Search Results (268)

Ships play a crucial role in modern society, serving purposes such as marine transportation, tourism, and exploration. Malfunctions or defects in the main engine, which is a core component of ship operations, can disrupt normal functionality and result in substantial financial losses. Consequently, early fault diagnosis of abnormal engine conditions is critical for effective maintenance. In this paper, we propose a deep hybrid model for fault diagnosis of ship main engines, utilizing exhaust gas temperature data. The proposed model utilizes both time-domain features (TDFs) and time-series raw data. In order to effectively extract features from each type of data, two distinct feature extraction networks and an attention module-based classifier are designed. The model performance is evaluated using real-world cylinder exhaust gas temperature data collected from the large ship low-speed two-stroke main engine. The experimental results demonstrate that the proposed method outperforms conventional methods in fault diagnosis accuracy. The experimental results demonstrate that the proposed method improves fault diagnosis accuracy by 6.146% compared to the best conventional method. Furthermore, the proposed method maintains superior performanceeven in noisy environments under realistic industrial conditions. This study demonstrates the potential of using exhaust gas temperature using a single sensor signal for data-driven fault detection and provides a scalable foundation for future multi-sensor diagnostic systems. Full article

Background: Psychological problems post-stroke can negatively impact stroke survivors. Although general psychological services exist (e.g., NHS Talking Therapies), access remains limited, particularly for individuals with post-stroke communication and cognitive impairments. Stroke service staff report low confidence in managing psychological distress. This study is the first to explore the barriers and facilitators to implementing a novel intervention package comprising a cross-service care pathway and staff training to enhance post-stroke psychological provision. Methods: Staff from stroke and mental health services in four UK regions, recruited through purposive sampling to ensure diversity of services and professional roles, participated in semi-structured interviews or focus groups, guided by the Theoretical Domains Framework (TDF), before and after implementation of the intervention package. Pre-implementation interviews/groups identified anticipated barriers and facilitators to implementation and training needs, informing the development of site-specific intervention packages; post-implementation interviews/groups explored experienced barriers, facilitators and perceptions of the intervention. Interviews underwent thematic analysis using the TDF. Results: Fifty-five staff participated pre-implementation and seventeen post-implementation, representing stroke (e.g., nurse, physiotherapist, consultant) and psychology (e.g., counsellor, psychological therapist) roles across acute, rehabilitation, community, and voluntary services. Challenges anticipated pre-implementation included: limited specialist post-stroke psychological support; low staff confidence; and fragmented service pathways. Post-implementation findings indicated increased staff knowledge and confidence, enhanced screening and referral processes, and stronger inter-service collaboration. Implementation success varied across sites (with some sites showing greater ownership and sustainability of the intervention) and across staff roles (with therapy staff more likely than nursing staff to have received training). Conclusions: Effective implementation of an intervention package to increase psychological provision post-stroke requires staff engagement at all levels across all services. Staff investment influenced ownership of the intervention package, beliefs about priorities and overall enhancement of service capability. Full article

Rilpivirine (RPV, R278474) was highlighted in 2005, two years after the death of Dr. Paul Janssen, as the ideal non-nucleoside reverse transcriptase inhibitor (NNRTI) to treat HIV infections. For this purpose, it was subsequently combined with tenofovir disoproxil fumarate (TDF), tenofovir alafenamide (TAF), darunavir (boosted with ritonavir or cobicistat) or dolutegravir. Its wide-spread use is thanks to its combination with cabotegravir (CAB) in the form of a long-acting intramuscular injection once per month (QM), later twice per month (Q2M), for the treatment of adults, later extended to adolescents and pregnant women, with HIV infections. The long-acting CAB plus RPV should not be administered in patients treated with rifampicin or rifabutin, patients with virological failure or patients with resistance to CAB or RPV, or patients with hepatitis B virus (HBV) infection. Long-acting CAB+RPV may lead to pain at the site of injection which would diminish over time. Full article

Background/Objectives: The ongoing obesity epidemic remains a significant public health challenge in the U.S. Nearly one-third of adults are overweight, and nearly half of the population (42.4%) are obese. These conditions, driven by poor and unsustainable diets, are major risk factors for several chronic diseases, including heart disease, which continues to be the leading cause of death in the country. This review aims to examine existing research on health care professionals’ attitudes and perceptions of plant-based nutrition and explore how this knowledge can be utilized to promote the adoption of plant-based diets (PBDs) among Americans as an alternative to the standard American diet. Methods: PubMed and Web of Science databases were searched in April, 2024. Out of the 151 articles identified, 27 were deemed eligible and included in the narrative review. Results: Nine key themes were identified as major influences on the attitudes and behaviors of health professionals regarding PBDs. These themes were mapped with the domains of the Theoretical Domains Framework (TDF) to stratify key enablers and barriers to implementation of PBDs in routine care for patients. Conclusions: Key barriers to incorporating plant-based nutrition into routine care include time constraints, limited educational resources, insufficient skills, lack of multidisciplinary collaboration, and inadequate professional training. Access to evidence-based research summaries, clear guidelines, ongoing professional development, and other relevant educational resources were identified as facilitators of successfully integrating PBDs into everyday practice. Full article

This study investigates the effects of fermentation on sainfoin seed flour using Saccharomyces boulardii for total dietary fiber (TDF) content, anti-nutritional profiles (including phytates, tannins, saponins, and trypsin inhibitors), and bioactive compounds. It also focused on assessing the in vitro availability of phenolic compounds, antioxidant potential, and anti-nutrient compounds after gastrointestinal digestion. Four treatment groups were designed: a non-fermented control group, and flour samples fermented with S. boulardii CNCM I-745 for 24, 48, and 72 h. All fermentations were carried out at 30 °C. The effects of fermentation and the analysis results were statistically evaluated at the significance level of p < 0.05, and significant differences were detected. Fermentation significantly increased soluble dietary fiber (from 3.32% to 4.43%) and reduced anti-nutritional factors, including phytates (by 18%), tannin (by 19%), and trypsin inhibitor activity (TIA) (by 79%). However, saponin content increased by 21% after 72 h of fermentation. Tannin levels of non-fermented and fermented sainfoin flour decreased dramatically after in vitro digestion. Moreover, it was concluded that the bioaccessibility of phytic acid significantly increased through fermentation, while that of tannins declined. Antimicrobial activity against Escherichia coli ATCC 25922 improved after fermentation, while the antioxidant capacity was enhanced post-digestion. In addition, the highest phenolic content (612 mg GAE/100 g) and antioxidant capacity (1745 mg TE/100 g by CUPRAC assay and 1127 mg TE/100 g by DPPH assay) were determined in fermented sainfoin seed flour at 72 h after gastrointestinal digestion. Full article

University students are a vulnerable population for smoking initiation and continuation, often facing unique challenges in accessing cessation support. This scoping review aimed to map the existing literature on the barriers and facilitators to smoking cessation among university students using the Theoretical Domains Framework (TDF). Following the JBI methodology, six studies conducted in the United States, Jordan, and Qatar were included, employing both qualitative and quantitative designs. A total of 22 barriers and 20 facilitators were identified and mapped across relevant TDF domains. Key barriers included time constraints, financial limitations, low self-efficacy, and social smoking norms. Facilitators included access to flexible, low-cost interventions, peer support, and previous quit attempts. Digital interventions were preferred by students. The findings suggest that smoking cessation strategies targeting university students should be flexible, affordable, and embedded within campus health systems. Interventions that combine behavioral support, peer involvement, and accessible technology show strong potential in addressing the multifaceted barriers faced by this population. This review provides a theory-informed foundation for the development of tailored smoking cessation interventions and identifies key directions for future research. Full article

Inadequate vitamin D and dietary fibre intake are growing public health concerns in Western countries, especially in regions with limited sunlight and diets rich in processed foods. Bakery products, widely consumed, offer a promising opportunity for nutritional fortification. This study explored the possibility of fortifying white wheat bread—a staple food but low in fibre—with vitamin D₃ and various dietary fibres (oat fibre, pectin, cellulose, and beta-glucan). The goal was to enhance its nutritional profile while maintaining desirable bread qualities. Using Response Surface Methodology (RSM), an empirical model, optimised the fibre combination. A range of dough and bread analyses were conducted—including assessments of gluten structure, starch pasting, fermentation activity, crumb hardness, specific volume, and colourimetry. The results showed fibre addition weakened the gluten network and altered starch properties (reduced peak, final and breakdown viscosities)—reducing loaf volume (4.2 ± 0.4 mL/g vs. 4.8 ± 0.1 mL/g for the control)—though to a lesser extent than in wholemeal bread (2.4 ± 0.1 mL/g), while vitamin D₃ inclusion had a minimal impact (4.0 ± 0.4 mL/g for white bread, 2.1 ± 0.0 mL/g for wholemeal bread). The study identified an optimal mix of soluble and insoluble fibres with vitamin D₃ that preserved the texture, crumb structure, and appearance of standard white bread. The final product offered fibre levels (Total Dietary Fibre, TDF = 10.72 ± 0.31 g/100 g bread, vs. 3.81 ± 0.06 g/100 g for the control) comparable to those of wholemeal bread (TDF = 9.54 ± 0.67 g/100 g), with improved texture and volume. This approach presents an effective strategy to enhance staple foods, potentially improving public health through better nutrient intake without compromising consumer acceptance. Full article

The cement industry faces increasing energy costs and environmental pressures, driving the adoption of alternative fuels derived from waste materials. In Togo, approximately 350,000 t of end-of-life tires (ELT) are generated annually, creating significant environmental and health hazards through uncontrolled disposal and burning practices. This study investigated the technical feasibility and economic viability of incorporating waste tires as an alternative fuel in cement manufacturing. Tire-derived fuel (TDF) performance was evaluated by comparing pre-processed industrial tires with unprocessed ones, focusing on clinker production loss, elemental composition, heating values, and bulk density. The results demonstrate that TDF exhibits superior performance characteristics, with the highest heating values, and meets all the required specifications for cement production. In contrast, whole tire incineration fails to satisfy the recommended criteria, necessitating blending with conventional fuels to maintain clinker quality and combustion efficiency. The investigation revealed no significant adverse effects on production processes or clinker quality while achieving substantial reductions in nitrogen and sulfur oxide emissions. The experimental results were compared with the theoretical burnout times to optimize the shredding operations and injection methods. However, several challenges remain unaddressed, including the absence of streamlined handling processes, limited understanding of long-term ecological and health impacts, and insufficient techno-economic assessments. Future research should prioritize identifying critical aging points, investigating self-rejuvenating behaviors, and quantifying long-term environmental implications. These findings provide a foundation for developing computational models to optimize the mixing ratios of alternative and fossil fuels in cement manufacturing, offering significant environmental, economic, and societal benefits for the cement industry. Full article

To address the challenge of virtual synchronous generator (VSG) control technology in simultaneously achieving transient oscillation suppression and steady-state accuracy, as well as the poor anti-interference capability of fixed damping parameters under scenarios such as sudden changes in the short-circuit ratio (SCR), this paper proposes a transient damping optimization VSG control strategy based on a dissipative Hamiltonian neural network (DHNN) adaptive mechanism. Without affecting the original droop characteristics and rotational inertia, a transient damping feedback (TDF) branch is introduced to provide an additional damping ratio for the system to suppress low-frequency oscillations. The TDF control directly acts on the rotor motion equation through active-power low-frequency component feedback, featuring a simple structure without requiring complex computations. A small-signal model was established to quantitatively analyze the oscillation suppression mechanism. Furthermore, the dissipative Hamiltonian neural network (DHNN) was employed to dynamically optimize TDF parameters, ensuring a robust system performance under disturbances. The simulation and experimental results ultimately validated the effectiveness of the proposed control strategy. Full article

Background: Polypharmacy, commonly defined as the use of five or more medications, is a growing concern in hospitals due to its association with adverse drug reactions, functional decline, and increased healthcare costs. Proactive deprescribing, which involves the planned discontinuation of unnecessary or potentially harmful medications, can optimise medication use. However, multiple barriers hinder its implementation. Saudi Arabia offers a unique context for deprescribing due to strong family roles in care, prevalent prescribing norms, and ongoing shifts toward value-based healthcare. This study explores the barriers and facilitators to proactive deprescribing among physicians in Saudi hospitals using the Theoretical Domains Framework (TDF). The TDF was used as it effectively identifies behavioural factors influencing clinical decision making in practice. Methods: Semi-structured interviews were conducted with 27 purposively sampled physicians experienced in managing polypharmacy. The interviews were transcribed and analysed thematically, with behavioural determinants identified and categorised according to the 14 domains of the Theory of Planned Behaviour (TDF). Results: Enablers included the availability of deprescribing guidelines, decision–support tools, interprofessional collaboration, and institutional backing. Physicians with specialised training expressed greater confidence in conducting deprescribing. Identified barriers included limited time, heavy workload, absence of standardised protocols, medico-legal concerns, resistance from patients and caregivers, and lack of formal training. These factors were categorised under seven key TDF domains, with Environmental Context and Resources, Social Influences, and Beliefs About Capabilities identified as the most influential in shaping physicians’ deprescribing practices. Interactions between factors were observed, where supportive environments and collaborative teams helped offset key barriers such as time constraints, legal concerns, and patient resistance. Conclusions: This study identified key behavioural and contextual factors influencing proactive deprescribing in Saudi hospital settings. Addressing barriers such as heavy workload, medico-legal concerns, and lack of standardised protocols through targeted interventions, including clinician training, institutional support, and multidisciplinary collaboration, may facilitate the integration of deprescribing into routine practice. The findings offer context-specific insights to inform future efforts aimed at improving medication safety and optimising prescribing in the Saudi healthcare system. Full article

Purpose: This article aims to harmonize the current data from the literature, describe baseline severity, and discuss potential treatment considerations for cases of triple infection. Patients and Methods: We undertook a retrospective, observational study on 1244 patients with viral hepatitis study subgroups: chronic replicative hepatitis with HCV—679 patients, HBV—98 patients, HBV/HCV—25 patients, HBV/HDV—14 patients, and 2 patients with triple-infection (HBV, HCV, and HDV), hospitalized in the Second Department of “Sf. Cuv. Parascheva” Infectious Diseases Clinical Hospital of Galați, Romania, between 1 April 2017 and 1 March 2025. Results: Comparative analysis of biochemical parameters and liver fibrosis—at the initial testing—i.e., at the beginning of the specific antiviral therapy—with direct-acting antivirals on HCV (DAAs) or nucleos(t)ide analogues (NUCs): Entecavir (ETV) or Tenofovir Disoproxyl fumarate (TDF), for HBV, Bulevirtide (BLV) for HDV—revealed clinical forms with higher severity in the case of triple and double infections, in comparison to individuals who have had only one hepatotropic virus infection. Conclusions: Compared to patients with a single hepatotropic viral infection, those with a double or triple infection had more severe hepatic damage. Concomitant therapy with Bulevirtide, DAAs, and NUCs is possible and the therapeutic results from clinical studies, with single-infection patients showing great potential for improving the prognosis of these patients. Full article

The real-time rendering of large-scale curve-based surfaces (e.g., hair, fabrics) requires efficient handling of bidirectional curve-scattering distribution functions (BCSDFs). While curve-based material models are essential for capturing anisotropic reflectance characteristics, conventional prefiltering techniques encounter challenges in jointly resolving micro-scale BCSDFs variations with tangent distribution functions (TDFs) at pixel-level accuracy. This paper presents a real-time BCSDF filtering framework that achieves high-fidelity rendering without precomputation. Our key insight lies in formulating each pixel’s scattering response as a mixture of von Mises–Fisher (vMF) distributions, enabling analytical convolution between micro-scale BCSDFs and TDFs. Furthermore, we derive closed-form expressions for the integral of TDF-BCSDF products, avoiding the need for numerical approximation and heavy precomputation. Our method demonstrates state-of-the-art performance, achieving results comparable to 1000 spp Monte Carlo simulations under parallax-free conditions, where it improves the mean squared error (MSE) by one to two orders of magnitude over baseline methods. Qualitative comparisons and error analysis confirm both visual fidelity and computational efficiency. Full article

The aim of the present research is to analyze community participation in disaster risk management due to tailings dam failures (DRM-TDF). Conceição do Mato Dentro, Minas Gerais State (Brazil) was used as case study. The aims of the study are to help developing more effective DRM-TDF strategies and to strengthen community participation in decision making, and in mapping and categorizing vulnerabilities (criticality and support capacity) by assessing current practices and prioritizing future strategies. Semi-structured questionnaires were applied to community leaders and open interviews were carried out with DRM experts for information collection purpose. The collected responses were categorized based on vulnerabilities by taking into account criticality (communities) and support capacity (public management and mining entrepreneurs). SWOT analysis identified “Weaknesses” (criticality) and “Threats” (support capacity), whereas Pareto analysis highlighted the most critical aspects. The results indicate that public policies and the Brazilian legal framework have made limited contributions toward achieving the Sendai Framework guidelines and the Sustainable Development Goals. A review of current practices is necessary to safeguard the rights of affected communities through their meaningful participation in decision-making processes. Full article

Ultrasound-assisted extraction (UAE) using water as a green solvent is a promising non-thermal technique for the extraction of total dietary fiber (TDF) and betaine from red beetroot (Beta vulgaris L.) peel. Compared to conventional thermal extraction (CE), UAE has proven to be a more efficient alternative method for the extraction of TDF and betaine. The pretreatment of beet was carried out using pulsed electric field (PEF) technology, with the specific energy of the PEF treatment set at 1.6 kJ/kg. To achieve the maximum betaine concentration of 24.80 µg/mL, the optimum UAE parameters were 50% amplitude with an extraction time of 3 min using distilled water as extraction solvent. The optimum TDF yield of 44.07% was achieved at 75% amplitude, 6 min treatment time and 50% ethanol solution as extraction solvent. These conditions can effectively supplement UAE, especially in the extraction of bioactive compounds from red beetroot peel. However, the TDF obtained in the residue must be evaporated for further use, which increases energy consumption. Ethanol concentration had no statistically significant effect (p > 0.05) on the TDF results, suggesting that distilled water could replace ethanol as a solvent in UAE. This substitution offers environmental and economic advantages, as water is more environmentally friendly and less expensive than ethanol. In addition, the use of distilled water eliminates the need to evaporate ethanol, which is particularly advantageous when the extracted material is intended for fortification or improvement of the technological and functional properties of food products. Full article

The objective of this study was to compare the effects of applying a 50% wheat grain diet with those of a diet with 3% additional dietary fibre from various sources on the development of broiler chickens’ gastrointestinal tract and its related organs and to model this phenomenon based on data obtained from 35-day-old chickens using multiple regression equations. The use of various structural components, including oat hull (OH), sunflower hull (SH), sugar beet pulp (SBP), and wheat bran (WB), in proportions of 3% of the diet not only affects digestive processes in broiler chickens’ gastrointestinal tract but also causes a change in the length of their intestinal sections or the weight of related organs. These effects can be taken into account when creating an experimental model, the results of which can at least be partially applicable to human studies. The use of OH and SH (3%) in the birds’ diets resulted in a significantly higher body weight (p < 0.05) compared with the use of SBP and WB. OH in the diet significantly increased (p < 0.01) the weight of the chicken’s gizzards compared with the other dietary fibre sources, apart from SH. On the other hand, the weight of the proventriculus in chickens fed the diet containing OH was significantly lower than that of the chickens fed the diet containing SBP (p < 0.05). The use of SH in the diet caused a significant decrease (p < 0.01) in the weight of the chickens’ heart. Compared with other additional sources of dietary fibre, OH in the diet also significantly increased (p < 0.05) the lengths of the small and large intestines, as well as the total length of the intestines. A correlation analysis showed a significant, average, positive relationship (p < 0.05) between the content of TDF in the diet and the weight of the gizzard and indicated a significant positive correlation between the lengths of the jejunum and the remaining sections of the intestines. Additionally, the regression equation models indicated a significant effect (p < 0.01) of all the independent variables on the jejunal, ileal, and caecal lengths and the liver weight. The application of the regression model confirmed significant changes in the small intestine and liver weight depending on the type of dietary fibre and other independent variables, which can also be taken into account when assessing diseases in people with thin intestines. However, further studies with separate models still need to be conducted using experiments including both soluble and insoluble fibre. Full article