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Abstract Global warming has led to a notable increase in heatwaves globally and regionally. In spring 2022, South Asia witnessed an unprecedented heatwave with temperatures breaking historical records and exceeding 5° C from climatological mean at several locations in the northern Indian subcontinent. Here, using 3D tracking, this heatwave ranked the most severe in the past 64 years, characterized by its protracted duration and wide spatial extent. The excess atmospheric heat, represented by temperature anomalies, during the mega-heatwave triggered rapid snowmelt across the snow-covered areas in the region, leading to an average loss of 42% in snow cover and 57% in snow depth of the regional snowpack. This rapid melting resulted in the complete disappearance of low-level snowpack in the western Himalayas, Pir Panjal, and Afghanistan highlands, leading to the lowest snowpack observed in the last six decades. Moreover, during the heatwave, the amount of snowfall received was only 29% of the long-term average. This combination of excessive melting and reduced snowfall culminated in a severe regional snow drought in spring 2022. The heatwave genesis lay a persistent high-pressure system over Northwest South Asia, reinforced by a quasi-stationary Rossby wave packet over Europe during the initial spell. Continuous heat from high-pressure ridges associated with circumglobal Rossby waves combined with the physical barrier of the Himalayas, lent staying power to this system during the second phase.

Purpose – Sexual harassment is a pervasive and damaging issue that affects the physical and mental health and well-being of employees in the workplace. It is a serious public health concern that requires urgent attention and action and very dangerous problem in management. Our studies have shown that women are more likely to be the victims of sexual harassment and are more dissatisfied with the situation, organizations have a moral and legal obligation to take proactive measures to prevent and address sexual harassment, including implementing effective policies, providing employee training and fostering a culture of respect and accountability. By doing so, we can create safer, healthier and more productive work environments for all the employees. Design/methodology/approach – This study consisted of 344 individuals from the Syrian community who completed a questionnaire, that contained statements about harassment to gauge each gender’s perception and sensitivity toward it. The questionnaire was carefully designed to include 30 questions, including daily situations in the work environment that may occur and how they are classified by males and females. Is it harassment or not, and about the HR department have personal safety and security standards such as the code of conduct and the rules regulating these behaviors or not and our research project was a collaboration between the two nongovernmental organizations (NGOs): Stemosis and Institute of Human Resources Management (IHRM). Findings – Our research reveals a distinction between the thinking patterns and coping mechanisms of females and males when it comes to dealing with this phenomenon. We presented various scenarios to our respondents, depicting situations that an individual might face in their everyday life and asked them questions related to the definition of harassment, its root causes and strategies for addressing it. Research has shown that women are at a higher risk of experiencing feelings of fear and dissatisfaction when subjected to sexual harassment. This unfortunate reality highlights the need for greater awareness and action to combat such reprehensible behaviors. Save Women! Research limitations/implications – The study faced several limitations in collecting data due to the sensitive and shameful nature of the topic for both men and women in the Syrian Arab Republic. This caused embarrassment for some participants, leading to their unwillingness to participate in the research. Additionally, the study encountered difficulties in dealing with companies, as they did not accept exposure to such situations and failed to show any codes of conduct under the name of their company, and the participants did not consider certain factors as reasons for harassment. Specifically, 71.2% of participants did not consider inappropriate outfits as a reason for harassment. However, there was a significant difference between the opinions of men and women on this matter (p-value < 0.05). Additionally, political, social and psychological reactions were not considered a reason for harassment by 64.8% of participants. Practical implications – In our study, there was a situation that one of the respondents (male) was exposed to by the HR manager (female) who was pretending to be a professional, after he confronted her, she threatened him with expulsion from work and despite his annoyance, he ignored her because it was pointless to talk with her and during the study, (44.7%) of the participants had experienced sexual harassment. Social implications – Victims of sexual harassment experience a similar condition to post-traumatic stress disorder, which can lead to many mental and psychological issues. The overall organizational environment plays a critical role in the well-being of employees. It is widely accepted that victims of violence suffer from a lack of well-being. Employee well-being is based on feelings of happiness and satisfaction that come from a sense of security. According to the Maslow’s theory of needs, security is fundamental to people and a toxic workplace environment can destroy an individual’s sense of security, negatively impacting their well-being In Syria. Originality/value – In Syria, society is considered closed about sexual issues and considers it a sensitive issue despite its presence and spread in work environments, as the results showed, and this is one of the challenges we face. Therefore, our study is the first in Syria and the largest that sheds light on this phenomenon clearly, strongly, deeply and directly.

Abstract Heat stress poses a significant environmental challenge that profoundly impacts wheat productivity. It disrupts vital physiological processes such as photosynthesis, by impeding the functionality of the photosynthetic apparatus and compromising plasma membrane stability, thereby detrimentally affecting grain development in wheat. The scarcity of identified marker trait associations pertinent to thermotolerance presents a formidable obstacle in the development of marker-assisted selection strategies against heat stress. To address this, wheat accessions were systematically exposed to both normal and heat stress conditions and phenotypic data were collected on physiological traits including proline content, canopy temperature depression, cell membrane injury, photosynthetic rate, transpiration rate (at vegetative and reproductive stage and ‘stay-green’. Principal component analysis elucidated the most significant contributors being proline content, transpiration rate, and canopy temperature depression, which exhibited a synergistic relationship with grain yield. Remarkably, cluster analysis delineated the wheat accessions into four discrete groups based on physiological attributes. Moreover, to explore the relationship between physiological traits and DNA markers, 158 wheat accessions were genotyped with 186 SSRs. Allelic frequency and polymorphic information content value were found to be highest on genome A (4.94 and 0.688), chromosome 1A (5.00 and 0.712), and marker Xgwm44 (13.0 and 0.916). Population structure, principal coordinate analysis and cluster analysis also partitioned the wheat accessions into four subpopulations based on genotypic data, highlighting their genetic homogeneity. Population diversity and presence of linkage disequilibrium established the suitability of population for association mapping. Additionally, linkage disequilibrium decay was most pronounced within a 15–20 cM region on chromosome 1A. Association mapping revealed highly significant marker trait associations at Bonferroni correction P

Abstract Progressive familial intrahepatic cholestasis (PFIC) is a rare childhood manifested disease associated with impaired bile secretion with severe pruritus yellow stool, and sometimes hepatosplenomegaly. PFIC is caused by mutations in ATP8B1, ABCB11, ABCB4, TJP2, NR1H4, SLC51A, USP53, KIF12, ZFYVE19, and MYO5B genes depending on its type. ABCB11 mutations lead to PFIC2 that encodes the bile salt export pump (BSEP). Different mutations of ABCB11 have been reported in different population groups but no data available in Pakistani population being a consanguineous one. We sequenced coding exons of the ABCB11 gene along with its flanking regions in 66 unrelated Pakistani children along with parents with PFIC2 phenotype. We identified 20 variations of ABCB11: 12 in homozygous form, one compound heterozygous, and seven heterozygous. These variants include 11 missenses, two frameshifts, two nonsense mutations, and five splicing variants. Seven variants are novel candidate variants and are not detected in any of the 120 chromosomes from normal ethnically matched individuals. Insilico analysis revealed that four homozygous missense variations have high pathogenic scores. Minigene analysis of splicing variants showed exon skipping and the addition of exon. This data is a useful addition to the disease variants genomic database and would be used in the future to build a diagnostic algorithm.

Abstract Water scarcity and droughts are among the most challenging issues worldwide, particularly in arid and semi-arid regions like Saudi Arabia. Date palm (Phoenix dactylifera L.), a major crop in Saudi Arabia, is being significantly affected by water scarcity, soil salinity, and desertification. Alternative water sources are needed to conserve freshwater resources and increase date palm production in Saudi Arabia. On the other hand, Saudi Arabia has a significant number of aquaculture farms that generate substantial amounts of wastewater, which can be utilized as an alternative source of irrigation. Therefore, this study aimed to assess the potential of aquaculture wastewater as an alternative irrigation source for date palm orchards. Aquaculture wastewater was collected from 12 different farms (Al-Kharj, Al-Muzahmiya, and Al-Qassim regions, Saudi Arabia) and its quality was analyzed. The impacts of aquaculture wastewater irrigation on soil quality, nutrient availability, nutrient status of date palm trees, and dates fruit quality were assessed in comparison to source water (freshwater) irrigation at Al-Kharj, Al-Muzahmiya, and Al-Qassim regions. The water quality analyses showed higher salinity (EC = 3.31 dSm−1) in farm Q3, while all other farms demonstrated no salinity, sodicity, or alkalinity hazards. Moreover, the aquaculture wastewater irrigation increased soil available P, K, NO3 −–N, and NH4 +–N by 49.31%, 21.11%, 33.62%, and 52.31%, respectively, compared to source water irrigation. On average, date palm fruit weight, length, and moisture contents increased by 26%, 23%, and 43% under aquaculture wastewater irrigation compared to source water irrigation. Further, P, K, Fe, Cu, and Zn contents in date palm leaf were increased by 19.35%, 34.17%, 37.36%, 38.24%, and 45.29%, respectively, under aquaculture wastewater irrigation compared to source water irrigation. Overall, aquaculture wastewater irrigation significantly enhanced date palm plant growth, date palm fruit quality, and soil available nutrients compared to freshwater irrigation. It was concluded that aquaculture wastewater can be used as an effective irrigation source for date palm farms as it enhances soil nutrient availability, date palm growth, and date fruit yield and quality. The findings of this study suggest that aquaculture wastewater could be a viable alternative for conserving freshwater resources and increase date palm production in Saudi Arabia.

OBJECTIVE: To determine risk factors and the site and outcome of intracranial Hemorrhage in young adults. METHODOLOGY: This cross-sectional observational study was conducted in neuromedicine ward 28 at Jinnah Postgraduate Medical center, Karachi, from September 2020 to August 2023. All emergency patients with evidence of Neuroimaging and symptomatic intracranial Hemorrhage were included. Using the Glasgow outcome scale, we investigated the risk factors, cause, location and prognosis of intracranial hemorrhage. Traumatic hemorrhages, primary sub-arachnoid hemorrhage and brain tumors were excluded. RESULTS: 72 patients aged 16 to 40 years were included. Forty were Male patients, 55%, and 32 were female patients, 45%. The risk factors for intracranial hemorrhages were hypertension 60/72 (83.33%), ArterioVenous malformation 7/ 72 (9.33%), Cryptogenic 2/72 (2.77%), drug-induced 1/72 (1.38%), hypocholesterolemia 1/72(1.38%) and tobacco and alcohol intake 1/72 (1.38%). In 36/72 (50%), the location was basal ganglia, 25/72(34.72%) was in lobar, 7/72 (9.72%) in Subarachnoid, and 4/72 (5.55%) in other locations. The outcome was favorable in 65/72 (90.27%) patients. CONCLUSION: It has been found that hypertension, even in adults, is the leading risk factor for intracranial Hemorrhage below 40 years of age. Intracranial Hemorrhage is primarily present in the basal ganglia. AV malformation is the second most common risk factor in adults at our setup, and the outcome is good in adults. Drug, smoking, and hypocholesterolemia are less common causes of intracranial Hemorrhage in young adults.

Babesia ovis, commonly associated with ovine babesiosis, poses a significant threat to sheep health, often resulting in severe clinical manifestations and high mortality rates. However, the impact of B. ovis on goats has remained uncertain, prompting us to investigate its pathogenicity in caprine hosts. Experimental infections using B. ovis-infected blood inoculation and infected tick infestation, were conducted on spleen-intact (n=5) and splenectomized (n=5) goats. The experimental infection was performed using fresh blood obtained from a B. ovis-infected splenectomized sheep. One spleen-intact sheep served as a control for the experimental infection with B. ovis-infected Rhipicephalus bursa ticks. While all experimentally infected sheep (#501, #575) displayed severe clinical symptoms and high parasitemia, goats exhibited resistance, showing no significant clinical manifestations or sustained parasitemia. Notably, B. ovis was detected in two spleen-intact goats via nested PCR, prompting further investigation into their role as reservoirs for tick-borne transmission. These goats were then infested with Babesia spp.-free R. bursa larvae (0.1 gr) and adults (50 females and 50 males) for transstadial and transovarial transmission experiments respectively. Results indicated that chronically B. ovis-infected spleen-intact goats are not significant sources for maintaining the tick-borne transmission cycle of the parasite. These findings highlight the differential susceptibility of goats to B. ovis infection compared to sheep and their limited role as reservoirs for parasite transmission. Understanding the role of goats in B. ovis transmission and their resistance mechanisms can inform effective control measures and reduce economic losses in affected regions. Further research into caprine babesiosis and host immunological responses is essential to fully elucidate their possible role as reservoirs of the parasite, and underlying mechanisms of host susceptibility and parasite pathogenesis.

Babesiosis, caused by Babesia ovis, is a major seasonal issue in sheep, particularly in countries like Türkiye with high Rhipicephalus bursa tick populations. Previous studies employing various methods such as microscopy, serology, or molecular techniques have reported different epidemiological data concerning ovine babesiosis. Addressing this knowledge gap, our study employed a combined nested PCR (nPCR)/indirect ELISA (iELISA) approach, analyzing blood samples collected from 414 sheep between April and July 2023 using both techniques. nPCR amplified the 18S ribosomal RNA gene of B. ovis and determined a molecular prevalence of 1.9%. Conversely, serological testing using iELISA targeted the BoSA1 antigen and revealed a significantly higher positivity rate of 59.9% for anti-B. ovis antibodies. The temporary presence of Babesia after recovery reduces nPCR sensitivity, resulting in lower molecular prevalence. However, even if Babesia is not present in the host, anti-B. ovis antibodies remain in the serum for a long time and can be detected serologically. Our study underscores the necessity of concurrently employing molecular and serological methods for an accurate assessment of B. ovis prevalence. It highlights the importance of comprehensive epidemiological approaches for effective disease management in sheep populations.

Abstract Intercropping, a widely adopted agricultural practice worldwide, aims to increase crop yield, enhance plant nutrient uptake, and optimize the utilization of natural resources, contributing to sustainable farming practices on a global scale. However, the underlying changes in soil physio-chemical characteristics and enzymatic activities, which contribute to crop yield and nutrient uptake in the intercropping systems are largely unknown. Consequently, a two-year (2021–2022) field experiment was conducted on the maize/soybean intercropping practices with/without nitrogen (N) fertilization (i.e., N0; 0 N kg ha−1 and N1; 225 N kg ha−1 for maize and 100 N kg ha−1 for soybean ) to know whether such cropping system can improve the nutrients uptake and crop yields, soil physio-chemical characteristics, and soil enzymes, which ultimately results in enhanced crop yield. The results revealed that maize intercropping treatments (i.e., N0MI and N1MI) had higher crop yield, biomass dry matter, and 1000-grain weight of maize than mono-cropping treatments (i.e., N0MM, and N1MM). Nonetheless, these parameters were optimized in N1MI treatments in both years. For instance, N1MI produced the maximum grain yield (10,105 and 11,705 kg ha−1), biomass dry matter (13,893 and 14,093 kg ha−1), and 1000-grain weight (420 and 449 g) of maize in the year 2021 and 2022, respectively. Conversely, soybean intercropping treatments (i.e., N0SI and N1SI) reduced such yield parameters for soybean. Also, the land equivalent ratio (LER) and land equivalent ratio for N fertilization (LERN) values were always greater than 1, showing the intercropping system’s benefits in terms of yield and improved resource usage. Moreover, maize intercropping treatments (i.e., N0MI and N1MI) and soybean intercropping treatments (i.e., N0SI and N1SI) significantly (p

Abstract Background The globose scale (GS), Sphaerolecanium prunastri (Boyer de Fonscolombe) (Hemiptera: Coccoidea), has invaded wild apricot forests in their native range in Central Eurasia threatening the ancestral germplasm resource. Biological control efficacy of the harlequin ladybird, Harmonia axyridis (Pallas, 1773) (Coleoptera: Coccinellidae) against the globose scale was assessed in laboratory and field experiments. Results In the laboratory, Harmonia axyridis has a high feeding capacity on GS with numbers consumed daily increasing with temperature (15, 20, 25, 30, 35 °C), reaching an upper asymptote of 160–200 scales per day. In field cage experiments, efficacy of biological control (EBC) against first instar (49–99%) and second instar nymphs (20–80%) increased with GS density. When ants were present, control efficiency was reduced by 10–15%. In open-field experiments without cages, EBC was comparatively lower regardless of duration and how H. axyridis were released whether as adults, eggs cards or a mixture of adults and eggs cards. Conclusions In the long term, biological control with this ladybird predator could be considered as part of an IPM program package that includes banning or delaying mowing grass and understory plants in the forests that offer pollen and nectar for natural enemies.

Abstract Background Several recent studies have highlighted the need for more evaluation of the impact of COVID-19 infections and vaccines on the reproductive system and menstruation. This study aimed to assess the impact of COVID-19 infection and vaccines on menstrual symptoms. Methods A cross-sectional survey utilizing face-to-face interviews from January 1 to 31 March 2022 was conducted in the city of Al-Karak in southern Jordan. The questionnaire included sociodemographic characteristics, medical and reproductive history, the contraceptive method used if any, menstrual cycle (MC) status, previous medical and drug history, and the impact of infection and vaccination on the MC. Results The study questionnaire was completed by 400 participants with a mean age of 32.1±12.6 years. Regarding the history of COVID-19 infections, 33.8% of the participants reported a history of confirmed COVID-19 infections, 77.8% of them did not report any menstrual changes following the infection, while the remaining 22.2% reported changes in menstruation. The most commonly reported post-COVID-19 manifestations were irregular (27.6%) and light menstrual cycle (MC) (24.15) or dysmenorrhea (24.1%). Heavy menstruation was reported by 17.2% of participants post-COVID-19 infection. Two-thirds of the study participants (66.6%) reported no changes in the MC following the administration of the COVID-19 vaccine. The most reported symptoms for those who experienced changes in the MC following the vaccination were irregular cycle (13.1%), heavy menstruation (7%), and light menstruation (7%). Other reported symptoms were dysmenorrhea (4.6%), intermenstrual bleeding (1.2%), and amenorrhea (0.5%). Conclusion This study revealed minor changes in the MC following COVID-19 infections and administration of the COVID-19 vaccine. These findings are consistent with published reports. It is recommended that future clinical trials for new vaccines for women of childbearing age include outcomes related to sex hormones and MC. Women should be encouraged to take the vaccines and report symptoms to healthcare professionals for further assessment.

Drainage in sugarcane cultivation in high-rainfall areas is of paramount importance because it affects sugarcane plants from planting, maintenance, and production. Poor drainage can damage plants and reduce productivity. This study was conducted at Bone Sugarcane Plantation, which typically has high annual rainfall; thus, drainage is necessary. The existing drainage channel cannot drain all surface runoff quickly and causes problems to sugarcane plants. Therefore, a study was conducted with the aim of designing the shape and size of drainage channels that can drain surface runoff quickly, have a strong structure, allows for an effective use of cultivated land by reducing headland for tractor turning, and maintains appropriate soil moisture. The research began by determining the saturated hydraulic conductivity of the soil using the Falling Head method. Surface runoff discharge was calculated using rational equations to determine the dimensions of the drainage channel. Rainfall intensity was determined from Intensity Duration Frequency curve which was constructed using Manonobe method. The results showed that the saturated hydraulic conductivity of the soil was 3.54 × 10−3 cm/s which is suitable with surface drainage. Rainfall intensity is estimated to be 201.33 mm/hour. The shape and dimensions of the drainage channel are parabolic with the largest width and depth of 1.70 m and 0.90, respectively. This study provides a practical method to solve drainage problems in sugarcane fields that apply full mechanization. In addition, the practical analysis used in this study can be adapted to analyze the design of drainage channel for other plantations or regions with similar constrains.

Barium titanate (BaTiO3) has been extensively used as a compound due to its potential for optoelectronics and electronic applications. The density functional theory (DFT) calculations as well as chemically prepared thin films were used to investigate the effect of the alkaline earth metal Sr on the electronic, thermoelectric, structural, morphological, and optical properties of the BaTiO3 host matrix. It was found in band structure analysis that the bandgap nature changed from indirect to direct bandgap upon incorporation of the Sr atom into the BaTiO3 host lattice. Thermoelectric characteristics showed notable changes in response to temperature and doping. The investigation demonstrated that optimized electrical conductivity, reduced thermal conductivity, and an enhanced Seebeck coefficient were achieved with a precise (5.55 %) Sr content. XRD analysis revealed the cubic phase of the prepared thin films. Morphological investigation showed the evolution of grain with the increase in dopant contents. The theoretical and experimentally measured optical characteristics also revealed that Sr doping improved the material’s refractive index, conductivity, and absorption coefficient in the visible and ultraviolet energy ranges. Significant enhancements in electronic, thermoelectric, and optical properties suggest that doped BaTiO3 could be considered a potential applicant for optoelectronic as well as thermoelectric applications.

Abstract Wearing face masks is the best way to stop the spread of respiratory infections. However, if masks are not sterilized, changing them too frequently can actually increase the risk of cross‐contamination. Herein, the construction of an antipathogen photocatalytic mask with carbon vacancy‐modified carbon nitride nanosheets (g‐C3N4‐VC Ns) coated on the non‐woven fabrics of the out layer of the mask, offering effective and long‐term protection against damaging pathogens when exposed to light is reported. The introduced carbon vacancies are found capable of creating energy‐disordered sites and inducing energetic electric force to overcome the Coulomb interactions between electron‐hole pairs, thus promoting the electron‐hole separation to achieve a high generation of reactive oxygen species (ROS). Thanks to its high activity in generating ROS upon exposure to light, the as‐prepared photocatalytic mask shows high pathogen sterilization performance. This, in turn, prolongs the mask's protective lifetime, decreases the need for regular replacement, and decreases medical waste production. The work demonstrated here opens new viewpoints in designing pathogens biocidal protective devices for health protection, offering significant promise in specific environment self‐protection.

Thromboembolism is a significant cause of mortality and morbidity in cancer patients. While the link between cancer and venous thrombosis is well known, the recognition of arterial thrombosis as a serious complication of cancer and chemotherapeutic agents is a recent development. One of the chemotherapy agents frequently linked to acute vascular events is cisplatin. We discuss a rare case of cisplatin-related brachial arterial thrombosis in a 50-year-old man who was treated for cholangiocarcinoma with cisplatin and gemcitabine. Although rare, cisplatin-related arterial thrombosis demands careful monitoring, a high index of suspicion, and prompt management to prevent serious complications and mortality.

Determining the evapotranspiration (ET) of cotton as a water-intensive crop is crucial for effective irrigation planning and water management, especially in regions like Sindh province, Pakistan, where shallow groundwater table depths (WTDs) are prevalent. Despite the importance of cotton, a major cash crop in Sindh, previous studies on ET were conducted decades ago and may no longer be reliable due to ongoing climate change and the introduction of new crop varieties. Thus, we quantified cotton ET across two cropping seasons and at various WTDs (0.45, 0.60, 0.75, 1.50, 2.25, and 2.75 m). The experimental study was based on the data procured from 12 mini lysimeters and 12 large lysimeters for two years (2018 and 2019) and at two soil series. The findings revealed that cotton ET ranged from 1332 to 1437, 1114–1202, 988–1075, 781–821, 690–733, and 637–683 mm at WTDs of 0.45, 0.60, 0.75, 1.50, 2.25, and 2.75 m, respectively. WTDs from 0.45 to 0.75 m fulfilled 94–96 % of cotton ET through groundwater (GW) contribution in Sultanpur soil (silt loam) and 93–97 % in Miani soil (silty clay loam). At 1.50–2.75 m WTDs, irrigation water requirements (excluding rainfall and leaching) were 63–88 % in Sultanpur soil and 67–89 % in Miani soil. The highest yield was observed at a 1.50 m WTD, while the highest water use efficiency was identified at a 2.25 m WTD. However, soil salinity increased by 60–80 %, resulting in a 40–60 % lower cotton yield at 0.45–0.75 m WTD. Therefore, periodic flushing of salts is necessary to utilize shallow WTDs effectively. Considering GW contribution to ET when allocating water for irrigation channels and devising irrigation schedules is crucial. This approach can lead to water savings, prevent land from becoming waterlogged and saline, manage the groundwater table, and reduce the need for drainage channels and labor force for their preparation.

Babesia ovis, transmitted by Rhipicephalus bursa ticks, is the causative agent of ovine babesiosis, a disease characterized by fever, anemia, hemoglobinuria, and high mortality in sheep. This study investigates whether sheep that survived babesiosis without treatment can serve as a source of infection for B. ovis-free host-seeking R. bursa larvae in a later season. Three donor sheep were experimentally infected with B. ovis, and after six months, persistence of B. ovis was assessed through blood and tick transmission experiments. Blood from donor sheep was intravenously injected into three recipient sheep, while donor sheep were also infested with B. ovis-free R. bursa larvae. Engorged nymphs molted to adults, and new recipient sheep were infested with these ticks. All recipient sheep were monitored for B. ovis for 100 days using microscopic, serological, and molecular approaches. The presence of B. ovis was confirmed in the recipient sheep that received blood, leading to clinical infection in two. However, no B. ovis was detected in recipient sheep infested with ticks. These results suggest that sheep recovering from B. ovis infection do not serve as a source of infection for R. bursa larvae in subsequent seasons.

Chymosin, an aspartic protease present in the stomachs of young ruminants like cows (bovine), causes milk coagulation and cheese production through the breakdown of κ-casein peptide bonds at the Met105-Phe106 site. Bovine chymosin is first synthesized as a pre-prochymosin that is cleaved to produce the mature chymosin protein. Despite significant strides in research, our understanding of this crucial enzyme remains incomplete. The purpose of this work was to perform in silico evolutionary and functional analysis and to gain unique insights into the structure of this protein. For this, the sequence of Bos taurus chymosin from UniProt database was subjected to various bioinformatics analyses. We found that bovine chymosin is a low molecular weight and hydrophilic protein that has homologs in other Bovidae species. Two active sites of aspartic peptidases, along with a functional domain, were identified. Gene Ontology analysis further confirmed chymosin's involvement in proteolysis and aspartic endopeptidase activity. Potential disordered residues and post-translational modification sites were also uncovered. It was revealed that the secondary structure of bovine chymosin is comprised of beta strands (44.27%), coils (43.65%), and alpha helices (12.07%). A highly optimized 3D structure was also obtained. Moreover, crucial protein–protein interactions were unveiled. Altogether, these findings provide valuable insights that could guide future research on bovine chymosin and its biological roles.

This work presents a novel InGaAs/InP avalanche photodiode, fabricated in the separate absorption, grading, charge, and multiplication configuration operated at non-cryogenic conditions under low-frequency ramp gating. An optimized three stage InP multiplication layer of $1\mu m$ thickness offers an extended linear mode operation by reducing the punch-through voltage, and indefinitely increasing the avalanche threshold voltage. A large background dark current is observed following steady, and linear multiplication in approximately direct relationship with the ramp gating. For 1310 nm short-wave infrared, normal incidence pulsed illumination at instant-to-peak voltage ratios of $(0.11,0.2,0.6, 0.89, 0.98, 0.9)$ , a sort of negative differential resistance is incorporated into the device in a qualitative sense, owing to the illumination induced switching/variations in the intrinsic values of electron, and hole avalanche coefficients in the multiplication region. Under fixed illumination, an interesting deduction from the transient photo response is the slow quenching phenomenon prolonging $\sim 120 \mu s$ for all the electrical field establishments in the device. The related measurement scheme paves the way for futuristic ramp-driven InGaAs/InP APDs for detecting SWIR wavelengths under required low power consumption environments.

It is widely acknowledged that electricity price forecasting become an essential factor in operational activities, planning, and scheduling for the participant in the price-setting market, nowadays. Nevertheless, electricity price became a complex signal due to its non-stationary, non-linearity, and time-variant behavior. Consequently, a variety of artificial intelligence techniques are proposed to provide an efficient method for short-term electricity price forecasting. Backtracking search algorithm as the recent augmentation of optimization technique, yield the potential of searching a closed-form solution in mathematical modeling with a higher probability, obviating the necessity to comprehend the correlations between variables. Concurrently, this study also developed a feature selection technique, to select the input variables subsets that have a substantial implication on forecasting of electricity price, based on a combination of mutual information and support vector machine. For the verification of simulation results, actual data sets from the Ontario energy market in the year 2020 covering various weather seasons are acquired. Finally, the obtained results demonstrate the feasibility of the proposed strategy through improved preciseness in comparison with the distinctive methods.

The use of RF harvesting as a power source for low-power systems, such as wearables, wireless sensor nodes, and Internet of Things, has gained attention. The primary obstacle to develop an effective RF-DC system has been the RF rectifier. The method most frequently employed in the design of RF-DC converters is called Cross-Coupled Differential Drive (CCDD). To enhance the DC output voltage, multistage systems are typically employed. In these designs, DC output will reach saturation as the number of stages rises. This is because the NMOS threshold voltage will rise if the bulk of the NMOS is connected to the lowest potential. An alternative is to employ the twin-well CMOS process, which is more expensive than the regular n-well process. A novel CMOS RF-DC converter is presented in this brief. The design is hybrid in the sense the first stage is designed using a standard CCDD, while the second and subsequent stages are designed exclusively with PMOS transistors. This allows the use of the n-well process during fabrication. With CADENCE Virtuoso in $0.18~\mu \text{m}$ TSMC CMOS technology, the suggested design’s functionality is verified. The design is functional and achieves 45% efficiency and a power dynamic range of 23dB for power conversion efficiency (PCE) >20%, according to simulation findings.

Abstract In recent decades, flash floods have become more common because of climate change and are considered a substantial risk for many cities worldwide. This catastrophic natural hazard presents a significant threat to critical infrastructure in urban areas, particularly the power distribution system. As modern societies are much more dependent on electrical energy these days, it is essential and imperative to make existing distribution systems resilient against flash flooding. Although researchers in this area have proposed various algorithms to impart resilience to a distribution system, however, the focus in these works is on wind‐related events such as hurricanes, cyclones, and windstorms. Therefore, here, the spatiotemporal effects of a flash flood on the distribution system are modelled using a grid‐based hydrodynamic model. The evolving line faults are then included in the proposed resilience‐oriented time horizon‐based service restoration model that also considers dynamic load demand, heavy uncertainties related to renewable generation, and interdependence among critical loads. Finally, the resilience of the distribution system's response is assessed using an operational resilience metric. The efficacy of the proposed framework is evaluated on IEEE 33‐bus and 69‐bus systems and the results show that the model provides an efficient restoration solution despite increased complexity caused by varying conditions.

Abstract In this study, biochar (BC) and hydrochar (HC) composites were synthesized with natural kaolinite clay and their properties, stability, carbon (C) sequestration potential, polycyclic aromatic hydrocarbons (PAHs) toxicity, and impacts on maize germination and growth were explored. Conocarpus waste was pretreated with 0%, 10%, and 20% kaolinite and pyrolyzed to produce BCs (BC, BCK10, and BCK20, respectively), while hydrothermalized to produce HCs (HC, HCK10, and HCK20, respectively). The synthesized materials were characterized using X-ray diffraction, scanning electron microscope analyses, Fourier transform infrared, thermogravimetric analysis, surface area, proximate analyses, and chemical analysis to investigate the distinction in physiochemical and structural characteristics. The BCs showed higher C contents (85.73–92.50%) as compared to HCs (58.81–61.11%). The BCs demonstrated a higher thermal stability, aromaticity, and C sequestration potential than HCs. Kaolinite enriched-BCs showed the highest cation exchange capacity than pristine BC (34.97% higher in BCK10 and 38.04% higher in BCK20 than pristine BC), while surface area was the highest in kaolinite composited HCs (202.8% higher in HCK10 and 190.2% higher in HCK20 than pristine HC). The recalcitrance index (R50) speculated a higher recalcitrance for BC, BCK10, and BCK20 (R50 > 0.7), minimal degradability for HCK10 and HCK20 (0.5

The early prediction of ocular disease is certainly an obligatory concern in the domain of ophthalmic medicine. Although modern scientific discoveries have shown the potential to treat eye diseases by using artificial intelligence (AI) and machine learning, explainable AI remains a crucial challenge confronting this area of research. Although some traditional methods put in significant effort, they cannot accurately predict the proper ocular diseases. However, incorporating AI into diagnosing eye diseases in healthcare complicates the situation as the decision-making process of AI demonstrates complexity, which is a significant concern, especially in major sectors like ocular disease prediction. The lack of transparency in the AI models may hinder the confidence and trust of the doctors and the patients, as well as their perception of the AI and its abilities. Accordingly, explainable AI is significant in ensuring trust in the technology, enhancing clinical decision-making ability, and deploying ocular disease detection. This research proposed an efficient transfer learning model for eye disease prediction to transform smart vision potential in the healthcare sector and meet conventional approaches’ challenges while integrating explainable artificial intelligence (XAI). The integration of XAI in the proposed model ensures the transparency of the decision-making process through the comprehensive provision of rationale. This proposed model provides promising results with 95.74% accuracy and explains the transformative potential of XAI in advancing ocular healthcare. This significant milestone underscores the effectiveness of the proposed model in accurately determining various types of ocular disease. It is clearly shown that the proposed model is performing better than the previously published methods.

We developed and evaluated a semi-nested PCR assay for the detection of Babesia aktasi infection in goats based on the sequence of the B. aktasi 18S ribosomal RNA gene. Following in silico screening, the specificity of the primers was assessed using reference DNA samples, including B. ovis, B. motasi, B. crassa, B. venatorum, B. divergens, B. capreoli, Theileria ovis, and T. annulata. To determine the sensitivity of the method, blood infected with 2% parasitemia of B. aktasi was diluted to 10-fold serial dilutions. The method specifically amplified a 438 bp fragment of B. aktasi DNA, but did not demonstrate cross-amplification with the other hemoparasites tested. The sensitivity assay indicated that this PCR method was able to detect infection at a dilution of 10−8 of 2% parasitemia (0.074 parasites/200 µL). Ninety-seven blood samples collected from goats were used to analyze for B. aktasi, and the infection was detected in 18.5% of the goats. Additionally, the method was also applied to 44 field DNA samples that were detected to be positive for B. aktasi by reverse line blotting (RLB), and showed 84.1% agreement. The findings revealed that newly developed semi-nested PCR can detect B. aktasi infections in goats with high sensitivity and specificity.

Efforts to establish Pakistan’s National Spatial Data Infrastructure (NSDI) have been underway for the past 15 years, and therefore it is necessary to gauge the current progress to channelize efforts into areas that need improvement. This article assessed Pakistan’s NSDI implementation efforts through well-established approaches, including the SDI readiness model, organizational aspects, and state of play. The data were collected from Spatial Data Infrastructure (SDI) and Geographic Information System (GIS) experts. The findings underscored challenges related to human resources, SDI education/culture, long-term vision, lack of awareness of geoinformation (GI), sustainable funding, metadata availability, online geospatial services, and geospatial standards hindering NSDI development in Pakistan. However, certain factors exhibit favorable standings, such as the legal framework for NSDI establishment, web connectivity, geospatial software availability, the unavailability of core spatial datasets, and institutional leadership. Thus, to enhance the development of NSDI in Pakistan, recommendations include bolstering financial and human resources, improving online geospatial presence, and fostering a long-term vision for NSDI.

Maize is a globally significant food crop but its future sustainability under rainfed conditions is at risk due to climate change and increased climate uncertainty. In Pakistan most maize is rainfed but there is increasing interest in the role of supplemental irrigation to reduce the vulnerability of crop yields to future drought and climate risks. Using a crop model (DSSAT CERES-Maize) with downscaled data from a weather generator (LARS-WG) and for five selected GCMs, two RCPs (4.5 and 8.5) and two time slices (2050s and 2080s), this study assessed the impacts of climate change and climate variability on rainfed maize grown in the Pothwar region of Pakistan, and the extent to which irrigation could offset future yield reductions. Model simulations were calibrated and validated using experimental data from 2021 and 2022. The outputs showed that on average the yield of maize could be increased by 55% with a single irrigation of 60 mm during the reproductive stage. For the baseline (1991–2020) the average rainfed yield was 3370 kg/ha. The climate change scenarios for the 2050s indicated a −13.5% and −5.8% decline in rainfed yield under RCP4.5 and RCP8.5, respectively. Irrigation applications (between 162 mm and 180 mm) increased grain yields by 5615 kg/ha and 5732 kg/ha, respectively. For the 2080s scenarios there was a projected decrease in yield by -9.3% and -39.7% under RCP4.5 and RCP8.5, respectively. Modelling also confirmed significant reductions in maize biomass production which would negatively impact on feedstocks for both livestock and renewable energy generation.

IntroductionTick-borne pathogens (TBP) are an important group of organisms that can affect animals and humans all over the world. Equine piroplasmosis (EP), caused by Theileria equi and Babesia caballi, is considered one of the most important tick-borne diseases and can cause significant clinical symptoms and mortality in horses. Moreover, EP plays a restrictive role in international horse traditions and transportation. Although these species can cause similar symptoms, there are different 18S rRNA genotypes of T. equi (five genotypes) and B. caballi (three genotypes). Besides piroplasma species, Anaplasma and hemotropic mycoplasmas (HM) are known as other important tick-borne pathogens reported in horses.MethodsIn this study, we investigated the presence, prevalence, genetic diversity, and phylogenetic analyses of TBPs using PCRs and DNA sequencing in grazing horses in Kyrgyzstan. For these purposes, a total of 311 blood samples were collected from Chuy, Issyk-Kul, Naryn, Osh, Talas, and Jalal-Abad.ResultsDNA amplification of TBP revealed that 23 (7.40%) out of 311 samples were found to be positive for T. equi. However, B. caballi, HM, A. phagocytophilum, and A. capra were not detected in this study. The infection rate of T. equi was higher in males (8.11%) than in females (6.35%) (p=0.2880) and in those older than 5 years (9.02%) than in the 1-4 age group (6.35%) (p=0.1950). Phylogenetic analysis of 18S rRNA revealed that A and E genotypes of T. equi have circulated in grazing horses in Kyrgyzstan.DiscussionInformation about the genetic diversity of T. equi is important for understanding the population dynamics of the species and developing effective control strategies against this pathogen. This is the first molecular investigation of A. capra in horses in Kyrgyzstan. Although this pathogen has been detected in different hosts in Kyrgyzstan, it was not detected in this study. However, considering the wide host spectrum of A. capra, it is thought that more large-scale studies are needed to understand the effect of horses on the epidemiology of this pathogen.

Microplastics (MPs) and heavy metals have recently attracted much attention due to their widespread distribution in the environment. Co-occurrence of MPs and heavy metals in dust poses potential health risks for humans. The objectives of this study were to investigate pollution and health risk factors associated with co-occurring MPs and heavy metals in urban dust. Here, 20 dust samples (both indoor and outdoor environments) were collected from different places in Riyadh, Saudi Arabia using sweeping method. The MPs were separated from dust samples via density separation using ZnCl2 Microscopic techniques were used to investigate MPs while inductively coupled plasma optical emission spectrometry was used heavy metals analyses in the collected samples. The results of the study showed that all the collected dust samples were contaminated with MPs of different shapes, sizes, and colors. Fragment-shaped MPs were the most dominant, followed by granules, fibers, and lines, while the majority of the MP particles were red and black. Furthermore, the size distribution analyses demonstrated that particles above 1,000 µm were abundant. Also, the number of MPs was in the range of 20 particles g-1 to 1,052 particles g-1. Human exposure estimations showed that toddlers could inhale more MPs (0.86 MPs particles kg-1 day-1 and 312.93 particles kg-1 year-1) than children, teenagers, and adults. In addition, the concentrations of heavy metals varied from one site to another, however, the average concentrations were lower than their corresponding values in the guidelines (except for Zn). The integrated potential ecological risk in dust samples was characterized as a low-risk criterion. The enrichment factor for Zn in dust samples at all sites was more than 2, indicating a major contamination concern and anthropogenic sources responsible for the existence of Zn. The estimated hazard quotient indicates that children and adults are saved from the adverse effects of dust inhalation in the studied area. These findings could serve as a preliminary step for efficient pollution management and environmental quality maintenance in Riyadh.

When selecting biomass feedstock for sustainable heat and electricity generation, higher heating value (HHV) is an important consideration. Meanwhile, the laboratory procedures of using an adiabatic oxygen bomb calorimeter to determine the HHV are strenuous, costly, and time-consuming. As a result, researchers have turned to artificial intelligence techniques such as artificial neural networks (ANN) to predict HHV using data from proximate analysis. Notwithstanding, this approach has been hampered by different case-specific techniques and methodologies given the heterogeneous nature of biomass materials and intricate ANN structures. This study, therefore, examined and compared the efficacy of six training algorithms comprising thirteen distinct training functions of feedforward backpropagation neural networks to predict the HHV of a variety of biomass materials as a function of the proximate analysis. In creating the networks, the neurons of the hidden layer were iterated from 1 to 20 leading to 260 investigated scenarios. Compared to other training algorithms, the Bayesian Regularization and Levenberg-Marquardt with 15 and 12 hidden neurons respectively, demonstrated superior prediction performances based on the Nash-Sutcliff's efficiencies of 0.9044 and 0.8877, and mean squared errors of 0.002271 and 0.00267. It is envisaged that this study will create an insightful paradigm for a rapid selection of best-performing ANN algorithms for biomass HHV prediction.

Diabetes mellitus (DM) is one of the most challenging diseases among all the other diseases in the recent era, and it is a life-threatening disorder. The best enzymes to target for treating DM are α-glucosidase and α-amylase. For this purpose, we explored numerous succinimides with ketone functionalities. First, we explored these compounds for their in vitro analysis. Compounds 1 and 4 exhibited excellent inhibition of both enzymes in in vitro studies. These compounds displayed excellent activity with IC50 values of 3.69 and 1.526 µg·mL−1 against the α-glucosidase enzyme. In the α-amylase inhibitory assay, compound 1 has shown excellent potential with an IC50 value of 1.07 µg·mL−1 and compound 4 with an IC50 value of 0.115 µg·mL−1. Based on the in vitro analysis, the potent compounds were further subjected to their in vivo analysis. Before the in vivo analysis, the toxicity profile was checked, and it was confirmed that the compounds were safe at 1,500 µg·kg−1. Then, these compounds were subjected for their in vivo anti-diabetic potential in a mouse model of diabetes. Various concentrations of compounds 1 and 4 were explored by in vivo analysis using glibenclamide as a standard drug. The blood glucose level of the tested and control groups was measured at 0 to 15 days accordingly. Similarly, we also explored compounds 1 and 4 for the oral glucose tolerance test at 0–120 min using glibenclamide as the standard drug. Hence, the succinimide having ketone moiety displayed excellent potential against diabetes.

Abstract The thermal agitation plays a vital role in tunability of optoelectronic, structural and chemical characteristics of the temperature sensitive materials. Graphene enables the THz optics, due to its unprecedent controlling characteristics over the traditional materials. The influence of temperature on the monolayer graphene is very negligible due to its low free charge carrier density, to enhance the thermal sensitivity of graphene, the graphene loaded temperature sensitive material interface has been proposed. A theoretical analysis has been carried out on temperature dependent propagation characteristics of electromagnetic surface waves supported by the graphene loaded semi-infinite indium antimonide (InSb). The InSb has been taken as temperature sensitive material. The Drude model has been used for the modeling of InSb in the THz region while the modeling of the graphene has been done by random phase approximation-based Kubo’s formulism. To realize the graphene loaded indium antimonide interface, the impedance boundary conditions (IBCs) have been employed. The numerical analysis has been conducted to analyze the influence of temperature on the characteristics of electromagnetic surface waves i.e., dispersion curve, effective mode index (Neff), penetration depth (δ), propagation length (Lp), phase speed (Vp) and field profile, propagating along the graphene loaded InSb. In all the numerical results, the temperature variation has been considered from 200 to 350 K. It has been concluded that the graphene–InSb interface provides more temperature assisted tunability to the interfacial surface modes, commonly known as surface waves, as compared to monolayer graphene. Further, the graphene parameters can play a vital role in the dynamical tuning of electromagnetic surface waves in THz to IR frequency range. The numerically computed results have potential applications in designing of thermo-optical waveguides, temperature assisted communication devices, thermo-optical sensors and near field thermal imaging platforms.

Abstract Autonomous artificial intelligence (AI) promises to increase healthcare productivity, but real-world evidence is lacking. We developed a clinic productivity model to generate testable hypotheses and study design for a preregistered cluster-randomized clinical trial, in which we tested the hypothesis that a previously validated US FDA-authorized AI for diabetic eye exams increases clinic productivity (number of completed care encounters per hour per specialist physician) among patients with diabetes. Here we report that 105 clinic days are cluster randomized to either intervention (using AI diagnosis; 51 days; 494 patients) or control (not using AI diagnosis; 54 days; 499 patients). The prespecified primary endpoint is met: AI leads to 40% higher productivity (1.59 encounters/hour, 95% confidence interval [CI]: 1.37–1.80) than control (1.14 encounters/hour, 95% CI: 1.02–1.25), p

Our survey in the Mediterranean region of Türkiye revealed high prevalence of Babesia aktasi in goats, while no molecular evidence of the parasite was found in sheep grazing in the same pasture. We hypothesized that the parasite may not be infectious to sheep. To test this hypothesis, the present study was designed to evaluate the susceptibility of Akkaraman sheep breed to B. aktasi infection. Fifteen mL of fresh blood infected with B. aktasi was injected into immune-suppressed lambs (n = 5). The recipient lambs were monitored daily for clinical signs of babesiosis over 30 days, and blood was collected for microscopic and molecular diagnostic evaluation. The lambs did not display clinical and parasitological signs of babesiosis. Two out of five recipient lambs were nested PCR-negative for B. aktasi over 30 days post infection. Out of the remaining three lambs, two were PCR positive on the first day, and one recipient was positive until the fourth day post infection. DNA sequencing confirmed that the PCR positivity in the recipient lambs originated from the inoculum. These findings revealed that immune-suppressed sheep do not appear to be susceptible to infection with B. aktasi that is lethal to immune-suppressed indigenous goats.

A recent molecular survey revealed a high prevalence of Babesia aktasi in indigenous goats from the Mediterranean region of Türkiye, coinciding with heavy Rhipicephalus bursa infestations. This geographical overlap has raised the possibility that R. bursa may serve as a vector for the parasite. To evaluate the potential of R. bursa to serve as a vector for the parasite, an experimental study was conducted in indigenous goats. An immune-suppressed donor goat was intravenously injected with 15 mL of the cryopreserved B. aktasi stabilate, resulting in severe clinical babesiosis and parasitemia. Subsequently, R. bursa larvae and adults derived from Babesia-free laboratory colonies were allowed to feed on the infected donor goat. After oviposition, engorged female carcasses, representative engorged nymphs, unfed larvae, and adult pools were used for DNA extraction and PCR analysis. No PCR positivity was detected in any of the DNA samples, except for those with engorged female carcasses and nymphs. Three immune-suppressed recipient goats were infested with the unfed immature and mature ticks consuming the blood of a donor infected with B. aktasi. No clinical or parasitological findings were encountered in the recipient for 40 days post-infestation. These findings indicated that R. bursa was not a competent vector for B. aktasi.

Crop yields remain significantly low in underdeveloped countries, such as Pakistan, primarily due to the prevalent use of traditional farming methods by most farmers. Resource-saving strategies, like ridge and raised flat bed systems, could boost water use efficiency and production per acre. However, further research is needed to investigate the effectiveness of these methods, along with different levels of soil moisture depletion (SMD), on wheat development in the climatic conditions of Sindh Province. Thus, field trials were undertaken at Sindh Agriculture University’s Tandojam for two years (2022 and 2023) during the wheat growing seasons. The experiment included six treatments, viz., T1 (raised flat bed method under 40% depletion), T2 (ridge method under 40% depletion), T3 (raised flat bed method under 50% depletion), T4 (ridge method under 50% depletion), T5 (raised flat bed method under 60% depletion), and T6 (ridge method under 60% depletion). The bed planter was employed to make raised flat beds, and the ridges were prepared using a ridge planter. Wheat variety (TJ-83) was sown. Under all treatments, the plant population, plant height, and seed index were statistically significant (p < 0.05), although spike length, grain spikes−1, and grain weight spikes−1 were non-significant at different SMD levels. To compute water saving through the ridge and raised flat methods, the recommended delta value for wheat crops under the traditional method was used as a benchmark. Both irrigation technologies conserve water compared to traditional irrigation methods. The T5 treatment conserved the most water, followed by T6. Under a 60% depletion level, the ridge approach produced the highest yield of 2175 kg ha−1, compared to 601 kg ha−1 with the raised flat bed method. The best crop water productivity (CWP) of 1.34 kg m−3 was achieved under T6, whereas raised flat beds attained the lowest CWP of 0.27 kg m−3 under T1. In terms of wheat grain production and CWP, the ridge furrow method outperformed the raised flat bed furrow method. Based on the results, it is recommended that farmers should use the ridge furrow method and allow a 60% depletion of soil moisture to obtain a high yield of wheat crops.

Abstract Background Child mortality is a major challenge to public health in Pakistan and other developing countries. Reduction of the child mortality rate would improve public health and enhance human well-being and prosperity. This study recognizes the spatial clusters of child mortality across districts of Pakistan and identifies the direct and spatial spillover effects of determinants on the Child Mortality Rate (CMR). Method Data of the multiple indicators cluster survey (MICS) conducted by the United Nations International Children’s Emergency Fund (UNICEF) was used to study the CMR. We used spatial univariate autocorrelation to test the spatial dependence between contiguous districts concerning CMR. We also applied the Spatial Durbin Model (SDM) to measure the spatial spillover effects of factors on CMR. Results The study results showed 31% significant spatial association across the districts and identified a cluster of hot spots characterized by the high-high CMR in the districts of Punjab province. The empirical analysis of the SDM confirmed that the direct and spatial spillover effect of the poorest wealth quintile and MPI vulnerability on CMR is positive whereas access to postnatal care to the newly born child and improved drinking water has negatively (directly and indirectly) determined the CMR in Pakistan. Conclusion The instant results concluded that spatial dependence and significant spatial spillover effects concerning CMR exist across districts. Prioritization of the hot spot districts characterized by higher CMR can significantly reduce the CMR with improvement in financial statuses of households from the poorest quintile and MPI vulnerability as well as improvement in accessibility to postnatal care services and safe drinking water.

Background: Renal stone disease is prevalent worldwide. Percutaneous nephrolithotomy (PCNL) has become an important mode of treatment for large size renal stones. Various anesthetic techniques have described for performing PCNL, with each having its own merits and demerits. There is lacuna in evidence for the ideal mode of anesthesia with best results and least associated complications. Aims and Objectives: PCNL is a common procedure for renal stones. It can be performed under various anesthesia techniques. Selection of an appropriate anesthetic technique is essential for successful outcome. In this study, we compared three anesthesia techniques during PCNL and their outcomes. Materials and Methods: Retrospective and observational study involved all cases of PCNL performed from February 2022 to January 2023. Baseline clinical and anesthesia parameters were recorded. Three groups based on anesthesia method were made; Group A for general anesthesia (GA), B for spinal anesthesia (SA), and C for combined spinal epidural anesthesia (CSEA). Intraoperative variables including heart rate (HR), blood pressure, operation time, and analgesia adequacy were noted. Post-operative pain level, hospital stay, stone free rate (SFR), complications, patient, and surgeon satisfaction were recorded. Results: Seventy-two cases (56 Male and 16 Female) with a mean age of 36.2±15.9 years were included in the study. Age and body mass index were lower in Group A, while ASA status and comorbidities were comparable. Intraoperative HR and mean blood pressure were higher in Group A than in B and C (P=0.000, P=0.003). Hypotension was more frequent in Group B (24.1%, P=0.046). Operation time, hospital stay, transfusion rates, SFR, and overall patient satisfaction were similar. Group A patients experienced more post-procedure pain (Visual analogue scale 4.1 vs. 2.2 vs. 2.1; P=0.001). Nausea-vomiting and shivering episodes were also higher in Group A (P=0.033, P=0.021). Anesthetic effect weaned-off in 6 patients of SA. Post-operative headache was higher but non-significant in Group B and C (P=0.621). Conclusion: CSEA appears a superior alternative to both SA and GA, with additional adequate post-operative comfort.

PURPOSEPediatric radiotherapy is a necessary and challenging component of oncologic care for children in low- and middle-income countries (LMICs). Collaboration between institutions in LMICs and high-income countries (HICs) has been shown to be effective in improving oncologic treatment outcomes; however, literature regarding pediatric radiotherapy twinning partnerships is limited.METHODSEmory University has a long-standing twinning collaboration with Tikur Anbessa Specialized Hospital (TASH) for certain medical specialties. After securing institutional funding, a faculty member and a resident from the Emory University Department of Radiation Oncology set out to establish a twinning program with TASH for pediatric radiotherapy.RESULTSEmory and TASH faculty and residents established initial communications virtually via email and video correspondence. TASH residents and faculty completed surveys regarding pediatric radiotherapy institutional and educational needs to outline goals of collaboration. Five lectures and case-based practicums were identified focused on Wilms tumor, medulloblastoma, rhabdomyosarcoma, Hodgkin lymphoma, and palliative radiotherapy. The Emory team then conducted a visit to TASH during which lectures and practicums were delivered. The Emory team directly observed and guided simulation and treatment planning procedures. TASH residents practiced decision making, simulation, contouring, and field placement for Wilms tumor cases on the basis of didactics and feedback provided by the Emory team. Additionally, a needs assessment regarding pediatric oncologic resources was completed. Clinical care pathways and standard operating procedures were drafted by collaborators. Virtual peer-review sessions were established to continue collaborations abroad and plan for next in-person visit.CONCLUSIONCollaborative efforts by global experts have helped to establish and improve treatment protocols for childhood cancer. The presented twinning experience may serve as a model for other LMIC and HIC centers for establishing similar partnerships.

Bacillus thuringiensis (B. thuringiensis) is considered one of the most important entomopathogenic microorganisms. It produces potent toxins against insects. Therefore, the present study investigates the bioacaricidal properties of B. thuringiensis on the Hyalomma tick species. Firstly, we identify Hyalomma ticks based on morphological screening and molecular characterization. The cytochrome C oxidase subunit I (COX1) gene was selected for the polymerase chain reaction (PCR) analysis, which resulted in the amplification of 656 bp. The amplified products were sequenced, and the isolated (COX1) gene of ticks was submitted to the gene bank of NCBI (Accession No. OR077934.1). The nucleotide sequences were retrieved from the NCBI data bank by BLASTn analysis, which confirmed that all obtained sequences belong to genus Hyalomma, and multiple alignments confirmed that the sequence of Hyalomma anatolicum Tandojam-isolate (HA-TJ) 100% aligned with Hyalomma analoticum KP792577.1, Hyalomma detritum KP792595.1, Hyalomma excavatum KX911989.1, and H. excavatum OQ449693.1. The generated phylogenetic tree confirmed that sequences of HA-TJ COX1 clustered with a single clad of H. analoticum, H. excavatum, and H. detritum. The acaricidal effect of B. thuringiensis toxins B. thuringiensis spore crystal mix (BtSCM) and B. thuringiensis crystal proteins (Btcps) was evaluated against larvae and adult life stages of Hyalomma ticks in vitro. We applied Btcps and BtSCM separately with different concentrations and calculated the mortality percentage. Adult mortality was estimated at the 8th, 10th, 12th, and 15th days posttreatment and larval mortality after 24 h. During treatment of the adult life stage, at first, ticks were immersed in different concentrations of Btcps and BtSCM for 5 min after the treatments, and the samples were transferred to sterile containers and placed in an incubator with 80% humidity at 23°C. Furthermore, Btcps produced the highest mortality on Day 15, 89±1.00% at a concentration of 3000 μg/mL, followed by the 12th, 10th, and 8th days produced 83±1.91%, 70±1.15%, and 61±1.00%, respectively. BtSCM produced mortality of 69±1.91% on Day 15 at a concentration of 3000 μg/mL, followed by the 12th, 10th, and 8th days at 57±2.51%, 37±1.91%, and 34±2.00%. The present study revealed that B. thuringiensis toxins produced a significant (p

PURPOSEHead and neck cancers (HNCs) are the third most commonly treated cancer with radiation in Ethiopia. Most patients present with advanced stage and are not candidates for curative treatment. The objective of our study is to assess the outcome of hypofractionated palliative radiotherapy (RT) for advanced HNCs in a resource-limited setting.MATERIALS AND METHODSPatients with histology-proven advanced HNC candidates for hypofractionated palliative RT were enrolled. Three regimens were allowed: 44.4 Gy in 12 fractions, 30 Gy in 10 fractions, and 20 Gy in five fractions. Response to treatment was assessed at baseline and at 4 weeks after treatment completion. The Kaplan-Meier curve was used to measure the survival.RESULTSBetween January 2022 and January 2023, 52 patients were enrolled and 25 patients were eligible for outcome assessment. Index symptoms include pain, bleeding, dysphagia, respiratory distress, and others in 25, 13, 10, 6, and 17 patients, respectively. Complete relief of the top three symptoms include pain in 52% of patients, hemostasis in 84% of patients, and dysphagia in 30% of patients. Objectively, 64% of patients attained partial response. For 48% of patients, their quality of life (QoL) improved in one parameter of the physical scores. Moreover, 64% of patients showed improvement in three parameters. The global functional score improved in 80% of patients. One patient had grade 3 xerostomia. At the end of the study period, 44% of patients died. The median survival after radiation was 9 months (95% CI, 7.2 to 10.8)CONCLUSIONAll palliative hypofractionated regimens used were effective in terms of symptom control, tumor response rate, and QoL, and were well tolerated. This makes it appropriate for our setup because the majority of patients require palliation.

Abstract Single‐atom catalysts (SACs) have gained substantial attention because of their exceptional catalytic properties. However, the high surface energy limits their synthesis, thus creating significant challenges for further development. In the last few years, metal–organic frameworks (MOFs) have received significant consideration as ideal candidates for synthesizing SACs due to their tailorable chemistry, tunable morphologies, high porosity, and chemical/thermal stability. From this perspective, this review thoroughly summarizes the previously reported methods and possible future approaches for constructing MOF‐based (MOF‐derived‐supported and MOF‐supported) SACs. Then, MOF‐based SAC's identification techniques are briefly assessed to understand their coordination environments, local electronic structures, spatial distributions, and catalytic/electrochemical reaction mechanisms. This review systematically highlights several photocatalytic and electrocatalytic applications of MOF‐based SACs for energy conversion and storage, including hydrogen evolution reactions, oxygen evolution reactions, O2/CO2/N2 reduction reactions, fuel cells, and rechargeable batteries. Some light is also shed on the future development of this highly exciting field by highlighting the advantages and limitations of MOF‐based SACs.

Delineating the complex network of interactions between antigen-specific T cells and antigen presenting cells (APCs) is crucial for effective precision therapies against cancer, chronic infections, and autoimmunity. However, the existing arsenal for examining antigen-specific T cell interactions is restricted to a select few antigen-T cell receptor pairs, with limited in situ utility. This lack of versatility is largely due to the disruptive effects of reagents on the immune synapse, which hinder real-time monitoring of antigen-specific interactions. To address this limitation, we have developed a novel and versatile immune monitoring strategy by adding a short cysteine-rich tag to antigenic peptides that emits fluorescence upon binding to thiol-reactive biarsenical hairpin compounds. Our findings demonstrate the specificity and durability of the novel antigen-targeting probes during dynamic immune monitoring in vitro and in vivo. This strategy opens new avenues for biological validation of T-cell receptors with newly identified epitopes by revealing the behavior of previously unrecognized antigen-receptor pairs, expanding our understanding of T cell responses.

Purpose: The gastrointestinal tract (GI) of organically fed desi chickens fosters a microbiota that can exclude pathogens and be potentially probiotic for improving the gut health of commercial chickens. Methods: A panel of strains were selectively cultured from desi chicken intestine and screened for their antagonism towards specific pathogens. Treating the culture free supernatant (CFS) of such strains with NaOH and proteases gives a picture of the antibacterial compound's biochemistry and determining its minimum inhibitory concentration (MIC) provides a measure of potency. The most strongly antagonistic strains were tested in vitro for surviving the chicken GIT. Safety was examined using mucin degradation, gelatin liquefaction, hemolysis, antibiotic susceptibility and biogenic amine production. An in vivo trial was done on young male Ross chickens to evaluate the performance of a bespoke synbiotic formulation comprising of an Enterococcus durans strain (1x108 CFUg−1) with prebiotics Dextran or Levan (0.1% w/v) and with both and assessing its impact on broiler gut microbiota, body and carcass weight, histopathology of organ tissues, and biochemical markers. Results: A panel of Enterococcus spp. (NPL1315-NPL1334) was obtained and the selected strains (NLP-1319, 20, 24, 27, 34) showed good bile, acid and phenol survival, and cell surface hydrophobicity but not autoaggregation and none of them were deemed unsafe. The synbiotic-fed chickens were significantly heavier, with lowered serum cholesterol, triglycerides and glucose levels and a lesser load of pathogens than the controls. Conclusion: Desi chicken intestine can be a viable source of probiotics with good antagonistic potential capable of replacing antibiotics in poultry feed.

Background: The availability of COVID-19 vaccines worldwide necessitates measuring healthcare workers’ (HCWs’) willingness to recommend or receive these vaccines. Therefore, we conducted a local study in Jordan to assess HCWs’ willingness to recommend or receive a third dose of a COVID-19 vaccine and the predictors of such a decision. A cross-sectional study investigated Jordanian HCWs’ willingness regarding a third dose of a COVID-19 vaccine using a self-administered online questionnaire through WhatsApp, a mobile phone application. A total of 300 HCWs participated in the current study. Of these HCWs, 65.3% were physicians, 25.3% were nurses, and 9.3% were pharmacists. HCWs’ overall willingness regarding a third vaccine dose was 68.4% (49.4% certainly and 19.0% probably), whereas the overall willingness of HCWs to recommend a third dose to their patients was 73.3% (49.0% certainly and 24.3% probably). Males had significantly higher willingness than females (82.1% vs. 60.1%, p < 0.05). Physicians reported more willingness than nurses and pharmacists. HCWs’ willingness was not significantly affected by direct contact with a patient infected with COVID-19 or by a personal history of COVID-19 infection. Only 31% of HCWs were certainly willing to recommend the vaccine to their patients with chronic diseases, and only 28% of the participants were certainly willing to recommend it to people aged 65 or older. HCWs’ willingness to receive a third dose of a COVID-19 vaccine is limited in Jordan. This has affected their certainty in recommending this vaccine to their patients or people older than 60. Decision-makers and health-promotion programs in Jordan should focus on addressing this public health problem.

Abstract Atmospheric rivers often cause extreme precipitation at landfall, leading to floods. However, the underlying physical mechanism of atmospheric rivers and their linkage with flooding in India remain unrecognized. Here we use reanalysis and observations to diagnose the drivers of atmospheric rivers and unravel their crucial role in extreme precipitation and floods during 1951–2020. Moisture transport has significantly increased during 1951–2020, which is associated with strengthening winds that transport water vapor from the oceans. However, while there is a suggestive corresponding increase in the frequency of atmospheric rivers, it is not statistically significant. The atmospheric river catalogue that we developed shows that about 65% of landfalling atmospheric river were linked to floods during the 1985–2020 period. In addition, seven of India’s ten most severe floods in the summer monsoon season with substantial mortality were associated with atmospheric rivers. Better understanding and prediction of atmospheric rivers is crucial for flood mitigation.

Greenhouse tomato production is a growing business worldwide, and it is strongly promoted by bumblebee pollination. Although there are over 250 bumblebee species worldwide, very few species have been reared successfully for greenhouse tomato pollination. Those successfully managed species, especially Bombus terrestris, are shipped around the world for commercial use. However, managed bumblebees are known to escape greenhouse facilities, have established local populations, spread disease to local bumblebees, and are blamed for the declines of some indigenous bee species. An alternative to shipping exotic bumblebees around the world is to develop local species for greenhouse pollination. Such an approach has the dual benefits of creating a new industry of insect rearing while reducing threats to local bee communities. In this study, we successfully reared Bombus haemorrhoidalis, which is the most common bumblebee species in Northern Pakistan, in a laboratory and compared its effectiveness as a tomato pollinator with that of commercial B. terrestris in a greenhouse. We found that the effectiveness of B. haemorrhoidalis in tomato pollination in a greenhouse is very similar to that of B. terrestris when it comes to the fruit size, number of seeds, and fruit weight. Our study provides an example of how to rear a native bumblebee species to pollinate local crops, which is a method that could potentially substitute the importation of non-ingenious bumblebees.

Babesiosis is an acute and persistent tick-borne disease caused by protozoan parasites of the genus Babesia. These hemoparasites affect vertebrates globally, resulting in symptoms such as high fever, anemia, jaundice, and even death. Advancements in molecular parasitology revealed new Babesia species/genotypes affecting sheep and goats, including Babesia aktasi n. sp., which is highly prevalent in goats from Turkiye’s Mediterranean region. The objective of this study was to investigate the pathogenesis of B. aktasi infection in immunosuppressed (n=7) and non-immunosuppressed (n=6) goats. These animals were experimentally infected with fresh B. aktasi infected blood, and their clinical signs, hematological and serum biochemical parameters were monitored throughout the infection. The presence of parasites in the blood of immunosuppressed goats was detected by microscopic examination between 4 and 6 days after infection, accompanied by fever and increasing parasitemia. Goats that succumbed acute disease exhibited severe clinical signs, such as anemia, hemoglobinuria, and loss of appetite. However, the goats that survived showed milder clinical signs. In the non-immunosuppressed group, piroplasm forms of B. aktasi were observed in the blood within 2-5 days after inoculation, but with low (0.01-0.2%) parasitemia. Although these goats showed loss of appetite, typical signs of babesiosis were absent except for increased body temperature. Hematological analysis revealed significant decreases in the levels of red blood cells, leukocytes and platelet values post-infection in immunosuppressed goats, while no significant hematological changes were observed in non-immunosuppressed goats. In addition, serum biochemical analysis showed elevated transaminase liver enzymes levels, decreased glucose, and lower total protein values in the immunosuppressed group post-infection. Babesia aktasi, caused mild disease with minor clinical symptoms in non-immunosuppressed goats. However, in immunosuppressed goats, it exhibited remarkable pathogenicity, leading to severe clinical infections and death. In conclusion, this study provides valuable insights into the pathogenicity of the parasite and will serve as a foundation for future research aimed at developing effective prevention and control strategies against babesiosis in small ruminants. Further research is required to investigate the pathogenicity of B. aktasi in various goat breeds, other potential hosts, the vector ticks involved, and its presence in natural reservoirs.

Textile-based photocatalysts are the new materials that can be utilized as an effective sustainable solution for biochemical hazards. Hence, we aimed to develop a sustainable, cost-effective, and facile approach for the fabrication of photocatalytic fabric using graphitic carbon nitride (g-C3N4) and ferric-based multifunctional nanocomposite. Bulk g-C3N4 was prepared from urea by heating it at 500 °C for 2 h. The structure of ball-milled g-C3N4 was engineered by doping with various amounts of iron (III) chloride hexahydrate solution (0.006 mol/L) and sintered at 90 °C for 24 h to prepare g-C3N4–nanosheets/α-Fe2O3 composites. These nanocomposites have potential avenues towards rational designing of g-C3N4 for improved photocatalytic, antibacterial, and antiviral behavior. The prepared nanocomposite was characterized for its surface morphology, chemical composition, crystal structure, catalytic, antibacterial, and antiviral behavior. The fabrication of ferric doped g-C3N4 nanocomposites was characterized by SEM, EDX, FTIR, and XRD analysis. The coated fabric nanocomposite was characterized for methylene blue dye degradation under visible light, antibacterial and antiviral behavior. The developed textile-based photocatalyst has been found with very good recyclability with photocatalytic degradation of dye up to 99.9 % when compared to conventional g-C3N4 powder-based photocatalyst.