Recovery Stage Research Articles

Embracing a different outlook: Strengths and goals of individuals currently in treatment for anorexia nervosa

PurposeDeveloping personal goals beyond weight and shape, and promoting the agency to pursue those goals, could aid in treatment and recovery from anorexia nervosa (AN). This research explores the strengths, interests and goals of individuals currently receiving treatment for AN and evaluates how treatment services are supporting them to work towards personal goals across all areas of everyday life.MethodA total of 58 community-dwelling adults currently receiving treatment for anorexia nervosa at any stage of recovery completed the Client Assessment of Strengths, Interests and Goals Self-Report (CASIG-SR). Participants reported their goals for accommodation, work and study, interpersonal relationships, recreational activities, spirituality, religion or life purpose, physical health and mental health, and the personal strengths and supports needed to achieve those goals. Concordance scores were calculated between importance of personal goals and level of support from current services regarding these goals.ResultsThemes identified across goals, strengths and supports were Connection, Independence & Confidence, Meaning & Self: The Real Me, and Stability & Balance. Work and study goals and strengths were identified strongly. The key support needed was stability from the current treatment team to provide a stable base for change. Concordance scores indicate support provided for personal goals was less than the importance of the goal to the individual.ConclusionResults suggest goals for everyday living are critical to recovery in anorexia nervosa. Specific clinical considerations to increase motivation and hope are increased access to peer support, a focus on increasing positive affect, supporting safe exercise and promoting outdoor experiences and connection with nature.Level IIIEvidence obtained from well-designed cohort or case–control analytic studies.

The Integration of Structural and Non-Structural Mitigation Based on Collaborative Governance Process at Tanjung Mas Sub-District

Abstract Subsidence of land levels and rising sea levels are two impacts of climate change that influence human activities, causing tidal floods. 12th and 16th RW (neighbourhood) of Tanjung Mas Subdistrict is a coastal area with a high population density that experiences tidal floods yearly. Structural mitigation programs receive more attention than non-structural programs. The mitigation process requires collaboration between stakeholders to obtain optimal results. This research aims to develop a disaster collaborative governance framework that integrates structural and non-structural mitigation. The research method used is a mixed method with a quantitative primary approach. The results show that collaborative governance in disaster mitigation involves various stages, such as collaborative initiatives, commitment to the process, collaborative processes, and monitoring evaluation. Non-structural mitigation is the primary basis for the success of the disaster management stage, while structural mitigation plays a significant role in the recovery stage. Emphasizing the balance of the role of the hexa helix is needed to create a sustainable mitigation process.

Early prediction of functional mobility severity after stroke: Two key milestones

BackgroundThe prognosis for functional recovery is crucial for discharge planning, optimizing healthcare resources and improving recovery chances. Prediction tools are key but must be usable from the beginning of rehabilitation and easy to use in clinical routine. Simple mobility milestones have shown predictive potential for stroke recovery. This study aims to identify the most efficient milestones for predicting the severity level of stroke patients' mobility at an early stage of recovery. MethodsRetrospective cohort study where medical records from a general private hospital were reviewed. Through convenience sampling. The data collected included the Standardized Five Questions, Functional Status Score for the Intensive Care Unit, Berg Balance Scale, and Modified Rankin Scale, all unified by the Complexity-Based Model for Categorizing Rehabilitation, establishing severity levels. To predict mobility severity levels at reevaluations, CHAID (Chi-Square Automatic Interaction Detector) decision tree analysis and exact logistic regression analysis were employed. This involved using conventional mobility milestones alongside the clinical and demographic characteristics of the patients. Results50 patients met the criteria from admission (Evaluation 1: first week from stroke) to the first discharge point (Evaluation 2: second week from stroke). Only 25 patients remained for the second discharge point (Evaluation 3: fourth week from stroke). There were significant differences when comparing the functional assessments. The milestones “Sitting to standing” and “Sitting unsupported” were the most efficient predictors of future mobility complexity. Conclusions“Sitting balance” and “Sitting unsupported” were the best predictors. These simple milestones are feasible to assess in daily clinical practice.

Ethical Benefits and Challenges in Insurance: Framework of Introducing Pillar IV Regulation to Solvency II

The paper delves into the concept of Pillar IV, which addresses the recovery, resolution, and orderly exit from the insurance market within the framework of Solvency II - an essential tool for insurers' supervision. While Solvency II has undoubtedly reduced the risk of insolvency for insurers, it hasn't eliminated it. Therefore, this research aims to conduct a comparative analysis of various market models and proposals from authorities to come up with the best possible solutions for recovery stages, mechanisms to be implemented in the case of economic non-viability of the insurer, and resolution mechanisms to ensure a seamless exit from insolvency. The article evaluates different resolution methods, weighing their benefits and challenges, considering the interests of consumers, and the roles of regulatory and resolution authorities. The authors suggest a set of best practices, solutions, and guidelines to implement a resolution through regulations, which can be used to establish Pillar IV and enhance the level of preparedness of insurers. The goal is to avoid the adverse systemic effects of a traditional bankruptcy, which could significantly impact consumers, the economy, and public funds. Keywords: Solvency II; Resolution; Insurance; Recovery; Bail-in

Increasing Ages of Inga punctata Tree Soils Facilitate Greater Fungal Community Abundance and Successional Development, and Efficiency of Microbial Organic Carbon Utilization

Leguminous Inga trees are thought to enhance soil carbon (C) accumulation following reforestation, through mostly unknown mechanisms. This study amplified soil DNA using the ITS1F and ITS4 primers for PCR and Illumina MiSeq methods to identify fungal taxa, and traditional C analysis methods to evaluate how planted 4-, 8-, and 11-year-old Inga punctata trees affected soil fungal community compositions and C utilization patterns compared to old-growth I. punctata trees and an adjacent unplanted pasture within the same reforestation zone in Monteverde, Costa Rica. Along the tree age gradient, the planted I. punctata trees enhanced the tree soil C capture capacity, as indicated by increased levels of soil biomass C, Respiration, and efficiency of organic C use (with lower qCO2 values), and development of increasingly more abundant, stable, and successionally developed fungal communities, including those associated with the decomposition of complex organic C compounds. The level and strength of differences coincided with differences in the time of separation between the pasture and tree age or between the different tree ages. Fungal taxa were also identified as potential indicators of the early and late stages of soil recovery. Thus, planting I. punctata should be part of future reforestation strategies used in this region of the Monteverde Cloud Forest in Costa Rica.

A Qualitative Meta-Synthesis on Drug Addicts Recovery Based on a Transtheoretical Model

Purpose: This study aimed to synthesize and integrate findings from qualitative studies on the recovery experiences of Korean drug addicts using the Transtheoretical Model.Methods: A comprehensive literature search was conducted across nine databases (CINAHL, EMBASE, PubMed, KMBASE, KISS, RISS, KNBASE, Science On, DBpia) to identify studies exploring the recovery experiences of drug addicts. The selected studies were synthesized through meta-synthesis, as proposed by Butler, Hall, and Copnell.Results: The overarching theme identified in the recovery process is "A journey of escaping the pit by weaving a new life with a gold rope," with five sub-themes: “Falling into a bottomless pit,” “Being broken because of a rotten rope,” “Struggling to get out of the pit,” “Weaving a gold rope by oneself,” and “Climbing the gold rope into a new life.” Recovery is portrayed as a transformative journey that extends beyond merely stopping drug use, emphasizing social connections and personal growth.Conclusion: This study provides valuable insights into the recovery experiences of Korean drug addicts, offering guidance for practical recovery strategies. The findings support the development of tailored intervention programs and policies for different stages of drug addiction recovery.

Геронтологические особенности влияния новой коронавирусной инфекции на показатели интерлейкинового профиля, воспаления и эндогенной интоксикации у пациентов зрелого и пожилого возраста с ишемической болезнью сердца

Background: Coronary heart disease (CHD) is considered as an independent risk factor for COVID19, however, the indicators of inflammation and endogenous intoxication in patients with CHD 3-4 weeks after recovery from COVID-19 have not been the subject of scientific research. The aim of the study: Assessment of the gerontological features of the effect of the transferred new coronavirus infection on the indicators of the interleukin profile, inflammation and endogenous intoxication of mature and elderly patients with coronary heart disease in the early stages of recovery. Materials and methods: The study included 58 mature-age patients with coronary heart disease 3-4 weeks after recovery from COVID-19 of moderate severity, who made up the comparison group. The main group of patients was represented by 62 elderly people with coronary heart disease who had suffered a new coronavirus infection and were examined in the same way as the previous group, 3-4 weeks after recovery. The level of C-reactive protein and highly sensitive C-reactive protein in the blood was studied using the Nicomed-reader express analyzer, and antistreptolysin-O was studied using an immunoturbidimetric method on the Cobas 600 analyzer (Switzerland). The blood levels of bilirubin, urea, creatinine and sialic acids were studied using the ROKI biochemical analyzer. The content of systemic cytokines was determined by the Beckton Dickinson FACS Canto 2 (USA). The level of anxiety and depression was studied on the HADS scale. Results: 3-4 weeks after recovery from COVID-19, antistreptolysin-O levels ranged from 120.9 МЕ/ml to 208.1 МЕ/ml. Significant changes among the considered parameters of inflammation and endogenous intoxication in patients with coronary heart disease in old age during recovery from a new coronavirus infection were accompanied by a change in the content of highly sensitive C-reactive protein in peripheral blood. In the early stages of recovery after COVID-19, in elderly patients with coronary heart disease, the concentration of many studied cytokines in blood plasma remained elevated compared with those aged 45-59 years. The excess of reference values in both groups was found for IL-17, TNF-α and IFN-α, and among elderly patients – for IL-3, IL-4, IL-6, IL-7, IL-17. Conclusion: Antistreptolysin-O, highly sensitive C-reactive protein, C-reactive protein can be considered markers of recovery in patients with combined coronary heart disease in the early stages after a new coronavirus infection.

Evaluation of the relationship between the real-time changes of macular structure and visual function in patients with rhegmatogenous retinal detachment after silicone oil tamponade

PurposeTo evaluate the relationship between the real-time changes of macular structure and visual function in rhegmatogenous retinal detachment (RRD) patients. MethodsForty-six patients were enrolled in this retrospective study. The best corrected visual acuity (BCVA) and macular structural changes were analyzed within 3 months after silicone oil tamponade. ResultsThe mean final BCVA was significantly better than the preoperative BCVA (P = 0.002). The parafoveal thickness became thinner, the proportion of subretinal fluid (SRF) decreased, and the proportion of intact external limiting membrane (ELM) increased within 3 months postoperatively. The recovery stage and the integrity of ELM in the SRF (-) group were significantly faster than that in the SRF (+) group (all P < 0.05). The central foveal thickness (CFT), the inferior and temporal thickness of the parafovea, and the integrity of the ELM were significantly correlated with BCVA at each time point (all P < 0.05). Long duration of preoperative RRD, thinner CFT at 1 month postoperatively, and without integrity of ELM at 3 months postoperatively were associated with poor final BCVA recovery (R2 = 0.462). ConclusionsThe macular microstructural tended to restore integrity within 3 months. The presence of SRF in macula delayed the recovery of RRD patients but did not affect the visual function.

Dynamic changes in the real-time glomerular filtration rate and kidney injury markers in different acute kidney injury models

In this study, we dynamically monitored the glomerular filtration rate and other assessment of renal function and markers of injury in various mice models of acute kidney injury. Male C57BL/6 mice were utilized to establish acute kidney injury models of sepsis, ischemia reperfusion, cisplatin, folic acid, aristolochic acid and antibiotic. In addition to the real time glomerular filtration rate, renal LCN-2 and HAVCR-1 mRNA expression levels, and serum creatinine, urea nitrogen and cystatin c levels were also used to evaluate renal function. In addition, the protein levels of LCN-2 and HAVCR-1 in renal, serum and urine were measured. Our results demonstrated that the changes in biomarkers always lagged the real time glomerular filtration rate during the progression and recovery of renal injury. Cystatin-c can reflect renal injury earlier than other markers, but it remains higher in the recovery stage. Perhaps the glomerular filtration rate does not reflect the greater injury caused by vancomycin plus piperacillin.

“Boxing Clever Cork saved my life”: a snapshot of an early addiction recovery fitness and education program

ABSTRACT Background Boxing Clever Cork is an interagency program for people who have experienced or are experiencing problematic substance use. It integrates a fitness program with education, with the aim of reducing harm and supporting addiction recovery in the lives of participants. The aim of this research was to evaluate the Cork iteration of Boxing Clever, which originated in Ballymun, Dublin. Methods A qualitative approach was taken to data collection, using the World Café 1 method along with one to one interviewing, and data was analyzed using thematic analysis. Results Research participants described feelings of vulnerability and isolation during the embryonic stages of sobriety. Boxing Clever Cork introduced structure and purpose into their lives and created a model of peer-to-peer support within a newly formed early recovery community. Challenges encountered included the diverse stages of recovery within the group, however, despite these challenges research participants felt it was important that people actively using substances continued to be included in future programs. Professionals were motivated through the principles of social inclusion. Conclusions Opportunities for development include community-based delivery, a peer mentorship model and provision of additional mental health supports.

Mitochondrial membrane potential and oxidative stress interact to regulate Oma1-dependent processing of Opa1 and mitochondrial dynamics.

Mitochondrial form and function are regulated by the opposing forces of mitochondrial dynamics: fission and fusion. Mitochondrial dynamics are highly active and consequential during neuronal ischemia/reperfusion (I/R) injury. Mitochondrial fusion is executed at the mitochondrial inner membrane by Opa1. The balance of long (L-Opa1) and proteolytically cleaved short (S-Opa1) isoforms is critical for efficient fusion. Oma1 is the predominant stress-responsive protease for Opa1 processing. In neuronal cell models, we assessed Oma1 and Opa1 regulation during mitochondrial stress. In an immortalized mouse hippocampal neuron line (HT22), Oma1 was sensitive to mitochondrial membrane potential depolarization (rotenone, FCCP) and hyperpolarization (oligomycin). Further, oxidative stress was sufficient to increase Oma1 activity and necessary for depolarization-induced proteolysis. We generated Oma1 knockout (KO) HT22 cells that displayed normal mitochondrial morphology and fusion capabilities. FCCP-induced mitochondrial fragmentation was exacerbated in Oma1 KO cells. However, Oma1 KO cells were better equipped to perform restorative fusion after fragmentation, presumably due to preserved L-Opa1. We extended our investigations to a combinatorial stress of neuronal oxygen-glucose deprivation and reoxygenation (OGD/R), where we found that Opa1 processing and Oma1 activation were initiated during OGD in an ROS-dependent manner. These findings highlight a novel dependence of Oma1 on oxidative stress in response to depolarization. Further, we demonstrate contrasting fission/fusion roles for Oma1 in the acute response and recovery stages of mitochondrial stress. Collectively, our results add intersectionality and nuance to the previously proposed models of Oma1 activity.

Research Progress on Treating Spinal Cord Injury by Modulating the Phenotype of Microglia.

Spinal cord injury (SCI) is a severe central nervous system disorder with no currently available effective treatment. Microglia are immune cells in the central nervous system that play crucial roles in the SCI occurrence, development, and recovery stages. They exhibit dynamic polarization over time and can switch between classical activation (M1) and alternative activation (M2) phenotypes to respond to environmental stimuli. The M1 phenotype is involved in initiating and sustaining inflammatory responses, while the M2 phenotype exerts anti-inflammatory effects and promotes tissue repair in damaged areas. Inhibiting M1 polarization and promoting M2 polarization have become hotspots in regulating neuroinflammation and treating SCI. This article provides a comprehensive review centered on modulating microglial polarization phenotypes for SCI treatment.

Liquid-liquid equilibrium of FAEs – glycerol phase – ethanol in the ethanol regeneration and FAE separation stage

Extraction and purification of biofuel components are as important as their synthesis. Synthesis of fatty acid esters in a molar excess of ethanol above 1:30 results in the formation of a homogeneous phase including the ester and glycerol phases dissolved in ethanol. It was observed that when excess ethanol was removed, the separation of the system into ester and glycerol phases did not always occur. To improve the biodiesel purification process the experimental binodal curve for the FAE-ethanol-glycerol phase system was obtained in the synthesis of biodiesel from rapeseed oil. The data was obtained from homogeneous alkaline synthesis of FAE with molar excess of ethanol 1:50. The pseudocomponent glycerol phase contains glycerol and unreacted oil (triglycerides (TGA)). The calculated liquid-liquid equilibrium (LLE) data for FAE – ethanol – glycerol and FAE – ethanol – TGA ternary mixtures were obtained by the UNIFAC (UNIQUAC Functional-group Activity Coefficients) model and compared with experimental diagram. It was found that glycerol and unreacted triglycerides affect the behavior of the system by preventing or promoting the mixing of immiscible components. The obtained results show that, depending on the conversion, the phase behavior of the FAE-ethanol-glycerol phase system will correspond to the ternary system FAE-ethanol-glycerol or FAE-ethanol-TGA. The obtained data help to predict the separation of glycerol and ester phases at the ethanol recovery stage knowing the degree of rapeseed oil conversion at the synthesis stage. Successful separation of the glycerol and FAE phases is possible at oil conversion above 53 %.

SMART-goal domains and goal attainment in an individualized, goal-oriented intervention for children with acquired brain injury and their families

ABSTRACT Pediatric acquired brain injury (pABI) may lead to long-lasting challenges in need of rehabilitation-efforts years after the insult. The Child in Context Intervention (CICI) is an individualized, goal-oriented intervention targeting children with pABI, their families and schools in the chronic phase. This paper describes the goals that patients and families in the CICI intervention group identified to work on. The 29 participating families worked on 90 goals that were predominantly coded to the domains of Body functioning (46.6%) and Activities and participation (40.5%), according to the International Classification of functioning, Disability and Health (ICF). The most frequently used codes focused on fatigue and emotional symptoms, in addition to codes in the AP domain describing the need for increased independence in everyday life at school, at home, and socially. Goal attainment in the intervention group was high, with positive progress on 94.4% of the goals and positive goal achievement for all included families. The high level of goal attainment provides promising evidence of the CICI programme’s efficacy, and highlights the need to further develop evidence-based rehabilitation programs for children with pABI in the chronic stage of recovery. Trial registration ClinicalTrials.gov identifier: NCT04798859.

Clinical practice guidelines and expert consensus statements on rehabilitation for patients with COVID-19: a systematic review

ObjectivesTo appraise the quality of clinical practice guidelines (CPGs) and expert consensus statements on rehabilitation for patients with COVID-19, summarise recommendations of rehabilitation assessments and interventions and evaluate the heterogeneity...

Physiological Regularity and Synchrony in Individuals with Gaming Disorder.

Individuals with gaming disorder (GD) show emotional dysregulation and autonomic dysfunction in daily life. Although studies have shown that the relaxation method of breathing exercise (BE) improves cardiopulmonary synchrony, the physiological regularity and synchrony of GD remain unclear. In this study, we investigated the regularities of pulse wave (PW), thoracic wall movement (TWM), and abdominal wall movement (AWM) using sample entropy (SE) and assessed the vascular-respiratory and TWM-AWM synchrony using cross-sample entropy (CSE). Twenty individuals with GD and 26 healthy control (HC) individuals participated in baseline, gaming, and recovery stages, both before and after BEs. The results showed that both groups had significantly higher SETWM, SEAWM, and CSETWM-AWM during gaming than baseline. Before BE, CSEPW-TWM and CSEPW-AWM during gaming were considerably higher in the GD group than in the HC group. Compared to before BE, both groups had decreased SETWM and CSETWM-AWM during gaming, particularly in the HC group. Online gaming may induce pulse wave and respiratory irregularities, as well as thoracic-abdominal wall movement asynchrony. Individuals with GD who engage in prolonged gaming periods may exhibit lower vascular-respiratory synchrony compared to the HC group. SETWM, SEAWM, CSETWM-AWM, CSEPW-TWM, and CSEPW-AWM may serve as biomarkers for assessing the risk of GD. BE may improve TWM regularity and vascular-respiratory synchrony during gaming, potentially alleviating addictive behavior.

Patient routing system in rehabilitation after treatment for oncogynecological pathologies

Background. In recent years, oncogynecological diseases have been diagnosed more frequently in women of reproductive age. Despite the high efficiency of treatment measures, significant shortcomings in the rehabilitation system for such patients are noted.Objective: to present the continuity and features of the rehabilitation system for patients of oncogynecological profile.Material and methods. This review included 75 relevant publications from authoritative sources that presented unique findings. The search was conducted in Russian and foreign online libraries, databases and search engines. PRISMA recommendations were used for search and screening.Results. Oncogynecological patients need special attention in providing them medical care at the recovery stage. It is important to adhere to the principle of continuity between all steps of rehabilitation system: immediately after treatment, in rehabilitation department, and on outpatient stage. This system has been developed in Russia, but it needs scaling and solving a number of problems, ranging from a shortage of rehabilitation doctors, limited use of promising rehabilitation tools to insufficient provision of psychological assistance and the absence of generally accepted comprehensive rehabilitation system. At the same time, there is sufficient set of traditional and high-tech rehabilitation methods to provide highly specialized care.Conclusion. Aggressive treatment of oncogynecological diseases has a detrimental effect on the general well-being of women, significantly reducing their quality of life. Previously, proper provision of rehabilitation care encountered the rigidity of the system both at methodological and administrative levels. Recently, there have been positive shifts in solving problems of providing care to oncogynecological patients, however, the presented measures are not enough to qualitatively change the situation.

"My addiction doesn't define me": Healing from the stigma of addiction for mothers with opioid use disorder.

About 1 in 8 children under age 17 live with a parent who has a substance use disorder. Research on treatment access identifies stigma as a significant barrier to treatment, particularly among mothers with young children. Well-meaning but punitive state policies further perpetuate stigma, which harms families and children. Explore the experiences of the stigma of addiction on mothers before, during and after treatment for substance use disorder. Procedures/data/observations: Descriptive Phenomenology was used to describe the experiences of stigma of mothers with opioid use disorder (OUD) through all stages of treatment and recovery. Mothers (n=20) participating in an outpatient treatment program interviewed. A semi-structured interview schedule was used to guide the interviews and thematic analysis was used identify themes related to stigma. Our analysis identified several main themes and subthemes related to internal and external sigma, including stigma against medication for opioid use dis order, stigma from the public and healthcare professionals, internalized shame, and how mothers learned to recover and heal from stigma.

The comparative techno-economic and life cycle assessment for multi-product biorefinery based on microwave and conventional hydrothermal biomass pretreatment

Microwave as an efficient and clean energy, is easy integrated with DES pretreatment and biorefinery process to achieve process intensification for cleaner production and sustainable development. However, there are worries about its economic and environmental feasibility for application in biorefinery plant. This work conducted the techno-economic (TEA) and life cycle assessment (LCA) of the entire biorefinery process based on DES pretreatment by microwave heating (MH) for producing glucose, furfural and lignin from lignocellulose, of which the results were compared with conventional heating (CH). For pretreating equivalent biomass, the total yield of products obtained from MH-assisted process was 8.53% higher than that of CH-assisted process due to microwave intensification effect. From the perspective of cradle-to-gate LCA, the MH-assisted process saved energy demand of 5.82%, reducing the environmental impacts global warming (GW) and fossil resource scarcity (FRS) by 4.85% and 5.69%, respectively, relative to CH-assisted process. The main environmental hotspots of both two processes concentrated on the raw material extraction (RME), followed by product separation and solvent recovery (PSSR) stages. Based on economic evaluation, the specific values of TAC regarding one-ton product for MH- and CH-assisted processes were 3194.35 and 3400.37 $/(y⋅t), respectively. Therefore, the MH-assisted pretreatment possessed certain environmental and economic advantages due to product increasement, energy consumption reduction in the DES pretreatment, and burden reduction for subsequent enzyme hydrolysis. Compared to the single-product biorefinery, the multi-product biorefinery strategy was more sustainable and could maximize the advantages of microwave intensification. However, some issues about the design of microwave reactors and temperature monitoring must be considered to pursue scale-up biorefinery plant.

The recovery strategy of interdependent networks under targeted attacks

To effectively mitigate failures in interdependent systems during targeted-attack scenarios, a common approach is to pre-store repair resources. The question arises: what constitutes an appropriate quantity of these pre-stored repair resources? The paper introduces a novel recovery strategy aimed at providing guidance for this issue. Current recovery strategies frequently emphasize the dynamic interplay between cascading failures and recovery processes, indicating that interventions during the recovery phase are permissible. In this context, the recovery strategy focus on recovering a predetermined number of failed nodes that are adjacent to the largest connected component of each individual network, along with their dependent nodes, at each recovery stage. Simulation results demonstrate that this strategy significantly enhances the capacity to prevent system breakdowns for interdependent networks subjected to targeted attacks. Therefore, by determining the necessary recovery steps to prevent system failures and the appropriate repair resources required for each step, this novel strategy can serve as a valuable reference for the pre-storage of repair resources. Significantly, the strategy can be effectively applied to interdependent networks associated with critical infrastructure, such as power grids and communication networks.