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Liquid–liquid phase separation in biology has recently been shown to play a major role in the spatial control of biomolecular components within the cell. However, as they are phase transitions, these processes also display nontrivial dynamics. A model phase-separating system of DNA nanostars provides unique access to nucleation physics in a biomolecular context, as phase separation is driven near room temperature by highly thermo-responsive DNA hybridization and at modest DNA concentrations. By measuring the delay time for phase-separated droplets to appear, we demonstrate that the dynamics of DNA nanostar phase separation reflect that of a metastable binary mixture of patchy particles. For sufficiently deep temperature quenches, droplets undergo spinodal decomposition and grow spontaneously, driven by Brownian motion and coalescence of phase-separated droplets, as confirmed by comparing experimental measurements to particle-based simulations. Near the coexistence boundary, droplet growth slows substantially, indicative of a nucleation process. The temperature dependence of droplet appearance times can be predicted by a classical nucleation picture with mean field exponents and demonstrates that a theory previously used to predict equilibrium phase diagrams can also distinguish spinodal and nucleation dynamical regimes. These dynamical principles are relevant to behaviors associated with liquid–liquid phase separating systems, such as their spatial patterning, reaction coupling, and biological function. [ABSTRACT FROM AUTHOR]

Despite the various treatments proposed with barrier membranes, one of the main challenges for guided bone regeneration (GBR) is maintaining space for large defects and ensuring an adequate blood supply. The presented feasibility case series aims to introduce an original titanium frame (TF) design, customized for each defect, as a modification of well-known principles and materials for GBR to achieve an enhanced and more predictable horizontal and vertical bone augmentation. Three patients with significant horizontal defects were treated with pre-trimmed TFs to create needed space, and then a 50/50 mixture of autograft and bovine xenograft was placed and covered with a collagen membrane. After 8 months of healing, the sites were reopened, and the titanium screws were removed with the frame. An average of 8.0 ± 1.0 mm of horizontal and 3.0 ± 0.0 mm of vertical bone gain were achieved at the time of reentry and implant placement surgery. Bone core biopsy sample was obtained during the implant placement. Histomorphometric analysis revealed that 42.8% of the sample was new vital bone, 18.8% was residual bone graft particles, and 38.4% was bone marrow-like structures. After 3 to 4 months from implant placement, the implants were restored with provisional crowns and then finalized with zirconia screw-retained crowns. This case series suggests that GBR utilizing TFs with or without collagen membranes can be considered a suitable approach for horizontal and vertical bone augmentation. However, based on only three reported cases, the results should be carefully interpreted. [ABSTRACT FROM AUTHOR]

Extraction-site alveolar remodeling is a major concern due to negative volumetric hard and soft tissue changes that inevitably limit rehabilitation options and diminish esthetic outcomes. Surgical techniques employed to minimize alveolar dimensional changes are not always predictable. Utilizing a socket shield with an immediate surgical implant procedure helps maintain a thin portion of the root in the vestibular area and thus minimizes bone resorption, especially at the coronal cortical aspect. This case series assesses the dimensional changes in peri-alveolar structures via superimposition of the preoperative and 6-month postoperative 3D digital quantification of soft tissue. Fifty patients with 50 sites fulfilled the inclusion criteria. Implant survival was 100%, with no incidence of complications. Tissue changes were as follows: -0.85 mm at the mesial papilla, -0.95 mm at the distal papilla, -0.7 mm at both the vertical and horizontal central margins, -0.21 mm at a distance 4 mm from the margin, and -0.64 mm at the palatal central margin. The buccal contour was clinically convex in all cases. The site with highest frequency of > 1 mm of dimensional loss was the distal papilla (42% of sites), and the site with the lowest frequency was the point 4 mm from the midfacial margin (0% of sites). [ABSTRACT FROM AUTHOR]

Classification of pathogenic E. coli has been focused either in mammalian host or infection site, which offers limited resolution. This review presents a comprehensive framework for classifying all E. coli branches within a single, unifying figure. This approach integrates established methods based on virulence factors, serotypes and clinical syndromes, offering a more nuanced and informative perspective on E. coli pathogenicity. The presence of the LEE island in pathogenic E. coli is a key genetic marker differentiating EHEC from STEC strains. The coexistence of stx and eae genes within the bacterial genome is a primary characteristic used to distinguish STEC from other pathogenic E. coli strains. The presence of the inv plasmid, Afa/Dr adhesins, CFA-CS-LT-ST and EAST1 are key distinguishing features for identifying pathogenic E. coli strains belonging to EIEC, DAEC, ETEC and EAEC pathotypes respectively. Food microbiological criteria differentiate pathogenic E. coli in food matrices. 'Zero-tolerance' applies to most ready-to-eat (RTE) foods due to high illness risk. Non-RTE foods' roles may allow limited E. coli presence, which expose consumers to potential risk; particularly from the concerning Shiga toxin-producing E. coli (STEC) strains, which can lead to life-threatening complications in humans, including haemolytic uremic syndrome (HUS) and even death in susceptible individuals. These findings suggest that decision-makers should consider incorporating the separate detection of STEC serotypes into food microbiological criteria, in addition to existing enumeration methods. Contamination of STEC is mainly linked to food consumption, therefore, outbreaks of E. coli STEC has been reviewed here and showed a link also to water as a potential contamination route. Since their discovery in 1982, over 39,787 STEC cases associated with 1,343 outbreaks have been documented. The majority of these outbreaks occurred in the Americas, followed by Europe, Asia and Africa. The most common serotypes identified among the outbreaks were O157, the 'Big Six' (O26, O45, O103, O111, O121, and O145), and other serotypes such as O55, O80, O101, O104, O116, O165, O174 and O183. This review provides valuable insights into the most prevalent serotypes implicated in STEC outbreaks and identifies gaps in microbiological criteria, particularly for E. coli non-O157 and non-Big Six serotypes. [ABSTRACT FROM AUTHOR]

This work discusses the effect of gas tungsten arc welding (GTAW) variables on the welding transverse tensile strength and hardness of S 235JR at different groove configurations. The welding microstructure and numerical fracture mechanism are also discussed. GTAW is increasingly emerging in the local industry due to its advantages over conventional shielded metal arc welding (SMAW). The properties of steel welding have always concerned manufacturers and researchers. Since steel structures experience forces such as tensile, it's vital that good welding has increased tensile strength. It was reported that the hardness of welding affects the welding properties and, therefore, the integration of welded structures. The groove shape of the joining ends determines the size of the FZ and affects the dilution; thus, it is important to study the groove shape due to its effect on the final properties of welding. The results showed an increased welding traverse tensile strength (251 MPa) at higher welding speeds (150 mm/min) and V-shaped groove welding. The Vshaped groove welding that obtained higher tensile strength (251 MPa) has shown higher grain boundary ferrite and PF volume friction in the FZ and finer PF in the HAZ due to its higher interpass heat input. Higher traverse tensile strength welding has shown increased bainite and lower bainite volume friction in FZ and a finer grain structure in HAZ. The failure due to tensile force starts at the welding root, according to numerical analysis, and a double V-shaped groove has shown deformation balance at the tensile test. [ABSTRACT FROM AUTHOR]

Objective was to identify the pivotal genes and upstream regulators, transcription factors (TFs), microRNAs (miRNAs), and pathways implicated in the pathogenesis of vitiligo. Methods: An integrated analysis was conducted using microarray datasets on vitiligo obtained from the Gene Expression Omnibus (GEO) database. The functional annotation and potential pathways of differentially expressed genes (DEGs) were additionally investigated through Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses. Various bioinformatics approaches were utilized, making use of publicly accessible databases to identify appropriate TFs and miRNAs. Results: Our investigation identified TYR, MLANA, TYRP1, PMEL, OCA2, SLC45A2, GPR143, DCT, TRPM1, and EDNRB as the most appropriate genes associated with vitiligo. Our suggestion is that the identified biological processes include developmental pigmentation (GO:0048066) and pigment metabolic processes (GO:0042440) as the most suitable biological processes. In contrast, the KEGG pathways that showed significance in our analysis are Tyrosine metabolism (Path: hsa00350) and Melanogenesis (Path: hsa04916). We hypothesized the involvement of ten TFs and 73 miRNAs in the regulation of genes related to vitiligo. Conclusion: TYR, MLANA, TYRP1, PMEL, OCA2, SLC45A2, GPR143, DCT, TRPM1, and EDNRB are the top ten genes that are pivotal in the progression and exhibition of vitiligo. The biological, cellular, molecular, and KEGG pathways of those genes has an imperative role in the pathogenesis of vitiligo. TFs and miRNAs that interact with this gene are listed, shedding light on the regulatory mechanisms governing the expression of these key genes in vitiligo. [ABSTRACT FROM AUTHOR]

This study is an attempt to explore war-related trauma, its stressful effects, and the coping strategies of Saudi schoolchildren. The authors hypothesized that children exposed to war-related trauma will show higher levels of PTSD, and that those with higher levels of PTSD symptoms use more maladaptive coping strategies. The study describes the correlation between traumatic events and posttraumatic stress disorder (PTSD) as well as coping strategies. Five hundred twenty-seven intermediate and high school students, 12 to 18 years old, living in the conflict zone in southern Saudi Arabia completed three standardized self-reported scales: the War Zone Traumatic Events Checklist, the Child PTSD Symptom Scale, and the Children's Coping Strategies Checklist. Each participating student was randomly chosen. Analysis was based on two groups: the high-PTSD symptoms group (182 children) and the low-PTSD symptoms group (345 children). The study was conducted between September 2020 and April 2022 while the war was ongoing as part of an ongoing larger study. Children exposed to war-related traumatic events exhibited greater prevalence rates for PTSD. The children reported high levels of PTSD symptoms and applied a variety of coping strategies to manage related stress. Participants rarely reported that psychological or educational interventions had been used to manage the war-related traumatic experiences and PTSD or to improve related coping styles. The results are discussed in the context of mental health services needed for children in the conflict zone. To bridge the gap between health care services and the needs of children with PTSD, and for better understanding and interventions, health professionals are invited to develop a biopsychosocial model that identifies the risks of PTSD related to exposure to war-related traumatic events in school-aged children and, hence, provide a multidisciplinary intervention program that educates, encourages, and supports teachers and parents in following medical recommendations and goals. [ABSTRACT FROM AUTHOR]

Background: Cancer is a leading cause of morbidity and mortality in the Gulf Cooperation Council (GCC) countries. This study aims to provide cancer incidence and mortality estimates in 2020 in the GCC countries alongside future projections for 2040 to shape cancer control policy in the region. Methods: The estimated numbers of new cancer cases and deaths were extracted from the GLOBOCAN database developed by the International Agency for Research on Cancer; new cancer cases, cancer deaths, and corresponding age‐standardized incidence and mortality rates for the year 2020 are presented. Results: An estimated 42,475 new cancer cases and 19,895 deaths occurred in the GCC countries in 2020, with corresponding age‐standardized incidence and mortality rates of 96.5 and 52.3 per 100,000, respectively. Female breast (16%), colorectal (13%), and thyroid (9%) were the most common types of cancer in the GCC countries, accounting for almost 40% of all cancer incidence. Colorectal (14%) followed by breast cancer (9%) were the leading causes of cancer death, though the magnitude of rates of the major cancer types varied substantially across the GCC countries. Even if we assume rates in the region will remain unchanged over the next two decades, the cancer burden in the GCC will increase by 116% (Saudi Arabia) to 270% (Qatar), reaching nearly 104,000 cancer cases by the year 2040. Conclusion: The sharp increase in the estimated cancer incidence and mortality predicted over the next decades in the region requires workforce and financial planning for the healthcare systems in the constituent countries, alongside broader strengthening of national cancer prevention and control efforts. [ABSTRACT FROM AUTHOR]

Future Real estate tax assessment and evaluation systems play a significant role in supporting public services and digital economy transformation. To automate and integrate complicated tax procedures, an intelligent taxation model is required. This research develops an automated hybrid deep learning neural network by integrating a multilayer perceptron (MLP), bidirectional long short-term memory neural network (BiLSTM) and attention mechanism (AM) model which is limited for non-stationary, non-linearity real estate data offering superiority, interpretability, and dependability. The model has low error rates and great accuracy. The automated taxation model will enhance real estate tax inspection offices' efficiency by allowing for precise future tax base assessments and values. Deep learning neural network (DLNN) approaches can improve real estate price estimates and lead to more accurate tax assessments. The suggested model outperforms other benchmark price predictors (93%-98%) across many datasets and can be used for real estate taxation and inspection offices. The approach is useful for automated real estate price prediction and taxation applications. This research study proposes a revolutionary strategy that employs a hybrid deep learning neural network DLNN and challenges the conventional approaches to real estate tax base assessment future trends. [ABSTRACT FROM AUTHOR]

Background: Functional Neurological Disorder (FND) is commonly encountered in clinical practice, causing functional impairment and poor quality of life. As there is limited data from Saudi Arabia, our study aims to explore the experience and opinions of Saudi neurologists and neurology trainees regarding FND. Methods: In our cross-sectional observational study, we included 100 neurology consultants and trainees. Data was collected using an online questionnaire from March to August 2023. Results: A total of one hundred neurologists participated in the survey. Although 41% of physicians encountered FND patients on a weekly basis or more frequently, only 41.7% of trainees reported receiving dedicated lectures on FND. Furthermore, only 46% of respondents felt comfortable providing a clear explanation of the FND diagnosis to their patients. While the majority (64%) used the term "Functional Neurological Disorder" in medical documentation, only 43% used this term when communicating the diagnosis to patients, with the terminology varying widely. Clinicians emphasized that inconsistent and variable neurological examinations were key indicators raising diagnostic suspicion, which aligns with the recommended reliance on detailed clinical history and neurological examination. Lastly, 61% of physicians stated that their approach to patients with FND lacked a structured management plan. Conclusion: Our study findings emphasize that FND is commonly encountered in clinical practice and reveal a significant lack of targeted education on FND for neurology trainees. Enhancing educational programs for both trainees and practicing neurologists on this prevalent neurological condition is essential for improving patient care and outcomes. [ABSTRACT FROM AUTHOR]

Environmental management accounting (EMA) has emerged as a potentially valuable tool for companies seeking to monitor and manage their ecological impacts. However, the connection between EMA and environmental performance (EP) remains unclear, with prior studies yielding mixed results. Moreover, little is known about the mechanisms through which EMA may influence EP. Therefore, this study seeks to examine the link between EMA and EP, with a particular focus on the mediating influence of green innovation (GI) within the context of SMEs situated in least-developed countries, such as Yemen. To this end, data was gathered from 299 manufacturing SMEs in Yemen and analyzed using PLS-SEM technique via SmartPLS software. The results of the statistical analysis revealed a positive and important effect of EMA on EP. Importantly, GI serves as a partial mediator in the EMA-EP relationship. Therefore, the results of this study add significantly to the current body of literature on sustainability and provide important new perspectives. [ABSTRACT FROM AUTHOR]

To improve the adsorption of hydrogen sulfide (H2S) by using coconut shell-activated carbon xerogel (CSACX), we adopted the response surface methodology (RSM) with a central composite design (CCD). This material was created by incorporating a cross-linker agent, initiator agent, and polymer. The process of creating CSACX involved synthesizing coconut shell activated carbon into a wet gel using chemicals such as sodium alginate, calcium carbonate, glucono delta-lactone (GDL), and distilled water in a sol-gel method to obtain a xerogel. Afterward, the gel was dried in an oven at 60℃ for 24 hours. Subsequently, it was used as an adsorbent for the adsorption test. The adsorption test was conducted at two different initial concentrations of H2S, 25 ppm, and 50 ppm, to assess the effectiveness of H2S removal at different concentrations. In the RSM approach, we selected adsorption pressure (1-3 bar) and H2S flow rate (100-300 L/hr) as the process variables while maintaining a constant contact time (5 minutes), adsorbent weight (11 g) and temperature (30℃). The removal efficiency of H2S (%) was chosen as the response. Our findings showed that the optimum conditions for H2S removal were at 1 bar and 100 L/hr for 25 ppm of H2S and 1 bar and 100.3830 L/hr for 50 ppm of H2S. The model generated from RSM predicted that maximum H2S removal can be achieved at a lower pressure and flow rate for any H2S initial concentration. [ABSTRACT FROM AUTHOR]

In this work, we studied the effect of bismuth oxide particle size and its attenuation capacity as a filler additive in epoxy resins. Six samples were prepared according to the amount of microparticles and nanoparticles in the sample and were coded as ERB-1, ERB-2, ERB-3, ERB-4, ERB-5, and ERB-6. One of the composite epoxies contained Bi2O3 microparticles at a 50:50 ratio (ERB-6) and was chosen as the control composite, and the number of microparticles (MPs) was gradually decreased and replaced by nanoparticles (NPs) to produce epoxy-containing Bi2O3 nanoparticles at a 50:50 ratio (ERB-1). The morphological and thermal characteristics of the studied composites were tested. The attenuation capability of the prepared composites, which is determined by the Bi2O3 particle size, was determined experimentally using a semiconductor detector, an HPGe-detector, and three different gamma-ray point sources (Am-241, Co-60, and Cs-137). The linear attenuation coefficient (LAC) of ERB-3, which contained 30% nanoparticles and 20% microparticles, had the highest value compared to the other composites at all the energies discussed, while the ERB-6 composite had the lowest value at all energies. The radiation-shielding efficiency (RSE) of the prepared samples was determined at all discussed energies; at 662 keV, the radiation-shielding efficiency values were 15.97%, 13.94%, and 12.55% for ERB-3, ERB-1, and ERB-6, respectively. The statistics also proved that the attenuation capacities of the samples containing a combination of nanoparticles and microparticles were much superior to those of the samples containing only microparticles or nanoparticles. A ranking of the samples based on their attenuation capacity is as follows: ERB-3 > ERB-4 > ERB-2 > ERB-1 > ERB-5 > ERB-6. [ABSTRACT FROM AUTHOR]

Cervical cancer is a prevalent and concerning disease affecting women, with increasing incidence and mortality rates. Early detection plays a crucial role in improving outcomes. Recent advancements in computer vision, particularly the Swin transformer, have shown promising performance in image classification tasks, rivaling or surpassing traditional convolutional neural networks (CNNs). The Swin transformer adopts a hierarchical and efficient approach using shifted windows, enabling the capture of both local and global contextual information in images. In this paper, we propose a novel approach called Swin-GA-RF to enhance the classification performance of cervical cells in Pap smear images. Swin-GA-RF combines the strengths of the Swin transformer, genetic algorithm (GA) feature selection, and the replacement of the softmax layer with a random forest classifier. Our methodology involves extracting feature representations from the Swin transformer, utilizing GA to identify the optimal feature set, and employing random forest as the classification model. Additionally, data augmentation techniques are applied to augment the diversity and quantity of the SIPaKMeD1 cervical cancer image dataset. We compare the performance of the Swin-GA-RF Transformer with pre-trained CNN models using two classes and five classes of cervical cancer classification, employing both Adam and SGD optimizers. The experimental results demonstrate that Swin-GA-RF outperforms other Swin transformers and pre-trained CNN models. When utilizing the Adam optimizer, Swin-GA-RF achieves the highest performance in both binary and five-class classification tasks. Specifically, for binary classification, it achieves an accuracy, precision, recall, and F1-score of 99.012, 99.015, 99.012, and 99.011, respectively. In the five-class classification, it achieves an accuracy, precision, recall, and F1-score of 98.808, 98.812, 98.808, and 98.808, respectively. These results underscore the effectiveness of the Swin-GA-RF approach in cervical cancer classification, demonstrating its potential as a valuable tool for early diagnosis and screening programs. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate and compare the fracture mode and strength of monolithic zirconia to veneered zirconia and metal-ceramic full-coverage restorations following artificial aging and to test the performance of translucent zirconia in terms of load-bearing capacity. Materials and Methods: Two mandibular first molars were prepared and scanned for their respective groups of full-coverage restorations. A total of 75 fullcoverage restorations were fabricated and divided into five groups: two groups for monolithic zirconia, two groups for veneered zirconia, and one group for metal-ceramic. Then, 75 light-cured hybrid composite resin dies were fabricated to serve as abutments. Before cementation, all full-coverage restorations were subjected to accelerated aging. After cementation, all full-coverage restorations were subjected to compressive loading until fracture in an electromechanical universal testing machine. A two-way nested ANOVA and Tukey test were used to analyze the results with 95% confidence levels. Results: Monolithic zirconia full-coverage restorations showed the highest mean fracture resistance of 4,201.0 N, followed by metalceramic full-coverage restorations of 3,609.3 N, and veneered zirconia full-coverage restorations showed the lowest mean fracture resistance of 2,524.6 N. The main mode of failure was cohesive bulk fracture for the monolithic zirconia group, cohesive/adhesive failure with infrastructure damage for the veneered zirconia group, and cohesive/adhesive failure without infrastructure damage for the metal-ceramic group. Conclusions: Monolithic zirconia full-coverage restorations showed superior resistance to fracture compared to metal-ceramic full-coverage restorations and are highly reliable in terms of load-bearing capacity within the posterior regions of the mouth. [ABSTRACT FROM AUTHOR]

Vertical ridge augmentation in the anterior mandible is a technically delicate procedure that requires knowledge of some anatomical structures to reduce intra- and postoperative complications. Proper soft tissue management is one of the primary aspects to the success of these techniques, enabling tension-free primary wound closure and preventing membrane exposure. This cadaveric and clinical study provides an anatomical overview of the lingual portion of the anterior mandible. Moreover, there is a description of a novel surgical approach for release of the lingual flap that will help clinicians achieve primary closure without incurring intrasurgical complications. [ABSTRACT FROM AUTHOR]

Successful rehabilitation of severely atrophic, short-span edentulous ridges in esthetic regions can seldom be done without some form of vertical ridge augmentation (VRA). The best available evidence shows that guided bone regeneration procedures may present a very predictable option with reduced potential for complications compared to alternative options. The present case series presents a novel technique to achieve predictable VRA with a low complication rate using tenting screws and cross-linked resorbable membranes. A total of 10 patients (5 men, 5 women) with severe vertical defects in the esthetic zone participated in this study. Following a mean healing time of 9.3 months, the mean defect resolution was 80%, with a mean vertical bone gain of 6.2 ± 1.61 mm. Only one case presented with reduced defect resolution (50%); however, the bone gain for this case was 6 mm. [ABSTRACT FROM AUTHOR]

Purpose: The objective of the present systematic review and meta-analysis was to assess randomised controlled trials (RCTs) which assessed the efficacy of mini dental implants (MDIs) and standard-diameter implants (SDIs) in retaining mandibular overdentures (MO). Materials and Methods: The focused question was “Is there a difference in the mechanical stability between MDIs and SDIs in retaining MO?” Indexed databases were searched up to and including November 2023 using different keywords. Boolean operators were used during the search. The literature was searched in accordance with the PRISMA guidelines. The PICO characteristics were: patients (P) = individuals with complete mandibular dentures requiring dental implants; Intervention (I) = placement of MDIs under mandibular dentures; Control (C) = placement of SDIs under mandibular dentures; Outcome (O) = comparison of stability between MDIs and SDIs in supporting mandibular dentures. Only RCTs were included. Risk of bias (RoB) was assessed using the Cochrane RoB tool. Results: Five RCTs were included. The numbers of participants ranged between 45 and 120 edentulous individuals wearing complete mandibular dentures. The mean age of patients ranged between 59.5 ± 8.5 and 68.3 ± 8.5 years. The number of MDIs and SDIs ranged between 22 and 152 and 10 and 80 implants, respectively. The follow-up duration ranged between one week and 12 months. Three RCTs reported an improvement in the quality of life (QoL) of all patients after stabilisation of mandibular dentures using MDIs or SDIs. In one RCT, peri-implant soft tissue profiles were comparable between MDIs and SDIs at the 1-year follow-up. The implant survival rate was reported in two RCTs, which were from 89% to 98% and 99% to 100% for MDIs and SDIs, respectively. All RCTs had a low RoB. Conclusion: Mini dental implants represent a viable alternative to traditional standard-diameter implants when seeking optimal retention for mandibular overdentures. [ABSTRACT FROM AUTHOR]

Heavy metals including cadmium (Cd) are one of the major persistent and non-biodegradable wastewater pollutants. However, Cd reaches the aquatic ecosystem via industrial and agricultural waste discharges and causes serious deterioration in the welfare status of aquatic animals. The use of feed supplements with immune-stimulants to mitigate the toxic influences of heavy metals including Cd is a much more intriguing point. Thus, the current experiment used the bio-synthetized chitosan nanoparticles derived from Bacillus subtilis (Bs-CNPs) as a feed supplement and evaluated its ameliorative impacts on the growth and welfare status of Cd-intoxicated Nile tilapia (Oreochromis niloticus). Bifactorial design (3 Bs-CNPs levels × 3 Cd levels) was used in the current study where Nile tilapia fingerlings (58–63 g) were fed on 0.0, 2, and 4 g Bs-CNPs/kg feed alongside with exposing to 0.0, 0.392, and 0.784 mg Cd/L for 60 days to represent nine treatments as follows: T1: control group (no Cd exposure; no Bs-CNPs supplement); T2 and T3: fish were intoxicated with 0.784 and 0.392 mg Cd/L, respectively; T4 and T5: fish fed on 2 and 4 g Bs-CNPs/kg feed, respectively; T6 and T7: fish were fed on 2 g Bs-CNPs/kg feed along with exposure to 0.784 and 0.392 mg Cd/L, respectively; and T8 and T9: fish were fed on 4 g Bs-CNPs/kg feed along with exposure to 0.784 and 0.392 mg Cd/L, respectively. It is noted that the Cd-intoxicated fish exhibited significant retardation in growth performance and digestive enzyme activities with a decline in their survival rate compared to the control group (T1). The results also revealed that exposing fish to Cd toxicity alone with no feed supplement (T2 and T3) experienced abnormal clinical signs and behavioral changes. Compared with the control group (no Cd with no Bs-CNPs), highest values of cortisol, glucose, aspartate and alanine aminotransferase, and acetylcholine esterase activity were found in fish fed on the control diet along with exposure to 0.784 mg Cd/L. Higher Cd restudies in liver, intestine, gills, kidney, and muscles tissues were detected in fish exposed to 0.784 mg Cd/L alone and the sequence order of Cd levels in different fish organs is intestine > gills > liver > kidney > muscles. Remarkable pathological alterations in hepatic and intestinal tissues were also observed. On the other hand, feeding Nile tilapia on Bs-CNPs-enriched diets alone with no Cd exposure enhanced their growth performance, digestive enzyme activities, and hematological parameters with no Cd residues in fish organs. Interestingly, feeding the Cd-intoxicated fish on diets with Bs-CNPs (4 g/kg feed) returned their growth, digestive enzymes, hematological, and biochemical parameters to approximate those of the control group. Furthermore, these treatments showed histopathological alteration recovery in the intestine and liver tissues is similar to those in the control group (no Cd with no Bs-CNPs). Fish fed on Bs-CNPs levels with no Cd exposure showed no Cd residues in different fish organs. The Cd levels in different organs of fish exposed to 0.392 mg Cd/L along with feeding on Bs-CNPs (4 g/kg feed) were lower than those in Cd-exposed fish treatments. Consequently, the current study evoked that feeding Nile tilapia fingerlings on Bs-CNPs (4 g/kg feed) could enhance their growth performance and protect the fish from the Cd toxicity that may occur in the aquatic ecosystem. [ABSTRACT FROM AUTHOR]

Copper (Cu) nanoparticles (NPs) and polyvinyl alcohol (PVA) are utilized to enhance heat transfer (HT) which is used in the efficiency of solar energy systems. Copper nanoparticles have excellent thermal conductivity (TC) properties that enable them to conduct heat efficiently. In this arrangement, the gap between the two cylindrical channels is settled for the hybrid nanofluids (HNFs) flow in an inclined position that is favourable to sunlight. The nanomaterials consist of a mixture of PVA and Cu nanoparticles (NPs), to execute HNFs. Solar radiation is present on the hot side of the system. The porous gap between the two channels is considered variable which plays a crucial role in enhancing heat transfer and energy conversion. The varying permeability of the gap is adjusted to control the flow resistance and improve the stability of the system. It is observed that higher porosity allows for better convective heat transfer and reduced pressure drop. The transformed equations are solved through an artificial neural network (ANN) while the control volume finite element method (CVFEM) is also used to handle the governing equations. The Cu and PVA (HNF) improves solar radiation absorption and protects components, ultimately increasing the performance and efficiency of the systems. [ABSTRACT FROM AUTHOR]

Background: Emergency nurses play a pivotal role in delivering efficient emergency healthcare, yet they often encounter numerous challenges, especially while managing life-threatening cases, impacting both their well-being and patient satisfaction. This study seeks to identify the prevalent challenges faced by these nurses in Saudi hospitals when handling Canadian Triage and Acuity Scale (CTAS1 and CTAS2) cases, with the aim of mitigating or managing these issues in the future. Methods: This study incorporated a mixed-method approach to identify obstacles in Emergency Department (ED) nursing treatment of CTAS1 and CTAS2 cases in two major Saudi Arabian hospitals. The research began with qualitative focus group interviews with expert ED nurses, followed by a quantitative survey to measure and explore relationships among the qualitative findings. Data analysis leveraged qualitative thematic analysis and principal component analysis, ensuring rigorous examination and validation of data to drive meaningful conclusions. Findings: From expert interviews, key challenges for emergency nurses were identified, including resource management, communication, training compliance, and psychological factors. A survey of 172 nurses further distilled these into five major issues: patient care management, handling critical cases, administration support, patient care delay, and stress from patients' families. Conclusion: Through a mixed-method approach, this study pinpoints five pivotal challenges confronting emergency nurses in Saudi hospitals. These encompass difficulties in patient care management, the psychological toll of handling critical cases, inadequate administrative support, delays due to extended patient stays, and the stress induced by the presence of patients' families, all of which significantly impede emergency department efficiency and compromise nurse well-being. [ABSTRACT FROM AUTHOR]

This study aims to investigate the mediating role of supply chain resilience and robustness on the relationship between the use of digital technologies and sustainable environmental performance. Additionally, it investigates the moderating role of supply chain complexity on the impact of digital technologies on supply chain resilience and robustness. Data were gathered from 292 supply chain managers at registered manufacturing companies in Egypt and analyzed using Smart-PLS 4 software. The findings reveal that supply chain resilience and robustness partially mediate the link between digital technologies and sustainable environmental performance. Moreover, supply chain complexity was found to positively moderate the effect of digital technologies on both resilience and robustness. The model explained 53.2% of the variance in supply chain robustness, 56.6% in supply chain resilience, and 72.3% in sustainable environmental performance. These results provide critical insights for corporate policymaking, helping to drive continuous improvements in supply chain management, environmental performance, and sustainable development. [ABSTRACT FROM AUTHOR]

Background: The chin is an essential element of the facial unit and influences how people perceive facial aesthetic appeal. Hyaluronic acid (HA) gel injections are tried‐and‐true therapies for regenerative therapies with a record of success in efficacy and safety. Aims: To determine the best type of concentration of HA and way of injection for deep and superficial planes of chin. Materials and Methods: VYC‐20L and VYC‐25L (Juvederm Voluma XC® Juvéderm Volux®; Allergan plc) are 20‐ and 25‐mg/mL HA gels with lidocaine, respectively, were injected with cannulas and needles on the bone, respectively. Results: Chin reinforced respecting the measures with good contouring. No serious complications. Patient was satisfied with results. Discussion: We advise using VYC 20L superficially above the muscle or with a cannula for injection, and we recommend using VYC 25L in the supraperiosteal plane. [ABSTRACT FROM AUTHOR]

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Simple Summary: Coccidiosis is an infectious disease that mainly affects cattle, chickens, goats, and sheep. Its source is the genus Eimeria, which produces coccidian protozoans that cause intestinal damage to their hosts. The oral intake of eimerian oocysts, which release infectious sporozoites within the colon, is the first step in the infection process. Eventually, oocysts are released with feces after they successively enter intestinal epithelial cells, where asexual multiplication occurs. Due to the widespread drug resistance brought on by the widespread use of currently available anticoccidial medicines, research into novel therapeutic approaches is being conducted. Various substances obtained from plants have shown promising and optimal anticoccidial as well as extra-therapeutic effects, in addition to other options. In Saudi Arabia, natural sources have been examined as potential controls for murine coccidiosis. Among these sources is Teucrium polium. Due to the aforementioned characteristics, the objective of this study was to examine T. polium leaf extract's anticoccidial and antioxidant effects in Eimeria papillata-infected mice. Eimeria spp. are responsible for the economic loss of both domestic and wild animals due to coccidiosis, the most common parasitic disease. The resistance to currently available drugs used to treat coccidiosis has been proven. Medicinal plants that contain physiologically active phytochemicals have been widely used in traditional medicine. Teucrium polium leaf extract (TPLE) has been shown to exhibit pharmacological, antioxidant, and anticoccidial properties in different experiments. Here, our investigation focused on how T. polium leaf extract affected the way that Eimeria papillate caused intestinal injury in mice. Thirty-five male Swiss albino mice were divided into seven groups, as follows: group I: untreated and uninfected (negative control); group II: uninfected, treated group with TPLE (150 mg/kg b.w); and group III: infected untreated (positive control). Groups III–VII were orally administered 103 sporulated E. papillata oocysts. A total of 60 min after infection, groups IV–VI were treated for five successive days with 50, 150, and 250 mg/kg b.w TPLE, respectively, while group VII was treated with amprolium (120 mg/kg b.w.). The mice had been euthanized on the fifth day post-infection, and the jejunum tissues were prepared for histology and oxidative stress studies. A total of 150 mg/kg of TPLE was the most effective dosage, significantly decreasing oocyst output by about 80.5%, accompanied by a significant reduction in the number of developmental parasitic phases in jejunal sections. In addition, the decrease in the number of goblet cells in the jejuna of mice raised after treatment. Also, TPLE greatly diminished the body weight loss of infected mice. Moreover, our research proved that TPLE reduced oxidative damage due to E. papillata infection via decreasing intestinal malondialdehyde (MDA) and nitric oxide (NO) levels and increasing reduced superoxide dismutase (SOD) and glutathione (GSH) levels. These results demonstrated that TPLE had potent anticoccidial properties. TPE's efficacy as a natural antioxidant has also been demonstrated in reducing oxidative stress and enhancing antioxidant systems to mitigate biochemical and histological changes in the jejunum caused by E. papillata. [ABSTRACT FROM AUTHOR]

Türkiye's earthquake zone, primarily located along the North Anatolian Fault, is one of the world's most seismically active regions, frequently experiencing devastating earthquakes, such as the one in Hatay in 2023. Therefore, reconstructing energy-efficient buildings after major earthquakes enhances disaster resilience and promotes energy efficiency through retrofitting, renovation, or demolition and reconstruction. To this end, this study proposes implementing energy-efficient design solutions in dwelling units to minimize energy consumption in new buildings in Hatay, Southern Turkiye, an area affected by the 2023 earthquake. This research focused on a five-story residential building in the district of Kurtlusarımazı, incorporating small-scale Vertical-Axis Wind Turbines (VAWTs) with thin-film photovoltaic (PV) panels, along with the application of a green wall surrounding the building. ANSYS Fluent v.R2 Software was used for a numerical investigation of the small-scale IceWind turbine, and DesignBuilder Software v.6.1.0.006 was employed to simulate the baseline model and three energy-efficient design strategies. The results demonstrated that small-scale VAWTs, PV panels, and the application of a green wall reduced overall energy use by 8.5%, 18%, and 4.1%, respectively. When all strategies were combined, total energy consumption was reduced by up to 28.5%. The results of this study could guide designers in constructing innovative energy-efficient buildings following extensive demolition such as during the 2023 earthquake in Hatay, Türkiye. [ABSTRACT FROM AUTHOR]

Background: Nicotine can be consumed in many forms, the most common of which is smoking tobacco. Tobacco smoking is a global problem that negatively affects human health. Natural plants are vital antioxidants that may antagonize the toxic effects of smoking. We designed the present study to assess the protective potential of Teucrium polium extract (TPE) on nicotine-induced liver toxicity in male mice. Methods: Twenty-four animals were allocated into four equal groups and daily treated for 21 constitutive days. Control group one received distilled water, group two orally received 100 mg/kg TPE, group three received subcutaneous injections of 2.5 mg/kg nicotine and group four received 100 mg/kg TPE orally then 2.5 mg/kg nicotine subcutaneously after one hour. Result: Nicotine exposure significantly elevated liver enzymes; alanine transaminase (ALT) and aspartate transaminase (AST). The levels of malondialdehyde (MDA) and nitric oxide (NO) were also elevated along with a reduction in glutathione reduced content (GSH), superoxide dismutase (SOD) and catalase (CAT) activity. Treatment with TPE considerably ameliorated the serum levels of liver enzymes, lowered MDA and NO levels, as well as elevated the antioxidant defense system. Also, TPE improved the histological structure and modulated apoptosis caused by nicotine. The current study proved the effectiveness of TPE as a natural antioxidant for the alleviation of nicotine-induced hepatic biochemical and histopathological alterations through attenuating oxidative stress, improving antioxidant systems and abrogating apoptosis. [ABSTRACT FROM AUTHOR]

Background: Acne vulgaris (AV) is a chronic inflammatory skin condition affecting the pilosebaceous unit, commonly presenting as comedones, papules, pustules, or nodules on the face, upper limbs, torso, and back, with comedones formation being the primary pathology leading to disfiguring inflammation, hyperpigmentation, scarring, and psychological impact. Aim: The purpose of this study was to investigate the significance of two genetic variants in the promoter region of the tumor necrosis factor‐alpha (TNF‐α) gene and their association with insulin resistance (IR) in acne patients. To understand how these variants contribute to AV and its associated IR. Subjects and methods: An analytical cross‐sectional study with a case‐control design and research evaluation was carried out on 87 AV patients and 73 healthy volunteers. The medical histories of both groups were obtained, as well as the severity and duration of inflammation among acne sufferers, as well as demographic data. Biochemical analysis was performed on both sets of participants, including fasting blood glucose levels, insulin levels while fasting, IR, and serum TNF‐α. PCR‐RFLP analysis identified −863 G > A (rs1800630) and −308 G > A (rs1800629) variations, and real‐time PCR analysis evaluated TNF‐α gene expression in both patients and healthy people. Results: Acne patients exhibited significantly higher levels of IR, fasting glucose, fasting insulin, serum TNF‐α, and TNF‐α folding change, when compared to healthy controls. The co‐dominant model for −863 G > A and −308 G > A variants exhibited significant variations between the two groups. Severe acne patients who had the A/A genotype for −308 variants exhibited higher levels of IR, serum TNF‐α, and TNF‐α folding change. Highly significant positive linear correlation between IR, serum TNF‐α, and TNF‐α folding change in severe AV. Conclusion: There is a correlation between AV, especially severe acne, and the −863 G > A and −308 G > A polymorphism, which influences TNF‐α gene expression and serum TNF‐α levels. [ABSTRACT FROM AUTHOR]

Background: MicroRNAs (miRNAs) are small RNA molecules that play a regulatory role in various biological processes by acting as intracellular mediators. They hold great potential as therapeutic agents for targeting human disease pathways; however, there is still much to be uncovered about their mechanism of gene regulation. Alopecia areata (AA) is a commonly occurring inflammatory condition characterized by the infiltration of T cells that specifically target the anagen‐stage hair follicle. The limited understanding of its precise cellular mechanism may be the reason behind the scarcity of effective treatments for AA. Aim: The significance and function of hsa‐miR‐193a‐5p as a genetic marker for AA and its potential influence on the advancement of the disease. Subjects and methods: A case‐control study comprised 77 individuals diagnosed with AA who were matched with 75 healthy controls. In order to measure the expression of miR‐200c‐3p in both groups, the real‐time PCR technique was utilized. The prediction of suitable genes for hsa‐miR‐193a‐5p, as well as the identification of pathways and gene‐gene interactions, were carried out using bioinformatic tools. Results: The levels of hsa‐miR‐193a‐5p expression were notably elevated in AA patients in comparison to healthy controls. Our prediction suggests that the involvement of hsa‐miR‐193a‐5p in the development of AA is significant due to its influence on the inositol phosphorylation pathway and the Phosphatidylinositol signaling system, achieved through its direct impact on the IPPK gene. Conclusion: For the first time, our study demonstrates the significant over‐expression of a new miRNA, hsa‐miR‐193a‐5p, in the blood of AA patients compared to controls, and highlights its impact on the IPPK gene and the inositol phosphorylation and Phosphatidylinositol signaling pathways, suggesting a potential therapeutic role for hsa‐miR‐193a‐5p in AA. [ABSTRACT FROM AUTHOR]

Background: The lack of evidence regarding optimal desensitization strategies for lung transplant candidates with preformed donor specific anti‐human leukocyte antigen antibodies (DSAs) has led to varying approaches among centers towards this patient group. Our institution's desensitization protocol for recipients with preformed DSAs and negative flow cytometry crossmatch (FCXM) consists of intravenous immunoglobulin (IVIG) as the sole therapy. The study aimed to determine outcomes using this approach. Methods: This retrospective study included adults who underwent lung‐only transplantation for the first time between January 2015 and March 2022 at a single center. We excluded patients with positive or missing FCXM results. Transplant recipients with any DSA ≥ 1000 MFI on latest testing within three months of transplant were considered DSA‐positive, while recipients with DSAs <1000 MFI and those without DSAs were assigned to the low‐level/negative group. Graft survival (time to death/retransplantation) and chronic lung allograft dysfunction (CLAD)‐free times were compared between groups using Cox proportional hazards models. Results: Thirty‐six out of 167 eligible patients (22%) were DSA‐positive. At least 50% of preformed DSAs had documented clearance (decrease to <1000 MFI) within the first 6 months of transplant. Multivariable Cox regression analyses did not detect a significantly increased risk of graft failure (aHR 1.04 95%CI 0.55–1.97) or chronic lung allograft dysfunction (aHR 0.71 95%CI 0.34–1.52) in DSA‐positive patients compared to patients with low‐level/negative DSAs. Incidences of antibody‐mediated rejection (p = 1.00) and serious thromboembolic events (p = 0.63) did not differ between study groups. Conclusion: We describe a single‐center experience of administering IVIG alone to lung transplant recipients with preformed DSAs and negative FCXM. Further studies are required to confirm the efficacy of this strategy against other protocols. [ABSTRACT FROM AUTHOR]