Search Results (3,152)

Understanding the utilization patterns of nuclear medicine (NM) services is essential for optimizing resource allocation and service provision. This study aimed to address the regional evidence gap by reporting the demand for NM services by sex and age at a public hospital in Jamaica. This was a non-experimental, retrospective study of NM scans that were completed at the University Hospital of the West Indies from 1 June 2022 to 31 May 2024. While all scans were reported in the descriptive totals, for patients with multiple scans during the study period, only the data from the first visit was used in the inferential statistical analysis. This was performed with the IBM SPSS (version 29.0) software and involved the use of chi-square goodness of fit and multinomial logistic regression. A total of 1135 NM scans for 1098 patients were completed (37 patients had more than one scan); 596 (54.3%) were female and 502 (45.7%) were male, with the ages ranging from 3 days to 94 years old. Among the female patients, there was a greater demand in the ≥60 years age group for cardiac amyloid scans (χ² = 6.40, p < 0.05), while females 18–59 years had a greater demand for thyroid scans (χ² = 7.714, p < 0.05) and bone scans (χ² = 3.904, p < 0.05). On the other hand, significantly more males in the ≥60 age group presented for cardiac amyloid (χ² = 4.167; p < 0.05) and bone scans (χ² = 145.79, p < 0.01). Males were significantly less likely to undergo a thyroid scan than females (p < 0.01, OR = 0.072, 95% CI: 0.021, 0.243) while individuals aged 18–59 years were more likely to undergo this scan than patients aged 60 or older (p = 0.02, OR = 3.565, 95% CI: 1.258, 10.104). Males were more likely to do a cardiac amyloid scan (p < 0.05, OR = 2.237, 95% CI: 1.023, 4.891) but less likely to undergo a cardiac rest/stress test than females (p = 0.02, OR = 0.307, 95% CI: 0.114, 0.828). Prolonged life expectancy and an aging population have the potential to impact NM utilization, thus requiring planning for infrastructure, equipment, work force, and supplies. Cancer-related and cardiovascular indications are a top priority at this facility; hence, age- and sex-specific analysis are useful in establishing models for policy makers with regard to the allocation of economic and human resources for the sustainability of this specialized service. Full article

This review presents a comprehensive overview of various ultrasound imaging techniques employed in the evaluation of the canine knee joint. It critically analyzes studies conducted on both human and animal subjects, with a focus on the diagnostic accuracy of B-mode ultrasound, Doppler examination, contrast-enhanced ultrasound, and elastography in both normal and pathological conditions. The review underscores the necessity of strict adherence to the protocols of each ultrasound modality and emphasizes the importance of a thorough understanding of the anatomical region to achieve optimal outcomes. The findings suggest that these ultrasound techniques can significantly enhance the diagnostic process, providing valuable insights into anatomy, size, blood supply, and tissue elasticity. Additionally, in cases where advanced imaging modalities such as computed tomography (CT) or magnetic resonance imaging (MRI) are cost-prohibitive or less accessible, ultrasound serves as a reliable alternative, delivering high diagnostic accuracy and critical information regarding mechanical changes in the joint and neovascularization. Full article

This study quantitatively assesses the risk of water shortage (WSR) in the Baiyangdian area due to the Inter-Basin Water Transfer (IBWT) project, focusing on the impact of water transfer on regional water security. The actual evapotranspiration (ETa) is calculated, and the correlation simulation using Archimedes’ Copula function is implemented in Python 3.7.1, with optimization using the sum of squares of deviations (OLS) and the AIC criterion. The joint distribution model between ETa and three water supply scenarios is constructed. Key findings include (1) ETa increased by 27.3% after water transfer, far exceeding the slight increase in water supply before the transfer; (2) various Archimedean Copulas effectively capture the dependence and joint probability distribution between water supply and ETa; (3) water shortage risk increased after water transfer, with rainfall and upstream water unable to alleviate the problem in Baiyangdian; and (4) cross-basin water transfer reduced risk, with a reduction of 8.90% in the total probability of three key water resource scheduling combinations. This study establishes a Copula-based framework for water shortage risk assessment, providing a scientific basis for water allocation strategies in ecologically sensitive areas affected by human activities. Full article

Bone-related defects present a key challenge in orthopaedics. The current gold standard, autografts, poses significant limitations, such as donor site morbidity, limited supply, and poor morphological adaptability. This study investigates the potential of scaffold geometry to induce osteogenic differentiation of human adipose-derived stem cells (hADSCs) through mechanotransduction, without the use of chemical inducers. Four distinct poly-(L)-lactic acid (PLA) scaffold architectures—Traditional Cross (Tc), Triangle (T), Diamond (D), and Gyroid (G)—were fabricated using fused filament fabrication (FFF) 3D printing. hADSCs were cultured on these scaffolds, and their response was evaluated utilising an alkaline phosphatase (ALP) assay, immunofluorescence, and extensive proteomic analyses. The results showed the D scaffold to have the highest ALP activity, followed by Tc. Proteomics results showed that more than 1200 proteins were identified in each scaffold with unique proteins expressed in each scaffold, respectively Tc—204, T—194, D—244, and G—216. Bioinformatics analysis revealed structures with complex curvature to have an increased expression of proteins involved in mid- to late-stage osteogenesis signalling and differentiation pathways, while the Tc scaffold induced an increased expression of signalling and differentiation pathways pertaining to angiogenesis and early osteogenesis. Full article

Rapid urbanization and demographic shifts present significant challenges to spatial justice in green space provision. Traditional static assessments have become increasingly inadequate for guiding park planning, which now requires a dynamic, future-oriented analytical approach. To address this gap, this study incorporates population dynamics into urban park planning by developing a dynamic evaluation framework for park accessibility. Building on the Gaussian-based two-step floating catchment area (Ga2SFCA) method, we propose the human-population-projection-Ga2SFCA (HPP-Ga2SFCA) model, which integrates population forecasts to assess park service efficiency under future demographic pressures. Using neighborhood-committee-level census data from 2000 to 2020 and detailed park spatial data, we identified five types of population change and forecast demographic distributions for both short- and long-term scenarios. Our findings indicate population decline in the urban core and outer suburbs, with growth concentrated in the transitional inner-suburban zones. Long-term projections suggest that 66% of communities will experience population growth, whereas short-term forecasts indicate a decline in 52%. Static models overestimate park accessibility by approximately 40%. In contrast, our dynamic model reveals that accessibility is overestimated in 71% and underestimated in 7% of the city, highlighting a potential mismatch between future population demand and current park supply. This study offers a forward-looking planning framework that enhances the responsiveness of park systems to demographic change and supports the development of more equitable, adaptive green space strategies. Full article

Hydrogen production is increasingly vital for global decarbonization but remains a water- and energy-intensive process, especially in arid regions. Despite growing attention to its climate benefits, limited research has addressed the environmental impacts of water sourcing. This study employs a life cycle assessment (LCA) approach to evaluate three water supply strategies for hydrogen production: (1) seawater desalination without brine treatment (BT), (2) desalination with partial BT, and (3) freshwater purification. Scenarios are modeled for the United Arab Emirates (UAE), Australia, and Spain, representing diverse electricity mixes and water stress conditions. Both electrolysis and steam methane reforming (SMR) are evaluated as hydrogen production methods. Results show that desalination scenarios contribute substantially to human health and ecosystem impacts due to high energy use and brine discharge. Although partial BT aims to reduce direct marine discharge impacts, its substantial energy demand can offset these benefits by increasing other environmental burdens, such as marine eutrophication, especially in regions reliant on carbon-intensive electricity grids. Freshwater scenarios offer lower environmental impact overall but raise water availability concerns. Across all regions, feedwater for SMR shows nearly 50% lower impacts than for electrolysis. This study focuses solely on the environmental impacts associated with water sourcing and treatment for hydrogen production, excluding the downstream impacts of the hydrogen generation process itself. This study highlights the trade-offs between water sourcing, brine treatment, and freshwater purification for hydrogen production, offering insights for optimizing sustainable hydrogen systems in water-stressed regions. Full article

Enhancing the nutritional content of crops is crucial for safeguarding human health and mitigating global hunger. A viable method for attaining this goal is the planned implementation of various agronomic practices, including tillage and nutrient provision. A field experiment was executed at the Hungarian University of Agriculture and Life Sciences in Gödöllő in the 2023 and 2024 growing seasons. The study aimed to assess the effects of foliar nutrient supply and soil tillage methods on the grain nutritional composition and mineral content of winter barley. Employing a split-plot design with three replications, the experiment included four nutrient treatments (control, bio-cereal, bio-algae, and MgSMnZn blend) and two soil tillage types (i.e., plowing and cultivator). The results indicated that while protein content was not influenced by the main effects of nutrients and tillage, the levels of β-glucan, starch, crude ash, and moisture content were significantly (p < 0.05) affected by the nutrient treatments and by growing year, treated as a random factor. Notably, bio-algae and bio-cereal nutrients, combined with cultivator tillage, enhanced β-glucan content. All applied nutrient treatments increased the level of starch compared to the control. With regard to grain mineral content, the iron and zinc content responded to the nutrient supply, tillage, and growing year. However, applying a multiple-nutrient composition-based treatment did not increase iron and zinc levels, suggesting that individual applications may be more effective for increasing the content of these minerals in grains. Cultivator tillage improved iron and zinc levels. Moreover, manganese (Mn) and copper (Cu) were predominantly affected by nutrient availability and by growing seasons as a random factor. Therefore, to improve grain quality, this study emphasizes the significance of proper nutrient and tillage methods by focusing on the intricate relationships between agronomic techniques and environmental factors that shape barley’s nutritional profile. Full article

The depletion of water resources caused by climate change and human activities is a pressing global issue. Lake Ereen is one of the ten natural landmarks of the Gobi-Altai of western Mongolia is included in the list of “important areas for birds” recognized by the international organization Birdlife. However, the construction of the Taishir Hydroelectric Power Station, aimed at supplying electricity to the western provinces of Mongolia, had a detrimental effect on the flow of the Zavkhan River, resulting in a drying-up and pollution of Lake Ereen, which relies on the river as its water source. This study assesses the pollution levels in Ereen Lake and determines the feasibility of its rehabilitation by redirecting the flow of the Zavkhan River. Field studies included the analysis of water quality, sediment contamination, and the composition of flora. The results show that the concentrations of ammonium, chlorine, fluorine, and sulfate in the lake water exceed the permissible levels set by the Mongolian standard. Analyses of elements from sediments revealed elevated levels of arsenic, chromium, and copper, exceeding international sediment quality guidelines and posing risks to biological organisms. Furthermore, several species of diatoms indicative of polluted water were discovered. Lake Ereen is currently in a eutrophic state and, based on a water quality index (WQI) of 49.4, also in a “polluted” state. Mass balance calculations and box model analysis determined the period of pollutant replacement for two restoration options: drying-up and complete removal of contaminated sediments and plants vs. dilution-flushing without direct interventions in the lake. We recommend the latter being the most efficient, eco-friendly, and cost-effective approach to rehabilitate Lake Ereen. Full article

Wearable sensors are central to health-monitoring systems, but the limited capacity of compact batteries poses a challenge for long-term and maintenance-free operation. In this study, we investigated ambient electromagnetic wave (AEMW) energy harvesting using a human body antenna (HBA) as a means to supply power to wearable sensors. The power density and frequency distribution of AEMWs were measured in diverse indoor, outdoor, and basement environments. We designed and fabricated a flexible HBA–circuit interface electrode, optimized for broadband impedance matching when worn on the body. Experimental comparisons using a simulated AEMW source demonstrated that the HBA outperformed a conventional small whip antenna, particularly at frequencies below 300 MHz. Furthermore, the outdoor measurements indicated that the power harvested by the HBA was estimated to be −31.9 dBm (0.64 μW), which is sufficient for the intermittent operation of low-power wearable sensors and Bluetooth Low Energy modules. The electromagnetic safety was also evaluated through numerical analysis, and the specific absorption rate was confirmed to be well below the international safety limits. These findings indicate that HBA-based AEMW energy harvesting provides a practical and promising approach to achieving battery-maintenance-free wearable devices. Full article

Artificial intelligence (AI) agents are increasingly shaping vital sectors of society, including healthcare, education, supply chains, and finance. As their influence grows, AI alignment research plays a pivotal role in ensuring these systems are trustworthy, transparent, and aligned with human values. Leveraging blockchain technology, proven over the past decade in enabling transparent, tamper-resistant distributed systems, offers significant potential to strengthen AI alignment. However, despite its potential, the current AI alignment literature has yet to systematically explore the effectiveness of blockchain in facilitating secure and ethical behavior in AI agents. While existing systematic literature reviews (SLRs) in AI alignment address various aspects of AI safety and AI alignment, this SLR specifically examines the gap at the intersection of AI alignment, blockchain, and ethics. To address this gap, this SLR explores how blockchain technology can overcome the limitations of existing AI alignment approaches. We searched for studies containing keywords from AI, blockchain, and ethics domains in the Scopus database, identifying 7110 initial records on 28 May 2024. We excluded studies which did not answer our research questions and did not discuss the thematic intersection between AI, blockchain, and ethics to a sufficient extent. The quality of the selected studies was assessed on the basis of their methodology, clarity, completeness, and transparency, resulting in a final number of 46 included studies, the majority of which were journal articles. Results were synthesized through quantitative topic analysis and qualitative analysis to identify key themes and patterns. The contributions of this paper include the following: (i) presentation of the results of an SLR conducted to identify, extract, evaluate, and synthesize studies on the symbiosis of AI alignment, blockchain, and ethics; (ii) summary and categorization of the existing benefits and challenges in incorporating blockchain for AI alignment within the context of ethics; (iii) development of a framework that will facilitate new research activities; and (iv) establishment of the state of evidence with in-depth assessment. The proposed blockchain-based AI alignment framework in this study demonstrates that integrating blockchain with AI alignment can substantially enhance robustness, promote public trust, and facilitate ethical compliance in AI systems. Full article

The excellent moisture transport properties of yarns play a crucial role in improving the liquid moisture transfer behavior within textiles and maintaining their thermal-wet comfort. However, the current research on the moisture management performance of fabrics made from yarns with excellent liquid transport properties primarily compares the wicking results, without considering the varying requirements of testing conditions due to differences in human sweating rates during daily activities. Moreover, the understanding of moisture transport mechanisms in yarns within fabrics under different testing conditions remains insufficient. In this study, two types of twisted combination yarns, composed of hydrophobic profiled polyester filaments and hydrophilic spun yarns to form a hydrophobic-hydrophilic gradient along the axial direction of the yarn, were developed and compared with profiled polyester filaments to understand the liquid migration behaviors in the knitted fabrics formed by these yarns. Results showed that hydrophobic profiled polyester filament yarn demonstrated superior liquid transport performance with infinite saturated liquid supply (vertical wicking test). In contrast, the twisted combination yarns exhibited better moisture diffusion properties under limited liquid droplet supply conditions (droplet diffusion test and moisture management test). These contradictory findings indicated that the amount of liquid moisture supply in testing conditions significantly affected the moisture transport performance of yarns within fabrics. It was revealed that the liquid moisture in the twisted combination yarns migrated through capillary wicking for moisture transfer. Under an infinite saturated liquid supply condition, the higher the content of hydrophilic fibers in the spun yarns, the greater the amount of moisture transferred, demonstrating an excellent liquid transport performance. Under the limited liquid droplet supply conditions, both the volume of liquid water and the moisture absorption capacity of the yarn jointly influence internal moisture migration within the yarn. It provided a theoretical reference for testing the internal moisture wicking performance of fabrics under different states of human sweating. Full article

Cervical cancer remains a significant global public health challenge, with human papillomavirus (HPV) as its primary cause. In response, the World Health Organization (WHO) launched a global strategy to eliminate cervical cancer by 2030 and, in its 2022 position paper, recommended a single-dose vaccination schedule. The objective of this review is to critically examine the current HPV vaccination landscape in China, including vaccination policies, immunization schedules, supply–demand dynamics, and the feasibility of transitioning to a single-dose regimen. By synthesizing recent developments in HPV virology, epidemiology, vaccine types, and immunization strategies, we identify both opportunities and barriers unique to the Chinese context. Results indicate that China primarily adheres to a three-dose vaccination schedule, with an optional two-dose schedule for girls aged 9–14, leaving a notable gap compared to the most recent WHO recommendation. The high prevalence of HPV types 52 and 58 contributes to a distinct regional infection pattern, underscoring the specific need for nine-valent vaccines tailored to China’s epidemiological profile. Despite the growing demand, vaccine supply remains inadequate, with an estimated annual shortfall of more than 15 million doses. This issue is further complicated by strong public preference for the nine-valent vaccine and the relatively high cost of vaccination. Emerging evidence supports the comparable efficacy and durable protection of a single-dose schedule, which could substantially reduce financial and logistical burdens while expanding coverage. This review advocates for the adoption of a simplified single-dose regimen, supported by catch-up strategies for older cohorts and the integration of HPV vaccination into China’s National Immunization Program (NIP). Sustained investment in domestic vaccine development and centralized procurement of imported vaccines may also possibly alleviate supply shortage. These coordinated efforts are critical for strengthening HPV-related disease prevention and accelerating China’s progress toward the WHO’s cervical cancer elimination targets. Full article

Cybersecurity represents a critical challenge for data-sharing platforms involving multiple stakeholders, particularly within complex and decentralized systems such as livestock supply chain networks. These systems demand novel approaches, robust security protocols, and advanced data management strategies to address key challenges such as data consistency, transparency, ownership, controlled access or exposure, and privacy-preserving analytics for value-added services. In this paper, we introduced the Framework for Livestock Empowerment and Decentralized Secure Data eXchange (FLEX), as a comprehensive solution grounded on five core design principles: (i) enhanced security and privacy, (ii) human-centric approach, (iii) decentralized and trusted infrastructure, (iv) system resilience, and (v) seamless collaboration across the supply chain. FLEX integrates interdisciplinary innovations, leveraging decentralized infrastructure-based protocols to ensure trust, traceability, and integrity. It employs secure data-sharing protocols and cryptographic techniques to enable controlled information exchange with authorized entities. Additionally, the use of data anonymization techniques ensures privacy. FLEX is designed and implemented using a microservices architecture and edge computing to support modularity and scalable deployment. These components collectively serve as a foundational pillar of the development of a digital product passport. The FLEX architecture adopts a layered design and incorporates robust security controls to mitigate threats identified using the STRIDE threat modeling framework. The evaluation results demonstrate the framework’s effectiveness in countering well-known cyberattacks while fulfilling its intended objectives. The performance evaluation of the implementation further validates its feasibility and stability, particularly as the volume of evidence associated with animal identities increases. All the infrastructure components, along with detailed deployment instructions, are publicly available as open-source libraries on GitHub, promoting transparency and community-driven development for wider public benefit. Full article

Aquaculture is a crucial food-producing sector that can supply more essential nutrients to nourish the growing human population. However, it faces challenges, including limited water quality and space competition. These constraints have led to the intensification of culture systems for more efficient resource use while maintaining or increasing production levels. However, intensification introduces stress risks to cultured organisms by, for instance, overcrowding, waste accumulation, and water quality deterioration, which can negatively affect the growth, health, and immunity of animals and cause diseases. Additionally, environmental changes due to climate and anthropogenic activities further intensify the environmental stress for aquaculture organisms, including crustaceans. Shrimp are one of the most widely cultured and consumed farmed crustacea. Relative to aquatic vertebrates such as fish, the physiology of crustaceans has simpler physiological structures, as they lack a spinal cord. Consequently, their stress response mechanisms follow a single pathway, resulting in less complex responses to stress exposure compared to those of fish. While stress is considered a primary factor influencing the growth, health, and immunity of shrimp, comprehensive research on crustacean stress responses remains limited. Understanding the stress response at the organismal and cellular levels is essential to identify sensitive and effective stress biomarkers which can inform the development of targeted intervention strategies to mitigate stress. This review provides a comprehensive overview of the physiological changes that occur in crustaceans under stress, including hormonal, metabolic, hematological, hydromineral, and phenotypic alterations. By synthesizing current knowledge, this article aims to bridge existing gaps and provide insights into the stress response mechanisms, paving the way for advancements in crustacean health management. Full article

Sophisticated energy-harvesting technologies have swiftly progressed, expanding energy supply distribution and leveraging advancements in self-sustaining electronic devices. Despite substantial advancements in friction nanomotors within the last decade, a considerable technical obstacle remains for their flawless incorporation using printed electronics and autonomous devices. Integrating advanced triboelectric nanogenerator (TENG) technology with the rapidly evolving field of composite material 3D printing with has resulted in the advancement of three-dimensionally printed TENGs. Triboelectric nanogenerators are an important part of the next generation of portable energy harvesting and sensing devices that may be used for energy harvesting and artificial intelligence tasks. This paper systematically analyzes the continual development of 3D-printed TENGs and the integration of composite materials. The authors thoroughly review the latest material combinations of composite materials and 3D printing techniques for TENGs. Furthermore, this paper showcases the latest applications, such as using a TENG device to generate energy for electrical devices and harvesting energy from human motions, tactile sensors, and self-sustaining sensing gloves. This paper discusses the obstacles in constructing composite-material-based 3D-printed TENGs and the concerns linked to research and methods for improving electrical output performance. The paper finishes with an assessment of the issues associated with the evolution of 3D-printed TENGs, along with innovations and potential future directions in the dynamic realm of composite-material-based 3D-printed TENGs. Full article