Search Results (81)

The uMlazi River receives effluents from wastewater work before feeding the Shongweni Dam. However, local communities are consuming fish from this dam for protein supplements. This study was undertaken to investigate the metal concentrations in the water and sediment, the general health of Coptodon rendalli and Oreochromis mossambicus, and metal bioaccumulation. Sampling was conducted during the dry (July–August) and wet seasons (November and December) in 2021. Water was sampled using acid-pre-treated sampling bottles, whereas sediment was collected using the Van Veen grab at the inflow, middle, and dam wall. Fish were collected, and their tissues were digested using aqua regia. Metal concentrations were measured using inductively coupled plasma optical emission spectroscopy (ICP-OES). This data manuscript reports the physical parameters of the water and concentrations of antimony, arsenic, cadmium, copper, iron, manganese, lead, selenium, and strontium in the water and sediment from the Shongweni Dam. Moreover, the fish morphometric data and metal concentrations observed in the muscle are also presented. This data could be used as baseline information on metal concentrations in the Shongweni Dam. Moreover, it provides insight into the potential impact of wastewater effluents on metal increases in freshwater bodies. Full article

Background: Although improving the patient experience with care is being framed as part of value-based care, the economic and provider well-being impact of interventions for improving the patient experience has not been established. We aimed to synthesize the contemporary (2015–2024) empirical literature on the economic (e.g., costs, revenue) and other value-based impacts (e.g., provider well-being) of patient-experience improvement interventions. Methods: Systematic review using six databases of scientific literature (PubMed, EconLit, CINAHL, PsycINFO, DOAJ, and Scopus) supplemented by journal-specific and snowball searches following a registered study protocol (PROSPERO: CRD42022358337). Two independent reviewers performed eligibility decisions and quality appraisals of the study methods and economic assessments, when applicable; the latter was conducted using the Joanna Briggs Institute’s checklist for economic evaluations. Results: Out of 1317 unique references, nine were included. Four studies assessed the effectiveness of patient experience improvement interventions (e.g., provider communication training, discharge or transitional support) coupled with economic evaluations; these found statistically significant positive outcomes for both patient experience and economic dimensions—including reduced costs, improved revenue, or additional costs offset by increased revenue. Three additional studies on provider communication training also found statistically significant positive impacts on provider well-being (i.e., reduced burnout) and patient experience improvements. Conclusion: These findings shed light on the overall synergistic value of and business case for investments into developing patient experience improvement programs or activities. However, there is room for strengthening this body of knowledge in scope, volume, and method quality, including the need to study the impact on patient experience, provider well-being, health outcomes, and costs (i.e., the quadruple aim) in tandem. Full article

A novel dual-band multi-linear polarization reconfigurable (MLPR) antenna for body-centric wireless communication systems (BWCS) is presented in this paper. The design comprises five symmetrically arranged multi-branch radiating units, each integrating an elliptical patch and curved spring branch for the Medical Implant Communication Service (MICS) band (403–405 MHz), and a pair of orthogonal strip patches for the Industrial, Scientific and Medical (ISM) $2.45$ GHz band (2.40–2.48 GHz). By selectively biasing PIN diodes between each unit and a central pentagonal feed, five distinct LP states with polarization directions of $0^{\circ }$, ${72}^{\circ }$, ${144}^{\circ }$, ${216}^{\circ }$, and ${288}^{\circ }$ are achieved. A dual-line isolation structure is introduced to suppress mutual coupling between radiating units, ensuring cross-polarization levels (XPLs) better than $-15.0$ dB across the operation bands. Prototypes fabricated on a $160\times 160\times 1.5$ mm³ substrate demonstrate measured $|S_{11}|<-10$ dB across 401–409 MHz and 2.34–2.53 GHz and stable omnidirectional patterns despite biasing circuitry perturbations. The compact form and robust dual-band, multi-polarization performance make the proposed antenna a promising candidate for implantable device wake-up signals and on-body data links in dense indoor environments. Full article

The current research work emphasizes the urgent need for a paradigm shift in Mediterranean tourism, advocating for the adoption of a comprehensive framework centered on sustainability in Tunisia. The establishment of an Inter-Ministerial Task Force is proposed to facilitate collaboration across governmental sectors, thereby enhancing governance and addressing the complexities of waste management within the tourism industry. Results reveal significant waste management inefficiencies and underscore the potential of integrated approaches that can lead to substantial environmental improvements. By fostering inter-ministerial collaboration, a strategic roadmap is provided that promotes effective resource recovery and sustainable waste management practices. Furthermore, the integration of the informal sector, exemplified by local recyclers, into formal waste management systems is anticipated to enhance social equity and bolster environmental stewardship. A comprehensive SWOT analysis identifies Tunisia’s intrinsic strengths, including its rich cultural heritage and significant eco-tourism potential, while simultaneously exposing shortcomings such as fragmented governance structures and insufficient infrastructure. It is posited that the creation of a centralized coordination body, coupled with the enhancement of public–private partnerships, could catalyze innovation in sustainable tourism practices, leading to increased investment opportunities and the successful implementation of circular economy principles. Drawing inspiration from Spain’s successful circular economy model, actionable recommendations for policymakers are offered, including the introduction of eco-certification programs aimed at incentivizing environmentally responsible practices within the tourism sector. Ultimately, the proposed framework aspires to position Tunisia as a regional leader in sustainable tourism, delivering long-term benefits to local communities through enhanced environmental protection and economic resilience. Full article

Multiple-input–multiple-output (MIMO), which uses multiple antennas at the transmitter and receiver, is now an essential technique for increasing communication capacity without widening the occupied radio bandwidth. However, antenna arrays within a deep subwavelength dimension degrade MIMO performance due to mutual coupling between the antenna elements. In particular, very small devices such as smartwatches encounter this problem. To address this, we propose Augmented MIMO, mounting a larger antenna array on the human body, for small wearable devices. The experimental results demonstrate throughput improvement with the proposed scheme, even if the overall antenna gain decreases with external body-mounted antennas. This work contributes to the future development of yet another scheme to improve the communication performance of small wearable devices—using the human body as a spacious antenna fixture. Full article

Katydids employ acoustic signals to communicate with others of their species and have evolved to generate sounds by coupling the anatomical structures of their forewings. However, some species have evolved to implement an additional resonance mechanism that enhances the transmission and sound pressure of the acoustic signals produced by the primary resonators. Secondary resonators, such as burrow cavities or horn-shaped structures, are found in the surrounding environment but could also occur as anatomical modifications of their bodies. Chamber-like structures have been described in species of katydids with modified pronota or wings. It has been shown that these modified structures directly affect the transmission and filtering of acoustic signals and can function as a Helmholtz resonator that encapsulates the primary sound source. By morphological and acoustic analysis, we describe a new genus of Conocephalinae and investigate the physical properties of their sound production structures for three new species from the Andes of Colombia and Ecuador. Males of the new genus, here described as Tectucantus n. gen., have a characteristic inflated pronotum enclosing the reduced first pair of wings and extending rearward over the first abdominal segments. We test the hypothesis that the pronotal cavity volume correlates with the carrier frequency of specific calls. The cavity of the pronotal chamber acts as a Helmholtz resonator in all three Tectucantus species and, potentially, in other distantly related species, which use similar secondary body resonators. Full article

Studies using source localization results have shown that cortical involvement increased in treadmill walking with brain–computer interface (BCI) control. However, the reorganization of cortical functional connectivity in treadmill walking with BCI control is largely unknown. To investigate this, a public dataset, a mobile brain–body imaging dataset recorded during treadmill walking with a brain–computer interface, was used. The electroencephalography (EEG)-coupling strength of the between-region and within-region during the continuous self-determinant movements of lower limbs were analyzed. The time–frequency cross-mutual information (TFCMI) method was used to calculate the coupling strength. The results showed the frontal–occipital connection increased in the gamma and delta bands (the threshold of the edge was >0.05) during walking with BCI, which may be related to the effective communication when subjects adjust their gaits to control the avatar. In walking with BCI control, the results showed theta oscillation within the left-frontal, which may be related to error processing and decision making. We also found that between-region connectivity was suppressed in walking with and without BCI control compared with in standing states. These findings suggest that walking with BCI may accelerate the rehabilitation process for lower limb stroke. Full article

This article explores the specific role of courage in the context of the Anthropocene’s moment; it first examines Aristotle’s conception of virtues, focusing on courage, before comparing it to Confucian thought and analyzing the historical dialogue between Western and Chinese traditions on ethics through the works of François Noël (1651–1729). Aristotle views moral cultivation as a social process wherein habits shape inner dispositions; in his view, courage is linked to other virtues, such as temperance and justice. For Aristotle, courage implies the appropriate balance between extremes and must be directed toward a worthy end, such as promoting positive change within a community. This Aristotelian perspective was later incorporated into a biblical framework by Aquinas and Suarez, emphasizing dichotomies between body and soul, as well as between humans and other living beings. These dichotomies must be challenged in the face of the Anthropocene’s emergencies. The second part of this contribution proceeds to a detour examining Confucian ethics, which rests on a different anthropology, emphasizing continuities rather than discontinuities. Like Aristotelian thought, Confucian thought also underscores moral education within a community; it prioritizes humanity, embodied through empathy and loyalty. In the Analects, courage is balanced by a sense of rituals and righteousness. Mencius further distinguishes several types of courage, stressing self-cultivation and the ruler’s responsibility to make empathetic, appropriate decisions for the community’s sake. From this perspective, courage is understood as the continuous perseverance in self-cultivation, coupled with a firm intention oriented toward the good of the community. Zhu Xi’s comments on Zilu’s courage in the Analects extend this Confucian tradition. Finally, this article highlights how a dialogue between Aristotelian and Confucian ethics began four centuries ago, particularly through Noël’s Philosophia Sinica, which combined these traditions. This inter-religious approach to ethics, enriched by figures such as Aquinas, Suarez, Zhu Xi, and neo-Confucian thinkers, requires re-evaluation because the understanding of personal ethics and nature has evolved. The modern naturalistic approach, with its emphasis on dichotomies, has contributed to a mechanistic view of nature, fostering its exploitation, and a devaluation of the body. This contrast highlights the urgent need for renewed dialogue between Western and Chinese ethical traditions to address contemporary challenges, with François Noël serving as a historical witness of these exchanges. Full article

Bone is a major tissue for uranium deposition in human body. Considering mesenchymal stem cells (MSCs) play a vital role in bone formation and injury recovery, studying the mechanism of MSCs responding to uranium poisoning can benefit the understanding of bone damage and repair after uranium exposure. Cellular structural alterations were analyzed via transmission electron microscopy (TEM). Changes in cellular behaviors were assessed through cellular viability, apoptosis, and the production of DNA double-strand breaks (DSBs). In addition, the influence of gap junctional intercellular communication (GJIC) on uranium toxicity was assessed. The disruption of MSCs was elevated with the increase in uranyl nitrate concentration, as shown by TEM micrograph. This was verified by the results of cellular viability and DSB production. Interestingly, the results of apoptosis assay indicated significant apoptosis occurred, which was accompanied with an obvious disruption of cellular membranes. Furthermore, closely contacted cell confluence groups exhibited resistant to uranium poisoning in contrast to sparse growth groups, which can be eliminated with the pretreatment of a GJIC inhibitor in the close connection group. To verify the association between GJIC and cytotoxic effects of uranyl nitrate, GJIC function was evaluated by wound healing and cellular migration. The results showed an inhibition of the healing ratio and migration ability induced by the exposure of uranyl nitrate. The low transfer efficiency of the dye coupling experiment and depressed expression of gap functional protein connexins confirmed the impairment of GJIC function. These results suggest that uranium toxicity is involved with GJIC dysfunction. Full article

This comparative cross-sectional study conducted at the “Pius Brinzeu” healthcare center in Timisoara explored the differential impacts of pregnancy planning status on sexual function, body image, and relationship satisfaction among pregnant women. Employing the Female Sexual Function Index (FSFI), Body Esteem Scale for Adolescents and Adults (BESAQ), and the Beck Depression Inventory (BDI-II), the study analyzed responses from 107 participants divided into groups of planned (n = 59, mean age 28.5 ± 5.2) and unplanned (n = 48, mean age 27.3 ± 4.8) pregnancies. In the first trimester, unplanned pregnancies reported higher median scores in desire (4.7 vs. 3.6, p = 0.005), arousal (4.5 vs. 3.8, p = 0.001), and lubrication (4.6 vs. 3.7, p = 0.015) compared to planned pregnancies. Satisfaction scores also favored unplanned pregnancies in the first trimester (4.8 vs. 3.9, p = 0.009). Similar trends were observed in subsequent trimesters, with unplanned pregnancies consistently reporting higher FSFI scores, indicating a robust sexual function. Risk factors significantly associated with sexual dysfunction were a higher BMI in the first trimester (beta coefficient: −0.124, p = 0.019), unmarried civil status (beta coefficient: −0.323, p = 0.045), history of previous abortion (beta coefficient: −0.451, p = 0.012), irregular menstrual cycles (beta coefficient: −0.384, p = 0.026), and rural living area (beta coefficient: −0.278, p = 0.034). Notably, unplanned pregnancy itself was not a significant risk factor for sexual dysfunction (beta coefficient: −0.054, p = 0.095). Regarding relationship dynamics, planned pregnancies exhibited significantly higher satisfaction with partner support (4.1 ± 0.9 vs. 3.7 ± 1.1, p = 0.041) and communication within the couple (4.0 ± 1.0 vs. 3.5 ± 1.2, p = 0.020), whereas unplanned pregnancies reported higher satisfaction with emotional closeness (4.3 ± 0.7 vs. 3.8 ± 1.0, p = 0.004). Concerns about managing professional activities and household chores were significantly more prevalent in the unplanned pregnancy group (62.50% vs. 33.90%, p = 0.014). Unplanned pregnancies demonstrated better initial sexual function but faced greater challenges in relationship satisfaction and managing pregnancy demands. Identifying and addressing the risk factors associated with sexual dysfunction can provide targeted interventions to improve the well-being of pregnant women, regardless of pregnancy planning status. Full article

The study of retinal vessels in relation to cardiovascular risk has a long history. The advent of a dedicated tool based on digital imaging, i.e., the retinal vessel analyzer, and also other software such as Integrative Vessel Analysis (IVAN), Singapore I Vessel Assessment (SIVA), and Vascular Assessment and Measurement Platform for Images of the Retina (VAMPIRE), has led to the accumulation of a formidable body of evidence regarding the prognostic value of retinal vessel analysis (RVA) for cardiovascular and cerebrovascular disease (including arterial hypertension in children). There is also the potential to monitor the response of retinal vessels to therapies such as physical activity or bariatric surgery. The dynamic vessel analyzer (DVA) remains a unique way of studying neurovascular coupling, helping to understand the pathogenesis of cerebrovascular and neurodegenerative conditions and also being complementary to techniques that measure macrovascular dysfunction. Beyond cardiovascular disease, retinal vessel analysis has shown associations with and prognostic value for neurological conditions, inflammation, kidney function, and respiratory disease. Artificial intelligence (AI) (represented by algorithms such as QUantitative Analysis of Retinal vessel Topology and siZe (QUARTZ), SIVA-DLS (SIVA—deep learning system), and many others) seems efficient in extracting information from fundus photographs, providing prognoses of various general conditions with unprecedented predictive value. The future challenges will be integrating RVA and other qualitative and quantitative risk factors in a unique, comprehensive prediction tool, certainly powered by AI, while building the much-needed acceptance for such an approach inside the medical community and reducing the “black box” effect, possibly by means of saliency maps. Full article

The development and utilization of wave energy, heralded as a potential leading source of clean energy worldwide, have garnered considerable attention from the global research community. Among the diverse array of wave energy converters (WECs), the raft-type WEC stands out for its potential to efficiently harness and utilize wave energy, offering high energy conversion rates and a broad frequency response range. This paper delves into the evaluation of a raft-type WEC’s performance in various mooring configurations under different wave conditions. Our analysis primarily focuses on the dynamics of the two-body WEC using a weakly nonlinear three-dimensional potential flow solver. The considered device comprises two interconnected floating barges, incorporating a power take-off system at the hinged connection point. This investigation involves the use of equivalent linear damping to model the power take-off (PTO) system. To validate the numerical simulations, we conduct physical model experiments with WECs. Additionally, the coupling of the raft-type WEC’s dynamics and its mooring dynamics was examined, highlighting the performance differences between various mooring systems through a comparative analysis. Full article

Background: Selenium is an essential trace element with an antioxidant and anti-inflammatory capacity that has been associated in experimental studies with beneficial effects on appetite control, the regulation of the gut microbiota, and control of the anabolic–catabolic balance. The main aim of the present study was to evaluate the association between circulating selenium concentrations and the risk of developing undernutrition in older adults. Methods: This was a cohort study with 1398 well-nourished community-dwelling individuals aged ≥ 65 years residing in Spain in 2017, who were followed for a mean of 2.3 years. Whole blood selenium was measured at baseline using inductively coupled plasma-mass spectrometry. Undernutrition was assessed at baseline and at follow-up, and defined as having at least one of the three GLIM phenotypic criteria (involuntary weight loss, a low body mass index, and a reduced muscle mass) and at least one of the two etiologic criteria (reduced food consumption or nutrient assimilation and inflammation/disease burden). Results: During the follow-up, 142 participants (11%) developed moderate undernutrition and 113 (8.8%) severe undernutrition. The standardized relative risks of moderate and severe undernutrition at the 75th percentile of Se levels versus the 25th were 0.90 and 0.70, respectively. In dose–response analyses, the risk of severe undernutrition decreased linearly with increasing selenium concentrations. This association was independent of protein intake or diet quality and was stronger among participants with a diagnosis of a musculoskeletal disorder. Conclusions: The results suggest that an adequate dietary selenium status is needed to prevent undernutrition in older adults. Also, this may open the door for clinical trials with selenium supplementation, at doses considered as safe, to prevent undernutrition. Full article

Signal propagation models play a fundamental role in radio frequency communication research. However, emerging communication methods, such as body-coupled communication (BCC), require the creation of new models. In this paper, we introduce mathematical models that approximate the human body as an electrical circuit, as well as linear regression- and random forest-based predictive models that infer the expected signal loss from its frequency, measurement point locations, and body parameters. The results demonstrate a close correspondence between the amplitude-frequency response (AFR) predicted by the electrical circuit models and the experimental data gathered from volunteers. The accuracy of our predictive models was assessed by using their root mean square errors (RMSE), ranging from 1.5 to 7 dB depending on the signal frequency within the 0.05 to 20 MHz range. These results allow researchers and engineers to simulate and forecast the expected signal loss within BCC systems during their design phase. Full article

Ultra-wideband (UWB) antennas cover a frequency range of 3.1 to 10.6 GHz and have sparked a lot of research interest as an essential part of wireless communication systems as they provide high data transmission speeds, are less expensive, and consume less power. UWB antennas are widely used in radar imaging, radio frequency identification, public security, and other high-accuracy positioning devices such as altimetry. Some smart applications of UWB antennas are vehicular radar systems, surveillance systems, software-defined radios, spectrum analysis, proximity fuses, etc. Multiple-input-multiple-output (MIMO) is a multiplexing technology that adopts multiple antennas both at the transmitter and receiver, which can enhance the channel capacity. MIMO technology is extensively used in several applications, such as in portable devices, wireless body area networks (WBANs), vehicular communication, and satellite–terrestrial networks. Generally, the MIMO antennas are used to obtain high reliability, high capacity, high throughput, and high security. The UWB MIMO antennas (UMAs) are considered the best choice for wireless communication systems as they offer reliability and wide transmission capacity, in contrast to unit antenna elements (AEs), without increasing system bandwidth or transmission power. The present-day and future communications systems need higher throughput to meet the demands of users. The signal transfer rate can be improved by improving channel bandwidth or increasing the number of receiving antennas. However, the main issue in designing UMAs is to provide high isolation between AEs because mutual coupling interactions between them affect the generated radiation patterns, leading to worse performance and failing to meet the operative constraints and requirements. When introducing decoupling techniques (DTs), researchers experience numerous challenges, including an increase in antenna size, design complexity, and cross-polarization. This article offers an organized review and simulated study of the various DTs in UMAs. The simulated study has been carried out through the implementation of various types of DTs on the same two-port UMA, which consists of two microstrip-fed circular-shaped AEs with open-end slotted partial ground. In contrast with previously reported review articles, this article provides a detailed study of various types of DTs reported so far and a better understanding for selecting appropriate DTs, which help in designing UMAs with better performance. Full article