Higher Mean Research Articles

Influence of Kluyveromyces lactis and Enterococcus faecalis on Obtaining Lactic Acid by Cheese Whey Fermentation

Cheese whey is a byproduct of the cheese industry that causes high levels of pollution in the environment, but its high lactose content means that it can be used as a source to obtain lactic acid. In this study, two strains, one belonging to a yeast and the other one to a bacteria (Kluyveromyces lactis and Enterococcus faecalis), were isolated from cheese whey and molecularly characterized, and the optimal growth conditions were determined. Then, using proteinized and deproteinized cheese whey, batch fermentation was carried out with the strains arranged in suspension and immobilized. The consumption of lactose and the production of lactic acid were measured through Brix degrees and acidity analysis. Afterwards, the lactic acid was purified, and its yield and physical and chemical characteristics were determined. It was proven that there were differences between each of the strains; arranged in free or encapsulated cells, the proteinized and deproteinized cheese wheys, under the same purification conditions, achieved different yields, colors, and densities of lactic acid. Immobilized Enterococcus faecalis had the highest yield (50.61 ± 34.94 g/L) using the deproteinized cheese whey compared to the immobilized Kluyveromyces lactis (35.70 ± 0.15 g/L) using the proteinized cheese whey.

Genotype by environment interaction and performance stability of common bean (Phaseolus vulgaris L.) cultivars grown in Dawuro zone, Southwestern Ethiopia

Abstract The performance of most crop genotypes varies significantly depending on their genotype–environment interactions. Providing information on high-yielding and well-adapted common bean genotypes in a given environment is crucial for small-holder farmers to boost their productivity. A field trial was conducted at the Gendo and Wara locations over two consecutive seasons to understand genotype–environment interactions on grain yield and to identify and select common bean genotypes that were better adapted and had high yield potential for production. Ten genotypes were evaluated for their performance using a randomized complete block design with three replications. The AMMI and GGE models were used to identify superior genotypes regarding their mean grain yield performance. The AMMI analysis of variance results showed that grain yield was significantly (p ≤ 0.05) influenced by genotype–environment interactions. This shows that genotypes varied in grain yield mean performance across environments, indicating the possibility of selecting suitable genotypes with specific and broad adaptability. The sum of squares factor indicated that grain yield variation was contributed by the genotype (61.0%), followed by the environment (29.80%) and the genotype–environment interaction effect (9.20%) of the total variation. The AMMI and GGE biplot analysis results showed that SER-119 and SER-125 were identified as the best genotypes regarding their mean grain yield performance. Additionally, the genotype selection index analysis result indicated that SER-119 and SER-125 were stable and consistently exhibited high mean performance in all evaluated settings. Therefore, SER-119 and SER-125 are prime candidates for production in various agroecologies suitable for common bean cultivation in Dawuro zones. The use of tools like GGE biplots and AMMI analysis helped visualize the genotype–environment interactions, aiding in the selection of appropriate genotypes for both specific and wide adaptability.

Postintensive care syndrome: Development and psychometric validation of a knowledge test.

Postintensive care syndrome (PICS) is a combination of short-, medium-and long-term morbidities that occur in patients discharged from the Intensive care unit (ICU). ICU professionals have a crucial role in managing and understanding the PICS. This study aimed to develop the PICS Knowledge Test (PICS-KT), which measures ICU professionals'awareness and knowledge levels regarding PICS, and to determine its validity and reliability. The databases were searched in detail, scientific research related to PICS was analyzed, and the draft scale was created accordingly. A total of 117 doctors and nurses who had been working in the ICU for at least 6 months were included in the study. For the validity and reliability analysis of the test, content validity ratio, item difficulty index, item discrimination index values and Cronbach α were examined. The Cronbach's α reliability coefficient for the 46-item PICS-KT is 0.93, indicating high reliability. Scores range from 0 to 46, with 32 or higher considered successful, suggesting adequate knowledge of PICS among ICU professionals. Scores of 14 or less indicate minimal knowledge. Those with scores between 14 and 32 possess some knowledge but need improvement. PICS-KT assesses knowledge in four main areas: general information, risk factors/causes, symptoms and findingsand interventions. ICU professionals show high awareness of interventions for preventing and treating PICS, as indicated by a high mean score in the interventions subdimension. The PICS-KT is crucial in assessing healthcare professionals'understanding of the various short-, medium-and long-term morbidities associated with PICS. The study ensures that the test is a robust and dependable instrument for evaluating ICU professionals'knowledge about PICS.

Alcohol use disorder as a moderator of the relationship between posttraumatic stress disorder and suicidality among military personnel.

Alcohol use disorder (AUD), posttraumatic stress disorder (PTSD), and suicide are substantial public health concerns among military service members, yet the nature of their relationships is not well understood. Here, we tested the hypothesis that AUD moderates the relationship between PTSD symptom severity and suicidal ideation. This secondary analysis uses data collected at baseline for a randomized clinical trial. The sample consists of 160 active-duty service members from three service branches (Army, Air Force, and Navy). All participants met diagnostic criteria for PTSD and were not engaged in evidence-based PTSD treatment at the time of enrollment. Zero-inflated Poisson generalized linear regression models were used to test the associations of PTSD and AUD symptom severity with the presence and severity of suicidal ideation. Findings suggest that AUD symptom severity moderates (i.e., amplifies) the relationship between PTSD symptoms and severity of suicidal ideation among military personnel with untreated PTSD. Among service members with mild or absent AUD, we found no significant association between PTSD symptoms and the severity of suicidal ideation. However, when AUD severity was average (i.e., sample mean) or high (mean + 1SD), PTSD symptoms were significantly positively associated with the severity of suicidal ideation. This study highlights the importance of assessing AUD and PTSD as a part of suicide risk evaluations of veterans. The results also provide strong support for the maintenance and further development in the military health system of treatment programs that simultaneously address AUD and PTSD comorbidity.

Patient satisfaction followed by remote monitoring

Abstract Introduction Remote monitoring (RM) of cardiac implantable electronic devices has increased significantly in the last years. The safety and efficacy of RM have been demonstrated, however, there are few data on patient satisfaction. The objective of this study was to evaluate the satisfaction of patients with an implanted pacemaker (PM) followed through remote monitoring. Methods Patients implanted with a conventional or leadless PM who had been using RM system for at least 3 months were included. Patients had to be able to understand and answer questionnaires, having no significant cognitive impairment. An specific, and previous validate, patient satisfaction RM questionnaire with 30-item, self-completed, measured on a 5-point Likert scale (0=No, nothing, 4=Yes, a lot) was administered. The questionnaire is structured in 5 dimensions: Information on cardiac condition, device convenience, transmission process, satisfaction with medical monitoring, and benefits. The results are presented as mean. The difference between mean was analyzed using the T-Student test. Results A total of 98 patients were included (77.8±8.2 years old, 67% male), 82 % had conventional PM and 18 % leadless PM. According RM connectivity 70% had daily automatic transmission, 12% automatic transmission and 18% manual transmission. On average, participants answered 83% of the items. The overall satisfaction of the patient was high (3.66). The mean score for each dimension is summarized in Table 1. The Device convenience had the highest mean (3.75), and the Transmission process had the lowest mean (3.56). There was no difference between patients with a conventional pacemaker versus leadless pacemakers (Fig 1, p=0,30). Results Patients with PM followed through RM have a high level of satisfaction when evaluated using an specific questionnaire. The level of satisfaction is independent of the type of PM or the connectivity of the system.Table 1Mean dimension score by device type

Photovoltaic Manufacturing Factories and Industrial Site Environmental Impact Assessment

Life cycle inventories (LCIs) and life cycle assessments (LCAs) of photovoltaic (PV) modules and their components focus on the operations of PV factories, but the factories and industrial site product and construction stages are either not or only partially tackled. This work contributes through the bottom-up, model-based generation of LCIs and LCAs for setting up a vertically integrated 5 GWp/a PV industrial site, including the manufacturing of silicon ingots, wafers, solar cells, and PV modules, on a 50 ha greenfield location. Two comparative LCAs are performed. The first compares the annualized environmental impacts of the developed LCI sets with four existing inventories in the Ecoinvent v3.8 database. The second comparative LCA explores the environmental impact differences concerning the industrial site when using different building systems for the factories. Here, the reference system with a steel structure is compared with two alternative building systems: precast concrete and structural timber. The results show that the wafer, cell, and module factories’ annualized environmental impacts with the Ecoinvent LCIs are strongly overestimated. For the ingot factory, the opposite result is identified. The impacts of all four factories show reductions of between 11.7% and 94.3% for 14 of the 15 impact categories. High mean environmental impact shares of 79.0%, 78.2% and 79.2% for the steel, precast concrete and timber structural building systems, respectively, are generated at the product stage. The process and facilities equipment generates 54.2%, 54.4% and 58.2% of the total product and construction stages’ mean environmental impact shares. The proposed alternative timber building system reduces the environmental impacts in 14 of the 15 evaluated categories, with reductions ranging from 1.1% to 12.4%.

Evaluation of health risk experienced by urban taxi drivers to whole-body vibration and multiple shocks

This cross-sectional study was done aiming at determining the exposure of taxi drivers to vibration on 35 safe taxis (19 cars with engine volume of 1.325 L, 9 cars with engine volume of 1.645 L, and 7 cars with engine volume of 1.761 L). Measurements were based on ‘ISO 2631-1’ on seats’ pans, by Castel GA2005 vibrometer. The results through two different evaluative methods indicated moderate exposure levels, corresponding to suggestive Health Guidance Caution Zone (HGCZ) in ‘ISO 2631-1’. Evaluation of exposure to the WBV among taxi drivers, in the taxis with low and high mean acceleration values, using the VDV method is preferred over the R.M.S method. In lower accelerations, in all conditions, the mean of the reckoned values in the VDV method was less than the R.M.S method, and in higher accelerations, where there are more differences, and the CF values were higher (PAIK 1761 cars), again the assessed mean duration in the VDV method is less than R.M.S method. In higher accelerations and with fewer crest factors, this matter didn’t hold, and the allowed time in the R.M.S method became lower.

3D‐Printed Soft Proprioceptive Graded Porous Actuators with Strain Estimation by System Identification

Integration of both actuation and proprioception into the robot body leads to a single integrated system that can deform and sense. Within this work, liquid rope coiling is used to 3D‐print soft graded porous actuators. By fabricating these actuators from a conductive thermoplastic elastomer, piezoresistive sensing is directly integrated. These sensor‐integrated actuators exhibit nonlinearities and hysteresis in their resistance change. To overcome this challenge, a novel approach that uses identified Wiener–Hammerstein (WH) models is proposed to estimate the strain based on the resistance change. Three actuator types were investigated, namely, a bending actuator, a contractor, and a three degrees of freedom bending segment. By using the design freedom of additive manufacturing to set the porosity, the actuation and sensing behavior of a contracting actuator can be programmed. Furthermore, the WH models can provide strain estimation with on average high fits (83%) and low root mean square (RMS) errors (6%) for all three actuators, which outperformed linear models significantly (76.2/9.4% fit/RMS error). In these results, it is indicated that combining 3D‐printed graded porous structures and system identification can realize sensor‐integrated actuators that can estimate their strain but also tailor their behavior through the porosity.

Nutritional quality of kabuli and desi chickpea in Argentina: Effects of environment

AbstractThe environment to which a crop is exposed during the growing season has a significant impact on seed composition. The objectives of this study were to (1) estimate the contribution of genotype (G), environment (E), and their interaction (G × E) to the agronomic features and seed quality of chickpea and (2) identify climatic variables that significantly affect chickpea nutritional composition. A total of 10 pre‐commercial and commercial cultivars of Cicer arietinum L. were evaluated in 15 environments in Argentina. Average plant height ranged between 44.7 and 55.2 cm, 100‐seed weight was 38 and 27 g, and grain yield was 750 and 1500 kg ha−1 for kabuli and desi chickpea, respectively. The results obtained from the variance component analysis showed statistically significant (p < 0.05) contributions of the effects of G, E, and G × E interaction on the nutritional quality of chickpea seeds. Protein, carbohydrates, and mineral content were mostly affected by E, whereas oil content was G‐dependent. Only tocopherols were affected by G × E interaction. The total phenotypic variance is mostly composed of environmental effects captured during the seed filling period. High mean daily air temperature had a negative effect on carbohydrates and increased protein and mineral content. The fatty acid profile and gamma tocopherol contents were affected by accumulated precipitation and evapotranspiration. Air humidity was negatively correlated with protein content and iodine value. Results from this research are useful for breeders to broaden the genetic background of chickpea genotypes and for farmers to identify climatic conditions that impact grain quality.

An essay on semiclassical analysis for microlocal singularities, turbulence intensity and integration of singularities by Schrödinger equation in probabilistic behavior

The Schrödinger equation governs the probabilistic behavior of quantum particles through the wave function. Microlocal singularities denote regions with significantly high probability density or abrupt changes therein. By visualizing the probability distribution in time and space, we discern regions with higher probability density, indicative of potential microlocal singularities. These regions probably correspond to areas with a greater probability of particle presence. Such analysis aligns with Theorem 1, predicting characteristics of microlocal singularities of wave functions. Furthermore, Theorem 2 postulates that semiclassical path integrals along these singularities contribute significantly to solving the Schrödinger equation. Interpreting the temporal evolution of the probability density in the probability distribution visualization reveals the propagation of the particle over time. Regions of high density mean likely presence of particles at specific times, aligning with the predictions of Theorem 2. Consequently, the analysis of the contribution of high-density regions to the temporal evolution of the wave function resembles semi-classical path integral calculations. Thus, our findings demonstrate that visualization of probability distributions obtained from the numerical resolution of the Schrödinger equation allows a comprehensive interpretation of the behavior of quantum particles, consistent with the theorems.

The Patient Activation Measure-13 (PAM-13) in an oncology patient population: psychometric properties and dimensionality evaluation

BackgroundAccurate assessment and enhancement of health-related skills among oncology patients are pivotal for optimizing cancer care. The Patient Activation Measure (PAM-13), a questionnaire designed to reflect an individual’s knowledge, skills, and confidence in self-healthcare management, has been validated across diverse countries and settings. Concerns have been raised regarding the cross-situational applicability, as patients with specific diseases and cultural backgrounds interpret questionnaire items differently. This study aimed to examine the structural validity and psychometric properties of the PAM-13 in an oncological patient cohort.MethodsBaseline data from a longitudinal non-randomized controlled study involving cancer out-patients (n = 1,125) from Comprehensive Cancer Centres in Southern Germany were analysed. The German version of the PAM-13 was employed. With classical test and item response theory methods data quality, reliability, convergent and structural validity, as well as psychometric properties were assessed. Exploratory (EFA) and confirmatory factor analyses (CFA) were employed to investigate the postulated unidimensionality of the underlying construct. With a partial credit model (PCM) we examined item fit, targeting, local independence and differential item functioning.ResultsParticipants were predominantly female (73.0%) with a breast cancer diagnosis (41.3%). While items were generally well-accepted, ceiling effects were observed and a high mean PAM-13 score (69.7, SD = 14.2) was noted, potentially compromising responsiveness to interventions. Reliability was adequate (Cronbach’s α = 0.81), person and item separation reliability were good to excellent (0.81 and 0.99, respectively). Explorations of the unidimensionality of the construct (EFA, CFA, PCM) yielded inconclusive results, hinting towards a two-factor solution. Item difficulty rankings deviated from the original. No differential item functioning was identified, and local independence was confirmed.ConclusionsWhile the PAM-13 serves as a valuable instrument for comprehending and promoting health-related skills in cancer patients, the identification of ceiling effects, disordered item-difficulty rankings, and inconclusive findings regarding unidimensionality contribute to the expanding body of evidence, emphasizing the dependency of PAM-13’s validity and reliability on distinctive characteristics within the population under investigation. Future research should prioritize refining or adding PAM-13 items to better capture the specific health-related challenges within diverse populations, paving the way for more effective patient engagement strategies in oncology.Trial registration numberDRKS00021779

Evaluating the role of CD44 in oral squamous cell carcinoma and potentially malignant disorders – An immunohistochemical study

BackgroundOral squamous cell carcinoma (OSCC) accounts for 84–97 % of all cases of oral cancer. Oral submucous and leukoplakia are examples of potentially malignant disorders (PMDs) that are signs of the preclinical stage of oral cancerCD44 (Cluster of differentiation) is a cell surface glycoprotein that serves as a Cancer Stem Cell marker. AimThe purpose of the study was to look at the presence of CD44 immunohistochemically in oral epithelial dysplasia, oral submucous fibrosis, and OSCC and how it influences a patient's prognosis. Materials and methodsIn this retrospective study, the expression of CD44 were evaluated in 60 paraffin –embedded specimens (20 OSCC, 20 Dysplasia, 20 OSMF). This study was evaluated by spss 21. Differences in the mean number of CD 44-positive cells per field among epithelial dysplasia, oral submucous fibrosis and squamous cell carcinomas were assessed using one-way ANOVA and comparison between the groups were analysed by using Bonferroni post hoc test. Statistical significance was at P < 0.05. ResultsOn comparing the CD44 immuno-expression, the highest expression was seen in OSCC followed by dysplasia and OSMF. The OSCC group had a high mean total score of 7.90, followed by dysplasia at 5.40 and OSMF at 5.05. ConclusionAccording to our research, there was a discernible pattern of elevated CD44 expression in OSCC relative to OSMF and dysplasia. These findings set the premise for further research to better outline the role of CD44 in the diagnosis of OSCC.

Unearthing the legacy of wildfires: post fire pyrogenic carbon and soil carbon persistence across complex Pacific Northwest watersheds

AbstractWildfires have the potential to dramatically alter the carbon (C) storage potential, ecological function, and the fundamental mechanisms that control the C balance of Pacific Northwest (PNW) forested ecosystems. In this study, we explored how wildfire influences processes that control soil C stabilization and the consequent soil C persistence, and the role of previous fire history in determining soil C fire response dynamics. We collected mineral soils at four depth increments from burned (low, moderate, and high soil burn severity classes) and unburned areas and surveyed coarse woody debris (CWD) in sites within the footprint of the 2020 Holiday Farm Fire and in surrounding Willamette National Forest and the H.J. Andrews Experimental Forest. We found few changes in overall soil C pools as a function of fire severity; we instead found that unburned sites contained high levels of pyrogenic C (PyC) that were commensurate with PyC concentrations in the high severity burn sites—pointing to the high background rate of fire in these ecosystems. An analysis of historical fire events lends additional support, where increasing fire count is loosely correlated with increasing PyC concentration. An unexpected finding was that PyC concentration was lower in low soil burn severity sites than in control sites, which we attribute to fundamental ecological differences in regions that repeatedly burn at high severity compared with those that burn at low severity. Our CWD analysis showed that high mean fire return interval (decades between fire events) was strongly correlated with low annual CWD accumulation rate; whereas areas that burn frequently had a high annual CWD accumulation rate. Within the first year postfire, trends in soil density fractions demonstrated no significant response to fire for the mineral-associated organic matter pool but slight increases in the particulate pool with increasing soil burn severity—likely a function of increased charcoal additions. Overall, our results suggest that these PNW forest soils display complex responses to wildfire with feedbacks between CWD pools that provide varying fuel loads and a mosaic fire regime across the landscape. Microclimate and historic fire events are likely important determinants of soil C persistence in these systems.

Warrior Kids Games on Improving the Self-Efficacy Abilities and Fine Motor Skills of 5–6 Years-Old Children

The ability to have self-efficacy is an essential aspect for every individual. Self-efficacy skills that develop from an early age positively impact other factors, such as good social-emotional, cognitive, affective, motor skills, and academic. However, in real life, children's self-efficacy abilities still need to be developed because teachers still need to have the ability to choose suitable games to build them. This study looks at the effectiveness of the Warrior Kids' game in developing self-efficacy skills in children aged 5-6 years. This study used an experimental method with a one-group design, which compared the pre-test and post-test values; the sample used was 15 people, and the effectiveness, which is analyzed with Wilcoxon's formula, shows if the results of the study get a sig value of less than .05, the results obtained are .001, so it can be concluded that the efficacy of using warrior kids' games High means the efficacy of this game is in the high category, nature develops the self-efficacy abilities of early childhood. This is because the warrior kids' game can motivate children to conquer the game with exciting and fun obstacles, and each obstacle has been designed by prioritizing children's safety in playing so that children dare to try and participate in activities until they are finished properly. Keywords: Game, Motor Skills, Self-efficacy, Early Childhood

The Level of Importance of the Four P’s by the Customers of Shell, Petron, and Chevron Stations in General Santos City

Consumer-centric companies focus their resources on developing products and establishing strategies that satisfy customers’ needs and wants. The efforts involved in determining customers’ desires require rigorous analysis because of customers’ heterogeneity. Cost leadership, one of the three generic competitive strategies, aims to increase profit by reducing the cost of production and offering a competitively priced product. This strategy is effective in maximizing the limited resources of the company. In relation to the three generic competitive strategies, there are factors that affect customers’ decisions. The factors that affect customers’ preferences are location, brand, behavior, values, product attributes, quality, price, promotion, and perception. This study focused on the four significant factors, which are the Four Ps: product, price, place, and promotion. Respondents, who are customers of Shell, Petron, and Chevron fuel stations in General Santos City, evaluated the level of importance of the Four Ps. A sample size of 120 respondents was chosen to answer the validated questionnaires. A descriptive-quantitative research design and stratified sampling methods were applied in the study. Microsoft Excel and IBM SPSS were the software used to analyze and interpret the data. The findings indicate that the place factor and the promotion factor, among the four factors, have the highest and lowest means, respectively. According to the respondents, price information and brand are very important, since they have the highest mean in price and product factors. The analysis of the Kruskal-Wallis H Test indicates that there are no significant differences in the level of importance of the four Ps among Shell, Petron, and Chevron stations in General Santos City as evaluated by the respondents.

Patient and Family Financial Burden in Cancer: A Focus on Differences across Four Provinces, and Reduced Spending Including Decisions to Forego Care in Canada.

This study aimed to examine provincial differences in patient spending for cancer care and reductions in household spending including decisions to forego care in Canada. Nine-hundred and one patients with cancer, from twenty cancer centers across Canada, completed a self-administered questionnaire (P-SAFE version 7.2.4) (344 breast, 183 colorectal, 158 lung, and 216 prostate) measuring direct and indirect costs and spending changes. Provincial variations showed a high mean out-of-pocket cost (OOPC) of CAD 938 (Alberta) and a low of CAD 280 (Manitoba). Differences were influenced by age and income. Income loss was highest for Alberta (CAD 2399) and lowest for Manitoba (CAD 1126). Travel costs were highest for Alberta (CAD 294) and lowest for British Columbia (CAD 67). Parking costs were highest for Ontario (CAD 103) and lowest for Manitoba (CAD 53). A total of 41% of patients reported reducing spending, but this increased to 52% for families earning <CAD 50,000 per year. The highest national rates of decisions to forego care were in relation to vitamins/supplements, the selection made by 21.3% of those who indicated spending reductions. Reductions for complementary and alternative medicine (CAM) were made by 16.3%, and for drugs, by 12.8%. Most cost categories had higher proportions of individuals who decided to forego care when family income was <CAD 50,000 per year and for patients under 65 years of age. Levels of financial burden for patients with cancer in Canada vary provincially, including for OOPC, travel and parking costs, and lost income. Decisions to forego cancer care are highest in relation to vitamins/supplements, CAM, and drugs. Provincial differences suggest that regional health policies and demographics may impact patients' overall financial burden.

Refining ICESAT-2 ATL13 Altimetry Data for Improving Water Surface Elevation Accuracy on Rivers

The application of ICESAT-2 altimetry data in river hydrology critically depends on the accuracy of the mean water surface elevation (WSE) at a virtual station (VS) where satellite observations intersect solely with water. It is acknowledged that the ATL13 product has noise elevations of the adjacent land, resulting in biased high mean WSEs at VSs. Earlier studies have relied on human intervention or water masks to resolve this. Both approaches are unsatisfactory solutions for large river basins where the issue becomes pronounced due to many tributaries and meanders. There is no automated procedure to partition the truly representative water height from the totality of the along-track ICESAT-2 photon segments (portions of photon points along a beam) for increasing precision of the mean WSE at VSs. We have developed an automated approach called “auto-segmentation”. The accuracy of our method was assessed by comparing the ATL13-derived WSEs with direct water level observations at 10 different gauging stations on 37 different dates along the Lower Murray River, Australia. The concordance between the two datasets is significantly high and without detectable bias. In addition, we evaluated the effects of four methods for calculating the mean WSEs at VSs after auto-segmentation processing. Our results reveal that all methods perform almost equally well, with the same R2 value (0.998) and only subtle variations in RMSE (0.181–0.189 m) and MAE (0.130–0.142 m). We also found that the R2, RMSE and MAE are better under the high flow condition (0.999, 0.124 and 0.111 m) than those under the normal-low flow condition (0.997, 0.208 and 0.160 m). Overall, our auto-segmentation method is an effective and efficient approach for deriving accurate mean WSEs at river VSs. It will contribute to the improvement of ICESAT-2 ATL13 altimetry data utility on rivers.

Surveillance for metachronous cancers after endoscopic resection of esophageal squamous cell carcinoma.

The literature pertaining to surveillance following treatment for esophageal squamous cell carcinoma (SCC) was reviewed and summarized, encompassing the current status and future perspectives. Analysis of the standardized mortality and incidence ratios for these cancers indicates an elevated risk of cancer in the oral cavity, pharynx, larynx, and lungs among patients with esophageal SCC compared to the general population. To enhance the efficacy of surveillance for these metachronous cancers, risk stratification is needed. Various factors, including multiple Lugol-voiding lesions, multiple foci of dilated vascular areas, young age, and high mean corpuscular volume, have been identified as predictors of metachronous SCCs. Current practice involves stratifying the risk of metachronous esophageal and head/neck SCCs based on the presence of multiple Lugol-voiding lesions. Endoscopic surveillance, scheduled 6-12 months post-endoscopic resection, has demonstrated effectiveness, with over 90% of metachronous esophageal SCCs treatable through minimally invasive modalities. Narrow-band imaging emerges as the preferred surveillance method for esophageal and head/neck SCC based on comparative studies of various imaging techniques. Innovative approaches, such as artificial intelligence-assisted detection systems and radiofrequency ablation of high-risk background mucosa, may improve outcomes in patients following endoscopic resection.

RURAL WOMEN PERCEPTIONS OF DIGITAL MEDIA INFLUENCE ON AWARENESS CREATION ABOUT MATERNAL HEALTH INFORMATION IN PUNJAB, PAKISTAN

In rural settings, access to maternal health information is often limited, contributing to disparities in maternal healthcare utilization and outcomes. The main objective of the study is to find the rural women perceptions of digital media influence on awareness creation about maternal health information in Punjab, Pakistan. This cross-sectional study was conducted at the University of Lahore from August 2023 to January 2024. Data was collected from 350 participants using convenience sampling methods. Data collection involved the administration of structured surveys to participants, either in-person or through electronic means, depending on their accessibility and preferences. The survey instrument was designed to capture demographic information, including age, education level, household income, and parity, as well as assess participants' access to digital media, frequency of usage, preferred platforms, and perceived usefulness of digital media for obtaining maternal health information. Data was collected from 350 participants. The mean age of the participants was 32.9±6.5 years Education levels varied, with 60% having primary education, 30% secondary, and 10% tertiary education. Regarding household income, 70% fell below the poverty line, while 30% were above it. Participants reported relatively high mean scores for their engagement with digital media platforms. Social media received the highest mean score of 3.8, followed by search engines with a mean score of 3.5, and maternal health websites/apps with a slightly lower mean score of 3.2. It is concluded that digital media, particularly social media platforms, play a significant role in providing access to maternal health information among rural women, despite variations in access and perceived usefulness across demographic groups.

A straightforward technique to obtain genomic DNA from nasal swabs suitable for sheep SNP genotyping analysis

Isolation of high quality and quantity genomic DNA is essential for molecular studies. It is crucial to select a non-invasive and straightforward technique to ensure the efficient collection of DNA, particularly at the farm level. The aim of this study was to determine if nasal swabs are an appropriate biological matrix to obtain good quality genomic DNA suitable for SNP genotyping. In this study, two biological matrices (blood and nasal swabs) were evaluated and compared for the isolation of genomic DNA obtained from 15 female Texel sheep. DNA quality and quantity were assessed using spectrophotometry and gel electrophoreses. Genotype concordance rates were used for comparison. Results showed that the highest concentration mean was obtained from blood samples (159.14 ng/µl), while from nasal swab samples the concentration mean was lower (130.12 ng/µl), but the difference was non-significant. Regarding purity, DNA obtained from nasal swabs presented a higher A260/A280 ratio (1.96), while the one obtained from blood samples was 1.90. Total DNA yield obtained from blood samples (15.91 µg) was significantly higher than the one obtained from nasal swabs (6.51). Blood and nasal swab genotyping concordance rates were high (mean = 0.984). In conclusion, our results indicate that nasal swabs can yield good quality DNA; however, the DNA extraction protocol should be optimized.