Search Results (1,849)

Background/objectives: The nutrition care process (NCP) is an evidence-based practice framework used in Medical Nutrition Therapy for the prevention, treatment, and management of non-communicable chronic health conditions. This review aimed to explore available artificial intelligence (AI)-integrated technologies across the NCP in dietetic primary care, their uses, and their impacts on the NCP and patient outcomes. Method: Six databases were searched: MEDLINE, Embase, PsycINFO, Scopus, IEEE, and ACM digital library. Eligible studies were published between January 2007 and August 2024 and included human adult studies, AI-integrated technologies in the dietetic primary care setting, and patient-related outcomes. Extracted details focused on participant characteristics, dietitian involvement, and the type of AI system and its application in the NCP. Results: Ninety-seven studies were included. Three different AI systems (image or audio recognition, chatbots, and recommendation systems) were found. These were implemented in web-based or smartphone applications, wearable sensor systems, smart utensils, and software. Most AI-integrated technologies could be incorporated into one or more NCP stages. Seventy-nine studies reported user- or patient-related outcomes, with mixed findings, but all highlighted efficiencies of using AI. Higher patient engagement was observed with Chatbots. Seventeen studies raised concerns encompassing ethics and patient safety. Conclusions: AI systems show promise as a clinical support tool across most stages of the NCP. Whilst they have varying degrees of accuracy, AI demonstrates potential in improving efficiency, supporting personalised nutrition, and enhancing chronic disease management outcomes. Integrating AI education into dietetic training and professional development will be essential to ensure safe and effective use in practice. Full article

This paper deals with the mechanical design and kinematic analysis of an autonomous wrist for space assembly (AWSA) whose actuators are activated by DC motors and ball screw drives. This robotic wrist was developed and built as a prototype to investigate in-space robotic operations, including maintaining and repairing spacecraft of the US National Aeronautics and Space Administration (NASA), such as the International Space Station (ISS) or satellites. Despite its disadvantages, such as a small workspace and low maneuverability, a parallel structure instead of a serial structure was selected for the design of the AWSA due to several advantages it has over a serial robot manipulator (SRM), including higher payload, greater stiffness, and better stability. The present paper also introduces a hybrid concept for robotic space operations, which combines an SRM performing gross motion and a parallel robot manipulator (PRM) performing fine motion. It then discusses the design and construction of the DC motor actuators and ball screw drives and presents the kinematic equations developed for the AWSA. This paper provides a closed-form solution to the inverse kinematics of the AWSA and a numerical solution using the Newton–Raphson method for its forward kinematics. Full article

Potassium (K) is present in soils mainly in minerals, including feldspar. However, most of it is unavailable to plants. In the in-dyked alluvial soils of the Mekong Delta, available K is typically low despite the abundance of K-bearing feldspar, leading to nutrient imbalances and yield constraints. This study aimed to (i) select potential feldspar-potassium-solubilizing purple nonsulfur bacteria (K-PNSB), (ii) determine their ability to enhance hybrid maize seed vigor (Zea mays L.), and (iii) evaluate their effects on the growth of maize seedlings. Fifty-eight K-PNSB strains were isolated from maize-cultivated in-dyked alluvial soils, with soluble K concentrations ranging from 0.108 to 15.0 mg L⁻¹. Among these, strain M-Sl-03 released the highest K concentration under microaerobic light conditions, whereas strains M-Sl-01 and M-Sl-06 produced best under aerobic dark conditions. In addition, two more strains, M-Sl-02 and M-Wa-06, were also selected for their K solubilization ability. The selected strains were identified as Cereibacter sphaeroides strains M-Sl-01 and M-Sl-02, Rhodopseudomonas palustris strain M-Sl-03, and Rhodoplanes pokkaliisoli strains M-Sl-03 and M-Wa-06, according to their 16S rDNA region. None of them exhibited toxicity to germinating maize seeds. Both individual strains and the five-strain mixture significantly improved seed vigor. At a 1:1000 dilution, individual and mixed inoculants increased the vigor index of maize seeds by 47.5–68.8%. In addition, the selected PNSB strains contributed to improving the growth of maize seedlings, particularly plant height and root dry biomass. These promising strains have potential for application as biofertilizers to support hybrid maize cultivation. Full article

Tourism is a rapidly growing sector in Kazakhstan, yet Almaty city and its surrounding region have experienced stagnant growth despite rich natural and cultural assets. This study identifies governance-related barriers that impede sustainable tourism development and effective stakeholder participation. Using a mixed-methods design centered on semi-structured interviews with stakeholders from government, business, NGOs (Non-Governmental Organization), and community organizations conducted in 2018 and 2024, and supplemented by PEST (Political, Economic, Sociocultural, and Technological factors) analysis and stakeholder mapping, we distill recurring constraints and opportunities. The findings show that, while digitalization, through digital platforms, improved some administrative processes by 2024, the fundamental obstacles identified in 2018 remained largely unchanged. Three core constraints persisted across both periods: fragmented institutional governance, prolonged and opaque permitting procedures that deter investment, and a deep-seated lack of trust between the private sector and public authorities. These systemic failures continue to limit the sector’s potential, especially amid rapid post-pandemic visitor growth. This paper proposes actionable measures to address these challenges: establishing a unified regional tourism coordination authority, streamlining and standardizing regulations and approval processes, and offering targeted capacity building for SMEs (Small and Medium-sized Enterprises) and local administrations. Implemented together, these reforms can align Almaty’s tourism governance with international good practices and foster more inclusive, resilient, and sustainable tourism growth. Full article

Feature selection aims to identify a relevant subset of features from the original feature set to enhance the performance of machine learning models, which is crucial for improvig model accuracy. However, this task is highly challenging due to the enormous search space, often requiring the use of meta-heuristic algorithms to efficiently identify near-optimal feature subsets. This paper proposes an improved algorithm based on Northern Goshawk Optimization (NGO), called Elite-guided Hybrid Northern Goshawk Optimization (EH-NGO), for feature selection tasks. The algorithm incorporates an elite-guided strategy within the NGO framework, leveraging information from elite individuals to direct the population’s evolutionary trajectory. To further enhance population diversity and prevent premature convergence, a vertical crossover mutation strategy is adopted, which randomly selects two different dimensions of an individual for arithmetic crossover to generate new solutions, thereby improving the algorithm’s global exploration capability. Additionally, a boundary control strategy based on the global best solution is introduced to reduce ineffective searches and accelerate convergence. Experiments conducted on 30 benchmark functions from the CEC2017 and CEC2022 test set demonstrate the superiority of EH-NGO in global optimization, outperforming eight compared state-of-the-art algorithms. Furthermore, a novel feature selection method based on EH-NGO is proposed and validated on 22 datasets of varying scales. Experimental results show that the proposed method can effectively select feature subsets that contribute to improved classification performance. Full article

Offshore wind turbines (OWTs) with higher capacity are typically associated with larger structural dimensions, such as increased hub height, tower diameter, and rotor diameter. Consequently, they require support structures with large-diameter piles, particularly when employing suction buckets, a type of large-diameter foundation. These large-diameter structures exhibit a distinct scour mechanism compared to the conventional mechanisms observed in smaller-diameter piles. This study investigates the scour risk of OWTs while explicitly accounting for the large pile effect. First, a scour fragility analysis is developed to evaluate the vulnerability of suction bucket foundations under scour, represented in terms of fragility curves. Then, the probability density function (PDF) of scour depth is derived from the PDF of the Keulegan–Carpenter number, a key parameter for estimating scour depth that incorporates the large pile effect. Ultimately, scour risk is quantified by integrating the PDF of scour depth with the corresponding scour fragility curve. Comparative results show that, with a safety factor of 1.0, the reliability indices considering the large-diameter pile effect are 2.509, significantly lower than 5.115 for cases that neglect this effect, representing a decrease of less than 51%. For a safety factor of 1.75, the difference is 43%. These results suggest that ignoring the large-diameter pile effect not only underestimates the scour risk of OWTs, but also demonstrates a nonlinear effect of the safety factor on OWT risk. Ignoring this effect could also compromise the sustainability of offshore wind turbine systems. This highlights the importance of considering the unique scour mechanisms associated with large-diameter OWT foundations to avoid overestimating structural risk. Full article

Layered graphene oxide (GO) has emerged as an ideal membrane structure for water desalination. In GO-stacked structures, the slit gaps between GO nanosheets can serve as critical pathways for molecule permeation. Exploring the permeation mechanisms of functionalized GO nanoslits is critical for improving the separation performance. Herein, molecular simulations were performed to investigate the water permeation and ion rejection for six types of ionic solutions by considering edge-amino functionalized GO (NGO) slit membranes. The NGO slit exhibits higher ion retention while maintaining reasonable water permeability. Edge amine groups can interact strongly with water molecules and immobilize ions, thus enhancing ion rejection. The thermodynamic free energy for ion passing was simulated to explain the unique ion rejection mechanism of amine-functionalized GO slits. The thermodynamic barrier for ion rejection can be considered as the delicate combination of the ion dehydration effect and the slit-generated attraction. The ion dehydration accounts for a repulsive contribution, which is the controlling portion in governing the free-energy profile. Overall, our work is important and valuable for the development and design of new-type layered GO membranes. Full article

Background/Objectives: Juzentaihoto (JTT), a traditional Kampo formula composed of ten medicinal herbs, is widely prescribed in Japan for immune enhancement and general health maintenance. This exploratory, open-label pilot study aimed to evaluate the feasibility and immunomodulatory effects of JTT in cancer patients and to explore its potential mechanisms of action. Methods: Ten cancer patients received oral JTT (7.5 g/day) for 14 days, while healthy volunteers served as a reference group. Peripheral natural killer (NK) cell phenotypes and CD95 expression were analyzed by flow cytometry, and serum Fas ligand (FasL) concentrations were measured by ELISA. Complementary in vitro assays using PBS-extracted, autoclaved JTT were conducted to assess Fas/FasL-mediated apoptosis in Jurkat and primary T cells by flow cytometry and Western blotting for cleaved caspase-8 and -3. Additional experiments with staurosporine (intrinsic apoptosis) and TRAIL in OSC-19 carcinoma cells were performed to determine pathway specificity. Results: In patients, most NK-cell markers showed no statistically significant within-subject changes, although a trend-level increase in NKp46 and a significant reduction in NK-cell CD95 expression (paired p = 0.014) were observed. Between-group differences primarily reflected baseline disparities between cancer patients and healthy controls. In vitro, JTT (50–100 µg/mL) partially attenuated FasL-induced apoptosis and reduced cleaved caspase-3 without affecting cleaved caspase-8, suggesting selective downstream modulation of the extrinsic pathway. Conclusions: Within the limitations of a small, non-randomized cohort without placebo, these findings are hypothesis-generating and indicate that JTT selectively modulates Fas-mediated lymphocyte apoptosis without promoting tumor immune evasion. Further randomized trials and mechanistic studies incorporating co-culture or 3D tumor–immune models are warranted to confirm these observations and identify active constituents. Full article

With the rapid growth of wireless devices, security has become a key research concern in beyond-5G (B5G) and sixth-generation (6G) networks. Non-orthogonal multiple access (NOMA), one of the supporting technologies, is a strong contender to enable massive connectivity, increase spectrum efficiency, and guarantee high-quality access for a sizable user base. Furthermore, the scientific community has recently paid close attention to the effects of hardware impairments (HIs). The safe transmission of NOMA in a two-user uplink relay network is examined in this paper, taking into account both hardware limitations and the existence of listening devices. Each time frame in a mobile network environment comprises two phases in which users use a relay (R) to interact with the base station ($BS$). The research focuses on scenarios where a malicious device attempts to intercept the uplink signals transmitted by users through the R. Using important performance and security metrics, such as connection outage probability (COP), secrecy outage probability (SOP), and intercept probability (IP), system behavior is evaluated. To assess the system’s security and reliability under the proposed framework, closed-form analytical expressions are derived for SOP, IP, and COP. The simulation results provide the following insights: (i) they validate the accuracy of the derived analytical expressions; (ii) the study significantly deepens the understanding of secure NOMA uplink transmission under the influence of HIs across all the network entities, paving the way for future practical implementations; and (iii) the results highlight the superior performance of secure and reliable NOMA uplink systems compared to benchmark orthogonal multiple access (OMA) counterparts when both operate under the same HI conditions. Furthermore, an extended model without a relay is considered for comparison with the proposed relay-assisted scheme. Moreover, the numerical results indicate that the proposed communication model achieves over 90% reliability (with a COP below 0.1) and provides approximately a 30% improvement in SOP compared to conventional OMA-based systems under the same HI conditions. Full article

Sentinel animals may play a key role in the surveillance of arbovirus circulation, particularly in developing countries. This study aimed to assess the relevance of using dogs as sentinel animals for Rift Valley fever virus (RVFV) surveillance in Madagascar. Serological surveys were conducted on 513 dogs and 135 cattle in the Ifanadiana district, southeastern Madagascar. In addition, 486 human dry blood samples available from the same area were used. Antibodies against RVFV were detected in 23 of 513 dogs, in 86 of 486 humans, and in 33 of 135 cattle. Serocatalytic models fitted to age-stratified serological data were developed to estimate the RVFV force of infection (FOI) under several hypotheses, ranging from no relationship to proportional RVFV FOIs between humans, cattle, and dogs. The best supported model indicated that RVFV FOI in humans and cattle was proportional to RVFV FOI in dogs. Proportionality parameters were estimated at 2.6 (95% credible interval: [1.4–5.1]) for humans and 3.5 (95% credible interval: [1.3–6.4]) for cattle. Our findings suggested that dog blood samples could be used to identify RVFV circulation in RVF endemic areas and infer the exposure of humans and cattle in these areas in Madagascar. Full article

This paper examines how sustainable leadership and strategic sustainability integration are framed and supported for SMEs in the EU. We apply comparative document analysis (CDA) to 35 policy, industry, and NGO reports published in 2020–2025 for Germany, Sweden, Poland, and Spain. Multi-level materials (EU, national, industry/NGO) were thematically coded, and the synthesis is presented in a multi-level conceptual framework linking policies, leadership, strategy, barriers, and transferable practices. The analysis indicates systematic differences in institutional maturity: Sweden and Germany display denser, more navigable support ecosystems and clearer leadership narratives, whereas Poland and Spain exhibit greater fragmentation and a more compliance-oriented framing. Instrument menus are broadly similar (grants/co-funding, concessional finance, advisory vouchers, training, standards/toolkits, green public procurement), yet accessibility and measurement strength diverge; outcome tracking (e.g., energy savings, CO₂e avoided) is more consistent in Sweden/Germany than in Poland/Spain. Green–digital coupling is pivotal: sequencing “on-ramps” (advisory/vouchers) into innovation finance accelerates adoption; where such on-ramps are thin, uptake concentrates among already prepared firms. Implications follow for policy design and practice: prioritize simple entry points for micro- and small enterprises, strengthen monitoring with meaningful KPIs, and ensure regional parity in access to finance and advisory. For SME leaders, role-modeling, employee development, and experimentation help embed sustainability when formal structures are lean. Beyond mapping patterns, this study provides an auditable operationalization of sustainable leadership for document analysis and a transferable framework to compare policy mixes and ecosystem readiness across countries. Full article

Objective: To assess the prevalence and associated factors of malnutrition—including stunting, thinness, overweight, and obesity—among Vietnamese children aged 6–17 years, and to identify demographic, geographic, and behavioral correlates to inform targeted nutrition interventions. Methods: A cross-sectional, nationally representative study was conducted from January 2024 to June 2025 using data from the MIDU Assessment Program. A multistage stratified random sampling approach recruited 43,505 children aged 6–17 years across all regions of Vietnam. Anthropometric measurements were obtained following WHO 2007 growth reference standards. Stunting was defined as height-for-age Z-score (HAZ) < −2 SD, and overweight/obesity as body mass index-for-age Z-score (BAZ) > +1 SD. Data on demographic characteristics, sleep patterns, sports participation, vitamin K₂ use, and pubertal status were collected via structured questionnaires. Multivariable logistic regression was used to identify factors associated with stunting and overweight/obesity. Results: Overall, 3.9% were stunted, 5.1% were thin, 20.7% were overweight, and 11.4% were obese; 8.6% had any undernutrition and 39.5% had any form of malnutrition. Stunting was significantly associated with being male (OR = 1.37, 95% CI: 1.24–1.52), older age—particularly 14–17 years (OR = 6.56, 95% CI: 5.48–7.84)—and residing in the Northern midlands, North Central, South Central, and Central Highlands regions. In contrast, frequent sports participation (OR = 0.76, 95% CI: 0.68–0.84), daily vitamin K₂–MK₇ use (OR = 0.82, 95% CI: 0.72–0.93), and having reached puberty (OR = 0.26, 95% CI: 0.22–0.30) were associated with lower odds of stunting. For overweight and obesity, lower odds were found among females (OR = 0.48, 95% CI: 0.46–0.51) and older children, while higher odds occurred among those living in the Southeast (OR = 1.45, 95% CI: 1.36–1.53) and Mekong River Delta (OR = 1.35, 95% CI: 1.24–1.48) regions. Early sleep (OR = 0.91, 95% CI: 0.87–0.95) and sports participation (OR = 1.07, 95% CI: 1.02–1.11) showed modest associations, whereas vitamin K₂ use and puberty were not significant predictors. Conclusions: Vietnamese school-aged children face a significant rate of malnutrition, with regional, gender, and age disparities. Full article

Intermediate-mass black holes (IMBHs; $M_{\mathrm{BH}}\approx {10}^{3–5} {\mathrm{M}}_{\odot }$) play a critical role in understanding the formation of supermassive black holes in the early universe. In this study, we expand on Nguyen et al.’s simulated measurements of IMBH masses using stellar kinematics, which will be observed with the High Angular Resolution Monolithic Optical and Near-infrared Integral (HARMONI) field spectrograph on the Extremely Large Telescope (ELT) up to a distance of 20 Mpc. Our sample focuses on both the Virgo Cluster in the northern sky and the Fornax Cluster in the southern sky. We begin by identifying dwarf galaxies hosting nuclear star clusters, which are thought to be nurseries for IMBHs in the local universe. As a case study, we conduct simulations for FCC 119, the second faintest dwarf galaxy in the Fornax Cluster at 20 Mpc, which is also fainter than most of the Virgo Cluster members. We use the galaxy’s surface brightness profile from Hubble Space Telescope (HST) imaging, combined with an assumed synthetic spectrum, to create mock observations with the HSIM simulator and Jeans Anisotropic Models (JAMs). These mock HARMONI data cubes are analyzed as if they were real observations, employing JAMs within a Bayesian framework to infer IMBH masses and their associated uncertainties. We find that ELT/HARMONI can detect the stellar kinematic signature of an IMBH and accurately measure its mass for $M_{\mathrm{BH}}\gtrsim {10}^5{\mathrm{M}}_{\odot }$ out to distances of ∼20 Mpc. Full article

Plastic is a key industrial innovation with wide ranging applications. However, its extensive production, consumption, and inadequate disposal practices have created a complex environmental challenge, resulting in escalating ecological and public health impacts. This study examines plastic waste management practices in the rural coastal communities of Kendwa, Nungwi, Paje, and Michamvi, located near tourist hotels in Zanzibar’s Northern and Southern districts, Tanzania. Structured interviews, observation checklists, and participatory workshops were used to assess the types of plastic waste generated and the level of community engagement in disposal practices. Findings indicate that single-use polyethylene terephthalate (PET) and high-density polyethylene (HDPE) packaging, particularly beverage bottles and other disposable items from hotels, dominate the waste stream. Nungwi and Kendwa demonstrate proactive responses, supported by a professional waste management company and NGO-led awareness programs promoting sustainable practices. In contrast, Paje and Michamvi continue to face challenges from tourism-linked waste, highlighting disparities in local management capacity. Despite positive initiatives in Nungwi and Kendwa, persistent littering remains a problem due to weak enforcement, limited infrastructure, and inconsistent community compliance. To address these gaps, the study recommends implementing waste bank programs alongside financial sustainability measures and community empowerment initiatives, to reinforce existing efforts and advance more sustainable waste management. Full article

Acropora palmata, a keystone Caribbean coral species, is currently subject to intense restoration efforts across the region. Despite its known annual broadcast spawning, in situ monitoring of 33 colonies in Cozumel, Mexico, from 2018 to 2025 revealed a near-complete absence of spawning activity. While “setting” was occasionally observed, no simultaneous spawning events occurred among colonies, impeding assisted fertilization. This eight-year effort, involving academic institutions, government, NGOs, and the community, highlights the breakdown in reproductive synchrony of A. palmata. We discuss possible contributing factors, including artificial light, sedimentation, thermal anomalies, water quality and direct human impact. These findings demand immediate regional attention and investigation to identify the underlying causes of this reproductive failure. Full article