Effective Index Research Articles

Study on triaxial compression performance and damage characteristics of fiber-reinforced ecological matrix cementing gangue gypsum fill material.

Polypropylene fiber was equally mixed into alkali-activated slag fly ash geopolymer in order to ensure the filling effect of mine goaf and improve the stability of cemented gangue paste filling material with ecological matrix. Triaxial compression tests were then conducted under various conditions. The mechanical properties and damage characteristics of composite paste filling materials are studied, and the damage evolution model of paste filling materials under triaxial compression is established, based on the deviatoric stress-strain curve generated by the progressive failure behavior of samples. Internal physical and chemical mechanisms of the evolution of structure and characteristics are elucidated and comprehended via the use of SEM-EDS and XRD micro-techniques. The results show that the fiber can effectively improve the ultimate strength and the corresponding effective stress strength index of the sample within the scope of the experimental study. The best strengthening effect is achieved when the amount of NaOH is 3% of the mass of the solid material, the amount of fiber is 5‰ of the mass of the solid material, and the length of the fiber is about 12 mm. The action mode of the fiber in the sample is mainly divided into single-grip anchoring and three-dimensional mesh traction. As the crack initiates and develops, connection occurs in the matrix, where the fiber has an obvious interference and retardation effect on the crack propagation, thereby transforming the brittle failure into a ductile failure and consequently improving the fracture properties of the ecological cementitious coal gangue matrix. The theoretical damage evolution model of a segmented filling body is constructed by taking the initial compaction stage end point as the critical point, and the curve of the damage evolution model of the specimen under different conditions is obtained. The theoretical model is verified by the results from the triaxial compression test. We concluded that the experimental curve is in good agreement with the theoretical curve. Therefore, the established theoretical model has a certain reference value for the analysis and evaluation of the mechanical properties of paste filling materials. The research results can improve the utilization rate of solid waste resources.

Modern problems of preclinical studying feed additives for animals and ways to solve them

Resource-saving technology in agriculture is the use of stimulating additives in animal feeding rations that promote better absorption of feed. One of the measures to prevent toxicosis in industrial livestock and poultry farming is to determine the toxicity of feed. The variety of existing methods makes it possible to determine the level and class of drug toxicity at the initial stage. In the developed classification for veterinary drugs, the cumulation coefficient, therapeutic breadth index and dose level of toxic effect are used, which makes it possible to predict the nature and degree of their danger at the stage of preclinical study of feed additives. To determine the listed indicators, it is necessary to establish LD50and the cumulation coefficient. Since feed additives are introduced into the body through the digestive tract, during preclinical studies they are studied and classified according to their hepatotoxic effect. Bilirubin, albumin, and enzyme activity contained in the blood (glutamate dehydrogenase, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, and the ratio of alanine aminotransferase to alkaline phosphatase) are used as markers. It is necessary to determine the de Ritis, Schmidt coefficient and the R index. This will minimize the intake of toxic feed additives into the animals’ bodies and will contribute to an increase in their productivity.

Proton polytropic behavior of periodic density structures in the solar wind

In recent years, mesoscales have gained scientific interest because they have been determined to be important in a broad range of phenomena throughout heliophysics. The solar wind mesoscale structures include periodic density structures (PDSs), which are quasi-periodic increases in the density of the solar wind that range from a few minutes to a few hours. These structures have been extensively observed in remote-sensing observations of the solar corona and in in situ observations out to 1 AU, where they manifest as radial length scales greater than or equal to the size of the Earth's dayside magnetosphere, that is, from tens to hundreds of Earth radii (R$_E$). While the precise mechanisms that form PDSs are still debated, recent studies confirmed that most PDSs are of solar origin and do not form through dynamics during their propagation in the interplanetary space. We further investigate the origin of PDSs by exploring the thermodynamic signature of these structures. To do this, we estimate the values of the effective polytropic index (gamma ) and the entropy of protons, which in turn are compared with the corresponding values found for the solar wind. We used an extensive list of PDS events spanning more than two solar cycles of Wind measurements (the entire Wind dataset from 1995 to 2022) to investigate the thermodynamic signatures of PDSs. With the use of wavelet methods, we classified these PDSs as coherent or incoherent, based on the shared periodic behavior between proton density and alpha-to-proton ratio, and we derive the proton polytropic index. Our results indicate that the coherent PDSs exhibit lower gamma values ($ on average and a higher entropy than the values in the entire Wind dataset ($ but also exhibit similarities with the magnetic cloud of an interplanetary coronal mass ejection. In contrast, incoherent PDSs exhibit the same gamma values as those of the entire Wind dataset.

Atrial voltage analysis following vein of marshall alcohol infusion predicts mitral line block

Abstract Background The vein of Marshall (VOM) is a promising therapeutic target for the atrial fibrillation (AF) treatment, fitting perfectly with the "Coumel triangle" as it contains triggers of focal activities and stable reentries, autonomic parasympathetic and sympathetic connection and it represents substrate for perimitral flutters. Lateral mitral line (ML) represents a fundamental part of the anatomical ablation setup for the treatment of AF but its bidirectional block is very difficult to achieve by endocardial ablations. Ethanol infusion into the VoM (VOM-EI) has demonstrated high effectiveness in facilitating ML block. Newly-formed bipolar lesion after VOM-EI is considered an index of effectiveness of the alcoholization procedure. Voltage analysis assessment after VOM-EI in predicting ML block is poorly investigated. Purpose To compare unipolar and bipolar low-voltage areas (LVAs) along VOM trajectory after VOM-EI, and their role in predicting ML block. Methods We enrolled 59 patients undergoing catheter ablation for persistent AF or mitral isthmus dependent atrial flutter. We performed first a high-density voltage map of the left atrium. After VOM-EI, a LA remap was performed. The area width difference was obtained and defined as ∆LVA (see Figure 1). Normal Bipolar voltage cutoffs were 0.50 mV in case of sinus rhythm or 0.29 mV in case of AF. Unipolar cutoffs were respectively 2.7 mV in sinus rhythm and 1.1 mV in AF. The anatomical lesions set, after VOM-EI, included wide antral PVI, linear lesion for dome and ML isthmus following the newly-formed lesion after the VOM-EI. Systematic lines block validation was performed. ML block was defined after coronary sinus electrograms sequence inversion (septal-to-lateral) during left atrial appendage pacing. In case of residual conduction gaps, RF applications into the coronary sinus-great cardiac vein were done to target residual epicardial gaps. Ablation time to obtain ML block (AblTime) was obtained. Results In our group, 56/59 patients (94.5%) achieved mitral isthmus block. Bipolar and unipolar low voltage areas after VOM-EI were 9.9 ± 6.9 cm2 and 12.2 ± 5.9 cm2 respectively. Bipolar ∆LVAs were significantly lower compared with unipolar ∆LVA (8.2 ± 6.5 cm2 vs 9.4 ± 6.0 cm2; p= 0.03). A strong linear correlation between AblTime and bipolar ∆LVA (R: 0.76) and a significant correlation between AblTime and unipolar ∆LVA (R: 0.6) were found (Figure 2). Patients that required coronary sinus applications to reach ML block (13/59, 22%), presented lower ∆LVAs at logistic regression both at bipolar (p<0.01) and unipolar (p=0.03) analysis. Conclusions Unipolar and bipolar voltage analysis along the mitral isthmus trajectory predicts ML block achievement, with VOM-EI inducing wider unipolar LVAs than bipolar LVAs. Furthermore, wider unipolar and bipolar LVAs post VOM-EI are linked to a shorter AblTime and an increased probability of avoiding the need to target epicardial gaps via the CS musculature.LVA along VOM territory after VOM EI∆LVAs linear correlation with AblTime

Hybrid Plasmonic Waveguides with Tunable ENZ Phenomenon Supported by 3D Dirac Semimetals

AbstractBy depositing a dielectric fiber on top of 3D Dirac semi‐metal (DSM) and Au layers, the tunable propagation properties of hybrid modes are systematically investigated in the mid‐infrared regime, including the effects of the temperatures, the Fermi levels, and rotation angles. Interestingly, due to the importance of inter‐band transition in the mid‐infrared spectral regime, a strong temperature related epsilon‐near‐zero (ENZ) phenomenon has manifested near the transition frequency. Namely, below room temperature, the real part of the effective refractive index (propagation length) shows a peak (valley). Particularly, at 77 K, the according abruption ratio (ratio of maximum to minimum in ENZ region) is 9.71 (204.1). Additionally, the propagation properties are also closely associated with the Fermi level. When the Fermi level varies in the range of 0.08–0.15 eV, the peak position of the real part of the effective refractive index shifts blue from 21.3 to 38.2 THz, and the according abruption ratio of the propagation length can be modulated in the range of 3.81–45.3. These results are very useful for designing tunable plasmonic devices, such as cutting‐edge modulator, filter, and resonators.

Clinical Observation of Posterior-Chamber Phakic Implantable Collamer Lens V4c Implantation in Myopic Patients with Shallow Anterior Chamber Depth: A Retrospective, Consecutive Observational Study

Purpose. The reference range for the preoperative anterior chamber angle width for ICL surgery is unclear. Our objective was to assess the clinical effect and the range of anterior chamber angle width of posterior-chamber implantable collamer lens V4c (ICL V4c) implantation in patients with anterior chamber depth (ACD) < 2.8 mm. Methods. Patients who underwent ICL V4c implantation with shallow ACD were included in this retrospective study. The patients’ uncorrected and corrected distance visual acuity, angle of trabecular-iris (TIA), angle-opening distance (AOD500), trabecular-iris space area (TISA500), corneal endothelial cell density, vault, retinal nerve fiber layer thickness, intraocular pressure, visual field, and complications were analyzed. Results. Forty-one patients (68 eyes) completed at least 12 months of follow-up (median follow-up, 30 months). The effectiveness and safety indices were 1.09 ± 0.13 and 1.04 ± 0.21, respectively. The preoperative TIA values on the nasal and temporal sides were 39.78 ± 7.68 degree (range, 25.8-65.1 degree) and 41.54 ± 8.03 degree (range, 28.5-63.00 degree). Forty-seven eyes had uncorrected distance visual acuity ≥1.0, and 55 had corrected distance visual acuity ≥1.0 at the last follow-up visit. The TIA, AOD500, and TISA500 on the nasal and temporal sides were significantly reduced compared to those before surgery (all P<0.01); no eye had an angle closure or elevated intraocular pressure. The ICL V4c vault was 290.88 ± 153.36 μm (range, 60.0-880.0 μm). No severe complications occurred in any patient. Conclusions. In patients with myopia with shallow ACD (2.55-2.79 mm), a preoperative TIA >25.8° is safe and effective for a relatively long time after surgery; however, an extended long-term close follow-up is needed.

Customizable polarization-selective narrowband meta-filters using a printable UV-curing nanocomposite

Low-cost nanocomposite metasurfaces have demonstrated attractive potential to replace the equivalent dielectric metasurfaces for light engineering. However, the resonance characteristics of embedded structures in nanocomposite metasurfaces have not been further analyzed beyond the effective refractive index. Herein, we have proposed customizable polarization-selective narrowband meta-filters using ultraviolet-curable (UV) nanocomposites. As an additional degree of freedom, near-field effects between highly concentrated doped nanoparticles can enhance the Mie resonance of the low aspect ratio (AR = 0.2) meta-units. The surface lattice resonances (SLRs) of meta-filters can be coupled with enhanced Mie resonances of individual meta-units to realize tunable narrowband (FWHM ∼0.007λ) reflections with intensities near unity. Meanwhile, the polarization-selective properties of the reflection peaks can be tuned by optimizing the asymmetric lattice. Such proposed new-generation customizable meta-filters will offer, to our knowledge, novel strategies for filtering specific near-infrared polarized fluorescence in the integrated imaging systems.

Chirped Integrated Bragg Grating Design

We analyze the two classic methods for chirped Integrated Bragg Gratings (IBGs) in Silicon-on-Insulator technology using the transfer matrix method based on the effective refractive index (neff) technique, which translates the geometry of an IBG into a matrix of neff depending on the wavelength. We also implement a procedure that allows engineering of the chirped IBG parameters, given a required bandwidth (BW) and group delay (GD). Finally, a complementary method for designing chirped IBG is proposed, showing a significant improvement in the bandwidth of the device or a moderation in the variation of the geometrical parameters of the grating.

Polarization-Dependent Fiber Metasurface with Beam Collimating and Deflecting

Metasurfaces can arbitrarily manipulate the amplitude, phase, and polarization of optical fields on subwavelength scales. Due to their arbitrary manipulation and compact size, the metasurface can be well integrated with optical fibers. Herein, we demonstrate a polarization-dependent metasurface using birefringent meta-atoms, which can independently control X- and Y-polarization incident light. Each meta-atom allows for the division of phase into 16 steps ranging from 0 to 2 for both X- and Y-polarization, resulting in 256 nanopillars selected from the meta-atom library to satisfy the required phase. With the different effective refractive indices of the cuboid meta-atoms along the X- and Y-axis, we can achieve collimation of the X-polarization emitted beam from an optical fiber while deflecting orthogonally polarized light. As a result, the proposed metasurface collimates an X-polarized beam with a beam radius of 20 um at = 1 mm and 43.9 um at = 2 mm. Additionally, the metasurface can effectively deflect the Y-polarized beam to 36.01°, consistent with the results of the theoretical computation. The proposed metasurface exhibits a deflection efficiency of 55.6% for Y-polarized beams with a relative polarization efficiency of 82.2%, while the efficiency for the X-polarization is 71.4%. Our work is considered a promising application for optical communication, sensing, and quantum measurement.

Spectral Characteristics and Displacement Sensing of U-Shaped Single-Mode-Multimode-Single-Mode Fiber Structure.

The U-shaped fiber configuration represents the elementary form of micro-displacement sensing, characterized by its exceptional freedom and flexibility. The study proposes the U-shaped bent single-mode-multimode-single-mode (SMS) fiber structure that integrates the multimode interference (MMI) effect for enhanced mode dispersion and the Mach-Zönder interference (MZI) effect for spectral sensitivity improvement. The transmission spectral properties of the U-shaped SMS fiber structure with a bent radius over 1 cm are experimentally measured as the change in displacement varied within the range of 5 mm in this work. As the radius decreases, the spectrum shows redshift, which is related to the central wavelength of the peak or dips-a smaller wavelength results in a stronger redshift for the same displacement change. The average sensitivity of micro-displacement measurement within a range of 5 mm is 5.41 pm/μm, and the linearity is 99.62%. The maximum sensitivity of U-shaped SMS fiber structure is 34.46 pm/μm, with the minimum displacement change of approximately 5.804 nm. The transmission spectral properties of the U-shaped SMS fiber structure within the ranges of 50 μm, 500 μm, and 5 mm are experimentally measured in this work. This experiment observed a relatively uniform spectral drift pattern in a large range of micro-displacement sensing. The measurement range is limited by the limited spectral range of the light source and the discontinuous variation in the effective refractive index. This provides an experimental reference for further understanding the characteristics of U-shaped fiber structures and applying its application in micro-displacement sensing.

Adjustment of scan delay for bolus tracking with cardiothoracic ratio of CT scout image for hepatic artery phase of hepatic dynamic CT.

This study aimed to determine the scan delay for bolus tracking in the hepatic artery phase (HAP) of hepatic dynamic computed tomography (CT) using the cardiothoracic ratio (CTR) from CT scout images. We retrospectively studied 188 patients who underwent hepatic dynamic CT, 24 of whom had scan delays adjusted for CTR. The contrast enhancement of the abdominal aorta, portal vein, hepatic vein, and hepatic parenchyma was calculated for HAP. The adequacy of the scan timing for HAP was assessed using three classifications: early, appropriate, or late. The effect of HAP on scan timing adequacy was determined using multivariate logistic regression analysis, and the optimal cutoff value of CTR was evaluated using receiver operating characteristic analysis. The trigger times for bolus tracking (odds ratio: 1.58) and CTR (odds ratio: 1.23) were significantly affected by the appropriate scan timing of the HAP. The optimal cutoff value of CTR was 59.3%. The scan timing of HAP with a scan delay of 15s was 14% of early and 86% of appropriate, and the proportion of early in CTR ≥ 60% (early, 52%; appropriate, 48%) was higher than that in CTR < 60% (early, 6%; appropriate, 94%). Adjusting the scan delay to 20s in CTR ≥ 60% increased the proportion of appropriate (early, 4%; appropriate, 96%). The CTR of a CT scout image is an effective index for determining the scan delay for bolus tracking. Adjusting the scan delay by CTR can provide appropriate HAP images in more patients. Trial registration number: R-080; date of registration: 9 March 2023, retrospectively registered.

ATRIAL VOLTAGE ANALYSIS FOLLOWING VEIN OF MARSHALL ETHANOL INFUSION PREDICTS MITRAL LINE BLOCK

Abstract Background The vein of Marshall (VoM) is a promising target for atrial fibrillation (AF) treatment, matching with the ‘Coumel triangle‘ by housing triggers, autonomic connections, and serving as a substrate for perimitral flutters. Lateral mitral line (ML) represents a fundamental part for AF treatment, but achieving bidirectional block through endocardial ablations is challenging. VoM ethanol infusion (VOM–EI) facilitates ML block, with the newly–formed bipolar lesion serving as an effectiveness index. Voltage analysis assessment after VOM–EI in predicting ML block is poorly investigated. Purpose To compare unipolar and bipolar low–voltage areas (LVAs) along VOM trajectory after VOM–EI, and their role in predicting ML block. Methods We enrolled 59 patients undergoing catheter ablation of persistent AF or ML–dependent atrial flutter. High–density voltage mapping of left atrium was followed by VOM–EI and LA remapping. The area width difference was obtained and defined as ΔLVA. Normal bipolar voltage cutoffs were 0.50 mV in sinus rhythm or 0.29 mV in AF. Unipolar cutoffs were 2.7 mV and 1.1 mV, respectively. After VOM–EI, anatomical lesions included PVI, linear lesion for dome and ML isthmus. Systematic lines block validation was performed, defining ML block after coronary sinus (CS) electrograms sequence inversion (septal–to–lateral) during left atrial appendage pacing. Radiofrequency (RF) applications into the CS–great cardiac vein targeted epicardial gaps if present. Ablation time for ML block (AblTime) was obtained. Results In our cohort, 94.5% achieved ML block. Bipolar and unipolar low voltage areas after VOM–EI were 9,9 ± 6,9 cm2 and 12,2 ± 5,9 cm2 respectively. Bipolar ΔLVAs were significantly lower than unipolar ΔLVA (8.2 ± 6.5 cm2 vs. 9.4 ± 6.0 cm2; p=0.03) (Fig 1). A strong linear correlation between AblTime and bipolar ΔLVA (R: 0.76), and a significant correlation between AblTime and unipolar ΔLVA (R: 0.6) were found (Fig 2). Patients requiring RF applications into the CS for ML block (13/59, 22%) showed lower ΔLVAs in logistic regression for both bipolar (p&amp;lt;0.01) and unipolar (p=0.03) analyses. Conclusions VOM–EI induces unipolar LVAs wider than bipolar along the mitral isthmus trajectory. Unipolar and bipolar voltage analysis predicts a short time ML block achievement. Moreover, wider unipolar and bipolar LVAs following VOM–EI correlates with higher likelihood to avoid the targeting of epicardial gaps via the CS musculature.

Clinical efficacy of different androgen deprivation therapies for prostate cancer and evaluation based on dynamic-contrast enhanced magnetic resonance imaging

ObjectiveTo evaluate the clinical efficacy of different androgen deprivation therapies for prostate cancer (PCa) based on dynamic-contrast enhanced magnetic resonance imaging (DCE-MRI).Methods104 patients with PCa were studied, all of whom were treated with androgen deprivation therapy. The patients were divided into a continuous group (continuous androgen deprivation therapy) and an intermittent group (intermittent androgen deprivation therapy) by random number table method, 52 cases/group. The therapeutic effect and DCE-MRI indices were compared and the relationship between DCE-MRI indices and clinical efficacy and the evaluation value of therapeutic efficacy were analyzed.ResultsThe objective response rate (ORR) of the intermittent group was higher than that of the continuous group (p &amp;lt; 0.05), and there was no significant difference in disease control rate (DCR) between the two groups (p &amp;gt; 0.05). After treatment, volume transfer coefficient (Ktrans), reverse transfer constant (Kep), volume fraction (Ve), blood volume (BV), and blood flow (BF) in both groups were lowered, and those in the intermittent group were lower than the continuous group (p &amp;lt; 0.05). Ktrans, Kep, Ve, BF, and BV in the ORR group were lower than those in the non-ORR group (p &amp;lt; 0.05). Ktrans, Kep, Ve, BF, and BV were correlated with the therapeutic effect of PCa (p &amp;lt; 0.05). The AUC value of the combined detection of DCE-MRI indices in evaluating the therapeutic effect of PCa was greater than that of each index alone (p &amp;lt; 0.05).ConclusionCompared with continuous androgen deprivation therapy, intermittent androgen deprivation therapy has better clinical efficacy in the treatment of PCa, and DCE-MRI indices are related to the treatment efficacy of PCa and have an evaluation value.

Surface phonon resonance: A new mechanism for enhancing photonic spin Hall effect and refractive index sensor

Abstract Metal-based surface plasmon resonance (SPR) plays an important role in enhancing the photonic spin Hall effect (SHE) and developing sensitive optical sensors. However, the very large negative permittivities of metals limit their applications beyond the near-infrared regime. In this work, we theoretically present a new mechanism to enhance the photonic SHE by taking advantage of SiC-supported surface phonon resonance (SPhR) in the mid-infrared regime. The transverse displacement of photonic SHE is very sensitive to the wavelength of incident light and the thickness of SiC layer. Under the optimal parameter setup, the calculated largest transverse displacement of SiC-based SPhR structure reaches up to 163.8 μm, which is much larger than the condition of SPR. Moreover, a NO2 gas sensor based on the SPhR-enhanced photonic SHE is theoretically proposed with the superior sensing performance. Both the intensity and angle sensitivity of this sensor can be effectively manipulated by varying the damping rate of SiC. The results may provide a promising paradigm to enhance the photonic SHE in the mid-infrared region and open up new opportunity of highly sensitive refractive index sensors.

Study of Vector Bending Sensor in Various Configurations

A triple-core photonic crystal fiber (TCPCF) vector bending sensor has been introduced to study geometric parameter changes. The TCPCF shows a linear relationship between effective refractive index and input wavelength near 1.55µm. An asymmetrical geometry has been proposed for sensing both the direction and amplitude of the bend. The geometry of fiber creates an asymmetrical refractive index profile that leads to shifts in light speed in different fiber sections during the bend. The finite element method is used to study all sensor structures. The variation of the distance between cores, air hole diameter, and the angle between the side cores are studied. This sensor's need for precise and complex fabrication techniques is one of their challenges. Another challenge the design of these types of sensors faces is calibration for different environments and fabrication methods after fabrication is finished.

Study on mode properties of GaAs based hybrid plasmonic terahertz waveguide

Abstract The Terahertz (THz) field is emerging with the goal of addressing the critical challenges associated with achieving high data rates and rapid communication. In this study, a hybrid plasmonic THz waveguide has been designed and analyzed operating in 2.5-3.5 THz frequency range. The waveguide is constructed using GaAs (Gallium Arsenide) as the high refractive index core, surrounded by AlAs (Aluminium Arsenide), Ag (Silver) and placed on an HDPE (high-density polyethylene) substrate. Graphene is strategically positioned between HDPE layer to enhance light confinement. The mode properties of the designed waveguide that have been simulated using multiphysics simulations of finite element method shows unique characteristics. The observations of the simulated results at 2.5 to 3.5 THz, shows the effective refractive index of 3.79, effective mode area of 1.88 mm2, birefringence of 0.2, dispersion of 0.10 ps/THz/cm, mode field diameter of 15.8 mm, beat length of 123 mm, confinement loss 1.79 x 10-9 mm-1 has been obtained. These features make the proposed waveguide suitable for applications in photonic integrated circuits for THz communications.

Tax Revenue In Asian Countries: Contribution Of Economic Sector With The Rule Of Law As A Moderating Variable

The implementation of government effectiveness aims to provide the best service to the community. The effectiveness of this organization can be measured by one of them using The Worldwide Governance Indicators (WGI) project index. From 2010 to 2019, there are seven Asian countries with effectiveness indexes above the world average, namely Georgia, Hong Kong, Thailand, Japan, South Korea, Singapore, and Malaysia. Through this study, it will be assessed whether this effectiveness supports tax revenue by conducting research on the effect of the contribution of the industrial sector and the service sector to Gross Domestic Product (GDP) on the effect of tax revenue. Then the author also conducts research whether the interaction of moderating variables, in this case the Rule of Law Index variable with the two independent variables (the contribution of the industrial sector and the service sector to Gross Domestic Product (GDP)) has an influence on the contribution of tax revenue to GDP considering that law enforcement is one of the steps in the implementation of controlling tax payments. The results obtained in this study state that before the interaction with moderating variables, the independent variables, namely the industrial sector and the service sector in GDP contribution, have a significant negative effect on tax revenue. Then when the moderating variable, namely the rule of law index, interacts with the industrial sector and the service sector, the effect of the two independent variables on the tax revenue variable has increased to a significant positive effect, so that the moderating variable in this study has a role that strengthens the influence of the independent variable on the dependent variable.

Incidence, risk factors and outcomes of nosocomial infection in adult patients supported by extracorporeal membrane oxygenation: a systematic review and meta-analysis

BackgroundAn increasing number of patients requires extracorporeal membrane oxygenation (ECMO) for life support. This supportive modality is associated with nosocomial infections (NIs). This systematic review and meta-analysis aim to assess the incidence and risk factors of NIs in adult.MethodsWe searched PubMed, Scopus, Web of Science, and ProQuest databases up to 2022. The primary endpoint was incidence of NI. Secondary endpoints included time to infection, source of infection, ECMO duration, Intensive care and hospital length of stay (LOS), ECMO survival and overall survival. Incidence of NI was reported as pooled proportions and 95% confidence intervals (CIs), while dichotomous outcomes were presented as risk ratios (RR) as the effective index and 95% CIs using a random-effects model.ResultsAmong the 4,733 adult patients who received ECMO support in the 30 included studies, 1,249 ECMO-related NIs per 1000 ECMO-days was observed. The pooled incidence of NIs across 18 studies involving 3424 patients was 26% (95% CI 14–38%).Ventilator-associated pneumonia (VAP) and bloodstream infections (BSI) were the most common NI sources. Infected patients had lower ECMO survival and overall survival rates compared to non-infected patients, with risk ratio values of 0.84 (95% CI 0.74–0.96, P = 0.01) and 0.80 (95% CI 0.71–0.90, P < 0.001), respectively.ConclusionResults showed that 16% and 20% lower of ECMO survival and overall survival in patients with NI than patients without NI, respectively. However, NI increased the risk of in-hospital mortality by 37% in infected patients compared with non-infected patients. In addition, this study identified the significant positive correlation between ECMO duration and ECMO-related NI.

Optimized Wide-Angle Metamaterial Edge Filters: Enhanced Performance with Multi-Layer Designs and Anti-Reflection Coatings

Optimized Wide-Angle Metamaterial Edge Filters: Enhanced Performance with Multi-Layer Designs and Anti-Reflection Coatings

Training Impact Assessment: Evaluating PAMETI's Programs for Punjab's Extension Personnel

The study was undertaken with the objective of finding the level of effectiveness of the training programmes for extension personnel. The sample consists of trainees from various competency development training programmes organised by Punjab Agricultural Management and Extension Training Institute (PAMETI) in 2017–2018. In total 5 trainings and 24 trainees from each trainings were selected by purposive and random sampling respectively. Thus, a sample of 120 trainees from PAMETI, Ludhiana were taken for the study. Most of the trainees belonged to the high category of ‘applicability and utility’, ‘knowledge, attitude and skill’ and conviction of the training programmes whereas most belonged to medium category of relevance, timeliness and ‘improvement in job performance and satisfaction’ of training programmes. It was found that average training effectiveness index is highest for applicability and utility of the training programmes whereas lowest for job performance and satisfaction. Most of the trainees perceived to lie in the medium category of the overall training effectiveness index followed by high and low category.