This paper consists of an analysis of the concept of empowerment—which is often defined as a key issue in health care—at the macro, meso, and micro levels by focusing on health care reform in Belgium. Three research teams collected data and combined them in an inductive secondary analysis. Our preliminary results demonstrate that patient empowerment does not always encompass the same scientific reality. At the macro level, this concept is linked to the authorities’ wish to support at-home care for chronic patients. At the meso level, the role of caregivers in maintaining patients’ autonomy, but also the social conditions of their lives, is a salient component of empowerment. At the micro level, individual and personal features such as identity can influence patient empowerment and behavior in the health care system. This cross-level research suggests that patient empowerment is not sufficiently clearly defined at each level of the care production chain, which could impede the reform of health care. This paper underlines the polysemy of a concept viewed as a milestone in European health care policy and the necessity of a clear, collective definition to operationalize and implement it. Full article

In this article, a thermodynamic study was conducted on the energetic and exergy performance of a new configuration of liquid chemical looping gasification (LCLG) plant integrated with a power block to assess the overall performance of the system including exergy partitioned in syngas and first law efficiency (FLE). LCLG is a relatively new concept for the production of high-quality synthetic gas from solid feedstock such as biomass. As the temperature and pressure of the looping system are high, there is thermodynamic potential to co-produce chemical products, power and heat. Hence, in the present work, three different configurations of a power cycle were thermodynamically assessed. In the first proposed power cycle, the produced syngas from the gasifier was combusted in a combustion chamber and the exhausted gases were fed into a gas turbine. In the second and third proposed power cycles, the hot air was directly fed into a gas turbine or was used to produce steam for the steam turbine combined cycle. The processes were simulated with Aspen Plus and Outotec HSC chemistry software packages. The influence of different operating parameters including temperature and pressure of the air reactor and type of oxygen carrier on the first law and exergy efficiency (exergy partitioned in synthetic gas) was assessed. Results showed that the FLE for the proposed gas turbine and steam turbine combined cycles was ~33% to 35%, which is within the range of the efficiency obtained for the state-of-the-art power cycles reported in the literature. Results also showed that lead oxide was a suitable oxygen carrier for the LCLG system, which can be integrated into a steam turbine combined cycle with an FLE of 0.45, while copper oxide showed an FLE of 0.43 for the gas turbine combined cycle. Full article

The growth factor bone morphogenetic protein 2 (BMP2) plays an important role in bone development and repair. Despite the positive effects of BMP2 in fracture healing, its use is associated with negative side effects and poor cost effectiveness, partly due to the large amounts of BMP2 applied. Therefore, reduction of BMP2 amounts while maintaining efficacy is of clinical importance. As nitric oxide (NO) signaling plays a role in bone fracture healing and an association with the BMP2 pathway has been indicated, this study aimed to investigate the relationship of BMP2 and NO pathways and whether NO can enhance BMP2-induced signaling and osteogenic abilities in vitro. To achieve this, the stable BMP reporter cell line C2C12BRELuc was used to quantify BMP signaling, and alkaline phosphatase (ALP) activity and gene expression were used to quantify osteogenic potency. C2C12BRELuc cells were treated with recombinant BMP2 in combination with NO donors and substrate (Deta NONOate, SNAP & L-Arginine), NOS inhibitor (LNAME), soluble guanylyl cyclase (sGC) inhibitor (LY83583) and activator (YC-1), BMP type-I receptor inhibitor (LDN-193189), or protein kinase A (PKA) inhibitor (H89). It was found that the NOS enzyme, direct NO application, and sGC enhanced BMP2 signaling and improved BMP2 induced osteogenic activity. The application of a PKA inhibitor demonstrated that BMP2 signaling is enhanced by the NO pathway via PKA, underlining the capability of BMP2 in activating the NO pathway. Collectively, this study proves the ability of the NO pathway to enhance BMP2 signaling. Full article

Mango (Mangifera indica L.) is one of the most important fruits in the world. Mango peel is an important by-product that is rich in polyphenols and it could have high economic value if it is effectively utilized. Phenolic characterization is an essential step in the commercial utilization of mango peel by-products as food ingredients. Herein, qualitative and quantitative analyses of two Australian mango peel “Keitt” and “Kensington Pride” (K&P) by-products were conducted while using liquid chromatography coupled to electrospray ionisation and quadrupole time of flight mass spectrometry (LC-ESI-QTOF/MS) and high-performance liquid chromatography coupled to photodiode array detector (HPLC-PDA). A total of 98 polyphenols compounds were tentatively identified in both Keitt peel and K&P peel extracts, with greater concentrations of these compounds being detected in Keitt peel. The total phenolic content (TPC), total flavonoid content (TFC), and a total tannin content (TTC) were determined. The antioxidant activity of mango peel by-products was determined while using 2,2-diphenyl-1-picrylhydrazyl (DPPH) antioxidant assay, ferric reducing antioxidant power (FRAP) assay, and 2,2-azino-bis-3-ethylbenzothiazoline-6-sulfonic acid (ABTS) radical scavenging assay. Keitt peel contained higher concentrations of total phenolic compounds, flavonoids, and tannins and had higher antioxidant capacity in DPPH, FRAP, and ABTS assays as compared to K&P peel. In HPLC-PDA quantification, the predominant phenolic compounds in Keitt peel and K&P peel were catechin (62.32 ± 0.01 mg/g_d.w.) and syringic acid (17.78 ± 0.01 mg/g_d.w). Full article

A fragment-based drug discovery approach was taken to target the thiol-disulfide oxidoreductase enzyme DsbA from Escherichia coli (EcDsbA). This enzyme is critical for the correct folding of virulence factors in many pathogenic Gram-negative bacteria, and small molecule inhibitors can potentially be developed as anti-virulence compounds. Biophysical screening of a library of fragments identified several classes of fragments with affinity to EcDsbA. One hit with high mM affinity, 2-(6-bromobenzofuran-3-yl)acetic acid (6), was chemically elaborated at several positions around the scaffold. X-ray crystal structures of the elaborated analogues showed binding in the hydrophobic binding groove adjacent to the catalytic disulfide bond of EcDsbA. Binding affinity was calculated based on NMR studies and compounds 25 and 28 were identified as the highest affinity binders with dissociation constants (K_D) of 326 ± 25 and 341 ± 57 µM respectively. This work suggests the potential to develop benzofuran fragments into a novel class of EcDsbA inhibitors. Full article

Control of invasive exotic species in restorations without compromising the native plant community is a challenge. Efficacy of exotic species control needs to consider collateral effects on the associated plant community. We asked (1) if short-term control of a dominant exotic invasive, Lespedeza cuneata in grassland restorations allows establishment of a more diverse native plant community, and (2) if control of the exotic and supplemental seed addition allows establishment of native species. A manipulative experiment tested the effects of herbicide treatments (five triclopyr and fluroxypyr formulations plus an untreated control) and seed addition (and unseeded control) on taxonomic and phylogenetic diversity, and community composition of restored grasslands in three sites over three years. We assessed response of L. cuneata through stem density counts, and response of the plant community through estimates of canopy cover. Herbicide treatments reduced the abundance of the exotic in the first field season leading to a less dispersed community composition compared with untreated controls, with the exotic regaining dominance by the third year. Supplemental seed addition did not provide extra resistance of the native community to reinvasion of the exotic. The communities were phylogenetically over-dispersed, but there was a short-term shift to lower phylogenetic diversity in response to herbicides consistent with a decrease in biotic filtering. Native plant communities in these grassland restorations were resilient to short-term reduction in abundance of a dominant invasive even though it was insufficient to provide an establishment window for native species establishment. Full article

Androgen-deprivation therapy was shown to improve treatment outcome of external beam radiation therapy (EBRT) for locally advanced prostate cancer (PCa). DNA damage response (DDR) was suggested to play a role in the underlying mechanism, but conflicting results were reported. This study aims to reveal the role of the androgen receptor (AR) in EBRT-induced DDR and to investigate whether next-generation AR inhibitor apalutamide can radiosensitize PCa. PCa cell lines and tissue slices were treated with anti-androgen alone or combined with EBRT. The effect of treatments on cell growth, tissue viability, DDR, and cell cycle were investigated. RAD51 and DNA-dependent protein kinase catalytic subunit (DNA-PKcs) levels were determined by Western blotting. Homologous recombination (HR) capacity was measured with the directed repeats-green fluorescent protein (DR-GFP) assay. We report the radiosensitizing effect of anti-androgens, which showed synergism in combination with EBRT in AR-expressing tumor slices and cell lines. Moreover, a compromised DDR was observed in AR-expressing cells upon AR suppression. We found that AR inhibition downregulated DNA-PKcs expression, resulting in reduced non-homologous end-joining repair. DDR through HR was a secondary effect due to cell-cycle change. These data provide a mechanistic explanation for the combination regimen and support the clinical use of apalutamide together with EBRT for localized PCa patients. Full article

The injection flow rates of two liquid phases play a decisive role in the slug generation of the liquid-liquid slug flow. However, most injection flow rates so far have been constant. In order to investigate the effects of dynamic injection flow rates on the slug generation, including the slug size, separation distance and slug generation cycle time, a transient numerical model of a cross-junction square microchannel is established. The Volume of Fluid method is adopted to simulate the interface between two phases, i.e., butanol and water. The model is validated by experiments at a constant injection flow rate. Three different types of dynamic injection flow rates are applied for butanol, which are triangle, rectangular and sine wave flow rates. The dynamic injection flow rate cycles, which are related to the constant slug generation cycle time t₀, are investigated. Results show that when the cycle of the disperse phase flow rate is larger than t₀, the slug generation changes periodically, and the period is influenced by the cycle of the disperse phase flow rate. Among the three kinds of dynamic disperse flow rate, the rectangular wave influences the slug size most significantly, while the triangle wave influences the separation distance and the slug generation time more prominently. Full article

Local scour is a dynamic process evolving during the lifetime of bridges as a result of the changes in hydrologic and hydraulic conditions. Current approaches for scour risk assessment are generally based on the evaluation of the equilibrium scour depth for a flood event with a prefixed return period. The temporal evolution of the bridge-pier scour process is usually disregarded, by assuming that equilibrium conditions are always attained, regardless of the flood properties. However, recent studies have highlighted the importance of accounting for the contribution of multiple flood events and their exact hydrograph shape. This study aims at quantifying the epistemic uncertainty related to the modelling of the temporal evolution of scour under multiple consecutive flood events in clear-water conditions. A simple numerical case study is considered, using a Markovian framework to describe probabilistically the progression of scour. Well-known time-dependent scour models are used to estimate the temporal evolution of the scour-depth under each flood hydrograph, and the scour estimates are compared with those obtained using widely employed equilibrium scour formulas. Results show that the expected scour depth is influenced by the parameters used to describe the flood hydrograph and that the probability distribution of the scour depth is highly sensitive to the choice of the time-dependent scour model. The uncertainty in the scour estimation stemming from the formula adopted in this study for describing the temporal evolution of the scour depth can be higher than those related to the formula adopted for equilibrium scour. Full article

Aquiclude plays a critical role in the occurrence of mining-induced roof water inrush in underground coal mines. This paper proposes an assessment index for the evaluation of aquiclude stability and a threshold value of water inrush from the roof, based on a case study of roof water inrush accidents in Cuimu coal mine, China. The relation between roof water inrush and water level variation in the aquifer, and the characteristics of aquiclude deformation, were studied in this assessment. Using the developed assessment criteria, the likelihood of roof water inrush was categorized into different risk levels, which were followed by a proposal for roof water inrush control measures. The main findings of this study are: a) in Cuimu coal mine, the waterbody in the bed separation between the upper aquifer and the aquiclude directly causes the inrush, and inrush occurs after the water level declines in the aquifer; b) tension-induced horizontal strains of aquiclude can be regarded as the index to evaluate the stability of aquiclude affected by underground coal mining—roof water inrush occurs when the maximum horizontal strain reaches a threshold of 10mm/m—c) based on the critical mining height for aquiclude instability, and the different thicknesses of barrier layers, high-risk zones are identified and inrush controls are proposed. Full article

Solar power microturbines are required to produce steady power despite the fluctuating solar radiation, with concerns on the dispatchability of such plants where thermal energy storage may offer a solution to address the issue. This paper presents a mathematical model for performance prediction of a honeycomb sensible-heat thermal energy storage designed for application of concentrated solar power microturbine. The focus in the model is to consider the laminar developing boundary layers at the entry of the flow channels, which could have a profound effect on the heat-transfer coefficient due to large velocity and temperature gradients, an effect which has not been considered in the modelling of such storage systems. Analysing the thermal and hydrodynamic boundary layer development, the Nusselt number and the friction factor were evaluated using a validated conjugate heat-transfer method. The simulations results were used to develop accurate regression functions for Nusselt number and friction factor. These formulations have been adopted within a one-dimensional model to evaluate the performance of the storage under different operating conditions. The model was in good agreement with conjugate heat transfer results with maximum relative error below 2%. Two case studies are presented to demonstrate the applicability of the proposed methodology. Full article

In this paper, we investigate the connectedness between natural gas and BRICS (Brazil, Russia, India, China, and South Africa)’s exchange rate in terms of time and frequency. This empirical work is based on the approach of connectedness proposed by Diebold and Yilmaz, who provided an effective way of valuing how much variation in one variable is responsible for the value of other variables, and the method proposed by Baruník and Křehlík, who decomposed the results from Diebold and Yilmaz into different frequencies. We also use the rolling-window method to conduct time-varying analysis. The data used in this paper are from 23 August 2010 to 20 June 2019. We find that the natural gas price hardly influences BRICS’s exchange rates, which provides an important practical implication for policymakers, especially in oil-dependent countries. Full article

Automatic speech recognition (ASR) has been one of the biggest and hardest challenges in the field. A large majority of research in this area focuses on widely spoken languages such as English. The problems of automatic Lithuanian speech recognition have attracted little attention so far. Due to complicated language structure and scarcity of data, models proposed for other languages such as English cannot be directly adopted for Lithuanian. In this paper we propose an ASR system for the Lithuanian language, which is based on deep learning methods and can identify spoken words purely from their phoneme sequences. Two encoder-decoder models are used to solve the ASR task: a traditional encoder-decoder model and a model with attention mechanism. The performance of these models is evaluated in isolated speech recognition task (with an accuracy of 0.993) and long phrase recognition task (with an accuracy of 0.992). Full article

The tendency of expansive subgrade soil to undergo swelling and shrinkage with the change in moisture has a significant impact on the performance of the pavement. The repeated cycles of wet and dry periods throughout a year lead to considerable stress concentration in the pavement subgrade soil. Such stress concentrations leads to the formation of severe pavement cracks. The objective of the research is to develop a prediction model to estimate the deformation of pavement over expansive subgrade. Two pavement sites—one farm to market road and one state highway—were monitored regularly using moisture and temperature sensors along with rain gauges. Additionally, geophysical testing was performed to obtain a continuous profile of the subgrade soil over time. Topographical surveying and horizontal inclinometer readings were taken to determine pavement deformation. The field monitoring data resulted in a maximum movement up to 80 mm in the farm to market road, and almost 38 mm in the state highway. The field data were statistically evaluated to develop a deformation prediction model. The validation of the model indicated that only a fraction of the deformation was reflected by seasonal variation, while inclusion of rainfall events in the equation significantly improved the model. Furthermore, the prediction model also incorporated the effects of change in temperature and resistivity values. The generated model could find its application in predicting pavement deformation with respect to rainfall at any time of the year. Full article