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This article is a call for collective action across health equity researchers and advocates to build a more just world. We attempt to make sense of senseless structural and interpersonal brutality in the context of the current political climate across the United States, whereby the spectrum of gender nonconformity has been and continues to be stigmatized. From drag performance to transgender identities to gender-affirming health care, extremists have instrumentalized primary levers of democracy--the courts, legislatures, and social media--to attempt to outlaw and eradicate gender expansiveness and those who provide forms of support and care, including gender-affirming medical care, to transgender, nonbinary, and gender-expansive (TNBGE) individuals.

The orthogonal time-frequency space (OTFS) technique is a promising method of waveform modulation that encodes data in the delay-doppler (DD) domain. OTFS distinguishes itself from conventional multiplexing methods by employing two-dimensional modulation to alternate between the time-frequency (TF) domain and the delay-Doppler domain. This feature enables the management of Doppler shifts induced by high-speed objects, which is not possible with conventional modulation schemes such as orthogonal frequency division multiplexing (OFDM). The main objective of this work is to provide a concise and comprehensive introduction of this emerging subject, emphasizing its system concept. In addition, we analyze crucial elements of OTFS modulation, including techniques for data detection, channel estimation, MIMO, and multiuser systems.

Abstract To evaluate the efficiency and effectiveness of three minimally invasive (MI) techniques in removing deep dentin carious lesions. Forty extracted carious molars were treated by conventional rotary excavation (control), chemomechanical caries removal agent (Brix 3000), ultrasonic abrasion (WOODPECKER, GUILIN, China); and Er, Cr: YSGG laser ablation (BIOLASE San Clemente, CA, USA). The assessments include; the excavation time, DIAGNOdent pen, Raman spectroscopy, Vickers microhardness, and scanning electron microscope combined with energy dispersive X-ray spectroscopy (SEM–EDX). The rotary method recorded the shortest excavation time (p

In the recent industry field, automation has become the most important role in production processes to improve efficiency, increase production, and reduce workers. Sorting the products based on their color is a common task in the industries, but using manual sorting may take a longer time and human error may occur, especially if the production quantities are very large. To contribute to improving the quality and speed of production, we have proposed a new system to automatically separate products based on their color. This article presents a new system for identifying and separating industrial products based on their colors. The implemented system consists of three sensors used to detect the colors of the products, four chutes, and two conveyor belts designed to guide objects along the manufacturing path, and three push mechanisms to place objects in their designated places. The system includes an emergency interface, a reset interface, a stop interface, as well as communication using the PN (PROFINET Process Field Net) protocol, a programmable logic controller, and a 1511-1 central processing unit. This system has been precisely programmed and simulated using FACTORY I/O software and TIA PORTAL software to control and monitor the system effectively. The Supervisory Control and Data Acquisition system also includes a Human–Machine Interface user interface for maximum control. The performance of this system was tested by sorting 250 objects of different colors. These tests resulted in the successful separation of a total of 85 blue objects, 89 green objects, and 86 gray (metallic) objects within a time period of 20 min. This system shows wide applicability in various industries including diamond mining, recycling, and grain manufacturing sectors.

The study of natural convection and heat transfer in a trapezoidal cavity finds a wide range of technological applications including thermal energy storage systems, building ventilation/insulation, waste heat recovery, electronic device cooling, controlling PV panel temperature, energy conservation, exchangers, nuclear reactors, furnaces, glass production, food processing, and drying technologies. The purpose of the current study is to explore the entropy and natural convection of non-Newtonian nano-encapsulated phase change material (NEPCM) suspension in a saturated porous medium enshrouded in a trapezoid-shaped domain with three heated blocks fitted with the bottom surface. The novelty of the present work is the introduction of power-law (Ostwald-de Waele) model subject to NEPCM suspension in trapezoidal enclosure emplacing three heated fins at its bottom surface embedded in Brinkman-Forchheimer extended Darcy medium with variant porosity. The finite element method is implemented to solve the governing equations numerically. The important findings of the present study include streamlines, isotherms, velocities, and apparent viscosity enhance while entropy generation whittles down with rise in Darcy number. Entropy generation ameliorates by 519.16 % for low to high porosity of Brinkman-Forchheimer extended Darcy medium. The maximum apparent viscosity augments by 1441.24 % when power law index ameliorates.

The present work deals with thermal aspect and entropy of ternary hybrid nanofluid (Graphene, Al2O3, and MWCNT as nanoparticles and water as base fluid) inside an inclined domain considering heat generation/absorption. The domain possesses triangle-shaped corrugated walls with variable height and a semi-circular heater located on its bottom wall. Finite element method (FEM) is employed to acquire a well-defined solution of the non-dimensional governing equations along with the boundary conditions. The influence of the pertinent parameters along with their ranges (0.2≤b≤0.3), (105≤Ra≤106), (0o≤η≤90o), (−1≤Hs≤1) has been studied. Some striking outcomes of the present investigation are that streamlines and entropy generation (EnT) peter out while local Nusselt number (Nuloc) and average Bejan number (Beave) ameliorate with rise in dimensionless height of the corrugated wall (b). The absolute maximum values of vertical and horizontal velocities of ternary hybrid nanofluid enhance by 96.47 % and 29.5 %, respectively, when inclination angle (η) increases from 45o to 90o. It is visualized that Nusselt number is maximum subject to heat sink while it attains a minimum value in response to heat source. Because of triangle shaped corrugated walls and ternary hybrid nanofluid, the present problem contributes superior cooling in thermal systems featured with such complex geometry in industries.

The present study analyzes on the reviews carried out by the previous researchers on the entropy generation caused by the flow and heat transfer of several composite nanofluids subject to varieties of geometries under the influence of several constraints of motions. The composite nanofluids include binary hybrid nanofluids and ternary hybrid nanofluids involving disparate base fluids with different suitable nanoparticles. The geometries considered are deformed surfaces (stretched/shrunk sheets, cylinders, and disks), channels and cavities. Several numerical techniques such as Runge-Kutta method and finite element/difference/volume methods are implemented in the investigations. The major and significant outcome of the review analysis is the entropy comparison for different types of nanofluids. Growth of the volume percentage of nanoparticles at a fixed mass flow rate enhances entropy formation. When porosity strength increases, the irreversible entropy production caused by fluid friction results in increased thermal efficiency of certain systems than magnetic entropies. Compared to single nanofluids, hybrid nanofluids display the maximum entropy. With increasing Rayleigh numbers, the frictional and magnetic entropies in composite nanofluids ameliorate significantly than thermal entropy.

In the past, neutron imaging has been the little brother of advanced neutron spectroscopy techniques due to its apparent simplicity. However, this simplicity allows the studying of complex chemical and electrochemical processes and related devices even under harsh reaction conditions such as high pressure, high temperature, corrosive and/or air sensitive environments. We review a number of highly relevant case studies as archetypal examples of modern energy technology; that is heat storage, power-to-X, batteries, fuel cells, and catalysis. The promising results trigger the further development of neutron imaging towards a chemical imaging method.

This work investigates the dynamics of the hybrid nanofluidic convective heat transfer in a permeable thermal system under the influence of multifrequency heating and a magnetic field. The geometry comprises a wavy-walled cavity filled with a water-based hybrid nanoliquid (Al2O3–Cu–H2O) in a saturated porous medium. The finite volume approach is applied to scrutinize the hydro-thermal characteristics resulting from bottom heating and side cooling, considering various flow-controlling parameters. The analysis reveals that nonuniform multi-frequency heating can be a highly effective strategy for enhancing heat transfer in complex geometries involving porous systems, nanofluid flow, and magnetic fields. Significant heat transfer improvement is observed at higher frequencies, with an increase of approximately 261.49 % when offset temperatures are introduced. Additionally, an increase in the undulation height of the wavy sidewalls contributes to a partial heat transfer improvement of 13.41 % compared to the case without undulations. The influence of the Darcy number, Hartmann number, porosity index, and nanoparticle concentration on heat transfer performance is also investigated. Higher Darcy and Hartmann numbers result in reduced thermal convection, while increased porosity enhances thermal convection. Elevated nanoparticle concentrations weaken the flow strength due to higher viscosity. System engineers can optimize heat transfer systems in their respective applications by comprehending the interactions between these flow-controlling parameters. This work contributes to a deeper understanding of the hydro-thermal phenomena in a multiphysics problem and provides a foundation for the development of more efficient heat transfer systems.

A field experiment was carried out to evaluate the effect of leveling and tillage equipment on the soil bulk density and the growth and production of maize. Three landscaping types of equipment, namely laser, pelvic, and grader equipment, and three tillage equipment, namely moldboard plow, chisel plow, and no-till farming system. Soil bulk density, practical productivity, plant height, weight of 100 seeds, number of seeds per ear, and the yield of maize were measured. The results can be summarized as follows: The interaction between the pelvic leveling equipment and the no-till farming system was superior in obtaining the lowest soil bulk density, while the interaction between the laser leveling equipment and chisel plow was superior in obtaining the highest plant height, the highest weight of 100 seeds stood 36.70 g, the highest number Seeds per ear stood 371.30 seeds per ear and the highest yield of the plant stood 6.36 tons ha-1 compared to the other interventions.

Objectives: The mechanism by which mitral valve (MV) disease leads to atrial fibrillation (AF) remains poorly understood. Delayed-enhancement cardiac magnetic resonance imaging (DE-MRI) has been used to assess left atrial (LA) fibrosis in patients with lone AF before catheter ablation; however, few studies have used DE-MRI to assess MV-induced LA fibrosis in patients with or without AF undergoing MV surgery. Methods: Between March 2018 and September 2022, 38 subjects were enrolled; 15 age-matched controls, 14 patients with lone mitral regurgitation (MR), and 9 patients with MR and AF (MR + AF). Indexed LA volume, total LA wall, and regional LA posterior wall (LAPW) enhancement were defined by the DE-MRI. One-way analysis of variance was performed. Results: LA volume and LA enhancement were associated (r = 0.451, P = .004). LA volume differed significantly between controls (37.1 ± 10.6 mL) and patients with lone MR (71.0 ± 35.9, P = .020 and controls and patients with MR + AF (99.3 ± 47.4, P

Abstract Introduction Invasive cervical cancer (ICC) is an HIV-associated cancer that is preventable and precancerous stages including early ICC stages could be detected through screening offering opportunities for treatment and cure. The high incidence in women living with HIV and late presentation often at advanced stages of ICC with limited treatment facilities often result in early mortality. We sought to compare the epidemiologic characteristics and survival differences in HIV status of ICC patients in Nigeria. Methods We conducted a cohort study at two federal academic hospital-based research sites in Jos University Teaching Hospital, and Lagos University Teaching Hospital Nigeria, between March 2018 and September 2022. We enrolled women with histologically confirmed ICC with known HIV status, and FIGO staging as part of the United States of America’s National Institutes of Health/National Cancer Institute funded project titled ‘Epigenomic Biomarkers of HIV-Associated Cancers in Nigeria’. The primary outcome was all-cause mortality with assessment of overall survival (OS) and time to death after ICC diagnosis. OS distribution was estimated using the method of Kaplan–Meier and compared between groups using the log-rank test. Results A total of 239 women with confirmed ICC were enrolled and included in this analysis, of whom 192 (80.3%) were HIV-negative (HIV−/ICC +), and 47 (19.7%) were HIV-positive (HIV +/ICC +). The HIV +/ICC + patients were younger with median age 46 (IQR: 40–51) years compared to 57 (IQR: 45–66) among HIV−/ICC + (P

Abstract Background Neurodevelopmental disorders (NDDs) are a group of conditions that include attention-deficit/hyperactivity disorders, specific learning disorders, autism spectrum disorder, intellectual disability, and other disorders. Raising a child with an NDD can be difficult because it affects the social lives of the parents and their relationships. It also requires the parents to develop another set of skills to deal with their child. These factors increase their risk of depression and anxiety. Aim To measure the prevalence rates of depression and anxiety among parents of children with different NDDs, compare the rates between mothers and fathers, and measure the relevant associated factors. Methodology This study was a prospective, qualitative, cross-sectional, anonymous questionnaire-based study. The participants were 416 parents of children with NDDs in Saudi Arabia. The sample size was determined using the Richard Geiger equation with a 5% margin of error, a 95% confidence level, and a 50% response distribution. The screening was performed using a validated Arabic version of the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7). These are short and understandable screening tools that assist in identifying and grading the severity of depression and anxiety symptoms. The participants were reached by distributing the questionnaire to parents who followed up with Saudi NDD-related associations, clinics, and psychiatric clinics from November 20 to May 8, 2022. The data were collected, reviewed, and then entered into SPSS 21. Results In total, 416 parents of children with NDDs in Saudi Arabia participated in the study. We demonstrated that 85.1% of parents of children with NDDs had depression and that 85.8% had anxiety. Mothers and fathers had similar rates of depression and anxiety. No significant difference was found between the type of NDD and rates of depression and anxiety in parents. Conclusion Children with NDDs affect their parents’ mental health in terms of increased rates of depression and anxiety. This increase is not correlated with a specific etiology. Healthcare professionals who care for children with NDDs should also assess parental mental health and seek an early diagnosis of mental illness to ensure that the appropriate interventions are provided for parents.

The prominent novelty of current review is to exhibit the fluctuating and oscillatory convective heat transfer properties along various geometries with magnetic force, variable density, Prandtl number, buoyancy force and magnetic Prandtl number effects. The significance of present work is to illustrate a comprehensive review on transient convective heat transfer. Transient convective heat transfer plays an essential role in various technological and environmental applications, including climate control, structure safety, engines, thermal control, computer heating and cooling, and energy safety. The literature primarily focuses on steady temperature and velocity domains, with few studies exploring time-varying fluid flow in forced, natural, or mixed convective mechanisms with different methods. In current review, justification of results was performed by using oscillating stokes conditions directly in partial differential models. The similarity variables and stream functions are used in literature but in current review, the primitive variable transformation is used with implicit form of finite difference method and Gaussian elimination technique through FORTRAN and Tecplot-360 programming tools. The governing model is reduced into steady, real and imaginary form to explore steady and oscillating convective heat transmission. Transient flows have gained significance due to their ability to achieve large oscillating convective heat transfer rates. Compared with steady movement, oscillating flows exhibit higher velocity variations along the heated surface. Periodic flow produces an improved transient surface heat transmission rate than steady flow. Predicting and controlling transients in thermal exchangers requires a concept of transient forced convection heat transport. Transient convective thermal transmission solutions are important for ensuring the effectiveness and reliability of electrical components, nuclear and thermal power stations, heat-generating engines, steam turbines, condensation systems, catalytic converters, heat shielding for spacecraft, electrical devices, internal combustion engines, air conditioning and refrigerator components, cooling networks for batteries, generators, and transformers. It is found that the frequency of convective heat transport enhances through periodic and oscillating stokes variables. It was depicted that the higher amplitude in convective heat transfer was displayed for each choice of magnetic force parameter around two angles π/4 and π of circular magnetized surface. It was depicted that the maximum transient convective heat transmission was reported along vertical angle π/2 with buoyancy force, Prandtl and magnetic Prandtl values.