreased rapidly until it disappeared. Partial nitrification–denitrification (PND) gradually became the main denitrification pathway. In conclusion, this experiment not only shows that SBBR treatment of pickle wastewater has strong feasibility, but also provides a theoretical research basis for the engineering treatment of pickle wastewater. Full article

Phycocyanin is a highly valued pigment present in Spirulina platensis biomass with applications in the food industry in terms of biorefinery concepts; specifically, its antioxidant and antimicrobial capacity are an advantage that could be incorporated into a food matrix. This study aims to use rice husk as an alternative culture medium for S. platensis biomass growth and phycocyanin extraction by ohmic heating processing using a 3D-printed reactor. S. platensis was cultivated in rice husk extract (RHE) from 0–100% (v/v). The highest content of microalgal biomass was 1.75 ± 0.01 g/L, with a specific growth rate of 0.125 ± 0.01 h⁻¹. For the phycocyanin extraction under an ohmic heating process, a 3D-printed reactor was designed and built. To optimize phycocyanin extraction, a central composite rotatable design (CCDR) was evaluated, with three factors: time (min), temperature (°C), and pH. The highest phycocyanin content was 75.80 ± 0.98 mg/g in S. platensis biomass grown with rice husk extract. Ohmic heating is a promising method for rapid phycocyanin extraction, and rice husk as a culture medium is an alternative for the growth of S. platensis biomass in the integration of second- and third-generation biorefineries. Full article

In the DC-6 GHz band, low-insertion-loss packaging materials were investigated to effectively reduce the heat generated during the working process of the attenuation chip. Based on the working principle of the attenuation chip, when the signal passes through the attenuation chip resistor network, it results in energy loss. This means that the insertion loss of the chip generates heat, which leads to an uneven heat dissipation of the chip and thus functional failure. The microwave characteristics of the packaged joints were investigated using different packaging techniques. The results show that the S21 and S11 of the attenuation chip after nano-silver and Au80Sn20 packaging are optimal in the frequency band of DC-6 GHz, and the insertion loss is low compared with the commonly used packaging materials Sn60Pb40 and Sn96.5Ag3.5, which reduces the heat loss and improves the reliability of the attenuation chip packaging. Full article